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COUNTWAY 


HC    4FSb    * 


Boston 

Medical  Library 

8  the  fenway 


THE 


JMEDICAL  ADVANCE 


\-^'- 


A    MONTHLY    MAGAZINE 

OF 

HAHNEMANNIAN       HOMEOPATHY 

DEVOTED  TO 

A  STUDY  OF  METHODS  AND  RESULTS. 


H.  C.  ALLEN,  M.  D.,  Editor. 
J.  B.  S.  KING,  M.  D.,  Associate  Editor, 


VOLUME  XXXVI. 


JAMES  E.  FORREST,  Publisher. 
1908 


,.,;    J«« 


AbsQQS^,  Retinal  Tr9fk]l|ment  qf, 
Rabe,  5^3 

Aconit^UD  .oapellus,  Bass,  7^9 

Adapos,  Dr.  Ghas.,  719 

Alford,  Dr.  J.  H.,  Why  I  Am  a 
£(omeopath,  333 

Alkaloldal    Therapeutics 
(Editprlal).  190 

Allen,  Dr.  H.  C,  Discussion  of  Dr. 
Pierson's  Paper,  48 
The  Necessll^y  for  Original 
Work,  111 

Alumni  of  Homeopathic  Colleges, 
(Edit),  824 

Amalgamation  of  the  Schools, (Ed- 
itorial,) 502 

Amenorrhea,  Case  of,  369 

Amenorrhea,  from^  Disappointed 
Love,  Bloomings  ton,  491 

American  Heart,  The,  (Edit.),  55 

American  Institute  of  Homeopa- 
thy, 807  ' 

American  Patriotism,  (Edit.),  638 

American  Institute  of  Homeo- 
pathy, 420;  Bureau  of  Homeo- 
pathy, 193 

Ammoniu  a  Caust,  Fragmentary 
Proving  of,  612 

Anamnesis,  The,  Hudson,  517 

Anderson,  Dr.  Clinical  Cases,  772 

Antitoxin,  The  Deadly.  (Edit.)  131 
An  Involuntary  Proving 
of,  190 

Antitoxin  Fad,  816 

Anti vaccination  Convention,  784 

Appendicitis,    Chronic,    De    La 
Hautiere,  552 

Asthma,  Case  of,  195 

Asarum  Europeum,  542 

Atwood,  Dr.  H.  A.,  419 

Back  to  the  Homeopathy  of  Hah- 
nemann, (Editorial),  553 

Banergee,  Dr.  Ganga  D.,  A  Case 
of  Remittent  Fever,  313 


Banning,  Dr.  E.  P.,  T78 

.   TAe  Philosophy   of   the 
Erect  Posture,  366 

Bari^es,  Dr.  Florence  L.,  The 
Homeopathic  Treatment  of 
Pneumonia,  17 

Barranquilla,  Dr.,  Francisco  V.T.. 
Cerebral  Hemorrhages:  A 
Clinical  Case,  525 

Bass,  Dr.  Julia  H.,  Aconitum 
Nap.,  759 

Bechamp,  Dr.  A,  577 

Bee  Sting  Fatal,  50;  Cures  Rheu- 
matism,  413 

Beebe,  Dr.  H.  E.,  138 

Beckwith,  Etiology  of  Appendi- 
citis, 820 

Belding,  Dr.  H.  E.,  250 

Bid  well.  Dr.  Glen  I.,  Organon 
Par.,  51  56,477 

Biegler,Dr.Jos.A.,rn  Memorlam,60 

Birthmarks,  Removal  of,  524 

Blackmore,  Dr.  R,  Cases,  191,  305. 

Blindness  from  Drugging,  Thorn- 
hill,  312 
"  Bloomingston,   Dr.  F.  D.,  Amen- 
orrhea    from     Dissappointed 
Love,  491 

Boenninghausen  Repertory,  The 
New,  576 

Boffin,  Dr.  Reply  to  McNeil,  248 
Hahnemann's  Defence  of 
Vaccination,  339 

Roger,  Dr.  C.  M.,  The  Study  of 
Materia  Medica,  686 

Boland.  Dr.J.T.,  Clinical  Cases  404 

British  Homeopathy  (Edit.),  675 

Bryonia  in  Asthma,  Campbell,  195 

Burgess,  Dr.  Margaret  E.,  716 

Butler,  Dr.  W.  C.  Sinapis  nigr., 
in  Asthma,  744 

Calcarea  Cure,  A.  Trumbull,  369 

Calcarea  Sulph.,  Infantile  Erupt- 
ions, Freeman,  244. 


THE  MEDICAL  ADVANCE. 


Campbell,   Pr.   J.  ,B.,  Bryonia  in^ 
Asthma,  l95. 

What   is  Worth    While 
in  Med  jclne?  455 

Campbell,  Dr.  Nettie,  Surgical 
Cases  Cured  Therapeutical- 
ly, 699 

Can  Surgery  Avail  in  the  Select- 
ion of  the  Homeopathic  Rem- 
edy?   Stanton,  245 

Case,  A  Peculiar,  Pollette,  97 

Case  Study  with  Repertory,  Free- 
man, 630 

Cases,  Edgar,  243 

Cases,  Four  Every  Day,  Stanton,  69 

Causticum,  its  Action  on  Warts 
Produced  by  X-ray  Burns, 
King,  749 

Central  New   York  Homeopathic 
Society,  Transactions,  1,  287,  477 
525,  719 

Chiron,  Dr.,  117 

Cholera  Infantum,  564 

Cholesterinum,  Yingling,  549 

Clark,  Dr.  Geo,  E.,  The  Simplicity 
of  the  Homeopathic  Law,  171 

Clark,  Dr.  Geo.  H.,  781;  Mania  a 
Potu,  408 

Clark,  Dr.  John  H.,  Radium  Brom- 
ide; A  Proving,  389 

Clinical  Case,  Jausset,  236 

Clinical  Case,  Taylor,  260 

Clinical  Cases,  Anderson,  772 

Clinical  Cases,  Boland,  404 

Clinical  Cases,  King,  251 


Conium,  267;  Coral  rubr.,  69;: 
Ferrum  Sulph.,  102;  Ficus. 
Relig.,  604;  Gelsemium.  192, 
527,  599;  Glonoin,  251;  Graph- 
ites, 602,  Hamrells,  476;  Hyd- 
ratis,  269;  Kali.  Bich.,  69;. 
Kali.  Carb  ,  313;  Kali.  Sulph., 
476;  Lacdef.,  633;  Lachesi8,85; 
Lemna  minor,  253;  Lycopod- 
ium,  70,  106,  108,  773;  Lyssin, 
243;  Medorrh,  700,  1^1,  Mer- 
curius,602;  Natrum.  Mur.,  365, 
475,  491,  675,  772;  Natural  gas,, 
515;  Nitric  acid,  526;  Nux. 
Vom.  623,  706,  758,  772;  Nux. 
Mos.,  252;  Petroleum,  71:  Phos- 
phorus, 196,  515,  671;  Physos- 
tigma,  527;  Phytolacca,  406, 
520;  Psorinum,  181,  670,  701, 
703;  Pulsatilla,  604,  706;  Pyro- 
gen, 366;  Radium  Brom.  391;. 
Rhus,  rad.,  83;  Rhus,  tox,  552, 
559,  602;  Sambucus,  338;  Sar- 
sap.,  763,  764.  765;  Spigelian 
252:  Sulphur,  601,  181,  773: 
Syphllinum,  699;  Tarantula, 
516;  Thuja,  261;  Trombidium, 
666;  TabercuUnum,  178,  552. 
702;  Tubercullnum  aviare,  679; 
Variolinum,  166;  Veratumalb. 
181,  365;  Zinc,  677. 

Clinical  Verifications,    from    My 
Note  Book,  Hawkes,  599 

Coagulation  of  the  Blood,  Lever- 
son,  581 


Clinical  Cases,  Alumen,  476,  Arg-    Coca,  An  Unexpected  proving  of^ 


entum  Nitr,  365;  Aurura  Mur. 
673;  Belladonna,  408,  527;  Ben- 
zoic acid,  676;  Borax,  268; 
Bromine,  253;  Bryonia,  195, 
552;  Calc.  Carb.  70,  369,  404, 
524,  603,  746;  Calc.  Sulph.  244, 
666;  Cannibas  Sat.,  87;  Carbo. 


Guild-Leggett,  100 
College  Inspection  Schedule,  176 
Comment  and  Criticism,  561,  641,. 

778 
Complementary        Relationships,. 

Freeman,  487 
Compulsory  Medicine  (Edit.),  825 
Veg.,476;Causticum,749;Cheli-    Compulsory  Health,  (Edit.),  56,  59 
donium,  405;  Cholesterin,  549;    Copeland,  Dr.  Royal  S.,  575  Hom- 
Coffea,    527;  Colchicum.  670;  eopathy  and  the  New  Thought 


IDEX, 


3 


in  Science  (appendix  to  June) 
Remarks  at  the  R.  H.  M. 

S.  Meetinir,  41 
What     is     Homeopathy? 
(appendix  to  Jan.) 

Correction,   Dr.  Nettie  Campbell, 
788 

Coryza,  A  Case  of,  701 

Council    on    Medical    Education, 
Committee  of,  197 

D-ibbous,  Dr.  A.  M.,  Tuberculosis, 
Etiology  and  Pathology,  30 

Day,  Dr.  J.  R,  129 

De  La  Hautire,  Dr.Rosalie,  Chronic 
Appedicitis,  562 

Derelict  or  Otherwise.  (Edit.)  129 

Diagnosis  vs.  Therapeutics,  (Edit) 
352 

Diarrhea,    Infantile,    Phytolacca 
dec,  520 

Diathesis  the   Personal  Factor  in 
Disease,  Duckworth,  319 

Diet  for  Brain  Workers,  King,  72 

Liflference    Between    Belief    and 
Practice,  (Edit.).  273 

Diphtheria  Cured  Without  Anti- 
toxin, Blackmore,  191 

Dose,  the  Repetition  of  the,  275 

Di-ake,  Dr.    W.    E.,   Early   Diag- 
nosis of  Tuberculosis,  480 

Duckworth,  Sir  Dyce,  Address  on 
the  Diathesis,  319 

Dysmenorrhea,  a  Case  of,  700. 

Eaton,   Dr.   Chas.    WoodhuU,    In 
Memoriam,212;  Personal  Trib- 
ute to,  280 
R^fsolutions  in  Memoriam  281 
The  **New  Vaccination"  in 
the  Courts  of  Iowa,  299 

E^ctopic    Gestation,    A    Case    of, 
Morris,  115 

Edgar,  Dr.  J.  F.,  418,  570. 
Clinical  Cases,  243 
Materia  Medica  Noles,  823 

Eggs.Idosyncrasy  in  Regard  to,  633 

Elimindtion  of  Sectarian  Dogma 


from      Scientific      Medicine, 
'    CEdit.),  133 
Emphysema,  Case  of,  677 
Epilepsy,  A  Clinical  Case.Chiron  117 

Soc.  Franc.  D'Hom.,  184 
Epistaxis,  Case,  515 
Erect  Posture,  Banning,  376 
Esoteric  Homeopathy,  (Edit.),  558 
Facts  and  Fallacies,  (Edit.),  636 
Fahnestock,  Dr.  J.  C,  Lecithin,466 
Family  Case.  The,  (Edit.),  557 
Farrington,  Dr.    Harvey,  Discus- 
sion on  Tuberculosis,  48 

Sequellae  and  Treatment 

of  Pneumonia,  22 
Sinapis  nigra  in  Asthma, 

745 
Similar  Cases,  Three,  803 
Ferrum  Sulphuricum,    Guild-leer- 

gett,  102 
Ficus  Reigiosa,  On  the  Action  of, 

Mattoli,  604 
Fincke  Potencies,  210 
Fitz-Matthew,  Dr.  J.,  192 
Fisher,  Dr.  C.  E.,  381 
Foetal  Phenomenon,  A  ,  285 
Follette,  Dr.  W.  W.,  Lycopodium 
in  Tumor,  106 
Value  of  Tuberculin  in  Diag- 
nosis, 484 
Fracture  of  Skull,  580 
Fragmentary    Provings    by    the 

Bayard  Club,  611 
Frash,  Dr.  J.  E.  190 
Freeman,  Dr.  W.  H.,   Case  Study 
with  Repertory  630 
Calcarea  Sulph.,  in  Infantile 

eruptions,  244 
Complementary      Relation- 
ships, 487 
The  Relation  of  Homeopathy 

to  Puerperal  Fever,  881 
A  Rhus  Radicans  Case,  83 
Symposium  on  BOnninghau- 
sen's    Pocket    Repertory, 
799 


THE  MEDICAL  ADVANCE. 


Fritz,   Dr.   A.   A..  Gonorrhea,  294 
Furuncles,  Mai- treatment  of,  640 
Gall  Stones,  case,  549 
Gelsemium,  Fitz- Matthews,  190 
Qonorrhea,  Fritz,  294 
Gtonorrhea,  The  Surgical  Aspect 

of,  Stearns,  671 
Gonorrhea,  the  *'Inefficacy  of  In- 
ternal Treatment"  in,    (Edit.) 
712 
Gordon,  Dr.  W.  F.,  717 
Gorton,  Dr.  W.  D.,  Renal  Calculi, 

758 
Guild-Leggett,   Dr.  S.  L.,  An  Un- 
expected Proving  of  Coca,  100 
Lycopodium  in  Recurrent 

Append  icite,  107 
Ferrum  Sulphuricum,  102 
Gustafson,  Dr.  Frank  A.,  Homeo- 
pathy  and   the    Homeopathic 
Physician,  508 

Homeopathy,  Its  Principles 

and  Practice,  595 
The  QualiflcatioDs    of  the 

Physician,  765 
Variolinum   in   the  Treat- 
ment of  Smallpox,  155 
Hahnemann's  Tviiiching,  The  Sole 
Gaage   of    Fidelity    to,    Hal- 
lo way,  342 
Hahnemann      Round     Table     of 

Philadelphia,  267 
Hahnemann  Hospital  of  Rochester 

N.  Y.,  Notes  from,  242 
Hardy,  Dr.  E.  A.  P.,  419 
Hawkes,  Dr.  W.  J.,  Clinical  Veri- 
fications from  My  Note  Book,599 
Hayes,  Dr.   R   E.   S ,  Experience 
with    Tuberculinum    Avaire, 
679- 
Health  Resorts  in  the  West  Indies 

330 
Hering  M.dical  College,    (Edit.), 
634 
Graduation  Exercises,  507 
Orthepedics  at,  639 


Higl>ee,  DrX?X^.,Ia  Momod»m<282 

High  Potency  Homeopai^,  (Edi- 
torial). 200 

HinjratOD,  Dr.  J.  W.,  The  .Cllna- 
tic  Treatment  of  Tuberculosis 
35 

Pulmonary    Tuberculosis, 
Calcarea  Carb.,  746 

Hodge,    Dr.    J.     W,,    Jennerian 
Vaccination,  213 
What  is  the  Stuflf  Variously 
Termed  Vaccine,  etc., 

Holcombe,  Dr.  A.  W.,  Is  the  Rule 
Smallest,      Similar,       Single 
Remedy  Praciica.1  on  Practice? 
513 

Holloway,  Dr.  J.  C,  The  Philo- 
sophy of  Hahnemann,  649 

The  Sole  Guage  of  Fidelity 
to  Hahnemann's  Teach- 
ing, 342 

Holmes,  Dr.  Horace  P.,  575 

How  the  Dynamic  Remedy 
Works,  254 

Home,  (Poem),  560 

Homeopath,  What  Kind  of  a,  Are 
You?    King,  696 

Homeopathic?  Are  you  becoming, 
Vincent,  78 

Homeoparhic  Law,  The  Simplicity 
of  the,  Clark,  171 

Homeopathic  College  of  the  U.  of 
Minn.,  565 

Homeopathic  Propagandism«  the 
A.  I.  H.  Committee,  777 

Homeopathic  Philosophy,Sugg cat- 
ions in,  Yingling,  255 

Homeopanhic  Principles  vs.  Insti- 
tute Practice,  (Edit.),  500 

Homeopathic  Remedies  How  they 
Act,  591 

Homeopathic  Teaching,Our,(Edit.) 
558 

Homeopathy,  The  Philosophy  of, 
Holloway,  649 

Homeopathy  and  the  Homeopathic 


^v^imf 


PhyiiioiaD,  Gustafsof^.^O? 
HoipBQPalfey'  1^8  Present  8t&fu» 
and  Future  Pro^^ta,  Ovev" 

homeopathy,   Its  Principles  aofl 

Pra^tic^,  6uatj^8C|;Q,  595 
homeopathy,    The  Propagandism 

cf,  135.  714,  770 
Hoftkins,  Dr.  May  E  ,  138 
House  Fly,  The  Murderous,  (Edit.) 

58. 
How  the  Dynamic  Remedy  Works, 

Holmes,  254 
Hudson,  Dr.  T.   H.,   The  Anam- 
nesis, 517 

Introeuctory  Address,  791 
Hussy,   Dr.   E,    P.,  Orgnnon  Par. 

30  and  33,  289 
Hutchinson,    Dr.    Jno.,    Standard 

Homeopathy,  315 
inauguration  of    Dean  Copeland, 

(Edit.)   829.     ' 
International  Hahnemann   Assoc- 
iation, 29,  419,  529,  678 

As  a  Factor  for  Good  in 
the  Homeopathic  Pro- 
fession, (Pres.  Address) 
533 
Loyalty  to,  127 
Meeting,  Change  of,  124 
Next  Meeting  o',  (Kdit.) 

51 
Me<.t=n«;  for  1909   574 
Tran.iu-noiidl90S.  520 
Influenza,  Case,  5  5 
Insanity,  TheStuily  of,  (F.lit.  ).55"» 
Intermittent  Ft* vn  ,  Ca.s«\«.181,  772 
Jenoerian  Vaci-in  uion,  Holj?»%213 
Johnson,    Dr.    W.    W.,    Oi-^Mnon 
Par.  30  34,  287 

A  ^tudy  of  Lyoopodiuin,104 
Journal  of  the  A.  I.  H.,  (Edit.), 776 
JouBset,  Dr.  P.,A  Clinlcil  Case,236 
Kenney,  Dr.  Adeline,  782 
Kent,  Dr.  J.  T.,  Nitric  Acid,  2 
Kin^,  J.  B.  S.t  Clinical  Cases,  251 


D^  ^QK  B^in  ?/V^Qr!j:,er^,  72 
'*N^f  tvfm  ^f  Interior," 

276 
'•SurgicaJ  Technlc,  769 
What  JCji^nd  of  a  flameop^th 
are  You?  .696 

Owl,  the  Monkey  an4  the 
Goat,  The,  801 
King,  Dr.  J.   W.,  Causticum,  its 
Action  on  Warts  Produced  by 
X-ray  Burns  749 
Kirkpatrick,    Dr.    J.    A.,    Pneu- 
monia, Etiology  and  Pathology 
11      • 

Simple  Case,  A,  814 
Kraft,  Dr.  Frank,   In  Memoriam, 

566 
Krichbaum,   Dr.   P.   E.,  Surgical 
Cases,  665 

Sinapis  Nigra,  742 
Krichbaum,  Dr.  Theod  >ra,  138 
Lachesis  Specimen,  421 
Lachesid  Verifications,  RabCf  85 
Lanktoa    Dr.  Freda  M.,  In  Mem- 
oriam; 62 
Lecethin,  a  Proving  of,  Fahnes- 

tock,  466 
Leonard,    Dr.    W.    H  ,    A    Frag- 
mentary Proving    »^f  Papaya 
Vulgaris.  74 
Leverson,  Dr.  M.  U.,  The  Coagul- 
ation of  the  Blood,  581 
London  Homeopailiic  Hospital  and 

Homeopathy,  Tyler,  641 
Loos  D.-.  J.  C,  The  Relation  of 
Homeopathy     to      Puerperal 
Ff  ver,  708 
Luff,  Dr.  Jos.  A.,  409 

A  Case    of    Septic    Fever, 
Pyrogen,  366 
Lutipe,  Dr.  F.    H.,   Infantile  Diar- 
rhea, Phytolacca,  520 
Lycopidum     in     Recurrent     Ap- 
'     pendicitis,  Quild-Leggett,108 
Lycopodlum  for  Eauresis,  199 
Lycopodium,  A  Study, Johnson,  104 


6 


THE  MEDICAX.  ADVANCE. 


Lycopodium  in  Tumor,  Follett,106 

Magna  est  Veribae,  etc.,Mahoney, 
614 

Mahoney,  Dr.  Ed w. ,  614 

Mania  a  Potu,  Clark,  408 

Materia  Medica,  A  Charrcteristic 
and  Comparative,  McNeil,  542 

Materia  Med  lea.  Comment  on  Our, 
Rauterberg,  441 

Materia  Medica,  The  Needs  of 
Our,  575 

Materia  Medica,  the  Study  of, 
Boger,  686 

Materia  Medica  Verifications, 
Rabe,  475 

Mattoli,  Agostina,  604 

McOeorge,  Dr.  W.,  Sanguin- 
aria  in  La  Grippe,  Diseases  of 
the  Chest  and  Neuritis,  733 

McNeil,  Dr.  A  Characteristic  and 
Comparative  Moteria  Medica 
642 

Medical  Ethics,  Terry,  626 

Medicine  and  Heresy,   Tyler,    644 

Mental  Clinics,  285 

Mental  Troubles  Relieved  by  the 
Homeopathic  Remedy,  Nor- 
man, 703 

Merrill,  Dr.,  Some  New  Develop- 
ments in  the  Preparation  of 
Whey,  88 

Metrorrhagia,  Case,  675 

Middletown  Insane  Hospital,  331 

Miller,  Dr.  Z.  T.,  The  Status  of 
Modern  Nosodic  Medication, 
752 

Missionary  Campaign,  (Edit.),  351 

Missouri  Institute,  507 

Morris,  Dr.  R.  N,,  A  Case  of 
Ectopic  Pregnancy,  115 

Morphium  Sulph..  Fragmentary 
Proving,  613 

My  Vow,  633 

Nat  rum  Phos.,  Fragmentary  Prov- 
ing of,  611 

Necessity    for    Original     Work, 


Allen,  111 
New  York  Homeopathic  Medical 

College,  640 
New  York  State  Society,  276,   574 

717 
"News  from  the  Interior."   King 

276 
Nitric  Acid,  Kent,  2 
Norman.  Dr.  Lee,  Mental  Troubles* 

Relieved  by  the  Homeopathic 

Remedy,  703 
Nosodic  Medication,  the   Present. 

Status  Modern,  752 
Notes  from  the  Field,  606 
Notes  from  Prs.  Copeland's  Ad- 
dress, 503 
Oklahoma    Instituto    of    Homeo^ 

pathy,  78;^ 
Oleum  Santali,  Fragmentray  Prov-^ 

ing,  612 
Onosmodium  Vlrg.  m.,  788 
Officicious     Health     Board,    The^ 

(Edit.),  828 
Opium  Cure,  The,  576 
Opsonic  Index,  the,  (Edit.),  271 
Orthopedics  at  Hering,  639,  778 
Organon  Par.  30-34,  287;  51  56,  477 
Osier  vs.  Oslerism,  579 
Osteopaths  are  Physicians,  563 
Osteomyelitis,  Case,  678 
Otitis  Media,  Acuta,  Case,  71 
Overpeck,  Dr.  J.  W.,  450 
Papaya  Vulgaris,  a  Fragmentary 

Proving,  Leonard,  74 
Pernicious     Intermittent     Fever, 

Valiente,  181 
Pharmacopeia  of    the    A.    I.    H. 

.    (Edit.)  827 
Phosphorus  Case,  Rabe,  196 
Phymosls,  Case  of,  514 
Physicians,   The  Qualifications  of 

the,  Gustafson,  765 
Pierson,  Dr.  H,  W.,   Homeopathy^ 

in  Tuberculosis,  43 
Plea  for  a  Scientific  Reproving  of 

our  remedies.  Runnels,  370 


TNDEX. 


Pleurodynia,  Case  of,  515 
Pnemonia,  Etiolo&ry  and  Pathology 

Kirkpatrlck,  11 
Paeumonia.     The     Homeopathic 
Treatment  of,  Barnes,  1^ 

Pneumonia,  Sequellae  and  Treat- 
ment, Farrington,  22 

Pneumonia  and  Tuberculosis,  a 
Symposium,  11 

Pulmonary  Tuberculosis,  A  Cal- 
carea  Carb.  Case,  Hingston, 746 

Post  Surgical  Treatment  of 
Chronic  Diseases,  (Edit.),  52 

Post  Tenebrae  Lux,  Vertes,  261 

Postal  Law,  The  New,  210,  353 

Practice,  Is  the  Smallest,  Similar, 
Single  Remedy  Practiced  in, 
Holcombe,  513 

Proprietary  Mixtures,  (Edit.),  351 

Pseudo- Homeopathic  Journals,  249 

Puerperal  Fever,  The  Relation  of 
Homeopathy  to,  Freeman,  881 

Puerperal  Fever,  The  Relation  of 
the  Homeopathic  Remedy  to, 
Loos,  708 

Rabe.  Dr.  R.  F.,  The  I.  H,  A.  as  a 
Factor  for  Good  in  the  Homeo- 
pathic Profession,  533 
Materia  Verifications,  475 
A  Phosphorus  Case,  196 
Some  Aspects  of  the  Tuber- 
bulosis  Problem  in  N.  J.,231 

Radium  Bromide,  A  Proving, 
Clarke,  389 

Rauterberg,  L.  E.,  Comment  on 
Our  Materia  Medica,  441 

Rectal  Fistula,  Case  of,  676 

Regular  Homeopathic  Medical  So- 
ciety, 11,  299,  575 

Reilly,  Dr.  W.  E.,  717 

Remittent  Fever,  A  Case  of, 
Banerjee,  313 

Renal  Calculi,  Case  of,  Gorton,  758 

Repertory  Index,  719 

Rhus  Radicans  Case,  Freeman,  83 

Rice,  Dr.  Philip,  The  Taking  of  a 


Case,  494 

Roberts^  Drs.  Thos.  Q.  ancji  Jose- 
phine, M.,  139. 

Cases  from  My  Note  Book, 
809 

Roberts,  Dr.  W.  R,  The  Relation 
of  Vaccination  to  Tuberculosis 
151 

Rock  River  Institute  of  Homeo- 
pathy, 421 

Runnels,  Dr.  D.  S  ,  Extracts  from 
a  plea  for  a  Scientific  Re- 
pri)virg  of  our  Remedies,  370 

Runnels,  Dr.  M.  T..  574 

Sanguinaria  in  La  Grippe,  Diseases 
of  the  Chest  and  Neuritis,  Mc- 
George,  733 

Sarsaparilla,  Taylor,  763 

Scarlet  Fever,  The  Treatment  of 
Complications  of  ,Campbell,359 

Schmidt,  Dr.  H.  C,  782 

Scientific  Specimen,  414 

Senn,  Dr.  Nicholas,  Death  of,  62    " 

Septic  Fever,  Pyrogen,  Lufif,  366 

Serum  Therapy  Problem, ( Ed it.),202 

Similia  Similibus,  614 

Sinapsls  Nigra,  Kricbbaum,  742 

Single  Remedy  and  Single  Dose, 
(Edit.),  636 

Small-pox  Cases,  156 

Smallpox  in  Japan,  284 

Smith,  Dr.  T.  Franklin,  782 

Sommer,  Dr.  C.  M.,  138 

Southern  Homeopathic  Medical 
Association,  635,  775 

Spring,  Dr.  L.  G.,  716 

Standard  Homeopathy,  Hutchin- 
son, 315 

Stanton,  Dr.  L.  M.,  Can  Surgery 
Avail,  etc.,  244 

Four  Every  Day  Casss,  69 

State  Societies,  278 

Status  of  Modern  Nosodic  Medi- 
cation, Miller,  762 

Stearns,  Dr.  G.  B.,  The  Surgical 
Aspect  of  Gonorrhea,  671 

Stokes,  Dr.  Lydia  W.,  Rapid  Re- 
sults from  Tuberculin,  178 

Stone,  Dr.  A.  C,  138 

Stone,  Dr.  Geo.  L.,  In  Memoriam, 
135 

Stovain  aa  a  Local  Anesthetic^ 
Vertes,  332 

Strabismus,  Case  of,  703 

Straube^s  Challenge  to  Dickinson, 


THB  MBDICAJ^  ^2> VANCE. 


785 
Surgdc^a^  Cf^s,  Kric)ibaum,  606 
Surgical  Cases,  (so-calLsd),  Cured 
Tberapeutically,  Campbell,B99 
Surgery,  CbnservatUm  in,  Wltte, 

737 
•*Surglcal  Techuic,"  Kiog,  769 
Tabor,  Ur.  G.  A.  In  Memdriao,  135 
Taking  the  Casei  Rice,  4M 
Taylor,  Dr.  E.  A.,  47 

Clinical  Cases,  260,  675 
Sarsaparilla,  763 
Tarsal  Tumors,  666 
Terry,  Dr.  M.  C,  Medical  Ethics 

626 
Texas  Homeopathic  Medical  As- 
sociation, 783 
Thomson,  Dr.  J  J..  49 
Tbornhill,  Dr.  G.  E.,  716 

Blindness  from  DrugjBring,312 
TheUropagandismoiHomeo- 
pathy,  770 
Toothaches,  Turner,  522 
Trumbull,    Dr.  Eliz.,  A   Calcarea 

Case,  369 
Tuberculin   Cow    Injunctions   of, 
(Edit.),  350;  Value  of  in  Diag- 
nosis, 484 
Tuberculinum,  Rapid  Results  from, 

Stokep,  17H 
Tuberculinum     Aviare,     Elxperi- 

ments  with.  Hayes,  679 
Tuberculosis,    Early  Diagnosis  of, 
Drake.  480 
Clinic  Treatment  of,    King- 
ston, 35 
Diagnosis  and  Prognosis  of 

Pulmonary,  Young,  27 
Etiology     and      Pathology, 

Dabboup,  30 
Homeopathy  in,  Pierson,  43 
International    Congress   of, 

279 
Problem    in    New    Jersey, 

Rabe,  231 
Relation  of  Vaccination  to,  151 
Remarks  on  at  the  R  H.  M. 
S.,  by  Copeland,  41 
Tumor  Ovarian,  Case  of,  677 
Turner,   Dr.   M.   W.,  Tootnaches, 

522 
Tyler,  Dr.   M.  L.,    The    London 
Homeopathic  Hospital,  641 
Medicine  and  Heresy,  644 
Typhoid  Bacillus  Carrier,  790 
Vaccination, Compulsory,(Edit.),348 
Compulsory  of  Infants,  565 


During  SmaUp^,  528 
"Hahnemann's  Defence  of** 

Boffin,  339 
The  Legal  Status  of.  Res- 
olutions by  the  R.  H.  M. 
S.,*9 
The  *'New''  in  the  courts 

of  Iowa,  Eaton,  299 
The  Relation  of  to  Tuber- 
culosis. Rr)bert8, 151 
School     Law     at     Niagara 
Falls,  311 
Vaccine  Virus,  160 
Vaccine  Virus,  What  is  the  Stuflf 
Variously  Termed  etc.,  Hodge 
160 
Valiente,  Dr.   F.  P.,  Intermittent 
*     Fever, 
Van  de  Venter,    Drs.   M.  C.   and 

M.  A.,  782 
Variolinum  Recognized  by  Iowa 

Courts,  212 
Variolinum  in  the  Treatment  of 

Smallpox,  Gustaf8on,<155 
Varner.  Experiences  with  the  No- 

sodes,  817 
Vertefe,  Dr.  Alex,  261,  782 

Stovain  as  a  Local  Anesthetic 
332 
Vincent,  Dr.  A.  W.,  138 

Are  We  Becomming  Borneo- 
pathicV  78 
Vivisection,  211 
Vivisection       and       Vaccination, 

(Edit.),  774 
Yawning,  243 

Yingling,  Dr.   W.  A.,  Cholester- 
inum,  549 
Suggestions  in  Homeopathic 
Philosophy,  255 
Young,  Dr.  D.   W.,  Diagnosis  and 
Prognosis        of      Pulmonary 
Tuberculosis,  27 
What  is  the  Matter  With  Homeo- 
pathy?   i?  isher,  381 
What  is  Woith  While  in  Medicine? 

Campbell,  455 
Whey.  Preparation  of,  Merrill,  8S 
Why  I  Am  a  Homeopath,  Alford, 

3:3 
Wilcox,  Dr.  Helen  B.,  716 

Some  of   the  Dangers  to 
Women,  356 
Witte,  Dr.  E.  B.,  Conservatism  in 

Surgery,  737 
Women,  Some  of  the  Dangers  t*^, 
Wilcox.  356 


The  Medical  Advance 


Vol.  XLVI.  BATAVIA,  ILL.,  JANUARY,  1908.  No.  1. 

TRANSACTIONS  CENTRAL  NEW  YORK  SOCIETY. 

Oak  Hill  Country  Club,  Rochester,  June  20,  1907. 

The  Vice  President,  Dr.  A.  C.  Hermance,  called  the 
meeting  to  order  at  12:30  P.  M. 

In  the  absence  of  the  Secretary,  Dr.  Bidwell  was 
appointed  to  the  office. 

The  minutes  of  the  March  meeting  were  read  and 
appro  v.ed. 

President  Alliaume  assumed  charge  of  the  meeting. 

Members  present:  Drs.  Hermance,  Grant,  Fritz, 
Graham,  Beck,  Johnson,  Stowe. 

Visitor:     Dr.  Bidwell. 

Dr.  Grant  asked  permission  of  the  chair  to  refer  to  the 
discussion  of  Arsenicum  of  the  last  meeting.  Granted.  He 
said  he  had  cured  three  cases  of  appendicitis  with  Arseni- 
cum. He  had  had  a  case  of  arsenical  poisoning  where 
the  patient  drank  large  quantities  of  cold  water  without 
nausea,  in  fact  had  stood  by  a  pump  and  drank  dipper  after 
dipper  full  as  fast  as  he  could  pump  it. 

Dr.  Stow  thought  we  sometimes  found  strong  charcter- 
istics  that  seemed  to  contra-indicate  a  particular  remedy, 
but,  when  given,  cured.  [The  Arsenicum  in  its  crude  form 
had  not  yet  developed  its  typical  thirst.] 

A  report  of  the  Board  of  Censors  was  favorable  to  the 
election  of  Dr.  Glenn  I.  Bidwell. 

Dr.  Stow  moved  that  Dr.  Bidwell's  election  be  unani- 
Udous.     Carried. 

No  reading  or  essay  upon  the  Organon. 

Dr.  Grant  read  a  paper  on :  *  'How  to  use  the  Repertory. '' 

Discussion  on  Dr.  Grant's  paper; 


2  THE  MEDICAL.   ADVANCE. 

Dr.  Stow  had  done  good  work  with  repertory  alone, 
without  referring  to  materia  medica.  Much  difficulty  lay  in 
the  fact  that  many  patients  were  unableto  give  comprehensive 
expression  to  their  symptoms.  He  thought  remedies  were 
more  often  selected  by  elimination  than  otherwise,  and  said 
he  was  indebted  to  Dr.  Nash  for  that  method.  He  cited  a 
case  of  diarrhea  >  by  riding  in  a  carriage  and  >  by  eating 
fresh  peaches,  cured  by  Nitric  ac.  Im. 

Adjourned  for  luncheon  and  called  to  order  at  2:  P.  M. 

A  paper  on  Nitric  acid  by  Dr.  J.  T.  Kent,  was  read  by 
the  secretary. 

Discussion  of  Dr.  Kent's  paper: 

Dr.  AUiaume  reported  a  case  of  condylomatous  warts 
on  face  and  anus  which  wa»  clearing  up  under  Nitric  acid. 

Drs.  Johnson,  Hermance  and  Bidwell  were  appointed  to 
select  the  program  for  September  meeting  and  reported: 

Organon:     ^§XXX-I,  Dr   Hussey. 

Clinical  Experiences  in  Diseases  of   Children,  Dr.   Pol 
lette. 

Lycopodium,  Dr.  Johnson. 

Glen  I.  Bidwell,  Acting  Secretary. 

NITRIC  ACID. 

-      By  James  Tyler  Kent,  A.  M.,  M.  D. 

Nitric  acid  produces  great  general  weakness;  feeble 
reaction;  extreme  sensitivity  and  nervous  trembling. 

Patients  needing  Nitric  acid  are  usually  greatly  broken 
by  long  suffering,  pain  and  sickness;  physical  more  than 
mental  sufferings  predominate,  with  a  final  and  marked 
anemia  and  emaciation.  These  patients  are  sensitive  to 
cold;  always  chilly;  always  taking  cold;  the  symptoms  are 
<  from  becoming  cold  and  in  cold  air. 

The  walls  of  the  blood  vessels  are  relaxed  and  bleed 
easily;  profuse,  dark  blood. 

The  pains  are  as  if  the  flesh  was  torn  from  the  bones, 
and  a  sensation  as  of  splinters  is  felt  in  the  inflamed  parts, 
ulcers,  and  nerves. 

The  conditions  in  which  it  has  been  found  useful  are: 


NITRIC  ACID.  3 

Inflammation  of  the  periosteum, tones  and  nerves;  sypbli- 
tic  bone  pains;  caries  of  the  bone;  exostoses;  orifices,  of 
which  the  margins  bleed  and  grow  warts;  old  scars,  which 
become  painful  in  cold  weather,  when  the  weather  changes 
to  cold,  paint  which  are  likened  to  splinters;  inflammation  of 
glands  following  the  abuse  of  mercury  in  syphilitic  subjects; 
prolonged  suppuration  in  glands  with  no  tendency  to  repair, 
when  there  are  sticking  pains;  suppuration  without  tendency 
to  repair.  This  often  occurs  in  syphilitic  patients  sur- 
charged with  Mercury.  Cancerous  affections  with  bloody, 
watery,  offensive  discharges  and  sticking  pains.  The  dis- 
charges are  thin,  bloody,  offensive,  excoriating,  sometimes 
a  dirty,  yellowish  green. 

It  has  often  been  observed  that  the  patient  requiring 
Nitric  acid  is  more  subject  to  diarrhea  than  constipation.  It 
has  cured  many  patients  who  are  never  so  confortable  as 
when  riding  in  a  carriage.  It  cures  many  complaints  that 
are  worse  from  a  jar  and  noise;  even  its  pains  are  <  from 
noise.  Nitric  acid  patients  are  often  extremely  sensitive  to 
medicines,  especially  high  potencies,  indeed  they  prove 
every  remedy  given  too  high. 

Patients  who  develop  fissues,  in  canthi;  corners  of  the 
mouth;  anus;  whose  skin  cracks  and  causes  the  sensation 
of  sticking  or  splinters,  need  Nitric  acid.  These  finally 
become  dropsical,  especiclly  in  the  lower  extremities; 
offensive,  often  putrid  odors  become  a  marked  condition;  the 
urine  becomes  strong  like  that  of  the  horse;  leucorrhea, 
catarrh,  breath,  foot  sweat,  all  become  intolerably  offensive, 
even  fetid. 

Too  much  weight  must  not  be  given  to  the  dark, 
swarthy  complexion  so  often  mentioned  as  belonging  to  the 
people  most  needing  this  medicine,  for  it  will  cure  blondes 
as  often  as  brunettes,  if  the  symptoms  agree. 

Mentally  we  shall  find  these  patients  in  great  prostra- 
tion of  mind.  Any  effort  to  reflect  causes  the  thought  to 
vanish.  There  is  general  indifference  to  all  matters;  tired  of 
life;  no  enjoyment  in  anything;  <  before  the  menses;  mental 
depression  evenings;  anxiety  concerning  failing  health;  fear 


4  THE  MEDICAL  ADVANCE. 

of  death;  anxiety  after  loss  of  sleep;  after  vexation  and  sor- 
row; anger,  following  his  own  mistakes;  anger  with  trem- 
bling; obstinacy,  refuses  to  be  comforted  in  misfortune; 
weary  of  life,  but  fearing  death;  excitable;  weeping;  hopeless, 
despair  of  recovery;  easily  startled;  frightened;  starts  in 
fright  on  falling  asleep;  cannot  comprehend  what  is  said  to 
him.  The  entire  mental  state  is  better  when  riding  in  a 
carriage. 

The  patient  suffers  much  from  vertigo  in  the  morning; 
must  lie  down. 

The  headaches  of  Nilric  acid  are  violent,  <  from  noise 
of  wagons  upon  a  paved  street,  but  often  >  from  riding  in  a 
wagon  on  a  smooth,  country  road;' the  noise  and  jarring  in- 
crease the  pain.  The  pains  are  as  of  a  vise  from  ear  to  ear, 
compressive.  The  bi-parietal  syphlitic  pain  is  often  cured 
by  this  remedy.  The  pain  is  as  though  the  head  were  bound 
up.  Pains;  drawing,  extending  to  eyes,  with  nausea;  stitch- 
ing, hammering  pains,  are  often  cured.  Pains  in  the  head 
mornings,  on  waking,  <  by  a  jar,  motion,  noise,  >  after 
rising;  >  riding  in  a  carriage;  heat  often  >  head  pain;  cold 
often  <;  wrapping  up  the  head  >.  Pains  are  of  ten  constrict- 
ing as  if  bound  by  a  tape. 

Of  the  outer  head  there  is  extreme  sensitivity  of  the 
scalp  and  skull  to  combing  of  the  hair  and  to  the  hat.  The 
hair  falls  in  profusion,  as  in  syphilis.  We  find  eruptions  on 
the  scalp  with. sharp,  sticking  pains,  at  from  splinters;  moist, 
offensive  eruptions.  There  may  be,  also,  caries  of  the  skull, 
and  exostoses. 

The  eyes  may  have  lost  their  luster,  the  pupils  are  dilat- 
ed, and  there  is  diplopia.  Inflammation  of  the  conjunctiva, 
acrid  tears;  ulceration  of  the  cornea,  pricking  pain;  iritis, 
with  stinging,  stiching  pain,  <  at  night  and  <  changing 
from  a  warm  room  to  cold  air;  spots  on  the  cornea;  intense 
photophobia  with  burning,  pressing  and  a  sensation  of  sand 
in  the  eye;  ptosis;  swollen  lids  which  are  hard  and  burn; 
small  warts  on  the  upper  lids,  which  bleed  easily,  and  cause 
aisensation  of  sticks. 

Nitric  acid  cures  a  deafness  >  when  riding  in  a  carriage 


NITRIC  ACID.  5 

or  train;  some  oateorhs  of  \be  eustachian  tube;  pulsating-  in 
the  ears;  discharges  from  the  ear  that  are  iMrown,  fetid, 
ichorous,  purulent;  may  be  a  result  of  scarlet  fever,  with 
auditory  canal  nearly  closed;  swelling  of  the  glands  ubout 
the  ear;  caries  of  the  mastoid. 

Patients  who  need  Nitric  acid  may  be  subject  to  coryza 
each  winter;  no  sooner  does  he  get  over  one  cold  than  he  has 
another;  the  nose  is  obstructed  at  night,  during  sleep;  he 
sneezes  in  cold  air,  from  every  draft;  must  keep  the  room 
very  'warm.  There  are  bad  smells  in  the  nose,  and  the 
catarrh  is  offensive  to  others;  the  catarrh  is  acrid,  watery,  < 
at  night;  yellow,  offensive,  excoriating,  bloody,  brownish, 
thin;  such  as  follow  badly  treated  scarlet  fevers,  or  in  mer- 
curo-syphilitic  patients.  The  nose  feels  as  if  there  were 
splinters  in  it;  large  crusts  form  high  in  the  nose;  green 
cAists  are  blown  from  the  nose  mornings;  ulcers  form  high 
in  the  nose;  warts  form  in  and  about  the  nostrils;  the  tip  of 
the  nose  is  red  and  scurfy;  crusts  form  on  the  wings;  the 
nose  is  cracked. 

Deep  lines  of  suffering  characterize  the  Nitric  acid  face. 
The  face  is  pale,  yellow,  sallow,  sunken,  bloated;  the  eyes 
sunken,  the  lids  humid  in  the  morning;  dark  rings  about  the 
eyes,  mouth  and  nose;  the  skin  feels  drawn  over  the  face; 
there  are  brown  pigmented,  warty  spots,  principally  on  the 
forehead;  the  right  parotid  is  large;  crusts  and  pustules  form; 
the  corners  of  the  mouth  are  cracked,  ulcerated,  crusty;  the 
lips  raw  and  bleeding;  the  expression  anxious,  haggard  and 
sickly,  and  there  is  painful  swelling  of  the  submaxillary 
glands. 

About  the  mouth  also,  are  many  marked  symptoms. 
Cracking  of  the  jaw,  while  chewing;  tearing  pains  in  the 
teeth  from  either  cold  or  warm;  pulsating  pains  at  night, 
after  mercury;  caries;  the  teeth  become  yellow,  gums  bleed 
easily,  are  scorbutic  and  swollen.  The  tongue  is  inflamed, 
ulcerated,  excoriated,  sore,  red,  yellow,  white,  dry  and  fis- 
sured, with  sore  spots  and  viscid  mucus.  The  ulcers  found 
in  mouth,  or* throat,  are' white  or  dark,  dirty,  putrid,  pha^- 
adinicf  arid  sj^philftic  with  sticking  pains^as from-  splinters; 


6  THE  MEDICAL  ADVANCE. 

the  sore  mouth  has  stinging,  burning  pain,  mucous  mem- 
brane excoriated,  red  and  swollen.  There  is  a  foul,  cadaveric 
odor  from  the  mouth,  and  the  saliva  is  so  acrid  that  it  ex- 
coriates the  lips. 

There  is  such  confusion  of  action  of  the  muscles  of  the 
throat  that  swallowing  produces  choking.  There  is  difficulty 
in  swallowing;  violent  pain  in  the  throat,  extending  to  the 
ear  when  swallowing;  sticking  in  the  throat  like  a  splinter; 
(Hep.,  Nat.  m..  Alum.,  Arg.  n.,);  viscid  mucus  in  the  throat; 
mucus  drawn  from  posterior  nares;  inflammation  of  nostrils, 
uvula,  soft  palate  and  pharynx;  edema  of  uvula  and  tonsils; 
(Apis,  Rhus,  Kali  bi.,  etc.);  swelling  of  throat  and  tonsils; 
ulceration  of  tonsils.  Nitric  acid  has  cured  diphtheria  when 
the  sensation  of  splinter  was  present  and  other  symptoms 
agreed. 

The  Nitric  acid  patient  has  inflammation  of  the  esophagus 
and  stomach;  ulceration  and  catarrh  of  the  stomach.  He  has 
many  distressing  symptoms  referred  to  the  stomach;  weight 
and  rawness  in  stomach  after  eating;  pain  in  cardiac  opening 
of  the  stomach  on  swallowing;  bitter  and  sour  emesis;  nausea 
after  eating.  He  is  generally  thlrstless,  and  longs  for  fats, 
herring,  pungent  things;  also  for  chalk,  lime,  earths.  He 
has  aversion  to  meat  and  bread,  and  the  stomach  is  dis- 
ordered by  milk;  fats  disagree;  all  foods  sour  and  cause  sour 
eructations  and  vomiting.  The  nausea  after  eating  may  be 
>  by  moving  about  or  riding  in  a  carriage. 

Nitric  acid  has  cured  cases  of  chronic  inflammation  of  the 
liver;  pain  in  region  of  liver  with  jaundice  and  clay-colored 
stools;  stitching  pains  in  liver;  enormously  enlarged  liver 
And  spleen. 

In  the  abdomen  is  found  many  cramping  pains  in  the 
ileo-cecal  region,  which  is  sore,  tender,  and  <  from  motion. 
A  patient  needing  Nitric  acid  may  waken  at  midnight  with 
cramping  pains  in  the  abdomen,  chilliness,  rumbling,  disten- 
sion and  tenderness,  all  <  from  motion.  Inflammation  and 
suppuration  of  the  ingninal  glands  will  also,  at  times,  demand 
Nitric  acid.  The  relaxed  muscular  ccmditioa  in  weakly  in- 
fant bojB  that  80  mveh  disposes  to  inguinal  hernia,  is  often 


NITRIC   ACID.  7 

overcome    by    Nitric    acid,    and    the    hernia    cured  (Lye. 
Nux.}. 

.  Broken  down  subjects  are  disposed  to  suffer  from  fre- 
quent attacks  of  diarrhea,  or  from  constipation  alternating 
with  diarrhea,  and  often  need  this  remedy,  especially  so 
when  the  urine  smells  strong  like  a  horse's  urine,  and  the 
patient  is  pale,  sickly,  losing  flesh  and  strength,  and  subject 
to  excoriation  of  the  orifices,  or  excoriating  catarrhs  and 
ulcers.  In  dysentery  the  stools  are  black,  bloody,  putrid, 
undigested,  green,  slimy  and  excoriating;  curdled  if  milk  is 
used  as  diet.  Cold  changes  of  the  weather  bring  on  diarrhea. 
The  anus  is  excoriated,  burning,  fissured  and  covered  avith 
warts,  membrane  comes  with  the  stool;  bloody  stool,  not 
even  clotted,  and  very  offensive. 

There  is  constipation  with  painful,  hard,  difiicult  stool; 
ineffectual  urging;  sensation  as  if  the  rectum  were  filled  and 
could  not  be  expelled;  drawing,  cutting,  pressing  before 
stool,  constant,  fruitless  urging.  During  stool  there  is  colic 
and  tenesmus  with  spasmodic  contraction  of  the  anus  and 
unsatisfactory  straining;  sensation  as  of  splinters.  After 
stool  there  is  still  urging  (Mer.)  exhaustion,  soreness  of  the 
anus,  cutting  pain,  burning  and  shooting  in  the  rectum,  con- 
striction of  anus,  great  nervous  excitement  and  palpitation. 
The  pain  causes  the  patient  to  stay  in  bed  hours  after  every 
stool. 

The  anus  itches  and  bums,  there  is  a  constant  flow  of 
acrid,  fetid  moisture,  fissures,  prolapsus,  and  periodical 
bleeding  with  pain  in  the  sacrum.  Nitric  acid  has  been  a 
most  useful  remedy  in  fistula,  fissures,  condylomata,  polypi, 
caruncles,  cancer  of  the  rectum  and  hemorrhoids,  when  the 
symptoms  agree. 

It  has  cured  caruncles  so  sensitive  that  the  patient 
would  cry  out  when  they  were  touched;  hemorrhoids  exqui- 
sitely painful  to  touch  and  at  stool;  that  bleed  and  ere  burn- 
ing s^d  sticking  during  stool;  that  are  either  internal  or 
external,  or  both;  that  ulcerate  and  discharge  copiously  pus 
and  blood.  When  piles  are  so  painful  that  the  patient 
breaks  out  in  sweat,  becomes  anxious,   pulsates  all  over, 


8  THE  MEDICAL  ADVANCE. 

either  from  the  slightest  touch  or  at  stool,   Nitric  acid  has 
been  found  useful  (Compare  Peonia  and  Staphisagria). 

The  male  sexual  organs  produce  many  symptoms  whiph 
indicate  Nitric  acid;  they  are  in  a  constant  state  of  irrita- 
bility; desire  is  increased  and  erections  are  troublesome  at 
night;  they  are  painful  and  spasmodic  with  stitching  pains  / 
in  the  urethra  and  chordee.  Nitric  acid  has  been  a  useful 
remedy  in  gonorrhea  when  the  discharge  was  thin  and  bloody, 
and  later  when  it  was  greenish  or  yellow, the  urethra  swollen 
and  very  sore,  with  burning  and  sticking  on  urination.  It 
has  cured  condylomata  on  genitals  and  around  anus  which 
had  the  splinter  sensation,  bled  easily,  and  were  extremely 
sensative  to  touch.  It  is  often  indicated  in  inflammation  of  the 
prostate  gland  with  gonorrhea,  especially  when  the  discharge 
becomes  scanty  from  taking  cold,  or  from  strong  injections. 
It  cures  old  cases  of  gleet  when  the  urethra  has  pain  in  it 
like  a  splinter  on  touch,  or  when  urinating,  inflammation 
with  infiltration,  making  it  feel  like  a  *'whip  cord"  (Arg.  n.); 
sore  spots  in  the  urethra;  ulcers  with  bloody  pus  and  the  sen- 
sation of  splinters;  itching  in  the  urethra  after  gonorrhea 
(Petr.);  pimples,  vesicles,  herpes  and  crusts  on  the  prepuce; 
small  ulcers  on  the  glans  or  prepuce;  spreading  ulcers;  ulcers 
that  discharge  a  brown,  offensive,  bloody  water;  phagedenic 
ulcers  (Ars.,  Aur.  m.  n.,  Caust.,  Mer.  cy.);  ulcers  that 
destroy  the  frenum;  inflammation  of  the  prepuce;  phimosis 
^nd  paraphimosis  with  gre^at  swelling;  ulcers  and  inflamma- 
tion with  the  sticking  sensations,  that  discharge  a  bloody 
water;  the  hair  falls  from  the  pubis. 

Nitric  acid  suits  many  complaints  referred  to  the  sexual 
organs  of  the  female;  constgint  itching,  burning,  and  sexual 
desire;  excoriation  from  leucorrhea  or  menstrual  discharge; 
the  slightest  exertion  brings  about  uterine  hemorrhage 
(Calc);  uterine  prolapsus;  the  vagina  is  excoriated  and  con- 
-dylomata.  grow  upon  the  genitals;  erectile  tumors  appear; 
oruncles  at  the  orifice  of  the  uirethra,.  ex;quisitely  sensitive 
M>'  tou,ch.  The.  itching  ip  ,<  by  cold;  thep£|.rt^  ar,e  fissured 
and  bleed.  Qaaiiy^  many  and  extreme  nervous  sjafferi^gs  cojne 
^iuripg;  the  m^nstru?^.pei:iod;  jlajiulonce, J)i:ui^e(;l,  p^in,iQlijaib9 


NITRIC   ACID.  9 

and  down  the  thighs;  * 'splinters"  under  the  fingers  and  toe 
nails;  palpitation,  anxiety  and  trembling;  neuralgic  pains  in 
any  part. 

The  menstrual  flow  is  dark,  thick,  too  early,  or  like 
bloody  water.  After  the  menses  there  is  a  bloody,  watery 
flow  lasting  many  days,  excoriating  the  parts;  thin,  bloody, 
excoriating  leucorrhea  at  all  times,  or  at  any  time.  Many 
troubles  that  arise  during  lactation  require  Nitric  acid;  lumps 
in  mammae;  nipples  fissured  and  tender,  excoriated  and  have 
* 'splinters."  The  Nitric  acid  patient  has  a  tendency  to  abor- 
tion from  general  Weakness,  and  the  ease  with  which  a  uterine 
hemorrhage  may  set  in. 

There  are  many  symptoms  of  throat  and  chest  in  which 
Nitric  acid  may  be  useful;  hoarseness  and  ulceration  of  the 
larynx;  voice  lost;  laryngitis  in  old  syphilitic  subjects.  The 
cough  is  dry,  barking,  <  from  tickling  in  the  larynx,  <  be 
fore  midnight;  coming  on  during  sleep.  It  may  be  paroxys- 
mal with  retching  like  whooping-cough,  violent  and  racking. 
The  coughing  spells  are  hard  and  prolonged,  loose  in  the  day 
time,  dry  at  night;  in  broken  down  constitutions,  from  liver 
and  lung  affections,  or  in  tubercular  subjects.  The  expec- 
toration is  difficult,  greenish,  viscid  or  thin;  dirty,  watery, 
bloody  mucus;  or  dark,  clotted  blood.  The  sputum  tastes 
bitter,  sour  or  salty,  offensive  and  even  putrid.  There  is 
profuse  sweat  during  the  efforts  to  expectorate;  rattling  in 
the  chest  in  the  day  time  without  Texpectoration;  stitching  in 
the  chest. 

-  In  a  case  of  typhoid  pneumonia  with  rattling  in  the  chest, 
inability  to  expectorate,  or  when  there  is  expectoration,  the 
sputum  is  brown  and  bloody,  and  the  urine  is  strong,  like 
the  urine  of  a  horse. 

In  tuberculosis  with  night  sweats  and  hemoptysis  look 
for  confirmatory  symptoms  of  Nitric  acid. 

The  pulse  of  these  patients  is  rapid,  irregular,  and  every 
fourth  beat  is  missed.  There  is  palpitation  from  excitement 
or  ascending  stairs;  swelling  of  glands  of  neck  and  axilla; 
stiff  neck;  stitching  pains  in  back  and  chest;  pains  in  the 
back   nights  compelling  him  to  lie  on  the   abdomen;   sharp 


10  THE  MEDICAL  ADVANCE. 

pains  in  the  back  in  tabes  dorsalis;  sharp  pains  in  the  back 
when  coughing,  etc.  In  the  extremities  we  find  recorded 
rheumatic  pains;  emaciation  of  the  upper  arms  and  thighs; 
weakness  of  the  limbs;  dropsy;  crippled  nails;  sticking  pains 
in  cold  weather;  numbness  of  arms  and  hands;  copp>er  colored 
spots  on  the  arms;  chilblains  on  the  hands  and  fingers;  cold, 
sweaty  hands;  numerous  large  warts  on  the  backs  of  the 
hands;  herpes  between  the  fingers;  vesicles  on  the  tip  of  the 
thumbs  that  open  into  ulcers,  felons;  discolored  and  distorted 
nails;  yellow,  curved  nails. 

Nitric  acid  is  useful  in  wounds  that  inflame  and  have 
the  sticking,  splinter  sensation. 

There  is  tearing  in  the  long  bones  of  the  legs  at  night; 
tiie  legs  are  weary  and  bruised;  the  hip  has  a  pain  as  if 
sprained,  and  there  are  sticking  pains  along  the  nerves  as 
from  splinters.  There  are  syphilitic  nodes  on  the  tibia  with 
nightly  pains;  extreme  soreness  of  the  tibia;  chilblains  on 
feet  and  toes;  phagadenic  blisters  on  toes  (Graph);  profuse, 
offensive  sweat  of  feet. 

Under  sleep  we  find  shocks  on  ^oing  to  sleep  (Agar., 
Arg.  m.,  Ars.,  Nat.  m.);  the  pains  come  on  during  sleep; 
anxious,  unrefreshing  sleep  with  frightful  dreams;  starting 
in  sleep. 

Nitric  acid  is  very  useful  during  fevers;  the  thirstless- 
ness  during  all  stages  has  often  called  attention  to  it.  In 
chronic  intermittent  cachectic  constitutions,  copious  night 
sweats, '  extreme  weakness,  with  the  characteristic  odor  of 
the  urine,  and  bleeding  from  some  part,  a  dark  blood,  this^ 
remedy  will  act  well. 


ETIOLOGY  AND  PATHOLOGY.  11 

PROCEEDINGS  OF  THE  BEOULAB  HOMEOPATUIC 
MEDICAL  SOCIETY. 

Tuesday,  December  3,  1907. 

Held  at  Chicago  Public  Library  Building. 

Dr.  H.  C.  Allen,  president  of  the  Homeopathic  Medical 
Society,  opened  the  meeting  with  the  following  remarks: 
Ladies  and  Gentlemen: 

This  meeting  is  something  of  an  innovation  in  that  we 
are  having  a  mid- winter  day  session.  We  would  consider  it 
very  common  in  the  summer  or  spring  when  meetings  are 
being  held  all  over  the  state.  J6ut  we  have  thought  it  ad- 
visable in  the  interests  of  Homeopathy  and  for  the  benefit 
of  the  profession  to  see  if  it  is  not  possible  to  have  a  regular 
society  meeting  once  or  twice  during  the  winter,  and  to  have 
afternoon  sessions  for  the  discussion  of  medical  matters  in- 
stead of  having  them  all  come  in  the  evening.  If  we  find 
this  successful  and  satisfactory  to  those  who  attend,  we 
shall  probably  hold  other  meetings  from  time  to  time. 


PNEUMONIA  AND  TUBEBCULOSIS:  A  SYMPOSIUM. 

The  general  topic  this  afternoon  is,  Homeopathy  in 
Pneumonia  and  Tuberculosis.  The  first  paper  to  be  read 
will  be 

THE  ETIOLOGY  AND  PATHOLOGY. 

By  Dr.  J.  A.  Kirkpatrick,  Chicago. 

It  ocupies  a  prominent  place  in  medical  literature.  It 
would  be  a  waste  of  time  to  do  more  than  refer  briefly  to  a 
few  things  found  in  the  latest  authorities. 

The  death  rate  in  pneumonia  is  proof  that  the  knowledge 
gained  is  of  little  practical  value,  either  in  preventing  the 
disease  or  aiding  in  its  cure. 

Specialists  have  elaborated  upon  the  bacteriology  ol 
pneumonia  but  are  ready  to  Qonf  ess  that  they  are  helpless  to 
lower  the  mortality.  Hence  it  would  be  unprofitable  to  add 
anything  along  this  line  even  if  I  were  competent  to  do  so. 

Dr.  Wells  says  that  the  death  rate  in  pneumonia  has 
risen  during  recent  years  from  an  average  of  18  per  cent.to 
an  average  of  28  per  cent. 


12  THE  MEDICAL  ADVANCE. 

Dr.  Osier  states  that  pneumonia  is  the  most  fatal  of  all 
the  acute  diseases  and  its  aggregate  annual  mortality  appears 
now  to  be  even  greater  than  the  great  **white  plague,"  con- 
sumption. 

The  United  States  census  for  1900  places  the  total  num- 
ber of  recorded  deaths  at  105,971.  Of  this  number  there 
died  from  pneumonia  106.1  out  of  every  1000  deaths  from  all 
causes,  bemg  over  ten  per  cent. 

Pneumonia  in  Chicago  from  the  years  1900  to  1905  claims 
one  eighth  of  all  victims  of  disease;  this  is  eight  per  cent  in 
excess  of  all  other  acute  contagious  diseases  combined  which 
includes  diptheria,  erysipelas,  influenza,  measles,  puerperal 
fever,  scarlet  fever,  small  pox,  typhoid  fever,  and  whooping 
cough.  This  is  surely  an  earnest  call  for  the  medical  pro- 
fession to  pause  and  consider. 

The  text  books  generally  follow  the  old  classifications 
in  considering  the  etiology  of  pneumonia  and  from  our 
present  knowledge  it  is  about  the  best  that  can  be  done. 
The  causes  are  given  as  predisposing  and  exciting;  remote, 
or  immediate;  idiopathic,  or  symptomatic. 

Among  the  predisposing  causes  given  are:  seasons, occur- 
ring more  frequently  in  winter  than  in  summer;  climate, 
north  temperate  and  cold  damp  climate  favors  its  develop- 
ment; occupations,  coal  miners,  stone  cutters  and  those 
occupations  that  expose  to  extremes  of  temperature,  to  fumes 
and  gases  and  impure  air;  alcoholism,  habitual  drinkers  and 
users  of  other  irritating  drugs  and  narcotics  are  highly  pre- 
disposed; age,  occurring  more  in  infancy  and  old  age;  men 
are  more  subject  to  pneumonia  than  woman;  traumatism, 
of  injury  to  the  lung  may  cause  inflammation;  other  acute 
or  chronic  diseases  may  predispose  to  pneumonia  such  as 
measles,  typhoid  fever  and  influenza.  Many  of  the  predis- 
posing causes  may  become  exciting  or  determining  causes  of 
pneumonia.* 

•  Tlie  exciting  causes  are  many,  such  asexposure,fatigue, 
5feficient  food  or  poor  quality  of  food  or  excessive  amount  of 
-Wholesome  food  may  lead  to  auto- infection  and  help  to  pre- 
pare the  way  for  this  disease. 


ETIOLOGY   AND   PATHOLOGY.  13 

The  bacteriology  of  pneumonia  has  claimed  the  attention 
of  pathologists  in  recent  years;  the  specific  germ  or  pne\i- 
moccus  has  been  variously  designated.  Frankel  and  Weichsel- 
baum  called  it  pneumococcus;  Sternberg  the  micrococcus 
pneumoniae  crouposse;  and  Telamon  called  it  the  diplococcus 
lanceolatus.  It  is  generally  admitted  that  other  micro  organ- 
isms produce  conditions  closely  resembling  this  disease  such 
as  the  streptococcus, staphylococcus  and  even  typhoid  bacilli 
are  sometimes  found. 

Mixed  infection  is  quite  common,  i.  e.  two  or  more  varie- 
ties of  bacteria  are  found  present  in  a  person  suffering  frqjn 
pneumonia. 

Babcocksays,  that  bacteriologists  have  much  to  clear  up 
regarding  the  role  played  by  micro-organisms  in  the  causation 
of  pulmonary  inflammation. 

Bauchard's  statement  still  stands:  That  what  renders 
possible  the  development  of  an  infective  disease  is  not  the 
chance  meeting  of  man  and  microbe.  *  'This  meeting"  he  says, 
'*is  constant  but  it  is  generally  without  result." 

Later  investigations  have  confirmed  the  truthfulness  of 
this  statement.  Netter  says  that  the  pneumococcus  is  found 
in  twenty  per   cent  of  persons  not  affected  by  pneumonia. 

Park  and  Williams  found  germs  in  fifty  per  cent  of  two 
hundred  healthy  persons  and  concluded  that  pneumococci 
are  the  inhabitants  of  the  mouths  of  most  people  during  the 
winter  months.  Examinations  made  in  the  Boston  City 
Hospital  show  germs  in  every  one  of  the  twenty  four  liealthy 
persons  examined.  Another  authority  found  these  germs  in 
ninety  five  per  cent  of  healthy  persons  examined. 

Much  more  might  be  given  along  the  same  line  but  is 
this  not  sufficient  to  convince  any  reasonable  mind  that  it  is 
worse  than  useless  to  spend  time  in  seeking  a  specific  cause 
of  an  acute  disease  while  the  mortality  grows  worse  an(J 
worse.  Far  better  go  back  to  the  immortal  Hahnemann  and 
see  how  he  answers  his  own  question:  *'How  does  the  phy- 
sician gain  the  knowledge  of  disease,  necessary  for  the  pur- 
pose of  cure?*'  page  105  S  71  Organon. 

In  the  73rd  paragraph  we  find  this  statement:* 'Acute  dis- 


14  THE  MEDICAL  ADVANCE. 


likewise  admit  a£  division  into  several  classes:  The 
first  are  those  which  attack  single  individuals;  they  areocca- 
skmed  by  hurtfal  influences  to  which  the  patient  happened 
to  be  exposed."  Note  what  he  says:  ''Excesses  in  sensual 
eajoyment,  or  deprivation  of  the  same,  violent  physical  im- 
inressions,  exposure  to  cold,over  heating,  excessive  muscular 
exertion,  physical  or  mental  excitement,  etc.,  give  rise  to 
acute  febrile  diseases;  they  are  however  in  reality,"  he  says, 
*  but  transient  aggravations  of  latent  psora,  which  returns  to 
its  dormant  conditions  of  its  own  accord,  providing,  the  acute 
disease  was  not  too  violently  and  speedily  relieved, ''(in  other 
words  suppressed). 

No  apology  need  be  made  for  Hahnemann  or  his  psora. 
He  observed  closely.  He  saw  something  and  it  matters 
little  what  you  call  it;  to  day  we  would  say  auto-intoxication 
or  infection  but,  we  have  made  little  improvement  if  any  in 
getting  rid  of  the  condition  over  that  of  Hahnemann;  his 
plan  was  to  cleanse  the  body  from  within  thus  operating 
with  nature  in  her  methods  of  eliminating  an  irritant  from 
the  body. 

Admitting  that  Hahnemann  had  never  seen  the  acari  in 
scabies,  he  is  still  to  be  commended  for  his  wisdom  in  driv- 
ing them  from  their  burrow  beneath  the  epidermis,  rather 
than  making  a  burying  ground  under  the  skin  and  thus  ad- 
ding dead  matter  to  the  already  auto-infected  body. 

We  do  not  have  to  read  far  to  find  that  the  present  eti- 
ology of  pneumonia  is  worse  than  useless;  if  our  knowledge 
is  to  be  of  any  value  it  will  show  it  in  preventing  diseases 
and  lowering  the  mortality. 

Pneumonia  is  a  bankruptcy  of  the  vitality.  There  are 
many  ways  of  squandering  strength  and  making  a  wreck  on 
the  highway  of  life;  any  one  can  tell  a  hundred  ways  in 
which  it  is  being  done,  the  vitality  is  lowered,  the  metabo- 
lism deranged,  waste  accummulates,  the  morbid  opportunity 
comes,  the  scavengers  begin  to  multiply,  they  feast  upon 
the  dead  matter,  the  adjoining  cells  are  contaminated  and 
weak,  they  also  fall  a  prey  to  the  devouring  bacteria  of 
whatever  kind  may  be  present.     The  malignancy  does   not 


ETIOLOGY  AND  PATHOLOGY.  15 

,  upiHi  what  kind  of  bacteria  ao  much  as  the  vital 
staadard  of  tiba  persoa  infacted.  Vital  resi&tance  is  recog- 
nized aa  the  cbiet  factor  in  the  development  progress  and 
termination  in  thia  disease  as  in  moat  others. 

The  integrity  of  the  cells  depends  upon  suitable  nutri- 
ticMi  and  proper  environment.  » 

We  comprehend  more  fully  how  dependent  we  are  upon 
cell  metabolism  when  we  analyze  the  complex  compounds 
that  enter  into  tissue  structure, and  see  what  constant  atomic 
relations  are  maintained  by  human  life  and  life  alone  when 
it  is  furnished  the  natural  food  which  is  the  only  suitable 
composition  to  perfectly  establish  and  maintain  a  high  stand- 
ard of  vital  resistance. 

Nature's  God  has  fixed  a  definite  relation  and  dependen- 
cy between  man's  need  and  the  supply  of  material  for 
food  and  protection.  It  is  no  accident  that  the  human  body 
is  composed  of  C,H,N,0,P,S,Pe.,  in  constant  and  definite 
proportion  and  that  natural  foods  contain  these  same  ele- 
mental comp>ounds. 

Life  only  can  build  these  complex  food  substances 
w^hether  animal  or  vegetable.  Human  life  is  the  only  power 
that  can  transform  these  natural  elements  into  a  human  cell. 
While  this  is  self  evident  yet  one  can  scarcely  find  natural 
food  that  has  not  been  artificially  changed,  spoiled  by  at- 
tempted improvement  and  adulterated  to  satisfy  greed  until 
it  is  unfit  to  nourish  the  human  body. 

Take  hemoglobin  for  example  with  its  complex  arrange- 
ment of  atoms  of  Ccoo,  H906,  N164,  On^,  Sa,  Fe./, 
-with  traces  of  other  salts,  exactly  suited  to  carry  oxygen, 
taking  from  the  inspired  air  in  the  lungs  and  distributing  it 
to  every  cell  in  the  body.  One  must  first  understand  this 
function  to  comprehend  the  etiology  of  pneumonia.  It  is 
little  we  know  as  compared  with  what  seems  beyond  the 
comprehension  of  the  human  mind.  But  we  do  know  that 
there  can  be  no  perfect  oxidation  without  a  perfect  hemo- 
globin; no  perfect  hemoglobin  without  suitable  material, 
and  no  suitable  material  without  a  life  to  form  it  and  human 
life  to  transform  it  into  its  organic  proportions. 


16  THE  MEDICAL  ADVANCE. 

A  proper  environment  is  essential  to  the  vital  processes. 
The  cell  must  be  protected  as  well  as  the  organ  or  individ- 
ual body.  Heat  favors  vital  activity,  continued  cold  retards 
it.  Heat  must  be  generated  and  maintained.  There  can  be 
no  great  degree  of  vital  resistance  without  oxidation.  This 
is  nature's  plan  for  cleansing.  It  is  not  heat  that  kills  in 
fever;  it  is  the  toxins  unoxidized  that  destroy  life. 

For  example,  a  chicken  has  a  temperature  of  IO65  F. 
The  chicken  in  a  normal  condition  can  not  be  infected  with 
anthrax.  The  virus  may  be  injected  into  its  blood  without 
results,  but  stand  the  chicken  in  ice  water  until  it  is  chilled 
and  the  anthrax  will  infect  and  kill  it. 

Lowered  vitality,  poor  nutrition,  improper  environ- 
ment give  the  key  to  the  dread  disease,  pneumonia. 

The  patient  wastes  his  energy  by  overwork  or  abuse, 
he  becomes  auto-infected  by  eating  all  sorts  of  viands  and 
confections;  perfect  nutrition  becomes  impossible,  the  tis- 
sues lose  their  integrity,  waste  and  decomposing  matter 
ooze  from  every  gland  on  the  outside,  or  mucous  surface 
within;  the  patient  now  has  catarrh.  These  discharges  are 
suppressed  as  far  as  possible  by  astringents  and  local  appli- 
cations, the  infection  is' forced  back  into  the  blood  and 
lymph,  nature  rebels,  starts  a  conflagration,  and  tries  to 
burn  out  the  waste;  antiphlogistics  are  given  or  applied,  the 
fever  is  suppressed.  The  patient  only  partially  recovers,  is 
easily  chilled,  extremities  are  cold,  appetite  poor,  the  tongue 
is  coated,  the  bowels  constipated,  the  breath  offensive,  rest 
is  disturbed,  the  patient  becomes  irritable,  tries  to  continue 
his  work  which  becomes  a  burden,  and  life  intolerable. 

All  the  while  the  person  is  trying  all  sorts  of  ways  for 
relief;  one  takes  alcoholic  tonics  to  deaden  the  misery,  an- 
other takes  sedatives.  The  appetite  is  tempted  by  highly 
seasoned  foods  to  please  the  perverted  tastes  and  desires; 
thus  he  keeps  on  to  the  limit  of  physical  endurance. 

Then  comes  more  drastic  measures;  cathartics  in  the 
form  of  Cascarets,  Castoria,  Castor  Oil  or  Calomel.  In  the 
attempt  to  cleanse  the  body  it  is  worse  polluted  until  every 
cell  is  weakened  and  contaminated  and  the  patient  becomes 


HOMEOPATHIC   TREATMENT   OF    PNEUMONIA.  17 

a  walking  incubator,  (if  he  has  not  taken  to  his  bed).    There 
is  a  chill,  the  morbid  opportunity  has  come,   the  ever  pres- 
ent germs  begin  to  multiply.     The  tired  muscles  give   way, 
the  Wood  driven  inward  by   the   contracted   capillaries  in- 
creases the  blood  pressure,  the  weakened  vessels  of   the  in- 
ternal organs  burst  from  this  increased  pressure   and  the 
tumultuous  action  of  an  over  stimulated  heart.     If  the  cap- 
illaries.of  the  larynx  give   way  we  have  laryngitis,  if  the 
pharynx,  pharyngitis  or  diphtheria,  or  quinsy;   if  the  kid- 
neys give  way  we  have  nephritis,  if  the  liver  it  is  hepatitis; 
^^the  bronchi  are  the  first  to  give  way   it   is  bronchitis;  if 
^^^  parenchyma  of  the   lung   chances   to   be   the  weakest 
f^int  it  is  pneumonia  with  all  that  it  means  of  lessened  oxi- 
^^ion  and  deficient  elimination  of  carbon  dioxide  and  other 
^ic  elements  as  it  affects  the  functions  of  the  whole  body. 
When  we  come  to  know  and  understand  the  etiology  of 
pneumonia,  if  that  time  ever  comes,  we  shall  be  able  to  com- 
prehend the  whole  of  pathology,  for  when  pneumonia  sets 
in  **the  whole  head  is  sick,  the  whole  heart  faint,    from   the 
sole  of  the  foot  even  unto  the   head  there   is  no  soundness 
in  it." 

Whefi  we  recognize  this  fact  more  fully,  less  attention 
will  be  given  to  killing  germs  and  more  effort,  directed  to 
save  the  patient,  by  aiding  the  vitality  in  its  battle  against 
disease. 


THE  HOMEOPATHIC  TREATMENT  OF  PNEUMONIA. 

By  Dr.  Florence  E.  Barnes. 

At  this  season  of  the  year  our  attention  is  especially 
caQed  to  that  much-dreaded  disease  pneumonia,  and  little 
wonder  that  it  is  so  dreaded  by  the  laity  and  the  allopathic 
sect  of  the  medical  profession,  when  so  eminent  an  authority 
as  Dr.  Billings,  recently  president  of  the  American  Medical 
Association,  in  his  annual  address  said  that,  *Svhen  he  is 
called  in  to  attend  a  case  of  pneumonia  nowadays,  he  gets 
ready  to  sign  a  burial  certificate." 

And  Dr.  Bevan  who  openly  declares  that  they  (the  old 
school)  have  no  medical  treatment  for  pneumonia, and  that  a 


18  THE  MEDICAL  ADVANCE. 

i^eoifie  must  be  discovered  before  the  diaeftae  can  be-tceated 
successfully. 

Dr.  Osier  says:.  "So  fatal  is  the  disease,  in  this  country 
at  least,  one  may  say  that  to  die  of  pneumonia  is  the  natural 
end  of  old  people.''  He  also  says  that  ''pneumonia  is  a  self- 
limited  disease,  which  can  neither  be  aborted  nor  cut  short 
by  any  known  means  at  our  command." 

Relying  upon  our  infallible  law  of  cure  we,  as  homeo- 
paths, have  no  such  unwholesome  dread  of  the  results  of 
this  disease,  but  at  the  same  time  realize  the  seriousness  of 
the  condition  with  which  we  have  to  deal  and  the  necessity 
for  prompt  and  accurate  prescribing  as  symptoms  present 
themselves,  always  bearing  in  mind  that  a  homeopathic 
prescription  is  based,  not  upon  the  symptoms  diagnostic  of 
the  disease,  but  upon  those  peculiar  to  and  characteristic  of 
each  individual  patient,  which  may  call  for  any  remedy  in 
the  materia  medica. 

Experience  teaches  that  Homeopathy  gives  us  the  means 
to  shorten  the  course  of  this  disease  without  waiting  for  the 
cyclical  days  and  their  effects,  also  that  every  case  of  pneu- 
monia has  its  own  simile  or  specific. 

So  frequently,  however,  do  our  cases  of  pneumonia 
terminate  by  lysis  that  we  often  receive  little  credit  from 
our  patients  or  the  community  for  curing  such  simple  cases, 
physical  signs  often  non-discernable  after  the  eighth  day, 
while  under  the  expectant  treatment  physical  signs  are  de- 
tected up  to  the  twenty :fifth  or  thirtieth  day,  the  fever 
abating  from  the  ninth  to  the  eleventh  day. 

Dr.  Osier  states  that  in  hospital  practice  the  mortality 
is  from  20  to  40  per  cent.  Of  the  first  124  oases  admitted  to 
or  developing  in  the  Johns  Hopkins  Hospital  37  died,  a  mor- 
tality of  29.8. 

Dr.  Routh's  statistics  of  the  comparative  mortality  in 
pneumonia  in  the  Vienna  Homeopathic  Hospital,  are  Hom- 
eopathic 5.77,  or  1  in  17;  Allopathic  24.57,  or  1  in  4. 

Statistics  from  the  hospitals  of  Paris  give  about  the 
same  comparative  mortality. 

Wm.  Sharp,  Fellow  of  the  Royal  Medical   Society,  Lon- 


HOMEOPATHIC  TREATMENT  OP  PNEUMONIA.       19 

don,  gives  the  following:    Homeopathic  5.77;  Allopathic  24. 

The  United  States  census  of  1900  shows  that  more  than 
one-tenth  of  all  deaths  in  this  country  were  due  to  pneumo- 
nia, and  the  biennial  report  of  the  Department  of  Health  of 
the  City  of  Chicago,  1904-5,  shows  the  mortality  from  pneu- 
monia to  be  88  per  cent,  more  than  from  all  other  acute  con- 
tagions diseases  combined,  and  17.7  per  cent,  more  than 
from  all  forms  of  tuberculosis. 

What  has  Homeopathy  to  offer  for  the  treatment  of  this 
very  false  condition?  The  above  comparative  mortality 
statistics  certainly  prove  that  we  have  reliable  treatment, 
and  that  our  remedies,  all  proven  on  the  healthy,  applied  in 
atrict  accordance  with  the  law  of  similars  must  cure  all  cur- 
able cases. 

How  often  does  Aconite,  given  at  the  time  of  the  first 
chill  ward  off  the  whole  attack  and  thus  prevent  localization 
of  the  inflammation?  Of  course  we  must  have  the  symp- 
toms of  Aconite,  which  are  well  known  to  all  of  us,  restless- 
ness and  fear  of  death  being  important  symptoms.  Bryonia 
during  the  stage  of  hepatization  or  exudation;  pulmonary 
oppression,  bruised  feeling  and  pains  in  chest,  <  by  motion 
or  deep  breathing,  >  lying  on  affected  side;  cough  hard  and 
painful;  abdominal  breathing;  great  thirst  for  large  quanti- 
ties of  water. 

Kali  Iodide,  when  hepatization  is  so  extensive  that  we 
have  cerebral  congestion,  delirium,  face  red:  pupils  dilated, 
patient  drowsy.  A  picture  very  much  like  Belladonna  with 
which  it  must  be  compared. 

Perrum  phos.,  like  Aconite,  often  indicated  in  first 
stage  before  exudation  appears.  Not  so  well  adapted  to 
full-blooded,  arterial  subjects  as  Aconite  but  rather  to  the 
pale  anemic  who  are  nevertheless  subject  to  sudden  and 
violent  local  congestion  and  inflammation;  sputa  containing 
a  great  deal  of  blood;  nose  bleed;  very  little  thirst. 

Phosphorus,  dryness  of  the  air  passages;  excoriated 
feeling  in  upper  chest;  great  weight  on  the  chest  or  tight- 
ness. Pains  through  left  lung  and  cannot  lie  on  left  side; 
involuntary  stools;  thirst  for  very  cold  water. 


20  THE   MEDICAL.   ADVANCE. 

Sulphur,  when  the  disease  assumes  a  torpid  character; 
weak,  faint  spells;  flushes  of  heat:  feels  suffocated;  wants 
windows  and  doors  wide  open;  constant  heat  of  vertex;  pa- 
tient responds  sluggishly;  comprehends  slowly:  <  midnight. 
Pneumonia  passing  through  first  stage  normally  and  then 
remaining  stationary.  Such  a  defective  reaction  points  to 
Sulphur  as  the  remedy  when  it  accomplishes  the  absorption 
of  the  infiltration  and  prevents  suppuration. 

Frequently  when  the  condition  does  not  yield  readily  to 
the  apparently  well  selected  remedy,  there  is  a  constitu- 
tional dyscrasia  which  will  have  to  be  reckoned  with,  these 
attacks  being  outbursts  of  the  deep  seated  miasm  which 
must  be  eradicated  before  a  cure  can  be  affected.  In  many 
of  these  cases  I  think  we  will  find  the  nosodes  of  great  value 
when  thoroughly  indicated  by  the  symptom  totality. 

GENERAL  MANAGEMENT. 

The  patient  should  not  be  too  much  bundled  with  cloth- 
ing. A  light  flannel  jacket  or  a  jacket  lined  with  cotton 
wadding,  opening  in  front  and  worn  under  the  gown  will  ena- 
ble the  physician  to  make  his  examinations  without  un- 
necessarily disturbing  the  patient  and  will  protect  from  sud- 
den chilling. 

The  room  should  be  bright  and  light,  letting  in  the  sun- 
shine if  possible,  and  thoroughly  ventilated. 

Even  when  not  called  for  on  account  of  high  tempera- 
ture the  patient  should  be  carefully  sponged  each  day  with 
tepid  or  hot  water.  This  should  be  done  with  as  little  ex- 
posure and  disturbance  as  possible.  Special  care  should  be 
taken  to  keep  the  mouth  and  gums  cleansed. 

DIET. 

Water  or  lemonade  should  Jl>e  given  freely.  When  the 
patient  is  delirious  the  water  should  be  given  at  fixed  in- 
tervals. 

The  strength  of  the  patiimt  should  be  sustained  by 
nourishing  but  not  stimulating  foods,  principally  liquid, 
consisting  chiefly  of  custard,  milk,  either  alone  or  better 
mixed  with  food  prepared  from  some  one  of  the  cereals,  and 
eggs,  soft  boiled  or  raw. 


DISCUSSION.  21 

If  we  recognize  the  symptoms  of  each  case  which  indi- 
vidualize it,  carefully  select  the  remedies  that  correspond 
to  the  characteristic  symptoms  and  supplement  our  medical 
treatment  with  proper  diet,  hygiene  and  good  nursing  our 
death  rate  will  not  be  appalling. 

DISCUSSION. 

Dr.  H.  C.  Allen:  I  notice  that  Dr.  Barnes  did  not 
mention  the  serious  heart  complications  so  frequently 
found  in  this  disease.  Perhaps  somebody  else  may  know 
more  about  it  or  may  have  a  greater  fear  of  the  trouble. 

It  is  well  known  to  every  one  that  fear  has  a  very  marked 
effect  in  all  acute  diseases.  In  fact,  it  has  been  said  that 
fear  kills  more  patients  in  Asiatic  cholera  than  any  other 
one  factor.  The  same  thing  is  probably  true  of  yellow  fever. 
We  find  this  same  condition  in  pneumonia.  Very  frequently 
one  dose  of  Aconite  in  the  first  stage  of  pneumonia,  will  do 
much  to  alleviate  the  patient  and  free  him  from  fear. 

Dr.  T.  G.  Roberts:  Something  "has  been  said  concern- 
ing the  heart  complications  of  pneumonia.  I  believe  that  if 
pneumonia  is  treated  in  the  beginning  with  its  similimum, 
we  will  have  no  heart  troubles  to  deal  with.  In  the  treat- 
ment of  this  disease,  I  have  had  no  more  trouble  with  the 
heart  than  any  other  part  of  the  body.  I  do  not  believe  that 
under  strict  homeopathic  treatment  one  usually  has  such 
troubles.  I  do  not  know  that  I  ever  gave  a  *'heart  remedy" 
for  pneumonia.  Two  good  remedies  that  are  frequently  used 
in  pneumonia  are  Sanguinaria  and  Antimonium  tart.  The 
latter  remedy  shows  its  wonderful  power  when  there  is  so 
much  accumulation  of  mucus  and  absolute  inability  to  expec- 
torate it.  Like  all  other  diseases  pneumonia  is  well  handled 
when  we  prescribe  on  the  totality  of  the  symptoms  and  the 
characteristics  of  the  patient,  paying  no  attention  to  the 
disease  itself. 

Dr.  J.  C.  ,'Holloway:  The  last  remark  of  Dr.  Roberts 
suggests  that  he  is4  a  homeopath.  We  have  had  some  pneu- 
monia out  in  our  country,  atfnd  our  very '  rejj^ular  friends  say 
that  they  get  all  the  hard  cases.  Their  casos  are  all  report- 
ed in  the  paper  as  very  serious.     Mine  are  all  easy,  because 


22  THE  MEDICAL  ADVANCE. 

I  have  not  lost  any.  However,  I  consider  that  phase  of  it 
peculiar  to  Homeopathy  and  not  to  me.  If  I  were  the  subject 
of  pneumonia,  I  should  want  a  homeopath  to  treat  me;  and  I 
would  not  have  any  better  hope  if  I  had  a  mongrel  homeopatii 
than  if  I  had  a  regular  (?). 

I  am  known  as  a  crank  on  Homeopathy.  In  our  town  of 
thirty  thousand,  we  have  fifty  regulars,,  two  mongrels  and  I 
am  by  myself.  In  treating  pneumonia  one  need  not  fear 
getting  the  remedy  too  high  but  rather  that  he  may  get  it  too 
low.  I  have  nothing  now  in  my  office  or  case  under  the  200 
potency.  I  am  sorry  that  Dr.  Barnes  did  not  speak  of  Mer- 
curius  vivus  in  pneumonia  of  a  bilious  type.  I  saved  one  of 
the  **hopeless"  cases  last  winter  by  giving  Mercurius  3m. 
I  am  glad  to  be  with  you,  and  hope  to  learn  something.  I 
am  shut  up  by  myself  in  our  country,  but  it  does  not  lessen 
my  ardor  or  confidence  in  Homeopathy,  and  its  capabilities 
of  cure. 

Dr.  M.  A.  Campbell:  I  have  not  heard  anybody  say 
anything  about  Tuberculinum  in  the  cases  of  old  people. 

Dr.  H.  S.  Llewellyn:  I  simply  want  to  say:  Do  not  let 
anything  frighten  you  in  pneumonia.  A  year  ago,  I  waa 
called  in  consultation  to  see  a  man  of  95  who  was  suffering 
from  pneumonia.  He  completely  recovered  on  Phosphorus. 
All  we  need  is  faith  and  our  indicated  remedy. 

SEQUELia:  AND  TftEATMENT  OE  PNEUMONIA. 

By  Dr.  Harvey  Farrington,  Chicago. 

Under  skillful  homeopathic  medication  fthe  after  effects 
of  any  acute  disease  are  reduced  to  an  almost  negligible 
quantity,  and  pneumonia  is  no  exception.  Nevertheless  the 
subject  of  sequellae  forms  a  legitimate  part  of  our  symposi- 
um, for  the  fact  that  they  are  rarely  met  with  by  the  good 
prescriber  does  not  imply  that  he  should  neglect  to  make  a 
careful  study  of  them. 

Bungling  treatment  is  probably  the  most  frequent  cause 
of  sequellas.  The  case  may  have  come  from  allopathic 
hands  with  all  that  that  implies.  Or  the  prescribed  himself, 
bent  upon  removing  the  pathological  condition,   suits  his- 


SBQUifeLL^  AND  TtlEATM^NT.  28 

remedy  to  ^le  tMose  of  the  dtseaae  instead  of  the  individuali- 
ty of  tbe  patiait,  and  bolsters  up  his  lack  of  confidence  in 
tbe  law  of  similars  with  crude  drugs,  thus  interfering  with 
the  proper  action  of  his  remedy  if  it  happens  to  be  the  right 
one,  and  engrafting  a  drug  disease  upon  the  already  over- 
burdened system. 

The  nurse  may  be  at  fault.  It  goes  without  saying  that 
an  ordinary,  uncomplicated  case  of  pneumonia  n^ay  be 
spoiled  by  undue  exposure,  a  cold  room  or  diet  improperly 
given.  The  physician  himself  may  be  responsible  in  part 
for  this  if  his  instructions  are  lax,  or  if  he  fails  to  recognize 
the  true  nature  of  the  case.  As,  for  instance,  if  he  mistakes 
a  lobar  pneumonia  for  simple  bronchitis,  and  though  pre- 
scribing the  correct  remedy  on  the  symptoms,  allows  his 
patient  too  much  freedom  in  the  sick  room,  thus  favoring  a 
relapse  and  prolonged  convalescence. 

Most  of  the  causes  just  enumerated  are  avoidable.  There 
are  some  that  are  unavoidable,  namely  those  that  are  within 
the  patient.  Under  any  treatment,  excepting  the  best  of 
homeopathic,  there  is  a  large  mortality  for  pneunM>nia  oc- 
corring  in  the  feeble  and  aged,  in  puny  infants,  in  those 
pulled  down  by  some  debilitating  acute  or  chronic  disease; 
in  the  drunkard  who,  besides  his  poor  recuperative  power, 
may  be  further  handicapped  by  having  lain  all  night  in  the 
snow. 

Such  oases  react  slowly  and  with  difficulty.  They  are 
prone  to  complications  and  sequellse  in  spite  of  the  most 
skillful  prescriptions  and  most  careful  hygiene  measures. 

For  convenience  we  shall  divide  the  sequellae  of  pneu- 
monia into  general,  or  those  manifesting  themselves  through- 
out the  system,  remote,  those  that  occur  in  localities  othel* 
than  the  respiratory  organs  and  local,  or  in  the  lungs,  bron- 
chi, etc. 

Not  infrequently  a  patient  says:  ''Doctor,  I  have  never 
been  well  since  I  had  pneumonia."  There  may  be  a  long 
liit  of  symptoms  shiowing  a  general  state  of  ill  health,  but 
none  that  May  be  said  to  indicate  any  particular  disease. 
The  patient  has  recovered  from  the  pneumonic  process  it- 


24  THE   MEDICAL  ADVANCE. 

self,  but  drags  through  a  ^eary  existance  because  of  the  de* 
bilitated  condition  remaining  in  its  wake.  This  form  of  gen- 
eral sequellsB  is  the  one  we  are  most  frequently  called  upon 
to  treat. 

Sequellae  occurring  'in  locations  more  or  less  remote 
from  the  lungs  are  quite  numerous.  For,  we  may  say  that 
any  pf  the  so-called  complications  may  persist  after  subsi- 
dence of  the  disease  itself  and  become  sequellae,  though  of 
course  if  they  antedated  the  attack  they  could  not  properly 
be  classed  as  such. 

Thus  Bright's  disease,  jaundice,  ulcerative  endocarditis 
or  meningitis,  even  paralysis,  may  require  special  attention 
during  and  after  convalescence.  Chegelle  and  Prieur  report 
a  case  of  meningitis  in  a  soldier  22  years  of  age,  almost 
four  months  after  the  pneumonia  had  subsided;  he  was  tak- 
en suddenly  with  violent  delirium  and  died  in  a  few  hours. 
A  culture  made  from  the  purulent  matter  that  bathed  the 
meninges  demonstrated  numerous  pneumococci  of  Fraenkel. 

Paralyses,  according  to  Gubler  and  Macario,  are  rare. 
Hemiplegia  has  been  oftenest  observed,  though  Kraft- 
Ebbing  and  a  few  other  authorities  cite  cases  of  paraplegia. 
The  former  may  involve  all  of  one  side  of  the  body  or  only 
one  leg  or  on^  arm. 

Aside  from  a  general  tendency  to  *'take  cold,"  there  is 
sometimes  a  local  sensitiveness  remaining,  so  that  * 'colds" 
settle  on  the  chest  instead  of  in  the  nasal  passages.  Or  the 
cough  and  expectoi^ation  do  not  subside  and  as  a  result  we 
have  a  more  or  less  chronic  bronchitis.  Again  a  similar 
weakness  may  result  in  repeated  attacks  of  the  original  ail- 
ment. Cases  have  been  noted  in  which  as  many  as  thirty- 
five  distinct  attacks  of  pneumonia  have  occurred  over  a  pe- , 
riod  of  five  or  six  years.  And  further,  in  showing  that*  this 
tendency  was  the  result  of  the  first  attack,  out  of  a  list  of 
thirty-five  cases  reported  by  Grisolle.  in  twentj'-five  the  le- 
sion recurred  in  the  lung  previously  affected. 

. .  Pleuritic  stitches  are  probably  the  most  common  of  io-  : 
c^l  annoyances.  They  may  be  more  or  less  constant,  indi-  * 
eating  a  condition  of  subacute  or  chronic  .pleurisy,,  or  they  ' 


SEQUELLuE  AND  TREATMENT.  25 

"ttiay  appear  only  occaiionally,,  as  for  instance  during  a  spell 
of  damp  weather  pointing  to  an  inherent  susceptibility  of 
the  previously  affected  pleura. 

Actual  adhesions  may  also  occur  and  persist  for  years, 
Jfiving  rise  to  more  or  less  pain  and  discomfort. 

Again  the   inflammatory   process  may   prodwce   hyper- 
plasia of  connective  tissue  with   consequent  hardening   and 
contraction  of  the  lung.     The  diagnosis  here  is   chronic  in- 
terstitial pneumonia,  considered  by  old  school  authorities  as 
incurable,    but  seldom  causing  the  death  of  the   patient  in 
^^s  than  ten  to  twenty  years,  unless  tuberculosis  be  super- 

Among  the  more  rare  sequellae  pulmonary   abscess  may 
.     Mentioned,     This  occurs  in  patients  that   have  been  re 
^^^^  to  a  low  ebb  of  vitality  by   some   exhausting  disease 
SWcYi  as  diabetes,  morbus  Brightii,  or  by  chronic  alcoholism. 
\t  there  is  sufficient  vital  resistance  to  conquer  the  pneumo- 
nia and  the  abscess  ruptures  into  the  bronchi  without  suffo- 
cating the  i)atient,  a  cavity  will  remain  in  the  Iting,  healing 
in  time  by  contraction  and  cicatrization;  or  it  may   continue 
patent,  to  form  the  source  of  an  habitual  expectoration,    un- 
less the  proper  treatment  be  instituted. 

Pulmonary  gangrene  might  be  classed  as  a  rare  sequel 
of  this  disease,  but  its  rapid  progress  and  fatal  nature 
scarcely  allow  it  to  persist  beyond  the  resolution  of  the 
original  pneumonia.  Since  it  is  observed  most  frequently 
in  the  inflammation  following  the  inhalation  of  noxious 
fumes  or  other  irritating  substances  into  the  lungs,  it  is 
more  apt  to  be  a  complication  or  concomitant  than  a  sequel. 
And  last  but  by  no  means  least  comes  tuberculosis.  The 
fact  has  been  demonstrated  time  and  time  again  that  the 
person  who  has  never  fully  recovered  from  pneumonia  is 
liable  to  contract  tuberculosis  even  when  there  is  no  heredi- 
tary tendency  thereto.  Especially  is  this  true  of  the  neg- 
lected and  undiagnosed  case  with  remaining  consolidation. 
Bit  this  leads  to  the  next  subject  in  our  program.  I  there- 
fore leave  it  to  those  who  have  prepared  papers  in  the  vari- 
ous phases  of  tuberculosis. 


26  THB    M£DICAL  ADVANCE. 

,  The  treatment  of  the ,  sequellaa  of  pueumonia  may  be 
dispensed  with  in  a  few  words.  The  evacuation  of  a  large 
collection  of  pus  in  the  plural  qavity  may  be  necessary.  The 
diet,  exercise  and  other  hygienic  measures  may  require  at- 
tention, but  in  all  cases  the  homeopathic  remedy  that  fits 
the  totality  of  the  symptoms  is  the  only  hope  of  entirely  re- 
lieving the  patient  of  the  burden  which,  from  avoidable  or 
perhaps  unavoidable  causes,  has  been  placed  upon  him. 

DISCUSSION. 

Mrs.  E.  O.  Richberg:  I  encountered  a  homeopathic 
cure  on  my  way  here  today.  This  wets  the  case  of  an  old 
man  who  is  doing  odd  jobs  around  the  station  that  1^  leave 
from.  He  said  that  he  had  just  recovered  from  a  severe 
case  of  la  grippe,  and  he  found  that  this  had  cleared  up 
the  sequellsD  of  a  case  of  pneumonia  which  he  had  had  sev 
eral  years  ago. 

Dr.  H.  C.  Allen:  There  is  one  special  factor  that  Dr 
Parrington  neglected  to  elaborate — the  frequency  of  fibrous 
tuberculosis  following  pneumonia  or  pleuro-pneumonia,  the 
development  into  a  tuberculous  condition  without  any  pos- 
sibility of  germ  infection.  One  of  our  New  York  authors 
gives  this  as  an  illustration  of  the  fact  that  germs  do  not 
always  cause  tuberculosis,  because  in  this  disease  we  have  a 
frequent  number  of  cases  in  which  fibrous  phthisis  follows 
pneumonia  (Leaming.) 

Dr.  J.  C.  Holloway:  A  pain  in  the  lower  portion  of  the 
left  lung  is  a  very  common  sequel  in  pneumonia.  Dr.  Kent 
told  me  a  good  many  years  ago  in  such  cases  to  give  Sulphur. 
I  have  done  that  with  a  great  deal  of  success,  but  he  would 
probably  now  say  to  give  Sulphur,  provided  there  were  other 
symptoms  calling  for  it.  No  doubt,  however.  Sulphur  will 
be  indicated  in  the  most  of  the  cases  where  there  is  a  tor- 
menting, continuous  pain  in  the  lower  region  of  the  left 
lung,  resulting  from  pneumonia. 

When  I  was  in  college  I  got  the  erroneous  idea  that  the 

totality   of  symptoms   meant   a   vast   number,  embracing  a 

^  great  area  almost  beyond  comprehension,  I  was  a  great  many 

years  getting  over  that  idea.     Now  the   fact   is,,  that   whea 


PULMONARY  TUBERCULOSIS.  27 

you  get  down  to  every  day  practict,  in  about  ninety-nine 
cases  out  of  every  hundred  you  will  find  but  two  or  three 
symptoms  that  are  worth  prescribing  for. 

DIAGNOSIS  AND  PROGNOSIS  OF  PULMONARY 
TUBERCULOSIS. 

By  Dr.  D.  W.  Young,  Paris,  111.. 

The  diagnosis  of  pulmonary  tuberculosis  from  the  stand- 
point of  responsibility  of  the  physician  is  two-fold  in  its 
nature.  The  first  is  the  value  to  the  tuberculous  subjects 
themselves,  and  second  the  importance  to  those  associated 
more  or  less  intimately  with  them. 

The  diagnosis  of  this  disease  in  its  incipiency  offers  to 
the  patient  the  greatest  chance  of  recovery;  since  the  in- 
si;itution  of  appropriate  treatment  in  the  earlier  stages  of 
tlie  disease  is  much  more  effective.  A  failure  of  the  physi- 
ciali  to  recognize  the  existance  of  tuberculosis  in  its  early 
stages  would  entail  months  and  perhaps  year*  of  suffering 
ipon  his  patients,  as  well  as  loss  from  business  pursuits  and 
finally  may  cost  them  their  lives. 

The  second  phase  of  the  responsibility  of  the  physician 
in  diagnosing  this  disease  arises  from  its  infectious  nature. 

The  intimate  association  of  the  family  and  friends  of  the 
tuberculous  subject  may  be  the  means  of  inoculating  them 
with  this  dread  disease,  due  to  ignorance  on  their  part  of 
the  true  character  of  the  disease  and  of  the  proper  means  of 
avoiding  infection.  This  ignorance  is  due  to  a  failure  of  the 
physician  to  recognize  it  and  to  instruct  those  who  are  to 
care  for  the  patient  as  to  the  proper  means  of  avoiding  in 
oculation. 

The  ability  of  the  physician  is  often  challenged  to  his 
utmost  capacity  to  determine  the  presence  or  absence  cf  the 
disease  in  patients  presenting  suspicious  symptoms.  It  fre- 
quently requires,  in  addition  to  a  thorough  knowledge  of  its 
various  phases,  the  faculty  of  fine  discrimination,  to  make  a 
correct  diagnosis. 

The  first  requisite  in  diagnosing  a  disease  of  any  organ 
is  a  thorough  knowledge  of  the  normal  structure   and  func- 


28  THE  MEDICAL   ADVANCE. 

tion  of  the  organ.  In  pulmonary  tuberculosis,  then  the 
physician  must  be  thoroughly  acquainted  with  the  anatomy 
and  physiology  ot  the  respiratory  organs.  Normal  lung 
action,  as  well  as  abnormal,  is  determined  by  inspection, 
palpation,  measurement,  percussion  and  auscultation.  It  is 
not  our  province  here  to  enter  into  a  discussion  of  the  vari- 
ous means  of  physical  examination,  but  rather  to  emphasize 
their  importance.  The  physician  must  also  understand  its 
etiology  and  pathology  in  all  stages  of  its  development.  The 
clinical  symptoms  vary  with  the  different  stages  of  its  develop- 
ment,which  may  be  for  convenience  of  study,  divided  into  the 
following,  viz.:  the  first  stage  or  period  of  incipiency  or  that 
of  infiltration  and  beginning  con.solidation.  The  second  or 
moderately  advanced  stage  or  that  of  consolidation.  The 
third  or  far  advanced  stage  in  which  softening  and  break; 
ing  down  of  the  tissue  occurs  with  cavity  formation.  Each 
of  these  stages  in  addition  to  presenting  different  clinical 
symptoms,  exhibit  varying  phenomena  under  physical  exam- 
ination by  the  methods  above  referred  to  and  with  which 
you  are  all  familiar. 

J.  P.  Arnold  called  attention  in  the  31edical  News^  March 
20,  1897,  to  the  value  of  cog-wheel  inspiration  in  the  sub- 
clavicular area  on  the  left  side.  He  finds  it  more  or  less 
reliable  as  indicating  the  existance  of  tuberculosis  of  the 
lungs  in  its  incipiency,  especially  where  there  has  been  a 
gradual  loss  of  vitality  without  other  assignable  cause  and  a 
history  of  exposure  to  infection,  or  a  hereditary  tendency  to 
the  disease. 

Among  the  first  of  the  clinical  symptoms  to  appear  is  a 
dry  hacking  cough,  which  terminates  finally  in  profuse  ex- 
pectoration with  slight  fever,  emaciation  and  loss  of 
strength.  The  incipient  stage  is  not  unusually  diagnosed  as 
bronchitis.  Hemorrhage  may  be  the  first  warning  of  the 
existence  of  the  disease. 

A  careful  study  of  all  patients  suspected  of  tubercular 
infection  should  be  made;  and  this  may  require  in  many  in- 
stances weeks  or  even  months  to  give  a  positive  opinion  as 
to  the  diagnosis.    We  should  attach  no  little  importance  to- 


I 

/ 


PULMONARY  TUBERCULOSIS.  29 

ttie  gradual  loss  of  weight  in  suspected  patients.  Disturb; 
ance  of  digestion  and  nocturnal  diaphoresis  following  peri- 
odic fever  in  relation  with  other  clinical  symptoms  and  as- 
sociated with  physical  signs  of  beginning  infiltration  or  be- 
ginning consolidation,  should  be  a  warning  of  the  onset  of 
pulmonary  tuberculosis. 

A  careful  study  of  the  character  and  quantity  of  sputum 

^ill  aid  in  the  diagnosis.     The  tubercle  bacilli  are  found  in 

varying  numbers  in  the  sputum.     The  presence  or  absence 

^f  the  tubercle  bacillus  does  not  furnish  ground  for  a  posi- 

y  v-e  diagnosis,  but  the  presence  of  the  bacilli   in  connection 

'^ith  clinical  symptoms  and  physical  phenomena  furnishes 

*  foundation  for  a  positive  opinion.  .  The  examination  of  the 

^pspected  sputum  should  be  made  daily;  should  no  bacilli  be 

^^^oovered  for  a  period  of  three  or  four  weeks  before,  a  neg- 

^^  "^"^^  opinion  of  the  existance  of  tuberculosis  of  the  lungs  is 

The  tuberculin  test  for  the  presence  of  tuberculosis  may 

^f  value  in  the   early   diagnosis  of  the  disease.     H.  P. 

\iy)mis,  in  the  Medical  Record,  Vol.  LIII.  No.  21,  1898,  gives 

tbe  following  method  of  using   tuberculin   for  determining 

the  presence  or  absence  of  this  disease. 

The  temperature  is  taken  every  six  hours  for  a  few 
days  to  see  that  the  patient  has  no  diurual  temperature 
above  normal;  then  a  one  half  m.  g.  of  tuberculin  is  injected  ^ 
and  his  temperature  is  taken  every  four  hours  during  the 
next  24  hours.  At  the  end  of  the  second  day  if  there  has 
been  no  temperature  above  one  degree,  a  second  injection  of 
two  m.  g.  should  be  given;  if  a  reaction  after  two  days  more 
does  not  occur,  a  third  and  final  injection  of  five  m.  g.  is 
Riven.  II  there  is  still  no  reaction  the  patient  is  free  from 
tuberculosis. 

The  Roentgen  Rays  has  become  in  the  last  few  years  an 
accepted  agent  for  the  diagnosis  of  pulmonary  tuberculosis. 
This  agent  is  invaluable  in  corroborating  the  physical  signs 
discovered  by  auscultation  and  percussion.  By  the  aid  of 
this  means  of  diagnosis  we  may  discover  isolated  foci  of  in- 
fection not  amenable  to  any  of  the  other  ordinary  means  of 


30  THE  MEDICAL  ADVANCE. 

diagnosis.  It  is  the  opinion  of  the  writer  that  every  doubt- 
ful case  of  tuberculosis  should  be  subjected  to  an  X-ray 
examination. 

The  Opthalmic  Tuberculin  Reaction  has  attracted  much 
attention  in  the  last  few  months  as  a  means  of  early  diagnosis 
of  pulmonary  tuberculosis  in  children^  and  should  in  our 
opinion  receive  a  thorough  test  at  the  hands  of  the  pro- 
fession. 

Prognosis:  The  prognosis  of  pulmonary  tuberculosis 
depends  upon  many  factors  that  may  enter  into  the  case. 
The  importance  of  a  correct  prognosis  is  second  only  to  the 
value  of  early  diagnosis.  The  opinion  of  the  physician  as  to 
the  final  issue  of  a  case  of  this  disease  in  its  incipiency,  is 
dependant  upon  the  ability  to  institute  appropriate  treat- 
ment. It  is  not  necessarily  a  fatal  disease  and  each  year 
brings  an  increase  in  the  percentage  of  cures.  Prognosis  is 
more  favorable  between  the  ages  of  18  and  30  years  and  in 
females  then  males.  Environment  plays  an  important  part 
in  the  prognosis  of  the  disease. 

TUBERCULOSIS:  ETIOLOGY  AND  PATHOLOGY. 

By  Dr.  A.  M.  Dabbous,  Chicago. 

The  disease,  with  a  brief  reference  to  its  history  was 
known  to  the  Egyptians  more  than  6,000  years  ago.  In  the 
13th  century  it  was  recognized  in  cattle,  and  town  decrees 
prevented  the  use  of  their  flesh  for  food-  In  the  17th  cen- 
tury it  was  said  in  Berlin  and  Munich  that  there  was  na 
danger  in  using  tuberculous  flesh,  and  the  old  restriction 
was  removed  for  a  century.  In  1865  it  was  proved  to  be  in- 
fectious by  a  French  scientist,  Villemin,  who,  by  placing 
dried  sputum  from  a  tuberculous  man  in  the  nests  of  young 
mice,  infected  a  number  of  them.  He  also  proved  the  dis- 
ease transmissible  by  inoculating  rabbits  with  human  tuber- 
culous material.  In  1882  the  bacillus  of  tuberculosis  was 
discovered  and  isolated  by  Koch. 

There  are  five  methods  of  transmitting  tuberculosis: 
Alimentation,  inhalation,  inoculation,  sexual  contact  and  by 
inheritance,  (questionable). 


TUBERCULOSIS:   ETIOLOGY  AND  PATHOLOGY.  31 

Of  all  the  paths  or  ways  known  for  the  propagation  of 
the  germ,  the  alimentary  canal  is  the  one  that  plays  by  far 
the  most  important  role. 

To  support  this  statement  allow  me'*  to  lay  before  you 
an  extract  of  the  experiments  performed  relating  to  this 
particuUr  point. 

Professor  Calmette,  with  five  collaborators  at  the  labo- 
i^tory  of  the  Savior's  Hospital   in  Paris,   convinced   them- 
selves of  the  fact  that  pulmonary  anthracocis   could  not  be 
artificially  reproduced  by  exposing  animals  to  an  atmosphere 
saturated  with  black  smoke  if  these   animals  be  prevented 
frora  swallowing  the  black  matter  that  accumulates  in  their 
^asal  fossae  and  pharynx.     On    the    contrary,    the   lesions 
^^Tacteristic  of  anthracosis  appear  very  rapidly   when  the 
^Aack  of  smoke  is  made  to  be  ingested  either  by  means  of 
the  esophageal  sound  or  mixed  with  food. 

Beside  the   black  of  smoke,    china  ink  and  vermilion 
^ere  used  as  the  intensity  of  these'respective  colors   would 
enable  the  investigator  to  trace  them  early  owing  to  the 
^harp  contrast  they  present  with  the   tissue.     The   guinea 
P'fiTs  could  be  easily  induced  to  eat  of  this   strange  food  so 
^  to  preclude  any  irritation  that  may  result  from  the  con- 
tact of  the  esophageal   sound   or  tube.     Those   that  were 
sacrificed  half  an  hour  after  the  ingestion  of  the  colors  had 
the  Vermilion  and  the  china  ink  tightly  9»dherent  to  the  wall 
^*  the  esophagus  and   but  a   slight  quantity   escaped  into 
ttie  stomach.     From  an  hour  and  a   half  to   two  hours  the 
colored  matter  is  in  the  stomach  and  covers  superficially  the 
contents    thereof.     After  three  hours   the   colored   matter 
could  be  traced  (in  microscopical  sections)  into  the  chylifer- 
ons  ducts  in  the  mesenteric  glands  and  in  the  lungs. 

These  insoluble  particles  do  not  traverse  the  animal 
membrane  after  death.  The  vermilion  is  not  soluble  by  the 
liqaids  of  the  organism.  Of  the  numerous  sections  that 
have  been  made,  we  have  never  been  able  to  find  the  solid 
particles  within  the  protoplasm  of  the  intestinal  cells.  In 
the  mucosa  an  abundance  of  insoluble  granules  are  in  the 
process  of  traversing  the  wall,  and   in  the   deeper  layers 


32  THE  MEDICAL  ADVANCE. 

of  the  wall  almost  all  the  granules  could  be  seen  included  in 
the  lucocytes  which  transport  them  to  the  central  chyle 
duct. 

If  the  vermilion  be  placed  in  the  colon  through  lapa- 
rotomy it  is  reproduced  in  the  lungs. 

When  the  nursling  goat  was  made  to  take  the  milk  of 
goats,  the  udders  of  which  were  infected  artificially  with 
tuberculous  cultures  of  various  origins — bovine,  human, 
ovian  or  pseudo  tuberculous — we  noticed  that  these  animals 
always  violently  reacted  against  the  infection  through  their 
mesenteric  glands.  Those  of  them  that  were  sacrificed  45 
days  or  three  months  after  their  births,  and  which  were  fed 
by  mothers  infected  with  products  of  bovine  origin  showed 
enormous  lesions  of  mesenteric  adenitis,  and  their  lungs 
were  studded  with  translucent  miliary  tubercles  containing 
bacilli.  Those  that  ingested  only  the  milk  of  mothers  in- 
fected with  human  or  avian  tuberculosis  had  their  lungs  in- 
tact and  with  them  the  infection  was  limited  to  the  barrier 
of  the  mesenteric  glands. 

On  the  other  hand  when  young  or  full  grown  goats  were 
given  a  very  small  quantity  of  culture  of  bovine  tuberculo- 
sis as  finely  divided  as  possible  by  esophageal  tube  (to  ex- 
clude respiratory  primary  contamination)  our  animals  inva- 
riably became  tuberculosis  in  25-80  days.  In  the  young, 
pulmonary  tuberculosis  appeared  late  after  about  three 
months,  and  the  glandular  lesions  remained  extraordinarily 
intense.  We  have  practically  never  seen  glandular  lesions 
in  the  adult,  and  the  pulmonary  lesions  were  plainly  mani- 
fest even  after  one  single  infective  meal. 

We  conclude  that  the  goat,  contrary  to  the  general  opin- 
ion, is  quite  susceptible  to  the  infection  of  tuberculosis, 
especially  of  bovine  origin,  and  that  these  animals  easily 
contract  tuberculosis  through  the  digestive  tract,  and  that 
the  virulent  bacilli,  when  absorbed  in  the  young  may  be  re- 
tained a  longer  or  shorter  time  in  the  mesenteric  glands, 
while  these  same  bacilli,  absorbed  by  the  full-grown  produce 
almost  immediately  the  dissemination  of  tubercular  foci  in 
the  lungs. 


TUBERCULOSIS:  ETIOLOGY  AND   PATHOLOGY.  33 

Since  the  hypothesis  of  direct  contamination  through 
the  respiratory  tract  has  not  been  proved  by  any  irreproach- 
able experiment,  it  seems  more  and  more  evident  that 
children  and  adults  as  well,  contract  tuberculosis  by  in- 
gesting either  milk  of  tuberculous  cows,  dust,  food  contam- 
inated with  bacilli  or  some  particles  of  tubercular  sputa  of 
bmnan  origin. 

If  an  experimenter  should  resort  to  inhalation,  to  intra- 
tracheal insufflation  or  to  direct  inoculation  into  the  trachea, 
he  will  not  be  able  to  make  the  microbes  penetrate  be- 
yond the  primary  bronchial  ramifications  provided  precau- 
tions be  taken  to  exclude  deglutition. 

The  experiments  are  too  various  to  be  enumerated  here 
but  the  following  extracts  are  deducted  therefrom: 

1.  The  animals  easily  contract  tuberculosis  through  the 
intestinal  tubes,  not  only  in  early  age  but  also  in  the  adult 
without  any  visible  lesion  left  on  the  walls  of  this  tube. 

2.  The  bacilli  in  the  young  animals  are  ordinarily  re- 
tained by  the  mesenteric  glands;  at  times  the  infection  would 
remain  there  localized  during  a  period  more  or  less  long,  end- 
ing by  recovery;  at  others  it  would  end  in  caseous  tuber- 
cules  spreading  by  the  lymphatics  to  the  great  lymphatic 
circulation. 

3.  The  defensory  glandular  reaction  being  far  less  ac- 
tive with  the  adult  animals,  the  bacilli  in  the  leucocytes  are 
generally  dragged  with  them  into  the  great  lymphatic  cir- 
culation and  through  the  pulmonary  artery  reach  the  lung. 

4.  The  so-called  primary  pulmonary  tuberculosis  of  the 
adult  is  of  intestinal  origin  in  most  of  the  cases. 

5.  Of  all  the  modes  of  contamination  the  infection 
through  the.  digestive  tract  is  the  most  efficacious  and  the 
one  that  is  most  consonant  with  the  normal  conditions  of 
natural  infection. 

6.  Clinically  with  children  and  experimentally  with 
animals  every  time  when  the  tuberculous  infection  mani- 
fests itself  by  tracheo-bronchial  adenitis  theb.  tuberculosis 
do  exist  in  the  mesenteric  glands,  though  these  glands  may 
have  a  healthy  appearance. 


34  THE  MEDICAL  ADVANCE. 

7.  Pulmonary  tuberculosis  therefore  must  be  consid- 
ered as  resulting  from  tuberculous  infection  through  intes- 
tinal origin  since  infection  of  the  mesenteric  glands  and  sub- 
sequent infection  of  the  bronchial  glands  precede  the  pul- 
monary manifestations. 

DISCUSSION. 

Dr.  Harvey  Parrington:  The  view  expressed  by  the 
paper  that  the  ailmentary  canal  is  the  most  important  source 
of  infection  is  rather  new.  We  cannot  get  around  the  fact 
that  tuberculosis  is  infectious.  The  experiences  just  cited 
prove  the  fact.  It  seems  to  me  that  it  matters  not  where 
the  poison  gets  into  the  system,  if  the  soil  be  rich,  or  in 
other  words,  the  individual  be  susceptible,  it  will  have  its  in- 
fection. 

Dr.  J.  A.  Kirkpatrick:  Vital  resistance,  I  know  from 
observation  and  experience,  plays  a  very  important  part  in 
resisting  these  germs.  I  have  known  persons  who  have 
waited  intimately  upon  persons  with  the  worst  form  of 
tuberculosis,  without  taking  even  the  ordinary  precautions, 
who  did  not  take  the  disease.  I  believe  there  are  chemical 
agencies  in  quantities  essential  to  the  building  up  of  the 
different  parts  of  the  body  necessary  to  the  integrity  of  the 
tissues,  and  if  we  fail  to  recognize  that  fact,  we  will  not  put 
the  highest  possible  standard  by  a  high  potency.  If  a  person 
needs  calcium,  you  will  have  to  put  him  on  calcium,  or  else 
you  will  not  have  given  him  the  material  for  the  upbuilding 
of  his  body. 

Dr.  D.  W.  Young:  I  think  that  Dr.  Dabbous  meant  to 
say  that  the  alimentary  canal  is  more  susceptible  to  the  in- 
roads of  the  tubercle  bacilli  than  any  other  part  of  the  body 
and  that  the  ordinary  way  of  taking  the  infectious  organisms 
into  the  body  is  through  food  and  drink.  It  matters  little 
what  we  say  is  the  cause  of  the  condition  or  disease,  but  the 
predisposing  cause  is  the  disturbance  of  the  equalization  of 
the  cell  salts  of  the  human  body.  Now  that  may  come  from 
a  lack  of  any  of  these  tissue  salts.  But  whatever  this  dis- 
turbance of  the  cell  salts  is,  it  produces  a  condition  which  is- 
described  in  our  text  books  as  a  predisposing  cause  of  tuber-^ 


CLIMATIC  TREATMENT  OF  TUBERCULOSIS.  35 

culosis.  That  may  be  inherited  or  acquired  by  improper 
feeding.  Proper  feeding  may  restore  the  normal  equilibrium 
and  therefore  remove  the  predisposing  cause.  Then  the  ex- 
dting  cause  will  not  make  any  inroads  upon  the  cells  of  the 
lungs. 


CLIMATIC  TREATMENT  OF  TUBERCULOSIS. 

By  Dr.  J.  W.  Hingston,  Chicago. 

In  the  short  time  allowed  for  this  paper,  justice  to  the 
subject  in  all  its  phases  is  not  po^ible.  We  will  confine  our- 
selves to  climatic  influence  of  that  form  of  the  disease  known 
as  pulmonary  tuberculosis.  But  we  may  be  assured  that 
whatever  of  benefit  from  climate  may  be  secured  to  the 
patient  with  pulmonary  tuberculosis,  may  be  confidently 
hypothesized  for  the  patient  with  other  forms  of  tuberculosis. 

Everybody  believes  that  certain  selected  climates  have 
a  beneficial  effect  upon  the  pulmonary  tubercular.  The 
physicians  believe  it.  The  world  has  faith.  We  are  all 
agreed.  Yet  tuberculosis  thrives  everywhere — or  at  least 
everywhere  where  man  dwells  thickly  enough  to  give  the 
infection  a  chance  to  gain  a  foothold.  True  it  i^  that  cer- 
tain qualities  of  atmosphere  seem  to  favor  the  development 
of  the  infectious  bacillus.  And  certain  qualities  of  air  in- 
haled seem  to  favor  the  recovery  of  the  infected  person. 
But  we  must  not  lose  sight  of  the  fact  that  patients  recover 
in  those  climates  considered  most  favorable  for  the  germ 
and  least  favorable  for  the  patient,  and  others  die  in  those 
localities  which  are  supposed  to  give  most  chances  for  the 
patient  and  are  death  to  the  bacillus. 

We  may  arbitrarily  divide  climate  into  three  divisions 
and  SIX  kinds,  viz:  with  respect  to  its  temperature — relatively 
hot  or  cold,  with  respect  to  its  humidity — relatively  dry  or 
moist;  with  respect  to  its  barometric  presure — relatively 
low  or  high. 

Temperatures  are  hot  or  cold  as  we  approach  the  equator 
or  the  poles,  and  are  modified  also  by  elevation  above  the  sea- 
level,  the  infiuence  of  air  that  has  swept  over  ocean  currents, 
by  trade  winds  that  pass  inland,  as  well  as  in  a  minor  way 


36  THE   MEDICAL  ADVANCE. 

by  proximity  to  mountain  ranges  and  large  bodies  of  water. 
Humidity  is  modified  by  proximity  to  sea  coasts,  desert 
lands,  mountain  ranges,  forests  and  other  topographical  con- 
ditions. Barometric  pressure  is  regulated  entirely  by  ele- 
vation, and  modified  only  in  a  minor  way  by  the;  presence  or 
absence  of  storm  areas.  In  a  relative  way  these  conditions 
are  important,  and  have  a  bearing  upon  the  welfare  of  the 
tuberculous  patient.  But  more  important  than  any  or  all  of 
these  is  the  purity  of  the  air  and  its  inhalation  in  large 
quantities  into  the  lungs. 

The  summer  air  over  the  sand  dunes  at  the  south  end  of 
Lake  Michigan,  is  not  very  different  from  the  winter  atmos- 
phere of  Florida.  The  atmosphere  of  a  hog  pen  in  northern 
Wyoming,  is  not  vastly  unlike  that  of  a  pig-sty  in  western 
Missouri;  while  the  country  air  of  Tennessee  approaches  in 
character  that  of  Arizona's  mountains,  and  the  bleak  winds 
of  the  east  coast  of  Maine  are  about  as  mild  as  the  winter 
zephyrs  of  the  mountain  ranges  of  northern  California.  The 
death  of  a  tubercular  patient  in  a  hovel  in  Chicago  will  be 
but  a  few  weeks  sooner  than  the  death  of  a  similar  patient 
in  an  8x10  room  in  Cheyenne.  The  tubercular  woman  who 
wraps  herself  in  shawls  and  breaths  the  hot  airs  of  the 
furnace  after  it  has  warmed  her  feet  in  her  home  in  New 
York,  will  live  as  long  as  the  consumptive  man  who  views 
Pike's  Peak  from  the  window  of  his  closed  hotel  room  in 
Colorado  Springs.  All  of  which  means  that  it  is  more  im- 
portant to  make  your  climate  than  it  is  to  select  it. 

Tuberculosis  is  a  contageous  and  infectious  disease.  As 
an  ailment,  consumption  is  a  disease  of  laziness.  The  con- 
sumptive is  muscularly  indolent— so  lazy  of  muscle,  that  he 
is  stoop  shouldered  and  hollow  chested— the  muscles  refuse 
o  hold  him  straight,  his  lungs  never  fully  expand,  his  blood 
is  not  oxygenated,  and  small  unaired  spots  become  nidi  for 
disease.  He  needs  Sulphur.  Or  he  is  constitutionally  indo- 
lent, phlegmatic  and  too  indolent  to  work  off  the  superfluous 
fat  or  burn  up  over  abundant  food;  as  a  baby  he  has  the 
snuflftes  and  as  an  adult  he  is  everlastingly  catching  cold. 
He  needs  Calcarea.     Or  he  is  digestively  weak,  he  has   gas- 


CLIMATIC  TREATMENT  OF  TUBERCULOSIS.  37 

tralgia  and  diarrhea,  he  is  not  nourished,  is  emaciated  and 
eithausted.     He  needs  Arsenicum. 

In  a  rough  and  general  way,  we  have  stated  it.  Such 
general  statement  is  not  intended  to  be  specific  in  method  of 
prescribing,  but  illustrative  of  the  fact  that  every  patient 
with  tuberculosis  is  in  some  respects,  in'some  manner  indo- 
lent. 

What  would  it  benefit  the  fellow  of  lazy  musyle  to  cart 
him  carefully  out  of  Chicago  and  plant  him  in  an  8x10  room 
in  Denver?  You  would  soon  plant  him  in  a  6x2  .^where  the 
evening  shadows  of  the  first  range  cast  an  early  twilight 
over  the  last  resting  place  of  those  who  have  gone  before. 
What  better  would  the  constitutionally  indolent  woman  be 
if  she  abandon  her  own  cook  and  fireside  and  seek  the  over- 
burdening courses  of  the  Aiitlers'  chef,  with  no  more  excer- 
cise  to  work  off  the  surfeit  than  to  walk  the  length  of  the 
veranda  to  the  luxuriousness  of  a  reclining  chair  to  view  the 
haze  over  the  distant  mountains.  What  would  be  gained  by 
the  one  of  lazy  digestion  if  he  be  denied  the  delicate  dishes 
of  his  mother's  making  and  the  comforts  of  a  wash  three 
times  a  day,  and  be  introduced  to  pork  and  baking  powder 
biscuit  three  times  a  day  on  the  round-up  in  Wyoming? 

It  would  not  impress  one  as  judicious  to  take  the  frail 
girl,  accustomed  to  the  love  and  caresses  of  parents,  brothers 
and  sisters,  away  from  so  companionable  a  fireside  in  the 
midst  of  the  attractions  of  civilization,  and  set  her  down  in 
the  wilderness  of  expanse  of  some  arid  tableland  with  no 
companion  but  a  ranch-woman  and  the  sheep  dog  during  the 
day,  and  no  music  but  the  crazy  laugh  of  the  coyotes  at 
night. 

The  pines  of  Michigan  were,  in  their  day,  noted  for 
their  curative  qualities  in  tubercular  patients.  It  was  said 
that  their  beneficent  influence  was  due  to  the  healing  quali- 
ties of  the  balsamic  emanations  from  their  needles.  But 
when  the  pine  needles  were  carted  home  and  made  into'  pil- 
lows it  did  not  work,  the  patients  who  smothered  their  faces 
in  these  sacks,  smelling  the  sweet  aroma,  died.  The  truth 
is  that  those  who  went  to  the  virgin  woods  for  their  healing 


38  THE   MEDICAL   ADVANCE. 

perfume  first  hand,  lay  under  the  pines  and  took  in  fresh 
air,  believing  every  breath  they  got  from  the  boughs  above 
them  was  a  saving  breath  from  heaven;  and  it  was,  scented 
on  its  way  down  by  the  pine  needles,  and  they  breathed 
deep,  for  they  loved  the  odor,  and  hoped  and  had  faith.  For 
the  first  time  since  they  ran  races  barefoot  their  lungs  were 
filled  with  good  air,  filled  all  day  long  and  all  night  long,  in 
their  anxiety  to  get  their  money's  worth  of  smell,  and  they 
got  their  money's  worth  of  oxygen. 

Primarily  then,  the  first  consideration  in  climate  is  one 
of  pure  air,  and  the  next  thing  is  to  get  the  patient  to  use 
it,  breathe  it,  eat  it,  drink  it,  walk  with  it,  sleep  with  it, 
love  it. 

I  do  not  wish  to  ignore  the  fact  that  there  may  be  a 
suitable  and  unsuitable  air  even  though  relatively  pure. 
Air  is  the  purest  on  the  ocean,  in  the  center  of  the  Sahara, 
alonp:  the  coast  regions,  upon  the  arid  plains  of  North  Amer- 
ica, in  the  mountains  of  the  world  and  at  the  North  and 
South  poles.  Manifestly,  in  the  case  of  the  fellow  who  turns 
blue  when  the  door  is  open  to  chase  the  cat  out,and**catches 
cold"  when  some  one  breathes  on  the  back  of  his  neck,  it 
would  be  folly  for  him  to  count  stars  from  the  summit  of 
Pike's  Peak  or  camp  on  the  top  of  a  post  of  the  Grolden 
Gate.  One  would  scarcely  think  that  the  waterless  air  of 
the  Eastern  slope  of  the  Rockies  would  benefit  the  man 
whose  cough  is  relieved  when  the  tea  kettle  is  steaming  on 
the  back  of  the  stove.  It  should  not  be  thought  advisable 
to  send  the  woman  who  spits  blood  at  a  laugh,  to  the  8,000 
feet  elevation  of  Middle  Park.  The  man  who  hoists  his 
umbrella  and  gets  out  his  fan  on  the  first  warm  day  of  May 
will  scarcely  be  cured  by  a  sojourn  in  Phoenix  or  Tucson  in 
July. 

Climate  for  the  individual  tubercular  patient  must  be  as 
carefully  selected  as  the  homeopathic  remedy.  Indeed,  to 
make  a  wrong  choice  would  be  more  fatal;  for  to  place  a 
patient  in  an  unfitting  atmosphere  might  prove  irremediably 
harmful  Or  extremely  dangerous,  whereas  the  administration 
of  a  remedy  not  curative  would  be  negative  only  in  its  re^tiltsV 


CLIMATIC  TREATMENT  OP  TUBERCULOSIS.  39 

Dr.  S.  of  Milwaukee  suftered  from  frequent  tubercular 
temorrhages.  He  went  to  an  elevation  of  1500  feet  in 
Nebraska,  rode  the  country  and  breathed  in  the  pure  air  of 
the  plains  while  caring  for  a  practice  amongst  the  pioneer 
farmers,  lived  to  do  a  business  of  $7000  a  year,  married  and 
survived  his  wife  and  two  children,  and  finally  died  in  Den- 
ver  of  tuberculosis,  presumably  cropping  up  again  after  an 
attack  of  pneumonia,  complicating  typhoid  fever, 'and  while 
doing  an  office  practice  in  the  western  metropolis. 

Mr.  K.  of  Pennsylvania  had  slight  recurring  hemor- 
rhages,went  to  Colorado  mountains  and  bled  to  death  within 
a  week. 

Mr.  S.  of  Maine  was  given  up  to  die  of  consumption  29 
jears  ago — no  hemorrhages,  plenty  of  dyspepsia  and  no  ap- 
petite—went to  an  elevation  of  8000  feet  in  Middle  Park, 
breakfasted  on  brook  trout,  dined  on  venison,  suppered  on 
blue  grouse,  drank  the  pure  water  of  the  mountain  streams 
and  the  distilled  extract  of  Gramma  grass  in  the  form  of 
Jersey  milk  all  day  long.  He  still  lives  at  the  a^e  of  64  and 
was  about  the  heartiest  pioneer  I  know  of  in  that  country 
when  I  last  saw  him. 

Miss  M.  of  Rochester, N.  Y.,  whose  mother  died  of  tuber 
culosis  a  few  months  before,  was  coughing  up  her  lungs  at 
the  rate  of  a  pint  a  day,  nasty  pus,  arrived  at  an  elevation 
of  6,000  feet  in  Wyoming  and  breathed,  slept  in,  ate  and 
drank,  night  and  day,  the  air  fresh  from  the  snows  of  old 
Saddle-Back,  but  dried  on  its  way  over  75  miles  of  hot 
gravel  on  the  wastes  of  the  eastern  slope.  She  quit  spitting, 
gained  27  pounds  in  three  months,  thought  »he  was  cured, 
went  back  to  Rochester  and  died  within  six  months. 

Miss  K.  lived  at  Omaha  and  wrote  shorthand  in  a  stuffy 
office,  slept  with  a  scared  stepmother  in  'a  room  locked  and 
battened  at  both  doors  and  windows,  and  containing  a  low 
turned  kerosene  lamp.  She  coughed  a  cavity  in  her  left 
lung.  She  went  to  the  other  end  of  Nebraska  where  the  air 
is  so  dry  that  the  meat  cures  on  this  back  porch  and  the  at- 
mosphere is  so  pure  that  a  dead  maverick  refuses  to  emit  an 
odor.    The  ohly  roses  that  were  ever  known  ih  thAt   arid 


40  THE  MEDICAL  ADVANCE. 

land  bloomed  in  her  cheeks  before  the  summer  was  over^ 
She  went  back  to  the  night-lamp  and  the  stuffy  office,  and 
her  friends  had  to  dig  her  grave  before  the  snow  was  off 
the  ground  the  next  spring. 

Mr.  A.  ''punched  cows'*  at  an  elevation  of  3000  feet  in 
Nebraska  and  drank  "40  rod"  at  two  bits  a  drink  with  ladies 
of  a  shady  reputation.  One  lung  refused  to  open  even  for 
the  good  air  of  that  altitude.  He  went  west  to  the  Powder 
River  in  Wyoming,  3000  feet  nearer  heaven,  where  whiskey 
and  women  were  less  plentiful,  and  continued  to  "punch 
steers"  for  ten  years  until  he  got  at  the  wrong  end  of  a  gun 
when  he  and  another  cow-puncher  were  having  a  friendly 
game  with  the  chips. 

Mr-  L.,  aged  25  years,  sweat  himself  out  in  St.  Louis 
till  all  his  convexes  became  concaves  and  even  two  standings 
would  not  make  a  shadow.  Meantime  one  lung  became 
"squeeky."  He  "hit  the  trail  west"  and  arrived  in  Wyoming 
in  time  to  ride  a  mustang  at  the  spring  round-up.  He  stopped 
sweating  and  went  to  eating.  Plenty  of  cream  and  bacon 
greased  the  squeek  out  of  his  lung.  He  courted  the  zephyrs  of 
southern  California  that  winter,  and  stayed  to  try  again  the 
sweating  process  of  the  Red  Lands  next  summer.  The  St. 
Louis  quality  was  just  as  good.  Returning  to  Wyoming  in 
the  fall, the  atmosphere  in  that  health  resort  refused  to  court 
again  a  delinquent  lover.  Mr.  L.  now  occupies  an  honorable 
position  in  St.  Louis's  most  fashionable  cemetary. 

Mrs.  I.  of  western  Nebraska  would  wheeze  like  a  "heavy- 
horse"  as  soon  as  the  thermometer  dropped  below  summer 
heat.  Incipient  tuberculosis  set  in.  On  good  advice  for 
three  winters,  she  migrated  with  the  birds  to  a  warmer 
climate  and  found  her  winter  habitat  in  the  warm  valleys  oT 
southern  California,  2,500  feet  lower  than  her  summer  home. 
It  was  several  years  later  when  she  died  of  a  difficult  Jaboir 
and  an  unclean  surgeon. 

You  have  half  a  thousand  well  known  remedies  in  your 
materia  medica.  You  have  a  thousand  localities  of  varying 
climate  in  this  great  country.  You  should  study  your  patient, 
and  study  your  remedies.     Do  not  less  than  >  i ) 


TREATMENT  IN  INSTITUTIONS.  41 

climate,  with  relation  to  the  needs  of  your  patient.  Perhaps 
the  climate  she  needs  is  right  at  home.  Perhaps  the  further 
^eed  is  a  window  tent  on  the  south  side  of  a  second  story 
flat;  perhaps  it  is  a  wall  tent  in  the  back  yard;  perhaps  it  is 
a  house-boat,  with  broad  decks  and  big  windows,  floating 
down  the  lakes-to-gulf  canal;  perhaps  it  is  the  extension  of 
the  cold  air  shaft  of  the  furnace  through  the  basement  wall 
to  the  outer  air  instead  of  through  the  floor  to  the  stale  air 
of  the  hall;  perhaps  it  is  a  couple  of  yard  sticks  to  prop  open 
the  windows  and  a  sign  outside,  * 'Burglars  need  not  apply, 
lam  too  poor  to  even  have  flesh  on  my  bones."  Don't  try 
to  make  change  of  climate  take  the  place  of  fresh  air;  and 
on  the  other  hand  don't  deceive  yourself  and  your  patient  by 
believing  that  home  tents  and  fresh  air  will  take  the  place 
of  a  manifestly  needful  change  of  climate. 

And  wliile  seeking  knowledge  of  the  climatic  treatment 
of  pulmonary  tuberculosis  forget  not  that  the  constitutional 
requirements  of  the  other  forms  of  tuberculosis  are  not 
different  from  those  needful  in  the  form  under  consideration. 
Surely  if  fresh  air  and  selected  climate  are  called  for  in  the 
adult  of  more  or  less  activity  the  same  must  relatively  be 
true  of  the  crippled  child  with  tubercular  disease  of  the 
knee,  hip  or  spine. 

At  the  close  of  the  afternoon  session  of  the  meeting, 
President  Allen  introduced  Dr.  R.  S.  Copeland,  president 
of  the  American  Institute  of  Homeopathy,  who  said: 

Mr.  President  and  friends:  I  am  certainly  glad  to  be 
here  today.  •  I  have  been  interested  in  this  society  since  its 
organization.  It  seemed  to  me  that  it  was  an  organized  pro- 
test against  some  of  the  reforms  in  which  we  were  indulg- 
ing in  certain  parts  of  the  country.  And  I  surely  feel  that 
I  have  been  decidedly  benefited  by  the  visit  here. 

I  am  interested  in  the  subject  of  consumption,  not  as  a 
physician  but  as  a  citizen.  My  specialty  is  so  limited  and 
so  narrow  that  fortunately  there  are  very  few  cases  of  con- 
sumption ^coming  under  my  attention.  It  has  been  my  pleas- 
ure to  visit  the  eastern  institutions   where  thesa   cases  ar 


42    •  THK  MEDICAL   ADVANCE. 

treated,  as  a  member  of  the  commission  from  the  State  of 
Michigan  and  I  suppose  that  during  that  visit  two  years  a^o 
I  saw  four  or  tive  thousand  p(»ople  taking  the  outdoor  treat- 
ment. To  ^o  over  Xhv  details  of  that  visit  would  only  be 
repeating  many  things  that  have  betm  said  here  today.  I 
visited  Trudeau's  institution,  tht^  Looinis  institution,  tlu»  in- 
stitution at  Whit(^  Haven,  the  statf*  instituticms  of  Massa- 
chusetts, Conmn-tieut,  Rliod<»  Island  and  others.  Now  there 
is  not  a  particle  of  attention  paid  in  any  of  these  institutions 
to  internal  medication.  I  asked  of  ev(M-y  superintendc^nt  in 
each  institution:  Wliat  do  you  do  for  these  people  inamt»d- 
ical  way,  and  they  invariably  n^pTn^d  that  they  did  not  do 
anythin*^:.  It  oerurred  to  me  tlion  and  since,  how  much 
mort*  ho[)e  lui^^ht  be  extended  thrsi*  ]>oople  if,  in  addition  to 
all  thes(»  natural  UH'thods,  tluy  niijj.ht  be  <riv(*n  the  addition- 
al benclit  of  the  li()nh'Oi)nt]iif  iv'UK'dy. 

I  think  it  must  b**  a(hniit('(l  tluit  the  outdoor  life  has 
boon  woiidorful  in  th*^  trc^atment  of  tuberculosis.  At  Sara- 
nac  Ijak(\  bcinu"  a  inc!iib<M'  of  ;t  commission,  many  courtesies 
were  extcndc(l  to  mc  tliat  ]>erh:ii>s  v/ould  not  have  b(*en  had 
I  ij^onc  as  a  private  pliysician.  I  a^kcd  Dr.  Brown  to  h^t  uie 
sec  the  ori.Lcinal  ihhmu'iIs  of  the  institution.  HcMvent  to  Sara- 
nac  Lake  in  l"^"^!,  ill  with  tubt^'ciilosis.  i-le  vvnd  all  the 
boolvs  he  could  tiTid  on  tlie  sui)jcct  of  tubercuk)sis,  with  the 
firm  n^solve  and  steadfast  purpose^  of  <j:ettin<;  well,  and  he 
did.  For  i\"')  years  tliat  institution  has  be(Mi  runnin<^.  They 
h'dXi'  a  system  by  which  (»ach  <i:i'a(hiate  of  the  institution  re- 
ports by  postal  card  once  a  year  his  condition,  vso  that  they 
know  the  pr(\s(Mit  history  of  almost  evei-y  patient  who  has 
betui  dischar<;ed  and  wlio  still  lives.  The  int(*restinK  thing 
about  it  to  me  was  that  of  all  the  i)ati(Mits  who  were  admit- 
ted 7,")  pcH*  ciMit.  wtM'c  dischar*i:ed  as  cured,  or  appai'antly 
cured.  Seventy-tiv(^  p(M- cent,  of  those  discharged  as  cured 
or  ap[)arantly  curiMl  are  living  and  well  today.  That  shows 
wliat  natural  methods  will  do.  More  are  alive  and  well  than 
would  b(*  had  they  had  the  ordinary  medication,  but  more 
w^ould  be  alive  than  are  alive  had  they  had  the  hojaeopathic 
treatment  in  addition  to  the  natural  methods. 


HOMEOPATHY   IN    TUBERCULOSIS.  43 

I  was  interestai  in  what  Dr.  Kirkp.itrick  said  about  the 
imi<5or  of  the  cells  for  the  natural  cell  salts.  I  think  at 
^imes  physicians  overlook  the  fact  that  people  are  really 
hungry  for  some  of  the  natural  tilings  of  life  and  need  to 
iH'e  better  than  they  do;  and  when  this  natural  food  has 
^^en  supplied,  then  it  is  that  we,  as  homeopathic  physicians 
ha-vo  to  offer  something  further  to  promote  lontj^evity. 

I  want  to  repeat  what  I  said  in  the  beginning:  That  it 
^  ^  i:)leasure  to  be  here  and  even  if  it  is  disagreeable  outside 
^^^\."e  found  it  warm  and  comfortable ^md  happy  liere. 


HOMEOPATHY  IN  TUBERCULOSIS. 

By  H.  W.  Pikksox,  M.  D.,  Chicago. 

Fear  is  the  deadliest  foe   to   health.     The   direct   cause 
^Oi' much  of  the  fear  shown  by  peo])le,  individually  and   col- 
lectively may  be  tracful  to  ignorance.     Ignorance  of   the  na- 
^ure  of  the  impending  danger  and  conseciueut    ignorance   of 
tne  means  to  be  employed  in   resisting   and   warding  off  the 
same. 

The  general  prevalence  of  tuberculosis,  tln^  slow  but 
^^einingly  inevitable  conclusion  of  t\w  struggle  has  been 
enoucr]^  to  strike  terror  to  the  heart  of  the  bravest.  Scien- 
^I'Sts  have  been  untiring  in  their  investigations,  not  only 
TOn  reference  to  the  nature  of  the  dis(*ase  and  the  causes 
t'ontributing  to  its  development,  Ijut  the  nunms  that  must  be 
^^T>loyed  for  the  final  rooting  out  of  this  dreaded  i)lague. 

Ever>^  new  discovery  has  beon  lauded  to  the  skip's  and  a 

^^^b  of  regret  has  followed  its  abandonuiont;  but  the  myriad 

01  failures  has  only  served   to   induce   the   true   scientist  to 

felve  deeper  into  the  secrets  of  Nature's   Laboratory  and  to 

^^^k  on,  buoyed  up  by  urgent  necHls  of  sutforing  humanity, 

^^dthe  belief  that  success  must  finally  crown  his  efforts. 

It  is  not  our  province  to  proclaim  a  new  discovery  l)ut 
to  present  a  few  old  and  well  established  facts  in  suc^h  a 
form  that  you  may  g(4  a  clearer  insight  into  the  nature  of 
the  problem  before  us,  and  a  more  comprehensive  knowledge 
of  the  means  that  must  be  employed  for   the   removal  of  th<i 


44  THE  MEDICAL  ADVANCE. 

cause  from  those  already  infected  and  the  prevention  of  infec- 
tion to  those  who  seem  to  he  healthy, 

A   CONSTITUTIONAL  SICKNESS. 

Tuberculosis  is  general  and  involves  every  portion  of 
the  body.  The  effects  may  be  more  pronounced  in  one  por- 
tion than  another  by  reason  of  some  peculiar  susceptibility 
of  the  individual  or  environment  to  which  he  may  have  been 
exposed. 

It  is  onq  of  the  products  of  civilization  and  may  be 
charged  to  prolonged  and  persistent  disregard  of  the  essen- 
tial laws  of  healthy  living.  It  was  recognized  as  an  estab- 
lished and  deep-seated  disease  by  the  earliest  historians. 
Hipocrates  wrote  of  its  ravages,  but  it  was  not  until  the 
early  part  of  the  nineteenth  century  that  Laennec  insisted 
that  its  virulence  was  due  to  a  specific  cause.  The  nature 
of  this  infecting  agent  was  finally  settled  by  the  demonstra- 
tions of  the  German  scientist,  Robert  Koch,  in  1882.  There 
now  remains  no  question  about  one  active  and  exciting  cause 
being  the  slender,  rod-like  structure  known  as  the  tubercular 
bacillus. 

If  this  bacillus  were  the  only  cause  or  even  the  most  im- 
portant cause,  subsequent  discoveries  would  have  secured 
an  agent  that  would  have  destroyed  its  virulence  and  given 
the  world  general  immunity  from  its  influence. 

THREE  ESSENTIAL  FACTORS  NECESSARY. 

Growing  out  of  investigations  of  the  past  century,  three 
essential  factors  are  recognized  as  necessary  for  the  devel- 
opment of  any  form  of  animal  or  vegetable  life: 

1st — The  life  principle,  or  germ. 

2nd — Suitable  soil. 

3rd — Proper  environment. 

These  factors  must  be  combined  in  every  instance.  Im- 
perfection in  one  of  them  will  be  manifest  in  the  result.  The 
germ — or  life  principle — may  be  perfect  and  failure  follow 
by  reason  of  barren  soil  or  unfavorable  environment.  It  is 
equally  true  that  the  environment  may  be  ideal  and  still  be 
of  ilittle  avail.     It  may  not  be  necessary  to  call  your  attention 


HOMEOPATHY   IN.  TUBERCULOSIS.  45 

to  the  fact  that  this   proposition  holds   equally  true  in  the 
development  of  all  pernicious  forms  of  life. 

Following  the  discovery  of  the  bacillus,  Koch,  and  other 
laboratory  experts,  have  been  working  incessantly  upon  a 
laboratory  product  of  the  bacillus,  called  by  them  tuberculin] 
but  the  results  have  been  satisfactory  in  only  a  limited  num- 
ber of  cases,  showing  some  radical  defect  in  their  theory  of 
action  or  preparation  of  the  product. 

THE  GERMAN  TEST  OF  THE  * 'NATURE  CURE." 

Failure  in  this  direction  has  turned  the  attention  to  the 
possibilities  of  a  combination  of  forced  feeding,  modified 
exercise  and  climatic  environment  that  would  afford  an  abun- 
dance of  pure  air.  The  most  systematic  report  showing  the 
effects  following  this  combined  method  of  treating  tubercu- 
losis comes  from  the  German  Central  Committee  for  1903. 
This  report  covers  over  6000  cases  discharged  from  sanitaria, 
established  by  the  German  government,  in  which  routine 
treatment  was  rigidly  adhered 'to.  None  were  admitted 
-when  the  prognosis  was  unfavorable,  and  few  allowed  to 
remain  after  improvement  ceased. 

67.3  per  cent  were  able  to  support  themselves  at  their 
former  occupation. 

7.1  per  cent  were  able  to  support  themselves  by  some 
other  kind  of  work. 

14.6  per  cent  only  partially  supi^orted  themselves  by 
any  kind  of  work. 

11.  per  cent  incapable  of  self  support. 

Result — 87.7  per  cent  showed  improvement  while  un- 
der treatment. 

8.8  per  cent,  no  improvement. 

3.1  per  cent,  grew  worse- 

0.4  per  cent.  died. 

Time  will  not  admit  of  an  exhaustive  analysis  of  this 
report.  The  majority  came  from  the  peasant  class  who  had 
been  accustomed  to  hard  manual  labor,  insufficient  nutrition 
and  unsanitary  environment.  The  report  does  not  show  to 
what  degree  they  were  incapacitated  from  manual  labor  when 
admitted,  and  no  tabulated  conclusion   shows   the  average 


46  THE  MEDICAL   ADVANCE. 

length  of  time  of  each  inmate;  but  rest,  abundance  of  nutri- 
tious food  and  pure  air  produced  logical  results;  still  12 
per  cent,  showed  no  improvement  under  th(*se  most  favorable 
conditions.  Too  short  a  time  has  ehipsed  to  show  the  per- 
manence of  even  the  arrested  progress  of  the  disease,  so  the 
real  value  of  the  report  can  only  be  d(^termined  by  supple- 
mental reports  that  should  appear  from  year  to  year  for  a 
period  covering  at  least  on(^  decade. 

HOMKOPATHY    KK<>T'niKD    TO    ASSIST    NATUKK. 

W(^  do  not  wish  to  l)e  understood  as  disparaging  the 
elTorts  put  forth  for  t\w  coiTection  of  injurious  habits  of 
eating,  .sleeping  and  living  in  g(»neral,  for  they  c^n-tainly 
mark  a  decided  advanct*  over  th(^  progi-ess  of  any  other  pe- 
riod in  the  history  of  this  disease^;  but  in  all  candor,  I  ask 
you,  have  th(^y  been  surticicnt  to  justify  th(»  belief  that  this 
dreaded  foe  to  life  can  be  sheai'cd  of  its  peculiar  virulence 
without  additional  aid  from  a  ditTerent  source?  Already 
the  cry  is  hoard  for  something  more.  It  has  biM.m  demon- 
strat(Hl  that  reaction  and  relapses  are  sure  to  follow  undue 
haste  in  forcin(j  results.  ThiM'c  is  no  pcn^manence  in  the  new 
cell  formation.  They  are  like  hot-house^  plants — no  re.sist- 
enc(*  when  exposed  to  the  vicissitudes  of  common  ev(»ry  day 
life.  These  poor  unfortunates  dare  not  leave  their  adopted 
homes.  Their  manner  of  living  grows  more  and  more  re- 
stricted until  the  end  finally  C(mi(\s  and  they  are  s(^t  free. 

THIO    INDIVIDUAL,   NOT  TrBKKCrf.OSIS,  TO  BK  TULATED. 

We  now  come  to  what  we  l)elieve  to  be  the  mi.ssing  link, 
the  scH-ret  of  past  failuri^s  and  the  most  important  factor  in 
the  whole  problem — tltc  iiHliridttf//.  True,  a  tyi)e  of  indi- 
vidual has  been  recognizinl  -  a  sort  of  composite  picture 
known  as  the  **tub(4'cular  ccmstituticm."  The  food,  climate, 
exer(!is(»  and  treatuumt  has  in  a  large  m(*asur«^  btnm  reduced 
to  a  routine  form  of  ti-eatm  Mit  a  lupt  ul  to  this  gfmeral  type 
of  individual.  Tuberculosis  as  an  (mtity,  has  been  under 
treatment  inst(*ad  of  f/tc  inffirifh/tt/. 

Where  this  routine  practice  was  adapted  to  the  needs  of 
the  individual  the  results  wer(^  fairly  satisfactory,  but  they 
occupy  such  an  insignitieant  place  as  to  be  hardly  worthy  of 


/ 


HOMEOPATHY   IN   TUBERCULOSIS.  47 

/^ideration  in  the  study  of  thi^  great  problem.     They  con- 

,^te  the  class  that  linger  on  beyond  the   expectation   of 

n^^  ^  Haost  sanguine  friends,  under  any   form   of   treatment. 

.,  ^     ^Hct  is  we  have  no  two  cases  of  tuberculosis   presenting 

^n^^^lne  peculiarities.     There  may  be  a  general  picture   oc- 

^^Xig  the  background    wliich  enables  the    physician  to 

^nk^  the  diagnosis  of  tuberculosis,  after  structunfl   changes 

liave  developed  and  (hnujer  is  imnnnent.but  this  (/encral  picture 

has  no  value  from  a  therapeutic  .standpoint. 

You  are  familiar  with  the  old  adage — "what  is  one  man's 
meat  may  be  another  man's  poison,*'  No  two  i)ersons  look 
alike,  think  alike,  eat  alike,  sleep  alike,  have  like  constitu- 
tions or  are  alike,  consequenlly  there  can  be  no  question 
about  the  short  comings  of  a  system  of  treatment  that 
subjects  any  sick  individual  to  a  routine  form  of  treatment. 
This  criticism  is  doubly  pertinent  when  the  tendotcie.s  of  the 
fliseaspare  *"0  unifonnlij  iinfnvorahlc  that  the  difference  betn'een 
^<f<'''f-XiH{n(l  faibi re  niani/  times  dej)cnds  ttjto)/  the  detail  trork- 
^^^ffe  thitajs  that  in  the  af/f/rer/ate  overshadoic  the  genrral  or 
^'iore  common  things. 

We  concede  that  the  tubercular  bacillus  is  an  exciting 
<^use  only  and  that  it  is  a  definite  fixed  factor,  but  would 
Impress  upon  your  minds  that  the  myriad  of  peculiar  symp- 
toms of  the  disease  are  but  reflected  images  of  the  sick  indi- 
XWUul^  and  that  it  is  tJiese  pec^iliar  manifestatio)is  of  the  indi- 
vhlual  that  we  must  study  if  ice  would  eren^  hope  to  fual  the 
meons  needed  for  transforining  the  same  i)tto  the  normal  (r'tiri- 
tmof  jiealth. 

DISCUSSION. 

Dr.  E.  A.  Taylor:  Generally  we  find  such  patients  suf- 
fering from  malnutrition.  Then  we  want  to  know  what 
kind  of  mal-nutrition.  what  there  is  peculiar  and  distinc- 
tive about  the  mal-nutrition  as  comj^ared  with  other 
cases.  We  may  call  it  by  what  name  we  will,  the  name  of 
the  disease  will  not  lead  us  to  the  remedy;  but  carry  in  mind 
the  peculiar  features  of  the  case,  the  distinctive  charactc^r- 
istics  of  the  patient  and  his  disease  regardless  of  the  di- 
sease  he   may   have,  will  surely  guidt*  us  to  the  proper  and 


48  THE  MEDICAL   ADVANCE. 

curative  remedy.  One  may  hear  doctors  all  over  the  land 
offering  a  sufficient  reason  for  prescribing  medicine  that  will 
correspond  to  malnutrition,  or  anemia,  perhaps.  The 
general  term  gives  us  no  guide  or  indication  for  a  remedy. 
We  are  trying  too  many  short  cuts  to  success,  and  the  result 
is  many  failures. 

Dr.  G.  E.  Dienst:  I  have  nothing  to  add  to  the  paper 
nor  any  criticisms,  but  would  like  to  emphasize  what  Dr. 
Taylor  has  said  in  regard  to  the  individual.  Out  our  way 
we  have  a  sanitarium  where  they  receive  patients  who,  they 
say,  are  coming  down  with  tuberculosis.  They  are  all  treat- 
ed alike,  regardless  of  their  individualities.  Some  improve, 
some  do  not.  You  will  find  them  doing  the  same  thing  in 
Denver  and  other  places — always  leaving  undone  the  things 
most  essential  to  be  done — overlooking  the  individual,  hi» 
idiosyncrasies  and  constitutional  disease  tendencies.  This 
is  where  Homeopathy  plays  an  important  part.  It  is  our 
duty  to  find  out  this  part  and  play  it  well. 

Dr.  Harvey  Parrington:  Many  times  I  have  had  oc- 
casion to  answer  the  question:  **How  is  it  you  can  do  any 
thing  with  your  little  'sugar  pills,'  for  the  sick?"  We.do  not 
need  powerful,  crude  drugs.  Our  remedies  act  not  by  brute 
force  but  by  subtlety"  They  do  not  act  against  the  life  force, 
but  with  it.  The  life  force  is  endeavoring  with  all  its  might 
to  throw  off  the  incubus  of  the  disease  and  the  homeopathic 
remedy  gives  it  the  assistance  it  needs  and  it  is  sustained  in 
so  far  as  it  corresponds  with  the  state  in  which  the  individual 
is  or  the  characteristics  of  the  individual.  So  that  although 
we  do  see  marvelous  results  and  we  believe  our  remedies  are 
powerful,  nevertheless  there  is  an  analogy.  A  key  is  a 
small  thing,  a  bit  of  steel,  and  yet  that  key,  if  it  exactly  fits 
the  lock  will  open  a  very  large  door  that  may  have  special 
hinges  on  which  to  turn.  That  is  the  way  our  homeopathic 
remedies  act. 

Dr.  H.  C.  Allen:  The  paper  had  one  important  factor 
that  many  seem  prone  to  overlook,  that  is,  the  character  of 
the  cell.  We  are  all  cell  products,  and  this  cell  life  is  one 
of  the  features  often  entirely  forgotten.     As  Dr.  Taylor  so 


LEGAL  STATUS  OF  HOMEOPATHIC  VACCINATION,  49 

truly  said,  we  get  the  idea  of  anemia  or  mal-nutrition  with- 
out getting  at  the  bottom  of  the  defective  cell  life. 

Dr.  J.  J.  Thompson:  If  there  is  any  one  thing  that 
Hahnemann  emphasized  more  than  another,  it  is  the  re- 
moval of  the  cause,  and  I  was  glad  to  hear  our  essayist  em- 
phasize that  fact.  We  as  homeopathic  physicians  have 
been  as  much  at  fault  up  to  recent  times  as  our  friends  of 
the  dominant  school  in  not  recognizing  the  fact  that  there  is 
more  than  the  mere  administration  of  drugs  in  these  cases. 
They  have,  perhaps,  as  has  been  suggested  by  the  essayist, 
gone  to  the  other  extreme,  depending  almost  entirely  upon 
the  physiological  effect  of  drugs,  dieting,  food,  fresh  air  and 
that  sort  of  thing.  The  surgeon  can  do  much  in  many  of 
these  cases,  by  removing  the  small  portion  affected  by  the 
tubercle  baccilli?  Not  at  all.  More  frequently  in  removing 
irritations  quite  distant  from  the  local  point  of  attack. 

At  the  close  of  Dr.  R.  S.  Copeland's  address.  Dr.  Young 
moved  that  the  society  extend  to  Dr.  Copeland  a  most  hearty 
vote  of  thanks  for  the  fine  paper  given  by  him.  The  motion 
was  seconded  and  unanimously  carried.  Dr.  Allen  added  that 
he  would  like  to  make  it  three  times  three. 

THE  LEGAL  STATUS  OF  HOMEOPATHIC  VACCINATION. 

The  Regular  Homeopathic  Medical  Society  of  Chicago, 
will  at  its  regular  monthly  meeting,  to  be  held  at  the  Public 
LiT)rary  Building,  Tuesday  afternoon  and  evening,  January 
7th,  1908,  take  action  upon  the  following  resolutions: 

Whereas:  Vaccination  for  the  prevention  of  small 
pox  is  only  a  prophylactic  measure  and  used  to  give  immu- 
nity to  the  public; 

Whereas:  Any  method  of  sanitation  or  treatment 
which  will  prevent  small  pox  must  be  recognized  to  have 
legal  standing,  and  based  upon  State  and  Municipal  Law, 

Whereas:  The  allopathic  method  of  vaccination  is  by 
inoculation  with  crude  bovine  virus,  which  is  commonly  in- 
jurious to  health,  frequently  causing  death. 

Whereas:  The  homeopathic  prophylactic  method  is 
by  the  administration  of  Variolinum  and  other  homeopathic- 
ally  prepared  medicines  (wherein  the  poisonous  or  toxic 


50  TK?si£fiffi^L*i*mVANCE, 


quality  is  removed)  ^ivei^jgt^rnally,  which  has  proved  more 
efticient  and  without  injury  or  (Tanker  to  the  patient. 

Wheueas:  The  State  and  Municipal  Boards  of  Health 
are  endeavoring^  to  make  compulsory  the  use  of  the  allo- 
pathic method  and  refuse  to  accept  certificates  of  vaccina- 
tion issued  by  homeopathic  physicians  who  hold  licences 
authorized  by  the  laws  of  the  State  of  Illinois  to  pra(*tice 
their  system  of  medicine,  and 

WiiEKEAS:  A  recent  decision  in  the  State  of  Iowa  says: 
*'That  the  Boards  of  Health  do  not  have  the  power  to  speci- 
fj^  and  enforce  any  recognized  method  of  vaticination  to  the 
exclusion  of  otiiers  n^'o^^nized  and  i)racticed  by  any  stand- 
ard s(*hool  of  medicine,  authorized  and  established  under 
the  laws  of  the  stat(\" 

X<ftf\  Tlanfon,  hr  if  lUsolwd:  That  the  Regular  Hom- 
eopathic* Medical  Society  instructs  hnd  iiutlioriz(\s  its  execu- 
tive committee  to  demand  from  said  Boards  of  Health  recog- 
nition of  the  homeopathic  method  of  vaccination,  and  if  re- 
fused to  entcu'  suit  by  mandamus  procecnlings  to  accomplish 
the  same  results  recently  obtained  in  the  State  of  Iowa,  de- 
fending and  maintaining  the  h^gal  rights  of  the  homeopath- 
ic profession. 


Apiuiii  Virus:     A  Fatal  Sting: r- 

Canton,  S.  D.,  Oct.  IS.--  Stuntr  on  the  temple  by  a  oommon  honey  bee 
while  he  was  on  the  farm  of  Henry  Trip,  one  mile  north  of  here,  Michae 
Oakleaf  died  fifteen  minutes  afterward  in  eonvuKionH. 

Phy.sie  ians  ^^ave  it  as  their  opini(m  that  the  stin^,'-  penetrated  the 
brain.  To  .satisfy  the  minds  of  the  medieal  experts  it  is  probable  that 
an  autopsy  will  be  held. 

There  are  numerous  cases  on  record  where  the  sting  of 
the  honey-bee  or  the  was])  has  produced  fatal  results,  death 
occurring  within  an  hour  after  the  accident;  but  the  .sting  did 
not  penetrate  the  brain  in  this  or  any  other  case.  The  dose 
was  not  very  large,  but  it  was  very  effective.  But  there  is 
not  even  a  suspicion  that  the  sting  penetrated  the  skull, 
simply  the  effect  of  the  virus  on  tlic^  brain,  by  being  injected 
into  the  circulation  on  the  temple 


The  Medical  Advance 

A  Monthly   Journal   of  Hahncmannian  Homeopathy 
A  Study  of  Methods  and  Results. 


When  we  have  to  do  with  an  art  whose  end  Is  the  saving  of  human  life  any  neglect 
to  make  ourselves  thorough  masters  of  it  becomes  a  crime.— Hahnemann,  • 


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We  believe  that  Homeopathy,  well  understood  and  faithfully  priicticed,  has 
power  to  save  more  lives  arid  relieve  more  pain  tijan  any  other  metliod  of  treat- 
ment ever  invented  or  dlsr<»vered  by  man;  but  to  be  a  fir&t-class  homeopathic  pre- 
scriber  requires  t-arefu I  study  of  l)oth  patient  and  remedy.  Vet  by  patient  oare  It 
can  Ijemadea  little  plainer  and  ea&ier  than  it  now  is.  To  explain  and  detine  and 
lnallprao»lcal  ways  simplify  it  is  eur  chosen  worlc.  In  this  jfood  work  we  aslt 
your  help. 

To  accommodate  both  readers  and  publisher  this  Journal  will  be  sent  until 
arrears  are  paid  and  it  is  ordered  discontinued. 

Coiumuaicritions  rejrardln^  SuOsc.riptons  and  Advertisements  may  be  sent  to 
the  publisher.  The  Forrest  Pre>s   Hatavla,  lilinoir,. 

*  ontributlDns.  Exchanj?e<.  ll(M)ks  for  Review,  and  :  11  other  communications 
should  be  addressed  to  the  t'.ditor,  5142  \Vashinf?t^)n  Avenue,  Cljica:;(). 


jJANUARY,    190^. 

EbitotiaU 

THE  NEXT  INSTITUTE  MEETiN«. 

The  following  telegram  is  jself -explanatory: 

Clkveland,  Ohio,  Jan.  (I  190S. 
Next  meetin*^  of  the  In^^titute  at  Kansa.s  City.  l)e^inninir  . I  unci  22nd 

Kraft. 

After  a  personal  visit  to  Oklahoma  City  by  Pr(\si(lent 
Copeland,  and  a  thorough  and  impartial  investigation  of  its 
advantages,  it  was  decided  by  the  Executive  Committee  that 
the  best  interests  of  the  Institute  and  the  comfort  and  ac- 
commodation of  the  majority  of  the  members  would  be  best 
conserved  by  a  change  of  place  of  meeting.  But  in  making 
the  change  and  thus  reversing  the  vote  of  the  Institute,  the 
committee  has  not*  overlooked  the  just  claims  of  the  West 
and  South  West,  or  that  the  last  two  sessions  were  held  on 
the  Atlantic  Coast,by  selecting  Kansas  City  w^hich  has  ample 


52  THE  MEDICAL   ADVANCE. 

hotel  accommodations  and  can  be  reached  from  the  East^ 
West,  North  and  South  without  change  of  cars.  We  will 
probably  have  **a  warm  time  in  the  old  town''  the  third  week 
in  June,  yet  not  so  hot  as  in  Oklahoma;  but  the  interests  of 
the  Institute  are  paramount  and  loyalty  to  the  cause  we  all 
love  will  lead  every  homeopath  to  accept  the  decision  of  the 
committee  in  the  same  good  faith  in  which  it  was  made. 
ON  TO  KANSAS  CITY. 


POST  SURGICAL  TREATMENT  OF  CHRONIC  DISEASES. 

To  the  acute   observation   and   practical  experiment  of 
Hahnemann  we  are  indebted  for  the  three   greatest  discov- 
eries in  medicine: 

1.  The  law  of  cure,  Similia  Similibus  Curantur. 

2.  The  potentization  of  our  remedial  agents. 

3.  The  psoric  theory  of  chronic  diseases. 

In  1810  Hahnemann  issued  the  first  edition  of  the  Or- 
gan on  of  Rational  Medicine,  the  principles  by  which  the 
practice  of  Homeopathy  may  be  successfully  followed. 

After  years  of  labor  with  his  colleagues  in  drug  prov- 
ings,  the  first  part  of  the  Materia  Medica  Pura  was  issued, 
in  1811,  but  it  was  not  until  after  twelve  years  of  study  and 
research  to  ascertain  the  source  of  this  inscrutable  cause  of 
chronic  affections  to  discover  'the  great  truth  which  re- 
mained concealed  from  his  predecessors  and  contemporaries, 
and  to  establish  the  basis  of  its  demonstration  that,  in  1  HI 2, 
Chronic  Diseases,  Their  Peculiar  Nature  and  Homeopathic 
Treatment  was  pubhshed. 

As  great  as  was  his  discovery  of  the  law  of  cure,  and  a 
method  for  obtaining  the  dynamic  principle  of  remedies  that 
they  may  be  practically  applied  in  the  cure  of  the  sick,  has- 
been,  this  last  discovery  of  the  author  of  Chronic  Diseases^ 
is  by  far  the  greatest  of  his  wonderful  achievements.  Thia 
theory,  although  it  has  been  maligned  for  fifty  years  or 
more,  is  becoming  more  and  more  imi:>ortant,  and  today  i» 
more  pregnant  with  results  in  the  cure  of  the  chronic  sick^ 
and  a  greater  boon  to  suffering  humanity  than  all  the  rest 
of  his  discoveries  combined.     The  underlying  principles  are 


EDITORIAL.  53 

by  W  ,^^^^^^  ^^^  ^^^  ^^^  receiving  scientific   verification 
p^  ^^Sht  in  the  opsonic  index;  by  Von  Behring  in  classing 
JjI^    ^^'b  work  as  homeopathic,  and  by  Huchard,of  Paris,  in 
unde  1^^^  announcement  that  it  is  the  principle  of  Similia 
i^ijig  the  latest  scientific  investigations. 
p^^     illustrate  this  far-reaching  principle  in  surgery: 
W  oae^^J*  ^-j  a&e  17,    Had  apparent  good  Health  until  14  whea  she  began 
.^A    ^Viate  scantily  and  painfully,   and  to  run  down.     This  had  per- 
^^^^^^ardlesa  of  medication,  for  three  years.    For   two  months   she 
^ABiijefen  insane;  was  violent  and   required  restraint.    Lunacy   inquest 
had  been  held  and  she  was  on  the  way  to  the  insane  asylum.    Being  ap- 
pealed to  I  found  marked  tenderness  at  McBurney's  point;  also  erratic 
menstrual  history. 

DiagDosis:    Insanity  from  causes  resident  below  the  diaphram. 
Operation:    Removal  of  append  ex,    which  was  much   swelled   and 
coDirested;  both  ovaries  enlarged  and  cystic,  requiring  removal  of  degen- 
erate portions  together  with  removal  of  a  fibroid  tumor  from   left  paro- 
varium size  of  an  English  walnut. 

Result:— Return  to  normal  mentality  and  perfect  health. 
Case  2.  Harry  W.,  age  22.  Never  rugged:  while  pursuing  art 
studies  at  Munich  became  violently  insane:  was  returned  to  this  country 
under  guard  and  placed  in  an  asylum  where  he  remained  for  two  years. 
During  this  time  he  made  several  escapes  from  custody,  frequently  half 
nude;  was  captured  and  returned.  He  had  semi-lucid  periods  during 
one  of  which  I  was  called  to  see  him.  In  answer  to  his  question:  '*Can 
you  minister 'x)  a  mind  diseased?"  "No!  The  mind  Is  never  diseased; 
the  body  becomes  diseased  and  the  mind  suffers."  He  was  found  to 
^ave  piles  requiring  reposition  after  each  defacation. 

Removal  of  hemorrhoids  brought  immediate  cure.     He  returned  to 

theHague  a  few  months  later  to  pursue   his  studies,    where  he  married 

Md  i6  rearing  a  family.     He  continues  well  after  ten  years. 

Now  comes  Hahnemann's  statement  in  the  Organon  §222: 

But  a  patient  that  has  thus  been  freed  from  an  acute  disease  of  the 

mind  or  disposition  by  the  use  of  non-anti  psoric  remedies  can  never  be 

regarded  as  cured.     Far  from  it:  And  it  was  necessary    to  loose   no  time 

in  placing  him  under  a  prolonged  an ti- psoric  treatment  to  deliver  him 

of  the  chronic  miasm  of  psora,  which,  it  is  true,  has  again  become  latent, 

but  is  not  less  ready  on  that  account  to  break  out  again.     In  short,  there 

19  no  fear  of  another  attack  similar  to  that   which   has  been  arrested, 

providing  the  patient  does  not  depart  with  the  regimen  that  has  been 

prescribed  for  him. 

^'OTE.  It  js  a  very  rare  case  that  mental  alienation  of  long  standing 

ceases  spontaneously,    (since   the   internal  melady  recedes  upon 

the  grosser  organs ).   These  are  a  few  cases  in  which  the  patient, 


54  THE   MEDTCAT.  ADVANCE. 

aft(*r  having- been  the  inmate  of  a  mad-house,  is  discharged  as 
apparently  cured.  Every  institution  for  the  insane  has  hither- 
to been  filled  to  excess,  so  that  the  multitude  of  others  waiting^ 
for  admi^sion  have  scarcely  ever  found  a  place,  if  vacancies  did 
not.  occur  in  the  house  by  the  deetnise  of  p  itients.  AV»;  on(  (H/umg 
them  is  rtdHy  and  pfrmanoUlij  cural. 

In  the  admirable  and  thoughtful  pai)er.  The  Problem  of 
Prophlaxis,  by  Dr.  Runnels,  in  our  December  issue,  the  ex- 
perience of  Hahnemann  is  verified  by  the  experience  of 
some  of  our  oldest  surgeons.  The  etiology,  the  pathology 
and  diagnosis  of  many  of  these  chronic  diseases,  as  logically 
illustrated  by  Dr.  Runnels,  corroboratc^s  in  every  i)articular 
the  inductive  reasoning  of  Hahnemann. 

Read  the  other  clinical  cases  here  reported,  in  which  tlie 
corriH^tness  of  tlie  physical  diagnosis  was  v(U'itied  by  the  re- 
sults from  the  removal  of  the  cause  by  surgical  measures, 
and  we  return  to  th(»  same  conclusions  reached  by  Hahne- 
mann thre(^  quart(n's  of  a  century  ago,  that,  "Not  one  among 
tluMu  is  really  and  ])ermanently  cured."  After  the  patient 
has  been  restored  mr»ntally  by  the  removal  of  physical  im- 
pediments to  health,  the  old  chronic  ailment, whatever  it  may 
hav(»  been,  remains  uncured.  And  h(H'e  is  where  the  Science 
and  art  of  lu^aling  comes  into  full  play,  it  being  able  to  cure 
— not  simply  r(\stori*  to  lunilth-  patients  who  are  sick  with 
chronic  inabilities  from  birth.  Here  is  a  field  for  the  exer- 
cise of  the  art  of  h(^aling.  H(?re  is  wheiv  the  homeopathic 
surgeon,  if  i*(nilly  imbued  with  liis  r(\s]K)nsibility  to  his 
patient" -if  he  does  not  consider  himself  cai)able  of  carefully 
pn^scribing  for  a  i)atient  after  the  iHMuoval  of  the  exciting 
cause  -should  turn  him  over  to  a  therapeutic  specialist.  Here 
is  wlun'e  th(^  surg<?on  and  tlu^rapcnitist  may  work  harmon- 
iously for  the  ui)lifting  of  the  science,  and  the  welfare  of 
humanity.  Her(»  is  a  ti(4d  at  pn^simt  practically  uncultivated 
which  should  yit^ld  a  richer  harvest  in  the  fields  of  science 
than  any  other  known.  And  in  this  field  the  homeopathic  - 
surgeon  has  no  competition. 


EDITORIAL.  55 

THE  AMERICAN  HEART. 

There  has   been   much   written   in   the   daily  press,  in 
recent  months,  by  physicians  of  Chicago  and   other   Ameri- 
can cities,  in  re^^ard  to  the  increasing  death  rate  from  lieart 
disease.    The  claim  is  made  that  th(»  mortality  is  out  of  all 
proix>rtion  to  the  growth   in   ]K)pulation.     Of   course   th(n'c 
Diust  be   a  cause   for   it,    and  it  is  now  attributtnl  to  the  in- 
tensity of  modern  business  life;  the  tendency  to  over-do,  or 
over- work:  too  much  eating,  drinking,   late  suppers,   coti'(»e, 
tobacco,    the   automobile,    etc-,  are,  in  some  way,  factors  in 
the  production  of  heart  affections  and  c(msequent  prematuni 
death. 

When  th(»  physician  is  app(nil(Hl  to  for  reUt^f,  and  insists 
that   a  return  to  "the  simph*  hfe"  will  remedy  the  existing 
evil,  he  is  listened  to  with  an  incredulous  smile.    The  advice 
is  j^ood,  the*  reasoning  unansw(^rable    and    tin*   logic    sound, 
for  the  other   fellow.       Tobacco    is   doing   more    today    to 
weaken  the  American  heart, and  not  only  the  American's  but 
all  other  nationaliti(»s  as  well,  than  any  otlun'  cause.     Th(»re 
is  no  drug  in  the  entire  mat(»ria  medica  that  so  certainly  (h^s- 
troys  the  elasticity  of  musch^  tibi-e  as  Tabacum.    Americans, 
Englishmen,    Frenchmen    and    (icnnans,    will  all  stand  tln^ 
stress  and  strain  of  the  strenuous  busint\ss    lite,  if  they  will 
only  curtail   the   excessive  use  of  nicotine.     When  a  physi- 
cian informs  a  patient  that  he    is    using   too   nuich   tobacco, 
that  it  is  afflicting  his  heart,  th(»  advice  is  a])t  to  fall  on  stony 
soil,  when  the  patient  sees  the  physician,  hims(^lf,  snioldng 
and  chewing.     The  force  of  habit  has  much    to  do  with    it, 
and  the  force  of  example  in  this  cas(^  is  wanting. 

To  gently  advise  a  busin(»ss  nran,  on  the  vei'goof  nei-vous 

prostration,  that  he  must  slacken  his  pace,  is  all  vi^-y    well; 

but  it  is   much    better,  and  moi-e  etT(»ctive,  if  tlu^  advict*  be 

specific,  and  the  danger  of  not  following  it  pointi^d  out.    The 

sermon  on   the    strenuous  life  has  Innm  ])reached  for  years, 

and  preached  in  vain;  the  advice  was    not    taken    tlu^i,    and 

similar  advice  will  not  be  taken  now.     T1h»  New  Year  is  t1u» 

time  to  make   resolutions,    and    it  appears  to  be  (Mpuilly  as 

gooda  time  to  break  them.     An  individual  here   and   tlun-e 


56  THE  MEDICAL'ADVANCE. 

may  change  his  habits  when  compelled  to,  but  the  commu- 
nity, as  a  whole,  will  go. on  at  the  old  rate,,  irrespective  of 
consequence. 


COMPULSORY  HEALTH. 

It  is  the  office  of  sanitarians  to  study  the  art  of  preserving 
the  health  and  preventing  disease  and  of  all  the  means  that 
are  subservient  to  those  ends.  Such  work  is  both  educational 
and  executive;  it  is  educational  when  it  gives  publicity  to 
the  laws  of  prophylaxis  and  directs  the  attention  of  readers 
to  the  risks  and  dangers  that  follow  their  infraction.  It  is 
executive  when  it  directs  and  control's  the  disposal  of 
garbage,  the  cleanliness  of  streets  and  all  such  matters  as 
relate  distinctly  to  the  public  health.  In  performing  these 
functions,  it  is  necessary  that  sanitary  officers  should  have 
the  power  to  enforce  their  rules  amd  regulations.  Com- 
pulsory rules  and  regulations  however,  must  be  founded 
upon  sound  and  just  principles  or  they  become  oppressive 
and  unjust.  It  is  a  sound  principle  that  a  man  must  be  com- 
pelled to  refrain  from  anything  that  molests  or  injures  the 
welfare  of  others.  This  principle  underlies  all  compulsory 
legislation;  there  is  another  equally  sound  and  just  principle 
that  is  often  neglected  or  overlooked  by  law  makers;  i.  e. 
a  man  must  not  be  compelled  to  refrain  from  anything  else 
than  what  molests  or  injures  the  welfare  of  others.  It  is 
only  in  relation  to  others,  that  compulsion  is  warranted. 

For  instance  habitual  over  eating  is  undoubtedly  provoca- 
tive of  much  ill  health,  but  since  a  man  may  indulge  in  this 
unsanitary  habit, without  in  the  least  injuring  others,it  is  not 
a  matter  for  compulsory  laws  but  for  sanitary  advice  and 
education. 

If  a  man  allows  garbage  to  lie  on  his  premises  until  it 
becomes  offensive  and  a  possible  source  of  disease,  he  is 
already  molesting  the  welfare  of  his  neighbors  and  hence  it 
is  just  that  he  should  be  conipelUd  to  clean  up.  In  other 
words  a  man  must  be  prevented  from  injuring  others,  but 
also  he  must  be  left  free  to  injure  himself  if  he  wants  to. 

Trouble  fretiuently  arises   because  some  well  meaning 


EDXTORIAJL.  57 

set  of  refarmers  try  to  iofliot  a  aanitaor  xneasure  upon  all 
mankind  when  not  all  mankind  are  agreed  that  it  is  a  gpod 
thing.  For  instance  a  large  number  of  civilized  people  use 
tobacco  ki  some  form;  another  large  number  regard  tobacco 
as  poison  and  so  deleterious  to  health,  that  they  would  like 
to  compel  all  mankind  to  refrain  from  using  it  in  any  form. 
In  some  states  legislation  of  this  kind  has  been  introduced. 
Such  legislation  is  unsound  and  will  prove  ineffective. 

A  vast  number  of  people  drink  alcoholic  beverages, 
another  vast  number  consider  them  deleterious  both  to  health 
and  morals.  This  being  an  unsettled  question,  it  would  be 
clearly  wrong  for  sanitary  officials,  no  matter  what  their 
individual  view,  to  step  in  and  take  sides  to  the  extent  of 
compulsory  legislation. 

The  same  principle  applies  to  vaccination,  a  large  num 
of  people  believe  in  vaccination,  another  large  number  be- 
lieve it  harmful,  another  large  number  believe  in  inefficient 
and  still  another  large  number  believe  it  another  mode  of 
vaccination.  There  is  a  great  difference  of  opinion  here  not 
only  among  laymen  but  also  among  medical  experts  and  it  is 
manifestly  an  unsound  principle  for  any  one  of  the  various 
sets  of  vaccinationists  to  try  to  force  their  mode  upon  others. 
Yet  attempts  are  everywhere  being  made  to  do  this.  The 
weekly  bulletins  issued  by  the  Chicago  Department  of  Health 
have  stated  that  that  Department  recognizes  only  one  kind 
of  vaccination,  the  kind  advocated  by  the  particular  clique 
to  which  the  Health  Commissioner  belongs. 

Unfortunately  sanitarians  are  adopting  more  and  more 
the  false  idea  that  it  is  their  duty  to  compel  the  public  to  be 
healthy  whether  it  will  or  no;  there  is  a  tendency  to  extend 
their  scope  and  increase  their  power.  In  some  quarters  it 
has  been  advocated  that  the  use  of  antitoxin  in  diphtheria 
be  made  compulsory;  an  article  has  appeared  looking  to- 
wards compulsory  operation  in  appendicitis.  Another 
article  ha9  advocated  the  compulsory  annual  physical 
examination  of  all  adult  citizens  by  government  physicians. 
The  castration  of  criminals  has  been  introduced  (but  not 
passed)  in  the  legislature  of  a  western  state.     Propositions 


58  THE   MEDICAL  ADVANCE. 

have  not  infrequently  been  made,  by  well-meaning  but 
ignorant  reformers,  that  all  applicants  for  a  marriage  license 
should  have  their  fitness  for  the  marriage  state  determined 
by  a  medical  examination  before  the  license  is  granted. 

In  all  these  attempts  ignorant  enthusiasm  is  at  work. 
Some  particular  idea  of  reform  so  fills  the  mind  of  these  ad- 
vocates, that  they  try  to  force  a  petty  reform  upon  mankind 
at  the  expense  of  mankind's  most  precious  inheritence,  in- 
dividual freedom.  Attention  is  called  to  a  sketch  on  another 
page  of  this  issue  under  the  same  title.  J.  B.  S.  K. 


THE  MURDEROUS  HOUSE  FLY. 

New  York  boasts  of  nothing  more  than  its  originality. 
Formerly  this  human  trait  belonged,  almost  exclusively  to 
New  England,  but  it  has  now  moved  south  a  few  hundred 
miles  and  landed  in  the  metroi^>olis.  There  is  a  new  source 
of  danger  menacing  the  life  and  health  of  the  citizens  of 
Manhattan  Island.  It  is  claimed  that  the  common  house  fly 
is  responsible  for  7,6r)0  deaths  in  New  York  in  the  year  1907, 
according  to  the  cities  bacteriologists.  The  fatal  attacks  of 
typhoid  and  intestinal  diseases  between  July  1st  and  October 
1st  are  attributable  to  the  infection  from  or  of  the  housefly. 
It  is  claimed  that  a  careful  study  of  the  habits  of  the  fly 
leads  irresistably  to  the  conclusion  that  the  pest  is  responsi- 
ble for  the  deaths. 

This  mortality  comes  under  the  preventable  causes  of 
disease,  and  now  that  the  cause  has  been  discovered,  pre- 
vention, to  a  certain  extent,  •  may  follow.  The  mortality 
for  accidents  and  preventable  causes  of  disease,  including 
those  from  insects  and  other  pests,  is  simply  alarming. 
With  the  advent  of  rapid  locomotion,  and  increased  trans- 
portation facilities,  comes,  also,  the  natural  consequence  of 
accidental  deaths. 

A  better  applied  hygiene  has  increased  longevity  during 
the  last  fifty  years,  but  the  best  applied  hygienic  measures 
are  unable  to  counteract  the  increasing  number  of  accidental 
deaths.  In  the  future,  possibly,  the  average  length  of  life 
will  be  increased,  but  progress  in  that  line  will  be  slow,  and 


EDITORIAL.  59 

it  is  doubtful  whether,  with  all  our  boasted  improvements  m 
bygiene  and  medicine,  the  average  longevity  in  these  modem 
times  is  much  greater  than  it  was  among  the  ancient  Greeks 
and  Romans.  / 


COMPULSORY  HEALTH. 

The  commissioner  of  health  sat  in  his  office  late  on^ 
night  framing  a  law,  entitled  an  Act  to  Amend  an  Act,  en- 
titled an  Act  to  Limit  the  Consumption  of  Picnic  Ice  Cream, 
when,  lie  was  interupted  by  a  knock  on  the  door.  He  opened 
the  door  add  saw  a  weasened  little  man,  sallow,  thin  and 
stuntLod  in  stature,  who  walked  in  without  ceremony  and 
seated  himself. 

*  '^Vho  are  you  and  what  do  you  want?"  asked  the  Health 
Com  missioner . 

'  'I  have  come,'*  said  the  visitor  in  a  cracked  voice,    *'to 
sho^wr  the  evil  effects  of  the  compulsory  health  that  you  are 
trying  to  inflict  upon  the  public.     Examine  my  shrunken 
Diesel es,  my  sallow  and  wrinkled  skin,  my  meager  and  stunt- 
ed proportions.     Notice  the  unclean  exhalations  that  issue 
frc^m  my  pores,   the  feeble  pulse,   the   decaying  teeth,  the 
fr^eile  bones,  the  gibbous  spine  and  the  puny   lungs  that 
ch^a.-ra,cterize  me   and  know  that  I  am  the  product  of  the 
^^texmalistic  care  of  the  state  and  municiple  Boards  of  Health. 
*  'Here  is  a  cicatrix  from  a   compulsory   operation  for 
a  pa^ixi  in  the  right  inguinal  region;  this  is  the  scar  of  vaccina- 
^^^^  >  this  of  inoculation  against  hydrophobia,  this  to  prevent 
scaclatina,  this  against  measles,  this  against  diphtheria,  all 
P^rEormed  during  the  first  year  of  my  life. 

*Here  is  a  certificate  that  my  sputa  has  undergone  its 
'^^^iVily  examination;  here  is  my  permit  to  eat  three  regular 
\s\ftals  of  inspected  food  per  day.  This  is  my  license  to  smoke 
one  cigar  of  assayed  and  inspected  tobacco  on  Wednesdays 
and  Saturdays.  Here  is  the  certificate  that  my  heart  has 
passed  its  annual  examination." 

"But  my  governmentally  inspected  heart  has  yearnings 
for  other  things  than  compulsory  health,  and  I  sought  the 
marriage  inspector  for  permission  to  marry  Angelina  Smith 


186  THE  MEDICAL  ADVANCE. 

a  fetrhailr^  damsel  dwelling  on  the  banks  of  the  Desplainea 
rive*r. 

**In  spite  of  th^  loss  of  her  vermiform  appendix,  in  sj^te 
of  the  numerous  scars  from  nosodial  inoculations  that  dis- 
figured the  smooth  bloom  of  her  cutaneous  covering,  I 
thought  her  the  fairest  of  the  daughters  of  men.  Our  an- 
nually examined  hearts  burned  for  each  other  with  a  mental 
flame  of  love. 

"Behold  the  result,  the  marriage  inspector, whose  wife  is 
even  now  sueing  him  for  divorce,  refused  us  a  licpnce  because 
one  of  her  grand  uncles  by  marriage  had  died  of  tuberculosis; 
one  of  her  grandfathers  had  swollen  cervical  glands;  a  third 
cousin  was  affticted  with  ringworm  and  she  herself  had  a 
history  of  having  played  with  a  mangy  cat  in  her  innocent 
youth. 

"I  have  come  to  complain  and  I  warn  you  Mr.Health  Com- 
missioner that  your  impudent,  harmful  and  unnecessary 
restrictions  on  the  rights  of  the  qeople  must  cease." 

The  sallow  dwarf's  voice  had  risen  to  an  impassioned 
pitch  as  he  recited  his  blighted  love  and  his  manner  became 
so  threatening  that  the  Health  Commissioner  feared  a  per- 
sonal attack  and  began  to  utter  a  few  soothing  words  and  to 
promise  relief. 

The  little  man  departed  and  the  commissioner  resumed 
his  work,  but  seemed  somehow  to  have  lost  his  relish  for  it. 
After  several  efforts,  he  seized  the  Act  Entitled  an  Act  to 
Amend  an  Act  concerning  picnic  ice  cream  and  thrust  it  into 
the  waste  paper  basket.  J.  B.  S.  K. 


IN  MEMOKIAM. 

Joseph  A.  Biegler,  M.  D.,  died  at  his  home  in  Roch- 
ester, N.  Y.,  at  1  o'olock  A.  M.,  Dec.  21nd.  1907. 

By  the  death  of  Dr.  Biegler  Rochester  loses  a  valuable 
citizen,  and  the  homeopathic  school  one  of  its  ablest  expo- 
nents. Dr.  Biegler  was  one  of  the  ablest  prescribers  our 
school  ever  produced.  He  was  a  genuine  Hahnemannian,  a 
true  follower  of  the  master,  and  as  such  was  known  in  every 
state  in  the  Union.     The  secret  of  his  success   is   said   to 


IN  MEMORIAM.  6i 

have  been  due  largely  to  his  faculty  of  obtaining  a  complete 
and  correct  anamnesis  including  especially  the  existing  or 
maintaining  cause  of  the  sickness.     In  this  he  excelled,  and 
probably  had  no  superior  in  America.     In  some  difBcult 
cases  ^we  have  known  him  to  labor  half  a  day  with  one  pa- 
tient while  his  reception  room  was  full,  but  he  never  made 
a  prescription  until  he  was  thoroughly   satisfied  that  the 
reraedy  he  had  selected  was  the  similimum. 

The  Rochester  Hahnemann  Hospital  is  his  monument. 
It  'Was  founded  through  his  indefatigable  efforts,  and  it  has 
b^en  maintained  largely  by  his  zeal  and  ganerosity. 

Xlxe  directors  and  medical  staff  of  the  HahnemaDn  Hospital  adopted 
tihe  following  memorial  on  the  death  of  Dr.  Blegler: 

Joseph  Augustus  Biegler,  the  founder  of  the  Hahnemann   Hospital 
of  E<ocbe8ter,  chief  of  its  medical  staff,  and  a  member  of  its  board  of  di- 
rectors, died  at  bis  home  in  Rochester,  Dec.  21,  1907.    He  was  born  in 
Alsace  in  1832.    His  father,  a  German  by  birth,  studied  medicine  in  the 
office  of  Samuel  Hahnemann,  and  became  a  noted  physician.    The  sob 
Jose  phi,  at  the  age  of  9  years,  came  to  America  with  his  father,  who  set- 
tleti.  in  Rochester  in   1842.     After  completing  his  academic  education^ 
3aseph  went  to  the  University  of  Pennsylvania,  and  was  graduated  in 
1^7    from  the  medical  department.     He  practiced   his    profession    in 
Rochester  continuously  until  his  death,  excepting  the  years  of  the  Civi^ 
war,    ^hen  he  was  employed  as  a  contract  surgeon  in  the  Federal  Army 
'°  ^hieh  capacity  he  rendered  noteworthy  service,  particularly  at  New 
Orleans   during  the  militarv  occupation  of  that  city,  among  other  things 
establig^^ug   there  a  hospital  during  an  epidemic  of  yellow  fever,  for 
''**^Qh  Ixe  received  the  highest  commendation. 

^s    a  citizen   he  was  public  spirited  and  progressive.    From  1888  to  ' 
he  >was  a  member  of  the  Board  of  Health  of  Rochester  and  inaugur- 
,   ittiportant  reforms  in  the  administration  of  that  body,   and  drafted 
^     '^^tices  which  are  retained  practically  unchanged. 

^^    was   singularly  success' ul   in  the  practice  of  medicine,  always  a 

8  u^eot,  and  a  firm  and  consistent  believer  in  the   principles  of  Homeo" 

^^y    as  a  scientific  system.    He  expounded  those  principles  with  great 

swces^  to  many  younger  practitioners.    His  reputation  was  international 

*^^  tl^ose  to  whom  he  ministered,    numbering  thousands,    will   cherish 

Memory  of  their  beloved  physician.     He  was  one  of  the  founders  of 

Jj^ International  Hahnemannian  Association,of  which  he  was  at]  one  time 

^  Pf  esident,  and  was  also   prominent  and   honored  in  other  medical 

*^^^tiea,  both  state  and  national. 

He  was  strong  in  his  opinions,  and  when  conviocer'  of  the  righteous- 
^^%a  of  hi4  course,  held  it  with  unyielding   tenacity.    He  hated  iniquity; 


62  THE   MEDICAL  ADVANCE. 

feared  no  one;  he  was  a  friend  to  the  poor;  a  lover  of  children.  He  will 
be  especially  remembered  as  founder  of  the  Hahnemann  Hospital 
of  Rochester,  to  which  he  gave  much  of  his  time  and  thought  during  his 
later  years.  The  limits  of  this  memorial  will  not  permit  extended 
reference  to  his  work  in  this  relation,  but  we  may  say,  in  brief,  that  he 
conceived  its  plan,  encouraged  its  growth  and  set  the  standard  for  its 
policy.  The  success  of  the  hospital  was  a  joy  to  him,  and  for  its  future 
be  had  firm  faith. 

We  say  * -Farewell"  to  our  leader  and  friend  with  extreme  regret 
but  record  with  gratitude  our  appreciation  of  the  example  and  inspir- 
ation of  his  life. 

At  a  meeting  of  the  board  of  lady  managers  of  the  Hahnemann  Hos- 
pital the  president,  Mrs.  W.  H.  H.  Rogers,  appointed  a  commit- 
tee of  three,  consisting  of  Mrs.  Rufus  A.  Sibley,  Mrs.  Arthur  E. 
Southerland  and  Mrs.  Church  Arvine  to  prepare  resolutions  in  memory 
of  Dr.  Josf-ph  A.  Biegler.     The  following  resolutions  were  adopted: 

Our  friend  and  physician.  Dr.  J.  A.  Biegler,  has  passed  into  the 
other  life.  We  realize  that  a  great  man  has  gone,  one  of  unusual  learn- 
ing, wonderful  in  skill,  faithfuJ,  kind,  loving  and  true.  In  a  long  life  he 
had  much  to  endure  but  showed  rare  heroism,  great  honesty  and  achieved 
many  triumphs.  In  the  hearts  of  friends  and  patients  his  memory  will 
always  remain.  It  can  be  said  of  him;  *'He  made  good  use  of  his 
friends  by  being  of  use  to  them."  His  life  work  has  given  him  world 
wide  reputation,  and  in  this  community  the  Hahnemann  hospital  stands 
as  the  monument  of  his  steadfast  devotion  to  principles. 

Dr.  Freda  M.  Lankton  died  in  Omaha,  December  5th, 
1907.  She  was  bom  in  Oriskany,  N.  Y.,  August  10th,  1852; 
was  married  August  10th,  1870,  at  Rome,  N.  Y.,  and  removed 
to  Iowa  in  1874,  locating  in  Council  Bluffs  in  1878. 

She  was  a  gradut^  from  the  homeopathic  medical  depart- 
ment of  the  Iowa  State  University  in  1H8H  and  at  once  began 
practice  in  Omaha,  where  she  has  had  a  large  clientele  and 
a  successful  practice. 

She  has  been  afliicted  for  many  years  with  heart  trouble, 
and  died  from  an  acute  aggravation  of  this  old  disease. 

Dr.  Nickolas  8enn,  one  of  our  best-known  surgeons  of 
Chicago,  is  dead.  He  was  not  only  one  of  our  leading  sur- 
geons, but  one  of  the  great  travelers  of  the  present  day. 
He  had  visited  and  explored  nearly  every  country  in  the 
world.  His  writings,  and  especially  his  works  on  surgery, 
are  well-known  and  valued  by  every  surgeon,  and  especially 
by  every  surgical  teacher.  He  was  known  as  one  of  the 
conservative  men,  and  is  said  to  have  declined  more  major 
operations  than  any  other  well-known   surgeon  of  his  time. 


NEW  PUBLICATIONS. 

l^fORRIS'  HUMAN   ANATOMY.     A   Complete   Systematic  Treatise 
by  English  and  American  Anthors.     Edited  by  Henry   Morris,  M. 
A„  and  M.  B.  Lond,  F.  R.  C.   S.,    Eng.     President  of  the  Royal 
College  of  SnrgeojM  of  England ;  consulting  Surgeon  to   Middlesex 
Hospital,  London ;  Honorary  Member  of  the  Medical  Society  of  the 
County  of  New  York ;  Formerly  Chairman  of  the   Court   of  Exami- 
ners of  the  Royal  College  of  Surgeons ;  Examiner  in    Anatomy  in 
the  University  of  Durham,  and  Examiner  in   Surgery  in   the   Uni- 
versity of  London.     And  J.  Playfair  MoMurrick,  A.    M.,  Ph,    D., 
Professor  of  Anatomy  University  of  Michigan.  Member  Association 
of  American  Anatomists;  Member  of  Advisory  Board,    Wistar  In- 
stitute of  Anatomy,  Etc.     Ten  Hundred  and  Twenty-five   Illustra- 
tions, Three   Hundred   and  Nineteen  printed  in   Colors,     Fourth 
Edition,  Revised  and  Enlarged,  in  Five  Parts;  Each  Part  Sold  Sep- 
arately.    Part  I,  Morphogenesis,  Osteology,    Articulations,    Index. 
$1.50.    Part  II,  Muscles,  Organs  of  Circulation,  Including  Lymphat- 
ics, Index:  $2.00.      Part  m,  Nervous   System,    Organs  of  Special 
Sense;  Index:  $1.50.     Part  IV,  Organs  of  Digestion;  of  Voice  and 
Respiration,  Urinary  and  Reproductive  Organs,   Ductless   Glands, 
Skin  and  Mammary  Glands;    Index   $1.50.     Part  V,  Surgical  and 
Topographical  Anatomy,   Index:    $1.00.     This  Book  is   also   Pub- 
lished in  one  Handbook,  Octavo  Volume:   cloth,    $6.00;  Sheep  or 
.   Half  Morocco,  $7.00,  Net. 
Contributors  to  Fourth  Edition:     Henry  Morris,  F.   R.    C,  S. ,   London. 
R.  J.  Terry,  Washington  (^Diversity,  St.  Louis.     Peter  Tbompson, 
King's  College.  London.      Irving  Hardesty,   University   of  Califor- 
nia.    G.    Carl  Huber.   University   of   Michigan.     J.    Playfair   Mc- 
Murrick,  University  of  Michigan.     Abram  T.    Kerr,    Cornell   Uni- 
versity.    Charles  R.  Bardeen.  University  of   Wisconsin.     Florence 
E.  Sabin,  Johns  Hopkins  University.     R.    Marcus  Gunn,    F.  R.  C. 
S..  London.      W.  H.  A.  Jocobson,   F.  R.    C.    S.,  Guy's   Hospital, 
Ijondon.     Philadelphia;  P.   B I akis tone's  Son   &  Co.,    1015    Walnut 
Street.     1907. 

This  is  no  doubt  the  best  illustrated  work  on  Anatomy 
ever  published,  and  that  its  popularity  and  value  are  ap- 
preciated by  the  medical  profession  is  evinced  in  the  fact 
that  it  has  reached  its  fourth  edition.  Hitherto  Gray's 
Anatomy  has  deservedly  held  a  foremost  rank  among  med- 
ical students,  but  it  is  now  excelled  by  Morris  in  practically 
«very  department,  both  in  descriptive  work  and  in  illustra- 
tion. 


64  THE  MEDICAL  ADVANCE. 

This  is  the  first  attempt  to  issue  an  international  work 
on  Human  Anatomy,  the  authorship  being  divided  among^ 
some  of  the  best-  known  living  anatomists  both  in  Great 
Britain  and  America,  and  among  whom,  for  the  first  time, 
we  find  the  name  of  a  woman  physician.  Professor  Florence 
R.  Sabin,  of  Johns  Hopkins  University. 

There  is  another  important  innovation  in  this  work,  the 
book  being  issued  in  one  handsome  octavo  volume  and  also 
in  five  fasiculi,  thus  accommodating  specialists. 

In  Part  V.  we  have  surgical  and  topographical  anatomy; 
a  part  for  our  specialists  of  diseases  of  the  chest  and  di- 
gestion; for  diseases  of  the  nervous  system,  so  that  a  fasi- 
culus  small  in  size  but  comprehensive  in  text  and  descrip- 
tive matter  can  be  had  for  a  small  price,  and  the  volume  is 
convenient  for  the  office  table.  Each  fasiculus  contains  a 
comprehensive  index  and,  taking  all  in  all,  it  is  the  most 
complete  and  comprehensive  work  in  every  part  that  has 
ever  been  issued  by  the  press. 

THOMAS  SKINNER.  M.  D.  A  biographical  Sketch,  by  John  H. 
Clarke,  M.  B.,  C.  M.,  M.  D.  London  Homeopathic  Publishing. 
Co.,  12  Warwick  Lane,  E,  C.     1907. 

The  death  of  this  celebrated  Hahnemannian  marks  the 
close  of  an  epoch  in  British  Homeopathy.  So  far  as  vol- 
umes are  concerned,  his  writings  have  been  few;  his  chief 
work  being  done  in  the  quarterly  journal,  The  Organoii,  and 
his  small  volume  on  gynecology.  But  it  is  not  volumes 
alone  that  count.  The  size  of  the  book  has  very  little  to  do 
with  it;  its  contents  are  much  more  important,  both  in  the 
present  and  the  future. 

In  the  commencement  of  his  medical  career,  he  was  a 
veritable  Saul  of  Tarsus,  like  his  preceptor.  Sir  J.  Y.  Simp- 
son, two  of  the  most  bitter  opponents  of  Homeopathy  to  be 
found  in  Great  Britain  in  their  day.  But  when  confronted 
personally  with  an  incurable  sickness,  that  neither  he  nor 
his  colleagues  could  relieve,  he  accidentally  met  a  genuine 
homeopath,  Dr.  Berridge,  who  promptly  proceeded  to  cure 
him,  and  that  with  a  single  dose  of  dynamic  Sulphur.     And 


NEW   PUBLICATIONS.  66 

^^omes  in  one  of  the  chief  traits  of  this  great  man;  hon- 
of  conviction  and  a  readiness  to  pat  It  in  force.    He 

an  to  study  Homeoi)athy,  and  like  nearly  every  other 
professional  man,  who  has  ever  truly  investigated  it,  'be- 
came a  convert.  He  was  one  of  the  rare  converts  who  be- 
ing cured  with  the  potency  was  ready  and  willing  to  com- 
mence practice  on  the  same  plane;  the  single  remedy  and 
the  dynamic  dose  were  all-sufficient  for  him.  The  author 
says,  page  67,  ''He  had  a  genius  for  singling  out  the  most 
important  symptoms  from  the  prescribing  point  of  view. 
He  appreciated  to  the  full  the  value  of  keynotes  as  pointers, 
but  he  never  relied  on  them  apart  from  other  symptoms." 

His  **genius  for  singling  out  keynote  and  important 
symptoms"  was  the  same  kind  of  genius  that  Hahnemann 
displayed;  hard  study  of  the  basic  principles  of  theOrganon 
was  the  chief  thing.  Any  of  us  can  become  a  genius  if  we 
would  work  as  Skinner  worked;  and  along  the  same  lines; 
drop  our  pathology  when  a  prescription  is  to  be  made,  and 
follow  the  instructions  in  §  153  of  the  Organon.  Genius  is 
only  another  name  for  hard  work,  and  Skinner  had  it. 

This  is  a  splendid  tribute  to  one  of  the  greatest  dead  in 
English  Homeopathy,  by  one  of  the  greatest  of  living  Eng- 
lish homeopaths. 

WHAT  TO  DO  FOR  THE  STOMACH.  A  Careful  Arrangement  of 
the  Most  Important  Symptoms  in  Diseased  Conditions  of  the  Stom- 
ach and  the  Remedy  Indicated  in  the  Cnre  of  these  Symptoms. 
By  G.  E.  Dienat,  Ph.  D.,  M.  D..  Author  of  **  What  to  Do  for  the 
Head."  Pp.  202.  Cloth,  $1.00  net;  postage  5  cents.  Philadelphia 
and  Chicago;  Boericke  &  Tafel.     1907. 

This  work  is  another  of  the  author's  practical  compila- 
tions, taken  directly  from  the  repertory  and  materia  medica, 
'Which  is  arranged  so  that  many  of  the  prominent  conditions 
or  symptoms,  such  as  drawing,  gnawing,  lancinating,  pinch- 
Uig»  pressing,  scraping,  shooting,  soreness,  etc.,  are  given, 
with  the  indications  for  the  different  remedies  for  those  af- 
lections.  It  is  understood,  however,  and  this  is  emphasized 
by  the  author,  that  the  indications   for  the   single  remedy 


66  THE  MEDICAL  ADVANCE. 

given  should  be  carefully  compared  with  the  symptom  total- 
ity of  the  patient. 

For  instance:  "In  conditions  of  inflammation  six  leading 
remedies  are  given.  Each  remedy  has  its  own  particular 
catalogue  of  symptoms  which  no  other  remedy  will  cure. 
These  should  be  carefully  studied,  and  the  patient  and  rem- 
edy clearly  understood  before  the  two  are  brought  into  con- 
tact with  the  other." 

The  author  is  a  clear-cut  homeopathic  prescriber,  and 
this  little  work  is  an  effort  on  his  part  to  furnish  a  concise 
reference  work  for  the  office  table  that  his  colleagues  may 
be  as  much  benefited  as  he  has  been  by  the  study. 

HOW  TO  TAKE  THE  CASK  AND  TO  FIND  THE  SIMILIMUM  ' 
By  E.  B.  Nash,  M.  D.     Author  of  * 'Leaders  in  Homeopathic  The- 
rapeutics," ''Leaders  in  Typhoid  Fever,'*  '* Regional    Leaders,"  and 
''Leaders  in  the  Use  of  Sulphur."     55  pages.     Cloth,  50  cents  net. 
Postage  3  cents.     Philadelphia.     Boericke  &  Tafel.     1907. 

This  small  work,  a  pocket  reference  book  of  fifty-five 
pages  is  a  hint  in  the  right  direction.  Hahnemann  states  in 
the  Organon  that  'Vhen  a  case  is  once  properly  taken, when 
the  anamnesis  is  sarefully  recorded,  their  chief  work  is  com- 
pleted." Any  one  can  prescribe  for  a  case  that  is  well  tak- 
en, and  no  one  can  make  a  successful  prescription  of  a  case 
poorly  taken.     As  the  author  states: 

'*Often  times,  in  a  case  being  reported,  the  very  symp- 
toms that  are  most  important,  so  far  as  the  selection  of  the 
remedy  is  concerned,  are  left  out." 

Physicians  themselves,  professed  homeopathic  physi- 
cians, frequently  ask  the  question:  Doctor,  what  is  your 
favorite  remedy  for  neuralgia,  sick  headache,  rheumatism, 
tonsilitis,  dysmenorrhea,  etc.  i  The  homeopath  has  no  best 
remedy;  the  remedy  that  covers  the  totality  of  symptoms  of 
the  sick  patient  is  the  similimum,  and  of  course  the  best 
remedy  when  found,  but  the  Hahnemannian  never  has  **the 
best  remedy"  for  any  disease,  no  matter  what  the  name  may 
be. 

If  we  were  to  offer  any  criticism  on  this  little   work,  it 


NEW  PUBLICATIONS.  67, 

would  be  that  the  author  uses  the  terms  ''generals"  and 
"particulars"  in  the  illustrations  given,  which,  instead  of 
clearing  up  an  abstruse  problem,  only  makes  it  more  diffi- 
cult to  understand  for  a  great  many.  Also  we  would  sug- 
gest that  if  special  attention  be  paid  to  §  153  of  the  Organon 
less  symptoms  would  cover  the  case  just  as  completely 
as  those  in  the  illustrations,  where  twenty-seven  are  given; 
however,  this  work  will  help  a  great  many  home  opaths  to 
do  better  work  if  they  will  study  it  and  put  in  practice  the 
rules  here  given. 

THE  ELEMENTS  OF  HOMEOPATHIC  THEORY,  MATERIA 
MEDICA,  PRACTICE  AND  PHARMACY.  Compiled  and  Ar- 
ranged from  Homeopathic  Text-Bookd,  by  F.  A.  Boericke  and  E 
P.  Anshntz.  Second  Revised  Edition.  Pp.  218.  Cloth.  $1.00 
net.  Postage  5  cents.  Philadelphia  and  Chicago,  Boericke  & 
Tafel.     1907. 

The  popularity  of  this  small  hand-book  has  been  such 
that  a  second  edition  is  called  for  within  i  short  time.  It  is 
intended  for  physicians  of  other  schools  who  wish  to  obtain 
an  insight  into  what  Homeopathy  really  is.  There  is  a  brief 
sketch  of  Hahnemann  and  some  of  the  pioneers  of  Home- 
opathy; the  manner  of  its  discovery,  its  doses,  how  to  apply 
it  in  the  cure  of  the  sick  and  some  of  the  recent  works  on 
Homeopathy.  The  materia  medica  of  the  last  half  of  the 
book  will*be  found  very  helpful  to  the  beginner.  But  the 
therapeutic  part,  the  treatment  of  diseases  by  name  will  be 
found  disappointing.  The  potency,  from  the  tincture  to  the 
30th,  is  attached  to  nearly  every  remedy  without  apparently 
any  rhyme  or  reason. 

Here  is  an  unfortunate  illustration:  **Our  allopathic  and 
^lectic  friends  can  do  little  to  modify  or  curtail  an  attack  of 
'Whooping  cough,  and  they  have  persistently  taught  the 
people  to  believe  that  this  disease  is  incurable,  that  it  *'must 
run  its  course,"  and  here  is  the  reason  why,  under  homeo- 
pathic treatment,  as  here  laid  down,  that  it  probably  will 
*'riin  its  course:'' 

When  cough  runs   into  convulsions.    Cuprum  metalli- 

cum6. 


68  THE  MEDICAL  ADVANCE. 

*'Where  the  whoop  is  very  marked  and  clear,  Mephi- 
tis 6. 

**Severe  paroxysms,  changing  color  of  face,  Magnesia 
phosphorica  12x. 

"In  cases  not  marked  by  any  severe  symptoms,  Drosera 
rotundifolia  Ix. 

*'  'Minute  gun'  variety  or  smothering,  Coralium  rubrum 
12x. 

**With  tenacious,  stringy  mucus.  Coccus  cacti  3. 

''Rattling  of  mucus,  white  tongue,  Tartar  emetic  6. 

"To  prevent  the  spread  of  the  disease  give  Drosera  Ix: 
to  the  other  children,  or  to  those  liable  to  contract  the  dis- 
sease." 

As  a  prophylactic,  Drosera  Ix  will  most  certainly  lail,. 
unless  in  rare  cases,  where  it  is  the  genus  epidemicus.  This 
is  not  the  way  to  educate  an  allopathic  physician  or  indoc- 
trinate a  family  into  the  homeopathic  treatment  of  whoop- 
ing cough.  Besides  it  leads  the  beginner  to  believe  that  the 
potencies  here  given  are  the  only  ones  to  use. 

CONSlL\rPTlON  :  Its  Cause  and  Nature.  By  Rollin  R  Gregg,  M.  D  , 
to  which  is  added  the  Therapeutics  of  Tuberculous  Affections,  by 
H.  C.  Allen,  iM.  D.  Cloth.  479  pages.  $1.25 delivered  free  any- 
where.    Boericke  &  Tafel. 

This  very  handsome  book  was  published  in  the  year  lbH7. 
The  price  was  $3.00  per  copy.  After  Dr.  Gregg's  death  we 
took  charge  of  the  remaining  copies  and  will  now  close  them 
out  at  §1.25  each,  sent  post-paid  on  receipt  of  price  to  any 
part  of  the  world.  Dr.  Allen's  therupeutics  alone  are  worth 
far  more  than  the  price  asked.  For  homeopathic  therapeutics 
changeth  not  and  Dr..  Allen  is  a  pastmaster  in  them.  The 
first  179  pages  were  written  by  Dr.  Gregg;  the  remainder  of 
the  book  was  written  by  Dr.  Allen.  Dr.  Gregg  writes  of  the 
disease  and  Dr.  Allen  of  its  homeopathic  treatment.  The 
remedies  follow  each  other  in  alphabetical  order,  most  excel- 
lently put  and  this  is  succeeded  by  more  than  100  pages  of 
Repertory  where  every  symptom  of  consumption  may  be 
found  with  its  remedy.  You  cannot  work  miracles  with  this- 
book  but  it  will  immensely  aid  any  practitioner  in  his  treat^ 
ment  of  this  disease. — Jott'uigfi. 


The  Wedical  Advance 


Vol  XLVL  BATAVFA,  ILL.,  FEBRUARY,  1908.         No.  2. 

FOUR  EVERY  DAY  CASES. 

By  Lawrence  M.  Stanton,  M.  D.,  New  York. 
Case  I.  CoralUum  rubrum.  This  patient  had  had  an 
annoying  cough  for  a  week.  It  had  daily  grown  worse,  and 
when  I  first  saw  her  her  condition  was  really  distressing. 
The  cough  was  dry,  harassing,  very  constant,  and  on  lying 
down  at  any  time  incessant;  talking  so  increased  it  that  the 
patient  could  hardly  utter  a  word;  redness  of  the  face  on 
coughing. 

CoralUum  rubrum  10m  was  given  at  four  o'clock  p.  m. 
By  evening  the  patient  was  more  comfortable,  at  bed  time 
she  was  able  to  lie  down  with  but  slight  aggravation,  and  an 
excellent  night  followed.  The  case  required  no  further  treat- 
ment. 

This  was  the  '*minute-gun"  cough  of  CoralUum  and  lam 
grateful  to  him  who  thus  characterised  the  remedy. 

Case  II.  Kali  bichromicum.  I  give  this  case  entirely 
from  memory,  and  while  quite  sure  of  the  prompt  action  of 
the  remedy  I  cannot  present  many  details,  nor  report  the 
patient's  fuller  history,  if  there  was  one.  The  woman  had 
received  a  knock  on  the  leg  over  the  shin  bone  six  weeks  or 
more  ago,  shortly  after  which  art  ulcer  develo])ed  at  the 
place  injured.  It  had  been  under  local  treatment  without 
benefit. 

The  ulcer  was  oval  in  shape,  three  quarters  of  an  inch 
in  its  long  diameter,  its  circumference  elevated  above  the 
surrounding  skin  and  as  regular  in  outline  as  if  it  had  been 
cutout.  There  was  little  pain,  and  I  do  not  recall  anything 
characteristi?  of  it.  A  glance  at  the  sore  suggested  the  typ- 
ical Kali  bichrom.  ulcer.     This  remedy  given  in  cm.  potency 


70  THE  MEDICAL   ADVANCE. 

resulted  in  a  cure,  improvement  beginning  within  a  few 
days. 

Case  III.  Lycopodlion:  Caharea:  This  is  another 
simple  case  but  one  well  illustrating  the  brilliant  action  of 
homeopathic  remedies  in  high  potency. 

The  patient  had  been  under  treatment  a  number  of 
years  at  the  time  I  first  saw  her,  getting  worse  rather  than 
better.  The  case,  one  of  aggravated  intestinal  indigestion, 
presented  a  perfect  picture  of  Lycopodium.  The  symptoms 
were  those  in  the  materia  medica  word  for  word  and  I  will 
not  trouble  you  with  them.  Improvement  began  a  few  days 
after  the  first  dose  of  Lycopodium  8m,  and  in  two  or  three 
weeks  the  patient  was  practically  a  well  woman — with  one 
exception,  however,  and  herein  lies  the  special  interest  of 
the  case. 

Constipation  had  been  a  troublesome  factor  and  this  was 
not  materially  benefited  by  Lycopodium,  in  spite  of  its  rep- 
etition in  the  same  and  in  a  higher  potency.  Reviewing  the 
case  in  its  symptoms  resulted  in  no  indications  for  anything 
else,  but  studying  Lycopodium  in  its  relationship  to  other 
remedies  brought  to  mind  the  three  great  correlatives  Sul- 
phur, Calcarea  and  Lyco])odium. 

Hering  with  double  black  marks  compares  Calcarea  to 
Lycopodium  in  its  constipation  and,  while  to  follow  Lycopo- 
dium with  Calcarea  would  be  a  reversal  of  their  usual  se- 
quential order,  it  seemed  likely  that  Calcarea  was  the  next 
remedy  in  the  case.  This  proved  to  be  so  for  after  a  dose 
in  the  mm.  potency  regular  movements  of  the  bowels  were 
established  and  have  continued  now  many  months.  Once 
only  was  the  remedy  repeated. 

Sulphur,  Calcarea  and  Lycopodium  follow  each  other  as 
a  rule  in  this  order,  but  here  is  a  case  where  Calcarea  came 
beneficially  after  Lycopodium. 

But  why,  after  all,  do  these  remedies  stand  in  close  re- 
lationship to  each  other?  They  are  very  individual,  indeed 
in  many  respects  so  quite  the  opposite  of  each  other  that  it 
is  supposed  impossible  to  confound  them.  Yet  they  are 
wide  in  range  of  action,    rich   in   symptomatology,    and   in 


FOUR  EVERY   DAY   CASfiSv  7)l 

consequence  are  constantly  overlapping.  It  is  difficult, 
therefore,  to  know  whether  their  resemblance  or  their  dif- 
ference is  the  more  remarkable.  I  suppose  it  is  just  the 
shax-p  individuality  of  each  tempered  by  their  common  like- 
no?^^  that  constitutes  the  compatibility,  the  companionship 
b^t  \^een  them. 

Case  IV.     Otitis  media  acuta.     Petroleum.     This  patient 
bad  caught  a  bad  cold  which,  after   affecting   almost  every 
P^i't  of  her  organism,  had  settled  in  the  left  ear.    Symptoms 
^^ve  vague,  and  the  one  or  two  prescriptions  I  made  at  this 
^^nae  were  not  followed  by  marj^ed   improvement.     The   pa- 
tient decided  that  her  case  was  one   for   the   .specialist  and 
f^etoob  herself  to  him.     He  inflated  the   middle   ear   by  the 
^olitzer  method,  but  this  caused  much   pain,  and   so   aggra- 
vated   the   whole  .condition   that  she  did   not  continue   the 
^^^atment.     Again  I  took  up  the  case. 

There  were  no  signs  of  middle  ear  suppuration,  and  evi- 
^^ntly  the  inflammation  was  of  the  *'dry''  kind.  The  symp- 
'^ms  were:  Aching  pain  extending  from  the  throat  through 
^lie  eustachian  tube  into  the  middle  ear;  distressing  noises 
^^  ^reat  variety;  almost  total  deafness  of  the  affected  ear. 
"etroleum  3m  brought  great  relief  within  twenty-four  hours 
^^d  the  case,  with  another  marked  stride  under  the  cm.  po- 
tency later  on,  made  an  excellent  recovery. 

The  symptoms  that  most  decidedly  indicated   P(^troleum 

^^re  the  eustachian  pain  and  the  many   noises   in   the   ear. 

^^iding  Symptoms''  clinically  sums  it  up   thus:     Eustachi- 

^^  tubes  affected,  causing  whizzing,  roaring,    cracking  with 

vV^T^Xness  of  hearing. 

Since  making  a  closer  study  of  Petroleum   there   is    an- 
other feature  of  the  remedy  that  strikes  me  as  a   very   gen 
nine  indication  for  it  in  the  present  case,  and  this  is   its  lin- 
gering, long-lasting  character.     We  read  that  it  is   suited  to 
'long-lasting  diseases,"  to  ^'lingering  (gastric  and  intestinal) 
troubles;''    that    **long-lasting    complaints    follow     mental 
stafces,  fright,  vexation,  etc.''     Now  this  case  was   typically 
astheaic  from  the  beginning.     The  patient  had  a  severe  cold, 
V&tt  after  part  had  become  involved  and  then  it  finally  had 


72  THE  MEDICAL  ADVANCE. 

settled, in  the  middle  ear.  Here  it  had  dragj^ed  through  six 
weeks,  gradually  getting  worse  until  the  appropriate  home- 
opathic remedy  was  given.  I  think,  then,  it  is  not  going 
too  far  to  say  that  in  the  tendency  for  mildly  acute  or  sub- 
mcnte  complaints  to  verge  toward  the  chronic  we  have  a 
strong  indication  for  Petroleum. 

Gelsemium  strikingly  resembles  Petroleum  in  the  pres- 
ent case,  in  the  eustachian  pains,  the  noises  in  the  ear  and 
in  the  deafness.  Then,  too,  there  is  the  same  disposition 
for  the  Grelsemium  complaints  to  develop  leisurely  and  to 
run  a  sluggish  course.  I  confess  that  the  recognition  of  this 
resemblance  was  an  afterthought. 

But  nothing,  not  a  miracle  even,  could  have  worked 
jiuch  quicker  than  did  Petroleum,  so  I  think  there  is  little 
doubt  that  it  was  the  more  similar  of  the  two  remedies. 


DIET  FOR  BRAIN  WORKERS. 

By  J.  B.  S.  King.  M.  D.,  Chicago. 

It  has  been  found  by  careful  experimentation,  the  most 
recent  and  accurate  of  which  is  Atwater's,  that  severe  and 
continuous  mental  labor  causes  no  more  tissue  waste  than 
absolute  rest.  That  is  to  say,  the  most  accurate  instrument 
with  which  we  are  acquainted  is  unable  to  show  that  mental 
activity  affects  tissue  waste  any  more  than  absolute  rest. 
That  there  is  a  difference  is  certain;  whether  science  will 
ever  be  able  to  demonstrate  it  or  not  is  problematical.  Cho- 
lestrin  seems  to  be  increased  by  mental  work  and  is  elimin- 
ated by  the  bile,  but  the  metabolic  changes  involved  are  not 
such  as  a  respiration  calorimeter  is  capable  of  showing. 

Brain  workers  are  very  apt  to  be  sedentary  in  habit  and 
not  infrequently  such  work  is  accompanied  by  high  living 
and  late  hours.  Such  a  life,  namely,  plentiful  eating  and 
drinking,  with  bodily  indolence,  tense  nerves  and  worry,  is 
the  best  combination  for  bringing  on  an  early  breakdown,  as 
pointed  out  under  Bright's  disease. 

Tiiere  are  no  doubt  special  brain  foods,  or  foods  that 
especially  nourish  the  nervous  system,  but  as  yet  we  do  not 


DIET   FOR  BRAIN    WORKERS;  73 

Ahov  just  what  parts  of  food  they  are' from  the  standpoint  of 
exact  experimentation.  Under  these  circumstanties  we  must 
depend  upon  practical  experience. 

In  the  first  place,  the  brain  is  less  directly  dependent 
upon  food  than  any  other  organ.  It  is  a  general  rule  that 
the  higher  the  function  of  any  organ  the  less  it  suffers  from 
withdrawal  of  food,  hence,  the  brain  being  the  highest  organ 
in  the  body,  suffers  the  least  of  all.  It  is  a  matter  of  common 
observation  that  the  brain  works  better  under  a  light  diet 
and  best  of  all  under  abstinence  from  solid  food.  All  the 
tissues  yield  to  it  in  importance,  and  as  a  consequence  it 
draws  aliment  from  the  other  organs,  as  ministers  and  ser- 
vants, when  the  external  food  supply  is  deficient.  The  ideal 
diet,  therefore,  for  a  brain  worker  is  a  very  light  one,  of  a 
not  too  easily  digestible  character,  at  the  same  time  the  food 
should  have  sufficient  residue  to  prevent  constipation. 

Fine  white  bread  should  be  avoided,  and  the  coarser 
breads  selected.  Graham,  entire  wheat,  oatmeal  crackers, 
pumpernickel  (whole  rye),  C3rn  bread  and  Boston  brown 
bread  offer  sufficient  variety  to  select  from.  The  feces  from 
an  exclusive  diet  of  Graham  bread  outweigh  and  are  greater 
^  bulk  than  those  from  an  exclusive  diet  of  an  entire  wheat 
bread,  by  double,  and  from  the  feces  of  a  patent  flour  bread 
diet  by  a  quadruple  proportion.  This  bulkiness  of  intestinal 
<^^tents  takes  the  place  to  a  certain  extent  of  exercise  and 
tends  to  obviate  the  constipation  of  sedentary  pursuits. 
The  slight  waste  of  starchy  matter  found  in  the  bulky  stools 
^  of  no  great  importance.  The  objection  to  fine  white  bread 
^I'^o  extends  to  meat,  with  the  additional  disadvantage,  that 
^(^^  tvitrogenous  products  of  the  digestion  of  meat  encumber 
V\ie  internal  organs  more  than  vegetables. 

The  no- breakfast  plan  works  well  with  many  sedentery 
brain  workers.  During  the  morning  hours,  if  the  stomach  is 
empty,  the  mental  faculties  are  generally  alert  and  the  best 
work  can  be  done.  There  are  thousands  of  people  who  have 
no  appetite  for  breakfast  and  simply  eat  in  conformity  with 
aiong-establishedhabit.  T^hey  form  the  *'cup  of  coffee  and 
8iT[)il*'  brigade  so  numerous  in  the  United  States. 


74  THE  MEDICAL  ADVANCE. 

With  such  i)eople  there  is  a  certain  repugnance  to  solid 
food  in  the  early  morning.  If  such  people  will  make  a  trial 
of  the  no-breakfast  plan  they  will  probably  be  surprised  at 
the  improvement.  The  following  menu  will  serve  to  give 
an  idea  of  the  amount  and  kind  of  food  recommended  for 
mental  and  sedentary  occupations: 

Breakfast:     Either  none  or  a  cup  of  coffee. 

Tjunch:  One  or  two  caviar  sandwiches  made  with  coarse 
bread,  lettuce,  cucumbers  and  a  banana  with  cream;  chocolate 
or  tea,  as  preferred. 

Dinner:  Meat,  fish  or  eg<^s,  toast  and  butter,  spinach, 
tomatoes,  ic(^  cream  and  tea. 

During  continuous  mental  worlc,  without  exei-cise,  the 
total  food  for  a  day  n(*ed  not  woigh  ov(m-  10  ounces.  A 
rational  liver,  however,  would  tak(*  some  regular  nmscular 
outdoor  exercise,  and  his  mental  work  woukl  beall  thebetter 
for  it  and  mor(*  food  would  th(»n  be  needed. 


A    FHAGMKNTAKY  PHOVIN(i  OF  PAPAYA  MMJAKIS. 

By  W.  II.  Lkoxaki),  M.  D.  (dtK*eas(Hl),    Miuneapohs,  Minn. 

(As  near  as  I  can  learn  this  Pajvaya  vulgaris  is  the 
Carica  papaya,  or  West  Indian  Paw-paw,  from  which 
**Pap)iJ"   is    prt^pannl     \V.  E.  L.) 

Notes  (of  the  daily  proving,  transcribed  from  his  own 
hand  writing). 

Proving  of  Papaya  vulgaris  on  myself,  W.  H.  L.;  age 
54  ycvirs.  In  good  health  usually;  secn^tions  natural,  except 
scxinty  urine,  two  thirds  the  normal  amount:  bowels  inclined 
to  constipation,  yet  having  a  stool  ea;-h  day;  disturbed  sleep 
when  lying  on  left  side;  smoke  two  cigars  daily,  one  each, 
after  dinner  and  sui)pei-. 

Nov.  oO,  1HN(),  evening,  took  i\'  droi)sof  ()X  dilution  of  P. 

Dec.  1.  No  symptoms.  Took  r>  drops  at  7:i]0  a.  m. 
and  on  retiring  at  10  p.  m. 

Dec.  2.  No  syn)i)toms.  Took  ,">  dio;)s  at  12  noon  and  at 
10  p.  m. 

Dae.  «].  Repeat  dose  at  7:o0  a.  m.  and  12  noon.  Peel 
dull  on  rising,  dull  pain  in  head,  stretchy  (probably  owinj^to 


PROVING   OF   PAPAYA   VULGARIS.  /D 

weather,  for  I  have  this  feeling  frequently  in  this  cloudy 
weather). 

Costive  stool  in  morning,  loose  stool  at  night  (unusual) 

Dose  at  10:30  p.  m.  on  retiring.  Wake  in  the  night 
with  headache. 

Dec.  4.  Peel  dull  in  the  morning  on  rising,  headache 
gone. 

Dose  repeated  at  7:30  a.  m.,  1  p.  m.  and  10  p.  m. 
Loose  stool  this  morning.     No  other  symptoms. 

Dec.  o.  A  restless  night;  dull  on  rising,  dull  headache 
over  left  eye  extending  back  to  occiput;  eructations,  taste- 
less, especially  after  medicine;  head  feels  better  after  8  p.  m. ; 
appetite  as  usual,  good.     Took  no  medicine  to  day. 

Dec.  0.  7th  day.  *  Wake  up  with  headache  which  con- 
tinues till  1)  a.  m.,  passes  while  riding  to  visit  patients 
natural  stool  this  a.  m.     No  m?dicine  today. 

Dec.  7.  ><th  day.     No   head  iche,    though  up  part  of   the 

night;  some  nasal  catarrh;    hoarseness   after  4  p,  m.     Took 

'>  drops  at  bed  time.  Disposed  to  stool  but  refrain  till  morn- 
ing. 

Dec.  •^.  9th  day.  Had  vivid  dreams  through  the  night, 
^s  I  have  had  each  night  after  taking  the  medicine.  Notice 
^hat  the  urine  is  more  profuse  since  taking  P.  Very  hoarse 
throuj^h  the  day  (probably  from  a  cold),  pain  in  larynx; 
otherwise  feel  well  as   usual. 

Soreness  and  some  pain  in  molars  on  left  lower  mJlxilla 
(quite  unusual).     Took  five  drops  at  bedtime. 

Dec.  9.  10th  day.  Took  no  medicine.  Cold  a  little  loose; 
hoarseness  about  the  same,  but  no  pain  in  the  larynx;  natural 
stool;  urine  increased. 

DeL\  10.  11th  day.  No  medicine.  Itching  behind  right 
ear.  Stool  at  1  p.  m.,  also  loose  stool  in  evening;  urine  not 
so  profuse.  Dryness  of  the  throat  at  bed  time,  with  some 
cough'keeping  awake 'till  after  11. 

Dec.  11.  12th  day.  No  medicine.  Cold  and  hoarseness 
much  better. 

Dec.  12.  liMh  day.  Commenced  again  with  7)  drops  morn- 
%,  noon  and  bed  time.  No  symptoms  except  toothache,  not 
3s  severe  as  before      Costive  stool  in  evening. 


76  THE   MEDICAL   ADVANCE. 

Dec.  13.  14th  day.  Took  the  three  doses  as  yesterday. 
Loose  stool  morning.     No  other  symptoms. 

Dec.  14.  15th  day.  Took  four  doses  to-day.  Toothache  of 
left  molars,  as  before.  Itching  just  above  the  nons  veneris 
for  two  days,  an  itching,  irritable  wheal  like  a  nettle  rash; 
itching  on  different  parts  of  the  body. 

Dec.  15.  16th  day.  Took  three  doses  to-day.  Toothache 
continues. 

Dec.  16.  17th  day.  Took  four  doses  to-day.  More  itch- 
ing of  skin  over  different  parts  of  body. 

Dec.  17.  18th  day.  Dose  morning  and  evening.  Tooth- 
ache on  left  side.     Still  some  itching  of  skin. 

Dec.  18.  19th  day.  Took  no  medicine.  Stool  a.  m,, 
another  loose  one  p.  m.  More  wheals  over  pubes;  itching  of 
skin  continues. 

Dec.  19.  20th  day.  On  rising  in  the  morning  tension  in 
bladder,  with  desire  to  urinate  (unusual);  again  at  noon,  also 
in  the  evening.    Rheumatism  in  loft  shoulder.    No  medicine. 

Dec.  20.  21st  day.  Toothache  continues  much  of  the 
time.  Itching  of  right  ankle  on  going  to  bed,  this  the  third 
night.  Costive  stool  after  dinner  (midday.)  Rheumatism  of 
shoulder.     No  medicine. 

Dec.  21.  22nd  day.  Costive  stool  after  dinner.  Rheu- 
matism of  shoulder  continues,  not  as  severe.  Toothache 
after  meals.  •  No  medicine. 

Dec.  22.  23rd  day.  Costive.  Itching  behind  left  ear. 
No  medicine. 

Dec.  23.  24th  day.     Dentist  found  decay  in  acliing  tooth,  * 
the  treatment  of  which  mostly  relieved  the  pain.     Deltoid  of 
left  arm  still  painful,  but  better.     No  medicine. 

Dec.  29.  30th  day.  Still  much  itching  of  skin  in  different 
parts  of  the  body,  especially  behind  the  left  ear.  Soreness 
of  second  toe  of  left  foot,  as  if  corn  existed — there  has  been 
none  for  years;  symptom  present  since  last  record,  but  grow- 
ing less.  Not  as  much  urine  as  when  first  taking  P.,  no 
stool  to-day.     No  medicine. 

Dec.  30.  31st  day.  Took  4  doses  (5  drops)  of  6x  two 
hours   apart.     After  second   dose,    sensation  of  chilliness 


PROVING  OF  PAPAYA  VULGARIS.  77 

Easy  stool  at  noon — none  for  twenty-four  hours.    More  itAh 
ing  behind  left  ear.    Toothache  much  increased  in  filled  tooth. 
Fulness  of  head    in  evening?.    I   have   noticed  at  different 
times  after  taking  P.,  greater  activity,  can  read  or  study 
longer  without  being  tired. 

Dec.  31.  32nd  day.  Three  doses  to-day.  Pain  and 
swelling  on  ball  of  right  foot,  under  little  toe. 

Jan.  2, 1881,  34th  day.  After  taking  one  dose  (5  drops) 
of  Ix.  felt  a  pain  in  the  night  through  the  pubic  region, 
More  pain  in  right  foot  involving  ball  and  two  small  toes, 
with  burning  heat  (feel  have  not  been  exposed  to  cold.) 
More  itching  of  skin.     Take  5  drops  of  Ix  at  bed^time. 

Jan.  3.  35th  day.  Passed  a  wakeful  night,  first  sleep 
dreamy.  Took  5  drops  on  rising".  Before  breakfast  while 
reading,  fore-finger  of  each  hand  felt  cold  and  dead;  it  took 
some  time  to  get  the  blood  to  circulating  by  whipping  and 
wringing;  right  one  worse.  Evening,  after  four  doses  (5 
drops):  much  thirst,  desire .  cold  water  but  it  produces  so 
much  pain  in  decayed  (painful)  tooth  that  I  cannot  take  it. 
Two  stools  to-day. 

Jan.  4.  36th  day.  Have  slept  well,  rising  at  seven  a. 
m.,  (although  feel  like  sleeping  another  hour).  Dull  head- 
ache and  much  thirst.  Take  no  P.  to-day.  Evening — head- 
ache better;  still  some  thirst.  Itching  over  skin  continues, 
especially  at  wrists.    Urine  continues  more  profuse. 

Jan.  6.  38th  day.  Felt  pain  in  left  testicle  in  the  night; 
wakened  by  it  and  kept  awake  some  time — nothing  similar 
for  years;  when  it  occurred  after  taking  Podophyllum  200. 
Itching  behind  ears  continues;  no  eruption.  No  medicine 
since  Jan.  3rd. 

Jan.  13.  43rd  day.  Have  noticed  no  marked  symptoms 
in  this  interim,  except  some  itching  of  the  skin;  urine,  as 
formerly,  rather  scanty.  This  morning  an  eruption  over 
the  right  eyebrow  with  feeling  as  if  there  were  some  foreign 
substance  in  the  right  eye;  had  it  examined,  nothing  noted 
except  inflammation  of  the  lids;  the  worst  of  the  feeling 
passed  away  with  the  examination.  The  eyes  were  examined 
at  the  same  time  for  glasses;   marked  for  No.    14.,   which 


78  THE   MEDICAL  ADVANCE. 

proved  a  ^ood  fit;  I  had  worn  No.  11  for  one  year,  but   they 
were  g^etting  tiresome. 

Jan.  19.  40th  day.  Commenced  again  on  Ox.  taking  a 
dose  every  two  hours  through  the  day.  Eruption  on  right 
forehead  nearly  all  gone.  Urination  as  it  has  been  for 
months  past,  rather  scanty.  Have  noticed  more  itching  of 
skin,  especially  about  the  head.  No  appetite  for  supper; 
much  thirst  in  the  evening,  had  to  drink  water  which  I 
seldom  do. 

Feb.  'jr).  s7th  day.  Have  taken  no  P.  since  Jan  19th. 
The  eruption  over  the  right  eye  has  continu(»d  since  its  first 
appearanc(»  ( liJrd  day).  The  irritation  of  the  eyelids  also 
continued  so  that  I  have  been  unable  to  do  much  reading  or 
study  by  artificial  light  -my  rc^ason  for  stoppfng  the  proving. 
The  seal])  lias  itching,  but  less  dandruff  than  usual — whirh 
latter  I  have  besMi  much  troubled  with  for  years.  Stools 
hav(^  btM'ii  more  regular  and  loose.  Urine  continues  more 
fr(H\  A  sick  headache  returns  which  troubled  me  more  or 
less  ten  years  ago.  Have  taken  no  medication  whatever  to 
antidote^  or  relieve  symptoms.  TIk*  P.  has  evidently  awak- 
en(Hl  an  old  *'i)soric  taint",  causinl  by  tlu*  suppression  of  an 
itch  forty  years  ago. 

'My  fatlKU^  gradually  recovered  his  usual  vigorous 
health  ix^ti'v  this  experiment,  W.  E.  L.) 


ARK  WE  BECOMING  HOMEOPATHIC; 

Editor  Medical  World: —Even  in  discussing  a  common 
cold,  you  now  consider  th(*  opscmic  index.  I  am  glad  to  see 
this.  In  closing  th'e  senttmce  of  comments  in  the  Nov.  World 
you  say:  "More  prompt  and  thorough  elimination  will 
probabl  ;  i)revent  the  opsonic  index  from  dropping  so  low, 
and  fai^ilit.ite  its  restoration."  But  is  not  the  opsonic  index 
itself  the  only  indication  of  the  real  true  process  ol:  elimina- 
tion? I  cannot  conceive  but  that  a  '^calomel  elimination*' 
will  dei>ress  the  opsonic  index  to  the  extent  that  it  taxes  the 
vital  forces;  and  as  the  brother  points  out,  it  may  be  the 
means  of  rendering   soluble  mass(\s  containing   toxins,    and 


ARE  WE  BECOMING  HOMEOPATHIC?  79 

thus  throw  them  back   upon  the  real  eliminators  within  the 

tissues. 

Is  there,  then,  any  way  to  increase  the  opsonic  index* 
except  by  the  method  of  its  discoverers? 

Let  us  consider  the  manner  in  which  these  *'bacterins" 
increase  the  opsonins  in  the  blood.  In  the  active  immunity 
from  the  use  of  the  **killed"  or  ^'attenuated''  baeiUus  it  is 
explained  that  the  animal  cell  is  made  to  produce  its  own 
protective  substance  (opsonin).  In  the  passive  immunity,  as 
from  antitoxin,  the  protective  substance  is  previously  devel- 
oped in  the  animal  laboratory  of  the  horse.  In  either  case 
-the  production  depends  upon  the  vital  reaction  of  animal  life. 
Prof.  Goldscheider,  of  Berlin  says: 

The  nat.iirul  pio^obs  of  healinij^  does  exist:  th«*  ori^arr^^'ii  iiosst^-sBO 
forces  unl  proi-e-^^es  by  uu*iin>  of  which  it  r^•si.-^t'^  anil  niay  oveicoine 
diseM«;e.  KKperienc^  !iMrh»,'s  tli  tL  ir.  1-*  within  our  pi)A'e»' ti)  fo'-ci  up  )ri 
theor^aii>in  c*  iraLive  rea  -tions  of  which  it  is  not  of  itself  cap.ibV*  -v  sic- 
tioDr?  Ideulic.il  with,  oi*  iiii  iina!«'lv  rl.iud  I)  t..o  tutural  cntMtivo  rc.ic 
tions.  H  TIC ',  tho  ino^t  natui*a.l  th  raptnitics.  thcsf  iiio>t,  in  cojiforrnitv 
with  nature,  consist  in  ih  •  use  of  sp-cilic  is  ni. dies  in  the  s -n-ie  that, 
tri^.'se  ctTi-espond  to  th»*  sul)stinc's  pfiKlucMl  hy  the  naiutMl  heiliuj^ 
prfxvs^es,  er  that  t*^  ey  c.«nse  tte-  ])r-o(hiction  o;*  h'-i;^  ittMi-.l  ai'tioncf 
ihe^e  (lefcntive  >nbHiances  or*  ant.i-i)  uiies. 

Theobald  Smith,  of  Harvard,  says  that  tin*  old  concv^p- 
tiod  of  direct  curative  action  of  tuberculin  has  b(M»u  aban- 
doned, and  that  the  new  idea  is  its  "arousin*if  the  dt'f(Misive 
action  of  the  body."  He  says  that  cattle  are  in  a  fair  state 
of  equilibrium  a*?ainst  their  bacillus,  and  that  "tlun-e  is  need- 
ed but  a  relatively  slij^lit  impulse  at  the  ri<^ht  place  to  (\stab- 
lish  a  resistance  which  will  promptly  suppress  the  invaders." 
And  goes  on  to  say  that  the  same  is  true  in  sou'ic*  (h^^rec^  of 
the  normal  human  bein^. 

Now,  it  appears  that  each  j?erm  infection  contains  a 
something  capable  of  exciting  a  reaction,  or  of  inc  reasing 
the  natural  reaction  in  direct  opiH)sitioa  to  this  ])articular 
^erm.  The  production  of  opsonins  in  the  blood  is  only  one 
of  the  actions  of  that  resistive  force.  Trudeau  says:  ''Op- 
sinins,  after  all,  constitute  only  one  of  the  active  bo  lic^s  pro- 
duced in  immunity  reactions." 

And  then  are  there  not  actions  of  that  life    force  which 


80    .  THE  MEDICAL  ADVANCE. 

cannot  be  spoken  of  in  terms  of  material  **bodies"'or  **anti- 
bodies'' ? 

Now,  in'using  the  **killed  bacteria''  or  the  **living  attenu- 
ated bacillus"  (Th.  Smith)  we  eliminate  or  reduce  the  pri- 
mary "germ  action  or  ii^fection,  but  retain  that  power  to  ex- 
cite the  resistive  reaction  on  the  part  of  nature  to  a  degree 
of  which  nature  unaided,  or  prompted  only  by  the  primary 
infection  (the  active  germ),  is  incapable. 

And*  islit  not  equally  certain  that  every  drug  contains 
a  something,  or  is  in  itself  capable  of  exciting  a  vital  reaction 
in  direct  opposition  to  its  own  primary  action?  I  need  only 
mention  the  immunity  of  the  opiate  fiend  to  immense  doses 
of  that  drug,  and  the  well-known  necessity  to  graduallj^ 
increase  the  dose  of  any  drug  to  obtain  the  same  constant 
action.  But  this  is  not  the  immunity  of  health,  foritlmplies 
tlie  constant  forcing  of  the  primary  drug  action  upon  the 
fe^ystem. 

Is  there  no  way  by  which  we  may,  with  drugs  as  we  do 
with  germs,  eliminate  or  reduce  the  primary  action  and  still 
retain  and  use  the  power  to  excite  that  resistive  reaction  of 
nature? 

Is  it  not  reasonable  to  believe  that  the  attenuated  (po- 
tentized)  drug  may  act  the  same  as  the  *'attenuated  bacillus"? 

That  the  highly  attenuated  Rhus  toxicodendron  will  cure 
and  produce  immunity  to  poisoning  by  that  plant?  I  myself 
can  produce  the  evidence  of  several  scores  of  cases;  and  if 
the  history  of  contact  with  the  plant  is  not  clear,  but  the 
symptoms  are  closely  similar,  it  cures  just  as  promply. 

Just  recently  I  saw  a  babe  with  cough  and  rattling  of 
mucus,  slight  temperature.  It  did  not  cry,  would  not  nurse; 
just  in  a  serai-stupor  all  the  time;  pupils  contracted.  Now, 
lias  the  cough  syrup,  of  which  they  have  given  a  very  little, 
contained  unusual  quantities  of  opium.  Is  this  child  especi- 
ally susceptible  to  a  very  little  of  that  drug,  or  are  these 
symptoms  due  to  natural  causes?  I  don't  know.  But  what 
this  child  needs  now  is  an  increase  of  the  vital  resistive  re- 
action in  the  direction  of  Ooium  symptoms.  Nothing  in. 
heaven  or  earth  will  bring  it  about  so  surely,so  nicely, as  at- 


1 


ARE  WE   BECOMING  HOMEOPATHIC?  81 

tenuated  Opium.  I  know  not  whether  the  opsonic  index 
here  would  show  any  change;  whether  there  was  anything  for 
opsonins  to  do;  but  the  clinical  index,  which  even  many 
bacterin  therapeutics  still  claim  to  be  the  most  reliable, 
showed  prompt  improvement  after  the  Opium  was  given. 
What  does  Prof,  von  Behring  say  in  a  recent  pamphlet? 
Iq  spite  of  all  scientific  specalations  and  experiments  regarding 
small  pox  vaccination,  Jenner'tj  discovery  remained  a  stumbling  block  in 
medicine  till  the  bio  chepically  thinking  Pasteur  devoted  all  his 
medical  class  room  knowledge,  traced  the  origin  of  this  therapeu- 
tic block  to  a  principle  which  cannot  be  better  characteriz  d  than 
by  Hahnemann's  word,  hom«H)pa!hic.  Indeed,  what  else  causes  the 
epidfrnioloyical  immunity  in  sheep  vaccinated  against  anthrax  than 
the  iofiuence  previously  exerted  by  a  virus  similar  in  character  to 
the  fatal  anthardx  virus?  anl  by  what  technical  term  could  we  more  ap- 
propriately speak  of  this  influence  exerted  by  a  similar  virus  than  by 
Hahnemann's  word.  Homeoyathy?  He  also  speaks  of  having  deraon- 
s  rated  the  immunizing  action  of  ray  tetanus  antitoxin  in  infinitesimal 
dilution. 

Dr.  R.  C.  Cabot,  Dean  of  Harvard  says: 
The  use  of  tuberculin  i^  a  f  jr^n  of  vaccination  which  illustrates  better 
than  any  example  kno-vn  to  me  the  approval  of  homeopathic  principles 
within  our  school.     *    *    *    S  irely    this  is  a  case   of  similia  similibus 
<:urantur. 

The  use  of  bacterial  vaccine-  in  infectious  diseases  recently  produced 
by  Sir  A.  E.  Wright  is  distinctly  h  »raeopathic.  But  the  revival  of  tuber- 
culin therapy  within  the  pust  t^n  years  after  its  abondonment  in  1890 
illuatrales  the  victory  of  anoth^;r  hoineopithic  doctrine  within  our  school. 
I  mean  the  doctrine  of  th  t  oct;a<'i  ri  il  ur,ility  of  very  minute  doses.  No 
one  in  this  country  has  h  id  -o  m  ich  experience  with  tuberculosis  as 
Trudoau,  of  S  iranac  Lake.  *  *  *  vVn  it  dose  does  he  useV  Not  the 
10 mi,'.  Oiten  employed  in  th  •  earlv  nineties;  not  even  the  T  mg.  or  half 
m;?.  recotnrn Winded  lat'^ir,  b  it  h  L(i  is  every  non-febrile  case  with  one  ten 
ihoiLmmlfk  of  ft  m'j..  and  a  febrile  (;:ise  with  one  one  htunlrcd  thouH<tM(Uli 
'>f*imj.  What  fiKii  the  do-j  5?  P'-*3cis3ly  the  homeopathic  principle, 
Yiz.:  to  produc  J  a  d-ijfinit^  g^  » 1    tl  -en  vithjut  any  observable   ill  effect. 

Now,  here  we  have  the  best  re^^ular  indorsement, not  only 
of  similitt  similibus  curantur^  but  of  simile  simjtlex  miniinum. 
Even  the  most  radical  homeopath's  shibboleth:  "one  dose 
high  and  wait,'*  is  carrie  i  oat  to  the  letter,  after  experienc- 
ing the  same  '^negative  phase"  or  "a^^j^ravation''  which 
Hahnemann  described  a  hundred  years  ago. 


82  THE   MEDICAL   ADVANCE. 

Trudeau  says:  In  a  recent  pamphlet  put  out  by  the 
Mulford   Co.,  and  in  heavy  type: 

Care  sho  ikl  b  i  tak^n  never  to  inject  after  a  reaction  until  all  ofTects 
of  the  previous  reaction  have  disappeared 

And  further,  the  principle  of  the  resistive  reaction  of  the 
vital  force,  which  Hahnemann  so  plainly  set  forth  as  the 
foundation  stone  of  Homeopathy,  is  seen  to  be  the  basis  of 
the  bacterin  therapy. 

Verily  the  medical  schools  are  coming  together;  but  it  is 
not  being  accomplished  by  those  in  the  rear  of  each  process- 
ion: the  strong  drug-worshipping  regular,  and  his  * 'liberal 
homeopathic"  imitator;  but  it  is  the  advanced  guards  in  each 
school  who  are  finding  common  ground.  Such  men  as  von 
Behring,  Wrigh,  Houchard  and  Cabot,  who  have  the  courage 
of  their  convictions,  and  a  host  of  otliers  who  have  many  of 
them  renounced  faith  in  drugs  to  a  large  extent,  or  almost 
entirely,  and  are  finding  the  inostnatnnil  the  ra])ei/ tics  in  thof^e 
things  which  (troupe  tJte  (tpfcnsicr  redcfiou.  And  on  the  other 
hand,  those  truly  advanctnl  homeopaths  who  have  stuck  close 
to  the  basic  principle  of  the  vital  reaction,  and  who  have 
been  using  tuberculin,  psorin,  variolin,  diphtherin  and  such 
agents  since  years  before  the  fame  of  Koch  and  Pasteur. 
Our  literature  is  full  of  clinical'  cases  and  lectures  upon  Tu- 
berculinum,  Psorinum,  Medorrhinum,  Syphilinum,  Vario- 
linum,  Diphtherinum,  etc.,  with  careful  comparisons  with 
other  remedies,  for  there  are  often  other  elements  in  the 
vital  depression,  other  things  to  be  accomplished  than  that 
of  opsonizing  the  germ.  In  other  words,  the  bacterin  is 
not  always  the   similimum  in  every  phase  of  the  case. 

We  cheerfully  await  further  developments  in  this  line. 
It  is  to  be  hoped  that  the  method  of  producing  immunity  to 
small-pox  will  be  reformed  upon  the  basis  of  the  recent  use 
of  bacterins.  Let  us  have  the  genuine  variola  bacterin, 
**killed"  or  ''attenuated"  as  much  as  possible.  We  won't  ask 
you  to  use  at  once  the  very  highly  attenuated  remains  which 
we  use,  if  you  will  only  cease  to  afflict  the  innocent  with  the 
very  much  alive,  active,  and  dangerous  cow-pox  virus. 
Nobody  knows  what  it  is.  It  may  be  somewhat  similar^  but 
it  is  not  the  simUlmum.  Dr.  A.  W.  Vincent. 


A  RHUS  RADICANS  CASE.  83 

[This  is  a  very  skillful  defense  of  high  potency  Home- 
opathy, but  coming  down  to  the  very  ordinary  matter  of  a 
common  cold,  with  which  the  doctor  started  out,  we  wish  to 
say  that  we  have  concluded  that  the  old-fashioned  remedy, 
**a  good  dose  of  castor  oil,"  at  the  beginning  of  a  cold,  is  the 
very  best  treatment.  By  theorizing,  we  wander  far  from 
the  good  old  homely  truths,  and  when  we  get  back  to  them 
we  feel  that  we  are  on  solid  and  certain  ground  again.  Cas- 
tor oil  is  one  of  the  most  prompt  and  least  disturbing  elimi- 
nants.  It  may  raise  the  opsonic  index  by  ronov'uKj  ac- 
cumulated poison,  and  that  is  better  than  to  counteract  the 
poison  by  arousing  systemic  resistance.  An  astonishing 
statement.  Indeed,  resistive  force  is  increased  by  removing 
the  poison  that  pulls  down  that  force. — Medical  World.    Ed.] 


A  RHUS  RADICANS  CASE. 

By  W.  H.  Freeman,  M.  D.,  Brooklyn,  N.  Y. 

Dec.  30,  1907.  Mr.  L.  D.,  age  21.  Ailing  since  a  bad 
^old  contracted  five  weeks  ago. 

Pain  left  chest,  knife-like,  extending  to  the  right,  < 
^^Pu  coughing  and  in  the  day  time;  >  from  exertion  and 
^^^^  taking  a  deep  breath. 

•M^uscular  soreness  in  left  chest,  shoulder  and   down  left 
'  -^  while  exerc\smg. 
^     ^^y  tickling  cough  for  five  weeks,  <  on  changing  from 
in  ti  ^^^^  ^^^  ^^^  ^^  ^^^  ^^^  tim3,  >  from  hot   room  and 

.    '^^  open  air. 

'itux^rh  with  nasal  obstruction  for  several  years. 
l)Q     ^^^tipated   for   about   three  years;   inactivity   of  the 
^ath    ^^     ^^  inclination  or  stool   except   after   taking   some 
oj.  p  ^^J^o,  principally  Cascara,  Epsom  salts,  vegetable  pills(?) 
""^^a^ld  tea. 
'  r,?  .  ^^  three  times  a  day. 

^^IXs  from  hips  downward  today. 
^^^I>endical  pain  and  tenderness  for  three  years. 
^        ^^^e  reddish,  turbid,  strong  smelling,    burns  on  pass- 


84  TRE   MEDICAL   ADVANCE. 

Desire  for  and  relief  in  cold  open  air;  <  in  wet  weather, 
during  rest  and  when  unoccupied. 

Restlessness,  >  from  motion,  violent  exertion  and  on 
getting  warmed  up. 

Last  September,  had  eczema  (?)  lasting  six  weeks. 

Eruption  entire  head  and  face,  arms  and  hands;  moist, 
purulent,  scabby,  itching  and  burning.  Cured  after  about 
one  month's  treatment  with  lotions,  ointments,  etc. 

Rhus  poisoning  on  several  occasions  as  a  boy.  Never 
had  any  venereal  disease. 

Rhus  radicans  200  (B.  &  T.)  four  powders,  one  every  six 
hours  and  follow  with  placebo. 

Jan.  3,  1908.  Patient  says  he  felt  much  better  within 
twelve  hours.'  The  pains  were  quickly  >  and  the  bowels 
have  moved  daily  since  taking  the  medicine,  and  urine  more 
natural.  The  cough  is  about  the  same  but  does  not  bother 
him  greatly.  No  more  chills  and  cnly  slight  pain  occasion- 
ally in  region  of  appendix. 

Cases  like  this  with  a  mixture  of  chronic  and  acute 
symptoms  and  a  history  of  suppressed  eruptions,  Rhus  poi- 
soning, abuse  of  coffee  and  drugs* are  always  more  or  less 
confusing  and  difficult  to  prescribe  for.  Only  by  grouping 
the  symptoms  according  to  their  etiology  and  time  of  exist- 
ence can  we  arrive  at  a  proper  understanding  and  able  to 
select  the  right  remedy  with  which  to  begin  the  treatment. 

The  remedy  given  was  selected  because  of  its  similarity 
to  the  **generals"  of  the  patient  and  because  it  covered  his 
most  recent  and  most  troublesome  symptoms.  It  did  not 
seem  to  fit  the  cough  which  is  also  recent  (live  weeks)  but 
not  as  recent  or  troublesome  as  the  muscular  symptoms. 
The  cough  is  possibly  an  acute  extension  of  the  nasal  catarrh 
and  probably  deserved  to  be  considered  and  treated  as  a 
distinct  entity.  The  proper  thing  to  do  is  to  continue  the 
patient  on  placebo  as  long  as  he  improves,  and  if  necessary 
give  more  Rhus  for  return  of  Rlius  symptoms  or  another 
drug  for  the  cough  or  other  symptoms  remaining  later  oa 
that  are  not  removed  by  the  Rhus. 

The  morbid    influences    with    which    patients  become 


LACHESIS  VERIFICATION.  85 

loaded  up  can  only  be  unloaded  from  the  top  downward,  one 
layer  at  a  time,  that  is,  the  patient  must  get  well  or  be  cured 
in  the  reverse  order  to  that  in  which  he  became  sick. 

Whether  there  is  any  difference  between  Rhus  tox,  and 
Rhus  radicans  is  a  disputed  question.  In  his  article  on 
Rhus  radicans  (Medical  Advance,  p.  218,  1906),  Dr.  Allen 
claims  there  is  and  speaks  of  the  variety  radicans  or  climb- 
ing ivy  as  an  antipsoric,  and  a  valuable  remedy  after  sup- 
pressed eruption — which  is  one  reason  for  its  selection  in 
this  case.  Rhus  radicans  is  very  common  in  the  woods  of 
Long  Island,  and  there  is  much  of  it  near  where  the  patient 
has  lived  sinbe  childhood. 

LACHESIS  VERIFICATIO    . 

By  Dr.  R.  F.  Rabe,  New  York. 

Miss  E.  W.,  age  22  years.     As  a  child  had  scarlet  fever, 

pertussis,  measles.     Has  been  subject   to  bronchial   colds. 

^eut  to   school  at    four    years,    always    bright.     Stopped 

school  at  fifteen   and  went   to   business,   stenographer  and 

/  typewriter.     Began  to  feel  badly  in  June,   tired   and   run 

J  down.    Went  away  for  two  weeks  latter   part  of  July   and 

/  ^^^^  very  well;  then  went  back  to  work.     Was   reprimanded 

'  sharply  and  took  this  much  to  heart-     It  i)reyed  upon  her 

I  '^d;  she  cried   much   after  that  whenever   her  employer 

^^fretoher.     Lost  control  of  nerves   entirely.     Trembling 

ii2         ^i^en  came  on  beginning  in  the   stomacli   and   spread- 

^  body  and  limbs.     These  continue  now. 

^^J^ing  spells,  cries  as  though  her  heui  would  break. 

t^^tr  first  these  crying  spells  alternated    vith  laughing  at- 

^-         Globus  hystericus. 
^^a]i  ^^^^^^  feels  too  tight,  lump  in  throat  •  \    she  has  to 

^Q-      ^*"^"  restless,  cannot  sit  still  and  yet  )o  nervous  to 

^^"^tiing. 

^  ^^    Appetite  or  desire  for  food,  tremblin   . 
^^^^othering  sensation  at  stomach  exten  lin :;  to  throat, 
^^dness  of  feet  and  legs. 


86  THE  MEDICAL  ADVANCE. 

Dreams  of  death;  that  she  is  dead  or  that  some  one 
wants  to  kill  her. 

Fears  and  illusions  that  some  one  is  in  house  and  trying 
to  harm  her. 

Sinking  sensations  as  though  she  were  going  to  die. 

Peels  >  after  crying,  but  crying  is  difficult  and  preced 
ed  by  much  choking  and  smothering. 

General  <  of  nervousness  towards  evening  and  at 
night. 

Sleep  restless,  much  tossing. 

Dread  of  being  alone,  wants  family  about  her. 

Menses  every  28  days,  last  seven  days,  profuse  normal- 
ly so  for  last  six  months;  previously  scanty. 

Melancholy  preceding  menses,  wants  to  be  let  alone. 

During  and  after  menses  feels  >.  Preceding  menses 
tired  and  dragged. 

Pain  first  day  of  menses. 

Formerly  constipated  bowels,  now  normal,  since  Alum- 
ina 45m. 

Has  been  losing  flesh;  last  menses  during  first  week  in 
August. 

Is  thin,  tall,  timid  and  looks  delicate. 

Does  not  want  to  go  out  of  house.  Gave  up  work  four 
days  ago.  Grieves  on  this  account  because  she  is  sole  sup- 
port of  mother. 

Aug.  29,  1907.  Ignatia  400  (D.).  Placebo  every  four 
hours. 

Sept.  14,  1907.  Nervous  symptoms  <.  Feels  languid, 
<  mornings  in  bed.  General  soreness  all  over  body  as 
though  she  had  been  pounded.  This  has  come  on  since  she 
has  felt  >  of  the  nervousness.  Sharp  sticking  pains  in 
throat,  not  felt  when  swallowing  solids;  <  liquids  or  from 
empty  swallowing.  Collar  feels  tight,  neck  sensitive.  Throat 
congested  and  inflamed,  follicles  enlarged.  Since  nerv- 
ousness, hair  is  breaking  off  and  splitting.  Lachesia  200 
(D.),  Placebo  every  twelve  hours. 

Oct.  12.  Was  >  at  once.  Throat  now  sore,  <  right 
side,  feels  swollen  as  if  collar  were  too  tight.    No  pain  when 


LACHESIS  VERIFICATIONS.  87 

swallowing  solids,  severe  pain  on  empty  swallowing  and  al- 
most as  bad  when  swallowing  jB^uids.  No  pain  when  not 
swallowing.  Lachesis  10m  (Sk.)  Placebo  every  twelve 
hours. 

A  CANNABIS   SATTVA  CASE. 

B.  B,,  age  35,  male.  Sore  pain  abont  the  heart. 
Bruised  pain  in  sides  of  chest.  Dry,  hard  and  racking 
cough;  harts  head  and  racks  him  all  over,  <  soreness  about 
heart.  Slight  white  expectoration,  tinged  with  yellow^ 
rawness  in  chest.  Feels  as  though  much  mucus  were  int 
chest  but  it  cannot  be  raised.  Temp.  101.2  mornings;  102.4^ 
evenings.  Creeping  chilliness  at  night  in  bed,  <  motion  or 
moving  bed  covers.  Chilly;  can't  have  house  warm  enough^ 
yet  feels  >  in  open  air. 

Has  had  Bryonia  cm-,  one  dose,  without  >;  given   yes 
terday.     Cannabis  sat.  mm.  (Swan),  every  three  hours,three 
doses. 

Jan.  12.  Reports  immediate  >  after  taking  the  first 
dose. 

Temp,  normal  this  forenoon.  Cough  much  >;  looser 
and  does  not  rack. 

Soreness  about  heart  gone  entirely.     Chills  gone. 

This  patient  had  never  had  gonorrhea  either. 

For  symptoms  verified  see  Allen's  Encyclopoedia. 

AUKUM  MET. 

Mrs.  R.,  age  59.     Vertigo;  falls  to  left 

Head  feels  full. 

While  sitting  must  hold  head;  <  motion;  >  lying. 

Palling  to  left.  Anac.  Aur.,  Bell.,  Dros.,  Euphor, 
Mez.,Nat.  c,  Nux  m.,  Spig.,  Spong.,  Zinc. 

Motion  <;  Aur. 

Jan.  10,  1907.     Aurum  met.  53  m.  (P.) 

Jan,  27.  Was  promptly  >.  No  return  of  trouble  since.. 
No  syphilis  in  this  case. 


_j 


88  THE  MEDICAL  ADVANCE, 

TRANSACTIONS  CENTRAL  NEW  YORK  SOCIETY. 

Syracuse,  N.  Y.,  Vanderbilt  House, 
September  19,  1907. 

The  Central  New  York  Homeopathic  Medical  Society 
was  opened  by  the  President,  C.  E.  AUiaume,  of  Utica,  N.  Y.. 
at  2:30  P.  M. 

Members  present:  Drs.  Alliaume,  Bidwell,  PoUette, 
Fritz,  Grant,  Graham,  Hermance,  Johnson,  Keese,  Leggett. 

Visitors:    Lewis  C-  MerrelL 

Be.cause  of  the  lateness  of  the  hour  and  a  previous  ar- 
rangement with  -Mr.  Merrell  it  was  decided  that  the  first 
order  of  business  should  be  to  listen  to  his  report  upon 
some  of  his  experiments  and  successes  with  the  dry  milk 
products. 

Mr.  Merrell  was  intfroduced  as  the  grandson  of  the  late 
Dr.  Stephen  Seward,  than  whom  the  Central  Society  had  no 
more  staunch  supporter,  nor  the  Homeopathy  of  Hahnemann 
a  more  earnest  student. 

Mr.  Merrell  advanced  the  following  facts  upon 

SOME  NEW  DEVELOPMENTS  IN  THE   PREPARATION 

OF  WHEY. 

The  value  of  whey  for  infant  and  bedside  feeding  has 
long  been  recognized.  The  constituents  which  it  contains 
and  their  proportions  make  it  in  many  ways  an  ideal  food 
product. 

A  sample  of  fresh  whey  which  I  have  examined  is  of 
the  following  composition: 

Fat .02 

Proteid ., 89 

Milk  Sugar 4.67 

Ash .61 

Water 93.81 

There  is  only  about  six  per  cent  of  solids  and  it  is  evi- 
dent that  the  water  content  of  whey  is  so  great  as  to  require 
the  ingestion  of  a  large  amount  of  liquid  to  secure  complete 
nourishment  from  whey  alone. 


THE  PREPARATION  OF  WHEY.  89 

Upon  examining  the  solids  of  the  sample  given  above  I 
find  it  composed  as  follows: 

Fat 27 

Soluble  lact-albumen. 14.25 

Milk  Sugar 74.45 

Ash 9.80 

Tlie  ratio  between  the  proteids  and  the  carbohydrates 
is  about  one  to  five  and  one-quarter — very  much  higher  than 
inmost  food  materials.  The  proteids  consist  entirely  of 
soluble  lact-albumen  and  the  carbohydrates  consist  entirely 
of  milk  sugar  so  that  both  proteidi3  and  carbohydrates  are 
one  hundred  per  cent,  assimilable.  The  ash  is  the  normal 
ash  of  milk  which  is  as  we  know,  suitable  for  the  bones  and 
teeth  of  the  growing  child. 

Whey  is  evidently  a  very  valuable  food  material  but  too 
watery,  and  it  would  be  very  desirable  to  eliminate  a  part 
at  least  of  its  water  content  if  this  can  be  done  without  in- 
juring the  delicate  organic  materials  of  which  whey  is  com- 
posed. 

It  is  practically  impossible  to  procure  good  whey  from 
a  cheese  factory.  Anyone  who  has  seen  or  smelled  the 
whey  barrel  at  a  cheese  factory  will  admit  at  once  that  whey 
considered  as  a  waste  product  of  cheese-making  is  not  suit- 
able for,  let  us  say,  infant  feeding.  The  cheese- maker's 
process  is  operated  with  the  idea  of  producing  acidity  and 
the  growth  of  certain  forms  of  bacteria  which  are  useful  in 
ripening  the  cheese  curd.  The  milk  is  as  a  rule  handled 
less  carefully  than  that  used  for  domestic  consumption  or 
for  making  butter  or  condensed  milk,  for  the  cheese-maker 
can  add  a  culture  of  lactic  bateria  (commonly  called  **start- 
er")  and  induce  a  vigorous  growth  of  lactic  bacteria  which 
will  kill  off  any  other  germ  life  which  the  milk  may  contain. 

It  is  practically  impossible  to  manufacture  a  whey  of 
uniform  quality  in  the  household  for  the  reason  that  the  de- 
gree of  temperature  at  which  the  curd  is  produced  must  be 
accurately  determined  or  else  a  complete  separation  of  the 
curd  is  not  effected.  Particles  of  coagulated  curd  seriously 
impair  the  value  of  whey  as  a  food.     The  whey  must   also 


^0  THE  MEDICAL  ADVANCE. 

be  pastenrized  at  a  temperature  of  150  degrees  P.  to  render 
inactive  any  rennet  which  may  remain  in  it.  If,  how- 
ever, the  temperature  exceeds  155  a  considerable  por- 
tion of  the  albumen  is  rendered  insoluble.  Such  delicate 
adjustment  of  temperature  is  not  possible  with  the  thermom- 
eter found  in  the  average  househoid.  More  than  this,  whey 
deteriorates  so  rapidly  and  has  to  be  prepared  anew  so  fre- 
quently that  the  average  housewife  will  not  trouble  with  it 
even  if  she  has  the  necessary  skill. 

In  spite  of  the  many  advantages  which  whey  possesses, 
it  is  not  used  because  it  is  so  difficult  to  obtain  or  prepare. 
The  wider  use  of  whey  feeding  depends  upon  the  develop- 
ment of  the  process  by  mean^  of  which  whey  of  uniform 
comi>osition  may  be  prepared  in  the  laboratory  by  experts 
and  then  preserved  in  a  permanent  manner  without  loss  of 
quality. 

Such  a  process  has  been  devised,  and  a  preserved  whey 
IS  now  baing  produced  commercially.  If  it  retain  all  the 
beneficial  qualities  of  whey  it  will  mark  a  distinct  advance 
in  the  facilities  which  the  physician  at  present  enjoys  for 
the  modification  of  milk  and  cream  for  infant  feeding. 

Some  description  of  this  process  may  prove  of  interest. 
Sweet  whole  milk  selected  for  freshness  and  quality  is  sub- 
jected to  the  action  of  rennet.  The  whey  is  separated  from 
the  ,curd  as  expeditiously  as  possible  to  avoid  the  develop- 
ment of  acidity.  The  whty  is  then  pasteurized  just 
above  150^  P.  to  destroy  any  rennet  remaining  which 
might  otherwise  act  upon  milk  or  cream  with  which  the 
whey  might  subsequently  be  mixed.  The  whey  is  then  con- 
densed in  vacuo  at  a  temperature  below  135^  P.  to  about  one 
fourth  of  its  original  bulk.  The  concentrated  whey  is  then 
desiccated  by  projecting  it  in  the  form  of  a  fine  spray  into  a 
■current  of  hot,  dry  air.  The  liquid  particles  are  deprived  of 
their  moisture  immediately  and  fall  like  powdery  snow. 

The  efficiency  of  this  drying  is  best  understood  when  I 
say  that  I  have  produced  materials  containing,  less  than  half 
of  one  per  cent,  of  moisture,  Pive  per  cent,  is  the  least 
amount  .of  moisture  found  in  materials  dried   by   any   other 


THE  PREPAEATION  OP  WHEY.  91 

process  with  which  I  am  familiar,  and  ten  to  fourteen  per 
cent  is  not  uncommon.  The  keeping  quality  of  dried  organ- 
ic matter  depends  largely  oxl  its  moisture  content,  and  I  am 
in  a  position  to  say  that  materials  of  this  nature  do  not  keep 
well  if  the  moisture  content  runs  much  above  three  and  one 
half  per  cent. 

Chemical  change  is  inhibited  by  this  extreme  dryness, 
aad  I  can  say  from  personal  observation  that  such  powders 
(hermetically  sealed)  may  be  exposed  to  any  temperature 
below  the  point  of  combustion  without  injury.  Albumen 
dried  in  this  way  is  not  coagulated  by  a  temperature  of  212^ 
P.,  and  I  should  deduce  from  this  fact  that  the  presence  of 
water  in  certain  quantity  is  essential  to  coagulate  albumen 
by  heat. 

To  illustrate  the  delicacy  with  which  this  process  will 
remove  moisture  from  organic  matter  without  injury,  I  will 
say  that  I  have  dried  such  materials  as  yeast,  diastase,  pep- 
sin and  certain  forms  of  beneficial  bacteria  to  less  than  two 
per  cent,  moisture  content,  without  impairing  their  strength, 
preserving  them  for  two  years  or  more  hermetically  sealed, 
and  find  them  unimpaired  in  vitality  on  adding  water.  This 
extreme  dryness  can  therefore  be  produced  without  injuring 
the  most  delicate  organic  substances,  and  is  effective  in  pre- 
serving them  from  deterioration. 

Strange  to  say  the  current  of  drying  air  into  which  the 
sprayed  material  is  proiected  may  be  very  high  in  tempera- 
ture—say 300^  P. — without  injuring  the  solubility  or  life  of 
the  most  delicate  substances,  that  is  to  say  without  even 
producing  pasteurization.  This  at  first  glance  would  seem 
to  be  absurd.  I  will  describe  how  this  **air  boiling"  may  be 
done. 

In  the  first  place  let  me  say  that  I  have  selected  the 
term  **air  boiling"  to  distinguish  this  process  from  those  in 
which  the  liquid  is  boiled  by  contact  with  heated  metal. 
This  process  boils  or  evaporates  the  liquid  by  contact  with 
heated  air.  If  a  liquid  is  boiled  in  a  kettle  the  steam  has  no 
way  of  escape  except  upward  through  the  liquid.  Can  you 
imagine  what  would  happen  if  each  particle  of   vaporous 


92  THE  MEDICAL  ADVANCE. 

steam  were  greedily  absorbed  by  the  metal  of  the  kettle  as 
soon  as  formed? 

If  a  tiny  drop  of  liquid  is  suspended  in  heated  air  w^hat 
happens?  Evaporation  proceeds  on  all  sides  of  the  little 
sphere,  drawing  heat  from  the  center  of  the  particle.  On  ac- 
count of  its  spherical  form  the  particle  is  really  being  cooled 
by  the  rapid  evaporation  of  its  moisture.  Logically,  the 
hotter  the  air  current  the  more  rapid  the  evaporation  of  the 
moisture  and  the  greater  the  cooling  effect  on  the  remaining 
tiny  mass  of  solids. 

Of  course  the  air  current  itself  is  cooled  somewhat  by 
the  evaporation  in  which  it  takes  part  and  provided  the 
temperature  of  the  air  is  produced  below  the  point  of  com- 
bustion, no  harm  results  from  this  temporary  ordeal  in  the 
fiery  furnace,  and  a  state  of  dryness  is  produced  which  pro- 
tects and  preserves  the  tiny  particles  of  material. 

The  solids  of  fresh  whey  evaporated  by  this  process 
appear  under  the  microscope  as  amorphous  semi-transpa- 
rent quartz-like  masses.  The  powder  is  instantly  soluble  in 
water,  hot  or  cold,  and  nothing  settles  out  of  solution.  In 
fact,  upon  examination,  the  fluid  cannot  be  distinguished 
from  fresh  whey  chemically  or  microscopically. 

The  process  lends  itself  with  equal  facility  toward  pro- 
ducing powders  from  fresh  eggs,  milk  and  cream.  This  ^gg 
powder  is  at  present  being  used  in  place  of  fresh  eggs  to 
make  omelette  and  scrambled  eggs  for  officers  and  crew  on 
one  of  the  largest  United  States  warships.  The  powder 
made  from  whole  milk  has  been  used  for  some  time  by  one 
of  the  largest  Soldier's  Homes  in  the  United  States,  to  re- 
store with  water  and  serve  as  fresh  milk  for  drinking  pur- 
poses for  the  veterans,  and  the  oflicer  in  charge  prefers  it 
to  the  local  fresh  milk  supply  which  is  of  questionable 
origin. 

The  hew  whey  powder  is  a  very  much  more  desirable 
material  for  the  modification  of  milk  and  cream  than  milk 
sugar  or  cereals.  It  possesses  bone  forming  material  and 
lact-albumen,  neither  of  which  can  be  obtained  in  any  other 
form  so  desirable. 


THE  PREPARATION  OF  WHEY.  93 

It  is  well  known  that  fresh  whey  possesses  the  power 
ofproducmg  an  extremely  fine  coagulum  when  digested 
with  milk  or  cream.  Nothing  else  will  produce  equal  re- 
sults unless  perhaps  barley  water.  This  power  is  retained 
in  the  whey  i)Owder.  It  is  unnecessary  therefore  to  add 
lime  water  to  whey  modifications  as  is  customary  when  milk 
sugar  is  used.  There  is  plenty  of  lime  in  the  ash  of  the 
whey  for  the  needs  of  bones  and  teeth. 

It  has  been  suggested  to  me  that  a  large  proportion  of 
the  digestive  troubles  of  young  infants  are  caused  directly 
or  indirectly  by  difficult  or  deferred  cutting  of  the  teeth.  If 
this  should  prove  to  be  the  ceise  the  use  of  a  whey  powder 
containing  nearly  ten  per  cent,  of  ash  might  prove  of  great 
value.  There  certainly  is  no  longer  any  excuse  for  rickety 
children  when  such  material  is  easy  obtainable. 

Probably  the  best  method  of  preparing  whey  is  to  use  it 
with  water  in  modifying  cream.  The  cream  is  low  in  casein, 
sugar  and  ash  but  high  in  fat.  The  whey  is  low  in  fat  but 
high  in  ash,  sugar  and  albumen  which  the  cream  lacks. 
The  removal  of  water  from  the  whey  makes  the  arrange- 
ment of  percentages  comparatively  easy  and  the  number  of 
modifications  is  practically  infinite. 

As  an  example  of  what  can  be  done  in  the  way  of  cream 
modification,  I  submit  a  formula  for  a  child  four  months  of 
age: 

Two  and  one-half  oz.  20  per  cent  cream,  1  oz.  whey 
powder,  Hi  oz.  water: 

Pat 3.40 

Proteid 1.50 

Sugar 5.70 

Ash ....         .72 

Water .^....88.68 

It  is  interesting  to  note  the  high  ash,  which  it  is  ordin- 
arily impossible  to  obtain  in  combination  with  low  proteid. 
Compare  this  with  Richmond's  figures  on  the  composition  of 
cows*  milk: 

Pat 3.90 

Proteid 3.40 


94  THE  MEDICAL  ADVANCE. 

Sugar 4,75 

Ash .75 

Water 87.10 

The  modification  shows  about  the  same  fat.  percentage 
as  cows'  milk  and  the  same  percentage  of  ash  but  the  proteid 
is  reduced  to  less  than  half  while  the  sugar  is  increased  by 
a  fifth. 

If  instead  of  whey  powder  milk  sugar  were  used,  the 
formula  would  have  the  following  composition: 

Two  and  one-half  oz.  20  per  cent  cream,  1  oz.  milk  sugar. 
Hi  oz.  water. 

Pat 3.39 

Proteid .54 

Sugar.. 7.42 

'5^  Ash 09 

Water 88.56 

The  fat  is  approximately  the  same  as  in  the  whey- cream 
mixture.  The  proteid  is  reduced  to  half  of  one  per  cent. 
The  ash  is  only  ten  hundredths  sis  compared  with  seven- two 
hundredths  in  the  whey-cream  mixture.  The  deficiency  of 
bone. forming  material  in  the  milk  sugar  mixture  is  at  once 
apparent,  being  only  one  eighth  of  the  proper  amount. 

Soldner  deduces  the  following  composition  as  most 
probable  for  the  salts  existing  in  milk: 

Per  cent 

Sodium  chloride,. 10.62 

Potassium  chloride, 9.16 

Mono-potassium  phosphate, . .  12.77 
Di-potassium  phosphate, ......  9.22 

.  .  _  Potassium  citrate 5.47 

''^r^  Di-magnesium  phosphate.  .  • . .  3.71 

Magnesium  citrate, 4.05 

Di-calcium  phosphate, 7.42 

Tri-calcium  phosphate, 8.90 

Calcium  citrate, 23.55 

Lime  combined  with  proteids. .  5.13 


100.00 


THE  PREPARATION  OP  WHEY.  95 

Of  course  the  ash  of  whey  Is  slightly  different  from  the 
^ash  of  milk  for  some  of  the  phosphoric  acid  is  derived  from 
the  phosphorus  of  the  casein,  but  for  ordinary  purposes  the 
table  as  given  above  is  correct. 

According  to  Leads  the  ash  content  of  various  foods  is 
-as  follows: 

Robinson's  Prepared  Barley 1.93 

Ridge's  Pood 0.60 

Nestle'sPood 1.70 

Anglo  Swiss  Condensed  Milk.  .2.02 

Malted  Milk 3.13 

Mellin's  Pood 3.75 

Imperial  Granum 0.39 

It  will  be  readily  seen  that  none  of  these  materials  can 
<xnnpare  as  regards  mineral  constituents  with  the  nearly  10 
per  cent  of  ash  in  whey  powder. 

In  the  above  foods  the  ratio  between  the  proteids  and 
corbohydrates  is  as  follows: 

Robinson's  Prepared  Barley.  1  to.  16 

Ridge's  Pood 1  to    9 

Nestle's  Pood 1  to  15 

Anglo  Swiss  Condensed  Milk  1  to  7i 

Malted  Milk.... 1  to    5 

Mellin's  Pood 1  to    7 

Imperial  Granum 1  to  5i 

The  ratio  between  the  proteids  and  carbohydrates  in 
whey  powder  is  1  to  5i.  There  are  only  two  prepared  foods 
therefore  that  compare  with  it  at  all  in  food  value.  Of  these 
we  find  Malted  Milk  and  Imperial  Granum  of  the  following 
<XHnposition  as  compared  with  whey  powder. 

MALTED  MILK.       IMPERIAL  GRANUM.        WHEY  POWDER. 

Moisture..   ...  2.18  Moisture 8.38  Moisture  ' 1.20 

Pats 5.30  Pats 1.40  Pats .27 

Proteids 15.83  Proteids 14.13  Proteids 14.25 

<2Bu*ohydrates72.56  Carbohydrates77.91  Carbohydrates. 74. 45 

Ash 3.13  Ash .39  Ash 9.80 

Prom  this  table  it  will  be  seen  that  the  whey  powder  is 
^  better  food  for  adults  and  invalids  than  either  of  the  other 


96  THE  MEDICAL  ADVANCE. 

materials  given  in  the  table,  for  the  reason  that  ail  of  its^ 
proteid  is  soluble  lact  albumen,  and  all  of  its  carbohydratea 
is  soluble  milk  sugar.  The  amount  of  fat  in  either  of  the 
other  materials  is  less  than  half  of  1  per  cent,  when  dis- 
solved. This  is  about  as  close  as  a  centrifugal  separator 
will  skim  milk,  so  that  for  food  purposes  the  fat  content  of 
the  three  materials  is  so  small  that  it  should  be  disregarded. 

L.  C.  Merrell. 

Mr,  Merrill  was  willing  to  answer  all  inquiries  concern- 
ing the  process  and  results  of  treatment,  by  his  methods,  of 
the  various  products  exhibited,  not  the  least  interesting  of 
which  was  a  dry  powder  of  the  ripe  raspberry. 

Adjourned  for  luncheon. 

The  meeting  was  again  called  to  order  at  2:40  P.  M, 

The  minutes  of  the  June  meeting  were  approved  un- 
read. 

Dr.  Keese  read  sections  34  to  47  of  the  Organon,  and 
confessed  himself  unable  to  present  any  new  thoughts  upon 
so  vast  a  subject  through  his  short  experience  in  the  prac- 
tice of  Homeopathy. 

Dr.  Johnson  mentioned  a  case  of  diphtheria  occurring^ 
during  a  case  of  measles,  resulting  in  death  of  the  patient. 

Dr.  AUiaume  mentioned  a  peculiar  sequence  of  epidemic 
disease,  observed  in  Utica,  and  confirmed  as  prevalent  in 
other  cities,  i.  e.,  measles,  scarlet  fever,  and  finally  diph- 
theria. He  also  said  that  seven  cases  of  scarlatina  anginosa 
iQ  the  same  city,  treated  with  antitoxin  through  false  diag- 
nosis, had  died,  while  other  cases,  properly  treated,  had  re- 
covered. 

All  agreed  that  the  Klebs  Loefler  bacillus  was  not  sure- 
ly diagnostic  of  diphtheria. 

Dr.  Leggett  recalled  the  meeting  of  a  woman  who  had 
been  ivy  poisoned  and  recovered,  but  had  not  been  troubled 
with  a  chronic  rheumatism  since  the  attack  of  Rhus. 

A  patient  of  hers  had  told  her  of  a  chronic  sore  throat 
relieved  for  several  years  after  scarlet  fever. 

Another  patient  of  hers  having  an  epithelioma  upon  the 
right  lower  eyelid  had  an  attack  of  erysipelas  which  com- 


k 


A  PECULIAR  CASE.  97 

pletely  removed  the  epithelioma  for  some  time,  but  the  orig- 
inal condition  after  a  time  returned. 

Dr.  Fritz  had  personally  suffered  from  otitis  media  at 
ihe  age  of  seven,  which  no  specialist  of  several  benefitted, 
bat  which  yielded  to  an  attaek  of  small  pox  which  he  con- 
tracted  at  10  years  of  age. 

Dr.  Alliaume,  while  in  Mexico,  saw  many  cases  of  oph- 
tlialinia  as  result  of  small  pox,  and  many  blind  as  a  result 
of  small  pox  engrafted  upon  syphilis. 

A  PECULIAR  CASE.    TYPH0I1)(?) 

By  William  M.  Pollette,  M.  D.,  Seneca  Palls,  N.  Y. 

Mr.  H.,  19  years  of  age,  tall  and  thin,  sanguine  temper- 
ament, had  not  been  feeling  well  for  two  weeks.  On  May 
31st  at  midnight  had  a  severe  chill  lasting  several  hours, 
followed  in  a  short  time  by  a  temperature  of  104.  The  fol- 
lowing morning,  June  1st.,  temperature  104. 

Symptoms — Dull  pain  in  right  leg,  dull  pain  in  back  of 
head,  dull  pain  in  eyes,  dull  pain  in  middle  of  back,  gurgling 
in  right  illeo-cecal  region,  great  thirst  for  large  quantities 
of  cold  water,  no  desire  to  move,  keeps  perfectly  quiet,  pro- 
fase  perspiration  at  night,  sleeps  soundly  nights.  No  de- 
lirium.    Bryonia,  4x,  2m. 

The  above  symptoms  continued  until  June  8th;  had  a 
chilly  feeling  in  back  in  afternoon,  lasting  about  15  minutes. 

Symptoms  as  above  mentioned,  but  on  June  9th,  three 
in  the  afternoon,  felt  a  slight  chill  in  back. 

June  13,  10  a.  m.,  a  slight  chilly  feeling  in  back. 

June  16,  11  a.  m.,  a  slight  chilly  feeling  in  back. 

June  17,  symptoms  still  as  above  mentioned,  but  has  a 
pain  in  right  leg  and  in  knee,  and  a  slight  chill  in  back,  3:30 
p.  m. 

June  19,  pain  in  left  knee  has  disappeared,  but  great 
pain  in  left  arm  and  shoulder,  impossible  to  move  so  painful. 

June  26,  pain  in  arm  and  shoulder  (left).  All  above 
symptoms  have  disappeared  since  June  24th.,  but  still  has 
the  thirst,  great  and  profuse  night  sweats,  or  when  even 
falling  asleep;  chill  is  slight  at  3:30  p.  m.,  in  back. 


88  THE  MEDlCALr  ADVANCE. 

June  26  to  July  11,  fever  of  a  malarial  type;  monxing' 
temperature  normal,  evening  temperature  102  and  103;  great 
thirst;  profuse  night  sweats;  lies  i)erfectly  quiet,  don't  want 
to  move;  sleeps  soundly  during  the  night,  no  delirium.  Bry- 
onia 6,  three  hours. 

July  20,  complained  of  a  pain  in  region  of  appendix,  na 
bloating,  no  fever.  As  patient  had  been  convalescent  since 
July  11,  think  possibly  pain  due  to  over  feeding.  Gave 
Nux  6x.  During  the  night  passed  a  small  quantity  of  bloody 
urine.     China  6. 

July  21,  an  uncomfortable  night,  nausea  and  pain  in  re- 
gion of  appendix.  Think  I  can  detect  a  mass  of  fecal  mat- 
ter in  ascending  colon.     Temp,  normal.     Nux  200. 

July  22,  temp.  102  in  forenoon.  Symptoms  same,  does 
not  pass  gas. 

July  23,  temp.  103  in  forenoon.  Bowels  feel  sore.  Pa- 
tient nervous,  discouraged.  No  stool.  Feet  cold  and  clamr 
my.     Gave  high  enema  of  oil.     Nux  6. 

July  23,  temp.  103^.  Gave  high  oil  enema,  tablespoon- 
ful  of  olive  oil  per  orem. 

July  24,  morning  temp.  102.  Had  a  restless  night. 
Massage  abdomen  gently.  Complained  of  the  pain  and 
shortly  had  a  convulsion.  Slept  an  hour  in  the  afternoon. 
Passed  a  large  and  very  offensive  stool. 

July  25,  temp.  102  in  morning.  During  the  night  sev- 
eral large  and  offensive  stools,  and  one  during  the  morning. 

July  26,  temp,  normal.     Bowels  moved  natural  since. 

With  the  exception  of  China  for  a  few  days  during  the 
latter  part  of  the  patient's  illness  was  under  Bryonia  in  va- 
rious potencies,  3  to  200.  I  am  of  the  opinion,  as  expressed 
by  the  society,  that  the  remedy  was  not  the  true  similimum. 

There  was  something  in  the  case  that  I  failed  to  grasp — 
failed  to  observe,  or  was  it  faulty  examination,  for  I  realize 
that  if  the  true  remedy  had  been  given  several  weeks  of  suf- 
fering would  have  been  prevented. 

I  failed  to  mention  the  patient  was  constipated  all 
through  the  illness.     No  diarrhea. 

I  doubt  if  this  case  will  be  very  interesting,  except  for 
criticism.  You  can  commit  to  the  waste  basket,  or  if  you 
publish,  a  good  name  would  be  *'A  Successful  Blunder.'* 

William  M.  Follette,  M.  D. 


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100  THE   MEDICAL  ADVANCE, 

DISCUSSION. 

Dr.  Grant  considered  that  the  case  simply  recovered; 
that  the  medication  had  little  or  no  effect.  This  was  con- 
ceded by  all. 

Dr.  Johnson  had  had  a  similar  case  with  profuse  sweat 
in  sleep;  temp.  105,  without  variation  for  days,  as  a  result 
of 'concussion  of  the  spine. 

Dr.  Alliaume  thought  it  more  closely  resembled  a  case 
in  which  a  pus  pocket  and  adhesions  might  have  been 
found. 


AM  UNEXPECTED  PROVING  OF  COCA. 

By  S.  L.  Guild-Leggett,  M.  D.,  Syracuse. 

On  Thursday,  July  13th,  having  suffered  sometime  with 
a  cousciousness  of  the  heart,  intermittent  pulse,  breathless- 
ness  on  fatigue,  etc.,  I  asked  Dr.  Follette  to  examine  the 
conditions.  He  did  so.  I  told  him  my  objection  to  taking 
Lachesis,  which  had  been  suggested,  when  there  were  no 
leading  indications,  etc.  I  also  mentioned  a  case  of  tachy- 
cardia, with  no  discoverable  heart  lesion,  for  which  a  con- 
sultant had  prescribed  Lachesis  30,  which  very  quickly 
ended  the  patient's  life.  Afterwards  a  study  of  the  medi- 
cine. Coca  erythoxylon,  had  convinced  me  that  Coca  would 
have  relieved  the  tachycardia,  even  though  it  was  her  third 
attack.  She  was  not  under  my  observation  in  the  first  two 
attacks. 

After  discussion  Dr.  Follette  said  he  had  the  remedy  in 
2nd  centes.  potency  made  by  himself,  and  as  I  desired  to 
take  a  low  potency  to  >  the  condition  until  something  better 
was  found,  we  decided  upon  a  few  pellets  three  times  a  day, 
which  I  took  before  meals. 

I  had  felt  sharp  pain,  not  very  hard  nor  frequent,  short 
lasting,  at  the  apex  for  some  time. 

After  the  first  dose  of  Coca  2c  there  were  little  darting, 
shooting  pains  in  various  parts  of  left  chest  that  always 
seemed  connected  with  the  heart. 

After  second  dose  but  little  of  the  shooting  pain. 

Continued  the  Coca  with  gradual  improvement  until  the 


I 


AN  UNEXPECTED  PROVING  OF  COCA.  1^1 

sensations  were  much  >  and  I  had  once  counted  85  and  once 
121  between  intermissions,  and  then  stopped  the  medication, 

After  two  or  three  days  of  no  medicine,  on  July  25th,  I 
waked  and  found  some  interference  with  vision  which  soon 
resolved  itself  into  running  zig-zag  lines  of  light,  crossing 
the  entire  upper  third  of  right  eye  and  about  two- thirds  of 
the  left  eye,  flashing  between  myself  and  the  page  or  any- 
thing looked  at,  and  lasting  for  an  hour  or  more.  Headache 
accompanied  the  phenomenon,  especially  of  the  left  parietes, 
the  headache  lasting  most  of  the  day.  Am  unable  to  recall 
whether  Coca  had  been  taken  the  24th,  and  no  record  was 
made  further  than  to  note  the  relief  given.  The  eyes  were 
much  congested,  looking  and  feeling  like  an  attack  of  con- 
junctivitis,  which  soon  passed  away  leaving  a  swollen  sen- 
sation in  the  eyelids,  some  itching,  and  an  eczema  at  inner 
canthi  of  left  eye.  A  slight  agitation  of  the  heart  led  me  to 
take  a  dose,  it  may  be  two,  of  Coca  2c. 

July  26th.  There  had  been  a  gradual  increase  of  inter- 
mittance  through) the  day  of  the  25th,  so  took  three  doses  of 
Coca  2c  followed  by  an  increase  of  pains,  slight,  shooting, 
quickly  over,  at  various  points,  especially  the  apex;  pains 
seemed  <  by  respiration;  deep  breath;  were  irregular.  The 
intermission  was  frequent  and  irregular.  There  was  a  sense 
of  fulbess  in  left  chest,  sense  of  severe  fatigue  as  if  had 
held  the  breath  too  long;  sense  of  hypostasis;  there  was  a 
constant  eructation  of  tasteless,  odorless  gas,  often  involun- 
tary—the air  would  just  bubble  up  into  the  throat — at  times 
the  eructation  was  with  effort  for  relief. 

July  27th,  Took  trolley  to  Skaneateles  for  dinner,must 
walk  carefully,  carry  self  strictly,  some  motions  hurt  left 
chest.  The  symptoms  of  the  26th  were  more  pronounced; 
there  were  frequent  involuntary  sighs  with  a  moan;  exces- 
sive fatigue;  constant  realization  of  the  presence  of  a  heart. 

July  28th.  Fewer  pains,  some  sense  of  tumult  in  chest, 
some  intermission  <  after  exercise.  Recalled  the  fact  that 
on  the  26th  had  had  an  hour  or  so  of  coryza  of  the  left  nos- 
tril, sour  eructations.  I  soon  became  interested  and  jotted 
do^n  the  sensations.     I  should  hardly   call  the  sensation  a 


102  THE   MEDICAL  ADVANCE. 

palpitation,  it  was  rather  a  tumultuous  sensation  in  the  left 
chest,  which  when  I  gave  attention  and  put  finger  to  pulse, 
showed  frequent  irregular  intermission.  This,  in  lesser  de- 
gree, I  had  before  experienced. 

DISCUSSION. 

Dr.  Pollette  said  that  he  had  verified  the  proving  by 
comparing  with  the  original. 

Dr.  Alliaume  had  made  an  involuntary  proving  of  Coca 
once,  in  college,  when  it  was  recommended  by  a  professor 
for  his  cold.  He  continued  it  sometime  and  remembered 
distinctly  th^  **furiou8  vertigo"  from  which  he  suffered. 

Dr.  Keese  had  had  two  cases  of  severe  vertigo  brought 
about  by  drinkers  of  Cocoa. 


FERRUM  SULPHURICUM. 

By  S.  L.  Guild-Leggett,  M.  D.,  H.  M. 

C.  D.,  a  patient  of  many  years'  standing,  during  my  ab- 
sence from  the  city  in  19—,  suffered  an  attack  of  what  was 
at  the  time  pronovnced  Asiatic  Cholera,  and  which  was 
cured  by  the  homeopathic  similimum,  Secale. 

The  attack  followed  a  business  trip  to  Ithaca  during  the 
period  of  infection  of  that  city  and  the  epidemic  of  typhoid. 
He  made  inquiries  and  supposed  his  stay  of  two  weeks  was 
in  a  region  outside  of  the  infected  district,  but  found  after- 
ward that  he  was  mistaken.  Two  weeks  after  his  return 
home  he  was  taken  with  a  profuse  watery  diarrhea,  accom- 
panied by  coldness,  blueness,  cramps  in  the  calves,  and  ut- 
ter exhaustion.  An  attempt  to  >  the  symptoms  with  heat 
applied  was  agonizing,  and  he  suffocated  so  that  it  was  ne- 
cessary to  desist.  The  physician  in  charge  gave  Secale, 
and  he  slowly  recovered,  but  was  feeble  for  a  long  time. 
The  account  of  his  sickness  shows  that  he  was  very  near  to 
death's  door. 

Upon  a  visit  in  the  family  during  the  spring  of  1907,  his 
wife,  a  strong  homeopath  and  a  pretty  good  prescriber  her- 
self, said  to  me,  **is  it  not  a  shame  that  my  husband  must 
look  to  Allopathy  to  cure  him  of  these  attacks  of  diarrhea, 


FERRUM   SULPHTJRICUM.  103 

i^i^^h  from  the  slightest  error  of  diet,  completely  prostrate, 

^^rupt  his  work  and  frighten  me  terribly/' 

f^v    1  replied  that  * 'as  I  had  had  no  chance   to  prescribe  I 

Vfc?^  not  tell,  but  I  did  not  doubt  there  was  a  homeopathic 

i^edy  for  his  case  if  it  could  be  found,  and  if  I  were  given 

1         uV^  symptoms  I  would  make  the  search,  but  would  not  sug- 

}         gest." 

■  I  was  told  the  various  remedies  that  had  been  taken, 

prescribed  both  by  the  doctor  and  himself,  without  effect. 
He  came  into  the  room  and  reluctantly  gave  the  following 
symptoms,  saying  that  he  *'had  resolved  to  hereafter  depend 
upon  blackberry  cordial  which  relieved,  but  that  nothing 
prevented  the  recurrence  of  attacks  under  certain  circum- 
stances/' 

There  were  no  other  symptoms  than: 
•     Stools:   watery,  odorless,   profuse,   painless,   daytimes 
only,  with  rapid  exhaustion  and  emaciation. 

The  diarrhea  was  brought  on  by  eating  meat,  potato, 
chicken,  fresh  or  .shell  fish.  His  diet  was  confined  to  the 
simplest  foods,  toast,  cereals,  etc. 

A  study  of  the  various  medicines  having  the  several 
indications  mentioned  above  showed  me  that  Ferrum  sul. 
had  watery,  odorless,  painless  stools,  with  emaciation  and 
<iV€mon  to  meat. 

On  May  17th,  1907,  I  sent  him  a  graft,  he  knew  how  to 
prepare,  telling  him  to  take  a  dose,  and  to  repeat,  after  an 
attack. 

On  August  29th.,  he  reported,  no  further  attacks.  In 
*^^  meantime  I  had  prescribed  Nux  cm.  (H.  S.)  for  a  severe 
bronchial  cold,  which,  at  the  time,  I  had  feared  might  inter- 
|.upt  the  action  of  Perrum  sul.  but  which  seemed  not  to  have 
done  so.* 

DISCUSSION. 

Dr.  AUiaume  thought  all  had  to  fight  the  tendency  to 
group  remedies  to  the  name  of  a  disease,  and  called  atten- 
tion to  the  infinitely  better  way  to  search  for  indications. 

*Have  since   been  told  that  the  patient  now  can  eat  everything  but 
Iruil  and  is  better  than  for  years.     H  j  had  but  three  doses  of  Ferrumsul 


104  THE  MEDICAL  ADVANCE. 

A  STUDY  OF  LTCOPODIUM. 

By  Walter  W.  Johnson  M.  D.,  Rochester. 

No  drug  in  the  homeopathic  pharmacopea  so  well  illus- 
trates the  biblical  figure  of  the  stone  rejected  by  the  builders 
becoming  the  corner  stone  of  the  temple,  as  Lycopodium. 
For  while  it  may  not  be  the  corner  stone  remedy,  it  is  at 
least  so  useful  that  a  homeopath  would  be  at  his  wits  ends  to 
tind  a  substitute. 

By  the  genius  of  Samuel  Hahnemann  it  was  elevated 
from  the  **damp  bottoms"  of  arising  generation  to  an  import- 
ant place  in  the  homeopathic  materia  medica. 

Lycopodium  is  the  spores  of  the  club  moss.  If  you 
examine  this  moss  you  will  find  the  spores  like  an  impalpable 
dust  clinging  to  the  under  side  of  the  leaves.  The  spores 
are  spherical  and  hollow,  the  envelope  composed  of  a  dense, 
tough,  fibrous  tissue,  and  the  interior  is  filled  with  a  volatile 
oil  which  has  a  peculiar  odor,  and  which  is  irritating  to  the 
skin  wherever  broken. 

It  was  the  poisonous  effect  of  the  Lycopodium  when  used 
as  a  dusting  powder  in  certain  isolated  cases  that  attracted 
Hahnemann's  attention,  and  caused  him  to  prepare  and  prove 
it.  The  proving  was  very  thorough,  and  was  made  by  Hahn- 
emann and  seven  or  eight  of  his  followers,  and  has  since 
been  verified  and  amplified  by  a  number  of  others. 

Lycopodium  is  mainly  indicated  in  those  persons  whose 
mental  development  is  greater  than  the  muscular.  This  is 
particularly  noticeable  in  children. 

The  main  predisposition  is  to  liver  and  lung  troubles 
In  the  liver  troubles  the  whole  digestive  tract  is  disturbed. 
The  tongue  is  coated,  there  is  a  sour  or  putrid  taste  in  the 
morning.  There  is  also  canine  hunger,  but  a  few  mouthf uls 
fills  him  up.  This  symptom  in  the  Lycopodium  patient  is 
not  caused  by  the  fermentation  of  food  in  the  stomach,  but 
is  frequently  caused  by  the  unconscious  swallowing  of  air 
with  the  food.  It  will  be  noticed  that  the  fullness  immedi- 
ate/?/follows  the  eating,  while  in  Nux  it  takes  place  some 
hours  after.     This  is  one  of  the  keynotes  of  Lycopodium. 


LYCOPOCIUM.  105 

There  is  discomfort  to  any  pressure  of  clothing  about 
*^^^  ^^aist  at  this  time,  differing  from  Lachesis,  which  has 
^"^  discomfort  all  the  time.  The  Lycopodium  flatulence 
^^^<is  upward. 

There  is  a  great  deal  of  fermentation  in  the  bowel  with 

'^^harge  of  great  quantities  of  flatus  which  may  be  accom- 

^^^ied  by  diarrhea,  but  the  general  condition  of  the  Lyco- 

^iucQ  case  is  constipated  with  the  sensation  as  though  a 

^t  quantity  remained  in  the  rectum. 
I     The  varices  of  Lycopodium  are  large  in  the  rectum, 
*%vv\;  the  genitals  and  varicose  veins  of  the  legs,  especially 
tVe  right. 

In  the  throat  we  have  a  diphtheria  beginning  on  the 
right  side  and  spreading  to  the  left.  The  nose  also  is  al- 
ways affected  in  diphtheria  so  that  breathing  is  difficult. 
There  is  constant  desire  to  swallow  almost  like  a  spasm  with 
sticking  pains,  >  by  warm  drinks, 

Do  not  forget  Lycopodium  in  the  red  sand  in  .the  urine 
symptom;  children  wake  up  crying  and  this  red  sand  ap- 
pears in  the  urine.  Lycopodium  clears  up  such  cases  at 
once. 

In  the  proving  it  has  seemed  not  to  have  had  much   in- 
fluence on  the  blood,  but  in  its  clinical  uses  it  works   won 
ders.    In  typhoid  conditions  it  is  phenomenal,    and  is   most 
likely  to  be  indicated  late  in  the  case.     In  various  livpr  dis- 
turbances it  has  a  wonderful  sphere. 

A  case  illustrative  of  the  latter  condition  was  relieved 
entirely.  It  was  a  woman,  large,  strong,  jaundiced,  who 
had  been  from  one  specialist  to  another,  and  all  advised  an 
operation,  probably  expecting  gall  stones.  She  came  to  me, 
the  symptoms  indicated  Lycopodium.  She  may  have  re 
ceived  six  or  seven  doses,  when  she  was  apparently  cured. 
Seven  or  eight  years  later  she  died  of  cancer,  but  not  under 
my  care. 

DISCUSSION. 

Dr.  Alliaume  mentions  the  record  of  Hering  which 
states  that  Lycopodium  should  not  be  used  in  the  beginning 
of  treatment  in  chronic  disease;  he  questioned  the   correct* 


106  THE  MEDICAL   ADVANCE. 

aess  of  that  view.  [Unless  undoubtedly  indicated  the  treat- 
ment of  chronic  diseases  sholild  not  be  commenced  with 
Lycopodium;  it  is  better  to  give  first  another  antipsoric  rem- 
edy.— Herhuf.  This  observation  of  Hering  has  been  so  often 
clinically  verified — twice  in  this  report — that  it  will  stand 
i'he  test  of  time.  If  undoubtedly  indicated  no  other  should  be 
J^hought  of.     Ed.] 

Dr.  Grant  believed  that  Lycopodium  was  prominently 
useful  in  the  later  stages  of  chronic  disease,  and  less  often 
in  the  earlier  stages,  but  he  believed  most  thoroughly  in 
using  Lycopodium  whenever  it  was  indicated,  be  it  first  or 
last.  He  verified  the  symptoms  of  Lycopodium  in  two  re- 
markable cases  which  had  been  placed  before  the  profes- 
sion, one  through  the  I.  H.  A.,  and  the  other  through  the 
State  Society. 


LYCOPODIUM  IN  TUMOR.     (Maliguant?) 

:    By  Wm.  M.  Follette,  M.  D. 

Jan.  1,  1906.  Mrs.  F.  M.  B.,  about  70.  Tall,  large 
bones,  grey  eyes,  brown  hair. 

Family  history:  Father  died  of  consumption.  Mother* 
died  of  consumption.  Sisters;  three,  died  of  consumption. 
Brothers,  one  died  of  consumption;  one  of  some  brain 
trouble;  one  of  peritonitis. 

Personal:  Never  has  been  in  good  health.  Had  typhoid 
fever  35  years  ago.  Erysipelas  of  face  affected  eye  sight. 
Good  deal  of  muscular  rheumatism. 

Present:  One  year  ago  had  a  growth  removed  from 
ramus  of  jaw,  left  side,  larger  than  a  goose  egg.  Operation 
done  at  St.  Mary's  Hospital,  Rochester.  Said  by  patholo- 
gist to  be  sarcoma.  Consults  me  in  regard  to  three  tumors 
in  axilla  of  left  arm.  Over  each  tumor  skin  is  red  and  ad- 
heres to  the  growth.  Pain  of  an  itching,  stinging,  like  a 
bee  sting.  Has  to  hold  arm  away  from  side  as  tumor  is 
painful  to  pressure. 

Stomach:   Sickness,  nausea  at  all  times. 


LYCOPODIUM     N   TUMOR.  107 

Bowels:  Irregular;  desire  for  stool,  often  during  the 
day. 

Appetite:   None,  considerable  thirst.     Has  a  gone  sen- 
sation at  pit  of  stomach  mornings. 
Head:   Aches,  vertex  nights. 
Vertigo:   When  lying  down  and  on  rising. 
Limbs:    Dull,  heavy  ache  which  comes  and  goes. 
General:   Every   other  day  <  in  the   afternoon.     Sul- 
phur 200,  one  dose. 

Jan.  16.  Feels  better  generally,  but  am  very  sore.  Sul- 
phur "200,  one  dose. 

Jan.  27,  Thinks  she  feels  a  good  deal  >.  Pain  under 
arm  less.     Placebo. 

Feb.  17th.  Is  better  in  ever3^  way.  Tumor  under  arm 
growing  smaller.  Feels  cold  every  p.  m.  about  4  o'clock, 
lasts-two  or  three  hours. 

Vertigo  on  rising  in  the  morning,  also  first  lying  down 
at  night.  ^ 

Headache  on  vertex,  dull  and  heavy  at  night.  Lycopo- 
dium  1  m,  one  dose. 

March  13th.  Much  better  in  every  way.  Tumors  under 
arm  about  gone.  Complains  of  gas  in  abdomen.  Heart  pal- 
pitates in  afternoon.     Lycopodium  cm.,  one  dose. 

April  12th.     Bloats  in  stomach  as   soon  as  she   takes  a 

mouthful  of  food;  full  feeling.     Has  a  sore  spot  below  heart. 

Dull,  heavy  feeling  in  occiput.     Lycopodium  cm.,  one  dose. 

May  26th.     Better    in    every    way.     Gas    very    little. 

Slight  headache  on  vertex,  night.     Placebo. 

At  the  present  time  this  patient  is  in  good  health. 

DISCUSSION. 

Dr.  Follette  had  questioned  the  malignancy  of  tumor. 
Dr.  Johnson   believes  the   condition  of   Dr,    Follette's 
patient  to  have  been  malignant. 


108  THE   MEDICAL   ADVANCE. 

LYCOPODIUM  IN  RECURRENT  APPENDICITIS. 

By  S.  L.  Guild-Leggett,  M.  D..  Syracuse. 

April  24,  1905,  H.  K.  P.,  39  years,  single,  a  farmer,  dark 
skin,  eyes  and  hair,  recbmmended  by  his  cousin,  came  to  me 
with  the  following  conditions  and  symptoms. 

Three  years  previously  had  suffered  an  attack  of  appen- 
dicitis. The  attack  occurred  ^during  his  year  of  school 
teaching,  and  followed  a  walk  of  two  miles  in  a  heavy  snow 
the  week  previous.  He  was  in  bed  ten  days,  and  out  of 
school  a  month.  He  thought  the  attack  attributable  to 
strain. 

He  had  been  constipated  his  entire  life,  taking  cathartics 
of  various  kinds.  He  had  had  two  attacks  of  grippe,  suc- 
cessive years,  lasting  three  weeks  each.  An  attack  of 
measles  at  twenty-one,  was  very  severe,  but  without^equelle. 

Since  first  attack  of  appendicitis  he  had  had  frequent 
threatenings  of  return,  and  was  told  by  both  physicians  and 
surgeons  that  there  was  no  help  except  through  operation. 
He  had  discussed  the  question  with  several,  and  all  had  pro- 
nounced it  recurrent  appendicitis,  and  had  given  the  same 
prognosis. 

Since  first  attack,  constant  soreness  in  region  of  cecum, 
weakness  of  abdomen,  much  <  after  catharsis.  This  sore- 
ness was  worse  from  over  exertion,  and  would  sometimes 
increase  without  cause. 

Abdominal  and  sacral  pains  were  <  from  lying,  and  his 
sleep  was  best  on  the  right  side. 

The  stomach,  always  weak,  was  tender  to  pressure,  eat- 
ing was  followed  by  relief  for  an  hour,  and  if  he  had  eaten  a 
food  causing  distress,  it  would  come  after  that  time.  The 
distress  was  described  as  a  weakness  and  faintness.  The 
foods  disagreeing  were,  sweets,  fat,  soups,  bread  and  milk, 
any  liquid  food,  cabbage,  turnip.  The  foods  that  agreed 
were  dry;  eggs,  potatoes,  meat,  cereal,  sweet  apples,  etc. 
The  latter  somewhat  >  constipation.  He  ate  well,  with 
appetite,  but  food  gave  no  strength.  Drank  at  least  two 
quarts  of  water,  no  tea  or  coffee. 


LYCOPODIUM  ,  TN   RECURRENT  APPENDICITIS.  109 

Flatulence,  abdominal,  considerable,  with  distension,  < 
at  night,  gas  not  passed  freely.  Urine,  two  quarts,  varying 
in  color,  rose  once  or  twice  in  the  night. 

Mornings;  after  one-half  hour  began  to  feel  weak,  tired, 
unrefreshing,  <  by  breakfast. 

Afternoons;  after  some  hours  of  work  strength  increased, 
could  work  mora  and  battar,  was  >  by  exercise,  if  was  care- 
ful not  to  do  too  much. 

Since  appendicitis  he  had  been  cold,  rarely  too  warm,  in 
^un,  or  hot  weather,  and  had  cold,  moist  hands  and  feet. 

The  constipation  almost  seemed  to  him,  **to  be  rectal", 
there  was  no  expulsive  power  for  stool  which  was  hard  and 
dry.    . 

The  abdomen  and  self  were  both  <  if  a  day  passed  with- 
out stool,  but  if  two  or  three  days  passed  without  stool  he 
was  sick  all  over.     He  was  better  in  the  open  air. 

The  >  from  continued  motion;  lying  on  painful  side;  in 
open  air,  included  Ambr.,  Bry.y  Carbo  v.,  Caust.,  Kali,  Lye, 
PtJLS.,  Rhus,  Sep.,  SiL. 

Disposition  to  sprains:  Bry.,  Carbo  v.,  Lye,  Rhus, 

Coldness  >  by  warmth:  Bry,^  Carbo  v..  Lye,  Rhus. 

Soreness  in  illeo-cecal  region:  Bry.,  Lye,  Rhus. 

Great  general  weakness:  Rhus. 

The  coldness,  great  relief  of  debility  from  motion  long 
continued,  and  the  possible  sprain,  probably  influenced  the 
prescription  of  Rhus,  although  I  filled  pages  with  compari- 
sons of  remedies  from  every  aspect  of  the  case  I  could 
find. 

On  April  23,  1905,  he  was  sanb  one  dose  of  Rhus  tox  cm. 

May  8,  1905,  reported  that  by  eating  much  fruit,  taking 
suppositories,  and  placebo  he  had  managed  to  keep  bowels 
open,  but  that  they  were  neither  regular  nor  active.  For  a 
week  the  condition  had  been  quite  serious!  Worked  moderate- 
ly, had  cold,  sore  throat  ani  cough.  Five  years  previous 
was  laid  up  with  rheumatism  of  right  shoulder.  Had  often 
handled  poison  ivy  without  effect. 

Continuing  the  study  of  the  three  prominent  remedies, 
Bry.,  Lye,  and  Rhus.,  Lye  seemed  best  to  include  the  rheu- 


110  TRE   MEDICAL.  ADVANCE. 

matism  of  the  right  shoulder,  or  such  a  tendency,  and  Lye, 
6  m.  (J)  was  sent. 

June  12,  1905,  reported  that  for  nearly  two  weeks  he  had 
had  a  regular  daily  stool,  which  was  described  as  more 
normal.  He  was  much  better  of  the  soreness  and  tender- 
Qess  in  the  region  of  the  cecum,  and  much  encouraged. 
Placebo. 

July  4,  1905,  no  medicine  in  two  weeks,  still  quite  well, 
careful  of  food  attending  to  Equality"  instead  of  quantity. 
Stool  daily,  with  one  or  two  exceptions.  Stomach  seemed 
stronger,  thought  side  better,  could  work  with  less  suffering 
and  tenderness.     Placebo. 

Jan.  2.  1906.  Less  well,  out  of  doors  less,  less  exercise, 
felt  the  cold.  For  three  or  four  weeks  increased  sofeness  in 
side,  overwork  before  <.  More  inclined  to  constipation 
though  usually  a  daily  stool.  Stomach  again  weak,  sensitive 
to  touch.     Lye.  cm.  (F.). 

Never  a  dose  of  medicine  since,  but  reports  from  his 
cousins  and  various  accquaintances,  some  of  whom  he  recom- 
mends to  my  care,  say  that  he  is  well  and  remains  well. 

Now  the  case  (ts  reported  was  more  strongly  representa- 
tive of  Rhus  than  of  Lycopodium  and  nothing  but  the  closest 
comparison  of  remedies  could  decide  the  homeopathicity. 
The  abscence  of  the  usual  belching,  distension  from  eating, 
and  during  eating,  also  the  apparent  lack  of  uric  acid  deposit, 
which  belongs  to  the  ''red  string"  of  Lycoix)dium  as  well  as 
the  relief  from  eating,  (continued  motion),  poldness,  the  re- 
gion affected,  all  pointed  to  Rhus,  even  though  comparison, 
after  minute  study  of  every  symptom,  showed  that  in: 

NUMBER.  STRENGTH. 

Lycoix)dium  11 14 

Pulsatilla  10 16 

Rhus  8 10 

Bryonia  10 11 

My  patient  lived  in  a  small  village  some  distance  away, 
and  I  had  to  depend  upon  the  symptoms  gathered  at  the 
first  examination  so  solve  the  problem.  The  old  rule,  *'the 
remedy  covering  the  greatest  number  of  symptoms,"  irre- 
spective of  key-notes,  cured  the  patient. 


THE  NECESSITY   FOR  ORIGINAL  WORK.  Ill 

DISCUSSION. 

Dr,  Grant  desired  to  say  that  he  thought  the  6m  (J.)  of 
Lycopodium  a^  wonderful  potency,  as  also  the  cm.  of  Pincke, 
and  the  most  wonderful  of  the  three  was  mm-  of  Pincke. 
He  also  considered  the  Rhus  cm.  (H.  S.)  a  splendid  potency. 

Dr.  Johnson  had  suffered  from  appendicitis  four  times, 
but  the  last  attack  treated  by  Rhus  had  seemed  to  wipe  out 
the  whole  condition,  and  he  had  never  had  a  touch  of  the 
old  pain  in  that  region  until  the  pre\ious  week,  when  if  he 
had  been  easily  frightened  he  should  have  thought  he  was 
again  "in  for  it."  Bryonia>  at  once.  Before  Rhus  he  had 
been  subjected  to  yearly  attacks.  [A  plain  indication  for 
Rhus.    Ed.] 

Dr.  Alliaume  had  frequently  observed  during  operative 
measures  in  cases  that  had  previously  been  cured  of  recur 
rent  appendicitis,  there  were  found  adhesions  and  oblitera- 
tion of  the  appendix. 


THE  NECESSITY  FOR  ORIGINAL  WORK. 

By  Henry  C.  Allen,  M.  D. 

Fellow  Members: — I  am  proud  of  my  honorary  mem- 
bership in  the  oldest  Hahnemannian  society  in  the  world; 
one  that  is  noted  for  its  adherence  to  principle,  its  faithful- 
ness to  duty,  and  its  persistence  in  good  work.  Its  labors 
in  behalf  of  Hahnemannian  Homeopathy  in  the  past— and 
especially  for  the  last  decade— have  not  been  excelled  by 
any  similar  society  in  the  homeopathic  world. 

But  in  the  twentieth  century,  when  efforts  at  amalga- 
naation  with  empirical  methods,  in  whatever  school,  are  so 
loud  and  persistant;  when  it  is  claimed  that  the  *'two  schools 
are  coming  together,"  despite  the  truth  of  natural  law  in 
the  medical  world,  there  remains  for  us  much  to  do.  And 
^hile  we  do  not  dispute  the  honesty  of  those  ijiaking  the 
assertions,  or  their  labor  which  they  claim  is  for  the  welfare 
of  the  profession  and  the  good  of  humanity,  we  who  are  cog- 
nizant of  the  truth  about  the  curative  power  of  Hahnemann's 
methods  know  that  their  well  intentioned  efforts  are  serious 


112  THE  MEDICAL   ADVANCE. 

mistakes;  we  can  only  protest  the   absurd  claims  and  re-' 
double  our  efforts  in  behalf  of  scientific  therapeutics. 

While  the  work  of  this  society  in  the  past  has  largely 
been  an  experience  meeting  for  the  mutual  improvement  of 
the  members  in  the  study  of  the  materia  medica  and  philo- 
sophy of  our  science,  all  valuable  and  exemplary  so  far  as 
they  go,  has  not  the  time  arrived  when  we  should  do  some 
original  work?  when  we  should  follow  the  lines  mapped  out 
by  the  master  during  the  years  of  his  productive  labors? 

Running  through  the  Organon  we  meet  on  nearly  every 
page,  pertaining  to  the  scientific  application  of  similia,  an 
apology  to  science  in  behalf  of  the  defective  materia  medica 
and  the  deficiencies  to  be  found  in  our  armamentarium. 

In  §  152  is  an  example: 

The  worse  the  acute  disease  is,  of  so  much  the  more  numerous  and 
striking  symptoms  is  it  generally  composed,  but  with  so  much  the  m  re 
certainty  may  a  suitable  remedy  for  it  be  found  if  there  be  a  sufficient 
number  of  medicines  known  with  respect  to  their  posiiive  action  to 
choose  from . 

BOnninghausen  makes  a  similar  complaint  in  his  lesser 
writings;  where  he  says:  *'I  cannot  escape  the  conjecture 
that  there  must  be  some  remedy  beside  Thuja  which  like 
Sulphur  in  psora  and  Mercurius  in  syphilis  may  yet  better 
correspond  to  the  whole  extent  of  sycosis  and  may  possess 
the  power  of  curing  this  disease  (sycosis)  in  its  entirety." 

This  same  want  has  been  expressed  by  every  leader  in 
the  history  of  our  school,  from  the  time  of  Hahnemann  to 
the  present  day.  And  every  member  of  this  society  has  felt 
it,  and  many  of  them  have  voiced  it  in  our  meetings,  and  in 
our  practice  have  felt  the  need  of  a  more  complete  ar- 
mamentarium. While  our  list  of  remedies  is  large  and  seems 
amply  sufiflcient  when  compared  with  the  103  medicines  with 
which  Hahnemann  had  to  work  when  he  gave  us  his  Chronic 
Diseases;  or  the  125  with  which  BOnninghausen  compiled 
his  immortal  therapeutic  Pocket  Book,  we  still  look  forward 
to  the  time  when  better  work  can  be  done,  because  of  better 
remedial  agents  at  our  command,  or  remedies  with  more 
complete  pathogenses. 

Hahnemann  met  an  almost  insuperable  obstacle  to   the 


i 


THE  NECESSITY  FOR  ORIGINAL  WORK.  1 13 

cure  of  the  chronic  sick — the  constant  tendency  of  disease 
torelapse— and  after  twelve  years  of  constant  work  and 
such  careful  observation  as  has  rarely  been  seen,  he  discov- 
ered and  promulgated  his  theory  of  chronic  diseases — the 
greatest  discovery  in  the  history  of  medicine — one  fraught 
wit'i  greater  posibilities  for  good,  and  one  destined  in  the 
future  to  revolutionize  the  practice  of  all  schools  of  medi- 
cine. 

His  discovery  of  an  underlying  cause  and  the  proclaim- 
ing of  his  theory  that  we  had  to  combat  and  eradicate  con- 
stitutional ailments  or  miasms  which  he  termed  psora,  syco- 
sis and  syphilis,  before  which  even  with  our  increased  facil- 
ities in  therapeutics,  with  the  enlargement  of  our  materia 
medica  by  the  addition  of  several  hundred  remedies;  with 
our  increased  knowledge  of  bacteriology  to  explain  the  path- 
ology or  chronic  affections,  we  still  have  increased  obstacles 
to  overcome  which  Hahnemann  clearly  perceived  but  did 
not  live  to  develop.  In  addition  to  the  miasms  which  he 
gave  us,  we  have  others  equally  important  in  tuberculosis, 
vaccinia  and  modern  drug  diseases. 

Every  member  of  this  society  knows  full  well  that  cases 
of  psoric  diseases  are  constantly  met  which  AUumina,  Cal- 
carea.  Graphites,  Lycopodium,  Sepia,  Silicea,  Sulphur,  or 
the  best  selected  remedy  will  not  eradicate;  also  that  the 
Thuja  of  Hahnemann's  time,  with  the  added  symptomatolo- 
gy of  Sabina,  Natrum  sulph.  and  many  other  remediesi 
has  left  many  cases  of  sycotic  disease  which  we  are  un- 
able to  cure. 

That  the  Mercuries,  Kali  iodide.  Nitric  acid,  Phytolacca 
and  other  additions  to  our  curative  agents  fail  to  eradicate 
the  syphilitic  miasm  from  many  of  our  patients. 

There  are  acute  cases  of  pyemia  and  other  septic  affec- 
tions which  Arsenic,  Baptisia,  Carbo  veg.,  Silicea  and  the 
best  selected  remedies  fail  to  readily  control. 

For  the  last  twenty -five  years  a  number  of  very  valu- 
able additions  to  our  materia  medica  in  both  acute  and 
chronic  affections  have  gradually  found  a  place  in  the  con- 
fidence of  the  followers  of  Hahnemann  who  have  put  them 


114  THE   MEDICAL   ADVANCE. 

to  a  practical  test.  Like  Schussler's  remedies,  which  had 
clinical  demonstrations  of  successful  use  before  provings 
were  instituted,  this  class  of  remedies  has  done  us  many  a 
good  turn  when  prescribed  on  a  clinical  basis.  The  more 
thoroughly  they  have  been  subjected  to  the  test  of  a  com- 
plete proving  the  more  valuable  they  have  become  as  thera- 
peutic agents,  and  it  is  for  a  more  complete  proving  of  some 
of  these  valuable  agents- that  I  now  appeal  to  the  society. 
I  send  a  few  potencies  to  the  secretary  for  distribution 
among  the  members,  and  trust  that  they  and  some  of  their 
enthusiastic  supporters,  lay  or  professional,  may  be  induced 
to  join  them  in  the  proving  under  scientific  control,  so  that 
the  pathogenesis  may  be  undoubted.  These  provings  and 
tests  were  recommended  by  the  president  of  the  I.  H.  A.  in 
his  annual  address.  The  recommendation  was  adopted  by  a 
vote  of  the  association,  and  $100  appropriated  to  pay  for  the 
laboratory  work  required.  I  would  consider  it  a  great  favor 
if  the  society  will  appoint  a  member  to  superintend  the 
work,  and  perhaps  employ  Dr.  Bidwell  to  make  the  labora- 
tory tests. 

DISCUSSION. 

Dr.  Leggett  said  that  aside  from  original  work  in  prov- 
ing* there  was  another  need  of  the  homeopathic  profession 
in  the  careful  record  of  cases,  and  of  the  indications  seized 
for  choice  of  the  remedy,  which  reported  would  show  plain- 
ly the  homeopathicity,  and  collected  would  prove  the  many- 
sidedness  and  possibilities  of  each  medicine. 

After  reading  of  Dr.  Allen's  paper  his  recommendation 
to  the  society  to  institute  provings  of  certain  remedies,  was 
discussed,  and  three  of  the  members  volunteered  their  ser- 
vices for  the  purpose.  Dr.  Leggett  was  put  in  charge,  the 
physicians  preferring  not  to  know  the  remedies  proved.  Dr. 
Bidwell  was  given  charge  of  the  laboratory  work. 

A  vote  of  thanks  was  extended  to  Mr.  Ijewis  Merrell, 
and  to  Drs.  Kent  and  Allen  for  their  interesting  and  able 
assistance  in  the  discussions  of  their  subjects  before  the  so- 
ciety. 

The  officers  elected  for  the  coming  year  were: 


^  I 


A  CASE  OP  ECTOPIC   GESTATION.  115 

A.  C.  Hermance,  President. 
J.  M.  Keese,  Vice  President. 
S.  L.  G.-Leggett,  Secretary  and  Treasurer. 
Grant,  Alliaume,  Follette,  Censors. 
The  committee  upon  subjects  for  the   next  meeting  re- 
ported: 

Organon  XXX— XXXIII,  Dr.  Hussey. 
Gonorrhea,  Treatment  and  Sequellae,  Dr.  Fritz. 
Thuja.     General  applications. 
Adjourned. 

S.  L.  Guild- Leggett,  Sec'y- 


A  CASE  OF  ECTOPIC  GESTATION. 

By  Robert  N.  Morris,  M.  D.,  Chicago. 

On  Saturday,  January  11,  I  was  called  in  consultation 
with  Dr.  W.  K.  Yorks,to  see  a  lady  presenting  the  following 
history  and  symptoms: 

She  was  born  in  1871,  her  early  life  had  no  abnormal 
data.  She  had  the  usual  diseases  of  childhood,  from  all  of 
which  she  made  good  recoveries.  Was  married  in  1891,  be- 
came pregnant  soon  after  and  induced  abortion  in  three 
months.  The  following  April  she  again  became  pregnant, 
went  to  full  term  and  was  delivered  of  a  healthy  son  who  is 
now  living.  Two  years  after  the  birth  of  this  child  another 
miscarriage  at  three  months,  and  again  the  following  year  a 
two  months  abortion,  both  of  which  were  induced.  Since 
then  there  has  been  no  pregnancy  and  the  menstruation  has 
been  regular  and  normal.  October  3,  1907,  at  the  time  of 
the  regular  menstrual  period  a  slight  watery  flow  occurred 
accompanied  by  an  unusual  amount  of  pain  in  the  right  iliac 
region  and  the  sacrum.  This  flow  only  lasted  a  short  time 
but  the  pain  continued  with  periods  of  apparent  ease,  under 
the  administration  of  the  indicated  remedy,  until  about  De- 
cember 20,  when  she  had  an  unusually  severe  attack  of  pain 
Mlowea  by  what  she  described  as  a  "sinking  spell'',  becom- 
ing very  pale,pulse  rapid,  extremeties  cold,  loss  of  strength, 
being  unable  to  sit  up,  and  the  pulse  as  high  as  140.     During 


jl  116  THE  MEDI J AL  ADVANCE. 

the  time  from  December  20  to  the  time  of  my  visit,  there  had 
been  several  such  attacks,  each  preceded  by  severe  pain  and 
followed  by  extreme  prostration  and  rapid  pulse. 

I  found  the  condition  as  follows:  face  pale,  jaundiced; 
pulse  weak  and  thready,  140;  temp.  102;  voice  weak;  talking 
an  effort;  extremeties  cold;  abdomen  distended,  pale  and  sen- 
sitive; feared  that  the  examination  would  cause  pain;  a  firm 
elastic  mass  was  found  pressing  into  the  right  vaginal  vault. 
A  diagnosis  of  extra  uterine  pregnancy  was  made 
'  and  the  patient  removed  to  the  hospital.     On  January  13,  in 

I  '      the  presence  of  .several  physicians  and  surgeons,  the  patient 

•  was  anesthetised  and  the  abdomen  opened.     The  cavity  was 

I  filled  with   blood   clots;  the   hand  was   iuserted  the  uterus 

seized  and  lifted  up.  The  right  broad  ligament,  fallopian 
tube  and  arteries  were  grasped  by  forceps  and  the  fetus  was 
removed.  The  placenta  was  attached  to  the  ruptured  fallo- 
pian tube.  As  hemorrhage  was  now  controlled,  as  many  of 
the  clots  as  could  be  taken  out  readily  were  removed  and 
the  parts  inspected;  the  broad  ligament,  ovarian  artery  and 
tube  tied  with  chromocized  catgut,  cut  off  as  close  as  possible 
to  the  uterus  and  with  the  right  ovary  taken  out. 

An  inspection  of  the  appendix  disclosed  the  fact  that  it 
had  been  ruptured  during  some  former  inflammatory  process; 
appendectomy  was  performed.  Many  of  the  clots  had  under- 
gone partial  organization  and  had  attached  themselves  so 
intimately  to  the  omentum  that  it  was  impossible  to  re- 
move them.  A  portion  of  the  omentum  was  tied  off  with 
chromocized  gut,  cut  away  and  the  remainder  replaced.  The 
cavity  was  irrigated  with  normal  salt  solution  and  the  wound 
closed  in  the  usual  way  with  three  layers  of  catgut  sutures 
and  four  silk  worm  gut  stitches.  A  rubber  drainage  tube 
was  inserted  near  the  lower  edge  of  the  wound. 

When  the  operation  was  completed  the  patient  was 
found  to  be  in  a  state  of  collapse.  The  pulse  at  the  wrist 
was  lost,  the  carotid  pulse  was  200,  very  weak  and  irregular. 
The  patient  was  deathly  pale,  skin  cold  and  had  the  appear- 
ance of  immediate  dissolution.  Two  infusions  of  normal 
salt  solution  were  made  above  the  breasts  during  the  opera- 


EPILEPSY.  117 

tion.  The  patient  was  removed  to  her  room,  placed  in  an 
inclined  bed  with  the  foot  elevated  about  12  inches.  A  con- 
tinuous normal  salt  solution  per  rectum  was  kept  up  for  48 
hours.    Cinchona  2()0  in  water  was  given  every  hour. 

On  the  evening  of  the  day  of  the  operation  the  patient 
had  rallied  somewhat  from  the  shock.  The  radial  pulse 
could  be  felt,  the  rate  was  still  about  160.  There  had  been 
no  vomiting  and  some  hope  was  entertained  of  her  recovery 
from  the  shock. 

Five  days  after  the  operation  the  drainage  was  removed 
and  the  parts  dressed  with  sterile  gauze.  A  discharge  de- 
veloped on  the  removal  of  the  drainage  tube,  which  seeins 
to  be  about  the  usual  character  of  abdominal  wounds  which 
are  allowed  to  heal  by  granulation. 

The  eight  day  after  the  operation  the  menses  appeared, 
lasting  lour  days.  The  patient  suffered  little  if  any  on  this 
account,  and  at  the  present  time,  sixteen  days  after  the  ope 
ration,  presents  a  very  hopeful  appearance,  and  should  no 
unforseen  accident  occur,  will  make  a  rapid  and  uneventful 
recovery. 

At  present  she  is  able  to  sit  up,  andtakes  an  abundant  sup- 
ply of  nourishment.  The  bowels  are  normal;  sleep  is  good 
and  restful;  temperature  normal  and  in  every  way  presents 
a  most  gratifying  appearance. 


EPILEPSY.    A  CLINICAL  CASE. 

By  Dr.  Chiron. 

Translated  from  Bevue  Horn  3opathique  Fraacaise. 
By  Horace  P.  Holmes,  M.  D  ,  Sheridan,  Wyoming. 

Epilepsy  is  considered,  and  with  good  reason,  as  one  of 
tie  most  rebellious  diseases  to  all  treatment.  The  medical 
literature  is  not  rich  in  cases  of  recovery  from  this  terrible 
neurosis,  and  even  examples  of  real  amelioration  are  rare. 
Therefore  I  am  happy  to  be  able  to  bring  to  you  this 
evening  the  interesting  results  which  I  have  obtained  in  an 
epileptic,  especially  as  these  results  are  due  to  a  single  homeo- 
pathic remedy. 

This  is  the  cease: 


118  THE  MEDICAL  ADVANCE. 

Madam  X,  34  years  of  age  came  to  consult  me  March  25, 
for  attacks  of  epilepsy,  the  beginning  of  which  dated  back 
ten  years,  but  which  for  two  .or  three  months  had  redoubled 
in  intensity. 

The  daughter  of  a  father  who  had  died  of  some  bacterial 
infection  (the  information  was  vague  on  this  line),  and  of  an 
excessively  nervous  mother.  She  was  always  very  healthy 
throughout  her  childhood,  and  she  cannot  recall  having  bad 
any  serious  disease  except  when  from  fifteen  to  twenty 
years  of  age  she  had  quite  a  pronounced  anemia  which  was 
treated  with  iron.  The  appearance  of  the  menses  at  fifteen 
brought  on  attack3  of  somnambulism,  which  continued  for  a 
long  time,  showing  itself  especially  some  days  before  the 
menses.  From  her  youth  there  still  remains  to  her  the  keen 
remembrances  of  numerous  corrections  from  her  mother, 
corrections  which  at  times  went  so  far  as  being  struck  upon 
the  head  with  a  stick. 

Married  at  the  age  of  26,  she  has  a  child  now  four  years 
of  age  and  which  apparently  shows  no  nervous  stain. 

She  dates  the  origin  of  her  present  trouble  to  a  fright 
she  had  at  the  age  of  24  years.  A  thief  entered  her  house 
one  evening  while  she  was  alone;  this  caused  great  excite- 
ment and  fainting,  but  no  nervous  seizure.  But  she  was  un- 
well at  the  time  and  her  menses  were  arrested.  At  the 
menstrual  period  following  she  had  her  first  attack. 

These  attacks  took  place  principally  at  the  time  of  her 
menses,  before,  during  and  after,  and  also,  as  she  declared 
to  me,  at  the  new  and  the  full  of  the  moon.  They  are  ex- 
clusively nocturnal  and  frequently  she  has  several  attacks 
during  the  night,  but  rarely  before  midnight.  The  aura  is 
characterized  by  a  violent  cramp  in  the  calf  and  left  foot. 
That  cramp  seems  to  rise  the  length  of  the  leg  and  thigh, 
then  the  left  arm  is  seized  in  turn  and  the  thorax  feels  com- 
pressed. Instinctively  the  patient  places  'her  right  hand 
before  her  head,  cries  out  and  falls  unconscious.  Her  face 
becomes  pale  and  her  eyes  seem  forced  out  of  the  orbits. 
She  grinds  her  teeth,  bites  her  tongue  and  a  foam,  at  times 
reddish,  is  seen  on  her  lips.     The  entire  body  is  agitated  by 


EPILEPSY.  119 

a  violent  subsultus.  At  the  end  of  a  few  instants  tlie  agita- 
tion is  terminated;  the  patient  becomes  calm  *  and  snores 
noisily.  The  entire  duration  is  about  five  minutes.  When 
she  becomes  conscious  she  remembers  nothing  of  the  attack, 
but  experiences  a  dullness  in  the  head  and  a  general  extreme 
lassitude  while  at  the  same  time  her  heart  beats  violently. 

During  the  day  she  has  at  times  twinges  and  cramps  in 
the  left  leg  followed  by  flickering  vision  and  vertigo  for 
some  seconds  at  a  time,  but  she  never  loses  consciousness. 

These  attacks  have  exactly  the  same  characteristics  as 
they  had  ten  years  ago.  They  vary  only  in  their  intensity 
and  number.  Sometimes  the  patient  goes  for  a  fortnight 
without  any  discomfort,  then  for  a  fortnight  following  she 
will  have  one,  two,  and  even  three  attacks  a  night,  always 
worse  at  the  time  of  the  menses.  Just  once  she  went  a 
month  without  an  attack.  Pregnancy  had  a  happy  influence 
on  these  attacks  which  diminished  in  number  and  intensity 
to  return  immediately  after  the  accouchment. 

After  two  months  there  was  a  recrudescence  of  her 
trouble.  She  had  not  passed  a  single  night  without  a  spasm 
which  prevented  any  sleep.  She  was  also  greatly  weak- 
ened. 

Of  medium  stature,  blond  hair,  she  has  a  pale  counte- 
nance, dark  rings  around  her  eyes  and  her  features  drawn. 
She  speeks  slowly  and  seems  to  search  for  her  words.  She 
appears  to  me  to  be  very  timid. 

Her  general  condition  appeared  relatively  good.  She 
has  little  appetite,  and  yet  eats  reasonably.  The  digestion 
is  easy,  the  stools  normal,  neither  constipation  nor  diarrhea. 
From  time  to  time  in  the  morning  on  awakening  she  has 
nausea  and  vomiting  of  bile.  Great  thirst  also  in  the  morn- 
ing, but  she  drinks  with  difficulty  on  account  of  spasms  of 
the  esophagus.  The  head  always  feels  a  little  dull.  Neither 
cough  nor  expectoration.  She  lost  a  little  flesh  during  the 
two  months. 

On  examination  nothing  in  particular  was  noted  except- 
ing a  slight  dullness  in  the  left  supraspinous  fossa,  together 
with  a  slightretardation  in  perception  all  along  the  left  arm 


120  THE  MEDICAL  ADVANCE. 

and  an  exaggeration  of  the  pateller  reflexes,  especially  of 
the  left.  No  pharyngeal  ansesthesis  and  no  contraction  of 
the  visual  field. 

For  ten  years,  from  the  date  of  her  first  attack,  our  pa- 
tient has  submitted  without  success  to  the  most  diverse 
treatments. 

The  first  physician  called  to  attend  her  made  the  diag- 
nosis of  hysteria.  He  paternally  advised  marriage,  and 
while  waiting  for  that  happy  event  prescribed  some  gram- 
mes of  bromide.  At  the  end  of  several  months,  the  attacks 
still  persisting,  a  second  confrere  was  consulted.  For  I 
know  not  what  reason  he  attributed  the  state  of  the  patient 
to  an  ignored  syphilis  and  ordered  Gibear's  syrup.  Result: 
recrudescence  of  the  attacks  and  intense  gastralgia. 

She  was  then  directed  to  the  Salpetriere  when  the  diag- 
nosis of  epilepsy   was  positively   given.      Following    this 
naturally  came  the  saturation  of  the  organism  with  bromide. 
The  patient   absorbed   two  fourteen  grammes  daily  with 
out  the  least  amelioration. 

In  the  meantime  a  surgeon  proposed  trepanning.  She 
indifferently  smiled  upon  this  operative  proceedure  and  re- 
fused it. 

Finally  she  knocked  at  the  door  of  the  Institut  de  Psy- 
chotherapie.  There,  hypnotism  and  suggestion  were  lavished 
upon  her  in  large  doses  but  they  had  no  influence  upon  her 
volition.     And  the  attacks  still  continued. 

In  despair  she  abandoned  all  regular  treatment.  She 
contented  herself  by  taking  from  time  to  time  a  little  valeri- 
anate of  ammonia,  when  she  heard  Homeopathyp  raised  and 
came  to  see  me. 

After  having  examined  her  in  detail  and  having  taken 
her  case,  I  was,  I  confess,  a  little  embarrased  over  the  choice 
of  an  appropriate  remedy.  A  certain  number  are,  in  fact, 
cited  by  our  classical  authors  as  having  given  satisfactory 
results  in  epilepsy.  Ck)cculus,  Arsenicum,  Opium,  Calcarea, 
Causticum, Cuprum,  Silicea,  etc.,  are  the  principal  ones.  I 
allowed  myself  to  be  guided  only  by  the  symptoms  observed 


EPILEPSY. 


121 


appeared  to  me  that  Cuprum  reflected  completely  the 
jnomy  of  our  patient. 

fact,  Cuprum  is  the  remedy  for  convulsions^  chiefly 
lie,  next  the  tonic;  convulsions  occuring  especially  at 
coming  on  principally"  at  the  time  of  the  menses,  pre- 
>y  an  aura  which  arises  in  the  toes,  accompanied  by 
ig  pains  in  the  calves,  especially  on  the  left  side.  In 
irval  of  the  attacks  it  also  presents  that  particular 
!al  and  physical  exhaustion  with  its  aggravation  from 
it  mental  exercise.  Finally,  when  I  shall  add  that  it 
is  symptoms  a  complete  insomnia,  you  will  decide  with 
no  other  medicament  than  Cuprum  could  be  indicated 
case. 

rescribed  Cuprum  30th,  two  pellets  only,  each  morn- 
three  days,  cease  for  two  days,  and  then  take  again, 
extsaw  the  patient  the  3rd  of  April.  There  was  not 
melioration.  The  attacks  were  always  nocturnah 
they  were  coming  later  [three  o'clock  in  the  morning 
of  at  midnight],  are  less  violent,  and  not  so  long, 
er,  during  the  day  there  is  no  flickering  of  vision  or 
.  The  patient  is  always  tired  and  has  little  appetite, 
lued  the  Cuprum  30th  in  the  following  method:  two 
in  the  morning  at  10  o'clock  and  two  pellets  at  10 
in  the  evening  also  without  interruption, 
ril  24th.  Since  the  4th  of  April  she  has  not  had  a 
ittack  at  night,  v  She  sleeps  well,  but  she  dreams  a 
eal  and  sometimes  has  nightmare.  Once  or  twice  she 
I  slight  attacks  of  dizziness  during  the  day.  The  ap- 
s  better,  stools  regular.  The  weight  has  slightly  in- 
i.  I  stop  giving  the  Cuprum  for  a  week  and  then  give 
fore. 

ae  12th.  The  amelioration  continues  and  is  even  ac- 
;ed.  Not  a  single  attack  since  the  last  visit,  even 
menses  which  come  on  normally,  but  with  a  little 
the  left  ovarian  region.  Meanwhile,  .she  is  always  a 
Dervated.  She  has  not  been  able  to  give  up  the  Cup- 
r  more  than  three  days  at  a  time,  for  she  feels  her 
isness  increase  and   experiences  some   vertigo  during 


I 

1 


122  THE  MEDICAL  ADVANCE. 

the  day.    Appetite  very  good.     Sleep  excellent.     No  night- 
mare.    Continue  Cuprum  30th. 

July  17th.     Doing  admirably  up  to  the  10th  of  July.     At 
that  time  she  became  over-tired  which  seriously  affected  her. 
She  was  also  in  some  pain.     Some  nights  she   even   had  be- 
ginnings of  the   attacks,  but  without  loss  of  consciousness. 
J  She  did  not  sleep  as   well  and  had   anxious  and  fantastic 

I  dreams.     She  is  also   tired  in  the   morning  and  has   vertigo 

with  headache  when  she  arises.     The  appetite  is  again  rather 
I  poor  but  she  has  a  constant  thirst.     She  is  constipated.  The 

i  .stools  are  hard  and  knotty,   with  the  sensation  that  only  a 

'  part  of  the  stool  is  expelled   and  the  rest  recedes   into  the 

rectum.     There  is  also  some  vertigo  during  the  day.     Silicea 
30th  for  six  days  and  then  return  to  Cuprum  as  before. 

September  25th.  The  discomforts  pointed  out  in  the 
month  of  July  suddenly  disappeared  and  she  passed  two  very 
good  months  without  the  slightest  attack.  The  menses  re- 
turned normally  without  any  suffering. 

In  the  month  of  August,  going  into  the  country  for  a 
rest,  she  was  able  even  to  give  up  the  remedy  for  a  fortnight. 
There  was  about  a  week  that  she  was  subjected  to  great  an- 
noyances and  after  that  she  was  very  nervous  and  slept 
badly.  She  was  greatly  excited  at  night  and  feared  she 
would  have  another  attack,  for  she  felt  some  cramps  in  the 
left  leg.  The  flickerings  of  vision  have  returned  in  the  day 
time  and  also  several  attacks  of  vertigo.     Continue  Cuprum. 

[The  potency  should  have  been  changed  at  each  repetition, 
but  only  a  single  dose  given,  and  much  better  results  would 
have  been  obtained.     A  cure  may  yet  be  effected.     Ed.] 

That  period  of  six  months  which  elapsed  without  any 
attack  taking  place  is  evidently  rather  short  a  time  to  pro- 
nounce the  word  cured.  Moreover  I  do  not  think  it.  I 
mean  only,  and  so,  I  tell  you  of  this  case,  to  furnish  a  new 
proof  of  what  Homeopathy  may  do,  in  cases  where  all  other 
treatments  have  failed. 

Dr.  Leon  Simon  heartily  congratulated  the  author  on  his 
very  interesting  communication;  as  well  from  the  clinical  as 
the  therapeutical  point  of  view  that  it  permitted  an  Individ- 


EPILEPSY. 


123 


tion  of  the  medicament  whose  action  had  been  very 
tble.  A  remedy  he  had  frequently  used  during  his 
jareer,  and  which,  moreover,  was  recommended  by 
jmann,  is  Stannum  and  yet  he  had  never  recorded  a 
e  recovery;  the  symptoms  improved  or  disappeared 
:  months,  a  year,  sometimes  two  years,  never  longer, 
►cyanic  acid  had  not  given  him  as  good  results  as  Stan- 


r.  Marc  Jousset  requested  that  the  communications 
were  to  be  made  to  the  society  should  first  appear  in 
alletin;  so  that  it  would  render  the  discussions  easier. 
5  case  cited  by  Dr.  Chiron,  it  seemed  doubtful  if  one 
to  a  certainty  make  a  diagnosis  of  true  epilepsy;  in 
Else  the  beginning  of  the  trouble  came  at  24  years  of  age 
ce  of  fifteen  or  sixteen  which  is  the  rule.  Moreover, 
ibject  had  previously  had-  somnambuhc  attacks,  and 
'omide  which  had  been  given  at  the  Salpetriere  had  not 
led  them;  he  believed  it  was  a  case  of  epileptiform  sei- 
manifesting  itself  in  a  somnambulist,  as  the  case  occa- 
ily  showed.  The  epileptics  treated  by  Dr.  Marc  Jous- 
ive  never  been  benefited  by  a  recovery;  these  cases 
asperate,  for  to  an  amelioration  in  the  beginning  always 
eds  a  relapse  frequently  decisive. 

ind  yet  he  recalled  treating  a  young  man  with  Cicuta 
I  who  was  cured,  but  it  was  really  a  case  epileptiform 
•es  in  a  somnambulist. 

>r.  Chancerel  cited  a  case  from  his  clientele  in  which 
>atient,  treated  with  Belladonna,  was  ameliorated  but 
ired. 

>r.  S.  R.  Proust  reported  a  case  of  Jacksonian  epilepsy 
.vated  by  Cuprum  which  was  afterward  relieved  by 
donna.  Cuprum  again  given  in  a  high  dilution  modified 
v^olution;  the  nocturnal  attacks  have  disappeared;  only 
vertigo  during  the  day  persists. 

)r.  Dupuy,  from  the  standpoint  of  a  surgeon,  insisted 
the  interest  of  this  latter  case;  his  confreres  readily 
up  the  trepan  when  it  is  a  case  of  Jacksonian  epilepsy 
obtain  favorable  results.     There  would  be   an  opportu- 


124  THE   MEDICAL   ADVANCE. 

nity  before  surgical  intervention  to  try   homeopathic  treat- 
ment. 

Dr.  Steflfert  reported  several  cases  of  epileptics   ameli- 
orated but  not  cured. — Societe  Francalsiv  (V Ilomeopathie. 


CHANGE  OF  INSTITITK  MEETLNG  PLACE. 

Anx  Akbok,  Mich.,  Jan.  10,  1908. 
To  the  MemberH  of  the  Amerwav  l)iHtltute  of  Homeopathy: 

Your  executive  committee  met  January  6th  at  the  office 
of  the  secretary,  five  members  being  present  and  Dr.  Reily 
being  represented  by  a  written  report  and  proxy.  The 
president  and  first  vice  president  reported  having  visited 
Oklahoma  City,  spending  Dec.  Hoth  and  81st  in  investigating 
its  merits  as  a  meeting  plac(\  They  were  cordially  received 
and  cared  for  by  the  cliairman  of  the  local  committee  and 
the  other  three  members  of  the  local  pi-ofession. 

As  a  result  of  their  investigation,  much  as  it  dislikes  to 
disappoint  the  enthusiastic  and  hospitable  people  of  that 
thriving  little  city,  your  executive  committee,  by  unanimous 
vote,  has  deemed  it  necessary  to  exei'cise  the  authority  giv- 
en to  change  the  place  of  meeting. 

In  determining  this  piohii  m.  your  executive  committee 
must,  of  necessity,  count  l|  rn  a  n.<  (ting  of  normal  size. 
Our  Oklahoma  friends  are  ^^ww  rl  t*  attractions  of  their  com- 
munity would  draw  evtn  n.cie  tl  ;in  the  usual  attendance. 
For  six  years  past  the  aveij.j^e  (  f  ii.i  iiJ.ers  and  visitors  has 
been  ^75.  If  half  this  ncii.l  ♦  r  v(  le  lo  attend  a  meeting  at 
Oklahoma  City,  it  would  i  <•  n  ].( .->;i)le  to  give  to  all  com- 
fortable hotel  accommodatior.s.  *  sj  (cially  dit!icult  for  a  con- 
vention covering  alincst  a  w^i  .-:  of  time.  There  are  but  two 
so-called  first-class  hostt'.iits  \\\  the  city.  The  Lee,  the 
leading  one,  is  building  a  sevt  ii  s'^oi-y  annc^x,  which,  as  yet, 
is  far  from  completion.  It  l.:is  i;*  tn  expected  that  this  hotel 
would  furnish  headciuart^rs  :\vA  committee  rooms.  At 
Jamestown  special  rates  ai:d  accoiiiinodations  based  on  con- 
tract agreement,  were  i)r()i:!is^  <!  at  the  Lee.  To  our  sur- 
prise the  proprietor  of  this  hot*-!,  in  contradistinction  to  all 
other  citizens  of  the  city,  shoved  tht."  members  of  the  execu- 


CHANGE  OF  IMSTITUTE  MEETING  PLACE.  125 

»mmittee  scant  courtesy  and  refused' to  accede  in  the 
test  degree  to  the  wishes  or  necessities  of  the  Instifute. 
ntil  after  the  departure  from  the  city  of  the  committee 
le  local  chairman  and  the  Board  of  Commerce  wring 
ling  concessions  fro  a  this  proprietor.  Even  then  the 
)roposed  was  far  in  excess  of  the  contract  agreement 
id  at  Jamestown,  and  stipulation  was  made  that  no 
ittee  rooms  should  be  used  in  the  evening,  v 
bt  only  were  the  proposed  arrangements  unsatisfacto- 
it  also  the  accommodations  possible  far  from  adequate, 
agent  upon  the  completion  of  the  annex  and  contem- 
g  too  that  at  least  two  people  should  occupy  each 
quarters  for  not  to  exceed  two  hundred  guests  was 
ost  favorable  promise  of  the  Lee.  Under  similar  con- 
s  a  hundred  and  fifty  guests  might  be  crowded  into  the 
1  hotel.  Bath  rooms,  much  needed  during  dusty  Okla- 
June,  are  scarce  in  both  hotels.  Were  the  attendance 
nbers,  visitors  and  exhibitors  to  exceed  three  hundred 
'ty,  the  second-rate  hotels  and  boarding  houses  would 
o  provide  for  the  balance. 

be  ''White  Temple"  proved  unavailable  except  possi- 
r  the  opening  session.  It  was  found  that  the  meetings 
have  to  be  held  in  different  places,  more  or  less  re- 
Tom  each  other,  It  would  be  impossible  to  have  all 
issions  of  the  Institute,  its  bureaus  and  committees, 
lied  societies  and  the  exhibits  under  one  roof.  The 
rt  of  the  places  proposed,  too,  would  largely  depend 
:he  temperature  and  barometric  conditions,  said  to  be 
dly  objectionable  in  summer. 

he  usual  reduced  rates  on  the  railroads  are  no  longer 
ble  because  of  the  new  Interstate  law.  The  distance 
lahoma  City,  nearly  four  hundred  miles  from  Kansas 
would  make  this  abscoTice  of  a  special  railroad  rate  a 
ial  burden  to  most  of  our  members.  The  three  general 
nger  agents  met  at  Oklahoma  could  promise  nothing, 
i  the  journey  were  begun  on  Wednesday  for  our  eastern 
>ers  and  on  Thursday  for  the  middle  West,  with  no 
ssion  at  all  for  the   far   West.     No  through   trains  to 


I 


IflC)  THE   MEDICAL   ADVANCE. 

Oklahoma  are  run  from  Denver,  Chicago,  or  the  East.  Un- 
less Pullman  car  parties  of  eighteen  or  more  persons  were 
arranged,  eastern  visitors  going  by  way  of  St.  Louis  would 

ihave  to  change  cars  there,  and  if  they  traveled  by  way  of 
Chicago,  would  require  a  change  at  that  point,  and  a  second 
at  St.  Louis  or  Kansas  City.  In  order  to  free  those  who 
presented  the  claim  of  Oklahoma  we  wish  to  say  that  the 
less  liberal  policy  of  the  railroads  as  to  rates  and  through 
trains  is  a  recent  move  and,  of  course,  was  not  anticipated 
last  June.  However,  it  is  no  less  a  disappointment  and,  in 
I  view  of  the  present  financial  stringency,  a  serious  objection, 

'  in  the  opinion  of  your  Executive  Committee. 

For  these  reasons  and  others  which  were   discussed  for 
I  hours  by  your  committee,  it  was  thought  best  to  have  .our 

meeting  elsewhere.  Invitations  came  from  Hot  Springs, 
Pittsburg,  the  State  of  Pennsylvania,  Los  Angeles  and 
Detroit.  We  were  not  unmindful  of  the  potency  of  the  claims 
of  each  of  these  possible  locations,  and  to  the  loyalty  of -the 
members  of  our  school  in  these  places  the  Institute  owes  its 
thanks.  We  could  not  overlook  the  fact,  •  however,  that  the 
American  Institute  had  recognized  the  justice  of  the  demands 
of  the  West  and  South-west.  That  territory  received  our 
first  and  last  thought.  Kansas  City,  Missouri,  is  a  western 
city  and  in  eyery  sense  is  the  gateway  to  the  South-west. 
The  proffered  invitation  of  our  men  in  Kansas  City  was^ 
therefore,  accepted  and  it  was  decided  to  hold  the  meeting 
there  during  the  week  beginning  June  22nd. 

It  were  perhaps  a  work  of  supererogation  to  speak  of 
the  beauties  and  attractions  of  this  wonderful  city,  commer- 
cially, physically,  aesthetically,  it  is  second  to  none  in  these 
United  States.  The  combined  population  of  Kansas  City^ 
Missouri,  and  Kansas  City,  Kansas,  separated  simply  by  an 
imaginary  line,  is  nearly  four  hundred  thousand.  The  mu- 
nicipalities form  one  great,  restless,  aggressive,  progressive 
beautiful  city.  High  bluffs,  deep  gorges,  attractive  ravines^ 
multitudes  of  rivulets,  great  rivers,  high  land  and  river  bot- 
toms— all  give  themselves  to  natural  picturesqueness  and 
artistic  possibility.     Millions  upon  millions  have  been  spent 


CHANGE  OF  mSTITUTE  MEETING  PL.ACE. 


127 


n  developing  one  of  the  finest  park  and  boulevard  systems 
n  the  world.  This  is,  without  doubt,  one  of  the  show  cities 
)f  America.  The  transcontinental  tourist  who  has  simply 
massed  through  Kansas  City,  and  almost  every  American 
railway  system  touches  it,  knows  nothing  of  the  multitudi- 
nous attractions  of  this  place.  The  railways,  are  in  the 
valley  out  of  sight  and  the  city  on  the  hill  tops.  One  must 
ake  the  incline  and  view  it  from  a  high  place  to  know  that 
at  its  feet  lies  the  pride  of  the  West,  beautiful  Kansas  City, 
Here  are  vast  hotels,  gorgeous  theaters,  great  churches, 
palatial  homes,  wide  gardens,  inviting  shade  and  cool  re- 
treats. The  hundred  members  of  the  local  profession  and 
the  nearly  two  thousand  of  the  states  of  Kansas  and  Mis- 
souri will  give  us  hearty  welcome- 

The  trip  to  Kansas  City  is  easily  and  quickly  made.  It 
is  a  night's  jcurney,  twelve  hours,  from  Chicago,  six  hours 
from  St.  Louis,  over  night  from  Denver,  and  can  be  reached 
from  New  York  City  with  but  one  night  on  the  sleeper. 

To  Dr.  Hensley,  the  local  profession,  the  Board  of  Com- 
merce, and  the  cordial  people  of  Oklahoma  City  we  express 
our  hearty  thanks  for  the  courtesies  shown  and  the  hospi- 
tality offered.  We  regret  that  necessity  rules  our  action, 
but,  knowing  their  hearts  and  minds,  we  believe  they  will 
gracefully  acquiesce  in  our  decision  and,  in  company  with 
the  membership  of  the  American  Institute,  do  all  in  their 
power  to  make  the  1908  meeting  at  Kansas  City  a  great  and 
power  for  good  to  our  beloved  Homeopathy. 
Respectfully, 

Royal  S.  Copelandi 

W.  E.  Reily 

J.  Richey  Horner 

Prank  Kraft 

J.  H.  Ball 

T.  Franklin  Smith 


^ Executive  Committee. 


LOYALTY  TO   THE   INSTITUTE. 

■''he  above  action  of  the  committee  has  called  forth  both 
^ent  and  criticism  from  many  influential  members  of 
^^^titute.    In  behalf  of  our  beloved  science  and  the  hom- 


] 

I 


128  THE   MEDICAL   ADVANCE. 

eopaths  of  the  South  West  and  West  no  man  did  more 
earnest  work  than  Dr.  Hensley,  of  Oklahoma  City;  but  like 
some  others  he  was  not  working  for  self,  as  the  following 
letter  will  demonstrate: 

Oklahoma  City,  Jan.  17,  1908, 

Dear  Doctor  Allen:— Inclosed  find  check  for  subscription  to 
Medical  Advance.  I  assure  you  it  affords  me  much  pleasure  to  assist 
in  publishing  one  of  the  cleanest  and  strictest  journals  of  our  special 
school  of  therapeutics  that  comes  ^o  my  table. 

I  suppose  you  have  learned  ere  this  that  the  executive  committee 
has  changed  the  place  of  meeting  from  here  to  Kansas  City. 

Now,  doctor,  you  can  well  imagine  how  I  feel  over  it.  I  think  we 
won  at  Atlantic  City,  and  as  you  know,  it  wm  almost  unanimous  at 
Jamestown  on  first  ballot  and  was  made  t»o  by  vote  of  the  Institute:  yet 
I  am  too  loyal  to  our  Institute  to  utter  a  word  that  would  cause  a  ripple 
on  the  surface.  I  shall  do  all  in  my  power  to  make  the  meeting  at  Kan- 
sas City  a  success.  We  must  uphold  the  hands  of  those  in  authority  and 
stand  by  our  organization  under  all  circumstance -«. 

Fraternally  yours,  Joseph  Hensley. 

With  Dr.  Hensley  we  have  a  fellow  feeling,  for  both  at 
Atlantic  City  and  Jamestown  we  did  all  we  could  to  take  the 
next  meeting  of  the  Institute  to  Oklahoma  City.  In  behalf 
of  our  readers  we  thank  Dr.  Hensley  sincerely  for  manfully 
standing  by  the  executive  committee,  and  we  cordially  join 
him  in  the  assurance  that  the  members  of  the  Institute  in 
the  West  and  South  West  will  loyally  support  the  executive 
committee  in  whose  charge  we  have  placed  the  interests  of 
the  Institute. 


Training  in  Medical  Organization:  The  students  of 
the  University  of  Pennsylvania  Medical  School  have  formed 
an  organization  the  purpose  of  which  is  to  acquaint  the  un- 
dergraduates with  the  workings  of  the  American  Medical 
Association,  after  which  it  is  very  closely  modeled.  The 
various  student  societies  take  the  place  of  the  state  organ- 
izations and  elect  members  to  a  House  of  Delegates  which 
transacts  all  the  business  of  the  association.  An  annual 
meeting  is  held  at  which  papers  are  read  by  chosen  mem- 
bers, thus  encouraging  original  research  and  a  scientific 
spirit.  The  organization  is  named  The  Undergraduate  Med- 
ical Association  of  the  University  of  Pennsylvania,  and  al- 
ready has  over  two  hundred  and  fifty  members. 


HE  Medical  Advance 

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A  Study  of  Methods  and  Results. 


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l^e  believe  that  Homeopathy,  well  understood  and  faithfully  practiced,  ha» 
to  save  more  11vh»  and  relieve  more  pain  than  any  other  method  of  treai- 
ver  invented  or  disctivered  by  man;  Out  to  he  a  first-class  homeopathic  pre- 
'  requires  careful  study  of  both  patient  and  remedy.  Yet  by  patient  care  It 
made  a  little  plainer  and  easier  than  it  now  Is.  To  explain  and  define  and 
tracMcal  ways  simplify  it  is  cur  chosen  Mork.  In  this  good  work  we  ask 
Bip. 

0  accommodate  both  readers  and  publisher  this  Journal  will  be  sent  untU 

i are  paid  and  it  is  ordered  discontinued. 

3ramunlcatlons  rej?arding  Subscriptons  and  Advertisements  may  be  sent  to 

)lisher.  The  Forrest  Pret.s  Batavia,  Iliinols. 

)niribuiiofiS.  Exchanges.  Books  for  Review,  and  nil  other  communications 

be  addressed  to  the  Kditor,  6142  Washington  \ venue,  Chicago. 


FEBRUARY,    1908. 


BbitonaU 


"DERELICT  AND  OTHERWISE." 

!^he  above  title  is  a  record  of  clinical  cases  in  a  paper 
t>efore  the  Ck)Qper  Club,  London,  by  J.  Roberson  Day» 
.,  physician  of  the  department  for  the  diseases  of  child- 
it  the  London  Homeopathic  Hospital. 
Tie  paper  consists  of  a  number  of  cases,  very  good 
by  the  way,  but  with  the  exception  of  two  or  three 
1  were  cured  with  the  sinp-le  remedy,  they  are  all  treat- 
'  two  or  three  or  more  remedies  in  alternation,  of  which 
allowing  is  an  illustration: 

ITJBERCULAR  DISEASE  OF  BONES  OF  HANDS  AND  FEET. 

rinefred  R,  age  17  months,  was  the  Recond  child  in  the  family, 
rst  child  had  died  at  six  weeks  old  from  wasting— the  father  was 
.te.  She  was  brought  to  me  July  20,  1905.  She  was  a  very  deli- 
t)ottle*fed  child,  and  for  five  months  had  been  attending  the  Tot- 
^n>  Hospital  every  day,  where  "they  kept  on  operating  but  gave  no 


i 

i 


180  THE  MEDICAL   ADVANCE. 

mfidiciDe.**  The  second  fin crer  of  the  left  hand  had  been  removed,  and 
there  were  two  sinuses  leading  down  to  the  fourth  metacarpal  bone, 
which  was  diseased.  There  was  also  a  tubercular  nodule  on  the  outer 
aspect  of  the  right  foot.  Silica  12,  ter  die  and  Tuberculinum  30  weekly, 
vTcre  given. 

By  September  21st  she  was  very  much  better;  the  ordule  on  the 
rtght  foot  had  disappeared  and  only  the  sinus  oh  the  left  hand  remained, 
which  appeared  much  better,  and  generally  she  was  greatly  improved. 
On  November  9th  she  was  attacked  wiih  (rriping,  offensive  diarrhea, 
which  so  often  occurs  in  these  tubercular  children,  and  Calcarea  ars.  6, 
three  hours,  was  now  given,  Tuberculinum  30  being  continued  in  weekly 
liases.  This  was  changed  to  the  Fluoride  of  Calcicum  30  on  November 
ITth,  and  by  December  16th  she  was  very  much  better  and  more  lively. 
The  following  March.  190H.  Silica  30  was  again  prescribed,  and  shortly 
afier  the  mother  reported  she  was  "in  the  best  of  health."  She  was 
trying  to  walk,  and  the  foot  continued  quite  well,  although  the  sinus  in 
I  he  hand  continued  to  discharge. 

On  October  r2Lh  the di>charge  ceased.  For  six  weeks  she  had  no 
medicine,  and  in  January,  1007.  she  came  again  with  a  slight  return  of 
flt&charge,  A  further  course  of  Silica  30  and  Tuberculinum  30  was  given 
lind  there  has  been  no  return  of  this  discharge.  The  sinuses  are  per- 
fectly healed,  and  the  coDs^itution  of  the  child  has  immensely  improved 
Id  fact,  she  appears  quite  well,  although  a  delicate  child  bearing  the 
scar  of  th'i  amputated  finger,  the  results  of  the  Tottenham  Hospital 
treatment. 

Hahnemann  says,  Orj?anon  §  271: 

In  no  instance  is  it  requisite  to  employ  more  than  one  simple  medici- 
tial  substance  at  a  time.     To  which  is  attached  the  foot  note: 

Experiments  have  been  made  by  8ome  homeopath iats  in  cases 
where,  imagining  that  one  part  of  the  symptoms  of  a  disease  re- 
fjuired  one  remedy,  and  that  another  remec^y  was  more  suitable  to  the 
other  part,  they  have  given  both  remedies  at  the  same  time,  or  nearly 
so;  but  I  earnestly  caution  all  my  a<lherents  against  such  a  hazardous 
practice,  which  never*  will  be  necessary,  though  in  some  instances  it  may 
appear  serviceable. 

We  refer  to  these  cases  with  regret  because  they  are  a 
i-ecord  of  treatment  in  one  of  the  best  homeopathic  hospitals 
connected  with  our  school  of  medicine,  and  because  the  phy- 
sician in  charge  is  a  representative  man  in  an  official  posi- 
tion. ,  Like  the  late  Dr.  Skinner,  Dr.  Day  is  a  convert  from 
the  other  school  of  practice,  and  their  early  training  in  ther- 
jrpeutics  was  similar.  It  was  polypharmacy  from  the  be- 
ginning to  the  end.  When  Dr.  Skinner  became  a  convert 
he  went  directly  to  the  Organon  as  his  source  of  instruction. 


EDITORIAL. 


131 


Hahnemann  he  took  it  first  hand,  and  with  him  it  was 
igle  remedy  every  time  and  everywhere.  With  Dr. 
^hile  he  makes  brilliant  cures,  neither  he  nor  any  man 
can  tell  what  did  the  cure  work.  It  is  against  this 
larmacy,  in  the  name  of  Homeopathy,  that  we  protest, 
mixed  or  mongrel  practice  and  should  not  be  permit- 
our  hospital  work  and  published  to  the  world  as  an 
lie  of  what  Homeopathy  may  do.  Hahnemann  dis- 
'  says  that  such  is  a  hazardous  practice,  that  it  will 
be  necessary,  though  occasionally  it  may  appear  ad- 
e.  A  little  more  study  of  our  remedies,  a  little  more 
1  the  taking  of  the  anamnesis,  will  render  such  work 
essary,  and  will  vastly  improve  both  the  clinical  ex- 
ce  of  the  prescriber  and  the  health  of  the  patients  in- 
d  to  his  care. 

I  Great  Britain  there  is  no  homeopathic  college  from 
students  may  obtain  a  knowledge  of  Homeopathy, 
ay  himself  may  fully  comprehend  the  difficulties  en- 
ured by  his  allopathic  colleagues  who  desire  to  obtain 
dedge  of  the  better  way.  In  his  position  as  physician 
London  Homeopathic  Hospital  he  is  practically  a  rep- 
ative  teacher  of  Homeopathy,  and  Ithe  best  possible 
3  convert  a  colleague  of  the  other  school  is  to  demon- 
the  possibilities  of  pure  -Homeopathy.  Skinner 
never  have  done  such  work  had  he  occupied  such  a 
isible  position.  A  different  method  of  taking  the  an- 
is,  of  examining  the  case,  Organon  §  84  et.  seq.,  using 
of  the  Organon  so  as  to  obtain  the  relative  value  of 
mptoms  will  soon  revolutionize  the  practice,  and  no 
a  Great  Britain  will  be  more  pleased  with  the  result 
)r.  Day. 


THE  DEADLY  ANTITOXIN. 

pparently,  to  our  friends  of  the  other  school,  **every 
has  its  thorn."  The  diphtheritic  serum  has  been 
1  to  the  skies  as  the  specific  for  diphtheria,  but  like 
bercular  serum  of  Koch  it  is  not  always  safe  when 
to  the  sick,  arid  often  fatal  when  used  as  a  prophylac- 


132 


THE   MEDICAT.   ADVANCE. 


tic.  The  following  case  has  appeared  under  various  guises 
in  the  daily  press,  and  we  give  the  particulars  of  the  fatal 
occurrence  which  we  take  from  a  recent  issue  of  the  Journal 
of  the  America }t  Medwal  Association. 

NORRISTOWN,  Pa.,  Jan,  6,  1908. 

To  Hie  Editor: -On  the  evenings  of  Dec.  12,  1907,  Ely  Weitzel,  aged 
34  years,  a  man  of  splendid  physique  and  apparently  in  the  best  of 
health,  came  to  my  office  and  asked  that  I  give  him  an  immunizing  dose 
of  antitoxin,  saying  that  he  had  on  that  morning  kissed  his  little  daugh- 
ter,  who  wa?»  found,  les^  than  two  hours  afterward,  to  be  suffering  from 
diphtheria;  both  throat  and  nose  beinir  filled  with  the  membrane. 

A  few  minutes  before  8  p.  m.,  after  having  carefully  sterilized  the 
right  side,  I  introduced  the  needle  about  four  inches  above  Poupiirt's 
ligament,  and  slowly  injected  nearly  all  of  l,OoO  units  of  diphtheria  anti- 
toxin. H  }  s  lid  that  neither  the  introduction  of  the  needle  nor  of  the 
serum  gave  him  any  pain,  but  spoke  of  the  "lump  that  raised''  when  I 
withdrew  the  needle. 

At  the  time  of  the  Injection  he  was  reclining  in  an  office  chair,  hav- 
ing removed  his  coats  and  vest.-  As  near  as  I  can  judge  he  remained  in 
the  chair  for  from  two  to  three  minutes  after  the  injection.  Just  as  he 
got  out  of  the  chair  he  said:  *'What  is  in  that  stuff?  I  feel  as  though 
it  were  blistering  me."  He  reached  for  his  clothing,  and  as  he  did  so 
he  said:  ** My  scalp  and  face  itch  and  burn  terribly,"  and  with  both 
hands  he  began  to  scratch  his  head  vigorously.  His  next  remark  was 
"I  can  not  breathe."  I  observed  that  his  expression  denoted  anxiety^ 
and  that  his  lips  began  to  swell  and  turn  dark.  I  told  him  to  sit  down 
which  he  did.  He  then  complained  of  the  itching  all  over  his  body,  and 
in  a  moment  said:  'I  am  on  fire  inside."  His  breathing  was  now  very 
labored;  his  lips,  face  and  neck  were  much  swollen  and  very  dark.  A 
thick,  heavy  froth  began  pouring  from  his  mouth.  He  was  apparently 
paralyzed,  for  he  made  no  voluntary  motion  of  any  part  of  his  body.  He 
had  a  slight  convulsion  lasting  but  a  few  seconds,  after  which  he  ceased 
to  breathe.  The  action  of  tbe  heart  continued  for  a  considerable  time 
after  the  breathing  ceased. 

Soon  after  he  sat  down  I  realized  that  his  condition  was  alarming- 
and  had  three  physicians  called,  all  of  whom  live  within  a  few  yards  of 
my  office.  Tney  responded  immediately,  and  we  used  all  the  recognized 
means  to  re-establish  breathing,  but  did  not  succeed. 

The  time  elapsing  between  the  introduction  of  the  serum  and  his 
death  was  not  over  five  minutes.  He  did  not  speak  again  after  sayings 
**I  am  on  fire  inside,"  except  to  mutter:  '*!— am— dying,"  nor  did  he 
seem  to  be  conscious  after  that. 

The  serum  used  was  sent  to  my  office  a  few  minutes  before  I  injected 
it.  from  a  neighboring  drug  store.     The  date  limit  was  "March  7,  1908. *»• 


EDITORIAL. 


133 


ve  used  diphtheria  antitoxin  in  over  sixty  cises  and  have  never 
r  unto  ward  syraptoins,  «xcept  in  one  instance— an  attack  of  urti- 

nutropsy  was  made  in  this  case.     I  might  add  that  this   man  from 

)d  could  never  be  abjut  horses  wi&hout  suffering  from   symptoms 

la. 

ould  b3  a  Herculean  task  to  answrer  personally  the  many   letters 

jeiving  from  physicians  in  all  parts  of  the  country;  so  I  trust  this 

wer  ihem  through  your  columns. 

S.  N.  Wiley. 
homeopathic  practice  Diphtherinum,  the  antitoxin  of 
eria,  as  prepared  by  the  homeopathic  pharmacy,  is 
re  both  in  the  treatment  of  the  sick  and  as  a  prophy- 
and  its  use  is  entirely  devoid  of  such  an  unfortunate 
nentable  occurrence  as  is  here  noted. 


E  ELIMINATION  OP  SKCTAUIAN  1>0GMA  FROM 
SCIENTIFIC  MEDICINE." 

the  November  issue  of  the  Monthly  Cijrlojjedia  of  Prac- 
'edkirie  in  its  editorial  department,  there  is  an  article 
tie  above  title  signed  by  Henry  Beates,  M.  D.,  Jr., 
ent  of  the  Pennsylvania  State  Board  of  Medical  Ex- 
rs. 

is  paper  opens  with  what  nearly  every  homeopathic 
;ian  will  recognize  as  a  direct  quotation  from  the  Or- 
,  viz;,  *'The  highest  duty  of  the  physician  is  to  treat 
id  fellow  beings  with  the  best  known  means  to  effect  re- 
id  cure." 

n  this  question  of  **best  known  means"  there  evidently 
fferenc^  of  opinion,  but  there  ought  not  to  be  any  dif- 
em  the  understanding  of  what  sectarianism  and  dogma 
The  Century  Dictionary  defines  both  dogma  and 
md  in  these  definitions  Dr.  Beates  will  find  that  he 
le  earmarks  of  dogmatism,  and  like  many  others  is  a 
•ian. 

ihis  article  he  assumes  that  in  Pennsylvania  the  *'law 
nizes  three  so-called  schools  of  medicine,  the  allopath- 
meopathic  and  eclectic;"  though  the  doctor  claims  that 
e  never  was  and  never  will  be  an  allopathic  physician." 


134  THE  MEDICAL  ADVANCE. 

A  correspondent  in  the  January  issue  of  the  Medkal 
World  also  complains  that  * 'there  is  no  school  of  medicine 
calling  itself  allopathic.  I  do  not  think  there  ever  was  one. 
The  regular  school  has  never  *dubbed'  itself  anything. 
When  sectarians  arose  with  distinctive  names,  the  conserva- 
tive needed  no  special  name;  they  just  referred  to  themselves 
as  regulars." 

Hahnemann  gave  them  the  distinctive  name  of  allopaths, 
based  on  their  practice  contrdriu  contrariuH  cnrautur,  that  is 
opposite  conditions  are  to  be  treated  with  opposites;  just  as 
much  sectarian  as  any  other. 

In  the  time  of  Hahnemann  and  ever  since  they  have 
been  attempting  to  cure  constipation  with  cathartics,  and 
for  this  reason  he  gave  the  school  a  distinctive  name  from 
which  it  has  never  been  able  to  liberate  itself,  and  never  will 
until  the  ;>ractice  changes. 

In  the  January  Medical  Crntiiry  Dr.  R.  S.  Copeland  re- 
plies to  this  attack  of  Dr.  Beates,  and  closes  with  the  fol- 
lowing stinging  remarks: 

''You  are  an  ignorant  man,  Dr.  Beates,  if  you  speak  of 
Homeopathy  as  'a  method  of  treatment  which  is  based  upon 
mere  theory  and  dogma,  known  to  be  at  variance  with  the 
fact.'  The  testimony  of  such  men  as  von  Beliring,  the  win- 
ner of  a  Nobel  prize;  Cabot,  the  dt^an  of  Harvard  Medical 
School:  Sir  A.  E.  Wright,  the  most  talked  of  man  in  medi- 
cine today:  Robin,  of  Paris,  and  many  other  broad  minded 
men  of  your  own  st-hool,  gives  tlie  He  to  your  cavilling  re- 
marks. You  know  little  of  Hom(^opathy  which  your  igno- 
rant mind  pictures  as  a  system  of  medicine  and  surgery,  in- 
stead of  the  (/(rn/prfific-sjtr('i(flf{j  which  it  is.  You  think,  or 
profess  to  believe,  that  because  one  of  our  practitioners  ex- 
tracts a  cataract  by  surgical  methods,  or  disables  the  Koch- 
Weeks  bacillus  by  the  installation  of  zinc  chloride  solution, 
or  uses  the  obstetric  force]:)s,  or  makes  a  skillful  trachotomy, 
or  antidotes  the  diphtheria  toxin,  or  neutralizes  the  ingested 
carbolic  acid,  or  does  some  other  sensible  thing  by  a  method 
known  to  you — you  set  him  down  as  'unfaithful  to  avowed 
professional  princii)les.'     You  poor,  innocent,  ignorant   assl 


EDITORIAL. 


13c 


the  Organon  of  Samuel  Hahnemann,  or  forever  after 
^our  peace!  The  thinking,  reading,  progressive,  truly 
ed  men  and  women  of  your  own  school  repudiate  such 
ng  as  yours." 


OBITUARY. 

ichmond,  Va.,  has  recently  lost  two  of  its  most  promi- 
lomeopatlis,  Dr.  George  A.  Taber  and  Dr.    George  L. 
,  both  of  whom  were  successful  practitioners   and  had 
:ensive  practice, 
r.  George  Taber   was   born   in   Cayuga   county.    New 

graduated  from  the  homeopathic  department  of  the 
rsity  of  Michigan,  1877,  was  assistant  to  Prof.  S.  A. 
,  and  instructor  in  Materia  Medic*a  for  two  years, 
iced  in  Victory,  New  York,  until  I^^s^),  when  he  re- 
1  to  Richmond,  Va.,  wliere  he  resided  until  his  death, 
4,  1907. 

r.  George  L.  Stone  graduated  from  Cleveland  Homeo- 
:  College;  practiced  in  Ann  Arbor,    Mich.,    for   several 

and  moved  to  Richmond,  Va.,  in  IH-^O,  where  he  con- 
.  in  active  practice  until  his  death,  Jan.  U,  1908.  He 
f  chronic  interstitial  nephritis,  from  which  he  was  a 
?r  for  many  years. 


ropaiandism  of  Homeopathy:-  Recent  issues  of  the 
does  Advocate  contain  a  series  of  articles  on  Popular 
apathy,  explaining  the  principles  of  the  science  a-nd 
dications  for  many  of  the  principal  rem<*dies  in  the 
try  derangements  of  a  family:  indigestion,  catarrhal 
ons,  influenza,  ague,  etc.,  by  Mr.  J.  C.  Roberts,  a 
ament  official  and  an  enthusiastic  advocate  of  Home- 
V.  Mr.  Roberts  has  a  homeopathic  depot  in  Palmetto 
e,  Bridgetown,  where  the  people  may  obtain  homeo- 
'  remedies.  In  the  series  of  articles  on  Homeopathy, 
-oberts  is  conferring  a ; :  -nit  boon  on  the  public  by  these 
s  illustrating  the  practical  value  of  domestic  medicine, 

I  this  way   conferring   a  blessing  on  the  people  at   the 

time.     It  is  in  this  way  that  the  pioneers  of  Homeopathy 

erica  first  introduced  this  system  of  medicine,  and   no 

way  to  instruct  the  people  yet  been  found.     It    would 

II  for  Homeopathy  that  some  vigorous  efforts  in  this 
ion  were  again  taken  up. 


NEW  PUBLICATIONS. 

THERAPEUTICS  OF  VIBRATION:    THE    HEALIXH   OF    THK 
SICK  AN  EXACT  SCIENCE.     By   Wm,    Lawrence    Woodruff, 
M,  D  ,  Member  of  the  American  Institute  of  IJomeopatliv,  the  Cal- 
ifornia Homeopathic  Medical  Society,  the  SouUi  California    Home- 
f  opathic  Medical  Society,  I^os  Angeles  County  Homeopatliic  Society, 

South  California  Academy  of  Sciences      Author  of   Climatography 
of  the  Salt  River  Valley  Region  of  Arizona.     J.  V.  Elwell  Publish- 
'  ing  (Jo.,  247  liroadway,  IjOs  Angeles,  Cal. 

I  This  work  on  vibration  by  a  homeopathic   physician  of 

I  Long  Beach,  Cal.,  must  be  carefully  read  to  be  appreciated. 

Tlie  author  claims  t^rat  vibration  is  the   primal    law  of  the 
universe,  nothing  being  exempt  from  it. 

The  wonders  produced  by  electricity  have  been  nothing 
short  of  marvelous;  yet  vibration  will  so  far  surpass  it  in 
every  field  as  to  make  it  seem  ordinary  in  comparison.  Here 
is  one  of  the  conclusions: 

"Twenty -five  years  of  chasing  the  microbe  ha^  yielded 
but  little  except  to  increase  mysticism  and  confusion,  and 
make  a  babel  of  tongues.  Hahnemann,  seventy-five  yeai'S 
ago,  in  his  thesis  on  chronic  diseases,  gave  us  all  and  more 
than  has  yet  been  revealed  by  bacteriological  research;  in- 
deed, he  forstalled  every  fact  so  far  determined,  defining  its 
limitations  and  indicating  their  practical  application  in  the 
relieving  of  diseased  conditions." 

The  author  goes  just  a  little  further  than  Wright  and 
Von  Behring  who,  in  explaining  the  opsonic  index,  have 
verified  the  law  of  similars  and  possibly  have  given  us  the 
best  explanation  of  its  scientific  action  yet  discovered.  But 
he  goes  one  step  further,  and  in  his  theory  of  vibration,  ex- 
plains why  and  how  the  homeopatliic  dynamic  remedy  does 
its  marvelous  cure  work.  Volume  II  to  complete  the  work 
is  promised  in  June. 

TRK.VTMIliNT:     A  companion   v  ihime  to  DiA<;nosis  in  Clinical  Medi- 
cine.    Clarence  Bartlett,  M.  I).,  Philadelphia. 

Boericke  &  Tafel  have  in  press  a  work  from  the  pen  of 
this  busy  author.     The  book  has  the  concise  yet  thoroughly 


NEW   PUBLICATIONS.  137 

uive  title,  '^Treatment."  It  will  be  in  a  class  by  itself, 
full  treatment  for  practically  every  known  disease; 
rapeutics  only,  though  this  branch  is  fully  gone  into, 
itment  in  its  broadest  sense.  It  will  make  a  work  of 
200  large  octavo  pages  and  be  ready  for  delivery  early 


^rHCS[ASMOF[IU-MI']()PVTriY,  withtheatoryof  a(;[lKAT 
rHrNFAST.  By  John  H.  Clarke,  M.  I).,  Londoa.  Kngland. 
neopathic  Publishing  Co  ,12  Warwick  Lane,  K.  C.  1907  . 
is  small  work  of  fifty  pages  is  a  reprint  from  the 
lofthe  British  Homeopathic  Society  of  the  author's  presi- 
address.  The  "story  of  a  great  enthusiast"  here 
ned  is  a  brief  biography  of,  and  the  original  propa- 
n  of  Homeopathy,  by  Dr.  Mure,  best  known  by  his 
in  provings  forming  the  Materia  Medica  of  Brazil, 
any  another  converted  leader  in  our  school  Dr.  Mur3 
I  to  study  Homeopathy  after  being  cured  of  a  so-called 
)le  disease,  phthisis  pulmonalis. 

ery  homeopathic  physician  should  have  a  copy  of  this 
ork,  if  for  nothing  more  than  to  read  this  beautiful 
tory  of  the  "fiery  Dr.  Mure" 


e  Physicians  List.  1908.  57th  year  of  its  publica- 
Philadelphia.  P.  Blakiston's  Son  &  Co.,  191-J  Walnut 
lis  old  reliable  friend  of  the  busy  doctor  for  190H  is 
ced  by  the  publisher.  A  sample  announcement  is  all 
necessary,  for  every  doctor  of  every  school  is  familiar 
J  advantages. 


NEWS  NOTES. 

Dr.  A.  W.  Vincent,  St.  Johns,  Oregon,  has  another 
l)[i\)er  in  the  MediaU  World,  under  the  catching  title,  "Are 
We  Becoming  Homeopaths?"  The  doctor  writes  a  very  live, 
logical  and  convincing  article,  which  is  evidently  doing  its 
work. 

1^  Dr.  C.  M.  Sommer  has  removed  from   Omaha  to  Boul- 

'  der,  Colo.     This  city  in  the  mountains  has  now  one  homeo- 

pathic prescriber — we  do  not  know  how  many  more. 

Dr.  Theodoni  W.  Krichbaum  desires  to   announce  that 
*1  bi'ginning  January  1st,  VM)^,  she  will  dovoto  her   entire   at- 

tention to  the  diseas(»s  of  infants  and  chilJion  giving  special 
,  Consideration  to  the  subject  of  infant  feeding  and  the  hygiene 

fl  of  child   life,  155  PuUerton   Ave.,    South    Montclair,    N.    J. 

Office  hours  10  A.  M.  to  1  P.  M. 

Dr.  H.  E.  IJeebe,  Sidn(\y,  Ohio,  announces;  after  Jan- 
uary 1st,  lUO*^,  his  son.  Dr.  Hugh  M.  Beebe,  will  be  associat- 
ed with  him  in  ]n*actice.  This  will  make  a  strong  homeo- 
pathic team. 

The    Woinaii's   Southern    Homeopathic     Hospital   an- 

^  aounces  tluit   there' will  be   two    vacancies,  for   two    women 

graduates,  7'J4  Spruce  St.,  IMiihuh'lpljia,  Pa.  There  is  a 
salary  and  tine  experien-e.  Toriu  ot  otti  'e  one  year.  For 
further  particulars  address  Di*.  Aui  *lia  L.  Hess,  llUlMt. 
Veron  St.,  Philadelphia,  Pa. 

Dr.  Mary  E.  Hopkins,  Secretary  of  the  Kentucky  State 
Homeopathic  Society,  has  issued  an  a[)peal  to  the  members 
for  the  next  session  which  will  be  held  at  Lexington  in  May, 
UJOH.  After  paying  a  tribute  to  tlie  olUcers  of  the  society 
for  tlieir  etforts  which  secured  the  successful  ses.sion  of  1907,  • 
an  appeal  is  made  to  every  home()[)ath  in  the  state  to  take 
up  the  work  and  contribute*  his  mite,  as  well  as  his  presence, 
that  the  meeting  at  Lexington  may  be  a  successful  one. 

A.C.Stone,  31.  D.,  announces  that  he  has  located  at 
L105  Milwaukee  Ave.,  near  Robey  St.  He  is  a  graduate  of 
Hering,  11)07,  and  we  predict  will  make  his  mark  as  a  suc- 
cessful i)ractitioner. 


NEWS    NOTES. 


139^ 


Brs.  Thomas  G.  and  Josephine  M.  Roberts  desire  to  an- 
unce  that  they  have  removed  their  office  and  residence 
II18760  Lake  Aveenue  to  229  East  Forty-Second  Str^^et. 

The  Minnesota  State  Homeopathic  Institute  will  hold 
regular  meeting  in  Minneapolis,  May  19th.  2()th,  2Ith, 
\  The  Secretary,  Dr.  H.  O.  Skinner,  is  notifying  the 
mbers  thus  early  to  prepare  their  papers  and  get  ready 
a  successful  meeting.  Kentucky  and  Minnesota  are  two 
the  earliest  in  the  field.  They  certainly  deserve  what,  no 
ubt,  they  will  receive  as  a  reward  for  their  enterprise,  a 
W  attendance  and  a  good  meeting. 

The  time  is  at  hand  for  receiving  tenders  of  meeting 
ices  for  the  American  Institute  of  Homeopathy  in  1909. 
Wress  all  such  letters  to  Dr.  Frank  Kraft,  Secretary,  2055 
St  Doth  St.,  Cleveland,  Ohio. 

January  ;},  1909. 
(nh/l  3Ie(Unfl  Advtmre. 

Will  you  kindly  insert  the  following  in  your  journal  giv- 
s  prominent  a  place  as  possible  V 

The  Writer  desires  information  regarding  any  alleged 
'^'eries  or  cures  of  inoperable  or  recurrant  carcinoma  of 
mammary  gland. 

^f  any  case  or  cases  are  known  to  anyone  who  reads  this 
^^^  and  can  be  authenticated  by  facts  as  to  the  history 
'^^dition  prior  to  recovery  and  the  length  of  time  which 
'^^Psed  .since  recovery  such  information  will  be  nmch 
sciated  and  dully  acknowledged. 

^^y  well-authenticated  reports  of  recoveries  from  car- 
^^  located  in  other  parts  than  the  mammary  gl:ul  Vvill  be 
mned. 

laticer  paste  cures,  X-ray  cures,  radium  cures,  or  cures 
^sult  of  surgical  operation  are  not  wanted, 
hearsay  cases  are  not   wanted   unless   accompanied  by 
"^^  and  address  of  person  who  may  give   knowledge  first 
^^-    Address 

Horace  Packard, 
470  Commonwealth  Ave.,  Boston" Mass. 


140  THE   MEDICAL  ADVANCE. 

THE  TIMES  OF  AGGRAVATION  AND  AJ^ELIORATION. 

The  following  letter  was  recently  received  and  is  self 
explanatory: 

Salt  Lake  City,  Utah,  October  26th,  1907. 
Dear  Doctor: — **Can  you  tell  me  where  I  may  find  a  list 
of  the  times  of  aggravation  and  amilioration  without  having 
to  dig  it  out  of  the  Materia  Medica?    I  am  sure  some  one  has 

I  made  such  a  list,  and  I  need  it  both  in  study   and  practice, 

4  as  the  following  experience  with  Lycopodium,   with   regard 

to  its  wellknown  time  of  aggravation  will  prove: 

**A  friend  visited  the  Portland  Exposition  a   few  years 
ago,  returning  with  a   serious   attack  of  typhoid,   through 
which  he  passed  without  harm,  except  that  his  heart  ached, 
.  '  and  had  pain  in  back  for  two  or  three  years   after.     Every 

summer  and  autumn  at  the  same  season  that  he  had  typhoid 
a  fever  appeared  at  4  p.  m.  I  did  not  attend  him  during 
th6  attack  of  typhoid,  but  this  summer  he  described  his  con- 
dition, and  as  an  intimate  friend  I  suggested  a  remedy  and 
gave  him  Lycopodium  54.  The  next  day  the  fever  did  not 
return,  nor  has  it  since  appeared,  and  to  say  that  he  was 
delighted  is  to  put  it  mildly,  for  he  was  under  a  constant 
cloud  mentally  on  account  of  this  annual  recurring  fever. 
Many  other  symptoms,  especially  the  urinary  deposits  of 
Lycopodium  were  present,  but  it  was  the  4  p.  m.  aggrava- 
tion which  led  me  to  give  it."  A.  A.  Ramseyer. 

The  refcent  translation  of  Dr.  Ide's  paper  on  the  **Times 
of  Aggravation  and  Amelioration  of  Our  Remedies,"  by  Dr. 
Boger,  will  fill  this  bill.  The  doctor  will  find  here  an  ex- 
haustive resume  of  the  remedies  of  our  Materia  Medica  as 
to  their  working  time  and  hour.     Write  the  publisher  of  the 

'j  Advance  for  the  little  book  which  can  be  carried  in  the 

■^  IKXjket. 


E  Medical  Advance 


II. 


BATAVIA,  ILL.,  MARCH,  1908. 


No.  3. 


ACCINATION  THE  QNLY  SAFE  AND  SANE 
PROPHYLACTIC  AGAINST  SMALL  POX?* 

George  E.  Dienst.  M.  D.,  Naperville,  IlL 
sident,  Ladies  and  Gentlemen: 

old  Kentucky  physician  with   his   alum   and  rosin 
simplest,  and,  to  him,  most  philosophical  system  of 
a  known  in  his  day    and  neighborhood.     ''Disease,'* 
'*was  a  loosening  and  unjointing  of  things  general- 
bo  get  the  parts  together  and  hold  them  there  was 
e  of  medical  skill."      When  asked  by  a  more   recent 
e  of  a  medical  college  why  he  used  these  two  agents 
m  only  he  replied,  '*I  used  alum  Sah,   to  pucker  the 
gether,  and  rosin,  Sah,  to  seal  them   up   after  they 
kered  together."    On  looking  over  the  therapeutics 
phylactics  of  today,  we  sometimes  wonder  if  we  have 
3d  very  much  upon  the  old  Kentucky  doctor, 
tudy  of  prophylaxis  brings  to  our  attention  several 
.nt  points.     You  will  certainly  pardon  me  if  I  become 
prosaic  or  appear  somewhat  cynical,  as   the  subject 
onsideration  stimulates  to  either  condition. 
'nition:    Vaccination,  technically  means  *'the   art  or 
•  of  inoculating  persons  with  the  cow  pox.*' 
'^(■nate,  from  the  Latin  vctccay  a  cow,  means  to   inocu- 
^  the  cow  pox  (with  especial  emphasis   upon  coiv)  or 
taken  from  cows  called  vaccine  matter. 
cinated — Inoculated  with  the  cow  pox. 
I  will  observe  that  there  are  two  things  necessary  in 
*ess  of  vaccinating, the  manner  and  the  matter.   There 

iblic  address  delivered  at  the  January  meeting  of  the  Regular 
thic  Medical  Society,  Chicago. 


142  THE  MEDICAL.   ADVANCE. 

can  be,  according  to  these  definitions,  no  two  ways  of  vacci- 
nation. It  must  be  by  inocculation,  and  it  must  be  with  the 
cow  pox.  In  this  I  am  sure  I  am  technically  and  legally 
correct. 

But  the  question  arises  right  here  as  it  has  often  done  -- 
how  about  taking  a  scab  or  some  virus  of  a  variolous  nature 
from  one  person  and  therewith  inoculating  another?  Is  this 
vaccination?  Many  so  practice  it,  but  in  truth  it  is  not  vac- 
cination. The  only  part  about  the  process  that  simulates 
,  vaccination  is  inoculation.     It  is   not   vaccination  pure  and 

simple  because  it  is  not  done  with  cow'pox.  If  it  is  not  vac- 
cination, technically,  then  what  is  it?  The  word  vaccinate 
is  derived  from,  as  stated  "above,  vacca,  a  cow.  In  the  pres- 
ent instance  it  cannot  apply,  for  the  virus  is  taken  from  a 
human  being,  and  man  in  Greek  is  Homo,  and  the  noun  form 
must,  therefore,  necessarily  be  homocination,  while  the  act 
can  be  no  more  nor  less  tlian  homicide. 

Here  you  have  the  whole  process  in  as  simple   English 
as  it  is  possible  for  me  to  state   it.     The   above   being  true 
(and  you  cannot  question  it  for  a  moment)  there   can   be  no 
'  I  more  reason  for  vaccination  than  for  homocination,   and  no 

more  reason  to  commit  the  act,  to   vaccinate,    than   there  is 
^  to  commit  homicide.     If  the  one   act  is   criminal  the  other 

should  be,  if  one  is  illegal  and  disastrous  to  human  life,  the 
*  other  should  be  classed  in  the  same  criminal   list.     But,    se- 

riously, ladies  and  gentlemen,  in  this  matter  of  marked  con- 
tention, we  are  not,  in  fact,  so  much  exercised  about  some 
of  the  crude,  repulsive,  and  barbarous  technicalities  as  to 
the  results  to  be  obtained.  While  some  of  the  crudities  of 
niedicine  are  little  less  than  shocking  in  their  administration 
it  is,  after  all  is  said,  results  that  we  desire;  not  fleeting, 
ephemeral,  Roman-candle  like  results,  but  lasting,  effectual 
results  with  the  least  possible  danger  to  health  and  life. 
Let  us  not  inflict  pain  to  prevent  pain  when  it  can  be  pre- 
vented by  a  more  rational  procedure. 

THE  trup:  meaning. 

Our  most  ardent  desire  is  to  find  a  true,   honorable  and 
honest  means  by  which  to  obtain  pure,  harmless  and  lasting 


lCCination  the  only  preventive  of  small  pox?  143 


ts  without  exposing  our  stupidity  by  being  blind  fol- 
rs  of  the  blind  in  every  crudity  that  comes   along.     Be- 

3  Mr. accidentally  swallowed  a  beetle  and  wasthere- 

ilieved  of  an  attack  of  entero-colitis  which  was  afftict- 
lim  so  severely  at  the  time  that  he  could  not  close  his 
h,  does  it  follow  that  we  must  prescribe  the  same  kind 
beette  to  every  man  suffering  from  a  similar  affliction 
:dless  of  every  other  condition,  to  obtain  relief  from  a 
ar  attack  of  colic? 

SVhat  is  it  that  we  want  to  obtain  in  the  matter  of  vacci- 
►n,  and  the  administration  of  internal  remedies?  A 
hylactic.  And  what  is  a  prophylactic?  In  the  verbal 
it  means  ''to  prevent,  to  guard  against,  to  preserve." 
le  noun  form  it  means  a  medicine  which  preserves  or 
ids  against  disease,  '*a  preventive."  There  is  nothing 
in  the  dictionary  about  what  kind  of  medicine  prevents 
low  the  medicine  is  to  be  given — per  orum  (by  mouth)  or 
sutaneously.  This  being  true  it  is  obvious  that,  in  a  stu- 
f  prophylactics  and  their  administration,  ill  advised  fan- 
sm  has  played  first  base  to  the  injury  of  the 
e. 

Judgment,  acute  observation,  unprejudiced  investiga- 
have  played  but  little  part  in  some  of  the  preventives  of 
past.  A  remedy,  or  a  combination  of  remedies  has  been 
ited  before  the  public  and  the  profession;  results  have 
I  lauded  to  the  high  heavens,  and  all  have  fallen  into 
ching  columns  and  blindly  followed  these  laudations  un- 
ome  master  mind  has  proven  them  worthless;  when  sud- 
y  th^re  is  a  flanking  movement  to  follow  another  U/nus. 
ti  has  been  the  trend  of  medical  science  until  Osier  and 
(rs  have  become  atheistic. 

As  rational  beings  it  is  the  prevention  or  the  preventive 
icine  we  want — a  remedy  well  proven  and  certain  to 
luce  results — and  not  the  manner  of  inoculating  human 
gs  with  a  poison  the  results  of  which,  in  so  many  in- 
ces,  have  proven  positively  hazardous.  It  is  not  wise 
it  a  tree  down  for  fear  that  some  future  storm  may  blow 
'er.    Our  forests  are   already   sadly   depleted   by  such 


ll 


.1 


M4  THE   MEDICAL  ADVANCE. 

For  the  sake  of  argument  let  us  suppose  that  the  dis- 
coverer of  quinine  as  a  prophylactic  against  malarial  fever 
fwhich  is  not  admitted)  found,  by  mere  accident,  that  ten 
fn^ins  dissolved  in  one-half  glass  of  warm  water,  the  whole 
amount  of  it  taken  at  one  dose  on  retiring  prevents  a  chill 
on  the  following  day;  and  then  suppose  that  one  hundred 
years  later  another  observer  found  that  two  grains  put  into 
n  gelatine  capsule  or  encased  in  sweet  chocolate,  and  taken 
on  retiring,  accomplished  the  same  results  without  the  nau- 
seous taste  and  annoying  deafness  as  a  sequela;  does  it  fol- 
low that  we  (or  any  one  for  that  matter)  must  take  our  qui- 
nine in  the  manner  and  quantity  prescribed  by  the  first  ob- 
server? Would  it  be  sane  to  pass  a  law  compelling  people 
to  take  their  quinine  in  such  a  manner  at  the  caprice  of  a 
health  officer  or  some  one  else  in  authority,  when  a  simple 
and  milder  and  infinitely  less  injurious  method  had  been  dis- 
covered? Has  any  officer  of  the  law  or  any  combination  of 
officers  of  the  law  for  that  matter,  any  authority,  whatever, 
bo  compel  me  to  take  my  quinine  in  the  manner  as  given  by 
aamber  one,  and  this  too  when  I  had  no  malarial  chills  or 
fever,  and,  though  living  in  a  malarious  climate  was  not 
Tifflicted  with  its  ravages?  No  one  but  a  fool  would  say  yes. 
One  thing  is  true — if  I  had  to  take  my  quinine  as  prescribed 
by  number  one  there  would  be  two  emphatic  doses  instead 
of  one — one  down  and  the  other  up.  And  if  I  choose  not  to 
take  it  at  all  what  concern  is  that  of  his?  And  I  am  sure 
that  this  particular  form  of  taking  quinine- could  never  be 
legalized  in  Kentucky,  Chicago  and  St.  Louis  wh^re  water 
jf4  so  seldom  used  internally. 

CAUSING   DISEASE   TO   PREVENT   DISEASE! 

I  beg  pardon,  in  matters  of  life  and  health  the  more  ra- 
tional and  reasonable  we  are  the  safer  the  public  in  general 
will  bie;  for  to  some  of  us  at  least  it  does  not  seem  rational 
to  create  one  evil  in  order  to  prevent  another,  to  injure 
health  in  order  to  prevent  an  injury  to  health.  But  what 
has  this  to  do  with  vaccination?  Much  every  way.  Let  us 
isee.  The  original  idea  was,  and  the  modern  practice  is  to 
inoculate  the  human  blood  with  a  diseased  product,    practi- 


IJCINATION  THE  ONLY  PREVENTIVE  OF  SMAL.L  POX.     145 

crude,  a  poisonous  substance  obtained  from   a   cow — 
•eed  is  not  mentioned — in  fact  a  scab  from  a  putrifying 
a  virus,  a  diseased  product  without  regard  to   the  age 
position  of  the  cow,  without   any   consideration   as  to 
ler  she  is  docile  and  a  good  milker,  or  whether  she  is 
sh  and  ready  to  kick  or  butt  the  green  cheese  put  of  the 
.    There  is  no  question  as  to  whether  the  cow  is  white 
Lck,  a  Jersey  or  PoU-angus,  or  simply  the  old  bob  tailed 
le  fresh  from  the  wood's  pasture.     There  is  absolutely 
estion  asked  as  to  the  influence  of  this  inoculated  virus 
the  human  family  and  its  disposition,  and  possibly  this 
necessary;  but  judging  from  what  we   have   seen,    we 
>rced  to  the  conclusion  that  the   vast   majority   of  the 
n  race  must  have  been  inoculated  with  the  virus  taken 
the  most  celebrated  kickers  in  the  herd,    and   that  the 
y  practically  was  left  out  of  the  question, 
•eriously,  this  virus  or  cow  pox  is  supposed  to  be  taken 
healthy  cows  so  declared  by  an  experienced  veterinary; 
teriiized,  foul  matter  is  supposed  to  have  been   elimin- 
and  with  glycerine  as  a  bas^  it  is  put  into   hermetical- 
iled  glass  tubes  or  upon   ivory   or  bone   points.     This 
is  supposed  to  contain  nothing  but  the   pure   unadult- 
d  cow  pox^  which,  if  inoculated  into   the  human   body 
ices  a  condition  and  an  array  of  symptoms  supposed  to 
I  that  body  immune  against  small-pox.     It  is  in  fact  the 
iss  of  producing  one  disease  in  an  active  form  in   order 
event  another.     It  is  changing  a  normal  for   an   abnor- 
iondition  in  an  effort  to  prevent  abnormality.     It  is  en- 
ag  one  diseased  condition  with  all  its  complications  and 
3lae  in  an  effort  to  prevent  another  in  an  individual  who 
nob  be  susc3Dtible  to  it.     If  enforced  as  some  desire,  it 
lited  in  its  operation,  in  its  ravages,  by   the   limitations 
rrestrial  population  only;  while  the   disease   it   is   sup- 
d  to  prevent  is  self  limiting  in  its  nature,  and  never  be- 
5s  universally  epidemic.     It   is   making   a   drunkard  of 
1  to  prevent  his  becoming  a  thief,  even   though,  he  has 
T  shown  any  tendencies   to  kleptomania,    regardless  of 
vital  question  as  to  whether  John  is  safer,  a   better   and 


1 


I 


146  THE  MEDICAL  ADVANCE. 

a  decidedly  more  moral  man  as  a  drunkard  than  as  a 
thief.  This  is  not  overdrawn,  but  is  a  living  issue  right  in 
our  midst  at  this  very  moment. 

Let  us  suppose  for  a  moment  that  the  cow  from  which 
the  virus  is  taken  is  perfectly  healthy,  does  it  still  follow 
that  inoculation  by  this  virus  to  produce  sickness  where 
none  exists,  in  order  to  prevent  one  the  patient  may  never 
have,  has  any  enduring  or  prophylactic  properties?  If  not 
is  it  rational  to  produce  every  six  months,  one  year,  two 
years  or  more  a  disease  in  a  healthy  body,  or  keep  enforc- 
ing a  diseased  condition  in  a  body  already  depleted  by  pre- 
ceding inoculations,  to  prevent  another  disease  often  less 
injurious  than  the  inoculated  disease?  What  will  be  the 
final  results  of  this  im]>edunent  or  repeated  impediments  to 
the  vital  forces — this  deadening  of  strength  and  poisoning 
of  the  blood?  What  would  you  think  of  the  man  who  pro- 
duces by  severe  remedies  a  depleting  dysentery  every  three, 
four  or  six  montlis  or  even  a  year  tD  prevent  a  constipation 
he  did  not  have  and  possibly  would  not  have,  but  feels  he 
might  have?  Is  he  preventing  or  producing  the  thing  he 
feared?  Would  you  not  say  that  he  was  a  fit  subject  for 
Dunning  or  the  FooFs  cap.  The  theory  and  the  practice, 
therefore,  of  this  entire  problem  seems  to  me  void  of  every 
vestige  of  correct  reasoning. 

cow   POX    A   MIXED   INFECTION. 

Nor  is  this  all.  The  cows  are  not  all  healthy.  There 
may  be  latent  tuberculosis,  anthrax,  tetanus  or  other  disor- 
ders, for  we  know  that  these  are  common  among  cattle. 
These  various  diseases  may  b3  ready  to  blossom  into  action 
and  still  be  unnoticed  by  the  veterinary  until  the  tubes  have 
been  filled  and  the  points  medicated  and  sent  abroad  in  the 
land.  Then  what?  Sup])ose  that  out  of  a  herd  of  fifty  cows 
on  a  vaccine  farm  there  is  one  tubercular  cow — a  thing  very 
probable — and  suppose  that  from  this  cow  there  are  500  tubes 
and  points  prepared  and  sent  to  various  parts  of  the  world 
and  used  in  vaccinating  people.  Now  then,  it  is  not  at  all 
improbable  that  out  of  every  fifty  persons  vaccinated  there 
is  one  of  a  tubercular  diathesis,  or  predisposition  to  tuber- 


INATION  THE  ONLY  PREVENTIVE  OF  SMALL.  POX?   147 


Will  not  the  infection  with  these  tubercular  germs 
t  were,  the  entire  system  on  fire  with  tubercular 
hasten  its  development,  increase  the  sufferings  of  the 
lal,  shorten  his  life  and  make  it  more   impossible   to 

ameliorate  than  if  he  had  not  been  so  inoculated? 
iing  of  very  combustible  fuel  to  a  fl^me  increases  its 
i  makes  it  more  dangerous. 

;  you  say  this  is  a  small  percentage  of  what  may  be 
^,  and  if  forty-nine  cases  can  be  saved  or  forty-nine 
■  small  pox  can  be  prevented  we  should  be  willing  to 
I  one  out  of  fifty.  But  does  it  prevent?  Suppose 
s  one  to  be  sacrificed  is  the  only  son  of  a  wealthy  or 
ial  family,  and  vast  interests  are  at  stake,  which  in 
rse  of  time  he  is  to  assume,  and  with  which  he  can 
imself  a  blessing,  to  the  whole  family,  does  it  still 
hat  it  is  wise  and  in  the  interest  of  science  to  sacri- 
B  in  fifty  to  maintain  the  prophylactic  properties  of 
tion?  Suppose  further,  that  this  one  out  of  fifty  is 
ily  son  or  only  child  and  you  know  that  under  ordi- 
rcumstances  he  or  she  will  live  to  comfort  your  de- 
years,  do  you  still  want  to  sacrifice  this  one  to  main- 
doubtful  prophylactic?  Ah,  this  is  * 'sentiment  not 
*1  Let  it  be  sentiment,  but  is  it  not  a  stern  fact  that, 
ome  of  these  things  come  to  our  homes  and  ruin  them 
ik  a  trifle  faster   than  when  they  ruin  our  neighbor's 

And  yet  in  spite  of  all  this  there  are  few  prophylac- 
nts  used  so  indiscriminately,  as  vaccination. 

MORE   A   FAD   THAN   SCIENTIFIC. 

f^  are  forced  to  think  that  it  is  more  a  fad  than  a  care- 
udied  scientific  prophylaxis.  Think  of  it  I  as  a  rule  there 
question  asked  as  to  age,  sex,  occupation,  previous 
on  of  health,  environment,  present  State  of  health, 
^on  of  the  skin  or  any  other  part  of  the  body.  The  law 
state  provides,  timidly,  certain  limitations  in  the 
'  of  vaccination,  but  it  is  a  mere  apology  for  a  limita- 
Orders  are  issued  by  Boards  of  Health,  often  prompted 
'Onscienceless  health  physician  that,  all  the  school 
-h  in  a  certain  school   or  schools  must  be   vaccinated. 


U8  .  THE  MEDICAL  ADVANCE. 

and  in  some  instances  this  same  health  physician,  or  some 
one  appointed  by  him  to  do  the  vaccinating,proceeds  to  said 
school  or  schools  and  without  a  word  from  the  parents,  for 
or  against  the  procedure,  vaccinates  every  one  who  has  not 
been  recently  vaccinated  and  in  doing  so  hopes  to  enhance 
his  own  reputation  and  the  popularity  of  his  prophylactic. 
Indeed,  in  some  instances  school  boards  and  teachers  and 
influential  patrons  of  the  school  laud  such  a  physician  and 
board  of  health  to  the  heavens,  never  for  one  single  momeni 
tarrying  long  enough  to  think  of  the  many  serious  and  fatal 
diseases  produced  by  the  process.  It  is  the  fashion  and 
must  be  followed  at  any  cost. 

There  is  never  a  question  asked  as  to  how  this  inflated 
theory  and  practice  will  affect  the  future  of  the  child.  There 
is  never  a  question  as  to  the^  sore  arms  (that  is  what  they  ex- 
pect), feverish  nights,  pain,  ulcers,  necrosis,  erysipelas,  im- 
paired hearing,  impaired  vision,  decayed  teeth,  every  con- 
ceivable form  of  nervous  irritability,  anemia,  languor,  en 
larged  glands,  atrophied  muscles,  melancholy  and  a  thousand 
other  ills  that  follow  in  the  train  of  this  great  destroyer  of 
human  health.  Is  this  over-drawn?  Has  imagination  played 
too  many  pranks  with  facts?  Possibly!  I  have  in  my  own 
family  a  daughter  who,  after  being  vaccinated  at  three  years 
of  age,  had  necrosis  of  the  left  side  of  the  lower  jaw  from 
which  I  removed  a  piece  of  bone  as  large  as  a  filbert,  and 
soon  thereafter  removed  a  similar  piece  of  bone  from  the 
lower  i)osterior  angle  of  the  right  jaw.  This  is  but  one 
instance,  but  being  in  my  own  family  makes  it  all  the  more 
important  to  me. 

AN   INVASION   OF   PERSONAL   RIGHTS. 

The  strange  feature  of  the  matter  is  this  that,  in  spite  of 
open  and  glaring  facts  stigmatizing  this  as  a  barbarous  prac- 
tice, and  in  spite  of  the  opposition  of  some  of  our  most 
liearned  observers,  crafty  individuals  continue  to  practice  it 
and  urge  its  practice  among  the  laity  and,  indeed,  try  to 
pass  legislative  measures  enforcing  the  practice  against  the 
free,  full  and  better  judgement  of  the  sane  population. 

Think  of  it  I  trying  to  pass  laws  obligating  physicians  to 


:CINATION  THE  ONLY  PREVENTIVE  OF  SMALL  POX.    149 


late  indiscriminately  the  high  and  the  low,  the  rich  and 
X)r,  the  sick  and  the  well,  to  prevent  a  disease  which, 
?  the  introduction  of  vaccination  was  comparatively  a 
disease — to  pass  a  law  compelling  physicians  to  vacci- 
:he  inhabitants  of  our  fair  and  healthy  land  with  a  dis- 
>roduct  to  produce  a  diseased  condition;  to  engraft  on 
ric,  tubercular  or  other  miasmstic  base,  another  miasm, 
by  complicating  the  existing  and  constitutional  state 
lucing  new  symptoms  and  causing  a  new  disease  nomen- 
'e.  It  is  lowering  the  vital  forces  of  a  nation,  imped- 
lysical,  mental  and  normal  development,  endangering 
nd  augmenting  general  suffering,  and  all  this  to  pre- 
-to  prevent — Ah  me!  to  prevent  a  mole  hill  and  create 
mtain,  to  prevent  a  spark  and  cau^ie  a  conflagration, 
is  civilization,  enlightenment,  Christianity!  This  is 
e,  progress,  the  acme  of  human  prophylactics.  Great 
prevention  of  the  progressionists! 

J^hat  right  has  any  man  to  come  into  my  home  and  in- 
be  with  the  cow-pox  any'  member  of  my  family  now  in 
health  and  not  in  the  least  exposed  to  a  contagion  of 
dnd  to  prevent  something  not  even  now  epidemic,  and 
ng  so  cause  pain,  fever,  sleepless  nights,  inability  for 
d  or  physical  labor,  for  three  or  four  weeks,  or  engraft 
by  on  the  constitution  a  disease  far  more  insidious  in 
erations  and  deadly  in  its  ravages  than  small-poxV  Did 
ver  hear  of  or  see  anything  quite  so  barbarous?  Yet 
5  being  done  many  times  and  were  it  not  for  the  oppo- 
it  would  be  done  more  frequently. 

tut  it  has  been  proven  that  vaccination  is  a  preventive 
lall-pox.  Is  it  true,  in  the  spirit  in  which  these  words 
dually  uttered?  Is  it  true,  or  is  it  building  a  super- 
bure  upon  false  foundations? 

^he  whole  problem  is  as  reasonable  as  it  would  be  to 
ce  the  use  of  some  particular  brand  of  limburger  cheese 
istry  dyspeptics,  or  some  special  brand  of  macaroni 
ailway  employes,  or  some  particular  species  of  birds- 
joup  for  the  gout.  Talk  about  trusts  and  graft! 
f  all  these  things  are  true,  is  it  not  appalling  that  men 


150  THE  MEDICAL  ADVANCE. 

it  in  this  age  of  the  world  insist  upon  and  practice  such  disease 

and  death  dealing  blows  as  vaccination? 

,,  WHAT    DOES   HOMEOPATHY   OFFER. 

1 1  But  the  question  arises — what  have  you  to  offer  that  will 

*J  prevent  small-pox  and  not  endanger  health  or  life?  We  have 

,1  everything  reasonable  to  offer.  Observe  the  following  which 

"l  has  been  proven  most  effective,  very   easy  to  obtain  and  is 

'.  practiced  by  many  of  our  most  enlightened  physicians. 

^  First:     Cleanliness — personal,  in   the  home,  on  the  table 

\  — in  every  way. 

X  Sec6nd:     Courage,    in  opposition  to  fear.     Fear  is  pro- 

ductive of  many  contagions  and  particularly  small -pox. 

Third:     The   indicated   remedy  in  each  individual  case. 
By  this  I  mean  that  every  individual  with  an  ache  or  pain  or 
susceptibility  to  disease  should   have   the   homeopathic   re- 
"  niedy   suited   to   his   or  her  particular  disease  tendency  and 

4  this  tendency   removed.     Such    an   individual   restored  to 

j-I  health  by  the  true  homeopathic  method  has  absolutely  noth- 

^B  ing  to  fear  from  cx)ntagion.     He  is  healthy  and  health  is  in- 

imical to  contagion. 

Fourth:     Particular  remedies   in  case  of  danger  from 
small-pox.    These  remedies  are — Malandrinum,   Vaccininum 
and  Variolinum.     These  are  all  true,  safe  and  tried  prophy- 
'f  Ifictics. 

j  Time  forbids  me  giving  statistics  and  results  which  are 

abundant.     The  subject  is  now  before  you  for  discussion. 

[In  the  August  issue  of  The  Advance,  (Appendix),  can 
be  found  an  article  written  by  Dr.  C.  W.  Eaton,  of  Des 
Moines,  Iowa,  giving  some  very  interesting  statistics  which 
show  the  results  in  over  two  thousand  cases  where  the  hom- 
eopathic prophylaxis  of  small  pox  was  successfully  used.  A 
reprint  of  this  excellent  paper  can  be  obtained  for  five 
cents  a  copy  by  addressing  The  Advande.     Ed.] 


ELATION  OF   VACCINATION  TO  TUBERCULOSIS. 


151 


ILATION  OF  VACCINATION  TO  TUBERCULOSIS. 

BY  W.  P.  Roberts,  M.  D.,  Chicago, 
ig  seventy  years  **young",  a  cured   consumptive,    a 
and   holding  a  diploma  of  one  of  the   recognized 
athic  Medical  Colleges  chartered   under  the  laws  of 
* 'Please  can  I  speak"? 

856  I  was  doomed  to  die  of  consumption — phthisis 
iris — in  my  native  state  of  Maine,  by  five  as  eminent 
,ns  as  the  state  then  afforded. 

as  my  good  fortune  at  this  time  to  have  a  brother 
>  building  a  railroad  from  Peoria  111.,  to  Burlington 
[t  happened  in  the  month  of  September  of  that 
ble  1856,  when  the  old  time  western  autumns  were  so 
lightful,  that  I  landed  at  my  brother's  comfortable 
Peoria  so  feeble  I  could  not  walk  a  block  without 
?  to  rest.  My  feet  were  swollen,  I  had  night  sweats 
^ry  distressing  cough,  not  to  mention  the  filthy  sputa 
s  so  disgusting  to  well  people,  and  a  most  annoying 
to  the  victim  whence  it  came. 

i  doctors  who  had  doomed  me  to  die  within  six 
.  made  no  mistake  in  their  diagnosis  I  am  sure,  but 
mewhat  off  on  their  prognosis,  for  here  I  am  very 
live  over  fifty  years  later. 

iice,  now  to  say,  that  inside  of  two  months  after  adopt- 
leer  railroad  camp  life  I  was  a  cured  consumptive,  or 
ly  cured  that  I  was  placed  on  the  pay-roll  and  took 
terest  in  helping  complete  the  track  into  Galesburg 
the  winter.  Passing  the  troubles  of  those  days  I 
nyself  on  a  farm  in  Linn  County  Iowa,  where  I  pros- 
orsix  years,  and  was  the  neighborhood  "Man  nurse", 
with  a  box  of  homeopathic  pellets  and  Small's  domes- 
i  bo'jk,  doing  the  best  I  knew  free  gratis  to  care  for 
f,  being  the  nearest  to  a  full  fledged  doctor  within 
es  of  the  little  town  called  Fairfax.  In  1h7)]  I  sold 
II,  moved  to  Chicago,  bought  a  perpetual  ticket  in 
nann  College  and  took  my  lectures,  until  in  1876  the 
deemed  me  qualified  to  practice  medicine  and  surgery 
^6  me  the  medical  degree. 


152 


THE  MEDICAL  ADVANCE. 


[ 


KOCH'S  TUBERCULIN   ANNOUNCED. 

One  sees  a  variety  of  conditions  and  has  many  ex- 
periences in  an  active  medical  practice  covering  a  period  of 
nearly  forty  years. 

In  1890  during  the'greatKoah  treatment  for  tuberculosis 
I  grew  intensely  interested,  and  in  tlie  midst  of  that  wonder- 
ful excitement  when  the  newspapers  were  giving  it  the 
widest  free  advertising,  some  Milwaukee  doctors  journeyed 
all  the  way  to  Koch's  headquarters  in  Germany,  to  secure 
the  material,  and  instruction  how  to  use  it.  I  got  more  and 
more  on  the  alert  to  keep  **tab"  on  reported  results. 

It  did  not  take  very  long  to  prove  it  to  be  another 
**Fadilinkdum" — for  according  to  published  reports  many  a 
poor  sufferer  with  tuberculosis  took  the  limited  fast  train 
out  of  Milwaukee  for  the  '^Kingdom  come."  The  victims 
flocked  there  from  far  and  near  only  to  be  hurried  into  their 
funeral  wardrobes  and  "wooden overcoats." 

About  this  time  I  ventured  to  furnish  a  short  article  for 
my  daily  paper,  the  (liiciujo  later  Ocean.  It  found  a  welcome, 
and  brought  me  compliments  from  some  brother  homeo- 
pathic practitioners.  In  that  article  I  ventured  to  compare 
the  difference  between  the  two  schools  of  medicine,  making 
the  story  good  by  giving  the  many  persecutions  our  great 
founder,  and  Master  of  Homeopathy — Samuel  Hahnemann — 
passed  through,  and  finally  driven  from  his  '*Father-land' 
into  a  foreign  country  where  he  was  given  a  chance  to  prove 
the  science  of  Siniilia  SlmUibus  Curantur.  One  hundred  years 
later  an  old  school  doctor  without  havltif/  proved  anything 
definite  had,  mushroom-like,  gained  great  applause  through 
every  printing  oftice  throughout  the  world.  I  ventured  to 
predict  that  it  would  not  last  long. My  prediction  came  true, 
for  it  was  only  a  short  time  until  one  of  his  own  school,  a 
scientist,  Virchow  by  name,  pronounced  his  opinion  on 
th  e  Koch  treatment,    and  it  went  out  like  a  summer  snow. 

This  disappointment  to  the  medical  profession  was  the 
means  of  setting  the  gray  matter  in  my  cranium  into 
a  ction.  In  April  of  1<^90,  I  was  able  to  get  to  Chicago  where 
I  found  an  old  friend  in   Dr.  T.  C.  Duncan  ready  to  take  a 


iLATION   OF  VACCINATION  TO  TUBERCULOSIS. 


153 


ith  me,  and  we  inaugurated  the  first  crugade  along 
of  the  **Open-aJr''  means  of  treatment  or  a  similar 
by  which  I  had  been  saved,  way  back  in  1856.  In 
n  three  months  we  had  organized  the  ** American 
Resort  Association,"  and  secured  a  charter  under  the 
regulations. 

Qy  wanderings  over  New  England  and  New  York  I 
I  funds  and  distributed  Jour  literature  amongst  two 
viz.:  the  doctors  and  editors. 

BOVINE   TUBERCULOSIS. 

ile  on  a  trip  through  western  New  York  in  1893,  I 
in  Syracuse  and  chanced  to  see  in  the  morning 
notice  of  the  state  annual  meeting  of  the  veterina- 
id  found  that  they  would  have  a  paper  on  bovine 
losis  read  and  discussed.  I  found  the  hall  and  was 
hearty  welcome  and  invited  to  have  a  part  in  the 
on  from  the  standpoint  of  a  medical  man. 
pas  definitely  proven  by  the  veterinarians  that  near- 
le  native  cattle  in  the  great  Empire  State  were  afflict- 
tuberculosis,  and  if  they  were  allowed  to  live  to  a 
ears  old,  the  most  of  them  would  die  of  tuberculosis, 
lem  of  the  experiences  of  the  Rhode  Island  people  at 
ate  farm  where  it  was  discovered  by  the  secretary  of 
te  Board  of  Health,  that  the  herd  was  affected  with 
losis,  and  an  expert  veterinarian  from  Massachusetts 
ployed  to  examine  the  herd.  After  making  a  care 
gnosis  he  decided  that  about  one-third  of  the  seventy 
irely  affected,  one-third  he  was  doubtful  about,  and 
•d  he  thought  did  not  have  any  tubercles.  But  after 
emor  held  a  council  with  his  staff,  it  was  decided  to 
er  the  whole  Jierd,  and  it  was  found  that  even  the 
at  heifers,  and  six  months  old  calves  showed  the  tu- 
in  their  lungs. 

lention  these  experiences  to  prove  what  came  to  my 
dge  later  relating  to  bovine  vaccination,  more  espe- 
he  so-called  '*pure  calf  lymph,"  which  was  then,  and 
30  much  lauded  by  the  pro- vaccinationists. 


154  THE  MEDICAL  ADVANCE. 

COMPULSORY   VACCINATION   IN   MASSACHUSETTS. 

During  the  attempt  to  abolish   compulsory   vaccination 
in  Massachusetts  a  few  years  ago,  it  was  my   privilege  to 
be  present  at  four  of  the   five   hearings   before   the   public 
health  committee  in  the  state  legislature.    I  learned  many 
things  regarding  the  methods  of  securing  the  poison  com- 
monly called  vaccine  virus,  or  *'pure  calf  lymph."    I  being 
an  anti-vaccinationist  since  1883,  was  deeply   interested  to 
learn,  and  if  possible,  to  know  if  I  had  been  making  a   mis- 
take along  these  lines,  but  the  more  information  I  obtained 
the  stronger  I  became  convinced  I  had  not  made   any  mis- 
take in  taking  this  stand.     I  learned  one  point  not  generally 
known,  viz.:  that  instead  of  the  virus  being  kept    alive   and 
handed  down   since   Dr.   Jenner's  time,  that  some   twenty 
years  ago,  a  brand  new  and  fresh  source  of  supply   was  se- 
cured somewhere  in  France  from  a  cow  which  was  sporadi- 
cally affected  with  "cow-pox."     This  opportunity  was  seized 
upon  to  begin  anew.     This  news  came   as   a  surprise   when 
one  legislator  on  the  committee  put  the  question  to  the   sec- 
retary of  the  state  board  of  health.     I  was  requested  to  help 
the  public  health  committee  think  of  pertinent  questions  to 
to  draw  out  information.     This  gave  the  anti- vaccinationists 
opportunities  to  discuss  them,  either  pro.  or  con.    I  took  the 
ground  in  the  discussions  that  all  bovine  vaccine  virus  was 
nothing  but  "rot"'  of  broken  down  animal  tissues,  and  it  was 
unconstitutional  for  any  body  of  officers,  municipal,  or  other 
wise  to  make  ordinances,  or  pass  legislative  enactments  to 
endanger  the  health  and  lives  of  innocent  children,  and  that 
the  so-called  protection  against  small-pox  by  bovine  vacci- 
nation, was  not  only   dangerous,    but  depleted  the   victim, 
making  them  more  succeptible  to  small-pox  and  other  dis- 
eases.    And,    since  all  cattle  were  liable  to  have  tuberculosis, 
and  since  the  majority  of  the  people  are  forced  to  be  vacci- 
nated it  was  one, if  not  the  most  prolific  cause  of  consumption 
— tuberculosis.     In  my  judgement  the  sooner  vaccination  is 
abolished   the   sooner  will   begin  a  decrease  in  death  rates 
from  tuberculosis. 

We  learn  in  the  Good  Book  that  the  Prophets  inform  us 


VARIOLINUM  IN  THE  TREATMENT  OF  SMALL  POX. 


155 


le  terrible  troubles  that  must  precede  the  beginning  of 
Millennial  age.  Part  of  this  work  of  the  Devil  began  by 
inating  the  human  body  with  filthy  virus  to  prevent 
loathsome  disease.  God's  **Moses"  Dr.  Creighton,  set 
e  pace  for  abolishing  this  diabolical  fallacy  even  though 
i^lit  add  to  the  terrible  troubles  predicted  and  it  is  the 
of  those  who  do  not  believe  in  the  fallacy  to  act  as 
ors,  not  so  much  by  instituting  suits  in  civil  courts  of 
at  by  insisting  on  teaching  the  better  way  as  laid  down 
r  Masters  in  Homeopathy. 


OLINUM  IN  THE  TREATMENT   OF   SMALL  POX^ 

By  Dr.  Fkank  A.  Gustafson,  Aurora,  III. 

ofessor  of  Materia  Medica,  Hering  Medical  College,  Chicago, 
larly  this  spring  it  was  my  fortune,  or  misfortune,  to 
an  experience  with  small  pox  such  as  is  rarely  encoun- 
by  the  medical  man  in  general  practice  today, 
he  disease  found  its  way  into  the  school  of  the  little 
e  in  which  I  then  i;esided,  and  before  we  were  through 
t  we  had  some  fifty-five  cases  in  all,  mostly  confined 
(  children  of  the  primary  grade  and  their  smaller  broth- 
id  sisters,  although  there  were  a  number  of  adults  af- 
l. 

f  the  fifty- five  cases  reported  none  died.  This  may 
been  due  in  part  to  the  fact  that  in  the  majority  of 
the  disease  was  very  mild,  but  there  is  no  question  in 
ind  but  that  the  remedy  had  a  good  deal  to  do  in  mod- 
?  the  type  of  the  disorder;  since  otherwise  there  is  no 
.nation  for  the  recovery  of  some  of  the  cases  of  the 
severe  type.  The  great  majority  of  those  afflicted 
not  very  ill  after  the  appearance  of  the  eruption;  some 
scarcely  ill  at  all  after  taking  the  medicine;  others 
very  ill  with  a  severe  confluent  type,  and  one  or  two 
ly  escaped  death. 

rhere  is  no  question  as  to  the  diagnosis — the  officers  of 
State  Board  of  Health  confirmed  that,  and  were  fully 
feof  the  gravity  of,  at  least   two  of  the  cases.     So  we 


1 


156  THE    MEDICAL  ADVANCE. 

have  to  deal  in  this  report  with  variola  vera,  not  chicken 
pox,  or  some  other  hybrid  disorder  simulating  it.  We  have 
to  deal  with  a  disorder  described  in  warning  circulars  sent 
out  by  the  health  officials  of  the  state  as  having  resumed  its 
former  malignancy  and  claiming  its  victims  by  the 
score. 

With  but  few  exceptions  the  stage  of  invasion  was  sim 
ilar  to  that  described  in  the  books;  headache,  backache,  sore 
throat,  furred  tongue,  high  temperature,  great  drowsiness, 
etc- ,  persisting  for  some  two  or  three  days,  with  an  erup- 
tion of  a  pustular  type  appearing  upon  the  face,  extremities 
and  other  parts  of  ^he  body  in  due  order. 

But  with  the  second  stage  there  was  a  departure  from 
the  discription  of  the  books.  The  patient,  as  a  rule,  and 
with  one  exception  only,  failed  to  develop  a  secondary  tem- 
l)erature,  and  that  too  in  severe  confluent  cases.  Moreover, 
the  disease  was  shortened  by  many  days,  in-  some  cases  as 
many  as  ten  or  twelve  days,  and  but  two  cases  ran  the  fuL 
four  weeks  of  the  unmodified  disease.  And  in  this  reckon 
ing  I  count  from  the  date  of  the  initial  chill  or  fever  to  the 
end  of  the  stage  of  desquamation,  or  until  the  skin  was  en- 
tirely clear  of  crusts. 

Case  I.  E.  B.  Ten  years  of  age,  the  first  of  the  cases 
of  any  consequence.  Taken  ill  as  stated  above  with  head- 
ache, backache,  high  temperature,  etc.,  eruption  on  the  third 
day,  decline  of  temperature  with  appearance  of  eruption. 

Treatment — Atimonium  tartaricum  because  of  charac- 
teristic eruption  and  other  symptoms.  On  the  seventh  day 
she  was  given  Variolinum  Im.  in  water.  This  was  one  of 
the  most  perfectly  developed  confluent  cases  of  the  whole 
epidemic.  There  was  not  a  patch  of  skin  on  her  whole  body 
free  from  pustules — sometimes  a  mass  of  eight  or  ten  pus- 
tules coalesced.  On  both  feet  were  patches  as  large  as  fifty- 
cent  pieces.  Notwithstanding  all  this  pus  her  temperature 
never  exceeded  QQi"^  after  the  decline  of  the  primary  tAn 
perature,  and  this  only  for  a  day  or  two.  Nor  was  she  at  all 
ill,  she  felt  well,  would  have  been  up  and  about  her  room 
but  for  the  tenderness  of  the  soles  of  her  feet.    This  is  truly 


lRiolincm  in  the  treatment  of  small  pox.    157 

:able  state  of  affairs  in  confluent  small   pox.     And 

E  II.  R.  B.  Twelve  years  of  age.  Severe  conflu- 
1  pox,  pronounced  by  visiting  physicians  in  a  preca- 
idition.  His  temperature  remained  between  101° 
for  seven  or  eight  days.  The  eruption  was  slow  in 
Lg,  temperature  delayed  in  declining  after  appear- 
iruption,  secondary  temperature  of  103^.  But  un- 
olinum  Im.  and  later  5cm.,  he  made  a  good  recovery 
y  days,  and  there  are  no  pits,  nor  scars   to  tell  the 

E  III.  G.  G.  Forty-seven  years  of  age.  Confluent 
>x,  high  temperature,  higher  than  any  of  the  others, 
from  the  beginning;  so  ill  that  I  bad  no  thought  of 
lim.  Even  after  the  appearance  of  the  eruption  the 
ture  continued  above  103°.  He  was  tall,  lean, 
shouldered,  red  faced,  a  great  eater,  and  not  overly 
ar  as  to  his  personal  appearance.  And  Variolinum 
)n  these  symptoms  he  was  given  three  doses  of  Sul- 
?h,  followed  in  twelve  hours  by  Variolinuxti  5cm. 
cided  amelioration.  Within  twenty-four  hours  his 
tture  dropped  to  normal  and  he  made  an  uneventful 

y. 

Dy  other  cases  might  be  cited,  but   these  suffice   for 

tion. 

lowever,  wish  to  report  the  following  in  evidence  of 

^er  of  Variolinum  to  cut  short  the   duration  of  the 


SE IV.     R.  B.     Fourteen  years   old.     Confluent  pus- 

tt  ninth  day,  crusts  on  eleventh  day,  complete  dequa- 

on  the  twentieth  day. 

eatment — Variolinum  Im  and  cm. 

SE  V.     G.  B.     Four  years  old.     Confluent   papules 

y,  pustules  eighth  day;  clear  skin  in  twenty-one  days. 

^um  Im. 

SE  VI.       G.    G.      Fourty-seven    years.      Confluent. 

ton  in  twenty-one   days.     Variolinum  cm,  5  cm,  and 

r  cm  intercurrent. 


158  THE   MEDICAL  ADVANCE. 

Case  VII.  L.  S.  Four  years.  Severe,  discrete  crusts 
on  seventh  day;  clear  skin  on  fourteenth  day.  Variolinum 
Im. 

Case  VIII.  Baby  S.  Seven  months.  Severe,  discrete 
clear  skin  on  the  fourteenth  day.     Variolinum  Im. 

Case  IX.  Mrs.  B.  Seventy-four  years.  Discrete, 
clear  skin  on  twelfth  day.  Variolinum  ocm.  Never  had 
been  vaccinated. 

Case  X.  L.  B.  Five  years.  Severe,  discrete;  clear 
skin  on  fourteenth  day.     Variolinum  Ira. 

Cask  XI.  L.  S.  Five  years.  Discrete;  clear  skin  on 
tenth  day.     Variolinum  Ira. 

Case  XII.  \V.  M.  Sixteen  years.  Clear  skin  on  six- 
teenth day.     Variolinum  cm. 

Case  XIII.  S.  S.  Ten  months.  Discrete;  clear  skin 
on  thirteentli  day.     Variolinum  Im. 

Case  XIV.  F.  B.  Four  years.  Clear  skin  on  thir- 
teenth day.     Variolinum  im. 

This  case  was  a  very  mild  one,  indeed,  although  her 
brother  and  sister  had  the  disease  very  severely.  She  had 
as  a  prophylactic  Variolinum  liOO,  but  none  of  those  to  whom 
I  gav(^  the  200  potency  escaped  the  disease  when  thoronghly 
expostnl.  After  st^curin^  the  Im  and  pushing  it  every  two 
hours  until  headache  developed  in  this  instance,  and  in  many 
others  in  this  epidemic,  it  seemed  to  stir  up  things  and  cause 
an  explosion,  as  it  were,  of  the  sickness.  She  became  very 
ill  for  two  days,  but  after  that  romped  and  played  all  day. 
There  w(»re  but  three  or  four  pustules  and  these  on  the  face, 
no  scars  or  pits. 

Many  other  cases  have  points  of  interest,  but  I  forbear 
further  citations. 

It  is  my  experience  from  observation  in  this  epidemic 
that  Variolinum  is  an  almost  unfailing  curative  remedy  in 
small  pox;  that  wiien  given  early  enough  it  modifies  the  se- 
verity of  the  case;  that  if  given  persistently  it  prevents  the 
secondary  fever,  or  so  modifies  it  that  it  is  scarcely  to  be 
considered;  it  shortens  the  course  of  the  disease,  and  pre- 
vents unsightly  pitting,  there  being  in   the   whole   fifty-five 


VARIOLINUM  IN  THE  TREATMENT  OF  SMALL  POX.      159 


ses  but  very  few  pits  indeed,  and  in  my  judgment  these 
e  due  solely  to  scratching  off  half- ripened  crusts,  and  even 
en  these  scars  are  hardly  noticable. 

I  find  further  that  the  Im  potency  is'well  suited  to  child- 
n  and  did  better  work  with  them  than  did  any  other  po- 
licy. The  two  hundreth  failed  completely.  With  adults  I 
ad  more  satisfaction  with  the  5cm. 

I  find,  further,  that  to  obtain  the  best  results  it  isneces- 
try  to  continue  the  use  of  the  remedy  at  frequent  intervals 
orn  day  to  day  until  the  pustules  begin  to  ripen,  then  dis^ 
mtinue  the  medicine  altogether. 

I  failed  to  find  any  remedy  of  sufficient  power  to  per- 
^ptibly  influence  the  initial  fever. 

I  am  unable  to  verify  the  statements  of  Dr.  A.  M.  Linn, 
Des  Moines  Iowa,  reported  in  the  Advance  in  February 
•04,  page  %,  that  if  exhibited  from  the  date  of  exposure 
ariolinum  will  check  the  disease  before  its  eruptive  stage; 
at  it  will  abort  the  disease  before  the  vesicular  stage  if 
ven  continually  from  the  time  of  the  initial  chill,  and  that 
given  from  the  date  of  the  eruption  it  checks  small  pox  by 
e  time  it  reaches  the  pustular  stage.  Such  is  not  my  ex- 
?rience.  The  remedy  is  powerful  and  does  great  things. 
Lit  I  fail  to  see  things  in  this  light. 

I  am  fully  convinced  that  at  times  it  is  necessary  to 
terpose  constitutional  remedies;  e-  g.  note  cas(;  of  G.  G, 
herein  Sulphur  prepared  him  for  Variolinum  even  when 
ariolinum  had  failed;  Sulphur  being  prescribed  in  this 
stance  not  because  Variolinum  had  failed  but  upon  general 
id  constitutional  symptoms  which  could  no  longer  be  ig- 
3red. 

I  find  further,  that  Variolinum  if  given  as  a  prophylactic 
1  sufficient  degree  of  potency  will  either  prevent  small  pox 
efore  and  after  exposure,  or  seems  to  have  power  to  ex- 
>locle  the  case  within  a  very  few  days  after  the  remedy  has 
>^en  taken  in  those  too  far  gone  to  escape,  and  in  these 
cases  modifies  the  whole  disorder  to  a  considerable  extent 
^ith  exception  of  the  initial  fever,  which  seems  to  be  un- 
changed to  any  perceptible  degree. 


I 


160  THE   MEDICAL   ADVANCE. 

At  a  later  date  I  shall  report  something  of  my  experience 
with  Variolinum  as  a  prophylactic. 

[This  report  makes  good  the  claim  that  the  Hahneman- 
nian  treatment  of  variola  is  just  as  superior  to  that  of  '*old 
physic''  or  the  alternating  palliative  treatment— yclept  hom- 
eopathic— as  it  is  in  pneumonia,  diphtheria,  dysentary,  ty- 
phoid or  anything  else.  Where  can  be  found  a 'report  of  55 
cases  of  variola — discrete  and  confluent  as  they  occur — un- 
der any  other  method  of  treatment  without  pitting  or  with- 
out a  death.     Ed.] 


WHAT  18  THE  STUFF  VARIOUSLY  TERMED  ^^VACCINE 

VIRUS,"  ^^BOVINE  VIRUS,"  "ANIMAL  LYMPH," 

^^CALF  LYMPH,"  "PURE  CALF-LYMPH,"  ETC. 

By  J.  W.  Hodge,  M.  D.,  Niagara  Falls,  N.  Y. 

Niagara  Falls,  Dec.  lu,  J907. 
Editor  Mfdical  Advance:  — 

At  the  request  6f  the  editor  I  sent  the  Critique  a  paper  on  vaccina- 
M<m,  who  after  holding  it  a  long  time,  published  it  in  December,  1907, 
*ri  an  emas emulated  form.  I  wfis  greatly  disappointed,  for  as  printed,  the 
paper  was  worthless.  The  correspondence  with  Parke,  Davis  «Sc  Co. 
I36neerning  the  nature  and  origin  of  th»  ir  vaccine  "lymph"  was  omitted. 
On  examiting  the  first  cover  page  of  the  December  issue  of  the  Critique^ 
jou  will  find  a  half  page  advertisement  of  Parke,  Davis  &  Co.'s  anti- 
diphtheritic  serum,  which  no  doubt  accounts  for  the  omission  of  all  ref- 
erence to  that  firm  and  the  consequent  i-masculation  of  my  article.  An. 
editor  has  a  right  to  accept  or  decline  an  article,  but  no  right  to  emas- 
culate it  for  fear  of  offending  an  advertiser.  D  )es  the  drug  advertiser 
CttBtrol  the  principles  of  a  homeopathic  journal? 

J.  W.  Hodge,  M.  D. 

[In  behalf  of  fair  treatment  and  the  interests  of  homeo- 
pathic journalism,  we  republish  the  paper.     Eb.] 

For  many  years  the  writer  has  earnestly  endeavored  to 
ascertain  the  character  and  discover  the  original  sources  of 
the  various  disea';e  products  sold  by  vaccine  propagators 
under  the  above  mentioned  names. 

During  the  past  year  I  have  repeatedly  attempted 
through  correspondence  with  the  various  vaccine  establish- 
irients  in  this  country  to  learn  what  these  substances  consist 
of,  and  from  what  sources  they  were  originally  derived  be- 


i 


WHAT  ARE  THE  VARIOUS  VIRUSES? 


161 


being  inoculated  upon  the  cow  or  the  calf.  In  my  per- 
Dt  efforts  to  procure  some  information  on  these  obscure 
:s,  I  addressed  letters  of  inquiry  to  all  the  principal 
pox  factories  doing  business  in  the  United  States.  From 

of  these  disease  factories  I  have  been  unable  after  fre- 
t  requests  to  elicit  any  reply  whatever.  For  instance, 
Iressed  four  letters  on  different  occasions  to  the  Nation- 
iccine  Establishment,  of  Washington,  D.  C,  of  which 
h  Walsh,  M.  D.,  is  director  and  manager,  enquiring  as 
e  nature  and  original  source  of  the  National  Vaccine 
blishment's  output  of  * 'lymph."  The  gentleman  above 
id  refused  to  answer  any  of  my  questions  or  to  give  me 
nformation  whatever  regarding  the  disease  products 
out  from  the  National  Vaccine  Establishment  as  "pure 
ine  virus."  I  finally  abandoned  all  hope  of  receiving 
[nformation  from  this  vaccine-grafter  as  to  the  formula 
e  disease-bearing  material  sent  out  by  the  establish- 
;  he  represents.  The  formula  of  the  National  vaccine 
'um  is  a  trade  secret  not  to  be  divulged  to  members  of 
nedical  profession. 

Prom  other  vaccine  propagators  I  received  vague  and 
ive  responses  to  my  specific  questions,    but   have  never 

able  to  get  from  any  of  the  cow-pox  factories  any  de- 
>tion  or  definition  of  the  material  misbranded  "calf 
)h." 

[  have  had  correspondence  with  the  following  named 
erns:  the  H.  H.  Mulford  Co..  of  Philadelphia,  Pa,; 
:e,  Davis  &  Co.,  Detroit,  Mich.;  New  England  Vaccine 
pany,  Boston,  Mass.;  Dr.  H.  M.  Alexander  &  Company, 
etta.  Pa.;  Frederick  Stearns  &  Co.,  Detroit,  Mich.,  and 
rs.  From  none  of  the  above  concerns  have  I  been  able 
licit  a   frank,    straightforwai'd    and   unequivocal   reply 

the  two  exceptions  of  Parke,  Davis  &  Co.,  and  Alexan- 
k  Co.,. in  answer  to  my  questions,  "What  is  the  charac- 
.nd  original  source  of  the  seed -vaccine  used  for  inocu- 
g  calves  in  your  propagations?" 

Alexander  &  Co.  replied  under  date  of  Oct.  2oth,  1906, 
>llows: 


K 


i: 


i 


162  the:  medical  advance. 

The  Lancaster  County  Vaccine  Farm,  Marietta,  Pa. 
Dear  Brother  Hodge:— 

III  response  to  yoiir  inquiry  of  the  25nd  inst.,  we  be^i:  to  state  that 
vaccine  virus  or  its  active  principle  is  a  subject  about  which  very  litile 
18  definitely  known.  We  are  only  able  to  arrive  at  the  results  obtained 
from  certain  conditions. 

It  was  thought  by  Dr.  TI.  M.  Alexander,  the  founder  of  our  estab- 
lishment, that  he  had  discovered  a  cas*^  of  spontaneous  cow-pox,  and  we 
have  been  iisin^'-  as  one  of  our  striaus  of  seed-virus  this  source  for  nearly 
twenty  year?*.  It  later  developed,  however,  that  the  case  referred  to 
evidently  was  inoculated  by  a  trarpp  having  small  pox  and  who  slept  in 
the  stable. 

We  rei]:ret  our  inability  to  give  you  more  difinite  information  on  the 
subject,  but  trust  the  above  may  be  of  some  value  to  you. 

(Signel)  Dr.  H.  M.  Alexander  *S:  Co.,  Inc., 

By  K.  C  Eoglti,  Manager. 
In  its  advertisements  a  few  years  ago  Dr.  H.  M.  Alex- 
ander &  Co.  made  the  following  boastful  announcement: 
**Our  farms  are  the  largest,  chnmest  and  most  complete  in 
the  world.  Our  vaccine  sourc(»  America's  only  authenticated 
case  of  spontanious  cow-pox."  Now  the  Alexander  Compa- 
ny admits  that  the  **only  authenticated  case  of  spontaneous 
cow-pox"  was  caught  from  a  tramp  having  small  pox.  How 
many  other  disease  taints  this  tramx)-vaccinifer  harbored  in 
his  system  is  not  mentioned.  -The  tramp  is  justly  regarded 
as  the  lowest  and  lilthiest  s])ecim(m  of  the  Imman,  race. 
What  a  delightful  source  from  whicli  to  secure  '*pure  calf 
lymph"  for  the  purpose  of  inoculating  the  wholesome  bodies 
of  innocent  babes  I 

My  obj(*ct  in  calling  your  attention  to  these  facts  is  not 
to  disci-edit  the  vaccine  stock  of  the  Alexander  Company,  as 
compared  with  that  of  other  proi:)agators.  There  are  many 
reasons  for  believing  that  the  outinit  of  this  company  is  far 
from  being  as  (lang(M"ous  as  is  the  vaccine  propagated  by- 
rival  establishments  in  the  pox  nranufacturing  business,  for 
it  received  the  only  award  grantt^d  bovine  virus  at  the 
World's  Fair,  Chicago.  The  results  of  a  very  thorough  an- 
alytical t(\st  made  by  the  Columbus  Medical  Laboratory  of 
Chicago,  of  the  vaccines  from  all  the  known  propagators  of 
this  country,  showed   that   of   these   vaccines   which    were 


WHAT  ARE  THE  VARIOUS  VIRUSES: 


163 


Kht  in  the  open  market,  the  product  of  the  Lancaster 
^^ty  Farms  was  the  only  one  which  was  free  from  pus 
^^ria  and  other  pathogenetic  micro-organisms  f.ound  in 
vaccines  of  other  propagators.  It  is  evident  therefore 
^  the  tmmp-derived  vaccine  is  not  the  worst  to  be  found. 

MORE    ''spontaneous"   SMALL,   POX. 

1^1  response  to  my   inquiries   concerning   the  character 
^he  original   source   of   their   seed- vaccine,    I   received 
^  Parke,  Davis  &  Co.  the  following  reply:    , 

rr  ^  Detroit,  Mich.,  Oct.  23rd,  1906. 

•  ^odge.  Niagara  Falls,  N.  Y.:— 

^^»r  Sir. 

*Q  reply  to  your  inquiry  of  the  2 1st  inst.  we  beg  to  say  that  our 
^ceine  was  obtained  from  spontaneous  cases  of  cow-pox  in  Germa- 

Q  Switzerland.     Yours  very  truly, 

(Signed)  Parke,  Dav'is  &  Co. 

^^^^  according  to  Dr.  Edward  Jenner,  the  founder  and 
^^^ator  of  vaccination,  these  radically  different  viruses 
iCated  and  supplied  by  these  two  ostablishments,  are 
^^^l5"  worthless  and  non  protective  against  small  pox. 
'^  <^*lassed  ''spontaneous"  cow-pox  among  the  "spuri- 
varieties  of  that  disease.  He  also  declared  that  the 
^'^ceine  virus  which  is  effective  against  small  pox  is 
^'^I'iety  derived  from  horse-grease. 

^y  a  perusal  of  Dr.  Jenners  works  I  tind  that  when  he 
iblished  vaccination  he  was  particular  to  point  out  and 
phasize  the  importanci^  of  using  only  a  certain  kind  of 
as.  The  cow-pox  to  which  he  ascribed  mysterious  anti- 
riolous  virtues  was  a  tilth-disease  communicated  to  the 
its  and  udder  of  the  cow  by  dirty  stable-men  whose  hands 
re  soiled  with  the  matter  from  the  greasy  heels  of  ill-kept 
rses.  Grease  is  a  disorder  resulting  from,  inflammation  of 
^  sebaceous  glands  of  the  skin  about  the  heels  of  a  horse 
d  is  technically  termed  eczema  puMtdoHion.  Scientific  vete- 
ttarians  inform  us  that  this  disease  of  the  horse  sui)erven(^s 
[>on  exposure  to  wet,  and  from  subsetpient  lack  of  cleunli- 
ess,  and  is  invariably  the  result  of  carelessness  or  incom- 
entency  of  the  groom.  The  discharge  from  these  pustules 
'  ^ften  profuse,  is  very  irritating  to  the  surface  over  which 


I 


' 


I 


i 


164  THE  MEDICAL  ADVANCE. 


it  flows,  and  is  fetid.  This  purulent  discharge  carried  on* 
the  dirty  hands  of  farm-laborers  to  the  teats  or  other  sensi- 
tive parts  of  the  cow,  produces  the  disorder  which  has  been 
ciisnamed  cow-pox.  What  Jennerian  lymph  Is  or  was  de- 
scribed thus  in  Dr.  Jenner's  original  work,  published  in  1801, 
I  dated  Berkeley,    Gloucestershire,    December  20,  1799.     The 

^  title  of  this  work  is,  '*An  Inquiry  into  the  Causes  and  Effects 

*  of  Variola3   Vaccinae,  a  disease   discovered   in  some  of  the 

j  Western  counties  of  England,  particularly    Gloucestershire, 

and  known  by  the  name  of  the  cow-pox". 

On  page  two  of  that  work,  the  following  description  of 
vaccine  virus  is  found: 

There  is  a  disease  to  which  the  horse,  from  his  state  of  domestica- 
li(^n  is  frequently  subject.     The  farriers  (veterlnaries)  have  called  it,the 
preas'^     It  is  an  intlamation  and  swell injj^  of  the  heel,  accompanied  at  its 
commencement  with  small  cracks  or  fissures  from  which  issues   a  limpid 
If  fluid,    ])ossessinor   propertit^s  of  a  v.^ry    peculiar    kind.     This  fluid  seems 

capable  of  ereneratin^  a  disease  in  the  human  body  (after  it  has  under- 
gone tilt*  modification  I  shall  presently  speak  of)  which  bears  so  strong 
1^  resemblance  to  the  small-pox,  that  I  think  it  higfhly  probable  it  may 
he  the  source  of  that  disease.  This  disease  has  obtained  the  name  of  the 
cnw-po\.  It  appears  on  the  nipples  of  the  cow  in  the  form  oi*  irreg* 
ular  pustules.  Th»^se  pustules,  unless  a  timely  remedy  bj  applied, 
fi'equently  degenerate  into  ulcers,  which  prove  extremely    troublesome. 

When  this  disease  has  been  transplanted  from  the  cow's 
trnits  to  the  hands  of  the  milkers  its  course  is  described  by 
Dr.  Jenncr  in  the  following  language  which  I  quote  from 
his  inquiry,     (loc.  cit.) 

Inrtimed  spots  now  beg^in  to  appear  on  different  parts  of  the  hands 
of  the  domestics  employed  in  milking,  and  sometimes  on  the  wrists  which 
run  on  to  suppuration,  firsl  assuming  the  appearance  of  small  vesications 
produced  by  a  burn.  Most  commonly  they  appear  about  the  joints  of 
tlie  fingers,  and  at  their  extremeties;  bat  whatever  parts  are  effected  if 
Uie  situation  will  admit  these  superficial  suppurations  put  on  a  circular 
form,  with  their  edges  more  elevated  than  their  centre  and  of  a  color 
distinctly  approHching  to  blue.  Absorption  takes  place,  and  tumors  ap- 
pijar  in  each  axilla.  The  system  becomes  affected,  the  pulse  is  quick- 
em^d,  shiverings  succeeded  by  heat,  general  lassitude,  and  pains  about 
the  loins  and  limbs,  with  vomiMng  come  on.  The  head  is  painful,  and 
the  pi^tient  is  now  and  then  even  affected  with  delirium.  These 
symptoms,  varying  in  their  degrees  of  violence,  generally  continue  from 
one  day  to  three  or   four,  leaving  ulcerated  sores  about  the  hands;  which 


WHAT  ARE  THE  VARIOUS  VIRUSES. 


165 


sensibility  of  the  parts  are  very  troublesome,  and  commonly 
^  slowly,  frequently  becoming  phagdenic,"  like  those  from 
jy  sprung".  During  the  progress  of  the  disease,  the  lips,  nostrils, 
id  other  parts  of  the  body  are  sometimes  affected  with  sores, 
at  more  faithful  word-picture  of  septic  poisoning 
I  desired  than  is  portrayed  in  the  above  quoted  lan- 
f  Dr.  Jenner  in  his  description  of  the  manifestations 
-pox"  in  the  human  subject? 
rther  quote  from  Dr.  Jenner's    * 'Inquiry"  thefollow- 


the  disease  makes  its  progress  from  the  horse  (as  I  conceive) 
)ple  of  the  cow,  and  from  the  cow  to  the  human  subject.  Mor- 
ir  of  various  kinds  when  absorbeil  into  the  system,  may  produce 
some  degree  similar.  Bui  what  renders  the  cow-pox.  virus  so 
r  singular  is  that  the  person  who  has  been  thus  affected  is  forever 
ire  from  the  infection  of  the  small-pox;  neither  exposure  to  the 
effluvia,  nor  the  insertion  of  the  matter  into  the  skin  producing 
mper.  In  support  of  so  extraordinary  a  fact,  I  shall  lay  before 
rs  a  groat  number  of  instances.  But,  first,  it  is  necessary  to 
hat  pustulous  sores  frequently  appear  spontaneously  on  the 
f  the  cows;  and  instances  have  occurred,  though  very  rarely,  of 
8  of  the  servants  employed  in  milking  bjing  affected  with  sores 
[Uence,  and  even  of  their  feeling  an  indisposition  from  absorp- 
ese  pustules  are  of  a  much  milder  nature  than  those  which  arise 
t  contag  on  which  constitutes  the  true  cow-pox.  No  erysipelas 
them,  nor  do  they  show  any  phagadeuic  disposition,  as  in  the 
je,  but  quickly  terminate  in  a  scab  without  creating  any  ap- 
isorder  in  the  cow.  But  this  ditease,  says  Jenner,  is  not  to  be 
3d  as  similar  in  any  respect  to  that  of  which  I  anni  treating,  as  it 
ble  of  producing  any  specific  effects  on  the  human  constitution. 
',  it  is  of  th*^  greatest  consequence  to  point  it  out  here,  kM  the 
liscriminatioyi  nhould  occasion  an  idea  of  security  from  the  infection 
ill-poXy  which  mifjht  prove  delusive. 

the  foregoing  quotation  we  have  a  full  and  complete 
fcion  of  Jennerian  virus  as  given  in  Variolye  Vaccina), 
Jenner  himself .  Epitomized,  we  have: — First,  anill- 
rse  suffering  from  eczema  pustulosum,  a  filth  disease. 
»ndly  we  have  the  purulent  matter  exuded  from  the 
1  its  diseased  heels.  This  matter  transferred  to  the 
^d  udder  of  the  milch  cow,  therein  maturing  into 
enic  ulcers. 

irdly,  matter  from  these  ulcers  is  transplanted  into 
k-maid's  body. 


166 


THE  MEDICAL  ADVANCE. 


Fourthly,  we  have  the  constitutional  disturbances  which 
result  therefrom,  and  a  description  of  the  local  suifering  of 
those  who  are  thus  affected. 

So  much  for  the  true  and  genuine  cow-pox  virus.  Dr. 
Jetiner  emphatically  avers  that  the  ^^spontaneous"  cow-pox 
is  not  protective.  '*The  pustules  are  of  a  much  milder  na- 
ture," he  declares,  '*than  those  which  arise  from  that  con- 
tagion which  constitutes  the  true  cow-pox."  Furthermore 
**no  erysipelas  attends  them,"  declares  .Tenner,  "nor  do 
tliey  show  any  phagadenic  disposition  as  in  the  genuine 
cow  pox."  He  strongly  cautions  his  confreres  against  the 
Tise  of  "spontaneous"'  or  natural  cow-pox,  "lest  the  want  of 
discrimination  should  occasion  an  idea  of  security  from  the 
infection  of  small  pox  which  might  prove  delusive." 

I  have  ihus  far  (luoted  from  the  original  work  of  Jenner 
himself.  A  perusal  of  Baron's  life  of  Jenner  not  only  cor- 
I'oboratcs  all  this,  but  leads  us  to  an  ac(iuaintonce  with  de- 
tails not  at  all  comforting  to  those  of  us  with  whom  cleanli- 
nt'ss  is  a  part  of  our  religion.     Baron  says: 

Although  thon^>  is  now  no  room  for  siny  doubt  that  variohv^  may  be 
thus  derived  (  from  the  fissured  heol  of  the  liorse),  yet  it  is  probable thit 
the  ''greast',"  as  it  is  called  in  the  horse's  bed,  is  only  the  mode  in 
which  the  disease  commonl^^  exhibits  itsdf  in  that  animal.  (Vide  Bar- 
on's Life  of  Jenner,  Vol.  I.  p.  242 >. 

The  following  words  of  Dr.  Jenncn*  himself  will  best  il- 
lustrato  Baron's  statement: 

The  skin  of  the  horse  is  subject  to  an  eruptive  disease  of  a  vesicular 
k'iharacter,  which  vesicle  contains  a  lim|>id  tluld  showing  itself  most 
commonly  in  the  heels.  The  lejjrs  lirst  become  (t'dematous,  and  then 
fibsures  are  observed.  The  skin  conti<]^uous  to  these  fis-rures  is  ^een 
Htdd  ied  with  snail  vescicl  s.  surr.^uQ  le:l  by  an  areola.  These  vesicles 
t*ontain  the  s])ecifie  tluid.  ft  is  the  illmanafromect  of  the  horse  in  the 
stable  that  occasions  the  malady  to  app»'ar  more  freqtiently  in  the  heel 
than  in  other  parts.  1  have  detected  its  connt»ction  with  a  sore  in  the 
neck  of  a  horsr,  and  in  t\\e  thi^j^h  of  a  colt.  (  See  Baron's  Life  of  Jen- 
[it*r,  vol.  r,  p.  241). 

Dr.  Baron  adds:  "It  has  been  established  by  unques- 
tionable evidence  that  matter  from  a  horse  does  produce  a 
pustule  similar  in  appearance  to  the  vaccine;  and  likewise 
possessing  the  same   protecting   power;    and   that   without 


WHAT  ARE  THE  VARIOUS  VIRUSES? 


167 


passed  through  the  constitution  of  the  cow."    Baron 

sa^^s: 

17  Jenner  inoculated  direct  from  the  horse   without  the  inter- 

if  the  cow,  and  with  this  matter  he  supplied  the   National  Vac- 

blishment,  and  it  was  extensively  distributed  in  England  and 

(Vide  Baron's  Life  of  Jenner,  vol.   II,  pp.  2r)5-()). 
is  process  Jenner  called  equination. 
itin^  from  Berkley  on  Aug.  1,  1813,  to  James  Moore, 
r   of  the   National   Vaccine   Establishment,    Jenner 


7  Moore— I  have  been  constantly  equinating:  for  some  months, 
leive  not  the  smallest  difference  between  the  pustules  thus  pro- 
id  the  vaccine.  Both  are  alilj:e  because  they  come  from  the 
irce.    (Vide  Baron's  Life  of  Jenner,  vol.  II,  p.  3.S8i. 

s  surely  unnecessary  to  adduce    farther   evidence  of 
enner's  mature  faith  and  deliberate  practice  was. 
Vol.  II,  p.  185.  of  Baron's  Life   of   Jenner   we   read 
^  said  Jenner,"  pointing  to  a  horse  with  greasy  heels, 
is  the  source  of  small  pox."     It  is  manifest  through - 

writings  that  to  the  end  of  his  career  Jonner  held 
)x  in  the  cow  was  not  only  derived  from  grease  in  the 
but  that  it  was  exclusively  derived  from  that  source, 
at  apart  from  the  horse  cow-pox  would  cease  to  ex- 
fter  having  tested    * 'spontaneous"   cow-pox   he   dis- 

it  as  being  non-protective  and  useless.  If  Dr.  Jen- 
oved  anything  it  was  that  ''spontaneous"  cow-pox 
>  defense  against  small  pox  and  because  it  was  no  de- 
10  discarded  it  forever.  Notwithstanding  Dr.  Jen- 
tter  rejection  and  emphatic  denunciation  of  "sponta- 
^mall  pox  as  "spurious,''  and  "non-protective,''  we 
Lrko,  Davis  &  Co.  driving  a  roaring  'trade  with  the 
HIS  mob  in  "spontaneous"  cow-pox  under  the  banner 
immortal  Jenner. 

^1' many  years  Dr.  Henry  A.  Martin,  of  lU)ston.  Mass. 
10  leading  propagator  of  vaccine  virus  in  this  country, 
pplied  to  the  trade  a  strain  of  vaccine  stock  of  "un- 
od  merit''  which  he  declared  was  derived  from  a  case 
>ontaneous"  cow-pox  discovered  in  Beaugency,  France. 
^'  Jenner  discarded  all  "lymph"  that  was  not   capable 


f 


168  THE   MEDICAL   ADVANCE. 


I  of  producing  erysipelas.     Such  lymph,  he  said,    was  useless 

i'  and  had '*no  specific  effect  on  the  human  constitution."    la 

direct  conflict  with  these  emphatic  declarations  of  the  pro- 
i  mulgator  and  founder  of   vaccination*    Parke,    Davis  &  Co. 

boldly  announce  to  the  medical  profession  in  their  adver- 
tisements in  the  medical  journals  that  their  "spontaneous" 
cow-pox  virus  is  "unquestionably  the  best  vaccine  virus  on 
the  market  today,"  that  "it  affords  ample  protection  against 
small  pox  without  the  accompaniment  of  painful  arms  and 
disfiguring  ulcers,"  that  is  to  say,  without  "erysipelas" 
which  Jenner  declared  was  an  essential  in  every  protective 
vaccination. 

To  cap  the  climax  of  audacity  and  absurdity  this  enter- 
prising firm  concludes  its  summery  of  false  assertions  with 
the  monstrous  misstatement  that  its  virus  "produces  the 
typical  Jennerian  vaccine  vesicle^."  Shades  of  Ananias! 
Think  of  that  in  the  face  of  Jenner's  emphatic  declaration 
that  "spontaneous"  cow-pox  is  ab.solutely  devoid  of  protec- 
tive power  against  small  pox;  and  for  once  Jenner  was 
right. 

From  all  my  correspondence  with  the  propagators  of 
vaccine  "lymph,"  I  am  firmlj'  convinced  that  not  one  of 
them  has  any  definite  or  exact  knowledge  as  to  the  real  na- 
ture, composition  or  original  source  of  the  complex  poison- 
ous mixture  which  they  foist  upon  gullible  doctors  as  "pure 
calf  lynipli,"  which  the  latter  in  turn  inoculate  indiscrimi- 
riately  into  the  bodies  of  the  credulous  mob  under  the  pre- 
text of  protecting  them  from  small-pox  infection.  More 
than  a  dozen  different  strains  of  vaccine  "lymph"  derived 
from  various  and  anomalous  sources  are  on  the  market  at 
the  present  time.  What  any  of  these  stocks  is  or  whence  it 
Came  nobody  is  able  to  tell  us,  yet  each  and  all  of  them  are 
guaranteed  to  work  the  miracle  of  avoiding  a  filth-disease 
without  removing  its  contributing  causes.  What  confusion! 
Yet  what  mystical  properties  are,  nevertheless,  attributed 
(■  to  all  of   these   various   kinds  of   "lymph."     It  is   passing 

v»|  strange  that  large  numbers  of  medical  men  can  be  so  easily 

imposed  upon  by  the  artful  schemes  of   enterprising  disease 


i 


WHAT  ARE  THE  VARIOUS  VIRUSES? 


169 


^rs  who  manufacture  and  vend  these  undefined  and  in- 
ble  poisonous  compounds  of  effete  matter  derived  from 
seased  bodies  of  men  and  beasts  which  they  audacious- 
le  Vpure  calf  lymph."  Is  it  any  wonder  that  the  hu- 
ace  is  groaning  under  an  increasing  burden  of  mala- 
5uch  as  cancer  and  tuberculosis,  when  medical  men 
ught  to  be  the  guardians  of  the  public  health  deliber- 

engage  in  a  practice  which  defiles  at  frequent  inter- 
he  blood  of  the  rising  generation  with  the  blended 
ie-products  of  men  and  beasts? 

''hat  is  the  specific  character  of  any  one  of  the  numer- 
)w-pox  nostrums,  miscalled  **calf  lymph",  now  placed 
the  market  by  enterprising  ''lymph  mongers,"  it  is  im- 
)le  to  state. 

[ost  of  the  vaccine  virus  in  cuiTent  use  in  this  country 
ioubtedly  derived  mainly  from  human  small-pox.  The 
•lymph"  before  being  inoculated  upon  the  calf  had 
d  through  numberless  small-pox  patients  who  were 
2\s  of  other  diseases  besides  small -pox.  In  view  of 
probabilities, what  are  we  to  think  of  the  boastings  and 
Ificates  of  purity"  publicly  flouted  by  '*lymph"  manu- 
:ers  and  doctors  having  pecuniary  interests  in  the 
ice  of  the  Jennerian  imposture? 
a  considering  the  subject  of  vaccination  one  is  naturally 

a  consideration  of  its  predecessor,    variolous  inocula- 

During  the  greater  portion  of  the  eighteenth  century 
octors  of  ''scientific  medicine"  were  diligently  engrossed 
e  criminal  practice  of  inoculating  the  bodies  of  the 
n  race  with  small-pox  pus  under  the  preposterous  pre- 

of  banishing  this  loathsome  disease  from  the  face  of 
arth.  What  was  the  result?  Small-pox  became  a  uni- 
1  pestilence,  and  all  Europe  a  lazar-house.  Under  the 
ring  care  of  the  exponents  of  "scientific  medicine", 
-pox  spread  like  a  prairie  fire  so  that  it  was  the  excep- 
tor any  country  to  escape  frequent  invasions  of  the 
a.d  disease"  which  was  being  spread  broadcast  by  the 
ilators.  Had  the  doctors  of  "scientific  medicine"  not 
ted  the  insane  notion  of  disseminating  the   contagion  of 


I 


170  THE  MEDICAL  ADVANCE. 

small-pox,  it  could  never  have  become  the  scourge  it  was. 
It  would  in  all  probability  have  disappeared  with  its  kindred 
filth  diseases,  before  the  advances  of  hygiene  and  sanitary 
science.  But  when  '^scientific  medicine"  turned  .its  eagle- 
eye  toward  small-pox  and  began  to  ''mitigate"  it,  the  result 
was  most  disastrous  to  the  public  health,  -and  then  followed 
the  awful  "horrors  of  small-pox",  which  we  now  hear  so 
much  about  when  we  protest  against  the  filthy  fad,  called 
vaccination.  Medical  history  records  that  uj)  to  the  time  of 
small-pox  inoculation,  variola  had  not  been  looked  upon  with 
particular  disfavor,  and  was  not  considered  any  more  danger- 
ous than  measles.  Indexed,  in  the  health  reports  these 
diseases  were  classed  together,  but  after  the  introduction  of 
variolus  inoculation,  the  ravages  of  small-])ox  increased  not 
only  directly  as  the  result  of  inoculation,  but  each  new  case 
became  a  focus  of  infection  from  which  the  disease  spread 
in  all  directions,  often  with  great  virulence.  The  practice 
of  inoculation  spread  small -pox  just  as  the  natural  disease 
did.  In  this  way,  not  only  the  number  of  cases  of  small 
pox,  but  also  the  general  mortality  from  that  disease 
was  enormou.sly  increased.  Although  it  was  obvious  that 
epidemics  of  small-pox  often  started  from  an  artificially  in- 
oculated case  this  disastrous  practice  continued  to  flourish 
for  nearly  one  hundred  and  fifty  years. 

"Instead  of  being  the  entirely  harmless  invention  that 
it  was  claimed  to  be  in  1721,  inoculation  was  found  to  be  so 
pernicious  a  custom,  and  so  destructive  of  public  welfare,  as 
to  be  branded  a  crime  by  English  parliament  in  1840.''  (See 
The  Value  of  Vaccinatian,  by  Geo.  W.  Winterburn,  M.  D., 
Ph.  D.,  p.  19). 

At  the  time  of  its  introduction  small-pox  inoculation  was 
hailed  by  the  doctors  of  "scientific  medicine"  as  the  greatest 
of  medical  discoveries,  and  the  encomiums  lavished  upon  it 
equalled  those  that  have  since  been  so  gratuitously  bestowed 
upon  vaccination. 

In  allopathic  works  on  the  practice  of  physic  variolation 
was  always  spoken  of  as  "one  of  the  best  established  facts 
of  medical  srience." 


THE  SIMPLICITY  OF  THE  HOMEOPATHIC  LAW. 


171 


ren  as  late  as  1754  small-pox  inosulation  was  sanc- 
[  by  the  Royal  College  of  Physicians,  the  representa- 
ody  of  the  allopathic  school  of  physic,  who  pronounced 
3e  * 'highly  salutary  to  the  human  race." 
accination  is  destined  to  meet  the  same  fate  that  befell 
edecessor,  inoculation. 

.s  variolous  inoculation  had  to  be  abandoned  because  it 
d  the  diseavse  it  was  presumecl  to  prevent,  so  will  vac- 
on  be  repudiated  upon  the  same  grounds,  with  the  ad- 
al  charge  that  it  not  only  makes  a  more  propitious  soil 
lall  pox,  but  is  the  direct  and  immediate  cause  of  other 
'orse  diseases  than  the  one  it  affects  to  prevent. 


E  SIMPLICITY  OF  THE  HOMEOPATHIC  LAW* 

By  G.  E.  Clark,  M.  D.,  Stillwater,  Minn. 
1  $  3  of  the  Organon,  Hahnemann  has   in   concise   lan- 
?  set  forth  the  qualities  that  must  be  poss(^ssed   by  the 
'master"  of  the  healing  art.     This  consists  in 
'irst:  An  exact  knowledge  of  the  individual   trouble   to 
moved. 

Second:  An  equally  exact  knowledge  of  the  remedies  to 
iployed. 

jastly,  but  not  the  least  important  in  effecting  a  cure, 
the  prescriber  be  governed  in  all  his  therapeutic  ope- 
Qs  by  "clearly  defined  principles." 

I  ere  is  one  of  the  most  important  features  of  our  hom- 
thic  law.  We  do  well  to  lay  repeated  emphasis  on  a 
Lcteristic  of  therapeutic  operations  not  possessed  by 
)ther  system  of  medicine.  The  homeopathic  student 
)ractitioner  is  permitted  to  proceed  in  all  curative  mea- 
i  according  to  *'clearly  defined  principles.  It  is  not 
5sary  for  him  to  grope  about  in  the  guesswork  of  empi- 
n,  now  looking  to  this  authority,  and  now  to  that,  but 
ig  all  as  shifting  as  the  changing  sands.  We  have  one 
le  law  to  be  used  at  the  bedside  and  in  the  laboratory; 
:hat  even  the  tyro  can   with   assurance   apply   and   th6 

linnesota  State  Institute  of  Homeopathy,  May,  1907. 


fl 


t 


1 


172  THE   MEDICAL   ADVANCE 

practitioner  caa  use  with  that  certainty  that  enables  him   to 
t*ay  I  know  I  have  the  right  remedy  for  that  particular  case. 

But  let  us  see  what  our  homeopathic  law  presents  to 
the  enthusiastic  student  to  verify  the  simplicity  of  its  ap- 
phcation. 

First: — The  simplicity  of  the  totality  of  the  symptoms 
as  a  basis  of  the  therapeutic  procedure,   as   compared  with 
any  other  system.      Symptoms  can  be  known,  collected, 
written  out  and  positively  relied  on.    They  can  be  discovered 
and  arranged  by  all  who  will  take  the  necessary  pains.  They 
are  not  secured  by  an   elaborate  •  and  complex  chemical  or 
mechanical  procedure,  that  few  are  skilled  in,  and  necessar- 
ily subject  to  widely  varying  opinions,  as  is  often  true  of  the 
pathology  of  any  given  case.     Any   ten   men  following  the 
law  of  Hahnemann  would  get  the  same  clinical  history  and 
the  same  totality  of  the  symptoms  on  which  to  base  a  remedy, 
though  every  one  of  them  might   vary  in  the  matter  of  the 
diagnosis.     Do  we  realize  the  inestimable  value  of  an  ever 
present  and  always  reliable  law,  as  a  guide  in  all  therapeutic 
operations  and  what  this  possesion  means  to  the  physician 
who   is  vastly   more   concerned  for  the  patient  and  his  per- 
manent recovery  than  he  is  for  any  ulterior  motive.     How 
like  a  Polar  Star  is  a  plain  demonstrable   procedure  to  the 
student  who  finds  himself  floundering  in  the  quagmire  of  con- 
flicting medical    opinions,   basing  the  treatment  on   every 
new  .opinion  that  is  as  elusive  as  a  will-'o-the-wisp.     Let  me 
repeat,   though   we   may  not  be  certain  of  the  diagnosis,  we 
can  be  certain  of  the  presenting  symptoms  and  on  these  we 
can  predicate   a  certain   remedy  and  have  no  guesswork  in 
selecting  our  curative  measure.     Let  me   be  rightly   under- 
stood,  the  diagnosis  is  desirable  and  should  be  determined, 
but   as   the   basis   of    a   therapeutic    law,    it   is   uncertain 
and   unreliable;    it    is    not    a    fact,    it    may    be    a    mere 
matter  of  opinion,    and   often  illusive,  and    not    to  be  de- 
termined.    Hahnemann's  rule  gives   us   plain  demonstrable 
facts,  which  all  can   always  see  anJ   read,    and   as   a  the- 
rapeutic  guide    is    infinitely    superior    in   curative  -results 
to  any  other  known  procedure,  however  popular  and  seduct- 


THE  SIMPLICITY  OF  THE  HOMEOPATHIC  LAW. 


na 


it  present  may  seem  to  be.     The  wonder  grows  how 

)llower  of  Hahnemann  who  has  really  ever  known  and 

the  better  way  can  degenerate  to  a  system  with  no 

ly  defined  principles"  and  to  one  producing  inferior 


?cond: — None'the  less  simple  and  plain  are  the  direct* 
)f  Hahnemann^  for    the   curative   application  of  the 

y. 

lie  disea.se  symptoms  to  be  removed  are  carefully  cot 
and  written  out  in  order,  that  they  may  be  studied 
►mpared  with  the  Materia  Medica  till  a  remedy  is  foujid 
as  produced  symptoms  in  the  healthy  person  that  is 
act  similitude,  or  as  near  so  as  possible,  to  those  pre- 
g  in  the  sick  person.  Here  is  a  procedure  that  is  as 
and  simple  as  a  mathematical  problem.  With  marvd- 
ipidity  and  certainty  do  those  sick  symptoms  hide 
elves  away  cito,  tute  et  jacunde.  No  argument  is  nqed- 
the  enthusiast  who  has  tried  and  knows.  But  for 
who  still  cling  to  a  pathological  or  a  physiologicssl 
for  the  administration  of  remedies,  let  me  suggest  a 
'  way,  one  of  more  permanent  results  and  attended  by 
omplications  by  the  way. 

bird: — This  brings  us  to  the  3rd  feature  in  the  argu- 
for  the  simplicity  of  the  Homeopathic  law,  and  that 
all  call  results. 

I  the  prescriber  has  carefully  collected  the  symptoms 
nting,  and  which  he  aims  to  remove,  and  with  equal 
las  selected  the  similar  remedy  and  has  administered  it 
m  and  manner  suitable  to  the  case,  results  will  follow 
I  orderly  and  systematic  manner.  This  order  of  reced- 
of  the  symptoms  is  valuable  as  showing  one  of  three 
s;  a  probable  cure  only  palliative  or  a  wrong  selection, 
5ut  I  wish  to  lay  special  emphasis  on  the  quiet,  silent,yet 
'al  and  prompt  return  to  a  natural  condition.  The  very 
licity  and  unostentatious  manner  of  the  going  of  the 
j>ymptoms  is  the  pride  of  homeopathic  practice.  Enemies 
sneer  at  the  genuineness  of  the  medical  action,  or  doubt 
ickness  of  the   person,   but  abundant  experience   will 


174 


THE  MEDICAL  ADVANCE. 


verify  four  tilings  as  characteristic  results  of  Hahnemann 
medication. 

They  are  these: 

(1)  Quiet  recedence. 

(2)  Fewer  complications  and  digressions 

(3)  A  more  speedy  recovery. 

(4)  Greater  permanancy  of  results. 

Let  me  illustrate  the  three  points  T  have  made,  in  which 
the  simplicity  of  the  homeopathic  law  is  well  exemplified,  viz: 

(1)  The   totality  of  the  symptoms  as  a  basis  of  a  thera- 
peatic  law; 

(2)  The  application  of  remedies  according  to  the  law  of 
sznilars; 

(3)  The  peculiar  results  obtained,  by  two  cases  treated 
m  that  manner. 

Case  1.  O.  W,,  section  foreman  on  Ry.,  age  40.  Much 
exposed  to  weather.  Is  obliged  to  eat  a  cold  dinner.  Has 
liad  trouble  with  his  stomach  for  last  three  years.  Present 
^irmptoms:  Dry  cough,  white  coated  tongue,  no  appetite, 
&«}uent  bloating  and  pain  in  the  stomach,  generally  worse 
&om  food.  Cardiac  end  of  the  stomach  full  and  tender- 
is  the  seat  of  sharp  cutting  pains  extending  through  to  the 
back.  Is  loosing  flesh  rapidly  and  is  too  weak  to  get  around. 
Has  had  considerable  catarrh  of  the  throat  in  previous  years; 
the  sputa  was  tough  and  stringy.  Has  'had  rheumatism 
of  the  left  shoulder;  the  pain  left  that  part  and  appeared  in 
the  stomach. 

This  case  presents  strong  suspicions  at  best  of  a  severe 
affection,  and  would  likely  excite  a  variety  of  opinions  as  to 
the  diagnosis — indeed  it  is  doubtful  if  that  point  could  be 
positively  settled  for  a  time  at  least,  but  of  the  remedy  no 
(Hie  who  has  any  knowledge  of  Kali  bic.  can  have  a  particle 
of  a  doubt.  The  results  abundantly  verified-  the  selection. 
A  quiet  but  steady  improvement  at  once  set  in,  the  pains  be- 
came less  severe  and  less  frequent,  the  appetite  and  strength 
b^an  to  improve,  and  has  now  resumed  his  former  occu- 
paition. 

Case  II,    This  case  is  most  interesting  from  a   thera- 


THE  SIMPLICITY  OJT  THE  HOMKOPATHIC  LAW. 


175 


I  standpoint  from  the  fact  that  asthma  is  considered  an 
stable  affection. 

;uth  M.  is  now  four  years  old,  of  pale  face,  blue  eyes, 
ecidedly  scrofulous;  several  members  of  the  family 
g  had  asthma,  consumption  and  bronchitis.  The  first 
c  of  asthma  appeared  in  June  last  when  she  was  found 
I  the  yard  in  a  violent  convulsion;  the  eyes  were  rolled 
id  jerked  back  and  forth.  The  left  leg  was  drawn  up 
ras  not  able  to  stand  on  her  feet  for  several  days, 
this  was  violent  screaming  because  of  an  agonizing 
in  the  epigastrium  and  right  groin.  Following  this 
a  the  asthma  appeared  and  has  been  coming  with  in- 
ing  frequency  and  severity  for  the  last  eight  months, 
^h  under  the  best  allopathic  attendance  they   could  ob- 

In  February  last  these  symptoms  presented: 
/^ery  pale  and  nervous;  cries  easily  and  frequently; 
J  frightened  or  annoyed  when  asthma  is   likely   to  ap- 

The  other  begs  for  some  relief  from  that  terrible 
in  the  epigastrium,  which  is  always  present  at  the  time 
e  asthma.  During  the  attack  vomits  quantities  of  white 
y  mucus;  has  a  harsh,  dry  cough,  like  whooping  cough; 
Is  are  large  and  teeth  late  in  coming;  likes  open  air. 
lere  was  a  proposition  for  the  pathological  prescriber; 
id  on  that  line  no  relief  had  been  afforded  in  the  last 
i  months.  Hahnemann's  method  was  the  only  avenue 
ach  and  remove  those  violent  symptoms,  expressing 
perverted  vital  function  within.  The  adaptation  of 
5  prominent  symptoms  to  the  similar  remedy  is  a  most 
tiful  illustration  of  the  genius  and  practicability  of  our 
K)pathic  law.  What  a  boon  to  that  little  sufferer  that 
ad  a  law  that  could  point  out  a  remedy;  that  could  and 
emove  that  terrible  agonizing  pain.  What  a  comfort  to 
loctor  to  be  able  to  say  I  know  I  have  the  similar  rem- 


A.  search  of  the  materia  medica  showed  two  things;  the 
rising  similarity  of  Cuprum  met.  and  the  large  number 
rmptoms  suggesting  Calcarea,  which  is  the  compliment 
lis  remedy. 


176  THE  MEDICAL  ADVANCE. 

The  asthma  is  not  yet  gone,  but  that  violent  pain  did 
disappear  in  a  few  days.  A  persistent  use  of  the  remedy 
will  make  a  wonderful  improvement  in  the  growth  and  de- 
velopment of  that  child. 

In  a  homeopathic  medical  society  there  should  be 
needed  no  apology  for  presenting  a  paper  of  this  kind,  but 
in  the  present  scramble  for  modern  scientific  attainment,  the 
real  purpose  and  mission  of  our  school  is  largely  lost  sight 
of.  In  the  curriculum  of  our  own  university  no  attention  is 
given  to  homeopathic  philosophy  or  teaching,  till  the  third 
year  and  then  the  mind  is  so  filled  with  the  dominent  teach- 
ing that  there  is  little  room  or  desire  for  the  law  of  similars 
as  a  method  of  cure.  And  even  after  reaching  the  third 
year  it  was  found  that  too  much  time  was  being  given  to 
homeopathic  instruction  and  that  also  must  be  cut  down.  Is 
it  any  wonder  that  the  rising  generation  is  so  indifferent  to 
pure  Homeopathy.  Is  there  any  wonder  there  is  so  little 
enthusiasm  everywhere  over  the  purposes  and  mission  of 
our  school  of  practice.  Do  you  marvel  that  young  men  find 
their  way  to  the  more  popular  schools  of  instruction?  How 
much  in  the  common  every  day  walks  of  life  do  the  public 
see  of  that  Homeopathy  that  in  the  hands  of  a  Hahnemann, 
BOnninghausen,  Lippe,  Guernsey,  Dunham  and  a  host  of 
others,  made  our  school  glorious  by  the  unheard  of  results 
that  were  accomplished,  and  turned  the  world  upside  down 
with  their  marvelous  method  of  cure? 

When  our  school  ceases  to  stand  for  and  be  known  by 
its  devotion  to  its  law  of  cure,  we  have  lost  our  identity  and 
have  no  further  reason  for  a  separate  and  individual  exist- 
ance  as  a  school  of  medicine. 


REVISED  COLLEGE  INSPECTION  SCHEDULE. 

1.  General  success  before  the  State  Medical  Examining 
Boards  of  only  those  who  have  graduated  since  examinations 
in  the  individual  States  have  been  obligatory  upon  all  candi- 
dates for  licensure.  Those  States  that  require  examination 
in  materia  medica  and  therapeutics  should  entitle  the  candi- 


REVISED  COLLEGE  INSPECTION  SCHEDULE. 


177 


and  hence  his  college,  to  a  better  rating  than  those 
3  where  examination  in  those  branches  is  not  required, 
idual  students  failing  more  than  once  in  the  same  state, 
two  different  states,  should  not  discredit  their  college 
more  than  one  failure.  State  boards  are  urged  to  re- 
each  applicant  fbr  license  to  certify  to  every  examina- 
Defore  state  boards  that  he  may  have  taken  stating 
of  the   board  and  the  result  in  each   instance.     Five 

.  The  question  of  requirement  and  enforcement  of  a 
actory  preliminary  education.  This  is  to  be  a  four 
'  high  school  education,  or  its  equivalent.  In  case  the 
nt  should  not  enter  on  a  diploma  from  a  high  school 
;his  examination  be  conducted  by  the  Council  of  Medical 
ation  of  his  state,  or  some  similar  body,  and  that  the 
ination  papers  be  kept  on  file  in  the  office  of  the  secre- 
3f  the  medical  faculty  for  inspection  by  the  State  Ex- 
ing  Board.  Fifteen  counts. 
.    The  character  and  extent  of  the  college  curriculum. 

provided  by  the  National  Association  of  the  School  of 
cine  which  the  college  represents,  to  be  taken  as  a 
ard,  modified  by  the  law  of  the  state  wherein  the 
?e  is  located.  At  least  forty  months  should  have  elapsed 
sen  the  dates  of  matriculation  and  graduation.  Fifteen 
:s. 

.    The  medical  school  building.     The  buildings  should 
nitary  and  commodious,    allowing  ample  space,  accord- 
3  the  size  of  (tlasses,   for  laboratories,   amphitheatres, 
ining  and  recitation  rooms.     Five  counts. 
.    Laboratory  facilities  and  instruction.     Ample  labor 

facilities  and  apparatus,  according  to  size  of  classes, 
id  be  provided  for  the  work  in  the  following  subjects: 
omy  (including  histology  and  embryology),  Physiology, 
macology  (including  drug  pathogenesy).  Bacteriology 
Pathology.  These  to  be  in  charge  of  trained  men. 
en  counts. 

K  Dispensary  facilities  and  instruction.  The  dispen- 
material  available  should  be  in  proportion  of  100  patients 
ear  to  each   senior  student.     Should  a  patient   be  pre- 


178 


THB  MEDICAL   ADVANCE. 


I 


sented  to  the  entire  senior  class  or  part  thereof,  it  should 
count  one  for  each  student  present.  The  main  dispensary 
should  be  under  the  control  of  the  college.     Five  counts. 

7.  Hospital  facilities  and  instruction.  Hospital  standard 
to  be  access  to  and  constant  use  of  one  bed  for  each  member 
of  the  senior  class  during  the  year.     Fifteen  counts. 

8.  Extent  which  the  school  devotes  to  experimental  re- 
search in  the  varied  fields  of  medicine  and  allied  sciences, 
especially  in  therapeutic  research  and  the  development  of 
drug  therapeutics  and  the  methods  of  teaching  experimental 
drug  pathogenesy.     Fifteen  counts. 

9.  To  what  extent  does  the  commercial  or  scientific 
spirit  dominate  with  reference  to  the  various  chairs,  and  in 
the  institution  as  a  whole,  also  extent  to  which  members  of 
the  faculty  devote  their  time  to  teaching.  The  published  re- 
quirements of  the  college. should  be  scrupulously  observed, 
and  a  complete  list  of  the  matriculates  pilblished  each  year. 
Five  counts. 

10.  Supplementary  facilities,  such  as  library  charts, 
electrical  apparatus,  models,  museum,  etc.,  judged  according 
to  conditions  and  use  of  same  by  the  teaching  corps  and 
students.  The  library  should  have  at  least  500  volumes,  in- 
cluding modem  text  books  and  chief  periodicals  of  the 
school  of  medicine  to  which  the  college  belongs.  The  museum 
should  be  kept  up  to  date  and  specimens  properly  labeled 
and  indexed.    Five  counts. 


RAPID  RESULTS  FROM  TUBERCULINUM. 

Lydia  Webster  Stokes  M.  D.,  H.  M.,  Philadelphia  Pa. 
Case  I.  Miss  R.,a  slender  young  brunette  of  a  nervous 
temperament  had  been  suffering  from  tonsillitis  for  several 
days.  When  I  saw  her  both  tonsils  were  covered  with  dirty 
white  patches,  the  left  had  been  the  most  painful  and  the 
left  ear  ached;  the  tongue  had  foul  coating  and  the  mouth 
was  full  of  saliva.  The  patient  perspired  very  profusely, 
her  temperature  was  102,  she  was  <  at  night  and  suffering 
very  much. 


RAPID  RESULTS  FROM  TUBERCULINUM. 


179 


Greatly  to  my  surprise  Merc.  j.  r.  failed  to  relieve, the 
lition,  Merc.  viv.  did  but  little  good  and  Lach.  none  at 
This  was  not  according  to  my  usual  experience  with 
I  cases,one  prescription  often  clearing  off  the  tonsils  and 
pating  the  fever  in  24  hours.  What  to  think  of  this  girl 
I  not  know;  her  throat  was  not  90  painful,  except  on 
lowing,  and  her  ears  ached  less  but  felt  full  and  stopped; 
W3S  still  annoyed  with  a  quantity  of  mucus,  greenish 
bloody  at  times,  collecting  and  choking  her,  especially 
ght;  all  her  salivary  glands  were  so  enlarged  and  sore 
they  caused  great  difficulty  in  opening  the  mouth  and 
ng,  and  her  temperature  stayed  above  100. 
By  the  time  several  powders  of  Sulphur  had  proved  to 
t  no  moso  use  than  so  much  placebo,  I  conclued  that  the 
ition  was  a  tubercular  one  and  I  believed  that  Tuberculi- 
would  arouse  some  reaction.  In  all,  four  powders  of 
JOOth.  potency  were  given  and  the  result  was  magical; 
y  symptom  was  better  the  next  day  and  continued  to 
•ove  and  disappear,  until  the  patient  left  the  hospital 
lays  after  the  first  dose  of  Tuberculinum. 
Case  II.  E.  S.  age  five  years,  fair  and  happy;  had 
imonia  following  measles  when  two  years  old,  otherwise 
irdy  little  girl.  In  May,  1904,  she  had  a  well  defined  attack 
leumonia  of  the  left  lung;  the  symptoms  looked  typica^ 
ryonia,  which  was  given  and  seemed  about  to  clear  up 
lase  promptly.  But  three  days  later  the  child  grew 
je  and  a  Rhus  condition  developed;  restlessness;  hurting 
ver;  cough  painful,  tearing;  temperature  103.3,  pulse 
respirations  60.  Rhus  caused  improvement  for  a  few 
i,  when  another  aggravation  occurred,  and  the  child 
led  very  ill,  moaning  and  talking  in  her  sleep,  nervous 
starting  at  the  least  noise,  full  of  pains  in  chest,  abdo- 
,  head  and  limbs,  still  carrying  high  temperature  with 
i  pulse  and  respiration.  The  outlook  was  most  alarm- 
but  three  powders  of  Tuberculinum  saved  the  little  life, 
Qy  visit  24  hours  later,  the  change  was  nothing  short  of 
vellous,  and  the  child  was  up  and  about  the  room  in  five 
5.    She  received  two   more  powders  of  Tuberculinum 


180 


THE  MEDICAT.  ADVANCE. 


and  needed  nothing  more  for  six  months  and  very  little 
since  that  time. 

Case  III.  Gastritis  and  ehtero-colitis,  followed  by 
marasmus.  Baby  George,  colored,  was  four  months  old  and 
weighed  sixteen  pounds  when  he  was  brought  into  the  hos- 
pital on  March  22nd.,  during  my  service  in  the  medical  ward. 
Ht*  had  been  fed  on  condensed  milk  and  for  a  week  was 
having  green  mucus  stools  and  vomiting  of  curds,  was 
loosing  weight,  had  fretful  cry  or  slept  a  great  deal,  a  heavy 
sh^ep,  almost  as  if  drugged.  His  temperature  was  102.  He 
was  given  a  few  doses  of  Chamomilla  30  and  put  on  albumin 
water. 

On  the  25th,  he  was  about  the  same,  except  his  temper- 
ature had  come  down.  Under  Sulphur  200  and  oil  rubs,  the 
baby  began  to  brighten,  but  kept  on  loosing  weight;  and  on 
the  27th  still  vomited  some  feedings,  immediately  after  tak- 
ing, but  seemed  hungry  and  thirsty.  The  stools  were  no 
br  tter  dark  or  light  green,  slimy,  offensive  but  not  excoriating. 

The  baby  was  too  good,  lay  quiet  most  of  the  time,  ex- 
cerpt occasional  rolling  of  the  head  and  crying  when  handled. 
His  temperature  suddenly  dropped  at  noon  to  96,  but  Phos- 
phorus 200  brought  it  up  in  a  few  hours  to  100,  and  kept  the 
baby  alive  for  a  few  days;  but  he  continued  to  loose  weight 
rtipidly — twelve  pounds  for  three  days — then  a  sudden  drop 
to  nine  and  one  half  then  nine. 

On  the  suggestion  of  our  pediatric  specialist,  we  gave 
Baliiie  lavage  of  the  colon  daily,  which  brought  away  horribly 
offensive  fecal  matter,  and  changed  the  food  to  whey  and 
barley  water  equal  parts,  which  was  mostly  retained. 

On  March  30th  the  baby  ran  a  temperature  from  96.2  to 
l(i5,  there  was  mucus  and  froth  from  the  mouth,  the  lips 
were  sore  and  peeling,  tongue  coated  and  bleeding  when 
wa.^hed,  discharge  of  pus  from  the  eyes;  grasping  of  thumbs 
and  rolling  of  head  and  eyes;  the  odor  of  the  stools,  which 
were  brownish  in  color,  were  putrid.  It  seemed  as  if  there 
WHS  no  hope  of  saving  the  little  life  in  spite  of  all  our  work 
and  careful  nursing;  but  Tuberculinum  200  wrought  a  wonder- 
ful change. 


t 


PERNICIOUS   INTERMITTENT    FEVER. 


t8l 


3n  April  1st  the  temperature  ran  only  from  98  to  103^ 
itools  were  less  offensive  and  less  rancus,  and  in  another 
ihey  were,  yellow  in  color.  The  feedings  were  all  re- 
d,  even  when  cream  was  added  to  the  whey  and  barley 
r.  One  half  pound  was  gained,  and  baby  George  seemed 
iter  and  better  in  every  way,  though  he  had  good  and 
lays  and  fever  now  and  then  for  a  week. 
On  April  10th  we  put  him  on  a  milk  formula.  He  had 
sional  doses  of  Tuberculinum  until  April  24th  when  he 
led  to  stop  gaining,  and  I  gave  Calcarea  phos.,  which 
ght  a  further  increase  of  flesh  (12  lbs.)  and  a  lively, 
bing  baby,  the  pet  of  the  parents,  nurses  and  doctors, 
ras  then  sent  to  Atlantic  City,    where  he   continued  to 


PERNICIOUS  INTERMITTENr  FEVER. 

By  Francisco  Valiente  F.,  M.  D. 

Cartagena,  Columbia,  8.  A., 
February  12,  1908. 
H.  C.  Allen,  M.  D.,  Chicago,  Dl. 
Dear  Doctor: 

I  know  you,  not  personally,  but  by  your  works,  which 
)f  unquestionable  merit.  I  love  you  with  the  same  love 
eel  for  our  teacher. 

Your  work  **Therapeutics  of  Fevers*'  is  a  masterpiece, 
actical  work  based  on  the  true  doctrines  pf  Hahnemann, 
aining  such  a  valuable  lesson  on  materia  medica,  that 
ind  in  it  any  case  that  may  occur  in  our  clinic. 
As  a  satisfaction  to  you  I  desire  to  relate  to  you  a  case* 
happened  to  me  once,  not  for  want  of  knowledge,  but 
ccount  of  a  well  based  fear  that  I  should  lose  one  of  my 
vea  daughters,  in  which  case  I  for  a  moment  tried  to 
iway  from  the  line  traced  by  the  law  of  similia. 
In  1904 1  was  living  with  my  family  at  the  city  of 
'anguilla,  and  at  that  time  they  were  cutting  a 
mel  in  order  to.  make  a  passage  for  the  Magda- 
river  steam  boats.  One  of  my  daughters,  named 
ba,  fell  victim  of  a  violent  fever.     As   she   had   taken  a 


182  THE  MEDICAL  ADVANCE. 

krJB  long  bath  in  the  mommg  of  that  day  I  began  treating  her^ 

'  "  using  Aconitum  and  then  Rhus,  getting   as  a  result  that  the 

.  fever  disappeared.  But  three  days  afterward,  while  I  waa 
absent  attending  to  my  practice,  I  was  notified  that  the  girl 
was  suffering  from  a  pernicious  attack,  and  returned  in  all 
possible  haste.  I  found  the  dear  little  girl  in  a  decubitus 
supino;  her  face  was  Hyppocratic,  cold  like  marble.  She  had 
just  experienced  a  fearful  paroxysm  of  intense  cold  (a  con- 
gestive chill)  lasting  a  very  long  time;  she  vomited,  com- 
plained of  cutting  pain  in  the  abdomen;  her  forehead  was 
covered  with  cold  perspiration;  she  was  intensely  thirsty; 
the  point  and  edges  of  the  tongue  were  red;  pulse  small, 
weak  and  slow. 

Several  friends  who  were  at  my  home  called  my   atten- 
tion to  the  fact  that  several  children  had  passed   away  on 
previous  days  from  the  very  same  sickness,  due  to  the  cut- 
• .    ,  ting  of  the  channel.     Fever  was  diminishing  and  it  was  my 

fM  wish  to  give  her,  as  soon  as  the  paroxysm  was  over,  a  high 

potency  dose  of  Veratrum  album.     But  being  sure   that  my 
daughter  would  die,  w!  ei  the  next  a?ces3  woald  come  next 
day,  I  hesitated. 
..^iM  Dr.  Gatcheirs  Medical  Practice,  page  77,  says: 

'  '^m  Treatment  must  be  prompt  and  energetic.    Quinine  must  be  pushed 

^B  tlli  the  patient  is  thoroughly  cinchonized. 

^H  Dr.  Vincent,  in  Vol.  II  of  the  United  States  Medical  In- 

^*  vestivator,  says: 

[  consider  intermittent  fever  as  an  exceptional  sickoess.  Very 
rarely  have  I  been  able  to  cure  one  of  these  affections  using  high  poten- 
cies nor  by  means  of  any  attenuation.  Even  the  best  selected  medicine 
•has  failed  in  the  majority  of  cases.  My  own  experience  in  intermittent 
fever  is  the  very  same  as  that  of  twenty  praciical  celebrities  of  our 
school. 

Dr.  Hughes,  in  his  Therapeutics,   letter  VIII,  page  108^ 

says: 

I  furthermore  believe  that  in  all  cases  of  recent  intermittents  yoa 
will  find  the  best  practice  to  be  to  give  Quinine  during  apyrexia,  as  or- 
dinarily practiced  and  recommended  by  Joustet. 

The  very  same  Dr.  Hughes,  a  little  further  on,  says: 

In  cases  of  pernicious  fever  I  may  say  that  since  a  Homeopath,  Dr. 
Charge,  of  Marseilles,  so  fully  admits  that  we   must  resort  to  Quinine^ 


PERNICIOUS   INTEEIMITTBNT   FEVER. 


183 


Ast  not  be  frightened  by  such  or  such  quantity,  but  we  must  admia- 
18  much  as  required  for  a  rapid  healing  pf  the  paroxysm. 

;n  this  same  way  I  knew  the  opinion  of  other  noted 
3rs,  and  on  account  of  them  I  confess  I  hesitated  for  a 
5  and  ordered  the  Quinine  to  be  brought  in  10  p-ain 
rs. 

;t  was  10  o'clock  in  the  evening;  I  was  stepping  into  the 
where  the  little  girl  was  sick,  and  suddenly  I  thought 
>ur  work  on  fevers;  I  went  for  it  and  began  reading  it 
3usly,  and  soon  on  page  374,  Veratrum  album  I  was 
ing  the  scolding  I  deserved.  I  at  once  called  my  good 
and  read  to  her  the  parapraph,  as  follows: 
he  above  makes  one  of  our  best  pictures  of  the  sinking,  con^restive 
•nicious  forms  of  intermittent  fevers.  The  patient  thinks  he  will 
ad  the  physician  shares  his  fears.  The  allopath  now  resorts  to 
lants  for  the  present,  and  Quinine  to  prevent  the  return  of  future 
ysms.  Shall  we  on  that  threadbare  plea  of  pseudo-homeopisthflf 
'there  is  no  time  for  homeopathic  remedies  to  act,'*  follow  his  ex- 
?  Those  are  not  lacking  in  faith  but  in  knowledge,  who  desert 
colors  under  fire.  The  homeopath  who  knows  his  materia  medica 
ure  such  cases  without  resorting  to  rational  ( ? )  uncertainty.  If 
is  not  know  his  materia  medica  he  is  Justified  in  resorting  to  any- 
to  try  to  save  his  patient,  but  the  treatment  should  go  by  its  right 
and  the  failure  to  cure  should  be  properly  credited.  Every  hom- 
h  is  responsible  for  not  knowing  what  he  professes  to  practice. 

\shamed  by  such  a  well-timed  reprimand,    I  rushed  to 

he  thermometer  to  the  little  sick  girl,   marking  37i  C. 

lidnight  there  were  only  361  C,  and  then  I   put  on  the 

ue  of  the  girl  all  I  could  get  on  the  point  of  a  pen  knife 

ed  Veratrum  album  200,  and  full  of  hopes   we  let  time 

away. 

^ext  morning  at  6  o'clock,  at  the  same  hour,  the  access 

\  again  but  slight;  little  cold,  little  hea^,  perspiration  on 

orehead. 

[  expected  it  the  next  day  and  the  access   came   a  little 

iger  this  time,  and  I  being  her  father  knew  very  well 

inamnesis  of  the  case.     I  remembered  then  what  ought 

i  printed  in  golden  letters  in  the  mind  of  all  homeopaths: 

B  patient,  not  the  disease." 

[remembered   what  you  say  on  page  10:     **A11  fevers 


184 


THE    MEDICAL  ADVANCE. 


that  tend  to  a  protracted,  low  or  malignant  type  oc- 
cur in  the  psoric  or  tubercular  patient,  and  the  more  deeply 
psoric  the  more  malignant  the  attack,"  and  I  resolved  to 
give  the  patient  at  the  end  of  the  access  Sulphur  200,  which 
gave  a  wonderful  result.  Pour  days  after  we  considered 
her  free  of  the  sickness,  and  at  the  same  hour  she  felt  some 
heat  which  was  followed  by  a  cold  perspiration,  and  I  then 
put  on  her  tongue  Psorinum  1,000,  and  since  that  time,  four 
years,  she  enjoys  perfect  health. 

Let  Allen's  **Therapeutics  of  Fevers"  be  blessed!  Let 
Hahnemann  be  blessed! 

This  was  the  time  when  I  felt  for  the  first  time  a  con- 
geniality towards  you. 

Your  invaluable  work  has  enabled  me  to  heal  since  that 
time  numberless  cases  which  have  given  me  a  name  and 
fame. 


EP1LEP8Y. 

SOCIETE  FRANCAISE  D'HOMOEPATHIE. 
Translated  by  Horace  P.  Holmes,  M.  D.,  Sheridan,  Wy. 
The  order  of  the  day  took  up  the  treatment  of  epilepsy, 
First:  Dr.  Chiron  asked  permission  to  speak  about 
Turbher  information  of  the  patient  whose  case  he  had  com- 
ruunicated.  He  saw  the  patient  again  the  8th  of  November. 
She  passed  an  excellent  month  during  October,  without  the 
least  epileptic  attack.  The  menses  came  on  normally  the 
24th  of  October  and  caused  no  trouble.  But  the  6th  of  No- 
vember, after  getting  very  angry,  she  had  that  night  a  very 
slight  seizure  with  loss  of  consciousness  which  lasted  three 
or  four  minutes,  and  was  followed  by  profound  sleep.  That 
little  seizure  caused  repetiton,  with  less  intensity,  of  the  old 
conditions;  cramp  in  the  left  leg,  extending  to  the  pelvis  and 
left  arm,  compression  of  the  thorax,  etc.  The  next  day  the 
patient  had  no  bad  feelings  and  the  following  night  her  sleep 
was  in  no  way  disturbed. 

Upon  the  whole,  the  complete  recovery  then  has  not 
l>een  obtained  since  a  short  attack  took  place  at  the  end  of 
seven  months. 


EPILEPSY. 


18& 


A.nd  yet,  the  case  remains  not  less  interesting  from  the 
notable  amelioration  due  to  the  single  homeopathic 
dy. 

Dr.  Chiron's  patient  is  not  cured,  and  will  not  be  until 
pescribes  for  and  cures  the  constitutional  ailments.  See 
Demann's  directions  for  the  cure  of  the  insane  after  they 
been  discharged  from  the  Asylum  Organon  §222.  The 
J  advice,  applies  to  epileptics.  EdJ 
Dr.  Jousset,  Sr.  has  treated  numerous  cases  of  epilepsy, 
a  disheartening  disease  which  is  very  difficult,  if  not  to 
impossible,  to  cure.  Under  the  influence  of  treatment 
attacks  diminish  and  disappear  sometimes  for  several 
;hs,  a  year,  two  years  even,  then  reappear  anew.  He 
led  among  others  the  case  of  one  of  his  patients  who, 
r  the  influence  of  Nux  vomica  30th  and  Belladonna  30th 
ined  two  years  without  an  attack.  He  thought  it  cured, 
he  attacks  returned  later,  at  first  once  a  year,  then 
y  month.  He  had  read  of  cures,  but  they  were  hard  to 
ve.  And  yet,  Homeopathy  permits  us  to  obtain  mar- 
us  results  in  certain  attacks  of  epilepsy.  Thus  in  those 
5  in  which  the  paroxysms  follow  each  other  rapidly,  we 
I  positively  prolong  the  period.  The  remedies  which 
he  best  are  those  for  cerebral  hemorrhage.  Opium  and 
idonna  in  low  dilution. 

For  the  disease,  it  has  been  observed  on  the  contrary; 
:ures  have  been  obtained  with  the  higher  dilutions  given 
ngthened  periods,  every  ten  days  for  example. 
He  rapidly  reviewed  several  remedies:  Opium,  Cuprum, 
idonna,  Silicea,  Calcarea  and  Causticum,  i^ointed  out  by 
linghausen  as  very  important  and  which  furnish  in  their 
ogenesis  only  a  small  number  of  symptoms  that  one  can 
y  to  epilepsy;  Plumbum,  on  the  contrary,  has  many 
;ptic  phenomena  and  does  not  cure  epilepsy.  Lastly, 
ad  particularly  studied  Picrotoxine  which  had  given 
one  case  of  recovery. 

Picrotoxine  in  the  warm  blooded  animals  produced  verit- 
epileptic  spasms.  When  the  dose  is  strong  these  spasms 
e  nearer  and  nearer  together   and  produce  death  of  the 


186 


THE  MEDICAL  ADVANCE. 


animal  by  asphyxia  daring  convulsions,  and  by  syncope 
during  the  collapse;  the  attacks  draw  nearer  together  and 
become  stronger  and  stronger,  as  in  fatal  conditions;  or  the 
attacks  grow  farther  apart  and  the  animal  recovers. 

Spasms,  prostration,  restlessness,  tonic  convulsions  in 
the  fore  feet,  opisthotonous,  then  general  clonic  convulsions, 
froth  at  the  mouth,  biting  the  tongue.  Cyanosis  of  the  lips 
and  tongue,  excretion  of  urine  and  feces.  Then  collapse, 
prostration,  relaxation,  respiration  and  circulation;  lowering 
of  temperature. 

Cocculus  indicus,  in  men:— Hahnemann  noted  vertigo 
when  sitting  up  in  bed.  Partial  convulsions  with  turning  in 
of  the  thumbs. 

A  note  from  Gross  in  Hahnemann's  Materia  Medica  con- 
tains the  following  symptoms:  The  subject  stares  for  a  long 
time  at  one  point,  then  falls  unconscious  and  cries  out;  the 
limbs  and  entire  body  are  shaken  by  convulsive  shocks,  the 
upper  limbs  in  extension  and  supination,  froth  at  the  mouth; 
hi  voluntary  urination;  face  and  extremities  covered  with 
cold  sweat;  features  convulsed;  the  eyes  protruding  beyond 
the  sockets. 

To  the  convulsive  period  succeeds  a  sort  of  alienation. 
The  patient  stands  up,  remains  silent,  grinds  his  teeth 
thrusts  out  his  tongue,  flies  into  a  rage,  tries  to  strike,  at 
last  he  sighs,  regains  consciousness.  The  attacks  lasts  a 
quarter  of  p.n  hour. 

That  note  would  be  very  important  if  the  symptoms 
had  been  produced  in  a  healthy  man  by  a  dose  of  Cocculus 
indicus.  But  if  it  is  simply  a  description  of  an  attack  of 
hystero- epilepsy  in  a  patient,  then  the  case,  even  though  it 
had  been  brought  on  by  the  remedy,  loses  a  large  part  of 
its  value. 

To  sum  up,  in  counting  the  experiments  upon  the  ani- 
mals referred  to  above,  and  which  demonstrate  that  the 
Picrotoxine  has  an  incontesable  epileptogenic  action,  we  say 
tbat  this  medicament  is  indicated  in  epilepsy,  especially 
when  the  attacks  take  place  in  the  morning  at  the  moment 
when  the  patient  quits  the  horizontal  position;   they  are  ag] 


EPILEPSY. 


187 


ated  by  the  out-door  air  and  especially  by  the  cold  air, 
ating,  from  the  action  of  coffee  and  tobacco. 
I  shall  recall  that  Picrotoxine  is  customarily  employed 
ur  allopathic  confreres  who  continue   *'to  make  prose 
out  knowing  it."    Do  they  cure  epilepsy  with  Picrotox- 

Do  we  cure  it  with  Cocculus  indicus? 
Dr.  Cartier  did  not  believe  that  we  possessed  a  remedy 
ir  Materia  Medica  that  was  really  curative  of  epilepsy, 
^hat  we  can  do  is  to  lengthen  the  interval  of  the  attacks, 
is  practice,  he  generally  employed  two  or  three  remedies 
5h  have  always  rendered  him  good  service: 

1.  Oenanthe  crocata  (mother  tincture),  two  drops  daily 
le  epileptics  with  frequently  repeated  spasms: 

2.  Solanum  carolinense  (horse  nettle,  mother  tincture), 
;h  follows  Oenanthe  well: 

3.  Lastly  as  a  preventive  of  the  attacks,  Kali  bromatum 
especially  in  women  who  have  the  periodical  attacks  at 
bime  of  their  menses.  He  reported  the  case  of  an  epilep- 
)ss,  in  whom  the  aura  came  on  an  hour  before  the 
ire.  She  immediately  took  Kali  bromatum  and  thus 
ded  the  attack. 

Dr.  Jousset,   Jr. — Oenanthe  has  been  employed  for  a 
time.     Hermel  used  it  but  he  prescribed  it  in  the  sixth 
ncy. 

Dr.  Leon  Simon. — I  can  speak  from  experience  on  the 
acity  of  Cocculus  against  sea  sickness,  for  I  had  the  oc- 
5n  to  verify  it  on  myself.  Never  having  sailed  except 
le  months  of  July,  August  and  September,  I  have  by 
ice  never  been  in  a  tempest.  And  yet,  I  have  several 
s,  notably  upon  the  Zuyderzee  and  upon  the  British 
Dnel,  seen  the  sea  rough  enough  to  make  almost  all  the 
lengers  sick,  myself  included.  In  1901,  I  went  into 
istine  the  journey  lasting  six  and  a  half  days,  thirteen 
J  going  and  coming.  Knowing  myself  to  be  vulnerable, 
)k  my  precautions.  The  Weber  pharmacy  prepared  me 
e  pellets  of  Cocculus  and  Tabacum,  each  in  the  third 
mal.  Not  being  a  smoker,  I  counted  particularly  on  the 
5r,  which  is  incontestably  homeopathic.     The  boat  raised 


188  THE   MEDICAL  ADVANCE. 

anchor  the  28th  of  August  at  three  o'clock  in  the  afternoon. 
The  sea  was  jvhite-capped  to  the  horizon,  and  the  rolling 
was  so  great  that  a^flower-vase  placed  on  the  table  fell  off 
several  times.     Having  been  careful,  since  morning,  to  take 
alternately  every  three  hours  one  pellet  of  each  remedy,  I 
bore  myself  admirably  and   dined  with  as  good  an  appetite 
as  if  I  had  been  in  myjown  dining  room.     The  next  day  the 
sea  still  foamed,  but  the  ship  rolled  much  less;  the  passage 
of  the  strait  of  Bonifacio  was  easily  made.    I  took  my  two 
remedies  at  longer  intervals.    The  30th  of  August,   the  sea 
being  as  caim  as  a  lake   and  the   ship  in  an  equilibrium  as 
stable  as  the  bateaux-mouches  upon  the   Seine,  I  judged  it 
useless  to  drug   myself.     Unfortunately  we  traversed  the 
strait  of   Messina  in  the  night  of  the  80th  and  31st,  and  the 
next  day  we  voyaged  upon  the  Ionian  sea,  where  the  winds 
and  the  waves  are  permanent.     The  surges   broke  over  the 
vessel  and  more  than  onelbroke  upon  the  bridge.     This  day 
I  did  not  escape  sea  sickness,  and  passed  a  lamentable  day. 
Then  I  retook  my  two  remedies,'with  a  feverish  activity,  two 
or  three  pellets   every  quarter"of  an  hour,  frequently   even 
Livery  ten  minutes.     At  the   breakfast  hour  I  already   felt 
myself  better,  but  I  did  not  long  to  pay   the  imprudence  of 
being  placed  at  the   table.     I.continued   all  the  afternoon  to 
atiminister  my  two  remedies  larga  manu  and,    at  six  o'clock 
I  was  definitely  cured 'since  I  was  able  to  dine  as  if  nothing 
had  happened;  and  yet  the  sea  was  just  as  rough.     The  next 
day,  September   1st,  the  rolling  and  pitching  had  in  no  way 
diminished,  on  the  contrary,  as  the  steward  judged  it  prudent 
to  place  the  violins'on  the   table.     However   I  did  not  have 
an  instant  of  uneasiness,    and  yet  it  hapi>ened  in  the  after- 
noon,  while  I  was   promenading  upon  the  bridge,    that  I 
received  a  wave  all  over  me.     But  I  made  frequent  borrow- 
mgs  (about  every  two  hours),  on  my  vials  of  pellets.  The  4th 
of  September,    before   day,  we  were  in  sight  of  Jaffa. 

The  return  voyage,  from  the  14th  to  the  20th  of  Septem- 
ber, was  delicious.  Instructed  by  experience,  every  day  I 
took  two  pellets  of  Coccu/?/.s,'although  the  sea  was  as  calm  as  a 
l^ke.     To  be  sure   thelbreeze  freshened  upon  the  Ionian  sea 


EPILEPSY. 


189 


i  there  were  some  sick  ones  while  we  were  traversing  it. 
7as  not  of  the  number;  I  walked  staggeringly,  because  I 
I  not  have  my  sea  legs,  but  my  heart,  or  rather  my 
)mach  remained  firm. 

Contrary  to  my  expectation,  I  did  not  notice  any  appar- 
b  relief  after  the  doses  of  Tabacum,whi[9t  those  of  Cocculus 
jed  manifestly  upon  the  nausea.  Therefore  I  finished  by 
dng  the  latter  alone  and  laid  the  other  aside.    The  use  of 

0  remedies  in  alternation  is  habitual  with  the  North 
Qericans. 

Dr.  Boyer,  Sr.  ,had  advised  the  use  of  Cocculus  in  several 
rsons  who  had  taken  voyages  and  all  of-  them  had  done 
U  on  it.  I  have  praised  it  to  many  people  and  I  gave  it  to 
3  ol  my  nephews  who,  at  the  age  of  sixteen  years,  set  out 
a  vogage  to  the  island  of  Mauritius.  He  got  along  nicely 
i  was  only  sick  one  day,  on  account  of  very  bad 
ather  in  the  Indian  ocean. 

However,  it  should  not  be  considered  an  infallible  speci- 

-  A  lady,  who  frequently  goes  to  the  island  of  Jersey 
i  who  is  always  very  sick,  took  it  once  according  to  my 
nee,  but  experienced  no  relief.  It  should  be  said,  in  ex- 
^ration  of  Cocculus,  that  it  was  during  the  spring  equinoxes 
i  the  sea  was  very  wild. 

[We  are  pleased  to  observe  that  Dr.  Simon  saw  that 
bacum  was  useless.  But  why  did  he  use  two  remedies  in 
ernation?  Was  it  because  it  '*is  habitujal  with  the  North 
Qericans"  or  the  Parisians?  We  fear  it  is  habitual  with 
meopaths  who  never  knew  or  have  never  practised  the 
>meopathy  of  Hahnemann.  They  are  indigenous  to  both 
ance  and  America.  When  will  our  esteemed  colleagues 
rn  that  Homeopathy  has  no  remedy  for  either  epilepsy  or 

1  sickness;  it  is  the  patient,  not  the  disease.     EdJ 


An  abscess  of  the  right  ovary  may  give  the  same  signs 
i  symptoms  as  acute  fulminating  appendicitis.  If  an  in- 
ion  for  appendicectomy  is  made,  it  should  be  of  sufficient 
igth  and  low  enough  down  to  allow  of  careful  examination 
the  right  adnexa. — Amei-ican  Journal  of  Surgenj. 


190  THE  MEDICAL,  ADVANCE. 

ANTITOXIN:  AN  INVOLUNTARY  PROVING. 

By  J.  E.  Prash,  M.  D.,  Logan,  Ohio. 

Girl,  aged  8,  exposed  to  diphtheria  Wednesday,  Nov. 
13,  1907. 

Thursday,  Nov.  14,  began  powders,  two  each  day,  for 
eight  days,  then  one  daily  for  two  days. 

Saturday,  Nov.  23,  complained  of  being  tired,  sat  down 
to  rest  three  times. 

Sunday,  Nov.  24,  would  lie  down  because  tired,  but  after 
a  while  felt  playful. 

Monday,  Nov.  25,  temperature  103,  pulse  148,  full,  with 
throbbing  of  corotids,  eyes  bright,  face  flushed,  with  center 
of  cheeks  almost  purple. 

Throat  dark  red,  no  membrane,  but  on  back  wall  of 
throat,  yellow,  dirty  cream  color,  dry  membrane  in  folds,  up 
and  down. 

Monday  night  talks  in  sleep,  with  eyes  wide  open. 
Wanted  imaginary  objects  taken  from  room,  and  to  **make 
those  people  get  away".  Sat  up  and  picked  among  bed- 
clothes for  strap  for  her  school  books. 

Tuesday,  26,  temperature  101.2,  pulse  116,  membrane 
lighter  and  moist,  thin  in  middle  of  throat. 

Wednesday,  Nov.  27,  temperature  99. 2,  pulse  100.  Throat 
clearing  from  middle.  Jerking  of  single  limb,  or  shoulder, 
or*finger. 

Thu2  day,  Nov.  28,  temperature  101^2,  pulse  116.  Desired 
to  have  mother  hold  her  hand.  Tongue  whitish,  with  ex- 
ceedingly red  tip  (moist). 

Friday,  Nov.  29,  temperature  101.2,  pulse  116. 

Saturday,  Nov.  30,  temperature  99f, pulse  100.  Membrane 
white,  and  showing  more  to  front.  Clearing  from  center 
of  back  wall  of  throat.  Tongue  coated  whitish,  with  red 
papille,  very  red  tip,  with  a  dark  red  spot  in  center  of  red 
tip.  Slept  well  last  night,  until  4  a.  m.,  then  was  restless 
and  wakeful;  moved  and  changed  position,  moved  arms  and 
legs  often,  snored  and  fan-like  motion  of  ala  nasi.  Skin 
seemed  dry,  forehead  moist  along  edge  of  hair,  when  first 
falling  asleep. 


i 


A  DIPHTHERIA  CASB  CURED   WITHOUT  ANTITOXIN.      191 

Oeneralities:  Fluctuating  temperature,  very  little  pain, 
ibrane  in  folds  up  and  down  on  back  wall  of  throat, 
n  the  membrane  first  appeared,  spreading  forward  as 
IS  behind  the  tonsils,  and  also  began  to  fade  and  disap- 
first  from  center  back  wall. 

In  center  of  the  tip  of  tongue  was  a  very  dark  red  spot, 
very  dark  red,  or  purple  spot  in  center  of  very  red 
iks. 

Aside  from  the  above  symptoms,  there  was  nothing  un- 
1  that  I  could  elicit. 


IPHTHERIA  CASE  CUBED  WITHOUT  ANTITOXIN. 

By  Richard  Blackmore,  M.  D.,  Bellevue,  Pa. 

M.  D.,  age  35,  rugged  and  strong,  * 'never  sick  a  day." 

Oct.  12,  W  complained  of  being  sore  all  over  and  cannot 

B^ann;  pulse  88,  temperature  102.4. 

Examination  of  throat  revealed  a  deposit  on  posterior 

ial  pillar,  right  side,  dirty  looking  as  though  decayed  in 

middle;   detached  patches  near  by;  rest  of  mouth  clean 

bright  red.    Tonsils  swollen  and  red.      Difficulty  in 

lowing  disproportionate  to  the  amount  of  faucial  in- 

ement. 

Jaws  stiff  so  that  the  mouth  is  opened  with  difficulty. 

L  hot  and  dry.     Cold  and  cannot  get  warm,  in  spite  of 

iased  clothing  and  hot  fire. 

Advised  cold  pack  around  throat  and  gave  Merc.  i.  f . 

One  dose  on  tongue  and  another  in  divided  doses  in 
\v. 

A  culture  from  the  throat  was  positive  as  to  the  Klebs 
ler  baccillus.  The  case  went  along  improving  daily  with 
k  return  of  the  patient's  virility  until  the  16th,  on  which 

as  there  had  apparently  been  a   **stand  still"  for  24 

rs,  another  dose  of  Merc.  i.  f.  Im.  was  given  and  on  the 

the  throat  was  entirely  clean.   The  patient  felt  **better 

L for  months."    A  culture  taken  proved  negative  and  the 

I  was  discharged. 


192 


THE   MEDICAL  ADVANCE 


A  GEL8EMIUM  HEADACHE. 

By  J.  FiTZ  Matthews,  M.  D.,  West  Sound,  Wash. 

Mrs.  S.,  of  Tacoma,  Wash.,  brunette,  aged  55. 

Severe  pain  arising  from  cervical  spine  region  to  occiput, 
more  or  less  constant. 

Occiput  and  cervical  spine  sore  to  touch,  especially  a 
spot  between  the  shoulders. 

Pain  in  occiput  is  steady  and  boring  <  stooping,  noise 
and  light;  had  to  be  in  a  dark  room;  occasionally  >  lying  on 
back  of  head. 

Face  hot,  head  feels  as  though  it  would  burst. 

Occasionally  pain  affects  whole  head  and  glands  of  neck. 
It  comes  on  suddenly,  and  then  ceases  suddenly  after  profuse 
urination  (Gels.  Sil.) 

Jumps  and  twitches  during  sleep,  and  when  awakening. 

So  nervous  that  the  least  exertion  makes  her  tremble 
like  an  aspen  (Gels.) 

Back  of  head  worse. 

Better  from  10  A.  M.  till  1  to  2  P.  M. 

Pain  never  stops  in  finger. 

Inclined  to  chilliness  in  bed. 

Grieves  about  nothing  now  but  her  condition.  Years 
ago  great  grief  about  an  accident  to  a  child,  crippling  it. 
The  nervous  condition  dates  from  this,  21  years  ago.  Septic 
condition  after  child  birth. 

Irritable;  cannot  write  or  think  when  pains  are  severe. 

OBSERVATIONS. 

It  required  several  letters  to  get  these  symptoms.  At 
first  I  gave  Belladonna  200,  with  some  relief,  especially 
sleep,  but  relapsed.  Then  the  marked  sensitiveness  to  air 
blowing  on  head  induced  me  to  give  a  dose  of  China  200 
( Dunham,)  with  no  relief. 

Then,  on  further  symptoms  sent,  I  gave  Gelsemium — 
potency  not  known — followed  by  Gelsemium  200.  Com- 
menced on  Nov.  22d;  no  better  up  to  Sunday,  then  worse, 
when,  following  my  instructions,  she  stopped. 

On  Sunday  evening  the  pain  and  pressure  in  head  dimin- 


BUREAU   OF  HOMEOPATHY. 


193 


[.  Slept  well  after  midnight,  but  was  so  weak  and  light- 
ed. 

Dn  Monday  morning  awoke  with  a  clearer  head  than  in 
J  weeks.  **The  relief  continued  all  through  the  day  and 
:  and  I  am  feeling  fairly  well,  and  have,  as  instructed, 
•ntinued  the  medicine." 

rhe  patient  has  suffered  greatly  for  a  long  time,  and 
jr  remedy  failed,  so  she  was  induced  to  try  Homeopathy, 
digestive  organs  are  in  good  order,   and  Homeopathy 
not  fail. 

Supplementary  observations: — Refer  to  patients  letter, 
'  Belladonna  200:  '1  am  feeling  quite  a  little  better, 
in  head  relieved,  sleeping  better.''  After  this  relief, 
)sed,  as  stated,  Gelsemium  and  Silica  are  strongly  in 
;ed. 

rhe  pains  in  finger  and  toe  are  remarkable  features  in 
case  <  when  tired,  and  >  When  head  and  general  con- 
n  are  relieved. 


BUREAU  OF  HOMEOPATHY  A.  I.  H. 

For  the  Meeting  Kansas  City,  Mo.,  June  22,  1908. 

L.  Sectional  Adress — Dr.  R.  F.  Rabe,  Chairman. 
I.  Drug  Pathogenesis,  what  should  it  embrace?  Sub- 
v^e  and  objective  symptoms.  Pathology,  its  relationship 
'ug  pathogenesis.  Is  pathological  prescribing  possible, 
if  so,  how  and  when?  What  part  must  it  i^lay  in  the 
[deration  of  the  totality  of  the  case?  Its  subordination 
bjective  symptomatic  prescribing. — Dr.  George  Royal. 
Qssed  by  Thomas  G.  McConkey  and  E.  A.  Taylor. 
J.  (a)  What  must  the  anamnesis  of  the  properly  taken 
include?  Is  diagnosis  to  be  considered,  and  if  so,  to 
i  extent?  Its  subordinate  part  in  the  homeopathic  pre- 
>tion.  (b)  Taking  the  case:  The  acute  case;  the 
nic  case. — Dr.  T.  H.  Hudson.  Dicussed  by  H.  C.  Allen 
Prank  Kraft. 

4.    To  find  the   Similimum — The  use  of  the   Repertory 
ractical  every-day  work,  with  graphic  illustrations,    (a) 


194 


THE  MEDICAL  ADVANCE. 


in  the  acute  case;  (b)  in  the  chronic  case. — Dr.  H.  C.    Allen. 
For  general  criticism. 

5.  The  remedy,  when  to  give  and  when  to  stop.  Repeti- 
tion in:  (a)  the  acute  case;  (b)  the  chronic  case;  (c)  in  the  in- 
curable case.  Homeopathic  palliation,  its  sphere  of  useful- 
ness defined;  why  superior  to  so-called  physiological  pallia- 
tion? The  selection  of  the  suitable  potency;  what  factors 
inter  into  its  consideration. — Dr.  H..A.  Cameron.  Discussed 
by  E.  E.  Case  and  E.  B.  Nash. 

6.  Homeopathic  aggravations  defined:  Their  causes 
and  management.  Methods  of  controlling  them.  Curability 
or  incurability  of  a  case,  after  watching  the  effect  of  the 
Sirailimum.  Influences,  extraneous  or  otherwise,  which 
interfere  with  the  action  of  the  remedy. — Dr.  J.  B.  S.  King. 
Dicussed  by  Maclay  Lyon  and  Joseph  Luff. 

7.  The  limitations  of  remedial  activity.  When  does 
surgery  become  necessary  and  why?  The  importance  of 
liomeopathic  prescribing  in  the  preparation  of  the  patient 
for  operation.  Homeopathic  after  treatment  In  surgical 
cases.  Disease  itself,  distinguished  from  disease  results. 
The  pathological  end  product,  why  not  always  curable? 
Hahnemann's  advice  concerning  the  curable  in  disease  and 
the  curative  in  medicines  I  The  patient  to  be  prescribed  for 
always,  not  the  disease. — Dr.  J.  C.  Pahnestock.  Discussed 
by  H.  C.  Allen  and  A.  P.  Hanchett. 

8.  A  consideration  of  the  Miasms  in  the  treatment  of 
disease.  Psora,  Sycosis,  and  Syphilis,  their  combinations 
and  their  importance  as  causative  factors  in  the  production 
of  sickness. — Dr.  Thos.  G.  McConkey.  Discussed  by  H.  R. 
Arndt. 

9.  The  importance  and  necessity  of  keeping  accurate 
records  in  the  treatment  of  chronic  diseases. — Dr.  G.  P. 
Waring.     Discussed  by  Lewis  Pinkerton  Crutcher. 

10.  The  Homeopathy  of  Hahnemann. — Dr.  E.  A.  Taylor. 
Discussed  by  W.  J.  Hawkes  and  Willis  A.  Dewey. 


BRYONIA  IN  ASTHMA. 


195 


BRYONIA  IN  ASTHMA. 

By  J.  B.  Campbell,  M.  D.,  Brooklyn,  N.  Y. 

Not  alone  in  asthma  which  is  markedly  agf^avated  by 
iantary  exertion  is  Bryonia  of  great  value;  for  as  a  matter 
(act,  almost  all  asthmatics  are  distressed  by  exertion.  It 
1  be  seen  however,  that  in  this  affection  the  scope  of 
^onia  is  more  extensive  than  some  of  us  have  realized.  In 
riag's  Condensed  Materia  Medica  this  drug  shows  under 
reathing:" 

'^Respiration  impeded.  Frequent  desire  to  take  a  full 
piration  which  cannot  be  done  in  consequence  of  a  feeling 
if  there  was  something  which  should  expand  but  would 


But  nothing  is  said  about  asthma.  In  the  Guiding 
mptoms  it  is  stated  thus: 

"Asthma,  with  a  feeling  as  if  there  was  something  which 
mid  expand,"  etc. 

If  we  modify  any  lurking  prejudice  concerning  the  limi- 
ions  and  pleuritic  predilections  of  Bryonia,  and  identify  it 
well  with  other  chest  affections,  we  shall  be  able  to  per- 
ve  in  connection  with  asthma  an  important  aspect  of  this 
sty  old  polychrest,  and  construe  the  symptom  picture 
en  above  to  the  advantage  of  the  asthmatic  patient.  If 
5,  we  consider  that  the  very  act  of  breathing  (itself  in- 
ving  exertion)  makes  the  patient  feel  worse,  that  is,  more 
lausted,  and  that  feeling  worse,  he  in  turn,  breathes  with 
ater  difficulty,  we  can  see  the  appropriateness  of  Bryonia. 
I  asthma  may  accompany  vesicular  emphysema  when  the 
st  walls  are  immovable;  or  it  may  be  of  the  cardiac  vari- 
in  which,  by  the  way,  diphtheritic  antitoxin  seems  to 
e  a  homeopathic  relation  and  has  been  administered  with 
nounced  benefit.  Wheezing  breathing;  the  patient  has  a 
Javy  head"  and  does  not  want  to  exert  himself.  (Elaps 
.  cured  a  case  of  asthma  with  heavy  head  of  years* 
ading).  The  heart  labors  with  the  effort  which  tires  the 
ient  who,  as  has  been  said,  breathes  with  greater  diffi- 
by  because  he  is  tired.    In  cases  of  asthma,   where  this 


im 


THE  MEDICAL  ADVANCE. 


fatigue  feature  can  be  confirmed,  Bryonia  will  render  excel- 
lent service. 


A  PHOSPHORUS  CASE. 

By  R.  F.  Rabe,  M.  D.  616  Madison  Ave.,  New  York. 

The  following  case  had  existed  for  several  days  in  the 
liands  of  a  homeopathic  physician,  growing  constantly 
worse  under  Belladonna,  Arsenicum  and  Bryonia.  It  was 
one  of  acute  gastroenteritis,  becoming  typhoid  in  character. 
For  a  time  the  diagnosis  of  typhoid  fever  seemed  justifiable, 
but  when  the  case  was  seen  in  consultation,  there  existed  no 
doubt  as  to  its  real  nature.  The  temperature  fluctuated 
greatly  from  99  to  103;  pulse  100  to  130.  Under  Phos- 
phorus an  immediate  though  very  gradual  improvemet  be- 
gan. The  stomach  was  very  intolerant  of  even  the  blandest 
nourishment.  This  was  soon  changed  under  the  action 
of  the  remedy. 

The  symptoms,  recorded  at  the  bedside  were: 

M.  F.,  female,  age  8  yrs.  Vomits  greenish  mucus  and 
bile  Nausea '>  by  vomiting.  Pain  in  stomach  and  abdomen 
<  by  motion.  Lies  on  back  mostly;  on  leftside  occasionally. 
Wants  to  be  quiet;  avoids  motion.  General  <  afternoons 
and  nights.  Wants  abdomen  gently  rubbed.  Wants  ice  cold 
drinks,  but  not  very  thirsty.  Vomits  after  a  while;  after 
several  drinks. 

Delirium  at  times,  sees  things.  Hands  hot;  feet  hot  or 
cold.  Abdomen  sensitive,  cover  <.  Tongue  coated  whitish 
3'ellow,  red  edges.  No  straining  with  stool,  stool  involuntary 
vnless  relieved  at  once;  cannot  retain  stool.  Flatus  with  stool. 
Clots  of  blood  in  stool.  Wants  cool  air.  Says  abdomen  feels 
cold.    Looks  very  weak,  face  is  pale;  eyes  sunken.  Apathetic. 

Phosphorus  1000,  (B.  &  T.)  3  doses  at  intervals  of  one 
hour.  Complete  recovery  followed,  no  further  medicine 
was  required. 


AUXILIARY   APPOINTEES. 


197 


:iLIABT     COMMITTEES    OF     THE    COUNCIL   ON 
ME0ICAL  EDUCATION. 

Pursuant  to  the  resolution  passed  at  the  meeting  of  the 
icil  on  Medical  Education  held  in  Chicago  on  October  25, 
,  to  appoint  three  physicians  in  each  school  from  each 
S  the  following  have  been  appointed  to  represent  the 
leopathic  school: 

Maine— W.  E.  Fellows,  Bangor;  J.  F.  Trull,  Biddeford; 
J.  Thompson,  Augusta- 

New  Hampshire — C.  Bishop,  Bristol;  C.  A.  Sturtevant, 
Chester;  W.  Tuttle,  Exeter. 

Vermont— C.   A.    Gale,   Rutland;  E.  W.  Kirkland,  Bel- 
Falls;  G.  I.  Forbes,  Burlington. 

Massachusetts — J.  P.  Rand,  Worcester;  E.  H.  Copeland, 
;hampton;  G.  F.  Martin,  Lowell. 

Rhode   Island — H.    A.   Whitemarsh,    Providence;   Jno. 
aett,  Pawtucket;  H.  M.  Sanger,  Providence. 
Connecticut — E.   B.   Hooker,   Hartford;   E.  H.  Linnell, 
t^alk;  C.  H.  Payne,  Bridgport. 

New  York--H.  D.  Schenck,  Brooklyn;  A.  R.  VanLoon, 
my;  D.  G.  Wilcox,  Buffalo. 

New  Jersey —  M.  D.  Youngman,  Atlantic  City;  A.  Drury, 
irson;  V.  A.  H.  Cornell,  Trenton. 

Pennsylvania — T.   H.  Carmichael,   Philadelphia;  E.  M. 
nm,  Philadelphia;  E.  R.  Gregg,  Pittsburg. 
Delaware — J.  Adair,  Wilmington;  I.  W.  Flinn,  Wilming- 
C.  A.  Ritchie,  Middletown. 

Maryland — A.  P.  Stauffer,  Hagertown;  G.  E.  Lewis, 
Ijville;  C.  L.  Rumsey,  Baltimore. 

Virginia — G.  F.  Bagby,  Richmond;  H.  E.  Koons,  Dan- 
;  C.  E.  Verdier,  Norfolk. 

West  Virginia — A.  A.  Roberts,  Wellsburg;  W.  R.  An- 
?s,  Mannington. 

North  Carolina— A.  W.  Calloway,  Asheville;  W.  E. 
m,  Wilmington. 

South  Carolina — A.  L.  Smethers,  Anderson. 
Florida — A.  S.  Munson,  DeLand;  A.  L.  Monroe,  Miami; 
I  Lamer,  Tampa. 


191^ 


THE  MEDICAL  ADVANCE. 


Alabama — A.   M.    Duffield,    Citronelle;  R.   D.    Brown^ 
Mobile. 

Mississippi— G.   W.   Crock,   Vlcksburg;   C.  A.  Harden- 
stein,  Vicksburg;  J.  C.  French,  Natchez. 

Louisiana — E.  Harper,   New  Orleans;  R.  D.   Voorhies,, 
Lafayette, 

Texas — W,  D.  Gorton,  Austin. 

Kentucky--0.  L.  Smith,  Lexington;  C.  A.  Pish,  Frank- 
fort; E.  L.  Eltinge,  Louisville. 

Tennessee— W.  A.  Boies,  Knoxville;  F.  Freeman,  Chat- 
tanooga; G.  A.  Coors,  Memphis. 

Ohio- M,  P.  Hunt,  Columbus;  G.  J.  Damon,    Akron;  L. 
Phillips,  Cincinnati. 

Michigan--R.  S.  Copeland,  Ann  Arbor;  M.  C.   Sinclair, 
Grand  Rapids. 

Indiana— J.  H-   Baldwin.    Jeffersonville;    D.   H.   Dean, 
^  Rushville;  F.  J.  Schulz,  Ft.  Wayne. 

Illinois— O.  B.  Blackman.   Dixon;  J.  P.  Cobb,   Chicago; 
E*  A.  Taylor,  Cliicago. 

Wisconsin's.   R.    Stone,   Rhinelander;   E.   W.  Beebe^ 
Milwaukee;  F.  A.  Walters,  Stevens  Point. 

Minnesota^G.  F.  Roberts,  Minneapolis;  O.  K.  Richard- 
son, Minneapolis;  L.  G.  Wilberton,  Winona. 

Iowa — C.  W.   Eaton,   Des  Moines;   F.   Kauffman,  Lake 
City;  T.  F,  H.  Spreng,  Sious  City. 

Missouri-  W.  E.  Reily,  Fulton;   H.   W.   Westover;    St. 
Joseph;  L.  E-  Whitney,  Carthage. 

Arkansas--M.  R,  Regan,  Eureka  Springs. 

Oklahoma— J.  Hensley,  Oklahoma  City;M.  Vandervoort, 
Guthrie;  W,  T.  Kimberley,  Guthrie. 

Kansas— M.  E.  Kemp,  Cherryvale. 

Nebraska  -E.  B.Woodward,  Lincoln;  G.  J.  Goodshaller^ 
Lincoln;  H.  R.  Miner,  Falls  City. 

South  Dakota — A.  A.  Cotton,  Vermillion. 

North  Dakota— J   G.  Dillon,  Fargo. 

Colorado"S.  S.  Smythe,  Denver;  J.  P.  Willard,  Denver; 
L.  P.  B'aust,  Colorado  Springs. 

New  Mexico — J.  S.  Keaster,  Roswell;  A.  P.  White,  Hope* 


JLYCOPODIUM  IN  ENURESIS. 


199 


Arizona— J.  W.  Thomas^  Phoenix;  H,  T.  Southworth, 
^cott;  A.  G.  Schnabel,  Tuscon. 

Utah— E.  P.  MiUs,  Ogden. 

Idaho— H.  V.  Holverson,  Boise  City;  W.  N.  Semones, 
mpa;  P.  S.  Peck,  Genesseo. 

Nevada — C.  A.  Crockett,  Reno. 

Washington— E.  W.  Young,  Seattle;  C.  E.  Grove, 
okane. 

Oregon — C.  A.  Macrum,  Portland;  C.  H.  Atwood,  Port- 
id;  J.  P.  Titus,  Eugene  City. 

California— P.  R.  Watts,  Sacramento;  E.  C.  Buell,  Los 
Lgeles;  G.  E.  Manning,  San  Francisco. 


LYCOPODIUM  FOR  ENURESIS. 

E.  H.  Fenwick  states  for  this  distressing  complaint,  whether  sud- 
\\j  developed  as  the  result  of  accident  or  operation,  or  in  other  cases 
ere  the  incontinence  of  urine  had  been  of  several  years'  standing,  he 
9  Acquainted  with  no  drug  which  gave  such  entirely  satisfactory  re- 
ts  as  the  tincture  of  lycopodium.  He  had  first  given  it  to  check  the 
itumal  enuresis  of  children;  but  finding  it  so  surprisingly  successful, 
next  employed  it  for  adults,  with  the  result  that  micturition  was 
ckly  reduced  from  six  or  ei^ht  times  an  hour  to  once  m  two  hours, 
se— 15  minims  to  one  dram.    Medical  Summary, 

[Dr.  Fen  wick  has  made  another  discovery!  It  is  true 
\\i  Lycopodium  will  cure  nocturnal  enuresis,  either  in 
ildren  or  adults,  when  called  for  by  the  totality  of  symp- 
ns,  but  it  will  fail,  like  any  other  remedy,  when  not  indi- 
tied.  Lycopodium  can  never  cure  a  Sepia  case,  and  vice 
'8a,  If  our  esteemed  colleague  will  investigate  a  system 
medicine  b^^sed  upon  natural  law  and  whose  practice  de- 
.nds  individualization  of  every  patient,  he  will  soon  learn 
it  Lycopodium  never  fails  to  cure  a  case  of  enuresis  when 
X)rrespond8  to  the  symptom  of  the  patient,  and  that  it 
72LJS  fails  to  cure  enuresis  when  this  correspondence  is 
'king.  Why  not  recognize  the  fact  that  every  remedy  like 
3ry  patient  is  an  individual.     Ed.] 


The  Medical  Advance 

A  Monthly  Journal  of  Hahnemannian  Homeopathy 
A  Study  of  Methods  and  Results. 


When  we  have  to  do  with  an  art  whose  end  is  the  saving  of  human  life  any  neglect 
to  make  ourselves  thorough  masters  of  it  becomes  a  crime,— Hahnbmann, 


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We  believe  that  Someopathy,  well  understood  and  faithfully  practiced,  ha« 
jKJwer  to  save  more  lives  and  relieve  more  pain  than  any  other  method  of  treat- 
ment ever  invented  or  discovered  by  man;  but  to  be  a  first-class  homeopathic  pre- 
wcriber  requires  careful  study  of  both  patient  and  remedy.  Yet  by  patient  care  it 
e&Q  be  made  a  little  plainer  and  easier  than  it  now  is.  To  explain  and  define  and 
In  all  practical  ways  simplify  it  is  cur  chosen  work.  In  this  good  work  we  ask 
your  help. 

To  accommodate  both  readers  and  publisher  this  Journal  will  be  sent  untl 
arrears  are  paid  and  it  is  ordered  discontinued. 

Communications  regarding  Subscrlptons  and  Advertisements  may  be  sent  to 
the  publisher.  The  Forrest  Press.  Rata  via,  Illinois. 

Contributions,  Exchanges,  Books  for  Review,  and  nil  other  communications 
fibould  be  addressed  to  the  l^itor.  5142  Washington  Avenue,  Chicago. 


MARCH,    1908. 


EMtodaU 


**HIGH  POTENCY  HOMEOPATHY." 

Strange  as  it  may  appear,  there  seems  to  be  many  and 
varied  understandings  of  what  Homeopathy  is,  not  only  in 
our  own  ranks  but  in  the  ranks  of  our  allopathic  colleagues. 
Those  who  are  well  read  in  medical  lore  should  know  better, 
at  least  there  is  no  excuse  for  such  an  unpardonable  blunder 
or  careless  use  of  the  term  **High  Potency  Homeopathy." 

In  a  recent  issue  of  the  Medical  World,  the  editor,  when 
commenting  on  a  paper,  **Are  We  Becoming  Homeopathic." 
by  Dr.  A.  W.  Vincent,  uses  the  following: 

**This  is  a  very  skilful  defense  of  High  Potency  Hom- 
eopathy." 

The  paper  in  question  is  a  very  able  and  skilful  defense 
of  Homeopathy;  but  where  does  the  high  potency  come  in? 
We  are  very  much  surprised  that  one  of  the   ablest  editors, 


EDITORIAL. 


201 


^^of  fche  most  lucid  writers,  and  a  very  liberal  man,  should 

^^3>  rrkistake  the  science  of  therapeutics, 
fl^ahnemann  demonstrated  a  century  ago  that  there  is 
^^(^  oixc^  natural  law  yet  discovered  in  the  medical  world, 
JDStas  tlere  is  only  one  law  in  chemical  affinity,  and  that  is 
'hehMr    of  similars. 

^t^  ^re  is  only  one  Homeopathy.  There  is  no  such  thing  as 
low  I>cz^-tency'  or  *  'high  potency"  Homeopathy.  The  potency 
r  tn^  ^iose  is  only  a  corollary  of  the  law.  But  perhaps  the 
'^^^  ^^^^tended  in  this  way  to  distinguish  between  pure  and 


^^^T*  mongrel  Homeopathy? 


i3ce4 

^^nemann  says;    Organon.  §272.     '*In  no  instance  is 
t^^^i^ite  to  employ  more  than  o?ie   simple  medicinal   sub- 

vj^T/^^— Experiments  have  bf^en  made  by  some  homeopathists  iix  cases 

^»  Imagining  that  one  part  of  the  symptoms  of  a  disease  required 

OU^  t'ct^edv,    and  that  another  remedy  was  more  suitable  to  the  other 

^•^YV  they  have  given  both  remedies  at   the  same  time,  or  nearly  so; 

but  I  earnestly  caution  all  ray   adherents  against  such  a  hazardous 

pracUoe,  which  never  will  be  necessary,  though  in  some  instances  it 

may  appear  serviceable. 

Homeopathy,  based  on  the  law  of  similars,  pure,  simple, 
plain  every-day  practice — similia  similibus  curantur,  with 
simplex  simile  minimum — was  the  Homeopathy  of  Hahne- 
mann, and  is  the  Homeopathy  of  today.  All  deviations  in 
practice  from  the  simple  law  and  the  single  remedy  are  so 
many  adulterations.  Palliative  drugs,  combination  tablets, 
mixed  or  alternated  remedies  are  adulterations,  and  should 
be  dealt  with  accordingly. 

The  Pure  Pood  Law,  which  includes  the  pure  drug  law, 
should  be  applied  to  the  law  of  similars.  The  more  adjec- 
"^ives  there  are  before  the  word  Homeopathy,  the  less  pure 
IS  the  practice  thereby  expressed.  In  the  time  of  Hahne- 
'^aun  those  who  applied  allopathic  palliatives  and  other 
a-bominations,  he  denominated  as  the  **mongrel  sect."  They 
"^ere  not  practicing  Homeopathy  but  an  empiric  system  of 
^^dicine;  and  the  same  is  as  true  today  as  it  was  in  the 
<Jays  of  Hahnemann. 

K  our  cotemporaries,   when  writing  of  Homeopathy, 


202 


THB  MEDICAL  ADVANCE. 


would  be  a  little  more  explicit,  a  little  more  accurate  in  their 
statements,  it  would  be  infinitely  better  for  their  readers. 
'*A  little  learning  is  a  dangerous  thing." 

THE  SEBUM  THERAPY  PROBLEM. 

Our  friends  of  the  dominent  school  of  therapeutics  have 
apparently  reached  the  parting  of  the  ways.  The  antisep- 
tics of  the  last  decade  are  now  quite  forgotten;  the  antitox- 
ins which  succeeded  antiseptics  are  practically  limited  to 
one  or  two  diseases;  the  anti-sera,  once  so  promising  a  few 
years  ago,  are  very  uncertain  today.  Serum  therapy  is 
rapidly  forging  to  the  front.  The  product  of  infectious  dis- 
ease is  now  being  administered  for  its  cure;  in  other  words, 
so-called  scientific  medicine  is  taking  up  the  Isopathy  of 
Lux,  that  never  was  accepted  except  by  a  few  in  the  hom 
eopathic  school  and  by  them  abandoned  half  a  century  ago. 

In  1832  Hering  began  his  experiments  with  the  virus  of 
the  rabid  dog,  which  was  potentized  and  tested  on  the 
healthy  as  every  other  remedy  has  been.  Forty  years  later 
Pasteur  made  his  wonderful  discoveries  and  the  serum  treat- 
ment  of  hydrophobia  began. 

In  1833,  J.  J.  W.  Lux,  of  Leipzig,  a  homeopathic  veteri- 
nary surgeon,  published  a  work  entitled  **The  Isopathic 
Theory  of  Contagion,  or  Every  Contagious  Disease  Con- 
tains Its  Own  Contagious  Matter,  the  Remedy  for  Its  Cure.'* 
Seventy-five  years  later  Sir  A.  E.  Wright,  with  his  vaccines 
and  opsonic  index,  obtains  world-wide  popularity  as  a  dis 
ooverer  in  therapeutics.  But  it  is  Isopathy.  Neuberger,  in 
his  recent  work  says:  * 'Today,  in  serum-therapy  we  see  this 
ridiculed  and  despised  idea  triumphant  over  all  others." 

Swan's  generalization  that  **the  potentized  virus  was  the 
homeopathic  similar  for  all  diseases,  except  those  of  the  pa- 
tient from  whom  it  was  taken,"  was  never  accepted  by  the 
homeopathic  school,  yet  it  has  now  become  a  comer  stone 
in  serum  therapy. 

Koch  and  Pasteur,  Von  Behring  and  Roux,  Cabot  and 
Wright  are  now  the  acknowledged  leaders  in  the  school  of 
serum  therapy,  the  discarded  system  of  Isopathy  promul- 


EDITORIAL. 


203 


id  by  Lux.  Hahnemann  criticised  the  system  and  de- 
ed to  include  Psorinum  in  his  **Chronic  Diseases,"  be- 
36  it  was  an  Isopathic  remedy  until  it  had  been  tested 
he  healthy.  All  remedies  of  this  class,  when  properly 
mtized  and  proved  on  the  healthy,  become  very  valuable 
rapeutic  agents,  not  only  for  the  diseases  from  which 
f  were  taken,  but  for  many  other  diseases,  without  ref- 
ice  to  origin.  Thus  Anthracinum,  Medorrhinum,  Psori- 
1,  Variolinum,  Tuberculinum,  etc.,  after  a  thorough 
^g,  are  among  the  most  valuable  remedies  in  the  horn- 
sthic  pharmacopeia  for  the  cure  of  acute  or  chronic 
^ases.  But  like  all  other  remedies  they  must  be  prescribed 
iheir  symptom  complex. 

The  announcement  of  Koch's  tuberculin  serum,  in  1890, 
its  use,  both  in  the  cure  and  prevention  of  tubercular 
ctions,  in  the  massive  doses  in  which  it  was  given,  has 
ved  a  greater  curse  than  a  blessing.  The  unfortunate 
ares  and  fatal  experiments  have  condemned  this  as  it 
I  many  others  to  the  list  of  dangerous  remedies.  The 
irmaceutical  preparations  of  the  old  school  must  be  en- 
ily  changed  before  serum  therapy  will  ever  become  suc- 
sful;  while  on  the  other  hand  the  homeopathic  dynamic 
encies  are  as  active  today  and  as  harmless  as  any  other 
ledy. 

To  the  homeopathic  physician  who  has  made  any  study 
I  history  of  medicine,  it  is  a  little  amusing  to  see  our 
jntific  colleagues  rushing  with  one  will,  almost  unani- 
Qsly,  into  the  arms  of  Isopathy  proclaimed  by  Lux,  in 
rmany,  fifty  years  ago.  What  the  next  turn  in  the  ka- 
loscope  of  allopathic  therapeutics  will  be  no  man  can  tell 


ALKALOIDAL  THERAPEUTICS. 

In  the  February  issue  of  our  esteemed  contemporary, 
J  American  Journal  of  Clinical  Medicine,  we  find  the  fol- 
^ring  motto:  ** Shall  we  cling  to  the  old  outworn  and  il- 
^cal  method  of  treatment,  thus  following  in  the  footsteps 
authority,  or  the  better^ way,  meet  each  indicated  condi- 
n  with  the  indicated  remedy?" 


204 


THE  MEDICAL  ADVANCE. 


The  following  illustrations  are  given  as  an  advance  in 
therapeutics: 

A  wealthy  banker  in,  Iowa  was  attacked  with  a  paroxysm  of  g%\\- 
stone  colic.  For  this  his  physician  administered  a  hypodermic  contain- 
ing^  i  grain  of  morphine.  This  was  repeated  every  twenty  minutes  un- 
til he  had  taken  four  doses.  Immediatly  aftar  the  fourth  dose  was  taken 
the  pain  instantly  ceased,  the  supposition  being  that  the  stone  had 
either  rolled  into  the  duodenum  or  dropped  back  into  the  gall-bladder. 
Then  they  had  a  case  of  morphine  poisoning  to  handle,  and  for  some 
hours  it  was  doubtful  whether  the  man  would  live  or  die.  It  was  one 
week  before  he  recovered  from  the  effect  of  the  treatment  sulBciently  to 
return  to  his  business. 

No  treatment  being  instituted  in  the  interval,  in  due  course  of  time 
the  patient  had  a  similar  attack;  buMiot  being  satisfied  with  the  treat- 
ment he  received  on  the  first  occasion,  he  called  in  a  physician  recently 
settled  in  the  town,  who  happened  to  be  somewhat  acquainted  with  the 
active  priuciples  and  the  methods  of  treatment  based  upon  them.  Fol- 
lowing Dr.  Abbott's  oft-repeated  reiteration  of  Burggraeve's  teachings 
of  many  years  ago  this  physician  gave  his  patient  one  granule  each  of 
Hyoscyamine,  Strychnine  arsenate  and  Glonoin;  this  was  repeated  in 
half  an  hour,  the  pains  having  been  somewhat  obviated  in  the  mean- 
time; again  in  fifteen  minutes  the  dose  was  repeated,  and  by  the  end  of 
an  hour  the  man  was  so  fully  relieved  that  he  ceased  begging  for  hypo- 
dermics. The  pain  ceased  with  the  same  suddenness  as  in  the  preceding 
instance,  but  no  toxic  symptoms  followed.  Next  morning  the  banker 
was  back  at  his  place  of  business,  fully  competent  to  fulfill  his  duties. 
The  doctor  had  made  a  gopd  customer,  and  the  active  principles  had 
scored  another  triumph. 

We  frankly  admit  that  there  is  an  advance  in  the  ques- 
tion of  dose  in  the  reformed  therapeutics  of  the  dominant 
school,  but  so  far  as  a  system  or  principle  of  treatment  is 
concerned,  we  are  unable  to  detect  any  difference.  The  i 
grain  dose  of  morphine  every  twenty  minutes,  or  the  gran- 
ule composed  of  hyoscyamine,  strychnine  arsenate  and  glo- 
noin every  fifteen  minutes,  is  only  palliative  at  best.  True, 
there  may  not  be  so  much  of  a  tendency  to  produce  a  mor- 
phine fiend,  but  we  do  not  know  what  the  continued  repeti- 
tion of  the  combination  granule  will  do.  Experience  in  its 
use  is  not  sufficient  to  warrant  an  opinion.  In  each  ca^e  the 
practice  is  empirical.  There  is  no  law  or  guide,  no  princi- 
ple involved,  nothing  by  which  permanence  in  practice  can 
be  established.    The  simple  change  in  the  size  of  the  dose — 


EDITORIAL. 


205 


[[iving  of  the  alkaloid  instead  of  the  crude  drug  does,  not 
e  slightest  degree  change  the  principles  which  underlie 
prescription.  It  was  empiricism  before,  it  is  eiUpiricism 
;  nothing  else  can  be  made  of  it. 

Why  will  not  our  enthusiastic  alkaloidal  brethren  test 
B  remedies  on  the  healthy,  and  then  they  will  know  ab- 
bely  under  what  conditions  they  may  be  prescribed,  and 
»d  of  using  the  combination  granule  use  each  one  sing- 
,nd  in  this  way  establish  science  in  therapeutics.  The 
dixit  of  experience  has  long  passed,  we  should  know 
do  something  better  in  the  twentieth  century. 


THE  M£DICAL  COLLEGES. 

The  American  Journal  of  Clinical  Medicine  in  its  Jan.  issue 
iislies  an  address  delivered  before  the  Medical  Depart- 
t  of  Syracuse  University  by  Dr.  Gould  which  states 
e  plain  facts  in  his  plain  matter  of  fact  way,  from  which 
ilip  the  following: 

'*For  professional  education  and  medical  progress  one 
11  medical  college,  especially  if  located  in  a  small,  instead 
large,  city,  is  worth  any  two  big  medical  colleges.  As 
le,  the  greater  the  size  of  the  classes,  the  more  famous 
professors,  then  the  more  unture  the  teaching,  the  more 
oral  both  teachers  and  taught.  Success,  ambition,  poli- 
greed,  conservatism,  the  dirty  kind — are  more  certain 
lie  the  minds  and  kill  the  hearts  of  the  men  in  control  of 
huge  institutions  than  those  of  the  small  ones.  This  is 
kuse  the  ambitious  self-seeker  and  medical  politician 
anes  for  and  gets  the  professorship." 
**The  duty  of  the  rich  and  of  the  endowers  is,  therefore, 
s^oid  helping  the  unwieldy  and  inethical  schools  with 
r  (often)  ill-gotten  wealth;  they  should  help  the  little 
jges.  The  more  the  money  the  less  the  therapeutics, 
ryonewho  may  influence  a  young  man  beginining  the 
y  of  medicine  should  do  his  best  to  keep  him  out  of  the 
[Allege  and  to  guide  him  into  the  small  one.  The  great- 
le  student  body,  the  worse  the  teaching.  The  more 
pous  the  professor,  the  quicker  he  should  be  laid   aside. 


206 


THE  MEDICAL  ADVANCE. 


The  greater  the  boast  of  ^science/  the  more  really  unscientific. 
When  professors  are  paid  enormous  salaries  by  lay  commer- 
cial companies,  their  science  is  pretty  sure  to  be  unscience. 
Did  you  ever  hear  of  a  professor  in  a  huge  political  medical 
college  making  any  valuable  medical  discovery?  If  you 
have  heard  of  such  cases,  did  you  ever  personally  know  of 
one?  And,  according  to  some  of  the  members  of  the  Council 
on  Medical  Education  of  the  A.  M.  A.,  three-fourths  of  the 
4,000  annual  graduates  of  American  medical  colleges  are  too 
poorly  taught  to  practice  liiedicine  intelligently.  The  chair- 
man of  the  Council  says  68  per  cent,  of  those  who  fail  to  pass 
the  State  boards  'cram  up'  and  pass  the  examination  a  few 
weeks  later.  Dr.  Ingalls  says  that  out  of  150  American 
medical  colleges  144  are  not  up  to  standard  in  their  teaching. 
Possibly  he  meant  the  six  were  the  six  biggest  colleges.  If 
so,  I  beg  leave  to  differ,  absolutely." 


DO  EPIDEMICS  FOLLOW  INFLUENZA. 

Editor  Medical  Advance: 

Th^re  is  at  present  in  this  neighborhood  a  pronounced 
epidemic  of  influenza  (I  think  influenza  a  better  name  than 
**la  grippe")  but  with  a  low  fatality.  It  is  interesting,  from 
the  point  of  view  of  epidemiology,  to  ascertain  if  this  be 
generally  diffused.  Prom  the  historical  point  of  view  it  is  a 
fact  that  a  widespread  mild  influenza  epidemic  has  nearly 
always,  perhaps  always,  been  the  precursor  of  a  more  ma- 
lignant epidemic  of  some  form  in  the  following  fall.  I  do 
not  connect  them  as  cause  and  effect,  but  if  the  fact  is  uni- 
versal they  point  to  some  common  cause. 

Will  you  invite  the  profession  to  report  to  you  their  ex- 
perience as  to  the  prevalence  of  influenza,  and  communica- 
tions thereon  to  the  undersigned  will  be  highly  appreciated 
by 

Yours  very  respectfully, 
M.  R.  Leverson,  M.  D. 
927  Grant  Ave.,  Bronx,  N.  Y.,  Jan.  27,  1908. 


NEW   PUBLICATIONS, 


207 


NEW  PUBLICATIONS- 
ELEMENTS    OF    HOMEOPATHIC    THEORY,    MATERIA 
lEDlCA,  PRACTICE  AND  PHARMACY.     Compiled  by  Dr. 
'.  A.  Boerioke  and  E.    P.    Anshutz.     Second  Edition.     Boericke 
cTafel.     1907. 

Po  a  recent  review  of  this  work  in  our  January  issue, 
esteemed  contemporary,  The  Homeopathic  Recorder,  takes 
olio  wing  exception: 

0  runs  the  Advance's  review.  Many,  very  many,  attempts  have 
made  by  writers  to  give  information  to  the  allopaths  and  to  the 
B,  and  of  all  of  them  "Elements"  is  by  far  the  most  successful  if  tha 
ler  of  copies  sold  is  to  be  taken  as  a  criterion.  It  is  not  claimed 
\  better  book  ( in  same  compass )  on  the  subject  could  not  be  written, 
)  far  none  better  have  been  offered  to  the  publiihers.  The  thera- 
cs  criticised  above  are  a  fair  sample  of  all  this  section  of  the  book, 
the  reviewer  will  write  us  in  about  the  same  space  a  better  the- 
ilics  of  whooping  cough  or  put  it  in  better  form  no  one  will  wel- 
it  more  heartily  than'the builders  of  "Elements,"  for  nothing  could 
)re  to  further  their  work.  Or  if  any  of  the  readers  of  the  Becorder 
fTer  anything  to  better  that  little  book  the  suggestions  will  be 
rfully  received.  The  book  is  designed  to  give  in  a  concise  and  low 
i  form  a  general  knowledge  of  Homeopathy  something  in  which  all 
iterested  who  care  for  the  spread  of  Homeopathy.  To  say  that 
and  such  a  part  is  bad  without  pointing  out  wherein  it  is  bad  and 
t  might  be  bettered  is  like  slapping  a  blind  man  on  the  back  and 
ing,  ''Here,  you  fool,  don't  you  bee  you  are  going  wrong!"  and  then 
f  your  way. 

In  Elements  of  Homeopathy,  Materia  Medica  and 
rmacy  we  have  one  of  the  best  works  that  has  been  writ- 
is  a  stepping  stone  to  homeopathic  practice  for  the  be- 
er— for  our  allopathic  and  eclectic  colleagues — and  it  is 
the  chapter  on  Practice  to  which  we  took  exception. 
5  every  work  that  has  ever  been  written  on  homeopathic 
:tice,  it  teaches  how  to  treat  the  disease  and  overlook 
patient;  teaches  the  student  and  beginner  how  to  gen- 
ize  instead  of  how  to  individualize;  e.  g.  **Sulphur  6  is 
best  general  remedy  for  acne"  would  be  correct  if  called 
3y  the  symptom  totality  of  the  patient.  But  there  are 
y  *'best  general"  remedies  for  acne  beside  Sulphur, 
y  equally  good  and  as  frequently  called  for.  There 
10  similar  to  a  disease,   and  this    is   the  first  lesson 


208 


THE  MEDICAL,  ADVANCE 


4 


our  colleagues  should  learn,  for  it  is  the  distinctive  dif- 
ference between  Homeopathy  and  all  other  systems  of  prac- 
tice. No  one  can  write  **a  better  therapeutics"  than  is  here 
found;  it  is  the  system,  the  principle  on  which  it  is  built 
that  is  defective.  It  is  not  homeopathic  treatment  simply 
because  homeopathic  remedies  are  used  for  a  disease.  Our 
allopathic  colleagues  have  been  treating  the  disease  instead 
of  the  patient  all  their  lives,  hence  their  failures.  The  first 
element  of  a  homeopathic  prescription  is  individualization 
and  a  convert  to  pure  Homeopathy  made  in  this  way  be- 
comes enthusiastic  over  his  work. 

Now  about  the  dose.  Organon,  note  to  §246  says: 
I  say  the  smallest  dose,  isince  it  wiU  btand  good  as  a  homeopathic 
rule  of  cure,  refutable  by  no  experience  whatever,  that  the  best  dose 
of  the  rightly  selected  remedy  is  ever  the  smallfSt,  and  in  one  of  the 
higher  developments  ( 30th  ^  for  chronic  as  well  as  acute  disease,  a  truth 
which  is  the  invaluable  property  ot  pure  Homeopathy. 

If  the  potency  of  the  remedy  is  to  be  aflxed  to  each,  why 
not  adopt  the  above— the  experience  and  observation  of 
Hahnemann — as  a  rule  of  dose?  We  cannot  have  better  au- 
thority. Besides  it  has  been  verified  for  100  years  by  all 
who  have  put  it  to  the  bedside  test. 


TRAN:^  ACTIONS  OF  THE  HOMKOHATHTC  MEDICAL  SOCIETY 
OF  NEW  YORK,   For  the  year  1907      pp.  511. 

This  splendid  volume  of  over  500  pages  is  the  record  of 
the  professional  work  of  the  Homeopathic  Medical  Society 
of  New  York  for  the  year  1907.  It  includes  the  papers  and 
discussions  of  the  Fifty-fifth  annual  meeting  and  the  Porty- 
lirst  semi-annual.  The  volume  is  replete  with  able  papers 
in  the  various  departments,  and  this  is  especially  true  of  the 
report  of  the  Bureau  of  Materia  Medica.  Here  the  pai)ers 
of  Close,  Coleman,  Stearns  and  Rabe  are  alone  worth  the 
cost  of  tTie  book.  Not  only  the  papers  but  the  discussions 
demonstrate  that  our  colleages  in  New  York  are  alive  to 
their  responsibilities  and  are  certainly  doing  good  work  as 
a  society.  It  seems  too  bad  that  so  many  of  the  homeopaths 
of  New  York  still  remain  outside  the  fold  as  members  of  the 
society. 


NEW   PUBLICATIONS. 


209 


T-BOOK  OF  PSYCHIATRY.  A  Psyohologioal  Study  of  Tnsan- 
tj  for  Practitioners  and  Students.  Bj  Dr.  E.  Mendel,  A.  O.^ 
i^rofessor  in  the  University  of  Berlin.  Authorised  translation, 
ildited  and  enlarged  by  William  C.  Krauss,  M.  B. ,  Buffalo,  N.  Y. , 
i^resident  Board  of  Managers  Buffalo  State  Hospital  for  Insane ; 
ledieal  Superintendent  Providence  Retreat  for  luBane ;  Neurologist 
0  Buffalo  General,  Erie  County,  German,  Emergency  Hospitals, 
to. ;  Member  of  the  American  Neurological  Association.  Pp.  311. 
Jrown  Octavo.  Extra  Oloth,  $2.00  net.  P.  A.Davis  Company, 
Publishers,  1914  Cherry  Street,  Philadelphia,  Pa. 

rhe  author  of  this  work  has  for  many  years  been  in  the 
b  rank  of  the  German  men  of  science  and  his  investiga- 
\  in  mental  diseases  have  added  important  data  to  this 
plex  study. 

Por  years  visitors  of  his  clinic  and  polyclinic  have  re- 
id  the  utmost  courtesy,  and  in  consequence  many  warm 
dships  have  been  established  and  the  author's  methods 

generally  adopted. 

This  volume  is  the  result  of  a  life-tim3  of  observation, 
from  beginning  to  end  bears  the  stamp  c'l  thorough  and 
itific  observation.  Some  of  the  chapters,  especially 
B  of  degeneracy  and  heredity,  have  been  enlarged,  and 
p  additions  have  been  made,  especially  the  substitution 
e  New  York  State  Laws  relating  to  the  insane  instead 
le   German  procedures.     The  translator   has   evidently 

at  his  work  con  amore^  and  after  thirty  year's  work  in 
eaching  of  psychic  diseases  he  is  certainly  a  competent 
ority,  and  his  translation  of  one  of  the  most  practical 
M  of  our  German  colleagues  is  timely  and  should  be 
ulted  by  the  neurologists  of  this  country.  We  heartily 
nend  the  volume. 


S.  P.  PUTNAM'S  SONS  announces  the  combination 
Putnam's  Monthly  of  The  Reader,  which  has  come  rapid- 
►  the  front  under  the  energetic  management  of  the 
>s-Merrill  Co.,  Indianapolis.  The  editors  of  The  Reader 
'.  given  special  attention  to  fiction  and  descriptive  arti- 
and  the  new  monthly  will  present  a  larger  number  of 
es  and  descriptive  articles  than  before,   while  the  lite- 


210  THE  MEDICAL  ADVANCE. 

# 

rary  quality,  which  has  been  the  distinguished  characteristic 
of  Putnam's,  will  suffer  no  impairment. 

Of  all  the  states  known  to  dwellers  on  the  Atlantic  sea- 
board as  ** Western,*'  Indiana  has  probably  made  the  broad- 
est and  deepest  mark  in  contemporary  literature,  and  in  an 
alliance  with  a  magazine  whose  main  strength  lay  in  the 
eastern  states,  the  publishers  of  the  chief  literary  organ  of 
that  commonwealth  turned  naturally  to  the  publishers  of 
the  most  literary  of  American  illustrated  monthlies.  This 
combination  will  place  Putnam's  magazine  among  the  most 
i:>opiilaf  of  our  illustrated  monthlies,  with  a  corp  of  writers, 
isecond  to  none  in  America. 


NEWS  NOTES. 

The  New  Postal  Law.— Under  the  new  law  which  takes 
ettect  June  1,  1908,  no  monthly  publication  will  be  allowed 
to  go  through  the  mails  as  second-class  matter  more  than 
four  months  after  the  time  for  which  it  is  paid.  On  the  ad- 
di^ess  label  of  every  wrapper  is  the  date  to  which  the  sub- 
scripton  is  paid,  and  every  subscriber  may  know  from  this 
why  his  journal  fails  to  appear,  if  he  does  not  receive  it. 
Tlie  piit)U3her  is  compelled  to  cancel  all  subscriptions  four 
months  after  the  date  to  which  they  are  paid. 

Fiiicke's  Potencies.— Those  who  have  been  left  in 
charge  of  Pincke's  potencies,  so  well-known  wherever  Hom- 
eopathy is  known,  will  be  pleased  to  know  that  they  are 
being  catalogued  and  arranged  so  that  the  profession  may 
have  access  to  them.  Already  961  remedies  have  been  cata- 
logued, the  various  potencies  of  which  amount  to  about 
30,000.  Few  members  of  the  profession  realize  the  full  ex- 
tent of  the  life  work  of  the  late  Dr.  Pincke,  nor  have  they 
but  little  knowledge  of  the  various  provings  and  writings 
left  for  the  future.  We  trust  that  some  of  these  may  be 
given  the  profession  at  an  early  date.  Up  to  the  present 
date  no  one  has  been  intrusted  with  nor  had  any  lawful 
right  to  sell  these  remedies-  Those  obtained  direct  from 
headquarters  are  reliable,  for  they  work  every  time  and 
everywliere,  when  the  medicine  is  indicated. 


'•^•*r  ^^ 


NEWS  NOTES.  211 

The  New  Jersey  Homeopathic  Society  will  hold  its 
spring  meeting  May  5,  1908,  at  the  Princeton  Inn,  Princeton. 
The  meeting  promises  to  be  the  largest  and  most  enthusi- 
astic one  ever  held  in  the  state.  President  Wilson,  of  the 
University;  has  promised  to  address  the  society,  and  as  this 
city  is  historic  ground,  it  is  fondly  hoped  that  Homeopathy 
wiU  receive  a  new  impetus.  Every  homeopath  in  New  Jer- 
sey should  make  a  special  effort  to  put  in  an  appearance. 

Illinois  Medical  Colleges  Not  Recognized.— Informa- 
tion comes  to  us  from  Dr.  J.  A.  Egan,  secretary  of  the  Illi- 
nois State  Board  of  Health,  that  the  following  medical 
schools  of  Chicago  have  been  declared  not  in  good  standing: 

National  Medical  University. 

Reliance  Medical  College. 

Jenner  Medical  College. 

American  Medical  Missionary  College. 

College  of  Medicine  and  Surgery  (Physio- Medical). 

This  information  indicates  that  the  Illinois  Board  of 
Health  will  do  its  share  in  bringing  about  fairer  standards 
of  medical  education  and  licensure.  In  taking  this  action 
the  board  will  doubtless  have  the  endorsement  not  only  of 
the  medical  profession  and  the  various  state  examining 
boards,  but  of  the  public  also. — Journal  of  the  A.  M.  A, 

Yiflseetion:  The  last  volume  of  the  Minutes  of  Evidence  given  be- 
fore the  Royal  Commission  on  vivisection  contains  the  evidence  of  Dr. 
Burford  of  about  ten  pages.  Dr.  Burford  was  able  to  show  to  a  hostile 
and  critical  bench  of  judges  that  Homeopathy  was  something  very  dif- 
ferent from  wbai  they  imagined  it  to  be;  that  it  was  able  to  dispense 
with  all  vivisectlonal  methods  and  yet  discharge  its  functions  as  a  com 
plete  system  of  medical  treatment.  He  achieved  a  notable  day's  work 
for  Homeopathy  and  humanity  on  May  29th. — Homeopathic  World, 

The  knowledge  obtained  by  vivisection  is  on  a  par  with 
that  gained  by  testing  drugs  on  animals,  both  unreliable 
and  unscientific  and  in  the  interest  and  welfare  of  humanity 
should  be  abandoned.  The  scientific  proving  of  drugs  on 
the  healthy  instituted  by  Hahnemann  over  one  hundred 
years  ago,  have  complied  with  all  the  demands  of  science, 
and  demonstrated  that  there  is  a  natural  law  in  the  medical 


212  THE  MEDICAL  ADVANCE. 

Tvorld.    The  size  of  a  vaccinal  cicatrix  is  no  evidence  of 
prophylaxis. 


DEPARTMENT  OF  PUBLIC  HEALTH,  CITY  OF 
VE8  MOINES. 

Des  Moines,  Iowa,  October  25,  1906. 
To  whom  it  may  concern: 

This  is  to  certify  that  the  use  of  **Variolinum"  is  recog- 
nixod  by  the  court  throughout  the  state  of  Iowa,  and  can  be 
taken  in  preference  to  the  usual  vaccination  if  so  desired. 
James  Morgan,  G.  W.  Mattern, 

Secretary,  President. 

James  E.  Miller, 

Physician  to  Board  of  Health. 


Charles  Woodhull  Eaton   M.  D.— Died  at  Des  Moines, 
litwa,  Feb.  27,  1908,  aged  53. 

Dr.  Eaton  was  born  in  Lancaster,  Wis.,  March  28,  1855, 
was  educated  In  the  public  schools  of  Lancaster,  and  obtained 
his  literary  education  under  the  home  training  of  his  father 
the  Rev.  S.  W.  Eaton.  He  began  the  study  of  medicine 
under  his  preceptor  Dr.  S.  E.  Hassell of  Lancaster,  attended 
Hahnemann  Medical  College,  Chicago  1876-77;  New  York 
Homeopathic  Medical  College  1877-78  and  Hahnemann 
Medical  College  of  Chicago  in  1878-79,  from  both  of  which 
he  received  the  M.  D.,  degree.  Dr.  Eaton's  paper  on  the 
Facts  About  Variolinum  at  the  Jamestown  meeting  of  the 
A.  I.  H.  has  been  extensively  read  and  his  address  before 
the  Chicago  Regular  Homeopathic  Society  Feb.  4th,  on 
Vaccination  in  Iowa  will  soon  appear.  He  was  the  Chief 
Medical  Director  of  the  Des  Moines  Life  Insurance  Company, 
perhaps  the  only  homeopath  in  America  to  hold  such  a  posi- 
tion. Iowa  and  Homeopathy  have  lost  one  of  their  ablest 
exponents. 


Ihe  Medical  Advance 


^olXLVI.  BA.TAVIA,  ILL.,  APRIL,  1908.  No.  4. 

IS  THE  PRACTICE  OF  JENNERIAN  VACCINATION 

PERPETUATED   BY  THE   USE   OF  BOGUS 

STATISTICS? 

By  J.  W.  Hodge,  M.  D.,  Niagara  Palls,  N..  Y. 

Having  recently  picked  up   a  copy  of  a  standard  old 
school  text  book  entitled  '* Acute  Contagious   Diseases."  by 
Drs.  Welch  and  Schamberg,   and  casually  turned   to  page 
121,  I  was  astonished  to  find  the  notorious  old   Franco-Prus- 
sian war  fable  resuscitated  and  dressed  up  as   a  living  per- 
soniftcation  of  truth.     My  amazement  on  finding   this  over- 
worked fairy  tale  retold  in  a  late  text  book  for  the  *'practi- 
<^a,l  guidance  of  students  of  medicine,"  can  hardly   be   imag- 
itied.    In  order  to  ascertain,  if  possible,  how  and  why   Drs. 
Welch  and  Schamberg  had  given  currency  to  this  of t-ref  uted 
yo-ni,  I  at  once  addressed  the  following  letter  to  Dr.  Scham- 
berg: 

Niagara  Falls,  Dec.  22,  1907. 
Prop.  Jay  F.  Schamberg,  M.  D, 
Philadelphia,  Pa. 
^ear  Doctor:— 

On  pages  121-122  of  the  work  on   '*Acute  Contagious 

s^S^^^^"  by  Welch  and   Schamberg,    I  find   the  'following 

QJent  under  the  caption   ** Value  of   Re- vaccination   as 

^ated    in  the   Comparative   Small  Pox   Losses   of  the 

^ench  and  German  Armies  in  1870." 

.         '^^  entire  German  field  army  which  numbered  over  a 

'i\    ^^^  .^^Idiers,  although  exposed  to  a  raging  small  pox  ep- 

emic  m  France,  lost  by  death   from  this   disease  297  men; 

^  rench  army  qp.  the  other  hand  suffered  the  enormous 

OSS  ot  23,469  men  from  small   pox.     (It  will  presently  be 


^14 


THE  MEDICAL  ADVANCE. 


sh^wn  that  the  German  troops  were  well  vaccinated  and  the 
French  sDldiers  poorly  vaccinated).'' 

Will  you  kindly  inform  me  where  the  authority  for  the 
figures  above  given  is  to  be  found?  Will  you  also  please 
advise  me  as  to  the  authority  for  the  statement  that  in  1870 
t  he  French  soldiers  were  poorly  vaccinated? 

By  cDJn  )lyin2:  with  the  above   request  you  will  confer  a 
favor  for  which  I  shall  feel  duly  obligated. 

Fraternally  yours, 

J.  W,  Hodge. 


Dr.   Schambehg's  answer. 

Philadelphia,  Pa.,  Jan.  2,  190^. 

Dr.  J.  W.  Hodge, 

Niagara  Palls  N.  Y. 
Dear  Doctor:  — 

Your  letter  of  Dec.  22nd  is  before  me.  The  authority 
tor  the  statement  that  in  1^70  the  French  soldiers  were  poor- 
ly vaccinated  will  be  found  in  the  Minutes  of  the  Proceed- 
ings of  the  Royal  Commission  on  Vaccination.  If  my  mem- 
ory serves  m^  correctly,  the  number  of  soldiers  successfully 
vaccinated  during  a  number  of  preceeding  years  is  there 
given  in  evidence.  The  number  of  French  soldiers  who  died 
of  small  pox  was  unofficially  estimated  by  the  PVench  minis- 
ter of  war  to  be  28,400. 

It  is  stated  by  Edwardes  that  in  the  town  of  Langres 
alf>ne  884  died.  Colin  reported  1074  small  pox  deaths  among 
rtofdiers  in  one  hospital,  Bicetre  in  Paris.  You  will  also  find 
reference  to  the  same  figures  as  quoted  by  us  in  Nothnagel's 
Encyclopaedia  of  Practical  Medicine,  in  the  article  on 
vaccination  by  Dr.  H.  Immermann  of  Basel.  The  latter  refers 
to  the  Wiener  Med.  Wochenschr.,  1872,  p.  896,  which  pub- 
lished the  mortality  of  the  French  troops  during  the  war. 
Immermann  says  during  the  four  years  of  peace,  1866  to  1869, 
preceding  the  outbreak  of  the  war,  the  French  lost  880  men 
fi'om  small  pox,  and  in  the  year  1h69  lost  63,  while  the 
Prussian  army  in  the  thirty -five  years  after  the  introduction 


JENNERIAN   VACCINATION.  215 

of  CDnpalsory  vi33iiii.bioa,    1S3)  tD  1839   lo^fc  albD^3th3r  77 
men. 

I  beg  to  remain  very  truly  yours, 

(Signed)  Jay  F.  Schamberg. 


DR.  HODGE'S  REJOINDER  TO  THE  ABOVE. 

Niagara  Falls,  N.  Y.,  Jan.  7th,  1908. 
Prof.  Jay  F.  Schamburg,  Philadelphia,  Pa. 
Dear  Doctor: — 

I  am  in  receipt  of  your  esteemed  favor  of  the  2nd  inst, 
in  which  yoa  s^y:  **T.i3  aafch^rity  for  the  statement  that 
Id  1870  the  French  soldiers  were  poorly  vaccinated  will  be 
found  in  the  minutes  of  the  proceedings  of  the  British  R3yal 
Commission  on  Vaccination."  I  have  searched  for  the 
"minutes''  to  which  you  vaguely  refer  and  have  failed  to 
find  anything  like  ^'authority"  for  the  ^'statement"  referred 
to  in  your  letter.  By  consulting  medical  history  I  find  ab- 
solutely no  authority  for  the  assertion  that  the  French  army 
was  poorly  vaccinated  in  1S70.  On  the  contrary  I  find  the 
best  of  authority  for  the  belief  that  it  was  not  only  well 
vaccinated,  but  also  re-vaccinated.  Di\  Biyard,  of  Paris,  a 
French  authority  on  the  subject  Wi-iting  in  1872  uses  the 
following  lan^aiga:  *'Re-vacclnatioa  originated  in  France. 
Every  French  soldier  is  re- vaccinated  on  entering  a  regiment. 
There  is  no  excepolon."  Dr.  Oidbmann,  staff-surgeon  of  the 
Imperial  Germi-n  Army,  and  chief  physician  to  the  hospitals 
at  Verdum  and  Sfc.  Qientin,  during  the  Franco-German  war 
says:*'Shorbly  before  the  war  with  Germany, the  whole  French 
army  was  re- vaccinated.  This  general  vaccination  tended 
rather  to  extend  smallpox  than  to  protect  against  it."  Re- 
ferring to  Germany  Dr.  Oidtmann  says:  "Our  German 
manicipil  I'ecords  show  thousands  of  cases  of  attack  and 
death  from  saaall-pox,  even  in  newly  vaccinated  persons." 
(Address  to  the  Reichstag).  For  an  able  and  impartial  dis- 
cussion of  the  real  facts  pertaining  to  the  Franco  Prussian 
war  statistics  I  respectfully  refer  you  to  an  English  work 
entitled  *'A  Century  of  Vaccination,  and  what  it  teaches'' 
by  W.  Scott  Tebb,  M.  A.,  M.  D.,  (Cantab),  D.  H.  P.,  London, 
England,    1899,   published  by    Swan   Sonnenschein  &  Co., 


41 


216 


THE  MEDICAL   ADVANCE. 


Lim.  On  pp.  237-238  of  the  above  mentioned  work  the  au- 
thor, Dr.  Tebb  says:  **Now,  there  does  not  appear  to  be  any 
authority  for  saying  that  re-vaccination  was  not  enforced  in 
the  French  Army,  and  exception  must  also  be  taken  to  the 
23,469  French  soldiers  reported  to  have  died  of  small  pox. 
Mr.  Alexander  Wheeler  followed  up  this  statement  as  soon  as 
it  was  uttered,  and  he  received  assurance  from  the  French 
war  office  that  there  were  no  official  medical  statistics  taken 
out  during  the  period  of  the  war  in  1870-1871."  '*Earl  Gran- 
ville then  in  Paris,  reported  that  the  small-pox  deaths  in 
the  French  army  during  the  years  1870-71  were  unknown; 
that  the  confusion  at  that  time  was  too  great  for  registry." 
(Loc.  cit.  p.  239).  Now,  as  to  the  number  of  deaths  from 
small-pox  in  the  German  army  let  us  see  what  the  facts  are. 
In  reply  to  a  letter  of  inquiry  as  to  the  number  of  deaths 
from  small-pox  in  the  German  army  during  the  war  with 
France  addressed  to  the  War  Office  of  the  Army  Medical 
Department  of  Germany,  by  Mr.  G.  S.  Gibbs,  the  following 
answer  was  received  in  a  letter  from  the  German  war  office, 
dated  Berlin,  July  30,  18S3:  *'For  the  time  from  July,  1870, 
to  June  1871,  (the  twelve  months  of  war)  the  numbers 
wished  for  are  not  recorded,  and  regret  is  expressed  that  on 
this  account  the   desired    information    cannot  be    given," 

Signed,  Toler  Lisouke. 
**To  Geo.  S.  Gibbs,  Esq.,  Derry  Lodge,  Darlington." 

In  view  of  the  above  facts,  I  ask  what  are  we  to  think 
of  the  notorious  Franco-Prussian  small-pox  tale? 

Now,  Sir,  you  have  further  stated  in  your  letter  of  Jan. 
2nd  that  "the  number  of  French  soldiers  who  died  of  small- 
pox was  unofficially  estimated  by  the  French  minister  of 
war  to  be  23,400*\  but  you  have  failed  to  supply  us  with 
any  of  the  data  upon  which  this  unofficial  estimate  was 
made.  Do  you  consider  such  an  estimate  of  any  great-er 
value  than  a  random  guess?  Such  a  calculation  is  a  mere 
assumption  and  is  not  in  my  opinion  entitled  to  the  confidence 
of  anybody  who  aims  at  accuracy  of  statement.  Still  Dr. 
Welch  and  yourself  seem  to  regard  numbers  "unofficially 
estimated"  as  proper  statistical   evidence  for  exploitation  in 


JENNERIAN  VACCINATION.  217 

n  text  book  which  in  its  preface  professes  to  be  *'a  practical 
treatise  for  the  guidance  of  students  and  practitioners  of  med- 
icine". The  Standard  Dictionary  defines  the  noun  estimate 
as  follows:  **A  valuation  based  on  opinion  or  roughly  made 
from  imperfect  or  incomplete  data".  Dr.  Hopkirk,  a  believer 
in  vaccination,  informed  the  Royal  Commission  that  he 
believed  the  confirmation  of  the  French  and  German  war 
statistics  tq  be  an '* absolute  fact"  (Q  6,774):  but  when  he 
was  confronted  with  the  French  Office  records,  in  which  it 
was  stated  that  the  medical  statistics  in  1870-1871  were  want- 
"ig  (Q.  6,778  and  6,782),  he  was  obliged  to  admit  that  he 
was  not  aware  of  any  figures  on  which  the  calculation  was 
based  (Q.  6,787). 

I  now  call  your  attention  to  the  following  letter  which 
appeared  in  the  Lancet  (London)  of  June  8,  1901. 
^'To  the  Editors  of  the  Lancet: 

Sirs: — Surely  a  journal  with  the  reputation  of  the  Lancet 
owes  some  explanation  to  its  readers  for  reproducing  in  the  an- 
notation on  aseptic  vaccination  the  oft  exposed  fable  regard- 
ing small-pox  mortality  in  the  French  and  German  armies. 
This  statement  was  withdrawn  by  Dr.  W.  B.  Carpenter  who 
originally  promulgated  it  in  this  country.  Its  falsity  was 
admitted  by  Lord  HerschelFs  Commission.  But  the  marvel- 
ous comparison  keeps  'popping  up'  again,  as  the  old  lady 
said  of  Mr.  Gladstone.  In  1899  Mr.  Rider  Haggard  used  it 
in  a  little  lecture  to  a  conscientious  objector,  and  afterwards 
withdrew  it.  The  Jenner  society  obtained  through  the 
foreign  office  an  official  statement  from  the  French  authori- 
ties on  this  subject.  In  this,  the  estimate  that  23,400 
soldiers  had  died  from  small-pox  was  stated  (as  a  little  re- 
flection would  lead  one  to  expect)  to  be  * 'greatly  in  excess  of 
the  reality",  so  greatly  that  the  23,400  was  brought  down, 
*not  to  exceed  6000.  An  estimate  worth  little  at  the  best 
has  thus  suffered  an  official  abatement  of  nearly  75  percent. 
But  the  story  on  the  authority  of  your  review  is  still  doing 
service  in  the  newest  pro- vaccination  literature,  and  the 
Lancet  has  unaccountably  given  the  lie  one  more  start  in 
this  country. 

I  am  Sirs,  yours  faithfully." 

(Signed)  Alex  Paul. 


2  IB  THE  MEDICAL  ADVANCE. 

On  this  letter  the  editor  of  the  Lancet  commented  as 
follows:  **The  figures  escaped  our  attention.  We  regret 
to  have  published  them,  as  their  falsity  has  been  established. 

Editor  of  the  Lancet,'' 

Now,  Sir,  it  remains  to  be  seen  whether  you  will  evince 
a  like  candor  by  promptly  renouncing  these  bogus  statistics 
which  you  have  vouched  for  by  giving  them  a  conspicuous 
place  in  your  text  book  much  to  the  discredit  of  that  work. 
If  the  statistical  evidence  in  favor  of  vaccinal  prophylaxy  is 
90  direct  and  overwhelmingly  convincing  as  you  seem  to  ima- 
gine,! cannot  understand  why  Dr.  Welch  and  you  should  have 
found  it  necessary  or  expedient  to  resort  to  these  ancient, 
discredited  and  oft -refuted  figures  as  an  illustration  of  the 
value  of  re-vaccination.  Finally,  in  view  of  the  fact  that 
the  falsity  of  the  statistics  of  the  comparative  small-pox 
losses  in  the  French  and  German  armies  in  1870,  has  been 
admitted  by  nearly  every  pro-vaccinist  of  note  in  the  world, 
and  believing  that  you  and  Dr.  Welch  have  no  intention  of 
giving  currency  to  spurious  statistics  and  that  you  are  as 
desirous  as  myself  that  the  facts  be  known  I  ask  in  the 
name  of  truth  and  accuracy  that  the  fabulous  statistics  here 
referred  to  be  wholly  omitted  from  all  future  editions  of 
your  work  on  **acute  contagious  diseases". 

Sincerely  yours,     J.  W.  Hodge. 

Having  waited  two  weeks  without  receiving  a  reply,  I 
again  wrote  Dr.  Schamberg  as  follows: 

Niagara  Falls,  Jan.  20,  1908. 

Prof.  Jay  F.  Schamberg,  M.  D. 
Dear  Doctor: — 

After  waiting  for  some  time  I  have  been  disappointed  in 
failing  to  receive  some  sort  of  reply  to  my  letter  of  Jan. 
7th  addressed  to  you.  In  that  letter  I  asked  some  pertinent 
questions  which  I  hoped  you  would  be  able  and  willing  to 
answer.  In  your  reply  of  Jan.  2nd  to  my  question  asking 
for  your  authority  for  the  French  and  German  army  small 
pox  statistics  paraded  on  p.  121  of  your  book  on  ** Acute 
Contagious  Diseases."  You  vaguely  referred  me  to  the 
'^Minutes  of  the  Proceedings  of  the  British  Royal   Commis- 


JENNERIAN  VACCINATION.  219 

sion  on  Vaccination'*  for  evidence  as  to  the  alleged  author- 
ity. 

Your  loose  reference  just  quoted  has  furnished  no 
means  of  verifying  the  figures  and  statements  given  in  your 
book. 

In  view  of  the  voluminous  character  of  the  **Minutes  of 
the  Proceedings  of  the  British  Royal  Commission  on  Vacci- 
nation." your  indefinite  allusion  thereto  appears  to  me  ab- 
surd. You  might  as  well  have  said  '  'the  needle  is  in  the 
hay  stack"  as  a  clue  to  its  whereabouts. 

As  you  have  failed  to  reply  to  the  questions  in  my   last 
letter,  I  trust  you  will  pardon   the   liberty  I  now  take   in 
making  some  further  inquiries  along  the  same  line  of  invest 
igation. 

In  the  recent  work  entitled  ** Acute  Contagious  Dis- 
eases," by  Welch  and  Schamberg,  on  page  132,  under  the 
caption  * 'Ravages  of  Small-pox  in  Countries  where  Vacci- 
nation is  Neglected,"  we  read:  **Hungary  had  12,241  deaths 
and  Italy  and  Austria  each  over  11,000  deaths  from  small 
pox  in  the  five  years  from  189:^1-1898." 

Now  sir,  I  submit  that  in  classing  Italy  with  the  *'coun- 
tries  where  vaccination  is  neglected,"  you  have  grossly 
erred. 

There  are  good  and  sufficient  data  in  the  shape  of  offi- 
cial government  records  for  the  belief  that  Italy  was  at  the 
period  (1893-1898)  mentioned  in  your  book  and  had  been  for 
many  years  prior  to  that  period,  one  of  the  most  thoroughly 
vaccinated  countries  on  the  globe,  To  the  statement  in 
your  book  that  vaccination  was  or  is  neglected  in  Italy,  I 
will  here  oppose  the  testimony  of  a  distinguished  profes- 
sor of  hygiene  in  an  Italian  university.  In  the  Neio  York 
Medmil  Journal  of  July  22,  1899,  (pp.  133-4)  was  printed  an 
article  entitled  "Vaccination  in  Italy,"  from  the  pen  of 
Charles  Ruata,  M.  D.,  Professor  of  Hygiene  in  the  Univer- 
sity of  Perugia,  Italy;  Visiting  Physician  to  the  Convict 
Prisons;  Editor  of  Tai  Salute  Fablica,  etc.  In  this  article 
Prof.  Ruata  says;  **Italy  is  one  of  the  best  vaccinated  coun- 
tries in  the  world,  if  not  the  best  of  all,  and  we  can  prove 


u 


220 


THE  MEDICAL   ADVANCE. 


that  mathematically.  All  our  young  men,  with  few  excep- 
tion**, at  the  age  of  twenty  years,  must  spend  three  years  in 
the  army  where  a  regulation  prescribes  that  they  must  be 
dhfclly  vaccinated.''  ' 

"The  official  statistics  of  our  army,  published  yearly, 
sliow  that  from  1885  to  1897  the  recruits  who  were  found 
never  to  have  been  vaccinated  before  were  less  than  1.5  per 
cent, »  the  largest  number  being  2.1  per  cent,  in  1893,  and 
the  smallest  0.9  per  cent,  in  1892.  This  means  in  the  clear- 
est^ way ,  that  our  nation  for  twenty  years  before  1885  was 
vaccinated  in  the  proportion  of  98.5  per  cent.  Notwith- 
standing this,  the  epidemics  we  have  had  of  small  pox  have 
been  something  so  frightful  that  nothing  before  the  inven- 
tion of  vaccination  could  equal  them.  To  say  that  during 
the  year  1Hh7  we  had  16,249  deaths  from  small  pox,  18,110 
in  thf^  year  1888,  and  13,413  in  1889  (our  population  is  30,- 
000,000)  is  inadequate  to  give  a  faint  idea  of  the  ravages 
produced  by  small  pox." 

According  to  these  official  government  statistics  there 
occurred  in  Italy  in  the  three  years,  1887,  88,  89,  47,772 
deaths  from  small  pox.  Commenting  on  these  figures.  Dr. 
Ruata  asks,  '*Can  you  cite  anything  worse  before  the  inven- 
tion of  vaccination?"  **Our  population,*'  says  Dr.  Ruata, 
*'ls  perfectly  vaccinated  as  we  have  already  proved.  I  ob- 
tained from  the  government  authorities  a  declaration  that 
vaccination  has  been  performed  twice  a  year  in  the  most 
satisfactory  manner  for  many  years  past." 

If  I  may  be  permitted  to  digress,  I  will  here  ask  if  you 
and  Dr.  Welch  have  placed  Italy  in  the  category,  of  **Coun- 
tries  where  Vaccination  is  Neglected,"  because  the  Italian 
nation  is  regularly  vaccinated  but  ** twice  a  year  in  the  most 
satisfactory  manner?"  If  universal  vaccination  regularly 
repeated  every  six  months  constitutes  neglect  of  vaccination, 
will  you  kindly  inform  us  how  frequently,  in  your  opinion, 
the  rite  should  be  repeated  in  order  to  constitute  a  proper 
observance  thereof?  In  other  words,  at  what  intervals 
should  tjie  vaccine  operation  be  repeated  to  **secure  immuni- 
ty from  small  pox?" 


JENNERIAN  VACCINATION.  221 

Retuming  to  Dr.  Ruata's  article  in  the  New  York  Medical 
Journal,  we  read:  **Happily,  in  Italy,  we  are  able  to  prove 
that  re- vaccination  has  not  the  least  preventive  power.  I 
only  give  a  few  figures:  During  the  sixteen  years,  1882- 
1897,  our  army  had  1,273  cases  of  small  pox  with  31  deaths, 
692  cases  with  17  deaths  happened  to  soldiers  vaccinated 
with  good  result,  and  581  cases  with  14  deaths  happened  to 
soldiers  vaccinated  with  bad  result.  This  means  that  of  a 
hundred  cases  of  small  pox,  54  were  in  persons  vaccinated 
with  good  result,  and  only  46  in  those  vaccinated  with  bad 
result,  and  that  the  death  rate  of  those  vaccinated  with 
good  result  was  2.45  per  cent,  and  only  ^.40  per  cent,  in 
those  vaccinated  with  bad  result." 

** Vaccinationists  say  that  when  vaccination  does  not 
'take*  the  operation  must  be  repeated,  because  no  result 
means  no  protection  given.  Now,  we  see  that  soldiers  not 
protected  because  vaccination  did  not  *take'  were  less 
attacked  by  small-pox  than  those  duly  protected  by  the  good 
result  of  their  revaccination;  and  that  the  death  rate  in 
those  vaccinated  with  good  result  was  greater  than  among 
those  in  whom  vaccination  did  not  *take'  ". 

Dr.  Ruata  proves  by  the  official  statistics  of  the  Italian 
army  that  during  six  consecutive  years  in  which  only  animal 
lymph  exclusively  f urnishedjby  the  Government  Institute  for 
the  production  of  lymph  was  used  in  the  army,  that  '*the 
duly,  ^protected'  soldiers  were  attacked  by  small-pox  in  a 
proportion  double  that  among  the  unprotected". 

Dr.  Ruata  concludes:  '*As  you  see  these  are  official 
statements,  extremely  trust- worthy,  because  made  in  a 
country  where  and  at  a  time  when  no  one  thought  that  it  was 
possible  to  raise  a  doubt  against  the  dogma  of  vaccination." 

"In  our  country  we  have  no  league  against  vaccination 
and  every  father  thinks  that  vaccination  is  one  of  his  first 
duties.  For  these  reasons  no  bias  could  exist  against  vac- 
cination in  making  these  statistics." 

The  statements  in  Dr.  Ruata  s  article,  although  printed 
in  the  New  York  Medical  Journal  more  than  eight  years  ago, 
stand  unchallenged  and  unquestioned  at  the  present  time. 


222 


THE   MEDICAT.   ADVANCE. 


In  your  book  on  ** Acute  Contagious  Diseases"  I  find  nu- 
merous other  figures  and  statements  which  do  not  merit  the 
approval  of  any  one  wh3  has  carefully  inva^tig  ited  the  facts. 
On  p.  122  of  your  work  referred  to,  I  find  the  following 
questionable  statement  in  reference  to  the  Franco-Prussian 
war  of  1870:  **The  mortality  rate  from  small. pox  of  the 
German  soldiers  in  the  field  was  5.97  per  cent."  In  view  of 
the  fact  that  the  officials  of  the  war  departments  of  both 
France  and  Germany  have  announced  that  there  were  no 
official  medical  statistics  made  or  recorded  in  either  army 
during  the  war  between  these  countries  (in  1870-1871)  I  can- 
not understand  how  this  percentage  (5.97)  was  figured  out. 
On  the  same  page  (122)  of  your  book  it  is  stated:  **The 
number  of  cases  in  the  French  army  is  not  known,  but  the 
death-rate  was  forty-nine  times  greater  than  in  the  German 
finny.''  Since  no  official  statistics  at  all  relating  to  small- 
pox or  vaccination  were  taken  out  in  either  army  I  am  curi- 
ous to  ascertain  how  the  number  **forty-nine"  was  arrived 
at. 

Such  figures  can  pass  muster  only  when  addressed  to 
uncritical  ignorance  and  unquestioning  credulity,  and  are  in 
niy  judgement  very  much  out  of  place  when  paraded  as 
genuine  statistics  in  a  medical  text  book  which  professes  to 
be  * 'a  practical  treatise  for  the  guidance  of  students  and 
practitioners  of  medicine." 

In  your  work  referred  to,  I  find  numerous  other  figures 
and  statements  in  support  of  the  alleged  prophylaxy  of 
vac3Lnation  which  do  not  cominand  my  assent,  bat  I  shall 
not  specify  them  at  this  time. 

Trusting  that  I  may  be  fav^ored  with  the  courtesy  of  an 
answer  to  this  letter. 

I  am  very  truly  yours. 

J.  W.  Hodge. 


DR.   SCHAMBERG'S   S  i:COND    REPLY. 

Philadelphia,  Pa.,  Jan.  23,  1903. 
Dr.  J.  W.  Hodge,  Gluck  Building, 
Niagara  Falls,  N.  Y. 
Dear  Sir: — 

.  Your  registered  letter  of  Jan.  20  has  just  been  received. 


JENNERIAN    VACCINATION.  223 

I  had  intended  to  consult  the  figures  in  the  Wiener  Med. 
Wochen.  of  1872,  before  answering  your  note  of  recent  date. 

The  estimate  of  23,400  deaths  from  small  pox  in  the 
French  army  during  the  Franco-Prussian  war  was,  as  you 
doubtless  know,  given  in  a  report  of  the  minister  of  war  to 
the  president  of  the  French  republic  June  17th,  1889.  These 
figures  it  appears  were  based  upon  material  presented  at 
the  St,  Petersburg  Statistical  Congress  of  1872. 

The  statement  of  Colin,  who  reported  1074  deaths  from 
small  pox  among  the  French  soldiers  at  the  hospital  Bice- 
tre;  the  1963  deaths  among  French  soldiers  on  German  ter- 
ritory; the  deaths  at  Langres,  not  to  speak  of  numerous 
other  garrisons,  indicate  an  enormous  mortality  among  the 
French  soldiers  from  small  pox.  Thiers  and  Laurencie 
state  that  the  * 'small  pox  was  even  worse  than  the  war.*' 

Admitting  for  the  sake  of  argument  that  but  6,000  sol- 
diers died  from  small  pox  in  the  French  army  during  the 
war,  there  still  remains  an  enormous  discrepancy  between 
the  Prussian  and  French  losses.  The  statement  in  our  book 
that  the  small  pox  mortality  rate  among  the  German  sol- 
diers in  the  field  was  5.97  per  cent,  is  based  on  the  statement 
of  Prof.  Immermann,  of  Basel,  who  says  that  there  were 
4991  cases  of  small  pox  in  the  German  field  army  of  which 
297  died,  making  a  mortality  of  5.97  per  cent.  I  shall  look 
into  this  subject  further,  and  if  before  the  publication  of  a 
second  edition  of  our  work  I  find  more  reliable  information 
concerning  the  figures  quoted,  we  shall  of  course  correct 
them. 

In  the  little  folder  which  you  sent  me  I  find  the  follow- 
ing, * 'after  several  years  of  reading,  observation  and  expe- 
rience, I  became  fully  convinced  that  successful  vaccination 
not  only  fails  to  protect  its  subjects  from  small  pox,  but 
that  in  reality  it  renders  them  more  susceptible  to  this  dis- 
ease, etc.''  Personally  I  would  be  willing  to  permit  the 
practice  of  vaccination  to  stand  or  fall  u])on  the  falsity  or 
truth  of  this  assertion.  This  statement  is  so  far  from  the 
truth  that  it  becomes  evident  to  any  physician  of  experience 
with  small  pox  that  your  personal   acquaintance   with  the 


224 


THE  MEDICAL  ADVANCE. 


disease  must  be  small;  for  no  man  who  has  observed  anjr 
considerable  amount  of  small  pox  could  honestly  make  such 
a  statement. 

I  note  in  the  circular  entitled  "Does  Vaccination  Pro- 
tect'' numerous  references  to  the  percentage  of  vaccinated 
persons  admitted  into  hospitals  with  small  pox.  It  must  be 
patent  to  you  that  this  proves  nothing  against  vaccination, 
save  that  one  vaccination  does  not  protect  for  life.  If  95  per 
cent,  of  the  population  were  vaccinated  and  90  per  cent,  of 
the  small  pox  admissions  are  among  the  vaccinated,  what 
would  the  argument  prove? 

I  have  neither  the  time  nor  the  inclination  to  discuss 
the  article  of  Dr.  Charles  Ruata;  suffice  it  to  say  that  the 
figures  which  he  quotes  do  not  seem  to  have  changed  the 
official  attitude  of  the  Italian  government  or  the  govern- 
ments of  contiguous  countries  towards  vaccination.  Prance 
has  recently  increased  the  rigor  of  her  vaccination  require- 
ments. 

A  point  antivaccinists  either  unwittingly  or  wittingly 
overlook  is  that  the  existence  of  a  vaccination  law  does  not 
necessarily  mean  the  enforcement  of  that  law.  Until  recent- 
ly thousands  of  school  children  in  the  country  districts  of 
Pennsylvania  remained  unvaccinated,  although  a  state  law 
provides  that  every  child  attending  school  must  present  a 
certificate  of  successful  vaccination.  If  small  pox  had  brok- 
en out  among  these  children  it  would  have  been  contended 
that  they  were  successfully  vaccinated  because  they  could 
not  otherwise  have  attended  school.  Arguments  of  this 
character  have  been  brought  forth  to  prove  that  the  French 
soldiers  prior  to  the  war  were  well  vaccinated.  In  our 
book  is  given  the  percentage  of  unsuccessful  results.  It  is 
not  the  mere  surgical  procedure  of  vaccination  which  gives 
protection  against  small  pox,  but  it  is  the  development  of 
vaccinia-  If  you  want  to  read  convincing  evidence  in  favor  of 
vaccination,  and  I  am  not  sure  that  you  do,  I  would  ask  you 
to  look  over  the  pamphlet  on  vaccination  and  the  statistical 
maps  therein  contained,  issued  by  the  G.erman  govemment- 
at  the  St.  Louis  exposition  several  years  ago. 


JEWNERIAN    PAjCCINATTON.  225 

I  do  not  care  to  continue  an  epistolary  contrbversy  on 
the  subject  of  vaccination,  for  my  experience  has  proven 
such  a  coarse  to  be  fruitless.  Your  own  attitude  as  evidenced 
in  tiie  printed  folder  and  mine  are  diametrically  opposed  and 
absolutely  irreconcilable. 

I  beg  to  remain,  very  truly  yours, 

Jay  S.  CHAMBERG. 

Dr.  Hodge's  reply  to  the  above: 

Niagara  Palls,  N.  Y.,  Jan.  27,  1908. 

Prof.  Jay  P.  Schamberg,  M.  D., 
Philadelphia,  Pa. 
Dear  Doctor:— 

Your  letter  of  the  23rd  inst.,  has  been  received  and  its 
contents  noted  with  some  surprise. 

I  was  astonished  that  a  medical  man  of  your  pretensions 
and  standing  in  the  profession  should  have  found  it  necessary 
to  resort  to  the  use  of  notoriously  false  statistics  in  an  effort 
to  bolster  up  a  discredited  and  waning  clause.  I  am  amazed 
that  after  your  attention  has  been  called  to  the  bogus  char- 
acter of  the  discredited  figures  and  statements,  you  still 
hesitate  to  disown  them. 

I  prefer  to  look  upon  those  who  give  currency  to  spur 
ious  statistics  as  being  deluded  or  mistaken  rather  than  in 
the  uncharitable  light  of  being  dishonest.  In  my  letter  of 
January  7th,  I  cited  evidence  which  should  be  sufficient  to 
convince  any  fair  minded,  intelligent  man  who  is  seeking 
truth,  that  the  number  of  deaths  from  small-pox  in  the  French 
and  German  armies  as  given  in  **  Acute  Contagious  Diseases'' , 
is  so  monstrously  false  as  to  appear  fabulous  on  its  face. 
I  am  aware  that  the  promoters  of  vaccination  have  used  these 
statistics  to  an  endless  extent  in  drumming  up  recruits  for  the 
Jenner  forces;  yet  not  one  of  them  has  taken  pains  to  inquire 
whether  the  anonymous  statement  which  first  appeared  in  an 
Austrian  medical  journal  had  any  foundation  in  fact. 

Prom  the  opening  paragraph  of  your  letter,  I  quote:  '*I 
had  intended  to  consult  the  figures  in  the  Wiener  Medical 
"Wochen.  of  1872  before  answering  your  note  of  a  recent  date." 
May  I  inquire  what  you  hoped  to  prove  by   an   anonymous 


226 


THE   MEDICAL  ADVANCE. 


paragraph  in  a  German  medical  journal?  The  figures  yoir 
refer  to  in  the  Wiener  Med.  Wochen.  were  reprinted  in  the 
British  Medical  Journal  and  afterwards  retracted  by  that 
journal  which  apologized  handsomely  for  having  given  cur- 
rency to  the  false  statistics. 

In  the  second  paragraph  of  your  last  letter,  you  say: 
*'The  estimate  of  23,400  deaths  from  small-pox  in  the  French 
army,  as  you  doubtless  know,  were  given  in  a  report  of  the 
Minister  of  War  to  the  President  of  the  French  Republic 
June  17,  1889."  My  answer  is,  I  do  not  know  anything  of 
the  kind.  Then  you  go  on  to  state:  "These  figures,  it  ap- 
pears, were  based  upon  material  presented  at  the  St.  Peters- 
burg Statistical  Congress  of  1872."  Here  we  have  more 
loose  statements — ''Material  presented;"  What  was  the 
^*material"  pray,  and  by  ichom  was  it  ''presented?"  Where 
is  the  argument  in  such  indefinite  statements?  The  (Lon- 
don) Anti- vaccinator  of  Nov.  1,  1872  took  up  the  Franco- 
Prussian  War  tale  and  proved  by  the  records  of  the  French 
War  Department  that  the  French  Army  was  completely  re- 
vaccinated  in  1870-71,  and  that,  if  as  was  argued  by  the  pro- 
moters of  vaccination,  23,469  French  soldiers  fell  victims  to 
small-pox,  no  more  conclusive  .proof  of  the  uselessness  of 
re-vaccination  could  be  desired. 

In  your  letter,  you  next  refer  to  the  statement  of  Colin 
regarding  the  alleged  small-pox  deaths  among  French  sol- 
diers at  the  hospital  Bicetre,  etc.  The  citation  of  Colin  as 
authority  for  any  statement  or  figures  mentioned  in  the 
Franco- Prussian  War  statistics  is  unfortunate  for  your  side 
of  the  case,  for  the  reason  that  these  statistics  are  neither 
ill  Colin's  book,  (Da  Varicle,)  nor  is  Colin  in  any  way  re- 
sponsible for  them.  Colin  being  aa  impossible  authority, 
it  will  be  necessary  for  you  to  look  for  another. 

Again,  you  say,  "Admitting  for  the  sake  of  argument, 
that  but  6,000  soldiers  died  from  small-pox  in  the  French 
Army  during  the  War,  there  still  remains  an  enormous  dis- 
crepancy between  the  Prussian  and  French  losses."  A  re- 
duction from  23,469  (the  figures  paraded  in  your  book),  to 
6,000    is    a   generous  concession    even    "for    the    sake    of 


\ 


JENNERTAN    VACCINATION.  227 

argument;"  still,  even  the  last  asserted  number  (6,000)  is 
probably  in  excess  of  the  actual  figures.  I  do  not  now  deny, 
nor  have  I  at  any  time  denied,  that  the  French  soldiers 
suffered  more  severely  from  small-pox  than  did  the  Germans. 
So  much  was  to  be  expected.  The  influence  of  the  mind  on 
disease  ought  never  be  forgotten  or  overlooked.  In  Holme's 
System  of  Surgery,  Vol.  1,  p.  174,  we  read:  **Extreme 
mental  depression  has  been  thought  to  predispose  to  the  oc- 
currence of  pyaemia.  In  the  Franco- German  War,  pyaemia 
was  more  prevalent  in  the  French  than  in  the  German 
hospitals."  Had  the  French  rolled  back  the  German  hosts 
on  Berlin,  crushed,  disheartened  and  demoralized;  with  the 
sick  and  wounded  huddled  in  barracks  and  hospitals,  the 
incidence  of  and  mortality  from  small-pox  might  have  been 
reversed  in  the  two  armies  whether  the  Germans  had  been 
vaccinated,  re- vaccinated  or  un -vaccinated;  and  yet,  perhaps, 
not  altogether  reversed,  for  the  reason  that  the  Ger- 
mans had  mastered  the  first  principles  of  military  hygiene. 
Probably  in  no  other  great  war  was  any  army  so  free  from 
fatalities  from  sickness,  unless  it  was  the  Japanese  army 
in  the  late  struggle  with  Russia,  as  was  the  German  army  in 
1870-71.  It  was  far  otherwise  with  the  French  soldiers. 
Those  whose  lot  it  was  to  minister  to  their  sufferings  have 
appalling  stories  to  relate,  of  ignorance, mismanagement  and 
neglect.  The  French  were  put  upon  the  defensive,  crowded 
and  huddled  together,  and  besieged;  while  the  Germans 
were  marching  in  the  open,  with  choice  of  camps. 

Dr.  Colin  whom  you  quote  as  an  authority,  remarks: 
Virulent  diseases,  especially  the  eruptive  fevers,  are  more 
especially  developed  by  troops  in  garrison;  and,  on  the  con- 
trary, they  become  mild  or  disappear,  by  life  in  the  free  air 
and  in  camps."  Hence  Colin  tells  us  that  when  the  Gardes 
Mobiles  were  suffering  from  small-pox  in  1870,  he  recom- 
mended that  they  should  leave  the  barracks  and  go  into 
tents  so  as  to  have  full  benefit  of  the  fresh  air.  Where, 
then,  is  the  force  of  your  argument  that  the  discrepancy  of 
of  the  small-pox  death-rates  between  the  French  and  the  Ger- 
man armies  was  due  to  neglect  of  vaccination  in  the  French 


8S8 


THE   MEDICAL  ADVANCE. 


I 


army?  No  more  pronounced  experiment  than  this  on  a 
large  scale  could  have  been  made  in  dis-proof  of  your  claim 
that  the  French  soldiers  died  of  small-pox  because  of  being 
ixx>rly  vaccinated. 

The  asserted  conditions  of  the  experiment  as  given  In 
"Acute  Contagious  Diseases"  have  been  proven  untrue, 
whilst  the  real  conditions  vrould  fully  account  for  littte 
small-pox  on  one  side  and  muph  small-pox  on  the  other,  ir- 
respective of  vaccination. 

The  French  soldiers,  defeated,  disheartened,  half  starved 
huddled,  crowded  and  cooped  in  unsanitary  barracks, 
would  necessarialy  fall  easy  victims  to  a  filth  disease  like 
small-pox.  The  marvelous  statements  contained  in  the 
Franco-Prussian  War  tale  have  always  made  the  yam  ap- 
pear fabulous  on  its  face;  but  such  is  the  unlimited  credulity 
of  the  advocates  of  vaccination,  that  it  seems  impossible  to 
over  tax  it.  Alluding  to  Prof.  Ruata's  testimony,  you  say: 
"I  have  neither  the  time  nor  the  inclination  to  discuss  the 
article  of  Dr.  Charles  Ruata."  I  am  surprised  at  the  non- 
chalance with  which  you  attempt  to  brush  aside  the  facts 
and  figures  which  I  quote  from  Dr.  Ruata's  paper  in  my  last 
letter.  The  testimony  of  a  distinguished  teacher  of  sanitary 
science  in  an  Italian  University  ought  surely  be  entitled  to 
some  consideration  as  regards  conditions  existing  in  his  own 
country,  especially  when  he  submits  in  support  of  his  con- 
tentions the  official  government  statistics  of  that  country 
In  thus  summarily  evading  Dr.  Ruata's  testimony,  you  have 
avowed  your  belief  in  the  trite  saying,  **Discretion  is  the 
better  part  of  valor/' 

Not  one  of  the  great  army  of  apologists  for  vaccination 
has  ever  had  the  hardihood  or  the  temerity  to  tackle  Dr. 
Ruata's  article,  although  it  has  been  staring  them  out  oi 
countenance  for  more  than  eight  years.  Through  a  con 
spiracy  of  sphinx-like  silence  on  the  part  of  the  defenders  oi 
the  Jennerian  faith,  Dr.  Ruata's  arguments  have  beei 
utterly  disregarded.  In  their  presence,  the  intrepid  cham 
pions  of  the  **Jenneration"  of  disease  have  remained  s* 
speechless  as  Egyptian  mummies. 


JENNERIAN    VACCINATION.  229 

In  exploiting  these  ancient,  notoriously-false  and  oft 
refuted  small-pox  statistics  in  **a  treatise  for  the  practical 
guidance  of  students  of  medicine,"  Dr.  Welch  arid  yourself 
haTe  shown  yourselves  no  more  critical  and  circumspect 
than  a  couple  of  grannies.  Prom  my  writings,  you  have 
quoted  a  part  of  a  sentence  as  follows;  * 'After  several  years 
of  reading,  observation  and  experience,  I  became  fully  con- 
vinced that  successful'  vaccination  not  only  fails  to  pro- 
tect its  subjects  from  small  pox,  but  that  in  reality  it  renders 
them  more  susceptible  to  this  disease."  In  your  comment 
on  the  above  quotation,  you  say:  *'This  statement  is  so  far 
from  the  truth",  etc.  I  am  sorry  to  note  your  violent 
language.  How  did  you  ascertain  the  alleged  untruthfulness 
of  my  statement?  Are  you  a  clairvoyant  or  a  '*mind-reader", 
that  you  assume  the  ability  to  devine  my  convictions?  I  will 
here  remind  you,  sir,  that  the  strength  of  a  man's  position 
depends  not  upon  the  violence  of  language  used  in  its  support, 
but  rather  upon  the  strength  of  the  evidence  adduced  in  its 
favor.  To  asperse  an  opponent's  motives  because  his  con- 
victions do  not  happen  to  tally  with  your  own  is  atrocious. 
To  impugn  a  man's  veracity  when  unable  to  answer  his  argu- 
ments Is  far  from  being  honorable. 

In  the  closing  paragraph  of  your  remarkable  letter,  you 
have  this  to  say:  ''I  do  not  care  to  continue  an  epistolary 
controversy  on  vaccination,  for  my  experience  has  proved 
such  a  course  to  be  fruitless."  Now,  doctor,  if ,  after  you 
have  '^looked  farther  into  this  subject,"  as  you  profess  a 
willingness  to  do,  you  should  become  convinced  that  the 
Franco- Prussian  war  statistics  and  some  others  which  you 
have  approvingly  quoted  in  your  book,  are  fictitious  and  un-  * 
worthy  of  credence,  will  you  still  persist  in  your  opinion 
tliat  this  "controversy"  is  fruitless?  You  are  probably  un- 
aware of  the  fact  that  Dr.  W.  B.  Carpenter,  away  back  in 
1BS3,  trafficked  extensively  in  these  astoundingly  false 
statistics;  and  according  to  his  habit  of  being  serenely  con- 
fident thatwhathet^is/iestrue  /strue,  he  indiscreetly  pledged 
himself  to  his  opponent,  Mr.  Wheeler,  to  substantiate  the 
figures  or  withdraw  them.     It  was  a  rash  vow.     Earl  Gran- 


230 


THE  MEDICAL  ADVANCE. 


ville  was  appealed  to  and  the  resources  of  the  French  war 
office  brought  into  requisition;  but  all  in  vain!  The  French 
authorities  had  to  admit  that  the  number  of  deaths  from 
*small-pox  in  the  war  of  1870-1871  was  unknown.  *'The  con- 
fusion was  too  great  for  registry."  Dr.  Carpenter  was, 
therefore  driven  to  retraction,  which  humiliating  and  pain- 
ful ceremony  he  performed  in  a  letter  to  the  Daily  News 
(London)  of  Aug.  7,  1884.  saying:  *lf  I  have  erred  in  adopt- 
ing, without  sufficient  authority,  a  statement  which  had 
every  appearance '  of  being  trustworthy,  my  opponents 
should  remember  that  they  too  are  fallible."  It  is  some- 
times disagreeable  to  face  the  truth,  but  always  cowardly 
to  evade  it. 

In  your  book  on    * 'Acute   Contagious   Diseases,"  I  find 

many  other  gross  misstatements — all  in  favor  of  vaccination 

-which  should  be  eliminated  from  all  future  editions  of  a 

toxt-book  designed  for  "the  practical   guidance  of  students 

uf  medicine." 

Regretting  exceedingly  that  you  *'have  neither  the  time 
por  the  inclination"  to  discuss  a  practice  so  gravely  affect- 
ing the  lives  and  health  of  the  rising  generation,  I  now  con- 
t'lude  my  letter  which  has  already  exceeded  the  usual  limits 
of  an  epistolary  communication. 

Sincerely  yours, 

J.  W.  Hodge. 

Comment:  Having  refuted  the  Franco-Prussian  war 
statistics  scores  of  times  in  newspapers  and  in  medical 
journals  it  seems  like  slaying  the  slain  to  repeat  the 
task.  It  seems  almost  impossible  to  kill  and  bury  a  statis- 
tical falsehood  when  its  testimony  favors  vaccination.  These 
statistics  have  been  denied,  disproved,  retracted  and  dis- 
owned by  some  of  the  world's  ablest  advocates  of  vaccination. 
Yet  in  spite  ojf  all  these  exposures,  and  with  drawals,  the  old 
lie  keeps  marching  on.  It  is  not  at  all  likely  that  we  have 
beard  the  last  of  it.  It  is  far  too  impressive  and  too  useful 
to  the  vaccinists  to  be  abandoned.  It  will  continue  to  be  re- 
suscitated whenever  a  promoter  of  vaccination  finds  himself 
bested  for  argument,  when  face  to  face  with  an  audience 
which  has  not  access  to  original  records. 

J.  W.  Hodge. 


i 


TUBERCULOSIS  PROBLEM  IN  NEW  JERSEY.  231 

SOME  ASPECTS  OF  THE  TUBERCULOSIS  PROBLEM 
IN  NEW  JERSEY. 

By  R.  p.  Rabe,  M.  D. 

The  wide-spread  prevalence  of  pulmonary  tuberculosis- 
particularly  throughout  the  civilized  world,  is  a  fact  which 
needs  no  proof.  On  every  hand  are  the  ravages  of  this 
disease  so  plainly  apparent,  that  the  question  of  its  con-  ^ 
trol  has  ceased  to  be  a  professional  problem  only  and  has 
imposed  itself  upon  the  minds  of  public  economists,  states, 
men  and  all  who  have  the  civic  welfare  at  heart. 

As  is  common  in  all  diseases  which  are  difficult  to  cure, 
the  remedies  for  this  one  are  legion,  until  at  the  present  time 
the  pendulum  has  swung  from  the  extreme  of  drug  therapy 
to  that  of  nature  alone,  whose  crude  and  rigorous  efforts  are 
sometimes  copied  with  a  much  gi-eater  zeal  than  is  con- 
sistent with  the  best  wishes  of  the  hapless  patient.  In  spite 
of  the  advances  made  in  hygiene,  sanitation  and  other  cor- 
related sciences,  the  increase  of  tuberculosis  goes  mockingly 
on  until  one  is  forced  to  the  conclusion  that  an  advancing 
civilization  exacts  her  penalties  with  a  grasping  hand. 

In  the  laudable  efforts  which  are  everywhere  put  forth, 
to  stamp  out  this  justly  dreaded  disease,  some  appear  to 
approach  the  ridiculous  in  their  absurdity  of  reasoning  and 
performance.  Others  are  at  once  nullified  by  the  very 
causes  which  called  them  forth.  These  causes  themselves 
are  frequently  found  rooted  in  the  foundations  of  society 
where  the  progress  of  evolution  is  slow  though  inexorable, 
To  eradicate  such  causes  means  the  reformation  of  society 
itself,  a  task,  the  supervision  of  which  is  given  to  no  man 
to  control. 

To  the  Hahnemannian  philosopher  much  is  clearly 
visible,  which  to  the  mind  ignorant  of  homeopathic  prin- 
ciples, is  densely  clouded  or  entirely  lost  in  mystery.  The 
materialistic  mind  grasps  eagerly  at  any  tangible  theory 
which  promises  a  solution  of  the  problem,  hence  the  ready 
acceptance  of  the  germ  origin  of  tuberculosis,  an  assertion 
by  no  means  proved  to  the  satisfaction  of  thinking  minds. 
In  the  study  of  the  symptom  phenomena  of  this  disease  one 


232 


THE  MEDICAL  ADVANCE. 


is  Struck  by  the  important  part  played  by  Hahnemann's 
Miasms  in  their  production.  The  systemic  effects  of  Psora, 
Sycosis,  Syphilis  and  their  combinations  are  so  intimately 
interwoven  with  the  disease  under  consideration  that  a  study 
of  the  miasms  reveals  the  key  to  the  solution  of  the  tuber- 
culosis problem.  And  the  key  is  this,  that,  were  Psora, 
Sycosis  and  Syphilis  truly  cured  in  the  way  pointed  out  by 
Hahnemann,  instead  of  undergoing  constant  suppression,  as 
is  now  the  case,  future  generations  would  be  so  free  from 
disease  susceptibility  that  tuberculosis  as  such  would  rapid- 
ly become  extinct. 

All  other  efforts  which  have  for  their  object  the  efface- 
ment  of  the  disease  product,  tuberculosis  itself,  by  attacking 
the  pathological  end-product  or  by  opposing  its  accompany- 
ing germ-life,  are  doomed  to  failure.  In  so  far  as  the  efforts 
of  physicians  have  been  directed  at  the  patient  himself,  they 
i  lave  been  succesful,  whereas  the  opposite  must  be  said  of 
all  so-called  specific  treatment.  That  this  truth  has  at  last 
dawned  upon  professional  minds  is  evidenced  by  the  ten- 
dencies of  modern  Sanatorium  treatment,  which  aims  at  the 
]>atient  rather  than  at  his  disease,  although  even  yet  a  blind 
dependence  is  here  and  there  manifested,  upon  unrelated, 
misdirected  drug  therapy.  The  key-note  of  Sanatorium 
tn  atment  is  embodied  in  the  phrase  **right  living"  and  this 
consists  in  the  observance  of  all  those  hygienic  and  dietetic 
measures  which  are  the  dictates  of  sound  reason  and 
judgement. 

In  this  consideration  climatology  is  but  one  element  and 
no  longer  holds  the  supreme  place  which  hitherto  has  been 
allotted  it.  One  of  the  greatest  features  of  Sanatorium  life 
lies  in  its  power  to  inculcate  in  the  minds  of  the  inmates 
luibits  of  correct  living,  and  this  lesson  once  learned,  is  of 
the  highest  value  to  the  patient  and  those  about  him,  when 
he  has  gone  back  to  his  ordinary  life  and  vocation.  Such 
education  as  is  imparted  to  those  within  the  Sanatorium, 
sliould  however,  be  given  to  the  thouscinds  who  are  with- 
cait  it. 

In  our  own  state  something  of  the  sort  is  being  done 


/ 
'  TUBERCULOSIS  PROBLEM  IN  NEW  JERSEY.  233 

under  the  auspices  of  the.  the  New  Jersey  Association  for 
the  Prevention  and  Relief  of  Tuberculosis.  This  association 
reports  as  probable  the  existence  of  twelve  thousand  con- 
sumptives in  the  state  to-day.  Three  thousand  five  hundred 
and  eighty-seven  died  of  the  disease  in  thi^  state  in  1905.  The 
Association  is  doing  excellent  work  and  has  already  made 
use  of  a  traveling  Tuberculosis  exhibit  in  its  campaign 
against  the  disease.  This  exhibit  has  been  shown  to  ten 
thousand  four  hundred  people  in  seven  cities  and  towns  of 
the  state,  and  during  the  last  year  thirty-five  lectures  have 
been  given  to  a  total  of  twenty -five  hundred  people. 

In  1902  the  state  legislature  passed   and  the   Governor 
signed  'an  act  to  establish  a  Sanatorium  for  persons   aflict- 
ed  with  tuberculosis  diseases,  and  to  provide  for  the  select 
ion  of  a  site  and  the  erection  of   buildings  therefor  and  the 
government  thereof." 

After  an  inspection  of  several  sites  in  various  parts  of 
the  state,  Glen  Gardner,  on  the  New  Jersey  Central  Rail- 
road, in  the  county  of  Hunterdon,  was  selected  as  most  de- 
sirable and  five-hundred  acres  of  wood  and  upland  purchased 
by  the  Board  of  Managers,  which  board  had  been  appointed 
by  the  Hon.  Franklin  Murphy,  Grovemor,  and  whose  officers 
consisted  of  Dr.  Charles  J.  Kipp,  President;  Dr.  Austin 
Scott,  Vice-President;  Col.  E.  A.  Stevens,  Treasurer  and 
Dr.  Jfimes  S.  Greene,  Secretary. 

To  quote  from  the  first  annual  report  of  the  Board: 
**The  land  adjoins  the  Central  Railroad  and  the  proposed 
site  of  the  buildings  is  located  less  than  three-quarters  of  a 
mile  from  the  station.  It  is  easily  accessible  and  at  the  same 
time  secluded;  the  air  is  very  pure;  the  soil  is  dry  and 
porous  and  there  is  plenty  of  good  water  on  the  place.  It 
has  a  southerly  slope,  amply  protected  from  north-easterly 
winds,  on  which  it  is  proposed  to  build.  From  here  is  ob- 
tained an  extensive  view  of  attractive  landscape.  The  place 
is  about  950  feet  above  tide  water  and  includes  about  two- 
hundred  and  seventy-five  acres  of  woodland.  We  regard  it 
as  an  ideal  place  for  a  Sanatorium." 

In  1905  excavation  for  the  Sanatorium  buildings  was  be 


sai 


THE  MEDICAL.   ADVANCE. 


gun  and  the  buildings,  after  much  delay,  finally  completed 
in  the  fall  of  1907.  The  Sanatorium  consists  of  a  large  Ad- 
ministration building  containing  rooms  for  the  resident  phy- 
sicians and  nurses,  laboratory,  drug  room,  treatment  rooms, 
offices,  board  room  and  so  on,  and  is  connected  by  large 
covered  passageways  with  the  separate  ward  buildings  of 
two  stories  each,  for  male  and  female  patients,  and  with  the 
large  dining  room  and  service  house  in  the  rear  of  the 
Sanatorium  buildings  proper. 

The  upper  floor  of  each  ward  building  consists  of  one 
large  ward  with  numerous  windows  and  containing  twenty- 
six  beds.  The  lower  floor  is  divided  into,  smaller  ward 
1  ooms  for  three  to  four  patients,  and  is  designed  for  those 
who  may  be  afflicted  with  noisy  coughs  likely  to  disturb 
other  patients.  On  each  floor  are  rooms  with  baths,  wash 
basins  and  showers  of  all  descriptions.  The  medical  sup- 
erintendent of  Glen  Gardner  Sanatorium  is  Dr.  S.  B.  English, 
who  is  ably  assisted  by  Dr.  Henry  B.  Dunham,  formerly  of 
tiie  Massachusetts  State  Sanatorium  located  at  Rutland, 
Mass. 

At  the  present  writing  the  Board  of  Managers,  all  ap- 
pointed by  the  Governor,  is  made  up  of  Dr.  W.  S.  Jones  of 
Camden,  president;  Dr.  Elmer  Barwis,  of  Trenton,  vice- 
president;  Dr.  John  H.  Moore,  of  Bridgeton;  Dr.  Theodore 
Senseman,  of  Atlantic  City;  Mr.  Abram  L.  Beavers,  of  Glen 
Gardner,  secretary;  Mr.  J.  Walter  Ingham,  of  Phillipsburg; 
Mr.  Chester  N.  Jones,  of  Summit  and  Dr,  Rudolph  P.  Rabe, 
of  Hoboken.  Seventy-one  patients  to  date  are  under  treat- 
ment at  the  Sanatorium,  which  will  very  soon  be  filled  to  its 
capacity,  one-hundred  and  four  patients. 

Glen  Gardner  Sanatorium  is  designed  for  the  reception 
and  care  of  curable  cases  only,  the  intent  of  the  law  being 
interpreted  to  mean  incipient  pulmonary  tuberculosis.  Ap- 
plicants for  admission  are  at  present  examined  by  physicians 
a]>pointed  by  the  board,  throughout  the  state  and  are  ad- 
mitted after  final  examination  and  acceptance  by  the  medical 
officers  of  the  Sanatorium.  Doubtful  cases  are  kept  for  one 
month  on  probation  and  all  those  who  do  not  show  a  reason- 


k 


TUBERCULOSIS  PROBLEM  IN  NEW  JERSEY.  235 

able  degree  of  improvement  within  this  time,  are  asked  to 
return  to  their  homes. 

This  provision  is  in  accord  with  the  policy  of  the  greatest 
good  to  the  greatest  number,  since  it  is  held  to  be  better  to 
cure  four  cases  in  one  year  than  arrest  one  or  two  cases  in 
the  same  time.  For  these  cases  which  are  in  the  second 
stage  of  the  disease  a  separate  State  Sanatorium  should  be 
built  or  the  various  counties  should  take  care  of  such  cases 
in  sanatoria  of  their  own,  located  at  convenient  points. 
The  need  for  such  retreats  is  a  real  and  crying  one,  for  it  is 
almost  inhuman  to  turn  away  such  cases,  susceptible  of  im- 
provement if  not  of  cure.  At  present  however,  there  is 
nothing  else  to  do  and  many  a  case  goes  to  an  untimely  end 
for  lack  of  such  provision. 

Patients  at  Glen  Gardner  are  of  two  kinds,  indigent  and 
pay;  the  former  are  sent  after  examination  by  the  medical 
examiners  and  officers  upon  recommendation  of  a  judge  of 
a  court  of  common  pleas,  who  has  been  satisfied  of  the  indi- 
gency of  the  applicant.  Pay  patients  are  received  at  the 
discretion  of  the  Board  of  Managers,  pay  a  weekly  fee  of 
five  dollars  and  are  treated  in  every  respect  the  same  as  the 
'ndigent  patients.  They  undergo  the  same  preliminary 
medical  examination. 

Shacks  and  out-door  camps,  for  which  there  is  ample 
room,  are  in  contemplation,  a  sun  parlor  and  a  recreation  pa 
villion  for  use  in  inclement  weather  will  also  be.  erected. 
The  farm  land  will  be  used  and  cows  purchased  to  insure  an 
abundant  supply  of  wholesome  milk.  An  iceplant  will  also 
be  constructed. 

And  now  that  the  state  of  New  Jersey  has  made  so  ex- 
cellent a  beginning  in  the  fight  against  the  great  white 
plague,  it  behooves  all  citizens,  both  lay  and  professional  to 
aid  the  work  in  every  possible  way.  Tuberculosis  should  be 
placed  in  the  list  of  notifiable  diseases,  for  no  matter  wheth- 
er we  accept  the  theory  of  the  germ  origin  or  not,  we  can 
and  do  admit  the  infectious  nature  of  this  disease,  whose 
prevention  is  of  so  great  economic  and  social  interest  as  to 
-enlist  all  public  spirited  men  and  women. 


2S6 


THE  MEDICAL  ADVANCE. 


In  this  work,  efficient  but  not  obnoxiously  overzealous 
local  boards  of  health  can  be  of  great  service  and  to  them 
belongs  the  supervision  of  factories  and  tenements,  sewage 
disposal  and  kindred  matters.  Personal  hygiene  und  knowl- 
edge of  sanitation  must  be  taught  to  some  extpnt  at  least  in 
the  schools  and  the  warfare  against  patent  medicines  and 
other  nostrums  relentlessly  carried  on.  In  this  work  we 
can  as  physicians,  and  especially  as  homeopathic  physicians, 
do  much,  for  it  is  given  to  us  to  distinguish  clearly  between 
disease  suppression  and  disease  cure,  if  we  are  but  mindful 
of  the  teachings  of  the  founder  of  our  school.  For  after  all 
the  law  of  similars  offers  the  greatest  aid  in  the  warfare 
against  tuberculosis  in  all  its  forms. 

A  CLINICAL  CASE. 

.  By  Dr.  P.  Jousset. 
Translated  from  Revue  Homeopalheque  Francaise,  by  Horace  P.  Holmes 
M.  D.,  Sheridan,  Wyoming?. 

Rheumatic  endocarditis.  Mitral  insufficiency  and  mitral 
stricture.  Hyposystole;  Cactus,  Digitaline,  Theobromine, 
Apis,  Ledum,  Strophantus,  Vipera  torva.  Calomel,  Spigelia^ 
Colchicum,  Aconite,  Serum  d'anguille  (eel's  serum.) 

Madam  X — ,  aged  28  years,  entered  the  hospital  Saint- 
Jacques  October  31st,  1907,  and  was  placed  in  bed  No.  7  of 
the  large  ward. 

This  women  has  already  had  two  attacks  of  acute  artic- 
ular rheumatism.  The  first  dates  back  ten  years,  was  along 
siege  and  the  patient  kept  her  bed  for  two  months;  the  large 
articulations  were  successively  attacked,  red,  swollen  and 
painful.  Avery  slight  bruit  de  souffle  should  ha*re  been 
noticed  at  that  time. 

Two  months  ago  there  was  a  new  attack  which  only  last- 
ed three  weeks,  but  was  cortiplicated  with  a  grave  endocard- 
itis, characterized  by  a  considerable  dyspnoea,  anxiety  and 
pallor  of  the  face.  At  the  time  of  her  entrance  into  the 
hospital,  they  verified  the  existence  of  a  grating  systolic 
souffle  and  a  presystolic  souffle.  The  jugulars  beat  strongly; 
the  pulse  was  small  and  irregular.  The  liver  painful  and 
congested. 


A  CLINICAL.  CASE.  237 

October  31st.  Cactus  Ix,  10  drops,  was  prescribed;  but 
by  evening,  signs  of  asystole  appearing,  the  interne  on  duty 
prescribed  Digitaline  1- 1000th,  20  drops.  The  next  day,  the 
patient  being  better  from  that  dose,  30  drops  of  the  same 
preparation  of  Digitaline  was  prescribed,  and  the  urine, 
which  measured  only  300  grams,  reached  1500  grams  the 
next  day. 

The  2nd  and  3rd  of  November,  three  doses  of  50  grams 
of  Theobromine  were  given.  November  4th,  rest.  The 
nrine  reached  2500  gram^.  On  the  5th,  Apis  6x  and  Ledum 
6x  were  given  in  alternation.  Prom  this  time  the  urine  di- 
minished greatly  and  fell  from  750  to  300  grams.  The  trouble 
of  asystole  reappeared.  Strophantus,  in  mother  tincture, 
Vipera  torva  2x  trituration,  Calomel,  Spigelia,  Theobromine, 
had  scarcely  any  effect.  The  patient,  extremely  oppressed, 
was  obliged  to  remain  in  a  sitting  position;  the  pulse  was 
small  and  arythmic. 

This  was  the  condition  in  which  I  found  the  patient  on 
the  Ist  of  November.  The  Digitaline  was  again  indicated 
by  the  state  of  the  pulse  and  urine;  but,  as  this  remedy  had 
only  brought  about  a  transient  amelioration,  I  prescribed 
Serum  d'anguille  1st,  10  drops,  although  the  urine  did  not 
show  any  albumen;  the  next  day  the  urine  had  doubled  in 
•  volume  and  the  day  following  had  attained  1100  grams;  at 
the  same  time  the  functional  symptoms  were  greatly  ameli- 
orated. 

December  9th,  the  patient  was  but  very  little  oppressed 
and  slept  well;  the  urine  had  increased  to  1500  grams;  the 
pulse  had  become  regular  but  the  bruit  de  souffle  persisted 
with  the  same  intensity.  I  prescribed  Colchicum,  mother 
tincture,  40  drops  for  four  days.  This  remedy  had  no  effect; 
then  I  prescribed  Aconite  Ix  trituration  grams  0.20  in  200 
grams  of  water.  The  patient  improved  and  could  walk 
without  notable  oppression  and  the  22nd  she  asked  leave  to 
return  to  her  home  affairs. 

This  case  give  us  an  opportunity  to  bring  before  you  the 
.indications  for  Digitaline  and  Serum  d'  anguille. 

Digitaline  is^a  common  and   classical   remedy;  we   have 


238 


THE  MEDICAL.  ADVANCE- 


f 


nothing  to  inform  you  regarding  its  action  in  cardiac  affec- 
tions. And  yet,  I  desire  to  recall  to  you  that  three  symp- 
toms indicate  its  employment;  weakness  of  the  cardiac 
muscle,  revealed  by  the  smallness  and  intermittenc^  of  the 
pulse,  oliguresis  and  anasarca.  In  our  patient,  two  symp- 
toms only  existed,  weakness  and  intermittence  of  the  pulse 
and  the  oliguresis;  nevertheless,  the  action  of  the  remedy 
was  immediate  and  from  300  grams  the  quantity  of  urine 
rose  to  1500  at  the  end  of  forty-eight  hours.  Crystallized 
Digitaline  in  the  dose  of  30  to  50  drops  of  the  1  1000th  solu- 
tion given  twice  a  day  advantageously  replaces  the  decoction 
of  the  leaves  we  formerly  gave.  Its  action  is  more  certain 
and  rapid,  and  its  administration  easier.  Habitually,  at  the 
end  of  twenty-four  hours,  the  increase  in  urine  and  the 
amelioration  of  the  general  symptoms  announce  the  good 
effects  of  the  Digitaline.  But  a  fact  to  which  I  particularly 
call  your  attention,  is  that  the  favorable  action  of  Digitaline, 
when  the  remedy  has  been  administered  in  a  sufficient  dose, 
30  to  50  drops  during  the  day,  continues  during  four,  six, 
eight  and  twelve  days;  but  with  the  condition. that  the  inter- 
current adm instruction  of  another  remedy  does  not  interfere 
with  its  action. 

Digitaline  is  the  type  of  the  good  remedy;  first,  it  is  ab- 
solutely homeopathic,  since  it  cures  the  asystole  which  it 
l^roduces;  next,  it  constitutes  a  brilliant  demonstration  of  the 
Hippocratic  adage:  natara  mecllcatrix.  Its  action,  in  effect, 
is  not  directly  upon  the  disease,  but  it  modifies  the  organism 
which  through  its  own  particular  forces,  combats  the  mor- 
bid process. 

Serum  d'anguille.  The  remedy  is  new,  and  I  believe  I 
am  the  first  and  only  one  who  has  used  it  in  the  treatment 
of  affections  of  the  heart  and  kidney. 

Mosso  and  Phisalix  had  experimented  with  the  serum 
d'anguille  on  animals  before  I  did.  It  was  because  they 
demonstrated  the  great  analogy  of  the  serum  d'anguille  and 
viper  venom,  that  I  was  led  to  study  this  medicament. 

The  experiments  I  made  in  the  laboratory  of  the  Hospital 
saint- Jacques  will  be  found  in  the  July,1899,number  of  I'Art 


A  CLINICAL  CA3E.  239 

J;  and  more  completely,  regarding  the  histological 
lesions,  in  the  Bulletin  de  la  Bociete  anatomique  of  May  1899. 

The  serum  d'anguille  acts  very  energetically  upon  the 
rabbit  Injected,  in  the  dose  of  3  drops,  mixed  with  physio- 
logical serum,  into  the  marginal  vein  of  the  ear,  by  the  fol- 
lowing day  causes  the  urine  to  become  albuminous  and  san- 
pinolent;  the  pulse  slows  down  to  rise  afterwards;  from 
larger  doses,  8  to  10  drops,  it  becomes  intermittent.  The 
urine  is  very  abundant  from  the  first  and  always  albuminous. 
When  8  to  10  drops  is  attained,  the  urine  diminishes,  then 
anuria  develops  at  the  same  time  with  the  diarrhoea  ahd  the 
rabbits  succumbs. 

The  lesions  are  especially  intense  in  the  liver  and  kidney; 
the  two  principal  conditions  they  may  cause  are:  necrosis 
from  coagulation  and  vascular  degeneration. 

The  heart  also  presents  a  certain  number  of  lesions, 
though  much  less  advanced  these  are  rare  granulations  upon ' 
some  muscular  fibers  and  in  the  walls  of  isolated  capillaries; 
a  certain  degeneration  of  the  muscular  fibers,  masses  of 
round  cells  in  the  fibers  with  muliplication  of  the  nucleus; 
upon  a  longitudinal  curve,  a  quite  positive  stricture  of  the 
fibers,  and  on  transverse  section,  vacuoles  in  ^  certain 
number  of  muscular  fibers. 

Translators  note:  My  object  in  presenting  to  the 
readers  of  the  Medical  Advance  this  interesting  article 
from  the  pen  of  the  gifted  Dr.  Jousset,  is  three-fold: 

First,  it  is  absolutely  worthless  from  a  homeopathic 
pouat  of  view. 

Second,  it  shows  the  tendency  towards  serum-therapy, 
in  which  Dr.  Jousset  hopes  for  great  results  in  the  future 
treatment  of  diseases. 

Third,  it  serves  as  a  splendid  text  for  a  discourse  upon 
true  homeopathic  prescribing. 

I  concede  to  no  English  speaking  physician  a  greater 
regard  for  Dr.  Pierre  Jousset  than  I  myself  hold.  One  of 
the  regrets  of  my  professional  life  is  that  I  have  never  met 
him. 

For  the  last  twenty  years  I  have  read  largely  from  Dr. 


240  THB   MEDICAL  ADVANCE. 

Jousset  and  have  given  many  translations  of  his  writings  tc 
the  Medical  Advance.  He  is  one  of  the  most  voluminotK 
and  original  writers  of  the  homeopathic  school.  He  is  deep 
ly  scientifici  always  abreast  of  the  times  in  medical  research 
microbiology  and  serum  therapy,  a  splendid  diagnostician 
a  lucid  teacher,  and  a  devoted  partisan  of  homeopathy, 
can  thank  him  for  many,  many  good  things  I  would  bav( 
found  nowhere  else  and  many  things  I  would  not  have  rea( 
until  months  later.  His  advice  against  the  use  of  quinin( 
in  la  grippe  in  the  great  epidemic  of  1888-1889,  before  it  hw 
fairly  gained  a  foot-hold  on  the  American  continent;  his  ex 
plosion  of  the  Bourgeon  rectal  gas  craze  long  before  oti 
American  physicians  bought  their  useless  apparatus;  hi 
killing  review  of  Koch's  tuberculin  as  a  cure  for  consump 
tion;  his  most  thorough  and  masterly  demonstration  of  th 
proof  that  tuberculosis  is  non-contagious  through  the  mos 
intimate  family  association,  from  the  use  of  tuberculous  mil 
or  meat,  a  fact  now  accepted  by  the  French  congress  of  tx 
berculosis;  and,  latterly,  his  interesting  articles  upon  the  var 
ous  sera-therapy,  are  a  few  of  the  especially  goods  things 
read  first  from  his  pen.  And  so,  if  to  Dr.  Jousset  i*^  due  th 
incentive  which  led  me  to  wish  to  read  the  French  medico 
text,  I  am  certain  he  will  take  kindly  a  criticism  from  m 
upon  his  unhomeopathic  prescribing  as  compared  with  th 
teachings  of  our  beloved  master,  Samuel  Hahnemann. 

Dr.  Jousset  does  not  "take''  his  cases  as  Hahneman 
recommended.  He  gives  a  few  diagnostic  symptoms,  but  n 
modalities  nor  mental  symptoms.  To  him  a  case  of  pnei 
monia  is  a  case  of  pneumonia,  and  so  he  says  in  * 'Lecture 
on  Clinical  Medicine.*'  page  98:  '*Tessier  formulated  a  trea 
ment  for  this  disease  which  is  classical.  It  consists  in  th 
administration  of  Bryonia  during  the  day,  and  of  Phosphori 
during  the  night."  Much  of  his  practice  is  on  this  empir 
plan  as  far  as  one  can  judge  from  his  writings.  Take  tt 
case  he  reports  in  this  translation;  there  is  not  one  sing] 
symptom  given  on  which  one  could  base  a  homeopathic  pr 
scription.  Basing  his  treatment  on  his  diagnosis  he  flies  \ 
once  to  empirics;  Cactus  is   known  to   be   useful  for   hea 


A  CLINICAL  CASE.  241 

trouble;  Digltaline  also.  And  so  they  are  first  thought  of 
and  given  without  asking  if  they  are  homeopathic  to  the 
case.  That  is  eclectic  treatment,  pure  and  simple,  not 
homeopathic.  These  remedies  were  not  indicated  or  they  would 
have  acted  fovorably.  The  same  can  be  said  of  the  seven 
other  remedies,  none  indicated  and  none  curing.  It  was 
little  wonder  he  resorted  to  eel's  serum!  It  would  be  in- 
teresting to  know  what  a  true  homeopathic  remedy — the 
simillimum — would  have  done  for  this  patient.  However,  it 
is  fair  to  say  the  patient  did  not  have  homeopathic  treat- 
ment  and  there  can  be  no  claim  that  serum-therapy  suc- 
ceeded after  Homeopathy  failed. 

What  should  Dr.  Jousset  have  done?  Hahnemann  taught 
ns  to  pay  attention  especially  to  the  peculiar,  prominent 
and  uncommon  symptoms,  and  it  has  been  successfully  fol- 
lowed by  the  masters  of  our  school;  also  give  especial  at- 
tention to  the  mental  symptoms  and  the  modalities.  In  my 
own  practice  I  aim  particularly  to  draw  all  these  out  in  the 
picture  of  the  case,  and  I  consider  them  of  more  importance 
from  the  standpoint  of  the  cure  than  I  do  the  diagnostic 
symptoms.  Diagnosis  counts  for  little  in  choosing  the 
curative  remedy,  and  Hahnemann  so  taught  and  practiced. 
Now  please  Mr.  Hothead,  do  not  fly  up  and  say  I  ignore 
diagnosis:  But  I  do  mean  that  diagnosis  is  practically  use- 
less when  it  comes  to  selecting  the  curative  remedy — the 
remedy  that  must  cure.  If  one  is  not  convinced,  let  me  ask 
him  what  remedy  homeopathic  to  the  case  would  he  give  for 
bronchitis,  for  pneumonia,  a  diarrhea  or  dysenteiy,  a  rheu- 
matism or  a  sick  headache,  erysipelas,  cystitis,  etc.?  For- 
get your  diagnosis,  be  a  homeopathic  prescriber,  and  give 
the  indicated  remedy. 

On  this  particular  subject  read  what  Dr.  Franz  Hart- 
man  said  of  Hahnemann's  prescribing  in  Dunham's  Lectures 
on  Materia  Medica,  Vol.  II,  page  392,  where  he  saw  Hahne- 
mann cure  a  case  of  figwarts  in  fifteen  days.  Not  being 
able  to  diagnose  the  remedy,  Hartman  asked  Hahnemann 
what  he  had  given  and  was  evasively  answered  by  being 
told  to  '*study  Materia  Medica."    Being  unable   to  contain 


242 


THE  MEDICAL  ADVANCE. 


his  curiosity  after  the  cure  was  affected,  Hartmann  stole  in- 
to Hahnemann's  study  at  an  early  hour  and  examined  the 
record  book.  ^  Much  to  his  surprise  he  found  that  Chamo- 
milla  30th,  three  powders,  had  cured  the  condylomata.  He 
confessed  his  fault  to  Hahnemann  and  begged  to  know  why 
Chamomilla  had  been  selected.  Hahnemann  replied:  **Then 
take  the  book  and  read  further,  read  the  Symtomen-Codex 
and  see  if  it  were  possible  to  give  any  other  remedy  than 
Chamomilla  when  such  symptoms  were  present." 

In  contrast  to  this  loose  method' of  Dr.  Jousset,  compare 
the  report  of  Dr.  Chiron  in  his  case  of  epilepsy  in  the  Feb 
ruary  Advance,  page  117.  Every  symptom,  diagnostic  anc 
personal  pointed  to  the  single  remedy.  Cuprum.  That  is 
the  kind  of  work  we  want.  That  is  homeopathic  prescrib- 
ing. 


NOTES  FROM  HAHNEMANN  HOSPITAL,  Rochester,  N.  T 

'*Mrs.  Lydia  Hoag  and  her  daughter,  who  have  beei 
members  of  our  hospital  family  for  nearly  four  years,  we  ar( 
happy  to  learn  are  restored  to  health,  and  left  the  hospita! 
on  the  16th  inst.  for  a  trip  to  California.  They  have  th( 
best  wishes  and  love  of  the  entire  household." 

Dr.  H.  C.  Allen,  Chicago,  111. 
Dear  Doctor: 

I  enclose  clipping  which  in  a  way  explains  itself  so  fa: 
as  a  cure  under  homeopathy  is  concerned.  The  above  cas( 
has  been  under  treatment  by  some  of  our  best  men  for  i 
long  time  without  being  cured.  She  had  not  walked  for  fiv( 
and  a  half  years;  had  been  in  bed  nearly  four  years.  Di 
Biegler  turned  the  case  over  to  me  one  year  ago.  At  firs 
she  continued  to  decline  as  she  had  been  doing  for  mor 
than  three  years.  Finally  the  remedy  was  found  and  th< 
case  went  on  to  complete  recovery.  Today  she  is  enjoyinj 
perfect  health;  can  walk  five  miles  which  she  does  nearl; 
every  day,  and  is  feeling  better  than  she  can  everremembe 
of  being  before.  The  case  was  cured  from  the  fact  brough 
forth  one  day  that  she  had  never  been  well  since  scarle 
fever  at  age  of  three  years,  and  that  atropine  had  been  use 


-M 


i 


USEFUL.  NOTES.  243' 

for  ten  years  to  dilate  the  pupil  of  one  eye.  Not  only  is 
she  well  generally  but  sight  in  this  eye  is  better  than  in 
years.    Needless  to  say  that  atropine  was  discontinued. 

Am  proud  of  results  in  this  case  from  homeopathic 
work.  Thought  you  might  be  interested  to  know  that  Her- 
ing's  teachings  were  bringing  results  for  me  not  alone  in 
this  case  but  many  others.  Have  three  allopathic  physici- 
ans who  employ  me  for  themselves  aild  families  when  medi- 
erne  is  needed. 

Best  wishes  for  a  prosperous  year  for  Hering.     I  am 
Very  truly  yours, 

Glen  I.  Bidwell,  M.  D. 

USEFUL  NOTES 

From  J.  F.  Edgar,  M.  D. 

Tobacco. — An  elderly  man,  accustomed  to  railroad  or 
excavating  and  grading  work,  complained  of  **intense  aching 
in  his  testicles  after  use  of  tobacco,  either  in  chewing  or 
smoking  form.''  The  only  concomitants  I  could  secure  from 
him:  he  was  not  very  active  sexually;  had  the  mental  desire 
but  poor  physical  capacity;  irritable  bladder  when  the  testi- 
cles are  aching;  desire  to  urinate  but  slow, intermitting  evac- 
uation. I  gave  him  one  dose  Conium  Im  (B.  &  T.,)  and  after- 
wards studied  the  condition.  The  Conium  did  not  relieve. 
My  three  repertories  gave  not  much  help. 

Tabac.,  Solan,  nigr.,  Lyssin,  Lobelia  werp  suggested 
generally.  Using  the  last  symptoms  in  section  15 — Lyssin, 
and  the  general  ones  of  sections  21  and  22,  I  administered 
Lyssin  30,  the  only  degree  of  fineness  I  had  in  stock. 

The  relief  was  prompt  and  has  continued  so,  now  over 
three  months.  I  have  added  to  the  last  symptom  in  section 
22,  Lyssin  in  Guiding  Symptoms,  or  tobacco,  so  that  it  reads 
"complaints  resulting  from  abnormal  sexual  desire  or  tobac- 
co," and  I  reix>rt  this  to  the  profession  for  verification. 

Yawning,  Gaping. — I  have  three  of  the  largest  reper- 
tories. When  I  want  to  follow  up  a  symptom  that  may  be  a 
leader,  ani  the  repertory  gives  remedies  that  are  not  cor- 
roborated in  Guiding  Symptoms,  I  then  take  the  entire   ten 


244 


THE  MEDICAL  ADVANCE. 


f 

n 


'I; 

•I 


ri 


volomes  and  go  over  that  section  in  each  remedy  and  verify 
my  repertories. 

With  Bering's  Guiding  Symptoms  we  have  authority 
that  is  nearer  to  certainty  than  any  I  know  of.  The  follow 
ing  remedies  are  verified  from  that  authority,  and  I  offei 
them  to  the  profession  who  care  to  record  them  in  th6ii 
repertories  and  save  themselves  the  three  or  four  days  o1 
work  I  have  given  to  it.  This  does  not  include  the  gasping 
for  air  in  dyspnoea. 

Acet.  ac;  Actea  rac.;  Aeon.;  Agar.;  Ammon.  br.;  Ant 
crud.;  Apoc.;  Arg.  m.  and  n.;  Ars,;  Atrop.;  Aur.  mur.;  Bor. 
Bry.;  Calc.  phos.;  Camp.;  Carb.  ac;  Citrus  Lemon;  Croc. 
Dig.;  Dros.;  Fer.  lod.;  Glon.;  Hell.;  Ign.;  Kob.;  Kreos.;  Lac 
add;  Lact.;  Laur.;  Lil.  tig.;  Lob.;  Lyc.;Lycop.;  Lyss.;  Med. 
Merc.  V.  and  cor..  Mez.;  Mosch.;  Mur.  acid.;  Natr.  s.;  Nu] 
mos.  and  vom.;  Clean.;  Op..  Paris;  Phosp.;  Phys.;  Pod. 
Prun.;  Puis.;  Ther.;  Val.;  Xan. 

CALCAREA  SULPH;  IN  INFANTILE  ERUPTIONS. 

By  W.  H.  Freeman,  M,  D. 

Baby  M.,  age  six  months,  weight  11  pounds,  bottle  fed 
Sandy  hair,  blue  eyes,  delicate,  scrawny,  abdomen  enlarge( 
and  bloated. 

Perspires  all  over  copiously,  on  head  especially,  whil 
eating  or  when  excited.  Much  vomiting,  diarrhea  and  indi 
gestion,  with  intolerance  for  milk  especially,  since  birtl 
(helped  greatly  by  Aethusa  200,  frequently  repeated  as  ne 
cessary). 

Has  gained  in  weight  very  slowly  and  only  by  spells 
remaining  stationary  for  weeks  at  a  time. 

At  present  being  fed  on  a  mixture  of  milk  and  a  pat 
ented  proprietary  food  recommended  by  some  friends  whicl 
seems  to  agree  better  than  anything  previously  tried. 

Eruption  on  trunk  and  buttocks  since  birth,  worse  noT 
than  ever  before,  of  many  discrete,  impetiginous,  non-iE 
flammatory,  round,  superficial  blisters  filled  with  yellow  pus 

Calcarea  sulph.  200,  four  powders  to  be  given  twelv 
hours  apart.     No   change   in    the  food.     Result — relief  c 


CAN   SURGERY   AVAIL.  245 

symptoms  and  gain  of  two  pounds  in  weight  within  two 
weeks.  . 


CAN  SURGERY  AVAIL   IN  THE   SELECTION  OF  THE 
HOMEOPATHIC  REMEDY? 

By  Lawrence  M.  Stanton,  M.  D.,  New  York. 
(Read  before  the  Bayard  Club,  of  New  York,  October  16, 1907.) 

We  who  seek  to  live  up  to  the  full  stature  of  Homeo- 
pathy take  the  position  that  while  surgery  for  removal  of  a 
pathological  product  may  be  at  times  a  necessity,  it  is  always, 
short  of  such  necessity,  deplorable. 

Let  us  examine  into  this  position  and  see  if  it  be  tenable. 

We  believe,  and  rightly,  that  pathological  expression  is 
but  the  outward  disturbance;  that  it  is  not  itself  the  disease 
but  merely  one  manifestation  of  disease;  that  if  we  remove 
by  surgery  this  expression — this  tumor,  this  appendix — we 
have  cut  away  part  of  the  picture  ^whereby  disease  makes 
itself  known  to  us,  have  cut  the  ground  from  under  our  feet 
and  are  left  with  no  information  upon  which  to  base  the 
homeopathic  remedy. 

But,  while  the  soundness  of  this  position  is  not  to  be 
gain-said,  there  are  many  times  when  we  cannot  to  the 
patient's  advantage  make  a  practical  applicalion  of  our  phi- 
losophy. A  case  comes  to  us  first  hand,  has  not  been  tam- 
pered with,  yet  even  here  we  get  no  picture,  we  get  no  in- 
formation. We  are  not  going  to  cure  this  case,  and  we  turn 
in  some  other  direction,  perhaps  to  surgery,  for  help.  But 
if  we  have  recourse  to  surgery,  are  we  abandoning  our  case 
to  it;  or  are  we  merely  asking  its  aid  in  order  that  we  may, 
with  a  fresh  start,  continue  our  work  upon  homeopathic 
lines?  Are  there  not  cases  where  the  intervention  of  sur- 
gery enables  us  to  discern  more  clearly  the  indications  for 
the  homeopathic  remedy? 

The  question  stated  thus  baldly  is  somewhat  confusing, 
and  in  order  to  make  my  meaning  clear  it  is  necessary  first 
to  make  some  classification  of  cases  presenting  this  tangible 
pathological  aspect.  We  will  divide  them  broadly  into  those 
where  the  indications  for  the  selection  of  the  homeopathic 


246 


THE  MEDICAL  ADVANCE. 


I 


remedy  are  suflficient  and  those  where  they  are  not;  Class  A. 
and  Glass  B.,  respectively. 

Class  A.  falls  into  three  sub-divisions.  First,  there  are 
those  cases  where  all  the  indications  for  the  remedy  are 
found  in  the  patient,  the  pathological  manifestation  giving 
us  no  suggestion  of  the  remedy. 

The  second  subdivision  is  the  antithesis  of  the  first. 
The  patient  himself,  escaping  scot-free,  presents  not  a  flick- 
er of  a  symptom  which  posesses  value,  and  we  must  turn  for 
information  to  the  pathological  explosion.  Here  there  is 
enough  in  objective  appearance  or  in  local  symptoms  to  en- 
able us  to  select  the  homeopathic  remedy. 

The  third  subdivision  comprises  those  cases  where  the 
iodications  for  the  remedy  are  found  partly  in  the  patient, 
partly  in  his  pathological  condition. 

We  may  therefore  dismiss  Class  A.,  in  its  three  sub- 
divisions, from  our  discussion,  finding  there  as  we  do  in  one 
way  or  another  sufficient  indications  for  the  selection  of  the 
remedy.  It  would  not  have  been  considered  here  at  all  but 
to  clear  the  way  for  a  better  understanding  of  Class  B., 
namely  those  other  cases  where  indications  for  the  remedy 
are  lacking. 

Class  B.  is  made  up  of  two  subdivisions.  In  the  first 
are  those  cases  where,  after  looking  far  and  near,  after 
searching  the  patient  and  searching  the  pathological  lesion, 
we  find  nothing  anywhere  suggesting  the  remedy.  The 
patient  seems  in  perfect  general  health,  and  though  disease 
has  expressed  itself  pathologically  there  is  absolutely 
nothing  characteristic  in  this  expression.  It  is  dumb  so  far 
as  the  remedy  goes;  there  is  no  pain,  or  none  of  any  charac- 
ter, and  as  for  the  objective  aspect  of  the  lesion  fifty  reme- 
dies if  any,  come  to  mind.  We  are  baffled,  or  aught  to  be, 
and  declare  the  case  is  not  one  for  Homeopathy. 

The  second  subdivision  is  equally  disconcerting.  Here 
is  a  tumor  which,  on  account  of  its  size  or  position,  is  press- 
ing uxDon  nerves,  blood  vessels  or  some  neighboring  vital 
organ;  or  there  are  adhesions, say,  compressing, constricting 
distorting— in  either  case  we  have  an  array  of  symptoms,  tc 


■m 


i 


CAN   SURGERY   AVAIL.  247 

be  sure,  but  they  are  reflex  and  in  no  way  indicative  of  the 
real  disease  for  which  we  are  endeavoring  to  find  the  remedy. 
Again  our  search  is  vain  and  again  we  say  it  is  no  case  for 
Homeopathy,  perhaps  it  is  one  for  surgery. 

But  in  so  saying  we  are  both  right  and  wrong.  Right, 
in  that  these  cases,  mentioned  under  Class  B.,  may  be  surgi- 
cal for  the  moment,  but  wrong  in  thinking  that  they  are  not 
In  the  end  cases  for  Homeopathy.  And  this  brings  us  to  the 
point,  to  the  question:  Can  surgery  avail  in  the  selection  of 
the  homeopathic  remedy?  When  the  statement  is  made 
concerning  a  case  that  the  indications  for  the  remedy  are 
insufficient,  the  fact  is  asserted  only  under  existing  condi- 
tions and  with  the  reservation  that  under  other  conditions 
indications  for  a  remedy  might  very  well  appear.  Now  may 
they  not  be  forced  to  declare  themselves? 

If  the  expression  of  disease,  either  general  or  local,  is 
inadequate  for  the  purposes  of  a  remedy,  or  if  the  symptoms 
presenting  themselves  are  nothing  more  than  reflex  symp- 
toms, may  we  not  by  the  aid  of  surgery  *  bring  about  a  new 
situation,  a  new  utterance  of  disease  from  which  the  remedy 
is  now  evident?  From  a  patient  otherwise  so  well  that  he 
presents  no  symptoms,  we  remove,  say,  a  perfectly  dead 
mass,  that  is,  dead  to  the  remedy;  or  we  remove  a  tumor 
that  is  mechanically  giving  us  only  reflex  symptoms;  in  do- 
ing so  we  are  creating  an  opportunity  for  the  chronic  disease 
to  express  itself  anew.  It  may  now  manifest  itself  in  some 
other  part  or  organ  and  with  symptoms  no  longer  vague. 
We  study  the  patient  with  ffew  eyes,  and  now  the  homeo- 
pathic remedy  covers  the  case  where  before  there  was  no 
hint  of  its  applicability.  Our  resort  to  surgery  has  not  been 
a  last  resort  but  an  intermediate  step  in  the  discovery  of  the 
homeopathic  remedy. 

At  times  then,  it  seems  to  me,  there  are  cases  where  we 
must  decide  to  play  the  waiting  game  no  longer  but  must 
endeavor  by  surgery  to  reach  a  vantage  ground  from  which 
the  homeopathic  remedy  is  discernible. 


.248 


THE  MEDICAL  ADVANCE 


I 


REPLY  TO  DOCTOR  BOFFIN. 

Dear  Dr.  Boffin: 

It  gives  me  pleasure  to  reply  to  the  questions  you  aske< 
so  courteously.  The  best  answer  I  can  give  to  the  firs 
questions;  namely:  **Hahnemann,  defended  vaccination;' 
was  he  not  also  the  promulgator  of  the  minimum  dose?  '. 
might  reply  that  Hahnemann  did  not  discover  any  inconsis 
tency  between  vaccination  and  the  minimtm  dose.  Isi 
necessary  for  me  to  defend  Hahnemann  in  the  Advance? 

You  ask  if  the  Jennerian  vaccination  is  in  advance  of  th( 
internal  method  of  homeopjtthic  prophalaxis  with  the  attenu 
ated  virus.  Yes!  When  I  vaccinate  by  scarification  I  an 
able  to  tell  by  the  size,  shape,  etc.,  of  the  vesicle,  whethei 
the  operation  is  successful  or  not.  If  not  I  can  repeat  unti 
I  am  assured  that  the  patient  is  protected.  Can  you?  An 
other  advantage  is  that  in  the  experience  of  a  century  W( 
have  the  power  to  know  when  the  protection  is  so  far  weak 
ened  that  re- vaccination  is  necessary  to  avert  the  danger  o 
the  patients  being  liable  to  varioloid.  With  so-called,  in 
ternal  vaccinationon  [There  is  no  such  thing.— Ed.]  no  evi 
dence  has,  to  my  knowledge  been  adduced  to  show  how  lonj 
the  protection  lasts. 

You  ask  *'if  crude  vaccination  immunizes  without  jeep 
ardizing  the  individual's  subsequent  health."  The  danger  o 
vaccination  with  the  pure  bovine  virus  is  very  remote,  am 
to  the  homeopathic  physician  is  very  easily  averted.  Se( 
Kent's  repertory,  page  1337. 

Let  me  ask  a  question.  What  homeopathic  remedy  wil 
you  administer  as  a  prophalactic  for  small-pox?  One  says 
Vaccinum.  Others  say  Variolinum,  Thuja  and  Tartar  emetic 
Sarracenia,  or  Malandrinum.  Will  you  choose  any  one  o: 
these  indiscriminately?  Are  all  equally  efficaceous?  L 
it  good  homeopathy  to  have  eight  or  ten  remedies  any  on( 
of  which  may  be  administered  in  a  case?  Hahnemann  die 
not  think  so.     Do  you? 

You  speak  of  Hahnemann  being  imbued  with  the  spirl 
of  progress.  I  grant  it.  Your  question  is  a  superannuatec 
argument  for  mongrelism. 


COMMUNICATIONS.  249 

I  have  only  given  the  outlines  of  my  defence  of  vac- 
cination. 

If  you  want  a  more  extensive  one,  please  turn  to  the 
transactions  of  the  I.  H.  A.  for  1893,  in  which  I  go  into  de- 
tails. This  paper  although  published  fourteen  years  ago, 
has  never  been  noticed  by  any  anti -vaccinationist. 

I  thank  you  for  the  courtesy  you  have  displayed  to  me. 
It  is  much  different  in  that  regard  from  the  usual  anti-vacci- 
nation articles  which  are  neither  courteous  nor  civil. 

A.  McNeil. 


PSEUDO-HOMEOPATHIC  JOURNALS. 

Editor  of  The  Advance: 

Verily  this  is  an  age  of  unblushing  counterfeit  present- 
ment. I  have  before  me  a  journal  called  '* Homeopathic" — 
there  are  others — with  nothing  homeopathic  about  it  except 
the  title  page.  The  self-styled  broad-minded  editors  of  such 
fill  their  pages  with  excerpts  from  the  regular  antipathic 
journals,  cases  treated  in  violation  of  all  the  principles  of 
homeopathy  by  men  posing  as  **homeopaths"  and  for  reve- 
nue, advertisements  of  nostrums  which  should  be  excluded 
from  a  homeopathic  journal.  We  get  all  we  require  of  this 
sort  of  medical  practice  in  our  allopathic  journals.  When 
we  subscribe  for  a  homeopathic  journal  we  have  a  right  to 
expect  it  to  be  what  it  is  named.  When  we  go  to  the  gro- 
cer for  cow-butter  we  don't  tolerate  oleomargerine  under 
the  name  of  the  former.  The  editors  of  such  journals  are 
no  doubt  very  honorable  gentlemen,  but  why  do  they  print 
'^Homeopathic'*  on  their  journals  when  they  seem  not  to 
believe  in  or  practice  homeopathy,  and  certainly  don't  teach 
it,  and  often  sneer  at  those  who  adhere  to  the  principles  of 
Homeopathy. 

It  is  no  wonder  that  our  allopathic  brethren  say:  well, 
there  is  little  difference  in  our  respective  practices  now. 
The  influence  of  such  journals  upon  medical  students,  young 
practitioners,  and  indirectly  upon  the  laity  is  pernicious. 
It  seems  to  me  that  systematic  efforts  have  been  made  for 
years  by  such  journals,  and  by  pseudo  homeopathy  to  de. 


THE  MEDICAL  ADVANCE. 


U 


grade  the  practice  of  homeopathy  and  to  destroy  the  confi- 
dence of  the  laity  in  its  efficiency,  and  slowly  but  surely  not 
only  preventing  the  advance  and  progress,  but  crushing  the 
life  out  of  pure  Homeopathy  as  a  school  and  substituting  a 
''bastard." 

Personally  I  care  not  what  a  man's  practice  is  if  he  be 
honest  and  consistent.  If  I  found  any  system  of  treatment 
giving  better  results  than  Homeopathy  I  would  adopt  it.  It 
would  be  right  that  I  should  do  so;  but  then  honesty  would 
dictate  that  I  ceased  to  call  myself  '^homeopath,"  and  end  my 
affiliation  with  a  **homeopathic  society.  We  respect  our 
learned  brethren  on  the  opposition  benches  who  differ  from 
us,  we  can  forgive  their  persecution  in  the  past  and  present 
in  a  modified  form.  We  know  that  from  time  to  time  some 
one  of  them  will  get  the  light  of  "truth"  and  become  a  pil 
lar  of  strength  in  our  ranks;  but  we  can  have  no  resi>ect  foi 
the  **pretender,"  and  we  should  show  no  consideration  foi 
the  vender  of  spurious  homeopathy.  Verily  we  have  come 
to  the  "parting  of  the  ways."  It  is  better  that  our  ranks 
should  be  decimated  again  and  again  than  that  we  shoulc 
tolerate  practices  and  precepts  which  are  removing  th( 
ground  upon  which  we  have  been  standing  from  under  oui 
feet. 

Jos.  FiTz  Matthew,  M.  D., 

West  Sound,  Wash. 


LETTER  FROM  I)R.  R.  E.  BELDIN6. 

Troy,  N.  Y.,  March  6th,  1908. 
H.  C.  Allen,  M.  D. 
Dear  Doctor: 

I  notice  in  the  January  number  of  the  Advance  a  state 
ment  that  Isaiah  Dever  was  the  only  physician  known  t< 
you  who  had  the  names  of  Hering,  Lippe,  Guernsey,  Rau( 
and  Frost  on  his  diploma. 

These  names  are  all  on  my  diploma.  I  was  graduate( 
from  the  same  college  as  he,  in  the  same  year. 

Yours  truly, 

R.  E.  Belding. 


L 


CLINICAL  CASES.  251 

CLINICAL  CASES. 

By  J.  B.  S.  King,  M.  D. 

The  following  case  contains  points  worthy  of  notice: 

Mrs.  C. — Spare,  blond,  38  years  old. 

History — Subject  to  attacks  of  neuralgia  on  left  side. 
Suddenly  lost  sight  of  left  eye  two  years  ago.  Left  eye  pro- 
trudes when  excited.    Teeth  decayed  at  age  of  sixteen. 

Present  State — Feels  well  during  day  but  has  horrible 
nights.  Wakes  up  usually  at  or  before  midnight  in  a  terri- 
bly excited,  nervous  condition. 

She  fears  she  is  going  to  die. 

She  fears  she  is  going  to  lose  her  breath.  Then  comes 
a  sensation  as  if  '*roof  of  mouth  was  being  gripped  and 
pulled  up  towards  her  brain."  *' Something  seems  to  all 
come  together  in  head  and  affect  the  mouth  with  a  drawing 
sensation.''  At  this  climax  she  loses  breath  and  becomes 
unconscious  for  a  short  time.  She  feels  badly  frightened 
afterward  and  tosses  around  restless  the  remainder  of  the 
night,  falling  into  a  heavy  sleep  toward  morning. 

Dull  ache  between  eyes. 

Dull  ache  in  top  of  head. 

Dull  ache  in  occiput" all  worse  on  cold  windy  days.  Pro- 
tects head  from  cold  by  high  fur  collar.  Is  very  prone  to 
chilly  sensations  up  and  down  back;  wears  an  extra  cover 
over  spine  on  this  account. 

Appetite  good.    Bowels  regular;  menses  normal. 

Conditions  and  surroundings  were  cheerful. 

On  account  of  the  fear  of  dying,  fright,  chills  in  back, 
aggravation  from  cold  wind.  Aconite  was  prescribed.  There 
was  immediate  relief  lasting  ten  days.  The  peculiar  symp- 
tom of  the  brain,  occurring  most  nearly  under  Glonoin,  that 
remedy  was  given,  although  there  was  no  history  of  sun- 
stroke or  any  trouble  from  heat,  and  the  modalities  were 
different.  The  trouble  left  the  first  night  and  she  has  re- 
mained well,  except  that  some  months  later  she  had  a  few 
symptoms  that  called  for  Sulphur. 

After  the  Glonoin  her  letters  were  full  of  such  phrases 


252  THE  MEDICAL   ADVANCE. 

as  ''sleeping  perfectly  fine,"  *'sleep  all  right  now/'  **have 
no  trouble  with  anything." 

I  was  unable  to  get  word  from  the  oculist  who  attended 

•  her  for  the  loss  of  sight.    There  was  no  pain;  she  first  no- 

ticed a  mistiness  and  in  a  few  days  sight  was  entirely  gone. 
Mrs.  A.     Complains  of  bloating  of  abdomen;  great  drow- 
siness and  headache.    On  interrogation  I  found  that  the 
headache  and  bloating  were  both  worse  after  eating  and  at 
the  menstrual   period.     Menses  irregular,   sometimes  late, 

i  sometimes  early,   sometimes   slight  in  amount,   sometimes 

I  heavy.     She  frequently  felt  like  fainting  although   she  had 

^  never  fainted.     Nux  machata  30  cured. 

The  following  singular  incident  following  this  cure 
shows  that  domestic  medicine  sometimes  makes  a  bull's  eye 

I  hit.     Some  two  years  after  the  above  cure  this  patient  was 

traveling  in  the  South,  and  during  the  trip  was  affected  with 
a  return  of  some  of  the  above  symptoms.  She  wrote  to  me 
for  medicine,  but  before  it  arrived  was   induced  to  consult 

Ian  old  negro  woman  who  had  some  reputation  as  a  doctor. 
The  old  mammy  asked  her   a  few  questions  and  said, 
**honey,  I  specs  you  need  a  little  nutmeg." 
j  My  patient  laughingly  told  me   at   a  subsequent  inter- 

view that  before  my  medicine  arrived  an  old  darky  womaD 
had  cured  her  with  a  little  nutmeg  grated  into  hot  water. 

Now,  how  did  that  venerable  colored  "pusson"  know 
what  medicine  to  give? 

Mr.  K.  complained  by  telephone  of  a   severe   cold   with 
stuffed  nostrels  and  shooting  pain  in   and   around   the  left 
^  eye.     I  sent  him  a  powder  of  Belladonna  30,  with  directions 

to  see  me  if  not  relieved  soon.  He  came  in  24  hours,  saying 
that  he  thought  it  had  cured  him  because  the  pain  stopped 
towards  evening  but  had  come  back  with  full  force  the  next 
morning. 

The  pains  were  sharp,  stabbing,  in  the  eye-ball,  aggra- 
vated by  moving  the  eye-balls,  by  stooping.  There  was 
profuse  lachrymation  but  no  redness.  Looking  around  for 
Spigelia  symptoms,  I  took  a  dentist's  probe  and  made  a  mo- 
tion as  if  I  was  going  to  touch  his  eye  brow  with  the   point. 


■w 


CLINICAL  CASES.  258 

'*Hold  on,"  he  said.  **I  hate  pointed  instruments  and  can't 
bear  to  have  them  around,  especially  now."  That  settled 
it.  He  received  Spigelia  200  and  had  no  more  neuralgia, 
but  complained  that  his  nose  was  just  as  stopped  up  as  ever 
or  even  worse.  He  said  that  for  at  least  a  year  his  nose  had 
got  stuffed  up,  whenever  it  rained  or  was  damp,  but  since 
this  recent  cold  there  had  been  no  air  passing  through  his 
nose  at  all.  A  slight  examination  revealed  large,  gray,  gel- 
atious  polypi  in  both  nostrils,  and  there  was  total  occlusion. 
Lemna  minor  3x,  a  dose  four  times  a  day  until  distinctly 
better.  In  four  weeks  he  reported  himself  well,  and  the 
poljrpi  were  no  longer  visible. 

NosQ  stuffed  up  at  every  rain  or  spell  of  damp  weather 
^th  or  without  polypi  is  a  strong  indication  for  Lemna. 

The  following  case  of  Dr.  Ashton's  is  an  old  one  and 
has  been  published  before,  but  it  is  well  worth  studying: 

A  woman  aged  45,  mother  of  six  living  children,  suffered 
from  bronchocele  which  had  been  in  a  prograssive  state  for 
at  least  fifteen  years.  She  had  excellent  health,  with  ex- 
ception of  this  deformity.  The  enlargement  was  in  the 
right  lobe  and  was  bounded  above  by  the  inferior  margin  of 
the  lower  maxilla,  extending  from  the  symphysis  to  the 
angle  and  inferiorly  by  the  clavicle,  filling  completely  the 
intervening  space  and  presenting  externally  as  much  con- 
vexity as  might  be  equivalent  to  the  concaxity  naturally  ex- 
isting within  the  bounderies  described.  The  tumor  gave  no 
inconvenience  except  the  mechanical  ones  of  weight  and  lim- 
itation of  movements  of  the  head.  Bromine  2x  every  night 
for  three  weeks:  then  every  other  night  for  a  week;  then 
twice  a  week  for  two  months.  At  the  end  of  the  third 
month  the  tumor  was  gone. 

It  is  to  be  regretted  that  Dr.  Ashton  did  not  give  the 
complexion  and  history  of  the  patient.  It  was  aii  excellent 
cure,  but  there  is  nothing  given  which  could  make  it  more 
than  a  lucky  hit,  a  bull's  eye  in  the  dark. 

A  young  man  of  robust  appearance,  well  muscled  and 
vigorous  was  afllicted  with  goiter  since  early  youth,  during 
which  time  he  had  been  under  treatment  by   a   skillful  and 


254 


THE  MEDICAT.  ADVANCE. 


experienced  homeopathic  prescriber.  His  respiration  was 
much  impeded  by  the  growth  and  operation  was  decided 
upon.  The  isthmus  of  the  gland  and  a  portion  of  left  lobe 
was  removed,  the  remainder  being  left  for  a  subsequent  op- 
eration. 

This  operation  relieved  the  distressing  dyspnoea,  but 
the  neck  was  still  so  large  that  he  wore  a  20-inch  collar. 
With  the  hope  of  obviating  another  operation  he  applied  to 
another  physician  who  convinced  that  evei'y  remedy  indicat- 
ed by  his  symptoms  had  been  given  in  the  high  and  highest 
potencies,  resolved  to  give  the  low  potencies  only.  Ac- 
cordingly small  but  material  doses  of  Kali  iod.  were  given 
repeatedly.  It  had  a  strong  but  not  curative  action.  The 
nose  ran  and  became  red;  the  tumor  grew  hard  without  di- 
minishing. All  medicine  was  stopped  and  in  two  weeks 
everything  was  back  to  its  usual  csndition. 

Lapis  albus  3x  was  now  given  four  times  a  day.  The 
tumor  now  began  to  diminish.  It  finally  got  to  where  he 
could  wear  a  17-inch  collar  and  there  stopped.  This  too 
was  merely  a  lucky  hit. 

HOW  THE  DYNAMIC  REMEDY  WORKS. 

By  H.  p.  Hot.mes,  Sheridan,  Wyo. 

I  wish  to  offer  a  th6ught  on  a  possible  explanation  of 
the  action  of  the  homeopathic  remedy,  one  which  I  have 
never  heard  given  and  which  at  least  is  original  as  far  as  I 
am  concerned. 

The  most  ultra  microbiologists  today  claim  that  health 
is  maintained  by  phagocytic  action.  In  plain  words  if  a 
microbe,  carrying  on  its  back  the  disease  producing  toxine, 
enters  the  system,  the  phagocytes  hasten  to  the  defense  of 
the  organism.  If  powerful  enough  they  devour  the  microbe 
and  neutralize  the  toxine.  If  not  strong  enotigh  to  put  up  a 
suitable  resistance,  they  back  up,  so  to  speak,  and  begin  to 
form  barriers  at  more  distant  points,  call  for^reinforcements 
and  seek  to  effect  control  by  a  sort  of  time  limit  game,  hold- 
ing the  fort  until  the  attacking  party  exhaust  their  amuni- 
tion  and  become  defenceless  to  the  powers  of  the  phagocytes. 


SUGGESTIONS  IN  HOMEOPATHIC  PHILOSOPHY.  255 

The  besieged  win,  the  besiegers  are  defeated  and  peace  fol- 
lows in  the  form  of  health  restored. 

The  indicated  remedy  excites,  multiplies,  reinforces  the 
phagocytic  action.  It  hastens  the  defense  at  every  point  by 
restoring  the  very  soul  of  the  defenders.  In  our  every  day 
work  we  know  it  does  it  so  quickly  that  it  proves  the  pha- 
gocytes do  not  retreat  to  form  barricades  in  more  defensible 
localities.  The  indicated  remedy,  especially  in  the  more 
acute  affections,  cures  at  once  and  the  only  microbiological 
explanation  is  that  it  so  fortifies  the  phagocytes  that  the 
enemy  is  overwhelmed  at  once  and  the  microbe  and  its  load 
of  toxine  is  whipped  at  the  gates. 

I  do  not  know  if  I  am  putting  this  in  the  best  form,  but 
we  know  that  Homeopathy  has  ever  dealt  with  the  microcos- 
mic  and  I  believe  we  are  justified  in  resorting  to  micrologic 
reasons  to  explain  the  action  of  the  potency  in  the  cure  of 
disease.  This  absolutely  answers  the  scientific  man  and  we 
homeopaths  know  the  action  is  true.  But,  to  you  and  me, 
the  old  explanation  of  the  **  vital  force"  and  the  * 'predisposi- 
tion" covers  the  same  thing.     What  think  you? 

[Wright's  opsonic  index  simply  measures  the  resisting 
power  of  the  *' vital  force"  of  Hahnemann.  The  homeopaths 
have  been  using  it  100  years  and  have  verified  it  on  many  a 
battle  field.  They  have  been  writing  prose  all  these  years 
without  knowing  it.  Homeopathy  is  certainly  scientific. 
Wright  says  so.    Ed.] 

SUGGESTIONS  IN  HOMEOPATHIC  PHILOSOPHY.* 

By  W.  a.  Yingling,  M.  D..  Emporia,  Kansas. 
Order  being  the  first  law  of  nature,  it  must  be  presumed 
that  there  is  a  law  governing  the  law  of  sickness  and  suf- 
fering. We  find  law  in  every  other  department  of  nature, 
law  governing  every  other  great  interest  of  humanity,  hence 
we  must  expect  to  find  a  law  governing  the  domain  of  medi- 
erne.  The  fact  that  this  law  remained  unknown  for  millen- 
niums, that  it  is  directly  contrary  to  experience  and  the  ex- 
pectation of  the  majority,  does  not  militate  against  the  reason- 
ableness  of  the  expectancy  of  such  a  law.    The  rejection  of 


i 


•i 


25P 


THE  MEDICAL  ADVANCE. 


the  law  by  the  majority  does  not  prove  the  claim  of  dis- 
covery of  such  a  law  unworthy  of  credence.  None  are  so 
blind  as  those  who  will  not  see.  The  greatest  cause  of 
opacity  of  vision  is  self-interest  and  ignorance.  The  asser- 
tion, This  is  a  Law,  does  not  make  it  a  law;  neither  does  the 
denial,  There  is  no  law^  destroy  the  credibility  of  experience. 

As  we  can  reasonably  presume  the  existence  of  a  law  of 
cure,  it  behooves  us  to  lay  aside  prejudice,  bias,  self-interest, 
blinding  ignorance  and  still  more  blinding  jealousy,  and 
honestly  investigate.  In  such  a  field  of  science  experience 
alone  can  be  the  arbiter. 

The  Law  of  Cure  as  recognized  by  the  followers  of 
Hahnemann  is  simple,  reliable,  invariable  and  never  dis- 
appointing; the  uniformity  of  good  results  is  one  of  the 
greatest  proofs  of  its  genuineness.  The  law  is  that  a  similar 
symptomatic  condition  to  that  induced  upon  the  healthy 
human  organism  by  a  toxical  potential  substance,  will  be  re- 
lieved or  removed  from  the  sick  organism  by  the  dynamic 
power  of  the  same  remedy  in  ratio  to  its  degree  of  similarity. 
It  must  be  born  in  mind  that  the  law  is  not  that  of  identity, 
but  of  similarity;  it  is  the  law  of  Similia. 

The  medicinal  substance  invariably  produces  symptoms 
similar  to  those  of  the  disease  that  it  cures.  It  has  been 
noticed  that  a  drug  or  plant  having  renown  among  the  laity 
or  profession  for  its  reputed  virtues  as  a  sure  cure  for  a 
given  disease  invariably  develops  in  its  provings  marked 
symptomatic  features  of  that  disease,  thus  showing  it  tc 
have  a  reason  within  itself,  according  to  our  Liaw  of  Cure, 
for  its  healing  powers  in  such  diseases.  It  was  from  this 
very  inherent  power  in  Peruvian  Bark  to  produce  upon  th€ 
healthy  similar  symptoms  to  the  disease  it  was  known  tc 
cure,  that  led  Hahnemann  to  the  Law  of  Cure.  The  recog 
nition  of  similarity  was  the  first  step  in  the  discovery  of  this 
invariable  law. 

This  similarity  is  not  necessarily  in  the  pathologica 
state  resulting  from  disease,  but  in  the  expression  of  th( 
diseased  condition  in  sensations  and  modalities  as  varied  bj 
conditions.     The  presence  of  disease  is  only  known  by    th< 


^-* 


SUGGESTIONS  IN  HOMEOPATHIC  PHILOSOPHY.  257 

nee  of  symptoms;  where  there  are  no  symptoms  there 
disease.  Only  the  healthy,  diseaseless  man  is  without 
toms.  By  the  proper  recognition  of  this  law  of  simi- 
premonitory  symptoms,  though  very  simple  in  them- 
3,  and  even  when  apparently  too  trifling  to  be  no- 
may,  when  properly  understood,  show  the  ten- 
es  to  diseases  considered  incurable,  which,  by  the 
iy  having  similar  symptoms,  can  be  eradicated  and  the 
56  prevented.  Hence,  preventive  treatment  is  only 
ble  under  the  law  of  similars,  for  by  this  law  alone  we 
the  curative  remedy  plainly  shown  in  the  gathogeneses 
p  materia  medica.  The  little  ailments  of  life,  those 
Did  Physic  says  the  child  will  **outgrow,"  or  which  must 
rne  with  grace  and  fortitude,  though  so  annoying  and 
distressing,  may  point  to  the  future  conditions  of  in- 
ile  disease;  yet  these  very  things  for  which  our  friends 
I  **regular"  system  have  no  possible  remedy,  are  easily 
able  to  the  potentized  homeopathic  remedy,  and  in  a 
ays  or  a  few  weeks  the  possible  sufferings  of  a  lifetime 
e  ix)sitively  cured. 

he  writer  hereof  when  an  allopathic  physician,  even  with 
roffered  wisdom  and  experience  of  his  colleagues,  was 
elled  to  grit  his  teeth  and  endure  a  most  troublesome 
ig  of  the  shinbones  for  years.  When  he  became  a 
opathist  and  a  student  of  the  homeopathic  materia 
la,  he  was  speedily  and  permanently  relieved  by  poten- 
Rumex  (Yellow  Dock). 

L  certain  grandfather  suffered  a  lifetime  with  intense 
istressing  itching  of  the  end  of  the  coccyx  under  *'reg- 
means;  the  son  and  grandson  having  the  identical  itch 
ere  speedily  cured  by  the  dynamized  similar,  Bovista. 
'he  family  of  an  otherwise  well  man  was  compelled  to 
e  the  penetrating  odor  of  stinking  feet  for  many  years, 
bhe  little  children  in  the  evening  would  run,  holding 
Qoses  and  crying,  **Papa  is  taking  off  his  boots!  Papa 
ing  off  his  boots!"  Potentized  Sanicula  brought  joy 
^mfort  to  that  home  by  doing  what  thrice  daily  wash- 
^rere  unable  to  do. 


Vi 


258 


THE  MEDICAL  ADVANCE. 


A  handsome  lassie  from  Missouri  was  annoyed  by  tt 
unsightly  appearance  of  hands  literally  covered  on  tl 
backs  with  warts  of  all  sizes,  big  and  little, in  a  stage  of  ma 
uratio^n  so  thickly  studded  that  the  end  of  the  finger  ecu! 
not  be  placed  between  them.  After  the  administration  < 
dynamized  Veruccinum  she  wrote  a  letter  of  blessing  ar 
thanks,  stating  that  her  hands  were  as  clean  and  smooth  i 
anybody's. 

A  doting  mother  grieved  that  her  boy's  tender  skin  coi 
tinually  blistered  in  the  sun,  great  vesicles  as  large  as  dc 
lars  would  form  in  a  very  short  time  in  spite  of  cow's  crea 
and  sunbonnets.  Camphor  in  potency  internally  enable 
the  child  to  play  in  the  Kansas  sun  with  impunity  as  well  \ 
pleasure. 

A  buxom  country  lass  was  so  sensitive  to  poison  i^ 
that,  by  simply  walking  along  the  highway  in  the  ear" 
morning  or  late  in  the  evening  with  the  wind  blowing  off  tl 
dew-ladened  vine,  she  would  be  seriously  affected.  As  a  r 
suit  of  sugar  of  lead  lotions  her  face,  especially  under  h( 
chin,  was  bedecked  with  a  crop  of  whiskers  the  envy  of  tl 
neighborhood  youth.  Berrying  and  fishing  were  spor 
positively  denied  her,  as  for  her  to  touch  or  crush  the  leav< 
with  her  hands  was  days  of  torment  and  suffering.  High] 
attenuated  Rhus  toxicodendron  (mm),  removed  from  hi 
young  life  the  dread  Of  a  perpetual  menace  and  danger,  ar 
enabled  her  to  even  handle  the  poisonous  leaves  with  impi 
nity. 

The  European  scientist,  Carl  von  Nagali,  has  disco 
ered  a  **new  force,"  which  he  has  dubbed  Oligodynami 
Being  a  scientist  so-called,  and  of  the  **regular"  persuasioi 
this  *'new  force"  will  be  accepted  by  the  people  of  all  faitl 
and  in  a  few  years'  time  the  * 'regulars"  will  be  callir 
names  at  the  homeopathic  dilutionists  for  their  crudity  ai 
materiality.  This  **new  force"  is  no  more  nor  less  in  effe 
than  the  potentiation  or  dynamization  of  Hahnemann 
Greek  costume,  though  not  on  the  centesimal  scale.  Tl 
''new  force"  is,  in  common  parlance,  the  energy  or  pow< 
of  the  minute  or  infinitesimal.     Nagali's  conclusion  regar 


SUGGESTIONS  IN  HOMEOPATHIC  PHILOSOPHY. 


259 


s  experiments  with  copper  one  part  to  as  high  as 
Qillion  parts  of  distilled  water,  is  that  the  concentrated 
3ns  of  copper  have  a  chemical  poisoning  effect,  while 
ghly  attenuated  solutions  have  a  sick-making  effect, 
ivould  go  not  only  to  prove  the  efficacy  of  the  dynam- 
:emedy,  but  also  show  the  superiority  of  the  proving 
igs  with  the  potencies.  If  the  higher  attenuations 
the  "sick-making"  properties  of  substances,  they  must 
id  in  provings,  for  it  is  the  similitude  of  the  sick  con- 
that  we  must  have  in  the  selection  of  the  one  remedy 
er  the  totality  of  symptoms  in  the  patient, 
his  scientist  has  demonstrated  that  there  is  energy  or 
'  in  one  part  of  the  substance  to  1000-million  parts  of 
.  This  carries  the  potency  somewhat  higher  than  the 
gQ  homeopathic  physician.  The  maimer  of  potentia- 
f  Hahnemann  would  make  the  same  degree  of  attenua- 
nore  dynamic  owing  to  the  succession  of  centesimal 
and  to  succussion.  But  Nagali  has  verified  even  the 
1  potencies.  He  says:  ** Glasses  with  oligo-dynamic 
effect  lose  their  power  very  slowly,  after  being  repeat- 
efllled  with  neutral  water,  which  is  allowed  to  stand 
m  for  a  while."  He  goes  on  to  show  that  even  boiling 
a.sses  in  water  does  not  destroy  the  * 'after-effect"  or 
rence  of  potency  to  distilled  water, 
his  is  startling  and  strange  news  to  the  scientific 
but  it  is  a  commonly  known  fact  among  homeopathic 
iians  who  read  the  Organon  and  other  literature  of  the 
sion.  Homeopathic  physicians  are  leaders,  others  are 
ers,  and  in  this  instance  a  hundred    years   behind  the 


le  writer  has  had  some  experience  in  potentiation  and 
perimented  with  all  degrees  from  the  mother  tincture 
bhe  four-millionth  potency.  Brilliant  cures  have  re- 
from  some  of  the  highest  potencies.  The  use  of  po- 
j  is  a  mere  matter  of  experience,  and  is  not  the  gauge 
lity  to  the  true  principles  of  the  Hahnemannian  art  of 
g.  The  sole  gauge  of  fidelity  to  Hahnemann's,  teach- 
the  law  of  cure  and  the  single  remedy. 


260 


THE  MEDICAL  ADVANCE. 


f 


A  gentleman  of  leisure  scratched  every  night  for  man 
years  from  the  first  cold  spell  in  early  fall  till  the  wan 
weather  in  late  spring.  If  in  New  York  City  scratching  lih 
a  good  fellow  he  would  have  immunity  after  three  day 
residence  in  New  Orleans.  If  in  New  Orleans  free  from  th 
trouble,  the  intense  itching  would  begin  on  reaching  th 
cold  line  on  his  northern  journey.  After  the  exhibition  ( 
Sulphur  mm.  (million),  he  had  no  more  itching  for  a  yeai 
though  his  residence  was  in  the  north.  Upon  the  sudde 
return  of  cold  in  the  early  fall  of  '98  his  itching  retume 
with  some  force.  After  Sulphur  4mm.  he  has  not  had  an 
trouble  during  the  past  long  cold  winter.  I  gave  him  th; 
high  attenuation  from  the  fact  that  he  had  taken  treatmei 
from  some  of  the  best  homeopathic  prescribers  in  New  Yor 
City,  Boston,  Chicago  and  other  places  in  past  years  witl 
out  the  slightest  effect,  and  I  knew  some  of  them  must  ha\ 
given  him  Sulphur  in  varying  potencies.  He  had  trie 
without  avail  all  the  nostrums  known  to  the  ''regular"  pra 
tice.  The  oligodynamic  power  of  Sulphur  has  made  him 
happy  man  and  a  staunch  friend  of  the  principles  of  Hahn 
mann  and  has  shown  the  efficacy  of  the  highest  potencies. 


A  CLINICAL  CASE. 

By  E.  a.  Taylor,  M.  D.,  Chicago. 

Mr.  G.  B.,  age  23.     Intermittent  fever. 

A  year  ago  was  living  in  the  South  where  he  had  inte 
mittent  fever  which  still  continued  notwithstanding  the  li 
eral  use  of  quinine  and  its  alleged  specific  action  on  the  i 
tercorpuscular  haematozoa. 

Symptoms: — Chill  every  other  day  at  2:30  P.  M.;  begii 
in  the  knees  and  is  accompanied  with  a  desire  for  cold  wat€ 
Peels  best  in  a  warm  room  near  fire;  wants  left  side  to  rac 
ator;  knees  get  cold  and  weak,  can  hardly  walk.  After  tl 
chill  has  lasted  some  time  gets  a  severe  headache  across  tl 
eyes  and  temples,  **feel'^,  as  if  struck  a  stunning  blow  on  tl 
head."  The  chill  is  followed  by  sweat  without  previo 
heat  except  the  face  which  feels  hot  all  the  time  but  is  d 


POST  TENEBRAS  LUX. 


261 


He  sleeps  during  the  sweat  which  is  profuse  and  re- 
» the  headache  which  accompanies  the  paroxysms.  He 
given  Thuja  Im.  The  next  paroxysm  was  very  light 
he  had  no  more. 

The  chill  beginning  in  the  knees,  with  thirst  during  the 
,  belongs  to  both  Apis  and  Thuja,  but  the  Apis  patient 
Drse  in  a  warm  room;  cannot  bear  heat  of  stove;  while 
turning  heat  of  the  face,  the  relief  of  the  pains  from 
piration  and  the  chill  more  marked  on  the  left  side 
•)y  indicate  Thuja. 


POST  TENEBRIS  LUX,  (After  darkness  light). 

By  Alexander  Vertes,  M.  D.,  Ph.  D. 
Late  Superintendent,  Long  Branch  Surgical  Sanitarium. 
A.S  the  Hindu  in  telling  the  points  of  the  compass  faces 
last,  so  we  are  very  fond  of  tracing  the  development  of 
cine  from  the  time  of  Hippocrates,  and  while  it  is  true 
his  clear  conceptions  of  the  duties  of  a  physician  as 
meed  by  his  **oath''  and  his  classical  aphorisms  have 
Mi  as  a  basis  for  medical  ethics,  medicine  in  his  time 
lothing  more  than  the  practice  of  magic  and  sorcery, 
irt  was  to  combine  a  number  of  preparations,  and  to 
this  a  fanciful  name.  Pliny  mentions  in  his  Historia 
ralis  a  preparation  called  *'Theriaca"  with  600  ingredi- 
in  it. 

Vhile  the  tendency  of  the  dominant  school  of  the  day 
force  itself  from  polyi^harmacy  and  to  write  extempore, 
pharmaceutical,  galenic  preparations,  we  still  find, 
ially  among  the  proprietary  medicines,  that  most  of 
contain  from  five  to  ten  or  more  ingredients. 
?hey  have  no  law  to  guide  in  selecting  a  remedy,  and 
nistic  teachers  who  have  no  faith  in  their  own  method 
says:  * 'there  is  no  medical  treatment  of  append! - 
So  impressed  am  I  with  the  fact  that  we  physicians 
ives  by  temporising  with  certain  cases  of  appendicitis, 
;  prefer,  in  hospital  work  to  have  the  suspected  cases 
ted  directly  to  the  surgical  side."  Do  you  then  wonder 
ivhen  a  medical  student  finds   that  he  is  not  on  terra 


262 


THE  MEDICAL  ADVANCE. 


'      V 


> 


firma  in  medicine  that  *'ab  asin©  lanam"  (wool  from  an  ass 
ha  cannot  get,  becomes  either  infatuated  with  surgery  or  i 
nihilist  in  therapeutics. 

During  my  short  career  in  medicine  I  have  seen  th 
trend  from  antisepsis  to  asepsis.  That  clean  hands,  a  clea 
field  of  operation  and  clean  instruments  give  better  result 
than  when  Carbolic  Acid,  Lysol,  Bichloride  of  Mercury  c 
other  antiseptics  are  used.  That  some  of  the  antiseptic 
cauterize  the  parts,  others  suppurate,  and  in,  all  cases  heai 
ing  by  first  intention  is  delayed  by  their  use.  That  th 
blood  is  the  most  powerful  bactericide.  That  when  werais 
the  vital  resistance  of  our  patients  we  have  raised  th 
bacteriolytic  power  of  the  blood  also.  That  vaginal  ant 
septic  douches  in  normal  labor  are  injurious.  That  Quinir 
and  Aspirin  are  poor  antipyretics;  that  the  coal  tar  antip: 
retics  are  dangerous  to  use.  That  the  alkaloidal  medicatio 
is  another  form  of  polypharmacy.  Take,  for  instance,  th 
prescription  for  pharyngitis  as  an  example  by  an  authoril 
upon  alkaloidal  medication:  **Calomeland  Podyphyllin  ha 
hourly  for  six  doses  with  Aconitine  and  Atropine  one  of  eac 
every  half  to  one  hour;  one  granule  of  Potass  bichromai 
added  to  the  above  with  advantage.  Nuclein  one  tabl 
every  one  or  two  hours,  with  Calcidin  is  very  helpful.  Me 
cury  biniodide  should  be  added  if  glands  are  involved."  Th 
for  acute  cases.  For  the  chronic  form  the  same  authoril 
recommends  bichromate  of  potassa  two,  and  Strychnii 
arsenate  one  granule,  every  two  hours.  Nuclein  solutic 
gtts.  X — XV  every  two  hours.  Calcidin  as  alterative  t 
some  days,  Saline  laxative,  Hydrastine,  Macrotin,  Hamam 
lin  '^Intestinal  Antiseptics'' to  effect.  What  a  chaos!  Wh( 
.  you  are  through  with  the  case,  can  you  tell  which  oft! 
medicines  acted  curatively?  I  really  think  that  I  wou 
prefer  to  take  the  nauseating  but  simple  infusions  and  d 
coctions  of  the  ancient  Greek  physicians  and  receive  in  h 
tabernae  as  good  measure  his  mysterious  incantations.  Th( 
are  at  least  not  concentrated  poisons.  **When  we  know  oi 
enemies,  we  can  fight  them  intelligently.''  What  a  deligh 
ful  Baconian  phrase  to  a  lover  of  sound  reasoning!    But  it 


POST  TENBBRAS  LUX. 


263 


iding  in  medicine.  It  has  caused  to  make  diagnosis 
iol.  Perhaps  there  is  no  question  which  is  capable  of 
ng  such  diverse  opinions  and  engendering  such  bitter 
)ns  as  that  of  diagnosis.  The  difference  in  politics  and 
on  fade  into  nothingness  by  comparison.  The  larger 
aiversity  the  more  pompous  magisterial  the  teacher, 
times  have  I  been  taken  in  by  the  impressive  manners 
Qe  of  the  lecturers  and  thought  he  has  it  all.  A  mis- 
n  the  diagnosis  is  impossible;  when  de  facto  at  post 
m  I  reached  a  different  absolute  diagnosis.  Diagnosis 
'ails  to  stand  the  test. 

iter  Jenner,  Lister,  Tyndall,  Pasteur,  Neisser,  Koch, 
ng,  who  will  light  the  torch  next?  Have  we  not  over- 
i  already  an  important  discovery  in  medicine?  We 
that  the  discovery  of  vaccination  was  a  curse  instead 
lessing;  that  antisepsis  when  strong  enough  to  act  as 
ericide  destroys  the  bacterialytic  power  of  the  blood; 
foch's  tuberculin  failed  to  cure  tuberculosis;  that  anti- 
5  are  unreliable;  that  the  physiologic  action  of  medi- 
is  to  suppress  disease  and  the  patients  recover  but 
)t  cured  by  them.  We  all  have  seen  that  the  sequalae 
inine  is  tinnitus  aurium;  that  of  Aspirin  is  heart  lesions; 
b  is  criminal  for  instance  to  suppress  a  case  of  gonor- 
3y  injection,  that  this  produces  metastasis.  According 
jisser  only  about  15  per  cent  of  gonorrhea  cases  are 
cured,  and  Ricord  corroborates  his  statement.  They 
nly  had  experience  with  topical  applications,  but  they 
b  know  that  gonorrhea  is  not  a  local  disease.  That  all 
of  gonorrhea  can  be  cured  without  sequelae  by  consti- 
lal  dynamic  medicines. 

1  search  for  new  remedies  because  the  old  ones  have 
disappointing,  enterprising  manufacturing  chemists 
taken  up  the  serum  idea.  Almost  every  six  months 
!ar  of  the  extension  of  the  serum  idea  into  new  fields. 
5  have  now  Behring's  diphtheria  antitoxin,  streptococ- 
ititoxin,  syphilis  antitoxin,  Fraser's  antivaccine,  ty- 
antitoxin,  Beitere's  vaccinia  antitoxin,  and  so  on  ad 
am.  These  are  all  very  well-known,  as  the  manufactur- 


I 


m 


264  THE  MEDICAL  ADVANCE. 


ing  firms  are  interested;  that  the  medical  profession  and  th( 
lay  press  are  well  supplied  with  literature  upon  the  subject 
And  now  comes  the  latest  from  Dr.  Ren6e  Quinton,  the  as 
sistant  du  Laboratoire  de  Physiologic-patrologique  dei 
Hautes-Etudes  an  College  de  Prance.  As  this  is  almost  un 
known  in  the  United  States  I  will  give  a  short  resume  o: 
same.  Dr.  Quinton  in  his  **L'can  de  mer  milien  organigue' 
which  he  has  dedicated  to  the  celebrated  Professor  Marej 
of  the  college  of  France,  gives  a  philosophical  reason  fo: 
his  normal  serum  or  Isotonic  sea  water  treatment.  In  Parb 
a  number  of  hospitals  have  adopted  this  form  of  treatment 
and  it  is  claimed  by  some  that  it  will  shortly  supercede  al 
other  forms  of  medications.  Well,  we  have  seen  the  claims 
of  the  Hydropaths,  the  Hypnotists,  etc.  As  an  exclusive 
form  of  therapy  let  us  see  what  reasons  Dr.  Quinton  givei 
for  his  system.  Having  in  mind  the  thought  that  in  th( 
most  elementary  form  life  has  sprung  up  from  sea  water 
which  is  the  life  element  of  the  simplest  forms  of  anima 
and  vegetable  beings  and  the  perfect  success  with  norma 
salt  solution  in  acute  anemias  or  where  great  loss  of  bloo( 
was  sustained;  he  bled  dogs  until  almost  the  last  drop  wa 
gone',  measuring  the  quantity  of  the  lost  blood;  he  thei 
hypodermically  injected  the  same  amount  of  seasalt  serum 
The  result  was  a  perfect  success.  The  dying  animal  wai 
not  only  restored  to  life  again,  but  in  a  few  days  entirely  re 
covered  from  the  loss  of  blood  and  was  even  more  vigoroui 
than  before.  He  then  to  distinguish  from  the  normal  sal 
i  solution,  named  his  normal  serum.     The  method  of  prepara 

tion  is  as  follows: 

Take  sea  water  several  miles  from  the  coast  line,  steri 
lize  andjreduce  with  distilled  water  to  the  condition  of  th( 
blood,  lymph,  etc.     It  will  then  keep  for  three  weeks. 

Modus  operandi:  After  the  parts  have  been  asepticise< 
inject  subutaneously  25-100  grams  every  other  day.  Po 
children  in  proportion. 

Dr.  Quinton  has  found  that  the  normal  serum  will  in 
crease  in   metabolism.      In    phthisis,     malaria,     gastritis 


POST  TENEBRAS  LUX. 


265 


ritis,  icterus,  insomnia,  etc.,  appetite  improves  and  there 
rapid  increase  in  weight. 

In  skin  diseases  it  has  a  marked  result  and  the  cos- 
que  effect  in  all  diseases  improves.  In  marasmus  and 
ma  of  children  injections  are  Riven  daily.  Dr.  Quinton 
js  that  more  than  one-third  of  the  children  perishing  in 
epsia  could  be  saved.  When  we  compare  this  aqua 
na  serum  with  the  antitoxins,  their  wide  applicability, 
'  cheapness,  must  we  not  ask  the  question  whether  the 
jlixir  of  Bombastus  Paracelsus  had  been  found? 
Many  other  empirical  methods  have  been  tried,  praised 
then  dropped  into  oblivion  as  soon  as  the  secondary 
t  was  discovered. 

Save  we  then  no  better  way  to  discover  the  action  of 
idies  than  by  bleeding  dogs?  Are  we  then  still  groping 
e  dark?  Are  we  still  leaning  upon  the  knowledge  of 
mcient  Egyptians?  who  learned  from  dogs  the  use  of 
bives  and  from  the  hippopotamus  the  art  of  bleeding, 
rhe  ancient  Greeks  made  ^sculapius  the  God  of  medical 
bhe  twentieth  century  makes  diagnosis  the  God.  Both 
es  are  unreliable.  The  most  painstaking  methods  are 
ioyed  to  make  a  careful  diagnosis.  But  as  no  two 
;  are  alike,  so  no  two  cases  of  diseases  will  be  the  same, 
not  folly  then  to  label  them  as  being  the  same  and  pre- 
>€  for  diseases  instead  of  individualizing  and  prescribing 
he  patient. 

Vesalius,  the  father  of  Anatomy,  and  Hahneniann,  the 
?r  of  scientific  medicine,  are  the  two  great  lights,  the 
g^reat  martyrs  in  medicine.  Vesalius  laid  the  foundation 
rgery  and  Hahnemann  rerjium  donum  (royal  gift)  to  man- 
,  in  the  Organon,  points  cut  the  way  that  internal 
cation  can  be  made  as  positive  as  surgery. 
N^ot  Alexander  the  Great,  Caesar  and  Napoleon,  but 
tlius  and  Hahnemann  are  the  real  heroes  of  civilization; 
je  work  is  elevating,  developing  and  advancing  human- 
rhile  increasing  the  happiness  of  the  race. 
[n  the  dominant  school  very  little  thought  is  given  to 
ipeutics;   diagnosis  is  the  main  desideratum.     On  the 


266 


THE  MEDICAL  ADVANCE. 


other  hand  all  a  patient  is  interested  in  is  to  get  well;  that 
13  why  he  seeks  medical  aid.  Hahnemann  like  a  prophet 
that  he  was  saw  in  which  direction  medicine  was  drifting, 
therefore  in  the  Organon  he  put  as  one  of  the  axioms:  '*Th€ 
physician's^  high  and  only  mission  is  to  heal  the  sick— to 
cure  as  it  is  termed." 

The  practice  of  medicine  according  to  old  school  methods 
la  easy.  Make  a  diagnosis  firsts  find  out  what  a  patient 
wants  and  please  him.  If  he  has  a  skin  trouble,  drive  it  in- 
to his  system  with  ointments.  If  he  has  gonorrhea,  sup 
t^ress  it  by  injections.  Make  him  comfortable.  Plaster  th€ 
signs  of  the  disease  from  the  surface.  No  worry.  He  will 
be  back  soon  with  a  number  of  other  troubles,  then  you  car 
^ive  him  a  tonic.  When  a  patient  has  fever  use  "antipy 
luetics."  If  he  has  convulsions  '* Antispasmodics."  If  h( 
has  a  cough  **Pulmonary  sedatives.''  If  his  mouth  is  dry 
use  **Sialagogues."  If  his  mouth  is  too  wet,  paralyze  it  wit! 
'^antisialics."  If  his  heart  beats  slowly,  give  **Cardia( 
stimulants."  If  his  heart  gets  excited  "Cardiac  sedatives.' 
If  he  feels  like  vomiting,  use  * 'Antiemetics."  If  his  stomacl 
is  out  of  order,  '^Carminatives,"  and  so  on  ad  libitum.  Ii 
one  word,  if  your  patient  is  warm,  cool  him;  if  he  is  cool 
warm  him;  if  he  is  wet,  dry  him,  and  if  he  is  dry,  wet  hira 
And  there  you  have  your  much  boasted  "Rational  Thera 
pen  tics." 

Prom  the  palliative  measures  used  by  the  dominan 
school  Hahnemann  nicknamed  them  "Allopaths,"  that pract 
ice  by  contraria  contrariis  curantur. 

Because  therapeutics  have  been  neglected  we  have  th 
surgical  fad.  By  cutting  away  an  organ  that  is  diseases 
we  only  take  the  ashes  away;  the  fire  is  still  burning  and  i 
will  produce  ashes  again.  When  we  give  a  dynamic  remedy 
well  selected,  not  only  will  the  ashes  be  eliminated  througl 
the  natutal  excretory  organs  of  the  body,  but  the  fire  whic 
produced  the  ashes  is  put  out  also,  and  the  patient  is  cured 
By  the  antipathic  treatment  patients  recover  of  a  disease  i: 
spite  of  the  treatment,  if  they  recover. 

Mark  Twain,  speaking  of  his  childhood  days,   said: 


THE  HAHNEMANN  ROtJND  TABLE. 


267 


WSL8  a  sickly  and  precarious  and  tiresome  and  uncertain  cbild,  and 
mainly  on  allopathic  medicines  during  the  first  seven  years  of  my 
Only  the  largest  persons  could  hold  a  whole  dose.  Castor  oil  was 
rincipal  beverage.  The  dose  was  a  tablespoonful  with  half  a  dip- 
of  New  Orleans'  molosses  added  to  help  it  down,  and  make  it  taste 
which  it  never  did.  The  next  standby  was  calomel;  the  next  jalap 
le  next  rhubarb.  Then  they  bled  the  patient,  and  put  mustard 
rs  on  him.  It  was  a  dreadful  system.  The  calomel  was  nearly 
^  salivate  the  patient,  and  cost  him  some  of  his  teeth, 
were  no  dentists.  Wh6n  teeth  became  touched  with  decay  or 
)therwise  ailing,  the  doctor  knew  of  but  one  thing  to  do;  he  fetched 
ags  and  dragged  them  out.     If  the  jaw   remained,  it  wasn't  hiii 

low  many  of  us  have  a  similar  recollection!  Had  he  had 
Qeopath  as  a  family  physician  there  would  have  been 
itter,  disagreeable  and  nauseating  drugs;  but  a  pleasant 
mbrance  of  sicknesses  of  short  duration  and  the  eager- 
net  to  miss  a  dose  of  the  pleasant  medicines, 
lahnemann  says:  ** When  we  have  to  do  with  an  art 
e  nature  is  the  saving  of  human  life,  any  neglect  to 
5  oui'selves  masters  of  it  becomes  a  crime." 
ie  tore  down  the  narrow  idea,  that  only  massive  doses 
ude  drugs  are  effective.  His  reformation  compelled  the 
nant  school  to  abandon  venesection  and  massive  doses, 
emonstrated  the  fact  and  it  is  daily  verified  by  hundreds 
nscientious  physicians  the  world  over;  that  the  curative 
T  of  medicines  is  developed  by  potentization;  that  the 
er  way  to  discover  the  action  of  medicines  is  to  prove 
st  them  on  healthy  persons,  and  that  our  guiding  star  is 
aw  similia  similibus  curantur. 


E  HAHT«EHANN  KOUND  TABLE:  PHILADELPHIA. 

rhe  regular  monthly  meeting  was  held  on  the  evening 
larch  28th,  1908.  A  paper  on  **Dynamics,"  by  Dr. 
ge  M.  Cooper  was  read  by  the  secretary.  Dr.  Frede- 
b  E.  Gladwin  presented  a  brief  review  of  Conium  before 
ducing  a  patient  having  cancer  of  the  right  breast  who 
been  under  treatment  for  six  month, 
rhe  history  of  the  case  was  most  interesting.  Two 
bhs  after  the  sudden  death  of  a  dearly   beloved  sister 


268 


THE  MEDICAL  ADVANCE. 


she  awakened  one  morning  to  find  her  hair  scattered  about 
her  pillow  and  on  looking  in  the  glass  discovered  that  she 
was  absolutely  bald — every  vestige  of  hair  all  over  the  body, 
eye  brows,  eye  lids,  axilla,  etc.,  having  come  out.  Massage 
and  electricity  being  resorted  to  the  hair  gradually  gre^ 
again,  but  it  came  in  absolutely  white  which  finally  turned 
brown.  Under  the  action  of  Conium  the  breast  was  soften 
ing;  the  nipple  which  had  been  retracted  was  forcing  itseli 
outward,  and  the  pains  which  had  been  intense  had  abso 
lutely  disappeared.  The  prognosis  was  considered  grave 
by  those  present,  but  the  action  of  the  remedy  thus  far  was 
an  additional  illustration  confirming  the  Jaw  of  similars. 

Dr.  Margaret  E.  Burgess  reported  the  two  following 
cases — the  first  as  a  demonstration  of  repertory  work. 

Mrs.  E.  T.  W.  Age  46.  After  having  domestic  frictior 
presented  the  following  symptoms,  which  had  been  of  sev 
eral  weeks'  duration: 

Awakens  gasping,  with  choking  feelings,  also  gasping 
on  going  to  sleep  and  on  first  lying  down. 

Breathless  on  going  down  stairs. 

Weeping  and  hysterical.     Sighing. 

Very  sensitive  to  all  impressions;  frightened  easily 
jumps  at  sudden  noises. 

Restless;  must  move  feet  all  the  time. 

Sleepless;  because  as  soon  as  she  falls  asleep  is  awakene<3 
with  gasping  for  breath. 

Blue  around  mouth  during  the  * 'heaves"  as  she  calls 
them.     The  repertory  work  was  as  follows: 

Sensitive;  over  sensitive — Aeon.,  Am..  Ars..,  Asar.,  Arn., 
Bell.,  Bor.,  Bov.,  Calc,  Canth.,  Caust.,  Cham.,  Chin.,  Cina, 
Cocc,  Coff.,  Crot.  h.,  Gels.,  Hyos.,  Ign.,  lod..  Kali  c, 
Lach.,  Lye,  Merc,  Nat.  m.,  Nat.  s..  Nit.  ac,  Nux.,  Phos., 
Phy.,  Plb.,  Puis.,  Seneg.,  Sep.,  Sil.,  Staph.,  SuL,  Tar., 
Valer.,  Zinc. 

Starting  at  noises — Ars.,  Bor.,  Calc,  Cocc,  Kali  c, 
Lach.,  Lye,  Nat.  c,  Nat.  m..  Nit.  ac,  Sil. 

Frightened  easily — Aeon.,  Am,,  Bell,,  Ars.,  Bor,^  Calc. 


i 


THE  HAHNEMANN  ROUND  TABLE. 


269 


ist.,  Cham.,  Ign.,  Kali  c,  Lach.,  Lye,  Nat.  m..  Nit.  ac. 
X,  Phos.,  Sep.,  Sil.,  Sul. 

Sighing — Aeon.,  Bor,,  Calc,  Cham.,  Ign.,  Lach.,  Lye, 
[)s.,  Sil. 

Durmg  sleep  < — Aeon.,  Am.,  Ars,,  Bell.,  Bor.,  Cham., 
.,  Kali  c,  Lach.,  Lye.,  Nat.  m.,  Phos.,    Sep.,    SIL,  Sul., 


Descending  <  (as  on  going  down  stairs;  on  lying  down) 
iCon.,  Bell.,  Bar.  Lye.,  Sul. 

Breathing  difficult,  waking  one  from  sleep — Am.,  Bell., 
c,  Kali  c.,  Lach. 

Breathing,  gasping — Aeon.,  Ars.,  Lye.,  Phos. 
Feet  restless — Ars.,  Nat.  m.,  SuL,Zinc. 
The  result — Aeon.,  Sul.,  Ars.,  Nat.  m.,  Kali  c.   Lach., 
5.,  Borax, 

Because  of  the  absence  of  digestive  symptoms  and  *  the 
minence  of  the  peculiar  symptom  or  gasping  for  breath 
?oing  down  stairs,  Borax  was  given  and  to  use  the  pa- 
t's own  words,  **acted  like  magic."  One  month  later  for 
icurrence  Borax  was  repeated,  which  cured  without  a 
irn. 

Mrs.  M.  A.  D.     Age  72.     Washington,  Author. 

April,  1898.  By  mail.  Sensation  as  of  want  of  action 
tomach  and  an  obstinate  constipation.  Head  feels  as  in 
sickness — not  exactly  dizzy  but  uncertain;  can  neither 
k  nor  write  straight  during  spells  of  indigestion. 

Stomach  feels  shut  up.  Some  eructation.  During  in- 
6stion,  palpitation,  hard  pulsation,  not  more  rapid,  with 
ebbing  in  head  at  those  times. 

Attacks  of  indigestion  every  three  or  four  weeks;  cake 
i  pastry  disagree. 

Constipation;  will  go  three  or  four  days  without  stool; 
inclination. 

At  beginning  of  attack  of  indigestion,  bowels  apt  to  be 
se  and  urine  more  profuse. 

Chilliness,  slight;  feet  wai;m;  hands  cold;  rarely  per- 
^6s  except  from  excitement. 


270 


THE  MEDICAL,  ADVANCE. 


m^' 


Some  catarrhal  symptoms;  expectoration  and  coughing. 
Hydrastis  200. 

May  18.  Bowels  moved  regularly  first  day  after  taking 
medicine.  ''Never  had  such  free  movement."  Has  been 
doing  a  great  deal  of  literary  work  and  has  had  no  head 
trouble.  The  complexion  was  sallow,  now  much  clearer. 
During  last  week,  however,  has  been  getting  a  little  worse. 
Hydrastis  Im. 

July  31st.  Well  and  strong  until  last  week,  then  a  bad 
attack  of  indigestion.  Weak  and  prostrated.  Sensation  of 
tightness  in  stomach  which  nothing  >.  Sensation  of  a  big 
bunch  of  worms  in  stomach.     Hydrastis  Im. 

Later — "I  can't  tell  you  how  thankful  I  am  that  my  bad 
symptoms  are  disappearing  fast.  Everybody  sees  the 
change  in  me."    Bowels  regular. 

June,  1902.  Has  been  perfectly  well,  now  a  recurrence. 
Hydrastis  cm. 

Has  been  perfectly  well;  has  become  an  enthusiast  in 
Christian  Science  that  has  kept  her  so  well;  in  fact  has 
written  a  book  which  brings  the  subject  in  prominently  to 
the  delight  of  the  advocates. 

Oct.  21,  1907.  I  received  a  letter  from  Mrs.  D.  asking 
for  assistance  for  a  return  of  the  old  trouble  with  which  she 
had  been  battling  for  a  number  of  weeks.     Hydrastis  200. 

A  report  indirectly  three  months  later  to  the  effect  that 
she  was  perfectly  well. 


Uterine  fibroids  may  be  differentiated  from  disease  of 
the  tubes  or  ovaries  by  noting  whether  or  not  the  cervix 
moves  in  the  opposite  direction  when  the  tumor  is  pushed 
from  side  to  side. — American  Jouimal  of  Surgery. 


'he  Medical  Advance 

A  Monthly  Journal  of  Hahnemannian  Homeopathy 
A  Study  of  Methods  and  Results. 


a  we  have  to  do  with  an  art  whose  end  is  the  saving  of  human  life  any  neglect 
M)  make  onrselves  thorough  masters  of  it  becomes  a  crime,— Hahnemann, 


ascription  Price     - 


Two  Dollars  a  Year 


We  believe  that  Homeopathy,  well  understood  and  faithfully  practiced,  has 

r  to  save  more    lives  and  relieve  more  pain  than  any  other  method  of  treat- 

;ever  invented  or  discovered  by  man;  but  to  be  a  first-class  homeopathic  pre- 

er  requires  careful  study  of  both  patient  and  remedy.    Yet  by  patient  care  it 

M  made  a  little  plainer  and  easier  than  It  now  is.    To  explain  and  define  and 

1  practical  ways  simplify  it  is  cur  chosen  ^ork.      In  this  good  work  we  ask 

help. 

To  accommodate  both  readers  and  publisher  this  journal  will  be  sent  unti 

irsare  paid  and  it  is  ordered  discontinued. 

Communications  regarding  Subscrlptons  and  Advertisements  may  be  sent  to 

Qblisher,  The  Forrest  Press.  Batavia,  Illinois. 

Contributions.  Exchanges,  Books  for  Review,  and  all  other  communications 

id  be  addressed  to  the  fiditor,  6142  Washington  Avenue,  Chicago. 


APRIL,    1908. 


BbltodaU 


THE  OPSONIC  INDEX. 

There  is  a  tendency  in  human  nature  to  exaggerate  the 
le  of  a  new  discovery  and  to  attribute  an  importance  to 
7hich  in  all  fairness  it  does  not  possess.  One  of  the 
J  new  things  in  which  this  tendency  is  visible  is  the  op- 
:c  index.  It  has  been  called  the  most  important  event  in 
iicine  since  Koch  discovered  the  tubercle  bacillus.  It 
also  been  said  that  it  is  a  discovery  that  will  revolution- 
the  whole  system  of  medicine.  Much  is  said  of  its 
it  value  in  medical  journals,  and  that  literary  quack  and 
mteback,  Bernard  Shaw,  has  made  it  the  central  feature 
ne  of  those  poor  but  strangely  popular  performances 
ch  he  is  pleased  to  call  his  novels. 

Now  what  is  the  opsonic  index?  It  is  simply  a  methoTi 
leasuring  the  resistant  power  of  the  blood  against  mor- 


272 


THE  MEDICAL  ADVANCE. 


bific  invasion.  It  is  nothing  new  that  the  power  to  resist 
disease  is  different  in  different  individuals.  It  is  well  known 
that  certain  individuals  are  insusceptible  to  small  pox,  no 
matter  how  great  the  exposure;  that  certain  other  individu- 
als are  immune  to  measles,  others  to  gonorrhea  and  so  on 
through  the  list.  In  showing  this  the  opsonic  index  shows 
nothing  new.  Moreover  it  is  no  new  thing  that  the  resist- 
ant power  of  an  individual  varies  at  times;  is  stronger  at 
one  time  of  day  than  another,  at  one  time  of  year  than  an- 
other. One's  resistant  power  varies  with  the  state  of  di- 
gestion, with  the  quality  ol  the  blood  and  the  rapidity  of  the 
circulation,  under  the  action  of  a  homeopathically  indicated 
remedy,  with  the  intensity  and  character  of  the  emotions. 
The  opsonic  index  may  show  all  this  and  if  it  does  it  is  in- 
teresting, but  it  is  not  new  and  it  is  not  so  very  important. 
One  does  not  have  to  make  a  tedious  blood  count  to  find  out 
whether  Ferrum  met.  or  Natrum  mur.  is  benefitting  a  patient 
or  not.  If  he  has  eyes  can  he  not  see  it  in  the  returning 
color  in  the  cheek,  the  brighter  eye,  the  freshened  look  of 
the  face? 

If  the  doctor  has  judgment  and  a  trained  mind,  c^n  he 
not  tell  that  a  patient  is  getting  better  or  worse  by  the  char- 
acter and  sequence  of  symptoms,  and  thereby  estimate  the 
resistant  power  of  the  blood  without  resorting  to  an  exami- 
nation to  ascertain  the  opsonic  index.  If  he  cannot,  he  had 
better  get  into  some  other  business  than  treating  sick 
people. 

We  have  no  quarrel  with  microscopic  examinations,  op- 
sonic, indices,  chemical  analysis  and  instruments  of  precision 
in  medicine,  but  we  desire  to  maintain  that  the  importance 
and  practical  value  of  these  aids  should  not  be  exaggerated. 
"Who  ever  depends  upon  the  diminished  quantity  or  absence 
of  chlorides  in  the  urine  to  make  a  diagnosis  of  pneumonia? 
Who  cannot  see  in  the  face  and  eye  and  observe  by  the 
signs  in  the  chest  which  way  a  pneumonia  patient  is  going, 
and  see  it  so  plainly  that  the  quantity  of  chlorides  in  the 
urine  could  add  nothing  to  it. 

The  physician  above  all  men  should  be  expert  at  read 


OPSONIC  INDEX. 


273 


g  the  human  face,  and  possess  full  knowledge  of  the 
eaning  of  both  objective  and  subjective  symptoms,  elicited 
J  interrogations  and  physical  examination,  with  the  unaid- 
1  or  slightly  aided  senses.  Next  would  come  the  special 
aining  with  instruments  of  more  elaborate  construction 
an  the  stethoscope,and  finally  the  aids  derived  from  chem- 
bry  and  microscopy. 

The  so-called  advanced  medicine  or  modern  medicine 
5  done  much  towards  tracing  out  the  causes  of  diseases 
id  toward  preventing  their  spread  and  occurrence,  but  its 
rative  work  has  been  very  small  and  we  should  not  exalt 
out  of  its  proper  place  or  give  exaggerated  value  to  its 
suits. 

J.  B.  S.  K. 


[E  DIFFERENCE  BETWEEN  BELIEF  AND  PRACTICE 

It  is  a  very  common  thing  to  hear  a  homeopathic  col- 
tgue  remark,  **I  firmly  believe  in  Homeopathy."  But, 
3tor,  what  do  you  practice?  Of  what  benefit  to  your  pa- 
nt is  your  belief  in  Homeopathy?  Belief  will  not  help 
ect  the  remedy,  and  faith  in  the  law  of  similars,  while 
a  practice  everything  but  Homeopathy,  will  neither  cure 
ur patient  nor  advance  your  cause. 

Because  therapeutic  nihilism  is  rampant  in  other  schools 
medicine,  because  they  have  no  law  or  guide  in  thera- 
atics,  is  no  reason  why  the  homeopath  should  abandon 
i  principles  and  his  school  and  become  a  nihilist,  while 
)fessing  to  carry  the  banner  of  similia  in  his  daily  work. 

The  law  of  similars  is  just  as  universal  as  that  of  chem- 
1  aflBnity  or  of  gravitation,  but  it  will  not  work  alone.  It 
St  be  scientifically  and  accurately  applied. 

To  profess  to  be  a  homeopath  and  then  not  practice 
meopathy  according  to  the  law  is  a  fraud  on  the  public 
1  a  disgrace  on  the  part  of  the  doctor,  as  well  as. a  serious 
ury  to  the  cause  he  professes  to  maintain. 

The  pioneers  of  Homeopathy  established  it  on  a  pretty 
id  foundation  and  for  many,  many  years  the  veriest  tyro 
J  been  able  to  go  out  and  build  up   a   successful  practice 


f-..^2  .1-11 


274 


THE  MEDICALi  ADVANCE. 


under  the  name  of  Homeopathy.  But  the  average  homeo- 
pathic practitioner  has  seemed  just  enough  ashamed  of  his 
profession  to  maintain  silence  about  Homeopathy  when 
ever  possible.  He  has  advocated  everything  but  pure  Hom- 
eopathy. He  claims  to  be  liberal,  until  now  someone  must 
take  up  the  burden  as  did  the  pioneer,  and  re-establish  the 
school  in  many  places.  There  is  practically  so  little  differ- 
ence between  the  practice  of  some  homeopaths  and  their  al- 
lopathic colleagues  that  the  public  are  unable  to  decide 
which  is  the  homeopath.  Empiricism,  the  ipse  dixit  of  a 
successful  colleague,  appears  to  be  the  guide  instead  of  si- 
milia  similibus  curantur. 

The  older  members  of  the  profession  remember  the  gal- 
lant battle  fought  by  many  a  pioneer  and  speak  of  it  with 
pride.  Drs.  Pulte  and  Ehrman,  in  Cincinnati;  Dr.  O.  P. 
Baer,  in  Richmond,  Ind.;  Dr.  John  Ellis,  in  Detroit;  Dr. 
John  Hall,  in  Toronto;  Drs.  Williams,  Beckwith  and  Wheel- 
er, in  Cleveland;  Dr.  D.  S.  Smith,  in  Chicago,  and  so  we 
might  fill  a  page  with  the  gallant  work  of  these  able  men  ir 
their  respective  fields,  the  benefit  of  whose  labor  many  oi 
us  are  now  reaping. 

They  hired  halls  and  gave  public  lectures.  Used  the 
columns  of  the  local  papers,  even  paid  for  the  same  at  ad- 
vertising^rates  and  fought  the  battle  single  handed  until 
Homeopathy  was  thoroughly  known  in  their  localities.  But 
they  practiced  Homeopathy,  not  empiricism,  and  that  will 
make  a  rei^utation  anywhere  in  the  world  for  the  cause. 

In  Great  Britain,  and  in  many  places  in  America,  ap- 
peals are  constantly  being  made  to  the  other  school  to  in- 
vestigate Homeopathy.  Successful  cures  are  reported. 
Logic  and*argument  are  freely  used.  Propositions  stated 
that  are  practically  unanswerable,  and  many,  many  of  our 
allopathic  colleagues  believe  in  Homeopathy  as  a  law  oi 
cure,  but  they  never  put  it  to  the  test  at  the  bedside.  It  is 
the  rarest  occurrence  when  an  allopathic  physician  is  con- 
verted to  Homeopathy  by  logic  or  argument.  Like  **the 
tiery  Mure"  or  the  indefatigable  Skinner,  they  become  con- 
verts very  often  when  they  themselves  have  been  cured  oi 


REPETITION  OP  THE  DOSE. 


275 


le  so  called  incurable  disease;  some  disease  in  which  the 
rapeutics  of  their  own  school  was  impotent. 
Thousands  of  cases  have  been  cured  by  homeopathic 
sicians  after  patients  have  been  abandoned  as  incurable, 
the  f ozrmer  attending  physician  has  not  been  converted 
Ms  attention  been  called  to  it,  except  to  say  **I  must 
;  made  a  mistake  in  diagnosis." 

The  field  is  larger  today  than  it  was  fifty  years  ago. 
re  are  many  more  people  sick  and  many  more  to  be 
id,  and  it  is  the  fault  of  no  one  but  the  homeopath  that 
field  is  not  occupied.  The  people  are  anxious  and  will- 
to  learn.  The  seed  has  been  sown,  the  harvest  is  ripe, 
the  reapers  are  few.  What  are  you  doing,  doctor,  for 
rself ,  your  cause  or  for  humanity? 

As  a  school  we  are  not  true  to .  the  principles  of  the 
^r-  We  do  not  practice  what  we  preach.  Like  the 
bting  Thomas,  so  many  of  us  will  not  believe  until  we 
put  our  finger  in  the  wounded  side.  There  must  be 
mething  rotten  in  Denmark." 

Watchman  tell  us  of  the  night. 
What  the  signs  of  promise  are. 


THE  REPETITION  OF  THE  DOSE, 

Editors  Medical  Advance:— In  the  Medical  Advance, 
^^- 1906,  is  a  report  of  an  X  Ray  case,  by  the  late  Dr. 
riihard  Fincke,  and  the  resulting  discussion: 

I  knew  of  this  case  and  saw  the  horny  product  in  the 
le  of  the  late  Dr.  Fincke,  a  man  whom  I  loved  and  ad- 
3d  despite  the  fact  that  we  never  agreed  on  the  repetition 
?e  dose.  I  argued  your  side,  which  also  was  the  practice 
ippe.  Bayard,  Wells,  James,  and  many  others,  of  giving 
dose  and  waiting;  while  the  doctor  believed  in  frequent 
tition  of  even  the  highest  potencies,  an  illustration  of 
sh  is  given  in  this  X  Ray  case.  Now,  do  you  know  or 
j'you  heard  the  finality  of  the  X  Ray  patient?  Well,  on 
'- 13,  '04,  while  visiting  the  doctor  at  his  home,  on  in- 
ing,  he  told  me  that  the  X  Ray  patient  had  since  died  of 
^r  of  the  stomach. 


276 


THE   MEDICAL  ADVANCE. 


Comments: — More  earnest  discussion  for  and  against : 
quent  repetition.  I  contended,  then,  that  ninety  X  ] 
powders,  ranging  from  45m  to  2cm  transferred  the  mi 
skull  lesion  to  the  vital  organ,  the  stomach,  with  fatal  resu 

Your  students,  at  Hering  Medical  College,  must  h 
the  single  dose,  esi>ecially  in  chronic  cases,  brought  hom< 
them  in  some  striking  manner.  They  should  never  fai 
remember  to  give  one  dose  of  a  high  potency,  in  chK 
diseases,  and  wait. 

Fraternally, 
Wm.  H.  Kaercher,  ^Philadelphia. 

[Nothing  more  practical  has  ever  been  given  on  the 
petition  of  the  dose  than  the  experience  of  Hahnem 
Organon  §  245: 

Both  in  acute  and  chronic  diseases,  every  perceptible  improvei 
that  takes  place  making-  continual  progress,  though  of  ever  so  feel 
nature,  is  a  state  which,  as  long  as  it  lasts,  firmly  forbids  the  repeti 
of  any  medic iae  what  ever,  because  the  one  already  taken  by  the  pal 
has  not  yet  produced  all  the  good  that  may  result  from  it.  Every  f 
dose  of  remedy  even  of  the  one  last  administered,  and  which  had  tilli 
proved  curative,  would  have  no  effect  but  of  disturbing  the  operatic 
the  cure. 

Those  who  have  not  adopted  Ha];inemann's  method  h 
failed  to  grasp  the  great  practical  value  of  his  observati 
and  have  failed  to  cure  many  cases  even  when  they  had 
lected  the  similimum.  This  is  the  essence  of  practical  H 
eopathy.     Ed.] 


NEWS  FROM  THE  INTERIOR. 

A  Scientific  Bacillus  once  met  a  wandering  microbe 
the  splenic  flexure  of  the  colon. 

** Whither  away,  my  friend,"  quoth  he. 

**I  am  trying  to  discover  a  Northwest  passage  to 
stomach,"  answered  the  microbe,  **where  I  hear  there 
great  store  of  good  things." 

'*You  had  better  avoid  that  region,  my  unlear 
friend;  the  organism  appertaining  to  us  is  undergoing  tr< 
ment  and  large  doses  of  pernicious  drugs  are  being  pou 
into  the  stomach,  which  it  is  dangerous  for  us  to  come  i 


.d 


A  FABL.E. 


277 


intact  with.  Hare  you  are  comparatively  safe,  and 
esire,  I  shall  be  pleased  to  conduct  you  to  the  flour- 
»lony  of  Microburg,  pleasantly  situated  in  a  recess 
escending  colon,  where  you  can  find  comfortable 
3  at  a  hotel/'  So  saying,  the  courteous  old  bacillus 
ed  his  new  found  friend  southward,  discoursing  on 
most  charmingly  upon  the  late  discoveries  of  Sci- 
d  their  probable  effect  upon  the  microbian  world, 
fety  depends  upon  the  fact  that  we  are  a  little 
than  the  organism  upon  which  we  live.  Just  notice 
helium  around  us;  how  livid  its  color;  how  dry  and 
ly  its  surface;  this  unnatural  condition  is  owing  en- 
the  strong  doses  of  those  gizzard-fretting,  cell-irri- 
ermicides  which  the  doctors  are  pouring  into  this 
;he  vain  hope  of  destroying  us,  as  the  cause  of  his 

His  system  is  being  racked,  but  we  are  quite  com- 
,  I  believe,"  said  the  bacillus  smilingly  eyeing  his 
r. 

quite  so,  I  assure  you,"  acquiesced  the  microbe 
.  me  tell  you  Something;  unless  you  want  a  severe 
sibly  fatal  jolt  to  your  system,  keep  away  from  any- 
der  treatment  by  one  of  those  doctors  who  carry  a 
cket  case  of  medicine  in  the  form  of  minute  pills. 
!  Very  often  one  dose  of  those  horribly  powerful 
1  destroy  a  whole  vast  colony  of  microbes,  without 
to  injure  in   the  least  the  organism  which   is  its 

Those  fellows  who  call  for  two  glasses  of  water, 
1  they  dissolve  medicines,  to  be  given  alternately  do 
iamage,  and  are  much  more  to  be  dreaded  than  those 
have  heard  called  allopathic  dopers,  but  they  are 
to  the  kind  first  described.  Take  my  word  for  it,  I 
ich  travelled  germ  and  I  know." 
lank  you  for  the  information,"  replied  the  Scientific 
,  "it  explains  some  wonderful  phenomena  that  have 
me  of  late,  where  I  have  noticed  a  dose  of  extremely 
idicine  increase  the  Opsonic  Index  to  such  a  degree 
whole  corps  of  Scientists  were  nearly  destroyed." 
seems  to  me,"  said  the   wandering  microbe,    *'that 


278 


THE    MEDICAL  ADVANCE. 


this  tx)wn  of  Microburg  is  too  near  the  rectum  for  safet; 
What  is  to  hinder  a  one  in  two  thousand  bi-chloride  inje 
tion  flooding  its  streets?  What's  the  matter  with  starting 
new  colony  right  here?" 

''Nothing  at  all,"  assented  the  bacillus,  and  immediat 
ly  he  grew  constricted  at  the  waist  line  and  finally  divide 
into  two.  The  microbe  did  the  same.  This  process  of  coi 
striotion  and  multiplication  continued  for  five  minutes,  h 
which  time  the  colony  numbered  some  ten  thousand.  Thi] 
was  formed  the  thriving  city  of  Bacillopolis,  at  the  junctui 
of  the  descending  colon  with  the  sigmoid  flexure. 

J.  B.  S.  K. 


OUR  STATE  SOCIETIES. 

It  is  time  that  the  missionary  work  for  our  State  Soci< 
ties  should  become  active.  Dr.  T.  M.  Stewart,  of  Cincinnat 
makes  a  vigorous  appeal  to  the  homeopaths  of  Ohio  and  tt 
members  of  the  Ohio  State  Society.  There  are  952  home 
pathic  physicians  in  Ohio,  but  only  218  belong  to  its  Stal 
Society;  so  there  is  evidently  some  work  to  be  done  in  Ohi< 

In  Illinois  there  are  over  1250  homeopathic  physician 
550  of  whom  are  members  of  the  Homeopathic  State  Societ: 
At  the  annual  meeting  last  year  there  was  a  larger  attenc 
ance  than  at  the  Allopathic  State  Society, 'which  has  doub 
the  membership.  We  are  certainly  doing  better  in  our  Sta1 
Societies  than  our  allopathic  colleagues,  but  that  does  n< 
say  very  much  for  the  interest  that  either  profess  to  have  i 
the  professional  work  of  their  school. 

Dr.  Stewart's  appeal  is  very  striking.  He  says: 
Do  not  worry  about  those  who  are  sliding  over  to  the  other  sid 
They,  will  all  come  back  and  be  better  homeopaths  as  soon  as  they  fir 
out  through  experience  that  "all  is  not  gold  that  glitters;"  when  ther 
peutic  uncertainties  confront  them  and  their  results  are  not  what  th< 
expected  they  will  return  to  that  which  led  them  to  expect  and  get  r 
suits.  The  best  homeopathic  physicians  in  the  old  days  were  recrui 
from  the  old  school,  and  history  will  undoubtedly  repeat  itself.  It  tat 
a  wise  man  to  appreciate  wisdom. 

Every  homeopath,  to  do  justice  to  himself  and  his  cl 
entele,  should  keep   abreast  of  the   times.     He  should  I 


OUR  STATE  SOCIETIES. 


279 


*Qsted  in  all  that  pertains  to  the  welfare  of  his  patient. 
^^^^  physician  who  ;attends  a  State  or  National  Society 
^  learn  something  from  every  paper  that  is  read.  These 
^^tings  are  practically  as  good  as  a  post-graduate  course, 
^d  are  money  and  time  well  spent.  We  cannot  stand  still; 
^e  must  progress,  improve,  or  fall  in  the  rear  of  the  proces- 
bn.  The  man  or  woman  that  fails  to  take  advantage  of 
lese  annual  gatherings  deserves  to  be,  as  very  likely  he 
ill  succeed  in  becoming,  a  failure  in  the  profession.  Let 
;  double  the  membership  both  of  our  State  and  National 
xjieties  this  year.  If  every  member  will  bring  one  recruit, 
id  we  can  do  it  if  we  try,  the  so-called  impossible  feat  will 
J  accomplished.  If  the  physicians  knew  what  they  lose 
'ery  year,  the  new  members  will  thank  you  for  showing 
em  their  duty  and  inducing  them  to  follow  a  better  waj'. 


The  International  Congress  of  Tuberculosis,  which 
invenes  at  Washington,  D.  C,  in  September,  1908,  will  be 
noted  event.  It  meets  once  every  three  years,  and  this  is 
le  first  time  it  has  met  in  America. 

The  intention  is  to  make  this  really  a  World^s  Congress.  . 
here  will  be  papers  and  public  discussions  in  full  on  the 
iberculosis  problem  by  many  of  the  most  eminent  authori- 
Bs  on  the  subject  in  this  and  other  countries  for  three 
eeks.  Official  delegates  from  nearly  all  civilized  countries 
ill  be  present. 

The  congress  will  be  divided  into  seven  sections,  thus 
fording  ample  scope  for  both  scientific  and  lay  discussion, 
linics  and  demonstrations  will  be  held  throughout  the  en- 
re  three  weeks,  thus  giving  both  the  people  and  the  pro- 
ssion  object  lessons  on  the  cause  and  prevention  of  the 
reat  White  Plague. 

The  transactions  will  be  a  very  important  item.  Those 
:  the  last  congress  were  published  in  three  volumes,  and  it 
expected  that  it  will  require  four  volumes  for  the  present 
ae.  These  of  course  are  free  to  all  members  of  the  con- 
ress  who  have  paid  their  membership  fee  of  Sj.  The  ex- 
enses  of  the  congress  will  far  exceed  the   revenue   derived 


280 


THE  MEDICAL  ADVANCE. 


from  fees,  and  the  excess  will  be  provided  by  the  National 
Association.  There  are  two  classes  of  membership,  active 
members  who  pay  a  fee  of  $5,  and  associate  members  who 
pay  $2,  and  who  have  all  the  privileges  of  membership  ex- 
cept the  right  to  vote  and  receive  the  printed  volumes. 

Dr.  A.  E.  Smith,  president  of  the  Illinois  Homeopathic 
Medical  Association,  of  Freeport,  is  special  agent  for  the 
homeopathic  profession  of  Illinois,  from  whom  all  informa- 
tion as  to  membership  and  program  may  be  obtained. 


NOTICE. 

A  very  pleasant,  quiet  and  restful  way  of  going  to 
Kansas  City  to  attend  the  American  Institute  meeting,  is 
by  boat  from  Peoria,  111.  The  steamers  are  clean  and  com- 
fortable, with  plenty  of  deck  room,  and  one  experiences  the 
l>eculiar  sensation  of  gliding  over  the  corn  and  oat  fields  of 
the  great  state  of  Illinois. 

At  St.  Louis  passengers  change  to  a  boat  of  the  Kansas 
City  Packet  Line  which  ascends  the  Mississippi,  turns  into 
the  Missouri  and  glides  through  the  rich  Missouri  Valley, 
crowded  with  culture,  to  Kansas  City.  Fare  $11.50,  incLud- 
iug  meals  and  berths;  time  of  trip  four  nights  and  three 
days.  The  trip  may  be  taken  either  way  or  may  be  short- 
ened by  rail  if  too  time-consuming  for  the  medical  vacation- 
ists. Dr.  J.  B.  S.  King  will  give  particular  information  to 
those  thinking  of  making  a  river  trip. 

1  PERSONAL  TRIBUTE. 

The  following  tribute  to  Dr.  C.  W.  Eaton  has  been  re 
ei?iv^ed: 

Des  Moines  Life  Insurance  Company 
Office  of  the  President 
l>€nr  Sire- 
It  is  with  a  feeling  of  inexpressible  sorrow  that  I  inforna 
you  of  the  death  of  our  Medical  Director  and  beloved  friend. 
Dr.  Charles  Woodhull  Eaton,   which  occured  at  morning's 
dawn  the  twenty-seventh   inst.     For  nearly   twenty  years 
Dr.  Eaton  has  filled  the  postion  of  Medical    Director  of  the 


I 


A  PERSONAL  TRIBUTE. 


281 


les  Life,  safeguarding  the  interests  of  the  Company, 
)yal,  true  and  uncompromisingly  honest  in  every- 
Se  has  been  almost  a  daily  associate  of  mine  for 
^0  decades  and  my  knowledge  of  his  high  character 
ty,  almost  appalls  me  with  the  magnitude  of  our 
is  like  gilding  pure  gold  to  praise  his  character  and 
jssary  to  those  who  knew  him.  His  pure  and  blame- 
was  a  grand  example  and  inspiration  to  us  all. 
oves  a  shining  mark''  but  this  untimely  call  by  the 
laper  is  a  very  great  personal  loss  to  me,  to  the 
^  and  to  the  best  citizens  of  our  city  and  statq^  of 
5  was  of  the  higher  type.  While  humbly  bowing  to 
"doeth  all  things  well"  I  will  ever  cherish  the 
s  of  this  grand  man. 

Very  sincerely, 
C.  E.  Rawson, 

President. 


CHARLES  WOODHULL  EATON,  M.  D. 

following  resolutions  were  unanimously  adopted  at 
meeting  of  the  Des  Moines  Homeopathic  Medical 
Vlarch  28,  1908: 

3rt  of  Committee: — At  the  noon  day  of  a  noble  life, 
idst  of  his  labor,  and  at  the  zenith  of  his  success 
ulness,  our  honored  associate  and  co-worker,  Dr. 
WoodhuU  Eaton,  has  been  translated  to  life  eternal, 
recognize  in  his  death  the  loss  of  one  who  has  been 
3f  strength  of  the  Des  Moines  Homeopathic  Medical 
md  an  influential  support  to  the   cause  of   Homeo- 

ay  be  said  of  him,  his  personality  was  the  charm 
eared  him,  his  earnestness  the  inspiration  to  others, 
)r  the  magnet,  and  his  faithfulness  to  the  end  his 
parting  with  him  is  like  bidding  good-bye  to  sun- 


revere   and    cherish  his   memory.      His    invisible 
will  long  continue  to  be  a   blessing  to  us  all,  and 


282 


THE  MEDICAL  ADVANCE. 


we  pray  that  the  influence  of  his  life  may  inspire  us  to  hij 
er  purposes  and  larger  faithfulness  in  our  work. 

Harriette  E.  Messenger,  M.  D. 
George  Royal,  M.  D. 
Erwin  Schenk,  M.  D. 

Dr.  Chaster  G.  Uigbee,  St.  Pq.u1,  Minn.,  died  April  3 
aged  73  years.  As  we  are  going  to  press  the  daily  pap 
announce  the  death  of  this  veteran  who  for  thirty-four  ye 
has  practiced  in  St.  Paul  and  is  well  known  in  all  parts 
the  country. 

J)r.  Higbee  was  bom  Aug.  5,  1835,  at  Pike,  N.  Y., 
ceived  a  common  school  education,  taught  school  for  six 
seven  years  and  later  studied  in  academies  in  Wisconsin, 
was  a  graduate  of  Hahnemann, of  Chicago,  and  the  St.  Lc 
Homeopathic  College.  He  took  post  graduate  work  in  g 
ecology  at  London,  Birmingham,  Berlin  and  Paris.  Bej 
practice  at  Fon  du  Lac,  Wis.,  and  in  March,  1866,  remo^ 
to  St.  Paul. 

From  1861  to  1865  he  served  in  the  Union  army.  ] 
gan  as  a  private  and  ended  with  the  rank  of  captain. 

In  1.^89  he  was  vice  president  of  the  American  Institi 
In  1871  he  organized  the  first  homeopathic  medical  soci 
in  St.  Paul.  For  years  he  has  taken  a  prominent  pari 
the  work  of  the  American  Institute,  of  which  he  was  a  s( 
or,  and  his  death  is  a  sad  loss^to  the  profession. 


NEW  PUBLICATIONS- 
TEXT-BOOK    OF    CLINICAL   MEDICrXE:    TREATMENT. 
Clarence  Bartlett,  M.  D. ,  Professor  of  Medical  Diagnosis  and  C 
ioal  Medicine  in  the  Hahnemann  Medical  College  of  Philadelp] 
Visiting  Physician  to  the  IXahnemann  Flospital.     Pp.   1223.     CI 
$8.     Boericke  &  Tafel,  Philadelphia,  1908. 

This  splendid  volume  of  over  1,200  pages,  thecompan 
volume  of  Diagnosis,   which   appeared  in    1903,   are   mo 
ments  of  the  indefatigable   labor  and  perseverence   of 
distinguished  author.     He  gives  credit  to  .a  number   of 
colleagues  in  Hahnemann  Medical   College,    Philadelpl 
for  the  assistance  rendered  him  in  their  specialties,  and  1 


NEW  PUBLICATIONS. 


283 


ed  a  chapter  on  the  Opsonic  theory  which  is  certainly  an 
Dvation  in  a  work  on  treatment.  Although  he  adds,  **We 
$t  all  admit  that  much  good  work  has  been  done  in  this 
ttment  without  attention  to  the  Opsonic  Index  as  a  guide, 
eed  there  are  many  expert  clinical  laboratory  workers 
>  deny  that  the  Opsonic  Index  possesses  a  practical  clin- 
value." 

In  the  Preface  the  author  states  his  position  very  fairly 
be  following: 

rhe  ultimate  object  of  medicine  is  successful  treatment.    Let  diag- 

( and  pathology  advance  to  any  extent  and  it  avails  us  nothing  aside 

its  scientific  interest,  if  it  does  not  aid  us   in  the  prophylaxis  and 

of  disease.     Fortunately  for  humanity,  pathology  and  diagnosis 

done  much  to  rob  disease  of  its  terrors;  still   there  remains  much 

I  done  before  the  medical  world  will  reach   its  highest  standard  of 

ency.    Of  laie  years  the  advances  in  surgery  have  so  overshadowed 

i  of  medical  treatment  (in  other  schools)  that  the   latter  have    ap- 

Qtly  escaped  the  attention  they  deserve.    So  it  is  that  young  men 

nany  experienced  practitioners  have  aspired  to  surgery  and   the  va- 

I  specialties  to  the  neglect  of  internal  medicine.    This  we  hold  as  a 

us  error,  for  unless  general  medicine  and  therapeutics  retain   their 

linent  place  at  the  head  of  the  healing  art,  the  specialties  and  sur- 

will  suffer  thereby. 

No  better  explanation  perhaps  can  be  made  than  is  here 
in  for  the  production  of  such  a  work  on  treatment.  The 
panion  volume,  Diagnosis,  is  not  excelled  by  any  work 
le  history  of  medicine.  It  is  a  volume  which  every 
eopath  all  over  the  world  may  point  to  with  pride, 
ling  better  has  ever  been  written. 

We  wish  we  could  say  as  much  for  this  volume  on  treat- 
t.  It  embraces  everything  that  is  known  about  all 
tiods  of  treatment  of  every  school  of  practice — regular, 
^ular,  empirical,  eclectic — all  modes  but  that  of  Hahne- 
n.  "You  buy  the  book  and  take  your  choice." 
Yet  chapter  XXX,  especially  on  Hydrotherapy,  is  a  val- 
e  addition  to  any  work,  and  every  practitioner  can  not 
learn  much  from  it,  but  be  able  to  apply  its  principles 
I  success. 

But  when  it  comes  to  the  treatment  of  diseases  of  the 
,  chapter  XXVI,  many   pages  of  external   applicati  ons 


S84 


THE  MEDICAL  ADVANCE. 


ini^ht  be  omitted  with  benefit  to  the  work  as  well  as  the 
homeopathic  profession.  The  topical,  medicated  applica- 
tions recommended  are  abominable,  just  the  opposite  of 
what  should  be  used  in  the  treatment  of  skin  diseases.  Here 
i^  a  sample:  ** Sulphur  is  another  very  valuable  remedy, 
and  to  my  i6ind  it  is  especially  so  when  applied  in  combina- 
tion with  Salicylic  acid.  The  formula  is  the  following: 
Salicylic  acid.  Sulphur  precipitat,  Vaselin.'' 
And  yet,the  author  has  undertaken  the  impossible  when 
he  essays  a  work  on  the  treatment  of  Disease  and  overlooks 
the  treatment  of  the  patient  on  which  Hahnemann  lays  so 
much  stress  from  the  beginning  to  the  end  of  the  Organon. 
But  this  is  a  work  on  '^Treatment,"  not  homeopathic  treat- 
ment, by  the  professor  of  clinical  medicine  in  our  oldest 
homeopathic  college. 

Boericke  &  Rnnyon  Announce  A  MANUAL  OF  PRACTICAL  OB- 
STETRICS in  Press.  By  Frederick  W.  HamUn,  M.  D.  Profes- 
sor of  Obstetrics,  New  York  Homeopathic  Medical  College  and 
Hospital ;  Visiting  Obstetrician  to  Hahnemann  Hospital  and  Fowler 
Hospital. 

A  practical  book  for  practical  men,  all  theory  omitted. 
The  essential  facts  of  obstetrics  presented  in  a  clear,  con- 
cise, readable  manner.  A  book  designed  for  ready  reference 
by  the  busy  practitioner.  Homeopathic  therapeutics  wher- 
vvev  available.   , 


NEWS  NOTES. 

Small  Pox  In  Japan.— Dr.  H.  W.  Schwartz,  Sendai, 
Japan,  writes  March  10:  Recently  quite  a  small  pox  epi- 
demic has  broken  out  in  some  parts  of  the  country,  and  the 
newspapers  are  calling  attention  to  the  fact  that  for  at  least 
a  generation  compulsory  vaccidation  has  been  rigidly  ob- 
served— and  that  means  everybody,  for  they  have  a  most 
perfect  census — every  move  must  be  reported  to  the  police 
^50  they  know  always  where  everybody  is.  Besides  the  peo- 
ple are  so  used  to  being  governed  that  they  never  think  of 
evading  the  law.  Probably  every  one,  except  infants,  has 
been    vaccinated,    several    times,    and     this  fact  the    pa- 


NEWS  KOTSS. 


285 


jrs  mention  and  say:  '*Yet  small  pox  is  here.  Is  it  possi- 
e  that  vaccination  is  not  the  protection^  we  have  been 
ught  to  believe?" 

For  thoroughness  in  vaccination  perhaps  Japan  is  not 
:celled  by  any  nation  and  yet  small  pox  is  epidemic. 

A  Foetal  Phenomena.— W-  H.  Stover,  M.  D.,  Tiffin,  O., 
rites:  Some  time  ago  I  had  an  unusual  experience  in  an 
)stetrical  case.  The  labor  was  normal,  A  plump  girl 
iby  was  bom,  but  on  delivering  the  placenta  I  found  an- 
her  child  attached  to  it.  The  legs  were  free  but  inclosed 
a  separate  membrane,  and  about  two  and  a  half  inches 
ng.  while  the  body  of  the  child  from  the  hips  up  was  im- 
idded  in  the  placenta  and  felt  like  a  small  string  of  bones 
ider  the  hand. 

The  Seriousness  of  Gonorrhea.— The  prevalence  of  true 
morrhea  or  sycosis  and  of  so-called  **cured''  cases  is  simp- 
alarming  when  we  view  the  statistics  of  some  of  the  latest 
riters  on  the  subject.  The  old  school  is  realizing  more 
id  more  the  seriousness  of  this  disease,  even  if  they  do  fail 
recognize  it  as  systemic  and  not  a  mere  local  inflammato- 
^  process.  Pitch  states,  that  out  of  every  1000  men,  800  are 
fected  and  90  per  cent  of  these  remain  '*uncured."  In  fact 
J  is  inclined  to  believe  that  it  is  incurable.  So-called 
atent"  gonorrhea  in  the  male,  he  says,  is  capable  of  pro- 
icing  in  the  female  metritis,  parametritis,  salpingitis, 
raritis,  ophthalmia  neonatorum,  sterility,  pleuritis  and 
leumatic  affections  of  the  joints.  This  of  course  does  not 
iclude  the  cases  of  anemia,  general  dibility,  etc.,  induced 
y  genuinely  suppressed  cases,  and  recognized  as  such 
nly  by  the  homeopath  who  understands  the  inner  workings 
f  the  chronic  miasms.  • 

According  to  Dr.  Jos.  T.  JohnsoniJour.  Am.  Med.  Assoc, 
[arch  11),  the  mortality  from   gonorrhea,  if  it  could   be  ac- 
iirately  ascertained,  would   probably  exceed   that  of  pneu- 
lonia,  typhoid  fever  and  tuberculosis  combined. 
Mental  Clinics,  by  William  George  Gordon. 

ORTHODOXY  IN  EPIGRAM, 
bearing:  a  ready  made  uniform  of  belief. 


2^6 


THB  MEmCAL»  ADVANCEL 


Thinkingf  alonf?  the  lioes  of  least  resistance. 

Tbe  one  word  adopted  as  a  trademark  by  each  creed  to  distinguish 

from  tbe  others. 
Keeping  in  step  with  the  rear  guard. 
Comfortable  conservatism  in  the  world  of  thought. 
Fighting  on  the  side  of  the  biggest  battalions  of  belief. 
Living  In  an  atmosphere  of  thought  guaranteed  by  authority,   traditic 

and  respectability. 
Sterilized  mental  food  put  up  in  cans. 
Arrogant  assumption  of  the  sole  infallibility  of  one's  faith. 

— SuJiday  Magazine, 
Compulsory    medicine,    by    Health    Board  physician 
might  be  added  to  make  the  list  more  complete  and   bring 
up  to  date. 

''Medical  politics  are  the  intimate  concern  of  all  citizer 
of  the  state.  Questions  of  science  must  be  relegated  to  e: 
perts;  practical  applications  are  for  men  of  affairs.  Oi 
civic  duty  is  the  extension  and  development  of  Homeopath 
in  the  national  service.  Whatever  lessens  or  tends  to  lesse 
the  duration  of  disease;  whatever  preserves  lives  valuaW 
to  the  family  or  tp  the  national  interest;  whatever  lowei 
the  cost  of  illness,  entirely  wasteful  from  an  economic  stam 
point;  whatever  does  these,  not  only  enriches  the  state,  bi 
is  insurance  for  individual  safety  and  well-being.  To  th 
estent  that  it  does  these,  any  such  power  demands  the  sui 
port  of  every  citizen  of  the  commonwealth.  And  these,  w 
claim,  are  the  daily  issues  of  the  practice  of  Homeopathy.'' 


Ci^M  ^51  1p  '^^  ^  recent  graduate  or  any  reliabl 
*  ^^*  Afc^CtlV  Homeopathic  Physician  young  c 
middle  aged,  who  has  $15000,00  to  invest  in  the  purchase  c 
a  physicians  home,  continuing  his  excellent  practice  estal 
lished  over  twenty  years,  in  a  beautiful,  high  class,  pr( 
gressive  suburb  of  Philadelphia,  located  in  New  Jersey. 

A  splendid   opportunity  at  very  reasonable  price,  $10 
000.00  cash,  $5,000.00  on  mortgage.    All  other  offers  rejectee 
Particulars  given. 
Address,  Physician,  Sub.  P.  O.  Station  No.  2( 

Philadelphia,  Pa 


The  Medical  Advance 


^OL.  XLVI.  B  ATA  VIA.  ILL.,  MAY,  1908.  No.  5. 

TRANSACTIONS  OF  THE  CENTRAL  NEW  YORK 
SOCIETY. 

Masonic  Club,  Rochester,  N.  Y.,  Dec.  12,  1907. 

The  quarterly  meeting  of  the  society  was  called  to  order 
»y  the  president,  Dr.  A.  C.  Hermance,  at  1  p.  m. 

Members  present:  Drs.  Bidwell,  Fritz,  Graham,  Grant, 
lermance,  Hussey,  Johnson,  Leggett. 

Visitor:     Dr.  Hagaman. 

The  minutes  of  the  annual  meeting  were  read  and  ap- 
proved. 

The  following  paragraphs  of  the  Organon  were  read  by 
)r.  W.  W.  Johnson. 

§  30.  Medicfaes  (particularly  as  it  depends  on  us  to 
ary  the  doses  according  to  our  will),  appear  to  have  great- 
r  power  in  affecting  the  state  of  health  than  the  natural 
aorbific  irritation;  for  natural  diseases  are  cured  and  sub- 
lued  by  appropriate  medicines. 

§  31.  The  physical  and  moral  powers,  which  are  called 
Qorbific  agents,  do  not  possess  the  faculty  of  changing  the 
tate  of  health  unconditionally;*  we  do  not  fall  sick  beneath 
heir  influence  before  the  economy  is  sufficiently  disposed 
-nd  laid  open  to  the  attack  of  morbific  causes,  and  will  allow 
tself  to  be  placed  by  them  in  a  state  where  the  sensations 
vhich  they  undergo,  and  the  actions  which  they  perform, 
tre  different  from  those  which  belong  to  it  in  the  normal 
rtate.  These  powers,  therefore,  do  not  excite  disease  in  all 
nen,  nor  are  they  at  all  times  the  cause  of  it  in  the  same 
ndividual. 

•When  I  say  that  disease  is  an  aberration  or  a  discord  in  the 
state  of  health,  I  do  not  pretend  by  that  to  give   a   metaphysical 


288 


THE  MEDICAL  ADVANCE. 


explanation  of  the  immediate  essence  of  diseases  generally,  or  of 
any  morbid  case  in  particular.  In  making  use  of  this  term,  I 
metely  intend  to  point  at  that  which  diseases  are  not,  and  cannot 
be ;  or  to  express  what  I  have  just  proved,  that  they  are  not  me- 
chanical or  chemical  changes  of  the  material  substance  of  the 
body,  and  they  do  not  depend  upon  a  morbific  material  principle, 
and  that  they  are  solely  and  spiritual  dynamic  changes  of  the 
animal  economy. 

§  32.  But  it  is  quite  otherwise  with  the  artificial  mor- 
bific powers  which  we  call  medicines.  Every  real  medicine 
will  at  all  times,  and  under  every  circumstance,  work  upon 
every  living  individual,  and  excite  in  him  the  symptoms  that 
am  peculiar  to  it,  (so  as  to  be  clearly  manifest  to  the  senses 
when  the  dose  is  powerful  enough),  to  such  a  degree,  that 
the  whole  of  the  system  is  always  {unconditionally)  attacked, 
and  in  a  manner  infected  by  the  medicinal  disease,  which, 
as  I  have  before  said,  is  not  at  all  the  case  in  natural  dis- 
seases. 

§  33.  It  is  therefore  fully  proved  by  every  experi- 
ment* and  observation,  that  the  state  of  health  is  far  more 
siisceptible  of  derangement  from  the  effects  of  medicinal 
powers  than  from  the  influence  of  morbific  principles  and 
contagious  miasms,  or  what  is  the  «ame  thing,  the  ordinary 
morbific  jyrinciples  have  only  a  conditional  and  often  very  sub- 
ordinate i)ifluence,  ivhile  the  medicinal  powers  exercise  one  that 
IB  absolute,  direct  and  greatly  superior  to  that  of  the  former, 

*The  following  is  a  striking  observation  of  the  kind  directly 
in  point:  previously  to  the  year  1801,  the  genuine  smooth  scarlet 
fever  of  Sydenham  prevailed,  epidemically  among  children,  and 
attacked  all,  without  exception,  who  had  not  escaped  the  disease 
in  a  former  epidemic ;  whereas  every  child  who  was  exposed  to 
one  of  the  kind  which  came  under  my  observation  in  Konigslut- 
ter,  remained  exempt  from  this  highly  infectious  disease,  if  it 
had  timely  taken  a  very  small  dose  of  belladonna.  When  a  med- 
icine can  thus  evince  a  prophylactic  property  against  the  infec- 
tion of  a  prevalent  disease,  it  must  exercise  a  predominating  in- 
fluence over  the  vital  power. 

§  34.  In  artificial  diseases  produced  by  medicines,  it  is 
not  the  greater  degree  of  intensity  that  imparts  to  them  the 


CENTRAL  NEW  YORK  SOCIETY. 


289 


Yer  they  possess  of  curing  those  which  are  natural.  In 
ler  that  the  cure  may  be  effected,  it  is  indispensable  that 
I  medicines  be  able  to  produce  in  the  human  body  an  arti- 
al  disease,  similar  to  that  which  is  to  be  cured;  for  it  is 
3  resemblance  alone,  joined  to  the  greater  degree  of  in- 
sity  of  the  artificial  disease,  that  gives  to  the  latter  the 
ulty  of  substituting  itself  in  the  place  of  the  former,  and 
s  obliterating  it.  This  is  so  far  a  fact  that  even  nature 
self  cannot  cure  an  existing  disease  by  the  excitement  of 
ew  one  that  is  dissimilar,  be  the  intensity  of  the  latter 
IT  so  great;  in  the  same  manner  the  physician  is  incapa- 
of  effecting  a  cure  when  he  applies  medicines  that  have 
the  power  of  creating  in  the  healthy  persons  a  morbid 
te,  resembling  the  disease  which  is  before  him. 
An  essay  upon  the  subject  was  read  and  commented 
m  by  Dr.  E.  P.  Hussey. 

THE   ORGANON, 

The  statements  in  §§  30  and  33,  ladies  and  gentlemen, 
,  without  question  and  to  us,  very  evidently  true.  Be- 
es what  is  so  very  evident  in  them  they  open  up  a  large 
d  of  thought  to  the  homeopathician.  The  very  founda- 
is  of  homeopathic  practice  rests  upon  them.  If  they 
re  not  true  there  would  be  no  value  to  our  provings,  nor 
tainty  in  prescribing.  We  know  that  so  well  that  it  is 
lecessary  to  enlarge  upon  it. 

But  the  next  §,  34,  contains  statements  about  which  I 
aid  like  to  say  something.     Sentence  2,  §34: 

In  order  that  they  may  effect  a  cure,  it  is  before  all  things  requisite 
t  they  (drugs)  should  be  capable  of  producing  in  the  human  body 
artificial  disease  as  similar  as  possible  to  the  disease  to  be  cured,  in 
er,  by  means  of  this  similarity,  conjoined  with  its  somewhat  greater 
ingth,  to  substitute  themselves  for  the  natural  morbid  affection,  and 
reby  deprive  the  latter  of  all  inflence  upon  the  vital  force. 

We  see  that  it  says  in  order  to  cure,  drugs  must  possess 
i  power  of  producing  in  the  healthy  body  an  artificial  dis- 
J€  most  similar  to  that  which  is  to  be  cured.  That  leads 
to  the  question,  what  relation  in  size  or  strength  must 
3  curative  dose  bear  to  the  one  capable  of  producing  the 


290 


THE  MEDICAL  ADVANCE. 


artificial  analogue  in  the  healthy  body.  As  the  prescril 
is  about  to  administer  the  similarly  acting  remedy,  he  m 
remember  that  the  patient's  sick  nerves,  functions,  orga 
have  been  disturbed  and  made  irritable  and  sensitive  by  1 
disease,  or  perverted  action  of  vital  force,  etc.,  in  a  cert 
way.  How  can  he  know  just  what  dose  of  the  similarly  a 
ing  medicine  will  be  the  right  one  to  meet  the  diseased  o 
dition  and  stop  it,  and  at  the  same  time  not  increase  it  b] 
too  powerful  action  in  the  same  direction?  Frankly,  ui 
experience  teaches  him,  he  cannot. 

With  the  endless  differences  in  individualities  and 
grees  of  susceptibility  in  patients,  and  in  the  character  a 
intensity  of  disease  action,  he  can  only  learn  and  estimi 
the  former,  and  judge  from  experience  of  the  latter,  and 
form  an  opinion  as  to  the  strength  and  preparation  of  me 
cine  which  he  should  give. 

It  is  because  of  the  sensitiveness  of  the  diseased^  con 
tion  to  the  similarly  acting  medicine,  that  the  higher  pot 
cies  are  so  uniformly  more  applicable  and  safe.  How  ofl 
instead  of  a  cure  the  patient  has  been  worse,  suffering  p 
longed  and  premature  accessions  to  cemeteries  made,  fr 
the  effect  of  too  powerful  doses  of  the  really  homeopat 
medicine,  will  never  be  revealed.  Partly  because  the  p 
scriber  guilty  of  such  blunders  does  not  know  himself. 

Another  reason  occurs  to  me,  why  the  higher  potenc 
should  be  most  uniformly  used.  Without  going  into  deta: 
with  which  we  are  all  familiar,  we  recognize  the  theory  tl 
all  physical  phenomena  are  recognized  by  the  vibrations 
the  atoms  of  which  substances  are  composed,  and  it  see 
that  the  vibratory  action  in  high  potencies  of  drugs  must 
on  the  same  plane,  or  more  like  the  vibratory  action  in  1 
function,  controlling  nerves  which  are  deranged  in  disea 
than  is  that  in  the  low  potencies.  This  idea  arises  in  : 
mind  from  many  experiences  which  I,  and  I  am  sure  all 
us,  have  had,  and  which  I  have  long  wished  to  formul 
and  present  to  this  society  for  discussion;  and  which  n 
perhaps  be  best  presented  by  the  question,  "what  eff 
does  a  crude  drug  taken  into  the  system  have  upon  the   : 


CENTRAL  NEW  YORK  SOCIETY. 


291 


on  of  the  homeopathically  prescribed  medicine  in  potency, 
iken  at  about  the  same  time?" 

My  experience  leads  me  to  say  that  the  action  of  a 
Tide  drug  is  not  homeopathic  to  the  diseased  condition 
•esent,  can  have  no  inhibitive  effect  upon  the  curative  ac- 
)n  of  a  drug  in  a  high  potency  which  is  homeopathic  to  the 
se,  unless  probably  the  drugs  were  antidotal,  or  inimical 
each  other. 

This  seems  to  open  the  door  to  polypharmacy,  and  the 
nominations  of  '^combination"  and  **mixed"  prescriptions, 
aich  we  deprecate  so  heartily,  but,  as  I  will  show  later,  it 
>es  not  quite  do  so. 

We  can  surely  speak  from  such  abundant  experience 
at  there  c^n  seem  to  be  no  question. 

Never  can  we  be  sure  that  our  patient  is  at  any  time 
le  from  the  effect  of  some  drug  which  we  did  not  prescribe, 
is  hardly  necessary  for  me  to  enumerate  the  many  sources 
)m  which  that  comes,  a  little  reflection  will  show  it  to  you 
well,  but  I  will  mention  a  few  which  you  will  readily  re- 
gnize.  The  habitual  tea,  coffee,  tobacco,  drugged  drinks 
the  soda  fountain  and  bar,  drugged  and  adulterated  foods, 
itches,  cosmetics,  hair  lotions,  drug  habits;  camphor  in 
iluloid  utensils,  antiseptic  tooth-powders,  medicated  soaps, 
tiseptics  everywhere.  It  is  nearly  impossible  to  find  an 
i  that  is  not  preserved  by  carbolic  acid.  It  is  impossible 
keep  our  patients  free  from  the  effect  of  crude  'drugs,  and 
I  may  as  well  use  no  effort  to  do  so,  but  simply  prescribe 
i  indicated  remedy  and  say  nothing.  If  we  have  ever 
m  sure  that  we  have  cured  a  case  of  disease  with  a  hom- 
pathic  prescription  we  may  be  equally  sure  that  we  have 
tie  so  in  spite  of  the  effect  in  the  patient  of  innumerable 
igs  in  the  crude  form. 

Whether  the  drugs  are  taken  accidentally,  incidentally, 
entionally,  cahnot  make  the  slightest  difference  in  fact  or 
ect.  Another  phase  of  the  same  principle  is  shown  in  the 
lults  from  homeopathic  prescribing  for  acute  ailments, 
len  they  arise  in  a  patient  during  our  treatment  of  a  chron- 
iisease.     We  do  not  fail  to  get  our  response  to  the  reme- 


292 


THE  MEDICAL   ADVANCE. 


dy  temporarily  indicated,  be  the  acute  trouble  ever  so  nar- 
rowly circumscribed,  or  the  chronic  disease  ever  so  serious. 
So  it  appears  that  the  indicated  homeopathic  remedy  ad- 
ministered in  the  proper  potency  will  act  effectively  in  spite 
of  the  presence  of  crude  drugs,  which  are  not  homeopathi- 
cally  indicated,  or  of  deep-seated  morbid  con"ditions  of  th€ 
patient,  which  ate  not  considered  in  the  prescription,  and 
to  which  the  latter  has  no  apparent  homeopathic  application. 
Whether  the  effect  of  the  homeopathic  remedy  would  be  the 
same  if  it  was  not  potentized,  I  do  not  know,  but  I  an 
strongly  of  the  opinion  that  it  would  not.  If  my  opinion  is 
correct,  our  established  objections  to  i>olypharmacy  are  up 
held. 

Trusting  that  although  this  paper  is  short,  it  may  starl 
a  discussion,  as  does  the  spark  a  fire.  I  ask  for  your  expe 
riences,  and  the  deductions  therefrom. 

E.  P.  HussEY,  M.  D.,  Buffalo,  N.  Y. 

Discussion.— Dr.  Grant  said  it  was  evident  that  th( 
properly  indicated  and  potentized  remedy  would  act,  as  saic 

by  the  late   Julius   G.    Schmitt,    *'in  spite  of   the  d 1,' 

whether  alternated  with  other  medicines,  disturbed  by  ca 
thartics,  surrounded  by  soaps,  perfumes,  et)c.,  except  ii 
cases  where  it  was  absolutely,  or  partially  antidoted.  H< 
said  the  man  who  mixed  or  alternated  was  seldom  sure  h( 
had  not  antidoted  one  medicine  with  another.  He  belie vec 
that  the  single  remedy,  the  exact^similar,  or  as  near  to  it  as 
he  is  able  to  find,  gives  to  the  physician  the  best  results 
though  often  seeing  good  results,  even  by  mixers,  we  als( 
see  bad.  When  there  are  good  results  the  vibratory  action 
of  the  mixture  did  not  interfere  with  the  similar;  when  i 
does  the  mixer  fails.  Ill  effects  of  mixing  drugs  com< 
through  irritation  or  interruption,  causing  new  direction  t( 
the  vibrations.  He  believed  with  Dr.  Hussey  that  the  po 
tentized  medicine  acted  through  anything  not  inimical. 

Dr.  Johnson  thought  Hahnemann  showed  plainly  tha 
the  crude  drug  acted  more  deeply,  creating  deeper  disturb 
ance  than  natural  sickness.  The,  final  working  out  of  th< 
idea  took  many  years.     At  first  under  old  school   influeno 


p 


CENTRAL  NEW  YORK  SOCIETY.  293 

lemann  gave  the  similar  crude  drug  and  killed  many, 
tien  began  to  divide  doses  and  seems  to  have  continued 
and  more  to  divide  for  many  years.  But  even  in  the 
i  drug  the  similar  gave  wonderful  results.  The  great- 
-ouble  we  have  in  applying  the  similar  is  to  find  the 
indication,  and  here. is  just  the  objection  to  polyphar- 
,  it  blinds  the  indications.  He  considered  the  sections 
most  important.  ■■■ 

)r.  Hussey  inquired  if  the  low  potency  would  act  as 
Eis  the  high,  with  these  interruptions  and  interferences. 
)r.  Graham  said  his  practice  was  largely  hospital  prac- 
rhere  hypnotics  must  be  frequently  used  to  prevent 
atient  disturbing  another,  yet  the  proper  remedy  acted 
5  majority  of  cases  recovered.  He  said  that  in  these 
low  potencies  were  used.     He  could  not  answer  for  the 

)r.  Hermance  said  he  used  the  single  remedy,  and  of 
he  high  potency.  He  considered  that  a  physician  using 
ibination  or  alternation  of  remedies,  never  advanced  in 
ledge  of  the  therapeutic  powers  of  medicines,  never 
why  or  what  cured  his  cases,  and  was  never  sure  of 
acy;  cathartics  were  necessarily  obscurative,  and  so 
erred  with  the  accuracy  of  the  prescription.  He  said 
uestion  of  polypharmacy  frequently  came  up  and  had 
met;  potencies  acted  better  than  crude  drugs,  and  had 
been  proved. 

►r.  Leggett  wished  that  homeopathic  physicians,  espe- 
those  understanding  the  deeper  principles  of  the  pro- 
n,  and  using  the  higher  potencies,  would  change  the 
of  saying  the  medicines  **acted"  so  and  so,  when  pre- 
d  and  taken  in  proper  potency.  She  believed  that 
the  remedy  was  introduced  homeopathically  into  the 
n  in  the  proper  potency,  it  was  placed  upon  a  plane 
iin  the  vital  force  made  use  of  it,  as  it  does  of  other 
iderables  from  which  it  selects  among  its  environments 
•om  its  various  ingesta,  sufficient  for  the  up-building  of 
nanism;  therefore  the  vital  force  **acted." 
he  thought  that  whereas  we  might  say   of  a   crude 


1  ; 


294  THE  MEDICAL  ADVANCE. 

drug  or  a  blow,  that  it  '*acted"  so  and  so,  or  mechanica 
produced  such  and  such  conditions,  the  potentized  dri 
suited  to  the  disturbance,  was  elevated  to  such  a  position 
made  it  possible  for  the  life  force  to  '*act"  in  such  a  man] 
as  to  adjust  the  warring  elements  even  when  in  crude  s 
stance  it  was  inimical  to  the  organism. 

What  other  is  the  opsonin  theory  or  the   ''arousing 
the  defensive  action  of  the  body,''  than  the  restoration 
the  normal  action  of  the  life  force  by  the  simillimum?    J 
.^  *  we  to  allow  that  the  old  school  man  is  in  a  fair  way  to 

come  more  homeopathic  than  ourselves? 

Dr.  Fritz  asked  what  Hahnemann  would  do  in   a  cas€ 
mania  a  potu^  who  had  been  insane  two  or  three  days. 
'^  Dr.  Grant  could  see  no  reason  •  for  polypharmacy  e\ 

'  I,  in  that  case.     He  had  had  but  few  cases,   and  in  those  1 

been  able  to  find  the  specific  remedy  which  controlled  i 

*!  condition;,  there  were  generally  indications  for  prescript 

!  in  these  cases,  but  if  not  found,  one  necessarily  resorted 

'*  a  palliative.     He  had  seen  incurable  cases  of  cancer  in  wh 

the  patient  suffered  great  pain,  relieved  until  the  end  by 
medicine  homeopathic  to  the  case. 

Dr.    Johnson  had   had  several  cases  of  mania-a-p 
'.  which  yielded  to  the  indicated  remedy,  some  while  he  '^ 

•  using  only  the  moderately  high  potencies. 

Dr.  Fritz  was  then  invited  to  read  the  following  pa] 
on: 

GONORRHEA. 

I  will  not  take  up  your  time  by  giving  you  a  long  pa 
on  the  symptoms,  treatment,  etc.,  of  this  disease,  wi 
might  be  a  copy  verbatim  from  some  book  on  this  s 
ject. 

I  only  wish  to  say  a  very  few  words  regarding  the  b 
eopathic  remedies  indicated,  and  the  sequelae. 

There  are  points  which  I  would  like  to  bring  out 
impress  deeply,  and  on  which  the  laity,   and  I  am  afr 
^  even  some  physicians  do  not  realize,   is  the  far  read 

%  effect  of  this  go  very  common  affection. 

C  Keyes  has  stated  that  more  people  die  from  gonorr 


CENTRAL.  NEW  YORK  SOCIETY.  295 

than  syphilis,  of  course  ii6t  meaning  directly  from  gonor- 
rhea itself,  but  its  sequelae. 

It  is  treated  too  much  as  a  local  disease,  and  the  laity  is 
constantly  told  by  newspaper  and  billboard  advertisements, 
that  it  can  be  cured  in  48  hours  by  an  injection  which  will 
leave  no  stricture,  and  which  is  perfectly  harmless.  If  such 
advertisements,  which  daily  confront  us,  are  not  more  than 
criminal  then  nothing  is  criminal. 

The  first  thing  the  unfortunate  patient  asks  you  when 
becomes  to  you  is,  * 'doctor,  how  long  will  it  take?"  When 
you  teU  him  it  will  take  at  least  six  weeks  or  longer,  he  is 
horrified,  and  tells  of  all  these  '*ads"  that  he  has  read,  and 
wants  to  know  why  you  cannot  **cure"  him  right  away,  and 
may  be  some  of  us  will  hurry  the  treatment  and  perhaps 
suppress  the  disease,  opening  the  way  for  grave  complica- 
tions, beginning  anywhere  from  a  simple  phimosis  to  an . 
ascending  pyelitis,  fatal  general  infection,  fatal  peritonitis 
from  seminal  versicular  or  periprostatic  suppuration,  with 
extensive  burrowing  abscesses.  Add  to  this  the  ocular  and 
articular  complications,  the  far-reaching  influence  of  the  dis- 
ease upon  the  uterus  and  its  adnexa,  the  sterility  to  which 
it  gives  rise  to  both  sexes,  the  untold  surgery  it  furnishes 
the  gynecologist,  and,  quoting  from  Keyes,  '^gonorrhea 
rises  from  its  putrid  source  and  becomes  an  object  worthy 
of  serious  study  for  every  conscientious  surgeon  and  phy- 
sician." 

I  do  not  think  I  am  ever  a  better  homeopath  than  when 
treating  gonorrhea,  for  in  this  disease  it  certainly  will 
work  marvels,  and  I  can  assure  you  that  I  have  seen  all 
kinds  of  treatment  used  and  have  noted  the  results.      ^ 

I  seldom  resort  to  injections  otherwise  than  for  simple 
cleansing  of  the  urethra  (with  sterile  clean  water). 

I  will  give  you  a  few  of  the  leading  remedies.^  The 
remedies  mostly  indicated  in  the  first  or  acute  inflammatory 
stage  are: 

Mercurius  when  there  is  much  strangury,  urine  passed 
with  feeble  stream  with  cutting  pains.  Lips  of  meatus  red 
and  inflamed,  swelling  and  burning.     Glans  penis   dark  red 


296 


THE  MEDICAL  ADVANCE. 


and  hot,  with  burning,  stinging,  itching  pains  in  the  ui 
thra.    Tenesmus,  painful  erections. 

Argentum  nit.     Great  burning  in  urethra,   frequent  d 
sire  to  urinate,  constricted  stitching  feeling  in  anterior  pc 
tion    of    urethra,    Pains   shooting  from  posterior  part 
urethra  to  anus  and  testes.     Dragging,   burning,   stabbi] 
pains  along  the  urethra. 

Cantharis:  Much  strangury  and  tenesmus.  Bumin 
cutting,  scalding  in  the  lirethra  during  urination,  with  d 
charge  of  bloody  mucus.  Spasmodic  pain  in  neck  of  bla 
der.  Tenesmus  is  almost  unbearable  with  constant  ineffe 
tual  desire  to  urinate,  urine  passed  drop  by  drop.  Dischar 
yellow  and  bloody.     Priapism. 

Other  remedies  in  this  stage  are  Belladonna  wlie 
there  are  irritable  strictures.  Camphor:  strangury  not  i 
lieved  by  urinating.     Gelseminum,  Capsicum  and  Copaiva 

Aconite:  When  the  disease  begins  to  become  subacui 
Great  agony  at  the  thought  of  urinating.  Burning  at  ne 
of  bladder  when  not  urinating.  Fever,  urine  hot  and  bui 
ing. 

Cannabis  sativa:  Difficult  urination  with  constant  ui 
ing  and  sensation  as  though  urine  were  tearing  the  tissu 
of  the  urethra.  Phimosis  with  dark  redness  of  the  glai 
Penis  feels  sore  and  sensitive.  Patient  must  walk  with  t 
legs  separated.  Urine  spreads  when  voided.  Swelling 
prostate. 

Pulsatilla:     Discharge  of  thick,  milky  mucus. 

Other  remedies  in  this  stage  are:  Fluoric  acid,  Ang 
castus,  Calcarea,  Clematis,  Cubeba,  Kali  bich..  Sane 
wood,  Thuja. 

When  the  disease  enters  the  third  or  chronic  sta^ 
called  gleet,  the  following  remedies  are  of  great  use.  Fii 
and  most  important: 

Sulphur:  The  discharge  is  thin  but  does  not  seem 
abate,  and  other  remedies  well  selected  seem  to  do  no  goc 
There  is  slight  burning  and  smarting  during  urination.  T 
urine  is  passed  in  a  thin  and  divided  stream,    and   there 


I 


CENTRAL  NEW  YORK  SOCIETY.  297 

itching  in  the  middle  of  the  urethra.   This  remedy  will  often 
clear  up  the  case. 

Sepia:  Desire  to  urinate  with  painful  bearing  down  in 
the  perineum.     Prostatitis  and  stricture. 

Thuja:  Burning  in  urethra.  Titillation  as  though  a 
drop  of  urine  was  passing  along  the  urethra.  Discharge 
thin  and  green. 

Other  remedies  to  be  thought  of  in  this  stage  are,  Au- 
rum  met.,  Erigeron,  Agnus  castus  and  Cannabis  sativa. 

Given  a  fresh  case  with  proper  instructions  to  the  pa- 
tient as  to  diet,  hygiene  and  habits,  and  a  well  selected 
homeopathic  remedy,  and  you  can  hope  for  brilliant  results, 
unless  you  have  to  deal  with  a  previously  badly  damaged 
urethra,  when  perhaps  surgical  interference,  such  as  dila- 
tion of  strictures,  etc.,  may  have  to  be  resorted  to. 

A.  A.  Fritz,  M.  D. 

Discussion. — Dr.  Bid  well  mentions  Psorinum  as  one  of 
the  indicated  remedies  in  the  tertiary  or  chronic  stage  of 
gonorrhea. 

Dr.  Graham  mentioned  Methylene  blue  as  a  remedy 
much  used  by  his  father,  and  very  effective  in  chronic  cases 
of  long  standing,  with  a  scant,  white,  gleety  discharge,  and 
no  other  symptoms. 

Dr.  Johnson  said  it  would  seem  that  the  principles  of 
Hahnemann  and  pure  Homeopathy  ought  to  build  up  great 
practices  in  this  direction,  but  that  it  did  not.  He  cited  a 
case  as  excessively  virulent,  that  it  >  in  two  weeks;  in 
four  months  there  was  a  second  attack  which  was  more 
stubborn,  and  Dr.  Brownell,  who  had  seen  the  case  with 
him,  prognosed  death  for  a  third  attack,  or  a  typhoid,  which 
*  prognosis  came  true. 

[Medorrhinum,  acute  or  chronic,  would  probably  have 
eradicated  this  constitutional  diathesis  or  relieved  the  viru- 
lence of  the  disease,    Ed.] 

Br.  Fritz  thought  the  first  attack  was  usually  the  most 
severely  painful. 

Dr.  Hermance  agreed,  but  resorted  to  no  other  treat- 
nient,  than  the  strictly  homeopathic,  and  had  cured  some  of 


298 


THE  MEDICAL  ADVANCE. 


the  most  chronic  conditions  with  Sulphur  and  Psorinun 
when  indicated. 

Dr.  Bidwell  quoted  Dr.  Allen  as  using  Sulphur  in  acutx 
and  Medorrhinum  in  chronic  or  sycotic  conditions,  and  sai( 
that  Dr.  Taylor  **banked"  on  Benzoic  acid. 

Dr.  Grant  had  frequently  found  gonnorrhea  to  be  fol 
lowed  by  mental  depression.  One  patient  of  his  with  rheu 
matism,  accompanied  by  mental  depression,  was  cure 
promptly  by  Medorrhinum  10m. 

THUJA  OCCIDENTALIS. 

Thuja  being  the  medicine  for  discussion  at  this  date 
the  subject  was  continued,^ Dr.  Hermance  considering  Thuji 
a  very  valuable  remedy  in  these  conditions. 

Dr.  Fritz  mentioned  its  use  in  gonorrheal  warts,  cite( 
the  case  of  a  man  having  nine  warts  which  had  been  caute 
rized  and  followed  by  complications,  cured  in  three  week 
by  Thuja  3x. 

Dr.  Grant  asked  if  Dr.  Fritz  had  had  experience  in  th 
cure  of  gonorrheal  warts  about  the  penis,  as  he  had  bee 
much  disappointed  with  Thuja  in  those  conditions. 

Dr.  Hermance  said  that  Thuja  as  a  remedy  had  deve 
oped  several  peculiar  symptoms.  The  mental  symptom  **a 
if  brittle,"  as  if  would  break  in  contact  with  any  substance 
was  very  marked.  He  recalled  the  case  of  an  insane  ma 
who  moved  very  carefully  * 'because  his  legs  were  made  c 
glass."  Thuja  removed  this  mental  symptom  and  cure 
the  patient.  He  mentioned  the  sharp  indication  for  its  m 
in  the  **sweat  of  uncovered  parts,"  and  reminded  the  societ 
of  its  frequent  usefulness  in  the  '*ill  effects  from  vaccini 
tion."  He  thought  BOnninghausen  had  said  that  Thu; 
given  in  the  stage  of  pustulation  of  small-pox  preventc 
scars. 

Dr.  Hermance  considered  it  a  wonderful  remedy  in  goi 
orrheal  rheumatism  caused  by  suppression  of  the  primal 
lesion  with  irritative  injections  and  said  that  it  often  r 
stored  the  primary  discharge. 

The  committee  appointed  to  select  subjects  for  tl 
March  meeting  decided  on: 


REGULAR  HOMEOPATHIC  MEDICAL  SOCIETY.  299 

Organon,  §  §  51-56  inclusive,  Dr.  Bidwell. 
The  Early  Diagnosis  and  Hygiene  of  Tuberculosis,  Dr. 
Dake. 

Homeopathic  Therapy,  of  Tuberculosis,  Dr.  Hussey. 
The  secretary  was  requested  to  invite  Dr.  W.  C.  Cooke, 
of  Moravia,  N.  Y.,  to  attend  the  March  meeting  of  the  so- 
'  ciety. 

S.  L.  Guild-Leggett,  Sec'y. 


TRANSACTIONS  OF  THE  REGULAR  HOMEOPATHIC 
MEDICAL  SOCIETY. 

-    Chicago,  Tuesday,  Jan.  7th,  1908. 

Dr.  H.  C.  Allen  opened  the  meeting  with  the  following 
statement: 

The  general  topic  of  our  meeting  this  evening  is  vacci- 
nation, a  problem  which  is  not  new.  It  has  been  on  the 
docket  a  great  many  years,  and  is  still  here  as  unsettled  as 
ever.  We  do  not  oppose  vaccination;  we  favor  and  practice 
prophylaxis  in  scarlet  fever,  small  pox  and  other  contagious 
diseases.  But  we  have  an  improvement  over  the  old  method 
of  vaccination — something  infinitely  better — offering  more 
protection  and  entirely  harmless.  We  want  the  privilege  of 
using  it.  Why  not  improve  in  this  as  in  treating  diphtheria 
by  the  use  of  antitoxin?  All  we  ask  is  the  right  to  use  our 
license  as  physicians  of  Illinois;  to  give  our  patients  and 
their  children  a  certificate  that  will  enable  the  children  to 
enter  the  public  schools.  Our  certificates  are  sufficiently 
authoritative  in  death;  why  should  they  not  be  in  all  instan- 
ces?   It  is  merely  a  question  of  standing  up  for  our  rights. 


THE  "NEW  YACCINATION"  IN  THE  COURTS  OF  IOWA. 

By  Dr.  Charles  W.  Eaton,  Des  Moines. 

You  will  of  course  bear  in  mind  that  I  stand  here  to- 
night not  as  an  anti-vaccinationist,  but  simply  as  an  advo- 
cate of  homeopathic  vaccination.  We  are  advocates  of  the 
better  way. 

Away  back  in  surgery  there  was  a  day  when  all  hem- 


300 


THE  MEDICAL  ADVANCE. 


orrhages  from  amputation,  excision,  etc.,  were  controlled  b: 
the  application  of  a  hot  iron  and  its  resulting  cautery.  Tc 
day  we  who  use  the  ligature  are  not  opponents  of  surgerj 
We  are  simply  the  practitians  of  improved  surgery. 

In  precisely  the  same  sense  I  stand  before  you,  we 
knowing  that  you  and  my  Iowa  colleagues  are  not  opponent 
of  vaccination,  but  are  advocates  and  users  of  the  prope 
vaccination. 

The  legal  fight  in  Iowa  for  our  proper  recognition  wa 
entirely  successful;  and  it  falls  to  my  lot  tonight  to  tell  yo 
as  accurately  and  briefly  as  I  may,  just  what  happene( 
First,  was  our  small-pox  epidemic  of  five  years  ago.  Up  1 
that  time,  outside  of  the  great  centers,  I  doubt  if  five  p( 
cent,  of  all  physicians  had  ever  seen  a  case  of  small  po: 
but  then  we  all  met  it. 

A  goodly  number  of  the  homeopathic  physicians  in  lo^ 
and  in  Des  Moines  were  using  the  Variolinum  vaccination- 
the  internal  method.  On  Feb.  14,  1902,  the  City  Council  ( 
Des  Moines  (for  Des  Moines  was  the  first  of  three  cou; 
cases  in  Iowa),  sitting  as  a  Board  of  Health  at  the  instanc 
of  our  allopathic  city  physician,  who  was  there  promptir 
them,  adopted  a  resolution  requiring  that  vaccination shou 
be  by  inoculation. 

The  city  physician  and  the  school  board  were  in  cloj 
accord,  and  all  principals  of  schools  were  instructed  to  a( 
mit  no  child  who  had  not  been  vaccinated  by  scarificatic 
on  the  arm  in  the  old  way.  A  certain  Doty  Evans  took  h( 
certificate  to  school  and  was  sent  home.  On  the  17th  ( 
February  Mr.  Evans  accompanied  his  daughter  to  scho 
and  presented  her  to  the  teacher  and  principal  of  the  scho 
and  had  with  him  a  certificate  of  vaccination  showing  thi 
his  daughter  had  been  successfully  vaccinated  within  tl 
past  two  years  as  required,  and  this  was  her  certificat 
**, January  31st,  1902.  I  hereby  certify  that  I  successful 
vaccinated  Doty  Evans,  of  1175  11th  street,  Des  Moine 
Iowa.    C.  W.  Eaton." 

The  principal  of  the  school  and  the  teacher  refused! 
permit  her  attendance  at  school;  refused  to  recognize  tl 


**NEW  VACCINATION"  IN  THE  COURTS  OP  IOWA.  301 

certificate,  claiming  to  do  so  under  the  instruction  of  the 
school  board,  which  was  the  fact.  ' 

Mr.  Evans,  bein(?  an  attorney,  at  once  filed  a  petition 
for  temporary  injunction  in  our  district  court,  directed  to 
the  school  board  and  against  its  individual  members  by 
name,  the  superintendent,  the  principal  of  that  particular 
school  and  the  teacher  of  that  particular  room. 

Des  Moines  was  on  that  day  a  very  inspiring  battle 
ground  for  Homeopathy.  All  of  you  who  have  ever  been  in 
,the  court  room  of  a  district  court  know  the  forlorn  fringe  of 
atoms  that  usually  occupy  the  benches — poor,  broken-down 
old  men  who  look  as  if  they  had  been  picked  up  from  the 
most  desperately  dissipated  and  poverty  stricken  regions  of 
the  city.*  On  that  morning  the  court  room  was  crowded 
with  the  best  parents  of  Des  Moines,  and  gathered  within 
the  region  of  the  bar  was  the  city  solicitor,  of  course;  but 
.the  school  board  took  an  active  part  and  had  its  attorney 
there;  pronounced  friends  of  the  allopaths  were  there  as 
well  as  those  of  the  homeopaths.  One  of  them  who  was  a 
professor  in  the  medical  department  of  Drake  University, 
had  wired  to  the  surgeon  general  at  Washington  to  get  am- 
munition to  use  against  us,  and  had  his  reply  in  his  pocket. 
Things  were  at  the  highest  degree  of  tension.  But  now 
mark.  The  pivotal  point  was  one  entirely  unexpected.  Our 
attorneys  had  based  their  demand  for  injunction  on  the  fact 
that  Homeopathy  is  one  of  the  established  and  recognized 
schools  in  Iowa  and  therefore  its  practice  could  not  be  pro- 
hibited, and  no  board  of  health  had  power  to  prohibit  the 
practice  of  any  method  of  the  homeopathic  school.  It  was 
by  law  an  established  school  of  medical  practice,  and  its 
graduates  recognized  and  licensed  by  the  state. 

The  resolution  passed  by  the  board  of  health  specified 
that  the  vaccination  must  be  by  inoculation.  Of  course  that 
inimical  city  physician  should  have  made  it  '*sctarification,'^ 
but  he  did  not.  The  moment  that  we  got  into  court  the 
question  came  up  as  to  what  was  * 'inoculation."  The  judge 
said;  "If  those  certificates  are  by  inoculation  no  power  on 
earth  can  keep  the  children  out  of  school."    That  started  an 


302 


THE  MEDICAL  ADVANCE. 


immediate  mn  for  a  medical  dictionary  which  said  that  *' 
oculation  was  the  introduction  of  a  virus  into  the  syster 
but  did  not  specify  the  method.  Now  what  happened?  1 
opposition  said,  **We  withdraw  our  opposition."  They  s 
immediately  that  they  were  beaten  and  they  wanted  as  lit 
on  the  court  record  as  possible.  The  whole  case  evaporai 
right  there. 

To  show  how  alert  they  are  and  how  quick  they  h 
the  alarm,  let  me  say  this:  When  it  became  apparent  h 
the  case  was  going,  one  of  our  attorneys  wrote  out  a  cert 
cate  that  would  bring  it  squarely  to  the  question  of  scai 
cation.  We  did  not  want  this  decision  by  default, 
handed  that  certificate  to  me  and  said,  **Get  that  rejec 
right  away."  I  jumped  into  my  buggy,  drove  to  a  sch 
which  was  within  a  half  block  of  where  two  children  li^ 
who  were  being  kept  out  of  school.  I  put  the  certifica 
into  their  hands  and  started  them  to  school,  and 
though  I  left  the  court  house  before  the  case  was  concl 
ed,  those  children  could  not  get  to  the  school  quic 
enough.  When  I  got  there  the  teacher  met  them  wit 
welcome.  *'We  are  glad  to  see  you."  **We  have  just  ha( 
telephone."  In  fact  that  same  day  the  superintendent 
schools  of  Des  Moines  telephoned  to  one  of  the  princip 
that  he  was  to  accept  all  certificates  '*by  the  external,the 
temal  or  the  infernal  method." 

Naturally  we  w^anted  a  case  that  did  not  go  by  defa 
OQ  a  mere  definition  We  wanted  a  case  that  would  be  s 
cifically  on  scarification. 

There  was  a  school  board  in  an  independent  school  c 
trict  partly  within  and  partly  without  the  city  limits,  wh 
president  had  been  instructed  by  the  city  physician  that 
oculation  meant  scarification.  So  some  of  the  scholars 
that  school  were  vaccinated  by  the  'internal"  method,  t 
their  certificates  presented  to  the  president  of  this  outly: 
board.  He  gave  a  written  refusal  to  accept  them  because 
was  not  specifically  scarification,  (that  may  sound  obligi: 
bat  he  was  one  of  my  best  fi-iends  and  patients).  That 
abled  us  to  bring  the  issue  squarely  in  the  court,  which 


"NEW  VACCINATION"  IN  THE  COURTS  OF  IOWA.  303 

did.  The  injunction  was  granted  in  both  cases,  and  after  a 
considerable  time  a  final  decree  entered  and  the  costs  taxed 
to  our  opponents.  The  process  was  by  injunction  and  the 
scarification  question  fairly  raised  and  the  decision  made  in 
our  favor  in  both  cases. 

The  next  case  was  at  Iowa  Falls.  For  two  years  after 
this  decision  we  ran  along  without  molestation  and  began  to 
take  it  for  granted  that  the  other  side  knew  when  they  liad 
enough.  But  they  forgot  at  the  end  of  a  couple  of  years,  or 
else  they  had  not  heard  the  news  in  Iowa  Falls.  An  allo- 
pathic doctor  happened  to  be  chairman  of  the  school  board 
there — a  bad  combination. 

On  November  7th,  1904,  Roy  Marks  was  excluded  on 
the  same  ground  that  the  child  was  excluded  in  Des  Moines. 
The  same  day  the  father  filed  his  petition  for  injunction 
against  the  board  and  against  its  individual  members.  The 
school  board  and  its  members  individually  filed  answer,  in- 
sisting upon  scarification. 

November  12th  the  judge  entered  an  order  for  tempora- 
ry injunction. 

On  the  13th  of  March  following  the  case  was  called  for 
final  hearing  to  make  the  temporary  injunction  permanent. 
The  school  board  of  Iowa  Falls  did  not  appear  at  all  and  the 
court  entered  the  permanent  injunction  and  the  costs  were 
taxed  to  the  school  board. 

Case  three  was  at  Council  Bluffs  and  this  was  not  orig- 
inally our  scrap;  but  we  were  drawn  into  it.  In  the  spring 
of  1905  the  trouble  at  Council  Bluffs  began  between  the  City 
Board  of  Health  ^nd  the  School  Board.  The  mayor  of 
Council  Bluffs  at  that  time  was  the  most  aggressive  and  the 
most  successful  allopathic  physician  of  the  city.  Now  by 
the  Iowa  law  the  mayor  is,  by  virtue  of  his  office,  president 
of  the  school  board.  Mayor  McCrae  and  his  board  issued 
an  order  that  every  teacher,  pupil  and  janitor  of  the  Council 
Bluffs  schools  should  be  vaccinated.  The  school  board  did 
not  think  that  was  necessary  and  did  not  want  it  done  and 
so  they  fought  the  Board  of  Health.  That  was  not  our  fight 
at  all. 


304 


THE  MEDICAL  ADVANCE. 


After  it  was  determined  that  under  the  law  the  Board  ( 
Health  had  the  power  to  order  the  vaccination,  then  it  can 
up  that  Council  Bluffs  homeopaths  were  using  the  intern: 
method.  This  the  City  Board  of  Health  refused  to  recoi 
nize.  Popular  interest  was  at  a  white  heat.  The  last  fe 
weeks  of  that  school  year  the  schools  were  practically  di 
rupted.  The  pupils  were  out  by  hundreds.  People  won] 
not  have  them  scarified  and  no  other  certificates  were  a 
cepted.  With  the  coming  of  fall,  at  the  opening  of  tl 
school  year,  the  conditions  which  were  supposed  to  ha\ 
made  vaccination  necessary  disappeared.  But  both  partic 
concerned  were  desirous  to  settle  the  thing  in  court  so  thi 
in  the  event  of  any  future  emergency  arising  there  would  I 
no  further  question  as  to  the  procedure.  All  parties  agree 
to  make  the  case  on  broad  issues  so  that  it  should  not  I 
decided  on  some  narrow  technicallity  as  the  Des  Moin< 
first  case,  when  they  threw  up  their  hands  on  the  word  **i] 
oculation."  It  was  a  distinguished  trial.  I  do  not  kno 
that  I  dare  say  much  about  it,  for  your  president  this  evei 
ing,  was  one  of  the  witnesses  at  the  trial. 

It  so  occurred  that  the  Missouri  Valley  Institute  < 
Homeopathy  was  in  session  at  Omaha  and  that  gave  not  oi 
ly  the  opportunity  to  call  the  physicians  of  Omaha  ar 
Council  Bluffs,  but  also  those  in  attendance  at  the  meetini 
Dr.  H.  C.  Allen,  Dean  of  Hering  College,  Dr.  George  Roya 
Dean  of  the  State  University  of  Iowa,  the  late  Dr.  A.  1 
Bowen,  of  Sioux  City ,  were  all  on  the  witness  stand  and  thei 
was  also  a  deposition  read  from  Dr.  W.  A.  Dewey,  of  tt 
Michigan  State  University.  The  result  was  an  honorab 
vindication  of  our  rights.  I  quote  verbatim  from  the  decisic 
of  the  court: 

1.  That  Boards  of  Health  have  the  power  to  adopt  and  promnlga 
rules  requiring  those  in  attendance  upon  Public  Schools,  either  as  teac 
ers,  pupils,  employes,  to  be  vaccinated,  at  times   when   an   epidemic 
small  pox   is   threatened  or  prevailing,    and  to  enforce  such  rules  a 
cordingly;  and  reasonable  latitude  should  be  given   to   such   Boards 
their  efforts  to  prevent  the  spread  of  such  disease. 

2.  That  Boards  of  Health  do  not  have  the  power  to  specify  and  e 


"NEW  VACCINATION"  IN  THE  COURTS  OP  IOWA.  305 

force  any  reoognized  method  of  yaccination  to  the  exclnsion  of  others 
recognized  and  practiced  by  any  standard  school  of  medicine,  authorized 
or  established  nnder  the  laws  of  this  state. 

3.  That  for  many  years  it  has  been  tanght  by  the  Homeopathic 
school  of  medicine  that  treatment  by  the  administration  of  Yariolinum, 
commonly  known  as  the  internal  method  of  yaccination,  is  equally  or 
moreeffectiye  as  a  preyentitiye  of  smallpox  than  yaccination  by  the  scari- 
fication method  and  that  yaccination  by  the  administration  of  Variolinum 
or  the  internal  method,  has  for  many  years  been  practiced  by  the 
Homeopathic  School  of  Medicine. 

i.  That  the  rules  of  the  State  Board  of  Health,  as  set  forth  in  the 
cross-petition  of  the  Board  of  Health  of  the  City  of  Council  Bluffs  and 
its  members,  in  the  case  heretofore  pending  in  this  Court,  entitled  "The 
Independent  School  District  of  Council  Bluffs,  by  its  Board  of  Directors, 
^.  D,  MaCrae,  Mayor,  and  Others,"  No.  14393  of  this  Court,  were  and 
we  void,  in  that  said  State  Board  of  Health  had  no  authority  under  the 
constitution  and  laws  of  this  State  to  make  said  regulations  and  in  that 
the  said  State  Board  of  Health  had  no  power  or  au^thority  to  require  vacci- 
nation at  any  time  by  the  method  prescribed  by  any  school  of  medicine 
to  the  exclnsion  of  the  method  approved  by  any  reputable,  recognized 
and  standard  school  of  medicine. 

5.  That  the  rule  of  the  Local  Board  of  Health  of  Council  Bluffs, 
Iowa,  set  forth  in  the  cross-petition  heretofore  referred  to  was  and  is 
against  public  policy,  unreasonable  and  void  in  that  said  Board  of  Health 
has  no  power  or  authority  under  the  laws  of  Iowa  to  adopt  the  same  and 
in  that  the  same  attempted  to  exclude  children  from  the  public  school 
who  were  unyacoinated  by  the  scarification  method,  irrespective  of 
whether  an  epidemic  of  small  pox  existed  or  was  threatened  in  Council 
Blnffe,  or  vicinity,  and  in  that  it  attempted  to  require  vaccination  by 
scarificatiim  to  the  exclusion  of  vaccination  by  the  administration  of 
Tariolinum,  or  the  internal  method,  as  approved,  taught  and  practiced 
bj  the  Homeopathic  School,  which  is  one  of  the  standard  schools  of 
medicine  of  Iowa  and  the  United  States. 

6.  That  under  the  record  herein,  it  appears  at  this  time  an  epidemic 
of  small  pox  is  neither  threatened  or  prevailing  in  this  community  and 
there  is  no  reasonable  apprehension  for  danger  with  regard  thereto. 

7.  The  Court  therefore  finds  that  the  equities  of  this  cause  are 
▼ith  the  plaintiffs,  Ed.  Canning  and  others,  and  that  tbey  are  entitled 
the  reUef  prayed. 

8.  It  is  therefore  considered,  adjudged  and  decreed  ))y  the  court 
that  the  decree  heretofore  entered  in  the  said  cause,  14393,  bo  and  the 


306 


THE  MEDICAL,   ADVANCE. 


same  is  hereby  cancelled  and  set  aside  and  the  Mandatory  Writ  of  i 
Injunction  iisued  thereunder  is  cancelled  and  annulled. 

Let  me  call  your  attention  to  another  opinion.  It  is 
be  noticed  that  no  appeal  was  taken  in  this  or  any  oth 
case.  These  cases  were  all  in  the  various  district  courts  ai 
were  not  in  Courts  of  Appeal — not  in  the  Supreme  Com 
Therefore  no  other  court  was  bound  to  take  notice  of  the 
decisions;  but  I  am  told  by  council  that  courts  are  apt 
take  account  of  such  decisions  and  that  it  is  not  unusual 
to  do  where  no  appeal  has  been  taken  for  the  reason  that 
is  taken  for  granted  that  when  defendants  take  no  appe 
they  regard  the  decision  of  the  court  as  being  correct,  whi( 
gives  especial  weight,  because  it  means  acquiescence  on  bo 
sides;  and  acquiescence  on  both  sides  means  a  concessii 
that  the  position  of  the  court  is  correct. 

Now  this  concludes  the  record  of  the  new  vaccination 
Iowa  Courts.  Just  three  times  the  issue  has  been  joined  fc 
fore  the  judge's  bench  and  just  three  times  Homeopathy  h 
won. 

In  all  three  of  these  decisions,  the  two  Des  Moines, lo^ 
Palls  and  Council  Bluffs,  when  the  cases  came  to  trial,  tl 
contest  inevitably  narrowed  down  to  just  this  propositic 
That  Boards  of  Health  have  not  the  power  to  specify  ai 
enforce  any  method  to  the  exclusion  of  any  other  meth' 
practiced  by  a  school  of  medicine  which  is  authorized  ai 
established  under  the  laws  of  the  state.  It  is  probable  th 
we  will  have  no  more  cases,  because  the  allopathic  physicia 
realize  that  with  three  existing  decisions  against  them 
three  widely  separated  courts,  it  is  scarcely  within  t 
range  of  possibility  to  secure  a  reversal  of  these  decisio 
and  secure  a  decision  to  themselves. 

The  immediate  result  of  these  decisions  was  that  t 
patrons  of  Homeopathy  were  free  to  have  their  childr 
vaccinated  by  the  internal  method.  But  certain  collatei 
results  were  bound  to  appear.  For  instance,  the  Boards 
Health  served  notice  on  the  large  employers,  business  hous 
and  manufacturers,  that  they  must  have  all  their  employ 
vaccii^ated  on  certain  dates  or  else  they  would  be  closed  u 


k 


**NEW  VACCINATION"  IN  THE  COURTS  OF  IOWA.         307 

This  was  a  phase  involving  large  financial  interests.  In  the 
case  of  two  of  these  large  concerns  I  vaccinated  their  em- 
ployes by  the  internal  method  under  the  agreement  that  if 
the  cases  that  were  then  pending  went  against  us,  I  would 
immediately  vaccinate  their  force  by  scarification  without 
additional  charge.  No  matter  how  ardent  a  homeopath  an 
employer  may  be,  he  cannot  run  any  risk  of  the  wheels  of 
his  factory  being  stopped  or  the  doors  of  his  stores  being 
closed  by  the  Board  of  Health.  Thus,  our  legal  status  pro- 
tected not  only  the  children  in  the  school,  but  also  the  men 
and  women  of  the  business  world.  Furthermore,  it  has  been 
able  to  protect  numbers  of  families  who  have  removed  from 
Iowa  to  other  states,  because  our  certificates  have  been  ac- 
cepted in  many  instances  by  school  authorities  of  other 
towns  of  other  states  in  cases  of  such  removal. 

Again,  our  *  legal  status  is  also  adequate  for  the  pro- 
tection of  those  who  have  been  exposed  to  small  pox  and 
whose  release  from  the  resulting  quarantine, — that  is,  of 
exposure — is  conditioned  upon  their  being  vaccinated.  None 
of  us  would  think  of  these  things  in  advance,  but  these  con- 
ditions appeared  in  Iowa,  and  you  can  expect  them  logically 
and  as  a  matter  of  course.  This  found  an  amusing  illustra- 
tion in  Des  Moines. 

Small  pox  having  appeared  in  a  family,  and  the  patient 
having  been  taken  to  a  hospital,  it  was  required  of  the  re- 
mainder of  the  family  that  they  be  vaccinated  before  quaran- 
tine be  released.  The  head  of  the  house  presented  a  certi- 
ficate by  the  internal  method  to  the  city  physician,  a  rabid 
allopath,  who  literally  "fired"  it.  Our  attorney  then  called 
upon  the  mayor  who  sent  our  attorney  to  the  city  physician. 
The  city  physician  greeted  him  with  scant  courtesy,  refusing 
curtly  to  pay  any  attention.  The  mayor  consulted  the  city 
solicitor  who  advised  him  that  there  was  no  escape  from  re- 
leasing the  family  from  quarantine.  Then  the  mayor  sent 
word  by  our  attorney  to  the  city  physician  to  release  the 
quarantine,  whereupon,  when  the  mayor  sent  this  message, 

the  city  physician  replied:  **Tell  the  mayor  to  go  to  !" 

Our  attorney  delivered  the  message  to  the  mayor,  who  fairly 


308 


THE  MEDICAL  ADVANCE. 


jumped  to  the  telephone,  called  up  the  doctor,   told  him 
release  that  quarantine  forthwith  and  the  quarantine  was  c 
of  the  house  within  an  hour. 

Now,  you  see  all  that  would  have  been  impossible  b 
for  the  decisions  behind  it. 

Another  factor  in  the  Iowa  contest  was  the  attempt  ( 
the  part  of  the  allopathic  physicians  to  checkmate  us  I 
having  the  State  Board  of  Health  adopt  a  definition  of  va 
cination,   specify  the  scarification  as  sure  and  poss^tive. 
resolution  including  such  a  definition  the  allopathic  membe 
of  the  Iowa  State  Board  expected  to  carry,   as  they   ha"^ 
four  members,   the  homeopaths  two  and  the  eclectics  on 
In  pursuance  to  these  tactics,  the   Secretary  of  the  Boai 
who  was  thoroughly  in  opposition  to  us,  went  to  the  Nation 
Conference  of  State  and  Provisional  Boards  of  Health  th: 
was  held   at  Hartford,   Connecticut.     He  was  on  the  flcM 
once  during  that  meeting  and  that  was  for  the  purpose 
telling  the  story  of  his  Iowa  tribulations  from  internal  va 
cination,  he  asked  the  committee  to  formulate  a  definition 
vaccination,  which  request  was  complied  with. 

He  came  home  and  that  definition  was  introduced'  at 
meeting  of  the  board  for  passage.  It  was  practically  d 
feated  in  the  morning  meeting.  They  adjourned  for  luncl 
and  those  of  you  who  have  been  practical  workers  in  the 
things  know  what  terrible  things  can  lie  concealed  in  \ 
adjournment.  The  Board  of  Health  of  Iowa  included  in  i 
members  a  vetrinarian  and  a  civil  engineer — very  properl 
Evidently  during  the  lunch  hour  these  gentlemen  were  1 
bored  with,  so  that  at  the  afternoon  session  that  definiti< 
was  perpetrated  upon  the  Iowa  profession  by  a  gain  of  the 
votes.  So  that  we  have  in  Iowa  a  definition  of  vaccinatic 
with  all  the  authority  behind  it  of  a  **horse  doctor"  and 
civil  engineer,  but  it  is  ofticial  nevertheless. 

A  bill  was  then  introduced  into  the  legislature  effectii 
a  definition  of  vaccination.  The  legislature  shied  so  that 
did  not  get  outside  of  the  committee.  Last  year  the  Sta 
Board  of  Health  undertook  a  revision  of  its  regulations  frc 
A.  to  Z.,  and  among  other  things  they  encountered  the  abo 


**NEW  VACCINATION''  IN  THE  COURTS  OF  IOWA.  309 

definition.  Under  the  suggestion  of  our  members  to  the 
board  that  some  evidence  had  occurred  that  there  were  three 
decisions  in  the  state  which  flatly  contradicted  their  defini- 
tion, and  that  it  could  not  stand;  they  passed  it  over  and  the 
Iowa  State  Board  of  Health  does  not  promulgate  any  official 
definition  of  vaccination,  and  in  fact  has  none. 

Li  1902,  or  when  the  board  was  first  considering  this 
matter  of  definition,  Dr.  Linn,  one  of  the  two  homeopathic 
members  of  the  board,  acting  independently  and  not  official- 
ly, requested  the  opinion  of  Mr.  W.  H.  Bailey,  a  leading 
lawyer  of  Des  Moines,  upon  the  subject  of  the  power  of  the 
board  to  enforce  such  a  definition.  This  opinion  is  very  in- 
teresting in  the  careful  review  that  it  takes  of  the  situation, 
and  of  the  principle  already  spoken  of:  That  homeopathic 
physicians  are  licensed;  that  they  are  given  special  ques- 
tions at  State  Board  examinations  in  Materia  Medica,  etc. , 
and  therefore,  being  recognized  by  the  law,  their  practice 
cannot  be  prevented  or  refused  by  the  various  or  local 
Boards  of  Health,  as  well  as  by  the  State  Board  of  Health. 
That  opinion  is  in  the  hands  of  some  of  our  friends  here, and 
in  the  interest  of  time  I  will  omit  it  altogether,  although  it 
is  cogent  and  careful  and  scholarly,  and  very  interesting. 

Now  a  matter  closely  allied  with  the  legality  of  the  in- 
ternal method  of  vaccination  is  the  proper  form  of  the  cer- 
tificate we  should  use.  At  all  times  we  should  take  the  ad- 
vice of  our  legal  counsel  as  to  the  best  form  of  certificate 
which,  under  the  statutes  of  the  state  it  is  wise  to  employ. 
The  local  board  of  health  rule  demanded  that  the  certificate 
should  show  two  things:  That  the  vaccination  has  been  by 
inoculation  and  that  it  has  been  successful. 

Now  as  to  the  word  "successful."  I  suppose  a  vaccina- 
tion may  be  ''successful"  if  there  is  a  visible  scab.  But  we 
have  no  scab  to  show  for  our  "successful,"  therefore  what 
do  we  mean  by  it?  Simply  this:  In  a  majority  of  the  cases 
under  the  treatment  by  Variolinum,  the  patients  will  show 
a  distinct  reaction,  such  as  fever,  active,  gastric  and  intest- 
inal disturbances,  etc.  Now  then,  if  the  preparation  you 
nse  has  in  any  one  produced  those  symptoms  it  shows  that 


310 


THE  MEDICAIi  ADVANCE. 


preparation  to  be  active,  and  if  you  give  an  active   prepar 
tion  there  is  no  doubt  that  it  will  impress  the  organism. 

A  demonstrated  preparation  that  can  produce  distin 
disturbances  is  sure  to  be  **successfur'  to  whomsoever  a 
ministered,  because  what  is  administered  by  way  of  tl 
stomach  always  gains  contact  with  the  system.  We  nev 
give  a  dose  of  Prussic  Acid  with  the  idea  that  one  will  n 
"take.'    We  all  '*take"  in  such  cases. 

One  of  my  colleagues  thinks  that  the  certificate  shou 
read,  **inoculation  per  ora."  He  also  insists  upon  himse 
administering  the  first  dose.  I  also  use  a  dose  night  ai 
morning  or  until  reaction  occurs  or  for  two  weeks,  for  in  tl 
absence  of  any  objectional  reaction  it  is  well  to  make 
thorough. 

As  my  coUeage  said,  it  is  well  to  administer  the  fii 
dose  yourself,  because  some  people  will  get  the  Variolinu 
from  a  physician,  and  also  the  certificate,  and  never  tal 
the  medicine  because  they  are  opposed  to  that  sort  of  thin 

During  the  height  of  the  small  pox  epidemic  a  lady  we 
to  a  reputable  and  one  of  the  well  known  allopathic  phy 
ciansof  our  city  to  be  vaccinated.  She  asked,  **How  mu( 
will  it  be?"  and  the  physician  replied,  "One  dollar."  *'Bu1 
she  said,  '*I  want  you  to  rub  water  on  instead  of  vacci 
poison.  I  don't  want  it  to  take"  '*0  well,  that  will  be  U 
dollars  and  a  half,"  answered  the  physician.  I  speak 
this  to  call  pointed  attention  to  the  fact  that  any  dishones 
stich  as  I  have  mentioned  is  equally  applicable  to  vaccir 
tion  by  scarification. 

In  Iowa  doctors  have  quite  generally  used  the  thirtie 
potency  for  vaccination.  I  say  this  in  anticipation  of  a  qu( 
tion  that  may  be  in  your  minds. 

I  may  have  wearied  you  by  being  on  the  floor  so  Ion 
yet  it  is  hardly  possible  to  give  a  clear  and  definife  accou 
of  just  what  happened  in  the  courts  of  Iowa  in  less  tin 
As  has  been  previously  remarked,  the  unbroken  chain 
decisions  in  our  favor  will  probably  preclude  any  furth 
appeal  to  the  courts.  Now  and  then  there  may  be  soi 
trouble  in  some  outlying  locality  among  those  who  are   cc 


**NEW  VACCINATION"  IN  THE  COURTS  OF  lOmA.  311 

tumacious,  but  so  soon  as  they  are  advised  of  what  has 
transpired,  they  will  accept  our  vaccination  without  more 
ado. 

The  homeopaths  of  Iowa  are  proud  of  their  Iowa  courts, 
who  have  said  to  the  hosts  of  Allopathy,  "You  shall  not  de- 
ny the  people  everything  that  has  not  been  approved  by 
your  own  ignorance  and  your  own  prejudice.  You  shall  not 
filch  from  little  childfen  their  priceless  heritage  and  healthy 
and  untainted  bodies." 

THE'  SCHOOL  VACCINATION  LAW  A  DEAD  LETTER  AT 
NIAGARA  FALLS. 

The  following  communication  was  printed  in  the  New- 
burgh  Daily  ifews  of  March  16,  1908: 
*'To  the  Editor  of  the  News :" 

** Allow  me  to  congratulate  The  News  on  its  liberal  and  broad- 
minded  policy  in  opening  its  columns  to  both  sides  of  the  vaccination 
controyersj.  It  is  a  deplorable  fact  that  many  newspapers  habitually 
reject  all  commnnications  containing  statements  of  the  fact  to  the  dis- 
credit Df  vaccination.  If  I  may  be  permitted  to  prophesy,  I  venture  the 
prediction  that  so  soon  as  the  people  of  Newbuxgh  shall  have  learned  the 
tmth  about  vaccination  they  will  drive  the  filthy  fad  to  the  woods. 

Through  the  good  offices  of  The  Daily  Cataract  Journal,  the  leading 
newspaper  of  this  city  onr  people  have  been  so  enlightened  on  the  sub- 
ject of  vaccination  that  the  degrading  and  dangerous  rite  has  been 
driven  from  our  city.  We  have  a  resident  population  of  about  30,000 
Inhabitants.  During  the  summer  seasons  our  city  is  annually  visited 
by  vast  numbers  of  tourists  and  excursionists  who  flock  here  from  all 
quarters  of  the  globe.  In  consequence  of  this  enormous  floating  popula- 
tion, small  pox  infection  has  been  frequently  imported  into  our  city. 
Vaccination  has  been  discredited  and  almost  wholly  neglected  by  our 
mimicipal  authorities  for  many  years  past.  So  pronounced  and  de- 
termined is  the  popular  resentment  against  Jenner*s  fllthy  nostrum  that 
it  is  impossible  to  enforce  the  State  vaccination  law  in  our  public 
schools.  The  consequence  is  that  the  pupils  in  our  schools  have  not 
been  subjected  to  vaccination  during  the  past  ten  years.  The  process  of 
inoculating  the  products  of  undefined  disease  into  the  wholesome  bodies 
of  school  children  is  repudiated  by  our  people  as  a  criminal  and  cowardly 
outrage  which  they  refuse  to  tolerate.  Our  people  are  too  intelligent 
and  progressive  to  pin  their  faith  to  an  antiquated  and  barbarous  medical 
practice  which  violates  the  fundamental  laws  of  hygiene  by  implanting 
the  seeds  of  disease  into  the  healthy  bodies  of  their  children.     I  believe 


312 


THE  MEDICAL  ADVANCE. 


I  am  safe  in  saying  that  Niagara  Falls  is  the  least  vaccinated  city  in  i 
United  States.  Notwithstanding  oar  people's  comtempt  for  and  negl< 
of  vaccination  we  have  not  had  anything  like  an  epidemic  of  small  p 
in  this  city  dnring  the  last  quarter  of  a  century,  daring  all  of  whj 
time  I  have  been  engaged  in  the  practice  of  medicine  here.  Daring  1 
same  period  we  have  had  bat  a  single  death  from  small  pox  in  tl 
city.  In  the  coarse  of  the  last  eight  years  small  pox« cases  have  gain 
admission  into  oar  anvaocinatd  city  on  twelve  or  more  different  occasic 
ooming  each  time  from  the  well  vaccinated  cities  around  us.  £ach 
these  twelve  outbreaks  of  small  pox  in  a  non-vaccinated  city  was  read 
controlled  and  its  spread,  beyond  a  few  mild  cases,  prevented  withe 
any  ^  recourse  to  vaccination.  I  believe  that  no  other  city  of  its  size 
the  United  States  can  boast  of  such  immunity  from  small  pox  as 
have  enjoyed,  notwithstanding  that  our  population  is  more  exposed 
infection  than  that  of  any  oj;her  city  in  America.  With  a  firm  convicii 
in  my  belief,  I  have  published  over  my  name  in  many  of  the  medi 
journals  and  leading  newspapers  of  this  country  the  following  challen^ 

I  hereby  challenge  any  health  officer  or  commissioner  of  health 
the  the  United  States  to  mention  the  name  of  any  thoroughly  vaccinal 
and  re-vaccinated  city  into  which  small  pox  cases  have  gained  entrai 
for  comparison  with  the  unvaccinated  city  of  Niagara  Falls.  If  anyc 
will  do  so  I  will  confidently  undertake  to  prove  by  the  official  reooi 
that  the  people  of  Niagara  Falls  have  during  the  last  decade  enjoyed 
far  greater  immunity  from  small  pox  and  have  had  a  far  lower  dec 
rate  from  that  disease  than  has  the  thoroughly  vaccinated  and  re-vac 
Bated  city  to  be  mentioned  for  comparison.  Notwithstanding  the  fi 
that  this  challenge  has  been  given  widespread  publicity  in  the  medi 
and  the  lay  press,  no  health  board  doctor  or  other  partisan  of  \ 
Jennerian  rite  has  had  the  temerity  to  accept  it  and  for  obvious  reasc 
never  will  accept  it. 

In  the  presence  of  the  above  challenge  the  intrepid  champions 
^  ^protective"  vaccination  have  remained  as  speechless  as  Egypt) 
inummies. 

J.  W.  Hodge,  M.  O. 

BLINDNESS  FROM  DRUGGING. 

By  Dr.  G.  P.  Thornhill,  Paris,  Texas, 
Three  weeks  ago  a  lady  came  to  my  office  totally  bli 
in  her  left  eye.  Eight  months  ago  she  was  confined  a 
given  Ergot  to  stop  hemorrhage.  Three  months  later  s 
noticed  her  sight  was  impaired  and  went  to  a  specialist.  1 
put  '*something"  in  her  eye.     That  night  she  lost  the  sig 


A  CASE  OP  REMITTENT  FEvER.  31? 

completely.  He  treated  her  several  months,  finally  exam- 
ined her  with  the  X-ray  and  told  her  he  * 'could  see  the  optic 
nerve  was  dead" — and  I  suppose  could  see  just  as  easily  what 
she  was  thinking  about — that  there  was  no  hope  for  her. 

I  examined  her  case  closely,  and  I  knew  from  her  symp- 
toms Atropine  or  Belladonna  was  the  ''something'  put  in 
her  eye.  Besides  this  as  a  key-note  she  had  other  strong 
Belladonna  symptoms.  Two  doses  of  Belladonna  cm.  has 
completely  restored  her  sight  in  three  weeks.  She  can  read 
the  finest  print  with  that  eye,  but  of  course  is  a  little  weak 
yet.    Improvement  began  in  24  hours. 

I  find  the  most  of  my  chronic  work  is,undoing  allopathic 
dosing. 


A  CASE  OF  REMITTENT  FEVEK. 

By  Ganga  D.  Banerjee,  Howrah,  India. 

Case.— On  October  10,  1907,  I  was  called  at  Sulkea, 
Ho\Yrah,  to  see  Babu  Sinha,  who  had  been  suffering  for  30 
days  with  a  low  type  of  remittent  fever  and  acute  indura- 
tion of  the  liver.  He  was  under  the  treatment  of  a  regular 
(?)  well-known  physician  of  the  locality  for  many  days  with- 
out any  good  result.  The  precious  day  the  doctor,  after 
trying  his  so-called' regular  mixtures  and  plasters,  declared 
it  a  serious  one  and  wished  to  consult  an  old  and  experienced 
civn  surgeon  of  the  Calcutta  Medical  College.  The  uncle  of 
the  patient  who  had  very  little  faith  in  Homeopathy,  thor- 
oughly against  his  will,  at  the  request  of  his  relatives,  came 
to  me  to  see  if  any  magical  work  could  be  done  by  Homeopa- 
thy in  a  day  or  two.  My  taking  of  the  case  presented  the 
foUowing  symptoms: 

Temperature;  highest  102  and  lowest  100,  which  begins 
to  rise  at  9  a.  m.  every  day. 

Violent  and  continual  stitching  pain  in  the  liver  which 
is  <  at  3  a.  m,^ 

The  liver  is  so  much  enlarged  and  indurated  that  he 
can  scarcely  breathe. 

The  patient  can  not  lie  on  right  side,  i.  e.,   on  the  pain. 


»14 


THE  MEDICAL  ADVANCE 


ful  side  at  all,  and  if  he  tries  to  do  so  the  stitching  pain  is 
much  increased  that  breathing  is  difficult. 

Swelling  of  the  upper  eye-lids  like  a  sac. 

Complete  aphonia. 

Pressure  in  the  chest. 

Backache  as  if  bruised. 

Tongue  coated  white;  taste  foul. 

Frequent  urination  at  night  with  much  pressure  a 
scanty  emission.    Urine  pale  greenish. 

Previous  history:  The  patient  was  much  addicted 
wine.  Had  syphilitic  ulcers  and  gonorrhea  some  five  yes 
before.  Ten  years  before  had  eruption  of  itch  suppress 
by  some  native  ointment. 

I  told  him  to  wash  off  the  Belladonna  plaster  given 
the  regular  (?)  doctor. 

The  stitching  pain  <  when  lying  on  the  painful  s 
and  also  the  3  a.  m.  aggravation,  together  with  other  syii 
toms  lead  me  to  prescribe  Kali  carb.  cm.,  one  dose,  on  0 
10,  and  three  doses  of  Placebo,  one  every  three  hours. 

Oct.  11.  The  patient  is  breathing  easily,  the  stitchi 
pain  is  somewhat  less.  The  fever  as  before.  Placebo,  eij 
doses,  one  every  three  hours  for  two  days. 

Oct.  13.  The  patient  is  breathing  easily.  Color  of  1 
urine  is  changed  and  he  is  urinating  freely;  temperature 
Previous  day  it  rose  to  100  instead  of  102.  Has  had  Plac< 
for  two  days. 

Oct.  15.  Patient  says  everything  is  all  right.  Then 
no  backache,  no  hoarseness.  He  is  passing  stools  regul 
ly.  Temperature  norihal  during  the  whole  day.  At  nij 
it  rose  to  99i  with  occasional  perspiration.  The  ton^ 
takes  imprints  of  teeth  with  salivation.  He  can  not  lie 
the  right  side  yet.  No  stitching  pain.  The  size  of  the  li^ 
decreased.  One  dose  Merc.  sol.  200  given  and  Placebo 
two  days. 

Oct.  18.  It  is  reported  by  the  uncle  of  the  patient  tl 
he  is  now  sleeping  well,  even  lying  an  right  side;  no  rise 
temperature.  I  have  given  eight  powders  of  Placebo  to 
taken  twice  daily.  The  patient  is  well.  The  family  1 
since  then  become  staunch  supjDorters  of  Homeopathy. 


STANDARD  HOMBOPATHY.  815 

^STANDARD  HOMEOPATHY," 
A  Seordiiiig  Reply  to  an  Editor. 

By  John  Hutchinson,  M.  D.,  New  York. 
To  the  Editor. 

Dr.  Egbert  Guernsey  Rankin  chose  a  very  interesting 
title  for  his  paper  in  the  March  Chironian,    **The  Standard 
ot  Homeopathic  Therapeutics"  implies  a  good  deal,  and  sug-  - 
gests  the  consideration  of  an  important  subject. 

It  appears  according  to  the  paper  that  our  school  of 
homeopathic  practice  is  made  up  of  two  factions;  a  small 
minority  in  numbers  that  still  respects  the  law  of  similars,  a 
natural  law  as  best  stated  by  Hahnemann,  being  one  faction 
and  a  very  large  majority  of  physicians  that  have  progressed 
far  beyond  and  away  from  Hahnemann  and  everything  so 
remote  and  out  of  date  as  his  views,  composing  the  other 
faction.  Meantime,  no  specific  definition  is  offered  for 
"twentieth  century  Homeopathy."  Just  what  this  new  thing 
is  must  be  learned  from  the  paper,  which  seems  to  address 
itself  wholly  to  * 'a  small  faction  of  extremists" — the  intol- 
erable minority. 

Advances  in  surgical  art  are  outlined,  but  those  per- 
taining to  homeopathic  therapeutics  have  not  been  traced. 
This  omission  is  noteworthy  because  the  two  departments 
of  medical  science  are  wholly  distinct.  Surgical  technique 
k  no  more  Homeopathy  than  is  internal  medication  surgical 
technique.  Sometimes,  however,  somebody  chooses  between 
the  two,  for  occasionally  somebody  knows  that  patients  have 
died  after  being  operated  for  appendictis,  and  that  other 
patients  have  lived  after  homeopathic  treatment  for  appen- 
dicitis without  operation. 

Electrology,  bacteriology  and  radiology  are  extolled,  and 
they  are  most  attractive  sciences,  to  be  s\ire,  but  their  re- 
lation to  the  correction  of  human  ills  is  a  long  way  yet  from 
being  safely  understood  in  any  therapeutic  sense.  It  is  true, 
as  stated,  that  as  these  progress  they  and  ''each  new  dis- 
covery requires  a  re-adaptation,"  which  in  the  actual  cir- 
cumstances almost  reminds  us  of  "recantation,"  as  being 
more  accurate. 


316 


THE  MEDICAL  ADVANCE. 


And  here  we  seem  to  come  to  the  point  of  the  matt 
Homeopathic  therapeutics  sprang  into  being  as  an  ineVital 
and  a  sound  and  a  scientific  protest  against  the  irregul 
haphazard,  unreasoning  drug  methods  of  that  day.  It 
now  just  as  important  a  protest  as  ever,  just  as  imperati 
just  as  necessary,  and  just  as  effective.  So  much  so  tl 
the  best  minds  in  other  ranks  announce  their  rejection 
all  drugs  as  useless.  Yet,  curiously  enough,  nothing  to 
place  them  has  developed.  An  anomaly  confronts  us  to-di 
Crude  drugs  are  of  no  value,  but  they  are  prescribed,  a 
the  sick  get  them  just  the  same.  Now,  if  a  man  has  a 
ethical  right  whatever  to  call  himself  a  homeopathic  pi 
sician  he  knows  by  virtue  of  that  right  that  such  medicat; 
is  distinctly  harmful  to  human  life  and  health. 

The  phrase,  **As  medical  science  progresses,"  haj 
peculiar  sound  to  one  who  appreciates  its  significance,  a 
what  bearing  that  progress  has  on  the  (?ure  of  human  i 
Its  beneficence  is  all  in  the  future.  Meantime,  what  ab 
curing  the  sick?  They  are  everywhere  about  us  clamori 
for  help.  They  are  told  that  medical  science  of  to-day  i 
wonderful  thing,  and  they  innocently  suppose  that  it  off 
some  advanced  therapy  in  the  cure  of  tuberculosis,  men 
gitis  and  rheumatism.  They  innocently  suppose  that  pn 
monia  is  more  successfully  treated  than  heretofore.  I 
they  find  that  most  of  the  progress  consists  of  fresh  i 
sometimes  hot  and  sometimes  cold,  but  always  in  exi 
ordinary  dosage. 

So,  after  all,  the  most  help  has  to  come  from  time-w< 
Homeopathy,  which  the  careful  students  of  its  masters  \ 
remember  has  incidentally  covered  the  subject  of  hygi< 
very  well.  And  these  same  patients  still  clamoring  for  h 
present  in  their  illnesses  every  indication  for  the  prec 
help  they  need.  It  is  the  help  that  we  by  this  time  sho 
know  how  to  give,  for  we  have  been  unable  all  these  ye 
to  discard  one  complemental  remedy.  Nothing  has  been  ( 
covered  to  supplant  it,  and  what  was  once  good  always 
mains  good. 

But  to  quote  further:     '*So  is  the  unmodified  Horn 


■\ 


STANDARD  HOMEOPATHY.  3 17  - 

pathy  of  Hahnemann  unsuited  to  this  day."  I  read  this 
original  sentence  with  amazement.  Others  will  read  it  with 
amazement.  Where  is  the  modified  substitute  that  we  should 
accept  and  welcome?  How,  where,  and  when  shall  we  **em- 
brace  the  standards  of  modern  advancement"  as  opposed  to 
Homeopathy?  Is  the  embrace  to  vary  and  fluctuate  like  the 
standard? 

**He  employes  homeopathic  therapeutics  where  common 
sense  indicates  its  use."  This  is  impossible.  Common  sense 
may  be  "common  ignorance."  The  physician  must  have 
more  than  common  sense  to  practice  Homeopathy.  ''A 
special  knowledge  of  homeopathic  therapeutics"  is  post- 
graduate learning.  He  cannot  acquire  a  special  knowledge 
with  his  common  sense,  nor  until  he  has  duly  passed  on — 
"All  that  pertains  to  the  great  field  of  medical  learning 
[which]  is  his  by  tradition,  by  inheritance,  by  right." 

But  since  "A  homeopathic  physician  is  one  who  prac- 
tices according  to  the  law  of  similars,"  his  must  be  a  definite 
vocation. 

The  opinion  of  the  majority  have  weiglit  with  the  facts 
of  science,  and  the  facts  of  science  have  nothing  to  do  with 
the  opinion  of  the  majority.  If  a  man  knows  nothing  what- 
ever of  the  law  of  gravitation,  his  non-belief  is  unimportant. 

Millions  of  human  beings  may  deny  the  law  from  pure 
ignorance,  but  the  incident  is  quite  irrelative.  So-called 
^'Christian  Science"  has  large  majorities,  it  grbws,  and  for 
all  we  know  progresses  wonderfully;  but  does  that  make  the 
organization  either  Christian  or  scientific? 

**As  to  our  own  college,  it  stands  beyond  criticism.  True 
to  the  standards  of  the  school."  ...  I  do  not  pretend 
to  understand  these*  statements.  They  are  wholly  incom- 
prehensible, since  the  author  has  established  no  definition 
for  "standards."  Were  I  to  hazard  a  guess,  I  should  hope, 
as  an  alumnus^  that  it  would  not  be  true.  Therefore,  I  can- 
not discuss  these  statements. 

Instead  let  me  submit  the  following  propositions: 

Homeopathy  is  not  a  shifting  principle,  and  cannot  be- 
come obsolete  in  any  sense.     Its  oldest  work  is  permanent 


ai8 


THE  MEDICAL  ADVANCE. 


and  valuable  like  Greek  or    Roman  architecture,   paintii 
and  sculpture. 

A  law  of  nature  has  no  variable  standard  of  stability. 

A  law  of  nature  bearing  upon  all  phases  of  a  defin 
range  of  science  requires  the  best  gi*^^  sind  most  metbc 
leal  system  and  form  of  elucidation. 

Homeopathy  is   post-graduate  medical  knowledge- 
demands  the  best  developed  scientific  sense  for  its  grasp. 

A  college  of  Homeopathy  should  live  up  to  its  name. 

It  is  also  submitted  that  a  '*fully  equipped"  physician 
something  more  than  one  **imbued  with  the  zeal  of  heali 
the  sick  by  any  means  which  science  has  proved  reasonal 
and  experience  has  proved  effective.'*  Even  any  old  co 
mon  sense  might  assume  that  teachers  of  homeopatl 
medicine  had  decided  beforehand  that  such  medicine 
superior.  Unfortunately,  however,  students  are  hardly  1 
over  the  borders  of  the  subject,  to  say  nothing  of  not  bei 
guided  into  the  very  heart  of  its  profound  study. 

The  college  can  never  have  again  the  worthy  lead< 
who  are  dead.  They  were  none  the  less  able  because  th 
believed  and  taught  the  older  laruths  of  medicine,  most 
which  are  to  be  found,  as  far  as  therapeutics  go,  in  Hom< 
pathy  alone.  They  did  their  work  well,  and  they  are  e^ 
honored  for  it.  Yet  away  and  beyond  this  supporting 
flection,  we  may  asstlre  ourselves  that  whatever  our  o' 
shortcomings,  scientific  truth  is  dependent  in  no  particu 
upon  our  support  for  life  or  nourishment.  Homeopathy, 
whatever  name  known,  cannot  die.  Others  may  demonstn 
it  unwittingly,  or  perhaps  unwillingly.  We  may  be  unfai 
ful  to  our  trust  and  miss  completely  our  great  opportnni 
It  will  net  greatly  matter  for  truth  has  its  own  vitality. 

But  as  to  its  effect  on  ourselves,  that  is  another  .  afh 
Returning  to  the  previous  quotation,  it  may  be  remarl] 
that  a  physician  who  aspires  to  the  practice  of  Homeopat 
needs  a  much  higher  credential  than  "zeal."  Zeal  is  all  v< 
fine,  but  knowledge  is  better. — The  Ghvronian. 


ADDRESS  ON  DIATHESIS.  319 

IN  ADDRESS  ON  THE  DIATHESIS;  THE  PERSONAL 
FACTOR  IM  DIMEASE"". 

By  Sir  Dyce  Duckworth,  M.  D..  Edin.,  LL,  D.  Edin, 

P.  R  C.  P.  Lend, 

CoDSTiHiiig  Physician  to  St.  Bartholomew's  Hospital,  London,  and  the 

Italian  Hospital,  Queen  Square,  London;  Senior  Physician  to 

the  Seamen's  Hospital,  Greenwich. 

The  doctrine  of  the  diathesis  as  applied  to  practical 
medicine  is  little  in  vogue  in  this  twentieth  century.  It  is 
now  commonly  supposed  to  be  a  survival,  and  a  rapidly  de- 
caying one,  of  mediaeval  modes  of  thought  applied  to  a  hum- 
oral pathology,  and  now  rendered  effete  and  useless  in  the 
face  of  the  revelations  of  bacteriology. 

I  do  not  stand  here  today  to  decry  progress  in  any  field 
of  medicine.  Our  art  can  but  die  if  it  does  not  advance,  and 
happily  there  are  signs  on  all  hands  of  progressive  research- 
es of  which  some  at  least  are  sure  to  be  fruitful.  Let  us 
always  remember  that  research  is  only  properly  prosecuted 
for  the  sake  of  enduring  truth  and  not  merely  to  supply 
material  for  publication  in  ephemeral  journals  or  contribu- 
tions to  medical  congresses  and  .societies.  While  therefore 
I  am  in  full  sympathy  with  all  duly  prosecuted  research,  I 
am  not  prepared  to  turn  my  back  on  all  the  solid  acquire- 
ments of  the  past,  to  regard  my  great  predecessors  in  medi- 
cine as  unwise  and  ignorant  men,  and  to  believe  that  the 
microscope  and  the  X-ray  have  heralded  the  dawn  of  an  en- 
tirely new  era.  Truth  is  eternal  and  there  can  be  no  fashion 
in  it.  The  tendency  is  to  adopt  the  new  revelation  and  to 
ignore  or  despise  the  old.  I  think  this  is  a  dangerous  error. 
We  physicians  take  perhaps  too  many  of  our  novelties  from 
the  laboratories  of  the  physiologist,  and  we  repose,  it  may 
be,  too  seriously  on*  the  pronouncements  of  men  who,  if  not 
void  of  any  clinical  experience  and  instincts,  certainly  are 
not  practical  physicians  in  daily  contact  with  the  maladies 
of  humanity. 

•Delivered  in  French  before  the  Faculty  of  Medicine  of  Paris,  Feb. 
18,  1908. 


320 


THE  MEDICAL  ADVANCE. 


The  teachings  of  the  clinical  laboratory  are  the  prope 
study  of  the  physician.  We  need  far  more  of  these  than  ai 
provided  for  us.  We  have,  as  I  say,  to  deal  with  humanity 
(tnd  the  problems  presented  by  man,  both  in  health  and  di; 
ea»e,  can  never  be  solved  satisfactorily  by  experiments  o 
the  lower  animals.  We  learn  much  from  the  latter  and  mui 
still  pursue  them,  yet  they  must  ever  be  inadequate  to  ai 
swer  all  the  inquiries  of  the  clinician.  Our  great  study 
man  from  birth  to  death  and  all  that  relates  to  his  habii 
and  environment. 

One  result  of  our  modern  studies  is  to  lead  us  to  regai 
men  as  living  units  with  an  exact  bodily  conformation,  a 
uniform  trophic  system  and  tissue  metabolism,  and  to  disr( 
giird  textural  peculiarities,  definite  proclivities,  and  variani 
of  intimate  metabolism.  A  very  little  consideration  make 
it  clear  that  this  is  not  true,  and  multitudes  of  instances  i 
once  disprove  this  view  which  is  evolved  in  the  laboratoi 
of  the  physiologist  and  contradicted  at  the  bedside.  We  a 
surely  recognize  that  our  fellow  men  are  not  all  of  one  coi 
^^titutional  type,  but  we  have  ceased  in  late  years  to  spea 
of  the  various  temperaments  such  as  the  sanguine,  the  bi 
Mous  and  the  nervous  as  described  by  our  predecessors, 
would  ask  if  such  types  have  ceased  to  exist  amongst  us,  o 
if  not,  is  there  no  longer  any  significance  in  them?  Are  ^ 
jnt^pared  to  declare  that  the  incidence  and  processes  of  d 
sease  in  any  one  of  these  are  met  in  precisely  the  same  wa 
and  that  the  reactions  and  results  are  alike  and  common  1 
them  all?  The  fact  is  that  we  no  longer  think  much  aboi 
these  human  varieties  and  these  personal  qualities,  ai 
rather  act  now  as  if  we  were  following  out  experiments  in 
physiological  laboratory.  Hence  the  outcome  of  errors  ar 
strange  teaching,  as  when,  lor  instance,  after  poisoning  sma 
animals  with  pure  alcohol,  we  are  solemnly  told  that  to  tal 
a  little  good  wine  or  beer  is  a  most  pernicious  habit  fc 
civilized  men!  That  nonsense  is  to-day  regarded  by  son 
members  of  our  profession  as  an  illustration  of  the  progres 
of  science,  and  as  a  contribution  to  knowledge  which  is  t 
aid  us  in  our  art  and  to  reclaim  the  victims  of  alcoholism! 


L 


ADDRESS  ON  DIATHESIS.  321 

The  clinician  is  always  in  face  of  the  personal  factor  in 
each  patient.  The  physiologist  has  a  dog,  or  a  guinea-pig, 
or  some  definite  organ  of  an  animal,  but  rarely  a  man,  be- 
fore him.  The  problems  are  not  the  same,  and  never  can 
be.  The  personal  factor,  then,  demands  careful  study  from 
the  physician,  for  men  and  women  are  not  so  many  wooden 
ninepins  turned  in  a  lathe  as  some  would  have  us  believe. 
This  study  was  carefully  prosecuted  by  the  best  observing 
physicians  a  century  ago,  and  nowhere  more  profoundly  than 
in  this  great  school.  Prom  my  early  days  in  medicine  this 
subject  has  had  great  interest  for  ma,  and  I  was  imbued  by 
my  dear  master.  Professor  Laycock,  of  Edinburgh,  with  its 
principles.  It  is  true  that  early  dogmatic  teaching  sinks 
deeply,  as  it  should  do,  and  is  not  easily  displaced  in  favor 
of  other  beliefs,  but  a  long  clinical  experience  has  only 
served  to  deepen  my  confidence  in  the  certainty  of  the 
doctrine  of  the  diathesis  or  habits  of  body.  The  primal  sig- 
nificance of  this  doctrine  is  that  one  man  is  not  as  another, 
that  there  are  individual  personal  pecularities  relating  to 
tendency,  to  vulnerability,  and  to  immunity.  It  can  be 
shown  that  these  qualities  run  in  certain  families,  that  they 
may  be  accentuated  in  the  offspring  of  consanguinity,  and 
diminished  by  alliance  with  a  stock  presenting  none  of  these 
tendencies-  We  thus  meet  with  many  examples  of  blended 
constitutions,  and  witness  the  outcome  in  one  member  of  a 
family  of  the  peculiarity  of  one  parent,  and  in  another  the 
special  tendencies  of  the  other  parent,  or  we  find  the  malign 
proclivity  of  one  parent  overcome  by  the  more  robust  in- 
fluence of  the  other. 

While  we  no  longer  speak  of  the  several  temperaments 
formerly  described  we  may  certainly  recognize  at  least  four 
special  habits  or  types  of  body — the  arthritic,  the  scrofulous 
or  lympathic,  the  nervous  and  the  bilious.  In  varieties  of 
these  I  think  we  may  find  all  the  conditions  which  were 
differentiated  by  our  predecessors.  It  becomes,  therefore,  a 
question  relating  to  the  soil  or  tissue-proclivity  of  the  par- 
ticular individual  that  we  have  to  consider.  The  modern 
investigator  is  solely  occupied  with  the  seed  which  he  be- 


822 


THE  MEDICAL  ADVANCE, 


lieves  to  be  capable  of  growing  and  developing  its  wi( 
spread  powers  indiscriminately  on  any  individual.    He 
gards  the  soil  as  of  no  importance.    Those  who,  like  n 
self,  would  call  a  halt  in  this  narrow  and  limited  conceptic 
while  accepting  to  the  full  all  the  teaching  of  bacteriolo 
with  gratitude,  insist  upon  the  vast  importance  of  the  s 
or  special  textures  of  the  individual  invaded  by  sped 
microbes.    We  have  to  reckon  with  seed  and  soil,  not  wi 
Si^ed  only.     Surely  we  have  an  exquisite  analogy  here  in  t 
sister  vegetable  kingdom  which  cannot  be  ignored.    For  < 
ample,  let  us  try  to  grow  roses  in  sand,  or  conifers  oncha 
and  watch  the  results.     Hence  we  find  no  difficulty,  but, 
the  contrary,   further  enlightenment,  in  applying  the  n 
teaching  of  bacteriology  to  the  several  diathetic  habits 
the  body. 

This  question  has  recently  been  the  subject  of  discussi 
in  this  city,  ^  and  in  relation  particularly  to  the  existence 
a  arthritic  diathesis  M.  Guyot  denied  in  this  discussi 
the  existence  of  such  a  diathesis  and  had  regard  to  no  e 
ment  in  the  case  of  rheumatic  maladies  but  the  specific  : 
fecting  microbe.  When  reminded  by  M.  Weber,  of  **] 
tares  hereditaires,  ou  acquises,"  which  created  a  predispo 
tion,  M.  Guyot  replied  that  these  were  ''not  indispensibh 
Such  a  belief  is,  in  my  opinion,  inconsistent  with  an  accurs 
clinical  instinct  and  is  contrary  to  common  experience,  f 
if  it  be  true,  any  person  may  become  the  subject  of  rhe 
matic  maladies  which  we  know  are  not  indiscriminate 
prevalent,  even  if  widely  spread.  M.  Guyot  thus  c 
fines  arthritis:  I  have  no  objection  to  this  definition  bu' 
would  add  in  order  to  complete  the  full  conception  of  t 
pathogeny  that,  in  order  to  secure  the  several  manif  estatio 
of  the  specific  infection,  there  must  be  a  special  favourii 
proclivity  in  the  tissues  of  the  particular  patient,  in  oth 
words  a  suitable  soil  for  the  development  of  the  infectii 
element.  Such  patients  may  be  regarded  as  rheumatical 
disposed  and  it  is  a  matter  of  common  knowledge  that  su< 


1.    Bulletin  Offlciel  des  Societes  Medlcales,  Feb..  1907« 


■v-"^^ 


ABDRESS  ON  DIATHESIS.  328 

persons  exist  and  are  distinctly  more  liable  to  rheumatic 
infection  than  others.  I  have  no  doubt  as  to  the  existence 
of  this  proclivity,  and  I  have  long  accepted  the  doctrine  of 
the  basic  arthritic  diathesis  of  Bazin.  Those  who  are 
the  subjects  of  this  particular  habit  of  body  show  plainly 
their  liability  to  rheumatic  infection  which  I  term  exogenous 
and  no  less  to  .the  onset  of  gout,  a  malady  which  I  regard, 
in  the  absence  of  exact  proof  to  the  contrary,  as  due,  to  en- 
dogenous toxins,  derived  from  perverted  metabolism  in  the 
individual.  M.  Guyot  has  decided  for  himself  that  the  pec- 
cant matter  of  gout  is  the  same  as  that  which  originates 
rheumatism  in  all  forms — viz,  the  diplococcus.  This  is  on 
the  ground  that  many  of  the  articular  lesions  in  the  chronic 
varieties  are  closely  similar  in  both  cases,  the  uratic  de- 
posits being  mere  epiphenomena  and  not  constant,  according 
to  his  view.  I  have  elsewhere  discussed  this  matter  and 
shown  that  there  are  specific  changes  in  gouty  arthritis, apart 
from  uratic  deposit,  which  are  not  met  with  in  rheumatoid 
cases. 

There  are  those  in  Englatod  now  who  are  disposed  to 
regard  the  toxic  element  of  gout  as  generated  from  intestinal 
microbes.  When  these  are  plainly  demonstrated  to  us  I 
shall  be  prepared  to  reconsider  the  question  of  the  endogen- 
ous or  exogenous  etiology  of  this  malady.  If  we  advance 
always,  we  must  advance  very  sauvely  and  always  be 
ready  to  say,  again  we  do  not  know.  As  there  are  people 
who  under  provokihg  conditions  cannot  become  rheumatic 
so  there  are  those  who  cannot  under  predisposing  circum- 
stances become  obviousely  gouty.  The  tissues  of  these 
persons  and  their  metabolic  processes  do  not  favor  the  on- 
set of  either  condition;  they  are  practically  immune  and  are 
not  subjects  of  the  arthritic  diathesis.  Those  who  believe 
that  microbic  infection  entirely  explains  all  the  phenomena 
of  rheumatic  and  gouty  diseases,  and  that  these  may  there- 
fore be  produced  indiscriminately,  have  to  show  cause  why 
tiiese  maladies  are  not  universally  prevalent  and  to  explain 
how  the  majority  of  persons  happily  resist  this  influence  and 
escape  these  ailments. 


$u 


THE  MEDICAL  ADVANCE 


If  we  study  carefully  the  life-histories  of  arthritic  8 
otlier  diathetically  disposed  families  over  long  periods 
shall  not  fail  to  discover  good  reasons  for  belief  in  the  s 
cial  predisposing  conditions  which  prevail  and  are  inher< 
in  their -different  members.  This  arthritic  diathesis  is  c 
tainly  widely  spread  but  it  is  not  universal.  It  inclui 
most  persons  who  used  to  be  described  as  of  sangu 
temperament. 

We  have  next  to  note  a  marked  feature  of  the  arthr 
diathesis  which  consists  in  the  peculiar  antagonism  of  1 
tissues  towards  invasion  by,  and  development  of,  the  bac 
of  tubercle.  The  more  rheumatic  or  the  more  gouty 
patient  the  less  the  proclivity  to  tuberculosis.  I  learn  that 
f=!chool  of  Lyons  attempts  to  make  arthritic  diseases  a  sympi 
t»f  tuberculosiSjbut  this  conception  is  beyond  my  compreh 
sion.  All  my  experience  confirms  the  distinction  between  th 
two  conditions;  if  not  absolute,  at  least  very  great.  T 
erculosis  in  the  rheumatic,  and  especially  in  the  goi 
subject,  is  extremely  rare,  and  when  it  occurs  is  found 
make  slow  progress,  with  frequent  arrests,  and  to  be  vig 
ously  resisted.  When  such  a  liability  exists  it  will  probal 
be  discovered  that  there  is  an  inherited  taint  due  to  blendi 
of  a  scrofulous  or  lympathic  diathesis  with  the  arthritic  c 
thesis,  for  such  blendings  cannot  fail  to  occur,  and  this  f 
of  commingling  of  different  habits  of  constitution  may  i 
seldom  explain  many  puzzling  variations  in  the  course  i 
oOtcome  of  maladies  such  as  syphilis,  paludism,  etc. 

In  respect  of  the  gouty  habit  of  body  we  may  note  so 
fuiiiher  peculiarities.  One  is  the  marked  vulnerability 
the  toxin  of  the  gonococcus.  This  microbe  is  a  verita 
touchstone  for  gouty  proclivity,  and  is  apt  to  lead 
some  of  the  worst  and  most  rebellious  conditions  due  to  t 
infection.  Another  is  the  occurrence  of  the  palmar  scler 
iBg  contractures  of  Dupuytren  which,  in  my  experier 
have  no  connection  whatever  with  rheumatic  infection, 
are  met  with  exclusively  in  persons  already  gouty  or  stro 
ly  predisposed  to  gout.  Again  the  prevalence  of  ecz€ 
and  glycosuria  are  marked  features  in  subjects  of  this  c 
s^titution. 


ADDRESS  ON  DIATHESIS.  325 

We  find  that  both  arthritic  and  scofulous  subjects  are 
specially  vulnerable  in  their  joints.  Injuries  to  these  struc- 
tures heal  slowly  and  are  apt  to  leave  permanent  deformi- 
ties as  sequels.  The  fact  of  a  lingering  arthritis  may  thus, 
for  the  first  time  in  a  patient's  history,  disclose  a  hitherto 
unsuspected  gouty  or  scrofulous  taint,  as  was  first  pointed 
out  by  Paget.  With  respect  to  such  cases  I  would  ask,  is  it 
not  probable  that  a  study  of  the  family  and  personal  life- 
histories  of  such  patients  would  have  previously  declared  to 
the  observer  the  special  proclivities  of  the  affected  individu- 
als? It  is,  however,  declared  by  some  physicians  that  it  is 
not  possible  to  pronounce  a  person  to  be  the  subject  of  any 
diathesis  until  he  becomes  obviously  rheumatic,  gouty,  or 
tuberculous,  just  in  the  same  way  that  no  one  can  be  re- 
garded as  suffering  from  syphilis  until  he  is  infected  with 
the  toxin  of  lues  venerea.  To  my  mind,  such  a  declaration 
indicates  too  plainly  an  absence  of  clinical  acumen  and  ex- 
perience. 

Once  more,  we  certainly  find  that  the  diet  which  is  ap- 
propriate for  the  subject  of  the  lympathic  diathesis  ex- 
tremely bad  for  persons  of  the  arthritic  diathesis,  and  one 
which  is  suitable  for  the  latter  is  most  unfit  for  the  former. 
I  would  ask  again;  What  is  it  then  which  is  transmitted  in  this 
or  any  other  diathetic  habit  of  body?  Surely  it  is  the  quali- 
ty of  the  tissues,  or  the  soil,  and  not  the  infecting  microbe. 
The  proclivity,  the  vulnerability,  the  degree  of  immunity  or 
resisting  power  is  transmitted  as  a  peculiar  vital  endowment 
from  early  embryonic  times  to  full  maturity  in  the  intimate 
cells  and  tissues  of  the  individual.  In  this  sense  each  per- 
son is  a  law  to  himself,  and  here  we  have  the  personal  fact- 
or before  us  with  which  we  physicians  have  always  to 
deal. 

We  are  now  told  that  the  older  conception  of  a  scrofulous 
or  lymphatic  diathesis  is  no  longer  tenable.  This  it  appears 
was  also  a  foolish  medieval  doctrine  now  absolutely  exploded 
and  rejected  since  the  discovery  of  Koch's  bacillus.  Scrofu- 
la is  now  regarded  as  tuberculosis!  To  this  new  doctrine  I 
venture  to  demur  and  I  regard  it  as  a  monstrous   absurdity. 


326  THE  MEDICAL  ADVANCfi. 

To  prove  it  requires  us  to  believe  that  every  person  present- 
ing the  classical  features  and  tyx>e  hitherto  recognized  as 
scrofulous  is,   from  the  earliest  age,   even  as  a  fetus  and 
throughout  life,  invaded  and  influenced  by  the   bacilli  and 
toxins  of  tubercle,  and  that  this  infection  is   responsible  for 
the  bodily  conformation,  characteristic  ailments,  vulnerabil- 
ity, and  tendencies  shown  by  the  subjects  of  this  condition. 
This  is  surely  bacteriology  run  mad.     Here  again,  as  in  the 
case  of  the  arthritic  diathesis,  we  recognize  the  soil  and  the 
seed  and  have  come  to  learn  that  the  lymphatic  diathesis 
provides  the  best  medium  for  the  cultivation  of  the  bacilli  of 
tubercle.    We  have  long  known  that  the  textures  of  the 
scrofulous  subject  are  vulnerable  beyond  all  others  and  offer 
little  resistance  to  intruding  toxins  of  all  kinds;   that  theur 
lympharia  are  unduly  sensitive  to  all  forms  of  irritation, 
that  their  mucous  surfaces  are  predisposed  to  catarrhal  con- 
ditions.   Thus  they  are  bad  subjects  for  all  maladies,  make 
slow  recovery  from  them,  and  often  succumb  to  them.    We 
recognize  that  they  are  more  liable   to  become  tuberculous 
than  others  and  are  thus  often  a  prey  to  the  omnipresent 
bacillus  of  Koch.     It  is  supposed  that  this  bacillus   is  pres- 
ent in  a  latent  condition  in  such  persons  and  declared  that 
this  microbe  may  enter  the  fetal  circulation.    The  evidence 
for  this  is  indeed  slender.     I  prefer  to  believe   that  these 
subjects  are  born  constitutionally  feeble  with  a  delicate  lym- 
phatic   system   and  thus   provide    a    bad    soil  for  all  va- 
rieties   of    infection.     I    recognize  in    the    scrofulous  sub- 
ject  the  essence    is    there    without  manifestation;  in  the 
tuberculous    subject    it    is     actually  present.      The  char- 
acteristic   features    of  this  diathesis    are    constantly   be- 
fore us  in  the  two  physiognomical  and  differing  types  of  ugly 
and  pretty   struma.     It  would  surely  be  strange   if  these 
well-marked  varieties  were  each  the  result  of  the  same 
transmitted  microbic  intrusion.     I  do  not  believe   it.     But 
alas,  the  modem  physician  has  largely  ceased  to  make  phys- 
iognomical diagnosis  of  morbid  tendencies  and  states  or  to 
teach  this  part  of  clinical  medicine, 

It  is  not  sufficiently  realized  that  these  several  habits  of 


ADDRESS  ON  DIATHESIS.  327 

body  persist  through  life.  Scrofula  is  commonly  supposed 
to  pertain  to  youth  only,  but  we  may  meet  with  its  peculi- 
arities in  aged  pers<His  (senile  struma,  not  tuberculosis).  So 
with  the  arthritic  habit  whose  indications  appear  early  in 
life  by  various  symptoms,  not  necessarily  overtly  rheumatic 
in  character,  for  these  await  the  intrusion  sooner  or  later,  of 
the  specific  infection  which  develops  the  angina,  the  arthri- 
tis, the  carditis,  the  erythema,  or  the  chorea,  while  in  later 
life  under  special  provoking  conditions  the  perverted  metab- 
olism gives  rise  to  gouty  symptoms  and  the  consecutive 
changes  in  the  eardio- vascular  and  renal  systems.  I  there- 
fore entertain  the  opinion  that  it  is  iK>ssible  to  be  arthriti- 
cally  predisposed  without  becoming  rheumatic  or  gouty  in 
any  classical  form  of  these  maladies.  These  conditions  and 
developments  are  accidental  and  not  inevitable,  and  may  con- 
ceivably often  be  avoided  by  prudent  and  careful  measures. 
PaceM.  Guyot, then,  these  diatheses  or  predispositions,  wheth- 
er created  by  hereditary  defects  or  acquired,have  much  to  do 
with  the  individual  impressed  by  them.  It  is  obvious  that 
persons  who  present  the  character  in  well-marked  form  of 
the  two  diatheses  to  which  I  have  referred  are  to  be  consid- 
ered delicate  and  void  of  a  normal  or  robust  constitution. 

I  have  referred  to  the  blending  of  these  habits  of  body 
as  the  outcome  of  heredity  and  tendencies  passed  on  by  each 
parent  Thus  we  may  meet  with  strumous  arthritic  or  a 
blend  of  arthritic  and  scrofulous  constitutions.  Syphilitic 
tamt  may  modify  one  or  other  of  these,  the  result  in  the 
scrofulous  case  being  very  severe.  Such  blendings  may  be 
in  variable  degree  according  to  the  greater  predisposition  of 
either  parent,  the  male  characteristics  more  commonly  re- 
appearing in  the  female  progeny  and  the  female  ones  in  the 
males. 

The  old  physicians  described  a  nervous  diathesis.  We 
hear  nothing  of  this  term  now,  but  we  surely  recognize  the 
subjects  of  an  over  sensitive  and  delicate  nervous  system, 
with  a  tendency  to  instability,  to  the  several  neuroses  and 
mental  abberration.  Such  qualities  as  these  may  be  blended 
in  subjects  already  arthritically  impressed,   scrofulous  or 


328  THE  MEDICAL  ADVANCE. 

bilious  by  inheritance,  producing  strange  and  modifying- 
complications  whose  source  is  hard  to  seek  if  the  ancestral 
taints  are  not  iooked  for  and  duly  appreciated.  In  this 
fashion,  if  there  be  exposure  to  certain  infections,  chorea 
or  cerebral  rheumatism,  we  may  explain  the  occurence  of 
toxic  insanity  and  an  impressionable  and  unstable  brain 
showing  little  resistance  to  such  influences. 

The  bilious  habit  of  body  is  sufficiently  well  recognized. 
It  is  commonly  met  with  in  the  Celtic  race  and  in  Southern 
Europeans.  The  term  **bilious"  is  suggestive  of  hepatic 
over  activity,  but  the  main  incapacity  of  such  subjects  lies 
in  the  digestive  system  and  in  many  instances  is  due  rather 
to  hepatic  inadequacy.  We  often  meet,  as  may  be  expected, 
with  blends  of  this  constitution  with  others,  as  in  the  case 
of  neuro-bilious  or  bilious  arthritic  subjects.  One  striking 
peculiarity  of  this  tendency  is  the  toleration  for,  and  bene- 
ficial influence  of  mercury  in  many  of  the  ailments  suffered 
by  persons  of  bilious  habit.  No  other  drug  can  replace 
mercury  in  such  cases.  This  is  in  marked  contrast  to  its 
effects  on  persons  of  the  scrofulous  constitution  who  bear  it 
badly. 

By  the  light  of  modern  clinical  research  into  the  subject 
of  vaccine  therapy,  so  fruitful  in  the  hands  of  Wright,  Doug- 
las, Opie,  and  others,  especially  in  the  Pasteur  Institute,  we 
may  gain  fresh  knowledge  respecting  the  respective  inher- 
ent properties  of  the  tissues  in  different  individuals,  and 
hope  in  time  to  learn  whether  theY*e  be  varying  or  definite 
powers  of  resistance  to  intruding  infective  agents.  It^ould 
be  of  profound  interest  to  ascertain  whether,  as  a  rule,  there 
be  greater  or  less  protective  power  in  the  leucocytes  with 
their  digestive  ferments,  or  more  or  less  anti-bacterial  sub- 
stance in  the  blood  of  the  subjects  of  the  different  diatheses. 
We  may  fairly  conceive  that  variations  of  this  nature*  exist, 
and  the  clinical  laboratory  can  be  the  only  source  of  such 
knowledge.  Research  of  this  kind,  adequately  carried  out, 
would  hardly  fail  to  throw  light  on  the  now  discredited  doc- 
trine respecting  different  habits  of  body.  On  my  part  I  am 
bold  enough  to  predict  that  the  results  of  such  an  investiga- 


ADDRESS  ON  DIATHESIS.  329 

tion  will  tend  to  supi)ort  the  belief  in  the  specific  peculiari- 
ties and  proclivities  of  each  of  them,  and  I  may  add  that  I 
cannot  conceive  of  any  better  method  of  increasing  our 
knowledge  of  this  subject. 

I  am  well  awate  that  I  have  been  venturesome  in  stating 
my  belief  to-day  on  this  doctrine  of  the  diatheses.  I  feel  sure 
that  they  will  arouse  some  incredulity  and  perhaps  be  re- 
regarded  as  a  futile  effort  to  fan  into  flame  once  more  the 
dying  embers  of  a  fire  that  burnt  brightly  a  century  ago; 
that  they  are  no  longer  consistent  with  the  enlightened 
teaching  of  today  which  is  nothing  if  not  new^,  and  which 
would  at  once  command  the  assent  of  our  great  predecessors 
were  they  to  revisit  us  here  and  now.  That  is  not  my  point 
of  view.  I  think  we  have  to  fit  the  new  on  to  the  old  in  this 
case  and  to  beware  of  mere  novelties,  for  we  know  well  that 
what  is  new  is  not  always  true.  I  am  ready  to  allow  that 
today  we  have  to  discard  much  of  the  teaching  of  the  older 
physicians,  but  we  have  to  save  and  cherish  the  truth  which 
they  brought  to  light  and  to  hand  it  down  to  our  successors. 
I  am  still  young  enough  to  learn  but  not  too  old  to  forget. 
A  long  clinical  experience  bids  me  to  tell  of  the  practical 
value  of  the  doctrines  I  have  just  discussed.  I  think  it  is 
necessary  and  incumbent  for  the  modern  physician  to  revert 
to  the  older  teaching  respecting  the  particular  constitutions 
and  proclivities  of  hib  patients.  I  am  aware,  for  example, 
that  some  authorities  have  been  led  to  discard  the  doctrine 
regarding  the  arthritic  diathesis  because  they  could  not  ac- 
cept to  the  full  the  later  teaching  implied  in  the  comprehen- 
sive terms  **arthriticism"  or  "herpeticism,"  which  have  gone 
far  beyond  the  original  definition;  but  I  maintain  that  there 
need  be  no  hesitation  in  recognizing  the  type  signified,  and 
the  various  textural  and  organic  defects  which  are  met  with 
in  the  outcome  of  this  particular  constitution. 

Lastly  I  would  urge  that  in  all  our  schools  of  medicine 
we  should  strive  to  secure  more  light  on  the  processes  and 
results  of  disease  from  labors  conducted  in  clinical  labora- 
tories such  as  are  so  well  supplied  and  ably  utilized  in  this 
great  school.    It  is  invidious  to  mention  names  in  this  con- 


330  THE  MEDICAL  ADVANCE. 

nection,  but  my  memory  of  past  visits  here  recall  to  me  work 
done  under  the  direction  of  Charcot,  Lancereaux,  Bouchard, 
Marie,  Chauffard,  Landouzy,  Widal,  Babinski,  and  many 
others  yielding  brilliant  results. 

Again  one  point  more.  We  are,  I  much,  fear,  suffering 
in  these  days  from  a  widely  spread  spirit  of  incredulity, 
timidity,  and  hopelessness  in  the  whole  realm  of  therapeu- 
tics. We  spend  much  time  in  cultivating  elaborate  diagno- 
sis, and  this  is  quite  right,  but  we  grievously  neglect  our 
main  business  as  healers  and  mitigators  of  disease.  Our 
knowledge  of  the  materia  medica  has  declined  out  of  all  pro- 
portion to  that  gained  by  the  progress  of  bacteriology  which 
claims  to  supersede  the  older  therapeutical  art.  It  will 
never  supersede  it,  for  there  are,  as  Sir  William  Jenner  said, 
but  two  great  questions  to  be  answered  at  the  bedside  ot  a 
sick  man — what  is  the  matter  with  him?  and  what  will  do 
him  good?  Are  we  not  too  apt  today  to  forget  tiie  second 
question,  to  experiment  with  synthetical  novelties,  and  to 
neglect  the  old  long-approved  remedies?  In  short,  are  we 
not,  as  physicians,  slowly  drifting  into  the  position  of  ab- 
stract scientists  and  gradually  losing  our  proper  relation  to 
the  sick  as  skilful  medical  artists?  What  would  that  great- 
est of  clinitians,  your  glorious  Trousseau,  say  to  us  were  he 
amongst  us  today?  I  ask  you  messieurs  mes  confreres,  in 
leaving  this  tribute,  to  allow  me  to  salute,  in  the  name  ol 
my  country,  the  memory  of  that  great  man. 


HEALTH  SES0BT8  IN  WEST  INDIES. 

Since  the  pacification  of  Cuba  and  its  increasing  advwi- 
tages  as  a  winter  health  resort  have  become  better  known, 
other  islands  feel  the  need  of  letting  their  climates  as  winter 
resorts  become  known.  The  following  resolutions  adopted 
at  a  large  public  meeting  at  which  the  governor  presided, 
are  seif-explanatory.  We  clip  from  the  Barhadoes  Advocate, 
of  March  24: 

L  Besolved^  That  whereas  it  is  admitted^that  Barbadoes  posaeeaeg 
a  Tery  equable  and  salubrious  climate  which  causes  it  to  be  much  sought 
after  as  a  health  and  winter  resort,  it  is  to  the  best  interest  of  the  island 


THE  MIDDLETOWN  INSANE  HOSPITAL.  381 

that  its  natural  advantages  should  be  made  more  widely  known  and  the 
island  made  more  attractive  to  visitors. 

2.  /Resolved,  That  the  Govemor-in-ExecutiveCommittee  and  the  le- 
g^islature  of  the  island  be  urged  to  take  such  steps  as  will  give  effect  to 
the  following  proposals: 

(1)  To  advertise  Barbadoes  as  a  health  and  winter  resort  in  the 
newspapers  and  magazines  of  Europe,  U.  S.  America,  Canada  and 
South  America. 

(2)  To  establish  a  local  information  bureau  for  the  guidance  of 
visitors. 

(3)  To  establish  rest-houses  at  picturesque  parts  of  the  island. 

(4)  To  bring  the  Police  Band  up  to  full  strength  and  to  render  it 
more  available  for  playing  in  public. 

( 5)  To  guarantee  interest  at  3  per  cent,  per  annum  on  the  capital 
to  be  raised,  not  exceeding  .£15,000,  and  1  per  cent,  for  a  sinking 
fund; for 

(a)    Building  a  theatre  on  some  suitable  site  to  seat  1,000 persons. 

<  b)    Erecting  bathing  pavilions  at  favorite  watering  places. 

(c)  Providing  a  club  room  at  the  garrison  for  the  use  of  visitors 
to  the  island. 

(d}  And  for  such  other  purpose  or  purposes  as  in  the  opinion  of 
the  company  to  be  formed  may  further  advance  the  interests  of  the 
island  as  a  health  resort,  provided  the  GrOvernor-in-Executive  Com- 
mittee approves  of  such  purpose  or  purposes. 

3.  Eesolved,  That  copies  of  these  resolutions  be  forwarded  to  His 
Excellency  the  Governor-in- Executive  Committee,  the  House  of  Assem- 
bly, and  the  Honorable  the  Legislative  Council. 


THE  MIDDLETOWN  INSANE  HOSPITAL. 

We  take  the  following  from  the  37th  annual  report  of 
this  excellent  homeopathic  institution^  which  under  Dr. 
Morris  C.  Ashley,  as  superintendent,  is  ably  following  in 
the  footsteps  of  the  lamented  Talcott.  "We  commend  his 
sterling  Homeopathy  to  others  in  medical  charge  of  similar 
hospitals.  * 'Hypnotic  and  narcotic  medicines  are  never  pre- 
scribed as  such,  nor  is  any  remedy  used  for  its  physiological 
effects."  See  the  results,  the  largest  per  cent,  of  recoveries 
of  any  insane  hospital  in  America: 

"We  have  continued  to  follow  the  laws  and  principles 
of  Homeopathy  in  the  selection  of  medicines  for  our  patients. 
Before  a  prescription  is  made,  the  patient  is  carefully  ex- 
amined and  the  remedy  selected  according  to  the  totality  of 


332  THE  MEDICAL  ADVANCE. 

the  symptoms  presented.  Hypnotic  and  narcotic  medicines 
are  never  prescribed  as  such,  nor  is  any  remedy  used  for  its 
physiological  effect. 

**In  fact  we  are  governed  in  the  selection  and  admin- 
istration of  drugs  by  Hahnemann's  law  of  similars.  The  hos- 
pital was  established  by  law  as  a  homeopathic  institution, 
and  no  other  system  or  practice  of  medicine  has  ever  been 
made  use  of,  officially  or  otherwise,  by  the  medical  staff;  nor 
can  we  legally  do  so  under  existing  laws.  Nor  is  there  any 
desire  to  do  so,  for  surely  a  comparison  of  results  of  the 
treatment  at  this  hospital  with  similar  institutions,  will  fur- 
nish ample  evidence  of  the  success  of  homeopathic  treat- 
ment of  the  insane.  I  am  pleased  to  acknowledge  that  the 
State  Commission  in  Lunacy  has  been  entirely  fair  and  very 
liberal  in  granting  all  our  requests  for  pharmaceutical  prep- 
arations. 

"This  general  statement  is  made  here  to  place  on  record 
an  official  denial  of  statements  to  the  contrary,  which  have 
been  freely  made  among  the  homeopathic  physicians  of  this 
state." 


STOVAO  AS  A  LOCAL  ANESTHETIC. 

By  Alexander  Vertes,  M.  D.,  Ph.  D. 

Ex-interne  Royal  University  Clinic,  Budapest. 

In  1904,  at  a  meeting  of  Academle  des  Sciences,  Paris, 
Fourreau,  a  pharmacist  from  Pari3,  announced  that  it  had 
been  his  good  fortune  to  discover  a  new  synthetic,  local  an- 
esthetic, the  "Stovain,"  (  a.  b.  Amylenchlorhydrate)  which 
is  less  poisonous  than  cocain  (3:1)  and  produces  an  almost 
immediate  anesthetic  effect. 

Soon  after  this  meeting  French  medical  journals  pub- 
lished a  number  of  cases  where  S  to  vain  has  been  used  with 
success. 

In  October,  1904,  Chaput,  at  the  meeting  of  the  Societ^ 
de  Chirurgie,  gave  a  lecture  upon  the  use  of  Stovain  by 
lumbar  injection  into  the  spinal  cord  to  produce  anesthesia. 
He  very  enthusiastically  spoke  of  Stovain  as  a  safe  anes- 
thetic.   That  none  of  the   alarming  symptoms  of  cocain,. 


WHY  I  AM  A  HOMEOPATH.  333 

nausia,  vertigo,  headache,  vomiting  and  collapse  came  under 
his  observation. 

Reclus  at  the  same  meeting  stated  that  he  used  on  one 
person  40  cm^  of  Stovain  in  a  one-half  per  cent  solution 
without  any  unpleasant  symptoms  to  occur.  Therefore  he 
too  finds  Stovain  as  a  local  anesthesia  superior  to  cocain. 
After  Sauvaz  has  used  it  extensively  in  dentistry,  Laper- 
sonne  in  ophthalmic  practice,  Czerny,  Bier,  Hildebrand, 
Silbermark,  etc.,  has  voiced  its  praise. 

I  have  used  Stovain  since  1905  in  from  one-half  to  one 
per  cent,  solution,  either  alone  or  with  adrenalin.  In  exter- 
nal hemorrhoids  after  the  injection,  the  tumor  becomes 
white  and  edematous;  for  their  removal  Stovain  seems  to  me 
an  ideal  local  anesthetic,  because  you  can  operate  safely 
three  minutes  after  the  injection.  In  circiimcision,  in  phleg- 
manous  inflammation  of  the  fingers  or  toes  and  in  a  number 
of  minor  surgical  cases  I  have  used  from  5  to  25  centigrams 
in  adults,  and  from  1  to  3  centigrams  in  children,  without 
any  complication. 


WHY  I  AM  A  HOMEOPATH. 

By  John  Merlin  Alford,  Chicago. 

It  has  not  been  my  purpose  to  advance  any  facts  which 
are  not  well  and  fully  comprehended  by  all  who  live  up  to 
the  high  standards  of  true  homeopathic  practice;  but  to  dis- 
cuss those  homeopathic  principles  which  we  who  believe  in 
them  must  so  often  defend.  Surely  we  have  an  array  of 
facts  and  arguments  which  would  soon  drive  our  assailants 
from  the  field  did  we  but  use  them  aright;  and  it  is  our  own 
fault  if  we  allow  Homeopathy  always  to  be  placed  on  the 
defensive. 

Why  should  not  the  homeopath,  who  belongs  to  the  only 
scientific  system  of  medicine  extant,  be  proud  of  his  school 
and  strong  in  his  beliefs?  His  is  the  only  therapeutic  meth- 
od that  is  based  on  a  Law  of  Cure,  and  a  law  that  is  as  im- 
mutable and  universal  as  it  is  everlasting.  This  law,  com- 
posed of  only  three  words,  Similia  Similibus  Curantur,  in- 
volving the  first  step  toward  a  scientific  medicine,  isSthe  law 


334  THE  MEDICAL  ADVANCE. 

of  cure,  promulgated  to  stand  the  test  of  time.  The  law  may 
be  explamed  as  follows: 

All  curable  states  of  disease  are  cured  by  medicinal  sub- 
stances which  are  capable  of  producing  a  similar  disease 
picture  in  a  healthy  individual. 

To  this  law  we  must  add  a  corollary,  which  is  similarly 
compressed  into  three  words,  viz. : .  Simile  Simplex  Mini- 
mum, which  means  simply  that  the  similar  remedy  is  a  sin- 
gle remedy  and  must  be  exhibited  in  the  minimum  dose. 
This  law  and  its  corollary  constitute  the  only  working  prin- 
ciples of  Homeopathy.  I  wish  to  consider  four  phases  which 
are  the  most  often  involved  in  discussions  with  adherents  of 
other  schools. 

First.    The  sphere  of  action  of  Homeopathy. 

Second.     The  true  nature  of  disease. 

Third.     The  law  of  similars. 

Fourth.     The  minimum  dose. 

As  to  the  first  topic  little  need  be  said ;  for  the  sphere  of 
action  of  Homeopathy  is  sharply  defined  and  Homeopathy 
certainly  does  not  claim  to  do  impossible  things.  It  does 
not  encroach  upon  the  legitimate  fields  of  the  surgeon  or  of 
the  osteopath,  nor  does  it  fail  to  recognize  that  there  are  in- 
curable diseases.  Homeopathy,  however,  does  claim  to  be 
supreme  and  is  demonstrably  so,  in  the  field  of  medicine, 
per  se,  that  is,  in  the  treatment  of  medicinally  curable  dis- 
ease, in  that  preparation  of  the  patient  which  will  farther 
the  success  of  the  surgical  operation  and  in  the  palliation  of 
those  diseases  known  to  be  incurable. 

Second.  In  recognizing  the  true  nature  of  disease, 
Homeopathy  stands  aloof  from  all  other  systems  of  medicine. 
It  remained  for  homeopaths  to  demonstrate  the  dynamic 
origin  and  nature  of  disease,  to  show  that  disease  is  not  a 
tangible  something  that  can  be  seen  or  felt,  even  though  we 
have  to  assist  us  in  our  quest  all  the  vast  resources  of  mod- 
ern science.  It  seems  almost  unbelievable  that  physicians 
from  the  time  of  the  Father  of  Medicine  to  the  present  day, 
should  have  so  confounded  cause  and  effect  as  to  consider 
the  pathological  grouping  as  the  disease  itself,  and  to  be- 


WHY  I  AM  A  HOMEOPATH  335 

lieve  that  a  removal  of  the  pathology  constituted  a  removal 
of  the  disease.  This  belief  has  persisted  for  hundreds  of 
years  though  all  medical  experience,  if  rightly  interpreted, 
indicates  the  falsity  of  it.  It  does  not  take  as  long  in  other 
fields  of  endeavor  to  discover  that  the  cause  and  effect  may 
be  separated  by  many  years'  interval  and  yet  the  connection 
can  be  clearly  established,  and  furthermore  the  self-evident 
principle  that  effect  can  only  be  completely  and  permanent- 
ly removed  through  a  removal  of  the  operating  cause.  But, 
understanding  conditions  as  they  exist  in  modem  medicine, 
it  is  not  to  be  wondered  at  that  physicians  of  other  schools 
who  have  practiced  many  years  according  to  a  theory  which 
holds  that  disease  is  a  something  which  can  be  cut  out  of  a 
sick  patient  by  the  knife  or  knocked  out  of  him  by  massive 
doses  of  drugs,  should  finally  repudiate  all  belief  in  the  effic- 
acy of  drugs. 

It  is  no  cause  for  wonder  that  medicine  is  still  in  the  ex- 
perimental stage  and  is  still  unscientific  when  we  consider 
that  the  investigations  are  all  directed  toward  the  discovery 
of  a  ''Specific"  which  will  '*Cure"  the  eczematous  eruption, 
the  phthisical  lung  or  the  malarialized  blood.  All  of  these 
are  effects  following  some  cause  which  is  far  too  deep  in  the 
constitution  to  be  discovered  by  the  microscope  or  the  test 
tube. 

Disease  is  just  as  dynamic  in  nature  as  life  itself;  and 
the  dynamic  derangement  of  the  constitution  always  pre- 
cedes and  is,  at  least,  the  predisposing  cause  of  the  patho- 
logical groupings  which  we  call  disease.  It  is,  of  course, 
true  that  the  resulting  pathology  will  vary  in  accordance 
with  the  exciting  cause  whether  this  be  a  pathogenic  bacte- 
rial invasion  or  what  not;  but  the  dynamic  derangement  must 
precede  in  order  to  give  the  excitants  a  foothold.  Hence 
how  illogical  and  unscientific  it  is  to  try  to  cure  eczema  by 
removing  the  eruption  by  ointments,  etc.,  when  the  erup- 
tion is  but  one  of  the  manifestations  of  effects  of  the  disease 
which  continues  to  operate  within;  to  cure  catarrh  by  astrin- 
gent sprays  and  washes,  to  remove  fever  by  ice-packs  and 
hearii  depressants.    It  is  bad  enough  to  use  such  tkerapeu- 


336  THE  MEDICAL  ADVANCE. 

tic  measures  from  a  false  view  of  the  nature  of  disease;  but 
how  much  more  are  these  methods  to  be  condemned  when 
reflection  will  show  that  such  bodily  conditions  are  the  re- 
sult of  nature's  protective  efforts.  In  interfering  with  them 
the  physician  is  not  only  doing  nothing  to  remove  the  dis- 
ease, but  he  is  meddling  with  nature,  counferdrting  her  efforts 
which  are  undeniably  and  always  for  the  best  interest  of  the 
individual. 

Third.  Th(>  philosophy  of  the  Law  of  Cure  may  be 
briefly  expressed  as  follows:  Two  similar  diseases  cannot 
exist  in  the  same  individual  at  the  same  time  any  more  than 
two  objects  can  exist  in  the  same  place  at  the  same  time. 
Hence,  a  single  remedy,  found  by  experiment  on  healthy 
individuals  to  have  the  power  of  exciting  symptoms  similar 
to  those  in  the  sick  individual,  is  given  in  a  strength  slight- 
ly exceeding  that  of  the  disease,  thus  displacing  it. 

The*  above  law  constitutes  the  only  Law  of  Cure  now 
extant.  It  follows,  therefore,  that  every  other  system  of 
medicine  is  in  a  state  of  constant  change.  The  result  is  that 
today  the  best  informed  phy.siclans  of  other  schools  denounce 
drugs  and  drug  giving,  and  consider  him  to  be  the  wisest 
physician  who  hns  least  faith  in  medicine. 

A  brief  resume,  however,  of  some  of  the  methods  of 
treatment  now  universally  in  use  by  the  physicians  of  the 
other  st'liools  will  upon  analysis  show  that  everj'  one  is  in 
direct  contradiction  to  the  laws  of  nature.  No  intelligent 
person  will  knowingly  try  to  ol)struct  nature's  laws,  yet  how 
many  physicians  are  there  in  the  world  today  who  do  not 
use  one  or  all  of  the  following  methodsy 

(a)  The  application  of  astringents,  oiniment,  setc,  to 
stop  a  discharge  or  to  heal  an  eruption  which  is  in  every 
case  a  conservative*  process  on  the  part  of  nature  to  get  rid 
of  a  toxic  material  resulting  from  the  operating  and  internal 
cause,  the  disease  itself.  Such  a  method  does  not  touch  the 
disease,  i.  e.,  the  cause;  and  simply  forces  thwarted  nature 
to  select  some  other  i)ortal  for  attack  in  order  to  conserve 
the  body  whole.  Is  it  reasonable  to  suppose  that  her  second 
choice  is  the  better? 


WHY  I  AM  A  HOMEOPATH.  337 

(b)  The  use  of  tonics  is  an  effort  on  the  part  of  the 
physician  to  force  the  body  to  assimilate  as  food  a  non- 
biochemic  product. 

For  example:  Iron  in  some  one  of  its  many  forms  has 
been  used  as  a  "tonic"  for  years;  whereas  experiments  with- 
out number  demonstrate  that  iron  is  not  assimilable  in  any 
form  unless  it  has  been  previously  metabolized  by  a  plant, 
and  even  in  this  form  but  a  small  fraction  of  what  is  ordi- 
narily given  in  one  dose  can  be  appropriated  by  the  system. 

(c)  The  use  of  any  substance  or  mixture  of  substances 
empirically  as  a  cure  for  disease:  Physician  B.  trying  the 
prescription  because  Physician  A.  believes  it  beneficial  in  a 
certain  disease.  In  other  words,  prescribing  for  the  pathol- 
ogy (effect)  instead  of  for  the  individual  disease  (dynamic 
cause).  Such  prescribing  is  uncertain  in  its  effects,  as  the 
same  disease  occurring  in  two  individuals  cannot  possibly 
have  exactly  the  same  pathology  or    symptom-grouping. 

(d)  The  use  of  anti -toxins,  vaccine,  and  various  anti- 
bodies, when  the  nature  of  the  medicinal  substance  thus  ap- 
plied is  unknown.  The  results  are,  at  least,  somewhat  un- 
certain, though  I  freely  concede  that  their  use  has  ffpparent- 
ly  reduced  the  death  rate  in  those  diseases  where  applicable, 
and  the  dangers  both  froip  complications  liable  to  follow 
immediately  and  from  those  that  develop  afterward,  consid- 
derably. 

This  does  not  by  any  means  exhaust  the  list  of  thera- 
peutic absurdities,  but  is  a  fair  sample  of  the  therapeutics 
that  the  homeopath  must  accept  in  exchange  for  his  Law  of 
Cure  if  he  ever  gives  it  up.     It  is  not  a  fair  exchange. 

Fourth.  The  homeopath  believes  in  the  minimum  dose 
for  three  reasons;  and  I  may  well  say  for  four,  making  ex- 
perience with  its  use  the  fourth,  for  certainly  a  fair  trial  of 
the  minimum  homeopathic  dose  would  indicate  reason 
enough  for  its  continued  use.  The  other  three  are  as  fol 
lows: 

(a)  It  is  only  through  the  minimum  dose  that  the  dyn- 
amic nature  of  the  drug  is  developed  and  its  greatest  activi- 
ty and  power  utiUzed.     Recent  experiments  in  the  laborato- 


838  THE  MEDICAL  ADVANCE. 

ry  bear  out  this  statement.    It  is  self-evident  that  we  must 
use  a  dynamic  drug  to  correct  a  dynamic  disease. 

(b)  It  adds  no  drug  for  the  body  to  expel  together  with 
the  original  disease,  if  the  patient  is  to  be  cured,  since  the 
force  of  the  drug  is  expended  in  its  replacement  of  the  dyn- 
amic or  original  disease. 

(c)  It  is  not  conducive  to  the  formation  of  a  drug  habit 
nor  does  it  produce  a  pathological  condition  which  is  a  drug 
disease  pure  and  simple. 

Little  need  be  said  further  in  support  of  the  minimum 
dose,  especially  to  those  who  have  seen  the  results  of  poly- 
pharmacy and  of  crude  drugging. 

There  are  other  vital  topics  which  might  have  been  dis- 
cussed in  regard  to  homeopathic  practice,  but  they  are  points 
which  in  the  course  of  time  have  been  accepted  by  other 
medical  men  and  appropriated  by  them  as  legitimate  si)oils, 
incorporated  into  their  own  practice.  For  example:  The 
question  of  the  single  remedy  has  always  been  an  integral 
part  of  the  homeopathic  law,  ever  since  its  inception  by 
Hahnemann,  previous  to  which  time,  almost  without  excep- 
tion, polypharmacy  had  been  the  rule.  Ever  since  the  ad- 
vocacy of  the  single  remedy  by  homeopaths,  however,  it  has 
become  more  and  more  prevalent  in  all  schools  of  practice; 
though  never  has  the  credit  for  such  a  progressive  step  in 
therapeutics  been  given,  as  it  rightfully  belongs,  to  the 
homeopaths.  This  is  not  the  only  instance  of  quiet  appro- 
priation of  Hahnemannian  methods  by  our  friends,  the  ene- 
my, nor  will  it  stop  here.  Unless  the  homeopaths  bestir 
themselves,  they  will  wake  up  some  day  to  find  Homeopathy 
in  the  hands  of  the  enemy,  who  will  make  the  heavens  and 
the  earth  to  resound  with  the  wondrous  merits  of  their  great 
discovery, 

A  Model  Cure: — An  infant  9  months  old  has  been  affect- 
ed since  birth,  at  longer  or  shorter  intervals,  with  a  form  of 
laryngitis.  The  spasms  have  now  become  quite  frequent, 
several  times  in  the  day  or  night;  it  wakes  from  sleep  with 
suffocation;  is  able  to  inspire  but  not  to  expire;  becomes  livid 
in  the  face,  gasps  in  great  anguish  and  very  slowly  recovers 
its  breath.     Sambucus  200.     Never  had  a  subsequent  attack. 

Conrad  Wesselhoept. 


HAHNEMANN'S  DEFENSE  OF  VACCINATION.  339 

Comment  anb  Criticism. 


HAHNEMANN'S  DEFENSE  OF  TACCINATION. 

Editor  Advance: 

In  the  April  Advance  Dr.  McNeil  answered  some  of 
my  questions;  others  he  overlooked. 

Where  he  says,  "Hahnemann  defended  vaccination," 
how  is  the  word  '*def ended"  to  be  interpreted?  Does  he 
mean  to  say  that  he  sanctioned  it's  prophylactic  use?  Is  it 
to  be  understood  that  if  he  defended  it  he  did  so  in  such  a 
way  as  would  necessarily  mean  his  abandoning  ground  taken 
if  he  did  not  countenance  the  routine  practice  of  it  today? 

We  know  that  crude  vaccination  in  a  way  illustrates  the 
homeopathic  law  of  cure. 

In  administering  the  similar  remedy,  has  experience 
ever  proved  the  afficacy  of  the  minimum  dose?  It  has  been 
shown  that  vaccination  is  the  similar  remedy.  Is  it  the 
mhiunum  dose?  Did  Hahnemann  use  it  as  exemplifying  the 
minimum  dose? 

He  says,  "Hahnemann  did  not  discover  any  inconsisten- 
cy between  vaccination  and  the  minimum  dose,"  Did  he  de- 
monstrate its  non-existence? 

He  asks,  *'Is  it  necessary  for  me  to  defend  Hahnemann 
in  the  Advance?"  Do  my  questions  oblige  a  defense  of 
hun,  or  do  they  merely  invite  answers?  Could  I  justly  be 
taken  to  task  if  I  considered  his  question  irrelevant? 

My  next  question  has  been  misstated.  It  was  not,  "Is 
the  Jennerian  form  of  vaccinatian  in  advance  of  the  internal 
method  of  homeopathic  prophylaxis?"  but,  "Has  it  ever 
been  conclusively  proven  so  to  be?" 

His  answer  is  "Yes." 

To  which  form  of  the  question  does  this  apply?  If  it  is 
the  answer  to  my  original  question  than  an  unconditional 
surrender  on  my  part  is  called  for.  On  the  other  hand,  if 
it  only  answers  the  question  as  misstated  then  it  is  mani- 
festly out  of  order. 

In  speaking  of  vaccination  he  says,  "When  I  vaccinate 


340  THE  MEDICAL  ADVANCE. 

by  scarification  I  am  able  to  tell  by  the  size,  shape,  etc.,  of 
the  vesicle  whether  the  operation  is  successful  or  not/' 
Then  he  asks,  ''Can  you?'' 

He  means  I  suppose — I  appologize  if  this  suggests  that 
his  question  is  ambiguous — can  I  do  similarly  when  using 
the, internal  method  of  homeopathic  prophylaxis? 

If  I  now  understand  him  correctly,  his  question  is  well 
taken.     Moreover  it  is  a  fair  one. 

When  he  vaccinates  by  scarification,  and  when  the  ope- 
ration has  been  successful  (?)  as  evidenced  by  a  xiertain  rec- 
ognized group  of  symptoms  manifesting  themselves  in  the 
patient,  what  has  he  succeeded  in  creating?  Will  he  take 
issue  with  me  if  I  call  it  a  proving,  partial  or  otherwise,  of 
the  virus  introduced? 

Judging  from  what  he  says,  he  seems  assured  of  the 
patient's  protection  only  when  the  operation  has  been  sue- 
c(»ssf  ul,  and  he  determines  the  success  of  the  operation  by 
the  symptoms  produced. 

Will  he  not  allow  others  to  do  the  same  thing  with  the 
internal  method  of  homeopathic  prophylaxis?  Will  he  not 
allow  them  to  be  assured  of  the  protection  of  their  patients 
in  precisely  the  same  way?  Will  he  not  allow  them  to  de- 
termine the  success  of  their  operation  in  exactly  the  same 
way  as  he  determines  the  success  of  his? 

What  is  the  difference?  Is  it  any  more  than  one  of  de- 
gi^ee  as  regards  the  severity  of  the  symptoms  produced?  If 
you  grant  this,  then  I  shall  be  able  to  answer  his  question 
in  the  aftirmative.  He  surely  would  not  make  the  protection 
commensurate  with  the  severity  of  the  symptoms?  This 
would  be  rather  dangerous,  would  it  not?  Some  fanatic 
might  procetnl  to  nearly  kill  the  patient  in  order,  as  he 
might  think,  to  ensure  the  maximum  protection.  Should 
not  the  ideal  in'ophylactic,  as  the  ideal  cure,  be  the  "short- 
est, most  reliable,  and  the  most  harmless;  and  according  to 
easily  comprehensible  principlesy" 

In  the  case  of  vaccination  by  scarification,  he  speaks  of 
being  able  definitely  to  determine  the  length  of  time  the 
protection    lasts.     His   statement   supposes   vaccination  to 


HAflNEMANN'S  DEFENSE  OF  VACCINATJOX*  HI 

proto-'t,    Ju(i|^ing  from  the  controversy  forever  going  oni 

ojif  TTDUk]  conclude  that  this  queBtiou  is  still  sub  judice.  Tt 
iit»»^tiis  to  mt*  therefore  that  to  bring  forward  the  foregoing 
point  in  favor  of  vaccination  by  scarification  is  precipitate. 

j  In  like  manner,  to  point  out  as  detracting  from  the 
ralne  of  the  internal  method  of  homeopathic  prophylaxii* 
that  no  evidence  has  been  adduced  to  prove  its  lasting  qual* 

I   ity  is,  to  my  mind,  premature.     What  he  says  in  answer  to 

Imj  question  relative  to  vaccination  jeopardizing  tho  patient'^ 
subsequent  health  admits  of  the  possibility  of  its  so  tloini?* 
He  Adds,  however,  that  this  daninfeu  is  easily  averted  by  the 
homeopathic  physician*  How  many  out  of  the  miiUons  vac- 
I  ^inattd  yearly  are  ever  subsequently  treated  by  a  horneO' 
patbic  physician?  It  is  fortunate  indeed  thr.t  he  U,  a^s  you 
say,  able  to  avert  these  dangers.  But  why  create  dangers 
for  him  to  avijit, 

Di  making  choice  ot  the  homeopathic  prophylactic  t^*m- 

Hj,    "p^^^'t'    experience*'    must   direct*     If    experience    has 

tHugbt  HO(n<^  when  to  re^vinjcinate,  it  surely  is   not  extniva- 

giint  ti3  suggest  Uiat  fi*om  exiJerience   others   may    linU  the 

hcrineopathie  jirophylaxis.    TTniformit>*  a^  regards  th<^  fhoice 

of  til  e  i-em  ed  y  m  ay  re  a  so  n  a  b  1  y  I  >  e  1  oo  k  e*  1  f o  t\     T 1 1  i  s  wi  \[   re  * 

milt  from  tliB  IhidmgB  of  caref u  I  and  jraiastaking   njen   who 

'  linvy  learned  from  experience,     Tliere  will    be    no   need  to 

dioo^  huhscrimmately.     Nu  one,  unless   lie   he   untutoiTMl, 

'  Will  ever  look  qi>oe  a  numbt'i-  of  remedies  :\s  iqnntly    siflicu* 

I  <?ioQs  In    tliis    case.     Kemedies    are    allied    !i)jwH><^r:    thiMi* 

^u  rce  in  so  aie  cases  is  al  mos  t  ide  ntica  1 ;  1  h "  'y  b<  *  I  onu    to  1 1 1*- 

\  amw  class  or  natural  order.     Henci*  similarity  of  artion  unit 

4ion'**spondlngly  similar  sphere."*;   of    usfTtibiess    mny    be  iil- 

lowed  IheiiK     This  does  not  subvert  the  tt^tu'liiiig   ii^^siiding 

(teTTDgat't^.     When  the  one   iH^inedi"    is    found     if    it    k  not 

'foiaud  already — others,  which  hitherto  may  ha\ih;itl  rlidui^n, 

Will  Im.»  relegated  to  a  subordiuute  place, 

J.UtKS  AnN*oiJi  Hnr t''i\ 


342  THE  MEDICAL  ADVANCE. 

THE  SOLE  GAUGE  OF  FIDELITY  TO   HAHNEMANN'S 

TEACHING, 

By  J.  C.  Hallo  WAY,  M.  D.,  Galesburg,  III. 

Editor  Advance:— In  the  Medical  Advance  of  April, 
under  the  caption  of  * 'Suggestions  in  Homeopathic  Philo- 
sophy," by  W.  A.  Yingling,  M.  D.,  we  have  this  statement: 
**The  sole  gauge  of  fidelity  to  Hahnemann's  teaching  is  the 
law  of  cure  and  the  single  remedy."  The  body  of  Dr. 
Yingling's  article  is  exceptionally  good.  As  a  writer  in 
homeopathic  literature  I  have  long  since  learned  to  love 
him  and  appreciate  the  many  good  things  he  has  written. 
I  regard  him  as  a  friend  and  homeopath  of  worth.  But  re- 
specting his  statement  quoted  I  shall  have  to  differ  from 
him.  I  trust  that  what  I  shall  say  will  be  received  in  the 
same  spirit  in  which  it  is  written. 

I  am  a  firm  believer  in  Hahnemann's  teaching  respecting 
Homeopathy.  I  am  a  firm  and  practical  believer  in  the  law 
of  similars  and  the  single  remedy.  But  I  think  I  can  show 
conclusively  that  the  latter  do  not  constitute  the  **sole  gauge 
of  fidelity"  to  all  Hahnemann  has  taught  respecting  Home- 
opathy. In  said  article  the  author  admits  he  has  **experi- 
mented  with  all  degrees  from  the  mother  tincture  up  to  the 
four-millionth  potency."  But  Dr.  Yingling  is  not  alone  in 
suggesting  that  one  can  be  a  true  Hahnemannian  homeopath 
though  he  prescribes  the  mother  tincture,  just  so  he  employs 
the  law  of  similars  and  uses  but  one  single  remedy  at  one 
time.  Now  I  ask,  is  that  true?  My  answer  is.  No!  for  the 
following  reasons: 

(1)  Hahnemann  himself  said,  when  speaking  of  the 
treatment  of  patients  affl-icted  with  mental  and  emotional 
diseases:  **In  the  homeopathic  system  the  small  doses  of 
the  appropriate  medicine  never  offend  the  taste,  and  may 
consequently  be  given  to  the  patient  without  his  knowledge 
in  his  drink,  so  that  all  compulsion  is  unnecessary."  Or- 
ganon  §  228.  Now,  mark  you,  he  does  not  say  that  merely 
a  s  an  accommodative  measure  in  treating  this  class  of  pa- 
tients, but  **m  the  homeopathic  system  the  small  doses  of  the 


THE  SOLE  GAUGE  OF  FIDELITY.  348 

iippropriate  medicine  never  offend  the  taste."  So  it  follows 
undeniably  that  if  I  prescribe  the  mother  tincture  of  Nux 
vomica  or  Colocynth,  though  such  tincture  is  without  ques- 
tion the  "appropriate  medicine,"  I  am  not  practicing  the 
homeopathic  system. 

(2)  If  there  is  any  one  doctrine  which  Hahnemann  em- 
phasized more  than  another,  it  is  the  dynamic  remedy.  He 
argued  that  disease  causes  are  not  found  in  material  matter, 
but  in  morbific  forces  which  are  dynamic  in  their  nature; 
that  the  deranged  vital  force  is  itself  a  dynamis,  and  hence 
the  appropriate  medicine,  in  its  inner  nature,  contains  a  hid- 
den spirit-like  power  (dynamis), which,by  potentization  is  un- 
folded and  developed.  The  mother  tincture  may  be  a  simi- 
lar when  its  pathogenesis  is  compared  with  the  totality  of 
the  patient's  symptoms,  but  not  a  similar  when  its  crudity 
is  compared  with  the  spirit-like  vital  force  which  is  de- 
ranged. The  human  organism,  even  when  healthy,  cannot 
so  completely  uncover  that  hidden  power  in  a  drug  as  to  fully 
bring  out  and  display  its  curative  principle.  Much  less  can 
the  sick  organism  appropriate  all  the  curative  power  hidden 
in  a  drug  if  administered  in  its  crude  form.  And  what  is 
the  *'sole  gauge"  in  this  question?  Why,  if  the  nasty  stuff 
* 'offends  the  taste,"  it  does  not  belong  to  the  homeopathic 
system;  and  secondly,  the  dynamis  of  a  drug  must  be  un- 
folded and  developed  until  it  corresponds  to  the  dynamis 
which  animates  the  human  organism  of  the  patient  to  be 
cured. 

(3)  If  the  medicine  chosen  is  appropriate  and  the  dose 
crude,  the  homeopathic  aggravation  is  too  great.  In  fact 
Hahnemann  says,  **we  can  understand  why  a  dose  of  an  ap- 
propriate homeopathic  medicine,  not  the  very  smallest  possi- 
ble, does  always,  during  the  first  hour  after  its  ingestion, 
produce  a  perceptible  homeopathic  aggravation  of  this 
kind."  This,  of  course,  applies  to  acute  diseases.  But 
whether  acute  or  chronic,  one  purpose  he  had  in  making  the 
dose  the  * 'smallest  possible"  was  to  reduce  this  aggravation 
to  the  minimum.  He  says:  **Had  he  not  given  the  bark 
(bark  of  the  elm)  in  the  monstrous  doses  usual  in  the   alio- 


344  THE  MEDICAL  ADVANCE. 

pathic  school,  but  in  the  quite  small  doses  requisite  when 
the  medicine  shows  similarity  of  symptoms,  that  is  to  say, 
when  it  is  used  homeopathically,  he  would  have  effected  a 
cure  without,  or  almost  without,  seeing  this  apparent  in- 
crease of  the  disease  (homeopathic  aggravation)."  Notice: 
' 'The 'quite  small  doses  re^i^/i?ife  when  the  medicine  shows 
similarity  of  symptoms."  Again  he  says:  '*In  homeopathic 
cures  they  show  us  that  from  the  uncommonly  small  doses 
of  medicine  required  in  this  method  of  treatment,  which  are 
just  sufficient  by  the  similarity  of  their  symptoms,  to  over- 
power and  remove  the  similar  natural  disease,"  etc.  Here  I 
call  attention  to  the  emphatic  statement:  '*The  uncommon- 
ly small  doses  required  in  this  method  of  treatment,"  So  it 
is  not  true  that  the  size  of  the  dose  is  left  out  of  the  ques- 
tion when  considering  fidelity  to  Hahnemann's  teaching. 
The  true  guage  is:  (1)  The  law  of  similars.  (2)  The  sin- 
gle remedy.  (3)  The  minimum  dose.  And  the  minimum 
dose  is  never  the  mother  tincture.  It  may  be  in  certain 
cases,   a  low  potency,  but  never  the  tincture. 

No  sir,  not  for  a  homeopath.  For  a  so-called  ''regular" 
a  drop  of  tincture  might  be  the  minimum;  but  for  the  follow- 
er of  Hahnemann  that  drop  must  be  of  a  dilution ^  and  then 
only  a  fractional  jjart  of  that.  If  only  the  second  dilution 
and  it  "offends  the  taste,"  it  won't  pass  muster  according  to 
Hahnemann's  teaching.  In  chronic  diseases  the  minimum  dose 
is  the  dynamic  dose,  always;  for  while  Nature  may  sift  out 
of  the  material  medicine  enough  of  the  spirit- like  power  to 
cure  some  acute  diseases,  she  never  has  done  so  where  there 
is  a  chronic  miasm  at  the  bottom  of  the  malady.  Crude  med- 
icines and  low  potencies  can  only  effect  a  cure  in  superficial 
complaints,  while  the  dynamized  drug,  if  appropriate,  will 
cure  both  acute  and  chronic  if  the  dynamization  is  high 
enough,  or  strong  enough. 

The  dynamis  of  the  drug  must  correspond  to  the  dyn- 
amis  of  the  patient.  Hahnemann  said:  "It  is  only  by  their 
dynamic  action  on  the  vital  force  that  remedies  are  able  to 
re-establish  and  do  actually  re-establish  health  and  vital 
harmony."    Now  the  doctor  who  does  not  comprehend  this, 


THE  SOLE  GAUGE  OF  FIDELITY.  315 


r 

I     or  ^ho  has  not  learned  to  appreciate  this  great  fundamental 

truth  in  Homeopathy,  looks  with  a  materialistic  vision  on 
every  dose  he  presei-ibes.  He  wants  it  to  show  its  "color;'* 
to  taste  twHtif^or  at  lea^st  to  "taste/*  He  has  in  mind  some* 
thing  material  which  he  looks  upon  as  disease,  and  which  he 
has  named:  and  he  wants  a  material  remedy'  with  which  to 
combat  it.  He  believ^es,  we  will  gi^ant,  that  the  remedy 
selected  should  be  used  alone  and  that  its  pathogenesis 
must  coiTeispond  to  the  totality  of  the  patient's  symptoms. 
But  so  long  as  he  prefers  the  tincturej  thus  betraying  his 
jDat4?rialistic  conceptions,  he  never  can  be  a  true  Hall neman- 
nian  homeopath.  He  is  omitting  the  ktrnal,  the  very  (phI 
of  the  system,  in  that  he  fails  to  c-omprehend  that  disease 
causes  are  not  material;  that  the  vital  force  is  not  material, 
and  that  the  drug  power  which  cures  is  not  material.  Dyn- 
aialzation  of  the  di'ug  is  not  a  mere  matter  of  personal  ex- 
perience, though  a  great  deal  of  such  exjierience  is  usually 
necessary  to  so  broaden  one's  mind  that  lie  will  accept  and 
practice  the  doctrine  as   evolved   from    Hahnamann's  expe- 

^  The  master  made  all  necessary  experiments  for  us,  and 
announced  his  conclusions  an  </  imrt  of  hh  fifft^fnu.  Witli  the 
right  kind  of  a  preceptor  and  tlae  right  kind  of  a  college 
fiu*tilty  and  the  right  kind  of  a  library,  the  pupil  will  acce^rt 
the  doctrine  of  dynami;sation  as  implicitly  as  he  does  tlie 
provings  which  Hahnemctnn  made,  and  find  no  more  neccEj' 
sity  for  personal  experiment  in  the  one  than  the  othor.  He 
accepts  each  as  a  part  of  Homeopathy  and  with  theui  [^mc- 
tices  successfully.  True,  Hahnemann  recomiuendt^d  that 
the  physician  should  prove  drugs  ou  hiiusclf,  imt  tliis  only 
that  he  might  have  a  more  accurate  understanding  as  to  the 
sensations  which  they  produce  and  which  tliey  are  capable 
of  removing. 

Dynami^ation  of  the  appropriate  remedy  is  an  integral 
pan  of  pure  Homeopathy  as  taught  by  Hahnemann,  ami 
without  this  the  system  would  be  left  deticiont  and  incuju- 
plete.  Without  it  the  f/?^''^//T-homeopath  could  not  use 
some  of  the  greatest  medicines  known   to  tlic  profession  at 


346 


THE  MEDICAL  ADVANCE. 


all;  for  in  the  crude  they  are  positively  inert,  such  as  i 
tin,  clay,  etc.  And  the  man  who  cannot  use  these  g 
extinguishers  of  disease  successfully  is  not  practicing  E 
eopathy.  It  has  long  been  the  custom  for  homeopaths 
ought  to  know  better,  and  who  do  know  better,  to  co 
the  "mongrel  sect"  and  make  them  believe  they  are  pi 
good  homeopaths  after  all,  notwithstanding  they  hav< 
faith  whatever  in  Hahnemann's  teaching  respecting 
"spirit-like  power,'*  which  is  hidden  in  the  inner  natui 
drugs  and  which  is  unfolded  and  developed  by  dilution 
poteutization.  Such  are  not  homeopaths  as  Hahnen 
taught  and  practiced  Homeopathy. 

For  the  sake  of  humanity  and  future  Homeopathy, 
in  gratitude  to  the  founder  of  the  only  true  system  of  < 
in  the  universe,  it  is  high  time  the  line  should  be  drj 
and  it  is  being  drawn,  and  in  the  near  future  the  gen 
public  will  clearly  understand  that  no  materialist  is  a 
homeopath,  neither  indeed  can  be. 

That  the  dynamization  of  all  drugs  renders  them  n 
more  penetrating  in  their  action,  is  the  teaching  of  Ha 
mann,  and  this  doctrine  has  been  confirmed  by  all  his 
followers.  Dr.  Yingling  knows  this,  believes  it  and  praci 
with  some  of  the  highest  potencies;  but  I  contend  that  the 
trine  of  dynamization  is  as  positively  taught  by  Hahnen 
as  the  law  of  similars  or  the  single  remedy.  Hence 
should  not  build  up  that  class  of  practitioners  who  use  m 
er  tinctures  in  the  belief  that  they  are  practicing  pure  1 
nemannian  Homeopathy,  for  they  are  not. 

Now  we  reach  the  climax  when  we  hear  the  master 
clare  to  what  extent  the  dose  must  be  diminished:  * 
diminution  of  the  dose  essential  for  homeopathic  use 
also  be  promoted  by  diminishing  its  volume,  so  that  if 
stead  of  a  drop  of  a  medicinal  dilution,  we  take  but  qu: 
small  part  of  such  a  drop  for  a  dose,  the  object  of  di 
ishing  the  effect  still  further  will  be  very  effectually 
tained."  Now  observe,  he  is  talkinc:  of  a  drop  of  a  dilu 
and  "quite  a  small  part  of  such  a  drop,"  in  ord€ 
reach  the    dose  "essential  for  homeopathic  use."    If  i 


THE  SOLE  GAUGE  OF  FIDELITY.  347 

dilution  of  the  dose  is  * 'essential/'  that  puts  an  end  to 
all  debate  so  far  as  crude  medicines  are  concerned 
In  conclusion  let  me  say  that  the  law,  Similia  Similibus  Cu- 
rantur,  which  is  the  very  essence  of  Homeopathy,  makes  it 
binding  upon  the  prescriber  that  the  medicine  chosen  as  the 
appropriate  one  shall  be  similar  in  two  particulars: 

(1)  That  its  pathogenesis  shall  be  similar  to  the  totali- 
ty of  symptoms  present  in  the  patient  to  be  cured;  and  (2) 
that  the  dynamization  of  said  drug  shall  be  similar  to  the 
vital  force  of  the  patient.  The  latter  has  not  been  well  un- 
derstood by  many.  Hahnemann  himself  did  not  understand 
it  at  first,  but  later  reached  the  conclusion  that  all  medicines 
should  be  used  in  the  30th  potency;  but  finally  he  learned 
enough  to  say,  '* Scarcely  any  dose  of  the  homeopathically 
selected  remedy  can  be  so  small  as  not  to  be  stronger  than 
the  natural  disease  and  not  capable  of  overcoming  it." 
And  still  later  he  fixed  the  infinitisimal  limit  at  this:  '*The 
smallest  possible  dose  of  homeopathic  medicine,  capable  of 
producing  only  the  very  slightest  homeopathic  aggravation." 
And  this  is  the  fixed  rule  which  he  left  us  in  the  last  edition 
of  the  Organon.  He  also  said  (and  this  should  be  especially 
noted  by  all  who  think  pure  Homeopathy  can  be  practiced 
by  using  tinctures), ''The  action  of  a  dose  moreover  does 
not  diminish  in  the  direct  ratio  of  the  quantity  of  material 
medicine  contained  in  the  dilutions  used  in  homeopathic 
practice."  The  dynamization  theory  formed  an  impassable 
gulf  between  Homeopathy  and  Allopathy  as  systems  of 
medicine.  The  dominent  school  then  had  the  civil  right,  as 
they  now  have,  to  prescribe  drugs  in  their  crude  form;  and 
those  who  have  ostensibly  embraced  Homeopathy  also  have 
the  civil  right  to  prescribe  mother  tinctures,  thus  getting  as 
far  away  from  Hahnemann's  "spirit-like  power''  of  a  medi- 
cine as  is  possible,  but  in  doing  so  they  should  not  make  a 
pretense  of  practicing  Hannemannian  Homeopathy,  nor 
have  the  affrontery  to  call  themselves  "Homeopathists." 


The  Medical  Advanc 

A  Monthly  Journal  of  Hahnemannian  Homeopathy 
A  Study  of  Methods  and  Results. 


'When  we  have  to  do  with  an  art  whose  end  is  the  saving  of  human  life  any  nej 
to  make  ourselves  thorough  masters  of  it  becomes  a  crime,— Habkemann, 


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We  believe  that  Homeopathy,  well  understood  and  faithfully  practiced 
power  to  save  more  lives  and  relieve  more  pain  than  any  other  metliod  of  ti 
mentever  invented  or  discovered  by  man;  but  to  be  a  first-class  homeopathic 
Bcriber  requires  careful  study  of  both  patient  and  remedy.  Yet  by  patient  ca 
can  be  made  a  little  plainer  and  easier  than  it  now  is.  To  explain  and  define 
in  all  practical  ways  simplify  it  is  cur  chosen  work.  In  this  good  work  we 
your  help. 

To  accommodate  both  readers  and  publisher  this  Journal  will  be  sent  i 
arrears  are  paid  and  it  Is  ordered  discontinued. 

Communications  regarding  Subscrlptons  and  Advertisements  may  be  set 
the  publisher,  The  Forrest  Press.  Rata  via,  Illinois. 

Contributions.  Exchanges.  Books  for  Review,  and  ail  other  communicat 
Bhould  be  addressed  to  the  Editor,  5U2  Washington  Avenue,  Chicago. 


MAY,    1908. 


lEbttortaU 

COMPULSORY  VACCINATION. 

Several  articles  by  well  known  physicians  a-s  well  a 
number  of  editorials  against  compulsory  vaccination  hi 
appeared  in  the  Medical  Advance.  A  society  of  a: 
vaccinationists  was  formed  a  short  time  ago  in  Chica 
which  numbered  among  its  members  many  who  believec 
vaccination,  but  not  in  compulsory  vaccination.  In  spite 
the  blustering,  self -commending  Health  Commissioner, 
matter  was  taken  up  and  put  through  the  courts,  up  to 
supreme  court,  and  by  the  decision  of  that  court,  from  wh 
there  is  no  appeal,  the  matter  has  been  settled  for  all  ti 
as  we  hope,  in  Illinois.  Under  that  decision  no  individi 
whether  child  or  adult,  within  the  confines  of  the  state 
Illinois,  can  be  compelled  to  be  vaccinated.    Nor  can  i 


■^^^sr 


EDITORIAL.  349 

child  be  kept  out  of  the  public  schools  on  account  of  not  be- 
ing vaccinated.     Says  the  Record-Herald: 

That  pupils  in  Chicago  schools  cannot  be  compelled  to  submit  to 
irsccination  seems  settled.  The  Supreme  Court's  decision,  handed  down 
Thursday,  in  which  it  is  held  that  the  city  ordinance  which  makes  yac- 
cination  compulsory  is  illegal  is  accepted  in  Chicago  as  the  last  word. 
The  rule  passed  by  the  board  of  educatfon,  based  upon  this  ordinance, 
therefore  is  not  in  force  and  no  child  can  be  compelled  to  undergo  vac- 
cioatioD. 

The  decision  was  a  reversal  of  that  of  the  lower  court  in  the  case  of 
the  parents  of  Louise  Jenkins,  which  was  tried  before  Circuit  Judge  Mack 
some  months  ago.  Judge  Mack  ruled  that  the  pupil  might  be  excluded 
from  the  school  and  the  appeal  was  taken  from  his  decision.  The 
Supreme  Court  held  that  any  regulation  making  it  obligatory  upon  all 
pupils  to  be  vaccinated  was  illegal  and  that  no  city  had  autbority  to  pass 
such  an  ordinance. 

President  Schneider  of  the  board  of  education  said  that,  while  he 
was  personally  favorable  to  the  cause  of  compulsory  vaccination,  he  was 
aware  that  several  members  of  the  board  were  opposed  to  it.  He  took 
the  view  that  the  decision  meant  that  no  rule  could  be  made  to  enforce 
vaccination. 

Attorney  Hamlin  said  that  it  always  had  been  his  opinion  that  a  city 
ordinance,  or  a  school  board  rule,  which  provided  for  compulsory  vac- 
cination, except  in  cases  of  emergency,  was  ill<^^al.  He  cited  a  decision 
of  the  Supreme  Court  in  the  case  of  Potts  against  Breen,  in  1897,  in 
which  it  was  held  that  children  could  be  debarred  from  school  privileges 
unless  vaccinated,  but  only  in  cases  where  it  was  shown  that  there  was 
an  epidemic  of  the  disease,  or  chat  there  was  reason  to  believe  that  the 
community  was  in  danger  or  the  pupil  had  been  exposed. 

The  Tribune  regrets  the  disaster  that  has  befallen  the 
vaccinationists,  and  thinks  that  the  * 'power  of  the  state  leg- 
islature to  pass  a  law  making  vaccination  a  condition  pre- 
cedent to  attendance  upon  the  public  schools  should  be 
tested  as  soon  as  possible." 

The  Tribune  is  dull.  That  very  thing  which  it  wants, 
which  it  proposes,  is  the  thing  that  has  been  settled.  There  is 
only  one  thing  left  under  the  law  for  the  Health  Boards  and 
that  is  to  declare  the  existence  of  an  epidemic  all  over  the 
world,  and  then  proceed  to  vaccinate;  under  the  circumstance 
of  an  existing  epidemic  of  smallpox  the  law  allows  them 
the  express  privilege  of  vaccinating  right  and  left.  Better 
let  it  go  at  that  and  not  risk  another  defeat. 

J.  B.  S.  K. 


350 


THE  MEDICAL  ADVANCE. 


COW  INJECTIONS  OF  TUBERCULIN. 

The  sudden  activity  of  the  Healtii  Department  (star 
by  a  city  newspaper)  in  regard  to  milk  has  resulted 
many  desirable  improvements  in  the  milk  supply  of  Ch 
go.  Dairies  have  been  renovated,  stores  cleaned  up  i 
the  sanitary  surroundings  of  the  cows  improved.  So 
good,  but  reformers  are  apt  to  go  to  extremes  and  so 
times  display  an  unwise  activity,  that  in  the  end  defeats 
own  purpose. 

It  is  now  proposed  to  test  the  condition  of  all  cows 
injections  of  tuberculinum.  We  doubt  not  that  many  ir 
cent  cows  will  be  condemned  by  this  test.  In  any  cas( 
will  work  unnecessary  hardships  for  milk  dealers  and  da 
men.  Some  will  be  driven  out  of  business,  some  will  su 
loss,  and  the  inevitable  result  will  be  a  greater  evil  than 
ordinary  risks  of  impure  milk.  The  business  will  be  dri 
into  the  hands  of  the  few  large  concerns  who  have  cap 
enough  to  meet  the  requirements,  and  the  consumer,  moi 
the  poor  and  the  very  poor,  will  be  compelled  to  make  ui 
temporary  losses  by  paying  a  fancy  price  for  one  of  the 
cessaries  of  life. 

The  Health  Department,  with  its  uniformed  doct 
and  its  appeals  to  the  public,  strikes  one  as  somewhat  1 
atrical  and  fearful  lest  its  officers  should  not  he  duly  ap] 
ciated.  Some  thought  should  be  devoted  to  the  follow 
query:  Which  is  better,  to  deprive  thousands  of  pe< 
from  obtaining  good,  ordinary  milk,  by  striving  after  an 
attainable  ideal,  or  by  moderate  and  reasonable  regulati 
to  improve  the  quality  of  milk  without  working  hards) 
to  any  class  of  people.  Even  after  the  utmost  efforts  m 
babies  will  continue  to  be  killed  every  year  by  the  decon 
sition  of  this  exceptionably  fine  milk  caused  by  contact  ^ 
foul  rubber  nipples,  by  lack  of  care  in  keeping  the  milk 
by  lack  of  cleanliness  in  milk  bottles  and  nursing  bottles 

In  regard  to  the  cow  tuberculosis  Koch,  the  high  pi 
of  the  subject  has  said  that  it  is  incommunicable  to 
human  species,  and  yet  the  Health  Departments  are  gc 
to  out- Koch  Koch  in  the  matter. 

J.  B.  S.  K. 


EDITORIAL.  351 

A  MI8SI0NAUT  CAMPAIGN. 

Our  enthusiastic  standard  bearer,  Royal  S.  Copeland, 
President  of  the  American  Institute  of  Homeopathy,  at  the 
last  meeting  presented  the  following  resolutions,  with  a 
view  to  interest  the  profession  in  an  active  campaign  in  the 
propagandism  of  our  principles;  in  other  words,  to  induce 
the  homeopathic  profession,  of  America  to  realize  its  duties 
and  its  responsibilities  and  make  an  aggressive  onslaught 
on  the  empiricism  so  rampant  in  every  department  of 
medicine. 

1,  Resolved,  that  a  committee  of  seyen  members  be  selected  to 
eonsider  the  feasibilitj  of  establishing  a  Board  for  the  Promulgation  of 
the  Homeopathio  Doctrine  and  Institutions,  and  employing  a  field  seo- 
tetary  and  such  office  force  as  may  be  necessary  to  carry  out  its  functions, 

2.  Resolyed.  that  should  this  committe  consider  the  matter  favor- 
ftblj  that  at  the  next  meeting  of  the  Institute  it  report  a  detailed  plan 
for  carrying  it  into  effect. 

It  seems  almost  incredible  that  the  homeopath  should 
ever  need  anyone  to  do  this  missionary  work  for  him.  The 
pioneers  did  the  work  for  themselves  and  we  are  reaping  the 
harvest  they  sowed.  We  are  too  busy  with  our  individual 
daily  work  apparently  to  sow  the  seed  for  the  future  or  have 
a  care  for  the  cause,  hence  it  seems  practical  as  a  business 
proposition  to  employ  a  field  Secretary.  The  Institute  can 
do  this  and  should  begin  this  year.  Special  arrangements 
should  be  made  with  each  State  Society  for  complete  and 
thorough  organization  and  in  this  way  increase  the  work  in 
every  state.  Our  colleges  can  accommodate  two  or  three 
times  the  number  of  students  they  now  have  and  there  are 
50  good  locations  waiting  for  every  one  they  can  fill.  Verily 
the  harvest  is  abundant  but  the  reapers  are  few. 


PROPRIETARY  MIXTURES. 

It  is  a  fact  that  should  have  the  widest  publicity  that 
more  than  half  of  the  medicines  prescribed  by  allopathic 
physicians  are  ready-made  proprietary  mixtures,  the  ingre- 
dients and  quantities  of  which  are  unknown  to  the  prescrib- 
er.    The  wholesale  drug  houses  and  manufacturing  phar 


1 


352  THE  MEDICAL   ADVANCE. 

maceutical  firms  were  quick  to  see  a  profitable  field  for  o 
erations  by  exploiting  private  preparations  among  those  t 
longing  to  the  profession. 

The  general  public  had  been  thoroughly  worked  1 
patent  medicines;  now  it  occurred  to  some  commercial  mi 
to  work  the  profession  in  the  same  way;  the  doctors  woi: 
be  a  better  field  than  the  general  public,  for  a  medici 
taker  took  his  medicine  and  that  was  all,  but  if  a  physici 
could  be  enlisted  on  the  side  of  a  patent  medicine  (under 
more  polite  name)  he  would  prescribe  it  for  many  othei 
He  was  as  good  for  the  business  as  at  least  a  dozen  laym( 

Then  came  the  era  of  the  verbose,  interviewing  explc 
er,  who  visited  physicians,  left  samples  and  endeavored 
entrap  the  often  too  easy  doctor  into  prescribing  the  pi 
ticular  article  he  represented.  Numberless  preparations 
no  special  merit,  representing  no  special  skill  in  prepa 
tion,  mixtures  such  as  would  be  compounded  by  any  con 
druggist,  were  prescribed  by  the  allopathic  physician  1 
lazy  or  too  incompetent  to  think  for  himself. 

The  Ladies'  Home  Journal  has  taken  this  matter  up,  a 
declares  as  the  result  of  its  investigations  that  of  fivetho 
and  prescriptions  examined  41  per  cent,  called  for  propria 
ry  ready  made  mixtures.  Of  another  five  thousand  of  \ 
other  year  47  per  cent,  was  the  proportion. 

Homeopaths  are  not  entirely  guiltless  in  this  respe 
and  of  all  men  they  have  the  least  excuse  for  using  or  in  a 
way  countenancing  proprietory  preparations, 

J.  B.  S.  K. 


DIAGNOSIS  vs.  THERAPEUTICS. 

By  Sir  Dyce  Duckworth. 

An  address,  on  another  page,  by  this  able  clinician  a 
careful  observer  will  be  read  and  welcomed  by  our  reade 
It  is  one  of  the  clearest  explanations  of  the  problem 
diathesis,  both  in  diagnosis  and  therapeutics,  which  has 
peared  in  current  literature  in  many  a  day  and  will  well 
pay  not  only  a  reading  but  a  study  by  every  Hahnemanni 

The  question  of  individuality,  of  caring  for  the  patie 


ECITORIAL.  353 

not  his  disease,  reads  like  a  chapter  from  the  Organon;  while 
the  therapeutic  nihilism  so  sincerely  deplored  and  so  honestly 
proclaimed  to  the  world,  stamps  its  author  as  an  earnest 
thinker  and  an  honest  man  seeking  only  the  welfare  of  the 
profession  and  humanity.  His  conclusions  thus  summed 
up,  are  not  encouraging,  nor  inspiring  to  the  therapeutist  of 
his  school,  who  appears  to  be  a  giant  in  the  laboratory,  but 
an  infant  at  the  bedside. 

Again  one  point  more.  We  are,  I  mncb  fear,  suffering  in  these  days 
from  a  widely  spread  spirit  of  inoredulitj,  timiditj  and  hopelessness  in 
the  whole  realm  of  therapeutics.  We  spend  much  time  in  cultirating 
elaborate  diagnosis,  and  this  is  quite  right,  but  we  greviously  neglect 
our  main  business  as  healers  and  mitigators  of  disease.  Our  knowledge 
of  the  materia  medioa  has  declined  out  of  all  proportion  to  that  gained 
bj  the  progress  of  bacteriology  which  claims  to  supercede  the  older 
therapeutical  art.  It  will  never  supercede  it,  for  there  are,  as  Sir 
William  Jenner  said,  but  two  great  questions  to  be  answered  at  the  bed- 
side of  a  sick  man — what  is  the  matter  with  him  ?  and  what  will  do  him 
good?  Are  we  not  too  apt  to-day  to  forget  the  second  question,  to  ex- 
periment with  synthetical  noTelties,  and  to  neglect  the  oldlong-approTed 
remedies?  In  short,  are  we  not,  as  physicians,  slowly  drifting  into  the 
position  of  abstract  scientists  and  gradually  loosing  our  proper  relation 
to  the  sick  as  skilful  medical  artists  ? 

"The  first  and  only  duty  of  the  physician  is  to  heal  the 
sick,"  a  truism  that  will  go  thundering  down  the  corriders 
of  time  inspiring  a  confidence  in  the  examplar  of  law  un- 
known to  his  colleague  of  empirical  therapeutics. 


The  New  Postal  Law.— Under  the  new  law  which  takes 
effect  June  1,  1908,  no  monthly  publication  will  be  allowed 
to  go  through  the  mails  as  second-class  matter  more  than 
four  months  after  the  time  for  which  it  is  paid.  On  the  ad- 
dress label  of  every  wrapper  is  the  date  to  which  the  sub- 
scription is  paid,  and  every  subscriber  may  know  from  this 
why  his  journal  fails  to  appear,  if  he  does  not  receive  it. 
The  publisher  is  compelled  to  cancel  all  subscriptions  four 
months  after  the  date  to  which  they  are  paid. 


S64 


THE  MEDICAL  ADVANCE. 


NEW  PUBLICATIONS. 

PIERSOL'S    HUMAN    ANATOMY,   iDcluding  Structure,   Devel 

ment  and  Practical  CoosideratioDB,  bj   George  A.   Piersol,   M. 

Assisted  by  Prof.  Thomas  Dwight,  of  Harrard;  J.  P.    McMurri 

Ann  \rbor;  C.  A.  Hamann,  Cleveland,  and   J.    W.    White,   Ph 

delphia;  with  1,734  illustrations,  of  which  1,522  are  original,  lar 

Ij  from  dissections  from  Dr.  John  C.  Heisler,  of  Philadelphia. 

A  new  and  splendid  volume  of  over  2,000  pages  on  human  ana 

my,  is  an  achievement  of  itself  worthy   of  commendation.     Those  yi 

obtained  their  knowledge  of  anatomy  from  the  text-books  of  Hold 

Wilson,  Gray,  Leidy  or  Morris  may  think  it  almost  impossible  to  s 

pass  some  of  these  valuable  works  either  in  text  or  illustrations,  qi 

they  examine  this  last  aspirant.     The  work  is  written  by   seven  of  1 

ablest  and  best  known  anatomists  in  America,  if  not  in  the  world. 

The  descriptive  text,  while  concise  and  suflSciently  comprehensi 
includes  all  that  is  necessai^y  for  a  thorough  understanding  of  the  va 
ous  parts  of  the  human  body  and  their  relations,  structure  and  develc 
ment.  The  relations  of  anatomical  details,  which  claim  the  attention 
both  the  physician  and  surgeon,  are  emphasized  and  explained  in  ev( 
particular,  while  the  illustrations,  beautifully  colored,  are  from  acti 
dissections,  drawn  and  prepared  with  fidelity. 

Dr.  Dwight's  description  of  the  skeleton  and  joints  also  inclu 
that  of  the  gastro- pulmonary  system,  and  the  accessory  organs  of  i 
gestion, 

Br.  Hamann  contributed  a  description  of  the  cerebro-spinal  a 
sympathetic  nervous  system. 

Dr.  McMurrich  supplied  the  systematic  description  of  the  muscvl 
blood  and  lymph-vascular  system. 

Br.  White,  well  known  as  a  professor  of  surgery,  has  given  the  J 
liitions  of  anatomy  to  the  requirements  of  the  practitioner,  what  is  i 
nally  known  as  regional  or  surgical  anatomy.     A  brief  description 
operative  methods  have  been  given,  where,  to  complete  the  study  of 
anatomical  region  or  an  impv)rtant  organ,  this  seoms  necessary. 

The  editor,  Dr.  Peirsol,  has  practically  done  the  rest  of  the  wor 
contributing  many  valuable  chapters. 

A  new  feature  in  a  work  of  this  kind  is  the  Practical  Consideratio 
iUustrating  the  dependence  of  the  diagnostician  and  practitioner  up 
anatomical  knowledge.  This  is  one  of  the  most  valuable  portions 
the  work,  and  while  at  first  glance  it  does  not  seem  to  belong  strictly 
a  text- book  of  anatomy,  there  will  be  found  an  intimate  relation  betwe 
the  descriptive  portion  of  the  work  and  the  practical  relation  betwe 
them.    In  this  way  the  student  is  enabled  to  do  more  than  merely  mei 


NEW  PUBLICATIONS.  355 

«rize  anatomy,  which  is  often  forgotten  as  soon  at  his  degree  is  received 
and  the  actual  work  of  his  professional  career  begins. 

The  editor  sajs  in  the  preface,  with  regard  to  the  synonyms  recom* 
mended  by  the  Basle  nomenclature : 

"Very  earnest  consideration  of  the  question  of  nomenclature  led  to 
the  conclusion  that  the  retention^  for  the  most  part,  of  the,  terms  in  use 
hj  English-speaking  anotomists  and  surgeons  would  best  contribute  to 
the  nsefulness  of  the  book,  While  these  names,  therefore,  have  been 
retained  as  the  primary  terminology,  those  adopted  by  the  Basle  Con- 
freis  have  been  included,  the  BNA.  synonyms  appearing  in  the  special 
type  reserred  for  that  purpose.  The  constant  aim  of  the  editor  has 
been  to  use  the  simplest  anatomical  terminology  and  preference  has  al  * 
▼AjB  been  given  to  the  anglicized  names,  rather  than  to  the  more  formal 
designations.  Although  in  many  cases  the  modifications  suggested  by 
the  new  terminology  have  been  followed  with  advantage,  consistent  use 
of  the  Basle  nomenclature  seems  less  in  accord  with  the  conceded  di- 
rectness of  English  scientific  literature  than  the  enthusiastic  advocates 
of  such  adoption  have  demonstrated." 

We  shall  be  greatly  surprised  if  this  work,  which  embraces  embry- 
ologj,  histology,  descriptive  and  surgical  anatomy,  does  not  rapidly  be- 
come the  text-book  for  all  medical  colleges. 

The  Colambas  Medical  Joarnal  is  the  name  of  a  new 
monthly,  by  Dr.  C.  S.  Carr.  It  is  the  old  ^'Medical  Talk" 
under  a  new  and  we  think  a  more  attractive  name,  by  the 
same  enterprising  editor,  who  makes  one  of  the  brightest 
semi-medical  periodicals  that  comes  to  our  table.  We  wish 
it  the  success  it  richly  deserves. 

OlY  May  19,  20  «Lnd  21  Dr.  E.  H.  Pratt  will  hold,at 
Bering  Medical  College,  Wood  and  York  Streets,  Chicago,  a 
Free  Clinic  in  OrificioLl  Sxirgery,  illustrating 
the  great  power  of  the  work  in  the  cure  of  the  chronically 
sick,  so-called  incurables.  Doctors  are  requested  to  bring 
cases.  For  particulars  address,  E.  H.  Pratt,  M.  D.,  Suite 
1202,  100  State  Street,  Chicago. 


SUCCESSOR  WANTED.  Owing  to  sickness,  in 
a  nearby  City  of  3,000.  Homeopathy  practiced  for  years. 
Good  business.  For  particulars  write  Dr.  B.,  Forrest 
Press,  Batavia,  Illinois. 


Hew  M  Homeoiiallilc  College 

0^^^^^^         and  HOSTITAL 

Therapeutic  Week.     Free  Practioner's  Couri 
All  Homeopathic  Physicians  Invited. 

on  Monday,  Tuesday,  Friday  and  Saturday  of  the  week  May  ] 
to  May  16th,  1908,  Lectures  and  Demonstrations  will  be  givei 
the  College  from  1  P,  M.  to  6  P.  M.,  by  professors  of  the  faci 
These  Lectures  will  be  devoted  entirely  to  Therapeutics  ii 
broadest  sense.  They  will  include  besides  the  Homeopat 
Therapeutics  of  some  of  the  more  common  important  disea 
their  general  treatment,  management,  hyeiene,  dirt,  sanil 
precautions,  care  of  con  valence,  hydro  therapy  and  electric 
In  other  words,  A  SYMPOSIUM  OP  THE  TREATMENT 
DISEASES. 

On  Wednesday  of  this  week  those  present  will  visit  the  Me 
politian  Hospital,  where  all  forms  of  Therapeutic  Measures 
be  demonstrated. 

On  Thursday  May  14th  the  exercises  of  Alumni  Day  and  C 
menceraent  will  be  held?    With  the  banquet  in  the  evening. 
All  are  invited.    Try  to  come. 

W.  HARVEY  KING,  Dean. 

J.  W.  DOWLIWG,  Secretary  of  the  Faculty. 

For  Chrc 
Has  dem 

strated  for  twelve  years  what  Homeopathic  treatment 
do  for  patients  who  are  removed  from  the  cares  of  tl 
ordinary  environment.     Located  in  an  attractive  and  hea 
ful  suburb  of  Boston. 

SAMUEL    L.     EATON,    Ma 


Highland  Hall,  Newton  Highlands,  Mass.. 
**&*    %***w       %€    f  ^^^  nervous  diseases. 


TIE  THIRD  REVISED  EDITION  of  DR.  OVERALL'S  BOOE 

CJu^t  out)  contains  three  new.  original  non- 
i>l>tr&tive  methods  of  treating  chronic  diseases 
of  the  Prostate.  Urethra,  Bladder  and  the  sequela 
fjf  Stricture,  Impotency,  Neuresthenia,  Gon. 
Rheumatism,  etc.,  etc.  The  book  stands  with- 
out a  parallel  in  advanced  scientific  diagnosis 
•Dd  treatment  of  these  troubles.  Many  physi- 
claai,  having  read  the  book,  claim  that  it  has 
ix'ea  a  revelation  to  them.  258  pages,  only  |L 
EOW£  PUB.  CO..  72  Madison  St.,  Chicago. 


Characteristic     Conditions    of 
gravation  and  Amelioration. 

After  BonniDghausens,  62  pa 
Pocicet  Edition.  Rubric«  arrai 
alphabetically  with  a  compieti 
dex  should  be  oa  every  office  des 
Price  $1.00. 

GEORGE  A.  TABERM.  D 
Richmoiid  T 


i 


The  Medical  Advance 


Vol.  XL VI.  BA.TAVIA,  ILL.,  JUNE,  1908.  No.  6. 

SOME  OF  THE  DANGERS  TO  WOMEN.* 

By  Helen  B.  Wilcox,  M.  D.,  Chicago. 

The  fact  that  the  whole  duty  of  the  physician  is  not 
ended  when  he  has  examined  his  patient  and  prescribed  the 
indicated  remedy,  is  generally  admitted.  The  people  look 
to  us,  and  rightly  for  advice  beyond  this  point.  We  are 
looked  to  not  only  for  a  cure,  but  for  suggestions  which  will 
prevent  another  attack  of  the  malady.  But  do  we  not  hesi- 
tate to  do  so  in  venereal  disease,  that  scourge  that  is  rob- 
bing our  homes  of  our  fairest  daughters,  innocent  victims? 
To  secure  the  protection  of  wives  and  unborn  children  from 
loss  of  life  and  health  through  these  diseases,  the  communi- 
ty needs  chiefly  education.  Public  attention  is  now  focus- 
sing upon  the  contamination  of  wives  and  children  from  the 
"social  diseases.''  This  contamination  is  often  the  result  of 
ignorance.  The  responsibility,  however,  of  enlightening: 
the  public  does  not  rest  with  the  medical  profession  alone, 
but  we  must  do  our  share. 

A  great  educational  work  is  being  done  on  this  line  by 
the  Chicago  Society  of  Social  Hygiene. 

From  the  authorities  quoted  I  gained  the  following 
facts: 

I.  At  least  half  the  adult  male  population  of  all  social 
grades  in  our  cities  contracts  gonorrhea.  Probably  ten  per- 
cent contract  syphilis. 

II.  Most  of  these  men  erroneously  suppose  themselves 
cured  and  free  from  contagion  when  the  outward  signs  of 
the  disease  have  disappeared.    The  fact  is  that  these  con- 

*Transactions  Regular  Homeopathic  Society,  May  5th,  1908. 


858 


THE  MEDICAL  ADVANCE. 


LagiODS  often  lurk  in  the  deeper  structures  for  months  or 
i*v*en  years  after  an  apparent  cure.  Hence  these  tragedies 
follow;  that  thousands  and  thousands  of  women  and  child- 
ren are  maimed  or  killed  by  the  venereal  diseases  contracted 
from  the  husbands  or  fathers.  ..  -^ 

And  we  have  the  loss  of  motherhood,  even  life  itself  or 
the  mutilation  of  the  wife  by  surgery  to  preserve  her  life, 
aad  the  loss  of  eye-sight  in  the  new-born  babe. 

It  is  said  42  per  cent,  of  abortions,  25  to  70  per  cent,  of 
infantile  blindness,  and  50  per  cent,  of  the  pelvic  disorders 
of  women,  as  metritis,  endometritis,  salpingitis,  ovaritis  and 
peritonitis  are  caused  from  these  loathsome  diseases. 

Some  authorities  give  from  50  to  75  per  cent,  of  all  pel- 
vic operations  in  women  as  caused  by  this  plague. 

Those  of  you  who  have  not  read  the  article  by  Stuart 
Close,  M.  D.,  in  the  Medical  Advance  on  **Inherited 
Gonorrhea,"  will  find  it  worth  your  while  to  do  so. 

The  quotations  and  reix^rts  I  give  in  my  paper  have 
been  gleaned  from  the  Medical  Advance,  The  Medical 
M'odd,  and  from  circulars  sent  out  by  the  Chicago  Society 
of  Social  Hygiene. 

Dr.  Osier,  in  describing  the  diseases  which  are  the 
pTatest  scourges  of  the  human  race,  such  as  cholera,  yellow 
f*n-er,  small  pox,  consumption,  pneumonia  and  leprosy, 
wrote  of  the  group  of  venereal  diseases:  **These  are  in  one 
rt's])ect  the  worst  of  all  we  have  to  mention,  for  they  are  the 
only  ones  transmitted  in  full  virulence  to  innocent  children 
to  fill  their  lives  with  suffering,  and  which  involve  equally 
innocent  wives  in  the  miserj^  and  shame." 

Some  of  the  suggestions  made  to  help  stay  this  evil: 

I.  Let  there  be  the  same  standard  of  morals  for  men 
as  for  women. 

II.  Let  the  child  be  taught  the  laws  of  life. 

III.  The  same  care  for  the  daughters  as  for  the  sons. 
If  your  son  were  going  to  marry   a  woman  from   the 

"Red  Light  District,"  you  would  move  heaven  and  earth  to 
prevent  such  a  union,  and  yet  your  daughter  is  allowed  to 


SOME  OF  THE  DANGERS  TO  WOMEN.  £57 

marry  a  man  who  frequents  that  district  without  a  question 
on  your  part. 

rv.  That  the  state  require  a  certificate  of  freedom 
^voxn  social  diseases  before  granting  a  marriage  license,  in 
^tie  interest  of  innocent  wives  and  children. 

A  few  years  ago  mutilation  of  women  by  surgeons  in 
every  hamlet  and  country  cross-road,   as  well   as  in  large 
<^Hies,  was  of  common  occurrence.    Now  is  the  day  of  more 
<5onservative  surgery.    They  recommend  more  often  the  in- 
dicated remedy  and  the    results  will  far  surpass  the  old 
^^rd.    Some  ridicule  the  use  of  the  indicated  remedy  as 
"^^  use  it  even  yet,  and  the  unnecessary  destruction  of  tis- 
^^e  and  organs^  by  these  so-called  surgeons  is  still   appall- 
^^g.    Our  greatest  homeopaths  recommend  restoring  har- 
^^ny  and  order  in  the  patient,  and  then  if  necessary   surgi- 
^  aid.    But  if  order  and  harmony  have  not  been  first  es- 
^     mbed  then  surgical  interference  is  dangerous  to  the  pa- 

1^  .  ^^^iJeopathy  as  understood  and  practiced  by  Hahnemann 

tJQ      ^^J action  to  the  diseases  of  women  bears  the  same  rela- 

tof-L^  ^t   does  to  all  other  diseases,  that  is,  it  relates  solely 

ai/y  ^-t^^'tients,  their  symptoms,  peculiarities  and  individu- 

'^'le  0     -     ^^  opens  up  possibilities  not  to  be  dreamed  of  by 

reiQp,       -*^^ry  mind.     Yet  we  must  be  sane  in  the  use  of  our 

tJig  J.  "^  -»     ^riot  expect  it  to  do  impossible  work,  or  we  endanger 

I  })^^  ^^     of  our  patients.     A  few  cases  will  illustrate  what 

w    ^^^^en  trying  to  say. 

Uevp     ^^  *     ■^•'  under  good  homeopathic  treatment  for  years; 

^Oa  i!^r^^^^5  P*^^  ^^  P^l^^^  ^^^^^^  ^^1  ^^^ -^i^^'   ^^  strength, 

deii    ^->^^5on:  chills  and  fever  for  weeks  at  a  time,  life  a  bur- 

^, .    ^^^^.lled  in  a  surgeon  who  found  a  pus  tube,   operated, 

^^^^    ^^^  diseased  tissue.     Patient  made  a  good  recove- 

'  ^^    Vias  had  good  health  for  the  last  nine  years. 

.  ^    ^^^  B.,  fell  on  an  icy  sidewalk.     In  a  short  time  severe 

eriDsg-  ^^^^loP^d  i^  ^^^  region  of  the  left  ovary.     Not   recov- 

^  YY  ^y^^^der  the  local  physician's  treatment,   he  called  in  a 

,      ^^Own  Chicago  surgeon  who  attempted  to  drain  the 

^^  through  the  vagina.     Still  patient  did  not  improve. 


358 


THE  MEDICAL  ADVANCE. 


She  was  taken  to  a  hospital,  an  incision  made  in  the  abdo 
men  which  did  not  improve  conditions  as  the  abdommal  in 
cision  would  not  heal  and  pus  poured  from  that  wound  for  j 
year,  when  the  patient  died.  The  doctors  who  held  thi 
autopsy  said  the  patient  died  of  septicemia. 

A  similar  case  in  my  own  practice:  Mrs.  C,  fell  oi 
broken  sidewalk  in  July,  1906;  developed  a  severe  pain  ii 
left  ovarian  region,  so  severe  as  to  be  alarming.  I  consult 
ed  Dr.  Sayre,  who  advised  me  to  continue  remedies  an< 
against  an  operation  only  as  a  last  resort.  I  shall  not  at 
tempt  to  give  a  full  description  of  the  case  as  it  would  tak 
too  long.  I  gave  the  remedies  as  I  saw  them  indicated.  L 
a  short  time  the  abscess  ruptured  and  drained  through  th< 
uterus.  In  the  course  of  some  weeks  the  patient  was  up  an( 
around  and  has  been  in  as  good  health  since  as  before  th 
injury. 

MissB.,  aged  30  years.  A  case  of  leucorrhea  sine 
childhood.  Had  been  advised  by  different  doctors  to  hav 
uterus  curetted.     Came  under  my  care. 

I  failed  in  finding  the  right  remedy  for  a  long  time;  bu 
learning  more  about  the  family  history,  especially  that  he 
father  was  a  friend  of  his  satanic  majesty,  led  me  to  think  o 
Medorrhinum.  Wait  a  minute  my  friend,  I  did  not  have  t< 
give  it  on  that  fact  alone.  There  could  be  added:  Grea 
mental  anxiety,  confusion  of  memory,  great  difficulty  in  ap 
plying  mind  to  any  subject  requiring  thought,  dislike  o 
work,  feet  lame,  pain  in  head  and  spine,  leucorrhea  offensiv< 
and  acrid.  Gave  Medorrhinum  dmm,  and  behold  ther( 
was  no  more  leucorrhea  for  months.  Had  I  rememberec 
the  teaching  I  received  from  our  good  Dean  of  Hering  Col 
lege,  namely  to  take  the  family  history  as  well  as  to  obtaii 
all  the  symptoms,  especially  peculiar  and  mental  symptoms 
before  prescribing,  I  would  have  relieved  my  patient  earlier 

There  are  methods  of  applying  medicine  and  of  choos 
ing  the  remedy,  that  it  might  be  in  order  to  criticise  as  be 
ing  ''Dangers  to  Women,"  but  I  am  reminded  of  the  "say 
ing"  which  we  will  apply  to  treatment 

* 'There  is  too  much  bad  treatment  with  the  best  of  us, 
And  too  much  good  treatment  with  the  worst  of  us, 
That  it  behooves  the  most  of  us, 
Not  to  criticise  the  rest  of  us." 


TREATMENT  OF  SCARLET  FEVER.  359 

THE  TBEATMENT  OF  ORAL,  NASAL  AND  GLAND- 
ULAR COMPLICATIONS  OF  SCARLET  FEVER.* 

By  Dr.  Nettie  Campbell,  Chicago. 

As  a  homeopath  must  treat  the  patient  and  not  the  or- 
gans or  disease,  therefore  I  will  necessarily  have  to  give 
symptoms  that  touch  on  more  than  my  subject  calls  for. 

The  pathological  symptoms  of  course  are  those  of  in- 
flammation and  infiltration  every  where  and  if  in  the  stru- 
mous subjects,  when  a  part  of  the  course  of  scarlet  fever, the 
tendency  of  otitis  media,  is  for  the  trouble  to  become 
chronic,  but  in  developing,  it  may  come  on  so  insidiously  as 
to  be  unobserved  until  pus  is  discovered  in  the  canal  and 
the  presence  of  pus  always  indicates  perforation  of  the  drum; 
but  under  proper  internal  medication  combined  with  local 
measures  for  the  purpose  of  cleanliness  to  stimulate  healing 
of  the  drum,  the  case  may  be  altogether  cured. 

The  treatment  of  otitis  media,  to  be  successful,-  should 
combine  both  constitutional  and  local  treatment. 

The  use  of  the  syringe  has  been  the  cause  of  the  con- 
tinuance of  a  great  many  cases  of  middle  ear  disease.  It  is 
almost  impossible  to  drain  the  middle  ear  of  fluids  that  have 
been  injected,  therefore  dry  treatments  have  been  found  to 
be  much  superior  to  medicated  injections.  Even  for  pur- 
poses of  cleanliness  it  is  better,  as  a  rule,  to  carefully  wipe 
out  the  ear  with  absorbant  cotton,  securely  fastened  on  the 
end  of  a  delicate  probe  or  tooth  pick.  If  it  is  not  i)ossible  to 
properly  cleanse  the  ear  in  this  manner,a  few  drops  of  perox- 
ide of  hydrogen,  from  an  eye  pipette,  can  be  dropped  in  the 
ear,  the  child  lying  on  its  well  side.  This  preparation 
quickly  decomposes  pus,  epithelial  debris  and  decomposed 
blood  with  which  it  comes  in  contact,  fermenting  them  out  of 
their  recesses  in  an  instant.  It  is*  the  only  moist  treatment 
that  I  use,  and  have  never  had  to  use  it  more  than  once  to 
cleanse  the  canal  of  the  dry  hard  pus  and  this  only  i  strength, 
as  it  has  a  tendancy  to  destroy  healthy  granulations. 

Immediately  following  this  application,  the  ear  should 


♦ReflTular  Homeopathic  Medical  Society,  May,  1908i 


t 

L 


360 


THE  MEDICAL  ADVANCE. 


be  gently  wiped  with  absorbant  cotton,  then  put  a  piece 
dry  cotton  in  for  the  purpose  of  thoroughly  drying  and  p 
tecting  the  ear  from  cold.  The  success  will  depend  uj 
the  degree  of  dryness  and  cleanliness  that  can  be  secured 

The  homeopathic  treatment  is  the  indicated  remedy  i 
on  the  totality  of  the  symptoms  of  the  patient  and  no  < 
can  tell  what  that  remedy  may  be  until  they  reach  the  b 
side,  because  it  is  the  patient  that  must  be  prescribed 
and  not  the  disease. 

The  following  are  some  of  the  remedies  to  be  stud 
when  the  glandular  system  and  ear  are  involved:  At 
Am.  c.  Bar.,  Carb.  ac,  Lach.,  Lyc.,Phyt.,Sil.  and  the  M 
curies. 

Apis  is  adapted  to  the  strumous  diathesis  to  be  thoui 
of  where  the  rash  is  imperfectly  developed. 

Glands  enlarged  and  hard,  worse  on  the  right  side. 

Puffy  under  the  eyes,  with  rapid  and  extreme  puffin 
of  the  throat. 

Uvula  is  edematous,  raw,  with  burning,  stinging  pj 
rather  than  soreness. 

The  Apis  child  is  so  sensitive  to  pain  (Hepar);they  a 
not  allow  the  throat  to  be  touched  or  examined.  It  is  gla 
from  the  edema. 

Nose  is  painfully  sore  with  excessive  thick  grayish  wl 
secretion  in  scarlet  fever. 

Discbarge  from  ear  or  mouth  is  very  fetid,  <  by  hi 
or  hot  water  bags;  <  3  P.  M.  or  after  midnight. 

Urine  scanty  with  vesicle  tenesmus,  or  may  be  suppres 
— rapid  prostration. 

Ammonium  carb.  is  to  be  thought  of  when  the  rash 
cedes  too  early  and  paralysis  of  the  brain  threatens. 

Malignant  cases  with  putrid  sore  throat,  saliva  adhes 

Swelling  of  parotid  and  cervical  glands. 

Tonsils  swollen  and  bluish,  covered  with  offensive  i 
cus  and  tendency  to  gangrenous  ulceration. 

Stoppage  of  nose  at  night;   child  breathes  through 
mouth   is  one  of  the  keynotes;  or  cannot  sleep  becaus 
cannot  get  its  JDreath. 


TREATMENT  OF  SCARLET  FEVER.  361 

In  malignant  cases  with  deep  stertorous  breathing;  finely 
developed  eruption  from  defective  vitality. 

Snuffles  and  long  lasting  coryza. 

Baryta  carb.,  is  one  of  the  deep  seated  anti-psoric  rem- 
edies and  has  a  special  affinity  for  the  nutritive  and  gland- 
ular system.  To  be  thought  of  in  patients  who  are  dwar- 
fish in  body  and  mind,  not  dwarfish  in  stature,  but  of  single 
organs,  single  organs  may  stop  developing,  for  instance  the 
mammary  glands  or  sexual  organs  stop  growing. 

Mental  dwarfishness:  it  seems  to  suspend  the  mental  de- 
velopment; act  childish  beyond  their  years;  cannot  learn  at 
school  because  cannot  grasp  the  thought,  cannot  form  con- 
ceptions, cannot  memorize;  have  a  well  formed  head  and  yet 
cannot  learn  because  of  mental  dwarfishness. 

Late  learning  to  walk.  Calcarea  is  late  walking  but  it  is 
because  of  soft  bones,  from  deficiency  of  lime  salts;  soft 
flabby  muscles.  Then  we  might  saj^  that  Calcarea  is  late 
walking,  while  Baryta  carb.  is  late  learning  how  to  walk 
with  good  strong  bones. 

These  are  .  some  of  the  cases  where  the  symptoms  to 
prescribe  on  are  such  as  represent  the  patient,  not  the  glands 
or  diseased  tissues. 

Children  who  are  sensitive  to  cold  and  with  every  ex- 
posure to  cold  wind  or  change  of  weather  have  an  attack  of 
tonsilitis  and  the  result  is  chronic  enlarged  tonsils  (Sil.,Calc. 
Hep.,  Sulph.,  Psor.). 

Chronic  cough  in  psoric  children  <  after  slightest  cold. 

Offensive  footsweat,  toes  and  soles  get  sore,  or  heels 
sweat. 

Inflammation  of  cellular  tissues  of  fauces  and  tonsils; 
throat  is  pale  because  of  defective  nutrition,  instead  of  bright 
red  as  in  Belladonna. 

Ptyalism;  putrid  breath. 

Fluent  coryza;  nose  and  upper  lip  swollen. 

Ear  troubles  and  discharges  following  scarlatina,  hard- 
ness, enlargement  and  induration  of  the  parotids,  submax- 
illary and  cervical  glands  which  enlarge  and  become  tender, 
may  even  suppurate,. 


362  THE  MEDICAL  ADVANCE. 

Carbolic  acid,  is  to  be  thought  of  in  profound  bla 
poisoning  types,  with  impending  coma,  intense  fetid  breat 
diarrhea  profuse  and  offensive. 

Urine  dark,  ahnost  black,  exceedingly  offensive. 

Destructive  glandular  involvement. 

Mouth  covered  with  false  membrane;  mucous  membrar 
pale,  exuding  bloody  mucus. 

Hepar  sulph  acts  especially  upon  the  lymphatic  glai 
ular  system  and  ears;  one  of  our  greatest  remedies  in  chroi 
•enlargement  of  the  tonsils,  with  hard  glandular  swellin 
in  the  neck;  otorrhea  is  profuse,  greenish,  bloody  a 
offensive,  causing  excoriation  at  external  meatus,  or  lit 
pustles  wherever  the  pus  touches.  If  given  in  the  eai 
stage  will  often  prevent  suppuration. 

Pain  in  the  throat  and  ear  is  of  a  sticking  charad 
when  swallowing  or  sensation  of  splinter  or  fishbone 
throat  (Arg.  n.  Nit.  ac). 

Ear  and  throat  very  sensitive  to  touch,  will  hardly  all 
you  to  point  toward  the  ear  for  fear  of  being  hurt. 

Extremely  sensitive  to  cold  air,  imagines  he  can  feel  1 
air  if  door  or  window  is  open  in  next  room;  >  by  wrappi 
up  the  head.  (Psor.  Sil.). 

Takes  cold  from  the  slightest  exposure  to  fresh  air  (Tul 

Sweat  profuse  day  and  night  without  > ;  so;ar,  offensi 

Sweats  easily  on  every  mental  or  physical  exertion  (Ps 
Tub.). 

Catarrhal  discharge  of  offensive,  yellowish,  bloc 
mucus. 

Lycopodium:  complaints  begin  on  right  and  go  to  i 
left;  <  after  sleep;  <  from  cold  drinks;  <  from  4  to  8  P. 

Scrofulous  patients,  with  chronic  enlargement  of  1 
tonsils,  with  enlargement  of  parotid  glands;  with  abdomi 
troubles;  with  rumbling  of  gas  in  the  bowels. 

A  remedy  to  be  thought  of  for  impairment  or  losi 
hearing,  with  offensive  purulent  discharge,  which  excorij 
the  external  meatus,  drum  head  destroyed, 

Lachesis:  in  this  we  have  a  most  profound  disorgan 
tion  of  the  blood  plasma  from  the  scarlatina  poison.      I 


TREATMENT  OF  SCARLET  FEVER.  363 

side  shows  the  most  severe  involvement,  or  symptoms  go 
from  the  left  to  the  right,  especially  in  the  throat  and 
glandular  symptoms. 

Tonsils  and  sub-maxilliary  glands  involved. 

Tongue  dry,  protruded  with  difficulty,  trembles  or  may 
catch  on  the  teeth. 

Swallowing  liquids  more  painful  than  solids  and  saliva 
still  more  painful  to  swallow  than  liquids. 

Very  sensitive  to  touch,  can't  bear  the  bed  clothes  to 
come  near  neck. 

Parotid  glands  threatening  abscess,  with  general  dropsy 
in  delayed  desquamation. 

Urine  almost  black;  stools  offensive;  <  after  sleep, 
awakens  startled,  frightened,  confused,  afraid  of  suffocating 
and  strangling;  <  from  hot  drinks  or  heat. 

Prostration  out  of  all  proportion  to  the  appearance  of 
throat. 

Phytolacca  is  another  of  our  prominent  remedies  for 
the  glandular  throat  affections  of  scarlatina,  with  tendency  to 
suppuration  and  ulceration  of  tonsils. 

Uvula  and  back  part  of  throat  swollen  and  covered  with 
grayish  patches  (Merc.  Nit.  ac). 

Pains  shoot  from  throat  into  ears  on  trying  to  swallow. 

Great  pain  at  root  of  tongue  on  swallowing. 

Throat  darker  red  than  Belladonna  with  dry  and 
burning  as  of  coals  of  fire. 

Sub-maxilliary  and  parotid  glands  indurated. 

Acrid  discharge  from  one  nostril  and  the  other  stopped 
up,  with  drawing  pain  at  root  of  nose. 

Great  exhaustion  and  prostration. 

Mercurius  vivus:  we  shall  especially  think  of  the  Mer- 
-curies  when  we  have  the  glandular  system  effected,  with 
ulceration  of  the  mucous  membrane. 

In  the  nose  we  have  much  sneezing  and  fluent,  acrid 
Goryza,  or  may  be  acrid,  offensive  discharge  of  green  mucus. 

Catarrhal  Inflammation  of  the  ear,  both  internal  and  ex- 
ternal, 8^0  of  the  tympanum,  involving  the  eustachian  tube; 
discharge  is  offensive,  purulent,  excoriating.  Deafness  with 
ix>aringy  buzzing  sounds  in  the  ear. 


364 


THE   MEDICAL  ADVANCE. 


Throat  and  fauces  a  coppery  red  color;  dry,  swc 
with  pain  on  swallowing,  yet  constantly  obliged  to  swa 
because  the  mouth  is  always  full  of  saliva,  and  with  a  n 
tongue  there  is  intense  thirst;  glandular  swelling  wit 
without  suppuration. 

Profuse  sweat  at  night,  <  from  the  heat  of  the  bed. 

Mercurius  iodatus  flavus  is  most  useful  in  dipt 
itic  sore  throat  or  tonsilitis,  usually  <  on  right  side  of  m 
or  beginning  on  the  right. 

Cervical  glands  very  much  swollen,  useful  in  maligi 
forms. 

Mercurius  iodatus  ruber,  the  <  is  on  the  left 
or  begins  there  and  extends  to  the  right,  there  is  n 
glandular  swelling  and  more  fever  and  headache. 

This  remedy  is  more  useful  in  malignant  cases ' 
great  swelling  of  parotid  and  sub-maxillary  glands  and  ton 

The  fauces  apd  tonsils  are  covered  with  large  i 
ulcers. 

Great  itching  in  both  ears. 

In  all  the  Mercuries  we  have  inflammation  of  the  mu( 
membrane,  with  an  overflow  of  morbid  products, as  ptyal 
perspiration,  coryza,  diarrhea  or  dysentery,  with  a  '  n( 
get  done"  sensation. 

SiLiCEA  is  especially  to  be  thought  of  in  old  chr 
cases  of  otitis  media  following  scarlet  fever,  the  periost 
or  bones  or  both  are  carious  or  necrosed. 

The  discharge  in  Silicea  is  not  profuse,  but  persistai 

The  child   is  chilly,   tires  easily  and  perspires  rea 
about  the  head  and  neck,  lower  down  on  the  head  than 
carea,    not   at  all  robust,   has  glandular  involvement 
especially  glandular  induration. 

If  the  scarlet  fever  or  any  other  fever  for  that  ma 
is  prolonged,  or  of  a  low  or  malignant  type  we  may  rest 
sured  we  have  a  psoric  or  tubercular  patient  to  treat 
the  more  deeply  psoric  the  more  malignant  the  attj 
therefore  we  must  study  our  psoric  and  tubercular  reme 
and  among  these  Psorinum,  Tuberculinum  and  Sulp 
must  not  be  forgotten.  Also,  the  entire  patient  must  b( 
eluded  in  the  anamnesis. 


CASES  FROM  DAILY  PRACTICE.  365. 

SOME  CASES  FROM  DAILY  PRACTICE. 

By  Richard  Blackmore,  M.  D.,  Bellevue,  Pa. 

In  the  mutability  of  mundane  affairs  it  is  satisfying  t6 
lay  hold  of  a  law  which  has  a  firm  foundation,  to  feel  in  such 
a  struggle  as  that  in  which  we  are  engaged  as  physicians — 
a  struggle  in  which  our  opponent  is  death  and  whose  ulti- 
mate success  is  assured — that  there  is  something  fixed, 
something  of  the  eternal  verities  remaining  upon  which  a 
firm  stand  may  be  taken.  This  ''something"  is  our  Materia 
Medica  and  our  tried  and  true  therapeutic  law. 

Discouraged  though  we  may  be  by  stress  of  circum- 
stances we  should  not  be  cast  down. 

These  truths  were  brought  home  forcibly  to  the  writer 
recently.  Wearied  and  sick  with  the  struggle  for  knowl- 
edge, and  the  isolation  accruing  to  a  "stranger  in  a  strange 
land,"  troubled  by  heresies  and  schisms  in  our  own  ranks,  it 
happened  that  a  patient  came  into  his  oftice  with  the  follow- 
ing symptoms: 

Drawing  pain  in  the  abdomen  around  the  umbilicus  with 
a  sensation  of  drawing  in;  coming  suddenly  and  >  by  stool. 

The  stool  was  soft  and  discharged  with  much  flatus, 
stool  being  largely  gas." 

Urging  to  stool  quite  peremptory. 

The  condition  had  existed  for  three  days,  the  separate 
attacks  being  quite  frequent  and  severe.  Natrum  carb.  200 
cured  at  once,  there  being  no  further  return. 

Again:  I  was  called  to  see  a  young  lady  who  had 
taken  cold  while  gardening,"  and  who  complained  of  apho- 
nia, almost  complete,  with  a  gense  of  oppression  in  the 
larynx. 

Soreness  and  oppression  <  by  talking  or  using  the 
larynx. 

Voice  unsteady;  "breaks"  easily.  Argentum  nitricum 
Im  restored  the  voice  in  a  few  hours. 

Another  example:  This  case  had  evidently  been  mis- 
managed, and  the  mother's  story  was  very  misleading  and 
contradictory   in  spots.     The   child,   six  months  old,   was 


THE   MEDICAL  ADVANCE. 


troubled  with  symptoms  of  the  respuratory  tract,  strongly 
suggestive  of  Sambucus,  which  was  given  and  the  child  seni 
tp  a  '*home"  for  observation  and  continued  treatment. 

There  the  following  was  found: 

Hoarse,  whoopy  cough,  <  at  night  and  by  heat 

Cough  preceded  by  crying  and  restlessness. 

Pace  looks  sunken  and  pale. 

Blueness  around  the  mouth  with  the  cough. 

Cold  sweat  on  the  forehead. 

No  rise  of  temperature. 

Varatrum  album  Im  so  modified  the  severity  of  the  con 
dition  as  to  point  toward  a  speedy  convalescence. 

These  are  three  cases  out  of  a  day's  work  which  beauti 
fully  illustrate  our  law,  and  their  effect  has  been  of  tb 
greatest  psychological  benefit  to  the  writer. 


A  CASE  OF  SEPTIC  FEYER:  PYROGEN? 

By  Joseph  Luff,  M.  D.,  Independence,  Mo. 

Thirteen  months  ago  duties  outside  of  medical  line 
called  me  to  a  neighboring  state,  and  the  greater  part  of  m; 
time  (three  weeks)  was  spent  in  a  small  town  where  on 
lady  physician — a  graduate  of  a  homeopathic  college— an 
four  **regulars''  were  practicing. 

One  day  when  walking  along  the  street,  a  call  from  th 
opposite  side  led  me  to  cross  over  and  enter  the  house  of 
family  whom  I  had  known  for  years.  The  head  of  th 
house,  a  large,  dark,  dirty  complexioned  man,  of  about  4; 
was  sick,  and  I  was  requested  to  take  the  case.  I  told  the] 
I  had  no  license  to  practice  there,  and,  moreover,  was  ei 
gaged  with  other  work,  but,  if  the  lady  physician  desire 
my  help,  would  render  it  cheerfully.  To  this  they  consented 
and  I  left,  waiting  to  be  called. 

Three  days  later  I  met  the  physician,  and  she  request€ 
an  interview  at  the  house  referred  to  as  soon  as  practicabl 
we  met  there  within  two  hours.  The  entire  chest  was  co 
ered  with  antiphlogistin.  He  complained  of  severe  pain  < 
the  left  side  just  below  the  nipple.   There  was  great  dyspne 


i 


CASE  OF   SEPTIC   FEvER.  367 

temperature  104;pulse  very  rapid;  bowels  severely  consti- 
pated; breath  foul;  tongue  large,  very  little  coating,  quite 
red;  haggard  expression;  considerable  restlessness  and  an- 
xiety. 

He  was  an  intelligent  man,  and  usually  under  good 
mental  control.  Had  suffered  at  intervals,  for  twenty 
years,  from  some  heart  trouble,  which  would  "floor  him" 
as  he  said,  for  half  an  hour  at  a  time,  being  utterly  uncon- 
scious. The  physician  was  somewhat  alarmed.  She  inform- 
ed me  as  to  treatment,  and  the  medicine  on  the  table  corrob- 
orated her  statement:  Aconite  2x  and  Bryonia  3x  in  com- 
bination in  one  glass;  another  glass  contained  a  sleeping 
potion,  and  another  held  something  to  be  given  to  move  the 
bowels.  The  first  mixture  was  being  given  every  fifteen 
minutes,  and  the  others  as  required. 

Upon  careful  inquiry,  I  learned  that  the  man  had  just 
returned  a  week  before  from  a  neighbors,  where  for  ten  days 
he  had  waited  ui)on  six  members  of  the  family  who  were  sick 
with  typhoid  fever.  The  attending  doctor  had  insisted  on 
excluding  all  air  from  the  sick  rooms,  and  had  even  hung 
blankets  over  the  cracks  between  doors  and  frames.  Dur- 
ing ten  days  this  man  had  been  compelled  to  inhale  the 
polluted  atmosphere  of  the  rooms,  while  attending  his  sick 
friends  (I  should  have  doubted  this  latter  relation,  as  to  the 
doctors  course,  had  my  patient  not  been  a  man  of  undoubted 
veracity). 

In  private  consultation  with  the  lady  physician,  I  re- 
hearsed all  the  features  connected  with  the  case,  and  when 
I  suggested  a  radical  change  in  the  treatment,  found  myself 
a  useless  consultant.  The  single  remedy  was  not  accepted. 
The  antiphlogistic  must  remain,  and  the  potency  of  the 
remedy  must  necessarily  be  low  and  of  frequent  repetition  in 
such  a  case.  Finding  my  therapeutics  not  in  demand,  I  left, 
expressing  regret  that  I  could  be  of  no  service,  under  the 
circumstances.  She  obtained  from  me  a  promise,  however, 
that  upon  call  I  would  return.  * 

Two  days  passed,  and  about  noon  I  was  summoned  to 
meet  the  lady  at  once.    Upon  arrival  I  found  the  patient 


368 


THE  MEDICAL  ADVANCE. 


with  temperature  half  a  degree  higher;  pain  more  intens( 
no  action  of  the  bowels;  dyspnea  more  pronounced;  puis 
rather  less;  a  slight  but  offensive  moisture  on  parts  in  sigb 
Patient  asked  me  if  the  case  was  being  handled  accordin 
to  my  idea,  and  I  promptly  said,  *'not  entirely."  He  and  th 
family  requested  the  physician  to  allow  me  to  conduct  th 
case  in  my  way,  and  she  to  follow  my  directions.  Takin 
me  aside,  she  canvassed  the  details  with  me,  confessed  h( 
extreme  alarm,  and  asked  me  to  advise,  and  she  would  exi 
cute  my  will  in  the  matter,  as  though  the  case  were  mm 
SI  le  had  that  morning  told  the  family  that  it  would  be,  i 
least,  fourteen  days  before  the  patient  could  get  up,  if  atal 

I  surprised  her  at  the  outset,  by  ordering  the  antiphl( 
gistin  taken  off;  then  the  patient  was  sponged,  and  thorough' 
but  gently  rubbed  all  over  with  pure  olive  oil,  to  be  repeats 
twice,  or  more  frequently,  each  day. 

My  available  medicines  were  few  indeed,  and  no  pha 
macy  near.  The  physician's  office  contained  only  a  few  lo 
homeopathic  potencies,  and  a  large  supply  of  proprietai 
remedies — combinations,  embracing  alkaloidal  preparation 
etc.  I  had  no  repertory,  and  did  not  think  one  absolute 
necessary.  I  gave  the  patient  an  anema — castile  soap  coi 
bined  with  three  quarts  ol  warm  water — threw  out  all  tl 
remedies  on  the  table,  put  five  or  six  drops  of  Pyrogen ' 
(the  only  potency  I  had)  into  a  half  a  tumbler  of  water,  t\ 
teaspoonfuls  to  be  given  every  two  hours,  the  patient  not 
be  disturbed  if  he  slept. 

Calling  at  8  o'clock  the  next  morning  I  found  his  tei 
perature  101;  pulse  110;  breathing  better;  pain  less,  ai 
a  much  better  expression  on  his  face. 

The  lady  called  at  11  A.  M.,  and  found  the  temperatu 
100,  and  expressed  astonishment  and  fear  that  it  was  on 
a  temporary  subsidence.  At  night  I  found  the  conditi 
about  the  same  as  when  she  was  there,  and  directed  that  t 
length  of  time  between  the  doses  should  be  doubled. 

At  5  A.  M.  the  next  morning  a  telephone  ring  arous 
me  to  receive  the  information  that  my  patient's  temperatu 
and  pulse  were  **away  below  normal,"  and  requested  tha 


A  CALCAREA  CURE.  3P9 

call  on  him  earlier  than  usual,  which  I  did,  though  not  so 
early  as  they  desired.  I  recalled  the  life  history  of  the  man 
and  felt  no  alarm.  7  A.  M.  found  me  at  his  bedside:  pulse, 
temperature  and  respiration  were  normal,  and  remained  so. 
There  was  but  a  faint  reminder  of  the  pain  on  the  left  side 
when  breathing  deeply,  and  his  face  was  lighted  with  a 
smile. 

The  physician  has  sent  me  several  chronic  cases  since, 
which  she  has  found  unmanageable. 


»  A  CALCAREA  CURE. 

By  Dr.  Trumbull,  Chicago. 

Miss  P.,  age  35.     Sanguine  lymphatic  temperament. 

Occupation,  seamstress. 

SMn  of  fingers  desquamate  to  first  joint. 

Dysmenorrhea,  flow  scant,  irregular. 

Vertigo  <  stooping,  >  lying  down. 

Ascending  stairs  <. 

Standing  <, 

Washing  <. 

Eating  fats  <. 

Averse  to  cold  water,  cold  bathing. 

Sulphur  and  Pulsatilla  were  given  with  no  result. 

Calcarea  30,  in  i^epeated  doses,  brought  an  improve- 
ment not  only  in  the  fingers,  which  was  what  the  patient 
looked  for  as  it  seriously  interferred  with  her  occupation, 
but  also  with  the  menses  and  constipation;  menses  more 
profuse,  as  is  usually  found  under  this  remedy,  and  no  more 
cramps.  Later  Im  and  52m  were  given,  and  case  remained 
cured. 

AMENORRHEA. 

Miss  E.,  age  18.  Tall,  dark  eyes,  and  hair  thin.  First 
menses  at  13,  omitted  one  year,  then  took  up  the  function 
r^larly.    Menses  four  months  late. 

Backache. 

Aching  in  limbs  every  evening. 

Very  nervous;  restless. 


870 


THE  MEJDICAL  ADVANCE. 


Feet  never  still,  always  cold,  <  going  up  stairs. 

Feels  hungry,  eats  but  little. 

Pat  food  <;  craves  ham. 

Cries  on  account  of  fear. 

Constipated;  inactive  bowels. 

Sleep  restless.  Calcarea  phos.  30. 

Reported  in  two  weeks;  great  improvement  general 
but  menses  still  suppressed. 

Calcarea  carb.  Im. 

Five  days  later  menses  became  established  and  th( 
has  been  no  recurrence  of  this  trouble  in  seven  years.  !" 
only  did  the  menses  become  established,  but  the  youlg  g 
grew  plump  and  rosy  and  lost  the  nervous  restlessness. 

The  mother  was  confident  that  the  girl  ought  to  be 
amined  before  treatment  began.  I  urged  her,  however, 
try  the  treatment  first,  and  if  that  failed  there  would 
plenty  of  time  to  resort  to  an  examination.  How  often 
feelings  of  our  young  girls  are  outraged  unnecessarily 
digital  examinations  is  shown  in  this  case. 


EXTRACTS  FROM  A  PLEA  FOR  A  SCIENTIFIC  R 
PROVING  OF  OUR  REMEDIES  PLACING  THEM 
ON  A  MORE  PRACTICAL  WORKING  BASIS.* 

By  David  S.  Runnels  M.  D.,  Merrill,  Wis. 

The  discovery  of  voccination  for  small  pox,  antitc 
for  diphtheria,  tuberculin  for  tuberculosis  which  is  now 
ing  worked  out  on  a  practical  basis,  and  the  recent  inv( 
gations  of  the  opsonins  are  all  confirming  the  great  f  ui 
mental  principle  Similia,  Similibus,  Curantur;  we  are  noi 
that  all  progress  tends  in  that  direction.  Why  are  we 
pioneers  in  this  field,  non- progressive? 

The  other  fellows  are  unconsciously  invading  our  t< 
tory  and  making  so-called  new  discoveries  which  ^ 
practiced  by  Hahnemann  one  hundred  years  ago. 

[The  discovery  of  antitoxin  for  diphtheria,tuberculii 
tuberculosis,  and  the  other  products  of  serum  therapy, 


^Illinois  State  Society,  May,  1908. 


REPKOVIKG  OF  OUR  REMEDIES.  371 

be  progress,  but  if  so,  it  is  progress  in  the  direction  of  allo- 
pathic empiricism;  for  all  serums,  all  serum  ta'eatment,  is  for 
the  disease  and  not  the  patient,  which  Hahnemann  condemns 
from  the  beginning  to  the  end  of  his  writings.  All  that  is 
curative  in  them  is  a  crude  form  of  Homeopathy  or,  more 
strictly  speaking,  it  is  isopathic  practise.     Ed.] 

Our  Materia  Medica,  in  its  present  form  is  the  same  as 
it  was  one  hundred  years  ago,  has  no  reference  to  pathology, 
bacteriology  nor  diagnosis;  if  it  has  it  is  not  easily  compre- 
hended. Its  arrangement  is  not  in  such  form  that  we  can 
apply  it  to  pathological  states  as  are  discovered  by  the  vari- 
ous methods  of  diagnosis  we  have  at  hand. 

[The  author  complains  that  our  Materia  Medica  is  the 
same  that  it  was  a  hundred  years  ago;  has  no  reference  to 
pathology,  bacteriology  nor  diagnosis,  and  that  in  its' 
present  form  he  cannot  apply  it  to  pathological  states,  and 
that  it  must  be  modified  in  order  td  conform  to  the  advances 
that  have  been  and  are  being  made. 

If  there  be  one  thing  more  than  another  for  which  the 
homeopath  should  be  grateful  it  is  that  the  symptomatology 
of  the  original  provings  is  recorded  in  the  simple  language 
of  the  prover,  and  that  it  is  free  from  pathological  or  diag- 
nostic terms.    It  is  not  only  the  same  that  it  was  a  hundred 
years  ago;  but  it  has  been  improved  many  times  in  every 
particular  by  verifications  at  the  bedside,  and  each  subse- 
quent verification  in  the  clinic  increases  its  value  many  fold. 
How  would  it  have  been,  had  the  pathological  terms  in  use 
when  the  original  provings  were  made,  been  adopted?  With 
the  advance  in  pathology  these  terms  have  been  changed 
with  every  decade  in  our  history  since  Hahnemann's  original 
provings  of  Cinchona,   and  our  boasted  symptomatology  of 
to-day  would  be  little  less  than  an  incomprehensible  jargon. 
No,  our  Materia  Medica  is  founded  upon  facts.    Remedies 
that  were  proved  a  hundred  years   ^go  have  increased  in 
value  as  the  years  have  rolled  by,  and  the  symptomatology 
of  our  remedies  never  should  contain  any  reference  to  path- 
ology, bacterology  or  diagnosis.     Like  Anatomy  and  physi- 
ology they  are  useful  for  other  purposes,  but  can  never  be 


372 


THE  MEDICAL  ADVANCE. 


utilized  in  the  symptomatology  of  our  remedies.  Our  Matei 
Medica  in  its  present  form  has  more  successfully  met  ; 
diseases,  acute  or  chronic,  in  every  country  in  the  woi 
than  any  other  that  was  ever  made,  and  it  has  enabled  t 
homeopath  to  cure  thousands  of  patients  pronounced  inci 
able  under  other  methods.  No,  Homeopathy  is  not  bu 
that  way.  It  is  founded  on  facts,  not  theories.  It  is  inter 
ed  to  cure  patients,  not  diseases.  Why  should  the  hom< 
path  chase  that  pathological  will-o-the-wisp,  that  pot  of  g( 
at  the  end  of  the  rainbow?    Bd.] 

The  time  is  now  when  we  must  recognize  these  vario 
methods  at  our  command  to  enable  us  to  cope  successful 
with  disease.  Our  Materia  Medica  must  be  modified  in  ord 
to  conform  to  the  advances  that  have  been  made  and  are  I 
ing  made  daily.  Our  Materia  Medica  to-day,  made  up  of 
great  volumn  of  symptoms,  many  superfluous  ones,  classifi 
as  they  are,  from  **Head  to  Foot"  forming  an  almost  inco" 
prehensible  conglomeration,  must  be  committed  to  memo 
to  be  applicable. 

[The  symptomatology  of  Sulphur,  Calcarea,  Silica  a] 
all  other  polychrests  is  for  reference,  not  to  be  memorize 
He  would  be  a  venturesome  man  who  thought  it  necessa 
to  memorize  the  Century  Dictionary.     Ed.]    ^ 

We  cannot  reason  why  those  symptoms  are  produce 
very  few  men  of  our  profession  are  able  to  commit  the: 
The  four  thousand  or  more  symptoms  recorded  under  Si 
phur  and  a  number  of  others,  according  to  the  symptom? 
ology  recorded  under  each,  a  person  would  need  but  o 
remedy  to  cover  all  the  ills  of  the  human  body;  besides  he 
is  any  finite  mind  going  to  grasp  all  of  them.  You  may  sa 
individualize  your  cases  and  select  the  drug  to  conform 
them,  study  and  learn  your  characteristics,  modalities,  etx 
then  consult  your  repertory.  That  might  be  good  practi 
and  worth  while  if  all  these  symptoms  recorded  were  i 
liable. 

Can  we  not  devise  some  means  whereby  we  have  few 
symptoms  of  a  drug  and  ascertain  WHY  and  WHEN  the 
symptoms  are  produced?    The  recent  investigations  of  ti 


REPROVING  OF  OUR  REMEDIES.  373 

blood  gives  us  a  very  wide  field  for  study  alone.  Any  drug 
introduced  into  the  system  must  modify  it  to  a  degree,  it 
may  increase  its  various  corpuscles,  exciting  them  to  greater 
activity  in  ingesting  bacteria,  may  modify  its  serum,  en- 
hancing its  agglutinating  power,  and  aid  in  precipitating  the 
toxins  of  the  bacteria.  When  a  drug  is  introduced  into  the 
blood  there  may  be  a  decrease  or  an  increase  of  its  protective 
elements.  These  changes  alone  may  be  the  cause  for  a 
number  of  the  syptoms  produced. 

The  study  of  the  urine  also  offers  a  very  wide  field  for 
our  investigation.  We  know  many  symptoms  are  produced 
by  the  various  alterations  in  its  quantity,  quality,  ratio,  color 
and  its  various  constituents,  which  have  recently  been  dis- 
covered, as  a  guide  to  diagnosing  many  conditions  hereto- 
fore unknown.  Also  investigations  of  the  functions  of  the 
gastro  intestinal  tract  is  offering  a  wide  field.  Every  drug 
we  introduce  into  the  system  has  some  influence  on  the  cir- 
culatory fluids,  the  secretions  and  excretions.  After  we 
have  discovered  the  REASON  for  these  various  symptoms 
produced  on  a  pathological  basis  we  then  have  a  clear  pic- . 
ture  of  our  drug  and  its  action  and  can  apply  it  according  to 
our  law  of  similars  in  its  infinitesimal  doses.  The  higher 
the  potency  the  better  the  results  we  get  after  we  have  a 
clear  pathological  picture  of  the  case  before  us  to  treat. 

[Hahnemann's  system  of  medicine  is  founded  on  dyna- 
mics. He  claims  that  it  is  a  dynamic  derangement  of  a  dy- 
namic or  spirit-like  iorce  which  produces  disease;  hence,  we 
may  never  know  why  symptoms  of  any  remedy  are  produced 
when  tested  on  the  healthy.  Every  drug  has  its  own  indi- 
vidual action,  just  as  every  individual  has  his  or  her  own 
sickness.  Why  two  plants  growing  on  the  same  soil  under 
identically  the  same  conditions  are  so  different,  we  are  un- 
able to  tell.  One  may  be  the  deadly  Belladonna,  the  other 
the  succulent  potato,  and  no  one  can  tell  why  Belladonna  is 
a  t)oison  and  the  i)otato  a  food.  We  cannot  tell  what  cura- 
tive properties  a  remedy  possesses  until  it  is  tested  on  the 
healthy,  and  in  this  test  diseases  are  not  produced,  simply 
derangements  of  life  vitality,  manifested  in  symptoms.   Ed.]3 


874 


THE  MEDICAL  ADVANCE 


There  is  some  reason  for  so  many  of  our  physicians 
serting  the  ranks  and  affiliating  with  the  other  schools, 
pudiating  Homeopathy  as  a  science.  Talk  with  some 
them  and  they  will  tell  you  our  school  is  non-progressi 
they  are  not  investigators,  they  are  not  leaders  in  the  n 
discoveries  that  are  being  made. 

Our  pharmacies  contribute  their  share  towards  the 
struction  by  making  combination  tablets,  compressed  tab] 
of  the  crude  drug,  elixers,  etc., tempting  the  doctor  in  sue 
manner  that  they  are  loosing  interest  in  the  fundamer 
principle  upon  which  our  school  was  founded  and  so  s 
cessfuUy  pushed  its  way  into  prominence  and  recoj 
tion. 

The  physicians  themselves  are  more  to  blame  for  t 
condition  of  affairs  than  our  pharmacies.  The  pharmac 
endeavor  to  supply  what  is  demanded,  it  is  only  a  ligitim 
business  procedure.  Is  it  that  Homeopathy  has  served 
purpose  to  mankind  and  destined  to  die  as  all  other  gr 
reforms?  Let  us  get  back  to  the  fundamental  princii 
and  bring  our  policies  to  the  front  so  forcibly  that  deserti 
'may  cease.  In  my  opinion  everything  points  to  the  i 
that  the  law  Similia  Similibus  Curantur,  from  which 
name  of  Homeopathy  is  derived  is  more  prominent  than  e 
in  the  history  of  medicine,  as  is  being  demonstrated  by  ev 
new  discovery  of  value  as  a  result  of  scientific  medical 
search. 

We  may  abandon  the  name  but  the  principle  still  li 
and  always  will.     It  behooves  us  as  adherents  to  this  pi 
ciple  to  prove  ourselves  up  and  place  our  Materia  Medics 
a  more   practical   working  basis   along  scientific  lines 
raise  ourselves  above  ridicule. 

There  is  no  question  of  doubt  but  what  there  is  effic 
in  the  two  hundred  or  cmm.  potency,  but  we  must  be  J 
to  prove  why  the  effect  cures.  This  thing  of  depending 
the  old  dynamic  theory  alone  is  insufficient ,  they  must 
tainly  exert  some  perceptible  change  in  cuculatory  flu 
excretory,  secretory  or  digestive  functions.  There  is  si 
reason  for  it  and  we  must  be  able  to  prove  it  on  other  groi 


\ 


REPROVING  OF  OUR  REMEDIKS.  375 

than  what  has  heretofore  been  done  and  what  more,  I  believe 
it  can  be  done. 

In  Organon  §  100,  in  writing  of  the  investigation  of  epi- 
demic diseases,  where  each  epidemic  is  to  be  treated  on  its 
individual  merits,  whether  wholly  or  partially  unknown,  or 
where  each  epidemic  may  differ  vastly  from  all  previous 
epidemics  to  which  certain  names  have  been  arbitrarily  ap- 
plied, Hahnemann  usesthis  significant  language:  "With 
the  exception  of  those  epidemics  resulting  from  a  contagious 
principle  that  always  remains  the  same,  such  as  small  pox, 
measles,  whooping-cough,  etc..,  in  this  class  of  cases  this 
serum  isopathic  method  may  prove  more  successful,  yet  no 
two  cases  of  measles,  scarlatina,  diphtheria,  etc.,  are  alike, 
and  the  best  results  in  these,  as  in  all  other  cases  of  sickness, 
are  to  be  obtained  from  careful  individualization."  The 
only  true  progress  in  therapeutics  is  based  on  similia^  on 
law,  not  empiricism.  In  the  other  school  it  is  the  serum 
treatment  today;  five  years  ago  it  was  something  else;  five 
years  hence  the  whole  picture  may  again  be  changed.  Then 
why  should  the  homeopath  long  for  a  spmptomatology 
founded  on  the  ever  changing  basis  of  pathology. 

Many  earnest,  honest  and  enthusiastic  homeopaths,  be- 
fore the  time  of  Dr.  Runnels,  have  tried  to  utilize  the  splen- 
did achievements  of  Allopathy  in  diagnosis  and  pathology 
by  founding  a  Materia  Medica  on  a  so-called  physiological 
basis.  Hempel,  Amdt,  Heinicke  and  Hughes  are  a  few  ex- 
amples, and  their  works,  no  matter  how  intentioned,  have 
done  more  to  retard  the  progress  of  Homeopathy  than  all 
other  things  combined.  Practising  Homeopathy  on  the 
pathological  basis  is  simply  practising  Allopathy  with  so- 
called  homeopathic  remedies.  These  splendid  works  that 
required  so  much  time  and  so  much  money  to  produce  have 
been  relegated  to  the  book-shelves  of  the  junk  shops.  This 
is  e8i)ecially  true  of  the  Cyclopedia  of  Drug  Pathogenesy, 
for  which  the  American  Institute  subscribed  for  400  volumes. 
The  works  are  on  the  shelves  of  the  library,  but  rarely,  if 
ever,  found  on  the  work-table  of  active  practice;  no  one  can 
use  them.    No,  the  Materia  Medica  as  founded  by  Hahne. 


876 


THE  MEDICAL  ADVANCE. 


mann  is  more  nearly  perfect  than  any  that  has  ever  been 
made,  and  though  not  the  son  of  a  prophet  we  may  venture 
the  prediction,  more  perfect  than  any  that  ever  will  be 
made. 


PHILOSOPHY  OF  THE  ERECT  POSTURE. 

By  E.  p.  Banning,  M.  D.,  Chicago. 

H.  C  Allen,  M.  D., 

Dean  of  Bering  Bomeopathic  Medical  College, 

72  Madison  St. 
My  Dear  Dr.  Allen: 

Complying  with  your  request  of  to-night:  For  manj 
years  it  has  been  apparent  to  me  that  the  scope  of  '  instruc 
tions  from  the  Chair  of  Orthopedic  Surgery  should  be  lim 
ited  only  by  some  such  definition  as  **The  Science  of  Rend 
ering  a  Mechanically  Abnormal  Body  Mechanically  Nor 
mal." 

Assuredly  we  are  compelled  to  admit  that  the  humar 
body  materially  considered  is  a  machine.  Primarily  of  i 
definite  and  accurate  character,  and  as  a  machine  is  the  sub 
ject  of  mechanical  law.  Therefore  when  the  body  is  me 
ehanically  abnormal  it  is  a  body  deformed.  Then  it  is  no 
only  a  proper  subject  for  orthopedic  consideration  but  fo: 
<^©rrection  by  aid  of  the  very  law  which  has  produced  the  de 
fomiity.     SiMiLiA  Similibus  Curantur. 

The  application  of  the  great  natural,  and  consequentl; 
immutable,  law  of  similars,  as  discovered  by  the  inspire^ 
Hahnemann,  is  not  so  limited  as  to  apply  solely  to  the  Mat 
eria  Medica  world.  For  from  the  totality  of  the  symptom 
we  can  select  the  indicated  remedy  from  that  much  large 
world;  the  world  of  physics;  select  it  with  the  same  accurac; 
and  confidence  as  we  do  the  drug  remedy. 

As  to  the  so-called  '*Banning  Philosophy  of  the  Erec 
Posture,"  I  cannot  do  better  than  to  state  the  same, as  near! 
as  possible,  'in  the  language  of  its  discoverer,  my  dea] 
revered  and  distinguished  father,  who  over  three-quartei 
of  a  eentury  ago  entered  the  unknown  and  even  unthougt 
of  forest  of  mechanical  pathology  and  there  discovered  th 


PHILOSOPHY  OP  THB  ERECT  POSTURE.        377 

beneficent  flower  of  * 'mechanical  therapeutic  indications." 
I  therefore  hand  you  herewith  a  paper  and  its  illustra- 
tive diagrams,  on  the  subject  in  question,  which  paper  should 
really,  in  justice,  be  ascribed  to  the  pen  of  E.  P.  Banning, 
M.  D.  (the 'elder). 

Your  request  was  received  after  9  o'clock  this  evening, 
and  as  you  ask  that  my  reply  shall  be  received  by  you  in 
time  to  forward  to  the  publisher  of  the  Advance  tomorrow 
forenoon,  I  have  been  compelled  to  write  you  somewhat  hur 
riedly,  but  I  trust  not  inaccurately. 

Permit  me  at  this  time  to  thank  yourself,  and  the  facul- 
ty and  students  at  Hering  College  not  only  for  the  uniform 
courtesy  and  kindness  shown,  but  for  the  loyal  support 
given  during  my  occupancy  of  the  Chair  of  Orthopedic  Sur- 
gery. Hering  is  no  longer  simply  **A  voice  of  one  crying 
in  the  wilderness,"  but  the  visible  incarnation  of  a  Divine 
loving  truth;  standing  upon  the  lofty  rock  of  natural  law,  so 
radiantly  beautiful,  as  the  bright  sunlight  of  publicity  beats 
upon  it;  that^even  the  blind  and  the  prodigals  in  far  coun- 
tries can  see  and  are  saying  **We  will  arise  and  go  unto  our 
Father." 

Sincerely  yours, 
E.  P.  Banning. 

PHILOSOPHY  OF  THE  ERECT  POSTURE. 

This  we  find  to  .consist  chiefly  in  a  transverse  and  ante- 
ro-posterior  equipoising  of  the  superior  trunk  over  and  upon 
the  body's  center  of  gravity;  and  by  the  aid  of  mathematical 
law,  this  centre  is  demonstrated  to  be  located  in  two  lumbar 
vertibraB.  This  latter  is  a  fundamental  and  controlling  point 
which  is  rendered  apparent  by  a  glance  at  figures  1  and  2. 

Pig.  1,  (front)  shows  by  vertical  line  b  b,  and  oblique 
lines  c  c,  c  c,  that  when  the  equal  limbs  tread  evenly,  the 
upward  or  resistant  force  of  the  earth  on  the  one  hand,  and 
the  downward  force  of  the  superior  trunk  on  the  other,  must 
converge  in  the  lumbar  vertebrae  on  perpendicular  line  b  b, 
^hich  is  vertical  to  a  point  equidistant  between  the  feet, 
and  so  balance  the  body  transversely,  over  the  point  of  con- 
vergeance. 


8  78 


THE  MEDICAL  ADVANCE. 


b  b  vertical  line,  traversing  the  en- 
tire medical  line  of  the  spinal  col- 
umn, and  falling  equidistant  between 
the  feet,  c  c,  c  c,  line  from  the  basal 
and  upper'corners  of  the  trunk  and 
converging  in  the  lumbar  spine  on 
b  b,  illustrating  that  to  be  the  point 
where  the  upward  or  resistant  force 
of  the  earth  througlf  each  leg,  and 
the  downward  force  of  the  body,  con*^ 
verge  as  upon  a  transverse  center  of 
gravity,  and  so  literally  press  the 
body  ill  to  transverse  symmetry  upon 
that  point. 


Hg.  1 
CDpyriiM  ISffi  by  E,  T*  Ba9nEn|,  M^  D. 


PHILOSOPHY  OF  THE  ERECT  POSTURN. 


379 


A  A,  vertical  line,  showing  tip  of  noAe, 
pubes  and  large  toe,  all  to  be  in  line 
when  the  body  is  erect.  C  C,  line 
showing  extreme  occiput  to  be  vertical 
to  extreme  heel,  and  that  there  should 
be  a  considerable  space  between  it  and 
the  lumbar  spine.  B  B,  lin^  passing 
through  the  cervical  and  lumbar  me- 
dulla spinalis,  and  also  the  hip,  knee, 
and  ankle-joints,  showing  all  these 
points  also  to  be  in  line,  and  that  the 
lumbar  curve  is  the  body's  antero-pos- 
terior  center  of  gravity.  L  L,  K  K, 
oblique  lines  transversing  the  advanc- 
ing and  retreating  spinal  planes,  and 
intersecting  in  B  B,  in  lumbar  curve, 
thus  giving  mathematical  proof  that 
the  lumbar  spine  is  the  body's  antero- 
posterior center  of  gravity  and  spinal 
axis. 


C      B 

Fig.  2 
CopTriiht  1906  by  £.  P.  Banning,  M.  D. 


380  THE  MEDICAL  a'DVANCE. 

Fig.  2  (side),  shows  that  when  the  body  is  per pendicular 
to  itself,  the  gravity  of  the  superior  trunk  balances  (antero- 
posteriorly)  over  and  upon  two  lumbar  vertibrae — the  lum- 
I  bar  and  dorsal  curves  acting  as  neutralizing  equivalents  re- 

ciprocally. If  the  latter  were  not  so,  perpendicular  line  b  b, 
and  oblique  lines  K  K,  L  L,  could  not  all  of  them  intersect 
precisely  at  one  and  the  same  point  in  the  lumbar  vertebrae, 
as  they  are  compelled  to  do  by  virtue  of  inexorable  law. 

Thus,  then,  it  appears  clear  that  when  this  two-pillared 
pile  is  perpendicular,  it  constitutes  a  complete  microcosmic- 
centripetal  system  in  itself,  with  the  lumbar  spinal  curve 
for  its  centre,  and  that  from  and  around  the  latter,  all  the 
antagonistic  musular  forces  and  motions  play  in  activity, 
and  return  to  it  in  repose,  exemplifying  the  law  that  all 
orderly  systems  work  from  centre  to  circumference,  not 
from  circumference  to  centre;  and  also  that  when  equipoised 
upon  this  centre  the  body,  in  both .  its  axes,  is  hterally 
pressed  into  symmetry  by  and  in  the  ratio  of  its  own  gravity 
•  and  must  so  remain  until  centripetality  is  broken   by  habit 

'  or  other  disturbing  force.    It  further  appears  that  when 

I  this  lumbar  curve  is  in  this  mathematical  centre  of  the  body 

it  is  both  the  source  and  the  arbiter  of  all  the  superior 
trunkal  movements  and  bearings,  and  that  until  it  either  ad- 
vances or  retreats  the  superior  trunk  can  make  no  consid.er- 
able  motion  either  way  without  falling.  That  is,  in  bowing 
the  lumbar  spine  must  first  retreat  behind  its  central  bear- 
ing, or,  in  leaning  back  of  that  point,  the  latter  must  first 
advance.  Hence  it  is  then,  that  if  the  thumb  is  firmly 
pressed  upon  the  lumbar  curve  of  an  upright  man  (at  the 
true  axis),  an  attempt  to  bow  will  bring  the  whole  body's 
weight  to  bear  against  the  thumb,  so  anxious  is  the  centre 
I  to  retreat  to  allqw  the  superior  trunk  to  advance,  and  if  the, 

<  effort  to  throw  the  chest  forward  is   great,    and  the  thumb 

(  ,  holds  firmly,  the  heels  must  rise  and  the  body  fall  (turn  up 

at  root).     Hence  also,  why,  when  the  experiment  is  changed 
\  and  the  thumb  is  held  some  two  inches  from  the '  spinal 

I  centre,  that  centre  will  retreat  and  touch  the  thumb  in  bow- 

ing.   The  philosophical  inference  of  this  is,   that  all  the 


i 


WHAT  IS  THE  MATTER  WITH  HOMEOPATHY?     381 

graceful  motions  of  the  superior  trunk  are  derived  from, and 
dependent  uiK)n,  preceding  opposite  movements  of  the  lum- 
bar spine,  and  never  otherwise,  and  that  the  unsuspected 
source  of  both  physical  symmetry  and  deformity  lies  in  this 
spinal  centre,  and  that  this  is  the  point  at  which  to  first  op- 
erate, both  for  the  continuance  of  symmetry  and  removal  of 
deformity.  This  idea  also  explains  the  fixed  fact,  that  gross 
aud  cumbrous  bodies  are  proverbially  more  erect  and  sure- 
footed than  those  which  are  slight  and  lean.  That  is,  the 
spinal  centre  is,in  them,so  shoved  in  advance  of  a  line  verti- 
cal to  the  ankle,  as  to  compel  the  superior  trunk  to  be  poised 
sufficiently  behind  that  point  to  antagonize  the  force  of  an- 
terior abdominal  weight. 

72  Madison  St.,  Chicago,  May  25, 1908. 


WHAT  IS  THE  MATTER  WITH  HOMEOPATHY? 

By  C.  E.  Fisher.  M.  D. 

Last  month  while  visiting  my  good  friend  Dr.  Orme,  of 
Atlanta,  and  while  discussing  with  his  wife  the  times  of 
Holcombe,  Bailey  and  Belden,  of  Dake,  Hardenstein  and 
Murrell,  of  Schley,  Falligant  and  other  notable  pioneers  of 
Homeopathy  in  the  South,  and  the  absence  of  activity  and ' 
earnestness  in  its  interests  and  cause  today,  I  was  patheti- 
cally asked: 

**Dr.  Fisher,  what  is  the  matter  with  Homeopathy,  any- 
way?" 

The  next  day  while  visiting  a  good  old  lady  of  eighty* 
two  years,  at  Athens,  whose  husband,  father  and  two  broth- 
ers had  been  conscientious  and  successful  homeopathic  phy- 
sicians for  a  combined  period  of  near  two  hundred  years, 
and  who  had  been  bom,  nurtured  and  reared  in.  the  faith, 
and  who  now  in  the  closing  years  of  her  eventful  life  is 
hardly  able  to  find  a  homeopathic  doctor  outside  the  large 
cities,  and  even  there  but  few  who  practice  as  did  her  hus- 
band, father  and  brothers,  most  appealingly  inquired  of  mer 

**What  is  the  matter  with  Homeopathy ^  these  days.  Dr. 
Fisher?"  *lt  isn't  as  it  used  to  be,"  she  said.  *'Then,  when 
a  physician  called  himself  a  homeopath  we  knew  what  to 


882 


THE  MEDICAL  ADVANCE. 


1 


depend  upon,  but  now  it  makes  little  difference  what  h 
professes  to  be — ^the  treatment  isn't  the  same." 

A  week  later  I  spent  the  night  with  a  physician  frien 
in  New  York,  and  in  discussing  men  and  things  home( 
pathic  in  general,  out  was  blurted  the  question: 

'*What  is  the  matter  with  Homeopathy  now-a-days?  ] 
isn't  as  it  was  in  the  days  of  Gram  and  Gray,  nor  even  i 
the  days  of  Dowling,  Helmuth,  Allen,  Hallock  and  the  rest 

Two  days  later  I  was  in  Chicawfo,  and  in  going  over  tt 
work  and  personnel  of  the  profession  of  that  great  one 
homeopathic  city,  my  warm  friend.  Dr.  Bailey,  for  so  man 
years  registrar  of  Hahnemann  Medical  College,  when  tl 
classes  numbered  from  two  hundred  and  fifty  to  three  huni 
red,  quietly  remarked: 

*'It  isn't  as  it  once  was,  Fisher,  with  us.  Things  ha^ 
changed.  We  havn't  the  old  interest,  the  old  enthusiasi 
the  old  loyalty,  any  more.  We  havn't  the  preceptors,  wii 
their  sons  and  daughters  as  students,  and  with  the  sons  ai 
daughters  of  their  patients  as  students-  Things  ha^ 
changed.     Something  seems  to  be  the  matter.    What  is  it 

An  hour  later  a  specialist  in  Chicago,  in  rambling  co 
versation,  in  asking  me  how  things  are  in  my  part  of  tl 
vineyard,  voiced  almost  exactly  the  same  sentiments  in  8 
most  exsctly  the  same  words. 

Two  days  later  I  was  in   Minneapolis — you   see   I  ha 
been  * 'going  some"  lately — and  within  ten  minutes  after  ha 
ing  set  foot  among  the  doctors  in  their  splendid   offices 
the  magnificent  city  of  the  Great  Northwest,  there  came  t 
same  inquiry: 

**Fisher,  you  travel  about  a  great  deal  and  see  thin 
everywhere.  What  is  the  matter  with  Homeopathy  ov 
the  country?" 

Three  days  later  I  was  in  Washington,  and  no  less 
personage  than  the  venerable,  versatile,  homeopathica 
virtuous  and  vigorous  J.  B.  Gregg  Custis,  in  commenti 
with  me  on  the  fact  that  last  year  I  was  compelled  to  e 
ploy  eleven  young  physicians  at  $100.00  per  month,  boa 
and  horsefeed  for  each,  and  had  not  been  able  to   get  ev 


i 


WHAT  IS  THE  MATTER   WtTH  HOMEOPATLY?  388 

one  homeopath  among  the  lot,  because  they  were  not  to  be 
had  in  Virginia  and  North  Carolina,    almost  indictintly  in 
quired: 

** What's  the  matter  with  Homeopathy  down  your  way?" 

And  thus  it  is! 

From  Georgia  to  New  York,  from  New  York  to  Chicago, 
from  Chicago  to  Minneapolis,  from  Minneapolis  to  Washing- 
ton, all  over,  everywhere,  by  everybody. 
** What's  the  matter  with  Homeopathy?'' 
What  is  my  answer  I 

Nothing's  the  matter  with  Homeopathy! 
It's  all  right,  first,  last  and  all  the  time. 
Its  law  is  just  as  true  to-day  as  in  Hahnemann's  day. 
Its  dosage  is  just  as  effective  now  as  it  ever  was. 
Its  prescriptions  are  just  as  meritorious  as  ever. 
Its  results  at  the  bedside  are  just  as  satisfactory  as  in 
the  days  of  BOnninghausen  and  Jahr. 

Homeopathy  as  Homeopathy  is  all  right! 
But  the  You,  and  the  We,  and  the  Us  of^it  are  at  fault. 
Just  a  little  comparison,  if  you  will! 
Every  old  school  journal  we  pick  up  pronounces  that 
the  ''profession  is  over -crowded." 
Is  it  so  with  Homeopathy? 

My  friends  Drs.  Bailey  and  Aldrich  and  Custis  will 
probably  answer  in  the  affirmative,  in  so  far  as  our  cities  are 
concerned. 

Perhaps  'tis  so  there.    But  is  it  true   elsewhere  than  in 
the  large  cities  of  the  country?    I  am  painfully   able  to 
answer  in  the  negative. 
For  instance: 

In  my  railroad   hospital  work   in  Western  Maryland, 
forty  miles  east  of  Cumberland,  I  was  altogether   unable  to 
secure  the  services  of  a  single   homeopathic   assistant,  but 
for  two  years  was  compelled  to  employ  and  work  with  physi- 
cians of  the  old  school  only. 

^^xt,  in  my  railroad  work  in  Virginia,  with  a  seventy- 
two  bed  hospital   and  eight  young  physicians  '*riding   the 


t 


384  THE  MEDICAL  ADVANCE. 

line"  of  one  hundred  and  eight  miles  of  Tidewater  Railroad 
our  company  was  building,  I  was  wholly  unable  to  secure 
the  services  of  a  single  homeopath;  and  in  my  hospital  be- 
sides the  eight  physicians  employed  on  my  line  work,  I  en- 
joyed a  very  profitable  and  pleasant  association  with  a  staff 
of  five  old  school  physicians,  all  of  whom  gratefully  accept- 
ed my  appointments  as  a  compliment,  and  all  of  whom  ren- 
dered me  most  valuable  surgical  assistance  during  my  two 
'  years  of  hospital  residence  and  work  at  East  Radford.  I 
was  even  unable  to  secure  the  services  of  a  homeopathic 
surgical  interne  at  this  hospital,  although  I  communicated 
.  with  several  hospitals  in  the  North  and  East  upon  the 
subject. 

Next,  and  last,  in  the  hospital  service  I  was  called  upon 
to  establish  in  the  Blue  Ridge  Mountains  of  North  Carolina 
last  May,  while  the  hospital  in  Virginia  was  still  in  full 
operation,  I  have  had  to  employ  at  different  times  seven 
allopathic  physicians  and  have  been  able  to  get  but  one 
young  homeopath,  he  from  Chicago,  from  the  Chicago 
Homeopathic  and  Cook  County  Hospital,  and  the  crudest 
prescriber  I  have  had  on  my  lists,  though  from  splendid 
homeopathic  stock. 

So  something  must  be  the  matter,  in  some  way,  or  these 
situations  would  not  exist. 

Take  the  South,  for  example! 

It  was  once  a  mighty  stronghold  for  Homeopathy — the 
home  and  field  of  a  dozen  giant  defenders  and  promulgators 
of  the  faith,  men  who  literally  fought,  bled,  and  at  times  all 
but  died  for  the  glory  of  their  cause.  In  the  frightful  cholera 
epidemic  of  1866,  these  men  did  not  proclaim  their  Homeo- 
pathy good  for  all  the  ailments  of  mankind  and  womankind 
— except  cholera,  yellow  fever,  diphtheria,  and  other  severe 
diseases!  They  waded  right  in,  conscious  of  the  value  and 
power  of  their  guiding  principles,  and  equally  confident'of 
the  power  and  value  of  their  tiny  little  doses  of  the  little 
white  pills,  which  were  the  rule  those  days,  and  they  placed 
the  banner  of  a  straight  Homeopathy  high  on  the  ramparts- 
as  their  frightful  epidemics  were  conquered. 


WHAT  IS  THE  MATTER  WITH  HOMEOPATHY?     385 

When  yellow  fever,  that  most  dreaded  of  all  the  scourges 
of  those  days,  laid  his  foul  hand  upon  the  fair  women  and 
the  gallant  men  of  their  land  they  faltered  not,  nor  submis- 
sively crept  on  their  bellies  to  some  laboratory  door- step  and 
whiningly  begged  for  succor  of  toxins  and  the  hypodermic, 
but  courageously  went  forth,  by  day  and  by  night,  where 
death  lurked  in  every  nook  and  cranny  and  crevice,  where  the 
deadly  stegomzia  stung  and  bit  and  attacked  indiscriminately, 
and  whose  relation  to  the  battle  was  not  dreamed  of,  and 
with  their  little  white  pellets  bombarded  the  citadels  of  the 
enemy  and  came  off  more  than  victorious. 

With  them  it  was  not  that  * 'Homeopathy  is  good  enough 
for  women  and  children  but  when  you  come  to  the  epidemics 
we  must  have  something  stronger!" 

**Die  Milde  Macht  ist  Gross,"  was  their  dosage  slogan. 

'*Similia,  Similibus  Curantur,"  was  their  battle  cry. 

An<J  they  won  victories  the  like  of  which  we  to-day  wot 
naught  of. 

The  *'matter"  lies  with  us;  we  are  of  ''little  faith." 

That  the  old  school  has  made  progress  within  a  quarter 
of  a  century  that  is  little  short  of  marvelous  is  not  to  be 
gainsaid. 

Nevertheless,  it  is  just  as  true  that  Homeopathy  outwits 
it  at  the  bedside  as  it  ever  was,  and  he  who  sticks  to  his 
text  need  have  no  fear. 

I  speak  this  advisedly. 

Not  before,  in  my  thirty  years  of  previous  experience, 
had  I  the  chance  to  compare  homeopathic  treatment  with 
allopathic,  by  personal  contact  and  immediateness  of  obser- 
vation, as  since  I  have  been  in  my  present  work. 

All  my  associates  and  employes  have  been  allopaths. 

All  of  them  have  been  bright  men. 

Never  were  there  congregated  better  practitioners  or 
sharper  fellows  for  their  years  than  two -thirds  of  the  "boys" 
I  have  been  employing. 

They  have  been  from  the  Richmond  and  other  Virginia 
schools,  for  the  most  part,  and  I  want  to  testify  to  the 
thoroughness  of  the  teaching  they  have  had  •  in  all  the  ele- 


386     '  THE   MEDICAF.  ADVANCE. 

mentary  and  essential  branches,  except  in  therapeutics,  and 
I  can  even  here  testify  that  of  their  kind  that,  too,  has  been 
excellent. 

My  hospital  staff,  also,  has  been  made  up  of  splendid 
physicians  and  able  surgeons,  one  with  thirty  years'  experi- 
ence and  two  others  with  five  years  each,  in  fields  that  gave 
them  large  and  varied  opportunity,  and  in  everthing  surgi- 
cal I  have  found  them  the  peers  of  men  of  their  age  and  ex- 
perience in  any  section  of  the  country. 

In  the  matter  of  medication  we  have  spent  thousands 
upon  thousands  of  dollars  for  the  drugs  they  have  been 
taught  to  use,  not  denying  them  in  the  least;  but,  as  these 
have  been  shipped  out  fr6m  the  hospital  to  their  headquart- 
ers and  to  the  various  camps  over  which  they  have  presided 
there  have  been  included  a  few  homeopathic  polychrests 
with  simple  directions  in  staple  conditions,  and  I  am  glad  to 
be  able  to  state  that  in  nearly  every  instance  I  have  found 
these  young  men  sending  in  requisitions,  more  and  more, 
for  the  homeopathic  medicines- 

To  such  an  extent  is  this  true  that  we  now  carry  a  far 
smaller  supply  of  old  school  drugs  than  formerly,  and  a  cor- 
resix)ndingly  larger  lot  of  my  own. 

I  have  not  attempted  proselyting  in  the  least. 

My  library  has  been  open  in  the  hospital  office,  and  I 
have  interestedly  watched  and  noted  the  interest  they  have 
shown  in  our  work  on  practice. 

This  interest  was  at  first  that  of  the  antagonist,  next  of 
the  skeptic,  next  of  the  inquirer  in  some  case  that  was  not 
getting  along  well,  and  lastly  of  the  doctor  who  had  found 
results  and  wanted  to  know  more  about  something  which  in 
college  had  always  been  proclaimed  a  delusion  and  a  snare. 

One  of  my  young  man  is  now  **almost  persuaded,"  and 
speaks  of  taking  a  course  in  a  homeopathic  college.  An- 
other uses  more  of  Homeopathic  medicines  than  of  his  own, 
and  still  a  third  frankly  admits  that  he  gets  results  from 
some  of  the  homeopathic  remedies  than  he  does  from  any 
that  he  has  heretofore  employed. 

Not  alone,  however,  have  I  this  evidence  to  offer. 


WHAT  IS  THE  MATTER  WITH   HOMEOPATHY?  387 

In  my  own  work,  among  men  of  all  nationalities,  of 
whom  we  had  twenty-one  of  different  nations  at  one  time,  I 
have  invariably  found  the  straight  homeopathic  drug  the 
best  of  all,  always  in  the  one-remedy -,at-a-time,  and  in  the 
medium  potencies,  in  all  the  severer  diseases,  as  typhoid 
fever,  tunnel  pneumonia,  accute  dysentery,  and  the  sepses 
that  all  too  often  follow  infection  before  my  surgical  cases 
can  be  brought  to  me. 

In  more  than  one  exceedingly  violent  or  long  drawn 
case  of  typhoid  or  of  pneumonia  I  have  yielded  to  suggest- 
ions from  my  old  school  colleagues  and  have  interpolated 
drug  stimulants  or  have  used  adjuvants,  but  always  to  my 
regret:  and  as  invariably  as  I  have  come  back  to  the  home- 
opathic similimum  have  I  been  rewarded  with  better  success. 

The  rather  unusual  courtesy  which  has  been  shown  me 
by  old  school  physicians  in  strictly  old  school  territory, 
with  almost  everything  savoring  of  prejudice  and  intole- 
rence,  ha-s  caused  me  to  try  to  be  equally  courteous  ani  tol- 
erant, and  I  have  attempted  to  avoid  forcing  Homeopathy 
upon  them.  But  it  is  a  pleasure  and  of  some  value,  I  hope, 
to  be  able  to  state  that  their  tolerance  of  a  homeopathic 
physician  has .  led  them  to  be  somewhat  tolerant  of  his 
methods,  and  more  than  once  have  I  either  prescribed  for 
them  or  directed  them  in  prescribing  for  others,  the  result 
being  that  I  look  upon  this  mission-field  as  an  exceedingly 
inviting  one  for  tactful  and  capable  homeopathic  physi- 
cians. 

The  bitter  prejudices  that  existed  when  first  I  went 
South,  thirty-five  years  ago,  when  medical  arguments  had 
often  to  be  sustained  at  the  muzzle  of  a  gun,  have  largely 
died  out.  Times  and  men  have  changed.  Old  school  medi- 
cation has  changed.  No  longer  can  the  allopath  sneer  at  or 
decry  infinitisimals.  Only  ^'heroic  medication,"  massive 
dosage,  quantities  almost  elephantine  in  size,  and  crude 
things  of  exceeding  nauseating  capabilities  were  looked 
upon  as  of  value  then.  But  the  gentle  influence  of  Home- 
opathy were  all  the  time  subtley  at  work,  and  latterly  the 
laboratory  has  taught  the  old  school  to  be   tolerant,  to  see 


f^^,^:•J 
lis--' 


888 


THE  MEDICAL   ADVANCE. 


strength  in  small  things,  to  recognize  that  ix)toncy  doesn't 
mean  sledges,  crowbars  and  mauls. 

The  time  is  propitious  for  Homeopathey. 

What  are  we  going  to  do  about  it? 

We  need  ten  thousand  more  homeopathic  doctors  today. 

Isn't  this  an  exaggeration?     Emphatically,  *'No!'' 

Every  town,  village,  hamlet  and  crossroads  needs  them. 

They  are  needed  everywhere,  especially  throughout  the 

South. 

«  *•  *  «  » 

Homeopathy  is  just  the  same. 

Homeopathy  is  **all  right.'' 

Homeopathy  is  just  as  good  today  as  it  ever  was,  and  it 
is  just  as  much  better  today  than  the  very  best  old  school 
treatment  that  has  yet  been  given  us  than  it  was  better  in 
those  pioneer'  years  than  was  the  blunderbuss  methods  of 
their  time. 

The  fault  lies  in  us. 

It  is  lethargy,  indifference  to  our  pathy,  preoccupation 
with  the  whirling  business  affairs  of  the  times  in  which  we 
live,  a  neglect  to  take  students  as  formerly  and  train  them 
for  college  in  the  good  old  homeopathic  way,so  they  will  not 
be  contaminated  by  the  allopathic  tommyrot  of  which  some 
of  our  colleges  teach  all  too  much. 

If  we  will  but  awaken  to  a  sense  of  the  mighty  respon- 
sibilities that  rest  upon  our  careless  heads  and  yielding 
shoulders; 

If  we  will  but  take  advantage  of  the  splendid  opportuni- 
ties which  a  crowded  old  school  profession  and  a  homeopa- 
thy-needing public  now  offer; 

If  we  will  but  vaccinate  our  systems  with  the  enthusiasm 
and  zeal  which  characterized  our  predecessors  of  pioneer 
times,  the  great  field  of  uncultivated  territory  will  yield  our 
profession  a  splendid  harvest  of  glory  and  coin,  and  Home- 
opathy will  prosper  as  before. 

It  is  not  my  aim  to  speak  in  platitudes; 

To  deal  in  hyperbole; 

To  offer  volubility  of  words  with  a  paucity  of  ideas; 


RADIUM  BROMIDE.  889 

But  to  present  in  a  feeble  way  a  plain  truth  as  I  am 
made  to  see  it  in  getting  about  over  the  world,  perhaps 
more  than  the  average  physician. 

I  see  the  need  of  thousands  more  of  -honestly  homeo- 
pathic physicians. 

I  see  that  the  people  want  and  will  employ  them. 

I  see  that  not  alone  the  pioneers  who  are  passing  away 
but  the  pioneer  public,  who  know  what  Homeopathy  was, 
and  believe  they  know  what  it  should  be  today,  recognize 
our  decadence  in  zeal  and  effort  and  want  an  awakening. 

Would  it  not  be  worth  the  while  for  each  homeopathic 
physician  to  try  to  send  to  our  colleges,  or  to  those  of  them 
that  by  their  curricula  show  that  they  are  trying  honestly 
to  teach  Homeopathy  as  a  scientific  and  creditable  method 
of  practice,  at  least  one  student  each  year  for  the  next  ten 

years? 

I  speak  for  no  college! 

I  speak  for  no  selfish  interest! 

I  speak  for  the  general  public! 

I  speak  for  the  vacant  fields  everywhere  seen. 

I  believe  I  speak  the  truth! — Medical  Century, 

RADIUM  BROMIDE:    A  PROTING. 

By  John 'H.  Clarke,  M.  D.,  London. , 

SYMBOLS  USED. 

In  the  subjoined  schema  every  symptom  is  referred  to 
the  proving  in  which  it  occurred  by  a  number  appended  to 
it.  The  sign  C")  means  that  the  observation  is  from  an  ex- 
periment; (^)  means  that  the  symptom  is  a  cured  one. 

CLINICAL  USES  OP  RADIUM. 

Acne,  cancer,  eczema,  constipation,  corns,  epistaxis, 
erythema,  hemorrhage,  hemorrhagic  cancer,  nevi,  neuras- 
thenia; nose,  affections  of,  catarrh  of,  redness  of;  prurigo, 
psoriasis,  skin  affections  generally;  trachoma,  ulcers. 

RELATIONSHIPS   OF   THE   REMEDY. 

Radium  bromide  is  controlled  by  Rhus  ven.  It  is  fol- 
lowed well  by  Rhus  ven.,  Sepia  and  Calcarea.  It  compares 
with  Calcarea  in  <  by  wetting,  and  with  Carbo  an  in  <  by 
shaving.    In  pruritts  ani  with  blue  light. 


890  THE  MEDICAL,  ADVANCE. 

Symptoms  move  from  right  to  left  (eyes).  Symptoms 
of  ears  and  chest  alternate  with  symptoms  of  stomach. 

I  will  now  give  a  proving  of  another  description,  and  a 
very  remarkable  one  it  is.  I  take  it  from  an  article  by  Dr. 
Burleigh  Parkhurst,  of  Los  Angeles,  Cal.,  which  appeared 
in  the  Pacific  Coast  Journal  of  Homeopathy  of  June,  1904.  Dr. 
Parkhurst's  article  I  consider  one  of  the  most  valuable  con- 
tributions which  have  hitherto  appeared  on  the  action  of 
this  remedy.  I  shall  make  large  quotations  from  it,  and  I 
wish  here  to  record  my  most  cordial  thanks  to  Dr.Parkhurst 
for  publishing  his  experience.  He  has  used  Radium  inter- 
nally as  well  as  externally,  and  I  believe  the  first  internal 
use  recorded  is  that  contained  in  his  article.  I  quote  now 
from  his  article  what  I  term 

PROVING  V. 

Dr.  Parkhurst  says:  **The  most  remarkable  experiment 
that  I  have  ever  seen  reported  was  that  of  Goldberg,  of  St. 
Petersburg.  He  fastened  to  his  arm  75  mg.  of  Radium  in  a 
box,  the  exposure  being  made  through  a  mica  window.  The 
box  was  strapped  to  the  arm  for  three  hours.  The  strength  of 
the  Radium  is  not  stated,  but  probably  it  was  a  low  grade 
Radium  because  of  the  quantity  used,  and  also  because  at 
that  time  low  grade  Radium  was  more  commonly  used. 
(Fourth  day). — In  four  days  after  the  exposure  a  red  patch 
appeared,  which  became  larger  and  increased  until  on  the 
fourteenth  day  there  was  a  necrotic  ulcer,  which  spread  in 
a  serpiginous  form. 

**Later,  four  other  similar  ulcers  appeared  on  the  chin, 
on  the  hand,  and  one  in  the  groin,  affecting  the  tissue  down 
to  and  including  the  corium.  These  lesions  broke  down  in 
a  superficial  sloughing  ulcer,  which  increased  for  several 
days  and  then  retrograded  and  gradually  healed,  the  distant 
lesions  healing  first. 

(Twenty-first  day). — ** After  three  weeks  the  first  lesion 
on  the  arm  was  an  atonic  ulcer  in  process  of  repair.  Prom 
first  to  last  there  was  no  pain,  no  swelling  or  heat  locally, 
and  no  fever  or  other  constitutional  symptom.  The  ulcer 
was  cold,  necrotic  and  torpid. 


RADIUM  BROMIDE  391 

"You  will  notice,"  continues  Dr.  Parkhurst,  **that  this 
is  very  different  in  action  from  an  X-ray  dermatitis,  and 
therefore  the  action  of  the  radium  rays  i»  definitely  different 
from  the  action  of  the  X-ray.  I  think  that  the  ulcers  which 
appeared  at  parts  distant  from  the  site  of  exposure  are  of 
considerable  significance,  although  I  have  seen  no  comment 
made  upon  it.  To  my  mind,  taken  in  connection  with 
certain  characteristics  in  a  case  of  my  own,  which  I  will 
call  your  attention  to  later,  there  is  some  kind  of  metastatic 
actum.  It  seems  to  me  most  probable  that  the  blood  serum 
is  one  of  those  substances  which  are  capable  of  becoming  radio- 
active,  and  that  in  this  case  tne  blood  became  radio-active  and 
had  an  effect  on  the  tissues  distant  from  the  point  of  exposure 
wherever  from  any  cause  the  vitality  was  weakened." 
(Italics  mine,  J.  H.  C.) 

Passing  from  this  proving,  I  will  now  give  a  case  treat- 
ed with  Radium  rays  by  Dr.  Parkhurst,  because  this  case 
shows  so  plainly  the  constitutional  action  of  the  rays  and 
confirms  certain  points  in  the  provings  detailed  above. 

In  this  connection  I  may  say  that,  though  I  had  marked 
Dr.  Parkhurst's  paper  for  future  reference,  I  was  unaware 
of  its  essential  importance  until  I  studied  it  recently.  Great 
was  my  pleasure  to  find  that  many  of  the  symptoms  of  my 
provings  were  confirmed  by  Dr.  Parkhurst's  observations. 

**The  first  case,"  says  Dr.  Parkhurst,  *  *that  I  got  f or 
exp>eriment  with  Radium  was  one  of  inoperable  carcinoma  of 
the  cervix.  The  woman  should  have  been  operated  upon 
six  or  eight  months  previously.  When  I  was  called  in,  the 
case  was  in  the  last  stages.  She  probably  had  not  more 
than  ten  days  or  three  weeks  to  live.  Locally  the  vagina 
was  entirely  filled  with  a  mass  which  involved  apparently 
the  posterior  wall  of  the  uterus.  The  vagina  was  so  com- 
pletely filled  that  it  was  diflftcult  to  get  the  finger  within  the 
introitus  vulve.  The  systemic  condition  was  one  of  apathy 
and  torpor.  She  was  edematous  from  one  end  of  the  body 
to  the  other.  She  was  in  a  jaundiced  condition,  had  not 
slept  without  an  opiate  for  a  considerable  time,  could  not 
raise  herself  from  the  pillow  nor  turn  herself  in  bed,  pro- 


392  THE  MEDICAL  ADVANCE. 

foundly  anemic,  had  no  appetite,  no  action  of  the  bowels  to 
speak  of,  passing  very  little  water,  and  was  beginning  to 
have,  with  a  weak  heart  action,  a  dangerous  dyspnea. 
Mentally  she  was  torpid  and  apathetic,  and  it  was  evidently 
only  a  question  of  days  before  she  would  drop  away.  You 
can  see  that  this  was  not  a  very  favourable  case  for  the 
action  of  any  remedy.  Treatment  with  Radium  was  only 
suggested  as  a  last  resort,  and  with  the  understanding  that 
nothing  was  expected  beyond  the  mere  satisfaction  of  know- 
ing that  everything  that  could  be  tried  had  been  tried.  But 
almost  from  the  first  the  effect  was  startling.  The  patient 
died,  it  is  true,  but  for  some  time  the  favourable  results  of 
the  change  of  treatment  were  most  interesting,  and,  as  I  say, 
startling.  I  should  like  to  give  the  history  of  this  case 
somewhat  in  detail. 

We  began  very  carefully,  because  we  did  not  know  how 
active  the  Radium  might  be  upon  normal  tissue.  The  Radi- 
um used  was  10  mg.of  pure  Radium  bromide  in  a  glass  tube, 
the  same  tube  that  I  have  shown  you  already.  Ibelieve  it 
to  be  of  a  radio  activity  of  over  1,000,000;  at  any  rate,  it  is 
the  highest  grade  of  Radium  that  I  can  get  in  the  market  to- 
day. I  wrapped  this  small  tube  in  cott6n  and  that  again  in 
lead  foil  in  such  a  way  as  to  allow  the  end  of  the  tube  to 
project  from  the  covering.  I  inserted  this  to  the  bottom  in 
a  glass  vaginal  plug,  and  inserted  this  within  the  vulval 
opening  as  far  as  it  would  go.  For  the  first  few  treatments 
the  exposure  was  five  minutes  every  day.  It  was  then  in- 
creased to  ten  minutes  for  five  treatments,  when,  from  the 
action  of  these  eight  treatments  the  result  was  so  marked 
that  we  gave  her  placebo  to  watch  the  case.  These  marked 
results  were  as  follows: 

(Third  day). — ** After  three  days'  treatment  the  discharge 
from  the  vagina  had  become  very  profuse,  and  she  was  very 
much  easier  as  to  general  comfort,  and  began  to  be  interest- 
ed in  what  was  going  on.  (Sixth  day).— On  the  sixth  day 
she  sat  up  in  bed.  She  had  begun  to  want  something  to  eat 
and  the  dyspnea  was  getting  less.  (Eighth  day). — On  the 
eighth  day  discharge  was  still  going  on,  the  dropsy  was 


RADIUM  BROMIDE.  393 

improving?,  the  jaundice  was  disappearing,  the  tumor  was 
^o  much  less  in  size  that  there  was  quite  a  space  around  it 
in  the  vagina.  She  was  much  more  cheerful  and  in  every- 
way was  much  better.  She  had  been  regularly  without  any 
opiate  whatever,  almost  from  the  first,  and  had  had  a  move- 
ment of  the  bowels  quite  naturally.  For  a  week  she  had 
placebo,  during  which  time  the  favourable  action  continued. 
She  was  bright  and  cheerful  and  there  was  some  slight  red- 
ness beginning  to  appear  in  her  cheeks.  The  tumor  was 
getting  less  :n  size,  and,  as  I  say,  the  improvement  was 
general. 

About  this  time  we  made  an  examination  of  the 
tumor  with  electric  light  and  found  the  abnormal  tissue 
covered  with  a  white  necrosis,  which  was  continually  slough- 
ing off,  sometimes  in  fluid,  sometimes  in  flakes,  and  even  in 
shreds.  From  this  time  on  progress  was  continuous  and  of 
the  same  character,  until  once  she  got  out  of  bed  by  herself, 
although  she  had  to  be  helped  in  again,  and  the  tumor 
finally  became  so  small  that  the  whole  vagina  was  patulous 
and  we  could  make  out  only  the  hardness  in  the  body  of  the 
uterus  and  some  small  masses  around  the  external  os  pos- 
teriorly, which  were  apparently  getting  less. 

On  the  twenty-first  day  this  improvement  began  to 
cease.  Her  appetite  began  to  get  less;  the  urine,  which  had 
been  almost  normal,  increased,  and  she  began  to  feel  weak- 
er again.  We  began  to  increase  the  dosage  of  the  Radium, 
which  we  did  until  we  were  giving  fifteen  minutes'  exposure 
every  day;  but  we  could  not  bring  back  the  improvement,  as 
she  gradually  failed,  with  return  of  the  old  symptoms  of 
dropsy,  he%rt  failure,  and  finally  dyspnea,  and  she  died  in 
a  few  days,  dropping  off  very  quietly  from  exhaustion,  with 
no  pain  or  discomfort,  the  end  coming  within  four  or  five 
days  of  the  cessation  of  improvement*  We  had  been  so 
surprised  by  the  action  of  the  Radium  in  this  case  that  we 
did  not  know  what  to  expect.  We  hardly  believed  that  the 
woman  could  live,  and  yet  the  improvement  was  so  remark- 
able that  we  were  almost  willing  to  believe  anything.  As  it 
was,  instead  of  having  her  drop  off  in  torpor  in  a  few  days, 


394  THE  MEDICAL  ADVANCE. 

we  kept  her  alive,  comfortable,  bright  and  happy  for  the 
better  part  of  a  month.  And  I  believe  that  if  we  had  had 
this  case  much  earlier  it  would  have  been  a  case  of  carcino- 
ma cure;  but  it  was  too  far  gone,  and  there  was  not  enough 
vitality  left  to  carry  the  thing  through.  Several  things  in 
connection  with  this  case  I  should  like  to  note.  When  we 
began  treatment  there  was  a  small,  nevus-like  spot  on  the 
end  of  the  nose,  which  had  been  increasing  for  some  time. 
This,  under  the  action  of  Radium,  apparently  decreased  until 
it  disappeared  altogether.  It  seems  to  me  that  this  must  be 
due  to  some  action  similar  to  the  metastatic  spots  that  I 
spoke  of  in  Goldberg's  case.  If  this  action  of  Radium  was 
not  through  the  blood,  how  did  it  come  about?  Another 
characteristic  result  is  one  which  I  have  noticed  in  every 
case  where  Radium  has  been  used^ocally.  The  bowels  be- 
gan to  move  normally  and  continued  to  act  as  long  as  she 
lived.  The  action  on  the  dropsy  and  on  the  kidneys  seemed 
to  be  similar". 

Thus  far  Dr.  Parkhurst's  case  strickingly  illustrates 
the  constitutional  action  of  Radium  when  externally  applied, 
and  it  shows  that  the  action  is  not  merely  local  as  is  general- 
ly supposed.  It  fully  confirms  proving  No.  1  in  a  most  un- 
portant  detail — the  disappearance  of  a  canceroderm  on  the 
face  as  well  as  in  the  relaxing  effect  on  the  bowels. 

CASES  TREATED  WITH  RADIUM, 

Before  going  on  to  detail  my  own  cases  I  will  conclude 
my  quotations  from  Dr.  Parkhurst  by  giving  his.  He  used 
"radio- active  water,''  and  this  is  the  first  record  I  know  of 
in  which  the  remedy  was  used  internally. 

RADIO-ACTIVE  WATER. 

**I  hav^e  personally  used,"  he  says,  "radioactive  water, 
or  at  least  water  which  I  supposed  to  be  radio-active,  inas- 
much as  I  had  exposed  it  for  from  twenty-four  to  forty-eight 
hours  to  the  action  of  the  Radium.  I  administered  internally 
in  two  cases,  the  patient  taking  several  glasses  of  the  water 
in  twenty -four  hours." 

Case  l.~Nr.urustlitnia,  congtipaUonj  acne  rosacea. 

The  tirdt  case  was  one  of   neurasihenla,  with  an  imdiagnoeable  oon 


RADIUM  BROMIDE.  395 

ditioD  in  the  epigastric  ree^ion,  with  a  great  deal  of  pain  ahout  the 
pylorus,  DO  tumor  or  other  local  lesion  discoverable.  We  tried  Radium 
water  in  hopes  of  quieting  the  pain.  She  was  very  constipated,  and  we 
noticed  that  the  bowels  began  immediately  to  act  more  regularly.  Her 
appetite  increased  and  the  power  to  taste,  which  had  been  absent,  grad. 
ually  returned.  She  also  reported  that  a  catarrhal  condition  of  the 
larynx  improved.  The  most  remarkable  result,  however,  and  the  one 
for  which  I  report  this  case,  was  the  improvement  in  an  old  acne  rosacea 
about  the  nose  and  cheeks.  This  condition  began  to  clear  up  at  once, 
and  when  we  left  off  treatment  was  practically  well.  She  took  four 
glasses  a  day  of  the  water,  which  was  prepared  by  immersing  the  glass 
tube  of  the  Radium  in  a  gallon  of  water  for  twenty-four  hours.  Thia 
woman  had  been  addicted  to  morphine  and  other  drugs  to  quiet  her 
oerTes,  and,  of  course,  that  complicated  the  case.  She  had  the  radio- 
active water  every  day  for  four  weeks,  when  I  stopped  treating  her,  be- 
cause I  could  not  see  that  I  was  doing  her  enough  good  to  advise  her  to 
keep  on. 

Case  2. — Acne  ros(uea. 

A  sister  of  the  last  patient,  a  stout,  florid  woman,  had  a  similarly 
unhealthy  skin,  marked  rosacea  of  the  face,  wished  to  take  radium  water 
because  it  helped  her  sist^tr  so  much.  She  took  it  for  two  weeks,  and 
the  rosacea  was  very  markedly  improved,  but  she  stopped  treatment  be- 
fore the  rosacea  was  well  because  she  said  she  did  not  like  to  drink  so 
much  water.  She  was  taking  four  glasses  a  day  of  water  prepared  at 
the  same  time  and  in  the  ^ame  way  as  that  I  was  giving  her  sister. 

I  will  now  record  some  of  my  own  cases,  and  I  may 
point  out  that  in  nearly  all  of  them  a  single  dose  of  the 
remedy  was  given  in  exactly  the  same  potency  as  that  used 
in  the  proving.  This  disposes  of  the  somewhat  specious 
^'explanation"  of  homeopathic  cures  by  postulating  an  **op- 
posite  action  of  large  and  small  doses.''  The  dose  which 
caused  was  the  dose  which  cured,  and  the  potency  was  the 
same  in  both. 

Case  3. — Pnmgo. 

A  colleajr^ie  consulted  me  about  himself  in  October,  1906.  He  was 
suffering  from  an  itchinsr  of  the  arms  chiefly,  but  extending  all  over  the 
body.  I  iirst  bugge&ted  Aethiops  antimonialis,  and  here  is  his  report 
thereaftar: — 

'^November  .3, 1906.— I  have  been  on  ^thiops  since  I  saw  you,  but 
with  little  or  no  improvement,  and  this  itching  hide  of  mine  makes  life 
a  burden.  No  definite  synaptoms,  except  aggravation  towards  evening 
and  night,  worse  on  the  arms  and  neck,  but  extending  more  or  less  all 
over,  not  burning  itching,  but  simply  irritation  with  raised  surface  after 


396  THE  MEDICAL  ADVANCE. 

scratching.    Have  tried  everything  likely— Urtica,  Croton  tig.,  Copaivi,, 
Antipyrin  2x  &c.,  &c.,  and  am  really  getting  desperate.'' 

This  forcibly  reminded  me  of  proving  No.  I.,  and  so  I  prescribed  a 
single  powder  containing  six  globules  of  Radium  30.  In  a  week  he  re- 
ported himself  distinctly  better.  The  improvement  steadily  went  od  to 
complete  cure  in  a  few  weeks'  time,  without  further  repetition  of  the 
remedy. 

Case  4.— Prwriflfo. 

Mrs.  C,  aged  84,  had  a  paralytic  attack  affecting  the  left  side  of  the 
body  in  March,  1906.  The  disease  followed  influenza,  and  was  probablj 
occasioned  by  it.  The  patient  was  previously  otherwise  healthy,  except 
that  she  was  somewhat  feeble  on  her  legs. 

May  20,  1907.— She  wrote  from  the  country  to  ask  if  I  could  do  aoy 
thing  for  an  intolerable  itching  seizing  her  day  and  night  at  intervals, 
affecting  the  back  across  the  shoulders  and  down  the  backa  of  the  arms. 
A  carbolic  lotion  which  had  been  prescribed  by  an  allopath  failed  to  gi?e 
any  permanent  relief,  though  it  eased  temporarily.  Had.  brom.  30.  one 
dose. 

May  24.— Itching  not  quite  so  persistent.  Begins  at  2  a.m.  and  lasts 
till  the  lotion  is  applied.    After  a  week  the  lotion  was  discontinued. 

June  6. — Attack  now  begins  3  a.m.  and  lasts  till  4  a.m.  then  dies  down 
tin  breakfast.    It  is  intolerable  for  the  hour. 

June  16. — I  was  in  the  country  and  had  an  opportunity  of  seeing  toe 
patient  and  her  attendants.  The  latter  were  very  emphatic  about  the 
improvement.  The  patient  does  not  disturb  her  nurse  at  all  in  the  night 
now,  and  the  irritation  does  not  come  on  till  5  a.m.  There  is  none  at  all 
during  the  day.  I  was  able  to  ^tisfy  myself  that  there  was  no  eruption 
of  any  kind.  The  skin  was  perfectly  smooth  and  natural,  except  for  a 
very  slightly  roughened  patch  over  the  left  scapula.    Repeat  Rad.  brom. 

July  4. — Better. 
.  July  21.— Well. 

Case  b,—Gorn  of  right  foot. 

I  gave  to  a  gentleman  aged  60,  who  had  long  had  an  eruptien  of 
psoriasis  on  the  back,  a  Bingle  dose  of  Radium  bromide  30  on  July  27, 
1906.  There  was  no  marked  effect  on  the  eruption,  but  ttie  patient 
noticed  that  a  corn  fell  off  from  the  right  foot,  though  a  similar  4*oro  on 
the  left  foot  was  unaffected. 

Case  Q— Eczema; 

Mr.  A.  D.,  aged  34,  tall,  fair,  reddish  hair,  subject  to  hay  fever,  and 
one  attack  had  an  abscess  in  the  nose,  after  that  he  h*id  boils  in 
various  parts,  and  following  the  boils  eczema.  He  had  taken  in  his  time 
'^gallons  of  tonics,"  and  in  spite  of  that  had  been  loosing  weight  slowly 
for  the  last  two  years.  He  had  been  twice  vaccinated,  the  last  time 
two  or  three  years  before  I  saw  hira.  Before  the  boils  cam-  out  he  used 
to  suffer  from  headaches.    The  localities  in  which  the  eczema  was  worse 


RADIUM  BROMIDE.  397 

were  the  penif,  scrotum  and  groins,  which  were  vividly  red  and  moist. 
The  axille  were  also  affected  and  there  was  a  good  deal  about  the  face. 
In  the  groins  the  irritation  wis  excessive,  affected,  no  doubt,  by  the 
patient  having  hernia  and  being  compelled  to  wear  a  truss.  Thuja  .30, 
and  afterwards  Sulphur  30  at  bedtime,  were  given  and  Nux  v.  30  in  the 
morning.  On  February  3,  1905,  the  condition  was  as  follows:— Left  eye 
Bwolien  up;  light  very  painful.  Eczema  on  face,  axille,  groins,  penisi 
scrotum.  Itching  very  great  on  hairy  parts.  Without  discontinuing 
the  morning  *dose  of  Nux  which  he  had  been  taking  some  time,  I 
stopped  the  Sulphur  and  gave  a  single  dose  of  Had.  brom.  30, 

March  6. — Better.  Irritation  decidedly  better.  Axille  clear. 
Scrotum  very  much  better.  Slight  eczema  in  moustache.  The  back 
has  come  out  in  a  crop  of  acne,  which  is  spreading  partly  over  the  chest. 
He  feels  more  fit.    Freer  from  headaches.    Not  repeated. 

April  3.— Eczema  got  very  much  better.  Then,  fourteen  days  ago, 
boils  came  again.  Headaches  lately  troublesome.  Bowels  act  daily.  Anus 
irritable;  a  little  external  pile.  Eczema  rather  vivid  where  truss  pres* 
ses.  Scrotum  not  bad.  Chest  and  back  spotty.  Repeat  Had.  brom.  one 
dose. 

May  12, 1905— Eczema  decidedly  better.  Penis  and  scrotum  nearly 
well.  No  hay  fever.  Right  eyelid  feels  heavy  and  right  eye  hurts  if  he 
reads  at  night.    Repeat. 

July  12.— Scrotum  all  right.  Very  much  better  altogether.  Very 
little  hay  fever. 

In  this  ease  and  th^  next  the  skin  trouble  was  most  severe  about  the 
generative  organs.  The  fact  that  in  prover  No  1,  the  first  manifestation 
appeared  in  this  region  gave  one  point  of  similarity — locality.  And 
although  in  the  prover  there  was  no  irritation  in  this  part,  there  was 
very  great  irritation  elsewhere,  and  this  gave  a  second  point  of  similar- 
ity. It  is  quite  practicable  to  combine  the  qualities  of  separate  symp- 
toms in  searching  for  a  simile. 

Case  1.— Eczema  scroti, 

Mr.  M,  T.,  aged  28,  had  had  syphilis  seven  years  before,  and  had 
still  some  faint  symptoms  of  it  about  him.  But  he  was  more  psoric  than 
syphilitic,  though  in  general  health  strong  and  robust.  This  patient 
was  also  a  hay-fever  subject.  One  of  his  chronic  ailments  was  a  serpigi- 
nous eczema  of  the  scrotum,  which  scaled  at  times,  and  at  times  got 
moist  and  oozing;  it  involved  the  penis  to  a  slight  extent,  and  was  at- 
tended with  a  good  deal  of  itching. 

May  5,  1904. — Scrotum  which  has  been  better  under  Primula  obcon- 
ica  for  some  weeks,  is  again  sore.  Rad.  brom.  30,  24  numbered  pow- 
ders, numbers  1,  11  and  17,  medicated,  with  6  globules  of  the  remedy. 

May  30. — In  a  week  the  scrotum  began  to  improve  and  got  practi- 
cally well;  today  it  has  started  again  a  little. 

After  this  Primula  obconica  was  given,   then  Psorinum  in  view  of 


398  THE  MEDICAL  ADVANCE. 

hay- fever.  During  the  latter  part  of  the  time  the  scrotum  got  worse, 
and  on  July  25  Had .  brom.  was  repeated  in  a  single  dose,  and  agidn  on 
August*26  and  September  4.  The  scrotum  kept  well  till  the  latter  pan 
of  the  time,  and  then  other  remedies  were  given.  On  December  1  Bad. 
brom.  was  again  given,  but  without  good  result.  On  the  Ist  October 
following  it  again  did  good  for  a  time.  In  this  ease  the  relief  was  ot\j 
temporary. 

Case  S.— Eczema  prepxUialis. 

Mr.  J.  C,  aged  43,  had  eczema  of  the  inner  surface  of  the  prepuce 
and  glans  and  also  about  the  anus,  which  gave  him  a  ^ood  deal  of  annoy- 
ance. I  had  given  him  several  remedies  with  some  improvement,  but 
not  permanent.  On  October  28,  1907,  the  itching  was  giving  a  good 
deal  of  trouble,  and  I  prescribed  Rad.  brom.,  repeating  it  at  intervals 
of  ten  days  or  so. 

November  25,  1907. — Much  better;  penis  better;  anus  nearly  normal. 
A  fortnight  after  receiving  Rad.  brom.  had  an  irritable  patch  on  the 
right  foot,  which  disappeared  later.    Repeat. 

Case  9. — Eczema  ptrinet. 

On  March  6  last  Mrs,  N.,  aged  54,  consulted  me  for  piles,  which  she 
had  had  about  a  year,  and  constipation,  which  she  had  had  several  years. 
But  her  biggest  trouble  was  an  intolerable  irritation  about  the  anus, 
spreading  for  a  considerable  distance  round  which  was  an  angry  area  of 
eczema,  which  had  been  present  three  months.  As  the  patient  had  been 
vaccinated  four  years  previously,  and  as  the  vaccination  **took  tremend- 
ously,'' I  put  her  on  Thuja  30  to  start  with.  Under  this  all  symptoms  be- 
came worse,  and  Graphites  6  given  later  did  not  improve  matters. 

April  4. — Bowels  acting  better  but  irritation  very  bad;  skin  feels 
very  dry  as  if  bak^d.  Irritation  comes  suddenly;  is  just  as  bad  when 
the  attacks  are  on,  but  is  freer  in  the  intervals.  Rad.  brom.  30,  num- 
bers 1  and  17,  in  36  powders,  one  night  and  morning  as  numbered* 

April  22. — Repeat;  rather  better;  no  more  medicine. 

May  2. — Anus  looks  very  much  better.  Patient  had  been  consti- 
pated for  two  or  three  days,  and  had  to  use  glycerine  suppositoriej^.  Ir- 
ritation better  after  that,  ^scul.  hip.  30,  gtt.  v.,  in  wine  glass  of 
water  morning  on  rising.  Rad.  brom  30,  nunabers  I  and  11  in  24  pow- 
ders, one  at  bed-time  as  numbered. 

May  28.  -Anus  practically  well  in  appearance,  though  at  times  Ir- 
ritable.    SiooIh  normal. 

The  eczema  was  cured;  it  was  Radium  which  started  the  cure  and 
completed  it. 

Case  10,--Eryth€ma  of  face  and  nose  toith  ncisal  catarrh. 

Miss  P.,  aged  20,  was  brought  to  me  on  July  3,  l'jK)7,  complaining  of 
an  eruption  which  she  had  had  on  her  nose  since  she  was  15,  that  is  to 
say,  when  the  periods  began.  She  was  tall,  well  developed,  and,  but  for 
this  disfigurement,  a  particularly  handsome  girl.    She  had  had  measles 


RADIUM  BROMIDE.  399 

and  whooping  cough  Id  InfaDcy  and  chicken-pox  after  she  was  15.  Sha 
was  unvaccinated. 

The  present  trouble  was  this.  She  had  a  red  shining  nose,  the  red- 
ness iuvaded  the  adjacent  parts  of  the  face.  The  nose  burned  and  itched. 
It  was  aggravated  by  any  form  of  exercise,  which  caused  her  nose  to 
bleed  and  made  it  painful.  In  addition  to  this  there  was  catarrh  with 
(rreen  discharge,  filling  five  handkerchiefs  in  a  day.  The  redness  was 
worse  after  meals. 

The  patient  also  suffered  from  painful  menstruation.  The  periods 
were  reorular.  The  pains  were  referred  to  the  region  of  ovaries  and  the 
legs.  She  began  to  feel  pain  a  week  before*  Sbe  had  moist  hands  and 
feet.  She  had  had  no  chilblains  for  two  years  and  not  severely  then. 
She  was  much  worse  in  cold  weather. 

I  first  prescribed  Carcinosln  100.  This  made  no  marked  change, 
though  there  was  less  discharge  and  less  bleeding  than  formerly  at  the 
end  of  a  month. 

July  23, 1907.— Rad.  brom.  30,  single  dose. 

August  27. — This  time  she  reported  a  marked  change.  The  nose 
does  not  now  bleed  half  as  much  as  it  used  to  do.  It  bleeds  once  a  week 
and  tliis  occurs  on  rising  in  the  morning.  This  improvement  has  been 
observed  the  last  fortnight.  Formerly  any  kind  of  exercise  would  cause 
bleeding;  this  is  not  so  now.  The  discharge  continues,  especially  after 
tennis.  Walking  does  not  affect  it.  There  is  still  itching  over  the  face, 
including  the  nose.    Repeat. 

September  26. — Very  much  better.  Bleeding  entirely  stopped.  Ap. 
pearance  better,  but  gets  very  blue  when  the  weather  is  cold.  Has  hai 
much  pain  at  the  period,  and  the  pain  is  worse  then.  Repeat;  also 
Caulophyllum  3.  every  hour  at  the  period  when  there  is  paia 

October  24. — Decidedly  better.  Catarrh  entirely  ceased.  Bleeding 
only  occurs  if  the  weather  is  intensely  cold  and  she  is  out  in  it.  The 
redness  of  the  nose  improves  as  the  day  advances.  Caulophyllum  short- 
ened the  pain  of  the  period.     Repeat. 

Sbe  was  kept  on  the  remedy  till  Dace  in  ber  .S,  when  this  note  wss 
made:  Nose  feeling  much  better.  It  is  much  less  red  and  so  is  the  face. 
There  is  no  burning  now;  it,  only  itches  in  the  cold. 

SCHEMATIC   ARRANGEMENT   OF   SYMPTOMS. 

Mind. — Prom  being  torpid  and  apathetic  became  cheer- 
fal  (cancer  of  uterus  treated  locally  with  Radium). 

Head.  "Headache  in  occiput  in  morning;  a  tight  feeling, 
worse  on  motion;  lasted  some  days  (2, — 2nd  d.). — Much 
headache  (3.— 3rd  d.). 

Eyes.  Eyes  smart  and  look  red  (noticed  by  others). 
Passed  off  and  reappeared  with  greater  intensity  later.  Dis- 


400  THE  MEDICAL  ADVANCE. 

appeared  entirely  in  three  weeks  (1. — 28th  d.). — Some  se- 
cretion on  lashes  of  right  eye  on  waking  (4. — 3rd  d.). — Right 
eye  began  to  feel  sore  with  occasional  sticking  pains  and 
increased  secretion;  symptoms  continued  through  the  Week, 
worse  on  reading,  worse  with  artificial  light,  better  on  clos- 
ing eyes;  schlerotic  vessels  injected,  running  to  comu  from 
both  sides;  occasional  itching  of  lids,  worse  upper  (4.— 4th 
d.). — Report  by  Dr.  Macnish:  **Blenorrhagia  of  right  eye; 
injection  of  schlerotic  and  slight  injection  of  lower  part  of 
cornea;  slight  infiltration  of  lower  part  of  cornea,  eye  looks 
watery;  tension  same  in  right  as  in  left  eye;  pupil  of  right 
dilates  less  actively  than  left  and  contracts  more  sluggish- 
ly," (4. — 5th  d.).  Woke  with  right  eye  very  painful  with 
feeling  as  if  foreign  body  in  it,  better  after  going  out  into 
the  air;  rest  of  day  felt  it  very  little  (4.— 10th  d.).— Right 
eye  much  better;  left  eye  has  had  sensation  as  if  a  loose  eye-^ 
lash  were  in  it  on' several  occasions,  not  very  painful,  slight 
soreness  of  ball  of  left  eye;  a  few  congested  vessels  run  over 
the  schlerotic  to  cornea  in  left  eye  (4. — 11th  d.). — ^Tra- 
choma. 

Ears.— Earache  right  ear  (2.— 34th  d.).— Much  pain  in 
ear,  stitching  and  throbbing.  The  ear  was  syringed  and 
much  wax  was  removed  from  both;  the  ears  continued  to 
give  trouble  for  some  hours  after  this,  and  there  was  deaf- 
ness off  and  on  (2. — 41st  d.). — Throat  sore,  ear  aching;  feels 
as  if  bruised  inside  (2.  53ra  d.). 

Nose. — Much  mucus  in  nose  without  having  taken  cold 
(1. — 14th  d.).  Pricking  and  peppery  sensation  in  left  nos- 
tril in  evening  (3- — 2nd  d.). — ^Small  nevus-like  spot  on  end 
of  nose  which  had  been  increasing  some  time  disappeared 
(case  of  uterine  cancer  treated  locally). — ^Catarrh  with  green 
discharge- — ^'Epistaxis. — *^Burning  sensation  in  nose. 

Face. — Skin  of  face  very  irritable;  this  gradually  got 
worse  and  lasted  over  two  months;  the  skin  became  thick- 
ened and  broke  in  places  when  scratched  (which  gave  the 
patient  relief)  exuded  a  clear  moisture;  aggravated  by  wash- 
ing (which  caused  oozing);  aggravated  by  shaving  (only  pos- 
sible on  alternate    days);  better  by  bathing  in  very  hot. 


RADIUM  BROMIDE.  401 

water;  worse  at  night  when  warm  in  bed;  it  prevented  sleep, 
and  a  handkerchief  had  to  be  kept  applied  to  absorb  the  ex- 
udation; though  scratching  relieved  the  intense  itching  it 
was  followed  by  burning  and  stinging,  with  oozing  (Rhus  v. 
cured)  (1. — 45th  d.). — Small  nevi;is  on  chin  turns  black,scales 
off  and  disappears  (1. — 88th  d.). — Skin  of  face  very  dry  (2. — 
34th  d.). — Slight  patchy  erythema  diffused  over  forehead 
(4.— 5th  d.). — Serpiginous  ulcer  on  chin  (5. — 18th  d.). — ^An 
old  acne  rosacea  about  the  nose  and  face  (cured  in  two  cases 
with  radium  water).     ^Erythema  of  nose  and  face. 

Mouth. — ^Tongue  very  sore  right  side,  about  the  middle 
(1.— 16thd.). — Mouth  dry  in  morning  (2. — 2nd  d.). — Tongue 
white  (2.— 3rd  d.). 

Throat.— Throat  sore,  ear  aching  (2.— 55th  d.). 
Appetite. — No  appetite  for  lunch  (2.— 3rd  d.). — Aversion 
to  meat;  this  lasted  many  months  (2. — 3rd  d,). — Cannot  eat 
bacon  for  breakfast  (2. — 4th  d.).  Unable  to  smoke  (.—22nd 
d.). — This  lasted  till  46  ^ay  of  proving;  on  86th  day  prover 
received  Rhus  ven.  and  two  days  later  was  able  to  eat  bacon 
for  breakfast.  Off  appetite,  especially  for  meat  (. — 8th  d.). 
^Appetite  increased  and  sense  of  taste  returned  (Radium 
water). 

Stomach. — Nausea  (2. — 4th  d.). — Indigestion  and  stuffed- 
up  feeling  alternating  with  headache  (2.  41st  d.). 

Abdomen. — Inflammation  of  umbilicus  (1)— Stuffed  out 
feeling  after  food  (2. — 22nd  d.). — Indigestion  and  stuffed 
feeling,  alternating  with  earache  or  pain  in  the  chest;  (2) — 
Sepiginous  ulcer  on  groin  (5. — 18th  d.). — ^Hemorrhage  from 
bowels  in  case  of  sarcoma  of  intestines. 

Stool  and  Anu^. — Stools  paler  than  normal  and  more 
frequent  (1. — 14th  d.). — Stools  very  relaxed,  in  loose  bits, 
partly  almost  watery,  darker  in  color;  sometimes  tags  of 
mucus;  did  not  become  normal  till  ten  weeks  later  (1. — 16th 
d.). — Bowels  confined  (2. — 23rd  d.), — Tendency  to  piles  t^ie 
last  three  weeks  (2, — 34th  d.). — ^Bowels  act  naturally  from 
the  first  (cancer  case  treated  locally;  previously  constipated 
and  under  opiates). — ®Prom  being  constipated  bowels  be- 
came regular  (radium  water). — ^Intense  eczema  around  anus 


402  THE  MEDICAL  ADVANCE. 

and  extending  to  vulva,  with  great  irritation  (Rad.  brom. 
30). — ^^Bloody  stools;  clots  in  the  motions  (in  case  of  cancer 
of  intestines). 

Male  Generatiye  Organs.— Eruption  of  psoriasis  on 
penis,  with  circular  or  serpiginous  edges  (1. — 4th  d.). — ^Ec 
xema,  moist,  of  penis,  scrotum,  groins  and  anus  cured  (Rad. 
brom.  30). — ^Serpiginous  eczema  in  syphilitic  and  psoric 
subject  relieved  for  a  time. — ^Eczema  of  skin  and  inner  sur- 
face of  prepuce  with  irritation;  eczema  about  anus. 

Female  Generative  Organs,— Period  delayed  (2.— 34th 
d.). — Period  a  week  late  but  not  otherwise  abnormal  (2.— 
41st  d.). — Period  rather  less  painful  than  usual  (2. — 88th  d.). 

Respiration. — Feels  as  if  she  could  not  get  air  enough 
(2,— 3rd  d.). 

Larynx  and  Trachea.— ^Catarrhal  conditions  of  the 
larynx  improved.     (Radium  water). 

Chest. — Chest  feels  tight  as  if  she  could  not  get  air 
enough  (2. — 3rd  d.).— An  eruption  has  disappeared  from  the 
chest  during  the  proving  (2. — 34th  d.).— Pain  in  the  chest 
alternates  with  indigestion  and  stuffed-up  feeling. 

Back. — Pain  under  left  scapula;  increased  on  moving, 
increased  by  putting  shoulder  back,  diminished  after  rising 
(1.— 52nd  d.). 

Upper  Limbs.— Hands  cold  (2.— 3rd  d.).— Serpigmous 
ulcer  on  hand  (5). 

Lower  Limbs. — A  callosity  or  corn  on  inner  border  of 
right  foot,  which  has  been  there  twenty  yeai's,  was  found  to 
be  almost  gone;  it  disappeared  completely  soon  after  (1.— 
16th  d.).— °A  corn  fell  off  the  right  foot. 

Sleep. — ^Sleeps  regularly  without  any  opiate  (cancer 
case  treated  locally). 

Fever. — Shivering,  billions  feeling,  lasting  three  days 
(1.— 11th  d.). 

Generalities. — Indigestion  and  stuffed-up  feeling  alter- 
nate with  earache  or  pain  in  the  chest  (2. — 41st  d.). — Looked 
ill  nearly  all  the  time  of  the  proving^  lost  3i  pounds  in 
weight  (2). — Peels  very  seedy  as  if  going  to  be  ill;  as  if 
could  hardly  crawl  about  (2. — 55th  d.). — Some  general  ma- 


RADIUM  BROMIDE.  408 

laise  (4. — 4th  d.). — ^Relieved  pains  of  cancer  and  enabled  to 
sleep;  removed  jaundice  and  dropsy;  restored  life  and  cheer- 
fulness from  a  state  of  apathy  and  collapse  in  same  case, 
(Action  of  rays). — ^Feels  more  fit. 

Central  nervous  system  (esjpecially  in  young  animals) 
very  sensitive  to  Radium;  animals  die  of  paralysis ''' — Red 
corpuscles  lose  their  hemoglobin.* — Plant  growth  and  de- 
velopment checked.*— Protozoa  first  stimulated,  then  die.* 
—Regeneration  retarded.* — Development  retarded.* — Fer- 
ments lose  their  power.  '*' 

Skin. — Eruption  of  psoriasis  on  penis  with  circular  or 
serpiginous  edges  (1. — 4th  d.). — Skin  of  face  very  irritable; 
this  gradually  got  worse;  the  skin  became  thickened  and 
broke  in  places,  and  when  scratched  (which  gave  great  re* 
lief)  exuded  a  clear  moisture;  worse  on  washing  (which 
caused  oozing);  worse  by  shaving  (only  possible  alternate 
days);  relieved  by  bathing  in  very  hot  water;  worse  at  night 
when  warm  in  bed,  preventing  sleep;  scratching,  though,  it 
relieved,  caused  burning  and  stinging  (1. — 45th  d.). — Small 
nevus  on  chin  turns  black  and  falls  off  (1.— 88th  d.). — 
Skin  of  face  very  dry  (2. — 34th  d.). — An  eruption,  which  she 
had  on  the  chest  before  taking  Radium,  has  disappeared 
(2.— 34th  d.). — Slight  patchy  erythema  diffused  on  forehead 
(4.— 5th  d.). — Intense  erythema  which  leaves  a  brownish 
pigmentation,  unless  ulceration  follows  (Roux.) — In  four 
days  after  exposure  a  red  patch  appeared,  which  became 
larger  and  increased  until  on  the  14th  day  there  appeared  a 
necrotic  ulcer  which  spread  in  a  serpiginous  form.  Later 
four  other  smaller  ulcers  appeared  on  the  chin,  on  the  hand, 
and  one  in  the  groin  affecting  the  tissues  down  to  the  cori- 
um.  These  lesions  broke  down  in  a  superficial  sloughing 
ulcer,  which  increased  for  several  days,  and  then  retrograd- 
ed and  gradually  healed,  the  distant  lesions  healing  first. 
After  three  weeks  the  first  ulcer  on  the  arm  was  an  atonic 
ulcer  in  process  of  repair.  Prom  first  to  last  no  pain,  swell- 
mg,  heat  or  fever.  The  ulcer  was  cold,  necrotic  and  torpid 
(5)— ^Two  cases  of  acne  rosacea  of  face  (radium  water)), — 
^Two  corns  dropped  off  right   foot.-^® Eczema  of  scrotum 


404  THE  MEDICAL   ADVANCE 

and  penis  and  axilla  cured.— ^Prurigo  worse  at  night  (two 
cases), 

A^rayations. — Shaving,  washing,  warmth  of  bed  (skin)- 
Motion  (headache). — Worse  by  reading,  artificial  light  (eyes). 

Time.— Worse  at  night. 

Amflliorations. — Bathing  in  very  hot  water. — Scratch- 
ing,—Closing  eyes  (eyes).-— Open  air  (eyes). 

CLINICAL  CASES. 

By  J.  T.  BoLAND,  M.  D. 

Case  I.— May  7th,  1907.  A  boy  of  17  years,  red  face, 
gray  eyes,  dark  hair,  dark  oily-looking  skin,  height  five  feet 
five  inches,  weight  226  pounds;  short  labored  breathing, 
worse  on  walking  fast  or  going  up  hill;  heart  action  regular, 
pulse  soft  and  flowing,  100  per  minute;  respirations  22  per 
.  minute  and  shallow;  dry  hacking  single  cough;  decided  ap- 

I  petite  for  eggs  and  sweets;  morose,  aversion  to  company  and 

especially  to  women;  had  a  desire  to  wash  the  hands  every 
few  minutes. 

He  worked  in  his  father's  store,  and  often  during  the 
day  he  would  leave  the  store  regardless  of  the  customers 
who  were  waiting  and  would  go  across  the  garden  to  the 
residence  to  wash  his  hands.  Has  frequent  nose  bleed  of 
briit(ht  red  blood;  awakes  from  sleep  feeling  tired  and  has  a 
peculiar  bad  feeling  as  the  evening  comes  on;  there  is  a  red 
eruption  of  small  hard  bumps  on  the  face  and  body;  dark 
colored  spots  on  different  parts  of  the  body  that  are  covered 
with  white  looking  scales;  feet  are  cold  and  clammy  and  have 
a  bad  smell.  Vaccinated  when  eight  years  old,  the  skin 
erui>tion  appearing  soon  after;  when  eleven  years  old  he  be- 
gun to  grow  fat  and  has  steadily  increased  in  weight  since. 

I  prescribed  a  regime  according  to  Hahnemann's  Chronic 
Diseases!.     Gave  one  dose  of  Calcarea  carb  c.  c. 

June  10th,  1907.  Much  better,  heart  action  easy  and 
regular,  80  per  minute,  weight  210. 

August  15th,  1907.  Heart  action  normal,  respiration 
free  and  easy,  18  per  minute,  weight  201;  more  cheerful, 
sleep  restful;  feet  warm  and  dry. 


CUNICAL  CASES.  405 

Were  the  changes  the  result  of  Calcarea  carb,  or  the 
effect  of  a  more  correct  livmg? 

A    CHILIDONIUM  CASE. 

Nov.  25th,  1907.  I  was  consnlted  by  a  woman  49 
years  old,  the  mother  of  five  children.  During  the  child- 
bearing  period  she  had  some  womb  trouble  and  an  anal  fist- 
ula with  bleeding  piles,  for  which  there  was  an  operation 
that  was  a  success  (surgically). 

For  some  years  there  was  distress  after  eating,  caused 
by  a  formation  of  gas  in  the  stomach  that  was  relieved  by 
belching.  There  was  a  cramping  pain  with  an  all -gone  weak 
sensation  in  the  stomach  when  it  was  empty  that  was  re- 
lieved by  eating.  She  was  a  tea  drinker  and  described  a 
characteristic  effect  of  tea,  "a  sensation  of  the  stomach  hang- 
ing down  in  the  abdomen  like  an  empty  bag." 

At  times  there  was  a  pain  in  the  right  shoulder  under 
the  right  shoulder  blade  that  ran  around  the  right  side, 
seemingly  to  the  pit  of  the  stomach  and  recurred  at  any 
time  of  day  or  night  whether  the  stomach  was  full  or  empty. 

By  palpation  I  could  make  out  an  induration  over  the 
pit  of  the  stomach  that  seemed  about  the  size  of  a  hen's  egg 
which  was  painful  to  pressure,  causing  a  continual  feeling 
of  distress. 

The  day  previous  to  my  examination  there  had  been  a 
consultation  of  eminent  surgeons,  (learned  men)  who  had 
assured  her  that  the  stomach  was  hanging  down  in  the  ab- 
domen, and  "the  only  relief  obtainable  would  be  through  the 
fixation  operation,  which  was  accordingly  arranged  for,  but 
fortunately  for  one  and  unfortunately  for  the  other,  I  was 
permitted  to  anticipate  it  by  twenty-four  hours  with  a  dose  of 
Sulphur  the  12x,  and  the  diatetic  rules  according  to  Hahne- 
mann's chronic  diseases,  were  prescribed,  advising  a  post- 
ponement of  the  operation  for  thirty  days. 

Dec.  3rd.  Much  better  in  all  respects,  the  empty  weak 
feeling  in  the  stomach  being  gone. 

Dec.  30th.  Some  pain  in  the  right  shoulder  and  under 
the  right  shoulder  blade,  running  around  the  right  side  to 
the  stomach. 


»^- 


406 


THE   MEDICAL   ADVANCE. 


I  gave  Chelidonium  maj.  200,  Dunham. 

Jan.  15th,  1908.  Had  a  classical  attack  of  grippe  that 
was  cut  short  by  Phytolacca,  and  there  was  no  sequella. 
Then  she  again  received  Chelidonium  for  the  pain  under  the 
right  shoulder. 

Feb.  22nd.  There  was  pain  running  from  side  to  side 
across  the  hypochondriac  region.  I  gave  her  Carduus  mar, 
1st,  X,  five  drops  night  and  morning. 

May  20th.  She  wrote  from  the  Pacific  Coast  that  she 
had  felt  well  and  free  from  pain  since  last  winter,  until  with- 
in the  last  few  days  there  has  been  slight  pain  in  the  stomach. 

Is  that  an  aggravation  caused  by  the  beginning  of  spring, 
of  which  condition  Hahnemann  wrote  so  definitely? 

A    PHYTOX.ACCA  CASE. 

The  Indians  and  early  settlers  of  the  southwest  used 
the  Poke  Root  for  many  different  conditions  of  disease.  The 
methods  of  using  it  were  in  the  form  of  a  tea  or  a  poultice 
made  from  the  roasted  root. 

The  Indian  woman  would  give  it  in  a  tea  until  the  pa- 
tient showed  a  perceptible  aggravation  and  then  would  dis- 
continue the  treatment  so  long  as  improvement  lasted.  It 
was  regarded  by  them  as  a  specific  for  rheumatism,  swelling 
of  the  glands  and  many  forms  of  skin  diseases,  and  was 
especially  considered  infallible  in  curing  the  epidemic  itch 
that,  as  I  remember,  all  seemed  to  have,  white,  black  and 
red,  old  and  young. 

The  mode  of  applying  it  for  itch  was  to  make  a  good 
sized  tub  of  strong  poke  root  tea  and  have  the  victims  get 
into  it  and  bathe  in  the  hot  tea  until  the  whole  surface  of 
the  body  would  be  covered  with  large  red  welts,  looking 
much  like  the  back  of  a  school  boy  after  the  application  of 
a  Scotch-Irish  schoolmaster's  wythe. 

The  bath  would  be  followed  by  an  hour's  rubbing  with 
sulphur  and  lard,  turning  the  patient  like  a  spit  before  a 
hot  fire,  then  washing  clean  in  hot  soap  suds,  and  that  would 
be  the  end  of  the  itching. 

The  roasted  poke  root  poultice  was  used  to  cure  ring- 
worm. 


CLINICAL  CASES.  407 

The  case  of  which  1  write  was  that  of  a  school  boy  about 
ten  years  old  who  had  had  many  ringworms  and  contracted 
the  itch  while  at  school.  He  received  the  above  described 
treatment. 

Prior  to  that  time  he  had  been  in  a  fair  condition  of 
health,  but  after  the  treatment,  though  the  skin  remained 
smooth  and  free  from  itch  or  ringworm,  there  was  a  variable 
appetite — frequent  loathing  of  food,  a  pronounced  indiges- 
tion, and  a  great  amount  of  flatulence  and  belching,  bloating 
and  rumbling  in  the  bowels. 

What  was  eaten  would  pass  through  the  alimentary  canal 
from  in  one  to  three  hours  without  showing  any  signs  of  di- 
gestion, or  there  would  be  brown,  yellow-like  mucus  stools 
or  a  constipation,  the  stool  in  hard  balls  and  stuck  together, 
and  often  encase    in  a  tough,  elastic,   grayish- white  mucu 
substance. 

The  extremes  of  heat  or  cold  aggravate  the  bowel  con- 
ditions and  bring  on  a  sickening  griping  diarrhea,  stools 
frequent  and  followed  by  burning  tenesmus.  The  aggrava- 
tion was  usually  early  in  the  morning,  when  there  would  be 
several  hot,  burning,  sickening  stools  followed  by  complete 
relief;  sometimes  for  twenty-four  hours. 

The  above  conditions  continued  with  varying  intensity 
for  a  number  of  years. 

After  summing  up  the  history  of  the  case  I  gave  Phyto- 
lacca at  irregular  intervals  and  in  varying  potencies  from 
Ix  to  12c  for  a  period  of  at  least  one  year,  with  the  result 
that  the  ringworm  was  re-established.  Large,  red,  hard, 
single  bumps  came  out  on  different  places  on  the  skin,  more 
on  the  body  and  thighs.  The  appetite  became  good,  the  di- 
gestion seemed  perfect,  the  bowels  regular  and  the  mucus 
disappeared  entirely  from  the  stool,  his  weight  increasing 
more  than  forty  pounds. 

Query — Was  the  trouble  suppressed  psora  or  too  much 
Phytolacca? 


L 


A_,  408  THE  MEDICAL  ADVANCE. 

'O.  MINIA.  A  POTU. 

./'  '       .  Editors  Medical.   Advance:— In     the    report  of  the 

,  ,  ,  Transactions  of  the  Central  N.  Y.  Society,  p.  294,  of  your 
May  number,  Dr.  Fritz  asked  what  Hahnemann  would  do  in 
a  case  of  mania  a  potu. 

Some  years  ago  while  traveling  in  a  foreign  country  I 
^^  '  spent  some  weeks  in  a  town  where  I  became  acquainted  with 

>  the  leading  allopathic  physician.    Knowing  I  practiced  med- 

icine he  consulted  me  as  to  the  treatment  of  several  cases. 
I  said  nothing  to  him  of  Homeopathy  until  he  saw  the  bene- 
fit of  the  suggestions  I  offered. 

Among  the  cases  he  mentioned  was  one  of  delirium  tre- 
mens. The  subject  was  a  member  of  the  ^  higher  house  of 
the  parliament  of  the  kingdom.  At  intervals  he  had  very 
severe  attacks.  The  symptoms  were  very  violent  delirium, 
face  much  flushed  and  insomnia.  These  were  all  I  could 
elicit. 

I  asked  the  doctor  if  he  had  ever  read  of  the  efficacy  of 
small  doses  of  medicine.  No.  He  told  me  he  had  given  the 
patient  enough  morphine  to  kill  a  dozen  men. 

I  then  suggested  that  his  patient's  system  was  so  im- 
mersed with  alcohol  that  the  action  of  the  absorbents  was 
suspended,  and  that  if  the  absorbents  became  active  the 
drug  would  finish  his  patient.  He  had  given  no  thought  to 
this. 

I  then  said:  Give  him  Belladonna.     Put  two  drops  of 
the  tincture  in  a  half  tumbler  of  water,  stir  well,   and  give 
^  him  a  teaspoonf ul  of  the  mixture  every  half  hour  until  he 
has  taken  four  dozes. 

I  saw  the  doctor  two  days  afterward.  He  came  to  me 
gleefully  saying:  '*I  never  saw  a  remedy  act  so  magically. 
After  the  second  dose  he  was  asleep,  and  is  now  entirely 
free  from  all  symptoms." 

Yours  for  Hahnemannian  Homeopathy, 

Geo.  H.  Clark,  M.  D. 

116  West  Walnut  Lane,  GermantowD,  Philadelphia. 


THAT  UBIQUITOUS  AND  IRREPRESSIBLE  LIE.  409 

THAT  UBIQUITOUS  AND  IBBEPBE8SIBLE  LIE. 

Editor  Advance: 

Homage  to  Dr.  J.  W.  Hodg^!  Success  to  the  cause  that 
lias  fortunately  enlisted  his  pen! 

Jennerian  vaccination,  whatever  may  have  been  said  in 
support  of  its  claim  for  existence  in  medical  practice  in  years 
agone,  should,  in  the  light  of  the  safer,  better,  and  now 
widely  proclaimed  homeopathic  prophylaxis,  politely  bow  it- 
self off  the  medical  platform,  instead  of  waiting  to  be  kicked 
into  disgraceful  oblivion  by  those  aroused  and  enraged  by 
the  needless  curses  it  continues  to  inflict. 

Ignorance  and  the  barbarism  under  its  rule  are  to  be 
pitied  and  condoned  only  in  regions  remote  from  or  inacces- 
sible to  light  and  knowledge.  Contempt  is  their  only  due 
where  they  are  the  result  of  having  drawn,  the  blinds  to  ex- 
clude proffered  light.  It  is  not  essential  to  true  nobility  that 
we  be  absolutely  free  from  error  in  all  regards;  but  to  re- 
nounce and  retract  error  when  convinced  we  are  in  it  and 
have  promulgated  it,  is  one  of  the  obligations  it  imposes. 
Another  is  that  we  submit  to  honest  te^ts  the  propositions 
that  promise  a  demonstration  of  new  even  though  unpopu- 
lar truths.  In  the  scriptures  it  is  said  that  certain  Bereans 
"were  more  noble  than  those  in  Thessalonica,  in  that  they 
received  the  word  with  all  readiness  of  mind,  and  searched 
*  *  *  daily  whether  those  things  were  so."  Alas!  for  the  rari- 
ty of  this  virtue.  One  who  deserves  the  admiration  of  all 
nations  once  said:  '*This  is  the  condemnation  that  light  is 
€ome  into  the  world,  and  men  loved  darkness  rather  than 
light." 

Acute  experience  outside  of  medical  lines  and  extending 
through  years  has  made  the  writer  appreciative  of  the  fol- 
lowing neords,  used  by  Dr.  Hodge  in  the  closing  paragraph 
of  his  article  in  your  April  issue: 

"Having  refuted  the  Franco- Prussian  war  statistics 
scores  of  times  in  newspapers  and  in  medical  journals,  it 
seems  like  slaying  the  slain  to  repeat  the  task.  It  seems 
almost  impossible  to  kill  and  bury  a  statistical  falsehood 
when  its  testimony    favors    vaccination.    These  statistics 


4l0  THE  MEDICAL  ADVANCE. 

have  been  denied,  disproved,  retracted  and  disowned  by 
some  of  the  world's  ablest  advocates  of  vaccinatjion.  Yet  in 
spite  of  all  these  exposures  and  withdrawals,  the  old  lie 
keeps  marching  on." 

When  a  boy  we  read  on  the  page  of  an  old  almanac  the 
following,  and  though  ovei  forty  years  ago,  Dr.  Hodge's 
words  recall  it  to  mind: 

An  Irishman  was  vigorously  thrashing  the  ground  be- 
fore him  with  some  kind  of  a  rod.  He  was  sweating  pro- 
fusely and  occasionally  mopping  his  face  with  a  bandana. 
Upon  approaching  him  a  clergyman,  who  had  watched  the 
performance  for  some  time,  saw  a  dozen  or  more  pieces  of 
what  had  been  a  good-sized  snake  lying  on  the  ground. 
Turning  to  the  hibernian  he  said:  **Michael,  that  snake  is 
dead!  Why  do  you  continue  to  belabor  it  in  this  way?" 
Looking  into  the  enquirer's  face  and  then  pointing  to  some 
of  the  still  squirming  fragments  of  the  reptile  at  his  feet, 
Mike  replied:  **Thrue  it  is,  your  riverence,  but  don't  ye 
see  the  craythur  isn't  sinsible  to  it,  and  that's  why  I'm  blazin 
away  at  him." 

If  Dr.  Hodge  intends  no  * 'let  up"  till  that  vaccination 
lie  he  has  nailed  is  **sinsible"  of  its  deserved  immolation,  he 
must  take  patience,  perseverence  and  perspiration  into  a 
life-long  contract  for  his  deal,  and  even  though  he  should 
succeed,  as  he  hopes,  in  burying  the  dead  and  malodorous 
thing,  there  are  sufficient  * 'regular"  lie-lovers  who  would 
continue  to  erect  a  monument  over  its  grave,  with  an  in- 
scription to  the  effect  that  **this  honored  and  revered  de- 
fender of  the  world's  greatest  discovery,  had  died  a  martyr 
to  the  cause  of  scientific  medicine,  under  the  dastardly  on- 
slaughts of  therapeutic  nihilists." 

Joseph  Luff,  M.  D. 

Independence,  Mo. 


The  Medical  Advance 

A  Monthly  Journal  of  Hahliemannian  Homeopathy 
A  Study  of  Methods  and  Results. 


When  we  have  to  do  with  an  art  whose  end  is  the  saving  of  human  life  any  neglect 
to  make  ourselves  thorouKh  masters  of  it  becomes  a  crime.— Hahnemann, 

Subscription  Price    -     -    -     -    Two  Dollars  a  Year 

We  believe  that  Homeopathy,  well  understood  and  faithfully  practiced,  has 
power  to  Kave  more  lives  and  relieve  moie  pain  than  any  other  method  of  treai- 
mentever  invented  or  discovered  by  man;  but  to  be  a  first-class  homeopathic  pre- 
Bcriber  requires  careful  study  of  both  patient  and  remedy.  Yet  by  patient  care  it 
can  be  made  a  little  plainer  and  easier  than  it  now  is.  To  explain  and  define  and 
in  all  practical  ways  simplify  It  Is  cur  chosen  vork.  in  this  good  work  we  ask 
your  help. 

To  accommodate  both  readers  and  publisher  this  Journal  will  be  sent  untl 
arrears  are  paid  and  It  is  ordered  discontinued. 

Communications  regarding  Subscrtptons  and  Advertisements  may  be  sent  to 
the  publisher.  The  Forrest  PrebS.  Batavla,  ]  ilinois. 

Contributions.  Exchanges,  Books  for  Review,  and  ell  other  comm  unications 
should  be  addressed  to  the  Editor,  6142  Washington  Avenue,  Chicago. 

JUNE,    1908. 


EbltodaU 

In  the  appendix  will  be  found  an  address  delivered  by 
President  CJopeland  at  the  meeting  of  the  Illinois  State  So- 
ciety, to  which  we  call  special  attention,  and  which  will  well 
repay  a  careful  reading.  It  is  a  very  able  presentation  of 
the  so-called  scientific  end  of  Homeopathy. 

Ppr  many  years  some  of  our  ablest  men  have  been  seek- 
ing for  an  acknowledgment  by  the  scientific  world  of  the  fact 
that  Homeopathy  is  based  not  only  upon  law  but  science,  and 
that  its  practise  can  be  demonstrated  in  the  laboratory  as 
scientific.  In  this  address  Dr.  Copeland  claims  that  the 
ablest  and  foremost  laboratory  men  in  the  medical  world 
have  now  demonstrated  that  the  system  of  therapeutics 
founded  by  Hahnemann  is  scientific.  We  have  long  known 
that  every   advance  in  science  has  verified  Hahnemann's 


412  THE  MEDICAL  ADVANCE. 

predictions;  not  a  single  claim  has  been  disproved.  Now, 
Wright,  Von  Behring  and  others,  without  intending  to  do  so, 
have  demonstrated  the  scientific  basis  of  Homeopathy. 

"There  are  opsonins  for  every  microbic  disease,  and 
only  the  opsonin  for  the  particular  disease  responds  to  the 
toxin  of  the  infecting  microbe."  This  is  the  conclusion  of 
Wright.  In  this  he  verifies  the  dynamic  single  remedy  of 
Hahnemann,  and  its  never  failing  action  in  every  curable 
disease;  and  this  in  the  bacteriological  laboratory  of  one  of 
the  foremost  and  ablest  investigators  in  the  scientific  world. 
But  this  bacteriological  discovery  of  Wright  does  not  render 
it  in  any  way  easier  to  select  the  similar  remedy:  the  modus 
operandi  of  Hahnemann  of  a  hundred  years  ago  is  just  as 
effective  to-day  as  then,  and,  moreover,  it  is  the  symptom 
totality  which  guides  in  the  selection,  in  the  diagnosis  or 
the  pathology.  Our  best  pathological  prescribers  are  just 
as  much  at  sea  now  as  ever,  and  the  alternating,  mixing  or 
combination  tablet  of  the  so-called  homeopath,  is  not  aided 
in  the  least  by  the  opsonic  verification  of  the  homeopathic 
cure.  Like  his  allopathic  colleague ,  his  method  of  finding 
the  similar  toxin  is  crude  and  uncertain. 

Dr.  Copeland  adds  a  chemical  illustration: 

Hahnemann  perhaps  could  not  explain  why  the  single  remedy 
was  the  scientific  prescriptfon,  but,  with  the  present  knowledge,  it 
U  explainable.  Chemical  reactions  are  definite  and  positive.  An 
unsatisfied  equation  cannot  be  completed  by  the  addition  of  any 
wandering  chemical  which  by  haphazard  chance  may  come  within 
reach.  A  remedy  prescribed  on  general  principles  by  random  or 
aimless  methods  may,  by  accident,  cure,  or  may  possess  within  it- 
self such  a  chemical  combination  as  to  permit  to  join  in  unfortunate 
combination  with  the  unsatisfied  cellular  element.  This  unhappy 
marriage  robs  the  soul  of  needed  sustenance  by  forcing  upon  it  s 
lazy  and  unproductive  spouse.  The  tissue  originally  diseased  and 
clamoring  for  help  is  left  without  succor,  and  other  tissues  are  des- 
troyed or  weakened  by  the  untimely  action  of  drugs  carelessly  pre- 
scribed. This  is  undoubtedly  the  effect  of  administering  material 
doses,  as  has  been  the  practise  of  the  dominant  school.  It  also 
practically  follows  the  administration  of  more  than  the  single  rem* 
edy  in  so-called  homeopathic  practise.  The  saving  grace  of  the  in- 
finitesimal has  doubtless  spared  humanity  much  suffering  at  the 
hands  of  faulty  and  inaccurate  prescribers  in  our  own  ranksL 


EDITORIAL.  413 

What  a  blessing  for  our  patients  if  every  homeopathic 
physician  could  realize  the  full  significance  of  the  conclusion 
of  Dr.  Wright;  that  "there  are  opsonins  for  every  microbic 
disease,  and  only  the  opsonin  for  the  particular  disease 
responds  to  the  toxin  of  the  infecting  microbe."  This  simp- 
ly means  in  homeopathic  parlance,  that  only  the  similar, 
single  remedy  ever  cures.  If  we  could  all  realize  the  foUy 
of  alternating  and  mixing  medicines,  like  our  allopathic 
colleagues,  how  much  better  it  would  be  for  science  and  our 
patients.  The  wrong  opsonin  does  nothing  but  harm.  Nux 
vomica  can  never  cure  a  case,  the  symptoms  of  which  call 
for  Belladonna;  but  it  may  weaken  the  resisting  vitality  of 
the  patient.  The  toxin  of  diphtheria  can  only  injure  a  mic- 
robic affection  of  tuberculosis.  Similia  similibus  curantur 
can  only  be  successfully  put  in  practice  by  the  use  of  sim- 
plex simile  minimum. 


SOUNDS  LIKE  AN  HONEST  MAN. 

When  we  ha^e  to  do  with  an  art  If  I  had  set  myself  the  task  of  ren- 
whose  end  is  the  saving  of  human  dering  an  incurable  disease  curable 
life,  any  neglect  to  make  ourselves  by  artificial  means^  and  should  find 
thorough  masters  of  it,  becomes  a  that  only  Homeopathy  led  to  my 
crime.  goal,  I  assure  you  dogmatic  consider- 

Hahnemann.    ations  would  never  deter  me  from 
taking  that  road. 

Von  Behring. 


BEE  STINGS  CUBE  BHEUMATISM. 

Another  wonderful  discovery?  as^reported  by  the  Asso- 
ciated Press,  has  been  recently  made  in  England.  It  is  pas- 
sing strange  how  these  discoveries  crop  out  occasionally 
and  then  nothing  more  is  thought  of  it.  The  following  is 
the  heroic  report: 

London,  May,  16— Thwe  is  a  prevalent  belief  in  many 
countries  that  the  stings  of  bees  act  both  protectively  and  as 
a  cufe  for  rheumatism.  Dr.  Newton  Friend,  a  reputable  Suf- 
folk physician,  contributes  to  the  current  issue  of  Nature  an 
account  of  a  bee  sting  cure  which  came  xinder  his  personal  oli* 
8ervation. 


m 


4U 


THE  MEDICAL  ADVANCE. 


Two  or  three  years  ago,  he  says,  a  school-master  who 
suffered  severely  from  rheumatism  in  the  back  deliberately  ex- 
posed his  arms  to  the  stiuga  of  bees.  By  the  time  his  arms 
were  well  again  his  rheumatism  had  completely  disappeared 
and  he  has  never  had  another  attack. 

The  gentleman  who  took  this  heroic  measure  is  now 
close  to  50  years  of  age  ? 

In  1835  a  similar  accidental  occurrance  called  the  at- 
tention of  a  homeopath  to  the  fact  that  the  poison  of  the 
honey-bee  possessed  curative  properties,  and  guided  by  the 
unfailing  law,  he  proceeded  to  test  it  on  the  healthy.  A 
complete  proving  of  Apis  was  made,  and  one  of  the  poly- 
chrests  in  the  homeopathic  materia  medica  was  the  result. 
The  symptoms  are  just  as  good  to-day  as  the  day  they  were 
published,  and  the  value  of  the  remedy  has  increased  year 
by  year  as  new  verifications  of  its  curative  properties  have 
been  made.  This  is  the  difference  between  scientific  and 
empirical  medicine. 


A  SCIENTIFIC  SPECIMEN. 

The  American  Joxirnal  of  Surgery,  in  its  laudable  effort 
to  assist  its  contemporaries,  sends  out  the  following,  which 
is  supposed  to  be  used  as  a  * 'filler,"  giving  credit,  of  course, 
to  the  source: 

**If  a  patient  persists  in  running  evening  tempera- 
tures which  cannot  be  accounted  for  after  a  thorough 
physical  examination  and  blood  examination,  one  should 
place  the  patient  on  increasing  doses  of  the  iv)did8.  for 
the  fever  may  be  due  to  an  old  syphilitic  infection." 

But  why  recommend  increasing  doses  of  the  iodids 
when  unable  to  ascertain  the  source  of  the  fever?  Why  not 
bromides  or  arsenic  or  quinine  or  '*any  other  old  thing,"  on 
a  guess?  Why  not  take  the  symptoms  of  the  patient  care- 
fully, and  select  the  similar  remedy,  thus  affecting  a  cure, 
without  any  danger  of  making  the  patient  worse  than  be- 
fore the  treatment  began?  There  are  some  cases  of  fever 
in  which  it  is  absolutely  impossible,  even  by  the  most  ad- 
vanced methods  of  diagnosis,  to  ascertain  the  cause,  and  in 


NEW  PUBLICATIONS.  415 

these  cases  the  homeopath  is  just  as  much  at  home  scienti- 
fically and  therapeutically  as  though  he  fully  understood  the 
cause.  We  do  not  prescribe  for  the  cause  or  the  diagnosis 
or  the  name,  but  for  the  conditions  presented  by  the  sick 
patient.  Here  is  the  advantage  of  being  guided  by  a  never 
failing  law  of  cure  in  therapeutics. 


NEW  PUBLICATIONS. 

A  MANUAL  OF  PRACTICAL  OBSTETRICS,  by  Frederick  W. 

Hamlin,  M.  D.,  Professor  of  Obstetrics,    New   York  Homeopathic 

Medical  College  and  Hospital;  Obstetrician  to  the  Flower  Hospital; 

Obstetrician  to  the  Hahnemann  Hospital.    480  pages.     New  York. 

Boericke  Sg  Rnnyon.     1908. 

This  is  a  vade  mecum  for  the  student  and  busy  pract- 
itioner. While  the  author  claims  that  it  is  not  designed  a^ 
a  text  book,  but  as  a  ready  reference  book  for  the  use  of  the 
rank  and  file  of  the  profession,  we  think  we  can  see  in  it  a 
solution  of  many  of  the  troubles  of  the  student,  when  in  the 
rush  hours  of  a  busy  college  course  he  has  to  refer  to  the 
volumnious  text-books  on  this  subject.  There  is  no  physi- 
cian in  the  world  so  well  equipped  to  successfully  manage 
the  various  ills  of  pregnancy  and  parturition  as  the  homeo- 
pathic physician  who  is  thoroughly  familiar  with  his  Materia 
Medica,  and  how  to  apply  it  in  the  emergencies  of  an  ob- 
stetrical practice. 

But  the  author  will  certainly  find  many  physicians  who 
will  differ  with  his  system  at  the  present  time  in  emergencies 
confronting  the  physician  if  requiring  the  use  of  medicines 
tor  their  so-called  physiological  effect;  for  there  is  no  place 
in  the  practice  of  medicine  where  strict  adherence  to  pure 
homeopathic  practice  in  every  possible  emergency,  yields 
better  results  than  it  does  in  that  of  obstetrics.  We  trust 
that  by  the  time  the  next  edition  is  issued  the  author  will 
have  had  sufficient  homeopathic  experience  to  make  the 
work  conform  to  the  practice  of  pure  Homeopathy.  Guernsey 
is  long  since  out  of  print.  Why  not  let  this  take  its  place? 
We  congratulate  the  publishers  on  the  handsome  appear- 
ance of  the  volume,  and  we  recommend  it  to  our  college 
faculties  as  a  valuable  text- book. 


416 


THE  MEDICAL  ADVAJICE. 


INTERNATIONAL  CLINICS.  A  Quarterly  of  Illustrated  CHnicil 
Lectures  and  eapeciallj  prepared  original  articles.  Yolume  L 
Eighteenth  Series.  1908.  Philadelphia  and  London.  J.  B.  Lip* 
pinoott  Co. 

This  is  an  excellent  number  of  this  practical  work,  es- 
pecially in  its  surreal  articles  which  are  profusely  and  ad- 
mirably illustrated.  The  first  paper  in  the  book,  The  Sana- 
torium, illustrated,  is  worth  the  entire  cost  of  the  publication 
to  anyone  connected  with  hospital  or  sanitarium  work.  The 
enterprise  of  the  publishers  is  to  be  commended. 


KNAVES  Oa  FOOLS,  by  Charles  E.  Wheeler,   M.D.,   B.S.,   B.Sc, 
London,  18  Pater  Noster  Row.  1908.     Cloth,  104  pages.  Price  60c 

This  brochure  is  a  semi- popular,  semi-professional  book 
on  Homeopathy,  by  the  Editor  of  the  Homeopathic  World.  It 
is  a  well  written  compilation  of  some  of  the  scientific  facts 
of  Homeopathy,  including  the  Present  Situation,  Hahnemann 
and  His  Times,  The  Trend  of  Modern  Medicine,  Knaves  and 
Fools,  The  Future  and  Its  Possibilities,  as  the  chapter  head- 
ings of  the  work.  Among  other  statements  the  author  says: 
''Another  difficulty  in  the  path  of  Homeopnthy  consists  in 
the  prejudice  that  surrounds  the  name;  that  investigation  of 
the  truth  requires  not  only  energy,  but  courage."  There  is 
QO  doubt  of  the  truth  of  this  statement,  for  to  the  average 
medical  mind  the  simple  word  Homeopathy  is  like  the  pro- 
verbial "red  rag"  before  the  bull;  it  repels  rather  than  in- 
vites investigation. 

In  Japan  one  of  our  earnest  converts  is  making  wonder- 
ful progress  by  saying  nothing  about  Homeopathy,  but  simp- 
ly calling  it  the  *'new  system."  And  while  the  **new  system' 
is  the  application  of  Similia  in  the  cure  of  the  sick,  the  "red 
rag"  Homeopathy  is  not  mentioned. 

The  appendix  consists  of  some  suggestions  on  commenc- 
ing the  study  of  Homeopathy.  Among  others  is  the  one, 
that  if  the  investigator  be  lukewarm  in  the  matter  and 
wants  an  easy  path,  he  will  practically  find  Dr.  Hughes' 
work  on  Pharmacodynamics  a  good  introduction,  but,  on  the 
other  hand,   if  he  attemps  to  practice  Homeopathy  after 


NEW  PUBLICATIONS*  417^ 

Hughes'  plan  he  will  very  soon  find  himself  landed  in  the- 
quagmire  of  empiricism,  from  which  he  has  made  a  futile 
effort  to  free  himself.    If  he  be  not  enthusiastic  enough  to- 
investigate  Homeopathy  from  the  standpoint  of  Hahnemanifc 
he  will  practically  find  it  a  failure  in  more  senses  than  one^ 

A  CLINIC  REPERTORY,  by  P.  W.  Shedd.  M.  D.,  New  York.     In- 
cluding a  Repertory  of  Time   Modalities,  by  Dr.  Ide,  of  Steitifi>-  • 
Germany.    Translated  from  the  Berliner  Zeitsohrift   llomoopaili* 
ischer  iBrzte,  Band  xxv.,  Hefte  3  and  4.     240  pagea.    Cloth  $1.50 
Postage  8  cents.  Philadelphia  and  Chicago.  Boericke  &  TafeL  1908.  . 

This  new  Repertory,  the  author  tells  us,  is  inscribed- 
to  **01d  School  Men,"  as  giving  an  insight  into  the  deli- 
icate  reactions  of  the  human  organism;  as  a  means 
of  deliverance  from  therapeutic  nihilism;  and  as  an 
introduction  to  a  greater  science  of  therapy  in  conditions 
amenable  to  cure  by  the  use  of  drugs,"  to  all  of  which  every 
one  who  uses  the  work  will  add  a  word  of  commendation^ 
We  regret  to  say  the  omission  of  what  might  have  increased 
its  value  for  the  **01d  School  Men,"  a  chapter  on  how  to  take 
the  case,  because  the  **01d  School  Man"  will  be  looking  for- 
the  symptoms  of  a  disease,  and  not  finding  all  that  he  ex- 
pected to  find,  may  abandon  the  work  in  disgust. 

It  is  a  very  practical  Repertory  for  of&ce  work,  giving 
the  leading  indications  under  the  various  rubrics  of  the 
Materia  Medica,  and  the  principal  symptoms  found  under- 
many  diseases. 

It  also  contains  keynotes  of  fifty  polychrests,  which  are 
apparently  well  selected.  Then  follow  common  sequences, 
antidotes,  dynamic  and  chemical,  and  finally,  the  appearance 
and  aggravation  of  complaints  according  to  time,  being  a 
translation  of  Dr.  Ide's  work  from  the  Zeitschrift  des  Berlin- 
er Vereines  homoopathischer  Aertze,  Band  XXV.,  Hefte  3-4 
recently  published  by  the  Medical  Advance.  Take  it  all 
in  all  it  is  a  very  valuable  contribution  to  the  working 
library  of  every  Homeopath,  and  we  do  not  think  a  singlfe 
buyer  will  ever  regret  the  purchase.  He  certainly  will  not, , 
if  he  uses  the  book. 


418 


THE  MEDICAL  ADVANCE. 


A  NURSERY  MANUI^L.  The  Care  and  Feedinf  of  Chiliren  in 
Health  and  Diseaae.  By  Reuel  A.  Benson,  M.  D.  Lectnreroa 
Diseaaes  of  Children ,  New  York  Homeopathic  Medical  College,  etc. 
184  pages.  Cloth  $1.00.  Postage  5c.  Philadelphia  and  Chicago. 
Boerioke  &  Tafel.     1908. 

This  work  is  dedicated  to  Dr.  Thomas  M.  Dillingham, 
and  is  the  outgrowth  of  a  course  of  lectures  delivered  in  the 
Flower  Hospital  Training  School  for  Nurses,  and  originally 
written  for  the  guidance  of  his  own  patients  and  the  nurses. 
It  has  been  considerably  elaborated,  so  that  it  now  forms  a 
very  practical  little  work  for  the  use  of  homeopathic  physi- 
cians and  homeopathic  families,  who  believe  that  the  child 
who  has  been  properly  fed  and  reared  under  the  homeopathic 
regime,  is  physically  better  equipped  for  life  than  any  other. 
It  takes  up  the  question  of  Bathing,  Clothing  and  the  Care 
of  the  Infant  in  the  Nursery.  Then,  just  what  a  nurse  or  a 
young  mother  would  require  to  know,  about  the  care  of  a 
"Crying  Child,"  and  the  attention  that  should  be  given  to 
the  symptoms  that  point  to  the  teething  period  and  the 
normal  developir.ent  of  the  babe.  It  is  replete  with  good  ad- 
vice for  the  mother  and  the  nurse,  and  some  brief,  clear-cut 
indications  for  remedies  in  the  diseases  of  children;  just  such 
a  book  as  we  have  often  wished  that  we  had  when  a  young 
mother  has  asked  for  something  to  study  relating  to  the 
proper  care  of  her  child.  We  congratulate  the  author  on  his 
apccess  in  the  first  effort  of  book-making. 


Father  Mailer's  Charitable  Institation,  at  Kankanady, 
Mangalore,  India,  deserves  more  than  a  passing  notice.  It 
was  established  in  1890.  There  have  been  from  30  to  50 
patients  in  the  leper  hospital,  and  from  15  to  40  in  the  plague 
hospital.  In  the  general  hospital  opened  in  1899  over  6,000 
I)atients  have  been  cared  for  and  over  120,000  out  patients 
visited.  Dr.  Pernandes  and  the  members  of  the  staff  give 
their  services  gratuitously  and  thus  enable  the  hospital  to 
maintain  its  work.  The  treatment  we  understand  is  purely 
homeopathic  and  it  would  be  of  interest  to  the  profession  to 
know  the  success  in  leprosy  and  the  bubonic  plague. 


■^v^ 


■  ■  .^■ 


■vv. 


NEWS  FROM  THE  FIELD. 
.The  International  Hahnemannian  Association  meeto 
at  Chicago  Beach  Uotel  Jnne  29.    Everybody  welcome. 

Dr.  E.  A.  P. -'Hardy,  of  Toronto,  announces  a  call  for  a 
meeting,  of  the  homeopaths  of  Ontario,  to  reorganize  and 
rejuvenate  the  Canadian  Institute  of  Homeopathy,  with  a 
view  to  having  an  annual  session  and  doing  some  vigorons 
work  for  the  cause. 

Our  Ontario  colleagues  have  been  so  engrossed,  and  so 
over-worked  in  their  individual  fields  of  practice,  that  the 
general  interests  of  the  profession  have  been  neglected. 
There  now  appears  to  be  a  determination  to  infuse  new  life 
into  the  work,  ^ 

Mr.  Geo.  H.  Hockett,  writes  from  Indianapolis  a  word 
of  encouragement  for  his  classmates  in  Hering  College: 

"The  honor  roll  of  the  Indiana  State  Board  of  Health, 
for  the  year  1905,  is  headed  by  Dr.  Charles  A.  Peterson,  a 
graduate  of  Hering  College,  with  an  average  of  921.5,  thus 
leading  all  other  colleges." 

Such  encouraging  news  as  this  is  always  welcome  by  the 
faculty  and  students,  and  encourages  them  to  do  better  work 
in  the  future. 

Dr.  John  F.  Edgar,  El  Paso,  Texas,  suggests  that  'In- 
ternal* Vaccination''  is  a  misnomer;  that  the  proper  term  to 
use  for  our  prophylactic  practise  is  ''Immunization". 

In  this  the  doctor  is  no  doubts  correct,  for  it  is  not  inter- 
nal vaccination.  The  special  names  for  prophylaxis  of  vari- 
ola will,  sooner  or  later  have  to  be  revised,  and  the  terms 
adapted  to  the  practice.  If  a  man  wants  to  be  vaccinated 
by  scarification,  he  ipust  say  so;  but  if  he  requires  to  be  im- 
munized by  homeopathic  methods,  that  should  also  be  ex- 
pressed. 

Dr.  H.  A.  Atwood,  Riverside,  Cal.,  writes: 

"We  have  just  had  a  splendid  meeting  of  our  Stalie 
Society  here.  Calffornia  is  so  long,  that  it  ir^  quite  a  task  to 
go  from  one  end  to  the  other  to  attend  a  meeting,  yet  we 
had  a  large  attendance  this  year.    Eighty  members  sat  dowa 


420 


THE  MBDICAL  ADVANCE. 


^'■V/ 


to  the  banquet,  and  perhaps  a  score  more,  that  could  not  re- 
jDoam,  attended  the  meeting.  The  visitors  were  delighted  with 
their  automobile'  excursion  to  the  various  sights  of  the  city 
^d  neighborhood.'' 

The  American  Institute,  and  its  C!ohorts  will  soon  be 
on  their  ^  way  to  Kansas  City,  where  the  homeopathic  pro- 
fession is  making  elaborate  preparations  for  their  entertain- 
ment. With  its  hills  and  valleys  along  the  river,  its  magnifi- 
<5€nt  park  system  and  boulevard  drives,  there  is  little  doubt 
the  members  who  go  for  entertainment  will  be  royally  enter- 
tained. It  is  doubtful  if  there  is  any  city  in  the  United 
States  where  the  hospitality  of  the  homeopathic  profession 
is  so  well  known  as  in  this  Metropolis  of  the  West. 

The  headquarters  will  be  the  new  Coates  House,  entire- 
ly fire-proof,  conducted  on  both  theEuropean  and  American 
plan:  S3  per  day,   and  up,  for  the  American;   $1.50  per  day, 
4fcnd  up,  for  the  European. 

The  hotel  management  has  secured  Casino  Hall  a  few 
doors  south  of  the  hotel,  in  which  the  general  meetings  of 
the  Institute,  and  some  of  the  sectional  meetings  will  be 
held. 

The  opening  session  will  occur  Monday  afternoon  at  4 

'^o'clock  in  Casino  Hall.    In  the  evening  a  public  meeting  will 

be  held  in  the  Willis  Wood  Theatre,  where  the  Presi.dent's 

annual  address  will  be  delivered,  and  a  r.eception  held  by  the 

President  and  reception  committee. 

Tuesday  evening  a  reception  and  ball  will  be  given  in 
Casino  Hall. 

Tursday  evening  the  Institute  will  be  entertained  at 
Electric  Park,  by  Sorrentino's  famous  band  of  sixty  pieces; 
and  with  vaudeville, dancing, bathing  and  other  outside  amuse- 
ments to  meet  the  taste  of  the  most  fastidious  member. 

The  ladies  of  the  Meissen  will  have  an  elaborate  pro- 
gram for  their  entertainment  during  the  entire  session.  Tea 
will  be  served  at  the  Coates  House  each  afternoon  at  5  o'clock, 
to  which  the  gentlemen  are  invited. 

Take  it  all  in  all,  we  do  not  see  where  the  scientific 
I)aper8  and  discussion  are  to  come  in. 


NEWS  PROM  THE  FIELD. 


421 


The  proverbial  hospitality  which  always  has  been  fur- 
nished the  meetings  of  the  Institute  (except  at  Jamestown) 
will  be  provided  in  a  manner  not  to  be  excfeUed.  Dr.  W.  J. 
Gates,  chairman  of  the  local  committee  is  responsible. 

The  Deadly  Laehesis,  we  are  pleased  to  note  that 
Boericke  &  Runyon,  New  York,  have  obtained  a  little  notor- 
iety by  good  advertising,  in  the  last  week  or  two. 

A  specimen  of  the  Lachesis  Trigonacephalus  was  im- 
ported from  Brazil,  for  the  sake  of  obtaining  a  new  supply 
of  virus  for  homeopathic  purposes.  Mr.  E.  W.  Runyon,  a 
member  of  the  firm,  allowed  the  reporters  to  become  ac- 
quainted with  the  fact  that  they  had  imported  a  reptile  for 
scientific  purposes,  and  the  Associated  Press  did  the  rest. 
The  method  of  extracting  the  virus  from  the  mouth  of  the 
reptile  Is  minutely  given,  and  it  certainly  forms  an  exciting 
piece  of  news  for  the  laity.  We  congratulate  the  firm  on 
their  enterprise. 

Rock  BiTer  Institute  of  Homeopathy,  the  Ninety  second 
Quarterly  Session  of  this  virile  society  was  held  at  Morrison, 
Dl.,  April  2nd,  1908.  It  is  one  of  the  oldest  homeopathic 
societies  in  America,  and  the  enterprise  of  its  members  can 
be  measured  to  a  certain  extent  by  the  fact  that  this  is  the 
Ninety-second  Quarterly  Session.  There  were  between 
thirty  and  forty  members  present,  and  the  papers  read  and 
the  discussions  on  them  were  very  instructive.  It  is  one  of 
the  most  active  and  best  conducted  societies  in  Illinois  and 
is  doing  splendid  work. 

Dr.  P.  C.  Skinner  is  president  this  year,  and  Dr.  A.  W. 
Blunt,  of  Clinton,  la.,  has  been  the  effective  secret^^ry  for 
many  years. 

A  Doabtf al  Case.  We  are  indebted  to  a  correspondent  for 
the  following  example  of  professional  advertising  in  **Pigeon 
English:" 

ITALIAN  I3IPR0VING. 

SalTaiori  Biondi,  the  Itftliftn,  who  shot  and  killed  himself  in  the  ab- 
domen is  getting  along  nicelj  and  will  fully  recoTer.  Dr.  T.  Ben  John- 
son, the  attending  physician  is  somewhat  in  donbt  as  to  whether  the  hole 


ii 


t4 


422 


THE  MEDICAL  ADVANCE. 


in  Sftlyatori's  stoiuAoh  wm  made  with  a  bullet  or  some  instrument    He 
will  be  arranged  for  a  hearing  either  to-day  or  to-morrow. 

A  FEW  SAMPLES  OP  APPRECIATION. 

I  inclose  draft  for  six  dollars,  which  will  pay  my  indebted- 
ness to  the  Medical  Advance 'and  also  the  present  year  to 
January  1909.  I  have  5  complete  volumes  of  the  Medical 
Advance  and  am  going  to  have  them  bound.  It  leads  all 
the  Homeopathic  Journals  as  an  exponent  of  true  Homeo- 
pathy. I  am  aiming  as  soon  as  I  can  to  take  a  year  in  Her- 
ing  College  to  learn '*the  way  more  perfectly."  Will  you 
please  send  me  the  Hering  College  catalogue?  I  hope  to 
attend  the  meeting  at  Kansas  City  in  June. 

M . 

I  am  glad  to  enclose  check  for  subscription  to  January, 
1909,  which  I  am  sorry  to  have  overlooked  so  long.  I  hope 
you  will  receive  it  with  as  much  satisfaction  as  I  obtain  from 
the  Journal.  H . 

Enclosed  please  find  my  check  for  two  dollars  for  one 
years  subscription  to  the  Advance.  I  always  read  every 
article  in  it  and  generally  on  the  day  I  receive  it  and  never 
fail  to  receive  some  instruction  or  encouragement  in  it.  The 
strong  advocacy  of  internal  vaccination  particularly  appeals 
to  me  and  I  have  practiced  no  other  method  for  over  twenty 
years.  Thus  far  my  certificates  have  been  accepted  without 
trouble  and  I  do  not  anticipate  any,  although  there  is  but 
one  other  physician  in  town  practicing  in  the  same  way. 

H . 

I  have  not  received  the  last  number  of  the  Medical 
Advance;  will  you  please  see  that  it  is  sent  me  ais  I  do  not 
like  to  be  without  it,  and  it  is  several  days  overdue. 

C . 

I  again  ask  you  to  send  the  March  number.  I  would  not 
be  so  persistent  in  asking  for  it,  was  it  not  the  best  journal 
I  get,  and  don't  see  how  I  could  hardly  get  along  without  it. 

B . 


~<^J 


• :  yj 


^fL.:p:PE3sriDi::H:. 


HOMEOPAFHY  AND  THE  ^'NEW  THOUGHT"  IN 
SCIENCE. 

By  Royal.  S.  Copeland,  A.  M.,  M.  D.,  Ann  Arbor,  Mich. 

No  longer  do  there  appear  cloven  tongues,  like  as  of 
fire,  nor  do  men  so  speak  as  to  enable  ever^  one  to  hear  in 
his  owrf  language.  The  prophets  of  olden  days  walk  the 
earth  no  more. 

Indeed  the  higher  critic,  in  the  face  of  our  unwilling 
eyes,  drags  the  mantle  of  infallibility  from  the  mouldering 
bones  of  those  whom,  from  earliest  youth,  we  have  believed 
to  be  God's  anointed-  It  is  hard,  therefore,  to  believe  that 
the  prophet  and  the  critic  can  be  of  one  blood.  It  seems 
almost  paradoxical  to  attempt  the  role  of  both.  We  are^like 
the  Athenians,  however,  who  were  said  to  spend  their  time 
in  nothing  else,  but  either  to  tell  or  to  hear  some  new  thing. 
So  one  may  be  forgiven,  perhaps,  if  for  once  he  pose  as 
critic  and  prophet.  The  novelty  of  it  will  redeem  the  situa- 
tion. 

Rarely  has  a  system  pf  medicine,  religion  or  philosophy 
outlived  its  founder.  But  the  history  of  the  institution  rep- 
resented here  today  offers  striking  testimony  to  the  possible 
perpetuity  of  an  absurdity,  or  to  the  ultimate  acceptance  of 
nature's  law  in  therapeutics. 

At  the  time  of  Hahnemann's  death,  the  theories  of  the 
homeopathic  doctrine  and  practice  were  so  at  variance  with 
the  accepted  views  of  the  medical  world,  that  it  is  small 
wonder  our  founder  was  vilified  and  rejected.  Things  have 
changed  since  that  day.  In  its  essentials  Homeopathy  has 
not  changed,  but  the  history  of  the  other  school  during  this 
period  is  splashed  and  even  bathed  in  the  blood  of  many 
revolutions.  Not  always,  it  is  true,  but  usually  so,  however, 
successful  revolutions  make  for  progress.  We  may  be  bi- 
ased observers,  but  to  the  homeopathist  there  is  nothing 
but  pleasure  in  the  observance  of  these  upheavals.  The 
sunlight  streaming  through  the  vanishing  smoke  of  battle 


1^ 


424 


THE  MEDICAL  ADVANCE. 


shows  in  each  succeedmg  readjustment  of  medical  thought, 
a  closer  approximation  to  homeopathic  ideals. 

Take,  for  instance,  the  fling  made  in  olden  days,  and 
made  even  yet  by  people  ignorant  of  advanced  scientific 
thought,  **The  hofaeopathic  physician  is  a  'little  piir  doc- 
tor." In  1876,  in  his  presidential  address  before  the  Ameri- 
can Institute  of  Homeopathy,  the  noble  Carroll  Dunham 
said,  "Ingenious  experiment  shall  lead  a  Tyndall  or  a 
Crookes  to  a  depionstration  of  the  power  of  potenized  med- 
icaments." Prophetic  words  these!  Radio-activity,  un- 
known to  Dunham  and  unheard  of  for  a  score  of  years  after 
his  death,  is  the  fulfillment  of  his  vision.  The  advance  in 
physical  chemistry,  too,  has  demonstrated  the  value  of  the 
infinitesimal.  The  consensus  of  opinion  today  and  the 
teaching  of  every  laboratory  in  the  world,  is  that  the  finer 
the  division  of  the  chemical  substance,  the  more  active  it  is, 
and  its  activities  are  not  fixed  qualities  except  in  infinite  di- 
lution. Samuel  Hahnemann  knew  this  a  century  ago.  List- 
en to  his  statement:  * 'The  effect  of  a  homeopathic  dose  is 
augmented  by  increasing  the  quantity  of  fluid  in  which  the 
medicine  is  dissolved  preparatory  to  its  administration." 
Every  physician  today,  versed  in  scientific  knowledge  is  a 
''little  pill"  doctor!  The  massive  doses  of  former  genera- 
tions have  been  forever  displaced. 

In  the  theory  of  the  dissociation  of  molecules,  the  labo- 
ratory of  physical  chemistry  has  scientifically  proven  the 
value  of  the  infinitesimal.  While  this  theory  is  now  well 
known  to  every  scientist  and  especially  to  the  reader  of  the 
homeopathic  publications  of  the  past  five  years,  it  may  not 
be  out  of  place  to  review  it  briefly, 

As  interpreted  by  this  theory,  a  chemical,  technically 
an  electrolyte,  when  dissolved,  is  dissociated  into  parts  or 
particles  smaller  than  the  atoms  and  known  as  ions.  The 
more  dilute  the  solution  the  greater  is  the  dissociation  and 
consequently  the  atoms  are  less  in  number  and  the  ions  in- 
creased. In  a  solution  infinitely  dilute,  the  dissociation  is 
absolute  and  the  chemical  is  present  only  in  a  state  of  ioni- 
station. 


HOMEOPATHY  AND  THE  *  *NEW  THOUGHT"  IN  SCIENCE.     425 


LORD  KELVIN'S  ILLUSTRATION. 

When  this  subject  was  newly  presented  the  first  question 
which  occurred  to  most  of  us  was:    How  dilute  must  the  eo- 
lation be  in  order  to  bring  about  complete  dissolution?    If 
it  were  a  solution  of  Sodium  chloride,  for  instance,  what  di- 
lation, according  to  our  nomenclature,   would  furnish  com- 
plete ionization?    The  search  for  facts  on  this  subject  re- 
vealed Lord  Kelvin's  statement  as  to  the  size  of  a  molecule. 
He  say:    **Imagine  a  rain  drop  or  a  globe  of  glass  as  large 
as  a  pea,  to  be  magnified  up  to  the  size  of  the  earth,   each 
constituent  molecule  being  magnified  in  the  same  propor- 
tion.   The  magnified  structure  would  be  coarser  grained 
than  a  heap  of  small  shot,  but  probably  less  coarse  grained 
than  a  heap  of  cricket  balls."    This  illustration  permits  us 
to  appreciate,  to  some  extent  at  least,  the  enormous  number 
of  molecules  in  a  bit  of  matter  the  size  of  a  millet  seed.    In 
order  to  reach  then  a  solution  sufficient  to  bring  about  disso- 
ciation of  the  molecule  itself,  it  is  readily  seen  that  the  vol- 
ame  of  the  solvent  used  must  be  immense.     Having  quoted 
Kelvin,  Jones,  professor  of  physical  chemistry  in  Johns  Hop- 
kins University,  states  that  "perhaps  the  best  demonstra- 
tion of  the  almost  unlimited  divisibility  of  matter  is  furnished 
by  some  of  the  aniline  dyes,   or  by   fluorescein,    where  one 
part  is  capable  of  coloring  or  rendering  fluorescent  at  least 
one  hundred  million  parts  of  water.'*    This  solution   corres- 
ponds to  at  least  the  eighth  decimal  dilution.     The   author- 
ities agree  that  the  dissociation  increases  with  the   dilusion, 
from  the  most  concentrated  solutions   up   to  a  dilution   of 
about  one  one-thousandth  normal.     It  is  safe  to  assume  that 
dissociation  of  the  simplest  drug  is  not  complete   under  the 
sixth  decimal  dilution. 

It  is  easily  seen,  then,  that  complete  ionization  is  possi- 
ble only  in  infinitecimal  dilution.  Not  only  is  this  true  in 
theory,  but  also  the  research  of  the  chemist  seems  to  prove 
it.  We  are  prepared,  then,  to  assume  that  the  therapeutic 
value  of  the  drug  is  not  lost  when  it  is  placed  in  such  dilu- 
tion as  to  represent  an  amount,  by  any  present  means  of  de- 
termination, less  than  any  assignable  or  measurable  quantity. 


m. 


426 


THE  MEDICAL  ADVANCE. 


That  this  is  true  is  proven  first  by  clinical  experience. 
This  argument  needs  but  the  mentioning;  every  homeopathic 
physician  can  testify  to  cures  made  with  remedies  in  such 
dilution  as  certainly  to  be  far  beyond  the  beginning  of  dis- 
sociation, and  probably  beyond  complete  ionization.  Then 
the  laboratory  has  proven  that  the  properties  of  completely 
dissociated  solutions  are  the  sum  of  the  properties  of  all  the 
ions  present  in  the  solution.  In  other  words,  the  properties 
are  additive.  This  holds  for  such  properties  as  conductivity, 
lowering  of  the  freezing  point,  refraction  equivalent,  heat  of 
neutralization,  and  undoubtedly  for  any  therapeutic  effect 
possessed  by  the  drug. 

THE   POWER  OP   THE  INFINITESIMAL. 

In  the  same  connection  may  be  mentioned  the  wonder- 
ful properties  of  radium,  which  have  excited  interest  not 
only  in  the  scientific  world  but  in  the  minds  of  all  intelligent 
persons.  Recently,  Strutt,  of  Trinity  College,  Cambridge, 
put  forth  a  book  entitled  *'The  Becqueral  Rays,"  in  which 
he  undertakes  to  explain  the  action  of  radio  active  bodies. 
Some  facts  gleaned  from  this  volume  are  pertinent  to  the 
present  discussion. 

For  instance,  a  specimen  of  radium  bromide  placed  in  a 
glass  tube  and  gently  heated,  will  evolve  a  smaU  amount  of 
gas.  The  emanation  emitted  by  any  such  quantity  of  radi- 
um  as  is  at  present  procurable,  is  absolutely  infinitesimal. 
Strutt  says  the  volume  of  this  gas  would  not  exceed  a  pin's 
head.  If  this  emanation  is  now  mixed  with  a  million  mil- 
lions times  its  own  volume  of  air,  the  mixture  is  found  to 
have  all  the  properties  of  the  pure  radium. 

It  has  been  determined  that  the  emanation  thus  diluted 
generates  a  solid  deposit,  although  not  enough  has  yet  been 
accumulated  to  be  visible  even  under  the  ultra-microscope. 
The  same  scientific  world  which  to  this  day  denies  Samuel 
Hahnemann  the  reward  of  his  labors,  has  accepted  these  de- 
monstrations as  conclusive.  Speaking  then  of  this  invisible 
deposit,  and  using  the  language  of  Strutt,  "there  lies  latent 
in  every  atom  of  this  emanation  from  radium  a  quantity  of 


HOMEOPATHY  AND  THE  ''NEW  THOUGHT"  IN  SCIENCE.     427 


energy  absolutely  gigantic."    What  marvellous  powers  in 
the  infinitesimal! 

An  eminent  Parisian  physician  has  recently  testified  to 
the  wonderful  results,  both  physological  and  therapeutic, 
of  minute  amounts  of  gold,  silver  and  platinum.  This  ex- 
perimenter, Dr.  Alfred  Robin,  has  discovered  that  **almost 
infinitesimal  doses  are  endowed  with  very  great  activity^" 
For  instance,  solutions  of  gold,  corresponding  to  about  the 
5th  decimal  dilution  of  our  system,  produced  such  positive 
results  as  the  following: 

1.  An  increase  in  urea,  which  may  arise  as  much  as  30  per  cent. 

2.  An  increase  in  the  coefficient  of  nitrogenous  utilization. 

li  An  increase  in  uric  acid  which  may  reach  high  figures,  as  much 
ag  three  times  the  initial  quantity. 

4.  A  positive  flush  of  urinary  indoxyl. 

5.  A  decrease  in  the  quantity  of  total  oxygen  consumed. 

6.  A  temporary  raising  of  arterial  tension. 

7.  A  profound  modification  of  the  blood -erlobules,  an  inj**ction  being 
followed  after  several  hours  by  manifest  leucocyti»sis,  slight  in  a  healthy 
person,  intense  in  infectious  disorders  habitually  associated  with  leuco- 

Cyt08i:5. 

According  to  Robin  these  results  show  the  possibility 
of  assimilating  metals  in  extremely  diluted  solutions,  their 
action  being  considered  similar  to  organic  disatases.  **In 
the  above-mentioned  solutions,'*  he  says,  '*the  atoms  of  the 
metal  separated  as  widely  as  possible,  are,  as  it  were,  libe- 
rated, autonomous  in  their  activity,  and  susceptible  in  this 
way  of  developing  greater  energy.  It  is  not  difficult  to 
conceive  that  these  simple  bodies,  even  in  the  infinitesimal 
doses  in  which  they  are  found,  are  capable  of  influencing 
the  chemical  reactions  of  elementary  nutrition." 

ROBIN'S  CONCLUSIONS. 

After  referring  to  the  results  obtained  by  the  use  of 
gold  in  minute  doses  in  pneumonia,  which  he  claims  in  six 
cases  out  of  ten  produces  a  crisis  in  six  days,  Robin  draws 
the  following  conclusions  from  his  experiments: 

1.  That  metals  in  extreme  subdivision  are  capable  of  remarkable 
physiologic  action,  out  of  all  proportion  to  the  amount  ot  metal  used. 

2.  That  such  metals,  acting  in  doses  which  therapeutics  considered 
heretofore  as  ineflfectual  and  useless,  by  making  a  profound  impression 
on  some  of  the  chemical  procesbcs  of  life  whose  deviations  are  connected 
with  many  morbid  conditions,  are  probably  destined  to  take  an  import- 
ant place  among  the  remedies  of  functional  therapeutics. 


428 


THE  MEDICAL  ADVANCE. 


It  must  be  seen,  therefore,  that  regardless  of  schools, 
the  concensus  of  opinion  today,  based  on  chemical  experi- 
ment and  proven  by  clinical  experience,  is  that  the  finer  the 
division  of  a  chemical  substance,  the  more  active  it  is,  though 
unchanged  in  the  quality  of  its  reactions.  In  its  state  of 
complete  ionization,  its  line  of  direction  is  not  changed,  but 
its  activity  is  multiplied;  it  is  altered  not  in  kind,  but  in  de- 
gree merely.  Furthermore,  the  physiological  efficiency  of 
any  drug  is  not  a  fixed  quality  except  in  infinite  dilution.  By 
means  of  solution  we  get  the  most  complete  division,  and  in 
infinitesimal  dilution  is  found  the  most  powerful  chemical 
action.  Thus,  in  this  new  century,  is  scientifically  verified 
a  statement  made  by  Samuel  Hahnemann,  who  said:  **The 
effect  of  a  homeopathic  dose  is  augmented  by  increasing  the 
quantity  of  fluid  in  which  the  medicine  is  dissolved  prepara- 
tory to  its  admtnistration." 

That  the  dilution  of  the  remedy  increases  its  power,  is 
not  by  reason  of  the  Hahnemannian  theory  of  *  *dynamization," 
as  it  is  ordinarially  understood.  Let  it  be  said  in  passing, 
however,  that  Hahnemann,  in  §288  of  the  Organon,  spoke  of 
this  force  not  as  a  spirit  force,  but  his  language  was  ''spirit- 
like force! ''  quite  a  different  thing.  This  idea  of  **force," 
for  generations  influenced  and  permeated  all  branches  of 
science.  The  physiologist  was  the  last  to  break  away  from 
the  old  theory  of  "vital  force"  and  to  explain  all  the  bodily 
processes  in  chemical  terms.  The  idea  of  a  mystical  force 
being  possessed  by  drugs  was  but  the  outgrowth  of  the  vital- 
istic  theories  of  life  and  disease.  The  brilliant  work  of 
Wohler  and  Liebig,  and  especially  of  Berthelot  in  synthetic 
chemistry,  has  cast  off  this  yoke  and  no  longer  is  it  necessary 
for  the  homeopathist,  or  any  other  scientist,  to  explain  tem- 
porarily unknown  quantities  on  the  basis  of  some  other, 
spirit  or  humor.  There  is  a  more  rational  hypothesis  which 
is  acceptable  to  all  the  rest  of  the  scientific  world.  With 
the  present  state  of  our  knowledge,  it  is  unnecessary  to  fall 
back  upon  a  mysterious  "dynamis."  Homeopathy,  at  least 
the  infinitesimal  dose,  is  as  reasonable,  as  explainable,  as 
scientifically  sensible,  as  is  any  other  of  the  natural  sciences. 


HOMEOPATHY  AND  THE  **NEW  THOUGHT"  IN  SCIENCE      420 


'm 


DISEASE  AND  THE  INFINITESIMAL.  DOSE. 

Health  depending  upon  a  condition  of  chemical  equilibrium 
in  the  cells  of  the  body,  it  naturally  follows  that  if  through 
any  cause  there  is  a  disturbance  of  equilibrium  there  is  at  once 
a  change  of  constants.  The  processes  of  metabolism  are 
interfered  with  and  we  have  a  disturbance  of  function  and 
even  changes  in  structure.  To  illustrate:  If  there  be  a  dis- 
turbance of  the  equilibrium  of  the  parietal  cells  of  the  stomach, 
there  is  a  failure  in  the  production  of  hydrochloric  acid.  In 
malignant  growths  the  chemical  processes  are  so  perverted 
that  the  cell  i?ietabolism  is  concerned  only  in  reproduction; 
for  instance,  in  the  liver  no  bile  is  produced,  but  reproduct- 
ion and  abnormal  growth  result.  In  fatty  degeneration  there 
is  such  a  disturbance  of  metabolism  thajt  the  cell  protoplasm 
is  converted  into  fat. 

If  we  can  restore  the  equilibrium  of  the  cell,  or  group  of 
cells,  we  have  remedied  the  abnormal  condition  and  normal 
function  will  be  resumed.  A  remedy  is  anything  which  will 
do  this.  This  remedy  may  be  rest,  or  stimulation,  local  ap- 
plication, or  something  else,  but  usually  it  is  some  drug  ad- 
ministered for  a  specific  effect  upon  the  diseased  condition, 
in  the  light  of  all  present  knowledge,  we  believe  the  drug 
acts  by  virtue  of  its  chemical  activities.  Our  knowledge  be- 
ing so  meagre  as  to  the  actual  reactions  in  the  laboratory  of 
the  cell,  it  is  difficult  to  follow  the  drug  action,  but  we  do 
know  that  almost  without  exception  chemical  substances  in- 
troduced into  the  animal  body  are  acted  upon,  more  or  less, 
and  enter  into  and  out  of  combination  with  the  protoplasm 
of  the  cell.  Some  of  the  most  stable  of  chemical  substances 
are  completely  decomposed  in  the  body.  Enough  has  been 
positively  determined  in  the  laboratory  to  state  that  the  ani- 
mal body  posesses  chemical  capabilities  sufficient  to  deal 
with  the  simplest,  or  most  complex  chemical  problems,  and 
that  everything  proceeds  along  definite  and  constant  lines. 

With  the  system  demanding  relief  and  the  symptoms 
calling  for  a  certain  drug.  Barium  chloride,  for  instance,  I 
have  no  doubt  that  that  drug  given,  high  or  low,  in  dilution 
or  crude  form,  will  thread  its  way  through  the  blood  stream 


I 


+■ 


m^r^'^^' 


.^x- 


430 


THE  MEDICAL  ADVANCE. 


and  a  sufficient  quantity  be  appropriated  by  the  disturbed 
cell  to  satisfy  and  correct  its  chemical  equilibrium.  But  tlie 
experiments  of  Wenstrand  and  Hekton  have  demonstrated 
that  the  ions  of  this  particular  drug  combine  with  certain 
elements  in  the  blood  serum  and  if  given  in  amounts  sufficient, 
to  a  great  degree  destroy  its  pi*otective  functions. 

In  their  experiments  sera  showing  decrease  or  absence  of 
hemolytic  activity  were  all  taken  from  patients  extremely  ill, 
or  within  twenty-four  or  forty-eight  hours  of  death.  *'It 
seems,  therefore,"  to  use  the  words  of  Dr.  Wenstrand,  "as 
if  the  power  of  blood  serum  to  dissolve  foreign  cells  is  lost 
at  the  same  time  as  the  power  of  the  individual  to  resist 
death  passes  away.  Consequently  it  would  seem  that  the 
homolytic  activity  of  a  serum  is,  in  a  certain  manner,  at 
least,  a  criterion  of  the  persistence  of  an  individual.  This 
is  borne  out  also  by  the  finding  of  an  increased  hemolytic 
activity  in  the  serum  of  such  patients  whose  resistence  is 
high." 

Hektoen  remarks  that  substances  which  suspend,  di- 
minish, or  modify  the  bacteriolytic,  hemalytic,  or  other 
properties  of  the  serum,  favor  the  development  of  certain 
general  infections,  for  instance,  typhoid  fever.  It  is  not  un- 
reasonable, then,  to  presume  that  in  the  treatment  of  con- 
ditions where  blood  toxins  are  developed,  in  the  adminis- 
tration of  material  quantities  of  Barium  chloride,  for  in- 
stance, the  symptoms  calling  for  it  may  disappear,  only  to 
be  replaced  by  conditions  moreserious,  induced  by  the  lower- 
ing of  the  protective  forces  of  the  body  fluids.'  In  the  terms 
of  Erlich's  hypothesis,  this  untoward  effect  is  due  to  the  act- 
ion of  the  Barium  ions  upon  the  complementary  body  of  the 
serum.  In  the  more  recent  work  of  Wright  it  is  probably  due 
to  the  negative  phase  of  the  drug,  with  the  consequent  low- 
ering of  the  opsonic  index.  Anyhow,  the  immunizing  pro- 
perties of  the  blood  are  suspended,  or  at  least  greatly  re- 
duced. I7i  the  administration  of  a  remedy  for  the  relief  of  any 
disease^  this  fact  must  not  be  overlooked.  The  ideal  prescrip- 
tion in  the  administration  of  a  drug,  is  the  niinutest  possible 
quantity  to  satisfy  the  disturbed  cell,   infinitesimally  small, 


HOMEOPATHY  AND  THE  **NEW  THOUGHT"  IN  SCIENCE.     431 


in  such  dissociated  condition  as  to  make  its  appropriation 
the  simplest  possible  chemical  reaction,  and  in  such  form  as 
not  to  interfere  with  the  protective  forces  of  the  body.  This 
is  the  ideal  prescription,  because  it  exactly  supplies  the  de- 
mand of  the  diseased  cells  without  disturbing  other  normal 
cells,  or  lessening  the  protective  functions  of  the  body  fluids. 
Thus,  the  efficiency  of  the  small  dose  and  the  capability  of 
the  human  system  to  appropriate  and  utilize  medicine  ad- 
ministrated in  minute  quantities  are  facts  based,  not  upon  a 
vagary  of  the  imagination,  but  upon  th|e  most  modern  of 
accepted  truths. 

If  never  before,  now  certainly  the  homeopathic  physician 
may  hold  up  his  head  and  proclaim  to  all  therapeutists:  *1 
am  king!"  The  infinitesimal  dose,  the  law  of  similars  and 
the  single  drug  are  the  theses  of  the  world's  discussion.  Of 
this  we  desire  to  say  more. 

WRIGHT'S   OPSONIC   INDEX 

Other  recent  happenings  in  the  world  of  science  are  not 
only  productive  of-practical  good  to  the  patron  of  medicine, 
but  also  these  evidences  of  progress  are  worthy  of  translation 
into  language  intelligible  to  the  layman.  When  so  translated 
they  cannot  but  prove  interesting  and  instructive.  Take,  for 
instance,  the  modern  theories  of  immunity,  the  ways  by 
which  the  human  system  protects  itself  against  the  invasion 
of  every  vigilant  disease.  Across  this  field  we  discover  that 
science  has  traveled  with  huge  strides.  Ages  ago,  biolog- 
ically speaking,  it  was  known  that  the  foe  of  the  disej^se 
germs  was,  or  at  least  had  its  habitat  in,  the  white  blood 
cell.  In  the  blood  stream  this  warfare  is  a  battle  royal. 
Under  the  miscroscope,  with  .the  same  advantage  offered  the 
military  strategist  by  the  war  baloon,  the  raging  battle  may 
be  viewed  and  studied.  The  white  cells  sieze  upon  and 
literally  swallow  multitudes  of  the  enemy.  Add  to  a  drop  of 
fluid  containing  a  few  white  blood  cells,  a  thousand  germs, 
for  instance  of  tuberculosis,  and  in  an  instant  each  white 
cell  is  seen  to  attack  and  to  receive  into  its  own  substance 
scores  of  the  disease  bacilli.  Here  they  are  rendered  harm- 
less.   As  they  die  in  this  pit  for  spetacular  effect,  so  in  the 


432 


THE   MEDICAL  ADVANCE. 


body  itself  they  are  swept  out  of  existence  by  provident 
nature's  ingenious  methods. 

The  scientist  was  happy  for  a  time  in  the  thought  that 
the  manner  of  resisting  disease  had  been  determined.  But 
somehow,  the  sea  of  science,  like  the  ocean  itself,  is  a  rest- 
less, agitated,  rarely  quiet  body.  The  inhabitants  of  this 
sea  are  like  old  neptune,  the  earth-shaker.  He  gathers 
clouds  and  raises  storms.  The  symbol  of  his  power,  the 
trident,  is  a  symbol  of  violent  agitation,  of  winds  and  water- 
spouts, of  broken  rocks  and  shivered  timbers.  Likewise  the 
Neptune  of  science  is  rarely  found  in  repose.  Activity  is  the 
rule  and  guide  of  his  life.    He  is  restless  and  sleepless. 

So  then,  it  was  early  discovered  that  a  given  amount  of 
blood,  or  more  specifically,  of  white  blood  cells,  taken  from 
one  person  will  destroy  more  disease  germs  of  a  given  varie^J 
than  will  the  same  amount  of  blood  or  white  cells  from  an- 
other person.  Once  more  the  scientific  sea  was  agitated. 
Why  is  this  so?  was  the  cry.  As  is  well  known,  it  was  left 
to  Sir  A.  E.  Wright  of  London,  England,  to  discover  that  the 
white  cell  is  powerless  to  act  upon  the  disease  germ,  ex- 
cept in  the  presence  of  the  blood,  of  a  substance,  named 
opsonin,  from  the  Greek,  meaning  to  devour.  Somebody  has 
likened  the  opsonins  to  a  sauce,  which  must  be  sprinkled 
upon  the  germ  to  render  it  palatible  to  this  old  epicure,  the 
white  cell.  As  investigation  proceeded  it  was  learned  that 
there  is  a  separate  and  distinct  opsonin  for  each  and  every 
germ.  In  the  abscence  of  the  opsonin  the  germ  is  safe  from 
attack,  but,  in  its  presence,  its  fate  is  sealed. 

Having  discovered  these  new  biological  truths,  the 
medical  world  set  about  to  make  some  practical  use  of  the 
knowledge.  Ways  have  been  devised,  as  is  well  known,  to 
test  the  opsonic  power  of  the  individual,  or,  in  the  language 
of  the  laboratory,  to  take  the  * 'opsonic  index."  When  this 
has  been  determined,  if  found  to  be  low,  the  scientific  physi- 
cian proceeds  to  elevate  it,  and  thus  to  increase  the  power  of 
immunity,  or  resistance  to  the  nisease  which  may  be  induced 
by  the  germ  in  question.  At  this  period  we  meet  some 
most  startling  experiences. 


m 


HOMEOPATHY  AND  THE  **NEW  THOUGHT'*  IN  SCIENCE.      433 


Even  though  the  white  blood  cell  and  the  germ,  for  in- 
stance, of  tuberculosis,  are  microscopic  objects,  yet  jjnder 
the  lens  they  are  material  enough  to  be  readily  studied.  It 
might  be  supposed,  therefore,  that  the  agent  employed  to 
make  this  material  entity,  the  germ,  palatable  to  the  grosser 
white  cell,  would  be  in  itself  a  material  substance  capable  of 
measurement  and  perhaps  of  weight. 

This  is  not  true,  however,  and  in  disease  to  the  power- 
less white  cell,  aid  comes  by  the  Wright  method,  not  as  in 
the  use  of  antitoxin,  a  chemical  neutralizing  agent,  but  as  in 
long  practiced  Homeopathy, .  through  the  dynamic  effect  of 
the  curative  agent.  That  is  to  say,  by  the  administration  of 
a  minute  quantity  of  the  vaccine,  the  cells  of  the  body  are 
stimulated  to  produce  and  throw  into  the  blood  stream  the 
opsonic  substance  which  makes  it  possible  for  the  white  cells 
to  act  upon  the  germ. 

The  vaccine  employed  is  a  diluted  toxine  of  the  disease- 
producing  germ.  In  physiological  doses  it  cannot  cause  the 
identical  disease,  but  is  capable  of  inducing  symptoms  similar 
thereto.  The  dose  recommended  by  Wright  is  1-10,000  of  a 
milligram,  equivalent  to  the  sixth  decimal  dilution  of  the 
homeopathic  scale.  This  practice,  certainly  is  homeopathy 
in  principle  and  dosage.  We  so  proclaim  to  all  the  world. 
Wright,  himself,  admits  it. .  Certainly,  the  theory  is  a  re- 
markably instance  of  old  school  stumbling  towards  the 
light, 

HOMEOPATHIC   VERIFICATIONS. 

In  the  study  of  the  opsonic  index  and  the  affect  upon  it 
of  homeopathic  remedies,  much  work  is  being  done.  Wheeler, 
of  the  London  Homeopathic  Hospital,  Waters  of  Boston 
University  School  of  medicine  and  Burrettof  my  own  college, 
have  already  reported  remarkable  progress. 

Time  does  not  permit  extended  discussion  of  the  collat 
erals  to  this  theory,  but  a  single  subject  may  be  mentioned. 

There  are  opsonin^  for  every  microbic  disease,  and  only 
the  opsonin  for  the  particular  disease  responds  to  the  toxin 
of  the  infecting  microbe.  Is  there  not  in  this  beautiful  law 
ar^ment  for  the  single  remedy  and  its   accurate   scientific 


434  THE  MEDICAL  ADVANCE. 

selection?  Hahnemann,  perhaps,  could  not  explain  why  the 
singjg  remedy,  for  which  he  contended  so  vigorously,  was 
the  scientific  prescription,  but  with  present  knowledge  it  is 
explainable.  Chemical  reactions  are  definite  and  positive. 
An  unsatisfied  equation  cannot  be  campleted  by  the  addition 
of  any  wandering  chemical,  which  by  haphazard  chance 
may  come  within  reach.  A  remedy  prescribed  on  **general 
principles,"  by  random  and  aimless  methods,  may  by  acci- 
dent possess  within  itself  such  a  chemical  component  as  to 
permit  it  to  join  in  unfortunate  combination  with  the  unsat- 
isfied cellular  element.  This  ynhappy  marriage  robs  the 
cell  of  needed  sustenance  by  forcing  upon  it  a  lazy  and  un- 
productive spouse.  It  may  prove  so  miserable  an  alliance 
as  to  result  in  violent  domestic  infelicity,  with  breakage  of 
the  furniture  ftud  even  tearing  down  of  the  walls  of  the  cell 
residence  itself.  More  likely,  however,  such  presrribing 
results  in  nothing  more  than  damage  to  remote  cells  having 
an  affinity  for  the  drug  administered.  The  tissue  originally 
diseased  and  clamoring  for  help  is  left  without  succor,  and 
other  tissues  are  destroyed  or  weakened  by  the  untimely 
action  of  drugs  carelessly  prescribed.  This  is  undoubtedly 
the  eifect  of  administering  material  doses,  as  has  been  the 
practice  of  the  dominant  school.  It  probably  follows  the 
administration  of  more  than  the  single  remedy  in  so-called 
homeopathic  practice.  The  saving  grace  of  the  infinitesimal 
has  doubtless  spared  humanity  ;nuch  suflfering  at  the  hands 
of  faulty  and  inaccurate  prescribers  in  our  own  ranks. 

VON    BEHUING   GIVES   HAHNEMANN   CKEDIT. 

In  the  old  school  ihe  vaccine  idea  has  taken  firm  hold  of 
all  advanced  thinkers.  Von  Behring,  the  discoverer  of  an- 
titoxin for  diphtheria  and  the  winner  of  a  Nobel  prize,  is  one 
of  the  most  active. 

As  is  well  known  Von  Behring  is  now  at  work  upon  a 
new  tuberculo-therapeutic  substance.  In  speaking  of  it 
lately  he  used  this  language:  **The  scientific  principles  of 
this  new  agent  are  yet  to  be  established.  In  spite  of  all  sci- 
entific speculations  and  experiments  this  therapeutic  useful- 
ness must  be  traced  in  origin  to  a  principle  which  cannot  be 


HOMEOPATHY  AND  THE  **NEW  THOUGHT"  IN  SCIENCE.     435 


m 


better   characterized  than  by  Hahnemann's  word   *home- 
opathic/  " 

**What  else,"  he  says,  **causes  immunity  in  sheep,  vacci- 
nated against  anthrax,  than  the  influence  previously  exerted 
by  the  virus,  similar  in  character  to  that  of  the  fatal  anthrax 
virus?  And  by  what  technical  term  could  we  more  oppro- 
priately  speak  of  this  influence,  exerted  by  a  similar  virus, 
than  by  Hahnemann's  word,  'Homeopathy?'  " 

We  must  honor  the  man  who  concludes  his  statement 
with  these  words:  **If  I  had  set  myself  the  task  of  render- 
ing an  incurable  disease  curable  by  artificial  means,  and 
should  find  that  only  the  road  of  Homeopathy  led  to  my 
goal,  I  assure  you  dogmatic  considerations  would  never  de] 
ter  me  from  taking  that  road." 

A  hundred  years  ago  Hahnemann,  an  expert  chemist 
himself,  called  attention  to  what  chemistry  had  already  done 
and  to  what  it  might  thereafter  effect  for  therapeutics.  Re- 
verting for  a  time  to  the  relation  of  Homeopathy  to  chemis 
try,  it  is  interesting  to  observe  the  remarkable  parallelism 
existing  between  the  therapeutic  value  of  ^given  drug,  one 
of  the  elements  particularly,  and  the  chemical  properties  of 
the  same  substance.  As  is  well  known,  the  elements  calci 
urn,  strontium  and  barium  are  chemically  similar  and  remark- 
ably so.  They  look  alike,  act  alike,  and  are  alike  in  their 
variations.  The  same  may  be  said  of  chlorine,  brominB  and 
iodine,  or  of  sulphur,  selenium  and  tellurium. 

If  the  mean  of  the  atomic  weights  of  the  first  and  third 
elements  in  either  of  these  groups,  or  in  any  other  group, 
be  taken,  the  approximate  atomic  weight  of  the  middle  one 
is  obtained.    Sulphur,  for  instance,  has  an  atomic  weight  of 

32.1,  teUurium  127.5.  The  mean,  therefore,  is  79.8,  corres- 
ponding almost  exactly  to  the   atomic  weight  of  selenium, 

79.2.  This  discovery  led  to  the  formulation  of  the  so-called 
"periodic  law,"  stumbled  upon  almost  simultaneously  by  the 
Russian,  Mendeleef ,  and  the  German,  Meyer.  So  long  ago 
as  1863,  John  Newlands  pointed  out  that  if  the  elements  he 
tabulated  in  the  order  of  their  atomic  weights,  beginning 
with*^H=i  and  ending  with   uranium  =  240,  they  naturally 


436 


THE  MEDICAL  ADVANCE. 


fall  into  such  groups  that  elements  similar  to  one  another  in 
chemical  behavior  occur  in  the  same  columns;  and  that, 
moreover,  the  number  of  elements  between  any  one  and  the 
next  similar  one  is  seven.  In  other  words,  to  quote  Duncan,* 
**  Members  of  the  same  group  stand  to  one  another  in  the 
same  relation  as  the  extremities  of  one  or  more  octaves  in 
music!  This  leads  us  to  think  that  not  only  may  there  be 
a  relation  between  these  little  fundamentals  of  the  universe, 
but  a  veritable  harmony." 


.    ' 


ATOMIC  WDCMT 


lOQ  110  140  IM 


Briefly  and  technically  the  law  states  that  **the  proper- 
ties of  an  'element  are  a  periodic  function  of  its  atomic 
weight."  This  statement  formulates  an  extraordinary  fact. 
To  quote  Duncan  again,  it  means  no  more  nor  less  than  this: 
**That  if  you  know  the  weight  of  the  atom  of  the  element 
you  may  know,  if  you  like,  its  properties,  for  they  are  fixed. 
Just  as  the  pendulum  returns  again  in  its  swing,  just  as  the 
moon  returns  in  its  orbit,  just  as  the  advancing  year  ever 
brings  the  rose  of  spring,  so  do  the  properties  of  the  ele- 
ments periodically  recur  as  the  weights  of  the  atoms   rise. 


*Duncan,  '*The  New  Knowledge." 


HOMEOPATHY  AND  THE  **NEW  THOUGHT"  IN  SCIENCE.     487 


To  demonstrate  this  fact,  take  some  one  specific  property, 
for  example  the  atomic  volume,  which  is  the  atomic  weight 
divided  by  the  specific  gravity  of  the  solid  element,    and  ar- 
range a  table  on  a  piece  of  engineering  paper,  in  which  the 
atomic  weights  read  from  left  to  right  (the  abscissas),  while 
the  atomic  volumes  read  from  bottom  to  top  (the  ordinates). 
Now  construct  a  curve  by  pricking  out  the   position  of  the 
different  elements  in  accordance  with  both  their  atomic  vol- 
umes and  atomic  weights,  and  you  will  find  yourself  in  pos- 
session of  a  table  such  as  Pig.  i.    We  see  at  once  from  this 
curve  that  the  atomic  volume  is  a  periodic  function  of  the 
atomic  weight.     As  the  atomic  weight  increases,  the  atomic 
volume  alternately  increases  and  decreases.    The  periodici- 
ty proclaims  itself  in  the  regularly  recurring  hills  and  val- 
leys which  constitute  the  curve.    Elements  which  occupy 
similar  positions  on  the  five  hills  and  valleys  have  markedly 
similar  properties.     Thus,  you  will  notice  at  the  summit  of 
each  of  the  five  hills,  the  symbols  of  the  elements  lithuim, 
sodium,  potassium,  rubidium  and  caesium,   all   of  these  ele- 
ments possessing  amazingly  similar  properties.     Or   again, 
find  the  little  dot  marked  S  (signifying  sulphur)  on  the  slope 
of  the  third  hill,  and  you  will  then  notice  a  little  dot  marked 
Se  (selenium)  and  another  Te  (tellurium)   in  a  correspond- 
ingly similar  position  on  the  other  two  hills  respectively. 
These  elements  have  strikingly   similar  properties.     Take 
now  another  property  altogether,   let  us  say  the  melting- 
point  of  the  elements,  and   make  a  similar  diagram.     You 
get  a  curve  remarkably  like  the  first  one,   with   this  excep- 
tion, that  the  elements  which  were   at  the  top   at  the   first 
curve  are  now  at  the  bottom.     The   melting-point  curve  is 
as  strictly  periodic  as  the   volume   curve   and  of  the  same 
general  shape.     There  is  a  regular  irregularity  of  the  two 
curves,  and  there  is  not  only  a  periodidity  but  a  double  peri- 
odicity, as  shown  in  the  little  hump  on   the  slope   of  each 
hill  of  the  curve.     Similar  curves  may   be  constructed   for 
many  other  properties.     Can  we  imagine  then  that  these 
atoms,  these  little  invisibilities   in   which   we   all   live   and 
move  and  have  our  being,  are  separately  created,   arbitrari- 


438  THE  MEDICAL  ADVANCE- 

ly  made,  unrelated  individuals?  Hardly  so,  for  they  are  ob- 
viously created  in  accordance  with  some  scheme.  Would 
that  we  might  understand  this  scheme  all  in  all!  It  -would 
be  a  veritable  glimpse  behind  the  veil  of  existence.  But  if 
we  cannot  read  from  Alpha  to  Omega,  we  may  spell  out 
what  we  can,  leaving  future  letters  for  future  men;  perforce 
content  that  in  this  cryptogram  of  thp  universe  we  know  in- 
dubitably that  there  is  a  cryptogram  to  be  read,  we  have  at 
least  come  to  the  beginnings  of  knowledge." 

THE  VERITIES  OF   NATURAL   LAW. 

Of  what  interest  is  all  this  to  Homeopathy?  Much,  every 
way.  If  our  remedies,  in  their  provings,  coincide  with  the 
same  periodic  law,  it  shows  that  therapeutically  Homeopa- 
thy is  in  harmony  with  the  ever-acting  and  universal  laws 
of  nature.  Let  us  examine  and  see.  I  will  not  take  chlo- 
rine, bromine  and  iodine,  the  halogen  group,  because  every- 
body, familiar  at  all  with  materia  medica,  knows  the  close 
relationship  existing.  Let  us  take  sulphur,  selenium  and 
tellurium.  A  casual  examination  of  the  provings  discovers 
among  other  symptoms  the  following: 

SELENIUM. 

Skin — Pimples,  vesicles,  sweating  at  night. 

Sleep — Sleepy  early  in  evening,  wakeful  on  going  to 
bed.     Dreams  constantly  of  quarrels  and  journeys. 

Cough — Hoarseness,  coughs  in  morning. 

Stool — Constipation,  hard  stool,  but  slimy  at  end. 

Appetite— Desire  for  apples  and  beer,  later  desire  for 
both  ceased. 

Pace— Twitching  of  muscles  of  the  face  and  a  crack  in 
middle  of  upper  lip. 

TELLURIUM. 

Skin — Pimples,  vesicles,  herpes,  offensive  sweat  at  night. 

Sleep— Sleepy  in  evening,  sleeps  in  chair,  restlessness 
and  sleeplessness  on  going  to  bed.  Dreams  of  smoking 
cigars .     N  igh  tmar  e . 

Cough — Hoarseness,  roughness,  tickling  and  cough. 

Stool — Constipation  after  diarrhea. '^  Stool  hard  and 
crumbly,  but  softer  at  end. 


HOMEOPATHY  AND  THE  **NEW  THOUGHT"  IN  SCIENCE.     439 

Appetite — Desire  for  brandy  and  salt,  then  aversion  for 
hem. 

Face — Distortion  of  facial  muscles  and  burning  in  mid- 
dle of  upper  lip. 

SULPHUR. 

Skin — All  kinds  of  eruptions  and  sour  smelling  night- 
sweat. 

Sleep — **Cat-naps/' light  sleep,  difficulty  in  getting  to 
sleep. 

Cough — Hoarseness,  soreness  in  larynx,  dry,  tiring 
cough,  especially  at  night. 

Stool — Diarrhea  in  morning,  also  constipation — hard 
stool  mixed  with  slime. 

Appetite— Ravenous  appetite  and  desire  for  acids,  thirst 
for  beer  and  later  aversion  to  food. 

Face — Twitching  of  muscles  and  crack  in  middle  of  up- 
per lip. 

And  so  we  might  compare  phosphorus,  arsenic  and  an- 
timony, and  formulate  other  groups  of  elements,  which  at 
first  thought  seem  inappropriate  bed-fellows. 

What,  if  anything,  is  the  significance  of  all  this?  Isn't 
it  a  bit  remarkable  that  Hahnemann  a  century  ago,  Metcalf 
in  1852,  and  Berridge  in  1873,  working  with  sulphur,  seleni- 
um and  tellurium  respectively,  should  discover  the  therapu- 
tic  value  of  three  drugs,  record  their  results  and  then  in  the 
year  of  our  Lord  1908  it  should  be  found  that  all  their  prov- 
ings,  forming  parts  of  a  cryptogram,  are  deciphered  by 
means  of  a  chemical  formula  and  found  to  coincide  with  a 
law  of  nature?  That  all  of  these  substances  were  proven 
by  the  administration  of  infinitesimal  doses,  and  therapeuti- 
cally established  by  repeated  clinical  tests,  gives  further 
proof  that  Homeopathy  is  true,  scientifically  exact  in  every 
part,  and  in  perfect  harmony  with  the  music  of  the  spheres! 

This  is  a  mere  hint  at  a  subject  which,  in  my  opinion,  is 
capable  of  interesting  if  not  convincing  development.  It 
certainly  is  another  argument  in  favor  of  the  scientific  basis 
of  our  system  of  therapeutics. 

We  might  go  on  and  on   in   endless  recital  of  modern 


''':ii 


440  THE  MEDICAL  ADVANCE. 

proof  to  homeopathic  vindication.    But  why  multiply  words? 

The  American  Institute  of  Homeopathy  has  officially  de- 
creed that;  **A  homeopathic  physician  is  one  who  adds  to  his 
knowledge  of  medicine  a  special  knowledge  of  homeopathic 
therapeutics.  All  that  pertains  to  the  great  field  of  medicine 
is  his  by  tradition,  by  inheritance,  by  right."  The  patient,^ 
therefore,  who  employes  the  homeopathic  physician  gives, 
himself  all  that  the  dominant  school  offers,  and,  in  addition, 
the  wonderful  resources  of  the  homeopathic  Materia  Medica. 

He  loses  nothing  except  the  greater  probability  of  es- 
caping surgical  procedure  by  the  saving  grace  of  a  more 
potent  medical  armament.  He  reduces  his  chance  of  mor- 
tality and  decreases  the  duration  of  his  illness.  All  that 
pertains  to  chemical  methods,  to  bacteriological  research,  to 
surgical  ideas,  to  the  great  field  of  general  medicine— all 
these  belong  to  the  homeopathic  physician  to  give  to  his  pa- 
tient, together  with  the  possibilities  of  the  homeopathic 
remedy.  Truly  **They  who  have  not  tried  Homeopathy 
have  not  half  tried  to  get  well." 

CONCLUSION. 

The  founder  of  this  system  of  therapeutics  was  bom  a 
century  and  a  half  ago.  He  lived  an  epoch  of  superstition; 
he  practiced  during  the  dark  ages  of  medicine;  he  knew 
nothing  of  the  modem  laboratory  idea.  Yet  this  gigantic 
intellect  was  capable  of  formulating  a  system  of  therapeutics- 
so  accurate  in  its  essential  parts  that  the  rest  of  the  scien- 
tific world  has  adjusted  and  readiusted  itself  until  now  it 
snugly  enfolds  and  perfectly  fits  every  feature  of  the  homeo- 
pathic doctrine.  Study  the  modern  ideas  of  disease  and  the 
morbid  processes  as  they  are  now  understood,  delve  in  phy- 
sical chemistry,  as  it  is  taught  in  every  university  in  the 
world,  listen  to  the  forensic  eloquence  of  the  physicist,  the 
chemist,  the  physiologist,  and  the  pathologist,  then  take 
from  its  shelf  the  *'Organon  of  the  Art  of  Healing,  "written  a- 
hundred  years  ago  by  one  Samuel  Hahnemann,  and  it  will 
be  found  that  the  notes  of  all  these  latter  day  scientists  are 
so  attuned  that  when  that  voice  of  a  century  ago  sings  its- 
lay  to  the  modern  music  there  is  not  a  suspicion  of  discords 
but  in  perfect  sweetness  the  whole  temple  of  science  is  reso- 
nant and  reverberant  in  one  symphony  of  perfect  harmony. 
Therefore,  my  friends,  we  proclaim  the  scientific  reason 
ableness  of  Homeopathy. 

University  ol  Michigan,  May,  1003: 


The  Wedical  Advance 


Vol.  XL VI. 


RATA VI A,  ILL.,  JULY,  1908. 


No.  7. 


A  COMMENT  ON  OUR  MATERIA  MEDICA. 

By  Dr.  Lewis  E.  Rauterberg, Washington,  D.  C. 

There  is  no  curable  disorder  in  the  human  body  nor  any 
curable  invisible  morbid  change  that  does  not  make  itself 
known  as  disease  by  signs  and  symptoms,  and  hence  by  re- 
moving the  entire  complex  of  perceptible  signs  and  distur- 
bances, the  disease  itself  is  canceled.  Therefore,  to  observe 
the  totality  of  symptoms  in  each  individual  case,  can  be  the 
only  guide  in  the  selection  of  a  remedy. 

This  is  the  teaching  of  Hahnemann. 

This  being  the  rock  bottom  of  our  doctrine,  and  the  very 
back  bone  of  successful  treatment,  it  does  not  require  very 
much  argument  to  deduce  the  immense  importance  of  the 
books  that  teach  us  the  symptoms — the  deviation  from  the 
normal — produced  by  toxic  doses  of  medicine  upon  the 
human  economy.  To  make  ourselves  familiar  with  the  vast 
complications  of  symptoms  in  materia  medica  is  the  most 
important  thing  in  the  life  of  a  homeopathic  physician.  I  used 
often  to  hear  my  revered  father  say  that  the  whole  secret 
of  success  in  Homeopathy  lay  in  just  one  word,  study.  There 
is  no  way ,  out  of  it  unless  we  would  be  frauds  or  failures; 
short  cuts  and  pocket  repertories  won't  do. 

There  must  be  toil  and  sweat  and  labor  and  dogged  per- 
severance; we  must  know  it  so  well  that  it  is  instinctive;  we 
must  be  so  soaked  with  materia  medica  that  we  can  never 
think  without  it.  Subconsciously  we  must  always  be  carry- 
ing on  a  quiz  class  with  ourselves.  While  talking,  walking, 
while  in  street  cars,  in  society,  in  business  relations,  that 
subconscious  mind  must  be  searching  every  human  face  and 
form   for  tell  tale  clues  and  symptoms,   and  fastening  the 


442  THE  MEDICAL  ADVANCE. 

remedy  upon  them.  Study — that  is  our  watchword.  Study, 
read,  no  matter  how  often  or  how  long,  you  will  always  find 
great  treasures  hidden,  that  will  prove  invaluable  yet;  it  will 
"come  in  handy"  and  save-Jife  and  suffering — sometimes 
when  you  least  expect  it. 

I  know  it  has  often  been  the  complaint  that  these  books 
are  too  voluminous,  that  they  should  be  simplified  and  ab- 
breviated. I  used  myself  to  assert  with  an  arrogance  for 
which  I  now  blush,  that  our  materia  medica  was  much  too 
large,  uselessly  voluminous;  but  with  riper  years  I  have 
reached  the  conclusion,  not  that  the  materia  medica  is  too 
big,  but  that  our  brains  are  too  small,  and  our  duty  lies  not 
in  shortening  the  book,  but  in  enlarging  the  brain.  With 
the  conceit  of  mediocrity  I  used  to  fume  over  the  mass  of  un- 
important symptoms  (as  I  called  them)  and  superfluous 
matter  with  which  our  pages  are  cluttered.  •  I  asserted  that 
they  should  be  weeded  out,  leaving  only  the  vital  points. 
Pool  that  I  was.  Which  of  us  with  our  puny  brains  can  pre- 
sume to  point  out  the  unimportant  symptoms! 

I  was  recently  shocked  to  bear  a  brother  physician  an- 
nounce that  he  stopped  studying  when  he  arrived  at  the  age 
of  fifty,  and  he  thought  everyone  should.  Why,  I  most 
modestly  assert,  that  I  have  studied  more  diligently  and 
learned  more  to  appreciate  the  truth  and  depth  and  infinite 
value  of  our  materia  medica  since  I  passed  that  age  than  I 
had  in  all  my  preceeding  years.  It  seems  to  me  that  I  find 
new  gems  every  day.  Things  that  I  had  thought  entirely 
superfluous  and  trifling  suddenly  assume  a  lustre  and  value 
never  dreamed  of,  and  save  life  and  suffering.  It  fully  re- 
pays one.  The  haze  clears  away,  a  grasp  upon  the  individ- 
uality of  the  remedies  is  obtained,  the  provings  are  no  long- 
er a  disjointed  string  of  independent  symptoms,  but  a  logical 
sequence,  with  a  connecting  thread  through  the  whole. 

I  remember  when  my  sole  use  for  Antimonium  crudum 
was  for  an  overloaded  stomach  with  nausea  and  white  tongue. 
Occasionally  I  gave  it  for  rheumatism  when  the  symptom 
seemed  to  tally,  but  frequently  without  success.  We  all  have 
our  pet  remedies.  Antimonium  ciudum\^  as  no  pet  of  mine.  I 


COMMENT  ON  OUR  MATERIA  MBDICA. 


443 


saw  no  connection  between  the  symptoms.  I  did  not  see 
why  sometimes  it  cured  the  rheumatic  and  sometimes  it 
didn't.  My  head  was  gray  before  I  perceived  the  wonderful 
thread  upon  which  each  of  her  symptoms  is  so  plainly  strung. 
That  thread  is  intestinal  auto-intoxication,  and  the  hemorr- 
hoids and  the  rheumatism,  the  gout  and  the  callous  skin  and 
the  snarling  temper  are  all  dependent  upon  and  secondary 
to  a  sluggish,  overworked  intestinal  tract,  and  they  can  only 
be  cured  by  working  back  to  this  starting  point.  And  the 
only  form  of  gout  or  rheumatism  which  it  will  cure  is  that 
which  results  from  this  auto-intoxication. 

Whith  shame  I  recall  the  time  when  Aurum  metallicum 
was  to  me  a  great  remedy  for  melancholia  and  suicidal  mania, 
useful  also  in  some  form  of  syphilis  and  mercurialization. 
"Anditwas  nothing  more."  But  a  daily  pegging  away  at  the 
old  materia  medica  taught  me  what  a  fool  I  wasjandhow  stu- 
pendous was  the  brain  of  Samuel  Hahnemann.  I  gradually 
began  tosee  why  he  mentions  Grold  as  a  remedy  for  barren 
women  with  indurated  and  prolapsed  wombs;  why  it  cures 
pining,undeveloped  boys;  why  bone  exostoses,rheumatic  me- 
tastasis to  the  heart,  sclerosis  and  dropsy.  It  is  because  Gold 
sends  the  blood  thundering  through  the  body,  forcing  it 
through  withered  and  forgotten  capillaries,  gathering  up 
waste  and  distributing  life  to  the  dying  tissue.  It  eliminates, 
it  absorbs,  and  it  feeds,  that  is,  it  forces  the  blood  to  do  it. 
And  so  on  with  numerous  remedies,  I  could  tell  you  how 
they  unfolded  themselves  to  me. 

While  speaking  of  Aurum,  I  will  relate  several  cases 
which  will  illustrate  the  value  of  its  so-called  unimportant 
symptoms.  A  boy  of  thirteen,  becoming  overheated  while 
roller  skating,  sat  down  on  the  curbstone  to  cool  off.  A 
severe  cold  resulted  with  general  aching;  next  rheumatism 
of  knees  and  ankles  developed,  worse  on  motion.  Next  day 
it  had  left  the  legs  and  attached  the  shoulders  and  arms. 
From  that  point  it  flew  back  to  the  feet,  which  began  to 
swell.  He  had  received  Bryonia,  Lachnanthes,  Ledum,  etc., 
according  to  the  aymptoms,  but  at  this  point  I  was  myself 
confined  to  my  home  for  some  days  and  had  to  rely  upon  the 


1^ 


444  IIHE  MEDICAL  ADVANCE. 

reports  of  his  parents,  which  were  vague  aud  indefinite. 
They  now  reported  that  while  the  feet  continued  to  swell, 
the  rheumatism  was  gone,  but  that  now  he  had  pain  in  his 
chest,  it  hurt  him  to  breathe,  it  was  impossible  for  him  to 
take  a  long  breath.  I  gave  Bryonia,  then  Cimicifuga,  upon 
their  representation  without  good  results;  the  boy  grew 
worse.  On  the  sixth  day  the  mother  reported  that  the  boy 
was  so  weak  that  he  could  scarcely  speak.  I  cross-ques- 
tioned her  very  closely,  among  other  things  asked,  *  lying 
upon  which  side  was  the  pain  worse?" 

**0h,"  exclaimed  the  poor,  stupid  woman,  '*I  forgot  to 
tell  you,  he  can't  lie  down  at  all,  he  hasn  t  lain  down  for  five 
nights.  We  have  him  in  a  Morris  chair,  he  sits  bent  forward 
all  night  with  his  head  resting  in  chin  strap  made  of  towels." 
A  light  broke  upon  me.  Then  I  knew  it  was  no  pleurisy  I 
had  to  deal  with,  but  rheumatism  of  the  heart.  I  hastened 
to  his  home.  As  I  entered  the  room  I  was  shocked  at  the 
pitiful  change  in  the  child  since  I  had  seen  him  six  days  be- 
fore. The  labored  gasps  for  breath  could  be  heard  outside 
the  door,  the  little  figure  sat  bend  forward  in  the  Morris 
chair,  face  blue,  sunken,  cyanotic,  feet  and  ankles  swollen 
as  big  as  watermelons;  but  the  thing  that  struck  me  most  as 
I  entered  was  the  terrific,  visible  throbbing  of  the  carotids, 
which  could  be  seen  across  the  room.  It  was  with  great  diffi- 
culty that  I  could  examine  his  heart;  he  could  not  endure  the 
least  touch,  and  at  each  attempt  gasped,  **0h,  doctor,  give 
me  time;  give  me  a  little  more  time." 

I  finally  made  out  a  muffled,  tumultuous  heart  sound,  as 
if  beating  under  water.  The  temperature  was  103,  yet  there 
was  a  great  deal  of  perspiration,  urine  very  scant,  no  thirst, 
no  appetite.  He  had  only  slept  short  naps  for  many  nights. 
He  could  scarcely  speak  audibly.  I  feared  the  boy  was 
dying. 

There  was  a  time  when  I  would  have  treated  the  heart 
symptoms  with  Aconite  or  Kalmia  and  the  dropsy  with 
Apocynum  and  what  not,  and  so  zigzagged  a  slow  cure  or  a 
speedy  death.  But  fortunately  I  knew  better  now.  I  knew 
that  every  one  of  these  symptoms  are  summed  up  under  one 


COMMENT  ON  OUH  MATERIA  MEDICA 


445 


remedy,  and  that  is  Aurum,  and  it  is  the  only  remedy  which 
covers  every  point  exactly.  I  gave  Aurum  lOx.  Dose  to  be 
given  every  three  hours.  I  never  saw  a  more  brilliant  cure. 
The  first  dose  was  at  7  p.  m.  I  requested  that  they  'phone 
me  at  11  p.  m.  that  night. 

At  eleven  the  message  came,  "Louis  is  in  a  drenching 
perspiration,  he  has  urinated  immense  quantities,  and  his 
breathing  is  less  labored."  At  eight  o'clock  next  morning 
they  'phoned  that  he  had  slept  peacefully  most  of  the  night, 
though  still  in  his  upright  position  with  chin  straps.  That 
night  he  could  recline  in  the  chair,  and  the  next  he  could  lie 
down  in  bed.  The  urine  continued  in  unbelievable  quantities, 
the  perspiration  rained  from  him,  and  the  swelling  promptly 
disappeared.  You  see  what  a  profound  eliminant  Gold  is 
when  homeopathically  indicated.  The  lad  made  a  rapid  and 
complete  recovery  with  no  other  medication.  He  received  it 
first  in  the  lOx,  then  I  rose  to  the  30th,  and  then  to  the  200th, 
on  which  I  kept  him  until  the  poor  damaged  little  heart  was 
quite  normal  again. 

You  will  recall  that  every  one  of  the  above  symptoms 
are  recorded  by  Hering  and  Hahnemann  in  these  words: 

"Rheumatism  which  jumps  from  joint  to  joint  and  final- 
ly fastens  upon  the  heart. 

"Impossible  to  lie  down.     Must  sit  up  bent  forward. 

"Visible  throbbing  of  carotids. 

"Face  cyanotic.  Gasps  for  breath.  Can  hardly  speak 
above  a  whisper. 

"Much  perspiration,  as  in  auric  fever. 

"Swelling  of  feet  and  limbs." 

Does  not  that  picture  the  little  boy  I  have  just  described? 

Another  case  yet  which  proved  to  me  how  important  are 
all  the  unimportant  symptoms  of  this  and  all  remedies.  A 
lady  brought  her  little  son  aged  ten  to  me.  The  child  was 
not  sick,  but  something  was  wrong.  He  cried  if  spoken  to, 
he  was  cross,  tired.  He  didn't  care  to  romp  or  play  or  even 
fight.  He  could  not  learn  his  lessons.  He  could  not  remember 
anything.  He  was  a  sulky,  listless,  bloodness-looking  little 
chap.    He  had  been  dosed  by  other  physicians  for  malaria 


446  THE  MEDICAL  ADVANCE, 

and  anaemia^  At  first  I  suspected  some  vice,  but,  upon 
closer  examination,  decided  that  the  reason  of  his  lack  of 
manly  spirit  and  energy  was  because  his  manly  body  was 
not  developed  properly.  One  powder  of  Aurum  worked  a 
miracle.  It  made  a  new  boy  of  him.  That  was  a  year  ago, 
and  his  mother  says  he  has  been  a  different  boy.  ever  since. 
It  humbled  me  to  remember  that  I  used  to  regard  the  para- 
graph on  *  pining  boys"  under  Aurum  as  superfluous  and 
and  useless,  and  I  would  glady  have  stricken  it  from  the 
pages.  It  took  many  years  for  me  to  grasp  the  scope  of 
Aurum  in  not  only  rejuvenating  dead  and  worn  out  tissue, 
but  also  in  building  up  the  starved  and  undeveloped. 

I  have  heard  men  assert  that  they  only  aspired  to 
master  the  broad  lines  of  a  remedy  and  let  the  details  go.  I 
earnestly  assure  you  that,  important  as  the  broad  lines  are, 
this  is  not  enough.  We  must  possess  an  infinite  knowledge 
of  detail  and  the  finest  shades  of  difference  between  remedies. 
It  is  a  Herculean  labor  and  a  never  ending  one.  Constantine 
Hering  once  said  to  me:  **It  is  impossible  for  any  brain  to 
remember  it  all,  but  it  is  astonishing  how  elastic  our  brains 
can  become  by  persistent  effort." 

I  was  not  long  ago  impressed  by  the  value  of  a  know- 
ledge of  detail.  A  certain  lawyer  of  this  city  was  taken  ill 
while  at  Atlantic  City  with  a  violent  cold  followed  by  ab- 
scesses in  both  ears.  He  suffered  agonies  and  slept  only 
under  morphia.  A  violent  chill  and  high  fever  indicated 
the  formation  of  pus.  As  the  attending  physicians  could 
afford  him  no  relief,  he  insisted  upon  returning  to  Washing- 
ton. The  physicians  protested,  but  being  headstrong  and 
impatient  he  could  not  be  controlled,  and  with  fever  of  103° 
he  arrived,  and  I  was  sent  for.  I  found  him  suffering  terribly. 
The  drum  of  one  ear  had  rupturfed,  and  it  was  discharging 
freely.  The  condition  of  the  other  ear  was  grave.  Friends 
were  clamoring  for  mastoid  incision,  and  the  patient  was  be- 
sides himself  with  agony.  I  recognized  that  the  Eustachian 
tube  was  closed,  so  that  it  could  not  discharge  through  that 
avenue.  According  to  the  allopathic  practice,  I  suppose,  I 
should  have  punctured  the  drum  and  drawn  off  the  pus,  lest 


COMMENT  ON  OUR  MATERIA  MEDICA.  447 

it  should  **back  water"  into  the  mastoid  process,  causing 
graver  complications.  But  I  know  old  Hahnemann  could  do 
better  than  that.  As  there  was  oily  perspiration  in  spite  of 
the  fever  and  worse  towards  night,  it  was  clearly  a  Mercury 
case.  I  gave  Mercurius  vivus,  confident  of  success.  After 
ten  hours  the  patient  was  not  one  whit  better.  It  was  sure- 
ly a  Mercury  case  I  knew.  And  yet,  which  preparation  or 
combination  of  Mercury?  Ah,  there  is  the  rub!  Of  our 
eight  preparations  of  Mercury  all  so  closely  related  and 
similar  in  general  outline,  which  was  the  key  that  would  fit 
this  lock  exactly?  Here  a  knowledge  of  detail  was  impera- 
tive. 

In  a  flash  I  remembered  that  Parrington  mentions  in  an 
unobtrusive  little  footnote  that  where  there  is  closure  of  the 
tube,  Mercurius  dulcis  is  preferrable.  Rejoicing  that  this 
detail,  this  mere  crumb  of  materia  medica  had  been  stored 
up,  I  gave  Mercurius  dulcis  3x.  Imagine  my  delight  when  at 
nme  o'clock  next  morning,  his  wife  burst  into  the  office  ex- 
claiming that  the  medicine  had  worked  a  miracle  with  the 
first  dose.  He  had  slept  all  night  and  no  pain.  Mercurius 
dulcis  was  the  key  that  fitted  that  lock,  you  see.  It  opened 
the  Eustachian  tube,  the  abscess  discharged  through  that 
avenue  and  all  went  well.  Mercurius  dulcis  was  continued 
for  two  days.  After  that  the  hissing  in  the  perforated  ear 
and  the  co^itinued  discharge  seemed  to  call  for  Silicea,,  but 
as  Silicea  must  never  follow  directly  upon  Mercury  I  inter- 
posed Belladonna  for  one  day  for  an  erratic  neuralgia  and 
then  Silicea  completed  a  prompt  and  perfect  cure. 

There  is  yet  another  phase  of  study  necessary  for  the 
homeopath,  a  study  not  often  found  in  books.  It  is  not  only 
necessary  to  have  a  broad,  comprehensive  insight  into  the 
general  nature  of  a  remedy,  and  a  complete  mastery  of  detail, 
but  to  be  able  to  recognize  the  symptoms  in  the  patient.  As 
we  are  all  painfully  aware,  patients  do  not  always  relate 
their  symptoms  in  the  words  of  the  book,  and  it  is  surely  a 
study  and  an  art  to  be  able  to  recognize  and  translate  them 
into  the  language  of  materia  medica.  Here  is  a  clinical  ex- 
ample of  this  point. 


448  THE  MEDICAL  ADVANCE. 

A  young  man  of  thirty  was  brought  to  me  aflBlicted  with 
epilepsy  of  eight  years'  standing.  The  attacks  were  frequent 
and  of  frightful  severity.  He  looked  almost  imbecile.  He 
was  florid  and  scrofulous.  He  knew  of  nothing  that  aggra- 
vated or  ameliorated  the  attacks.  He  could  name  no  time 
or  circumstance  that  influenced  the  fit.  They  seized  him  at 
random.  The  only  thing  that  he  could  tell  was  that  he 
heard  voices  calling  him,  calling,  calling.  He  felt  that  he 
must  get  to  them,  he  must  break  away,  he  must  struggle  to 
reach  those  calling  voices;  and  then  and  there  he  fell  in  the 
fit,  screaming,  struggling  and  biting.  As  you  know,  the 
books  say  that  the  Stramonium  epilepetic  hears  voices  call- 
ing him.  So  Stramonium  was  given.  Well,  it  had  no  effect 
whatever. 

Then  I  sat  down  to  think  and  translate  his  symptoms. 
I  reasoned  thus:  The  prominent  symptom  of  Belladonna  i^ 
a  desire  to  escape,  to  get  out  or  away  from  where  they  are* 
to  get  from  under  an  oppressing  load,  to  escape  from  some- 
thing that  holds  to  something  else.  Again,  under  Belladon- 
na we  read  yet,  *  illusions  of  sight  and  hearing."  Might 
not  this  epileptic's  illusion  of  hearing  and  struggle  to  escape 
to  the  voice  be  translated  into  Belladonna.  Remembering 
that  florid  face  settled  it.  I  gave  him  several  powders  of 
Belladonna  30,  and  he  has  never  had  another  fit  since,  and 
that  was  two  years  ago. 

In  conclusion,  I  want  to  call  attention  to  the  importance 
of  a  careful  selection  of  the  books  we  study,  remembering 
that  while  many  lightweights  rush  into  print,  it  takes  an  in- 
tellectual giant  to  be  a  reliable  authority  upon  this  immense 
subject.  If  we  will  cling  fast  to  Hahnemann  and  Hering, 
BOenninghausen  ^and  Jahr,  both  the  Aliens,  the  brilliant 
Burnett  and  good  old  man  Nash,  we  will  have  selected  books 
worthy  of  our  reliance.  If  we  live  with  them  intimately  we 
cannot  help  but  catch  some  of  their  glory.  Let  us  stick  to- 
the  highest  type  of  old  true  Homeopathy.  Remember  that 
the  really  great  men  of  Homeopathy  have  invariably  been 
the  strictest  Hahnemannian  homeopaths. 

I  would  not  for  a  moment  have  you  think,  however,  that 


COMMENT  ON  OUR  MATERIA  MEDICA .  449 

because  I  advocate  the  old  Hahnemannian  Homeopathy, 
that  I  mean  nothing  modern  is  worth  while.  That  would  be 
unworthy  of  any  intelligent  physician.  Do  not  mistake  me, 
I  am  warning  against  discarding  old  splendors  for  new  trash. 
"While  I  consider  Hahnemann  and  Hering  as  the  very  back- 
bone of  our  literature,  we  find  in  lesser  degree  modern 
masters,  too.  These  have  perfected  a  large  array  of  nosodes 
and  added  them  to  our  splendid  equipment.  Bacillinum, 
T^edorrhinum,  Syphilinum,  Variolinum  and  all  the  other 
inums,  with  the  exception  of  Psorinum,  represent  their 
work.  I  cannot  imagine  what  I  would  do  without  Bacilli- 
num nowadays  in  tuberculosis,  or  without  Pyrogen  in  septic 
fevers.  And  in  passing  permit  me  to  remark  that  of  this 
last  I  have  seen  the  most  brilliant  results  where  physicians 
and  surgeons  pronounced  cases  doomed.  I  fear  this  won- 
derful remedy,  introduced  by  Burnett,  has  been  sadly  neg- 
lected, judging  by  the  number  of  septic  cases  where  I  have 
found  the  patient  being  dosed  to  death  with  Fowler's  solu- 
tion, quinine  and  the  like,  where  Pyrogen  cured.  Stop  and 
think  what  it  is.  Rotten  meat.  Could  anything  be  more 
homeopathic  to  aseptic  or  puerperal  fever,  or  any  condition 
where  decayed  animal  matter  has  been  absorbed?  We  owe 
debts  of  gratitude  to  Burnett  for  his  introduction  of  it,  and 
to  H.  C.  Allen  for  his  admirable  proving. 

Thus  from  time  to  time  there  arise  such  great  men  who 
can  add  another  bit  to  the  great  work  of  Hahnemann,  but 
not  one  who  has  yet  been  able  to  detract  from  it,- 

For  myself,  through  a  long  life,  while  I  have  gathered 
useful  hints  from  many  writers,  I  invariably  find  I  am  at 
my  best  when  I  am  following  most  closely  in  the  steps  of 
the  master,  Hahnemann. 


The  Medical  Era,  St.  IjOu\s,  Mo,,  will  issue  its  annual 
series  of  Gastro-intestinal  editions  during  July  and  August. 
In  these  two  issues  will  be  published  between  40  and  50  or- 
iginal papers  of  the  largest  practical  worth,  covering  every 
phase  of  disease  of  the  Gastro-intestinal  canal.  Sample 
<5opies  will  be  supplied  readers  of  this  journal. 


450  THE  MEDICAL  ADVANCE. 

HOMEOPATHY:    ITS  PRESENT  STATUS  AND  FUTURE 

PROSPECTS.* 

By  Jas.  W.  Overpeck,  M.  D.,  Hamilton,  Ohio. 

It  is  customary  for  the  president  of  this  and  other  soci- 
ties  to  speak  of  the  workings  of  the  society  and  to  suggest 
the  adoption  of  measures  and  plans  which  he  believes  would 
be  beneficial  to  the  society  and  its  members.  This  is  very 
proper  and  as  it  should  be;  but  if  I  step  out  of  the  beatea 
path  on  this  occasion  I  hope  I  shall  have  your  pardon  for 
doing  so. 

We  are  all  glad  to  note  the  great  improvement  in  the 
**health"  of  our  society;  that  the  diagnosis  by  our  president 
of  last  year  was  correct,  and  that  the  remedies  applied  have 
acted  as  a  real  simillimum.  But  our  membership  committee 
will  report  the  case  in  detail  so  that  you  may  see  the  results 
*of  the  treatment. 

Because  it  seems  to  me  of  such  great  importance,  I 
wish  to  speak  rather  briefly  today  of  the  "whys  and  where- 
fores" of  the  present  status  of  Homeopathy,  and  to  state  a 
few  facts  which  may  serve  as  hints  as  to  what  might  be 
done  in  our  meetings  and  in  our  individual  spheres  as  well, 
to  promote  to  some  degree  a  better  understanding  of,  and  a 
wider  acceptance  of  our  methods  by  the  people  in  general. 
I  say  **the  people  in  general"  advisedly,  I  think,  because  it 
is  the  masses  who  lack  knowledge  of  our  mode  of  treatment. 
The  up  to  date  doctor  of  any  school  knows  there  is  much  of 
truth  and  efficiency  in  this  therapeutic  law,  and  is  willing  in 
many  instances  to  acknowledge  the  same. 

But  let  us  first  take  a  very  brief  glance  at  the  history 
and  growth  of  Homeopathy.  Here  we  have  a  method  of  treat- 
ing and  curing  disease,  discovered  and  demonstrated  more 
than  a  century  ago  by  one  of  the  ablest  men  in  the  profes- 
sion at  that  time;  a  system  which  we  believe  has  done  more 
for  the  improvement  and  advancement  of  the  art  of  medicine 
than  any  method  that  has  ever  been  taught  or  practiced;  a 
system,  the  basic  principles  of  which  shall  serve  as  a  guide 


^Presidents  AddresSi  Homeopathic  Medical  Society  of  Ohio,  190& 


HOMEOPATHY.  451 

in  therai)eutics,  not  only  through  this  second  century  of  its 
life  and  history,  but  through  centuries  to  come;  a  system 
which  braved  and  defied  the  prejudices,  the  ridicule, the  per- 
secution of  that  intolerant  first  half  of  the  nineteenth  centu- 
ry, has  stood  the  test  of  scientific  research  of  later  years 
and  has  come  out  stronger  on  account  of  the  struggle. 

Yet,  notwithstanding  all  this  and  volumes  more  than 
can  be  said  in  its  favor,  we  must  face  the  fact  that  not  more 
than  eighteen  per  cent,  of  the  people  in  this  great  and  pro- 
gressive country  of  ours,  are  receiving  the  benefits  of  hom- 
eopathic treatment. 

As  to  one  of  the  great  hindrances  to  its  growth,  I  am 
sure  all  will  agree,  and  it  needs  but  to  be  mentioned.  I  re- 
fer to  that  almost  impenetrable  wall  erected  at  the  very 
birth  of  the  system  by  the  "prejudices,  the  intolerance  of 
things  new,  the  narrow-mindedness  of  that  age,  the  same  in 
kind  as  that  which  humiliated  and  persecuted  Galileo  and 
many  others  who  were  the  pioneers  of  advanced  thought  in 
earlier  times.  Even  at  this  day  this  wall  still  stands,  al- 
though it  is  crumbling  and  tottering  at  many  points. 

But  in  my  opinion,  the  apathy,  the  indifference  and  the 
self-contentedness  exhibited  by  the  average  homeopathist, 
constitute  the  greatest  stumbling  block  that  lies  in  the  way 
of  the  progress  of  homeopathy.  Most  of  us  are  making 
enough  to  keep  us  in  moderate  comfort  and  are  content  to 
jog  along  and  I6t  her  work  out  her  own  salvation. 

What  are- some  of  the  expedients  or  measures  by  which 
this  work  can  be  facilitated  and  hastened?  Most,  if  not  all 
of  you,  will  say  that  organization  is  a  most  potent  factor. 
And  I  say  organize.  Organize  from  the  little  country  club 
up  to  the  state  and  the  national  association.  Make  the 
smaller  tributary  to  the  larger,  and  all  into  one  harmonious 
whole.  And-when  this  is  all  complete  shall  we  settle  down 
into  our  little  home  routine  again  and  allow  the  societies  to 
do  the  work?  If  we  do  this  then  our  organization  will  be  of 
no  avail. 

For  severary^ara  we  have  talked  propagandism  in  our 
state  and  national  societies,  but  are  the  results  all  that  could 


452  THE  MEDICAL  ADVANCE. 

be  desired?  I  would  not  in  the  least  decry  the  usefulness  of 
the  medical  society,  for  I  believe  it  to  be  indispensable  to 
the  success  of  our  cause;  but  after  all  do  you  not  believe,  as 
I  do,  that  in  the  work  of  spreading  sf  knowledge  of  and  the 
practice  of  homeopathy,  the  real  obligation  lies  at  the  door 
of  the  individual  doctor? 

If  questioned  as  to  what  the  individual  doctor  can  ao  in 
this  scheme  of  propagandism,  I  would  say:  First  practice 
good  straight  homeopathy  as  far  as  it  lies  in  his  power  to  do  so. 
Let  him  study  his  cases  carefully  and  burn  some  midnight 
oil  over  his  materia  medica  occasionally,  so  that  he  may 
cure  difficult  cases — even  cure  some  cases  that  are  common- 
ly considered  incurable.  The  careful,  pains-taking  home- 
opathist  does  these  things,  and  they  are  the  things  that 
talk.  Thorough,  honest  work  speaks  eloquently  and  force- 
fully for  any  cause. 

Secondly  I  would  say  to  him:  Preach  what  you  prac- 
tice. Not  that  he  should  do  this  on  any  and  all  occasions; 
but  that  there  are  occasions  frequently  presenting  upon 
which  it  is  perfectly  proper,  and  at  the  same  time,  profitable 
to  both  patient  and  doctor  to  speak  of  the  treatment  and 
the  results  obtained.  Shall  he  speak  of  the  therapeutic 
aspect  of  the  subject,  the  scientific  methods  of  preparation 
and  application  of  our  medicine?  I  say  yes,  in  some  instan- 
ces. A  few  will  be  intensely  interested  in  this,  but  most 
people  care  but  little  for  theories  and  theorizing. 

We  sometimes  hear  it  stated  that  we  have  arrived  at  an 
age  in  which  people  think  for  themselves;  that  they  study 
problems  and  reach  conclusions  more  or  less  independently 
as  regards  the  opinion  of  others.  Let  us  question  a  little  as 
to  what  extent  this  is  true.  How  many  Methodists,  Bap- 
tists, Presbyterians,  etc.,  can  you  point  out  who  have  neith- 
er been  born  and  bred  in  their  church,  nor  drifted  into  it 
through  force  of  circumstances?  What  proportion  of  the 
republicans  or  democrats  of  the  present  day  have  "thought" 
themselves  into  their  political  opinions?  How  many  young 
parents  take  any  pains  to  investigate  and  compare  the  re- 
sults of  the  different  methods  of  medical  treatment,   so  that 


HOMEOPATHY.  453 

they  may  select  that  which  they  think  best  calculated  to 
mskke  strong  men  and  women  of  their  children?  I  think 
your  answer  to  these  questions  would  be,  not  very  many, 
And.  this  being  true  in  what  way  can  we  reach  and  interest 
this  great  majority  of  the  people? 

A  populai  lecturer  of  the  present  time  says  that  the 
msLSses  of  the  people  think  in  dollars  and  cents.     Is  not  this 
alDOut  nine-tenths  true?     And  can  we  not  interest  them  from 
a  clollars-and-cents  standpoint?    I  ask  any  one  of  you  who 
ha.s  practiced  a  sufficient  length  of  time  to  look  over  your 
acc50unt  books,  follow  down  the   accounts  of  families  who 
formerly  were  treated  with  crude  medicines  but  have   come 
under  your  care  within  the  last  six  or  eight  years,  and  notice 
tliSLt  after  two,  three  or  four  years  the  amount  for  your  ser- 
vices has  diminished  to  fifty  per  cent,  in  many  instances,  to 
thirty -five  per  cent,  in  mosHnstances,  and  in  some  families 
l^elow  twenty-five  per  cent,  of  the  amount  for  the  first  year. 
Iri  families  in  which  there  are  a  few  children,  whether  they 
l>e  increasing  in  number  or  not,    according  to  my  observa- 
tion. Homeopathy  will  produce  these   figures.     Suppose  on 
an  average  it  does  half  so  well,  have  we  not  enough  to  inte- 
rest the  people  in  the  way  of  dollars  and  cents?    Learning 
so    much,  they  can  readily  understand  that  less  sickness 
means  better  health,  and  better  health  means   ability  to  do 
more  business  or  more  labor,    and  this   again  means   more 
dollars. 

And  now,  after  calling  attention  to  these  few  facts,  I 
ask  if  you  cannot  think  of  many  things  which,  if  properly 
presented,  would  be  of  interest  to  people  of  ordinary  minds, 
even  so  that  they  might  discuss  them  themselves? 

Again  I  say  I  have  gone  out  of  the  ordinary  way  to 
hring  up  this  subject  because  I  believe  these  things  should 
he  discussed  in  our  meetings  more  than  they  are  discussed 
We  come  to  the  meetings  to  get  new  ideas,  more  knowledge 
and  ought  to  return  better  prepared  to  teach  as  well  as 
practice  our  art. 

Are  we  not  too  modest  both  in  our  meetings  and  out  of 
our  meetings,   in   exploiting   our  ideas   and  achievements? 


454  THE  MEDICAL.  ADVANCE. 

Are  'we  not  too  slow  in  the  matter  of  claiming  those  things 
which  rightfully  belongs  to  us  and  for  which  we  do  not  have 
the  credit?  The  work  done  by  our  brethren  in  Iowa  in  re- 
gard to  vaccination  and  the  use  of  Variolinum  will  undoubt- 
edly bring  good  returns  in  that  state.  In  the  vast  amount 
of  experimenting  and  research  in  chemistry  and  therapeu- 
tics of  recent  years,  many  of  the  most  important  principles 
unearthed  or  demonstrated,  serve  us  well  in  proving  and 
strengthening  our  theories.  I  think  we  should  make  the 
most  of  these  things,  and  that  our  journals  should  say  more 
of  a  positive  and  progressive  nature  concerning  them. 

Before  closing  I  have  one  little  item  to  mention  which 
concern^  the  work  of  our  society;   and   this  is   not  original  • 
with  myself,  but  was  suggested  by  a  member  from   my  own 
city.    It  is  in  reference  to  setting  apart  in  our  program  of  a 
half  hour  or  more,  during  which  time  we  may   listen  to  vol- 
untary items,  giving  not  more  than  three  minutes  to  ea^h^ 
person    and    allowing  no    discussion.     Thus   any   member* 
would  have  an  opportunity  to  take  part  in  the  exercises  and 
present  any  item,  such  as   extraordinary   effects  of  certain 
medicines  in  certain  cases,  or  unusual  cases  or  instances  that 
would  be  of  interest  and  profit  to  the  members.     I  only  sug- 
gest this  and  the  society  may  consider  it  at  its  pleasure. 

I  wish  to  thank  the  society  for  the  confidence  manifest* 
ed  in  placing  me  in  this  position  of  trust  and  honor;  and  I 
hope  my  little  effort  may  not  prove  to  be  entirely  fruitless. 
In  behalf  of  the  society  and  for  myself,  I  want  to  thank 
every  officer,  every  chairman  and  every  member  of  the  vari- 
ous bureaus  and  committees  for  his  and  her  part  of  the  work 
for  this  meeting.  The  secretary,  the  chairmen  of  the  mem- 
bership and  legislative  committees  and  some  others  have 
had  much  to  do,  and  as  to  whether  it  has  been  well  done  we 
shall  see,  and  I  am  sure  we  shall  not  be  disappointed. 


WHAT  IS  WORTH  WHILE  IN  MEDICINE?  455 

WHAT  IS  WORTH  WHILE  IN  MEDICINE* 

By  J.  B.  Campbell,  M.  D. 

Regarded  as  a  question  this  rather  ambitious  title  might 
excite  merriment  among  the  very  practitioners  who  would 
indorse  it  if  presented  as  a  substantiated  fact.  The  much 
that  is  worth  while  can  not  of  course  be  encompassed  in  a 
faintly  suggestive  article,  neither  could  one  hope  to  elucidate 
so  recondite  a  subject  as  follows  in  a  merely  cursory  paper. 
But  life  is  fleeting  and  we  cannot  possibly  appropriate  every- 
thing in  sight;  furthermore  in  the  study  of  the  opsonins  we 
seem  to  be  threatened  with  a  rediscovery  of  Homeopathy, 
and  in  order  that  we  may  keep  abreast  of  the  procession 
with  its  alluring  glamour  it  is  necessary  to  emphasize  some 
thoughts,  old,  and  partially  overlooked,  but  of  pre- eminent 
value. 

As  a  Hahnemannian  I  do  not  think  there  is  one  of  our 
number  who  would  not  be  profoundly  affected  by  the  pathos 
and  the  tragedy  implied  in  that  misanthropic  masterpiece 
wherewith  Prof.  H.  C.  Wood  prefaces  his  **Treatise  on 
Therapeutics"  in  which  he  says:  '^Experience  is  said  to  be 
the  mother  of  wisdom.  Verily  she  has  been  in  medicine 
rather  a  blind  leader  of  the  blind,  and  the  history  of  medical 
progress  is  the  history  of  a  man  groping  in  the  darkness 
finding  seeming  gems  of  truth,  one  after  another,  only  in  a 
few  minutes  to  cast  each  back  into  a  heap  of  forgotten 
baubles  that  in  their  day  had  also  been  mistaken  for 
verities."        *        *        *        *        ♦ 

Prof.  Gregory  of  Edinburgh  Medical  College,  said  to  his 
class  not  long  ago:  **Gentlemen,  99  out  of  every  100  medi- 
cal facts  are  medical  lies,  and  medical  doctrines  are,  for  the 
most  part,  stark,  staring  nonsense." 

Dr.  Abercrombie  said:  '*Medicine  has  been  called  by 
philosophers  the  art  of  conjecturing;  the  science  of  guessing." 

Sir  John  Forbes,  fellow  of  the  Royal  College  of  Physi- 
cians,  London,   and  a  doctor  of  the  royal   household  says: 


Read  before  the  Brooklyn  HahnemaDnlan  Union  and  the  Bayard 
Club. 


456  THE  MEDICAL  ADVANCE. 

**No  systematic  or  theoretical  classification  of  healing  agents 
ever  yet  promulgated  is  true,  or  anything  like  truth,  and 
none  can  be  adopted  as  a  safe  guidance  in  practice/'  Evi- 
dently Homeopathy  was  unknown  to  this  gentleman. 

Sir  Astley  CJooper  said:  *'The  science  of  medicine  is 
founded  upon  conjecture  and  improved  by  murder." 

The  great  medical  authority  Dr.  James  says:  **I  declare 
as  my  conscientious  conviction  founded  on  long  experience 
and  reflection  that  if  there  were  not  a  single  physician, 
surgeon,  midwife,  chemist,  apothecary,  druggist  nor  drug  on 
the  face  of  the  earth,  there  would  be  less  sickness  and  less 
mortality  than  now  prevail.'' 

John  Mason Goode  M.  D.,  F.  R.  S.,  says:  **The  effertsof 
our  medicines  on  the  human  system  are  in  the  highest  degree 
uncertain,  except,  indeed,  that  they  have  destroyed  more 
lives  than  war,  pestilence  and  famine  combined." 

Dr.  Oliver  Wendell  Holmes  said  before  his  class:  *'The 
disgrace  of  medicine  is  that  colossal  system  of  self-deception 
in  obedience  to  which  mines  have  been  emptied  of  their  cank- 
ering minerals,  and  the  vegetable  kingdom  robbed  of  all  its 
growth,  the  entrails  of  animals  taxed  for  their  impurities, 
the  poison  bags  of  reptiles  drained  of  their  venom,  and  all 
the  conceivable  abominations  thus  obtained  thrust  down  the 
throats  of  individuals  suffering  from  some  fault  of  organiza- 
tion, nourishment  or  vital  stimulation." 

Confessions  of  this  character  are  a  powerful  stimulus  to 
homeopathic  achievement;  but  more  than  that  does  the  ad- 
mission of  Dr.  Wood's  cry  out  for  a  marshalling  or  assemb- 
ling of  these  **forgotten  baubles"  as  he  calls  them;  in  other 
words,  for  therapeutic  organization.  How  well  Home- 
opathy solves  the  difficulty  is  attested  by  thousands  of  its 
l^ractitioners  and  hundreds  of  thousands  of  its  participants. 

It  is  true  that  the  cleverly  attired  fads  which  come  and 
go,  sometimes  give  the  facts  a  competitive  tilt  in  passing. 
But  tested  and  proven  by  the  homeopathic  standard  those 
same  '^therapeutic  gems"  of  Dr.  Wood's  assume  intelligent 
-  form;  and  they  remain  with  us  as  verities  out  of  which  and 
upon  which  is  erected  the  abiding  edifice  of  truth. 


WHAT  IS  WORTH  WHILE  IN  MEDICINE?  457 

In  the  craze  for  novelty  and  sensation  we  confront  an 
atavism  as  ancient  as  the  human  race.  Like  the  savage  it  is 
forever  inclining  toward  the  morrow  while  overlooking  the 
problems  of  the  present,  forgetting  that  sometimes  the 
truest  progress  consists  in  going  backward— retracing  and, 
re-presenting  in  the  light  of  to-day  the  unchangeable  axioms 
formulated  by  master  minds  under  virgin  impulse.  In  Home- 
opathy these  minds  were  both  actuated  and  illuminated  by  the 
impingement  of  a  thought  so  mighty  as  to  require  much  labor 
and  many  years  for  its  even  partial  expression.  As  * 'custo- 
dians of  the  sacred  fire"  we  must  guard  as  we  can  against 
dissipation  of  the  original  Hahnemannian  inspiration,  as  we 
recede  further  and  further  from  the  initial  era  of  energy. 

In  the  present  as  in  the  past  the  estate  of  general  medi- 
cine is  more  or  less  problematical,  not  to  say  precarious,  as 
the  Hahnemannian  discovers  when  in  the  course  of  practice 
he  is  compelled  to  refute  a  professional  onus  which  he  did 
not  in  the  least  help  to  create,  and  for  which  he  is  not  even 
indirectly  responsible.  By  reason  of  the  almost  universal 
impression  that  it  is  still  an  art  and  not  a  science,  medicine 
affords  a  particularly  favorable  field  for  the  exploitation  of 
*  new  brooms"  which  make  one  clean  sweep  and  are  thence- 
forth relegated  to  the  limbo  of  the  obsolete. 

Mere  newness  demands  probation  under  suspicion, 
hence  the  general  clamor  for  stability — for  order  more  near- 
ly approximating  certainty  in  therapeutics;  in  short,  for  a 
science  of  medicine  at  all  times  and  under  all  conditions 
available.  But  a  method  of  cure  perfected  to  the  point  of 
dependability  in  all  thinkable  maladies  both  classifiable, 
capable  of  uprooting  active  disorders,  modifying  undesirable 
temperaments  and  re-directing  perverted  lives,  would  indeed 
be  Utopian  in  conception;  for  years  have  shown  the  ad- 
vantages of  the  various  healing  systems  one  over  the  other, 
to  be  at  times  seemingly  relative.  Yet  again,  in  certain  in- 
stances the  blindest  partizan  must  perceive  in  which  direc- 
tion lie  the  absolute  law  and  the  positive  benefits.  In  this 
connection  whatever  conduces  to  the  patient's  ultimate  good 
may  be  seized  upon  as  worth  while.     Whatever  is  not  simply 


458  THE  MEDICAL  ADVANCE. 

ooaservative  but  most  nearly  creative — that  is  whatever 
gives  the  patient  what  he  has  never  had,  be  it  a  practically 
new  body,  a  new  disposition  or  a  new  order  of  things  is 
certainly  in  line  with  this  thought.  Anything  which  re: 
oi^anizes  the  disorderly  economic  forces,  generating  two 
units  of  energy  where  only  one  was  generated  before,  affords 
matter  for  serious  contemplation.  Whatever  may  be  urged 
in  favor  of  the  effectiveness  of  other  healing  measures,  the 
homeopathy  of  Hahnemann  and  BOnninghausen  is  now, 
and  always  will  be  a  vitally  distinct  necessity  to  mankind. 

It  has  been  said  that  on  all  planes,  from  perfection  to 
perdition  God  helps  and  heals;  from  the  prayer  of  faith 
down  to  crude,  aboriginal  '^medicine."  Homeopathy,  which 
comprehends  this  entire  scope  of  remedial  action  is  there- 
fore a  necessity  because  it  is  pre-eminently  practical;  for  not 
everyone  has  acquired  the  ability  to  cure  himself  by  denying 
the  evidence  of  the  senses,  and  does  not  feel  qualified  to  at- 
tempt existence  in  some  exalted  zone  where '*all  is  love'* 
where  no  one  is  ever  ill  nor  is  dependent  upon  food  or  sleep. 
On  the  other  hand,  the  majority  of  people  not  caring  to  re- 
turn to  the  empiricism  of  tlie  wild  man,  feel  the  need  of 
some  rational  supplementary  measure  to  maintain  the 
balance  of  health,  when  by  some  extraneous  factor  perhaps, 
this  balance  has  been  disturbed. 

Advanced  medical  thought  is  much  of  the  time  accom- 
panied by  advanced  pathological  problems.  Mankind  form- 
erly presented  to  the  physician  more  of  the  simple  ills  than 
now,  and  in  many  particulars  so-called  medical  science  ap- 
pears but  to  light  the  way  into  impenetrable  darkness. 
Under  the  title  ''microbe  carriers*'  in  the  Literary  Digest  of 
Feb.  8th,  1908,  the  alternate  bolstering  and  straining  of  the 
germ  theory  would  tend  toward  a  state  of  panic  if  one  had 
no  therapeutic  anchorage.  From  this  article  we  read: 
"These  forces  of  immunity  may  be  in  active  operation, so  far 
as  tests  made  outside  the  body  with  the  blood  indicate,  at  a 
time  that  the  very  bacteria  from  and  against  which  they 
have  developed  may  still  be  surviving  in  the  body. 

Typhoid  bacilli  have  been  cultivated  from  the  blood  long 


WHAT  IS  WORTH  WHILE  IN  MEDICINE?  ^  459 

after  the  subsidence  of  symptoms  of  typhoid  fever  and  at  a 
time  when  the  titre  of  serum  bacteriolysis  was  of  prodigious 
height;  pneumococci  have  been  detected  in  the  circulating 
blood  of  animals  actively  immunized  to  the  pneumococcus; 
anthrax  bacilli  have  been  grown  from  the  blood  of  immune 
and  healthy  sheep  protected  by  anthrax  vaccine,  and  living 
virulent  tubercle  of  the  human  type  have  been  obtained 
from  the  healthy  lymphatic  glands  of  calves  inoculated  with 
bovo- vaccine  and  in  consequence  already  immune  to  bovine 
tuberculosis.  It  is  clear,  therefore,  that  the  immune  state, 
so  far  as  bacteria  are  concerned,  can  be  no  one-sided  pheno- 
menon in  which  the  fact  of  all  importance  is  the  condition 
of  the  host,  and  of  small  importance  the  condition  of  the  in- 
vading bacterium.  The  phenomenon  is,  indeed,  a  reciprocal 
one  and  must  take  account  of  a  high  degrf^e  of  capacity  for 
adaptive  changes  on  the  part  of  the  parasite  as  well  as  on 
the  part  of  the  host  " 

A  presumptuous  art,  born  rather  of  arrogance  than 
altruism,  commits  daily,  in  the  name  of  science,  assaults  on 
the  temple  of  the  Most  High,  probing  into  its  interior,  cun- 
ningly contaminating  the  blood  stream,  and  so  drawing 
upon  the  vitality  that  there  seems  to  be  but  a  step  between 
the  benefits  and  the  penalties  of  the  intrusion.  There  de- 
scend in  consequence  to  the  Hahnemannian,  beings  in  a 
state  of  tabid,  nerveless  invalidism,  which  he  is  expected  to 
restore  to  normal  conditions.  The  Hahnemannian  is  con 
stantly  meeting  more  of  those  intricate  cases  which  can  not 
be  taken  at  their  face  value — which  indicate  a  certain 
remedy  plainly  enough,  but  which  are  not  primarily  cured 
or  even  relieved  by  that  remedy — cases  in  which  he  has  to 
go  deeply  into  the  former  life  and  treatment  in  all  its  details, 
back  perhaps  to  some  arbitrarily  tainted  ancestor.  We  are 
meeting  conditions  which  apparently  defy  accredited  home- 
opathy, and  in  which  we  have  to  dig  out  the  "why"  behind 
the  intractability.  The  faculty  of  sensing  this  **why"  dis- 
tinguishes the  efforts  of  the  homeopathist  from  those  of  the 
superficialist.    It  is  the  true  physician's  most  valuable  asset. 

Disease  becomes  intractable  in  just  the  proportion  that 


460  THE  MEDICAL   ADVANCE. 

it  involves  the  temperament,  for  temperament  being  the  sum 
total  of  ancestral  habits  is  as  deep  as  life  itself,  and  for  aught 
we  know,  deeper  than  the  life  of  the  individual.  It  is  here 
that  the  surface-play  of  symptoms  becomes  misleading,  and 
it  is  here  also  that  in  all  probability  is  to  be  found  the 
key  to  the  nature  of  malignancy. 

Life  is  an  unceasing  battle — a  continual  overcoming,  in 
whatsoever  sphere  it  may  be  waged.  Whether  moral,  mental 
or  physical,  or  all  three  in  inter-dependent  relation;  and  it  is 
only  reasonable  that  during  the  ebb  seasons  when  vitality, 
that  mysterious  attribute  of  potential  being  seems  in  the 
minority,  some  kind  of  re-inforcement  is  needed  to  avert 
catastrophe.  In  Homeopathy  we  have  this  something,  and 
by  its  early  application  in  distuned  states  of  the  organism 
harmony  is  restored  and  pathological  ultimates  are  antici- 
pated while  yet  in  process  of  precipitation.  To  thus  effectu- 
ally, although  unostentatiously,  circumvent  disaster  is  worth 
while.  In  this  manner  repeatedly  are  the  currents  of  ma- 
lignancy or  other  subversive  tendency  diverted  into  benign 
channels,  and  retrograde  metamorphosis  iLtercepted. 

It  is  impossible,  certainly,  for  the  feeble  mind  of  man 
however  trained  or  penetratingly  intuitive,  to  comprehend 
at  every  stage,  and  in  all  their  remote  ramifications,  the 
elusive  and  intangible  factors  involved  in  the  physio-medical 
equation.  We  must  be  content  to  apply  certain  fixed 
standards  to  determine  what  is  meritorious  in  medicine,  ^nd 
therefore  to  summarize;  that  medical  measure  is  worthwhile 
which  conserves  the  most  and  destroys  the  least.  In  other 
words,  a  measure  which  leaves  the  patient  permanently 
better  than  it  found  him.  Which  actually  cures,  and  because 
it  cures  does  not  *'lay  up  wrath  against  the  day  of  wrath" 
by  exacting  promissory  notes  on  which  the  patient's  vitality 
pays  the  interest.  Such  means  are  legitimate;  are  not  a  sop 
to  fetichism  nor  a  concession  to  ignorance.  Whatever  is 
free  from  the  charge  of  f addishness  yet  is  ever  abreast  of  the 
times,tallies  with  truth  for  truth  is  the- same  always,and  if  a 
therapeutic  system  of  this  description  could  be  envolved,  we 
should  be  possessed  of  something  akin  to  the  genuine. 


WHAT  IS  WORTH  WHILE  IN  MEDICINE?  461 

Fortunately  this  has  indeed  been  accomplished,  and  for  its 
realization  the  world  is  indebted  to  the  founder  and  formu- 
later  of  Homeopathy.  But  for  extending  Homeopathy's 
sphere  of  usefulness  by  enhancing  its  efficiency,  we  are  in 
the  debt  of  BOnninghausen.  By  emphasizing  the  necessity 
for  observing  the  synergistic  and  complementary  action  of 
medicines  he  drew  attention  to  a  phase  of  Homeopathy  which 
has  since,  at  least  in  its  more  refined  aspects  and  applica- 
tions fallen  into  disuse.  Homeopathy  as  taught  by  BOnning- 
hausen  is  not  only  worth  while  but  its  study  is  imperative. 
Inasmuch  as  not  every  case  is  a  single  remedy  case,  nor 
in  the  sirfdllimum  bee-line  class  but  must  be  cured  by 
making  a  detour,  it  will  profit  us  to  work  out  the  best  method 
of  pursuing  such  circuitous  course.  This  course  BOnning- 
hausen  has  indicated,  and  has  supplied  the  practitioner  with 
material  in  his  *'pocketbook"  appendix,  his  work  on  **one- 
sided  diseases",  and  his  various  suggestive  treatises  con- 
cerning drug  relationships. 

Every  Hahnemannian  of  any  experience  whatever, 
knows  that  there  are  certain  labyrinthian  types  of  disease 
which  must  recover  by  the  devious  path  because  they 
present  many  degrees  of  relativity,  hence  require  many 
remedies.  In  illustration  of  this  we  might  cite  a  Belladonna 
case  that  did  not  respond  to  Belladonna  primarily.  The 
disease  was  Tic  Doloreux,  styled  by  Jacobi  the  *'bete  noire" 
of  the  profession.  To  detail  the  symptoms  and  remedies 
given  would  bore  you  unnecessarily;  therefore  we  will 
simply  state  that  the  case  had  Hahnemannian  care  for  three 
years  or  thereabout  with  varying  results;  that  involved  in 
the  maze  of  symptoms  was  the  suppression  of  an  old  pharyn- 
gitis following  the  local  use  of  perchloride  of  iron,  and  that 
after  the  administration  of  Perrum  Mur,  dmm  Swan,  the 
case  commenced  to  move  forward  but  finally  stood  still.  It 
was  at  this  juncture  that  Belladonna  acted,  and  still  further 
improved  the  patient's  condition;  but  this  favorable  action 
also  came  to  an  end  and  rendered  it  necessary  to  return  to 
Perr.  Mur.,  and  the  rotation  thus  inaugurated  pulled  the 
patient  out  of  the  pit  so  that  there  was  absolute  freedom 


462  THE  MEDICAL  ADVANCE.  • 

from  suffering  for  seven  months,  the  patient  meanwhile 
gaining  twenty  pounds.  There  have  been  accessions  of  pain 
since  that  time,  but  the  character  of  all  is  modijBled  and  the 
general  tendency  is  distinctly  improved. 

At  the  present  date,  this  case  has  entered  a  cycle  of 
rotation  between  the  complementaries  allium  cepa  and  phos- 
phorus. There  is  no  pain  to  speak  of,  and  there  are  long 
periods  of  freedom  from  even  that  slight  amount.  A  further 
gain  of  four  pounds  is  reported  by  the  patient. 

It  is  to  be  borne  in  mind  that  this  case  has  failed  to  im- 
prove under  the  continuance  of  any  single  remedy. 

Another  type  of  case  needs  to  be  immediately  transfixed 
by  the  simillimum  or  there  will  be  no  permanent  results. 
This  type  illustrates  a  felicitously  opposite  relation  of  remedy 
and  malady.  Approximation  is  complete,  and  such  cases 
recover  by  the  direct  route.  Three  in  point  will  suffice  to 
demonstrate: 

Case  I.  Chlorosis  with  constant  headache  for  six  years. 
Treated  by  an  avowed  homeopathist  with  Carter's  Liver 
Pills.  Cured  with  one  dose  (the  only  medicine  given)  of 
Ars.  40  m.  F. 

Case  II.  Menorrhagia  of  three  years  standing,  patient 
flowing  copiously  every  second  week  and  continuing  for  six 
or  seven,  days;,  she  really  flowed  six  months  of  the  year. 
Cured  by  a  single  dose  of  Sul.  c.  m.  P.  There  has  been  no 
return  of  trouble  during  the  three  years  following  the  cure. 

Case  III.  Intestinal  paresis  in  child  of  13  months.  Had 
only  one  stool  in  six  weeks.  Bell.  Phos.  Apis,  and  Sil., 
feebly  impressed  the  symptoms.  One  dose  of  Medor.  c.  m. 
P.,  cured  absolutely.  The  father  had  gleet  almost  up  to  the 
time  of  his  marriage. 

Without  a  knowledge  of  Hahnemannian  philosophy  ttie 
mere  simillimum  seeker  may  become  a  veritable  hunter  of 
rainbows.  The  simillimum  is  of  course  the  destination  of 
Hahnemannian  purpose,  yet  in  some  of  the  unrelenting  enig- 
mas we  have  encountered  it  seems  to  have  been  the  last 
remedy  required.  *  That  is  tO'Say,  it  is  very  often  the  further- 
most remedy  required  to  propel  the  patient  into  clear  water 


^WHAT  IS  WORTH  WHILE  IN  MEDICINE?  463 

fact  p>erf ectly  well  known  to  all  students  of  homeopathics. 
This  result  cannot  be  accomplished  until  the  knotty  complex 
has  been   buffetted  about  according  to  some  such  method  as 
BOnning^tiausen  points  out  and  then  comes  the  simillimum — 
last,  not  first.    In  other  words:  you  can't  wind  your  skein 
until  yon    have  disentangled  it.     BOnninghausen  throws  a 
strong    side-light  on  stubborn  cases;  the  kind  which  jeer  at 
ones    l>rain-badgering  efforts.     How  to  open  up  such  a  dead- 
IcKik  ancl  how  to  follow  up  the  advantage  secured  by  a  given 
remedy    seems  to  have    been  Bonninghausen's  especial  and 
peculiar   mission.     Hahnemann  thought  of  it,  but  BOnning- 
hausen     dwelt   upon  it.     The  idea  of  relationships,    as  he 
presents  it  is  suflScient  to  inject  live  interest  into  the  slack- 
i?irater   practitioner  who  has  been  eddying  about  in  the  dol- 
drams  of  despair.    I  have  no  doubt  that  the  substance  of  the 
BOnningViansen   thought  accounts  for  the  homeopathic  ten- 
acity    of  the  old  pioneers  who,   comprehending  that  theirs 
-was  a  master-key  wherewith  to  explore  the  hitherto  inacces- 
sible   recesses  of  homeopathic  possibility,  refused  to  counte- 
nance  anything  short  of  a  triumph.     If  one  does  not  know 
something  about  drug  sequence  he  is  doomed  to  fail  in  certain 
* 'one-sided"  diseases  because  he  has  neglected  to  draw  upon 
-tlie  very  well-springs  of  homeopathic  resource.     Hence  if  we 
at»terapt  to  grapple  with  vague  pathological  perplexities  in 
the   absence  of  an  acquintance  with    BOnninghausen's  sig- 
nificant suggestions,  it  may  be  our  fate  to  run  inconclusively 
ahont    the  ''vicious  circle''  of  symptoms  from  which,  under 
^he  cleverest  generalization  we  may  not  be   able  to  escape, 
but  like  the  sleepy  dog  we  will  turn  around  .and  around  only 
to  lie  down  at  the  starting  point;  or  as  the  Plying  Dutchman, 
toe  beaten  back  from  the  haven  of  our  desires  by  the  storms 
o:f  an  adverse  fate. 

It  seems  difficult  to  realize  that  any  part  of  homeopathy 
is  as  a  lost  art.  That  there  were  any  secrets  which  nearly 
X>erished  with  their  discoverers,  or  that  emphasis  has  been 
laid  upon  only  a  fragment  of  homeopathic  truth.  As  you 
^tre  'Well  aware,  homeopathy  is  not  a  mere  symptom -match- 
ing pastime.     Once  let  us  realize  that  the  depths  of  its   re- 


464  THE  MEDICAL  ADVANCE. 

integrating  potentialities  are  fathomless  and  that  the  gamut 
of  its  active  principle  ranges  from  the  crudest  of  remedial 
substance  to  the  tenuous  extreme  of  healing  thought,  and 
we  will  have  discovered  the  fountain  of  perpetual  incen- 
tive. 

In  the  world  of  medicine  homeopathy  at  once  imperso- 
nates a  conscience  and  a  paradox.  Its  fundamentals  can 
never  be  appreciated  by  the  geijeral  run  of  thinkers,  how- 
ever profound,  unless  they  be  put  into  practice,  which  ac- 
counts for  a  good  deal  of  the  inane  babblings  pro  and  con,  to 
which  we  are  obliged  to  listen. 

In  past  years  we  have  delivered  some  of  our  cases  half 
cured,  notwithstanding  the  fact  that  the  means  for  complet- 
ing the  other  half  was  within  view  of  unheeding  eyes.  The 
power  of  discerning  the  requirements  of  a  given  case,  L  e^ 
of  detecting  the  overlappings  of  its  physical  and  psychical 
elements  usually  carries  with  it  a  suggestion  of  the  plane 
and  plan  of  remedial  procedure — whether  to  execute  a  direct 
frontal  attack  or  resort  to  subtler  measures.  And  again,  the 
consciQusness  of  security  in  Hahnemannian  homeopathy 
may  enable  us  to  implant  the  hope-seed  with  its  wondrous 
germinating  capacity.  When  properly  sown  in  logically 
prepared  mental  soil,  and  administered  in  connection  with 
the  homeopathic  remedy,  we  have  all  seen  its  results  astound 
the  multitude. 

It  is  interesting  to  note  that  there  is  a  borderland  of 
possible  achievement  between  reason  and  rashness,  account- 
ing for  some  successes  of  the  merely  enthusiastic;  for  not- 
withstanding **fools  rush  in  where  angels  fear  to  tread,''  the 
past  could  tell  of  the  contagiousness  of  enthusiasm  and  of 
victories  gained  before  experience  had  supplanted  ambition. 
Through  the  dynamics  of  intense  desire  young  physicians^ 
have  occasionally  afforded  relief  where  men  of  more  extend- 
ed knowledge  have  created  a  lethal  atmosphere  by  keeping^ 
uppermost  the  impressian  of  the  end  as  they  saw  it  from  the 
beginning.  There  are  occasions  when,  although  science  is^ 
nonplussed,  one  may  not  say  nothing  more  can  be  done,  for 
no  man  dare  define  the  limitations  of  the  remedy  be  it  of  8t 


WHAT  IS  WORTH  WHILE  IN   MEDICINE?  465 

sul>st^a.iitial  or  imponderable  nature,  provided  it  be  adminis- 
tered, in  the  light  of  the  law. 

Ck>mmenting  on  the  title  character  in  that  appallingly 
hairia.li  product  of  the  limner's  art,  **The  Doctor,"  by  Luke 
IPildes,  a  noted  English  physician  is  reputed  to  have  said, 
that  as  lie  leans  over  the  sick  child,  the  * 'doctor"  is  saying 
to  himself:  *'Here  I  am,  knowing  that  I  have  done  no  good 
— hoping  that  I  have  done  no  harm."  Under  Homeopathy 
sucli  gruesome  ruminations  are  partically  nil.  This  is  worth 
:a  good  deal,  especially  in  time  of  sorrow  and  stress. 

According  to  Osier  there  are  four  trustworthy  drugs. 
Oliver  Wendell  Holmes  acknowledged  five,  while  conscien- 
tious old  school  practitioners  not  uncommonly  conclude  that 
the  majority  are  more  or  less  pernicious  and  of  little  positive 
^ood.  CJompare  with  this  dull,  gray,  futureless  fog  the 
gorgeous  array  of  the  polychrests.  Above  the  mists  of  sus 
picion  and  doubt  the  sun  of  Homeopathy  continues  to  shine 
-with,  undiminished  healing  power.  Consider  this  pitiful 
little  pile  of  siftings  through  the  allopathic  conscience  and 
tliexi  let  your  gaze  sweep  the  boundless  ocean  of  homeopathic 
realities,  the  more  remote  latitudes  of  which  the  physician's 
eye  batb  not  yet  seen. 

This  paper  is  not  to  be  construed  as  a  rabid  effusion  re- 
^ardlessly  extolling  Homeopathy.  It  is  presented  in  support 
of  a  principle  of  which  accredited  Homeopathy  represents 
t>ut  a  fractional  feature.  It  means  more  than  just  the  idea 
tihat  Homeopathy  is  the  best  thing  in  medicine  to-day;  and 
^o  far  from  being  transcendentalism,  these  are  demonstrable 
2knd  dependable  rock-bottom  facts.  They  are  continually 
Y>eing.  revealed,  and  are  themselves  developing  new  evidence 
Irx  support  of  the  teachings  of  the  masters  and  the  vast  ex- 
-t^nt  of  the  law;  hence  the  most  desirable,  because  most  en- 
<iiiriiig  possession  with  which  we  are  entrusted,  is  our  share 
ixi  the  compelling  truth  which  at  once  exemplifies  and 
^.ttracts  what  is  scientifically  best  and  worth  while  in  medi- 
-^^ine  or  in  its  practice. 


466  THE  MEDICAL  ADVANCE. 

LECITHIN:  A  PROVING.* 

By  J.  C.  Fahnestock,  M.  D.,  Piqua,  Ohio. 

The  lecithins  are  ethereal  compounds  which  result  from 
the  union  of  cholin  with  glycerin-phosphoric  acid,  in  which 
the  two  glycerin  hydroxl  groups  have  been  replaced  by 
fatty  acid  radicles. 

On  decomposing  the  lecithins  with  acids  or  alkalies  we 
accordingly  obtain  glycerin-phosphoric  acid,  fatty  alkalies 
and  cholin.  At  the  same  time,  however,  another  basic  sub- 
stance, neurin,  is  usually  found,  and  it  is  to  be  noted  that, 
in  contradistinction  to  cholin,  nfeurin  possesses  extremely 
toxic  properties.  It  results  from  cholin  through  the  loss  of 
two  atoms  of  hydrogen  and  one  of  oxygen,  and  is  also 
formed  during  bacterial  decomposition  of  the  lecithins  in 
the  presence  of  much  oxygen.  The  lecithin  which  is  most 
commonly  found  in  the  animal  body  is  the  cholin  compound 
of  distearyl-glycerin-phosphoric  acid. 

In  its  dry  state  common  lecithin  occurs  as  a  waxlike, 
plastic  mass,  which  is  soluble  in  alcohol  (at  40  or  50  C), 
ether  (less  readily),  chloroform,  benzol,  carbon  disulphide, 
and  in  fatty  oils,  while  in  water  it  is  insoluble.  Placed  in 
water  it  swells  and  becomes  pasty,and  on  microscopical  exami 
nation  it  will  be  noted  that  the  substance  occurs  in  the  form 
of  peculiar  droplets  and  threads,  which  are  generally  termed 
its  myelin  forms.  From  its  alcoholic  solution  it  crystallizes 
in  wart-like  masses,  which  consist  of  small  platelets. 

Of  special  interest  is  the  tendency  of  the  lecithins  to 
combine  with  the  albumins  to  form  more  or  less  stable  com- 
pounds, which  have  been  termed  lecithalbumins.  Such  com- 
pounds h^ve  been  found  in  the  mucosa  of  the  stomach;  in  the 
lungs,  the  liver,  and  the  spleen. 

In  the  yolk  of  eggs  it  occurs  with  vitellin,  but  is  here 
apparently  not  closely  bound.  A  certain  similarity  thus 
exists  between  the  lecithins  and  the  nucleins;  both  contain 
phosphorus  in  their  molecules,  and  both  combine   -with  the 


•Lecithins.— a   Text-Book  of  Physical  Chemistry,  by  Charles  £► 
Simon,  M.  D.    I^a  Brothers  &.  Co.,  1904,  pp  78-80. 


LECITHINS.  467 

albumins  to  form  more  complex  substances.  The  lecithins 
occur  widely  distribufed  in  both  the  animal  and  vegetable 
world.  According  to  Hoppe-Seyler,they  are  found  in  all  cells 
and  bodily  fluids.  They  are  especially  abundant  in  nerve 
tissue  and  in  the  eggs  and  semen  of  most  animals. 

W.  Koch  has  recently  pointed  out  the  probable  import 
in  the  life  cell  of  the  lecithins,  for  which  he  propw^es  the 
collective  term  lecithans,  and  summaries  his  conclusions  as 
follows:  1.  In  association  with  albumins,  in  colloid  solu- 
tions they  furnish  the  basis  for  the  establishment  of  the 
necessary  viscosity,  by  the  ease  with  which  they  (the  leci- 
thans) are  influenced  by  the  ions  (Na,  Ca).  2.  They  are 
concerned  in  the  metabolism  of  the  cell,  and  in  consequence 
of  the  presence  of  the  unsaturated  fatty  acids  they  take  part 
in  the  oxygen  metabolism  and  by  means  of  their  methyl 
groups  united  to  nitrogen  in  still  other  unknown  reactions. 

PROVINGS  OF  LECITHIN  (OVa). 

Mind:    Great  forgetfulness. 

Inability  to  think  or  do  mental  work. 

Low  spirited  and  irritable  all  the  time. 

Mind  wanders;  cannot  keep  mind  on  work;  great  forget- 
fulness. 

When  he  had  soreness  in  lungs,  he  became  very  much 
frightened  and  thought  he  would  have  serious  lung  trouble. 

Very  nervous  and  irritable. 

Mind  confused  and  very  slow  acting. 

Sensorium:    Dull  frontal  headache. 

Mind  in  state  of  confusion. 

Began  to  address  a  friend  thinking  she  was  some  one 
else>  with  a  general  confused  feeling  in  the  head. 

A  tired  feeling  in  the  brain  with  a  general  tired  ex- 
hausted feeling. 

Heavy,  dull  feeling  in  the  head,  drowsy  and  tired. 

Dull  heavy  ache  in  the  occiput,  with  a  general  nervous- 
ness with  quivering  over  the  entire  body. 

So  tired  and  nervous,  cannot  do  any  mental  or  physical 
work. 


468  THE  MEDICAL  ADVANCE.  ^ 

Inner  head:    Dull  pain  in  occiput. 
A  general  dull  feeling  in  the  head. 
Dull  pain  in  the  occiput  extending  down  the  spine. 
Dizzy  when  turning  the  head. 
Dulness  in  the  head  with  a  general  tited  feeling. 
Fulness  and  ache  in  head,  more  severe  through  temples 
and  occiput,  relieved  by  holding  the  head  back. 

Outer  head:    Dull  pressing  pains  in  temi>les. 

Dull  pressing  pains  in  occiput. 

Dull  pain  in  forehead  jiist  above  eyes. 

Pine  shooting  pains  in  temples  extending  to  eyes. 

Pinching  pain  in  left  temple. 

Eyes:    Soreness  of  eye  balls. 

Sticky  sensation  in  eyes  and  with  it  a  sensation  as  if 
molasses  had  been  poured  over  the  face. 

Ears:  Could  count  the' pulse  by  lying  on  right  side, 
beating  loud  in  right  ear. 

Ringing  in  ears.     Dulness  of  hearing. 

Nose:  Raw  sensation  in  nose.  Much  irritation  in  nose 
and  pharynx. 

Soreness  in  naso- pharynx. 

Face:    Pressing  pain  in  both  zygoma. 

Drawn  sensation  over  cheek  bones  with  sore  feeling  in 
eyes. 

Pace  pale.     Looks  as  if  had  a  severe  spell  of  sickness. 

Pelt  as  if  face,  were  varnished  over  or  smeared  with 
molasses. 

Tongue:  Coated  white.  Tongue  has  a  heavy  white 
coating  with  loss  of  appetite. 

Mouth.     Dry  mouth  with  thirst. 

Mouth  dry,  tongue  coated  white,  weakness  with  a  desire 
for  wine. 

Sour,  pasty  taste  in  mouth. 

Throat:  Heart  beat  so  rapidly  that  it  caused  a  short- 
ness of  breath  and  choking  sensation  in  the  throat.  Fever 
without  thirst. 


LECITHINS. 


M 


Sense  of  lump  in  stomach  which  seems  to  rise  to  the 
tttroat. 

Desire — Aversion:  Loss  of  appetite  with  much  belch- 
ing of  tasteless  gas.  Desire  for  coffee  which  relieves  tired- 
ness. 

Thirsty,  but  did  not  care  for  water;  was  so  tired,  wanted 
^wrine. 

Dishke  for  milk  since  the  proving,  of  which  have  always 
l>een  fond. 

Eating— Drinking:    Belching  after  eating. 

Belching  after  eating  with  burning  in  stomach. 

Loss  of -appetite.  Loss  of  appetite  for  breakfast,  some- 
-« thing  unusual. 

White  coating  on  tongue  with  loss  of  appetite. 

Nausea  and  Vomiting:  Nausea;  much  belching  of 
tapsteless  gas. 

Nausea  5:30  p.  m. 

Stomach;    Bloating  with  much  belching. 

Bloated  feeling  just  below  stomach  and  a  constant  desire 
to  belch. 

Burning  in  stomach,  with  fulness  and  much  belching  of 
gas. 

Sick  at  stomach,  with  thirst;  mouth  dry,  wanted  water 
but  did  not  drink  fearing  it  would  cause  vomiting. 

Sensation  as  if  lump  in  upper  part  of  stomach. 

Soreness  in  stomach  relieved  by  eating. 

Hypochondria:  Dull  pain  in  region  of  liver;  pain  in 
lower  right  side  of  abdomen. 

Pain  in  liver  worse  when  walking. 

Fulness  in  region  of  spleen. 

Sticking  pains  in  spleen. 

Abdomen:    Dull  pains  over  lower  abdomen. 

Shooting  pains  in  right  ovarion  region. 

Bloating  of  bowels  around  navel. 

Pain  in  abdomen  just  above  navel;  bowels  moved  freely, 
tout  this  did  not  relieve  pain  which  lasted  several  hours, 
JPullness  in  abdomen  with  passing  of  offensive  flatus. 


472  THE   MEDICAL  ADVANCE. 

Colicky  pain  around  navel,   followed  by  soft,  yellow 

stool. 

Cramps  in  bowels. 

Peeling  as  if  lump  under  sternum,  tender  to  touch. 

Sore  pain  through  lower   abdomen,  worse  on  right  side- 
Fulness  in  abdomen. 

Rumbling  in  bowels  with  colicky  pains. 

Stool:    Bowels  loose  with  much  flatus. 

Bowels  moved  very  copiously,  semi-solid,  yellow. 
\       Loose  yellow  stools  followed  by  constipation. 

Constipation    followed   by   diarrhea,    stools    dark   and 
slender. 

.  Stool  thin,  yellow  water. 

Stool  thin,  hot,  watery,  yellow  in  the  afternoon. 

Bowels  did  not  move  for  a  week,  then  dark  slender  stool. 

Sharp  pain  in  rectum  with  desire  for  stool. 

Urine:    Urine  scanty.     Increase  of  phosphates. 

Urine  dark  and  scanty. 

Produced  sugar  in  urine  in  four  provers. 

Urine  increased  in  quantity  in  three  provers. 

Albumen  in  urine.  Urine  very  dark  and  scanty,  one 
ounce  in  twelve  hours. 

Did  not  pass  urine  all  day,  when  did,  loaded  with  al- 
bumen, and  not  enough  to  take  specific  gravity.  Albumen 
specific  gravity  1030. 

Male  sexual  organs:  Sexual  organs  relaxed. 
Scrotum  relaxed.  Loss  of  sexual  power  for  three  weeks. 
One  prover  had  complete  loss  of  sexual  power,  not  one  erec- 
tion in  three  weeks. 

Female  sexual  organs:  Menses  delayed  four  days. 
When  it  made  its  appearance  there  was  much  pain  with  pix>- 
fuse  flow,  and  with  a  general  tired  feeling  and  a  nervous 
quiverin^^  over  the  entire  body 

Larynx:    Rawness  in  the  throat. 

Breathing:  Heart  beat  so  hard  that  it  caused  short- 
ness of  breath,  with  a  choking  sensation  in  the  throat. 

Cough:     Dry,  hacking  cough. 


LECITHINS,  473 

Dry  cough  in  latter  part  of  night  and  mornings. 

Dry  cough  all  evening  and  night  with  severe  headache. 

When  taking  an  extra  breath  it  causes  cough. 

Cough  with  pulse  100  and  temperature  100. 

Lungs:    Lungs  feel  sore,   but  have  not  taken  dold. 

When  coughing  lungs  feel  sore. 

Dry  cough  ^th  tight  sensation  in  chest. 

Soreness  and  congestion  in  right  lung  with  sharp  pain 
worse  when  coughing  and  when  taking  deep  breath.  Thought 
was  going  to  have  pneumonia. 

Heart — Pulse:  Pulse  accelerated  with  a  general  feel- 
ing of  weakness. 

Heart  beat  rapidly  which  caused  a  shortness  of  breath 
and  choking  sensation. 

Hard  beating  of  heart  in  evenings. 

Neck — Back:    Dull  pain  across  sacrum. 

Dull  pain  in  region  of  kidneys. 

Soreness  entire  length  of  spine.  Weakness  across 
small  of  back. 

Spine  feels  sore,  worse  stooping. 

Soreness  in  muscles  of  neck. 

(Constant  pain  in  small  of  back. 

Upper  limbs:    Tired,  fingers  felt  stiff  and  swollen. 

Pain  in  shoulder,  comes  and  goes  rapidly. 

Sharp  pains  under  left  scapula. 

Lower  limbs:  Pain  shooting  down  anterior  part  of 
thighs,  with  tiredness  of  limbs.  Weakness  in  legs,  especial- 
ly from  knees  down. 

Weakness  in  knees. 

Tired  feeling  in  knees  in  the  morning. 

Tired  in  knees  and  ankles.  When  walking  a  block  felt 
as  if  had  walked  miles;  tired  aching  in  ankles. 

Soreness  of  limbs  to  touch  as  if  bruised. 

Weak  in  the  knees  while  walking. 

Limbs  in  general:  A  general  weak,  tired  feeling, 
especially  from  the  knees  down.  Soreness  and  stiffness  in 
the  legs  as  if  had  walked  many  miles. 


474  THE   MEDICAL.  ADVANCE. 

Sorness  all  over  the  body.  Tired,  sleepy,  yet  unable  to 
sleep. 

Nerves:  Lack  of  energy,  with  sore,  tired  feeling. 
General  feeling  of  nervousness  and  a  quivering  over  the 
entire  body. 

Nervous  quivering  sensation  over  the  entire  body. 

Nervousness  and  weakness  preventing  sleeep.  Sore, 
tired,  and  nervous. 

Sleep:     Dreams  in  sleep,  awakened  very  tired. 

Dreams  of  traveling  and  was  tired;  was  obliged  to  take 
a  sleeper  in  day  time. 

Dream  of  pain  in  kidneys.  Found  myself  waking  often 
with  pain  in  kidneys;  change  position,  go  to  sleep  again  and 
repeat  the  same  dream. 

General  tired  feeling  in  the  morning. 

Was  aroused  from  sleep  11  p.  m.  with  colicky  pains  just 
below  stomach.  Restless  sleep,  awake  often  during  the 
night. 

Awake  with  pain  in  occiput  and  upper  spine. 

Cannot  sleep  the  latter  part  of  night. 

Dreams  the  same  thing  over  and  over  again,  awakened 
tired. 

After  sleep  feel  dull  pain  in  occiput,  pain  along  entire 
spine,  soreness  and  stiffness  over  entire  body. 

Awakened  1  a.  m.  and  could  not  go  to  sleeep  again. 

Awakened  2  a.  m.  with  sore  stiffness  across  sacrum. 

For  nights  in  succession,  was  aroused  2  a.  m.  and  could 
not  sleep;  could  not  lie  still  for  the  soreness  in  spine,  legs 
and  hips. 

Sore  and  tired,  could  not  sleep. 

Drowsy  all  afternoon. 

Chill — Fever :    Pulse  104,  temperature  100|,  5  p.  m. 

Chilled  while  undressing  to  go  to  bed. 

Chill  11  p.  m.,  had  to  apply  heat  and  extra  covers,  could 
not  sleep  for  two  hours. 

Fever  in  evening  with  headache  and  a  general  tired,  ex- 
hausted feeling.  Sweat  during  the  night  although  the  night 
and  room  were  cool.     Wakened  tired  and  exhausted. 


4 

1 

I 


MATERIA  MEDICA  VERIFICATIONS.  475 

Circulation  poor,  got  cold  in  bed  and  could  not  warm. 

Cliill  began  at  4  p.  m.,  and  lasted  until  7  p.  m.  Chill 
relieved  by  heat. 

Great  thirst  during  chill  with  very  frequent  and  profuse 
urination. 

Chill  followed  by  fever  and  then  sweat. 

Very  hungry  during  chill. 

Sore  pain  in  spleen. 


MATERIA  MEDICA  VERIFICATIONS. 

By  Rudolph  F.  Rabe,  M.  D.,  New  York, 

NATRUM   MURIATICUM. 

J.  M.,  age  24,  intermittent  fever,  contracted  while 
camping  at  the  lakes  in  northern  New  Jersey,  last  summer. 
Urwier  quinine  treatment  the  fever  disappeared  only  to  re- 
turn in  March  of  this  year.  When  first  seen  he  had  had  two 
attacks.     Gype  Tertian. 

Chill  at  10  a.  m.,  preceded  by  yawning  and  stretching, 
beginning  in  lumbar  region  and  relieved  by  covering. 

During  entire  paroxysm  much  thirst,  also  nausea  and 
vomiting  of  bile. 

Severe  frontal  headache,  throbbing  in  character. 
Frequent  micturition  with  burning. 
During  the  heat;  uncovers. 

After  heat  profuse  sweat  all  over  body  with  gradual 
amelioration  of  symptoms. 

Bitter  taste  and  offensive  breath. 
During  paroxysm  much  backache  in  lumbar  region. 
March  21.     Natrum  mur.  200,  three  doses  at  intervals  of 
two  hours,  after  a  paroxysm. 

The  next  attack  on  March  23,  was  very  mild,  consisting 
of  slight  heat  and  headache,  no  chill  or  sweat. 

On  March  25;   nothing  but  a  slight  vertigo  was  felt. 
On  April  3;   a  slight  chill,  followed  by  a  little  heat,  oc 
purred,  no  medicine  was  given. 

On  April  12;  there  was  a  very  slight  attack.  This  was 
the  last.  But  one  administration  of  the  Natrum  mur.  was 
made,  that  on  March  21. 


476  THE  MEDICAI.  ADVANCE. 

ALUMEN. 

Mr.  S.,  to  whom  a  dose  of  Lycopodium  cm.  had  been 
given  for  a  mild  tonsolitis  and  who  had  previously  dosed 
himself  with  laxative  bromo-quinine,  a  week  later  com- 
plained of  the  following  symptoms: 

Dryness  of  the  throat,  as  though  he  had  gargled  with 
alum. 

Tickling  at  the  posterior  wall  of  the  pharynx. 

Thick,  yellow  discharge  from  posterior  nares  mornings. 

Dryness  of  palate  on  swallowing. 

Chilly  sensation  on  the  back  as  though  cold  water  were 
running  down  the  spine. 

No  appetite,  no  desire  to  smoke. 

A  few  powders  of  Alumen  60x  at  intervals  of  24  hours, 
cured  promptly. 

HAMAMELIS. 

Mrs  W.,  in  fifth  month  of  first  pregnancy  complained  of 
pain  in  both  lower  limbs.  Examination  showed  marked 
swelling  of  the  veins,  with  much  soreness  and  sensitiveness 
to  touch.  Pain  <  by  being  much  on  her  feet,  not  quite  so 
bad  when  walking.  HamameliS  1000  (Skinner),  four  doses  a 
day  for  two  days,  brought  prompt  relief. 

One  month  later  a  commencing  return  of  the  pain  was 
quickly  abolished  by  a  repetition  of  the  same  remedy  in  the 
same  potency  and  dose.  There  has  been  no  pain  since  and  coa- 
finement  is  expected  within  three  weeks. 

KALI  SULPHURICUM. 

Theo.  K.,  age  2  years,  has  had  a  left  sided  otitis  media. 
Pulsatilla  has  failed  to  cure  the  subsequent  discharge.  This 
is  thick  and  yellow  and  at  first  caused  a  slight  excoriation  of 
the  skin.  At  night  during  sleep,  dry  choking  cough.  Nose 
obstructed  but  no  discharge;  breathing  through  nose  is  noisy. 
Kali  Sulph.  6x  four  times  a  day  cured  within  ten  days. 

CARBO  VEGETABILIS. 

F.  L.,  age  5  years,  right-sided  otorrhoea  of  five  weeks 
duration,  the  result  of  an  acute  otitis  media  during  an  attack 
of  measles.    No  treatment    during  this    time.*  Discharge 


CENTRAL  NEW  YORK  SOCIETY.  477 

yellow,  no  odor,  no  pain.     Carbo.  Veg.,  500,  (B.  and  T.)  one 
dose,  cured  within  five  days. 

The  power  of  potentized  "common  salt  over  intermittent 
fever,  when  homeopathically  indicated,  is  positive.  The 
symptoms  have  been  verified  by  Hahnemannians  over  and 
over  again.  The  action  of  the  single  dose  is  no  less  striking. 
Of  interest  is  the  action  of  common  witch-hazel,  Hamamelis, 
overcoming  a  condition  the  cause  of  which  (pregnancy)  had 
not  been  removed.  Bruised  soreness  is  the  key-note.  The 
potency  alone  is  all  sufficient. 

.  No  less  marked  is  the  beneficial  action  of  Kali  Sulphuri- 
cum  in  the  sixth  decimal  potency.  The  200th  or  higher  will 
do  the  same  work  and  in  a  more  artistic  manner,  but  one 
dose  being  required.  This  is  shown  by  the  rapid  action  of  the 
Carbo  Vegetabilis  500,  in  the  last  case.  This  has  been  re- 
peatedly verified.  In  sequele  of  measles  do  not  forget  Carbo 
Veg.  In  the  Hamamelis  case,  the  frequent  repetition  of  the 
remedy  is  open  to  criticism.  One  dose  will  answer  just  as 
•well,  having  done  the  work  in  other  similar  cases.  We  are 
given  to  indulging  in  experiments — at  times. 


CENTRAL  NEW  YORK  HOMEOPATHIC  MEDICAL 
SOCIETY. 

Syracuse,  New  York,  The  Vanderbilt,  March  13,  1908. 

The  quarterly  meeting  was  called  to  order  by  the  Vice- 
President,  Dr.  J.  M.  Keese,  at  12:30  p.  m. 

Members  present:  Drs.  Beck,  Bresee,  Grant,  Hoard, 
Keese,  PoUette,  Leggett.     Visitor:    Dr.  Fowler. 

Minutes  of  the  December  meeting  read  and  approved. 

The  chairman  of  the  Board  of  Censors  presented  the 
name  of  Dr.  W.  F.  Fowler,  Rochester,  N.  Y.,  as  applicant 
for  membership. 

The  §  §  51-56  inclusive,  of  the  Organon,  were  read  by 
Dr.  Grant. 

The  paper  on  these  sections,  written  by  Dr.  Glenn  I. 
Bidwell,  was  read  by  Dr.  Grant. 

Organon  §  ^  51-56. — The  sections  we  have  before  us  to- 
day for  consideration,    contain  many    virile  truths,    which 


478  THE   MEDICAL   ADVANCE. 

offer  much  food  for  thought.  The  best  we  can  hope  to  do 
with  such  a  lengthy  portion  of  the  Organon,  in  the  short 
time  allotted  to  this  part  of  the  program,  is  to  look  over  some 
of  the  many  truths  expressed  therein. 

§  51. — The  homeopath  has  as  a  weapon  with  which  to 
combat  disease,  all  things  in  nature-     Even  with  the  count- 
less number  of  nostrums  being  foisted  upon  the  profession 
today  by  the  manufacturing  chemist,  the  allopath  has  not 
the  one  hundredth  part  the  number  of  drugs  which  are 
available  to  the  homeopath,  if  he  will   only   use   the  brains 
nature  provided  him  to  delve  out  the  curative  element.    It 
is  the  trouble  with  the  profession  today  that  we  are  not 
doing  anything  to  further  advance  the  cause   of    Homeo- 
pathy,   What  single  drug  are  we  proving  to  place  in  the 
hands  of  those  who  follow  us?    Not  one!    Rather  we  are 
raising  a  great  hue  and  cry  about  undoing  the  great  and 
glorious  work  done  by  the  fathers  'of  Homeopathy.    Why 
are  they  doing  this?    Is  it  because   t-ie  old   provings  are 
false?    No!  .  Because  the  remedies  fail  to  cure  when  given 
on  their  present  symptomatology?     Again  no!    Why,  then? 
Simply  because  the  present  work  is  no  place  for  drones  or 
lazy  men;  simply  because  they  cannot  find  sanction  in  these 
great  works  for  their  slovenly  prescriptions  and  mongrel 
practice.     If  they  would  spend  half  the  time  employed  in 
calamity  howling  and  yells  for  a  new  materia  medica,  in 
studying  the  one  we  already  have,  and  in  using  this  know- 
ledge homeopathically,  the  wailings  would  cease,  and  the 
combination  tablet  houses  would  go  to  the  wall.  Let  us  take 
a  brace,  stop  being  sponges,  and  do  something  for  those  who 
are  to  follow.     Let  this  society  do  something  in  its  small 
way.     Let  us  prove  one  new  drug  this  coming  year  so  we 
can  add  another  weapon  to  our  armamentarium,  and  leave 
something,  as  a  monument,  which  will  live  in  the  minds  of 
our  profession  long  after  our  faces  and  peculiarities  have 
been  forgotten. 

§  52. — Hahnemann  tells  usof  the  fatal  results  of  palliative 
work  and  excessive  use  of  allopathic  drugs.  We  know  this, 
and  hardly  a  day  passes  which  does  not  bring  us  some  victim 


CENTRAL  NEW  YORK  SOCIETY.  479 

of  such  work.  But  there  is  another  point  to  be  remembered 
which  is  brought  home  to  us  more  forcibly  than  it  was  in 
Hahnemann's  time,  and  that  is:  the  disease  picture  can  be 
obscured  just  as  completely,  and  much  more  lastingly,  by 
the  indifferent  and  careless  use  of  the  potencies,  as  by  old 
school  drugs. 

With  a  good,  carefully  taken  case,  a  prescriber  can  dig 
around  and  see-saw  to  a  cure  by  counteracting  the  effects  of 
old  school  drugging;  but  God,  the  devil,  or  whoever  it  may 
be,cannot  dig  under  a  case  masked  by  the  indiscriminate  use 
of  potencies. 

An  error  to  which  we  all  are  liable,  and  I  know  as  far  as 
I  am  concerned,  the  one  I  have  to  fight  the  hardest,  is  that 
of  giving  a  remedy  too  quickly;  that  is,  making  a  too  hasty 
prescription.  We  must  be  more  careful  about  this  in  our 
chronic  cases,  for  mayhap  a  wrong  remedy,  even  in  the 
single  dose,  may  hinder  our  ultimate  cure  many  weeks.  If 
you  are  not  sure  of  your  prescription  give  the  second  best 
remedy,  Sac.  lac,  until  you  are  reasonably  sure. 

Leaving  you  with  these  two  thoughts,  gleaned  from  the 
sections  of  today's  program,  I  hope  to  stimulate  the  members 
of  this  society  to  better  and  more  accurate  work  along  these 
lines,  which  in  itself  will  bring  its  own  reward,  far  greater, 
perhaps,  than  we  even  dare  imagine. 

That  which  impressed  Dr.  Grant  the  most  while  reading 
the  sections  was  '*  how  emphatic  Hahnemann  was  in  stating 
that  simillia  was  a  laiv."  He  said  that  few  realized  this  fact 
in  Homeopathy.  He  said  .that  the  men  who  built  homeo- 
pathy, the  men  most  instrumental  in  the  advance  of  homeo- 
pathy, Tiever  had  the  slightest  doubt  that  it  was  a  law.  He 
said  that  today  in  prominent  societies,  in  the  state  society, 
etc.,  we  often  heard  the  doubt;  that  it  was  a  method,  a  rule 
of  cure,  etc.,  was  admitted,  but  that  it  was  a  law  of  cure 
none  seemed  ready  to  acknowledge. 

To  Dr.  Grant's  mind  there  was  no  doubt  that  it  was  a  law 
of  cure.  He  said  of  the  many  cures  made  with  the  ciude 
dmg  that  they  were  cures  only  because  they  were  homeo- 


433  THE   MEDICAL   ADVANCE. 

pathic  to  the  case;  moreover  he  believed  that  Homeopathy 
was  the  only  law  of  cure. 

Dr.  Hoard  considered  that  one  great  proof  of  the  truth 
of  Homeopathy  was  the  reliability  of  the  old  books.  Havmg 
been  presented  with  several  volumes  of  the  old  authors, 
among  them  Jahr,  he  was  impressed  with  the  truth  of  them, 
and  that  they  were  as  true  to  our  needs  of  today  as  if  writtea 
for  today,  and  were  as  true  a  hundred  years  ago  as  they 
are  today. 

Dr.  Grant  had  hoped  that  Dr.  Hoard  would  go  a  step 
further  and  note  the  value  of  allopathic  works  of  fifty  years 
ago,  aye  even  ten,  as  they  are  certainly  not  worth  shelf 
room,  therapeutically. 

Dr.  Beck  had  an  allopathic  friend  with  whom  he  often  had 
discussed  the  values  of  provings  made  by  Hahnemann  more 
than  a  hundred  years  ago,  and  who  would  not  admit  that 
there  was  in  therapeutics  a  law;  his  answer  for  the  therapeu- 
tic changes  in  allopathy  was  that  it  was  science,  which 
either  advanced  or  retrogaded,  his  argument  being,  that  if  a 
better  method  was  discovered,  why  not  use  ? 

Dr.  Beck  said  to  him:  **If  Homeopathy  is  false,  why  not 
tear  it  down,  and  to  that  you  are  no  nearer  than  a  hundred 
years  ago.'* 

Dr.  Fowler  suggested  that  this  condition  of  change,  etc.^ 
originated  in  drug  houses,  new  goods  were  placed  on  the 
market,  they  were  tried,  and  others  the  same.  He  thought, 
also,  a  reason  for  using  the  new  was  the  dissatisfaction  with 
the  old,  for  which  there  was  no  guide. 

Dr.  Hoard  moved  that  the  Secretary  be  appointed  at 
Committee  on  Resolutions  concerning  the  late  Joseph  A. 
Biegler,  a  member  of  the  Central  Society,  and  report  the 
same  at  the  next  meeting.  Seconded.  Carried.  Adjourned 
for  lunch. 

Called  to  order  by  the  Vice-President,  Dr.  Keese,  the 
meeting  proceeded  to  the  subjet  of  the  day,  Tuberulosis. 

Dr.  Grant  read  the  paper  on: 

EARLY  DIAGNOSIS  OP  TUBEUCUL.OSIS  BY   Dr.  W.  E.   DRAKE. 

Believing  that  the  subject  of  hygiene  of  tuberculosis 


CENTRAL  NEW  YORK  SOCIETY.  481 

requires  considerable  more  time  for  elaboration,  and  is 
essentially  important  at  this  time  when  there  are  such 
stringent  measures  being  taken  for  the  control  and  obliter- 
ation of  the  *'  White  Plague,"  and  in  that  my  time  for  work, 
other  than  professional,  has  been  and  is  very  much  limited, 
I  shall  write  particularly  of  **  Early  Diagnosis  of  Tuber- 
culosis," deferring,  if  permissible,  to  your  Committee  of 
Arrangement,  my  paper  on  the  division  of  **Hygieneof 
Tuberculosis  "  to  the  next  meeting. 

In  order  that  our  treatment,  or  the  treatment  of  tuber- 
culosis, shall  be  effective  and  curative,  it  must  be  our  chief 
aim  to  diagnosis  tubercular  cases  early;  not  so  much  to 
facilitate  the  prescription  of  a  remedy,  but  so  that  we  may 
start  our  patient  out  on  a  new  road  of  living;  to  change  his 
manner  or  methods  of  living,  as  to  diet,  fresh  air,  exercise, 
etc.  If  we  are  able  then  to  understand  the  tendency  of  our 
patient,  we  are  thus  able  to  alleviate  and  break  up,  if 
possible,  the  inroad  of  this  dreadful  malady  upon  his  con- 
stitution. 

We  are  handicapped  greatly  by  this  disease  in  that  it  is 
very  apt  to  creep  on  insidiously,  until  it  has  become  quite 
deeply  seated  and  rooted  before  it  has  manifested  itself  by 
sufficient  number  of  symptoms  to  cause  the  patient  to  call 
upon  a  physician  for  relief.  Even  then  the  symptoms,  to 
many  physicians,  are  not  potent  enough  to  warrant  him  in 
making  a  diagnosis  of  tuberculosis:  I  regret  to  say  that 
many  of  us  are  inclined  to  be  a  trifle  careless  with  these 
early  cases,  and  neglect  to  get  down  to  the  bottom  of  the 
case;  to  use  at  our  hand  the  many  devices  to  'Ad  our  methods 
of  diagnosis,  and  to  inquire  into  the  history  of  the  patient. 
Many  persons  may  not  have  a  history  of  a  tuberculous 
family  or  relatives,  but  they  may  have  the  psoric  miasm 
rampant  in  nearly  every  member,  which  is  a  fine  culture 
medium  for  the  reception  and  development  to  its  end  of  the 
tubercule  bacillus. 

In  order  that  we  may  make  early  diagnosis,  and  do  the 
most  we  can  for  tubercular  subjects, we  must  not  neglect  to  use 
every  means  we  can  to  determine  the  actual  condition  of  the 


482  THE  MEDICAL  ADVANCE. 

patient.    The  moral  for- us  to  draw  is:     **Take  the  case 
properly." 

Tuberculosis  is  a  general  term,  and  there  are  many 
varieties  or  subdivisions.  I  shall  here  give  the  symptoms 
and  conditions  as  we  find  them  in  an  incipient  attack  of 
pulmonary  phthisis: 

First:  The  patient  complains  of  a  sensation  of  languor 
or  weakness,  loss  of  appetite,  loss  of  weight,  shortness  of 
breath,  unhealthy  color  (particularly  paleness),  indigestion 
and  constipation.  He  complains  also  of  night  sweats,  chilli- 
ness and  fever.  Cough  and  expectoration  may  even  be  very 
slight.  An  examination  of  the  chest  may  be  negative,  or 
show  but  indistinct  signs  for  diagnosing  phthisis. 

An  attack  of  incipient  phthisis  may  be  ushered  in  by  an 
hemoptysis,  and  if  this  symptom  occurs,  we  have  evidence, 
unless  there  are  other  corroborating  symptoms  of  some  other 
malady,  to  diagnose,  or  at  least  to  be  suspicious  of  a  tuber- 
culosis. Even  though  we  have  the  symptom  of  an  attack  of 
hemoptysis,  we  may  not  be  able  to  find  coexisting  lesion  in 
the  chest  by  physical  examination. 

Many  times  the  stomach  and  intestines  give  us  symptoms 
so  prominent  that  we  may  be  misled  to  diagnosis  some  stomach 
disorder  when  probably  these  gastro-intestinal  symptoms  are 
a  part  of  the  attack  of  phthisis  in  its  early  stages. 

The  pleurisy, of  common  complaint,  may  be  a  symptom  of 
the  disorder,  and  not  as  many  believe,  a  disease  per  se.  At 
times  these  pleural  symptoms  are  followed  sooner  or  later  by 
pulmonary  symptoms,  and  then  a  subsidence  for  a  varying 
time,  only  to  be  renewed  again. 

The  tuberculous  glands  may  precede  for  a  long  time  and 
show  a  latent  tubercular  element  at  work.  The  fever,  chills, 
and  sweats  may  be  intermittent  in  character,  and  sometimes 
lead  to  a  wrong  diagnosis  of  malaria.  As  I  said  earlier,  the 
disease  often  creeps  on  insidiously,  and  we  have  cavity 
formation  when  the  patient  comes  for  a  treatment  for 
bronchitis. 

Phthisis  sometimes  starts  as  a  laryngeal  trouble,  and  the 
thought  of  a  latent  tubercular  infection  does  not  enter  the 
physician's  mind. 


CENTRAL  NEW  YORK  SOCIETY.     "  483 

The  physical  examination  of  the  chest  may  reveal  to  us 
a  great  deal,  or  it  may  be  quite  negative  in  these  incipient 
cases.  However,  by  inspecting  the  chest  we  find  it  shallow, 
and  in  having  the  patient  take  a  long  inspiration  we  might 
notice  unequal  expansion  of  the  chest  walls,  either  local  or 
general. 

Percusssion  may  elicit  some  dullness  in  spots,  particu- 
larly the  right  apex. 

Ausculation  shows  moist,  fine  or  crackling  rales  over  this 
so-called  spot,  or  area  of  consolidation,  particularly  notice 
able  at  the  end  of  inspiration.     The  breath  sounds  of  expir- 
ation may  be  long  and  high  pitched,  and  the  respiration 
somewhat  irregular. 

Vocal  fremitus  is  increased  over  the  area  of  dullness. 
^  These  symptoms  and  conditions,  if  not  controlled  by 
methods  of  treatment,  gradually  develope  into  the  advanced 
stages. 

DISCUSSION. 

Presenting  the  subject  for  discussion.  Dr.  Keese  said 
that  the  "Early  Diagnosis  of  Tuberculosis  "  was  a  subject  of 
both  interest  and  importance. 

Dr.  Grant  was  disappointed  in  that  the  paper  stopped 
short  of  a  discussion  of  the  two  methods  of  diagnosis  at  pre- 
sent so  popular,  i.  e.,  serum  injections  and  the  X-Ray.  He 
said  that  the  method  of  diagnosis  by  inoculation  of  the  tuber- 
culous product  had  been  widely  discussed  pro  and  con,  in  re- 
lation to  both  the  human  and  animal  organism.  In  his  opinion 
the  results  were  not  conclusive.  He  said  it  had  been  shown 
again  and  again  that  the  rise  of  temperature  following  in- 
oculation in  cattle  was  not  always  indicative  of  tuberculosis, 
as  the  post-mortem  often  showed  no  infection  whatever.  He 
believed  that  such  an  injection  in  a  patient  of  tubercular  dia- 
thesis might  fix  upon  him  the  disease  itself,  and  so  induce  a 
fatal  condition.  He  said  that  farmers  from  all  over  the 
country  had  proved  that  inoculation  had  ruined  the  very 
best  of  their  herds  by  developing  what  at  most  was  a  latent 
diathesis. 

Of  the  second  means  of  diagnosis  of  pulmonary  tuber- 


484  THE  MEDICAL  ADYANCE. 

culosiSjhe  believed  that  the  X-Ray,  when  confirmed  by  other 
symptoms,  gave  the  most  promise.  He  suggested  that  Dr. 
Johnson  be  asked  for  his  experience  in  this  connection  at  the 
next  meeting  of  the  society. 

Dr.  PoUette  had  read  an  article  on  the  value  of  Tuberculin 
(Koch)  as  a  means  of  diagnosis  of  tuberculosis.  The  writer's 
conclusion  was,  that  as  a  method  of  diagnosis  results  were 
doubtful,  while  in  a  well  marked  case  of  tuberculosis  it  was 
a  very  dangerous  remedy. 

Dr.  PoUette  said,  that  in  practice,  if  diminished  reson- 
ance, increased  resistance  to  finger  and  fine  rales  are  found, 
what  more  is  wanted  in  early  diagnosis  of  tuberculosis?  That 
these  symptoms  were  discoverable  before  the  baccili,  but 
that  it  was  not  an  easy  matter  for  the  general  practitioner 
to  discover  these  signs,  except  he  had  given  special  attention 
to  physicial  diagnosis. 

In  the  case  of  a  young  school  teacher,  several  able 
physicians  made  diagnosis  of  tuberculosis,  and  had  the 
patient  ready  to  go  to  the  woods.  The  patient  had  a  dry 
cough,  some  loss  of  flesh,  and  a  bad  family  history.  The 
family  history,  cough,  emaciation,  were  without  doubt,  the 
factors  by  which  those  physicians  arrived  at  a  diagnosis. 
Dr.  PoUette  could  not  detect  any  change  in  the  lung,  except 
a  slight  bronchial  catarrh.  Phosphorus  Im,  2  doses  cured 
the  case  without  giving  up  her  position. 

Dr.  PoUette  considered  the  deposit  and  bacilli  a  later  de- 
velopment in  the  progress  of  tuberculosis,  and  that,  un- 
doubtedly, many  cases  were  cured  before  that  stage  was 
reached.  He  was  skeptical  as  to  bacilli  being  the  cause  of 
the  disease,  but  thought  it  duo  to  a  preceding  disturbance  of 
the  vital  force,  which  led  to  a  deposit  and  bacilli. 

Dr.  Leggett  agreed  with  Dr.  PoUette,  that  the  deposit 
and  bacilli  were  late  developments  in  the  progress  of  the 
disease. 

Dr.  Beck  had  used  Tuberculinum  1  mm.  to  1  cc.  of  dis- 
tiUed  water  and  infused  two  or  three  drops  into  the  eye  pf 
a  suspected  case,  and  noted  the  following  results: 

Case  A.    A  marked  reaction  (inflammatory),  took  place 


CENTRAL  NEW  YORK  SOCIETY  4    ^ 

within  twenty-four  hours,  and  lasted  for  three  or  four  days. 

This  case  was  not  diagnosed  in  the  laboratory  until  some 
time  later. 

Case  B.  The  same  patient  about  four  months  later,  the 
same  experiment  was  made.  The  result  was  negative, 
although  he  did  have  tuberculosis,  as  the  germs  were  found 
in  the  sputum. 

Case  C.  In  this  case  we  simply  had  a  number  of  symp- 
toms that  might  be  indicative  of  almost  any  trouble,  such 
as  malaise,  anorexia,  loss  of  weight,  cough.  Physical  ex- 
amination was  negative;  pathological  examination  was  nega- 
tive. Family  history  was  not.  good.  But  the  eye  gave  a 
positive  test.     This  case  a  year  later  died  from  tuberculosis. 

Case  D.  A  young  lady  who  was  working  in  one  of 
the  department  stores  in  the  city.  This  case  had  all  the 
clinical  symptoms  of  tuberculosis.  The  eye  test  was  positive. 
The  case  went  south,  and  four  months  later  the  experiment 
was  again  performed.  The  result  was  negative.  The  sputum 
was  examined,  was  positive.  Blood  count  was  made,  and  a 
marked  improvement  was  found.  The  case  again  returned 
to  the  south  for  six  months,  and  is  now  back  in  Rochester, 
and  to  all  appearances  is  enjoying  robust  health. 

The  precautions  to  be  observed  in  instilling  Tuberculin 
in  they  eye  are  as  follows:  We  must  have  an  eye  as  near 
perfect  as  possible.  By  that  I  mean,free  from  any  inflamma- 
tory conditions  and  abrasions  of  the  cornea,  etc.,  because,  if 
not,  we  might  set  up  a  condition  there  that,  to  say  the  least 
would  be  very  aggravating  to  treat,  if  not  really  dangerous. 
Personally,  I  do  not  think  that  the  instillation  of  the  drops 
in  a  normal  eye  of  a  healthy  person  can  causQ  any  systemic 
trouble,  because  the  following  experiment  has  more  than 
convinced  me.  Three  drops  of  Tuberculin  were  infused  in 
the  eye  of  a  perfectly  healthy  subject,  without  any  bad  re. 
suits,  simply  a  slight  irritation  was  caused  to  the  eye,  which 
was  immediately  relieved  by  bathing  the  eye  with  a  warm 
solution. 

Dr.  Grant  questioned  the  evidence  of  bacilli;  he  had 
had  a  case  from  which  both  himself  and  other  capable  phys- 


486  THE  MEDICAL  ADVANCE. 

icians  had  repeatedly  taken  cultures  and  found  no  bacLMli, 
although  the  case  was  unquestionably  one  of  advanced  p  nil- 
monary  tuberculosis.  He  said  the  same  was  true  of  bCDth 
diphtheria  and  typhoid;  cases  were  often  found  without  t=:he 
specific  bacilli  of  the  disease,  who  just  as  certainly  died-  of 
those  diseases. 

Dr.  Fowler  believed  that  hygienic  measures  should  be 
instituted  in  all  presumptive  or  suspicious  cases. 

Dr.  Hoard  had  lately  cured  two  cases  of  tabes  mes^cn- 
terica,  one  a  girl  of  fourteen  years,  the  other  a  boy  of 
sixteen,  that  had  been  diagnosed  as  * 'walking"  typhoid. 

Dr.  Beck  mentioned  the  cures  sometimes  obtained  by 
opening  the  abdomen  in  cases  of  tuberculosis  of  the  peri- 
toneum. 

Dr.  Fowler  confirmed  the  statement  by  saying  it  often 
relieved  the  entire  condition. 

Dr.  Keese  read  the  published  report  of  Dr.  Darlingtx)n, 
the  present  New  York  Health  Officer,  who  was  active  in  the 
late  efforts  to  prevent  the  spread  of  the  great  white  pleague. 

Dr  Keese  quoted  him  as  "advocating  information  of  the 
condition  given  directly  to  the  patient,  also  to  inform  him 
that  his  condition  was  curable,  and  of  the  best  means  to 
make  it  so,  i.  e.,  plenty  of  fresh  air,  sunshine,  and  goodfoodr' 
Dr.  Darlington  also  recommended  careful  registration,  free 
examination  of  sputum,  disinfection  of'living  apartments,and 
renovation  after  occupation;  especially  did  he  insist  upon 
the  care  and  proper  disposal  of  the  sputum,  the  prevention 
of  the  foul  habit  of  expectoration  by  those  not  known  to 
have  tuberculosis,  and  enforcement  of  the  laws  pertaining 
to  the  latter  habit. 

Dr.  Hoard  repoiled  the  finding  of  the  gonococcus  in  a 
patient  with  fibroid  tumor,  who  reported  an  infection  20 
years  before. 

The  committee  upon  subjects  for  the  next,  or  June, 
meeting,  reported: 

Organon,  Section  57,  Dr.  Bresee. 

Hygiene  of  Tuberculosis,  Dr.  Dake. 

X-Kay  as  diagnostic  of  Tuberculosis,  Dr.  Johnson. 

Therapy  of  Tuberculosis,  Dr.  Hussey. 

Microbe  vs.  Miasm,  Dr.  Leggett. 

Adjourned.  .    Dr.  S.  L.  Guild-Leggett,  Secy. 


COMPLEMENTARY  RELATIONSHIPS.  487 

COMPLEMENTABT  RELATIONSHIPS. 

By  W.  H.  Freeman,  M.  D.  ■ 

Nux  is  followed  well  by  many  remedies,  especially  so 
by  Bry.,  Puis.,  Phos.,  Sep.  and  Sulph.,  and  it  is  well,  there- 
fore, to  bear  these  latter  in  mind  when  the  case  is  no  longer 
helped  by  Nux.  ; 

Sulphur  is  the  chronic  of  Nux,  according  to  the  books. 
The  same  can  be  said  of  Phos.  and  Sep.,  which  also  hold  a 
chronic  relationship  to  Nux. 

Phos.,  Sepia  and  Sulphur  are  strikingly  similar  in  many 
respects  and  they  follow  each  other  well.  Frequently  all 
three  will  be  needed  in  the  treatment  of  a  difficult  case — 
one  after  the  other  in  single  file, 

Nux  is  frequently  the  necessary  starter  for  the  others, 
or  it  may  be  necessary  as  a  corrective,  adjunct,  or  antidote. 
Nat.  mur  cases  often  need  Sep.  or  Phos.,  or  both,  later  pn 
— these  three  follow  each  other  well. 

Sulphur  acts  especially  well  as  an  intercurrent  in  many 
cases,  (when  Sulphur  symptoms  are  present),  especially  so 
in  cases  that  have  been  helped  but  not  cured  by  such  reme- 
dies as  Aconite,  Aloe,  Nux,  Phosphorus,  Psorin,  Sepia  and 
Silica. 

Phus  and  Sepia  are  antidotal  and  therefore  complemen- 
tary— in  fact,  strange  as  it  may  seem,  nearly  all  antidotal 
remedies  are  also  strongly  complimentary  and  follow  each 
other  well  and  vice  versa. 

Sepia  and  Calcarea  are  similar  in  most  of  their  symp- 
tomatology, though  supi)osed  to  represent  entirely  different 
types  of  patients.  They  are  frequently  complementary  and 
necessary  after  each  other  and  are  mentioned  here  to  cor- 
rect the  baneful  and  erroneous  idea  of  many  that  the  com- 
plexion and  type  can  be  relied  upon  in  choosing  between 
remedies.  If  such  were  the  case  it  would  be  possible  to 
change  the  thin,  scrawny,  nervo-bilious,  irritable  brunette 
into  a  fat,  flabby,  flaxen-haired,  leucophlegmatic  blonde  with 
a  few  doses  of  Sepia.  Only  when  the  temperamental  condi- 
tion and  the  peculiar  complexion  of  the  patient  is  the  result 
of  disease  and  a  part  of  the  morbid  group  of  symptoms  you 


488  THE  MEDICAL  ADVANCE. 

are  about  to  treat  is  it  of  value  or  otherwise  than  a  detri- 
ment, if  considered  in  making  a  choice  between  remedies. 

If  we  are  guided  by  the  morbid  symptomatology  alone 
we  will  almost  as  often  find  Calcarea  indicated  in  the  so- 
called  Nux  and  Sepia  or  Phosphorus  types  of  cases  as  in  the 
fat  and  flabby  blondes. 

Though  there  is  undoubtedly  something  of  slight  value 
in  this  type  and  temperament  idea,  the  best  method  in  accu- 
rate prescribing  is  to  forget  it — especially  if  one  is  a  novice. 
It  is  responsible  for  a  great  many  bad  prescriptions  and 
spoiled  cases. 

Calcarea  is  frequently  indicated  after  Sulphur  and 
especially  so  in  the  thin^  scrawny^  irritable  brunette  tcUh 
miUoio  complexion  and  tubercular  tendency.  Emaciation  is  a 
good  indication  for  Calcarea,  just  as  much  so  as  fat,contrai7 
opinions  notwithstanding. 

Lycopodium  follows  well  and  is  frequently  indicated 
after  Calcarea,  especially  after  the  case  has  been  helped  by 
Sulphur  and  Calcarea.  Lycopodium  and  Calcarea  follow 
each  other  well,  either  in  front  or  behind,  according  to  the 
way  the  symptoms  show  up  at  time  of  prescribing. 

When  Sulphur  is  indicated  by  the  Symptoms  but  does  not 
-work,  Psorinum  is  usually  the  remedy  needed.  One  dose  of 
Psorinum  is  usually  also  sufficient  and  repetition  is  usually 
unpleasant  and  harmful  for  the  patient.  When  after  Psor- 
inum the  patient  ceases  to  improve.  Sulphur  will  usually  be 
the  remedy  to  now  carry  on  the  work,  provided,  of  course, 
that  the  symptoms  have  not  changed  so  as  to  call  for  some- 
thing different.  It  would  be  foolish  and  unpleasant  to  give 
Sulphur  if  the  patient  came  down  with  a  Belladonna  or 
Gelsemium  grippe. 

Mercury  and  Causticum  are  also  to  be  considered  when 
Sulphur  will  not  work  under  certain  circumstances. 

Always  think  of  Psorinum  when  the'patient  gives  a  his- 
tory of  scabies,  especially  if  other  remedies  have  failed  you. 
Such  a  patient  will  usually  need  a  dose  of  Psorinum  sooner  or 
later,  only  don't  prescribe  It  empirically  or  expect  it  to  cure 
bim  of  anything  and  everything  to  the  exclusion  of  other 


COMPLEMENTARY  RELATIONSHIPS.  489 

indicated  remedies.  Such  patients  will  need  an  intercurrent 
for  defective  reaction  some  time  or  other,  and  ^hen  they  do» 
study  Psorinum. 

Rhus  and  Calcarea  are  acute  and  'chronic  complemen- 
tanes  and  often  needed  after  each  other. 

Belladonna  and  Calcarea  are  like  mother  and  daughter 
and  should  seldom  be  far  apart  for  they  often  need  each 
other.  Tuberculinum  is  often  needed  as  an  intercurrent  or 
to  complete  the  cure  in  Belladonna  and  Calcarea  cases.  The 
symptomatology  of  all  three  is  very  similar,  the  difference  is 
principally  in  their  planes  of  action,  though  of  course  the 
symptomatology  and  field  of  Tuberculinum  is  much  wider 
than  with  the  other  two. 

Tuberculinum  has  somewhat  the  same  relationship  to 
Pulsatilla,  also,  and  is  often  necessary  when  the  symptoms 
seem  to  call  for  Natrum  mur,Phosphorus, Silica  or  Sulphur. 

Thuja  and  Tuberculinum  are  strikingly  complementary 
and  frequently  each  is  needed  to  complete  and  extend  the 
action  of  the  other,  and  frequently  a  case  will  fail  to  be 
helped  by  one  until  the  other  has  been  given. 

Thuja  is  a  drug  always  to  be  kept  in  mind  for  defective 
reaction.  Much  study  and  clinica\  experience  is  necessary 
to  properly  understand  and  appreciate  the  capabilities  and 
sphere  of  usefulness  of  this  highly  important  and  frequently 
indicated  remedy.  It  is  frequently  indicated  when  the 
symptoms  seem  to  call  unmistakably  for  Rhus,  especially 
for  lumbago  or  other  rheumatic  conditions  which  are  accom- 
panied by  great  restlessness,  relief  from  motion  and  from 
warmth  to  the  painful  parts,  with  aggravation  from  damp- 
ness and  in  wet  weather  (sycotic  neuralgies  and  myalgies). 
Thuja  is  a  3ort  of  a  chronic,  deep-acting  Pulsatilla,  also. 

Pulsatilla  is  very  similar  to  Rhus  in  its  muscle  and 
tendon  symptoms;  both  are  restless  with  pains  aggravated 
by  rest^and  both  are  good  for  sprains  and  strains;  they 
differ  as  regards  heat  and  cold,  however. 

Rhus  and  Arsenic  are  similar  in  many  ways  and  are 
often  hard  to  differentiate,  especially  in  the  symptoms  of  the 
respiratory  and  digestive  tracts.    They  are  complimentary 


490  THE  MEDICAL  ADVANCE. 

and  often  when  one  seems  indicated,  but  fails,  the  other 
will  be  needed. 

Thuja  is  often  tJie  chronic  of  Arsenic. 

Thuja  and  Sepia  are  so  much  alike  Jn  many  respects 
that  they  are  often  mistaken  for  each  other,  especially  is 
Thuja  mistaken  for  Sepia.  They  cannot  always  be  differ- 
entiated. When  one  seems  positively  indicated  and  won't 
work  or  doesn't  hold  the  case,  always  think  of  the 
other. 

Carbo  veg.  and  Lycopodium  are  complimentary  and 
many  a  Lycopodium  case  will  not  get  well  without  an  occa- 
sional dose  of  Carbo  veg. 

Lachesis  and  Lycopodium  are  like  brother  and  sister; 
one  often  necessary  to  complete  the  work  of  the  other. 

Lachesis  and  Natrum:  Lachesis  and  Carbo  veg.:  Lache- 
sis and  Psorin:  Lachesis  and  Syphilinum  are  frequently 
complimentary. 

Arsenic  Phos.  and  Apis  are  very  similar  in  many 
respects  and  should  always  be  thought  of  conjointly.  They 
follow  each  other  well  and  are  often  hard  to  differentiate- 
Phosphorus  belongs  in  the  middle  and  is  strongly  compli- 
mentary to  the  other  two,  either  before  or  after.  All  three 
will  often  be  needed  in  bad  cases  and  when  they  will  no 
longer  help,  especially  in  terminal  stages,  of  course,  heart, 
lung  and  kidney  diseases,  (with  dropsy  or  without),  Med- 
orrhinum  will  either  bring  about  curative  reaction  or  great 
comfort  and  an  easy  death  for  the  patient. 

Medorr^linum  is  frequently  the  parent  of  Apis,  Arse- 
nic, Chamomilla,  Lycopodium,  Phosphorus,  Pulsatilla, 
Secale  and  Thuja  cases  and  will  often  bring  about  curative 
reaction  when  they  have  failed.  The  different  planes  or 
depth  of  action  of  the  remedies  just  mentioned  illustrate 
in  a  way  the  sphere  of  action  of  remedies  often  very 
similar  in  certain  phases  of  symptomatology  but  differ- 
ing vitally  in  their  depth  of  action.  For  instance,  Cham- 
omilla and  Medorrhinum  match  accurately  in  much  of 
their  symptomatology,  but  when  it  comes  to  the  depth 
of  action  they  differ  absolutely.    This  plane  of  action  must- 


AMENORRHEA  FROM  DISAPPOINTED  LOVE.  491 

•often  be  considered  with  the  other  symptomatology  in 
making  a  prescription. 

Hepar  Sulph.  is  often  necessary  after  Calendula  and 
Sepia  after  Hepar  Sulph. 

After  Silica  are  often  needed  Calc,  Calc.  sulp.,  Calc. 
fluor,  Fluoric  acid,  Phos.,  Sulphur  or  Tuberculium, 

Hepar  and  Nitric  acid  follow  each  other  well  and  Cal- 
•carea  is  often  necessary  aiter  Niti^ic  acid. 

Conium  and  Lycopodium,  Iodine  and  Lycopodium,  and 
Baryta  carb.  and  Tuberculium  are  worth  while  bearing  in 
mind. 

Arsenic  and  Carbolic  acid,  Arsenic  and  Secale,  Arsenic 
^nd  Calcarea,  Arsenic  and  Lycopodium,  and  Arsenic  and 
Tabacum  are  worth  remembering  together,  owing  to  their 
similarity. 

These  few  remarks  are  merely  suggestive.  Much  more 
that  is  very  important  could  be  mentioned  but  is  not  for 
want  of  time  and  space.  A  good  knowledge  of  complimental 
relationship  is  a  great  help;  however,  in  prescribing,  and 
will  often  make  one  do  brilliant  work  which  would  other- 
wise often  be  very  difficult  and  sometimes  well  nigh  im- 
possible. 


AMENORRHEA  FROM  DISAPPOINTED  LOTE.* 

By  Dr-  Frances  D.  Bloomingston,  Chicago. 

Early  in  September,  1905,  a  patient  of  mine  came  to  me 
and  asked  my  opinion  regarding  her  neice  who  was  troubled 
with  amenorrhea,  fearing  she  would  either  bficome  mental- 
ly unbalanced  or  go  intiO  a  decline,  as  there  was  a  history  of 
tuberculosis  m  the  family. 

The  young  lady  belonged  to  a  prominent  family  in  one 
of  our  northwestern  cities. 

She  was  inclined  to  intellectual  pursuits,  was  a  leader 
in  study  classes  and  gave  much  time  to  philanthropic  work, 
besides  the  social  obligations  that  claimed  her  attention. 


*Read  before  the  Regular  Homeopathic  Society,  ot  Chfcago,  May 
12th.  1908. 


492  THE  MEDICAL  ADVANCE. 

She  was  engaged  to  a  young  man  who  was  highly 
esteemed  in  the  community,  but  a  few  months  before  the 
date  set  for  the  marriage  she  became  convinced  that  he  was 
not  the  man  everyone  took  him  to  be,  and  broke  the 
engagement. 

He  coinmenced  annoying  her  in  various  ways,  until  he 
was  finally  obliged  to  leave  the  city.  She,  being  of  an 
extremely  sensitive  nature,  felt  greatly  mortified  and  with- 
drew from  all  society,  practically  burying  herself  and  brood- 
ing over  the  circumstances  of  her  disappointment. 

She  grew  morbid,  moody,  irritable,  and  avoided  her 
friends,  and  even  disliked  the  presence  of  the  family.  When 
alone  she  wept,  even  during  wakeful  hours  at  night.  She 
lost  flesh  and  appetite. 

Finally  her  parents  became  alarmed  and  the  family 
physician  was  consulted.  Treatment  with  electricity,  beef, 
iron  and  wine  and  similar  concoctions  proved  unavailing. 

Her  father  took  her  on  an  extended  tour  of  the  North- 
west, hoping  that  a  change  of  scene  and  climate  might 
benefit  her,  but  he  was  disappointed.  Then  her  mother 
brought  her  to  Chicago,  thinking  that  social  life  among 
people  she  had  not  known  before  might  arouse  her.  But 
she  grew  worse. 

The  aunt  wished  to  know  whether  anything  could  be 
done  aside  from  local  treatment  which,  the  family  doctor 
had  said,  was  the  only  means  for  her  relief. 

My  reply  was  that  local  treatment  is  at  best  a  one-sided 
method,  since  the  local  manifestations  were  only  one  phase 
of  the  disease,  and  I  explained,  as  I  usually  do  to  a  new 
patient,  the  philosophy  of  a  true  homeopathic  prescription. 

The  patient  gave  the  following  account  of  her  case: 

MissW.,  age,  30;  medium  height;  nervous  tempera- 
ment; light  brown  hair;  blue  eyes;  sallow  skin.  Of  an 
extremely  sensitive  nature.  Melancholy;  irritable;  avoids 
company,  especially  of  intimate  friends.  Desires  to  get 
away  from  members  of  the  family.  When  asked  why,  she 
replied:  "Because  they  worry  me  to  death  with  their  atten- 
tions.   If  they  would  only  let  me  alone  so  that  I  could  have 


AMENORRHEA  FROM  DISAPPOINTED  LOVE.  493 

a  little  quiet  I  would  feel  better.  Their  sympathy  always 
makes  me  feel  worse  in  every  way.  Their  constant  trottinc^ 
around  to  see  things  tires  me.  I  feel  exhausted  afterwards 
and  can  neither  read  nor  study  because  I  am  so  exhausted 
all  the  time.  The  least  physical  or  mental  exertion  exhausts 
me." 

Wakens  at  night  with  anxiety  and  palpitation  and  it  is 
dilBcult  to  go  to  sleep  again. 

Sleep  restless,  wakens  in  the  morning  unrefreshed. 

Despondent;  weeps  much  of  the  time  when  alone. 

Heart  palpitates  while  walking. 

Menses  regular  until  last  Spring,  omitting  from  April 
to  July,  and  irregular  since  then. 

Thick,  white  leucorrhea. 

Much  headache;  on  hot  days  and  during  hot  weather, 
from  using  the  eyes  and  from  motion. 

Craves  fresh  air  but  takes  cold  easily. 

Tongue  slightly  coated  and  showing  the  imprint  of  the 
teeth  along  ils  edges. 

Wants  her  food  very  salty. 

CJonstipated  for  two  or  three  months. 

A  study  of  the  prominent  symptoms  pointed  to  Natrum 
muriaticum. 

I  gave  three  doses  of  the  10m  on  Sept.  20th,  1907,  to  be 
taken  every  12  hours,  followed  by  placebo. 

Sept.  29.  The  only  ftnprovement  was  that  she  slept 
better.    Placebo  continued. 

Oct.  5.     Possibly  less  despondent.     Placebo. 

Oct  12.  Better  in  general.  Can  tolerate  the  presence 
of  members  of  the  family  and  is  less  inclined  to  weep. 

Oct  15.  Has  had  more  palpitation  and  mental  depres- 
sion the  past  few  days.  Natrum  mur.,  45m,  two  doses  and 
placebo. 

Oct.  27.  Feeling  tired  and  languid  and  feels  as  if  thd 
menses  would  return.  Attended  an  afternoon  social  gather- 
ing and  enjoyed  it  Was  not  nervous  or  depressed  after- 
ward. 


m 


m 

i 


m 


494  THE  MEDICAL.  ADVANCE. 

Oct.  iO.  Menstrual  period  re-established  and  seemed 
qmte  normal — the  first  time  since  early  in  July. 

Nov.  29.  Menses  exactly  on  time,  and  feels  better  than 
she  has  in  a  year.    Discharged  cured. 

A  report  recently  showed  that  she  is  enjoying  the  best 
of  health. 


THE  TAKING  OF  A  CASE. 

By  Philip  Rice,  M.  D.,  Berkeley,  California. 

"The  examination,"  says  Hahnemann,  **of  a  particular 
case  of  disease,  with  the  intent  of  presenting  it  in  its  formal 
state  and  individuality,  only  demands  of  a  physician  an 
unprejudiced  mind,  sound  understanding,  attention,  and 
fidelity  in  observing  and  tracing  the  disease." 

These  demands  are  few  in  number,  but  all-embracing. 
There  is  little  that  a  physican  should  know  that  they  do  not 
cover.    Let  us  consider  them  separately  for  a  moment. 

First  **  an  unprejudiced  mind."  I  wonder  how  many  of 
us  appreciate  the  full  meaning  of  the  words.  Many  times  we 
are  forced  to  the  conclusion  as  we  observe  the  manner  and 
methods  of  some  of  our  colleagues  that  mighty  little  thought 
is  ever  given  to  the  cultivation  of  an  open  and  unprejudiced 
mind.  We  see  one  working  entirely  along  one  line,  dealing 
with  all  manner  of  diseases  from  one  standpoint,  and  another 
doing  likewise  but  from  a  directly  opposite  one,  and  each 
convinced  that  his  method  is  all-sufiBcient  and  entirely  right, 
and  the  other  fellow's  entirely  wrong  and  worse  than  useless. 

We  see  one  locating  the  cause  of  all  diseases  in  the 
rectum,  and  to  cure  all  it  is  necssary  to  cut  out  pockets, 
papillae  and  piles  and  stretch  sphincters.  Another  finds  dis- 
placed bones,  tendons  and  other  pa^  of  the  machinery  as 
the  all-cause,  and  he  finds  it  necessary  to  adjust  these  only 
to  cure  everything  from  bubonic  plague  to  bunions.  Another 
finds  that  there  is  no  disease  without  its '*bug  cause,"  and 
therefore  to  cure  it  you  need  only  to  kill  the  bug.  Another 
knows  only  pathology  and  wants  to  know  nothing  else.  An- 
other knows  only  symptomatology  and  potencies,  and  is 


THE  TAKING  OF  A  CASE.  195 


J' 


wholly  content  with  his  stock  of  knowldge.     And  so  I  might  \ 

go  on  naming  other  fads,  fancies  and  prejudices.  Now  are 
they  all  wrong?  Yes  and  no.  They  are  all  wrong  in  think- 
ing that  their  method  is  the  only  one,  but  they  are  partially 
right  in  their  methods. 

No  one  can  deny  that  pockets,  papillae,  piles  and  irrit- 
able sphincters  are  productive  of  trouble  and  that  much  good    • 
is  accomplished  by  their  removal,  but  only  a  fanatic  will  lay 
^aim  to  this  as  being  the  all-cause  of  disease  and  this  as  the 
only  necessary  therapeutics. 

No  one  can  maintain  the  position  that  osteopathic  manip- 
ulation, so-called,  is  a  fallacy.  It  is  true  that  as  some  apply 
it,  in  many  cases,  it  is  rank  nonsense,  but  this  is  so  simply 
because  they  know  nothing  else.  As  others  apply  it  it  is  a 
most  desirable  adjunct  to  the  healing  art. 

AN   ILLUSTRATION. 

And  here  permit  me  to  cite  a  case  in  proof  of  what  I 
say.  A  lady  of  this  city,  the  wife  of  a  well-to-do  business 
man,  had  suffered  long  and  much  with  pain  in  the  right  side 
of  the  abdomen.  She  consulted  one  of  the  leading  surgeons 
here.  His  diagnosis  was  chronic  appendicitis,  and  of  course 
recommended  an  operation.  Not  being  willing  to  abide  by 
his  opinion  only  she  consulted  another  surgeon.  His  diag- 
nosis was  chronic  inflammation  and  induration  of  the  ovary, 
and  also  recommended  an  operation.  Being  now  more  un- 
certain than  before,  she  consulted  a  third.  He  found  a  float- 
ing kidney,  and  also  insisted  that  only  an  operation  would 
save  her.  And  now  being  filled  with  distrust,  and  very  likely 
disgust,  she  consulted  an  osteopath  who  found  a  dislocated 
rib,  which  he  replaced,  and  with  this  simple  act  removed  a  !p 

diseased  appendix,  an   inflamed   and  indurated  ovary   and  |i> 

anchored    a  floating  kidney.     She  has  remained  well  ever  \:u 

since,  now  several  years.  ii^ 

These  men  simply  made  a  mistake  in  the  diagnosis  to  be  jii' 

sure.    But  don't  you  think  that  the  mistake  was  in  strict  ac-  ,S 

-cord  with  their  bias,  their  prejudice,  their  hobby?    The  fact  ^5 

is  they  found  what  they  looked  for.  W 

A  lad  of  17  years  was  brought  to  me  a  few  years  ago  be-  U 


THE  MEDICAL  ADVANCE. 

cause  of  a  difficulty  in  swallowing.  It  was  due,  I  found,  U> 
a  slight  paralysis.  He  had  also  some  paralysis  of  the  righir 
arm.  The  trouble  dated  back  eight  years.  At  that  time  he 
had  a  fall  from  a  tree  on  the  right  side  of  his  head  and  neck» 
which  resulted  in  a  cervical  displacement,  pressure  upon 
several  spinal  nerves  and  paralysis. 

During  this  period  of  eight  years  he  had  been  treated,, 
and  mistreated,  by  a  number  of  the  leading  physicians  and 
surgeons  in  San  Francisco.  I  informed  the  mother  that  I 
could  do  nothing  for  him,  but  knew  some  one  who  I  felt  quite 
certain  could,  and  so  recommended  her  to  go  to  an  osteopath. 

Six  weeks  of  treatment  restored  the  boy  to  complete 
health,  and  though  three  years  has  passed  there  has  been  no 
return  of  any  of  the  symptoms. 

Bacteriology  is  exceedingly  important;  so  is  pathology^ 
and  so  is  symptomatology,  but  not  any  one  of  these  alone 
is ''it." 

A  certain  physician  in  San  Francisco  a  few  years  ago 
worked  dilligently  for  six  weeks  with  his  remedy  in  a  high 
potency,  selected  entirely  upon  the  subjective  symptoms, 
trying  to  remove  a  ringing  noise  in  a  patient's  ear.  He 
failed  miserably ,  for  the  noise  came  from  inspissated  cerumen, 
which  was  removed  by  another  physician  and  the  noise 
cured. 

As  a  materia  medica  student  this  man  has  few  if  any 
superiors,  but  his  failure  was  absolutely  inexcusible  in  tlu» 
case.  Had  he  been  less  biased  in  favor  of  the  purely  sub-« 
jective  system  method  of  taking  his  case,  the  results  would 
have  been  very  different  both  for  the  patient  and  for  his 
reputation.  And  let  me  add,  much  better  for  Homeooaiby 
also,  for  the  patient  naturally  inferred  that  his  method  was 
the  homeopathic  method,  and  being  a  fizzle  in  the  full 
sense  of  the  word,  went  to  an  allopath  who  scored  both  the 
man  and  the  method  unmercifully. 

Now  this  man  is  no  worse  than  the  rest  of  us,  and 
neither  are  those  who  failed  so  completely  In  the  other  two 
cases  mentioned.  The  fact  is  we  are  all  victims  of  bias  and 
prejudice.  These  men  failed  because  of  bias  in  taking  the 
case  and  nothing  else. 


■'*a 


THE  TAKING  OF  A  CASE.  497 

It  is  unquestionably  true  that  prejudice  is  the  greatest 
hindrance  to  our  becoming  wiser  in  all  things.  We  fail  to 
get  to  the  bottom  of  things  because  of  our  ignorance,  and 
our  ignorance  is  most  often  due  to  our  unwillingness  to 
learn  what  the  other  fellow  knows.  We  are**  wise  in  our 
own  conceit."  We  are  content  to  be  purely  one  thing,  i.  e., 
an  allopath  or  homeopath,  osteopath  or  some  other  **path," 
in  its  narrowest  sense,  and  so  in  undertaking  the  examina- 
of  a  case  we  begin  with  the  preconceived  notion  of  how  it 
ought  to  be  treated,  or  possibly  of  what  is  wrong. 

The  surgeon  is  prejudiced  in  favor  of  the  surgical  aspect 
of  disease  and  the  surgical  method  of  treatment.  The  ma- 
teria medica  man  examines  his  case  with  a  view  of  obtaining 
all  the  subjective  symptoms  in  the  case,  often  deliberately 
ignoring  the  objective  symptoms  and  pathological  phases  of 
the  disease.  The  osteopath  examines  a  case  with  a  firm  de- 
termination of  finding  a  mechanical  lesion,  and  he  always 
finds  one.  The  oculist  invariably  finds  the  trouble  in  the 
eyes,  and  naturally  so,for  here  is  where  he  looks  for  it.  The 
bacteriologist  always  uses  a  microscope  when  he  examines 
his  case,  and  is  it  any  wonder  that  he  finds  what  he  looks  for? 

We  find  what  we  look  for  every  time,  and  we  can  put  it 
down  as  a  positive  indication  that  we  are  prejudiced  when 
we  start  out  to  examine  a  case  in  a  stereotyped  way, 
and  when  I  say  a  stereotyped  way  I  mean  a  routine  sort  of 
way  which  is  to  result  in  the  thing  we  want  to  find. 

This  is  a  serious  mistake  and  we  all  realize  it,  and  we 
also  realize  that  it  is  hard  to  overcome.  When  one  has  seen 
a  dozen  cases  having  similar  symptoms  and  requiring  the 
same  remedy  it  is  very  difficult  not  to  see  the  same  symp- 
toms and  the  same  remedy  in  the  next  case  if  there  is  the 
slightest  similiarity.  If  one  has  cured  a  dozen  successive 
cases  of  headache  with  Belladonna  the  next  patient  is  very 
likely  to  get  the  same  if  he  has  anything  like  a  throbbing 
pain. 

And  so  in  spite  of  ourselves  we  become  biased,  and 


"("J 


m 

i 


when  we  do  we  invariably  meet  wilyh  failure.  I  am  convinced  .^V 

that  seventy-five  per  cent  of  my  failures  to  cure  are  due  to  p^^ 

this  one  thing  alone.  rkM 

m 


498  THE  MEDICAL.  ADVANCE. 

The  second  demand  upon  a  physician  according  to  Hahne- 
mann is  that  he  has  sound  understanding.  The  meaning  of 
these  words  probably  is  not  the  same  to  each  of  us,  yet  there 
is,  I  am  certain,  no  dispute  on  their  meaning  a  very  great 
deal.  They  mean  that  we  must  know  all  that  we  have 
capacity  for  knowing.  They  mean  that  one  has  not  sound 
understanding  who  knows  only  one  or  two  phases  of  disease. 
They  mean  that  one-sided  knowledge  is  only  half  knowledge. 

THE  ATL  ROUND  PHYSICIAN. 

To  know  only  materia  medica  is  not  sufficient,  although 
it  may  be  the  most  important  branch  in  our  work.  To  know 
only  diagnosis  and  not  materia  medica  is  but  part  knowledge, 
and  mighty  little  consolation  to  a  patient,  for  what  he  wants 
is  a  cure  and  not  a  diagnosis.  And  to  understand  surgery, 
and  surgical  diseases  alone,  is  not  sound  understanding,  for 
all  diseases  are  not  surgical  diseases.  Hence  to  take  a  case 
properly  it  is  necessary  to  understand  the  materia  medica  so 
that  one  will  be  able  to  differentiate  between  two  or  more 
remedies  when  it  becomes  necessary  to  do  so.  Further- 
more, only  he  who  understands  the  materia  medica  is  able  to 
obtain  a  full  import  of  the  symptom,  i.  e.,  is  able  to  uncover 
all  that  goes  with  a  symptom  of  pain  or  whatever  else  it  may 
be.  The  word  pain  indicates  little  or  nothing,  but  when  you 
add  how,  when  and  where  to  it,  i.  e.,  add  the  modalities, 
you  obtain  valuable  data.  But  strange  as  it  may  seem,  the 
modalities  of  a  remedy  mean  little  or  nothing  to  a  poor 
materia  medica  student. 

To  this  knowledge  must  be  added  the  knowledge  of 
physical  diagnosis,  for  without  this  there  can  be  no  clear  or 
intelligent  interpretation  of  the  symptoms.  There  must  be 
added  a  knowledge  of  surgical  disease.  Though  one  be  no 
surgeon,  he  should  know  when  a  surgeon  is  or  is  not  needed. 
In  short,  many  things  directly  of  a  medical  and  surgical 
character  must  be  more  or  less  thoroughly  underst<X)d. 

But  even  with  all  things  there  must  be  a  broader 
knowledge  before  a  physician  can  be  said  to  have  "  sound 
understanding."  Hahnemann  probably  stands  at  the  very 
head  of  broadly  educated  physicians.    His  knowledge  of  the 


¥* 


THE  TAKING  OF  A  CASE.  499- 


many  languages  alone  was  little  less  than  phemominal. 
Then  he  had  at  the  same  time  no  peer  as  a  chemist,  and  as  a. 
therapeutist  he  was  a  creator. 

Some  one  may  say:  *  *  When  I  can  leam  all  I  am  capable 
of  learning  of  medicine  I  ^ill  need  nothing  else  to  make 
cures,  I  will  understand  disease  and  its  cure.'-  Possibly  so 
some  times,  but  you  will  many  times  fail  miserably  in  under- 
standing your  patient. 

I  recall  a  patient  now  who  had  a  very  decided  mental 
derangement,  the  result  of  having  read  incessantly  for  yeara 
occult  literature.  The  family  physician,  a  very  able  man  in 
"  medicine,"  failed  utterly  to  understand  his  patient's  symp- 
toms and  made  a  diagnosis  wide  of  the  mark  and  came  within 
an  ace  of  sending  his  patient  to  the  asylum.  His  leaving  the 
city  for  a  time  and  the  calling  in  of  another  physician  saved 
her  this  awful  calamity. 

She  was  placed  in  the  hands  of  a  man  well  versed  in 
many  branches,  and  particularly  in  the  lines  of  the  occult, 
who  quickly  saw  things  from  a  different  view  point  and 
worked  along  different  lines  and  straightened  things  out.  The 
first  man  knew  nothing  of  occult  literature,  and  like  most  of 
Ds  when  we  know  little  or  nothing  about  a  thing,  talked  most 
dogmatically  against  it  and  so  antagonized  his  patient  that 
he  lost  all  control  of  her.  A  knowledge  of  the  occult  may  or 
may  not  have  a  direct  bearing  upon  the  subject  of  medicine,  1^ 

but  some  knowledge  of  it  helps  us  wonderfully  to  understand 
many  peculiar  things  we  see  in  patients.  And  so  with  other 
subjects.  We  come  closer  to  our  patients  when  we  under- 
stand a  little  of  what  is  all  important  to  them. 

Then  I  think  we  should  realize  that  all  truths  in  the 
universe  are  more  or  less  closely  related,  and  because  so 
related  are  more  or  less  interdependent.  Hence  to  really 
unda:«tand  the  scientific  truths  in  medicine,  we  must  under- 
stand something  of  the  great  scientific  truths  outside  of 
medicine  to  which  they  are  allied.  One  cannot  name  a 
single  thing  in  the  universe  that  cannot  be  connected  to 
every  other  thing  in  some  manner  by  a  direct  chain. 

LfCust  but  not  least,  the  taking  of  a  case  demands  "  atten- 
tion and  fidelity  in  observing  and  tracing  the  image  of  the 
disease."  In  a  word  this  means  conscientiousness  and  nothing 
else.  For  "when  we  have  to  do  with  an  art  whose  end  is 
the  saving  of  human  life,  any  neglect  to  make  ourselves 
master  of  it  becomes  a  crime." 


The  Medical  Advance 

A  Monthly  Jonmal  of  Hahnemannian  Homeopathy 
A  Study  ^  of  Methods  and  Results. 


When  we  hare  to  do  with  an  art  whose  end  la  the  sarlng  of  human  life  aoy  neglect 
to  make  ourselves  thorough  masters  of  it  becomes  a  crime,— Hahhbmahh, 

Subscription  Price    -    -    -     .    Two  Dollars  a  Year 

We  believe  that  Homeopathy,  well  understood  and  faithfully  practiced,  bis 
power  to  save  more  lives  and  relieve  more  pain  than  any  other  method  of  treat- 
ment ever  Invented  or  discovered  by  man;  but  to  be  a  first-class  homeopatblc  pre* 
scrlber  requires  careful  study  of  both  patient  and  remedy.  Yet  by  patient  care  It 
can  be  made  a  little  plainer  and  easier  than  It  now  is.  To  explain  and  defloe  and 
in  all  practical  ways  simplify  it  is  cur  chosen  «ork.  In  this  good  work  we  ask 
your  help. 

To  accommodate  both  readers  and  publisher  this  journal  will  be  sent  aatl 
arrears  are  paid  and  it  Is  ordered  discontinued. 

Communications  regarding  Subscriptons  and  Advertisements  may  be  sent  to 
the  publisher,  The  Forrest  Press.  Batavia,  IllinolB. 

Contributions,  Exchanges,  Books  for  Review,  and  all  other  commonlcatlans 
should  be  addressed  to  the  Editor,  6142  Washington  Avenue,  Chlcaga 

AUGUST,    1908. 


JEbitoriaU 


HOMEOPATHIC  PRINCIPLES  ts.INSTITUTE  PRACTICE 

"A  chiers  amang  ye  takin  notes  and  faith  he*l  print  'em.** 
The  following  definition  is  authorized  by  vote  of  the 
American  Institute  and  published  conspicuously  in  the  trans- 
actions each  year: 

A  homeopathic  physician  is  one  who  adds  to  his  knowledge  of  med- 
icine a  special  knowledge  of  Homeopathic  Therapeutics  and  observe* 
the  law  of  similia.  All  that  pertains  to  the  great  field  of  medical  leam* 
ing  is  hid  by  tradition,  by  inheritance,  by  right. 

Every  remedy  in  the  homeopathic  materia  medica  is 
first  tested  singly  on  the  healthy,  and  to  "observe  the  la^ 
of  similia"  should  be  administered  singly  to  the  sick,  irre- 
spective of  the  corrolaries  of  the  law,  the  minimum  dose  or 
repetition.    This  is  the  only  practice  that  is  homeopathic, 


.v^'l 


£DITQR1AI4.  501 

sdentific  or  conforms  to  the  definition.  Do  we  practice  what 
we  profess?  In  what  particular  will  belief  or  faith  in  the 
law  of  similia  help  our  patients  if  we  fail  in  its  practical  ob- 
servance at  the  bedside? 

To  test  this  principle,  to  seek  to  enforce  it  in  our  daily 
practice,  or  to  make  our  practice  conform  to  our  principles 
the  following  resolution  was  introduced  at  the  recent  meet- 
ing of  the  Institute  at  Kansas  City: 

Whereas,  Hahnemann  says,  Organon  §272: 
In  no  case  is  it  requisite  to  administer  more  than  one  single,  simple 
medicinal  bubstance  at  one  time;  therefore, 

Resolved,  that  the  alternation  of  remedies  or  the  use  of 
the  combination  tablet  is  unhomeopathic,  unscientific,  em- 
pirical and  detrimental  to  the  best  interests  of  our  school 
and  the  direct  and  fundamental  cause  of  the  apathy  and  de- 
cadence of  enthusiasm  in  our  ranks. 

By  a  majority  vote  it  was  referred  to  the  committee  on 
resolutions,  where  no  doubt,  under  the  plea  that  there  was 
not  time  to  consider  it,  it  will  peacefully  slumber  until 
Gabriel's  trumpet  sounds  the  morning  call  of  the  resurrec- 
tion. 

Hahnemann,  single  handed,  fought  the  battle  for  homeo- 
pathic principles  with  the  apothecaries  of  his  native  land — 
for  the  privilege  to  administer  the  single,  simple  medicinal 
substance — and  thus  "observe  the  law  of  similia."  He  was 
driven  from  place  to  place,  a  compulsory  wanderer  for 
years,  yet  he  maintained  the  principles  of  similia  which  are 
our  priceless  heritage  to-day,  Ibut  which  many  of  us  ap- 
parently fail  to  prize,  to  appreciate  or  put  into  practice.  Is 
it  any  wonder  there  is  a  lack  of  the  old  time  enthusiasm  of 
the  pioneers?  Is  it  wholly  a  matter  of  surprise,  that  a  cam- 
paign for  the  propagandism  of  Homeopathy  is  sadly  needed 
and  has  been  undertaken  in  earnest  by  the  Institute?  Will 
it  be  a  success  or  a  failure?  The  latter  we  fear  and  our  fears 
are  based  on  principle. 

We  are  beginning  at  the  wrong  end.  Allopathic-like, 
we  are  attempting  to  treat  the  effect,  while  the  cause  is  not 
removed.    We  propose  to  treat  the  disease  while  we  neglect 


502  THE  MEDICAL  ADVANCE. 

or  overlook  the  patient.  We  mu8t  remove  the  cause  before 
the  effect  can  cease.  Remove  the  mote  from  our  own  eye& 
before  we  appeal  to  the  people. 

Organon  §4  says: 

He  i8  likewise  a  preserver  of  health  if  he  knows  the  things  that  de- 
range health  and  how  to  remove  them. 

The  $6,000  so  generously  donated  by  the  Institute  and 
its  enthusiastic  members  had  far  better  be  utilized  in  convert- 
ing the  members  from  polypharmacy  and  the  combination 
tablet  to  the  single  remedy  and  its  minimum  dose.  What 
use  of  appeahng  to  the  dear  people  when  they  are  unable  to 
distinguish  the  homeopath  from  his  colleagues;  for  lo!  does 
he  not  use  the  hypordermic,  the  alkaloidal  pill,  the  coal  tar 
specifics,  quinine,  morphine,  etc.,  just  the  same  as  his  allo- 
pathic or  eclectic  colleague.  Let  us  be  sure  we  are  right, 
then  go  ahead." 


AMALGAMATION  OF  THE  SCHOOLS. 

Dr.  McCormack,  of  Kentucky,  organizer  of  the  A.  M. 
A.,  advises,  in  his  various  addresses,  to  **get  together." 
This  appeal  is  made  to  all  medical  men  irrespective  of 
'pathy,  and  is  made  to  professional  and  laymen  alike.  But 
to  this  some  of  his  colleagues  take  exception.  Dr.  Field,  of 
Jeffersonville,  Ind.,  in  the  Louisville  Journal  replies: 

In  a  lecture  delivered  in  this  city  before  a  popular  audience,  Dootor 
McCormick  made  a  plea  for  a  union  of  all  medical  men  into  one  body; 
that  the  regulars,  or  allopaths,  invite  the  homeopaths,  eclectics,  oste- 
opaths, and  every  other  **pathy**  to  come  into  our  society;  and  that  we 
allopaths  consult  with  them  and  fraternize  with  them.  He  seemed  (o 
labor  under  a  delusion  that  if  the  other  **pathists"  would  come  in  with 
us,  it  would  probably  result  in  the  conversion  of  other  systems  to  wr 
**pavhy,"  or  at  least  that  it  would  modify  their  systems  and  practice,aBa 
consequence  of  affiliation  and  interchange  of  views. 

There  are  no  "pathists'*  so  bigoted,  so  conceited,  so  prejudiced,  and 
so  self-satisfied  as  are  the  homeopathistsi  To  imagine  that  they  would 
fraternize  with  allopaths  is  an  Utopian  dream  I  They  are  utterly  antag- 
onistic to  every  other  system.  The  two  systems  are  no  more  miseible 
than  oil  and  water.  They  think  they  are  the  real  things;  the  only  gen- 
uine blue  labeled;  blown  in  the  bottle;  take  no  substitute;  of  all  the 
system^. 


EDITORIAL..  503 

This  expresses  the  average  sentiment  in  the  American 
profession.  The  lamb  is  to  be  inside  when  they  lie  down 
together.  As  a  rule  the  homeopaths  will  look  out  for  them- 
selves.   A  burned  child  dreads  the  fire. 

The  homeopaths  are  no  doubt  self-satisfied,  but  they 
have  genuine  reasons  for  their  self  satisfaction,  a  scientific 
therapeutics. 

Dr.  C.  W.  Becker,  of  Toronto,  has  recently  returned 
from  Europe  and  says  anent  harmony  and  amalgamation: 
"Our  English  friends  tell  me  that  the  Lancet  and  other  medi- 
cal journals  refuse  t6  publish  an  advertisement  which  mere- 
ly stated  that  fc'Three  scholarships  of  £100  each  are  offered 
to  fully  qualified  medical  men  desirous  of  studying  Home- 
opathy in  the  schools  of  America.'  We  advise  our  col- 
leagues to  appeal,  like  Dudgeon,  to  the  Thunderer,  the  last 
resort  when  the  insulted  Englishman  wants  to  make  a  pro- 
test and  raise  a  storm.  It  would  be  amusing  were  it  not  so 
ridiculous.  Think  of  educated  medical  men,  supposed  stu- 
dents and  scientific  investigators,  and  yet  they  cannot  be 
trusted  to  even  look  into  Homeopathy.  The  poor  pap-fed 
youngsters  might  think  for  themselves,  which  spells  danger 
to  Allopathy  and  kindred  bolstered-up  pseudo  science." 
And  this  in  the  20th  century.    Looks  like  amalgamation. 


m 


K0TE8  FEOH  PRESIDENT  COPELAND'S  ADDRESS.  ^ 

The  curability  of  diphtheria  by  neutralizing  the  toxins  % 

of  the  casual  germ  is  a  second  monument  to  scientific  genius.  '  d 

There  are  those  of  course,  who  still  object  to  the  use  of  anti-  \  S 

toxin,   and  insist  that  it  is  harmful  rather  than  beneficial.  ?^i 

Personally,  your  speaker,  at  the  risk  of  possible  criticism 
from  within  the  sound  of  his  voice,  states  as  his  conviction 
that  Von  Behring's  gift  to  humanity  is  of  inestimable  value.  \^A 

However,  he  wishes  in  the  same  breath,  to  declare  that  the  '^^ 

effect  cannot  be  explained  as  dynamic  or  therapeutic,  in  the 
true  sense;  it  is  simply  a  wise  use  of  chemistry  almost  as 
elementary  as  the  administration  of  un  alkali  to  neutralize 


an  acid.  it'. 


■  \ 


504  THE  MEDICAL  ADVANCE. 

In  sanitation  there  is  a  far  flung  battle  line.  Sanitation 
is  not  now  a  matter  of  foul  disinfectants.  It  is  a  technical, 
scientific  attack  upon  the  essential  cause  of  disease.  The  in. 
spector  visits  the  capital  and  the  cabin,  the  palace  andthe pig- 
stye,  the  sky-scraper  and  the  adobe.  Nothing  escapes  his 
watchful  eye.  With  test  tube  and  microscope,  with  culture 
medium  and  incubator,  with  guinea  pig  and  rabbit,  with,  all 
the  paraphernalia  of  modern  science  he  searches  the  cause  of 
disease  and  recommends  methods  to  avoid  them.  The  flea, 
the  fly,  the  tick,  the  rat,  the  mosquito  and  the  family  cat  are 
in  turn  the  objects  of  his  displeasure.  Mankind  has  benefit- 
ted materially  by  these  labors.  Many  regions,  heretofore 
uninhabitable  by  any  except  the  immune,  ar^  now  safe  dwell- 
ing places  for  all.  Mankind  is  under  great  debt  to  the  de- 
partments of  science  devoted  to  sanitation,  even  though 
the  full  measure  of  the  debt  may  be  inflnitly   less  than  the 

enthusiastic  claims  of  the  laboratory. 

♦  ♦  * 

Typhoid  is  on  the  increase,  in  spite  of  all  that  is  being 
done  to  purify  w^ter  supply  and  correct  other  means  of  in- 
fection. Dr.  Flexner  of  the  Rockefeller  Institute  reports  a 
case  where  for  half  a  century  a  patient  supposedly  was  cured 
of  tyyhoid  fever,  was  nothing  more  nor  less  than  a  culture 
medium  for  typhoid  bacilli.  During  all  these  years  he  dis- 
seminated this  disease.  Another  case  in  the  Lister  Institute 
is  reported  where  the  germs  were  found  29  years  after  the 
attack.     Talk   about  exterminating   typhoid;  one  might  as 

well  talk  about  exterminating  snow  storms. 

*  *  * 

For  a  decade  we  have  bowed  down  and  worshiped  the 
laboratory.  The  phys't,  the  path't,  the  hist't,  the  embry't,^ 
the  bact't,  the  physicist  and  the  chemist  have  been  placed 
upon  a  pedestal,  demanding  the  homage  of  the  nations.  I 
take  second  place  to  no  man  in  my  admiration  of  and  respect 
for  these  scientists. 

But  the  conclusion  of  the  experimental  laboratory  must 
not  blind  us  to  the  fact  that  the  human  cells  may  not  react 
in  the  same  manner,  and  the  laboratory  life  may  force  a  dif- 


EDITORIAL. 


505 


ferent  conclusion.  Duckworth  says:  "The  clinician  is  al- 
ways in  the  face  of  the  personal  factor  in  each  patient. 
The  physiologist  has  a  dog  or  a  guinea-pig,  or  some  orgaa 
of  an  animal,  but  rarely  a  man  before  him.  The  personal 
factor,  then,  demands  careful  study  from  the  physician. 


STRICTLY  GERM   PROOF. 

The  Antiseptic  Baby  and  the  Prophylactic  Pup, 
Were  playing  in  the  garden  when  the  Bunny  gamboled  up; 
They  looked  upon  the  Creature  with  a  loathing  undisguised^ 
It  wasn't  disinfected  and  it  wasn't  sterilized. 

They  said  it  was  a  Microbe  and  a  Hotbed  of  Disease, 
They  steamed  it  in  a  vapor  of  a  thousand  odd  degrees; 
They  froze  it  in  a  freezer  that  was  cold  as  Banished  Hope^ 
And  washed  it  in  permanganate  with  carbolated  soap. 

In  sulphureted  hydrogen  they  steeped  it's  wiggly  ears. 
They  trimmed  it's  frisky  whiskers  with  a  pair  of  hard  boiled 

shears; 
They  donned  their  rubber  mittens   and  they  took  it  by  the 

hand. 
And  elected  it  a  member  of  the  Fumigated  Band. 

There's  not  a  Microccus  in  the  garden  where  they  play, 
They  swim  in  pure  iodoform  a  dozen  times  a  day; 
And  each  imbibes  his  rations  from  a  Hygienic  Cup, 
The  Bunny  and  the  Baby  and  the  Prophylactic  Pup. 

Arthur  Guiterman. 


In  Homeopathy  is  healing  for  the  nations.  With  joint 
ownership  in  all  the  marvels  of  surgery,  in  all  the  products 
of  the  laboratory,  in  all  that  the  sciences  collateral  to  medi- 
cine have  determined;  with  joint  ownership  in  all  these. 
Homeopathy  has  been  sole  possessor  of  the  knowledge  of 
remedial  application.  When  surgery  has  been  helpless, 
the  laboratory  impytent,  and  general  science  hopelessly  at 
sea,  Homeopathy  has  gone  serene  in  the  conviction  of  cures 
impossible  by  other  methods.  Practitioners  of  our  faith  are 
everywhere,  our  hospitals,  asylums,  homes  and  dispensaries 


606  THE  MEDICAT.  ADVA^NCE. 

are  everywhere;  the  records  are  open  and  the  results  of  our 

practice  speak  for  themselves. 

*  *  » 

But  the  homeopathic  profession  has  no  wish  to  make 
selfish  use  of  its  knowledge.  As  the  momentary  ambassador 
of  this  great  profession  and  in  the  name  of  Samuel  Hahne- 
mann I  freely  confer  upon  all  physicians,  of  all  schools,  of 
all  creeds  and  colors,  of  all  nationalities  and  languages,  a 
boon  greater  than  scalpel  or  forcep,  greater  than  anesthetic 
or  anodyne,  greater  than  hypodermic  or  application,  greater 
than  lotion  or  emollient,  the  knowledge  of  the  homeo- 
pathic materia  medica  and  the  right  to  use  it  in  it's  original 
purity.  By  authority  of  his  living  heirs  I  divide  with  you 
our  inheritance  and  receive  you  as  sons  and  daughters  with 
ourselves  of  our  father  in  the  faith,  Samuel  Christian 
Frederick  Hahnemann. 


NOTES  FROM  THE  FIELD. 

Beginning  Tuesday,  September  21,  1908»  Dr.  Pratt  will 
bold  a  three  days'  flree  clinic  in  Orificial  and  General  Surgery 
and  Suggestive  Tberapeutics,  at  Herring:  Medical  College, 
comer  Wood  and  York  Sts.,  Chicago. 

For  turther  particulars  address  Dr.  E.  H.  Pratt,  100  Stale 
St.,  Suite  1202,  Chicagro,  111 

Detroit,  Mich.,  was  selected  as  the  next  place  for  ttie 
meeting  of  American  Institute  of  Homeopathy,  June,  1909. 

Kansas  City  has  demonstrated  its  availability  as  a  con- 
vention city.  Called  upon  in  an  emergency  the  profession 
responded  in  a  manner  to  win  the  praise  its  efforts  deserved. 
The  meeting  was  a  great  success.  Good  hotel,  not  a  com- 
plaint heard,  first  class  meeting  and  committee  rooms,  a 
beautiful  city  seen  in  its  June  splendor  and  an  amount  of 
work  accomplished  that  will  long  be  remembered  as  a  record 
breaker.  Two  hundred  and  twenty  new  members  added. 
They  even  furnished  ideal  June  weather. 

The  local  committees,  individually  and  collectively,  left 
nothing  undone  for  the  convenience  of  the  institute  or  enter- 


w^ 


'  NOTES  PROM  THE  FIELD.  507 

tainment  of  its  members.     Drs.   Gates,  and  Crutcher  were 
omnipresent,  but  everybody  worked. 

The  kissing  episode  was  very  amasing,  perhaps  a  httle 
infra  dig^  but  unlike  Hobson  the  great,  Dr.  Biggar  raised 
the  money. 

On  account  of  the  flood,  it  was  hinted  that  the  beer  was 
discolored;  we  did  verify  the  report. 

The  thirty-second  annual  meeting  of  the  Missouri  Insti- 
tute of  Homeopathy  was  held  at  the  Coates  house  June  23rd. 
OfiScers  elected  were:  Dr.  F.  M.  Martin,  Maryville,  Mo., 
president;  Dr.  D.  M.  Gibson,  St.  Louis,  treasurer;  Dr.  Ma- 
clay  Lyon,  Kansas  City,  general  secretary.  The  next  meet- 
ing will  be  held  in  St.  Louis  in  April,  1909. 

The  officers  elected  were:  Honorary  president.  Dr.  H. 
P.  Biggar,  Cleveland;  president.  Dr.  W.  D.  Porster,  Kansas 
Cityjfirst  vice  president.  Dr.  T.  H.  Carmichael,Philadelphia; 
second  vice  president.  Dr.  Joseph  Hensley,  Oklahoma  City; 
treasurer,  Dr.  T.  Franklin  Smith,  New  York;  registrar,  Dr. 
J.  H.  Ball,  Mich.:  secretary.  Dr.  Frank  Kraft,  Cleveland; 
necrologist,  Dr.  George  T.  Shower,  Baltimore;  censor,  Dr. 
W.  E.  Reily,  Fulton,  Mo. 

Dr.  R.  S.  Copeland  made  an  address  before  the  Eclectic 
Association  and  Tuesday  morning  the  president  of  the 
National  Eclectic  Association  which  met  in  Kansas  City  last 
week,  Dr.L.  A.  Perce  of  Los  Angeles,  stayed  over  and  made  .^ 

an  address  to  the  Homeopaths  which  won  applause.     He  1 1| 

said  that  the  interests  of  the  Eclectics  and  Homeopaths  were 
identical  and  that  he  hoped  next  summer  would  see  the  two  jJ^ 

meeting  in  Chicago  in  one  convention.  |||; 


June  4th  was  a  memorable  day  for  **Hering."  The 
College  graduating  class,  together  with  those  who  had  taken 
a  post-graduate  course  received  their  degrees. 


m 


The  excercises  were  held  in  the  Recital  Hall  of  the  l^^ 

Auditorium.     Much  interest  and  enthusiasm  was  manifested,  r- 

and  the  hall  was  well  filled  with  appreciative  visitors  and  fij 

iriends.  v^ 

Professor  J.  H.  Allen  acting  on  behalf  of  the  faculty  |\j 


508  THE  MEDICAL.  ADVANCE. 

had  arranged  a  most  enjoyable  and  appropriate  program, 
and  the  afternoon  proved  a  pleasurable  one  for  all. 

At  about  half  past  two  o'clock,  the  members  of  the 
faculty  took  their  places  on  the  rostri\n,  and  the  graduating 
class,  duly  capped  and  gowned,  filing  in,  took  their  seats  in 
the  front  rows  in  the  body  of  the  hall. 

President  Boynton  opened  the  ceremonies  with  prayer, 
after  which  the  programe  as  arranged  followed: 

Miss  Louise  Gozad  gave  a  delightful  and  finely  execu- 
ted pianoforte  solo,  recognized  as  such  by  the  applause  given 
her. 

Dean  Allen,  next  upon  the  program  after  saying  a  few 
words  introduced  Dr.  Gustafson  who  he  said,  would  speak 
far  him.  Enjoyment  would  have  been  afforded  his  audience 
hhd  he  spoken  at  length,  for,  no  one  tires  of  listening  to  the 
honored  Dean  of  Hering  College. 

Dr.  Gustafson,  ever  willing,  versatile,  and  free,  re- 
sponding to  the  call  spoke  interestingly.     He  said,  in  part: 

HOMEOPATHY  AND  THE  HOMEOPATHIC  PHYSICIAN.   ADDRESS 
BY  F.  A.  GUSTAFSON. 

The  day  of  uncertainty  in  medicine  is  passed  for  Home- 
opathy is  an  established  fact,  whenever  and  wherever  its 
principles  have  been  comprehended  and  understood,  and 
faithfully  and  intelligently  applied  it  has  demonstrated  its 
snperiority  over  all  other  systems  of  cure. 

It  is  supreme  because  it  is  an  exact  science  and  anintel- 
figent  art.  It  is  based  upon  immutable  law  and  fails  only  as 
those  who  apply  it  fail  in  comprehending  its  nature,  its 
limitations,  its  purpose  or  in  rising  to  the  opportunities  it 
affords.  Failures  in  homeopathic  practice  are  due  most 
ocMnmonly  to  ignorance  and  incompetence  on  the  part  of 
those  professing  it,  less  commonly  to  the  ignorance  on  the 
part  of  patients  and  their  inability  to  express  in  intelligent 
language  the  nature  of  their  symptoms,  still  less  commonly 
to  the  unreliability  of  the  medicines  prescribed,  least  com- 
monly the  incurability  of  the  case.  But  the  important  point 
of  points  is  the  remembrance  of .  the  past  that  upon  the* 
physician  and  his  competency  must  rest  the  greater  burden. 


NOTES  FROM  THE  FIELD. 


509 


He  must  prove  his  competency.  He  must  be  adequate  to 
the  demand  made  upon  him  before  he  is  authorized  to  shift 
the  responsibility  to  other  scources  and  causes. 

You,  who  are  about  to  go  out  into  the  world  have 
learned  these  things.  You  know  what  Homeopathy  is.  You 
know  what  it  means.  You  have  seen  something  of  its  work. 
You  have  done  something  of  it  yourselves.  Usually  at  such 
a  time  you  are  told  of  your  ignorance  ahd  the  need  of  great- 
er learning;  of  what  you  lack  and  the  h?,rd  experience  before 
you. 

Let  me,  then,  remind  you  of  what  you  already  know  and 
what  is  the  responsibility  before  you.  What  yon  have 
learned  you  know  and  it  is  adequate  for  your  immediate 
needs.  What  you  may  lack  in  knowledge  you  can  supply  as 
occasion  demands.  But  what  are  you  going  to  do  with  what 
you  have?  Will  you  realize  that  you  are  now  physicians, 
and  must  assume  the  responsibility  of  the  physician? 
Then  hear  your  sole  duty  is  to  cure  as  speedily,  promptly 
*nd  gently  as  possible,  and  mark,  in  the  full  extent  of  the 
sickness.  Then  do  not  lose  sight  of  your  patient  and  his 
welfare  simply  because  you  see  and  comprehend  the  name 
and  nature  of  his  sickness.  Cure  him,  not  it.  Look  beyond 
it  to  him  for  he  has  it  and  he,  not  it,  needs  your  attention. 
And  know  what  you  are  about.  Don't  guess.  Leave  that 
to  others.  Know  and  eat  the  fruit  of  knowledge  that  ripens 
experience,  and  makes  it  permanent.  Bear  in  mind  that 
only  as  you  work  manfully  toward  a  desired  end  will  you 
succeed;  that  you  are  morally  responsible  to  your  principles 
and  the  school  for  the  results  of  your  work,  that  the  road  to 
success  is  never  the  easy  one;  success  is  not  so  much  the  re- 
sult of  genius  as  it  is  the  fruit  of  diligent  application.  Be- 
lieve in  something  and  stick  to  it  and  you  succeed. 

The  causes  of  failure  in  the  practice  of  Homeopathy  are 
easily  determined  and  mark  the  man. 

First:    Inadequate    comprehension    of    its    principles. 
This  you  have  overcome  in  the  school.     These  have  been 
taught  you  and  you  ^ow  them.     You  need  not  fail  here. 
Second:    Confusion  due  to  the  separation  in  mind  of  the 


m 


m 


510  THE  MEDICAL  ADVANCE. 

man  and  his  parts  both  in  sickness  and  health.  Yoa  have 
no  occasion  to  fail  here.  You  have  been  trained  to  remem- 
ber them  and  their  relations. 

Third:  Unwillingness  to  continue  the  diligent  study  of 
preparatory  days  assuming  that  your  education  is  complete. 
The  danger  is  subtle.     You  need  to  fight  it  daily. 

Fourth:  Temptation  to  mere  palliation  of  prominent 
symptoms  in  response  to  demands  of  patients  and  their 
friends.  It  will  be  h&rd  but  stand  to  it;  you  will  win  in  the 
end. 

Fifth:  Slip-shod  methods  ^overcome  them.  Never  be 
too  tired  to  do  your  work  well.  It  pays;  and  you  cannot 
afford  to  do  otherwise.  Know  what  you  are  about  and  do  it 
well. 

Think  of  your  opportunity  and  your  advantage.  Others 
go  blundering  on  guessing  and  experimenting.  You  need 
not  to  guess;  you  may  know.  Others  gain  but  little  from 
books  and  soon  lose  what  little  they  gain.  Yours  is  the 
fruit  of  all  time;  nothing  is  lost;  books  are  open  to  you  and 
out  of  books,  no  matter  how  old  and  worn,  come  living  facts 
with  power  to  heal.  Others  go  on  from  day  to  day  content 
with  mere  relief.  With  you  is  power  to  cure  with  a  healing 
extending  to  generations.  All  you  need  is  faithfulness,  dili- 
gence, loyalty,  determination,  patience.  Success  must  and 
will  follow.     Go  do  in  this  spirit  and  the  world  is  yours. 

Dr.  Gustafson  was  listened  to  attentively,  but,  it  is  un- 
necessary to  add  this,  for  it  goes  without  saying. 

A  soprano  solo,  by  Mrs.  M.  Beaumont,  Miss  Hunneman 
supporting  her  with  the  pianoforte  accompaniment,  was 
particularly  enjoyable.  An  ancore  was  accorded  her,  and 
she  graciously  returned,  rendering  for  her  appreciative 
audience  another  exceedingly  pretty  solo. 

Then  followed  an  amusing  ''reading"  entitled  **An  Inci- 
dent in  a  Physician's  Experience",  recited  by  Miss  Dorathy 
Gross.     This  struck  home,  and  caused  no  little  merriment. 

Judge  Fake,  of  the  Municipal  Court,  then  gave  a  splen- 
did address  to  the  graduating  class.  His  words  rang  true, 
and  everything  he  said  was  impressive  and  forceful,— 
every  one  was  better  for  having  heard  him. 


NOTES  FROM  THE  FIELD.  511  ^ 

The  violin  solo,  Beriot's  Ninth  Concelrto  was  another 
rich  ta:'eat.  In  his  selection  Mr.  Francis  A.  Bedlow,  ably 
supported  as  he  was  by  his  accompanist,  certainly  gave 
every  music  lover  present  a  morsel  sweet  to  his  taste.  Not 
every  day  has  one  the  pleasure,  or  the  opportunity  of  listen- 
ing to  a  violin  virtuosa. 

The  conferring  of  degrees  by  the  president  then 
followed. 

Each  membet  of  the  graduating  class  being  called  by 
name,  walked  forward  to  the  foot  of  the  rostrum.  The 
president  after  briefly  addressing  them, — his  remarks  being 
memorably  well  chosen, — proceeded  to  hand  each  one  sever- 
alty his,  or  her  degree. 

Those  to  whom  the  Degree  of  Doctor  of  Medicine  was 
granted  were  as  follows: 

Alford,  John  Merlin  Johannes,  Edward  W. 

Beckwith,  Edwin  Burt  Kaistha,  Daya  Shanker 

Cogswell,  Prank  Benjamin  Lampkin,  Herbert  P. 

Poote,  Shirley  Olson,  O.  Alfred 

Freeman,  Elbert  Earl  Richberg,  Eloise  Olivia 

Gupta,  Daulatram  N.  Schmidt    Hilmar  C. 

Jaffer,  Mohamed  Verges,  Carl  J.  H. 

BofiSh,  James  Arnold  Yergin,  Harriette  Avis 

H.  M.  DEGREES. 

Baker,  M.  D.,  M.D.  Emmerson,  George  Clyde,  M.D. 

Vertes,  Alexander  M.D.,  Ph.  D. 

The  afternoon's  program  was  brought  to  a  close  by  K 

Miss  Louise  Gozad  again  entertaining  those  present  with  ]  | 

another  enjoyable  pianoforte  solo.  !  '^ 

The  representatives  from  India  who  took  their  degrees  ,;  | 

were:-  Drs.  Daulatram  Gupta,  Daya  Shanker  Kaistha  and  U 

Mohamed  Jaffer.  [^ 

Returning  to  India,   they  will  add  a  few  more  to  the  |f 

continually  increasing  number  of  * 'Bering's"  alumni  already  ^ 

stationed  there.    Incidentally,  a  vast  field  there  is  in  India,  r"! 

and  splendid  opportunities  for  demonstrating  the  power  of  ^ 

the  Hahnemannian  in  those  terrible  diseases  common  to  ^: 

Eastern  climes.     Prom  J)t,   Majumdar,  of  Calcutta,   news  |;^ 


5J2  THE  MEDICAL  ADVAKCB». 

trickles  through  of  the  excellent  work  accomplished  by  tiw 
men  who  have  taken  back  with  them  the  good  things  they 
have  acquired  at  *'Hering".  So,  success!  and  **bon  voyage*' 
to  the  homeward  bound. 

'  In  the  evering  at  the  Great  Northern  Hotel,  a  banquet 
was  held  in  honor  of  the  day.  Owing  to  professor  Morris* 
consummate  skill  in  arranging  all  the  details  appertaining 
thereto,  this  proved  another  enjoyable  gathering.  Between 
sixty  and  sixty-five  of  the  faculty,  graduating  class,  and 
friends  were  present  to  regale  themselves  sumptuously  at 
the  well  served  feast. 

After  the  banquet  the  customary  toasts  and  sx>eeches 
were  indulged  in.  President  Boynton,  Dean  Allen,  profes- 
sors Taylor  and  Gustafson  responded  liberally,  and  to  the 
edification,  and  enjoyment  of  all.  Drs.  Alford  and  Beck- 
with  also  responded  for  the  graduating  class. 

All  had  the  pleasure  of  again  hearing  Judge  Pake, 
whose  address  to  the  class  in  the  afternoon  warmed  the 
heart  towards  him.  Mr.  Richberg  being  called  upon  also 
replied  with  a  few  very  appropriate  remarks.  Professor 
Morris  acted  as  toastmaster,  and  altogether  the  occasion 
was  most  enjoyable.  A  feeling  of  good  will  towards  all  was 
clearly  manifest,  and  for  the  day,  as  for  the  future  "una- 
nimity of  purpose"  was  unmistakably  the  watchword.  In 
conclusion  it  is  only  just  to  say  that  Hering  College  is  proud 
of  her  graduated  this  year.  Staunch  and  true  homeopaths 
every  one;  each  enthusiastic  for  the  great  cause  bequeathed 
them  by  the  illustrious  Hahnemann,  and  each  fully  equipped 
to  go  forth  to  alleviate  suffering  and  to  cure  disease.  That 
their  success  is  certain  is  beyond  question. 

Opportunity  is  herewith  taken  to  tender  a  vote  of  thanks 
to  those  members  of  the  faculty  who  were  actively  engaged 
in  providing  so  bountifully,  and  who,  sparing  no  effort,  en- 
dured for  others  the  unsullied  enjoyment  and  success  of  both 
the  afternoon  and  evening  entertainment. 


NOTES  FROM  THE  FIELD.  513  Jli 

HOHEOPATHIC  OSLEBISH.  ^f 

The  following  item  from  the  Associated  Press  is  on  its  ;;  t 

rounds  through  the  country: 

Dr.  Osier,  who  wished  to  chloroform  all  men  at  the  age  of  60,  was 
receQily  invited  to  address  350  prominent  homeopaths  who  had  assem- 
bled in  convention  in  New  York.  The  doctor  did  not  attend  in  person, 
tmt  he  sent  a  letter  in  which  he  told  them  that  they  were  a  set  of  quacks; 
that  the  recent  investigations  had  shown  that  Homeopathy  had  not  a  leg 
to  stand  on,  and  that  they  ought  to  be  ashamed  of  themselves  for  hang- 
ing to  such  worn  out  ideas.  The  medicos  received  the  rebuke  in  silence 
and  up  to  date  have  ma^e  no  reply. 

Stimulated  by  the  fraternal  and  manly  course  of  Dr. 
Cabot,  of  Harvard,  in  delivering  an  address  before  a  hom- 
eopathic medical  society  in  Boston,  our  New  York  colleagues 
undertook  to  carry  forward  the  good  work  and  to  **go  Boston 
one  better."  If  they  could  only  induce  Dr.  Osier  to  attend 
their  banquet  and  make  a  speech  on  the  question  of  the 
union  of  the  schools  it  would  be  a  **ten  strike,'*  for  very  few  ^ 

men  could  afford  or  even  think  of  leaving  their  professional 
and  college  work  in  Oxford,  England  and  come  to  New  York 
to  attend  a  banquet.  The  next  best  thing  of  course  would 
be  a  letter  that  would  commend  their  course  to  the  profes- 
sion in  America,  and  perhaps  induce  a  few  more  so-called 
homeopathic  physicians  to  become  members  of  allopathic  so- 
cieties. But  'the  best  laid  schemes  of  mice  and  men  'gang 
aft  aglee,"  so  Dr.  Osier,  instead  of  writing  the  character  of 
a  letter  so  much  desired,  apparently  wrote  one  which  has 
not  yet  been  given  to  the  profession,  and  we  doubt  very 
much  if  there  be  any  truth  in  this  dispateh  of  the  Associ- 
ated Press,  that  it  ever  will  }pe.  The  conciliatory  remarks 
in  his  farewell  address  to  the  American  profession  was  not 
intended  for  the  homeopaths;  according  to  Dr.  Osier  they  do  -  ^  |t 

not  form  a  part  of  the  American  Medical  profession,  and  it 
did  not  require  very  much  of  an  effort  to  fall  back  on  the  old 
appropriate  term  of  "quack."  No  matter  how  well  educated 
or  how  successful  the  physician  may  be  in  the  allopathic 
ranks,  as  soon  as  he  adds  to  his  previous  knowledge  of  dis-  |^ 

ease  the  knowledge  of  the  law  of  similars  and  how  to  sue-  trj 

cessfully  apply  it  in  .  the  cure  of  the  sick,   he  becomes  a  .  u^ 

*'quack."    We  congratulate  our  homeopathic  colleagues  in  \^ 

New  York  on  their  success.    May  the  good  work  continue, 
for  is  not  this  letter  a  stepping-stone  to  the   union  of  the 
schools.    The  millennium  in  medicine  is  rapidly   approach- 
ing.   One  of  the  first  mile-stones  was  planted  at  the  recent  !)  I 
banquet  in  New  York.*    Hail!  New  York  Homeopathy.  jjj|: 

J  -  ;^ 

.  ''■•♦• 


^ 


A  TEXT-BOOK  Of  CUmCALiWEDlClHE 

HE  PtlKCIPLES  OF  DiHlillOSlS 

ByClarence Bartlett,  M  D> 

245  Illustrations.     Six  Colored  Plates.     976  Pages.     Qoth, 

$7.00,  net.     Half-morocco,  $8:00,  net. 

Postage,  52  cents. 

"Dr.  Bartlett's  work  caDuot  fail  to  become  the  standard  text-book  on 
diagnosis  in  both  America  and  Great  Britain.'* — London  Homeopathxe 
Review, 

"Here  is  a  chance  for  our  friends  of  the  old  school  to  show  their 
fairness  by  admitting  it  as  a  text-book  in  their  own  college,  for  we 
venture  the  statement  that  if  they  will  examine  this  book  as  we  have 
done  they  will  find  it  the  best  work  in  the  English  language  oo  the 
subject."— Jlfedicai  Century, 

"If  a  book  is  to  be  judged  by  its  helpfulness  we  predict  for  this  a 
position  on  a  shelf  quite  handy  for  ready  reference,  and  it  will  retain 
that  position  for  many  years  to  oome.'* — Mediccd  Advance, 

^'It  makes  no  difference  what  school  you  belong  to  you  need  this 
valuable  book." — MedUal  Gleaner, 

^'Accurate,  thorough  scientific,  and  fully  up-to-date.'* — fVm,  Oskr^ 
M,  D.,  John  Hopkins  University. 

^'It  seems  to  me  thoroughly  up-to-date  in  that  seriously  important 
department  of  medicine— Diagnosis— /.  P.  Sutherland,  M,  i>.,  BotiUm 
School  and  University  of  Medicine. 

'Taken  as  a  whole,  the  book  is  by  far  the  best  of  its  kind  on  the 
market.  '* — Critique, 

The  abov^  comments  are  from  representatives  of  every  braneh  of 
recognized  medicine  and  everyone  highly  endorses  the  book. 

Boericke  &  Taf  el, 

PUBLISHERS 

New  York,  Philadelphia,  Chicasra 


r^' 


v 


1 


The  Medical  Advance 


Vol.  XLVI.  BIT  AVE  A,  ILL.,  AUGUST,  1908.  No  8. 

IS     THE     RULE    ''SMALLEST,     SIHILAB,      SINGLE 
REMEDY"  PRACTICAL  IN   PRACTICE?* 

By  a.  W.  Holcombe,  M.  D.,  Kokomo,  Ind. 

Two  answers  are  implied  in  the  title  of  this  paper,  and 
it  is  of  the  utmost  importance  that  they  both  be  answered 
correctly,  and  in  harmony  with  the  facts  in  the  case. 

The  first  and  foremost  involves  the  efficiency  of  the 
**smallest  single  similar"  remedy,  .and  likewise  involves  our 
integrity  as  a  school  of  medicine.  If  answered  in  the  nega- 
tive,  as  the  writer  has  heard  it  declared  on  the  floor  of  this 
Institute,  we  stand  as  self  confessed  charlatans  and  quacks, 
with  absolutely  no  grounds  for  our  persistent  demands  for  < 

governmental  recognition,  as  a  proficient,  scientific,  school 
of  medicine.  What  right  have  we,  in  honor  or  consistency, 
to  ask  or  demand  governmental  recognition  of  our  system 
of  medicine,  when  its  professed  practitioners  declare  it  to 
be  inefficient  and  impractical?  Happily  this  need  not  be  an- 
swered in  the  negative,  and  I  declare,  what  all  other  con- 
scientious homeopathists  will  declare,  that  it  IS  practical, 
in  fact  the  moat  practical  of  any  or  all  medica^  practices. 

Hahnemann's  declaration  is,  that  the  physician's  high- 
est and  only  calling  is  to  heal  the  sick,  in  the  speediest  and 
safest   manner,   according  to  clearly   intelligible    reasons.  ^v 

We,  as  physicians,  recognize  that  there  are  but  two  classes  ^. 

of  people,  healthy  people,  and  sick  people;   and  it  is  with  ^{r 

the  latter  only  that  we  have  professional  dealings.     Given,  ^. 

a  sick  man,  it  is  our  business  to  discover  in  what  way,   in  ^- 

what  particulars  he  has  deviated  from  his  normal  healthy  i  - 


V- "  ■ 


*Tbe  Bureau  of  Homeopithlcs  of  Indiana  Institute  of  Homeopathy,  May,  1908. 


514  THE   MEDICAL   ADVANCE- 

condition.  It  is  our  care  and  duty  to  discover  and  remove, 
if  possible,  the  cause  or  causes  of  this  deviation,  and  restore 
him  to  health.  Will  the  **smallest,  single,  similar  remedy*' 
do  this?  In  the  busy  routine  of  a  general  practitioner,  or 
of  a  specialist  is  the  * 'smallest,  single,  similar"  remedy  all 
that  is  necessary  to  cure  sick  people?  We  answer,  in  all 
the  sincerity  of  conviction,  that  in  all  strictly  non-surgical 
cases,  it  is.  Not  only  so,  but  I  am  thoroughly  convinced 
that  it  will  not  only  cure  more  curable,  non-surgical  cases 
than  all  other  means  combined,  but  that  in  incurable  cases, 
euthanasia  can  as  effectively  be  secured,  as  bj^  any  other 
means. 

All  physicians  worthy  the  name,  have  that  distinctive 
desire  to  not  paUUtte  present  conditions  only,  but  to  genu- 
inely vure  their  patients  and  no  true  disciple  of  the  healing 
art  can  square  his  conscience  with  any  effort  made  solely  to 
palliate  instead  of  cure. 

Whatever  is  possible  in  the  healing  of  the  sick,  ispractwol, 
since  nothing  weighs  in  the  balance  with  human  life.  The 
homeopathic  art  having  for  its  end  the  saving  of  human 
life,  thereby  becomes  eminently  practical,  and  any  neglect 
on  our  part  to  make  ourselves  thorough  masters  of  it  be- 
comes a  crime,  and  since  this  art  finds  its  true  expression  in 
*'Simplex,  Simile,  Minimum,''  it  becomes  the  most  practical 
of  all  the  so-called  medical  practices. 

In  the  everyday  practice  of  the  busy  physician,  what 
conditions  can  he  possibly  meet  wherein  the  smallest,  single 
similar  remedy  becomes  impractical?  It  touches  and  im- 
presses more  quickly  and  profoundly  the  disturbed,  de- 
ranged vital  forces  than  anything  else. 

I  submit  a  few  cases  taken  at  random  from  every  day 
practice,  but  will  not  take  the  time  nor  space  to  detail  why 
the  particular  remedy  was  selected  in  each  case,  as  that 
feature  is  not  undcn*  discussion  in  this  paper. 

Cask  I.  O.  C.  Following  an  operation  for  phymosis, 
hemorrhage  began  as  soon  as  the  ligature  was  re- 
moved, and  was  very  free  and  persistent.  All  local  meas- 
ures were  resorted  to,   tortion,    both  hot   and   cold  water. 


IS  **SMALLEST,  SIMILAR,  SINGLE  REMEDY"  PRACTICAL?   515 

astringent  applications  of  all  kinds  including  persulphate  of 
iron,  but  aU  efforts  were  futile,  so  that  at  the  end  of  24 
hours  the  patient  was  all  but  moribund.  At  this  stage  of 
the  game  Phosphorus  Im  was  given  and  hemorrhage  stopped 
in  an  hour.  We  are  impressed  the  simplex,  simile, minimum 
was  quite  practical  in  this  case,  in  fact  about  the  only  prac- 
tical thing. 

Case  II.  Epistaxis,  hemorrhage  continued  uninter- 
ruptedly for  four  days,  a  constant,  .persistent  flow,  as  the 
blood  would  not  coagulate.  In  spite  of  everything  that 
could  be  done  in  the  way  of  local  treatment,  including  hot 
and  cold  applications,  plugging,  adrenalin,  iron,  etc.,  the 
hemorrhage  became  alarming.  Phosphorus  Im  stopped  the 
flow  in  2  hours,  with  no  return. 

Case  III.  Mr.  A.  F.  walked  into  the  oflice  and  in- 
formed me  that  he  was  going  to  die.  Was  freezing,  bones 
were'being  crushed,  nose  and  eyes  were  running  profusely, 
head  was  bursting.  A  powder  of  Natural  Gas  l^c  was  put 
on  his  tongue,  and  I  returned  to  inner  ofHce  to  prepare 
some  Placebo.  On  my  return,  he  exclaimed,  "Doctor, 
what  was  that  you  gave  meV''  I  replied,  '\Some  sugar." 
'*Why,"  he  said,  **I  felt  a  gentle  tingling  go  over  my  body, 
and  now  I  have  not  an  ache  or  a  pain.  It  was  not  morphine, 
was  it?"'  I  assurred  him  that  it  was  not,  and  that  his  trouble 
from  that  attack  was  over.  It  could  not  have  been  more 
than  10  minutes  after  taking  the  medicine  until  he  made  the 
remarlf. 

Case  IV.  Mrs.  H.,  my  wife,  wakemnl  one  morning 
with  very  severe  stitching,  cutting  pains  in  right  hypoehon- 
drium,  lower  chest  and  top  of  right  shoulder,  all  <  lying  on 
painful  side,  motion,  or  breathing.  I  carelessly  gave  her 
Bryonia,  but  by  evening  the  pains  w(^re  so  much  worse, 
that  I  changed  to  Kali  carb.;  but  pains  gradually  grew 
worse^  and  by  morning  were  alarming.  I  then  called  a 
brother  homeopath  from  another  city.  He  prescribed  Ver. 
vir.  Ix,  a  dose  every  half  hour.  Tw(^lve  hours  later,  pains 
the  same,  could  scarcely  get  any  breath,  slightest  motion 
impossible,    something   had   to   be   done.     Morphine?    No  I 


516  THE  MEDICAL  ADVANCE. 

I  did  what  I  should  have  done  in  the  beginning,  went  to 
work  on  the  case  and  found  the  symptom  119,  of  Ran.  bulb, 
was  exactly  as  she  complained.  Ban.  bulb.  Im.  stopped  the 
pain  in  two  hours  and  no  return. 

Case  V.  Mr.  A.  J.  Tarentula  bite.  While  picking 
bananas  from  stalk  was  bitten  on  end  of  middle  finger,  by  a 
tarentula  2  inches  long.  Came  to  my  office  within  half  an 
hour  after  bite,  with  finger  and  arm  swollen  to  double  normal 
size,  shooting,  burning  pains  up  arm  to  axilla  from  finger, 
showing  that  the  poison  had  already  been  absorbed.  What 
was  the  most  practical  thing  to  do  in  this  case?  Make  a 
free  incision  and  suck  the  poison  out?  Too  late.  I  gave 
him  some  Tarent.  Hisp.  cm.  Was  that  practical?  I  don't 
know,  but  the  pain  and  swelling  both  disappeared,  and  the 
third  day  he  went  to  work  as  a  meat  cutter,  and  said  he  felt 
all  right. 

The  other  answer  implied  in  the  title  question;  **Is  it 
practical  in  getting  through  with  a  large  number  of  pa- 
tients?'' Some  complain  that  it  takes  too  much  time  to 
find  the  totality  of  symptoms  and  find  the  single,  similar 
remedy.  A  thorough  study  of  the  Organon  and  Hahne- 
mannian  methods  is  necessary  in  order  to  take  a  case  for 
which  a  homeopathic  prescription  is  to  be  made.  A  long 
array  of  symptoms  does  not  necessarily  mean  that  the  case 
is  well  taken,  or  that  it  contains  the  totality  of  the  symp- 
toms even  for,  unless  the  prescriber  is  well  grounded  in  the 
philosophy  of  homeopathic  prescribing,  the  multiplicity  of 
symptoms  will  confuse  and  disconcert  him,  and  lead  to  alter- 
nation or  worse,  the  combination  tablet.  If  the  case  is  taken 
in  harmony  with  the  directions  and  spirit  of  the  Organon, 
it  takes  no  longer  to'find  the  one  remedy,  than  it  does  to  find 
tico  or  three.  Needless  to  say,  the  Materia  Medica  must  be 
constantly  studied  and  restudied,  for  unless  the  physician 
knows  the  peculiar  uses  of  the  various  remedies,  of  course 
he  will  fail. 

Does  the  surgeon  depend  upon  guess  work  and  substitu- 
tion to  bring  him  success  in  his  most  serious  operations? 
Does  he  use  catgut'and •silver  wire  both  to  close  the   perito- 


THE  ANAMNESIS.  517 

neum,  trusting  that  if  one  does  not  hold,  the  other  will? 
Does  he  use  a  trephine  or  bone  forceps  to  open  the  abdomen, 
because  he  don't  want  to  take  the  time  to  find  a  knife?  No, 
he  uses  deliberate,  studied,  intelligent  discrimination  in  the 
selection  of  every  instrument  and  every  means  by  which  he 
hopes  to  successfully  and  creditably  accomplish  the  desired 
result.  Does  the  surgeon  hurry  through  an  operation, 
slighting  or  overlooking  any  of  the  details  that  contribute 
to  the  success  of  his  work,  because  other  patients  are  waiting 
for  consultation?  No!  his  sincerity  of  purpose,  his  honor, 
his  reputation  as  a  skilful,  safe  operator  is  at  stake  in 
every  operation  and  in  every  detail  of  every  operation. 

Is  surgery  practical?  Foolish  question.  If  the  con- 
scientious, sMlled  sUrgeon  takes  the  time  to  give  every  de- 
tail of  his  work  in  each  case,  his  very  best  effort,  and 
through  this  attention  to  detail,  make  surgery  practical, 
then  is  not  careful,  painstaking,  discriminating  effort  on  the 
part  of  the  physician  in  non- surgical  cases  just  as  practical? 

THE  AllAMNESIS. 

By  T.  H.  Hudson,  M.  D.,  Kansas  City,  Mo. 

In  midsunmier  of  this  present  year  the  President  of  this 
Bureau  sent  me  a  topic  for  discussion  upon  this  occasion. 
Prom  the  voluminousness  of  the  topic  one  might  readily  in- 
fer that  it  is  the  only  one  to  be  considered  by  this  Bureau. 
The  stupendousness  of  the  task  overwhelmed  me,  and  I 
have  postponed  and  procrastinated  until  it  is  now  latel  late! 
I  fear  too  late! 

What  must  the  anamnesis  of  the  properly  taken  case 
include? 

Is  diagnosis  to  be  considered,  and  if  so,  to  what  extent? 
Its  subordinate  part  in  the  homoeopathic  prescription. 
Taking  the  case: — The  acute  case;  the  chronic  case. 

Perhaps  our  best  plan  will  be  to  take  these  questions  in 
the  order  propounded,  answer  them  briefly  as  possible  and 
get  through,  so  that  if  there  be  any  time  left,  it  may  be  in 
the  evening. 

First  then: — What  must  the  anamnesis  of  the  properly 


518  THE  MEDICAL  ADVANCE. 

taken  case  include?  It  must  include,  or  should  include  not 
only  the  past  history  of  the  patient,  but  also  the  history  of 
his  progenitors.  Many  a  time  and  oft  we  find  it  essential  to 
know  in  the  case  of  a  little  child  what  kind  of  ailments 
troubled  the  mother  during  gestation,  before  conception,  be- 
fore marriage,  before  puberty,  before  teething,  before 
weaning,  at  birth,  after  birth,  all  the  way  until  the  birth  of 
her  own  child,  and  even  after  that  event,  for  her  milk  may 
be  deficient  in  quantity  or  poor  in  quality,  her  food  may  be 
either  or  both,  or  she  may  gormandize.  Her  habits  mental, 
moral,  physical,  either  or  all  may  be  vicious.  She  may  be 
subject  to  fits  of  temper  or  despondency,  to  a  degree  suffi- 
cient to  so  poison  her  baby's  pabulum  as  to  cause  convul- 
sions and  speedy  death,  or  bating  that  inanition  and  illness. 

I  need  not  say  that  up  to  the  moment  of  conception  the 
father's  health  and  habits  play  as  important  a  part  and  im- 
press as  profoundly  the  life  to  be.  Nor  is  he  entirely  irre- 
sponsible afterwards,, for  the  impression  he  makes  on  the 
mother  to  be;  and  the  environment  with  which  he  surrounds 
her,  will  be  transmitted,  for  good  or  ill  to  her  offspring 
Nor  need  I  say  that  the  physical  as  well  as  other  inheritance 
from  parents  will  attend  the  child  from  birth  all  through 
life's  subsequent  journey.  This  being  conceded  we  will 
consider  the  first  question  answered. 

Second:— Is  diagnosis  to  be  considered,  and  if  so,  to 
what  extent?  If  we  had  no  other  use  for  diagnosis  than  the 
establishment  of  our  school  upon  an  equal  footing,  in  that 
departuK^nt,  with  others,  I  should  say  that  it  is  to  be  con- 
sidered. That  we  should  be  the  peers  of  any  and  all  others. 
in  any  and  all  dei)artments  of  medical  science,  I  hold  to  be  a 
laudable  ambition.  Nor  can  I  conceive  of  a  physician  edu- 
cat(Hl  ill  the  science  of  physiology  and  pathology,  health  and 
unhealth,  in  Matt^ria  Medica  the  means,  and  practice  the 
art  of  restoring  lost  health  to  health;  yet  ignorant  of  the 
art  of  diagnosis.  The  question  naturally  divides  itself  into 
two  sections.  And  if  we  may  consider  the  first  section,  is 
diagnosis  to  be  considered?  suflftciently  answered,  to  be  per- 
haps more  fully  answered  later,  return  to  the  second  part-  of 


THE   ANAMNESIS.  519 

the  question:— to  what  extent.  This  I  should  leave  to  the 
individual  practitioner.  If  he  requires  every  diagnostic  aid 
and  appliance  known  to  science,  before  he  can  rationally 
answer  the  question, — what  ails  the  patient?  either  for  the 
patient's,  his  friends'  or  his  own  satisfaction;  so  be  it.  It 
may  happen,  however,  that  while  he  is  consulting  the  Op^ 
sonic  Index,  a  skilful  prescriber  may  cure  tlie  case. 

What  is  the  subordinate  part  of  diagnosis  in  the  homeo- 
pathic prescription? 

Firstly,  diagnosis  simplifies  the  practitioner's  work;  his 
'  object,  aim,  purpose,  duty,  being  to  '*heal  the  sick."  This 
healing  will  be  accomplished  by  the  selection  of  the  appro- 
priate remedy.  This  selection  will  be  more  readily  made, 
other  things  being  equal,  by  the  careful  and  accomplished 
diagnostician.  For  it  is  a  fact  that  certain  remedies  pos- 
sess affinities  for  certain  organs.  This  being  the  case  the 
diagnostician's  knowledge  saves  him  time,  by  circumscribing 
the  field  through  which  he  must  search  for  the  remedy;  and 
this,  notwithstanding  the  fact  that  the  totality  of  symp- 
toms must  guide  in  its  selection.  There  are  other  reasons 
for  diagnosis  (as  for  example,  its  aid  in  prognosis),  but 
they  are  not  called  for  by  the  question  undtn^  consideration. 

The  next  proposition  is: — Taking  the  case;  or,  put  in 
the  form  of  an  interrogation,  how  shall  the  case  be  taken? 
This  involves  history,  current  conditions  and  prophecy. 
The  case  must  be  thoroughly  taken.  Its  past  and  present 
must  be  investigated  that  a  rational  prescription  may  be 
made,  and  its  future  predicted,  or  at  least  presumed,  for  the 
sake  of  a  prognosis  favorable  or  otherwise. 

Taking  the  case,  be  it  acute  or  chronic,  is  the  important, 
the  essential,  the  imperative  necessity.  Without  a  most 
careful  record  the  physician  is  without  chart  or  guide.  It 
goes  without  saying  that  in  the  taking  of  a  chronic  case  all 
that  can  be  discovered  of  inheritance,  dyscrasia,  accident  or 
incident,  must  be  made  manifest  to  the  physician.  And  of 
the  acute  case  the  same  is  true,  with  perhaps  the  addition  of 
an  emergency  clause,  for  the  acute  is  based  uiK)n  and  takes 
character,  complexion,  idiosyncrasy,  complexity  and  char- 
acteristics of  whatever  kind  from  the  chronic. 


520  THE  14EDICAL  ADVANCE. 

INFANTILE  DIARRHEA:    PHTTOLACCA  DECANDBi. 

By  p.  H.  Lutze,  M.  D.,  Brooklyn,  N.  Y. 

Willie  O.,  age  eight  months,  residing  some  distance  from 
the  city,  owing  to  change  of  food  and  dentition,  had  diar- 
rhea. August  4th,  1906,  I  received  the  folUowing  symptoms 
by  mail: 

Stool  light  yellow,  painless,  only  during  the  day,  never 
at  night.    Petroleum  200. 

August  10th. — Stool  yellow,  thin,  squirts  out  with  much 
flatus;  worse  in  the  afternoon,  several  stools,  also  one  at  1:15 
a  m.    Placebo. 

August  17. — Stools  large  and  watery,  five  or  six  daily, 
also  at  night;  also  has  sprue,  gray  scales  on  the  tongue^ 
which  bleed  on  attempting  to. remove  the  scales;  stools  are 
painful  during  the  day.    Borax  200. 

August  24th. — Stool  green  and  watery,  worse  from  1 
a.  m.  until  noon.  Tongue  coated  white  at  its  base,  child 
refuses  the  bottle,  frets  and  worries  much,  colic  and  griping 
relieved  by  hard  pressure.     Colocjrnthis  200. 

September  14th.  No  improvement  following,  a  local 
allopath  was  called,  who  after  giving  several  mixtures  and 
tablets,  noticing  much  gurgling  in  the  abdomen,  said  there 
was  too  much  activity  in  the  intestines,  which  must  be 
stopped  and  kept  the  boy  for  two  weeks  under  the  influence 
of  Opium,  which  caused  the  child  to  sleep  day  and  night;  but 
the  diarrhea  continued,  not  the  slightest  improvement. 

October  20th. — Was  called  to  see  the  boy  and  was  about 
to  give  him  Colocynthis  again  on  the  symptoms  given  me, 
when  I  saw  him  biting  constantly  and  very  hard  on  a  rub- 
bec  ring,  which  led  me  to  give  him  Phytolacca,  200,  two 
powders  of  which  restored  him  to  perfect  health,  after  all 
the  drugs  had  failed  to  afford  even  the  slightest  relief.  This 
remedy  not  being  included  in  Dr.  James  B.  Bell's  classical 
monograph  on  Intestinal  Discharges  and  Their  Homeopathic 
Treatment,  I  will  give  here  the  symptoms  as  found  in  Dr.  T. 
F.  Allen's  Encyclopedia  of  Pure  Materia  Medica: 

PHYTOLLACCA  DECANDRA. 

Stools: — Light,  thin,  yellow,   dark  brown;   copious   dis- 


INFANTILE  DIARRHEA.  521 

charges  of  blood,  mucus  and  what  looks  like  scrapings  of 
the  intestines;  watery,  greenish  yellow  or  dark  bloody  mat- 
ter; bile;  liquid,  dark  brown,    mushy,  loose,  light,    yellow, 
very  loud;  soft,  mushy,  with  undigested  food;  dark,   lumpy 
hard;  watery,  involuntary;  dysenteric  stools. 

Aggravations:  Mornings;  1  or  2  a.  m,  till  after  break- 
fast; 9:30  a.  m.;  afternoon  2:30  p.  m.,  7  p.  m.,  at  night  till 
2  p.  m.;  during  the  day,  during  dentition;  from  motion 
{vomiting). 

Ameliorations:^— yLovmn^B]  after  2  p.  m.;  at  night,  ab- 
dominal pains. 

Before  5tooZ .-Sensation  as  if  diarrhea  would  occur;  sickly 
feeling  in  the  bowels;  griping;  ineffectual  desire  for  stool; 
heat  in  the  rectum;  pain  in  the  transverse  colon,  at  7  a.  m. 
constant  dull  pain  in  the  umbilical  region;  violent  cramping 
about  the  umbilical  region;  vomiting,  worse  from  motion, 
the  abdominal  pains  disappear  at  night. 

During  Stool: — Straining;  griping  during  the  day;  pain- 
less at  night;  constant  pain,  did  not  cease  for  a  minute;  grip- 
ing pain,  moving  aboift  in  the  abdomen;  pain  in  stomach 
on  presure. 

After  Stool: — Very  severe  tenesmus,  could  not  leave  the 
stool  for  a  long  time;  faint  feeling;  permanent  hem- 
orrhoids; a  peculiar  sensation  of  heat  in  the  rectum  with 
a  burning  sensation  in  the  stomach;  at  midnight  a  se- 
vere neuralgic  pain  shooting  from  the  rectum  and  anus 
along  the  perineum  to  the  middle  of  the  penis,  followed 
in  a  few  minutes  by  a  neuralgic  pain  in  the  right  great  toe. 

This  desire  to  bite  hard  on  anything  within  their  reach 
is  a  keynote  for  Phytolacca  in  all  complaints  of  children, 
but  especially  during  dentition. 

The  light  yellow  painless  stools  of  Phytolacca,  at  times 
occuring  only  during  the  day,  resemble  similar  stools  of 
Petroleum  very  much,  but  differ  in  this:  that  the  stools  of 
Petroleum  occur  only  during  the  day,  never  at  night  and 
are  often  very  offensive;  whereas  the  stools  of  Phytolacca 
occur  also  often  at  night,  as  well  as  during  the  day. 


522  THE  MEDICAL  ADVANCB: 

TOOTHACHES. 

By  Maurice  Worcester  Turner,  M.  D.,  Brookline,Mass. 

When  the  Hibernian  gentleman  said,  '*  Single  misfor- 
tunes never  come  alone  and  the  greatest  of  all  possible  mis- 
fortunes is  often  followed  by  a  much  greater,"  he  stated 
what  appears,  paradoxically,  to  be  a  truism  in  medicine, 
namely,  that  one  is  likely  to  have  to  treat  in  quick  succes- 
sion two  or  more  puzzling  or  severe  cases  of  a  disease,  or 
two  or  more  accidents  or  surgical  cases  of  a  similar  kind^ 
these  often  progressively  increasing  in  severity. 

This  is  perhaps  fortunate  and  as  it  should  be,  because 
cases  two  and  three  are  much  easier  to  handle  on  account  of 
the  study  given  to  case  number  one.  So  when  the  first 
patient  with  toothache  came  last  autumn,  evidently  a  diffi- 
cult case,  I  knew  that  the  study  would  help  also  in  number 
two,  which  would  soon  appear. 

The  patient  was  a  man  who  recently  had  trouble  with 
an  upper  right  molar  so  that  the  nerve  had  to  be  killed  and 
now  the  next  tooth  was  sensitive.  The  dentist  found  a  decay 
under  a  cement  filling  running  up  into  the  neck  of  the  tooth 
close  to  the  pulp.  After  trying  various  things  the  dentist 
decided  that  nerve  must  be  killed  also.  At  this  the  patient 
objected  vigorously.  '*No,  there  was  no  help  for  it."  There- 
upon the  owner  of  the  tooth  determined  to  find  help  if  he 
could. 

Here  was  a  nerve  nearly  exposed,  very  sensitive  to  the 
least  contact  of  food,  to  cold  water,  to  touch,  lying  down» 
except  with  head  high,  to  any  mental  efEort,  from  thinking 
of  it,  and  not  relieved  by  heat,  external  or  in  the  mouth. 
The  only  relief  came  from  being  outdoors  and  from  drawing 
air  into  the  mouth.  The  patient  was  mild,  not  irritable  at 
all  and  not  tearful. 

The  deciding  symptoms  were; 

Air  cold,amel.:  (7/em.,Me».,  Nat.s.,  Nux  v.,  puls.,  Sars., 
Selen. 

Air  drawn  in,  amel.:  (7^cm.,Mez.,  Nat.s.,  Nux. v.,  Puis., 
Sars.,  Selen. 


TOOTHACHES.  523 

Mental  exertion,  from:  Bell.,  Ign.,  Nux.v. 

Thinking  about  it,  agg.:  Bar  c,  Nuxv.,  Spig,,  Thuj, 

Corroborative  were  touch,  while  lying,  etc.,  and  on  con- 
sulting the  remedy  in  the  Guiding  Symptoms  there  was  no 
uncertainty.  Nux  12x  was  given  in  water;  in  fifteen  min- 
utes after  the  first  dose  there  was  decided  relief;  then  infre- 
quent doses  till  all  sensitiveness  was  gone.  Three  slight 
recurrences,  since  the  tooth  was  filled,  have  been  checked  at 
once  by  the  same  remedy,  the  last  time  in  the  1,000th 
potency. 

Case  II.  A  woman  passing  through  the  climacteric, 
with  flushes,  infrequent  menses,  etc.  A  year  or  two  ago  she 
had  her  forearms  caught  and  slightly  bruised  between  the 
doors  of  an  elevator.  Her  attack  of  toothache  came  from  a 
molar  in  the  lower  right  side  which  was  loose,  very  sensi- 
tive, with  no  decay  to  be  found  when  examined  by  the 
dentist  as  carefully  as  the  soreness  would  permit. 

Pain  came  on  suddenly,  with  great  severity,  after  ex- 
posure to  dry,  cold  wind  one  evening,  causing  great  anguish 
and  restlessness.  It  quieted  after  Aeon.  200,  three  doses  in 
water,  so  she  slept  after  midnight.  In  the  morning,  com- 
fortable, but  return  of  pain  toward  night  and  no  relief  from 
Aeon.,  which  was  repeated.  Now  she  was  almost  frantic, 
with  weeping,  anxiety,  very  restless,  t!ie  pain  streaking 
down  the  arms  to  finger  tips;  worse  right;  anything  warm  in 
contact  with  the  tooth  aggravated,  but  holding  very  cold 
water  in  the  mouth  ameliorated,  while  it  was  cold. 

The  pain  extending  to  fingers  is  given  in  repertory 
only  under  Sep.,  but  it  also  occurs  under  Coff., — Guiding 
Symptoms,  Coffea  Cruda,  p.  311»— that  and  the  relief  from 
holding  cold  water  in  the  mouth,  as  well  as  the  mental  state 
decided  for  Coff.,  which  was  given  in  the  200th,  repeated 
doses,  and  not  only  relieved  then  but  held  for  three  days,  so 
she  was  very  comfortable,  yet  not  well,  and  it  was  evident 
that  an  appropriate  deeper-acting  remedy  must  be  found.  At 
the  end  of  three  days  the  trouble  returned,  somewhat 
changed. 

There  was  now  aggravation  from  warm  or  cold  drinks* 


524  THE  MEDICAL  ADVANCE. 

from  pressure,  motion,  heat,  noise,  lying  down,  stooping, 
before  midnight.  Nothing  relieved  permanently  and  until 
the  pain  gradually  wore  off  about  twelve  or  one  o'clock  at 
night  there  was  great  restlessness,  constant  moving  from 
bed  to  chair  and  back  again.  External*  warmth  relieved 
sometimes.  There  were  now  flushes  of  heat  with  anxiety, 
worse  in  evening.  The  pain  extended  to  the  fingers  as 
before  and  in  the  morning  they  were  stiff  and  sensitive. 
Mentally  despairing,  hopeless. 

No  remedy  seemed  to  cover,  not  even  Sep.,  which  has 
the  pain  extending  to  the  fingers,  and  it  was  not  until  the 
aggravation  from  noise,  a  new  and  peculiar  symptom,  was 
studied  that  any  light  was  obtained, — this  proved  to  be  the 
key  to  the  similimum. 

Two  remedies  are  given  under  the  rubric  "Aggravation 
of  toothache  by  noise"  in  Knerr,  p.  330,  Calc.  and  Ther.; 
Kent  adds  Tarent.  On  looking  it  up  in  the  Guiding  Symp- 
lams  Calc.  was  deemed  most  appropriate  and  was  given  in 
the  200th  at  about  three  o'clock  in  the  afternoon.  By  dinner 
time  she  was  more  comfortable  and  that  night  slept  better, 
and  with  the  head  lower  than  any  night  since  pain  began. 
Improvement  was  continuous.  A  slight  return  six  weeks 
later  was  at  once  cut  short  by  the  same  remedy  and  potency. 
Since  then  no  trouble. 

An  interesting  thing  is  the  pain  extending  down  the 
arms  to  the  fingers.  These  radiating  pains,  and  their  direc- 
tions, are  important.  Is  this  particular  radiating  pain  under 
Calcarea?  It  certainly  cured  it.  Cocculus  has  it  in  prosopal- 
gia. Ought  not  the  rubric  to  read — Pain  extends  from  face 
to  fingers,  Calc,  Cocc,  Coff,^  Sep. — Prosopalgia,  Toothache? 
Who  can  add  to  the  list? 


Birthmarks,  which  are  usually  indelible,  are  said  by 
two  Paris  physicians  to  yield  to  the  action  of  radium,  either 
in  children  or  adults.  The  marks  are  effaced  by  the  simple 
application  of  a  plane  surface  covered  with  varnish  contain- 
ing radium.  The  action  is  regulated  by  the  length  and  fre- 
quency of  the  applications,  which  are  said  to  be  painless.  It 
may  be  applied  to  an  infant  during  sleep.  The  nevus  most 
easily  cured  is  the  dark  and  most  highly  colored  one. 


CEREBRAL  HEMORRHAGE  525 

CEREBRAL  HEMORRHAGE:    A  CLINICAL  CASE. 

By  Dr.  Francisco  Valiente  T.  Barranquilla. 

Founder  Fellow  Member  of  the  Hahnemanlan  Society  of  Colombia. 

A  respectable  lady  of  Barranquilla,  was  suffering 
according  >to  a  diagnosis  of  the  old  school  doctors,  who  pre- 
ceded me  in  her  treatment  from  a  cerebral  hemorrhage, 
which  was  followed  by  left  hemiplegia,  naturally  due  to  the 
interruption  of  the  communicating  ways  existing  between 
the  organs  in  charge  of  which  the  acts  of  intelligence  and 
will  and  also  the  motor  nerves  and  muscles  are. 

It  has  always  been  said,  that  the  source  of  these  hemor- 
rhages is  generally  found  either  in  the  striated  body,  or  in 
the  optic  thalamus,  although  they  also  may  occur  at  other 
places  in  the  cerebral  hemispheres. 

This  lady  had  a  prodrome  cephalalgia  and  heaviness 
or  torix)r  of  her  head;  dizziness.     She  slept  very  badly. 

She  was  assisted  during  the  first  five  days  by  some  allo- 
pathic doctors,  but  without  any  avail.  While  expressing 
ourselves  in  this  way,  we  only  relate  the  honest  truth;  we 
do  not  disavow  the  doctor's  merit  and  eminence;  they  may 
be  very  learned  in  all  branches  of  medical  science,  but  it  is 
also  very  true  that  Allopathy  is  wanting  in  the  elements  of 
Materia  Medica,  which  Homeopathy  possesses  to  fight  di- 
rectly all  sickn^s  without .  windings  nor  hypothesis.  This 
is  perfectly  clear,  and  we  appeal  to  the  opinion  of  o  cele- 
brated allopathic  writer,  who  refering  to  this  complaint, 
expressed  himself  as  follows: 

'*When  a  cerebral  hemorrhage  takes  place,  it  should  be 
our  duty  to  have  it  disappear  by  favoring  the  absortion  of 
the  discharge  and  the  formation  of  an  apopletic  cicatrix. 
But  we  must  confess,  that  we  possess  no  means  capable  to 
stop  the  hemorrhage,   nor  even  any   agent  facilitating  the 

reabsorption  and  formation  of  a  cicatrix. In  many  cases, 

we  do  but  hasten  death  by  drawing  out  blood,  or  by  losing 
it  a  general  collapse  follows,  and  the  patient  does  not  re- 
cover his  senses  any  more." — (Nysten  Internal  Pathology, 
vol.  3,  page  193.) 


520  THE  MEDICAL  ADVANCE. 


^»  Let  US  come  to  our  case  again.    When  the  lady's  family 

1  resolved  to  have  her  treated  homeopathically,  we  find  her  in 

a  very  dangerous  comatose  condition. 

In  a  supine  decubitus,  mouth  half  open,  eyes  half  closed, 
tmlation  of  her  cheeks  while  breathing,   pale  face,  thin 
I  sharp  nose,  imperceptible  and  irrregular  pulse." 

She   had   been   given  a   couple  of  calomel  purgatives 
without  any  avail  whatever. 

Examining  her  wo  remarked  the  charaw^teristic  signs  of 

^  a  Mycotic  condition.     Due  to  the  circumstance  of  calomel 

having  been  administered  by  allopathic  doctors,  our  atten- 

r  tion  was  called  to  Nitric  acid  as  an  antidote  of  mercury  and 

,  a  jiroper  medicine  also  for  such  a  diathesis. 

We  hesitated  between  the  use  of  Opium  and  Nitric  acid, 
which  also  agreed  witli  the  condition  of  the  patient. 

*  This  last  remedy  lias  in  its  pathogenessy  left  hemiplegia 
and  though  our  patient  suffered  a  chronic  constipation  and 
Hahnemann  used  to  say  that  '*it  was  seldom  suggested  in 
cases  like  this,"  we  instantly  remember  an  English  gentle- 
man s  opinion,  Dr,  Clarke,  who  affirms  that  he  had  had  ex- 
cellent results,  curing  some  cases  and  healing  the  constipa- 
tion. Furthermore,  our  patient  was  greatly  accustomed  to 
purgatives  and  it  is  well  known  that  this  custom  is  also  the 
cause  of  constipations. 

At  last  we  dficided  to  use  Nitric  acid,  taking  into  con- 
sideration the  following  reasons: 

Havinj^  to  use  an  antidote  to  calomel;  our  patient  being 

•  lean,  with  Tit?id  fibre,  dark  complexion,  black  eyes  and  hair 
and  a  nervous  temperament;  and  she  worried  very  much  on 
account  of  her  sufferings. 

I  also  learned  from  her  family  the  following:  Profuse 
ptyalism  while  moving  her,  which  was  remarkable;  foul 
glossitis;  intense  headache;  inflamed  throat;  excessive  physi- 
cal in-itability;  eraclcing  of  her  maxillary  joints  while  mas- 
masticating;  ditlicult  and  painful  deglutition;  fever  with 
dominating  coldness;  temperature  was  38J®. 

Twenty  lour  liours  later  the  patient  improved  remark- 
ably.   Pulse  was  more  perceptible;  she  copiously  evacuated; 


CEREBRAL   HEMORRHAGE.  527 

fever  came  down  to  38^  and  she  could  easierly  hear  when 
spoken  to. 

We  continued  this  medicine.  After  48  hours,  we  find  a 
very  remarkable  improvement  in  her  general  condition;  but 
she  complained  of  invincible  heaviness  of  her  eye  lids,  not- 
withstanding her  efforts  to  do  it,  and  due  to  her  moral  con- 
dition and  to  the  relaxation  of  all  her  muscular  system,  and 
of  the  debility  she  felt  in  her  eyelids,  we  resolved  to  give 
Gelsemuim  6a  which  put  an  end  to  the  fever  and  restored  a 
healthful  reaction.  She  opened  her  eyes  easily  and  spoke 
to  persons  round  her. 

The  next  day,  here  eyes  were  congested.  Examining 
her  pupils  we  find  them  somewhat  expanded  and  some  con- 
vulsive and  isolated  movings,  prescribing  therefore  Bella- 
donna 6a-8  globuls  to  7  spoonfuls  of  water — to  take  a 
spoonful  every  2  hours.  This  medicine  acted  magically  as 
it  always  does  whenever  indicated. 

Our  patient  now  had  a  pungent  headache  on  the  right 
parietal  region,  opposite  side  to  the  one  attacked  by  hemi* 
phlegia,  which,  after  having  greatly  yielded  to  Belladonna, 
disappeared  by  the  use  of  Coffea  30.  She  felt  a  sensation 
like  that  which  must  be  felt  by  he  who  has  a  nail  driven 
into  his  brain. 

Our  attention  was  called  after  this  improvement  to  the 
intestinal  viertia  which  after  a  fe>v  hours  yielded  to  opi- 
um30. 

She  improved  in  all  respects  rnd  her  condition  was  then 
joyful.  But  her  hemiplegia  had  not  changed,  and  after  giv- 
ing her  sulphur  12  to  promote  reabsorption  we  began  to  se- 
lect a  medicine  to  hasten  healing. 

It  is  with  great  satisfaction  that  we  report  the  wonder- 
ful effect  of  Haba  de  Calabar  which  we  use  as  follows: 

Physostigmo  ven.  30—8  g:lobuly  to  4  ounces  of  water — 
to  be  taken  in  a  dose  of  1  spoonful  every  morning;  in  the 
evening  placebo. 

Communication  between  the  central  inciter  apparatus 
and  the  motor  nerves  began  to  be  corrected  under  the  in- 
fluence of  this  medicine,  causing  great  astonishment  as  four 


528  THE  MEDICAL   ADVANCE. 

days  after  she  began  taking  this  medicine,  she  could  move 
-her  left  arm  to  touch  a  medal  hanging  from  her  neck. 

The  medicines  used  during  this  treatment  are:  Nitri 
-'Acidum,  Gelsemium,  Belladonna,  Sulphur,  Opium,  Kali 
phosphoricum,  Physostigma  ven,  and  Coffea,  used  accord- 
ing to  the  similar  symptoms. 

Intercurrents:  Sulphur  to  promote  the  reabsorption; 
Kali  phosphor,  for  nervous  and  muscular  anxiety;  Lycopo- 
dium  30  for  intestinal  meteorism;  one  dose  was  enough  to 
remove  it. 

We  have  found  Baryta  carb.,  Gelsemium,  Laehesis, 
Nux  Vomica  and  Phosphorus,  as  called  for,  successful  in 
correcting  a  predisposition  to  cerebral  hemorrhage. 

Our  patient  now  walks  throughout  the  house,  and  uses 
her  arm  once  paralized. 


TICCINATION  DURING  SMALLPOX. 

A  year  or  two  ago  Dr.  J.  C.  Hibbert  investigated  the 
question  **  as  to  whether  a  successful  vaccination  or  revacci- 
nation  of  a  patient  suffering  from  a  suspicious  rash,  speaks 
strongly  against  that  rash  being  one  of  smallpox.  In  twenty 
cases  of  undoubted  smallpox  which  were  vaccinated  or  re  - 
vaccinated  after  the  appearance  of  the  eruption,  elevezi 
vaccinations  or  revaccinations  were  successful.  In  the  greater 
proportion  of  the  successful  cases  well  marked  typical  vac- 
cine vesicles  appeared  at  the  site  of  the  vaccination.  These 
vesicles  became  evident  from  the  fourth  to  the  sixth  day 
after  the  operation  and  ran  the  usual  course.  In  some  cases, 
instead  of  the  typical  vesicle,  there  was  merely  an  indurated 
raised  papule.  Ten  of  the  eleven  successful  cases  were 
vaccinated  during  the  first  four  days  of  the  disease.  It  could 
not  be  detected  that  vaccination  or  revaccination  when  per- 
formed after  the  smallpox  eruption  had  appeared,  had  defi- 
nitely any  modifying  influence  on  the  rash  or  on  the  course 
of  the  disease." 

To  anyone  but  a  radical  advocate  of  vaccination,  the 
above  is  couclusive  proof  that  this  method  offers  not  the 
slightest  protection  against  smallpox.  If  its  action  is  homeo- 
pathic, as  many  assert,  it  should  at  least  modify  the  rash  or 
the  course  of  the  disease.  The  experimenter,  an  allopath 
too,  states  that  no  such  effect  could  be  detected.— Col.  Jour. 


REPORT  OF  THE  1.  H.  A.  MEETING.  52^ 

REPORT  OP  THE  BUSINESS  TRANSACTED  AT  THE 

1908  MEETING  OF  THE  INTERNATIONAL 

HAHNEMANNIAN  ASSOCIATION. 

The  meeting  was  called  to  order  by  the  president,  Ru- 
dolph F.  Rabe,  at  10  a.  m.  Moved  that  the  program  as 
printed  be  the  order  of  business.     Carried. 

Moved  that  visiting  physicians  be  accorded  the  privilege 
of  the  floor.  Carried. 

The  president  then  appointed  the  following  committees: 

Committee  on  Press.  Drs.  T.  G.  Roberts  and  J.  B.  S. 
King, 

Committee  on  Attendance:     Dr.  Harvey  Farrington. 

REPORT  OF  THE  SECRETARY. 

Mr.  President  and  Members  of  the  Association. 

The  routine  work  of  the  Association  has  been  carried 
out  as  usual.  The  proceedings  of  the  last  meeting  were 
printed  and  distributed  to  the  members  within  the  time 
limit  of  ninety  days  as  prescribed  by  the  by-laws.  They 
formed  a  large  volume  of  340  pages.  The  proceedings  of 
the  preceding  year  formed  a  volume  of  only  280  pages.  In 
accordance  with  the  resolutions  passed  last  year  the  secre- 
tary had  made  300  electrotypes  of  the  design  of  the  Associa- 
tion, and  sent  one  to  each  member  in  good  standing. 

On  motion  passed  at  the  late  meeting  the  secretary  was 
instructed  to  send  certificates  of  membership  to  all  members 
in  good  standing.  This  could  not  be  carried  out  to  the  let- 
ter for  the  reason  that  the  members  joined  through  two 
centuries  and  only  one  stone  could  be  made.  The  old  stone 
having  been  lost  and  the  new  stone  being  dated  for  the 
present  century,  certificates  could  be  furnished  only  to 
members  who  had  joined  since  1900.  Certificates  were  pre- 
pared and  sent  to  all  such  members. 

Two  active  members  died  since  the  last  meeting  as  will 
be  learned  from  the  necrologist. 

Moved  that  the  secretary's  report  be  accepted  and  re-f 
ferred  to  the  publication  committee. 

REPORT  OF  THE  CORRESPONDING  COMMITTEE. 

The  corresponding  secretary  read  as  his   report  a  letter 


630  THE  MEDICAL   ADVANCE. 

from  Dr.  Sura  de  Moneo,  of  Bogota,  of  the  South  American 
Jic public  of  Colombia, 

KPIPORT  OF   THE   TREASURER. 
RECEIPTS. 

Jane  22nd,  190T,  balance  on  hand ..8480.46 

Received  for  dues 508,00 

Sale  of  volumes  of  Transactions. 11.00 

Sale  of  Close  papers 2.00 

Return  posta^o .76 

$1002.22 

•  UISBUUSEMENTS. 

Stenographer  (King) .  ^ §100.00 

Postage 37.95 

Storage!  H.  A,  volumes 12,00 

Transactions  1007 ^ 319.36 

Express  and  druyaRC  on  Transactions. 14.02 

Kngraviog  trade  mark 40.00 

Packing  I.  H.  A.  volumes .25 

Lettering  certificates,  making  up  and  dis- 
tributing samt' 29.95 

Circulars,  folders,  envelopes,    electro,  and 

distrihutjnis^  same : 33.45 

S587.25 

Balance  on  fniml . , 8414.97 

Report  rectnved  and  referred  to  an  auditing  committee. 
President  appoint<;d  Drs.  H.  H.  Baker  and  C.  M.  Boger 
on  that  committe*', 

UKPdin     OF   THE   NECROLOGIST, 

Keport  recpived  and  referred  to  the  publication  com- 
niittf*e. 

CNPiMSHED   BUSINESS. 

I'nder  the  head  of  new  business  the  change  in  the  by- 
laws uf  vdilclr  nr^tirt^  luid  been  given  at  the  last  meeting  had 

ArtitHf  VU,  S4*f^fion  -,  was  changed  from  *'a  thesis  upon 
the  siihjecl  at  HiiiiMH*]mthy  and  a  clinical  report/'  to  "A 
fcbf»4.i&  upon  I  lie  sHi^jci^L  of  Homeopathy,  a  clinical   report  or 


REPORT  OF  THE  I.  H.  A.  MEETING.  531 

the  proving  of  a  remedy."    This  was  voted  upon  and  car- 
ried. 

Article  VII,  Section  6,  was  proposed  to  be  changed  by 
substituting  the  words  * 'Medical  profession"  for  the  words 
**Tbis  Association."    This  was  voted  upon  and  lost. 

NEW  BUSINESS. 

Moved  and  unanimously  passed  by  standing  vote,  that 
the  secretary  be  instructed  to  send  messages  conveying  the 
greeting  and  sympathy  of  the  Association  to  Dr.  Wm.  P. 
Wesselhoeft,  Dr.  Alice  B.  Campbell  and  Dr.  F.  H.  Lutze. 

Moved  by  Dr.  P.  E.  Krichbaum  and  seconded  that  after 
fifty  as  complete  sets  of  the  proceedings  as  possible  are  se- 
lected and  retained  by  the  treasurer,  the  remainder  be  sent 
to  libraries  of  various  medical  colleges  for  the  use  of  students. 

President: — Are  there  any  remarks  on  this  motion? 

H.  C.  Allen: — I  think  that  we  can  make  a  better  use  of 
them.  Let  us  use  them  for  missionary  purposes  by  putting 
thera  in  the  hands  of  prospective  members,  or  in  the  hands 
of  individuals  where  in  the  judgment  of  members  they  will 
do  the  most  good  for  Homeopathy.  I  could  get  a  good 
many  members  if  I  had  a  copy  of  the  old  proceedings  to  put 
in  the  hands  of  an  interested  doctor.  In  all  probability  they 
would  be  lost  in  the  libraries  of  colleges-  I  move  as  a  sub- 
stitute that  after  fifty  sets  have  been  selected  and  retained 
by  the  treasurer  that  the  rest  be  placed  at  the  disposal  of 
members  in  good  standing  for  missionary  purposes.  Sec- 
onded. 

P.  E.  Krichbaum: — I  withdraw  my  motion  with  the  con- 
sent of  my  second. 

Dr.  Allen's  motion  was  then  put  and  carried. 

E.  A.  Taylor: — It  would  be  only  a  matter  of  justice  to 
give  a  copy  of  the  proceedings  containing  the  proving  of 
Piper  Nigrum  to  each  one  of  the  pro  vers  who  took  part  in 
it,  .  I  would  like  to  have  the  Association  authorize  .it.  I 
therefore  move  that  a  copy  of  the  Transactions  that  con- 
tain the  proving  of  Piper  Nigrum  be  given  to  each  one  of 
the  provers.     Seconded.     Carried. 

P.  E.  Krichbaum: — I  move  that  the  president  appoint  a 


532  THE  MEDICAL  ADVANCE. 


^ 


committee  of  from  three  to  five  honorable  seniors  for  the  ,   ] 

purpose  of  compiling  a  list  of  all  known  Hahnemannian  prac-  * 

titioners  in  the  United   States  and  published  in  our  Pro- 
ceedings for  the  use  of  members.     Secojided. 

G.  P.  Waring: — I  think  that  is  a  good  idea,  but  I 
doubt  the  wisdom  of  appointing  a  committee  off  hand.  I 
move  that  Dr.  Krichbaum's  motion  be  referred  to  a  commit- 
tee of  three  to  report  at  the  next  session.  Seconded.  Car- 
ried. 

President: — I    appoint    Drs.    Krichbaum,     Taylor   and  , 

Waring  on  that  committee. 

REPORT  OP  THE  BOARD  OF  CENSORS. 

C.  M.  Boger,  Chairman  af  the  board,  read  the  following 
list  of  names  as  applicants  who  had  fulfilled  all  the  require- 
ments, and  were  recommended  by  the  board  for  election  as 
members. 

ACTIVE   LIST. 

Gabriel  P.  Thornhill,  Paris,  Texas. 

L.  E.  Rauterberg,  *'The  Farragut"  Apartment  House, 
Washington,  D.  C. 

A.  W.  Holcombe,  Kokomo,  Indiana. 

E.  A.  P.  Hardy,  Toronto,  Canada. 

C.  A.  Baldwin,  Peru,  Indiana. 

J.  E.  Frash,  Metamora,  Ohio. 

E.  P.  Wallace,  Pomona,  California. 

Richard  Blackmore,  Bellevuej  Pennsylvania. 

Harvey  Farrington,  5223  Washington  Ave.,  Chicago. 

On  motion  duly  seconded  and  carried,  these  gentlemen 
were  elected  members  of  the  Association  by  the  secretary 
casting  one  ballot  for  them. 

ASSOCIATE   LIST. 

Josephine  M.  Roberts,  239  42nd  St.,  Chicago,  111. 
Jennette  D.  Peterson,  Richmond,  Indiana. 
Charles  A.  Peterson,  Richmond,  Indiana. 
Helen  B.  Wilcox,  484  E.  63rd  St.,  Chicago,  111, 
Evelyn  Hoehne,  481  Washington  St.,  Milwaukee,  Wis. 
William  E.  Leonard,  Minneapolis,  Minn. 
S.  H.  Sparhawk,  Saint  Johnsbury,  Vt. 


PRESIDENT'S  ADDRESS.  533 

W.  B.  Hinsdale,  Ann  Arbor,  Mich. 

Annie  Allen  Anderson,  180  Winthrop  Ave. ,  Chicago,  111. 

Gustavus  A.  Almfelt,  Somers,  Wis. 

H.  C.  Thomas,  Kokomo,  Indiana. 

Wm.  C.  A.  Leipold,  Hotel  Windermere,  Chicago,  111. 

Moved  that  the  secretary  cast  the  ballot  of  the  associa- 
tion electing  those  named  associate  members,  which  was 
done  and  they  were  declared  elected. 

ADDRESS  OF  THE   PRESIDENT. 

THE  INTEBNATIONAIi  HAHNEMANNIAK  ASSOCIATION 

AS  A  FACTOR  FOB  GOOD  IN  THE  HOMEOPATHIC 

PROFESSION. 

Fellow  members  of  the  International  Hahnemannian 
Association,  Ladies  and  Gentlemen:  The  object  of  an  asso- 
ciation like' this,  is  its  reason  for  existence,  and  only  in  so 
far  as  it  fulfills  its  object  can  it  be  said  to  be  successful.  The 
International  Hahnemannian  Association  was  formed  in  the 
year  1880  as  a  protest  against  the  loose  unhomeopathic  ten- 
deiicies  of  the  parent  body,  the  American  Institute  of  Hom- 
eopathy. It  rallied  to  its  protestant  forces  some  of  the 
brightest  minds  and  deepest  thinkers  of  our  school.  Its 
meetings  became  the  medium  of  exchange  of  thought  and 
wisdonQ  in  the  philosophy  of  our  art,  and  served  as  a  post- 
graduate school  of  inspiration  to  many  a  homeopathic  phy- 
sician in  this  and  other  lands. 

That  which  may  be  said  of  the  past  can  still  be  said  of 
the  present  of  this  Association  and  much  more.  Since  the 
founding  in  1880,  a  new  generation  of  physicians  has  ap- 
peared, one  whose  training  has  each  year  been  advanced  in 
the  paths  of  modem  scientific  investigation.  These  paths, 
alluring  and  never  ending  in  themselves,  have  led  many 
from  the  well-beaten  track  of  fundamental  truth  and  prin- 
ciple, until  the  enticing  maze  into  which  they  have  so  eager- 
ly penetrated  has  swallowed  them  beyond  regurgitation.  Of 
such  are  the  majority  in  our  parent  organization,  the  Amer- 
ican Institute  of  Homeopathy,  to  whom  all  that  is  modern 
in  medical  research  and  discovery  constitutes  the  Alpha  and 


534  THE  MEDICAL  ADVANCE. 

Omega  of  their  science.  With  no  understanding  of  its  won- 
derful philosophy,  without  grasp  of  the  truth  of  its  princi- 
ples, blatantly  displaying  their  profound  contempt  for  the 
precepts  of  Hahnemann  himself,  these  men  are  dragging  in 
the  mire  the  reputation  and  fair  name  of  Homeopathy. 

Yet  this  mournful  picture  has  its  bright  reverse,  for 
although  in  the  minority  they  may  be,  it  is  a  minority  whose 
earnest  steadfastness  has  served  to  win  to  its  support  many 
a  faltering  mind,  in  the  overthrowing  of  dangerous  and  in- 
sidious enactments.  More  than  one  traitor  to  our  cause  has 
dared  to  oppose  this  phalanx  of  defense,  never  to  show  his 
face  again.  Standing  shoulder  to  shoulder  in  the  fight,  the 
members  of  this  Association,  still  loyal  to  the  highest  inte- 
rests of  the  Institute,  have  been  conspicuous  by  their  united 
action  and  activity.  So  great  has  been  their  influence  that 
within  the  past  eighteen  months  overtures  of  peace  have 
been  made  by  the  parent  body. 

Today  a  unique  state  of  affairs  is  in  existence,  that  of 
many  loyal  members  of  this  Association  being  at  the  same 
time  enrolled  as  faithful  members  of  the  older  body.  Here 
it  is  that  the  International  Hahnemannian  Association  is 
presented  with  its  grandest  opportunity  for  d9ing  good  in 
the  homeopathic  profession.  And  therefore,-  as  my  first 
presidential  recommendation,  I  would  urge  that  members  of 
this  body  can  best  serve  the  interests  of  our  common  cause 
by  at  the  same  time  becoming  active  as  individual  members 
of  the  parent  organization.  Our  own  must  remain  intact, 
inviolate,  a  harbor  of  instruction  and  inspiration,  from 
which,  like  knights  of  old,  to  set  sail  and  go  forth  to  battle 
for  the  right.  Our  emmissaries  must  be  found  wherever 
Homeopathy  exists,  in  state,  county  and  local  societies,  and 
no  opportunity  must  be  allowed  to  slip,  whereby  our  own 
members  can  bo  advan-ced.  Organization  must  be  met  by 
organization,  whenever  and  wherever  necessary,and  for  this 
purpose  sui)port  must  be  forthcoming  from  this  Association. 

Scattered  throughout  the  land  are  numerous  small  bands 
of  Hahnemannians,  whose  affiliation  with  this  body  was  at- 
tempted two  years  ago.     Nothing  has  come  of  this  plan,  and 


PRESIDENT'S  ADDRESS.  535 

as  a  second  recommendation  I  would  urge  the  wisdom  of  a 
committee  to  devise  ways  and  means  of  carrying  out  the  in- 
tention of  my  predecessors. 

The  subject  of  drug  proving  was  ably  presented  last 
year  by  President  Patch  who  emphasized  its  great  import- 
ance to  the  scientific  world.  The  committee  appointed  by 
this  association  to  consider  the  president's  address  urged 
the  desirability  of  such  drug  proving,  and  recommended  that 
it  be  carried  on  by  this  organization.  Your  president  ap- 
pointed a  committee  on  drug  proving  and  confidently  looks 
to  its  chairman  for  a  report  of  its  work  during  the  year  now 
brought  to  a  close. 

All  that  was  said  by  the  retiring  president  can  be  ad- 
vantageously reiterated  now.  This  work  must  and  can  best 
be  done  by  our  Association,  and  in  this  work,  we  as  Hahne- 
mannian  physicians  should  lead.  Let  every  instrument  of 
precision,  let  every  chemical  or  diagnostic  aid  be  brought  to 
bear  upon  this  work,  let  every  fact,  pathologic  or  otherwise 
be  noted,  but  let  all  be  guided  by  the  sound  sense  of  Hahne* 
mann's  directions  and  philosophy. 

Although  the  diagnosis  of  disease,  in  so  far  as  this  con- 
stitutes the  naming  of  a  pathologic  condition,  is  seldom  es- 
sential to  the  selection  of  the  simillimum,  its  importance  as 
an  integral  part  of  the  armamentarium  of  the  educated  phy- 
sician needs  no  emphasis.  Time  was  when  it  made  no  dif- 
ference to  our  prescribers  what  they  were  curing.  This  at- 
titude of  indifference  can  no  longer  be  maintained.  An  in- 
telligent laity,  an  alert  profession,  demands  knowledge  of 
what  is  abnormal  in  the  human  body,  and  where  this  knowl- 
edge can  be  given  it  should  be  made  plain  to  all  concerned. 
Homeopathy  can  be  but  strengthened  and  dignified  by  such 
knowledge,  and  it  behooves  us  as  true  Hahneraannian  phy- 
sicians to  perfect  ourselves  in  diagnostic  skill;  by  so  doing 
we  challenge  the  investigation  of  those  who  differ  from  us 
in  belief,  and  confound  those  who,  though  professing  to  be- 
lieve as  we  do,  differ  widely  from  us  in  their  practice. 
Pacts,  not  mere  assertions  will  aid  us  in  the  establishment 
of  our  belief. 


i 


5S6  THE  MEDICAL  ADVANCE. 

The  medical  student,  with  mind  unmoulded   and  faith 
but  insecure,  is  open  to  conviction  and  can  by  proper  train- 
ing be  firmly  rooted  in  the  truth  of  our  methods.     His  col- 
lege course,  followed  by  his  intemeship  in  hospital  or  clinic,, 
can  make  or  unmake  the  true  Hahnemannian  physician  in 
him.    Inileed,  in  the  college  the  greatest  work  can  be  done 
by  men  well  qualified  to  impart  the  knowledge  needful  to 
the  truly  homeopathic  physician.     Not  only  must  the  chairs 
of  Materia  Medica  be  manned  by  enthusiastic  teachersi  but 
the  chair:*  of  Practice  of  Medicine  as  well,   for  it  is  in  the 
latter  that  the  influence  for  good  of  the  former,  is  so  often 
completely  nullified.  Hence,  here  too  lies  an  opportunity  for 
the  members  of  this  Association  to  associate  themselves 
wherever  possible  with  our  colleges   and  become  a  power 
for  gooci    It  is  idle  to  stand  by  and  criticise  and  yet  make 
no  effort  to  correct  existing  faulty  conditions.    Then,   too, 
those  Hahnemannians  who  are  teachers  should  not  essay  to 
arouse  needless  antagonism  by  befogging  the  main  issues 
with  di^scussions  of  unsettled  or  relatively  unimportant  ques- 
tions.    The  potency  question  for  one  should  be  broached  in 
a  frank  manner,  without  bias,  and  giving  that  latitude  of  se- 
lection which  Hahnemann  himself  commended.     Let  e/ery 
moot  point  be  freely  discussed  and  fully  explained,   for  in 
this  way  alone  can  confidence  on  the  student's  part  be  en- 
gendered. 

Also  must  we  see  to  it  that  the  philosophy  of  Hom- 
eopathy is  faithfully  presented  to  the  student.  The  Organon 
must  to  him  become  as  pleasantly  familiar  as  the  clinic  or 
the  operating  room,  its  great  truthj  fully  impressed.  For 
this  wot^k  the  highest  ability  is  required,  and  who  are  more 
ably  fittL'd  for  the  task  than  many  of  our  older  members. 

Repiu'tory  work  is  most  essential,  as  every  Hahneman- 
nian knows,  yet  how  many  students  in  our  colleges  are  to- 
day receiving  instruction  in  this  knowledge,  and  who  can 
imp  art  this  knowledge  better  than  he  who  is  well  versed  by 
dai  ly  practice  in  it. 

Fellow  members:  It  is  well  for  us  at  times  to  stop  and 
consider  whether  we  are  doing  our  whole  duty  by   our  pro- 


REPORT  OF  THE  1.  H.  A.  MEETING.  537 

fession,  by  our  students,  by  our  cause  and  by  humanity  it- 
self. Can  we  not  do  more  individually  and  collectively,  to 
aid  in  the  work  of  bequeathing  to  those  wh6  are  to  follow 
us,  the  previous  heritage  we  ourselves  have  received.  The 
trend  of  the  times  is  in  the  direction  of  levelling  all  medical 
disiinctions,  a  tendency  to  be  welcomed  were  our  cause  to 
receive  its  just  and  proper  place  in  medicine;  but  since,  for 
the  present  age  at  least,  it  is  not  so  to  be  recognized;  we 
must  fight  on  courageously,  manfully,  with  weapons  keen 
and  untarnished  by  the  breath  of  calumny.  Let  us  then,  as 
representatives  of  an  Association  of  men  and  women,  whose 
art  and  practice  are  founded  on  the  bedrock  of  Hahneman- 
nian  philosophy,  stand  side  by  side  in  advancing  our  faith. 
Such  efforts  will  at  best  be  scant  recompense  for  that  which 
we  have  so  bountifully  received.  In  this  spirit,  then,  are 
these  few  suggestions  made  by  one  who,  always  enthusiastic 
in  the  cause  for  which  he  labors,  has  himself  striven  humbly 
to  do  his  little  part,  and  when  the  time  does  come,  as  it 
surely  will,  that  Homeopathy  comes  into  its  own,  let  us  as 
its  rightful  custodians  be  prepared  to  guide  the  hands  into 
which  it  shall  be  confided. 

Rudolph  F.  Rabe. 


PEPORT  OF  THE   AUDITING   COMMITTEE. 

C.  M.  Roger: — As  chairman  of  the  committee,  I  report 
that  your  committee  has  examined  the  books,  accounts  and 
vouchers  of  the  treasurer  and  found  them  correct.  Motion 
duly  seconded  and  carried,  the  report  of  the  auditing  com^ 
mittee  was  accepted  and  the  committee  discharged. 

REPORT   OF  THE  COMMITTEE  ON  DR.  KRICHBAUM'S  MOTION. 

Your  committee  recommends  that  a  list  of  all  physicians 
who  are  supposed  to  conform  to  the  law  of  similars  in  their 
practice,  be  published  in  the  proceedings  of  this  Association 
each  year: 

Your  committee  recommends  that  the  names  be  selected 
by  a  committee  appointed  by  the  president,  ^aid  committee 
to  use  care  and  circumspection  in  its  choice;  it  is  to  be 


638  THE  MEDICAL   ADVANCE. 

understood  that  those  in  the  list  have  not  been  investigated 
by  the  board  of  censors  hence  are  not  fully  vouched  for  by 
the  Association. 

Your  committee  recommends  that  this  should  be  con- 
sidered as  a  partial  list  only— a  beginning — and  that  the 
name3  of  all  true  homeopathic  physicians  are  desired  for 
publication  in  this  list.     Signed: 

E.  A.  Taylor, 
P.  E.  Krichbaum. 
G.  P.  Waring. 

Moved  that  the  report  of  the  committee  be  received  and 
its  recommendations  adopted. 

President: — I  will  appoint  on  this  committee  Drs.  J.  B. 
S.  King,  H.  C.  Allen  and  W.  H.  Freeman. 

H.  H.  Baker: — It  might  be  well  for  this  association  to 
take  up  the  question  of  the  pharmacopoeia;  there  are  two 
pharmacopoeias  in  this  country,  one  gotten  up  under  the 
supervision  of  the  American  Institute  and  adopted  by  that 
society,  and  one  which  follows  the  older  '.way  as  laid  down 
by  Hahnemann  and  known  as  the  American  Homeopathic 
Pharmacopoeia.  I  move  that  the  president  appoint  a  com- 
mittee to-report  upon  the  pharmacopoeia  question. 

The  president  appointed  the  following:  Drs.  Baker, 
Taylor  and  Waring. 

REPORT  OF  THE  COMMITTEE  ON  THE  PHARMACOPOEIA. 

Whereas,  The  members  of  this  association  believe  in  the 
proving  of  drugs  as  the  only  basis  of  the  materia  medica, 
and  in  the  use  of  drugs  which  have  been  prepared  exactly 
as  were  those  from  which  the  original  proving  was  made; 

Therefore  be  it  resolved,  That  the  members  of  this 
association  will  continue  to  adhere  to  the  original  methods 
of  drug  preparation  as  carried  out  in  the  American  Homeo- 
pathic Pharmacopoeia,  and  that  we  encourage  the  pharma- 
cies to  follow  its  methods  in  preparing  drugs  for  homeopathic 
use.     Signed:  H.  H.  Baker. 

G.  P.  Waring. 
E.  A.  Taylor. 

On  motion  duly  seconded  and  carried,  the  report  of  the 


REPORT  OF  THE  I.   H.  A:  MEETING.  539' 

committee  was  accepted  and  the  resolution  adopted  as  the 
action  of  the  association. 

H.  C.  Allen: — I  would  like. permission  of  the  members  to 
read  a  portion  of  a  letter  received  from  Dr.  Thornhill  of 
Texas,  as  it  is  of  general  interest: 

**See  that  the  I.  H.  A.  does  as  well,if  not  b8tter,than  the 
A.  I.  H.  did  last  week  in  Kansas  City  for  the  propagandism 
of  Homeopathy.  We  need  a  bureau  of  education  to  send  out 
literature;  we  need  lecturers  in  the  field;  we  need  to  pull  hard 
and  to  pull  all  together  for  the  grandest  cause  before  the 
world  today.  You  may  put  me  down  for  one  hundred 
dollars  to  start  the  ball  rolling." 

Nathan  Cash: — I  move  that  a  committee  of  five  be  ap- 
pointed to  take  up  the  matter  of  homeopathic  propagandism 
and  push  the  work  of  advertising  therapeutic  truth  for  this 
Association  and  report  on  the  work  done  at  the  next  year's 
meeting.     Seconded.    Carried. 

President: — I  will  appoint  on  that  committe  the  following 
gentlemen:  H.  S.  Llewellyn,  LaGrange,  111.,  Chairman; 
J.  B.  S.  King,  Chicago,  111.,  R.  E.  S.  Hayes,  Farmington, 
Conn.,  Maurice  W.  Turner,  Brookline,  Mass.,  Lee  Norman, 
Louisville,  Ky. 

REPORT  OF  THE  DRUG  PROVING  COMMITTEE. 

Mr.  President: — The  Committee  on  Drug  Proving  reports 
an  almost  absolute  failure.  Ten  provers  worked  on  Anti- 
toxin for  many  months.  The  crude  nosode  was  prepared 
under  the  supervision  of  the  New  York  State  Board  of  Health, 
in  its  laboratory,  and  without  preservative  of  any  kind,  hence 
it  was  presumed  to  be  pure.  It  was  potentized  by  Boericke 
and  Tafel  and  every  precaution  taken  to  have  as  good  a  pre- 
paration as  could  be  make.  Dr.  Turner's  provers  obtained 
the  only  symptoms  worth  recommending,  which  will  be  found 
in  their  place  in  the  Transactions.  The  $100  voted  last  year 
thus  far  remains  in  the  treasury  for  future  use.  The  work 
will  be  continued  this  year. 

Report  accepted  and  referred  to  the  Publication  Com- 
mittee. 


1 


540  THE  MEDICAL  ADVANCE. 


NOTICE  OF  AMENDMENTS  TO  THE  CONSTITUTION  AND 
BY-LAWS. 

G.  P.  Waring! — I  hereby  hand  to  the  Secretary  a  notice 
in  writing  of  a  proposed  amendment  to  the  constitution,  it  is 
as  follows: 

Notice  is  hereby  given  that  at  the  next  annual  meeting 
of  this  Association  amendments  will  be  presented  in  order  to 
make  it  constitutional  and  possible  to  organize  sections  of 
this  Association  to  be  known  as  the  Eastern,  Central,  West- 
em  and  Southern  sections  of  the  International  Hahneman- 
nian  Association. 

After  the  reading  of  J.  C.  HoUoway's  paper  in  the 
Bureau  of  Homeopathic  Philosophy  the  discussion  opened 
as  follows: 

C.  M.  Boger: — I  have  ^ve  dollars  in  my  pocket  to  pay 
for  reprints  of  that  paper  to  send  around  as  a  missionary 
document  to  other  doctors. 

A.  P.  Bowie: — I  have  five  dollars  in  my  pocket  to  pay 
for  reprints  to  send  around  to  other  doctors. 

After  some  further  discussion  the  following  motion  pre- 
vailed: 

P.  E.  Krichbaum: — I  move  that  the  whole  matter  be 
left  to  the  Committee  on  publicity. 

REPORT  OF  THE  COMMITTEE  ON  THE  PRESIDENT'S  ADDRE^SS. 

Your  committee  on  the  President's  address  congratulates 
the  Association  on  such  an  official  utterance  and  on  the  clarion 
ring  of  its  principles.  We  heartily  commend  the  recommend- 
ation that  the  propagandism  of  Hahnemannian  Homeopathy 
be  earnestly  undertaken  in  local,  city,  state  and  national 
societies  as  well  as  by  individual  effort.  That  the  enthusiasm 
of  our  president  may  become  universally  contagious  is  the 
hope  and  belief  of  your  committee. 

Signed  H.  C.  Allen, 

T.  G.  Roberts, 
A.  P.  Bowie. 
election  of  officers. 
The  election  of  officers  resulted  as  follows: 
President,   P.    E.    Krichbaum,  Montclair,   N.  J.;  Vice- 


REPORT  OF  THE  I,  H.  A,  MEETING.  541 

President,  G.  P.  Waring,  Chicago,  111.;  Treasurer,  P.  E. 
Krichbaum,  Montclair,  N.  J.;  Secretary,  J.  B.  S.  King, 
Chicago,  111.;  Corresponding  Secretary,  R.  F.  Rabe,  New 
York  City, 

BOARD   OF   CENSORS. 

C.  M.  Boger,  Chairman,  Parkersburg,  W.  Va.;  Julia  C. 
Loos,  Harrisburg,  Penn.;  E.  A.  Taylor,  Chicago,  BL; 
Frederica  E.  Gladwin^  Philadelphia,  Pa.;  Stuart  Close, 
Brooklyn,  N.  Y. 

PUBLICATION   COMMITTEE. 

T.  G.  Roberts,  G.  P.  Waring,  E.  A.  Taylor,  J.  B.  S. 
King,  ex  officio. 

PLACE  OP  THE  NEXT  MEETING. 

After  a  discussion  of  the  advantages  of  various  places, 
Pittsburg,  Penn.,  was  finally  selected- 

P.  E.  Krichbaum,  the  president  elect,  announced  the 
chairmen  of  bureaus  for  the  next  year  as  follows: 

Homeopathic  Philosophy,  J.  C.  Holloway,Galesburg,  Bl. 

Clinical  Medicine,  C.  A.  Peterson,  Richmond,  Ind. 

Obstetrics,  Caroline  E.  Putnam,  Kansas  City,  Mo. 

Surgery,  J.  B.  Campbell,  Brooklyn,  N.  Y. 

Materia  Medica,  Maurice  W.  Turner,  Brookline,  Mass. 

E.  A.  Taylor: — Before  adjourning  I  want  to  give  notice 
that  at  the  next  meeting  I  will  offer  an  amendment  to 
Article  VI  of  the  By-Laws,  that  all  papers  must  be  in  the 
hands  of  the  chairmen  of  bureaus  thirty  days  before  the 
date  of  the  meeting. 

REPORT   OF   COMMITTEE   ON    PRESS. 

J.  B.  S.  King:— Brief  notices  of  our  meeting  appeared 
in  two  of  the  Chicago  pa])ers. 

REPORT  OF  THE  COMMITTEE  ON  ATTEXDANCJE. 

The  report  of  the  committee^  on  attendance  is  as  fol- 
lows: 

Average  attendance,  M. 
Number  of  membei's,  42. 
Visitors,  from  5  to  12. 
Adjourned  sine  die. 


542  THE  MEDICAL  ADVANCE. 

A  CHARACTERISTIC  AND    COMPARATIVE    MATERIA 

MEDICA. 

By  a.  McNeil,  M.  D.,  San  Francisco. 

The  following  are  specimen  pages  of  a  work  I  am  com- 
piling. If  I  were  to  give  a  full  descriptive  title  it  would .  be 
a  complete  Characteristic  and  Comparative  Materia  Medica. 
I  intend  it  to  contain  all  the  characteristics  or  keynotes  in 
our  books.  Each  symptom  will  be  followed  by  the  name  or 
initial  of  its  author,  which  will  be  a  sufficient  guarantee  of 
its  value.  Symptoms  by  Hahnemann  will  be  followed  by 
Capital  **H";  if  by  Hering,  by  *'Hg";  by  BOnninghausen, 
by  Capital* 'B";  by  H.  N.  Guernsey,  by  capital  **G";  by 
Carroll  Dunham,  by  capital  **D";  by  Adolph  Lippe  by  capi- 
tal **L":  by  C.  G.  Raue  by  capital  **R'';  by  Samuel  Lilien- 
thal  by  **Lir';  all  others  by  the  name  in  full. 

In  order  to  understand  this  work  the  following  explana- 
tions must  be  remembered:  Each  symptom,  if  it  be  accom- 
panied by  a  note  of  exclamation  (!)  will  show  that  that  symp- 
tom belongs  to  no  other  remedy.  If  the  abbreviation  of  the 
names  of  one,  two  or  three  drugs  follow,  then  these  medi- 
cines have  the  symptoms  as  characteristic.  If  the  charac- 
ter ***%"  is  used,  then  more  than  three  remedies  have  the 
symptoms  as  characteristics. 

AS  ARAM  EUROPEUM. 

Non  Antipsoric. 

1.  Mind,  Gradual  vanishing  of  thought  as  when  fall- 
ing asleep  (I  R.) 

(1)  Imagines  he  is  hovering  in  the  air  like  a  spirit 
when  walking  in  the  open  air.  Hg.  (I) 

Inability  to  think.  A(&) 

Great  nervous  irritation.  G(&) 

Dull  and  stupid.     G.(&) 

Melancholic  irritability.     B.(&) 

Cold  shivers  from  any  emotion.     Hg.     (l) 

II  Stnisorium.  During  the  retchings  all  the  symptoms 
increase, except  the  stupid  feeling  in  the  head,  which  de- 
creases.    G.  (I) 

Sensation  of  lightness  in  the  limbs;  when  she  walks  she 
thinks  she  is  gliding  through  the  air     G.  (I) 


CHARACTERISTIC  AND  CCMPARATIVE  MATERIA  MEDICA.      543 

III.  Inner  head.  Attacks  of  one  sided  pain  <  in  the 
afternoon  (5  P.  M.)    A.  (!) 

Pressing  dullness  in  the  head.    B.  (&). 

Pressing  pain  in  the  forehead  with  nausea  <  by  every 
mental  effort.    B.  (I) 

Feels  the  pulsation  of  the  arteries  in  the  occiput. 
(Phos);    B.  (x). 

IV.  Sight  and  Eyes,     Obscuration  of  sight.     B.  (&). 
Ck)ld  sensation  in  the  eyes.     B,     (x). 

Eyes  <  when  outdoors,  in  the  heat  and  sunlight  >  by 
bathing  them  in  cold  water.     B.     (Aeon,  Apis;  Arg.n.) 

The  cold  air  is  pleasant  to  thereyes  (Arg.n);  sunshine, 
light  and  wind  are  intolerable.     B. 

Painful  dryness  and  burning  of  the  inner  surface  of  the 
lids.     G.  (I)  • 

Jerking  pain  in  the  eyes  after  an  operation  on  the  eye. 
G.  (!). 

Cold  >  all  the  sufferings.     G.     (Arg.n.). 

Staring  eyes. ,  B.  (&). 

Painful  feeling  of  dryness  in  the  eyes.     B. 

Injected  conjunrtiva,  with  stinging  in  the  canthi.  B.  (x) 

The  eyes  burn,  in  the  room  as  if  whisky  was  dashed 
into  them.     B.  (&.) 

V.  Hearing  and  Ears.  Over-sensitiveness  of  nerves, 
scratching  of  linen  or  silk  is  insupportable.     B.     (I) 

Diminished  hearing  of  left  ear.     B.  (&). 

A  sort  of  tensive  pain  in  the  ears  continually.     G.    (&). 

Sensation  as  if  the  ear  was  closed  or  plugged  .  with 
some  foreign  substance,  with  dullness  of  hearing.     Hg.  (x). 

Deafness  in  one  or  both  ears.     Hg.  (&"). 

Pressure  and  tension  in  region  of  orifice  of  meatus  ex- 
ternus.     H.  (&). 

VI.  Lower  Part  of  Face.  Cramp  at  articulation  of  lower 
jaw.     H.  (!) 

VII.  Taste,  Speech,  Tongue.  Most  disgusting  taste  in 
mouth,  at  first  sour,  later  bitter.     Hg.  (I) 

Bread  taste  bitter.     B.     (x). 
Tobacco  tastes  bitt:}r  when  smoking.     B.     (China.) 


^: 


K 


S44  THE  MEDICAL   ADVANCE. 

VIIL  Appetite,  Thirst.  Desires,  Aversions.  Want  of  ap- 
petite, even  nausea  <  by  food.     Hg.  (x). 

Frequent,  empty,  eructations.     H.  (&)■ 

Putrid  eructations.     B.'  (Am.) 

Heartburn,  with  sour  belching,  setting  the  teeth  on 
edge.     B.  (0 

Attacks  of  nausea;  <  after  eating;  tongue  clean. 
Hg.  (&). 

IX*  Xaffsea  and  Vomiting.  Violent,  empty  reteh- 
ing,  which  <  all  the  symptoms,  except  the  head.     H.    (I.) 

Vomitini?  with  great  anguish,  with  violent  exertion  and 
chilliness,     B:  (!). 

X,  Scrohiculum  and  Stomach.  Pressing,  digging  and 
fi^elinf?  of  discomfort  in  pit  of  stomach.     Hg  (!). 

XI,  liyi^ochondria.  Sensation  in  the  spleen  as  if  sore 
and  chapped.    B  (!). 

Cutting  bellyache  with  vomiting.     B.    (x). 
Inguinal  hernia.     B.  (&). 

Pinching  pain  in  left  side  of  abdomen  extending  to 
back-     B.  CV 

Violent   colic   and   vomiting.     A.  (Aeth,  Cic,  Ver.) 
Rumbling  and  gurgling  in   the   abd<>men  with  nausea. 

XII,  hWturn  and  ."Jtool.  A  long  yellow  twisted  string 
of  inodoroui^  mucus  in  three  or  four  stools,  with  pain  in  abdo- 
men.    Hg.  ('). 

Diarrhea,  passes  shaggy  masses  of  mucus,  inodorous 
rttid  full  of  ascarides.     G.  (I). 

Diarrhea  of  tenacious  mucus  mixed   with  blood.     B.  (x). 
Ruft  evacuations   with   ascarides    and   reddish  mucus. 

Diarrhea  with  undigested  food,  especially  potatoes. 
B.  C). 

Hi'fnre  stool,  cutting  in  the  abdomen.     B.  (&). 

During  stool,  discharge  of  thick,  black  blood.     B.  (!). 

Prolapsus  and  during  stool,     B.  (&). 

After  stool  pressing  and  straining,  and  discharge  of 
wliite  vis*'id,  bloody  mucus.     B.  (I). 


CHARACTERISTIC  AND  COMPARATIVE  MATERIA  MEDICA.     545 

XIII.  Male  Sexual  Organs.  Complaints  from  suppressed 
sexual  passion.     B.     (Cam.  Con.) 

XIV.  Female  Sexual  Organs,  Catamenia  too  early 
and  long-lasting;  blood  black.     B.  (x).  ^ 

At  the  appearance  of  the  menses  violent  pain  in  lumbar 
vertabre,  which  scarcely  permits  her  to  breathe.  (!). 

XV.  Pregnancy  and  Parturition.  Nausea  and  vomiting 
of  the  pregnant.    Hg*  (&). 

Threatened  abortion  from  excessive  sensibility  of  the 
nerves;  even  imagining  something  unpleasant  causes  thrills 
to  pass  through  her,  momentarily  arresting  thought  and 
sensation. 

XVI.  Respiration.  DiflScult  respiration  as  if  breathing 
through  a  sack.     B.  (!)• 

XVn.  inner  Chest  and  Lungs.  Stitches  in  right  or 
both  lungs  during  inhalation.     H.  (&). 

Contractive  squeezing  in  the  lungs.     B.  (&). 

XVIII.  Neck  and  Back.  Cramps  in  neck  and  throat. 
B.  (!). 

Sensation  in  the  muscles  of  the  neck  as  from  a  tight 
cravat.     Hg.  (!). 

Bruised  pain  in  the  back  when  standing  or  sitting  >  by 
lying.     A.  (&). 

XIX.  Upper  Limbs.  Sweat  %in  the  Axilla  smelling 
sour.     G.  (!). 

Drawing  pain  in  the  joints,  wrists,  and  fingers.     B.  (&). 

XX.  Lower  Limbs.  Cramps  in  the  thighs  which  pre- 
vent walking    B.  (!). 

Weariness  in  the  knees.     B.  (&.). 

XXI.  Limbs  in  General.  Lightness  of  all  the  limbs,  he 
does  not  perceive  that  he  has  a  body,  feels  as  if  floating  in 
the  air.— B.  (&). 

Rheumatism<in  dry  cold  weather.  Hg.(Caust,Hep.Nux). 
Drawing  pains  in  the  joints,  wrists  and  fingers.     A.  (&). 

XXII.  Nerves.  Excessive  sensibility  of  all  the  nerves. 
Hg.  (&). 

Great  nervous  irritation.     B.  (&). 

Excessive  sensibility  of  all  the   nerves   when  merely 


546  THE  MEDICAT.  ADVANCE. 

thinking  and  this  he  must  do  continually;  that  some  one 
might  with  the  finger  tips  or  nails  scratch  even  lightly  on 
linen  or  silk  material;  a  disagreeable  sensation  thrills 
through  him;  arresting  momentarily  all  his  thoughts  and 
actions    G.  (!). 

Great  Lassitude  which  is  insupportable.     B  (&). 

XXni.  Sleep.  Evening  in  bed  agitation  in  the  blood 
prevents  sleep  for  two  hours.  (!). 

Condition  of  mind  as  if  just  falling  asleep;  gradual  van- 
ishing of  ideas.     Hg. 

Vexatious  dreams.     Hg.  (&). 
XXIV.     Time,    Temperature  and    Weather.     Aggravation 
in  clear,  fine  weather.     G.  (Caust,  Hep,  Nux). 

Many  symptoms  disappear  from  washing  in  cold  water. 
B.  (Puis.). 

In  heat  sunshine  and  wind,  eyes  worse.    B.  (x). 

Cold  water,  eyes  better.     B.  (Arg.n.  Apis). 

Cold  air;  eyes  relieved.     G.  (Arg.n.). 

Damp  weather,  symptoms  improved.  B.  (Caust  Hep. 
Nux). 

XXV.  Chill,  Fever  and  Siceat.  Chills  during  the  day 
without  thirst.     A.  (&). 

Nervous  chilliness,  single  parts  get  icy  cold.     R. 

Cold  hands,  feet,  knees  or  abdomen,  even  the  hottest 
weather  does  not  relieve;  timid  nervous  persons.     R.  (x.). 

Great  want  of  vital  heat;  feels  cold  continually.     B.  (&). 

Cold  feeling,  not  >  by  covering  or  warmth  of  roona. 
R.  (Diad.  aran.). 

Chill  and  shivering  without  thirst.     B.  (&). 

Alternate  flushes  of  burning  heat  and  coldness.     B.  (&). 

Sweet  or  sour  smell,  most  profuse  in  axillae      B.  (x). 

Shivering  and  coldness  from  any  emotion.     Hg.  (!). 

XXVI.  Sensations.  Lightness  in  limbs  as  if  gliding 
through  air.     Hg.  (&).  «. 

Sensation  as  if  from  a  tight  cravat,  in  muscles  of  neck. 
Hg.   (!). 

Horrible  sensation  at  epigastrium,    Hg.  (I). 


RATIONAL  TRKATxMENT  OP  ABSCESSES.  547 

Sensation  as  though  all  or  part  of  the  body  were  being 
pressed  together.     G.  (!). 

XXVII.  Tissues,     Irritability  of  the  nerves.     H.  (x). 

XXVIII.  Touch.  After  operation  on  the  eyes  jerk- 
ing pain.  H.  (!). 

XXIX.  Stages  of  Life,  Constitution,  For  chilly  per- 
sons who  are  always  shivering  from  the  cold,  for  example 
literary  men  who  are  addicted  to  a  sedentary  life.  Noack 
&  Trinks.  (!). 

Drunkards;  popular  in  Russia.     B.  (&). 

XXX.  Relationship,     Caust.  Puis.  Sil. 


RATIONAL  TREATMENT  OP  ABSCESSES. 

By  R.  F.  Rabe,  M.  D.,  New  York. 

Mr.  A.,  age  18,  who  had  for  some  time  been  irritable 
and  depressed,  developed  a  small  abscess  about  two  inches 
from  the  anus,  which  discharged  and  healed  without  treat- 
raent.  About  this  time,  by  jumping  into  a  buggy  he  felt 
a  sudden  pain  in  the  left  groin.  This  was  soon  followed  by 
a  small  swelling,  which  slowly  increased  in  size,  became 
red  and  hot  as  well  as  exceedingly  painful,  so  that  walking 
became  almost  impossible.  The  anamnesis  of  his  case,  at 
this  time  gave  the  following: 

Left  inguinal  gland  hard,  swollen  and  sensitive,  re- 
lieved by  rest,  worse  from  any  motion  and  from  lying  on  the 
left  side.  The  analysis,  according  to  BOnninghausen's 
Therepeutic  Pocket-Book  shows: 

Inguinal  glands:  Ant.  cr.,  Ars.,  Asaf.,  Aur.,  Bad., 
Bar.  c.  Bell,  Calc,  Cann.  s.,  Cinnab.,  Clem.,  Con.,  Dulc, 
Graph.,  Hep.,  lod.,  Jjyc,  Meny.,  Merc,  Mez.,  Nat.  c,  Nit. 
ac,  Nux.,  Osm.,  Phos.,  Phos.  ac,  Puis.,  Rheum.,  Rhus., 
Sil.,  Spong.,  Stan.,  Staph.,  Stram.,  Sulph.,  Thuja. 
This  rubric  must  contain  the  needful  remedy. 

Now  taking  the  left  side  we  have:  Ant.  cr.,  Asaf.,  Aur., 
Bar.  c,  Calc,  Cann.  s.,  Clem.,  Con.,  Dulc,  lod.,  Merc, 
Mez.,  Nit.  ac,  Nux,  Osm.,  Phos.,  Sil.,  Stan.,  Staph.,  Stram.. 
Sulph.,  Thuja.     Narrowing  the  choice  still  further,  by  re- 


',^^<--.-y 


548  THE   MEDICAL   ADVANCE. 

f erring  to  the  rubric,  **hard  swelling  of  glands/'  we  now 
have:  Asaf.,  Con.,  Merc  „  Phos.,  Sulph.  The  extreme 
**sensitiveness'*  eliminates  all  but  two  remedies  and  leaves 
us:     Con.,  and  Phos. 

Now  taking  the  aggravation  when  lying  on  the  left  side, 
we  find  Phosphorus  to  be  easily  first.  Add  to  this  the  facts 
that  the  patient  is  of  the  Phosphorous  type  and  build,  that 
he  had  rachitis  in  infancy  and  that  he  has  a  tubercular  fam- 
ily history,  we  have  an  unmistakable  totality  and  firm 
basis  for  the  prescription.  Accordingly,  three  doses  of 
Phosphorus  at  intervals  of  three  hours  and  in  the  1000th 
potency,  B  and  T.,  were  given,  followed  by  some  general 
amelioration  but  more  rapid  and  local  development  of  the 
abscess. 

When  fluctuation  was  marked,  four  days  after  the  ad- 
ministration of  the  remedy, the  local  pain  now  being  intense, 
under  aseptic  precautions  and  Ethyl  Chloride  local  anaesthe- 
sia a  small  incission  was  made,  giving  vent  to  half  a  teacup- 
ful  of  thick  yellow  pus.  Light  packing  with  sterile  gauze 
was  now  resorted  to,  gauze  dressing  and  a  spica  bandage. 
The  following  day  a  fair  amount  of  pus  issued.  Irrrigatioa 
with  Dioxogen,  followed  by  a  one  to  fifty  strength  solution 
of  Calendula  sterile  water,  constituted  the  local  treatment. 
Internally  Calcarea  Sulphurica  6x,  was  given  every  two 
hours.  In  another  twenty-four  hours  there  was  no  more 
pus,  simple  Calendula  water  irrigation  only  was  employed 
and  loose  sterile  gauze  packing  inserted.  The  remedy  was 
continued  for  twelve  hours  longer  at  three  hours*  intervals 
and  then  stopped.  Healing  progressed  rapidly,  and  within 
eleven  days  from  the  time  of  making  the  incision  the  abscess 
was  fully  healed.  The  patient's  health  has  improved  per- 
ceptibly since. 

•  This  simple  case  is  reported  at  length  as  an  illustration 
of  rational  Hahnemannian  practice.  There  are  those  ex- 
tremists who  will  balk  at  the  use  of  Dioxogen  or  even  Cal- 
endula and  raise  their  voices  in  protest  at  any  surgical  in- 
terference whatsoever.  To  them  we  recommend  one  single 
dose  of  a  long  seige  in  bed,  heroically  waiting  for  an  abscess 


THE  STUDY  OF  INSANITY.  549 

to  open  spontaneously.  One  dose  will  be  sufficiently  con- 
vincing and  will  overcome  the  horror  experienced  at  the 
sight  of  a  keen,  bright  blade. 

On  the  other  hand,  to  those  who  are  fettered  by  the 
conventional  text-book  methods  of  iodoform,  carbolic  acid, 
bichloride  of  mercury  and  the  rest,  this  natural  and  Hahne- 
mannian  way  is  recommended.  The  patient  always,  not  his 
disease,  is  to  be  considered. 

CHOLESTERINUM. 

By  Dr.  W.  A.  Yingling,  Emporia,  Kan. 

Aug.  15,  100:1.  Mrs.  S.,  age  60.  Attacks  with  gall- 
stones, involving  liver  and  region  of  the  stomach.  Spells 
come  suddenly  and  stop  suddenly.  Pain  is  pushing  in  region 
of  gall  duct.  Vomits  much  hot  water,  not  sour  and  no  odor. 
Very  pale,  then  turned  yellow.  Last  attacks  were  on  the  5th 
and  12th.     Stomach  very  sour  since. 

Rheumatic  pains  here  and  there,  worse  in  damp,  rainy 
weather.  No  appetite,  food  nauseates.  Region  of  liver 
very  tender  and  sore,  sensitive  to  jar,  <  lying  on  sides. 

Before  the  spells  very  profuse  urine;  scant  and  dark 
since. 

Tongue  coated  dirty  white,  yellowish  cast. 

Heart  gets  very  weak,  can  hardly  feel  pulse. 

Very  weak  all  the  time,  can't  breathe  deeply. 

Cholesterine.  Dmm  (Swan)  6  p,  12  h.  Aug.  26.  Is  ** lots 
better  in  every  way."  No  rheumatism  except  in  balls  of 
heels  and  only  there  when  it  is  raining.  Is  feeling  fine  and 
no  complaint. 

Following  the  medicine  profuse  discharge  of  red  sand  in 
urine,  vessel  covered  with  it  at  bottom. 

Sep.  3.  Grood  deal  better  generally.  Rheumatism 
troubles  some  since  rainy  weather,  a  little  lameness  in 
shoulders  and  under  heels. 

Urine  has  less  sand.  Has  more  ambition  than  in  a  long 
time. 

Feb.  22,  1905.  Side  has  been  hurting  and  feeling  full 
for  a  week,  and  had  a  gall  stone  colic  today  lasting  about 


550  THE   MEDICAL  ADVANCE. 

five  minutes,  came  suddenly.  Nausea.  Face  flushed  before 
attack,  yellow  afterward.  Rheumatism  better.  Heart  better. 
Headache  less.     Every  few  days  feels  fagged  out. 

Cholest.  Dmm  (Swan)  4  p,  12  h.  Aug.  31.  Not  so  well. 
Rheumatism  better  and  worse.  Some  trouble  in  right  side 
at  times.  Legs  swell  from  knees  down,  worse  about  ankles. 
Sick  feeling  all  over.  Tired  feeling.  Very  despondent. 
Pain  in  top  of  head.     Heart  bothers  some. 

Cholest.  2m  (Y.)  4  p,  12  h.  Sept.  20.  '*  Improved  in 
every  way,  much  better."    Head  much  better. 

By  infrequent  doses  of  Cholesterine  this  lady  has  gotten 
along  nicely.  The  liver  has  given  very  little  trouble,  but 
the  rheumatic  pains  here  and  there  have  required  attention 
occasionally,  especially  in  damp,  rainy  weather. 

Mr.  B.  F.,  a«:e  64.  Dec.  26,  1907.  For  three  years  has 
been  passing  gall  stones.  Has  one  that  was  passed,  Vomita 
bile  and  becomes  very  yellow.  Doctors  can  only  use  mor- 
phine in  quantity  which  sickens  and  causes  very  bad  after 
feeling  so  that  he  is  away  from  his  business  for  nearly  a 
week.  With  one  attack  was  in  bed  several  weeks  and  took  a 
long  while  after  that  to  get  over  the  bad  effects.  No\v  the 
liver  is  very  tender  and  sore;  pressure  in  front  or  behind 
liver  is  very  painful,  especially  in  the  region  of  the  gall 
duct.  Bending  forward,  any  motion  that  jars  side  is  painful. 
Is  disqualified  for  his  business. 

Had  ague  badly  in  Wabash  bottoms  when  young.  Is  a 
large  man,  portly. 

Cholest.  2m  <Y.)  8p,  (3  p,  2  h)  and  12  h.  Same  in  water  if 
bad  attack. 

Dec.  30— Was  feeling  better  next  morning.  Side  not  so 
tender.     Has  had  good  rest.     Very  much  encouraged. 

January  H,  190H. — Invoicing  at  store  and  has  overdone. 
Light  chill  at  about  7  p.  m.,  with  pain  in  side.  Next  day 
chill  at  3  p.  m.,  with  pain  in  side.  Dry  cough,  one  or  two 
coughs  at  a  time.  On  the  7th  at  10  p.  m.  had  high  fever, 
but  has  not  felt  as  he  did  when  having  the  gall-stone 
attacks. 

Cholest.     2  m  (Y.)  6  p.     1  daily. 


CHOLESTERINUM.  55 1 

January  21.  Not  feeling  so  well  today  as  usual;  can 
bardly  keep  around.  The  powders  relieve  the  pain  when 
bad.  Complexion  getting  yellow,  as  it  does  before  a  bad 
spell. 

Cholest.  4m  (y)  12  p,  3  p,  2  h.  and  24  h. 

February  21 .  *  *Is  a  good  deal  better. "  No  pain  to  speak 
of.     "Peeling  quite  well  now." 

Cholest.  4m,  (y)  1  d  and  L. 

March  2.  "Entirely  free  from  pain  most  of  the  time," 
but  feels  a  tendency  that  way  after  a  hard  day's  work,  and 
tending  the  cash  carriers,  which  causes  reaching  up.  Thinks 
he  is  doing  fine,  much  better  than  an  operation  which  the  old 
school  doctors  said  must  be  done  at  once  as  the  only  hope. 

March  27.  **  Getting  along  nicely  and  is  feeling  like 
himself  again." 

April  13.  A  sudden  attack  of  gall  stones  at  7  p.  m.  about 
two  weeks  ago.  Cholest.  2m,  (Y.)  in  water,  a  spoonful  every 
15  minutes  controlled  the  pain  and  gave  relief  by  the  fourth 
dose,  then  got  much  better,  rested  all  night  and  was  able  to 
be  at  the  store  the  next  morning,  though  somewhat  weak 
and  sore.  Has  been  at  the  store  each  day  since  and  doing 
well. 

Cholest.  2m  (Y.)  for  bad  attacks  only,  or  when  worse. 
While  this  case  is  not  cured  yet  everything  points  that  way. 
In  gall  stone  colic  the  patient  suffers  so  greatly  he  cannot  give 
his  symptoms.  In  such  a  case,  when  I  can't  give  a  well- 
selected  remedy,  of  late  I  rely  on  Cholesterine,  and  thus  far  it 
has  never  failed.  This  is  one  of  the  Swan  remedies,  and 
shows  that  he  was  right  in  his  investigations.  This  remedy 
should  have  a  proving.  Till  then  it  can  be  used  instead  of 
morphine  in  cases  where  the  symptoms  cannot  be  gotten  for 
a  proper  selection  of  a  remedy.  Where  a  guess  or  routine  is 
necessary,  as  it  is  sometimes,  I  believe  the  homeopathic 
guess  should  be  given  the  preference.  It  is  very  improba- 
ble that  a  patient  suffering  from  gall  stone  colic  will  wait 
very  long  for  the  physician  to  study  the  case. 


552  THE   MEDICAL   ADVANCE. 

CHRONIC  APPENDICITIS. 

By  Rosalie  S.  de  la  Hautiere,  M.  D.,  Los  Angeles,  Cal. 

Mr.  M.,  Stock  broker. 

Complained  of  Repeated  attacks  of  colic  in  appendicular 
region  for  three  years.  Had  about  decided  to  submit  to  the 
surgeon's  knife  for  relief.  His  wife,  who  was  cured  of  acute 
appedicitis  some  five  years  previous  by  me,  consulted  me 
about  her  husband's  condition. 

Visiting  the  patient  in  his  office — because  he  was  too 
busy  to  call  on  me — as  I  was  stopping  in  Mill  Valley,  hav- 
ing left  San  Francisco  after  the  calamity,  to  regain  health 
and  strength  to  continue  my  work.  He  said,  '*so  long  as  I 
remain  quiet,  avoid  deep  breathing,  I  am  almost  free  from 
pain,  but  it  is  <  by  turning  in  bed,  >  at  night  during  rest, 
and  <  in  day  time. 

Oct.  12,  1906.     Bryonia  20m. 

Oct.  18.     Improvement;  less  pain.    Patient  more   hope 
ful.     Continued  treatment.    Placebo. 

Oct.  24.     Improved.    Placebo. 

Nov.  3rd.     Improvement.     Placebo. 

Nov.  6th.     Placebo  for  two  weeks. 

Dec.  7.  Restless,  very  tired  and  weary,  <  when  quiet,  > 
night,  circumscribed  redness  of  cheeks;  teasing  cough  only 
at  night;  anxious  about  his  condition.  .  Rhus  did  not  afford 
the  relief  expected,  and  I  gave  Tub.  erculinum  50m. 

Dec.  43.     General  improvement.     Placebo. 

Jan.  9th,  1907,  Voice  lost;  busy  season,  requiring  much 
straining  of  vocal  chords;  almost  a  paralyzed  condition  of 
throat.     Rhus  cm. 

Phoned  me,  *'That  medicine  fixed  me,  feeling  fine." 

Jan.  20.  Tired,  weary,  <  by  motion,  >  perfect  quiet. 
Bryonia  20  m. 

Patient  well  ever  since.  Saw  him  May  5th,  1908,  has 
had  no  return  of  pain  in  appendix.  He  looks  well  and  is 
gaining  in  weight. 


The  Medical  Advance 

A  Monthly  Journal   of  Hahnemannian  Homeopathy 
A  Study  of  Methods  and  Results. 


When  we  have  to  do  with  an  art  whose  end  Is  the  saving  of  human  life  any  ne?lect 
to  make  ourselves  thorough  masters  of  It  becomes  a  crime,— Hahnemann, 


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We  believe  that  Homeopathy,  well  understood  and  faithfully  practiced,  has 
power  to  «ave  more  lives  and  relieve  more  pain  than  any  other  method  of  treat- 
ment ever  Invented  or  discovered  by  man;  but  to  he  a  flrht-class  homeopathlo  pre- 
scrlber  requires  careful  study  of  both  patient  and  remedy.  Yet  by  patient  care  It 
can  be  made  a  little  plainer  and  easier  tl.an  it  now  is.  To  explain  and  deBne  and 
In  all  practical  ways  simplify  It  Is  cur  closen  \^ork.  in  this  good  work  we  ask 
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AUGUST,    1908. 


EMtortaU 


BACK  TO  THE  HOMEOPATHY  OF  HAHNEMANN. 

Backward,  turn  bickward,  O  Time  in  your  flightl 
And  make  me  a  homeopath,  just  for  tonl^jhtl 

This  was  the  under  current  and  upper  current  of  en 
thusiasm  at  the  Kansas  City  meeting  of  the  Institute,  the 
chief  topic  of  conversation  and  discussion  and  by  far  the 
most  notable  event  of  this  entliusiastic  meeting.  Prom  the 
clarion  note  for  Homeopatliy  sounded  by  President  Cope- 
land,  in  his  annual  address,  to  the  close  of  the  session,  in 
nearly  every  paper  on  Therapeutics  and  in  tn'ery  discus- 
sion, Back  to  Homeopathy  was  the  ins[)iring  topic  of  many 
of  the  bureaus.  This  sentiment  was  accentuated  when  over 
SoOOO  was  contributed  for  an  active  proi)Ogaiidism  of  Homeo- 
pathy in  every  State  in  the  Union. 


554  THE  MEDICAL  ADVANCE. 

Every  great  reform— medical,  moral,  political— in  the 
history  of  the  race,  has  been  followed  by  a  period  of  reto- 
gre^sion,  when  its  active  agressive  work  ceased.  The 
homeopathic  profession  for  the  last  two  decades  has  seemed 
to  think  the  battle  won,  the  victory  secure;  that  there  was 
nothing  to  do  but  cease  rowing  and  float  with  the  current  of 
popular  praise;  to  reap  the  harvest  sown  in  the  desperate 
battle  for  principle,  by  the  pioneers;  to  cease  study,  to 
lapse  into  empiricism  and  become  scientific?  But  when  the 
people  see  that  the  results  are  not  what  they  formerly  were; 
that  it  is  difficult  to  distinguish  the  homeopath  from  any 
other  "path''  by  his  practice;  that  quinine,  morphine,  ca- 
thartics, tonics,  patent  medicines  and  proprietary  remedies, 
with  the  popular  combination  iablet  are  indiscriminately 
used  by  the  professed  homeopath,  is  it  any  wonder  the 
"dear  people"  who  pay  the  bills  are  unable  to  distinguish 
the  true  from  the  spurious. 

One  of  the  ablest  correspondents  of  this  magazine  writ- 
ing of  the  Kansas  City  meeting  and  the  attempt  made  to 
inspire  our  school,  to  renew  the  enthusiasm  of  old,  says:  '*I 
am  glad  our  school  is  awakening  to  the  fact  that  we  should 
talk  about  the  good  work  of  Homeopathy  '*to  the  fact  that 
the  old  fellows  have  quit  preaching;  too  many  loose  profes- 
sors in  our  colleges;  too  many  boy  professors;  and  a  general 
lack  of  loyalty  on  the  part  of  most  journals.  Note  an  arti- 
cle in  the  last  Cp:ntuky  on  Glyco  Phymoline." 

There  is  do  doubt  our  colleges  and  journals  are  far 
from  being  perfect.  Their  faculties  and  editors  might  be 
greatly  improved;  but  what  are  the  members  of  the  pro- 
fession doing  to  help  fill  our  depleting  ranks?  What  are 
you  doing  to  help  fill  the  college  classes?  How  many  stu- 
dents have  you  sent  to  a  homeopathic  college  in  the  last  ten 
years?  How  many  have  you  sent  to  an  allopathic  college 
because  the  homeopathic  did  not  come  up  to  your  standard. 
The  teaching  of  our  colleges  is  on  the  borderladd  of  allo- 
pathy—savors strongly  of  empiricism — but  that  does  not 
absolve  you  of  your  duty.  There  are  other  colleges.  If 
you  and  your  colleagues  would  contribute  10  students  from 


EDITORIAL.  555 

every  state  this  year,  and  it  can  easily  be  done  with  one 
tenth  the  labor  each  man  who  fijls  a  chair  in  college  is  com- 
pelled to  do,  what  a  record  it  would  make  for  the  future. 

When  the  homeopath  abandons  the  tenets  of  his  science 
in  theory  or  practice,  when  he  treats  his  diagnosis  and  over- 
looks his  patient  in  an  effort  to  become  as  scientific  (?)  as 
his  allopathic  colleague,  for  him  the  death  knell  of  home- 
opathy has  been  sounded.  All  that  remains  for  him  to  do 
to  become  scientific  (?)  is  to  become  a  member  of  his  regular 
(?)  County  Medical  Society  and  subscribe  for  the  journal  of 
A.  M.  A.  And  for  this  mess  of  pottage  what  does  he  gain? 
The  late  President  of  the  American  Medical  Association 
said  in  his  presidential  address:  "This  country  is  already, 
overcrowded  with  colleges,  and  2000  more  students  are  hur- 
ried out  every  year  than  can  find  places  in  which  they  can 
practice  medicine  with  the  prospect  of  gaining  even  a  liv- 
ing." Of  course  the  object  then  is  to  discourage  the  study 
of  medicine  by  raising  the  standard  of  entry  requirements, 
increasing  the  expense  and  time  of  study,  and  curtail  the 
number  of  graduates  in  every  way  possible. 

While  this  may  be  true  of  other  schools  of  pracrice,  the 
reverse  is  equally  true  of  the  homeopathic,  There  are  more 
than  2000  good  localitions  ever  year  where  a  lucrative  prac- 
tice may  be  had — many  of  them  with  a  practice  made  and 
and  waiting  for  the  man — more  than  our  colleges  can  fill. 
Yet  a  few  homeopathic  physicians  ever  think  of  calling  the 
attention  of  well  qualified  young  men  and  women  to  this 
fact.  Verily!  the  harvest  is  ripe,  but  the  reapers  are  few. 
There  is  no  profession  today  which  promises  a  more  re- 
numerative  return  for  their  money  and  labor  expended  than 
the  homeopathic  and  no  one  in  which  greater  good  to  hu- 
manity may  be  accomplished. 


THE  STUDY  OF  INSANITY. 

The  Sanitary  Commission  of  New  York  is  about  to 
undertake  a  thorough  and  systematic  study  of  Mental  Affec- 
tions. It  is  to  be  begun  by  the  erection  of  observation 
hospitals,  as  it  is  now  done  in  Germany,  where  persons  who 


556  THE  MEDICAL  ADVANCE. 

are  threatened  with  insanity  may  have  a  careful  examina- 
tion by  experts,  and  the  necessary  preliminary  treatment,  it 
being  the  intention  of  the  commission,  if  this  trial  be  success- 
ful, to  inaugurate  a  general  system  of  laboratories  for  the 
cure  of  the  insane  throughout  the  country.  The  first  is  to 
be  established  at  Poughkeepsie.  The  system  has  already 
been  tried  on  a  smaller  scale  at  one  or  two  places  in  this 
country,  but  the  New  York  plan  is  a  state  affair  and  there- 
fore assumes  a  relative  importance. 

One  of  the  first  efforts  will  be  to  provide  a  method  of 
discovering  and  keeping  cranks  out  of  the  general  hospital, 
for  it  is  a  great  temptation,  apparently,  to  some  people,  to 
obtain  a  free  boarding  house  at  the  expese  of  the  state, 
even  in  a  hospital  for  the  suspected  insane. 

One  of  the  marked  features  of  the  recent  convention  of 
the  American  Medical  Association  in  Chicago  was  the  great 
stress  made  by  many  writers  and  speakers  upon  the  pre- 
vention, going  back  to  the  old  adage  that  prevention  is 
worth  more  than  cure.  It  is  upon  this  that  the  new  scheme 
is  based,  and  if  the  powers  will  only  go  to  the  bottom  of 
the  cause,  a  revolutionary  work  in  the  treatment  of  mental 
diseases  may  be  the  result. 

The  first  subject  to  investigate  should  be  the  prevalent 
system  of  drugging  which  the  profession  has  inaugurat- 
ed, the  deleterious  effects  of  which  are  almost  universal.  If 
quinine,  chloral,  morphine,  opium,  hashish,  cocaine,  narcotic 
and  alcoholic  stimulants,  the  coal  tar  products,  patent  medi- 
cines and  all  palliative  methods  of  treating  disease  could  be 
prohibited,  the  efforts  of  the  Sanitary  commission  would  be 
crowned  with  success. 

Some  years  ago  a  statement  was  made  in  a  public  ad- 
dres>  by  the  snp(M  intendent  of  an  insane  asylum,  that  it  was 
his  opinion  —based  upon  an  extended  experience  of  over 
thirty  y(nu"s  if  the  i)opular  use  of  quinine  could  be  abolished, 
one  third  of  our  present  insane  asylums  could  be  dispensed 
with;  ailments  due  to  the  disastrous  effect  of  the  suppression 
of  (lis(nise  by  (juinine  and  other  similar  drugs;  and  if  this 
statement  is   true,  here   is   where   to   begin   the   successful 


EDITORIAL.  557 

hospital  treatment  of  insanity.  If  there  be  a  right  or  a  wrong 
way  to  treat  insanity,  or  any  other  disease,  by  medicinal 
agents  of  any  kind,  our  friends  of  the  dominant  school  are 
nearly  certain  to  be  found  on  the  wrong  side,  and  to  drug 
suppression  of  both  acute  and  chronic  affections  is  largely 
due  the  majority  of  cases  of  mental  diseases.  Strike  at  the 
fountain  head  and  remove  the  cause  first,  the  effect  must 
necessarily  cease. 

The  gift  of  Henry  Phipps  to  the  Johns  Hopkins  Hospital 
of  more  than  half  a  million  dollars  for  work  along  these 
same  lines  will  help  greatly  to  forward  the  proposed  system 
of  hospital  treatment.  There  will  be  a  perfectly  equipped 
building,  a  medical  and  nursing  staff,  where  every  facility 
for  scientific  investigation  of  mental  affections  may  be  made 
by  chemical,  pathological  and  psychological  methods.  This 
endowment  added  to  the  present  splendid  equipment  of  the 
Baltimore  hospital  marks  anothei:  advance  in  the  treatment 
of  the  insane;  but  we  venture  the  opinion,  that  the  scientific 
investigation  made  at  Baltimore,  will  largely  omit  the  drug 
question  and  other  palliative  and  suppressing  effects  from 
the  list  of  causes. 

THE  FAMILY  CASE. 

Domestic  prescribing  and  family  medicine  cases  should 
not  be  encouraged,  for  the  reason  that  frequent  resort  to 
Aconite,  Belladonna,  Nux  vomica,  Mercurius  and  other  com- 
mon remedies  in  potencies,  from  the  Brd  to  the  BO,  render  an 
individual  less  susceptible  to  all  medicines.  Frequent  or 
repeated  exposure  to  any  foreign  influence  renders  the  sys- 
tem less  susceptible  to  such  influences.  We  once  knew  a  clerk 
in  a  homeopathic  pharmacy  who  formed  the  foolish  habit  of 
tasting  each  medicine  that  he  handled  in  the  course  of  his 
daily  business.  His  system  was  thus  exposed  to  the  effect 
of  an  indefinite  number  of  drugs  in  strength  ranging  from  the 
mother  tincture  to  the  millionth  for  a  number  of  years. 

This  man,  when  sick,  seemed  to  be  absolutely  immune  to 
the  effect  of  needed  medicines.  We  have  prescribed  Arsenic, 
Xux  vomica,  Cactus,  Allium  cepa,  Phosphorous  and  Glonoin 


55S  THl'l    MKDICAL    ADVANCE:. 

fur  him  on  fiilff.'rf?iit  oceasions,  on  well  marked  indications, 
withtmt  any  m^immut  efffect.  It  is  our  experience*  that  the 
f*elf-(losL4's  an;  the  liardest  peoi)h»  to  cure,  and  when  they  do 
etjnie  tt>  a  physictao.  tlm.v  iiave  tjjenerally  tried  from  throe  to 
tiight  mt*dieiiifif^  fli-Ki,  with  the  result  of  so  tan<;hn^  up  tlieir 
«ynj[»u^rns  thut  a  Phihulolphia  hiwyer,  or  tlie  devil  hims(»lf. 
eouid  not  ^fnitKhten  rht*in  out. 

We   hitVf!   ihin  eonfirtiiatory  exi)(M"ii'nc(^  to  olYer.     The 

qniclri^Nt   and    njnnt    HHatinfactory   cur(\s,    in    l)Oth    extreiiii^ly 

dHri^en>ni^  aiid  auute  aigie-s,  and  in  vi:ry  chronic   ones,  have 

htvn  timonir  tho  Polish  ivsi-dents  of   Chica.uo.    peoi)l('   who 

nnvi^r  liejinl  uf  Homeopntliy  or  took  a  houjcoi)athic  renu'ily 

^  m  their  lifi?, 

r  .  Il  l«  nuimi(2  tlio»e  people.  i;jcnorant,  without  imagination, 

J  lind  without   Cnith,   ihal    a    few    dosi's    of    the    homeoi^athic 

|.  n^mvdy  have  wroujxhL  ma^acles  such  as  ai*e  nm-er  seen   in 

k  fMiulu*ii  whf^re,  atiiveiy  i*l!Kht  aihn^mt.tliey  l\y  to  Aconite  or 

p  'Bijlladotina    or    Mt*reurius,    as   th(*    nK)mentary   whim    may 

dur  ermine 

^  .  KNOTERIC  HOMEOPATHY: 

Tliere  sieenis  to  be  suoh  a  tiling  as  esoteric  Homeopatliy. 
If  not,  why  Jm  il  that  eortain  students  in  a  class  "  catch    on  " 

,-  iliiU-kly  To  true  Ii(iiiieu[nil1iic  prescribing   and  never  do]^art 

fniiii  It,  while  rertahi   olhers,  with  equal  or  better  mental 

^  fii4*illlles<  iu  tfL^neriih  ennnol  leni-n  it.  ncner  l(Mrn  it:  you  may 

br-uy  'lieiii  a  mortar,  but  that  art  cannot  be  pounded  in,  they 
n»*iy  be  iiruii^lM  np  by  i"  homeopathic  lather,  and  preceptor 
i}t  tlve  hi*-»r  qmtUty,  iMit  that  sc^cret  cannot  be  imparted  to 
Ujeui.  Such  imliviiluali^  practice  medicine  for  years,  under 
th^''  hruvnerof  HotneuiPittUy,  and  never  know  they  have  not 
gnl  11-  HuTr  ate  ;i  Vi'ty  frrcnit  'many  instances  of  this  which 
fh**  Holy  l^ln^;»ll  rufbohc  Chur(!h  would  call  *' Invincible 
IgnoinilC*/' 

(M'K   HUMKUPATHIC  TEACHINW. 

OiN-  e-*tee(ia"d  eojUeuq^orary  tlie  Iowa  Journal,  calls  us  to 
i3ifitH*lim    lor    ptdjlisbii^u    the    following   letter   by  Dr.  Fitz 


EDITORIAL.  559 

Mathew,  of  West  Sound,  Washington,  as  tendinis:  to  brin^ 

the  homeopathic  school  into  disrepute: 

Personally  I  care  not  what  a  man's  })raetico  is  if  Le  be  lionost  and 
consisttnit.  If  I  f  )nnd  anj  systeni  of  treatment  ^ivinp:  better  results 
than  liomeopathy  I  woidd  ado])t  it  It  would  bo  right  that  [  HbouUl  tU) 
so;  but  thenMionesty  woubl  dieiate  that  I  cease  to  call  myseU  a  homeo- 
path, and  enJ  my  afliliation  with  a  homeopathic  society.  We  res])ect 
onr  b'arned  brethern  on  tlie  o))i)osite  b«mches  who  differ  from  us.  Wo. 
can  forgive  their  ])ersecation  in  the  ])ast  and  present  in  a  modified  form. 
\Ve  know  that  from  time  to  time  some  of  tliem  will  get  tlie  light  of  truth 
and  become  a  ])illar  (jf  strength  in  our  ranks;  ])ut  we  can  h'lvi  no  lopect 
for  the  pretender,  and  we  sliould  show  no  considetution  for  the  voidorof 
Hj.nrioiis  Homecjpathy. 

Tlie  editor  says,  ''if  nieuiciiie  wovo  an  exact  science 
and  Homeopathy  the  only  nu'thod  of  cure,  we  \v(rald  have  a 
rij^d^t  to  mjike  such  stateuuMits."  TI-  fnrtlier  says,  *'vv(*  hop** 
and  t!-ust  that  in  due  cours(»  of  tiino  th(^  correct  siiniliinnm 
willl>e  found  for  every  d;<v^nsed  condition." 

There  are  nran\  nnvliods  of  rure,  but  only  one  law,  and 
that  the  law  of  similars,  and  our  cuut*Mn])orary  should  dis- 
tinguish between  metliod  and  law.  As  ^\Kn\  as  th*:'re  <»re 
other  laws  of  cure  discovei-ed,  like  Dr.  Fitz Mathew  we  sh<dl 
be  very  glad  to  investi<2:att\  and  if  they  o-ivc^  hotter  j'esalts 
than  the  law  of  similars  we  should  adopt  them.  "A  (\<^^s.}  uT 
castor  oil  to  free  the  intestinal  canal  of  indi;_restn)le  food"  is 
mercdy  a  mechanical  adjunct  lilcc*  the  sui\i::ieal  rt  lief  t)f  a 
pathological  effect.  It  is  not  a  method  of  eure,  it  is  pr:ictical 
mecdianics  applied  to  lueclumical  c.-onditioiis.  and  no  true 
homeopath  has  evc^r.objecttHl  to  meclianical  mi'ansto  r*dieve 
mechanical  conditions.  Mahnemann  ex])heitly  instiau-ts  us  in 
footnote  to  ^7  to  remove  all  maintaininjj,"  or  exciting'  causes 
as  one  of  the  primary  indications  out*  of  the  first  duties  of 
the  pliysician— in  the  treatment  of  the  si  -Iv. 

We  suggest,  at  the  risk  of  being  considered  "  ov^r  zeal- 
ous in  the  cause  of  Homeo]rat]iy."  that  our  editorial  col- 
league remove  the  mote  from  his  own  <\ve  before  lu*  attempts 
to  correct  our  shortsighti'dn(--s.  l'\)i'  instancr',  in  his  Aug- 
ust issue,  on  "The  Treatment  of  llay  Fever,"  we  tind  tlie 
following: 

Have  a  quantitv  of   Do'otllN    ^olnliun  iiiude  up  arcv>,tlin^'  to  lie*  I'd 


580  THE  MEDICAL  ADVi^NCE. 

lowiDg  formula:  ?oda  bicarb,  one  and  one-half  ounces;  soda  borate, 
one  aad  one-half  ounces;  carbolic  acid,  one-half  ounce;  glycerine,  two 
oiincea;  rose  water,  q.  s.  one  pint.  For  use  this  solution  should  be 
dilated  bj  adding  one  teaspoonful  to  the  ounce  of  water. 

If  liny  of  our  allopathic  journals  have  anything  more 

unhomeopathic  than  this  we  have  failed  to  find  it. 


HOME. 

By  Grace  G.  Bostwick. 
You  in  ay  talk  about  apartments  or  the  finest  kind  of  flat; 
And  tell  about  your  grand  hotels — the  swellest  ones  at  that; 
You  may  rave  about  a  mansion  or  a  villa  in  far  Rome; 
But  ril  go  you  one  still  better  yet — and  that's  my  home. 

The  dearest  wife  that  ever  lived,  and  still  a  bride  by  jing! 
Her  hair  is  getting  gray;   but  sayl   you   ought  to  hear  her 

singi 
When  si  10  puts  the  kids  to  bed  at  night,    she  murmurs  soft 

and  low 
Those  dear  old  tunes  our  mother  sang  years  and  years  ago. 

And  vfhvn  the  babies,  tired  out,  are  off  to  By  low  land, 
She  kisses  'em  and  tucks  'em  in  with  tender  mother  hand, 
And  then  we  sit  together  there  and  talk  awhile  and  dream, 
A'bujKiirg  castles  in  the  air  in  the  firelight's  dancing  gleam. 

The  kin^^  may  have  his  palaces— no  envy  stings  my  heart; 
(irant  hiin  all  his  soul  desires — I  have  still  the  better  part. 
Ah!  give  the  rich  their  mansions  tine  where'er  they  chance 

to  roam, 
But  for  me  my  little  cottage  neat — 'tis  home,  sweet  home! 


COMMENT  AND   CRITICISM.  ^  561 

COMMENT  AND  CRITICISM. 

Editor  Medical  Advance:  In  The  Critiguey  {August, 
1908,  p.  277)  the  editor  pretends  to  defend  Dr.  James  Tyler 
Kent  against  a  so-called  ''incivility,"  in  the  form  of  a  *'crit' 
icism  of  his  contributions  upon  Materia  Medica,"  which  oc- 
curred at  the  recent  meeting  of  the  I.  H.  A.,  held  in  Chicago. 
A  question  was  asked  by  a  member,  after  reading  of  Dr.  Hoi 
loway's  paper,  as  to  the  combination  remedies  now  being 
published  in  the  Critique,  and  we  think  it  legitimate. 

Here  is  the  quotation: 

Tbo  testing  of  each  iDdividnal  drug  on  the  healthy  human  subject, 
precludes  the  use  of  more  than  one  medicine  at  the  same  time,  unless 
the  additional  drugs  forming  a  compound  were  tested  on  the  healthy  in 
i\iQ  identical  compound  form.  The  reasons  for  this  is  not  based  on 
mere  arbitrary  objections,  but  a  scientific  truth,  viz. :  that  no  two  med- 
icines when  tested  together,  can  possibly  be  equivalent  to  the  sum  of 
their  pathogeneses  when  tested  separately.  To  illufctrate:  we  have 
tested  sulphur  and  carbonate  of  lime  in  combination  under  the  name  of 
Hepar  Surphuris  Calcareum.  The  pathogenesis  is  not  identical  with  that 
of  Sulphur,  nor  that  of  Calcarea,  nor  the  sum  of  the  two.  Nor  can  we, 
in  case  we  find  an  image  of  sickness  similar  to  the  proving  of  Hepar 
Snlphur,  cure  the  patient  by  putting  Sulphur  and  ("alcarea  into  one 
glass,  nor  by  administering  them  in  rapid  alternation.  Each  drug  has 
a  distinct  individuality ;  and  two  or  more  drugs  cannot  have  one  individ- 
uality and  thus  become  one  medicine  and  the  similimum  for  a  given 
sickness,  unlea  potentized  together.  JSo  two  medicines  can  become  one 
medicine  by  any  other  process  known  to  man 

On  careful  reading  this  defense  seems  more  uncivil  to 
Dr.  Kent  than  the  original  criticism.  The  editor  shows  that 
Dr.  Kent  has  been  a  careful  student  of,  and  a  very  success- 
ful writer  and  lecturer  upon  the  materia  medica  as  presented 
by  Hahnemann,  Hering,  Lippe  and  the  other  great  lights. 
Furthermore,  he  says  '*that  they  [Dr.  Kent's  letters  on  Ma- 
teria Medica,  published  in  '*The  Critique"]  are  popular  and 
considered  reliable  needs  no  greater  proof  than  the  very 
large  increase  in  our  subscription  list  during  the  past  year." 
Curiously  enough,  I  do  *'need  greater  proof."  I  want  to 
know  who  the  provers  are;  what  potencies  were  used;  how 
often  the  doses  were  taken;  and  how  they  were  prepared, 


oGi!  THE   MEDICAL    ADVANCE. 

for  some  of  these  remedies  are  not  mentioned  in  the  latest 
Pharmacopea. 

If  the  'symptomatoloj^y  of  these  remedies,  e.  g.,  alum- 
ina silieata,  kali  silicatum,  calearea  silicata,  etc.,  etc.,  is  reli- 
able, lot  the  day  books  of  the  provers  be  published  and  then 
report  cases  of  clinical  v(?ritication.  Then  we  may  know 
that  in  prescribing  them  we  are  not  working  empirically. 
With  these  published  we  should  not  need  to  be  reminded  that 
'*Dr.  Kent's  reputation  is  not  contined  to  Chicago  and  Cook 
county,  llhnois.*'  Dr.  Kent  has  done  some  splendid  work  for 
our  school,  but  he  must  furnish  his  day-books  and  names  of 
provers  of  these  double-ht^aded  remedies  before  they  will  iTe 
acceiKHl  as  genuine. 

These  "criticisuis'*  are  not  at  all  likely  to  injure  Dr. 
Kent,  "The  Criticiue,"  or  tht^  cause  of  homeopathic  materia 
medica."  Tliat  is  the  (m(^  ^I'cat  truth  in  this  able  defense! 
Honest  crilirism  will  not  only  "not  injure  Dr.  Kent,  'The 
Criticjue/  (u-  the  cause  of  honn'opathic  materia  medica,"  but 
will  ])urify  IIkmji  all,  Iv^t'p  them  honei^t.  and  true  to  the  staii 
(lai'ds  St  t  hy  llahuemann.  Honest  criticism  is  always  help 
ful,  and  if  it  hurts  that  is  a  sure  sign  that  it  is  homeopathic 
to  1  lie  ('<'^^e. 

11'  th<  St'  ciitiri^iiis  are  not  well  foun<led  it  will 'be  an  easy 
uiattiT  ioj-  ^)r.  U'er.t  to  i)nl)l!.sh  the  day  hooks  of  thei>rovers. 
'J'his  will  sjh'ivt'  all  ci-Uici^in  and  place  his  work  beyond 
()U*'sti()n.  ll'tlit^  critirlsiiis  ai'i^true,  I  an]  reminded  of  my 
pi'olV^sor  <'i  spi'iinry,  who  rut  iiis  own  finger  when  holdin«^ 
an  a^jtopsy,  ai^l  .'XclaiiinMl.  "CJriitlemen,  it  is  surprising  how 
c:\  Th'NS  a  man  will  h<\'Oin('  when  he  gets  to  be  expert  at 
anyti:'n<j:."  To  say:  "It  is  liardly  to  be  supposed  that  a  man 
of  t!!<*  :iMl'iy  and  M'-tnirr-'nc*^  of  Dr.  Kent  would  attach  his 
naiTiV  to  any  n.aT'T/'  i;n  ddr-j  titpie  unless  Ik?  has  tirst  i^iven 
tlio  iN'in  -dv  a  t  !ii'i'Mi)--h  iM'o\-ing,"  is  simply  b(^gging  th.e 
(jii'wt  ion,  ^Vtio  a"t*  th*'  ]n'o\tM'sy 

Wldit'  I  lia'.'i'  n'^cr  h;td  tin*  jdeasure  of  seeing  Dr.  Kent. 
nor  of  khowin'.::  Ins  i;i*'tliods  y^'t  to  my  njind  weight  is  lent 
totlust^  criticisms  by  lla'  fact  that  his  writings  appear  in 
Til'-  Crifii;<i<\     This  led  me  to  oxp(^et  close  adherence  to  the 


COMMENT  AND  CRITICISM.  568 

law,  similia  similibus  curantur,  aud  to  the  single  remedy. 
Imagine,  then,  my  astonil^ment  at  reading  the  following 
among  the  ''Reading  Notices  of  Interest  to  Everybody'': 

"XocTURXAT.  Incontinence  OF  UuiNE  in  Children. — 
Add  eight  drops  of  belladonna  and  eight  drops  of  tinct.  nux 
vomica  to  eight  ounces  of  sanmetto.  Of  this  one-half  to  one 
teaspoonful  is  given  before  each  meal  and  at  bedtime." 

This  prescription  is  so  placed  in  the  magazine  as  appar- 
ently to  bear  editorial  endorsement.  Similarly  placed  in  this 
issue  of  The  Crifujiie  are  four  other  favorable  comments  on 
sanmetto,  one  on  antikamnia,  and  over  a  page  on  peptoman- 
gan  ((jude).  In  the  advertising  pages  sametto  is  shown  to 
be  **a  scientific  blending  of  true  santal  and  .saw  ])ahnetto, 
with  soothing  denmlconts  in  a  pleasant  aromatic  vehicle." 
"Scientitic  home()])athic  mcHliciney" 

We  are  asked  to  b(4i(»ve  that  Dr-  Kent's  writings  are 
based  on  provings.  and  yet  tl^^v  ar(*  allowed  to  appear  month 
after  month  in  company  witli  these  other  dainty  l)its  of  "sci- 
entific homeopathic  medicine*."  Christian  Scitmce  is  said  to 
be  so  named  because  it  is  neither  Christian  nor  sc.itnitilic 
Verily,  in  the  langnaire^  of  tht*  venerable  Smil(\v,  ''The  high- 
est truth  and  the  profouiKlest  ei*i'or  arc^  oftim  bculfellows.'' 

s.  s.  c. 

OSTKOPATHS  ARE  PAYSK  lANS. 

Within  1iu.»  iDcaniuij:  o*'  tiie  law,  who  is  a  physicinn'r  Re- 
cently this  (|Ues*ion  l:as  nc*  n  imswert'd  by  .Iiistie**  Dirivey  of 
th<.*  Su{)r(MiU' C(>;]i-| :  in  Mu'  fas«^»  of  a  wcIM^hoavh  !>i\)M]\lyn 
ostet^path  who  :i|);)}i<  (1  U^r  a  pcr'Mni)t()ry  writ  o^"  :'::!nJ;uii'is 
to  eoii'pel  the  [[(  a!th  I)  p-rtin'-nt  \n  a"e(*;>t  ti  dr-oh  cn'titi- 
Cite  iss'U^d  l)y  him.  T\v  d  ';)irt  nieiit  li;ul  rerit^-e'I  tf)  eo  this 
on  tin*  ground  tlnit  M  ■»  o^tcnp-Mi  v;;is  iiot  a  p:.y--i'-j;ih,  .uui 
th'UV'l'or  Mio^  (^lUit  l*'iM()  111*.'  the  e'r:!{''at(*  a"<-''ot"a.  sceh 
acc.^ptance  Ix'ing  by  ];''v  niMtic  aMi)li('a!)lo  to  ph\  "-i.-'ims  only. 
In  his  d'K'isiou  the  jii-^ti;-,.  ,j, Pitt's  as  foUuws  from  <'ii:i])t-"r 
:]U  of  the  Laws  of  l.'o': 

A  person  pr:u!M<',,>-  'p«'  .\  '\u*\  w''\\\^\  t^t'  -.mm'  inj  of  Mi'^  .i-*,  ••\''t-]>t 


564  THE  MEDICAL  ADVANCE. 

treat,  operate  or  presoribe  for  any  human  disease,  pain,  injury,  deform- 
ity or  physical  condition,  or  who  shall^ither  oflPer  or  undertake  by  any 
means  or  method  to  diagnose,  treat,  operate  or  prescribe  for  any  human 
disease,  pain,  injury,  deformity  or  physical  condition. 

He  then  gives  it  as  his  opinion  that  **the  lawmakers  in- 
tended to  make,  and  do  make,  osteopaths  practitioners  of 
medicine,"  immediately  adding,  **and  also  make  them  physi- 
cians, because  Subdivision  8  of  Section  1  of  this  act  says  that 
a  physician  means  a  practitioner  of  medicine,"  '*So  it  is 
clear,"  he  says,  ''to  my  mind  that  osteopaths  are  physicians, 
.  .  .  and  except  for  restrictions  put  upon  them  by  Chapter 
344  of  the  Laws  of  1905,  prohibiting  them  from  administer- 
ing drugs  and  performing  surgery  with  the  use  of  instru- 
ments, they  are  entitled  to  all  the  rights  and  subject  to  all 
the  privileges  of  other  physicians."  Can  receive  money 
from  patients,  that  is,  cure  them  of  their  ills  where  practic- 
able, and  in  other  cases  issue  them  lawful  death  certificates, 
receivable  by  the  Board  of  Health. — Harpers  Weekly. 


CHOLERA  INFANTUM. 

A  clergyman  writes  to  the  Homccpathic  Envoy: 
In  the  July  number,  on  page  35,  from  Neio  York  Medical 
Journal,  I  read:  ''Victims  of  cholera  infantum  have  seemed 
to  take  a  new  lease  of  life  on  being  allowed  to  chew  bacon." 
A  member  of  my  church  told  me  when  her  son  was  a 
baby  he  had  cholera  infantum  and  was  given  up  by  the 
"regular"  doctors.  So  she  telegraphed  her  husband  and  he 
started  home,  feeling  badly  to  think  he  must  lose  his  child. 
On  the  train  an  old  friend  met  him  and  asked  concerning  his 
dejected  look,  and  he  explained.  His  answer  was  to  cheer 
up,  he  could  tell  him  something  that  would  cure  the  child. 
"Go  home,"  said  he,  "and  tell  your  wife  to  boil  an  ear  of 
sweet  corn  and  scrape  out  some  of  the  juice  and  corn  and 
give  it  that."  When  the  mother  heardjof  the  remedy  she 
was  horrified,  for  if  anything,  she  thought,  would  kill  a 
child  with  cholera  infantum  it  would  be  green  corn.  But  as 
the  doctors  said  he  must  die,  and  as  his  friend  had  told  him 
he  had  cured  his  own  child  and  knew  of  several  others  that 


COMPULSORY   VACCINATION   OF  INFANTS.  565 

had  been  cured  by  it,  she  gave  it,  and  she  told  me  that  the 
child  began  to  improve  immediately.  On  relating  this  to  a 
lady,  she  told  me  she  bad  a  friend  who  always  used  the  juice 
of  a  green  cucumber.  Now,  if  this  is  not  ^^similia  similibtis 
curantur,''  I  don't  know  what  is. 

COMPULSORY  TACCINATION   OF  INFANTS. 

The  Commonwealth  of  Massachussets.  In  the  year  1908. 
An  act  relative  to  the  vaccination  of  infants. 

Be  it  enacted  by  the  Senate  and  House  of  Representa- 
tives in  general  court  assembled,  and  by  the  authority  of  the 
same,  as  follows: 

Section  1.  Section  one  hundred  and  thirty-six  of  chapter 
seventy  five  of  the  revised  laws,  relative  to  the  vaccination 
of  children  under  two  years  of  age,  is  hereby  repealed. 

Section  2.    This  act  shall  take  effect  upon  its  passage. 

Approved  by  Eben  S.  Draper,  Lieutenent  Governor, 
Acting  Governor,  April  1,  1908. 

Thus  compulsory  vaccination  of  children  passes  away  in 
the  State  of  Massachussets.— il/edicaZ  Talk. 


To  the  Editor  of  the  Medical  Advance. 

Will  you  please  inform  your  readers  that  the  omission  of 
the  name  of  the  Homeopathic  Medical  College  of  the  Uni- 
versity of  Minnesota,  at  Minneapolis,  from  the  Annual 
Announcement  and  Program  of  the  American  Institute  of 
Homeopathy  was  an  accident  discovered  too  late  for  correc- 
tion. Diligent  search  thus  far  has  not  disclosed  how  this 
error  oi  omission  occurred.  It  was  an  unusually  unfortunate 
mistake  and  no  one  regrets  it  more  sincerely  than 

Yours  very  truly, 

Frank  Kraft,  M.  D., 

Cleveland,  June  10,  1908.  Secretary  A.  I.  H. 


560  .  THE   MEDICAL   ADVA^X^E. 


IN  MEMORIAM. 

FRANK  KRAFT,  M.  D.,  editor  of  the  Auu^riran  Plnj-^^i- 
c/rA7^  and  secretary  of  the   American  Institute,    died    in    St. 
Louis,  Mo.,    July    ll)th.     For  the  last  two  sessions  of  the 
American   Institute,   Jamestown   and  Kansas  City,  he   has 
appeared  in  an  invalid's  chair,  accompanied   by  his  wife  or 
daughters,  suffering  from  paraplegia,  the  result  of  an   un- 
fortunate fall  three  years  ago.  yet,  notwithstanding  his  disa- 
bilities, as  cheerful  and  witty  and  as  hard  a  worker  as  ever, 
one  of  the  most  active  and  useful  members  of  the  Institute- 
At  Kansas  City  he  appeared  as  well  as  usual,   although 
his  duties  seemed  to  be  more*  difficult,   not  so  easily   man- 
aged; but  at  the  close  of. the  meeting,   when  the   members 
had  gone  and    the    work   really  finishe(;l,    his   daughter   ob- 
served that  he  began  to  1k»  vt^ry  tired  and  showed  si^ns  of 
rai)idly  breaking   down.     With  his  old(\st  daughter    he    in- 
tended to  spend   a    month    with  .his   brother   in   St.  Louis. 
When  h(^  reached  that  city  he  was  quite  ill,  but  it    was    sup- 
posc^d  to  be  from  th(»  (excitement  and   overwork   of   the   ses- 
sion and  that  a  few  days  rest  and  (juiet  -would    soon    restore 
his  wonted  vigor,     Y^^t.    notwithstanding  all  the  care    that 
could  bv  bestowed  on  him,    his   ]^(u-sistent   optimism   \vas    so 
])ronoiinced,  tliat  no  one  n^alized    that   it  was   his  last    sick- 
ness; that  he  was  iH-ai-iriic  the  (Mid  of  liis  active    professional 
cariM'f. 

\)r.  Kraft  was  boiai  in  Cin'annat],  Ohio,  Januai'y  ^,  1^51; 
obi  a  ill* 'd  ]iis  (Mhication  in  tin*    ]:)ublic  schools  and"  went   into 
gciKM'al  l)usin('>s.      In  l^Tf)  Ik*  })OLran  tlie    study  of    law,    but 
(lid  not  coni])l('to  lijs  (m)!!!'^^'   In  X'^^V)  he  graduat(Hl  from  the 
Honio!)palhir     M.-ln-il     (^)]h\^l\  of   Missouri,    in'acticod    a 
sliort  tiin*»  in  S^-.  Louis,  jtnd  t'uMi  removc'd    to   Ann    Harbor, 
Miv'hi.Lcan,  wli-'i-f  h*^  w;-;^  associate  editor  of  the    JfrfffCfr/    jff- 
rtt/'Cf  tor  s(an(*  tiiiu\     An    «  :iiau:st    call    for    a  physician,    in 
Sylvan iii,  Ohio,  s(*\'ci\(t  liis  i'ditorial  connection,  and    ho   re- 
moved to  that  toWTi  in  1^^;),  \nAn<^   called  to  Cleveland    six)n 
nftor  to  assiuno  tl-o  ])i'of*'ssorsirii)  of  Materia    Mt^lica   in  the 
Olovehmd    lioniooi)athLc     Colh^ge.      He    held    this   position 


v^M7 


IN   MEMORIAM.  567 

until  l'^96,  in  the  meantime  becoming  editor  of  the  American 
Physician. 

He  was  one  of  the  most  energetic  writers  in  the  homeo- 
pathic school;  in  fact,  the  American  Physician,  under  his 
editorial  management,  was  more  nearly  a  one  man  journal 
than  any  other  homeopathic  publication,  and  that  one  man 
one  of  the  most  aggressive  and  persistent  defenders  of 
Homeoi^athy.  In  his  death  the  American  Institute  has  lost 
one  of  its  most  efficient  officers,  and  the  homeopathic  pro- 
fession one  of  its  virile,  energetic  wideawake  and  ablest 
men.  Every  member  of  the  American  Institute  or  of  the 
homeopathic  pi'ofession,  whoever  met  him,  admired  and 
loved  him,  for  his  was  a  charming  personality.  Farewell, 
Kraft,  thy  labors  are  ended. 

He  was  buried  under  Masonic  rites,  conducted  by  the 
Occidental  Blue  Lodge  of  St.  Louis,  escorted  by  the  Asca- 
l3n  Commandery,  K.  T.  The  following  tribute  was  paid 
him  by  his  life-long  friend  and  teacher.  Dr.  James  A. 
Campbell,  of  St.  Louis: 

FrieDds,  we  are  asseinbhM]  here  to  ])ay  tribul*^  of  lovo  mid  respect 
to  our  fj'iend  and  coliea^jriie,  Dr.  Frank  Kraft.  To  mourn  witii  those 
who  m  )Urn  and  grieve  witli  tlios  ;  wlio  ^^i-ieve.  ovei-  the  j)[is>in^'"  of  this 
lovable  and  brilUant>  man,  who-e  who'.;  life  \vas  full  of  \v<>rk:  so  full  o 
proirii.se.  .-^o  fu J  of  siu'(^^-.s  in  the  ilu'eof  ion-?  in  which  he  laboi-ed  so 
manful ly  and  >o  t^lrtmuously. 

AVe  may  indeed,  with  truth,  say,  tliiit  here  Iie^.  an()th''r  victim  of 
the  inr^atiai^le  demands  luatlt*  by  t'te  world  uuou  th  )-3e  wno  CAX  and 
Wir^L..  Sarely,  no  belt  -r  exainple  of  ability,  eua^  'b'.-,^.  unr jleutitiir  in- 
dustry has  «ver  eotu*_*  bet'or.-  us.  We  who  have  ku  )wn  him  fi-oiii  his 
boyhood  divs.  can  hear  testimony  lothis. 

When  three  years  u<r<),  he  met  with  the  accident  which  resulted  in 
paT*a]ysi.>^  of  his  lower  limbs,  it  \va->  t  h  )ULr!it  by  som  •.  that  his  days  of 
u^efulntjss  were  jj^one.  In  ]>hy^ieal  heipit^-su<'ss,  in  con^iiiQt  ])aiu  and 
An  meutul  anguish,  dreaiin;^-  a  p  i^^ihle  iritert'ereiice  with  hi.-^  f)]an^  and 
his  work,  he  fou^hr  on.  --e  MiiiuL'',  v.  wiMj  aild-d  z^^al.  Au  \  the  amount 
of  woi'k  he  accomplished  siucr  tlhMi.  iti  >|)it(^<)r  this  terrib,.-  calauiity, 
ha**  bef^n  simply  oii-'nom.-.uai  i-'  >r  tti  '  ]a>t  two  years,  It-  lias  b-eu  see- 
rotary  of  th*  Ametdcan  Institute  ol  Houifopathy.  etiitinjr  and  ar- 
ranjri"^  the  annual  issue  «tt  its  pfnceediui^s.  wliiidi  la-L  year  alone,  was 
a  book  of  llVo  p  i;»'i'^.  Th.uiv  o:  tie-  en  orui  )us  work,  the  cot'i'rsp  )tid- 
oDce  aijd  interview?  \\  ith  the  i^auy  in;ei'f-i<  d  in  it.  1du'r<_^  it  ^tanlls,  a 
splendid  monument  to  his  in  su-My  ami  lii.^  ^-.-uius. 


568  THE    MEDICAL   ADVANCE 

But  this  was  not  all;  at  the  same  tirne  and  for  many  years,  he  was 
Editor  of  the  "American  Physician,"  one  of  our  best  medical  journals; 
and,  Dr.  Kraft^s  editorials  were  always  unique,  brilliant,  spicy  and  un. 
equalled  in  their  way.  More  than  this,  wonderful  to  relate,  it  was  only 
three  days  ago  that  I  reoeifed  notice  from  the  publishers,  of  a  new 
book,  on  a  most  interesting^  topic,  by  Dr.  Kraft.  Think  of  these  re- 
markable evidences  of  intellect,  industry  and  toil,  under  th3  most  ad- 
verse circumstances. 

Xbat  he  has  worn  his  poor  body  into  dissolution  and  destruction, 
who  can  doubt;  but»  after  all,  is  it  not  better  to  fall  on  the  ramparts.  In 
the  fore-front,  with  flag  in  hand  and  with  the  shout  of  victory  in  the 
air,  than  to  be  a  forgotten,  contempted  skulker  in  the  rear;  to  wear  oat 
in  good  works,  than  to  rust  out  in  oblivion.  Ob,  my  friends,  what  an 
example  for  emulation,  for  us  to  do  our  best  while  we  can;  surely. 

The  lives  of  all  great  men  remind  us 
We  can  make  our  lives  sublime; 
And,  departing,  leave  behind  us, 
Foot  prints  on  the  sands  of  time. 

The  sadness  of  such  an  event  lies  largely  m  the  sudden  breaking  of 
the  loving  and  friendly  ties  of  near  association.  All  of  us  feel  this,  feel 
saddened  over  the  thought  that  never  again  shall  we  take  his  friendly 
hand  or  hear  his  cheery  voice.  But  it  is  the  snapping  of  those  nearer 
and  dearer  ties,  that  make  the  saddest  and  most  discordant  notes;  and, 
our  hearts  go  out  in  deep  sympathy  for  the  dear  ones  whom  he  loved  so 
fondly  and  for  whom  he  labored  so  willingly.  And  yet,  friends,  when 
we  think  of  his  trials,  his  pain  and  anguish,  which  could  not  be  ended 
in  any  other  way,  can  they,  or  we,  not  truly,  rejoice  to  know  that  to  him 
has  at  last  come  peace  and  rest,  which  was  the  only  relief  and  solution 
of  the  problem  for  him.  A  few  da>s  after  his  return  from  Kansas  City 
I  saw  him  prostrated  and  helpless,  in  pain,  unable  to  sleep  and  ex> 
hausted,  and  yet,  not  a  word  of  complaint  fell  from  his  lips.  He  was 
cheery  and  bright,  full  of  his  old  time  wit.  And  when  I  last  saw  him, 
only  a  few  hours  before  his  f»*etted  spirit  left  bis  tortured  frame,  he 
could  not  speak;  but  as  I  took  bis  hand,  his  lips  moved,  but  without 
sound;  and  gasping  for  a  few  more  breaths  of  earth *s  pure  air,  be 
looked  at  me  through  trembling  lids,  not  with  eyes  of  fear,  but  with  a 
brave,  soft  glance  of  friendship;  and,  as  he  pressed  my  hand,  I  knew 
that  his  baiile  was  nearly  over,  and  that  peace  and  rest  would  soon  be 
his:    Brave  to  the  last. 

There  is  no  death:  what  seems  so  is  transition: 

This  life  of  mortal  breath, 

Ts  but  a  suburb  of  the  life  elysian, 

Whose  portal  we  call  death. 

One  less  at  home: 


NEW   PUBLICATIONS.  569 

A  sense  of  loss  that  meets  us  at  the  gate,   • 
With  Id,  a  place  unfilled  and  desolate; 
And  far  away,  our  coming  to  await, 

One  more  in  Heaven, 

One  more  at  home, 
That  home  where  separation  cannot  be, 
That  home  where  none  is  missed,  eternally. 


NEW  PUBLICATIONS. 
A  CLIMICAL  MATERIA  MEDICA.  A  com se of  lectures  delivered 
at  Hahnemann  Medical  College,  Philadelphia,  by  the  late  E.  A.  Far- 
ring  ton,  M.  D.  Reported  phongraphically  by  Clarence  Barrett 
ME.  I>.  With  a  memorial  sketch  of  the  author  by  Aug.  Korndcerfer 
M-  I>.  Fourth  edition,  revised  and  enlarged  by  Harvey  Farrington, 
M.  r>.  826  pages.  8  vo.  Cloth  $6.90  net.  Half  morocco,  $7.00  net. 
HoBtage,  40  cents.  Philadelphia  and  Chicago.  Boericke  &  Tafel   1908 

Thke  popularity  of  this  work  is  measured  by  its  usefulness, 
l>y  title  aid  it  has  rendered  the  practitioner,  by  the  good  it  has 
dorte,  and  all  these  factors  are  emphasized  in  a  call  for  a 
fourth,  edition.  Wherever  Homeopathy  is  known,  Farring- 
•ton's  Clinical  Materia  Medica  has  become  a  handbook.  It  has 
l3een  translated  into  the  German  and  Spanish  languages, 
aiiid.  probably  will  be  seen  soon  in  native  Bengalese,  for  our 
India  homeopaths  are  especially  fond  of  it. 

It  is  scarcely  possible  that  the  charm  in  expression  of 
ttie  author  could  be  completely  preserved,  for  this  volume  is 
largely  the  work  of  a  stenographer,"  yet  the  essentials,  the 
characacteristics  of  the  great  teacher,  have  been  preserved. 
In  this  revision  over  forty  pages  of  new  matter  have  been 
added,  including  a  complete  lecture  on  Natrum  Arsenicatum, 
from  the  original  manuscript,  notes  and  articles  from  current 
literature,  by  the  author. 

It  is  a  most  fortunate  occurrence  for  the  profession  that 
this  able  son  of  this  great  teacher  has  been  able  to  so  com- 
pletely revise  the  work  and  append  new  matter  not  found  in 
former  editions.  Dr.  Harvey  Farrington,  himself  an  able 
teacher  of  Materia  Medica,  assisted  by  his  brother.  Dr.  Ernest 
A.  Farrington,  have  seen  the  work  through  the  press.    This. 


n 


570  THK    MEDICAL  ADVANCE. 

edition  contains  a  memorial  sketch  by  a  student  and  col- 
league, Dr.  Aug.  Korndcerfer  of  Philad(^li)lna.  Herinj?  him- 
self was  very  proud  of  Dr.  Farrington's  attainments  and 
appreciated  his  great  abihty  as  a  teacher  and  writer,  for  he 
frequently  said,  "  When  I  am  gone*  Farrington  must  tinish 
my  Materia  Medica."  This  memorial  sketch  adds  very  iimch 
to  the  inter(\st  of  the  work,  for  it  (»nahlcs  the  student  to  be- 
come better  aquainted  with  one  of  the  greatest  teachers  of 
Materia  Mcnlica  that  has  ever  grac(Hl  an  American  rostrum. 
Next  to  Dunam's  lectures,  tliis  is  the  most  lielpful  and  inter- 
esting, and  contains  tlu^  l)e.st  couiparisons  of  any  siiiiila'.* 
work  our  school  has  i)ro(.hu'ed.  We  heartily  commend  it  to 
the  student  of  tlu^  homeopathic  Ahit(»]-ia  Minlica. 

UElilONAL  LKADEllS.  By  K.  13.  NasU,  M  D  .  uutlior  of  "  L,*adtra 
in  ll(>in<  opHtliir  Therai^eutics."  "  Lt-adcrs  in  Typb.atl,"  *  Leaders  in 
tht'  Tse  of  Sulphur,  '  aiul  "  !iow  to  Take  the  Case. ""  Seeoud  <'dirion. 
lli'vist  d  aud  enlarfr<*(l.  .*)!.'')  pnp»'S.  l''lexibh»  leather,  $1  .*)«>  net.  Post- 
a^^e.  7  ct'ntH       Pliiladelphia.      Hoericko  &  Tafel.      P.MK. 

The  call  for  a  sinnrnd  edition  of  another  work  on  Key- 
noters, (mabling  the  studimt  i)y  a  method  of  self-quizzinj^  to 
master  th(^  salient  featurt^s  of  tlu^  Materia  Medica,  is  very 
encouraging.  TluMiuthor  informs  us  that  he  has  added  -IT) 
symptoms,  thus  nuikinga  total  of  1^,(^)0 in  the  present  edition, 
and  all  who  essay  to  master  the  Matc^ria  Medica  will  not  find 
them  any  too  many.  Of  course*  it  means  memorizing  work: 
but  every  studi'Ut  has  to  memorize  Anatomy  and  Chen:iistry 
then  why  not  ^hitcM'ia  Medica,  the  crowning  glory  of  tlie 
houHH)pti1hic  system.  Tht^  first  symptom  in  the  book  is:  * 'Ail- 
ments after  continued  uumtal  labor:  Nux  Vomica." 

Hefe  is  anotlun- very  similar  .symptom  with  which  it  may 
be  conii)are(l:  *' Ailments  or  aggravations  from  any  exhaust* 
ing,  long  continu(Ml  mental  lal)or:  '  Argentum  Nitricuin.*" 

And  so  w(^  keep  continually  adding  to  the  Keynotes  or 
charaetiM'istics  tirst  givi^n  us  by  Hahnemann,  Hering,  Lippe 
and  (juerns(\v.  In  this  way  our  Materia  Medica  is  made  more 
completes  more  heli)ful  and  more  easily  mastered. 


'  NEW    PUBLICATIONS.  571 

WHOOPING-COUGH  CURKLi  WITH  COQUKLrCHIN.  Its  [lomeo- 

^patliic     Nosode.      By  John   H.  Clarke,  M.  D.     HO  paj^us.    Cloth,  2s. 

net.        P<)8tage,    extra  ( America    and    Canada,  54    cents,  post    free). 

Tlie    llomeopathio  Publishing  Co.,  12  Warwick  Lane,  London,  K.C. 

Tlie  tirst  edition  of  this  work  appeared  about  two  years 
'<\<i;o  uiaclor  the  name  i)f  Pertussin,  when  it  was  suimnarily 
supi>re?>.so(l.  A  lirm  of  German  pharmacists  had  ^i\  en  to  a 
))roprietary  article  of  their  own  the  sanu*  nauH%  and  succeed- 
ed in.  oV>tainin<^  rej.?istration  in  Enj^land  throuj^rh  tlu^  inexcus- 
able carelessness  of  ol^.cial  aulliority.  It  would  have  b(*en 
exl)(Ml^sive  to  t(^st  the  maltrr,  and  llu.'  puhhsliei-s  decided  to 
withdraw  the  unsold  coj)ies  froui  circulation.  In  tlu^  stdection 
of  tliiK  iiaiue,  the  author  tells  us,  he  had  ad()i)tiMl  the  sui>-jjces- 
tioii  of  Jyv.  Maiv  Jouss(,^t  of  Paris  and  named  it  Cotimduchin, 
AvhicLi   i^s  the  French  for  whoopin^-c^outj^li. 

"^Plie  author  informs  us  that  many  additions  have  been 
made,  the  number  of  clinical  casc.^^  doui)led,  and  that  others 
b^^side?^  himself  have  used  tho  reuicnly  succ<\ssfully,"  amon^ 
theiii  l>r.  Anton  Xeb<d  of  Pasle,  Swilzi^rland,  so  tliat  practi- 
cally this  is  the  second  edition  of  Pertussin. 

I^ike   nuiny  of  our  houicopathk*   nuuediivs,  this  one  has 
been  introduced  throu^ch  its  clinit-al  v/urk     a  bn^ndi  presen- 
tation-    before  anyprovinij:  had  been  mad(»,  hiMice  toaciu-tain 
(r^xtent  it  is  empirical  work,  and  its  use  of  course  will  remain 
empirical  until  we  have  a  thoroiiij^h  test  and  a  r«diab]e  i^atho- 
txenesi^s.     ^ut   Apis,  Arnica,  Ijellis,    L-5a])tisia,    Eui)atorium, 
:Secale     and   others    did    s[)lendid    curative    work    Ixdore    a 
thorough  provinj^  was  mad(\  anil   the   clinical   record    liei'e 
presented  by  the  author  will  no  doubt   be   the   stimulus  that 
^will    give    tlie   profession  a  thorouj_ch    provinj^  in  the  near 
future-      It  has  cured  nuiny  cases  of  whoopinj^-coui^^i,  and  it 
lias  failed  to  cure   many,  which    must   naturally  b(^  the  case 
Tvith  all  remedies  tested  in  the  same  way. 

The  following  indications  have  been  found  valid  in  pre- 
scribing this  remedy: 

1.  Hacking?  cough. 

2.  Deep  sounding,  croui)y  cough. 


572  THE   MEDICAL  ADVANCE. 

3.  Cough  provoking  or  followed  by  intense  tickling  in 
throat,  fauces  or  trachea. 

4.  Hacking  cough  with  coryza. 
5.'    Spasmodic  choking  cough. 

6.  Cough  with  difficulty  of  getting  breath. 

7.  Cough  in  frequently  repeated  paroxysms. 

8.  Spasmodic  cough  with  intense  flushing  of  the  face. 

RADITTM  AS  AN  INTERXAL  RKMEDY.  Especially  Exemplified 
in  Caves  of  Skin-disease  and  Cancer.  By  John  H.  Clarke,  M.  D. 
736  pages.  Cloth,  2b.  6d.  net.  Postage,  extra  (America  and 
Canada,  66  cents,  postfree).  The  Homeopathic  Publishing  Co.. 
12  Warwick  Lane,  London,  E.  C. 

This  Brochure  of  136  pages,  with  a  good  index,  is  another 
work  from  the  versatile  pen  of  Dr.  Clarke.  It  contains  a 
history  of  the  Radium  Salts,  and  a  proving  of  Radium 
Bromatum,  much  of  the  symptomatology  of  which  was  given 
in  a  recent  issue  of  the  Medical  Advance.  **  The  'work  is 
dedicated  to  the  memory  of  Paul  Francois  Curie,  M.  D.,  who 
conducted  the  first  homeopathic  dispensary  for  the  poor  in 
London,  and  introduced  Hahenmann's  system  to  the  thinking 
people  of  England;  and  to  his  illustrious  grandson,  Pierre 
Curie,  the  joint  discoverer  of  Radium." 

The  X-ray  and  colored  light  treatment  of  cancer  and 
many  skin  affections  were  in  general  use  when  the  discovery 
of  Radium  was  announced,  and  immediately  a  large  number 
of  cases  were  treated  by  the  rays  of  Radium  and  many  suc- 
cesses, more  or  less  complete,  reported,  in  fact  so  general 
became  its  use  that  it  was  almost  impossible  to  supply  the 
demand.  Our  allopathic  friends  thought  they  saw  in  the 
external  use  of  Radium  rays  the  cure  for  malignant  disease, 
but  like  nearly  every  other  remedy  in  the  Materia  Medica, 
when  used  in  this  empirical,  indiscriminate  manner  for  the 
name,  the  diagnosis,  some  cases  were  successful,  but  a  large 
majority  were  failures  and  as  a  natural  result  the  Radium 
fever  soon  subsided. 

Dr.  Clarke  now  took  up   the  work  of  testing  Radium 


NEW   PUBLICATIONS. 


573 


Bromatum  on  the  healthy  and  the  result  is  given  in  this 
little  work. 

Dr.  J.  C.  Molson,  of  London,  gives  his  experience  after 
taking  the  remedy  himself: 

"After  taking  a  dose  or  two  of  a  rituration  not  higher 
than  45x,  I  got  such  sudden  and  violent  shocks  of  pain  in  the 
lower  branches  of  the  fifth  cranial  nerve  on  the  left  side  of 
my  face  that  I  decided  to  leave  this  remedy  severely  alone. 
The  pains  were  without  premonition,  abrupt,  and  of  light- 
ning-like suddenness,  and  so  intense  as  to  call  forth  an  in- 
terjection." 

A  number  of  clinical  cases  are  here  recorded,  showing 
the  definite  action  of  the  remedy  when  used  internally  in 
skin  diseases,  and  in  some  cases  of  incipient  and  pronounced 
cancer. 

One  of  its  aggravations  is  well  worth  remembering;  like 
Carbo  animalis  the  symptoms  are  aggravated  by  shaving. 

POCKET  MANUAL  OF  HOMEOPATHIC  MATERIA.  By  Wil- 
liftm  Boericke,  M.  D.,witli  Repert)ry  by  Oscar  Boericke,  M.  D. 
Fourth  edition,  revised  and  enlarged.  981  pages;  price,  flexible 
morocco,  $3.50.     Boericke  &  Ilunyon,  New  York. 

Boericke's  little  Manual  of  Materia  Medica  is  so  well 
knov^rn  that  extended  notice  of  it  is  scarcely  necessary.  This, 
the  fourth  edition,  has  been  revised  and  enlarged,  making  it 
even  more  valuable  than  ever  as  a  reference  book  for  the 
practitioner  and  student.  There  is  also  an  improvement  in 
the  size  of  the  volume.  In  spite  of  the  fact  that  a  valuable 
clinical  index  has  been  added,  the  book  measures  scarcely 
more  than  an  inch  in  thickness,  almost  half  the  thickness  of 
the  former  edition.  This  has  been  due,  chiefly,  to  the  use  of 
a  much  finer  quality  of  paper,  so  that  it  can  be  easily  carried 
about  in  the  pocket.  It  is,  undoubtedly,  the  best  and  most 
comprehensive  of  the  briefer  Materia  Medicas  on  the  market. 


I 


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J 


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NEWS  NOTES. 

Editor  Medical  Advance:— I  have  the  honor  to  ad- 
vise that  I  have  appointed  Dr.  Moses  T.  Runnels,  Kansas 
City,   Missouri,    secretary    of  the    American    Institute   of 
Homeopathy  vice  Frank  Kraft,  deceased. 
Very  truly  yours, 

Wm,  Davis  Poster,  President. 


David  Posey  iBrown,  M.  D.,  announces  that:  **Mc- 
Kniley  liospital,  Trenton,  N.  J.,  is  in  need  of  two  internes  at 
the  present  time  and  I  am  writing  to  see  if  you  will  give  us 
a  note  in  your  valuable  journal  to  that  effect.  We  have  a 
capacity  of  one  hundred  beds  and  have  a  good  deal  of  surgi- 
cal work,  and  a  large  dispensary,  of  which  the  internes  have, 
practically,  complete  charge.     D.  P.  Brown." 

International  Hahneinanuian  Association— The  next 
meeting  will  be  held  in  Pittsburg,  perhaps  the  first  week  in 
June  J  n^09.  Do  not  say  you  never  heard  of  the  time  and  place 
of  meeting.  Begin  now  on  your  papers  for  next  year,  so  as  to 
be  ready  when  the  call  for  duty  is  sounded. 

Dr.  W.  J.  Hawkes,  Los  Angeles,  California,  announces 
the  removal  of  his  offices  from  their  former  location  to  the 
Wright  &  Callender  building,  Fourth  and  Hill  streets,  rooms 
3ll-l:i.  His  office  hours  will  be  from  11  to  12:30  and  2  to  4. 
The  doctor  will  make  a  specialty  of  dietetics. 


New  Jersey  State  Society  sends  the  announcement  for 
its  semi  annual  session  at  Hotel  Marlborough,  Asbury  Park, 
Oetober  Gth  and  7tli,  190^. 

The  scientilic  sessions  of  the  meeting  will  be  especially 
good.  The  officers  su^\iz:est  that  at  least  two  papers  be  pre- 
sented by  each  bureau,  which  will  atford  ample  time  for  a  full 
di:>eussiou.  We  think  this  very  wise,  because  more  good 
often  obtains  through  full  and  free  interchange  of  opinion 
than  by  too  many  par)ers  with  little  or  no  discussion. 


NEWS  NOTES. 


575 


Dr.  H.  P.  Holmes,  of  Sheridan,  Wyoming,  was  severely 
injured  July  3rd,  at  old  Port  Kearney,  by  the  overturning  of 
an  automobile  with  eleven  passengers  in  it.  The  doctor  fell 
on  a  flat  stone,  injuring  his  left  trochanter  so  severely  that  he 
has  been  in  bed  for  a  month,  and  is  only  now  beginning  to 
navigate  on  crutches.  He  will  have  the  sympathy  of  the 
readers  of  the  Advance  in  his  affliction. 


The  Needs  of  the  Homeopathic  Materia  Medica— This  is 

an  address  delivered  before  the  Homeopathic  Medical  Society 
of  the  County  of  New  York  by  Dr.  J.  B.  Gregg-Custis,  and 
is  an  attempt  to  present  the  subject  in  such  a  way  that  our 
Materia  Medica  may  meet  the  demand  of  the  specialist  in 
therapeutics.  This  is  certainly  praiseworthy,  but  if  our 
specialists  would  study  the  Materia  Medica  and  apply  it  as 
Hahnemann  suggested — for  the  patient,  not  the  diagnosis— 
they  would  find  it  capable  of  meeting  all  demands  upon  it  in 
every  curable  case.  The  provings  on  the  healthy  do  not 
produce  disease,  hence  cannot  cure  them. 


Dr.  R.  8.  Copeland,  Dean  of  the  New  York  Homeopathic 
Medical  College,  has  appointed  Dr.  Rudolph  F.  Rabe,  head  of 
the  Materia  Medica  corps  of  the  faculty.  Judging  from  the 
work  which  Dr.  Rabe  has  already  done  in  college  and  from 
his  admirable,  clear-cut  clinical  cases  in  papers  before  medi- 
cal societies,  the  I.  H.  A.,  and  in  our  various  journals,  no 
better  man  in  New  York  could  be  found  to  fill  this  important 
position.  We  think  this  an  advance  step  taken  in  the 
principal  chair  of  a  homeopathic  college,  and  we  trust  it  will 
now  resume  the  position  it  formerly  occupied  under  the 
leadership  of  Dunham,  Lillienthal  and  Allen. 

The  Regular  llomeopsilhie  Society  of  Chicago  was  or 
ganized  for  the  same  reason  that  the  Hering^  Medical  College 
was,  to  perpetuate  and  advance  the  interests  of  pure  Homeo- 
pathy. It  is  not  intended  to  anta<j^onize.  any  homeopathic 
society  now  in  existence,  but  it  is  intended  to  furnish  a  place 
where  those  who  believe  in  and  practice  Homeopathy  as  ad- 


3 

i 

I 


576 


THE  MEDICAL.  ADVANCE. 


vocated  and  taught  in  The  Organon  can  have  a  part. 
Prei^ident  Copeland  recently  made  the  remark  that  he  never 
enjoyed  a  homeopathic  society  more  than  he  did  the  meeting 
which  he  attended  in  Chicago.  Every  homeopath  is  invited 
to  attend  and  judge  for  himself  the  necessity  for  such  a 
society. 

Dr.  John  F.  Edgar,  El  Paso,  Texas,  wants  to  know  if 
any  homeopath  has  ever  cured  the  following  symptom: 

**  Urine  having  the  odor  of  turpentine. '^ 

It  is  not  to  be  found  in  any  of  the  repertories  for  the 
simple  reason  that  it  has  never  been  developed  in  the  prov- 
ing of  any  remedy.    The  symptoms  given  of  this  patient  are: 

Has  unpleasant  sensations  before  an  electric  storm;  but 
when  raining,  enjoys  the  sound  and  dampness. 

Hands  and  feet  generally  cold,  yet  frequently  seeks  cool 
places  in  bed  for  the  hot  palms  and  soles. 

If  any  reader  has  ever  cured  a  patient  having  this 
symptom,  kindly  report  it. 

The  Opinni  Curse.— The  attempt  to  suppress  the  opium 
evil  has  assumed  national  importance.  A  commission  to 
investigate  the  various  phases  of  the  trade  is  to  meet  in 
Shanghai  next  January.  The  excessive  use  of  opium  as  a 
narcotic  is  greater  in  the  East  than  in  America,  but  its  use 
in  the  United  States  is  simply  astonishing.  In  the  last  five 
years  there  has  been  an  increase  in  the  amount  used  of  over 
a  million  pounds,  and  notwithstanding  the  best  humitarian 
elTorts,the  future,  judging  by  these  figures,  is  anything  but 
encouraging.  It  is  not  the  Chinese  population  alone  that 
are  addicted  to  tlie  opium  habit,  and  we  fear  the  continued 
use  of  the  drug  as  a  palliative  is  one  of  the  chief  causes  for 
its  spread  in  this  country.  Why  not  strike  at  the  root  of  the 
matter  and  induce  the  medical  profession  to  cease  its  use  as 
a  palliative  remedy! 


The  New  Bonninghausen  Repertory  is  completed  and 
will  be  ready  for  delivery  this  month.     One  of  our  esteemed 


NEWS  ITEMS. 


577 


<x)iitemporaries  said  that  it  was  not  possible  for  75  per  cent 
of  the  profession  to  secure  a  copy  of  the  first  edition.  This 
is  a  mistake.  It  was  extensively  advertised  to  be  sold  by 
subscription,  but  no  one  subscribed.  Over  75  per  cent  of  the 
homeopathic  profession  of  the  United  States  do  not  use  a 
repertory,  and  consequently  will  have  no  use  for  this.  But 
every  physician  who  does  use  one  will  find  this  a  great  time' 
saver  and  very  helpful  in  his  work,  Those  who  have  never 
used  a  repertory  in  selecting  the  homeopathic  remedy  know 
nothing  of  its  advantages.  They  are  like  our  friends  of  the 
other  school  who  will  not  try  Homeopathy  because  they  do 
not  believe  in  it,  and  they  do  not  believe  it  is  because  they  will 
not  try  it.  Any  homeopathic  physician  can  see  a  copy  of  the 
Repertory  at  Boericke  &  Taf el's  Pharmacies.  No  hoiheopathic 
publisher  would  undertake  to  print  it.  It  is  a  private  enter- 
prise and  republished  solely  as  a  time-saver  to  those  who 
use  are  pertory. 


Paris,  April  17,  1906- 
Editor  Medical  Advance:    At  half -past  eleven  this 
morning,  at  the  age  of  92  there  died  at  his  residence,   15  rue 
Vauquelin,  Paris,  one  of  the  greatest  men  of  science  of  the 
past  century — Dr.  A.  B^champ. 

It  was  he,  and  not  another,  who  discovered  the  cause  of 
fermentation,;  it  was  he  and  none  other,  who  discovered  the 
cause  of  the  disease  of  the  silkworm  and  that  of  the  vines, 
and,  while  those  who  followed  his  counsel  saved  their  silk- 
worms and  their  vines,  they  who  followed  other  counsel  lost 
theirs.  He  discovered  the  functions  of  the  glittering  cor- 
puscles,  to  which  he  gave  the  appropriate  name  of  micro* 
zymas,  which  he  showed,  evolved  into  bacteria  when  sick, 
while  by  an  etymological  solecism  the  name  of  microbe  has 
been  given  to  them  by  those  who  sought  to  appropriate-  to 
themselves  the  discoveries  made  by  this  true  master. 

He  thereby  laid  on  a  sure  foundation  the  science  of 
physiology,  of  pathology  and  of  biology  and  pointed  out  tlie 
need  of  asepsi  5  in  surgery.  His  last  great  discovery  wiiA 
that  of  the  cause  of  the  coagulation  of  the  blood. 


578 


THE  MEDICAL   ADVANCE. 


To  the  shame  of  the  (so-called)  scientific  men  of  France, 
the  great  B^champ  died  neglected  by  time  servers,  but  hon- 
ored and  beloved  by  the  few  "hommes  d^lites"  who  make 
science  and  truth  their  object. 

Tliat  science  may  return  from  following  the  false  lights 
by  which  its  would-be  followers  have  been  misled;  the  work 
done  by  B^champ  must  be  gone  over  by  competent  men, 
when  their  real  value  will  be  recognized  and  the  foolish  fads 
which  dishonor  medicine  today  will  sink  into  deserved 
oblivion, 

Montague  R.  Leverson,  M.  D.,  Ph.  D.  and  M.  A. 

University  of  GOttenburg. 


TWENTY  NINTH  ANNUAL  MEETING  OF  THE  INTER- 
NATIONAL  HAHNEMANNIAN   ASSOCIATION. 

The  I.  H.  A.  met  on  June  29,  30  and  July  1  of  current 
year  at  the  Chicago  Beach  Hotel.  Although  the  meetings 
held  in  the  West  are  not  as  well  attended  by  members  as 
those  in  the  East,  the  members  are  always  increased  to  a 
greater  extent  by  visiting  physicians.  In  other  words,  the 
Eastern  members  do  not  come  to  a  Western  meeting,  but 
the  Western  members  do  go  East.  There  were  three  times 
as  many  present  as  there  were  last  year  at  Jamestown. 

Dr.  R.  P.  Rabe  made  an  excellent  presiding  officer,  and 
Dr.  C,  M.  Boger  an  active  and  efficient  chairman  of  the 
Board  of  Censors.  There  were  no  resignations  and  a  con- 
siderable number,  about  twenty,  new    members  elected. 

Among  the  notable  features  was  the  appointment  of  a 
committee  of  publicity  for  disseminating  the  truths  of 
Homeopathy  among  the  people,  and  a  contemplated  change 
in  the  by-laws  by  which  the  association  work  could  be  pros- 
e<.'iited  at  separate  centers  in  widely  separated  parts  of  the 
country. 

The  papers  were  valuable  and  of  a  practical  character, 
even  those  belonging  to  the  Bureau  of  Homeopathic  Phi- 
losophy, 

Dr.  C.  M.  Boger  added  to  the  interest  of  the  occasion 


,ffl 


9ri 


THE   I.    H.    A.    MEETING. 


579 


by  giving  a  practical  demonstration  of  the  working  out  of 
the  remedy  by  his  translation  of  BOnninghausen's  Reper- 
tory, the  cases  being  furnished  by  various  members. 

Dr.  Peterson  and  his  wife,  also  a  physician,  traveled  to 
the  meeting  in  their  automobile,  all  the  way  from  Rich- - 
mond,  Indiana.      Among  the    visitors    were  Dr.     Evelyn 
Hoehne,  of  Milwaukee,  who  attended  every  session,  and  took 
part  in  several  discussions. 

Dr.  P.  E.  Krichbaum,  the  new  president-treasurer,  or 
treasurer-president,  is  now  pretty  near  the  whole  thing,  as 
he  holds  two  offtces. 

Dr.  Nathan  Cash,  an  old  member,  whom  we  remember 
to  have  seen  many  years  ago  at  the  meeting  held  at  Rich- 
field Springs,  N.  Y.,  and  recently  reinstated,  was  present 
with  his  wife. 

Drs.  Kent,  Gladwin  and  Austin,  whom  we  were  pleased 
to  see  at  Kansas  City,  at  the  meeting  of  the  American  Insti 
tute,  to  our  grief  did  not  honor  th^  I.  H.  A.  with  their  pres- 
ence, although  they  must  have  passed  by  us  on  their  way 
home. 

Dr.  Margaret  E.  Burgess,  Philadelphia,  won  praise  by 
her  capable  management  of  the  Bureau  of  Clinical  Medicine, 
although  she  took  hold  of  the  work  at  the  eleventh  hour, 
owing  to  the  disability  of  the  appointed  chairman,  she  had 
at  least  as  good  a  Bureau  as  usual. 

Dr.  J.  C.  HoUoway  read  an  aggressive— almost  pugna- 
cious— paper  on  Homeopathy.  His  fine  appearance  and 
thunderous  voice  made  a  strong  impression.  The  committee 
on  publicity  could  not  do  better  than  to  chop  up  his  paper 
in  appropriate  sections  and  use  it  in  their  coming  campaign. 

The  Chicago  Beach  Hotel,  with  its  fine  scenic  surround- 
ings, commodious  rooms  and  quiet  neighborhood,  made  one 
of  the  most  agreeable  meeting  places  the  society   ever  had. 

Bisk. 


'1 


DR.  OSLER  vs.  OSLERISM.  ,^ 

We  beg  to  felicitate  Dr.  Osier  upon  having  attained  his  Jj 

sixtieth  birthday.     May  nothing  vital   happen   him;   but  on  -^ 


580 


THE  MEDICAL  ADVANCE. 


the  contraiy  at  least  two  full  score  years  of  continued  and 
oon^3picuous  usefulness.  He  has  now  joined  a  most  goodly 
brotherhood  which  has  in  the  past  included  such  men  as 
Cato,  who  at  eighty  studied  Greek;  Plutarch,  Latin,  and 
Socrates,  music;  the  sage  Arnauld,  who  translated  **Jose- 
phus;"  Gladstone,  who  at  four  score  overthrew  the  Conserv- 
aWvG  government;  Goethe,  who  at  that  age  completed 
'*Paust;''  Hahnemann,  who  married  and  continued  his  work 
for  a  decade;  Siuionides,  who  won  a  national  prize  in  poetry; 
Ranke  then  began  and  completed  his  "History  of  the 
Worlds*  Buffoo  finished  his  forty- four  volumes  of  National 
History;  Palmerston  was  England's  Premier;  John  Quincy 
Adams  still  took  part  in  our  country's  legislative  proceed 
ings;  Bancroft  published  his  "History;"  Voltaire  wrote 
"Irene,"  and  Landor  his  "Imaginary  Conversations;"  New- 
ton and  Spencer  carried  on  their  epochal  investigations; 
Von  Moltke  generalized  the  Prussian  army;  John  Wesley 
continued  to  preach,  and  Michael  Angelo  and  Titian  to 
paint;  Isaac  Wulton  Jished  and  wrote;  Comaro  set  the  exam- 
ple for  Horace  Fletcher  and  Chevreul  demonstrated  his 
colors^^all,  rectutly  recorded  Dr.  Borland,  at  the  age  of 
eighty. 


In  case  of  suspected  fracture  of  the  skull,  percussion- 
ausculation  will  be  found  a  valuable  procedure  where  all 
other  signs  and  symptoms  have  been  negative.  The  proced- 
ure is  the  folio  wing:  The  forehead  is  repeatedly  tapped 
sharply  in  the  median  line  with  the  middle  finger,  the.stetho* 
seope  being  moved  from  one  point  to  another  from  before 
backward.  If  u  fracture  be  present,  a  cracked-pot  sound  is 
elicited  just  beyond  it.  The  corresponding  part  of  the  head 
on  the  otfier  ^ide  should  be  auscultated  to  eliminate  possible 
error.     Affu-nfun  Journal  of  Surgery. 


The  Medical  Advance 


V0L.XLVI.         BA.TAVIA,  ILL.,  SEPTEMBER,  1908.         No.  9. 


THE  COAGULATION  OF  THE    BLOOD.* 

By  M.  R.  Leverson,  M.  D.,  M.  A.,  Ph.  D. 

I  may  safely  assume  that  every  member  of  this  medical 
society  who  has  given  attention  to  the  subject  of  the  coa^u* 
lation  of  the  blood,  is  dissatisfied  with  the  descriptions  and 
attempted  explanations  of  that  phenomenon  as  given  in  the 
most  recent  and  authoritative  works  upon  Physiology. 

It  would  be  a  waste  of  time  to  criticise  any  of  those  at- 
tempted explanations.  Until  the  discovery  by  B^champ  Df 
the  microzymas  and  of  their  functions  there  existed  no  sound 
basis  for  the  science  of  physiology,  and  no  attempted  expla- 
nation of  the  coagulation  of  the  blood  can  have  any  rele- 
vancy thereto  which  does  not  rest  on  those  discoveries; 
while  the  more  recent  discovery  by  that  wonderful  man  of 
the  third  anatomical  element  of  the  blood  enabled  him  to 
give  a  clear  and  perfect  exposition  of  the  phenomena  of  co* 
agulation,  which  contrast  with  those'previously  hazarded  as 
does  the  Copemican  with  the  Ptolemian  Astronomy. 

I  have  already  presented  to  this  Society  a  brief  review 
of  B^champ's  discovery  of  the  Microzymas  and  of  their 
functions  and  I  shall  start  today  with  the  knowledge  there- 
by gained  to  try  and  give  you  some  perception  of  the  sub- 
ject of  the  coagulation  of  the  blood  as  discovered  and  de- 
scribed by  that  genius,  who  died  on  the  15th  of  April  of 
this  year. 

For  convenience  of  present  application  I  will  remind 
you  that  as  demonstrated  by  B6champ,  functioning  as  ana- 
tomical  elements  in  a  living  and  healthy  organism,  the  mi- 
crozymas are  the  physiological  and  chemical  agents  of  tlie 

*Paper  read  before  the  Brooklyn  Hahnemannian  Union. 


582 


THE  MEDICAL  ADVANCE. 


transformations  which  take  place  in  the  processes  of  nutri- 
tion, but  withdrawn  from  the  living  organism,  or  in  the 
corpse,  they  are  the  agents  of  all  the  changes  which  take 
place  either  in  a  suitable  medium  or  in  the  cadaver,  and, 
whether  a  vibrionian  evolution  takes  place  or  not,  these 
changes  extend  to  the  destruction  of  the  tissues  and  cells; 
and  when  all  their  work  is  accomplished  nothing  living  re- 
mains except  the  microzymas.  It  is  the  present  received 
opinion  by  homeopaths  that  in  every  living  body — in 
every  minute  cell,  there  is  a  force  which  animates  every 
vital  function  of  that  cell.  This  theory  finds  confirmatioii 
in  tiie  discoveries  of  B^champ,  whose  microzymas  supply 
that  appropriate  animative  force  to  every  cell. 

The  processes  by  which  B^champ  discovered  the  modus 
agendi  of  the  coagulation  of  the  blood  maybe  thus  summarized: 

On  sheddmg  blood  from  its  vessels  into  pure  alcoboU 
diluted  with  distilled  water  about  1-3  strength,  also  on  mix- 
ing defibrinated  blood  in  the  like,  a  precipitate  was- ob- 
tained in  each  case,  but  much  more  abundant  from  the  en- 
tire blood  than  from  the  defibrinated. 

On  washing  the  pricipitates  with  alcohol  until  they 
were  perfectly  white  and  examining  them  under  the  micro- 
scope they  were  seen  to  be  composed  of  immense  numbers 
of  very  delicate  molecular  granulations,  mixed  with  re- 
mains of  cells  which  were  more  abundant  m  the  deposit  ob- 
tained from  the  defibrinated  blood.  The  difference  in 
weight  between  that  of  the  deposit  of  molecular  granula- 
tions furnished  by  the  entire  blood  and  that  furnished  by  the 
defibrinated  blood,  nearly  represents  the  molecular  granula- 
tions which  would  have  been  furnished  by  the  blood  without 
its  globules. 

Both  precipitates  liquified  starch  and  disengaged  oxygen 
from  oxygenated  water  (but  in  different  quantities)  and 
thus  are  seen  to  possess  the  properties  of  fibrin  as  it  actual- 
ly exists  in  the  blood. 

It  would  be  too  great  an  imposition  upon  yojir  patience 
to  detail  the  experiments  by  which  B^champ  solved  this 
question  and  discovered  the  existence  of  a  hitherto  unsus- 


^^'^''W 

■'^M 


THE  COAGULATION  OF  THE  BLOOD. 


58$ 


peetedtbipd  analiflBioal  dement  of  tii^faiood  00^^  ^W 
wsbsAa  g;lobuIfiy .  th^  cHubq^hi  *  nirevOTf  dfed  Boik^  iimnal  TJitw 
of  a  m  m,  oonupmnkof  aa  ftlbmiiiisnd  alOKnphere  suttuuud- 
ing  miciDMymaa  »»  a  mxcdetts  (z) 

He  gave  the  name  of  HaematiomicrozyHiian-molecular* 
granalations  to  this  anatomical  element  and  found  that  the- 
weight  of  the  microzymian-molecular-granulations  obtained- 
from  a  given  volume  of  blood,  less  the  weight  of  the  mole* 
cular  granulations  obtained  from  the  like  volume  of  defibri- 
nated  blood,  is  almost  the  same  with  the  weight  of  the  fi- 
brin obtained  from  the  same  volume  of  blood  by  whipping; 
thus  it  is  evident  that  ordinary  fibrin  is  nothing  else  than  a 
quantity  of  these  microzymian  granulations  soldered  to-' 
gether  by  means  of  the  albuminoid  atmospere,  which  as  B6- 
champ  demonstrated  undergoes  an  allotropic  modification  on 
issuing  from  the  vessels  and  on  being  liberated  this  organi- 
zation  is  destroyed  and  the  microzymas  become  visible. 

This  anatomical  constitution  of  the  haematic  microzy* 
maian  granulations  and  the  properties  of  their  albnminoid 
envelope  explain  mechanically  the  phenomena  of  spontane-^ 
0U8  coagulation  and  the  production  of  the  fibrin  by  whipping. 
It  also  shows  that  the  conception  of  Henson,  Milne  Eidwards 
and  of  J.  B.  Dumas,  was  correct  who  suggested  that  the  fi- 
brin exists  in  a  condition  of  fine  granulations  in  the  blood. 

B6champ  demonstrated  the  real  structure  of  the  red 
globule  to  consist  also  of  a  cell-wall  (as  container)  and  of  a 
content,  and  that  it  was  a  cell  having  microzymas  for  lis 
anatomical  elements.  The  serum  furnishes  the  conditions 
of  existence  of  the  anatomical  elements  of  the  blood,  the 
globules  and  granulations,  enabling  them  to  conserve  a 
constant  composition,  their  physical  existence,  the  homo- 
genity  of  their  integument  and  that  of  their  contents. 

The  microzymas  had  been  seen  but  not  understood  be- 
fore B^champ's  discoveries,  they  were  called  vibrating  cor- 
puscles and  early  in  his  researches  he  announced  that  they 

(z)  An  aoaloffOtts  albuminoid  atmosphere  enveloping  the  microzj-. 
mas  of  the  Pancreas  had  alreadyp3een  demonstrated  by  Prof.  B^champ  and 
Estor..  Trans,  of  the  Acad,  of  Med.  of  Paris,  Vol.  LXIX,  p.  713. 


5di 


THE  MEDICAL  ADVANCE. 


s  living.     Mr.  Pasteur  denied  this  and  classified  them 
along  with  granules  of  starch  or  organites.  (x) 

The  three  anatomical  elements  of  the  blood  then  are;  the 
ved  globules,  the  white  globules  and  the  microzymian  mole- 
c^nlar-granulations  the  existence  whereof  had  not  before 
tieeti  suspected  but  which  are  the  essential  life  of  the  blood, 
"Oml  wliich  reproduces  the  red  and  white  globules  by  a 
species  of  nutrition  analogous  to  that  which  goes  on  in 
every  living  body  by  the  aid  of  its  microzymas. 

It  18  interesting  to  remember  that  B^champ   and  Estor 

demonstrated  that  in  the  process  of  development  of  the  being 

from  the  egg,   the  anatomical  elements,  the  tissue  of  the 

vesaeLs  and  the  anatomical  elements  of  the  blood   contained 

in  them,  are  born  similtaneously  of  the  microzymas  of  the 

vitelluR    operating    in    the    unorganized  intermicrozymian 

medium  of  the  vitellus.     Hence  the  serum  of  the  embryonic 

blood  comes  into  being  at  the  same  time  as  the  globules  and 

'^e  granulations  which  obtain  the  necessary  nutriment  from 

tee  unorganized   part  of   the  vitellus.     In  short  container 

and  contents  are  born  together,   and  together  become  each 

^vfaat  it  should  become,    and   it  is  important  to  note  that 

tbere  is  a  difference  in  the  blood  not  only   between  arterial 

and  venous  blood  in  the  gross,  but  far  more  intimately,  as 

for  in^ance,  while  the  blood  of  the  portal  vein  yields  fibrin 

l>j  whipping,  that  of  the  subhepatic  vein  does  not  do  so. 

The  anatomical  elements  of  the  blood,  in  whatever  part 

im)    The  bold  untruthfulness  of  the  statements  of  DeBarry  concerning 

fioeiiAmp  aud  hi8  discoveries,  leaves  one   in   doubt  whether  to*  rei^ard 

■^hem  a^  wilful  falsehoods  or  as  consequences  of  an  incurable  ignorance. 

Pafiteur  continued  an  advocate  of  the  doctrine   of  spontaneous  genera- 

tiofii  until  after  the  contrary  was  demonstrated   by  Bechamp  in  1867. 

H«  tbca  ^ittempted  to  plagiarise  Bechamp's  work.    To  allege  that  Be- 

doMiips   doctrine  of  microzymas  is  a  theory    '*in  the  direction   of*' 

ffpontnoeous  generation  as  is  done  by  De  barry  on  p.  47  of  his  work  on 

Bacteria  ia  an  absolute  inversion  of  the  truth. 

it  U  not  to  be  lost  sight  of  that  De  Barry's  professorship  and  the 
entire  fabric  of  his  reputation  rest  upon  spurious  (Jenner  was  fond  ot 
thmIL  word)  knowledge  derived  from  Pasteur's  grotesquely  distorted 
Bfa^larisms  of  Beohamp^s  labors.  For  proof  of  the  latter  see  "Les 
^Aod^  Problemes  Medicaux"  Journal  de  Medecine,  Paris,  Octobre- 
Nov^mbre,  1904. 


THE  COAGULATION  OP  THE  BLOOD. 


585 


"*1 


Ihoy  happen  to  be,  exist  there  only  because  the  conditions 
of  their  existence  are  realized  only  while  it  is  flowing  in 
the  vessel;  the  serum  acts  as  an  intercellular  and  intergran- 
ular  substance  preventing  the  immediate  contact  of  the  an- 
atomical elements,  analogous  to  the  part  performed  by  the 
other  tissues  of  the  body;  and  thus  the  blood  is  seen  to  be  a 
flowing  tissue  the  integument  whereof,  the  blood  vessels, 
are  constantly  lubricated  by  the  intercellular  substance,  and 
as  well  as  the  blood  itself,  is  continually  nourished  by  the 
action  of  the  microzymas;  the  globules  and  the  molecular 
granulations  are  absolutely  insoluble  in  the  intercellular 
liquor.  This  insplubility  is  assured  at  every  point  of  the 
circuit  by  the  origin  and  composition  of  the  complex  inter- 
cellular liquor  resulting  from  the  nutritive  action  of  the  ana- 
^tomical  elements  both  of  container  and  content. 

At  the  moment  of  sheddding,  the  blood  may  be  consid- 
ered as  being  the  flowing  tissue  such  as  it  is  in  the  vessels, 
except  that  it  is  a  mixture  of  tbe  blood,  arterial  and  venous, 
of  all  the  regions  of  the  body,  thus  the  anatomical  elements 
are  rudely  placed  in  a  new  condition,  very  different  from 
their  Physiological  state.  It  will  be  shown  that  this  change 
in  the  conditions  of  existence  rapidly  determines  the  mani- 
festation of  the  phenomena  of  coagulation  and  of  other 
•changes  in  the  blood.    The  matters  to  be  explained  are: 

(1)  The  spontaneous  coagulation  of  the  blood. 

(2)  Defibrinated  blood  does  not  coagulate. 

(3)  The  blood  of  certain  animals  received  into  a  glass 
or  metal  vessel  seems  to  coagulate  uniformly  throughout  its 
entire  mass,  forming  a  single  solid  clot  of  the  shape  of  the 
vessel  it  is  in.  Gradually  this  clot  contracts,  expelling  a 
lemon-colored  serum,  which  afterwards  becomes  more  and 
more  red  and  the  clot  swims  at  last  in  the  serum  expelled 
from  the  primitive  mass. 

(4)  The  clot  is  formed  by  a  network  of  fibres  imprison- 
ing the  globules  in  its  meshes. 

The  condition  absolute  (sine  qua  non)  for  the  tissue  to 
continue  flowing  is  that  the  properties  of  the  anatomical  ele- 
nients  and  their  independence  remain  unaltered— their  rela- 


M 

m 

;J1 


%:i.  .^  _  / 


586 


THE  MRDICAL  ABYAMCS. 


tions  with  the  intercellDlar  liquor  must  remain  undukofed' 
not  only  in  the  vessels  but  after  the  shedding. 

The  distribution  of  the  globules  and  how  they  pass  one 
by  one  into  the  Capillaries  are  known;  the  distribution  of 
the  microzymian-molecular  granulations  is  such  that  if  the 
globules  disappear  the  former  occupy  the  entire  space  they 
filled,  that  is  to  say,  they  exist  in  such  a  manner  in  the 
blood  that  the  globules  move  in  it  and  among  them,  unceas- 
ingly displacing  them,  but  they  immediately  re-occupy  the 
abandoned  space.  Or  as  Dumas  said,  the  fibrin  exists  in 
the  blood  in  a  flowing  state,  only  this  flowing  state  is  mole-^ 
cular,  and  for  each  molecular  granulation  there  is  a  micro- 
zyma  for  nucleus,  to  which  it  forms  a  limited  albuminoid  at- 
mosphere  absolutely  insoluble  in  the  blood  serum. 

These  haematic- microzy mas  (along  with  the  pancreatic 
microzymas)  are  the  most  minute  objects  known,  and  B^- 
champ  calculated  that  in  their  moist  state  a  cubic  millimetre 
would  contain  15,250,000,000  of  these  microzymas. 

He  then  explained  how  the  albuminoid  atmosphere  at 
the  third  anatomical  element  becoming  swollen  by  absorb- 
ing the  intercellular  liquor  so  fluctuates,  as  each  moment  to 
fill  up  the  whole  of  the  blood-space  making  room  for  the 
globules  as  they  flow. 

The  blood  when  shed  is  a  mixture  no  longer  in  its  natH- 
ral  physiological  condition  and  it  is  necessaj*y  to  ascertain 
whether  the  conditions  necessary  for  it  to  be  regarded  as  a 
flowing  tissue  can  still  be  realised. 

In  its  new  condition  the  intercellular  liquor  which  com* 
prises  all  the  organic  and  mineral  soluble  products  of  the 
denutrition  of  the  anatomical  elements,  both  of  contaitter 
and  of  contents,  immediately  changes  its  composition,  tot 
the  Katabolic  products  being  now  nonutilizable  are  no 
longer  eliminated  and  the  utilizable  are  neither  utilized  nor 
removed;  further  the  anatomical  elements  of  the  flowing 
tissue  which  need  oxygen  to  function  properly,  are  more 
and  more  deprived  of  it  after  having  consumed  the  re- 
served oxygen  and  that  which  the  accummulated  non- 
eliminated  products  have  been  able  to  absorb,  as  the  oxygen 


THE  C30AGULATI0N    OF  THE  BLOOD.  587 

k  no  longer  renewed  by  respiration.    The  first  change  then^ 

suffered  by  the  shed-blood  is  that  which  the  intercellular  1; 

Uqnor  undergoes  in  its  composition.  n 

The  microzymian  molecular  granulations  are  immediate-  ^ 

ly  affected  by  this  change  of  medium  and  of  conditions  of  > 

existence,  and,   as  shown  by  B6champ*s  experiments  de-  4 

scribed  by  him  in  ''Le  Sang  et  son  troisieme  element  anat-  '^^' 

omique"  p.  132  in  a  few  seconds  the  albuminoid  atmosphere  h 

which  had  been  soluble  in  a  very  dilute  hydrochloric  acid  i 

becomes  insoluble,  i  e.,  a  sort  of  coagulation  takes  place  in  it.  |. 

The  mechanism  of  the  formation  of  the  clot  is  as  fol-  .f 

lows:    The  microzymian  molecular  granulations  fill  the  en-  -V 

tire  space  occupied  by  the  flowing  tissue  except  that  filled  ;^j 

by  the  globules  and  the  intercellular  and    intergranular  ' 

liquor.    Being  ever  so  slightly  superior  in  density  to  the  in- 
tergranular liquor  they  are  brought  together;  their  albumi-  !' 
noid  atmosphere  being  soft  and  mucuous,  intermingle,  while 
at  the  same  time  their  substance  undergoes  the  coagulation                      ;; 
above  mentioned .  { 

These  changes  take  place  so  suddenly  that  the  globules 
though  of  a  greater  density  have  not  time  to  be  deposited  : 

but  are  caught  in  the  meshes  of  the  network  formed  by  the 
sudden  soldering  of  the  albuminoid  atmospheres  which  form 
the  fibrin  into  fibres  and  membranes. 

This  explains  the  fact  that  after  a  few  minutes  the  ves- 
sel containing  the  dot  can  be  reversed  and  not  a  trace  of 
liquor  will  escape. 

M.  B6champ  then  shows  that  the  theory  which  sup* 
poses  the  existence  of  plasma  cannot  be  true  and  demon- 
strates that  the  facts  of  the  coagulation  of  the  blood  of  the 
horse  are  inconsistent  with  it  while  entirely  explained  by 
the  microzymian  theory.  ^ 

The  formation  of  fibrin  by  whipping  is  also  explained 
by  it.  It  is  the  result  of  a  two-fold  action.  The  one  me- 
chanical the  other  chemical.  By  the  mechanical  action  the 
layer  of  intercellular  liquor  which  separates  the  molecular 
granulations  is  broken  and  the  forcibly  separated  granula- 
tions become  agglutinated  by  reason  of  their  mucuous  al- 


588 


THE  MEDICAL   ADVANCE. 


bumiaoid  atmospheres,  at  the  same  time  the  changes  in  the 
conditions  of  existence  cause  the  allotropic  transformation 
of  the  albuminoid  substance  which  coagulates  as  before 
seen,  retracts  at  the  same  time,  always  enveloping  the  mi- 
<;rozymas  which  before  diflEused  through  the  entire  volume 
of  the  blood  are  now  reduced  to  the  relatively  small  volume 
occupied  by  the  fibrin  produced  by  whipping.  And  from 
the  small  volume  of  the  latter  one  can  estimate  the  very 
great  volume  of  the  albuminoid  envelopes. 

This  physiological  theory  of  the  spontaneous  coagula- 
tion of  the  blood  was  given  by  B^champ  to  the  French  Asso- 
ciation for  the  advancement  of  Science  at  its  meeting  at 
Bordeaux  in  1895.    New  experiments  have  confirmed  it. 

Finally  in  1899  the  master  thus  sums  up  the  funda- 
mental facts,  the  discovery  whereof  have  led  to  that  of  the 
real  anatomical  and  chemical  constitution  of  the  blood  and  to 
the  explanation  of  its  spontaneous  changes.* 

(1)  Ordinary  air  near  the  earth  contains  living  micro- 
scopical objects  and  these  objects  are  essentially  the  micro- 
zymas. 

(2)  Proximate  principles  and  any  mixture  of  such  prin- 
ciples are  unalterable  in  the  presence  of  water,  of  a  limited 
volume  of  air  at  ordinary  temperature,  permitting  nothing  of 
an  organized  nature  to  appear  when  there  has  been  pre- 
viously added  a  littlccreosote. 

(3)  Natural  organic  matters,  vegetable  or  animal,  tis- 
sues and  humors,  in  like  experimental  conditions  always 
change  of  themselves,  by  a  phenomenon  of  fermentatioui 
and  at  the  same  time  the  microzymas  give  birth  to  vibrio- 
niens  by  evolution. 

(4)  The  fibrin  of  the  blood  is  not  a  proximate  principle; 
it  is  a  false  membrane  containing  microzymas  whereof  the 
intermicrozymian  gangue  is  a  specialized  albuminoid  sub- 
stance ; 

(5)  It  is  owing  to  its  microzymas  that  fibrin  decom- 
poses oxygenated  water,  that  it  liquifies  starch  and  that  it 


n^oc.  oit.:  pp.  228-232. 


U/'^? 


in 


THE  COAGULATION  OF  THE  BLOOD. 


58» 


can  be  dissolved,  in  undergoing  chemical  change,  in  very 
dilute  hydrochloric  acid; 

(6)  The  microzymas  of  fibrinin  liquified  starch  undergo 
vibrionian  evolution  in  spite  of  creosote; 

(7)  Fibrin  liquifies  spontaneously  in  carbolized  water 
without  the  microzymas  undergoing  vibrionian  evolution; 

(8)  The  fibrinous  mycrozymas  are  special;  they  can 
produce  lactic  and  butyric  fermentation  in  liquified  starch; 

(9)  Natural  albuminoid  matters  are  mixtures,  reducible 
by  direct  analysis  into  exactly  defined  proximate  principles; 

(10)  The  albuminoid  matters  reduced  to  proximate 
principles  are  very  complex  molecules  composed  of  less 
complex  ones;  Acids  and  their  derivatives  of  the  fatty  and 
aromatic  series;  there  are  several  of  the  less  complex  mole- 
cules constituting  an  albuminoid  molecule  quarternary,  like 
urea;  quinary  like  taurine,  which  is  sulphuretted  like  hema- 
tosine,  which  is  ferrous;  Caseine  besides  the  sulphuretted 
molecule  contains  a  phosphoretted  one;  it  thus  contains 
six  elements; 

(11)  There  are  several  fibrins  constituted  as  are  those 
of  the  blood; 

(12)  There  are  a  great  number  of  different  specific  al- 
bumens which  coagulation  does  not  differentiate; 

(13)  The  zymases  are  special  albuminoid  matters  equally 
definable  as  proximate  principles;  they  are  always  a  func- 
tional product  of  the  microzymas; 

(14)  The  citrin  of  the  blood  besides  its  proper  albumen 
contains  a  haemozymas; 

(15)  The  haemoglobin  of  the  red  corpuscle  reduced  to  a 
definite  proximate  principle  decomposes  oxygenated  water 
by  its  slightly  complex  ferrous  molecule,  haematosine, 
and  becomes  discolored; 

(16)  The  red  corpuscle  of  the  blood  is  a  true  cell,  hav- 
ing its  cell-wall  and  its  proper  content.  This  content  is 
constituted  especially  by  haemaglobin  and  microzymian- 
molecular  granulations,  the  microzymas  whereof  decompose 
oxygenated  water  as  do  those  of  the  fibrin. 

(17)  The  blood  contains  a  third  anatomical  element, 


'V?^ 


\M 


t*f-*i 


^90 


THE  MEDICAL  ADVANCE. 


the  haematic-microzymian-inolecular-gTanulatioiis.  It  is  the 
albuminoid  atmosphere  of  these  granulations  which  form 
by  allotropic  transformation  the  intermicrozymian  gangne 
of  the  false  membrane  called  fibrin; 

(18)  The  flowing  tissue  is  a  content,  whereof  the  ves- 
sels, arteries,  veins  and  their  appendages  form  the  con- 
tainer; 

(19)  The  three  orders  of  anatomical  elements  of  the 
flowing  tissue  have  their  conditions  of  existence  united  only 
in  their  container  during  life; 

(20)  After  issuing  from  the  vessels  these  conditions  of 
existence  being  no  longer  fulfilled  degeneration  of  the  flow- 
ing tissue  commences; 

(21)  The  microzymas  of  the  different  parts  of  the  circu- 
latory system  possess  alike  the  property  of  decomposing 
oxygenated  water,  as  do  also  the  microzymas  of  almonds 
and  of  other  parts  of  vegetables,  and  beer-yeast.  But  there 
are  animal  tissues  whose  microzymas  do  not  disengage 
the  oxygen  of  oxygenated  water; 

(22)  The  microzymas,  anatomical  elements,  are  living 
BEINGS  of  a  special  order,  without  analogy; 

(23)  The  spontaneous  changes  of  natural  animal  mat- 
ters, whether  the  microzymas  have  or  have  not  undergone 
vibrionian  evolution,  thanks  to  free  access  of  air,  lead  always 

•  in  certain  conditions  to  the  complete  destruction  by  oxyda- 
tion  of  the  products  of  those  changes,  that  is  to  say  reduces 
them  to  the  mineral  condition;  carbonic  acid,  water,  nitro- 
gen. But  the  microzymas,  under  whose  influence  the  oxyda- 
tion  is  effected,  are  not  attacked;  consequently  all  that  which 
is  purely  proximate  principle  in  a  tissue,  in  a  cell  and  in  the 
bacterium  having  undergone  total  destruction,  the  microzy- 
mas remain,  as  witnesses  of  the  vanished  organization. 

(24)  The  geological  microzymas  of  certain  calcareous 
rocks  and  of  the  chalk,  those  of  the  dust  of  the  streets  and  of 
the  air  are  also  witnesses  of  the  microzymas  which  func- 
tioned as  anatomical  elements  in  the  tissues  of  organisms 
of  geological  epochs  as  they  function  in  those  of  the  present 
time; 


HOW  DO  HOMEOPATH tC  RBDEDIES  ACT? 


591 


(25)  Those  which  in  the  air  have  been  called  germs  of 
the  air  are  essentially  the  microzymas  of  the  total  destruc- 
tion of  a  living  organism; 

(26)  Normal  air  contains  neither  preexisting  germs 
nor  the  things  which  have  been  improperly  termed  microbes, 
ascending  from  age  to  age  to  parents  resembling  them; 

(27)  The  air  contains  normally  no  pathogenic  microzy- 
mas. The  charbon  bacteridia  of  Devaine  is  the  product  of 
the  evolution  of  diseased  microzymas,  either  of  haematic- 
microzymian-molecular-granulations  or  those  of  the  blood; 

(28)  There  is  no  living  matter  which  is  not  morphologi- 
cally limited  (or  defined.)  That  which  has  been  called 
protoplasma  in  the  cell  always  contains  microzymas  as 
anatomical  elements. 


HOW  DO  HOMEOPATHIC  REMEDIES  ACT  TO  PRODUCE 
THEIR  EFFECT,  A  CURE,  A  THEORY,* 

Some  years  ago  I  read  in  a  scientific  journal  an  article 
written  by  Monsier  Marcel  Labbe,  France,  wherein  he  an- 
nounces that  the  white  blood  corpuscles,  the  leucocytes,  not 
only  absorb  foreign  bodies,  destroy  all  worn  out  cells,  ab- 
sorb liquid  TX)isons,  and  carry  food  substances  to  the  tissues, 
but  also  fulfil  the  very  important  function  of  distributing 
medicinal  drugs  to  all  parts  of  the  body,  carrying  them  in 
particular  to  the  very  spot,  where  they  will  do  the  most 
good. 

A  writer,  commenting  on  this  in  a  subsequent  number 
of  the  same  journal,  says  that:  ''Various  experiments  have 
proved  this  to  be  true.  A  rabbit,  under  whose  skin  is  in- 
jected a  little  Strychnine  or  Atropine,  has,  after  a  half  hour 
some  blood  drawn  off.  This  is  divided  by  centrifugal  treat- 
ment in  three  comi)onent  parts:  Leucocytes,  red  corpuscles 
and  plasma;  equal  quantities  of  each  are  injected  in  three 
animals,  and  it  is  seen  that  the  one  receiving  the  leucocytes 
is  poisoned,  while  the  others  are  not.  The  conclusion  is, 
that  it  is  the  leucocytes  in  particular,  that  absorb  the  alka- 
loid, the  other  blood  elements  receiving  very  little  of  it. 

*Read  at  the  meeting  of  the  Brooklyn  Hahnemannian  Union.  March,  190S. 


592  THE  MEDICAL  ADVANCE. 

This  experiment,  we  are  told,  may  be  repeated  at 
pleasure,  with  other  substances,  and  the  result  is  ever  the 
same. 

But  the  leucocytes  are  not  content  with  absorbing,  ren- 
dering soluble,  even  assimilating  certain  medicinal  toxic 
foreign  substances,  they  transfer  them  from  one  part  of  the 
body  to  another,  and  this  is  their  greatest  utility,  the  more 
so,  as  the  place,  where  they  transport  these  substances, 
varies  according  to  circumstances.  In  normal  conditions, 
that  is  in  health,  the  leucocytes  carry  the  drug  to  the  liver 
and  marrow;  in  illness  they  carry  it  to  the  affected  parts, 
the  centers  of  irritation,  where  the  arrival  of  the  leucocytes 
is  most  desirable. 

Here  is  a  remarkable  but  very  natural  and  in  no  way 
mysterious  electricity,  by  which  the  organism  profits  great- 
ly. All  we  have  to  do  is  to  discover  the  element  that  we 
should  give  to  the  leucocytes,  to  act  most  effectively.  But 
can  we  depend  on  them  to  carry  iron  to  the  blood-making 
organs,  iodoform  to  tuberculous  lesions,  salycilate  of  soda  to 
the  affected  joints,  etc.? 

There  is  another  fact  that  must  be  taken  into  account. 
The  leucocytes,  it  is  true,  carry  drugs  to  the  affected  parts, 
but  they  carry  them  also  with  special  insistence  to  certain 
organs^  Different  organs  attract  different  drugs,  the  liver 
Iron,  the  thyroid  gland  Arsenic  and  Iodine,  while  the  skin, 
the  spleen,  the  lymphatic  ganglia  and  other  organs  seem  to 
constitute  regions  of  choice  for  several  chemical  substances. 
This  specificity  of  localization  is  well  known  in  the  case  of 
certain  drugs,  as:  Arsenic,  Iodine  and  Iron  and  we  should 
be  able  to  recognize  it  in  all  other  medicants.  This  knowl- 
edge would  doubtless  enable  us  to  control  useful  action  and 
perhaps  also  to  avoid  certain  injurious  forms  of  .action.  In 
fine,  the  role  of  the  leucocytes  in  the  transportation  of  medi- 
cine is  of  high  importance,  and  it  is  to  be  hoped  that  the 
investigation  along  this  line  may  be  followed  out  with  great 
care." 

Thus  ends  the  abstract  of  Monsieur  Labb6  and  the 
comments  thereon.    It  may  seem  very  scientific  and  con- 


HOW  DO  HOMEOPATHIC  REMEDIES  ACT? 


59S 


elusive  to  the  average  reader  because  a  modern  instru  inent: 
of  correctness  and  precision  has  been  employed  in  attaining:* 
the  result;  too  often  failing  to  see  the  chances  of  error  im 
the  manipulations  and  deductions  There  have  been  rnxny 
instances  where  such  errors  were  discovered  long  after  the 
fact,  that  a  great  scientific  discovery  had  been  made,  had 
been  heralded  over  the  world  by  means  of  scientific  periodi- 
cals not  only,  but  by  the  daily  press  as  well. 

So  it  seems  to  me  in  this  instance  chances  of  ,  error  ex- 
ist. The  writer  has  not  proved  that  the  leucocytes  did  at- 
tract the  medicinal  substance  in  the  living  organism,  the 
combination  may  have  taken  place  just  as  well  in  the 
centrifugal  machine. 

Again,  granted  that  the  leucocytes  did  attract  and  carry 
the  drug  in  the  living  organism,  he  does  not  show,  mudi^ 
less  prove,  how  this  produces  a  cure  after  reaching  the  dis- 
ease centre.  And  furthermore:  If  certain  drugs  are  found  in 
certain  organs  of  the  body,  may  this  not  be  the  case  rather^ 
because  these  organs  are  the  eliminating  organs  for  these 
drugs,  than  the  drugs  to  be  present  there  to  produce  a  cura- 
tive effect? 

But  the  homeopathic  remedy,  being  dynamic  in  its  nar 
ture,  cannot  and  does  not  act  in  the  manner  of  the  cruder 
drug  used  in  the  old  school  practice.  How  then  dbes; 
this  act? 

Many  years  ago  this  question  was  asked  me  by  ab 
patient: 

How  does  medicine,  taken  by  the  mouth,  and  into  the 
stomach,  affect  a  cure  in  case  of  a  disease  of  the  brain,  or- 
lungs;  how  does  it  reach  these  disease  centers? 

In  answer  I  gave  him  my  theory,  of  the  action  of  the^ 
homeopathic  remedy,  which  I  had  formed  years  previous 
when  speculating  and  thinking  on  this  very  subject,  k. 
theory  which  I  have  seen  no  reason  to  change  since»  hxtt 
which  many  instances  of  instantaneous  effects  of  the  single 
homeopathic  remedy,  given  dry  on  the  tongue,  have  con- 
firmed me  in  believing  correct: 

The  brain  is   the   center  of  life,   here  the    life-force 


m 


;^-''^f 


^j 


ISB4  THE  MEDICAL  ADVANCE. 

torigi  nates  and  is  constantly  developed,  similar,  perhaps,  to 
Ji^ve  a  very  crude  comparison,  as  the  electric  battery  con- 
50tantly  develops  electricity,  until  the  elements  therein  are 
tworn  out 

JTbehraim  elements  being  constantly  renewed  by  the 
^supply  of'food,  air,  light,  heat  and  all  the  pervading  force 
or  electricity  of  the  universe,    will  naturally  endure  much 
[longer  aad  remain  active,  until  these  also  are  worn  out  at 
the  time  fixed  by  the  Creator.    While  it  lasts,  the  life-force 
lis  distributed  by  means  of  the  nerves  throughout  the  body, 
.'i^ving  the  impulse  to  move,  to  act,   in  fact  to  live,  unto 
every  organ  and  part  o4  the  body  by  the   afferent  nerves. 
Again  any  disturbance,  occuring  in  any  of  these  organs,  or 
In  any  part  of  the  body,  is  conveyed  to  the  brain  by  the  af- 
ferent nerves  and  the  brain  is  affected  thereby   in   either  a 
benign  or  injurious  manner,  according  to  the  nature  of  the 
-Impulse. 

The  homeopathic  remedy,  administered  dry  on  the 
^tangue  or  dissolved  in  water,  coming  in  contact  with  the 
numerous  afferent  nerves  of  the  tongue  and  mouth,  affects 
these  in  a  dynamic  manner,and  these  convey  this  dynamic  ef- 
fect to  that  part  of  the  brain  which  is  disturbed  by  the  dis- 
^ease  process. 

If  the  remedy  is  the  similimum,  it  must  affect  this  in  a 
^(benign  and  curative  manner,  and  converting  dishai'mony  into 
.harmonious^  healthy  activity,  produces  a  cure,  restores 
.health. 

If  the  foregoing  theory  is  correct,  as  I  believe  it  is,  then 
'^we  must  instruct  our  patients  to  allow  the  homeopathic 
Temedy^  in  the  form  of  ix)wders  or  pellets,  to  dissolve 
slowly  on  the  tongue  and  not  try  to  swallow  them  or  drink 
*.or^at  anything,  soon  after  taking  these,  in  order  to  have 
dihem  receive  the  greatest  amount  of  benefit  from  the 
xemedy. 

[It  would  be  very  satisfactory  if  we  knew  just  how  the 
'  curative  remedy  reached  the  deranged  organ   and  restored 
vits  normal  functions.     But  as  we  may  never  be   able   to  ex- 
plain it,  for  the  mysteries  of  the  vital  dynamis   are  beyond 
explanation;  yet  if  we  * 'stick  to  our  text,"  adhere  to  our  law 
jwe  will  reach  the  goal,  the  cure  of  the  sick. — Ed.] 


HOMEOPATHY. 


595 


HOMEOPATHY!     ITS  PRINCIPLES  AND   PRACTICE! 

By  Prank  A.  Gustafs©n,  M.  D. 

Professor  Philosophy  of  Homeopathy  and  Materia  Medica,  College  of 
Physicians  and  Surgeons,  Denver. 

The  basis  of  all  efficiency  in  science  is  fact — experience 
with  known  facts  and  knowledge  of  sensible  phenomena 
pertaining  to  their  sphere  of  action.  Truth  is  truth  only 
when  experience  confirms  it  to  be  true.  Opinions  are  of 
value  only  as  the  lead  to  knowledge  and  confirmation  of  true 
principles. 

Medicine  is  an  art  and  a  science.  It  is  the  pure  science 
of  experience  with  the  facts  of  disease,  its  cause  and  cure, 
and  its  relation  to  remedial  agencies.  It  is  the  art  of  apply- 
ing these  things  one  to  the  other  from  positive  knowledge 
and  experience  with  them.  To  successfully  grasp  its  prin- 
ciples and  application  the  student  has  need  to  continually 
shun  indolence,  obstinacy  and  love  of  ease,  and  possess  free- 
dom from  all  prejudice,  acute  observation,  good  judgment 
and  untiring  zeal.  For  it  is  as  true  of  medicine  as  of  religion 
that  to  **him  that  hath  shall  be  given,"  and  that  "the  truth 
shall  make  you  free." 

The  essentials  of  medicine  are  threefold — knowledge  of 
disease,  knowledge  of  the  effects  of  medicines,  knowledge  of 
how  medicines  are  to  be  employed.  It  in\^olves  knowledge 
of  the  human  body  and  its  normal  structure  and  function; 
knowledge  of  disease  causes  and  their  results  and  effects; 
ability  to  recognize  what  is  cause  and  what  is  effect,  and 
to  separate  them;  ability  to  recognize  what  is  curable  in 
disease  and  what  has  progressed  beyond  cure.  Further,  it 
involves  knowledge  of  remedial  agents;  knowledge  of  how 
their  activity  in  the  human  organism  is  ascertained  and 
recognized,  tabulation  and  comprehension  of  such  facts  for 
use  according  to  positive  and  well  defined  principles. 

These  principles  are  the  results  of  experience  with 
known  facts.  In  medicine,  facts  are  to  be  applied  and  re- 
sults noted,  the  outcome  is  knowledge  for  application  and 
use.  But  here  note  again  the  need  for  freedom  from  preju- 
dice, freedom  from  obstinacy,  acute  observation  and  sound 


596  THE  MEDICAL   ADVANCE.  , 

judgment.  All  progress  in  medicine  has  been  due  to  tbis^ 
observation  and  confirmation  of  facts,  all  retrogression  and 
failure  to  the  substitution  to  human  sophisty  and  speculation 
concerning  apparent  facts  for  real  facts  and  erronious  con- 
clusions and  applications  therefrom. 

The  philosophy  of  Homeopathic  medicine  as  given  by 
Hahnemann  may  be  summed  up  in  the  following  eighteen 
propositions: 

1.  Man  is  more  than  a  body  with  parts  and  functions- 
He  is  a  being  who  lives. 

2.  Sickness  and  disease  in  the  body  of  the  man  is  the 
result  of  disorder  in  the  man  himself  and  not  in  his  body 
alone. 

3.  Health  is  restored,  when  lost,  through  a  restoration 
of  the  man  himself  in  his  internal  physical  nature  and  a 
resultant  restoration  of  his  outward  parts  and  functions  to 
correspond  with  them. 

4.  Disorders  in  the  internal  vital  organism  manifest 
themselves  in  outward  parts  as  symptoms. 

5.  Hence,  symptoms  are  to  the  physician  the  picture  of 
the  disease  and  of  the  disease  in  its  full  extent. 

6.  Each  individual  presents  symptoms  varying  from 
those  of  others  affected  by  similar  morbific  causes  according 
as  he  himself  differs  from  others,  except  as  to  general  symp- 
toms that  may  be  common  to  all. 

7.  Therefore,  each  sick  man  and  each  individual  sick- 
ness requires  an  individualizing  of  each  subject  and  person 
in  order  to  determine  how  and  in  what  degree  the  economy 
is  being  influenced  by  morbific  causes,  in  order  to  ascertain 
and  determine  what  is  required  to  restore  order  in  its  fullest 
extent. 

8.  That  when  symptoms  disappear  as  a  result  of  medi- 
cinal action  from  within  outward,  and  from  more  vital  ta 
less  vital  parts,  the  cure  is  being  effected. 

9.  That  when  it  is  otherwise  it  is  not  cure,  but  a 
changing  and  suppression  of  the  symptoms  and  a  consequent 
additional  disturbance  of  the  vital  organism — an  aggravation 
of  the  malady. 


HOMEOPATHY.  597 

10.  That  medicines  possess  power  to  cure  because  they 
liave  power  to  alter  states  of  health  and  produce  symptoms 
peculiar  to  themselves..  These  peculiar  symptoms,  marking 
the  individual,  characteristic  sphere  of  medicinal  activity  in 
disease,  constitute  the  only  reliable  phenomena  by  means  of 
which  medicines  are  to  be  employed  in  the  healing  of  the 
sick, 

11.  That  disease  states  in  the  body  are  overcome  by 
medicines  only  as  they  (medicines)  excite  artificial  morbid 
states  similar  to  those  of  the  disease,  as  manifested  in  the 
symptoms  of  the  man  himself  as  a  whole  and  in  all  his 
parts. 

12.  No  medicine  is  or  can  be  held  curative  unless  its 
known  symptomatology  corresponds,  or  very  nearly  so,  with 
the  morbid  symptomatology  as  presented  in  the  patient,  and 
when  so  selected  medicines  cure  without  exception  those 
symptoms  resembling  them  and  leave  none  of  them  uncured. 

13.  And  this  for  the  reason  that  the  weaker  dynamic 
affection  is  overcome  by  the  stronger  dynamic  affection  and 
by  means  of  it  is  extinguished  even  to  its  cause. 

14.  And,  again,  because  the  dynamic  action  of  the  drug 
engrafts  a  stronger  similar  disorder  upon  the  vital  organism 
causing  it  to  react,  arousing  it  to  such  an  extent  that  it  is 
successful  in  throwing  off  the  whole  disorder,  both  original 
and  as  the  result  of  the  drug. 

15.  At  no  time  is  it  consistent  or  permissable  to  intro- 
duce more  than  one  remedial  agent  into  the  economy  at  any 
one  time. 

16.  This  single  singular  remedy,  selected  because  of  its 
similarity  to  morbid  symptoms,  is  not  to  be  introduced  save 
in  the  mimimum  dose  required  to  produce  its  effect— this  to 
be  determined  by  means  of  experiment  and  experience. 

17.  When  vital  reaction  is  established  thereby,  no 
further  remedial  agent  is  to  be  introduced  so  long  as  this 
reaction  continues — this  to  be  established  by  the  character 
of  the  symptoms  produced  or  modified  by  the  remedy. 

18  That  the  curative  activity  of  medicines  is  not  made 
known  when   medicines  are  given  to   those  under  the  in- 


598  THE  MEDICAL   ADVANCE. 

fiuence  of  disease,  but  only  when  proven  upon  persons  who> 
are  in  states  of  health. 

The  object  of  your  attendance  here  and  the  object  of 
these  lectures  is  that  you  may  know  these  principles  and  be 
able  to  use  them  wisely  and  intelligently.  For  they  consti- 
tute the  only  reliable  principles  of  the  art  and  science  of  the 
practice  you  have  espoused.  These  principles  hav^  stood 
the  test  of  time.  They  have  been  confirmed  in  practice. 
They  have  and  still  continue  to  be  capable  of  demonstration 
to  all  observers  possessing  intelligent  observation  free  from 
prejudice.  They  constitute  a  science  of  medicine  that  knows 
no  failure  save  in  the  incapacity  of  him  who  fails  to  grasp 
their  import  and  devotedly  apply  himself  to  their  applica- 
tion. 

Contrast  these  principles  with  those  of  dominant  prac- 
tice and  at  once  it  is  apparent  that  Hahnemann's  claim  for 
them  is  justified.  In  the  dominant  practice  there  is  no 
recognition  of  disease  causes  other  than  a  confounding  and 
confusion  of  disease  results  with  disease  causes.  Attempts- 
to  restore  order  are  made  by  the  removal  of  single  symp- 
toms or  by  suppression  of  external  symptoms  or  effects  of 
disease.  The  result  is  that  many  acute  diseases  become 
chronic  through  suppression  and  curable  disorders  by  this 
means  become  incurable.  No  attempt  is  made  at  individual- 
zation  of  the  case  or  prescription*  Groups  of  symptoms 
common  to  all  and  given  disease  names  are  regarded  as  the 
basis  for  the  prescription.  Nothing  is  recognized  of  medi- 
cinal action  save  what  is  toxic  or  pathogenic  and  remedies 
are  applied  from  assumed  knowledge  of  effects  upon  diseased 
organisms,  or  from  experiment  upon  lower  animals.  Indi- 
cations are  therefore  confused  and  the  true  action  of  medi- 
cines confounded  because  of  the  state  of  ill  health,  or  from 
the  varying  action  of  drugs  upon  humans  and  beasts.  The 
effects  produced  by  remedies  and  called  cure  is  for  the  most 
part  the  overcoming  of  the  vital  forces  by  crude  drug  action, 
is  mere  suppression,  and  continues  only  as  long  as  the  drug 
action  continues,  if  it  does  not  engraft  itself  upon  the  life  of 
the  patient  and  render  him  hopelessly   invalided.    There  is 


VERIFICATIONS  FROM  THE  KOTE  BOOK: 


599 


no  arousing  of  vital  forces  to  sustained  reactiaa  amd  oonae^ 
quent  permanent  health.     Many  remedial  ageiabs-  aore  ogodi- 
bined  m  the  one  prescription  and  nothing  of  positive  knowl- 
edge and  value  in  drug   application  can  be  idefild&d  and 
known.     Such    procedures    give    rise    to    new  eoaeKtkms. 
These  are  rarely  seen  as  the  direct  effect  of  drugsi   but.  aare- 
erroneously  classed  as  complications.    They   are  butt  drag: 
complications,  not  the   ordinary   complications  of  eUseaaes^ 
running  in  usual  course.     What  can  result  but  thatlreqneiit- 
ly  patients  are  far  worse  off  than   if  the   disease  had  beest* 
permitted  to  run  its  course  uninfluenced  by  any  medicatioiu 
Experience  clinical,  experimental  and  inteUectual '  con- 
firms Hahnemann's  deductions  and  conclusions.     His-  tULWKjr 
of  drug  dynamitization  has  proved  itself  and  confirms  itseltr 
in  practice.     His  law  of  similars  is  sane  and  demonstrable^ 
His  followers  do  heal  the  sick  and  in  a  speedy,   gentle,  per- 
manent manner.     But  those  who  would  aspire  to  success  by- 
means  of  his  methods  must  be  up  and  doing  in  the  mastery 
of  his  theories,  in  comprehension  of  his  principles,   in  thor- 
ough conversion  from  popular  medical  [fallacy ,  in  conse<a»- 
tion  to  the  cause  to  such  a  degree  as  to  favor  determinated 
effort  and  labor  almost  endless  in   acquiring  knowledge  of 
disease  and  its  means  of  curis.     They  must  possess  tbe  ooiir- 
age  of  conviction  to  administer  and  in  face  of  pubMc  audi 
professional  clamor  await  in  confidence  the  hour  of  vindicib- 
tion  and  triumph. 


CLINICAL  VERIFICATIONS  FROSl  MY  NOTEBDOK. 

By  W.  J.  Hawks,  M.  D.,  Los  Angeles,  CaL 
Case  1.  A  woman,  aged  thirty  eight.  Has  had.  catarrfii 
for  two  years.  The  nasal  passages  were  first  affected^  bn^ 
at  present  the  chief  difficulty  is  in  the  larynx,,  the  diseafiife 
having  progressed  downward.  The  patient  has  had  a».coiigiii 
as  long  as  she  can  remember.  There  is  an  evident  tendtenQr 
to  pulmonary  trouble,  she  having  had  *'lung  fev^:''^  several 
times.  She  takes  cold  easily,  and  during  each  attack:  ahe:: 
has  a  loose  cough,  with  profuse  expectoration,  streaked  wiUb 
red  or  brown.     She  now  has  nausea  after  coughing,  is  very 


«00  THE   MEDICAL  ADVANCE. 

servous,  very  sensitive  to  cold  air  touching  the  back  of  her 
BBek,  which  is  stiff;  she  is  very  nervous,  and  excitement 
tx:ings  on  the  cough;  cold  chills  run  over  her  body  and  leave 
**goose  pimples." 

The  symtoms  which  characterize  this  case  and  indicate 
the  remedy  are,  especially,  the  inducing  of  the  cough  by  ex- 
45itement  and  the  chills  which  leaves  "goose  pimples."  Gel* 
«emium  covers  all  the  prominent  symptoms.  Arsenicum  and 
Ipecac  are  both  to  be  thought  of,  the  former  on  account  of 
the  nervousness  and  the  sensitiveness  of  the  nape  of  the 
neck  to  cool  air;  and  the  latter  because  of  the  loose  cough 
with  nausea.  But  Gelsemium  is  the'  remedy  which  covers 
.all  the  symptoms  and  has  its  characteristics  prominent. 

This  remedy  was  given  April  22.  On  the  29th  the  report 
iiras:     **Better  in  every  way."    Placebo. 

May  20.  The  old  symptoms  are  all  better,  but  the 
patient  complains  of  being  weak  and  tired.    Placebo. 

When  the  patient  last  reported  the  only  complaint  was 
4of  the  feeling  of  a  lump  in  the  throat,  with  a  tickling  sensa- 
tion; worse  in  damp  weather.  All  this  was  relieved  by 
rhus. 

This  latter  condition — or  the  later  symptoms — recall  to 
lay  mind  a  very  interesting  case  of  **lump  in  the  throat"  of 
»  lady  vocalist.  The  lady,  according  to  the  best  of  judges, 
'  fp^ves  bright  promise  for  the  future  as  a  singer,  having  a 
voice  of  most  wonderful  compass,  and  is  now  in  Europe,  per- 
pecting  her  musical  training. 

Case  II.  Young  woman,  aged  twenty-two.  She  had 
been  harassed  for  five  years  and  was  discouraged  to  the  point 
aklmost  of  giving  up  her  dearest  ambition  by  the  persistent 
and  annoying  sensation  of  a  lump  in  the  throat,  which  seri- 
ously interfered  with  her  efforts  in  vocal  practice.  I  pres- 
pribed  for  her  several  times  without  the  conviction  tht»t  I 
liad  the  right  remedy  and  without  effect.  I  could  elicit  no 
other  symptoms,  as  she  said  she  was  in  perfect  health  and 
certainly  seemed  to  be. 

I  finally  drew  from  her  the  fact  that  on  observation  she 
lonnd  that  it  was  more  troublesome  in  damp  weather,  and 


VERIFICATIONS  FROM  THE  NOTE  BOOK. 


601 


that  in  **swallowing  the  lump  down"  it  often  hurt  her  between 
the  shoulders, 

Rhus  is  the  only  remedy  I  know  of  as  having  this  par- 
ticular symptom  with  all  the  others.  It  relieved  her  com- 
pletely, so  that  she  was  not  troubled  for  months;  and  when, 
after  several  months,  it  did  return  the  same  remedy 
promptly  relieved.  At  latest  accounts  there  had  been  no 
sign  of  a  return  of  the  trouble. 

Case  III.  A  man,aged  sixty-five,  has  had  incontinence  of 
urine  for  thirty  years,  being  unable  to  retain  it  either  day  or 
night.  The  affliction  has  increased  gradually  during  that 
pertod  from  a  trifling  inconvenience  to  having  become  the 
bane  of  his  life.  He  complains  of  considerable  pain  in  the 
region  of  the  bladder  if  he  **takes  cold,"  or  retains  his  urine 
long  after  first  feeling  the  desire  to  avoid  it.  His  general 
health  is  good. 

The  trouble  followed  the  suppression  of  the  *'itch"  by 
**ointment;"  his  feet  are  nearly  always  very  cold  except  at 
night,  when  they  often  burn  on  the  soles  so  that  he  puts  them 
out  of  bed  and  against  the  cold  wall  to  cool  them;  he  often 
has  weak,  faint  spells  through  the  day,  especially  an  hour 
before  the  noon  meal.  Sulphur  is  the  remedy  indicated  both 
by  the  cause  and  the  symptoms. 

This  case  also  reminds  me  of  one  almost  identical  with 
it.  The  patient  is  connected,  in  an  official  capacity,  with  one 
of  our  largest  railroads.  He  is  a  large,  well-formed,  healthy 
looking  man.  He  has  suffered  more  than  five  years  from  a 
painful  inability  to  retain  his  urine.  An  hour  was  the  long- 
est time  he  could  go  without  urinating,  and  often  not  so  long 
without  pain.  He  had  never  taken  homeopathic  medicine 
and  was  ready  to  go  east  for  treatment  when  he  consulted 
me.  I  found  sulphur  indicated  by  a  hot  vertex  headache; 
cold  and  hot  feat;  weak,  faint  spells  during  the  day;  hot 
flashes;  **gone,  empty"  feeling  about  11  a.  m.,  etc. 

The  relief  was  almost  immediate,  and  the  improvement 
has  been  steady  for  a  year  or  more,  with  an  occasional  par- 
tial relapse,  until,  at  the  present  time,  he  retains  his  urine 


602  THE  MEDICAL   ADVANCE 

without  pain  or  other  discomfort  for  three  hours  or  more  hj 
day  and  five  hours  at  night. 

Case  IV.  A  boy,  aged  thirteen,  with  eczema  capitis.  It 
appears  in  little  red  pimples,  which  exude  a  sticky  fluid, 
having  the  appearance  of  honey;  there  is  much  itching;  he 
has  headache  if  he  gets  heated  or  nervous;  is  dull  and 
**lazy,"  and  takes  cold  easily.  The  eruption  first  appeared 
behind  the  ears  and  is  now  worse  in  that  locally.  Graphites 
enabled  him  to  report  much  improvement  in  one  week. 

Case  V.  A  man,  aged  fifty-six,  has  had  '*aching  in  his 
bones  for  the  past  thirteen  months,"  worse  in  cold  and  damp 
weather;  worse  at  night,  and  water  aggravates  it;  he  has  a 
cough,  with  pain  in  the  chest;  and  aphthous  condition  of  the 
mouth,  and  is  restless  at  night.  Mercurius  caused  a  marked 
improvement  in  a  week. 

Case  VI.  A  man,  aged  fifty.  The  patient  sprained  his 
ankle,  five  weeks  ago.  He  has  been  dressing  it  with  various 
liniments  since  that  time,  but  the  joint  is  still  quite  stiff  and 
very  painful.  The  pain  is  less  when  moving  th^  limb  gently, 
and  is  worse  at  night  and  while  at  rest;  it  is  stiff  and  pain- 
ful when  beginning  to  move,  but  gradually  improves  with 
the  motion;  the  patient  cannot  sit  or  lie  still  long  without 
moving. 

The  condition  here  is  evidently  rheumatism,  with  the 
sprain  as  the  exciting  cause.  A  sprain  cannot  of  itself  pro- 
duce rheumatism.  An  individual  in  good  health,  and  with- 
out predisposition  to  rheumatism,  will  recover  from  such  an 
accident  without  medicine.  But  it  is  when  there  pre-exists 
a  constitutional  taint,  hereditary  or  acquired,  that  medica- 
tion is  necessary.  In  such  a  case  the  constitutional  disorder 
seems  to  be  attracted  to  the  weakened  spot,  and  curative 
efforts  must  there  be  aimed,  not  at  the  sprain,  per  se,  but 
at  the  constitutional  predisposition,  and  our  best  guide  is  the 
totality  of  the  symtoms.  Rhus  was  the  remedy  given,  and 
caused  a  marked  improvement  during  the  first  week.  The 
patient  did  not  report  afterward. 

Case  VII.  A  woman,  aged  fifty-six,  with  dyspepsia. 
She  has  suffered  more  or  less  for  years,  sometimes  better^ 


VERIFICATIONS  FROM  THE  NOTE-pOOK. 


&» 


at  others  worse;  she  complains  of  .much  sour  belching; 
{^petite  is  poor;  stools  are  of  indigested  food;  head  feels 
large  and  heavy  and  food  lies  like  a  stone  on  tae  stomach; 
she  is  worse  after  midnight,  and  cannot  sleep  after  3  p.  m.; 
there  is  much  throbbing  backache;  she  feels  better  while 
walking  out  of  doors,  and  she  is  very  irritable. 

At  the  end  of  two  weeks  the  patient  reported  that  she 
was  very  much  better;  and,  if  the  exciting  cause  can  be 
removed,  the  remedy  will  cure  the  chronic  result  just  as  did 
Rhus  in  a  former  case.  But  medicine  cannot  take  the  place 
of  nature,  nor  can  it  bolster  the  animal  economy  against  the 
continued  attacks  from  unphysiological  abuse.  In  this  case 
as  in  the  nmjority  of  cases  of  this  truly  American  disease 
the  exciting  causes  are  the  swallowing  of  improper  food  in  a 
hurried  manner.  Americans  live  too  fast  to  take  time  to  eat 
their  food.  They  swallow  in  ten  or  fifteen  minutes  food 
enough  to  have  kqpt  them  eating  three  quarters  of  an  hour. 
They  neither  masticate  nor  insalivate  their  food  in  the  mouth 
where  the  apparatus  and  material  have  been  furnished  by 
nature  for  that  purpose.  The  stomach  tries  to  do  both,  as 
weU  as  to  supply  its  own  peculiar  functions  and  material, 
and  is  consequently  overworked.  As  a  result  exhaustion 
foUows,  and  finally  inability  to  do  the  work  at  all;  and  indi- 
gestion, with  all  its  hypochondriac  horrors,  becomes  a  set- 
tled disease. 

The  exciting  cause  must  be  removed  in  the  first  place, 
in  this  as  in  all  cases.  The  best  way  to  accomplish  this  is  to 
prohibit  the  use  of  all  fluids  at  meals.  Then  the  patient 
wUl  be  obliged  to  masticate  in  order  to  get  lubricating 
material  enough  to  make  deglutition  possible. 

Case  Vin.  A  boy,  aged  8,  with  catarrh,  and  occlusion 
of  the  lachrymal  ducts.  In  this  case  the  tears  overran  the 
cheeks.  There  is  a  scrofulous  history  in  the  family.  As  an 
infant  he  had  a. large  head  and  slowly  closing  fontanelles; 
was  slow  in  learning  to  walk;  he  now  has  cold,  sweaty  feet; 
the  stockings  are  always  damp.  Calcarea  was  prescribed, 
especially  on  account  of  the  prominent  symptoms  and  the 
result  was  most  satisfactory. 


^.^■U 


604  THE  MEDICAL  ADVANCE. 

This  catarrhal  closure  of  the  lachrymal  ducts  I  regard 
as  one  of  the  surest  indications  for  calcarea.  Silicia  is 
nearly  as  often  indicated. 

Case  IX.  A  man,  aged  twenty-one,  with  bronchitis.  He 
has  had  a  cough  for  three  months,  and  raises  "y^Uow,  thick 
phlgem,"  especially  when  first  rising  in  the  morning.  Hehas 
a  bitter,  slimy  taste  in  the  mouth  in  the  morning;  not  much 
appetite;  dislikes  fat  especially,  and  it  disagrees  with  tim  if 
he  eats  it.  He  feels  better  out  of  doors;  coming  into  a  room 
at  all  warm  or  with  a  **close"  atmostphere  cause  faint,  dizzy 
feelings.  He  is  low  spirited;  the  tongue  is  coated  and  the 
cough  loose.    Pulsatilla  is  indicated  by  all  the  symptoms. 

In  a  week  there  was  a  considerable  dimiifution  of  the 
cough;  the  bad  taste  had  disappeared  and  the  patient  was  in 
all  respects  better. 

Wright  and  Callender  Building^. 


ON  THE  ACTION  OP  FICUS  RELIGIOSI. 

By  Aoostino  Mattoli,  M.  D.,  Rome,  Italy. 
In  the  dictionary  of  Materia  Medica  of  Dr.  J.  H.  Clarke, 
(Vol.  1,  page  779)  we  read: 

"Picus  Religiosa;  Pakur,  (India)  N.  O.  Moraceae.  Tinc- 
ture (juice  of  fresh  leaves  mixed  with  equal  parts  of  alcohol). 
Clinical,-Hemorrhages-Menorrhagia.     Metrorrhagia". 

Characteristics: — We    owe   this    remedy    to    Dr.   Sarat 
Chandra  Ghose,  of  Midnapore,  who  made  the  first  proving 
;  and  thereby  discovered  its  power  to  cause  and  cure  hemor- 

rhages of  many  kinds.  Dr.  Ghose  kindly  sent  me  a  supply 
of  the  remedy,  and  I  have  had  very  satisfactory  results  with 
the  Ix  potency  in  controlling  menorrhagia.  The  provers 
were  Dr.  Ghose  himself,  his  wife  and  a  dog.  As  the  expe- 
1  riments  are  quite  remarkable  I  will  give  them  in  detail. 

1.    The  dog,  which  was  perfectly  strong  and  healthy. 
i  received  40  drops  of  the  tincture   one  morning.     No  result 

I  followed  that  day,  and  the  dose  was  repeated  next  morning, 

and  the  animal  coihmenced  and  continued  to  vomit  blood  of 
a  bright  red  color.    It  kept  very  quiet  and  was  unwilling  to 


ON   THE  ACTION   OF  FICUS  RELIGIOSA. 


605 


move.    After  the  doses  of  five    drops  of  the  tmcture    given 
in  quick  succession,  the  vomiting  ceased. 

It  is  remarkable  that  the  same  treatment  (minute  dose 
of  the  same  remedy)  was  effectual  in  arresting  the  effects  of 
the  drug  in  other  two  provings. 

2.  Mrs.  G.  took  the  tincture  in  20  drop  doses  repeatedly 
throughout  two  days.  On  the  third  day  dysentery  and 
menorrhagia  set  in  simultaneously.  The  blood  was  bright 
red.  Other  symptoms  were?:  headache,  very  weak  and  rest- 
less, sight  dim,  burning  at  the  top  of  the  head;  the  face  be- 
came yellowish;  breathing  difficult;  she  became  sad  and  mel- 
ancholy, with  the  profuse  discharge  of  bright  red  blood; 
there  were  bearing  down  pains  in  lower  abdomen. 

3.  Dr.  G.  took  40  drops  in  one  dose.  The  result  was 
frequent  desu'e  to  pass  water,  which  gradually  became 
bloody  and  contained  much  blood.  Then  inclination  to 
30ugh,  causing  him  to  spit  blood.  Slight  headache,  giddi- 
aess  and  nausia.  Sight  dim,  very  weak  and  restless.  The 
iincture  was  taken,  three  drops  every  two  hours,  and  after 
:he  third  dose  the  symptoms  vanished.  Dr.  Ghose  relates 
iome  striking  cases  cured  with  the  remedy — dysentery — 
lematemesis — hemorrhage  of  typhoid — bleeding  piles  and 
jpistaxis. 

COMMENTS  AND  EXPERIMENTS. 

Having  had  opportunity  to  treat,  in  the  practice  of  my 
)rofession,  cases  of  hematemesis,  epistaxis  and  menorrha- 
gia, I  have  never  found  the  Picus  Religiosa  efficacious  in 
hese  cases,  whether  given  in  the  tincture,  three  drops 
jvery  dose  to  be  repeated  every  three  hours,  or  used  in  the 
hird,  sixth  dilution.  This  fact  impressed  me  so  much  the 
Qore  because  the  experiences  of  Dr.  Ghose  were  so  marvel- 
ous as  to  leave  no  doubt  whatever  of  the  efficiency  of  his 
emedy.  Then  I  decided  to  repeat  Dr.  Ghose's  experiments, 
rhich,  considered  attentively  according  to  me,  laid  them- 
elves  open  to  some  criticism.  In  fact  the  dog  took  40  drops 
f  medicine  the  first  day  without  exhibiting  a  single  symp- 
om,  while  Dr.  Ghose  after  only  40  drops  had  all  the  many 
lemorrhages  he  describes  and  that  the  dog  had  only   after 


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'606  THE  MEDICAL  ADVANCE. 

a  second  dose  of  40  drops  given  the  day  following  the  first 

And  why  was  it  that  Mrs.  Ghose  took  the  tincture  in 
doses  of  20  drops  repeatedly  for  two  days  and  only  upon  the 
third  day  had  simultaneously  dysentery,  menorrhagia,  etc.? 

How  can  it  be  possible  that  two  persons  (leaving  aside 
lihe  dog)  respond  so  differently  to  the  same  medicine?  I  do 
not  know  what  Dr.  Ghose  means  exactly  by  the  word  "re- 
peatedly," but  thinking  that  he  probably  would  wish  to  sig- 
nify at  least  four  times  in  every  24  hours,  Mrs.  G.  must 
have  taken  160  drops  of  tincture  before  exhibiting  the  symp- 
toms that  Dr.  Ghose  had  after  40  drops  taken  at  one  time, 
and  his  dog  after  80  drops  taken  in  two  doses,  24  hours 
apart.  We  do  not  know  how  much  the  dog  weighed  nor  in 
fact  the  other  two  subjected  to  the  experiment.  We  do  not 
know  what  were  the  results  of  physical,  chemical  or  micro- 
scopical examinations  of  their  urine.  We  do  not  know  after 
how  many  small  doses  of  the  tincture  Mrs.  G.  was  cured. 

And  is  this  treatment  by  little  doses  of  tincture  of  the 
same  medicine,  that  would  have  been  curative,  homeopa- 
thic? Our  school  is  founded  upon  the  law  of  the  similar 
and  not  the  equal  or  identical.  And  also  using  the  same 
medicine  in  the  same  strength  (in  our  case  tincture)  for  cer- 
tain purposes,  does  not  one  increase  the  state  of  toxicity  in 
which  the  organism  is  already  found  because  of  the  preced- 
ing more  generous  doses  of  this  identical  medicine?  At 
least  one  should  use  the  dilutions  of  that  medicine. 

Let  us  take  for  example  the  serum  anti-diphtheritic  that 
Dr.  Behring  admits  to  have  discovered  guided  by  our  law, 
and  let  us  see  how  it  is  prepared. 

A  certain  quantity  of  the  diphtheritic  toxine  is  injected 
in  a  horse,  and  after  some  days  the  serum  of  the  blood  is 
taken  from  this  animal,  and  that  contains  the  diphtheritic 
antitoxine.  Now,  considering  the  small  quantity  of  toxine 
injected,  the  great  volume  of  the  blood  of  the  hors^  and  the 
fact  that  he  absorbs  large  quantities  of  solids  and  fluids 
each  day,  we  can  understand  how  high  is  the  dilution  of  the 
toxine,  become  antitoxine,  because  of  the  reaction  of  the 
organism,  and  the  numerous  biochemic  changes  that  take 


i 


ON  THE  ACTION  OF  FICUS  RELIGIOSA. 


607 


place  in  the  organism  itself.  The  enormous  dilution  of  the 
medicine  (serum)  is  proved  by  the  fact  that  by  no  examina- 
tions, chemical  or  microscropical,  can  the  antitoxine  be  de- 
monstrated; that  it  be  similar  but  not  equal  or  identical  (the 
antitoxine  to  the  toxine)  is  demonstrated  only  by  experiment 
upon  animals.  So  we  know  how  many  immunizing  units  a 
serum  possesses  in  proportion  to  every  gram  of  weight  of 
the  animal. 

This  is  homeopathy. 

But  if  we,  instead  of  using  the  antitoxine  in  an  individ- 
ual who  had  contracted  diphtheria,  and  as  a  consequence 
already  poisoned  with  the  diphtheritic  toxine,  as  a  cure  we 
use  the  toxine  in  repeated  small  doses,  we  would  in  this 
case  increase  the  degree  of  toxicity  of  the  organism  and 
nothing  else- 

Therefore,  as  the  properties  of  the  antitoxine  are  differ- 
ent in  everything  from  the  properties  of  the  toxine,  so  the 
properties  of  the  other  medicines  diluted  and  potentialized* 
have  also  an  action,  a  strength  different  from  the  crude 
drug.  For  example,  lycopodium,  as  a  crude  drug  has  no 
therapeutic  property,  so  much  so  that  it  has  come  to  be  used 
in  the  regular  school  as  an  inert  powder  for  covering  pills; 
potentialized  it  becomes  one  of  the  very  useful  medicines  in 
our  materia  medica.  The  same  may  be  said  of  lead,  of  sili- 
ca, of  charcoal,  etc.  Now,  take  an  individual  with  saturnine 
colic;  we  would  not  give  as  a  cure  (when  the  symptoms  cor- 
respond to  plumb,  met.)  doses  of  lead  (in  the  natural  state) 
even  in  minute  and  repeated  doses,  but  we  give  the  lead 
potentialized  that  has  properties  different  in  everything 
from  the  drug  in  nature. 

A  medicine  highly  potentialized  has  no  more  small  par- 
ticles (molecules,  atoms,  ions)  of  the  medicine  itself,  but  of 
the  emanations  from  the  medicine,  in  the  inert  mediums  in 
which  it  is  prepared  (sugar  of  milk  or  alcohol),  which  have 
therapeutic  properties  and  virtues  entirely  diverse  from  the 
body  from  which  they  emanate.  So,  by  rubbing  rosin  with 
wool,  we  have  electricity. 

But  these   attenuations,   these   dilutions   or  potencies, 


I 


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1^ 

608  THE  MEDICAL  ADVANCE. 

cannot  be  demonstrated  either  by  chemistry  or  the  micro- 
scope *  ♦  *  and  what  of  that?  Do  we  for  that  reason  per- 
haps refuse  to  accept  the  anti-diptheria  serum  in  our 
therapia,  and  is  it  not  used  also  by  the  allopaths  although  it 
cannot  be  positively  demonstrated  ?  But  it  is  demonstrated 
specially.  And  this  proves  to  us  that  there  are  in  our 
organism,  probably  in  our  nervous  system,  balances  of 
chemical  reagents,  infinitely  more  sensitive  than  any  in  our 
laboratories,  that  can  respond  to  the  infinitely  small  doses 
that  today  we  cannot  see  or  weigh.  And  as  the  least  dis- 
turbance of  the  equilibrium  of  an  apparatus  so  delicate  can 
have  most  disastrous  effects  (for  example,  pulmonary  cavi- 
ties), therefore  when  we  remedy  these  balances  that  regulate 
the  health,  we  cure  the  cause  of  the  malady  and  with  this 
the  individual.  And  as  the  perturbation  that  produces  the 
malady  is  small,  the  curative  dose  must  be  small  (to  every 
action  a  reaction  equal  and  opposite).  If  the  dose  is  too 
strong,  the  medicine  produces  in  its  turn  a  disturbance  of 
those  delicate  balances  or  a  medicinal  disturbance.  This  is 
one  of  the  great  things  of  our  school,  that  we  never  harm 
our  sick.  And  this  is  already  much  if  we  consider  for  a 
moment  the  number  of  the  sick  killed  by  bleeding  in  typhoid 
and  pneumonia  and  by  other  so-called  energetic  treatments 
that  pass  and  then  become  again  the  fashion,  methods  of 
treatment  that  Bichat  himself  characterized  with  hot  words, 
saying  that  the  practice  of  medicine  was  repulsive  and  under 
some  aspects  unworthy  of  a  reasonable  man. 

To  a  given  dynamic  perturbation  there  corresponds  a 
given  drug  potentialized  and  when  one  has  the  ability  to 
choose  the  drug  that  corresponds  to  the  malady,  the  cure  is 
certain.  If  we  have  not  the  fortune  to  choose  exactly 
(corresponding  exactly  to  the  symptoms  of  the  malady)  we 
have  done  nothing,  neither  to  the  patient  nor  to  the  disease. 
We  have  for  example  a  magnet  with  two  poles,  one  negative 
and  the  other  positive;  if  we  advance  toward  the  i)Ositive 
pole,  a  substance  positively  magnetized,  it  is  repelled,  but 
one  negatively  magnetized,  is  attracted. 

My  illustrious  allopathic  colleagues  will  have  laughed 


ON  THE  ACTION  OF  FICUS  RELIGIOSA. 


609 


i^hen  I  said  above  that  from  very  small  causes  one  can  have 
disastrous  effects,  as  pulmonary  cavities,  but  to  me  it  seems 
that  in  the  assertion  made,  there  is  nothing  extraordinary. 
If  you  say:  but  tuberculosis  and  the  consequent  cavities  we 
know  well  by  what  they  are  caused;  they  are  the  effects  of 
the  bacillus  of  tuberculosis,  that  upon  contact  with  the 
mucous  membrane  of  the  small  bronchial  tubes  and  the 
alveolae,  Rive  the  forms  of  twelve  specific  bronco-alveolitis 
with  all  the  diverse  manifestations  of  pulmonary  tubercu- 
losis. This  is  true,  but  if  one  hundred  persons  inhale  the 
same  bacilli,  why  do  only  ten  for  example  develope  tuber- 
culosis ?  Because  they  have  the  predisposition  to  take  that 
malady;  in  other  words,  the  means  of  defense  of  the  organ- 
ism (fagocitosis,  etc,)  are  weakened  and,  according  to  our 
idea,  because  in  such  individuals  there  exists  dynamic  per- 
turbations such  as  to  render  them  easy  prey  to  a  tubercular 
infection.  As  a  consequence,  when  we  find  ourselves  con- 
fronting a  grave  tubercular  process,  we  must  not  consider 
only  the  effect  (pulmonary  cavities),  but  correct  the  dynamic 
perturbation  of  the  organism  that  will  render  it  able  to 
throw  off  such  infection.     Tolle  causem. 

It  is  difficult  to  explain  with  a  material  example  how  so 
small  a  perturbation,  so  small  a  dynamic  disturbance  of  the 
equilibrium,  easily  corrected  by  a  remedy  adapted,  similar 
and  potentialized,  can  cause  such  fearful  effects;  but  let  us 
take  for  example  a  machine  many  millions  of  times  simpler 
than  ours;  a  perfect  chronometer;  let  us  imagine  that  the 
smallest  grain  of  dust  falls  into  one  of  its  wheels  and  the 
chronometer  stops.  A  very  small  cause;  a  great  effect;  a 
machine  so  useful  is  of  no  more  use.  Now  if  we  subject  the 
watch  to  rough  handling,  if  we  operate  upon  it  with  means 
not  delicate  at  all,  we  may  have  as  a  result  that  this  delicate 
machine  is  permanently  ruined,  but  if  we  remove  delicately 
the  little  grain  of  sand,  the  cause  of  all  the  perturbation,  we 
will  see  that  upon  the  instant  the  chronometer  goes  again. 
The  grain  of  sand  must  be  removed  not  violently  but  by 
mild  and  gentle  means;  in  fact,  in  a  manner  similar  to  that 
with  which  it  entered. 


i 


,* 


V-X-, 


i/^V' 


610  THE  MEDICAL  ADVANCE. 

# 

But  I  see  that  I  have  allowed  myself  to  be  carried 
beyond  my  argument.  I  return  therefore  to  describe  my 
experiments  upon  the  action  of  Picus  Religiosa. 

I  must  premise  that  the  experiments  were  made  in  the 
presence  of  two  doctors  of  the  regular  school,  in  a  laboratory 
of  medical  chemistry  that  is  certainly  one  of  the  best  in  the 
Capital.  The  doctors  present  were  Dr.  Biasiotti,  director  of 
said  laboratory  and  able  specialist  in  medical  chemistry,  and 
Dr.  Mario  Serena,  excellent  specialist  of  physical  therapeu- 
tics. 

In  the  first  experiment  four  rabbits  were  used,  weighing 
about  Kg.  2  each;  the  tincture  ficus  religiosa  was  furnished 
us  by  the  Chemist  Pabi,  Piazza  di  Spagna  No.  4,  of  Rome. 
All  the  animals  used  were  kept  fasting  for  six  hours  and  the 
medicine  was  administered  after  the  fourth  hour  of  fasthig. 
The  80th  of  May  three  of  the  rabbits  were  given  forty  drops 
of  tincture  by  mouth  and  the  fourth  one  forty  drops  of 
tincture  by  hypodermic.  The  31st  of  May  no  special  symp- 
tom exhibited  itself  in  the  animal  during  the  24  hours. 
Complete  examination  of  the  urine  and  feces,  result  normal. 
We  gave  again  forty  drops  of  tincture  to  the  three  and  forty 
drops  of  tincture  given  hypodermically  to  the  fourth  rabbit. 

June  1.  The  animals  showed  no  special  symptoms  of 
any  sort,  and  the  examination  of  their  urine  and  feces 
resulted  normally. 

At  this  point,  seeing  the  experiment  resulted  absolutely 
negative,  I  began  to  suspect  the  tincture  of  ficus  religiosa  of 
the  Roman  pharmacy  might  not  be  fresh  enough  or  well  pre- 
pared; then  I  wrote  to  Dr.  Willmar  Schwabe,  Leipzig, 
(Homeopatische  Central- Apoth eke)  and  had  fifty  grammes  of 
ficus  religiosa  sent  directly  to  me,  and  we  began  again  the 
experiments  this  time  upon  a  dog  in  perfectly  robust  condi- 
tion, weighing  Kg.  4,460  and  upon  a  rabbit  weighing  Kg. 
2,171. 

June  10.  With  the  animals  fasting  as  above,  we  admin- 
istered forty  drops  of  tincture  each. 

June  11.  No  symptoms  were  manifested  during  the  24 
hours  in  the  two  animals  and  their  urine  and  feces  were  nor- 


J      *-'. 


FRAGMENTARY   PROVINGS. 


611 


mal.  We  gave  the  dog  another  forty  drops  and  the  rabbit 
sixty  drops  of  the  same  tincture,  observing  the  fast  as 
before. 

June  12.  No  symptoms  during  24  hours;  feces  and  urine 
normal.  The  dog  and  rabbit  were  given  100  drops  each  of 
the  tincture. 

June  13,  No  symptoms  during  24  hours;  feces  and  urine 
normal.  Therefore,  the  experiments  proving  absolutely 
negative,  ceased. 

I  will  make  no  comments.  I  hope  only  that  the  cele- 
brated Dr.  Clarke  whom  I  admire  so  much  and  who  holds  so 
high  the  name  of  homeopathy,  will  give  his  opinion  about 
this  drug.  Only  one  thing  I  wish  before  closing,  and  it  is 
that  we  homeopaths  should  work  always  in  a  laboratory  in 
conjunction  with  our  practice,  because  it  is  by  means  especi- 
ally of  experimental  methods  that  we  can  convince  our 
colleagues  of  the  other  school  and  teach  them  a  desire  ta 
know  and  use  the  true  art  of  healing,  and  to  apply  that 
which  Haller  said  to  them,  indicating  the  method  of  experi- 
mentation with  the  drug  upon  the  well  man — sine  peregrina 
ulla  miscela;  odoreque  et  sappre  ejus  exploratis,  exigua 
Dlius  dosis  ingerenda  et  ad  omnes  quae  inde  contingunt 
affectiones  quis  pulsus,  quis  calor,  quae  respiratio,  quaenam 
excretiones  attendendum. 

(  Note — On  receipt  of  the  above  paper,  the  undersigned  procured 
from  Messrs.  Boericke  and  Tafel  a  vial  of  the  mother  tincture  of  ficus 
religiosa,  and  took,  Aug.  19th  10  a.  m.,  forty  drops  of  it  at  one  dose. 

^o  symptoms  nor  effect  of  any  kind  was  noticeable.     Aug.  13th 
Took  80  drops  at  one  dose   in  one-third  glass   of  water.     No  symptoms 


noted. 


J.  B.  S.  King. 


FBAGMENTARY  PROVINGS  BY  THE  BAYARD  CLUB. 

Miss  A.  took  Natrum  phos.  200  on  May  16,  1907,  every 
two  hours.  On  May  20  hard,  dry  cough,  with  red,  hot  face 
during  cough,  >  after  meals,  <  on  going  to  bed.  At  11  p- 
m-  Lying  down  does  not  <  the  cough;  cough  <  going  out 
from  or  coming  into  the  house. 

May  22  and  23.  Sore  throat  on  right  side,  felt  like 
swallowing  against  something  hard,  (not  a  lump).     Tickling 


I 

U 
is 


^1 


6l2  THE   MEDICAL  ADVANCE. 

on  right  side  of  throat.  Knees  feel  stiff  on  rising  from  sit- 
ting during  the  day.  Some  aching  under  right  scapula  (an 
old  symptom  returned). 

May  29.  Cough  >,  throat  >,  knees  >.  Sharp  pain  to 
right  of  sternum,  lower  third,  through  to  back.  ItchinR  in 
inner  canthus  of  left  eye,  as  though  a  crumb  or  other  foreign 
body  were  in  the  eye. 

Mrs.  P.,  Oleum  Santali  30  every  two  hours,  May  31, 
1907.  Pain  at  McBurney's  point  with  every  cough,  a  single 
sharp  pain.  Nose  stuffed.  Cough  <  in  forenoon  before 
rising  from  bed  and  with  expectoration.  No  expectoration 
during  day.  Expectoration  not  described.  The  pain  in  the 
abdomen  is  >  by  hard  pressure.  Cough  appeared  on  June 
2,  third  day  after  beginning  the  drug. 

Por  comparison.  Allen's  Encyclopedia  gives  under 
Natrum  phos.  Sensation  of  lump  in  throat,  right  side  of 
throat  sore.  Sensation  of  pin  pricking  right  side  of  throat. 
Dry  tickling  cough.  Knees  felt  as  if  hamstrings  were  too 
short.  Eyes  feel  as  if  sand  were  in  them,  mostly  left  eye. 
Inner  canthus  of  right  eye  feel  sore,  wants  to  rub  it. 
AMMONIA  GAS.  (Ammonium  Causticum). 

Head:     Sharp  pains  through  the  temples  momentarily. 

NosE:  Very  dry;  watery  discharge  from  left  nostril 
when  going  into  the  cold  air.     Coryza  from  cold  air. 

Eyes:    Irritation,  with  lachrymation  in  the  open  air. 

Throat:  Raises  a  lumph  of  white  mucus  from  the 
pharynx  every  morning. 

Stomach:  Appetite  variable;  aversion  to  food;  hunger 
with  desire  to  eat  several  times  a  day. 

Abdomen:    Offensive  flatus  <  after  eating. 

Stool,  and  Rectum:  Stool  of  normal  consistency,  but 
no  desire  to  stool  for  two  or  three  days,  then  frequent  urg- 
ing to  stool  for  a  day,  but  with  passage  of  small  amount. 

Stool  dark  in  color. 

Chest:  Fulness  and  thumping  as  though  the  heart 
would  burst  through,  together  with  intensely  sharp  pains  in 
the  temples.     Pulse  weak. 

Nerves:  Great  languor  >  in  the  open  air.  Irresist- 
able  desire  to  lie  down. 


FRAPMENTARY  PROVINGS. 


613 


Partial  collapse,  <  4  p.  m. 

Physical  depression. 

Sleep:  Wakefulness  the  first  part  of  the  night  and  un- 
til toward  morning.     Wide  awake  but  not  restless. 

Temperature  and  Weather:  Sensitive  to  cold  (co- 
ryza),  >  in  cold  air  (languor). 

Time:    Four  p.  m.,  (exhaustion  and  languor). 

Position,  Rest,  Motion,  Etc.:  >  in  the  open  air 
(general  state);  <  in  the  open  air  (coryzaandlachrymation). 
Sensitive  to  cold  and  change  of  air;  <  after  eating  (flatus). 

Stages  op  Life,  Constitution,  Etc.:  Mr.  G.,  45 
years;  shipping  clerk  in  drug  house;  exposed  to  broken 
pipes  of  ammonia  process  in  plant.  Tall,  spare,  medium 
complexion.     Never  ill  before  this  proving. 

Relationship:  Antidote  to  fumes  and  effects;. Nux 
vomica,  partially. 

MORPHINUM  SULPHURICUM. 

Mind:  Dejected;  anxiety;  apprehension  of  incurability; 
self-pity;  egoism;  mind  occupied  with  physical  condition. 

Eyes:  Glistening,  glassy,  staring.  Unnatural  expres- 
sion.    Pupils  contracted,  dilated;  with  sore  throat. 

NosE:    Sneezing. 

Face:    Yellow,  cachectic,  red;  throbs;  sallow. 

Mouth :    Loss  of  taste. 

Throat:  Swallowing  painful,  solid  food  <;  >  from 
hot  drinks.  Dry  and  burning  with  fever.  Congested, 
bright  in  color.     Angina;  pharyngitis;  laryngitis. 

Nerves:  Hyperaesthesia  of  all  senses.  **At  high  ten- 
sion;" **on  edge." 

Rest,  Position,  Motion,  Etc.:  <  from  hot  drinks; 
throat  symptoms. 

Chill,  Fever  and  Sweat:  Fever  with  throat  symp- 
toms. 

Sides:    Right;  throat  symptoms. 

Stages  of  Life,  Constitution,  Etc.:  Twelve proov- 
ings,  boy  of  16  years,  boy  of  18  years,  man  of  23  years;  man 
of  24  years,  man  of  25  years,  man  of  28  years,  woman  of  38 


;  m-fy 


614  THE   MEDICAL  ADVANCE. 

years,  man  of  48  years,  woman  of  49  years,   single;  single 
woman  of  50  years,  man  of  52  years,  man  of  79  years. 

Relationship:  Similar,  Capsicum,  Esculnlus  and  Ly- 
copodium  in  the  throat  symptoms.  Antidote  to  morphium 
sulph.  Belladonna,  especially  in  the  throat  symptoms. 
30th  centesimal  potency  used. 

MAGNA  EST  TEEITIS  ET  PE^VALEBIT:  SIMILIA 
S1M1LIBU8  CUEANTUR. 

By  Dr.  Edward  Mahony,  Liverpool. 

Although  the  Latins  could  not  have  had  the  light  that 
is  now  to  be  had  as  to  the  final  victory  of  truth  over  all 
untruth,  enemies  and  obstacles,  when  they  gave  the  above 
motto  as  the  final  victory  of  truth,  they  must,  however, 
have  had  some  distinct  conviction  that  somewhere,  some- 
how, by  some  means,  there  would  be  brought  about  this 
magnificent  triumph.  I  desire  in  this  paper  to  bring  for- 
ward evidence  to  show  that  in  the  therapeutic  sphere  of 
knowledge  the  other  motto  above  mentioned  —  Similia 
similibus  curantur — proves  itself '  equal  to  a  full  answer  to 
the  above  expressed  law  of  healing. 

As  this  paper  is  to  appear  in  a  journal  which  addresses 
itself,  in  the  first  instance,  to  members  of  the  medical  pro- 
fession, I  shall  endeavor  to  state  as  briefly  as  possible,  con- 
sistently with  a  clear  expression  of  the  x>oint  at  issue,  what 
Hahnemann  taught  theoretically  and  practically  of  the 
nature  of  disease  and  its  treatment;  and  what,  if  these  in- 
structions were  rigidly  adhered  to  and  were  correct,  we 
might  fairly  expect  to  secure  in  the  science  and  art  of  heal- 
ing. To  understand  Hahnemann  and  to  follow  out  practi- 
cally what  he  taught,  three  things  I  believe  to  be  essential. 
They  are: 

(1)  The  nature  of  disease. 

(2)  The  law  of  potentisation. 

(3)  A  practical  knowledge  of  the  Materia  Medica  Fura, 
As  to  the  first,  Hahnemann  states  {Organon,  Dudgeon's 

translation,  p.  52,  §  9,  10,  11) :     *ln  the  healthy  condition  of 
man  the  spiritual  vital  force,  the  dynamis,  that  animates  the 


MAGNA  EST  VERITIS  ET  PR^VALEBIT. 


615 


material  beinfir«  rules  with  unbounded  sway  and  retains  all 
the  parts  of  the  organism  in  admirable  harmonious  vital 
operatioir,  as  regards  both  sensations  and  functions  .  .  . 
the  materal  organism  ,  .  .  performs  all  the  functions  of 
life  solely  by  means  of  the  immaterial  being  (the  vital  force) 
which  animates  the  material  organism  in  health  and  in 
disease.  When  a  person  falls  ill,  it  is  only  this  spiritual, 
self-acting  (automatic)  vital  force,  everywhere  present  in  his 
organism,  that  is  primarily  deranged  by  the  dynamic  in- 
fluence upon  it  of  a  morbific  agent  inimical  to  life;  it  is  only 
the  vital  force,  deranged  to  such  an  abnormal  state,  that  can 
furnish  the  organism  with  its  disagreeable  sensations,  and 
incline  it  to  the  irregular  processes  which  we  call  disease." 

As  to  the  second,  the  law  of  i>otentisation,  he  states 
{Chronic  Diseases,  vol.  i.,  186-7) :  **The  peculiar  mode  iidopt- 
ed  for  the  preparation  of  homeopathic  remedies  enables  us 
to  develop  the  medicinal  virtues  of  a  drug  into  a  series  of 
degrees  of  potency,  and  by  this  means  to  adapt  the  remedial 
influence  of  the  drug,  with  great  precision,  to  the  nature  of 
the  disease    .     .     .     this  discovery  is  due  to  Homeopathy.*' 

As  to  the  third,  in  the  Organon  (Dudgeon's  translation, 
p.  113,  §  106)  he  says:  **The  whole  pathogenetic  effect  of 
the  several  medicines  must  be  known,  that  is  to  say,  all  the 
morbid  symptoms  and  alterations  in  the  health,  that  each  of 
them  is  specially  capable  of  developing  in  the  healthy  indi- 
vidual must  first  have  been  observed  as  far  as  possible 
...  [p.  122,  §  127],  The  medicines  must  be  tested  on 
both  males  and  females,  in  order  also  to  reveal  the  altera- 
tions of  the  health  they  produce  in  the  sexual  sphere  [p,  129, 
§  144],  from  such  a  materia  medica  everything  that  is  con- 
jectural, all  that  is  mere  assertion  or  imaginary,  should  be 
strictly  excluded;  everything  should  be  the  pure  language 
of  Nature  carefully  and  honestly  interrogated."  These  three 
points,  then,  of  (1)  the  nature  of  disease,  (2)  the  law  of 
potentisation,  and  (3)  the  knowledge  of  a  pure  materia 
medica,  are  the  tliree  pillars  on  which  firmly  rests  the  whole 
fabric  of  the  science  and  art  of  therapeutics,  according  to 
Hahnemann,  in  order  to  constitute  a  true  physician,  accord- 


616  THE  MEDICAL  ADVANCE. 

ing  to  the  very  first  paragraph  of  the  Organon  (Dudgeon'» 
translation,  p.  48) :  **The  physician's  high  and  only  mission 
is  to  restore  the  sick  to  health — to  cure,  as  it  is  termed." 

Now  these  three  pillars,  as  I  shall  call  them,  are  firmly, 
coherently,  and  immovably  welded  together  by  the  great 
law  of  similarity,  and  before  going  further  I  desire  to  ex- 
press, in  the  most  emphatic  way  possible,  that  Hahnemann 
taught,  and  I  believe  proved,  that  both  potentisation  and 
similarity  were  great  laws  of  Nature,  not  empirical  sugges- 
tions or  hypothesefii,  but  proved  facts,  and  as  certain  and 
reliable  in  their  sphere  as  any  other  natural  law,  whether  in 
natural  philosophy,  mechanics,  chemistry,  optics  or  any 
other  science  whatever. 

Let  us  then  consider  his  definition  of  disease— it  may  be 
expressed  yet  more  briefly  in  two  words,  ''perverted  dyna- 
mis."  What  is  this  dynamis,  this  force,  in  connection  with 
our  subject,  the  immaterial  power  or  force  which  animates 
our  bodies,  cognisable  only  by  its  effects,  commonly  called 
life?  Now  this  simple  definition  puts  so-called  pathology, 
which  for  the  sake  of  distinction  I  will  call  material  disease, 
in  its  right  place  as  secondary  to,  or  a  sequela  of  disease, 
i,  €.,  perverted  vital  force.  How  simple  this  is,  and  how 
differently  the  mind  of  the  skilful  healer,  the  thoughtful 
physician,  will  work  according  as  he  regards  materiality  in 
disease  as  the  disease  itself,  its  fona  et  origo^  or  merely  as  a 
consequence  of  perverted  vital  force. 

I  will  give  an  illustration  from  a  simple  case.  Some 
years  ago  I  was  called  to  an  old  patient  who  had  an  attack 
of  dysenteric  diarrhea;  there  was  nothing  special  in  his  gen- 
eral symptoms,  or  the  pain;  the  stools  were  lumpy  but  with 
one  peculiarity,  namely,  entire  absence  of  odor  of  any  kind. 
I  remarked  this  to  his  wife,  who  at  once  replied  that  she  had 
noticed  it,  and  thought  it  peculiar.  Now  the  late  P.  P. 
Wells  gives  in  a  small  repertory  of  diarrhea  and  dysentery* 
under  ''odorless  stools,*'  cethusa,  asar,  brom.,  hyos.,  paulL, 
and  rhuf^.  If  there  was  one  thing  more  than  another  which 
marked  the  morale  of  my  patient  it  was  restlessness — of  mind 
and  body  that  is,  the  one  causing  the  other;  therefore  rhus- 


MAGNA  EST   VERITIS  ET  PR^VALEBI 


617 


was  at  once  decided  upon  and  administered  in  the  200th 
potency,  with  most  prompt  relief  and  cure.  Another  case 
illustrating  the  importance  of  immaterial  symptoms  in 
chronic  disease  is  the  following: 

A  woman  in  the  paulo-post  period  of  life,  and  whose 
menses  had  ceased,  some  months  at  least — a  drinking 
woman,  in  poverty,  and  who  had  been  treated  secundum 
artem  allopathically,  and  by  what  may  be  called  homeo- 
materiality,  that  is,  Homeopathy  applied  on  the  material 
pathological  basis.  She  had  bronchitis,  cardiac  disease, 
ascites,  and  edema  of  thighs,  and  I  found  that  since  the 
commencement  of  menstrual  life  she  had  been  subject  to 
headaches  during  the  menses,  waking  with  them,  accom- 
panied by  depression  of  the  spirits  and  palpitation,  and  since 
the  cessation  of  the  menses  the  headaches  continued  of  the 
same  character,  and  at  periods  somewhat  corresponding  to 
the  times  when  the  menses  would  have  occurred.  There- 
fore headaches  of  a  certain  character,  with  certain  concomit- 
ants, and  periodicity — all  immaterial  symptoms — called  for 
nat  mur.j  which  was  given,  one  dose  in  the  30th  potency, 
with  immediate  relief  of  the  material  symptoms  of  ascites, 
red  flushed  skin  on  the  abdomen  and  edema,  as  well  as 
relief  to  headaches.  In  about  nine  days,  as  matters  seemed 
stationary,  a  second  dose  was  given,  and  not  long  after 
lycopod.  as  symptoms  indicating  it  appeared.  The  result  was 
that  this  broken-down  woman  before  long  was  out  and  about 
in  her  usual  way,  and  did  well  for  nearly  twelve  months. 
Of  course  the  damaged  lungs  and  damaged  heart  could  not 
be  restored,  and  when  the  next  bronchitic  attack  occurred 
poverty  necessitated  her  removal  to  the  workhouse,  and 
before  long  she  died.  The  interesting  question  arises,  had 
the  apparently  trifling  symptoms  of  menstrual  headaches  in 
an  adolescent  at  puberty  been  treated  by  the  nat,  mnr,, 
which  the  functional  immaterial  symptoms  called  for,  would 
she  not  have  been  saved  from  a  course  of  suffering,  which 
possibly  also  tended  to  develop  the  drinking  paroxysms  ? 

I  return  to  the  point,  that  objective  phenomena,  such  as 
enlargement  or  misshape  of  organs  or  any  tissue,  in  fact,  of 


:-» 


■0B- 


618  THE  MEDICAL  ADVANCE. 

a  material  kind,  that  a  physician  can  detect  for  himself, 
however  valuable  for  completing  diagnosis  of  the  presoit 
condition  of  the  patient,  and  prognosis  as  to  probable  results, 
are  not  the  disease  or  the  object  of  treatment.  On  the  other 
hand,  the  subjective  phenomena,  of  which  the  patient  alone 
can  inform  us,  constitute  the  disease  so  far  as  the  physician 
is  concerned,  for  in  these  will  be  found  the  individuality  of 
the  patient.  In  the  first  volume  of  the  Chronic  Diseases,  pp. 
21-22,  is  given  a  list  of  diseases,  as  expressed  in  ordinary 
pathological  works,  all  of  which,  it  is  stated  (with  a  few 
exceptions),  originate  in  the  widely  ramified  psora.  Two 
expressions  used  will  sum  these  up,  namely,  ''almost  all 
adventitious  formations,"  and  **the  tedious  ailments  of  both 
the  body  and  the  soul."  Then  (p.  23),  **psora,  which  forms 
the  basis  of  the  itch,"  **this  psora  is  the  oldest,  most  universal 
and  most  pernicious  chronic  miasmatic  disease.  .  .  ."It 
has  become  the  cause  of  those  thousands  of  incredibly  differ- 
ent acute  as  well  as  chronic  non-venereal  diseases,  with 
which  civilized  portion  of  mankind  becomes  more  and  more 
infected  upon  the  whole  habitable  globe."  Then,  on  pages 
33,  34,  he  gives  proofs  that  allopathic  sources  of  the  evil 
consequences  resulting  from  the  suppression  of  the  cutane- 
ous eruption  of  the  itch,  including  phthisis,  carcinoma, 
swelling  of  bones,  and  death.  In  passing  one  may  ask, 
could  such  results  be  possible,  were  the  so-called  **itch" 
caused  by  the  introduction  into  the  skin  of  a  minute  insect, 
called  acarus  scabiei  ?  In  the  cases  gleaned  from  a  variety 
of  sources  in  the  notes  following,  thirty  or  more  cases  will 
be  found  to  have  ended  in  death,  from  a  suppression  of  a 
so-called  eruption  of  the  '*itch."  This  reminds  me  of  a  case 
in  my  own  practice  many  years  ago  of  a  young  lady,  the 
victim  of  advanced  phthisis,  in  whom  it  came  to  light,  after 
many  interviews  and  conversations  with  her  mother,  that 
when  quite  a  young  child  she  had  had  an  eruption  on  one 
foot,  which  was  called  the  itch,  and  of  course  suppressed. 
Her  father  had  died  of  phthisis,  yet  neither  of  her  two 
sisters  nor  her  mother  had  any  symptoms  of  this  disease. 
Hahnemann  further  gives  p.  72,  and  following  a  long  list  of 


MAGNA   EST  VERITIS   ET  PRiEVALEBlT. 


619 


symptoms  which  he  says  are  characteristic  of  the  secondary 
diseases  in  which  the  psora  generally  terminates.  These 
are  of  both  kinds,  material  and  immaterial,  but  the  point  is 
that  all  the  sequelaa  of  the  chronic  miasmatic  affection. 

I  come  now  to  the  second  pillar  of  the  homeopathic 
edifice:  n^paely,  the  law  of  potentisation.  As  to  this  the 
following  remarks  may  be  quoted:  {Chronic  Diseases,  vol.  i., 
p.  186):  *'The  peculiar  mode  adopted  for  the  preparation  of 
homeopathic  remedies  enables  us  to  develop  the  medicinal 
virtues  of  a  drug  into  a  series  of  degrees  of  potency,  and  by 
this  mieans  to  adapt  the  remedial  influence  of  the  drug  with 
great  precision  to  the  nature  of  the  disease.''  Then  (p. 
187):  **The  alteration  which  is  effected  in  the  properties  of 
natural  substances,  especially  medicinal  substances,  either 
by  triturating  or  shaking  them  in  conjunction  with  a  non- 
medicinal  powder  or  liquid  is  almost  marvellous.  This  dis- 
covery is  due  to  Homeopathy.  Besides  this  alteration  of 
their  medicinal  properties  the  homeopathic  mode  of  prepar- 
ing medicines  produces  an  alteration  in  their  chemical 
properties.  Whereas  in  their  crude  form  they  are  insoluble 
either  in  water  or  alcohol,  they  become  entirely  soluble  both 
in  water  and  alcohol  by  means  of  this  homeopathic  transfor- 
mation.    This  discovery  is  invaluable  to  the  healing  art." 

This  instruction,  with  confirmation  of  its  truth,  is  re- 
peated with  great  frequency  both  in  the  Organon,  the 
remaining  volumes  of  the  Chronic  Diseases  (Which  deal  with 
the  anti-psorics),  and  the  Materia  Medica  Pura,  and  makes  it 
very  evident  that  dynamic  power,  latent  in  all  medicinal 
substances,  but  made  evident  by  the  processes  of  trituration 
or  succussion,  was  regarded  by  Hahnemann  as  a  part,  and  a 
most  important  part,  of  the  art  and  science  of  therapeutics. 
It  is  a  most  necessary  part  to  consider  and  to  reckon  upon  if 
Aomeopathy  is  to  have  fair  play  in  action.  Correlatively 
with  this,  though  I  only  mention  it  now  in  passing,  will  come 
the  question  of  the  repetition  of  the  immaterial  dose  of  the 
medicament. 

I  come  now  to  the  third  pillar,  the  Materia  Medica.  The 
-definition  above  mentioned  of  a  true  Materia  Medica,  which. 


fit 


620  THE  MEDICAL   ADVANCE 

as  our  author  remarks,  had  never  previously  existed,  evi- 
dently follows  on  the  same  lines.  First,  it  is  to  be  noted 
that  nothing  is  to  be  accepted  but  facts,  and  these  facts  are 
to  be  learned  from  that  most  sensitive  of  all  barometers  or 
thermometers — the  human  frame. 

It  is  quite  in  accord  with  the  above  teaching  that  the 
moral  and  mental  symptoms  should  have  the  first  and  most 
prominent  place.  In  the  first  volume  of  the  Materia  Medica 
Pura,  the  symptoms  are  given  in  the  following  order:  verti- 
go, obnubilation,  defects  of  the  mind,  defects  of  the  memory, 
headache,  internal,  external.  Then  come  the  more  bodily 
symptoms  connected  with  the  different  regions  of  the  body, 
fifty-seven  in  number,  and  in  a  note  he  adds:  '*Those  kinds 
of  uneasiness  and  tremor  which  are  simply  bodily,  and  do 
not  affect  the  mind,  will  be  generally  found  recorded  among 
the  symptoms  of  the  extremities,  and  the  general  affections 
of  the  body."  The  last  things  mentioned  are  changes  occur- 
ing  in  the  feelings,  affections  of  the  soul.  I  infer  from  these 
remarks  and  illustrations  that  the  science  of  therapeutics 
deals  with  and  carries  off  every  victory  on  the  ground  of 
immateriality  in  disease,  immateriality  in  medicinal  agents, 
and  that  both  are  proven  facts  in  the  Materia  Medica. 

All  other  modes  of  treatment,  dietetic,  mechanical, 
sanitary  regulations,  changes  of  climate,  etc.,  are  all 
adjuvantia,  but  all  put  together  never  have  and  never  will 
cure  one  single  disease  of  mind  or  body.  All  adjuvantia  that 
do  not  interfere  with  the  action  of  the  law  of  similars,  and 
do  not  suppress  external  manifestations  of  disease,  such  as 
eruptions  on  the  skin  and  mucous  membranes,  or  discharges 
of  all  kinds,  are  admissible,  and,  in  their  place,  useful  and 
necessary,  but  will  never  cure. 

What  are  the  results  that  should  be  before  the  mind, 
and  might  fairly  be  looked  for,  were  all  treatment  of  disease 
consistently  carried  out  on  these  lines,  and  in  every  case  ? 
I  submit  the  following  as  some  of  the  important  results: 
(1)  Annihilation  of  disease;  (2)  improved  vitality  in  the  en- 
tire community;    (3)   longevity;    (4)   euthanasia;    (5)   great 


MAGNA  EST  VERITIS  PT  PR^VALEBIT  621 


r 


diminution  of  suicides;  (6)  removal  of  sterility  in  either  sex, 
especially,  no  doubt,  in  the  female. 

As  to  (1):  It  is  plain  that  if  treatment  is  always  curative 
inaction,  not  merely  palliative,  and. never  suppressive,  the 
most  long-standing  and  inveterate  diseases  must,  though  of 
course  gradually,  simply  disappear.  I  recall  a  case  of  an 
elderly  gentleman,  who  after  thirty  years  of  material-homeo- 
pathic or  pathological  prescribing  for  gout,  coming  under 
treatment,  in  which  the  medicines  were  selected  by  keeping 
Hahnemann's  teachings  in  mind.  The  paroxysms,  instead 
of  about  every  six  weeks,  were  prolonged  shortly  to  three 
months,  and  at  the  end  of  two  years  *'gout"  was  no  longer  in 
evidence. 

Of  course,  as  Hahnemann  points  out,  there  are  many 
cases  in  which,  owing  to  the  "image  of  the  disease"  having 
been  suppressed  and  falsified,  the  right  remedy  cannot  be 
found,  and  the  vitality  besides  may  have  been  so  injured 
that  there  is  not  suflficient  recuperative  power.  But  this 
does  not  alter  the  greatness  of  truth,  and  must  not  be  allow- 
ed to  interfere  with  the  diligence  of  the  search  to  discover 
what  disease  (perverted  force)  was  present  before  suppres- 
sion or  palliation  was  resorted  to.  I  would  here  remark  on  ^  • 
the  importance  of  our  not  allowing  the  fascination  of  the 
statements  issuing  from  the  chemical,  physiological,  and 
pathological  laboratories  of  our  day.  All  such  statements 
must  necessarily  come  short  of  cure,  as  none  of  them  take 
into  account  the  entire  being,  though  they  may  make  the 
strongest  assertions,  ba'cked  up  apparently  by  unmistakable 
cures — the  fact  being  that,  where  such  cures  are  genume, 
there  was  some  ingredient  in  the  prescription  or  the  article 
itself,  if  administered  alone,  that  was  homeopathic  to  that 
particular  case,  as  Hahnemann  points  out  in  the  so-called 
''sweating  sickness"  of  English  history  that  the  one  medi- 
cine which  finally  proved  successful  has  given  abundant 
proofs  of  its  homeopathicity  to  that  terrible  disease. 

As  to  (2):  This  goes  without  saying,  as  also  (3)  longe- 
vity, (4)  euthanasia.  This  also  would  be  accomplished  both 
in  acute  and  chronic  conditions.     I  recall  a  case  of  a  woman, 


/ 


622  THE  MEDICAL  ADVANCE. 

a  dispensary  patient,  with  scirrhns,  I  think,  of  the  left 
breast,  in  whom,  though  not  able  to  do  more,  I  succeeded  in 
removing  all  pain,  administering  every  medicine  on  the  line 
of  similars,  and  for  the  last  six  weeks  of  her  life  there  was 
simply  nothing  to  prescribe  for,  and  she  simply  sunk  at  last 
from  weakness — the  vitality  was  gone.  I  recall  another  in 
an  old  gentleman,  aged  70,  dying  with  what  might  be  called 
bronchitic  asthma,  and  who  had  been  unconscious  for  many 
hours.  Observing  the  opium  perspiration,  snoring  respira- 
tion and  contracted  pupils,  a  dose  or  two  of  opium  caused 
a  relaxation  in  one  pupil  and  a  modification  in  the  r^- 
piration.  Other  cases  might  be  mentioned.  The  great 
point,  I  believe,  to  keep  before  the  mind  is  the  difference 
between  vitality  and  disease.  All  pains  and  abnormal  sen- 
sations arise  from  disease,  and  were  disease  removed,  when 
vitality  came  to  an  end,  the  individual  would  simply  drop- 
dead. 

(5)  Great  diminution  in  the  number  of  suicides.  How 
painful  is  the  acknowledged  increase  of  suicides  in  civilized 
countries,  and  how  frequent  the  information  that  such  an 
one  had  been  suffering  from  insomnia,  or  had  had  the  influ- 
enza and  many  drugs  I 

(6)  Sterility.  How  common  in  the  female  sex  is  it  that 
douches  of  all  kinds  are  used  per  vaginam  in  all  varieties  of 
leucorrhea,  and  thus  sterility  is  kept  up.  In  the  male  how 
horrible  are  the  consequences  of  suppressed  gonorrhea,  caus- 
ing often  life-long  suffering,  and  either  sterility  or,  if  poten- 
tiality remains,  alas  for  the  wife  and  probably  the  offspring 
also! 

There  remains  the  other  side  of  the  question.  If  these 
principles  and  the  practice  resulting  be  true,  whatever  con- 
tradicts them  must  be  not  only  of  no  use  but  of  positive 
harm,  proportionately  to  the  force  with  which  such  treatment 
assails  the  organism.  There  is  no  media  via,  and  so-called 
**electicism"  is  probably  the  most  harmful  because  the  most 
plausible.*' 

If  Homeopthy  contains,  as  it  professes  to  do,  according 
^o  its  originator  in  the  therapeutic  sphere,  * 'the  truth,  the 


MAGNA   EST  VERITIS   ET  PR^VALEBIT  623 

whole,  truth  and  nothing  but  the  truth,"  all  that  contradicts 
it  must  be  false  both  in  theory  and  practice. 

Since  writing  the  above,  Jousset's  paper**  On  Diagnosis," 
translated  in  the  January  number  of  the  British  Homeopathic 
Review,  has  come  under  my  eye.  The  first  thing  that  struck 
me  after  glancing  through  it  was — if  Jousset  be  correct, 
what  has  Hahnemann  given  us?  However,  he  admits  an 
experimental  materia  medica,  and  that  is  something,  as 
Jousset  himself  will  admit  that  experimental  is  something 
more  than  theoretical.  To  go  through  the  paper  in  detail 
would  involve  a  very  great  deal  of  time  and  labor,  and  it 
would  be,  I  think,  more  profitable  briefly  to  refer  to  Hahne- 
mann's own  writings  on  the  different  points  raised,  and  then 
others  can  judge  on  which  side  truth  and  proved  fact  lie 
versus  assertion  on  theory  founded  on  no  premiss.  As  to 
the  origin  of  the  doctrine  of  psora, Hahnemann  says  (Chronic 
Diseases^  vol  i ,  p.  16):  **In  case  the  primitive  symptoms, 
which  had  been  cured  once  already  homeopathically,  reap- 
peared in  consequence  of  one  of  the  above-mentioned  causes 
[slight  excesses  at  table,  rough  weather,  etc.,  previously 
mentioned],  the  remedy  which  has  been  first  employed  help- 
ed again,  though  less  perfectly,  and  still  less  so  on  being 
given  a  third  time."  Then,  p.  17:  **What,  then,  was  the 
reason  why  the  continued  homeopathic  treatment  of  the 
non- venereal  chronic  diseases  should  have  been  so  unsuc- 
cessful ?  Why  should  Homeopathy  have  failed  in  thousands 
of  cases  to  cure  such  chronic  ailments  thoroughly  and  for 
ever?  (p.  18):  *'In  trying  to  answer  this  question  I  was  led 
to  the  discovery  of  the  nature  of  chronic  diseases.  I  had 
been  employed  day  and  night  to  discover  the  reason  why. 
.  .  .  I  tried  to  obtain  a  more  correct,  and,  if  possible,  a 
completely  correct  idea  of  the  true  nature  of  those  thousands 
of  chronic  ailments  which  remained  uncured,  in  spite  of  the 
incontrovertible  truth  of  the  homeopathic  doctrine,  when, 
behold,  the  Giver  of  all  good  permitted  me  about  that  time 
to  solve  the  sublime  problem  for  the  benefit  of  mankind, 
after  unc^asyig  meditation,  indefatigable  research,  careful 
observations  and  the  most  accurate  experiments."    Then 


624  THE  MEDICAL  ADVANCE. 

follows  an  account  of  the  results  of  observed  phenomena, 
summed  up  in  these  words  (p.  19):  **The  first  condition  was 
to  discover  all  the  ailments  and  symptoms  inherent  in  the 
unknown  primitive  malady."  Where  is  theory  or  mere  im- 
agination here? 

As  to  the  syphilitic  and  sycotic:  On  p.  124,  in  a  note,  is 
mentioned  a  case  of  syphilis,  complicated  with  sycosis  and 
psora,  where  he  gave  (1)  remedies  against  the  psoric  miasma, 
then  against  the  other  two,. beginning  with  the  one  whose 
symptoms  were  most  prominent  at  the  time.  All  this  is  very 
practical  at  the  bedside  or  in  the  consulting  room.  Hahne- 
mann's teaching  gives  positive  instruction  to  act  upon  in 
treatment  as  well  £ts  diagnosis  and  pi'ognosis.  As  to  the 
objection  to  names,  this  is  merely  because  one  symptom  is 
laid  hold  of,  e.  g.,  dropsy,  and  thus  the  mind  of  the  patient 
and  of  the  physician  is  warped,  and  an  entirely  wrong  im- 
pression given,  both  as  to  disease,  prognosis  and  diagnosis, 
e.  gr.,  whether  the  dropsy  is  scarlatinal,  cardiac,  hepatic, 
etc.  A  kind  of  dropsy — a  species  of  fever — such  expres- 
sions Hahnemann  would  have,  which  leave  the  door  open 
for  thorough  individualism.  The  remarks  on  Hahnemann's 
directions  for  the  treatment  of  cholera  I  do  not  understand. 
That  he  should  have  announced  four  medicines  without  any 
intimation  of  individualization  of  the  patient,  and  corre- 
spondingly the  remedy,  would  entirely  contradict,  or  at  least 
be  inconsistent  with  the  whole  tenor  of  his  teaching. 

(1)  Absence  of  Clinical  Experience, — Jousset  seems  to  me 
to  fail  in  his  remarks  here  to  grasp  the  difference  between 
clinical  experience  and  the  originality  of  a  great  natural 
law.  The  latter  would  enable  one  to  treat  a  case  of  disease 
never  seen  before,  or  even  which  had  never  existed  before, 
provided  one  could  find  symptoms  present  which  were  a 
simillimum  to  a  known  drug.   . 

In  the  case  Dr.  Jousset  mentions,  in  which  he  says  to 
treat  a  choleraic  attack  by  tartar  emetic  would  be  "a  very 
grave  fault,''  it  would,  on  the  contrary,  be  the  right  thing  to 
do,  because  prominent  tartar  emetic  symptoms  were  more 
pronounced  than  those  of  veratrum.     I  know  a  veteran  in 


MAGNA   EST  VSRITIS   ET  PR/EVALEBIT  625 

the  homeopathic  school  who  says  that  he  was  first  led  to 
mvestigate  Homeopathy  from  noticing  the  valuable  results 
of  tartar  emetic  in  a  certain  variety  of  cholera  cases. 

(2)  Absence  of  Diagnosis  necessarily  involves  the  Absence 
of  Prognosis. — Here,  again,  Dr.  Jousset  puts  the  matter  the 
wrong  way  about.  The  physician  who  diagnoses  according 
to  Hahnemann  knows  that  if  he  can  find  a  simillimum  to 
present  condition  of  patient  he  can  promise  a  cure  of  that, 
and  can  truthfully  say  that  when  that  is  cured  further  opin- 
ion can  be  given  as  to  full  cure,  and  so  his  reputation  is 
guarded  and  the  patient  and  friends  are  not  unduly  alarmed 
or  are  fairly  warned  in  time. 

(3)  Therapeutic  Illusion. — As  to  fevers,  the  indications 
calling  for  the  different  medicines  would  prove  satisfactory 
whether  the  kind  of  fever  were  typhoid,  typhus,  or  any  other, 
and  there  would  be  no  need  of  retrograde  movement,  fol- 
lowing the  old  school's  bad  lead  of  treating  one  symptom, 
such  as  heat,  by  exhausting  cold  baths,  ice,  or  similar 
adjuvantia. 

(4)  Incompetent  Men  {and  Women\ — Hahnemann  was 
strongly  against  this,  and  even  wrote,  I  believe,  against  a 
brochure  published  by  one  of  his  own  daughters;  but,  at  any 
rate,  the  physician  who  keeps  closest  to  Hahnemann's  teach- 
ing will  have  least  annoyance  from  this  source. 

In  the  case  mentioned  at  the  end  I  decline  to  accept  Dr. 
Jousset*s  diagnosis  of  typhoid.  At  University  Hospital, 
Liondon,  in  my  student  days,  our  clinical  instructor,  the  late 
Sir  William  Jenner— a  recognized  authority  on  continued 
fevers,  especially  typhoid,  which  he  had  twice  himself  and 
so  knew  experimentally — always  insisted  that  there  must 
be  continued  high  temperature,  and  this  condition  seems  the 
opposite  of  the  little  girl  LoUve,  '^motionless  in  bed,  face 
pale,  and  eyes  closed;  on  the  tenth  day  the  pulse  was  weak 
and  fluttering  and  the  extremities  cold.'  If  I  remember 
rightly,  also,  the  child  had  been  nearly  killed  by  drugging 
when  Hahnemann  was  called  in. 


626  THE  MEDICAL  ADVANCE, 

VEDICIL  ETUICS. 

By  M.  O.  Terry,  M.  D.,  Mamaroneck,  N.  Y. 

The  father  of  medicine,  Hippocrates,  gave  to  the  pro- 
fession a  code  of  morals,  which,  like  the  Declaration  of  In- 
dependence, has  within  it  all  that  seems  necessary  for  the 
proper  conduct  of  the  medical  man,  as  it,  the  Declaration, 
inculcates  the  principles  of  a  republican  form  of  government 
in  its  entirety* 

The  oath  states:  **I  swear  by  Ai)ollo,  the  physician, 
and  Aesculapius,  and  Health,  and  All-heal,  and  all  the  gods 
and  goddesses,  that  according  to  my  ability  and  judgment,  I 
will  keep  this  oath  and  this  stipulation — to  reckon  him  who 
taught  me  this  as  equally  dear  to  me  as  my  parents,  to 
share  my  substance  with  him,  and  relieve  his  necessities  if 
required;  to  look  upon  his  offspring  in  the  same  footing  as 
my  own  brothers,  and  to  teach  them  this  art,  if  they  should 
wish  to  learn  it,  without  fee  or  stipulation." 

«  •  « 

Concluding:  "While  I  continue  to  keep  this  oath  unvio- 
lated;  may  it  be  granted  to  me  to  enjoy  life  and  the  practice 
of  the  art,  respected  by  all  men,  in  all  time!  But  should  I 
trespass  and  violate  this  oath,  may  the  reverse  be  my  lot!" 

In  a  work  on  Moral  Philosophy  of  Medicine,  there  ap- 
pears the  following,  as  taken  from  the  American  Medical 
Association,  which  it  promulgates  as  a  suggestive  and  ad- 
visory document  to  follow: 

CHAPTER  n. 

THE  DUTIES  OP  PHYSICIANS  TO  EACH  OTHER  AND  TO  THE 
PROFESSION  AT  LARGE. 

Article  I. — Duties  of  the  support  of  professional  char- 
acter. 

Section  1.  Every  one  on  entering  the  profession,  and 
thereby  becoming  entitled  to  full  professional  fellowship, 
incurs  an  obligation  to  uphold  its  dignity  and  honor,  to  exalt 
its  standing  and  to  extend  the  bonds  of  its  usefulness. 

Sec.  2.  The  physician  should  observe  strictly  such  laws 
as  are  instituted  for  the  government  of  the  members  of  the: 


mbdicXl  ethics.  627 

profession;  should  honor  the  fraternity  as  a  body;  should 
endeavor  to  promote  the  science  and  art  of  medicine  and 
should  entertain  a  due  respect  for  those  seniors  who,  by 
their  labors,  have  contributed  to  its  advancement. 

Sec.  7.  It  is  incompatible  with  honorable  standing  in 
the  profession  to  resort  to  public  advertisement,  to  publish 
cases  or  operations  in  the  daily  papers,  or  to  suffer  such 
publications  to  be  made. 

Article  II. — Professional  services  of  physicians  to  each 
other. 

Sec.  1.  Physicians  should  not,  as  a  general  rule,  un- 
dertake treatment  of  themselves,  nor  of  members  of  their 
families.  In  such  cases  they  are  particularly  dependent  on 
each  other;  therefore  kind  offices  and  professional  aid  should 
always  be  cheerfully  and  gratuitously  afforded. 

Sec.  2.  All  practicing  physicians  and  their  immediate 
family  dependents  are  entitled  to  the  gratuitous  services  of 
any  one  or  more  of  the  physicians  residing  near  them. 

Sec.  3.  When  a  physician  is  summoned  from  a  distance 
to  the  bedside  of  a  colleague  in  easy  financial  circumstances, 
a  compensation  proportionate  to  traveling  expenses  and  to 
pecuniary  loss  entailed  by  absence  from  accustomed  field  of 
professional  labor,  should  be  made  by  the  patient  or  rela- 
tives. 

Article  VI. — Compensation. 

Sec.  1.  By  the  members  of  no  profession  are  eleemo- 
synary services  more  liberally  dispensed  than  by  the  medi- 
cal, but  justice  requires  that  some  limits  should  be  placed 
to  their  performance.  Poverty,  mutual  professional  obliga- 
tions, and  certain  of  the  public  duties  should  always  be  rec- 
ognized as  presenting  valid  claims  for  gratuitous  services. 

In  this  connection  we  note,  however,  that  in  Dr.  Flint's 
commentaries  he  states  that:  '^Medical  services  rendered 
to  members  of  the  profession  should  be  gratuitous,  and  that 
a  request  to  present  a  bill  for  services  should  never  be  made, 
as  such  a  request  implies  an  expectation  that  it  will  never 
be  complied  with.    Any  pecuniary   acknowledgment  by  & 


628  THE  MEDICAL.  ADVANCE. 

member  of  the  profession  should  be  made  strictly  as  an  hon- 
orarium.*' 

Should  a  physician  demand  any  fee  for  services  to  a 
member  of  the  immediate  family  of  another  physician? 

'     Should  a  physician  prescribe  for  himself  or  for  his  im- 
mediate family? 

These  questions  are  put  in  the  National  System  of  Mor- 
als, placed  among  other  good  things  in  the  Moral  Philoso- 
phy of  Medicine.  The  questions  are  fully  answered  in  the 
second  chapter  of  the  National  System  through  the  second 
article. 

''Professional  services  of  physicians  to  each  other," 
whose  provisions  are  that  all  practicians  of  medicine,  their 
wives  and  * 'their  children  when  under  paternal  care^  iare  en- 
titled to  the  gratuitous  services  of  any  one  or  more  of  the 
faculty  residing  near  them,  whose  assistance  may  be  desired." 

A  physician  afflicted  with  disease  is  usually  an  incom- 
petent judge  of  his  own  case;  and  the  natural  anxiety  and 
solicitude  which  he  has  at  the  sickness  of  his  wife,  a  child, 
or  any  one  who,  by  ties  of  consanguinity  is  rendered  peculi- 
arly dear  to  him,  tend  to  obscure  his  judgment  and  produce 
'  timidity  and  irresolutidn  in  his  practice.  Under  such  cir- 
cumstances medical  men  are  peculiarly  dependent  upon  each 
other,  and  kind  offices  and  professional  aid  should  always  be 
cheerfully  and  gratuitously  afforded. 

This  article  makes  it  very  clear  that  the  physician  should 
not  attempt  to  heal  himself  despite  the  ancient  proverb.  He 
should  have  his  well  selected  medical  advisor,  as  the  lawyer 
has  his  legal  advisor,  and  as  the  priest  has  his  spiritual  ad- 
visor. 

Thus  far  it  has  been  my  aim  to  hold  myself  closely  to 
the  highest  authority  of  moral  ethics.  It  can  easily  be  seen 
as  we  follow  along  the  exacting  nature  of  this  grandest  of 
professions.  The  surgeon  or  physician,  in  spite  of  his  gen- 
ius for  invention,  cannot  creditably  secure  a  patent  for  any 
important  device.  His  calling  is  based  on  human  sacrifice. 
If  he  has  been  honest  to  himself,  to  the  profession  and  to 
humanity,  he  made  a  financial  sacrifice,  as  does  tha  priest  in 


MEDICAL  ETHICS.  620 

the  interest  of  humanity  when  he  decided  to  devote  his  life 
to  its  service. 

For  the  same  reason  any  communication  to  the  public 
press,  directly  or  indirectly,  in  the  detail  of  an  operation, 
either  to  show  skill  upon  a  poor  patient  or  to  show  patron- 
age and  surgical  service  for  the  wealthy,  is  considered  un- 
warranted and  outside  of  the  moral  code  upon  which  emi- 
nent surgeons  must  ever  remain. 

When  we  consider  the  various  schools  of  medicine,  one 
cannot  but  be  deeply  impressed  with  the  uniformity  with 
which  the  moral  ethics  is  observed.  During  my  profession- 
al career,  which  began  in  1872,  it  has  not  come  to  me  by  in- 
vestigation and  ordinary  sources  that  any  surgeon  has  asked 
or  demanded  recompense  for  services  to  a  fellow  surgeon  or 
practitioner,  excepting  in  two  cases,  one  of  which  was  Sat- 
.  terlee  against  the  estate  of  Dr.  Guernsey — an  outrage  which 
would  not  have  been  tolerated  had  he  lived.  We  are  indeed 
glad  Dr.  Satterlee  was  not  a  member  of  our  school. 

What  one  of  us  has  not  performed  the  most  daring  of 
surgical  procedures  for  the  purpose  of  saving  a  life  con- 
nected, directly  or  indirectly  in  the  medical  brotherhood? 
Gifts  expressive  of  appreciation  have  been  offered  and  taken, 
but  who  of  the  surgeons  wanted  more  than  the  satisfaction 
of  having  done  a  fellow  in  his  humane  calling  a  good  turn? 

I  wish  to  say  to. the  surgeons  at  large,  based  upon  my 
investigations,  that  no  grander  body  of  professional  men 
exist,  and  to  you  who  are  at  the  top  will  say  your  eminence 
or  distinction  is  most  deserved,  and  the  many  humane  sac- 
crifices  you  have  made  for  the  poor  and  in  the  clinic  are  only 
equalled  by  the  brotherly  love  and  the  principle  and  venera- 
tion shown  the  Hippocratic  oath  you  have  so  well  observed 
in  your  kindness  when  the  opportunity  afforded  itself,  to 
the  profession  and  its  families. 

The  Senate  of  Seniors  unanimously  passed  the  following 
resolution: 

Resolved f  That  It  is  the  consensus  of  opinion  of  the  members  of  the 
Seaate  of  Seniors  that  any  violatioQ  of  theethicil  questions  involved  in 
the  following  article  by  any  member  of  the  American  Institute  of  Hom- 
eopathy would  place  such  a  person  in  a  position  for  action  by  that  body. 


630  THE  MEDICAL  ADVANCE;. 

CASE  STUDY  WITH  REPERTORY. 

By  W.  H.  Freeman,  M.  D.,  Brooklyn,  N.  Y. 
A.  R.,  age  19,  blonde,  blue  eyed,  bilious;  constipated 
for  six  weeks;  inactivity  of  rectum  and  no  stools  except- 
after  a  cathartic — chiefly  comp  licorice  powder  or  fig  syrup 
Headache,  above  eyes  and  in  eyes,  six  weeks. 
>by  a  cathartic  (entirely) 
<over  right  eye. 
Nausea  with. 
>cold  applications. 
>  while  Jying. 
<after  rising  from  lying. 
Appears  on  waking  mornings. 
Proceeded  by  a  blurred  vision  or  partial  blindness  which 
disappears  as  the  headache  comes  on. 

Sleeps  soundly  but  is  weary  and  unrefreshed  on  wak- 
ing. 

Has  always  been  a  great  milk  drinker  until  present 
illness. 

The  important  things  in  prescribing  accurately  are: 
First  a  careful,  exact  and  complete  image  or  picture  of 
the  disease  in  all  its  phases — pathologic,    objective,  diag* 
nostic,  and  subjective. 

Second;  a  careful  analysis  of  the  findings — e.  g.,  an 
accurate  interpretation  of  the  meaning  of  each  phase  and 
symptom,  in  so  far  as  such  is  within  our  power;  and  a  com- 
putation of  the  comparative  rank  or  value  of  each  symptom. 
A  military  company  will  have  a  captain,  lieutenants,  ser- 
geants, corporals  and  privates — all  two-legged  animals  but 
differing  markedly  in  importance.  The  same  holds  true  in 
a  company  of  symptoms. 

Third;  one  or  more  good  repertories  to  consult  in-order 
to  find  all  the  remedies  that  show  a  similiarty  to  the  rank- 
ing symptoms  of  the  case. 

To  begin  with  the  analysis,  therefore,  there  can  be  no 
question  but  that  the  blurred  vision  proceeding  headache  is, 
of  all  the  symptoms  present,  the  most  uncommon,  constant 
and   peculiar;  and  at  the  same  time  it  is  not  s  >  bizarre  or 


CASE  STUDY  WITH  REPERTORY.  631 

intricate  as  to  be  unfindable  in  the  records  of  proviQgs,or  so 
apparently  nonsensical  as  to  cause  any  doubt  of  its  genuine- 
ness, which  often  occurs  in  the*symptoms  of  certain  types 
of  imaginative  patients. 

Of  my  repertories,  I  find  the  most  complete  list  of  drugs 
for  the  symptoms.  Pain  begins  with  blurred  vision:  Grels*, 
Iris.,  Kali  bi.,  Sepia,  to  which  I  have  appended  Lac  def.) 
Psor.,  Sars.  Which  goes  to  show  that  one  needs  to  keep 
constantly  at  work  on  his  reperatory  to  bring  it  and  keep  it 
up-to-date  and  as  complete  as  possible  or  he .  will  miss  the 
remedy  in  a  great  many  cases. 

The  next  symptom  to  b^  considered  is,  for  this  particu- 
lar  case,  the  inactivity  of  the  rectum,  and  we  find  of  the 
first  seven  remedies  only  four  under  this  rubric:  Lac  def ., 
Psor.,  Sars.,  Sepia. 

The  next  symptom  of  rank  for  the  case  is,  the  ''nausea 
with  the  headachd,"  and  by  exclusion  we  get:  Lac  defl., 
Sars.,  Sepia. 

As  a  general  rule  in  the  ranking  of  symptoms  in  a  case 
where  some  are  of  the  same  apparent  age  and  probably  due 
to  the  same  cause,  it  is  usually  best,  after  selecting  the 
leading  characteristic  which  should  preferably  be  one  of 
few  remedies  if  possible,  to  then  take  up  the  more  common 
general  symptoms  of  differently  located  parts  of  the  body, 
because  these  generals  must  be  covered  and  when  symptoms 
of  differing  functions  and  organs  are  opposed  in  the  exclus- 
ive method  the  process  will  usually  rapidly  eliminate 
unnecessary  drugs,  provided  too  many  remedies  were  not 
in  the  captain  rubric  at  the  start  off.  Great  care  and  fore- 
sight must  be  shown,  however,  lo  have  the  initial  list  of 
drugs  for  this  first  rubric  complete. 

The  next  symptom  to  be  considered  will  be  headache 
>by  cold  applications,  and  none  of  the  three  remaining 
remedies  are  given  under  this  rubric.  Since  Sarsaparilla  and 
Sepia  are  two  of  the  oldest  and  best  proved  remedies,  it  is 
fair  to  assume  that  they  do  not  possess  this  symptom  or  it 
would  be  recorded.  With  Lac  defloratum  however,  it  is 
different — the  latter  being  a  modern  addition  to  the  materia 


632  THE  MEDICAL  ADVANCE- 

medica,  bub  little  used  and  understood  and  never  as 
thoroughly  proved  or  tested.  We  can  not  legitimately 
exclude  it  therefore  until  after  further  consideration. 

A  careful  study  of  Lac  defloratum  in  Clark's  Dictionary 
of  Materia  Medica  confirmed  the  opinion  that  this  was  the 
only  remedy  which  corresponded  in  every  respect  with  the 
disease  manifested  in  the  patient;  and  also  confirmed  the 
opinion  that  this  was  probably  a  case  of  chronic  milk 
poisoning.     Not  an  impossible  condition  by  any  means. 

Since  none  of  the  other  head  rubrics  showed  Lac.def., 
though  it  covers  same  according  to  Clark,  it  is  easily  seen 
how  one  may  be  led  astray  in  the  case  of  some  of  the  newer 
and  imperfectly  repertoried  drugs.  This  is  one  reason  why 
the  method  just  referred  to  is  advantageous  in  repertory 
work,  as  the  large  general  rubrics  are  most  apt  to  be  com- 
plete and  the  special  and  particular  rubrics  incomplete, 

Lac.  def.  200  (B.  &  T.)  three  doses,  one  every  twelve 
hours,  was  followed  by  immediate  improvement  which  has 
continued  steadily  for  the  ten  days  since  administration. 


A  CASE  OF  POLYPI. 

By  Eloise  O.  Richberg,  M.  D.,  Chicago; 

Case  No.  1905. — Mrs.  B.  N.  W.,  age  50,  had  been  a  pro- 
lific grower  of  nasal  polypi  for  years,  and  had  had  them 
removed  surgically  once  or  twice  a  year.  There  was  great 
distress  before  each  opertion,  much  suffering  and  hemor- 
rhage at  the  time,  and  days  and  sometimes  weeks  of  extreme 
debility  and  misery  afterward. 

During  the  year  1906  she  was  treated  with  Psorinum, 
receiving  about  five  doses,  but  developed  no  aggravation  of 
the  polypi  symptoms.  The  symptoms  then  changed,  and  a 
dose  of  Phosphorus  was  given.  Shortly  afterward  she  dis- 
charged, naturally,  a  polypus  about  three-fourths  of  an  inch 
long,  and  under  a  continuance  of  the  remedy,  later  another 
and  smaller  polypus  was  discharged.  After  this  she  devel- 
oped an  aggravation  of  Phosphorus, — burning  during  urina- 
tion, which  was  every  few  minutes;  prolapsus  uteri,  profuse 
bloody,  yellow  discharge  from  left  nostril. 


j 


IDIOSYNCRASY  IN  REGARD  TO  EGGS.  633 

Sepia  gave  relief  within  half  a  day,  and  she  prospered 
on  it  until  she  felt  np  further  need  of  treatment  of  any  kind. 

— Hering  College  Clinic, 


AN  IDIOSYOCBASY  IN  REGARD  TO  EGGS. 

Doubtless  there  are  persons  with  whom  eggs  are  diffi- 
cult of  digestion,  but  possibly  M.  Linossier  indulged  in  a 
little  exaggeration  when,  at  a  recent  meeting  of  the  Paris 
Society  of  Biology  {Semaine  medieale,  December  6th),  he 
declared  that  there  were  certain  individuals  to  whom  fresh 
hen's  eggs  were  poisonous.  Poisonous  is  a  strong  word  to 
apply  to  articles  of  food  capable  of  giving  rise  to  digestive 
derangement,  and  such  disturbance  was  jill  that  Linossier 
attributed  to  the  alleged  toxic  action  of  eggs,  though  he  did 
cite  Brocq  as  authority  for  the  statement  that  white  of  egg 
was  capable  of  provoking  urticaria.  There  is  hardly  any 
ordinary  article  of  food  which,  wholesome  as  it  may  be  for 
most  persons,  is  not  provocative  of  digestive  disturbance 
with  exceptional  persons.  Were  we  to  class  as  poisons  all 
articles  that  have  that  effect,  there  would  be  little  left  that 
could  be  looked  upon  as  invariably  nonpoisonous.  But  it  is 
nothing  worse  than  hyperbole  to  say  that  what  is  one  man's 
meat  is  another  man's  poison. 

[Had  the  learned  editor  of  the  Medical  Review  of  Reviews, 
from  which  the  above  is  taken,  seen  some  of  the  cases  cured 
by  Perrum  and  Colchicum  in  the  hands  of  the  homeopath, 
he  would  be  less  skeptical  regarding  Linossier's  assertions.] 


MT  VOW. 

I  will  not  be  a  coward  and  slink  away  when  people  talk 
of  Colleges,  because  mine  is  not  the  largest  in  the  land;  on 
the  contrary,  I  will  take  and  make  advantage  of  every 
opportunity  to  sing  praises  for  my  college  of  Homeopathy. 
I  will  no  longer  try  to  build  up  by  tearing  down;  I  will  find 
no  more  fault,  but  will  try  to  support  my  College  by  material 
aid  and  rational  suggestions  for  its  betterment. — Chironian. 


The  Medical  Advance 

A  Monthly  Journal  of  Hahnemannian  Homeopathy 
A  Study  of  Methods  and  Results. 


When  we  have  to  do  with  an  art  whose  end  is  the  saying  of  human  life  any  neglect 
to  make  ourselves  thorough  masters  of  it  becomes  a  crime,— Habnbmavn. 

Subscription  Price    -     -    -     -    Two  Dollars  a  Year 


We  believe  that  Homeopathy,  well  understood  and  faithfully  practiced,  hM 
power  to  save  more  lives  and  relieve  more  pain  than  any  other  method  of  treat- 
ment ever  invented  or  discovered  by  man;  but  to  be  a  flrst-class  homeopathic  pre* 
Bcriber  requires  careful  study  of  both  patient  and  remedy.  Yet  by  patient  care  it 
can  be  made  a  little  plainer  and  easier  than  it  now  is.  To  explain  and  define  sna 
In  all  practical  ways  simplify  it  is  cur  chosen  nork.  In  this  good  work  we  ask 
Toor  help. 

To  accommodate  both  readers  and  publisher  this  journal  will  be  sent  anti 
arrears  are  paid  and  it  is  ordered  discontinued. 

Communications  regarding  Subscrlptons  and  Advertisements  may  be  sent  to 
the  publisher,  The  Forrest  Press.  Batavia,  Illinois. 

(Contributions.  Exchanges,  Books  for  Review*  and  all  other  communications 
should  be  addressed  to  the  fiditor,  6142  Washington  Avenue,  Chicago. 

SEPTEMBER,    1908. 

iSbitodaU 

Hering  Medical  College.— The  next  session  will  begin 
September  22nd.  Dr.  E.  H.  Prat  will  hold  his  Surgical 
Course  in  the  forenoon  of  Tuesday,  Wednesday  and  Thurs- 
day; the  regular  classes  in  the  afternoon.  This  course  is 
free  to  practitioners  of  all  schools  and  to  the  students  of  the 
college,  and  is  an  extra  inducement  for  every  student  to  be 

present  at  the  opening  day. 

«  ♦  * 

The  Southern  Homeopathic  Medical  Association  is  an- 
nounced to  meet  at  New  Orleans,  February,  1909,  during 
Mardi-Gras.  This  is  one  of  the  most  important  of  our  inter- 
state societies.  It  was  founded  largely  through  the  efforts 
of  Dr.  C.  E.  Fisher,  and  has  done  a  grand  work  in  popular- 
izing our  cause  in  the  South.    There  is  no  part  of  the  coun- 


EDITORIAL.  6K 

try  which  needs  active  propagandism  for  Homeopathy  more 
than  the  South,  and  notwithstanding  the  splendid  work  be- 
ing done  by  the  state  societies,  every  homeopath  south  of 
the  Ohio  river  should  earnestly  join  in  maintaining  this 
society.  Now  that  the  time  of  meeting  has  been  changed  to 
the  festival  season,  in  February,  a  good  time  for  our  north- 
em  physicians  to  take  a  winter  vacation  of  a  few  days,  there 
is  no  doubt  many  will  attend  the  meeting. 

Membership  is  not  confined  exclusively  to  the  South  any 
more  than  is  that  of  the  American  Institute.  Every  homeo- 
pathic physican  is  cordially  welcomed,  whether  a  member  or 
not,  and  every  homeopath  is  also  invited  to  become  a  mem- 
ber and  lend  his  active  support.  There  is  no  initiation  fee; 
the  annual  dues  are  $2.  Dr.  V.  H.  Hallman  of  Hot  Springs 
is  president,  and  Dr.  Edward  Harper  of  New  Orleans  is  sec- 
retary. 

*  «  * 

British  Homeopathy.— The  question  has  often  been 
asked,  for  many  years:  Why  do  not  our  British  colleagues 
establish  a  homeopathic  college  in  London?  They  have  a 
large  and  flourishing  hospital,  there  are  many  practitioners, 
and  there  is  an  urgent  demand  all  over  Great  Britain  for 
more  homeopathic  physicians.  One  of  the  best  answers  to 
this  question  that  we  have  seen  is  to  be  found  on  another 
page  under  ** Comment  and  Criticism,"  by.  Dr.  Margaret  L. 
Tyler  of  London.  It  is  clear-cut  and  an  admirable  explana- 
tion of  the  predicament  in  which  the  homeopathic  profession 
of  Great  Britain  finds  itself.  Her  proposal  also,  as  giveil  in 
her  letter,  is  a  practical  solution  of  the  problem.  And  this 
by  a  woman,  again  proving  the  old  saying,  that  brains  and 
mental  acumen  are  not  confined  to  any  sex.     We  bespeak  for 

her  two  letters  a  careful  perusal. 

«  *  * 

The  Single  Remedy  and  Single  Dose  is  a  problem  which 
Hahnemann  solved  for  himself  in  laying  down  the  basic 
principles  of  the  science:  '*One  single,  simple  medicinal 
substance  at  a  time.'' 

Every  remedy  is  proven  singly  on  the  healthy  and  to 


636  THE  MEDICAL  ADVANCE. 

comply  with  the  requirements  of  simiiia  must  be  given 
singly  1  to  the  sick  to  obtain  the  results  expected  or  de- 
manded by  the  law. 

The  single  dose  is  as  logical  as  the  single  remedy.  Wheu 
Hahnemann  undertook  to  demonstrate  that  there  were  many 
methods  but  only  one  law,  he  appealed  directly  to  the  ac- 
tion of  disease,  acute  and  chronic,  when  allowed  to  run  their 
normal  course  unaffected  by  medicinal  action. 

Can  we  do  better  in  an  attempt  to  illustrate  the  single 
remedy  than  to  study  Hahnemann's  explanation  in  the  Or- 
ganon:  One  dose;  one  infection,  of  tetanus,  sepsis,  tubercn- 
•losis,  hydrophobia,  yellow  fever,  Asiatic  cholera,  Lubonic 
plague,  scarlatina,  measles,  whooping  cough,  small-pox, 
gonorrhea,  syphilis,  rhus  poisoning,  etc.,  etc.,  is  suflScient 
to  produce  the  effect.  Perhaps  in  the  entire  history  of  drug- 
proving  no  better  example  can  be  found  than  the  effects  of  a 
single  dose  of  Rhus,  and  this  may  occur  in  susceptible  per- 
sons who  have  not  been  within  100  feet  of  the  plant. 

These  diseases,  or  effects  of  disease  action,  may  be  mild 
or  malignant,  according  to  the  susceptibility  of  the  persons 
affected.  The  single  remedy,  it  is  true,  may  be  subject  to 
the  same  limitations,  the  dynamic  strength  of  the  patient, 
yet,  both  in  theory  and  in  practice,  it  is  the  logical  conclu- 
sion of  scientific  prescribing. 

«  *  * 

The  Facts  and  Fallacies  of  medical  education  become 
more  apparent  as  time  goes  by.  In  the  address  of  the  pres- 
id&nt  of  the  American  Medical  Association  at  Portland  a 
startling  announcement  was  made  that  we  have  too  many 
colleges  and  too  many  students:  **that  we  graduate  2,000  more 
every  year  than  can  find  places  in  which  they  can  make  a 
living.''  This  announcement,  apparently,  was  the  keynote 
for  the  effort  which  has  been  taken  to  curtail  both  medical 
colleges  and  their  graduates. 

Now  comes  an  announcement  to  the  daily  press,  copied 
from  the  statistics  published  by  the  Journal  of  the  American 
Medical  Association^  showing  a  marked  decrease  in  the  num- 
ber of  students,  as  well  as  in  the  number  of  graduates,  for  the 


EDITORIAL.  637 

last  three  years,  on  which  the  following  comment  is  made: 

That  there  will  be  fewer  physiciaDS  in  the  years  to  come,  in  spite 
of  a  largely  increased  population  is  shown  by  the  number  of  graduates. 
The  total  for  this  year  is  4,741,  a  decrease  of  239  in  a  y^ar  and  of  623  in 
two  years.  There  also  is  a  net  loss  of  9  in  the  number  of  medical  schools. 

The  efforts  to  improve  the  status  of  the  profession  in 
this  country  will  meet  with  the  hearty  approval  of  every 
member  of  every  medical  faculty  in  the  country.  The  home- 
opathic colleges  were  the  first  under  the  action  of  the  in- 
tercollegiate committee  of  the  American  Institute  to  raise 
the  standard  of  medical  education  and  increase  the  time 
from  three  to  four  years,  and  the  results  of  the  effort  are 
appearing  in  the  qualifications  of  the  graduates.  This  effort 
on  the  part  of  the  homeopathic  profession  has  been  sec- 
onded by  that  of  other  schools  until  all  have  come  up  to  the 
four  years'  standard. 

And  now  examine  the  other  side  of  the  picture.  While 
the  allopathic  schools  graduate  2,000  students  more  than  they 
can  find  places  for,  the  homeopathic  schools  have  2,000 
places  more  than  they  can  find  occupants  for.  There  is  a 
constant  and  growing  demand  all  over  this  country  for 
homeopathic  physicians,  and  it  is  not  merely  for  the  empiri- 
cal homeopath,  but  it  is  for  the  better  class,  the  true  home, 
opathic  prescriber.  If  the  effort  that  is  now  being  made  to 
require  the  A.  B.  as  a  preliminary  entrance  to  medical  c:lle' 
ges  succeeds,  it  will  not  only  curtail  the  students  now  but 
seriously  cripple  the  profession  in  the  near  future.  After  a 
young  man  has  spent  his  money  and  his  time  to  obtain  an  A. 
B.  degree  a  small  city  is  not  large  enough  to  hold  him.  The 
graduates  of  medical  colleges  will  all  cluster  to  cities  of 
100,000  and  over,  and  the  unfortunate  people  in  towns  or 
cities  of  from  1,000  to  20,000  inhabitants  are  bound  to  suffer. 
The  young  man  is  too  highly  educated  to  practice  in  the 
country,  and  nothing  but  the  largest  city  will  appreciate  his 
efforts,  hence  it  is  possible  to  so  increase  the  preliminary 
requirements  for  entrance  to  medical  colleges  as  to  * 'kill  the 
bird  that  laid  the  golden  egg.'' 


688  THE  MEDICAL  ADVANCE. 

Amerlean  Patriotism  as  illustrated  in  the  Poartii  of 
July  fatalities,  notwithstanding  every  effort  made  to  secure 
a  "sane  Fourth,"  presents  its  deadly  column  as  before.  The 
Journal  of  the  American  Medical  Association,  which  has  tabu- 
lated the  fatalities  for  the  last  six  years,  has  again  conferred 
a  f avcM*  on  the  medical  profession  by  calling  attention  in  a 
recent  issue  to  the  results  of  1908.  The  tribute  which  the 
American  people  pay  to  the  toy  pistol,  the  cannon  fire- 
cracker and  firearms  in  general  is  simply  appaling,  yet  in 
Toledo,  where  firearms  have  been  prohibited,  there  was  no 
death, and  but  eight  injuries.  There  were  6,623  cases  reported^ 
with  163  deaths — Chicago,  Cleveland  and  New  York  head- 
ing the  list — and  it  is  high  time  that  the  profession  all  over 
the  United  States  made  a  united  appeal  to  their  patrons  to 
do  away  with  this  insane  patriotism.  Celebrations  that  are 
harmless  may  be  had  without  number,  and  the  sooner  other 
large  cities  follow  the  example  of  Toledo  the  better  it  will 
be  for  the  nation. 

The  restriction  or  prohibition  of  the  sale  of  firearms  and 
explosioves  and  the  substitution  of  sane  methods  of  celebra- 
ting the  anniversary  are  recommeded  in  the  Journal  of  the 
A.  M,  A.,  which  says  editorially: 

That  the  total  number  of  injurieB,  and  also  the  total  number  of 
deaths  from  causes  other  than  tetanus,  were  both  greater  than  in  an/ 
previous  year  since  1903,  in  spite  of  the  widespread  agitation  against 
dangerous  celebration  that  has  been  waged  by  the  puhlic  press  for  years, 
is  striking  evidence  of  the  callousness  and  recklessness  of  the  public 
Every  one  of  these  5,460  injuries,  163  deaths,  104  blinded  or  half-blinded 
unfortunates  represents  an  absolutely  unnecessary  and  wanton  sacrifice 
to  a  senseless  and  barbaric  notion  as  to  what  constitutes  a  ''good  time,'' 
and  is  an  additional  evidence  of  the  cheapness  of  human  life  in  tbe 
United  States.  Furthermore,  the  greater  part  of  these  casualties  repre- 
sent actual  violations  of  the  law,  for  there  are  few  towns  or  cities  which 
■have  not  statutes  forbidding  the  use  of  revolvers  and  cannon  crackers, 
at  least,  in  Fourth  of  July  celebrations. 

But  no  matter  how  much  agitation  there  may  be,  or  how  much  legis- 
lation the  **city  fathers"  may  provide,  the  spirit  of  indepeodenoe 
continues  to  manifest  Itself  by  violating  every  law  of  -public  safety  or 
common  Reuse,  and  patriotism  is  attested  by  loss  of  lives,  fingers,  eyes 
and  cuticle.  All  this  absurd  personal  and  civic  mutilation  is,  after  all, 
but  one  of  the  many  manifestations  of  the  disregard  for  life  and  property 


EDITORIAL.  63* 

with  which  our  country  continually  shocks  and  amazes  the  rest  of  the 
world. 

Baltimore  and  Toledo  are  reported  as  having  practically  prohibited 
all  fireworks,  with  a  very  satisfactory  diminution  ip  the  acccidents  of 
the  day.  With  the  example  of  these  cities  before  them  it  is  to  be  hoped 
^at  other  communities  will  see  the  practicability  of  refusing  longer  to- 
tolerate  the  useless  disorder,  slaughter,  destruction  and  waste  to  which 
they  have  submittdd  every  year  without  making  any  honest  effort  to- 
Buppress  them. 


ORTHOPEDICS  AT  HEBING  COLLEGE. 

In  the  catalogues  of  over  twenty  of  the  leading  medical 
colleges  of  the  United  States,  this  subject  is  almost  entirely 
neglected.  Where  it  is  taught,  the  ordinary  text-books  are 
used;  perhaps  it  is  well  for  humanity  that  there  is  so  little 
teaching  of  that  kind. 

In  the  last  75  years,  an  entirely  new  system  of  ortho- 
pedics has  been  evolved  by  the  Bannings.  The  father 
originated,  and  the  son  has  continued  it,  until  we  have 
actually,  a  homeopathic  system.  The  procedures  are,  of 
course,  surgical  and  mechanical,  but  they  are  in  strict  accord 
with  the  law  of  similars.  They  will  produce,  when  applied 
to  well  farmed  persons,  exactly  the  conditions  which  they 
will  correct  when  applied  to  deformed  persons. 

The  method  is  mainly  suggestive  to  the  muscles,  and 
only  the  finer  forces  are  used,  in  marked  contrast  to  the 
plaster  jacket  and  other  severe  contrivances  which  unsuc- 
cessfully endeavor  to  pull,  push  or  compress  a  person  into 
symmetry,  and  hold  him  there  until  the  parts  are  so  weak- 
ened as  in  most  cases  to  be  permanently  injured,  and  in 
some  cases  to  be  beyond  all  hope  of  repair. 

Hering  is  the  only  medical  college  in  the  world  where 
this  system  is  taught, and  her  graduates  are  the  only  ones  so 
trained  in  the  art  of  Orthopedics  as  to  be  able  to  bring 
deformed  bodies  into  symmetry  without  pain,  operation  or 
confinement  to  bed.  The  students  are  enthusiastic  over 
the  clinical  demonstrations  of  this  method  and  the  alumni 
would  add  greatly  to  their  armamentarium  and  income  by 
taking  a  post^^^raduate  course. 


640  THE  MEDICAL  ADVANCE. 

The  real  importance  of  this  branch  of  medicine  is  not 
appreciated  until  we  consider  the  troubles  that  originate 
fi^om  a  primary  curve  or  rotation  at  the  junction  of  the  dor- 
sal and  lumbar  'vertebre.  These  are  the  principal  diseases 
of  the  cord  and  brain;  tuberculosis  of  the  bones,  lungs  and 
viscera;  many  of  the  ailments  of  the  stomach,  and  liver; 
pancreatic  and  intestinal  troubles,  appendicitis,  and  all  dis- 
placements of  the  viscera,  including  those  of  the  pelvic 
cavity.  B. 


The  New  York  Homeopathic  College.  Under  Dean 
Copeland  the  Chair  of  Materia  Medica  has  been  reorganized. 
Dr.  R.  F.  Rabe  is  the  head,  with  Dr.  Stuart  Close  to  teach 
the  Organon — the  Philosophy  of  Homeopathy.  In  Materia 
Medica,  Dr.  Rabe  has  the  Seniors;  Dr.  W.  H.  Freeman,  the 
Juniors;  Dr.  D.  E.  S.  Coleman,  the  Sophomores;  and  Dr. 
Guy  B.  Stearns,  the  Freshmen,  with  Dr.  A.  E.  Hinsdale  on 
Physiological  Materia  Medica.  This  chair,  the  correct 
teaching  of  which  is  so  vital  to  success,  now  has  four  well 
known  Hahnemannians  at  the  head  of  its  staff. 

In  the  College  of  Physicans  and  Surgeons,  Denver,  Dr. 
F.  A.  Gustafson,  one  of  the  best  teachers  in  our  school,  has 
been  unanimously  elected  Professor  of  Materia  Medica  and 
the  Philosophy  of  Homeopathy. 

The  Louisville  College  has  elected  Alexander  Vertes, 
M.  D.,  Ph.  D.,  H.  M.,  Professor  of  Materia  Medica  and 
iPhilosophy  of  Homeopathy  afid  Professor  of  Clinical  Medi- 
cine. 


Don't  incise  a  furuncle  of  the  auditory  canal.  Tampon 
the  canal  with  a  wick  of  cotton  or  gauze  saturated  with 
liquor  Burowii  (acetate  of  aluminum),  resorcin. alcohol,  or 
balsam  of  Peru,  and  wait  until  pain  has  diappeared.  Hot 
applications  may  be  needed.  A  furuncle  pointing  and 
threatening  to  burst  may  be  opened  with  a  superficial  cut. 
Avoid  wiping  the  pus  along  the  canal,  the  result  is  almost 
inyariably  a  fresh  crop  of  furuncles. 

[A  furuncle  treated  as  here  recommended,  paying  no 
attention  whatever  to  the  underlying  cause,  will  almost 
i-n'vi-riably  result  in  a  fresh  crop.  Furuncles  are  evidences 
of  sickness  and  should  never  be  treated  locally.    Ed.] 


Comment  anb  Cdtidsm. 

THE  LONDON  HOMEOPATHIC  HOSPITAL  AND 
HOMEOPATHY. 

L>EAR  Dr.  Clark  :  You  know  our  difficulties  at  the 
hospital— they  are  the  difficulties  of  Homeopthy  in  England. 

No  schools  to  train  men — uo  men  co  do  the  training  if 
we  had  schools — no  men  who  would  consent  to  be  trained  by 
any  men  we  could  get  together  for  the  purpose;  a  hospital, 
insufficiently  manned,  even  now,  and  soon  to  be  extended; 
an  urgent  need  for  a  constant  stream  of  good  homeopaths, 
not  only  to  improve  iis  present  methods  but  to  prevent  its 
falling  by  and  by  into  the  hands  of  surgery  and  Allopathy. 

Residents  (internes)  come  to  us  with  a  view  to  learning 
Homeopathy.  We  give  them  no  training,  and  we  disgust  them, 
and  cause  them  to  deride  by  the  spectacle  of,  say,  Dr.  Dyce 
Brown  solemnly  holding  forth  to  an  audience  composed  of 
the  two  gynecologists  of  the  hospital  on  the  diagnosis  of 
pregnancy!    And  this  by  way  of  spreading  Homeopathy  I 

.Till  a  couple  of  years  ago,  when  I  appealed  to  my 
father,  there  was  not  a  single  book  of  homeopathic  reference 
that  a  resident  could  lay  his  hand  upon.  He  bad  never 
heard  of  such  a  thing  as  a  repertory,  or  been  taught  to  use 
one,  and  this  is  a  homeopathic  hospital!  He  came  to  us 
with  the  gibe,  **Buy  a  plark's  Prescriber  and  carry  it  in 
your  pocket.     That  is  all  you  want  to  be  a  homeopath!" 

After  a  year  of  self- training  and  experiments  on  the 
patients,  and  a  little  pleasant  surgery,  we  turn  these  men 
out  as  **homeopathlc  doctors,''  and  some  of  the  lay  people 
who  are  keen  tell  me  the  result  in  very  plain  language.  Of 
course  a  good  man  will  laboriously  train  himself  and  work 
out  his  own  salvation — but  he  is  apt  to  get  looked  upon  as  a 
dangerous  possible  rival  who  had  better  work — anywhere 
else  and  as  far  away  in  the  country  as  possible! 

Again  the  patients  come  to  us  for  homeopathic  treat- 
ment and  we  put  them  into  the  hands  of  the  resident,  raw 
from  an  allopathic  school,  or  blundering  in  his  initial  ex- 


642  THE  MEDICAL  ADVANCE. 

periments  for  the  first  critical  hours  of  illness,  when  the 
right  remedy  would  abort  or  modify  the  trouble  in  a  way  that 
no  remedy  on  earth  will  do  so  effectually  a  few  days  later 
when  actual  time  tissue  changes  have  taken  place.  How 
much  better  our  results  would  be  and  how  much  more  honest 
would  be  our  attitude  if  we  had  men,  trained  in  a  hoine- 
opathic  school,  as  residents.  And  we  must  have  results  to 
appeal  to  ^hen,  by  and  by,  our  time  comes  to  clamor  for  a 
school  of  medicine  of  our  own.  If  we  had  the  money,  the 
buildings,  the  licensing  faculty  at  this  moment  they  would 
be  of  no  use  to  us.  We  have  not  the  men.  We  have  no 
men,  or  hardly  any,  who  would  appeal  to  young  post  grad- 
uates fresh  in  all  the  modern  developments  of  science. 

The  whole  thing  has  seemed  to  me  a  deadly  deadlock— 
the  most  vicious  of  vicious  circles— till  suddenly  1  got  an 
inspiration. 

You  people  have  sent  one  or  two  men  to  America,  but 
after  they  had  been  at  the  hospital — and  their  larday  train- 
ing  has  been  no  use  to  the  hospital — useful  to  nothing  but 
themselves  and  their  private  patients. 

Now,  my  idea  is  to  send  your  young  doctors  first  to 
study  in  the  homeopathic  schools  of  America,  where  they 
can  see  the  best  work  done  and  know  what  to  expect  of 
Homeopathy  and  how  to  use  it;  and  see  what  homeopathic 
schools  are  like  and  realize  how  necessary  they  are  to  our 
very  life  in  this  country.  Then  only  take  them  on  at  hos- 
pital as  residents  after  they  have  got  certificates  from  such 
schools. 

I  am  told  that  €150  each  is  all  that  is  required  and  that 
a  six  months'  course  ought  to  give  them  some  insight  into 
Homeopathy.  I  propose  to  send  one  such  scholar  myself 
each  year,  for  the  present  at  all  events:  and  my  mother 
will  gladly  send  two,  and  I  have  no  doubt  that  other  people, 
anxious  as  to  the  future  of  Homeopathy,  will  be  glad  to 
send  scholars. 

In  this  way  we  shall  be  able  to  get,  by  degrees,  quite  a 
number  of  qualified  men  who  have  seen  good  Homeopathy 
under  the  best  teachers  in  the  world,  who  will  be  fit  to  as- 


COMMENT  AND  CRITICISM.  648 

8nme  the  care  of  our  in-patients,  who  will  be  only  too  keen 
to  be  appointed  to  hospitals  where  they  will  be  able  to  put 
in  practice  what  they  have  learned,  and  who  will  tend  to 
make  our  results,  in  time,  something  that  we  can  appeal  to. 
They  must  also,  by  weight  of  numbers  and  of  better  knowl- 
edge, gradually  reform  the  practice  of  our  hospital  by  mak- 
ing the  lazy  and  effete  impossible,  and  we  shall  have  a 
healthier  and  a  militant  tone. 

Also,  in  the  course  of  a  few  years,  we  ought  to  get  such  • 
a  number  of  good  homeopaths  in  this  country  as  to  be  able 
to  bring  pressure  to  bear  on  the  licensing  bodies,  with  a 
view  to  establishing  our  own  homeopthic  school  of  medi- 
cine. And  with  a  view  to  our  carrying  weight  with  the 
public  and  with  the  profession  I  should  propose  that  we 
select  most  carefully  and  only  send  out  as  scholars  men 
with  good  qualifications  and  abilities.  We  must  try  to  rob 
the  allopaths  yearly  of  their  giost  brilliant  men.  The  rest 
are  of  no  use  to  us. 

This  is  the  only  way  I  can  see  in  which  we  can  ever 
hope  to  get  a  school  of  homeopathy  in  this  country.  It  is 
useless  to  import  men  from  America;  they  would  have  no 
qualifications  here,  and  we  should  make  their  lives  a  burden 
to  them.  We  have  just  got  to  use  the  tools  at  our  com- 
mand;  to  employ  the  schools  of  America  as  a  lever,  to  raise 
ourselves  out  of  our  hopeless  and  somewhat  unsavory  rut. 

At  the  hospital  the  House  Committee  is,  I  believe,  en- 
thusiastic about  this  scheme,  simple  and  uncostly.  Arm- 
brecht  is  also  enthusiastic;  but  he  says,  '*Start  at  once;  try 
to  get,  not  three,  but  a  dozen  scholars  each  year.'*  I  am 
not  sure  that  he  will  not  give  one  himself. 

Details  have  not  yet  been  worked  out. 

It  will  be  a  condition  that  the  men  serve  in  the  hospi- 
tals, or  if  there  are  many,  in  one  of  our  honiieopathic 
hospitals  for  a  year.  The  other  hospitals  also  want  men 
and  one  does  not  hear  very  good  accounts  of  their  work. 

Now,  Dr.  Clark;  a  better  scheme.  Shall  we  swear  that 
we  will  not  die  till  we  have  a  school  of  Homeopathy  in 


644  THE   MEDICAL  ADVANCE. 

England?    Or  shall  we  at  least  swear  to  do  our  best  to  that 
end? 

Yours  sincerely, 

M.  L.  Tyler. 

P.  S. — I  also  propose  that  the  scholars  be  instructed  to 
report  for  their  benefit  and  ours  cases  of  good  drug  action 
with  indications  on  which  prescribed,  potency  and  repeti- 
tion.    These  we  will  publish. 

I  propose  also  that  we  waste  no  money,  no  men,  in 
sending  scholars  to  study  gynecology,  or  any  other  "ology" 
in  Vienna  or  any  other  centre.  The  one  thing  we  have  to 
teach  is  the  scientific  prescribing  of  medicines. 

Also  that  our  efforts  go  toward  providing  a  fund  the  in- 
terest of  which  will  send  out  scholars  till  we  get  the  school. 
Then  the  fund  will  belong  to  the  school. 


MEDICINE  AND  HERESY. 

Editor  Westminster  Gazette. 

Sir:  Will  you  permit  me,  through  the  medium  of  jour 
columns,  to  draw  attention  to  the  latest  manifestation  of  that 
Odium  Medicum  that  has  done  so  much  to  hinder  the  pro- 
gress of  medicine  in  this  country. 

My  mother.  Lady  Tyler,  and  I  are  offering  * 'three  schol- 
arships of  £150  each  to  fully  qualified  medical  men  desirous 
of  studying  Homeopathy  in  the  schools  of  America,"  and  an 
advertisement  to  that  effect  was  sent  to  two  of  the  leading 
"medical  journals,  the  Lancet  and  the  Practitioner^  to  be  in- 
serted in  the  usual  way  and  paid  for.  It  was  promptly  re- 
fused in  the  following  terms:  The  Lancet  **regretsthat  the 
advertisement  cannot  be  inserted;"  the  advertisement  man- 
ager of  the  Practitioner  **much  regrets  that  the  Editorial 
Committee  will  not  allow  him  to  accept  the  advertisement." 

Can  anything  be  more  absurd  than  such  a  refusal?  Are 
* 'fully  qualified  medical  men"  mere  children,  to  be  carefully 
guarded  from  the  temptation  to  acquire  a  little  extra  knowl- 
edge that  might  prove  useful  to  themselves  and  to  their 
patients?    Surely  they  are  capable  of  deciding  for  them- 


COMMENT  AND  CRITICISM.  615 

selves  whether  or  no  they  desire  to  study  the  science  of 
drug  prescribing — for  that  is  what  Homeopthy  really 
amounts  to.  What  possible  harm  can  it  do  them  to  know 
that  they  are  offered  a  chance  of  acquiring  fresh  insight 
into  the  art  they  profess  to  practice,  and  that  in  no  hole-and- 
corner  way,  but  by  means  of  lectures  and  clinical  teachings 
in  the  regular  medical  schools  of  a  friendly  State?  Surely 
it  is  time  that  this  puerile  boycott  should  cease.  Do  the  ex- 
ponents  of  the  old  school  look  upon  medicine,  in  this  twen- 
tieth century,  as  a  mere  creed  with  dogmas — that  it  should 
be  a  question  of  orthodoxy  and  heterodoxy?  And  is  medi- 
cine here,  today,  in  such  a  state  of  scientific  perfection  that 
no  knowledge  outside  that  taught  in  our  own  medical 
schools  can  conceivably  prove  helpful  to  its  practice?  ^ 

In  America,  where  Homeopthy  has  its  own  schools  and 
hospitals  in  abundance,  and  turns  out  a  couple  of  hundred 
fully  qualified  medical  practitioners  every  year,  the. Odium 
Medicum  has  pretty  well  died  a  natural  death.  For  the  old 
school,  having  once  discovered  that  to  write  up  the  word 
^'homeopath''  means  practically  to  get  all  the  patients  with 
long  purses — since  the  mass  of  the  educated  classes  over 
there  will  have  homeopathy  and  nothing  else — has  bent  the 
knee.  **Take  down  that  horrible  word,"  has  been  the  cry, 
**andwewill  live  together  in  peace.  Incur  difficulties  we  will 
come  to  you  for  suggestions,  and  in  yours  you  shall  come  to 
us.  We  shall  cease  from  war,  and  from  henceforth  dwell 
together  as  brethren'* — which  has  happened  to  a  great  ex- 
tent; with  the  result  that,  in  America,  homeopathic  drugs 
are  being  more  and  more  adopted  by  the  old  school,  and 
thence  filtering  through  into  our  own  pharmacopoepia,  where 
they  are  easily  recognized  as  such,  being  prescribed,  more 
homeopathicOi  singly  and  in  the  form  of  tinctures. 

In  this  country,  where  the  licensing  power  is  entirely 
in  the  hands  of  the  old  school,  ignorant  of  and  bitterly 
prejudiced  against  Homeopathy,  the  latter  has  to  contend 
with  overwhelming  difficulties.  Instead  of  the  science  of 
drug  prescribing  being  diligently  taught,  as  it  is  in  the 
homeopathic  schools  of  America,  from  the  very  first  mo- 


646  THE  Medical  advance. 

ment  to  the  very  last  of  the  curriculum,  with  examinations 
every  three  months  in  order  that  the  peculiarities  of  drug 
action  may  be  thoroughly  mastered,  in  this  country  it  is 
merely  picked  up  as  an  extra  by  a  few  enthusiasts, who  have 
accidentally  seen  the  Homeopathic  miracle  work,  and  wish 
to  perform  it,  but  who  have  all  their  experiments  to  make 
de  novo,  all  their  experiences  to  struggle  through  with  very 
little  help  and  every  discouragement;  and  Avho  are,  there- 
fore, penalized  by  all  sorts  of  disadvantages  and  disabili- 
ties and  have  to  endure  professional  boycott  for  the  rest  of 
their  lives.  But  truth  is  hard  to  stamp  out,  and  a  small 
spark  kindles  again  and  again  great  fires;  and  those  who 
have  a  law  of  nature  at  their  backs  are  apt  to  do  such  bril- 
liant work  as  keeps  scientific  medicine  alive,  and  must 
mean  its  final  vindication  in  this  country  also.  During  the 
last  few  months,  for  instance,  one  of  our  keen  younger  men 
tells  me  that  he  has  treated  sixty  cases  of  diphtheria  home- 
opathically,  without  antitoxin,  and  that  he  has  only  lost 
one  case  out  of  the  whole  sixty;  and  his  experience  is  by  no 
means  unique  in  Homeopathy.  Can  orthodox  medicine,  with 
antitoxin,  match  that?  Not  in  the  town  where  he  practices, 
at  any  rate!  The  statistics  of  the  regulars  there  are  shock- 
ing. 

But  Homeopathy,  like  every  other  science,  will  do  its 
best  work  only  in  the  hands  of  the  best  men,  systematically 
trained  under  the  best  teachers,  and  that  is  why  these 
scholarships  are  offered.  They  are  merely  meant  as  a  be- 
ginning. It  is  hoped  that  in  future,  as  the  importance  of 
the  question  becomes  appreciated,  a  large  number  naaybe 
forthcoming  every  year;  for  it  is  only  through  the  best 
men  and  by  the  best  work  that  public  and  medical  opinion 
can  be  influenced,  and  the  time  hastened  when  Homeopathy 
shall  claim  her  own  schools  in  this  country  also,  by  reason 
of  her  wide  and  beneficent  work  in  the  combating  of  dis- 
ease and  pain. 

Your  obedient  servant, 

M.  L.  Tyler,  M.  D. 

London,  Aug.  13,  1908. 


NEW   PUBLICATIONS.  647 

NEW  PUBLICATIONS 
THE  LESSER  WRITINGS  of  C.  M,  F.  von  Bonninghausen.  Com- 
piled by  Thomas  Lindslej  Bradford,  M.  D.,  author  of  *'Ljfe  of 
Hahoeman/'  "Homeopathic  Bibliography,"  "Index  of  Proyings," 
*' Pioneers  of  Homeopathy,"  etc.,  etc.  Translated  from  the  original 
German  by  Professor  L.  F.  Tafel.  350  pages.  8vo.  Cloth,  $1.50. 
Postage  15  cents.     Philadelphia.     Boericke  &  Tafel.    1908. 

The  homeopathic  profession  should  be  profoundly  grate- 
ful to  the  compiler,  translator  and  publisher  for  this  work, 
the  lesser  writings  of  the  sage  of  Munster,  the  Nestor  of 
Homeopathy. 

These  letters  and  papers   embrace  much    that  every 
student  of  our  science  should  read,  should  be  familiar  with 
in  the  early  history  of  Homeopathy.     Besides  his  Therapeu 
tic  Pocket  Book,  the  best  working  repertory  ever  compiled 
his  Whooping  Cough,  Sides  of  the  Body,  Drug  Affinities 
Intermittent  Fever,  Anti-Psoric  Remedies   and  Repertory 
and  his  device  for  finding  the  Characteristic  Value  of  Symp 
toms  arc  now  invaluable.     His  letters  to  RunmeL  Stapf  and 
other  colleagues  and  his  intimate  and  friendly,  even  frater- 
nal relations  with  Hahnemann,  render  many  of  these  papers 
classic,  especially  the  Three  Rules  of  Hahnemann. 

It  is  often  asked:  **How  high  potencies  did  Hahnemann 
use  in  the  last  years  of  his  practice  ?'*  BOnninghausen  here 
gives  a  number  of  patients  cured  with  the  200th,  1000th  and 
1500th  in  April,  1835,  eight  years  before  Hahnemann's  death, 
and  we  may  safely  conclude  that  Hahnemann  used  these 
potencies  of  Jenichen  and  Korsakoff  at  this  time. 


THE  CHRONIC  MIASMS:  SYCOSIS.  By  J.  Henry  Allen,  M.  D  , 
anthor  of  '^Diseases  and  Therapeutics  of  the  Skin'*  and  '* Psora  and 
Pseudo- Psora.'*  Professor  of  Dermatology,  Hering  Medical  Col- 
lege. Pages  42.3.  Cloth,  $3.00.  Published  by  the  author.  Chi- 
cago, 1908. 

This  work  is  dedicated  to  "that  devoted  band  of  physi- 
cians, natives  of  India  and  graduates  of  Hering  College"  who 
are  doing  such  a  grand  work  for  Homeopathy  in  their  native 
land. 


648  THE  MEDICAL  ADVANCE. 

Of  its  423  pages,  the  first  165  are  devoted  to  an  explana- 
tion of  gonorrhea,  acute  and  chronic,  and  a  differentiation  of 
sycosis  and  the  sycotic  diathesis.  It  is  an  attempt  to  eluci- 
date and  clear  up  the  great  sycotic  problem,  constitutional 
and  inherited  sycosis,  of  which  Hahnemann,  in  the  Chronic 
Diseases,  left  us  but  three  pages.  Little  or  nothing  is  to  be 
found  in  the  text-books  on  this  disease;  inhented  gonorrhea 
being  by  many  specialists  considered  impossible,  or  from  the 
viewpoint  of  modern  pathology  an  almost  unknown  diathesis. 
Hahnemann  gave  it  the  name  by  which  homeopaths  under- 
stand inherited,  tertiary  or  latent  gonorrhea,  sycosis;  but 
while  we  have  studied  and  relieved  many  patients  suffer- 
ing from  the  ravages  of  this  curse  of  the  human  race,  we 
have  done  it  without  any  clear  understanding  of  its  nature 
or  pathology.  Inherited  syphilis  is  well  understood;  but  of 
the  constitutional  effects  of  suppressed  gonorrhea — inher- 
ited gonorrhea,  sycosis — little  is  known.  It  is  nearly  30 
years  since  Neisser  discovered  the  gonococcus,  and  when  it 
is  found  in  pneumonia  or  other  acute  diseases,  many  years 
after  infection,  the  significance  of  the  diathesis  demands  at- 
tention. It  is  this  knotty  problem  of  which  so  little  is 
known  that  this  work  wrestles. 

It  is  a  companion  work  to  Psora  by  the  same  author. 
The  rest  of  the  book  is  devoted  to  the  therapeutics  of  syco- 
sis, acute  and  chronic  gonorrhea,  in  both  male  and  female, 
and  is  perhaps  the  best  compilation  on  the  therapeutics  of 
the  subject  to  be  found  in  our  literature. 

Books  received  too  late  for  review: 

Health  and  Beauty.  By  John  V.  Shoemaker.  Pp. 
476,  octavo.     P.  A.  Davis  Coy,  Publisher. 

Heredity  and  Prenatal  Culture  considered  in  the 
light  of  the  New  Psychology.  By  Newton  N.  Riddell.  Pub- 
lished by  the  author.     Chicago,  6328  Eggleston  Ave. 

Sex  of  Offspring.  A  Modern  Discovery  of  a  Prime- 
val Law.     By  Prank  Kraft,  M.  D. 


The  Medical  Advance 


'^£7^ 
■^^ 


Vol.  XLVL 


BITAVIA,  ILL.,  OCTOBER,  1908.         No.  10. 


PHILOSOPHY  ON  HOMEOPATHY. 

By  Dr.  J.  C.  Hallo  way,  M.  D.,  Galesburg,  111. 
Read  before  the  lotertional  HahnemaQn  Association,  Ohicagfo,  July  1,  '08. 

PART   1. 

The  constitution  of  medicine  as  a  science  demands  cer- 
tain indispensible  prerequisites  to  successful  t>rescribing,  all 
of  which  are  found  in  Homeopathy  and  nowhere  else.  The 
practitioner  must,  therefore,  adapt  himself  to  these  princi- 
ples or  forever  isolate  hiiQself  from  the  only  system  of  cure 
known  to  man. 

1.  The  first  problem  before  the  physician  is:  How  to 
ascertain  the  nature  and  properties  of  each  particular  sub- 
stance which  is  to  be  employed  in  the  treatment  of  the  sick. 

That  the  curative  principle  in  medicine  is  not  in  itself 
perceptible  is  undeniable.  Neither  the  color,  taste,  nor 
any  other  sensitive  property  will,  in  itself  reveal  the  mystic 
power  which  Almighty  God  has  hidden  within  the  inner  na- 
ture of  each  individual  drug.  Whether  a  drop  of  tincture  or 
a  grain  of  mineral,  all  that  can  be  seen,  or  felt,  or  tasted,  or 
smelt,  corresponds  to  the  hull.  But  where  is  the  kernel? 
Where  is  that  which  is  capable  of  deranging  the  vital  force 
of  the  human  organism  and  of  thus  altering  its  functions  and 
sensations?  It  cannot  be  perceived  by  any  of  the  natural 
senses,  not  even  when  assisted  by  the  most  powerful  aids 
which  the  ingenuity  and  inventive  faculty  of  man  can  sup- 
ply. It  is  even  beyond  the  realm  of  human  reason.  It  is 
"spirit  like!'*  But  that  power  in  drugs  which  cures  human 
ills,  mysterious  as  it  is,  is  not  more  so  than  that  force  of  the 
human  body  which  it  is  to  influence  simultaneously  with  the 


^1 


650  THE   MEDICAL  ADVANCE. 

physician's  high  and  only  mission.  Scalpel  in  hand  we  in 
stitute  a  scientific  search  for  that  force.  Aided  by  the  most 
powerful  microscope  we  scan  the  human  structure  from  its 
integument  to  its  most  internal  cell,  only  to  learn  that  eye 
hath  not  seen,  nor  finger  touched,  nor  reason  discovered  that 
mighty  energy,  that  invisible  power!  It,  too,  is  "spirit 
like!" 

So  we  decide  to  join  Hahnemann,  our  medical  guide, 
whose  memory  is  enshrined  in  the  work  he  accomplished 
and  in  the  hearts  of  all  who  have  been  able  to  appreciate 
him,  in  his  decision  that  the  power  hidden  in  the  inner  na- 
ture of  drugs  is  the  curative  power,  and  the  animating  force 
hidden  in  the  human  organism  is  the  vital  force,  and  that 
each  is  spirit  Jike!  The  same  hand  that  hid  the  one 
in  the  vegetable,  animal  and  mineral  kingdoms,  secreted 
the  other  in  the  human  body.  The  divine  fiat  has  decreed 
that  the  spirit-like  vital  force  which  controls  the  harmonious 
action  of  the  human  organism  shall  not  be  deranged  except 
by  a  spirit-like,  dynamic  power;  that  spirit-like  must  act 
upon  spirit-like;  dynamic  upon  dynamic.  This  picture  in 
one  view;  and  a  fly  carrying  a  germ  of  typhoid  fever  in  an- 
other portray  the  contrast  between  truth  and  error  on  the 
medical  canvas  of  the  present  century.  Inasmuch  as  the 
vital  force  is  itself  a  dynamis  our  master  wisely  concluded 
that  tinctures  should  be  succussed  and  minerals  triturated, 
not  that  their  material  elements  might  thus  be  better  adapt- 
ed to  the  size  of  blood  corpuscles,  as  some  have  erroneously 
concluded,  but  that  by  the  process  of  dilution  and  potentiza- 
tion  the  hidden  power  of  drugs,  the  drug-dynamis,  might  be 
unfolded  and  developed  as  a  spirit-like  power,  absolutely 
free  from  the  material  substance,  and  thus  be  brought  into 
correspondence  with  the  dynamis  of  the  human  system. 
This  dynamization  of  drugs  involves  the  scientific  process  of 
the  transplantation  of  the  medicinal  force  from  the  sub- 
stance of  the  drug  to  the  substance  of  the  vehicle  used  for 
dilution;  and  the  transplantation  again  of  the  drug-spirit 
from  the  dilution  to  the  vehicle  used  for  medication  when 
prescribing;  and  again  the  transplantation  of  the  drug-spirit 


^■m 


PHILOSOPHY  ON  HOJ^EOPATHY. 


651 


from  this  vehicle,  through  the  sentient  nerves  to  the  vital 
force  of  the  human  body. 

Upon  this  hypothesis  rested  Homeopathy  as  Hahnemann 
left  it;  upon  this  it  rests  today,  and  upon  this  it  must  ever 
rest  so  long  as  there  is  a  vital  force  to  become  deranged  and 
a  drug  force  to  cure.  Hence,  if  we  ever  discover  the  cura- 
tive principle  in  a  given  drug;  if  that  principle  is  ever  fully 
revealed  to  mortal  man,  it  must  be  by  the  transplantation 
of  that  drug-spirit  to  the  spirit-like  vital  force  of  the  healthy 
human  body.  If  the  latter  is  deranged  by  it  as  evidenced 
by  signs  and  symptoms,  thus  revealing  its  sick-making 
power,  then  we  can  conclude  with  absolute  safety  and  cer- 
tainty that  by  some  rule,  some  law,  the  once  hidden  power 
of  that  drug  possesses  a  curative  principle,  and  that  by  this 
experiment  on  the  healthy  subject  its  curative  principle  is 
revealed. 

The  crude  idea  of  some  materialists  that  the  sick-mak- 
ing power  of  a  medicine  must  be  ascertained  by  the  toxical 
drug  is  completely  overturned  by  the  fact  that  some  sub- 
stances in  their  crude  form  are  absolutely  inert,  but  when 
dynamized  and  thus  tested,  prove  to  be  most  powerful;  and 
secondly,  their  doctrine  is  set  aside  by  Hahnemann  in  the 
following  words:  **Themost  recent  observations  have  shown 
that  medicinal  substances,  when  taken  in  their  crude  state  by 
the  experimenter  for  the  purpose  of  testing  their  peculiar 
effects,  do  not  exhibit  nearly  the  full  amount  of  the  powers 
that  lie  hidden  in  them  which  they  do  when  they  are  taken 
for  the  same  object  in  high  dilutions  potentized  by  proper 
trituration  and  succussion,  by  which  simple  operations  the 
powers  which  in  their  crude  state  lay  hidden,  and,  as  it 
were,  dormant,  are  developed  and  roused  into  activity  to  an 
incredible  extent."  Thus  it  is  that  the  curative  principle  of 
any  drug  is  revealed  by  the  impact  of  the  drug  spirit  upon 
the  spirit  like  vital  force  of  the  healthy  human  body.  If 
this  lesson  were  better  understood  we  would  have  more 
Hahnemannian  physicians,  more  successful  prescribers  and 
more  ideal  cures,  cures  which  are  rapid,  gentle  and  perma- 
nent.    This  lesson  understood,  high  potencies  would  not   be 


652  '    THE  MEDICAL  ADV*A*NCE 

questioned  in  the  treatment  of  the  sick.  It  is  worthy  of  re- 
mark that  one  of  the  very  first  evidences  of  materialistic 
views  held  by  some  so-called  Homeopaths  is,  they  find  fault 
with  Hahnemann's  provings,  deny  the  pathogenetic  effects 
attributed  to  high  potencies  and  suggest  the  advisability  of 
making  new  provings  of  the  old  remedies  by  a  method 
which  shall  modernize  them  and  make  them  more  practical. 
Behind  such  a  plea  lurks  the  most  palpable  materialism, 
ignorance  and  downright  infidelity  respecting  all  Hahnemann 
has  taught  as  to  the  curative  power  of  drugs  being  "'spirit- 
like."  Therefore,  I  emphasize  the  importance  of  dynamic 
provings,  provings  which  develop  the  finer  shades  and  bring 
within  our  reach  cures  which  would  otherwise  be  impK)ssi- 
ble. 

PART   2. 

2.  The  second  prerequisite  is:  The  law  of  selection  by 
which  a  given  medicine  may  be  singled  out  from  all  others 
whose  curative  principle  has  been  revealed  by  the  same  in- 
fallible method. 

This  law  is  known  as  the  law  of  similars;  and  without 
stopping  to  explain  its  details  to  this  representative  body 
which  knows  them  so  well,  I  wish  to  discuss  briefly  our 
right  of  calling  our  therapeutic  rule  a  law.  Our  physiolc^- 
cal  brethren  scoff  at  a  therapeutic  law;  but  the  true  Homeo- 
path has  the  satisfaction  of  knowing  that  he  has  a  therapeu- 
tic law  which,  in  every  case,!imakes  a  cure  possible,  and  one 
which  explains  upon  a  scientific  basis  why  a  medicine  is  a 
specific  in  one  case  and  not  in  another,  though  the  patho- 
logical name  is  the  same;  and  this  must  ever  remain  a 
mystery  to  the  physician  who  has  not  been  initiated  into 
Homeopathy  as  Hahnemann  taught  it. 

The  general,  comprehensive  definition  of  law,  as  de- 
fined by  Blackstone,  is:  '*A  rule  of  action;"  and  this  ap- 
plies whether  pertaining  to  animate  or  inanimate  objects. 
In  our  case  the  ** action"  is  that  of  selecting  a  given  medi- 
cine as  a  specific  for  a  given  individual  sickness.  He  says: 
'*Law  is  a  *rule*  because  it  is  something  permanent,  uniform 
and  universal."    Here  we  welcome  the  definition  and  analy- 


PHJLbSOAH^OK'  HOkWoPAfrHY. 


653 


«is  of  the  great  coniment^tor,  antJ  submit  that  in  Homeopathic 
prescribing  our  therapeutic  law  is  ^permanent,  uniform  and 
universal.' "  In  defining  tliese  terms  we  shall  quote  from  Web- 
ster: *^*Permanent,  durable;  lasting;  continuing  in  the  same 
state,  or  without  any  change  that  destroys  the  form  or 
nature  of  the  thing."  Human  laws  and  institutions  maybe 
to  a  degree  permanent,  but  our  therapeutic  law,  like  the 
xjharacter  of  God,  is  unalterably  permanent.  It  is  based  on 
no  theory  as  to  the  action  of  drugs,  and  it  involves  no  theory 
whatever.  It  rests  on  the  fact  observed,  that  a  drug  will 
remove  a  group  of  symptoms  in  the  sick  if  it  has  produced 
a  similar  group  in  the  healthy.  The  law  is  simple,  clean- 
cut  and  decisive.  It  does  not  rest  on  speculation,  human 
theories  and  probabilities,  but  is  definite,  invariable  and 
certain.  It  is  not  a  shifting  principle  and  can  never  become 
obsolete.  It  is  as  durable  as  man  and  as  lasting  as  time.  It 
is,  therefore,  permanent. 

After  the  lapse  of  more  than  a  century,  the  pathogene- 
sis of  belladonna  as  ascertained  by  the  pure  experiments 
and  keen  perceptive  powers  of  our  Hahnemann,  is  its  patho- 
genesis today,  and  will  continue  to  be  until  the  trumpet 
sound!  Any  medicine  will  remove  in  the  sick  symptoms 
similar  to  those  which  it  has  produced  in  the  healthy,  and 
do  it  always,  among  all  nationalities,  and  in  all  ages.  It  will 
never  fail.  This  law  is  as  permanent  and  unchanging  and 
unchangeable  as  the  law  that  causes  water  to  seek  its  level, 
or  an  apple  to  fall  to  the  ground.  It  is  hence  a  therapeutic 
law,  permanent,  fixed,  exact,  unchangeble,  enduring  and 
always  reliable.  It  does  not  change  with  the  moon,  the 
seasons,  nor  the  precarious  tastes  of  men.  It  never  has 
and  never  can  be  so  unstable  as  to  be  Voted  in  one  year  and 
voted  out  the  next.  Unlike  its- foes  who  have  rejected  it,  it 
iihangeth  not!  It  is  not  elastic  that  it  may  be  stretched,  and 
will  not  accommodate  itself  to  the  most  autocratic.  It  was 
fixed  in  its  limits  and  in  its  operations  by  Creative  power  for 
the  scientific  amelioration  of  His  creature,  man,  and  like  its 
infinite  Author,  is  the  same  yesterday,  today  and  forever. 
The  discovery  of  this  therapeutic  law,  by  which  the  specific 


654  THE  MEOIPAL  ADVANCE. 

lor  each  individual  sickness  may  be  choseu  with  certaintiy» 
and  the  invention  of  dynapiization,  by  which  drug-spirit  is- 
liberpited  and  set  free  from  its  material  substance  and  by 
which  its  spirit-like  power  is  intensified,  made  Samuel 
Hahnemann  the  peer  of  all  men  in  the  medical  annals  of  the 
world. 

(b)  ** Uniform — Having  always  the  same  form  or  man- 
ner, not  variable.  Thus  we  say  the  dress  of  the  Asiatics  is 
uniform,  or  has  been  uniform  from  early  ages."  The  law  of 
similars  is  as  uniform  and  invariable  as  the  dress  of  the 
Asiatics.  It  always  has  this  form:  The  medicine  prescribed 
must  have  produced  in  the  healthy  an  image  of  sickness 
similar  to  that  in  the  patient.  To  the  extent  that  men  have 
attempted  to  alter  this  law  in  practice  while  professing  to 
follow  it  in  theory,  to  that  extent  have  they  repudiated  the 
only  law  of  cure  known  to  man,  and  justified  the  master  in 
his  appropriate  appellation  when  he  styled  them  **the  new 
mongrel  sect.**  We  submit  without  fear  of  successful  con 
tradiction,  that  this  therapeutic  law  is  invariably  **uniform" 
in  the  hands  of  all  who  practice  homeopathy. 

When  a  so-called  Hahnemannian  physician  tells  me  that 
be  used  to  lose  all  his  cases  of  malignant  diphtheria,or  about 
all,  especially  when  the  membrane  extended  to  the  nose  or 
larynx,  or  both,  when  he  relied  upon  his  potencies,  but  that 
now  he  knocks  the  spots  right  out  of  all  of  them  with  anti- 
toxin, I  conclude  at  once  that  there  is  something  radically 
wrong  with  his  homeopathy.  One  thing  certain:  It  is  not 
the  kind  Hahnemann  taught  and  practiced.  The  idea  of  a 
homeopath  casting  aside  his  therapeutic  law  and  adopting  a 
fad  or  fancy  without  law,  whether  from  the  old  school  or 
any  other  source,  is  most  preposterous.  The  only  condition 
under  which  I  would  use  anti-toxin,  whether  for  my  own  or 
another's  child,  is  to  first  dynamize  the  stuff,  then  test  it  on 
the  healthy  and  ascertain,  according  to  law,  when  to  use  it 
Those  who  have  learned  so  little  or  diverged  so  far  as  to 
prescribe  a  medicinal  substance  for  the  iron-bound  title  of  a 
so-called  disease,  as  for  instance,  quinine  for  chills,  opium 
for  pain,  or  anti-toxin  for  diphtheria;   or  who  under  any  cir 


PHILOSOPHY  ON  flOMBOPATHY. 


655 


ciunstances  prescribe  a  medicine  whose  curative  principle 
has  never  been  revealed,  but  who  nevertheless  prescribe  it  in 
an  empirical  fashion  because  some  drug  house  or  its  repre- 
sentative says  it  is  good  for  this  or  good  for  that,  are  not 
practicing  according  to  the  law  of  similars  and  are  not 
amendable  as  homeopaths. 

The  baneful  effects  of  allopathic  treatment  with  homeo- 
pathic medicines;  of  the  physiological  treatment  of  a  diag- 
nostic name,  have  poisoned  homeopathy  to  its  very  fountain. 
The  supporters  of  this  spurious  doctrine  do  not  seem  to 
realize  that  the  real  progress  made  by  the  dominant  school 
has  been  in  the  line  of  diagnosis,  surgery  and  sanitation; 
and  that  in  therapeutics  they  possess  no  surer  means  of  cur- 
ing a  sick  man  today  than  they  had  a  thousand  years  ago; 
that  all  their  serum  treatment  is  for  the  disease  and  not  the 
patient,  a  theory  which  always  has  and  always  will  prove 
futile,  and  that  the  only  effective  specific  which  they  have 
ever  discovered  is  the  open  air!  I  have  never  known  a  man 
to  undertake  a  criticism  of  homeopathy  as  Hahnemann 
taught  it,  or  of  the  homeopathic  materia  medica  as  he  fur- 
nished it,  who  did  not  make  an  ass  of  himself  and  betray  his 
woeful  ignorance  of  both.  Homeopaths  of  this  stamp  do  not 
represent  homeopathy.  On  the  contrary,  they  have  the 
right  to  full  membership  and  to  all  the  immunities  and 
blessings  in  Hahnemann's  **new  mongrel  sect"  which  is  now 
old,  in  which,  like  the  heathen,  they  have  **a  law  unto  them- 
selves." Medical  drummers  have  a  fashion  of  showing  their 
order  book  to  prove  how  many  homeopaths  have  ordered 
this  preparation  for  piles,  that  for  bronchitis  and  the  other 
for  eczema;  when,  in  fact,  there  is  not  a  homeopath  on  their 
order  list. 

True  homeopaths,  when  imposed  upon  in  spite  of  all 
protests  will  cram  their  literature  in  the  waste  basket  and 
order  their  samples  buried  where  they  can  not  harm  chil- 
dren and  innocent  animals;  for  they  need  nothing  but  their 
dynamic  remedies  for  hemorrhoids  or  anything  else  that  is 
not  strictly  surgical.  Right  here  I  want  to  put  myself  on 
record  as  afl&rming  unhesitatingly  that  the  immense  quantities 


656  V^HE  ME0I€ilL  ADVANOB. 

of  medical  trash  sent  out  by  9o-<ialled  hotbeopathic  pharma- 
cies and'  cotiotDerciatly  dealt  out  to  the  mnocent'by  so  called 
homeopalthic  physicians,  is  a  burning  disgrace  to  homeo- 
pathy and  a  detracting,  disparaging  and  libelous  slander 
against  its  fouiider!  If  no  physician  used  toore  of  this 
medicinal  rubbish  than  the  writer,  the  manufacturers  would 
soon  retire  from  business;  for  he  depends  solely  and  wholly 
upon  his  dynamic  remedies,  except  when  he  is  comx)eiled  to 
resort  to  surgery. 

(c)  ''Universal — All;  extending  to  or  comprehending 
the  whole  number,  quantity  or  space."  Here  again,  we 
submit  that  the  law  of  similars  comprehends  or  extends  to 
the  '* whole  number."  There  are  no  exceptions.  There  are 
no  individual  cases  of  sickness  to  which  the  law  of  similars 
will  not  apply,  and  which  may  be  cured  without  law.  So 
the  law  of  similars  meets  the  requirement  in  Blackstone  s 
definition,  that  it  shall  be  universal.  When  Hahnemann 
tested  cinchona  and  to  his  delight  and  satisfaction  found 
that  it  would  remove  symptoms  similar  to  those  which  it 
had  produced,  he  did  not  know  whether  this  was  in  keeping 
with  a  therapeutic  law,  or  only  a  coincident;  but  after  test- 
ing more  than  sixty  medicines  on  himself  and  many  more, 
on  others,  and  applying  them  in  natural  sickness  day  by 
day  according  to  the  same  rule,  he  ascertained  beyond  a 
doubt  that  this  God-given  rule  which  was  permanent  and 
uniform,  was  also  universal,  and  constituted  a  therapeutic 
law.  This  law  applies  to  all  drugs  and  to  all  cases  of  nat- 
ural sickness  which  do  not  come  within  the  province  of 
manual  surgery.  It  is  therefore  universal.  It  has  with- 
stood the  fiery  darts  of  more  than  one  hundred  years,  and  is 
able  to  withstand  all  the  combined  opposition  of  apostate 
friends  and  avowed  enemies  for  all  time  to  come.  But  there 
is  one  more  requisite,  according  to  Blackstone,  by  which 
our  therapeutic  law  must  be  tested.  It  is  expressed  in  these 
words:  **It  is  the  very  essence  of  a  law  that  it  be  made  by 
the  supreme  power."  Here,  too,  we  welcome  the  challenge. 
Municipal  law  must  be  made  by  the  supreme  power  in  the 
state;   but  our  therapeutic  law  was  made  by  the  supreme 


PHLLOSOPHY  ON  HOMEOPATHY. 


657 


>'^ 


Sovereign  of  the  universe.  Only  God  himself  could  so 
organize  the  human  body,  animated  by  a  vital  dynamis;  hav- 
ing commanded  into  existence  the  innumerable  medicinal 
substances,  hiding  within  each  a  spirit-like  power  always 
possessing  something  peculiar  and  exclusive;  and  then  so 
adapt  the  drug  spirit  to  the  vital  force  that  the  latter,  when 
deranged,  shall  be  curatively  affected — provided  the  selec- 
tion is  made  by  the  law  of. similars-  And  only  God  himself 
could  make  a  Hahnemann  and  implant  within  his  fertile 
brain  that  intuitive  genius  necessary  for  the  discovery  and 
application  of  this  law,  for  the  benefit  of  the  whole  human 
race.  When  I  ascribe  to  Hahnemann  the  honor  of  this  dis- 
covery I  am  aware  that  others  had  had  a  glimpse  of  the  idea 
of  curing  by  similars,  but  not  as  a  permanent,  uniform  and 
universal  rule;  not  as  a  therapeutic  law. 

PART  B. 

Our  third  prerequisite  to  successful  prescribing,  accord- 
ing to  the  philosophy  of  Homeopathy,  is  the  single  remedy. 
The  first  prerequisite,  to  which  your  attention  has  been 
invited,  that  of  treating  each  individual  drug  on  the  healthy 
human  subject,  precludes  the  use  of  more  than  one  medicine 
at  the  same  time  when  prescribing  for  the  sick,  unless  the 
additional  drugs  forming  a  compound  were  tested  on  the 
healthy  in  the  identical  compound  form  in  which  it  is  pro- 
posed to  prescribe  them.  The  reason  for  this  is  not  based 
on  mere  arbitrary  objections,  but  a  scientific  truth,  viz.:  that 
no  two  medicines  when  tested  together,  can  possibly  be 
equivalent  to  the  sum  of  their  pathogenesses  when  tested 
separately.  To  illustrate,  we  have  tested  the  flowers  of 
sulphur  and  the  carbonate  of  lime  together  under  the  name 
of  Hepar  Sulphuris  Calcareum.  The  pathogenesis  of  this 
combination  is  not  identical  with  that  of  sulphur,  nor  that  of 
calcareacarb.,  nor  the  sum  of  the  two.  Nor  can  we,  in  case 
we  find  an  image  of  sickness  similar  to  the  proving  of  hepar 
sulphur,  cure  the  patient  by  putting  sulphur  and  calcarea 
carb.  into  one  glass,  nor  by  administering  them  in  rapid 
alternation.    Each  individual  patient  has  a  personal  individ- 


658  THE  MBDICAL  ADVi&NGfi. 

uality.  Each  individual  druR  has  a  distinct  individnali^; 
and  two  or  more  drugs  cannot  have  one  individuality  and 
thus  become  one  medicine  and  the  simillimum  for  a  griven 
sickness,  unless  potentized  together.  No  two  medicines  can 
become  one  medicine,  by  any  other  process  known  to  man. 
Each  possesses  a  drug  spirit  peculiar  to  itselt  but  by  the 
-process  of  dynamization  these  become  fused  and  constitute 
one  spirit,  as  it  were,  in  a  new  creation  with  new  possibili 
ties,  and  its  curative  principle  is  new  and  distinct,  which  is 
to  be  revealed,  like  that  of  any  individual  drug,  by  testing  it 
on  healthy  humto  subjects. 

The  fathers  of  Homeopathy,  such  as  Hahnemann, 
BOnninghausen,  Hering,  Lippe,  Wells,  Dunham  and  a  host 
of  others,  by  their  fidelity  to  the  science,  succeeded  in  hand- 
ing to  us  the  blazing  torch,  which  in  turn  has  been  taken  up 
by  Allen,  Kent,  Nash  and  an  army  of  co-workers  who  are 
determined,  come  what  will,  to  perpetuate  pure  Homeopathy 
for  future  generations. 

I  wish  to  say  a  word  in  this  connection  concerning 
''combination  tablets.''  Of  all  the  deceptions  practiced  in 
the  guise  of  Homeopathy,  this  is  the  worst!  The  day  was 
when  combination  doctors  would  call  for  from  two  to  six 
tumblers;  but  the  practice  became  so  obnoxious  because  of 
its  manifest  odious  departure  from  the  Hahnemannian  stan- 
dard, that  they  devised  the  scheme  of  putting  the  two  to  six 
different  medicines  in  one  tablet.  This  would  deceive  the 
very  elect  themselves!  And  the  shame  of  it  is  that  some  of 
these  so-called  homeopathic  pharmacists  who  manufacture 
and  sell  this  article,  thus  making  a  solemn  mockery  of  all 
that  Hahnemann  has  written,  send  out  literature  in  which  an 
effort  is  made  to  defend  the  abomination  on  homeopathic 
grounds.  In  answer  to  all  such  twaddle,  which  never  can 
be  elevated  to  the  dignity  of  argument,  I  quote  the  following 
from  Hahnemann:  '*It  is  not  conceivable  how  the  slightest 
dubiety  could  exist  as  to  whether  it  was  more  consistent 
with  nature  and  more  rational  to  prescribe  a  single,  well- 
known  medicine  at  one  time  in  a  disease,  or  a  mixture  of 
several  differently  acting  drugs.     As  the  true  physician  finds 


■^^-"^ 


PHILOSOPHY  0*r  HOilEOPATHY. 


659 


In  simple  medicines  administered  singly  and  tiUcombitied,  all 
that  he  can  possibly  desire  (artificial  disease  forces  which 
are  able  by  homeopathic  power  completely  to  overpower, 
extinguish,  and  permanently  cure  natural  diseases),  he  will, 
mindful  of  the  wise  maxim  that  Ht  is  wrong  to  attempt  to 
employ  complex  means  when  sitnple  means  suffice,'  never 
think  of  giving  as  a  remedy  any  but  a  single,  simple  medi- 
<5inal  substance^'    This  is  why  he  laid  down  the  following 
imperative  rule  for  all  true  homeopaths:     **Inno  case  is  it 
requisite  to  administer  more  than  one  single,  simple  meid- 
cinal  substance  at  one  time"    Let  this  be  a  finality  then, 
regarding  the  single  remedy,  with  all  who  believe  in  the 
homeopathic  philosophy.    True,  few  who  buy  these  "green 
goods'  know  how  to  find' the  simillimum  in  any  given  case, 
but  this  is  no  justifying  cloak,  for  they,  like  others,   can 
learn.    No,   they  prefer  to  have  the  ''specific,'*  like  their 
traditional  brethren  whose  fellowship    they    court,    made 
ready  to   hand,    directions    and    all.     This   bottle    is    for 
*Cough";  this  for  '*Amenorrhoea";  this  for  '* Rheumatism," 
and  that  is  for  ** Worms"!    And  such  are   the  products  of 
"Homeopathic"  pharmacies!  and  the  professional  dupes  who 
buy  and  deal  them  out  to  their  lay  dupes  are  "Homeopathic 
physicians"!    What  a  travesty  on  Hahnemannian  Homeo- 
pathy!   Let  them  charge  me  with  extortion,  if  they  will;  let 
them  aver  that  my  medicines  are  as  worthless  as  they  are 
harmless;  let  them  even  call  me  "doc,"  but  let  no  man  call  in 
question  the  purity  of  my  practice   as  measured  by  the 
Hahnemannian  standard.     Perhaps  we  ought  to  say  in  all 
kindness  to  those  who,  because  of  the  peculiar  kind  of  pre- 
ceptors  and    college   faculties   which    brought    them    into 
professional  existence,  do  not  know  that  the  only  specific 
possible  is  the  medicine  whose  pathogenesis  is  similar  to  the 
image  of  individual   sickness  found   in   the   patient   to  be 
cured;   and  the   combined  wisdom  of  the    universe   cannot 
indicate  by  the  label  in  what  case  a  medicine  is  a  specific, 
before  the  patient  is  seen,  for  a  medicine  must  be  a  specific 
for  the  patient  and  not  for  the  disease.     Our  most  charitable 
view  of  the  combination  doctor  would  be  to  suggest  that  he 


1 


560  THE  MEDICAL  ADVANCE. 

has  never  caught  the  true  spirit  of  Homeopathy;  but  whea 
he  knows  that  a  combination  has  never  been  tested  on  the 
healthy  as  such,  and  that  its  pathogenesis  is  therefor  un- 
known, he  is  not  honest  when  he  palms  himself  off  as  a 
homeopath  and  thus  leads  his  patients  to  believe  that  he 
prescribes  according  to  the  law  of  similars.  Not  only  does 
Homeopathy  have  to  stand  the  odium  of  his  slovenly  methods 
and  hapliazard  results,  but  he  thus  becomes  a  waiter  on 
Providence  and  tells  laymen  that  Homeopathy  has  so  modi- 
fied the  old-school  since  Hahnemann's  day  that  really  there 
is  not  much  difference  after  all!  And  in  borrowed  plumes 
he  talks  about  '*quackery,"  but  never  seems  to  surmise  or 
even  dream  what  a  decoy-duck  the  **regulars"  are  making  of 
him!  On  the  other  hand,  the  men  who  have  earned  for 
themselves  distinction  as  accurate  and  successful  prescrib- 
ers,  and  who  have  contributed  their  mite  toward  preserving 
inviolate  the  fundamental  principles  of  the  Homeopathic 
philosophy,  have  universally  sanctioned  and  confirmed  the 
teachings  of  the  master.  So  the  philosophy  of  Homeopathy 
demands,  in  the  very  nature  of  things,  the  single  remedy. 
The  rapid  alternation  of  remedies,  or  the  administering  of 
two  or  more  drugs  at  one  time  which  have  never  been  poten- 
tized  together  and  thus  tested  on  the  healthy,  is  incompatible 
with  the  theory  of  a  true  homeopathic  prescription;  but 
when  one  medicine  has  been  chosen  according  to  the  law  of 
similars,  and  that  remedy  is  allowed  to  exhaust  its  action 
alone,  and  a  collection  of  the  symptoms  the  patient  then 
presents  is  recorded,  and  the  case  is  prescribed  for  afresh, 
that  is  Homeopathy.  But  the  unscientific  feature  of  alter- 
nation, as  that  term  is  commonly  understood,  is  seen  in  the 
fact  that  the  second  remedy  is  ordered  now,  to  be  given  two 
hours  after  the  first,  thus  assuming  that  one  dose  of  the 
first  remedy  will  result  in  such  a  change  of  symptoms  as  to 
make  the  image  similar  to  the  pathogenesses  of  the  second 
remedy,  and  that,  too,  in  precisely  two  hours!  Not  only  so, 
but  the  first  remedy  is  ordered  now,  to  be  given  again  in  two 
hours  after  the  second,  thus  assuming  that  the  first  remedy 
will  have  the  exact  effect  assigned  to  it,  viz.,  that  of  convert- 


PHILOSO?]^  ON  Hp]!i^PA3;'9Y. 


mi 


ing  thje  i][V^^  back  again  tp  tbe  praise  picture  of  symplboms 
which  first  eapjsted.  If  the  hypothesis  were  true,  wd  if  any 
physicians  could  be  so  accurately  prophetic,  what  ^ould  be 
gained  by  sucb  a  precedure?  Tbe  best  that  can  be  claimed 
for  the  theory  is  that  at  the  ei^d  of  four  hours  tLe  patient 
will  be  just  where  the  doctor  found  him,  and  if  the  alteration 
is  continued,  at  the  end  of  ei^ht  hours,  like  the  hare,  he  is 
back  again  where  he  started. 

The  true  homeopath  studies  fidelity  to  the  homeopathic 
philosophy,  and  earnestly  endeavors  to  shun  all  those  exped- 
ients  which,  like  alternation,  adjuvants  and  combination 
tablets,  are  borrowed  from  the  poly  pharmacy  of  the 
old  school,  and  are  opposed  to  sound  doctrine  and  sound 
principle  in  the  domain  of  Homeopathy. 

PART  4. 

(4).  The  fourth  and  last  prerequisite  which  we  shall 
mention  is:  The  minimum  dose.  That  remedies  prescribed 
according  to  the  homeopathic  law  must  be  given  in  very 
small  doses  is  a  truth  n6w  well  recognized.  But  some,  still 
adhering  to  old  school  traditions,  insist  upon  using  those  di- 
lutions which  still  contain  some  of  the  material  substance, 
while  those  who  would  tread  in  the  foot-steps  of  Hahnemann 
want  none  of  the  material  drug,  but  the  drug-spirit  only. 
After  an  animated  disputation  covering  a  period  of  more 
than  one  hundred  years  there  seems  to  be  as  much  hostility 
against  the.  infinitesimal  dose  as  in  the  beginning.  There  is 
stilly  wonderful  tendency,  on  the  part  of  many,  including  - 
some  doctors,  to  want  nasty  medicine.  And  here  I  want  to 
register  my  unalterable  protest  against  crude  medicines  as 
the  common  -and  prevalent  curse  of  the  civilized  world. 
There  are  more  people  suffering  today  from  the  effects  of 
strong  and  obnoxious  drugs  than  from  natural  causes.  The 
vast  army  of  incurable  drug  fiends  in  the  world  today,  as  the 
legitimate  and  necessary  product  of  the  old  school  practice, 
is  a  standing  monument  of  shame  which  betrays  their  want 
of  science  and  co-operation  with  nature.  As' in  the  days  of 
Hahnemann  so  it  is  now;  the  vast  majority  are  on  the  side  of 
crude  medicines,  or  potencies  so  low  that  the  material  ele- 


662  THE   MEDICAL  ADVANCE. 

ments  can  be  detected.  And  so  will  the  status  of  this  ques- 
tion ever  continue,  so  long  as  men  look  upon  disease,  disease 
causes  and  the  curative  power  in  medicines,  as  things 
material.  Materialistic  conceptions  have  heaped  more 
infamy  on  Homeopathy  and  blighted  the  otherwise  brilliant 
prospects  of  more  medical  students,  have  changed  their 
course  from  the  goal  of  pure  Homeopathy  to  that  of  the 
flesh-pots  of  Allopathy,  thus  making  of  them,  mongrels 
instead  of  homeopaths,  than  all  other  causes  combined. 
They  are  then  in  line  for  public  sanction  of  the  microbe 
theory  as  disease  cause,  and  ready  to  send  in  their  applica- 
tion for  Allopathic  affiliation,  blandly  agreeing  over  their 
own  signatures  to  be  known  simply  as  **doctors."  Well,  be 
it  so.  But  for  one,  I  would  rather  be  in  the  minority  on  the 
side  of  truth,  with  the  consciousness  that  I  have  the  means 
of  curing  any  patient  who  is  curable,  and  enjoy  the  distinc- 
tion of  living  and  dying  a  consistent,  loyal  follower  of  the 
greatest  physician  the  world  has  e.ver  known,  than  to  be 
identified  with  those  who  in  their  hearts  have  no  confidence 
in  medicine,  no  accurate  conceptions  of  disease  and  no  law 
of  cure,  even  if  their  majority  ranked  with  that  which 
opposed  Noah. 

No  materialist  can  ever  hope  to  be  a  successful  homeo- 
path until  he  divests  himself  wholly  and  completely  of  his 
materialism.  The  power  of  drugs  to  cure  does  not  decrease 
in  the  ratio  that  their  material  substance  is  dimished,  but 
rather  just  the  converse.  And  this  our  master  announced  in 
the  most  positive  terms;  and  this  men  must  learn  before  they 
can  expect  to  practice  Homeopathy  successfully.  No  amount 
of  figuring,  and  no  phase  of  true  philosophy  can  make  the 
material  dose  the  minimum  dose.  Hahnemann  said:  '*The 
smallest  possible  dose,"  and  this  he  gauged  by  the  following 
rule:  **The  doses  of  all  Homeopathic  medicines,  without  ex- 
ception, are  to  be  reduced  to  such  an  extent  that,  after  their 
ingestion,  they  shall  excite  a  scarcely  observable  homeo- 
pathic aggravation."  This  homeopathic  aggravation  is  an 
evidence  that  the  appropriate  medicine  has  been  selected; 
the  fact  that  it  was  scarcely  observable  is  proof  that  the 


PHILOSOPHY  ON  HOMEOPATHY. 


'663 


medicine  was  not  too  low;  and  the  fact  that  it  was  observable 
at  all  is  undeniable  proof  that  it  was  not  too  high.  So  this 
concise  and  comprehensible  rule  left  us  in  the  last  edition  of 
the  Organon,  draws  the  line  and  strikes  rock  bottom  so  far: 
as  the  homeopathic  dose  is  concerned.  Why  will  men  not 
accept  it,  especially  those  who  pretend  to  be  homeopaths?  I 
answer,  because  of  their  materialism.  There  is  one  lesson 
which  they  should  learn  well,  viz:  That  no  man  can  give, 
the  wrong  medicine  crude  enough,  or  in  doses  large  enough 
to  cure.  The  therapeutic  law  comes  first,  that  the  right 
remedy  may  be  chosen;  and  then  the  philosophy  of  dynami- 
zation,  that  the  medicine  may  be  more  penetrating  and  cure 
with  none,  or  but  a  slight  preponderance  of  its  own  symp- 
toms. 

There  is  a  sentiment  entertained  by  some  otherwise 
pretty  good  homeopaths  to  the  effect  that  one  can  be  loyal 
to  the  principles  of  homeopathy  and  maintain  his  true  fidel- 
ity to  the  teachings  of  Hahnemann  while  prescribing  tinc- 
tures. This  I  deny  outright  and  without  apology,  for  fojir 
reasons:  (1)  The  crudity  of  a  tincture  is  not  a  similar  to  the 
spirit-like  vital  force;  (2)  the  smallest  dose  of  the  tincture  is 
not  **the  smallest  possible  dose"  of  that  medicine  as  Hahne- 
mann directed;  (3)  as  a  rule  tinctures  offend  the  taste,  the 
very  thing  which  Hahnemann  says  the  suitable  medicine  in 
the  homeopathic  system  never  does;  and  (4)  the  great 
teacher  and  founder  says,  when  speaking  of  injuries,  the 
whole  living  organism  always  requires  **active  dynamic  aid 
to  put  it  in  a  position  to  accomplish-  the  work  of  healing," 
and  further  says  that  **when  the  external  pain  of  scalded  or 
burnt  parts  needs  to  be  homeopathically  subdued,  then  the 
services  of  the  dynamic  physician  and  his  helpful  homeo- 
pathy come  into  requisition.''  Just  imagine  Hahnemann 
calling  a  prexriber  of  tinctures  aj*dynamic  physician!*^ 
There  would  be  just  as  much  -philosophy  in  calling  a  so 
called  ''regular"  a  dynamic  physician.  The  term  "dynamic" 
literally  signifies  power;  but  as  Hahnemann  used  it  it  means 
"spirit-like  power,"  that  power  of  drugs  which  is  hidden  in 
their  inner  nature,  but  unfolded  and  developed  by  dynami- 
zation. 


nm. 


Here  I  want  to  express  my  honest  convictions  that  no 
man  can  ever  amount  to  much  as  a  homeopathic  prescrifoer, 
never  reach  the  eminence  in  which  his  work,  his  marvdoos 
and  brilliant  cures,  will  rank  him  with  such  men  as  BOn- 
ninghausen,  Hering  and  Dunham,  unless  he  completely 
rids  himself  of  this  materialism,  and  in  its  stead  imbibes  a 
fall,  clear,  deep  appreciaticm  of  the  **spirit-like"  power  of 
drugs.  This  inevitable  bar  to  success  will,  ipso  facto,  shut 
crff  the  brilliant  light  which  would  otherwise  illuminate  his 
homeopathic  career. 

Most  anybody  can  become  a  materialistic  doctor,  but  it 
calls  for  a  higher  conception  of  homeopigithy,  for  keener  per- 
ceptive powers,  and  a  deeper  delving  into  the  very  gist  and 
essence  of  that  which  Hahnemann  taught  in  order  to  become 
what  he  termed  a  **dynamic  physician,''  and  in  order  that 
his  services  may  be  in  deed  and  in  truth  * 'helpful  homeo- 
pathy." Homeopathy,  in  order  to  be  really  helpful,  must  be 
pure.  It  is  based  on  ''easily  comprehensible  principles," 
and  there  is  no  justifying  excuse  for  rank  and  bold  depar- 
tures under  any  circumstances  whatsoever.  It  is  the  drug- 
spirit  acting  on  the  spirit-like  vital  force  which  give^  th 
cure  the  qualifications  of  rapid,  gentle  and  permanent  No 
old-school  serum  can  effect  a  cure  with  these  qualifications, 
if  at  all.  No  amount  of  the  indicated  remedy  can  kill,  if 
prepared  according  to  Hahnemann's  final  instructions,  viz: 
capable  of  producing  only  the  **very  slightest  homeopathic 
aggravation."  This  is  not  true  of  any  old-school  serum,  and 
until  they  make  it  true,  we  need  not  entertain  the  least  fear 
that  they  will  lay  down  the  fence  and  enter  the  homeopathic 
field  from  the  rear.  The  doctrine  pf  dynamization  has  always 
been  the  impassable  gulf  between  the  two  schools,  and  those 
arrayed  against  this  doctrine,  whatever  their  pretentions, 
should  answer  to  the  roll  call  on  the  enemies'  side.  I  sub- 
mit that  the  doctrine  of  dynamization  which  supplies  us  with 
the  drug-spirit  absolutely  free  [from  its  material  substance, 
is  an  indispensible,  integral  part  of  the  homeopathic  system; 
that  Hahnemann  announced  it  as  a  part  of  his  system,  and 
that  no  man  has  fully  comprehended  Homeopathy  or  ftiHy 


m 


'U 


PHILOSOPHY  ON  HOMEOPATHY. 


equipped  himself  for  the  display  of  all  its  possibilities  who 
has  failed  to  grasp  this  essential  feature.     Homeopathy  will 
never  reach  its  acme  until  the  philosophy  of  dynamization 
is  incorporated  into  the  practice  of  all  professed  homeopaths 
and  fully  explained  to  the  general  public;  until  said  practi- 
tioners quit  imitating  the  traditional  doctor  by  issuing  disks 
of  various  colors,  or  large  bottles  of  colored   water,  and  in 
every  other  particular;  and  until  all   who  would  practice 
homeopathy  acquire  the  knowledge  and  cultivate  the  cour- 
age necessary  to  the  use  of  a  good  repertory  in  the  office 
and  at  the  bedside.    Had  these  things  been  attended  to  from 
the  beginning,  homeopathy  would  be  the  prevailing  system 
of  medicine  in  this  country  today.     Laymen  must  not  be 
expect.ed  to  understand,  advocate   and   defend  that  which 
they  have  had  no  opportunity  to  learn.     The  only  rational 
reason  that  can  be  assigned  as  to  why  all  families  of  intelli- 
gence  and  culture  do  not  employ  homeopathy  is  the  fact 
that  they  do  not  understand  its  fundamental  principles  and 
superior  advantages.     The  claims  of  homeopathic  superior- 
ity must  be  spread  before  the  public  at  large  and  elucidated 
until  the  people  understand  and  accept  them;  and  until  they 
further  understand  that  Allopathy,  as  a  system  of  medicine, 
can  not  add  one  star  to  the  glory  of  Homeopathy.     Some 
practiticmers  expect  patronage  because  they  are  physicians; 
ottiers  because  of  commercial  reciprocity;   but  we  must  so 
conduct  our  campaign  that  patrons  will  choose  us  because 
we  are  homeopathic  physicians   and   hence  can  give  them 
what  tfeey  can  secure  nowhere  else  in  all  the  world.     There 
can  be  no  permanent  gain  for  the  homeopathist  or  his  sys- 
'^m  by  a  policy  of  coddling  the  old  school  as  if  Homeopathy 
were  not  out  of  her  teens.     They  have  fought  us  with  all 
the  boldness,  gallantry  and   intrepidity   which  they  could 
command  for  more  than  a  hundred  years,  and  our  armor  is 
still  complete  and  our  banner  unsullied;  let  them  try  another 
hundred!    The  law  and  maxims  which  have  served  us  so 
^well  thus  far  will  prove  equally  effective  for  our  pK)sterity. 
The  closer  we  adhere  to  the   letter  of  Hahnemann's 
instructions  the  more  sutjcessful  we  shall  be  in  ameliorating 


666  THE  MEDICAL  ADVANCE. 

the  suffering,  healing  the  diseases  and  prolonging  the  lives 
of  those  who  confide  in  us  as  homeopathic  physicians.  In 
their  ignorace,  indolence  or  erring  judgment  men  may  fall, 
but  the  law,  never! 

SURGICAL  CASES. 

By  p.  E.  Krichbaum,  M,  D; 
tarsal  tumorstrombidium. 
Mr.  p.,  a  middle-aged  man,  weighing  180  pounds,  con- 
sulted me  February  5,  1905,  for  a  swelling  in  the  upper  lid 
of  the  right  eye.     There  was  no  pain,  no  discharge  and  no 
lachrymation,  in  fact  nothing  but  the  lump   in  evidence, 
which  was  bright  red  and  raw  looking.      I  prescribed  puis. 
March   11,    1905,   he  reported  no  change.     Marth  21st  told 
a  similar  story,  except  that  he  thought  the  tumor  was  in 
creasing  in  size.     A  few  minutes  work  with  the  repertory 
called  my  attention  to  trombidium,  and  trombidium  repeated 
April  24th  cured  the  case. 

DOUBLE   FISSURE  OP  THE  ANTRUM. 

I  asked  this  patient  to  give  me  the  early  details  of  his 
case.  The  account  he  supplied  is  so  interesting  I  will  give 
the  story  in  his  own  words.  I  will  explain  that  the  dis- 
charge he  mentions  was  yellow,  of  a  coagulated  consistency, 
and  had  some  odor.  I  need  hardly  add  that  the  man  was 
nervous  and  exceedingly  alarmed  over  his  condition.  The 
drug  indicated  and  employed  was  calcarea  sulphurica: 

About  the  last  of  June,  1908,  I  consulted  a  dentist  in  the 
town  in  which  I  lived,  who  had  been  in  practice  there  for  a 
number  of  years,  regarding  the  condition  of  my  upper 
teeth,  and  under  his  direction  I  went  to  a  dental  office  in 
New  York  city  and  under  the  influence  of  gas  had  four- 
teen upper  teeth  extracted.  A  few  weeks  afterward  I  vis- 
ited the  dentist  for  the  purpose  of  having  an  impression 
taken  for  a  set  of  upper  teeth.  I  would  say  that  my  lower 
teeth  are  in  good  condition,  having  lost  but  two  of  them.  1 
reported  to  the  dentist  that  I  thought  I  could  force  water 
through  my  jaw  into  my  nostrils  while  rinsing  my  mouth. 
He  made  an  examination  and  stated  that  he  thought  I  was 


SURGICAL  CASES. 


667 


mistaken,  and  proceeded  to  make  a  temporary. set  of  teeth. 
This  set  of  teeth  I  used  until  the  first  week  in  January,  1907, 
and  then  went  to  him  to  have  the  permanent  set  made.  I 
again  told  him  that  I  was  still  of'  the  opinion  and  indeed 
quite  sure  that  I  could  force  water  through  the  jaw  to 
the  nostril;  he  then  made  another  examination  and  found 
that  such  was  the  case,  there  being  a  hole  in  the  upper  jaw 
to  the  right,  about  where  one  of  my  double  teeth  had  been 
He  could  put  his  instrument  through  this  opening  at  least 
two  inches  and  found  that  there  was  a  discharge  of  pus 
coming  from  it. 

He  told  me  that  I  had  caries  or  necrosis  of  the  bone,  and 
that  there  was  danger  ot  this  extending  in  both  directions 
and  perhaps  in  time  destroying  my  jaw  and  nasal  bone,  and 
that  there  were  two  treatments  that  he  would  suggest.  One, 
going  to  hospital  and  submitting  to  an  operation  which  he 
said  would  take  from  two  to  three  weeks  if  not  much  longer, 
and  be  very  expensive,  and  he  did  not  recommend  it.  The 
other  treatment  was  by  the  use  of  sulphuric  acid  applied 
with  syringe  and  this  treatment  he  did  recommend  and 
stated  that  it  would  probably  take  two  or  three  months  to 
cure  the  disease  and  that  the  treatment  would  have  to  be 
given  almost  daily.  Acting  upon  his  advice  I  consented  to 
this  treatment,  which  was  continued  at  least  five  days  a 
week,  sometimes  six,  until  the  1st  of  April. 

The  treatment  consisted  in  syringing  the  antrum  through 
the  opening  in  the  jaw,  first  with  some  antiseptic,  and  then 
v^ith  a  dilution  of  sulphuric  acid,  and  plugging  the  opening 
with  cotton  saturated  with  sulphuric  acid,  the  cotton  remain- 
ing in  the  opening  until  the  next  treatment.  During  this 
treatment  my  health  ran  down,  appetite  was  poor,  and  I 
was  wakeful  at  nights.  Sometime  in  March  the  cuticle  of 
all  my  fingers  festered  and  when  the  new  nail  grew  out  it 
came  out  rough  and  uneven.  I  consulted  my  family  physi- 
cian regarding  this  and  was  treated  for  it  and  found  that  it 
grew  better  soon  after  taken  his  remedy. 

The  dentist  during  the  time  of  treatment  urged  me  to 
take  a  tonic.     I  found  also  that  during  the  treatment  I  was 


mMB 


'^^Mff^ 


663  THE  MEDICAL.  ADVANCB. 

frequently  tronbled  with  a  cold.  During  April,  after  over 
three  months'  treatment  I  did  not  see  that  there  was  much, 
if  any,  improvement,  as  the  pus  continued  to  show  itself 
when  the  cotton  was  removed  from  the  opening. 

The  dentist  wished  me  to  continue  the  treatment,  claim- 
ing that  I  was  getting  better,  but  would  not  give  any  defin- 
ite idea  of  date  of  probable  cure.  About  this  time,  April, 
1907,  I  decided  to  consult  an  eminent  New  York  dentist  who, 
after  making  an  examination,  stated  that  there  might  be  a 
root  of  an  old  tooth  there  to  act  as  an  irritant,  as  he  could 
feel  something  hard  in  the  antrum,  and  upon  his  advice  I 
consulted  the  dentist  that  extracted  my  teeth.  He  made 
an  examination  and  stated  that  he  did  not  believe  that  there 
was  any  root  there.  The  New  York  dentist  then  sent  me  to 
have  an  X-ray  picture  taken  of  the  inside  of  my  antrum, 
and  I  had  three  such  pictures  taken  and  showed  them  to  this 
New  York  dentist,  but  they  did  not  help  him  to  come  to  a 
decision  as  to  condition  of  things  in  my  mouth,  and  he  made 
an  additional  examination  and  called  in  a  specialist  in  an- 
trum diseases,  who  also  made  an  examination,  and  after  con- 
sultation they  both  very  strongly  reccommended  that  I 
should  at  once  go  to  the  hospital  and  be  operated  upon.  As 
I  did  not  go  immediately,  after  a  few  we^ks,  the  matter  had 
^evidently  been  discussed  between  the  New  York  specialists 
at  a  convention  in  a  neighboring  city,  for  I  received  a  tele- 
gram urging  me  to  go  at  once  to  the  hospital  and  submit  to 
an  operation.    This  I  did  not  do. 

The  specialist  that  was  called  in  consultation  by  the 
New  York  dentist  wrote  me  a  letter  when  he  found  that  I 
had  not  gone  to  the  hospital  as  he  suggested,  in  which  he 
said:  '*It  is  most  unfortunate  that  persons  affected  with 
disease  of  the  'maxillary  sinus  as  he  is,  seem  to  have  the 
same  difficulty  in  deciding  upon  operation,  when,  as  a  mat- 
ter of  fact,  nothing  hut  a  radical  operation  can  relieve  the  con- 
ilition  from  which  they  suffer.  In  one  of  four  cases  that  I 
am  treating  at  the  present  time  the  microscope  shows  that 
the  patient  waited  just  a  little  too  long,  for  several  micros- 
copic slides  taken  from  the  tissue  that  was  removed  show  no 


SURGICAL  CAS^S. 


669 


malignancy,  but  one  of  them  indi fixates  very  distinctly  the 
beginning  of  cancer  at  one  point.  Mr has  no  indica- 
tion of  such  disease  at  this  time,  btit  he  ought  to  understand 
that  he  has  no  assurance  of  the  permanancy  of  such  free- 
dom from  more  serious  trouble,  for  leaving  out  the  ques- 
tion of  the  character  of  the  diseased  tissue,  there  being  more 
or  less  difference  of  opinion  with  regard  to  the  result  of  the 
degenerate  processes,  he  has  always  before  him  the  likeli- 
hood of  extention  to  some  of  the  accessory  sinuses,  such  as 
the  sphenoidal,  or  even  the  frontal  and  ethmoidal." 

The  last  of  May  the  New  York  dentist  that  I  consulted 
received  a  letter  from  another  New  Jersey  dentist,  calling 
his  attention  to  a  case  which  this  other  New  Jersey  dentist 
had  and  asking  this  New  York  dentist's  advice.  The  New 
York  dentist  replied,  referring  to  my  case,  and  stated  that 
cases  of  this  kind  where  conditions  exist  in  the  antrum  which 
might  lead  to  malignant  results,  should  be  referred  to  sur- 
geons as  he  referred  my  case.  I  mentioned  this  to  show 
that  my  case  was  one  which  had  impressed  itself  upon  the 
mind  of  the  various  dentists. 

It  was  a  difficult  matter  to  come  to  a  decision  as  to  the 
best  course  to  pursue,  and  I  therefore  laid  the  entire  case 
before  my  family  physician,  and  while  he  hesitated  to  ad- 
vise as  to  the  course  to  pursue,  asking  me  to  decide  the 
question  upon  my  own  ideas  as  to  what  was  best,  he  did 
give  it  as  his  opinion,  after  making  a  careful  exainingttion 
himself,  that  an  operation  was  not  necessary,  but  that  the 
disease  could  be  cured  by  homeopathic  treatment,  and  I 
therefore  placed  myself  in  his  hands  and  he  gave  me  m^d 
icine  to  take  internally  about  the  beginning  of  June,  1907. 
Tina  treatment  I  continued  regularly  for  several  months, 
consulting  from  time  to  time,  until  the  last  of  1907,  when  to 
all  appearances  the  disease  had  been  arrested.  The  open- 
ing in  the  jaw  having  closed  and  there  is  now  (April,  1908,) 
no  opening  and  no  indication  of  any  disease  or  trouble  what- 
ever in  the  jaw-bone  or  antrum,  and  I  suffer  no  inconveni- 
ence and  am  not  conscience  of  any  trouble  there,  and  my 
general  health  has  been  very  much  better  since  I  have 
been  following  my  physician's  advice. 


'■^i*S 


670  THE   MEDICAL  ADVANCE. 

A  GANGRENOUS  APPENDIX. 

The  following  operation  was  performed  by  Dr.  James 
W.  Krichbaum.  I  will  give  the  details  as  he  wrote  them 
out. 

December  26,  1907,  I  was  asked  to  see  Elinor  C,  aged 
11,  who  had  been  troubled  for  about  four  weeks  with  a  pain  in 
her  abdomen.  We  leafned  that  the  chUd  whUe  at  school  had 
been  struck  with  a  stone  near  McBurney's  point,  and  though 
she  had  not  remained  at  home  there  had  been  present  more 
or  less  abdominal  pain  and  tenderness  ever  since  the  injury 
had  been  received. 

Examination  showed  a  slightly  distended  abdomen. 
Rectus  muscle  tense,  board-like,  with  tenderness  over  Mc- 
Burney's  point.  Temperature  102,2,  pulse  120.  I  advised 
an  operation,  but  her  mother  objected,  so  I  put  her  on  Pul- 
satilla cm. 

December  27th  I  found  the  patient  no  better.  She  was 
'restless  and  her  tongue  red- tipped.  She  received  rhus 
tox.  December  28th  patient  seemed  better,  temi>erature 
100;  December  28th  temperature  98.2;  December  30th  per- 
spiration on  the  head,  pupils  dilated;  pain  present,  temper- 
ature 100.1;  prescribed  colchicum.  December  31st  found 
the  patient  somewhat  relieved  of  pain,  so  the  remedy  was 
continued. 

January  1st  saw  a  return  of  pain  with  restlessness.  The 
temperature  was  now  103.4.  The  abdomen  distended  and 
tender.  I  hereupon  ordered  aix  immediate  operation  and 
arranged  to  perform  it  at  her  home.  On  opening  the  abdo- 
men I  found  a  large  pus  pocket,  containing  several  large 
pieces  of  fecal  matter  and  pus  in  abundance.  The  app>endix 
and  part  of  the  colon  were  destroyed  by  gangrene.  I  first 
washed  out  with  sterUe  water,  followed  by  peroxide  of  hy- 
drogen and  saline  solution,  inserted  a  drainage  tube  and 
closed  the  abdomen.  For  three  days  the  temperature  stayed 
below  100,  but  on  the  fourth  day  rose  to  100  at  noon,  102.2  at 
night.  The  fifth  day  saw  it  100.4  in  the  morning,  101.5  in 
the  evening.  The  discharge  was  thin,  sanguineous  and 
fetid.     Sixth  day  temperature  102  in  the  morning,  and  103.3 


'^ 


THE  SURGICAL  ASPECT  OF  QONNOBRHEA. 


671 


in  the  evening.  Patient  quite  restless.  I  now  proceeded  to 
reopen  the  wound  by  removing  part  of  the  stitches.  I  found 
the  colon  closed  and  in  good  condition.  I  broke  up  all  ad- 
hesions- The  wound  and  the  discharge  therefrom  had  a 
horrible  fetid  odor.  On  the  seventh  day  the  temperature  in 
the  morning  was  102.3,  in  the  evening  103.9;  the  discharge 
was  now  slight  in  quantity  but  the  odor  was  beyond  descrip- 
tion, so  foul  and  fecal,  that  I  could  not  get  rid  of  it.  The 
patient  was  extremely  restless.  I  gave  a  powder  of  psori- 
iium  in  water,  a  teaspoonf ul  every  hour  for  three  hours,  if 
the  child  was  awake.  She  took  two  doses  and  then  went  to 
sleep  and  slept  all  night.  In  the  morning  her  temperature 
was  98.  The  discharge  was  slight  and  there  was  no  odor. 
Her  recovery  from  this  on  was  uneventful.  At  the  present 
time,  to  quote  her  mother,  she  is  in  better  health  than  she 
has  ever  been. 

To  my  mind  this  case  brings  us  to  the  following  conclu- 
sions: First,  a  blow  may  cause  primary  appendicitis;  sec- 
ond, had  I  administered  psorinum  earlier  in  the  case  I  would 
have  escaped  quite  a  bit  of  worry;  third,  had  the  child  re- 
-ceived  psorinum  soon  after  the  injury,  repair  instead  of  gan- 
grene would  have  followed;  fourth,  gangrene  was  well  es- 
tablished and  rupture  probably  had  occurred  before  medical 
^id  was  called. 


THE  SURGICAL  ASPECT  OP  GONORRHEA. 

By  Guy  B.  Stearns,  M.  D. 

The  title  of  this  paper  was  inspired  by  a  case  which  has 
been  under  the  writer's  treatment  for  the  past  seventeen 
months. 

The  patient  is  a  woman  33  years  old,  brunette,  of  small 
frame  and  nervous  temperament.  She  was  a  delicate  child, 
although  she  did  not  have  any  serious  illness  until  her  sev- 
-enteenth  year,  when  she  was  very  sick  with  pneumonia. 

She  was  married  at  nineteen,  but  did  not  begin  to  men- 
struate until  some  months  after.  She  had  fairly  good 
Tiealth  during  the  next  six  years,  although  she  had  two 
:abortions  performed  during  that  time. 


672  THE  MSmCAL  ADVANCE 

Eight  years  ago  dbe  commenced  to  have  hemorrhages^ 
from  the  bowels.  These  were  profuse  and  occurred  from  a 
few  days  to  a  few  weeks  apart  and  continued  for  two  years. 

She  then  had  pneumonia  again  and  the  hemorrhages 
ceased. 

Soon  after  this  she  became  pregnant  and  had  another 
abortion  performed.  On  the  fourth  day  after  the  operation 
she  was  taken  with  what  was  called  spinal  meningitis, 
although  her  description  of  the  symptoms  indicate  scwne 
form  of  sepsis.     She  was  ill  in  bed  for  twenty-three  weeks. 

After  this  she  did  not  again  become  pregnant,  even 
though  she  desired  to  do  so,  and  she  was  in  fair  health  until 
about  sixteen  months  before  the  writer  first  saw  her. 

She  then  had  hemorrhages  from  botti  bowels  and  the 
stomach  and  was  confined  to  her  bed  for  seven  months  before 
they  finally  ceased.  After  this  she  did  not  regain  her 
strength  and  when  I  first  saw  her,  presented  the  following 
condition: 

Emaciated  and  pale,  with  dark  rings  beneath  the  eyes. 

Spine  sensitive  over  its  entire  length,  with  a  mariced 
dorsal  curvature  to  the  left.  This  had  developed  only  wifh- 
in  the  previous  few  months  and  was  apparently  due  to  mus- 
cular weakness.  Menstruation  regular  but  painful  and 
associated  with  much  backache  and  headache. 

Plow  lasted  only  one  hour. 

Cheeks  flushed  in  the  afternoon,  though  without  rise  of 
temperature. 

Urine  normal.  No  vaginal  examination  was^  made,  but 
a  thorough  general  examination  revealed  no  organic  lesions. 

The  associated  symptoms  pointed  to  phos.  and  this  was 
given  in  the  200th  dilution  at  infrequent  intervals.  Olive 
oil  and  cream  were  added  to  her  diet.  She  steadily  improved 
until  in  ten  months  she  had  gained  twenty-five  pounds  and 
the  spinal  curvature  had  disappeared. 

In  January  of  this  year  she  contracted  what  appeared 
to  be  grip,  but  did  not  respond  well  to  remedies,  and  soon 
developed  pain  in  the  lower  right  side  of  the  abdomen,  with 
severe  bearing  down  and  painful  urination. 


m- 


THE  SUR|qHU:;iVIi  J^Pl^GT  O^  QOJ^PRRHEA. 


678 


ExawDiutUm  revealed  a  sen^itiye  and  Unp^yaj^le  ateru3 
:ao.d  the  contii^pu^  tiasiies  sq  in^j3aed  ti^  t^e  adiiexa  could 
iiot  he  palpatfed. 

Inquiry  of  the  husband  developed  tha  fact  tha<b  he  had 
had  gonorrhea  about  a.  yeair  before  the  last  abortion,  but  he 
had  supposedly  been  cui^  at  ti^e  time  and  had  shown  no 
^i^QS  of  the  disease  since. 

The  case  was  now  clear.  A  gonorrheal  infection  con- 
veyed by  the  husband  after  he  had  been  prpnounced  cured. 
This  had  probably  occurred  before  or  at  the  time  of  the  last 
•conception  and  had  manifested  itself  at  the  time  of  the  abor- 
tion as  the  supposed  spinal  meningitis. 

It  had  then  remained  dormant  until  the  present  at(tack. 

The  right  tube  ^led  with  pus,  some  of  which  escaped 
into  the  peritoneum,  causing  a  severe  peritonitis.  Her  con- 
dition interdicted  surgical  interference,  so  she  was  treated 
expectancy.  j 

It  is  of  interest  to  note  that  at  the  critical  time  when 
fuom  the  peritoneal  invasion  she  was  apparently  dying,  the 
remedy  which  had  originally  been  selected  as  her  constitu- 
tional drug  became  sharply  in^cated  and  brought  about  a 
prompt  reSiCtion.  Her  progress  was  very  slow,  and  treat- 
ment was  continued  along  conservative  lines  in  the  belief 
that  the  removal  of  the  involved  tube  would  be  necessary 
when  she  was  in  condition  for  an  operation. 

At  the  present  writing  she  is  nearly  well;  the  uterus  is 
movable  and  the  only  indications  of  the  inflammatory  con- 
dition remaining  are  some  slight  adhesions  to  the  right  of 
the  womb. 

Aurum  miir.  200th  brought  about  the  final  disappear- 
ance of  the  pus  and  induration.  ' 

]ga  this  citation,  symptoms  and  remedies  have  been  in- 
tentionally left  out,  as  the  purpose  has  been  to  draw  atten- 
tion to  the  surgical  aspect  of  gonorrrhea  and  the  dangers 
which  lurk  in  those  cases  which  remain  uncured  but  mani- 
fest no  symptoms  and  to  promote  discussion  as  to  the  cura- 
bility of  the  disease. 

In  four  cases  of  tubal  disease  which  have  come  under 


^"^1 


674  THE  MEDICAL.  ADVANCE. 

the  notice  of  the  writer,  where  it  had  been  found  necessary 
to  renlove  the  diseased  structure,  the  husbands  had  had 
gonorrhea  from  three  to  sixteen  years  previously  with  no 
subsequent  manifestation  of  the  infection. 

In  marriages  where  the  husband  had  previously  had 
gonorrhea,  there  are  usually  no  children,  or  conception 
takes  place  followed  by  an  early  miscarriage  and  no  subse- 
quent pregnancies,  or  one  child  is  born  and  no  more.  Such 
women  usually  suffer  from  uterine  or  pelvic  diseases. 

The  writer  has  lately  examined  the  urine  of  several  men 
who  have  had  gonorrhea  from  two  to  twenty  years  ago  and 
has  found  gonorrheal  shreds  in  all  of  them  and  the  gono- 
cocci  in  those  cases  submitted  to  microscopical  examination. 
These  were  not  all  cases  of  suppression  by  injections,  but 
had  been  treated  in  various  ways,  one  of  them  homeopath- 
ically  by  the  author  and  apparently  cured.  In  one  case  the 
discharge  had  been  redeveloped  by  the  homeopathie  remedy 
and  then  made  to  disappear. 

It  is  a  well  established  fact  that  the  gonococcus  can 
invade  every  tissue  of  the  body  and  that  there  is  no  immun- 
ity from  it.  Once  it  gains  a  foothold  on  a  mucous  membrane 
it  adheres,  and  as  it  proliferates,  works  its  way  into  the 
deeper  epithelia.  Its  life  habits  and  reactions  are  such  that 
it  does  not  arouse  the  resistive  forces  of  the  body  as  do  the 
germs  of  self  limiting  diseases,  but  it  gradually  becomes 
acclimated  and  maintains  the  position  of  a  permanent  guest 
and  in  its  attenuated  form  it  is  so  unobtrusive  that  its  pres- 
ence may  not  even  be  suspected. 

Many  authorities  maintain  that  gonorrhea  is  never  cured 
and  there  is  reason  for  doubt  in  tKe  minds  of  the  most  opti- 
tuistic. 

The  writer's  earlier  sanguine  attitude  regarding  the  dis- 
ease, based  on  the  apparently  brilliant  results  from  home- 
opathic medication,  has  changed  on  maturer  observations  to 
one  of  conservative  agnosticism. 

In  all  cases  the  burden  of  proof  lies  with  the  one  who 
claims  to  make  a  cure. 


CLINICAL  CASES.  675 

CLINICAL  CASES. 

(illustrating  both  sides  of  the  question.) 
By  E.  a.  Taylor,  M.  D. 

'Case  I. — Metrorrhagia. — Miss  W.,  aged  31,  had  uter- 
ne  hemorrhages  some  years  since,  for  which  an  operation 
^as  performed,  consisting  of  the  removal  of  several  uterine 
x)l3rpi.  This  corrected  the  trouble  for  some  months;  it  then 
•eturned  as  bad  as  before.  A  second  operation  was  produc- 
ive  of  similar  results,  and  the  surgeon  consoled  her  with 
he  statement  that  she  might  have  to  have  an  operation  once 
t  year. 

The  symptoms  were  as  follows:  Hemorrhage  of  bright 
"ed  blood,  comes  in  gushes,  followed  by  a  clot.  The  hemor- 
hage  would  cease  for  a  short  time,  then  start  again,  some: 
imes  worse  than  others,  but  never  ceasing  entirely  for  any 
ength  of  time.  As  she  expressed  it,  she  never  knew  when 
ler  monthly  periods  came — she  was  sick  all  the  time.  She 
vas  exceedingly  nervous,  there  was  much  twitching  and 
erking  of  muscles,  and  she  was  troubled  with  insomnia; 
ome  nights  would  not  sleep  at  all.  The  flow  was  worse 
rom  motion  and  very  offensive. 

She  was  pale  and  anemic;  any  emotion,  pain  or  appre- 
lension  would  cause  her  face  to  assume  a  death-like  pallor. 
Phe  bowels  were  regular  but  the  appetite  was  poor,  except 
or  certain  things;  she  craved  pickles  and  stuffed  olives, 
rould  eat* ground  coffee  by  the  spoonful  and  used  much  salt, 
ven  salting  her  pie.  She  had  a  sensation  as  if  the  white  of 
gg  had  dried  on  her  face  and  the  skin  would  crack  if  she 
Fere  to  laugh.  She  drank  a  great  deal  of  water  and  was 
and  of  lemonade.  Mentally  she  was  greatly  depressed;  ^ 
ould  not  tell  her  symptoms  without  crying,  and  when  I 
ttempted  to  console  her,  assuring  her  that  she  could  be 
ured,  she  put  up  her  hand  protestingly,  saying,  *' Don't! 
on't!  if  you  talk  that  way  I  shall  never  quit  crying." 

Her  headache  was  in  the  temples,  worse  in  hot  weather; 
Fas  of  a  throbbing  character,  seldom  associated  with  nau- 
ea,  but  was  worse  from  light  and  noise  and  from  sleep. 


Q76  THE  MEDICAL  AP74NCE, 

She  wanted  to  do  everything  in  a  hurry  and  i^onld  fre- 
quently drop  things  from  her  hands.  She  craved  the  fresh 
air  and  felt  better  out  of  doors.  She  frequently  puts  her 
tongue  out  while  talking  as  if  to  moisien  her  lips,  and  says 
she  i9  always  hungry  with  the  headache. 

She  received  nat.  mur.  Im,  one  dose  dry  on  the  tongue. 
In  twelve  hours  the  hemorrhage  had  greatly  decreased  and 
in  thirty-six  hours  it  had  ceased.  Prom  that  time  on  she 
menstruated  regularly  and  normally.  The  dose  of  medicme 
was  given  five  years  ago. 

Several  remedies  might  be  thought  of.  For  the  pro 
nounced  anemia,  with  the  mental  depression,  weeping, 
nervous  and  hysterical  state,  intermittent  flow,  etc.,  one 
might  think  of  ferrum,  but  the  ferrum  patient's  face,  while 
very  pale  while  she  is  in  a  tranquil  state,  becomes  fiery  red 
on  any  disturbance,  mental  or  physical,  while  this  patient 
would  take  on  a  death-like  pallor.  The  craving  for  sour 
things  would  contraindicate  ferrum,  which  loathes  soar 
things.  The  amelioration  in  the  open  air,  desire  for  sour 
things  and  tearful  disposition  might  make  some  think  of  pul- 
satilla;  but  Pulsatilla  likes  consolation — this  patient  did  not; 
Pulsatilla  is  thirstless — this  patient  was  very  thirsty;  to  the 
Pulsatilla  patient  everything  tastes  top  salty — this  patient 
covered  her  food  with  salt,  even  her  pie.  So  giving  partic- 
ular attention  to  the  peculiarities  of  the  mental  symptoms  as 
Hahnemann  directs,  the  symptom-complex  led  to  natrum 
mur.  and  the  result  was  all  that  could  be  desired. 

Case  II.— Rectal  Fistula.— Mr.  J.  M.,  aged  38,  came 
to  me  for  examination  and  treatment.  He  said  that  for  two 
years  there  had  been  a  '^leakage"  from  the  rectum  and  he 
had  been  compelled  to  wear  a  pledget  of  cotton  to  absorb  it. 
On  examination  a  fistulous  opening  was  found  about  one 
inch  from  the  anus  through  which  a  probe  could  be  passed 
into  the  rectum.  He  also  had  hemorrhoids  which  were 
more  pronounced  on  the  right  side. 

He  had  had  gonorrhea  years  ago,  for  which  he  had 
taken  old-school  medicine  externally,  internally  "and  eter- 
nally, with  the  result  that  the  hemorrhoids  developed,  to- 


.^a 


CLINICAL  CASES. 


677 


aether  with  obstinate  constipation,  bleeding  from  the  anus 
during  stool,  long,  lasting  burning  after  stool  and  a  sense  of 
awful  constiiction  of  the  anus,  which  would  last  for  hours 
and  often  kept  him  awake  all  night. 

His  pulse  was  slow,  often  54  when  quiet,  and  his  urine 
had  a  very  strong  odor  and  was  highly  colored.  He  received 
benzoic  acid,  30th,  and  this  remedy  cured  him  in  less  than  a 
year.  The  fistula  healed,  the  hemorrhoids,  rectal  pain  and 
distress  and  the  constipation  all  disappeared  and  have  not 
returned  after  ten  years.  In  this  case  there  was  little  chance 
for  doubt  or  comparison,  for  to  one  who  is  familiar  with  the 
action  of  benzoic  acid,  the  picture  is  so  striking  as  to  be 
readily  recognized. 

Case  3.— Ovarian  Tumor.— Mrs.  K.,  age  32,  married 
six  years,  no  children.  Husband  is  healthy  and  denies  any 
venereal  taint.  Mi*s.  K.  has  been  troubled  for  more  than  a 
year  with  sharp,  stinging,  shooting  pains  in  the  left  ovary, 
which  have  been  growing  worse  and  distress  her  greatly  at 
times,  but  she  is  always  relieved  during  the  menses.  There 
is  some  pain  in  the  right  ovary  at  times,  but  not  nearly  so 
much  as  in  the  left.  She  eats  well,  sleeps  well,  looks  well 
and  her  bowels  are  regular.  I  inquired  about  her  desires 
and  aversions  but  could  learn  nothing  of  importance.  I 
asked  if  she  ever  drank  any  beer  or  wine,  when  with  much 
animation  she  told  me  that  she  dared  not  touch  wine,  that 
one  swallow  would  cause  such  a  commotion  and  distress  in 
her  ovaries  that  she  could  scarcely  endure  it.  She  said,  **it 
seems  the  effect  all  goes  to  my  ovaries." 

She  had  been  examined  by  three  good  old  school  doctors 
who  said  she  had  an  ovarian  tumor  and  must  go  to  the  hos- 
pital at  once  and  have  it  removed.  I  examined  her  and 
found  the  left  ovary  as  large  as  an  orange,  sensitive  and 
painful  to  pressure.  *  The  right  ovary  was  not  enlarged. 

She  received  zincum  met.  and  in  less  than  a  year  no 
tumor  could  be  found,  she  was  free  from  pain  and  well. 

Case  4. — Empyema. — One  evening  several  years  ago  a 
homeopathic  physician  who  is  an  excellent  prescriber,  tele- 
phoned me  asking  me  to  come  and  see  his  son  eight  years 


678  THE  MEDICAL  ADVANCE. 

old  who  was  ill.  On  inquiring  what  was  the  trouble  he 
replied  ''he  has  pneumonia,  this  is  the  nineteetith  day,  he  is 
getting  worse  and  I  fear  he  is  going  to  die."  I  hastened  to 
his  home,  where  I  found  the  boy  pale,  thin,  restless,  with 
many  symptoms  pointing  to  many  remedies.  On  examina- 
tion the  left  side  of  the  chest,  was  seen  to  move  less  with 
respiration  than  the  right,  the  intercostal  spaces  on  the  left 
side  were  obliterated,  there  was  flatness  on  i>ercussion  over 
the  lower  two-thirds  of  the  chest  on  that  side,  with  an 
absence  of  vocal,  resonance  and  tactile  fremitus  over  the  area 
of  flatness.  The  heart  was  displaced  to  the  right  and  he 
had  a  temperature  of  108  with  increased  respiration  and 
pulse  rate  and  frequent  sweats.  I  advised  the  doctor  to  get 
a  surgeon,  which  he  did;  a  rib  was  resected,  a  great  quan- 
tity of  greenish,  offensive  pus  evacuated  and  drainage  main- 
tained. The  temperature  fell  within  a  few  hours  and  the 
boy  made  an  uneventful  recovery.  What  would  have  been 
the  result  without  surgery? 

Case  5.— Empyema.— J.  S.,  age  12,  had  been  ill  for 
some  weeks,  under  the  care  of  an  excellent  prescriber  of  our 
school,  when  I  was  asked  to  see  him  in  consultation.  The 
appearance  of  the  patient,  the  history  and  the  physical  signs 
were  much  the  same  as  in  the  last  case,  only  the  trouble 
here  was  on  the  right  side  and  in  the  right  mid-axillary  line 
at  about  the  fourth  or  fifth  intersiMtce;  there  was  a  pro- 
nounced bulging  as  large  as  one's  fist  witli  fluctuation  plain- 
ly perceptible.  The  diagnosis  was  empyema;  the  treatment 
advised,  surgical.  This  was  about  ten  o'clock  at  night,  and 
about  two  in  the  morning  the  doctor  was  called  to  find  that 
the  pus  had  broken  into  a  bronchial  tube  and  the  boy  was 
expectorating  great  mouthfuls  of  pus.  A  surgeon  was 
called  who  made  an  external  opening  and  drained  it,  and  he 
seems  in  a  fair  way  to  recover.  How  much  better  it  would 
have  been  had  the  surgeon  been  called  early. 

Case  6.— Osteomyelitis.— Mr.  W.  8.,  age  20,  a  well 
developed,  well  nourished  German  laborer  who  could  not 
speak  much  English,  was  taken  sick  with  what  was  thought 
to  be  pneumonia.     I  saw  him  after  he  had  been  ill  a  few 


EXPERIENCES  WlTff  TUBERGULINUM  AVAIRE. 


m 


days  aiid  He  had,  in  addition  to  a  tetiiperature  of  103^  with 
pnlse  and  respiration  some^Ka/t  increased^  a  severe  paih  in 
the  left  arm  on  the  outer  part  above  the  elbow.  It  was  red", 
ch'ctimscribed,  swollen  and  wonderfully  sensitive  to  touch; 
the  pain  was  intense  all  the  time,  but  very  much  ^aggravated 
by  touch  or  motion.  He  kept  the  arm  bent  at  a  right  angle 
all  the  time;  the  pain  was  so  intense,  he  would  tremble  a^l 
over  at  times  and  could  not  help  crying.  The  pain  and 
swelling  were  not  in  the  joint,  but  a  few  inches  above  it. 

I  advised  the  doctor,  who  is  a  homeopathic  physician,  to 
.  call  a  surgeon,  saying  I  considered  it  a  case  of  osteomyelitis, 
but  the  doctor  thought  it  was  rheumatism,  and  continued  to 
prescribe  what  seemed  to  be  the  indicated  remedy.  It  was 
only  after  some  days  delay,  when  secondary  infection  had 
manifested  itself  in  the  other  arm,  both  legs  and  elsewheVe, 
that  the  gravity  of  the  situation  was  realized  and  a  surgeon 
called;  pus  was  evacuated  from  many  places,  but  too  late. 
The  patient  died.  An  early  operation  might  have  saved  this 
patient's  life.  Is  it  not  as  culpable  to  neglect  surgery  when 
needed  as  to  use  it  when  not  necessary?  A  time  for  every- 
thing and  everything  at  the  proper  time  should  be  our 
motto,  and  we  should  know  not  only  therapeutics,  but  diag- 
nosis and  surgery  also— be  doctors  in  the  fullest  sense  of  the 
term. 


EXPERIENCES  WITH  TUBERCULINUM  AVAIRE. 

By  R.  E.  S.  Hayes,  M.  D. 

Case  I.— Mrs.  E.  M.,  age  40,  came  from  England  some- 
thing less  than  a  year  previous  to  the  events  related.  She 
had  not  been  as  strong  in  this  country.  She  has  had  what 
she  calls  "grippe"  for  several  weeks  and  does  not  improve 
though  she  is  about  the  house  every  day.  Present  symp- 
toms: Cough,  worse  at  night,  from  tickling  in  the  chest 
and  throat-pit.  Soreness  inside  the  upper  part  of  the  chest. 
Hoarseness,  worse  in  the  evening. 

In  a  general  way  she  feels  better  in  the  open  air  and 
from  motion;  worse  after  a  nap  in  the  daytime,  better  after 
«  ni^t'a  sleep.    Although  a  refined  lady  and  well  enough 


mBR] 


ii^-' 


680  THE  MEDICAL   ADVANCE. 

nourished,  physically  she  appears  to  be  of  coarse  fibre  and 
to  lack  general  physical  tone  from  poor  quality  of  vegeta- 
tion, evidenced  by  the  coarse  hair,  skin,  complexion,  flat 
chest,  stooping  shoulders  and  angular  form.  This,  with  the 
decided  lack  of  reaction  following  grippe,  relief  from  mo- 
tion and  open  air  decided  positively  in  favor  of  tubercnli- 
num  avaire.    Tuberculinum  avalre  Im,  S.  P. 

This  not  only  cured  the  present  illness  but  proved  to  be 
the  general  restorative  needed.  Rhus  and  lycopodium  also 
came  to  mind.  Rhus  was  the  epidemic  remedy  for  grippe 
and  similar  affections  that  season.  All  three  have  marked  , 
relief  from  motion  and  open  air.  But  rhus  could  not  touch 
the  evident  dyscrasia.  Lycopodium  would  be  more  suitable 
for  a  finer  grade  organization.  There  was  no  family  histo- 
ry of  tuberculosis.     No  history  of  previous  illness. 

Case  II.— Mr.  N.  S.  Age  46,  looks  56.  Schema- 
La  grippe,  ill  in  bed.  Chilly  yesterday.  Has  been  troubled 
with  sleepiness  indoors.  Has  had  much  sore  throat  lately. 
Subnormal  temperature. 

The  gentleman  knew  more  about  drugs  than  I  did  as 
evidenced  by  the  few  symptoms  presented.  He  had  been 
successful  in  curing  about  all  symptoms  of  previous  years 
except  the  above.  In  fact  he  had  cured  about  everything 
except  himself.  He  seemed  to  be  in  poor  general  condition. 
Quinine  was  his  favorite,  standby. 

Nux  vomica  Im  relieved  so  that  there  was/uo  report  for 
six  weeks.  Then:  Chilliness,  especially  out  of  doors  (win- 
ter) and  on  undressing  for  bed. 

Ill  in  bed  again  today.     Nux  vomica  40m,  P. 

Five  days  later,  no  result  worth  mentioning. 

Rheumatic  pain  in  legs  when  tired. 

Has  had  grippe  twice  a  year  for  several  years. 

Tuberculinum  avaire  cm,  S.  P.  1. 

Good  improvement  generally  ever  since.  Pour  m<mths 
later  slight  attack  of  grippe  but  better  health  since.  One 
thing  I  could  not  cure  notwithstanding  his  promises,  the 
habit  of  taking  tonics,  catjiartics,  quinine,  etc. 

I  believe  this  man  had  a  narrow  escape  from  organic  in- 


EXPERIENCES  WITH  TUBERCQLINUM  AVAIRE.  681 

Tolvement.  The  nux  was  able  to  palliate  some  of  the  drug 
impression,  but  the  vital  force  was  insufficient  to  prevent  a 
return  of  the  acute  attack  nor  could  it  even  develop  symp- 
toms. This  fact,  together  with  evidence  of  deepseated  dys- 
-crasia  and  the  knowledge  that  the  avaire  has  a  relation  to 
such  cases,  was  practically  my  only  excuse  for  the  prescrip- 
tion, and  a  slender  chance  it  was  for  his  fate  to  rest  upon. 
Sulphur  was  indicated  and  made  good  a  few  months  after- 
ward.   But  it  developed  a  racking  bronchitis  and  coryza. 

Case  III.  Mrs.  S.  had  not  been  well  for  one  year.  She 
spent  much  money  on  physicians,  including  frequent  visits 
of  a  specialist  (surgeon)  from  the  city. 

The  present  illness ^  which  she  called  grippe,  began 
with  marked  hydroa  on  lips  two  weeks  previous. 

Cough  in  paroxysms  night  and  day. 

Soreness  in  chest  and  back  from  coughing. 

Constant  perspiration  while  in  the  house. 

Nervousness  and  anxiety  while  in  the  house,  relieved 
by  getting  out. 

Headache  in  the  house,  better  out  doors. 

Sleepless  after  midnight  until  5-6  A.  M, 

Constantly  tired  and  weak,  worse  from  slight  exertion. 
^    Generally  worse  from  motion  (probably  exertion),  relief 
from  open  air. 

History  of  grippe  every  winter  with  frequent  relapses 
from  slight  exposures. 

Has  increased  in  weight  during  the  eleven  months'  ill- 
ness *'from  tonics." 

Menses  have  been  absent  six  months  (climacteric  age). 

Tuberculinum  avaire  Im  S.  P.  1  did  splendidly.  No 
more  need  of  the  specialist.  Calcarea  came  in  well  four 
months  later. 

Case  IV. — Mr.  H.,  age  68.  As  the  case  was  twenty 
miles  distant  consultations  were  held  by  telephone.  Grippe 
was  epidemic  in  that  locality  and  this  appeared  at  first  to  be 
^  mild  attack. 

Vertigo  on  rising  from  bed. 


682  "  THE  MEDICAL  ADVANCE. 

Acting  m  bed,  relieved  byicettiiig.iipandmovii]^f^t; 
worse  in  the  m<miing,  worse  in  legs  ^md  hips. 

Bhos  tox.  200.  1,  (March  11,  '08)  i^ieved  four  dafs. 

March  15.    After  heavy  work  and  gettif^g  wet  a  relapse 

Hips  ache,  worse  at  night. 

Stitching  in  the  hips  when  sitting  still.  Soi^etimes  dis- 
appears suddenly. 

Respiration  short,  worse  from  slight  exertion  and  ap- 
parently out  of  proportion  to  the  acute  illness. 

Perspiration  from  slight  exertion. 

Face  flushed;  lever. 

Rhus  tox.  50m,  Sk.  1. 

March  16th.    No  better  except  fever. 

Torturing  pains  in  hips,  worse  at  night.  Restless,  des 
perate  at  night,  cannot  stay  in  bed  nor  keep  still. 

Thinks  there  i^  no  use  in  taking  medicine  and  that  there 
is  no  help  for  him-  Also  that  the  medicine  made  him  worse 
which  was  probably  correct.  Emaciation  very  marked  dur 
ing  the  last  two  days. 

Weakness  and  dyspnoea  increasii)g;  pulse  slow  Mid 
weak.    Tuberculinum  avaire  cm.  S.  P. 

As  this  patient  was  my  own  father  it  may  be  believed 
that  the  prescription  was  not  a  hazard  but  the  result  of  care- 
ful study. 

March  17th.  Slept  well  all  night;  very  comfortable 
since.  Convalescence  satisfactory  without  further  medica- 
tion. 

There  is  90  history  of  tuberculosis  or  allied  disease  in 
the  family. 

Case  V. — Deals  with  Mrs.  A.  C,  a  sufferer  from  spinal 
irritation  for  about  twenty  years.  She  gave  a  history  of 
tubercular  affection  of  the  chest  in  young  adult  life,  with 
spontaneous  recovery.  A  portion  of  the  middle  of  the  right 
lung,  however,  remained  solidified  until  an  attack  of  pneu- 
monia a  few  years  ago,  when  it  cleared  up  (under  homeo- 
pathic care).  After  that  incident  the  vegetative  system 
became  quite  improved.  The  spinal  symptoms  became 
worse,  however.     When  presented  to  me  she  had  led  the 


EXPERIENCES  WITJ?  TUBERCUUNUM  AVAIBE. 


683 


life  of  an  invalid  for  several  years,  spendiufir  much  of  her 
time  in  bed,  with  practical  disability  when  out  of  bed. 

She  received  single  doses  of  rhus  tox.  in  various  poten- 
cies, arnica,  nux  vomica  and  bryonia  in  the  order  named 
at  long  intervals,  according  to  the  totality  in  the  mechanical 
sphere  of  the  difficulty.  The  pressure  and  irritation  of  the 
spinal  nerves  were  relieved  sufficiently  for  the  spinal  bones 
to  limber  up  to  some  extent,  the  ligaments,  tendons  and  car- 
til^^  to  become  more  flexible  and  improved  in  nutrition. 
There  was  much  relief  from  the  various  pains  and  disturb- 
ances of  parts  supplied  by  the  affected  nerves.  But  most 
striking  of  all,  it  allowed  the  vital  force  freedom  to  express 
its  resistance  to  the  predisposing  cause  of  all  this  trouble. 
Some  of  the  following  symptoms  had  been  present  before 
but  were  never  arble  to  be  presented  in  an  orderly  form: 

Fear  as  if  some  evil  would  happen,  or,  as  if  something 
(undefined)  was  wrong.     Mentally  restless. 

Irritable;  destructive  feeling  (momentary).    X. 

Weary  of  life's  struggle;  positive  aversion  to  living; 
thoughts  of  suicide  from  hopelessness;  worse  late  in  the 
afternoon.    X. 

Tendency  to  get  buried  in  thought,  but  not  irritable  if 
disturbed.    X. 

Desire  to  curse,  at  times,  without  provocation — a  woman 
of  finest  moral  sensibilities.    X. 

Anxiety  int  ihe  evening,  growing  worse  through  the 
night  if  sleepless.    X. 

Depression  at  twilight.    X. 

Aversion  to  ccmversation;  talking  an  effort.  At  times 
when  nervous  tension  is  most  marked,  she  * 'could  talk  one's 
head  off."    X. 

Company  aggravates. 

Aversion  to  any  mental  work;  **seems  to  have  no  mind 
to  work  with";  cannot  concentrate  thoughts.    X. 

Sometimes  difficult  to  comprehend  even  simple  things. 
(Naturally  a  very  intelligent  and  talented  lady.)    X. 

Memory  has  failed,  especially  for  what  she  has  read. 

Sensitiveness  to  all  surroundings. 


li 


684  THE   MEDICAL  ADVANCE. 

Aversion  to  travel.    X. 

Nervous  tension  always  present,  though  outwardly  she 
is  always  calm  and  self-contained.    X. 

Nervous,  involuntary  gestures.    X. 

Sleepless  from  nervousness,  from  persistent,  crowding 
thoughts;  mind  clear  and  active  from  12  to  2  a.  m.,  or  sleeps 
until  4  a.  m.;  no  more  thereafter;  from  any  trifle.    X. 

Canine  appetite;  craves  meat  and  sweets.    X. 

Cold  perspiration  from  any  nervous  excitement.    X. 

Craving  for  fresh  air.    X. 

Generally  worse  from  cool  winds  or  drafts;  takes  cold 
but  bears  still  cold  very  well. 

Weakness  worse  in  the  evening.    X. 

Peels  better  generally  after  a  night's  rest. 

Used  to  have  grippe  every  year  for  several  years.    (?) 

Timid,  from  fear  of  jar,  touch  or  jostling;  worse  lately.  X. 

Uncertainty  in  walking;  worse  lately.   X. 

These  last  two  symptoms  were  decidedly  worse,  in  spite 
of  the  fact  that  there  was  much  benefit  from  the  previous 
prescriptions  and  that  she  was  stronger.  On  observation,  I 
decided  that  they  were  largely  mental.  Tuberculinum 
avaire  Im  S.  P.  1.  This  developed  severe  and  long-lasting 
coryza  and  bronchial  irritation,  with  great  temptation  to 
prescribe  on  account  of  the  mechanical  conditions  involved 
in  sneezing  and  coughing.  But  eve,rything  was  withheld 
except  S.  L.  Three  weeks  later:  Tuberculinum  avaire 
30m  S.  P.  1. 

This  acted  longer  and  deeper,  resulting  m  great  increase 
of  strength  and  a  greatly  improved  spinal  system.  Sulphur 
later  became  well  indicated  and  is  being  prescribed  at 
increasingly  long  intervals.  Prom  an  almost  helpless  inva- 
lid, the  lady  has  become  able  to  take  care  of  Iierself  and  do 
much  for  others. 

The  tuberculinum  avaire  prescription  was  the  real  turn- 
ing-point in  the  case.  It  was  only  one  instructive  aspect  of 
this  remarkable  case,  however.  I  shall,  therefore,  take  the 
liberty  of  reporting  it  in  full  to  the  I.  H.  A.  at  some  future 


EXPERIENCES  WITH  TUBERCULINUM  AVAIRE. 


685 


time.    The  symptoms  cured  or  markedly  relieved  by  tuber- 
culinum  avaire  I  have  marked  **X." 

Case  VI. — Mr.  L.,  a  painter,  suffered  many  years  from 
funeral  nervous  weakness.     Slender,  deficient  in  muscle,  a 
patient,  honest  plodder  who  worked  when  he  was  so  tired 
.that  his  knees  gave  way  with  every  step. 

After  strict  prescribing  for  two  years  or  more,  with 
response  to  such  antipsorics  as  lycopodium,  calcarea,  silicea^ 
and  psorinum,  he  seemed  to  have  more  vitality,  could  follow 
his  occupation  more  steadily,  having  fewer  attacks  of  ex 
haustion  and  of  grippe,  colds  and  fevers,  to  which  he  was 
especially  subject.  He  had  a  craving  for  liquors,  but  seldom 
indulged  to  excess.  Nothing  was  known  of  his  parentage 
or  family  history. 

One  day  he  was  taken  with  croupous  pneumonia  of  the 
right  lung.  Bryonia  relieved  the  first  stage.  Phosphorus 
was  later  well  indicated  and  seemed  to  finish  the  case.  On 
the  fifth  morning  as  I  was  sitting  talking  with  him,  telling 
him  that  he  was  practically  over  the  disease,  I  noticed  sud- 
denly that  he  appeared  to  be  staring  at  something.  All  at 
once  he  sprang  from  the  bed  in  wild  delirium,  evidently 
uremic,  or  akin  to  that.  With  difficulty  the  two  women  and 
myself  forced  him  into  bed,  where  I  administered  a  dose  of 
hyoscyamus  cm  F.,  which  relieved  him.  Albumen  and  casts 
were  found  in  the  urine,  which  was  dark  and  scanty.  This 
was  the  beginning  of  one  of  those  remarkable  delirant  phe- 
nomena which  the  physician  may  see  a  few  times  in  the 
course  of  a  lifetime.  To  describe  it  would  be  to  relate  about 
every  mental  and  nervous  symptom  given  in  the  provings 
of  hyoscyamus.  The  same  remedy  had  to  be  repeated  twice 
the  next  day.  It  effectually  relieved  the  mania,  but  sopor 
came  on,  increasing  finally  to  deep  coma.  In  the  meantime 
I  was  casting  about  for  the  curative  remedy,  but  without 
success. 

On  the  fourth  day  of  the  uremia,  convulsions  oc- 
curred, each  one  increasing  in  duration  and  intensity.  In 
desperation,  based  solely  on  the  history  of  many  attacks  of 
grippe  and  the  failures  of  all  my  remedies  to  make  a  man  of 


THE  MEDICAX,  Al^VANCE 

him,  I  iiave  tubarcoUnum  avaire  cm  S.  P.  1,  to  be  tahm 
every  two  hours  tbroogh  the  ni^bt.  Later  in  the  evening  I 
was  sent  for  because  the  delirnm  bad  returned  and  fever  ris- 
ing. I  informed  the  family  that  it  was  a  good  sign^that  he  was 
traveling  over  the  same  road  he  came,  that  he  was  therefoBe- 
improving  and  that  there  might  be  a  chance  for  him  yet.  I 
left  him  in  charge  of  two  heavy  men  and  it  required  all 
their  strength  and  activity  to  keep  him  in  bed.  The  next 
forenoon  I  found  him  mentally  clear  but  weak  and  the  tem- 
perature 103.  He  could  also  swallow  and  desired  nourish- 
ment. Spasmodic  stricture  of  the  esophagus  had  been 
present  for  several  days.  The  men  were  rather  exhausted, 
not  only  from  their  physical  efforts  but  from  night  long 
laughter  at  his  antics,  impromptu  songs,  rhymes,  witticisms, 
etc.  During  the  next  few  days  improvement  was  steady. 
But  after  that  strength  failed,  emaciation  being  so  rapid 
that  it  could  be  almost  seen.  Tuberculinum  avaire  was 
repeated  without  avail.  Camphor  caused  slight  temporal? 
reaction.  Restless  symptoms  demsuided  arsenicum  on  the 
thirteenth  day  of  his  illness,  which  caused  euthanasia. 
Organic  functions  were  normal  as  far  as  I  could  tell  fxsm 
physical  signs  and  tests.  But  the  great  strain  on  the  vii9i 
forces  had  been  too  much,  death  resulting  from  nervous 
exhaustion. 

This  experience  demonstrated,  to  my  mind,  the  invalu- 
able sphere  of  tuberculinum  avaire.  I  have  had  better 
results  from  the  avaire  in  that  class  of  cases  which  assooie 
grippe  forms  than  from  the  hufnan  or  bovine  preparations,, 
and  believe,  therefore,  that  this  will  be  verified  tbroogb 
collective  experience. 

THE  STUDY  OF  MATERIA  MBDICA. 

By  C.  M.  Boger,  M.  D. 
Our  pathogeneses,  in  spite  of  showing  many  features 
due  to  the  provers'  idiosyncracies,  the  translator's  conunand 
of  idioms,  clinical  experiences  and  misinterpretations,  are 
nevertheless  excellent  resumes  which  place  the  keynotes  ia 
their  true  light,  as  points  of  departure  only  for  their  abnse 


THE  STUDY  OF  MATJIRIA  MBDICA. 


687 


di9t€ir4)s  natures  image  and  often  brings  disaster  which  ends 
in  skepticism  or  mongrelism.  A  concise  view  not  only  in- 
cludes the  time  and  order  in  which  symptoms  arise,  but  also 
tixe  things  which  modify  them — the  modalities. 

BOnninghausen  saw  and  corrected  the  tendency  of 
Homeopathy  to  pay  too  much  attention  to  subjective  sensa- 
tions while  it  lacked  the  firm  support  of  etiologic  factors  and 
the  modalities,  which  afford  so  many  objective  and  distinctly 
certain  criteria.  The  triumphs  of  similia  in  the  diseases  of 
children  and  insanity  certainly  show  how  vastly  important 
they  may  be,  for  no  judgment  can  pay  it  a  handsomer  com- 
pliment than  to  speak  of  its  especial  adaptability  to  children 
and  old  people. 

Prom  a  very  few  provings,  in  which  he  saw  but  a  small 
part  of  the  immense  circle  of  similia,  Hahnemann  predicted 
its  amplitude,  and  finally  gave  us  the  immeasurable  p>ower 
x>f  potentization;  a  scientific  demonstration  which  rests  ther- 
apy firmly  upon  experiment  and  dispenses  with  learning  our 
symptomatology  by  rote. 

Study  shows  every  drug  to  be  a  living,  moving  concep- 
tion with  attributes  which  ari^ie,  develop,  expand  and  pass 
ftwfky  just  as  diseases  do;  each  holding  its  characteristics 
true  through  ^n  evar  widening  scope,  to  its  last  expression 
in  the  highest  potencies.  The  homeopathist  is  a  true  scien- 
tist, in  that  he  spares  no  pains  to  learn  the  nature  of  this 
individuality;  it  lifts  him  above  doing  piece-meal  work  and 
the  restraint  of  nosological  ideas.  Every  day  practice,  too 
often,  never  gets  beyond  the  simple  lessons  of  student  life 
and  they  remain  the  doctor "s  only  resource-  This  is  very 
wrong  and  acts  as  a  constant  handicap.  The  true  physician 
is  the  m*an  who  knows  how  to  make  the  best  cures  and  the 
ixM)8t  expert  healer  is  the  man  who  knows  best  how  to 
handle  his  materia  medica.  The  faculty  of  mastering  it  is 
iK)t  dependent  upon  encyclopaedic  memory,  but  rather  upon 
the  inquisitors  ability  to  pick  out  from  among  the  essential 
embodiments  of  each  picture  the  things  which  show  how  it 
e^dsts,  moves  and  has  its  being,  as  distinguished  from  its 
iiearest  similar.    That  a  mental  variation  should  be  the  de- 


11 


0 
■t^*^ 


THE  MEDICAL  ADVANCE* 

termining  factor  is  therefore  not  strange,  for  are  not  minute 
differences  the  very  essence  of  science? 

It  is  very  useful  to  have  an  idea  of  the  relative  valued 
of  related  remedies  for  in  essence  each  portrays  a  certain 
type,  with  variations  which  relate  it  to  its  complementaries, 
thus  dovetailing  into  each  other.  The  effect  of  material 
doses  simulates  acute  diseases  while  the  potencies  bring  out 
finer  effects,  although  this  is  not  an  invariable  rule. 

A  knowledge  of  many  symptoms  is  of  small  value,  while 
on  the  other  hand  learning  how  to  examine  a  patient  and 
then  to  find  the  remedy  is  of  the  utmost  importance.  The 
common  way  of  eliciting  well-known  key  notes  and  prescrib- 
ing accordingly  is  a  most  pernicious  practice,  which  has 
earned  a  deserved  odium  and  is  no  improvement  upon  the 
theoretical  methods  of  the  old  school. 

To  be  ruled  by  clinical  observations  and  pathological 
guesses  is  a  most  disastrous  error  which  limits  our  action 
and  only  obscures  the  wonderful  power  of  which  the  true 
simillimum  is  capable.  Such  reports  mostly  lack  individual- 
ity and  at  best  describe  only  end  products;  standing  in  strong 
contrast  to  those  expressions  which  reveal  the  real  mind, 
whether  in  actions,  words  or  speech.  The  recital  of  cured 
cases  only  shows  what  can  be  done,  but  not  how  to  do  it. 

To  do  the  best  work,  nothing  must  prevent  a  full,  free 
and  frank  presentation  of  the  symptoms  as  they  are,  without 
bias,  and  although  their  comprehension  necessarily  involves 
judgment,  the  more  clearly  they  follow  the  text  the^reater 
is  their  similitude,  hence  usefulness.  Hahnemann  showed 
rare  acumen  in  setting  down  each  expression  in  a  personal 
way,  thus  securing  scientific  as  well,  as  psychical  accu- 
racy. 

The  patient's  relative  sensitiveness  is  a  very  material 
help  in  separating  remedies.  The  alertness  of  drugs  Uke 
aconite  or  coffea  is  just  the  reverse  of  the  dulness  of  gel- 
semium,  phosphoric  acid  and  the  like,  and  yet  fright  may 
cause  the  oversensitiveness  of  the  former  as  well  as  the  de- 
pression of  opium.  If  stupidity  be  due  to  high  temperature 
or  an  overwhelming  intoxication  we  don't  await  the  devel- 


THE  STUDY  OF  MATERIA  MEDICA. 


689 


opment  of  a  sense  of  duality,  which  may  never  come,  but 
think  of  baptisia,  etc.,  at  once.  Such  an  early  prescription 
saves  many  a  live  and  forestalls  pathological  changes. 

The  various  cravings  and  aversions  are  highly  signifi 
cant,  especially  when  combined  with  the  patient's  behavior 
toward  solitude,  light,  noise,  company  or  any  other  daily 
environment.  The  most  expressive  new  symptom  is  usually 
the  key  to  the  whole  case  and  directly  related  to  all  of  the 
others,  and  is  often  expressed  by  a  change  of  temper  or 
other  mental  condition-  Such  apparent  trifles  reveal  the 
inner  man  to  the  acute  observer  and  have  proven  the  undo- 
ing and  insufficiency  of  liberal  homeopathy. 

We  do  not  say  however  that  diagnosis  is  of  no  value  in 
choosing  the  remedy,  for  certain  drugs  are  so  often  called 
for  in  some  diseases  as  to  have  established  a  fundamental 
relation  thereto,  hence  they  involuntarily  come  to  mind  dur- 
ing treatment  and  deserve  our  careful,  but  never  exclusive 
attention.  A  baryta  carb.  patient  may  have  adenoids;  black 
teeth  make  one  suspect  that  the  patient  drooled  badly  dur- 
ing dentition  and  the  survivor  of  pneumonia  may  still  carry 
earmarks  calling  loudly  for  phosphorus,  etc.  These  and 
many  more  should  suggest  the  patient  first  and  the  disease 
afterward. 

The  past  history  and  the  way  each  sickness  leaned  is 
both  useful  and  interesting,  for  most  persons  develop  symp- 
toms in  a  distinctive  way  through  the  most  diverse  affections. 
Such  constancies  are  truly  antipsoric  and  it  should  be  your 
pleasure  to  search  out  the  differentiating  indications  from 
among  them.  While  their  discovery  is  not  always  easy,  for 
it  involves  a  recital  of  every  past  sickness,  the  trend  of  each 
illness  and  its  peculiarities  are  a  part  of  the  sick  man's  way 
of  doing  things  and  must  be  known  if  you  wish  to  do  the 
best  work.  They  will  give  you  a  better  idea  of  present  and 
future  prospects  as  ^^ell  as  lay  a  solid  foundation  for  the 
prescription  that  will  do  much  and  reveal  many  things. 

If  we  say  that  remedies  typify  patients  and  know  that 
constitutions  exhibit  tendencies,  then  why  are  drugs  not 
specifics?    Simply  because  vitality  is  a  varying  force  whose 


690  THfi^MKDICAL  ADVA'NCE. 

mutations  are  always  similar  but  never  tUe  same;  it  is^  modi- 
fied by  every  influence  and  keeps  Itself  in  relative  equili- 
brium only.  The  more  nearly  it  holds  one  phase  the  more 
certainly  will  it,  even  with  varying  external  manifestations, 
demand  a  particular  medicine.  Under  what  circumstances 
and  in  what  way  shall  we  then  discover  this  more  or  less 
constant  factor?  It  lies  in  the  peculiar  personality  of  the 
patient,  especially  in  the  deviations  of  his  mind  from  the 
normal.  Sometimes  an  active  mental  state  overshadows  all 
else,  as  under  aur.,  bell.,  Ign  ,  lye,  nat-c,  phos.,  plat,  pal. 
or  veratrum,  according  to  circumstances;  at  others  a  strange 
mental  placidity  during  the  gravest  physical  danger,  is  a 
most  striking  guide.  The  facial  expre-sslon  may  be  its  true 
index  and  deserves  our  most  careful  scrutiny.  No  effort 
should  be  spared  to  learn  the  nature  of  the  mental  change 
which  has  overtaken  the  victim  for  it  epitomizes  the  whole 
patient. 

Ideally  no  two  remedies  can  be  equally  indicated 
although  practically  we  find  innumerable  variations  obscnr- 
ing  the  choice.  As  students  it  Is  of  the  first  Importance  to 
have  a  grasp  of  the  type  which  each  represents,  leaving 
experience  to  master  intricacies  and  detail.  We  speak  of  a 
phosphorus,  sulphur,  sepia  or  a  Pulsatilla  type  and  yet  this 
does  not  convey  a  very  useful  idea  to  the  young  man  because 
he  lacks  the  experience  which  rounds  out  the  image  of  each 
drug  in  his  mind's  eye  and  finally  enables  him  to  pick  it  out 
on  sight.  How  often  does  the  dilated  pupil  suggest  bella- 
donna when  accompanied  by  nervous  erethism  and  dryness, 
while  contrariwise  moisture,  puflftness  and  sluggishness 
make  one  think  of  calcarea-carb.  Then  we  have  the  nervous 
irritability  of  a  nux  vomica  patient  to  contrast  with  the  mild- 
ness of  Pulsatilla,  etc. 

The  treatment  of  coughs  is  a  severe  test  for  the  prescri- 
ber,  and  yet  no  patient  demands  a  more  careful  going  over 
than  the  one  who  coughs.  In  addition  to  the  above  hints 
one  should  first  carefully  find  out  where  and  by  what  the 
coughing  is  excitad.  Ordinarily  It  Is  the  result  of  an  irrita- 
tion starting  from  the  throat,  larynx,   chest  or  stomach,  but 


THE  STUDY  OF  MATERIA  MBDICA. 


691 


it  ifi^  especially  necessary  to  know  tJhe  esoidd  point  of  origin. 
^ThoBe  beginning  in t^e throat  pit  genersdly  call  fbr  bell., 
<5ham.,  nux-v.,  rum.,  sang.,  sepia  or  silicea.  When  the 
jnrimary  seat  seems  to  be  on  the  left  side  of  the  throat  or 
larynx  bapt.,  bell.,  con.,  hepar.,  ol-anim.  or  salicylic- aci J 
stand  first,  but  if  it  is  on  the  right  side  we  look  mostly  to 
dioscorea.  iris-foet.,  phosphorus  or  stannum.  Coughs  that 
come  from  what  seems  to  be  a  dry  spot  generally  need  nat- 
mar.  or  conium.  If  a  sense  of  a  lump  in  the  throat  excites 
it,  we  have  b€^,  calc-c,  cocc-cact.  and  lachesis.  So  the 
matter  goes  okHlsdefinitely,  with  the  accessories  determining 
the  final  choice,  but  it  is  not  difficult  to  see  how  greatly  our 
task  is  lightened  by  being  able  to  find  the  location  of  the 
exciting  cause  and  then  differentiate  with  the  aid  of  the 
modalities  and  the  general  picture.  This  is  the  true  homeo- 
pathic way  and  will  bring  unexpected  aid,  doing  more  than 
any  other  possible  method.  The  simillimum  reestablishes 
the  normal  conversion  of  energy  and  the  patient  reacts  with 
a  definiteness  unknown  under  other  methods.  It  is  the 
nature  of  every  human  being  to  be  extremely  sensitive  to 
the  constitutional  simillimum,  and  although  it  may  not 
always  be  easy  to  detect  the  signs  which  call  for  it;  when 
once  found  a  single  dose  of  a  very  high  potency  will  act  over 
long  periods  of  time.  Because  they  do  not  know  how  to 
manage  reaction  and  are  not  thoroughly  conversant  with  the 
materia  medica,  some  prescribers  avoid  such  prescriptions. 
With  a  little  more  knowledge  of  the  Organon  and  care  in 
handling  the  complementaries,  particJularly  the  nosodes,they 
will  be  able  to  accomplish  much  more  than  they  do  now. 
We  should  keep  in  mind  the  fact  that  the  premature  repeti- 
tion or  changing  of  remedies  before  reaction  is  finished  does 
endless  harm  to  the  patient  and  almost  hopelessly  confuses 
the  prescriber.  The  prescriber  must  know  when  to  give  the 
remedy  and  when  to  hold  his  hand  while  nature  expedites 
the  forces  to  which  he  has  given  a  new  direction.  He  must 
know  the  power  of  sac  lac  and  remember  that  an  inward 
movement  of  the  symptoms  bodes  no  good. 

It  is  worth  remembering  that  most  prescriptions  are 


692  THE  MEDICAL  ADVANCE. 

guesswork,  a  hidious  trifling  with  human  life,  for  every  drug 
is  either  sunilar,  hence  curative,  or  dissimilar  and  baneful, 
therefore  it  surely  behooves  every  man  to  do  his  utmost  in 
diligently  and  systematically  getting  every  symptom  and 
then  searching  for  the  nearest  similar.  When  you  have 
once  fully  tested  this  method  you  will  discard  empiricism 
and  all  that  charlatanry  which  goes  under  the  name  of  ra- 
tional medicine  while  it  puts  the  conscience  of  the  doctor  to 
Bleep  and,  by  suppressive  measures,  steadily  pushes  the  pa- 
tient toward  the  grave.  ^ 

To  make  good  cures  it  is  above  all  neoib^ary  to  avoid 
running  to  the  specialist  every  time  new  symtoms  arise,  for 
very  few  men  of  this  class  are  broad  enoughjto  see  that  the 
whole  man  is  sick  when  he  shows  local  symptoms  and  that 
the  carefully  selected  remedy  would  render  most  of  his  work 
superfluous.  If  the  laity  ever  learn  this  lesson  they  will 
certainly  smite  the  men  who  call  themselves  doctors  but  as 
surely  are  not  physicians. 

Every  day  we  are  confronted  with  conditions  which  lie 
on  the  borderland  between  surgical  interference  aAdthe 
remedial  powers  of  medicine  for  surgeons,  with  the  aid  of 
the  knife,  have  steadily  pushed  the  use  of  medicines  further 
and  further  into  the  background.  This  is  especially  true  of 
allopathic  procedures  and  although  most  homeopaths  have 
not  gone  to  such  extremes,  the  signs  are  not  wanting  that 
many  men  who  profess  the  law  of  similia  understand  so  little  of 
it  that  they  are  constantly  willing  to  relegate  it  to  a  very  sub- 
ordinate place  and  go  on  using  the  knife  to  the  utmost  limit 
It  is  too  often  not  a  question  of  what  is  good  for  the  patient 
but  of  how  far  he  will  allow  the  operator  to  go.  Such  is  the 
spirit  with  which  the  glamour  of  the  operating  room  over- 
shadows the  more  prosaic  prescription,  which,  if  left  alone 
is  capable  of  gradually  unloading  the  embarrassed  vital 
force  and  allowing  life  to  flow  on  in  its  usual  way;  it  nips 
disease  in  its  inception  before  the  microscope  can  possibly 
pass  a  doubtful  verdict.  No  manner  of  cutting  can  do  as 
much. 

The  simillimum^often  surprises  us  by  its  power;what  we^ 


THE  STUDY  OF  MATERIA  MEDICA. 


693 


have  been  taught  to  look  upon  as  incurable  or  to  be  removed 
with  the  knife  only,  is  cured.  In  these  days  the  laity  look 
for  mechanical  removal  because  homeopaths  have  not  led 
them  to  expect  anything  better  than  the  work  of  the  sur- 
geon. I  can  fully  confirm  what  BOnninghausen  says  in  his 
Aphorisms  of  Hippocrates,  Book  6,  Aphorism  58,  '  'Homoe 
opathy  cures  all  kinds  of  ruptures,"  a  strong  statement,  but 
experience  bears  him  out.  He  further  says  that  it  is  not  a 
local  trouble  and  at  best  will  not  long  remain  so  and  that  the 
final  cure  depends  upon  the  concomitants,  all  of  which  is 
true.  He  mentions  Aco.,  Alum.,  Asar.,  Aur.,  Bell.,  Bry., 
Calcc,  Caps.,  Cham.,  Cocci.,  Coloc,  Guai.,  Lach.,  Lye, 
Mag-c,  Nit  ac,  Nux-v.,  Op.,  Phos.,  Plb.,  Sil,,  Staph.,  Sul., 
Sul-ac,  Thuj.,  Verat-a.  and  Zinc,  as  the  foremost  remedies, 
fi'om  which  we  choose  Aco.,  Alum.,  Aur-,  Bell.,  Calc-c, 
Caps.,  Cham.,  Coloc,  Lach-,  Lye,  Nit-ac,  Nux-v.,  Op., 
Plb.,  SiL,  Sul.,  Sul-ac.  or  Verat-a.  for  incarcerated  hernia. 
The  predisposition  to  this  disorder  is  often  hereditary  and 
the  surgical  closure  of  one  ring  is  just  the  prelude  to  the 
formation  of  a  rupture  at  another. 

The  domain  of  surgery  lies  largely  within  the  tra-umatic 
sphere  and  in  the  palliative,  which  enables  the  chronic  pa- 
tient to  live,  but  on  a  lower  plane.  The  vast  majority  of 
early  operations  for  incipient  malignant  disease  not  only  in- 
flict a  severe  injury  upon  the  vital  force,  but  at  best  remove 
a  suspicion  only.  None  but  the  grossest  materialist  would 
do  such  a  thing.  We  should  use  the  indicated  remedy  from 
the  very  start,  well  knowing  that  it  sai^es  the  strength  of 
the  patient  and  improves  his  chance  immeasurably  if  an 
operation  is  finally  necessary. 

Why  do  we  operate  for  adenoids  or  polypi,  for  piles  and 
a  thousand  other  things/*    Simply  because  of  the   uncured 
sin  of  the  parents  and   ignorance  of  how  to  live  the  present 
ife. 

The  law  leads  toward  morality  and  a  natural  expres- 
sion of:.inherent  powers;  it  adds  nothing  and  subtracts  noth- 
ing, but  harmonizes  everything.  Until  the  cutters  can  be 
brought  to  see  this  point  and  that  the  most  facile  method  of 


n 


694  THE  MEDICAL  ADVANCE. 

cure  lies  in  its  correct  application,  they  can  know  nothing 
of  homoeopathy  and  very  little  of  nature. 

Such  thin^  may  seem  far  off,  but  a  clearer  view  is  fast 
giving  a  better  understanding  of  life,  its  ways  and  ends, 
and  is  beginning  to  see  that  sickness  means  ignorance  and 
that  a  cure  means  a  comfortable  return  to  health  instead  of 
the  old-fasioned,  lame  recovery.  The  former  is  what  is  ex- 
pected of  homoeopathy,  the  latter  is  essentially  the  surgical 
way.  To  be  a  good  homoeopath  and  at  the  same  time  a 
good  surgeon;  there's  the  rub.  The  materialism  of  the  one 
seems  incompatible  with  the  dynamism  of  the  other,  but  no 
amount  of  sophistry  can  rub  out  the  fact  that  we  are  dealing 
with  the  man  whose  life  and  being  flows  from  within  and 
who  uses  his  organs  to  guide  this  internal  self;  therefore  an 
external  injury  has  an  internal  effect  and  an  internal  dis- 
turbance shows  itself  by  external  signs,  be  the  cause  moral 
or  physical. 

The  psoric  theory  of  Hahnemann  has  been  a  great 
stumbling  block,  especially  to  those  who  have  not  read  the 
39th  aphorism  of  the  2nd  Book  of  BOnninghausen*s  Aphor- 
isms of  Hippocrates.  Among  other  things  we  read  there' 
that  **The  discovery  of  the  itch  mite  does  not  belong  to  mod- 
ern times,  as  650  years  ago  the  Arabian  physician  Abenzohr 
not  only  surmised  it  but  the  common  people  knew  it  by  the 
name  of  Syrones.  Pabricius,  (Entomologist  1745-1808)  also, 
in  his  **Pauna  Greenlandica'*  praised  the  dexterity  of  its  in- 
habitants in  detecting  and  destroying  these  insects  with  the 
point  of  the  needle."  He  also  points  out  that  Hahnemann's 
critics  have  uniformly  confused  the  product  of  psora  with 
its  cause.  Hahnemann  was  perhaps  unfortunate  in  calling 
susceptibility.  Psora,  especially  when  applied  to  the  herpetic 
diathesis;  he  laid  the  greatest  stress  upon  the  fact  that  itch 
aroused  or  greatly  intensified  this  susceptibility  (psora); 
nothing  could  be  truer. 

It  is  certain  that  psora  shows  itself  in  the  form  of  skin 
symptoms  in  some  persons  and  that  their  suppression  often 
causes  metastases.  The  seriousness  of  such  accidents  is 
perhaps  plainest  in  the  case  of  erysipelas.    When  this  hap- 


THE  STUDY  OP  MATERIA  MEDICA. 


695 


pens  the  simillimum  generally  includes  the  symptoms  of  the 
original  disease  plus  those  of  later  development  which  there- 
by become  all  important.  Occasionally  no  one  remedy  cor- 
responds to  the  whole  picture;  then  we  must  prescribe  for 
the  most  recent  phase  first  and  for  the  earlier  one  when  it  is 
again  uncovered. 

A  metastasis  means  that  an  ingrained  affection  is  ex- 
pressing itself  in  another  form  and  is  demanding  the  pa- 
tient's constitutional  remedy,  rather  than  a  time  serving 
palliative.  In  this  connection  I  cannot  too  strongly  insist 
that  the  chronic  diseases  cannot  be  successfully  treated 
without  taking  the  anamnesis  into  account.  The  mistake  of 
omitting  it  seems  to  be  one  of  the  great  causes  of  failure  in 
our  times.  It  has  been  artfully  claimed  that  such  a  pro- 
ceeding nullifies  the  whole  law  of  similia,  but  a  more  egre- 
gious blunder  is  hard  to  imagine  for  it  is,  on  the  one  hand 
iadeed,  unthinkable  that  the  entire  list  of  anamnesic  symp- 
toms with  their  correspondingly  numerous  drugs  could  be 
the  result  of  the  experience  of  any  one  or  two  men,  or  on 
the  other,  that  they  should  have  been  so  adroitly  conjured 
up  by  the  human  mind.  On  the  contrary  t:  ey  bear  much 
inherent  evidence  of  having  been  reasoned  out  from  the 
provings  as  rectified  by  innumerable  experiences.  Unfortu- 
nately our  modern  life  becomes  less  and  less  suited  to  such 
a  way  of  doing  things;  everybody  is  in  a  hurry,  some  even 
die  in  a  hurry;  everyone  wants  to  be  cured  quickly  without 
regard  to  the  natural  vital  processes.  This  is  one  of  the 
great  and  fundamental  causes  of  palliative  medication  and 
drug  addictions. 

In  the  last  analysis  it  will  be  found  that  the  mind  of  ma- 
terial mould  grasps  the  idea  of  imponderables  with  difficulty; 
but  recent  advances  of  science  are  about  to  force  the  issue 
and  it  will  no  longer  be  possible  to  impugn  the  qualifications 
and  motives  of  those  who  trust  and  use  their  powers  with 
unrivalled  success.  Their  advocates  must  of  necessity  per- 
sistently cultivate  the  habit  of  keen  observation,  correct 
reasoning,  direct  inquiry  of  nature  and  absolute  honesty 
with  themselves,  and  all  will  be  well. 


^.-^ 


-^  i 


696  THE  MEDICAL  ADVANCE. 

When  we  remember  these  thinj?s  we  should  be  more 
charitable  toward  many  who  differ  from  us  in  therapeutics; 
they  mean  well,  but  some  don't  know,  some  don't  care  and 
others  can't  comprehend.  After  all  is  said  and  done  it  sim- 
ply resolves  itself  into  a  matter  of  education;  you  must,  first 
of  all,  educate  away  all  prejudice  and  preconceived  ideas. 
No  man  holding  tenacioulsy  to  the  idols  of  a  cure  by  force, 
as  generally  understood,  can  be  a  good  scientist  or  a  clean 
homoeopath;  there  is  no  such  thing.  The  power  used  comes 
from  within  and  in  curing  you  draw  it  forth  and  guide  it  into 
the  ways  of  health.  This  law  is  spiritual  as  well  as  ma- 
terial; it  gradually  merges  from  one  into  the  other;  if  you 
would  be  a  whole  man  you  must  understand  it  and  learn  how 
to  apply  it,  for  by  similars  you  are  healed  both  mentally 
and  physically.  No  mtin  can  stand  in  your  place;  there  is  a 
great  image  after  which  your  mind  copies  and  a  perfect  life 
toward  which  your  body  grows;  it  is  a  unit  striving  to  bring 
itself  into  harmony  with  the  All  Father. 

They  are  our  best  friends  who  make  us  think,  albeit  we 
may  not  fully  agree  with  them.  Now  if  I  have  shown  you 
only  one  reason  why  the  sick  are  cured  by  similars  you  are 
thinking,  and  it  is  but  a  step  to  seeing  that  the  highest  po 
tencies  act  for  the  same  reason  that  the  lower  do.  By  the 
similarity  of  their  time  pace  they  change  the  polarity  of 
vital  action  and  a  cure  follows. 


WHAT  KIND  OF  A  HOMEOPATH  ARE  YOU  f 

J.  B.  S.  King,  M.  D. 

In  that  dreary  stretch  of  land  that  touches  Lake  Michi- 
gan's southernmost  border,  there  once  dwelt  a  man  who 
suffered  from  intermittent  fever,  accompanied  with  persist- 
ent vomiting  Large  doses  of  quinine,  ofHuxham's  tincture, 
of  Osgood's  Cholagogue  and  of  Warburg's  tincture  had  been 
taken,  by  advice  of  the  neighborhood  physicians,  but  in  vain. 
One  day  while  he  was  shivering  and  vomiting,  at  the  door 
of  his  humble  cottage,  a  neighbor  dropped  in. 

'* While  I  was  gathering  wood  yonder,  I  heard  a  noise 
like  bones  rattling  together,  and  I  allowed  it  must  be  your 


WHAT  KIND  OF  A  HOMEOPATH  ARE  YOU? 


.697 


teeth  chattering,  so  I  brought  this  over  to  ye;  found  it  in  the 
brush  yesterday/'  so  saying  he  placed  a  bit  of  printed  paper 
in  his  shaking  hand. 

It  was  a  circular,  gotten  up  by  the  committee  on  Homeo- 
pathic Propagandism  of  the  American  Institute.  How  this 
therapeutic  waif  happened  to  be  arrested  by  the  sparse  veg- 
etation on  the  sand  dunes  of  Indiana  might  be  a  subject  for 
speculation,  but  could  not  be  certainly  known.  From  it  the 
sick  man  gathered  the  agreeable  information  that  there  was 
a  Law  of  cure— a  natural  law — that  physicians  of  the  variety 
called  Homeopathic  all  knew  how  to  pick  out  one  appro 
priate  remedy  for  each  case  of  sickness  and  thereby  work 
a  cure. 

'^Sounds  good  to  me,"  said  he.  **I'm  going  to  Chicago 
to  hunt  one  of  them  doctors  up.  I'm  pretty  tired  of  the.se 
country  jays.'' 

Accordingly  on  the  morrow  he  saddled  his  ass  and 
started  out  for  the  great  city,  shaking  violently  and  vomit- 
ing as  he  went,  on  the  wayside  weeds.  The  first  Homeo- 
pathic physician  that  he  went  to  said  that  he  had  symptoms 
calling  for  Quinine  and  Arsenic  and  gave  him  two  bottles  of 
medicine  to  be  taken  alternately. 

*'That  circular  did  not  seem  to  talk  that-away,"  quoth 
the  patient;  *'I  guess  you  ain't  the  brand  I  want.  How 
much  is  it?" 

The  second  Homeopathic  physician  announced  that  he 
^as  a  Homeopathical,  Miasmatical,  Mystical  Expert  and 
that  the  dase  was  evidently  a  mixture  of  two  or  three 
miasms  that  would  have  to  be  uncovered  successively  before 
a  cure  could  be  effected. 

*'It  don't  seem  to  me,"  said  the  patient,  vomiting  with 
great  accuracy  into  the  cuspidor,  '*that  you  are  the  kind  I 
read  of  in  that  there  circular  either.  How  much  do  I 
owe  [/o?i.^" 

The  third  Homeopathic  physician  whom  he  consulted 
announced  himself  to  be  a  Homeopathic  Orificialist.  '*Your 
trouble,"  said  he,  "undoubtedly  arises  from  your  rectum.     I 


698  THE  MEDICAL  ADVANCE. 

have  unfortunately  mislaid  my  glasses  and  being  very 
myopic  can  not  at  this  moment  make  an  examination." 

Just  then  a  junior  Homeopathic  Orificialist,  with  a  blood- 
stained operating  robe  on,  entered  with  a  pair  of  glasses  in 
his  hand. 

*  Ha!"  quoth  the  senior,  smiling,  '*now  I'm  all  right. 
Where  did  you  find  them?" 

**I  found  them  in  the  rectum  of  that  lady  you  operated 
on  this  morning.  They  must  have  dropped  in  while  you 
were  dilating  the  sphincters" 

**Thank  you,"  replied  the  senior,  smelling  them  cau- 
tiously. **Have  they  been  disinfected?"  After  an  aflfirma- 
tive  answer,  he  poised  them  delicately  on  his  nose  and 
turning  to  the  new  patient,  said,  **A11  diseases — in  fact 
nearly  everything— can  be  traced  to  the  rectum.  It  is  the 
only  way  you  can  be  cured.  Mount  this  table,  my  man,  and 
allow  me  to  make  an  examination." 

**Well,  by  Jingo!"  exclaimed  our  hero,  shaking  violently, 
*'you  ain't  the  kind  in  that  there  circular  by  a  long  shot. 
How  much  do  you  want?" 

With  a  certain*  trepidation  added  to  the  natural  shake  of 
the  chill,  the  man  applied  to  the  fourth  Homeopathic  physi- 
cian, with  the  not  unnatural  question,  *'Say,  what  kind  of  a 
homeopathic  doctor  are  you?" 

*'Just  an  humble  homeopath  without  any  frills.  Are  you 
under  the  weather?" 

*'Is  this  the  kind  you  are?"  asked  the  man,  holding  out 
the  circular  with  one  hand  and  rubbing  his  stomach  with  the 
other. 

The  homeopath  read  the  circular  attentively.  *-That's 
about  right,"  said  he.  Many  questions  followed,  a  medicme 
was  given  which  stopped  the  iporbid  symptoms  very  speed- 
ily, but  as  all  the  man's  money  had  gone  to  the  previous 
consultants,  the  humble  homeopath  had  to  pawn  his  watch 
as  usual,  when  in  need  of  funds. 


■T'^^^i 


SURGICAL  CASKS. 


699 


SURGICAL  CASES  (SO  CALLED)  CUBEU  THEBAPEUTI 

CALLY. 

By  Nettie  Campbell,  M.  D. 

Neuralgia  and  Constipation. — Mrs.  C.  R.,  age  54. 
A  Christian  Scientist,  no  medicine  in  10  years. 

A  most  terrific  case  of  left-sided  neuralgic  headache  ex 
tending  down  the  neck  and  shoulder;  head  constantly  wrap- 
ped up  in  a  shawl,  only  the  nose  peeping  out;  body  bathed 
in  hot,  musty  perspiration;  room  eighty  degrees  and  yet 
patient  is  worse  by  the  least  breath  of  air  if  bedding  is 
raised;  also  worse  by  light,  every  blind  must  be  down. 

Was  called  as  an  osteopath,  with  instructions  by  the 
husband  not  to  mention  medicine,  as  they  were  from  a  fam- 
ily of  physicians  of  both  schools;  brother  in-law  at  one  time 
professor  of  materia  medica  in  Hering  College  and  all  there 
was  in  medicine  had  been  tried  on  her. 

Neuralgic  headache  since  a  school  girl. 

The  daughter  asked  me  to  give  medicine  to  be  put  in 
drinking  water.  I  replied  when  medicine  cures  your  mother 
she  must  know  it  and  give  the  credit  to  Homeopathy  and  not 
to  Christian  Science. 

I  explained  to  the  family  that  osteopathy  could  never 
cure  such  a  deep-seated  miasmatic  trouble  and  felt  sure  a 
class  of  remedies  called  the  nosodes  would  reach  her  trouble 
and  believed  they  had  never  been  tried  in  her  case,  as  even 
some  Hering  graduates  were  too  prejudiced  to  give  them  a 
trial.  After  ten  days  confinement  to  the  bed,  with  almost 
incessant,  agonizing  pain,  during  which  time  I  was  treating 
her  osteopathically,  she  consented  to  try  medicine  once 
more. 

The  osteopathic  treatment  afforded  me  a  splendid  oppor- 
tunity to  study  her  case  and  thus  make  a  center-shot  pre- 
scription for  the  headaches,  where  I  would  have  been  almost 
sure  to  have  failed  had  I  prescribed  at  the  first  visit. 

The  following  were  the  symptoms: 

1.  Left-sided  headaches,  neuralgic  in  character,  ex- 
tending down  the  neck  and  shoulder. 

2.  Pain  in  left  shoulder  at  insertion  of  deltoid,  worse 


i 


700  THE  MEDICAL  ADVANCE. 

raising  arm  laterally,   (either  shoulder  med.   syph.    rhus), 
ri^ht  shoulder,  sang. ;  left,  f er.  met. 

3.  Ptosis — sleepy  look  from  drooping  lids— gels-caust., 
graph.,  syph. 

4.  Fissures  of  rectum — syph.,  tub.,  thuja.,  sep.,  nit.  ac.^ 
graph.,  cham.     All  stand  high. 

5.  Teeth  decay  at  edge   of  gums — staph.,  tub.,  syph. 

6.  Obstinate  constipation  for  years;  only  one  movement 
in  ten  days;  stricture  in  rectum,  could  hardly  introduce  the 
high  rectal  tube;  she  said  the  pain  of  passage  after  an  enema 
was  as  bad  as   giving  birth  to  a  child — lacdef.,  tub.,  syph. 

7.  Inordinate  desire  for  brandy,  though  strictly  temper- 
ate; only  thing  the  stomach  would  tolerate  without  nausea — 
this  made  me  think  of  what  our  good  dean  told  us  when  in 
college,  viz:  *'You  will  never  find  a  drunkard  except  in  a 
miasmatic  patient." 

s.  Dread  to  see  night  come,  not  because  pains  are  really 
so  much  worse,  but  lay  awake  all  night,  while  others  are 
sleeping  and  about  day-break  fall  asleep. 

9.     Worse  wrapping  head  up — hepar,  sil.,  psor.,  syph. 

February  IT),  1907,  three  powders  syph.  an  hour  apart, 
followed  by  S.  L. 

Relieved  of  pain  before  time  for  the  second  powder, 
slept  all  night  and  until  9  a.  m.;  no  trouble  in  sleeping  after 
this. 

Appetite  returned,  craving  for  stimulants  ceased,  no 
complaint  when  even  high  rectal  tube  was  used. 

In  two  weeks  time  bowels  moving  normally  every  day; 
saw  her  two  weeks  ago  and  she  told  me  she  had  no  trouble 
with  constipation  or  headaches. 

In  this  case  I  could  find  no  trace  of  any  syphilitic  taint 
whatever. 

Mp:DOKKiiiNrM  IN  Dysme>:orrhea,— Mrs.  M  ,  widow; 
manager  in  telephone  oftice.  Never  had  any  trouble  till 
since  marriage  one  and  a  half  years  ago,  and  now  must  give 
up  and  go  to  bed  for  two  days  each  month.  The  most 
distinctive  symptoms  were  these: 

1.     Chronic  ovaritis  since  marriage. 


SURGICAL  CASES.  701 

« 

2.  During  menstruation  intense  menstrual  colic,  want 
to  draw  knees  up  and  press  abdomen,  but  the  thing  that 
gives  Ihe  most  relief  is  to  grasp  something  and  bear  down  as 
in  labor. 

3.  Flow  dark,  clotted,  impossible  to  wash  out.  (mag  c). 
Gave  med.  c.  m.     In  two  hours  pain  all  gone  able  to  go 

to  -work,  not  the  least  pain.    Three  months  later  still  well. 

ANOTHER    CASE. 

Miss  M.,  age  24.  Menstruation  profuse  but  painless, 
lasting  five  days;  flow  in  gushes,  on  moving  or  even  raising 
arms; 'flow  is  dark,  clotted  and  hard  to  wash  out. 

Painful  tenesmus  of  bladder,  worse  after  last  drops  of 
urine. 

Worse  by  pressing  the  vulva  with  hand. 

Thinking  of  the  painful  irritation  of  bladder  makes  it 
worse. 

Must  get  up  to  urinate  four  or  five  times  at  night, 
beginning  after  she  gets  warm  in  bed. 

Med.  c.  m.  complete  relief  of  all  the  urinary  symptoms 
in  twenty-four  hours,  and  next  menstrual  flow  not  so  profuse 
or  so  hard  to  wash  out. 

She  said,  *1  have  treated  for  the  urinary  trouble  for 
months  and  this  was  the  first  relief  I  obtained." 

PsoKiNUM  IN  Acute  Coryza.— N.  G.,  age  75.  My  next 
is  a  case  of  severe  acute  coryza,  suggesting  by  turns  ars.; 
sulph.  and  allium  cepa.,  with  symptoms  common  to  such 
cases,  which  I  failed  to  cure  until  I  overlooked  the  cold  and 
made  a  careful  inquiry  into  my  patient's  past  life — in  other 
•words  prescribed  for  my  patient  and  not  the  pathological 
condition.  The  following  are  tlie  symptoms  which  helped  to 
clearly  differentiate  the  case: 

1.  Typhoid  in  a  malignant  form  when  young,  suggest- 
ing at  once  a  psoric  patient. 

2.  Must  cover  the  head  (especially  forehead)  winter 
and  summer  when  sleeping.  Relief  from  wrapping  up  the 
head — hep.,  sil.,  psor.,  nat.  m.,  syph. 

3.  Knows  when  a  thunder  storm  is  coming  because  of  a 


702  THE  MEDICAL  ADVANCE. 

nervous,  restless  feeling  in  bones  for  two  or  three  days, 
causing  sleepless  nights  and  better  as  soon  as  the  storm 
breaks. 

Worse  before  a  thunder-storm — gels.,  psor.,  sep.,  lach. 

We  have  a  number  worse  during  a  storm. 

4.  Always  have  a  bad  cold  like  this  once  a  .year,eDding 
in  a  sore  throat.    Worse  once  a  year— gels.,  lach.,  ars.,  psor. 

Psor.  m.  in  water  every  half  hour;  decided  relief  before 
time  for  second  dose  (although  saturating  four  or  five  hand- 
kerchiefs in  an  hour),  and  by  night  all  hoarseness  andcoryza 
had  disappeared  and  you  would  hardly  suspect  that  she  had 
bad  a  cold. 

The  most  interesting  thing  about  this  case  is  the  remedy 
so  far  as  proven,  has  none  of  the  symptoms  of  the  coryza  or 
hoarseness,  which  she  presented. 

TuBERCULiNUM  IN  Eye  TROUBLE.— Mrs.  M.,  age  40. 
Temp)^rature  97  in  early  morning.  Brother  and  sister  died 
of  tuberculosis;  almost  constant  dull  aching  pain  in  eyes; 
look  tired  and  weak,  lids  heavy;  want  to  close  them. 

Worse  reading  or  using  eyes  at  close  work;  marked 
photophobia. 

Felt  sure  it  could  not  be  the  fault  of  the  glasses,  as  a 
good  oculist  had  fitted  her  glasses  about  two  months  before 
and  yet  she  could  not  read  ten  minutes  without  closing  her 
eyes  to  relieve  the  pain  and  aching. 

Cannot  go  to  sleep  till  midnight;  puis.,  sulph.,  tub. 

Breasts  enlarge  and  become  painful  for  one  week  before 
menses;  con.,  lac  can.,  tub. 

Craves  ice  cream  before  menses,  a  marked  symptom. 

Menses  regular,  almost  to  a  day;  tardy  in  starting,  then 
very  profuse  and  protracted  for  eight  or  nine  days  and 
weakening;  calc.  carb.,  tub. 

Flushes  of  heat  from  the  diaphragm  up. 

Feet  icy  cold,  but  not  noticeable  to  patient  till  shoes  are 
removed  and  she  touches  them. 

Tub.  c.  m.  in  water  for  two  days^  followed  by  s.  1.  and 
tub.  as  needed. 


MENTAL  TROUBLES  RELIEVED. 


703 


Third  day  could  read  better  without  glasses  than  she 
could  with  them. 

Saw  her  three  months  later;  temp,  normal. 

Sleep  better;  feet  not  so  icy  cold;  breasts  not  painful  be- 
fore menses.    Menses  not  so  profuse  or  exhausting. 

Eyes  still  continue  better  and  can  read  without  glasses. 
This  is  but  one  of  several  cases  in  which  I  have  found  tuber- 
•culinum  helpful  for  the  eyes. 

Convergent  Strabismus:— R.  B.,  age  65.*  Trouble 
came  on  after  an  injury  to  the  head,  fracturing  the  bone 
slightly  above  and  below  the  eye,  causing  internal  strabis- 
mus of  the  right  eye,  the  iris  touching  the  internal  canthus. 

Forgetful  of  names  of  persons,  recognizes  them  but  calls 
them  by  another  name. 

Aggravated  by  heat  of  the  sun. 

Worse  in  cold  weather,  always  chijly,  which  excludes 
sulph. 

Can  hardly  be  induced  to  take  a  bath. 

Good  appetite,  must  have  three  good  meals  of  strong 
food  a  day,  can't  be  put  off  with  lunch. 

Breath  so  extremely  offensive  can  hardly  talk  to  him. 

Urine  and  perspiration  almost  as  markedly  offensive. 

Psor  c.  m.  once  a  day  for  two  weeks. 

In  three  weeks  time  could  hardly  notice  the  strabismus. 

Breath,  urine  and  perspiratinn  not  so  offensive. 

Not  quite  so  averse  to  bathing;  has  more  energy. 

Memory  improved. 

In  two  months  time  eye  almost  normal. 


MENTAL  TROUBLES  :REL1EVED  BV  HOMEOPATHIC 

REMEDIES. 

By  Lee  Norman,  M.  D. 

In  presenting  this  paper  on  Mental  Troubles  relieved 
by  Homeopathic  remedies,  do  not  understand  me  to  believe 
that  surgical  interference  is  never  necessary  or  justifiable. 
I  believe  in  surgical  measures  where  a  case  is  incurable  with 
remedies. 

Every  mental  disease  is  characterized    by  special  symp- 


704  THE   MEDICAIi  ADVANCE. 

toms  by  which  it  may  be  recognized,  as  the  disease  appears 
in  a  variety  of  forms,  such  as  delirium,  hallucinations,  mel- 
ancholy and  insanity.  I  will  not  attempt  to  go  into  the  pa- 
thology, as  the  pathology  in  the  case  would  show  us  a  very 
uncertain  light.  In  order  to  obtain  the  best  results  in  the 
treatment  of  these  cases,  it  is  essential  to  know  everything 
possible  about  the  case.  Take  plenty  of  time  in  examining 
the  patient.  The  first  important  condition  after  taking  the 
case  is  tolindthesimillimum,  which  in  most  of  these  cases  is 
hard  to  do. 

Mrs.  V — ,  age  \)'2,  lived  in  a  southern  town  on  the  Ohia 
River,  two  years  ago  suffered  with  malaria,  had  chills  and 
fever  which  was  treated  with  heroic  doses  of  quinine  and 
calomel,  apparently  became  well;  fairly  good  health  until 
January  9th,  when  between  8  and  4  a.  m.,  she  awoke  with  a 
chill,  she  felt  as  if  the  blood  had  left  her  body,  sent  for  a 
doctor  and  when  he  arrived  she  was  delirious,  talking  about 
hearing  voices  calling  her  ugly  names,  saying  all  kinds  of 
threatening  things.  The  doctor  gave  her  a  hypordermic  in- 
jection, when  she  became  quiet  he  left,  returning  again  that 
a.  m.,  repeated  the  injection.  He  continued  this  treatment 
for  a  week;  finally  said  that  her  ovaries  were  affected  and 
she  could  not  get  well  without  an  operation.  Another  phy- 
sician was  then  called  in,  be  made  an  thorough  examination 
and  said  she  was  perfectly  healthy  in  that  respect  and  an 
operation  was  not  necessaiy.  He  treated  her  for  hysteria, 
she  appeared  to  be  getting  better  but  continued  to  hear  the 
voices  all  the  time.  The  medicine  he  gave  her  seemed  to 
give  her  unnatural  strength,  which  only  lasted  for  a  short 
time.  She  grew  worse,  husband  took  her  to  Cairo,  111.,  from 
there  to  St.  Louis  to  different  physicians;  still  showed  no 
improvement.  While  in  St.  Louis  she  would  get  so  fright- 
ened at  the  voices  she  would  sit  down  on  the  street.  One 
night  she  walked  forty  squares  and  was  not  tired,  walked 
until  her  heels  bled.  Seeing  she  was  no  better,  decided  to 
return  home  and  called  in  another  physician  who  had  treated 
cases  of  this  kind  successfully.  After  treating  her  two 
weeks  and  seeing  that  she  was  growing  worse,  told  h^r  she 


MENTAL  TROUBLES  RELIEVED. 


705 


would  have  to  help  him  by  using  her  will  power.  This  she 
could  not  understand,  her  mind  being  in  such  a  state,  she 
continued  to  hear  threatening  voices  all  the  time,  was  afraid 
to  eat,  pulled  her  hair  and  begged  them  to  give  her  some- 
thing to  put  her  out  of  the  way.  Changed  clean  linens  for 
soiled  ones,  would  wake  up  at  night  out  of  a  doze,  for  she 
never  slept  sound,  and  think  she  was  talking  to  her  dead 
parents,  go  out  on  the  porch  and  say  her  little  girl  was  sing- 
ing to  her  from  the  clouds.  Would  imagine  her  brother  from 
New  York  was  coming,  would  watch  the  cats  make  trip 
after  trip  to  meet  him  never  getting  discouraged  or.  disap- 
pointed when  he  failed  to  come.  She  would  declare  the 
neighbors  were  trying  to  set  fire  to  the  house  and  some  one 
was  going  to  kill  them,  kept  them  up  night  after  night.  She 
would  say  the  wild  man  from  Borneo  was  after  her  and 
would  get  so  frightened  she  would  faint.  It  would  take 
from  ten  to  fifteen  minutes  before  she  would  regain  con- 
sciousness, then  she  would  be  completely  exhausted.  At 
times  she  would  preach  to  the  pictures  on  the  wall.  Voices 
would  say  that  her  mother  and  father  were  in  hell,  she 
would  go  into  convulsions  over  it,  cry  as  if  her  heart  would 
break.  One  night  she  gave  a  spiritual  lecture,  said  she  was 
controlled  by  a  spirit.  The  lecture  was  not  a  very  pleasant 
one  to  listen  to,  she  would  talk  the  whole  night  through  un- 
less under  the  influence  of  opiates.  One  bitter  cold  night 
she  had  them  prepare  her  for  burial  and  would  not  allow  any 
fire  in  the  room.  She  would  take  the  character  of  different 
people,  change  her  voice,  would  imagine  herself  strapped  to 
the  floor,  scream  and  fight,    say  she  was  behind  prison  bars. 

This  is  only  a  sketch  of  what  went  on  for  twelve  weeks, 
when  her  husband  was  advised  to  bring  her  to  Louisville 
and  place  her  in  a  private  sanitorium,  which  he  did.  After 
being  in  there  a  week  she  began  to  grow  weaker  and  slept  a 
great  of  the  time,  he  became  discouraged  and  almost  des- 
perate; being  a  stranger  here  did  not  know  what  to  do.  He 
sought  a  brother  Odd  Fellow  who  recommend  me  and  offered 
him  his  home  and  assistance.  ) 

I  was  called  about  3  p.  m.,  April  the  4th;  found  her  very 


706  THE  MEDICAL   ADVANCE- 

nervous  and  excited,  her  mental  state  being  in  such  a  condi- 
tion I  oonld  not  elicit  reliable  symptoms;  had  to  base  my 
prescription  mostly  on  objective  symptoms  and  what  I  could 
obtain  from  her  husband.  She  was  afraid  to  go  to  sleep— 
the  voices  would  threaten  to  do  her  harm  if  she  did;  would 
sleep  into  aggn^avations;  was  suspicious  of  every  move  made; 
over-sensitive  to  touch  and  noises.  I-gave  lach.  Im.  This 
was  about  6  o'clock  p.  m.  Called  again  at  9  p.  m.;  she  was 
just  about  the  same.  Was  called  at  2  a.  m.;  found  her  vio- 
lent; by  this  time  she  was  getting  out  from  under  the  influ- 
ence of  the  opiates  given  at  the  sanitarium.  It  was  all  one 
could  do  to  manage  her;  she  screamed,  cursed;  face  flushed; 
would  hold  her  head  with  her  hands;  complained  of  pain 
sticking  her  head;  talked  incessantly.  Gave  bell.  10m,  dose 
every  hour  until  three  doses  had  been  given.  Stayed  with 
her  until  7  a.  m.  I  called  in  consultation  Dr.  George  S. 
Coon,  one  of  Louisville's  most  efficient  surgeons,  whose 
unerring  judgment  and  marvelously  skillful  hand  places  him 
at  the  very  forefront  of  operators.  He  examined  the  patient 
and  did  not  think  an  operation  necessary,  but' advised  treat- 
ing the  patient.  He  suggested  to  give  a  few  doses  of  some 
hypnotic,  as  it  was  impossible  to  quiet  her  without  it. 

Gave  Wampole's  hypnotic,  teaspoonful  in  one-third  of  a 
glass  of  water;  dose,  teaspoonful  every  half  hour  until  quiet 
She  passed  a  fairly  good  night.  Next  morning  I  took  the 
case  as  carefully  as  I  possibly  could  and  worked  it  by  reper- 
tory; to  my  surprise  it  worked  out  puis. 

Gave  puis  500  three  doses  two  hours  apart,  improved 
from  the  first  dose;  sac  1.  every  hour, improvement  continued 
slowly  until  the  13th.  Patient  hungry,  aversion  to  food, 
bitter  taste  in  her  mouth,  pressure  in  stomach  as  from 
weights  an  hour  or  two  after  eating,  constipated,  sensitive 
to  cold.  Nux.  200  powder  night  and  morning.  She  con 
tinned  to  improve  a  little  each  day.  On  the  18th  she  walked 
to  the  dining  room  for  her  dinner.  20th  not  so  well,  would 
take  spells  of  weeping,  complain  of  being  too  warm.  Nausea, 
never  thirsty,  puis.  10m.  night  and  a.  m,  21st,  better  with 
continued  improvement  until  25th.    The  25th,  not  so  well, 


MENTAL  TROUBLES  RELIEVED. 


707 


spent  very  restless  night,  hysterical,  violent,  wanted  to 
smash  furniture,  break  windows.  Now  I  became  discour- 
aged, gave  stram  1.  m.  one  dose. 

26th.    Next  morning  found  patient  quiet. 

27th.     Old  symptoms  returned,  puis  repeated,  10m. 

28th.  Very  much  improved,  wanted  to  go  home,  felt 
able  to  make  the  trip,  voices  not  so  frequent  and  fright^;ned 
her  less. 

30th.    Left  for  home. 

May  2nd.  Stood  the  trip  home  as  well  as  could  be  ex- 
pected. 

May  6th.  Sleeping  very  well,  appetite  good,  voices 
about  the  same. 

May  10th.     Did  not  sleep  well,  wanted  voices  stopped. 

May  14th.  Patient  writes,  **I  am  sleeping  better,  took 
short  walk,  voices  not  so  loud  and  strong,  feel  better  when 
I  am  walking  around,  but  too  weak  to  walk  much." 

May  17th.  Patient  did  not  sleep  well,  feels  weak  after 
exercising,  constipated,  has  the  desire  but  they  will  not 
move,  itching  in  anus,  sore  pain  as  from  hemorrhoids,  still 
bear  voices.     Nux.  10  m.,  2  doses  night  and  morning. 

May  20th.     Sleeping  better. 

May  2'4th.  Very  much  better,  received  company,  says 
she  believes  she  will  get  well,  voices  not  so  strong. 

May  26th.  Patient  feels  much  better,  walked  one  square 
alone.  I  can  now  hold  my  thoughts.  Yesterday  I  did  not 
hear  voices  for  twenty  minutes. 

May  28th.  Had  a  dream  that  frightened  her,  awoke 
screaming,  could  not  pacify  her,  would  not  be  satisfied  until 
the  house  was  searched  for  robbers,  very  irritable,  hammer- 
ing headache,  weak  and  trembling,  voices  strong.  Nat. 
mur.  1  m. 

Maydlst.  Patient  writes,  **I  am  gaining  in  strength, 
appetite  good,  constipation  better,  I  eat  ginger  snaps  and 
they  keep  my  bowels  regular,  voices  want  me  to  listen  to 
ttem  like  I  use  to,  they  say  if  I  would  talk  to  them  like  I  did 
ttiey  would  have  some  fun,  I  would  not  do  it,  I  have  tried 
both  wayis  and  find  my  way  the  best." 


m 


1 


708  THE   MEDICAL   ADVANCE. 

June  1st.     ''Better  but  weak  in  my  limbs." 

June  6th.  Patient,  '*I  feel  much  stronger  this  a.  m., 
have  been  sewing  some  by  hand.  When  I  sew  or  read  the 
voices  keep  still.  Voices  say  they  can't  stay  much  longer, 
they  are  getting  tired.'' 

June  I'ith.     Patient,  '*I  am  getting  stronger  and  cannot 
understand  why   the  voices  do  not  leave.     Voices  less  fre 
quent  and  they  cannot  frighten  me.     I  know  it  is  my  own' 
thoughts,  and  not  any  one  else." 

June  17th.  '1  have  just  returned  from  walking  six 
squares  and  do  not  feel  tired.  I  have  a  pain  going  from  left 
to  right  side  of  my  head,  feels  like  it  struck  a  bruised  place, 
it  is  a  sharp  pain,  I  feel  like  there  was  something  in  my 
throat  and  it  keeps  me  swallowing,  disagreeable  taste  in  my 
mouth  of  morning,  breath  offensive.  My  voice  sounds  like 
a  child's,  once  in  a  while  it  will  be  natural;  those  voices 
keep  telling  me  I  shall  never  be  well," 

THE  RELATION  OF  HOMEOPATHY  TO  PUERPERAL 

FEVER. 

By  Julia  C.  Loos,  M.  D. 
A  mother,  dwelling  in  a  beautiful  country  borough  home, 
terminated  her  pregnancy  and  so  happily  and  successfully 
delivered  her  child  to  present  to  her  doctor  husband  that 
the  nurse  permitted  her  to  sit  up  in  bed  to  take  breakfast 
next  day.  After  a  few  days'  siege  of  puerperal  fever  death 
ended  the  suffering.  The  new  babe  was  motherless  within 
a  week.  In  a  large  city  a  young  wife,  active  throughout 
her  first  pregnancy,  papered  her  own  bedroom  and  attended 
to  many  other  preparations  for  her  own  period  of  confine- 
ment and  for  the  expected  new  guest.  .  Her  medical  attend- 
ant was  quoted  to  the  effect  that  he  never  saw  a  woman  go 
to  her  parturient  bed  in  better  physical  condition.  Within 
a  week  fever  developed  and  persisted.  Drugs  changed  al- 
most as  frequently  as  the  doctor's  visits;  morphine  injections, 
ice-cap,  oxygen  inhalations;  all  forms  of  attention  that  her 
doctors  conceived  were  employed.    As  a  result  at  the  end  of 


PUERPERAL  FEVER.  709 

three  weeks  the  home  was  robbed  of  its  mainspring  and 
ight  and  held  a  motherless  babe. 

These  instances  are  multiplied  by  the  hundreds,  where 
more  or  less  functional  disturbance  has  been  noted  before 
parturition.  The  shadow  of  possible  fever  hangs  threaten- 
ingly over  the  joyous  anticipation  of  new  maternity.  But 
it  is  to  be  emphasized  that  healthy  women  are  not  so  vitally  ft? 

disturbed  by  slight  extra  exertion  in  the  course  of  a  normal 
•function.  They  may  not  be  disabled  by  illness  but  to  the 
careful  observer  there  would  be  previous  evidences  of  ab- 
normality before  such  an  overwhelming  storm  should  break. 
To  the  true  physician  attention  to  the  early  hints  of  disorder 
gives  power  to  dissolve  the  clouds  of  threatening  possibility. 
The  prospective  mother   and  her   friends   should   be  freed  U:. 

from  the  indefinite  fear,  and  in  realization  extend  her  mater-  lt$ 

nal  care  over  the  babe  she  has  born.  ft^ 

Pregnancy  and  parturition  in  any  woman  presents  the  l^^:^ 

opportunity  for  the  most  active  and  complete  performance  i;^  r 

of  her  physical  functions.     In  the  creative  impulse  the  sub-  Tv 

sequent  nutrition  of  the  fetus  and  its  final  delivery,  the  en-  0^  ,:- 

tire  economy  accomodates  its  many   functions  to  that  su-  Kl' 

preme  aim.     At  no  period  of  life  is  there  larger  general  de-  it% 

mand  on  the  economy  than  when  the  vital  force   is   control-  ■ ' 

ling  its  wonderfully  co-ordinated  machinery  to  develop  the 
new  imagejwithin  the  uterus,  at  the  same  time  maintaining 
repairjand  activity  in  the  body  of  which  it  continues  the 
ijenant. 

During  these  periods  every  organ  is  required  to  respond 
to  larger  demands.  Weakness  in  any  organ  is  apt  to  be 
manifest  during  the  extra  strain,  presenting  symptoms  that 
on  other,  more  ordinary,  occasions  are  not  revealed.  All 
activityjis  increased  hence  the  active  evidence  of  disorder  is 
presented;  the  index  of  the  quality  of  vital  control. 

To  the  student  of  disorder  and  its  rational  cure,  who 
recognizes  all  symptoms  as  outward  manifestations  of  inter- 
nal disturbance,  these  periods  of  more  active  expressions, 
-afford  the  opportunity  for  more  positive  recognition  of  the 
image  ofjdisorder  traced  in  the  symptoms.    Thereby  is  the 


710  THE  MEDICAL.  ADVANCE. 

remedy  which  the  organism  demands  for  its  restoration  to 
normal  order  more  distinctly  perceived*  and  the  patient  i» 
benefitted  by  its  administratian.  Whatever  form  of  disorder 
arises  in  the  pregnant  or  paturient  woman  is  indeed  an  or- 
derly, harmonious  expression  of  the  internal  disorder 
(strange  as  this  verbal  expression  may  appear).  This 
knowledge  proves  the  stimulus  to  close  study  of  each  case 
to  interpret  its  symptoms,  with  assurance  of  the  result  when 
the  remedy  image  is  perceived  and  the  remedy  administered. 
This  perception  of  the  remedy  image  is  for  the  time  the  pre- 
scriber's  one  aim. 

Granting  all  the  varied  disturbances  of  pregnancy  and 
parturition  are  manifestations  of  internal  disorder,  it  is  evi- 
dent that  the  nearer  to  normal  order  the  patient  remains  or 
returns,  the  less  will  these  manifestations  exist;  the  less 
will  the  patient  suffer.  This  is  true  concerning  all  forms 
which  have  been  observed  and  considered  under  definite  pa- 
thologic names  as  truly  as  the  more  vagub  sensations  with- 
out recognized  pathologic  foundation.  Whims,  cravings  and 
aversions  of  pregnant  women,  cardiac  and  renal  disturban- 
ces, spasms,  manias,  placenta  retained,  hemorrhages,  fevers; 
these  all  belong  to  the  category  of  expressions  of  internal 
disorder.  These  fail  to  occur  or  cease  to  continue  in  pro- 
portion as  the  patient  is  returned  to  order  internally. 

The  peculiar  province  of  Homeopathy  is  to  restore  order 
in  the  patient.  Always  and  ever,  whatever  the  complaint, 
the  good  of  the  patient  is  the  aim  of  Homeopathy's  claims. 
The  condition  of  the  patient,  also  the  endurance  and  reac- 
tion, are  judged  by  the  groups  of  symptoms  in  their  course 
of  development  and  disappearance.  From  the  foregoing 
facts  the  logical  conclusion  is  that  in  the  event  of  any  dis- 
turbances developing  during  pregnancy  or  puerperium,  the 
application  of  remedies  according  to  the  principles  ot  Hom- 
eopathy is  the  best  method  of  relief.  The  use  of  the  reme- 
dy, homeopathic  to  each  individual  case,  is  followed  by  dis- 
solution of  the  ailments  which  distress  the  patient  or  menace 
her  safety. 

In  reference  to  puerperal  fever  our  especial  subject  of 


PUERPERAL  FEVER, 


7ll 


consideration  at  present,  the  experience  of  the  disciples  of 
Homeopathy  corroborates  this  philosophy.  They  report 
'*my  patients  do  not  develop  puerperal  fever  when  treated 
during  pregnancy.  I  have  been  called  a  few  times  to  see 
cases  when  it  had  developed  and  then  the  homeopp,thic  rem- 
edy soon  cleared  it  away."  In  patients  who  have  had  the 
benefits  of  this  form  of  treatment  during  pregnancy,  such 
an-orderly  condition  is  established  that  the  uterus  is  emptied 
of  the  products  of  conception  and  the  waste  products  inci- 
dent to  uterine  involution  are  expelled,  without  exciting  fe- 
ver and  poisoning. 

If  the  patient  has  not  had  the  previous  benefit  of  such 
treatment  and  the  group  of  symptoms  does  develop,  which 
so  frequently  invades  what  should  be  the  chamber  of  joy 
and  peace,  Homeopathy's  disiples  need  not  approach  with 
knees  trembling  in  helpless  alarm.  Calmed  and  sustained 
by  the  unfaltering  trust  in  the  power  of  remedies,  projierly 
selected  and  administered,  with  unprejudiced  mind  and  at- 
tentive fidelity  in  noting  the  symptoms  as  they  arise,  the' 
homeopathic  prescriber  is  able  to  testify  to  the  efficiency  of 
our  art  in  these  severe  conditions.  Under  the  influence  of 
suitable  remedies,  the  evidences  of  poisoning  disappear 
while  the  uterine  discharges  increase  and  assume  a  character 
approaching  normal  and  the  fever  subsides.  No  time  is  lost 
in  the  patient's  progress  as  these  remedies  at  the  same  time 
restore  her  vigor  and  reaction. 

What  is  the  relation  of  Homeopathy  to  pnerperaljfever? 
If  employed  before  the  period  of  its  possible  development, 
it  carries  a  prevention.  If  called  upon  in  the  midst  of  the 
siege  it  can  be  trusted,  without  misgivings,  to  restore  order 
in  the  patient  so  that  evidences  of  its  existence  shall  be  de- 
stroyed within  her.  So  long  as  the  internal  reaction  is  dis- 
regarded, no  amount  of  attention  to  destroying  the  poisons 
externally  will  avail  for  the  cure  of  the  patient.  With  nor- 
mal conditions  created  internally,  the  poisons  will  not  con- 
tinue to  develop  and  all  evil  effects  will  disappear. 


'^: 


The  Medical  Advance 

A  Monthly  Journal  of  Hahnemannian  Homeopathy 
A  Study  of  Methods  and  Results. 


When  we  hhre  to  do  with  an  art  whose  end  is  the  saving  of  human  life  any  neglect 
to  make  onrsei  ves  thorough  masters  of  it  becomes  a  crime,— Hahnemann, 


Subscription  Price     ....    Two  Dollars  a  Year 


We  believe  that  Homeopathy,  well  understood  and  faithfully  practiced,  bis 
power  to  puve  more  lives  and  relieve  more  pain  than  any  other  method  of  ireai- 
mentever  invented  or  discovered  by  man;  but  to  be  a  flrst-class  homeopathic  pre- 
scriber  requires  careful  study  of  both  patient  and  remedy.  Yet  by  patieni  care  ll 
can  be  made  a  little  plainer  and  easier  than  it  now  is.  To  explain  and  define  an<1 
In  all  practical  ways  simplify  it  is  tur  chosen  \iork.  In  this  good  work  we  aslc 
yoarhelp. 

To  accommodate  both  readers  and  publisher  this  journal  will  besentunti 
arrears  are  paid  and  it  is  ordered  discontinued . 

Communications  regarding  Sut)scriptons  and  Advertisements  may  be  sent  to 
the  publisher.  The  Forrest  Press.  Batavia,  lilinois. 

Contributions.  Exchanges.  Hooks  for  Review,  and  ril  other  communicatioos 
should  be  addressed  to  the  ICditor,  5142  Washington  Avenue,  Chicago. 


OCTOBER,    1908. 


EMtotlaU 


It  is  one  of  the  wonderful  and  impressive — almost  awe- 
inspiring — features  of  man  that  he  can  study  a  thing  for 
many  years  and  yet  know  nothing  of  it.  How  many  thous- 
and boys  do  you  suppose  have  studied  Greek  without  learn- 
ing it.  How  many  thousands  of  girls  have  studied  French 
and  yet -have  never  mastered  a  single,  complex  French 
sentence. 

It  is  related  of  a  sweet  girl  student  who  had  spent  a 
year  in  studying  physiography,  that  she  was  much  amazed 
to  learn  that  her  mother's  back  yard  was  a  part  of  the 
earth's  surface,  which  she  had  studied  so  carefully  and  so 
long. 

Law  students  have  been  known  to  spend  four  years  in  a 
law  college  and  issue  forth  therefrom  with  beads  full  of  con- 


EDITORIAL.  .  713 

fusion  and  technical  expressions,  but  as  to  any  grasp  of  the 
law  and  its  interior  essence  of  right  and  justice,  they  had 
less  than  a  hod-carrier. 

It  is  one  thing  to  memorize  a  page  or  two  of  verbal  ex- 
pressions and  quite  another  thing  to  really  know  that  thing 
of  which  the  words  are  an  inadequate  expression. 

Lectures  on  painting — an  interminable  course  of  lec- 
tures—by  the  best  painters,  never  taught  anybody  how  to 
paint. 

The  law  of  similars  can  be  expressed  in  a  very  short 
sentence.  It,  with  its  corollaries— the  minimum  dose  of  the 
single  indicated  remedy— can  be  fully  explained  in  an  ordi- 
nary page  of  printed  matter,  and  yet  there  have  been  men, 
graduates  of  homeopathic  colleges,  calling  themselves  hom- 
eopaths, boasting  of  its  merits  as  compnred  with  the  old 
school,  who  have  spent  their  whole  lives  at  it,  and  then  died 
not  knowing  Homeopathy  in  the  least,  and  not  knowing  that 
they  did  not  know  it. 

If  there  is  one  thing  more  than  another  that  prevents  a 
true  knowledge  of  Homeopathy  to  these  almost-homeopaths 
it  is  the  practice  of  giving  two-hourly  or  three-hourly  doses 
until  the  next  visit  of  the  doctor.  After  reflection  and  ob- 
servation, we  believe  this  is  the  crux  of  the  whole  matter. 

As  if  to  emphasize  the  above  position,  we  lately  received 
an  invitation  to  attend  a  meeting  of  a  Homeopathic  society 
to  listen  to  a  paper  entitled  **The  Inefficacy  of  Internal 
Treatment  in  Gonorrhoea." 

At  this  meeting  the  statement  was  made  by  a  local  light- 
weight that  he  **had  been  trying  to  impress  upon  the  profes- 
sion for  years  the  uselessness  of  any  but  local  treatment  in 
gonorrhea."  This  statement,  so  made,  is  a  subject  fit  for 
inextinguishable  laughter. 

Another  happening,  to  bring  the  matter  home,  occurred 
this  very  week.  A  man,  approaching  middle  age,  came  to 
see  us,  for  the  first  time  in  ten  years.  This  man  came  of 
good  stock,  his  grandmother  still  lives  at  ninety-two;  his 
mother  still  lives,  his  father  died  but  recently  at  seventy- 
three.  He  should  be  healthy  and  his  children  should  be 
healthy. 


714  THE  MEDICAL  ADVANCE. 

But  he  had  this  ''strictly  local  disease*'  at  the  age  of 
eighteen,  treated  by  one  who  believed  its  internal  treatment 
to  be  inefficacious  and  who  used  "irrigation"  methods.  He 
complained  to  me  that  of  his  two  children,  one  had  asthma 
at  nine  and  the  other  had  eczema  at  six. 

There  are  facts  enough  in  all  conscience — facts  grim, 
incontrovertible,  multituduious,  denunciatory — to  prove  that 
the  local  treatment  of  gonorrhea  is  inefficacious,  and  the 
ignorance  that  will  not  see  it  is  invincible,  ineradicable,  in- 
veterate and  inexpugnable. 

K. 

*  *  * 

The  Propag^andism  of  Homeopathy  has  received  its  due 
share  of  attention  for  the  last  three  years,  not  only  in  the 
American  Institute  and  International  Hahnemannian  Asso- 
<5iation,  but  in  the  state,  county,  city  and  local  societies  all 
over  the  country.  The  aim  has  been  to  interest  the  pec^le 
in  the  superior  efficacy  of  the  homeopathic  system  of  medi- 
cine* and  in  doing  this  to  advance  the  cause  of  the  profes- 
sion everywhere. 

The  editor  of  the  Medical  Century,  in  the  August  issue, 
reiterates  the  fact  of  the  apparent  apathy  of  the  profession. 
He  says:  *'In  the  last  15  years  the  increase  in  the  total 
membership  in  the  American  Institute  has  only  been  547. 
Hard  work  has  been  done  both  by  circular  and  letter  to  in- 
duce some  of  the  10,000  non-institute  members  to  join,  yet 
without  result. 

* 'During  these  15  years  over  5,000  have  been  graduated 
from  our  colleges.  Why  have  so  many  not  become  members 
of  the  Institute?  Is  it  because  53  per  cent  of  the  members 
of  the  faculties  of  the  colleges  are  not  members  of  the  In- 
stitute?" 

The  facts  above  presented  by  one  of  the  ablest  writers 
of  our  school  demands  investigation.  The  American  Insti- 
tute and  the  International  Hahnemannian  Association  are 
experiencing  the  same  trouble  that  the  American  Medical 
Association  has  for  many  years,  an  unaccountable  apathy  in 
^he  profession.     Apparently  little  but  personal  interest  in 


EDITORIAL.  715 

their  work.  The  American  Medical  Association  changed  its 
tactics  and  ppt  a  traveling  agent  in  the  field  to  make  a  per- 
sonal appeal  to  the  medical  profession  to  do  its  duty,  and 
this  appeal  has  been  successful. 

Now  that  the  American  Institute  has  decided  ta  com- 
mence the  publication  of  its  Transactions  in  a  weekly  jour- 
nal, and  has  appointed  a  traveling  agent  or  secretary,  we 
trust  to  hear  of  a  different  result  in  the  near  future.  A  per- 
sonal appeal  evidently  is  what  is  needed,  and  no  man  in  the 
profession  could  be  selected  who  can  do  more  effective  work 
than  Dr.  W.  E.  Dewey,  editor  of  the  Medical  Century,  to 
whom  this  duty  has  been  assigned. 

While  the  National  Society  is  making  such  an  active 
campaign  in  the  propagandism  of  Homeopathy,  may  we  not 
suggest  to  the  '^powers  that  be"  that  an  effort  be  made  at 
propagandism  in  the  proression.  Charity  begins  at  home. 
Why  should  our  propagandic  work  not  begin  in  the  same 
place?  We  have  asked  many  professed  homeopaths  to  be- 
come members  of  the  American  Institute  and  of  the  Inter- 
national Association.  One  objection  to  the  Institute  has  fre- 
quently been  raised:  What  is  there  to  be  learned  by  attend- 
ing its  meetings?  There  is  little  Homeopathy  in  the  papers 
or  the  discussions.  In  reply:  There  is  more  Homeopathy 
than  many  an  objector  dreams  of.  Last  year,  at  Kansas 
City,  Dr.  Babe  presented  the  best  bureau  in  Homeopathy 
that  has  ever  been  presented  in  the  Institute,  a  bureau  the 
I)apers  of  which  every  homeopath  may  be  proud,  and  still 
scarcely  a  baker's  dozen  remained  to  hear  the  papers  or  the 
discussion.  The  subjects  contained  in  them  were  of  vital 
importance,  live  questions,  many  of  which  struck  at  the 
root  of  the  apathy  so  common  in  our  school.  While  the 
combination  tablet  and  the  alternation  and  mixture  of  rem- 
edies are  so  prevalent,  both  in  the  theory  and  practice  in 
many  of  our  societies,  there  certpinly  is  some  logical  objec- 
tion that  there  is  little  to  be  learned  by  attending  meetings. 
The  earnest  propagandism  of  a  purer  and  better  Homeopa- 
thy at  the  meetings  of  all  our  societies  will  soon  make  them 
of  such  interest  that  they  may  revolutionize  the  practice  in 
our  school. 


716  THE  MEDICAL  ADVANCE. 

IN  THE  FIELD. 

Dr.  Charles  Adams  has  been  appointed  by  Gov.  Deneea 
Surgeon  General  of  the  Illinois  Natiodal  Guard,  to  succeed 
the  late  Col.  Nicholas  Senn.  For  fifteen  years  he  was  chief 
svrgeon  of  the  First  Infantry,  with  the  rank  of  Major,  and 
yfterward  chief  surgeon  of  the  First  Brigade.  During  the 
Spanish- American  war  he  acted  as  chief  surgeon  of  the  bri- 
gade to  which  the  First  was  assigned.  He  was  formerly 
professor  of  surgery  in  the  Chicago  Homeopathic  College, 
and  since  1896  has  devoted  his  entire  attention  to  surgery. 

Dr.  L.  Grace  Spring  is  making  an  enviable  record  for 
herself  and  her  school  at  Saltillo,  Mexico,  where  she  began 
practice  about  two  years  ago.  She  received  her  official  li- 
cense to  practice  Homeopathy  in  Mexico  in  August,  1907. 
The  alumni  of  Hering  College  will  be  pleased  to  hear  of  her 
success. 

Dr.  Gabriel  F.  Thornhil],  Paris,  Texas,  reports  a  sue 
cessful  and  enthusiastic  meeting  of  the  Texas  State  Society 
this  month  at  San  Antonio.  He  secured  a  number  of  mem- 
bers for  the  Southern  Association,  which  meets  in  New 
Orleans  during  Mardi  Gras  season,  in  February,  1909,  and 
which  bids  fair  to  be  a  successful  meeting. 

Dr.  Margaret  B.  Bargess  has  removed  her  office  to  the 
Roger-Williams  building,  Chestnut  street,  Philadelphia. 
The  doctor  is  president  this  year  of  the  Hahnemann  Round 
Table  Club,  which  will  be  addressed  October  30th  by  Dr. 
Stuart  Close,  of  Brooklyn,  N.  Y.  This  society  is  doing  good 
work. 

Errata:  Through  a  proof-reading  error,  which  we  re- 
gret to  say  is  too  common  in  the  Advance,  the  name  of  the 
remedy,  Nux  vomica,  was  omitted  from  the  end  of  Case  VII 
of  Dr.  Hawkes'  article,  page  603,  September  number.  We  ask 
our  readers  to  add  the  name  of  the  remedy  at  the  end  of  the 
first  paragraph,  so  as  to  make  the  article  complete.  Do  it 
now  while  you  think  of  it. 

Dr.  Helen  B.  Wilcox  has  removed  her  office  and  resi- 
dence to  Lexington  Ave.  and  G3rd  St.  The  doctor  is  devot- 
ing special  attention  to  diseases  of  children. 


IN   THE  FIELD.  717 

Dr.  W.  E.  Belly,  Fulton,  Mo.,  has  been  appointed 
chairman  of  the  new  Bureau  of  Homeopathy  for  the  meet- 
ing of  the  Southern  Association,  at  New  Orleans,  in  Febru- 
ary, 1909.  The  doctor  aunounces  that  the  text  for  his  bureau 
address  will  be  the  third  verse  pf  the  6th  chapter  of  Nehe- , 
miah.  Those  familiar  with  the  chapter  and  verse  will  see 
that  there  is  one  lively  paper  on  the  program,  which  prob- 
ably will  receive  its  due  amount  of  discussion. 

The  New  Jersey  State  Society  held  its  55th  semi- 
annual session  at  the  Hotel  Marlborough,  Asbury  Park, 
October  6th  and  7th.  The  meeting  was  well  attended  and 
the  papers  and  discussions  of  more  than  usual  interest.  A 
full  report  of  the  meeting  and  some  of  the  papers  will  ap- 
pear in  our  November  issue. 

Dr.  Norton  Denslow,  of  New  York,  recently  read  a 
paper  before  the  Academy  of  Medicine  in  which  he  claimed 
he  had  found  a  cure  for.  locomotor  ataxia.  This  was  exten- 
sively published  in  the  daily  press,  and  set  the  credulous 
public  asking  questions.  Of  course  the  true  homeopath 
knew  at  once  the  claim  was  impossible;  that  the  doctor,  like 
many  of  his  colleagues,  was  chasing  a  Will-o'-the-wisp. 

Now  comes  the  other  side  of  the  question,  in  which  sev- 
eral of  the  most  noted  New  York  Neurologists,  Drs.  Wyeth, 
Sachs,  CJollins,  Fisher,  and  others,  condemn  the  paper  as 
ridiculous  in  the  extreme,  and  condemn  the  oflBcers  of  the 
Academy  of  Medicine  for  allowing  it  to  be  read,  thus  re- 
ceiving a  semi-official  endorsement. 

The  claims  of  Dr.  Denslow  are  so  preposterous  that 
they  need  not  be  refuted,  yet  it  is  only  a  repetition  of  the 
old  method  of  discovery  of  the  cure  of  a  disease  by  one  man 
which  soon  falls  to  the  ground  and  is  absolutely  denied  by 
another  of  the  same  school.     Verbum  sat  sapientL 

Doctor  F.  W.  Gordon,  aged  73,  of  Sterling,Ill.,  died  Oct. 
1st,  following  an  operation*for  prostatites.  With  Dr.  O.  B. 
Blackman  he  was  a  founder  of  the  Rock  River  Institute  in 
1878,  and  his  is  the  second  death.  The  following  resolutions 
were  offered,  and  a  copy  forwarded  to  the  bereaved  family 


718  THE  MEDICAL  ADVANCE. 

Whereat,  God,  our  Heavenly  Father,  h*8  in  His  wisdom  seen  fit  to 
call  our  brother  and  oo-laborer  from  his  earthly  toils;  and 

Whereas,  As  the  Nestor  of  the  Institute,  who,  sinee  its  inceptioo  in 
1878,  has  «o  faithfully  attended  its  sessions,  aided  in  its  maintenance  and 
encouraged  and  benefited  us  all  by  his  uniform  Christian  character  tod 
council;  and 

Whereas,  Without  exception,  during  all  tnese  years,  we  have  found 
him  ever  faithful  to  duty,  consistent  and  courteous  in  life's  actions, 
whether  upon  the  floor  in  debate,  or  in  private  or  profesaionallife;  and    . 

Whereas,  We  have  always  found  him  honest  professionally,  ethlesl 
with  his  associates,  and  just  in  his  dealings  with  all  men;  with  a  certain 
individual  reserve,  yet  ever  ready  to  extend  the  warm  handed,  tender 
hearted  welcome  to  friend  or  competitor;  and 

Whereas,  Having  been  brought,  for  so  many  years  and  in  so  manj 
ways,  in  such  close  and  iutimate  relationship  with  Dr.  Gordon,  ve 
would,  as  a  society,  as  well  as  individually,  give  expression  at  this  time 
and  place,  to  those  sentiments  of  our  regard  and  shall  always  treasare 
his  memory. 

Resolved,  That  we  extend  to  the  family  in  this  hour  of  their  irre- 
parable bereavement  our  tenderest  sympathies  and  heartfelt  condolence* 

DR.  F,  C.  SKINNER,  DR  A.  W.  BLUNT, 

President.  Secretary. 

A   REPERTORY  INDEX. 

Editcrs  Medical  Advance:— ^\xox\Ay  after  receiving  Kent^s  Repertory 
and  before  I  had  had  time  to  familiarize  myself  with  its  arrangement,  I 
had  cccasion  to  look  up  some  peculiarity  of  the  pulse.  I  have  forgotten 
what  the  symptom  was,  but  I  have  vivid  recollection  of  a  vain  search  for 
that  section.  It  was  not  to  be  found  under  Heart  or  Fever  and  I  fioallj 
directed  my  investigation  to  another  and  better-known  repertory.  I 
subsequently  instituted  a  still  hunt  for  the  missing  part  in  the  great 
work,  and,  by  a  process  of  elimination,  succeeded  in  loeatinjr  it  in  Gen- 
eralities. I  have  no  fault  to  find  with  the  book  on  this  score,  for  the 
classification  is  correct,  but  any  change  in  conventionality  should  be  off- 
set by  an  index  to  aid  one  in  getting  acquainted  with  the  new  arrange- 
menr. 

Dr.  Kent  has  placed  Constipation  under  the  rubric  of  Rectum  where 
it  very  properly  belongs,  but  as  we  are  accustomed  to  look  for  it  uoder 
the  heading  of  Stool  much  valuable  time  is  consumed  in  learning  the 
correction;  and  the  same  objection  will  apply  to  the  placing  of  UrinatiOD 
under  Bladder  instead  of  Urine.  In  his  preface  of  the  book  Dr.  Kent 
advises  a  study  of  its  arrangement,  but  ii  is  not  always  possible  to  recall 
tne  various  peculiar  ties  when  one^s  mind  is  full  of  a  brain-racking  esse. 
Cross-references  will  aid  somewhat,  but  are  annoying  and  time-consum- 
ing, and  the  busy  practitioner  *^ wants  what  he  wants  when  he  wants  it^' 
and  the  only  solution  to  the  difficulty  lies  in  a  concise  index  arranged  on 


IN  THE  FIELD.  719 

•old,  familiar  1iD#s.  I  compiled  and  have  had  such  a  ooe  in  use  for  a 
long  time,  and  even  now  that  I  am  fairly  well  acquainted  with  the  book, 
still  make  daily  use  of  this  little  auxiliary. 

Feeling  sure  that  others  must  have  met  with  this  difficulty  (and  per- 
4iapa  some  of  the  younger  ones  may  have  discarded  the  book  on  this 
seeming  inacuracy).  I  am  having  several  hundred  copies  of  the  form 
printed  and  will  be  happy  to  send  one  gratuitoubly  to  any  physician  who 
may  apply  for  it. 

It  would  appear  hardly  necesmry  to  apologize  to  Dr.  Kent  for  this 
un'\i8ual  procedure  as  the  practical  value  of  his  work  in  undoubtedly 
•enhanced  thereby. 

Sincerely,  Wm.  Jefferson  Guernsey. 
Application  should  be  made  to  Dr.  Guernsey,  Frankford, 
Philadelphia. 


The  Diagnosis  of  Appendicitis.— The  following  from 
Dr.  J.  B.  Murphy,  concerning  the  diagnosis  of  appendicitis  is 
too  valuable  to  be  allowed  to  rest  where  the  practicing  phy- 
sician cannot  see  it: 

Following  an  experience  of  operating  in  more  than  two 
thousand  cases,  Dr.  Murphy  says:  **The  symptoms  of  acute 
appendicitis  are,  in  my  experience,  in  the  order  of  their  oc- 
<5urrence: 

1.  Pain 'in  the  abdomen,  sudden  and  severe. 

2.  Pain  followed  by  nausea  or  vomiting. 

3.  General  abdominal  sensitiveness. 

4.  Elevation  of  temperature,  beginning  from  two  to 
twenty-four  hours  after  the  onset  of  pnin. 

These  symptoms  occur  almost  without  exception  in  the 
above  order,  and  token  that  order  varies  Valways  questhn  the 
diagnosis^'' 


A  TEXT-BOOK  of  CLINICAL  MEDICINE 

THE  PmUCIPLES  OF  DIII6PSIS 

By_Clarence  Bartlett,  M  D> 

245  Illustrations.     Six  Colored  Plates.    976  Pages.     Cloth, 

$7.00,  net.     Half- morocco,  $8.00,  net. 

Postage,  52  cents. 

"Dr.  B Artlett*8  work  cannot  fail  to  become  the  standard  text-book  on 
diagnosis  in  bath  America  and  Great  Britain." — London  Homeoparhic 
Review. 

"Here  is  a  chance  for  our  friends  of  the  old  school  to  show  their 
fairness  by  admitting  it  as  a  text-book  in  their  own  colleges,  for  we 
venture  the  statement  that  i|^  they  will  examine  this  book  as  we  have 
done  they  will  find  it  the  best  work  in  the  English  language  on  the 
subject."— Jfedtcai  Century, 

"If  a  book  is  to  be  judged  by  Its  helpfulness  we  predict  for  this  a 
position  on  a  shelf  quite  handy  for  ready  reference,  and  it  will  retain 
that  position  for  many  years  to  come.'* — Medical  Advance, 

*'It  makes  no  difference  what  school  you  belong  to  you  need  this 
valuable  book." — Mediial  Gleaner, 

"Accurate,  thorough  scientific,  and  fully  up-to-date." — Wm,  Osier, 
M.  D,,  John  Hopkiyis  University. 

Vlt  seems  to  me  thoroughly  up-to-date  in  that  seriously  important 
department  of  medicine— Diagnosii—/.  P.  Sutfieiiand,  M.  D,,  Boston 
School  and  University  of  Medicine. 

*  Taken  as  a  whole,  the  book  is  by  far  the  best  of  its  kind  on  the 
market." — Critique. 

The  above  comments  are  from  representatives  of  every  branch  of 
recognized  medicine  and  everyone  highly  endorses  the  book. 

Boericke  &  Tafel, 

PUBLTSHEK8 

New  York,  Philadetpliia,  Chicago. 


The  Medical  Advance 


Vol.  XLVI.         BATAVIA,  ILL.,  NOVEMBER,  1908.        No.  11. 


THE  CENTRAL  NEW  YORK  SOCIETY. 

Oak  Hill  Country  Club, 
Rochester,  N.  Y.,  June  11,  1908. 

The  quarterly  meeting  of  the  Central  New  York  Homeo- 
pathic Medical  Society  was  called  to  order  by  the  president, 
A.  C.  Hermance,  at  12  m. 

Members  present:  Drs.  Beck,  Bid  well,  Dake,  FoUette, 
Fritz,  Graham,  Grant,  Hermance,  Hoard,  Johnson,  Leggett, 
Tretton. 

Visitors:    Drs.  Fowler,  Hagaman. 

Minutes  of  the  March  meeting  were  read  and  approved. 

The  chairman  of  the  Board  of  Censors  moved  that  an 
application  of  D.  J.  R.  Hagaman,  for  membership,  be  con- 
sidered formal  from  date.     Seconded.    Carried. 

Dr.  Stow  desired  to  .say  a  word  upon  the  old  and  new 
methods  of  diagnosis  for  tuberculosis.  He  disliked  the  idea 
of  the  tuberculin  test,  and  referred  to  Hufeland's  suggestion 
of  bleeding  until  depletion.  He  considered  that  the  methods 
mentioned  by  Dr.  FoUette  at  last  meeting  were  as  effective 
as  those  of  modern  theorists. 

Dr.  Bresee  being  absent.  Dr.  Bidwell  was  appointed  to 
read  the  Organon  and  Dr.  Bresee's  paper. 

ORGANON  OF  MEDICINE. 
Section  57. — In  order  to  carry  into  practice  this  antipathic  method, 
the  ordinary  physician  gives,  for  a  single  troublesome  symptom  from 
among  many  other  symptoms  of  disease  which  he  passes  by  unheeded,  a 
medicine  concerning  which  it  is  known  that  it  produces  the  exact  oppo- 
site of  the  morbid  symptom  sought  to  be  subdued,  from  which,  agreeable 
to  the  fifteen  centuries-old  traditional  rule  of  antiquated  medical  school 
(contraria  contrarils)  he  can  expect  the  speediest  palliative  relief.  He 
gives  large  doses  of  opium  for  pains  of  all  sorts,  because  this  drug  soon 
benumbs  the  sensibility,  and  administers  the  same  remedy  for  diar- 


720  '  THE  MEDICAL   ADVANCE- 

rheas,  because  it  speedily  puts  a  stop  to  the  peristalic  motion  of  the 
intestinal  oanal  and  makes  it  insensible;  and  also  for  sleeplessntss, 
because  opium  rapid Ij  produces  astupified,  comatose  sleep;  he  gires 
purgatives  when  the  patient  has  suffered  long  from  constipation  and 
costlveness;  he  causes  the  burnt  hand  to  be  plunged  into  cold  water, 
which  from  its  low  degree  of  temperature,  seems  instantaneously  to 
remove  the  burning  pain,  as  if  by  magic;  he  puts  the  patient  who  com- 
plains of  chilliness  or  deficiency  of  vital  heat  into  warm  baths,  which 
warm  him  immediately;  he  makes  him  who  is  suffering  from  prolonged 
debility  drink  wine,  whereby  he  is  instantly  enlived  and  refreshed:  and 
in  like  manner  he  employs  other  opix)8ite  antipathic  remedial  mean8,but 
he  has  very  few  besides  those  just  mentioned,  as  it  is  only  of  very  few 
substances  that  some  peculiar  (primary)  action  is  known  to  the  ordinary 
medical  school.     {Dudgeon's  traKslatiou.) 

The  method  of  treatment  described  in  this  section  is  the 
third  one  named  by  Hahnemann,  in  his  description  of  all  the 
different  ways  by  which  the  ills  of  the  human  system  could 
be  treated.  It  is  a  direct  converse  of  the  homeopathic  law. 
As  a  system  of  medicine  it  is  not  distinct,  but  as  a  measure 
of  treatment  it  is  frequently  used  by  all  physicians,  except- 
ing the  strict  homeopathic  prescribers,  and  besides  is  much 
in  vogue  in  the  way  of  home  treatment  by  the  people  them- 
selves. The  ancient  traditions  combined  with  the  small 
amount  of  knowledge  that  has  seemed  to  be  necessary  for  its 
application,  has  been  to  a  great  measure  responsible  for 
this  unwarranted  popularity. 

The  subject  of  antipathic  or  i)alliative  treatment  runs 
through  the  Organon  from  S  5()  to  S  t)(>.  but  this  paper  is  only 
expected  to  discuss  S  7)7,  although  the  temptation  is  great  to 
infringe  on  the  province  of  the  next  writer,  and  describe  the 
effects  which  arc  to  be  expected  in  the  system  after  this 
method  of  treatment  has  been  applied,  rather  than  to  be  con- 
fined to  ideas  referring  to  this  section  alone. 

I  do  not  think,  however,  that  it  will  be  out  of  place  to 
say  that  this  method  comprehends  an  attempt  to  cure  dls 
ease  by  force.  The  term  force,  as  used  here,  has  the  same 
meaning  as  it  would  have  in  a  description  of  a  conflict 
between  two  opposing  powers,  one  overcomes  the  other  by 
main  force,  or  by  reason  of  superior  strength. 

The   following  is  a  good  illustration  of  the   difference 


CENTRAL  NEW  YORK  SOCIETY.  721 

between  this  and  the  homeopathic  system.  You  can  stop  a 
rapidly  moving  train  of  cars  on  a  railroad,  by  placing  an 
obstrttction  of  sufficient  size  on  the  track  ahead  of  the  train. 
The  result  is  certain,  the  train  is  stopped,  but  what  of  its 
condition?  Would  not  its  usefulness  be  impaired?  How 
much  better  the  other  way  of  stopping  the  train.  The 
engineer,  on  his  engine,  running  at  almost  full  speed  into  a 
statipn,  easily  moves  the  lever  that  controls  the  unseen 
power,  shuts  off  the  air  brake,and  stops  the  train  in  a  rapid, 
gentle  and  safe  manner.  The  selection  of  only  one  symptom 
as  a  basis  for  a  prescription  is  a  fault  of  this  method  that 
cannot  be  overlooked.  If  we  consider  for  this  once  that  the 
single  symptom  may  be  helped,  we  still  have  left  the  balance 
of  the  case  which  would  be  in  need  of  relief. 

Individualization  of  the  case  under  this  method  is  entire- 
ly out  of  the  question,  and,  besides,  one  drug  may  be  as  effici- 
ent as  another  of  the  same  class,  the  result  not  depending  on 
the  rebound  of  the  vital  force  in  response  to  the  influence  of 
a  remedy  administered  according  to  homeopathic  procedure. 
Those  who  apply  drugs  indiscriminately,  after  this  fashion, 
ignore  the  fact  that  the  vital  force  will  resent  this  attack  on 
the  system,  and  because  of  that  reason,  the  case  is  left  in  a 
worse  state  than  before. 

Medicine  of  the  present  day  has  so  changed  from  what 
it  was  at  the  time  Hahnemann  wrote  this  section,  that  it  is 
uncertain  just  how  far  this  antipathic  method  may  apply; 
but  it  is  reasonable  to  suppose,  with  all  the  new  combina- 
tions of  drugs  in  use  by  physicians  generally,  and  by  the 
public  at  large,  that  the  number  of  substances  having  this 
peculiar  action  would  be  increased  rather  than  diminished. 

Charles  H.  Bresee,  M.  D. 
Auburn,  N.  Y.,  June  1908. 

DISCUSSION. 

Dr.  Stow: — Hahnemann  has  written  truth.  The  old 
school  men  do  not  differ  essentially  now  from  those  of 
Hahnemann's  time.  The  difference  lies  in  the  ingenuity 
with  which  the  doctors,  druggists  and  pharmacists  foist 
their  products  on  the  people.     In  my  experience  among  the 


722  THE  MEDICAL  ADVANCE. 

doctors,  old  and  young,  the  first  thing  thought  of  when 
called  to  a  person  in  pain,  is  some  form  of  opium. 
Then  comes  the  diagnosis.  There  is  not  a  particle  of  pro- 
gress in  medicine  unless  it  be  in  methods  of  diagnosis.  They 
are  just  as  much  at  loggerheads  as  to  prescriptions  as  ever. 
Reference  to  the  notable  cases  of  President  Garfield  or 
Roscoe  Conkling,  is  a  fair  illustration  of  the  ingenuity  with 
which  physicians  can  interfere  with  the  natural  laws.  When 
called  to  a  case  of  diarrhea  of  late,  with  cough,  found  a 
cough  mixture  constantly  administered  to  >  that  part  of  the 
sickness,  which  was  a  plain  case  for  Podophyllum.  The 
old  school  should  have  died  out  long  ago. 

Dr.  Grant:— If  doctors  professing  Homeopathy  had 
practiced  Homeopathy,  that  system  would  have  died  long 
ago. 

Dr.  Dake  then  read  a  paper  upon: 

HYGIENE  OF   TUBERCULOSIS. 

Tuberculosis  is  a  preventable  disease,  and  because  of 
this  much  of  the  treatment  should  be,  and  must  be,  hygien- 
ic in  every  particular.  Now  that  this  disease  is  receiving  so 
much  attention  by  the  medical  world,  and  through  them  and 
the  many  organizations  formed  for  the  breaking  up  of  the 
foothold  of  the  **white  plague"  upon  the  people  of  our  com- 
munities, the  laity  are  becoming  educated  and  their  interest 
aroused.  We  take  notice  that  most  of  the  efforts  expended 
in  these  directions  are  hygienic  in  their  character.  We  also 
notice  that  as  medical  knowledge  and  research  progresses 
throughout  the  world,  sanitation  and  hygiene  play  a  most 
important  role  in  the  control  and  subsidence  of  various  mal- 
adies, particularly  the  infectious  aad  contagious  diseases. 

In  tuberculosis  the  hygienic,  dietetic  treatment,  is  very 
well,  and  very  strongly  indicated  in  the  general  conditions. 
But  where  the  lungs  are  actually  ill  it  necessitates,  as  we  all 
know,  more  than  this — it  requires  careful  medical  supervis- 
ion to  cure. 

In  treating  tuberculosis  our  success  depends  mainly  on 
our  ability  to  understand  our  patient  thoroughly,  i.  e.,  his 
nature,   mode  of  living,  environment,   habits  and  idiosyn- 


CENTRAL  NEW  YORK  SOCIETY.  723 

crasies.  So  we  see  it  is  utterly  useless  to  place  any  fixed 
rule  that  will  apply  with  equal  efficacy  to  each  patient  that 
may  come  under  our  care  and  supervision. 

An  individual,  named  Minor,  once  said,  **let  it  never  be 
forgotten  that  the  patient  is  to  be  our  partner  and  co-worker 
in  his  own  case,  and  that  a  partnership  in  which  one  mem- 
ber is  ignorant  of  the  course  of  the  business  is  sure  to  end 
in  failure." 

One  of  the  first  and  important  elements  as  to  the 
hygiene  of  our  patient  is  the  clothing.  This  must  not  be 
too  cumbersome  or  heavy.  Chilliness  and  perspiration  are 
both  dangerous.  Woolen  or  linen  underwear,  according  to 
the  nature  of  the  individual.  Extra  coverings,  or  clothing 
should  be  at  hand  at  all  times.  The  use  of  chamois  next  to 
the  chest,  as  a  chamois  or  wool  chest  protector,  must  be 
done  away  with.  The  feet  must  always  be  kept  dry,  or  if 
after  exercise,  there  be  perspiration,  they  must  be  dried. 
The  head  must  be  kept  from  the  direct  rays  of  the  sun. 
The  same  article  of  clothing  must  not  be  worn  for  more  than 
twelve  hours  without  a  thorough  airing.  The  resistence  to 
colds  is  acquired  by  acclimation,  and  it  is  sometimes  sur- 
prising to  see  what  resistance  to  colds  by  atmospheric 
changes  the  tuberculous  will  show  under  thorough  hygienic 
care  and  direction. 

The  scheme  or  outline  of  living  should  be  systematically 
arranged  for  every  patient.  This  arrangement  wotild,  or 
should,  place  before  the  patient  something  for  each  fiour  of 
the  day,  and  have  it  specified. 

One  important  element  of  treatment  comes  to  my  mind 
just  now,  and  that  is,  that  he  must  not  be  allowed  to  dwell 
in  introspection,  which  is  one  of  the  greatest  hinderances  to 
both  himself  and  his  physician. 

The  hygienic,  dietetic  treatment,  consists  of  good,  well 
cooked,  nourishing  food,  in  proper  amounts,  at  proper  inter- 
vals, of  fresh  air  day  and  night,  and  of  exercise  and  rest 
regulated  properly  for  each  patient,  according  to  conditions. 

The  fresh  air  treatment  is  now  receiving,  at  the  hands 
of  physicians,   its  proper   attention.      I  must  say  that  it 


724  THE   MEDICAL  ADVANCE. 

seems  to  me  that  it  is  somewhat  overdone, in  some  cases,  and 
in  others  not  enough  consideration  is  paid  to  it. 

Here  we  come  up  against  individual  peculiarities,  and 
the  physician  to  be  successful  must  be  a  student  of  human 
nature,  to  be  able  to  cope  with  the  peculiarities  of  his 
patient,  as  they  show  themselves.  In  summer  it  is  rather 
easy  to  get  your  * 'partner*'  to  coincide  with  your  views,  and 
he  may  agree  to  remain  out  of  doors  day  and  night.  In 
winter  I  am  strongly  against  the  24  hour  out  of  door  treat- 
ment. Eight  hours  is  sufficient,  the  other  sixteen  to  be 
spent  in  a  sanitary,  clean,  sunny  room.  How  many  times 
we  read  and  learn  of  faddists  in  the  direction  of  winters  out 
of  doors,  24  hours,  with  no  better  results  than  the  man  who 
gives  his  patient  eight  hours  of  open  air. 

Rest  and  exercise:  The  regulation  of  these  aids  is 
very  difficult.  If  we  make  a  mistake  here  it  would  better  be 
on  the  side  of  rest,  for  if  a  patient  returns,  after  an  attack, 
to  his  usual  duties,  his  muscles  will  be  so  soft  and  weak  that 
he  is  liable  to  a  relapse.  Rest  in  the  acute  cases  is  very 
essential.  Assimilation,  auto-intoxication,  etc.,  are  pro- 
duced by  over  fatigue.  As  the  patient  improves  from  bed 
treatment,  and  there  is  no  hemoptysis,  heart  complications, 
or  intercurrent  diseases,  he  may  be  given  a  massage.  This 
treatment  to  be  followed  by  walking,  properly  modified  and 
controlled.  The  rules  for  exercise  should  be  printed,  or 
typewritten,  for  each  patient.  The  exercise  should  be  taken 
out  of  doors,  and  between  meals,  rest  being  taken  before 
and  after  meals. 

An  essential  arrangement  of  the  patient's  time  should  be 
systematically  ordered.  No  patient  who  is  convalescent 
should  be  idle.  Jjibrary,  piano,  photography,  class  work, 
nature  study,  are  some  of  the  many  diversions  forthis  class 
of  patients.  W.  E,  Dake,  Rochester,  N.  Y. 

DISCHJSSION. 

Dr.  Grant:— Dr.  Dake  has  touched  the  key-note,  not 
only  in  tuberculosis,  but  of  every  other  disease  of  the  human 
orga  n  ism ,  in  d  i  r  id  ?/  a  I  iza  tion. 


CENTRAL  NEW  YORK  SOCIETY.  725 

Dr.  Bidwell  asked  Dr.  Dake  to  report  a  case  of  tuber- 
<;ulosis,  under  his  care. 

Dr.  Dake: — The  patient  was  36  years  old,  so  weak  from 
hemorrhages  that  he  could  not  leave  his  bed.  The  temper- 
ature running  all  the  way  to  104  degrees.  I  kept  him  in 
bed,  in  a  room  open  to  fresh  air,  had  him  waited  upon  hand 
and  foot  until  the  hemorrhages  stopped,  the^  put  him  under 
a  tent  from  March  to  October,  giving  him  the  occasionally 
necessary  homeopathic  remedies,  after  which  he  seemed  to 
have,  regained  his  entire  strength,  and  the  progression  of 
the  disease  was  stopped. 

Dr.  Graham  had  a  case  in  the  hospital  that  had  been 
pronounced  incurable  by  Dr.  Ely,  when  sent  to  him  in  the 
Adirondacks,  because  of  the  high  temperature,  and  advanced 
stage.  Dr.  Graham  had  given  no  medicine,  had  put  the 
patient  out  of  doors  upon  a  veranda  during  the  day.  Dur- 
ing the  rainy  period  of  April  he  had  given  the  patient 
oxygen,  ten  minutes,  twice  each  day.  This  patient  had  ab- 
normal temperature  no  longer,  was  strong,  and  on  the  way 
to  recovery. 

Dr.  Johnson  mentioned  the  case  of  Dr.  Hallock.  a  col- 
lege chum,  who  went  to  the  woods  and  remained.  He  said 
that  Dr.  Hallock  was  well,  received  and  treated  patients 
sent  to  him.  He  quoted  Dr.  Hallock  as  saying,  that  in  the 
woods  a  patient,  tubercular,  with  temperature,  is  ordered  to 
bed  and  to  take  no  exercise.  In  Trudeau  the  report  is,  that 
there  are-  no   bacilli  found  in  at  least  half  the  cases  treated. 

Dr.  Grant  said  that  that  bore  out  the  experience  of 
physicians  in  gen(u-al,  and  of  bacilli  in  general.  That 
patients  died  of  diphtheria,  frequently,  in  which  no  diph- 
theria bacilli  had   l)een  found,  and  so  with  other  diseases. 

Adjourned  for  luncheon. 

Called  to  order  by  the  president  at  2:20  p.  ui. 
.     Dr.  Johnson  said  he  had  not  prepared  a  pa)>er  upon  the 
subject  of  the  '*X-ray  as  a  Means  of  Diagnosis  of  Tubercu- 
losis,'* but  had  been  greatly  interested  and  had  looked  into 
the  subject  thoroughly.      He  said  that  Dr.  Williams  of  Bos 
ton  was  the  first  man  to  bring  out  the  possibilities  of  X-ray 


726  THE  MEDICAL  ADVANCE. 

in  diagnosis  of  tuberculosis.  He  said  that  Dr.  Williams  used 
no  plates,  but  worked  with  the  fluoroscope,  guarding  him- 
self, with  glass  plates,  and  he  was  in  that  way  able  to  study 
closely  the  various  conditions  presented.  Dr.  Johnson  said 
that  a  photograph  of  any  person's  lungs  would  show  spots, 
and  a  hasty  conclusion  had  been  too  readily  made  that  these 
were  tuberculous  spots,  but  that  Dr.  Williams  had  been  able 
to  show  that  these  spots  were  only  portions  of  the  lung  not 
inflated,  or  imperfectly  filled  with  air,  and  would  disappear 
when  a  deep  inspiration  filled  the  lung.  Dr.  Williams  was 
the  first  to  notice  a  faint  shadow,  which  he  finally  deter- 
mined was  uninflated  lung  tissue.  Dr.  Williams  had  finally 
confined  his  observations  to,  and  worked  upon,  the  excursion 
of  the  diaphragm. 

If,  in  suspicious  cases,  he  (Dr.  Williams)   found  the  ex- 
cursion of  the  diaphragm  to  be  shallow,  he  considered  the 
symptom  more  dependable   than  the  shadowy  spots,  which 
were  probably  but  non-inflated  lung  tissue.     Dr.  Johnson  said 
that  this  shadow  made  by  the  excursion  of  the  diaphragm  could 
be  seen  above  the  dome  of  the  liver.    He  drew  attention  to  the 
difficulties  of  observation  made  by  the  distance  or  nearness 
of  a  solid  body  when  seen  by  the  X-ray;  that  it  made  a  great 
difference  as  to  the  clearness  of  the  shadow;  if  a  shadow  was 
deep  in  the  lung,  i.  e.,  at  a  distance  from  the  instrument,  it 
was  blurred  by  the  motion  of.  the  lung  in  breathing.     He 
said  that  cases  that  showed  well  were  so  advanced  that  it 
was  easy  to  diagnose  by  other  mean^.      He  said  that  lesions 
three  inches  away  from  the  plate  were  blurred.      As  to  the 
value  of  the  X-ray  in  the  early  diagnosis  of  tuberculosis,  it 
was  a  question.      In  cases  of  tuberculous  bone  the  X-ray  is 
an  addition  to  the  physician's  means  of  exact  diagnosis.    He 
illustrated   the  value  of  X-ray  in  treatment  of  tuberculous 
bone,  by  a  case  that  had  taken  four  trials  with  X-ray  before 
a  picture  was  obtained;  by  the  time  this  was  done  the  con- 
ditions had  so  greatly  improved,  the  physician  in  charge 
suggested  further  treatment,  and  delayed  operation,  to  the 
great  advantage  of  the  patient,  who  was  cured.     Dr.  John- 
son's own  patient,  who  had  had  various  diagnoses,  lungs. 


^TT- 


CENTRAL  NEW  YORK  SOCIETY. 


727 


<tc.,  continued  in  his  care  and  was  cured  with  X-ray. 

The  next  paper  upon  the  "Therapy  of  Tuberculosis," 
by  Dr.  Hussey,  was  not  received. 

Dr.  Leggett  then  read  a  paper  upon: 

MICROBE  vs.   MIASM. 

Living  in  a  period  of  violent  agitation,  mostly  in  tlie 
minds  of  health  officers,  who,  anxious  to  be  considered  the 
beneficient  forces  of  the  communities  in  which  they  preside, 
seek  out  the  infinitesimal  microbe  of  various  diseases,  that 
they  may  sally  forth  as  ** warrior  knights  of  the  windmill,'^ 
Quixote  fashion,  it  behooves  us  to  make  inquiries  as  to  facts 
in  these  matters. 

To  the  student  of  Hahnemann,  who.  also  lived  in  times 
of  valiant  * 'lighting  of  the  windmill,"  it  would  seem,  that  al- 
though percautions  hygienic,  prophylactic,  and  preventive 
are  right, and  in  degree  necessary  for  the  welfare  of  com- 
munities, that  there  are  some  other  causes  to  be  included  in 
the  quest  of  tuberculosis,  for  instance,  than  the  tubercle 
bacilli  of  the  sputum.  Hahnemann  was  not  only  a  profound 
observer,  but  a  profound  reasoner,  when,  after  years  of 
study,  he  was  able  to  p)oint  out  facts,  recorded  in  the  arch- 
ives of  old  medicine,  such  as  plainly  indicated  the  results  of 
suppression  of  the  three  great  lesions  which  produce  the 
three  chronic  miasms,  whose  primary  expressions  are  so 
various,  and  whose  ultimates  are  often  so  similar* 

That  the  diseases,  resultant  from  the  chronic  miasms, 
given  early  recognition,  proper  personal  care,  and  the  indi- 
cated remedy,  are  curable,  I  think  we  all  believe. 

Prom  the  fact  that  all  three  of  the  chronic  miasms  are 
transmissible,  directly  or  by  heritage,  and  that  their  termi- 
nal activities  result  in  general  or  local  conditions,  such  as 
tuberculosis  general  or  localized,  would  it  argue  that  the 
tubercular  bacilli  of  the  sputum  was  all  that  was  necessary 
to  prevent  the  spread  of  the  * 'great  white  plague?" 

It  would  almost  seem  that  we  are  in  danger  of  forget- 
ting that  there^are  other  tubercular  lesions  than  pulmonary, 
^  and  that  there^are  other  methods  of  acquiring  the  disease 
.than  by  infected  dust  aad  accumulations  of  garbage 


m 


m 


72h  the  medicat.  advance. 

Every  observant  homeopathic  physician  has  proved  to 
himself  again  and  again  that  each  miasmatic  disease  is  not 
only  transmissible  to  generations  following,  but  is  com- 
municable. He  has  seen  this  in  the  close  relation  of  mar- 
riage, in  wives  in  whom  no  trace  of  dyscrasia  had  appeared 
until  the  closer  bond  was  formed,  and  has  seen  the  victim 
change  and  fade  beyond  recognition,  even  unto  death;  and 
he  has  learned  that  only  through  the  careful  prescription 
of  the  simillimum,  made  possible  through  the  God-given  in- 
sight of  Samuel  Hahnemann,  could  he  combat  the  resultant 
disease.  Having  made  these  observations,  and  realized  the 
fiendish  miasm  behind  the  disturbance,  is  he  in  danger  of 
forgetting  these  facts  in  a  mad  search  for  a  microbe,  which, 
after  having  destroyed  all  visible  means  of  its  existence,  he 
is  sure  to  find  lurking  in  some  forgotten  or  hidden  corner? 
Will  he  forget  that  even  the  tubercular  bacilli  must  have  a 
prepared  soil,  that  sunshine  and  oxygen  are  still  the  most 
perfect  of  antiseptics,  and  that  the  ''rousing  of  the  body's 
defenders,  opsonins,''  is  best  done  by  the  simillimum?  In 
fact,  what  else  is  the  object  of  the  homeopathic  physician 
than  to  rouse  the  life-force  to  the  resistance  of  disease?  In 
what  way  could  we  know  the  needs  of  the  organism,  except 
through  indications  made  by  the  life-force  itself,  which,  after 
centuries  of  mistakes,  we  have  learned  to  interpret? 

Right  it  certainly  is  to  do  what  we  can  in  preventative 
ipedicine,  through  constant  teaching,  through  health  boards, 
if  you  will,  but  most  of  al)  let  us  constantly  remind  our- 
selves that  not  only  the  psoric,  but  the  syphillitic  and  sycotic 
miasms  prepare  a  ready  soil  for  infection,  as  well  as  them- 
selves degenerate  the  organism  to  a  condition  productive  of 
the  results  we  are  so  carefully  pursuing.  No  bactericide  in 
the  world  can  wipe  out  a  miasm  once  introduced  into  the 
orgai  ism.  Teach  men  and  women  that  suppression  means 
torture,  and  frequently  a  painful  death.  Teach  them  that 
from  each  miasm  they  may  expect  the  same  ultimates,  be 
they  tuberculosis,  cancer,  or  other  degenerative  process. 
Teach  them  that  venereal  disease  suppressed  or  recessed,  is 
more  productive  of  the  death  ultimate,  whatever  its  name, 
than  all  the  microbes  in  the  universe. 

S.  L.  Guild-Leggett,  M.  D.,  H.  M. 


^^1 


CENTRAL  NEW  YORK  SOCIETY. 


729 


DISCUSSION. 

Dr.  Bidwell  feels  that  we  make  a  mistake  if  we  fail  to 
recognize  the  fact  that  bacteria  are  an  exciting,  if  not  the 
predisposing  cause  of  the  disease.  He  likened  it  to  seed,  a 
grass  seed  if  sown  in  proper  soil  would  multiply  indefinitely. 
He  said  the  work  in  the  laboratory  was  very  convincing:  the 
guina  pig,  a  very  susceptible  animal,  inoculated  with  the 
bacteria  of  tuberculosis,  would  die  of  the  disease  in  any  time 
from  ten  days  to  six  weeks.  He  described  the  lyethod  of  in- 
fection, the  protection  offered  to  the  tissues  by  the  phago- 
cites,  who,  like  soldiers,  hedged  about  and  walled  in  the 
bacteria  until  they  were  overcome  by  numbers.  He  be- 
lieved that  there  was  no  case  of  tuberculosis  in  which  the 
bacteria  were  not  present,  but  that  they  could  not  always  be 
found  in  sputa  for  the  reason  that  they  might  be  walled  off 
deeply  in  the  alveoli  and  never  reach  the  bronchi,  to  be 
thrown  off;  that  nature  tried  to  relieve  the  system  of  the 
foreign  matter  through  other  chanfiels. 

He  recognized  the  fact  that  there  must  be  the  right  soil 
for  growth  as  given  by  the  predisposing  cause  in  the  lower- 
ing of  the  vital  force,  but  could  not  ignore  the  fact  that  there 
must  be  an  exciting  cause,  and  such  cause  had  been  abso- 
lutely proven  to  be  the  bacilli  of  tuberculosis(?). 

Dr.  Leggett  said  that  it  was  not  the  possibility  of  infec- 
tion that  she  doubted  when  writing  the  paper,  but  the  dan- 
ger of  forgetting  the  predisposing  conditions,  which,  homeo- 
pathic physicians  were  especially  fitted  to  control.  She  also 
believed  that  there  was  that  in  the  human  organism,  which, 
given  the  proper  environment,  and  depressing  surroundings, 
would  develop  tuberculosis,  if  the  patient  was  miles  from 
any  possible  infection. 

Dr.  Stow  mentioned  the  interest  he  had  taken  in  a  Vol- 
ume entitled.  ''Physician  vs  Bacteriologist." 

Dr.  Johnson  mentioned  the  experiments  made  by  a 
French  physician  with  dried  sputum. 

Dr/ Bidwell  said  that  it  had  been  determined  that  there 
^Wasno  danger  of  infection  from  dried  sputum^^ 


730  THE  MEDICAL  ADVANCE. 

Dr.  Beck  thought  that  scientists  should  make  search 
for  the  specific  toxine. 

(Dry  sputum,  or  moist,  the  changes  made  by  succussion 
and  potentization,  does  not  seem  to  have  injured  the  power 
of  the  bacilli  as  a  medicinal  substance.    L-) 

The  Secretary  presented  the  following: 

Resolutions  concerning  the  death  of  the  late  Dr.  Biegler. 

WHEREAS,  it  has  pleased  the  Ruler  of  all  things  psychi- 
cal and  physical,  to  remove  from  our  midst  Dr.  Joseph  A. 
Biegler  of  Rochester,  N.  Y.,  member  of  the  Central  New 
York  Homeopathic  Medical  Society, 

WHEREAS,  it  was  always  the  aim  of  Dr.  Joseph  A. 
Biegler,  to  be  the  highest  exponent  of  the  law  of  Homeo- 
pathy, as  revealed  to  Samuel  Hahnemann. 

Rezolved.  that  we,  members  of  this  Society,  shall  con- 
tinue this  jwork  of  developing  the  usefulness  of  Homeo- 
pathy, in  the  application  of  its  laws  of  healing,  before  the 
world,  and  to  all  mankind. 

Resolved,  to  extend  pur  sympathy  to  the  family  and 
friends  of  Dr.  Bieglar; 

Resolved,  to  publish  these  resolutions  with  the  transac- 
tions of  this  Society. 

A.  C.  Hermance,         I  nvx«.w«if*^n 
S.  L.  Guild-Leggett  ]  Con^mi^ee. 

Motion  was  made,  seconded,  and  carried  that  the  reso- 
lutions be  accepted  as  read,  and  published  with  the  transac- 
tions. 

The  president  called  for  a  report  from  the  provers  of 
Pyrogen. 

Dr.  William  M.  FoUette  was  the  only  prover  present. 
He  had  been  recommended  by  Dr.  Leggett  to  take  but  one 
dose,  dry  on  the  tongue,  and  await  developments.  He  took 
one  dose  of  Pyrogen  cm  dry,  and  waited  ten  days  or  two 
weeks,  with  no  result  Reported  the  same  to  Dr.  Leggett, 
was  advised  to  take  several  doses,  in  solution,  during  a  day, 
a  few  hours  apart,  then  wait.  He  soon  developed  a  short, 
sharp,  catching  pain,  in  the  region  of  heart  line  of  left  nip- 
ple.   Pyrogen  was  stopped  for  a  few  days,  then  the  several 


NEW  JERSEY  HOMEOPATHIC  MEDICAL  SOCIETY.  731 

doses  repeated,  with  same  results,  **pain  near  the  heart." 
This  experiment  was  tried  three  times,  several  days  apart, 
with  same  result. 

A  committee  was  appointed  to  select  the  subjects   for 
September.    These  reported. 

Organon:  S  58  Dr.  Hoard. 

Opsonins:  Therapeutic,  Dr.  Bid  well   - 

Berberis.  Dr.  Tretton. 

Berberis:  Cases,  Dr.  FoUette. 

Berberis:  practical  application.  All. 

S.  E.  Guild-Leggett. 

Secy. 


TRANSACTIONS  OF  THE  NEW  JERSEY  STATE 
HOMEOPATHIC  MEDICAL  SOCIETY. 

The  New  Jersey  State  Homeopathic  Medical  Society 
held  its  fifty-Hfth  semi-annual  session  at  the  Hotel  Marl- 
borough, Asbury  Park,  on  October  6th  and  7th.  About  60 
members  and  visitors  were  in  attendance.  The  business 
session  was  called  to  order  on  Tuesday  morning  by  Presi- 
dent Charles  F.  Adams,  of  Hackensack,  and  after  the  in- 
vocation by  Rev.  C.  M.  GifFen,  of  Asbury  Park,  Mr.  Wm. 
H.  Bannard,  councilman-at-large,  welcomed  the  society  to 
the  city.  Dr.  A.  W.  Atkinson,  of  Trenton,  the  3rd  vice- 
president,  responded  for  the  society. 

The  president  in  a  few  words  told  of  the  effort  made  to 
bring  more  homeopathic  physicians  into  membership.  About 
70  per  cent  of  the  practitioners  of  the  state  are  members  of 
the  State  Society.     He  also  recommended   that  the  society  f|| 

have  but  one  meeting  a  year,  and  appointed  a  committee  to 
provide  for  certain  changes  in  the  constitution. 

The  committee  in  its  report  recommended  the  following 
changes,  and  they  will  be  voted  upon  at  the  next  regular 
meeting.  That  the  society  shall  hold  an  annual  meeting 
only;  that  the  following  bureaus  shall  be  appointed  by  the 
president:     Materia  Medica  and  Therapeutics,  Clinical  Med-  |^*{[ .  ;i 

icine  and  Pathology,  Surgery   and   Gynecology,  Obstetrics,  viii  J 

Physical    Therapeutics,    Pedology,    Sanitary   Science   and  i^^jl   ir 


■^"i.- 


732      ^  THE  MEDICAL   ADVANCE. 

Public  Health,  Ophthalmology,  Otology  and  Laryngologj, 
Homeopathy  and  Drug  Proving.  That  members  shall  be 
considered  seniors  after  25  instead  of  30  years  of  continnoos 
membership. 

Upon  recommendation  of  the  board  of  censors  the  fol- 
lowing were  elected  members:  Drs.  Henry  H.  Carr,  Mulli- 
caHill;  Wm.  T.  Hilliard,  Salem;  Allen  S.  Ironside,  Camden; 
Chester  A.  Leigh,  Trenton;  Robert  P.  Miller,  Hopewell; 
Lester  H.  Sparks,  Lake  wood;  Howard  J.  Westney  and 
Maurice  D.  Youngman,  both  of  Atlantic  City.  Dr.  Royal  S. 
Copeland}  of  New  York,  was  proposed  for  Honorary  Mem- 
bership and  will  be  voted  upon  at  the  next  regular  meetmg. 
The  only  honorary  member  at  present,  Dr.  H.  C  Allen,  of 
Chicago,  was  present  at  this  session. 

Dr.  John  B.  Garrison,  of  New  York,  of  the  committee 
on  Medical  Education  of  the  American  Institute  of  Home- 
opathy was  present  and  told  of  the  work  of  the  committee 
and  urged  all  members  to  send  their  students  to  homeopath- 
ic colleges.  Dr.  Rabe  reported  that  at  the  last  meeting  of 
the  American  Institute  the  representatives  of  the  State  So- 
ciety had  pledged  $100  for  the  fund  of  homeopathic  propa- 
ganda. The  State  Society  approved  this  action  and  will 
give  the  $100  to  the  Institute  fund. 

The  necrologist.  Dr.  H.  F.  Datesman,  reported  the 
death  of  two  members,  Dr,  E.  H.  Phillips,  of  Cape  May,  a 
Senior,  and  Dr.  James  Hoffman,  of  Jersey  City. 

At  the  scientific  session  the  following  papers  were  read 
and  enthusiastically  discussed.  Sanguinaria  in  La  Grippe, 
Neuritis  and  Diseases  of  the  Chest,  by  Wallace  McGeorge: 
Sinapis  Nigra,  by  P.  E.  Krichbaum;  The  Care  of  Mental 
Cases,  by  David  M.  Gardner;  Conservatism  in  Surgery,  by 
E.  B.  Witte;  Intestinal  Obstruction,  by  Arthur  F.  Thompson; 
Asthma  as  a  Nasal  Reflex,  by  C.  C.  Straughn;  Headaches  of 
Ocular  and  Nasal  Origin,  by  W.  F.  Beggs,  and  Sewers  and 
Sewage  Disposal  as  Applied  to  Cities  of  the  Sea  Shore,  by 
J.  T.  Beckwith,  of  Atlantic  City. 

On  Tuesday  evening  the  Monmouth  County  Homeo- 
pathic Medical  Society  tendered  a  dinner  to  the  members 


:m^^ 


SANGUINARIA  IN  LA  GRIPPE,    ETC. 


733 


and  friends  of  the  State  Society  at  the  Hotel  Marlborough. 
Nearly  sixty  sat  down  to  the  well-spread  board.  After  the 
dinner  Dr.  L.  E.  Hetrick,  the  efficient  chairman  of  the  local 
committee,  presided  as  toastmaster  and  introduced  the 
speakers.  Those  at  the  tables  heard  an  unusually  fine  set 
of  speeches  from  Drs.  J.  E.  Wilson  and  Wm.  P.  Honon,  of 
New  York,  President  Charles  P.  Adams,  of  Hackensack  and 
Rev.  C.  M.  Giffen,  of  Asbury  Park.  In  the  afternoon  a  re 
ceptign  was  tendered  to  the  members  and  guests  by  Dr. 
Ella  P.  Upham,  of  Asbury  Park,  who  was  president  of  the 
society  last  year. 

The  society  adjourned  on  Wednesday  after  an  unusually 
good  session,  to  meet  at  Cape  May  for  the  regular  annual 
meeting,  on  June  3,  4  and  5,  1909. 


SANGUINARIA  IN  LA  GRIPPE,  DISEASES  OP  THE 
CHEST  AND  NEURITIS.* 

By  Wallace  McGeorge,  M.  D.,  Camden,  N.  J. 

By  request  of  the  chairman  of  the  Bureau  of  Materia 
Medica,  I  give  you  a  few  suggestions  as  to  the  use  of  San- 
guinaria  in  the  class  of  cases  named  in  the  title,  and  on  ac- 
count of  the  brief  time  allotted  me  I  refrain  from  any  ref- 
erence to  its  use  in  other  morbid  conditions. 

I  have  selected  the  Blood  Root  for  two  reasons,  because 
it  is  so  pretty  when  the  flowers  come  out  in  the  spring  and 
because  it  is  so  reliable  in  the  class  of  cases  in  which  it  is 
indicated.  I  was  in  hopes  I  could  bring  you  a  specimen  of 
the  plant  in  flowei*,  but  those  beds  that  I  have  seen  bloom 
from  the  middle  to  the  twenty -fifth  of  April,  and  the  bloom 
is  over  for  the  year.  The  petals  are  white,  the  stamens 
yellow,  the  leaves  dark  green,  the  stalk  white  then  yellow 
when  it  leaves  the  root;  the  root  is  dull  or  brick  red  on  the 
outside,  blood  red  on  the  inside  or  when  it  is  cut,  hence  the 
popular  name  Blood  Root. 

Sanguinaria  canadensis  is  essentially  an  American  rem- 

*R«ad  before  the  New  Jersey  State  Homeopathic  Medical  Society  at. 
Asbury  Park,  October  6,  1908. 


8^^ 


734  THE  MEDICAL  ADVANCE. 

edy,  and  has  probably  cured  more  cases  of  the  American 
sick  headache  than  any  other  remedy,  but  it  will  not  cure 
every  headache,  and  is  only  indicated  when  there  is  pros- 
tration or  exhaustion.  Bering,  in  his  Guiding  Symptoms, 
gives  all  the  symptoms  calling  for  its  use  in  our  national 
headache. 

In  the  depressing  symptoms  of  La  Grippe,  we  have  a 
good  picture  of  Sanguinarfti.  Large  doses  of  the  drug  re- 
duce the  pulse  in  calibre  and  frecjuency,  and  produce  nausea, 
vomiting,  vertigo,  faint  feelings,  irregular  heart  action  with 
great  prostration.  **It  slows  the  respiratory  movement  by 
prolonging  the  pause  after  expiration." 

When  there  is  languor,  prostration,  headache,  cough, 
pain  in  the  chest  with  great  desire  for  rest,  Sanguinaria  will 
relieve  in  from  four  to  twelve  hours,  and  next  day  life  will 
be  worth  living.  When  the  patient  don't  care  whether  he 
lives  or  dies  give  Sanguinaria  and  next  day  he  will  listen  to 
what  you  say,  and  won't  mind  looking  at  the  paper  to  see 
what  is  going  on  around  him.  I  know  of  no  other  remedy 
so  reliable  in  La  Grippe  as  Sanguinaria.  Under  Bryonia  he 
must  rest  and  keep  still.  The  Sanguinaria  patient  feels 
better  from  resting,  wants  to  be  quiet,  but  will  move  or 
change  his  position  without  complaint  if  he  can  make  him- 
self more  comfortable  by  the  change. 

In  diseases  of  the  chest  the  breath  and  the  sputa  smell 
badly.  The  smell  is  so  offensive  he  cannot  get  rid  of  it,  and 
it  makes  him  sick.  When  a  patient  has  a  dry  cough  which 
awakens  him  from  sleep  and  does  not  cease  until  he  sits  up- 
right in  bed,  think  of  Sanguinaria.  If  in  addition  the  cough 
continues  until  flatus  is  discharged,  upwards  and  down- 
wards, you  need  seek  no  further,  for  Sanguinaria  is  the  only 
remedy. 

In  incipient  tuberculosis,  or  consumption  in  its  early 
stages,  when  the  expectoration  and  breath  are  exceedingly 
offensive,  with  hectic  flush,  or  circumscribed  redness  in  one 
cheek,  Sanguinaria  will  win  out  many  times. 

Dr.  P.  W.  Andrews  used  Sanguinaria  in  lobar  pneumonia 
when  there  is  great  hoarseness,  or  when  the   expectoration 


SANCJUIKARIA  IN  LA  GKIPPE,    ETC. 


735 


is  thick,  green,  glutinous,  offensive.  Also  in  hydrothorax 
when  there  is  sharp  pain  in  the  lungs  with  shortness  of 
breath,  also  in  severe  asthmatic  conditions. 

In  pneumonia,  with  very  difBcult  respiration,  when  the 
cheeks  and  hands  are  livid  or  purple,  with  offensive  breath 
and  sputa,  with  prostration,  think  of  Sanguinaria. 

In  patients  suffering  from  valvular  troubles,  where  the 
heart  disease  is  aggravated  by  a  fresh  attack  of  rheumatism 
and  the  lungs  have  also  become  involved,  Sanguinaria  will 
enable  us  to  pull  our  patient  through.  In  cases  where  all 
these  symptoms  are  present,  and  when  the  kidneys  are 
throwing  off  large  quantities  of  earthy  phosphates,  and  the 
patient  is  loosing  flesh  rapidly,  if  the  face  gets  the  circum- 
scribed redness  of  one  cheek,  Sanguinaria  will  save  your 
patient  and  start  him  well  on  the  road  to  recovery.  *  In  one 
such  case,  when  the  homeopathic  physicians  who  had  seen 
the  case  with  me  had  given  an  unfavorable  prognosis,  San- 
guiuaria  snatched  the  patient  from  the  jaws  of  death,  and 
in  three  months  he  had  gained  forty  of  the  sixty-five 
pounds  he  had  lost  during  his  protracted  illness. 

In  neuritis  it  is  a  good  friend  and  helps  us  out  of  many 
a  hole.  When  I  was  in  college  a  patient  came  to  the  college* 
clinic  suffering  with  reumatism,  or  pain  in  the  right  should- 
er joint.  This  man  was  a  shoemaker  and  he  could  not  work 
at  his  bench  on  account  of  the  pain  in  the  shoulder  when  he 
pulled  his  waxed  thread  all  the  way  out.  The  late  Profes- 
ser  Henry  N.  Guernsey,  who  was  conducting  the  clinic  that 
day,  examined  this  man,  and  finally  gave  him  Rhus  because 
he  understood  the  man  felt  better  from  moving. 

When  the  professor  went  home  he  studied  out  this  case 
more  thoroughly  and  went  to  see  the  patient  at  his  home. 
He  found  that  the  man  could  not  sleep  at  night  on  account 
of  the  pain,  and  it  was  the  pain  tliat  made  him  get  up  and 
move  about,  not  that  he  wanted  to  move.  Dr.  Guernsey 
then  gave  him  Sanguinaria  200,  and  next  week  when  the 
man  came  back  to  the  clinic  he  said  that  he  got  some  rest 
the  first  night  after  he  got  the  new  medicine,  and  after  that 
he  could  sleep  all  night  and  could  work  at  his  bench  without 


736  THE   MEDICAL  ADVANCE. 

any  pain.  He  was  then  given  seven  powders  of  Placebo 
and  told  to  return  next  week  if  the  pain  returned.  He  did 
not  oome  back,  but  one  of  the  students  who  was  skeptical 
of  the  curative  powers  of  Sac  Lac  in  such  severe  cases, 
hunted  him  up  and  found  him  working  at  his  cobbler's  bench 
free  from  all  pain,  and  then  this  skeptic  admitted  there  was 
some  power  in  Dr.  Guernsey's  high  potencies- 

We  used  to  call  all  these  pains  rheumatism.  Now  we 
are  more  particular  in  diagnosis,  and  call  these  troubles 
neuritis.  Lippe's  indications  for  Sanguinaria  in  rheumatism 
or  neuritis  are  as  follows:  ** Rheumatic  pain  in  riglU  dkrm 
and  shoulder,  worse  at  night  in  bed;  cannot  raise  the  arm; 
motion  (turning  in  bed)  makes  it  much  worse.  Rheumatic 
pain  in  left  hip;  rheumatic  pain  inside  of  right  thigh;  rheu- 
matic pains  in  limbs,  pains  in  those  places  where  the  bones 
are  the  least  covered  with  flesh,  but  not  in  the  joints;  on 
touching  the  painful  part  the  pain  immediately  vanished, 
and  appeared  in  some  other  part."  This  symptom  is  a  key- 
note for  this  remedy.  Hering  recommends  Sanguinaria  in 
acute  inflammatory  and  arthritic  rheumatism. 

In  conclusion  let  me  say  that  while  I  use  Sanguinaria  in 
the  high  potencies  exclusively,  I  have  seen  in  other  physi- 
cian's practice  good  results  follow  its  use  in  the  third  and 
sixth  potencies.  It  would  be  better  to  use  the  low  potencies 
or  even  the  crude  powder  of  the  blood  root,  when  it  is  the 
remedy,  than  not  to  use  it  at  all. 

When  Sanguinaria  is  indicated  the  low  potencies  will  do 
some  good,  but  the  high  potencies  will  work  quicker,  the 
effects  of  the  drug  be  more  lasting,  and  there  will  be  less 
aggravation  of  the  symptoms  than  when  the  crude  prepara- 
tions are  exhibited.  When  the  high  potencies  do  the  work 
quicker,  better  and  more  profoundly  than  the  low,  he  would 
be  a  dolt  who  would  not  use  that  potency  which  would  do 
the  most  good. 

[What  is  true  of  the  dynamic  power,  the  curative  force 
or  **high  potency"  of  Sanguinaria  is  equally  true  of  every 
remedy  in  the  Materia  Medica.     Ed.] 


.-^^* 

-^-•->' 

'^l^ 


CONSERVATISM  IN   SURGERY. 


737 


CONSERVATISM  IN  SURGERY.* 

By  E.  B.  Witte,  M.  D.,  Trenton,  N.  J. 

In  selecting  a  subject  to  present  to  you  it  has  seemed 
best  not  to  recite  any  special  surgical  technique  or  give  you 
in  detail  any  particular  operation,  with  the  salient  points  of 
which  you  may  be  just  as  familiar  as  myself.  But,  after  an 
urgent  request  from  your  chairman,  I  have  decided  to  call 
your  attention  to  and  ask  your  serious  consideration  of  a 
subject  rarely  presented. 

There  is  perhaps  no  branch  of  our  science — which  has 
for  its  object  the  alleviation  of  suffering,  the  restoration  of 
health  and  the  preservation  of  life — which  offers  more  temp- 
tations to  trespass  upon  vital  and  sacred  areas,  than  the 
field  of  surgery. 

Men  engage  in  the  profession  of  surgery  through  the 
same  motives  and  in  much  the  same  way,  as  they  do  in  any 
other  vocation  of  life.  Some  are  moved  in  this  direction  by 
the  opportunities  of  rendering  assistance  to  their  fellow  men; 
some  are  fascinated  by  the  glamor  and  halo  that  brilliant 
success  has  placed  about  the  few  eminent  men  who  have,  by 
rare  ability  and  learning,  achieved  renown  in  the  world  of 
science,  while  some  are  attracted  by  the  great  mirage  of 
glittering  dollars  that  fancy  has  thrown  upon  the  screen  of 
professional  life. 

Having  a  body  of  men  so  heterogenious  in  point  of  purpose, 
striving  for  vastly  different  objects  through  the  same  medium ; 
with  aims  so  widely  divergent,  a  uniform  result  can  hardly 
be  expected;  nor  under  the  circumstances  will  the  best  inte- 
rests of  the  unfortunate  sufferer  always  be  conserved. 

To  obtain  the  most  potent  effects  in  surgery  requires,  in 
addition  to  natural  adaptability,  a  judgment  unbiased  by 
any  element  or  consideration  other  than  the  welfare  of  the 
patient.  Commercialism  and  professional  reputation  should 
be  relegated  into  the  remote  and  undefined  realms  of  obscur- 
ity. In  dealing  with  such  a  complex  organism  as  the  human 
body,  with  an  animation  so  easily  checked,  a  life   suspended 


*New  Jersey  State  Society,  October,  1908. 


li- 


^ 


m\ 


738  THE  MEDICAL   ADVANCE. 

by  such  slender  threads,  we  have  a  most  forcible  confirma- 
tion of  the  axiom  *'A  little  knowledge  is  a  dangerous  thing/' 
while  the  operations  of  surgery  just  as  forcibly  contradict 
the  adage  *  "Where  ignorance  is  bliss  'tis  folly  to  be  wise." 
In  the  field  of  surgery  then,  it  is  necessary  to  be  fully 
equipped  with  a  most  generous  knowledge  and  a  superior 
wisdom,  and  these  must  be  well  ballasted  by  unalloyed  be- 
nevolence. 

A  man  may  err  in  prescribing  a  medicine — he  has  his 
antidotes  and  restoratives  which  correct  his  error,  and  give 
him  another  chance  to  bring  his  case  to  a  successful  issue. 
But,  if  he  errs  in  his  surgical  prescription  or  his  surgical 
methods,  he  has  absolutely  nothing  at  his  command  to  re- 
store the  normal  continuity  of  the  severed  parts.  It  be- 
hooves us,  therefore,  to  regard  the  dissection  of  the  human 
body  with  due  reverence  and  more  than  ordinary  care. 

There  are  no  operations  which  make  a  special  plea  for 
care,  accuracy  and  conservatism  more  than  those  confined 
to  the  cranial  and  abdominal  cavities,  none  are  more  attrac- 
tive to  the  surgeon,  none  yield  a  greater  percentage  of  dis- 
appointments and  failures,  and  none  show  more  plainly  the 
wanton  disregard,  inexcusable  ignorance  or  purely  commer- 
cial interests  of  the  man  who  operates. 

It  is  these  occult  cases  which  tax  the  learning  and  wis- 
dom of  older  surgeons,  that  are  too  lightly  considered  by 
younger  men,  who,  flushed  by  an  overwrought  zeal  to 
achieve  success  and  acquire  rank,  or  blinded  by  inflated  ig- 
norance or  exaggerated  egotism,  court  the  most  serious  ope- 
rations regardless  of  the  consequences  to  the  patient,  and 
find  in  some  trivial  derangement  abundant  excuse  for  a  sur- 
gical procedure.  I  have  known  of  instances  where  amenor- 
rhea has  been  the  sole  excuse  for  an  ovariotomy;  menstrual 
colic  has  been  the  signal  for  an  appendectomy;  while  the 
gaining  of  experience  or  the  increase  of  revenue  have  been 
the  chief  factors  in  many  more  surgical  processes;  the  sad 
results  of  which  have  been  charged  upon  the  pages  of  life's 
ledger  to  the  wise  and  hallowed  dispensation  of  Providence. 

You  will  pardon  me  I  know,  if  I  mention  two  more  oper. 


CONSERVATISM  IN  SURGERY. 


739 


ations  which  point  with  singular  emphasis  to  the  importance 
of  conservatism  in  surgery  and  the  necessity  of  being  men- 
tally equipped  for  the  duties  and  responsibilities  of  this 
great  science. 

The  first  case  was  a  young  lady  whom  the  surgeon  took 
from  the  midst  of  a  social  gathering  to  the  hospital,  where 
she  was  prepared  for  an  operation  for  floating  kidney.  The 
incision  was  made  in  the  back  and  the  kidney  discovered 
normal  and  in  its  proper  place.  The  wound  was  closed,  an 
abdominal  incision  was  at  once  made,  the  ovaries  removed, 
and  the  patient  died  in  less  than  twenty-four  hours. 

The  next  case  was  operated  for  stricture  of  the  esopha- 
gus. An  incision  was  made.  The  newspapers  were  full  of 
the  highest  praise  for  the  skillful  and  wonderful  surgeon 
who  had  opened  the  stomach,  and  was  then  feeding  the  indi- 
vidual through  a  tube  with  prospect  of  curing  the  unusual 
case.  In  due  course  of  time  this  patient  also  died,  and  the 
autopsy  revealed  a  normal  stomach,  which  had  not  been 
touched  by  the  surgeon's  scalpel,  while  an  opening  was 
found  in  the  left  pleural  cavity  through  which  nutriment 
had  been  poured  for  some  weeks,  to  the  satisfaction  of  the 
surgeon  and  the  delight  of  his  friends. 

Many  more  such  instances  could  be  cited  but  they  only 
add  to  the  humiliation  of  the  whole  profession.  These  are 
the  things  that  are  occurring  almost  daily  in  many  of  our 
hospitals.  These  are  the  things  that  disturb  the  confidence 
of  the  people,  lower  the  standard  and  dignity  of  a  noble 
calling,  and  weaken  the  foundations  of  the  Temple  of 
^Esculapius. 

There  are  a  number  of  important  factors  which  enter 
into  the  domain  of  successful  surgery,  and  not  the  least  of 
these  is  the  quality  of  feeling  possessed  by  the  surgeon  to- 
wards the  subject  who  seeks  his  advice.  He  should  be  in 
hearty  sympathy  with  the  best  interests  of  the  patient,  and 
should  have  the  highest  regard  for  the  sacredness  of  human 
life.  Next,  he  must  have  a  well-rounded  knowledge  of  the 
anatomy  which  he  essays  to  dissect;  he  must  also  be  familiar 
with  all  the  pathological  conditions,    and  have   intimate  ac- 


i 

4 


l^^l:- 


^t-: 


740  THE  MEDICAL  ADVANCE. 

quaintance  with  the  sphere  and  efficacy  of  drugs.  In  addi- 
tion to  the  above  the  surgeon's  armamentarium  is  not  com- 
plete without  having  explored  tiie  realm  of  mechano-tiieca' 
py ,  electricity  and  the  various  other  methods  of  curing  dis- 
ease 

It  is  not  enough  for  the  surgeon  to  know  that  a  kidney 
can  be  removed  and  the  patient  live;  that  the  cranial  vantt 
can  be  opened  and  the  cerebral  hemispheres  be  explored, 
without  the  sacrifice  of  life;  or  that  the  sexual  organs  can 
be  removed  and  every  cavity  of  the  body  laid  open  for  ocu- 
lar inspection  or  surgical  readjustment.  It  is  not  enough 
for  the  surgeon  to  know  these  feats  can  be  accomplished  and 
the  patient  survive  the  ordeal.  But  what  is  equally  essen- 
tial to  success  in  surgery  is  the  ability  to  differentiate  the 
different  pathological  lesions  and  arrive  at  a  positive  diag- 
nosis before  proceeding  with  an  operation.  It  is  said  the 
ignorance  of  the  law  excuseth  no  man.  How  much  less  ei- 
disable  is  the  man  who,  through  ignorance,  subjects  a  hu- 
man life  to  the  risks  of  an  unwarranted  surgical  process. 
Personal  observations  in  the  realm  of  surgery,  both  in  this 
country  and  in  Europe,  convince  me  that  very  many  un- 
necessary operations  are  performed,  and  force  the  convic- 
tion that  some  sentiment  should  be  created  against  the  reck- 
less use  of  surgical  means,  and  some  legislation  should  be 
secured  to  place  greater  safeguard  around  the  innocent  and 
unsuspecting  public. 

When  would-be  surgjBons  will  spend  three  hours  in  an  un- 
successful attempt  to  tie  the  external  carotid  for  malignant, 
inoperable  cancer;  when  a  doctor  will  open  the  abdomen  for 
cystic  tumor  of  the  ovary  and  cut  into  a  distended  bladder; 
when  appendectomy  is  performed  for  menstrual  colic  and 
ovariotomy  for  functional  derangement  of  the  catamenia; 
when  men  boast  of  their  vandalism  in  the  field  of  surgery, 
something  should  be  done  to  wipe  the  smirch  from  the  fair 
escutcheon  of  the  noblest  and  most  sacred  of  professions. 

I  cannot  leave  this  subject  without  entering  a  gentle 
protest  against  the  useless  and  senseless  unsexing  of  women 
an  operation  that  is  growing  alarmingly  frequent,  and  in 


[P.;^^^^ 


CONSERVATISM  IN   SURGERY. 


741 


the  present  state  of  modem  medicine  an  operation  but  rare- 
ly needed. 

In  all  the  domain  of  surgery  there  is  not  an  operation 
that  measures  the  caliber  of  the  man  more  accurately  than 
the  ruthless,  unhesitating  destruction  of  the  noblest  of  God's 
creation.  The  man  who  for  any  other  purpose  than  the 
saving  of  life  despoils  the  sacred,  reproductive  functions  of 
women  is  unworthy  the  high  calling  of  this  profession,  and 
deserves  the  stigma  and  condemnation  of  the  veriest  crim- 
inal. Let  every  honest  physician  as  he  reveres  the  hallowed 
name  of  mother,  raise  his  voice  in  earnest  declaration  against 
this  most  awful  crime  and  make  his  sternest  efforts  to  sub- 
vert a  practice  that  so  wantonly  enters  the  consecrated  do- 
main of  posterity,  renders  barren  the  soil  planted  by  an  all- 
wise  Creator  and  quickened  by  the  magic  touch  of  Provi- 
dence and  robs  woman  of  the  high  and  holy  ofl&ce  of  maternity. 

I  believe  that  every  honest  physician  has  the  welfare 
not  only  of  the  community  in  which  he  lives,  but  the  best 
interests  of  every  individual  at  heart.  I  believe  just  as 
firmly  too,  that  every  honorable  man  in  medicine  deprecates 
with  equal  intensity  any  semblance  of  charlatanism,  and 
would  welcome  measures  to  retard  or  eliminate  the  crimes 
perpetrated  in  the  name  of  science.  There  should  be  laws 
enacted  regulating  the  practice  of  surgery.  No  man  should 
be  allowed  to  assume  the  responsibility  of  a  serious  opera- 
tion until  he  has  practiced  medicine  five  years,  been  the  as- 
sistant to  a  reputable  surgeon  for  at  least  three  years,  and 
passed  a  special  examination  before  a  board  of  recognized 
surgeons.  The  penalty  for  violation  of  the  law  and  convic- 
tion of  malpractice  should  be  the  annulment  of  the  doctor's 
certificate  and  expulsion  from  the  field  of  medicine  and  sur- 
gery. 

If  it  is  incumbent  upon  lawyers  to  have  practiced  three 
years  and  pass  a  special  examination  before  the  supreme 
court  before  they  may  present  the  petty  grievances  of  men 
to  a  higher  tribunal,  how  much  more  important  that  the  sur- 
geon's qualifications  have  the  stamp  of  approval  before  he 
is  allowed  to  jeopordize  life,  sacrifice  health  or  unlock  with 
his  scalpel  the  sacred  portals  of  the  living  soul. 


fii-^'. 


742  THE   MEDICAL  ADVANCE, 

SINAPIS  NIGEA* 

By  p.  E.  Krichbaum,  M.  D.,  Montclair,  N.  J. 

In  selecting  Sinapis  Nigra  to  present  to  this  body,  I 
fully  realize  that  it  is  a  remedy,  in  so  far  as  its  proving  goes, 
of  marked  limitations,  but  its  sphere  of  action  is  so  unique, 
the  results  of  its  administration  when  indicated,  so  manifest-, 
that  I  beg  your  indulgence  for  a  few  moments  while  I  give 
you  only  such  symptoms  as  have  been  fully  confirmed. 

This  remedy  acts  on  the  muscles,  nerves,  and  mucous 
membrane,  but  more  especially  on  the  last  named  tissue. 
Mustard  seeds  contain  a  great  deal  of  sulphur,  indeed  the 
sulphur  element  may  prove  to  be  so  strong,  that  future  in- 
vestigators may  have  to  accord  to  S.napis  Nigra  a  deeper 
acting  quality  than  has  yet  been  demonstrated. 

It  is  in  hay  fever  and  acute  coryza  that  it  has  been  most 
used.  The  special  indications  are,  mucous  membrane  dry 
and  hot,  often  no  discharge  from  the  nose,  worse  in  the 
afternoon  and  evening.  Either  nostril  may  be  affected  alone 
or  they  may  be  affected  alternately  (Clark).  Or  there  maybe 
acute  coryza  with  lachrymation,  sneezing,  and  a  thin  watery 
excoriating  discharge,  the  excoriating  character  of  the  dis- 
charge, worse  at  the  alac  nasi,  being  the  most  marked  and 
characteristic  feature  of  this  phase  of  its  action. 

The  sneezing  may  be  caused  by  itching  or  a  burning 
sensation  in  the  nares,  without  cough,  or  with  a  hacking  and 
at  times  a  loud  barking  cough,  attended  by  a  desire  to  clear 
the  throat.  This  cough  is  relieved  by  lying  down.  In  the 
eyes,  there  is  marked  lachrymation;  the  eyes  have  a  watery 
appearance;  they  smart,  burn  or  itch,  or  all  three.  The 
voice  is  nasal.  Right  here  I  may  mention  a  rather  striking 
peculiarity  of  Sinapis  Nigra,  with  these  uncomfortable  and 
oppressive  symptoms  of  the  head  and  throat,  there  is  rarely 
enough  headache,  or  head  congestion  to  interfere  with  men- 
tal application,  in  fact  mental  activity  relieves  the  congested 
feeling  in  the  head. 

The  headaches  of  Sinapis  Nigra  are  worse  when  thinking 

*New  Jersey  State  Society,  October  1908. 


SINAPIS  NIGRA. 


743 


of  them,  worse  in  a  warm  room,  better  in  the  open  air, 
better  from  eating  and  better  lying  down.  The  scalp  feels 
hot  and  itches  as  if  perspiration  would  break  out. 

This  remedy  of  course  has  may  sensations,  but  I  will 
confine  myself  to  the  symptoms  that  have  to  do  with  the 
head  and  chest.  Under  Sinapis  the  thorax  feels  as  though  it 
was  compressed  from  all  sides,  even  to  the  point  of  impeded 
respiration.  The  tongue  feels  blistered,  and  you  may  be 
told  that  the  mucus  hawked  from  the  posterior  nares  is  cold. 
Another  striking  and  peculiar  symptom  which  may  spread 
sudden  illumination  in  these  all  too  common  cases  of  catar- 
rhal difficulties,  is  that  the  patient  complains  of  or  notes  the 
odd  fact  that  sweat  appears  on  the  upper  lip  and  forehead. 
This  symptom  appeared  in  a  patient  of  mine  every  time  he 
ate  mustard  pickles,  his  scalp  also  became  hot  and  itching 
violently.  These  pecnliarities  plus  an  excoriating  discharge 
which  would  blister  almost  instantly  the  part  coming  in 
contact  with  it,  led  me  to  prescribe  this  remedy  in  a  case  of 
Lupus  Vulgaris,  with  prompt  relief  of  the  then  acute  activi- 
ty of  the  disease* 

The  tongue  may  be  dry  or  moist,  with  cracks  and  a  yel- 
low or  brown  coating  down  the  middle.  The  breath  smells 
like  onions.  There  is  a  burning  sensation  the  whole  length 
of  the  esophagus,  relieved  by  eating.  Sore  mouth  is  often 
observed  accompanied  by  hot,  burning  eructations.  These 
ulcers  in  the  mouth  are  frequently  so  sensitive  and  painful, 
that  eating  and  drinking  becomes  a  most  dreaded  ordeal. 

In  view  of.  all  these  manifestations  in  the  mouth  and 
along  the  esophagus,  one  would  naturally  expect  to  find 
under  this  remedy  heartburn,  belching,  etc.  The  eructa- 
tions taste  of  horse  radish  or  of  ingesta. 

I  will  conclude  by  adding  three  cases,  the  first  from  the 
pen  of  the  late  Dr.  C.  W.  Butler,  reported  in  the  proceed- 
ings of  the  International  Hahnemannian  Association  of  1888; 
the  second  case  by  Dr.  Harvey  Farrington,  of  Chicago,  in 
the  Hahnemann  Advocate  of  1900.  The  third  a  case  which  I 
treated  during  the  past  winter. 

Case  I.     During  the  winter  of   1870   and   77   (I  report 


n: 


744  THE  MEDICAL  ADVANCE. 

this  case  from  memory),  I  had  under  my  care  Mrs.  D.,  aged 
71  years,  a  small,  dried  up  old  woman,  who  had  been  my 
patient  for  three  or  four  years,  during  and  before  which 
time  she  had  been  a  periodic  sufferer  from  bronchial  asthma. 
I  had  never  been  successful  in  treating  her  in  her  asthmatic 
attacks,  and  can  only  understand  why  she  continued  to  de- 
mand my  services  on  the  theory ^that  the  smaller  doses  ag- 
gravated her  sufferings  less  than  the  allopathic  drugging 
which  she  had  formerly  endured. 

Her  attacks  would  come  on  after  free  intervals  of  two  or 
three  months,usually,  perhaps  always  as  the  result  of  **cold" 
from  exposure,  and  would  last  in  spite  of  attention  and 
medicines  for  three  or  four  weeks.  During  this  time  she 
would  not  be  able  to  spend  one  night  in  bed.  but  was  obliged 
to  sit  leaning  forward,  and  her  only  sleep  was  while  resting 
her  head  upon  a  chair  in  front  of  her.  I  had  earnestly  tried 
to  help  her,  for  the  suffering  of  such  an  aged  person  was 
well  calculated  to  exciter  the  sympathy  of  an  onlooker. 
After  Mrs.  D.  had  been  sick  about  a  week,  and  I  had  pre- 
scribed any  drugs,  too  many  in  fact,  I  gave  her  Sinapis 
Nigra  200  in  water,  a  dose  every  two  hours.  At  this  time 
(it  was  8  o'clock  in  the  evening)  she  presented  the  following 
symptoms.  She  sat  in  one  chair  leaning  her  head  upon  the 
back  of  another.  Her  breathing  was  labored  and  noisy,  the 
wheezing  and  rattling  of  mucus  in  the  chest  being  plainly 
audible  all  over  the  room.  She  was  anxious  for  death  that 
she  might  be  relieved  of  her  suffering.  Intensely  despond- 
ent, and  sure  she  would  not  recover.  Indeed  she  had  made 
her  will  during  the  day  in  view  of  her  probable  demise,  and 
(I  was  present  as  a  witness  at  her  request)  in  so  doing  she 
had  shown  a  mental  vigor  and  clearness  of  comprehension 
which  surprised  both  her  lawyer  and  myself.  She  had  now 
what  I  had  frequently  noticed  before  but  did  not  attach 
much  importance  to,  an  acrid  nasal  discharge  which  had 
reddened  the  skin  about  the  nose,  and  slightly  on  the  upper 
lip.  In  a  moment  of  ** desperation  or  inspiration"  I  now 
gave  her  the  Sinapis  Nigra  200  every  hour  a  dose  in  water. 
The  effect  was  little  less  than  marvelous.    I  stayed  with  her  . 


SINAPIS  NIGRA. 


745 


through  the  night  and  marked  the  changes  with  interest 
and  delight.  Before  the  second  dose  of  the  remedy  had 
been  administered,  she  evidently  breathed  easier.  Within 
two  hours  she  dropped  into  a  sleep  and  slept  for  more  than 
an  hour,  her  breathing  improving  all  the  time.  At  four 
o'clock  in  the  morning  she  was  persuaded,  being  so  much 
better,  to  get  into  bed,  where,  propped  up  with  pillows,  she 
slept  again.  Within  the  next  three  days  the  asthma  had 
left  her  entirely.  Prom  this  time  till  1884,  when  she  died, 
I  was  called  to  see  her  many  times  in  beginning  asthmatic 
attacks,  and  Sinapis  Nigra  never  failed  to  relieve  her  entire- 
ly in  from  one  to  three  days.  She  took  it  in  the  200  and  cm 
potencies  at  various  times. 

Case  II.  One  day  last  September  I  was  called  about 
nine  o'clock  in  the  evening  to  see  a  gentleman  64  years  of 
age  suffering  acutely  with  catarrhal  asthma.  For  several 
days  he  had  a  severe  coryza,  but  the  difficulty  in  breathing 
had  started  sometime  during  the  afternoon.  He  presented 
the  following  symptoms: 

Dyspnea,  puffing  like  a  pair  of  bellows,  face  red,  eye$ 
bloodshot,  unable  to  lie  down. 

Acrid  watery  discharge  from  the  nose. 

Left  nostril  stopped  up  ever  since  first  catching  cold. 

Sinapis  Nigra  cm.  one  dose  and  Placebo  in  water,  a  tea 
spoonful  every  fifteen  to  thirty  minutes. 

After  taking  the  first  dose  the  dyspnea  began  to  sub- 
side, and  in  less  than  an  hour  the  patient  fell  asleep.  Next 
morning  felt  almost  himself  again. 

Case  III — Mrs.  P.,  age  86,  catarrhal  bronchitis.  The 
history  of  this  case  was  one  of  a  severe  barking,  yet  loose 
cough>  which  continued  during  the  whole  twenty-four  hours 
but  was  worse  at  1  a.  m.  The  patient  was  restless,  thirsty, 
weak  and  much  disturbed  mentally.  She  feared  death  and 
argued  that  as  she  had  pneumonia  the  previous  year,  her 
lungs  were  certainly  much  too  weak  to  endure  the  present 
attack.  The  sputum  was  white,  frothy  and  quite  profuse. 
I  prescribed  Arsenicum.  This  was  at  9  a.  m.  I  was  called 
that  night  in  haste,  to  find  my  patient  sitting  straight  up  in 


746  THE  MEDICAL  ADVANCE, 

a  chair.  Her  breathing  was  asthmatic,  and  almost  every 
inspiration  was  followed  by  a  cough.  Her  head  was  aching 
severely,  but  she  complained  most  of  the  difficulty  in  getting 
her  breath,  and  of  the  heaviness  in  her  chest.  The  all  nasi 
were  sore,  but  at  no  time  was  there  a  discharge  from  the 
nose. 

Sinapis  Nigra  relieved  her  asthmatic  breathing  within  a 
short  time,  and  cured  the  attack  in  a  w$ek. 


PULMONARY  TLBERCULOSIS:  A  CALCAREA  CASE.* 

By  James  West  Kingston,  M.  D.,  Chicago. 

[Ju^t  to  illustrate — the  unessential  factor  of  exact  diag^nosis,  the 
virtues  of  the  hicfher  potencies,  the  false  notion  with  many  of  frequent 
dosag-e,  the  error  of  chang^e  too  often  indulged.] 

Miss  E.  S.  S.,  age  26,  weight  96,  former  weight  123 
pounds;  height  5  feet  7i  inches.  This  patient  communicated 
with  me  from  Laramie*  Wyo.,  in  the  autumn  of  1906.  She 
had  gone  to  Wyoming  from  one  of  the  eastern  states  in  the 
.si)ring  of  the  same  year,  having  been  advised  to  seek  the 
western  mountains  on  account  of  pulmonary  tuberculosis. 
She  first  reported  to  me  that  she  had  had  an  initial  hemor- 
rhage in  April  1902,  while  the  last  two  had  occui^  close 
together,  October  15th  and  22nd,  just  before  she  wrote  to 
me.  The  hemorrhage  on  October  15th  had  been  induced  by 
walking  against  a  violent  wind  on  the  Laramie  plains;  that 
of  the  22nd  had  come  when  pounded  on  the  back  by  a 
companion  in  a  frolic. 

She  reported  that  the  western  climate  during  the  sum- 
mer months  had  not  done  as  much  for  her  as  she  had 
expected  and  she  was  induced  to  write  to  me  by  a  mutual 
friend. 

Th(^  cough  at  this  time  was  excessive,  caused  at  times 
by  a  tickling  in  the  upper  bronchi,  but  more  frequently  by 
a  ''filling  of  the  larynx"  with  discharge  from  the  lungs. 

Coughing  was  <  from  talking,  laughing,  leaning  for- 
ward, change  from  warm  to  cold  or  cold  to  warm,  lying  on 

^South  Kt^K^iltii'  Homeopathic  Society,  Sept.  1908. 


^■'za;;-- 


PULMONARY   TUBERCULOSIS. 


747 


the  left  side  or  upon  the  back,  any  change  of  position,  or  by 
a  drink  of  water. 

The  expectoration  was  greatest  and  excessive  from  7 
till  11  a.  m.;  profuse  and  of  a  deep  yellow  color. 

Sharp  knife-like  pains  in  the  chest,  coming  at  various 
places  and  times,  equally  severe  on  each  side;  especially 
worse  below  the  right  axilla  and  shooting  across  to  the  re- 
gion of  the  heart.  These  pains  were  <  by  coughing,  a 
deep  breath,  and  by  cold  air. 

Some  years  previous  to  the  on-coming  of  this  illness 
she  had  received  in  an  accident  a  fracture  of  the  inner  third 
of  the  left  clavicle  and  of  the  second  and  third  ribs-  Appo- 
sition had  been  poor  so  that  the  ribs  were  depressed  upon 
the  lung  and  the  clavicle  was  more  than  an  inch  above  the 
opposing  one. 

Immediately  beneath  the  seat  of  the  fracture  of  the  ribs 
there  was  a  sense  of  rattling  and  wheezing,  both  audible  to 
herself. 

The  appetite  was  extremely  poor.  No  special  aversions 
or  desires  being  given. 

As  indicated  in  the  first  statement  she  had  lost  weight 
from  her  usual  123  to  96  pounds;  her  accustomed  full  and 
rosy  cheeks  had  become  shrunken  and  bloodless,  to  express 
it  in  her  own  terms,  so  that  at  this  writing  she  was  extreme- 
ly pale  and  wan;  she  was  so  lean  that  she  could  span  her 
arm  at  all  points  from  her  wrist  to  her  shoulder  with  her 
thumb  and  forefinger. 

Menses  were  too  early,  too  profuse  and  too  long  lasting, 
coming  about  every  third  week  and  lasting  six  or  seven  days 
with  a  free  flow  all  the  time.  A  few  days  before  the  ap- 
pearance of  the  menstral  flow  her  legs  would  ache  exces- 
sively. The  first  hour  of  the  flow  was  marked  by  slight  ab- 
dominal pains  which  increased  rapidly  until  the  fourth  or 
fifth  hour  when  they  became  **terrible" — a  constant,  severe, 
dull  ache  all  through  the  lower  abdomen  and  pelvis,  with 
sharp,  shooting  pains  extending  through  the  entire  abdo- 
men until  they  became  unbearable.  These  pains  were  < 
by  motion,  by  drinking  (she  being  very  thirsty  at  the  time); 


WW 

^y  ;;,•■:■■■ 


f;: 


848  THE    MEDICAL  ADVANCE. 

>  by  lying  on  the  back  and  by  heat  to  the  knees  and  feet, 
though  heat  upon  the  abdomen  gave  no  relief.  The  pains 
continued  severe  during  the  first  three  days  after  which 
they  gradually  abated  until  the  end  of  the  fourth  day.  There 
was  very  little  leucorrhea  of  a  mild,  whitish  character  fol- 
lowing the  menses. 

I  prescribed  for  her  at  this  time,  November,  1906,  Cal- 
carea  Im. 

I  will  not  give  the  history  of  this  case  from  that  time 
until  the  present  as  her  many  reports  would  fill  a  small 
volume.  Suffice  it  to  say  that  she  steadily  improved  in 
every  respect  except  two.  In  these  she  improved  suddenly 
— her  next  menstrual  period  was  practically  painless  and  the 
expectoration  had  greatly  decreased  at  the  end  of  a  month. 
The  remnant  of  the  cough  and  expectoration  we^e  more 
slow  in  disappearing;  but  gradually  these  together  with 
the  rattling  and  wheezing  in  the  chest  became  less  and  less. 

However,  since  she  came  under  my  care  she  had  had 
one  severe  cold  and  several  minor  attacks,  and  early  this 
year  a  very  distressing  and  long  continued  attack  of  la 
grippe.  After  both  of  the  severe  attacks  her  whole  condi- 
tion was  very  much  aggravated  for  a  time,  but  promptly  re- 
sponded to  the  same  remedy. 

She  commenced  teaching  school  the  first  of  September, 
1907,  and  continued  during  the  entire  school  year,  with  im- 
provement of  the  general  health  and  abatement  of  the  chest 
symptoms. 

She  was  so  well  during  last  spring  and  the  earlier  part 
of  the  past  summer  that  I  had  no  report  from  her  for  sev- 
eral months.  On  July  16  I  received  a  letter  from  her  saying 
that  her  last  menstrual  period  had  again  been  very  painful, 
with  all  the  old  unbearable  symptoms,  though  the  dura- 
tion was  only  for  a  day  and  a  night.  She  attributed  this 
relapse  to  some  indiscretion  at  the  previous  period  when  she 
had  also  suffered  somewhat.  I  again  prescribed  Calcarea 
Im.     Today  I  received  the  following  letter: 

3ept.  4th,  1908.— You  certainly  hit  the  nail  on  the  head  this  time. 
(I  used  the  same  hammer  I  had  used  before).     I  never  had  such  an  easj 


PUMONARY   TUBERCULOSIS. 


749 


time  in  my  life.  I  felt  fine  the  second  day  and  seemed  to  retain  my 
BtreDgtb.  (She  had  been  very  much  exhausted  after  the  painful  peri- 
ods). The  only  time  the  bronchial  trouble  seems  to  bother  me  is  on 
lying  down  at  night.  Then  my  chest  rattles  a  little  and  I  raise  once  or 
twice  a  slight  amount  of  transparent  mucus,  when  the  rattle  oeases. 
You  certainly  are  a  wonder.  (She  meant  Homeopathy  certainly  is  a 
wonder). , 

She  never  had  received  a  homeopathic  prescription  be- 
fore I  gave  it  to  her,  and  has  not  received  more  than  ten 
doses  in  two  years.  I  now  believe  two  or  three  of  these  to 
have  been  superfluous.  Let  the  young  prescriber — and  not 
a  few  older  ones — learn  that  too  frequent  repetition  frequent- 
ly spoils  the  case. 


CAUSTICUM:    ITS    ACTION   ON     WARTS    PRODUCED 
BY  X  RAT  BURNS. 

By  J.  W.  King,  M.  D.  Bradford,  Pa. 

In  April  1901  I  received  a  severe  x-ray  bum  on  the  left 
hand  and  fingers  from  handling  x-ray  apparatus. 

The  static  machine  was  used.  It  was  a  Holz,  with  10 
revolving  plates,  30  inches  in  diameter.  Speed  about  350. 
Tube  used,  medium  soft. 

With  fluoroscope,  held  in  the  right  hand  the  bones  of 
the  left  hand  were  viewed  through  it  at  a  distance  of  ten  in- 
ches from  the  target.  Length  of  exposure  about  five  minute*. 
The  tube  was  a  new  one  and  was  being  ** broken  in." 

On  the  following  morning  the  hand  and  fingers  tingled 
and  felt  **frosty."  Warm  Water  and  soap  irritated  consider- 
ably. Two  days  after  the  exposure  the  hand  was  consider- 
ably swollen  and  had  the  appearance  of  a  boiled  lobster. 
Here  and  there  a  mealy-like  substance  made  its  appearance. 

The  sensation  imparted  to  the  hand  from  warm  water 
was  as  if  sand  was  rubbed  over  a  denuded  surface.  In  a  few 
days  the  hand  began  to  throb,  burn  and  itch.  Exposure  to 
atmospheric  air  was  intensely  irritating  to  the  hand,  which 
was  relieved  by  bandaging  with  dry  boric  acid  gauze.  To 
promote  greater  relief  a  solution  of  bicarbonate  of  soda  was 
tried  with  satisfactory  results. 

The  dermatitis  reached  its  height  in  ten  days,  and  now 


750  THE   MEDICAL  ADVANCE. 

assumed  a  purple  color,  at  times  a  dusky  red  with  islands  of 
yellow  patches.  The  pain  at  this  time — burning,  itching, 
smarting — would  be  relieved  by  gentle  massage  or  cold  soda 
solution. 

It  was  <  at  night;  from  warm  water  or  by  scratching  it 
—  reminding  one  as  if  the  hand  was  struck  with  cowhage 
(Dolichos  P.).  This  recalled  to  my  mind  the  boyhood  days 
at  the  old  swimming  pool.  The  sufferings  from  **bren-eser' 
as  my  * 'dutch"  companions  called  the  stuff ,  was  most  intense. 
The  ''torturing''  inflicted  was  enjoyed  with  hellish  glee  by 
the  larger  boys  wt\en  they  applied  cowage  to  our  tender 
skins,  and  especially,  when  one  was  so  unfortunate  as  to  be 
sun-burned.  The  only  relief  offered  was  to  cry  all  the  harder 
to  soothe  the  *'fiery"  parts,  or  to  plunge  into  the  inviting 
cool  waters,  and  remain  there,  sometimes  for  hours.  Scour 
hand  and  fingers  from  x  ray  bums  were  soothed  from  wet 
applications  weeks  at  a  time. 

I  was  not  familiar  with  Homeopathy  at  the  time  or  Del 
ichos  would  have  come  to  mind  and  a  trial,  locally,  and  the 
internal  use  of  the  potencies,  would  have  been  tried.  The 
"bren-eseF'  sensation  continued  more  or  less  for  a  year  and 
a  half. 

The  relief  from  cold  ceased  in  a  few  months  and  the  op- 
posite modality  gave  relief:  dry  or  moist  warmth  >.  A  kid 
glove  had  to  be  worn  most  of  the  time,  even  in  hot  weather. 

The  hand  today  presents  the  following  appearance:  in- 
dex and  middle  fingers  are  spotted  a  light  red  (telangiectatic); 
the  nails  a  light  bronze  and  the  hand  at  times  assumes  a 
purple-red  color. 

Two  years  after  the  accident  a  large  seed  wart  appeared 
near  knuckle  of  index  finger,  and  several  others  on  the  hand. 
For  two  years  no  effort  was  made  to  rid  myself  of  these 
warts.  Then  they  became  unsightly  and  various  remedies 
were  tried — selected  by  guess  work,  and  of  course  without 
effect.  If  the  remedy  had  been  looked  up  in  the  Materia 
Medica,  needless  suffering  and  medication  would  have  re- 
warded me. 

But  a  wart  was  too  insignificant    to  demand  much  at- 


CAUSTICUM. 


751 


attention.  The  time  will  come,  however,  when  these  insig- 
nificant things  will  **get  back  at  us''  for  our  indifference; 
then  it  may  be  too  late. 

The  fact  was  that  the  seed  wart  on  my  finger  became 
very  important  to  me  one  morning  upon  awakening  to  find 
it  painful  and  grown,  mushroom-like  in  size,  over  night. 
Now  it  could  no  longer  be  ignored.  The  suspicion  dawned 
upon  my  mind  that  the  benign  thing  of  yesterday,  had  be- 
come malignant  today,  I  began  the  search  for  a  remedy 
in  dead  earnest  and  soon  found  it  in  Causticum.  I  took  one 
dose  of  the  200th  and  awaited  results.  No  effects  were 
noticed  in  ten  days;  repeated  the  dose  in  the  same  potency. 
After  this  second  dose  the  pain  ceased  in  a  few  days  and  the 
wart  began  to  shrivel  up.  I  allowed  Causticum  to  act  for  a 
month  when  the  final  dose  was  taken— the  cm.  In  a  few 
days  all  the  warts  had  disappeared  and  the  blemished  hand 
was  restored  with  fine  cosmetic  effect. 

After  the  warts  had  disappeared  I  recalled  Dr.  Wessel- 
hoef t's  article  in  the  Medical,  Advance,  October,  1906  issue, 
citing  a  case  of  a  seed  wart  on  index  finger  which  was  cured 
by  Dr.  Hartmann,  as  his  father  supposed,  by  Causticum.  Dr. 
Wesselhoeft  states  that  his  father  told  him  not  to  forget 
Causticum  in  considering  a  remedy  if  he  came  down  sick, 
as  that  was  his  constitutional  remedy  and  that  it  had  saved 
his  life  on  several  occasions  when  he  was  attacked  by  croup. 
A  letter  from  my  mother  informed  me  that  I  suffered  from 
croup  a  great  deal  for  years  and  in  reply  to  my  letter  she 
informed  me  that  I  was  a  perfect  Causticum  subject. 

The  points  of  interest  in  this  case  are: 

First.  That  the  X-ray  can  produce  warts — perhaps  only 
in  Causticum  subjects— and  that  Causticum,  high,  cured.  I 
could  get  no  history  of  warts  in  the  King  and  Pefler  families. 
They  are  also  free  from  malignant  diseases. 

Second.  That  X-ray  warts  may  become  malignant.  I 
noticed  no  pain  from  them  in  the  benign  state.  I  do  not  re- 
member of  injuring  it  previously.  I  was  awakened  early 
one  morning  to  find  it  gnawing,  pulling,  drawing  or  throb- 
bing— as  if  the  wart  was  taking  to  roots — evidence  of  malig- 
nancy. 


4!l 


■J-irl 


752  THE   MEDICAL   ADVANCE. 

Third.  That  Dolichos  might  prove  valuable  in  early 
X-ray  dermatitis.   In  my  case  I  had  many  Dolichos  symptoms. 

Fourth.  Since  taking  Causticum  I  have  enjoyed  the 
best  of  health.    I  was  more  or  less  "shaky"  since  the  burn. 

Fifth.  That  the  ^-ray  is  curative  in  some  warts  not 
produced  by  the  agent,  I  know.  I  have  no  experience 
if  it  will  cure  warts  produced  by  the  X-ray. 


THE  STATUS  OF  MODERN  NODOSIC  MEDICiTION.* 

By  Z.  T.  Miller,  M.  D..  Pittsburg,  Pa. 

The  purpose  of  the  Bureaux  at  this  meeting  is  to  de- 
monstrate the  status  of  nodosic  medication. 

The  present  efforts  on  the  part  of  biological  investiga- 
tors tends  to  increase  the  importance  of  and  interest  in  the 
use  of  such  medicines;  so  much  so,  indeed,  that  it  may  be 
claimed  that  nothing  has  occurred  since  medicine  men  pulled 
apart  that  is  so  likely  to  pull  them  together, 

That  the  product  of  a  disease,  whether  prepared  as  a 
serum,  vaccine  or  high  homeopathic  potency,  should  have 
within  itself  the  power  to  throttle  its  own  parent,  is  a  the- 
rapeutic matricide  that  is  little  short  of  astounding.  The 
most  recent  research  seems  to  prove  that  it  is  a  fact,  and,, 
incidentally  to  confirm  the  inductions  of  Hahnemann.  Bnt 
it  is  not  well  to  be  too  enthusiastic.  The  byways  are  strewn 
with  the  carcases  of  scientific  medical  facts.  That  this  discov- 
ery—if discovery  it  be— should  have  been -made,  goes  to 
show  that  all  preceding  discoveries  have  been  conceived  in 
more  or  less  error  that  needed  correction,  ^and  even  this  in 
turn  may  have  to  be  corrected. 

Haeckel  says  there  is  no  absolute  truth.  I  believe  it. 
There  is;  however,  a  bad  and  worse.  It  is  bad  enough  that 
medicine  has  to  be  given  at  all— in  this  class  I  place  the 
homeopathic — but  it  is  much  worse  to  give  vaccines  and 
drug  truck  expecting  to  improve  the  appetite  of  a  mite  that 
measures  tV^o  of  an  inch  in  the  hope  that  he  will  eat,  what 


♦Peunsylvania  State  Society,  September.  19()H. 


"^>v* 


THE  STATUS  OP  MODERN  NODOSIC  MEDICATION. 


753 


the  Germans  call  *'gift*'  with  greater  relish.  That  is  the 
proposition;  increase  the  voracity  of  the  leucocyte,  stimulate 
bis  phagocytic  capacity  and  he  gulps  the  stuff  that  makes 
hell  on  earth.  I  must  confess  the  more  I  try  to  figure  out 
the  rationalle  of  the  opsonic  business  the  more  I  get  into 
the  muck.  The  whole  proposition  is  so  nihilistically  icon- 
oclastic—pardon me — that  I  feel  that  my  own  bugs  have 
taken  to  the  woods  and  left  me  a  prey  to  that  greatest  of  all 
bugs — skepticism.  Something  more  than  bugs  and  bug 
eating  lies  behind  the  proposition  of  health  deviations,  a 
something  that  no  man  knows  and  no  man  can  find  out.  The 
grand  push  that  materializes  this  universe  of  intricacies  lies, 
and  ever  will  lie,  hidden  in  the  recesses  of  nature's  mystic 
house.  When  we  think  we  have  the  key,  the  door  open,  the 
secret  still  remains  unrevealed. 

And  that  inverted  bowl  they  call  the  sky. 
Where  under  crawling  coop'd  we  live  and  die. 

Lift  not  your  hands  to  it  for  help,  for  it 
As  impotently  moves  as  you  or  I. 
Man's  hope  and  helplessness  are  eternal.  His  alternate 
arrogance  and  humiliation  are  bi-annual, and  yet  withal  some 
seeming  truths  crop  out.  When  we  read  of  the  searches  for 
the  spring  of  eternal  youth,  we  smile,  but  there  are  as  many 
searchers  today  as  there  ever  were  and  some  more.  They 
all  come  out  the  same  door  wherein  they  went  and  man's 
destiny  made  and  marked  by  the  eternal  verities  moves 
^twixt  the  beginning  and  end  as  surely  as  the  solar  cycle, 
unswerved  by  his  effort.  Most  of  us  do  not  believe  this  and 
it  is  well  we  do  not  for  it  is  the  confidence  that  the  riddle 
may  yet  be  solved  that  produces  the  energy  that  has  un- 
covered much  that  is  interesting  if  entirely  foreign  to  the 
ends  sought.  We  hug  the  seeming  triumphs  as  though  they 
were  realities,  and  forget  them  when  their  futility  becomes 
apparent,  as  a  child  blows  new  bubbles  while  he  watches 
those  past  made  explode.  The  medical  and  religious  mix  is 
so  polypharmic  that  the  unbiased  inquirer  after  the  best  gets 
so '^bailed  up"  that  a  spirit  of  complete  asceticism  results. 
Christian  Science  and  Medical  Science,  both  misnomers,  be- 


I 


I 


754  THE  MEDICAL  ADVANCE. 

fuddle  while  they  throw  dust  to  blind  their  devotees  to  the 
truely  rational  preventive  measures  of  stirpeculture. 

So  long,  however,  as  man  does  as  he  does,  so  long  will 
the  triumver  of  patchers  keep  open  shop,  wherein  he  gets 
what  he  wants.  He  damns  his  soul,  the  preacher  prays  for 
him.  He  mutilates  his  body,  the  doctor  mends  it.  He  does 
his  neighbor,  the  lawyer  does  him.  Upon  such  asinine 
substructure  is  the  professional  superstructure  built. 

In  the  enthusiasm  of  youth,  promoted  by  a  necessity  for 
a  livelihood,  the  profession  of  medicine  as  a  means,  sug- 
gests itself  as  congenial  to  our  temperament.  A  demand 
on  the  part  of  people  gives  us  employment  sufficiently  re- 
munerative to  clothe  our  backs,  feed  our  8tomachs,fumish  a 
place  to  sleep,  a  habitation  and  a  home,  and  for  this  we  build 
colleges,  educate  men  to  a  possession  of  the  combined  ex- 
perience of  predecessors.  This  has  been  going  on  for  cen- 
turies, but  the  undertaker  is  still  with  us  and  Boards  of 
Health  are  still  stamping  out  disease. 

To  keep  our  semblance  of  erudition  and  progress,  do  not 
forget  that  I  mentioned  progress,  we  hatch  a  new  scheme 
every  moon,  or  nearly  so,  by  which  a  percentage  of  returns 
on  the  investment  for  both  is  reasonably  assured,  at  least 
so  reasonably  that  both  the  served  and  the  servant  get  their 
money's  worth,  or  think  they  do. 

The  last  great  find,  is  the  opsonic.  To  the  followers  of 
Hahnemann  this  is  not  new,  at  least  the  practical  application 
is  not.  I  shall  shall  not  go  into  detail  regarding  the  dis- 
covery (?)  nor  will  I  relate  the  homeopathic  premises  but  con- 
fine the  report  of  this  Bureau  to  the  experience,  confirm- 
atory and  otherwise  of  such  physicians  as  have  made  use  of 
nosodes. 

As  homeopaths  the  opsonic  scheme  being  correct,  we 
must  claim  that  the  potentized  drug  accomplishes  all  that 
the  vaccines  do  in  the  way  of  raising  the  index  to  the  pro- 
tecting place.  Now  the  class  of  medicines  coming  within 
the  scope  of  opsonic  action  are  of  necessity  the  products  of 
disease  itself.  Psor.  Med.  Syph.  Schir.  Hydroph.  and  others 
all  come  from  the  ills  they  are  expected  to  cure,  but  we  hav- 


THE  STATUS  OF  MODERN  NODOSIC  MEDICATION. 


755 


-!^r 


ing  proven  them,  collected  vast  clinical  indications,  carry 
the  therapeutic  possibilities  far  beyond  the  mere  patho-his- 
tologic  manifestations  of  the  parent  pus. 

The  dark  brown,  watery,  offensive  stool,  and  stinking 
body  of  Psorinumis  a  condition  that  the  medicine  has  cured. 
Where  would  that  patient  be  if  the  opsonic  procedure  alone 
were  to  be  relied  upon  for  indications.  No  matter  what  the 
classification  is,if  the  characteristics  of  Psorinum  are  present 
the  medicine  is  effective.  Compare  the  scope  of  the  homeo- 
pathic possibilities  of  Psorinum  with  the  beggarly  circum- 
scribed sphere  of  the  opsonic  and  you  have  at  once  a  demon- 
stration of  the  superior  status  of  Similia. 

The  symptom  under  Hydrophobinum,  **Desires  to  uri- 
nate as  soon  as  he  hears  water  run."  This  occurs  to  persons 
who  have  never  been  next  a  mad  dog.  Many  other  of  its 
symptoms  brought  out  in  provings,  would  be  absolute  rub- 
bish if  the  opsonic  search  had  to  be  relied  upon  to  find  an 
inning.  The  gross  manifestations  of  all  the  disease  pro- 
ducing nosodes  are  palpably  plain,  but  it  requires  the  homeo- 
pathic laboratory  to  develop  the  more  potent  characteristics 
for  therapeutic  use.  The  index,  unless  amplified  in  manner 
not  yet  apparent  is  too  circumscribed  to  occupy  anything 
but  a  very  limited  sphere  of  curative  activity.  The  technique 
attending  its  use  makes  it  well  nigh  impracticable.  How  dif- 
ferent with  Homeopathy  in  the  same  field.  We  have  all  that 
the  opsonic  offers  and  infinite  resources  besides,  with  method 
and  means  incomparably  superior  to  the  opsonic. 

If  it  can  be  established  that  the  internal  administration 
of  a  nosode  is  curative  of  the  disease  from  which  it  was  pro- 
duced, the  whole  problem  of  cure  of  anything  is  settled.  In 
the  matter  of  vaccination,  variolus  virus  as  a  prophylactic 
and  cure  of  small  pox  is  an  example  that  has  been  tried  out 
and  received  the  approval  of,  not  only  local,  county  and 
national  homeopathic  bodies,  but  of  the  law,  having  been 
declared  valid  by  the  courts  of  Iowa.  Illinois  has  re- 
cently passed  an  act  against  compulsory  vaccination,  Penn- 
sylvania's legislature  passed  a  similar  act  at  the  last  ses- 
sion, but  the  governor  vetoed  the  bill. 


756  THE  MEDICAL  ADVANCE. 

The  American  Institute  voted  by  a  small  majority 
against  internal  variolation^  giving  as  a  reason  that  the  In- 
stitute did  not  know  enough  about  the  method,  an  ac- 
knowledgement that  was  quite  as  much  to  its  discredit  as  a 
vote  in  favor  could,  under  any  circumstances  have  been. 
This,  notwithstanding  the  fact  that  Dr.  Eaton,  of  Des 
Moines,  Iowa,  had  presented  a  scholarly  and  conclusive 
paper  on  the  subject  at  the  same  meeting.  I  believe  yon 
have  all  received  a  copy  of  that  paper.  Here  we  have  a 
confirmation  of  the  ef&cacy  of  the  internal  administration  of 
nosodes.  If  we  accept  the  theory  at  all,  we  are  bound  to 
this  homeopathic  evidence  and  in  addition,  to  claim  that 
homeopathic  technique  is  by  all  odds  the  superior.  It  is 
simplicity  itself.  Whereas  the  opsonic  is  so  ponderously 
scientific  and  at  the  same  time  so  limited  of  application  that 
it  is  well  nigh  a  costly  brie  a  brae  instead  of  a  general  com- 
modity. 

Another  advantage.  The  totality  of  symptoms  so  es- 
sential in  homeopathic  procedure,  enables  it  to  meet  the 
condition  of  so-called  '*mixed  infection."  Almost,  if  not 
every  case  we  meet,  is  of  mixed  infection.  It  is  mixed  in- 
fection that  changes  the  complexion-contour  and  course  of 
every  case  of  illness.  No  two  people  are  sick  alike.  Syph- 
ilis and  small  pox  will  not,  cannot  present  the  same  front 
that  gonorrhea  and  small  pox  does,  and  so  down  the  whole  list 
of  rottenness.  The  kaleidoscopic  aspect  of  ailments  is  what 
makes  you  scratch  your  heads,  and  the  facts  that  Homeopa- 
thy compasses  that  very  situation  is  what  is  bound  to  cause 
it  to  survive  every  other  system  of  therapeutics  of  which 
anything  is  known. 

We  are  asked  to  believe  that  because  one  or  more  of  the 
invading  bacilli  are  found  inside  the  leucocyte  that  the 
cause  of  ills  ^re  being  consumed.  I  am  not  inclined  to  ac- 
cept that  deduction  as  final.  If  the  '*blood  fluids  modify  the 
bacteria  in  a  manner  which  renders  them  a  ready  prey  to 
the  phagocytes,"  is  not  the  modification  produced  by  the 
serum,  the  curative  process  and  not  the  phagocytosis.  If 
healthy  serum  is  bactericidal  all  that  is  necessary  is  to  keep 


STATUS  OF  MODERM  NODOSIO  MEDICATION. 


(Df 


it  healthy — and  why  did  it  become  unhealthy.  We  are  told 
that  it  is  because  of  the  great  influx  of  bacteria.  Yet  on 
the  other  hand  we  are  assured  that  bacteria  do  not  sprout 
except  where  the  soil  is  suitable.  What  makes  the  suitable 
soil? 

I  am  got  combatting  the  opsonic  theory,  because  in  the 
main  it  confirms  Homeopathy  scientifically,  and  because  it 
polishes  similia  so  that  some  will  accept  it  as  pure  gold  who 
have  been  lukewarm  on  account  of  the  absence  of  the  scien 
tific  trade  mark*  Some  people  will  not  eat  bread  that  ha.s 
not  got  the  trades  union  stamp;  it  is  bread  just  the  same. 
An  opportunity  is  now  offered  our  school  to  demonstrate  its 
right  to  existence  by  reason  of  its  priority  of  use  and  method 
of  application  of  a  correct,  or  at  least  the  best  method 
of  healing  known.  At  best  the  opsonic  can  be  looked  upon 
as  supplemental  merely,  for  in  no  sense  can  it  be  demon- 
strated  as  superior  to  the  old  practice  of  covering  the  totali 
ty.  This  practice  is  being  accepted  everywhere  as  permisi 
ble.  Even  the  high  priests  of  the  inner  temple  have  so  far 
loosed  their  strangle  as  to  admit  to  the  sanctuary  a  practi- 
tioner of  Homeopathy  and  no  questions  asked.  What  does 
it  mean?  We  are  told  that  it  is  owing  to  the  great  and  grow- 
ing liberality  of  the  saints.  I  don't  believe  it.  It  is  the 
lo^cal  outcome  of  a  tardy  conviction  that  Homeopathy  as  a 
theory  always  has  been  true,  that  the  opsonic  is  a  scientific 
demonstration  of  its  truth,  which  compels  acceptance  by 
every  reasoning  mind. 

Some  men  prate  about  the  *'best  of  all  schools,"  and 
place  upon  their  smiling  brows  the  wreaths  of  conquering 
laurel.  I  am  wrought  with  envy  when  I  meet  such  heroes. 
For  thirty  or  more  years  I  have  given  reasonable  effort  to 
acquisition  of  the  best  there  is  in  Hahnemann's  Homeopathy 
and  today  am  compelled  to  confess  that  at  the  present  rate 
I  will  have  to  gulp  Metchnickoff  Clobber  for  150,  and  then 
some  more,  before  my  hide  is  outside  of  the  best  of  one 
school,  and  when  it  is,  there  will  be  no  need  for  the  *'best'' 
of  any  other. 


758  THE  MEDICAL  ADVANCE. 

RENAL  CALCULI* 

By  Dr.  W.  D.  Gorton,  Austin,  Texas. 

We  are  assured  by  Hahnemann  that  every  case  of  sick- 
ness, if  taken  at  the  proper  time,  may  be  cured  by  the  ad- 
ministration of  a  remedy  having  symptoms  similar  to  those 
of  the  patient.  Many  times  we  find  it  difficult  to  select  the 
simillimum,and  after  much  study  and  search  for  a  remedy  to 
cover  an  ill  taken  case,  we  find  that  the  most  important 
symptoms  have  been  withheld  by  the  patient,  not  enough 
time  has  been  given  to  recording  the  case,  the  desire  to  be 
doing  something  has  been  uppermost  and  valuable  time  lost. 

Sept.  22,  1905.  G.  W.  W.  'phoned  from  an  adjoining 
town  that  he  was  having  daily  fevers,  and  named  a  set  of 
symptoms  that  seemed  to  call  for  Natrum  muriaticum.  The 
remedy  was  sent  him  with  the  result  that  all  the  symptoms 
complained  of  were  removed,  but  that  a  kidney  and  bladder 
trouble  had  developed  and  was  becoming  unbearable.  Some 
two  weeks  before  some  of  the  symptoms  had  occured  on  the 
right  side  in  a  modified  form,  now  are  on  the  left.  Sharp 
pains  in  the  left  kidney.  Sharp  pains  at  the  meatus  <  dur- 
ing and  for  sometime  after  urinating,  but  present  all  the 
time;  <  by  standing  and  sitting,  >  lying  down. 

The  reports  were  by  mail  and  not  complete. 

Berberis  and  Lycopodium  were  given,  without  >. 

Patient  decided  to  come  to  me,  and  then  the  following 
symptom  picture  from  personal  examination  made  the  se- 
lection of  the  remedy  easy. 

Sharp  pain  beginning  in  left  kidney,  going  down  ureter, 
left  testicle  and  thigh. 

Frequent  urging  to  urinate  all  day,  not  so  much  at  night, 
>  lying  down. 

Dribbling  of  urine.    Ineffectual  urging  to  urinate. 

Frequent  and  ineffectual  urging  to  stool  mo^tof  the  time. 
General.  Patient  had  been  using  water  from  a  well  in- 
to which  much  surface  water  flowed  early  in  the  summer. 
Has  been  loosing  flesh  for  several  months.     Irritable,  noise 

♦Texas  State  Society,  October,  1908. 


ACONITUM   APELUS. 


769 


<,  easily  chilled,  desire  to  be  near  a  fire,  face  yellow  and 
much  drawn  from  suffering. 

Nux  vomica  200.  Gradual  relief  of  all  pain  with  the 
first  good  night's  sleep  for  a  long  time.  Next  morning 
patient  passed  a  quantity  of  red  sand,  and  there  has  been  no 
return  of  the  renal  colic. 


ACONITUM  NAPELLU8.* 

By  Julia  Helen  Bass,  M.  D.,  Austin,  Texas. 
I  have  gathered  a  bouquet  of  other  men's  flowers, 
And  nothing  but  the  thread  that  binds  them  is  mine. 

Aconite  is  a  rank  poison. 

A  violent  poison  yet  producing  no  appreciable  change 
in  organic  substance,  as  has  been  shown  by  post  mortems 
on  fatal  cases  of  Aconite  poisoning. 

As  to  temperament  it  is  classed  as  bilious — vital;  that 
is  to  say  that  its  best  action  may  be  expected  upon  bru- 
nettes and  upon  stout  people. 

The  onset  of  the  Aconite  sickness  comes  with  cyclonic 
suddenness;  it  comes  when  the  signal-service  flag  shows 
white  with  black  center,  and  is  to  be  read  **cold,  dry  winds.'' 

Here  in  Texas,  in  fact  in  the  whole  region  east  of  the 
Rockies  down  to  the  country  drained  by  the  Father  of 
Waters  and  its  tributaries,  when  a  ''Norther"  is  predicted, 
it  is  time  to  fill  the  Aconite  vials  in  one's  pocket  case. 

If  the  exact  meaning  of  the  word  Aconite  could  be  ex- 
pressed by  a  synonom,  the  synonym  would  be  the  word  con- 
gestion. 

Just  as  the  cyclone  wreaks  its  greatest  force  on  the  big 
things  in  its  path,  so  the  Aconite  congestion  centers  in  the 
big,  vital  parts  of  the  human  system:  brain,  heart,  lungs, 
kidneys,  and  in  proportion  as  each  are  affected  do  we  see 
disorders  most  violent  in  sensorium,  circulation,  respiration 
and  excretory  functions. 

Not  nnfrequently  we  will  have  so  violent  an  affection  in 
all  four  of  the  vital  points,  that  the  patient  is  convinced  he 


♦Texas  State  Society,  October.  1908. 


760  THE  MEDICAL  ADVANCE. 

will  die,  and  consternation  will  seize  the  doctor  unless  he 
knows  well  his  Aconite  symptomatology. 

Cyclones  are  storms  of  short  duration,  and  like  unta 
them  in  point  of  time  are  the  inflammations  of  Aconitum. 

In  which  of  the  vital  organs  is  the  most  mischief  done 
by  the  sick-making  force?  I  think  we  shall  be  usually  right 
if  we  say  the  mind.  Does  not  the  proving  of  the  remedy 
confirm  this  statement?  Let  us' see.  The  total  number  of 
symptoms  recorded  in  Bering's  Guiding  Symptoms  for*Aco* 
nite  is  nearly  one  thousand.  The  mind  has  one  hundred  and 
eighteen,  more  than  twice  as  many  as  any  other  given 
rubric. 

The  most  primitive  of  human  emotions, /ear,  overwhelms 
the  usual  mental  balance,  and  is  pictured  on  the  face  as  well 
as  voiced  in  no  uncertain  tones. 

Does  the  patient  lie  still  and  make  his  frightened  little 
moan?  By  no  means.  On  the  contrary,  the  eye  is  wild  in 
expression,  angry  delirium  may  be  present,  weeping  per- 
haps, intense,  violent  restlessness  of  body  and  always  the 
craven  fear  of  death.  Any  attempt  to  calm  this  anxiety  by 
soothing  assurances  is  apt  to  prove  abortive. 

Aconitum  inflammations  are  marked  by  suddenness  bat 
are  not  prolonged  attacks  and  never  result  in  suppuration, 
though  the  discharges  from  inflamed  mucous  meinbrane 
will  be  hot,  watery,  perhaps  blood-streaked.  The  skin  un- 
der your  hand  is  burning  hot,  dry,  pale.  The  pulse  is  full 
and  strong,  or  small  and  weak.  It  is  not  indicated  in  local- 
ized inflammations;  the  possible  exception  to  this  statement 
is  that  it  may  be  indicated  in  the  flrst  stage  of  arterial  ex- 
citement, before  there  is  change  of  tissue  or  of  funbtion. 
Here  it  is  that  we  note  the  special  and  general  senses  to  be 
unnaturally  acute.  Noise,  light,  odors,  especially  touch  are 
unpleasant;  why?  Because  of  the  exalted  activity  of  the 
arterial  circulation. 

Dunham  has  stated:  ''Aconite  has  no  definite  action  on 
the  sexual  organs."  This  is  an  undoubted  error,  for  note 
that  the  proving  shows  sixty-nine  symptoms  of  the  repro- 
ductive system,  and  its  beneficial  action  in  the  first  stage  of 


^^m 


ACONITUM  APELUS. 


761 


gonorrhea  and  upon  the  suppressed  menstruation  of  ple- 
thoric women — suppressed  from  vexation — is  now  well 
known. 

Its  fevers  are  seldom  synochal;usually  without  periodici- 
ty. To  speak  of  fever  at  once  suggests  thirst,  and  the  sick 
one  who  needs  Aconite  will  not  wait  to  be  asked  if  he  is 
thirsty;  water,  water,  all  you  will  allow,  and  you  will  be  told 
that  it  is  the  only  thing  that  does  not  taste  bitter — it  is  good. 

Coryzas,  croups,  ear-aches,  facial  neuralgias;  these  per- 
tain to  the  complaints  of  winter  that  will  often  call  for 
Aconite.  But  with  summers  continued  high  temperature 
the  teething,  fat  babies  begin  to  pass  green  mucous  stools 
or  clear  blood.  Watch  the  face  during  the  spasm  of  cramp 
and  you  will  see  the  anxiety  spells  Aconite. 

Retained  urine  in  the  newly  born  is  supposed  to  be  the 
result  of  shock,  and  routinists  say  Aconite  is  the  simillimum. 
I  am  of  the  opinion  that  it  is  rather  due  to  the  sudden  chill- 
ing of  the  body  resultant  from  the  pernicious  practice  of 
bathing  the  child  as  soon  as  it  is  born.  Twelve  hours  is  not 
too  long  a  time  in  which  to  accustom  the  infant  to  the  chang- 
ing temperatures  of  the  new  world,  and  babies  so  treated 
rarely  have  the  snufftes. 

While  we  are  giving  the  baby  Aconite  for  the  retention 
of  urine,  Dr.  Kent  tells  us  to  give  the  mother  a  dose  of  Caus- 
ticum  for  the  same  discomfort,  and  both  will  be  relieved  in 
an  hour  or  so. 

The  urine  of  the  Aconite  patient,  even  in  high  fevers, 
has  no  sediment. 

Dunham  taught  that:  "In  the  commencement  of  typhoid 
fever,  if  Aconite  is  given  it  will  unfavorably  influence  the 
entire  course  of  the  disease."  I  think  this  should  dispose 
of  the  erroneous  teaching  put  forth  by  some  medical  men  of 
our  school;  i.  e.  that  if  a  remedy  is  not  indicated  it  does  no 
harm. 

To-day  we  read  with  surprise  that  in  1864,  the  allopaths 
were  using  Aconite  as  a  stock  remedy  in  Bellevue  Hospital, 
New  York,  for  typhoid  fever. 

The  custom  of  alternating  Aconite  and  Belladonna  is 


k:K: 


762  THK   MEDICAL   A^DV^ANCK. 

pernicious.  Need  I  say  why?  If  one  is  indicated  the  other 
cannot  be. 

The  pains  are  agonizing,  their  character  so  well  known 
I  need  not  empathize  them;  but  with  Aconite  the  distress  is 
prominent  in  heart  and  thorax;  with  Belladonna  the  trouble 
centers  in  the  head. 

Aconite  is  one  of  the  leaders  in  ailments  brought  on  by 
anger.  Then  on  comes  a  headache  with  hot  face  which  will 
terminate  in  a  profuse  flow  of  urine.  Only  three  other 
remedies  have  this  condition,  so  we  may  easily  remember 
them,  viz:  Gelsemium,  Silicea  and  Veratrum  album. 

The  hemorrhages  are  bright  red,  and  with  them  always 
the  agonizing  fear  and  restlessness  that  we  recognize  spells 
Aconite.  Spitting  of  blood  without  restlessness,  calls  for 
Millefolium. 

The  veriest  tyro  in  Materia  Medica  is  acquainted  with 
the  Big  Three  that  stand  us  in  such  emergencies  as  baby's 
attacks  of  croup.  Aconite,  Hepar  and  Spongia.  Perhaps 
not  all  of  us  remember  that  the  Aconite  croup  comes  on  in 
the  evening  soon  after  the  exposure,  and  in  the  first  sleep. 
Also,  that  Bromium  is  likely  to  be  the  remedy  for  summer 
croups  rather  than  Aconite. 

Here  are  some  of  its  odd  or  peculiar  symptoms: 

Sneezing  produces  pain  in  the  abdomen,  or  a  stitch  in 
left  thorax. 

Cracking  in  the  temples,  forehead  and  nose,  as  from 
bending  tinsel. 

CJough  >  lying  on  back. 

The  sensations  on  incomplete  anaesthesia;  i.  e.  tingling, 
pricking  numbness.  Only  three  other*  remedies  have  numb- 
ness in  like  degree:  Chamomilla,  Platinum  and  Rhus. 

Alternating  mental  states. 

The  fear:    Of  crowds;  of  crossing  streets. 

On  rising:    The  red  face  turns  deadly  pale. 

Sunstroke  induced  by  sleeping  in  the  sun.    Lippe. 

It  is  complementary  to  Coffea  in  sleeplessness  and  in  in- 
tolerance of  pain. 

Is  your  chronic  patient  one  that  is  improving  on  a  kigb 


SARSAPARILLA. 


763 


attenuation  of  Sulphur  given  at  infrequent  intervals?  Then 
that  patient  is  liable  to  want  Aconite  for  intercurrent  acute 
troubles. 

We  know  the  action  (therapeutic  action)  of  Aconite  is 
suspended  by  vegetable  acids;  its  common  antidotes  Acetic 
acid  and  Paris. 

Finally. 

Don't  think  of  it  for  those  of  feeble  constitution  and 
such  as  are  slow  to  recover  from  acute  attacks. 

Don't  give  Aconite  because  someone  says  there  is  in- 
flammation, the  first  stages  of  something  or  other.  Con 
sider  how  the  inflammation  was  induced,  and  then  see  that 
symptoms  agree. 

Don't  give  Aconite  because  patient  is  an  infant  and  baby 
has  fever,  find  out  about  it. 

Don't  give  Aconite  in  zymotic  fevers,  it  is  not  suitable 
for  septic  conditions. 

Don't  forget  that  its  action  is  short,  and  frequent  re- 
petition  may  be  necessary. 


8ARSAPARILLA. 

By  E.  a.  Taylok,  M.  D. 

It  is  not  the  purpose  of  this  paper  to  enter  into  any 
lengthened  consideration  of  the  action  of  this  remedy  but 
only  to  call  attention  to  a  few  of  its  salient  and  distinctive 
features. 

One  of  the  first  cases  I  ever  treated  with  this  remedy 
wieis  a  young  man  of  22  years  of  age,  of  tubercular  stock, 
who  was  troubled  with  chronic  constipation.  It  was  only 
with  great  difficulty  that  he  could  have  a  movement  of  the 
bowels.  He  would  go  to  the  closet,  sit  and  strain  for  a  lon^: 
time,  and  often  would  break  out  in  profuse  perspiration  and 
faint.  Finally  he  would  return  from  his  arduous  labor  feel 
ing  weak  and  exhausted.  Sars.  cured  him.  It  has  fainting 
during  stool,  whether  the  condition  be  constipation  or  diai- 
rhea,  and  is  one  of  only  four  remedies  given  by  Bell  on 
diarrhea  as  having  that  symptom,  hence  its  importance. 
The  other  three  are  aloes,  crotalus   and  sulphur.    If  the 


764  THE  MEDICAL  ADVANCE. 

fainting  is  before  the  stool,  then  the  same  author  gives  only- 
two  remdies — ars.  and  digitalis — while  for  the  same  condi- 
tion after  stool  he  gives  aloe.,  cocculus,  crotontig.,  phos. 
and  terebinth. 

Some  years  ago  I  was  called  to  see  a  tall,  angular  man 
who  was  complaining  of  backache,  which  had  troubled  him 
for  many  days  in  spite  of  the  administration  of  what  seemed 
to  be  well  indicated  remedies.  It  was  mostly  in  the  small  of 
the  back  and  was  worse  from  motion,  but  bryonia  and  other 
remedies  had  failed  to  relieve.  Now  there  are  some  who 
claim  to  have  some  one  remedy  as  a  sort  of  a  harbor  of 
refuge  into  which  they  glide  whenever  they  fail  to  find  suc- 
cess elsewhere  -when  the  apparently  indicated  remedy  fails. 
This  pernicious  practice  should  never  bear  the  seal  of  sanc- 
tion of  any  true  homeopath,  for  we  should  remember  that 
our  remedies  are  efficacious  only  in  proportion  to  their  sinai- 
larity,  and  if  the  remedy  fails  in  a  curable  case  it  is  because 
it  is  not  indicated.  What  a  mistake  it  is  to  suppose  that- 
some  particular  remedy  is  indicated  just  because  other  rem- 
edies have  failed  I  When,  in  a  curable  case,  we  fail,  the 
fault  is  with  us  and  not  with  the  remedy,  and  it  was  so  in 
this  ca.se.  The  patient  would  frequently  say  that  he  would 
not  mind  the  pain  so  much  if  it  did  not  depress  him  so.  It 
was  this  pronounced  depression  accompanying  the  pain  that 
so  greatly  distressed  him.  Here  then  was  the  characteristic 
feature  of  the  case.  He  received  sarsaparilla  10m  and  made 
a  prompt  recovery. 

I  used  it  successfully  in  one  case  of  nightly  emissions  in 
a  young  man  who  was  profoundly  depressed  mentally  as  a 
result  of  this  condition. 

A  peculiar  urinary  symptom  that  has  been  verified  is^ 
"can  pass  urine  only  while  standing;  when  he  sits  it 
dribbles." 

Another  peculiar  urinary  symptom  is  that  there  is  pain 
just  at  the  close  of  urination — just  as  he  finishes.  Not  many 
remedies  have  that,  hence  it  is  a  valuable  symptom.  There 
is  also  pain  during  urination,  but  this  is  much  more  com- 
mon, less  distinctive,  hence  less  valuable.     There  is  often  a 


QUALIFICATIONS  OF  THE  PHYSICIAN. 


765 


sediment  in  the  urine  that  looks  like  gray  sand.  Child  cries 
before  and  during  micturition  and  passes  much  sand. 

A  married  woman,  mother  of  three  children,  consulted 
me  about  a  bladder  trouble  which  had  bothered  her  for 
some  years.  It  consisted  in  frequent  urging  and  desire  to 
urinate,  she  having  to  go  often  during  the  day  and  some- 
times at  night.  She  had  no  other  symptoms  and  seemed  to 
be  in  good  health,  except  this  trouble.  Nothing  seemed  to 
aggravate  or  ameliorate  this  condition,  except  that  she  said, 
**It  is  a  queer  thing  that  while  I  am  flowing  the  bladder  does 
not  bother  me,  but  as  soon  as  the  flow  ceases  the  trouble 
returns  and  lasts  till  the  next  monthly  period."  This  symp- 
tom is  found  under  sarsaparilla,  which  was  given  and  cured 
the  case. 

The  remedy  js  rich  in  urinary  symptoms  many  symp- 
toms show  its  influence  on  the  kidneys  and  bladder.  In 
renal  colic  with  severe  pain  from  the  right  kidney  down- 
ward It  may  be  the  indicated  remedy,  and  for  the  derange- 
ment which  precedes  and  leads  up  to  the  formation  of  stone, 
whether  renal  or  vesical,  it  may  prove  the  curative  remedy, 
but  after  the  calculus  is  formed  it  is  doubtful  whether  any- 
thing in  the  body  can  dissolve  it.  Sir  Henry  Thompson,  the 
great  English  specialist,  after  carefully  reviewing  this  sub- 
ject, says  that  there  is  no  evidence  that  suclua  thing  can  be 
accomplished  and  no  proof  that  it  has  ever  been  done. 
Hahnemann  said  that  the  stone  should  be  crushed.  Some 
have  claimed  that  the  indicated  remedy  will  dissolve  the 
stone,  but  they  have  failed  to  produce  the  evidence.  Let 
us  have  facts,  not  theories,  and  let  us  remember  that  it  is 
detrimental  to  our  cause  to  indulge  in  extravagant  state- 
ments and  dogmatic  assertions.    The  truth  is  what  we  want. 


THE  QUALIFICATIONS  OF  THE  PHYSICIAN. 

By  Frank  A.  Gustafson. 

A  lecture  delivered  at  the  Denver  College  of  Physicians  and  Surgeons, 
The  physician's  sole  duty  is  to  restore  health  in  the 
most  gentle,  prompt  and  permanent  manner.      In  order  to 
do  this  he  must  bear  in  mind  that  in  both  health  and  sick- 


■   -mm 


766  THE  MEDICAL  ADVANCE. 

ness  the  man  is  a  unit;  that  he  is  to  remove  the  disorder  in 
the  whole  extent;  that  each  man  and  each  sickness  is  to  be 
considered  as  an  individual  and  an  individual  sickness;  that 
the  treatment  is  to  be  directed  to  him  and  to  his  state, 
rather  than  to  his  pathological  condition. 

The  first  problem  then  is:  What  is  to  be  cured  in  the 
case?  The  physician  knows  the  man  is  sick,  for  he  presents 
symptoms.  These  are  the  picture  of  the  disease.  Symptoms 
are  any  consciousness  of  alteration  or  deviation  from  normal 
conditions  in  organs,  or  functions,  or  emotions.  They  are 
deviations  from  normal  states  such  as  can  be  perceived  by 
the  examiner,  or  felt  by  the  patient.  For  the  most  part 
they  are  couched,  in  crude  language  and  express  feelings. 
To  estimate  the  true  value  of  these  symptoms  the  physician 
must  elicite  the  whole  story,  making  careful  record  of  each 
symptom,  grouping  them  in  their  relations  one  to  another 
and  to  the  state  of  the  patient,  and  thus  acquiring  the  pic- 
ture of  the  whole.  This  will  include  the  statement  of  the 
patient  as  to  how  he  feels,  when  he  feels  it,  what  makes  it 
better  or  worse,  where  it  is.  Also,  the  results  of  the  exam- 
ination in  the  clearing  of  misleading  statements,  ascertain- 
ing the  truth  of  the  statements,  determining  the  nature  of 
the  conditions,  diagnosing  the  case,  recognizing  the  patho- 
logical changes,  etc.  All  these  must  enter  into  the  case  that 
the  whole  may  be  known. 

This  done,  the  physician  is  to  determine  what  is  cura- 
tive in  the  case.  He  must  now  perceive  the  relative  values 
of  the  symptoms  and  their  bearing  upon  the  case  as  a  whole^ 
both  with  reference  to  treatment  and  to  prognosis.  He  must 
now  separate  the  symptoms  belonging  to  the  man  from  those 
belonging  to  his  parts.  He  must  recollect  that  all  normal 
functional  activity  is  from  centers  to  periphery  and  that  mani- 
festations of  disease  must  pursue  the  same  course,  hence 
that  disturbances  in  outward  parts  are  but  the  manifesta- 
tion of  disturbance  of  these  normal  life  currents,  and  that 
the  whole  man  is  to  be  set  right.  He  determines  what  is 
curative  by  a  study  of  the  symptoms,  both  general  and  par- 
ticular.    General,  such  as  may  influence  a  people  as  a  whole 


^'f^^-^ 


■'^ 


QUALIFICATIONS  OF  THE  PHYSICIAN, 


767 


and  so  be  common  to  all  in  the  same  sickness.  Particular, 
as  they  relate  to  him  as  an  individual,  and  the  manner  in 
which  he  as  an  individual  is  affected  by  the  sickness  invad- 
ing his  life  forces.  And  it  is  through  the  comparison  of 
these  latter  with  the  known  peculiarities  of  drug  action  that 
his  best  information  is  obtained. 

Having  the  picture  of  the  totality  of  the  case,  having 
recognized  the  individuality  of  the  case,  having  selected  the 
most  peculiar  and  strikingly  characteristic  features  a.s  the 
picture  of  the  condition  he  is  to  meet,  he  must  now  deter- 
mine what  is  curative  for  that  condition  in  the  medicines  at 
hand.  This  can  only  be  accomplished  through  the  study  of 
drug  actions  upon  healthy  persons.  Upon  human  beings, 
because  to  be  used  upon  them;  upon  healthy  persons,  because 
in  no  other  way  can  the  true  unmodified  action  of  the  drug 
be  ascertained;  and  in  single  quantities,  to  determine  the 
curative  action  in  its  whole  extent  and  in  its  own  peculiar 
manner  and  sphere.  The  symptoms  thus  elicited  are  to  be 
compared  with  the  symptoms  presented  in  the  case  and  as 
their  relations  are  determined  the  indications  for  administra- 
tion become  apparent. 

The  remedy  found,  what  shall  be  the  dose  and  when 
shall  it  be  repeated?  The  proper  dose  is  such  quantity  as 
shall  bring  about  the  desired  effect  with  as  little  disturbance 
of  the  man  as  possible.  This  can  only  be  determined  by 
experiment  and  observation.  We  may  know  the  case,  that 
comes  from  the  history.  We  may  know  the  relations 
between  remedy  and  symptoms,  that  comes  from  experiment 
with  drugs  and  their  comparison  with  symptoms.  Know- 
ledge of  dose  comes  as  the  result  of  observation  of  the  rela- 
tion existing  between  them.  Experiment  has  enabled  us  to 
determine  as  safe  axioms  the  following:  The  single  collec- 
tive effect  is  to  be  considered  as  the  dose;  single  doses  are 
effective  at  times,  at  others  it  appears  necessary  to  frequent- 
ly repeat  medicines  until  this  single  collective  effect  is 
apparent;  any  degree  of  potency  may  be  called  for;  doses 
are  to  be  repeated  when  improvement  ceases,  provided  the 
symptoms  do  not  call  for  a  change  of  remedy;  they  may  be 


m 


fci>.r 


70^  THE    MEDICAL   ADVANCE. 

frequently  repeated  in  quick  succession  in  acute  disorders, 
rarely  so  in  chronic  disorders;  curative  power  seems  to 
increase  when  given  at  intervals,  but  judgment  must  be 
exercised  in  continuance  and  discontinuance;  the  best  time 
for  administration  is  at  the  time  of  aggravation,  or  as 
paroxysms  are  passing;  that  the  danger  is  of  too  frequent 
repetition  rather  than  too  infrequent;  that  when  improve- 
ment manifests  itself  all  medicines  are  to  be  withdrawn  so 
long  as  it  continues. 

The  physician\s  duty  is  not  completed  as  he  diagnoses 
the  case  and  remedy  as  herein  detailed,  and  administers  the 
remedy  according  to  th(\se  specifications.  He  must  recogniize 
obstacles  to  cure  and  remove  them  wherever  possible. 
These  may  be: 

1.  Hygienic,  as  place  of  residence,  occupation,  clotliing, 
personal  habits. 

2  Dietetic,  as  stimulants,  excess  of  meats,  detticency 
in  solid  matters  as  residue  in  intestines  for  peristaltic  action, 
improperly  •])repared  foods,  excess  of  fluids  with  the  meals, 
diet  incom])atibh^  with  the  action  of  the  remedy  inhibitin«]^ 
its  action,  as  wines,  oysters,  sugars,  veal,  salads,  et?.,  known 
with  certain  remedi(\s  to  so  inhibit. 

8.  Drugs  taken,  as  hypnotics,  cathartics,  stimulants, 
suppresive  measures,  etc. 

\.  Errors  of  habit,  as  late  hours,  insufficient  exercise, 
over  exercise,  st^xual  relations,  etc. 

r>.  Mental  states,  as  worry,  anger,  sorrow,  surround- 
ings prejudicial  to  proper  states  of  mind. 

().  Mechanical  disturbances,  -as  pressure  upon  nerves, 
fractures,  i)us-cavit:es,  eye  strains,  any  of  which  may 
require  correction. 

7.  Occupational  aggravations,  strong  lights  and  heat 
as  of  gas  upon  the  head,  occupations  requiring  labor  in  wet 
damp  places,  etc  All  such  things  will  i-equire  consideration 
in  given  cases  that  the  gi-eatest  opportunity  for  action  and 
reaction  may  be  s(»cured. 

Proficiency  and  competence  and  success  will  result  only 
as  these  things  are  given  proper  consideration.     The  i)hysi- 


SURGICAL  TECHNIQUE. 


7t50 


cian  is  qualified  by  his  knowledge  and  adaptibility,  his 
alertness  tx)  discover  the  truth  about  his  patient  and  his 
condition,  his  wisdom  in  recognizing  his  patient's  needs  and 
eliminating  those  things  which  tend  untowardly.  The  cause 
of  failure  is  nonadaptabilitj"  to  the  practice  of  medicine » 
slothfulness  and  indifference  in  taking  the  case,  inadetjuatc 
knowledge  of  the  means  of  cure,  incompetency  in  tlio  man 
agement  of  the  case  and  the  elimination  of  disturbing 
elements. 


SURGICAL  TECHNIQUE. 

By  J.  B.  S.  KiN(;. 

*lt  was  a  beautiful  operation,*'  said  the  Entliasiastk^ 
Surgeon. 

"Exquisite,"  murmured  the  Courteous  Interne. 

"Tell  me  of  it,"  siiid  the  Eager  Student. 

"It  was  an  operation  for  tuberculosis  of  the  knue-joSnt^'^ 
'explained  the  Enthusiastic  Surgeon.  "The  patient  (u>m 
plained  of  some  ill-defined  pains  in  the  knee  and  tindinjx  an 
uncle  by  marriage  had  died  of  consumption,  I  simply  put  the 
two  together  and  arrived  at  a  diagnosis.  I  beli^-vt^  I  aai 
known  to  be  pretty  good  at  diagnosis." 

"Who  better,"  interjected  the  Courteous  Interne  softly, 

"I  resolved  to  o])en  the  .ioint;  it  is  well  to  adopt  iuiUn^ 
measures  when  we  have  the  dread  scour^a*  tuberr-ulc^sis  tr* 
deal  with." 

The  Courteous  Interne  rapturously  pressed  Its  liaiu!^ 
together  as  if  dissolved  in  admiration. 

"The  cutaneous  flap  was  detached  and  turned  iImwik  tin* 
patella  divided  with  a  saw  and  tlic  synovial  s:h^  fror^ly 
opened.     The  fluid  passed  out.'' 

''Gushed,"  murmered  the  Interne  unctuously 

"Was  the  condition  as  you  expected?*'  asked  thr  Ka^ei* 
Student.  The  Surgeon  flushed  slightly  and  th^^  Interne 
gazed  at  the  ceiling  as  if  it  was  eighty  feet  ofl  'fistead  t>t 
fourteen.  • 

''Well     ei — we   found  it     er  -as  I  may  say  cotimvshHl" 

'*What!  no  tuberculosis  at  ally"  ask^'d  the  Stiirtent, 


770  THE   MEDICAL   ADVANCE. 

The  Courteous  Interne  frowned  at  the  Student  as  who 
should  say,  **Do  you  expect  the  earth?  '  and  the  Surgeon 
continued:  **The  articular  surface  was  then  irrigated  with 
a  hot  solution  of  corrosive  sublimate  and  freely  sprinkled 
with  impalpable  iodoform." 

The  Courteous  Interne  sniffed  delightedly  as  if  he  liked 
the  odor. 

* 'Owing  to  a  nick  in  the  popliteal  artery,  the  hemor- 
rhage was  tremendous;  my  robe  was  soaked."   * 

**Even  got  some  on  his  trousers,*'  murmered  the  Interne 
sympathetically. 

**The  parts  came  into  the  most  perfect  apposition, 
and " 

**In  short,"  burst  in  the  Interne,  **for  neatness,  celerity, 
perfect  technique  and " 

*'And  how  did  the  patient  get  on?''  asked  the  Eager 
Student. 

**Patient,"  said  the  Surgeon  blankly.  **0  yes,  of  course, 
the  patient.     What  did  happen  to  that  patient,  Bill?" 

The  Interne  consulted  a  memorandum  book,  the  covers 
of  which  were  filled  with  display  advertisements  of  under- 
takers. 

''Ah!  here  it  is.  Why — er — he  seemed  to  fade  away  as 
you  took  the  last  stitch;  I  suppose  he  must  have  had  heart 
failure.'' 


THE  PROPAGANDISM  OF  HOMEOPATHY.* 

By  Gabkiel  F.  Thornhill,  M.  D.,  Paris,  Texas. 

Any  sane  person  who  has  not  been  perverted  by  the 
prince  of  the  power  of  the  air  is  ready  and  eager  to  hear  one 
accept  the  truth  when  it  is  an  agreeable  truth,  when  it  ac- 
cords and  narmonizes  with  his  own  opinions,  convictions, 
preferences,  prejudices  or  interest.  But  it  is  vastly  other- 
wise when  the  truth  upsets  ones  confidence  and  affection 
and  encounters  suddenly  and  sharply  the  deeply  rooted  pas- 
sions of  the  human  heart,  not  to  speak  of  a  hopelessly  chronic 

*Read  before  the  Texas  State  Homeopathic  Association,  Oct.  9, 1908. 


PROPAGANDISM  OF  HOMEOPATHY,  771 

indifference  and  ignorance.  It  does  not  matter  how  well 
versed  on  all  other  subjects,  prejudice  will  show  ignorance 
on  the  subject  in  question.  A  physician  may  be  up  to -date 
on  histology,  biology,  bacteriology,  sanitary  science  and 
allied  branches;  he  may  be  able  to  carve  with  the  precisicJa 
of  a  butler;  he  may  be  a  good  diagnostician,  able  to  tell 
you  at  a  glance  what  this  group  and  that  group  of  symotoms 
mean  and  why  they  are  thus  and  so;  but  if  he  is  not  in 
possession  of  the  one  single  truth,  the  keystone  tiiat  caps 
the  arch,  the  hoiv  to  cure,  wherein  is  the  good  of  all  these 
grand  truths?  Yet  if  we  tell  him  the  one  thinK  Itickini^t  the 
law  of  cure,  his  ignorance  is  aroused  and  his  jTrejudicii  is 
ruffled,  and  he  is  ready  for  a  good  stiff  jab  at  our  solar 
plexus. 

They  would  rather  die  in  ignorance  of  the  keynote  to  a 
successful  practice  than  to  receive  one  ray  of  light  from  a 
homeopath.  This  is  the  deplorable  state  of  affairs  with  our 
friends  of  the  other  school,  with  both  the  profession  and 
layman.  Any  intimation  that  Homeopathy  is  the  only 
scientific  medicine,  they  are  up  in  arms  in  defense  of  the  old 
regime.  We  all  understand  the  great  question  confronting 
every  homeopath,  the  duty  we  owe  the  people:  in  fact,  the 
work  God  has  planned  for  us  to  do.  But  the  burning  ques* 
tion  is  how;  how  are  we  to  present  this  grand  truth  in  a 
manner  acceptable  to  them?  This  is  a  problem  no  one  man  ' 
can  solve,  and  it  is  the  di^ty  of  this,  and  every  other  homeo- 
pathic society  to  discuss,  and  devise  ways  and  in^^ans  of  the 
how. 

The  pioneers  of  Homeopathy  were  up  and  doing.  TJiey 
did  not  hesitate  to  present  the  truth  to  the  peoijle.  Hahne- 
mann must  have  set  things  on  fire,  or  he  would  never  have 
been  driven  from  his  native  land.  It  has  been  my  method 
to  use  tracts  and  the  press  freely.  Of  course  the  allopaths 
fight  me  bitterly,  but  while  they  fight  I  practice,  and  todiiy 
I  enjoy  the  second  best  practice  in  the  city. 


77l'  TilK    MEDICAL   ADVANCE 

CLINICAL  CASES. 

By  Dk.  Axdekson,  Austin,  Texas. 

Mrs.  C.  R.  K.  52  years  of  age;  tall,  dark,  very  slender. 
Comes  to  me  for  awful  throbbing  in  the  pit  of  the  stomach — 
with  sensation  of  a  lump  in  the  stomach;  <  morning,  men- 
tal excitement,  anger,  summer.  Cannot  bear  anything  tight 
about  the  waist.  Feels  badly  all  the  forenoon;  generally  > 
in  the  eveninjr,  Extremely  irritable;  cannot  bear  contradic- 
tion; easily  excited. 

Burning  of  the  back  of  the  hands  and  wrists,  always  < 
in  the  summer,  entirely  relieved  in  the  winter  or  by  bathing 
them  in  cold  water. 

Very  little  perspiration;  urine  scanty. 

Bowels  regular. 

Wakens  often  about  2  a.  m.,  and  lies  awake;  awakens 
easily  from  slight  noise.     Drowsy  during  the  day. 

Sensitive  to  cold  and  easily  c!iilled,  but  always  feels 
<  in  the  summer  time. 

July  ').     Nux  vom.  cm.,  3  powders  and  Sac.  lac. 

July  10.     Reports  improvement;  Sac  lac. 

July  17  -^4.  Improvement  continues;  appetite  improved; 
burning  bands  >;  no  throbbing  in  abdomen;  sleeps  better. 

Aug.  1 .  Last  night  became  angry  and  indignant  over 
some  social  matters;  couldn't  sleep;  this  morning  stomach 
pains  and  throbs;  hands  burn  and  feel  terrible.  Nux  vom. 
cm.,  ten  powders  to  be  taken  one  hour  apart  until  relieved, 
then  Sac  lac 

Aug.  7,  R^portJ^  entire  relief  after  six  powders.  "The 
powders  helped  her  very  much." 

Aug.  21.     Improvement  continues. 

Sept.  7.  Is  feeling  very  well  and  says  she  needs  no 
more  medicine. 

Mr.  L.  C     Age  T)'). 

Aug.  '21.  Was  called  to  see  Mr.  C.  at  2  p,  m.  Says  he 
returned  last  night  from  a  trip  down  the  coast  and  was  feel- 
ing badly.  This  morning  at  about  10  o'clock  he  was  sudden- 
ly taken  with  a  severe  chill.    Began  in  hands  and  feet  which 


CLINICAL  CASES.  773 

felt  like  ice;  extended  all  over  the  body  with  shaking;  no 
thirst  and  no  headache.  Lasted  until  12:30,  followed  by 
high  fever  with  slight  thirst  and  desire  to  be  uncovered; 
ya-wning  and  stretching;  no  headache  or  pain. 

Gave  Sac  lac.  and  three  powders  Nat  mur.  20m  to  be 
taken  one  hour  apart,  beginning  at  six  o'clock. 

Aug.  25,  3  p.  m.  Called  at  the  office  and  reported  a 
profuse  sweat  during  the  night.  Peels  better  today;  no 
chill.       Sac  lac. 

Aug.  30.  Reports  that  he  has  had  no  more  chills  and  is 
feeling  fine. 

M!r.  F.  G.  H. — Was  called  to  see  him  at  (>  a.  m.  Found 
him  suffering  from  severe  pain  in  the  region  of  the  right 
kidney  extending  around  and  down  the  toward  the  bladder, 
sligchtly  >  after  passing  urine-  pain  severe,  sharp,  cutting. 
Abdomen  bloated,  sour  eructations.  Has  had  three  attacks 
befoi^^e,  but  never  .so  severe.  Had  earlier  in  the  morning 
taUon  a  hot  bath  for  half  an  hour  without  relief. 

l)isolved  a  powder  of  Lye.  30  in  1-3  glass  of  hot  water. 
T^ef t  directions  to  take  a  tcaspoonful  every  10  minutes  until 
better,  then  at  longer  intervals. 

Next  day  he  reported  that  the  pain  was  entirely  relieved 
aft  or  the  third  dose.  Gave  one  powder  Lye.  ni  and  now 
after  live  months  he  reports  that  he  has  had  no  attacks 
since. 

Johnnie  C,  7  years  old-  Is  brought  by  his  mother.  I 
smell  him  as  soon  as  he  comes  in  the  room.  The  mother 
reports  that  for  nearly  a  year  he  has  been  unable  to  retain 
his  urine.  No  kind  of  treatment  has  done  any  good.  On 
examination  I  find  the  parts  red  and  inflamed  and  his  legs 
look  as  though  they  had  been  scalded  as  far  down  as  the 
knees. 

Oave  Sulph  30  one  powder  and  Sar.  lac.  ad.  lib. 
A  week  later  he  came  to  the  office  with  glowing  face  and 
said:    '*l'm  all  right  now.   I  don't  leak  at  all  any  more."   Six 
of  Sulph.  30  did  it.     What  could  the  old  school  do  with  such 
a  case  ? 


n. 


The  Medical  Advance 

A   Monthly  Journal   of  Hahnemannian  Homeopathy 
A  Study  of  Methods  and  Results. 


When  we  have  to  do  with  an  art  whose  end  is  the  saving  of  human  life  aoy  neglect 
to  make  ourselves  thorough  masters  of  It  becomes  a  crime,— Uahnbmanic, 


Subscription  Price     -     -     -     -    Two  Dollars  a  Year 


We  believe  that  Homeopathy,  well  understood  and  faithfully  practiced,  has 
power  to  save  more  lives  and  relieve  more  pain  i han  any  other  method  of  treal- 
roentever  invented  or  discovered  by  man;  but  to  be  a  first-class  homeopHiblc pre- 
scriber  requires  careful  study  of  both  patient  and  remedy.  Yet  by  patient  care  it 
can  l>e  made  a  little  plainer  and  easier  than  It  now  is.  To  explain  and  define  and 
In  all  pracUcal  ways  simplify  it  is  cur  chosen  ^ork.  In  this  good  work  we  aslc 
your  help. 

To  accommodate  both  readers  and  publisher  this  Journal  will  be  sentuntl 
arrears  are  paid  and  it  is  ordered  discontinued. 

Communications  regarding  Subscrlptons  and  Advertisements  may  be  sent  to 
the  publisher,  The  Forrest  Press.  Batavia,  Illinois. 

i'Ontributlons.  (exchanges.  Books  for  Review,  and  rll  other  communications 
should  be  addressed  to  the  Editor,  6142  Washington  Avenue,  Chicago. 


NOVEMBER,    1908. 

EMtoriaU 

Vivisection  and  Taecination.— '*Forways  that  are  dark, 
and  tricks  that  are  vain,"  the  Heathen  Chinee  is  not  the  only 
one  that  is  peculiar.  The  tricks  to  which  some  professional 
men  will  descend  in  order  to  bolster  up  a  weak  and  dying 
cause  seem  incredible.  Dr.  Wm.  Jefferson  Guernsey  relates 
the  following  incident,  which  recently  occurred  in  Phila- 
delphia: 

Mrs.  White,  president  of  the  V\roraen's  S.  P.  C.  A.  (of  which  my  wife 
is  a  manager)  was  here  to  lunch  today  and  told  me  of  a  letter  thai 
appeared  in  one  of  the  papers  telling  of  the  writcr*8  intention  to  cootri- 
bute  ip  the  anti-vivisection  cause:  of  his  son's  illness;  that  the  doctor 
refused  to  use  anti-toxin:  the  child  died.  A  neighbor  had  a  similar 
case;  anti-toxin  was  used;  the  child  recovered.  Comment: — no  oontribu' 
tion  to  the  anti-vivs.  A  friend  of  Mrs.  White's  wrote  to  the  man  whose 
name  was  signed  to  the  letter  and  told  him  that  their  society  did  not 
object  to  serum,  but etc.     In  six  weeks  the  letter  was  returned 


EDITORIAL.  775 

to  her  marked  "Not  claimed.*'  She  wrote  to  the  postmaster  to  inquire  if 
he  knew  anything  of  the  mao;  and  he  said  that  he  had  been  postmaster 
in  that  town  for  blankety  blank  years  and  that  there  had  ruver  been  suc/i 
a  man  in  the  place. 

Today  there  was  a  long  half-page  article  in  the  Philadelphia  Fublic 
Ledger  in  favor  of  vaccination.  It  appeared  in  the  advertising 
•column. 

♦  * 

The  Sonthern  Medical  Association  announces  the  fol- 
lowing bureau  chairmen  for  the  meeting  in  New  Orleans, 
February,  1909,  during  Mardi-Gras  season: 

Homeopathy  and  Propagandism,  W.  R.  Reily,  Pulton, 
Mo. 

Materia  Medica  and  general  Therapeutics,  Gabriel  F. 
Thomhill,  Paris,  Tex. 

Clinical  Medicine  and  Pathology,  H.  R.  Stout,  Jackson- 
ville, Fla. 

Surgery  and  Gynecology,  Willis  Young,  St.  Louis,  Mo. 

Obstetrics  and  Paedology,  W.  A  Boies,  Knoxville,  Tenn. 

Sanitary  Science  and  Public  Health,  M.  F.  Mount,  Hot 
Springs,  Ark. 

Ophthalmology,  Otology  and  Laryngology,  J.  T.  Creb- 
bin.  New  Orleaas,  La. 

Neurology  and  Psychiatrics,  Minnie  C.  Dunlap,  Lex- 
ington, Ky. 

Both  the  president.  Dr.  Hallman,  and  secretary.  Dr. 
Harper,  as  well  as  the  chairmen  of  various  bureaus  are  do- 
ing a  large  amount  of  energetic  work,  and  propose  to  make 
the  coming  meeting  a  grand  success.  They  certainly  have 
made  a  good  beginning,  and  if  the  physicians  south  of  the 
Ohio  river  will  only  do  their  part,  as  they  can  do  it,  this 
should  mark  a  new  era  for  Homeopathy  in  their  section  of 
the  country.  A  number  of  good  men -from  various  parts  of 
the  country  have  promised  to  attend,  and  these  men  usually 
bring  with  them  papers  worthy  of  discussion  and  of  preser- 
vation, and  we  hope  for  the  credit  of  the  cause,  especially  in 
the  Southern  States,  that  the  Association  will  turn  over  a 
new  leaf  in  its  work,  and  a  new  bond  of  professional  enter- 
prise for  the  future  by  publishing  its  transactions,  and  then 


77t)  THE  xMEDICAL  ADVANCE. 

by  holding  an  annual  meeting  during  Mardi-Gras  season 
every  year.  The  annual  meeting  of  the  Southern  Associa- 
tion in  February  should  be  as  well  attended  as  the  meeting 
of  the  A.  I.  H.  or  the  I.  H.  A.  in  June.  In  this  way  by 
some  enthusiasm  and  earnest  work  on  the  part  of  those 
most  deeply  interested,  a  new  propagandism  for  the  cause 
may  be  carried  to  a  successful  issue.  Loud  calls  for  work- 
ers, for  physicians,  come  from  many  cities  in  the  South,  and 
if  those  who  practice  there,  and  see  the  necessity  for  sup- 
plying the  demand,  will  only  put  their  shoulders  to  the 
wheel  and  do  a  little  genuine  missionary  work,  by  sending 
students  to  our  colleges,  it  will  not  be  many  years  before 
there  will  be  few  openings  in  the  South  that  are  not  well 
tilled.  What  man  has  done  man  can  do.  Where  there  is  a 
will,  there  will  be  a  way.     Hahnemann  and  Hering  did  it  in 

their  day;  why  cannot  we  do  it  in  the  20th  Century? 

»  * 

-X- 

The  Journal  qr  the  Amerieau  Institute  of  Uonieopatby 

is  an  accomplished  fact.  The  first  number  will  appear 
January  1,  1U09.  Several  years  ago  Dr.  B.  F.  Bailey,  in  his 
presidential  address,  recommended  an  Institute  Journal. 
This  was  followed  by  Dr.  Royal,  and  these  two  progressive 
homeopaths,  with  some  of  their  colleagues,  have  been  work- 
ing for  the  establishment  of  an  Institute  journal  ever  since, 
and  finally,  at  the  meeting  in  Kansas  City,  their  efforts  were 
practically  crowned  with  success. 

Dr.  W.  A.  Dewey  is  to  be  editor.  The  Medical  Ceniunj 
is  to  be  discontinued  and  merged  into  the  Institute  Journal. 
The  cost  to  every  member  of  the  Institute  will  be  the  same 
as  the  present  subscription  to  the  Century^  S2  per  year, 
instead  of  sS.TiO,  as  authorized  at  Kansas  City.  At  the  meet- 
ing this  month  in  Cleveland  of  the  members  of  the  executive 
committee,  the  members  of  the  journal  committee  and  the 
members  of  the  council  on  medical  education,  final  arrangel 
ments  were  completed,  and  Dr.  Dewey  is  to  be  the  editor  as 
well  as  field  organizer  of  the  Institute,  a  fortunate  and 
happy  selection  and  one  that  augurs  well  for  the  advance- 
ment of  our  cause.      These  two  steps,  the  appointment  of  a 


COMMENT  AND  CRITICISM.  777 

field  organizer  for  the  propagandism  of  Homeopathy  and  the 
support  given  his  work  by  the  editor  of  the  Institute  Jour- 
nal, certainly  places  our  school  in  a  position  which  it  has 
never  had  before  in  this  country,  and  while  Dr.  Dewey  and 
the  Journal  and  the  committees  of  the  Institute  cannot  do 
all  the  work,  backed  by  the  loyal  efforts  of  the  entire  homeo- 
pathic profession  they  will  be  able  to  revolutionize  our 
cause  and  double  the  membership  in  every  national,  state, 
county  and  city  society  in  the  Union.  Their  work  will  be 
hailed  by  every  lover  of  Homeopathy,  not  only  in  the  United 
States,  but  throughout  the  world. 

« 

The  natural  result  of  failure  in  one  line  or  branch  or 
department  of  a  science,  is  greater  activity  in  some  other 
department,  where  success  is  more  probable.  It  is  the  fail- 
ure in  therapeutics  that  makes  the  allopaths  so  active  in 
diagnosis,  in  sanitation,  in  the  study  of  bacteriology,  of 
pathology,  etc.,  and  also  so  eager  to  consider  every  new  fad 
that  is  started,  in  the  hope  that  it  may  open  up  some  way  to 
the  sole  function  of  the  physician — the  cure  of  the  sick. 
Thus  the  energy  of  the  mind  is  more  or  less  squandered  in 
alien  fields. 

Homeopathy,  on  the  contrary,  offers  a  field  full  of  hard 

work,  enough  if  not  too  much  for  the  most  powerful  mind, 

and  from  the  very  start  it  moves  in  the   right  direction  — 

towards  curing  disease. 

*  * 

The  Committee  on  Homeopathic  Propagandism  of  tlie 
American  Institute  did  good  work  last  year,  and  now  with 
more  money  at  command,  will  probably  do  better  work  than 
ever-  The  result  of  such  work  will  inevitably  have  a  two- 
fold beneficial  effect.  Like  Shakespeare's  mercy,  it  will  bo 
**bwice  blessed."  First  it  will  advertise  Homeopathy  per  s(\ 
second  it  will  improve  and  purify  tho  practice  of  Homeo- 
pathy among  the  profession. 

Every  unbllishing  alternater  and  heedless  repeater, 
every  routine  prescriber,  every  proprietary  medicine  dispen- 


778  THE  MEDICAL  ADVANCE. 

ser  with  a  diploma  from  a  homeopathic  college  will  pause  in 
his  shamfully  unscientific  treatment  and  approach  somewhat 
nearer  the  homeopatic  ideal  in  the  face  of  the  good  work 
done  by  this  committee  before  the  public. 

It  is  an  excellent  thing  to  have  our  stock  ideals  dusted 
and  brushed  up  and  ventilated  and  elevated  before  the  pub- 
lic eye  once  in  a  while.     It  helps  us  to  live  up  to  them. 


COMMENT  ANU  CRITICISM, 

Editor  Medical  Advance: — As  the  course  of  instruc- 
tion that  I  gave  last  year  on  Orthopedic  Surgery  was  merely 
the  ground  work,  I  did  not  have  a  chance  to  more  than 
mention  the  fact  that  the  etiology  of  tuberculosis  of  the 
lungs  is  often  orthopedic.  I  wish  this  year  to  hold  a  tuber- 
culosis clinic  of  reliable  patients,  that  is  to  say,  those  who, 
by  education  and  circumstances,  will  report  regularly  for 
treatment  and  have  sufficient  means  and  intelligence  to  eat 
and  be  clothed  and  housed  in  the  manner  I  may  prescribe. 

The  patients  composing  this  clinic  to  be  examined  at 
the  time  of  their  entrance  by  Beveral  physicians  of  standing 
who  are  willing  to  serve  as  clinical  experts,  to  be  examined 
also  from  time  to  time  during  the  course  of  treatment  and 
the  examination  recorded.  These  tubercular  clinical  cases 
to  be  divided  into  separate  groups,  each  group  representing 
a  different  stage  of  the  disease;  and  these  separate  groups 
to  be  again  divided  as  follows: 

First:  Those  who  have  purely  orthopedic  treatment 
and  nothing  else. 

Second:  Those  who  have  the  orthopedic  treatment 
plus  the  indicated  remedy. 

For  many  years  I  have  demonstrated  this  in  mv  private 
practice,  but  have  said  very  little  about  it  as  the  work  left 
me  by  my  father  was  to  ''carry  out  'logically  and  clinically 
demonstrate  each  of  the  many  branches  of  the  orthopedic 
thought  to  their  end,  and  then  present  it  to  the  world,  in- 
vincible, symmetrical,  complete.*' 

All  that  my  father  desired  in  this  matter  I  have  accomp- 
lished except  the  full  presentation  of  the  subject.     But  I  am 


COMMENT  AND   CRITICISM.  '  779 

now  at  work  collating  notes  and  records  kept  by  him  and 
myself,  and  hope  to  present  them  in  my  work  on  Orthopedic 
Surgery  if  my  life  is  spared  until  1910. 

Some  of  my  propositions  in  the  matter  of  pulmonary 
tuberculosis  are  as  follows: 

First:  It  is  not  so  much  more  and  better  air  outside  of 
the  body  that  the  patient  needs,  but  more  and  better  air 
inside  the  body. 

Second:  That  more  air  may  be  received  inside  the  body 
in  a  natural  way  necessitates  a  full,  complete  and  normal 
respiration;  and  to  be  a  normal  respiration,  it  must  be  an 
automatic  one. 

Third:  That  as  no  machine  can  work  long  and  well 
only  in  proportion  as  each  and  every  part  of  such  machine 
retains  its  perfect  relation  not  only  to  every  other  part  but 
to  the  entire  machine  itself,  it  follows  that  a  normal  respi- 
ration can  only  exist  in  a  mechanically  normal  body. 

The  true  orthopedic  thought  has  suffered  by  commer- 
cial doctors  and  other  mountebanks  stealing  only  parts  of 
its  philosophy,  and  through  these  only  partial  thefts  the 
world  has  been  afflicted  with  the  plaster  jacket,  mechanical 
barbarities,  absurd  physical  culture  methods,  osteo  and 
other  paths,  and  ridiculous  treatment  of  effects  by  surgical 
procedure.  Therefore,  I  do  not  feel  that  there  should  be 
any  one  except  the  physicians  that  may  be  selected  and 
•  myself  connected  with  the  matter,  that  there  may  be  no 
interference  with,  the  treatment  and  no  chance  for  medical 
politics  to  prevent  a  fair  and  square  report  on  the  results, 
results  that  I  know  from  repeated  clinical  demonstrations  in 
my  own  practice  are  most  wonderful,  and  that  will  give 
great  glory  to  my  father,  to  Homeopathy,  and  to  Hering 
College,  and  will,  above  all,  be  a  great  boon  to  humanity. 

E.  P.  Banning,  M.  D. 

THE  COMPOUND  REMEDIES. 

Editor  Medical  Advance:  In  the  history  of  Homeo- 
pathy faked  provings  have  been  known;  but  the  fakers  were 
soon  exposed  and  always  came  to  grief.    This  I  recall   after 


780  THE  MEDICAL  ADVANCE. 

reading  S.  S.  C.'s  criticism  of  the  proving  of  compound  rem- 
edies, in  September  Advance. 

He  quotes:  **that  no  two  medicines  when  tested  together 
can  possibly  be  equivalent  to  the  sum  of  their  pathogeneses 
when  tested  separately.'* 

In  order  to  assure,  him  he  is  wrong  it  is  only  necessary 
to  place  before  him  the  provings  offered  by  Dr.  Kent  and 
compare  the  symptoms  t)f  the  compound  with  the  symptoms 
of  the  medicines  which  go  to  the  making  of  the  compound. 

Quoting  from  Dr,  Kent*s  proving  of  Sulphur  iodatum,  in 
the  Critique  for  August,  we  find  under  Vertigo:  '* Vertigo  in 
the  morning  on  rising,  while  lying,  during  menses,  rising 
from  bed,  rising  from  a  seat,  stooping,  walking."  Those 
symptoms  are  all  found  under  Sulphur,  and  all  but  one 
under  lodum. 

Under  head.  Dr.  K.'s  proving  shows:  The  scalp  feels 
cold  to  the  patient,  eruptions  on  the  scalp,  crusts,  eczema 
and  a  number  of  other  symptoms,  all  of  which  may  be  found 
under  either  Sulphur  or  lodum  The  same  with  the  eye 
symptoms,  as  well  as  symptoms  of  other  parts.  *  So  far  as 
Dr.  K.'s  proving  goes,  all  go  to  show  marked  similarity  to 
the  symptoms  of  sulph.  and  lodum. 

If  CT.  C.  S.  will  take  the  time  to  go  over  the  proving  of 
Sul.  iodatum  he  will  find  precisely  what  I  have  recorded 
above.  The  study  will  repay  him  and  impress  upon  him  the 
power  for  good  of  the  two  remedies.  And  if  he  will  then 
take  the  September  number  of  the  Critique  he  will  see  a 
proving  of  Zinc.  phos.  by  Dr.  Kent,  and  learn  much  of  Zinc 
and  Phosphorus  alone,  as  well  as^  in  combination.  If  he 
looks  for  unique  symptoms  he  will  find  at  least  one  worth 
adding  to  his  materia  medica:  **unconsciousness  from  faint- 
ing.'' . 

Hence  in  all  the  provings  of  the  compounds  by  Dr. 
Kent  we  readily  see  that  the  symptoms  of  the  compounds 
equal  the  symptoms  of  the  two  remedies  when  taken  separ- 
ately, and  thus  it  is  superfluous  to  make  a  proving  of  the 
compounds. 

It  is  unfortunate  that  Dr.  Kent  did  not  follow  the  ex- 


COMMENT  AND  CRITICISM.  881 

ample  of  Hering  and  Hahnemann  and  give  the  authority  for 
each  proving.  If  he  will  now  do  so  th^re  can  be  no  unfa- 
vorable comment. 

I  am  glad  to  be  able  to  be  at  one  with  S.  S.  C.  in  part 
of  his  comment.  I  am  astonished  that  any  homeopathician 
should  send  papers  to  a  journal  that  prints  such  **ads"  as 
found  in  the  Critique,  The  moat  appropriate  parallel  I  can 
think  of  is  that  of  a  religious  journal  advertising  and  recom- 
mending resort  to  the  Lupanaria. 

Yours  for  the  cause, 

Geo.  H.  Clark. 
IIG  W.  Walnut  Lane,  Germantown,  Philadelphia. 

THE  RELATIONSHIP  OF  HOMEOPATHY  TO  PLERPUAL 

FEVER. 

Editor  Medical  Advance:  In  the  October  issue  ap- 
pears an  article  by  Dr.  Loos  with  the  above  title,  in  which 
the  reader  might  surmise  that  the  doctor  considered  this 
disease  to  be  the  result  of  some  constitutional  taint  or 
chronic  miasm  existent  prior  to  delivery,  which,  if  so,  is 
contrary  to  the  known  facts. 

In  a  somewhat  extensive  obstetrical  experience  the  only 
cases  of  the  disease  ever  seen  by  the  writer  have  appeared 
following  delivery  by  physicians  who  ought  to  have  been 
sent  to  jail. 

The  disease  is  not  due  to  any  inherent  dyscrasia,  but  on 
the  contrary  is  always  due  to  direct  inoculation  of  the  par- 
turient canal  by  the  attendant  and  the  good  or  bad  condition 
of  the  patient  previously  has  very  little  to  do  with  the  case. 

Rigid  aseptic  technique  will  invariably  obviate  the 
necessity  of  hunting  for  any  relationship  between  this  dis- 
ease and  Homeopathy.  Such  is  the  experience  of  thousands 
of  concientious  and  reputable  obstetricians  of  all  schools. 
The  promulgation  of  false  doctrines  on  the  subject  in  a 
homeopathic  journal  is  detrimental  to  our  school  and  is  of 
doubtful  benefit  as  a  shield  for  those  criminally  careless 
physicians,  who  continue  to  have  cases  of  this  disease  in 
spite  of  modern  aseptic  teaching. 


782  THE  MEDICAL  ADVANCE. 

Any  physician  so  crazy  as  to  pin  his  faith  to  medical 
treatment  to  the  exclusion  of  rigid  asepsis,  should  either  be 
compelled  to  abandon  obstetrics  or  be  sent  to  an  asylum  for 
the  dangerously  insane. 

W.  H.  Freeman,  M.  D. 
263  Arlington  Ave-,  Brooklyn,  N.  Y. 


IN  THE  FIELD. 

Dr.  Adaliue  Keeney  removes  from  Albert  Lea,  Minn., 
to  Oregon,  and  wants  a  successor  at  Albert  Lea. 

Drs.  M.  C.  and  Bessie  A.  Van  de  Venter  (Hering  1907) 
have  located  in  Ligonier,  Indiana.  They  are  enthusiastic 
homeopaths  and  will  practice  Homeopathy. 

Dr.  H.  C.  Schmidt  (Hering  1908)  has  located  at  310  East 
17th  St.,  Tucson,  Arizona.  The  doctor  passed  the  Arizona 
examining  board  very  creditably,  standing  at  the  head  of 
the  class. 

Dr.  Thomas  Franklin  Smith,  treasurer  of  the  Ameri 
can  Institute  of  Homeopathy,  and  one  of  its  most  respected 
seniors,  gives  us  an  encouraging  note  and  verification  of  the 
teaching  of  Hahnemann: 

There  is  nothing  like  Homeopathy,  and  I  am  happy  to  be  able  to 
state  tnat  in  nearly  forty. nine  years  of  practice  I  have  never  yet,  except 
when  I  was  in  the  army,  given  a  dose  of  quinine,  and  1  have  had  splen- 
did success  in  my  fever  cases,  of  which  I  have  had  a  very  large  number. 
All  that  is  necessary,  and  this  I  have  proven  by  a  varied  and  extended 
experience,  is  to  do  the  studying  and  the  medicine  will  do  the  rest. 

Dr.  Alexander  Vertes,  of  the  South-Western  Homeo- 
pathic Medical  College,  says:  '*I  believe  if  everyone  of  us 
would  consider  himself  or  herself  a  missionary,  and  would 
distribute  among  our  patients  homeopathic  literature,  as  did 
the  pioneers  of  Homeopathy  in  its  early  days  in  this  country, 
many  converts  would  be  the  result,  and  an  increased  practice 
would  necessarily  follow.  Not  only  would  our  patients 
become  instructed,  but  their  friends  would  also  read  the 
literature.  They  would  begin  to  investigate  the  merits  of 
our  system  of  practice,  give  it  a  trial,  and  generally  that  is 


NOTES   FROM  THE   FIELD.  788 

all  that  is  needed.    They  would  soon  select  their  physician 
among  the  Hahnemannian  homeopaths." 

The  Oklahoma  Institnte  of  Homeopathy  held  its  third 
annual  meeting  at  Oklahoma  City,  October  8th  and  9th,  at 
the  office  of  Drs.  Hensley  &  Lott.  Ten  new  members  were 
admitted,  and  the  following  officers  elected: 

President,  Dr.  D.  W.  Miller,  Blackwell;  Vice-President, 
Dr.  P.  W.  Hammond,  Lawton;  Sec'y.  and  Treas.,  Dr.  Mary 
E.  Ray,  Tecumseh. 

Dr.  Hensley,-  who  has  been  president  since  the  organiza- 
tion of  the  society,  was  unanimously  elected  honorary  presi- 
dent, and  he  and  Dr.  Mary  E.  Ray  were  appointed  delegates 
to  the  American  Institute  at  Detroit,  June  1909.  A  number 
of  interesting  papers  were  read  by  members  of  the  Institute, 
and  a  successful  meeting  was  the  opinion  of  all  present. 

Texas  Homeopathic  Medical  Association.— The  twenty- 
fourth  annual  session  of  the  Texas  Homeopathic  Medical 
Association  was  held  Oct.  8th  and  9th  at  San  Antonio,  Dr. 
H.  B.  Stiles,  president,  in  the  chair. 

Acting  upon  the  suggestions  of  the  president's  address, 
the  Association  formulated  a  bureau  for  the  systematic  study 
of  the  science  of  Homeopathy,  a  three-year  post  graduate 
course,  certificates  to  be  given  those  who  complete  it. 

To  Dr.  G.  p.  Thornhill  was  assigned  the  subject  of 
Homeopathic  Philosophy;  Dr.  W.  D.  Gorton,  The  Repertory; 
Dr.  C.  E.  Johnson,  Materia  Medica;  Dr.  Wm.  L.  Smith, 
Homeopathic  Propaganda. 

The  Association  voted  S5100  to  A.  I.  H.,  to  be  paid  in  two 
instalments,  for  the  use  of  its  committee  on  propaganda, 
and  doubled  the  dues  for  1909. 

Dr.  Gorton  of  Austin  was  given  sole  charge  of  legisla- 
tive work.  Dr.  Stiles  read  a  paper  on  Education;  Dr.  Gor- 
ton on  Radium  and  Renal  Calculi;  Dr.  Thornhill  on  Homeo- 
pathic Propaganda;  Dr.  Bass  on  Aconite.  , 

The  Association  passed  a  vote  of  confidence  in  the  late 
Homeopatic  Medical  Examining  Board  and  its  secretary,  Dr. 
H.  B.  Stiles  of  Waco,  and  emphasized  it  by  re-electing  Dr: 


784  THE  MEDICAL   ADVANCE. 

Stiles  to  the  presidency,  no  other  nominations  being  offered. 
The  other  officers  are:  1st  V.  P.,  Dr.  W.  L.  Smith,  Denison; 
2nd  V.  P.,  Dr.  O.  Hartman,  San  Antonio;  Secy.,  Dr.  Julia 
H.  Bass,  Austin;  Treas.,  Dr.  P.  L.  Griffith,  Austin. 

THE   ANTI-VACCINATION   CONVENTION. 

The  anti- vaccination  convention  was  held  in  Philadelphia, 
October  19th  and  20th,  for  the  organization  of  a  National 
Anti-Vaccination  Society  to  be  composed  of  all  the  anti- 
vaccinationists  in  the  United  States  and  Canada,  in  order  to 
concentrate  the  movement  against  compulsory  vaccination. 
The  other  purposes  set  forth  in  the  call  for  the  meeting  are: 

To  promote  the  universal  acceptance  of  the  principle  that  health  is 
nature's  greatest  safeguard  against  disease,  and  that,  therefore,  the 
state  has  no  right  to  demand  the  impairment  of  the  health  of  any  per- 
sons, whether  by  vaccination  or  by  any  other  means. 

To  advance  the  campaign  of  education  among  the  people  respecting 
the  effects  of  vaccination,  including  its  influence  in  causing  degenera- 
tion, deteriorating  the  public  health,  and  spreading  small-pox,  cancer, 
tuberculosis  and  other  diseases. 

To  discuss  the  best  methods  to  be  pursued  in  the  effort  to  eliminate 
all  laws  supporting  or  enforcing  vaccination,  and  to  take  such  poliiical 
or  other  action  as  may  be  deemed  the  most  effective  to  maintain  the 
natural  rights  and  civil  liberties  of  the  people  against  the  encroachments 
of  the  vaccine  power. 

To  take  steps  to  abolish  all  oppressive  and  unconstitutional  medi- 
cal laws,  and  to  resist  the  proposed  enlargement  of  the  scope  of  State 
medicine. 

Mr.  C.  O.  Beasley,  an  attorney  of  Philadelphia,  in  be- 
half of  the  Anti  Vaccination  League  of  Philadelphia,  of 
which  he  is  president,  welcomed  the  delegates  with  the 
following  address: 

We  are  assembled  in  obadience  to  the  c  ill  of  humanity  itself.  The 
•devastating  evils  of  vaccination  have  become  so  intense  and  so  wide- 
spread that  local  protests  must  now  assume  national  scope.  We  demand 
an  accounting  from  the  medical  upholders  of  the  vaccine  cult. 

The  prevailing  opinion  at  the  recent  National  Veterinary  Conven- 
tion held  in  Philadelphia  was  that  the  cow  is  responsible  for  sixty-five 
per  cent  of  ail  human  tuberculosis,  and  the  announcement  of  thii)  fact 
has  produced  a  profound  popular  impression.  There  are  but  three  waya 
however,  for  the  products  of  the  cow  to  obtain  admission  to  the  human 
system— by  its  meat,  by  its  milk  or  by  vaccine  virus.  As  meat  and  milk 
have  the  protection  of  human  digestive  apparatus,  and  as  vaccine  virus 


NOTES  FROM  THE  FIELD.  785  - 

is  injected  directly  into  the  blood,  it  is  certain  that  tuberculosis  ih  more 
frequently  transmitted  by  vacqine  virus  than  by  meat  or  milk. 

Vaccine  virus  is  a  product  of  running  sores  on  diseased  beasts. 
Vaccination  )s  the  inoculation  of  blood  poison  into  the  human  system, 
which  blood  poison  is  the  result  of  the  inoculation  of  human  small-pox 
into  the  calf.  Today  and  for  six  months  a  fearful  epidemic  of  small-pox 
has  been  raging  among  the  vaccioated  in  Japan.  In  the  United  States 
during  the  last  six  months  there  has  existed  35,000  cases  of  small-pox, 
mostly  in  vaccinated  communities.  We  are  coofronted,  therefore,  with  a 
huge  campaign  of  truth  suppression  by  the  medical  profession.  This 
truth  suppression  by  those  who  ought  to  leadens  to  the  right  must  stop. 
We  are  confronted  by  an  organized  band  of  official  medical  mercenaries 
who  can  only  be  satiated  by  the  life  blood  of  every  child  in  the  land. 

In  Pennsylvania  at  the  last  session  of  the  legislature  we  succeeded 
after  an  arduous  struggle  in  passing  the  Watson  anti-vaccination  bill  by 
a  rote  of  133  to  9  in  the  house  of  representatives  and  27  to  11  in  the 
senate.  But  Governor  Stuart,  under  the  pressure  of  organized  medical 
influence,  saw  fit  to  veto  this. 

Thus  we  are  summoned  again  in  the  line  of  battle.  This  fight  will 
go  on  until  it  will  be  considered  a  disgrace  for  a  physician  to  vaccinate 
any  one.  and  until  good  health  and  pure  blood  shall  be  safe  from  invasion 
by  either  ignorance,  superstition  or  greed. 

DR.    STRAUBE'S  CHALLENGE. 

Challenge  to  Dr,  Dickson^  State  Health  Commissiner, 
and  if  Dr.  Dickson  decline  to  accept  he  would  challenge  Di- 
rector Neff  of  the  Philadelphia  Board  of  Health: 

You  claim  th&t  vaccination  will  prevent  small-pox.  I  know  that  it 
will  not,  but  that  it  only  helps  to  spread  tuberculosis,  cancer  and  other 
dlsecM^s.  I  know  that  pure  blood  and  a  good  constitution  always  grant 
immunity.  You  and  I,  however,  agree  on  this,  that  in  all  known  epi- 
demics of  all  times  not  all  the  people  of  a  community  were  attacked, 
many  eecaping  contageon— being  naturally  immune  as  you  would  put  it; 
or  healthy,  as  I  would  say.  This  being  the  case,  then  why  should  all 
^he  people  be  blood-poisoned  in  order  to  sa/C  the  **non-immunes''  from 
contagion?  Why  should  rotten  pus,  technically  called  vaccine  virus,  be 
introduced  into  the  systems  of  presumably  healthy  beings,  under  the 
supposition  that  it  will  render  tbem  immune,  that  is,  health yV  Echo 
answers— why?  The  true  character  of  this  pus  is  not  divulged  to  the 
people  for  the  reason  that  if  it  were  known  to  them  they  would  resist 
vaccination  with  shotguns.  The  aversion  which  human  beings  have  to 
being  vaccinated  can  be  traced  to  their  instinct  of  self-preservation, 
which  causes  them  to  shrink  from  the  touch  of  the  vaccine  lancet  even 
as  animals  recoil  from  the  fang  of  the  raitiesnake  in  the  grass;  the  vac- 


786  THE  MEDICAL  ADVANCE. 

cine  lancet  and  the  snake's  fan^  alike  bringing  blood-poisoning,  each  of 
its  kind,  with  all  its  dirt?  consequenoes- 

In  order  to  settle  this  question  of  immunity  from  small-pox  between 
you  and  roe,  by  means  of  this  open  letter,  I  challenge  you  to  a  test  You 
have  undoubtedly  been  vaccinated  time  and  «gain;  hence  in  your  esti- 
mation you  are  imoSune.  1  have  never  been  vaccinated,  but  claim  im- 
munity from  small-pox  by  reason  of  pure  blood  and  a  good  constitution. 
I  will  stake  my  normal  health  against  your  vaccine  scars  in  defying 
smallpox,  and  challenge  you  to  occupy  the  same  bed  with  me,  at  the 
same  time,  with  a  small- pox  patient  lying  between  us.  Thus  we  shall 
prove  the  honesty  of  our  convictions,  and,  perhaps,  something  more. 

If  your  belief  is  from  your  heart,  and  not  from  your  mouth  alone, 
you  will  accept  this  challenge. 

Dr.  Straube  aroused  great  enthusiasm  by  declaring  that  as  Dr. 
Dixon  had  not  accepted  his  challenge^  he  now  extended  it  to  Dr.  Joseph 
S.  Neff,  Director  of  Public  Health  and  Charities,  of  Philadelphia. 

If  he  does  not  accept,  shouted  the  scientist,  the  gauntlet  is 
thrown  down  to  any  one  in  the  medical  profession  who  believes  in  vacci- 
nation. 

According  to  the  terms  of  the  challenge,  the  physician  who  accepts 
it  will  occupy  the  same  bed  with  Dr.  Sit^ube,  who  is  not  vaccinated. 
Between  them  will  lie  a  small-pox  patient. 

Good  blood  and  a  healthy  constitution,  declared  Dr.  Straube,  will 
grant  immunity  from  the  dreaded  small-pox.  Experience  has  shown 
this. 

A  letter  was  read  from  James  R.  Brewer,  of  Baltimore,  former 
chairman  of  the  Maryland  State  Board  of  Charities. 

Forty  years  ago,  he  wrote,  people  were  inoculated  with  scabs 
taken  from  the  arms  of  healthy  children.  This  was  found  to  produce 
scrofula.  The  method  was  changed.  Bovine  inoculation  was  adopted. 
Now  tuberculosis,  a  bovine  disease  has  tbecome  epidemic.  Mr.  Brewer 
predicted  that  the  advocates  of  compulsory  vaiticination  v/ould  be  sWept 
with  ridicule  and  disgust  from  the  face  of  the  earth. 

This  challenge  of  Dr.  Straube  to  **8leep  with  a  variola 
patient*'  appears  to  us  to  be  the  childish  work  of  an  innocent 
crank  and  will  do  much  more  harm  than  good  to  the  cause.  The 
majority  of  people  will  look  upon  it  as  a  *' bluff  game*' played 
to  the  galleries,  and  entirely  beneath  the  dignity  of  an  hon- 
est opponent. 

The  committee  on  publicity  of  the  Philadelphia  County 
Medical  Society,  in  answer  to  the  challenge,  quoted  the  in- 
cident of  Dr.  Iramanel  Pfeiffer,  an  opponent  of  vaccination 
in  Boston,  who  boasted  his  immunity   to  small-pox,   visited 


NOTES  FROM  THE  FIELD.  767 

Gallup  s  Island  Small-pox  Hospital;  in  about  ten  days  he 
was  seriously  ill  with  small-pox,  yet  lived  to  reiterate  his 
disbelief  in  the  efficacy  of  vaccination.  They  also  refer  to 
two  other  cases,  those  of  Drs.  Mcintosh  and  Houghton,  who 
both  contracted  small-pox  from  attending  patients. 

A  spirited  refutation  of  assertioDB  made  by  the  Publicity  Committee 
of  the  Philadelphia  Medical  Association  concernii;g  the  anti- vaccination- 
ists,  was  made  at  today's  session  of  the  conference. 

The  speaker  was  John  Bonner,  of  England.  He  characterifed  the 
iitterances  of  the  committee  as  '4diotio  piffle.'  As  the  result  of  the 
challenge  to  Dr.  Dixoa,  State  Health  Commissioner,  to  a  life  and  death 
test  of  the  value  of  vaccination,  the  medical  society  brought  up  instan- 
ces of  three  an ti* vaccinationists  who  fell  victims  of  small-pox. 

These  alleged  assertions  of  the  Publicity  Committee  of  the  soci'ity 
are  neither  more  or  less  than  idiotic  piffle,  exclaimed  Mr.  Bonner. 

The  committee  brings  up  the  case  of  Dr.  Immanuel  Pfeiffer,  a  foe 
of  vaccination,  who  contracted  something  that  was  diagnosed  as  small- 
pox. To  show  that  he  was  immune  the  doctor  mingled  with  the  patients 
in  the  Gallup's  Island  Hospital.  That  much  is  true,  and  I  must  confess 
that  PfeifTer  was  a  first  clasb  idiot  in  doing  what  he  did.  The  anti- 
vacoinationists  do  not  claim  that  they  are  immune  from  small-pox. 

The  committee  says  that  Pfeiffer  suffered  a  virulent  attack,  becom- 
ing seriously  ill.  He  did  not.  During  the  entire  time  that  he  was  ill 
be  was  out  in  his  garden  enjoying  life.     So  much  for  that. 

Mention  is  made  of  two  other  physicians  who  cpntracted  small  pox. 
Dr.  Houghton  of  Boston,  while  in  a  greatly  run  down  condition,  was 
called  to  attend  a  smgtl-pox  case.  He  went.  He  called  in  for  consul- 
tation a  brother  physician.  Dr.  F.  L.  Mcintosh,  who  also  was  in  poor 
health. 

Eleven  days  latei^^these  two  men  became  ill.  They  had  small-pox 
in  the  mildest  form.  While  they  were  confined  to  the  home  of  Dr.  Mc- 
intosh they  had  what  they  termed  a  real  good  time.  The  cfisease 
affected  them  no  more  than  a  bilious  attack  or  a  headache.  They  were 
attended  by  two  nurses  who  had  never  been  vaccinated  and  were  in 
splendid  condition.  These  women  did  not  suffer  the  slighest  from  the 
possible  contagion. 

Living  iCiext  door  to  Dr.  Houghton  was  a  medical  stndent  who  had 
been  vaccinated  seven  times.  He  took  the  small-pox  and  nearly  died. 
This  last  instance  the  medical  society  conviently  ignores,  as  it  does 
many  others.  I  recall  the  cases  of  eight  physicians,  exponents  of  vac- 
cination, who  contracted  small- pox.     Three  of  them  died. 


788  THE  MEDICAL  ADVANCE. 

In  their  statement,  the  memben  of  the  pnbliottj  committee  deoUre 
that  the  ciyilised  armiee  and  navies  are  racoinated.  That  n^j  be  so^ 
but  the  men  who  ordered  them  yacoinated  aie  not  oiriliaed. 

This  sallj  elicted  liberel  applause.  Mrs.  Henderson,  delegate  from 
Massaehnsetts,  told  of  a  medical  student  at  Harrard  who  had  been  vac- 
cinated  seven  times,  and  died  of  small-pox. 

Every  time  we  saj  anything  against  vaccination,  declared  Oscar 
Beasley,  chairman  of  the  meeting,  the  Philadelphia  County  Medical 
Society  gets  scared  and  adopts  a  set  of  resolutions. 

Editor  Medical  Advance: 

Dear  Sir:— Will  you  kindly  correct  the  mistakes  made 
in  the  October  number,  in  the  cases  reported  by  me.  First 
the  title  should  have  been  **Clinical  Cases  Cured  by  the 
Nosodes,"  and  you  have  it  **Sargical  Cases  (so-called)  Cured 
Therapeutically,"  this  puts  my  paper  in  a  rather  rediculous 
light. 

Again,  page  700,  "Worse  wrapping  head  up — Hepar, 
811.  Psor.  Sulph."  should  read,  relief  wrapping  head  up. 

Again,  page  701,  **wore  by  pressure  of  valva  with  hand," 
should  read,  relief  by  pressure  of  the  valva  with  hand. 

I  can  overlook  the  mistakes,  knowing  how  easy  the 
printer  might  make  the  mistakes,  but  it  is  misleading  to 
others. 

The  first  mistake  was  made  by  putting  the  wrong  .title 
on  the  wrong  set  of  papers  when  you  gave  them  to  the  editor. 

Yours  truly, 

Nettie  Campbell,  M.  D. 


Onosmodium  Virginianum.— The  valuable  proving  of 
this  remedy  by  Dr.  W.  E.  Green  furnishes  one  of  the  best 
pictures  to  be  found  in  the  materia  medica  of  the  general 
outlines  of  depraved  or  lost  sexual  life  in  women;  and  the 
consequent  nervous  wrecks,  mentally,  morally  and  physical- 
ly of  this  age  of  a  one  child  or  childless  families.  The 
supposed  imperious  demands  of  society  and  the  Malthuslan 
determination  on  the  part  of  the  modem  woman  to  comply 
with  the  requirements  of  wife-hood  without  assuming  the 
joys  and  responsibilities  of  motherhood,  has  led  to  all  kinds 


NEW  PUBLICATIONS.  789 

of  preventwe  measures.  The  practice  of  the  genesaic  fraud 
and  kindred  devices  soon  destroys  all  sexual  desire  and 
enjoyment  on  the  part  of  the  woman,  breaks  the  silken  bond 
of  wedded  life,  ruins  the  nervous  system  and  ends  in  the 
divorce  court  or  suicide. 

After  a  careful  study  of  the  case  compare  these  guiding 
symptoms: 

Loss  of  memory;  she  cannot  remember  what  is  said. 

Mentally  dull,  drowsy,  confused;  cannot  concentrate  her 
thoughts;  complete  apathy  and  listlessuess. 

Dull  heavy  pain  in  occiput  and  cervical  spine. 

Eyes  dull,  heavy,  sore;  lids  are  heavy  as  from  loss  of 
sleep. 

Bearing  down  pains  in  the  uterine  region. 

Soreness  in  region  of  uterus  worse  by  pressure- 

Sexual  desire  completely  destroyed. 

Leucorrhea,  yellow,  offensive,  acrid,  profuse,  running 
down  the  legs.     (Alum.,  Lys.) 

NEW  PUBLICATIONS 

THE  PROCKEDINGS  OV  THE  TWENTYNINTH  ANNUAL 
SESSION  OF  THE  INTERNATIONAL  HAHNEMANNIAN 
ASSOCIATION.     Forrest  Preas,  Batavia,  111.     300  pages. 

As  usual  with  the  published  volumes  of  the  I,  H.  A.,  this 
account  of  its  twenty-ninth  annual  meeting  is  a  rich  treasury 
of  homeopathic  philosophy  and  a  plethoric  record  of  cured 
cases. 

The  use  of  rieported  cases  is  to  form  a  permanent  record 
of  what  Homeopathy  can  do,  to  recall  remedies  to  the  mind, 
to  refresh  the  memory  as  to  prominent  symptoms  and  thus 
to  establish  and  extend  the  truth.  There  are  few  books 
that  better  fulfil  these  functions  than  the  twenty-nine  annu- 
al reports  of  the  Transactions  of  this  society,  and  this  new- 
est addition  to  the  list  is  fully  equal  to  the  others. 

Excellent  cures  and  instructive  cases  are  reported  by 
Drs.  E.  A.  Taylor,  H.  H.  Baker,  C.  M.  Boger,  R.  E.  8. 
Hayes,  Amelia  L.  Hess,  Julia  M.  Green  and  others.  In  the 
3ureau  of  Philosophy  there  is  a   loud-resounding  paper  by 


790  THE   MEDICAT.  ADVANCE. 

Dr.  HoUoway,  also  a  much  copied  and  praised  paper  by  Dr. 
Rauterberg,  a  new  member.  Here  also  Dr.  Hayes  gives  a 
very  practical  discussion  of  the  effects  of  repetition  of  po- 
tencies. 

The  Bureau  of  Materia  Medica  has  a  study  of  Sarsapa- 
rilla,  by  Dr.  Taylor,  some  interesting  studies  and  experien- 
ces with  Tuberculinum  aviare,  and  a  deep  and  thoughtful 
paper  by  C.  M.  Roger,  on  the  study  of  Materia  Medica. 
Prom  this  paper  we  quote  the  following: 

A  knowledge  of  many  symptoms  is  of  small  value,  while  on  the 
other  hand  learning  how  to  examine  the  patient  and  then  to  find  the 
remedy  is  of  the  utmost  importance.  The  common  way  of  eliciting  well- 
known  key-notes  and  prescribing  accordingly  is  a  most  pernicious  prac- 
tice. ' 

Phytolacca    decandra    receives    consideration    by    Dr.  j 

Grace  Stevens,  and  there  is  a  good  paper  by   Dr.   Julia  C.  j 

Loos  in  the  Bureau  of  Obstetrics.  ! 

We  cannot  mention    all    the   papers — there  are  three  | 

hundred  pages  of  them — all  good  and  some  excellent.  f 

The  volume  is  well  bound,   cleanly  printed  and   free  j 

from  essential  errors.     The  secretary  upon  whom  falls  the  j 

thankless  task  of  preparing  all  manuscripts  for  the  printer,  | 

arranging  papers  and  reading  proof  is  to  be  commended  for  j 

his  successful  work.  J.  B.  8.  K.  ! 


WALKING  TYPHOID. 

An  investigation  of  the  source  of  a  case  of  typhoid  fever  brought  to 
the  attention  6f  the  department  led  to  the  suspicion  that  some  member 
of  the  household  was  a  typhoid  bacillus  carrier.  The  patient,  who  was 
4  years  old,  had  consumed  nothing  but  boiled  milk  and  distilled  water, 
had  not  eaten  raw  vegetables  or  other  food  that  would  likely  be  contam- 
inated with  typhoid  bacilli.  An  anal v sis  of  the  dischargres  of  one  of  the 
inmates  of  the  household  showed  that  person  to  be  voiding  typhoid  ba- 
cilli in  enormous  numbers  in  the  urine  and  faeces.  The  blood  of  this 
'  person  also  gave  a  slight  Widal  reaction.  This  individual  has  not  bad 
typhoid  for  several  years,  although  continuing  to  spread  living  virulent 
bacilli  duringr  the  entire  time.  This  is  the  fir^t  bacillus  carrier  discov- 
ered by  the  Chicago  Department  of  Health.— C/»ica(/o  Weekly  Bulletin. 

This  verifies  Hahnemann's  statement  made  in  the 
Chronic  Diseases  80  years  ago,  that  psoric  diseases  may  be 
communicated  by  contact,  by  hand  shaking,  by  sleeping  with 
the  infected  person. 


The  Wedical  Advance 


Vol.  XLVL         BITAVIA,  ILL,  DKOBMBBR,  19J8.         No.  12. 


INTRODUCTORY  ADDRESS. 

By  T.  H.  Hudson,  M.  D.,  Class  of  1907-08. 

It  is  my  duty,  and  if  you  are  interested,  it  will  be  my 
pleasure,  to  teach  you  what  I  can,  of  medicine  and  of  the 
law  for  its  administration.  I  hold  that  it  is  the  teachers' 
duty  tD  make  his  subject  interesting.  I  hope  that  you  be- 
lieve it  your  duty  to  find  interest  in  the  subject.  I  hope 
that  both  you  and  I  will  find  a  higher  or  at  least  a  happier 
motive  for  the  work  we  have  set  ourselves  to  do  than  even 
duty.  Duty  is  an  uncompromising  kind  of  word — hard, 
stern,  straight,  stiff  and  unyielding.  I  doubt  if  any  sinner 
ever  kept  out  of  Hell,  or  any  saint  ever  reached-  Heaven, 
who  had  no  higher  motive  than  the  discharge  of  duty. 

I  should  rather  rise  to  a  question  of  privilege.  At  best 
we  are  liable  to  fall  below  our  ideals.  Duty  is  a  mediocre, 
common  place  kind  of  rightiousness.  The  priest  andLevite, 
by  avoiding  contamination  fulfilled  the  letter  of  the  law — 
discharged  their  duty  when  they  passed  the  wounded  travel- 
er by  on  the  other  side;  but  the  Master  called  the  Good  Sa- 
maritan—neighbor. 

If  we  attempt  to  discharge  our  duty,  simply  that  and 
nothing  more,  we  shall  hear  the  raven  tapping,  tapping  at 
our  chamber  door. 

There  is  a  motive  power  compared  with  which  duty  is 
almost  impotent,  a  power  which  keeps  this  old  earth  spin- 
ning in  space  and  holds  each  star  and  sun  steadfast  in  its 
course.  It  is  a  force  that  will  never  weaken,  never  tire, 
never  end.  It  is  as  gentle  as  it  is  strong,  and  as  kind  as  it 
is  gentle.  It  bears,  believes,  hopes  and  endures,  endures 
when   prophecies   have  failed,   tongues   have  ceased,   and 


792  •  THE  MEDICAL  ADVANCE. 

knowledge  has  vanished.  In  an  ancient  book,  and  one  which 
I  can  commend  to  you,  it  is  called  charity.  In  modem  times 
we  translate  the  meaning  by  a  more  comprehensive,  a 
stronger,  yet  a  sweeter  and  a  better  word. 

Duty  conveys  the  idea  of  eye  service,  perfunctoriousness, 
so  much  and  no  more,  and  unless  you  students  of  medicine 
can  mount  upon  the  wings  of  Love  and  leave  duty  leagues 
behind,  better  attempt  no  flight,  better  stop  now,  better 
turn  aside  and  find  that  calling  into  which  you  can  put  heart 
and  soul. 

Unless  you  love  your  work  it  will  be  dragging.  Unless 
you  can  divest  yourselves  of  any  sordid  purpose  and  get 
heart  and  soul,  mind  and  body  in  love  with  your  chosen  pro- 
fession your  choice  is  unwise,  and  will  lead  you  along  a  dusty 
road  where  no  flowers  bloom,  no  fountains  sparkle,  no 
shade  trees  grow  and  no  aspirations  lead  from  the  valley 
dust  to  the  mountain  top. 

Irksomeness  of  a  task  depends  upon  the  attitude  of  him 
who  undertakes  it.  Failures  in  life  are  due  to  wrong  choice 
of  vocation.  Interview  the  hoboes,  the  ne'er-do-wells,  the 
failures  higher  up,  read  between  the  lines  of  their  stories, 
and  you  will  find  they  were  pitchforked  into  vocations,  busi- 
nesses, professions  for  which  they  had  no  fondness,  no  fancy, 
no  love.  What  but  failure  can  you  expect  of  one  who  toils 
without  ambition,  labors  without  hope,  strives  without  in- 
terest, sees  no  reward  along  the  stony  way,  and  no  bow  of 
promise  in  the  stormy  sky.  There  is  work,  delightful  work, 
exhilerating  work,  grand,  glorious  work  for  every  man  on 
this  good  old  earth. 

Read  the  conversation  of  two  young  attorneys.  Light- 
wood  and  Wrayburn  of  Mutual  Friend  fame  and  see  the  mis- 
take that  parents  make  in  selecting  for  their  boys,  willy 
nilly,  a  profession.  Get  your  lessons  you  young  men  before 
you  assume  the  responsibility  of  boys  of  your  own,  and  see 
if  it  be  well  to  shove  them  into  positions  for  which  they 
have  no  ability  or  aptitude.  The  best  food  for  your  patient 
will  be  that  which  he  can  take  with  relish.  Cram  something 
distasteful  down  his  unwilling  throat,  it  goes  down  dry  and 


INTRODUCTORY  ADDRESS.  793 

stays  dry..  It  was  easily  enough  digested  in  a  retort,  but 
you  are  dealing  with  something  more  than  a  retort  and  arti- 
ficial digestants,  when  you  deal  with  a  live  stomach.  It  has 
a  will  of  its  own,  and  a  way  of  its  own.  So  too,  you  deal 
with  more  than  a  machine  when  you  deal  with  a  live  boy. 
The  best  profession  or  business  will  be  that  for  which  he 
discovers  some  fondness,  some  fancy,  His  inclination  will 
indicate  the  direction  in  which  genius  lies,  if  haply  it  exist, 
if  not,  inclination  will  yet  point  toward  the  path  wherein 
lies  success. 

Of  the  two,  a  boy  is  a  better  investment  than  an  auto- 
mobile. They  are  about  equally  expensive,  equally  un- 
certain, equally  dangerous.  The  auto  may  break  your  neck, 
the  boy  may  break  your  heart,  the  auto  may  go  to  smash, 
the  boy  to  the  devil,  but  sooner  or  later  the  auto  is  bound 
for  the  junk  heap,  while  the  boy  may  take  the  upper  road, 
and  do  credit  to  his  bringing  up.  Of  the  two  I'll  take  chances 
on  the  boy.  Gentlemen, in  choosing  medicine  as  a  profession, 
you  have  chosen  well,  if  you  have  chosen  wisely,  and  you 
have  chosen  wisely,  if  your  heart  is  in  your  choice.  If  you 
pursue  it  for  the  sake  of  knowledge,  if  you  enjoy  it  for  the 
sake  of  science,  if  forgetful  and  unconcerned  about  fame  or 
fortune,  you  are  willing,  glad  to  dig  and  delve  after  know- 
ledge just  to  know,  ready  and  happy  to  seek,  just  to 
find,  satisfied  to  investigate,  just  to  discover,  every  morning 
will  be  a  song  of  praise,  every  evening  a  hymn  of  thanks- 
giving and  every  day  of  all  your  life  a  poem  sweet  as  a  dream 
of  love. 

Whether  you  have  or  have  not  chosen  wisely  and  well  is 
for  you  to  decide.  If  you  have,  fortune  and  fame  may  tarry 
or  hasten,  come  or  come  not,  they  will  not  be  missed. 
Your  work  will  absorb  you,  content  you,  and  contentment  is 
the  secret  of  happiness.  Your  joy  as  Kipling  says  will  be 
found  in  the  working. 

**When  earth's  last  picture  is  painted. 
And  the  tubes  are  all  twisted  and  dried, 

When  the  oldest  colors  have  faded. 
And  the  youngest  critic  has  died, 


794  THE  MEDICAL  ADVANCE. 

We  shall  rest— and  faith,  we  shall  need  it. 
Lie  down  for  an  hour  or  two 

Till  the  Master  of  all  good  workmen 
Shall  set  us  to  work  anew, 

Then  those  who  were  good  shall  be  happy, 
They  shall  sit  in  a  golden  chair 

And  splash  at  a  ten  league  canvas 
With  brushes  of  comet's  hair 

They  shall  find  real  saints  to  draw  from 
The  Magdalen,  Peter  and  Paul, 

They  shall  work  for  an  age  at  a  sitting 
And  never  get  tired  at  all. 

And  only  the  master  shall  praise  us 
And  only  the  master  shall  blame, 

And  no  one  shall  work  for  money, 
And  no  one  shall  work  for  fame, 
But  each  for  the  joy  of  the  working 

And  each  in  his  separate  star 
Shall  draw  the  thing  as  he  sees  it 

For  the  God  of  things  as  they  are. 

His  idea  seems  to  be  works  for  work's  sake,  which  is'but 
another  way  of  saying;  Right  for  Right's  sake.  Not  in  the 
hope  of  reward,  not  through  fear  of  punishment,  not  for  ap- 
plause, not  simply  in  the  way  of,  or  in  the  discharge  of  duty, 
but  for  the  joy  of  the  working,  the  satisfaction  of  accomp- 
lishing, the  love  of  service.  When  I  say,  that  in  choosing 
medicine,  you  have  choosen  well  if  you  have  choosen  wisely, 
I  mean  to  commend  not  only  the  wisdom  of  your  choice,  but 
the  choice  itself.  In  all  the  world  there  is  but  one  better 
calling  than  yours,  and  yours  is  a  close  second  to  the  best. 
To  relieve  human  suffering  is  the  next  thing  to  abolishing 
human  sin. 

Healing  physicial  maladies  is  close  kin  to  straightening 
moral  obliquities,  and  if  you  be  so  minded  opportunities  for 
the  latter  service  will  often  fall  in  your  way.  But  I  find  my- 
self talking  more  as  if  you  had  reached  the  end  of  one  stage, 
the  shorter  one,  I  hope,  of  your  journey,  while  the  fact  is 


INTRODUCTORY  ADDRESS.  795 

that  some  of  you  are,  perhaps,  just  beginning  your  career 
as  students. 

The  way  ahead  looks  long,  some  of  you  may  be  fresh 
from  the  village  where  each  dweller  was  friend  or  acquain- 
tance. Some  of  you  may  be  just  from  the  farm  with  mem- 
ory of  meadow  bloom,  and  rustling  corn  still  lingering,  and 
mother's  goodbye!  and  good  boy!  still  sounding  in  your  ears, 
and  the  city  is  so  noisy  compared  with  the  quiet  of  the  coun- 
try, the  city  smoke  so  foul,  the  country  air  so  pure,  and 
boarding  house  hash — I  shall  not  insult  your  father's  board 
and  your  mother's  viands  by  mentioning  and  mixing  them 
with  scents  of  garlic  and  odoi*s  of  onion,  but  according  to  the 
Persian  proverb  **This  too  will  pass." 

Other  disagreeables  will  also  pass,  or  better  still  will 
be  as  though  they  were  not,  if  only  you  are  interested;  ab- 
sorbed in  your  work.  The  work  is  worthy  of  your  best — of 
any  man's  best  endeavor:  full  of  interest  and  of  inspiration 
if  from  any  standpoint  we  consider  only  its  purpose,  its 
mission;  but  doubly  interesting  and  inspiring  it  is,  or  should 
be  to  you  as  homeopaths  by  reason  of  the  assurance  and  cer- 
tainty that  may  be  yours  with  unerring  law  to  guide  you. 
Gentleman  you  cannot  overestimate  and  in  the  callowness  and 
inexperience  of  youth  are  apt  to  underestimate  this  advan- 
tage. It  can  only  be  measured  by  comparison.  Fancy  your- 
self in  mid-ocean,  no  matter  how  worthy  your  ship,  sun, 
moon  and  stars  hid  and  no  compass,  no  needle,  pointing  ev- 
er and  ever  in  one  direction.  Fancy  a  country  without  a 
government.  A  universe  with  no  God,  earth,  ^  stars,  suns, 
rolling,  revolving  with  no  guide,  no  let,  no  bounds,  no  re- 
gularity, no  appointed  time  or  place. 

Fancy  a  world  of  chance  when  a  man  may  have  two  eyes 
to  be  sure,  but  one  in  the  palm  of  his  hand,  the  other  in  the 
sole  of  his  foot.  If  he  wore  gloves  he  would  have  to  go  bare- 
foot or  go  blind.  Or  perchance  nature  would  grant  but  one  eye 
and  place  that  in  the  crown  of  his  head.  He  would  have  to 
go  bareheaded  all  kinds  of  whether.  He  would  have  to  carry 
an  umbrella  rain  or  shine, to  look  a  friend  in  the  face  he  must 
make  profound  obeisance,  and  if  out  in  the  open  at  noon> 


796  THE  MEDICAL  ADVANCE. 

time  on  a  clear  day  he  chanced  to  take  his  hat  off  he  would 
be  liable  to  sunstroke  of  the  eye,  conjunctivitis,  ophthalmia, 
what  not. 

However  the  sun  might  not  be  in  the  Zenith  at  n<K>n 
time,  it  might  happen  then  at  mid-night.  It  might  rise 
when  it  should  set,  or  set  at  breakfast,  or  rise  and  set  any 
old  time. 

The  seasons  too  would  be  very  unreliable:  the  middle  of 
May  might  suddenly  slip  into  the  Christmas  holidays,  and 
June  roses  be  iced  candied  and  preserved  in  a  January  sleet. 
Gentlemen,  chance  and  accident  won't  do.  If  God  Almighty 
can't  run  this  universe  nor  even  this  little  planet  built  for 
man's  habitation  without  law  and  order, surely  we  should  not 
attempt  to  play  our  puny  parts  without  a  governing  principle. 
Now  dear  boys  get  in  love  with  your  work,  you  have  some- 
thing here  to  love,  honor  and  obey.  No  other  so-called  sys- 
tem of  medicine  rests  upon  any  foundation.  They  are  all 
Babel  towers  of  confusion.  No  order,  no  law,  no  science  has 
directed,  no  plumet,  no  level,  no  square  been  used  in  their 
construction:  They  are  patch  work  and  piece  work  from 
sandy  bed  to  toppling  tower.  They  are  composed  of  the 
opinion,  the  beliefs,  the  guess  work,  the  experiments  and 
experience  of  men.  Of  what  value  are  these?  They  are  as 
epJhemeral  as  a  flower,  as  inconstant  as  the  .wind, they  come 
and  go  and  change  and  fade  away;  an  enactment  of  yester- 
day is  repealed  today,  the  verdict  of  today  will  be  set  aside 
tomorrow. 

False  piK)phets  arise  and  cry  lo  here!  lo  therel  Yester- 
day it  was  coal  tar  products,  to  day  it  is  serum  therapy,  to- 
morrow God  knowsl  Dead  and  don't  know  it.  Nothing 
stable,  nothing  settled,  nothing  sure,  nothing  endures,  no. 
thing  lasts  longer  than  its  propagandist  and  he  is  often 
smothered  by  the  smoking  torch  of  a  later  aspirant. 

What  are  opinions,  fancies,  inventions,  compared  with 
facts,  figures,  discoveries,  an  invention  lasts  until  sup- 
planted by  another.     A  discovery  is  good  for  all  time. 

Our  law  of  cure  is  not  an  invention,  but  a  discovery. 
Not  man  made,  but  God  provided,  not  a  chimera,  but  a  fact, 


^=J 


INTRODUCTORY   ADDRESS.  797 

not  a  product  of  fertile  imagination,  but  a  careful  research. 
It  was  and  is  and  is  to  be.  It  existed  and  Hahnemann  dis- 
covered it. 

It  was  covered  by  traditional  dust  and  rubbish,  he  uncov- 
ered it.  It  was  hid,  he  folind  it.  Others  have  come  near  it,he 
came  to  it.  Newton  saw  the  apple  fall  and  discovered  the 
law  of  gravitation.  Hahnemann  saw  cinchoa  induce  inter- 
mittents,  and  discovered  the  law  of  similars. 

The  apple  will  not  fall  upward;  the  earth's  attraction 
shall  not  cease,  the  law  of  similars  the  attraction  of  likes 
shall  endure  forever.  It  is  a  law  of  nature  running  through 
nature  kingdom.  Animals,  birds  and  insects  of  like  species 
find  their  affinities  in  each  other  and  gather  together,  bees 
in  swarms,  quails  in  coveys,  cattle  in  herds,  sheep  in  flocks, 
horses  in  droves.  Men  of  similar  political  opinions  form 
into  parties,  people  of  like  religious  faith  unite  in  denomina- 
tions, and  so  always  and  everywhere  like  attracts  like. 

As  medical  students  it  is  essential  at  the  very  outset 
that  you  should  be  rooted  and  grounded  in  the  faith  that 
law  must  govern,  and  that  the  law  of  similars  is  a  law  of 
cure.  For  as  according  to  your  faith  so  will  it  be  unto  you. 
Faith  is  the  substance  of  things  hoped  for.  The  evidence 
of  things  unseen.  And  things  unseen  are  greater  than  those 
which  do  appear.  Faith  the  substance.  Sub  means  under, 
and  stance  to  stand,  and  faith  must  stand  under,  support  all 
endeavor.  It  is  evidence.  The  proof,  the  testimony  of 
things  unseen,  which  though  unseen  are  yet  believed.  Things 
which  appear  are  but  shadows,  manifestations,  results  of 
realities,  of  causes,  unseen  and  unseeable,  invisible  to  mor- 
tal vision,  incomprehensible,  it  may  be,  to  human  under- 
standing, for  how  can  the  eye,  a  material  organ,  see  beyond 
the  material  object,  or  the  finite  mind  comprehend  the  infi- 
nite? Whenever  things  can  be  seen  they  are  results.  Germs 
therefore  are  not  causes  but  results.  Some  one  will  ask  you 
as  a  student,  and  later  as  a  practitioner,  how  you  know  that 
the  law  of  similars  is  a  law  of  cure?  You  may  answer  that 
you  have  seen  it  tried.  You  have  put  it  to  the  proof.  But 
some  one  of  a  philosophical  turn  of  mind  will  want  the  phil- 


798  THE  MEDICAL  ADVANCE. 

osophy  of  it,  your  theory  of  the  **modus  operandi"  Yo\r 
may  answer  that  theories  are  insignificant  compared  with 
facts.  Still  it  is  worth  while  to  be  able  \o  give  a  reason  for 
the  faith  that  is  in  you,  and  a  reasonable  answer  to  one  who 
inquires.  There  is  a  reasonable  an^er,  and  if  it  has  never 
been  found  failure  in  the  search  should  stimulate  investig^a- 
tion.  Therefore  investigate.  Who  knows  but  that  one  of 
you  may  prove  a  discoverer  who  shall  add  something  to  the 
world's  sum  of  knowledge-  At  all  events  the  exercise  will 
be  beneficial  both  to  yourselves  and  others,  for  no  man  ever 
yet  went  upon  a  tour  of  investigation  who  did  not  discover 
something,  and  benefit  ^ome  one.  He  may  not  have  reached 
the  north  pole,  but  as  far  as  he  has  gone  he  has  blazed  a 
way  for  his  successor. 

If  the  law  promulgated  by  the  "Porcelain  Painter's  Son" 
be  true  it  is  not  only  practicably,  but  also  theoretically  de- 
monstrable. That  no  one  has  yet  demonstrated  it  theoreti- 
cally need  be  no  bar  to  your  effort.  If  you  desire  to  theorize 
and  speculate  I  could  suggest  no  more  fruitful  theme.  You 
have  truth  supported  by  facts  and  figures  as  a  basis,  and  so 
long  as  discovered  truth  serves  as  a  solid  foundation  upon 
which  to  stand,  there  can  be  neither  danger  nor  harm  in 
reaching  here  and  there  in  an  effort  to  apprehend  the  undis- 
covered reason  for  its  existence.  For  my  own  part  I  have 
not  refrained  from  speculation  regarding  the  modus  operan- 
di of  our  law. 

Many  a  time,  while  still  practicing  Allopathy,  after 
some  faint  glimmering  of  Homeopathy  began  to  dawn  upK>n 
me,  I  have  asked  myself  how  can  similars  cure  similars?  If 
like  for  like  be  true  how  is  it  true?  If  there  is  reason  in 
it  there  is  reason  for  it-  What  is  the  reason?  At  first  my 
answers  were — there  is  neither  reason,  logic  nor  truth  in  it. 

But  when  the  morning  really  broke 

And  I  awoke; 

When  the  sun  shone  upon  a  new  day 

And  drove  the  clouds  away, 
I  began  to  speculate  and  theorize  until  at  last  I  find   what, 
seems  to  me  a  philosophical  answer  to  my  questions. 


BOENNINGHAUSEN'S  POCKET  REPERTORY.  799 

As  however  our  first  interview  has  perhaps  lasted  long 

enough  (according  to  Mr.   Weller's  reason  for  short  love 

letters),  we  will  resume  the  subject  at  another  time    .  .    . 


SYMPOSIUM  ON  BOENNINGHAUSEN'S  POCKET 
REPERTORY.* 

By  W,  H.  Freeman,  Secretary. 

Dr.  Stuart  Close  said  that  BOnninghausen  instead  of 
considering  the  symptoms  as  brought  out  originally  in  the 
provings,  resolved  same  by  analysis  into  three  different  ele- 
ments, namely:  Character  of  sensation,  location  and  modal- 
ity, and  upon  such  analysis  of  all  the  symptoms  erected  his 
repertory.  In  the  practical  use  of  the  repertory  everything 
depends  upon  how  the  case  has  been  taken  and  upon  the 
selection  of  the  right  symptoms  and  rubrics  for  repertory 
comparison.  He  said  we  should  always  search  for  the  local- 
ity affected;  the  predominating  sensations;  and  the  different 
aggravations  and  ameliorations.  Also  that  the  modality  of 
the  original  proverbs  symptoms  was  not  limited  in  its  prac- 
tical application  to  this  one  symptom  alone,  but  applied  more 
or  less  in  a  general  way  to  all  other  symptoms  of  the  drug 
as  well. 

Dr.  John  B.  Campbell  said  he  had  used  BOnninghausen 
and  nothing  else  for  years.  He  is  quite  convinced  that  the 
drug  valuation  as  indicated  by  the  different  type  used  is  not 
always  reliable,  and  said  we  must  not  be  governed  by  same 
too  rigidly. 

Dr.  B.  L'B.  Bayliss  said  that  the  generalization  of  BOn- 
ninghausen rendered  same  capable  of  the  widest  application 
in  practice.  He  thought  the  concordances  in  the  back  of  the 
volume  and  the  modalities  were  the  most  important  of  all. 
In  use  he  usually  selects  that  rubrical  modality  which  is 
carried  by  the  smallest  number  of  drugs,  and  next  considers 
the  symptoms  of  sensation,  and  then  considers  the  i^emain- 
ing  modalities,  but  is  guided  by  intuition  greatly.    He  cited 

Extract  of  proceedings  of  Bayard  Club,  New  York. 


800  THE   MEDICAL   ADVANCE 

several  cases  of  which  he  had  made  a  note  to  illustrate  the 
method. 

Patient  with  wandering  pains — knee,  shoulder,  above 
the  eyes — stitching — begin  below  and  ascending.  Acute 
stiching  ball  of  eye. 

Frontal  headache  <  morning  on  waking;  <  heat  of  the 
sun;  <  hard  stepping;  <  ^hen  fatigued;  <  sun  light;  < 
after  sleep;  <  beginning  to  move;  <  touch;  >  bathing  eyes 
in  cold  water.  Worked  out  according  to  BOnninghausen  as 
follows: 

Page  302  <sun;  Agar,  ANT.  CR.;  Bar  c,  Bell.,  Bry., 
Gale.,  Camph.,  Clem,,  Euphr,,  Qlon,,  Graph.,  Ign,,  lod.,  Ip., 
Lach,,  Mag.  m.,  NAT,  C,  Nux,  PULS.,  Selen.,  Stan.,5itZ., 
Valer.,  Zn. 

Page  300  <  after  sleep;  Bell,,  Bry,,  Calc,,  Camph. ^ 
Euphr.,  Graph,,  Ign.,  LACH,,  Nux,  PULS.,  Selen.,  Stan,, 
BUL. 

Page  301  <  hard  stepping:  Bell..,  BryCalc.,  Camph. 
Euphr.,  Graph.,  Lach.,  Nux,  Puis,,  Stan.,  Sul. 

Page  292  <  beginning  to  move:  Bry,,  Cftlc,  Graph., 
Iod„  PULS. 

Hage  311  >  bathing:    Bry.,  PULS. 

Page  304  <,  touch:    BRY.,  FULS, 
"  Page  170,  wandering  pains:    Bry.,  PULS, 

Summary — type  valuation,  Bry.  18;  Puis.  24. 

Dr.  R.  F.  Rabe  »aid  he  used  BOnni]igfaaase&  crften,  it 
being  one  of  his  most  important  took.  M%  uses  diflerest 
repertories,  however,  aocording  to  the  (diaracter  of  the  case. 
The  uncommon  and  peculiar  symptoms  are  always  of  high- 
est value  in  the  analysis  of  the  case,  and  one  most  start 
from  correct  premises  in  order  to  come  out  right*  and  he 
cited  an  instance  to  illustrate — aaothw  physician  eame  to 
him  to  find  out  why  the  repertory  failed  to  work  out  the  eoir- 
rect  remedy  for  a  certMn  case.  He  had  been  guidsd  by  cer- 
tain conditions  which  induced  him  to  preseribe  a  oertaiii 
remedy  which  cured,  but  in  his  hands  B&i»inglMkiiseD  liid 
worked  the  remedy  out  differently  aad  be  was  aU  «t  ssa. 
Dr.  Rabe  without  knowing  which  the  curative  remedy  had 


THE  OWL,  THE  MONKEY  AND  THE  GOAT.         80l 

been  went  over  the  case  with  him  and  pointed  out  the  symp- 
toms which  should  be  considered  in  using  the  repertory  and 
told  the  doctor  how  to  work  it  out.  After  having  done  so 
the  doctor  returned  to  say  that  Valerian  was  the  remedy  that 
worked  out  on  the  method  recommended  by  Dr.  Rabe  and  al- 
so that  Valerian  was  the  remedy  which  had  cured  the  case. 

Dr.  Rabe  called  attention  to  the  fact  that  many  valuable 
remedies  were  either  not  in  the  pocket-book  at  all  or  were 
repertoried  very  incompletely  and  that  if  we  depended  upon 
any  repertory  exclusively  and  invariably  we  would  frequent- 
ly fail. 

Dr.  Rabe  also  called  attention  to  the  concordances  and 
especially  to  the  fact  that  in  the  concordance  for  Aconite 
that  Belladonna  was  given  highest  rank  whereas  in  the  con- 
corcordance  for  Belladonna  the  opposite  was  true  which  is 
contrary  to  what  we  would  at  first  thought  expect  to  find  and 
asked  for  the  opinion  of  those  present  regarding  same.  In  an- 
swer to  which  someone  suggested  that  this  was  due  to  the 
fact  that  Belladonna  was  higly  complementory  after  Aconite 
but  that  the  reverse  was  not  true — Aconite  being  but  seldom 
if  ever  indicated  after  Belladonna,  one  of  the  important 
things  BOnninghausen  intended  to  point  out  vndoubtedly  in 
the  arrangement  of  his  concordances  of   drug  relationship. 


THE  OWL,  TEE  MONKEY  AND  THE  «OAT. 

By  J.  B.  S.  King.  M.  D. 

A  constipated  goat  and  a  dissipated  monkey  were  once 
condoling  each  o^her  upon  their  respective  troubles,  "My 
digestion/'  said  the  goat,  *'|s  simply  terrible.  I  tried  a  re- 
laxing diet  of  scrap  Iron^  garni^ed  with  stramonium  weed, 
but  although  very  dainty^  it  didn't  agree  with  me." 

''Your  digestion,"  said  the  monkey,  "is  nothing  to  the 
state  of  my  eyes.  I  just  now  saw  a  green  camel  and  a 
striped  rhinoceros  trying  to  bite  my  tail,  Had  I  not  known 
intellectually  that  animals  of  that  color  are  not  possible,  I 
should  have  been  tempted  to  run.  I  fear  I  have  been  over- 
working at  the  office." 


802  THE    MEDICAL  ADVANCE. 

"Say  rather,"  replied  the  goat  with  a  sapient  wink,  **at 
the  i^aloon.    Now  my  bowels " 

* 'Pardon  me,  my  dear  friend,"  interupted  the  monkey  in 
a  low  earaest  voice,  ''but  will  you  first  oblige  me  by  telling 
me  whether  you  see  a  green  snake  witii  four  rows  of  teeth 
smiling  at  me  in  a  significant  manner?" 

''Not  at  all,"  answered  the  goat  staring. 

The  monkey  drew  a  long  breath  of  relief.  "Then  go  on 
with  your  bowels,"  said  he. 

"They  won't  move— they  never  will  move,"  said  the 
goat  desperately, 

*'Did  you  ever  think  of  trying  Christian  Science?" 

The  goat  gave  a  thoughtful  twiggle  with  his  tail,  '^Yes, 
but  it  never  seemed  strong  enough  for  my  bowels." 

"Look  here,"  said  the  monkey  abruptly,  "Don't  move 
your  tail  that  way,  it  makes  me  nervous.  How  about  Hom- 
eopathy?" 

'*Too  mild,"  groaned  the  goat,  "I  am  npw  on  my  way  to 
consult  an  allopathic  medical  owl,  who  claims  to  have  lately 
discovered  a  very  powerful  drug  for  moving  the  bowels."  , 

The  medical  owl  promised  immediate  relief  and  produced 
some  dynamite  pellets  such  as  are  used  for  blowing  up  tree 
stumps.  **Take  two  of  these,"  said  he  to  the  goat  after  col- 
lecting his  fee,  "and  then  jump  around  a  bit." 

The  goat  did  so;  there  was  a  detonating^  roar ^nd  imme- 
diately the  air  was  darkened  with  flying  intestines  and  other 
hircine  viscera,  moving  in  parabolic  curves  from  the^  point 
of  projection.  ,    . 

"The  goat's  bowels  are.  now  movingj"  said  the  owl, 
solemnly,  "allopathic  medicine  is  always  effective," 

Said  the  monkey,  "I  believe  I'll  try  Homeopathy,'*' 


THREE  SIMILAR  CASES. 

TMRiS  glKlLAB  CASm,    TSREE  mFFEIIfiJfT 
R£aE»IB8.* 

By  pR.  H.  Parrington,  Chicago. 

Case  I.  Mr.  F.  M.  B.,  aged  50,  has  had  tic  douloureaz 
for  nearly  80  years.  His  mother  and  a  brother  also  suffered 
from  the  same  affliction.  The  pain  starts  near  the  root  of 
the  canine  tooth,  upper  left  side,  extending  to  the  wing  of 
the  nose,  upwards  into  the  left  eye  and  at  times  to  the  ver- 
tex. It  comes  like  a  flash,  lasts  a  varying  period  of  time 
and  goes  as  quickly  as  it  came.  It  is  worse  from  the  slight- 
est motion  of  the  adjacent  parts,  talking,  eating,  light  touch 
— even  touching  the  mustache.  It  is  worse  in  the  wind, 
whether  cold  or  warm,  probably  because  it  causes  the  mus- 
tache to  vibrate.  Sometimes  it  comes  on  the  first  moving 
in  the  morning.  It  seldom  occurs  at  night  while  lying  down. 
It  is  relieved  very  slightly  from  hard  pressure,  and  occa- 
sionally, though  not  often,  by  heat.  During  the  pain  tears 
roll  down  the  cheek  from  the  eye  of  the  affected  side,  and 
after  the  paroxysm  the  eyeball  itches.  Prom  January  24, 
1906,  to  June  of  the  same  year  he  received  Magnesia  phos., 
Sepia,  Magnesia  carb. ,  and  Spigelia  with  very  slight,  if  any, 
benefit,  and  finally  becoming  discouraged  he  returned  to  his 
old  school  physician. 

Indirectly  I  heard  that  he  still  had  spells  of  excrucia- 
ting pain  and  that  his  nervous  system  was  gradually  giving 
way  under  the  strain. 

However,  early  last  June  I  received  word  that  Mr.  B. 
wanted  to  see  me  at  his  residence  in  Evanston.  On  -arriv- 
ing there  I  found  the  poor  man  in  the  midst  of  a  severe  spell 
of  his  old  neuralgia,  thoroughly  disheartened  and  almost  on 
the  verge  of  nervous  prostration.  Through  the  persuasion 
of  some  of  his  friends  he  had  determined  to  try  Homeopa- 
thy once  more,  as  he  had  obtained  no  relief  from  any  other 
form  of  treatment. 

The  symptoms  were  practically  the  same  as  those  given 


*Read    before    the  S.  S.   Regular  Hoa:eopathl3   Medical  Society. 
Nov.  10. 


63  4  THE  MEDIO  At  AO  VftNC  E. 

abovfe,  fexteptlAfe  15toW  ttiJere  'Vi^as^o  rfeHelf'ltoili  heafe  br  pres- 
sure. The  effect  of  slfght  iAbli6rf  Sf  lip  or  tongue  was  in- 
creased so  ttiat^uckin^  or  even  swallowing  almost  invari- 
ably renewed  the  attack.  But  two  new  syrnptoms  were  ad- 
ded: itching  oi  ^he  affected  parts  before  the  pain  and  ting- 
ling and  itching  afterwards.  He  always  knew  when  the 
'paiii'was  about  to  start  because  the  side  of  the  face  or  the 
upper  lip  began  to  itch,  This  placed  the  case  in  a  new 
light.  A  brief  review  of  the  repertory  showed  Mezereum  u> 
be  the  only  remedy  which  covered  the  symptom  group,  then 
lie  was  given  the  30th  potency  to  be  taken  every  three  hours 
until  the  pain  was  relieved,  then  at  longer  intervals.  The 
effect  was  almost  immediate,  and  he  continued  to  improve 
until  he  was  able  to  start  for  Santa  Catalma,  off  the  coast 
of  California,  for  a  much  needed  rest. 

Case  II.  By  Dr.  Edward  R.  Miller, .  quoted  from  the 
Neto  England  MedUial  Gazette  for  November. 

^'November  2,  1899.  Mr.  A.  H.  N.,  aged  72,  consulted 
me,  relating  something  like  the  following  story: 

* 'About  eighteen  months  ago  had  the  first  upper  left 
molar  tooth  extracted,  since  which  time  he  has  had  pain  in 
that  part  of  his  face,  extending  at  times  into  ear  or  eye. 
The  pain  is  of  sharp,  jumping,  piercing  character  as  if  a 
knife  were  thrust  into  the  parts.  He  is  perfectly  well  ex- 
cept for  the  pain.  He  never  had  rheumatism.  Has  had 
pneumonia  twice.  Has  not  been  sick  for  ten  years.  His  ap- 
pearance is  that  of  a  healthy  man,  having  a  clear  skin,  good 
color,  clear  bright  eyes,  an  alert  manner,  appetite  and  di- 
gestion good  and  bowels  regular.  The  pain,  however,  gives 
him  great  trouble  and  is  getting  worse.  His  family  physi- 
cian has  treated  him  for  a  long  time,  and  at  last  said  he 
could  do  nothing  more  and  advised  him  to  go  to  the  Massa- 
chusetts General  Hospital,  where  he  was  advised  to  have 
the  Casserian  ganglion  removed.  As  they  did  not  assure 
him  that  the  operation  would  result  in  a  permanent  cure  he 
decided  that  he  would  not  have  it  done.  I  found  upon  ques- 
tioning him  that  the  pain  was  worse  from  eating;  worse  gen- 
erally from  drinking  cold  water;  worse  mornings  and   fore- 


THREE   SIMILAR  CASES.  80  5 

noons  (after  he  moved  around  awhile).  Worse  from  exer- 
tion generally;  worse  from  taking  spiced  or  sour  things; 
better  from  taking,  hot  drinks  (an4  sometimes  from  cold 
drinks,  but  generally  worse  from  the  latter).  Better  at 
night  (no  trouble  at  all  at  night).  Better  after  dinner  (by 
two  or  three  o*clock).  Generally  very  easy  evenings.  If  he 
exerts  pressure  upon  the  tooth  cavity  in  the  morning  or 
forenoon  it  is  extremely  sensitive,  but  it  is  not  so  at  all  in 
the  afternoon.  Magnesii  phos.  3x.  One  powder  every  three 
hours. 

'^November  10th.     On  the   3rd.    4th  and  5th   inst.   the 
pain  was  easier,  but  on  the  7th  it  was  as  bad  as  he  had  ever 
.  had  it.    On  the  last  three  days  it  has  been  rather  better  ex- 
cept that  at  night  it  seems  to  be   coming  on  harder   again. 
Aconite  3x  dil.     Two  drops  in  water  every  two  hours. 

**November  16th.  No  appreciable  improvement.  Ar- 
senici  albi  6x  trit.  (pulv.  gr.  iv.)  One  powder  dry  on 
tongue  every  three  hours. 

^'December  7th.  He  is  no  better.  Merc.  Sol.  Bx  pulv- 
gr.  iii.    Powder  every  three  hours. 

December  16th.  Patient  much  the  same.  Further 
questioning  brings  out  prominently  these  facts:  The  pain 
is  not  made  worse  so  much  by  cold  air  as  by  * 'suction"  or 
from  the  act  of  swallowing.  Very  much  worse  in  morning 
after  rising  and  moving  about.  Swallowing  brings  it  on,  but 
if  he  swallows  before  rising  it  does  not  bring  on  the  pain. 
One  day  he  was  having  the  pain  very  severely.  But  on  ly- 
ing down  it  soon  ceased.  Whenever  the  pain  is  present  in 
the  evening  it  ceases  entirely  soon  after  retiring.  Eating  ag- 
gravates the  pain  most  of  all.  He  eats  soft  foods  as  much  as 
possible  so  as  not  to  aggravate  the  pain.  The  act  of  swal- 
lowing liquids  aggravates  about  as  much  as  chewing  and 
-  swallowing  food.  The  pain  is  made  worse  by  talking  or 
laughing.  The  parts  are  extremely  sensitive  while  the  pain 
is  present,  but  as  soon  as  the  pain  leaves  the  soreness  ceases. 
Lachesis  6x  pulv.  gr.  iii,    Powder  every  three  hours. 

** After  a  week  the  patient  reported  much  better.    Lach. 
12x,  pulv.  gr.  iii.    One  powder  befere  each  meal. 


806  THE  MEDICAL  At)TANt3E. 

'* After  another  week  he  reported  himself  practioally 
free  from  pain.  Lach.  30  x,  pulv.  gr.  iii.  Powder  every -ac- 
oond  night  at  bedtime  for  a  week,  then  stop  all  medicine  and 
report  in  a  month. 

**By  the  end  of  the  month  the  patient  reported  entirely 
cured. 

"After  this  whenever  the  pain  recurred,  which  it  did 
very  slightly  two  or  three  times,  it  was  quickly  and  entirely 
removed  by  a  few  powders  of  Lach.  30x 

*'The  gentleman  died  the  next  winter  from  an  attack  of 
pneumonia,  his  family  physician  attending  him." 

Case  III,  By  Dr.  Edwin  A.  Taylor,  Chicago. 

Mrs.  G.  aged  57,  had  suffered  from  attacks  of  neuralgia 
affecting  chiefly  the  right  side  of  the  face. 

The  pain  was  very  severe,  coming  suddenly,  sharp, 
shooting,  lightning  like  in  character  worse  from  eating,  the 
slightest  touch,  from  pressure,  talking,  motion,  jar,  noise, 
and  cold.  The  slightest  motion  of  the  affected  parts,  a 
slight  jar  or  at  least  draft  of  cold  air  would  precipitate  a 
paroxysm  terrible  suffering. 

Thinking  it  was  due  to  defective  teeth  she  had  them  all 
extracted  but  without  any  relief.  She  had  suffered  for  many- 
weeks,  could  take  only  liquid  food  and  was  a  nervous  wreck. 
Every  day  she  suffered  this  torture  but  was  frte  from  pain 
when  lying  down  at  nighty — in  fact  the  only  relief  she  got  was 
while  lying  cloion.  She  would  not  go  out  for  the  air  would 
aggravate  the  pain.  Magnesia  phos.  cured  her  promptly 
and  permanently. 

These  three  cases  illustrate  the  importance  of  careful 
observation  and  painstaking  care  in  **taking  the  case."  Bach 
patient  manifested  symptoms  that  were  identical,  yet  in 
each  there  were  a  few  peculiar  things  which  were  not  found 
in  the  others  and  which  indicated  an  entirely  different  -reme- 
dy  as  the  simillimum. 


THE  AMERICAN  INSTITUTE.  OF  HOMEOPATHY.  807 

THE  AffiBRICA?)  INSTITUTE  OF  UOMBOPATH  V. 

It  wUl  be  of  interest  to  the  members  of  the  Institute  to 
know  that  October  30th,  there  was  held  at  Cleveland,  Ohio, 
a  meeting  of  a  number  of  its  Committees.  The  entire  Exe- 
cutive Committee  was  present,  consisting  of  President  Pos- 
ter, Vice-Presidents  Carmichael  and  Hensly,  Treasurer 
Smith,  Registrar  Ball,  and  Secretary  Horner.  The  Journal 
Committee  was  represented  by  Drs.  Bailey,  Roy  a.  Cope- 
land,  and  Sawyer;  the  Incorporators  by  Drs.  Custis,  McClel- 
land and  Smith;  the  Council  of  Medical  Education  by  Drs. 
Royal)  Dewey,  Sutherland  and  Gates;  the  Institute  of  Drug 
Provings  by  Drs.  Custis,  Wolcott,Bailey, McClelland,  Dewey, 
Royal,  and  Sutherland;  the  Pharmacopoeia  Committee  by 
Drs.  Carmichael  and  Sutherland,  while  the  Monument  Com- 
mittee had  present  a  majority  of  its  members  in  Drs.  Mc- 
Clelland, Custis  and  Smith.  The  two  latter  Committees  did 
not  convene  for  the  transaction  of  business,  their  members 
being  present  in  connection  with  work  on  other  committees. 

The  Executive  Committee  held  a  meeting  in  the  morn- 
ing at  which  were  transacted  a  number  of  items  of  business. 
Secretary  Homer  and  Registrar  Ball  were  appointed  a  spe- 
cial committee  to  cooperate  with  the  Local  Committee  of  Ar- 
rangements at  Detroit  in  the  preparations  for  the  Institute 
meeting  in  June. 

The  Journal  Committee  also  was  in  session  all  morning, 
the  other  committees  being  called  for  the  afternoon. 

At  two  o'clock  the  Executive  Committee  held  an  open 
meeting  to  which  were  invited  by  the  President  all  those 
i*ho  were  in  attendance  at  the  meetings.  The  principle  bus- 
iness presented  was  the  report  of  the  Journal  committee. 
Preceeding  this,  Dr.  Custis,  for  the  Incorporators,  reported 
that  incorporation  had  been  accomplished  by  Drs.  W.  R., 
King,  J.  H.  McClelland,  Swormstedt,  Smith  and  himself. 
Dr.  B.  P.  Bailey, chairman  of  the  Journal  Committee  reported 
their  recommendations.  The  first  was  that  the*  Journal  be 
made  a  monthly  instead  of  a  weekly.  The  second  was  that 
a  proposilJion  made  by  the  Medical  Century  Publishing  Com- 


808  '  I^Hfi    MEDICAL  ADVANCE. 

pany  be  adopted-  Tbis  provdded  that  the.  Medical.  Century 
should  be  made  the  Journal  of  the  American  Institute  of  Ho- 
meopathy, the  Medical  Century  Company  beinj?  the  publish- 
ers and  Dr.  W.  A.  Dewey  the  editor  with  Dr.  J.  Richey  Hor- 
ner as  Associate. 

The  committee  also  recommended  that  a  small  volume 
conforming  in  shape  and  appearance  with  the  former  vol- 
umes of  Institute  Transactions  be  issued,  this  volume  to  con.- 
tain  the  minutes  of  the  business  sessions,  the  report  of  the 
Committee  of  Organization,  registration  and  statistics,  the 
memorial  report,  the  constitution  and  by-laws,  the  lists  of 
officers,  members  and  committees  and  such  other  matters  as 
are  of  importance  from  the  standpoint  of  permanancy  and 
reference. 

A  very  free  discussion  then  took  place,  'the  President 
inviting  expressions  of  opinion  from  each  one  present.  There 
was  united  opinion  that  it  was  for  the  best  interest  of  the 
Institute  that  the  report  of  the  Journal  committee  should  be 
adopted  by  the  Executive  committee. 

This  latter  committee  then  went  into  executive  session 
and  on  motion  of  Dr.  Hensly,  seconded  by  Dr.  Ball,  adopted 
the  following  resolution:  **That  the  Executive  Committee 
adopts  the  report  of  the  Journal  committee  and  empowers 
that  committee  to  make  immediate  arrangements  with  a  reli- 
able publishing  company  to  issue  an  official  journal,  monthly 
instead  of  weekly." 

The  President  reported  the  resignation  of  Dr.  R.  P. 
Rabe,  of  New  York  City,  as  chairman  of  the  Bureau  of  Ho- 
meopathy and  the  appointment  of  Dr.  J.  B.  Kinley,  of  Den- 
ver, to  fill  the  vacancy.  He  reported  also  the  resignation  of 
Dr.  Annie  W.  Spencer,  of  Batavia,  III.,  as  Chairman  of  the 
Bureau  of  Pedology  and  the  appointment  of  Dr.  Sarah  M. 
Hobson,  of  Chicago,  to  fill  the  vacancy. 

There  being  no  further  business,  the  committee  adjourn- 
ed to  meet  at  the  call  of  the  President. 

J.  RiCHEY  Horner, 

Secretary,  A.  I.  H. 


CASEtS^  FROM*  MY  NOTB  BOOK.  809* 

The  institate  of  Drufe  proviiig  met  tinder  thie  chairman-  * 
shipofDr.J.B.GreggGiistis.  Dr, W.A.Dewey wUs  elected  s^ec^ ' 
retafy  pro-tern.    Dr.  J. -fl. McClelland  was  announced  as?  the 
memberof  the  Board  of  Trustees  sticceeding^  Dr.   Charles 
Mehn  deceased. 

Dr:  E.  fi;  Wolcott  was  elected  Secretary  ahd  Treasurer 
of  the  Board. 

On  motion  of  Dr.  Royal  it  was  recorded  as  the  sense  of 
the  Board  that  the  sympathy  and  cooperation  of  all  colleges 
and  other  institutions  in  affiliation  with  the  Institute  assist 
in  proving  the  drug  or  drugs  selected  by  this  board. 

On  motion  of  Dr.  Bailey,  Dr.  Royal  was  constituted  the 
director  in  charge  of  provings  with  the  understanding  that 
he  is  to  cooperate  with  college  faculties  in  securing  compe- 
tent directors  for  the  work. 

In  addition  to  the  general  business,  Dr.  Custis  announced 
that  the  active  cooperation  on  the  part  of  the  Bureau  of 
Plant  Industry  of  the  Government  Agricultural  Department 
had  been  secured  and  that  all  remedies  hereafter  proven  un- 
der the  auspices  of  the  Institute  would  be  of  preparations 
standardized  by  the  government.  He  announced  also  that  a 
drug  had  been  selected  to  be  proven  this  year  and  it  is  now 
under  course  of  preparation.  Many  of  the  colleges  had 
agreed  to  take  up  the  work. 

All  those  present  attending  the  meetings  of  the  various 
committees  were  entertained  at  luncheon  by  Dr.  J.  C.  Wood 
and  at  dinner  in  the  evening  by  the  Honorary  President  of 
the  Institute,  Dr.  H.  P.  Biggar. 

CASES  FROM  MY  NOTE  BOOK, 

By  J.  C.  Roberts,  Barbados,  W.  I. 

Case  I.  Cina.  A  girl,  four  years  of  age,  had  large 
abdomen  and  very  thin  legs.  Spent  most  of  the  day  in  lying 
across  a  chair  as  if  she  experienced  relief  having  the  abdo* 
men  in  contact  with  the  chair-  Temperature  above  normal. 
Complained  during  the  day  from  the  heat  of  the  sun,  al- 
though the  weather  might  be  of  the  most  agreeable   charac- 


810  THE  MWDiCAL  ADVAHOB. 

ter^  The  little  thing  when  aroused  would  rise  up  t^m  the 
chair  and  say  ''sun  too  hc^."  There  was  more  or  less  cut- 
ting and  pain  in  the  abdomen,  with  slipping  down  <^  the 
anus  when  at  stool.  Cina  3z,  continued  for  some  time,  pro- 
duced a  perfect  cure,  and  the  child  is  now  a  jolly-looking 
creature  with  well  develc^ed  limbs,  enjoying  perfect  health, 
and  dreads  nothing  in  the  shape  of  weather. 

Case  IL  Alumina.  A  boy  about  16  years  old  was 
brought  to  me  four  years  ago  by  a  friend  of  his  mother's, 
and  I  was  told  that  his  mother  had  been  watching  bis  case 
for  some  time  and  trying  all  kinds  of  domestic  remedies,  but 
to  no  purpose.  His  trouble  was  severe  pain  in  the  lower  ab- 
dominal region  every  month,  which  seemed  to  be  governed 
by  the  phases  of  the  moon.  His  case  resembled  that  of  a 
girl  with  menstrual  trouble,  and  was  of  a  few  years'  stand- 
ing. So  said  the  individual  who  accompanied  him.  I  was 
also  told  that  his  mother  had  grown  anxious  about  bis  con- 
dition because  he  had  reached  an  age  when  he  should  be 
apprenticed  to  some  tradesman,  and  she  did  not  care  to  send 
him  to  work  as  long  as  he  suffered  from  these  peculiar  pains. 
I  prescribed  Alumina  6x.  He  has  never  since  suffered  an- 
other attack. 

Case  IH.  Aconite.  A  man  about  46  years  of  age  com- 
plained of  pain  in  left  chest  extending  down  left  arm.  Could 
hardly  contain  himself  out  of  bed.  Lying  on  back  afforded 
relief.  Aconite  3x  removed  the  pain,  and  it  has  not  since 
returned,  now  about  two  years.  Patient  some  years  before 
had  a  severe  attack  of  angina  pectoris  and  nearly  lost  his 
life. 

Case  IV.  Secale.  A  female  appeared  at  my  dispen- 
sary with  a  note  she  had  received  from  a  friend  asking  her 
to  get  a  homeopathic  remedy  that  would  arrest  a  uterine 
hemorrhage.  I  was  requested  to  suggest  the  remedy.  The 
hemorrhage,  I  was  told,  had  kept  up  in  spite  of  tiie  use  of 
several  remedies.  The  applicant  could  assi^  no  reason  for 
the  persistence  of  the  hemorrhage,  and  knew  nothing  about 
other  symptoms,  but  merely  stated  that  the  patient  waJ 
weak  and  debilitated.    The  first  remedy  I  sui^lied  failed  as 


CASES  FROM  UY  KOTB  BOOK. 

weU  ft»  the  second.  By  this  time  I  was  supplied  with  one  or 
two  symptoms  which,  however,  did  not  help  me  very  much 
in  making  a  prescription,  but  they  led  me  into  the  track.  I' 
asked  and  was  told  that  the  patient  had  been  keeping  com- 
pany with  a  young  man  whom  she  seemed  to  love,  and  that 
he  had  been  in  attendance  giving  her  remedies  without  ef- 
fect. It  struck  me  that  there  had  been  some  foul  play  on 
his  part;  that  he  had  secured  an  abortion,  but  that  his  skill 
ended  th^e.  I  knew  the  patient  and  could  well  recall  her 
picture.  I  prescribed  Secale  Ix  which  had  a  magical  effect; 
the  hemorrhage  began  to  diminish  immediately  after  the  first 
dose.  Information  subsequently  obtained  through  an  old 
nurse  who  attended  the  patient  during  her  sickness  satisfied 
me  beyond  a  shade  of  doubt  that  the  case  was  one  of  willful 
abortion. 

Case  V.  Drosera.  A  young  man  about  30  returned  to 
Barbados  last  winter  after  a  residence  of  three  or  four  years 
in  New  York.  He  was  ordered  home  by  the  physicians  of 
one  of  the  New  York  hospitals,  where  he  was  laid  up  with 
what  was  diagnosed  as  bronchial  catarrh.  This  was  the 
second  severe  attack  of  the  disease.  His  first  attack  was 
either  near  the  end  of  1906  or  the  beginning  of  1907,  and  he 
had  given  up  hope  o  f recovery,but  he  recovered  sufficiently  to 
return  to  work, '  The  second  attack  in  the  latter  part  of  1907 
proved  even  more  severe  than  the  first,  and  he  was  advised 
to  get  home  in  order  that  he  might  die  with  his  family.  He 
arrived  at  Barbados  either  late  in  December,  1907,  or  early 
in  January,  1908.  He  saw  one  or  two  allopaths  ^vho  pre- 
scribed for  him,  but  he  got  no  relief  from  their  treatment, 
and  a  friend  of  his  advised  him  to  consult  me. 

My  first  note  of  the  case  was  made  on  the  10th  of  Feb- 
ruary last.    The  symptoms  he  gave  me  were: 

Spells  of  barking  cough. 

Cough  makes  such  a  disagreeable  noise  that  I  am 
ashamed  to  cough  in  the  presence  of  strangers.  I  therefore 
keep  indoors* 

Severe  coughing  paroxysms  on  going  to  bed  at  night, 
ending  in  emptying  the  stomach  of  its  contents. 


612  THIV  MSDCCAli  ADY^AKOE.        - 

I  lose  my  milk  every^  nigbA  by  vomiting'  befove  I  can  get 

ix)  sleep.  :    .  ,  .      ,  ...ti      ,. 

Cough  worse  at  night  and  early  boars^  q&  tiie  mortrin^. 

Cough  excited  by  much  talking. 

The  case  seemed  to  me  to-be  one  Dposera;fot.  which  rem- 
edy I  prescribed  low.  He  never  vomited  again.  His  recov- 
ery set  in  with  the  very  first  dose  of  the  medicine, '  which  I 
repeated  three  or  four  times,  varying  the^  potency  ou  each 
occasion.  The  drug  was,  however,  never  given  in  a  high 
potency.  Seeing  the  good  result  obtained  from  the  low,  the 
time  of  the  repetition  of  the  dose  was  gradually  lengthened. 

The  patient  succeeded  in  getting  a  situation  some  months 
ago,  and  had  to  return  to  work  before  he  had  entirely  recov 
ered,  but  that  did  not  seem  to  interrupt  his  recovery.  He 
is  now  rather  jubilant  over  his  condition,  as  he  came  home 
prepared  to  have  his  remains  in  the  family  burial  place  be- 
fore he  was  many  months  older. 

This  case  proves  the  soundness  of  the  advice  of  the  old 
teachers  of  Homeopathy,  that  a  remedy  should  not  be 
changed  so  long  as  it  seems  to  be  doing  good. 

Case  VI.  Bacilinum.  A  young  woman  of  19  summers 
developed  ringworm,  which  made  its  first  apperance  on  one 
of  the  arms.  All  domestic  treatments  recommended  by 
friends  failed.  The  victim  did  not  believe  id  Homeopathy. 
She  consulted  the  most  popular  allopath  in  Bridgetown,  who 
prescribed  a  y  arasiticide  and  an  ointment.  After  a  time  the 
ringworm  disappeared  from  the  arm  but  reappeared  on  the 
back  with  greater  vigor  and  then  under  the  arm  pit.     , 

After  chasing  it  from  place  to  place  with  the  lotion  and 
ointment,  it  started  to  duplicate  itself.  Eventually  a  large 
ring  appeared  between  the  thighs  and  extended  to  the  pu- 
denda. The  parts  involved  were  so.  tender  that  she  got 
about  the  house  with  great  difficulty.  Having  reachedsuch 
a  bad  stage  under  the  treatment  of  a  supposed  skilled  phy- 
sician, she  decided  to  try  another  allopath.  At  this  stage  I 
tried  to  persuade  her  against  allopathic  treatment  which  I 
described  as  wrong  and  dangerous,  but  she  ^  had  seen-  my 
globules  and  small  vials  of -tinctures -^nd  they  were  too  in- 


CASES  FROM' MV  NOTE  BOOK;  818 

^ignificatit  to  impress  her  that  they  were  capable  of  curing  • 
a  disease  thati  had' resisted  such  powerful  remedies  as  the 
allopath  bad  prescribed.^  >  However,  to  prove  it  to  me  she 
consented  to  try  one  of' my  remedies.  I  prescribed  Telluri- 
um, but  it  was  not  the  magician's  wand,  and  in  a  couple  o^ 
days  she  was  ready  to  break  away. 

I  willingly  consented  to  a  return  to  allopathic  treatment, 
and  another  allopath  was  called  in— one  of  the  oldest  prac- 
titioners of  the  city.  This  physician  has  a  splendid  reputa- 
tion as  an  allopath,  and  is  recognized  by  the  whole  prof  es 
sion  as  a  skilled  surgeon.  He  thought  no  more  seriously  of 
the  disease  than  his  younger  confrere.  He  sat  on  the  bed- 
side and  delivered  a  short  lecture  on  the  disease  and  its 
cause.  The  laundress  was  blamed  for  it;  she,  he  said,  had 
brought  in  the  parasite  on  the  clothes.  He  gave  his  word 
that  he  would  destroy  the  fungi  in  a  very  short  time,  as  he 
had  often  done  before,  and  that  the  patient  would  soon  be 
restored  to  perfect  health.  All  this  was  said  within  my 
hearing.  His  treatment  was  of  a  rather  elaborate  character, 
and  consisted  not  only  of  the  use  of  a  parasiticide  and  an 
ointment,  but  of  the  regular  boiling  of  the  clothing  in  a  ves- 
sel secured  for  that  purpose.  **Unless  you  boil  the  gar- 
ments," he  said,  *'you  will  never  get  rid  of  the  fungi,"  In- 
ternal treatment  he  declared  to  be  absolutely  useless,  and 
was  absurd  besides.  His  instructions  were  carried  out  in 
every  detail,  but,  like  the  previous  treatment,  it  drove  the 
ringworm  off,  only  to  take  up  its  position  an  another  part  of 
the  body,  and  although  the  treatment  was  kept  up  for  a  con- 
siderable time  the  ringworm  could  not  be  prevented  irom 
reappearing.  At  last  «he  gave  up  all  hope  of  ever  curing 
the  disease  which  had  now  become  the  terror  of  her  life, 
and  consented  to  give  Homeopathy  a  fair  trial. 

Now,  thought  I,  my  chance  has  come.  I  decided  to  give 
her  the  indicated  remedy  or  rather  the  constitutional  treat- 
ment in,  the  form  of  **spider  eggs"  as  one  of  the  leading  al- 
lopathic practitioners  of  my  city  once  disparagingly  dis- 
■cribed  our  globules  to. a  patient  who  ventured  to  make  ref- 
•erence  to  hcHneopathic  treatment  in  his  presence.     I   placed 


814  TH&  KmiUUlL  ADVANCE 

on  her  tongue  a  half  dosen  globotes  (No.  85  B.  &  T.)  from  a- 
vial  saturated  some  days  before  with  Bacillnom  30.  I  re- 
peated the  dose  three  three  or  four  time»  at  intervals 
of  several  days,  and  then  I  gave  a  couple  of  doses  st  in- 
tervals of  several  weeks.  The  ringworm  gradually  faded 
and  finally  disappeared  sometime  after  the  last  dose  of  Ba- 
cllinum  had  been  taken.  It  is  now  nearly  two  years,  and 
there  is  no  sign  of  the  return  of  the  trouble. 

No  one  who  has  studied  Homeopathy  can  possibly  be- 
lieve that  the  external  treatment  of  ringworm  is  right. 
Such  treatment  can  only  deal  with  external  manifestations 
of  the  internal  organismic  ailment.  ''Ringworm,"  as  Dr. 
Burnett  says,  '4s  an  internal  disease  of  the  organism  having 
for  its  outward  sign  the  ringworm  consisting  of  fungi  thriv- 
ing in  a  certain  order;  the  fungi  are  the  guests  of  the  dis- 
eased host;  cure  the  iiost's  diseased. state,  and  the  fungns— 
the  ringworm  dies  off  from  lack  of  a  proper  medium." 


A  SIMPLE  CASE. 

By  John  Armour  Kirkpatrick,  M.  D. 

In  reporting  this  case  it  is  my  desire  to  illustrate  an 
essential  point  or  two  in  prescribing. 

It  sometimes  takes  many  reverses  to  bring  a  wanderer 
back  after  years  of  unsettled  mind  and  misguided  concept- 
ions  of  truth. 

I  believe  in  the  old  gospel  admonition  **confessyour 
faults  one  to  another.  '* 

If  we  could  only  estimate  the  harm  done,  the  mi^ry 
caused  by  commercializers  and  time  serving  teachers  who 
teach  for  doctrines  the  materialized  conceptions  of  men. 

If  it  had  not  been  for  the'clinical  dem<»istrations  by  Drs. 
Hawkes  and  Hoyne  in  old  Hahnemann  I  am  sure  I  would 
have  gone  farther  from  the  safe  path  of  true  Homeopatiiy. 

It  is  a  fearful  thing  to  have  ones  faith  shaken  by  doubt- 
ful insinuations  by  scoffers  who  smile  at  the  daims  the  teaeh- 
ers  of  truth  make  for  the  jingle  remedy  or  higher  potency. 

Even  while  instruction  is  being  given  the  smile  goes^ 


A  SIMPLE  CASB.  815 

round .  How  often  you  'will  hear  the  student  say :  *  *That  is 
-a  nice  theory  but  it  wont  work  in  practice." 

Why  should  instruction  be  given  in  such  a  way  and  in 
the  name  of  science  which  takes  the  doctor  from  fifteen  to 
twenty-five  years  to  find  what  is  false  and  what  is  true? 

Mrs.  M.  L.,  age  48,  blue  eyes;  blond  and  slightly  anemic, 
married,  mother  of  four  children,  complains  of  a  soreness  in 
the  right  maxilary  joint,  temperature  normal,  pulse  75,  ap- 
petite good,  digestion  good,  bowels  regular,  menstruation 
normal,  movement  of  the  ;jaw  caused  pain.  I  could  not  elicit 
any  other  characteristic  symptoms  except  she  had  a  slight 
soreness  in  the  left  wrist  which  passed  away  in  a  few  days. 

She  sxrff ered  no  inconvenience  when  the  jaw  was  at  rest. 

I  gave  her  Bryonia  6x  three  doses;  improvement  began 
immediately;  recovery  was  rapid  and  seemingly  complete. 
About  a  year  afterward  she  had  a  similar  attack  which  oc- 
cured  last  Christmas.  Domestic  remedies  were  tried  and 
local  applications  were  made  without  relief.  In  January 
this  year  she  was  exposed  to  wet  and  became  thoroughly 
chilled  which  aggravated  the  trouble.  As  she  got  no  relief  so 
far,  she  applied  to  me  for  professional  advice. 

On  going  over  her  case  I  found  the  symptoms  very 
similar  to  those  of  the  first  attack  and  gave  Bryonia  6x. 

There  was  a  slight  improvement  for  a  few  days;  then  it 
became  so  much  worse  she  almost  cried  from  pain  when  she 
attempted  to  chew  or  talk.  I  went  over  the  case  again  and 
could  find  no  new  indications.  After  a  week,  there  being  no 
change  I  gave  Magnesia  Phos.  6x,  no  results;  gave  Perum 
Phos.,  no  improvement.  The  patient  became  impatient  for 
relief;  I  gave  several  vibratory  treatments  with  only  partial 
relief.  I  now  saw  something  must  be  done,  so  I  went  over 
Xhe  case  again  and  could  find  indications  for  Bryonia  only. 
I  gave  it  c.  m.  one  dose  on  the  tongue  followed  by  placebo 
and  told  her  that  if  that  remedy  did  not  relieve  her  to  come 
back  in  one  week. 

She  called  up  in  two  days  and  reported  that  she  was 
much  better,  continued  to  improve  until  perfectly  free  from 
all  symptoms. 


816  THE  MEDICAL.ADVANCE. 

She  is  grateful  for  the  relief  and  thankful  that  she  had 
the  faith  to  continue,  .    .    - 

This  may  seem  }ike  a  very  insignificant  ailment  but  to 
her  it  was  serious. 

The  folly  of  changing  remedies  is  shown  when  once  you 
have  found  the  indicated  remedy;  what  woijld  have  been  the 
result  if  the  higher  potency  had  been  given  at  first,  I  will 
not  say,  but  of  this  I  am  certain  that  the  higher  potency 
should  have  been  given  when  the  lower  failed. 

Another  point  which  ought  to  be  emphasized  is  the  time 
factor;  cellular  changes  are  slow,  they  follow  physiological 
laws,  both  in  repair  and  formation.  The  more  I  study  into 
the  metabolic  processes,  the  more  I  am  led  to  rely  upon  the 
life  force  to  effect  its  changes. 

Who  can  estimate  the  duration  of  an  impulse  when  once 
started  in  ,vital  processes.  Only  molecule,  of  highly  organ- 
'  ized  matter  oxidized  in  the  human  system  may  thrill  the 
sentient  nerves  which  preside  over  metabolism  and  be  all 
that  is  required  to  completely  transform  a  morbid  into  a  nor- 
mal process.  It  is  enough  to  know  that  favorable  changes 
are  effected  even  if  we  yet  must  confess  our  lack  of  compre- 
hension of  how  it  is  done. 


THE  ANTITOXIN  FAD. 

Dr.  A.  C.  Madden,  IngersoU,  Oklahoma,  writes:  I  am 
the  only  Homeo.  in  our  county.  I  should  like  to  be  where  I 
could  affiliate  with  an  M.  D.  of  our  own  school  who  prescribes^ 
the  single  homeopathic  remedy.  The  doctors  here  are  like 
all  allopaths,  **long  on  diagnosis  and  short  on  cure.''  I  was 
in  a  near-by  town  a  short  time  since,  and  met  a  regular  (?) 
with  whom  I  was  acquainted,  and  he  informed  that  he  had  a 
very  interesting  case  on  hand  and  invited  me  to  go  with  him 
and  see  it.  He  said  it  was  a  case  of  paralysis.  The  vocal  cords 
and  muscles  of  deglutition  were  first  affected  and  later  the 
limbs.  Said  he  did  not  know  the  condition.  I  found  a  child 
about  nine  years  of  age,  a  boy,  well  developed  in  body,  black 
hair,  firm  muscles  with  a  history  of  good  health  until  the 
present  sickness.  I  asked  if  he  had  had  diphtheria,  his  par- 


,.  ^HE:  A^T^TO^m.FAJ)^  ,  ,817 

ents,  said  be  b^d  )aot,,but  sta^d,.after  a  njomenta.  reflection, 
that  he  had  muujps.  twa  w.eeks  bef pre  be  had  began  to  show 
symptoms  of  pa;*alysjis. ,  lEhef^pes,.  though  formed,  pjissed 
involuntarily.  '  -r  .   ,   .    . 

The, doctor  stated  that  the  case  b^d  received  antitoxin 
at  1  p.  m.  and  5  p.  m.  he  was  going,  to  adpainistrate  about 
5000,  more  units.  The  hearts  action  seepied  to  be  good  when 
I  saw  him  at  4  p.,  m.  The  doctor  asked  me  what  I  would  do 
for  the  case,  and  I  replied,  **I  would  give  Causticum  Im.'' 
.  **I  have  .never  heard  of  that  medicine"  he  replied,  and  he  ad- 
ministered the.  antitoxin  apd  tbe  little  boy  died  at  2  a,  m.  the 
following  day. 

When  I  saw  him  a  few  days  later  he  admitted  that  the 
case  was  not  an  antitoxin  case.  It  was  rather  unfortunate 
for  the  child  that  the  doctor  had  not  found  that  out  sooner. 


SOME  EXPERIENCES  WITH  THE  NOSODES. 

By  Anna  D.  Varner,  Wilkinsburg,  Pa. 

In  a  little  discussion  on  the  use  of  the  nosodes  a  few 
days  ago,  a  physician  whose  reasons  seem  well-founded,  de- 
clared that  if  the  nosodes  were  used  at  all,  they  should  be 
administered  hypodermically,  because  the  gastric  juices  so 
changed  drugs  of  that  class,  that  the  results  could  not  be  de- 
pended upon. 

Injecting  a  remedy  directly  into  the  blood  does  not 
necessarily  alter  its  homeopathic  action,  but  it  is  objection- 
able to  use  the  same  syringe  for  potentized  remedies,  no  dif- 
ference how  thoroughly  it  has  been  cleansed,  and  it  would 
be  both  expensive  and  inconvenient  to  carry  a  syringe  for 
each  remedy  used.  On  the  other  hand  when  one  used  a 
single  dose  of  the  thirtieth  and  higher  potencies  enough  is 
absorbed  in  the  mouth  and  oesophagus  to  do  the  work.  At 
any  rate  I  have  had  good  results  from  the  nosodes  adminis- 
tered per  orum,  and  this  short  paper  will  treat  only  of  care- 
fully selected  conditions  where  these  remedies  have  been 
successfully  used. 

Psorinum  is  the  nosode  most  frequently  prescribed,  be- 


818  THE  MEDICAI.' ABVAWCB. 

cause  it  has  a  symptomatology  very  similar  to  that  polycrest 
Snlphtir.  The  discbarges  of  Psorinum  are  even  more  of- 
fensive than  those  of  Sulphur,  its  eruptions  more  repulsive, 
its  sweats,  filthy  habits  aud  emaciation  more  pronounced.  It 
is  a  slum-child  remedy,  one  that  I  used  much  more  in  my 
dispensary  than  in  private  practice.  The  majority  of  the 
children  of  the  poor  who  live  in  the  crowded  tenement 
districts  are  dirty,  but  it  is  the  scaly,  scabby,  filthy  children, 
offensive  both  in  habit  and  appearance  who  need  Psorinum. 
In  the  upper  walks  of  life  the  Psorinum  and  Sulphur  patients 
are  less  filthy — not  that  they  love  to  bath  the  more,  bnt  be- 
cause of  their  training  and  environment  they  are  obliged  to 
to  keep  clean.  When  you  find  children  of  this  class,  thin, 
nervous,  listless,  cranky,  whining  all  the  time,  think  of 
Psorinum. 

It  is  an  excellent  remedy  for  cross  babies,  when  there 
seems  to  be  very  little  the  matter,  and  other  remedies  fail 
The  most  pronounced  action  of  Psorinum  that  ever  came 
under  my  observation  was  in  a  case  of  typhoid  fever,  where 
the  temperature  bid  fair  like  **Tennyson's  Brook"  to  go  on 
and  on  forever.  The  child  who  was  about  eleven  years  old 
was  emaciated  to  a  shadow.  All  through  her  illness,  she 
was  sleepless,  restless  and  delirious.  In  the  seventh  week 
she  was  still  tossing  from  side  to  side  on  the  bed,  whining 
continually,  and  picking  at  her  fover-burnt  lips.  One  dose 
of  Psorinum  soothed  her  like  an  opiate  and  in  a  few  days 
her  temperature  dropped  to  normal.  This  occurred  in  my 
dispensary  practice  years  ago  in  Philadelphia.  My  assist- 
ant had  the  case,  and  the  Psorinum  was  given  at  the  sug 
gestion  of  Dr.  Strube.  Diphtherinum  is  worth  considering 
as  a  preventative  of  diphtheria.  I  use  it  in  the  thirtieth 
potency,  one  dose  a  day  for  a  week  or  ten  days,  and  it  has 
yet  to  fail  me.  Due  allowance  must  be  made  for  a  limited 
number  of  such  cases  in  my  practice;  the  early  isolation  ot 
the  patient  which  reduces  the  danger  of  contagion  to  the 
other  members  of  the  family,  and  that  children  exposed  to 
the  disease  frequently  escape,  even  when  no  preventative 
measures  have  been  taken.     In  three  large  families  where 


SOME  EXPERIENCE  WITH  THE  NOSOEES.  819 

there  was  no  opportunity  to  isolate  the  patient,  hence  con- 
tinued exposure — diphtherinum  was  used,  and  no  other  case 
developed. 

Tuberculinum  is  indicated  in  phthisis,  when  the  cough 
is  hard,  sounds  dry,  but  a  profuse  yellow  sputum  is  raised 
with  difficulty.  It  gives  great  relief  from  night-sweats  when 
the  other  symptoms  agree. 

My  only  experience  with  Medorrhinum  has  been  in 
chronic  pelvic  disorders  of  women,  and  there  it  seems  indi- 
cated when  there  is  an  offensive  yellow,  watery,  leuQorrhea, 
offensive  menses  and  chronic  pains  in  tubes  and  ovaries.  I 
began  using  it  for  such  patients  in  sheer  desperation  be- 
cause everything  else  had  failed. 

We  find  the  nosodes  often  indicated  in  chronic  skin  di- 
seases. And  why  not?  Are  not  the  large  majority  of  di- 
seases of  the  skin  almost  an  infalliable  indication  that  the 
victim  was  born  with  a  heritage  the  Lord  never  intended 
him  to  have.  Syphilis,  gonorrhoea  and  tuberculosis  are  the 
most  universal  diseases  known,  and  they  have  so  weakened 
the  human  race  that  there  is  scarcely  a  family  without  some 
mark  of  struma  upon  it. 

We  do  not  agree  with  the  prevailing  idea  that  **a  nosode 
should  be  prescribed  for  the  result  of  a  disease,  just  because 
it  is  a  product  of  a  disease."  It  should  be  prescribed  when 
indicated.  But  we  do  believe  that  we  will  find  them  indi- 
cated even  tc»  their  peculiar  symptoms  and  aggravations,  in 
patients,  tainted  in  some  remote  manner  with  the  disease 
of  which  they  are  a  product.  Tuberculosis  is  not  an  in- 
herited disease,  but  the  children  of  such  parents  are  born 
tired,  with  lax  fibre,  low  recuperative  powers  and  suscept- 
ibility to  changes  in  weather  and  diseases  in  general.  Young 
girls  of  such  type  are  frequently  afflicted  with  acne, and  not- 
withstanding claims  made  in  this  body  on  former  occasions 
by  some  of  our  most  learned  men,  their  complexions  clear 
up  under  Tuberculinum  or  Bacilinum  better  than  with  the  use 
of  the  flesh  brush.  I  have  known  girls,  most  particular  in 
their  habits  to  scru^),  scour  and  steam  their  faces  most  per- 
sistently with  no  results  until  they  received  the  indicated 
constitutional  remedy. 


820  THE  MEDICAL  ADVANCE. 

Syphilinum  you  will  find  of  use  in  old  chronic  cases 
where  the  skin  is  rough,  indurated,  scaly,  with  large  red- 
dish brown  itching  patches  something  like  psoriasis.  In 
eruptions  on  very  young  babies  when  the  stools  are  bright 
yellow  Syphilinum  is  better  than  Sulphur,  because  more 
systematic.  Psorinum  of  course  has  a  very  decided  action 
upon  the  skin,  and  cures  boiles,  urticaria,  $caly  or  pustular 
eruptions  in  dirty,  greasy  looking  individuals  when  the  it- 
ching is  aggravated  by  the  warmth  of  the  bed.  Remember 
also  its  use  in  suppressed  eruptions  in  nervous,  debilitated 
subjects,  easily  startled  and  with  great  depression  of  mind. 

The  nosodes  have  indeed  been  a  valuable  addition  to  my 
list  of  remedies  and  though  my  use  of  them  has  been  con- 
fined to  a  lipited  number  of  select  cases,  doubtless  more 
thorough  provings  would  add  materially  to  their  range   of 

action. 

I't^nnsylvania  State  Society,  Sept.  1908. 


THE  ETIOLOGY  OF  APPENDICITIS. 

By  E.  B.  Beck  with,  M.  D.,  Chicago. 

No  disease  in  recent  years  has  been  more  generally  dis- 
cussed by  the  public,  nor  perhaps  more  carefully  studied 
by  the  medical  profession  than  appendicitis-  Nearly  every 
article  of  diet  has  been  accused  of  causing  it,  and  some 
articles  like  grape  and  other  seeds  below  the  size  of  the 
peach  pit,  have  been  found  in  the  appendix,  postoperatively 
or  at  the  post  mortem.  More  recent  studies,  however,  tend 
to  show  that  the  cause  was  not  necessarily  some  such  foreign 
body,  as  only  one  casein  about  three  hundred  could  be  traced 
to  that  cause. 

The  * 'fecal  concretion"  next  became  popular,  and  lias 
been  very  frequently  found  in  the  appendix.  How  and  why 
did  it  get  there?  Theories  varied,  but  the  **concretion''  got 
there  just  the  same.  Some  writers  said  that  the  **concre- 
tion"  occurred  at  the  mouth  of  the  appendix,  and  forced  an 
entrance.  Others,  that  as  the  tissues  of  the  organ  were  re- 
laxed, the  fecal  matter  entered,  and  was  then  concreted  by 
the  peristaltic  action  of  the  appendix  itself     But,  as  many 


THE  ETIOLOGY  OF  APPENDICITIS.  821 

cases  of  api>eiidicitis  occurred,  and  some  of  them  even  show- 
ing perforation  of  the  appendix  when  no  concretion  was 
present,  that  theory  had  to  be  abandoned. 

Another  theory  was  that  after  some  slight  inflammatioiji 
of  the  appendix,  either  acute  or  chronic,  bacteria  gained 
entrance.  This  resulted  in  the  finding  of  streptococci  and 
pus  bacteria,  or  else  the  coli  communus  and  others  which  are 
quite  at  home  in  the  colon.  But  why  should  they  make  so 
much  trouble  in  one  appendix  and  quite  overlook  many 
others? 

Another  theory  that  seemed  well  founded  was  that  a  sten- 
osis was  occasioned  by  inflammation,  and  the  retained  secre- 
tions of  the  appendix  generated  a  new  kind  of  concretion.  But 
this  did  not  explain -**those  cases,  occurring  especially  in 
children,  in  which  the  most  severe  inflammations  develop  in 
anatomically  perfect  organs." 

Most  able  investigators  have  advanced  the  theory  that 
appendicitis  is  an  infectious  disease,  and  may  become  epi- 
demic. Of  course  the  infection  was  not  directly  into  the  ap- 
pendix, but  the  infection  might  be  general,  and  then  localize 
in  the  appendix. 

The  very  latest  theory  of  our  old  school  brethren  is 
found  in  the  latest  issue,  (volumn  III)  of  *'The  International 
Clinics"  for  1898.  In  a  very  scholarly  article  Dr.  Kretz,  of 
Prague,  says: 

Appendicitis  bejrins  as  a  mettistatie  di«ea^e  of  the  adenoifl  tissue; 
and  the  lymphatic  tissue  of  the  throat  and  nose  is  to  be  regarded  as  the 
mo8t  frequent  primary  localization  and  portal  of  entry  of  the  infection. 
An  infectious  tendency  may  exist  for  years  in  the  adenoid  tij?sue  of  the 
pharynx. 

The  enunciation  of  this  theory  follows  eight  years  of  in- 
vestigation by  Dr.  Kretz  with  the  microscope  and  otherwise, 
in  connection  with  a  hospital  where  ''material"  is  abundant. 
Dr.  Kretz  has  made  many  demonstrations  of  the  Bacillus  of 
Influenza  that  does  the  damage.  Any  good  healthy  bacillus 
will  do,  and  more  frequently  others  are  found,  such  as  the 
streptococcus.  The  respiratory  tract  is  not  the  only  portal 
of  entry,  either,  as  any  bacteraemia  consequent  upon  any 
other  infection,  phlegmonous  or  pueri^eral,  will  do  as  well. 


822  THE  MEDICAI.  ADVANCE. 

All  this  sounds  well,  and  is  undoubtedly  true;  but  is  it 
the  ultimate  cause  of  appendicitis?  Whence  arose  the  in- 
fection, and  the  lowered  resistence  of  the  cytoplasm,  so  that 
the  virulent  bacilli  could  multiply?  Diphtheritic  antitoxm 
and  vaccine  virous  are  often  injected  directly  into  the  human 
system;  but  rarely  do  other  bacteria  or  their  products  gain 
entrance  directly  to  the  blood  stream.  Appendicitis  seldom 
has  a  chance  to  follow  the  antitoxin,  but  often  some  serious 
infection  does  follow  vaccination. 

One  cause  which  is  very  much  more  common  than  is 
generally  recognized  is  enteroptosis.  A  small  degree  of 
enteroptosis  materially  increases  the  weight  to  be  supported 
by  the  organs  situated  in  the  lower  abdomen,  and  produces 
trauma. 

The  smaller  and  more  delicate  the  organ,  the  more 
readily  is  it  injured,  the  weight  of  the  superimposed  viscera 
upon  it  prevents  the  possibility  of  healing.  Activity  on  the 
part  of  the  patient  would  increase  the  degree  of  the  injury 
to  the  organ.  Boys  and  young  men  are  most  active,  and 
most  cases  of  appendicitis  occurs  in  males  under  thirty  years 
of  age. 

Back  of  the  enteroptosis  is  a  condition  perfectly  rec- 
ognized, but  not  sufficiently  considered.  Spinal  curvature 
or  rotation.  Government  statistics  show  that  one  child  in 
every  four  in  the  public  schools  has  a  lateral  curvature  of 
the  spine,  and  nothing  is  said  of  the  number  (probably 
greater)  who  have  antero-posterior  curvature.  Every  case 
of  stoop-shoulders  either  is  or  soon  will  be  an  antero-pos- 
terior  curvature.  All  curvatures  are  due  directly  or  in- 
directly to  trauma  from  without,  or  from  attrition  and  con- 
sequently trauma  within  the  body. 

Either  lateral  or  antero-posterior  curvature  at  once 
cause  a.  change  in  the  length  of  the  ligaments  by  which 
the  viscera  are  suspended  from  the  spinal  column,  with  con- 
consequent  displacement  of  the  viscera.  The  force  of  grav- 
ity prevents  that  displacement  from  being  upward,  and  re- 
lieving pressure  on  the  viscera  underneath.  Hence,  the  dis- 
placed organs  are  jarring  and  crushing  each  other,  and  by 


THE  ETIOLOGY  OF  APPENDICITIS.  823 

pressure  interfering  'with  each  others  circulation  at  every 
step  or  motion  of  the  patient. 

The  appendix  is  one  of  the  smallest  organs  of  the  ab- 
dominal cavity,  and  by  nature  very  delicate,  and  so,  more 
readily  injured  than  the  others*  and  following  the  trauma, 
however  slight,  is  readily  attacked  by  bacilli. 

The  precipitating  cause  of  appendicitis  is  undoubtedly 
bacteria,  but  the  ultimate  cause  is  the  trauma  which  pro- 
duced spinal  curvature.  Correct  the  spine,  and  it  will  not 
be  necessary  to  extirpate  the  appendix.  [Here  is  a  practical 
suggestion  for  our  diagnosticians  and  surgeons.  Let  us  have 
future  discussions  on  this  question.    Ed.] 


MATERIA  MEDICA  NOTES. 

By  j;  p.  Edgar,  El  Paso,  Texas. 

Morphia  Sulph  has  the  symptom:  **I11  effects  of  light- 
ning; cannot  suffer  much  heat  afterwards." 

Why  not  use  this  remedy  in  potency?  if  called  to  attend 
a  person  who  has  been  injured  by  electricity  in  some  way — 
some  life  yet  there— the  body  not  fully  disorganized. 

A  suggeston,  desiring  verification:  Asafoetida  and  Verat. 
*alb  (Allen's  repertory)  have  ill  effects  of  electricity. 

At  meeting  of  I.  H.  A.  an  abnormality  was  reported  as 
relieved  and  maybe  cured,  by  Conium,  the  remedy  being 
selected  by  comparative  deduction. 

Amelioration  after  coition,  and  for  a  short  time  after- 
wards. 

Conium  has  aggravation  from  enforced  continence  and, 
reading  between  the  lines,  from  that  symptom  Conium  was 
selected  rendering  relief;  whether  it  will  be  complete  or  not 
is  to  be  demonstrated. 

Camphora  has  relief  of  toothache,  from  coition,  and 
might  be  considered  if  needed  in  that  patient,  or  by  Hahne- 
mannians,  for  similar  conditions  with  their  patients;  verifica- 
tions are  always  useful. 


The  Medical  Advance 

A   Monthly  Journal   of  Hahnemannian  Homeopathy 
A  Study  of  Methods  and  Results. 


When  we  liave  to  do  with  an  ni-t  ^vlK)se  end  is  the  '-avlriK  of  human  life  nn y  neglect 
to  wake  ourselves  thorough  mastors  of  It  be<oiiie!4H  irlrne.— IIahnkmann. 

Subscription  Price     -     -     -     -    Two  Dollars  a  Year 


We  believe  that  Homeopathy,  well  understood  and  faithfully  practiced, iias 
^ower  to  *nxve  more  llv^s  and  reiU've  more  pain  than  any  other  method  of  treat- 
ment ever  invented  ov  discovered  by  man;  Out  to  he  a  flrst-class  homeopathic  pre- 
■crlber  requires  careful  study  of  tx»th  patient  and  ren»edy.  Yet  by  patient  car©  it 
can  Imj  made  a  little  plainer  and  easier  tiian  it  now  is.  1*0  explain  and  define  and 
In  all  prac'ical  ways  simplify  it  is  cur  chosen  ^ofk.  In  this  good  work  we  ask 
your  help. 

To  accommodate  both  readers  and  publisher  this  journal  will  (utuntl 

arrears  are  paid  and  it  Is  ordered  discontinued . 

Corumunlcations  regarding  Subscrlpt^ns  and  Advertisements  may  be  sent  to 
ibe publisher.  The  Forrest  Press.  Hatavla,  lilinois. 

<'ontrit)uil()ns.  Exchanges.  H(X)ks  for  Heview,  and  r.l\  other  communications 
should  be  addressed  to  the  Kditor,  6142  Washington  Avenue,  Chicago. 


DECEMBER,    1908. 


lEbitoriaU 


ALUMNI  OF  HOMEOPATHIC  COLLEGES. 

In  the  response  of  Dr.  R.  S.  Copeland,  Dean  of  the  New 
York  Homeopathic  College  to  the  congratulatory  addresses, 
the  following  significant  and  somewhat  startling  announce- 
ment was  made  in  regard  to  the  obligations,  morale  financial 
and  ethical,  which  the  alumni  of  all  our  colleges  owe  their 
Alma  Mater; 

You  have  been  the  recipients  of  a  broad  and  liberal  education.  Tak- 
ing the  average  of  a  number  of  years  past,  in  addition  to  the  fees  you 
paid,  the  graduation  of  each  one  of  you  cost  the  trustees  of  our  college 
$1.2GG.  You  still  owe  the  institution  that  amount.  It  is  not  expected, 
of  course,  that  this  obligation  rests  upon  you  in  so  direct  and  personal  a 
way  as  to  demand  a  return  of  that  sum  of  money.  But  you  neglect  youp 
duty,  I  am  sure,  unless  you  make  some  effort,  moral  or  material,  to  repay 
your  Alma  Mater  for  what  it  cheerfully  did  for  you.    For  every   dollar 


EDITORIAL.  825 

you  left  with  the  Registrar  you  received  in  return  $3.43.  On  this  ac- 
count, with  1100  living  graduates,  the  amonut  due  to  the  institution  from 
the  alumni  is  $1,400,000.  I  believe  the  trustees  will  approve  my  proposi- 
tion to  take  $1,000,000  and  cancel  the  debt. 

This  means  that  our  duty  to  our  mother  college  does  not 
cease  when  we  receive  the  well-earned  and  coveted  parch- 
ment on  commencement  day.  There  are  obligations,  moral 
and  professional,  due  and  to  be  paid  from  each  of  us,  but 
very  few  appear  to  recognize  them.  Each  alumnus  can  do 
much  to  cancel  this  indebtedness  if  he  or  she  will. 

In  the  plain  matter  of  fact,  dollar  and  cent  way,  in  which 
Dr.  Copeland  puts  it,  every  one  can  see  his  duty,  for  what 
applies  to  one  college  applies  to  all;  and  the  renaissance  of 
homeopathic  enthusiasm  which  began  at  Kansas  City  and 
was  duplicated  at  Chicago  Beach  Hotel  in  June  1908,  ought 
not  to  be  soon  forgotten  by  the  homeopaths  of  America.  Our 
ranks  need  recruiting  to  supply  the  call  for  homeopathic 
physicians  from  every  state  in  the  Union.  If  our  alumni 
will  fill  the  class  rooms,  the  colleges  will  do  the  rest.  Send 
us  the  students  and  cancel  the  debt  you  owe  Alma  Mater. 


COMPULSORY  MEDICINE. 

The  Health  Commissioner  of  Chicago  proposes  to  take 
drastic  measures  in  the  prevention  and  cure  of  diphtheria . 
With  the  use  of  Antitoxin  he  believes  diphtheritic  cases  in 
large  numbers  are  unnecessary. 

In  the  Health  Bulletin,  issued  November  30th,  he  says: 
* 'Physicians  will  be  instructed  to  administer  Antitoxin  to  all 
'contacts'  as  well  as  to  all  patients  suffering  from  diphtheria. 
If  the  physicians  will  not  do  it,  we  will  do  it  for  them.  We 
can  stamp  out  diphtheria  just  as  we  did  small-pox." 

We  recently  published  a  fatal  case,  taken  from  the 
Jouimal  oj  the  A.  Ji.  A.  in  which  Antitoxin  was  administered 
as  a  prophylactic  to  a  healthy  man  and  the  dose  was  fatal  in 
a  few  minutes.  The  Journal  recently  requested  information 
from  practitioners  as  to  their  experience  in  regard  to  this 
use  of  Antitoxin.  Dr.  Herbert  P.  Gilmore,  of  Cuba,  N.  Y., 
reports,  in  the  October  3rd  issue,  twenty -\hree  cases  where 


826  THE  MEDICAL  ADVANCE. 

more  or  less  serious  results  followed  the  prophylactic  use  of 
diphtheria  Antitoxin.  Of  these  twenty -three,  ten  died,  others 
were  seriously  affected,  but  ultimately  recovered  more  or 
less  completely. 

The  conclusion  arrived  at  by  the  editor  is,  that:  "There 
is  a  certain  element  of  danger  in  any  form  of  horse  serum  in 
subjects  who  suffer  from  any  form  of  respiratory  embarrass- 
ment," and  in  the  fatal  cases  **the  heart  continues  to  act  long 
after  respiration  has  ceased."  Yet  in  the  face  of  this  fatahty 
from  one  practitioner,  the  Health  Commissioner  proposes  to 
make  the  prophylactic  use  of  Antitoxin  compulsory  in  all 
cases  that  have  come  in  contact  with  a  diphtheritic  patient. 

In  the  same  issue  the  leading  editorial  is  devoted  to 
"Prevention  of  the  Fatal  Intoxication  that  Sometimes  Fol- 
lows Sero- Therapy,"  and  claims  that  the  manufacturer  of 
the  serum  is  not  at  fault.  Of  course  not!  He  did  not  ad- 
minister the  Antitoxin,  he  only  made  it.  The  same  may  be 
said  of  Morphine,  Cocaine,  Arsenic  and  every  other  poison. 
It  is  the  use,  not  the  manufacture. 

It  is  not  many  years  since  Koch  discovered  his  tuber- 
culin serum  and  proclaimed  it  not  only  as  a  cure  but  as  a 
prophylactic.  A  few  months  use  of  the  serum  demonstrated 
the  fact  that  it  frequently  produced  fatal  intoxication.  In 
the  case  of  Koch's  Tuberculin,  further  fatal  cases  were  pre- 
vented by  not  using  it,  for  its  general  use  was  promptly 
abandoned.  Why  not  do  the  same  thing  with  diphtheria 
Antitoxin?  Instead  of  that  the  Health  Commissioner  pro- 
poses to  make  its  use  compulsory  and  "if  the  physicians 
do  not  do  it,  we  will  do  it  for  them  " 

We  very  much  doubt  if  the  law  gives  him  this  authority. 
He  may  quarantine,  but  he  cannot  dictate  treatment.  The 
Illinois  Supreme  court  has  decided  that  compulsory  vaccina- 
tion is  unconstitutional,  under  the  laws  of  the  State,  and  the 
same  may  be  found  true  with  the  compulsory  use  of  diph- 
theria Antitoxin. 

Our  contemporary,  The  Homeopathic  Recorder^  asks  a 
leading  question  in  this  connection.  "These  deaths  were  no 
doubt  lawful,   but*  would  they   be   lawful  under  any  other 


EDITORIAL.  827 

system  of  medicine?"  Suppose  the  homeopathic  physician 
had  a  remedy  that  was  being  used  in  the  treatment  of  any 
disease  with  such  fatal  results,  what  would  the  Health  Com; 
missioner  do?  It  is  probable  the  physician  employing  such 
treatment  would  be  promptly  arrested  and  tried,  if  not  for 
his  life,  at  least  for  malpractice.  As  we  look  at  it,  this 
'^slaughter  of  the  innocents"  is  entirely  unnecessary  and  un- 
called for.  It  may  be  scientific,  and  in  that  sense  it  may,  be 
legal;  but  it  is  an  unjustifiable  experiment,  and  if  compul- 
sory prophylaxis  is  necessary  let  it  be  safe.  Homeopathic 
prophylaxis  is  always  safe  and  much  more  efficient,  yet, 
what  would  be  thought  of  the  official,  state  or  city,  who 
would  order  the  general  use  of  homeopathic  prophylactic 
measures  in  diphtheria,  scarlatina  or  variola? 


THE  PHARMACOPEIA  OF  THE  A.  I.  H. 

In  the  November  Recorder  Dr.  C.  M.  Boger  replies  to  the 
Pharmacopeia  committee  as  follows: 

The  logical  deduction  is,  that  because  no  matter  can  be  demonstrated 
beyond  the  12th  potency,  therefore  all  such  preparations  are  offi- 
cially tabood,  and  if  your  bill  passes  congress,  will  belong  to  the  class 
of  outlawed  nostrums.  You  surely  don't  expect  any  sane  homeopath  to 
put  such  a  gag  in  his  own  throat,  to  say  nothing  of  the  pseudo-scientific 
attitude  which  it  assumes.  It  is  the  old  warfare  over  again  when  log* 
icians  finally  doubt  everything  but  their  own  existence. 

This  kind  of  clap-trap  may  appeal  to  a  certain  class  of  minds,  but  it 
is  indeed  deplorable  that  it  should  be  found  among  men  who  call  them- 
selves homeopaths. 

In  V Art  Medicate,  Br.  Jousset,  in  writing  of  ** Hahne- 
mann's troublesome  hypothesis"  upon  drug  dynamization, 
claims  there  is  demonstrable  drug  action  in  the  30th  Hahne- 
mannian  potency.  Here  is  a  resume  of  his  experiments  for 
the  benefit  of  the  committee: 

I  have  taken  the  trouble  to  demonstrate  by  means  of  experiments 
performed  during  the  last  twelve  months  in  the  laboratory  of  the  St. 
Jacques'  Hospital,  that  the  thirtieth  dilutioD  of  salts  of  silver  and  mer- 
cury, made  according  to  Hahnemann'd  method  (i.  e.,  with  thirty  separate 
bottles),  has  still  an  incontestlble  action  upon  the  development  of  Asperg- 
iUux  niger.  I  can  therefore  affirm  that  the  thirtieth  Hahnemann ian  dilu- 
tion has  an  action  upon  the  living  cell, but  I  am  still  waiting  to  hear  th(  t 
similar  experiments  have  demonstrated  the  action  of  the  20,000 dilution 


828  THE  MEDICAL  ADVANCE. 

This  action  was  demonstrated  by  W.  P.  Wesselhoeft 
years  ago  in  an  absolutely  unanswerable  paper  in  the  Med- 
ical Advance  and  transactions  of  the  I.  H.  A. 

And  he  might  go  even  further  and  say,  that  hundreds  of 
homeopathic  physicians  have  clinically  demonstrated  that 
not  only  the  thirtieth  but  the  200th,  1,000th  and  even  the 
millionth,  did  curative  work  every  time  and  everywhere, 
when  the  remedy  is  carefully  selected.  Notwithstanding 
the  opinion  of  the  scientists  who  are  members  of  the  Pharma- 
copeia committee  we  maintain  that  they  must  offer  better 
reasons  than  they  have  already  done  before  this  work  should 
become  the  legal  Pharmacopeia  of  the  homeopathic  pro- 
fession. 


THE  OFFICIOUS  HEALTH  BOARD. 

Under  the  influence  of  blind  zeal,  the  offspring  of  igno- 
rance, the  Chicago  Commissioner  of  Health  is  offending  the 
medical  profession,  exercising  tyranny  over  certain  business- 
es, interfering  with  the  rights  of  individuals  to  choose  their 
own  doctors  and  treatment,  and  drilling  the  police  and  the 
school  nurses  to  interfere  with  the  private  practice  of  phy- 
sicians. 

The  methods  of  the  Health  Board  favor  the  abuse  of 
medical  charity  and  tend  to  array  the  medical  profession  as 
a  whole  against  it  instead  of  for  it.  The  following  clipping 
from  the  Chicago  Examiner  indicates  that  the  Chicago  Medi- 
cal Society  is  going  to  resist  the  impertinances  and  officious- 
ness  of  the  commissioner. 

A  spirited  war  of  words  is  on  between  City  Health  Commissioner 
Evans  and  critics  of  his  administration  among  the  medical  profession, 
who  charge  he  has  "fostt^red  the  abuse  of  medical  charities"  and  exer- 
cised ''unnecessary  interference  m  the  treatment  of  contagious  diseases." 
Allegations  that  free  rhedical  care  and  nursing  have  been  given  to  pa- 
tients able  to  pay  for  the  services  are  at  the  bottom  of  the  hostilities. 

The  attacks  on  the  commissioner's  work  first  app.ared  in  the  form 
of  a  resolution  drafted  by  President  C.  W.  Leigh  of  the  North  Shore 
branch  of  the  Chicago  Medical  Society,  published  in  the  current  bulle- 
tin of  the  society,  issued  last  Saturday. 

The  first  step  in  the  campaign  to  have  the  society  go  on  record  as 


EDITORIAL.  819 

condemning  the  methods  of  the  Health  Departmeot  as  "unlawful  and 
unethical"  will  be  taken  this  eveninsf  at  a  meeting  of  the  Douglas  Park 
branch.  At  this  gathering,  which  will  be  held  at  Gad's  Hill  Settlement, 
South  Robey  and  Twenty-second  streets,  the  resolution  will  be  present- 
ed. On  Tuesday  it  will  be  offered  at  a  meeting  of  the  North  Shore 
branch.  The  Council  of  the  Chicago  Medical  Society  will  be  asked  to 
adopt  it  at  its  January  session, 

••This  fight  is  not  only  against  indiscriminate  medical  charity  by 
the  Health  Department,  but  the  abuse  of  the  free  dispensary  and  free 
clinic  all  along  the  line,"  said  Dr.  Leigh,  author  of  the  resolution,  yes- 
terday. '*Not  only  have  the  poor  received  medical  attention,  but  it  has 
not  been  denied  to  people  amply  able  to  pay." 

The  resolution  demands:  *' Measures  to  eradicate  the  abuse  of  med- 
ical charities;  that  school  nurses  be  kept  from  practicing  medicine:  that 
the  Health  Department  cease  unnecessary  interference  with  the  private 
practitioner  in  the  treatment  of  infectious  and  contagious  diseases;  that 
the  department  cease  to  vaccinate  children  whose  parents  are  able  to 
pay  for  such  a  service." 


THE  INAUGURATION  OF  DEAN  COPELAND. 

The  reception  and  banquet  of  the  Alumni  Association  of 
the  New  York  Homeopathic  Medical  College  and  Flower 
Hospital  and  the  inauguration  ceremonies  of  the  new  dean. 
Royal  S.  Copeland,  A.  M.,  M.  D.,  were  held  at  the  Hotel 
Astor,  Friday  evening,  December  4th. 

In  the  receiving  line  were: 

Hon.  M.  B.  Gary,  President  of  the  College  Corporation. 

Royal  S.  Copeland,  Dean,  New  t^ork  Medical  College. 

Clarence  Bartlett,  representing  Hahnemann^  Medical 
College,  Philadelphia. 

Howard  R.  Chislett,  Dean,  Hahnemann  Medical  College, 
Chicago. 

Helen  C.  Palmer,  Dean,  New  York  Medical  College  for 
Women. 

John  P.  Sutherland,  Dean,  Boston  University  School  of 
Medicine. 

George  Royal,  Dean,  College  Homeopathic  Medicine, 
University  ol  Iowa. 

Wilbert  B.  Hinsdale,  Dean,  Homeopathic  College,  Uni- 
versity of  Michigan. 


830  THE  MEDICAL  ADVANCE. 

Charles  E.  Walton,  Dean,  Pulte  Medical  College,  Cin- 
cinnati. 

Henry  C.  Allen,  Dean,  Hering  Medical  College,  Chicago. 

Hamilton  F.  Biggar,  Honorary  President,  American  In- 
stitute of  Homeopathy. 

John  Prentice  Rand,  President  of  the  Alumni  Associa- 
tion. 

The  reception  took  place  promptly  at  6:30  in  the  beau- 
-  tifully  decorated  parlor  adjoining  the  banquet  hall.     About 
three  hundred  guests  accepted  the  invitation  and  nearly  all 
appeared  to  be  present. 

The  doors  were  opened  to  the  banquet  hall  at  7:30  and 
the  banquet  and  decorations  were  fully  up  to  the  high  stand- 
ard set  by  the  former  entertainments  of  the  kind. 

The  Alumni  Association  and  the  officers  having  the  cel- 
ebration in  charge  may  certainly  be  proud  of  this  inaugura- 
tion banquet.  Nothing  but  praise  was  expressed  on  every 
hand  for  the  complete  arrangements  and  the  promptness 
with  which  everything  on  the  program  passed  off. 

The  president  of  the  Association,  Dr.  Rand,  made  an- 
admirable  toast-master.  He  evidently  had  occupied  the  po- 
sition before.  The  various  brief  speeches  of  the  deans  of 
the  several  colleges  were  witty,  interesting,  and  some  of 
them  eloquent,  and  all  speakers  were  enthusiastically  re- 
ceived. 

New  York  has  rectiived  one  of  the  ablest  and  most 
popular  men  in  the  school  for  its  new  Dean,  and  notwith- 
standing all  the  compliments  which  were  showered  on  him 
and  at  him  by  every  speaker,  we  know  he  is  not  vain  enough 
to  think  this  was  alone  a  personal  demonstration;  it  was  not 
Copeland,  but  the  cause;  it  was  not  the  Dean,  but  Homeo- 
pathy; it  was  not  the  Alumni  Association,  but  the  College, 
for  which  this  magnificent  demonstration  was  given,  and  it 
will  long  be  remembered  by  everyone  fortunate  enough  to 
have  been  present.  The  cause,  not  the  man,  was  the  key- 
note of  every  speaker. 

The  enthusiasm  for  Homeopathy  which  was  voiced  by 
every  College  Representative   will  be  re-echoed  in  everjr 


EDITORIAL.  831 

part  of  the  country.  The  New  York  Homeopathic  College 
has  taken  an  advance  step  in  the  teaching  of  the  principles 
of  our  school.  The  faculty,  one  and  all,  is  harmonious  and 
is  doing  good  work  in  therapeutics,  work  that  has  not  been 
done  since  the  time  of  Dunham,  Allen,  Deschere  and  Lilli- 
enthal. 

Saturday,  December  5th,  a  medical  clinic  was  held  in 
the  college,  at  10  o'clock,  by  Dr.  Rabe,  who  illustrated  the 
taking  of  the  case  and  the  selection  of  the  remedy  from 
BOnninghausen's  Repertory,  and  one  old  practitioner  who 
was  present  remarked:  *'What  would  I  not  have  given  if  I 
could  have  received  such  instruction  during  my  college  days." 

At  11  o'clock  there  was  a  surgical  clinic  in  the  Helmuth 
amphitheatre,  conducted  by  William  Todd  Helmuth. 

At  noon  the  Alumni  Committe  was  addressed  by  H.  D. 
Schenk,  Chairman  of  the  Alumni  Committee. 

A  lunch  was  served  at  the  College  at  12:30,  and  after 
lunch  the  guests  boarded  a  steamer  at  the  foot  of  63rd  Street 
for  the  Metropolitan  Hospital,  where  the  members  of  the 
hospital  board  explained  the  various  features  of  interest 
connected  with  the  hospital.  This  is  the  largest  general 
hospital  in  the  United  States,  and  clinics  were  held  by  Drs. 
Harrington,  Howard  and  Laidlaw.  And  thus  ended  the  first 
popular  inauguration  of  the  Dean  of  a  Homeopathic  College 
ever  held  in  the  United  States. 


Oklahoma  State  Board  of  Medical  Examiners.     The 

next  State  Medical  Examination  occurs  at  Chickasha,  Okla- 
homa January  12,  13  and  14.  There  are  many  fine  locations 
for  homeopaths  in  this  new  state;  many  towns  from  2,000 
to  15,000  have  no  homeopath. 

There  are  two  homeopaths  on  the  new  State  Medical  Ex- 
amining Board,  Dr.  Hensley,  Oklahoma  City,  and  Dr.  D.  W. 
Miller  of  BlackweH,Okla.  Pour  homeopaths  took  the  exam- 
ination at  Muskogee,  Nov.  10,  11  and  12,  the  first  session  of 
the  new  Board,  The  Oklahoma  Institute  of  Homeopathy 
pledged  $25.00  to  the  national  fund  to  promote  Homeopathy. 

D.  W.  Miller. 


NEW  PUBLICATIONS. 

THE  PHYSICIAN'S  VISITING  LIST,  for  1909. -P.  Blakiston's  Soa 
&  Co.,  1012  Walnut  St.,  Philadelphia,  Pa.     Price  fl.OO. 

This  is  the  5Bth  annual  appearance  of  this  popular  work. 
It  has  been  recognized  all  these  years  as  a  standard  visiting 
list,  by  American  physicians,  or  it  would  not  have  continued 
its  annual  visits,  hence  the  only  conclusion  is,  that itis  worth 
all  the  merit  it  has  received. 

During  the  life  of  this  little  book,  medical  science  has 
made  rapid  progress  in  every  direction,  and  the  publishers 
have  evidently  endeavored  to  *'keep  up  with  the  procession," 
by  improving  the  book  from  year  to  year.      The  publishers 

say: 

^'It  has  been  seen  and  used  by  ihe  raostof  the  famous  American  med- 
ical men  and  investig-ators,  as  well  as  by  thousands  of  others  whose 
names.perhaps,  were  never  known  beyond  their  own  local  scenes,  but  who, 
nevertlieKss,  have  done  a  large  share  toward  the  total  sum  of  human 
happiness.  It  has  made  many  long  journeys  in  saddle-baps  and  bu^crjes; 
to-day  it  is  traveling  in  automobiles.  It  has  been  at  the  death-beds  of 
rich  and  poor,  famous  and  infamous  alike,  and  its  volumes  hold  the  life 
records  of  numberless  physicians.'' 

Hi:  U/:  II  AN  i)  i;i':  \[^TV.  By  John  V.  Shoemaker,  M.  D.,  LL  D., 
i'rof  >  u  cf  Tlutciia  Medica,  Pharmacolof^y,  Therapeutics  and  Clin- 
ical ATLviiciiio,  and  Clinical  Professor  of  Diseases  of  the  Skin  in  the 
M(*mi  o-Chirurgical  (College,  Philadelphia;  Physician  to  the  Modico 
Chirurgical  Hospital;  President  of  the  American  Therapeutic  So- 
ciety; Member  of  the  American  Medical  Association,  the  American 
Academy  of  Medicine,  the  British  Medical  Association;  Kellow  of 
the  Medical  Society  of  London,  etc.  Royal  Octavo,  pp.  476  Bound 
in  P]xtra  Cloth,  Beveled  Edges.  Price,  $3.00,  net.  F.  A.  Davis 
Company,  Publishers,  1914:  Cherry  St.,  Philadelphia.  Pa. 

This  work,  of  nearly  r)00  pages,  is  the  culmination. of 
years  of  thought  and  labor  by  its  distinguished  author.  It  is 
intended  not  only  for  the  professional,  but  for  the  layman; 
it  is  a  subject  which  is  of  interest  to  every  woman  especially; 
and  in  this  department  a  chapter  will  be  found  devoted  to  the 
'^inrtuence  of  beauty  in  human  society,"  illustrated  by  quota- 
tions drawn  from  works  of  poets  and  fiction,  recognized  by 
the  world  as  standard  authorities. 


NEW   PUBLICATIONS.  -  833 

Chapter  XI,  on  the  '^Education  of  the  Body,"  giving  a 
history  of  the  results  of  physical  exercises,  in  the  gymnasi- 
um, the  army  and  elsewhere,  from  the  palmy  days  of  the 
Greeks  and  their  Olympic  games,  to  the  present  rage  for  rol- 
ler skating,  is  alone  worth  tlie  entire  cost  of  the  book  and 
will  many  times  repay  its  study. 

Health  and  beauty  are  closely  allied,  the  latter  de- 
pending upon  the  former,  and  this  is  nowhere  better  or  more 
clearly  expressed  than  in  the  condition  of  the  skin.  Herbert 
Spencer  has  said,  it  is  '*that  surface  by  which  we  come  in 
contact  with  the  universe;"  hence  it  is  so  essential  that  it 
present  a  good  appearance,  and  it  is  well-known  that  a  beau- 
tiful skin  can  only  be  found  where  there  is  perfect  health. 

The  author  points  out,  in  consecutive  chapters,  the  var- 
ious methods  by  which  health  may  be  influenced  by  climate, 
diet,  clothing,  ventilation,  bathing  and  exercise.  He  also 
discusses,  briefly,  some  of  the  diseases  to  which  the  hair  and 
nails— a  part  of  the  skin— are  subject,  and  finally  the  legi- 
timate employment  of  cosmetics. 

To  this  part  of  the  work  a  most  serious  objection  is  to 
be  offered,  for  a  perfectly  healthy  skin  can  never  be  obtained 
by  the  external  use  of  cosmetics  or  medicated  applications; 
in  fact,  the  treatment  of  skin  diseases  by  local  medicated  ap- 
plications, tends  to  make  diseases  of  the  body  as  well  as  of 
the  skin,  and  this  treatment  mars  an  otherwise  excellent 
work  on  health  and  beauty. 


SEX  IN  OFFSPRING,  by  Frank  Kraft,  M.  I).,  late  editor  of  the  Amer- 
ican Physician;  late  Secretary  of  the  American  Institute  of  Homeo- 
pathy;  a  modern  discovery  of  a  primeval  law.  12  Mo.  Pp.  115. 
B.  Borshuette,  Cleveland,  Ohio.     Price,  ^2.00,  prepaid. 

The  author  claims  that  he  has  discovered  a  law  determin- 
ing the  sex  of  offspring.  From  time  to  time  fragmentary 
articles  have  been  published,  and  a  number  of  writers  have 
proclaimed  the  same  thing.  These  Dr.  Kraft  describes  as 
an  addition  to  the  other  observations.  His  claim  is  that  he 
has  found  a  natural  law,  so  simple  and  obvious,  the  won- 
der   is    no    one  has  thought  of  it  before.      Perhaps  this 


834  THE  MEDICAL  ADVANCE. 

is  all  true,  for  Newton  discovered  the  law  of  gravitation 
by  seeing  an  apple  fall,and  was  the  first  one,apparently,wlio 
thought  to  ask  the  question,  why  it  did  not  fall  up  instead  of 
down.  Hahnemann  was  the  first  to  observe  the  natural 
law  in  therapeutics,  by  testing  Cinchona  bark  on  the 
healthy.  The  author's  investigations  have  convinced  him 
not  only  of  the  importance,  but  the  truth  of  this  discovery, 
and  claims  that  any  person  who  has  a  farm  and  farm  animals 
can  convince  himself  likewise,  by  applying  the  law  to  the 
breeding  of  his  live  stock.  In  this  discovery  a  new  field  of 
practice  both  interesting  and  profitable  is  open  to  the  physi- 
cian. 

The  law,  in  brief,  is  based  upon  the  fact,  that  lunar  in- 
fluence controls  the  processes  of  the  reproductive  system  in 
the  female;  that  such  processes  all  move  in  lunar  period  cy- 
cles; that  the  lunar  monthly  cycles,  and  its  product  operate 
in  rise  and  fall  under  the  lunar  influences,  that  the  ovum, 
while  it  lasts,  is  double  sexed,  constantly  alternating  from 
one  sex  condition  to  the  other,  in  i5<eriods  of  about  six  hours 
each.  The  ovum,  if  fertilized  during  one  period  develops  in- 
to a  male,  if  during  the  next  succeeding  period  a  female,  and 
this  again  in  rotation.  The  law,  he  claims,  accounts  for 
many  things  hitherto  inexplicable,  including  the  balance  of 
the  sexes  at  birth. 

On  account  of  the  sudden  illness  and  death  of  the  author, 
a  large  number  of  illustrative  cases  of  sex  determination,  in- 
tended for  the  work,  was  never  completed. 

HEREDITY  AND  PRENATAL  CULTURE,  Considered  in  the  Light 
of  the  New  Peychology,  by  Newton  M.  Riddle;  a  lecture  on  Hered- 
ity, Child  Culture,  Psychology,  Psychic  Phenomena,  Brain  Build- 
ing, etc.     Chicago.     1908.     Pp.  350. 

This  volume  is  intended  to  meet  the  increasing  popular 
demand  for  a  practical  treatise  on  heredity  and  prenatal  cul- 
ture. The  author  has  endeavored  to  reduce  the  facts  and 
laws  of  reproduction  to  definite  science,  and  to  present  them 
in  a  concise  non- technical  form,  in  order  that  thinking  pa- 
rents can  practically  apply  them.    Biological  problems  and 


NEW   PUBLICATIONS.  835 

theoretical  speculations  on  the  physical  basis  of  heredity 
have  evidently  been  avoided,  and  the  subject  presented  im 
the  light  of  the  new  psychology.  The  new  psychology,  th« 
efficacy  of  suggestion  in  life  building,  is  a  demonstrable  fact, 
and  has  no  doubt  come  to  stay. 

This  is  the  result  of  fifteen  years  spent  in  gathering  the 
subject  matter  and  preparing  a  work  that  would  be  helpful 
in  solving  the  problem  of  life  and  human  progress.  Over  a 
hundred  authors,  on  similar  and  kindred  subjects,  from  Dar- 
win, Heckel,  Spencer,  Drummond,  Huxley  and  Galton,  down 
to  the  present  days  of  Dewey,  Schuyler,  Anderson,  etc., have 
been  consulted,  but,  in  the  long  list  of  authorities,  we  fail  to 
recognize  one  of  the  greatest  of  them  all,  Swedenborg. 

This  is  a  valuable  contribution  to  the  subject,  and  every 
physician  should  have  a  copy  and  should  be  familiar  with 
its  contents,  for  there  are  many  subjects  here  discussed;  and 
many  cases  illustrated,  that  will  be  of  great  help  to  every 
homeopathic  physician  The  homeopath,  however,  will  be 
able  to  add  the  missing  link  in  the  problem,  viz.,  the  prena- 
tal treatment  of  the  child.  Here  is  where  our  law  of  simi- 
lars, practic  illy  applied,  is  capable  of  revolutionizing  the 
race,  and  of  its  beneficent,  all  powerful  work  the  author  has 
apparently  never  had  even  a  hint. 

The  work  is  well  printed,  with  side  heads  in  heavy  type, 
on  good  paper,  and  will  be  a  valuable  addition  to  any  library, 
for  the  physician  or  the  family. 

The  chapter  on  hereditary  criminality  reveals  some 
startling  statistics,  well  worth  the  study  of  every  physician. 

PUTNAM'S  NBW  MONTHLY  MAGAZINE,  or  as  it  is  now 
known,  PUrNAM'S  MONTHLY  AND  THK  RKADEK,  has  rapidly 
come  to  the  front  as  one  of  the  best  of  our  illustrated 
monthlies. 

The  December  number  contains  many  valuable  articles: 
The  one  on  Bulgaria,  The  Passion  Play  by  American  Indi- 
ans, As  Europe  Sees  Us,  are  among  many  of  the  able  arti- 
cles. 

We  congratulate  both  editor  and  publisher  on  giving  >us 
one  of  the  most  readable  and  interesting  of  American  month- 
lies. 


886  THE  MEDICAL  ADVANCE. 

DISEASES  OF  THE  NERVOUS  SYSTEM.  BjJohn  Eastman  Wfl- 
son,  A.  B.,  M.  D.  ProCesbor  of  the  Diseases  of  the  Nervons  system , 
New  York  Homeopathic  Medical  College  and  Flower  Hospital,  aod 
in  the  New  York  Medical  College  aod  Hoi^ital  for  Women;  Nen- 
rologist  to  the  Flower  Hospital,  Women's  Hospital,  Hahnemann 
Hospital,  Laura  Franklin  Free  Hospital  for  Children,  St.  Marj*s 
Hospital,  Passaic,  N.  J.,  and  Consulting  Neurologist  to  the  State 
Hospital,  Middletown,  N.  Y.  Pp  5<H).  Cloth  $3  50.  Half  Mo- 
rocco $4.50.  Boericke  &  Ilunyon,  New  York  and  Philadelphia, 
1908. 

This  work  is  the  sequence  evidently  of  the  writer's  lec- 
tures upon  Nervous  Diseases,  rounded  out  and  completed  so 
as  to  furnish  students  and  general  practitioners  a  concise 
description  of  the  etiology,  pathology  and  differential  diag- 
Mosis  or  as  the  author  puts  it,  **a  simple  dogmatic  statement 
ot  neurological  facts."  The  majority  of  books  of  this  class 
are  too  bulky,  too  elaborate,  too  technical,  for.  the  student 
or  busy  practitioner.  A  few,  on  the  other  hand,  are  too 
brief,  too  much  condensed  to  be  practical.  The  author  evi- 
dently has  aimed  to  strike  the  happy  medium,  to  give  the 
anatomical  facts  in  such  a  form  that  they  can  be  readily  re- 
ferred to,  and  under  these  limitations  many  statements  are 
necessarily  dogmatic. 

In  the  preface  the  author  says: 

The  medicinal  treatment  of  many  nervous  diseases  is  at  present  eor- 
sidered  to  be  futile,  so  far  as  cures  are  concerned,  and  the  physicians  of 
all  schools  are  driven  to  symptom atological  prescriptions  and  to  pallia- 
tires.  Under  Buch  conditions  we  have  a  right  to  feel  that  we  are  the 
best  symptom  hunters  yet  evolved,  and  that  by  faithful  work  we  may 
occasionally  chancre  the  classical  prognosis;  for  this  reason  the  literature 
of  our  school  has  been  diligently  searched  for  remedies  that  are  indi- 
oatedf  and  also  for  those  giving  some  clinical  basis  for  their  employ- 
ment. 

In  everything  that  goes  to  make  up  a  practical  work  on 
the  Diseases  of  the  Nervous  System  this  work  appears  to  be 
almost  ideal  for  the  general  practitioner,  and  where  an  at- 
tempt is  made  to  treat  these  diseases  the  compilations  and 
therapeutic  suggestions  are  as  complete  as  can  be  found 
anywhere.     We  doubt  if  the   author  or  anyone   else  could 


NEW  PUBMCATION^S.  837 

have  done  any  better  in  the  building  of  a   book  on   these 
lines. 

But  for  the  Hahnemannian  the  treatment  of  a  nervous 
or  ally  other  disease  iu  the  way  laid  down  here  must  neces- 
sarily be  empirical.  No  two  persons  can  have  any  nervous 
disease  in  the  same  way  or  can  present  the  same  symptoms; 
«.  g.,  on  page  163:  **If,  therefore,  the  case  is  rheumatic,  we 
should  at  once  think  of  Bryonia,  Rhus,  Actea  or  Apis."  No, 
that  is  not  homeopathic;  any  one  of  fifty  other  remedies 
might  be  equally  well  indicated  as  those  above  mentioned. 
Or  again:  *'In  alcoholic  cases  the  usual  prescription  will  be 
either  Nux  vom.  or  Actea;"  as  if  Nux  vom.  or  Actea  were 
the  only  remedies  for  alcoholics!  Asarum,  Opium,  Rhus, 
Sulphur  or  a  hundred  others  may  fit  certain  ca^es  for  which 
the  symptoms  of  the  patient  (not  alcoholism)  call. 

Again,  on  page  274,  the  author  says: 
Phyuioloj^ical  medujine  luaialy  relies  upon  Strycbniainsome  dosi^e, 
lo  the  atrophies,  Gowers  says  that  by  the  mouth  it  is  ot  no  value,  but 
the  nitrate,  hypodermatically,  id  valuable.  He  bejrins  with  a  dose  of 
MOOth  of  a  grain  daily,  cautiously  increaS' d  to  15th.  It  has  ariested 
very  bad  cases.  Srarr  does  not  believe  in  it,  but  would  rather  giv.*  it 
by  the  mouth,  I-50oh  of  a  grain  dally  for  four  days,  and  then  Arsenic 
l-50th  the  other  three  days  of  the  week. 

Here  the  opinions  of  Gowers  and  Starr  differ  materially, 
and  this  is  necessarily  true  of  all  other  writers  on  the  same 
subject.  It  is  the  ipse  dixit  of  their  experience  and  is  not 
based  upon  natural  law  in  the  medical  world.  This  same 
difference  of  opinion  will  be  found  in  the  writings  of  every 
nerve  specialist  in  the  homeopathic  ranks  when  they  attempt . 
to  treat  nervous  diseases  and  overlook  the  patient.  The 
work  is  well  illustrated  chiefly  with  original  drawings. 

AN  ENGLISH-CHINESE  LEXICON  OF  MEDICAL 
TERMS,  prepared  by  Dr.  Philip  B.  Cousland,  has  just  been 
published  in  Shanghai.  Though  the  author  is  an  English- 
man by  birth,  he  has  based  his  book  largely  upo|i  the  Medi- 
cal Dictionary  of  Dr.  George  M.  Gould,  of  Philadelphia,  a 
high  compliment  to  American  scholarship.  Dr.  Cousland  al- 
so has  recently  published  a  translation  of  Prof.  Halliburton's 
edition  of  Kirkes'  Physiology. 


FROM  THE  FIELD. 

Dr.  George  M.  Cooper  announces  the  removal"  of  his 
oflSce  to  1809  Chestnut  street,  Philadelphia.  Residence 
Bryn  Athyn,  Pa. 

The  death  is  announced  of  Elnora  L.  Wheeler,  wife  of 
Dr.  J.  D.  Graybill,  of  New  Orleans,  on  Nov.  5,  1908.  He 
will  have  the  sympathy  of  his  colleages  in  his  sorrow. 

DR.  P.  N.  (iROULEFF,  Goteborg,  Sweden,  was  recent- 
ly fined  for  practicing  Homeopathy  in  his  private  sanitarium. 
On  appeal  to  the  highest  court  the  decision  was  reversed, 
and  the  doctor  was  declared  free  from  all  resp)onsibility, 
because  the  homeopathic  remedies  were  not  drugs  under  the 
medical  practice  act.  Thus  Drs.  Axel  and  Grouleff  are  now 
practicing  Homeopathy  in  their  native  land,  but  under  many 
difficulties. 

Dr.  Clara  Sterling,  demonstrator  of  Anatomy  in  Hering 
Medical  College  has  accepted  a  po  iition  as  resident  physici- 
an in  the  new  institute  for  the  treatment  of  tuberculosis  at 
Hartland,  Wis.,  a'suburb  of  Milwa  ikee.  Th3  institute  has 
recently  been  opened  under  tlie  muiagement  of  Dr.  Milcon 
Rice  as  president  and  medical  dire  -tor,  with  a  corps  of  ten 
surgeons  and  i^hysicians  on  the  staff.  The  best  means 
known  to  science  will  be  used  and  the  medical  treatment 
will  be  strictly  Hahnemannian. 

Hotel  Citronelle,  Alabama,  on  the  Mobile  & 
Ohio  R.  R.,  about  30  miles  north  Of  Mobile,  is  located  on  a 
high,  rolling  plateau  of  pine  forests,  the  highest  point  on 
the  coast  survey  between  the  Rio  Grande  River  and  the 
coast  of  Maine.  The  hotel  is  furnished  with  electric  lights, 
thoroughly  heated,  sanitary  in  all  its  arrangements,  and  an- 
nounces that  it  is  open  for  the  reception  of  winter  tourists. 
Sorry  we  cannot  go  South. 

For  the  benefit  of  homeopathic  families,  Dr.  A.  M.  Duf- 
field,  one  of  the  best  homeopaths  in  the  South,  is  available. 

The  Metropolitan  Hospital,  New  York,  is  in  search  of 

nurses: 


NOTES  FROM  THET  FIELD.  889 

The  School  is  registered  and  offers  a  three  years'  course 
of  training. 

An  allowance  for  current  expenses  is  made  as  follows: 
$10.00  a  month  for  the  firist;  $12.00  the  second,  and  $15.00 
the  third  year. 

Applicants  must  be  over  21  and  under  35  years  of  age, 
and  have  one  year  in  High  School,  or  its  equivalent.  Class- 
es formed  every  two  months. 

Dr.  Dewitt  G.  Wlleox,  after  a  sojourn  in  Buffalo  of 
22  years,  during  eighteen  of  which  he  was  Chief  Surgeon  in 
the  Lexington  Heights  Hospital,  announces  his  removal  to 
Boston,  where  he  will  be  associated  with  Dr.  M.  W.  Emer- 
son, Prof,  of  Surgery  in  the  Bostx>n  University  Medical  Col 
lege,  and  proprietor  of  the  Emerson  Hospital.  This  move 
will  be  a  great  surprise  to  the  profession,  as  Dr.  Wilcox  was 
looked  upon  as  one  of  the  fixtures  in  Buffalo.  His  associa- 
tion with  Dr.  Emerson  will  form  a  strong  surgical  partner- 
ship, and  as  they  propose  to  enlarge  the  present  hospital  of 
40  to  60  beds  or  more,  it  will  make  one  of  the  most  complete 
private  hospitals  in  the  city. 

The  reputation  which  Dr.  Emerson  has  throughout  New 
England,  where  he  stands  in  the  front  rank  of  Boston  sur* 
geons,  and  the  reputation  which  Dr.  Wilcox  carries  with 
him  from  the  West,  equally  good  and  equally  extensive,  will 
give  Boston  a  private  surgical  institution  of  which  every 
member  of  the  profession  may  be  justly  proud. 

The  Mayo  Brothers  in  Rochester,  Minn,  have  been  a 
great  object  lesson  to  the  profession,  demonstrating  what 
two  men  can  do  by  working  together  harmoniously ,  unitedly; 
and  we  trust  that  this  surgical  partnership  may  be  as  success- 
ful in  Boston  as  it  has  in  Minnesota.  If  so,  it  will  enable 
one  of  the  members  of  the  firm  to  have  the  freedom  of  along 
vacation  and  the  advantage  of  travel  and  study  to  increase 
the  technique  and  skill  of  the  operator.     Success. 

Boericke&  Runyon,  the  Homeopathic  Pharmacists 
11  West  42nd  Street,  New  York,  are  apparently  doing  an  ac- 
tive business  in  snakes.  The  firm  has  secured  another  live 
snake,  a  Lachesis  Mutus,   in  fine   condition,   from  which   a 


840  THE  MEDICAL  ADVANCE. 

quantity  of  virus  has  been  extracted.  The  genuineness  of 
the  reptile  is  attested  by  Prof.  R.  L.  Ditmars,  Curator  of  the 
Zoological  Gardens  in  New  York. 

The  firm  now  have  secured  fresh  preparations,  tritura- 
tions and  various  potencies  of  the  Lachesis  Mutus  (Bush-mas- 
ter), and  the  Lachesis  Trigonocephalus  (Lance-headed  vi- 
per, and  are  prepared  to  furnish  either  or  both  as  may  be 
desired. 

The  enterprize  of  this  pharmacy  certainly  deserves  re- 
cognition. At  great  expense  they  secured  a  true  Lachesis 
Trigonocephalus,  and  after  doing  so  the  question  arase  as  to 
whether  it  was  the  one  from  which  Dr.  Hering  obtained  the 
original  virus  with  which  the  provings  of  Lachesis  were 
made.  It  was  finally  decided  that  it  was  the  Lachesis  Mutus 
which  Hering  employed,  and  after  considerable  trouble  and 
further  expense  the  firm  has  now  secured  a  living  specimen 
of  the  Lachesis  Mutus. 

This  work  has  not  been  done  apparently  for  financial 
gain,  a&  the  entire  amount  of  Lachesis  sold  by  all  the  phar- 
macies in  the  country  in  the  course  of  a  year  amounts  to 
Very  little,  a  mere  fraction  of  the  expense  attending  the^  se- 
curing of  a  single  reptile. 

When  Hering  first  announced  a  proving  of  Lachesis, 
many  homeopathic  physicians  declined  to  use  it,  because  they 
could  not  secure  it  in  the  tincture,  and  now  for  the  same  rea- 
son apparently  many  members  of  the  homeopathic  profession 
have  lost  confidence  in  the  efficacy  of  Lachesis,  because  it 
was  not  a  fresh  preparation,  hence  the  desire  of  Boericke  & 
Runyon  to  do  away  with  this  senseless  objection. 

Our  experience  is  that  Lachesis,  if  properly  selected  and 
administered,  works  every  time  and  everywhere  notwith- 
standing its  age.     The  remedy   in   the  dynamic  form,   well 
protected  is  good  for  a  life  time.     But  a  great  many,   appar- 
ently, expect  Lachesis  to  cure  a  Sulphur  case,   irrespective 
of  the  symptomatology, and  these  prescribers  frequently  say, 
'*Lachesis  is  the  remedy,  but  I  am  afraid  to  trust  it.    Would 
that  somebody  might  give  us   a  fresh   supply  I''      And  now 
that  this  firm  has  given  us  a  fresh  supply  of  both   varieties, 
the  profession  can  obtain  any  potency,  low  and  weak  or  hi 
and  strong,  and  that  too  a  fresh  one,  when  required.      A 
sincerely  hope  that  the  enterprise  of  the  pharmacists  w 
be  followed  by  a  little  more  enterprise  on  the  part  of  t 
profession  in  selecting  the  remedy,  and  hence  better  succf- 
and  less  fault  finding  with  Lachesis. 


jL-iPiPEiKriDrK:. 


WHAT  IS  HOMEaPATHY?* 

*By  Royal  S.  Oopeland,  A.  M.  M.  D.,  Ann  Arbor,  Michigan. 

*'When  years  after  his  death  the  world  agrees  to  call  a 
man  great,  the  verdict  must  be  accepted.  The  historian 
may  whiten  or  blacken,  the  critic  may  weigh  and  dissect, 
the  form  of  the  Judgement  may  be  altered,  but  the  central 
fact  remains,  and  with  the  man,  whom  the  world  in  its 
vague  way  has  pronounced  great,  history  must  reckon  one 
way  or  the  other,  whether  for  good  or  ill."  But  to  properly 
measure  a  man,  long  since  dead,  we  must  know  something 
of  the  time  in  which  he  lived;  something  of  hife  environment, 
something  of  his  contemporaries.  If,  as  was  Hahnemann's 
<5ase,  the  subject  of  our  study  belonged  to  one  of  the  learned 
professions,  we  must  know,  not  only  his  own  personal  at- 
tainments, but  also  how  these  compare  with  the  most  ad- 
vanced thought  of  the  medical  leaders  of  his  time. 

Samuel  Hahnemann,  born  in  Saxony,  a  century  and  a 
half  ago,  was  the  founder  of  the  Homeopathic  School. 
Medicine,  in  his  day  was  a  mass  of  chaotic  and  unscientific 
pretence.  Disease  was  looked  upon  as  due  to  the  presence 
in  the  blood  of  certain  so-called  humors  or  morbid  products. 
The  removal  of  these  by  means  of  large  doses  of  powerful 
^rugs,  the  nature  of  whose  action  upon  the  organism  was 
not  understood,  was  considered  necessary  to  the  restoration 
of  health.  It  was  thought  that  drawing  large  quantities  of 
blood  from  the  body  accomplished  this;  therefore,  without 
regard  to  the  nature  of  the  disease  which  affected  them,  all 
patients  were  bled.  Disease  was  considered  to  be  a  material 
-entity,  which  had  to  be  destroyed,  without  regard  to  the 
-effect  on  the  body  of  the  measures  and  drugs  employed. 
Besides  many  drugs  yet  familiar  to  the  profession,  it  was 
oommon   practice  in  that  time   to  prescribe   such  things  as 

*By  invitation  of  the  Regular  Homeopathic  Society,  this  address 
was  delivered  in  the  Chicago  Public  Library,  Dec.  3rd,  1007.  The 
audience  was  made  up  of  laymen,  as  well  as  physicians,  and  for  that 
reason  the  thesis  was  couched  in  popular  language. 


2  THE  MEDICAL  ADVANCE. 

hearts  of  vipers,  earth  worms,  green  lizards,  live  frogs^ 
river  crabs,  and,  to  quote  from  a  famous  old  prescription, 
**shavings  of  a  man's  skull  that  dy'd  a  violent  death." 

In  opiX)sition  to  the  prevailing  crude,  and  disgusting 
ways  of  treating  disease,  Hahnemann  proposed  the  simple 
and  scientific  method  which  has  become  the  rule  and  guide 
of  a  great  and  growing  profession.  Hahnemann  and  Home- 
opathy are  so  intimately  related  that  to  think  of  one  must 
be  to  consider  the  other.  The  Hahnemann  of  history  lives 
in  the  Homeopathy  of  reality.  To  properly  estimate  Hahne- 
mann, the  physician,  we  must  take  the  record  of  the  multi- 
tude of  his  cures.  To  appreciate  Hahnemann,  the  scientist, 
we  must  consider  the  man  who  promulgated,  for  the  first 
time  in  history,  a  law  of  practice  universal  in  its  application. 
It  was  not  alone  for  the  eighteenth  century  and  for  Germany: 
it  was  lor  the  twentieth  century  and  for  us. 

The  ordinary  man  is  satisfied  with  his  surrounding  and 
contented  if  he  possess  the  talents  common  to  most  of  his 
professional  brethren.  The  legal  standard  is  high  enough 
for  him  and  as  we  all  know,  that  requires  of  every  physician 
simply  an  average  degree  of  intelligence  and  average  pro- 
fessional skill.  The  men  in  medicine  who  have  taken 
l^ositions  far  in  the  lead  of  their  colleagues  are  conspicuously 
few  in  number.  By  the  very  nature  of  his  calling,  his  vital 
relation  to  human  life,  the  physician  is  conservative,  ultra 
cx)n8ervative  in  fact.  He  knows  enough  of  the  human  or- 
ganism to  realize  it  is  not  a  machine  to  be  dealt  with  as  the 
mechanical  engineer  deals  with  the  problem  presented  him. 
Furthermore,  the  human  organism  differs  from  the  machine, 
too, — the  doctor's  problem  has  a  throat  and  it  is  capable  of 
vocal  protest  against  would-be  experimenters. 

This  prejudice  against  innovations  in  medical  practice 
has  prevailed  for  all  time;  indeed  it  is  so  pronounced  that  in 
some  countries  it  has  been  customary  to  mete  out  punish- 
ment to  the  practitioner  departing  from  the  recognized  and 
standard  methods  of  treatment.  In  old  times,  burning  at  the 
stake  and  burying  alive  have  been  favorite  rewards  for  the 
genius  who  thought  to  attach  his  name  to  an  advanced  idea 


WHAT  IS  HOMEOPATHY?  3 

in  medicine.  The  modern  way  is  not  so  trying  physically, 
but  Samuel  Hahnemann  in  his  life-time  could  testify  to  per 
secutions  most  vexatious. 

But  in  spite  of  opposition  from  a  profession  naturally 
unprogressive  and  unnaturally  jealous,  Hahnemann,  the 
physician  and  scientist,  promulgated  a  theory  of  cure  and  a 
method  of  drug  administration  which  for  a  hundred  years 
have  proven  to  be  an  unconquered  fortress  against  the 
assaults  of  every  foe.  To-day,  this  theory  of  cure,  while 
unaccepted  by  the  dominent  school,  as  a  law  of  nature,  is 
verified  in  every  procedure  of  its  practitioners,  at  least,  in 
every  procedure  regarded  by  those  therapeutic  agnostics  as 
being  among  the  certainties,  the  verities  of  practice. 

With  the  consideration  of  Hahnemann's  method  of  drug 
administration,  our  cup  of  joy  o'erfloweth.  Ridiculed  and 
laughed  at  for  a  century,  the  scientific  world  has  come  to 
admit  that  Hahnemann  was  the  chief  scientist  of  his  time. 
Not  only  so,  but  his  doctrine  of  the  efficiency  and  increased 
efficacy  of  drugs  in  infinite  dilution  is  accepted  to-day  in 
every  laboratory  of  the  world. 

LIFE   AND   HEALTH. 

To  the  lay  mind,  health  and  disease  are  terms  which 
define  conditions,  one  desirable  and  the  other  to  be  avoided. 
Beyond  this  vague  mental  description  no  further  thought  is 
given  the  problems  which  vex  and  perplex  the  scientists 
and  divide  the  medical  profession  into  great  factions  or 
**schools."  With  the  conflicting  ^nd  vacillating  opinions  of 
the  past,  it  was  necessary  to  be  something  of  a  mental  gym- 
nast to  keep  abreast  of  the  rapidly  changing  ideas  of  scienti- 
fic thinkers.  Fortunately,  however,  this  chaotic  condition 
is  giving  way  to  an  orderly  arrangement  of  established  facts 
and,  to-day,  we  know  for  a  certainty  many  very  interesting 
things  about  health  and  disease. 

It  is  now  believed  that  life  depends  upon  the  activity  of 
the  bodily  cells.  Going  from  the  gross  mass  of  the  body  to  the 
separate  and  distinct  tissues  and  from  these  to  their  minuest 
XX)rtions,  it  has  been  determined  that  the  smallest  possible 
division  of  living  matter,   capable  of  form  and   function,  is 


4  THE  MEDiCAi:^  ADVANCE. 

tbe  cell.  The  infimtesimal  siie  of  4^e  cell  is  aosnetMng 
amaeing;  in  the  liver,  for  instanoe,  it  has  been  found,  bj 
careful  measurements  and  estimates,  that  a  single  cubic  inch 
of  that  organ  consists  of  156,000  million  separate  and  distinct 
cells! 

Health  depends  upon  the  well-being  of  every  cell  of  the 
body.  The  cells  must  be  nourished  and  refreshed,  waste 
products  must  be  carried  away,  and  new  material  supplied 
as  required.  In  the  light  of  present  knowledge,  disease  con- 
sists of  some  disturbance  in  the  metabolism  of  the  cell.  By 
this  term,  metabolism,  we  mean  the  balance  or  equilibrium 
which  exists  between  food  supply  and  waste;  normally,  this 
condition  is  reached  when  the  active  cell  constantly  receives 
and  assimilates  precisely  the  right  amount  of  exactly  the 
proper  food.  In  disease  i\is  balance  is  disturbed;  insufficient 
or  improper  food  interferes  with  the  cell,  causing  it  to  be 
over-active  or  under-active,  or  to  die.  Then  the  individual 
becomes  conscious  of  certain  symptoms  which  are  indicative 
of  disease,  and  the  physician's  duty  b^ins. 

THE  SMALL  DOSE. 

With  this  much  scientific  knowledge,  briefly  stated 
though  it  is,  the  lay  mind  wiU  at  once  appreciate  that  medi- 
cine, to  be  of  use  to  one  of  these  bodily  cells,  must  be  ad- 
ministered in  such  form  and  quantity  as  such  an  infinitesi- 
mal thing  is  capable  of  receiving.  One  might  as  well 
attempt  to  patch  a  pin  prick  with  one  of  the  pyramids  as  to 
expect  a  tea  spoonful  of  medicine  to  be  appropriated  by  a 
cell.  Only  a  very,  very  minute  portion  of  such  a  dose,  re- 
latively so  enormous,  can  be  appropriated  by  the  diseased 
cell;  the  untouched  portions  of  the  dose  are  in  the  system  as 
a  menace  to  myriads  of  other  cells,  which  may  and  probably 
will  be  poisoned  by  the  unwelcome  drug.  Perchance  the 
cell  or  cells  originally  diseased  may  be  restored  to  health, 
but  the  patient  has  gone  from  Scylla  to  Charybdis  by  having 
thrust  upon  him  an  illness  quite  as  bad  or  worse,  the  direct 
result  of  drug  action/ 

The  quantity  of  medicine  to  be  given  in  each  dose  bears 
no  essential  relation  to  Homeopathy;  it  is  the  privilege  of 


WHAT  IS  HOMEOPATHY?  5 

the  prescriber  to  administer  a  grain,  an  ounce,  or  any  amount 
which  appeals  to  him  as  required  by  the  patient.  The  home- 
opathic physician  believes,  however,  that  the  * 'minimum 
dose"  should  be  administered,  that  is,  that  the  smallest 
possible  quantity,  capable  of  relieving  the  need  of  the  patient, 
should  be  given.  This  is  the  ideal  prescription,  because  it 
exactly  supplies  the  demand  of  the  diseased  cells,  without 
disturbing  other  normal  cells.  In  practice,  therefore,  the 
homeopathist  usually  dispenses  small  doses. 

The  popular  notion  that  the  strength  or  power  of  a 
chemical  is  in  direct  proportion  to  its  mass,  is  no  longer  the 
view  of  scientific  men.  It  is  now  held  that  a  very  small 
amount  of  a  drug  or  chemical,  when  perfectly  dissolved  in 
water  or  some  other  liquid,  is  much  more  potent  than  a 
thousand  times  as  much  of  the  same  chemical  in  the  dry  state 
or  imperfectly  dissolved.  This  is  the  teaching  in  every 
laboratory  of  the  world.  Practical  application  of  this  fact  is 
found  in  the  modern  use  of  blue  vitriol  in  purifying  water. 
A  quantity  so  small  as  to  have  no  effect  upon  the  cells  of  the 
human  body  is  yet  capable  of  causing  the  death  of  certain 
algae  which  possess  a  selective  affinity  for  this  particular 
chemical. 

In  the  human  body  the  cells  of  particular  parts  possess 
this  same  selective  affinity  for  certain  drugs  or  chemicals. 
When  an  infinitesimal  amount  of  silver,  for  instance,  is  taken 
into  the  system,  it  may  be  found  in  certain  tissues  of  the 
brain  and  always  there,  when  it  cannot  be  discovered  else- 
where. Thus  it  is  apparent  that  when  any  cell  of  the  body 
lacks  a  given  element  necessary  to  its  well  being,  its  power 
of  selection  of  the  missing  element,  or  **tissue  proclivity", 
as  it  is  termed,  enables  it  to  appropriate  the  same  from  the 
blood  stream  if  it  be  there  in  ever  so  minute  quanti- 
tv  s. 

It  will  be  seen,  therefore,  that  the  efficiency  of  the 
small  dose  and  the  capability  of  the  human  system  to  appro- 
priate and  utilize  medicine  administered  in  minute  quantities 
are  facts  based,  not  upon  a  vagary  of  the  imagination,  but 
upon  the  most  modern  of  accepted  truths. 


6  THE  MEDICAL  ADVANCE. 

THE  LAW  OF  CURE. 

Not  only  does  the  homeopathic  physician  prescribe  the 
**minimum  dose,"  but  also,  in  selecting  the  remedy  for  given 
symptoms  of  disease,  he  employs  a  fix;ed  formula,  expressed 
by  the  Latin  phrase,  SimllM  similibus  curantur,  translated 
*'Similars.  are  cured  by  similars,"  i.  e.,  like  ailments  aire 
cured  by  like  remedies.  The  possible  existence  of  a  law  of 
cure  is  denied  by  the  dominent  school.  The  latter  scoffs  at 
the  '^theory  of  Similars,"  and,  in  prescribing,  depends  largely 
upon  experimental  and  empirical  methods.  That  is,  the 
physician  of  the  dominant  school  in  treating  scarlet  fever, 
for  instance,  tries  this,  that,  and  the  other  remedy,  which  he 
thinks  might  possibly  be  of  some  use,  until  he  hits  upon  one 
which  seems  to  control  the  issue  of  the  disease.  Or  he  pre- 
scribes in  the  condition,  this,  that,  or  the  other  remedy, 
which  has  obtained  a  reputation  for  usefulness  in  this  disease. 
The  first  of  these  methods  is,  of  course,  experimental,  and 
the  second  empirical  in  the  extreme.  Besides  these,  ex- 
cluding the  use  of  remedies  which  act  simply  in  a  clinical 
sense  as  neutralizing  agents,  a  physician  of  the  dominent 
school  has  but  one  other  method  of  therapeutic  procedure. 
This  is  to  prescribe  **allopathically,"  that  is,  to  give  a 
remedy  which,  by  reason  of  its  drug  action,  produces 
symptoms  the  opposite  to  those  induced  by  the  disease.  To 
illustrate;  If  the  patient  have  fever,  some  drug  is  given  to 
forcibly  hold  the  heart,  thus  preventing  its  rapid  action  with 
the  resulting  increase  of  temperature;  or,  in  flagging  heart, 
the  organ  is  whipped  on  and  forced  into  more  rapid  action 
by  the  administration  of  a  stimulant,  )ike  whiskey  or  strych- 
nine. Such  practice  is  too  often  fatal  in  its  results  and,  in 
any  case,  the  reaction  from  or  secondary  effect  of  such  treat- 
ment is  bound  to  be  pernicious. 

With  no  fixed  formula  and  no  unity  of  thought  regarding 
the  use  of  medicine,  every  physician  of  the  dominent  school 
is  authority  unto  himself  in  the  selection  of  his  remedies. 
The  result  is,  that  for  any  given  disease,  or  set  of  symptoms, 
there  may  be  as  many  different  prescriptions  as  there  are 
doctors  of  the  dominent  school . 


WHAT  IS  HOMEOPATHY?  7 

SECTARIANISM. 

The  homeopathist  is  frequently  called  by  the  dominant 
school  a  sectarian  and  in  terms  of  opprobrium  accused  of 
sectarianism.  Homeopathy,  then,  is  a  sect.  Does  it  there- 
fore differ  in  this  respect  from  the  other  school?  The  word 
sect  is  defined  as  *'a  body  of  persons  distinguished  by 
peculiarities  of  faith  and  practice  from  other  bodies  adhering 
to  the  same  general  system."    It  is  a  party  or  faction. 

In  the  light  of  this  definition,  the  accepted  one,  is  the 
dominant  school  free  to  cast  stones?  Let  us  pause  a  moment 
to  inquire  into  their  practice. 

Hare  of  Philadelphia  declares  his  faith  in  the  usefulness 
and  efficacy  of  drugs  as  a  means  of  restoring  health. 

Osier  absolutely  abandons  drugs  and  looks  upon  them 
as  useless  and  many  times  harmful. 

Abbott  advocates  the  alkaloids  as  universally  applicable 
and  beneficial. 

Trudeau  disregards  internal  medication  and  considers 
the  out-of-door  life  and  forced  feeding  as  the  essentials  in 
practice. 

Kellogg  considers  disease  only  in  its  relation  to  meta- 
bolism, and,  standing  in  the  high  place  of  liberal  medicine, 
broad  and  unsectarian,  proclaims  to  all  the  world  that  the 
vegetable  diet  is  the  one  and  only  means  of  cure  for  suffer- 
ing humanity  I 

General  Terry  wrote  me  recently,  saying  that  every 
patient  admitted  to  the  Battle  Creek  Sanitarium  has  a  most 
careful  examination,  blood  count,  chemical  analyses  of  the 
excretions  and  secretions,  but,  strange  to  say,  all  paths  lead 
to  the  one  goal— the  * 'shadow"  diet. 

Studying  the  announcements  of  the  specialists,  the 
wondering  sufferer  discovers  that  Dr.  A.  uses  electricity  ex- 
clusively. The  '*life  currents^'  are  disturbed,  and,  to  follow 
nature's  way  of  cure,  electricity  is  the  proper  treatment  for 
all  diseases.  Dr.  B.  depends  upon  photo- therapy.  The 
X-ray,  the  Pinsen  light,  the  Leucodescent  light— in  one  of 
these  is  healing  for  the  nations.  But  along  comes  Major 
Woodruff  who   says   nay  to  all  this.     Sunlight  he  declares, 


8  THE  MEDICAL  ADVANCE. 

is  fatal  to  the  nervous  system,  and  to  live  long  and  be  happy 
one  must  keep  in  the  valley  of  shadows;  the  mortality  rate 
is  highest  where  the  light  is  brightest,  and  longevity  is  pro- 
moted by  dwelling  in  the  rainy  and  gloomy  regions  of  the 
earth. 

The  next  specialist  consulted  is  a  rythmo-specialist, 
who  has  a  jiggling  machine  for  every  vital  part.  In  com- 
mon with  the  hydro- therapeutist  he  seeks  to  increase  phago- 
cjrtosis  and,  by  active  or  passive  hyperemia,  to  accomplish 
the  healing.  Then  there  are  the  serum-therapy  and  the 
organotherapy  specialists.  Neither  must  we  overlook  the 
prophylactic  doctors  who  discover  the  germ  and  dispatch  it 
ere  it  begins  its  deadly  work. 

We  have  now  reached  the  last  letter  of  the  alphabet  and 
find  here  the  zy mo- therapy  specialist  who,  to  the  horror 
of  that  other  non-sectarian.  Dr.  Kellogg,  feeds  his  patients 
upon  meat,  thereby,  he  says,  increasing  the  antitoxins  in  the 
blood  and  neutralizing  the  products  of  germ  life. 

In  all  candor,  is  it  fair  of  a  profession  so  broken  into 
parties  and  factions,  each  party  and  each  faction  so  ex- 
clusive in  its  ideas  of  therapeutics — is  it  fair,  for  the  ad- 
herents of  that  school  to  accuse  the  homeopathist  of  sectar- 
ianism? Like  Saul  of  Tarsus,  they  breath  out  threatenings 
and  slaughter  against  the  disciples  of  a  mistaken  idea,  yet 
they  are  as  narrow,  as  sectarian  indeed,  as  they  believe  the 
homeopathist  to  be. 

Your  speaker  has  no  desire  to  be  bitter  or  unkind.  He 
numbers  in  his  friendships  and  remembers  in  his  prayers 
many  followers  of  the  other  practice.  But  we  do  not  believe 
the  diverse  practices  of  the  dominant  shool  show  a  remarkable 
degree  of  scientific  exactness. 

THF:   CF.KTAINTY   OF   THE   LAW. 

'All  this  is  different  in  Homeopathy.  For  a  given  set  of 
symptoms,  no  matter  where  the  homeopathic  physician  was 
educated,  or  where  he  may  practice,  be  it  in  Maine  or  Cali- 
fornia, the  Dominion  of  Canada  or  the  British  Isles,  *'from 
Greenland's  icy  mountains,  from  India's  Coral  strand'*  the 
remedy  selected  will   be   the  same.     As  in  the  selection  of 


WHAT  IS  HOMEOPATHY?  9 

glasses  for  a  definite  error  of  refraction,  scientific  oculists 
from  one  end  of  t>ie  World  to  the  other  will  reach  the  same 
conclusion  as  to  the  need  of  the  patient;  so,  in  homeopathic 
practice,  definite  and  positive  symptoms  of  disease  will  call 
for  the  same  remedy  with  every  prescriber. 

The  reason  for  this  marked  difference  between  th^ 
schools,  as  has  been  said,  is  because  the  homeopathic  physi- 
cian believes  that  in  disease  and  health  there  are  certain 
laws,  as  there  are  in  every  other  department  of  the  physical 
world,  while  the  physician  of  the  dominant  school  denies 
this,  or  at  least  denies  the  value  of  the  so-called  law  of 
Similars.  It  is  not  possible,  perhaps,  to  explain  the  rationale 
of  this  law  of  cure,  but  the  homeopathist  is  not  the  only 
scientist  forced  to  acknowledge  ignorance  of  the  underlying 
laws  of  his  specialty.  Where  is  the  physicist  who  can  ex- 
plain the  law  of  accelerated  motion  or  the  law  of  magneto- 
electric  induction,  or  the  law  of  gravitation?  He  can  demon- 
strate the  law  by  showing  experiments  to  verify  it.  but  to 
■ensibly  or  convincingly  explain  why  or  how,  he  cannot. 

The  theologian  has  the  same  difficulty  with  the  doctrine 
of  the  immaculate  conception  and  the  chemist  can  hardly 
account  for  some  of  the  chemical  affinities  familiar  as  work- 
ing truths.  Thus  it  may  be  excused  the  homeopathist,  per- 
haps, if  he  fail  to  scientifically  account  for  the  theory  of 
similars.  It  is  the  conclusion  of  the  homeopathic  profession 
that  this  theory  affords  a  working  hypothesis  satisfactorily 
accounting  for  certain  medical  phenomena,  and  the  terms  of 
which,  outside  of  purely  chemical  processes  already  referred 
to,  evenj  certain  procedure  known  to  the  medical  profession  can 
be  explained.  Further,  in  order  that  the  lay  mind  may  not 
misunderstand  its  position,  it  is  claimed  by  the  homeopathic 
school  that  every  single  remedy,  known  to  have  curative 
properties  in  the  relief  of  disease,  acts  in  harmony  with  and 
is  prescribed,  even  if  unknowingly  so,in  accordance  with  the 
theory  expressed  in  the  phrase,  Sim  ilia  similibas  curantur. 

The  dominant  school  today,  therapeutic  skeptics*  as  they 

The  skepticism,  almost  nihilism,  as  reg^ards  the  value  of  remedies,  of 
the  dominant  school;  is  shown  by  this  quotation  from  one  of  its  eminent 


10  THE  MEDICAL,  ADVANCE. 

admit  themselves  to  be,  certify  to  four  sure  remedies — 
mercury  in  syphilis,  quinine  in  malaria,  salicylate  of  soda  in 
rtieumatism,  and  iron  in  anemia.  The  most  radical  of  the 
dominent  school,  denying  the  homeopathicity  of  these 
remedies,  would  admit  that  the  poisonous  action  of  each  is 
remarkably  similar  to  the  disease  it  has  power  to  cure.  If 
time  and  space  permitted,  in  addition,  your  speaker  would 
attempt  at  least  some  citations  of  remarkable  scientific  facts 
which  exist  and  which  apparently  vindicate  the  claims  of 
8imilia,  but  enough  has  been  shown  to  prove  that  the  entire 
homeopathic  practice  and  such  of  the  practice  of  the  domi- 
nent school  as  is  conceded  by  that  school  to  be  of  positive 
therapeutic  value,  are  in  harmony  with  and  are  explained 
by  the  theory  of  Similars.  It  is  not  begging  the  question, 
tiierefore,  to  leave  the  matter  here  and  claim  that  until  future 
generations  find  a  better  hypothesis  we  have  the  right  to 
accept  the  theory  of  Similars  as  the  law  of  cure. 

THE    VAT.UE   OF   THE    LAW, 

One  who  has  observed  the  great  variety  of  symptoms 
met  in  different  types  of  typhoid  fever,  or  any  other  disease, 
will  at  once  appreciate  the  value  of  a  system  which  seeks 
to  select  a  remedy  suited  to  the  particular  case  inhand,andto 
differentiate  it  from  all  other  remedies  useful  in  other  types 
of  the  same  disease.  It  is  not  enough  to  treat  a  disease  by 
name,  as  is  the  practice  of  the  dominent  school,   or  to  pre- 

exponents,  Prof.  H.  C  Wood,  in  the  preface  of  his  '^Treatise  on  Thera- 
peutics:"' ''Experience  is  said  to  be  the  mother  of  wisdona.  Verily  she 
has  been  in  medicine  rather  a  blind  leader  of  the  blind,  and  the  history 
of  medical  progress  is  the  history  of  a  man  ^ropinjf  in  the  darkoess 
finding:  st  eming^  g^ems  of  truth,  one  after  another,  only  in  a  few  minutes 
to  cast  each  back  into  a  heap  of  forgotten  baubles  that  in  their  day  had 
ulso  been  mistaken  for  verities.  Narrowing"  our  graze  to  the  regular  pro- 
fession to  a  few  decades,  what  do  we  see*:'  Experience  teaching  not  to 
bleed  a  man  for  pneumonia  is  to  consign  him  to  an  unopened  grave^  and 
experience  teaching  that  to  bleed  a-  man  suffering  with  pneumonia  is  to 
consign  him  t(»  a  grave  never  opened  by  nature.  Looking  at  the  revo- 
lutions of  the  past,  listening  to  the  therapeutic  babel  of  the  present,  is 
it  a  wonder  that  men  should  take  refuge  in  nihilism,  and  like 
Jotus  eaters  dream  tnat;all  alike  is  folly,  that  rest  and  quiet  and  calm 
are  the  only  human  fruitionsV" 


WHAT  IS  HOMEOPATHY?  1 1 

scribe  for  a  disease  because  of  the  peculiar  manifestations 
which  are  common  to  all  cases  of  the  same  disease.  The 
remedy  must  be  selected  to  fit  the  special  symptoms  pre-, 
sented  by  the  individual  patient.  When  so  selected,  the 
remedy  fits  the  disease  as  the  wing  of  the  bird  fits  the  air. 
Any  other  method  of  prescribing  is  as  likely  to  result  in 
misfits  as  would  happen  in  a  ready  made  shoe  store  if  the 
ridiculous  rule  prevailed  that  to  every  soldier  customer  a 
No.  8  shoe  should  be  sold,  to  every  blacksmith,  a  No.  9  and 
to  every  farmer  a  No.  10.  Homeopathy  is  exact  in  its 
methods  and  employs  no  ready  made  garments  to  fit  its 
patrons,  regardless  of  form,  height  and  station.  Every 
garment  is  made  to  order  and  is  fitted  only  after  careful  con- 
sideration of  many  patterns. 

DISEASE  INCREASING. 

In  the  language  of  Dean  flinsdale  of  my  own  college,  I 
do  not  wish  to  consume  my  entire  time  in  an  arraignment  of 
the  profession  of  which  I  am,  at  least  legally,  a  qualified 
member.  The  conclusion  drawn  is,  in  part,  that  the  physi- 
cians have  been  human,  and  in  spite  of  whatever  liberal 
training  they  are  supposed  to  have  had,  their  horizon  has 
been  neither  regular  nor  broad.  Of  course,  old  school  mag- 
nanimity has  often  shown  itself,  Dr.  Hinsdale  continues.  A 
few  years  ago  the  American  Medical  Association  held  its 
meeting  in  the  city  of  St.  Paul.  At  that  meeting  its  learned 
president.  Doctor  Charles  A.  L.  Reed,  proclaimed  a  new 
school  medicine.  One  without  dogma,  gross  medication, 
absurd  attenuations,  ridiculous  anti-mineralism,  with  refined 
pharmacy  and  a  more  rational  therapy.  A  science  in  which 
all  may  delve,  a  school  of  human  tolerance  and  honesty, 
without  premium  upon  personal  prerogative,  no  proclamation 
of  completeness,  that  recognized  the  progressive  revelation 
of  truth  and  that  **greets  him  who  thinks,  though  he  think 
error.*'  The  doctor  wishes  to  live  in  a  democracy  of  medi- 
cine. Others  of  his  class  have  given  expression  to  similar 
views,  but,  perhaps,  with  less  liberality.  Their  drift  is  en- 
tirely away  from  medicine  as  a  system  of  therapeutics,  in 
favor  of  the  abandonment  of  drugs  altogether  preventive 
And  toward  preventive  medicine. 


12  THE   MEDICAL   ADVANCE 

*'No  one  restrains  the  ardent  desire  for  the  full  develop 
ment  of  the  new  science,  Preventive  Medicine,  or  the  hope 
that  the  time  may  come  when  the  causes  of  diseases  are 
stamped  out.  When  tuberculosis,  malaria,  yellow  fever, 
cholera,  plague,  typhus  and  typhoid,  small-pox,  djphtheria^ 
and  all  the  other  infections  and  contagions,  together  with 
drug  poisonings,  like  slavery  and  feudalism  are  only  known 
historically  to  have  prevailed  among  men,  the  medical  mil- 
lennium will  have  arrived  and  the  doctor,  as  he  has  been 
known  or  as  we  know  him  will  be  extinct.  Until  that  takes 
place,  the  functions  of  the  ordinary  practitioner  of  medicine 
will  be  with  the  concrete,  actual  presence  of  the  results  of 
infection  and  other  morbid  changes. 

**A  pitiable  tale  is  told  by  Manager  of  United  Hebrew 
Charities,  Prankel,  of  New  York.  Prom  the  census  reports 
he  demonstrates  that  the  death  rate  per  100,000  for  the  most 
common  diseases  increased  during  the  decade  between  1890' 
and  1900.  In  only  three  diseases  out  of  a  list  of  fourteen 
was  there  a  decrease,  viz.^  cholera  infantum,  diphtheria  and 
consumption.  The  decrease  in  diphtheria  the  doctor  will 
certainly  attribute  to  the  use  of  antitoxin,  which  is  not  par- 
ticularly a  sanitary  method  of  treatment.  Had  he  consulted 
the  rate  for  the  British  Islands  for  the  same  time,  he  would 
have  found  an  increase  in  diphtheria  rather  than  a  decrease. 
The  decrease  for  consumption  is  probably  due  to  sanitary 
precaution,  but  tuberculosis  is  not  the  only  pulmonary  plague. 
The  death  rate  for  pneumonia  is  about  the  same  as  that  for 
consumption.  In  some  localities,  pneumonia,  as  a  cause  of 
death,  leads  consumption.  The  percentage  of  decrease  in 
consumption  for  the  period  referred  to  was  about  twelver 
the  percentage  of  increase  for  pneumonia,  for  the  same 
period,  was  eleven.  The  decrease  of  the  one  pulmonary- 
disease  is  offset  by  the  increase  of  the  other. 

Sanitary  science  has  kept  back  many  pestilential  diseases 
from  our  shores,  and  seemed  to  bring  under  pretty  complete 
control  some  others  that  were  one  time  formidable;  but  it 
cannot  be  successfully  maintained  that  all  the  changes  in  the 
character  of  diseases,   the   ebbs  and  flows  of  disease  tides 


WHAT  IS  HOMEOPATHY?  13 

are  due  to,  or  are  controllable  by,  human  efforts.  Long 
periods  of  time  have  elapsed  .  when  certain  diseases  have 
seemed  almost  suppressed,  as  we  would  say,  naturally,  owing 
to  conditions  that  we  do  not  understand.  These  same 
diseases  break  forth  again  with  violence  and  sweep  over 
large  portions  of  the  world. 

*'In  spite  of  all  that  is  being  done  to  purify  water  sup- 
plies, in  1900  there  were  3,405  deaths  from  typhoid  fever  per 
100,000,  against  3,210  for  1890;  an  increase  of  189  per  1,000,- 
000.  It  is  probable  that  typhoid  fever  has  been  more  pre- 
valent for  the  past  two  years  than  it  was  when  the  statistics 
embodied  in  the  last  census  report  were  gathered. 

'* During  the  statistical  period  referred  to  there  was  an 
increase  in  diseases  of  the  stomach  of  338  per  100,.000.  The 
increase  in  cancer  is  alarming,  having  arisen  from  2,203  per 
100,000  to  2,837,  an  increase  of  636.  Diseases  of  the  circula- 
tory system,  by  which  is  meant  organic  defects  in  heart, 
arteries  and  veins,  are  becoming  more  deadly  both  in  this 
country  and  in  England.  During  1900  1,347  more  deaths 
from  heart  disease  occurred  than  in  1890.  There  were  as 
many  again  cases  of  angina  pectoris  in  1900  as  there  were 
ten  years  before.  The  number  of  deaths  from  diabetes  also 
doubled.  Bright's  disease  and  other  diseases  of  the  excre- 
tory organs  ^increase  annually  by  a  large  percentage.  Acci- 
dents and  suicides,  which,  of  course,  are  not  diseases  in  the 
ordinary  sense,  are  increasing  out  of  proportion  to  the  pop- 
ulation. Convulsions,  which  is  largely  a  condition  occurring 
in  childhood,  seem  to  decrease,  but  other  disorders  of  the 
nervous  system,  as  causes  of  death,  increased  by  ten  per 
cent.  These  statistics  may  be  taken  by  the  young  physician 
as  encouragement,  for  they  seem  to  promise  him  lucrative 
business  for  quite  a  time  yet." 

When  hygienic  improvements,  serum -therapy,  electric- 
ity, tubbing,  dietetics  and  other  experiments  have  failed  to 
accomplish  all  their  several  promulgators  have  promised  for 
them,  taking  advantage  of  all  there  is  good  in  them,  Dean 
Hinsdale  asks,  is  it  not  worth  while  to  turn  again  to  internal 
medication  as  a  mea^s  of  curing  a  part  of  what  cannot  be 


14  THE  MEDICAL  ADVANCE. 

prevented?  Of  all  branches  of  medicine,  therapeutics  has 
been  the  most  neglected.  As  has  been  said  it  has  been 
abandoned  by  a  great  many,  if  credence  is  to  be  placed  uxxm 
their  utterances. 

In  the  nature  of  things,  then,  the  public  must  turn  to 
Homeopathy  because  it  embodies  and  represents  faith  in 
therapeutics.  It  is,  indeed,  the  therapeutic  specialty.  But 
the  layman  investigating  Homeopathy  for  the  first  time  has 
a  right  to  ask  whether  or  not  it  is  a  success  in  practice. 
Homeopathy  must  prove  beyond  cavil  that  its  system  is  at 
least  the  equal  of  any  other  in  percentage  of  cures,  short 
duration  of  disease  and  low  death  rate.  It  is  not  incumbent 
upon  it  to  show  more,  but  it  is  greatly  to  its  advantage  to 
prove,  not  alone  its  equality  to  other  systems,  but  also,  if 
possible,  its  superiority.  If  its  results  are  equal  to  those 
shown  by  another  system  it  may  be  accused  of  adopting  the 
methods  of  that  school;  if  they  are  superior,  however,  either 
the  practice  is  actually  different  or  else  the  homeopathist 
has  a  way  of  more  successfully  employing  the  methods  of 
the  other  school.  In  either  event  the  public  will  be  satis- 
fied to  give  preference  to  the  homeopathic  physician. 

SUPERIORITY   OF   HOMEOPATHY. 

Statistics  are  not  always  reliable,  but  for  the  purpose  of 
the  present  discussion  there  seems  no  other  way  of  present- 
ing the  truthfulness  of  this  claim.  The  cities  of  Baltimore, 
Cincinnati,  Brooklyn,  Detroit,  St.  Paul,  Providence,  Denver, 
Indianapolis,  Syracuse,  Rochester,  Nashville  and  Seattle, 
are  selected  as  fairly  representing  every  variety  of  climate 
and  every  phase  of  therapeutic  practice.  Because  the  fig- ' 
ures  are  at  hand,  the  year  1894  is  chosen  and  it  is  no  more 
favorable  to  the  argument  than  any  other  year  would  prove 
to  be. 

During  that  year  the  practitioners  of  the  dominant 
school  in  these  cities  had  a  death  rate  in  measles  of  3  per 
cent.;  the  homeopathic  profession  lost  0.8  per  cent.  The 
mortality  rate  in  scarlet  fever  was  9.24  i)er  cent,  for  the  dom- 
inant school;  5.66  per  cent,  for  the  homeopathic.  The  ty- 
phoid fever  mortality  was  high   for  both  schools,   for  the 


WHAT  IS  HOMEOPATHY?  15 

dominant  school  22.56  per  cent.,  for  the  homeopathic  15.15 
per  cent.  These  figures  are  duplicated  wherever  the  two 
schools  are  brought  in  competition,  as  for  instance  in  Cook 
County  Hospital,  Chicago,  at  the  Uuiversity  of  Michigan, 
the  University  of  Iowa  and  the  University  of  Minnesota. 

Dr.  Edwards,  of  this  city,  professor  in  North  Western 
Medical  College,  in  his  1907  book  on  practice,  gives  the  allo- 
pathic mortality  in  pneumonia  in  private  practice  as  10  to  38 
per  cent.,  in  hospitals  33  to  50  per  cent.,  in  asylums  as  from 
50  to  100  per  cent.  Dr.  Dewey,  of  Michigan  University,  is 
authority  for  the  statement  that  the  homeopathic  mortality^ 
taking  all  these  classes  together  is  less  than  6  per  cent. 

Not  only  is  the  death  rate  very  much  reduced  by  hom- 
eopathic prescribing,  but  also  the  average  duration  of  the 
disease  is  shortened.  This  fact  was  shown  by  some  figures 
prepared  by  the  British  government,  whereby  it  was  demon- 
strated that  a  homeopathic  hospital  at  Melbourne,  Australia, 
treated  as  many  cases  of  typhoid  fever  as  a  hospital  of  the 
dominant  school  having  twice  as  many  beds. 

It  is  useless  to  multiply  figures:  they  all  lead  to  the 
same  conclusion.  The  eminent  Dr.  Osier,  recently  called  to 
Oxford  College  from  Johns  Hopkins  University,  admitted 
that  the  homeopathic  school  is  at  least  the  equal  of  his  own 
when  he  said:  **Nobody  has  ever  claimed  that  the  mortali- 
ty among  homeopathic  practitioners  was  greater  than  those 
of  the  regular  school."  But  the  homeopathic  profession 
claims,  and  without  fear  of  successful  contradiction,  that  the 
mortality  rate  among  its  practitioners  is  far  less  than  the 
mortality  in  the  dominant  school,  and  the  duration  of  the 
disease  much  shorter. 

'  SUBSTITUTION. 

It  is  customary  for  the  homeopathic  physician  to  dis- 
pense his  own  medicines.  This  fact  is  sometimes  put  for- 
ward as  an  argument  in  the  line  of  economy,  for  the  em- 
ployment of  this  school.  There  is  an  advantage  in  the  prac- 
tice greater  than  the  saving  in  drug  bills;  the  physician  him- 
self becomes  responsible  for  the  purity  and  the  accurate 
preparation  of  the  remedy.     Undoubtedly  many   a   practi- 


16  THE  MEDICAL  ADVANCE. 

tioner  of  the  dominet  school,  depending  upon  the  pharma- 
cist for  the  proper  filling  of  the  prescription  and  trusting 
that  it  will  fall  into  competent  hands,  suffers  defeat  in  the 
struggle  with  disease  because  of  "substitution,"  careless  or 
incompetent  preparation,  or  delay  in  filling  his  prescrip- 
tion. 

The  Medical  Record  stated  that  a  great  number  of  Chica- 
go apothecaries  are  liable  to  prosecution  for  selling  adulte- 
rated drugs.  This  prominent  journal  of  the  dominant 
school,  in  the  issue  of  Dec.  17,  1904,  says;  **Chemical  tests 
have  been  made  and  evidence  produced  which  proves  the 
presence  of  alien  matter  in  many  prescriptions  calling  for 
pure  drugs.  In  nearly  20  per  cent,  of  the  samples  obtained 
there  was  not  even  a  trace  of  the  drug  called  for  by  the  pre- 
scription. The  tests,  conducted  by  Dr.  John  A.  Wesener, 
showed  the  following:  23  prescriptions,  no  trace  of  the  drug 
called  for;  66  prescriptions,  80  per  cent,  impurities;  10  pre- 
scriptions, 20  per  cent,  impurities;  9  prescriptions,  10  i>er 
cent,  impurities;  81  prescriptions,  pure.''  A  similar  scandal, 
involving  New  York  City  druggists,  recently  stirred  the 
medical  profession  and  the  laity  of  that  metropolis. 

Besides  avoiding  the  possibility  of  substitution  there 
certainly  is  an  advantage  to  the  patient  in  having  the  rem-  • 
edy  prepared  on  the  spot  and  the  directions  regarding  its 
use  made  clear  by  explanations  of  the  physician  himself. 
Many  mistakes  and  many  failures  in  medical  practice  have 
resulted  from  the  indirect  methods  of  the  pharmacist  and 
the  brief,  unsatisfactory  directions  written  on  the  label  of 
the  medicine. 

OPIATES. 

While  the  homeopathic  physician  may  admit  the  oc- 
cassional necessity  for  prescribing  medicines  liable  to  induce 
drug  habits,  if  continuously  used,  yet,  as  a  matter  of  fact, 
this  procedure  is  rare  in  his  practice.  On  the  other  hand, 
there  is  no  denying  that  the  more  careless  of  the  practitioners 
of  the  dominant  school  have  been  responsible  for  the  de- 
velopment of  such  habits  and  have  made  inebriates  of  all  too 
many  patients.*     While  this  criticism  may  perhaps  apply  to- 

It  is  well  known  that  chronic  constipation  results  from  the  abuse  of 
laxatives  and  cathartics,  too  commonly  prescribed  by  physicians  of  the 
domiuant  school. 


WHAT  IS  HOMEOPATHY?  17 

-some  individual  members  of  the  homeopathic  profession,  it 
cannot  be  passed  upon  the  system  itself,  as,  it  is  sad  to  say, 
may  be  done  with  the  dominant  school.  This  writer  has  no 
desire  to  say  harsh,  unkind,  and  above  all  else,  untrue  things 
of  the  other  school,  but  it  must  be  apparent  that;  with  the 
greater  wealth  of  remedies  and  the  greater  confidence  in 
therapeutic  effects,  the  homeopathic  prescriber  has  far  less 
temptation  to  resort  to  purely  palliative  methods  of  treat- 
ment. For  these  reasons  he  rarely  employes  the  hypodermic 
syringe  and  as  rarely  administers  anodynes  of  any  sort.  Of 
necessity,  therefore,  the  victims  of  induced  habits  are  seldom 
found  in  homeopathic  families. 

DOGMATISM  IN  MEDICINE. 

The  Journal  of  the  American  Medical  Association  is 
published  in  this  city.  In  issue  of  Nov.  30th,  1907,  in  an 
editorial  on  **Dogmatism  in  Medicine,"  is  found  this  language: 

The  recent  action  of  the  Philadelphia  County  Medical  Society,  in 
•opening  its  raoks  to  all  legally  qualified  reputable  physicians  who  rep- 
udiate exclusive  dogmas  has  not  been  received  in  the  best  temper  by 
some  officers  of  the  local  homeopathic  organization,  which  has  taken 
occasion  to  reiterate  specifically  by  resolutions  its  faiih  in  the  exclusive 
Jaws  of  cure.  It  makes  very  liitle  difference,  however,  whether  the 
resolutions  were  passed  or  not.  Only  the  progressive  men  m  all  schools 
are  wanted  for  recognition,  and  such  are  coming  over  to  rational  medicine 
hU  the  tim  •,  and  the  worthiest  element  in  the  membership  of  the  homeo- 
pathic medical  profession  will  find  its  way,  sooner  or  later,into  less  nar- 
Tow  and  more  scientific  associations.  The  element  in  the  luity  to  whom 
homeopathy  is  a  sort  of  religion,  is  decreasing  and  will  ultimately  dis- 
appear, and  with  it  the  reason  for  the  existenc*^  of  the  special  homeo- 
pathic school. 

It  is,  perhaps,  bad  taste  for  a  guest  of  the  evening  to 
find  fault  with  one  of  the  brilliant  men  of  an  entertaining 
profession.  But  this  failure  to  appreciate  the  true  mission 
of  the  homeopathic  profession  is  due,  in  all  probability,  to 
mental  confusion  regarding  all  the  features  of  the  homeo- 
pathic doctrine.  Admitting  then,  that  the  writer  quoted  is 
honest,  though  ignorant  of  our  profession,  you  will  excuse 
your  speaker,  he  is  sure,  if  he  criticises  this  editorial  and 
attempts  briefly  to  state  the  facts  involved. 

The  perpetuity  and  promulgation  of  Homeopathy  are 
related  to  a  greater  question  than  the  possible  affiliation  of 
our  practitioners  with  *'less  narrow  and  more  scientific 
associations,"  to  quote  the  Chicago  editor.  Underlying  the 
whole  problem  is  a  great  sociological,  humanitarian,  yes, 
even  a  moral  question.  The  homeopathic  physician  believes 
the  application  of  similia  suailibus  curantur  offers  suffering 
humanity  a  means  of  escape  from  pain,  shortens  the  duration 


18  THE    MEDICAL  ADVANCE. 

of  human  ailments,  and  promotes  the  longevity  of  the  race. 
Believing  this,  would  we  be  honest  men,  could  we  face  hu- 
manity, could  we  stifle  the  accusations  of  conscience  itself, 
if  we  failed  in  season  and  out  of  season,  to  impress  upon  the 
public  the  superiority  of  the  homeopathic  practice?  It  is 
not  because  we  fear  the  perpetuity  of  a  natural  law.  We 
know  a  natural  law  will  persist  and  continue  to  operate  even 
though  we  neglect  to  talk  about  it,  or  seek  to  promulgate 
it.  It  is  not  because  we  fear  our  position  as  prophets  of  the 
cause  may  be  assailed.  It  is  on  higher  grounds  than  this 
that  we  take  our  stand.  Love  of  humanity  is  more  impor- 
tant to  us  than  "less  narrow  and  more  scientific  associations.'* 
The  amenities  of  life,  of  course,  are  more  attractive  than  the 
sacrifices.  It  is  comfortable  and  delightful  to  be  in  the  swim. 
But  greater  than  these  is  the  satisfaction  of  doing  what  we 
feel  to  be  our  duty  to  God's  children. 

It  is  concientiously  believed  that  the  superiority  of  the 
homeoi)atliic  practice  has  been  proven  in  every  disease,  in 
every  climate  and  in  every  season.  Yet  it  must  not  be 
imagined  that  the  homeopathic  physician  looks  askance  ui)on 
the  advances  of  general  medicine.  The  sputum  examination, 
for  instance,  in  the  diagnosis  of  throat  and  lung  diseases,  is 
given  the  same  importance  in  the  homeopathic  world  that  it 
receives  elsewhere.  The  most  radical  opponent  of  Home- 
opathy would  not  say  that  in  the  choice  of  a  drug  the 
presence  or  abscence  of  the  germ  would  influence  his  selec- 
tion of  a  curative  remedy.  It  would  simply  decide  the 
question  of  climate  or  the  general  disposition  of  the  patient. 
It  means  at  least  that  much  to  the  homeopathic  prescriber. 
The  laboratory  methods  of  science  receive  the  same  patron- 
age and  the  same  encouragement  in  the  homeopatliic  school 
as  elsewhere.  In  surgery,  in  gynecology,  in  ophthalmology , 
the  same  careful  technique,  the  same  skill,  the  same  methods 
are  everywhere  employed.  No  one  dare  claim  that  the  re- 
sults of  surgery  in  other  schools  are  superior  to  those  gained 
by  the  homeopathic  operator. 

The  American  Institute  of  Homeopathy  has  officially  de- 
creed that  ''A  homeopathic  physician  is  one  who  adds  to  his 
knowledge  of  medicine  a  special  knowledge  of  therapeutics. 
All  that  pertains  to  the  great  field  of  medicine  is  his  by  tra- 
dition, by  inheritance,  by  right."  The  patient,  therefore, 
who  employs  the  homeopathic  physician  gives  himself  all 
that  the  dominant  school  offers  and  in  addition,  the  wonder- 
ful resources  of  the  homeopathic  Materia  Medica.  He  loses 
nothing  except  the  greater  probability  of  escaping  surgical 
procedure  by  the  saving   grace  of  a  more  potent  medical 


WHAT  IS  HOMEOPATHY?  19 

armament.  He  reduces  his  chance  of  mortality  and  decreases 
the  duration  of  his  illness.  All  that  pertains  to  chemical 
methods,  to  bacteriological  research,  to  surgical  ideas,  to  the 
great  field  of  general  medicine — all  these  belong  to  the 
homeopathic  physician  to  give  to  his  patient,  together  with 
the  possibilities  of  the  homeopathic  remedy.  In  the  language 
of  the  Chicago  Inter-Ocean  editorial,  truly  *'They  who  have 
not  tried  Homeopathy  have  not  half  tried  to  get  well." 

CONCLUSION. 

I  have  the  feeling  that  a  physician  to  truly  succeed 
must  be  conscious  of  his  high  calling.  To  enter  into  the 
sacred  precincts  of  the  home,  to  come  into  intimate  contact 
with  the  growth  and  development  of  the  family,  to  deal  with 
human  life;  indeed,  all  the  relations  of  the  physician  to  his 
profession,  make  it  necessary  that  he  should  be  a  man  of 
the  greatest  good  sense,  of  the  highest  character,  of  the 
widest  bulture,  and  of  the  tenderest  heart.  We  read  in  holy 
writ  that  on  one  occasion,  Moses,  observing  the  burning 
bush,  which  burned  and  yet  was  not  consumed,  turned  aside 
out  of  mere  curiosity  to  inspect  the  great  sight.  He  found 
himself  in  a  sacred  place.  The  voice  of  God  calling  to  him 
from  the  mid.st  of  the  bush,  said:  ''Draw  not  nigh  hither; 
put  off  thy  shoes  from  off  thy  feet,  for  the  place  whereon 
thou  standest  is  holy  ground."  So,  it  seems  to  me  that  when 
a  man  enters  the  medical  profession,  he  should  take  up  his 
life's  work  in  the  manner  demanded  of  Moses  on  this  oc- 
casion, and  in  the  same  devout  spirit  that  the  priest  of  old 
entered  the  Holy  of  Holies. 

This  picture  perhaps  represents  the  ideal,  but  I  believe 
Samuel  Hahnemann  in  every  sense  possessed  the  qualities 
which  I  have  mentioned.  The  earnestness  of  his  writings 
anri  many  expressions  from  his  pen  indicate  this.  I  am  the 
fortunate  possessor  of  a  letter  which  Hahnemann  wrote  to 
one  of  his  patients;  in  this  he  mentions  his  dependance  upon 
the  God  of  Hosts  and  his  reliance  upon  divine  guidance  in 
the  practice  of  his  profession.  His  description  in  the  Qr- 
ganon  of  the  ideal  physician  is  undoubtedly  an  unconscious 
autobiography.  The  splendid  dignity  of  the  man,  the  self 
poise,  the  patience  in  tribulation,  the  modesty  in  success,  the 
cool  headed  judgment  in  the  emergencies  of  practice,  and, 
above  all  else, his  abiding  faith  in  the  efficiency  of  medicine, all 
indicate  that  Hahnemann  was  indeed  a  physician  whom  every 
practitioner   may  well  select  as  his  ideal  and  his  example. 

In  common  with  others  here  tonight,  it  has  been  my 
pleasure  to  journey  to  Switzerland  and  to  pass  a  night  on 
the  Rigi.     Next  morning  to  the  music  of  chattering  teeth 


20  THE  MEDICAID  ADVANCE. 

we  climb  to  the  observation  tower  and  await  the  arrival  of 
Old  Sol.  It  requires  a  vivid  imagination  to  make  one's  self 
believe  he  is  on  a  mountain  top  and  that  far  below  him 
stretches  out  a  wonderful  landscape.  In  the  fog  and  clouds, 
objects  fifty  feet  away  are  indistinct.  Directly,  however,  a 
rosy  hue  appears  in  the  east.  The  clouds,  rolling  away  form 
indistinct  and  grotesque  images  to  startle  our  anxious  eyes. 
The  red  light  in  the  eastern  sky  stretches  more  and  more 
widely  across  the  horizon.  An  exclamation  causes  us  to 
turn  our  backs  on  the  expected  sun  and  there!  Away  off  to 
the  west,  higher  than  the  rest  and  first  to  catch  the  outrid- 
ing rays  of  the  approaching  orb  of  day,  is  the  Jungfrau! 
She  stands  in  appearance  like  molten  gold,  solitary  in  her 
grandeur,  yet  still  the  young  bride  adorned  for  her  husband. 
As  we  gaze  in  breathless  amazement  at  the  supernal  grandeer 
of  the  view,  suddenly,  away  to  the  north,  another  mountain 
peak  comes  out  of  the  clouds  to  give  company  to  the  first. 
One  by  one,  like  iK)ints  of  golden  nails  driven  by  the  unseen 
hand  of  some  mighty  giant,  come  the  mountain  tops  from  the 
unrolling  mists  which  hide  the  earth.  Then  as  we  turn  to 
face  the  easti  suddenly,  with  one  mighty  effort  the  sun  forces 
its  way  above  the  horizon  and  sends  its  golden  beams  in  a  flood 
of  glorious  light  across  the  expectant  world.  Miles  upon  miles 
of  the  grandest  scenery  upon  the  globe  are  revealed  to  us. 
Green  valleys,  shimmering  lakes,  sparkling  waterfalls,  rug- 
ged mountains,  verdure  covered  hills,  dazzling  snow  peaks — a 
moment  ago  like  gold  from  the  fire — all  these  things  in  nature 
are  now  seen  as  God  made  them  in  the  beauty  of  his  handiwork! 
In  the  world  of  knowledge,  the  traveler,  prepared  by 
proper  study  to  appreciate  and  properly  correlate  the 
achievements  of  history,  has  before  him  a  prospect  more 
inspiring  than  any  Alpine  view.  The  sun  of  Medical  Science 
for  untold  centuries  was  far  below  the  borizen  of  human 
vision,  and  for  many  centuries  more  was  obscured  by 
the  clouds  of  imperfect  knowledge.  Even  when  the  rosy 
hue  in  the  east  indicated  the  near  approach  of  the  day  of 
knowledge,  the  mists  of  materialism  distorted  verities  into 
grotesque  and  misshapen  shadows.  But  when  the  orb  of 
truth  shall  have  swept  aside  the  last  cloud  of  prejudice  and 
revealed  the  scientific  world  as  it  truly  is,  among  the  moun- 
tain tops  of  greatness,  like  unto  the  glorious  Jungfrau, 
dazzling  in  her  beauty,  there,  the  most  attractive  feature  of 
the  whole  medical  landscape,  the  first  to  intercept  tl\e  rays 
of  scientific  therapeutics  and  the  last  to  loose  the  eye  of  the 
honest  critic,  will  stand  forth  Samuel  Hahnemann,  physician 
and  scientist.  University  of  Michigan,  Dec.  1907. 


HC    MFSt    ♦ 


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