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THE

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Medical Advance

A MONTHLY MAGAZINE OF

HOMOEOPATHIC MEDICINE.

H. W. PIERSON, M. D.,

BDITGR.

VOLUME XXXI.

JA.TSTTTJAIJ.'Z' TO JTTXilT, 1894.

THE MEDICAL ADVANCE CO.
CHICAGO.

1894.

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Enolkwood-Chicago

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INDEX

Materia Medica and Therapeutics,

ALLEN, Arthur G. Acute Phlyctenular Conjunctivitis, with
Comments, 303.

Agaricus Muscarius. Horace P. Holmes, 357.

Asthma, John C. Morgan, 230.

Acid, Nitric, J. T. Kent, 1.

Augur, Geo. J.. Dysmennorrhoea, 236.

BAYLIES, B. L. B., When Should the Remedy be Changed? 173.
Belladonna Plaster, Poisoning by a f E- E. Maddox, 15.

Benson, John, The Study of Materia Medica, 87.

Butler, Clarence Willard, The Repetition of the Dose, 161.
Bryonia Alba. J. A. Wake man, 174.

CALC ARIA FLOURICA, Proving of, S. N. Smith, 13.

Calcarea Phos. and his'Near Relations. L. C. McElwee, 361.
Chamomilla. J. T. Kent, 351.

Carbolic Acid, Proving of, 237.

Cases Gonorrhoea. J. Foster, 306.

Conjunctivitis, Acute Phlyctenular, with Comments. Arthur
G. Allen, 303.

Cowperthwaite, A. C., Relation of the Homoeopathic Materia
Medica to Philosophy, 81.

DAY, L« A. L., Aconite in Diseases of the Eye, Ear, Nose and
Throat, 225.

Dose, the Repetition of the, Clarence Willard Butler, 161.

Drugs and Drug Prcvings, Thos, J. Gray, 94.

Dysmenorrhoea. Geo. J. Augur, 236.

EARACHE in Children, Diagnosis of Therapeutics of, John C.
Morgan, 91.

Eye, Ear, Nose and Throat, Aconite in Diseases of, L. A. L.
Day, 225.

FEELING, That Tired. Frank Kraft, 293.

Fever, Intermittent. J. A. Whitman, 235.

Foster, J. Gonorrhoea Cases, 306.

GRAY, THOS. J., Drugs and Drug Provings, 94.

Gladwin, F. E. Notes from Clinic of Philadelphia Post Graduate
School, 335, 365.

HALE, GEO. P. Sanguinara Nitrite, 93.

Holmes Horace P. Agaricus Muscarius, 357

Holcombe, A. W. Repertory of Symptoms begining with “Sen¬
sations as If,” 103, 179, 241, 319, 367.

Holcombe, A. W. Illustrating Antidotal Treatment, 309.

KALI MURIATICUM, Proving of, S. N. Smith, 10.

Kent. J. T., Nitric Acid, 1.

Kent, J. T., Opium, 287.

Kent, J. T. Chamomilla, 351.

Kraft Frank. That Tired Feeling, 293.

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Index .

LOCKWOOD, F. H. Nerve Irritation of a Stump Cured by In¬
ternal Remedy.

MADDOX, E. E. Poisoning by a Belladonna Plaster, 15.
Materia Medica, The Study of, John Benson, 87.

Milk, Condensed, Observer, 102.

Morgan, John C. Asthma, 230.

Morgan John C. Diagnosis of Therapeutics and Earache in Chil¬
dren, 91.

Morrow, H. C. Pyrogen, 233.

McElwee, L. C. Calcarea Phos. and His Near Relations, 361.

NOTES from Clinic of Philadelphia Post-Graduate School. F. E.
Gladwin, 365. ,

OBSERVER. Condensed Milk, 103.

Obstetrics, 234.

Opium, J. T. Kent, 287.

PRACTICE, Homoeopathic, A. Mills Fowler, 312.

Pyrogen, H. C. Morrow, 233.

SANGUINARA NITRITE. Geo. P. Hale, 93.

Smith, S. N. Proving of Kali Muriaticum, 10.

Smith, S. N., Proving of Calcaria Flourica, 13.

Symptoms, Repertory of, Beginning with “Sensations as If,”
A. W. Holcombe, 103, 179, 241, 319, 367..

TREATMENT, Illustrating Antidotal, A. W. Holcombe, 309, 317.

WAKEMAN, J. A. Bryonia Alba, 174,

What Should be Given Her? 239.

When Should the Remedy be Changed? B, L’B. Baylies, 173.
Whitman, J. A. Intermittent Fever, 235.

'The Clinic •

BERRIDGE, E. W. Hahnemannian Cures, 36.

Boger, C. M. Clinical Cases, 35.

CASES, Clinical, C. M. Boger, 35. \

“ J. C. Morgan. 49,

“ Three, B. R. Johnson, 47.

Chapman, S. E. The Comparative Value of Symptoms, 62.
Colocynth—Clinical Verification. H. F. Smiley, 138.

Cures, Hahnemannian. E. W. Berridge, 36.

DIPHTHERIA—The Membrane is Not the Disease. C. B. Gil¬
bert, 46.

Diphtheria—Kali Bichromium. J. R. Haynes, 139.

ECZEMA Cured. D. S. Kistler, 65.

GILBERT, C. B. Diphtheria—The Membrane is Not the Dis¬
ease, 46.

Gladwin, F. E. Notes from Clinic of the Philadelphia Post
Graduate School 335, 365.

HAYNES, J. R. Diphtheria,—Kali Bichromium, 139.

Hooker, Frederick. Was It a Mark? 135.

JOHNSTON, B. R. Three Clinical Cases, 47.

KISTLER, D. S. Eczema Cured, 65.

LEONARD, H. K. Cases from Practice, 51.

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Index.

MALARIA—Natrum Muriaticum. C. J. Waggoner, 142.

Mark? Was It a, Frederick Hooker, 135.

McNeil, A. Scabies, 44.

Medicine, Clinical. 133.

Morgan, J. C. Clinical Cases, 49.

NOE}, E. T. Tack, 40.

PARESIS Cured by Lycopodium. T. Skinner, 42.

Philadelphia Post Graduate School, Notes from the Clinic of
the. F. E. Gladwin, 335, 365.

Polypi, Nasal. J. A. Wakeman, 66.

Practice, Cases from. W. K. Leonard, 51.

“ “ W. Rowley, 137.

• ROWLEY, W. Cases from Practice, 137.

SCABIES. A. McNeil, 44.

Skinner, T. Paresis Cured by Lycopodium, 42.

Smiley, H. F. Colocynth—Clinical Verification, 138.

Symptoms, The Comparative Value of, S. E. Chapman, 62.

WAGGONER, C. J. Malaria—Natrum Muriaticum, 142.
Wakeman, J. A. Nasal Polypi, 66.

Surgery.

APPENDICITIS: Another Failure. H. Crutcher, 27.
Arthrotomy in old Dislocating of the Shoulder Joints—Clinical.
W. E. Green, 388.

CANCER, 33.

Constitutional, Decidely, 273.

Crutcher H. Appendicitis, 27.

“ Surgery in the Homoeopathic School, 119.

Crutcher Howard. The Treatment of Syphilis, 383.

FERRUM Phosphoricum. Frederica E. Gladwin, 391.

Foster, W. Davis. Varicocele; its Surgical Treatment, 386.

GLADWIN, Frederica E. Ferrum Phosphoricum, 391.

Green, W. E. Arthrotomy in old Dislocations of the Shoulder
Joints, 388.

HIGBEE, CHESTER B.* Comments on. Report of Orificial
Surgery. Based on the Analyses of one thousand Cases,
Read at the Homoeopathic Medical Congress, 202.

POINTERS, Post Mortem, 129.

SURGERY in the Homoeopathic School. Howard Crutcher, 119.
“ Obstetrical. G. F. Washburne, 121.

“ Orificial, Report of, Based on the Analyses of One
Thousand Cases. Comments on. Read at the Homoeopathic
Medical Congress. Chester G. Higbee, 202.

Syphilis, The Treatment of. Howard Crutcher, 383.
VARICOCELE; its Surgical Treatment. W. Davis Foster, 386.
WASHBURNE, G. F., Obstetrical Surgery, 121.

Theory and Practice of Medicine.

DISEASES, Drug or Artificial, Treatment of, E. W. Sawyer,
195,

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Index.

SAWYER, E. W. Treatment of Drug or Artificial Diseases, 195.

TEMPERAMENT, Vital, Lecture on the. J. A. Tomhagen, 19.
Tomhagen, J. A. Lecture on the Vital Temperament, 19.
Discussion, 24.

Editorial.

EDITORIALS, 68, 149, 207, 266, 3%.

JMiseellany.

ADDRESS of W. P. Cutler, 401.

CALIFORNIA, Wages of Women in, 154.

Commandments, Health, 220.

Cutler, W. P., Address of, 401.

DENHOLME, Dick. J. Keighley Snowden, xxl.
EXPERIMENT, A Remarkable, 152.

GILBERT, Chas. A. In the Matter of Variolin, 406.

HERING Medical College and Hospital in Chicago, 155.
Homoeopathy, Capital “I” in. Frank B. Seitz, 284.

INVESTIGATION, Co-operative, 338.

JUBILEE, The Institute’s, 153.

LADIES, Physical Culture for. Mrs. H. P. Rountree, 218.

OHIO Homoeopathic Medical Society, 409.

PERSONALS, 74, 407.

ROUNTREE, Mrs. H. P. Physical Culture for Ladies, 218.

SEITZ, Frank B. Capital “I” in Homoeopathy, 284.

Snowden, J. Keighley. Dick Denholme, 21.

Snow Shoeing, Russian, 206.

Societies, Medical. I. T. Talbot, 281,

“ Ohio Homoeopathic Medical, 409.

TALBOT, I. T. Medical Societies, 281.

VACCINATION, from Different Sources, Concensus of Opinion
on the Value of, 210.

VARIOLIN, In the Matter of. Chas. A. Gilbert, 406.

Obituary .

DAYFOOT, HERBERT A., 407.

IN Memoriam. Samuel Swan, M. D., 71.

ROBERT, John C., 72.

WELLS, Lucian B., 286, 407.

Commencements and. Reunions

BURNHAM, Pres’t. Telford, Address of, at Second Annual Com¬
mencement, Hering College, 339.

COMMENCEMENTS and Reunions, 221.

HOMOEOPATHY, Mo. Institute of, 18th Annual Session, 343.

“ American Institute, 349.

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Index .

Vll

Reviews.

ALDRICH, THOS. B. Two Bites at a Cherry and Other Sto¬
ries. Jany.

Anarchist, The. Richard Henry Savage. April.

BEARD, GEO. M. A Practical Treatise on Nervous Exhaus¬
tion. Jany.

Burr, C. B. A Primer of Psychology and Mental Diseases.
April.

CENTURY, Peby. March.

“ April. April.

Chambers, Julius. On a Margin. April.

Cholera, Therapeutics, of. P. C. Majumdar. Peby.

Clarke, John H. A Birdseye View of Hahnemann’s Organon of
Medicine. Feby.

Clarke, John H. Therapeutics of the Serpent Poisons. Feby.

Clifford, Mrs. W. K. Love Letters of A Worldly Woman. April.

Corning, J. Leonard. Headache and Neuralgia, including spinal
Irritation, and a Disquisition on Normal and Morbid Sleep.
Peby.

DIAGNOSIS, Medical. A Clinical Text Book of. Oswald
Vierordt, translated by Francis H. Stuart, M. D. Jany.

FLEURY, CHAS. ROBERT. Modern Household Medicine. A
Guide to the Mode of Recognition and Treatment of Diseases
and Emergencies Incidental to Daily Life. Feby.

Firebauge, Ellen M. The Physician’s Wife, and the Things that
Pertain to Her Life. Feby.

Forceps, How to Use the. Henry G. Landis. Jany.

GYNECHOLOGY, An American Text Book of. Jany.

HAHNEMANN’S Organon of Medicine, A Birdseye View of.
John H. Clarke. Feby.

Hamilton, Allen McLane. A System of Legal Medicine, A Com¬
plete Work of Reference for Medical and Legal Practitioners.
Feby.

Headache and Neuralgia, including Spinal Irritation and a Dis¬
quisition on Normal and Morbid Sleep. J. Leonard Corning.
Feby.

Hektoen, Ludwig, Post Mortem Technique. Jany.

JHomoeopathic Medical Society of Pennsylvania. The Transac¬
tions of the 29th Session of the. March.

ILLINOIS State Medical Society, Transactions of the 43rd An¬
nual Meeting of the. Jany.

JACKSON, Geo. Thomas. A Practical Treatise on the Diseases
of the Hair and Scalp. Feby.

Jewett, Prof. Chas. Outlines of Obstetrics. Jany.

“ Sarah Orne. A Native of Winby, and Other Tales. Jan.

KELSEY, Chas. B. Diseases of the Rectum and Anus. April.

Knerr, Chas. B., Edited by, Repertory of the Guiding Symptoms.
Feby.

LANDlS, Henry G. How to Use the Forceps.

Latimer, Elizabeth Wormley, Russia and Turkey in the XIX
Century. February.

Life, Hawaiian. Chas. Warren Stoddard. April,

Lippincott’s, February. March.

Lippincott’s, April.

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viii

Index.

MARGIN, On a. Julius Chambers. April.

Majumdar, P. C. Therapeutics of Cholera. February.

Medicine, a System of Legal, a Complete Work of Reference for
Medical and Legal Practitioners. Allen McLane Hamilton.
February.

Medicine, Essentials of the Practice of. Henry Morris. J anuary.
“ Modern Household, a Guide to the Mode of Recognition
and the Rational Treatment of Diseases and the Emergencies
Incidental to Daily Life. Chas. Robert Fleury. February.
Morris, Henry. Essentials of the Practice of Medicine. January.

NERVOUS Exhaustion, A Practical Treatise on. Geo. M. Beard.
January.

OBSTETRICS, Outlines of. Prof. Chas. Jewett. January.

PEPPER, Wm., Edited by, a Text Book of the Theory and Prac¬
tice of Medicine. April.

Post Mortem Technique. Ludwig Hektoen. January.
Psychology and Mental Diseases, a Primer of. C. B. Burr..
April.

RECTUM and Anus, Diseases of the. Chas. B. Kelsey. April.
Russia and Turkey in the XIX Century. Elizabeth Wormley
Latimer. February.

SAVAGE, Richard Henry. The Anarchist. April.

Serpent Poisons, Therapeutics of the. John H. Clarke. Feb¬
ruary.

Stoddard, Chas. Warren. Hawaiian Life. April.

Symptoms, Guiding, Repertory of the, Edited by Chas. B. Knerr.
February.

THE English Humorists of the XVIII Century. Wm. Makepeace
Thackeray. Jany.

Thackeray, Wm. Makepeace, The Englisn Humorists of the
XVIII Century. Jan.

The Physician’s Wife, and the Things that Pertain to Her Life,
Ellen M. Firebaugh. Feby.

Two Bites at a Cherry, and Other Stories. Thos. B. Aldrich.
Jany.

VIERDORDT, Oswald. A Clinical Text Book of Medical Diag¬
nosis. H. Stuart, Translator. Jany.

WINBY, A Native of, and Other Tales. Sarah Orne Jewett. Jan.
Woman, Love Letters of a Worldly. Mrs. W. K. Clifford. Jan.

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THE MEDICAL ADVANCE

A HOMOEOPATHIC MAGAZINE.

Vol. XXXI.

January, 1894. No. 1

MATERIA

MEDICA AND THERAPEUTICS

NITRIC ACID.

J. T. KENT, M. D., PHILADELPHIA, PA.

Some medicines make a subject too chilly and some make
a subject too warm. Some are always shivering and some
always suffering from heat, during the effect of a proving.
The natural features of the body are observed by which to
generalize. If a remedy does not produce the changes
whereby an individual is affected by heat and cold, they must
be generalized in some other way. Some produce constant
chilliness, first from a chill, fever and sweat to a chronic con¬
dition of chilliness, a condition of the body wherein there is
not heat enough, the patient wants to keep warm, wants
plenty of clothing; such a remedy is Nitric Acid. The
patient is generally chilly and susceptible to changes in the
weather, especially damp weather. He soon loses his mental
equilibrium; the least excitement disturbs mind and body; he
is easily broken down from mental operations; a slight dis¬
turbance throws him out of balance mentally; what he was
about to say goes into confusion; the effort to concentrate the
mind causes instant confusion and his mind scatters.

Vanishing of thought on attempting to apply his mind to
a, subject.

The loss of a friend is so very shocking to a subject, somewhat
like Ignatia. Worse from night-watching; here it is anala-
gous to Cocculus, which has complaints from long night-watch¬
ing. Confusion of the mind from night-watching (like Coccu¬
lus). Great loss of memory; inability to sustain a mental
effort. Weakness of the muscles and body. A general ner¬
vous confusion.

The head has some peculiar symptoms associated with
some rare and unique modalities not generally understood.
The headache is as if compressed in a vise; if you could apply
the jaws of a vise to fit over the head and compress it from

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The Medical Advance .

ear to ear you will have the sensation. The head feels as if
it would be crushed. Nitric Acid is closely related to Syphilis;
it has the bi-parietal head pains of the syphilitic miasm, the
syphilitic neurosis. The headache is sometimes ameliorated
by compression; better by a steady, even, gentle pressure;
worse from the slightest jar or noise; the noise of a passing
vehicle generally produces great exaggeration of the symp¬
toms with throbbing as if the head would fly to pieces. Rid ¬
ing on a smooth county road, or the gliding motion of the
street cars ameliorates these headaches. It is the noise that
aggravates and the motion that ameliorates. There is another
feature, whether of the head or spine. Lippe once called my
attention to it. He said if he was walking along the street and
saw a lot of tan-bark spread around before the house, he
would immediately think of the Nitric Acid patient within
the house. The noise in the street is very aggravating to the
patient. This sensitiveness runs through Nitric Acid every¬
where in the body. The head may be covered with an erup¬
tion and the scalp is so sore that the slightest pressure of the
hand causes him to cry out, while in its early formation it was
better by gentle steady pressure.

School girls have a headache that is worse from the pres¬
sure of the hat; noise aggravates the head,also jarring. The
ulcerations and eruptions are extremely sore, also the inflamed
parts. Abdomen sore to jar and pressure, and is distended.
The soreness of the throat is extremely sensitive. Coupled
with this sensitiveness is another group of symptoms, which
I will call up: Stitching pains, sometimes cutting, sometimes
described as if there were little sticks in the ulceration; the
throat feels as if filled with little sticks; sensation as of a fish¬
bone in the throat or nose; ulcers in the nose, with a constant
feeling as if sticks were in them; ulcers in the rectum, with a
sensation of a stick in them; even a gonorrhoeal discharge is
attended with a sensation as if sticks were in the urethra
(also think of Hepar and Arg-nitr). Arg-nitr., Alumina,
Hepar and Natr-mur. have sensation of a stick in the throat,
Nitric Acid, Hepar and Arg-nitr., with ulcers. Sensation of
a stick in the vocal chords; hoarseness, loss of voice in sing¬
ers. Nitric Acid is always better in a cold room as to its
throat symptoms. Both Hepar and Nitric Acid are over¬
sensitive to pain; they feel these sticks; over-sensitive both

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Nitric Acid '.

to pain and cold. Hepar is so sensitive to pain that she faints;
this is quite common in women; think of Hepar first, other
remedies follow that produce the extreme sensitiveness to
pain. Where there are mucous membranes you will find
-catarrhal conditions in Nitric Acid, and it will produce ulcer¬
ations and burn almost like the actual cautery. It is wonder¬
ful to think how high potencies cure just such things. You
•cannot individualize by the ulcers themselves. Copious dis¬
charge from mucous membranes and from ulcerations every¬
where, with the peculiar jagged-stick sensation. There is
another feature of the discharge in the catarrhal conditions,
and that is: bloody, watery, brownish leucorrhoea, bloody,
brownish meat washings from the urethra and bowels; these
are generally excoriating, and cause soreness of the parts.
Now, in the ear we have the eustachian tube swollen and
closed; the external meatus is ulcerated with a watery,
offensive, excoriating discharge; deafness comes on if this
goes on to any extent of time; deafness, hardness of hearing,
or can hear better in a noise; can hear better when riding in
the cars. (Graphites, also.) The rumbling ameliorates the
deafness. We have some peculiar things like that, which no
mortal can account for. Phosphorus has a peculiar deaf ness;
while he can hear a noise very well, he cannot hear the
articulation of the human voice well enough to understand
what is said; he calls for the sentence to be repeated; it is
said, “ deafness, especially to the sounds of the human voice.”
I mention this only to illustrate a peculiar thing in deafness.
Now, the nose furnishes us another locality for a great deal
of trouble. (Some people are troubled with their noses, and
others with their tongues.) Nitric Acid produces loss of the
sense of smell; ulceration of the raucous membrane; the
vomer, particularly, is attacked; ulcers, with the sensation as
if sticks were in it; incrustations in the nose; bloody crusts
are blown from the nose; they are painful when forming
and when they adhere; if removed, bleeding follows, and the
sensation of a stick remains; this goes from bad to worse,
until portions of bone are blown from the nose with the dis¬
charge. This is sometimes found to have been produced by
syphilis and where a great amount of mercury has been used.
Nitric Acid is an antidote to mercury, and especially useful

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The Medical Advance .

for syphilis. It is closely allied to Hepar. Hepar, Mercury
and Nitric Acid run as a trio; all have sensitiveness to cold,
affections of bones, periosteum and mucous membranes, chilli¬
ness. Any remedy that corresponds to syphilis is an anti¬
syphilitic.

Now in the throat we find this same catarrhal condition,,
tonsils enlarged, white patches extending to the mouth. Even
in diphtheria, with bloody, watery discharge and sensation of
sticks in throat and nose. In the mouth we have stiffness of
the tongue, loss of taste, looseness of the teeth with receding
gums, aphthous patches that are white, ulcers like raw beef
and painful, with sticks in them. In the chest Nitric Acid
will be a very useful remedy in catarrhal affections, with
bloody, watery oozing. The cough is attended with gagging,
retching and vomiting. Nitric Acid follows Calcarea.
Where an individual has been for a considerable time on
Calcarea, Nitric Acid may follow. Instead of running into
Lycopodium after Calcarea, they sometimes call for Nitric
Acid. Calcarea might have been the remedy in phthisis, and
Nitric Acid follows well to complete the work. If it had been
given in the beginning it would have caused destruction of
lung tissue; it is a vicious remedy to begin with, like
Sulphur and Stannum. Strange to say, it follows well
almost all of the alkalies.

Now, if we progress, we will get into the bowels; here we
find ulcerations, many painful troubles, stitching, tearing
pains, great sensitiveness, extreme distention. Affections of
the bladder, uterus and kidneys, the latter with dropsical con¬
ditions and albuminous urine. A grand red string symptom
is, u The urine smells as strong as a horse’s urine;” sometimes
they say it is ammoniacal, but it is the hippuric acid smell.

In the early stages of Bright’s disease, in the beginning,,
there is a good deal of burning when urinating, also tenes¬
mus; often scanty, suppressed urine and it smells strong like
that of the horse; a great deal of burning in the urethra and
jagging as if sticks were in it when urinating. Little ulcers
in the urethra that are sore and inflamed; sore spots along
the urethra, and on pressure there is the sensation as of a
stick; burning and smarting when the urine passes over these
spots, causing sticking and jagging; on the outside, burning

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Nitric Acid .

-smarting, phagedenic ulcers. Phagedenic ulcers on the labia-
majora, with sticking and jagging and of large size, as well
as Arsenic. Arsenicum has been the most frequently indi¬
cated remedy in phagedenic chancre. In spreading chancroid
that smarts and burns, Nitric Acid will be indicated, but in
that kind of ulceration it will be a*dangerous remedy to use,
because it will heal up the chancre, and eruptions come out,
and falling of the hair follows. You must let the chancre
alone and prescribe for the patient. Under the present kind
of teaching the individual thinks the chancre ought to be
healed up. If the remedy is acting well, the chancre begins
to discharge and discharges copiously, then I know 1 have
saved him from falling of the hair, sore throat and nightly
distress. Nitric Acid has the ulcers in the throat, ears and
genitals.

I forgot to mention its peculiar action upon tubular organs,
as the oesophagus, vagina and rectum, but especially on
some of the sphincters. There is a tendency to produce
thickening of the cellular tissue of the mucous membrane and
the tissue immediately beneath them. Stricture of the oesopha¬
gus with difficult swallowing, and finally death from inani¬
tion. Wherever it has produced inflammation its character¬
istic ulcerations are present; infiltration and constriction of the
vagina, also of the rectum, with copiously bleeding hemor¬
rhoids and thickening of the mucous membrane, constriction
and finally stricture and ulceration with the sensation of a
stick, attended with profuse, frequent bleeding.

Such things are in keeping with Nitric Acid. For acute
inflammation of the oesophagus, with a great deal of pain,
soreness, smarting and sticking, from the pharynx to the
oesophagus, attended with so much swelling that the throat
seems to close up. Rhus tox. also produces it and is one of
the common remedies. Quite a number of remedies have
produced that state.

We notice in some constitutions, a chloritic condition, called
“ green sickness ” which comes on at puberty, with a scanty
menstruation and a flow that is thin, pale and watery; if this
is attended with a bloody, watery leucorrhcea, it is all the
more like Nitric Acid. These girls have a craving for chalk,
dirt, lime and starchy things, substances that grit in the mouth

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like slate pencils. Such cravings belong to a very depressed
state. Nitric Acid produces such a state as ihat and it is one
of the medicines for such conditions.

Longing for fat, herring, chalk, lime and earth. Longing
for herring is in keeping with its longing for pungent things,
like Hepar. It is a very peculiar kind of appetite that belongs
to the chlorotic state. Like Natrum mur. and Lyc. and Puls,
it has aversion to bread. Lyc. has aversion to rye bread.

Nitric Acid longs for meat and strong things, also starchy
food. It is a peculiar thing that in the crude state Nitric Acid
produces ulceration with the same depraved state, which in
the sick is cured by high potencies of it. It does not lose its
identity; what it does instantaneously, chemically, it does after
a long time dynamically. What is true of the external is also
true of the internal. You notice that when acid in the stom¬
ach becomes mixed with milk, it is likely to end in sour
vomiting. We get this depraved condition even in the prov¬
ings of the one-thousandth potency, where the patient cannot
digest milk. You mix milk with any of the acids and get a
chemical change which sours the milk and you are not sur¬
prised, but in the proving of a high potency the milk sours in
the stomach.

There are some peculiar things that run through remedies
as to their colors. Kali-bichro. has a yellow color, and when
applied in a strong solution, it will cause the mucous membrane
to be covered with yellowish, ropy mucous, and the membrane
itself ulcerate, but you get this state of yellowish green in the
high potencies, the same kind of color. Hydrastis will pro¬
duce a yellowish green tint and when I used it in olden times
I have seen this produced on mucous surfaces; Hydrastis pro¬
duces this in high potencies, that is, the individual gets into
such a state of the system that this same color of the discharge
is produced as if the crude drug had been mixed with it.
Is there any way that you can find that out? It is only a
fact that can be observed.

There are a great many things that you have observed in
chemistry; this will help you to fix them in your mind. It
need not always be so, but I have been struck with the fre¬
quency of the occurrence of such things.

Nitric Acid produces some marked conditions of indigestion;

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Nitric Acid .

sour stomach and sour eructations; always a sense of weak¬
ness in the stomach; everything he puts into the stomach
stays there a long time. Nitric Acid slows down, protracts
the process of digestion. A large number of medicines have,
the same condition. In the hypochondria we will see a group of
symptoms. Inflammation of the liver with enormous enlarge¬
ment; chronic inflammation of the liver; clay colored stools;
pains in the region of the liver; urine scanty and strong smell¬
ing; stitches in the hepatic region; these are symptoms of con¬
gestion of the liver ar.d here it vies with Bryonia, Sepia, Nux.,
Lach. and others. You will think of it in jaundice, when the
pains of Nitric Acid are present. There may be depressed
appetite or ulcers of the mucous membranes, which state finally
takes on the congestion of the liver; the hepatic symptoms alone
would not make you think of Nitric Acid; you might give
Lachesis or Bryonia, but the general symptoms of Nitric Acid
must be present in order to make you think of this drug.
.These are only general symptoms and of the lower grade of
such. If a patient comes into your office and tells you these
symptoms you would not think of Nitric Acid; but would
write them down, several remedies would occur to you; if he
declared that he had no other symptoms, you would be
troubled, because there is nothing to individualize by; if you
commence at the head and give him an examination, asking
questions that he cannot answer by u yes ” oi “ no,” you will
be able to see something. Say something like this: “You
have said nothing about your nose or head,” and so on!
When you come to the bladder, he will say, “Well doctor,
the urine smells very strong,” now you have your key to the
whole case; his urine smells like that of a horse.

The routine prescriber would have given Bryonia for the
liver symptoms if he did not have the urinary troubles.
Bryonia might be a very good generic remedy. Natrum-
sulph. has these symptoms in a high degree. I bring this up
only to show what remedies might be indicated.

This grand image that I have given you must lead you up
to that kind of a patient; Nitric Acid would be your remedy
in such a case.

There is another tendency of Nitric Acid, and that is to
produce croupous exudations from mucous surfaces, as in the

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throat. A false membrane forms, which is thick and
leathery; false membrane is thrown off from the rectum, in
dysentery and in connection with piles; it is stringy, leathery,
ashy, like fibrous tissue or looks like gristle; this is blown out
from the nose, and sometimes forms upon ulcers, as in
diphtheretic inflammation. It is not always due to the zymotic
condition of diphtheria, but an analagous state. It is more
like the croupous membrane that is thrown off in pseudo¬
membranous croup. It is a cartilaginous substance, hard and
tough. This is a peculiar effect of Nitric Acid. Sero-
croupous discharges as are found in dysentery, with much
straining, burning in the rectum and anus, with the bloody,
watery flow; this is the Nitric Acid appearance of the stools.
The rectum feels full, in the constipation; it has the sensation
of sticks; but Aesculus, where it is a hemorrhoidal condition,
more particularly when the anus feels as if filled up with
sticks; the prover said that which was expressive, u He felt
as if there was a crow’s nest in the anus.”

Piles are as large as a fist in Aesculus, and sticking and
jagging as if the anus were full of sticks; analogous to Nitric
Acid. Weight and distention, sensation of fulness and drag¬
ging down; seems as if some faeces remained in the rectum;
a great amount of oozing from the rectum, of bloody, watery
nature. I always think of Nitric Acid with a good deal of
hemorrhoidal oozing from the rectum. Very often Calcarea
has been given in the hemorrhoidal condition, and it cures
when the oozing has the smell of fish-brine; Calcarea has
that as a strong characteristic; it may have done away with
that oozing, and you will see Nitric Acid coming in. There
is another feature of Nitric Acid, and that is dropsy of the
prepuce in connection with gonorrhoea; the prepuce is dis¬
tended like a water-bag, sometimes causing paraphimosis.
These symptoms are troublesome; it becomes enormous in
proportion, at least the swelling does, aud Nitric Acid is com¬
monly the remedy. Cannabis-sat. has it. If Cannabis is
repeated, as some of the books tell you to do, it will nearly
always produce that peculiar formation upon the foreskin,
and it will generally subside on stopping the remedy, but a
single dose, very high, will give much more satisfaction. I
sometimes have to resort to Fluoric Acid for relief of the

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Nitric Ac let.

Inflammation of the foreskin; it has dropsy of the prepuce.
Nitric Acid has paralysis of the bladder. Wetting the bed,
in children, children with strong-smelling urine, of the pecu¬
liar odor; the sheets smell like horse’s urine. Where it is
intensely urinous, Benzoic Acid leads. There is another fea¬
ture in connection with both male and female genitals; fig-
warts, of the sycotic character; raw, sore, smarting, and
sticking. Fig warts and polypoid growths sometimes around
the anus and glans-penis and labia-majora; also in the ears
and nose, and jutting out around about the mouth and under
the wings of the nose, which are tender and raw. We see
another correspondence in that it has been the great medicine
to burn off these little excrescences, but if given in a high
potency it will cure them. Nitric Acid also has warty for¬
mations on the hands.

Leucorrhcea is ropy, sometimes of green mucous, or flesh,
color, looking like washings of meat. Leucorrhcea, clear,
acrid, flowing down the legs.

After mercurialization. All that group brings the charac¬
teristics from the various regions of the body, they culminate
in the group of symptoms. These polypoid or warty
formations sometimes appear upon the larynx, making it
impossible to speak a loud word, and causing a great deal of
difficulty in breathing. All of these are mere results of dis¬
ease and of course the dynamic condition must agree to cure
the troubles. These condylomatous growths cause
the throat to swell up. I have cured these states with
Arsenic. Thuya is sometimes the remedy to cure this con¬
dition in the larynx, also Arg. nitr. All of the effects, when
the outgrowths of syphilis or gonorrhoea, might call for Nitric
Acid. It is not frequently indicated in psora. A psoric con¬
dition calling for Sulphur and then Calcarea, all at once seems
to yield to these two carefully selected remedies and you see
a peculiar manifestation coming up, a secret miasm cropping
out, which makes you behold the secret life of an individual
who always stood before you as a good man. Lycopodium
may be indicated after Calcarea, but Nitric Acid or Mercurius
will come in if he has a taint in him. It may be a nasal
catarrh, with a copious discharge; cold, damp feet; weak in
the back, wants to lie down; head sweats, and on slightest

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exertion he sweats all over; this is all Calcarea, and you
administer it. At the end of the next six weeks the nasal
discharge has disappeared, but only to change the site of its
operation, as a gonorrhoeal discharge has now come on; now
you see, his nasal discharge was originally sycotic; when the
discharge from the nose disappears the discharge from the
urethra comes back, and we know that this is the natural
course of events. Under such a state of affairs, you will find
Nitric Acid a suitable remedy.

Nitric Acid will come up instead of Lycopodium after
Calcarea. The rheumatism that affects the limbs and joints-
will have the general features. The sweat is copious and
likely to be present in Nitric Acid cases.

Now, read and study the whole remedy and you will be
able to apply the picture to the drug.

PROVING OF KALI MURIATICUM.

SARAH N. SMITH, M. D., NEW YORK.

New York, October 28. Begin the proving of Kali mur.
30, obtained of Messrs. Boericke & Tafei.

I began by taking the drug every two hours. In the after¬
noon felt chilly, with thermometer at 76 Q in my room.

Not conscious of any cold.

Sleepy when quiet.

Mouth dry and parched.

The appetite sharpened somewhat for dinner.

October 29. A sort of nausea from mucous in the throat.

Thirsty most of the time.

In the afternoon a lame, uncomfortable feeling in right
hypochondrium.

A fullness that causes the clothes to feel too tight.

Sleepy as soon as quiet, especially if reading or writing.

It induces sleep both day and night.

In the evening thirsty, calling for small draughts of cold
water (Ars.).

In the evening experienced all the symptoms of a stuffy
cold in head; sneeze many times, nose obstructed so much
that it annoyed me until I dropped to sleep. Did not entirely
pass off during the night. No cold.

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Proving of Kali Muriatic urn.

Oct. 30. Still an uncomfortable feeling in region of liver.

Soreness not < by pressure.

Thirsty.

Mouth dry and parched.

Tongue coated and feels as if scalded.

Food does not taste good; appetite disappointing.

Oct. 31. Feet so much swollen that I was obliged to
remove my boots.

A burning and stinging most of the time.

Seemed dry and parched.

Corns pained and burned, made me feel cross and irritable.

The hands felt rough, dry and chapped.

Nov. 1. Nose sore with crusts on the left side.

The whole mucous membrane very dry and sore.

No desire for food.

Felt sick and lazy all day.

Stools and urine diminished in quantity.

Most of the time thus far a starchy, corroding leucorrhoea
existed attended with much discomfort and weakness.

Nov. 2. Hoarse much of the time.

Weak and disinclined to make great effort of any kind.

Felt quite willing to take life easy.

Everyone noticed my hoarseness, when I was unconscious
of it.

Nov. 3. Stopped the medicine but the conditions continued.

Dryness, thirst, with loss of appetite.

Nov. 5. In the evening I was attacked with violent
sneezing, when sitting in my room, without the least expos¬
ure. Then followed the fluent coryza from nose and eyes r
which passed off the next day while in the fresh air. The
following day' I was greatly exhausted even with very little
effort.

Nov. 6. Called out of town; when I reached the end of
my journey I found that I had all the symptoms of a catarrhal
cold. Where or how obtained I knew not. I knew that I
felt very ill, but as I was proving Kali mur., I thought best
to stand the disturbance from whatever cause.

Nov. 7. Sick and miserable.

Weak and languid, without appetite.

Mouth dry and parched, with constant fever and thirst.

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Great inclination to be quiet.

Too lazy, or too sick to do anything.

Nov. 8. Remained indoors most of the day; did very little
but drink ice water which > all the symptoms. In the after¬
noon I was so hoarse that I could not speak aloud for several
hours; hoarseness passed off while taking a walk in the open
air (Pulsatilla); frequent sneezing through the night.

Nov. 9. Left for New York at 8 .a. m.; thought I was
quite well; reached New York at 12, and soon found that I
was very weak and no appetite, with thirst, fever, etc., and
unable to work. Same conditions obtained for two or three
days, exhaustion and frequent sneezing.

Nov. 11. Little or no improvement; in fact, my improve¬
ment was backward.

On the following day made a few calls; but no desire for
food.

Afternoon a very severe diarrhoea set in.

Stools frequent, painless and exhausting.

Watery, very offensive.

Light brown color.

Excoriating wherever it touched.

After some six hours it became involuntary; it continued
undisturbed for twenty-four hours, when I decided that if this
was still a treat from Kali mur., I had had quite enough of it,
I took two powders of Phos. acid, 200, which soon relieved
me of the trouble.

Nov. 13. Attended to office calls, with aid of a friend who
volunteered to assist me. I did not, nor could I, sit up half of
the day. I felt that life was not worth the living.

Nov. 14. It is now some ten days since I took the drug;
conditions somewhat improved, but the mouth is still dry,
tongue coated white, very little appetite and little or no
strength; still hoarse; nose dry and sore.

Nov. 15. Still weak and willing to lie down most of the
day; continual thirst and depression.

Nov. 16. Haven’t eaten a square meal in two weeks;
very little food serves me.

Nov. 17. Should like to supply the inner man today, but
the mouth is still parched and dry, attended with much thirst.

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Proving of Calcarea Flourica*

! 3

Stools normal; still a weak, played-out feeling, with little
power of resistance.

March 15, 1S93. So much for the proving of Kali Mur,
30. The action of the drug was slow at first, but deep and
powerful as the work proceeded. Several doctors have con¬
firmed these symptoms, with the most satisfactory results. I
have prescribed it for more than a half dozen, having similar
symptoms; it never .failed me in a single case. It is truly an
effective curative remedy for la grippe.

I intended to prove the 200, but don’t dare do it. I think
the 30 has caused cirrhosis of liver. I have never entirely
recovered from its effects.

My reason for feeling that it caused cirrhosis of liver is,
that the region of liver is so much smaller than formerly;
in fact my dressmaker says, M Doctor, what has happened to
you? I shall need to pad under the right side to make it
just like the left.” It used to be fuller on the right, from
malaria that I had some fifteen years since. My dresses are
some two inches or more less around the waist than formerly.
I speak of this as it is quite an important symptom if true,
and I believe it to be so.

PROVING OF CALCAREA FLOURICA.

Prover No. 3, Oct., 1892.

Proving Calcarea Flourica 6x from Boericke & Tafel.

Oct. 8. Began in the forenoon. In the afternoon,
mouth and throat began to feel dry and husky; during the
afternoon felt quite chilly, with thermometer at 76 in my
room.

Soon after retiring, I experienced a sharp pain in the carpal
bones, extending to the index finger, which continued for
some time and then passed off.

The remedy caused a mucous secretion, in the posterior
nares, early in the proving.

Oct. 9. The appetite increased*

It inclines to constipation.

Calls to stool often, resulting in offensive flatus.

Urine diminished and high color and very offensive.

A dull weight with discomfort in the right hypochondrium^
more or less, in all the proving; not quite a pain.

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After retiring, experienced itching of scalp as well as parts
of the body, > somewhat by scratching.

Oct. io. I had a queer indescribable sensation in the head,
a sort of creaking, straining and drawing. Could not bear to
be upon my pillow, as it increased the sound or rather made
it more audible. It reminded me of the squeaking of corn
stock fiddles in my childhood days. It was very troublesome
and hard to bear. This greatly disturbed sleep. I never
before experienced anything like it.

Oct. ii. Soon after taking the medicine, the same dull
feeling returned in the right side which I could not forget.

At 2 A. m., had a decided chill, in the side not lain on.

No heat or perspiration, it lasted a half hour or more.

Oct. 12. Chill came at 5 a. M.,a long cold chill, similar to
the first. Same trouble in the head.

Oct. 13. The trouble in the head < and so much annoyed
me, that I discontinued the drug for several days. I couldn’t
endure it any longer.

The same disturbance continued after stopping the medicine;
I couldn’t forget it for a moment. Loose stool, of the nature
of diarrhoea, continued for a day or more without any cause,
save the medicine. All the stools were very offensive .

Urine offensive.

The drug is a great disturber of sleep.

Usual aggravation was from two to three A. m. The same
conditions continued during the interval, as while taking the
medicine.

Sleep was just as broken and unrefreshing; in fact the loss
of sleep disqualified me for my daily duties; I did not get
more than three or four hours sleep any night, so that I felt
lazy and good for nothing.

Had no ambition for anything; it made me pale and hag¬
gard. Outsiders called me sick, and weren’t much mistaken.

Oct. 15. Began to take the remedy again with same
results as just given, rather < increased in severity; it made
the skin rough and chapped.

Feet became tender.

Feet somewhat oedematous during the proving.

Bkin dry and hard. The symptoms very similar to tho^e

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A Case oj Poisoning by a Belladonna Plaster 15

recorded *but more severe during the second five days, then
they were during the first five.

The appetite increased. The action seems to be deeper
and stronger as the proving continues. It does not diminish
when the drug is discontinued, but its effects remain for days
and even weeks, especially the dryness of the mouth and
throat. It was so dry and husky I seem to feel it now,
although a year and more has passed.

I have confirmed this proving on the fingers and joints of a
scrofulus patient whose finger joints were very much enlarged
and very sore. I gave the 1000 Descheros and it reduced
the joints somewhat and removed the soreness.

Sarah N. Smith, M. D.

Nbw York City.

A CASE OF POISONING BY A BELLADONNA
PLASTER.

BY ERNEST E. MADDOX, M. D., EDINBURGH, FORMERLY SYME
SURGICAL FELLOW, EDINBURGH UNIVERSITY.

Miss P., aged about thirty years, a music teacher, was sent
me by her physician on account of obscure eye symptoms.

Her complaint was that on rising one morning she found a
mist over her vision, and found that she could not read unless
she held the book at a good distance. This was on Monday,
but during the week the symptoms were ameliorated by
taking a dose of Gregory’s mixture. On Sunday, however,
they began to return, and by Monday were as bad as ever. On
Tuesday she came to consult me. She looked flushed, and
her eyes had an unnatural brightness; the pupils were not
larger than they often are in those who, like herself, have
slight myopia.

What aroused my suspicions was that she was always
moving her mouth around in want of saliva, and on
inquiry she said that her mouth and throat were painfully
dry. Her near point of vision was found to be not nearer
than a half-meter, so that, as she had 0.75 d. of myopia, her
range of accommodation was only 1.25 d., instead of being,
as it should be at her age, 7 d.

Feeling sure that Belladonna must be accountable for the

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symptoms, a searching inquiry was made as to the possibility
of her having had it in some prescription or liniment, but
all such possibility was denied.

At last she volunteered the information that she wore a
plaster over the lower part of her back, unknown to her
physician, and that it was possible that this might contain
Belladonna. Inquiry into her other bodily symptoms placed
it so beyond doubt that the suspicion would prove correct
that she was simply ordered to remove the plaster and take a
purge. This she did with the result that the symptoms
rapidly disappeared, though even eighteen days afterward,
when she called again, the near-point had not been quite
recovered, and some of the nervous symptoms had not com-
pletely disappeared.

The symptoms which I carefully noted when she first came,
were so well marked, and many of them were so characteristic
that they are worth recording as a study of the physiological
action of Belladonna. The dryness of the mouth and throat
has already been alluded to; besides this her eyes felt dry and
her skin also. Her pulse was 106 , and the apex-beat of the
heart very strong and diffused. This is well known to be due
to paralysis of the cardio-inhibitory terminations of the vagu.
On inquiring about her flushed face, she said she was natur¬
ally rather pale, adding: “I never have such a color as I
have now.” Her face felt hot. The eyes appeared smaller
(was this due to paralysis of the unstriped muscular fibres
of Muller?) and had a piercing look; to relieve their unpleas¬
ant dryness she had been obliged to bathe them with milk
and water. She says her eyes seemed to have retreated more
into their sockets; this is quite possible, for it is well known
that Belladonna often relieves exopthalmic goitre, and it may
do so by paralyzing the unstriped muscle behind the globe*
It is not well, however, to attach too much importance to the
observance of a patient on this point, for the mere dilation of
the pupil may deceive him, and make him think the eye
looks smaller or more deeply sunk. She had well marked
accommodative micropsia, and complained spontaneously of
it, saying: “A sixpence looks like a threepenny piece.”
Her color sensations had an abnormal permanency, so that

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A Case of Poisoiuing by a Belladonna Plaster . 17

if she looked at anything red or blue, the next object she
looked at appeared to be the same color. This is an interest¬
ing phenomenon because it is sometimes met with in individu¬
als otherwise normal. I have met with one very well marked
case of such abnormal persistency of color sensation. It
appears to be one form of hypersesthesia of the retina, unless,
indeed, its seat be in the nervous centers. Closely allied to
this are the mental hallucinations so characteristic of
Belladonna. One night she called her sister’s attention to a
light shining in at the window, but her sister could see noth¬
ing. At other times she thought she saw dark objects.
There was hyperaesthesia also of the other senses, so that any
disagreeable odor appeared far worse than usual and noises
were unbearable. This keenness of sensation perhaps
accounted for the fact that she could not sleep well, but kept
waking up every hour. Her natural “ nervousness" had
been greatly increased by the Belladonna; she had become
“ dull and desponding,” life seeming miserable to her during
the night; there was also a loss of self-confidence, and a
feeling as if it were not safe to venture out into the streets
alone; she became taciturn, and yet irritable with her pupils;
could not remember the day of the week, thinking, for
instance, on Wednesday that the day before was Sunday.
She would cross the street rather than meet with her friends,
from a sense of timidity. Her locomotor equilibration seemed
affected, for on rising in the morning she felt giddy and dis¬
concerted on putting her feet on the floor, feet and limbs
not seeming to move as they used to; “ less agility in move¬
ment,” and, on walking, felt as if her foot needed putting
down a second time. These symptoms are interesting as
being distantly related to some of those in locomotor ataxia,
being, however, functional instead of organic.

The bladder symptoms were almost pathognomic of Bella¬
donna poisoning, and are of interest in connection with the
undoubted service of this drug in the enuresis of children.
She had frequent desire for micturition, having to rise three
or four times at night and passing much more than usual,
very pale, and occupying a long time in its evacuation by a
thin stream, with complete intermissons as thongh micturi-

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18 The Medical Advance .

tion were over, then beginning again. This probably points
to the muscular fibre of the “ detrusor urinae ” being semi-
paralyzed. The copious flow of pale urine reminding us of
hysteria and those nervous headaches which are associated
with the same hyperesthesia of the senses, is no doubt nerv¬
ous in its origin, unless, indeed, it be, as Dr. Haig would
have us suppose, a question of the action of Belladonna on
the vital chemistry of Uric Acid.

In conclusion, it may be said that the plaster was found to
be made by one of those firms who pride themselves on the
excellency of their Belladonna plasters, and who exhibit the
results of tests to show how much more Belladonna they con¬
tain than the official plasters. The case recorded shows there
is a limit to excellency of this kind, and that there is need
for caution not to carry it too far.

[This proving of Belladonna is taken from the November
number of the American Journal of the Medical Sciences,
and is reproduced in the Medical Advance because the
picture is so clearly and concisely drawn, and gives a very
clear insight into the genius of this valuable remedy, and will
be read by every close student of the Homoeopathic Materia
Medica with interest and profit.—E d.]

Fortune-Telling. —She: “ What is the science of palm¬
istry I hear so much about?”

He: “The art of telling fortunes by the hand.”

She: “Can you tell my fortune by my hand?”

He: “ No, but if I had your hand I could tell my own for¬
tune.”— The Wasp .

Mr. Potter. —“Do you not think it is a man’s highest
duty to treat woman as though she were some rare and price¬
less bit of Sevres?”

Miss May Jolliker—“Why, of course I do!”

Mr. Potter—“Then, dear, I have quite a lot of Sevres;
may I add you to my collection ?”— Puck .

A little girl sat listening to her father as he read aloud
from a newspaper the long string of deaths, including those
of the Duke of Clarence and Cardinals Manning and Simeoni,
and when he was through she quietly observed, “ Papa, it
must have been a great day in heaven.”

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Theory and Practice of Medicine

REPORT OF LECTURE ON THE VITAL
TEMPERAMENT.

J. A. TOMHAGAN, M. D., CHICAGO.

The vital temperament depends upon the nutritive system,
the motive, upon the bones, joints, muscles and tendons.
The nutritive system is composed of the organs above the
diaphragm, the heart and lungs; below the diaphragm,
the whole chylopoietic system. Now, of course, you know
the organs of circulation are above the diaphragm and
those of absorption below. This temperament embraces
the sanguine and lymphatic of the old classification. The
vital temperament has in some cases a strong admixture of
the bilious, giving bilious as well as sanguine vital. Of
course, in the bilious we have the dark hair and eyes, and in
the sanguine, the light hair and eyes. Dark skin in the bil¬
ious, and fair, ruddy complexion in the sanguine. So we have
the bilious and sanguine vital, each having a complexity of
phenomena peculiar to itself. I have said upon a former
occasion, that the vital temperament is characteristic of child¬
hood. Then as causes of this temperament we have child¬
hood and heredity. A great deal of exercise out of doors has
a tendency to develop the vital temperament. Climate that
is not too warm nor too dry favors its development. Notice,
the motive temperament is found in dry hilly regions, the
vital in a climate not too dry nor too moist, and the excessive
vital or lymphatic in moist regions. Agreeable employment
or recreation encourage the growth of the vital. All watery
vegetables and acids are to be excluded from diet where it is
desirable to promote this vital element in the constitution.
Some of you know people who drink vinegar to reduce their
excessive vitality. The excessive use of acids tends to
diminish this temperament. These become motive by reduc¬
ing their vital temperament to bone and muscle, or I should
rather say, that they present an appearance of the mechanical

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temperament predominating. The vital temperament being
thermal, warm, naturally calls for acid or cold things. You
will find them longing for acids and craving pickles, while
the motive call for chalk, lime, earth, fats, sweets. The vital
longs for sour tomatoes, salads, pickles and otherlike
vegetables.

A lady called upon me the other day who, to my surprise,
said she wanted pickles all the time, but upon questioning
her I found it was sweet pickles she wanted. She had the
typical bilious, motive, mental temperament. When we come
to speak of the complementary relations of remedial agents in
conjunction with temperamental pecularities, w’e will elabor¬
ate this subject more fully.

Political strife and antagonism develop the motive temper¬
ament, but the vital is developed by art, music, and an easy
go as you please condition. The hate, jealousy, and vindic¬
tiveness of the motive have no place in the vital. You will
seldom find those of this temperament feeling jealousy,
hatred or envy. These sentiments are not natural to this
temperament, though they are common to the motive, and
especially the bilious motive.

In stature you will find the vital above medium height, and
the length of limbs proportionately less than those of the
motive. Chest is deep and full, abdomen well developed,
limbs plump and tapering, and the hands and feet corre¬
spondingly small. If you see the hands you can describe all
the rest of the body in this temperament, as you can in the
mental or motive. The neck is short and thick, the shoulders
well rounded. You will remember in the motive the great
angularity of the whole body. The head and face like the
rest of the system are also rounded. What is true of a part
is true of the whole body. The expression of the face is
lively, pleasant, open, even mirthful. The movements are
naturally easy, graceful and dignified. The movements of
both body and brain are always quicker than in the motive
temperament. Of course, the character of the movements of
the motive temperament being slow and measured, the intel¬
lectual functions partake of a similar nature. This organi¬
zation tends to mirth. The cheeks flush readily, like Amyl

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Nitrite. The vital temperament is noted for activity, acute¬
ness of the senses and refinement.

This is the prevailing type in the Celtic nations, and also
among all dark-skinned peoples; that is the bilious vital. It
is especially characteristic of the Spaniards and negroes. The
northern nations are usually light and the southern dark. I
noticed at the Esquimaux village the other day that all the
Laplanders had very dark hair and eyes, and I think it likely
that they are a branch of one of the Indian tribes. The
Norwegians and Russians are sanguine. It takes ages to bring
about such a change as that seen in the Esquimaux, to cor¬
respond with the Russian.

The bilious vital is characterized by more endurance than
the sanguine vital, and less agility than the latter. In the
lymphatic temperament the absorbent system predominates
over the circulatory, giving additional fullness with soft and
round contour. In consequence of which the functions
become more and more sluggish.

Now, then, you see why Capsicum, being a thermal agent
and highly stimulating, is indicated in fat people of the
lymphatic type. Flabbiness of flesh, great sloth, general
heaviness of mind, and in fact slowness of all operations,
whether physical or mental. Of course, if all physical opera¬
tions are sluggish, the mind cannot be active. Benjamin
Franklin was a characteristic example of the sanguine mental
vital. In old age he became lymphatic, with the pendant
cheeks. Amm. Carb. and Mur., Gaps., Kali-c. and Cal. c.
Asafoetida, Natr.-c. and Calad. are remedies that serve to
arouse the vital forces in this lymphatic temperament.

The vital temperament should play a salient part in the
temperamental make-up of woman, to enable her to withstand
the trials of parturition, and to furnish the healthy nutrition
essential to rearing her progeny. Chest deep, limbs (as
already mentioned) plump and tapering. The limbs in the
lymphatic, as is the whole body, are large and shapeless,
while in the vital they are tapering, with small hands and
feet.

In the sanguine we have complexion light, eyes blue, hair
flaxon, brown or auburn. In the dark, we have the same

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physical characteristics, except that there is more tenseness
and hardness of contour. Aconite, Bryonia, Belladonna, do
excellent work in those endowed with a rigid muscular fibre.
In the bilious vital there is less fineness and delicacy. In
both the sanguine and the bilious vital the figure is full and
rotund. Individuals endowed with this temperament are less
tough than those of the motive temperament. The motive
temperament giving tenseness, endurance and firmness. The
sanguine has a love for exercise and open air. There is a
remedy that will occur to all of you, having this penchant.
They must be continually doing something to work off the
ever accumulating stock of vitality. Impulsiveness, ardor
and intenseness characterize this temperament. There is-
but one remedy mentioned in Lippe for impulsiveness (Cicuta
Vlrosa), Aconite, Belladonna, Gloin, may all have it. Those
subjects are characterized by elasticity rather than firmness.
They possess more diligence than perseverance, and are ready
of perception, make rapid deductions, have a lively imagina¬
tion, vivacity of expression; hence you will find some of our
greatest orators are of the vital temperament. Ingersoll,
Beecher, and Spurgeon of London, had a strong infusion of
the vital element; also an eminent minister of India (whom I
heard at the World’s Congress of Religions not long ago),
and who is one of the most eloquent and philosophical orators
of the day. In these men the sanguine predominates, with
the vital and mental greatly developed.

In the motive there is great persistence—that is, what they
set their minds to, they will persist in for some time, while
the vital is readily changed. The motive will read a paper,
and some one coming in unnoticed, they continue to read. It
takes some time to get their minds off of what they are doing.
Going in upon one of the vital, he will drop the paper
instantly, and take up a new subject. You can see Aconite
and Belladonna in these subjects in whom affections come
on impulsively. It is a waste of time to give Gelsemium to
the vital temperament. If you give Aconite and Gelsemium
alternately it may cure, but you will not know which did the
work.

You will find this class of individuals highly generous,.

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Lecture on the Vital Temperament. 23

good natured and candid. They are likely to fall into
excesses in eating and drinking, and especially apt to be
believers in the old motto, “Let ns live while we live."
Burns and Byron were of this sanguine, vital temperament.
The mental peculiarities that attend this constitutional ele¬
ment are stamped upon their writings. Thus you can project
the mental and physical makeup of an author by carefully
studying his w r ork. You can readily recognize cases having
this temperament, especially if well developed. Above, I
said this temperament was ready and quick to make deduc¬
tions. They can easily change from one opinion to another.
It seems to me they should make excellent alternators. In
friendship and love they are very sincere and ardent. They
are impatient of restraint. Their strong social affections and
love of ease are likely to carry them into excesses unless they
are restrained. Take Lillian Russell; she has been married
but two years, yet her love of life and dislike for restraint
have already made her wish for her old freedom. She is an
example of the sanguine-mental-vital temperament, and an
excellent Pulsatilla subject.

It might be well to remember that where there is dark com¬
plexion, black or brown hair and eyes, in the vital, there is
invariably shown a strength of passion, depth of feeling, and
capacity for sustained effort, a force of character greater than
in the sanguine type, while there is less refinement, amiability,
delicacy and vivacity than in the sanguine vital.

Means of culture .—A climate neither too dry nor moist,
exercise in the open air, and systematic breathing, calculated
to expand the chest and increase the power of the heart and
lungs; deep breathing. Since it is a characteristic of the
vital temperament to have a large, deep chest, of course, to
bring this about in a shallow one, deep breathing is necessary;
pleasant companions, surroundings, and freedom from care
are helpful to further the development of this constitutional
element. Impulsiveness, passion, gluttony are early symp¬
toms of this temperament, and should be restrained.

Configuration .—Plump or rounded. The figure though
above the medium is not tall. The face rather round, while
in the motive it is oblong. Napoleon and Daniel Webster

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both had the bilious-mental-vital, with very prominent intel¬
lectuality. In that class of individuals Belladonna does
excellent work. In Franklin yon will notice the long anterior
lobe of the brain, and the lymphatic pendant cheeks. The
marvelous mentality of Franklin was beclouded in old age by
the supervention of this lymphatic element, which is liable to
be developed in old age in those in whom the vital tempera¬
ment plays a leading role. The grasp of the hand of the vital
is warm, but not always as trustworthy as that of the long
homely hand. The physical characteristics voice the mind.
The vital temperament hand is short, broad, with plump
tapering fingers. You can tell by the shake of the hand the
temperament of the individual. Sometimes people will offer
two fingers in this way (extending first two fingers lifelessly),
but that does not mean anything, and yet it signifies a good
deal. The plump hand is in keeping with the rest of the
body. It loves ease and does not wish to do much work.

All great generals had the motive temperament. Henry
Irving is an example of the bilious-motive-mental organiza¬
tion. I mention these people because you have either seen
the individuals or their pictures. Now, if you have seen the
Rev. Lyman Abbot you will recall an example of the sanguine-
mental, with the vital and motive below par. He has a large
head which he can hardly hold up. An intense reasoner. A
greater reasoner than Henry Ward Beecher, being more philo¬
sophic. Now certain of our remedies have an affinity for this
temperament. When we come to the mental temperament
you will see where Phosphorus, Berb., Ambra grisea, Arg-n.,
Arg-met., Con., Asarum europ., etc., affiliate.

DISCUSSION.

There is intenseness and ardor in the vital, but not as pro¬
longed as in the motive.

Q. Of what temperament were our greatest doctors?

A. Hahnemann, sanguine-mental-vital-motive. Lippe
had sanguine-mental with the vital and motive about equally
developed. Dunham, bilious-mental-motive.

Q. With what temperament do physicians seem to succeed
best?

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Lecture on the Vital Temperament.

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A. Physicians succeed best generally with the vital
temperament, because that is the temperament of vitality.
It is the temperament which furnishes nutrition. Another
fact, they can endure hard work and readily recover from
fatigue. They can stand an immense amount of hard labor
without exhaustion.

Q. Does the term bilious mean bile?

A. No, bilious does not mean bile in this connection at
all. We use it simply to designate those of dark hair and
eyes, in whom the liver plays an important part.

Q. What is the mental state of the vital?

A. Active mind, impulsive, pleasant, generous, kind.

Q. What are some of the peculiarities of the motive?

A. Slowness of conception, perseverance, intenseness of
thought. Ordinarily philosophical and deep, because per¬
severing and slow. In Franklin and most of our scientists,
however, you will find the vital temperament and they make
rapid deductions though philosophical ones, because of their
preponderating mentality. The bilious-mental-motive is
philosophical, depth of thought chacterizing its mental
scintillations. Lyman Abbot is sanguine-mental with the
vital and motive below par. He has a slight body but is very
philosophical.

Q. What was Benj. Butler?

A. Strong vital temperament.

Q. What is the temperament of those having a high fore¬
head :

A. High and broad give the mental. Like that of most
of the poets, as Shakespeare, Byron, Burns, Poe, etc.

Q. How do you account for the forehead of the idiot?

A. What the sloping of the head? By the deficiency of
the anterior lobe of the brain. An individual may have a
very large head; it may measure twenty-five inches; still the
person may not amount to much. It is the organic quality
that counts the most. You remember the old adage, “Valu¬
able articles come in small packages.” So a small cranium
may contain a brain of fine quality and excellent capacity.

Q. Is it true that great generals have Roman noses?

A. Y es, all our great generals had Roman noses. That

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nose means combatativeness, pluck, push and energy. Sheri¬
dan, Grant and Sherman had prominent noses; so did Caesar,
Napoleon, Wellington, Cyrus and Hannibal.

Q. Under which temperament is Calc. carb. typical?

A. Sanguine vital.

Q. What are the bilious-mental remedies?

A. Phosphorus, Ambra grisia, Ignatia, Sepia, Nitric acid,
Cocculus, Guac., Berb., Nux, etc. Those in whom the
sanguine temperament predominates are especially inclined to
inflammatory diseases. Those in whom the bilious predomi¬
nates, to chronic. Those in whom the mental abounds, to
nervous diseases. By mental I do not mean brain simply, but
the entire nervous system.

Q. By what treatment could you change from one tem¬
perament to another?

A. I do not understand you. Can we develop from one
temperament to another do you mean? A. Yes, that is,
could you change a temperament that was naturally motive to
a sanguine vital?

A. Yes, they do change. For instance, we can take an
individual of sanguine-vital-mental temperament, and by
cultivating him draw upon his vital, and thus increase his
mental.

Q. How about the mental-sanguine-vital? Do you say
the predominating temperament ever changes?

A. No, they are merely modified. After a man is
thoroughly developed it would be hard to change his tempera¬
ment, but even in adults you can depress the vital by culti¬
vating the mental. The vital and mental are more plastic
than the motive.

Q. Is it true that the human family is drifting towards
a pure mental temperament?

A. I do not take any stock in that. The Egyptians and
Romans were at the height of their civilization ages ago. Why
do they not keep on ? There seems to be a limit to the men¬
tal power of man.

At our next lecture we will take up the mental tempera¬
ment.

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SURGERY

APPENDICITIS: ANOTHER FAILURE.

ecurrent Attack—Morphine — Delay—Pus—Perforation—Heavy
Adhesions—Operation—Death—Autopsy.

BY HOWARD CRUTCHER, M. D., CHICAGO.

One November afternoon I was called in consultation by
Prof. H. C. Allen to see a case of appendicitis. The patient,
a physician, aged 39 , was suffering from his third attack.
He had been in bed two weeks under the ministrations of a
young gentleman of the old school whose handy hypodermic
needle did surprising execution.

The trite and truthful observations of Dr. Robert T. Morris
upon the use of Opium in appendicitis will bear another repe-
, tition in this place:

“ 1. A drug that benumbs the physician who gives it more
than it does the patient who takes it.

“ 2 . A drug that greatly relieves the distress of the physi¬
cian who without it would be compelled to do something
rational for the relief of the patient who has put confidence
in him.”

There is no higher authority in the world than the one quoted,
and the cheerful numskull who finds it easier to denounce as a
fad what his laziness or his stupidity has not permitted him
to master had better consider very seriously the sound warning
of the great New York surgeon before tossing his patient
upon the fatal quicksands of Opium befuddlement.

Dr. Allen was called to see the patient after two weeks of
such dosing, and observing at a glance that the case had long
since passed beyond the domain of therapeutics, summoned
me in consultation.

These points were gathered in my examination:

Third attack; severe constitutional disturbance; intense
tenderness over normal base of appendix; caecal region dull
on percussion; and, worst of all, two weeks of Morphine .

I advised and strongly urged that an operation be per-

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formed early the next morning, which position was endorsed
by Dr. Allen and Dr. Atwood.

The patient desired to ask me some questions, and I told
him that I would cheerfuily give him any information that I
might possess.

“ Should I be operated upon what are my chances for
recovery ?”

“ That depends upon yourself. What I do will not materi¬
ally affect your chances, except favorably. There is nothing
so very serious about the operation itself—patients kill them¬
selves by delay.”

“ Suppose you find pus, gangrene, and other complications,
will not the operation be very much more dangerous?”

“ Yes, but only so by reason of the existence of the com¬
plications, which, if present, absolutely demand operative
interference.”

“ Suppose the appendix should be perfectly sound?”

“ In that case I shall take it out so quickly and so carefully
that you will never have cause to mourn the loss; in fact, I
hope we shall find perfectly sound tissues, for then I can tell
you nearly the number of hours before you will be able to
return to business.”

“Do you think I am strong enough to stand the operation?”

“ That is not the point; how much longer are you going to
stand the present state of affairs? M

“ Now, in conclusion, if you were in my place would you
have the operation ? ”

“ Well, sir, for just one-hundredth part of the trouble yours
has given to you I- had my own appendix removed, and if I
had a dozen more I should repeat the performance with
decreasing hesitation each time.”

“Well, I think the best thing you can do is to operate
tomorrow morning/'

“ I shall be here with my assistants; now rest easy and
look forward with delight to your admission into the Anti-
Vermiform Society.”

At the hour appointed we were on hand. Just here
another obstacle presented itself. During the night the
young apostle of inertia and somnolence returned to the

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Appendicitis: Another Failure .

2 9

patient and upset our calculations by advising against an
operation. Besides, the patient was better; perhaps Dr.
Allen's prescription had done the work. Had we not better
wait? To these delusive dreams I replied, with some
emphasis:

Very well, the dynamite is in your abdomen, not in mine.
If you enjoy its presence you must take the entire responsi¬
bility. Some men deal with this trouble as if it made no dif¬
ference whether the operation were done before or after the
funeral; for my part, I greatly prefer ante-mortem surgery.
If you are going to have anything done, do it in time to get
some benefit from it. This improvement may be genuine, or
it may not; I have known of such calms before the final
storm.”

At 1 p. m., on November 22 , assisted by Drs. H. W. Pier¬
son (anaesthetist), H. A. Atwood, Chas. J. Watts, Mr. W.
W. Stafford, and a friend of the patient’s, I began the opera¬
tion by an incision, following the trend of the external
oblique, about midway between the anterior spine and the
umbilicus. A heavy layer of adipose tissue necessitated a
long incision and greatly embarrassed many of our efforts.

The adhesions were for a time impenetrable; I remember
nothing quite equal to them in any past experience. It
required the most persistent and strenuous efforts of both Dr.
Atwood and myself to penetrate the dense inflammatory wall.

Finally the appendix was located —a mass of tissue that felt
so much as stone feels as to be quite deceptive. At last the
diseased mass, as large as an ordinary adult fore-finger,
covered with successive layers of adhesive material, was
brought into the wound. Its isolation required the breaking
up of tremendous bands of adhesion, which induced a sharp
hemorrhage. This was controlled by the hot saline solution.

Two small pus pockets were located and evacuated; the
odor was sickening. The caecum was perforated at the base
of the appendix and the organ itself was of suspicious appear¬
ance. Pus was undoubtedly discharging into the intestine.
I closed the caecal perforation with successive layers of fine
catgut, inserted a deep drainage tube and brought the wound
together with four layers of sutures—three of silk-worm gut
md one of alternate silver and catgut.

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The operation was a prolonged one, requiring almost an
hour and a half. The patient was put to bed between
blankets and surrounded by bags of hot water. He rallied
well from the shock, but vomited considerably of bilious mat¬
ter for several hours after the operation.

Dr. Watts remained during the night with the patient and
at intervals found it necessary to administer Carbo vegetabilis,
which acted satisfactorily. The second day Arsenicum was
required, and the third day Rhus appeared to be indicated.
Three very unpromising indications—those of Carbo veg..
Arsenic and Rhus—yet the patient was undoubtedly greatly
benefited by their administration. I regarded the indications
for such a class of remedies as decidedly ominous.

To within an hour of the end of the fifth day improvement
had been apparently substantial. The odor from the wound
was not reassuring, but a fecal fistula being one of the expected
complications, this did not especially discourage me. I was
quite confident that the fifth day would supply a pretty reli¬
able indication as to the final outcome, and so it did. The
temperature and the pulse had been too low, as I thought,
most of the time, but as these were peculiar to the patient in
health, this fact did not cause special uneasiness. The thirst
was annoying, but the appetite appeared to be vigorous and
reliable. At half past one o’clock on the fifth day the patient
moved slightly, complained of cramps, sank into his pillow,
and in a few minutes was dead. He seemed to have gone to
pieces as a ship strikes a rock.

The autopsy, held twenty hours after death, disclosed these
facts:

The parietal wound was healing admirably; the perforation
of the caecum had closed perfectly, and the caecum itself was
in tolerably good condition. Separating the fierce adhesions
that bound the ileum, that structure was found to be badly
diseased for several feet, and clearly gangrenous for almost
nine inches to nearly its junction with the caecum. There
were five or six large perforations within the space of a few
inches. A stricture was located about three inches from the
ileo-caecal junction. There were pus spots at intervals in the
mesentery of the ileum. The stricture had wrecked the
structures above it by compression.

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Appendicitis: Another Failure. 31

If the caecum had been clearly gangrenous I would have
resected the diseased gut at once and have established a fecal
fistula as the surest immediate procedure; but, having found
the cause of offense—a perforated appendix and a perforated
caecum—and having repaired the damage and instituted drain¬
age, it was out of all question to tear the abdominal cavity to
pieces in search of suspected and unsuspected possibilities.
To have released the ileum would have been a serious under¬
taking in any event. There was nothing to indicate the ter¬
rible complication above the caecum, and there can be little
doubt that the sufferer was beyond all hope days before we
saw him. The thing that would have saved him—an imme¬
diate operation—was not deemed advisable; the late operation
was done and with the usual results.

I have narrated this case at considerable length, and have
reported it only because it was a fatal case. There is nothing
interesting to report about the early operations. The patients
are up in twelve days, and that ends the matter. Not so with
the mismanaged cases. They perish from the endless com¬
plications that spring up with such rapidity when the process
of destruction has once set in.

The time to operate is when the indicated remedy fails.

Early operations present these features: Short incision;
short confinement; no drainage; no ventral hernia; healing by
first intention; death a rare outcome.

Late operations: Long incision; long confinement; pus;
drainage; ventral hernia; adhesions; gangrene; perforation;
sepsis; and an appalling death rate.

Those who fancy they are doing the cause of science a
valuable service by sneering at appendicitis as “a.fad” are
very much mistaken. I have yet to see a single operation
for appendicitis where the process was not ripe for removal.
Experience upon this point is absolutely conclusive. Sickly
and cowardly sentimentality, coupled with the densest ignor¬
ance, masquerading under the honored name of conservatism,
are responsible for the frightful mortality in this malady.

These conclusions seem to be warranted:

The simple, curable cases of appendicitis are promptly
relieved by the indicated remedy.

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One attack predisposes to another.

Recurring attacks are increasingly dangerous.

The use of Morphine masks the landmarks so completely
that operation should generally be advised where that drug
has been used.

Absence of active pain, if accompanied by prolonged sys¬
temic disturbances, does not prove that the patient is improv¬
ing.

General peritonitis in males, if not clearly traumatic, indi¬
cates in all probability that a slow ulceration has at last per¬
forated the appendix.

Even if the appendix should prove to be absolutely sound,
its removal will do the patient no harm; moreover, the explo¬
ration is likely to clear up doubts as to diagnosis, and may
be imperative for reasons not connected with the appendix.

The time for operation is clearly indicated when the appro¬
priate medicines have failed to give prompt relief.

That cases have recovered in unskilled hands, and in
spite of bungling treatment, is no reason why a given case
should not be treated in a thoroughly scientific manner.

Appendicitis, though frequently relieved spontaneously,,
and many times by medicines, is always a surgical disease.

The point for the physician to recognize clearly is just this:
that he is dealing with a surgical affection, and that medical
treatment in the face of continued aggravation is an unwar¬
ranted trifling with human life. Medicines act promptly if
they act at all, and if they do not act something must be
adopted that will act—the knife.

As to diagnosis, we must not wait for the so-called 4 ‘ sure
signs” of appendicitis—the ‘‘sure signs/’ while wonderful
aids to diagnosis, are more wonderful aids to the undertaker;
the surgeon ought to be satisfied beyond question that an
exploratory operation is demanded; and if the appendix, or
the caecum, or the omentum, or the iliac artery, or anything
else requires attention, he is prepared to do whatever may be
necessary. There is precisely this difference between the so-
called conservative and the modern surgeon: neither knows
anything about the case that is positive; the surgeon’s guess
is somewhat better than that of his associate; seeing is know—

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Cancer .

ing in appendicitis, and the surgeon believes modern methods
infinitely superior to chance .

Within a few years public opinion will be as enlightened,
as unanimous, and as sound upon these troubles as it is today
upon amputation and lithotomy.

Columbus Memorial Building, January* 1894*

CANCER.

It was, we believe, the late renowned Prof. James R. Wood
who facetiously observed:

“ Gentlemen, I have operated upon some thousand or more
cases of cancer, and all of them recurred except six cases, and
these were—not cancer.”

We do not believe that this experience differs in the main
from that of surgeons generally. Cancers can be diagnosed
by the thousand; surgeons can cut into and around them;
some of the wounds heal, some do not; but there is nowhere
a surgeon of good experience and candid expression who will
venture a confident opinion upon the outcome of a case of
cancer. The facts are all against conclusions of any kind.
One case, cancerous beyond doubt, is operated upon, the
patient survives ten or twenty years, and dies of pneumonia.
Another case, also cancerous so far as the physical signs go,
is left to tonics and to nature, and the patient survives fifteen
years, and is killed by an accident.

Some future day the surgeons will lay aside their knives
and needles, and will begin in earnest to study the nature and
the remote causes of the dreadful affection whose touch is
dreaded by the entire human race. Undoubtedly there is a
rational cause for cancer. To deny this would be to ignore
the laws of being. Moreover, there is a reason why a person
should have cancer, and why he should not have enteritis, or
pericarditis, or aneurysm. Cancer, like pneumonia, comes
in response to a certain disturbance of vital energy. We can
amputate the breast, we can extirpate the uterus, but we can¬
not remove the lungs; and we fail to see wherein the cancer¬
ous tendency has been eliminated when certain visible evi¬
dences have been removed from the patient, and thrown into
a neighboring sewer.

This is by no means a protest against certain operative

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measures for the relief of those who are afflicted with can¬
cer. Sometimes surgical interference is demanded most
urgently, and great relief is thereby rendered to the sufferer.
Occlusion of the bowels, the threatened rupture of a large
blood vessel, and various other conditions demand immediate
and radical mechanical treatment; these facts, however, do
not alter the least our proposition that the essential nature of
cancer demands more careful study than it has yet received,
and that no amount of mechanics will account for the exces¬
sive prevalence of the malignant disease under discussion.

We have, of course, no theory to advocate, no special path¬
ological views to present, but it is urged that a more careful
and critical record be taken in the future of all cases of cancer.
Has the patient a good family history? Can gonorrhoea or
syphilis be detected in the ancestry or in the patient? If so,
how were those diseases treated? The impression prevails
extensively in the allopathic school that gonorrhoea is abso¬
lutely incurable. Can it be driven from one locality to
another, changing its form in so doing? Is it possible that
a syphilitic uleer, driven away from one spot by violent means,
can migrate to more congenial soil and fortify itself against
suppression by adding the element of malignancy in transit?
Prof. Geo. B. Wood ( “ Practice of Medicine,” 1868 ) speaks
of moderate psoriasis treated locally by mild applications,
resulting in violent pericarditis, the destructive force being
greatly intensified by the metastasis.

Mr. Lawson Tait has said of peritonitis, “ We must not
talk of curing it; we must prevent it.” Will not a closer
study of latent maladies and suppressed diseases enable us to
prevent most cases of cancer? The matter is at least worth
investigating.

Db. William W. Keen, the distinguished Philadelphia
surgeon, in a recent article, declares the Murphy button to
be “ingenious but not practical.” This contrivance has
undoubtedly seen its best days, and will no doubt soon pass
to the boneyard of the picturesque in surgery. The old
method of stitching together the ends of intestines is likely
to prevail for some time to come. It is not so sensational as
the dog button—we believe the button worked better in dogs
than in men—but it seems to save more lives.

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The Clinic.

CLINICAL CASES.

C. M. BOGER, M. D., PARKERSBURGH, W. VA.

Case I. —Aug. i, Master R.,aet 12, came to my office suffer¬
ing with the following symptoms: for several weeks had severe
sore throat (nature unknown), after recovering from it went
to hoeing corn in the hot sun, which was quickly followed by
a severe torticollis; the muscles of the right side of the neck
were contracted and of a board-like hardness, turning the
head necessitated turning the entire body, head drawn to the
right, complains of a continual, undefined pain in the hardened
muscles; for which condition he received Lachnanthes 30,
obtaining complete relief in three days with no recurrence to
date.

Case II.—Aug. 24, Mr. F., aet 63,desires relief for the fol¬
lowing conditions: every time he puts his hand into cold water
he has sudden urging to urinate, resulting in involuntary
micturition if not obeyed immediately; he received Phos¬
phorus 200, one powder dry on the tongue at bed time, followed
by Sac. lac. and there has been no return of the trouble in
over two months.

Case III.—About two months ago received word to attend
Mrs. B—, a patient with a specific history and suffering with
uterine hemorrhage, induced, she averred, by carrying water
up stairs; some time previously she had aborted, leaving a
more or less constant flow of blood in its train, which had
suddenly become profuse and bright red mixed with fresh
clots; the os was patulous, and the uterine body flabby and
relaxed; I suspected the retention of secundines and decided
to try the indicated remedy in place of the placenta, forcep,
etc., especially as she complained much of an aching in the
uterus preceding the expulsion of each clot and of a very
decided sense of weakness in the hip joints and thighs; accord -

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The Medical Advance .

ingly she received Trillium pend., in drop doses, which
quickly changed the blood to a dark color and in three hours
gradually checked it entirely.

Case IV.—Mr. M. B. T., aet 70, of Hartford City, W.
Va., came to my office on Dec. 16th, ’92, with the following
symptoms:

1. Gnawing in stomach, < 1-2 hours after eating, > tempo¬
rarily by a bite of food.

2. Dark gelatinous stool with much flatus; shuddering
before each motion.

3. Griping, gnawing, flatulency in bowels < motion and
before and after stool.

4. Has undefined pains which alternate between head and
stomach > in open air.

5. Bad taste in morning with hawking of tough phlegm
from throat.

This condition had continued a long time and he believed
himself incurable, the 9 was Kali. bi. I 2 x, three doses fol¬
lowed by Sac. lac.; in eight days he reported great improve¬
ment for which he received Sac. lac., and on the 15th of
January he reported himself well and has continued so ever
since.

Case V.—Mrs. A., now six weeks pregnant, complains of
a nervous headache with a sensation as though the top of the
head would fly off; she is hungry, but food turns her sick.
5 Xanth. ix, cured the whole case in one day. I would par¬
ticularly call attention to the last symptom for I do not think
it has been before verified.

HAHNEMANNIAN CURES.

Case III.— Cicutavirosa. 1882, January. Mr. H., aged
71, with fatty degeneration of heart, had suffered for about
seven months with right hemiplegia. His case was given up
as hopeless by three allopaths, including two consulting physi¬
cians from the West End. They all said he must soon die.
Under pure Hahnemannian treatment I greatly relieved him,
so that he could walk a little with support. One of the con¬
sulting physicians said, when he heard of it, that “ it was

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Hahnemamtian Cures,

simply conjuring”; however, he never asked me how I “did
the trick.” Later, the patient, through his own obstinate
folly, in persisting in going out in a bath-chair when there
was snow on the ground and an east wind blowing, and in
taking a bath in a temperature of only 96^, contracted a
severe broncho-pneumonia, from which I again restored him.
Towards the end, dropsy of the right leg supervened. A
few days before his decease I was called to visit him in the
night. I found him suffering from violent paroxysmal
cough, each paroxysm being followed by lock-jaw for a few
minutes: there was also a new symptom, not manifestly con¬
nected with the paroxysms of cough, jerking of the left arm.

Diagnosis of the remedy .—In the late Dr. C. Lippe’s
invaluable Repertory, a doubly-interleaved copy of which I
always carry with me to the patient’s bedside, I found (p.
21 3 ) “J er ks of left arm, Cicuta .” The peculiar symptom,
44 lock-jaw after coughing,” has not been recorded; but at
p. 67 of the same Repertory, under 44 Trismus,” I found
Cicuta with twenty-eight other remedies; Cicuta having also
this variety of the symptom, “Trismus, with teeth tight
together.” I at once dissolved a few pellets of Cicuta virosa
im. (Jenichen) in water, and ordered a spoonful every two
hours till relieved. The following afternoon I visited him,
and found he had had a good night, much less cough, and no
return of the jerking of the left arm or the lockjaw. He
lingered on in comparative ease for a few days, and then
passed away quiety in his sleep. t

Comments, —(1) This case show's the necessity of carrying
the Repertory to the bedside of the patient. Here was an
extreme case, which if not speedily relieved would have
resulted in an agonizing death. An accurate selection of the
remedy must be made at once; there was no time for delay,
or for a mistake. But what brain could contain with preci¬
sion all the remedies which produce or cure Trismus, or jerk¬
ing of the arms? Many of them would, of course, be known
to every homoeopathic physician; hut it would be a mere
coincident that he should recollect that only Cicuta had jerk¬
ing of the left arm. Ignorant people often sneer at the
homoeopathic physician for consulting his books before pre¬
scribing. It is not necessary in every case, and the more

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38 The Medical Advance .

characteristics the physician can memorize, the less frequently
will he need to do so, especially in acute cases; but he should
always be prepared to make this study, for there are often
apparently conflicting characteristics, and in these cases it is a
difficult and painstaking study to select the true simillimum.
Why should the physician be reproached for ignorance
because he cannot recollect the voluminous symptoms of
some six hundred medicines, occupying ten quarto volumes
of the Encyclopedia , besides other provings not therein
incorporated, or subsequently added to our Materia Medica?
Does not the judge often reserve judgment, and the barrister
bring his law-books from which to prove a precedent? Can
the most learned doctor of divinity accurately quote all the
verses in the Bible which contain the word ct faith,” with the
context in each case, unless he first refers to Cruden’s Con¬
cordance? And if so, why should the physician be debarred
from a similar practice? #

(2) It is asserted by some, that though Homoeopathy is
sufficient in curable cases, narcotics and anaesthetics must be
resorted to as the only means of relief in incurable cases.
This is a strange assumption. Surely to cure is a greater
work than to relieve; and if Homoeopathy can accomplish the
greater, why not the lesser? My own experience has always
been that in incurable cases a strict adherence to Hahnemann-
ian Homoeopathy will do far more to relieve the sufferings of
the patient, and procure euthanasia, than any resort to allo¬
pathic palliatives; only it should be remembered that in these
cases the curative action of the remedy is very speedily
exhausted; and, if the patient lives long, a fresh medicine has
to be frequently selected according to the constant recurrence
of the symptoms in a new form.

(3) In this case there was no time to return home to study
the Materia Medica, and to carry that gigantic work to the
bedside of the patient was obviously impracticable. Hence
the necessity that our Repertory should be so complete that
it should be sufficient for such occasions.* A subsequent
study of the case from the Materia Medica proved the a priori
accuracy of the selection, as much as the good result proved

*Lippe*s Repertory is the best completed work, but omits many symptoms,
which I have added to my copy. Lee’s Repertory, now being published, is as
near perfection as anything human can be.

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Hahnemannian Cures .

it a posteriori . In the Symptom Register to Allen’s Ency -
clopedidythe symptom “Jerking of arm” is not given. Unde r
“ Convulsions of left arm” (p. ioo) we find Causticum and
Stramonium . The Causticum symptom is 1009 “Convul¬
sions in the left arm (which is weaker) up and down, after
some exertion, followed by great heaviness of the aim; then
a kind of rumbling along down in the muscles, extending
into the bone, as from the crawling of a mouse, with which
the twitches disappear.” The Stramonium symptom is 1419:
“Violent convulsive movement of the lower jaw, of the lips,
left arm, and right lower extremity.” Neither of these medi¬
cines was the simillimum , because the crawling sensation of
Causticum was absent, as was also the very characteristic
diagonal action (left arm, right leg) of Stramonium .

Under “ Twitching of left arm ” the Symptom Register
gives (p. 110) Aloes , Calc.-carb ., Castoreum , Fluor.-ac,
Rhodod ., Rhus , Scilla y Verat ., Zinc . But on referring to
the Encyclopedia , we find that under this rubric “Twitching’’
subjective and objective symptoms have been unwarrantably
amalgamated, the exact locality, moreover, being in some
cases inaccurately given.

Thus we find—

Aloes 969.—“ In left hand and fore-arm, the sensation as
if internally asleep; now and then an internal jerking and
twitching without pains.” (This symptom is therefore only
subjective, and is not in the arm, but the fore-arm and hand.)

Calc.-carb . 1099.— “Single involuntary motions and

twitching in right thigh, in left shoulder, and left arm.”
(This is an objective symptom like that of the patient; but,
like Stramonium , it has the diagonal action, left arm, right
leg, which is absent in the patient.)

Castoreum 222.—“Painful twitching on inner surface of
left upper arm; afterwards, also, in right upper arm, at 9 p.
m.” (This is only subjective.)

Fluoric Acid 422.—“Sensation of numbness, jerking, and
lameness in left arm, appears in morning and forenoon, and
subsides again between 12 and 1 o’clock.” 424. “A burning,
pricking, and jerking pain in the whole left arm, often
returning, as if there was passing through the nerves a very
painful, but slow electric shock; most severe on the inside of

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The Medical Advance .

the left little finger, together with now and then, a sharp
stitch in tip of finger, passing from within outwards; at 2 p.
m.” (These symptoms are only subjective.)

Rhododendron 457.—“ Fine drawing and jerking in right
arm and left hand.” (This is also subjective, and is in the
right arm, and not the left as stated in the Symptom
Register.)

Rhus 862.—“Jerking sensation in left arm.” (Subjective
only.)

Scilla 256.—“Convulsive twitching of left arm, while
standing.” ( This resembles the patient’s symptom, but Scilla
has no Trismus.)

Veratrum 715.—“Twitching in both arms.” (This is
bracketed as doubtful, and does not refer to the left arm only
as erroneously stated in the Symptom Register.)

Zinc 1246.—“Twitching of the left arm, in the morning,
during sleep.” (This symptom is objective, but it occurs only
during sleep; neither has Zinc Trismus.)

Under “Trismus,” the Symptom Register gives only
Agar.-Ph., Cic.-m., Kali.-cy ., Naja ., Nux. Op ., Strychn.;
Cicuta virosa being omitted altogether.

I have added to my interleaved copy of Lippe, Acon.^
Colch. {Dig.), Magnes.-arct., Rhamnus-cath., Spigel. But
none of these have the “jerking of left arm.”

Thus Cicuta virosa was evidently the simillimurn. Besides
181: “lockjaw,” it has 355: “Jerking in left arm, so that
the whole body is jerked.” The latter portion of this symp¬
tom had not developed in the patient, but it was simply a
question of the intensity of the movement.

48 Sussex Gardens, Hyde Park, London, W. E. VV. BERRIDGE, M. D.

“TACK.”

Medical Advance: I11 the spring of 1891 (I believe in
March) I was called to see a family of nine in number, all had
La grippe, five of them in bed. After prescribing for them,
the mother called my attention to her eight-year-old boy that
I had not discovered, saying, “ Doctor, this boy has con¬
sumption, has had it for about four years, and I think he has
La grippe and it is aggravating his trouble,” and asked me to

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make an examination of his case, and tell her my opinion.

On examination, I fonnd that his left lung was sound
except some mucous rales. But air passed down through his
lung freely. On examination of his right lung, found it to
be in all appearance solid, no air in lung at all; chest full, no
emaciation. General appearance, round, plump looking fel¬
low, but looked tired; muscles soft and flabby; always cold,
wanted to be about the fire; cheeks would flush for an hour
or so at a time, and at any time. In summer would want to
be out doors constantly, but wanted to be wrapped up; cold;
no appetite for solid food, only milk and crackers could be
retained, this was his food for about four years. Cough, a
constant hack, and spit up occasionally chunks of solid pus,
looked like butter or lard and taste cold to him, and sometimes
there would be some black specks in sputa the size of pin
head, and said sometimes it tasted like iron. At the begin¬
ning of this trouble, which the mother said he never recovered
from, he had what the doctors called pneumonia.

My diagnosis was at the time, and is yet, that he had an
encysted abscess in right lung, and I supposed it was due
from the attack of the so-called pneumonia.

4 When I told the mother that her boy, in my opinion, had a
chronic abscess in his right lung, and that it had become
encysted and was like a foreign substance in his lung, and
unless it was got rid of would finally kill him, she then told
me that before he took down with that attack of pneumonia,
he said that he had swallowed a tack while lying on the floor.
She also stated this fact to the doctors that attended him at
the time, but they discouraged her of that idea, and she did
not know how he could swallow a tack and get it into his
lungs. I from that fact and the history believed that was
what caused the whole trouble, yet I never heard of such a
case or one like it. I told the mother of the boy that I
thought his chances were pretty slim; but I had in my mind
a remedy that would either rid the boy of that trouble or kill
him in six weeks or sooner, and if she was willing to try it I
would prescribe, as it was death anyhow, and time was only
waiting to do its work.

She consented. I gave Silicea 200 (Kent), one dose every

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The Medical Advance.

evening at bedtime, and in two weeks I thought that boy
would die; his other lung seemingly filled up, and he could
scarcely breathe. He was this way for a week, could neither
eat nor sleep; they all thought he was going to die—neigh¬
bors all gave him up. One morning he was coughing very
hard, and out came about a pint and a half of this pus, and
in it a black ball the size of a large hazel nut. On examina¬
tion the tack was found in the center of this mass of black
stuff, all eroded.

Silicea was stopped when the aggravation set in and the
boy has never received a dose of medicine from that day until
this, and eats, sleeps and goes to school, and his mother says
that he has never complained from that lung since it healed
up. It was about two months after he coughed up the tack
until I pronounced him well. Could run and play ball for
hours and not complain. I have the tack in my possession to
show for itself where it has been, and anyone doubting such
thing could not occur, I will cheerfully give them the name
and address of the parties on application.

I simply report this case to the readers of the Advance as
I believe there never was a case like it on record, and that if
you ever run across one, or similar, please report the manner in
which yon cured your case. I claim Homoeopathy cured this
case, and did it nicely.

KirksvilIjE, Mo m November 9,1893. A. T. NOE.

[ Dr. H. C. Allen reported a case somewhat similar to the
above case at the last meeting of the I. H. A., and it will
appear in the transactions now being published.— Ed.]

PARESIS OF RIGHT FOREARM, CURED BY LYCOPO¬
DIUM.

BY THOMAS SKINNER, M. D., LONDON.

A lady aged 54 from Sydney, New South Wales, an Aus¬
tralian born, married, and the mother of two sons and two
daughters, consulted me on the 8th of May of this year, chiefly
on account of what I call paresis of the right forearm. In
her own words she states: “My right forearm and elbow-
joint is as if on fire, always burning, much worse in bed, but
bad at all times. I can move it freely, but beyond moving it.

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Paresis Cured by Lycopodium .

I can make no use of it in writing, in handling a teapot or
using the arm in any way requiring lifting. On attempting
to use the arm, a pain runs up to the shoulder. There is a
tremor in the arm at times.” Subsequently, she added, that
her right arm was always aching or the forearm burning.
She lets things fall, not from pain, but from weakness of the
muscles of the forearm.

The lady has suffered as above for the last seven months,
and it seems to get the longer the worse, the last week it is
very much worse.

Her other symptoms are as follows: Pains in left loin and
across back, worse by movement, and better when lying on
the back motionless. Worse rising from stooping.

M. P. still regular—age 54, climaxis, sad and irritable
before the flow, ceasing with the commencement of the flow,
constipated. Low and desponding on awaking at early
morning or during the night. Extremely timid and nervous.
Nervo-bilious temperament. Feet cold but dry.

Sinking at epigastrium daily about 11 a. m., and from 6 to
7 P. M.

Sleep—Wakes at 3 A. m.; has a difficulty of getting into
her second sleep, and when called she is loath to rise—wants
other 40 or 50 winks.

Remarks—The medicines best indicated in this case are
Lyc., Lach., Sulph., Nux., Bry. and Puls. Inasmuch as the
paresis and pains of a burning character are on the right side
(vide H. N. Guernsey’s Key Notes), and as the majority of
my patient’s symptoms are under Lycopodium, I had no dif¬
ficulty in spotting the simillimum to be Lycopodium.

But we are advised by the late distinguished Professor
Adolph Lippe never, or “ hardly ever,” to commence a chronic
case with Lycopodium. I believe this advice of Dr. Lippe
to be founded in truth, because Lycopodium I have found
occasionally to be a capricious, if not a treacherous remedy.
When I remember, however, that Lycopodium is, before all
remedies, a right-side remedy, and the totality of the symp¬
toms pointing clearly to Lycopodium, as may be seen by the
letter-press in italics; moreover, when I saw that Lycopodium
was backed in the order of homceopathicity by Lach., Nux. and
Puls., the Lach. following well on Lyc. and corresponding

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1'he Medical Advance .

well to the Climacteric period like Puls, and Nux., I deter¬
mined not to be deterred by any dogmatic rule, not laid down
by the master, but contrary to his golden rule, always to pre¬
scribe the medicine which corresponds best to the totality of
the symptoms, which I have never known fail me, come what
may. On the Sth of May I gave her a powder of Lycopod¬
ium, cm. (F. C.) to be taken at bedtime dry on her tongue
and a tabloid of S. L. statim, and thrice daily at regular inter¬
vals. Some physicians try to despise this placebo form of
treatment, but in my estimation I believe it to be a powerful
aid to the treatment in the great majority of chronic cases.
May 25, 1893: My patient reported herself greatly better in
many respects. Burning pain in the forearm and elbow gone,
she is sleeping better, the Nux. symptoms of sleep and the
waking symptoms are all gone, as also the constipation, but
she is still unable to lift anything with, or use, her right arm.
I consider the improvement and progress exceedingly satis¬
factory.

Repeat Lycopodium, 2cm. (F. C.) one powder, S. L.
statim, and night and morning.

October 9, 1893: The right arm is now perfectly well.
She has perfect control of it, and can lift things with it, write,
handle the teapot, and use it as well as ever she could. All
that she now complains of is, that she has hot flushes and
perspirations, doubtless connected with the Climaxis. Pre¬
scribed October 9, 1893, Lycopodium, dm. (F. C.) in tab¬
loids, one to be taken once a month after each M. P.

Conclusion. As my patient is about to return to Australia I
gave her a letter of introduction to my dear friend Dr. Benja¬
min Simmons of Sydney, New South Wales, advising him of
what I had done for her, and recommending him, if Lycopo¬
dium tailed to control or remove the hot flushes and sweats, to
give Lachesis or any remedy which he thought best suited to
meet her then case.

SCABIES.

BY DR. A. McNEIL, SAN FRANCISCO, CAL.

Our highly esteemed colleague, Dr. Tyrell, has asked us
for our experience in treating itch homoeopathically. I
heartily sympathize with him in his perplexity. I can only
give him one case, the only one I ever had to treat. I hope

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Scabies .

that our colleagues will respond and thereby a rich fund of
evidence may be accumulated. Although soabies is a rare
disease on this continent, in Europe it is very frequent, con¬
tributing one-third of the dermological clinics in Vienna.

One day my wife brought to me a servant she had recently
taken out of an orphan asylum and showed me her hands.
It was a clear case of itch for entre nous I had it myself once.
The large yellowish-white pustules in the commissures of
the fingers as the disease appears at first is unmistakable to
one who has ever seen it.

On inquiry I found that there was intense itohing aggra¬
vated by warmth and by washing in cold water. I gave her
one dose of Sulphur, cc., not because I % had diagnosed itch,
but on the modalities I mentioned, for that grand disoiple of
Hahnemann, Bonningliausen, in his Repertory, mentions
forty-one remedies for that disease. I prohibited all external
applications except her usual ablutions and for fear of con¬
tagion to wear kid gloves.

The itching oeased immediately, no more pustules appeared
and those already in existence dried up and disappeared in four
or five days so that no trace was visible and remains well as
far as my knowledge extends—about two years.

Was it scabies? I know many dermatologists lay much
stress in discerning the itch-mite or its tunnels. In an old
and neglected case I concede that there might be difficulty in
differentiating it from eczema, but none at all when I saw it.
Moreover, the girl found her tongue in a few days and told
that twice in the asylum she had been treated for the same
disease and isolated three months because it was itch.
Although her hands were clean when she came to us I am of
opinion that it was the same case of itch and it had only been
suppressed temporarily.

I might reason by analogy and show that ascarides, lum-
bricoides, and all the tribe of bacillae, cocci, etc., disappeared
from the system because the indicated homoeopathic remedy
renders the organism unfavorable for occupation by the
parasite. But the doctor wants facts, not abstruse reasoning.

As this has an important bearing on Dr. Adam's request
for advice in the treatment of itch, I send it, although late.

May 18 , 1893 , Mrs. E., 32 , German, a trained nurse, came

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to consult me for a deafness of one week's standing > Left
oar cannot hear a watch unless touching external ear, right
ear can hear at fifteen inches. She has clear red cheeks, and
white, lily white, skin. When five years old had itch, which was
“ cured 99 in twenty-four hours by the application of salves
and soaps, the latter I suppose was the green soap or sapo
viridis. Soon afterwards had epilepsy which continued for
several years, and disappeared when she was sent into the
country to perform the labor of a farm servant. This was
prescribed by her physician. Had inflamed eyes for years
and are still weak although not congested. Is subject to
headache. If she sleeps very soundly all night will waken
with headache, which increases till 1 p. m., remains steady
till 7, then disappears; nausea, must lie down, aggravated by
moving or standing. Occasionally has an eruption appear
for a short time on her hands to again go away. It itches
violently and is aggravated by heat. Has faintness at
stomaoh. Had a tumor on top of head evidently fatty, she
removed it by application of caustics. The site of this tumor
is also the site of her headaches.

Who will deny that her condition now is the result of the
external treatment of the itch?

(This article should have appeared in the Bureau of
Clinical Medicine, I. H. A. but accidentally was placed in
the Bureau of Surgery, and not noted until too late for publi¬
cation in its proper place, so has been transferred to the
columns of the Medical Advance. —Ed.)

DIPHTHERIA.—THE MEMBRANE IS NOT THE
DISEASE.

CHAS. B. GILBERT, M. D., WASHINGTON, D. C.

The first case I had after graduating was one of scarlatina;
the remedy was Lachesis, in which my preceptor had, and
still has, no confidence; on the second day diphtheria devel¬
oped in the throat but the child felt better; she was nine years
old and gave her symptoms well; the most rigid cross-exam¬
ination of both patieht and mother brought out nothing but
Lachesis which she got in infrequent doses (3 hours I think),
but the membrane spread until it covered the pharynx, ton-

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sils, noula and extended for half an inch or more upon the
roof of the mouth, during three days; the fatient was better
and I held on, my reward being that on the fourth day the
membrane was rapidly thinning; the whole neighborhood
was allopathic and was astonished to see the child out so soon
and so entirely well.

In the Advance, Vol. xxv, pp. 93-97, are three cases of
diphtheria (simple) where the more the membrane developed
the better the patient grew. I should not add my case but
that there are so many physicians to whom the membrane is
the disease , or at least the index of the progress of the disease,
and who go at the membrane as the origin of all the trouble;
their tracks are strewn with persons who have never been
well since their attack of diphtheria.

Prof. T. F. Allen says in a recent letter that he uses only
strict homoeopathic treatment and no local applications
whatever.

When we forget that diseased conditions get well from
within, outward, we blunder. The injunctions in the Organ¬
on are nowhere more to be heeded.

THREE CLINICAL CASES.

An aw a, I a., August 14, 1893.

H. C. Allen, M. D.,

5142 Washington Avenue, Chicago.

Dear Professor ,—When I left Chicago last spring, among
other things which I neglected to bring with me was a hypo¬
dermic syringe, and I must confess to certain feelings of
uneasiness when the thought has come to me that, if unable
to afford relief in cases of extreme suffering, I might regret
my temerity.

The following cases have served to strengthen my courage:

Case I.—At 2 o’clock one Sunday morning I was called
by a friend to hurry up and bring my hypodermic, as his
father-in-law was in great pain. At some distance from the
house his groans and shoutings were distinctly audible, and
on entering I found an old man sitting upright in a chair, who
could stop his cries only long enough to tell me that the pain

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was confined to the region of his right kidney, and it was
very sensitive to touch.

With these meager data on which to prescribe, I adminis¬
tered in water three doses of Lycopodium, 200, after which
he allowed us to put him to bed, and, the pain gradually
ceasing, he soon fell asleep.

A few days later he passed some red sand with the urine.

Case II.—Fred H., stable man; robust, and accustomed to
roughing it, slept in a small room between two open windows
one night last week, when the weather suddenly turned cold
and windy.

When I saw him at 7 o’clock next morning he was sitting
on the edge of the bed, leaning his head on the back of a
chair, his whole attention given to breathing, his face express¬
ive of the greatest agony, and the tears coursing down his
cheeks. As he could not stop breathing long enough to speak,,
by means of nods and shakes of the head I learned that he
could neither lie down nor take a long breath; that each
breath or motion caused a “ catching pain” in the right side,
which was somewhat relieved by pressure.

Bryonia, cm., four doses in water; put him to bed, and his
employer informed me that he was out in the stable before
supper, in spite of all protests.

Case III.—Last night at 8 o’clock I found Mrs. F. walk- *
ing the floor in great agony, the whole family trailing after
her.

I detained her long enough to find out that it was her usual
suffering at her menstrual period. The pains were shooting
over her whole body, increased gradually until she thought
she should go crazy, then eased somewhat, and were accom¬
panied with chilliness; no relief from heat.

^She received Pulsatilla, 42m., and at the end of half an
hour with only an occasional twinge left, told me she had
suffered at each period for two years, when she had waded
across a lake in the rain just before her period.

Her pain had never lasted less than three days, and each
day she had an injection of morphine, and was a week getting
about. She is up this morning.

Yours very truly, B. R. Johnston.

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Clinical Cases .

CLINICAL CASES.

BY JOHN C. MORGAN, M. D., PHILADELPHIA.

I. January 23, 1890.

G. W. K., a boy of eleven years, is preparing for a school
examination, complains of headache, < reading; moving
about;

Flatulence;

Face, pale and sickly-looking;

F row ns, constantly;

Tongue, coated;

Constipation.

3 Nux. vomica, 200, four doses; at intervals of six hours; followed
by Sac. lac.

January 26.

Is better, stronger, etc.; but bowels are loose; with wind
and pain.

3 China, 200, four doses; six hourly; followed by Sac. lac.
January 30.

Is generally better; but the headache is worse; < reading.
Tongue appears painted, in tint.

Q Bryonia, 200, four doses, and Sac. lac. in the usual way.
February 2. Somewhat improved, but complains of start¬
ing in sleep;

Boring in the nose with finger.

Headache, all the time, with constant frowning.

Temper, cross;

Physiognomy, discontented.

[Examined stools; no worms found.]

Prescribed Cina., 200, seven powders; one to be taken every
night with Sac. lac.

February 7. Since last visit to the office has had soreness
of the calves of the legs, very distressing and disabling
(regarded as a drug proving of Cina).

Feels poorly in general.

Q Sac. lac.

February 17. Since last report all symptoms, including
the soreness of the calves, have been better.

No frowning.

Is feeling quite well. Discharged with more Sac. lac.

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Case II. Mrs. B’s headaches, with the symptoms follow¬
ing, are always controlled by Lac. defloratum, im., a dose
when it first sets in, and repeat “when it is worse than
common.”

Symptoms: The attacks come on gradually and subside
gradually.

Dizzy, in the first place; then aching and soreness through
the eyes and brows; it goes upwards and backwards, and
increases.

In top of head, bursting and burning; feels a pulse, as big
as an egg there. Sensations extend to the nape of the neck,
to the shoulders and back; “ the cords feel tight.”

After the pain is established, nausea sets in; later, retching;
then vomiting, slimy, nasty, sometimes bitterish; followed by
relief.

By this time the limbs are cold; also,cannot speak or move.
Sight is blurred from the time the aching becomes severe.

The previous day she “ hates the thought of food.”

Fright or worry is productive of the attack.

It begins in bed , to be severe, in the night or in the
morning.

Aggravations: by opening the eyes; moving the eyes;
moving the head.

January 27th, 1893. Mrs. K., aet 23, presented the fol
lowing history: Had diphtheria one year ago, was treated
with heavy doses of iron, and throat was cauterized with
nitrate of silver. Had rheumatism when 16 years old. Pre¬
sents the following symptoms: Has pain in back (sacro-iliac
region) and also constant pain and ache near apex of heart—
at times sharp and quick, like a knife. At times seems as
though heart was in the throat. Must lie either upon back dr
left side. Heart palpitates when lying on right side. Better
lying with head low and always sleeps upon left side. Head¬
ache sometimes in vertex, at others in temples and over eyes,
always relieved by sleep. Headache better from closing eyes.

During menses has pain in left side, of a boring nature,
bearing down in uterine region during the flow, which is
worse when upon the feet, with dragging in back. Flow
lasts about four days—bright and not clotted. Feels worse in

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5 1

a. m. than when going to bed. Sleepless at night, very rest¬
less, especially first part of night. When pain in left
ovary is worse the heart is worse (Naja). Cannot bear to
remain alone. Easily startled. Horrible dreams. Craves
candy. Feels better in open air and in company. Aversion
to fat meats. Much bloating of abdomen, so much so that
her friends thought her six months pregnant.

This patient received Puls., Sulph., Naja, and other reme¬
dies which ameliorated the symptoms until the 28th of Feb¬
ruary when I concluded she had been poisoned by nitrate of
silver, and so gave Nat. Mur. as an antidote, and lo! what a
•change. The heart symptoms let up, the flatulence subsided,
and a typical case of diphtheria was the result. She of
course was alarmed but was assured that it was the turning
point in her ailments. Remedies appropriate to the diph¬
theria symptoms were administered and it subsided in a few
days. She had no more craving for candy, could sleep on
either side, and the heart resumed its normal rythm. I might
say that formerly the heart would give one normal beat, the
valves closing properly with normal interval but in next beat
the aortic valves closed, leaving about half the interval of first
beat. This condition of the heart beats was constant before
giving the Nat. Mur, She went on to a good recovery aided
by remedies which had formerly been administered with but
indifferent results.

She had been treated for five weeks by a regular for the
above symptoms before coming to me, but is now a firm
believer in Homoeopathy.

CASES FROM PRACTICE.

H. K. LEONARD, DEPOSIT, N. Y.

I graduated in 1881. I had the privilege of sitting under
the instruction of Farrington and Korndoefer, two men,
than whom, more loyal to Homoeopathy, never lived. We had
^other good and able men in our faculty, some of whom honor
it to this day, but these men had “ Homoeopathy on the brain,”
so to speak. They didn’t believe in Similia, they knew it.
Did you ever think of the difference between believe , and
know? A man asked me “do you believe in Homoeopathy?”

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“No, I don’t believe in it. I know it. Belief implies second¬
hand knowledge. “ Somebody said such and such a thing
was so. Guess it must be true.” But when you see a few
doses of a potentized remedy stop the preparations for a
funeral almost begun, then you begin to know. Since I
graduated I have been grinding away, doing the best I could r
making many failures; many prescriptions that did not strike
the centre. No fire companies have ever been called on to
extinguish any part of the earth that I have set on
fire. Yet, somehow or other my faith in the law of Similia
grows stronger with each passing year, and 1 am, today,
just as eager, and enthusiastic a student of Materia Medica
as when I first, note-book in hand, looked up into the grave
kindly face of Prof. Farrington, or watched Prof. Korn-
doefer as he tossed back those flowing locks. My mind was
in a plastic state those days, and every word spoken by those
earnest defenders left its impress. And if my advice was-
worth taking, I would say to each homoeopathic medical
college: whatever you may have to bring to* your classes,.
have one or more men, men of strong individuality , men in
whom the belief or knowledge of similia is a passion , and
allow these men to preach and emphasize that belief in
season and out of season. If the rest of the faculty, the
surgical, or physiological, or chemical, or anatomical men are
not so radical, perhaps are a little eclectic, put a gag on them .
Don't , for heaven's sake , when a class of young men are on
the “anxious seat,” trying to enter the kingdom by the
“straight and narrow way,” begin to “pull down the fence”
all along the line. They will find the low places quick
enough, and some of them will be jumping out into eclectic
or allopathic pasture fields before they are in a year.

When I started in a place, markedly malarious, a medical
man, in whom I had great confidence, said to me, “You’ll
have to use Quinine in that place to hold your own.” I began
using it, and it took me three years to find out that he didn’t
know what he was talking about. At the end of the third
year I was thoroughly disgusted with Quinine. It’s worse
than the poorest homoeopathic prescribing. It landed me in
innumerable places where I could neither go ahead nor back
out.

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But I started to give a few cases as I recollect them from
practice, so I will begin with an

Ague Case. John A., a carpenter, was carried home from
his work suffering with what I called a “congestive chill.”
He looked like a live “dead man ” when I saw him. It was
a plain Eupatorium case. He was pretty well frightened,
and when he saw me dissolving some No. io pellets (200th)

in water, stammered out, “My-my-, doctor, that won’t

do for me.” “Why not, John?” “Why, if I have another

of these-chills, it will kill me,” “ But you are not going

to have any more, or perhaps only a light one tomorrow.”
He had a very slight chill the next day, that was all.

Case II. Patsy M., brought to me by his mother, an
aged Irish woman (not tongue tied to say the least), and who
was suffering with an extremely foetid ozena, and was very
deaf; one of these persons so hard of hearing that they get
almost in your lap to talk with you. Oh, that breath of hers.
It comes to me yet, over all these long years. I would shove
away; she would move up; finally, by putting my handker¬
chief over my nose I stood it. “Could I cure Patsy?”
“What ails him?” “Well, he is out of his head since six
months. His mind’s gone away altogether. We have had
him all ’round to all the big doctors, and divil a bit a good
they do him at all. He’s getting worse every day. We
thought we’d try you, and if you can’t help him we’re going
to take him away to Danville, to the asylum,”

“ Well, it’s possible that I can help ‘ Patsy ’ but not at all
probable. If you’ll give me a month’s time I will try.” “Patsy”
sat over in the corner of the office looking about as intelligent
as an owl that has had a lantern flashed in its face on a dark
night. The only symptom I could get was, that he developed
the insane condition after a thorough drenching in a thunder
storm. I gave Rhus. 30.

Report in ten days. “No change.”

I than gave Nux. 30, (don’t know why unless to get the
old woman and her respirations out of the office.)

Report in ten days. “ No improvement.” “ Btit doctor
Patsy’s changed his actions altogether.” I am interested
now and stand the foetid breath with some composure, “Please
tell in just what way.” “ Well he’s been very paycable, not

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saying much or paying any attention to anybody. Now *
when any of the neighbors, or a stranger comes in he sits
himself away in the corner and looks foolish-like, as if he was
scared, and when they’re away, he says 44 mother what are
they doing here. They’re making fun of me, I don’t like
they’re coming round here.”

I said to myself, 44 If that isn’t 4 Baryta Carb.,’ I don’t
know what it is.” I gave the old lady six powders of Baryta
30, one each day.

Before the six were taken , Patsy was sane , sound and
clear in mind and body. (He was normally, a bright young
Irishman) and remains so to this day. I received $1.50 in
money, the blessings of all the saints in the calendar and an
olfactory reminiscence from which I will never escape.

Case III. Was called to see Russell F., who had been
ailing for about six weeks. Previous history of good health y
occupation, farmer and school teacher; a robust young mar¬
ried man, was taken with rheumatic symptoms, followed by
languor, tired feeling, culminating in severe vomiting and
nose bleed. Had had six weeks of regular ( ?) scientific ( ?)
treatment. First man treated him for 11 biliousness ” 44 liver
and stomach trouble.” Part of the treatment was a “thorough*
course of mercury.” Said 44 there was not much the matter
with him anyway. He’d come around all right in a few days.”
Second regular (?) scientific (?) man, was an abler diagnosti¬
cian, pronounced the case one of acute parenchymatous
nephritis; gave a grave prognosis, and a prescription calling
for ten drops 44 German Digitalis” before each meal. This his
stomach would not retain, so Homoeopathy was called in.

He had a pale, pasty complexion, rapid heat action, tem¬
perature 101; complete anorexia; no desire for nourishment,
couldn’t keep it down—if he took it, stomach distressed him
so he threw it up. A history of having vomited from one
to seven times a day since sickness began. Was much worse
nights; so uneasy, restless, semi-delirious, aching rheumatoid
pains; couldn’t lie still, he ached so, etc. For the first five
days I wasted time. I was treating 44 Bright’s disease,” and
my patient was getting steadily worse; was now confined to
bed. (I forgot to say that his weight had decreased from
180 to 130 pounds, when I first saw him; also that urine was*

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Cases from Practice .

nearly solid albumen, and quite red, evidently a great deal of
blood in it.) Finally I began to turn my attention to my
patient, studying him as a whole. I looked him carefully
over, and it seemed like Rhus. tox. I gave one dose of the
200th and placebo; waited two days, no effect. Then I gave
Rhus. 3X, dose every two hours; in two days more no amel¬
ioration. I confess I was beginning to wonder whether I
was going to find the remedy, when all at once it came to
me, “ Why, that is an ‘Aconite picture.’ ” There is that
uneasy, restless tossing and turning at night; the hot, dry
skin; “water tastes so good, seems to go right to the spot;’*
and (reading between the lines) that semi-delirium his wife
speaks of, is “that mental anguish and disquiet that will not
be allayed, that terrible fear of death, etc.” “ But ‘Aconite’
is . useful only at the beginning of acute.” Never mind
“ 'when it’s useful;” it’s useful like any other remedy, when
the totality of the symptoms call for it.

I gave Aconite in the three drop doses every two hours. In
all my experience I never saw a more marvelous effect. The
first night after beginning its use he slept like a tired child
all night . He has not vomited since. From a condition of
complete disgust for, and entire intolerance of even the light¬
est food, his appetite rapidly returned. Just ten days from
the time he began taking the Aconite, I happened at his
home just at dinner time, having ridden eighteen miles over
the mountain roads. He sat beside me at table, disposed of
as much bread, meat and potatoes as I did, finished with a
generous slice of lemon pie, and said as he arose from the
table, “Well, that beats skim milk.” In eight weeks he
gained thirty pounds. I am aware this sounds “fishy,” but it
is the simple, literal truth. In three months his condition was
normal except the albumen. The deep red color soon left his
urine; the amount of urine diminished to normal. But about
one-third of the original amount of albumen remains. Neither
I, nor the best prescribing ability I could reach, have been
able to select a remedy that would lessen it. He staid by me
for about four months, then gave it up, and is now a patient
of Dr. Pierce of Buffalo. What the end will be is yet to be
determined. The lesson this case brought to me was the
value of being able (even if only once in a while), to “read

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between the lines.” I am just as certain that my patient had
the peculiar Aconite mental condition, “ fear of death,” etc.,
and I am equally as sure that he would have died before
admitting it.

Case IV. Happened some years ago. During my
absence from my practice, a child in a family I attended had
a severe attack of dysentery. The leading allopath who was
in attendance gave an unfavorable prognosis. “ If he wasn’t
better tomorrow, wouldn’t be likely to get well.” Tomorrow
found no improvement, and, learning of my return, I was
requested to take the case. I found a peculiar condition of
affairs. He was a fat, Welsh boy; evidently hadn’t taken
kindly to his medicine, as there were dark spots on his night¬
gown, as well as on the sheets; some of the spots were eaten
entirely through. But the boy’s face was a sight. Three
or four big yellow pustules on his nose; two on one eyelash.
I said to myself, “ My boy, if you didn’t have dysentery, I
would give you Hepar sulphur.” I thought of Mercury and
Silicea; concluded he, perhaps, had had Mercury enough.
Finally, it struggled into my comprehension that I had read
something about treating the patient and letting the disease
take care of itself. There was nothing peculiar about the
dysenteric symptoms except their intensity; stools every
twenty minutes, extreme tenesmus, etc. I gave Hepar sulph.
6 x, a powder every two hours. I discharged the case at my
visit the next day. Only two movements in the interim, and
a complete amelioration. Great was the astonishment of that
u leading ” allopath.

Case V. This case I shall never forget. A slight,
slender girl, sick with right-sided pneumonia, lower third of
lung. The child had the reputation of having weak lungs,
and the parents were very much alarmed. She had a sallow
look at the beginning, unceasing barking cough, no sleep
night or day. For four or five days I struggled manfully.
I was treating pneumonia, studying pneumonia, and my
patient rapidly getting worse. It was a case I ought not to
lose; didn’t want to (for special reasons), and yet the disease
was rapidly wearing the little life out. About three o’clock
the afternoon of the fifth day saw this tableau. A worn out
and discouraged mother holding “Jessie” on her lap trying

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to ease her. She had that “ fagged out look” in her eyes
that I do not like to see. A “blue” doctor who felt as
though the “ end of his rope ” was near at hand. I simply
did not know what next. Finally the mother said, “Jessie’s
bowels are very loose today and its such a funny color, a
bright yellow, just as yellow as gold.” Did ever the sight of
a sail to a hopeless castaway, on a raft or lonely island, arouse
more exultation than that simple statement? It dawned on
me all at once. “ Bilious vomiting of first days, sallow com¬
plexion, right-sided lung involvement, loo&e rattling cough,
and now the golden yellow stool.” “ And you could not see
it until the mother almost read it to you from the book.”

“ Doctor you ought to be tried for involuntary man¬
slaughter.”

I said, “ Mrs. S-Jessie is no better is she? ”

“ No, she is worse and has been getting worse every day.”

I gravely replied, “ She will be very much better tonight
by nine o’clock and almost well tomorrowthen stalked out
of the room. She looked after me as though she thought
my mind was giving away. / was after some Chelidonium^
2x, that I had at my office. To have watched “Jessie” quietly
sleeping at ten o’clock that night; such a quiet restful sleep.
To have seen her the next afternoon free from fever, cough
and pain, in a word convalescent, would have done much to
refute the statement that “ the days of miracles are passed,
and would have increased the reverence for a man whose
genius, almost inspiration, gave to the world such a law of
cure.

Only yesterday a case of bronchitis in an aged Scotch
woman. Loose rattling cough, white pasty tongue, no
appetite, sallow complexion. It was my fourth attempt, and
I had not struck the center yet. As I sat looking at my
patient, I said to myself, “ If you were a child I would try
you on Chelidonium.” I finally gave it. Today I got the
word “ mother very much improved need not come again
until we send.” I know the family and know that there is
no deceit in this.

I had some sport a few weeks ago with a great large rugged
farmer. I was called to prescribe for his wife who had a
sharp attack of dysentery. “ Charlie ” as she called him, was

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The Medical Advance,

moping around, using a cane, his clothes flapping about him,
and looking altogether like the last w run of shad.”

I said, “ what ails Charlie.”

“ Why, he replied, I’ve had an awful dysentery for three
weeks, right here in haying, have not been able to do a thing.”

But why don’t you get well.”

“ Well, I am better, I’ve got a splendid medicine here I am
taking, its “ Hankin’s Cholera Mixture.” It holds me, but
just as soon as I let up any, I go again as bad as ever.”

I made no reply, saying to myself, “ If Charlie wants me
to prescribe for him, he must ask me himself.”

As I started to go his wife said, “ Well, doctor, can’t you
do something for Charlie?”

“ Oh, Charlie’s all right. He has got something there that
‘holds’ him; that’s all he wants.” Then Charlie blurted
out, “Well, doctor, if you’ve got anything that’s any better
than that I’m taking, why I’d like to try it.”

Notice that wording; no going back on his “cholera mix¬
ture;” simply a challenge to produce something better.

Then I sat down. “ Tell me your symptoms.”

“ Why, I’ve got a dysentery—blood and mucous—have to
run quickly.”

“Yes, I know. But what is there peculiar about this
attack that makes it different from any other attack you ever
had?”

“ Why, just as soon as I eat or drink anything I have to
get right out; makes me hustle, I tell you.”

“ Yes,” I said; “ and when you get there it’s just one spurt
and it’s all over.”

“How did you know that?” he said.

“ Never mind.”

I had only the 3X of Croton Tig. (I usually prefer the
300 in those cases.) I medicated some disks. “ Now, put
your ‘Kendall’s Spavin Cure’ on the shelf, and leave it
there. Take two of these disks at once, and two after each
loose stool.”

Three days after I met “Charlie” on the road.

“ Say, I never had my bowels stop in this way before.”

“What’s the matter now, Charlie? didn’t it ‘hold’ you?”

“ Why, yes; but generally after I’ve had such a time, my

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Cases from Practice .

bowels will stop and start, and stop and start again, and finally
get tired and quit. And , say , they never moved since I took
them two candies , till this morning , then 'twas just as

natural as ever?'

Now, I’ll guarantee that “Charlie” will carefully preserve
that bottle of Croton tig, 3X, and try it on every case of loose
bowels in the family or neighborhood, and finally conclude,
“ ’Tain’t no good any more; lost its strength, I guess.”

Bryonia is a remedy that is a miracle-worker when it is
clearly indicated. It has done some grand work for me in
the last year, and in cases, too, where its action was unmis¬
takable. Called in from the road to see an elderly lady, who
had been sick for two weeks; stomach and head; pain in
bowels; loose stools, no control over motions. I was in a
hurry, and my first prescription was wild. On my return the
next day found her worse. Then I took time and got the
following picture:

No appetite. Bitter taste. Nausea and giddiness on sit¬
ting up. Severe paroxysms of pain in stomach and abdomen.
Had neighbors in night before putting on mustard, hot cloths,
etc. No control over stool unless she kept perfectly quiet;
just turning over or moving an arm or a leg would cause an
evacuation. My 200th bottle was empty, so I prepared the
3x of Bryonia, a teaspoonful every two hours. Next day
patient very much improved. Bowels only moved once. No
paroxysms of pain. Head better. Gave one dose, 200th, and
placebo; discharged the case next day. This woman was
not strong, was very much prostrated and run down from her
two weeks’ suffering and trying to do her housework. It
was a case where, almost to a certainty, regular scientific (?)
treatment would have terminated with the undertaker.

Another patient the wife of a physician in a near by town.
She had a severe attack of dysentery, which the doctor was
managing all right, until he became over axious and called in
one of his colleagues, who is an eclectic but practices “ both
ways.” He advised the use of a Merc. Cors. injection per
rectum. It seemed to have a very bad effect, she grew worse
and I was asked to see her. On examining the case I could
make nothing out of it. It was very much confused and
mixed up. Then I began with the first days sickness and s

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The Medical Advance .

followed along. The doctor had watched her very closely
and gave me a very intelligent account. It was not a clear
cut case, but the prominent and peculiar symptoms (outside
of the diagnostic symptoms) had all been “ Bryonia.” I said,
“ Doctor, I don’t know what this case is now, its without ‘form
and void,’ but I believe it was a Bryonia case at the start.
We will give her one dose of Bryonia the highest you have
and wait and see what will come of it.” The doctor wrote
me about two or three weeks afterward that it was all the
medicine she took.

In two cases of pneumonia I saw in consultation, pretty sick
people too, Bryonia, 200, two doses each, was all the medicine
required to almost immediately establish a convalescent con¬
dition. In both of these cases the picture was not so very
clear. Yet nothing else was even hinted at by the symptoms
and they were typical Bryonia patients. Dark hair, black
eyes, swarthy or brunette complexion, bilious temperament.
The action of the remedy was all that could be desired.

Called in consultation to a neighboring town to see a child
about three years old. On the way from the depot the doc¬
tor gave me a history of the case.

Sick about a week, seemed to be lung trouble. “ I don’t
believe the boy is in any danger, but he don’t get along and
we are getting anxious about him. But is he not cross? If
ever a kid needed walloping he does. He fights his mother,
won’t even let her look at him.”

I said, u Doctor, I guess you have an Antimon. Crud. case,
have you given it?” u No!”

On our arrival that proved to be the remedy and soon
untangled the snarl. And so I might go on multiplying in¬
stances, but what is the use? I know that the law of Similars
is one of the eternal verities. I know that it is infinitely
superior to any known method of therapeutics. I farther
know that it is extremely difficult, at times impossible, to find
the curative remedy. But what does this prove? That there
is a flaw in the metal? That you have come to a broken link
in the chain? No, not by any means. It simply proves that
you, personally and individually, are lacking, not equal to the
occasion. The next man might unerringly and at once select
the remedy. He comes to the case fresh. Approaches it

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Cases front Practice .

perhaps from another standpoint. Sees the “other side of
the shield ” and hits the mark.

Mr.-, colored, aet 27; born in W. Indies. Had been

a ship’s cook. Had syphilis, for which he had received the
usual mercurial treatment. Eight j r ears ago he contracted
gonorrhoea, which was suppressed with injections. This
resulted in stricture and later in hydrocele. The hydrocele
was injected with Iodine and also local application of same.
At point of injection a fistula developed, extending into the
substance of the testicle, which was very much enlarged and
indurated. The first prescription was Iod. cm. Two weeks
later reported fistula healed and induration about gone. Has
been troubled with piles the last week, burning and pain
which was relieved only by application of cold water . For
these and some other symptoms he received six powders of
Aloe, im., to take one each night. Reported again in two
weeks. Says the medicine brought back the gonorrhoeal dis¬
charge in less than a week, and “busted” the stricture, both
of which have disappeared. Two weeks later, a set of mer¬
curial symptoms having come to the surface, he received a
dose of Merc. dulc. dmm., which cleared the case up com¬
pletely and patient discharged cured .

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The Medical Advance .

THE COMPARATIVE VALUE OF SYMPTOMS *

S. E. CHAPMAN, M. D., WATSONVILLE, CAL.

Frequent offensive, dark, liquid stools.

Stools preceded by colic.

Great desire for company and light.

The desire for light and company were so prominent that
bright sun or gaslight were demanded by her constantly, and
she enjoyed company about her, the more the better. At
times nothing would appease her but to place a strong lamp
light close by the head of her bed. Certainly here are two
prominent indications for a potentized drug that cannot be
ignored. To have done so would have left the choice of
remedy conjectural. Stramonium was the remedy that
covered the case completely,and in the 30 X potency it swiftly
and permanently cured.

And so that mysterious essence, that spirit-like force that
pervades our entire being—body, soul, and spirit—when its
equilibrium is disturbed from any cause whatever, cries out
with a voice and language that are wonderfully clear and com¬
prehensible to him who hath an ear to hear.

“ And he said, Go forth and stand upon the mount before
the Lord. And, behold, the Lord passed by, and a great
and strong wind rent the mountain, and brake in pieces the
rocks before the Lord; but the Lord was not in the wind;
after the wind an earthquake; but the Lord was not in the
earthquake. And after the earthquake a fire; but the Lord
was not in the fire; and after the fire a still, small voice. And
it was so, when Elijah heard, he wrapped his face in his
mantle. • * * * ” Reverentially we make the comparison,

but it seems so beautifully appropriate that we do not hesitate.
Pathology, in any or all of its fearful phrases and manifesta¬
tions, is like the cyclone, the earthquake, and the fire. De¬
structive and devastating though they be, yet the voice is not
in them. The marvellously keen eye of the chemist or micro-
scopist cannot develop the place whence it cometh. Nor
doth it proceed from the terrible (?) microbe. Though the
microscope reveal the deadly bacillus tuberculosis in the sputa,
the cylindrical cast in the urine, carcinomatous and sarcoma¬
tous growths, the voice is in none of these. Interesting,

♦^Concluded from Medical Advance for October, 1898.

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The Comparative Value of Symptoms .

instructive, and essential though these patho - histological
studies may be, yet the homoeopathic prescriber must look
behind and beyond all these for the indications for the simili-
mum.

Many cases come into our hands that have been pronounced
positively incurable' by the ablest men in the old school. And
so the poor unfortunates come to us with the prognosis of
death sounding in their ears, and the limitations of life approxi¬
mately set. But the worthy exponent of homoeopathy care¬
fully takes the case, lays hold upon those symptoms that are
prominent and uncommon, finds the similimum, and many of
these precious lives are thus rescued from the jaws of death.
And so we may often present them alive and well to despair¬
ing friends as ones raised from the dead, through the myster¬
ious power of the potentized drug. (See Advance, Nov.,
’92, pages 329-335.)

While aberrations of mind and disposition, and symptoms
of purely subjective character, are usually of greater impor¬
tance, yet this is not by any means always the case. These
may be nearly or entirely absent, or so general in their char¬
acter as to be of little value, and the voice is heard alone in
objective manifestations. The symptoms in a recent case of
•diarrhoea in a teething babe, were as follows:

Considerable fever and restlessness.

Diarrhoea, frequent and profuse.

Stools greenish water, sometimes resembling scum of frog
pond with peices floating in it that look like tallow.

Much rumbling of flatus in the bowels.

Stools preceded by colic.

This totality is covered by Magnesium Carb*, and in the 30X
potency it performed an immediate and beautiful cure. The
prominent feature of this pictnre is the character of the
stools. The tallow-like lumps floating in a greenish, watery
stool, is found alone in the pathogenesy of Mag. Carb.
While the other symptoms are corroborative, yet they are to
be found under several other remedies, and are not sufficient
data for a prescription.

And is it not necessary to know the cause, source, nor
composition of these lumps. To have noted their presence in
the stools, together with the other indications, is sufficient for

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The Medical Advance .

the homoeopathic prescribe!*. This is in no sense pathologi¬
cal prescribing. In the treatment of the various fluxes of the
body the most important indications are usually found in the
peculiarities of the discharge per se , without special (if any)
reference to the pathology that is the cause or source of said
flux.

Let not the student infer from the reports of cases in this
paper that the indications for the remedy are always so pro¬
minent and tangible. Often there are no symptoms, that
seem to be characteristic of any particular drug. Under
these circumstances we can make no prescription. Let the
diagnosis and pathology be what they may, we must stand
still at this point. The case must be studied until the symp¬
tom—picture of a drug can be discovered. Perhaps a dose
of Sulphur, Psorinum,or some other antipsoric may clear the
case up, and order be brought out of a death or chaos of
symptoms, rendering the finding of the indicated remedy a
very simple matter. § § 172-184 Organon.

The value of symptoms, therefore, cannot be exaggerated.
It is impossible to make a scientific prescription without
them, and one physician is more successful than another by
so much as he is the better symptomatologist. They are the
voice of that spirit-like dynamis, as we have said before, and
by them alone it makes its plaint against the various disturb¬
ances to which it is subjected. § 14. Organon. The
removal or obliteration of all symptoms in any case consti¬
tutes a cure. § 17. Organon.

The ability to perceive and estimate symptoms properly is
the result of close observation and long experience, “ Line
upon line, precept upon precept; here a little and there a lit¬
tle.” More or less rapidly, according to our several ability,
our perceptive faculties will enlarge until no symptom of
importance can escape our notice, and we grow to the full
stature of “The physician himself.” With a faith, born of
blessed experience, in the indicated potentized remedy, we
may safely tread through the pitfalls and snares that beset
the path of every homoeopath. So shall success crown our
days; and, honored of God and man, our peace shall flow as
a river.

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An Inveterate Eczema Cured .

AN INVETERATE ECZEMA CURED BY THE ONE
DOSE OF THE INDICATED REMEDY.

Under ordinary circumstances one would scarcely be war¬
ranted in reporting a case of eczema cured by a certain
indicated remedy, unless he had some good ground on
which to base his opinion. The case that I am about to report
is interesting on account of two facts.

1st. Because it was an inveterate case of many years stand¬
ing, cured by the one dose of the indicated homoeopathic
remedy, after a number of our most prominent allopathic
physicians had failed.

2nd. Because there was a sycotic basis in the case on which
hinged the image.

Mr. P., aet 26, light hair, tall and fair complexioned, occu¬
pation, attorney.

Family history: Both parents living,health fair. Grand¬
father having a similar eruption, as well as one of his sisters,
for years.

Symptoms: An eczematous eruption about genitals and
.between thighs and nates, character papular—some forming
and taking on the characteristics of a small boil.

Some cracking near anus, very painful.

Constipation for many years.

Is in the habit of taking Hood’s pills, one every morning.

Ineffectual desire and often attended with severe sticking
pain up the rectum.

Mental: Frequent spells of peevishness. Feels miserable
most the time. Frequently omits words in writing. Head¬
ache frequent in temporal region < from light.

Feet sweaty and offensive and marked soreness between
the toes.

Aggravations: From warmth—motion and touch in
general

Ameliorations: Scratching around genitals for time being
followed by burning.

Sensations: Itching and burning.

On these indications I prescribed at different times, Sil.
Nux. and Sulph. At the end of two months treatment there

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The Medical Advance .

was but little if any improvement except that the foot sweat
and the soreness between the toes had diminished.

I now carefully retook the case once more. Examined his
rectum carefully but found nothing abnormal in the line of
constriction, pockets, polypoid growths, etc.

But I found near the anus a small pea-sized whitish eleva¬
tion, giving a sharp stinging sensation to touch, which on close
questioning found existed for many years. A history of a
miasm as a basis flashed into my mind, and on questioning
elicited the following:

1. When a boy his hands were full of warts of the seedy
variety.

2. After vaccination a severe eruption broke out all over
his body, the scars being very large.

3. Teeth decay near the gums.

4. History of corns.

5. Toe nails thick and brittle.

6. The nodular growths near the anus.

After careful study, I found the totality of the symptoms
occurring under Thuya Occidentalis, of which I gave one
dose I2x, and told him to report at the end of a week.

When he came back he told me the eruption was some¬
what aggravated after a few days but now is much better.

I now felt confident and told him to continue the powders
I gave him the week before, which was Sac., and to report
in two weeks.

At the stated time he walked into my office with quite a
different expression on his face. For the eczema had all sub¬
sided leaving the parts perfectly natural. Besides, that nodu¬
lar elevation had subsided to a minimum and the sharp pain
all gone. Bowels regular and natural which they have not
been for many years, and his general feeling splendid.

WILKC8 Barre, Pa. D. S. KlSTLER.

NASAL POLYPI.

“ The consistence of nasal polypi is not less variable than
their form. In some instances they are soft, and in reality
consist of enlarged mucous substance, to these the term
mucous polypi is given. These are the most amenable to

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Nasal Polypi .

6 7

treatment. The Jibrous polypus is a dangerous and obstinate
growth. It is not frequently met with, has none of the soft¬
ness of the first variety, grows from the periostium, is opaque,
reddish in color while in situ, being traversed with large ves¬
sels. When it projects back into the pharynx, the term naso¬
pharyngeal polypus is given it. It is often produced by
pressure, caries of the ethmoid and spongy bones, inflamma¬
tion of the brain, etc.”

In December, 1893, I suffered a catarrhal attack of
more than usual severity, which soon developed an inflamma¬
tory fever, attended by several shaking chills during its con¬
tinuance ; attended with more than the usual amount of irrita¬
tion in the nasal cavities, bringing on frequent and violent
paroxysms of sneezing.

During one of these attacks, of more than usual severity, a
firm^ Jibrous polypus descended in each nostril, so as to be
easily seen, and felt with the point of the finger, and the vio¬
lence done produced a bloody, watery discharge.

This occurred two days after the onset of the disease, all
of which time I had taken Ferri-Phos. i2x trituration in oft
repeated doses.

The bleeding kept up, and I made several unsuccessful
attempts to extract them with forceps, but the pain resulting
wdfc so great that I was compelled to desist.

Ferri-Phos. was continued four days, and by this time the
fever and chills were subdued; and Kali muriaticum, I2x
trit. was substituted in 3-grain doses every four hours, and
in six days more there was no polypi to be seen in either
nostril, since which time I have been able to breathe com¬
fortably through the nose, which I had not been able to do
for years; and the faculty of smell has been restored and as
acute as ever; and a dull, stupid headache that has long
afflicted me is relieved.

Six years ago, a polypus of a mucous character was dis¬
covered in the right nostril, which was cured in a few weeks
by one dose of Calcarea Phosph. cm., and in two years more
another was discovered and cured by the same remedy, one
dose of the same attenuation.

This remedy has, in my practice,cured two uterine polypi;
one of the ladies had twice submitted to the use of forceps
for its removal.

Centbaua, III. J. A. WAKKMAN, M. D.

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EDITORIALS

It is natural at the close of a year for one to look back over
the work of the past, seeking for the verification of antici¬
pated hopes, discovering the results of mistaken judgment,
and from the experiences of the past to lay new plans for the
future. One year ago we crossed the threshold of the domain
of medical journalism. Our previous experience had done
little to prepare us for the trials and uncertainties that lay
before us. In the past we had been only one of the many
readers of the Medical Advance; we read its pages, com¬
mending or criticising, with little thought of the cares and
anxieties of the one at the helm. The likes and dislikes of
the readers of the journal were unknown to us. Circum¬
stances compelled us to outline a future upon a purely theo¬
retical basis, and the experience of the last year has brought
into prominence both the strong and the weak points of the
same. It would be very strange if this experience did not
better fit us for anticipating the need for the future, and less
excuse would there be for repeating the mistakes of the past.
For the coming year, the field to be covered by the Medical
Advance will be much broader than heretofore; there has
been too little variety in the contributions, and the arrange¬
ment of the same, to make the journal interesting, and at the
same time profitable to the superficial reader. To obviate-
this difficulty, the departments of surgery and general medi¬
cal news items will receive considerable attention, while there
will be no deviation from the triune principles of simplex,
similia and minimum. Striving earnestly not only to
merit, but to win the approbation of all the old readers and
a host of new adherents, we leave the journal in your hands.

* *

During the closing weeks of the old year, the management
of the Advance was able to feel the pulse of their constitu¬
ents, and to gauge the policy of the journal to meet their
requirements. The following postal shows how utterly we

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Editorials

have failed to satisfy the longings of at least one anxious
heart: “Please discontinue the Medical Advance to my
address, and oblige. I can't spare the time to read it. It's
too thin. I know the most of the writers too well, and know
that they are not reliable. Eespectfully yours. v *

* *

Herewith enclosed you will find a brief article for the
Advance, if deemed suitable for its columns. I have derived
so much benefit from your journal, especially for the past
year, that I feel impelled to contribute my mite to its pages.

You are doing a grand work for Homoeopathy and well
does the journal deserve its title of the Advance, for it leads
all other periodicals in its every day usefulness to the work¬
ing practitioner. The fruits of your success you may never
realize personally, but it exists, nevertheless, and I trust
many will be ready to acknowledge their indebtedness to you.

I believe that the majority of the homoeopathic practition¬
ers who do not follow the strict rule of the Organon, err,
more through ignorance than willfulness, an error of the
mind, not of the heart. If some means could be found to
instruct these at their homes and offices, in the methods of
taking the case, and of hunting for and selecting the similli-
mum, it would greatly redound to the benefit and credit of
Homoeopathy.

If a society for this purpose could be formed, copied some¬
what on the lines of the Chautauqua , under the control and
supervision of an able periodical like the Advance, or of a
faculty like that of the Hering College, I believe it would
receive a hearty support from the profession throughout the
United States, and ultimately prove of the greatest utility to
the school at large, and to the prescriber in particular.

Fraternally yours, John Benson.

* *

The following letter is printed because it shows the ten¬
dency of some of our homoeopathic colleagues to substitute
for the safe and sure principles laid down by Hahnemann, the
unscientific, irrational procedures of the school which denies
the existence of any therapeutic law of cure. The name of
.the professor and the date upon which he gave his lecture, is

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The Medical Advance .

in our possession. It needs no further comment at our hands r
“ Dear Doctor: I am almost sure of what you will say about

it, but nevertheless allow me to give you part of -'s

treatment on diphtheria today. f Gentleman: Having com¬
pleted the pathology, let me today give you the treatment of
diphtheria. In the first place allow me to enforce upon you
the absolute necessity of local treatment. I say absolute
necessity, because I have seen it proven time and time again*
Begin early and never forget it. My favorite preparation,
and one that has met with approval by the leading men of the
profession is. Triturate 1 3 of sugar of milk and 1 gr. of Per-
inanganate of Potash with 7 3 of powdered Gum of Cassia*
Blow this well over the surface after having thoroughly
cleansed it with Peroxide of Hydrogen. If in the nasal cavi¬
ties, pack them full of it. In mild cases, besides this local
treatment, my main stand-by is:

10 grs. Biniodide of Mercury.

10 grs. Iodide of Potash.

1 oz. Alcohol. *

Filter. Dose—2 or 8 drops every 3 or 4 hours.

* More aggravated cases require more heroic treatment. In
such cases use: Cyanide of Potassium, 2x Trit., 1 gr. every 1,
2 , or 3 hours. Some use Cyanide of Mercury, but I prefer
the other.'

“ Then he recommends remedies in the order that I write
them: Bell. Merc, cor.; Rhus.; Canth.; Kali, bi.; Kali, carb.:
Apis; Lach. On these last he never mentions more than one^
symptom. At the conclusion he said: ‘But, gentlemen,
whatever remedy you select, never forget the local treatment.'

“ Only last week, in a lecture on yellow fever, he gave us
first the alternation of Aeon, and Bell. I don't know much,
but I know enough to have better sense than that. Is not
one a direct antidote of the other?

“ I think that such a man is a disgrace, and it becomes us
all to see that there be no such men in a college that is called
a Hahnemann College ."

* *

The question of vaccination is, perhaps, the most prevalent
of any being asked at the present time. Extracts from an

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In Memoriam .

interview with Prof. H. C. Allen of Chicago, an address by
Dr. Clarke of Indianapolis, Ind., and a letter from Dr.
Fincke of Brooklyn, N. Y., pretty thoroughly covers the
ground held by the anti-vaccinationists. These will undoubt¬
edly be read with interest and with profit by those who desire
to know of the status of the question in this country.

IN MEMORIAM.

Samuel Swan, M. D., died Oct. 17 , 1893 , in the 80 th
year of his age. About three years ago he began a series of
experiments with some kind of Japanese varnish, and while
engaged in preparing the potencies of the substance he was
severely poisoned, from which he never fully recovered. He
was confined to his bed for about six weeks with a severe
bronchial cough, under which he gradually sank. He died
without suffering, in the same peaceful way in which he lived.
One of his intimate professional friends bears this testimony
to his sterling worth, both personal and professional:

Dr. Swan was bom July 4, 1814, in Medford, Mass. In the early
part of his life he was engaged in the mercantile business, and some
time in the fifties went to Montgomery, Ala., to live, on account of
his health ; here he made a fortune, and made his first experiments
with medicine. Dr. Swan’s uncle was one of the first homoeopathic
physicians who settled in New England, if not the first, and the
young man was always more or less interested in homoeopathy and
took with him a case of homoeopathic medicines to his new home in
the south. Just before the outbreak of the rebellion an epidemic of
yellow fever drove all of the Montgomery doctors out of the city,
with the exception of one homoeopath, who, with the assistance of
Dr. Swan, treated with remarkable success a large number of patients.
This interested the doctor so much in medicine that he resolved to
come north, take a regular course, and graduate, which he did in
1886, in Philadelphia. Dr. Swan at this time was intimately asso.
ciated for two or three years with Dr. Henry M. Guernsey, and, after
graduating, came to New York, and was associated with Dr. Edward
Bayard for five years, and was engaged in the practice of medicine
in New York from 1866 to the present time, 27 years. Until within
the last few years he had a very large and high-class practice. His
enthusiasm for nosodes and the extreme high potencies separated him
more or less from some of our profession, still I doubt if any physi¬
cian in New York has ever been regarded by his professional breth¬
ren with warmer feelings of regard than Dr. Swan. He leaves
behind him a host of friends and patientB to lament his kindly, genial

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7 *

The Medical Advance .

ways. The marked trait of Dr. Swan’s character was his great gen¬
erosity; whatever was his, was his friends’. He was absolutely
without suspicion; a very hard worker ; he always did his best, and
believed that every other man did the same. With a single excep¬
tion I have never heard him speak unkindly of any one, or speak of
any one, with this exception, as ever having done him an intentional
harm. Dr. Swan leaves a widow and two grown-up children.

Though I did not agree with the doctor in many of his ideas regard¬
ing the action of nosodes, I remember him with profound gratitude,
both professional and personal. I think it would be difficult to esti¬
mate, at the present moment, his enormous usefulness.

By many members of the homoeopathic profession, who
appear to be satisfied with a routine method of practice, and
take their highest inspiration from the ipst dixit of some
shining lights. Dr. Swan was regarded as a crank on high
potencies and nosodes. But Dr. Swan was not understood.
He was continually experimenting, endeavoring in his way
to improve the practice of homoeopathy, to enlighten some of
the darkness of his professional brethren, and to cure some
of the diseases now universally considered incurable. In this,
like Hahnemann, he builded wiser than he knew. Like
Hahnemann, he was at least half a century in advance of the
majority of his homoeopathic brethren. Few men in our
school had so thoroughly mastered the Organon and Chronic
Diseases as Dr. Swan, and few knew better than he how to
apply their principles in the cure of the sick. Much of his
teaching appeared new and strange to the majority, because
to the majority the principles and teachings of the master
were new and practically unknown. He discovered and pre¬
pared Tuberculinum, so that it could be safely and success¬
fully used in the cure of the sick twenty years before Koch
ever dreamed of it. It has saved many valuable lives, and
will save many more in the future. In this devotion to
principle and singleness of purpose, like Hahnemann, Hering,
Galileo, Columbus, Harvey, and many others, he was an
enthusiast. But every homoeopath should rejoice that the
profession has had such enthusiasts. We are reaping the
harvest their zeal and industry and courage have sown.

John C. Robert. —At the regular monthly meeting of the
New York Homoeopathic Union, held at 53 West 45 th street.

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In Memoriam.

New York, November 16 , 1893 , the president, Edmund
Carleton, M. D., in the chair, announcement was made of the
death of John C. Robert, M. D., at New Utrecht, N. Y., on
the 12th instant.

After remarks by members upon the character and services
of the deceased, the following resolutions were offered by B.
Fincke, M. D., seconded, and by vote, unanimously adopted.

Whereas, it has pleased God to remove from us Dr. John
C. Robert, of New Utrecht, a graduate of Bellevue Hospital
College, member of the New York Homoeopathic Union and
of the International Hahnemannian Association;

Resolved, that by his death we have lost a true Hahne¬
mannian homoeopathician, who in his quiet, unassuming way
contributed to the promotion of homoeopathic science and art,
by careful provings and successful praotice;

Resolved, that we deem a public recognition due to his
memory, in this behalf, and also on account of his philan¬
thropic work among the sick and suffering lowly;

Resolved , that these resolutions be entered upon the
minutes of the Union, and that copies be sent to his family
and to the homoeopathic journals.

(Signed) J. W. Thompson, M. D.,

Secretary, pro tem.

Frank A. Gushee, M. D.—In the November number of
the Advance is a case by Dr. Gushee. I was so pleased with
it that I wrote him a complimentary note, only to receive a
dictated reply thanking me and saying that he was dying;
having brought health and spirtual life to another, he was
called upon to yield his own—alas! He passed away Decem¬
ber 20 , 1893 .

Dr. Gushee was born in Appleton, Maine, where he died,
September 24 , 1842 ; at the age of eighteen he enlisted, tak¬
ing part in the first battle of Bull Run; later as a member of
the 6th Massachusetts battery, he was wounded in the head
and never fully recovered from it; he graduated from Hahne¬
mann Medical College, Philadelphia, and carried out the
principles of Homoeopathy fully; his practice covered a large
circuit and was often in consultation with allopathic physi¬
cians in preference to those of their own school. In sickness
he was no respecter of persons, all receiving his best efforts;

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his religious belief was that there was no higher worship of
God than service to man; his cheery presence will be much
missed.

In his letter the doctor said: “I am relying on nutrient
enemata and the indicated remedy . What he preached to his
patients, that he died by. The cause of death was malignant
disease of the stomach. He leaves an aged mother, a wife,
and three children. C. B. G.

PERSONALS.

We are pleased to announce that Dr. G. H. Anderson, of
Seneca, Kansas, has been elected coroner at the recent elec¬
tion in his county. Whether the fight was a personal one or
not, we are glad to place on record every public recognition
of those who practice the law of cure.

Dr. J. E. Lilienthal has been appointed Professor of Paedol¬
ogy in the Hahnemann Hospital College of San Francisco.
This is an excellent selection, and cannot fail to strengthen
the cause of Homoeopathy on the coast.

Miss Ada Bartholomew will be known in the future as $Irs.
George Ehrman. The date of the doctor’s marriage was
December 27 th, and his home will be in Cincinnati. The
best wishes of the Medical Advance go with the new
family.

Dr. W. A. Noble has recently removed from Suspension
Bridge to Hornellsville, N. Y., and may be found at 22 Cen¬
ter St., when not otherwise engaged.

Dr. J. W. Light, of Kingman, Kansas, has formed a part¬
nership with Dr. J. H. Hoag, of Indianapolis, Ind., and
opened up an office in Columbus, Ind. Success to the new
firm.

We learn from the Medical Century that Dr. T. F. Allen,
late Dean of the New York Homoeopathic Medical College,
has been appointed a member of the Board of Trustees of the
Middletown, N. Y., Homoeopathic Hospital for the Insane.
A better appointment could not have been made, and it will
be a matter of great satisfaction to the profession to know

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Personals .

that so able a man as Dr. Allen has succeeded to the place
heretofore occupied by Dr. Egbert Guernsey, whose lack of
loyalty has been so pronounced in recent years.

Dr. C. C. Wiggins, formerly of St. Anegar, can now be
found in Osage, Iowa.

Dr. Anna Lee, a graduate of Hahnemann in *93, has opened
up an office at corner of 43d street and Oakenwald avenue,
Chicago. May peace and prosperity go with the doctor in
her new location.

We call attention to the name of Dr. A. W. Holcombe of
Kokomo, Indiana, a graduate from the first class of Hering
Medical College. The doctor is associated with Prof. E. W.
Sawyer, now of Chicago, and the profession may expect to
see the fruits of a rich experience in this young man's life.
He will give to the readers of the Advance, in the near
future, an exceedingly valuable repertory of peculiar symp¬
toms, every one of which will be of value in that the patient,
or the prover, compares his sensations to some tangible sub¬
stance, i. e. y “As if red-hot needles were in the chest; as if a
plate of iron were nearly in contact with the face; as if a nail
were driven into the vertex," etc.

Dr. F. W. Rich, 7012 Webster avenue, Chicago, has
removed to Riverside, a suburb of Chicago, and entered into
partnership with Dr. Isabella Hotchkiss.

* Prof. W. L. Reed's new address is 4201 West Belle Place
St. Louis, Mo.

Dr. J. H. Bowers, of St. Peter, Minn., writes that that
city offers one of the most desirable fields for a thorough
homoeopathic physician that he knows of. He moves from
that place to Riceville, Iowa, and wishes the Medical
Advance to follow him to his new home.

We notice that the University of Minnesota has extended
the course of study in her medical department from three to
four years, each course consisting of about nine months; the
new law to take effect in 1895.

As showing the trend of colleges, we notice in this connec-

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.76

The Medical Advance .

tion that the faculty of Jefferson Medical College of Phila¬
delphia, have unanimously resolved to institute a compulsory
four years* course, beginning with the session of 1895. The
same requirements for graduation will apply to all students in
Hering Medical College as soon as the buildings for their col¬
lege and hospital are completed, and they are prepared to
devote the senior year entirely to clinical work.

Dr. E. E. Reininger, Professor of Homoeopathies in Hering
Medical'College, has been appointed a member of the staff of
Cook County Hospital of Chicago. The news of this appoint¬
ment will be read by many with great pleasure.

BOOK REVIEWS.

An American
Text Book of Gyn¬
ecology.

This candidate for professional favor comes
from the well known house of W. B. Saun¬

ders, Philadelphia. Its “make-up” is
admirable. The type is clear, paper good, and the text so
fully illustrated that much of the descriptive part which
proves so cumbersome and difficult to understand in other
text books seems almost unnecessary. The publishers certainly
have shown themselves worthy of the highest consideration at
the hands of the profession at large. Naturally one would
expect to find valuable information within the covers of so
attractive a book, and in this particular their expectations will
be more than realized; and the American Text Book of Gyne¬
cology will undoubtedly take the same place in its especial
field that the American Text Book of Surgery has won for
itself in the domain for which it is designed. Particular
attention is called to the technique and after-treatment, by
which the practitioner will be able to determine for himself
the exact procedure now adopted by the leading gynecologists
of this country. Nothing of importance seems to have been
taken for granted, but on the contrary, has been clearly
defined, both in the text and in the parts illustrating the
different stages in each new or important operation. We can¬
not agree with the different contributors to this valuable work
in reference to the treatment after the operation, and do know
that many of the operations are being made unnecessary by

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Book Reviews .

by the strict application of the law of cure given us by our
master of therapeutics, Samuel Hahnemann; but even the
physician who cares little for surgery will find much of value
and interest in this book to make it a very profitable invest¬
ment. There are 38 half tone and colored plates, and 360-
illustrations. The book is sold only by subscription, and will
cost from $6.00 to $8.00, according to the style of binding.

outnnes of^ Ob- This work of 264 pages is a syllabus of
Saunders, Phiia^ lectures delivered by Prof. Charles Jewett,
deiphia. in the Long Island College Hospital, and is

intended as an aid to the study of obstetrics during the col¬
lege course. Beyond the physiological and pathological out¬
lines there is very little in this work to commend itself to the
consideration of the physician or student who would make or
sustain a reputation as an obstetrician. In the first place,
Dr. Jewett fails to recognize the valuable aid given to the
observing physician during the period of gestation in recog¬
nizing diseased tendencies of the prospective mother, and the
importance of preparing the new arrival for the untried reali¬
ties of life; or, if he does appreciate the value of this period,
he fails to impress its importance upon those who listen to
him. The preparation made for the management of labor is
upon the ante-septic, instead of the greatly to be preferred
aseptic basis.

Essentials of the j n the g rs t e( JJ^ on 0 f tllis manual

Practice of Medi¬
cine. Henry Mor- was printed. The fact that it is now in its

dormTh Hadei- third edition is sufficient guarantee of its real
phia. worth and of its popularity, and it needs no

comments from us aside from a statement of
its general scope for information. It appears as a double
number- in the series of question compends published by W.
B. Saunders, and it combines the simplest, and at the same
time the most comprehensive outline of the practice of medi¬
cine known to the reviewer. We might not agree with the
author in his consideration of the causes for certain pathological
conditions, but there is so much that is exceedingly desirable
that we take great pleasure in commending the work to the stu-

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The Medical Advance .

dent or the busy practitioner who would have a small book handy
for ready reference. In the back of the book are to be found
sixty-three pages devoted to a chemical and microscopical
examination of the urine, for clinical purposes, that is of
great value; so, taking it all in all, it forms one of the most
profitable of this series of question compends. The price of
this valuable little work is $2.00, and it can be found in most
of the larger book stores.

The profession at large, and especially
those members of the profession who are not
thoroughly familiar with all the steps neces¬
sary for a thorough examination of a body
after death, will appreciate the value of this
little book on the technique of the post-mor¬
tem examination. There is no question but
that our knowledge of pathological conditions would be
greatly enhanced if every physician had sufficient knowledge
to enable him to reach some conclusion in the post-mortem
examination of those who have died from unknown causes;
and there is no question but what many physicians would
make more frequent examinations did they feel that their
knowledge would enable them to perform the same in a scien¬
tific manner, and to reach conclusions that would add to the
knowledge of the world in reference to the subject under con¬
sideration. This little work of 172 pages gives the informa¬
tion necessary for a thorough and scientific consideration of
the various appearances and the diagnostic value of the patho¬
logical changes. There is not a page in the book that is not
interesting, and, taken together, it gives sufficient informa¬
tion upon a subject of great practical value to every conscien¬
tious physician. This work is published by the W. T. Keener
Company, and is sold for $1.75.

^hT^^Annuai are nn( ^ er obligation to Dr. John B.

Meeting of th© Hamilton, president and secretary, for a
B f t * te copy of the transactions of their last annual

Medical Society. .

meeting, held in Chicago, May 16, 17 and
18. Some valuable papers were read at this meeting, and

Post-mortem
Technique. Lud¬
wig Hektoen,M.D.
Prof, of Patho¬
logical Anatomy
in the College of
Physicians and
Surgeons, of Chi¬
cago.

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Book Reviews . 79

the contents of the book make a very creditable showing for
this aggressive society.

Th© English Hu- There is not a reader of The Medical

morists of the . . . . . ..

xvrnth Century. Advance who has not a favorite author in

almost every department of literature. In
some, this enjoyment of the books written by the author is
without any knowledge or appreciation of the personal char¬
acter of the writer, or the environment with which he or
she was surrounded during the inception and completion of
that which is in favor with the public; while others seek for
the master-mind controlling the movements of the different
characters. To no man do we owe a deeper debt of gratitude
for keenness of perception, depth of penetration, and ability
to read character as an open book, and picture the same in
language both comprehensive and fascinating, than William
Makepeace Thackeray. In none of his works has he shown his
skill to better advantage than in the English Humorists of the
Eighteenth Century, where he has drawn living pictures of
Swift, Congreve, Addison, Steele, Prior, Gay, Pope, Gold¬
smith and others of that day. It is a book that has been read
and re-read for years, only to be taken up again and read with
greater interest because of its great worth. A. C. McClurg
& Co. of Chicago have issued this work in a neat book of
nearly 300 pages, which they sell for $1.

How to Use The
Forceps; with an
introductory ac¬
count of the fe¬
male pelvis and of
the mechanism of
labor. Henry G.
Landis, A. M., M.
D. The second

Ignorance of the mechanism of labor, and
a lack of knowledge concerning the proper
use of the forceps, has wrought a vast amount
of suffering in the world. The generous
appreciation given by the profession to the
first edition of Dr. Landis* book, with the

edition revised omissions so frequently found in the first

and enlarged by t. j

Charles h. Bush- edition of any book, led Dr. Bushong to
ong. New York. rev i 8e and enlarge the second edition. A
faithful study of this book will show a radical differing from
other authorities in many respects, and these opinions have
been well supported by experience, and are worthy the
thorough investigation of every obstetrician. Cases giving a

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The Medical Advance .

practical illustration of the theories presented in the body of
the book, will be found in part third. The work is com¬
mended for the many valuable suggestions to be found within
its pages.

A Clinical Text-
Book of Medical
Diagnosis, for
Physicians and
Students, based
on the most recent

It may be conceded that for thoroughness
of investigation, our German friends are best
adapted by nature and training, and we natu¬
rally look to them for the foundations upon

methods of ex¬
amination. B y
Oswald Vierordt,
M. D, Prof, of
Medicine at the
University of Hei¬
delberg, etc. etc.
Authorized Trans*
lation, with Addi¬
tions, by Francis
H. Stuart, A. M.,
M. D., FeUow of
the N. Y. Acade¬
my of Medicine,
etc., etc. Third
revised edition,
with 178 illustra¬
tions, many of
which are in col¬
ors. W. B. Saun¬
ders, Philadel¬
phia, publisher.
Price, $4.00, $5.00
and $5.60.

which we are to build our structure of medi¬
cal practice. The first edition of this work
was printed in the latter part of 1888, and so
favorably was it received that the author was
compelled to issue a second edition in the
summer of 1889, with many additions and
improvements, and the third edition follows
the second within the space of a few months.
The English edition was authorized in 1891,
and Dr. Stuart has been actively engaged
upon it ever since. This work does not
occupy the same field with that of DaCosta
and others of similar nature, but prepares
the investigator for the conclusions reached
in the works on special pathology in com¬
mon use in this country. We most earnestly
commend the book to every student who cares to become
thoroughly familiar with the art of diagnosis.

Prom the pen of Thomas Bailey Aldrich
comes a little volume of sketches which it
seems to us brings almost the same pleasure
as that experienced from a gay conversation
with a friend, or of some bright music played in perfect tune
and time. The subtle, polished humor in the “ Tales of
Goliath,” and “My Cousin, the Colonel,” reminds us strongly
of those princes of humor, George William Curtis and Oliver
Wendell Holmes. We recommend this bright little book to
our readers.

Two Bites at a
Cherry, and other
stories. T.B. Aid-
rich. Houghton,
Mifflin & Co.

‘"Digitized by ^.ooole

TZHZIE

Medical Advance

A HOMOEOPATHIC MAGAZINE.

Vol. XXXI Chicago, February, 1894. No. 2

MATERIA MEDICA.

THE RELATION OF THE HOMEOPATHIC MATERIA
MEDICA TO PHYSIOLOGY.

BY A. C. COWPERTHWAITE, M. D.

Prof. Materia Medica and Therapeutics in Chicago Homeopathic College.

Ever since the time Hahnemann first promulgated the law
of cure and established the necessity for a more systematic
study of drug action, there has been more or less difference of
opinion as to the value of the physiological action of remedies
in their relation to therapeutics.

When Hahnemann first undertook the proving of drugs ac¬
cording to his new theories of therapeutics he discarded all that
had gone before and abolished from his mind so far as possi¬
ble all speculative theories. He believed that symptoms was
the language and the only language of disease and that symp¬
toms was also the language and the only language of drug
action; he therefore did not attempt to unravel the mysteries
of drug action or unfold the physiological effects that each drug
might be construed to have upon the human system. He saw
only the symptoms and to him these were all that were neces¬
sary for a thorough study of the drug pathogenesis. However,
if we read between the lines we can see here and there positive
evidence that his fertile mind went beyond the mere language
of symptomatology and that with a vision more clear than al¬
lowed to most mortals he penetrated the mysteries of drug
pathogenesis and carried in his mind with the symptomatology

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of the drug the real effect that it had upon the functions
and organs of the body. However, he never allowed this
knowledge which he possessed to become manifest in any other
way than by more closely regarding the symptoms that he ob¬
tained from drug provings. He argued, and very rightly, that
the moment one attempted to establish the action of the drug
from its supposedly physiological effects he was entering upon
a labyrinth of mystery which it would be difficult to unravel and
which would give rise to various conflicting ideas and theories.
At the same time there were those who, while affiliating with
Hahnemann in his new work, accepting the new law of cure
and the theory of drug provings, nevertheless were inclined to
the belief that a more thorough knowledge of the effects of
drugs upon the organism should be established than that which
came through the symptoms caused by the drug.

When we read the results of the efforts of these men we are
at once struck with the fact that scarcely two of them agreed
upon the character of the effects established by a certain drug
or the process by which these effects were brought about.
Take for instance the well known case of tartar emetic; the
modus operandi became a matter of importance based upon the
possibility or capability of its producing certain prominent
physiological effects, or in other words pathological alterations
in the tissues, more especially the lungs and mucous membranes
and perhaps some portions of the nervous system. Hahne¬
mann practically ignored these possible changes in tissue and
depended entirely upon the symptoms which provers recorded.
Other physicians, not so inclined, endeavored to illustrate the
action of tarter emetic in various ways and so many experi¬
ments were made by them voluntarily and involuntarily upon
man and beast, but it must be confessed that up to the present
time nothing very definite has been brought to light.

Dr. Lobethall sought the modus operandi of tartar emetic in
its power to produce an increased fluidity of the blood, more
especially in the capillary vessels of the mucous membranes,
having for its necessary consequence exudation, w T hich he ap¬
peared to assume as its primary action. The action upon the
nervous system—spasm and torpor—being secondary.

Dr. Kurtz on the other hand found the explanation of the
action of tartar emetic in its power to promote the retrograde

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Ma tevict Medica .

metamorphosis of the blood, diminishing the number of red
corpuscles and albumen in the blood and eliminating them from
the system through vomiting, increased secretion of bile, diar¬
rhoea and perspiration.

According to Dr. Riel, tartar emetic diminishes in the urine
somewhat the sum of the solids (the urea and salts). The eli¬
mination of carbonic acid increases the number of respirations
which increase or diminish in depth, the pulse becomes slower
and soon the metamorphosis of the blood, especially of the blood
globules is increased. Thus will be noted the wide theories as
to the effects of this drug upon the system by these distinguished
observers, and the same holds true of all other drugs to a
greater or lesser extent.

In the case of tartar emetic, Dr. Magendie sought to establish
the physiological effects of the drug in a way that could not be
gainsaid, so he injected a solution of tartar emetic into the veins
of some dogs ; they died, were examined and their lungs were
found in a state similar to that called hepatization; therefore
he assumed that tartar emetic was the remedy in all cases of
hepatization of the lungs, in other words it was a specific in such
states. This is the legitimate result of depending upon the
study of the physiological effects of a drug. It leads and
necessarily leads to the pathologizing of remedies. The absurd¬
ity of the conclusions of Magendie have long since been estab¬
lished, but no more so than have similar absurdities in connec¬
tion with the same method of studying other drugs. It has
long since been known and repeatedly verified, that tartar
emetic is only exceptionally a remedy in hepatization of the lungs
and then only when we have present the symptoms that have been
produced by tartar emetic in the human system :—the well rat¬
tling of mucous in the chest, nausea, etc., etc., which it is not
necessary for us to dwell upon in detail. In this connection
there is no doubt but that an inquiry into the physiological
action of the remedies—in other words—transposition of its
aggregate symptoms into one harmonious whole is of great im¬
portance and would be of much greater importance were our
present knowledge of remedial actions perfect. Every one,
whether he follows symptomatic indications or not, endeavors
to mark out his remedies in accordance with the physiological
light he possesses. If this were not true why should the

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The Medical Advance.

Hahnemanian call for the provers books, why should he be con¬
tinually studying the succession of symptoms, why read the
original provings at all if it be not to get an understanding,
not only of the connection of the different symptoms but in or¬
der to grasp the whole of the proving at one single bird’s eye
view for by so doing he can connect, contrast and compare
just as each appears and by this remember whatever of the prov¬
ing he may deem most useful and can recall in the time of need
that which he most wishes to know. Yet, it is very evident
tliat individual knowledge, theories, opinions etc., have much
to do with this method of drug study and sometimes even the
most untenable theories may serve a good purpose. With Dr.
Kurtz, the tissue change is, in his mind, the explanation of tar¬
tar emetic, and some one else will hold to the theory of its ac¬
tion upon the pneumogastric. It is to both a matter of opinion
and of such knowledge as is within their individual ken. Say¬
ing this does not deny the necessity of studying drugs from a
physiological standpoint nor does it for one moment entertain
the idea that there is no true relation existing between the
homeopathic materia medica and physiology; on the contrary it is
self evident hat the nearer the naturally lawful explanation of the
phenomena produced by a drug is at hand, the easier and more
perfectly must it cover the whole of these phenomena, and
it also shows that just so long as the whole of such phenomena,
cannot be covered by our physiological knowledge just so long
are we in the region of doubt and have no right to demand that
every one shall accept any theory that we may individually
maintain.

It is a fact that as yet there is not one single remedy in our
whole materia medica whose physiological action is thorough¬
ly understood, and this being the case it becomes at once ap¬
parent that we cannot base our knowledge of drug action upon
that which we do not know, or at least know very imperfectly.
Then too, as intimated, the study of the physiological effects
of the drug to the entire disregard of individual symptoms
necessarily leads to the pathologizing of oiir materia medica.
Thus, when one studies the action of a drug only from the ef¬
fects which he finds or supposes that he finds it to produce up¬
on the tissues and organs he naturally concludes, as Magendie
did in the case of tartar emetic, that when we find those alter-

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Materia Medica .

ations of tissue present in a manner similar to that which we
supposed to be accomplished by the drug under consideration,
that such drug is the remedy regardless of any individual
symptoms. This leads to specific methods and were specific
methods once established everything pertaining to the patho¬
genesis which does not fall within the magic circle of this es¬
tablished specific drug action is thrown away and cannot be
considered of any more account; once a remedy becomes a spe¬
cific and we have the gauge and the scissors wherewith to trim
secundum artum .

I do not hesitate to assert that whenever a remedy has been
received as a specific in the sense which I have just mentioned,
it has proved a curse both to the remedy and the physician as
well. It is simply an impossibility for the action of any one
remedy to be brought into any one recognized physiological or
pathological process, at least in our day and with our imperfect
knowledge of drug action. The continued study of drug ac¬
tion upon this basis may give us eventually so perfect a knowl¬
edge of drug pathogenesy and disease pathology, if I may use
such a term, that we may be able to establish a system of the¬
rapeutics based upon the physiological action of drugs. That
time has not yet come and it is very probably in the far distant
future.

It is a fact that we may take any well known remedy in our
materia medica and set down all the well authenticated cures
made by it, and also take away our pathological process and
set down all of the remedies which have ever been known to
be beneficial, and when we come to compare one with the other we
shall find that in every instance the remedy in its curative action
falls in very many different pathological directions, and with ev¬
ery pathological state will it be found that the helpful remedy
also falls in .very many directions amongst medicinal agents.
From these facts we make the legitimate deduction that our
present knowledge of the physiological action of drugs and
our present knowledge of pathology is not and can never be a
guide to the administration of remedies. Cavil as we may, it
is an undoubted fact that is becoming more and more apparent
every day. that we cannot understand the action of a drug
from any other standpoint than that of its individual symp¬
tomatology. We may theorize to our heart’s content as to the

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conditions which give rise to the symptomatology ; it is per¬
haps eminently proper that we should do so, but when it comes
to the application of the drug itself we should not allow any
theory that we may hold to stand against the indications that
may be given by pure symptomatology. At the same time the
rule holds good here as elsewhere in the study of the various
branches of medicine, that is—while extremes are .sometimes
useful in leading us to the consideration of effects, neverthe¬
less they are seldom a safe guide in the study of either disease
or drug action.

Take the so-called Hahnemanians of today who ignore phys¬
iology and pathology in their study and we find them continu¬
ally making the most extravagant and ludicrous mistakes in
their treatment of diseases, mistakes that might be avoided by
a very simple knowledge of the two important sciences which
they leave entirely out of the question. On the other hand we
have a class of men who claim for themselves the title of
homeopathic physicians, but who have no knowledge whatever
of symptomatology and never studied their materia medica,
but go upon the assumption that they possess a perfect knowl¬
edge of the physiological effects of drugs and of pathological
effects in disease, and so we find them prescribing certain drugs
for certain conditions under any and all circumstances regard¬
less of the symptomatology, or indeed regardless of any scien¬
tific ideas whatsoever, only those relating to the • pathological
effects of the drug itself. It is very evident that such physi¬
cians are liable to err ; that there is not one who does not make
a mistake at times in his supposed knowledge of pathological
states, and it is also true that he is just as liable to make a
mistake in his supposed knowledge of the physiological effects
of the drug. He therefore stands upon uncertain ground and
is neither scientific nor safe in his methods of practice. •

We conclude, therefore, that the physiological effects of a
drug must ever be, so far as known, the scientific basis of our
knowledge of drug action, and we should lend every energy to
increase this knowledge, and at the same time we should real¬
ize how weak and lame we are in this direction before accept¬
ing as a fact that whifch almost every physician has established
as unsatisfactory if he has given the matter any thought at all.
This is why the theory expounded by Hahnemann in the early

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Ma teria Med /* ca .

days of drug study holds equally good to-day—that symptom¬
atology is the only safe language of drug action, wherein we
are never liable to err and upon which we can at all times de¬
pend. Believing the principle that the one who closely follows
the symptomatology of the drug with a mind not narrowed by
prejudice nor overcome by slothful habits shall more nearly ar¬
rive at the true solution of the physiological effects of the
drug than he can possibly do by any of the modern methods
which so-called scientists have adopted. Therefore do not ig¬
nore the very important relation that exists between the home¬
opathic materia medica and physiology, but at the same time
do not allow that relationship to become so great as to blind
you to the true and only scientific method of drug study—
Symptomatology.

THE STUDY OF THE MATERIA MEDICA.

JOHN BENSON, M. D., COLFAX, WA8H.

How best to pursue the study af the Materia Medica is a
question not only pertinent to the professor and student at
college, but above all, to the practitioner who is daily—yes
hourly, confronted with conditions that severely tax his know¬
ledge of this important branch of his profession, and upon which
knowledge the life of his patient may often be dependent.

Professors and medical writers each recommend his own
special method as the best, and each have the merit of some
advantage, not possessed by others, of elucidating some point
or system not made prominent in the others. But in the end
I think it will be found that each one who studies alone in his li¬
brary or office, frequently far distant from brotherly council or
advice, will evolve a method peculiar to himself, and often
more suitable to his own mentality and requirements than per¬
haps to others. Monroe s rhyming Memorizer will awake new
thoughts in some, to whom Hahnemann and Hering had per¬
haps appealed in vain. In a different way Duncan’s happy il¬
lustrations fixed many a symptom in the mind that were only
fleeting before. And so Dunham, Guernsey, Cowperthwaite.
Hughes, Hoyne, Jessen, Hale and many others have each pre¬
sented the Materia Medica, illumined by their own special
light, each materially different, yet much the same.

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In thus writing out a work of this class, no one reaps more
benefit from the result than does the author. It compels a
careful analysis and comparison of the various remedies, a
thorough training in the minutae of the symptomatology is ac¬
quired, a more careful method of prescribing is induced, and
the writer closes his task a far more able and thorough pre-
scriber and physician then when the task was begun.

On a smaller scale we may all be authors. If not writing
for the public benefit, let us, at least, write for our own private
good; for it is only by so doing that we can lay a true, plumb
and stable foundation of knowledge of the Materia Medica,
upon which to erect the superstructure of our life’s practice,
and as.is this foundation so will be the superstructure. If the one
is thrown together incoherently, roughly and without system
or order, the after methods of practice are apt to be the same,
and the results unsatisfactory. But if we begin carefully,
even if the beginning is but small, we can add and add, as life
progresses, until we find at its close that we have built far bet¬
ter than at first conceived.

I expect all practitioners look back with more or less amuse¬
ment upon their student days, especially of Materia Medica,
and how hopeless all felt of obtaining a knowledge of the im¬
mense symptomatology, and of the many futile attempts made
to acquire such knowledge. Well do I remember my own first
experience in this line. I began with Hering’s Condensed Ma¬
teria Medica, and bravely starting at Abrotanum, I memorized
its symptoms, by rote, in a couple of days. Then Absinthium
was captured in turn. In triumph Acetic Acid was next at¬
tacked, and then—then trouble began. Deep in Acetic Acid,
a doubt would rise in my mind whether 4 ‘Troublesome Cough,
Rheumatism,” belonged to the first or the second remedy, and
back would I have to turn the leaves to make sure of my posi¬
tion. After Acetic Acid was brought under control, for the
life of me I could not remember which had the symptom
^Horses kick with hind legs toward the belly ;” and what was
worse, I deemed it wholly irrelevant, for was I not studying to
be an M. D., and had not the remotest idea of becoming a V.
8. But in Aconitum I became irretrievably swamped, the
symptoms of the different remedies became a hopeless jumble,
the muddled thoughts worse and worse confounded, chaos

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ruled, and as I turned the leaves to Zinziber, and reflected that
this was only a condensed Materia Medica, that back of it
loomed the ten ponderous tomes of Allen, my Homoeopathic
soul sank in dismay and despair, and I closed the volume with
the thought that the Materia Medica was by far too intricate
and complicated for ordinary minds to unravel.

After an interval of rest, I then swung to the opposite ex¬
treme and devoted my attention to the Key Notes. Eureka!
what a fool was I to try to memorize all the symptoms of a
remedy, when all that was necessary was to learn one or two
prominent key notes, and presto the entire symptomatology
was your obedient servant for evermore. Verily learning the
Materia Medica is but child’s play, a veritable mental and medi¬
cal picnic combined. It was so easy, that like Alexander, I
longed for more worlds to conquer.

But after a while I found that however simple in the ab¬
stract, yet upon reducing it to practice it was not always so
easy to fit the remedy to the patient, who would often have a
disagreeable habit of imparting many more key notes than
could be conveniently made use of at the time. Often while the
patient would be detailing his symptoms, my mind would be
playing a running accompaniment, something like as follows:
Doctor, I have a bad headache, {Ah! that's Bell), and have
such a bad taste in my mouth, ( that's Puls,) and my tongue
has a white coating, ( that's Ant crud,) my bowels are very cos¬
tive, {Oh! it's Nux that he needs,) and I ache so all over, {Now
that is Am. or Gels., which is it?) and I feel so weak and
tired {where in the name of Hahnemann have I seen that symp¬
tom?) and so on ad nausum. But my last mental ejaculation
would always be, as I scratched my head to arouse cerebral
circulation, now, what in the dickens shall I give the fellow any
way?

A few experiences like Ihis taught me the key-note path was
not all strewn with roses, but that thorns were about equally
as abundant, and that it could not always be relied upon to
infallibly indicate the Similmium. How I longed to tread the
unknown royal road to Materia Medica lore that others appar¬
ently trod with so much ease, and for years I turned this way
and that way, seeking it in vain. Lured first by one author
then by another, finding kernels of knowledge in all, I finally

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realized that although the royal road was non-existing, yet all
the time I had been traveling in the right direction, if not
always by the easiest conveyances. That no short cuts across
lots existed, each step forward had to be taken by itself, but
that as one advanced, the horizon broadened more and more,
knowledge increased, and with it the capacity of learning also.
Under the kindly instruction of a learned preceptor, compre¬
hension arose where formerly chaos ruled, the beauties of the
Materia Medica unfolded more and more to my gaze, and the
conviction finally came that knowledge of the different remedies
was only to be obtained by incessant study and comparison of
symptoms.

As I have said before, teachers follow many and various
methods, but upon analysis we find them based upon but one
fundamental rule, and that is comparison by which all things
are learned. The cooing infant readily learns to distinguish
the Respective voices of its father and mother, only through
comparison of the two, and how speedily \sill an unknown voice
be recognized by the little one.

Most of our friends possess in common hair, eyes, ears, nose,
mouth, arms, legs, etc., characteristics of them all, but how
readily we recognize one from another; each is known by some
trait, some turn of features peculiarly his own, and like no
other. In short, each one is stamped by his own individuality;
and as in the human family so is it with the family medical.
Each remedy must not only be recognized by the general form
of its family or species, but from all others of the same group,
by the minute shades of differences which marks its entity, and
enables it to be distinguished from all others. As we know
that our mothers, wives or sisters are different from other
women, and yet are women, or as the learned forester distin¬
guishes not only the various oaks, beeches and maples under
his charge, but learns to know each individual tree by traits
peculiar to that tree alone.

In order to obtain such a familiar knowledge of the remedies
and be able to readily distinguish the characteristics of one from
others, nowhere do I know of a better method by which the
student can obtain a thorough working knowledge of the Materia
Medica. than by the use of the immortal Bonninghausen’s
Therapeutic Pocket Book, and any one good work on Materia

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Medica. If he has several all the better for comparison, but one
will do. This knowledge will be gained through the use of
what is the most important part, and yet the most neglected
of the Pocket Book. The section of the Relationship of Reme¬
dies.

My custom is to take paper and pencil and the two books
mentioned, opening Bonninghausen at the section of remedies,
at whatever medicine I may wish to compare, we there find
the remedy classified under the different heads of Mind, Lo¬
cality, Glands, Sensation, etc., and under each head a list of
remedies to be compared with the one under examination.

Suppose we want to compare the mind symptoms of Nux.
Yom. with other medicines. Taking the Materia Medica I
write out the symptomatology of the mind under Nux, and
then taking each remedy mentioned in Bonninghausen, compare
the symptoms with those of Nux, noting the shades of agree¬
ment and differences between the two, and between othere^hat
may be brought to mind by the similiarity of the symptoms.
In a short time the student will be surprised to find how many
remedies will be brought to mind by these comparisons and
how much will be learned in this manner.

If the Medical Advance will kindly grant permission for a
further demonstration of my premises in some future article, I
will request the kind reader and student to accompany me in a
trial study of this kind, and see if we do not arise better and
wiser prescribers from our examination of the remedies as sug¬
gested by the .Pocket Book. It may be a long, arduous, and
perhaps to some a tedious study, but it is one that will bring its
own reward in the greater skill by which these keenest of all
edged tools may be handled, and in the increased health and
consequent happiness of our patients; a sufficient reward that
will amply repay the zealous student and prescriber.

DIAGNOSIS AND THERAPEUTICS OF EARACHE IN
CHILDREN.

JOHN C. MORGAN, M. D., PHILADELPHIA, PA.

Profs. 0. B. Gause and G. W. Strawbridge, of this city,
have contributed, respectively, certain bits of practical informa¬
tion on this subject, which I have tested with satisfaction, many

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times the former, in homeopathic drug-selection ; the latter, in
palliation. Always, presupposing that wax, foreign bodies, etc,
causing the otitis media, almost invariably existent, have been
already eliminated. The drugs are but two in number, and
the indications simple, viz :

If on the right side Mecurius;

If on the left side Pulsatilla.

To these, I have to offer from my own personal observation,
the following :

In Scarlatina maligna of cerebral type, with stupor, sudden
outcries, and, tendency to suppression of urine, in which
Bellad, Stram, Apis, &c., fail, the cause of the outcries I have
found to be earache. In this, Gelsemium 6 X has proved cura¬
tive to the whole group of symptoms.

The palliative treatment of earache, in all ages, is perfectly
compatible with pure homeopathy. It consists in alternating
every half hour, moist and dry heat, locally. Firstly, hot water,
tested by the knuckes of one not inured to it, is poured into the af¬
fected ear, the head lying upon a bed or table. . The ear, &c, being
then covered by a hot moist flannel, surmounted by a hot, dry one.
Change the whole, if it becomes cool. Continue one half hour.
Secondly, the hot, dry one, only—one half hour—and repeat—
etc.

Frantic crying of infants and little children, apparently
causeless at times, may be due to teething, or colic, or to brain
disease ; but there is also a great chance, particularly after ex¬
posure, that it is due to otitis. The diagnosis should be made,
promptly, by exclusion. Gelsemium , Aconitum, Mercurius ,
Pulsatilla, Chamomilla , Belladonna , etc., may be canvassed;
and the hot applications above described may be used, if nec¬
essary ; but in very many cases one of the two specified drugs,
Merc, and Puls, will suffice.

Case —Cubeba , 15° in Ottorrhcea.

This drug has proved curative, when the discharge, which
was sero-sanguineous, in the main, had been “cured” some
time previously, by local treatment with the peroxide of hy¬
drogen. The relapse followed after a proving of Hydriodic
acid. The latter also developed a litte wart upon the inner
third of the right upper eyelid. The otorrlicea was attended

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with perforation of the membrane tympani, with granulations
looking very much like a polypus.

All of these objective symptoms disappeared after Cubeba
15 c , followed by &ac Lac: under the critical observation of a
distinguished, but skeptical aural specialist, who fully admitted
the complete cicatrization of the lesion of the ear ; and this,
with no local treatment whatever.

SANGUINARIA NITRITE.

GEO. P. HALE, M. D., MEMPHIS, TENN.

We cannot sometimes always tell
What to do for the loss of smell,

But this I am constrained to say.

’Tis well to search the remedy.

This I know from long hard study,

All drugs are poison to the human body.

But taken according to Hahnemann’s law,

They make less disturbance in your maw.

So if you have a bad distemper,

Similia’s laws are similibus curautur,

And medicines taken thus, I’m told,

Soon cure all symptoms of a cold.

Then call the doctor, and give him a tip
For stopping this everlasting drip.

He comes and says, “My law applies
To just such itching bloodshot eyes.”

“Since me you’ve called this stormy night,
I’ll give you a dose of Sang. Nitrite.

For in this disease, as the story goes,
We’re oft compelled to wipe our nose.

This drug, I’ve heard, is oft the cure,

And routs distemper quick and sure,

It stops the scalding, burning sneezing,
And in your lungs asthmatic wheezing.

Then don’t forget to give this herb,

For in hay fever it is superb,

And when the leaves of the Codex turning
You find water, itching, sneezing, burning,

Give it in powder of the leaves or root,
And I’m sure you will ne’er dispute
It’s power these symptoms to efface
From this annoying stubborn case.

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I usually give it in the 3x Trit,

Sometimes tincture, sometimes tablet,

But whatever the dose, be it large or small,

’Twill remove the coryza, headache and all.

♦DRUGS AND DRUG PROVING.

THOS. J. GRAY, M. D.

Professor of Nervous Diseases, Hering Medical College.

Any material substance becomes a drug or medicine when its
effects upon the human organism have been made a matter
of observation and record. Owing to the infinity of forms
which matter assumes and the equally limitless details of person¬
al experience and contact with the material world, it is a task
of great difficulty to isolate the particular substance and the in¬
dividual person from the forms and events that fill up the space
and time environment of the observer or prover. A given sub¬
stance is taken by the prover under the condition of relation to
all of the influences and affections that in any wise modify or con¬
trol his life forces. One prover has eaten a “dinner of herbs,”
another has partaken of the “stalledox each undertakes to
prove carho veg or nux vomica. Evidently the “spirit like dyna
mis” of the drug finds in the two provers very diverse forms of
vital function. And this diversity, be it observed, exists prior
to the attempt to prove the drug, and must form a different
ground in the two cases.

Further it may be remarked that a given drug differs more
or less in different specimens. The fact that the specimens are
two or more, and not one, establishes this conclusion. Each
specimen is the result of all of the forces that have combined to
find expression in its particular form and nature. For, if we
regard matter as the manifestation of force, a view that seems
to me to be necessary to a belief in the homeopathic law, a
given body or substance is the resultant of all the dynamic
agencies which at any particular moment of time and in any
place unite to manifest or externalize themselves. A sugges¬
tion of this is seen in the familiar problem of the ‘ 1 composition
of forces” found inp hysics. Two or more forces, equal or un¬
equal, acting upon a body at the same instant produce a single
effect of determinate direction and intensity proportionate to the
direction and intensity of the components. This final force, or

♦Read before the Materia Medica Club of Chicago.

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resultant, will vary upon the most infinitesimal variation of
either of the component forces. In an analogous way the unit¬
ed action an reaction of adhesion, cohesion, gravitation, elec¬
tricity, magnetism, heat, light, chemism and, at times, vital
force, at a given time and place, effect that manifes¬
tation to our senses that we denominate body. It may be nux
vomica, or pulsatilla, lead or silver, a rose or a crystal, a fluid
or a solid.

Then again, to this complex of nature’s forces wq must add
in the case of our drug-proving, the subtle element if life and
mind, with the infinite diversity of phenomena belonging to this
higher sphere. The task of co-ordinating and comparing, of
elimination and unification necessary to the 1 ‘ taking ” of the
drug image, and the demonstration of a law of cure amid this
chaos and cosmos of fleeting, ever-changing phenomena becomes
all but impossible.

However, if medicine ever rise out of the bogs and fens of
empiricism, it must be by virtue of the discovery and applica¬
tion of rational laws. Fact may be added to fact ad injinitwm,
and no real progress ever made ; facts may become the merest
planks in the treadmill of life. . Only as they are seen to be
pregnant with a formative principle do they rise to their true
value, or take on a correct meaning.

This unifying principle of phenomena is the goal of all sys¬
tems of thought. Its search is native to the human soul. We
can no more cease to seek it and desire it than we can seek to
exist. This great principle in human nature, its eternal seek¬
ing for the cause or principle of unity, tells us in thunder tones
of the reason why every new discovery in the fact-world of
medicine—as, for example, Koch’s lymph or microbic revela¬
tions—is hailed with such credulity. It is not to be laughed
at, for it is a fact in psychology ; it is rather to be questioned
as a principle of the reason, as a law of phenomena. The
search for the philosopher’s stone, the universal panacea, was
in itself a rational effort, though it was fruitless. Allopathy
repeats the labors of the blind giant unceasingly. Homeopa¬
thy makes great advance when it sets up the claim to a rational
law of cure. Even though the law may have not proved itself
in interpreting all phenomena of an art of healing, it has in so
many cases shown itself to be an underlying principle as no

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longer to be rejected by a healthy and informed mind. The
greatest danger to a true and secure science of medicine lies in
the careless observation and interpretation of facts—a vice to
which the mind of a specialist is ever most prone—one charac¬
teristic of a lack of breadth of view and that supreme power
called wisdom. Medicine should court the most merciless
tests of all theories, and hold views as non-partisan as physics
or chemistry. On the other hand, it must apply the wisdom
that transcends demonstration, and hold fast that which is
good, even though the facts are not all in, or seem to contra¬
dict one another. Time will reveal that higher unity in which
all differences disappear, and truth will be seen to be at one
with itself.

A law may be understood as a guiding or controlling princi¬
ple, a knowledge of which enables us to predict with certainty
the occurrence of phenomena. It implies the knowledge of
the conditions and modes of its operation. It lies at the basis
of all true progress in science. It is suggested by observing
the nature of particular instances in experience, with a view of
discovering their common ground or cause—that which gov¬
erns their occurrence. Whenever any rule or order of occur¬
rence is seen, we seize upon it as a conjecture, an opinion,
theory, hypothesis of the facts under consideration, and then
proceed to verify or confute the assumption by adding instance
to instance until the mind is satisfied that it has found the con¬
trolling principle or law.

In this excursion after the unity of phenomena, the soul of
man finds two very diverse paths before it. In the higher
spheres of thought and the fields of mathematics, physics and
astronomy, there lie those grand principles which need but the
light of their own self-affirming power to satisfy the wings of
reason and furnish a safe resting-place for faith. Here one
finds the exact and rational sciences—metaphysics, psychology,
logic, matheniatics and physics. The other path lies over
weary ways of patient repetition and observation. Its methods
are bounded by the laboratory and work-shop. Its processes
are limited to the field of observation, guided by those rule h
that express the geneitdizations of a past experience. Such
sciences are inductive, and in their very nature empirical. In
so far as they depend upon induction for the evidences of the

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universality and necessity of their generalizations, they must
ever remain so.

It is evident that all sciences that take their data from the
reports of the senses must belong to the category of the empir¬
ical. Happily, the orderly recurrence of sense-phenomena
may awaken the insight of the reason to discover in them the
universal principle of their modality, and so add something to
the imperishable truths of life ; but for the most part the so-
called laws in these sciences are nothing more than rules accor¬
ding to which phenomena do occur, not principles according to
which they must occur. Of all sciences, even in its most ad¬
vanced stages, medicine should be termed the empirical ; hence
in all directions should observations be bounded in by experi¬
ence, and only so much be claimed for it as rightfully belongs
to empirical generalizations. In the entire sweep of medicine,
from Hippocrates to Koch, there is not to be found any in¬
stance of a principle of universal affirmation. The only ap¬
proach to it is in the law of simijia, which may prove to be
such a principle, but which we do not as yet see how to apply
to many diverse phenomena. Homeopathy is in danger of the
dry rot that overtook the Schoolmen, against whom the thun¬
derbolts of Bacon were so successfully directed.

Our materia medica literature is full of unsupported asser¬
tions—observations made by persons under such conditions as
to make their statements of very little value. If we base our
prescriptions on such reports, what claim of superior scientific
accuracy can we set up over our allopathic brethren, who add
a new drug every day on the testimony of Dr. Blank’s endorse¬
ment ? It seems to me perfectly evident that we are altogether
too credulous in reference to. many drug provings, and set our
seal to a drug long before it has any right to a place in our
materia medica. An attempt to generalize from too few par¬
ticulars always throws doubt upon the result.

Butth ^Empiric kind of philosophy prodnees views more misshapen and mons¬
trous than the Sophistic or “rational” school, for its foundations are laid not in
the light of vulgar conceptions, but on the narrow and dark basis of a few experi¬
ments; and so such a philosophy seems probable and almost certain to those who
are daily occupied with experiments of this kind, and have corrupted their im¬
agination by means of them; to all others it seems incredible and vain .—Novum
Organon-Bacon .

It must be said of us as a school that we take at least the
common precautions against such methods. No man should

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say of us that we “first pass judgment upon the sphere of drug
action at our will, and then try to bring round poor experience,
tortured and a captive to our conceits. ”

We may well inquire into the competency of the witness in
our reported provings. While most men intend to speak the
truth, few succeed in doing so. They are often incompetent
observers, and too ignorant to command a sufficient range of
conceptions and terms to make their reports of value. Men
cannot see more than their powers will enable them to take in,
nor can their judgments as to facts go beyond the sphere of
their prejudices. The phantoms of the mind affect all men,
and those most injuriously whose minds are most darkened.
Hence the most intelligent of our physicians should stand a
perpetual guard at the door of the materia medica, that is,
drug-proving, to question most critically all who seek enter-
ance thereto. In the realm of empiric science, the only truly
scientific attitude is one of convincible doubt; accept the proven;
test the unproven.

By common consent the mental symptoms of a drug rank
first in importance, but how few provers are competent to de¬
fine mental symptoms. If one is in any doubt about the diffi¬
culty of grasping a conception in the field of mental phenomena
let him take up any text-book on Mental Science, say Dr.
Schuyler's Rational Psychology, the first hundred pages, and
explain the terms he finds there. After several years of ex¬
perience as a teacher and a lecturer in the field of metaphysics
and psychology with students of mature years, it is my firm
conviction that six months of thorough study are necessary to
acquaint one with the mere vocabulary and elementary con¬
cepts of the subject—a degree of knowledge that will teach one
what to look for in the sphere of mentality, and will give to
him the power of describing what he sees there.

How idle must be that mental effort that cannot discriminate
between an emotion and a thought, that knows no distinction
between perceptions and intuitions, that confounds the act of
judging with that of reason, that cannot define a volition or a
motive; and how much further from the sphere of a reliable,
competent witness must be the mind that has no final doctrines,
or insight into the nature of the various forms and processes of
thought themselves. In the domain of sense-perception that

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has for its content the so-called pathic sensations the average
person can doubtless observe his changing states with some de¬
gree of precision, but even here the untrained observers, not
keen to see and feel, in their inability to make language the
vehicle of their ideas, will describe a given sensation in as
many different formulas as there are observers; thus misleading
readers of the materia medica, and suggesting differential com¬
parisons in drugs that have no existence in fact. Our pages of
materia medica are cumbered with such material, and in no
portion to a more harmful degree than in the mental sphere.

It seems to me dangerous and unscientific and very harmful
to the true interests of homoepathy to defend and excuse these
errors in our system of medicine, inasmuch as homoeopathy,
like every other art or science, is discovered and formulated by
human reason, its method and statements must appear ratio¬
nal. No one imagines that science ever gained anything from
the “learned nonsense” of the formularies of the alchemists or
astrologers, yet a recent writer describes Jahr’s materia medi¬
ca as “nonsense made difficult.”

Nor is it justifiable to contend for a statement found in the
materia medica, simply on the ground that in some single in¬
stance a patient has been found to have that symptom; for
the most elementary application of the doctrine of probabilities
would satisfy one that the symptom and remedy have merely
the relation of coincidence in time, and not of effect to cause, a
relation that must exist if the fact has any right to a place in
our materia medica.

What then may be done toward a truly reliable and scientific
materia medica? I would answer: First —Train medical stu¬
dents how to observe the phenomena of life and mind. Second
—Teach in our medical colleges only those symptoms that are
fully verified. Third —Teach the ‘ ‘image of the drug, ” then
compare that with the image of the common diseases of the hu¬
man family, in order that the physician may at the same time
recognize his drug and the entire pathological picture; or, in
other words, compare drug with disease by diagnosis.

To follow these three points would carry me too far—besides,
I should in the very presence of the rabbis of the congregation
be discussing topics possibly lying outside my sphere. Upon
the first I have already placed an emphasis that I will not try

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to repeat. How to teach men to observe the facts of a ma¬
teria medica, sifting out the chaff from the wheat, is a subject
that we as a faculty ought to aspire to know.

The second will require a degree of moral heroism in physi¬
cians and teachers that I fear all may not possess. I venture
the assertion that there is not a well proven drug in our materia
medica whose essential “image ” can not be set forth in twenty-
five symptoms, or less. The skill required to select the
twenty five is the sine qua 7ion. A Nast will make
a talking image with a dozen strokes of his crayon on the
blackboard ; a novice cannot draw marks enough to form the
semblance of a picture. He uses up all of his crayon, and
comes to the end of his lecture hour disappointed and disappoint¬
ing. A few * 4 image making ” marks of a drug the memory cau
hold and these are all. These may be related as parts to the whole
and firmly fixed. The laws of mental association come in to assist
in the mental furnishing of the student, and he holds each drug
as a permanent possession. Reviews and examination, and ex¬
act information, all elements of good training and scholar¬
ship, are within the reach of the teacher and student.
To determine what the essential marks of the image are, one
must not content himself with the reading of the Materia Medica.
He is obliged to acquaint himself with the chemical, physiolog¬
ical, toxicological and therapeutic spheres of the drug; its
genius must grow into his inner consciousness until its
symptomatology rises from the sphere of the memory to the
forms of the understanding.

While I am not insensible to the value of the suggestions of
such men as Dr. Hughes upon the proper method of obtaining
a Materia Medica, nor would I surrender a single recorded sym-
tom of proven worth whether derived from the clinical, toxico¬
logical or physiological test, I am persuaded that there is great
need of clearer, more scientific methods of getting results. It
seems to me evident that homeopathic medical colleges, and
Hering in particular, should take much more advanced ground
in the study of the picture of disease. The allopathic school
has outstripped us in its pathological work, and doubtless
has made somewhat of a fetish of pathological conditions ; but
thus far the allopaths have scarcely touched the border of the
most productive and scientific field of pathological research.

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101

They have exhausted their time peering through microscopes
and into test tubes, seeking for the physical, material concom¬
itants of disease, basing all pathological conclusions and thera¬
peutic measures upon observations from diseased or dead tis¬
sues. It is the old labor of Sisyphus and the stone, an enter-
nal rolling up the hill only to see it roll to the bottom again.

True pathology differs as widely from this as does the Coper-
nican from the Ptolemaic system of the physical universe.
Once place the sun in the center, and recognize the law of gra¬
vitation, and what was before an irrational, purposeless confu¬
sion, at once becomes an object of divine beauty and harmony.
True pathology has the ground of sensations as the resting-
place for its feet, not the conditions of tissue This apparent^
simple truth gives us a new view-point. What is pneumonia ?
Answer : A group of sensations. Where are they chiefly loca¬
ted ? Answer: In the thorax. Where are their chief nerve
centers? Answer : Here, there (wherever they may be). What
sensations or groups of sensations usually accompany the tho¬
racic group ? Answer: In the head, back, abdomen, limbs,
etc. Sensation belongs to what? To mind. Can a correct
prescription be made for a man who has no sensations of dis¬
ease? Certainly not. Who or what is sick? The man—not
his thorax, back or head. Nor is the pneumonia to be treated.
Are there changed or abnormal conditions of tissue accompanying
the sensations of disease? Certainly. May the sensations be
made use of in determining the tissue changes ? They may. May
the tissue changes be of equal worth in leading to a knowledge of
the sensations of disease? They may. But that view of man
which covers the ground both of morbid sensations and tissue
changes is what department of medicine? Pathology. Can
abnormal sensations be recognized and described without the
ability to identify normal sensations? They cannot. How
then may the student attain to Hahnemann’s image of disease?
By knowing man both physically and mentally in both his
normal and abnormal states. Can one make the most intelli¬
gent Hahnemannian prescription without this knowledge? He
cannot. He has no adequate standards for comparing the
“image of the drug” with the “image of the disease.”

What then is the chief end of a Hahnemannian? To study
pathology and drug pathogeny, and verify the works of God to

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The Medical Advance.

man. To fully show forth the image in the drug—to show
with equal clearness the image in the disease—to give defini¬
tion and richness of meaning to the commonly known names of
all diseases—to enrich mankind with a real addition to medical
thought—this is both his duty and his privilege. And so may
our mat. med. be made a materia medica , pura, and our school
commended to the favorable judgment of scientific men.

CONDENSED MILK.

Thinking my experience in the U9e of condensed milk might
be of some therapeutic value, I report the result. For six
weeks my diet consisted of rolls and condensed milk—seven or
eight teaspoonsful daily in water at my meals. In a few days
after using it, a marked decrease in the quantity of urine
passed, which continued to lessen until there was not more
than half ounce or ounce daily, often none or a few drops only
at night. A desire to urinate was always attended by some
straining. The urine red or reddish. Believing the condensed
milk was the cause of the above symptoms, I quit the use of it.
Urine, scanty in quantity, continued two weeks after the disuse
of the milk, if anything worse. Feeling some pain and sore¬
ness in the venal region, I took one dose of Berberis vulg. cm
which was followed by relief in twenty-four hours, increasing
sufficiently the quantity of urine. What influence would the
milk have, remaining in the can two or three days until it was
used? In this time, much later, however, my stomach shared
its effect, feeling bad, wretchedly so, with loss of appetite,
sleepy, tired and weak. In a few days appetite returned. I
am a catarrhal subject from boyhood, always urinating too
often and passing more than normal quantity.

Observer.

Digitized by ^.ooQle

REPERTORY OF SYMPTOMS BEGINNING WITH
“SENSATION AS IF.”

A. W. HOLCOMB, M. D., KOKOMO, IND.

INNER HEAD.

Sensation as if—current of air rushed,through the head—Aur.
Met.

* 4 Air—air forced itself into the frontal sinuses—

Zinc.

44 Air—air was in the head—Benz. Ac.

44 Air—head was filled to bursting with air—L yss

‘ 4 Alive—every thing in the head were alive—Petr

44 Ball—ball of fire in the forehead—C aust.

44 Ball—ball of pain was in the forehead—L ac.

Defl.

44 Ball—ball in the forehead—S taph, Lack.

44 Ball—ball rising from throat into the brain—

Plb.

44 Ball—small lead balls rolling around in brain

—Lyss.

44 Bands—two iron bands were holding temples—

Bufo.

44 Band—head was tied with a band—Dios,

MERC.

44 Band—band above the eyes — Chel., Kali

Phos.

44 Band—head enclosed in band, which at times

crushed head —Carb. Ac.

44 Band—band an inch wide drawn from temple

to temple—Helon.

44 Band—tight band across forehead—Bapt. Ind.

Medorr. , Sang., Sul., Tart. em.

44 Band—band about the head — Cinnab., Iris.

Osm., Tereb., Variol., Xanth .

4 Band—band tied around head above ears

pressing above ears—Am. Br.

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Sensation as if Band—pressing band in root of nose, and over
and around ears—Thesid.

4 4 Band—hat-band drawn from temple to temple

—Chlorql.

Bandage—head was bandaged—M erc.

Balancing—brain was balancing to and fro—
Chenop., China.

Beating—brain beating against the skull—S ul.,
Ars.

Board—heavy board lying on r. side of head—
Jamb. Eug.

Board—board across the head— Cocc.

Board—board pressing through whole head—
Zing.

44 Big—head was bigas a bushel—G els., Paris.

44 Blown—head was blown up—Spong.

4 Blood—all blood rushed to the head—Cinch.,

Fer. Sul., Glon. Verat.

4 4 Blood—all blood rushing into head and ears—

Amyl. Nit., Millef.

Blood—all blood collected in the head—Elaps.

4 4 Blood—all the blood rushed into the occiput—

Oleum An.

* • Blood—all the blood had left the brain—Ox. Ac.

44 Bored—brain was being bored out— Tuberc.

Body—a hot body descended into the forehead
—Kali c.

“ Body—a blunt body forced slowly into right

temple—Cocc.

• • ' Bolt—a bolt run through the head above tip of

ears—Dulc.

* •• Bolt—a bolt from temple to temple tightly

screwed—H am.

Bound—head was bound up—Cepa., Gymnoc.
NIT. AC., Spig.

Bound—head was tightly bounds—S pig.

Broad—forehead was very broad and high—
Cund.

Bubbling—something bubbling in the brain—
Berb.

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Repertory of Symptoms, Etc.

105

Sensation as if Burst—brain would burst skull—L ach.

44 Burst—brain would burst and fall out—P uls.

44 Burst—forehead would burst—AM. C., BRY.

Calc C., Fer. Met., Lac. Can., Nat. C.,
Nat. S., Sang.

‘ 4 Burst—right parietal bone bursting—Zinc.

44 Burst—head would burst from inward blows—

Stan .

44 Burst—head would burst—Bry., Cham., Daph

Euphr., Mag. Mur.. Nat. Mur., Nux M.
Yerat., Verat. Yir.

44 Burst—temples would burst with coughing—

China.

“ Bubble—a bubble burst in forehead and run

^around to left side—Form. R.

k k Button—a convex button pressed on left side of

head—T huj.

4 • Break—skull would break from pain—C act. Gr.

Hep.

4 * Cast—a cast fitted over head and pressing

down—L yss.

4 k Circled—pain circled through head and around

crown—Medorr.

4 4 Compressed—brain was • compressed—Bell.,

Cham.

4 4 Compressed—brain was compressed from both

sides—K ali Iod. Staph.

44 Compressed—occiput compressed externally

and internally—Staph.

4 4 Compressed—forehead compressed from margin

of orbit to temple—Can. Sat.

44 Compressed—temples were compressed—Con.

k 4 Compressed—head was compressed—B ry.

Camph. Coloc. Cocc.

44 Constricted—temples were constricted—P uls.

44 Constricted—brain was constricted by a liga¬

ture—Cocc.

4 4 Constricted—brain was constricted on all sides

by pressure— Tarax.

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Sensation as if Contracted—skull at vertex became contract¬
ed—K ali Bi.

44 Contracted—brain contracted and head grew

smaller—Grat.

4 4 Contracted—brain was contracted—P lat.

• 4 Cloth—brain enveloped in a cloth—C tol.

44 Cord—brain was constricted by a cord—Coco.

44 Cord—head bound with a cord especially at

occiput—China.

44 Crushed—articular eminences of frontal bone

violently crushed and pinched together with
pincers— Verbas .

44 Crushed—forehead crushed by violent concus¬
sions—A rn. ^

‘ 4 Crushed—temples would be crushed together—

Caul.

44 Crack—head would crack on coughing— Puls.

44 Crawling—something crawling on top of brain—

Lac Fel.

‘ 4 Cut—brain was cut to pieces on stooping—Nice.

44 Cut—head cut off at septum and middle of

forehead—C hel.

4 4 Cut—part of the right side of the head was cut

off—L ack.

44 Cracking—mental plates cracking in head—

Merc., Phel.

4 Driven—bones of skull were being driven asun¬

der—L yc.

44 Driven—head were driven asunder—C aust.,

Pan Bulb.

4 4 Dashed—brain were dashed to pieces—Nux V.

4 4 Distending—brain was distending at center—

Ind.

44 Distended—head were being distended from

within out—ARN. Stront.

44 Detached—-something had become detached in

head—Con.

4 4 Dissolving—brain were dissolving—C alo. C.

44 Drawn—nerves of head were drawn up tightly

—Cocc.

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Repertory of Symptoms , Etc .

107

Sensation as if Drawn—all nerves of head were drawn up—
Camph.

44 Drawn—head were drawn upward—Camph.

44 Drawn—temple would be drawn in—Asar.

4 4 Drawn—every thing drawn together from with¬

in the head—Jamb. Euj.

44 Electric—brain was shaken by electric shocks

at night—Ast. rub.

44 Electric—shock of electricity passed through

the head—H ell. , Cepa.

4 4 Electric—electric current passed from head into

limbs—Ailan.

44 Electric—strong shock of electricity began in

head and extended to all parts of body—
Mag Phos.

4 Electric—electric current shooting rapidly from

one part of head to another— Sang .

4 4 Electric—electric shock from right temple to left

occiput—I ris.

4 4 Electric—electric machine snapping in occiput

—Calc., C.

' 44 Electric—fine electric sparks in vertex—Carb.

ae.

44 Extended—vertex extended upward—Lachn.

44 Expanded—brain expanded—Cup., ars.-Glon.

4 4 Expanded—head was expanded—Nux M.

4 4 Expanded—brain would expand were it not for

cranial bones—Kali. phos.

Exploded—Something had really exploded in
brain—P hos.

4 4 Elongated—head became suddenly elongated—

Hyper.

4 4 Empty—head was empty—Carbo. V., Cor. rub.

PHOS. AC., NuxM., Sinap.

44 Empty—occiput was empty—Hell., Sul.

44 Enlarge—brain would enlarge or distend at

temples and occiput— Coc. sept.

44 Enlarge—cerebellum enlarged—Dulc.

4 4 Enlarge—head would be enlarged— Ran . b.

4 4 Enlarge—occiput was enlarged—M edorr.

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Sensation as if Enlarge—head was enlarged—A bo. Nit. Ars.

iod., Bov.. Comocl., Diad., Dole., Maucin
Plat., Meph.. Sol.

41 Fall—brain would fall forward—Berb., Cars,

ac.. Grat.. Guarea.

44 Fall—Forehead was falling outward—C hkl.,

THCJ.

• 4 Fall—Frontal bone would fall out—Cochl.

4 4 Fall—Piece of forehead would fall out —Nux .V.

44 Fall—Head were falling off—Sil.

44 Fall—Head would fall in all directions—Can-

sat., con.

44 Fall—Everything would fall out of skull on

stooping—Bry.

4 * Fastened—occiput fastened to pillow and

broken off from rest of 9kull—C hbl.

44 Fell—something fell forward in occiput when

9tooping—Ant-tart.

4 - Fell—something heavy fell into forehead—

Nux V.

44 Fell—brain fell into forehead—L aur.

44 Fell—brain fell toward left temple—N at Sul.

4 4 Fell—something fell forward in the brain—Dig.,

Mag. Sul.

44 Fell—brain fell to and fro toward side he

stoops—Am. C., Sul. ac.

4 4 Flattened—forehead was flattened by pressure.

—Cor rub.

44 Fluid—fluid rushing through head from right

to left—Lil. Tig.

4 4 Fluid—head was filled with fluid—C off.

44 Forced—Brain forcing itself out at root of nose

—Am. C.

4 4 Forced—skull would be forced asunder on both

sides from without—Nux V.

4 4 Forced—parietal bones were forced asunder—

Cob. bub.

44 Forced—brain would be forced out through

right nostril—B orax.

4 4 Forced—Brain was forced forward—S il.

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Repertory of Symptoms , Etc.

109

Sensation as if Forced—pressure in occiput would force brain
out at forehead—C aps.

“ Full—skull too full on vertex—H elon.

“ Full—head was too full—Calc. C., Con.,

Daph., Nat. Phos.

11 Full—brain was too full—C aps.

“ Full—brain was too full and pressed outward

—Bry.

“ Front—front half of brain would come through

forehead—M edorr.

* ‘ Foreign—foreign body in right half of brain—

Con.

4 * Fog—brain was wrapped in a fog—P etr.

u Gimlet—gimlet thrust in right temple— Puls.

11 Gimlet—gimlet boring in left temple—Culex.

mus.

“ Glass—brain was made of glass and shattered

at a blow—D ig.

“ Gnawing—something gnawing in occiput, tem¬

ples and ears—Led.

“ Gnawing—mouse gnawing in occiptal protu¬

berance—Zinc.

4 ‘ Gnawing—something gnawing at base of brain—

Nat. Sul.

‘ * Gone—Top of head was gone—Mez.

41 Growing—head was growing externally—L ac.

Def.

“ Grasped—brain grasped by a hand and twis¬

ted—M ur. ac.

( ‘ Hammer—he had been hit with hammer on top

of head— Sars.

“ Hammer—struck on occiput with hammer—

Tarent.

“ Hammer—little hammers beating in head—

NAT. MUR.

1 * Hammer—invisible hammers striking on back

of head—Lyss.

‘ ‘ Hammers—hammers striking head from with¬

in outward—Psor.

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Sensation as if Hammer—hammer beating in vertex from with¬
in—out., vine. M

“ Hat—couldn’t get hat on his head— an. met.

“ Handkerchief—handkerchief tied around the

head—CAEB. V.

“ Hanging—he was hanging head downward—

Glon.

c ‘ Hanging—head was hanging by piece of skin

at nape— Sil.

* “ Hard—hard substance pressing on brain in

frontal region—Stil.

* 1 Heavy—something heavy pressing on temples

—Iodof.

“ Heavy—head got heavier and heavier—Calc,

ars.

“ Heavy—something heavy sinking down into

head— Nux. V.

{C Heavy—brain was too heavy and too large—

Form. R., Glon., Hell.,Mag. Phos—

“ Higher—left side of forehead higher than the

right—Cund.

“ Hollow—head was hollow—Ana. met, Coco.,

Mancin., Polyg., PUL8.

“ Hollow—occiput was hollow—S taph.

“ Hoop—tight hoop of iron around head—

Tuberc.

1 ‘ Hoop—head was in a hoop—M erc.

“ Ice—ice had lain on occipital protuberance—

Pod.

“ Ice—ice were lying in upper occiput—C alc.

Phos.

“ Ice—ice on head—V erat Alb.

‘ 1 Knife—occiput pierced with a knife at every

pulsation—C on.

11 Knife—penknife sticking in temples—F er. Met.

‘ 1 Knife—knives went tearing around in brain—

Thuj.

11 Knife—forehead, eyes and ears were stabbed

with knives— Thuj .

“ Knife—Knife sticking in forehead—Tereb

"^igitized by Google

Repertory of Symptoms, Etc.

Ill

Sensation as if Knife—Knife drawn through head transversely
—Arn.

“ Knife—knives stitching in occiput—N at Mur.

11 Knife—knife plunged into the head —Nux M.

‘ 1 Knife—knife stabbing from temple to temple—

BELL.

4 ‘ Knife—knife thrust from occiput to forehead

—Gels.

“ Knocked—parietal bones were being knocked

to pieces— Thuj.

11 Laced—laced together in cerebellum and gla¬

bella—CAMPH.

“ Laced—head and neck had been laced in—

Glon.

“ Large—head was too large— Apis, ARN.,

Caps., Kali Iod, Lactuc. Lith. C.. Cor.
rub., Nat. C., Rau. B. Rau. Lc., Rhus.
R., Sil., Zing.

“ Large—forehead as large again and pressed

out—Nux M.

“ Large—brain was too large—Ars. Met., Hell.,

Lac. ac.

I { Large—head were growing larger—M erc.

“ Large—head larger than body ; large as a

church—Nux V.

“ Large—head grew large during stool—Cobalt.

“ Large—brain was not large enough for the

space—S toph.

“ Lead—lead in occiput—L ach., Mur. Ac.,

Petr.

II Living—something living were in the brain—

Hyper.

“ Live—head were teeming with live things

whirling around it—Sil.

“ Lifted—bones of forehead were lifted up by

blood vessels—Bell.

11 Lifting—head were lifting off— Ustil.

“ Lifting—brain was boiling over and lifting

cranial arch—Can. ind.

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The Medical Advance.

Sensation as i

i t

< i

Lever—lever applied to force head asunder— r
Bell.

Lightning—lightning run from body up into
head—Form. R.

Liquid—a liquid fluctuating in brain on exer¬
tion—A rn. , Curare, (see water).

Load—a heavy load on vertex—Ind., Plat. ,
Sul., Zinc.

Loose—something loose in head, turning and
twisting toward forehead —Kali c.

Loose—brain was loose—B ar. C., Bry., Carb.
ac., Caust., Cic. v., Croc., Cyol., Big.,
Hyas, Lactu., Laur., Mur. ac., Nux M.,
Rhus T., Xanth.

Loose—brain was detached and loose—Guaic.

Loose—something loose diagonally across top
of head—K alm. lat.

Lump—lump fell forward in forehead—Cham.

Lump—large heavy lump in brain— Con.

Lump—brain was rolled up in a lump—Arn.,
Cocc.

Lump—brain was in one lump—Ant. Tart.

Mashed—brain were mashed—I p., Phos. ac.
Sep.

Moved—something moved in waves to the head
—Glan.

Moved—something moving in forehead—Lyss.

Moved—brain moved when standing— Rheum.

Moved—brain was moving in cranium, or as
when one is riding in a wagon with eyes
closed—C ycl.

Nail—nail thrust into right side of head—A gar.

Nail—nail pressed in occiput and point pierced
brain— March.

Nail—nail driven into left side of head—NAT

MUR.

Nail—nail driven from within out, in vertex—
Thuj.

Nail—nail driven in on one side of occiput—
Puls.

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Repertory of Symptoms , Etc.

113

Sensation as if Nail—nail pressed into brain—Nux V.

* 4 Nail—nail sticking in top of bead—Nice.

4 4 Nail—nail driven into head over nose—I gt.

44 Nail—nail pressing in vertex — Form. R.,

Hell

4 4 Nail—nails in temples and root of nose, meet¬

ing at edge of hair at top of forehead—
Gymnoc. (Sawyer). •

44 Nail—nail driven out through side of head—

IGT.

44 Nail—nail driven into side of head near left

eye—Am. Brom.

44 Nail—nail thrust into temple—A rn.

44 Nail—plug or nail pressing in one half the

brain—H ep.

44 Nail—nail driven into head—C off., Ptel.,

Ruta. Gr.

44 Needle—needle pierced through into brain over

right eye—I gt.

4 4 Needle—thousand needles pricking in the

brain—Tarent.

• 4 Needle—needle stitch in left temple—Tarax.

14 No—there was no head—Cocc.

44 Off—head was off the shoulders—P uls.

14 Off—top of head would come off—Cup. Sul.,

Cobalt., Syph.

4 4 Off—top of head about to be taken off—Xanth.

44 Off—top of head lifted off—Dias., Lao Defl.

41 Off—top of head were blown off— Cham.

4 4 Off—top of head would fly off—Bapt.

4 4 Off—top of head would fly off from downward

motion—Sanic.

4 4 Open—top part of head was open and without

covering—Arum Tri.

44 Open—top of head would open— Nat. Pho *—

44 Open—temple and vertex opened and shut—

Can. Sat.

44 Open—top of head opened and shut—CAN.

IND.

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Sensation as if Open—top of head opened and shut and calvar¬
ium was lifted—C an. Ind.

Open—occiput opened and shut like a door—
COCC.

Open—head opened and pain shot into abdomen
on swallowing—L yc.

Oscillating—brain oscillating to and fro—L yc.

Points—there were three points of tension, in
center of each hemisphere and cerebellum,
—seemed as if tearing pain would break,
when suddenly they relaxed and a bubbling
sensation passed from center to circum¬
ference, when reached pains began again—
Medorr.

Pin—pin sticking in the brain—Nux V.

Pieces—head would drop to pieces if shaken—
Glau.

Pieces—head would fly to pieces if she moved
—Coff.

Pieces—head would fly to pieces with cough—
BRY., CAPS., Rnmex.

Plug—pointed plug pressing inward in temple—
Asaf.

Plug—plug being driven into occiput and
temples—H ep.

Plug—plug was thrust quickly by increasingly
severe blows into the head—Lul. ac.

Plug—plug pressing on right side of forehead—
Jac.

Pressed—brain were pressed out at forehead—
Am c., Berb., BRY., Cup. Met. Kreas.
Rat.

i Pressed—brain was pressed to forehead—B ell

Cup. Ass.

Pressed—brain was pressed into a ball—China.

Pressed—brain was pressed together from both
sides and forehead—C hina.

Pressed—contents of head pressed into forehead
and root of nose—Zing.

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115

Sensation as if Pressed—something would be pressed out at
forehead—China.

44 Pressed—forehead was pressed in—Nux V.,

Stann.

Pressed—head pressed down with a weight—
Merc-peren.

4 * Pressing—board pressing through whole head

—Zing.

44 Pressed—vertex and sides of of head pressed

together—G lon.

4 ‘ Pressed—blood pressing down on head—Con.

44 Pressed—something pressed skull asunder—*

Bry.

* 4 # Pressed—some one forcibly pressing head—

NIT. AC.

4 4 Pressed—something pressing upon head— Sars.

14 Pressed—everything would press out and burst

skull—S il.

4 * Pressed—something firm was pressing against

occiput—Cast Equi.

4 4 Pressed—temples would be pressed out— Igt.

44 Pressed—fingers pressing on back of head—

Meph.

44 Pressed—skull would be pressed outward by

sharp plug—P run.

44 Pressed—something hard pressing on surface

of brain—C off.

* 4 Pressed—brain was being pressed against skujl

—Calc. Phos.

4 4 Pressure—pressure on occiput would force

brain out at forehead—C aps.

Pumped—something pumped into brain—G lon.

4 * Pushed—skull pushed upward—F er. met.

44 Puffy—head was puffy—B erb.

44 Rolling—something rolling in the head, with

burning in it coming out of eyes—Jamb,
eug.

4 4 Rolling—brain rolled around in skull—China.

44 Rocked — something rocked and swayed in

brain—B ell.

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Sensation as if Revolving—brain revolving on an axis—Nux
V. ? Rob.

‘‘ Rod—iron rod thrust from right eyebrow to

lower part of occiput—S vpii.

44 Rope—rope around head drawn tighter and

tigh ter— Na t . Mu r.

4 4 Rose—brain rose and fell at every step—Bell.

4 4 Screw or screwed—pain screwed in side of head

—KALI IOD.

“ Screw or screwed —brain and zygoma were

screwed together—Euphorb.

44 Screw or screwed—head was screwed together

Coloc., Daph., Mag. Sul.. Plat., Cocc.

4 4 Screw or screwed—screw driven in right tem¬

ple— Nat. Sul.

44 Screw or screwed—head was screwed asunder

— Thu ].

44 Screw or screwed—forehead screwed together

—Sul.

“ Screw or screwed — right side of head was

screwed together—Millef.

4 * Screw or screwed—something working in top of

head and of screwing from behind forward
—Plb.

4 4 Screw or screwed—temples were screwed in—

Plat.

44 Screw or screwed—temples were screwed to¬

gether—LYC.

4 4 Screw or screwed — head was screwed up —

Atrop., Glon.

14 Screw or screwed—head was being screwed

apart at temples—Ca9t. equi.

4 4 Screw or screwed—both sides of head were be¬

ing screwed together—Zinc.

44 Screw or screwed—occiput was screwed in—

Am. Mur.

• 4 Screw or screwed—parts were screwed together

in muscles of back part of head—R hus. T.

Screw or screwed—screw behind each ear com¬
pressing head—Ox. Ac.

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117

Sensation as if Separated—bones of head separated—Arg. Nit.

44 Separated—head separated from the body—

Daph., I J sor.

Separated—head would separate—Dolich.

Separate—vertex separated from rest of body,
or she could lift it off— Therid.

4 ‘ Shattered—forehead were shattered—Stann.

4k Shaken—brain was shaken in the skull—Bell.

4 - Smoke—smoke passing through the brain with

a heating pain—ANTHRAC.

44 Smoke—smoke in the brain—O p.

44 Small—head were smaller—I gt.

44 Small—skull was too small for the brain—

GLON.

4 4 Sound—sound hurt brain—K ali Phos.

Sound—sound came through forehead and brain
— Sid.

Sore—brain was sore and collided with skull—
Sd.

4 4 Split—forehead would split—Olean.

4 4 Split—forehead would split in median line from

nose to vertex—Vacc.

44 Split—top of head would split— iVat. Sid.

4 * Split—head would split—Am. Mur.,Asar.,

Ast. Rub., Calc. Are., CALC. C., CAPS.,
Cochl., Oleum Jac .. Nux V., Sarrac.

44 Split—skull had l>een split—C arb. Ac.

44 Split—head and teeth were soldered together—

Lyss.

44 Squeezed—head had been squeezed flat—M an.

cin.

4 ‘ Squeezed—head squeezed between two beams

—Sa lic Ac.

44 Squeezed—brain was squeezed and relaxed al¬

ternately—C olc. C.

44 Stirred—brain wa9 stirred with a spoon—I od.

44 Stone—stone pressing in forehead—B ell.,

Cham.

44 Struck—brain struck against skull on moving

— Rob.

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Sensation as if Stretched—skull was stretched—Samb.

“ Swelling—head were swelling—Bapt, Berb.,

Rhus. T.

41 Swollen—head was swollen—CEDRON., • Aeth.,

Cepa.

44 Swollen—head above the eyes were swollen—

Tuberc .

‘ 4 Substance—foreign substance in the brain—I od.

4 4 Swashing—brain were swashing about in top of

head—Carb. Ac.

4 4 Swashing—brain were swashing about in fore¬

head—Cina.

44 Swashing—brain swashing around in head—

Rhus. T.

44 Tearing—cats tearing brain to pieces—A rs.

44 Tight—brain was too tight—K ali. Br.

4 4 Tight—something tightening in head—M edorr.

44 Tape—tape drawn tightly from ear to ear—

Anac.

44 Tape—tape around *head—GELS., Iod., Nit.

Ao.

44 Thick—head was so thick, it was a strange

head—Thesid.

44 Threads—threads being drawn through head

and trunk—Mepli.

4 4 Through—everything would issue through fore¬

head—B ell., Bry., Glon., Verbas.

44 Torn — brain were torn — Am. Mur., Coff..

Mur. Ac., RhusT., Staph., Verat., Alb.,
Canth.

44 Torn—mastoid process would be torn out.

4 4 Torn—brain would be torn to pieces—H yper.

4 4 Torn—forehead would be torn out—H ep.

4 4 Torn—head would be torn off when sneezing—

Bell.

44 Torn—sutures of skull were being torn open—

Bell.

4 4 Tornado—tornado in the head—C arb. Ac.

“ Transparent—skull were transparent—Bell.

* 4 Thin—skull were quite thin—B ell., Paris.

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SURGERY.

SURGERY IN THE HOMEOPATHIC SCHOOL.

HOWARD CRUTCHER, M. D.

Professor Surgical Anatomy, Hering Medical College, Chicago.

At the recent World’s Congress held in Chicago, Prof. Wil
liam Tod Helmuth, of New York, presented a valuable address
on the surgery of the Homoeopathic school. Prof. Helmuth's
paper is replete with interesting facts, and covers the field in
masterly fashion. The resection of several feet of the small
intestine, by the lamented and beloved Gaylord D. Beebe, of
Chicago, outranks in many points not only any feat yet cred¬
ited to our surgeons, but is perhaps surpassed by none in any
school. Abdominal surgery was in his day a trackless wilder¬
ness, and we may fancy something of the sublime courage, the
infinite skill and wonderful hope that moved him on that sultry
July Sunday of 1869 to remove 58 inches of intestine from a
large, fleshy woman, who carried at the time a child almost at
half term. The present Prof. Beebe, one of our best known
surgeons, who represents in remarkable degree the conserva¬
tism and skill of modem surgery, once said that his distin¬
guished brother was ignorant at the time of the operation of
the woman’s pregnancy. He was summoned as a last hope, and
If he had known the true condition it might have deterred even
his skillful fingers from entering her abdominal cavity. But
why should it ? Certain death stared his patient in the face
unless operative skill could 6ave her, and we do not believe he
would have wavered a moment if he had known her to be on
the verge of delivery at full term.

There is another operation which we believe was done origin¬
ally by Prof. Gaylord Beebe. We refer to the creation of an
artificial vagina which afterward performed all the natural func¬
tions of that organ. The records are not at hand, but our rec¬
ollection is that the woman bore a child, but as to thi9 we are
by no means certain. It was, in any event, a bold and striking
operation, and one that deserves recording to the credit of the
famous man who performed it.

A modest homoeopathic practitioner in Michigan, Dr. Ellis, li¬
gated both common carotids within the shortest space of time in

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which those vessels have ever been tied successfully. This
case is recorded by Prof. Gross in his System of Surgery , and
also by Valpeau, who gives the homcvpathic prescriptions taken
by the patient.

Dr. Horace Packard, of Boston, performed last year the
first symphyseotomy in New England, and quite recently this
feat was successfully done by a Chicago surgeon, Dr. Sheldon
Leavitt, both operators being well known members of the
homcepathic school.

The records of Helmuth, Danforth, Biggar, Foster and Lud-
lam are too well known to bear repetition here.

The late Dr. Walter F. Knoll made material advances in the
operative treatment of hernia and in surgery of the brain.

To Prof. John W. Streeter belongs the honor of having es¬
tablished a new and wonderfully successful operation for the
restoration of the perinaeal body by secondary operation.

Tracheotomy was first done in this country by Dr. I. T.
Talcott, dean of the Boston university school of medicine, one
of the oldest and most widely known of homcepathic surgeons.

Whatever differences may exist concerning the various phil¬
osophic claims of Pratt, there is no question whatever that he
outranks in genius—with all that the word implies—and in ac¬
complishments any surgeon of any school of any country. His
marvelous successes are explainable, we think, on perfectly
rational grounds. He is one of the finest anatomists in the
world, his command of general principles is perfect, and when
he begins to specialize he finds the path an easy one. We do
not know from which line of work his greatest fame will arise,
and the probability is that any predictions at this time, or at
any time before Prof. Pratt’s death, would be valueless.

His greatest feat may be just ahead of him; and there is
nothing in his record that would contradict this view.

There has been no dearth of splendid operators in our ranks,
but we have as yet no excess of surgical teachers. We do not-
mean by this statement that our students do not receive varied
and eminently skillful training in the purely mechanical feats
of surgery: but there is not at present a single instructor who
teaches the genius of homoeopathic surgery. This is, we
admit, a difficult task, and is not by any means fulfilled when
one has blended the underlying principles of surgery, the tech-

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121

nique of operative procedure, and fragments of the Materia
Medica. This is a mixture, and a valuable one beyond all
doubt; but how much more valuable if these varied elements
were welded into one compact mass of solid knowledge by the
fervent heat of everlasting homoeopathic truth.

The line between surgery and therapeutics is not always
plain, and many times is beyond practical recognition; but
there is no guide so unfailing and so substantial as a knowl¬
edge of homoeopathic principles. We do not refer to the one
who first tries silica in a case of fistula, and, failing to cure it,
resorts next to the knife. We mean the one who knows enough
of true homoeopathic philosophy at the start to see that if he
cannot cure, he dare not suppress.

The surgery taught in many of our pretended homoeopathic
colleges is on a par with the other chairs, “no better and per¬
haps little worse. *’ In some it is downright allopathy, with
scarcely enough homoeopathic gauze to conceal its nakedness.
It has become a sort of fashion for certain pretended surgical
leaders to affect a lofty, disdainful attitude toward all things
that cannot be cut, sawed or gouged. This may please the
actors, but it does not assist those who are studying honest sur¬
gery. We have had enough of it.

What the surgical teachers of the homoeopathic school need to
know is a little homoeopathy. It may strike some of them as
preposterous that they have anything to learn, but the facts
are against them. They certainly should learn a rational sys¬
tem of therapeutics, which would supplant most admirably and
beneficently the present crazy quilt prescribing—not even re¬
spectable allopathy—that some of them have the hardihood to
proclaim from the desks of colleges claiming to be homoeopa¬
thic. It is time for a reformation that will reform.

OBSTETRICAL SURGERY.

O. F. WA8HBURXE, M. D., CHICAGO.

Lecture iu Pathology and Embryology in Chicago Homoeopathic College.

Not infrequently will the obstetrician be called upon to decide
between one or another of several operations in order to either
effect delivery or to save the child or both. The saving of the child
by any surgical means necessarily involves a certain risk to the

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mother, and the question to settle is, which method of proce¬
dure, in a given case, is the most promising for both.

The old argument of always sacrificing the child in order
that the mother may be saved might still carry great weight if
it were true that the mother’s life was greatly endangered by
surgical attempts at rescuing the child. But the argument im¬
mediately loses force when we make a comparison of the re¬
cords between the maternal mortality of Embryotomy and
Cesarean section. It stands as eight to six, in favor, it is true,
of Embryotomy, but to offset this there is a foetal mortality of
100 per cent, in Embryotomy against only thirteen per cent, in
Cesarean section, which means that if the classical or Cesarean
operation is elected two more mothers are sacrificed, but eighty-
seven more children are saved out of every hundred.

It is of prime importance that the physician who is to make
obstetrics and obstetrical operations a specialty should have
clear ideas and positive convictions as to, first, the result he
desires to accomplish, and, second, as to the choice of surgical
measures to be employed in realizing that end, under any con¬
ditions that may arise.

Let us assume a case similar to one that has probably come
within the experience of every one present. In this case labor
is due, the pelvis is found to be contracted and distorted, with
a conjugate diameter of two and three-fourths inches, averaged
sized head of living child presenting, the bi-parietal diameters
measuring three and three-fourths inches. Now the question
arises, what is to be done? Obviously one of four things,
either Embryotomy, Cesarean section, Porros operation or Sym¬
physiotomy* Before deciding let us describe briefly these very
different operations; and by a comparison of their relative
values each one may speak for itself as to why it should or should
not be preferred above all others.

Embryotomy includes, first, perforation and crushing of the
skull — called craniotomy; second, Decapitation, which is
performed when the shoulder so presents as to make turning
impossible; and, thirdly, Evisceration , or the evacuation of
the chest contents, when in impacted shoulder presentation the
neck cannot be reached. These operations all aim to diminish
the size of the foetus, or, as in decapitation, to make delivery
possible per vagintim. In every case it means death to the

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child. The maternal mortality of six per cent, is from various
causes, principally ruptured uteri and infection.

The Cesarean or classical operation, also called gastro-hyste-
rotomy, or more correctly ccelio-hysterotomy (ccelio-belly), is
performed with the idea of saving the child, with a little more
risk, possibly, to the mother. It is also performed when em- .
bryotomy would be impracticable, as when a living foetus is
present. The operation consists in opening the abdomen and
uterus through the median line and extracting the foetus. It
was first performed on the dead pregnant womau nearly 3000
years ago, and on the living subject in 1500 A. D. by a sow-
gelder, who saved both his wife and child, 4 4 after futile at¬
tempts at delivery by no less than thirteen midwives and a
number of lythotomists. ” Under the present improved meth¬
ods the maternal mortality is reduced from 50 per cent, to 8
per cent., the foetal mortality being, as.before stated, about 13
per cent.—a much better showing for the child, indeed, than
after the comparatively simple performance of version and ex¬
traction.

The Porro or Porro-Cesarean operation (Gastro or ccelio-
hysterectomy), was introduced in 1876 as an improvement on
the Cesarean section in certain cases. In fact, Porro consid¬
ered it applicable in all cases where Cesarean section was re¬
sorted to, believing it to be safer to remove the uterus rather
than to leave the wounded organ behind, there being less dan¬
ger of haemorrhage and septicaemia. The operation consists in
extracting the foetus through the abdomino-uterine incision, as
in the “Cesarean,’’ followed by amputation of the uterus down
to the neck. At first the mortality was considerably under
that of the classical operation; but since more attention has
been given to the technique, chiefly that of stitching the uterine
wall, the ratio has changed in favor of the “Cesarean” as 11
to 8, and the latter is now regarded as the safer operation;
but this may be explained on the ground that the “Porro” is
the more difficult, involving a greater shock, and is generally
resorted to in more desperate and Hopeless cases.

Symphysiotomy, although dating back to 1654, was practi¬
cally abandoned until the year 1866, when Prof. Monsani ope¬
rated on a living woman, saving both mother and child. From
that time to the present the profession, especially the conserv-

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ative surgical branch, lias shown an increasing interest in its
revival, until today it is looked upon as an operation that has
come to stay. It has been demonstrated in the last few years
that, with proper precautions, the pubes can be separated 24
or even 3 inches, without causing subsequent injury to the
patient. Dr. Harris of Philadelphia reports forty-four case 3 ,
with a loss of but one woman and five children, the death of
the woman being attributed to another cause than that of the
operation. Certainly, embryotomy, Cesarean section, or the
Porro operation can claim no such results.

The following is a pretty correct table of comparisons, show¬
ing the mortality, both foetal and maternal, for each of the
operations during the past eighteen months, not including the
foetal deaths occurring during the first week after delivery :

Embryotomy heads the list with 100 per cent, of foetal deaths.

Cesarean section 44 “ 13 44 44

Porro’s operation 44 “ 14 44 4 * 44

Symphysiotomy 44 44 114 4 * 44 44

The maternal mortality for Embryotomy is 6 per cent.

4 4 4 4 4 4 Cesarean section. 8 44

4 4 4 4 4 * Porro'’s operation. 11 44

44 4 4 44 Symphysiotomy, It 44

Thus the question of what is to be done in the above assumed
case is answered in unqualified terms. The evidence is so
strong in favor of Symphysiotomy, that comment seems useless.
The only other question that concerns us is: In wliat particular
class of cases are these operations indicated? Taking them in
order, we will have the indications.

For Embryotomy :

1. On the dead child before decomposition or sepsis inter¬
venes.

2. On monsters and hydrocephalic cases.

3. When, after a long tedious labor, with ineffectual at¬
tempts at forceps extraction, the child is believed to be dead.
For Cesarean section:

1. Where the conjugate diameter is below 2§ inches, the
foetus being of normal size or larger.

2. In the transversely contracted pelvis of Robert, or the
obliquely contracted and distorted pelvis of Nagele.

3. Where obstruction from any cause exists so that deliv-

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Snryrry.

125

ery by Symphysiotomy is impracticable, or when the indica¬
tions for the Porro-operation are absent.

The indications for the Form operation:

1. Where there is evidence of infection to the uterus or to
the parturient canal, with the hope of avoiding puerperal com¬
plications. Some go so far as to recommend the operation
when infection is feared, simply preferring to be on the safe
side.

2. In uterine atony, to prevent postpartum haemorrhage
and sepsis.

3. In cancer of the cervix, and when large uterine fibroids
or myomata are present.

4. When for any reason it is imperative that future concep¬
tion should lx* prevented.

Lastly, the indications for Symphysiotomy are :

First. When a viable child is present and the operation can
lx resorted to before the patient has become exhausted.

Second. Where there is a conjugata vera not less than 2£
inches, and where there is good evidence that with a pubic sep¬
aration of, say, 2.V inches, a living child may be extracted.

Third. When the chin presents posteriorly, and is so jambed
down in the pelvic cavity as to render rotation impossible.

As symphysiotomy is at present engaging the attention of so
many operators, and interesting even those who never aspire to
surgical distinction, it may not be out of place to run over brief¬
ly some of the technique necessary to its successful performance,
even at the risk of tiring you,

First. Observe the same aseptic precautionary measures as
in cceliotomy.

Second. With the patient in the dorsal decubitus, flex and
thoroughly abduct the thighs.

Third. Dilate the cervix, unless nature has already wisely
anticipated you, and made such interference unnecessary.

Fourth . Introduce silver catheter, and protect the urethra by
depressing it to one side of pubic arch.

Fifth. With scalpel make a vertical incision of about three
inches in length over the pubes, beginning about three-fourths
of an inch above the symphysis, and extending to and a little
to one side of the clitoris, dividing skin, fat and recti muscle
attachments.

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The Medical Advance.

Sixth. Separate the retro-pubic tissue with the finger, after
first protecting the bladder by pushing it back.

Seventh. Pass the left index finger beneath the arch, and
hook it around the posterior inferior angle, using it as a guide
for the Galbiati falcetta, or the small curved knife of Dr. Harris,
or, in the absence of anything better, an ordinary blunt pointed
bistoury, cutting the interarticular space from within out, and
from below up, when the bones will separate spontaneously
from an inch to an inch and a half. In case the symphysis be
found ossified a chain saw will have to be substituted for the fal¬
cetta or bistoury.

Extreme care in dissection is necessary in order not to
wound the urethra or the dorsal branch of the pubic artery,
which supplies the clitoris. It passes close to the anterior sur¬
face of the horizontal ramus and near the symphysis.

Next, apply the forceps and deliver, having an assistant press
and support the ossa innominata during the passage of the foe¬
tus. If the uterine contractions are sufficiently strong to effect
delivery, of course the forceps are contra-indicated.

Eighth. After removing the placenta, unite the adipose tissue
and skin with deep and superficial silk sutures ; dress with cot¬
ton ; apply two or three wide strips of rubber adhesive plaster
over the trochanters and entirely around the pelvis, bandage
tightly the hips, and more loosely the thighs, and put the pa¬
tient to bed in the horizontal position, and by keeping, her ab¬
solutely quiet for a period of four weeks perfect union may
reasonably be expected.

This operation is the simplest and safest of any we have
mentioned, and it is not now, as formerly, regarded as unscien¬
tific and dangerous, resulting either in death or in life-long in¬
juries to the patient. Works on obstetrics a year or two old
treat the subject with supreme indifference ; some of them
(Lusk, for instance) not considering it worthy of mention.
Parvin ends his lengthy discourse of four lines and a half with
these prophetic words: ‘ l The American obstetrician will find no
condition justifying its performance, and, therefore, it is dis¬
missed with Ihis brief reference.”

Winckel, in his voluminous work, condescends to give the
subject a passing recognition, but is unable to refrain from the
expressed hope that the few lines he has given to its consider-

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Surgery, 127

ation may hasten the operation once more to a silent burial, to
remain forever entombed.

Notwithstanding these and many other adverse criticisms,
the fact remains that many operators are in the field claiming
the best of results. These are notably Morisani of Naples, 22
cases without a failure; Noble and Hands of Philadelphia, the
latter, as stated above, having 44 cases in six and a half years,
with a loss of one woman and five children ; Chas. Jewett of
Brooklyn, who was the first American operator, September 30,
1892; Bullezzi of Bologna; Pinard of Paris; Leopold of Dresden,
and a host of others who have had fewer operations, but rela¬
tively as great success.

This paper is offered to this society not with the intention of
presenting anything new, nor for the purpose of deciding upon
the merits of the operations under consideration, but rather to
provoke a liberal discussion, such as will tend to throw more
light upon the subject, especially in regard to symphysiotomy,
of which Burford, of England, says: “The relative ease and
the absolute efficiency of this operation, its freedom from the
risks of Cesarean section, and its immense superiority over
perforation, bespeak for it a most brilliant future.

The Enolibh Nurse. —Our valued contemporary, The Re¬
cord , says:

We fear that fashion has done almost too much for English
nursing. Some specimens wander over to this country. They
are usually well trained, but carry themselves with such a con¬
spicuous air of self-restraint and such obtrusively repressed
gentility, that it does not seem right to ask them to empty the
urinal. Good breeding is an excellent, and, indeed, indispen¬
sable thing for a nurse, but our English sisters seem to carry
it on their sleeves like the other insignia of their office. So we
say that perhaps fashion has made nursing too fashionable.

Dr. J. P. Armour, in The Medical News, furnishes a spright¬
ly paragraph which the impetuous youngsters of the freshman
class will do well to ponder: „

The insane rush of young men, and women, too, into the pro¬
fession is chiefly owing to the extravagant puffing of a consid¬
erable portion of its members regarding the financial results of
their labor. I have a couple of physicians in mind, with whom

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128

The Medical Aden nee.

1 was familiar both as a youth and after entering the profes¬
sion, whose careers are somewhat typical of the “booming’'
class. The one was the leading physician of a large town.
He 'claimed and was generally accredited with doing a practice
of $25,000 a year. He lived quite inexpensively, except in
the matter of horses, several of which he always kept to en¬
courage business, and after struggling with a practice of this
kind for twenty-eight years, he suddenly collapsed, leaving
his creditors in it for $20,000. The other practiced in a small
village, and for years had done a tremendous practice; kept
half a dozen horses, slept little, and had rarely time to take
his meals; he lived quite inexpensively, except in the matter of
horses; he took but one holiday during his whole career; and
lie affected, and was generally supposed to be possessed of
fabulous wealth; and after a laborious professional life of forty
years, departed, leaving an estate valued at less than $5,000.
1 can name a score of men in the profession today, who have
}>een lured there by the boasting of these two. This unmanly
habit afflicts the profession to a disgraceful extent, and does it
more injury than any other affliction to which it is subjected.

“The Limits and requirements of Gynecology” is the sub¬
ject of a paper by Dr. Edward W. Jenks, of Detroit, publish¬
ed in The Medical Record. The paper throughout is full of
sound suggestions. Among other things, Dr. Jenks says:

The astonishingly brilliant achievments of abdominal sur¬
gery of late years, has brought this department into great
prominence before the medical world. The percentage of re¬
coveries of the successful operators has become so large that
its recital would have seemed a fairy tale to the ovariotomists
of a quarter of a century ago. While it is a laudable ambi-
tion to make many operations, and especially have a large per¬
centage of recoveries, there is a much higher aim; that is, to
cure the patient; and it is a well known, but not generally ac¬
knowledged fact, that recovery from an operation and cure of
the disease are not synonymous terms. The subsequent history
of many of those operated upon would often be a sad recital of
aggravated suffering. This is a grand central question around
which many things turn. It is a melancholy truth that tyros
in the profession, so far as general medical knowledge is con¬
cerned, have become expert abdominal surgeons and have ac¬
quired proficiency in technique, but without the diagnostic
skill which should accompany it, and which 6ome experience in
general medicine alone furnishes. Such men as these are not
fair representatives of the best gynecologists of the present
time.

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Post-Mortem Pointers .

129

Further, these surgeons frequently point with pride to the
great number of recoveries, yet many of these reputed recov¬
eries are not cures , as subsequent results show. Removal of
the ovaries and Fallopian tubes for pain, per se , has not been
productive of many cures, nor has the same surgical operation
for mental disorders been more satisfactory. It is very evi¬
dent to every conscientious, careful gynecologist, that anaemia,
the multiform varieties of neurasthenia and hysteria, play an
important part in the production of pain.

The Treatment of Gangrenous Hernia. — The proper
course to pursue when the contents of a strangulated hernia
are found to be gangrenous, was again the subject of recent
discussion at the Royal Medical and Chirurgical Society. A
paper on this subject was read by Mr. Kendal Franks, of Dub¬
lin, who related a case which had occurred in his own practice,
and presented a table of 222 cases of gangrenous hernia in
which resection of the bowel had been performed. The mor¬
tality in these 222 cases amounted to forty-eight per cent.,
while in a rather larger number of cases in which the surgeon
had contented himself with making an artificial anus, the deaths
amounted to eighty per cent. Largely on this ground, Mr.
Franks urged that the old operation of Lawrence should be, as
a general rule, abandoned in favor of immediate circular en-
terorrhaphy. This view was practically unanimously suppor¬
ted by the surgeons who took part in the debate, and it may be
taken to be the view of the more advanced surgeons of the day.
—The Lancet .

Post-Mortem Pointers. —In The Medical and Surgical
Reporter , Dr. Henry W. Cattell lays down these rules to be
observed in conducting post-mortem examinations:

Get all the anatomical knowledge you can out of every au¬
topsy you make. It is, therefore, usually advisable, especially
in the case of females, to perform a preliminary laparotomy.
Many surgical operations can be practiced upon the body with¬
out disfigurement, such as Alexander s operation, oophorec¬
tomy, removal of the ear ossicles, and vermiform appendix,
stretching of the sciatic nerve, symphyseotomy, etc.

Do not forget to dictate the post-mortem notes while the
autopsy is in progress.

Respect the feelings of the friends in every possible manner,
and always return everything in a private house to its proper
place. Be sure to leave no blood marks behind.

Be sure you have a legal right to make the post-mortem be¬
fore you begin. The nearest relative, or the one who is going

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to pay the expenses of the funeral, should give the consent in
writing.

Try to encourage a demand among the laity for the perform¬
ance of autopsies.

In making an autopsy have a regular method for its perform¬
ance, which is only to be modified by exceptional circumstan¬
ces. Finish the examination of each organ in as thorough a
manner as possible before the examination of another is com¬
menced.

Label all your specimens at once with name of person from
whom the specimen is removed, character of the specimen and
relations in the body, date, and preservative fluid employed.

Tact will get you many autopsies; curiosity of relatives and
friends can often be worked upon to get permission for an au¬
topsy.

As the object of the autopsy is usually to find out the cause
of death, either for legal or scientific purposes, the post-mortem
should, therefore, be conducted in as thorough and accurate a
manner as possible.

In legal cases be sure to protect yourself in every possible
way. The jars (which should never have been used) containing
the specimens, should be sealed in the presence of a witness.
In important cases here in Philadelphia, the Coroner has both
of his physicians present at the autopsy, so that the testimony
is stronger; and in case of absence of one of the physicians,
the other can go on the witness stand and the case not be
postponed.

If you value your peace of mind do not put yourself forward
as an expert witness in medico-legal matters. Knowledge
which you already have should be freely given to the court in
criminal cases, but the court cannot compel you to obtain expert
knowledge without your consent.

In Germany the legal evidence of a post-mortem held by gas¬
light has been judged by the court, except under certain pe¬
culiar circumstances, to be void.

Many signs of inflammation, especially of the mucous mem¬
brane, disappear after death. Remember that red flannel often
colors the skin red.

Make the undertaker your friend. Do not recommend an
undertaker who disapproves of po^t-mortems.

It is a good knife that will keep its edge in more than one
post-mortem.

Do not jump at conclusions too quickly. Tentative diag¬
noses alone should not be made until the post-mortem is com¬
plete.

Always weigh the important organs, and have some method
by which you can tell the right from the left organ in case of

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the double ones. One nick in the left-sided organs and two in
the right will readily distinguish them.

Wash your hands frequently during the performance of an
autopsy, so as not to allow the blood to dry on the skin.

In writing the account of an autopsy, describe what you see;
do not use names of diseased conditions. These should be put
in under the head of pathological diagnoses.

Urine or aromatic spirits of ammonia will best take the odor
from your hands. This odor is usually got from opening the
intestines.

The dissecting-room is a poor place to study pathology, on
account of the chloride of zinc forming with albumen an insol¬
uble albuminate of zinc.

Nervous tissue for microscopic study should not be placed
in zinc chloride or in alcohol.

Remember that a post-mortem, with the exception of the
brain and cord, can be made with a penknife.

Before removing the calvarium have a basin so placed that
it will receive the blood and cerebro-spinal fluid.

A lesion in one part of the body will often suggest a careful
search for a lesion in another part of the body.

Do not mistake the normal for the abnormal.

Three hours is none too long in which to make a complete
autopsy.

Be careful that the first rib does not scratch your hands
when removing the tissues in that region. Therefore cover
over the cut ends of the clavicle and ribs with the skin flaps.

Remember that after the brain has been removed the
fundus of the eyes can be removed by a circular incision pos¬
teriorly, without disfigurement. The inside should then be
stuffed with dark colored wool or cloth.

In private cases you will be frequently judged of your skill
as a pathologist by the neatness with which you sew up the
body.

If you discover suspicious lesions, always stop the post¬
mortem and report the case at once to the coroner.

Remember in warm weather that the intestines are especially
liable to undergo rapid decomposition when exposed to the air.

Remember that a railway train or cart may pass over the
body, and there be no abrasion in the skin more than a brush
burn.

In removing the cord, the following method may be used
without disfigurement to the skin of the back part of the neck.
Make a circular incision from the middle of the trapezius mus¬
cle of the one side to the middle of the same muscle of the
other side, using as the center of the circle the external occipi¬
tal protuberance. This will take you in the median line to
about the second dorsal vertebra; then dissect away the skin

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with muscles attached, and elevate this flap with a tenaculum
and draw the shoulders backward. A sufficient amount of
space will be given to then remove the cord in the usual
manner.

If the rectus muscle on each side be cut near its origin, in
the direction of Poupart’s ligament, the abdominal cavity will
be much more thoroughly exposed to view than in the ordinary
manner. First, however, examine with the finger for hernia.

And, lastly, be honest. Every one diagnoses lesions during
life which are not found at the post-mortem. Even after a
most careful post-mortem, it is often impossible to tell from
what the patient died.

Primary Perineal Operations. —Dr. Mordecai Price, of
Philadelphia, in a paper in The Medical and Surgical Reporter ,
says:

In bringing to your notice this subject, I desire only to pre¬
sent my own experience, and to emphasize the importance of
careful vaginal examinations after labor. Injury may occur at
any time from the dilatation of the cervix to the expulsion of
the child. The cervix may l>e torn to the opening of the peri¬
toneal cavity ; the vagina torn from the cervix, or down the
median line, and, including the bowel, from the cervix to the
sphincter; or the line of rupture may be to the side in the
sulci, and extend very deep into and including the sphincter.
Most of the sulci tears are inside, leaving the fourchette in its
natural position, and without careful examination after deliv¬
ery, no one would suspect the perineum had been injured.
Yet some of the worst injuries to the pelvic floor are altogether
inside; even the bowel and bladder may be opened without any
tear on the outside. Then we may have the vagina tom trans¬
versely as the head crowds the walls before it in labor. These
tears may extend through the entire septum to the bowel, and
there are cases where the child has been delivered through the
bowel. So you can comprehend the terrible accidents to the
soft parts of the mother in labor are to be, in the first place,
avoided if possible, and if not, the immediate repair of the in¬
jury is demanded as soon as the labor is finished, and before
the woman is placed in bed for rest.

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THE CLINIC.

CLINICAL MEDICINE.

In our earlier history, medicine was entirely clinical. The¬
ory as to the action of a drug or a combination of drugs, when
taken into the body, did not exist. The patient got both med¬
icine and theory at the same time. This condition of things
continued for several hundred years, until the dawn of a great¬
er enlightenment smiled upon a benighted world. Then theory
began to creep into the curriculum of study, till in course of
time every thing else was overshadowed by it. Very many of
the lower animals that were available were experimented upon
with all kinds of nostrums, that a theory as to their operation
on man might be established. We have no evidence that it
ever occurred to the experimenter that a certain result produced
upon the lower animal would not necessarily be the same on
the higher animal, man. Even admitting that a beautiful the¬
ory was established, yet it remains to be proven that the rea¬
soning from a lower to a higher grade of life through the un¬
certain medium of chemical action would produce reliable facts.
What we want here as well as elsewhere are reliable demonstra¬
ble facts. Nothing else will do. A theory that is not redeem¬
able at par in absolute fact, is born only of empiricism.

It is very much like a mirage that leads us whithersoever we
are turned, only to present again to our fevered imagination
the same arid plains by which we were before surrounded. We
want something practical—something that will not only be of
use to us, but that is capable of being enlarged, embellished
and made more enduring, that those who are to come after us
may not only see the evidence of progress, but learn the lesson
therein taught. Aside from any good that we may do in a life¬
long practice, let it be a sufficient excuse for our existence that
we advanced the science of medicine while we lived.

There seems, however, to be a growing tendency on the part
of some to do things in such a way as to leave no evidence
either of painstaking or of material added to the sum of our
knowledge. This is evidenced by the fact that very many of
our large drug houses are sending out agents with ready made

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medicines for every disease by name to which human flesh is
heir.

This, of course, is a very convenient labor-saving scheme.
The patient comes into the office, often diagnoses his own case,
and all the physician has to do is to take down the properly
marked medicine, hand it to him, take his fee, and await the
next. The amount of labor is small, the result proportion¬
ately great. The value of experience gained absolutely noth¬
ing. Our own pharmacies are given to a very similar practice.
Within the last few months we have received circulars from
some of them, with many different preparations advertised,
each containing two or three drugs, combined in the form of
tablets, and representing as many different diseases as there
were preparations. This state of things would not exist unless
there was a demand for this class of medicine. The pharma¬
cies are not so much to blame as the profession. This will, of
course, lead to routine practice, and that by an easy grade to
the automatic. At about this stage of progress, the pharma¬
cies will take another observation of the signs of the times and
place “a dollar and a half” “in the slot machine,” with a full
line of these preparations in the physician’s office, so that when
Mr. Biliousness, Mr. Headache or Mr. Stomachache comes in,
he can pull the proper string and receive his medicine with di¬
rections, while the doctor is away preparing his horse for the
spring races. As we have already intimated, nothing what¬
ever is gained by this sort of practice. In fact, I believe that
any one would forget many valuable things that he has already
learned, so that instead of adding anything to our knowledge
of medicine, he would only prey upon that which already ex¬
isted. We are severally and collectively responsible for the
improvement that ought to be made in our day and generation:

Aside from researches in new fields, there is no other way of
making progress, except by adding to that which we already
possess. We have a valuable collection of Materia Medica,
every symptom of which is as real and as capable of demonstra¬
tion as the drug itself. The cause has already operated, and
we have the effects recorded in drug pathogenesis. When the
cause is positive, the effect is capable of demonstration. Your
reasoning has a proper basis, and your conclusions will be
facts. In applying a homoeopathic medicine clinically, you

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Was It a Mark .

135

are reasoning from a positive effect to a possible result that
can be demonstrated by experience. This is the inductive rea¬
soning, and will lead you back to the first proposition, the de¬
ductive. An abundant clinical experience of this positive
nature incorporated into our Materia Medica will give to each
symptom so tested the full force of the syllogism, and render
the pages of our Materia Medica much more valuable to the
busy practitioner. It will hardly be necessary for me to add,
that it should be the special province of the Bureau of Clinical
Medicine to select and assort any such material as may come
into their hands for future use in enlarging and embellishing
the Materia Medica that we now have.

WAS IT A MARK?

Little Helen S. was born Aug. 26, 1891, and was to all
appearances a healthy child, and the parents also were healthy.

The mother had borne four* children previous to this one, the
first one was deformed and was still born.

I was called upon to prescribe for the present infant on the
fourth day after birth, and found her vomiting frequently, and
also having frequent diarrhoeic stools.

Chamomilla 3* put a stop to this train of symptoms.

Sept. 20.—I was again called upon to prescribe for the child.

Constant fretfulness, < after midnight.

Apthae on cheeks and tongue.

Vomiting of curdled milk.

Constipation; stools brown; colic.

Wind acrid, excoriating parts.

Lying with eyes half open.

Sweat about head.

Had cried almost incessantly for twenty-four hours.

Sulph. cm (S.) three doses one half hour apart.

Sept. 21.—After the second powder she became quiet, and
slept all night. She passed wind soon after taking the medi¬
cine and this morning the bowels moved nicely.

An <toward night was relieved by a single dose of Sulph. cm
(J,) at once.

Sept. 22.—Better, apthae all gone, child apparently all right.

Sept. 30.—Was called again the apthae having reappeared,

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and having apparently traversed the whole length of the alimen¬
tary canal.

Vomiting directly after eating.

Trinteria, acrid, excoriating stools.

The child was now eating Carnrick’s food, the mother’s milk
having failed.

Arsenicum 6 X night and morning.

Oct. 2.—No better, lies with half closed eyes; vomiting;
Sulph. cm (S.)

Oct. 5.—Vomiting better, apthae worse, other symptoms
the same; Men S. 3 d .

Oct. 9.—Situation unchanged, emaciation, changed to Net¬
tle’s food. Sulph. cm (J.)

Oct. 12.—No improvement; Aes *°°, four doses, one half
hour apart. The relief was almost instantaneous, and all the
symptoms continued to improve until the 15th at noon, when
convulsions set in.

Hellebore, and later opium controlled the convulsions, but
on the morning of the 16th she died.

Last March the mother’s aunt died of stricture of the oesopha¬
gus, and for weeks previous to her death she had been subject
to terrible fits of retching and vomiting, and it seemed some¬
times that she must tear herself to pieces. Mrs. S., then some¬
what advanced in pregnancy, was present at different times dur¬
ing these spells of vomiting.

Query.—Was this disposition to emesis, on the part of the
child, a mark? If not, why should an apparently healthy
child vomit the milk of a healthy mother persistently?

As my prescriptions were made after consulting the reper¬
tory (Lippe,) and the action of the remedies carefully watched,
I cannot but believe that the lack of response to well selected
remedies was due to the preternatural irritability of the diges¬
tive organs, imprinted upon them in utero, by the sympathy
excited in the mother by the sufferings of her aunt.

Frederick Hooker.

Syracuse, N. Y.

[If so, why not have taken the character of the mental shock
into the question of the totality of symptoms, when selecting
the remedy?—E d.]

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Cases from Practice .

CASES FROM PRACTICE.

WM. ROWLEY, M. D., INDIANAPOLIS.

Miss-, age about 17 years; emaciated, with general pal¬

lor and depressed expression of countenance; weakness; sensi¬
bility exalted, even touching the skin causing pain. The
menstrual flow never properly established, and at the time of
coming under my treatment the menses appeared at irregular,
though usually prolonged intervals. The flow abundant and
followed by sense of uterine prolapsus and general weakness.
Bowels inclined to constipation. Has been in the habit of us¬
ing salt to excess.

In treating the case the use of salt was restricted, and one
dose of Nat. Mur. 200 given, which was followed by general im¬
provement; the menstrual flow assuming its regular condition
and strength, and general health being Restored. Only the one
dose given.

Miss-. Menses appearing for the first time in healthy

condition, but on the fourth day, from exposure to cold and
getting the feet damp, suppressed, with a good deal of head¬
ache, nausea and vomiting. The suppression continued for
about a year, when the menses again appeared, with nausea
and vomiting, continuing for about a month in small quantities,
but daily. After about three months, sudden discharge of
bright red blood, profuse, with coagulation, more especially
when urinating; smell offensive. Cheerful disposition and
desire to be on her feet and moving about, but this aggravates.
Pallor around the eyes and mouth, the rest of the face bright
red.

Has been under what professed to be homoeopathic treat¬
ment. Remedies alternated and often repeated at an hour’s
interval, but the desired improvement was wanting.

The remedy selected was the Puls.* 00 of which three
powders were given, to be taken not more frequently than two
days’ interval. The result was restoration to health.

For the next case I trust you will allow me to select a differ¬
ent species, as the effect of the remedy is the main point to be
brought forward. I introduce a spring chicken about four
months old. The first two months of its life were passed with¬
out anything special to report in the line of health; but from

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this time symptoms of disease appeared, the intensity of which
gradually increased.

In order to classify the disease, I have restricted the name
within the bounds of chicken cholera or gapes, and should the
diagnosis be incorrect, the proper adjustment may be left to
other hands. The description of the symptoms shall be made
with greater care.

All hopes of life had been given up and death expected be¬
fore the close of the day. The symptoms were excessive weak¬
ness, with inability to walk but a few steps without stopping
to rest, the wings drooping and scraping the ground. Diar-
rhoeic discharges, frequent, watery and whitish, involuntary ;
respiration very much oppressed, every third or fourth inspira¬
tion being somewhat spasmodic, and causing the noise usually
heard in this disease. After considering the symptoms, the
remedy selected as the most closely corresponding was
Calc. Carb., which was given in the 200 dilution, the medicat¬
ed pellets being poured into the mouth.

The medicine was given in the morning, and on the evening
of the same day, persons who were not aware that anything
had been used for the relief of the chicken expressed their sur¬
prise that it was even alive, and they thought showed evidence
of improvement. This was so, and a continuation of the im¬
provement soon resulted in complete restoration to health.
The one dose of the remedy was sufficient.

COLOCYNTH—CLINICAL VERIFICATION.

H. F. SMILEY, CHICAGO.

D. D. C., aged 50 years, came to me Saturday, June 4, say¬
ing he had been suffering more than a week with pain in both
limbs, extending down the thighs and sometimes into the
calves and heels. When sitting upright on a chair, or stand¬
ing still in certain positions, or even walking about on a smooth
surface, the pains were absent, but getting up or sitting down,
the sharp, cutting, crampy pain was “damnable.” He could
not lie down, and had slept sitting up five nights. There was
no swelling or redness—no tenderness on pressure—no relief
from the application of heat or liniments—appetite good—
bowels regular—slept well, considering the position, and feel¬
ing well excepting as above stated.

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He received one dose of Colocynthis cm ; went to bed that
night and slept soundly; went to work Monday and has not
had a twinge of pain since.

June 24.

DIPHTHERIA—KALI BICHROMIUM.

J. E. HAYNES, INDIANAPOLI8.

Was called to see Fred, about five years old; light complex¬
ion, light brown hair, blue eyes; medium in size for his age.

I found that he had a severe case of diphtheria; the throat
swelling commenced on the left side and extended over to the
right. The swelling was very hard upon both sides, very ten¬
der to the touch. Upon examination found a large, dark ulcer
upon the left tonsil, with a smaller one upon the right. Around
these ulcers was a fiery red border extending over the fauces;
roof of the mouth of a dark, ashy color; gums red and dry ;
tongue coated with a dark brown coating; sticky mucous in the
fauces, which was hard to dislodge; dry, hacking cough, which
was very painful to the throat; swallowing very painful, worse
upon empty deglutition; nose stuffed up with sticky mucous;
edges of the naries sore; a putrid, sickening smell from the
mouth ; pulse 130; skin hot and dry ; great soreness in all of
the muscles of the limbs and body; thirsty, but swallowing so
painful that he would rather go without than suffer the pain;
urine scanty and high colored; had no appetite for several days
before the attack.

Jfy Kali Bichromium 10 m , one dose dry on the tongue, and
Sac. Lac. in water every two hours one teaspoonful.

At the evening call showed signs of improvement. Sac. Lac.
as before.

The next morning call found less soreness and less putres¬
cence; could swallow with less difficulty ; tongue beginning to
clean up; ulceration not so angry; swelling less and not so
tender.

Sac. Lac. as before. He wanted to get up and be dressed,
which was strictly forbidden.

The next morning all swelling had disappeared; ulcer on the
right tonsil healed and on the left nearly gone; tongue nearly
cleaned up; could swallow without much difficulty; pulse nor¬
mal; no putrescence from the throat; wanted everything he

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ever thought of to eat. Was ordered to stay in bed and take
Sac. Lac. as before.

The next call found both ulcers healed, tongue clean, no pu¬
trid smell from the throat; could swallow without difficulty;
pulse normal ; was allowed to get up and dress, but must not
go out of the room ; Sac. Lac. for three days, and ordered to be
very careful to not take a fresh cold. Discharged as cured;
there was no further trouble.

Gilbert-, aged about four years; light complexion, light

brown hair, blue eyes; rather nervously disposed.

Was called to see him; found a bad case of diphtheria; the
throat swollen, the tonsils very hard and sore. The swelling
commenced on the right side and passed over to the left side;
a large, dark colored ulcer on the right tonsil, and a smaller
one on the left ; the whole fauces of a fiery red; tongue heav¬
ily coated, dark brown; roof of the mouth of a dark, ashy
color; gums of a dark red color; dry, hacking cough, which
was very painful to the throat; swallowing very painful, worse
on empty deglutition; putrid, sickening smell from the mouth;
muscles of the body and limbs very tender to the touch, which
made him very restless; pulse 134; skin dry and hot; urine
scanty and dark color. Was very babyish, wanted his mother
to sit by him all of the time. Nose stuffed up so 'that he could
nor breathe through it, with a sticky mucous; edges of the
naries sore, and smarted and burned. 3 Kali Bichromium,
10m., one dose dry on the tongue, and Sac. Lac. in water, one
teaspoonful every two hours.

The next morning much better; ulceration improved, entire¬
ly disappeared on the left side, and much smaller on the right
side; could swallow with less difficulty, and began to fuss for
something to eat; urine more copious and lighter colored; had
slept fairly well, cough better and the smell not so putrid;
mucous less sticky; naries partially cleared out; not so rest¬
less. Sac. Lac. as before.

The next morning the ulceration on the right tonsil healed,
but still tender and red; no putrescence; tongue nearly clean;
no cough; could swallow without pain; had slept very well;
urine nearly normal; appetite fairly good; wanted to get up
and be dressed, which was not allowed. Sac. Lac. as before.

The next call all symptoms had disappeared and the patient

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pronounced well, but pare must be taken for a few days; order¬
ed to take Sac. Lac. for three days, and should anything new
come up, to be notified at once; has had no further trouble
from that cause.

Ella W-; light complexion, light brown hair, blue eyes;

looked robust; about three years old; always good-natured.

Was called to see her; found a hard swelling on both tonsils,
and, as near as could be ascertained, they both commenced at
the same time. I found upon both tonsils large, putrid ulcers;
the fauces of a fiery red; tongue heavily coated, dark brown;
sticky mucous in throat, and fauces naries stuffed up; swal¬
lowing very difficult; dry, hacking cough; urine scant and high
colored; all of the muscles sore to the touch; rather restless,
but good-natured; would stay alone, but preferred to have her
mother close by her. Kali Bichromium, 10 m , one dose dry
on the tongue, and Sac. Lac. in water every two hours; and to
be kept as quiet as circumstances would permit.

The next call found an improvement in all of the symptoms.
Sac. Lac. as before. At the next call found the ulcers healed,
the swelling gone, the tongue cleaned up, swallowing without
difficulty; appetite very good; still a slight redness of the ton¬
sils and fauces, but considered the case well; left Sac. Lac. for
a few days, ahd cautioned them to be^ very careful that she did
not take a fresh cold, and should she do so to let me know as
soon as possible. There was no further trouble, and she has
remained well ever since.

Susie D -. Was called to see her ; aged about three

years; quite large for her age; light complexion, light brown
hair, blue eyes; generally good-natured, but now rather cross;
did not want to be handled.

I found both tonsils swollen hard, and tender to the touch,
with putrid ulcers on both sides ; roof of the mouth dark ash
color; fauces fiery red; gums dry and red; tongue coated
brown; sticky mucous in the fauces; nose stuffed up; stench
from the mouth; urine scant and high colored; muscles tender
to the touch; fretful and restless; swallowing very difficult and
painful; wanted some one with her all of the time, or wanted
to be carried about the room.

Tfy Kali Bichromium, 10 m , one dose dry on the tongue, and
Sac. Lac. in water, one teaspoonful every two hours.

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The next call found an improvement in all of her symptoms.
Sac. Lac. as before.

The next call found the ulcers healed, swelling nearly gone,
tongue cleaning up; could swallow with less difficulty; tonsils
and fauces still red and looked tender. Sac. Lac. as before.

The next call found the tonsils looking quite natural; tongue
clean; very good appetite; could swallow without difficulty.

Was pronounced well; at the same time they must be care¬
ful for a few days, and see that she did not take a fresh cold.

Left Sac. Lac. for a few days, and to let me know should
anything new come up, or if she did not get along all right.

She has remained well since, or rather has had no further
trouble in that line up to the present.

MALARIA.— NATRUM MURIATICUM.

G. J. WAGGONER, LARNED, KAN.

This portion of the Arkansas valley is wholly exempt from
Malarial influences. The altitude being nearly three thousand
feet above sea level gives a dry, stimulating atmosphere pecu¬
liarly adapted to the wants of sufferers from malarial miasm, and
it is believed that the miasm is more readily evolved here than
in most other places. In many instances it is found impossi¬
ble to relieve the symptoms of this miasm in eminently mala¬
rial districts where it has been acquired, especially where, or in
such cases as have been suppressed, as is too often the case, by
the use of quinine. A few instances in point may be found of
interest and profit. J. L. W., set. 43 years; of meager phy¬
sique ; dark and sallow; eminently scorbutic; had when a child
a severe ague in Woodford County, Illinois, which was cured (?)
several times with quinine. This was followed by gastric and
intestinal derangement of serious and threatening character.
There was either canine hunger or anarexia with loathing of
food. Every summer had a siege of bilious fever continuing
from one to three months. This fever was always accompanied
by more or less hemorrhage from rectum, and continued after
the fever in a modified form during the rest of year, attended
by a form of chronic diarrhoea. In 1877 he went into the hands
of Doctor George A. Dean, now Professsor Dean, of the Kan¬
sas City Homoeopathic College. In August of that year, 1877,

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143

Doctor Dean turned the patient over to me. From that time
he has been under my care at Minonk, Illinois, until 1891. In
the summer of 1892 he came perilously near his end under
other treatment. In January, 1893, he came to Lamed and
placed himself again under my care. During the latter part of
winter and spring he made very satisfactory improvement, but
in the beginning of summer began to show symptoms of return
of fever accompanied by severe ophthalmic complications.
Mentally, greatly depressed, with complete despair of recovery.
The eye symptoms were peculiar in that the lids lacked the
power of lifting, and the mucous, or lachrymal secretions
obscured the sight to such a degree that he could distinguish
nothing clearly, Grave one dose of Psorinum cm , which re¬
lieved mental depression and controlled the most of eye symp¬
toms. But on the following day there was developed a beau¬
tiful paroxysm of Ague, commencing at 11 a. m. The chill
lasted about an hour in a mild form, followed by fever until
three or four o’clock, and this by sweat and relief of all symp¬
toms until the second day after, when it was repeated in like
manner. He then got a dose of Nat. Mur. c m which corrected
the febrile symptoms, together with most of the others, and he
continued to improve during summer and fall. In Illinois the
best means at my command were employed for his benefit,
resulting in but partial control of the disease. During the
earlier times there, the feet and legs were covered with deep,
painful and itching ulcers, which had to be fostered and pro¬
moted by such remedies as would aid ulceration. He has since
returned to Illinois and is in fairly good health. Here one
might indulge in lots of philosophy, but it suffices that I could
not cure this patient in Illinois, but could here.

The following case may serve to illustrate quite a different
phase of the disease. W. H. M., 40 years of age; a man of
strong and sound health, got the fever in Oklahoma, some two
years ago. Was treated there some ten or twelve months,
scientifically, and cured (?) several times, until his physical and
financial resources were exhausted, when he came here. Dur¬
ing the greater portion of the time the disease took the form of
Tertian Ague, but soon after his arrival here, under the treat¬
ment of my friends—the Allopaths—it changed to a Quotidian,
and became more serious and alarming. Hereupon a change of

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physicians was had, and, following a positive promise of speedy
cure, the fever became Quartan and remained so until I first
saw him, May 22d last Was called about seven -p. m., and
found that the chill had come on about four p. m.; had lasted
about an hour with violent shaking, followed by a fever heat
for a like time. His mental powers were wholly subjugated.
His thirst was intense and unappeasable, and a state of com¬
plete exhaustion possessed him. This I learned had been the
condition of things for nearly a week. It was difficult to get
symptoms as we Hahnemannians like to get them, so I gave a
dose of Lyc. 2° as much on account of the time of paroxysm as
anything, and left a goodly supply of Sac. Alb. Heard from
him that evening at ten to eleven, that the mind had reasserted
its supremacy; had called for food, and was then sleeping
quietly, which he had not done for a long time. He had a slight
chill on the third day after without any fever, and accompan¬
ied by none of the former untoward symptoms. When the par¬
oxysm had passed he got a dose of Lyc. cm which was probably
a mistake, as the remedy should never be repeated while im¬
provement is going on. In a few days he was at work and at
last accounts was well.

August 11th last was consulted by Mrs. Geo. H. M., aet. 40,
fair and fleshy. Had been treated from time to time for ner¬
vousness, laryngeal spasms and diabetes (?) The history re¬
vealed a life of wretchedness since some eighteen or nineteen
years, when she had ague for a long time, but was finally cured
by her father, a homoeopathic (?) physician. At this time her
greatest trouble arose from the fear to go to sleep and condi¬
tions on waking. Suddenly something would come into her
throat and interrupt breathing; would awaken suddenly and
with alarming hallucinations. Some one standing in some part
of the room; sometimes a member of her family and at others
a stranger. These things sometimes occurred to her in the
day time. This was a subject on which she was rather reti¬
cent, and it was brought out little by little. In addition to,
or more probably in consequence of this, she suffered much
from insomnia and anorexia. There was hoarseness and husk¬
iness of voice, with a tendency to ‘ ‘clear the throat, ” and some
expectoration. Otherwise than this, there was but little appa¬
rent derangement. Gave a dose of Lach. 2 C . $nd placebo for

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145

a week. On next consultation found there had been none of
the untoward symptoms since first call. She could go to sleep
without fear and rest all night in comfort, and saw no more
ghosts. There remained some of the huskiness of voice, with
a sense of some irritation. Grave Sac. Alb. for another week
or ten days. On next call the patient was greatly alarmed by
the fact she had got, as Byron says, a * ‘tertian ague. ” The
chill came about eleven a. m., lasted an hour, followed by
fever, and finally relieved by sweat. She got a dose of Nat.
Mur., l m , and s. 1. This was followed the next day by a far
more violent paroxysm of ague than the first; not so much in
the chill as in the fever, which ‘ ‘seemed that it would burn her
up.” I advised them that it was medicinal aggravation; to
take smaller doses (of the placebo), and not so often. The
next day all symptoms ceased, and she has since enjoyed bet¬
ter health than she had ever known before, she tells me.

Mrs. G. P. N. aet. came to my office June, 22, saying that
she wanted me to do something if I could for her stomach and
bowels. She had no appetite to speak of, and what she ate
soon gave her great distress, and that she never had action of
bowels unless she took something; had almost constant head¬
ache with drowsiness; cross and irritable; her sleep did her no
good after three or four in the morning, and she got up more
tired than when she w£nt to bed, was chilly all the time, even
in hot weather. The history showed that she had intermittent
fever very severely thirty-five years ago in the Mississippi bot¬
toms, and that it was treated with large doses of quinine, and
arrested for a time, but has never been free from it since; has
had nothing but homoeopathic (?) treatment for many years;
but they could do nothing for her ague but with quinine, and
nothing to relieve her bowels but with cathartics of some kind.
At this time gave her a dose of Nux l m and Sac. Pulv. At
next call was feeling much better generally; had some appe¬
tite, and her food did not distress her as much as usual. Indeed,
nearly all the Nux. symptoms had disappeared; but was having
a distinct form of intermittent fever A mild chill at eleven
a. m. followed by fever heat until two or three p. m., passing
off with a moderate sweat. This was quite a surprise to her, as
she had not perspired any for years. July 5, gave a dose of
Nat. Mur. l m and placebo. July 21 she came to say she was

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worse again; her stomach was out of order and her bowels con¬
stipated, which had not been the case recently. There was
burning in stomach with great thirst, and she vomited soon
after drinking. The stool was difficult and painful; long,
Smooth and slender. I gave dose of Phos. l m and Sac. Alb.,
which soon corrected this feature of the case. This was fol¬
lowed by a return of the ague similar to that of July 5; gave
another dose of Nat. Mur. l m with the usual saccharun, and
again the periodical feature ceased. She now remained com¬
paratively well until Aug. 11, when the old trouble showed it¬
self in the periodical form, for which she got another dose of
Nat. Mur. l m , correcting or palliating, which? This improved
condition lasted till about Aug. 28. She now presented the
state of things as when she first consulted me; very cold and
tired, especially in the morning, but sleep, or none at all in
afterpart of night; wretched and out of sorts all the time;
severe pains in stomach two or three hours after eating, and
bowels obstinately constipated gave dose of Nux. l m . This
corrected the trouble until Sept. 6, when the old hydraheaded
intermittent again asserted itself. This time a “dumb ague’'
came on about four p. m.; very cold for an hour, followed by
a burning fever and great thirst, passing off at nine p. m.
Gave a dose of Lycop. l m , followed with Sac. Lac. The above
symptoms ceased at once and the patient continued fairly well
until Sep. 27, when there was again a return of the intermittent
in a mild form, complicated with great irritability of stomach;
distress from food while eating and following for some time
with much wind in stomach and bowels; a wish to belch it up,
but not in the least relieved by, the effort. The fever was
quotiden in form and very eccentric. Gave dose of Chin. l m .
In a short time all of these untoward symptoms ceased, and
she went on very well until Oct. 12, when she came in to say
that she < ‘had those horrid chills again. ” The chill came on at
eleven a. m., lasting an hour, followed by fever with unquench¬
able thirst, after a couple of hours passing off with sweat and
great relief. (For the sake of brevity I omit many of the ac¬
companying symptoms, as headache, constipation, bad sleep,
etc.) Gave a dose of Nat. Mur. cm , which finished up the
whole business. But Oh! with what a storm! All the symp¬
toms she had ever had in her life were all jumbled together in

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Malaria—Katrum Muriaticum .

147

the most delightful confusion, and she knew she was going to
die. I pacified her as well as I could, assuring her, she being
a very pious lady, that we were informed in Holy Writ that
the arch fiend when being cast out, always rent their victims
fearfully, and again ‘ ‘before the coming of a strong disease,
even in the instant of repair and health, the fit is strongest;
evils that take leave on their departure most of all show evil."
King John, Act hi. , Scene iv. I have no doubt now that a
great mistake was made in this case in not giving the higher
potency in the first place. That it would have saved all this
circuitous work, and restored the patient to health from the
first. There were many other cases of like nature treated
during the past summer and fall with similar results, but they
would come within this classification.

A very large majority of our people come or came here be¬
cause of either broken fortune or broken health, the latter
greatly predominating. They are all more or less benefited by
the climate, but few of them really recover without the aid of
the indicated remedy. And it is too often the case that this
impaired health is the result of a chronic, ill treated and spu-
pressed malarial miasm. I would not have the reader think
that I am so much a crank on this form of miasm as to con¬
clude that it is the only factor of ill health in these cases.
There can be no doubt that the psora, scrofula, syphilis and
sycosis of Hahnemann often plays apart. As my friend Doc¬
tor Crutcher says, “We have a monopoly of principles, and
are consequently prone to philosophize.” I need hardly re¬
mind the Doctor, that in writing of homoeopathy, its philoso¬
phy can no more be omitted than the princely Dane in Hamlet.
It is not my fault that Nat. Muriaticum plays so important a
part in the treatment of these cases; but rather of those who
mistreated them with quinine. Whether allopath, homoeo¬
path (?) or eclectic, like Barnabas, the Jew—

* * * I walk abroad o’ nights,

And kill sick people groaning under walls.

Sometimes I go about and poison wells. * *

Being young, I studied physic, and began
To practice first upon the Italian;

There I enriched the priests with burials,

And always kept the sexton’s arms in use

With digging graves and ringing dead men’s knells.

Marlow's “Jew of Malta,” middle of 16 th century .

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In the treatment of these cases, it reminds one of the im¬
proved lock—not the time lock of the banker’s vault. You
may turn and turn to all eternity; but when you have the com¬
bination you are in possession of the magic sesame. When we
get the true simillimum, the case is cured.

Washington Irving. —Few things in biography are more
pathetically suggestive than the records of Irving’s last year of
life. He had been constitutionally weak from infancy, with
delicate lungs, and a tendency to inflammation of the ankles,
which often disabled him for either work or society. Latterly,
cough, asthma and heart disease troubled him, accompanied by
sleeplessness and strange nervous terrors, for which he was
touchingly apologetic. But through all we see the sweet tem¬
per, the intellectual energy, and the gentle, half melancholy
jesting, with which he combated increasing pain and weakness.

1 ‘I am rather fatigued, my dear, by my night’s rest, ” he replied
to a niece’s anxious inquiries. He was still at work on his
“Life of Washington,” and his chief dread was lest his brain
might have been overtaxed. “I do not fear death,” he said,
“but I would like to go down with all sails set.” His increas¬
ing dread of the night induced him to seize any pretext for
sitting up; and he was never, writes his nephew, more delight¬
ful than during those long evenings. “All the interesting
scenes of his life seemed to pass before him, a thousand anec¬
dotes of persons and things of which we had never heard,
related in the most graphic manner, and filled with all his old
fun and humor.” A few months before his death, Irving re¬
ceived a voluminous epistle from a stranger, asking permission
to call on him. “Oh, if he could only give me his long wind.”
groaned Irving, “he should be most welcome .”—Temple Bar.

Encouraged by the favorable reception of Colonel Richard
Malcolm Johnston’s “Studies, Literary and Social,” the pub¬
lishers (The Bowen-Merrill Company, of Indianapolis) have
brought out a Second Series, uniform with the first. Its con¬
tents deal with “Edward Hyde’s Daughter,” who was married
to the Duke of York, afterwards James II.; “Benjamin D’ls-
raeli, the Jew;” “A Characteristic of Sir Thomas More;” “A
Martyr to Science” (Roger Bacon); “Some Heroes of Charles
Dickens;” “The Extremity of Satire” (in Thackeray’s “Vanity
Fair”); “Irish Lyric Poetry;” “The Minnesinger and Meister-
singer;” “The Audacity of Goethe” (especially in “Faust”);
“King Henry VIII.;” and “Celebrated and Common Friend-
thips. ” These essays form a neat volume of two hundred and
sorty pages, convenient to the hand and capable of going into
fhe pocket.

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EDITORIALS.

The mysterious disappearance of John Rice Miner last Au¬
gust delayed the settlement of the year’s business with the
Medical Advance Company, hence the delay in the issue of the
January number; it being the policy of the journal to close up
one year’s business before the duties of the next are entered into.

* *

The police power assumed by the State Board of Health and
its auxiliaries in our cities and counties has aroused a spirit of
opposition. The tendency toward a dictatorial and unnecessary
interference with personal and private interests being the
features most complained of. If the premise underlying the
different questions of the public health were accepted as posi¬
tive facts, the opposition would not be so pronounced; but too
many boards presume to dictate upon questions of public safety
when they have but a theoretical foundation upon which to base
their decisions, and then attempt to ride rough-shod over the
opposition that may be aroused by their action.

* * *

It is seldom that those charged with administrative duties
make such happy appointments as that made by Gov. William
J. Stone, of Missouri, in placing Prof. T. H. Hudson, M. D., of
Kansas City, upon the State Board of Health. Dr. Hudson rep¬
resents all that is noblest and purest in manhood, and is a splen¬
did type of the progressive homoeopath. He courts none of the
conspicuous planes of life and his extreme modesty is really
his greatest fault. He ought to keep his pen.and his tongue
more to the front. Readers of the Advance everywhere will
be gratified to know that his conspicuous talents have been so
fitly recognized by the chief executive of his adopted state.

4 ‘Two. Decades in Medicine” will be read and admired, and will
be a living force among men, when thousands of pretentious
volumes have been covered by the dust of merciful oblivion. It
is a plain, straightforward statement of truth; it rings with the
force of conviction and leaves an impression never to be for¬
gotten. We congratulate the profession at large upon Dr.
Hudson’s appointment.

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The Medical Advance.

We learn that the germ has at last invaded the vermiform
appendix. This shows that the germ does not always exhibit
good judgment, since the appendix is like a house of sand these
days.

* *

A Michigan physician writes a long article in the col¬
umns of an old school contemporary upon the abortive
treatment of typhoid fever. Of course the germ is the objec¬
tive point, as he generally is in all that an allopath undertakes.
But so far as the treatment recommended is concerned it is
likely to prove highly abortive—so far as patients are concerned.

* *

As the time for the annual meetings of state societies ap¬
proaches, let us express the hope that a flood of ringing homoeo¬
pathic papers will be prepared, read, and discussed. In this
connection we are pleased to record the substantial growth of
the Missouri State Society, which is today at the front of all our
societies in several important particulars. Th6 society has
grown rapidly in numbers and in power, but not more rapidly
than the spirit of homoeopathy, among its adherents. The
next annual meeting will occur in St. Louis in April and already
a fine program is in view. This leads us to advise our ener¬
getic Missouri brethren to publish no volume of Transaction
but to scatter its good papers far and wide, as has been the
rule in the pa9t. Everybody who is anybody reads the jour¬
nals; few ever read Transactions.

* *

The American Institute of Homoeopathy will meet in annual
convention at Denver, June 14-22. The enterprising mountain
city is making extraordinary arrangements to fulfill with credit
the duties attending the entertainment of the oldest of National
Medical Societies, and no one who knows the capital city of
Colorado will doubt for a moment the success of her efforts.

# *

The Illinois Homoeopathic Medical Association will meet at
Quincy in May. The chairmen of the various bureaus are busy
with their duties, and present indications point to a large and
interesting gathering. The Missouri meetings are always visi¬
ted by many Illinois physicians. Will Missouri reciprocate?

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Editorials .

151

The eighteenth annual session of the Missouri Institute
of Homoeopathy will be held in St. Louis on Tuesday, Wednes¬
day and Thursday, April 17, 18 and 19. The Missouri In¬
stitute is so well known for the excellency of its meetings that
it needs no eulogies. An unusually good corps of chairmen
have secured an exceptionally good list of papers from distin¬
guished physicians, and the success of the meeting is thereby
assured. Your presence as a participant is very much desired.
Complete announcement and programme will appear in the
March number.

* *

In order that the profession at large may know what Denver
and Colorado are doing with regard to preparing for the Insti¬
tute meeting of 1894, I have been requested to drop you a few
lines of information.

On receiving official notice as to who constitute the local
committee of arrangements the members were called together
and permanent organization was at once completed by the elec¬
tion of the following officers:

Chairman, Dr. Eug. F. Storke; Vice-Chairman, Dr. E. H.
King; Secretary, Dr. S. F. Shannon; Treasurer, Dr. W. A.
Burr.

The Reception Committee to consist of the President of the
State Society, the President of the Denver Homoeopathic Club
and Dr. Storke; they to add the names of two other persons.

At the next meeting the chairman announced the following
chairman of sub-committees:

Programme, Dr. J. B. Kinley; Printing, Dr. E. H. King;
Finance, Dr. J. M. Walker; Entertainment, Dr. J. Wylie An¬
derson; Hotels, Dr. W. A. Burr; Lady Visitors, Dr. Genevieve
Tucker; Excursions, Dr. S. S. Kehr; Railroads, Dr. N. G.
Burnham; Press Dispatches, Dr. A. Cuvier Jones; Hall, Dr.
E. J. Clarke; Correspondence and Press, Dr. S. F. Shannon.

The following resolution has been unanimously adopted by
the physicians:

Whereas: The coming of the American Institute of
Homoeopathy to Denver marks an era in the progress of scien¬
tific medicine in the Rocky Mountain region,

Resolved: That we, the local Committee of Arrange¬

ments. re-inforced by the members of the Homoeopathic profes-

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The Medical Advance.

sion of Colorado, do hereby pledge ourselves to do our utmost
to entertain the Institute in a manner worthy of the notable
occasion.

There are a large number of physicians in Colorado who are
practicing Homoeopathy; in fact I believe there are about one-
hundred and fifty, and they are one and all united and will
work together to make the 1894 meeting of the Institute one of
the best meetings ever held by that body. We highly appre¬
ciate the honor done to our city and state, by the members
selecting the “ Queen City of the Plains” as the next place of
meeting, and we feel assured that there will be no reason to re¬
gret the choice; but we hope to so take care of the members
that ere many years pass we may again have the pleasure of
entertaining them.

* *

The readers of the Medical Advance will be interested in
the fact that the second edition of Lee & Clark’s “Cough Rep¬
ertory” is in the hands of the printer. Further announcement
will be made upon its appearance.

* *

A Remarkable Experiment. —Clipped from the Deutsche
Warte, February 7, 1894, and translated.—“Professor Julius
Friedenwald, of the College of Physicians and Surgeons in
Baltimore, recently surprised his students and a number of in¬
vited physicians with a remarkable experiment which has here¬
tofore been considered an impossibility.

By means of a small rubber tube, he inserted a tiny electric
light into the stomach of a young man, and then turned off all
the lights in the room. The light which was produced in the
stomach was so intense as to make the abdominal wall almost
transparent, so that movements of the inner organs could be
seen with great distinctness. The highly interesting experi¬
ment is of great value to medical science, and probably will
find many imitators.”

* *

The annual meeting of the Homoeopathic Club of Denver,
Col., was held on Monday evening, January 22, at their rooms
in the Brown Palace hotel, President Kinley in the chair.
There was an unusually large attendance, owing to the fact
that the principal business of the meeting was the reading of

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The Institute's Jubilee.

153

reports of the \vork done during the year, and also the election
of officers for 1894. The members of the club have done a
large amount of charitable work during the time since the club
was organized, and the reports read for last year show that
they are still doing a large amount of work of this kind. * *

The election was then proceeded with and the following offi¬
cers were chosen: President, Dr. J. Wylie Anderson; vice-
president, Dr. C. W. Enos; secretary, Dr. S. F. Shannon;
treasurer, Dr. S. S. Smythe; censors, Drs. S. S. Kehr, J. B.
Kinley, E. H. King; delegate to the American institute of
homoeopathy, Dr. W. A. Burr.

* *

THE INSTITUTE’S JUBILEE.

The executive committee of the American Institute of Hom¬
oeopathy has named Thursday, June 14, 1894, as the time for
the opening of the next annual session. Physicians starting
from the most distant points on Sunday evening can reach
Denver by Thursday morning. The order of business is not
yet arranged, but it has been suggested that the session open
at 3 o’clock, p. m., that the afternoon be devoted to general
routine business, and that the special jubilee exercises and the
delivery of the president’s address take place in the evening.

Under the new By-Laws the duration of the session will be
limited only by the needs of the business and the requirements
of the sections; each of the latter being allowed all the time its
members may desire for the reading and discussion of all its
papers. Essayists are thus assured that their papers will, in
no instance, be denied a respectful hearing for want of time,
and the specialists of the Institute can enjoy full opportunity
for the consideration of the technical questions in which they
may be interested. Illustrations intended for publication in the
transactions should be artistically made and on separate sheets
for the use of the engraver. The Institute does not object to a
reasonable expense, when necessary, in illustrating an essay.

The value and interest of the scientific discussions will be
greatly enhanced if each essayist will furnish copies of his pa¬
per, prior to the session, to those who are expected to lead in
debating it. Any physician having knowledge of the decease
of an Institute member since June 1, 1893, will confer a favor

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The Medical Advance .

by reporting full particulars to the necrologist, Dr. Henry M.
Smith, Spuyten Duyvil, New York. Secretaries or other offi¬
cers of all societies, clubs, hospitals, dispensaries, etc., and the
physicians of all institutions of whatsoever kind, employing
homoeopathic treatment, are earnestly requested to make full
reports to Dr. T. Franklin Smith, Chairman of the Committee
on Organization, 264 Lenox avenue, New York City.

The annual circular, with full particulars as to hotels, rail¬
road fares, programme and other matters of interest, will be
mailed in May to every homoeopathic physician in the United
States and Canada. Any physician failing to receive it by
May 20, should notify the secretary. Each circular will con¬
tain a blank application for membership, with the full direc¬
tions for those desiring to become members. Societies and
colleges, wishing to canvass their membership for new mem¬
bers of the Institute, should apply at once for blanks, stating
the number desired.

During the last six years the Institute membership ha9
grown from 900 to 1,613—about 80 percent. It was sug¬
gested at the last session that each member should celebrate
the jubilee by securing at least one new member for the meet¬
ing at Denver. Pemberton Dudley, M. D.,

405 N. 16th Street, Philadelphia. General Secretary.

Wages of Women in California. —According to the re¬
port of Mr. John J. Tobin for 1887, the lowest weekly wages
given is five dollars, and the highest eleven dollars. Plain
cooks receive from twenty-five dollars to forty dollars a month,
with board and lodging, and domestic servants from fifteen
dollars to twenty-five dollars, with board. In cloak-making
the lowest wage is three dollars, and the highest seven dollars
and fifty cents, and in shirt-making the lowest is two dollars
and fifty cents, and the highest six dollars. General clothing
and underwear range from four dollars and fifty cents to six
dollars, and other trades average a trifle higher wage than in
New England.

“Mary, ” said Mrs. Barker, “I wish you would step over
and see how old Mrs. Jones is this morning.”

(In a few minutes Mary returns.) ‘ ‘Sure she’s just seventy-

two years, seven months, and two days old.”— Life .

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Hering Medical College and Hospital .

155

THE HERING MEDICAL COLLEGE AND HOSPITAL
OF CHICAGO.

PRACTITIONER’S COURSE, 1894.

To the Medical Profession:

In response to the expressed wish of many members of the
profession, the Faculty of Hering Medical College take plea¬
sure in announcing a Special Practitioner’s Course, to begin
Monday morning, April 9, and to continue three weeks.

The object of this Course differs in no respect from the gen¬
eral well-known policy of the college, which was organized to
teach, without compromise, the principles of rational and sci¬
entific medicine. Its policy made it impregnable, while its
methods of teaching that which is truest and best in the art of
healing, has made it popular and prosperous.

In this Practitioner’s Course, it is intended to teach the phi¬
losophy of Homoeopathy and general medicine, and to amplify
this teaching by clinical demonstration. In accordance with
this position, a large share of the time allotted to the accom¬
panying schedule is devoted to the principles of medicine and
to clinics. Whilst no branch of practical medicine is ignored,
it will be observed that Materia Medica and the Principles of
Homoeopathy , supplemented by clinical observation, medical
and surgical, are allotted an unusual amount of time, to accord
with the general desire of those who will attend this Post-
Graduate Course.

Surgery. —Profs. Boynton, Fisher and Crutcher will give
practical and theoretical instruction in the surgical field. Profs.
Boynton and Fisher will treat of operative surgery, including
operative gynecology; and Prof. Crutcher will give a practical
course on surgical anatomy and the technique of operations,
and will illustrate his lectures wherever necessary by the use of
the cadaver.

Medical Diseases of Women. —Prof. Mary Florence Taft
will teach this important specialty, illustrating the correct
management of the large class of women who suffer from
the ailments peculiar to their sex.

Theory and Practice of Medicine. —Profs. Allen, Sawyer,
Reninger and Tomhagen will give a thorough course in the
Principles of Homoeopathy and General Medicine, covering the

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field of practice from the standpoint of rational medical philos¬
ophy, carrying out these principles in the various clinics as¬
signed to them.

Profs. Allen and Reninger will devote considerable time to
the exposition of the truths contained in the Organon of Hah¬
nemann. Profs. Tomhagen and Sawyer will teach the applica¬
tion of these principles to special conditions met with in every
day practice.

Clinics. —The Surgical Clinics will illustrate the practical
side of surgical work, and will aim to be especially valuable to
the general practitioner.

The Mental and Nervous Disease Clinics will be in the charge
of Prof. Tomhagen.

In the General Medical Clinics , Profs. Allen, Hawkes,
Pease and Sawyer will illustrate with great care and thorough¬
ness the proper and best methods for 4 ‘taking the case,” secur¬
ing the “totality of the symptoms,” and selecting the “simili-
mum,” subjects of supreme value to all who would apply the
law of ‘ ‘similia” to the cure of disease. Profs. Fowler, Hoyne,
Taft and King will illustrate clinically the subjects assigned to
each in the schedule.

In all these clinics the truth of the law of similars will be
taught and demonstrated by experienced practitioners and
teachers who practice at the bedside the principles taught in
the class-room.

Materia Medica. —Professors Allen, Hawkes and Pease
will give in this course such material as will be of greatest
service to the practitioner in his daily work. The action of
different drugs, their relationship and comparison r will be clear¬
ly and fully shown, together with such practical therapeutical
hints as a study of the various remedies suggest. Hering
Medical College believes, teaches and demonstrates most con¬
clusively that the law of “similars,” regardless of all questions
of the precise dose, is the only rational guide in therapeutics.
Hahnemann simply systematized what had been known for
centuries, and made his marvelous cures with every variety of
potency; and what he did can be done to-day, because his
work was based upon natural laws, which do not change. This
College teaches the similar remedy , the single remedy and the
minimum dose, as opposed to the unscientific palliative and

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Book Reviews.

157

crude dosage of modern medicine; and entertains no doubt
whatever of the ultimate acceptance of the truths it teaches.

The fee for this special course, including everything, will be
Twenty-five dollars.

HKRING MEDICAL COLLEGE—PRACTITIONERS' COURSE, 1894.

Hour

Monday.

Tuesday.

Wrdn'dai.

Thursday.

Friday

Saturday*

Surgery.

Crutcher.

Surgery,

Boynton.

Surgery,

Fisher,

Surgery,

Crutcher.

Surgery,

Fisher.

Surgery,

Boynton.

Theory

and

Practice,

Sawyer

Theory

and

Practice,

Tomhagen.

Theory

and

Practice,

Reninger.

Theory

and

Practice,

Allen.

Theory

and

Practice,

Tomhagen.

1:30

Clinic,

Eye^and

Day.

Clinic,

Venereal,

Hoyne.

Clinic,
Dis. of
Kidneys,

King.

Clinic.
Dis. of
Women,

Taft.

Clinic,

Dermatology.

Hoyne.

2:30

Clinic,
Mental and
Nervous,
Torah agen.

Clinic,

Morbid

Growths,

Sawyer.

Clinic,
Gen. Med,
Allen.

Clinic,
Gen'l Med.
Pease.

Clinic,

Dis. of Chest,
Fowler.

4
to

Materia

Medica,

Allen.

Materia

Medica,

Hawkea.

Materia

Medica,

Pease.

Materia

Medica,

Allen,

Materia

Medica.

Hawkea.

BOOK REVIEWS.

Russia and Turkey
in the XIX Cent¬
ury, by Elisabeth
Wormley Latimer.
A. C. McClurg &
Co., Publishers.—
Price $2.50.

No two persons see the same things from
the same point of view; hence the discrepan¬
cies in the statements found in our histories,
either of the affairs of men or of nations.
The disinterested student is many times better
enabled to give proper interpretation of the intents and pur¬
poses of the makers of history than the writer cotemporary with
the events. Elizabeth Latimer seems to have studied the times

in which the different events of Russian and Turkish history have
taken place, and to have gained a very comprehensive knowledge
of the characters who have achieved prominence in the intense
struggle between independence and slavery, and has pictured
her ideas in a very charming manner. She acknowledges hav¬
ing very freely appropriated the thoughts of others, but either
gives a preface to their expressions, or an interpretation which

Digitized by ^.ooQle

158

The Medical Advance .

harmonizes or explains the different statements. This is a book
of 400 pages and over, that may be read as one would read a
romance, or studied as one should study the literature of na¬
tions. We predict for it the same popular reception given its
companion, ‘ ‘France in the XIX Century, ” by the same author.

This book, as will be seen by its title, is
divided into four parts. First, A treatise on
headache. Second, Neuralgia. Third, Irrita¬
ted condition of the spine, in which may be
found a description of the painful symptoms,
both as to local injuries or general shock.
Fourth, Normal and morbid sleep. Beyond
the descriptions given of the manifestations of different ner¬
vous disturbances, the book does not seem to possess any re¬
markable merit. The most interesting section is that referring
to normal and morbid sleep. The work has passed through
two editions, and this third edition has an appendix of consid¬
erable value, by David Webster, Professor of Ophthalmology
in the Polyclinic, the subject being ‘ ‘ Eye Strain the Cause of
Headache.” The only objection to be raised is that he points
out the possible causes of headache in such a manner that the
physician is left as completely in the dark after reading it as
he was before, unless he possesses the technical knowledge of
the oculist.

neaaacoe ana«
ralgia, including
Spinal Irritation
and a Disquisition
on Normal and
Morbid Sleep, by
J. Leonard Corn¬
ing, M A., M. D.
B. B. Treat, New
York, Publisher.—
Price $2.75.

This is the second edition through which
this book has passed, and has been thorough¬
ly revised, with additions bringing the subject
down to the present date. The author makes
no pretensions to originality, either of idea or
of treatment, and rather occupies the position
In this he does admirably ; and to those who
do not possess the works of Hebra or Fox, this book might be
interesting. No physician can profitably follow the teachings
of these authors in skin diseases. Every one of them have
utterly failed in their recognition of the cause of diseases of
different kinds upon the surface of the body in general. None
of them seem to recognize the fact that it is simply an effort of
nature to throw off an element disturbing the normal functions

A Practical Treat¬
ise on the Diseases
of the Hair and
Scalp, by George
Thomas Jackson,
M.D. B B. Treat,
New York, Pub¬
lisher. Price $2.75.

of a compiler.

Digitized by ^.ooQle

Book Reviews.

159

of the life forces. Almost every prescription in this book, and
it is full of them, is in the form of local treatment. Seeking
to cure they only suppress, and in the last stage the patient is
always worse than in the first. To the interpretation of the
law of disease as taught by Hahnemann must every physician
look, if he would cure diseases of the skin.

The great need of a standard American
work on Medical Jurisprudence has long been
felt, and this work gives abundant promise of
being just what the medical and legal profes¬
sions have so long wanted. Every depart¬
ment will be thoroughly and reliably treated.
Subjects treated: Toxicology, Inorganic, Al-
kalbidal and Ptomanic Poisoning—Criminal
Abortion — Infanticide — Birth—Sex—Preg¬
nancy — Sexual Perversion — Rape — Impo¬
tence—Indecent Assaults on Children—Ster¬
ility—Death by Hanging, Drowning, Strang¬
ulation, Cold, Heat, Starvation and Electric¬
ity-Post Mortem Examinations—Living and Dead, Identity
of—Blood and other Stains—Homicide and Wounds—Surgical
Malpractice — Life Insurance—Public Health—The Medico-
Legal, consideration of Contagion, Infection, Nuisances, etc.—
Railway Neuroses—Insanity, Criminal and Civil—Hypnotism
—Hysteria—Feigned Diseases, etc.

A System of Legal
Medicine. A Com¬
plete Work of Ref¬
erence for Medical
and Legal Practi¬
tioners, by Allan
McLane Hamilton,
M.D., of NewYork,
and Lawrence God-
kin, Bsq.. of the
New York Bar, as¬
sisted by Thirty
Collaborators of re¬
cognized ability.
In two royal octavo
volumes af about
700 pp. each. Fully
illustrated.

Modern Household
Medicine A Guide
to the mode of rec¬
ognition and the
Rational Treat¬
ment of Diseases

This is a work on domestic medicine and
consists of two parts:

First: Subjects of general information, a
knowledge of which is indespensable in every

household.

Second: Diseases, their description, symp¬
toms, causes, diet and medicines.

Other sections treat of Diseases of Women,
Gestation, the Lying-in period, the Climacte¬
ric, Diseases of Children, Accidents and
Emergencies. The descriptive portion of each of these parts
is given with sufficient clearness for the purposes of the work.
But when the author deals with the practical application of

and Emergencies
incidental to Daily
Life. By Charles
Robert Fleury, M.
D. Third Edition,
revived and enlar¬
ged. London: B.
Gould & Son. 1843.

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160

The Medical Advance.

remedies in the cure of the sick he does it in such a bungling
manner as to make the work of little value to physician or
layman. External medicated applications in lotions and lini¬
ments, alternation of remedies which is almost forgotten in
American works, lay or professional, and with a few excep¬
tions, the indications for the various remedies are rarely given.
The title of the work, however, does not claim that it is any¬
thing but what it professes to be, viz.: a work on ‘ ‘Modern
Household Medicine.”

Gui^ng^s^inp- In a private letter to the editor from Dr.
toms. Calvin B. Knerr, we extract the following as

to the progress of the work: “About 500 pages are in print
and stereotyped—about 600 more are to be prepared for the
press. I think you and other practitioners will find the book
an indispensable aid in practice, because it is based upon the
Guiding Symptoms and constructed upon a plan at once Analy¬
tic and Synthetic, giving symptoms and their diseases in all
their relations, standing out clear, each remedy given its value
or degree of prominence. A notable and practicable feature
in *the repertory will be its synonymic guide , pointing to related
symptoms and clinical conditions. This adds greatly to the
editorial work, but nothing but labor will tell. The book will
surely be out in the summer, sooner if possible.”

The Physician's
Wife and the
Things that per¬
tain to her Life
By Ellen M. Fire*
baugh. Illustrat¬
ed. Philadelphia:
The F. ▲. Davis Co.

1S94.

The author says that last year she was in¬
vited to read a paper before the ASsculapian
Society of the Wabash valley, and the subject
assigned was “The Physician’s Wife. ” The
paper was ordered published in pamphlet form
for the use of the members, and was so much
admired that she was urged to enlarge it and
put in a more permanent form. It is true to life—an every¬
day experience, a beautiful pen-picture of the joys and sor¬
rows of the doctor’s wife, especially the wife of a country
doctor. But the city doctor and his wife and family
will find many scenes portrayed in this book that they
will readily recognize from the fact that they too 4 ‘have been
there.” We congratulate the authoress on the work, and hope
it will not be the last volume from her facile pen.

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THE

Medical Advance

A HOMEOPATHIC MAGAZINE.

Vol. XXXI Chicago, March, 1894. No. 3

♦SYMPOSIUM OF HOMOEOPATHIC PRESCRIBING.

THE REPETITION OF THE DOSE.

CLARENCE WILLARD BUTLER, MONTCLAIR, N. J.

In the discussion of any scientific question a definite and
certain terminology is of prime importance.

It is probable that more energy has been wasted in profitless
polemics from lack of precision and clearness in statement
of the premises assumed than because of radical differences in
opinion. It is well therefore that I should at the outset make
plain my understanding of the terms used in the statement of
the subject assigned to me. By a “dose” of medicine I un¬
derstand any portion of a drug given for therapeutic purposes
at a single imbibition; by repetition of doses I understand one
or more additional portions of the same drug administered at
practically appreciable intervals of time.

If, for example, a physician desires to administer three-
eighths of a grain of morphine, and elects to give one-eighth
of a grain every fifteen minutes until the whole quantity has
been taken, I should say that he had given three doses of
morphine of one-eighth grain each, and had repeated the doses
every fifteen minutes; and this although the analgesic or
hypnotic effect desired in this particular case might have been
obtained, or even expected, only from the physiological effect
of the total quantity—three-eighths of a grain.

If an Homceopathist puts one-half a grain of the third

(♦This is the fourth article promised for the Symposium of Homoeopathic Pre¬
scribing, edited by W. A. Yingling, M. D , Nonchaianta, Km,-Bd.)

161

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162

The Medical Advance.

trituration of a drug into six spoonfuls of water and gives one
spoonful every hour until all has been taken, I should consider
each spoonful of the solution a dose, and would report this
case of having received six doses of medicine at hourly inter¬
vals of repetition.

I have been thus particular to make my meaning in the
use of these terms clear and unmistakable since there has
arisen among certain physicians in recent years a fashion of
speaking of the “divided dose” as if the total amount of the
drug administered was the dose in each particular case. Now
that medicines are given in different forms and at stated intervals,
in portions smaller than the supposed remedial limit, evidences
the fact that different effects are expected by the Therapeutist
from these different methods of administration.

That this expectation has sound basis in general experience
may be conceded I think, without argument.

This being true it follows inevitably that some result is ex¬
pected from each portion given, however minute that portion
may be, and for each such portion, for purposes of record and
of communication, a definite name is surely required. We
must therefore either coin a new one or accept that already
recognized. But change in scientific terminology is only justi¬
fied where the term in use involves ambiguity in expression, or
implies an unscientific concept. In the case' in question,
despite the double meaning and inexact use in which it has
been at times employed, the term “dose” does not seem open
to either of these objections. I protest therefore against the
change and modification of its meaning which the term
“divided dose” interjects, because it has no justification in
present necessity; because its inevitable effect must be ambi¬
guity and confusion, where exactness and lucidity are impera¬
tive; and because it can serve so far as I can perceive no useful
purpose.

Whether or not, with the present accumulation of facts any
generalization may be made sufficiently wide to deserve recog¬
nition as a law for the repetition of the dose it is certain that
no such generalization has been made and the question remains
one of individual experience.

The opinions expressed, the theories advanced and the sug¬
gestions made in this paper, are then, of necessity personal,

Digitized by

Google

The Repetition of the Dose .

163

and for any and all of them the writer alone is responsible.
By this statement it is not to be understood that originality is
claimed nor that any new thing may be expected. The paper
is intended to be a practical, not an historical one, and while I
gladly acknowledge my indebtedness in respect of the theories
held and the practice advocated herein to many writers upon
the subject from the time of Hahnemann to the present, any
attempt to give due credit to particular individuals would
necessitate a prolixity wholly inconsistent with its avowed pur¬
pose.

The methods in practice advocated will be first presented in
the form of arbitrary rules and such remark or explanation as
may seem necessary, together with the theories germane to the
subject entertained by the writer, will follow. I desire first of
all, however, to state with emphasis that these rules are based
not upon the theories which will be presented, but upon many
years watchful experience,—are those relied upon daily in my
professional work and for them I bespeak faithful and unpre¬
judiced trial by all earnest practitioners of Homoeopathy.

RULES.

I. Let the first prescription in each case be a single dose.

II. Let the single dose of any remedy be given in its dry
form.

III. If no effect is produced by the single dose and the con¬
ditions remain the same, the remedy should be repeated.

IV. When repeating the remedy if a higher potency be em¬
ployed, a single dose of the new potency should be given dry.

V. If a lower, or the same potency be given, when repeating
the remedy, these should be exhibited in a watery solution ahd
the dose frequently repeated.

VI. When drug action becomes manifest stop all medication
and determine at once the character of that action. It will
either be curative; or palliative; or it will change the disease
type; or produce characteristic symptoms of the drug (a phy-
siologico-pathological proving).

VII. If a drug proving i. e. the appearance of specific drug
conditions, be in evidence, a new prescription will be called for.

VII. If the type of the disease is changed by the medication
then too, a new prescription will be needed.

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164

The Medical Advance.

IX. If the action be palliative, repetition of dose, or remedy
(or change of drug or potency) is contra-indicated so long as
the patient’s sufferings are thus mitigated.

X. If the action be curative, under no circumstances may
the dose be repeated (nor may remedy or potency be changed)
as long as this action continues.

XI. In all cases before repeating the dose, a re-examination
equal in care with that required for any other prescription must
always be made.

In stating his theories in respect of his subject, and of mat¬
ters more or less intimately connected therewith, the writer
must of necessity encroach somewhat upon fields allotted to
other contributors to this symposium. No injustice can be
done them however, if it be borne in mind that, as has already
been stated, the opinions here presented are his own and for
them he alone is responsible. Stated as briefly as possible they
are these.

The organized living body always endeavors to free itlfelf
from noxious influences. Whether such influences be “matter”
or “motion” their elimination or annihilation is accomplished
unaided, with much perturbation of the system, and in the
animal economy with many discomforts and sufferings which
are manifest to the skilled observer through recognizable signs
(symptoms). From the practical standpoint the complex of
these symptoms (signs) is the disease. The business of the
Physician is to aid the system in its endeavors toward
the elimination or annihilation of this sick making power
with a minimum of discomfort, suffering and danger. This
he accomplished in his office of Hygienist, or Sanatarian, by
removing the setiological factor when that is known, which is
seldom the case; in his office as Therapeutist he attains the
same end by the use of drugs. In the present state of human
knowledge the appropriate drug may only be determined by
the homoeopathic law of selection. Such a drug, one homoeo¬
pathic to the case in hand, is curative and appropriately termed
a remedy. The expression “homoeopathic remedy” is tautolo¬
gical; there is no other. The use of this term is justified how¬
ever, by the frequent occurrence of the word “remedy” in all
medical literature and indeed it may hardly be discared for
the present.

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The Repetition of the Dose .

165

That & drug homoeopathic to the case, does cure the patient
by removing the cause and the disease is a fact abundantly
proven; how it does this is not known.

Without striving to solve this problem we may safely assert
that the drug itself is only indirectly the curative agent. The
potent and only direct curative power is within the animat
economy, and is its vital energy—that is, that portion of the
universal energy appropriated by and acting through the or¬
ganism at the time. As in the locomotive engine it is the
steam which furnishes the motive power, not the lever, the
proper adjustment of which admits the heated vapor to those
appointed channels in the machine where its energy may be
expended in performing the desired work; as in an electrical
apparatus it is the electricity which is effectual to the desired
end, not the “switch” which directs the current, so in this
wondrously complex machine, the living organism, the remedy
is a factor in the cure only as it frees the vital energy and
directs it to appropriate lines of action. If this be its office,
and its only office, it is obvious that when this is accomplished
further medication is superfluous.

All that the remedy can effect it has effected. Now experi¬
ence teaches us that this effect may usually be had from a
single dose of the appropriate drug.

Hence the first rule 1 ‘Let the first prescription in each case
be a single dose. ” At two or three different times I have in¬
stituted series of experiments with the use of the single dose
given in a watery solution, but they have been speedily aban¬
doned, partly possibly, because favorable experience with the
dry dose has prejudiced me in its favor, but mostly I think,
because I saw nothing gained by this method and at times
thought I marked distinct loss. I am free to confess however,
that these experiments were never sufficiently exhaustive to form
a reliable basis for a fixed rule of practice. But my experi¬
ence with the method advocated has been so favorable that I
have advised that (Rule II.) the single dose of any remedy be
given in its dry form.

I have said that curative action may usually be inaugurated
by the single dose of the indicated remedy, and it is probable
that this would be effected in all cases if in every instance we
could choose exactly both the remedy and the potency. So

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G< > gk

166

The Medical Advance.

difficult is it to choose with certainty the most similiar remedy
even with the guidance of the unerring law of homoeopathy; so
difficult is it to select the most appropriate potency since so lit¬
tle is known of the nice relations which should obtain between
the drug energy and the vital energy, and no known law is here
applicable. This ideal perfection of choice is often impossible
\o human and fallible judgment. Probably for these reasons,
certainly for some reason, in a not inconsiderable number of
cases the single dose will be followed by no appreciable modi¬
fication of the conditions prescribed for. Under such circum¬
stances and when the always imperative re-examination reveals
the same conditions still present and by consequence the same
drug called for, the remedy must be again exhibited. Rule III.

But this may not be done in any case until after a period of
observation sufficiently long to leave no reasonable doubt of the
failure of the former prescription. Unfortunately no rule,
even approximate, can be given as to the proper period of ob¬
servation. i. e. the time which one should await evidences of
>•

drug action. It is, and will probably always remain, a ques¬
tion of personal judgment in each individual case.

The nature and severity of the sickness, the constitution and
temperament of the patient, the known promptitude in action
of the remedy employed, are all factors which will enable the
prescriber to form that basis or reasonable expectation upon
which his action must depend. Acute suffering or imminent
danger may call for frequent repetition, while in cases of long
standing, especially such as depend upon or are modified by the
deep-seated dryscrasiae, (“chronic miasms’"), remedial action
may only appear after days or weeks have elapsed, and the
temptation to repeat the remedy or the dose must be religiously
guarded against.

In cases of doubt always remember that the vis a tergo is to¬
ward the “fatal error” of rash precipitancy and in no case
allow the judgment to be clouded by the restlessness of the pa¬
tient, the insistance of his friends, nor your own anxiety. In
therapeutics it is preeminently true that most wisely do 1 ‘They
also serve who also stand and wait. ”

If, however, repetition of the remedy becomes necessary it
may only be done in a higher, a lower or the same potency.
The fact that the remedy in the form and strength of its origi-

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The Repetition of the Dose .

167

nal administration was impotent indicates that it should be
repeated either in another power of the drug, or another
method of exhibition.

If now the drug potency be changed, and this I earnestly
recommend as the course usually most efficacious, that change
should be marked and material. If your former prescription
has been a very high potency, not only should you now give a
lower, but a very much lower one; if a low or medium potency was
first used, not only should you now use a higher, but a very much
higher one—a change from a cm to a 200 or vice versa.

Where it is practicable to make this marked change from a
lower to higher potency, let this be done and a single dose dry,
be given. (Rule IV). It will hardly be denied by the thera¬
peutist of experience that repetition of doses in these high
powers too frequently induces troublesome aggravations or
more troublesome complications in the way of drug symptoms
and conditions.

Of these complication s something further will be found in
the discussion of Rule VII. **

When the second prescription is a lower potency than that
at first employed, or where it is necessary for any reason to
again use the original potency, the remedy should be put in
water and frequently repeated until effects are obtained (Rule
V). By frequent repetition of doses I mean, even in chronic
cases a dose every hour or two and continued several days if
need be.

The patient must be seen at frequent intervals that any pro¬
duced effect may be detected in its first manifestation and
severe aggravations from cumulative action be thus avoided.
Although this involves some trouble to a Physician and some
expense to the patient it is imperative and the results will
amply justify the means. As soon as drug action becomes
evident the first business of the Physician is to determine the
character of that action, (Rule VI).

At times after a prescription symptoms peculiar to the drug
• exhibited will presently appear.

If these are accompanied by neither aggravation nor amel¬
ioration of the original conditions it shows that the drug was
not Homoeopathic to the case. The effect is always disastrous
because it grafts a new (drug) disease upon that which already

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168

The Medical Advance.

obtains—is in fact a drug proving and a new and especially
careful prescription becomes immediately imperative. The
therapeutist meets few conditions as complicated or as difficult
to prescribe for as this one.

Thus we see that a drug may influence the sick organism in
that manner peculiar to itself and without essential modification
of the morbid conditions present. But it may also exhibit
evidences of a certain amount of influence over the disease pre¬
sent although not enough to establish directly curative action.
In other words there are various degrees of the homcBopathicity
of drug disease to natural disease. Now the ideal homoeopa¬
thic remedy, the similimum, in its curative action proceeds
along the same lines as the disease which it annihilates, but
conversely. But one less accurately chosen but still similar,
while it may not be capable of effecting that immediate and
direct cure confidently expected from the similmum, may and
frequently does effect a change of the disease type. By
disease type I mean that association of symptoms and condi¬
tions present through which the Physician recognizes the
nature, trend and tendencies of the sickness. All disease be¬
ing, in respect of the organism diseased, salutary—an effort of
the vital energy to remove from it noxious influences, the
manner in which it moves toward this end and the channels of
elimination or method of annihilation would be presumably
those which least seriously disturb the general system. I say
presumably because within the animal economy as outside it,
the direction of kinetic energy is toward the point of least
resistance, and a minimum of resistance insures a minimum of
those perturbations which are its direct consequence.

If now for any reason disease has assumed a certain type,
that accidental influences may serve to change, that type is a
fact too well known to demand amplification at this time.
Among the most potent factors in effecting such change are
drugs, and were illustrations necessary the whole history of
suppressant and revulsive treatment might be cited in evidence.

And as drugs thus improperly administered may effect un¬
favorable change of disease type, so too, one may be given
which from its partial homoeopathicity to the disease may effect
a favorable change of type although it is not sufficiently similar
to complete a cure.

Digitized by ^.ooQle

The Repetition af the Dose. 169

Now in such case although the change is a favorable one,
the conditions less severe and dangerous, the fact remains
that the progress toward health is not such as is observed when
the remedy has been accurately chosen—it is a diversion of
the vital energy, happily to better avenues of activity, but not
to that distinctive action which marks the homoeopathic
cure, viz; the gradual disappearance of the symptoms in the
reverse order of their appearance.

Indeed a new disease now presents itself i. e. a new complex
of symptoms, differing in kind as well as degree from those
other and for this reason demanding a prescription homoeopa¬
thic to the statiLspnesens (Rule VIII). That unaided nature is
usually equal to the cure of this new and milder disease is no
excuse for inactivity on the part of the Physician.

All milder types of sickness will usually be cured by the
vital energy without remedial aid, but the remedy is needed if
the cure is to be made with a ‘ ‘minimum of discomfort, suffer¬
ing and danger” to the patient.

I have dwelt with perhaps undue length on this subject
because I am convinced that much time is lost and much suf¬
fering entailed from lack of wise discrimination as to the
character of drug action manifest,—indirect aid too often mis¬
taken for that direct curative action which characterizes the
ideal homoeopathic cure, and by consequence, the immediate
interference most useful in the one case, gives place to the
“masterly inactivity” which is the only safe course in the
other.

Neither time nor space now serve for the discussion of the
question of palliative treatment. Without argument or
elaboration of the theme, I make here the bald statement
that the Homoeopathic remedy is the truest, the safest,
and most effectual palliative.

This is in accord with the testimony of the greatest pre-
scribers of our school of medicine, and, incidentally, with my
own experience. Assuming the truth of this statement I pro¬
ceed to the discussion of Rule IX.

Where the remedy is simply palliative in its action, evidence
of its efficacy will be the same as curative action (q. v. RuleX).
Now if these evidences of drug action are unmistakably pre¬
sent, despite which definite prognostic signs indicate that the

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170

The Medical Advance.

sickness is making certain and undoubted progress toward an
ultimately fatal terminination, it proves conclusively that the
disease is incurable by any mode of treatment.

The utmost that can be hoped for then is a reduction of the
patient’s sufferings in the greatest possible degree, and in the
safest and best possible manner.

Since this is most surely accomplished by the drug selected
under the Homoeopathic law and since the evidence is plain
that in the case postulated, this drug has been administered and
has directed the vital energy to the most favorable lines of
action, it follows logically, as it has been proven many times
experimentally, that the best possible is already doing.

Palliation being the utmost of your expectation, and this
being already in evidence, any meddlesome interference not
only will complicate conditions even now sufficiently serious,
but will, too, deprive the patient of the only benefits which
may be hoped for from medical aid.

As we have seen when discussing Rule VIII, remedial action
may be direct or indirect—and this determined by the degree
of homoeopathicity of the selected drug to the natural disease
for which it is prescribed.

If indirect action is established its effect is to change the
disease type, carrying,the patient so to speak, a little way
toward recovery and paving the way for another prescription.

No inconsiderable number of our cases are thus, to use the
late Dr. C. Hering’s graphic expression, < ‘zig-zagged” back to
health. When however, there obtains close similarity between
the drug action and the disease action the influence of the for¬
mer will be directly curative and no change of type will follow,
no new tissues will be invaded, no new lines of action be estab¬
lished, but gradually and in regular order will the signs of the
sickness all disappear. This is the ideal cure for which every
Homceopathist strives. The first sign of this direct curative
action will be either an amelioration or an aggravation of the
patient’s symptoms. If it be amelioration steady and pro¬
gressive, the exact object desired has been attained; the remedy
proven to be homoeopathic, and the potency appropriate.

If on the other hand aggravation follows, then, too, is the
drug proved to be homoepathic but the power employed is in¬
appropriate. I say inappropriate—not necessarily too strong.

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The Repetition of the Dose.

171

A crowbar is not too strong to do the work of a cambric
needle, but it is quite inappropriate. It will occasionally occur
that aggravations thus super-induced will be so prolonged,
severe and even dangerous that antidotal treatment will become
necessary. In such case another similar remedy, in a potency
different from the one already employed, will be found the
most effectual antidote.

The inhibition of the aggravation by antidotal treatment may
leave the case materially modified in original conditions and no
further present interference be necessary, or the case may pre¬
sent itself considerably changed and a new prescription be de¬
manded—a direct curative action having been converted into an
indirect.

Care must always be exercised not to mistake complications
from drug proving for aggravations from undue remedial action.
The onset of symptoms belonging to the drug employed and
the appearance of conditions in no way related to the natural
course of the disease under treatment, will mark the former;
simple exacerbation of conditions already present, the latter.

Aggravation from the Homoeopathic remedy, wisely handled
in respect to repetition, are, however, usually transitory and
quickly followed by material and satisfactory amelioration.

Amelioration of the disease conditions either direct or indi¬
rect because of intervening aggravation, is at once the beginning
and unmistakable evidence of the establishment of curative ac¬
tion. If now the only effect which the remedy can have is the
promotion of this curative vital motion, and this it has already
done, it is obvious that further medication is superfluous, as has
already been said. *

But not only is it obvious that further medication is super¬
fluous, but it is equally obvious that such medication may be
obstructive even to the point of danger, for undoubtedly some
new form of motion must be thereby introduced to complicate
and modify that already established—to change exactly the ac¬
tion which is most, desired for one which in all probability is
not desired at all. Accordingly it is most strenuously insisted
(Rule X) that, when curative action is manifest, no interfer¬
ence is permissible so long as this continues.

This rule, as old as Homoeopathy, and appealing in the
strongest manner to reason, would be easily followed if disease

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172

The Medical Advance .

in its progression or in its retrogression was steadily uniform
in its movement.

But unfortunately this is seldom, perhaps never, the case.
Periods of improvement will be followed by sharp and distress-
ing aggravations and conversely, periods of seemingly marked
retrograde movement will precede most undoubted and satis¬
factory betterment of all conditions. These “wave like”
movements in disease action must be allowed for, and it often
becomes a very nice question whether certain changes are those
temporary fluctuations which may be expected, or whether they
indicate radical loss. To a correct solution of the question
must be brought the prescribed calmest judgment and most
conscientious care, for his action, which this will determine is of
gravest importance.

If it becomes evident that curative action has ceased, re¬
examination will determine whether a change of remedy, of
potency, or a repetition of the dose is next needed; if however,
it proves to be one of those 4 4 wave-like” motions of disease—
a temporary exacerbation, no change or repetition is indicated.
Wait patiently and confidently for reaction and when this comes
it will certainly carry your patient to a much higher physical
plane, and that rapidly and pleasantly.

It will be especially helpful in making this decision if it is
borne always in mind that the patient not the disease, is under
treatment. If on the whole your patient is better—especially
in the Psychological sphere, even though his disease in its nos¬
ological classification is unimproved, you may confidently class
the present condition as among the temporary aggravations in¬
cidental to all cases. Again as improvement progresses there
will frequently appear certain symptoms not present, or not
remembered as present before, and appeal forcibly to your
mind as marked indications for the use of another remedy. If
however, the disease type remains unchanged, these should be
ignored, at least in so far as they may influence interference on
your part. The patient is getting well and no meddlesome
medication will hurry nature who moves always according to
fixed laws, intolerant of interference and unforgiving of mis¬
takes.

Rule XI is but the expression of an obvious necessity and
requires neither explanation nor amplification.

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When Should the Remedy Be Changed .

173

WHEN SHOULD THE REMEDY BE CHANGED?

B. l’b. baylies, m. d.

The remedy having been selected homoeopathically , and the
dose as nearly as possible adjusted to the sensibility and sus¬
ceptibility of the patient, possibly to the activity of the morbid
state, it should not be changed while the symptoms which first de¬
manded its prescription continue. A change of the remedy would
imply either that the medicine administered had not been well
selected, was non-homoeopathic—a condition which will rarely
occur to the careful and studious physician—or, that it having
been chosen in strictly homoeopathic relation to the case, the
original symptoms had changed.

Neither should the remedy be changed while the possible
series of apparent aggravations or vital commotions produced
by it continue.

These will be recognized as aggravations by the remedy when
they present a striking development of its similar symptoms, to
which may be super-added other symptoms of the remedy not
extant in the case, a picture of its characteristics more fully
developed. When such a manifestation occurs the remedy
should not be changed, or even repeated, for its undisturbed
action will be followed by a proportionately greater elimination
of the morbid phenomena, and progressive though somewhat
fluctuating improvement.

This is illustrated in the fluctuating or undulatory progress
towards recovery, which the homoeopathic remedy affects in the
intermitting neuroses and fevers, the paroxysms of which suc¬
cessively exhibit its influence in greater and still greater elim¬
ination of the corresponding symptoms, and this operation may
continue until the original symptoms of the disease have ceased,
and the repose, or vigorous mobility of health has supervened.
This may have been accomplished by the single dose, or by a
series of doses, by a single potency or by a graduation of potencies
of the one original medicine. But should the removal of the
primary symptoms have unveiled others not at first present, it
is then the practical question: whether the new symptoms are
the effect of the medicine or an evolution of the disease? Has
some latent virus, hitherto dominated and repressed by a
stronger morbific agent, been liberated and become active? Or,

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174

The Medical Advance.

are the new symptoms a development of those of the adminis¬
tered medicine? If the new symptoms are not attributable to
the medicine, another remedy must be sought in the Materia
Medica with the help of Boenninghausen’s, Lippe’s, or other
repertorial guides, to complete the cure.

BRYONIA ALBA.*

J. A. WAKEMAN, M. D., CENTRALIA, ILL.

Moral symptoms, and doubts his recovering with fear of
death.

Trouble about his business and everything makes him angry.

Nightly delirium.

Morose, and complaining.

Aggravation of Bryonia comes at 8 or 9 o’clock at night, on
waking from sleep.

After a meal.

By movement, and contact, with almost entire cessation of
pain by perfect quiet.

The strength disappears on making the least effort.

“So weak that his thoughts vanish.”

Heaviness and weakness in all the limbs, can scarcely move
them from mere heaviness.

Trembling of the limbs on rising from a recumbent position.

Stiffness and painfulness of the joints.

Fainting fits.

Sanguine when sitting, less so when walking.

Thirst for beer is an important characteristic.

Patient inclines to the affected side, as in pleurisy and pneu¬
monia, when the sharp, cutting pain is greatly aggravated by
the dry cough.

In female diseases, Bryonia compares well with Arnica.

Constipation, stools, dry, hard, dark and as if burnt.

Case —chill with dry, hard, ‘light and chalky * stools cured
by Bryonia, w in three days, with no relapse. Important in
Pneumonia, and in most cases of Pleurisy, an indispensable
remedy.

Cough— worse coming from the cold into a warm room.

After meals and on lying down.

* Written chiefly for the benefit of the younger member* of the profession, who
need sU the help they can obtain.

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Bryonia Alba.

175

Aggravated at 8 or 9 o’clock p. m and produces a sensation
in the chest and head as if they would burst, and apt to induce
vomiting. A useful remedy in chronic Hepatitis, useful in
the coughs of old people.

Headache — case —violent pulsating pain, coming on in the
morning, starting in the right occipital region, extending over
the right ear to the right temple, greatly aggravated by motion,
walking and coughing, relieved by Bryonia, and has never return¬
ed. In the headache of this remedy, there is a violent pressing out
sensation as though the cranium would burst, especially on
bending the head forward, when the eyes feel as if they
would protrude from the sockets; and the eye-balls are very
sore to the touch. In suppressed or tardy appearance of the
eruption in measles, seriously implicating the respiratory
organs, it does much good.

Case —Mr. R., aged 50, had never had measles, and was
now as follows: Most extreme dyspnoea threatening suffoca¬
tion; skin hot and dry; hoarse dry cough; great distress in the
head, aggravated by coughing or moving; sick three days and
no appearance of the eruption. Put feet in hot water, Bry. 80 *
every hour with all the cold water he wished; better in two
hours, stopped the medicine, and in eight hours perfectly
relieved and covered all over the head, and superior portion of
the body and limbs, with a bountiful eruption. Recovered on
Bryonia alone.

In Typhoid fever an indispensable remedy. Lawrie gives
the following symptoms as indicating the remedy, in that
variety denominated Cerebral Typhus, “violent stupefying
headache as from a blow, and pain across the forehead and at
the temples as if the head would burst, frequent raising of the
hand to the head. Aggravation of these sensations by move¬
ment ; continuous violent delirium with excessive febrile heats ;
foul, thickly coated yellow—or dry, black tongue with vesicles
in mouth and on the tip and edges of the tongue; fevered lips;
nausea and vomiting of mucous and bilious matter.” The
vomiting is not usually found to be a prominent trouble,
epigastrium is tender, and while the face is red and hot, the
patient is usually bathed in a profuse perspiration ; distended
abdomen ; and the bowels costive at this stage ; oppressed
sighing respiration and drowsiness.

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176

The Medical Advance .

Rhus Tox. is indicated by very similar conditions but better
adapted to the debile form or stage.

In 1853*54-55, in my early Homoeopathic practice, I used
these remedies in the 3d and 6th and gave them in alternation
at three to four hour intervals, and in this way treated over
forty cases without a loss. Delirium was present in nearly
every case. None ran less than twenty days and one or two
continued over forty.

Never tried to move the costive bowels under ten or twelve
days; kept them quiet as long as I could—in one case over
twenty days—for as soon as they were moved diarrhoea superin-
vened and became troublesome.

Hemorrhages were frequent, and in one case the most alarm¬
ing Glossitis supervened. Inflammation and ulceration of
Peyer’s patches evidently present in many cases, protracting
the uncontrolable diarrhoea.

Great oppression across the chest, very prominent under
Rhus, less so under Bryonia, was nearly always present, and the
cutting as with knives and burning as from live coals of fire,
with the reddish watery stools—as of bloody water—were kept
in check by these remedies. Deafness was present in nearly
all cases; and one young lady recovered from the fever with the
loss of her knowledge of music and astronomy.

Hartman lays great stress upon the evening chilliness and
morning heat. Patient chilly; covers up and then is too hot
and nervous, when the chilliness is again troublesome and thus
disturbs the rest.

Hartman remarks: “that in typhoid fever with congestion of
the head, it is a most reliable remedy when the following group
of symptoms occurs: After a slight cold the patient complains
of pains as if bruised in all parts of the body; everything upon
which he is lying is too hard for him. (See Arnica). The
beating, pressing, pain in the head from within out¬
ward is especially distressing to him when looking up or mov¬
ing his eyes. The scalp is painful to the touch, and the head
burns like Are, in spite of which the forehead is covered with a
cold sweat; debility, weariness, and weight in all the limbs
which obliges him to sit or lie down, with dread of the open air;
the night’s rest is disturbed by erethism of the circulation, heat
and anxiety—especially in the hours before midnight; the pa-

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Bryonia Alba .

177

tient moans during sleep and is awakened by anxious and fright¬
ful dreams which continue even after waking.

A characteristic symptom in the commencement of a Bryonia
Typhus is the alternation of heat and chilliness—the former in
the morning and the latter in the afternoon—and on going to
bed, the thirst is moderate, but there is vertigo, increase of the
headache and excessive erethism of the nervous system.

Gastric symptoms are manifestly present; patient complains
of bitterness in the mouth.

Dryness and yellow coating of the tongue.

Aversion to food.

Nausea with inclination to vomit.

Pressure and stinging in the pit of the stomach.

Sensation in the hypochondria as if they were distended.

Difficult 8tool.

As the disease progresses the violent heat becomes perma¬
nent and is accompanied with violent delirium without the pa.
tient complaining much of his illness; the distortion of the
features and the grasping at the head are the only signs of the
continuance of the violent headache; the continued moaning,
even when the patient is awake, points to an approaching
rash which frequently breaks out in the shape of a white, miliary
eruption and sometimes in shape of petechise. The delirious talk of
the patient in most cases turns about his business, which gives
him so much anxiety that he endeavors to escape; the thirst
becomes more intense; the tongue dryer and more parched; the
face is red, bloated; the lips dry and cracked; the alvine evac¬
uations cease entirely, and the scanty urine is brown-red. ”

The great value of the indications as given above by Hart¬
mann fully justifies their incorporation in this place.

The fever when fully established in the system must run its
course, and when the remedy has been carefully chosen, hold
on to it , until some other is better indicated by a material
change of symptoms, for if there is no aggravation of symp¬
toms, this, of itself, is a gain at least in time, and no change
should be made, although you see no improvement, until a
radical change in some leading feature of the case demands it.
This is very necessary. By changing your prescription every
time some trivial symptom comes up, you not only do your
patient no good, but you loose that clear image of the disease,

178

The Medical Advance.

the symptoms of which become so mixed up with those of the
remedies, that it is impossible to judge of the case correctly.
The brainf and nervous system is narcotized by some systemic
poison that it cannot throw off ; nor can it manifest its suffer¬
ings by the development of those clear, well defined symptoms
that we find in nearly all acute diseases, hence it is that we do
not get that ready response from our remedies that we expect
in other diseases, and hence, too, the importance of holding to
one prescription when we are certain that it is the remedy in¬
dicated.

This remedy in alternation with Rhus. Tox., as I formerly
used it, is certainly one of the most important, and used in
alternation or succeeding each other according to the symptom¬
atology, doubtless the most important ones in neutralizing the
poison under which the patient is suffering, and will be suffi¬
cient to conduct very many cases to convalescence in the
shortest possible time.

(The doctor' will recognize as a fact that he prolonged the
cure of his patients by the alternation of the Rhus, with the
Bryonia. It is seldom the Rhus, proceeds the Bryonia in its
indications and when there seem strong indications for the two
remedies, that which has the preponderance of symptoms will be
followed by the other remedy to greater advantage after the
first remedy has accomplished its work, provided that one
remedy does not clear up the entire case.—E d.)

Tried by Jury. —A French surgeon at Smyrna wishing to
procure a stork, and finding great difficulty, on account of the
extreme veneration in which they are held by the Turks, stole
all the eggs out of a nest and replaced them with those of a
hen. In process of time the young chicks came forth, much to
the astonishment of the storks. In a short time the male went
off, and was not seen for two or three days, when he returned
with an immense crowd of his companions, who assembled in
the place and formed a circle, taking no notice of the numerous
spectators which so unusual an occurrence had collected. The
female was brought forward into the midst of the circle, and
after some consultation the whole flock fell upon her and tore
her to pieces; after which they immediately dispersed and the
nest was entirely abandoned.— Cassells Family Magazine.

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Repertory of Symptoms , Etc.

179

(Continued from February Number,)

Sensation as if Turned—head would be turned wrong side out
on raising up—Baryta Carb. *

* ‘ Turned—anterior half of brain were turning in

a circle—Bism. '

“ Vise—base of brain crushed in a vise— Nat.

Sul .

“ Vise—contents of head were in a vise—Alu¬

mina.

“ Vise—forehead were in a vise—P uls.

< i Vise—head was seized in a vise—Coco.

1t Vise—head was in a vise — Cocc., MERC.,

Nat. Mue.

“ Vise—head was in a vise from ear to ear over

vertex—NIT. AC.

a Vise—head compressed in a vise — Baryta C.,

Caot. Gr., Ratanhia.

a Vise—temples were in vise—Dios.

a Vise—chin and vertex were in a vise—Daph.

“ Vapor—vapor spread from throat through

head—Amyl Nit.

“ Water—warm water running up from nape of

neck—Glon.

“ Water—cold water poured on head—C up. Met.

“ Water—water wobbling in brain—H ep. Sulph.

“ Water—water pipes bursting in brain—Sil.

“ Water—head full of boiling water—Robinia.

“ Water—boiling water in side of head on which

she lies—M ao. Mue.

< 1 Water—waves of water from occiput over ver¬

tex to forehead— Sil.

u Water—water gushing forward in head on

stooping—Ars. Met.

“ Water—water in forehead—P lat.

‘ ‘ Water—head was full of water swashing—Asaf.

Bell., Hep., Hyos., Samb.

“ Water—head wrapped up in warm water—

Cepa.

“ Water—water splashing in left hemisphere on

walking—C arbolic Ac.

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180

The Medical Advance,

Sensation as if Water—water dropping in cranium—C hin. Sul.

44 Water—water gurgling behind upper portion

of frontal bones—Asaf.

“ Water—brain was moved by boiling water—

Aeon.

“ Watch—watch ticking in temples—C hblidon.

4 ‘ Wave—wave beating on spot on right side of

head—Zinc.

‘ ‘ Wave—waves of pain rolled up against frontal

bone—S ep.

44 Wave—brain was beating in waves against

skull—C hina, Glon.

44 Wedge—wedge would be pressed in occiput—

Bovista.

44 Wedge—wedge pushed from occiput to fore¬

head at each respiration—Palad.

44 Wedge—every beat of heart was striking wedge

in head—Calc. Ars.

44 Wedge—head split open with a wedge from

outside to within—L achnauth.

44 Weight—weight pressed upon the brain at

every step—M enyanthes.

4 4 Weight—weight lying in brain in forehead—

Palad.

4 4 Weight—weight pressing on head from above

downwards—P hos. Ac.

44 Weight—no weight in the head—Thramb.

44 Weight—heavy weight were in head—Am.,

Moschus.

44 Weight—weight in occiput—Luna, Syph.

44 Weight—weight jolting in occiput at every

step—Bell.

4 4 Weight—tremendous weight falling on vertex—

Sil.

44 Wheel—mill wheel whirling in the head—

Chin., Sul.

4 4 Whirling—something from chest up to brain—

Cac.Gr.

44 Whirling—brain whirled round and round—

Sabad.

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Repertory of Symptoms, Etc.

181

Sensation as if Wind—head was open and the wind went
through it—

“ Wind—stream of wind from chest to head—

Millef.

‘ 4 Wind—cold wind blowing through head—N at.

Mur.

u Wind—wind blowing through skull on shak¬

ing head—C or. Rub.

“ Wobbled—brain wobbled and struck against

side of head—Nux M.

‘ ‘ Working—something working in top of head,

a screwing from behind forward— Plumb.

“SENSORIUM.”

‘ 4 Air—he was walking in air—Aur. Mur., LAC.

CAN., Nat. Mur.

u Air—flying or swimming in air—Calc, ars.,

Valer.

“ Air—he were hovering in air like a spirit, when

walking in the open air—Asar.

“ Air—he was being lifted high in the air—

Hyper.

“ Air—she was floating in the air—Nux M.

11 Bed—bed was bouncing patient up and down—

Bell.

“ Balancing—balancing himself to and fro—

FER. MET.

“ Board—board was before the forehead—Bell.

‘ ‘ Break—she would break if she lay too long in

one position—Pyroz.

Coming—stairs or ground coming up to meet
him— Pic. Ac.

“ Comer—part of head fitted into each comer of

room—Can. Ind.

* ‘ Different—two entirely different trains of

thought influenced him at same time—Lyss.

‘ 4 Dissolving—brain were dissolving and she was

going crazy—C alc. C.

4 4 Divided—she was divided into halves and left

side did not belong to her—Sil.

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182

The Medical Advance .

Sensation as if Double—she had a double existence—Can.
Ind.

44 Drawn—head were forcibly drawn backward—

Chel.

44 Drawn—head were drawn forward—Sang.

‘ * Falling—she was falling from a height—Mosch.

Fly—she must fly away—B ill., Verat. Alb.

4 ‘ Fly—head flying round and round—E up.

PURP.

44 # Fly—he was light and could fly—C amPh.

44 Glass—body made of glass and easily broken—

Thuj.

44 Going—going rapidly, as on a fast sailing

boat—

4 4 Light—she was very light on walking—Spig.,

Thuj.

“ Light—so light she could float in the air—

Mancin.

4 4 Move—objects moved backward and forwards

—Carb. Ac.

4 4 Move—everything moving from side to side—

Cic. Vir.

44 Move—head was moving in all directions—

Eup. Purp.

44 Move—objects moved around him—NUX V.,

SEP.

4 4 Move—head was moving up and down—Z inc.

4 4 Pass—could not pass a certain point on walking

without falling—A rg. N.

4 4 Person—she existed in another person—Pyrog.

4 4 Person—she was one person while lying on one

side and some other person when lyiug on the
other—Pyrog.

4 4 Pieces—he was in several pieces and could not

get them adjusted—P hos.

44 Motion—bed was in motion— Lac. Can .

4 4 Pushed—head suddenly pushed forward—F er.

Phos.

4 4 Raised—raised from the ground and could fly—

Can. Ind.

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Repertory of Symptoms , Etc.

183

Sensation as if Reeling—all objects were reeling—Bry.

4 4 Rising—her chair was rising—PHOS.

4 4 Rocked—she were being rocked—Bell.

4 4 Rocked—he were rocked when lying down and

closing eyes—Calad.

4 * Self—there were a second self outside of

patient—B apt.

4 4 Sinking—she was sinking deep down in bed—

Bry.

44 Sinking—bed was sinking from under her—

Kali. Garb.

44 Somebody—she was somebody else—C an. Sat.

44 Someone—someone were back of him—Brom.,

Medorr.

44 Someone—someone by his side doing the same

thing—A es.

44 Something—he would see something if he

turned round—Brom.

44 Something—something drawing round in a

circle and she could not hold head straight
—Lyss.

44 Swayed—objects around him swayed to and

fro—B ell., Form. R.

4 4 Swayed—bed was constantly swaying back and

forth—Z inc.

44 Swing—in a swing—M erc.

4 4 Swing—Swung to and fro in a swing—I gnatia.

4 4 Swing—head was swung from behind forward—

Palad.

44 Surroundings—surroundings or self tottered—

Anac.

4 4 Turn—everything turning round—Mag. C.

44 Turn—surroundings turning him in a circle—

Am. Carb.

4 4 Turn—he was turned backward and around—

Angustur.

44 Turn—turning in a circle—ARG. NIT.

4 4 Turn—turning in a circle when stooping—A ur.

Met.

4 4 Turn—brain were turning around—Bry.

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184

The Medical Advance.

Sensation as if Turn—head were turning in a circle —Bry.

44 Turn—house were turned upside down—Bufo.

44 Turn—things were turning with her—Alac.,

Arn., Calc. C., Fer. Met.

* 4 Turn—he had turned in a circle a long time—

Puls.

Turn—one were being turned around —Bry.

44 Turn—bed was turning in a circle—C on.

44 Turn—everything turning in a circle—Bell.,

CHEL., Cycl., Verat. A., Zinc.

4 4 Turn—he were turned about so rapidly that he

perceived a current of air produced by the
motion—Moschus.

“ Turn—occiput were turning around—Iberia

Am ,

‘ 4 Wavering—brain was wavering—P hos.

4 4 Wavering—he stood on wavering ground— Sul.

44 Whirling—room were whirling—NUX V.

4 4 Whirled—everything in the head whirled

around—Viol Od.

44 Whirled—brain whirled round and round—

Sabad.

4 ‘OUTER HEAD.”

44 Air—head were surrounded with hot air—

Ast. Rub.

44 Air—draught of air across the forehea—

Laur.

44 Adherent—scalp was adherent to bones of

skull—Sinap.

44 Ant—head was in an ant’s nest—M ez.

44 Ant—ants crawling over scalp in spots—Bar.

44 Band—India rubber band stretched tightly

over head from temple to temple—CARB.
AC.

4 4 Band—hat band drawn across forehead from

temple to temple over eyes, and burning
ring around each eye—Chloral.

4 4 Band—rubber band stretched over head—Coca.

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Repertory of Symptoms , Etc.

185

Sensation as if Band—rubber band stretched over forehead—
Lil. Tig.

“ Board—board lay upon head—C alc., C.

“ Board—board pressing against forehead—

Dulc ., Plat.

4 4 Board—board across forehead—K rbas.

4 ‘ Board—board bound on back of head, more on

left side—

4 ‘ Board—board strapped across forehead—Rhus.

44 Blister—blister had been applied to frontal

region— Sul.

44 Bound—temples were bound—Lith., C.

“ Bristled—hair on head bristled—Z inc.

44 Broken—bones of skull were broken—A ur.

Met.

44 Cap—cap was on the head—Pyrog.

4 4 Cap—skin of head and face covered with a cap

—Berb.

44 Cold—cold, wet cloth in left temple—Gamb.

4 4 Cold—someone touched him with cold thumb

in small spot on forehead—A rn.

4 4 Cast—cast fitted over the head and pressing

^ down— Lyss.

4 4 ^ Contracted—skin of forehead was spasmodi¬
cally contracted—Arn.

44 Contracted—muscles of forehead and eyes

were contracted—Bell.

44 Contracted—skin of head was contracted—

Carb., V.

4 4 Contracted—whole side of head was contracted

—Canst.

4 4 Contracted—skin in center of forehead con¬

tracted—Gels.

4 4 Contracted—Scalp from back and forepart of

head was contracted to vertex—Sanio.

44 Cord—cord frequently drawn and tightened as

if to cut head in two—Masch.

4 • Cord—bound by a tight cord in frontal region

—Mercd., FI.

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186

The Medical Advance .

Sensation as it Creeping—something creeping in scalp of ver¬
tex—N at., Sul.

4 4 Crawling—something crawling on top of head

—Cup., Met.

4 4 Cushion—head was in a cushion and someone

was pushing two fingers in at occiput— Sil.

44 Drawn—smething drawn down tightly over

skull—A bo. , No.

4 4 Drawh—scalp were clutched and drawn to one

point of a circle—C hina.

4 4 Drawn—nerves of head were drawn up tightly

—Cocc.

44 Drawn—scalp drawn tightly over skull—Coo.

Co.

44 Drawn—skin of forehead drawn into folds—

Graph.

44 Drawn—scalp draw together at one spot—

Zinc.

44 Eiectric—electric schock in the head—Carb.,

Va.

4 4 Electric—fine electric sparks in vertex, chang¬

ing to a pricklingC—arb., Ac.

4 4 Electric—gentle electric shock in scalp—

Cench., Cont.

4 4 Electric—electric sparks in left temple—Spig.

4 4 Electric—bunch of hair on right side of head

was electrified—Yesat., Alb.

4 4 Fast—skin on forehead had grown fast—Sabin.

44 Grasped—hair was grasped roughly—C hina.

4 4 Glue—glue had dried on forehead—Alum a.

4 4 Hammer—hammering with flat instrument on

head—Am. C.

4 4 Hair—hair was rising up on left side of occiput

—Cocco.

4 4 Hair—hairs of head were in motion—Carb. Y.

4 4 Handkerchief—handkerchief tied around head

on taking hat off—C arb. , V.

4 4 Hand—touched on forehead by an icy cold

hand—H yper.

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Repertory of Symptoms , Etc.

187

Sensation as if Hand—hand pressed on left parietal bone
which was sore—Kali., Ars.

“ Hard—hard substance pressing on skull—

Staph ,

44 Hard—hard body large as an egg behind each

ear—G raph.

4 4 Hard—head lying on something hard—M ancin.

4 4 Hat—he had his hat on—Calc., Sul.

4 4 Hot—scalp was hot and cold at the same time

Verat., Alb.

4 4 Ice—ice on vertex—S ep.

44 Ice—ice in vertex—VERAT. ALB.

4 4 Ice—ice on top of head—Am., Sep.

4 4 Ice—pieces of ice laying against various parts

of head—CALC. C.

44 Ice—posterior half of head lay on ice—Cast.,

Equi.

4 4 Insects—insects causing itching on occiput or

behind ears—S ep.

4 4 Insects—insects crawling from occiput to fore¬

head—Zinc.

44 Knife—knife like stitches just above right

temple—V erbas.

44 Knife—knives being thrust into the brow—

Lach.

44 Lice—lice on scalp—Caps.

44 Loose—flesh were loose on cranium—S ul.

4 4 Loose—scalp loosened from head back to nape

—Calc. C.

44 Nail—pricking in head and other parts with a

nail—Ascl. Tub.

44 Needle—ice cold needles touched head or

pierced it—A gar.

4 4 Needle—needles were being stuck in forehead—

Caul., Cepa.

4 4 Needle—needles sticking in middle of vertex—

Cic. Vir.

44 Needle—needles stitching in left temple—

Staph.

4 4 Needle—fine needles stitching in vertex—Staph.

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188

The Medical Advance.

Sensation as if Needle—needle stitcking in left side of fore¬
head—Yerbas.

44 Needle—bones in vertex repeatedly pierced

with a needle—Thuj.

4 4 Photographers—head rested in photographer's

head-rest—Nat. Ars.

44 Pins—hair pins sticking into her head—Kali.,

Phos.

44 Pins—pins pricking in forehead externally—

Aur. Met., Calad.

44 Pins—pins and needles in forehead—S team.

4 4 Pithy—head were pithy—G raph.

44 Pressed—top of head pressed against the wall

—Sul

4 4 Pressed—temple were pressed by thumb—Bapt.

44 Pressed—lower part of head pressed like an

elastic body—Bene. Ac.

4 4 Pulled—roots of hair pulled upward—Arg. N.

44 Pulled—hair pulled out or electric shock in

occiput—Am.

44 Pulled—hair was pulled—A lum., Moo. C.,

Phos.

4 4 Pulled—pulled by hair of vertex—Aeon., Ind.,

Mag. Mur., Mur. A. C., Sul.

4 4 Pulled—someone pulling lock of hair upwards

on vertex—C auth.

4 4 Pulled—hair was being pulled out—Gaps.

4 4 Pulled—upper part of skull was being pulled

up with half of the brain—Cundurango.

44 Pulled—scalp and occiput pulled down tight—

Hell

44 Pulled—someone pulling hair on back of head

—Kali Phos.

44 Rose—scalp suddenly sore—Polyg.

44 Scraped—bones of head were scraped—P hos.

Ac.

44 Seized—parts over zygomatic arch seized with

pincers—P uls.

44 Something—something running and crawling

in hair—Cast. Equi.

Digitized by

Google

Repertory of Symptoms , Etc .

189

Sensation as if Something—something very lightly drawn over
on temples and forehead—Bar. C.

* 4 Something—something struck behind right ear

and pushed it forward on stroking hair on
occiput—Ars. Sulph., Flav.

4 * Sore—sore spot on right side of head if hair is

touched—Ambra.

4 ‘ Stand—hair would stand on end—Am. C.

4 4 Stand—hair standing on end on vertex—S pong.

44 Stood—hair stood on end—A con., Bar. C.,

Carb. V., Cham., Chel., Dulc., Mur. Ac.,
Salic. Ac.

4 4 Strap—strap drawn tightly across forehead—

Card. Y.

4 4 Stone—stone or lump on top of head—Phel.

• 4 Stretched—skin of forehead tightly stretched

over skull—Can. Ind.

4 4 Sweat—ice cold sweat on forehead, but none

there—G lon.

4 4 Swollen—skin of forehead was swollen— Stann.

4 4 Tight—skin of forehead was too tight—P hos. ,

Medorr.

4 4 Tight—scalp was too tight—Stront. C.

44 Tied—parts tied together close to occiput—

Plat.

44 Torn—nerves on right side of forehead and

temple were being torn out with fine instru¬
ments— Sptg.

4 Water—drop of cold water had fallen on right

frontal bone—Croc.

44 Water—waves of water beating on the skull—

Vig.

4 4 Water—large quantity of cold water poured on

head—Tarent.

44 Water—drops of cold water falling on head—

Can. Sat.

4 4 Weight—heavy weight pressed head down on

pillow—Merc. I. FI.

44 Wood—piece of wood lying across back of

head— Psor.

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190

The Medical Advance.

Sensation as if Wood—head were made of wood—Petr.

44 Wind—cold wind blowing on head—Laur.,

Meny., Petr.

4 4 Wrinkled—scalp wrinkled up and kept tighten¬

ing— Zinc.

EYES.

4 4 Air—cold air rushing through the eye—Croc.

4 4 Air—hot air streamed out of eyes—Kreos.

44 Air—lids open and cold air blowing on right

eye— Sul.

4 4 Air—cold stream of air blowing out of eyes—

Thuj.

44 Agglutinated — eyelids were agglutinated—

Caust.

44 Band—a narrow band drawn tightly across the

eyeball—L ao. def.

44 Ball—eye was a ball of fire—M ebo., Ruta.,

Sep.

44 Blood—too much blood in the eyes—Millef.

44 Blood—blood forcing its way out of eyes—

Lact. ac.

4 4 Blood—all the blood run into eyes upon stoop¬

ing—F eb. Phos.

4 4 Body-foreign body in the eye-BoBAX., Gels. ,

Sul., Thuj.

44 Body—foreign body caused pain in the eyes—

Nat. Mub.

,, Body—foreign body under the lids—M ebo.,

Coc. C.

44 Body—foreign body in right outer canthus—

Sul. Ac.

44 Bound—eyes were tightly bound by a cloth—

Puls.

4 4 Breathed—corner breathed upon— Plh.

44 Burst—eyes would burst —Nux V.

44 Cinders—sharp cinders in left eye—Dulc.

4 > Cloud—cloud over left eye—C obn. Fl.

4 4 Cloud—cloud before eyes—Lachn.

44 Cloud—white cloud passed over eyes—Sanic.

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Repertory of Symptoms , Etc.

191

Sensation as if Cobwebs—Cobwebs before the eyes—A gar.

“ Closed—something forcibly closed the eye—

Cocc.

1 ‘ Cloth—pain rubbing eyes with woolen cloth—

Stann.

“ Compressed—eyeballs were compressed from

both sides—Viola. Od.

u Cord—eyes drawn together by a cord— Zinc.

I • Cover—looking through a gray cover—S il.

“ Crawling—something crawling in the eyes—

Nat. Sul.

“ Crushed—eyeball were crushed—PRUNUS.

“ Constricted—eyes were constricted—Chloral.

“ Cutting—something cutting in lower lid—

Nux. V.

u Cutting—sharp body cutting lower lid—M erc.

“ Deep—eyes lay deep in the head—Zinc.

4 * Dragged—both eyes were being dragged back

into the head by a string—P aris, Sil.

“ Drawn—left eye were drawn backward and

forward— Spig.

i ‘ Drawn—eyeball was clutched and drawn back

a moment—Sanic.

“ Drawn—eyes were drawn deep'into the head—

Aur. Mur., Ars.

“ Drawn—eyes were drawn back—Ast. rub.,

Hep., Mez.

u Drawn—eyeball drawn tightly backward—

Cham.

‘ ‘ Dust—vision perceived through dust on cornea

—Cocc.

II Dust—dust in the eyes—Lachn.

‘ * Dust—dust under the lower eyelid— Phos.

I • Dust—dust in right eye—Lac. Fel.

“ Elevation—lid passed over an elevation on bulb

of eye—Symph.

“ Enlarged—eyes were enlarged— Pulex. Irrit.

‘ ‘ Expanded—eyeballs expanded—S enega.

II Extended—eyes extended back into the head—

Lac. Fel.

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The Medical Advance.

Sensation as if Fall—eyes would fall out on stooping—C oloc.,
Beoin.

44 Fall—eyes would fall out of head—C ham. , Igt. ;

Sep.

4 4 Feathers—feathers before eyes—A lum. , Nat.

4 4 Feathers—feathers came from corner of eye—

Merc.

44 Feathers—feathers on eyelashes—Spig.

44 Film—looking through film— Lac. Can.

44 Fire—fire came out of eyes and tears came out

of them in streams—Jam. Enj.

4 4 Fire—fire darting out of eyes when walking in

the sun— Dulc.

44 Fire—eyelids were on fire—P hyt.

44 Fire—fire was streaming from eyes—C lem.

44 Fog—objects seen through a fog—C amph.,

Igt.,, Lack ., Lyo., Meec. Sol., Moeph.
Sul., Saes., Vine. M., Zinc.

44 Fog—saw through fog or smoke with right

eye—K ali. C.

4 4 Fog—sees everything through fog on closing

eyes and pressing on ball—Bar. C.

4 4 Forced—brain and eyes were forced forward—

Sil.

4 4 Fringe—something like a fringe falling down

over eyes—C on.

44 Gauze—saw objects through gauze—C alc. C.,

Caust., Cina.

4 4 Gauze—gauze before eyes in morning—Bar. C.

44 Gauze—looking through white gauze—A es.

44 Gauze—gauze before the eyes—D ulc., Keeos.,

Nat. Mub., SUL.

4 4 Gauze—gauze spread over left eye—Sara.

44 Glass—eyeball rubbed against spiculae of

glass—S ul.

44 Glued—outer can thus were glued up— Colch.

4 4 Hair—hair in left eye—Tarent.

44 Hair—hair were in the eyes—Sang.

4 4 Hair—a hair hung over the eyes—E uphb. *

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Repertory of Symptoms , Etc.

.193

Sensation as if Hair—hair was between the eyeballs and lids—
Cocc. C.

44 Jumping—eyes were jumping out of his head

—Gels.

“ Knife—knife thrust between ball and socket

and turned about—C hin.

44 Knife—knife sticking in the eye—Vibum.

4 ‘ Knife—knives sticking in the eyes—L ach.

• ‘ ‘ Knife—eyes pierced with knives—C hel.

44 Knives—knives sticking in right eyeball—

Colc., Sul.

44 Large —eyeballs too large—Chloral., Daph.,

Lyc., Mez., Nat. Mur., PARIS., Phos.
Ac., Plb., SPIG.

4 4 Large—right eyeball larger and more protruded

than left—C omo. Cl.

44 Large—eyes were larger than usual—C omo. Cl.

44 Large—left eyeball so large lid would not

cover it— Chel.

4 * Large—eyes were too large for orbit—A p.

44 Lattice—looking through fine lattice—L yc.

44 Lead—lids were of lead—N at. Sul.

44 Lead—eyebrows and lids were of lead—Lac.

Fel.

4 4 Loose—eyes were lying loose in socket—C ars.

Ac.

44 Membrane—membrane over the eyes—Canst.

4 4 Membrane—membrane extended across the

eye—D aph.

44 Mist—white mist before the right eye—Lac.

Fel.

44 Mist—mist before the eyes—A rg., Form. R.

Graph., Lactn., Millef., Thuj.

44 Mist—mist before eyes in morning—Merc. Per.

4 4 Moving—right eye moving about while lying on

left side—Lac. Fel.

4 4 Moving—eyes moved involuntary—C alc. C.

4 4 Mucous—cornea covered with much mucous—

„ Euphr.

4 4 Needle—needle thrust into right eyeball—S pig.

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194

The Medical Advance .

Sensation as if Needle—hundred needle points suddenly thrust
into lid— Verat . Alb.

“ Needles—fine needles sticking in right lower

and left upper lid—Zinc.

‘ ‘ Needles—needles stinging in the eye—C alc. C.

Caust.

“ Net—net before the eyes—C hin. Sul.

“ Net—net swimming before eyes—C arb. Ac.

“ Obscured—objects were obscured—C act. Gr.

“ Opened—eyelids opened wider so that field of

vision seems enlarged—Fluor. Ac.

“ Out—eyes were pulling out of head to one

side or another when closed— Medorr.

‘ 1 Out—both eyes would be forced out of head—

Ham.

“ Out—eyes would be forced out when pressing

on the throat—L ach.

11 Out—eyes were coming out of their sockets—

Acon., BELL.

“ Paper—white paper obscured vision—Bell.

“ Pieces—left eye would fly to pieces— Spiff.

‘ 1 Paralyzed—eyeballs were paralyzed—Cocc.

‘ 1 Press—something pressing on the top of eye¬

balls moving down and outward—C amo. Cl.

* ‘ Press—eyeballs pressed from above downward

—Coloc., Sinap.

11 Press—something pressing around in the eye

—Cist.

“ Press—eyeballs pressed against sides of orbits

—Card. Mar.

4 4 Press—eye would be pressed into head—Bapt.,

Puls.

‘ 4 Press—eyes would be pressed asunder—Asar.,

Prun.

4 ‘ Press—eyelids and balls pressed by a weight—

Corn. Cir.

“ Press—eyes were forcibly pressed out—Daph.

11 Press—right eye pressed from behind—Fluor.

Ac.

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THEORY AND PRACTICE.

TREATMENT OF DRUG OR ARTIFICIAL DISEASES.

E. W. SAWYER, M. D.

Professor of Surgical Therapeutics and Morbid Growths.

Hering Medical College, Chicago.

“Under the class of Chronic Diseases, we have unfortunate¬
ly to render those numerous fictitious maladies, of universal
propagation, arising from the long continued administration,
by the allopathists, of violent, heroic medicines in large and
increasing doses, from the abuse of Calomel, Corrosive Subli¬
mate, mercurial ointment, Nitrate of Silver, Iodine and its
ointment, Opium, Valerian, Bark and Quinine, Digitalis-pur¬
purea, Hydrocyanic-acid, Sulphur and Sulphuric-acid, long-
continued evacuents, venesection, leeches, setons, issues, etc.,
by which the vital power is either unmercifully weakened, or,
if it be not exhausted, gradually becomes so abnormally
altered (in different manners, according to the particular medi¬
cine administered) that, in order to support life against such
destructive assaults, it must effect changes in the organization,
and either deprive this, or the other part of its sensibility or
irritability, or exalt these properties to excess, produce dilata¬
tion or contraction, relaxation or induration of parts, or else
totally destroy them, and here and there induce organic
changes, both internally and externally (maim as it were, the
interior and exterior of the body), in order to protect the or¬
ganization against the entire destruction of life, from the reit¬
erated assaults of such hostile and destructive influences.

The most distressing and unmanagable chronic maladies
affecting the human system are those which have been super¬
induced by the unskillful treatment of those allopathists (in
modern times most injurious), and I regret to say that, when
they have attained a considerable height, it would seem as
though no remedy could be discovered or devised for their
cure. The Dispenser of all good has granted us aid, by means
of homoeopathy, for the removal of natural diseases only; but
those which have been superinduced by a false art, those in
which the human organism has been maltreated and crippled,

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196

The Medical Advance.

both internally and externally, by means of pernicious medica¬
tion, the vital power itself, provided, indeed, if it be not already
too much enfeebled by such assaults, and can employ, un¬
interruptedly, whole years to the serious process,—the vital
power must reduce these fictitious diseases (assisted by ap¬
propriate aid directed against a chronic miasm, which probably
still lies concealed within). An art of healing, intended for
re establishing to their normal condition those countless morbid
changes of the body which are often induced by the mischiev¬
ous arts of allopathy, does not, nor cannot exist. ” ( Organon ,

i i 74,75,76.)

We thus find that the worst species of chronic diseases are
those produced by the imperfect treatment of allopathic physi¬
cians. That these diseases were regarded by Hahnemann as
not only the most difficult to cure, but they were positively in¬
curable unless there was sufficient vital force yet remaining in
the system to repair the injury inflicted by the abuse of reme¬
dial agents. We also find in the Organon that the three neces¬
sary points in healing are: “first, to ascertain the disease;
second, the action of the remedies; third, the proper applica¬
tion of the same to the disturbed vital force.” (Organon {71).

Hahnemann also teaches that a lesser disease cannot be
cured in the presence of a greater. It may be readily conceded
therefore, that artificial or drug diseases being harder to cure
than natural diseases, must first be eradicated before it is pos¬
sible to cure the natural disease. This, I believe to be the ex¬
perience of all true physicians; consequently all so-called cures
performed in any other way are nothing more than palliation;
and it seems to me that the larger part of the homoeopathic
prescribing of today is only a highly refined (and consequently
most dangerous) system of palliation. It being conceded that
Hahnemann was correct in this statement, as I have no doubt
he was, the question arises, how shall we dispose of the greater
or drug disease so as to be able to cure the natural or weaker
one?

If the translation of the Organon be correct, Hahnemann
says that there are no cures for artificial diseases caused by
drugs, except to wait for the vital power to remove them, as¬
sisted by appropriate aid directed against a chronic miasm
which probably lies concealed within. In another sec-

Digitized by ^.ooQle

Treatment of Drug or Artificial Diseases. 197

tion he seems to think that there was not, nor ever would be
an art of healing that could remove these artificial diseases.
So much of his later investigation is at present unknown that
we have no means for determining what his final conclusions
may have been; hence the imperative necessity for the publi¬
cation of all his latter writings at the earliest possible moment.
It is an unsolved mystery to me how such men as Bonninghau-
sen, Lippe, Wells and Hering could have stumbled over the
problem of removing artificial diseases for a lifetime, and not
have discovered the modus operandi .

Nearly twenty years ago, I observed the curious circumstance
that a drug in the higher potencies would help a case when the
some drug in crude form or lower potencies had been given
without benefit; but it taught me nothing at the time, fori
did not understand its mode of operation. As time advanced,
however, and I began to realize more fully the tremendous im¬
portance of learning in some way how to rid the patient of ar¬
tificial diseases, my thought based upon the belief that there
was no disease outside the domain of law, and consequently
without the bounds of remedial agents, led me to study and
experiment still further; and gradually the great fact dawned
upon me that the very high potencies of any drug were the only
complete and perfect antidotes to the dynamis of the crude and
very low potencies of the same. This sefcmed to be
the only possible conclusion to be drawn from the laws
that Hahnemann had already discovered. The impor¬
tance of this application of the law of similia similibus
curantur is almost overwhelming to the man who had
regarded these drug diseases as incurable. I certainly
had been on the wrong track in trying to remove the disturb¬
ing influences due to the persistent drugging of the past by any
other means than by the application of the same drug in its
potentized form as the the similimum. The persistent drug¬
ging, in many cases, had so completely disfigured the image of
the disease as to make it impossible to find a similar covering
the entire image, the natural result being that the physician
has felt compelled to give some remedies like Nux Vomica,
Natrum Muriaticum or Pulsatilla to develop in an empirical way
that which has been suppressed by the mis-application of drugs
in the past, oft times leading to the unhappy conclusion that

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198

The Medical Advance.

the case is either incurable or passes beyond the domain of hu¬
man effort.

As I said before, it gradually dawned upon me that this law
of antidotes was simply a more perfect application of the law
of similars than anything which has gone before. For the last
three years I have been continually applying these principles
in my practice, demonstrating the reliability of their applica¬
tion in most difficult cases, with results little short of the mar¬
velous, and still I hesitated about advancing this application of
the law of cure because of the revolution it must make in the
treatment of diseases; and for the first time, I taught the senior
class in Hering college last winter that it was a universal law
that the high potencies are the only true similimum of the dyna-
mis of the low potencies or crude drug. Consequently the only
way to cure the artificial diseases invariably caused by the im¬
proper administration of drugs was to give an exceedingly high
potency of the same drug.

This teaching naturally raised opposition, and in some cases
bitter denunciation but the advice given by the immortal
Hahnemann to put these principles to the test, and to
publish it’s failures, applies as clearly to those who oppose
this application of the law of cure, and to those who deny the
universality of the application of the law of similia similibus
curantur to the cure of disease. These conclusions are not the
result of a slight investigation, but have been most thoroughly
tested; and any number of verifications can be and will be
given in future issues of the Medical Advance. The follow¬
ing case shows the method of application:

June 5, 1890.—Miss C. N., age 17. Father and mother
were always healthy—mother was vaccinated. Father was 21
years older than mother.

Good recovery from chicken-pox and whooping cough.

Had “scald head,”—blood never seemed to be clean as in
other children. When anything was the matter with her
always “broke out.”

Had hives in hot weather.

Formerly had ingrowing toe nails and styes.

Had boils on arms at eight years, and again three years ago.

Had ague, using quinine and cathartics.

Digitized by ^.ooQle

Treatment of Drug or Artificial Diseases. 199

Edges of the vellum are a little red, and there is gray mu¬
cous working down the posterior wall of the pharynx.

Teeth bad.

She chafed much when a baby.

Had a few warts when small.

Pueberty at eleven years; regular flow from seven to nine
days; discharge dark.

Legs ache before and during menses.

Three years ago was attacked with eczema, which began in
the axillae, but it has not returned since the first attack; it
itched and burned, and external applications of sulphur and
lard were used. Then it came in the flexure of the arms, fi¬
nally spreading over the arms, flesh almost raw. And so it
comes and goes. There has been external application of many
things, which at first stopped the itching and dried it up, but
it does not do it now. Last winter the eczema appeared in the
popliteal spaces, but now it is all over, even on the scalp ?
itching and burning, and a feeling as if thousands of needles
were pricking the scalp. She has taken much medicine. The
doctors supposed that the menses caused the eczema, and gave
her medicine to reduce the menstrual flow, until now it lasts
about two days. Has used Fowler’s solution of Arsenic and
has used “om” preparation of Arsenic. The eruption comes
on the face, and oozes a sticky substance, and has eaten holes
in the arms; the cheeks are raw, and the eruption is offensive.

Feels tired out and weak all the time.

The eruption did not show on the face until this Spring,
when she took Hood’s Sarsaparilla. Face was, and is swollen
Took Fowler’s solution four weeks and it nearly killed her.
For years could not read to amount to anything. Has had no
headache or toothache since the eruption. Suffers more at
night with eczema; (her mother is subject to sick headache).

Has had goitre for four years, but it is smaller than it was;
blood has been hot for a year or more, but thinks it is since
taking the Arsenic; has to *get up five or six times during the
night to urinate—sometimes urinates more at night than in
daytime; drinks a great deal of water; is fond of ham and
shoulder, fruits and sours, such as pickles, etc., used to dream
of flying. ^ Arsenicum Alb. cm .

June 8, 1890 —The menses are flowing now, came yesterday,

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200

The Medical Advance.

and flowing freely, the color is right. She ached all over and
was tired before they came on, but feels better since the flow
has started. The eruption is on the increase and still itches
worst at night. Does not have to get up so many times in the
night to urinate; thirst is less; appetite either too great or too
small; since childhood she moans in her sleep so that she can be
heard all over the house; had worms and spasms at eight years
of age; had something like ring-worm in the thigh, using ex¬
ternal application, took medicine and cured it. ^ Sac. lac.

June 20, 1890.—She is not “broken” out” so much now
as when we were there, and the eruption is mostly on her arms
and under her knees (Popliteal spaces); can see it under the
skin on her face and on her hands, and she still itches and
burns; it does not discharge every day, and sometimes heals
over for a day, then opens and discharges again. The dis¬
charge does not smell so badly, and now looks as though a
needle had been run into the flesh until it bled, and the blood
looks darker and more healthy.

She was unwell five days and nights; the flow looked more
natural than ever before, had a good color—a little darker than
I thought it ought to be.

She had not much inward fever, is not so thirsty, does not
pass much water—it is of good color, with no sediment in the
vessel.

She still has those hot flashes, and her eyes look as though
she was very bilious.

' Has good appetite.

Is very nervous; the other morning she awoke twitching and
jerking, and could not stop for some time; thought she was
going to have a spasm; has awakened this way several times,
but would shut her hands tightly and get over it. She dreams
much about elevators and of falling down them. Sac. lac.

July 10, 1890.—C. is better, but still far from being well.

Her arms are still broken out, and itch and bum a great
deal at times; she is feverish all the time, but does not want to
drink as much as she did; does not pass more water than she
ought to, and it is all right.

She has just been unwell; it lasted about three days and
nights, and was natural in all ways. Appetite is good, and
she thinks she is going.to get over her trouble; has a great deal of

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fever all the time, and cannot perspire any; is constipated most
of the time. We think she is better, and that you will cure
her; her face is clear, which is a great deal of satisfaction to
her; has more fever at night, and it makes her so weak. Sul¬
phur 6 m (Jenischen).

August 14, 1890.—“Our daughter is still gaining. She is
still broken out some on her arms and face, but not nearly so
much as she was; her general health is good; was unwell at
the right time for four days. It was natural. Has no more
fever and perspires freely since the last medicine. When she
gets too warm her arms burn and itch same as they always did.
We hope by the end of another month that she will be well.”
Sac. lac.

Sept. 19, 1890.— “C is still improving, and is not
broken out in any place but inside of arms, and there
but a little; her health is much better than for years,
and she has every confidence that you will cure her.
(She had no faith in a cure at the first seance, and cried
in despair). She is regular in her courses, and was so four
days, and it looked all right. She ached and felt badly for
several days previously. Appetite and sleep are good, and she
is now attending school. ” Sulphur cm (S k). (Promised to re¬
port if the last medicine did not finish the case, and no further
report).

Speaking of actors, Mr. Osbourne tells me that when quite
young he went through the country with a barn-storming com¬
pany that was giving “Hamlet.” The performance was simply
vile, and all the audience commenced to hiss, except one.

At last the man next to him said,—

“Why don’t you hiss this punk show?”

“It would’t hardly be fair,” he said, “since I came in on a
pass. But if they don’t improve, damned if I don’t go out and
buy a ticket and join you .”—Le Perdrix , in The Wasp .

A barrister tormented a poor German witness with so many
questions that the old man declared he was so exhausted that
he must have a drink of water before he could say another
word. Upon this the judge remarked, “I think, sir, you had
better let the witness go now; for you have pumped him dry.”
—The Green Bay .

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SURGERY.

REPORT ON ORIFICIAL SURGERY BASED ON ANALY¬
SES OF ONE THOUSAND CASES, READ AT THE
HOMEOPATHIC MEDICAL CONGRESS.

BY CHESTER G. HIGBEE, M. D., ST. PAUL, MINN.

The author of the review with the above title recently said,

‘ ‘An article, when it is given to the profession, becomes the
property of the public and is justly open to criticism and con¬
demnation if founded in error, or adoption if approved by
experience and practical application.” As this report was
read just before midnight when many of the doctors had been
busy ten or twelve hours, the subject matter of the author s
conclusions were passed with but little consideration. This
surely was not because the subject was unimportant or the*
presentation unmagnetic. We believe if the so-called princi¬
ples therein promulgated are of such unusual application and
as curative as the author asserts the facts should be generally
known. We believe also that if there is more fancy than philo¬
sophy in the theory, and that patients are subjected to un¬
necessary operations endangering their lives and mutilating
their bodies, this too should be known to the profession. As
the paper has been published and commented upon by personal
adherents of the author, will it not be well to consider in
detail the report and draw our own conclusions?

The author applies the theory to so-called incurable diseases,
but in practice, as illustrated in the detailed report, he treats
hundred of cases which every homoeopathic physician ought to
know are curable by other treatment and without the use of
the knife or any other serious operation. Suppose some
patients do make what seems to them an almost miraculous
recovery. All physicians have similiar cases under different
forms of treatment, but they do not make a practice of publish¬
ing such cases and citing them as evidence that the special
form of treatment used in that case establishes a principle in
practice.

When the author makes the assertion that ‘ -always and with-

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Report on Orifidal Surgery .

203

out exception under such circumstances upon examination will
there be found pathological conditions at the lower openings
of the body sufficient to account for the lowered vitality which
alone could explain prolonged pathology, ” his experience cer¬
tainly does not accord with that of any considerable number of
educated homoeopathic physicians and is not our own, for we
have examined hundreds of cases expecting, from the theory,
to find disease at the lower orifices, and after the closest
scrutiny could find nothing of the kind. It is well said that
specialists find what they are looking for. Many times in con¬
sultation with so-called orificial surgeons we have demonstrated
that the supposed pathological condition was nothing more
than an exaggerated growth of healthy tissue. In an elon¬
gated prepuce we have an example of abnormal growth with¬
out pathology. To be sure, a strictured prepuce may cause
pathological conditions, but thousands of cases never have any
such conditions. How absurd to say that the Jewish rite
should be applied to all cases because one in thousands needs it.

We fully agree with the author’s third proposition “that
greater care must be exercised in its employment, or its
methods must be so improved as to add to its efficiency as a
remedial agency and deprive it of its power for harm.” It
does not seem to have occurred to him that there was any
inconsistency in assuring us that his measures will cure condi¬
tions caused by “anaesthesia or hyperaesthesia, ” and by con¬
traction or dilatation. Is it reasonable to suppose that Nature
has so changed her process of repair that even with our re¬
porter’s assistance she cures acne or eczema in a few day si He
very considerately says that in 1 ‘nasal catarrah and hay fever
some form of local treatment may be necessary to complete
the cure.”

We will not enumerate all the minor diseases to which he
says he has applied the treatment and which are so readily
curable by other means. It will also need other evidence than
that contained in this report to convince the average physician
that organic diseases such as spinal sclerosis, Bright’s disease,
diabetes, or phthisis pulmonalis can be cured by this method.

As we see by the list of fatal cases that he made several
mistakes in diagnosis, it is fair to suppose that he may have
been mistaken in some others which he reports as cured.

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The Medical Advance.

In examining the list of cases given we have figured that
more than seven hundred useless operations were performed.
We say “useless,” for in our experience and from the knowl¬
edge of the cases gained from the report we believe they could
have been cured without an operation. Others are reported as
no better from the operation. Scores and we believe hundreds
of physicians will bear witness that with the proper use of
electricity, without other means, better results could have been
obtained in the cases cited. Electricity will do all that the
author claims for many of his operations. It will instantly
flush the capillaries, and the dose can be regulated to get
the desired effect without subjecting the patient to the possi¬
bility of injury. We would not overlook the fact that these
cases had been under treatment for a longer or shorter period
of time, and of all forms of treatment, including electricity.

If the other treatment had not been more intelligently
applied than the so-called electrical treatment as used by
physicians in general we do not wonder that these cases were
considered incurable. In speaking apologetically for the many
failures the author says: 1 ‘In such cases this condition is
either the result of unfinished work or of poor work, and of
course should be charged to these accounts rather than reported
as arguments against the philosophy.” He further writes:
‘ ‘It is quite common, however, for three, six, nine and even
twelve months or longer to elapse before satisfactory reaction
takes place, even in cases which finally recover as a result of
the work.” How many of the cases are ever heard from
“three, six or twelve months or more” after they have gone
through this operating mill? How does the author know that
there was final recovery or what evidence has he that it is the
“result of the work”? These are pertinent questions that apply
to a large number of the cases reported. What shall we say of
one who will operate (and take large fees for the same) upon
forty-three cases of cancer, and even with his fertile imagina¬
tion cannot report the least benefit to the patients?

We now review the report of the fatal cases. Of the female
cases the first was clearly a case of too much surgery. A deli¬
cate, chlorotic woman is subjected to the so-called “American
operation.” Her uterus is scraped and packed and still she

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Report on Orificial Surgery . 205

survives until a second scraping and packing produces celluli¬
tis and death.

The third and sixth case show an inexcusable mistake in
diagnosis, when it is probable that, if the true condition had
been recognized and only the necessary operation performed,
the patient would have recovered. It is beyond comprehen¬
sion how a physician of the author’s intelligence and experience
can be so prejudiced or blinded by his one idea of rectal patho¬
logy that he could overlook these cases of pyo-saipinx or
ovarian abscess that are curable and perform useless and un¬
called-for operations, resulting fatally.

The fourth case was no doubt the result of too much surgery,
for there is nothing in the case as he describes it that need
endanger life.

The fifth case was one of mental depression and spinal irri¬
tation. Uterine scraping and packing and rectal dilatation
and death from septicaemia. Of course the septicaemia was
the direct result of the useless scraping and packing.

The seventh case is one that might prove fatal from any
operation under an anaesthetic. We think it probable a case
needing careful preliminary treatment and an operation for
laceration without the middlesome rectal operation or dilata¬
tion.

The eighth case, chlorosis and a mild form of hysteria.
Operation for laceration of the cervix, rectal dilatation, and
death.

What shall we say of the fatal cases among the men? We
do not know any possible excuse or justification for such an
operation in either of these cases. According to the best
judgment of all our best authorities there was no possibility of
obtaining even- relief by such an operation, and there was
every probability that it would prove fatal.

In conclusion, we wish to say that we have for many years
had a pleasant, personal and professional acquaintance with
the author of the paper, and no one glories more than we in his
American push and enterprise. How he could present this
paper as a scientific explanation and verification of his
theories passes the comprehension of many of his friends.
By later reports we learn that those women who survive his
rectal operations are now being subjected to a new operation

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for the removal of the uterus. We fear that an operation
which is undoubtedly a valuable addition to our surgical
methods may be prostituted to the craze to operate and many
needless operations of this kind be performed.— Homoeopathic
Journal of Obstetrics , Gynecology and Pedology.

Russian Snow-Shoeing. —The Russian snow-shoe has noth¬
ing in common with the Canadian raquette , but is a long, thin
strip of well-seasoned birch wood, about seven feet long by
four inches wide, curving upwards like a skate in front, and
with a slight longitudinal groove along the centre of the under
surface, which gives a grip on the snow when going up-hill.
It is fastened to the foot by a leather strap passing over the
toe, and a birch-bark withy around the heel. On these shoes
the Olonetz peasant almost lives during the winter,—shooting
down the steepest hills, scaling the most difficult slopes, and
traversing the thickest and most broken forest with an ease
that seems well-nigh miraculous. Running, or rather skating,
on snow-shoes in an open or hilly country, with a slight crust
on the snow, is one of the most exhilarating forms of exercise
possible. The work falls chiefly on the muscles of the back
and thighs, the shoe being allowed to work freely from the ball
of the foot, but not lifted from the ground. Over the flat,
four or five versts an hour is considered good going for a long
distance, though on a spurt considerably more can be done.
The double shuffle which old Feodor used to develop on
occasion filled us with envy and admiration. Snow-shoeing
down hill, however, is the “cream” of the sport. A few quick
steps launch you into space, and, bringing your shoes parallel,
leaning slightly forward, swaying your body to meet the in¬
equalities of the ground, and guiding yourself with a long
stick,—provided with a knob at one end for propulsion against
the snow, and a hook at the other end with which you may
“hang on” to any handy tree when ascending a hill,—down
you shoot with ever-increasing velocity, and a delightful feel¬
ing of the absence of all effort, till your momentum dies gra¬
dually away on the plain below.

But getting back again is a different matter, and on a slip¬
pery slope an awful conviction of impotence comes over the
beginner when he pants about half-way up, “blown” with his
exertions, and feels that just at the critical point his shoes are
beginning to slip from under him, and that he will be carried
down again in an ignominious squatting position to the bottom
of the hill.— Temple Bar.

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EDITORIALS.

A Paper for the Masses. —One hundred years ago the
medical profession declared war upon homoeopathy and upon
all who professed any faith in its teachings as a means for the
cure of the sick. This war was waged openly and incessantly
until the leaders recognized the lack of wisdom in their attack
upon Hahnemann and his followers, and then executed a flank
movement, seeking to undermine the progress and the influence
of the school by legal means and such other obstacles as
could be placed in their way. Homoeopathy has been compell¬
ed to maintain a defensive attitude through all these years,
until a large proportion of its adherents acknowledge the jus¬
tice of the charges raised against the school, by their apologeti-
cal attitude towards their persecutors; and their cry for peace
and a cessation of hostilities is a simple acknowledgment of
the weakness of their own faith and the limited degree of their
own knowledge of the law of similta similibus curantur. These
same professed believers in the principles promulgated by
Hahnemann ignore in their practice almost every tenet in their
article of faith until the public at large fail to recognize any
appreciable difference, so far as treatment is concerned, be¬
tween members of the two schools. This state of affairs is
largely the result of the limited knowledge of the philosophy
to be found in the Organon. They are^ simply following the
teaching of their Alma Mater, and finding the faithful applica¬
tion of the same to be unsatisfactory they have drifted with the
current until they know not where they really do stand. Of
all divisions of the healing art ever known to mankind the te¬
nets of pure homoeopathy require the broadest foundation and
the most profound scholarship of any. The man who would
successfully comprehend the problems laid down in the Orga¬
non must bring to the study a thorough knowledge of both
material and mental sciences. The Medical Advance has
sought to impress upon the minds of its readers the importance
of a close adherence to the strictly inductive method of
Hahnemann, and its degree of success may be measured by the
faithful adherence to this law of cure generally manifested by

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The Medical Advance.

those physicians who are constant readers of this journal. For
the past year it has seemed imperative that a step be taken in
advance. A large mumber of physicians read the Medical
Advance for a short time and then write saying they cannot
understand its contents; that those who write for the journal
have reached a point so utterly beyond their comprehension
that they cannot put its teachings to use, and on that ground
request a discontinuance.

The masses of the people know but little of the philosophy
underlying the law of cure laid down by Hahnemann, and tak¬
ing it for granted that all who profess a belief in its principles
must practice according to the same, do not know
how to discriminate between those who try to make their
practice accord with the truth and those who are con¬
tent with the crudest forms of palliation.

The time has come when those who sincerely believe the
law of similia si mil thus curantur to be the safest, surest and
best method for the healing of the sick to take a more aggres¬
sive stand for he truth than has been taken within the past
twenty-five years. It is a discouraging, and often times dis¬
heartening effort to raise the standard of medical practice
among the people to a point where they will appreciate that
which is done for them; the effort is more discouraging when
the faithful but humble follower of Hahnemann must fight
single handed.

The following plan unfolds itself for solving this difficulty
by more quickly educating the public to a point where they
can appreciate the difference between the true and the false,
than by the single handed efforts of the individual. This plan
proposes the publication of a newspaper similar in char¬
acter to the Homoeopathic Envoy or the People's Health Jour¬
nal, which will contain short articles from the Advance, The
Homoeopathic Physician , The Visitor , or any other source ex¬
plaining to its readers the principles of homoeopathy; how it
should be practiced, and how to detect counterfeits; extracts
from reports of cases; what is done as the result of true pre¬
scribing; articles on proper hygiene ; the proper sphere for the
use of disinfectants; local treatment; anodynes; cooking, eat¬
ing, etc., with wit, humor, puns, burlesques, or anything that
will seek to lead the mind of the reader to thoughts of the

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Editorials.

209

truth without anything disparaging or discourteous to those
who are ignorantly doing what they can for suffering humani¬
ty. It would also be within the province of this paper to in¬
sert the cards of such physicians as try to faithfully follow
the cardinal principles of homoeopathy, and are willing to
support, such a scheme with their patronage, and such other
first-class advertisements as would not conflict with this faith
and practice. Such a paper should be so edited and published
that each physician might be able to supply his patrons and
friends with the same with but a small outlay of twenty-five or
fifty cents a year. The paper should begin as a quarterly or
monthly, and the frequency of its visits made to correspond
with its support. The publishers of the Medical Advance
have been seriously considering the advisability of this step,
and think it is high time that we wake up and set our light on
a table and not under a bushel; let it shine over all the world
so that men may know what should constitute the true physi¬
cian.

* *

The faithful consideration of Dr. Butler’s article “Repeti¬
tion of the Dose” is earnestly requested of every reader of the
Advance, as it is one of the clearest expositions of this very
important question we have ever seen, and a consideration of
the suggestions brought out in this article will secure better re¬
sults than can be known under any unsystematic application of
the rule. If the Symposium succeeds in crystallizing these
different questions, sufficiently important results will have been
accomplished to repay the different contributors for the study
necessary to bring forth such a work. We hope to have an
article belonging to the symposium appear in each issue of the
Advance until the list is completed.

* *

The announcement of a post-graduate course in Hering Col¬
lege is meeting with a very hearty response from physicians
throughout the country, and the first course bids fair to range in
number with the first course opened up for the instruction of un¬
der-graduates. It is urged upon the different physicians planning
to take this course that they bring with them one or more diffi¬
cult cases requiring medical or surgical treatment, as such cases

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The Medical Advance.

prove more valuable object lessons than those in whom the
physician has no personal interest. The expense in such
cases being limited to their living expenses while in the
city. The hospital connected with the College is a
commodious and comfortable residence building within a
block and a half of the College, making one of those quiet,
homelike sanitariums so greatly appreciated by the sick. The
fixed charge for patients ranges from $7 to $35 per week, de¬
pending upon the room, and the attendance required.

• * *

The article written by Dr. E. W. Sawyer on treatment of
drug or arti-diseases undoubtedly will receive much careful
consideration, not only from the readers of the Advance but
from the profession at large. This is but an introductory ar¬
ticle to the series to be presented by the same author. As
soon as it appears in the journal it becomes public property.
The Doctor wishes a discussion of the question involved, and
will try to answer any and every objection raised against the
same. The columns of the Advance will be open to this dis¬
cussion, void of personalities, since it is the desire of all con¬
cerned that the principles involved may be carefully weighed
in the balance, and a fair decision rendered as to their merit.

* *

One hundred copies of the Repertory now being published
In the Advance will be printed. Each copy will contain
about one hundred and fifty pages, put up in a neat binding,
And will be supplied in the order in which the applications are
received. The cost of the Repertory will be determined by the
size of the work, and the expense connected with the same.

CONSENSUS OF OPINION ON THE VALUE OF VAC¬
CINATION FROM DIFFERENT SOURCES.

A state convention of those opposed to compulsory vaccina¬
tion was held in Indianapolis during the winter. At this meet¬
ing Dr. W. B. Clark read a valuable paper from which we
quote extracts:

* < Time is all too short right here to adduce much testimony
against the pro-vaccination side of the controversy, for contro¬
versy it has now become, so we will here speak of the compul-

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Consensus of Opinion on Value of Vaccination. 211

8ory phase of the subject. During the last six months there
have been a few cases of small-pox in the State of Indiana,
averaging about one case to every fifteen thousand inhabitants.
Instantly the local and State boards of health began to order
and enforce vaccination upon the children, its labors being
materially supplemented and assisted by the bulldozing tactics
of the school boards in refusing or threatening to refuse child¬
ren admittance to the schools. For instance, in this city ten
thousand children were thus obliged to get vaccinated, and
without the least warrant according to the laws of the State.
There is no law directly controlling the vaccination of any one
in this State except a ‘police’ pretext seized upon by the State
Board of Health, and even that reads to the effect that any
person so forced to become vaccinated must first have been ex¬
posed to the small-pox. As not one of the ten thousand child¬
ren so vaccinated in this city had been so exposed, it is evident
that there was no legal warrant for the act. Similar tactics
were put on parade in many other places in the State and over-
officious local health officers made rules of their own, until
‘'called down” by Judge Monk’s decision at Union City that
local boards have no power to make rules, but are simply to
enforce existing rules of the State board.

The doctor than treats of the compulsory idea as being pecu¬
liarly abhorrent to the free born citizen of America:

The compulsory part of vaccination is a phase of the subject
peculiarly repugnant to a free American, even if he believed in
its efficacy, but abhorrent to one who does not so believe. And
if one family is vaccinated, and believe in it, what possible
difference can it make to its members if a neighbor family does
not so believe and is not vaccinated?

He then quotes from the paper read before the French Aca¬
demy of Medicine by Chauveau in 1891 concluding with the
following:

“(1) Vaccine virus never gives small-pox to man; (2) vario¬
lic virus never gives vaccina to the cow; (3) vaccine is not even
attenuated small-pox. How, then, there being no resemblance
between the two, can vaccine virus confer immunity from
small-pox?

After giving statistics of the vaccinationists:

“As the members of the State Board of Health believe,
with their peers, that in frequent vaccination safety alone re¬
sides, why does not the board invade our factories, churches,
theatres and marts with the lancet and ivory point and not
confine its labors to the pupils of the schools, sowing seeds of
poison, disease and death in the blood of helpless and
trusting children? Because it does not dare to do so, for it

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knows that it has not the legal authority; and we know
that it has not the right to perform the superstitious rite on
our children without our permission. William Cobbett, M. P.,
thus tersely expresses our sentiments on this point: ‘Compul¬
sory vaccination can be adopted in no country where the people
are not vassals or slaves. ’ The ‘police’ pretext of the Board
of Health is a flimsy one, and will not stand the test of law, as
shown in other states. It is not above the Constitution of the
State or of the United States. When that speaks its voice
must be heeded. The latter says: ‘No State shall make
or enforce any law which shall abridge the privi¬
leges or immunities of citizens of the United States,
nor deprive of property without due process of law. ’ Your
children have the privileges of the public schools, and you
have a property right vested therein, for do you not pay your
share of the tax which maintains them ? The ignis fateus de¬
fect of the health board plan is worth mention, viz., it strikes
at a possible evil, not at an existing one, and entails expense
and sickness upon the well. As so forcibly hinted by attorney
T. M. Wyatt, of New York, it might just as well order the
Koch lymph as a preventive of consumption, the Pasteur
inoculation to head off hydrophobia, a course of comma bacil¬
lus to prevent cholera, diphtheria germ cultures for possible
diphtheria—in short, all the germs from Germany, parasites
from Paris and the microbes from Ireland, and finally, mira -
hie dictu! a course of dope and bichloride of gold to prevent
possible drunkenness!

‘ ‘ I will not weary you with statistical details showing the
inefficacy of vaccination in the prevention of smallpox. They
are as familiar to you as they are to me, but I will be an at¬
tentive listener to those of you who may choose to recount
some of them. But I do not wish to leave the subject with¬
out calling attention to the dangers coming to us through vac¬
cination. They are great and many, as I am prepared to
show, but will leave for some of you the unpleasant duty of
this exposition. And the text may be taken from Copeland’s
Medical Dictionary, as follows: ‘It is certain that scrofulous
and tuberculous diseases have increased since the introduction
of cowpox, and that the vaccine favors particularly the preval¬
ence of various forms of scrofula.’ And Dr. Epps, for twenty-
five years director of the Jenner Institute, England, says: ‘The
vaccine virus is a poison that penetrates all organic systems
and, without neutralizing the smallpox, paralyzes the expan¬
sive power of a good constitution so that disease falls back
upon the mucous membranes. So nobody has the right to
transplant such a mischievous poison into the life of a child. ’
And Professor Newman says: ‘Against the body of a healthy
man or infant, Parliament has no right of assault whatever

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Consensus of Opinion on Value of Vaccination. 213

under pretense of the public health. No lawgiver can have
the right, and such a law is an unendurable usurpation and
creates the right of resistance. ’ ”

Dr. Fincke, Brooklyn, N. Y., has been waging war against
compulsory vaccination in the city schools of Brooklyn, and
the following clipping from Brooklyn Eagle clearly states the
position held by the anti-vaccinationists of the homoeopathic
school of today.

The board of education appears to be in a most unenviable
position if it persists upon the exclusion of anybody from the
public schools who is not vaccinated or has not had small¬
pox. It is by that law forced into an opposition to the dearest
rights of any inhabitant of this blessed republic warranted by
the Declaration of Independence and the Constitution of the
United States, and gives an example to the pupils under its
supervision calculated to disturb and warp the young minds of
the growing generation confided to their care. They force any
person or child to have inserted into a wound made for the
purpose in one part or another an organic poison, the damage
of which is incalculable, as the facts show. This and nothing
else is vaccination, as they claim. But if it is not, surely the
board of education stands upon uncertain ground and no assis¬
tance from the board of health can strengthen its foothold.
For, as the medical member of the board claimed: “Vaccina¬
tion is an operation which consists in inserting the vaccine
virus under the cuticle so that it may enter the absorbents,”
Here it is clearly announced the vaccine is a virus, in
English vernacular, a poison. Is it allowed in a civilized
country, such as the United States is in preference, to insert a
a poison into a wound made for the purpose, into the body of
anybody, person or child? It seems that a poison should not
be administered, neither internally nor externally by a wound
in the skin, without endangering the life more or less, making
sick or even killing the individual. It has been said that the
vaccine poison is innocuous and protects from taking the small¬
pox. But it is notorious that the eldest boy of Jenner, on
whom he experimented with the vaccine virus, died of consump¬
tion, and so likewise did the man Phipps die from consump¬
tion after Jenner’s vaccination. Yet after a hundred years of
cruel warfare and untold misery caused by it, vaccination is in
the United States public schools made compulsory by the
board of education of one of the largest cities to the exclusion
of those entitled by law to partake of the blessings of a superior
education. The public schools are the bulwark of liberty,
they are the sure foundation of republican government, they
are the postulatum of the spirit enlightened by the acquire¬
ments of untold ages.

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But it is not the liberty alone which is suppressed, but the
life and happiness of those condemned to vaccination and
of those concerned in the welfare of the person or child going
to school have no less to be considered. The vaccination which
is claimed as the sure protector from smallpox is not vaccina¬
tion in the sense of which the authority speaks. Vaccine is
matter taken from the pustules of the cowpox, but this virus
is not used because it has been found too dangerous even in
the earlier decades of our century. It therefore has been
modified by letting it go through children and taking the virus
from them for vaccination; this was called humanized cowpox.
After finding that this would not do, because in addition to the
action of the cowpox it transferred diseases latent in the chil¬
dren as an inheritance from their fathers and mothers, they
fell upon the idea to vaccinate calves, heifers, nay, even bulls,
(as in Basle), with cowpox and take the virus from these ani¬
mals, and this is the kind of vaccination practiced in the public
schools; it is, therefore, not vaccination in the sense of the
medical authority alluded to. It is virus of young animals
which are poisoned by the cowpox virus inserted into delicate
parts from which the so-called vaccinating matter is taken for
contaminating the children of the public schools. This is not
vaccine, for only the milking cow is affected by the so-called
cowpox at the udder, but no bull calf, nor heifer nor bull ever
gets the cowpox naturally. The order given out by the board,
therefore, misses its mark, for vaccination is not practiced in
the public schools. What deleterious effect this inoculation,
alas! too frequently has, has been revealed to us homceopath-
ists who had to cure the miserable botchings in the thus pois¬
oned inmates of public schools and other unfortunates. It
stands to reason they would not go to those who ad¬
vocate this barbarous system of inserting organic poison
into the body; they would come to the humane system
of homoeopathy, which does not poison the people in order to
cure and has means of which those fanatics of vaccination do
not dream. To these belongs the homoeopathic variolation by
a high potency (900 centesimal) of the smallpox poison given
in a dozen pellets on the tongue of a person or child for three
successive nights. This procedure grows out of a legitimate
postulate of homoeopathies. For, in order to learn the virtue
of a medicine substance we must prove it upon the healthy.
The symptoms appearing after many trials on all kinds of in¬
dividuals indicate the range of efficaciousness of this remedy
in the sick. For then it will, if given in the proper potentia¬
tion which must go higher than that any analysis of physical
science could detect, heal the sick and leave no trace of its ex¬
istence behind, according to the eternal law of cureL Similia
similibus enrantur. These provings, then, upon the healthy

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Consensus of Opinion on Value of Vaccination. 215

person or child with the remedy called variolin, constitute the
homoeopathic prophylaxis against smallpox, because, if there
is any susceptibility in the person or child for this loathsome
disease, the high potency of variolin will bring it out in symp¬
toms more or less resembling it in a higher or lesser degree,
but never so much as to endanger health. The medicinal
force of the remedy expends itself in the symptoms and noth¬
ing is left of it because it has no material substratum but a lit¬
tle sugar, which can do no harm. The principle upon which
this remedy acts is the same as was intended by the Jennerian
vaccination, the simility of the cowpox to the smallpox. But
the difference turns upon the dose which, in the claim of the
board of education, is the clear nondescript animal poison in¬
serted in a wound, while with the homoeopathic process a few
small globules of a high potency are placed on the tongue.
Therefore this cannot, in the mind of the board, be called a
quarrel of medical schools, but it is a matter of fact which the
people —populus Americanos —has to test for its own welfare.
It should not be forgotten in this connection that this vaccina¬
tion business covers a mighty commercial interest, while the
supply of the people with variolin would seriously interfere
with it. For thus everybody would have the protector always
within reach whenever necessity or anxiety of imminent infec¬
tion require it, and almost at no expense. The old arguments
about the homoeopathic principle and its infinitesimal doses or
high potencies come too late at the end of this century and
only show that ignorance which can claim no attention from
those who know. The general paternal protection on the part
of the vaccinators is hardly in keeping with the acknowledged
principles of self-government, and it is to be hoped that the
board of education will not continue to make itself the cats-
paw of an unrelenting school of medicine. Sir Robert Peel,
when it was proposed in parliament to render vaccination com¬
pulsory, objected, remarking that such a proceeding would be
opposed to the mental habits of the British people and to the
freedom of opinion in which they rightly gloried; that he would
be no party to such an act. Fiat applicatiol

The following article appears as an editorial in the Brooklyn
Medical Journal for February, showing the position held by
the other side:

“Varioline” is the most recent freak in the wake of cerebri»e
and other-ine* that have led the way in the continuous effort
of impostors to humbug the public. So far as we are
informed, this shade of a shadow was first brought to notice
in Brooklyn.

Last October Dr. Alice Campbell issued a certificate to a
child who had applied for admission to a public shool, stating

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that he had been protected from the infection of small-pox by
the varioline treatment. The principal of the school was in
doubt as to whether Dr. Campbell’s certificate could be consid¬
ered an equivalent to a certificate of vaccination which every
candidate for admission is required to furnish. He accordingly
sent the certificate to Secretary Brown, of the Board of Educa¬
tion, to learn if it could be accepted, Mr. Brown forwarded
the certificate and Mr. Martin’s letter to the Board of Health
for an opinion.

Health Commissioner Griffin, after considering the matter,
directed Secretary Baker, of the Board of Health, to write the
following letter, which was sent to Principal Martin through
Secretary Brown:

Mr. George D. A. Martin , Principal Public School Mo 57:

Dear Sir: I am directed by the Commissioner to reply to
your communication inclosing a certificate from Alice
Campbell, M. D., which recites “that Lester Lowerie has been
protected from the infection of small-pox by the homoeopathic
administration of varioline in a highly potential state,” and
inquiring if such form can be accepted for admission of child¬
ren to the public schools. Without questioning the merit of
the method referred to above, he is of the opinion that it does
not conform to the statutory provisions which require that
every child should present a certificate of vaccination before
being admitted. However, it is a mattor for the Board of
Education in the first instance, and their rules regulating
attendance are based on that law.

Respectfully yours,

R. C. Baker, M. D., Secretary.

Acting upon the Health Commissioner’s opinion, the Board
of Education caused a circular to be issued to the school prin¬
cipals directing them to accept no treatment as a substitute for
vaccination.

Dr. Campbell is reported in the Eagle as having said that
she had issued twenty-five certificates to school-children, and
that they had all been accepted. When told about the circular
issued by the Board of Health she became indignant, and
exclaimed:

“Whose schools are the}’, I should like to know? Do the
schools not belong to the people, and have not the people the
right to say how they shall be treated? I believe that vaccina¬
tion is harmful, while with varioline I obtain the most satisfac¬
tory results. ”

Dr. Stuart Close told the reporter that he had given over
fifty certificates to school-children, stating that the varioline
treatment had been given them, and all of these certificates he
declared, were accepted by the school principals.

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Consensus of Opinion on Value of Vaccination. 217

“Varioline administered homceopathically,” said Dr. Close,

‘ ‘complies with the law compelling vaccination if that law be
rightly interpreted. ”

And one B. Fincke, M. D., contributed a column to the
Eagle (January 8th) on the subject, citing as evidence against
vaccination that one of Jenner’s children and several other
persons he had heard of died of consumption after they had
been vaccinated! The Sanitarian published an equally per¬
tinent case some time agd of a boy who soon after vaccination
fell from a peach-tree and broke his neck!

But Dr. Fincke pursues the subject and says:

‘ ‘The principle upon which this remedy acts is the same as
was intended by the Jennerian vaccination, the similarity of
cow-pox to the small-pox. But the difference turns upon the
dose, which, in the claim of the Board of Education, is the
clear nondescript animal poison inserted in a wound, while with
the homoeopathic process a few small globules of a high
potency (900 centesimal) are placed on the the tongue. The
old arguments about the homoeopathic principle and its infini¬
tesimal doses or high potencies come too late at the end of this
century, and only show that ignorance which can claim no
attention from those who know. The general paternal pro¬
tection on the part of the vaccinators is hardly in keeping with
the acknowledged principles of self-government, and it is to be
hoped that the board of education will not continue to make
itself the cat’s-paw of an unrelenting school of medicine.”

But it is gratifying to know that the homoeopathic physi¬
cians, as a body, do not endorse this shadow—that they have
disowned it by a resolution, in society assembled.

Moreover, in a communication to the newspapers, Dr.
Jerome Walker, Lecturer on Physiology and Hygiene in the
Brooklyn High School and the vaccinator employed by the
Board of Education, reports having visited, in quest of infor¬
mation, two of the best known homoeopathic physicians of this
city. They both agree that its use is not homoeopathic, as
there have been no provings as far as they know upon well
people, though it is believed in by some of the extremists in
their branch of the medical profession. Personally they are
not willing to accept varioline as a substitute for vaccination
until there is more proof than has yet been furnished of its
efficacy. Referring to its advocate, he said: “It is folly to
rail against the Board of Education for insisting upon vaccina¬
tion, for Section 200, Chapter 664 of the Laws of the State of
New York distinctly states: ‘No child or person not vaccinated
shall be admitted or received into any of the public schools of
the State, and the trustees or other officers having the charge,
management, or control of such schools shall cause this pro¬
vision of tli^law to be enforced. They may adopt a resolu-

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tion excluding such children and persons not vaccinated from
such school until vaccinated.’ ”

PHYSICAL CULTURE FOR LADIES.

MRS. H. P. ROUNTREE.

In answer to further inquiries concerning breathing as a
means of rejuvenation of the body, I wish to present some
exercises, which if properly practiced cannot fail to “repair
the waste and promote the growth of the body.” In the first
place, we cannot have healthy flesh sustained by poisonous
blood. Secondly, we cannot have a proper quantity of puri¬
fied blood in our arteries without good breathing.

By good breathing I mean inhaling the air in a manner that
will fill all parts of the lungs so that the oxygen may be
utilized.

Now for fifteen minutes of good life giving breathing. Are
you properly dressed? Can you use every muscle with the
utmost freedom? If so, begin:

First Exercise. Stand firmly in the military position—heels
together, toes out, shoulders well back and down, head erect,
a one pound dumb bell in each hand—hands with bells resting
on the hips—thumbs back, palms down. (Please be careful
about this position). Fill the lungs with air through the
nostrils, slowly but surely, making no noise with the nostrils,
if there must be any sound, let the sound seem to be in
the upper part of the lungs. When the lungs are filled
with air, twist the upper part of the body half way round to
right—looking backward—twisting at the waist line only—
hold your breath, twist the body front, and exhale the air
through the nostrils as slowly as you can, making no noise
with the nostrils—let the noise be in the lungs.

Second Exercise. Military position. Fill the lungs as in
the above number, twist the body at the waist line around fo
the left, of course holding the air in the lungs—twist the body
front and force the air out through the nostrils—i. e. empty
the lungs in about two seconds—remember, no noise in the
nostrils.

Third Exercise . Military position. Fill the lungs slowly
as above, hold the breath, twist the body at the waist line to
the right as far as possible, front, twist to the left as far as

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Physical Culture for Ladies .

219

possible, front, drive all the air from the lungs through the
nostrils, instantly. Empty the lungs in about one-quarter of
a second. In exercise 1, 2 and 3 the mouth must be kept
firmly closed.

Fourth Exercise. Military position. Fill the lungs slowly
as in number one, bend the body at the waist line, over to the
right as far as possible, up, exhale the air from the lungs as
slowly as possible in a whispered gape, uttering the word
“awe. ” In this exercise as well as in Nos. 5, 6, 7, 8 and 9 the
back part of the mouth must be spread as though you were
trying to swallow a hot egg.

Fifth Exercise. Military position. Fill the lungs as in
number one, bend the body at the waist line over to the left as
far as possible, up, force the air from the lungs, uttering the
whispered “ hawe ,” utilizing about two seconds in thoroughly
emptying the lungs of air.

Sixth Exercise. Military position. Fill the lungs as in
number one, bend the body at the waist line far over to the
right, up, bend far over to the left, up, drive all the air from the
lungs instantly, uttering the whispered “ hawe . ” The exhala¬
tion of the air from the lungs .in this number may be called
if you wish, a whispered cough.

Seventh Exercise. Military position. Fill the lungs as in
number one, bend the body at the waist line as far front as
possible, up, exhale the air from the lungs as slowly as possi¬
ble, vocalizing the word “awe' in a round, full, deep resonant
tone.

Eighth Exercise. Military position. Fill the lungs as in
number one, bend the body at the waist line as far back as you
can, up, force all the air from the lungs in about two seconds,
vocalizing the word “awe" in a kind of a roar or bellow.

Ninth Exercise. Military position. Fill the lungs as in
No. 1, bend the body at the waist line, as far front as possible,
up, bend as far back as possible, up, drive all the air from the
lungs instantly in vocalizing the word “hawe." If you have
faithfully followed the above instructions you are now ready
for the next exercise.

Tenth Exercise. Military position. Fill the lungs slowly,
as in number one, step firmly forward on the right foot, go
through the movements of a swimmer with both arms and bells

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about five times, recover to military position, exhale the air in
a whispered “pah” or cough.

Eleventh Exercise. Military position. Fill the lungs as in
above number, step forward firmly on the left foot, go through
the swimming motions of number ten, recover to military posi¬
tion, exhale all the air from the lungs in a whispered “pah.”

Now you may go to your breakfast, dinner or supper, for
you will need it if you have carefully followed instructions.
Just a word of warning: Never take air into the lungs through
the mouth while practicing these exercises. Never practice
these exercises without first filling the lungp full of air and
holding the breath until the exercise is complete.

Fifteen minutes of these exercises every morning before you
dress and fifteen minutes of the same before you retire at night
is sufficient. Now, dear sisters, please try these exercises
honestly, just once, and report the result.

HEALTH COMMANDMENTS.

1. Thou shalt have no other food than at meal time.

2. Thou shalt not make unto thee any pies or put»into the
pastry the likeness of anything that is in the heavens above or
in the earth below. Thou shalt not fail to chew it or digest it,
for the dyspepsia shall be visited upon the children to the third
generation of them that eat pie, and long life and vigor upon
those that live prudently and keep the laws of health.

3. Remember thy bread to bake it well, for he will not be
kept sound that eateth his bread as dough.

4. Thou shalt not indulge sorrow or borrow anxiety in vain.

5. Six days shalt thou wash and keep thyself clean, and
the seventh day thou shalt take a great bath, thou and thy
son, thy daughter, and thy maid servant, and the stranger
that is within th} f gates. For in six days man sweats and
gathers filth and bacteria enough for disease; whereupon the
Lord has blessed the bath-tub and hallowed it.

6. Remember thy sitting room and bed chamber, to
keep them well ventilated, that thy days may be long in the
land.

7. Thou shalt not eat hot biscuit.

8. Thou shalt not eat thy meat fried.

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Commencements and Re-unions .

221

9. Thou shalt not swallow thy food unchewed, or highly
spiced, or just before work or just after it.

10. Thou shalt not keep late,hours in thy neighbor’s house,
nor with thy neighbor’s wife, nor man servant, nor his maid
servant, nor his cards, nor his glass, nor with anything that is
thy neighbor’s.— Med. Brief.

COMMENCEMENTS AND RE-UNIONS.

There being so many of the alumni of Hahnemann of Chicago
who are readers of the Medical Advance, the following taken
from the original manuscript will prove especially interesting
to them as well as others:

At a meeting of the Homoeopathic Physicians of Chicago
held March 10, 1860, agreeably to a general notice contained
in the daily papers of the same date, at the Homoeopathic
Pharmacy, Dr. G. E. Shipman was called to the chair, and Dr.
R. Ludlam chosen secretary.

There were present Drs. G. E. Shipman, A. E. Small, J. L.
Kellogg, N. F. Cook, G. D. Beebe, A. Pitney, H. K.W. Board-
man, E. Rawson, J. Davies, S. Seymour and R. Ludlam .

The chair explained the object of the meeting as designed to
discuss the propriety of organizing and nominating a Medical
Faculty as initiative to the first course of lectures under a
charter for the Hahnemann Medical College granted by the
legislature of 1855.

By request of Dr. A. E. Small, the secretary read a copy of
the charter for said college.

Dr. Ludlam offered a resolution that, in the sense of this
meeting the proper time for organization under the charter
relative to a course of medical lectures having arrived, we
hereby proceed to the nomination of a faculty to fill the chairs
of the said institution. Carried.

Dr. Boardman. Resolved that we have eight chairs in the
faculty, viz. 1. Institutes and Theory and Practice. 2.
Materia Medica and Therapeutics. 3. Physiology and Patho¬
logy. 4. Surgery. 5. Anatomy. 6. Chemistry and Toxi¬
cology. 7. Obstetrics and Diseases of Women and of Children.
8. Medical Jurisprudence. Carried.

Dr. Cook. That the chair proceed to call the roll of the
meeting, and that those gentlemen willing to accept chairs in this

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institution shall so signify, each being at liberty to respond as
he may feel disposed. Adopted.

The chair called upon each physician present, obtaining an
affirmative response from nine, and a negative answer from two
of the gentlemen present.

The latter were Drs. S. Seymour and A. Pitney. The for¬
mer, Dr. Seymour, declined because of ill health.

Dr. Boardman moved the selection by informal ballot from
among those who would accept chairs, of a Medical Faculty,
the chairs to be taken in the order afore-named.

The ballot for the chair of the Institutes and Theory and
Practice resulted as follows, Dr. Small, 6 votes; Dr. Shipman,
2; Kellogg, 1. Dr. Beebe moved to make Dr. Small’s nomina¬
tion to this chair unanimous. Carried.

The ballot for an occupant to the chair of Physiology and
Pathology resulted in Dr. Ludlam, 6; Cooke, 2; Shipman, 1.
Dr. Cooke moved to make Dr. Ludlam’s nomination unani¬
mous. Carried.

The vote for Professor of Materia Medica resulted in Dr.
Shipman, 8 votes ; and Kellogg. 1. Dr. Davies moved to make
the vote unanimous for Dr. Shipman. Carried.

The vote for Professor of Surgery resulted in Dr. Boardman,
7; Davies; 2. Dr. Cooke moved to make unanimous. Carried.

For Professor of Anatomy, Dr. Beebe, 8; Davies, 1. Dr.
Ludlam moved to make unanimous. Carried.

For Professor of Chemistry and Toxicology, Dr. Cooke, 6;
Dr. Lord, 1; Dr. Kellogg, 2. Dr. Davies moved to nominate
Dr. Cooke unanimously. Carried.

For Professor of Obstetrics, etc., Dr. Kellogg, 8; Dr. Davies,
1, Made unanimous.

Dr. Boardman moved the election of Geo. Payson, Esq.,
Lecturer on Medical Jurisprudence. Carried.

Dr. Small. Resolved that Members of the Faculty be ex¬
pected to serve the institution during the first year without
compensation, and that the lecture fees go into a common fund
to defray the necessary expenses of the college. Adopted.

Dr. Beebe, in concurrence with Dr. Rawson, made a tender
of the Chicago Homoeopathic Medical Dispensary, hitherto
under their united charge, to the uses of the college.

Dr. Small moved to accept. Carried.

Dr. Small. Resolved that a committee of three be chosen
to select a room for the College Dispensary, and also for the
nomination of Clinical Lecturers whose names shall be pub¬
lished as such in the College Announcement. Carried.

Drs. Beebe, Davies and Small were chosen said committee.

Dr. Boardman nominated Dr. A. E. Small as Dean of the
Medical Faculty. Elected.

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Commencements and Re-unions.

223

Dr. Kellogg nominated Dr. R. Ludlam to the office of
Registrar. Elected.

The chair nominated Edward King, Esq., for treasurer of
the College. Elected.

Dr. Boardman moved that fees for a full course of lectures be
$70; Matriculation $5; perpetual course $120, exclusive of
Matriculation; graduation fee $25; for those students who have
attended two full courses in other Medical Colleges, $35; gra¬
duates of other Medical Colleges $30. Carried.

The chair suggested the propriety of offering the course free
to Thological students upon payment of the Matriculation fee.
Dr. Small would second the resolution with the amendment
that those students admitted to the lectures in this manner be
eligible as candidates for graduation only upon payment of the
graduation fee. Carried.

Dr. Kellogg moved to recommend to the Board of Trustees
of this college the name of Dr. D. S. Smith as our candidate
for president of the Medical Faculty.

On motion adjourned. R. Ludlam, M. D., Secretary.

The Alumni Association of the Hahnemann Medical College,
Philadelphia, requests the pleasure of the company of the
Alumni of the College, at its annual re-union and banquet, on
Tuesday, May 8, 1894.

The business meeting will convene at 4:30 p. m. in Alumni
hall, Hahnemann Medical College, Broad street above Race,
Philadelphia, and the banquet will be held at 10 p. m. at ‘ ‘The
Stratford,” corner of Broad and Walnut streets.

The Trustees and Faculty of the College extend a cordial in¬
vitation to all the members of the Alumni and their friends to
attend the Forty-sixth Annual Commencement, to be held on
the same evening, at 8 o’clock, at the Academy of Music,
Broad and Locust streets, Philadelphia.

Banquet cards can be secured from any officer of the Asso¬
ciation, at $3.50 each. The cards being limited to two hun¬
dred, the committee cannot guarantee to furnish any applied
for after May 7th, 1894. If you can make arrangements to be
present at the banquet, notify the Secretary and he will secure
a place for you.

President—I. Tisdale Talbot, M. D., ’53, 685 Boylston
Street, Boston, Mass. Vice-Presidents—C. S. Middleton, M.
D., ’62, 1523 Girard Avenue, Philadelphia; Asa S. Couch, M.
D.; *57, Fredonia, N. Y.; Wm. J. Hawkes, M. D., *67, Central

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Music Hall, Chicago, Ill. Permanent Secretary—Wm. W.
VanBaun, M. D., ’80, 419 Pine Street, Philadelphia. Pro¬
visional Secretary—George W. Smith, M. D., ’76, 1320 Wal¬
nut Street, Philadelphia. Treasurer—Wm. H. Bigler, M. D.,
’71, 1524 Arch Street, Philadelphia. Executive committee—
one year—Carl V. Visher, M. D., ’87, 1429 Poplar Street,
Philadelphia; Thomas H. Carmichael, M. D., ’86, 4495 Main
Street, Germantown, Philadelphia; Edward W. Mercer, M. D.,
’84, 157 North Fifteenth Street, Philadelphia. Two yfears—
Wm. B. Van Lennep, M. D., ’80, 1421 Spruce Street, Phila¬
delphia; Isaac G. Smedley, M. D., ’80, 1705.Arch Street, Phila¬
delphia; William R. King, M. D., ’81, 1422 K Street, Wash¬
ington, D. C.; Three years—M. S. Williamson, M. D.. ’72,
1311 Arch Street, Philadelphia; Wm. H. Keim, M. D., ’71,
2015 Ridge Avenue, Philadelphia; Jos. C. Guernsey, M. D.,
’72. 1923 Chestnut Street, Philadelphia.

The annual reunion of the Alumni Association of Pulte
Medical College will be held in Cincinnati, Tuesday, March
27th. Following the time-honored custom the business meet¬
ing will be held in the afternoon at 3 o’clock in the College
Building. In the evening, after the commencement exercises
in the Scottish Rite Cathedral, on Broadway, between Fourth
and Fifth streets, the Alumni of Pulte Medical College, the
class of ’94, the undergraduates, the trustees, and the faculty,
will adjourn to the cathedral parlors, where the social features
of the annual reunion will take place.

The sixth annual commencement of the Kansas City
Homoeopathic Medical College was held on Thursday even¬
ing, March 15th, at the Grand Avenue M. E. Church. A
delightful program was carried out. The size of the class was
not stated.

The second annual commencement of the Hering Medical
College will be held in the Grand Opera House on the 10th
of April at 2 o’clock in the afternoon. The faculty and gradu¬
ating class will appear in the cap and gown adopted by the
College at their first commencement.

The class and alumni reunion and banquet will be held at
Hotel Windermere, corner Fifty-sixth street and Cornell
avenue at 8 o’clock on the evening of the tenth. All friends
of the College are cordially invited to be present at the com¬
mencement exercises.

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THE

Medical Advance

A HOMCEOPATHIC MAGAZINE.

Vol. XXXI Chicago, April, 1894. No. 4

MATERIA MEDICA AND THERAPEUTICS.

ACONITE IN DISEASES OF THE EYE, EAR, NOSE
, AND THROAT.*

BY L. A. L. DAY, M. D.,

Professor of Ophthalmology and Otology, Hering Medical College.

Aconite is especially adapted to persons of dark hair and
eyes, and of rigid fiber. The arterial system is dominant; the
pulse is rapid, strong, full and hard. All conditions calling
for Aconite are sudden in their onset and are very ihtense,
severe, the chill, the congestion, the fever, the burning of the
skin, the inflammation, the pains, the neuralgia, the thirst,
and so all over the body everything is very pronounced.

Results from fright, anger and chagrin frequently indicate
Aconite, especially if recent.

The symptoms of Aconite are frequently present in the first
stage of acute inflammation. During the congestive period of
many diseases it will frequently check the process before the
inflammatory stage can be established.

The action of Aconite ceases when the change of tissue
begins. By this time the symptoms call for another remedy
as a rule.

The mental symptoms of Aconite are of the greatest im¬
portance; fear, restlessness, and anguish, fear of approaching
death; in severe cases the patient may predict death. The
restlessness and tossing about comes from the mental agony in

•Read before the Materia Medica Club.

225

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a general way and not to the amelioration gained by the mo¬
tion or change of position. Although there may be cases in
which the Aconite patient will experience some relief from the
motion or change of position, it is more due to the fact that it
relieves the mental and nervous strain.

Aconite is more frequently indicated in the interior countries
than on the sea coasts, as the characteristic cause leading so
frequently to the use of the remedy is conditions from expos¬
ure to cold, dry winds. Exposure to draughts of air causing
sudden chilling of the surface of the body is another very fre-
qnent cause leading to the use of Aconite, and this is especially
true of children.

Aggravations—*‘in a general way,” in the evening, at night,
and in a warm room.

Ameliorations—‘ ‘in a general way, ” in the open air, while
at rest, but the pains may be so severe that the patient can't
keep quiet, which would not contra-indicate Aconite.

Eyes—violent congestions and acute inflammations in the
early stages, during the dryness and before the exudation.

Conjunctivitis both palpebral and ocular, especially if from
foreign bodies 4 ‘as a cause, ” or exposure to cold, dry winds, or
draughts when overheated. The remedy has an aggravated
condition at the inner canthus, with sensation of dryness,
burning, chemosis, sensation of sand under lids. Sensitive¬
ness to the air, aggravated from tobacco smoke and cold feel¬
ing in open air.

Lids considerably swollen and hard, due generally to the
marked congestion, aggravated in the morning, especially in
the upper lid which feels long, heavy, and hangs down as if
paralyzed, with heat, burning, itching, and smarting of mar¬
gins of lids.

Balls—twitching pain in eye, aggravated by looking down
and around, with heat and burning. Crushing pain; pain as if
eye would be pushed out when lids are open—no doubt due to
the congestion of the balls or orbits.

Painsextending to supra-orbital region and to the brain;
these pains are very severe, causing much anxiety and expres¬
sion of fear from the patient. Fear that the eye will be lost
or as if he cannot endure the pain and it must be stopped.
Flashes of light, dim vision, pupil oval and insensible to light.

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From these symptoms Aconite should be indicated in acute
inflammatory glaucoma for they correspond well to the symp¬
toms accompanying this disease. But in this affection I should
look deeper for a constitutional remedy to remove the predis¬
posing cause and thus cure the case. In this morbid condition
one must relieve the increased intra-ocular pressure soon or
the vision will be lost to a greater or less degree—and gener¬
ally to the extent of perception of light from darkness.

The pupils—under Aconite are contracted or alternate with
dilatation, which is often due to congestion and acute inflam¬
mation of the iris, while the pains are of a pressive, shooting
character, with burning, dim vision and photophobia. Iris
sluggish or immovable with loss of luster and distinctness of
pattern of iris from hyperaemia.

The Aconite pains are aggravated at night, especially after
getting in bed, therefore, from these symptoms, Aconite may
be indicated in the first stage of acute, idopathic, traumatic or
rheumatic variety of iritis; and more especially would one
think of Aconite if there are at present the peculiar mental
symptoms of the remedy given above.

Aconite should be thought of in neuralgias of the eyes,
either supra or infra-orbital, when the pains are intense, shoot¬
ing, pressing; and particularly if in or over the left eye. If
brought on by exposure to cold, dry winds and sudden chilling
of the surface of the body when over-heated, with the general
concomitant symptoms, by all means use it.

Aconite is one of the first remedies to think of in acute in¬
flammation of the eyes and their appendages from trau¬
matism.

Aconite may be indicated in acute inflammation of the ex¬
ternal ear, but more frequently of the middle ear; in acute
catarrhal inflammation of the middle ear, “comnAnly called
earache,” especially if from acute cold in the head; and in
acute pharyngitis extending to the ear by the eustachian tube;
all the symptoms being produced by exposure to cold, dry
winds or drafts of air, which are very apt to cause in some in¬
dividuals a sudden chilling of the body. The pains are very
severe, deep in the ear, with a stopped feeling, so common;
pains are intense, of a tearing, shooting, stitching, darting
character, accompanied by roaring, humming, hissing, ringing

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in the ears. The hearing may be impaired, but a more char¬
acteristic condition is great sensitiveness of the sense of hear¬
ing to all noise.

Therefore, if a child awakens at midnight crying with ear¬
ache, the pains insupportable, constantly tossing about—can’t
keep still, and nothing ameliorates—all due to the causes given
above, and accompanied by fever, dry, hot skin, great thirst,
face red and pale alternately, or one cheek red and the
other pale, with the concomitants, Aconite would be the proper
remedy.

The sense of smell is very acute, especially for bad odors.
Epistaxis profuse, of bright red, hot blood. If severe enough
to frighten the patient, and especially in plethoric persons.
Aconite is indicated. Also in acute catarrhal inflammation of
the nasal mucous membrane. Dryness, tingling and obstruc¬
tion of the nasal passages, with frequent, violent sneezing, in¬
dicates it; also when the congestion or inflammation attacks the
ethmoid cells and frontal sinuses, characterized by stupefying
pressure at the root of the nose, and fullness in the region of
the frontal sinuses. In very marked cases of this variety the
condition would be preceded by chills, followed by fever—an
excellent indication for Aconite.

In acute coryza there would be much sneezing and burning
and tingling of the mucous membrane. The best time for
Aconite is just as soon as the patient realizes that he has taken
cold. If given at this time the condition is often cut short and
does not extend beyond congestion. Unfortunately, however,
this stage is frequently past before the patient consults the
physician.

There is an acute fluent coryza beginning with a violent chill,
followed by a profuse hot fluid dropping from the nose, with
stuffing the head and accompanied by violent sneezing,
which indicates Aconite.

Symptoms of the pharynx. Acute catarrhal pharyngitis,
dryness of the mucous membrane and dark redness from in¬
tense congestion, very painful deglutition, drawing pain ex¬
tending from the side of the pharynx to the ears, which is
aggravated by swallowing.

Soreness and rawness; raw, scraped feeling in the posterior

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wall of the pharynx with desire to hawk, which is ameliorated
by clearing the throat.

Scraping in the throat and soft palate with burning as from
peppermint; burning at posterior part of the pharynx with
hawking, aggravated by tobacco smoke. Cough from irrita¬
tion, as if dust or small foreign bodies were in the throat, with
desire to swallow and a sense of constriction.

Sticking sensation in a spot aggravated by swallowing or
speaking, with a strangling sensation.

Redness of the tonsils, uvula, soft palate and pillars of the
fauces, with dryness and burning. Tonsilitis, acute, before
exudation, uvula swollen and elongated, mucous membrane
much injected, dark red. If with the above symptoms you
have concomitants indicating Aconite, the case will be cut
short by its administration. The throat symptoms of Aconite
are aggravated by walking in the open air, and ameliorated
after eating.

Symptoms of the larynx—acute catarrhal laryngitis. Short,
dry cough from titillation in the larynx, hoarseness, cough
aggravated by tobacco smoke, after drinking, and at night,
with the concomitants.

Spasmodic croupy attacks at midnight, coming suddenly ;
awakens child from sleep, and especially if due to exposure to
high, dry winds on the preceding da} r , indicates Aconite when
accompanied by suffocation, fright, restlessness and anxiety.
Often the child will grasp at the throat for relief.

It is useful for membraneous croup, inflammatory stage,
especially in excitable, nervous and vascular subjects. Burn¬
ing heat, thirst, short cough, quick and hurried breathing, are
prominent symptoms.

The larynx is sensitive to inspired air. Hard, dry cough on
coming from the cold air into a warm room; when coughing,
the chest feels sore and the larynx raw.

In oedema glottidis Aconite should be the first remedy, not
from the diagnosis, but because the symptoms are present.
We find not only the great congestion and acute inflammation,
but the great difficulty of respiration, the inspiration more dif¬
ficult than expiration, threatened suffocation, and the mental
symptoms of Aconite are generally present and very promi¬
nent, with other concomitants.

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Every homoeopath, and more especially every Hahnemannian
should individualize his cases; first, as to the selection of the
remedy, and second, as to the proper potency of the remedy
best adapted to the case at hand. He should have definite
ideas at least satisfactory to his own mind, why he administers
a particular potency and not any other.

As Aconite seldom needs repetition in a case, we only have
to consider the case as it presents, relative to the first dose.
Aconite is a very rapid and short acting remedy. Hahne¬
mann tells us it acts from one-half hour to forty-eight hours.
It corresponds to that abnormal condition of the vital force
which has appeared suddenly and terminates soon in recovery,
or extends to a condition which, judging from the symptoms,
indicates another remedy which then corresponds to the
totality of the symptoms.

Therefore, in the class of patients in which Aconite as a rule
is called for (relative to temperament) the vital force has
abundance of reaction or reactive power, the velocity of the
morbidly affected vital principle is great, and the remedy
should be given in the higher potencies.

A patient advanced in life, who is of an Aconite tempera¬
ment, and in whom the reactive powers of the vital force are
far below par with the symptoms calling for the remedy, should
be given the lower potencies.

Should Aconite be called for as an intercurrent remedy
“which should only be administered in extreme cases,” a lower
potency is the proper one, as it will not produce such a pro¬
found effect upon the vital force, and the constitutional treat¬
ment will not be so interfered with, that is, the reaction from
the constitutional remedy.

ASTHMA.

JOHN C. MORGAN, M. D., PHILADELPHIA.

Case 1—Katie M-, aged 17 years; has asthma severely;

has been subject to it for five years, since a “pneumonia”
(r. s.) contracted by exposure in the country—wading creeks,
going barefoot, &c.

This time, has had it for several days; was obliged to sit
forward in chair to breathe. Nose also suddenly became im-

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Asthma.

231

pervious to air, doubtless from congestion of its erectile tissue.

Cough “like the harking of a big dog;" pain and soreness
through upper chest—front to hack. 1^, Verhascum *°°, in
frequent doses. After commencing to take the medicine, at
short intervals, coughing was impossible, owing to increase of
pain and soreness. Continuing, at longer intervals, it sub¬
sided and she rapidly grew better, every way, and was soon
well.

When improving, expectoration of yellow phlegm —after¬
wards changing to white; both kinds being thin.

The sudden nasal obstruction in the bronchial attack seems
pathologically suggestive. I have lqng believed that the
erectile tissue now known to exist about the posterior nares,
etc., and subject to sudden swelling, extends downward to a
wider field, and that “child-crowing” might thereby be also
elucidated. Indeed, I once attempted to verify this by the
mirror in a child of 18 months, but found it impracticable.
So, now, I include the bronchial mucous membrane in my
thought of erectile tissue , and especially in asthma—and Ver¬
hascum as acting thereon.

Some time after this Lachesis 200 complemented the beneficial
impressions of the Verhascum , being given in repeated doses
during several days. The keynote was cough, with great sore¬
ness in the left chest.

Case 2—A lad of 16 years, who had been living in a low
country, had been subject to asthma all his life. The present
occasion succeeded to much exposure to cold , damp air , with
exertion , in hunting, &c. Had been sick several days. The
time was afternoon.

He sat with his head resting on his right hand, and his elbow
on the arm of his chair; leaning sidewise and forward. Feel¬
ing as if his abdomen were distended to suffocation. Keeps
shifting his feet. Wheezing dyspnoea. On auscultation, gene¬
ral thoracic wheezing and squeaking. Face darkly flushed.

He was promptly relieved by a few doses of Rhus tox~°°, at
short intervals.

Case 3—The same lad, a year later, just taken with a par¬
oxysm, could not move on account of dyspnoea. Was advised
to retire early, it being evening. Attempting to remove his

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shirt he was almost suffocated, and he sat perfectly still in the
chair, both arms resting , trying to regain his breath.

Jfy, Napthalina 2x , one-half grain, was given, and, after a
pause, his clothing was cautiously removed by a friend, and
he was placed in bed. He seemed slightly better. At the
end of twenty minutes a second powder was given, and soon
after he fell asleep, but still wheezing. He grew better, how¬
ever, as time advanced. When the family were retiring he
awoke, feeling much easier. Took a third powder and slept
in comfort all night. In the morning was convalescent.

Urtica urens versus Ascarides—A little boy had seat
worms; treated allopathically without result. Living in New¬
ark, N. J., his father visited a homoeopathic physician, who
prescribed Urtica urens, in mother-tincture; two doses; one at
bedtime on consecutive nights. Result, immediate and per¬
manent cure.

Cina 200 —I have always cured Ascarides with one prescrip¬
tion of Cina} 200 —seven powders; giving one every night at bed¬
time. Also, Sweet Oil , one to two teaspoonfuls, per anum,
using a small hard rubber syringe. The purpose of this is the
stoppage of the respiratory foramina of the worms located be¬
tween the ring segments.

Dr. Samuel Swan communicated to me the following, which
I submit impartially:

Case op T<enia —Coupled with craving for rare and even
raw beef. Gnawing in the epigastrism at night. Feeling as
if the worm rose to the throat and would suffocate her. Jfy,
Camis bovis (raw beef, highly attenuated); one dose, daily,
three times. The 10,000th attenuation was used.

Gradually there came on a great disgust for beef in any
form. All the symptoms subsided and the evidences of tape¬
worm completely disappeared.

Case of Ascarides —Symptoms (not stated) were largely
relieved by Lycopodium and Sulphur, high. Now appeared a
peculiar craving for Oatmeal j>orridge ’, but after eating it the
worm symptoms were immediately and always aggravated.

I£, Arena, highly potentized. After this this symptom was
corrected. Further treatment not mentioned; (the case was
reported to Vi. Swan by another physician).

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* Pyrogen. 233

Frag aria Vesca —(the strawberry, potentized), is curative to
bad effects of the fruit.

I, myself, (J. C. M.), have successfully given it in the 6 X ,
two doses, every second day, until six doses are taken—in loss
of milk in nursing mothers.

Persica vulgaris , (or Amygdalus persica, the peach; in
potency); is an antidote of the ill effects of eating the fruit,
&c., &c.

Following out this “isopatliic” lead, Dr. Swan “potentized”
ice and snow , and gave them, with asserted advantage, in
cases where morbid cravings for, or ill effects from these, in
crude form, were present! Query. Does freezing (crystaliza-
tion) of water indeed create molecular changes capable of
Iynamic effects? Who knows?

Saccharum officinale, (white cane sugar, potentized); found
curative against cravings, repugnance, &c., toward sugar,
candy, etc.

Dr. A. Lippe stated positively that “sugar is a drug”; often
curative in scarlatinal dropsy.

It has a place of honor in his Text Book of Materia Medica.

PYROGEN.

H. C. MORROW, M. D., SHERMAN, TEXAS.

Mrs. M -, three weeks after parturition. Chill every day

about 11 a. m. Chill commences between the shoulders and
extends to the shoulders and backs of the arms. Chilliness
aggravated by draft of air. Heat with chilliness if wind
strikes her. Aching in back and legs severe during all stages.
Chill preceded by dizziness , even when sitting. Headache in
occiput; extends there from the nape of the neck. Thirst for
large quantities of cold water frequently in all stages and
apyrexia. Aching in sternum during chill and heat. Bed
feels hard at night. Very restless. Pyrogen" 1 (Swan) cured.

I will add that the lochia had not yet ceased, but were thin,
watery and very offensive.

Mr. L-. Chill every day about 10 a. m. Chills run up

and down back. Thirst before and during chill and fever.
Short chill and long lasting fever. Terrible throbbing head¬
ache during fever, and face as red as a beet. Fever lasted un-

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til in the night, when it went off with profuse perspiration.
Very severe aching all over the body—bed and pillow felt very
hard. Very restless, rolling and tossing about the bed.
Pyrogen cm (Swan) cured the chill and fever, but had to be fol¬
lowed by Rhus F cm to remove effects of sprain in lumbar region
produced by lifting. In this case Baptisia was given before
the Pyrogen, but did not benefit any. This case shows that
Rhus tox. follows Pyrogen well.

OBSTETRICS.

The following cases are noted to illustrate the Hahnemann-
ian doctrine as applied to child bearing.

Mrs. H., aged 24, second pregnancy. During her first
pregnancy she was attended by a “scientific prescriber” and
confined to her bed nearly the whole period, and was so reduced
in strength and vitality that she had no power left to take part
in the process of labor—hence instrumental delivery was re¬
sorted to, although no reason existed for such procedure, save
the want of vital energy. The child died, and the doctor ad¬
vised her not to try it again. Two and a half years have now
elapsed, and we find the histor} 7 of her former pregnancy re¬
peating itself. The totality of the symptoms calls for Ipeca-
cuanna, which was given in potency, l m a single dose. In
two hours she arose, dressed, and ate a fair meal. She ex¬
perienced no further inconvenience for about two weeks, when,
after eating quite heartily of fried onions, nausea, vomiting
and severe distress in the region of the stomach, returned.
The same remedy was repeated in potency 10 m , which relieved
at once, and she remained well until during the sixth month,
when a champagne supper again disturbed the even tenor of
the vital force, and vomiting continued two days before relief
was sought. Ipecac was still her remedy, and the cm potency
was given. There was absolutely no further pathology in the
case. Labor was easy because normal, and recovery rapid.

Case Second —Mrs. C. —Primipera—passed a normal ges¬
tation. First stage of labor about three hours and normal.
After two hours hard labor in the second stage the use of the
forceps was clearly indicated. Traction of one hundred or
more pounds force was made a number of times before deliv¬
ery was accomplished. The bruising and lacerating of the soft

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Intermittent Fever.

235

parts was quite extensive, especially about the superior strait.
A single dose of Arnica 2 m was given. No pain, soreness or
lameness followed—a full and complete recovery in two
weeks.

The 3 X or 6 X is better than nothing or quinine, in such cases,
but they will not wholly prevent or relieve the lameness and
extreme soreness of protracted or instrumental labor, while the
medium or higher potencies, when properly administered, leave
nothing to be desired

INTERMITTENT FEVER.

J. A. WHITMAN, M. D., BEAUFORT, S. C.

Too many of our school think that intermittent fever can
only be cured with Luin. ine. This is a sad mistake, as the
two following cases will show. That it is also wonderful what
peculiar remedies will sometimes be called for, is also shown.
I think Allen has done more to help us out in this disease than
all others put together by his Therapeutics of Intermittent
Fever. The big storm we had in August last developed a great
deal of this fever, also a species of grip of a peculiar type
(almost wholly confined to the respiratory track). I had a
man helping me sometime after the storm, who seemed very
limp and languid. On inquiry about it he informed me he had
the fever every night, which held him until morning. I in¬
quired into his symptoms and found Apis the indicated rem¬
edy. I gave a dose of peletts 3x , this on Saturday night; Mon¬
day morning when he came he seemed very much pleased to
inform me he had a slight chill Saturday night, but none on
Sunday night, nor did he have any more for the fall.

The other case was my chore boy, who was all night in the
water during the big storm, and was ailing for about a month
after off and on, which finally developed into intermittent
fever. One night after he quit work I inquired into his case
and found Cicuta Verasi the remedy. I gave him a dose of
liquid 3x ; he informed me next morning the “feverwas gone,”
and it stayed gone.

Now, this last case, I should as soon have thought of ‘ ‘look-

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ing for a needle in a hay-stack'’ as to have looked for this
remedy for chills and fever.

These cases merely go to show the wonderful results of our
Similia.

DYSMENORRHCEA.

GSORGE J. AUGUR, M. D., OAKLAND, CAL.

Graduate Yale Medical College in 1879.

If you deem the following case of sufficient interest, especi¬
ally as regards the treatment, you can publish it, for such it
seems to me, though I am somewhat of a novice in the prac¬
tice of homoeopathy. My excuse for citing it is that I cannot
find the remedy used recommended for Dysmenorrhoea in any
of the works on Therapeutics to which I have referred.

The case alluded to is that of a young lady who, at her
menstrual periods, suffers most intensely, and while I am not
the attending physician, in his absence, my services have been
asked for to give relief to agony which to the sufferer seemed
almost unendurable. The patient, twenty-six years of age,
with dark hair and eyes, of good figure and well nourished,
dates her perodic suffering to a horseback ride taken several
years ago during the menstrual flow. The premonitory symp¬
toms of these periods are more or less pain or aching in the
lower limbs, especially the thighs, accompanied with a chilly
sensation, and with the establishment of the flow the pelvic
pain commences gaining in severity until it reaches the maxi¬
mum point, where it remains several hours, the whole period
of suffering being about ten hours unless relief is afforded, and
during the greater part of this time the patient is restless, the
circulation sluggish, face very pale, of an ashy color, hands
and feet cold; nausea and vomiting of bilious matter, and free
discharge from the bowels. The uterine flow is clotted. The
bowels are naturally constipated with a tendency to hemor-
roids. I could gain no accurate description of the pains stated
as being hard to describe. When first called to see this
patient the suffering was at its height. All the symptoms were
present which I have described. Hot water bags, which at the
beginning afford a little comfort, at this stage gave none.
Having given one remedy with no relief it occurred to me,
reasoning from analogy, that Arnica ought to mitigate the pain in

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Proving of Carbolic Acid.

237

thi^case, the analogy based upon an experience with the rem¬
edy in a condition following a miscarriage. I therefore gave
Arnica Sx with what seemed to me, by comparison of the suf¬
fering, immediate relief, though the patient stated that it was
about fifteen minutes before she was entirely free from pain.
At the following period, which was about ten days ago, I was
again called to see this patient at about the same stage of suf¬
fering; administered the same remedy in the same potency
with equally good results. No one but an old school practi¬
tioner can imagine my delight in getting such immediate and
satisfactory results from small and pleasant dosage. Not long
ago I would have given an unpleasant mixture or resorted to
the hypodermic syringe, with more discomfort to the patient at
the time and afterwards and with less benefit.

PROVING OF CARBOLIC ACID.

Mr. F. W. Bennett, 35, strong, robust and healthy, never
sick, was advised to use a weak solution of carbolic acid as a
douche for nasal catarrah. He accidentally put a drachm vial
of acid in his right hand pocket, forgot it, and went to his
office March 6. In the evening when coming home he felt a
warm, moist sensation on leg; sponged it with cold water ; in
the morning a white spot as large as a silver dollar, bluish
white in color; applied arnica salve. Smarting and painful sen¬
sation on the following day. Third day was very painful;
arnica salve< and vasaline was applied which>; became more
and more painful and raw; burning pain running down inside of
leg; very sensitive to touch. Fifth day pain dropped to right
knee, which was lame and stiff like rheumatism, involving en¬
tire right leg in moving or walking. Very tired for next five
days; walking and attending to business was a burden; weak
and perspired profusely; vasaline was applied; extremely pain¬
ful ; feared blood poisoning and consulted a physician, who ap¬
plied an antiseptic lotion which <;. Heat was intense, hands

became hot, swollen as if dipped in -, with intense

itching.

April 6—Weak, tired; had a high fever, with pain in all the
joints, and on outer edge of burn a small boil intensely
painful.

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On the night—Cold chills, fever and perspiration; great
prostration; was pale and very sick.

April 7—Physician found temperature 103, feet and hands
swollen and covered with a scarlet eruption, which was pro¬
nounced scarlatina. As the fever declined, profuse perspira-.
tion, especially on head and shoulders; no sore throat nor
severe fire on tongue. A week later desquom began on hands
and feet and continued for two months over entire body.

Boils burning; raw, sore; cold at night ; intense restlessness
and sleeplessness.

Intense pain for days; perspiration so profuse that would
wake him from sleep, and when he awoke perspire; then cold,
cold chills. Weak and excessively prostrated, yet a good ap¬
petite ; excessive pain in shoulders and all the joints; intensely
< motion; at times> from motion.

June 5—More or less pain in right arm, shoulder and joints
ever since. Profuse perspiration in axilla, staiiling brown;
dark bluish patches on skin from au. sup. sp. process to near¬
ly the knee.

To the Medical Advance:

I would like to give some cases, then ask the author of 1 ‘Is
there any Hydrophobia” a question.

In 1880—A boy, two horses, three cows, and several hogs,
were bitten by a dog. The horses and cows died in less than
a week, all in spasms.

In 1892—A man and several animals were bitten by a dog;
all died. The man lived three or four months, then died in
spasms.

1892—I was called to see a boy bitten by a dog nearly a
month before on the hand. It had been badly lacerated; heal¬
ed in six or seven days; in a short time scars turned white.
When I saw him he was frothing at the mouth, making a doise
like a bark, biting and snapping at everyone. When water
was brought into his presence and shown him he would have
spasms. He was constantly calling for tobacco. I gave him
some, which he ate with great relish, and it relieved him for a
little while, but later he died in spasms. The scars were blue,
almost the color of Indigo.

I am anxious to know what killed all those. I said hydro-

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What Should Be Given Her.

239

phobia. Since reading the article I am in doubt. Would like
to have my doubts removed so that I would not make the same
mistake again.

The boy that was bitten in 1880 was brought to me for
treatment. I used radiated heat, the same as I used for snake
bite, ten or twelve times, with splendid results. He was bit¬
ten before any of the animals. I think he would have died if
not treated, at least that was my impression then; now I don’t
know. Henry Croskey,

Kansas City, Mo.

WHAT SHOULD BE GIVEN HER?

Mrs. S.; age 41; medium size; lax fibre; bilious tempera¬
ment ; sallow; black hair and eyes; married 26 years; no chil¬
dren—one miscarriage. General health poor for last twenty
years. Local treatment for female trouble. General condition
aggravated by heat. Feels worse from exposure to dampness.
Worse in spring and summer. Generally tired, with frequent
attacks of exhaustion.

HEAD.

Frequent headaches. Pain begins at base of brain and
passes up over the head; sense of fullness at base, also at top
of head; feels as if head were bound tight. Sense of pressure
combined with heat at base of brain and top of head. Throb¬
bing sensation, feels as if head would burst. These conditions
aggravated by stooping, motion and heat; relieved by pressure
and cool appjications. In bed usually lie with head low.

BACK AND PELVIS.

Pain, in back; worse when on feet or walking, but better
when standing still. Pain in sacral region; a sort of burning
sensation, not relieved by lying or sitting, but relieved by
pressure and hot applications. When standing, feels as if she
must hold herself up; back seems too weak to support body.

Heavy bearing down sensation in pelvic region ; relieved by
standing still; same aggravation as pain in back. Prolapsus.
Leucorrhoea; thick, bland discharge like white of egg; worse
when on feet. Dull, heavy pain in left ovarian region, aggra¬
vated by motion, jar and lying down; this pain accompanied
with heat, relieved by standing still. Prolapsus at stool.

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8TOMACH.

Stomach sensitive to touch; worse preceding menstrual
period, accompanied with nausea and occasional vomiting.
Gnawing, hungry feeling relieved by eating a small amount of
food; feel as if must eat often to relieve this condition of the
stomach; a faint feeling with this.

BOWELS.

Bowels generally constipated. Stool is generally hard, with
a great deal of pain, accompanied with prolapsus. Burning
sensation at anus; sometimes lasting for hours, relieved by hot
applications and pressure, replacing the prolapsed tissues.
Have had hemorrhoids and some bleeding at stool. Itching
sensation in the rectum.

FEET.

Frequent cramps in calves of legs, in muscles of feet and
toes; worse after going to bed. Feet get so tender and sensi¬
tive to pressure that shoes must be removed; cannot bear even
the bed clothes to touch them. Have corns, bunions, ingrow¬
ing toe-nails; nails are bright and hard.

SKIN.

Skin has a tendency to chap and crack; skin dry all over
the body. Have had hives, ring-worm and hang-nails.

What should be given her?

Did as He Was Told. — “A bell-boy has been found,
says an exchange, “who does not believe in going beyond his
literal instructions.

“A guest rushed to the cashier’s desk. He had just ten
minutes in which to pay his bill, reach the depot, and board
his train. 1

“‘Great Scott!’ he exclaimed, ‘I’ve forgotten something.
Here, boy run up to my room, B 48, and see if I have left my
toothbrush and sponge. Hurry! I’ve only five minutes. ’
“The boy hurried. He returned in four minutes, out of
breath.

“ ‘Yes, sir,’ he panted, ‘you left them there.’ ”

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Repertory of Symptoms , Etc.

241

(Continued from March Number.)

Sensation as if Press—left eye pressed asunder, then out of
orbit—L ed.

44 Pressed—eyes were pressed in on reading—

Kali. C.

4 4 Press—eyes pressed forward—Gymnoc.

4 Press—lids and eyes were pressed down—H ell

44 Press—weight pressed down into the eyes—

Phos.

4 4 Press—eyes would be pressed down—S ul.

4 4 Press—right eye were pressing out—Zing.

44 Press—pin sticking in eyeball if pressed upon

—Sinap.

4 4 Particle—a particle in left external canthus—

Ignat ia.

44 Pepper—pepper in the eyes—Jam. Euj.

44 Protrude—eyes would protrude—F ee. Met.,

Hep.

44 Protrude—eyes protruded and she stared at

everything—M edorr.

44 Projecting—eyes were projecting—P aris.

44 Pulled—eyes were pulled in head—P aris.

44 Pulled—somebody pulling eyes from within

outward—G lon.

4 4 Pulled—something pulled tightly over the eyes

— Phos.

44 Pulled—eyes were pulled outward from the

nose—C on. «

44 Raise—he could not raise upper lid—CAUST.

4 4 Ring—burning ring around each eye—Chloral.

4 4 Room—eyes had no room in orbits—A rs.

44 Rotated—eyes were spasmodically rotated—

Sec. C.

44 Rubbed—eyeballs rubbed against the lids—

Sul.

4 4 Pressed—eyeballs were pressed out—Bry. lber.

Am ., Ignatia , Guarca., Phos., Psor.,
Puls.,Medorr., Merc. C., NUX V.,Sabin.,
SANG., Seneo., Spig., Steam., Thuj.

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242

The Medical Advance.

Sensation as if Salt—salt between upper lid and ball—V erat.
Alb.

44 Salt—salt in the eyes—C anth., China., Nat.

Mur., Nux V., Sul. , Verat. Alb.

4 4 Sand—grain of sand in outer cauthus of eye—

Con.

44 Sand—sand had got in eyes on reading—Cina.

4 4 Sand—sand in the eyes, with tears—C hel.

4 4 Sand—grain of sand under upper lid—C alc. C.

4 4 Sand—sand in the left inner cauthus—Aeon.

4 4 Sand—sand rolling around beneath the lids—

Ignatia, Medorr.

4 Sand—grain of sand in right eye—Sep.

44 Sand—sand thrown violently into the eye—

Tereb .

44 Sand—fine sand under the eyelids— Thvj.

44 Sand—grain of sand in left eye—Zing.

44 Sand—sand in the eyes—Apis., Apoc., Can.

Sat., Carb. V., Caust., Bry., Dig.,
Euphr., Fluor. AC., Grat., Hep., Kali.
Bi., Kali. Mur., Kali. Phos., Kobalt,
Sed., Merc., Op ., Petr. , Phyt., Pic. Ac.,
P80R., Puls.,M yric.,N at.Mur.,N at. Phos.,
Nit. Ac., Luna., Rhus. T., Sil ., Spig.,
Sul., Syph., Ust. Ur., Zinc.,

44 Sieve—looking through a sieve—P uls.

4 4 Soap—soap in the eyes—S eneg.

44 Skin—skin before the eyes—Ratanhia.

4 4 Skin—a skin drawn over the eyes—Apis.

4 4 Skin—skin came half way down over right eye

— Caust.

44 Smoke—eyes were filled with smoke—CHINA,

Valer.

44 Smoke—eyes had been full of smoke—K ali.

Phos.

44 Smoke—wood smoke in the eyes—Nat. Ars.

44 Smoke—smoke before the eyes—G els.

4 4 Smoke—biting smoke in the eyes—C roc.

44 Smoke—room was filled with smoke—C roc.

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Repertory of Symptoms , Etc.

243

Sensation as if Short—eyelids were too .short laterally—L ao.
Def.

44 Something—something were in the eye<if

others speak of it—CALC. PHOS.

4 4 Something—something lay above the eyes, pre¬

vented looking up—C arb. Ac.

44 Something—something in eyes too large—

Caust.

4 * Something—something under eyelids—Caul.

44 Something—something obscured the vision—

SlL.

4 4 Something—something floating before eyes

obliging to wipe constantly—K reos.

44 Something—something in the eye that could

be rubbed out—F luor. Ac.

4 4 Something—something in left eye feels hot—

Lac. Def.

44 Sparks—sparks of fire coming from eyes—

Merc.

44 Splinter—splinter pricking in lower lid—Sep.

44 Splinter—splinter in upper lid— Sil.

44 Squeezed—eyes had been taken out, squeezed

and put back again—L ach.

44 Squeezed—upper part of eyeballs were

squeezed—Chel.

44 Squinting—eyes were squinting inward— Coca.

44 Squinting—she squinted—C alc. C.

4 4 Start—right eye would start from its socket—

Mag. Sul.

44 Sticking—eyeball was sticking to lid—Sanic.

4 4 Stuck—lid stuck fast to the ball— Verat.

4 4 Stick—stick in the eyes—C aust. , Dios., Pic.

Ac., Kali. Phos.

4 4 Stones—eyes full of little stones—L ac. Def.

44 String—little strings holding eyelids together

and snapping when opening them—Kobalt.

44 String—string pulling eyeball back into head

—Crot. Hor.

44 String—eyes torn or hanging by a string—

Cepa.

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244

The Medical Advance.

Sensation as if Sunken—eyes were sunken—Calc. Sul.

44 Swimming—eyes were swimming in tears—

Coe. rub.

44 Stung—stung in right eye by some insect—

Luna.

Substance—large smooth substance in the eyes
—Dios.

‘ • Substance—hard substance lying beneath left

upper lip—Staph.

‘ Swelled — eyes swelled and protruded —

GUAIAC., Phos.

44 Swollen—eyelids were swollen—C roc.

44 Swollen—lower lid were swollen—Arum.

4 4 Tears—tears were in one eye—I gt.

4 4 Thread—thread drawn from behind eye to eye

—Lach.

4 4 Thread—thread drawn tightly through eye to

middle of head—P aris.

4 4 Tight—lids were too tight and did not cover

the ball— Sep.

4 4 Torn—inner portion of right eyeball would be

torn out—P run.

4 4 Torn—eyes were being torn out—Coco.

4 4 Tom—eyes had been tom out—Bell.

44 Turned—lashes of lower lids turned in— Tell.

44 Turned—pupils were turned upward—Cainca.

4 4 Twisted—eye was twisted around— Sang.

44 Vapor—eyes were surrounded by a hot vapor

—Bell.

44 Veil—objects seen through a veil—Berb.,

Bufo.

44 Veil—veil before the eyes— Aeon., Arum.,

Calc. Phos., Caust., Croc., Hep., Hyos.,
Iod., Lith. C., Nat. Phos., Petr., Puls.,
Rhus. T., Stram., Sul., Therid.

44 Veil—black veil before right eye—Phos.

4 4 Veil—looking through a gray veil—P hos.

4 4 Warts—surface of eyeball studded with warts

—Euph.

44 Water—hot water in the eye—Nux V.

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Repertory of Symptoms, Etc.

245

Sensation as i

< <

< t

< <

< (

. i <

«<

4 4

< 4

4 4

4 4
44

4 4

4 4
4 4

4 4
44
4 4
4 4

Water—warm water flowing over and from the
eyes—N it. Ac.

Water—eyes were swimming in cold water—
Squill.

Water—objects seen through turbid water—
Agar., Stram.

Weight—heavy weight rested on the eyes—
Carb. V.

Weight—weight above the eyes—Cist.

Weight—weight behind right orbit— Rhus.

Wind—cool wind blowing across the eyes—
Croc.

Wind—cold wind blowing under the eyelids—
Fluor. Ac.

Wind—cold wind blowing in eyes, especially
inner cauthus—M edor.

Wind—right eye was gone and wind blew out
of socket— Sep.

Wind—eyes were gone and wind blew out of
sockets— Sulph.

EARS.

Air—air penetrated Eustachian tube—G raph.

Air—air was pouring into ear or tympanum
exposed—M ez., Staph.

Air—cold air passing out of ear—Millef.

Air—air whistled through left Eustachian tube
—Tell.

Artery—large artery throbbing behind the
ears—Angus.

Body—foreign body in Eustachian tube—
Nux M.

Body—foreign body lodged in ears— Phos.

Body—thick body being forcibly driven into
the ear— Puls.

Blood—blood rushed to right ear—Lyss.

Blood—hot blood rushed into ear—L yc.

Burst—ears would burst on sneezing—P uls.

Closed—ears were closed or plugged with
some foreign substance—ASAR.

Digitized by

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246

The Medical Advance .

Sensation as if Closed—ears closed from within—L ach.

4 4 Closed—ears were closed—Tahac.

44 Connected—ear and throat were connected—

Am. mur.

“ Cotton—cotton or plug were in the ear—Anac.

4 4 Cotton—cotton were in the ear—C yol.

44 r Drawn—left ear would be drawn inward—
Verba*.

4 4 Fallen—something had fallen before the ear—

Verba*.

44 Fleas—fleas jumping about in the ear—Zinc.

44 Fly—fly enclosed in auditory meatus—E laps.

44 Humor—a humor were flowing from the ear—

Sil.

44 Heard—he heard with ears not his own—Psor.

44 Knife—a dull knife pressing in ear interiorly

and superiorly—Lyss.

44 Knife—knife stabbing in ears—Viburn.

4 4 Leaflet—leaflet lying before tympanum—Ant.

Crd.

44 Leaf—leaf lying before the ear—S ulph. Ac.

4 4 Membrane—membrane of ear would be forced

out at each heart beat—Amyl. N.

4 4 Mist—thick mist in front of ears—Spig.

44 Moved—something moved in ear on swallow¬

ing—N at. C.

44 Muffled—right ear muffled by an obstruction

within—Cheno.

4 4 Needle—a cold needle stitching in internal ear

—Agar.

4 4 Obstructed—ears were obstructed—C aust.

44 Opened—ears opened and closed—Borax.

4 4 Parchment—parchment drawn over ear on

which she was lying—Medorr.

4 4 Pierced—sharp pointed instrument piercing

outward in the ear—Berb.

4 4 Pinned—ear was pinned to head—Viburn.

4 4 Plug—plug pressing in ear—S pio.

4 4 Plug—right ear suddenly stopped by a plug—

Soab.

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Repertory of Symptoms, Etc.

247

Sensation as if Pressing—some one was quickly pressing on
tympanum with a blunt instrument at inter¬
vals—Carb. Sul.

‘ * Pressed—ear was pressed together—Dr as.

‘ ‘ Pressed—ears were pressed outward—Nux V.

44 Screw—creaking from a wooden screw in ears

—Agar.

44 Skin—skin were drawn over the ears—Bell.

44 Skin—skin were stretched before the ears—

Graph.

44 Skin—skin were stretched over right external

ear—Asar.

44 Something—something suddenly closed the

ear—Tell., Verbas.

44 Something—something crawling out of ear—

PUL8.

44 Something—something was passing from left

ear to throat—Salic. Ac.

44 Something—something was forcing its way

out of ear—N at. Sul.

44 Something—something were lying before the

ears—M ao. Mur.

44 Something—something trying to force out of

ear—C aust.

44 Something—something heavy lay before the

ear—C arb. Veg.

44 Something—something lay in front of mem-

brana tympanix—C alc. C.

44 Something—something lay before ear on blow¬

ing nose—Alum.

44 Standing—standing near the stove—in the

ears—M ano.

4 4 Sticking—something sticking in ear—Anac.

44 Sound—sound came through forehead and

brain—Sul.

44 Sound—sound came from a distance—Caps.,

Lac. Can.

44 Sound—sounds came from another world—

CARB. AN.

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248

The Medical Advance.

Sensation as if Stopped—ears were stopped—Ars., Cham.,
Glon., Millef, PULS., Symph.

44 Stopped—ears were suddenly stopped up—

Dios.

44 Stopped—ears stopped up—C olch.

“ Stuck—something stuck behind right ear and

pressed it forward on stroking hair on occi¬
put—Ars. S. fl.

44 Stuffed—ears were stuffed during full moon—

Graph.

4 4 Stuffed—ears stuffed up—L ach. , Spig.

44 Stuffed—right ear were stuffed up—M erc.

4 4 Swollen—all parts around ear were swollen—

Form R.

44 Torn—ears were being tom from their location

—Eryng.

4 4 Tom—ear was tom out—Paris.

44 Tube—a tube went through head from ear to

ear—Medorr.

44 Voice—her own voice sounded like some one

else speaking—C an. Sat.

44 Water—water was in right ear—comes and

disappears suddenly—Chrom. ac.

44 Water—warm water flowing in a circle around

right ear—Calad.

44 Water—hot water running out of right ear—

Cham.

44 Water—left ear filled with water— Graph.

44 Water—water were rushing into ears— 7 Rhod.

44 Water—water swashing in the ears—S ul.

44 Wedge—wedge driven in left ear—M erc.

44 Wedge—ears were forced suddenly apart by a

wedge—Paris.

44 Wide—ears were wide and hollow inside—Aur.

Mur.

4 4 Wind—wind rushing out of ears—Stram.

44 Wind—cold wind in the ears—Vine. m.

4 4 Wood—someone digging about with blunt piece

of wood in the ear—Ruta.

4 • Worm—worm in the ear—Rhod.

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Repertory of Symptoms , Etc. 249

Sensation as if Worm—worm crawling in right ear—Medorr.

NOSE.

Air—air pressing through pasterior nares with
violence—Mag. Sul.

Beaten—tip of nose had been beaten and blood
pressed out—Viol. od.

Burned—breath burned the nostrils—Ptel.

Burst—nose would burst—K ali Bi.

Burst—right wing of nose would burst—Asar.

Crawling—something crawling in cavity of
nose—Aur. mur.

Electric—fine electric sparks in left wing of
nose—Carb. Ac.

Enlarged—posterior nares and upper part of
cesaphogus enlarged—Elat.

Enlarging—nose was enlarging and obstruct¬
ing vision—Can. Sat.

Expanded—nasal passages expanded upon
walking out—Carb. Ac.

Feather—nostrils tickled with a stiff feather—~

Phyt.

Fire—ulcers in nose and mouth were on fire—

Syph.

Fluid—Acrid fluid running through posterior
nares and over palate—K ali. Bi.

Hair—hair high up in left nostril—K ali. Bi.

Hair—back of nose gently touched by hairs—

Spig.

Hair—hair tickling in right nostril— Hydras .

Heavy—nose was too heavy—K ali. Bi.

Hot—expired air felt hot—K ali. Bi.

Leaf—fine leaf lay before posterior nares—
Bar. C.

Leaf—leaflet was at root of nose obstructing
smell— Kali Iod .

Mucous—dry mucous entirely filled the nose—
Agar.

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250

The Medical Advance .

Sensation as if Mucous—quantity of mucous lodged in pos¬
terior nares—Lact. Ac.

“ Needle—needle pricking point of nose—S ars.

• 4 Onions—odor of onions or smoke—Cor. Rub.

* 4 Open—alae of nose were spread wide open—

Iod.

44 Parchment—nostrils were made of parchment

—Kali. Bi.

44 Pepper—red pepper were throughout nostrils

and air passages— Seneg.

44 Pepper—nose was full of pepper—Cenchsis

Contortrix.

4 4 Pinching—pinching nostrils together^—Lachn.

44 Plug—plug in the nose—Psor.

4 4 Pressed—root of nose would be pressed into

head—Z inc.

44 Pressed—nasal bones were pressed asunder—

Cor. Rub.

44 Pressed—blunt point pressing on root of nose

—Can. Sat.

4 4 Rubbed—two bones were rubbed against each

other in right side of nose when blowing it
—Kali. Bi.

4 4 Smoke—she smelled pine smoke—B ar. C.

44 Snuff—fine snuff in the nose—P uls.

4 4 Spectacles—had on heavy spectacles—C innab.

• 4 Splinter—splinter sticking in the nose—N it.

Ac.

44 Substance*—hard substance in nose—K ali. Bi!

44 Touched—touched by cold metalic body on

small spot over root of nose—C innab.

44 Water—water had pressed through posterior

nares while drinking—Bapt.

44 Water—scalding water rushed along nasal pas¬

sage of left side on inspiration; right side
stopped up—G els.

44 Water—acrid water flowed from nose—N at.

Mur.

44 Wind—gentle wind blowing across the nose—

Spig.

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Repertory of Symptoms, Etc.

251

Sensation as if Weight—weight hanging from nose— Kali. Bi.
< ‘ Worm—small worm in nostril —Nat. Mur.

FACE AND LIPS.

Air—warm air streaming on left side of face
—Ass. Met.

Air—cheeks were bulged out by a bubble of
air just below the malor banes—Sinap.

Bitten—she had been bitten in left side of face
near mouth—Lyss.

Blood—blood would press out of upper lip—
Illic. au.

Bored—hole was being bored in left lower jaw
near mental foreman—M ez.

Burned—skin of left side of face had been
burned by the sun—L ach.

Burst—cheeks would burst—Bov.

Candle—lighted candle held near left cheek—
Kali. Phos.

Cloud—cloud over upper part of face—Nitr.
Spr. dulc.

Coals—coals glowing in small spots on face
and hands—Caust.

Cobwebs—cobwebs lay on right side of face by
mouth—Bov.

Cobwebs—cobwebs tickling below nose on the
face—Brom.

Cobwebs—cobwebs here and there on face, or
fly crawling—Calad.

Cobwebs—cobwebs or white of egg dried on
face, temple and scalp—B ar. C.

Cobwebs — cobwebs on face constantly —
Graph.

Contracted—jaws were contracted—C aust.

Contusion—lips had received a contusion—
Apis.

Crawling—something crawling on under lip—
Bov.

Crawling—flies crawling over left side of face
—Gymn.

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252

The Medical Advance .

Sensation as if Crawling—something crawling over the face—
Lachn.

‘ * Crawling—flies and spiders crawling over face

—Laur.

“ Crawling — something crawling on chin —

Stram.

11 Crawling—fly crawling on left cheek—Cinch.

Cont.

4 ‘ Creeping—insects creeping in face—C rot.

Tio.

“ Crushed—jaw were crushed—I gt.

‘< Out—cut had been made around eyes—Crot.

Hor.

“ Disarticulated—jaw-bone was disarticulated—

Rob.

u Drawn—lower jaw were drawn backward—

Bell.

11 Drawn—nerves of face were drawn tighter and

tighter and suddenly let loose—P uls.

Drops—cold drops were spurted on face on go¬
ing into open air—Berb.

“ Egg—white of egg dried on face—A lum.,

Bar. C., Mao. C., Phos. Ac., Sul. Ac.

“ Feather—feather tickling on various parts of

face—Aur. Mur.

“ Glue—glue had dried on forehead—Alum.

“ Glue—lips, were glued together—C an. Ind.

‘ * Hole—hole in bone of face—Stram.

“ Hot—hot plate of iron nearly in contact with

face—Nux V.

“ Hot—hot iron thrust through ramifications of

5th pair of nerves—A rsen.

“ Insects—minute insects on hairs on chin and

neck—C hloral.

< ‘ Ice—he had moustaches of ice—L aoh.

‘ ‘ Larger—left cheek were larger— Arg,

< 1 Long—chin were too long—Glon.

“ Mosquitoes—bitten by mosquitoes on face—

Carb. Ac.

41 Nails—nails driven into jaws—P hos.

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Repertory of Symptoms , Etc,

253

Sensation as if Needles—needles stitching and jerking in the
face—Zinc.

44 Needles—muscles of left side of face from

forehead to neck and axilla were pierced
with red hot needles— Spig.

44 Needles—red hot needles pricking in swollen

upper lip—Are.

44 Needles—needles pricking chin—Agar.

44 Nettles—from nettles burning on face—C hel.

4 < Off—flesh was off the bones of face and edges

separated and sticking out—L ac. Def.

44 Pepper—red pepper on spot size of silver

quarter on left molar bone—Culex. M.

44 Pins—pins or needles pricking skin on fore¬

head, neck and arms—C epa.

4 4 Pinched—skin of cheek and chin were pinched

—Sulph. Ac.

44 Pressing—one was violently pressing on left

malar bone as far as ear—V erb as.

4 4 Raised—muscles of face would be raised from

periosteum—Arg.

4 4 Rent—bones of nose and face were being rent

asunder—C olch.

4 4 Scalded—cheek bones were scalded—Bell.

4 4 Scalded—lips were scalded—Sabad.

44 Sawed—bones of face were sawed through—

Stram .

44 Scorched—left side of face had been scorched

—Spig.

44 Screws—malar bones, mastoid processes and

chin between screws— Plat.

44 Spiderwebs—spiderwebs on face—Brom.

44 Spiderwebs—face covered with spiderwebs—

Ran. Sc.

44 Splinter—needle or splinter stitching in lips—

Bov.

44 Splinter—splinter were run into right lower

jaw—Agar.

4 4 Stretched—skin stretched tightly over bones of

face and immovable—Are. Met.

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254

The Medical Advance.

Sensation as if String—face drawn toward root of nose, then
toward occiput as if by a string—Paris.

“ Swollen—face swollen and bloated—F er. Met.

11 Swollen—malar bones were swollen—Nat. ars.

* ‘ Swollen—lower lip were swollen—G lon.

u Swollen—head and face were swollen—with

coryza—Are. Met.

‘ ‘ Swollen—gums and cheek swollen—with tooth¬

ache—D iad.

“ Swollen—face were swollen—Aeth.

“ Swollen—right cheek bone were swollen—

Chel.

“ Tension—tension were made on nerves and

skin of face and suddenly relaxed—C oloc.

1 i Thick—skin about eyes was thick—Paris.

4 ‘ Tight—skin on face too tight—P hos.

“ Tongs—face crushed with tongs—V erbas.

“ Torn—lower jaw and malar bone would be

^orn out—Sul.

‘ ‘ Torn—right side of lower jaw would be tom

out of joint—Spig.

* 1 Torn—left side of face being tom from right

side—C oloc.

‘ ‘ Triangle—triangle in face, malar bones base,

apex at vertex—Isrid.

“ Wires—wires twanging in left side face and

neck—Kali. Bi.

‘ * Wood—upper lip were made of wood—E uphr.

MOUTH, TEETH AND TONGUE.

“ Air—collection of air had formed on gums

when pressing—Daph.

“ Air—tooth filled with air to bursting—L yss.

‘ 1 Air—cold air touched the teeth on inspiration

—Cedr.

4 * Air—cold air passing over the tongue—Aeon.

“ Air—nerve in hollow tooth exposed to air—

Bry.

“ Air—back teeth were hollow and air forced

into them—Coc., Sep.

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Repertory of Symptoms , Etc .

255

Sensation as if Air—too mnch air were passing into month—
Therid.

• ‘ Alive—something alive in the teeth— Syph.

4 4 Bent—teeth became bent on chewing and were

soft—Cochl.

44 Blister—blisters on side of tongue—Bar. C.

4 4 Blood—blood would crawl into teeth—C aust.

4 ‘ Blood—blood were forced into teeth—C hina. ,

Hyos.

44 Blood—blood was entering tooth—H epar.

44 Bitten—teeth were bitten out—Am.

4 4 Body—foreign body were in tooth—C aust.

4 4 Body—foreign body in left side of throat at

root of tongue—Cedr.

44 Body—some tenaceous body lodged between

teeth—C or. R.

44 Burned—tongue had been burned—Ambr.,

Am. Br., Ars., Mag. Mur., Pod., Prun.

44 Burned—left side of roof* of mouth were

burned-^-Calc. Sul.

44 Burned—middle of tongue had been burned—

Puls.

44 Burned—tongue, palate and anterior gums

were burned—Cic. V.

4 4 Burst—tooth would burst—Sabin.

44 Close—teeth were too close to one another—

Cor. R.

44 Cold—teeth were cold—N it. Ac. , Spio.

44 Coldness—coldness rushed out of molars—

Ratan.

4 4 Crack—mouth would crack— Arum .

44 Crushed—teeth crushed into fragments—I gt.

44 Crushed—nerves of tooth shattered and

crushed—I gt.

44 Dried—hard palate were completely dried up

Viol. od.

4 4 Elongated—teeth were elongated—Bell., Caul.,

Glon., Plant. M., Ptel., Nice., Nit. Ac.,
Stann.

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256

The Medical Advance.

Sensation as if Elongated—teeth were elongated and dull—
Caps.

‘ ‘ Elongated—incisors were elongated—Gamb.

44 Elongated—upper incisors were elongated—

Palad., Ratan.

4 4 Elongated—molars were elongated—Ratan.

44 Edge—teeth were on edge—Bell., Coe. R.,

Lyss., Tarax.

4 4 Fall—all the teeth in lower jaw were going to

fall out—Tarent.

44 Fall—teeth would fall out—N it. Ac., Stram.

4 4 Fat—palate were covered with fat—Card.

Mar.

4 4 Fire—ulcers in mouth and nose were on fire—

Syph.

4 4 Fire—mouth and fauces were on fire—I ris.

44 Fluid—acrid fluid running through posterior

nares over palate—K ali. Bi.

44 Full—teeth were too full—Chlorum.

44 Galvanic—from galvanic shock in mouth—

Cedr.

44 Glued—teeth were glued together—Psor.

4 4 Grain—beard of grain sticking in velum palate

Coloc.

4 4 Grease—mouth lined with rancid grease—

Euphor.

4 4 Greasy—tongue and gums were greasy—I bis.

44 Hair—hair extended from tip of tongue to

trachea—Sil.

4 4 Hair—hair on tongue, with drawing in teeth—

All. Sat.

4 4 Hair—hair on tip of tongue^N at. Phos.

4 4 Hair—hair on tongue—N at. Mur.

4 4 Hair—hair on back part of tongue and velum

—Kali. Bi.

4 4 Held—teeth were held in a grip—Nux M.

4 4 Hollow—teeth on left side were hollow—Asar.

44 Hot—hot breath came from mouth and heated

neighboring parts—Sabad.

4 t Hot—hot iron boring in teeth—S ul.

Digitized by ^.ooQle

Repertory of Symptoms, Etc .

257

Sensation as if Kreosote—mouth were burned with kreosote—
Calad.

‘ Large—teeth too large and too long—S il.

4 * Leather—tongue covered with leather—Nux

4 * Leather—soft palate were dry leather—S ticta.

44 Lead—teeth were filled with lead—Verat.

Alb.

44 Lifted—teeth were being lifted—Spong.

44 Lifted—tooth being lifted out of socket—M ez.

44 Long—decayed teeth too long—C lem.

4 ‘ Long—right eye tooth was too long—M ez.

44 Long—palate was too long— Hyos.

44 Long—hollow tooth was too long — Hep.,

Lach.

44 Long—front teeth were too long—Lyc.

44 Long—painful teeth were too long—Chrom.

Ac.

44 Long—teeth too long—Agar., Alum., Berb.,

Borax., Aur. Met.. Colch.. Mag. C.,
Rhus. T., Spig.. Sul., Zinc.

44 Long—back teeth were too long—Cepa.

44 Loose—teeth were dull and loose—Spong.

4 4 Loose—molar teeth on right side were loose—

Comocl.

44 Loose—teeth were loose during mastication—

Ars. s. fl., Can., Hyos.

44 Loose—teeth were loose and would fall out—

Ars. . Psor.

44 Loose—teeth were loose—Cion., Merc., Rhus

T., Sul., Zinc.

4 4 Meat—shreds of meat between the teeth—

Caust.

4 4 Mucous—roof of mouth covered with tenaceous

mucous— Puls.

4 4 Needles—tongue pierced by needles —Nux V.

44 Nerve—bare nerve were touched in teeth—

Dios.

44 Numb—teeth were numb and loose—Lith C.

Digitized by CjOOQle

258

The Medical Advance .

Sensation as if Out—teeth were forced out of socket—Arn.,
Puls.

44 Out—teeth were wrenched out—Nux V.

44 Out—teeth would be forced out of her head—

Bell.

44 Out—tooth was drawing out of socket—

Comocl.

44 Pap—teeth were fixed in a mass of pap—

Merc.

44 Peeled—mucous membrane of roof of mouth

was peeled off—L ach.

44 Pepper—he had eaten pepper—Coca.

4 4 Pepper—pepper burning in the whole mouth—

Mez.

44 Peppermint—he had eaten peppermint lozen¬

ges—C amph., Lyss., Verat. A.

44 Pieces—right upper molar would fly to pieces

on biting the teeth together—Cinnab.

44 Pins—pins pricking in the mouth— Spig.

44 Pins—thousand pins pricking tongue—Carb.

Ac.

44 Place—teeth had all got out of place—Sypli.

44 Pressed—molar teeth pressed together with

pinchers—C ina.

44 Pulled—teeth would be pulled out— Zinc.

44 Pulled—an upper and lower tooth were being

gently pulled—Chim. Um.

4 4 Puckered—base of tongue slightly puckered—

Calc. Sul.

44 Raw—surface of tongue was raw—Cist.

44 Raised—tooth would be raised— Prun.

44 Sand—sand in the mouth—Bovis.

4 4 Saliva—tongue was enveloped in saliva—

4 4 Scalded—gums were scalded — Ars. Met.,

Merc. Cor.

• 4 Scalded—edge of tongue had been scalded—

PUL8.

4 4 Scalded—mouth and throat had been scalded

—Rhus. Yen.

Digitized by ^.ooQle

Repertory of Symptoms , Etc.

259

Sensation as i

t (

< i

4 4

4 4
4 4

4 4

4 4
4 4

4 4

4 4
4 4

4 4

4 4
4 4

4 4

Scalded—mouth and tongue were scalded—
Sepia.

Scalded—tongue was scalded—B apt. , Phyt. ,
Plat., Lac. Fel ., Yerat . V.-

Scraped—tongue had been scraped—Bap.,
Samb.

Screwed — teeth being screwed together —
Euphor., Stront. C.

Soft—right molars were soft and too large—
Cinnab.

Soft—teeth were soft and spongy—N it. Ac.

Something—something got into tooth—K ali.
C.

Something—something had gotten jammed be¬
tween the teeth—Spong.

Something—something under root of tongue
pressing it up—Ustil.

Sore—mouth was sore and thick—Lachn.

Sound—every sound penetrated the teeth—
Therid.

Stretched—nerves stretched or compressed—
lower teeth—C oloc.

String—string pulling tongue toward or hyoid
bone—C astor.

Swelling—gums were swelling about some of
back teeth—C ham.

Swollen—alveoli were distended and swollen—
Cham.

Swollen—tongue was swollen—C imex., Caji-
put.

Swollen—mouth swollen—Am. G.

Swollen—gums and cheeks swollen—with
toothache—D iad.

Swollen—roof of mouth swollen and cavity
closing up—G els.

Thin—teeth were very thin—Sanic.

Thread—thread of mucous on tongue—Cereus.
Bon.

Tied—tongue bound or tied up—L ack.

Digitized by

Google

260

The Medical Advance.

Sensation as if Tied—tongue and throat were all tied up—
Crot. Hor.

“ Torn—teeth were being torn oiit—R hus. T.

‘ ‘ Torn—tongue were to be torn out— Puh.

‘ ‘ Torn—left lower back tooth would be torn out

— Prun.

“ Torn—tooth would be torn out— Euphorh.

“ Tom—tooth would be torn out by a hook—

Coc. Sep.

“ Torn—roots of teeth would be torn out—

Calc. C.

“ Ulcerated—gums were ulcerated—Bell.

“ Ulcerated—ulcer at root of teeth—Am. C.

u Vesicle—vesicle were on tongue—Bell.

“ Vibrating—teeth were resting on vibrating

board—Pliys.

“ Water—cold water penetrated the teeth—

Staph.

“ Wire—hot wire thrust through ramifications of

fifth pair of nerves—A rs.

* * Wobbling—teeth were wobbling—Arn.

“ Wood—tongue were made of wood—Apis.

“ Wood—hard palate made of wood—M ez.

u Worm—worm crawling at root of tongue—

Kali. Iod.

FAUCES, THROAT AND (ESOPHAGUS.

“ Air—air passed into glands of neck on breath¬

ing—S pong.

• ‘ Air—hot air passing up right side of throat

although the stomach feels cold—Am. Br.
“ Bacon—a piece of bacon in the throat—Nux

“ Ball—ball or lump were in the throat—C epa.

Paris.

“ Ball—ball were rising in the throat—ASAF.

Kalm., Phys.

“ Ball—a ball of .mucous had lodged in the

the throat— Ars.

Digitized by ^.ooQle

Repertory of Symptoms, Etc.

261

Sensation as if Ball—ball were up into throat, spasmodic con¬
striction of the oesophagus—A bs.

‘ • Ball—ball rising from stomach to throat by

eructations—M ag. M.

“ Ball— ball rose from stomach into throat—

LYC., Lyss.. Senecis:

fc * Ball—large ball rising from lower end of

• sternum to upper end of oesophagus— Lac.
Def.

Ball—she could take hold of ball in throat
with fingers— Lac. Can.

41 Ball—hard ball rising in the throat—Sul.

“ Ball—red hot ball lodged in the throat—P hyt.

u Ball—ball rising into oesophagus—V erat. Yib.

• 1 Bar—a bar across back part of throat—L ac.

Can.

“ Body—foreign body in throat—Rhus. R.

‘ 1 Body—foreign body rising in throat—Chel.

Body—foreign body in left side of throat at
root of tongue—Cedr.

; ‘ Body—foreign body in oesophagus—Bell.,

Sabad.

li Body—a round body ascending from stomach

—Con.

Body—a body lodged in throat—A pis.

,, Body—hard body lodged in back part of

throat—L yc.

Body—half fluid body rising in throat—S pig.

4 * Bone—swallowing over a bone with a rolling

around—I gt.

* ‘ Bound—throat and chest bound together—A bs.

Bound—muscles of throat and neck were
bound—stiffness—C ai:st.

Bunch—a bunch in left side of throat shifts to
right side on swallowing—Xanth.

Burnt—a burnt spot in pharynx—M erc.

“ Cavern—throat was a cavern— Phyt.

4 • Closing—throat were closing— Lac. Can.

Constricted—oesophagus was constricted from
above down to the stomach—BAPT.

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262

The Medical Advance.

Sensation as if Constricted—throat were constricted—C rot.
Hor.

‘ 4 Constriction—food could not pass for constric¬

tion of the throat—A lum.

‘ ‘ Contracted—throat was contracted on swallow¬

ing—A ro. N., Calc.C., Cap. M.

1 * Contracted—oesophagus contracted from below

upward—L ob.

“ Closed—throat and larynx were closed—

Tarax.

“ Crack—membrane of throat would crack—

Sang.

“ Crack—pharynx would crack—M yric.

“ Cotton—cotton in the throat—PHOS.

“ Crumb—small crumb lodged in the throat—

SACH.

“ Crumb—Crumb of bread in pharynx— Bros .,

Sanic.

* ‘ Crumb—crumb or hair lodged in throat—Cocc.

C., Pal.

‘ ‘ Corkscrew—food turned like a corkscrew while

swallowing—Elaps.

“ Cramped—oesophagus were being cramped—

Pyrog.

‘ ‘ Core—apple core sticking in throat—M erc.

“ Digging—something digging in throat from

before back—A rs.

“ Down—food would not go down— Graph .

‘‘ Down—down in throat causing cough—P hos.

Ac.

“ Distended — pharynx was distended— Verat.

Alb .

“ Drawn—oesophagus were being drawn up from

stomach toward the throat—A saf.

4 4 Dried—throat were dried with blotting paper—

Card. Yeg.

44 Dry—dry spot in throat—Crot. Hor.

44 Dust—dust in throat causing cough—A m. C.

44 Dust—dust in throat trachea and behind ster¬

num—Chel.

Digitized by ^.ooQle

Repertory of Symptoms, Etc.

263

Sensation as if Dust—dust in throat—I ot., Alb. Varet.

“ Dust—throat filled with dust—Iber. Am.

* 4 Electric—electric shock went from mouth

straight down to feet—Nux M.

44 Enlarged—throat was enlarged—Xanth.

4 4 Enlarged — throat enlarged and a burning

cavern—I ris.

44 Enlarged—both tonsils were enlarged—Iber.

Am.

4 4 Enlarged—upper part of oesophagus and pos¬

terior nares enlarged—Elat.

44 Expanded—throat and abdomen expanded—

Hyper.

4 4 Feather—feather tickling in the throat—C alc.

4 4 Feather—feather or down in the throat— Am.

C., Cina., Iod.

44 File—file scratching in the throat—N it. Ac.

44 Filled—stomach and oesophagus filled with

food—Arg. Nit.

44 Filled—food filled him up to the top—Graph.

4 4 Fire—throat were on fire—C anth.

44 Fire—mouth and fauces on fire—I ris.

44 Fishbone—fishbone in pharynx, if he gets cold

—Kali. C.

44 Fishbone—large fishbone in throat when swal¬

lowing—A pis,

44 Fishbone—fishbone sticking in throat—H ep.,

Lach.

4 4 Flatus—oesophagus would be rent by force of

rising flatus—C oca.

44 Fluid—oesophagus full of rancid fluid—Crot.

Hor.

44 Fluid—throat scalded by hot fluid—L ac. Can.,

Psor.

4 4 Flame—flame rushing out of throat and stom¬

ach—Euphor.

4 4 Forced—throat and larynx were forced asun¬

der—Kali. Ars.

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264

The Medical Advance.

Sensation as if Goiter—she had a large goiter which she could¬
n’t see over—Zinc.

‘‘ Grown—throat had grown together internally

—Cic.

44 Hair—hair had lodged in the throat—Calc.

Sul., Ars, , Sul.

♦ ‘ Heart—heart was ascending to throat—P od.

44 Hoop—hoop around throat, one around chest,

and one around diaphragm—Cact. Gr.

4 ‘ Husk—husk of grain in throat— Kali . Phos .

‘ 4 Ice—piece of ice had been held in the throat—

Sanic.

44 Knife—knife cutting in throat—M erc. Cor.,

Stann.

44 Large—throat was very large when swallowing

—Pulex. Irrit.

4 4 Large—throat was too large—Sanic.

4 4 Leather—throat was lined with wash leather—

Kali. Bi.

44 Lodged—food lodged over orifice of stomach

Iot. , Puls.

• 4 Lodged—mucous had lodged in the throat—

Hyos.

44 Lodged—morsel of food had lodged in the

msophagus—B ar. C.

4 4 Lodged—piece of bone lodged in upper oesopha¬

gus—Carb. Sul.

4 4 Lodged—lump were lodged inside of the throat

—Berb.

44 Lodged—something lodged in upper part of

oesophagus—Erig.

4 4 Lodged—food were lodged in chest—Am.

Mur.

4 4 Lodged—something rough lodged in the fauces

—Arn.

4 4 Lodged—food were lodged in throat—A rq.

Nit.

44 Lodged—something had lodged in fauces—

Ham.

Digitized by ^.ooQle

Repertory of Symptoms, Etc.

265

Sensation us if Lodged—all food eaten lodged at upper end of
sternum—Lact. Ac.

• • Lodged—something lodged in throat—Am. C.,

Con., Kali. Iod., Nat. Ars.

“ Lump—choking lump in throat—suddenly—

Dalich.

44 Lump—lump in left side of throat below tonsil

Fer. Met.

4 4 Lump—painful lump in the oesophagus—G els.

‘ 4 Lump—food passed over a lump in the throat

—Graph., Merc.

‘ • Lump—lump rose up to meet the food—L ob.

44 Lump—throat filled with a lump—L ach.

4 4 Lump—lump like a button in the throat pit—

Lach.

* Lump—lump in upper part of throat—Dulc.

4 • Lump—lump moving up and down during eruc¬

tation—Bar. C.

4 Lump—lump were in throat or food lodged

there—C aubt.

4 * Lump—lump in the throat, can’t be removed

—Bell., Carb. Veg.

4 ‘ Lump—lump in the throat—A lum., Calc. C.,

Led., Merc. I. fl., Merc. I. rub.,JVmx V.,
Nat. Phos., Rumex., Ruta., Sabad.,
Sabin., Stram., Sul., Sul. Ac.

*• Lump—lump in pit of throat—Benz. Ac.,

Lob.

• 4 Lump—lump were lodged inside of throat—

Berb.

44 Lump—lump in leftside of throat—Sil.

♦ 4 Lump—lump in right side of throat—Variol.

4 * Lump—hard small lump in the throat—Zinc.

44 Lump—lump in throat descends on swallowing

but returns—Lach.

44 Lump—lump back of thyroid cartilage— Pic.

Ac.

4 * Lump—lump in throat disappears on swallow¬

ing. but returns -Lac. Can.

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266

The Medical Advance .

Sensation as if Lump—solid food passes over lump in throat 4
—Lao. Can.

4 4 Lump—lump like two eggs in the throat— Lac.

Can.

44 Lump—lump in pharynx— Kali. C.

4 4 Lump—lump rolling over and over on cough¬

ing, rising from right abdomen to throat
and back again— Kali. C.

4 4 Lump—lump in throat when not swallowing—

Iot.

44 Lump—had to swallow over a lump— Nat.

Mur., Puls.

44 Lungs—lungs pressed up into throat—L ach.

4 4 Lungs—lungs came into throat—Kali. C.

44 Lying—food were lying in oesophagus— Puls.

44 Marble—hot marble in throat near palate—

Kali. Phos.

4 ‘ Meat — swallowing pieces of meat during

empty deglutition—Sul.

4 4 Mucous—posterior part of throat full of muc¬

ous—M ez.

44 Mucous—fauces were lined with mucous—

Rhod.

44 Mucous—fauces were filled with mucous—

Calc. C.

44 Mucous—throat were full of gurgling mucous

—Graph.

44 Mucous— large mass of mucous collected in

throat—L ach.

44 Narrow—throat was too narrow, swallows con¬

stantly— Caust.

44 Narrow—throat were too narrow when swal¬

lowing— Bell.

4 4 Needle — needle sticking in submaxillary

glands—Sul.

4fc Needle—needle sticking above throat—Pil.,

Spong.

44 Needle—needle pricking in the throat—M erc.

Cor.

Digitized by ^.ooQle

Repertory of Symptoms , Etc.

267

Sensation as if Needle—a thousand needles sticking in throat
—Laoh.

“ Nuts—he had eaten nuts, in throat—Calc.

Ars.

“ Obstacle—an obstacle in throat to swallow

over—Zing.

* 4 Pepper—he had eaten pepper—Bapt., Caust.

44 Pepper—pepper in the throat—Xanth.

44 Plug—plug moved up and down in throat

causing cough—C alc. C.

44 Plug—plug in the throat—A lum, Aur. Mur.,

Cofp., Hipp., Lact. Ac., Plb., PSOR.,
NAT. MUR., Lip., Thuja .

44 Plug—plug in oesophagus—Croc.

44 Plug—plug in throat to be swallowed—Crot.

Hor.

4 * Plug—plug in throat when swallowing— Nat.

Sul, Nux V.

4 4 Plug—plug of mucous in throat—H ep.

44 Phlegm—throat filled with phlegm— Lep.

44 Pin—pin pricked throat—S il.

44 Pin—pin pricking in right tonsil—Nat. Phos.

44 Pressed—food remained above the stomach

and was being pressed back into the mouth
—Nux V.

41 Pressed—pit of throat pressed against trachea

—Brom.

“ Pressed—uvala pressed on something hard—

Caps.

44 Puckered-r-fauces were puckered—Brom.

4 4 Puffball—small puffball in throat—L act. Ac.

44 Pushed—food pushed up to throat as if it

hadn’t been swallowed—Per. Iod.

4 4 Quivering—nerve quivering in oesophagus and

stomach—F eb. Met.

4 4 Reversed—peristatlic motion had been revers¬

ed—A saf.

4 4 Rising—foreign substance rising up into the

throat—Zinc.

44 Sand—sand in the throat—Berb., Cest?

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268

The Medical Advance.

Sensation as if Scab—a scab were in upper part of throat—
Calc. Ars.

‘ ‘ Scraped—throat scraped with an awl— Mag. C.

‘ ‘ Skin—loose skin hanging in the throat—Alum.

‘ ‘ Skin—a skin hanging loosely in throat; must

swallow over it—S abad.

“ Something—something hot were in throat—

Arum.

1 1 Something—something warm rising from stom¬

ach—Valer.

‘ ‘ Something—something in oesophagus slipping

toward stomach—Thesid.

‘ ‘ Something—something were being pressed out

in throat—Spong.

“ Something—something closed in throat on at¬

tempting to speak—Nat. Phos.

“ Something—something hanging in region of

hyoid bone on swallowing—Pal.

“ Something—something hard all down the oeso¬

phagus—K ali. Bi.

“ Something—something in the throat enlarged

or relaxed— Lac Can.

“ Something—something sharp in the throat—

Calad.

‘ ‘ Something—something cold rising in throat—

Caust.

“ Something—something were into throat caus¬

ing suffocation—C ham.

“ Something—something cold and then some¬

thing hot and stinging ascended the oeso¬
phagus—All. Sat.

Splinter—Splinter in the throat—A lum, ARG-.
N., Hepar., Nat. Mur., Nit. Ac.

“ Splinter—Splinter imbedded in throat below

angle of the jaw—DOLTCH.

Splinter—splinter in throat merging into heat
and burning—A rs.

t; Smoke—smoke in the throat—L ach.

Scratched—lining of throat scratched off with
sharp instrument—NUX Y.

Digitized by CjOOQle

Repertory of Symptoms , Etc.

269

Sensation as if Sore—food had to force its way over a sore
spot—B ar. C.

4 4 Sore—parts in throat were sore and spasmodic¬

ally drawn together—Caps.

4 4 Sponge—sponge hanging in the throat—L ach.

. 41 Squeezed—throat were being squeezed—Fer.

Met.

4 4 Squeezed—some one squeezed throat between

thumb and finger—K alm.

4 4 Stick—throat was full of sticks—L ac. Can.

4 4 Stick—a stick with a ball on each end extend¬

ed from throat to left side of abdomen—
Kali. C.

4 4 Sticking — food remained sticking in the

pharynx—Zinc.

44 Sticking—something was sticking in the throat

Cham.

4 4 Sticking—food remains sticking behind breast

bone—Cepa.

44 Sticking—husk sticking in the left tonsil—

Berb.

* 4 Sticking—food remains sticking in pharynx

and conld not get into the stomach—C alc.

44 Stuck—something stuck in inner throat—

Acon.

44 Stone—stone were in the throat—Bufo.

* 4 Stone—foreign stony hard substance in the

throat—Zinc.

44 Stiff—throat was stiff as a board —Lac Can.

44 String—string in the throat—S abad.

4 4 String—throat were tied with a string—S abad.

44 Sulphur—fumes of sulphur in throat—I ot.,

Puls.

44 Sulphur—he had inhaled sulphur fumes—L yc.

4 4 Swelling—throat was swelling—G lon.

44 Swelling—she had to swallow over a swelling

Hepar.

44 Swollen—pharynx was swollen—C arb. Veo.

Digitized by ^.ooQle

270

The Medical Advance.

Sensation as if Tearing—throat tearing to pieces on swallow-
ing— Syph.

44 Thread—thread hanging down the throat—

Valer.

44 Tied—tied together in the throat—A rum.

44 Tied—throat and tongue were all tied up—

Crot. Hor.

4 4 Tumor—large tumor were growing in throat—

Bill.

4 4 'Twisted—oesophagus was clutched and twisted

Lyc.

44 Valve—valve rose in the throat—F* b. Met.

44 Vapor—hot vapor rising from the stomach—

„ Merc., Zinc.

44 Water—boiling water rising in the throat—

Stbam.

44 Water—water rising in oesophagus—Hepar.

44 Wave—wave from uterus to throat—G els.

4 4 Web—a web were drawn across the throat—

Zinc.

4 4 Worm—a worm in the oesophagus—Sabad.

4 4 Worm—worm rising in the throat—Spig.

4 4 Worm—a worm creeping up into throat—Zinc.,

Puls.

44 , Worm—worm moving in throat— Hyper .

44 Wheat—wheat hull in throat behind mame-

brium— Plh.

STOMACH AND EPIGASTRIUM.

4 4 Air—air was forcing its way through stomach

causing soreness—Bar. C.

44 Air—air became imprisoned at epigastrium—

Rhm. T.

44 Air—every particle of food he ate turned to

air in the stomach—IOD.

44 Ball—ball or stone lying in stomach—Cocc. C.

44 Ball—ball twisted in epigastrium—Ind. Met.

4 4 Balanced—stomach being balanced up and

down—Phos. Ac.

Digitized by ^.ooQle

Repertory of Symptoms , Etc.

271

Sensation as if Band—band tightly drawn aronnd body at
stomach—MAG. PH.

44 Bitter—something bitter were in stomach—

Cup. Met.

44 Body—a round body were ascending from

stomach—C on.

4 4 Body—hard body were pressed into cavity of

pit of stomach—Aur. Mur.

4 4 Body—foreign body sticking in cardiac orifice

and behind the sternum—N at. Mur.

‘ ‘ Body—hard body lay in stomach—Sinap.

4 4 Breeze—cool breeze blowing on face when

heated—felt in stomach—Gamb.

44 Breaking—something breaking loose in stom¬

ach at every step—Ictodes.

‘ 4 Bullet—bullet had lodged at pit of stomach—

Tereb.

4 < Cat—cat purring in stomach—Fer. Sul.

44 Cooking—something in stomach— Phos.

4 ‘ Closed—stomach were closed—Cact. G.

4 4 Coldness—icy coldness in stomach—C olch.

4 4 Compressed—stomach were compressed—Zinc.

• 4 Contracted—pit of stomach were contracted—

Daphn.

44 Cough—cough came from stomach—B ry.

44 Cutting—glass were cutting in stomach—

Calad.

4 < Cut—stomach were cut to pieces—Magn. Mur.,

Kali. C.

44 Distended—stomach were distended after vom¬

iting—Bry.

44 Drawn—stomach tightly drawn against spine

—Yerat. Y.

44 Drawn—stomach were drawn together—R hus.

4 4 Drawn—pit of stomach would be drawn inward

—Dros., Jamb.

44 Drawn—coats of stomach were spasmodically

drawn together—Am.

Digitized by ^.ooQle

272

The Medical Advance .

Sensation as if Drew—stomach drew together in a lump—and
suddenly opened—M ancin.

44 Dry—food lay dry in stomach—C alad.

44 Dryness—great dryness in pit of stomach—

Cup. M.

44 Enlarged—pit of stomach were enlarged—

Mang.

44 Expanded—stomach were expanded — Calc.

Ars.

4 4 Fall—stomach would fall down—L yc.

44 Fire—coals of fire in stomach—Ars., Sul.,

Rub.

44 Flame—flame rushing out of throat and stom¬

ach—Euphor.

44 Flame—flames rising from stomach—M anein.

44 Food—stomach contained undigested food—

Kobalt.

44 Food—food filling up to the top—Graph.

4 4 Food—stomach and oesophagus filled with food

—Argn. N.

44 Food—one had been without food until hunger

were gone—Coco.

44 Gone — stomach were quite gone—G els..

Murex.

44 Grasping—hand were grasping inside of stom¬

ach—Nux V.

44 Growing—stomach were growing together—

Spong.

44 Hammers—two hammers beating in stomach—

Graph.

44 Hammers—hammer beating in an ulcerated

spot in stomach—Lachn.

4 4 Hanging—stomach were hanging relaxed—Bar.

C., IP., Staph.

4 4 Hanging — stomach were hanging down —

Carbo. V.

44 Hanging—stomach hanging loose when walk¬

ing—H epar.

44 Hung—stomach and intestines hung down re¬

laxed—IGT.

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SURGERY.

DECIDELY CONSTITUTIONAL.

Nothing in the history of medicine—and there is much in
medical history!—is more absurd in theory or more disastrous
in practice than the attitude of the dominant school in the mat¬
ter of cancer. It seems to be taken for granted that the
trouble is purely < ‘local, ” whatever that may mean, and all ex¬
pressions to the contrary are treated generally with silence as
contemptuous as that ordinarily served to the therapeutic here¬
tic.

But notwithstanding this hostile attitude of our scientific
neighbors, we must satisfy ourselves upon several points be¬
fore we can accept the local theory of cancer.

It may be well just here to define the term local, as we un¬
derstand it. If a person fall and sustain a fracture of the
clavacle or of the radius or perhaps of the ulna, the presump¬
tion is that the injury .is purely local—that is, that the
same fall or injury would in all probability fracture the same
bone in another person. A pulsating tumor in the brain, fol¬
lowing a wound from a pistol shot, is very probably local,
caused no doubt by an injury to the coats of the artery, result¬
ing in an aneurism. But a similar growth following after a
long period of gastric and sexual debauchery would likely in¬
dicate a constitutional break down. One is a splintered mast;
the other is a hole in the hull. A succession of fractures in¬
dicating unusual liability thereto, is constitutional—by which
is meant that the preternatural tendency must be cured if at
all, not by setting the fractures but by treatment addressed
to the constitutional condition.

Cancer, of all maladies, resents most terribly all attempts to
localize it. Its excision is sometimes a matter of great ease,
but it either returns in the scar or starts up trouble in a distant
part. It iscurious how intensely cancer clings to the organism!
Its utterances are always against the theory of locality. The
local manifestation appears before the infection of neighbor¬
ing lymphatic glands, and this fact is adduced in proof of the

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local theory. Really, it means that nature is making an
heroic effort for self-preservation and has set a conservative
force in opposition to the destructive one. The swollen glands
are of serious import, but it is their office to inflame, slough
and die if necessary to preserve the organism from infection.
Syphilis here presents a convincing parallel. The “local
sore” is not local at all, and whilst it comes from a condition
constitutional beyond all dispute the gland contamination
follows its appearance; and it may here be observed that
this glandular complication is very largely influenced by the
methods adopted in dealing with the chancre. The more it is
irritated, the more the natural process is harassed by irritants and
septic applications, mineral and vegetable, the more incorrigible
do the so-called secondary manifestations become. The same
is undoubtedly true of cancer, granting that it is an indepen¬
dent malady without previous history—something too absurd
for belief.

Laying aside all pathological considerations for the time the
well-nigh universal rule of the dominant school, “Early and
Complete removal,” is a dismal failure. Either their operat¬
ing is poor or their pathology is false. There can be no es¬
cape from one of these conclusions. The operative work is,
we think, as near perfection as human operators can attain.
It represents great knowledge and wonderful skill in the use of
instruments. Still, cancer is not cured by excision. This is
admitted without reluctance by the foremost operators of the
world, who lament the fruitlessness of their efforts with no at¬
tempt to conceal the unpleasant facts. There must be a
change somewhere. Sheer mutilation of the human body will
not be endured always by the laity, and the profession will be
forced to adopt something less dreadful if not more efficacious.
We shall be driven in time to leave to nature what we can only
mutilate to make worse. Perhaps when that time shall come,
as it will, the pathologists will turn their heads away from
cells as being the end of all pathology. The forces that create,
nourish and arrange cells will then be studied, and the means
of controlling these forces may in the end be revealed. The
time is far ahead, but it will come. It must come. Our
present position is intolerable. It demands revolution.
Cancer must be prevented, because it cannot be cured by

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275

the mere machinery of destruction—the scalpel and the saw.
It must not be allowed to develop.

Astygmatism is local; strangulated hernia is local; an oc-
luded appendix vermformes is local; a punctured wound of
the abdomen is local, and here the knife is supreme, and has
won unmeasured glory by it’s splendid achievements. But
cancer and syphilis and tuberculosis and rheumatism are pre¬
eminently systemic, and they inflict certain and terrible penal¬
ties upon those who ignore their rational pathology.

* *

We acknowledge with thanks the receipt of the first number
of The Louisville Medical Monthly , containing a valuable
biographical sketch of Dr. Walter Brashear, of Bardstown,
Kentucky, who, in August, 1806, amputated successfully at
the hip joint in the case of a negro slave aged 17 years. The
patient recovered, This was the first operation of the kind in
America. We regret to learn that the famous surgeon after¬
ward went as a member to the United States Senate, but as
this happened late in life perhaps it should be considered as
the pardonable weakness of an old man, worn out by great
achievements in the greatest of all professions, and desiring to
end his days in the pacific atmosphere of the ornamental
branch of the national legislature.

* *

Dr. C. E. Fisher reports a highly interesting case of uterine
filro-myoma complicated with pregnancy, upon which he opera¬
ted recently at the Hering Medical College. No septic solu¬
tions as dressings of any kind were employed, and the patient,
a Swede laboring woman, aged 41, made an uneventful recov¬
ery. The growth weighed over seven pounds.

* *

Dr. W. E. Green, of Little Rock, Arkansas, republishes an
amusing article from The Medical and Surgical Reporter ,
wherein the great value of rectal dilatation in choloroform
narcosis is endorsed by a distinguished English surgeon, the
trans-atlantic gentleman unwittingly quoting an American,
Dr. Dailey, of Ft. Smith, who is a homoeopath. Dr. Dailey,
of course, was following the lead of another homoeopath, Prof.

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Pratt, and when the old school discovers this fact, the method
will be at once discarded on the ground that nothing scientific
can originate in the homoeopathic school. We must remark
here that Dr. Green is one of the most accomplished surgeons
in America, he having performed the first reported vaginal
hysterectony in the South, the first successful ovariotomy in
the State of Arkansas and the first laporotomy for a pelvic
abscess in this country.

EDITORIALS.

The Specialist, par Excellence. —The natural trend of
scientific minds is to the perfecting of oneself in some particu¬
lar line of study; this is making itself manifest in almost every
line of work, and particularly in the field of medicine, with its
many departments, does the suggestion of special preparation
seem most apropos. We have specialists for the brain, the
eye, the nose, the ear, the throat, the heart and lungs, abdo¬
men, diseases peculiar to women, and even surgery has devel¬
oped men fitted for special work. To-day the most important
field remains practically unoccupied; the field offering the
greatest inducements to the careful investigator; a field prac¬
tically unexplored by either school of practice; a field unfortu¬
nately relegated to the quack, and in which he grows rich with
ill-gotten gains. I refer to chronic diseases. Out of 100,000
practitioners in the United States less than ten per cent are en¬
gaged in this work, which occupies a field larger than all
others, and, more is the pity, these other specialists thrive be¬
cause of the unsatisfactory work accomplished by the rank and
file of physicians; and more is the pity that patients many
times come from the handsiof these specialists uncured because
their study and investigation led them to place undue import¬
ance to their particular line of investigation.* The physician
who would become a specialist in this inviting field must pos¬
sess certain peculiar qualifications: First, he must be
thorough. Second, he must recognize the importance of the
miasms as a cause in the perpetuation of vital dis-

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277

turbances. Third, he must have a positive founda¬
tion to sustain it. This positive foundation can only be at¬
tained by positive knowledge and constant investigation. Did
every physician but recognize the importance of this work the
majority of the surgeons and those occupying the position of
specialists in other departments would be compelled to join
hands with us in the rooting out of disease instead of mutilat¬
ing the same. Unfortunately those who would study medicine
are not impressed with the importance of this subject except
by those who occupy these special fields ; and it is only by
accident that the few who are willing to investigate are enabled
to see the situation in its true light. Our medical training was
in the old school, and even in our college days we had selected
the specialty of surgery. Circumstances soon changed our
natural inclination to diseases of the respiratory organs which
we carefully studied, and as clearly magnified in importance
thereof without the more important foundation of clear and
accurate knowledge of the cause for the same diseases; our
work, consequently, was either purely palliative, or worse, the
mutilation of the human body.

* *

Palliation. —The symtomatologist pure and simple is a
palliator. The more faithfully he studies his symptoms the
more refined is his palliation. It is true he retains the goose
that lays the golden egg, but he does not reach that high po¬
sition every physician should aspire to—the removing of the
disturbing causes of the disease. We may quibble this mat¬
ter as much as we will, but the fact remains that the patient
is not cured, and you are accomplishing little better results
than can be shown by the adherents of the dominant school.
The physician who relies upon his Materia Medica alone must
always remain among the class who feel that their mission
has been performed if they can but temporarily relieve the
suffering of their patients. Hand in hand with the Materia
Medica must go the Organon and also the collateral sciences of
Psychology, Histology, Chemistry, etc.

# *

Hom<eopathy. —In the Rochester News letter to the
Medical Century of March 1, we find the follow-

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ing appeal for clearer lines marking the difference be¬
tween Homoeopathy as a distincive system of practice,
and the old school in our societies, and by those who profess
to believe in the law of similia similibus curantur. He says:

4 4 At the last regular meeting of the society in Rochester an
Allopathic physician attended one day’s session. He was open
to conviction if proper evidence could be adduced . from such
attendance, but what was his answer when asked by a promi¬
nent member to sign an application for membership? He said:
‘No, I see no difference in your treatment from that of my
school. One of your officers read a paper on the treatment
of Uticaria and hardly mentioned therein the so-called Hom¬
oeopathic remedy, but almost all were just what I would have
used, and in the discussion one of your prominent men spoke
very highly of Rochelle salts. I am just as much a Homoeo¬
path as either of them , but I don’t care to sail under false
colors;’ and I can prove every statement here made.” It is a
lamentable fact that too many physicians wish to obliterate the
barriers between the schools, and are willing to surrender their
heritage for the sake of peace, little realizing that
every confession made by them is regarded by
the old school as an evidence of weakness, and simp¬
ly stimulates them to greater arguments and a
more determined purpose to not only obliterate the barriers
but to thoroughly eradicate from scientific thought the pecu¬
liar tenets of Homoeopathy. So soon as a *man assumes the
position of the apologist and,is willing to concede one single te¬
net of the Homoeopathic faith to be false he is in danger* and
it is simply a question of time when the disintegrating
elements of doubt will leave him stranded upon the same sands
of uncertainty occupied by his scientific (?) neighbors. Those
who strive to follow the teachings of Hahnemann are called
fanatics, illiberal, bigoted, etc., etc., but it is undoubtedly a
fact that they cure their patients more certainly and more
quickly than the followers of any other system of healing.

* *

The Chicago Herald has at least one editorial writer who is
not ashamed of avowing his belief in the Homoeopathic treat¬
ment of disease. It is not necessary to give his name, for it

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279

is swallowed up in the greater name of the journal he repre¬
sents. In an editorial printed Tuesday, March 20th, we have
the following:

Doctors at the County Hospital. —A committee of the
board of county commissioners put in a good deal of time last
Thursday at the county hospital listening to the complaint of the
allopaths because they do not get an opportunity to treat all of
the patients.

It appears from the report of the proceedings that under the
existing arrangement the allopaths treat nineteen out of every
thirty patients, the homoeopaths six and the eclectics five. The
report does not show that the patients have any thing to say about
it. For all that appears to the contrary the patients must sub¬
mit to the sort of treatment that is arbitrarily allotted to them.
The dispute proceeded throughout upon the assumption that such
is the case.

Why not carry the plan further and apply it in the matter of
spiritual consolation? Why not decree that so many patients
shall receive spiritual advice from Roman Catholic priests, so
many from Episcopalian clergymen, so many from Methodists,
so many from Baptists, so many from Presbyterians, so many
from Pope Bob Ingersoll, and so on? That would be quite as
rational and just.

If the board of county commissioners can decide infallibly what
school of medicine is best they should give all the patients to
that school and bar out all the other schools. If they lack the
faculty of infallibility in this matter they should permit the pa¬
tients to make their own choice among the different schools in
cases where they are able to choose, and put the other cases in
the hands of the kind of physicians that they think best. The
plan of parceling out the patients, so many to each school, is pre¬
posterous, and the sniveling complaint of the old school crowd
because they do not get all of the patients is sheer impudence.

The time will come in some distant period of enlightenment when
a man who wants homoeopathic treatment in a public institution
can have it, but the people will have to assert themselves in Jan
energetic manner before they can hope to bring about such a
state of affairs. It is little less than shameful in this era of
scientific development that the time of public officials can be taken
up by such demonstrations of mossback presumption as that*of
which the allopathic doctors were guilty on Thursday. They
ought to have been shown the door of the committee room.

* *

In another of our city papers we have the following news
item which has been sent broadcast by the associated press
throughout the land. It was read by three men with widely

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differing degrees of appreciation. The old school man said,

‘ ‘ I told you so. ” The homoeopathic physician, who believes
the teachings of said College to be in accordance with “mod¬
ern” or scientific (?) homoeopathy, says of the physician who
is honest enough to deny the same, “arrogant bigotry;” while
the man who represents the class faithfully upholding the
standard of true homoeopathy, sees in it an omen of bright
promise for the future:

Resigned From the Faculty.— Dr. J. W. Cartlich has re¬
signed as a member of the faculty of the Homoeopathic Medical
College and surrendered his chair of clinical medicine. He re¬
signed in the following letter addressed to the trustees and
faculty:

“Kansas City, Mo., March 13,1894.
“To the Trustees and Faculty of the So-Called Homoeopathic Medical College of

Kansas City, Mo:

“I most respectfully submit my resignation as a member of the
faculty and chair of clinical medicine, for the following reasons:

“First—It is not a homoeopathic college, as but very little
homoeopathy is taught there, but instead they teach students to
alternate and mix their medicines, utterly ignoring the law of our
illustrous founder, Samuel Hahnemann.

“Second—That some of the professors ridicule the single rem¬
edy prescribing and the minimum dose, and try to instill into the
minds of their students that infinitesimals are nothing but bottle
washings, and will not countenance a physician who practices
the true law.

“Third—They graduate every one who applies, if they can
without being detected.

“Fourth—This year one of the professors marked two students
10 each in examination, instead of 100, and, in order to pass said
students, the faculty threw out the chair, thereby voting diplomas
to those who could not correctly answer one plain, simple ques¬
tion out of ten.

“Consequently, I want no part in such infamy, and most re¬
spectfully tender my resignation.

“J. W. Cartlich, M. D.,

“1659 Madison avenue.”

* *

Tuberculin Abandoned. —At a recent meeting of a Ger¬
man medical society, in discussing a paper in which the writer
advocated the use of tuberculin in cases of consumption,
Ewald stated that both experimentally and clinically tuber¬
culin had been proved to possess no specific action, and that

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Medical Societies .

281

its use had been discarded on account of the dangers asso¬
ciated with it. He referred, for proof of his statement, to
Pfuhl’s experiments.

MEDICAL SOCIETIES.

BY I. T. TALBOT, M. D., BOSTON.

It has been an unsolved problem how to so conduct our
medical societies that they may best meet the wishes and re¬
quirements of their members. Especially is this the case in
large cities, where the profession has been divided up into a
great many specialties; some physicians devoting themselves
to a single subject, while others seek to have a general know¬
ledge of the entire ground covered by medical practitioners.
Although the latter may in the end send his case to the
specialist, yet he loses caste as well as patients; if, on being
called in, he sends a very considerable portion of his patrons
to the specialist. To such a physician the society is of value
just in proportion as it covers the entire medical field, while
the specialist wisies to gain instruction, or air his own know¬
ledge, in his particular branch. To do this he needs to meet
with others equally interested and equally informed in his
specialty. The question is how to make a society valuable to
all these different members. If general subjects monopolize
the consideration of the society, the specialists drop out; if
the specialists, often the brightest among the members, pre¬
sent too frequently their subjects technically, the general prac¬
titioner wearies of it and says be can get as much of that as
he wants by staying at home and reading the journals. It is
not an easy thing to keep up continued interest in a society.
It requires a vast amount of work. The ablest members need
to be encouraged, solicited, and even strongly urged to present
their best thoughts to the society, and the meeting must be
made of sufficient interest that members may feel repaid for
their time and trouble in attendance. To make the meeting
an interesting one requires a great amount of work outside the
time of meeting. This is apt to fall largely upon the secretary,
and if he is a bright, wide-awake, agreeable, friendly person,
who knows how to approach the other members in a pleasant
way and secure their co-operation; if he has good good judg-

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ment to bring real worth to the front and not allow the self-
seeking, opinionated and wordy to secure undue prominence;
if, moreover, he is full of resources, he may secure for each
meeting a sufficient amount of interesting matter, and bring
out a large attendance of its members. If the meetings are
held frequently—say monthly, as in a city—it is a great drain
upon the resources of any single individual to provide subjects
of interest for these rapidly succeeding meetings, and the
secretary is apt to tire of his work and pass it into the hands
of another. If this work is performed in a perfunctory man¬
ner, the character of the meetings is changed, the interest in
the society gradually diminishes and the association practically
becomes dead.

The plan which has been successfully adopted in the past
year by the Boston Homoeopathic Society seems to meet many
of the difficulties. The society consists of about two hundred
members, and holds its meetings on the first Thursday even¬
ing of each month, with the exception of July, August and
September. This gives nine meetings in all. The officers of
the society are a president, two vice-presidents, treasurer,
general and provisional secretaries, and three censors. These
form an executive committee of nine, to whom is entrusted
the general arrangements of the meeting and business of the
society, and such other matters as the society may expressly
delegate to them. This committee holds regular meetings
monthly, usually an hour before the time for the society meet¬
ing, at which is arranged the special business for that meet¬
ing, so as to present it in the clearest possible way to the so¬
ciety at the meeting which is to follow, and also to make gene¬
ral arrangements for the meeting of the succeeding month.
The meeting- of the society commences at a quarter before
eight. The business, such as election of members, proposal
of new members, and that pertaining to the general affairs of
the society, is quickly dispatched, and pathological specimens,
new surgical instruments and apparatus, and rare or interest¬
ing clinical cases can be presented to the meeting. Usually
by 8 o’clock or quarter past the meeting is turned over to one
of the sections designated for that evening. The society is
divided into nine of these sections, namely: pathology and
therapeutics; materia medica; surgery; gynaecology and obste-

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283

tries; diseases sf children; opthalmology, otology and laryngo¬
logy ; mental and nervous diseases; electro-therapeutics; sani¬
tary science and public health. Each of these sections has a
chairman, a secretary and treasury, who together form an ex¬
ecutive committee for the section to arrange for its meetings,
procure and decide upon such papers as may be presented at
the meeting in connection with the general society, and to ar¬
range for the exercises of that meeting. Every member of
the society may select such section or sections as he feels a
special interest in, or chooses to join. To each of these sec¬
tions is assigned a particular evening for the session in con¬
nection with the general society, but they may hold as many
or such other special sessions as their executive committee or
the section may determine. Thus in materia medica there
may be meetings for special work to meet either as committees
by themselves, or in conjunction with the section, and thus
be left perfectly free to do their work in the manner most con¬
genial to them. Thus these nine sections become practially
nine separate and distinct societies, while some of the mem¬
bers may belong to several of these sections, and their best
work, or that best suited for the general society, can be pre¬
sented when the section meets with the society. By this
means the specialists have not only opportunity of doing all
the work they choose in their own sections, but they can also
get some of the best from all the other sections. So far the
results has been highly gratifying. The monthly meeting
which before rarely exceeded an attendance of thirty, and
sometimes not a third of that, has seldom been less than
forty or fifty, and sometimes there have been as many as one
hundred and twenty-five members present; while each meeting
has seemed to rival the others in the effort to make it interest¬
ing and profitable. Of course a plan like this, however per¬
fect theoretically, must depend for its success largely upon
the ability and interest of its officers and the amount of work
done to secure that interest. But if the responsibility is di¬
vided among several persons, and these selected for their fitness
for the place, there is much less danger of failure than when it
all rests in the hands of one or two persons.

Some of the details of the work, though perhaps uot essen¬
tial, are yet important in giving harmony to the whole. The

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officers of the society are naturally elected at the annual meet¬
ing which occurs in January. A meeting of the various sec¬
tions was called last year soon after, to elect officers for each
section for the year. This, of course, gave a very short time
for the section first reporting, while the last one would have
nearly a year of preparation. To obviate this it has been sug¬
gested that the officers of each section should be elected for
the ensuing year at the time when this section meets with the
society. This plan will give every one a full year for sec¬
tional work, and to prepare for the society meeting. Of
course a single year is not sufficient to fully determine, but
time will prove whether this method is of practical value in in¬
creasing the useful work of our medical societies.

CAPITAL “I” IN HOMCEOPATHY.

FRANK B. SEITZ, M. D., ROCHESTER, N. Y.

Hahnemann College. Chicago, 1892.

Of the many things in Homoeopathy which are discussed,
used and abused, no mention has been made of the capital
“I,” first personal pronoun. There is hardly a paper read or
reported which does not begin with 4 ‘7 find that 7 can do best
with my patients if/,” etc. The fact that he cures by the law
of similars does not enter his mind.

It is interesting to note the manner in which the verbal op¬
tics are spoken. A physician shows his character or “bent”
of mind by the way he speaks his 4 4 I. ”

We have the physician who says 4 ‘7 find 7 can do best if 7
use the thirtieth potency,” showing his whole comprehension
of the law of similars in the thirtieth potency. Another will
say 4 ‘7 always use the 200th;” another says 44 I always use the
low potencies,” and says it a loud voice to match.
Straightway there is a discussion on potency, and
the law of Homoeopathy takes a back seat. Another
capital I says 44 I always use palliatives and ojuvants;” another
says 44 I do not.” Another says “I believe the knife the best
for certain growths,” and another says “I believe it is (for
corns).” There is an immense argument that causes grey hair,
but Homoeopathy and the law of similars is not in it. Others
again have favorite remedies. One says “7find /cure most

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of my patients with Aeon, and Sulph.another is surprised
and says 4 ‘/ find / can cure most of my patients with Bell, and
Rhus.” There is a profuse and scientific chatter on the
merits of different drugs in which capital Ts go flying through
the air in beautiful gyration and are swept out next morning
in big chunks. The law is lost sight of; it is all the remedy
and the man who gives it, which is called attention to.

We have another I in the musical Dr. who runs the scale
when he says 4 ‘/find / can diagnose deafness by the tuning
fork/’ and keeps time with his feet when he speaks. His idea
of 8imilia similihus curantur is sing songs constantly. He is
forever getting up a quartette in the society.

We have the dude with his hirsuite separation in the median
line. He lifts himself from his chair by his moustache (what there
is of it). He says 44 I, ah! er! I find,I believe I think there is a
great similarity in the law of similars.” He at least mentions
the law. He blushes a blush to match his red necktie and sits
down amid enthusiastic silence.

Then there is the decided satisfied man who says 4 4 / find /
can do best when / do what I think best. ” He sits down and
pats himself on the back for being the boiled-down essence of
Homoeopathy.

Then there is the fat man with the hypo-umbilical super¬
fluity of adipose tissue. He seldom speaks and don’t rise when
he doe3. His idea of Homoeopathy is five square meals
and 12 hours sleep.

Then there is the old man’s capital I. He sits way back.
He waits until the small fry shoot their fire-crackers, then he
fires a volley of artillery which settles the shooting match. He
knows when it’s his turn to speak. He waits a minute to get
silence, arises slowly, looks about .with a benevolent glare
and with an indurated voice he delivers himself (without for¬
ceps) as fallows: “/ find /cure all my patients with one dose
of the cm , anddf you don’t believe it you can’t join my society. ”
We have a powerful weapon against disease in the law of simi¬
lars; when a cure is made give honor where honor is due.
Homoeopathy did it and not we.

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DR. LUCIEN B. WELLS.

An old and honored resident of Utica, N. Y., Dr. LucienB.
Wells, died peacefully March 23rd, 1894. He was probably the
oldest living homoeopathic physician in the United States, and
was well known to many people, not only in Utica but through
out the land.

Dr. Wells was born in the town of Pompey, Onondaga
Co., N. Y., October 8,1810, of a patriotic stock, which played a
prominent part in the early history of this country. He was
educated in the Pompey Academy, and received his medical
training from Drs. Pomeroy and Batchelder of Utica, and at
Fairfield Medical College. He was graduated from this insti¬
tution in 1832 and came to Utica and began to practice in com¬
pany with Dr. Batchelder. Two years later he returned to his
native county and began work in Pompey and Apulia.

Dr. Wells was educated in the old allopathic school, and it
was not until 1846 that his attention was turned to homoeo¬
pathy. He then embraced Hahnemann’s tenets with enthusi¬
asm, and ever after continued to follow homoeopathic princi¬
ples with unswerving devotion.

In 1850 Dr. Wells returned to Utica. For a time he was
associated with Dr. Frederick Humphrey and subsequently
with Dr. Pomeroy, but after 1857 he practiced alone. He
continued his work until a very short time ago, giving himself
up to his chosen profession with unrelenting devotion.

In 1837 Dr. Wells married Miss Orissa M. Searl, of South¬
ampton, Mass., who, with a son, Edward H. Wells, survives.
He also leaves a sister, Mrs. Morris Beard, of Pompey Hill.

Dr. Wells was always a very religious man. He was con¬
nected with the Westminster Church of Utica for many years,
and for 40 years was one of its elders. He was, also, for 29
years treasurer of the session.

As a physician the deceased was greatly esteemed by his
professional brethren. He was at one time president of the
State Homoeopathic Society and was long an honored member
of the American Institute, (having joined in 1848), also of
the International Hahnemannian Association.

In every department of life Dr. Wells showed himself such
as to win the admiration of all. He was a careful and self-
sacrificing physician, a consistent Christian, a good citizen and
a loving relative and friend.

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THE

Medical Advance

A HOMOEOPATHIC MAGAZINE.

Vol. XXXI Chicago, MAY, 1894. No. 5

MATERIA MEDICA AND THERAPEUTICS.

OPIUM.

PROF. J. T. KENT.

In studying a proving one must realize there is nothing
about the proving he can change, as it is written it is fixed.
We can comment upon the proving as it has been brought
out and verified by clinical experience but the proving re¬
mains. If the proving has fully brought out the image of a
remedy and clinical experience has verified it, the image
may stand as a fact, the language that provers made use of
must stand. We learn by experience to read between the
lines, we learn what they attempt to express. Allen’s great
record stands as the record of provings. The ‘ ‘Guiding Sy in¬
terns”, is an improvement upon and, for that reason, is a better
text book than the provings themselves. We cannot deviate
from the provings. The knowledge that the physician pos¬
sesses is an outgrowth of the provings. The homoepathic phy¬
sician must make use of such remedies as we have an exact
knowledge of. We propose to take up Opium; we want to see
exactly in what kind of cases we should use Opium. In order
to do that we must see before us the Opium subjects. The phy¬
sician goes to the bedside and asks himself this question ‘ ‘Do I
know a remedy that has produced on the healthy subject symp¬
toms like these?” the diagnosis is his last thought. The diag¬
nostician, the routinist, only racks his brain to make a diag¬
nosis but the Homoepathic physician tries to get an image of

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the sick man. “Have I ever seen this imag^ before?” If he
cannot recall from his mind an image from the pathogeneses,
the symptoms produced on the healthy man, he is at a loss to
know what to do, and there is but one thing to do, viz. search
the records. If he has not a reasonable assurance that he
knows a medicine that has produced on the healthy man symp¬
toms like those before him, the image of the man sick, (not
diseases, for we treat not diseases) (Hahnemann has said:
“There are no diseases, only sick people”).

It is utterly impossible for me to talk of any remedy and
repeat the symptoms from the abstract memory, they are
utterly useless considered apart from any sick individual.
You might take Opium in its study in large dose, we first
notice the exhilaration and sign of, bodily well being, feeling
of happiness, of comfort, of affection, good nature and the
mildness of one s nature or a peculiar hungry, empty feeling
comes to the stomach, gnawing not relieved by eating, though
the stomach be gorged; hunger not relieved by eating.

Opium always produces stupor, sometimes with sleeplessness
and sometimes with coma, when the sleeplessness comes first
enormous quantities are required, which condition only comes
from congestion of the brain, with marked cerebral symptoms,
then comes stupor, lethargy and contracted pupils, stupidity
of mind and body, this passes on until the large dose wears off.
If the dose has been rather large relaxation takes place ending
in bilious vomiting which is sometimes very prolonged. Awful
deathlike sickness, everything in the stomach comes up.
Chamomilla is the natural antidote to this effect which may be
called a secondary appearance, the appearance that comes on
as reaction of the vital force. As the appearance of stupor
subsides, the patient goes into an opposite state, extreme
hyperesthesia of the sensorium, great irritability. If Opium
eaters leave off the drug for a little while, they immediately
get the effects of relaxation. It takes a long time for an
Opium eater to become restored to his normal sensations. The
mental state of the Opium eater is terrible, the symptoms
come on from years and years of use of the drug, he becomes a
liar, untruthful, a dreamer, his imagination goes wild, those
things are true to him that are false, the mental symptoms are
full of these deceptions, he deceives himself with his imagina-

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tions which are peculiar ; he sees images that seem to him per¬
fectly real. Opium eaters see black forms, animals, devils,
deformed human beings in their presence. These symptoms
appear in delirium and again when perfectly sane. The slight¬
est closing of the eyes brings on the aggravation that runs
through Opium. The dreams are more vivid, of course, than
imagination in the wakeful moments. He dreams of black
forms and animals. He thinks he is away from home and
talks to imaginary persons. Eyes red, pupils contracted and
he is stupid. Painlessness is a word which to a great extent
runs through Opium. There is a lack of realization of the
condition of his symptoms. Opium is seldom indicated in pain,
still the old school give it to stupefy the patient in order to
relieve pain. Painlessness is a grand characteristic of Opium.
There is an inability to understand and appreciate his suf¬
ferings, the patient merely smiles, says there is nothing the
matter with him, don’t seem to suffer; when he undertakes to
move, he will confess that he is not strong; his look is that of
an intoxicated man, a besotted look like Baptisia, Lachesis,
Belladonna and Bryonia. We particularly observe that look
and the painlessness in some of the lowest forms of typhoid
fever. Breathing stops on going to sleep, he must be shaken
to start it again, pupils are contracted, face red and pale in
spots. In the same kind of fevers we find a pinched, pallid
look, very hot skin and copious hot sweat which gives no
relief of symptoms, such is the Opium state and sickness. If
he can be roused he makes no complaint. Bladder is overdis¬
tended, he makes no complaint; rectum filled with feces but
there is no desire for stool; when pinched it does not hurt him,
this we commonly look for in Opium. Even the ulcers are
painless. The vegetative system is just as stupid and inactive.
Remedies that seem to be well indicated have no effect. Open
ulcers can be handled or probed yet they do not pain or dis¬
charge, they do not heal. The open ulcer is scarcely more
painful than the open skin. Molecular death takes place
without much trouble. Ulcers in the throat with such do-noth¬
ing, lack of operation, a powder of Opium will do much.

We have very few remedies that produce such a depression
of the vegetative system. Propping of the jaw. General paral-
jfais of the brain. There is a wonderful lack of action. In-

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sensibility accompanied by a lack of operation. Determina¬
tion of blood to the head so marked that it is attended with
apoplectic breathing, blubbering of the lips, bloody froth from
the mouth, slow stertorous breathing, inability to rouse him
from stupor; such things are produced by Opium. Many of
these things we see in sick patients. No other medicine looks
like it. You might suppose that the individual had been on a
drunk. It looks most like whiskey. Pupils greatly con¬
tracted or widely dilated, pulse full, slow and feeble; after
this passes away the images come; in various diseases delirium
with these symptoms. Zymotic complaints with these symp¬
toms. What matters it what you call these diseases, your at¬
tention is directed at first thought to Opium. You see it all at
once, a question or two, “How is the urine? How about the
stool?” and you fix upon the remedy. We give Opium in
some of the severer forms of head pains although this is not
striking in Opium and there is nothing peculiar about the pain
but because of the peculiarities of the patient. The sufferings
of the head are worse in the morning, leaving great pain in the
back of the head so severe that he cannot raise his head from
the pillow, head seems glued to the pillow; weight or load in
back of the head; pain like hammers in the head; headaches
so severe she cannot lie down; face flushed like one intoxicated;
eyes red; whole head seems as if it would burst; no rest and no
sleep; she is so stupid and tired that she feels as if she could
instantly drop to sleep ; this is like Belladonna; Bell, is similiar
to this picture. Bell, with such a state will have throbbing
carotids and more febrile action. All the complaints of Opium
are worse from the heat of the bed, bed is so hot he cannot keep
still. In congestive head troubles, in cerebro-spinal meningitis,
with or without convulsions, with the general picture of Opium.
If there are convulsions they are brought on by covering up
the child. Worse from the glare of light, from lamp-light;
wants cold things, to wash in cold water, heat will bring on a
convulsion. These symptoms make you think of Apis; Apis
has almost suppressed or scanty urine, Opium retained urine,
suppression is the exception, retained is the characteristic.
Opium has diminished sensibility throughout the body except
in its chronic states where we find increased sensibility of the
body. You cannot separate the primary and secondary symp-

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291

toms, what is primary in one prover is secondary in another,
all are symptoms. There is a difference between acute and
chronic symptoms. Arsenic in its chronic state has thirstless-
ness, in the acute state burning thirst. When the chronic
state of Opium is present we get this over sensitive condition
where the extreme wakefulness is present, the clocks upon the
distant steeples are heard all night long, every step across the
room is heard, the people talking upon the streets keep her
awake all night, no sleep, with extreme wakefulness; these con¬
ditions are seldom met with and are not well known. Its
coarser manifestations are better known. Stupid as if drunk.
Fainting turns with vertigo. In sunstroke unconsciousness
and eyes glassy. Now Opium has one feature as a modality,
it aggravates these symptoms, it brings on complaints that
Opium cures.

Complaints from fear —Fear produces a wonderful in¬
fluence over an Opium patient, it seems to leave a photograph
upon the mind of the one frightened. It is generally expressed
“The fear of the fright remains”. A photograph of the image
of the cause of the fright before the mind. A woman fright¬
ened by a dog will recall the image of this dog long after, with
the same fear when she sees another dog. This kind of fear
has brought on epilepsy. Frightened by fire, murder, or see¬
ing someone run over by the cars. Fear comes on so suddenly
that it produces paralysis. If this awful fear remains, an abor¬
tion, convulsions or insanity will come on. I knew of a dis¬
tinct oase with many fits almost daily, cured with Opium 200 ,
it came on from fright of fire. I knew of a woman who suffered
for more than a year, she heard a scream in the next house,
somebody had cut his throat, she would awaken from sleep
screeching and screaming, hysterical screams. Where the fear
of the fright remains, only Opium has such a state. It seems
singular that Opium should have that image within itself,
that no other remedy has it. It is strange that Bell., Stram., or
Aconite have not cured it or brought it out in their provings, flit
is singular that this peculiar thing is implanted in the poppy.
Perhaps no other plant will ever occur that ha 3 just that thing.
Opium cures colic, it is very much like Plumbum. It does have
sinking in and gnawing in the intestines but not the draw ing in
of U 19 abdomen like Plumbum. Opium is the antidote in some

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instances to lead colic, when it happens to be homoepathic the
colic does not return. With all of the intestinal diseases there
is wonderful anxiety in Opium. It has violent craving for
spirituous liquors. It has both thrist and thirstlessness. The
points, constipation and paralysis of the bladder are worthy of
further consideration. This peculiar sluggishness of the in¬
testines, this constipation, may be of long standing. Opium
has cured the most troublesome cases of constipation where the
stools are hard round black balls, no desire to go to stool, this
is particularly an Opium condition. Plumbum has it, also a
great deal of the lack of sensation found in Opium. Study
Opium and Plumbum side by side. Plumbum does not have
the peculiar features I have described, the paralytic condition
of the abdomen is very much alike in the two remedies.

Awful burning in the rectum with dysentery, morning ag¬
gravation. Diarrhceic stool is lumpy and liquid, mucous, blood
and slime, awful burning in the anus, it smarts like fire. Some
Opium provers after taking a fraction of a grain at night had
diarrhoea in the morning and then remained constipated for
days. The paralysis of the bladder is also striking. Urine
retained from fright. Urine is very slow to start and flows in
a feeble stream, it starts and stops from the spasmodic con¬
traction of the bladder. (Bladder full twelve or twenty-four
hours after delivery of child in parturition, there is no desire,
no urging to pass urine, there is lack of sensation, you will
find in a very large number of cases Causticum will be the
remedy. If it is in the child Aconite is the remedy.) Fre¬
quent interruptions of the stream of urine which commences to
flow after waiting a long time. Strangury. Children wet the
bed at night and always dreaming of dogs and cats and black
forms, stertorous breathing in sleep, breathing is irregular;
with children having these symptoms and wetting the bed,
Opium would hardly ever be thought of; the mother says he
talks and jabbers, wakes up and looks frightened; in such a
case Opium will over-come the wetting the bed. In youngsters
who wet the bed, generally some peculiarity in sleep must be
observed. Hahnemann said that the mental symptoms are the
most important of all the symptoms that we can get to prescribe
upon. Mental symptoms show themselves upon the faces to
the experienced observer who notices in the face many things

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That Tired Feeling.

293

that he cannot tell. Opium produces all sorts of convulsions.
The febrile symptoms are likely to be attended with hot sweat,
desire to be uncovered with sweat. Nux wants to be covered.
Apis, Ledum, Iodine, Sulphur and Pulsatilla are ameliorated
by cold things, cool atmosphere. Patients suffocate if the
room is warm and close.

Now you have what Opium looks like. The entire array of
symptoms must be studied. You can easily pick out patients
with symptoms that I have said nothing about, the constitution
of the patient is something else though the symptoms of Opium
cover the case. There is something in every chronic case that
is troublesome but in acute cases there is not much trouble.
In chronic cases you have to see the symptoms by reading be¬
tween the lines. There is one thing that the physician must
never expect and that is to find all the symptoms of a remedy
in a patient.

THAT TIRED FEELING.*

FRANK KRAFT, M. D., CLEVELAND, O.

I hate all pain,

Given or received; we have enough within us,

The meanest vassal as the loftiest monarch,

Not to add to each others’ natural burthen
Oi mortal misery, but rather lessen,

By mild reciprocal alleviation,

The fatal penalities imposed of life.

—Byron.

That tired feeling of which I shall speak in these pages has
been so well and so often depicted in the advertisements of the
spring crop of patented medicines that it seems almost need¬
less to repeat in what it consists. If you take up any almanac,
published disinterestedly by the sarsaparilla makers and ven¬
dors, or the little liver pill manufacturers, or the nervura fel¬
lows or the celery compound benefactors, those large and gen¬
erous-hearted individuals, and peruse a few of the startling
cases, embellished with the pictures of ex-cabinet ministers,
ex-foreign ministers, and just plain, every day ministers and
women, with generals from Kentucky and majors from Geor¬
gia, you will soon see that That Tired Feeling is at the bottom

* Read before the Missouri Institute of Homoeopathy, April 17,1^94.

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of all distressing complaints and is the bane of our later day
civilization.

The spring fever with which some of us are prone to be
effected about this time of the year, especially when we can’t
throw off this tired feeling by travel to California or Florida,
is a most distressing disorder, for which the constitutional
remedies of our grandmothers, ranging from treacle and sul¬
phur in allopathic doses to sassafrax tea seems to not have
much efficacy. The tomato-can tramp on the road has it
equally as bad as his high nobility the hotel clerk. The rich¬
ly apparelled dame in her magnificent turn-out, a flunkey in
front and another behind and another dog seated in her lap
resting against her Podsnappian bosom, or running underneath
the coach, has it just as bad as the modest and spare-visaged
doctor who walks to and from his daily visits, all, all seem
troubled with That Tired Feeling.

It is not exactly that dolce far niente feeling, for that im¬
plies simply laziness, swinging lazily in a hammock, slung un¬
der the shady tree in mid-summer, palm leaf in one hand and
something refreshingly cool and nice in the other ; for that pre¬
sumes mid-summer heat, flies, gnats and mosquitoes; this tired
feeling of which we now speak has reference more to the
spring—to the vernal equinox, when the trees begin to leave
and the air is balmy and sweet with budding roses; when the
young man’s fancy lightly turns to thoughts of love and maple
candy. It is still between hay and grass as to season; it is too
early to lay off the winter underwear and don the summer
weight ; it is too early to eschew the fragrant pork sausage for
breakfast and mixed hash for tea; it is too cool to rise early in
the morning to watch the rising sun and listen to the soaring
lark after a night’s lark or two; the moon is not hardly placid
enough nor full enough nor dark enough to warrant any
apostrophizing in company with some fair maid of Eden lest
one get something in addition to That Tired Feeling, namely,
a bad or a good cold with a decided nasal twang. This seems
to be about that time of the year, if I was writing the prognosti¬
cations for a weather bureau,—this seems to be about that time
of the year when it is advisable to put the parlor furniture on
the front porch and the other kind in the back yard to get it
aired.

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This tired feeling seizes upon the very vitals of one’s exis¬
tence and renders him incapable of even the lightest tasks of
the daily grind. When the wintry season draws apace That
Tired Feeling is dissipated by the needful exertion to keep the
blood in circulation; but in the spring time when the juice be¬
gins to run from the tree and man as well, then there is noth¬
ing that will so quickly dissipate it as to give in to it and enjoy
the lazy, good-for-nothingness of the time, and like Poor Jo
move on only under police compulsion.

The poor householder also realizes much of that tired
feeling when he suddenly discovers that his house is all topsy¬
turvy and his wife and the hired girl likewise in house-clean¬
ing; his slippers and dressing gown in the cellar kitchen and
his favorite pipe and pen in the mansard.

But it was not the purpose of this paper to give you many
definitions of That Tired Feeling but more to speak of a few
remedies which are leading cards in connection with other
symptoms but wherein the tired feeling predominates.

Let us go back to the beginning. To the milk business.
Lactic acid is not often used as a medicine except by some of
the purer prescribers among homoeopaths; it has a pronounced
symptom of tiredness, as if tired all over, as if he had walked
fifty miles; any way a great distance and his legs feel like tons
of lead; he can hardly drag them along, and after while he can
stand only with difficulty. This is a genuine tiredness for the
chances are that he is troubled with diabetes in some form. He
is a lazy person, usually anaemic, lean and thin.

From milk to onions is not so difficult a transition because
they go very nicely together in some people, especially young
women when a cousin is not expected. Alium cepa, or plain
Cepa, as Father Hering calls it, has That Tired Feeling com¬
ing on from some trouble in the respiratory mucous membrane;
a cold in head or one which settles on the lungs; then we have
that awful broken back feeling when he is so tired he can
hardly raise his hands to his head. You all know that this is
a great hay fever remedy, for every year this patient is attacked
sometime in August with violent sneezing, especially in the
morning, produced or aggravated by the perfume of flowers
and by the skins of peaches. If you do not recall what your
materia medica teacher taught you about the main symptoms

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of alium cepa, get a good ripe onion and peal it carefully. I
know of no object lesson more effective. I recently aborted
some cases of grip in a family of adults and children introduced
by incessant sneezing and acrid discharges. I called for an
onion as I do not carry alium cepa in my pocket case, cut it in
two, squeezed a few drops of the juice into a glass full of
fresh cold water, stirred it up carefully—all this I did in the
seclusion which the kitchen grants—and gave a teaspoonful
all around every hour until the sneezing stopped, expecting on
the morrow to give the grip remedies. But on the morrow the
patients were better. My bill in this instance was just as high
as if I had given alium cepa the forty-thousandth and a dose
only once every so often.

Helonias has a peculiar tired .feeling for which the woman
can give no good and sufficient reason; she is so languid, so
lack-a-daisical, so “flipsy-floppy”, so disconsolate; but the
uterus is at fault; she is painfully conscious of this organ at
the time in the month, and there is usually great hemorrhage
and burning; prolapsus and flooding on the least exertion.
This is apt to be a lady of means enervated by indolence and
luxury, therefore not a doctor’s wife.

Then we have the young man or the middle-aged man possi-
sibly a congressman who has That Tired Feeling which is made
better through the ministrations of picric acid. There is a spinal
depletion calling for this remedy; a too frequent and too ardu¬
ous worship at the shrines both of venus and bacchus. This is
not that kind of a tired feeling which sends the sufferer to Hot
Springs for his corns or his rheumatism ; this is just an ordin¬
ary breakdown from overwork whether legitimate or illegiti¬
mate ; it may come to the book-keeper, the cashier, the teacher,
to the man of the cloth, who must away to Europe once in a
while at his flock’s expense. It is an overtaxing of the brain;
brain-fag whether produced by exhausting discharges or by
overwork.

Almost everybody knows that arnica has That Tired Feeling
either as the result of trauma or dynamics. Here the muscles
are bruised down into the bone; he is so sore and so tired. He
doesn’t want to move, yet the soreness is so great that he must
stir a little or else the cobble stones and corn cobs with which
his bed is filled will break through his skin. He is liable to

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have boils. His face gets yellow suggesting to the allopath
that he has malaria—and arnica, you all know, is sometimes
called the poor man’s quinine. In foulness of breath only one
remedy can excel it and that is baptisia. All the discharges
of arnica are of the odor of matured eggs; even the hemorr¬
hage of an arnica patient partakes of this unsavory savor.
Weakness very great. 4 ‘So awfully, awfully tired, doc.”

Calcarea carb. is another valuable remedy in this condition
of great tiredness. In this instance, you must look more to
the general condition than to any one individual symptom of
% tiredness. You must bear in mind that she has everything, in
the material line, in excess; there is a proneness on the part of
nature to overdo matters; in Silicea the bones are more at
fault; but in Calcarea it is the tissues; so that we find the
glands of the body and especially about the head and neck
overlarge. The calcarea patient is a large-headed, large
faced, large-nosed, large-eared, large-necked kind of a per¬
son ; she is full of lymph, or phlegm, or water or any other
kind of fluid or name for a fluid that you care to apply to it,
so that in the cards she is known as the leucophlegmatic party;
fair, fat and flabby; the scrofulous party, the party, young or
old, predisposed to tuberculosis. Because of this law of hom¬
ogeneity, we find the heart weak and the lungs flabby so that
it is very difficult to breathe especially when she goes up stairs;
and a very little exertion therefore causes them to experience
That Tired Feeling.

Lycopodium, the so-called widower’s remedy has a first lien
on That Tired Feeling. I like the other name better: the
Pedagogue remedy; for this patient is troubled with brains;
there is much dyspepsia and sour stomach and gas; there is
more attention paid to the upper story than the lower ; more
study than exercise; more brains than feet—so that the fair
damsel by the lakeside is not included in this remedy. Lyco¬
podium has the pear shaped, good-boy head ;the precocious child
who can write Latin hexameters at 5 years of age; the little
Paul Dombeys who are hot-housed and railroaded through
school and academies, and if they survive the medical school
they will become fine thinkers and debaters and workers along
theoretical lines, but utterly lack practical ability; that refined
fine-haired, fine-skinned class who cannot earn its salt. They

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have dyspepsia from lingering too long with the midnight oil.
Their faces take on a parchment like texture, the color is color¬
less, bodies become top-heavy and scrawny, they are cold¬
blooded and almost without passion; the blood is in the head
instead of in the body. They are cruel and indifferent. This
is the martyr class; will die for an idea which may not amount
to anything. It is easy to understand that this body is troubled
with That Tired Feeling. This is bad enough, of course, but
there is a darker side to the shield. It has another tired feel¬
ing which comes from the widower’s side of the house of
Lycopodium. There is a broken down condition resulting from
undue and prolonged sapping of the vital forces through illegi¬
timate sexual indulgence. And yet it is a singular fact that
Lycopodium is not an amorous party, not a lecherous party.
The sexual love of Lycopodium is not love at all. In marriage
it is simply tolerance on the one hand and indifference on the
other. It is a cold-blooded encounter with malice prepense; a
closed carriage affair. T?he brains are in the way.

Hamamelis has That Tired Feeling as the result of the re¬
laxed condition of the venous system; so that we have a flabby,
bluish, sore-fleshed patient with varicose veins, the sluggish
blood falls into the tissues and remains there producing blue
spots like arnica and sulphuric acid. That is possibly one rea¬
son why Pond’s extract is recommended for a black-eye; he is
sluggish, sleepy and stupid; he is so tired that he moves with
difficulty; when he pricks himself or hurts his skin, or if his
nose bleeds there seems to be no resiliency to the cut or open
vessel ; it does not contract but bleeds on in a gentle bluish
ooze. This party is never very passionate and scarcely ever
amorous. It may be accepted as a broad rule but a safe one
that a venous patient is not amorous. It requires the hot and
bounding arterial blood for that function. So we have the
tired feeling in the back because of the relaxed hemorrhoidal
veins.

Natrum sulphuricum, or Glauber salts, was Grauvogl's great
remedy in sexual disorders of the Prussian soldiery. With
this remedy in the 30th he did perform wonders. It is a typi¬
cal psoric remedy. Dr. Kent in teaching it to the classes in
your city used to detail the case of a fireman who had been
tossed off a ladder truck on his head; he became very nearly

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blind ; he could not bear the light of the sun, and more espe¬
cially was the light coming through stained glass painful to
him and made him irritable; music similiarly affected him.
Later he developed a mania for destructiveness, first as to
others and then as to himself. He was so tired out. He was
snappy and disagreeble. His mouth was filled with slime
actually and metaphorically. In general this remedy is indi¬
cated in those who live in cellars, or basements; basement
kitchens; basement dining rooms; shipping clerks and book¬
keepers who are kept in the basement probably working by
reflected light under the front pavement; engineers of station¬
ary engines when located in the cellar; plumbers, painters,
printers, white-washers, restaurants, saloons, barbers and all
the others who in a large and thickly populated city have their
places of business in the basement.

Cactus has That Tired Feeling from getting his dinner too
late, or from missing it altogether. As a consequence on
comes a headache as if a great load was pressing on the vertex,
made better by more pressure. Light and company are not
wanted; and even when he gets his inner man properly lined
later on the headache and the tired feeling refuse to leave;
like a sulky child mad because it didn’t get what it wanted in
time. Then on come the peculiar crinoline symptoms; as if
the body were in a wire hoop-skirt and every wire closing in on
the body tighter and tighter. Or, like a large cold iron hand
—a mailed glove, which seizes the heart and squeezes it for a
second more or less then lets go. Secale sometimes mixes up
the novice. He is taught that his first and great action is to
constrict all circular fibres of blood-vessels; manifestly this
is also what cactus is doing. Where then the difference? This
is one instance of the teaching and learning of only the isolated
symptoms of a remedy instead of studying the totality. Secale
has a continuous squeeze, while cactus is an intermittent hug;
it takes hold and pretty nearly squeezes the life out of the heart
but it lets go again; it may renew it again and again and ulti¬
mately press the life out if not checked. Again, ergot has
its most pronounced action on the uterus; cactus on the heart.
In belladonna only a few of the circular fibres constrict and
irregularly so we have hour glass contraction of the uterus.
Here then are three constricting remedies; when we need bella-

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donna we look to the cerebrum—the brain; for ergot to the
womb; and for cactus to the heart. All have That Tired Feel¬
ing very prominently.

Staphisagria has Tired Feeling after eating. You have
heard of people who ate until they were too tired to leave the
table; who tried to eat breakf ast, dinner and supper at one meal;
or the Indian being closely pressed to take more offered to re-
gurgiatate his food and come back and eat more. But this is
not the staphisagria party. He is a man, who, as a boy, ac¬
quired vicious habits which in later life he regrets keenly; in¬
deed he becomes morbid as to his salvation physically or spirit¬
ually religiously . He is a man who gets very tired when some
one insults him, or his lady, when he cannot fight the rowdy,
either because he is too big or the time is not propitious. Staph¬
isagria is a first-class remedy in boys who have wrinkles in the
forehead, who are preternaturally bashful, who have styes, who
have a peculiar hacking cough, who are stunted in growth, who
will not look you in the eye, who have that furtive almost
stramonium way of looking at you out of the comer of the
eyes. This boy complains because he is made to do the
ordinary chores about the house. He will say that he is
so tired; and his answer is true because his spine is at fault.
Troubles from dwelling too much on sexual subjects is a familiar
line to every freshman. Do not forget another almost as valu¬
able a line, one that Kent used to dwell on a good deal, and
one which I have found of some financial value to me in my
practice on several occasions; namely the urinary troubles ex¬
isting in newly married folks.

Bryonia is the retired but not reformed prize-fighter. When
he is at his worst, he has a purplish face; it is puffed out and
heavy as after a protracted debauch at the shrines of all the fash¬
ionable vices. There will be daubs here and there about the
eyes and nose and temples and along the hair line of bright
yellow to show that the liver is now involved whatever may
have been the cause in the first place. In short he is ‘ ‘bilious ’.
Ugly is no name for his disposition at this time. He is above
all things a coward mentally* physically and morally; he will
snap up his best friend and say savage things to those to whom
in moments of reason he is kind. He is the wife-beater who
ought to be strapped to a Delaware whipping post and his pelt

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pretty thoroughly dusted with an improved carpet beater.
With a sluggish liver it goes almost without saying that That
Tired Feeling is very prominent in Bryonia. He doesn’t want
to move. He doesn’t want to talk. He doesn’t want to see
anybody. He doesn’t want to eat. He doesn’t want to sit
down nor stand up nor yet lie down. It makes him tired to
think. Lemme ’lone and go to elsewhere. If he coughs it
makes him swear; if he tries to draw a long breath he winces
and his remarks are not worthy of repetition. His bowel
symptoms are well known. He wants to sit still and sleep
all day as well as all night, and if he dreams he dreams of the
things done during the day so that he does them all over again
and that brings on in an exaggerated degree That Tired Feeling.

The Materia -Medica is full of remedies having That Tired
Feeling, but I will speak of only one more, and that is Nux
vomica, our old standby and swear by and swear at. He is
very much the opposite of Bryonia and yet there are very
many places where they touch elbows pretty sharply. Nux
is a nervo-bilio-motivo-sanguino temperament; if there were
any other temperaments I am sure Nux would have them all; for
there is neither height nor depth nor breadth of infamy of which
the nux patient may not be guilty. He will steal, he will lie,
he will drink, he will gamble, he will fight, he will pollute him¬
self and his neighbor’s wife or daughter. His mind is ever
active and a perfect devil’s workshop. He is a schemer, a
trickster, a three card monte man; a usurer (almost as bad as
the Lycopodium miser) who lends money upon personal chattels
without exposure or removal from the house and then exacts
not alone the pound of flesh to the uttermost but every drop of
Christian blood. He is the forger, the smart criminal; the
educated blackleg; the safe-breaker and jail-breaker. This
precious scamp overdoes sometimes, overleaps himself and
falls down on the wrong side of the fence when he is overtaken
by That Tired Feeling which so far as the feeling goes is genu¬
ine enough ; he becomes ill and our offices are called into requi¬
sition. Nux vomica and not very high is a sovereign panacea
for this party. But do not get the thought that all nux
patients are of this variegated Joseph-coat stripe or breed.
This is the sinister aspect of the shield. There are nux patients
who have That Tired Feeling from perfectly legitimate causes

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such as over activity in mercantile pursuits; over rushing of
business; over-speculating on Wall street; over study of pro¬
fessional people or pupils; over doing sexually in a quasi-legi¬
timate way though morally and in the sight of heaven as crim¬
inal as the illegitimate practice indulged in by the Mr. Hyde
part of this patient. He may have over eaten and over
drunken. He differs from Bryonia in that he is a fretty per¬
son, a fault finding person, a back biter and tale bearer. We
see so much of the bad side of the nux patient that we are
liable to forget that the nux temperament has much to do with
the government of the world. Caesar, Charlemagne, Napoleon,
Wellington, and many of the foremost generals of the world
and of our own country were nux people. But when you have
a nux patient the doctor knows that he has his hands full; and
he may run the gamut from the tincture to the extremest of
sky-pole potencies.

You have probably noted from this and former papers before
this Institute that I make pictures of my remedies. My mem¬
ory even during my college days as many of my present class¬
mates will remember was not of the. best. The acquisition of
isolated symptoms was always difficult to me. When I got
into business finally I found the need of learning my Materia
Medica in some other way than memorizing symptoms: I had
used my off hours and the time spent in driving to and from
patients in thumbing Hering symptom cards with several hun¬
dred of my own added—but with no marked success. I found
I had too many cards for any one symptom. I began to read
the Organon a little more carefully and presently it dawned
upon me that the Totality meant exactly what it stands for—
the whole—the perfect picture of the man as well as of the
remedy; the one picture to offset or cancel the other; that this
included everything about the patient and his surroundings,
and not simply his diarrhoea, or his cough, or his corns, or his
sleeplessness, or his sweat, or his impotency; then re-reading
and re-studying the Materia Medica brought to my mind the
pictures which I have been trying to show you. It is true that
this way of studying Materia Medica will not give one as man}'
remedies to select from as the repertory system and the symp-
tomatological system; but I am satisfied that if I can carry
from thirty to fifty of the old and well tried remedies under m 3 '

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303

hat in this picture fashion, I am better prepared to treat the
sick than he who picks out a few symptoms from four or*five
hundred imperfectly proved remedies and gives that in a single
do9e and very, very high. It seems to me, too, in looking
over current homoeopathic literature, and I am peculiarly in a
position to see and read pretty nearly all that is written and
printed, that the trend of today’s homoeopathy is towards
greater simplicity both as to dose and remedy; this is true also of
the allopaths. The first thirty or forty or even the first twelve
old fashioned remedies used by Hahnemann and his immediate
disciples well learned in ail their totality will give more com¬
fort in the hour of need than a smattering of half a hundred.
So that when we are called at half past two of the night and
separated from our dream of wealth and ease and things and
hurried out six miles galley-west into the sleety atmosphere
we are apt to forget our repertory, or leave our specially pre¬
pared slate or cards or algebraic formulas or slips for working
out the case on the piano. The knowledge that we carry at
our fingers’ ends is alone knowledge. I believe that th6 true
homoeopathic way of prescribing is upon the Totality of the
symptoms.

ACUTE PHLYCTENULAR CONJUNCTIVITIS WITH
COMMENTS.

ARTHUR O. ALLAN, M. D., NEW YORK.

August 5, 1893.—F. 0. aged 16 came to me for an attack
of acute inflammation of his eyes that made it impossible for
him to continue at his work as a photographer. He stated
that three days before, on rising from bed in the morning, he
noticed that his right eye was somewhat bloodshot, that it felt
dry or as if dust were in it, and that it was somewhat sensitive
to light. As the day advanced these symptoms grew worse
and on rising the next morning he was alarmed to find that the
right was very much worse and that the left one was attacked
also. On the following day both eyes were very much worse
in spite of the use of an eye-wash which “kind friends” had
advised him to use, together with frequent bathing with hot
water. It was very easy to make a diagnosis of the disease in
this case: Acute Phlyctenular Conjunctivitis. However as a

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diagnosis of the disease rarely gives os any cine as to what is
the appropriate remedy for the patient let us now dismiss from
our minds the fact that the patient had phylyctenular conjunc¬
tivitis and see what individual symptoms he really had that
might be so grouped together as to forth the picture of one of
our proven remedies. For in this way alone are we able to find
a remedy that will be homoeopathic to the symptoms and so be
able to cure the case.

In listening to the patient’s story we find that the disease
began on the right side and then went to the left; that his eyes
watered and were sensitive to the light; that they felt dry or as
if dust was in them; worse on moving them; that they felt hot;
that the lids felt heavy, the photophobia preventing him from
opening them wide and making them water; that the lids ap¬
peared as if swollen; that the pupils looked as if somewhat
dilated although they responded properly to the stimulus of
light. In connection with these eye symptoms he felt as if he
had a cold in the head the discharge from the nose being thin
and watery.

Here we have a group of eye symptoms that form the pic¬
ture of Belladonna, one of the remedies that acts most markedly
upon the eye. It is not always that we are able in this in¬
stance to And a remedy from the eye symptoms alone. It
generally happens that we are obliged to bring to our assis¬
tance symptoms existing in other organs or parts of the body
—concomitants. And here I might add that in selecting the
remedy for eye diseases we should proceed exactly as we would
in selecting a remedy for any disease without regard to its
nature. In selecting a remedy for our cases we must never
lose sight of the fact that there is no such a thing as a purely
local disease and although the prime cause of disease may
come from without still the whole disturbance which we per¬
ceive, that is the entire phenomena which constitutes both the
subjective and objective symptoms are from within. They are
raused by the vital force which has been disturbed and caused
to act in an inharmonious manner and although this disturbed
action of the vital force may be felt with greater force in one
organ or locality of the body than elsewhere still as the one
vital force controls the entire organism we find evidences of
inharmonious action in symptoms showing themselves else-

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where over the entire body. That diseases are general and not
local is evidenced by the fact that between the time when the
disease poison is introduced into the system and the appearance
of symptoms there is an interval of more or less definite dura¬
tion which has been termed the period of incubation.

The symptoms presented by the organ or part where the
lesion exists are often of the least value in helping us to select
the remedy. For example in a case of hemorrhoids the symp¬
toms furnished by the piles themselves are very frequently
unable to give us a sufficient number of characteristics to make
a prescription by. It is the same with eye diseases. The
local irritation set up by the presence of the lesion itself gives
rise to symptoms that are so gross, so general, and without in¬
dividuality as to make it impossible to see in them those finer
shades of action which enable us to analyze our symptoms and
interpret them in such a manner as to insure a correct pre¬
scription. It is therefore necessary to go outside of the organ
affected for characteristic symptoms. Applying this rule to
eye diseases it is usually necessary to look elsewhere than to
the eye for symptoms which shall enable us to make a correct
prescription.

I might give many cases to illustrate this point, and shall do
so upon some subsequent occasion, but as this was not the ob¬
ject for which this paper was written we have now wandered
too far from the original subject.

To return, our patient received a single dose of bell cm which
was followed by an improvement which lasted for five days
when he began to grow worse again. He then received a
second dose of the same potency. This time the improvement
lasted only two days. On Aug. 8 he received another dose of
the same medicine in the same potency without apparently any
results whatever. From this it seemed that he needed a
greater quantity of medicine or if that does not express it he
needed a dose that would have a more prolonged effect than
what he had already received. Consequently I decided to give
him a low potency and repeat the dose frequently. So I gave
him Bell. 100 a dose every morning and evening for a week.
Under this prescription he improved rapidly and at the end of
a week his eyes looked as though they were cured. They re¬
mained in this condition for two weeks when the right began to

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get worse again. I then gave him a dose of Bell. 800 every
morning for a week when his eyes appeared to be cured. He
was kept under observation for several weeks longer and
showed no sign of a return of any of his eye symptoms and up
to the time of writing his eyes have remained perfectly well.

There is a point about the treatment of this case which I wish
to comment upon, as this case gives a very good illustration of
it. Some teachers of homoeopathy have been in the habit of
saying that when changing the potency it is necessary to give
a higher one as a low one does not act after a high potency. It
is to deny this statement that I have written this paper. Hah¬
nemann taught that when the remedy had been correctly
chosen and it was necessary to repeat it was best to give a
lower potency. We can make no greater mistake than that of
departing from the advice of Hahnemann. He told us to give
lower potencies in repeating the dose. Then why should it
be denied that a low potency acts when administered after a
high one and we be told to give higher and higher in repeating?
Certainly experience did not show this to be true for anybody
who desires can prove for himself that a low potency will act
after the high potency. Another point, the high potency is
often an antidote to the low potency and the crude drug. Cer¬
tainly if this is the case we would not gain anything by giving
an antidote to the first dose when it was advisable to get more
action from the remedy. To conclude, if we consider from
the course of the disease that we need greater action from the
medicine than we have already obtained, then, in repeating, a
lower potency should be given; but on the other hand, if from
the symptoms, we conclude that the potency has over acted,
then a higher potency should be given but in a single dose and
not a repetition of doses.

GONORRHOEA CASES.

J. POSTER, M. D., LONDON, ENG.

W. E., aged 43. Consulted me on December 17, 1892. He
had had chancres some twenty years ago, followed by slight
secondary symptoms which soon ceased. Since then he had
contracted gonorrhoea several times and the last attack, dating
some twelve months past, had been suppressed by a variety of

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drugs, such as oil of santal, Condy’s fluid and the so-called never-
failing solid permanganate. The suppression, however, had been
but to a limited extent, for his present condition was that he
had for about six weeks been in possession of a somewhat unique
fistulous opening at the left side of the meatus extending into
the fossa navicularis. From this opening a serous looking
discharge escaped, which was much increased on each occasion
of coitus, and at the side of the opening there was a sinus, not
penetrating to the fossa.

There was a sensation of weight at the anterior margin of
the liver and a feeling of soreness which was described to be as
if it rubbed against the ribs.

No hemorrhoids, but occasionally a feeling of great weight
at the anus, which came on at night and was relieved by
walking about.

Tongue coated brown and nausea at long intervals.

Aching across loins always present.

Nervous system considerably below par.

- - Had had congestion of the lungs a few years ago.

As the condition of the liver and bowel appeared to proceed
from allopathic drugs I prescribed Nux V. cc . one dose and
Sacch. lact. to follow:

Dec. 22.—Much relief of pain. No pressure at the bowel.
Pain at loins slightly relieved. Discharge from both sores and
from urethra. Merc. S cc . one dose.

From this date till early in the following January there was
intense burning on urinating, felt at the inner opening of the
fistula and very much aggravated by each act of coitus. Erec¬
tions came on soon after getting warm in bed and then pain in
the uretha steadily increased till it became almost insupport¬
able.

The symptoms pointing so markedly to Ferrum and its ac¬
tion on the fossa navicularis, I found on inquiring that the
fistula had followed the administration of Iron in jection into the
urethra and I therefore gave Ferrum 50 at four hours for two
days, then three times a day, then twice a day, and finally in
the morning. During this the pain wholly ceased.

On Jan. 20 the patient had a chill, increasing the pain in
the loins and the discharge. Sul. cc . one dose relieved this,
the action lasting for a week.

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Jan. 27. The dose repeated on slight return of symptoms.

Feb. 7. Frequent desire to urinate but much general im¬
provement.

From this time till May he had chills, which were benefited
by Nux V. and by the end of May the discharge ceased and
the fistula and sinus were healed, so that he was well except¬
ing the pain in the loins, which evidently was unconnected with
it and there was no evidence of renal mischief.

In the middle of December, 1893, he contracted a sharp
chill with bronchial catarrh. The remedy which met this con¬
dition was Phos. cc . and under its action the lumbar pain dis¬
appeared early in the following month.

The patient was a person of sufficient means to obtain the
most costly advice the old system yielded, and there was con¬
siderable interest in the case, for the medicinally induced
“surgical” condition had been pronounced “a very interesting
case, ” for which it had been proposed to operate. The lumbar
pain had also become to the friends a kind o'f accepted fact as
evidence of kidney disease and its disappearance under the ap¬
propriate remedy was important in ascertaining where the real
therapeutic connection lay. So jfcfct there was a completenesss
of interest in the case which was in no wise so barren as the
interest attaching to the pathological pronouncement of the
allopaths.

B. D., aged 50, had in August, 1893, contracted gonorrhoea.
There was no history about gonorrhoea since about twenty
years, nor had there been any syphilis. This gentleman pos¬
sessed an accuracy of detail which left little to be desired on
that score, for he carried about him a list, amounting by that
time to be about a hundred and eighty, of the members of the
fair sex, together with their names and addresses, with whom
he had been intimate, so that he had not only vast available re¬
sources for his pleasures but he was readily able to trace his
immediate trouble to two fair charmers and finally to ascertain
which was the donor. His great immunity from disease at
other times he ascribed to careful selection and immediate
ablution, but probably it might more correctly be traced to his
fine physique and temperate habits.

The discharge was green and there were early morning erec¬
tions and but slight irritation of the urethra. For the pria-

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pism be found a very satisfactory relief in coitus, but Merc-
urins®®; one dose, also helped to reduce this condition, but
had very slight influence on the discharge. A subsequent
dose of Sulph. cc . fared but little better. In the absence of
further symptoms I then decided to prescribe on his bilious,
irascible habit; which was not unfrequently manifest, with a
single dose of Bry 6 ®. The discharge ceased in two days and a
slight recurrence of clear fluid at a week’s end from chill was
wholly removed by another dose of Bry.

ILLUSTKATING 4 ‘ANTIDOTAL” TREATMENT.

A. W. HOLCOMBE, M. D., KOKOMO, IND.

Miss Ella T., aged 20, brunette—small—sallow complexion.

Has been poorly for five or six years—general poor health—
When a baby had summer complaint—later had phthisic—then
had erysipelas—and has had whooping-cough, measles, mumps,
scarletina, boils, carbuncles, pimples, ingrown toe nails,
ague, hang nails, chapped hands and sore throat. Has very
bad headaches, chronic. History of consumption on father’s
side. Appetite good, craves sweets and salty things—spits up
food—bloats after eating—bowels constipated—urine too pro¬
fuse and reddish—has chronic nasal catarrh and cough—dry
and hacking—catarrh <in hot weather. Menses regular, head¬
ache < before menses and very nervous, back and hips ache.
During menses—sharp tearing bearing down pains—flow pro¬
fuse—dark and clotted—flow<while on feet, lasts five to six
days—offensive. Sleeps best in after part of night, not sleepy
in early part. Hands and feet always cold and sweat easily.
Began to have back ache five years ago and has been in poor
health ever since. Had grippe four times, took immense quan¬
tities of quinine. Has been loosing flesh steadily and her
parents are much concerned about her. I learned that when
she had erysipelas, which was several times it was freely painted
with Iodine.

Oct. 7.—Gave her two powders of Chin. Sul. cm . to be taken
twenty-four hours apart. Four weeks later I sent her a pow¬
der of Iodium cm —as I could not see her nor get a direct re¬
port from her. Two weeks later, or six weeks from the first
prescription she wrote that she was improving rapidly and had

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gained six pounds in weight, from 113 to 119 pounds and that
she could scarcely wear the clothes she had been wearing. Of
course she is not cured , but the results following the prescrip¬
tions made with view of ridding the system of the drug diseases,
were surprising and strongly point toward a law of antidote.

NERVE IRRITATION OF A STUMP CURED BY THE
INTERNAL REMEDY.

P. H. LOCKWOOD, CHICAGO.

Prof. Minor Surgery, Hering Medical College, Chicago.

Jan. 1, ’94. R. H. called at my office with the following
history. Eighteen months ago right leg crushed by the rolling
of a piece of iron trestle. Carried to a hospital where laid
from 10 a. m. until 6 p. in. On the arrival of the surgeon he
said that amputation was unnecessary for he could not live,
being so weak from the great loss of blood. On the patient’s
begging to be relieved, he finally amputated without anaes¬
thetic.

After nine weeks he was dismissed from the hospital without
the wound being healed entirely, and considerable nerve irrita¬
tion. Three months after underwent another operation as
necrosis of the bone had set in, the surgeon assuring him the
nerve irritation would be entirely relieved. The second opera¬
tion was successful, as far as the necrosis was concerned, but
the nerve irritation aggravated, for which he was given iodine
to paint over the surface, without the slightest benefit after
some months of patient trial. The stump would swell during
the day whether he wore his artificial leg or remained perfectly
quiet, and being unable to work, he became thoroughly des¬
pondent, and wished that he had ended this life in the hospital
as had been predicted. His physician advised dissecting out
the scar*to release the nerve. Before consenting he consulted
me, being advised to by friends. I gave him a single dose of
Arnica 1Cm with a gradual improvement in the electric shock,
as he called it, and this swelling. Three weeks after he ac¬
cepted a position where he is obliged to be on his feet most of
the time, without the slightest inconvenience up to the time of
this writing. The patient asked me, if I was killing the nerve,
and if so, if his life would not be more of a burden than before

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as its function would be destroyed. I assured him I was not.
Will some one kindly inform me how the remedy relieved, and
if it will be permanent, for the nerve must still be in the scar if
it was there in the first place.

Mrs. F. L., aged 22 years. Black hair and eyes, hysterical.
A premature birth one and one-half years ago. Two months
three weeks pregnant. Began flowing ten days before I was
called, but with rest in bed for a few days flow ceased. Yes¬
terday began again, flow dark and clotted. Bearing down
pains, passing around from back to vulva. Weeping, nervous
and excited. Face flushed, palpitation.

Sept. 1, ’93. Called at la. m., found the above condition
only intensified. The pains were terrific, patient rolling and
tossing about the bed, flow increased and lighter color. The
os soft between pains, but as soon as they would appear a spas¬
modic contraction. I gave her one dose of Bell lm dry on the
tongue. In less than five minutes she began to get easier and
soon dropped into a peaceful sleep, only to arouse in about
fifteen minutes to say “doctor what was that you gave me? If
it was morphine don't give me any more for I can't take it. ”
I assured her it was not, and that I never prescribed the drug.
She was satisfied and was soon asleep again. One hour after
the Bell. I noticed a slight screwing up of the face as if in pain,
which was only momentary, and on proceeding to make another
examination before leaving, as she was doing so well, behold
there was the ovum in the bed. It having passed, probably,
when she showed the signs of pain, without her even arousing,
and she slept through until the next morning awakening to find
that it was all over with, much to her astonishment and joy.
This case is probably no more remarkable than other Homa?o-
pathists have had repeatedly, but the satisfaction it has given
me, is the fact, that it brought another family into the fields
of Homoeopathy, as I have since treated other members of
the family. In my after attendance upon the case I discovered
the cause of the miscarriage to be syphilis, for which I am now
treating her, and the husband, with the hopes that she will
give birth to a healthy child which his old physician has said
never could be possible.

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HOMOEOPATHIC PRACTICE.

8. HILLS FOWLBB, M. D.,

Prof. Pbys. DUg. and Clin. Med. and Clin ; Prof. Diaeatea of Lungs and Heart,
Hering Medical College and Hospital, Chicago.

Section three of the Organon, Wesselhoeft’s translation, in
part reads as follows: “The physician should distinctly
understand the following conditions: What is curable in dis¬
ease in general, and in each individual case in particular; that
is the recognition of disease. He should clearly comprehend
what is curative in drugs in general, and in each drug in par¬
ticular; that is, he should possess a perfect knowledge of medi¬
cinal powers.”

This quotation contains two distinct propositions, viz.:
What is curative in disease, and what is curative in drugs.
Now, judging from the relative position of these two statements
in the quotation, that relating to the understanding of dis¬
eases, being placed first, is of the greater importance. There¬
fore it seems to me that in order to round-out our Homoeo¬
pathic System of Medical Practice, and to make perfect the
application of our Materia Medica, each should receive a just
share of our consideration and study. That is, we must
understand what is curable in disease if we would successfully
apply that which is curative in drugs.

I believe that it is safe to say that a majority of physicians
claiming to practice Homoeopathy, as well as many of those
who are recognized as Hahnemannians, do not comprehend the
meaning, the full, deeper significance of that portion the sec¬
tion quoted: I mean what Hahnemann intended to teach.
Hoping to throw a little more light on the subject I have
selected it for this evening’s paper.

History, as well as tradition, informs us that Hahnemann
was a most thorough and expert diagnostician. Those who
saw and heard him were greatly impressed by the statements
made by a gentleman who visited the Hering Medical College
during the winter of 1892-93, who, in his early life, had been
cured by Hahnemann of a serious ailment that had baffled the
skill of the best physicians in Great Britain, to the effect that
no other physician had ever been so thorough and careful in
the examination of his case. That he (Hahnemann) went
over his body till it seemed that there was not an inch but

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what had been ‘ ‘punched and pounded. ” That he (the patient)
really felt bruised and sore for some time after. If the
Master was thus thorough what sort of a lesson should we draw
from his example? Surely we must not be remiss in our study
and .understanding of diseases.

This is not an argument in favor of Old-School methods by
any means, nor a study of diseases from their standpoint. A
knowledge of bacteriology, micoscropy, chemistry, etc., is
well enough so far as it goes, but should not be pursued to
the exclusion of the mote important things. What I under¬
stand, and would suggest, is the more thorough study and
knowledge of the methods of Physical, Clinical and Historical
Diagnosis. Pathology is well, but with it we must possess a
knowledge of vital processes, physical peculiarities, dyscrasias,
Idiosyncrasies, etc., and such an understanding of them as
that given a set of symptoms, a condition, a history of past
sicknesses, with predisposing influences, such as family his¬
tory, hereditary tendencies, etc., we may understand what is
curable, and what is not.

In my special studies of the lesions of the heart, lungs and
arteries, of late years, I have been particularly impressed with
the importance of a thorough knowledge of the diseases of
these nobler organs of vital life. And with this comes another
and even more forceful conviction of the importance of these
nobler organs of vital life. And with this comes another and
even more forceful conviction of the importance of these fore¬
going statements.

For instance, take a case of lung affection ; a patient comes
to you with a history of tubercle in his family, several mem¬
bers of which have died of consumption. This one shows
many of the physical signs of tuberculosis, such, for instance,
as a narrow thorax, slender frame, stooping shoulders, dispo¬
sition to take cold easily, bronchial irritability provoking cough
from the least exposure, shortness of breath, easily fatigued,
a chest expansion of one and one-fourth to one and three-
fourths inches. This case is unquestionably tuberculous.
Here, of all things, it is necessary that we understand what is
curable in disease and apply the curative drug, or before that
person is thirty years of age there will be a fully developed
and helpless case of tuberculosis.

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Take another case. In this there is no history of tubercle
in the family. Yet, for years this patient has had a chronic
cough, occasional hemorrhages, copious expectoration of a
muco-purulent character, shortness of breath, easily fatigued,
only one and a half to two inches chest expansion. These are
symptoms of consumption, and doubtless have been diagnosed
as such repeatedly by reputable medical men. We apply our
Methods of Physical Diagnosis; there are areas of dullness,
even flatness on percussion ; also areas of hyper-resonance; aus¬
cultation reveals the presence of rales, moist, even to the
gurgling rales of advanced tuberculosis; absence of true vesi¬
cular murmur, but tubular breathing; at times hectic is pres¬
ent. On inquiry we learn that the present sickness dates from
a pneumonia sustained years ago. This clears up the case,
and we now recognize it as a case of chronic interstitial
fibrosis, and, although in the ulcerative stage, it will need to
be differentiated from the former case, and the treatment also
must be differentiated.

Another case. In this there is neither history of tuberculo¬
sis or pneumonia, but in every other respect, save that of being
rather more chronic, resembles the case last before mentioned,
or chronic interstitial fibrosis. The symptoms are cough,
copious expectoration, weakness, shortness of breath, probably
a narrow ill-formed chest, small expansion, one and three-
fourths to two and one-fourth inches, a history of hemorrhages,
but more copious than the former case. Now, what lesson
have we in this case ? We apply our methods of physical
diagnosis, and find, as in the former cases, all of the physical
signs of consumption. But we find something more. Stethos-
copic auscultation reveals the secret of an otherwise anomalous
case. We find an endocardial murmur associated with all of
the rales of an advanced lung lesion. With care we locate the
murmur; in a large majority of cases it will be found to be
systolic in time and prove to be a mitral regurgitant. The
increased area of precordial dullness shows cardiac hyper¬
trophy, and there is probably dilatation. If there be also
aortic incompetency, (which is the second most frequent car¬
diac lesion), the left side of the heart will be particularly en¬
larged, and the area of precordial dullness correspondingly
increased. What, then, is this lesion? Answer: It was,

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and is, primarily, an endocarditis with valvular incom¬
petency; and, secondarily, a lung affection, which ^was at
first purely functional, but now, or soon will be organic, ,as a
result of hypostatic congestion, and that a result of the sur¬
charging of the lesser circulation, which came from* the reflux
of blood through the incompetent mitral valve. Now it is
going on to ulceration; the weakened capillaries have given
way, ulcerative inflammation is established, and* ‘pathological
conditions are present.

We have, however, many cases in which there are associated
both heart and lung affections, but in which the lung'disease is
the primary affection. This is often a question of importance,
and may be of vital consequence. If, upon careful investiga¬
tion, we find that the right side of the heart is, the seat of the
lesion, and that there is tricuspid incompetency, instead of
mitral, then it is more than probable that the lung lesion is
the primary affection. Under such circumstances there will
be found to be present in the lungs, in a great majority of
instances, either a chronic interstitial fibrosis or pulmonary
emphysema. In my experience and study of diseases of the
thorax I have found it to be so commonly the case that I am
willing to assume the responsibility of announcing the follow¬
ing rule, viz.:

When, in a given case, there are found to be associated both
lung and heart affections, and upon a careful exploration of
the chest we find that the endocardial lesion involves the left
side of the heart only, then the heart affection is primary and
the lung is secondary. But if, on the other hand, it is found
that the heart affection is on the right side, then the lung lesion
is the primary affection.

We may and do meet with cases of heart disease, with endo¬
cardial murmurs, without associated disease of the lungs. An
example of this is true hypertrophy, as it is often met with in
athletes. It is called Athleres Heart on account of the affec¬
tion being far more common in that class of people. But in
these cases the time comes when broken compensation obtains,
and ultimately there will result a more or less serious train of
lung symptoms. They will be obscure at first, but after a
time a condition such as we have described will present itself,
and that, too, in a man who all of his life has been exception-

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ally strong and well with, as before stated, no history of, or
predisposition to tuberculosis, or other chronic ailment.

It has been truly said that a man is no older than his arter¬
ies. A man at 20 years may have ruined arteries, and thus be
as old as another man of forty. There may be in another
person some constitutional dyscrasia or taint, which shows it¬
self in a weak arterial system, which shows that in the make-up
of the individual, (to put it in a homely way), poor material
was used for tubing. But more often by far it comes from
the abuse of good arteries, by over exertion, or too free use of
stimulants, quite frequently from these two influences combined.

A common sequel of this constitutionally weakened arteries,
or this abuse of the good arteries, is Arterio-Sderosis. The
final stage of arterio-sclerosis is atheroma, which is character¬
ized by a deposit of lime-salts iu the coats of the arteries,
sometimes to such an extent that the media and adventitia are
converted into hard inelastic tubes from calcareous degen¬
eration.

It is not a difficult matter to understand what might be
the influence of the presence of such foreign substances in the
arteries of the lesser circulation. There would be hyper-sensi¬
tiveness and irritability of the lung tissue and make them
susceptible to the operation of all irritating influences, particu¬
larly on account of their constant involuntary movements in
the performance of their normal functions.

It is a well-known fact that certain of our remedies, notably
the deeper acting anti-psorics, are great enemies to the pres¬
ence of foreign substances in the body, and which, if given
under such circumstances, are prone to set up around such
substances a process of suppurative inflammation tending to
dislodge and expel them from the system.

In tuberculosis, as delineated in the first hypothetical case
stated and in the last, with calcareous degeneration of the
arteries, the tubercular deposit in one and the deposit of lime-
salts in the other are present as foreign substances, and will
remain indefinitely in a condition of < ‘innocuous desuetude” so
long as undisturbed by medicinal or other influences, but when
disturbed will set up action which almost invariably leads to a
fatal issue.

Always give the indicated remedy is the rule. Many phy-

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sicians claim that it is a rule to always follow, and upon symp¬
tomatic indications purely, regardless of the pathological con¬
ditions. Other physicians there are who enjoy the confidence
of the profession to a high degree, on the other hand, affirm
that it is a dangerous rule to follow at all times. I believe
that Hahnemann knew and appreciated this danger when he
wrote the third section of the Organon, a portion of which we
-quoted at the beginning of this paper. I believe with the lat¬
ter class of physicians, and as Hahnemann doubtless did, that
the presence of foreign substances in the tissues, such as we
find in tuberculosis, atheroma of the arteries, etc., are contra¬
indications for the administration of the deeper acting anti-
psorics. With this interpretation of section three of the Orga¬
non, (or a portion of it), its words appeal to me in a new and
stronger sense than ever before. First, the necessity that we
understand what is curable in disease. Second, that we com¬
prehend what is curative in drugs. And Third, and above all,
that we possess a perfect knowledge of medicinal powers. This
latter it seems to me, to a large extent includes the others.

CASES ILLUSTRATING ANTIDOTAL TREATMENT.

A. W. HOLCOMBE, M. D., KOKOMO, IND.

Dr. Sawyer’s article, ‘ * Treatment of Drug or Artificial Dis¬
eases, ” in the March number of The Advance is a strong one.
To many of the profession it will be an “eye-opener.” The
doctor takes the true Hahnemannian stand when he says: “Put
it to the test and publish the failures. ” If the theory is false
there is no other way of proving it so. It is to be hoped that
the paper will receive the attention it merits, and that a thor¬
ough discussion of it may ensue. The subject is a most im¬
portant one, as drug diseases were the only ones that Hahne¬
mann considered incurable. Some say that the exhibition of a
very high potency to cure or antidote the effects of the crude
drug is empiricism , or a form of Isopathy. In a private letter
to the editor^ not long since, I made the statement that I
thought there was no such a thing as Isopathy when using the
high potencies. Hahnemann says that Prosin is changed by
potentization, and so must the other nasodes be also. We
know that the nasodes cure, and they must cure according to
the law of homoeopathy, for Hahnemann says there is no

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other. The same way with the high potencies curing or anti¬
doting the effects of the crude article; if they remove the
symptoms it must be by the law of similars, for everything is
according to law , and as there is but one law of cure it certain¬
ly comes under it. Some object to this theory as they say it
would make the treatment of chronic diseases too simple. All
you have to do is to give a high potency of whatever drugs the
patient has already taken, when, presto change, the patient is
cured. Well, if that is true , what possible objection could be
offered? Is it not the cure of our patients we all desire? But
no one claims any such miraculous results, for it must be
remembered that after all the drug diseases have been cured
there may remain any one or all of the three chronic miasms.
No one remedy is the similimum for two or three drug diseases
and one or more miasms. I have been ‘ ‘ testing ” this theory
for the last year and am fully persuaded from results obtained
that it is orthodox Homoeopathy.

I submit two cases in demonstration, and these are not the
only two in which the results were so satisfactory:

Case I. Frank S-, printer, very dark complected, came

to me February 10th suffering with excruciating pain in right
eye ball, conjunctiva slightly inflamed, and the integument
surrounding the orbit was very sensitive and sore; eye had
pained him at intervals for last two days. He was excessively
nervous and impatient. I learned that about a week before
he had taken a cold and had taken several enormous doses of
quinine, and as his cold improved the pains in the eye appeared.
At 7 p. m. I gave him a powder of Chin. Sul cm ., with placebo
through night. I met him at breakfast next morning, and his
greeting was: “My eye is 0. K. this morning, Doctor; don’t
hurt a bit.”

Case II. Kenneth N-, aet. 4 years. Was called to see

tl*is little patient, who was taken suddenly with vomiting and
retching; gave Ip lm , which controlled the vomiting. The next
day he was feverish and somewhat restless, feet were hot, lips
red, sweat at night; he was of scrofulous parents, and I gave
him Sul lm . He improved rapidly and was up and about.
Nearly a week after I was called to see him again and found
him restless , feverish, skin hot and dry, face red, tongue
coated thick white except on tip, which was red and moist.
He was very nervous, cross and peevish, and the scalp so sensi¬
tive could not lay it on pillow without complaining. His
mother said that he had never been entirely free from the
fever since his first attack, and that he was usually chilly in
the forenoon. I learned upon inquiry that during the winter she
had smeared him several times with “goose-grease and quinine”
for colds. I gave him Chin. Sul 45111 , at 9 p. m. He slept well
all night and had no fever next morning nor none since.

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Repertory of Symptoms , Etc.

(Continued from April Number.)

Sensation as if Hung—stomach hung down heavily— Merc .

< < Heart—heart beat in the stomach—Jacae.

‘ ‘ Heat—gentle heat passed from stomach to and

through arms to fingers, then hand appears
as if dead—Con.

11 Heaved—stomach heaved up and down—Coco.

“ Hollow—stomach were hollow—Calad.

“ Instrument—some sharp instrument had made

wound in stomach—Tab.

“ Inflated—pit of stomach were inflated—D ulc.

“ Ice—lump of ice lodged in stomach—Bov.

“ Jerked—stomach jerked up—K ali. Bi.

‘ ‘ Knife—knife were running into her stomach—

Sil.

11 Knife—knife stabbed in pit of stomach—Nic.

“ Knife—knife stabbing in stomach—P hos.

“ Knife—epigastrium were pierced with knife—

Colch.

“ Laced—lower part of stomach were tightly

laced—I qt.

“ Lead—lead were in stomach—after eating a

little—H epab.

“ * Lime—lime burned in stomach with rising of

air—C aust.

“ Living—something living jumping about in pit

of stomach—C hoc. , Manein.

“ Liquid—liquid moving from stomach into in¬

testines—Millef.

“ Lodged—food lodged over orifice of stomach

—Iqt.

“ Lodged—something remained lodged in stom¬

ach that would not pass off— Sep.

“ Load—load of stone in stomach—C alc. C.

“ Load—heavy load in stomach—G els.

“ Lead—lead were in stomach—S il.

11 Lump—lump in stomach — Lob., Medorr.,

Sanic.

<< Lump—burning lump in stomach—L ob.

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Sensation as if Lump — food formed itself into irregular
lumps—Nux M.

“ Marble—marble pressing from epigastrium to

heart—K alm.

<< Meat—as if he had eaten tough meat or hard

nuts—China., Ars.

u Open—stomach were standing open— Spon.

“ Passing—contents of epigastrium were passing

into chest— Cham.

1 ‘ Peppermint—he had eaten peppermint lozenges

—Camph.

“ Pieces—hard pieces were lying in stomach—

Mancin.

* ‘ Pins—paper of pins in stomach piercing flesh—

Medorr.

“ Pins—pins were sticking in stomach—I qt.

“ Pressing—food pressing upon and hurting

stomach—C hina.

11 Pressing — something pressing heavily on

stomach—P hos.

‘ < Pressing—dull instrument pressing in stomach

—Nitr. sp. dulc.

4 * Pressing—some one pressing forcibly with fist

against the stomach— Rhod.

“ Pressure—pressure from plug in stomach—

Millef.

“ Pressure — pressure came from stomach and

compressed the heart—NAT. MUR.

“ Pulled—loose flesh at pit of stomach pulled up

on coughing— Staph.

“ Pushed—victuals were pushed to left side of

stomach—^Bry.

“ Quivering — a nerve were quivering in the

stomach and oesophagus—F eb. Met.

‘ ‘ Removed — stomach had been removed —
PHOS.

“ Reversed—peristaltic motion were reversed—

Asaf.

“ Rolled—region of stomach rolled up into a ball

—Bry.

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321

if Scalded—stomach were scalded— Rob.

Scraped—stomach were being scraped— Sep.

Screwing—screwing together in epigastrium—
Zinc. \

Shook—stomach shook when walking—had to
be held up— Merc.

Shortened—stomach were shortened—Igt.

Shocks—shocks from battery from stomach
into epigastric region—I bis. V.

Something—something were in pit of stomach
which excites cough—Bell.

Something—something ascended toward stom¬
ach—Cocc. C.

Something—something in stomach that ought
to come up—Eup. Perf.

Something—something moved up and down in
stomach and bowels—L to.

Something—something would be pressed off
below stomach—K alm.

Something—something boring in stomach— :
Nat. sulph.

Something—something forcing passage through
pit of stomach—Valer.

Something—something alive rising from stom¬
ach to throat— Verat. Alb.

Steam—steam rising from stomach into head
—Lyc.

Stone — stone pressing into scorbiculum—
CHAM.

Stone—stone on stomach—Cedr.

Stone—pressure from stone in stomach—All.
Sat.

Stone—stone were in stomach—B ry., Cup.
Met., Dios., Iot., Paris., NuxV., Opium ,
Sep., Squill., Rhus. T. y Zing.

Stone—stone rolling from side to side in
stomach—G rat.

Stone—stone pressing at pit of stomach—
Ptel., Rob.

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Sensation as if Stone—as if he had swallowed a lot of broken
stones—Osm.

44 Stone-cold stone were in stomach—Sil.

“ Something alive jerking in stomach—Sang.

“ Strapped—stomach were strapped together—

Tell.

44 Stream—hot, wavelike stream moving through

abdomen, chest and throat—Lyss.

Sink—stomach would sink into abdomen—
Dig.

44 Substance—hard substance in pit of stomach

Rumex.

“ Substance—some hard substance in the stom¬

ach—Sang.

‘ 4 Swollen—pit of stomach were swollen— Bry .

44 Tearing—something tearing off in stomach—

Petr.

44 Tied—stomach tied together—Carb. Sul.

44 Torn—stomach were torn with pinchers—

Sulph.

4 4 Torn — stomach were being torn out when

yawning—ARS.

44 Twisted—something were twisted about in the

stomach—Nux V.

44 Turning—viscera were turning inside out—

Sep.

44 Undigested—food remained a long time undi¬

gested in the stomach—Mez.

44 Vapor—hot vapor rising from stomach—M erc.

44 Water—stomach hanging down and swimming

in water—A brot.

44 Water—stomach full of cold water—Grat.

44 Water—cold water or ice in epigastrium—

Kreos.

44 Water—stomach full of water constantly—

KALI. C.

44 Water—stomach were full of water—01. An.

44 Water—had drunk a great deal of luke warm

water—Spong.

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323

Sensation as if Weight—heavy weight lying on stomach—
Staph.

11 Weight—weight attached to stomach—Dig.

“ Weight—every thing in epigastrium were

weighted down— Plumb .

“ Wind—stomach were full of wind—Carbo.

Veg.

‘ ‘ Wind—stomach would burst with wind—ARG.

“ Worm—worm rising from stomach—Aaler.

u Worms—worms gnawing in the stomach—

Amm. Mur.

u Worms—numberless worms crawling in epi¬

gastrium—C ina.

“ Worms—worms were moving in stomach—

Coco.

< < Wriggling—an animal wriggling in epigastrium

Chel.

“ Yeast—stomach full of yeast—Sticta.

ABDOMEN AND H YPOGASTRIUM.

‘ * Air—hot air blowing over lower part of abdo¬

men—Throm.

‘ ‘ Air—air bubbles were pressed forcibly through

intestines and passed upward—Pal.

“ Animal—an animal snapping and tearing por¬

tions of insides of intestines—Palad.

“ Asunder—symphysis pubis suddenly forced

asunder—Tereb.

‘ ‘ Ball—parts inside of abdomen were rolled up

into a ball—Cham.

<< Ball—bowels drawn up into a ball and abdo¬

men empty—C ham.

“ Ball—ball rolling from right side of abdomen

toward stomach—L aoh.

“ Ball—ball rolling around in abdomen or blad¬

der when turning over—LACH.

“ Ball—hard twisted ball lying in umbilical

region—K bkos.

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Sensation as if Ball—ball rising from pit of stomach to larynx
—Kali. Ars.

“ Ball—balls rolling together in abdomen—

Colic., Jatro.

“ Bag—bag not quite filled with fluid lay in

bowels— Plumb .

“ Band—band drawn from crest of dne ilium to

other—Jamb.

“ Band—tightly tied with band around bowels—

Abo. N.

“ Bandage—cold bandage over lower part of

abdomen—Lac. Fel.

“ Bandage—tight bandage in uterine region—

Hyper.

“ Bitten—bitten by something on lower part of

abdomen; itching—Carbol. Ac.

“ Blood—blood in abdomen flowing backward—

Elaps.

“ Boiler—boiler working in the abdomen—NIT.

AC.

“ Boiling—abdomen were boiling—Lachn.

“ Body—hard body lying in left groin—C abbo.

An.

11 Boring—something boring in ovarian tumor—

. Zinc.

“ Bubbles—bubbles forming and bursting in

abdomen—Tar ax.

“ Burned—something burned him internally in

abdomen—Cact. Gr.

“ Burst—abdomen would burst from load—Am.

Mur.

“ Burst—intestines would burst out through

abdomen—Squil.

“ Chisel—chisel were thrust deep into upper

abdomen, thence passing in a curve back¬
ward, and downward into pelvis, then cut¬
ting its way upward again—C oloc.

“ Child—child were bounding in her body—

Therid.

‘ 1 Coals—red hot coals deep in pelvis—K reos.

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325

Sensation as if Coals—hot coals in abdomen—V erat. Alb.

“ Coals—hot coal at the umbilicus—Merc. I. fl.

“ Coldness—coldness rising from abdomen to

throat—C arbol. Ac.

“ Constricted—everything in abdomen were con¬

stricted—Moschus.

“ Constricted — intestines were constricted —

Plumb.

“ Cord—cord constricted hypogastrium—Chel.

“ Cord—cord connected anus and navel, with

pain on straightening—Fer. I.

“ Cord—cord tightly drawn across lower part of

loins— Am.

“ Creeping—abdomen full of creeping things—

Stann.

“ Crosswise—foetus were lying crosswise—A rn.

* 4 Cough—cough came from abdomen—C on.

4 Cut—intestines were being cut—Coff., Coloo.

* ‘ Cut—bowels would be cut to pieces—Ant. T.,

Op.

“ Cut—Abdomen would be cut to pieces—Jalap.

“ Cut—bowels were cut in pieces—M erc.

“ Digging—some one were digging fingers into

intestines—Bry.

“ Distended—abdomen distended to extremest

degree—Stram.

“ Drawn—colon were forcibly drawn up and

backward to spine—Dios.

“ Drawn—bowels were drawn together—M ano.

“ Drawn — intestines were being drawn toward
spine—Tereb.

“ Drawn—abdomen were drawn in—Verat. Ver.

11 Drawn — abdominal muscles were all being

drawn over the region of the uterus—Amyl.
Nit.

“ Drawn—abdomen drawnjto spine by a string—

Plumb.

‘ * Drop—viscera of abdomen would drop on walk¬

ing—Fer. M.

“ Drop—intestines would drop—Cann. Sat.

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326

The Medical Advance .

Sensation as if Drawn—navel were drawn in—Nux V.

“ Electric — electrical shocks darted through

abdomen to anas—C oloc.

“ Eating—something eating in bowels—K ali.

Bi.

“ Empty—whole abdomen were empty—Cham.,

Dulc.

“ Expanded—abdomen were expanded—Calc.

Are.

“ Expanded—throat and abdomen expanded—

Hyper.

< ‘ Exposed—abdomen were exposed—Tereb.

‘ < Fall—every thing in abdomen would fall out—

Alum.

“ Fall—every thing in abdomen would fall down

—Nux Y.

“ Fall—bladder would fall to side on which one

lay—P uls.

“ Falling—bones of pelvis were falling apart—

Trill.

“ Falling—bowels were falling out during stool

—Kali. Be.

‘ ‘ Fell—intestines fell from one side to the other

when turning in bed—B ar. C.

“ Fell—a hard body fell from navel to right side

when turning to that side—L yc.

Fell—bladder fell from side *to side and were
enlarged—S ep.

(< Fish—fish turning over each other in abdomen

Pod .

( ‘ Flatus—flatus passed down left side of abdo¬

men to rectum but seemed to turn and go
upward to bladder or womb—Pulex Ir.

“ Fell—bowels fell to side on which one were

lying—M erc.

t i Fire—fire were in intestines—M anoin.

“ Fire—stream of fire passed through abdomen

with stool—Asci. tub.

“ Fluid—fluid running from bottle in abdomen—

Gavb.

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Repertory of Symptoms , Etc.

327

Sensation as if Fluid—some fluid in lower part of right lung
wanted to discharge itself into region of
duodenum—Chenop. Vul.

‘ 4 Fluid—fluid dropping in left groin—Zing.

4 Fluid—fluid rolled from one side to the other

in abdomen—P lumb.

4 4 Fluid—fluid pouring into abdomen—Rhod.

44 Fluid—whole intestinal contents were in a

fluid state and in violent commotion— Polyg.

44 Foetus—foetus moving in uterus— Tarent.

4 4 Foetus—foetus turning somersaults in womb—

Lyc.

44 Forced—everything would be forced out of

pelvis—Xanth.

4 4 Frogs—frogs croaking and rumbling in bowels

Coloc.

44 Frogs—frogs croaking in abdomen—G raph.

' — Sabad .

4 4 Full—bladder were full and contents of abdo¬

men would fall out over pubes—Sep.

44 Grasping—hand grasping intestines and each

finger sharply pressing in—IP.

4 4 Hanging—intestines were hanging down—

Psor.

44 Hanging—entrails hanging loose and flabby—

Ictedes.

44 Hanging—stomach and intestines hanging

down relaxed—IGT.

44 Hanging—abdomen were hanging heavily—

Carbe. v.

44 Hung—bowels were hung on easily tearing

threads—Coloc.

44 Ice—skin on right side of pelvis were touched

with ice—Arg.

44 Instrument—an instrument going through

right groin into abdomen— Sul. ac.

4 4 Knife—knife in right abdomen on walking—

Rhus. t.

44 Knife—knifelike stitching in right side of

abdomen—Verb.

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328

The Medical Advance .

Sensation as if Knife—knife sticking between umbilcus and
right groin—Ind. met.

44 Knife—knife thrust through the abdomen—

Lach.

4 4 Knife—knife thrust from umbilical region to

back—C up. met.

44 Knives—knives cutting in intestines— Chel.

4 4 Knives cutting in abdomen—K ali Bi. , Sabad.,

Vebat. alb.

“ Knives—knives stabbing in the abdomen—

Merc.

44 Knots—small intestines being tied in knots

—Polyp.

4 4 Knots—intestines were strung in knots—

Sulph.

4 4 Liquid—liquid moving from stomach into intes¬

tines—Millef.

44 Living—something living in the abdomen—

Cann. S., Sabin, Spong ., Thuj.

4 Live—a thousand live things moving about in

the abdomen—Pod.

< < Loose—abdominal viscera loose and dragging

when walking—N at. Mur.

44 Loose—bones of pelvis were getting loose—

Murex.

44 Loose—bowels loose and shaking about on

walking—Mang.

“ Lump—lump turning and twisting in whole

abdomen—Sabad.

44 Lump—heavy lump pressed in abdomen—

Rhus. T.

4 4 Lump—lump in lower abdomen —Nux M .

4 4 Lump—lump rolling over and over on cough¬

ing, rising from the right abdomen to throat
and back again—K ali C.

4 4 Lump—lump size of hen egg rising and falling

in right iliac and lumbar region—H ydr.

44 Lump—heavy lump falling from just above

umbilicus to small of back—L aur.

4 4 Motion—bowels were all in motion—Com. Cir.

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Repertory of Symptoms, Etc .

329

Sensation as if Needles—being stuck with needles in abdomen
above hips on taking deep breath—Castor.

“ Needles—stitching of needles or tearing in

abdominal muscles on inspiration—C alc. C.

‘ 4 Needles—needles stinging in abdomen—T huj..

“ Needles—dull needles stitching in right side of

abdomen by navel—Verb.

4 4 Needles—many needles in abdomen—Verb.

4 * Needles—intestines pierced with fine needles—

Zinc.

44 Nails—spot in abdomen were seized with nails

—Bell.

44 Pencil—hard body like lead pencil were being

forced upward and backward from bladder
to kidneys—Sanic.

44 Pieces—hard sharp movable pieces in abdo¬

men—Bov.

4 4 Pins—two pins sticking to the right of umbili¬

cus—Ind. M.

4 4 Pinched — navel pinched with pinchers —

Verat. A.

4 4 Plug—plug were lodged behind the umbilicus

Ran. Sc.

44 Plate—umbilical region covered with round

cold plate—Tereb.

44 Pressed—intestines pressed outward immedi¬

ately below navel—B ell.

4 4 Pressed—hard body pressed from within out in

right inguinal region—Bell.

14 Pressing—something pressing in sore spot in

pelvis—M urex.

44 Pressed—bowels, bladder and rectum pressed

by sharp instrument—Nux Y.

4 4 Pulled—abdominal walls were pulled inward—

Plumb.

4 4 Room—there were not room enough in hypo-

gastrium—Tarent.

44 Retracting—abdominal walls were retracting

against spine—Zinc.

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330

The Medical Advance.

Sensation as if Screwed — left inguinal region were being
screwed together—Zinc.

‘ 4 Screwed — pelvis were screwed together —

Caust.

4 4 Squeezed — something would be squeezed

through right lower abdomen—C arb. Ac.

44 Sinking — intestines were sinking down and

would be pressed out—Cann. Sat.

‘ 4 Something—something were forced through a

narrow space in abdomen—O p.

‘ ‘ Something — something alive in abdomen—

Sabad.

“ Something—something alive pushing out in

ileus— Thuj.

44 Something—something alive beneath skin of

abdomen—Spong.

“ Something—something would be pressed off

below stomach—K alm.

4 ‘ Something—something in pelvis rolling over to

right side when lying on it—L aoh.

“ Something—something moved up and down in

stomach and bowels—L yc.

44 Something—something heavy lying in left side

of abdomen—L yc.

44 Something — something alive running and
crawling in intestines—C ycl.

44 Something—something rolling and tumbling

in abdomen—C roc.

“ Something—something living jumping about in

the abdomen—CROC.

“ Something—something tight in abdomen would

break loose if effort were made to stool—
Apis.

“ Something—something lay in abdomen—Bry.

44 Stone—stone pressing down in abdomen and

small of back—PULS.

44 Stone—stone pressing on umbilicus—Verb.

44 Stone—stone rolled from navel to groin when

lying on left side—L yc.

41 Stone—stone lying in lower bowels—Diad.

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Repertory of /Symptoms , Etc .

331

if Stone—abdomen stuffed full of stones—Ant.
T.

Stone—sharp stones rubbed together in abdo¬
men—Cocc.

Stone—heavy stone in hypogastric region—
Coco.

Stone—intestines were squeezed between **two
stones—C oloc.

Stone—heavy stone,in abdomen—Chim.

Stabbed—stabbed in the abdomen—[C oloc. ,
Op.

Stabbed—stabbed in the right pelvic region—
Coloc.

Shook—bowels shook when walking, and *had
to be held up— Merc.

String—abdomen constricted by a string—
CHEL.

Stick—stick with a ball on each end extended
from throat to left side of abdomen—K ali.
C.

Sunken—abdomen were sunken—Sabad.

Tapped—some one tapped her hard on groin—
Therid.

Thread—ball of thread moving and twisting
in abdomen—Sabad.

Thread—thread cutting in belly toward center
—Cepa.

Tied—intestines were tied up, with burning—
ARS.

Tight—skin were too tight across lower partjof
abdomen—Calc. Sul.

Torn—intestines would be torn apart on walk¬
ing—All. S.

Tom—intestines were tom or cut—Asaf.

Torn—everything would be torn to pieces in
upper abdomen—GRAPH.

Tom — intestines were torn below navel—
GRAPH.

Torn—Abdomen tom to pieces—K ali. C.

Torn—navel were to be tom out—Stram.

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332

The Medical Advance .

Sensation as if Torn—abdomen would be torn open—VERAT.
A.

4 < Torn—intestines adhered to anterior abdominal

wall and were torn away—Verb.

44 Tom—everything in the umbilical region was

being shattered and tom—Nux V.

44 Twisted—intestines were twisted in different

directions—Pallad.

44 Twisted—bowels were twisted—P lumb.

44 Twisted—intestines twisted into a knot—
Verat. A.

44 Twisted—intestines were twisted by a cord and

strung in knots—Elaps.

4 4 Tom—something tom loose in abdomen—

Rhus. T.

44 Vise—bowels were in a vise—C oloo.

44 Vise—parts in left ovarian region were squeez¬

ed in a vise—C oloc.

44 Water—hot water poured from chest into ab¬

domen— Sang.

44 Water—intestines filled with water—Conch.

Cont.

44 Water—intestinal canal were full of water—

Kali. C.

44 Water — boiling water poured over small of

back and through pelvis— Verat. V.

4 4 Water—hot water poured into lower bowels—

Ip.

4 - Water—drops of water falling in abdomen—

Lyc.

4 Water—hot water filled the pelvis—Aloe.

44 Water—hot water running down in abdomen—

Chin.

44 Water—cold water passed through the intes¬

tines—K ali. C.

44 Weight—weight hanging across pelvis and

bladder—N at. M.

44 Weight—heavy weight came into pelvis, low

down—K ali. C.

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Repertory of Symptoms, Etc.

333

Sensation as if Weight—heavy weight in pelvis pressing down¬
ward and backward—Kali. P.

“ Wind—abdomen were full of wind—Carb. Ac.

“ Wind—wind in bowels and uterine region—

Hyde.

“ Worms—worms crawling in abdomen— Calc. C.

“ Worms—a long worm were writhing in region

of transverse colon or duodenum—C alad.

“ Worms—worms crawling up and down in ab¬
domen, and were biting and gnawing the

parts— Dulc.

“ Worms—worms gnawing about umbilicus—

Grat.

RECTUM, ANUS, STOOL AND PERINEUM.

“ Ball—sitting on a ball in anus—Can. Ind.,

Chim.

* ‘ Ball—ball pressing on perinaeum on sitting—

Chim.

‘ ‘ Ball—ball in anus—SEP.

“ Body—anus and part of urethra were filled up

by a hard round body—Can. Ind.

‘ « Constricted—rectum constricted—A lum.

1 ‘ Cut—arms were cut—NUX V.

‘ ‘ Done— he never would get done—stool—M erc.

“ Drawn—rectum was drawn and contracted—

Pulex., Init.

‘ 4 Drawn—sphincter ani was drawn in— Plb.

‘ ‘ Drawn—anus drawn up into rectum—Iodof.

“ Escape—stool would escape while passing

wind—ALOE.

‘ 1 Escape—thin stool would escape while passing

flatus—A loe.

; ( Feces—feces ascended to chest—L agh.

“ Gas—rectum was distended gas— Igt.

11 Grown up—one side of rectum was grown up—
Rhus. T.

“ Hammers—little hammers throbbing in anus—

Lach.

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The Medical Advance .

Knives—knives in rectum—Calad.

Knife—homorrhoids split with a knife on tak¬
ing a wide step—G raph.

Knife—knife stabbing in anas—R atan.

Lead—boiling lead passed through rectum dur¬
ing stool—T huj.

Liquid—rectum full of liquid which feels
heavy and would fall out—ALOE.

Lodged—feces lodged in rectum—C aust.

Lump—heavy lump in anus—S il.

Lump—lump lying in perineal region—Therid.

Needles—needles sticking in anus during stool
—Cars. V.

Needles—sitting on needles—G uaic.

Needles—rectum pierced by needles—M ao. C.

Needles—fine needles stitching in rectum—
Thuj.

Needles—needles in rectum—Medorr.

Open—anus were constantly open— Apis.

Open—anus were open—P hos.

Out—everything coming out at anus, after
stool—Throm.

Pass—whole body would pass away with the
stool—R obin.

Pepper—pepper were in anus—D ulo.

Pepper—pepper sprinkled on hemorrhoids—
Caps.

Plug — plug wedged between pubes and os
Coccygis—ALOE.

Plug—plug in anus—Bry., Crot. H., Kali.
Bi., Lach.

Pin—hat pin through rectum from os Coccygis
—Carb. V.

Poker—red hot poker thrust up rectum—
Kali. C.

Pressing—something dull pressing out in peri-
naeum—A saf.

Pressing—something pressing out of rectum—
Sep.

Digitized by ^.ooQle

NOTES FROM CLINIC OF PHILADELPHIA POST GRAD¬
UATE SCHOOL OF HOMCEOPATHICS.

SERVICE OF F. E. GLADWIN, M. D., H. M.

Aug. 22, 1891.—Mrs. E. B.—Age 37, 1017 0. St.

Medium height, slender, brown hair and eyes. Weighs
about a hundred pounds. Mother of seven children.

Has always been under Old School treatment. Wants to
know if 4 ‘Homoeopathy can do anything for Asthma.”

“Suffocating spell” began during third pregnancy about
eleven years ago, and returned with each succeeding preg¬
nancy, but disappeared with each delivery. Returned nine
months ago on the death of her little daughter and has con¬
tinued ever since, steadily growing worse under Old School
treatment. Comes after supper at times, but more often awakens
her at 12 or 12:30 a. m. Must get out of bed and go to the
window wheezing, coughing, smothering, almost impossible to
get breath; breathing can be heard all over the house.

Suffocating spells.

<Damp days.

<Wash day, can never get through washing without sitting
down to get breath. Whenever goes up stairs must stop
and sit down to get her breath.

> Sitting bent forward.

Cough violent on awakening at 12 or 12:30 a. m.

> Expectoration.

<Suffocation if can’t expectorate.

“Nervous” sensation of lump in throat, must keep contin¬
ually swallowing.

Involuutary sighing.

Grieves constantly for her child.

<Dispnoea.

Hemorrhoids began with first pregnancy and has had them
occasionally since, but not for some time (cured? by the old
school.)

Lach. 41 m . Abscess in right lung two years ago and
another soon after the death of her little daughter.

Sept 4.—Tickling in throat constant, with constant cough-

335

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336

The Medical Advance.

ing for three day9 after taking the Lach. then improvement for
eight days when symptoms returned, though not quite as se¬
vere as before the remedy, steady improvement ever since.

Sept. 12.—No suffocating spell for two weeks, not even on
wash-day.

“Can run upstairs now.”

Oct. 24.—Symptoms growing steadily worse since Oct. 3.
Lach. 41 m .

Oct. 31.—Suffocating spells and cough shorter and less fre¬
quent.

Weight in pelvis <at stool (old symptom returned).

Nov. 14.—No more suffocating spells.

Coughing every other night.

Nov. 21.—Strange feeling began in stomach and went to
chest (old symptom, and had been cured under Allopathy).

Dec. 5.—Heaviness across chest.

Stiches <long breath.
Cough gags her.
Vomits phlegm.

Had these symptoms
at beginning of abscess
in lining.

Homorrhoids.

Shooting pains like knives cutting, shooting to waist.
Stinging and burning in arms constant, <after stool.

< Standing.

< Walking.

Beating like little hammers in anus <during menstruation.
Desire for stool but stool is prevented by these knife like

pains.

All this once cured (?) by the Old School treatment.

’92, Feb. 20.—“Big toe joint swollen, red, gathered,
since here, but is all right now. Had a bunion once before,
but cured it with salve.”

No hemorrhoids for three weeks.

Feb. 27.—Smothering and cough returned. Has been mov¬
ing and cleaning and has taken cold.

March 5.—Much improved.

March 26.—Slight palpitation (old symptom).

Nervous trembling (old symptom).

June 4.—Suffocating spells occasionally since May 1.
Cough returned.

Hemorrhoids returned. Lach. 41 m .

Digitized by ^.ooQle

Notes from Clinic of Post Graduate ISchool.

337

June. 11.—Improved every way.

July 5.—Was quite well until June 26, when had one suffo¬
cating spell.

July 23.—One suffocating spell a week ago, after a fright.

Has not menstruated since June 6.

Nausea.

< Morning.

<Odor of'Coffee.

Sept. 6.—Abortion Aug. 14 produced by heavy lifting.
Hemorrhage very profuse, was afraid would bleed to death,
but took no medicine, because couldn’t have Homoeopathy,
and wouldn’t have anything else.

Sept. 10.—Coughing again for three nights. Tightness
across chest <night.

Lach. cm .

Sept. 17.—Improved every way.

Oct. 1.—Chilliness for last three days. Goose-flesh on
arm.

Nose cold.

Headache, followed by heat.

Sweat.

Oppression in chest—tightness. Belching. >

Mucous in throat.

Smothering spells.

Nervous.

Dec. 6.—Steady improvement and today says she is well.

Discharged until dyspnoea returns.

April 14, 1894.—Called upon her today, says she is very
well, cough entirely gone, has had no suffocating spells since
reported at dispensary Dec. 6, ’92.

Aug. 14, 1893 was delivered of fine girl weighing sixteen
pounds. No sign of the “asthma” during the pregnancy.

Hemorrhoids returned after the birth of the child but disap¬
peared without treatment.

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338

The Medical Advance.

EDITORIALS.

It has been thought best to establish a regular date of issue
instead of having the journal appear on or about or after the
middle of the month; so hereafter the subscribers of the
Advance may expect to receive their journals about the 15th
of each month. One advantage in having it appear in the
middle of the month is the fact that very few journals are
issued at that time, thus giving the Advance a clear field and
the undivided attention of each subscriber. The irregularity
of the appearance of this journal in the past has been exceed¬
ingly annoying both to the publishers and to the readers, but
has been unavoidable.

* *

For the past year efforts have been made by the editor to
secure the valued articles on Materia Medica by Prof. J. T.
Kent, of Philadelphia. Persistent effort has finally been re¬
warded with the promise of much more than was expected.
Hereafter as a regular feature of the journal will appear a
leading article on some remedy, by Prof. Kent, and a special
department of the work in the Post-Graduate School, under a
heading ‘ ‘ Notes from the Philadelphia Post-Graduate School
of Homoeopathy, ” with a regular corps of contributors,
furnishing valuable instruction in clinical medicine. In addi¬
tion to this arrangements have been made for the publication
of the reports of the Organon Society, also of Philadelphia.
This Society meets every month except July, August and
September.

* *

The price of the Repertory now appearing in the Medical
Advance, substantially bound and delivered to any part of the
United States, will be $1.00 post-paid. It is expected that
this Repertory will be completed by September and be ready to
deliver by the 1st of October.

CO-OPERATIVE INVESTIGATION.

We have devoted space in two recent issues to the interest¬
ing features of Modern Medical Research, as manifested in
“Sajous’ Annual” (The F. A. Davis Co.) A prominent Pro-

Digitized by ^.ooQle

Commencements and Re-unions.

339

fessor of Biology recently remarked—“It does for medicine
wbat is done for no other science.” In fact, the more this
work is investigated the more the immensity of the labor ac¬
complished is revealed. The capacity for investigation, of one
man of educated powers, is great. The “Annual” combines
the researches of more than three score medical teachers , plac¬
ing in their hands all the contemporary literature of the years,
—only asking them to utilize their specially trained faculties
for the profession’s good.

It is by this distilling process that the vast crude mass of
medical ideas is brought in shape for absorption by the general
profession. Take the consideration of Pathology, of Bacteri-
ology, of Neurology, of Obstetrics and Diseases of Women, of
Surgery in all its branches, of Ophthalmology and its collat¬
eral branches, Electro-Therapeutics, Hydro-Therapy, &c., &c.
To what physician can this masterly resume of these branches
fail to be useful ? And where else can it be found at once
complete and concise ?

The “Annual” is truly a most ingenious invention, and has
brought into active co-operation a vast array of medical talent.
For the physician, a combination of this great time-saver and
the Homoeopathic Law of Cure can work marvels. The result
of the labors of the closest observers of the “Old School” in
so concise a form is certainly a vast improvement over the
ordinary dreary volumes of Etiology, Prognosis and Treat¬
ment.

COMMENCEMENTS AND RE-UNIONS.

ADDRESS OF PRESIDENT TELFORD BURNHAM AT THE
SECOND ANNUAL COMMENCMENT OF HERING
MEDICAL COLLEGE, CHICAGO, APRIL
10th, 1894.

Ladies and Gentlemen:—

Another year of progress and prosperity has been added to
the short but promising history of Hering Medical College.
The number of its students has considerably increased. Its
present graduating class, though not large, is double that of
last year. Its equipment and facilities for alTordu)

^Digitized by

Google

340

The Medical Advance .

thorough instruction in the various departments of medical
education have been much improved—especially in chemistry
and microscopy—in which latter its equipment may now be said
to be superior.

Its dispensary service has been greatly increased, and has
furnished ample and varied material for clinical instruction,
besides providing wise and skilful treatment for several hun¬
dred patients free of charge.

It has also equipped and opened its own hospital which,
though small as compared with that it is expected to provide in
the future, is a model institution of its kind in many respects,
and has been well patronized by medical and surgical patients.

These substantial evidences of its progress, together with the
fact that several important and valuable additions have been
made to its faculty during the year, give great satisfaction to
the friends of Hering College, and are gratifying evidences of
the high position it is designed to occupy among medical col¬
leges, if only its past rate of progress is maintained. And it
is, and I hope always will be, the fixed and earnest purpose of
all connected with the management of Hering College that it
shall stand for sound and thorough learning, and wise, safe and
consistent practice in all departments of medical education and
work. And I am sure their aim will always be to maintain
and advance the high standard of its faculty, for which it has
already attained an enviable reputation. For they must ever
recognise the fact, that as it was true in the groves of the Academy
at ancient Athens, in the great centers of art and learning in Con¬
tinental Europe and in the school of the great Arnold in Eng¬
land, so it is true in this Western center of progress—that
the noblest results in education are attained, not so much by
the written lecture or the learned treatise, as by the personal
instruction and personal example of the great teacher, and the
adaptation of his instruction to the special needs and charac¬
teristics of the individual student.

I am happy to be able on this auspicious occasion to con¬
gratulate the friends of Homoeopathy upon its steady growth
and progress throughout the land. It is now represented on
the State Boards of Health and in the public institutions of
nearly all the States in the Union. The light of its truth has
flashed around the earth; and it is now shining in India, where

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Commencements and Re-unions .

341

there are able and learned homoeopathic physicians, and where
hospital and dispensary service has been established under
homoeopathic control. And here in this city alone we have
now four homoeopathic colleges, all in flourishing condition,
differing, it is true, in the degree of strictness and consistency
with which they follow the precepts and principles of the great
founder, yet all claiming to be homoeopathic.

When I consider all this, and remember that in the recol¬
lection of many of us here present homoeopathy was the by¬
word and the joke even of the medical profession, I am con¬
vinced that its history is to present another instance of that
which has so often happened in the intellectual progress of
men: “The stone which the builders rejected has become the
head-stone of the corner. ” And while I hear the mutterings of
ignorance and prejudice dying away in the distance, and con¬
template homoeopathy’s present proud position, I am reminded
of that magnificent simile of Goldsmith:

“As some tall cliff, that lifts its awful form,

Swells from the vale, and midway leaves the storm,
Though round its breast the rolling clouds are spread,
Eternal sunshine settles on its head.

NOW FULL-FLEDGED DOCTORS.

The Homoeopathic Medical College of Missouri, held its
thirty-fifth annual commencement at the Pickwick Thea¬
tre. The exercises were attended by a very large assem¬
blage of ladies and gentlemen, many of whom were relatives
and friends of the graduates.

The officers of the college are W. A. Edmons, President; A.
H. Schott, Vice President; L. C. McElwee, Secretary; N. 0.
Nelson, Charles Cabanne, James B. Case, I. M. Mason, F. W.
Brockman, A. B. Howard, E. 0. Stanard and F. G. Niedrin-
haus, Honorary Board of Trustees; W. C. Richardson, Dean;
and L. C. McElwee, Registrar.

The graduates were Wm. H. Badger, Robert E. Graul, Ed¬
ward J. Hall, Alfred W. Haywood, Louis W. Minick, John
M. Lockhead, George C. Mohler, Scott E. Parsons, Ralph B.
Raney, Jesse S. Sargent, Thomas M. Turner, Marguerite G.
Squire, Ada Walton and Mary E. Wolfer.

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COMMENCEMENT OF SOUTHERN COLLEGE.

At its third annual commencment, held in April, at the
Lyceum theatre, the Southern Homoeopathic Medical College
of Baltimore, sent out twelve graduates. The class is the first
to finish the full prescribed course of the college. It included
two young ladies.

Mr. Levi Z. Condon presided and awarded the degrees to the
following graduates:

Maryland—Miss Mary H. Darrell, J. Arthur Clement, J.
Oliver Hendrix, James LeCompte Hooper, William M. Pane-
braker, John A. Shower, Miss Garapheillia Wareheim.

Washington, D. C.—Edwin S. Lothrop, Frank A. Swart-
wout.

Virginia—J. Holmes Branson.

Pennsylvania—Horace L. Fair.

New Hampshire—Maurice G. Wiley.

HOMOEOPATHIC DOCTORS’ BANQUET.

The annual reunion and banquet of the Alumni Association
of the Homoeopathic Medical College of Missouri was held at
the Mercantile Club in St. Louis. A number of distinguished
guests from abroad were present. The officers for the ensuing
year were elected as follows: Dr. James A. Campbell, Presi¬
dent; Dr. C. J. Luyties, First Vice President; Dr. W. A. Ed¬
monds Second Vice President; Dr. W. B. Thompson, Secretary,
and Dr. C. A. Carriere, Treasurer. Dr. W. C. Richardson
acted as toastmaster, and the following toasts were responded
to: £ ‘Our College,” W. A. Edmonds; 1 ‘Advances in Medicine,”
A. Merrill; “The Alumni Association,” W. John Harris;
“The Physician as I Have Known Him,” Rev. John Snyder;
“Surgery and Homoeopathy,” W. B. Morgan; “Homoeopathic
Literature,” Irenaeus D. Foulon; “StudentDays,” A.H.Schott;
“The New M. D.,” J. S. Sargent.

The commencement exercises of the Homoeopathic depart¬
ment of the State University of Iowa, took place at the Opera
House, at Iowa City, March 13, at 7:30 p. m. The faculty
and class were in the customary academic cap and gown, which
is now used in all departments of the University.

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Dr. A. P. Hanchett, of Council Bluffs, gave the address on
“Why are we Homoeopaths?” which held the attention of the
large audience to the close.

The President then conferred the degree of Doctor of Medi¬
cine on the class, and afterwards presented certificates to two
graduates of the nurses training school, Oliva S. Larson, of
Mt. Pleasant, Utah, and Grace S. Stauffer, Lebanon, Penn.
This feature of the exercises was somewhat of a novelty, and
added much to the interest of the occasion.

After the exercises were concluded, Dr. and Mrs. Gilchrist
entertained the graduates, faculty, visiting physicians and
others.

The following are the graduates: Carl F. Aschenbrenner,
Dysart; Caroline S. Beaver, Madison, Wis.; Adelaide E. Corn-
well, Farmer, - N. Y.; Edward J. Everett, Atlantic; Ralph
Waldo Horman, Corning; Frank W. Horton, Belmond; Fran¬
cis M. Isom, Red Cloud, Neb.; Jay M. Killbome, Sioux city;
Adele Pauline Kimball, Iowa City; Eleanor W. Rosan, Chicago,
Ill.; Alice I. Ross, Waubeck; Frank L. Vandeveer, Andalusa,
Ill.; George A. Yint, Hindsboro, Ill.; John W. Wilson, Grundy
Centre; Archie C. Woodward, Moline, Ill.

The commencement exercises of the New York Homoeopathic
College and Hospital were held in the Mendelssohn Glee
Club Hall, 40th street near Broadway, May 3d, 1894. Prof.
St. Clair Smith delivered the address for the faculty, and
Louis D. Hyde, M. D., was the valedictorian. The gradu¬
ating class will number about forty-five men.

L. L. Danforth, Secretary.

SOCIETIES.

THE EIGHTEENTH ANNUAL SESSION OF THE MIS¬
SOURI INSTITUTE OF HOMCEOPATHY, AT
ST. LOUIS, APRIL 17, 18 AND 19.

Last year it was at Kansas City. This year it was St.
Louis. Next year it will be Kansas City again.

I left Chicago on the evening of the 16th in company with
two great editors, namely, those of The American Homao-

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pathtit and The Medical Advance. The editors kindly per¬
mitted me to sit across the aisle from them, and offered no
objection to my appropriation of such chunks of wisdom, mor¬
sels of wit and geins of humor as fell from their lips and
rolled down upon the floor. Dr. Kraft was accompanied by
his little daughter, Ona, in whom are visible many of the
traits of her distinguished father.

We finally arrived at St. Louis ; of course we made the usual
happy remarks when the minions of the late Mr. Jay Gould
met us at the near end of the big bridge and gauged us for the
usual quarter. It is a fact that the nasty little dig at that
bridge has cost St. Louis millions of money and lost it tons of
brains. No journalist ever fails to take a fling at the city on
account of it and—well, people come to Chicago instead of
going the other way.

After a temperate breakfast I repaired to the convention
hall at the Lindell hotel, and just here let me implore the
future committee on meeting place to go somewhere else next
time. By all means get off the car lines, if such a location
can be found in St. Louis, even in the suburbs. The uproar
outside the hall was deafening and confusing beyond endur¬
ance. The eternal clatter of hoofs, the merciless clanging of
gongs and the unspeakable whirr of the trolley wires are a lit¬
tle more than ordinary mortals can endure in silence. The
hotel probably gave us the best it had, but the best in this
instance was the poorest imaginable.

Kansas City was represented by a strong delegation—as it
always is. Delap and Runnels, Forster and Foster, Brady
and Neumeister, Cartlich and Hudson, Cutler and Croskey,
were active and energetic workers.

St. Joseph sent its two “gems,” Westover and Ravold, the
latter being the incomparable general secretary of the
Institute.

St. Louis, of course, was well represented by its local prac¬
titioners: Lizzie Gray Gutherz, first vice-president of the
Institute; Wm. C. Richardson, dean of the St. Louis Homoeo¬
pathic College; L. C. McElwee, registrar of the same institu¬
tion; S. B. Parsons, the man with the “eye of an eagle, the
heart of a lion and the hand of a woman” ; William B.
Morgan, who drinks milk instead of beer; J. Martnie Ker-

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shaw, who is a “nervous man” without being nervous; and the
scholarly and honored T. Griswold Comstock, who is in many
respects a leading attraction of St. Louis. Dr. Comstock
speaks Latin, French and German, as well as he speaks Eng¬
lish, and this is saying a great deal.

The visiting statesmen present were numerous and dis¬
tinguished. W. E. Green, Chas. E. Walton, 0. S. Runnels,
E. H. Pratt, W. A. Dunn, Sheldon Leavitt, and others from a
distance, added greatly to the value and interest of the
meeting.

President Cutler and Secretary Ravold made a magnificent
record on the platform. Prof. Frank Kraft, of Cleveland,
reported the proceedings stenographically and furnished to the
press committee a detailed account of each session.

The St. Louis papers treated us much better than those of
*Kansas City treated us last year, but still there is some work
to be done by future press committees. It is always best to
interview the city editors in advance; interview them several
times if necessary, and have a liberal amount of space guar¬
anteed before the meeting is called to order.

Dr. S. B. Parsons is a “host”—and one whose nod of the
head means something. On the evening of the 17th he was
surrounded by as genial and brilliant a gathering as generally
gets together under one roof. Green, Walton and Monroe
were sadly missed; for no company can be said to be complete
without them. To return to an old sentiment, “Long live
Parsons. ”

Thomas H. Hudson, as previously noted by The Advance,
has been appointed a member of the Missouri State Board of
Health by Gov. Stone. That he will serve his constituency
faithfully is a certainty.

Campbell and Delap are the two best-looking eye and ear
men in Missouri.

First Editor: “What is Pratt doing now ?”

Second Editor: “Well, sir, he is making history—hysterec¬
tomy.”

First Editor expires.

William A. Forster is one of the best surgeons to be found
anywhere. He is a splendid diagnostician, rapid and skillful
operator, and a close follower of the law of similars.

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Henry Cro9key says that the longer he lives and the more
sick people he sees the more he believes in the practice of pure
homoeopathy.

Henry J. Ravold, of St. Joseph, is the Napoleon of secre¬
taries, and his unanimous re-election was most creditable to the
good judgment of the Institute.

C. E. Fisher, editor of The Medical Century of the United
States of America, was on hand and added greatly to the
enthusiasm of the meeting.

Walton, of Cincinnati, grows handsomer, if possible, with
years. He and Green are frequently mistaken for each other
when “ the best-looking in the Institute” is referred to.

Pratt as a speaker reminds one of Victor Hugo as a writer;
O. S. Runnels calls to mind the movement of a great vessel in
the water—calm, easy, irresistible; and Walton revives mem¬
ories of Demosthenes himself.

After St. Louis, Denver, where we all hope to meet in June
to attend the great American Institute meeting. Come I

_ H. C.

AMERICAN INSTITUTE OF HOM(EOPATHY—OFFICIAL
ANNOUNCEMENT.

The Transportation Committee of the American Institute of
Homoeopathy takes pleasure in announcing that it has made
unusually satisfactory arrangements with the railroads w’hereby
members attending the Denver meeting, June 14-22, can reach
that city and enjoy a vacation in the Rocky Mountains at a
minimum of expense, and with unusual pleasure and comfort.

From the Atlantic seaboard the Trunk Line Associations
tender the usual fare and a-third for the round trip to the east¬
ern terminal of the Western Passenger Association’s territory,
St. Louis and Chicago. This may yet be reduced to one fare.

From Chicago and St. Louis the committee has contracted
with the Chicago & A1 ton-Union Pacific combination to take
us to Denver in an ‘‘American Institute of Homoeopathy
Special,” composed of the finest passenger and sleeping car
service running out of those cities. This line, the best leading
from Chicago and St. Louis to Denver, and the most direct
from those cities, has made for the occasion a thirty-day
ticket, that we may have the pleasure of a summer vacation in

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the Rocky Mountains, and a one-fare rate for the round trip.
They further give to all who hold tickets over this official line
a complimentary excursion to Silver Plume Mountain and
return, compassing the world-famed Georgetown Loop.
Their experienced agents will attend to all the railway business
of the convention, thus avoiding the dissatisfaction and annoy¬
ances incident to the management of railway matters by this
committee, wholly inexperienced in the complications belong¬
ing to the passenger department of railway details. The Offi¬
cial Line also saves the Institute several hundred dollars by
printing at its own expense the very handsome official circular
of this Committee, of which ten thousand copies are being
sent to physicians whose names have been furnished by us.

In consideration of these facts it is the desire of your com¬
mittee that all who contemplate attendance upon the Denver
convention shall reciprocate the courtesies extended the Insti¬
tute by the line selected by journeying in a solid railway cara¬
van “Across the Plains.” The itinerary embraces a start
from Chicago on the evening of June 12th, Tuesday, at six
o’clock, in a magnificent “American Institute of Homoeopathy
Special.” This train will arrive at Kansas City Wednesday
morning, and will there be joined by the delegations who find
it more convenient to go via St. Louis. The start from that
city will also be made on Tuesday evening at 8:40 p. m. The
parties will unite at Kansas City on the morning of Wednesday
and will journey together through Kansas by daylight, arriv¬
ing at Denver on the morning of Thursday, June 14th. The
railway service is to be of the very best in every particular,
and special dining cars are to be run for the convenience of
the tourists, thus avoiding the necessity of making stops for
meals. Special fast time will be made, our train stopping
only at leading points along the line. The itinerary takes us
through the most delightful part of Kansas, and early in the
afternoon the climb on the high prairies of the western part of
the State begins.

Since the announcement of a one-fare rate by the Alton and
Union Pacific, other roads leading to Denver have fallen into
line, so that members living along them all will have the bene¬
fit of the reduced fare. But the line selected has made the
rate for us, gives us the very best that is to be had in the way

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of train service, accommodations, time, and side trips in the
Rockies, and the pleasures of journeying in a family caravan,
making the trip a faternal one. These inducements should re¬
sult in its selection by all who contemplate attendance upon
the convention.

A special party is forming in New York, under the manage¬
ment of Dr. A. B. Norton, 36 West 40th street, to travel over
the Pennsylvania line to St. Louis, there to take the Chicago
& Alton, journeying thence to Kansas City, where it will join
the Official Train from Chicago on the morning of Wednesday.
Another party under the management of Dr. W. A. Dewey,
170 54th street, New York, is forming to journey from the
northern part of that State and New England via the Michigan
Central to Chicago, here to join the Official Train on the even
ing of Tuesday, June 12th. Applications for sleeping-car
accommodations in these parties should be made early to Dr.
Norton or Dr. Dewey. At Philadelphia, Dr. W. W. VanBaun,
419 Pine street, representing the committee as its member for
that city, will receive applications for sleeping-car accommo¬
dations over any of the lines leading to Chicago dnd St. Louis,
and at Pittsburgh, Dr. L. H. Willard, Allegheny, member of
the committee for those cities, will perform like service for
members applying to him. At Denver Dr. J. M. Walker, of
the committee, will serve members living in the west, and at
San Francisco Dr. George H. Martin will perform like service
for the Pacific Coast. Applications for accommodations from
Chicago or St. Louis should be made to the undersigned at 31
Washington street, Chicago.

In Colorado a number of excursions are in contemplation.
The Colorado and Utah lines all tender a one-fare rate and fif¬
teen-day ticket, with stop-over privileges in each direction, and
the Yellow Stone park tickets on sale at Denver during the
summer give all who wish it a chance to visit that delightful
spot at reasonable cost. For those who contemplate a visit to
the Pacific Coast nothing better can be had than the regular
Mid-winter Fair ticket, on sale everywhere. In purchasing
these members should see to it that their tickets read via the
‘ ‘Chicago & Alton and Union Pacific” from St. Louis or Chi¬
cago, in order to have the pleasure of traveling with their fel-

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low-members and of enjoying the side trips of the Official
Line.

From Omaha, members living in Minnesota, Iowa, Nebraska,
and adjoining States, will find the one-fare rate of the Union
Pacific to Denver advantageous, and only holders of tickets
over that line will be tendered the pleasures of the compli¬
mentary side trips of the “Official Route.”

C. E. Fisher,

Chairman Transportation Committee,

31 Washington St., Chicago.

AMERICAN INSTITUTE OF HOMCEOPATHY.

Denver, Colo., April 2, 1894.

The executive committee of the American Institute of Hom¬
oeopathy has named Thursday, June 14, 1894, as the time for
the opening of the Semi-Centennial Session.

Concessions in railroad fares will undoubtedly be secured to
Denver from all directions.

Ample hotel accommodations, on the American plan, have
been secured at the Brown Palace Hotel, which is the Insti¬
tute headquarters. Very desirable rooms can be secured at
the Metropole on the European plan. If less expensive ac¬
commodations be desired, full particulars can be obtained
from Dr. W. A. Burr, chairman of the hotel committee, to
whom should be addressed all communications relative to the
securing of rooms, etc.

Negotiations are pending for liberal concessions on rates to .
all points of interest in the Rocky Mountain district, among
which may be mentioned the famous “Loop,” Pike’s Peak,
Pueblo, Colorado Springs and Manitou; Cripple Creek, Lead-
ville and Aspen; “The Circle,” Salt Lake City, Ogden, etc.

The various sessions of the Institute will be held in the
First Baptist Church, located only a few rods from the head¬
quarters.

The “Meissen,” through its local committee of arrange¬
ments, is taking active steps to entertain the visitors in a man¬
ner befitting the occasion, the demands of the hour, and the
dignity of the Queen City of the West.

The order of business is not yet arranged, but a special

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Jubilee program may be confidently expected. In point of
fact, the Local Committee of ^Arrangements and its Sub-Com¬
mittees, will spare no time, pains, nor expense in making the
coming meeting a red-letter time long to be remembered.

It is desirable that the Committee be informed, approxi¬
mately, as to the number of visitors and members who are
likely to attend. In view of this fact will you kindly write to
us as soon as possible after the receipt of this communication
whether we may expect you at the time, and by whom accom¬
panied?

Believing that the mountain region has much to interest you,
knowing that Colorado will greet you with her usual sunshine,
and anticipating that the Semi-Centennial “meet” will assume
a never-to-be-forgotten importance, we await your reply,

Local Committee op Arrangements.

The annual meeting of the Homoeopathic Medical Society of
Ohio will be held in Toledo, Ohio, May 8 and 9, 1894.
Reduced railroad rates; an excellent program of medical
essays; a social program in charge of the Toledo physicians,
and a good time generally. Physicians from other States in¬
vited. Application blanks for membership may be obtained
in advance. Dr. Thomas M. Stewart, Secretary, 266 Elm
street, Cincinnati, Ohio.

The International Hahnemannian Association will meet at
Niagara Falls, New York, June 19th. An attractive program
is being prepared, and all indications point to an enthusiastic
and successful gathering. Address all communications in
regard to same to Dr. Howard Crutcher, Secy., 1102 Colum¬
bus Memorial Bldg., Chicago, Ill.

A Courtly Reply. —One day as Sir Isaac Heard was with
George the Third, it was announced that his majesty’s horse
' was ready to start for hunting. ‘ ‘Sir Isaac, ” said the good
monarch, “are you a judge of horses?” “In my younger
days, please your majesty,” was the reply, “I was a greal
deal among them.” “What do you think of this, then ?” said
the king, who was by this time preparing to mount his favor¬
ite, and, without waiting for an answer, added, “We call him
Perfection.” “A most appropriate name,” replied the courtly
herald, bowing as his majesty reached the saddle, “for he
bears the best of characters.”— The Argonaut .

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Medical Advance

A HOMOEOPATHIC MAGAZINE.

Vol. XXXI Chicago, June, 1894. No. 6

MATERIA MEDICA AND THERAPEUTICS.

CHAMOMILLA.

PROFESSOR J. T. KENT.

One of the first things we will observe in studying a Ohamo-
milla proving throughout is its over-sensitiveness to pain.
You will be struck at the first glance—among the first things
you will observe will be the extreme force and expressiveixess
of the symptoms; the intensity of the expressions all through.
The sufferings are expressed in adjectives that are intense as
to suffering, and so the Chamomilla patient is intense. You
will notice after listening to her story—if not the first time,
after several times—the wonderful intensity with which she
feels her feelings and her pains. It seems she has more symp¬
toms than you can rationally conclude such a disease would
have ; she has greater sufferings than you would suppose such
a disease could produce, and you will at once see it is due
to the over-sensitiveness of her nerves.

This over-sensitiveness runs through the remedy in general
as to hearing, as to taste—sometimes as to sight—as to the
touch of the skin, as to enjoyment. An intense person, an
enthusiastic person, one who thinks and acts speedily and who
suffers intensely. After reading Chamomilla all through,
without a pause, and then closing the book, you will say these
things I have said about it are so. Now that is the first.

The mental state is also full of this intensity ; touchy from
the slightest disturbance, from the slightest contradiction, and
from this it goes to an inability to be pleased or to think joy¬
fully upon anything. Irritability, snappishness, peevishness.

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No matter what overture you make to the man, woman Or
child who is in the Chamomile state it does not please ; he
shrugs his shoulders and manifests peevishness. Even a hand
to ease him will meet only with a look of annoyance. This is
marked in many ways. This mental disturbance is found in
many diseases ; this irritability of temper. Especially is it
marked in the labor pains of parturition. The woman is so
snappish in the first stage of labor that she will not permit the
doctor to make an examination. She will drive the doctor out
of the room—and if he is wise he will go at once—and in a
few moments she will want him to come back again. The or¬
dinarily mild woman will be so snappish she will cover him with
abuse—scolding is really a mild way to put it—the anger,
the irritability, the peevishness are so marked that she is
fairly insane with it. She will tell the doctor her opinions of
him,—not merely look them—and her opinions are very bad.
She is just as changeable as can be. She is not satisfied if
the doctor lets her alone, and she is not satisfied if he at¬
tempts to relieve her. But, as the pains become more regu¬
lar, she has her attention called in another direction. A dose
of Chamomilla will make her stand these pains like a soldier;
she will be entirely changed by a dose of Chamomilla. You
see the mental desire for things which, when received, she
objects to.

You will see the same mental state in the child; you will
see it continually changing its location. It wants the father
to carry it, and then the mother must carry it, and then it
wants the nurse. The sickness has probably been caused by
cutting a tooth or a threatened diarrhoea. It is ameliorated
by being carried, but it must be changed about from one indi¬
vidual to another and if there is only one individual to carry
it, it will finally not be ameliorated by being carried. Bryo¬
nia has this craving for change, but it craves something to eat.
Chamomilla wants a toy, and when it gets it throws it away;
Chamomilla is a mental symptom. There are certain babies
who, when teething, have excoriations about the anus, and, in
the female little one, about the vulva, with this disposition—
you will find these symptoms under Creosote.

Put these two features together—this kind of irritability and
this over-sensitiveness to pain—and go through the human

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body, and the cures that can be made are wonderful. Some¬
times in patients whom you know are suffering you can gather
nothing but these two great features, and then this image of
Chamomilla stands out in bold relief.

Congestive headaches, much like Belladonna, attended by
dilated pupils, hot hands, hot head, glassy, staring eyes.
Child sleeps with eyes half open, and cries out in sleep. The
Chamomilla child who has these symptoms takes cold easily.
In sleep it will often lie with one cheek red and hot and the
other pale and cold, and this may go from one side to the
other. When the child is awake, look for the Chamomilla
symptoms—the over sensitiveness to pain. In sleep observe
closely. In adults you will find troubled dreams and night¬
mare. The child wakes up filled with terror. The dreams
are so real he wakes up and cannot be made to believe that it
was not true. Nat. Mur. has this symptom also. A woman
will dream that there are burglars in the house, and will not
believe it was only a dream, until she has had the house
searched.

Chamomilla produced in these cases coryzas, running of
the eyes (I mean lachrymation), copious, watery flow from the
nose; in infancy, bloody watery discharges from the nose.
Threatened ulceration of the cornea; inflammation of the lids;
tumefaction and hard swelling of the lids; inability to open
the eyes, and when the eyes are opened bloody water gushes
out.

In earache, with this kind of a mental state—great sensi¬
tiveness to pain, and great screeching night and day ; the
child always putting his hand to his ear, and every now and
then it will screech out and can be heard in the next room.
The cry sounds as if it needs a good whipping, and if you pet
it, it will screech worse. When I hear a Pulsatilla child cry,
I always say “poor little thing!” but if it is a Chamomilla
child, I say “Spank it!” Pulsatilla and Chamomilla are the
two great remedies for earache in infancy; with the mild, gen¬
tle, good little creature who has-an earache, Pulsatilla; with
the opposite, Chamomilla. Now reason about that. Of
course I do not mean give these remedies if you know of other
symptoms in the child and you have the child under constitu¬
tional treatment, but if you get no other symptoms except

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that the child has the earache, for these two medicines affect
the ear in the highest degree. Neuralgia of the ear. Sup¬
pose you saw the child carrying its hand to its ear, and
there was heat all over it, and the fever comes at 3
o’clock in the afternoon and lasts until after midnight, then
the earache is not the thing to prescribe on; in this state you
will think of Belladonna. Everything is clear cut if you know
the remedy; if you do not know the remedy, it is not clear cut
at all.

Probably the next common use of Chamomilla is in teeth¬
ing. The gums are sore and tumid; the teeth are slow com¬
ing through. The child has all the Chamomilla sensitiveness
to pain and the irritability. You see the child awake and
taken from one nurse to another and he is comforted. Take
those that are relieved only by taking them into a cold room;
that are worse at night when lying down, and who have a
craving for cold water—then we have to distinguish between
coffee and Chamomilla for they are both sensitive to pain and
are both relieved by taking cold water into the mouth. I have
distinguished between Coffee and Chamomilla by the aggra¬
vation from noise in another room; by noticing that the child
would be greatly disturbed by some one else walking across
the floor—that does not disturb the Chamomilla patient.
Chamomilla is relieved by walking; Coffee is only relieved by
cold water.

Bowel complaints in infants. Summer complaints. The
stool is grass green, frequent, -slimy, bloody, white slime
mixed with yellow, yellow mucous. Now, we have the same
general state,—over-sensitiveness to pain expressed in the
tone, relieved by walking.

The next most striking things we come to are the condi¬
tions of pregnancy; conditions of menstruation; spasms of the
uterus; most violent labor like pains during menstruation;
copious clotted menstrual flow, sometimes offensive; cramps
in the region of the uterus like labor pains; cramps and pains
in the back; during labor, cramps and pains in the back; every
time the child is put to the breast there is a cramp in the
back—also Arnica and Pulsatilla. With this cramp in the
back when the child nurses, you know how to compare Pulsa¬
tilla and Chamomilla—the mental state. Arnica by the sore

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bruised feeling. You will at once see that it is not necessary
to compare Arnica here, you will at once see the mental state.
You do not need to see them compared to know that they have
the mental state. Pulsatilla by the gentle, yielding condition
of mind; she may be changeable and notional, yet there is
lacking that disagreeable petulance that we find in Chamomil¬
la.

You will see in course of time that all the remedies in the
Materia Medica will loom up, and you will compare them one
with the other. You will see the remedy in your mind, and
you will make natural comparisons. If you compare reme¬
dies before you are prepared to do so, it is not natural com¬
parison, and you will only memorize it.

In hysteria; in complaints of women that are over-sensitive
to pain. I have a sensitive subject who was always having
congestion of the liver and uterus—the most intense little
creature I ever saw in my life—Chamomilla always relieved
her. Chamomilla flies about from ofie place to another,
always irritable, and never satisfied with anything. Always
the desire for change.

Jahr gives a lot of conditions that have been cured with
Chamomilla.

Let me speak of another thing that is very important. You
want to know the use of Chamomilla in the secondary effects
of Morphine. When a patient has been heavily dosed with
Morphine ar Opium, they get into a state of stupor. Finally,
as they come out of that stupor, the next day, they commence
to get sick at the stomach, and the vomiting is simply dreadful;
it seems as though they would throw up stomach and bowels
the way they retch and strain and vomit. After vomiting the
contents of the stomach they have great prostration, great
sweat and exhaustion. Pretty soon on comes vomiting, every
thing taken into the stomach is vomited. Chamomilla is
always your remedy for that; you never need any other reme¬
dy. Chamomilla will stop that vomiting, and will make the
patient feel good in a couple of hours, and she will bless you
forever, for the suffering was dreadful.

A patient who has been drugged with Coffee, and who wants
to stop it, you will sometimes have to antidote the secondary
effects.

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Chamomilla is the Morphine of Homoeopathy in patients who
are over-sensitive to pain, who are suffering from shock, who
are irritable, have wakeful nights or horrid dreams head con¬
gested and face hot. They have lain awake nights until
finally when they have fallen asleep there is a horrible night¬
mare, then at once think of Chamomilla.

Infants have convulsions added to these symptoms we have
seen. You will not have to practice medicine very long before
you will run across the good Chamomilla grandmother who
feeds all babies Chamomilla tea; thinks it is good for babies.
Those babies will go into convulsions if they are sensitive to
Chamomilla, and then you will have to give it a dose of Cham¬
omilla very high. Stop the Chamomilla tea. Chamomilla
and Pulsatilla.

Another thing: Chamomilla produces inflammation of glands;
glands of the neck in colds. Every time the baby takes cold,
every time the child takes cold, it has enlargement of the
glands. Every time it takes cold the cold settles in the liver,
producing hardness and vomiting of bile with the Chamomilla
mental state. Every'' time she takes cold, she has pains in
the uterus. Rheumatic pains, twitching of muscles. The
Chamomilla patient is a wonderfully nervous patient in gene¬
ral. As a rule they (the nervous symptoms) are nondescript;
they are not characteristics ymptoms. There is a peculiar cross
modality of opposites. Some of the symptoms of Chamomilla
are better from cold; some are better from heat; it seems to
have both symptoms. The toothaches and headaches are
better from cold, the earache is better from heat. I have
cured with Chamomilla the most distressing cases of quinsy,
suppuration of the tonsils on both sides with rending pains
going back to both ears. The only comfort they could get
would be from lying on hot bags, and swallowing hot drinks.
Generally, when the patient takes cold that settles in the
uterus during the menstrual period, they get relief from heat,
from the application of a hot water bag. Heat is more gene¬
ral and more common in remedies for a measure of relief than
cold, and it seems to me that heat and cold are nature’s own
relief. It seems to me that the natives would be likely to re¬
sort to something cold or something hot if it felt good; so we
have recorded them among the natural reliefs. I never shut

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Agaricus Muscarius.

357

off the hot and cold, I ask which feels best, and that helps
me to the remedy. It does not confuse the symptoms, and if
it makes the patients feel better, why let them have it. But I
do not like them to use wet poultices, do not let them use wet
hot things, there is always the danger of taking’ cold when the
poultice is taken off. Let them use dry heat; it is easiest; let
them use a large rubber bag filled with hot water, it is easy to
provide this in the cities, and it is often grateful.

AGARICUS MUSCARIUS.

HORACE P. HOLMES, M. D., OMAHA, NEB.

This remedy, though not appearing in Hahnemann’s Materia
Medica Pura, is the initial remedy given by him in his Chronic
Diseases, and it is there classed by Hahnemann as an antipso-
ric. The remedy was first proved by Shreter and Stapf, later
by Hahnemann and his students. Apelt followed with a still
better proving and Hartlaub added the provings of Drs. Woost
and Seidel. From this collection of material Hahnemann
gathered the 715 symptoms which formff the article above re¬
ferred to and to be found in the 1845 American edition of
Chronic Diseases.

From a criticism published in Clotar Muller’s Quarterly in
1859, many of the symptoms of the provings were deemed un¬
reliable and stricken out. But the re-proving of the remedy
by the Vienna Society confirmed the symptoms which had
been questioned and they were reinstated.

Agaricus Muscarius is the name used by Hahnemann in his
Chronic Diseases and by Hering in his Condensed Materia
Medica. The latter author, however, in his Guiding Symp¬
toms, adopts the title Amanita, but does not state his reason
for changing the name. Dr. T. F. Allen, in his Cyclopeodia
of Pure Materia Medica, incorporates provings of nine diffe¬
rent members of this family and gives to Agaricus Muscarius
the simple title of Agaricus. In this latter article are 2,496
symptoms gleaned from the authorities to date and 48 referen¬
ces given.

In the opinion of the writer, Agaricus Muscarius is a reme¬
dy but little used by the great mass of our homoeopathic
physicians. It seems to be seldom thought of in the many di-

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seased conditions to which it is applicable. Again, physicians
too often mentally limit the field of a remedy to the few affec¬
tions to which they personally know it to be applicable. In
my own experience I limited this remedy, for several years,
to those dyspeptic troubles in which I found the symptom “re-
lief from eating ” a prominent characteristic. I had my atten¬
tion called to Agaricus Muscarius in a case of atonic dyspep¬
sia where there seemed a strong suspicion of cancer. The pa¬
tient was a man of nearly forty years, was pale, haggard,
anaemic, lean and lank. There was nausea, poor appetite,
loss of spirits, irritable disposition, with faintness and lan¬
guor in the forenoon equal to Sulphur. Over all these symp¬
toms the immediate relief from eating —even a cracker or a
crust of bread—was prominent. After several remedies,
fairly well indicated, had been prescribed with little benefit,
Agaricus Muscarius was prescribed in the 3 X and the relief
was something almost magical. The remedy repeated at in¬
frequent intervals seemed to effect a perfect cure. At least
the patient is still living, now ten years since I prescribed for
him, and in good health as far as his stomach is concerned.
In this case I would say the analogues of Agaricus appeared
to be Arsenicum and Sulphur, and in dyspeptic cases I would
rank it with those two remedies and Nux Vomica and Lycopo¬
dium. It certainly is one of the grandest dyspepsia tonics we
have. The peculiar symptom ‘ ‘much hunger but no appetite”
occurs for you to wrestle over. The “all gone” feeling of
Sulphur. The “soon satisfied” feeling of Lycopodium and
also the “sleepiness after eating” of Lycopodium. The nau¬
sea, vomiting, burning in the stomach and thirst of Arsenicum.
The vertigo, eructations and constipation of Nux Vomica.

My next use for Agaricus was in twitching of the eyelids.
So many times have I used this remedy successfully in bleph¬
arospasm that I seldom think of any other, though the symp¬
tom is common to many remedies, especially Cicuta and
Belladonna. Twitching of muscles is a characteristic of Aga¬
ricus and it makes little difference if the offending muscle be
in the eyelid or elsewhere, the remedy is to be thought of.

One of my greatest successes with Agaricus was in a case of
a little girl of seven years. It was about as complicated a
case as I was ever called upon to treat. There had been pe-

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Agaricus Muscarius.

359

riodic attacks of asthma; hay fever came annually and with it
chorea. At one time there was the most serious endocar¬
ditis I have ever met with. This was brought under control
by my friend, Dr. Hawkes, most beautifully with Lycopodium
l m . Later on the chorea remained very troublesome, when I
found Agaricus to cover the case thoroughly. It was given in
the l m and the result was marvelous. Since then there have
been threatenings of the malady to return but it has been kept
off by a few doses of the 200th. The father of the child has
demonstrated positively that the 30th potency aggravates so
that it is worse than useless in the case.

Chorea is*one of the principal affections calling for Agari¬
cus. Probably its nearest analogue in this trouble is My gale
lasiodors. The Cuban black spider. This latter remedy
should be very carefully studied as it will be found very use¬
ful in nervous affections and especially those of choreic type.

The skin symptoms of Agaricus are often called upon to
differentiate the remedy in nervous affections. These are the
affections typical of frost-bite. There is burning, itching,
redness, swelling. In many cases the terrible discomfort from
chilblains I have relieved the trouble by applying Agaricus lo¬
cally. This practice I find is more called for in rural districts
than in the city as our city people do not seem to get frost¬
bitten so frequently. Intense itching of the skin is likely to
call for Agaricus in any of the skin diseases. There may be
miliary eruptions or hard nodules, sebaceous tumors or car¬
buncles, phagedenic or carious ulcers. Some years ago I had
a horse taken sick with a disease new to the veterinarians and
termed by them scarlatina. It was two years after the ‘ ‘pink
eye” epidemic in Illinois. I find the prescriptiou quite accurate¬
ly given in two symptoms of Agaricus in Guiding Symptoms
under Skin: “Small nodules deep in skin, with cough, es¬
pecially when eyes are also affected [horses].” The provings
of Agaricus certainly show that it would be a grand remedy
in the pink-eye and scarlatina of horses.

In perhaps no class of affections does Agaricus prove more
tonic under homoeopathic treatment than in sexual difficulties
and especially loss of virility in the male. As the immediate
drug effects are wildly stimulating and intoxicating, so the
reverse effect is true—complete lassitude and languor. Under

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homoeopathic prescribing one can expect from Agaricus as
great benefit in sexual stimulation as the old school claim for
Dami&na. In the sexual sphere of woman there does not seem
to be as many indications, probably for the reason that most
all the provings have come from the male sex.

What might have been first spoken of, are the mind symp¬
toms; but I preferred to deal with this remedy first in the line
of my personal experiences. Agaricus is one of the wildest
remedies to be thought of in the mind symptoms. Remem¬
bering the wildest symptoms of delirium tremens, and we have
a possible picture of Agaricus. The Russians make a drink
from this variety of toad-stool and the intoxication is rapid and
intense. So potent are the effects and so great the craving for
this stimulant that men have been known to drink the urine of
those intoxicated with Agaricus in order to gain the stimulant
where the supply has been exhausted. The stimulating effect
of such urine seems about as potent as the original draught.
The intoxication is wild, gay, dancing, loquacious, with pro¬
digious strength and a general magnifying of distances and ob¬
jects. The subject will jump high to get over a small object
or far to get over a small hole that appears to him to be a
frightful chasm. The intoxication is followed by a deep
sleep that leaves the subject greatly depressed. In delirium
with constant raving and efforts to get out of bed, this remedy
will do good work. When the nervous system is affected by
diseases so there are twitching and jerking of muscles with
convulsions threatened or in fact, Agaricus is indicated. It is
here analogous to Belladonna, Cina, Stramonium and Hyos-
cyamus. It has the delirium of the above remedies, the pois¬
onous symptoms of Lachesis and Tarentula, the cold, icy feel¬
ings of Calcarea carb. and Veratrum album, and the pains of
Pulsatilla and Rhus.

Dr. Th. Ruckert wrote an essay comparing the symptoms
of Agaricus with those of incipient tuberculosis. It would be
well for us to keep in mind these symptoms and to carefully
compare them with those of Cetraria Islandica—both of which
remedies promise much in tuberculosis.

In closing, I would say to bear Agaricus in mind especially
in nervous troubles, deliriums [whether from disease or intox¬
icants], dyspeptic difficulties, especially of an atonic character,
and tubercular affections of the lungs in the earlier stages.

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Calcarea Phos, and His Near Relations .

361

*CALCAREA PHOS. AND HIS NEAR RELATIONS.

L. C. MO ELWEE, M. D.

When we consider the fact that this element forms a part,
more or less considerable, of every tissue, solid and fluid of
the human organism, we can readily recognize how profound
would be the changes resultant upon its disturbed proportions.

The disturbance of the normal proportions do not appear to
occur frequently, except in the extremes of life, strange to
say, and the effects at the two extremes are as widely diver¬
gent as the poles of the compass,—if we have read correctly.

In either case the abnormality is spoken of, much to my as¬
tonishment, as the Phosphatic Diathesis. Is there any indica¬
tion here that would, if followed up, point a friendly finger to
the ‘ ‘modus operandi” of drug action? Every one has heard
the term “Rachitic Diathesis” applied to the same condition,
so that we have the malady named from the standpoint both
of cause and effect, of remedy and disease. Attention is
merely called to this point in passing, for we all have seen the
marvelous effects of those drugs in curing Diatheses with their
name as the prefix. The subject is foreign to this paper but
would be an interesting theme for a future paper at a future
meeting by some one intimately familiar with the category of
drug and disease action.

Returning then to the thread of our story, the alteration in
proportion, that is its excess, of this salt in the latter portion
of existence seems to be almost a natural condition, and not
accomplished by or resulting in the development of any con¬
siderable group or chain of symptoms that are looked upon as
distinctly abnormal.

The changes in proportions in the beginning of life, that is,
where there is an insufficiency, are those which are fraught
with such baneful results, and are accompanied in the devel¬
opment by such unpleasant disease pictures, causing the vital
forces in their distress to sing a low misrere. The harmony of
infantile life, with the disturbances characteristic of this drug,
is played in a minor key with few or no brilliant passages and
usually is characterized by a succession of diminuendoes.
The musical director seems to be “off,” and the orchestra

"Read at Missouri Institute of Homoeopathy, St. Louis. Mo.

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lacks a member, by whom much of the melody of life is pro
duced.

The-mental state is one of inactivity. Firmness in decision
or fluidity of purpose is no where to be found in the character
of a Calc. Phos. individual, but on the contrary there is a re¬
markable hesitancy and a vague timidity about the undertak¬
ing or doing of ordinary things. Taciturnity and at last abso¬
lute indifference take possession of this unfortunate creature,
and cast upon him the image of one in the slough of despond.
The recruiting capacity of cell action lags, halts, and is ineffi¬
cient to meet the demands made upon it, or to use a common
phrase, the vital engine doesn’t make steam fast enough to
keep the economy properly moving. Certain it is that this in¬
efficiency is not due to a lack of fuel, because there is a con¬
stant, insatiable demand for a supply of force, (apparently be¬
cause the power of the fuel is carried off by the escape, or is
reduced to a superfluity of ashes, or the fire box is faulty),
this same force is not supplied. From lack of power to assim¬
ilate, even in face of the fact of a plentiful supply of food
fuel, there is a failure on the part of the constructive forces to
deposit this substance in the locations where it must be sup¬
plied, in order that these locations may properly do the work
allotted to them.

Therefore it will be easily seen why the provings record
symptoms showing that the fontenelles remain open too long,
The teeth are late in coming, the joints show undue enlarge¬
ment, the bones bend under the weight imposed upon them,
the skull crackles under pressure like paste-board, the child
slowly learns to walk, it slowly learns to talk, its ideation is
sluggish, its perception dull, its understanding tardy and very
limited.

As the bones are the principal recipients of favors at the
hands of Calc. Phos. they are necessarily the greatest suffer¬
ers when their proper supply is in any way compromised.

But the glands and blood are also shown partiality by this
remedy when all goe3 well, so that they too suffer its absence.
Therefore, as a result of imperfect glandular action the diges¬
tion is faulty and the nourishment ingested is cast away only
partially consumed, the system being the ultimate sufferer.
The full capacity of the blood is curtailed from lack of the

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Calcarea Phos. and His Near Relations.

363

proper proportion of this element, and cannot carry to the re¬
mote tissues their full quota of supply, hence they become
flabby, the skin wrinkles wherever opportunity affords and
turns brown, maybe because of shame for its flabbiness. The
muscles too, complain in their languid, feeble fashion and re¬
fuse the function of locomotion often, after it has been once
established, and grudgingly return to work when they are per¬
force compelled to resume active duty. When reference was
made to the inability of the body to properly get up steam,
the thought “orificial irritation” and “sympathetic nerve
pinching” may have occurred to some one, and indeed the
proving bears out the idea, for we find recorded symptoms com¬
ing from the lower orifices, which can only be interpreted to
mean irritation of those parts. It is probably not becoming in
us to question the proving, but we should like extremely well
to have examined those provers before they began their task.
Granted however, that they were perfectly well in the begin¬
ning of their proving of this remedy, there is evidence suffi¬
cient to show that it must perforce be of great service in the
treatment of this class of diseases, when found in subjects of
the Rachitic or Phosphatic diathesis.

The relations of our subject that claim kin-ship, are a half-
brother Calc. C. who, is in every way a bigger man than his
phosphatic brother, and differs materially in complexion and
size of abdomen. The former is fair, fat and fearful, while
the latter is dark, gloomy and reticent. The one is short
in stature and wind, the other is long in size and appetite.
The one has blue eyes and golden hair, the other dark hair and
eyes of brown. The one has an abdomen as of an inverted
saucer, while that of the other hangs around loose and would
fain be filled, while they both join hands and heartily shake as
they agree that some one else shall perform the task which be¬
longs to them. They get quite out of breath as they go arm
in arm up stairs. They are both ungovernably sleepy all the
time. The light haired one when he was a babe or small boy,
when asleep, would sweat profusely about the head and neck,
saturating the pillow, but after becoming grown sees unpleas¬
ant figures and skeletons and ghastly images as soon as his eyes
are closed. The slim, slender brother, the sleepy subject of
this paper, when he goes to sleep dreams for a little while of

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the events of the past day, and finally merges into so deep a
torpor that it is with the greatest difficulty that he awakens in
the morning. Another near relation, \>ut of what degree of
consanguinity I know not, Silicia by name, takes satisfaction,
apparently, in depriving the child of the power to walk aftei
he has had the pleasure of that ability, just like our perverse
subject. They have a mutual affinity for bones, possibly they
would make good minstrels.

The business firm of which the subject of our sketch is a
member, Messrs. Backache, Stiff-neck and Rheumatics, do
business on Spinal avenue, between Cervical and Lumbar Sts.
They always have a good supply of fresh goods whenever the
weather changes, are accompanied by a falling barometer, and
advertise a grand opening whenever there is an east wind. Mr.
Lachnanthes, who is quite deaf, has a crick in his neck and a
sore throat at the same time. He and our subject together
keep away from the windows for fear of the draft of air that
comes therein. Messrs. Rhus. Tox, and Berberies attend to
the Lumbar street end and both find difficulty in arising from
their seats to wait on customers, hence they keep mostly on
the move. Occasionally Rhus will rest his back against some¬
thing hard and get easy, or will stand with it next the stove
and feel relief, but Berberies in those positions gets no
relief. The peculiar numbness of his Lumbago gets
very painful. It makes him quite stiff and runs into his limbs;
but he gets no comfort until the pesky customers are all gone,
and even then it is slow in coming. If questioned closely he
is very apt to confess a vesical trouble, which is aggravated
conjointly with his lame back.

The children, supposedly distant cousins, Cina and Cham,
who claim kin are particularly cross and peevish. They whine
and must have much attention. They are always hungry, but
unlike our friend—their relation refuse the food when offered.
They have indigestions quite alike, and alvine discharges quite
unlike.

Last, but not least Calc. Phos. has a relation quite near who
is a female. She is very consciencious and sensitive. Has a
changeable disposition and can easily laugh or weep ; would
therefore make a great actress. Her emotions are variable
and change with every breeze of sentiment, now indignant

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Notes from Clinic.

365

then repentant—always inconsistent. During her moments of
silent meditation, she sighs over the failure to achieve some
object very dear to her. She indulges a silent grief and tears
and is comforted therefrom. When a small girl at Wesleyan
University, if scolded she would go to bed sick and sob after
she was asleep. Since she has become grown and better
known, she has had several offers to go on the stage at high
salaries, because of her versatile nature and prominence, but
she has declined them, because she prefers to reach her ideal
and become an authoress. Whether she has ever been the
plaintiff in a breach-of-promise suit of National interest is yet
uncertain, but she has had “one affaire des coeur” and sighs
and grieves over it. Her name is Ignatia. Our subject also
has had his disappointment and is grieved. He sighs and they
two sigh to each other. Sighs of various size. Sighs of re¬
ciprocal sympathy. They weep together and think of times
agone. They take melancholy pleasure in saying the ( ‘saddest
words of tongue or pen”—this they do and are pleased to be¬
lieve that no one knows their secret.

NOTES FROM CLINIC OF PHILADELPHIA POST GRAD¬
UATE SCHOOL.

SERVICE OF F. E. GLADWIN, M. D.

Jan. 4, 1894. Mr. R. brought his son, Alexander, aged
three, to the clinic telling us that a fellow workman had told
him we could cure the child without an operation. He had
already taken the little fellow to two of the leading dispensaries
in town and puncture and circumcision were advised.

Child was well until three weeks ago when he had a
diarrhoea.

Stools watery, almost involuntary, (sudden urging) yellow
offensive, curdled, undigested,

<After 12 p. m.

Involuntary during sleep.

Cured? by the old school treatment.

Since diarrhoea stopped wets the bed every night.

Hydrocele appeared “caused by a kick from his little sister?”
Sulph Mm .

Jan. 9. Some diarrhoea, but is better now.

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Jan. 16. In voluntary urination during the day, smells
strong.

Fond of playing in water.

Hydrocele has been smaller but now seems larger than ever.
Jan. 23. Bark rings under eyes at times.

Wets the bed more than before. Phos 44m .

March 13. Steady improvement.

No more involuntary urination during the day.

Wets the bed no more.

Hydrocele has disappeared.

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Repertory of Symptoms, Etc .

367

(Continued from May Number)

Sensation as if Pressing—hard body pressing backward and
downward against rectum and anus at stool.
Lil. Tio.

<< Pressing—flatus pressing against coccyx, by

which it was retained—Zinc.

“ Pressing—an angular body pressed inward in

rectum— Prun.

<< Pressing—bowels, bladder and rectum pressed

by a sharp instrument—Nux V.

“ Protruded—rectum protruded and went back

with a jerk— Ratan.

“ Protrude—bowels would protrude—Ascl. Tub.

“ Remained—something remained in rectum
after stool—S ul.

“ Remained—more feces remained to be passed

—Nux V.

“ Remained—part of feces remained in rectum—

Nit. Ao.

“ Sand—sand, sticks or gravel in the rectum—

COLLIN.

“ Sand—passing sand from the rectum—Ars.

“ Skin—skin rubbed off the anus—Carb. Ac.

11 Screw—screws boring upward and downward

in the anus—Fer. Iod.

*' Sharp—sitting on something sharp—L aoh.

“ Something—something would pass the bowels

—Ascl. Tub.

“ Splinter—splinter in the rectum—N it. Ao.

“ Splinter—splinters of glass in rectum in every

direction— Ratan .

11 Split—stool would split the anus—Mxz.

“ Sticks—sand, sticks or gravel in rectum—

COLLIN.

“ Sticks—sharp sticks were being pressed into

rectum—N it. Ao.

“ Sticks—stick pressing into rectum—Rumex C.

*• Stuffed—anus stuffed full— Apis.

“ Substance—foreign substance lying in the

rectum—N at. M.

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Sensation as if Thom—thorn pricking in anas—Lyss.

“ Tied up—rectum tied up with strictures—
Syph.

“ Tom—rectum were torn to pieces—S ul. Ac.

“ Tom—anus were tom—E rig.

‘ ‘ Torn—rectum tom open during stool— Calc. C.

“ Twisted—something twisted and turned about

in a circle in anus, and something like drops
of water flowed down—Fer. Iod.

“ Twisted—rectum and anus were twisted up—

Rat an.

“ Water—cold water tickling in anus—Can. S.

“ Water—stools Were boiling water—Merc. Sul.

<< Weight—ten-pound weight hanging upon the

rectum—Jamb. Euj.

“ Worms—worms in rectum and anus—Agar.

‘ * Worms—large worm in the anus—Cinnab.

<< Worms—thread worms crawling in the anus—

Croc.

“ Worms—worms in anus—Fer. Iod., Elaps.

“ Worms—worms cradling about in anus—T ie. ,

Zinc.

URINARY ORGANS—KIDNEYS.

“ Biting—something biting passing urethra—

Guaic.

“ Body—a cylindrical body was being forced

through the urethra—Stram.

‘ * Body—anus and part of urethra were filled up

by hard, round body—Can. Ind.

11 Bubbling—something bubbling in right kid¬

ney— Medorr,

“ Bullets—bullets or something similar fill in

bladder to its outlet—Pulex. Irrit.

“ Calculus—calculus passing ureters—Medorr.

“ Calculus—calculus unpacked in left ureter—

Cereus. Bon.

“ Drawn—urethra drawn up into knots—Can. S.

1 c Drops—drops of urine were in urethra—Cedr.

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Repertory of Symptoms, Etc,

369

Sensation as if Drops—last drops remained behind on urinat¬
ing—A bo. Nit.

“ Drops—a biting drop forcing its way out at

tip of urethra—Selen.

‘ ‘ Drops—drops came out of bladder—S ip.

“ Dropping—constant dropping of urine from

urethra—C idb.

“ Fall—bladder would fall to side on which he

lay—P uls.

<< Fell—bladder fell from side to side and was

enlarged— Sep,

“ Gonorrhoea—gonorrhoeal discharge in urethra

—Can. I.

“ Iron—red hot iron passed along urethra—

CANTH.

<< Knives—knives plunged into kidneys—A bn.

“ Lead pencil—hard body like lead pencil was

being forced upward and backward from
bladder to kidneys—Sanic.

< < Needle—needles pricking into urethra—Can. I.

“ Needle—needle sticking in forepart of urethra

—Caps.

“ Needle—needle sticking in right kidney—

Staph.

“ Passed—few drops passed through urethra—

Ambr. Selen. Thuj.

“ ' Pressed—something pressed against right kid¬

ney—Am. Br.

“ Pressing—cutting instrument pressing in fore¬

part of urethra—Nux V.

“ Pressing—Blunt instrument big as thumb

pressing in kidney— Gels,

“ Raw—urethra was raw—C olch.

“ Remained—something remained behind on

urinating—G ils. Bibb.

“ Run—something would run out of urethra—

Carb. Sul.

“ Running—something running out of urethra—

Dig.

“ Scalded—urethra was scalded—A pis.

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Sensation as if Sore—a sore was in urethra when urinating—
Cinnab.

“ Sticking—something sticking in urethra—As-

par.

“ Stuffed—urethra stuffed up—Syph.

‘ ‘ Swelling—swelling retarded passage of urine—

Hipp.

“ * Tape—a tape prevented passage of water—

Thuj.

“ Urine—urine still passing after urinating—

Aspar. Vibum.

u Water—very hot water passing over parts

when urinating—L ao. Def.

“ Worm—large worm twisting in bladder—Bell.

MALE SEXUAL ORGANS.

‘ ‘ Compressed-right testicle compressed—S taph.

“ Compressed—testicles compressed and drawn

up—Zinc.

4 ‘ Cough—cough felt in testicles—Zinc.

‘ 4 Crushed—testicles were being crushed—RHOD.

“ Drawing—testicles were drawing up into the

abdomen—Bell.

“ Drawn—testicTes were drawn up into inguinal

ring—Sec. C.

“ Knife—knive drawn through testicle— Aur.

Met .

“ Knots—urethra drawn up into knots—Can. S.

44 Moved—testicles moved—Thuj.

“ Needles—needles pricked in .frenum of penis

—Coe. R.

“ Rubbed—Shirt rubbed penis in walking—

Zinc.

“ Seized—testicles seized by a hand and pulled

severely—O l. An.

“ Seized—a small bundle of fibers were seized in

prepuce—Jac.

44 Splinter—splinters sticking in ulcer or chancre

—Nit. Ac.

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Repertory of Symptoms , Etc.

371

Sensation as if Squeezed—left testicle had been squeezed—
Bapt

11 Stretch—urethra was put on a stretch during

coition—A rg. Nit.

* ‘ Swollen—prostate gland swollen—Aloe.

“ Torn—Spermatic cord would be torn to pieces

on coughing —Nat. M.

FEMALE SEXUAL ORGANS.

“ Beating—uterus beating against right ovary—

August.

“ Body—foreign body rising from uterus to

chest—Raph.

“ Bubbling—something bubbling in right ovary

—Medorr.

“ Burst—something buret in womb—E laps.

‘ ‘ Child—child was bounding in her body—

Therid .

‘ ‘ Cotton—Small ball of cotton in vagina—Pulex

Irr.

“ Crossed—limbs must be crossed to prevent

protrusion from vagina—S ep.

‘ ‘ Crosswise—foetus lying crosswise—A re.

11 Dilating—os uteri was dilating—Sanic.

“ Drawn—heart and ovaries were.drawn up to¬

gether—N aja.

“ Enlarged—vulva were enlarged—S il. Zinc.

1 ‘ Fall—genital organs would fall out during

stool—P od.

‘« Falling—uterus falling over—Ang.

“ Flea—flea biting labial, Assure—Culex. Mus.

“ Foetus—foetus moving in womb— Tarent.

“ Forced—everything was being forced out of

pelvis—Xanth.

‘ Forced—womb would be forced from vulva—

Con.

“ Issue—everything would issue from the vulva

—Bell. Lil. Tig. Sep. Nat. C.

“ Knife—knife cutting ; nto ovary—S abad.

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Sensation as if Knife—knife suddenly thrust from pudendum
into right thigh—Croc.

“ Knot—uterus drawn up into a knot— Ustil.

“ Large—vagina was large—Sanic.

“ Needles—needles stitching in ovaries—C oloo.

“ Needles—needles darting upward in uterus—

Lac, C.

“ Open—os uteri was open—L ac.

‘ ‘ Pass—prolapsus would occur and internal or¬

gans would pass out—C alc. C.

“ Passing—something passing out of womb—

Ast. Rub.

“ Plug—dull plug driven from right ovary to

womb—I od.

“ Pushed—internal genitals were being pushed

out—M urxx. P.

“ Pushing—something pushing up in vagina

when sitting—F ib. Iod.

“ Pushing—something pushing in the womb—

Ast. Bub.

‘ ‘ Slivers—slivers or sticks in or about womb—

Arg. Nit.

“ Sac—distended sac in left ovary—Medorr.

“ Squeezed—uterus squeezed by a hand—O ils.

“ Steam—scalding steam pouring into vagina—

Pulex. Irrit.

“ Something—something coming away—with

bearing down—F er. Iod.

“ Something—something was coming out of

vagina—K reos.

“ Swelling—uterus were swelling—Ang.

‘ Turning—foetus turning somersaults in womb

—Lyc.

“ Water—warm water flowing down—leucor-

rhoea—BOR.

1 ‘ Watcb—tick of watch in left side of vagina—

Alum.

li Wave—wave went from uterus to throat—

GEL8.

‘‘ Wind—uterus full of wind—P hos. Ac.

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Repertory of tSymptoms , Etc.

373

LARYNX AND TRACHEA.

Sensation as if Ait—air too cold for larynx—Hipp.

,, Air—too much air were passing into mouth—

Therid.

“ Apple seed—apple seed cells lodged in upper

lamyx or rima glottidis—Bry.

“ Ball—ball 'rising from pit of stomach into

larynx—Kali. Ars.

“ Body—foreign body lying over larynx—I gt.

“ Body—foreign body stopped up larnyx— Arg.

“ Body—foreign body in larynx—Bell. Cubeb.

“ Body—small foreign body in larynx with de¬

sire to swallow—Calc. FI.

“ Body—foreign body in windpipe—Brom. Ter.

“ Closed—larynx and throat were closed—Tarax.

u Closed—upper part of larynx suddenly closed

4 upon breath—M osoh.

“ Contracted—larynx contracted—A lum.

“ Constricted—someone constricted the larynx—

Bell.

1 ‘ Cord—cord was drawn around trachea—C ham.

“ Denuded—larynx was denuded—ACON.

“ Down—down tickling in larynx—S ul.

“ Drawn—larynx drawn shut—Am. C.

‘ ‘ Dust—one were inhaling dust—ARS.

“ Dust—dust in throat and lungs—C alc. C.

“ Dust—dust or feather -down tickling in trachea

—Calc. C.

“ Dust—dust in trachea, throat, and behind the

sternum—Chel.

“ Feather—dust or feather—down tickling in tra¬

chea—C alc. C.

“ Feather—feather in larynx—Daos. Lyc.

“ Film—trachea was closed by a film—M ang.

‘ ‘ Fluid—same fluid had gone into wrong passage

—Lach.

14 Forced—larynx and throat were forced asunder

—Kali. Ars.

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The Medical Advance.

Sensation as i

Fur—larynx lined with fur—P hos.

Hair—hair in larynx—Naja.

Iron—rima glottidis composed of an iron
ring—Chlor.

Knife—knife cutting in larynx—Maucin.

Lump—lump behind larynx—Ustil.

Lump—lump in larynx—Medorr.

Lump—lump size of a w&lnut sticking behind
larynx—C alo. C.

Lump—a lump of phlegm moving up and down
in windpipe on coughing.—C alo. C.

Leaf—small leaf obstructed windpipe on hawk¬
ing—Ant. Tart.

Mucous—larynx was covered with a dry mu¬
cous—C opp.

Membrane-tough membrane were moved

about by cough—K ali. C.

Nail—nail pressing in larynx—S pong.

Notes—notes of piano vibrated in larynx—
CALO. C.

Peppermint—he had inhaled peppermint—
Sanic.

Plug—plug in larynx—S pong.

Pressed—larynx was pressed upon—C hel.

Pressed—larynx pressed back against oesopha¬
gus—C hkl.

Pressed—thyroid cartilage pressed in—Bar. C.

Pressing—some one pressing windpipe be¬
tween thumb and finger—L aoh.

Raw—whole larynx raw—Chlor.

Skin—a skin in larynx—L aoh. Phos. Thuj.

Smoke—air passages were full of smoke—
Brom.

Something were torn loose in larynx on cough¬
ing—C alo. C.

Something had fallen into trachea with whist¬
ling in the throat—Aloe.

Something suddenly run from neck to larynx
and interrupted breathing—L aoh.

Something were in larynx—F er. Met.

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Repertory of Symptoms , Etc.

375 '

Sensation as if Space—windpipe had not space enough—C ist.

I ‘ Sponge—breathing through a sponge— Spong.

i 1 Stone—stone in trachea—Sanic.

‘ ‘ Sticking—something sticking in larynx—Raph.

“ Sulphur—vapor of sulphur suddenly caused

constriction of larynx—M osch.

“ Sulphur—vapor of sulphur in larynx—I pbo.

Paris.

“ Sulphur—vapor of sulphur in larynx excites

cough—ARS., Carb. V.

‘ ‘ Thread—one were drawing on a thread in la¬

rynx from front backwards—Calc. Ars.

“ Talon—talon were sticking in larynx—L ach.

“ Ulcers—small ulcers in larynx— Nit. Ac.

‘ Valve—stopper or valve in larynx—S pono.

II Vapor—vapor in trachea causing cough— Bry.

“ Water—quantity of water flowing into wind¬

pipe—S pig.

INTERNAL CHEST AND LUNGS.

• “ Air—air she inhaled did not reach pit of stom¬

ach— Prua.

“ Air—cavity in upper part of lungs filled with

burning air— Medorr.

“ Air—air did qot penetrate chest—Rumex.

“ Air—could not get air deep enough into lungs

—Caps.

“ Air—can’t inspire air enough—Bry.

“ Air—did not get air enough into the chest—

Brom.

‘ ‘ Air—room had been exhausted of air—Nux V.

‘ ‘ Air—air escaped from lungs into pleural cavity

—Chlor.

“ Air—there were no air in chest— Kali. C.

“ Adhered—lungs adhered to chest—Cad. Sul.

“ Adhered—lower lobe of left lung adhered to

nbs—K ali. C.

“ Adhering—left lobe of lung was adhering—

Euphorb.

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The Medical Advance.

Sensation as if Alive—something alive jumping in chest—
Cboc.

44 * Balls—hot balls dropped from each .breast

through to back, rolling down back, along
each limb and dropping off at heels—follow¬
ed by balls of ice—L yc.

4 ‘ Band—band around chest— Lobel. , Phos.

44 Band—band constricting chest transversely—

Zinc.

44 Band—rubber band drawn around right lung—

Culex. Mus.

“ Band—band encircling chest at line of pleura

—Cap.

( ‘ Band—chest encircled in a tight band—Pic. Ac.

44 Bladder—bladder hung in left chest—Aur.

Met.

44 Blood—blood forcing its way into the finest

vessels of the lungs—Zinc.

Blood—blood rushed from heart into chest and
would burst out above—Spong.

44 Body—foreign body rising from uterus to

chest—Raph.

44 Body—broad body with many points were

pressing upward in chest and dorsal mus¬
cles of left side—Spong.

44 Bound—throat and chest were bound together

—Ars.

4 4 Bound—chest were bound—C aot. G.

4 4 Breath—each breath would be the last— Apis.

4 4 Breath—breath would be taken away from rid¬

ing rapidly down hill—BORAX.

4 4 Breath—breath remained stopped between the

scapulae—Calc. C.

4 4 Breath—breath would leave her on lying down

—Lac C.

44 Breath—breath was stopped at pit of stomach

—Rhus. T.

4 4 Bubbling—something bubbling and boiling in

chest—Lachn.

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Repertory of Symptom* ) Etc .

377

Sensation as if Burst—something would burst in chest—
Rhus. T.

“ Cask—chest was a big empty cask— Phyt.

1 ‘ Clogged—lungs were clogged—P hos.

“ Compressed—chest were compressed—C act.

“ Constricted—everything in chest were tightly

constricted—P lat.

“ Constricted—upper portion of'both lungs were

constricted—Coca.

‘ < Constricted—tight waistooatzconstricted chest

—Lycop.

< ‘ Constricted—lungs constricted and tied up in

bundles—Dio.

“ Constricted—walls of chest were being con¬

stricted—Dio.

“ Contact—lungs came in contact with the back

—Sul.

*< Contents—chest deprived of its contents—

Stan.

“ Cord—cords pulling from suprasternal fossa,

4 downwards and sideways—Apis.

“ Cords—ligated with cords around chest and

waist in morning—A ro. Nit.

“ Cotton—lungs stuffed with cotton—K ali. Bi.

« ‘ Crowbar—a crowbar were pressed tightly from

right breast to left until it came and twis¬
ted in a knot about the heart—Tabac.

i . Cut—chestnut to pieces—Kali. Iod., Zinc. 1

“ Distended—something in chest were being

distended which could not be completely
distended—B by.

“ Drawing—chest were (^rawing together—Py¬

rogen.

“ Drawn—left breast drawn toward back by a

string—Croc.

<* Drawn—left lung drawn up in hand and then

let loose—Medorr.

“ Drawn—left lung drawn to right side—Medorr.

‘ ‘ Drawn—chest were drawn together—Nux V.

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The Medical Advance.

Sensation as if Drawn—something tight drawn around right
lower chest—Culex. Mas.

“ Drawn—sternum gradually drawn toward

spine—Syph.

“ Drops—falling drops in chest—Thul.

“ Dropped—something had dropped down in

chest—Bar. C.

“ Dry—everything in the chest were dry—M erc.

‘ 1 Dust—inhaling dust—Ip.

“ Dust—dust in the lungs—H e par.

“ Dust—dust in the throat and larynx—C alc.

“ Dust—one were inhaling dust—AKS.

11 Empty—chest were empty—Vine. M.

“ Enlarged—calibre of chest enlarged ten fold

—Phyt.

“ Ether—having inhaled ether—G lon.

“ Eviscerated—chest were eviscerated— Pho$.

“ Expand—something should expand but would

not—BRY.

“ Expand—root of lung could not expand—

Chrom. Ac.

11 Feces—feces ascended to chest—L aoh.

11 Feather—feather swaying to and fro in bron¬

chia—R ijmex.

“ Fell—something fell forward in thorax on

turning on right side— ISiil.

Fire—from coals of fire from chest to shoul¬
der— Lach.

11 Fluid—fluid bubbling in middle lobe of right

lung—Tell.

“ Fluid—fluid dropping in left chest— •Puh.

“ Food—food lodged in chest—Am. M.

“ Full—thorax was full—Medorr.

I ‘ Full—lower part of chest too full and tight in

morning—P uls.

II Full—chest were too full of blood—C alc. C.

Lil. Tig.

4 ‘ Full—chest were to full and not enough room

in it—C aps.

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Repertory of Symptom* ) Etc .

379

Sensation as if Full—chest were too full—L yc. Puls.

* ‘ Girdle—tight girdle hindered breathing—C hel.

4 4 Grating—something grating in chest upon in¬

spiration—Eup. Pur.

44 Grown—something had grown fast in the

chest—S ul.

44 Hanging—everything in chest was hanging

down—Crot. T.

44 Half—chest could only be half filled—Dio.

‘ 4 Hoop—chest were bound by a hoop—A es.

44 Hollow—chest were hollow—Are. Aspar. Chin.

Crot. T., Sep.

4 4 Hollow-^hest were hollow and cold—Z inc.

< * Hot—she had something hot inside the chest

—Spong.

“ Hypertrophied—all tissues in chest were ^hy¬

pertrophied—Chlor.

44 Ice—lump of ice in right chest—S ul.

44 Iron—hot iron had been run into chest and

a hundred weight put on it—N aja.

44 Iron—bar of iron around the chest—A eo.

Nit.

* Knife—knife thrust in right chest—Corn. FI.

44 Knife—dull knife thurst into chest between

fifth and sixth ribs— Dulc.

Knife—knife thrust into left chest—Stan.
4 Knife—knife thrust into top of left lung—

Sep.

4 4 Knife—knife plunged into chest —Nux M.

44 Knife—knife in chest—Sumbul.

* 4 Emives—knives cutting in chest—Psor.

44 Emives—knives thrust into chest—HYDRAS.

4 ‘ Knives—two knives going toward each other

in chest—K ali. C.

4 4 Laced—chest were laced—Glon.

4 ' Load—she had a load on upper part of lungs—

ARS.

4 4 Loose—everything in chest were too loose, short

or wabbling about— Spig.

Lump—lump in chest—A mbe.

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The Medical Advance.

Sensation as if Long—a piece of long would come ont on
coughing—Mag. Sul.

“ Lying—during sleep someone was lying on him

—Pyrog-

“ Mass—hard mass collected in the lungs—

Sticta.

11 Mucous—lungs were full of mucous—L yc.

“ Mucous—respiratory passages filled with mu¬

cous—Copaiba.

“ Narrow—chest were too narrow—GRAPH.,

01. an., Sbneg.

“ Narrowed—cavity of thorax narrowed— Agar.

‘ < Needle—red hot needle burning in upper part

of chest—01. An.

< ‘ Needle—needle sticking in left* chest— Spig.

1 ‘ Peppermint—he had inhaled peppermint—

Sanic.

“ Pieces—chest would fly to pieces—Lactuca

' Vir., Sul.

“ Pins—pins and needles under Sternum—K ali.

Bi.

* ‘ Plug—plug of mucous moving in chest—Coc. C

“ Pressed—chest pressed inwards from both

sides—Bell., Cina.

“ Pressed—lungs pressed against spine—L aur.

< < Pressed—lungs were pressed up into the throat

—Lach.

“ Pressed—something were being pressed away

from sternum—K alm.

< ‘ Pressing—ribs pressed against lungs—I bis. v.

< < Pressing—chest oppressed by some one pressing

upon it with hand—PER. M.

‘ ‘ Prevented—something in chest prevented ex¬

halation when talking or coughing—D ros.
“ Pulled—something pulled from spleen into

chest—Borax.

“ Pushed—lungs pushed back to spine—Seneg.

< < Raw—chest were raw inside—Gamb.

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Repertory of Symptom*, Etc.

381

Sensation as if Rivet—rivet from upper part of left lung to
scapula—S ul.

44 Ruptured—inner and lower third of right lung

were ruptured—Chlor.

4 4 Screwed—chest screwed together—Glon.

4 4 Short—chest was too short—Lars.

4 4 Sinking—lungs were sinking down—Bad.

44 Small—chest were too small—I gt.

44 Smoke—inspiring smoke or pitch—B ar. C.

Nat. Ars.

44 Smoke—lungs full of smoke—B ar. C.

44 Something—something size of fist were in

chest and throat—Cic. V.

44 Sore—her breath was fanning a blistered sore

in the lungs—Medorr.

44 Stick—dull stick pricking in right chest—Pal.

4 4 Sternum—sternum lying too close and oppress¬

ed breathing—C ina.

44 Stone—heavy stone in chest—Alum.

4 4 Strapped—chest was strapped—Ailan.

4 4 String—string pulling in right breast—Sumbul.

44 Stuck—all air cells stuck together—Ailan.

44 Stuffed—chest was stuffed—L aos.

44 Sulphur—he had inhaled sulphur fumes—

Lyoop.

4 4 Suspended—all internal organs suspended from

chest—L il. Tig.

4 4 Tied—lungs were tied with a thread—Kali. Mur.

44 Tearing—something tearing in chest— Spig.

44 Tearing—something was tearing away in lungs

—Nit. Ac.

4 4 Tight—garments too tight about chest-Millef.,

Nux V.

4 4 Tight—clothes were too tight around chest—

—CAUST. Phos.

4 4 Tight—lungs were too tight—N at. M.

44 Torn—something torn loose under sternum on

coughing—P hos.

44 Torn—heart and breast were torn to pieces—

Hyos.

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The Medical Advance .

Sensation as if Tom—lungs were tom out—Elaps.

‘ 1 Tom—something tom loose during inspiration

—Berb.

4 ‘ Tom—everything tom in chest—Psor.

44 Tom—something tom loose in chest—NUX V.

4 4 Tom—something would be tom out of chest by

cough—Rhus. T.

4 4 Turned—something turned round in chest—

Stram.

4 4 Vise—front of chest had been compressed in

vise—H elon.

4 4 Water-hot water were floating in chest—H epar.

4 4 Water—drops of hot water in left chest—H epar.

4 4 Water—boiling water poured into chest—Aeon.

44 Wave—cold wave in the chest—C amph.

44 Wave—hot wave like steam moving through

abdomen and chest—Lyss.

4 4 Wave—left lung moved in waves—D ulc.

44 Weight—heavy weight in chest—Lactuc.

OUTER CHEST AND MAMMAS.

44 Air—air streamed from the nipples—C ygl.

4 4 Ants—ants were running over chest—M ez.

4 4 Band—iron band encircled chest—C ACT. GR.

44 Band—narrow band drawn tightly around lower

third of chest—Chlorum.

44 Beaten—chest had been beaten—APIS.

44 Breast-bone—an instrument passed through

the breast-bone—C alc. Phos.

44 Close—Sternum lying too close and oppressed

breathing—C ina.

4 4 Cord—cord tied tightly around lower part of

chest—CACT. GR.

4 4 Cloths—she had wet cloths applied to anterior

wall of thorax only when walking in open
air—Ran. B.

44 Crushed—sternum was being crushed in—

Kreos.

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SURGERY.

THE TREATMENT OF SYPHILIS.

HOWARD CBUTOHER, M. D., CHICAGO.

The present position of the traditional school upon the treat¬
ment of Syphilis is not calculated to inspire deep respect for
either its logic or its practice. The germ has not as yet been
found, and, of course, until he is, nothing can be regarded as
settled. That a germ is responsible for Syphilis is accepted as
a matter of course. As there is no other origin possible the
malady must be of bacterial origin. This much is perfectly
evident. But, supposing for the moment, that the germ,
while undoubtedly present, is simply undiscovered, he ought
to be found in all his glory, in, around and about the primary
sore; this much is bound to be admitted. It is absurd, it is
preposterous to presume that a colony of these wary creatures
could locate in a distant part and conduct their campaign
against the local tissues by telegraph. In the first place the
wires would become affected and thereby rendered useless for
the transmission of reliable messages. The germ, then, is
present, alive and active at the point of primary lesion—if he
is anywhere, add he must be present; for without the melan¬
choly prince of Denmark there can be no Hamlet. Being
present, he can be destroyed by fire or its equivalent. Any¬
thing that will destroy the tissues will destroy the germ, for
whatever destroys the whole must logically destroy any part of
that whole. But this remarkable germ defies all ordinary
rules, and the more he is harassed and angered the more veno¬
mous and ferocious does he become. If done to death in one
quarter his ghost springs up like magic in another.

These lessons have at last been scared into the minds of
Traditional Therapeutics and the germ has come to be feared
if not reverenced in his chosen primary abode. His treachery,
his duplicity, and his total disregard of all traditional theories

383

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384

The Medical Advance.

and methods are too well known to warrant further trifling.
Although his personal appearance is shrouded in deepest mys¬
tery, his character is so well known that we can deduct there¬
from some exceptionally practical lessons. One thing is clearly,
if not gladly admitted—the germ will tolerate no personal
indignities. He must then, be overwhelmed, beaten and
driven to earth by an overpowering vitality, and, curiously
enough, he .seems to yield quietly, surely and permanently
whenever the higher forces are directed against him.

His old enemy, Mercury , even in the ‘ ‘smallest” doses seems
to prevail against him with disheartening certainty, particular¬
ly if the germ happens to be ravaging among the vitals of a
patient whose general symptoms are similar to those produced
by Mercurial doses in a person 'undoubtedly free from the
presence of this wonderful creature. This is really the logic
of the situation. Syphilis is a germ; Mercury is death to
germs; therefore Mercury will kill the germ—sometimes. But
it ought to do it every time, and herein lies the discourage¬
ment. Sometimes the germ is not killed—at any rate the pa¬
tient is not cured. The Mercurial dosing has been overdone,
and then Hot Springs (Hepar Sulphur)' is an excellent antidote
to the Mercury.

Meantime the patient suffers, languishes, perhaps dies.
The germ is, strictly speaking, very bad company, and, of
course, those who give him shelter must expect more or less
trouble on account of his infirmities of temper. But to re¬
turn to the germ, he eludes pursuit and declines personal ac¬
quaintance. He cannot be found. It would not make the
slightest difference to suffering humanity, save possibly to in¬
tensify the tortures of the malady, but we earnestly hope the
Syphilis germ can be discovered and insolated. He is being
searched for today by hundreds of earnest, able, faithful stu¬
dents, upon one of whom he will confer some modern immor¬
tality, provided he can only be cornered and looked squarely
in the eye. Somebody will find him! what a discovery! what a
label for that slide! Science will appropriate another garland
wreath to her overloaded brow and germdom will tremble from
head to tail. But the germ will still sting if meddled with;
he will continue in business at the old stand and at as many
new stands as he can appropriate; and two million years hence,

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Treatment of Syphilis.

385

when a new-St. Paul’s Cathedral has been erected to accom¬
modate the New Zealander’s in London and a new bridge shall
span the watery wastes of the Atlantic, the germ will proclaim
his longevity and will narrate with a merry twinkle in his tail
how he outwitted the combined gray matter in the Traditional
School for uncounted generations, and we can think of nothing
that is calculated to afford such hilarious amusement to a
healthy germ as the ‘ ‘germ” theory, which is named in his
honor in spite of his character, his habits, and the funeral
lessons that shine like the noonday sun in his pathway.

There is a method by which this malady can be eradicated
swiftly and permanently. In the first place a human being is
the victim. The sole problem is to cure the one afflicted.
This can be done by applying drug forces to morbific forces.
It is not a problem of chemistry, or of mechanics, or of any¬
thing save dynamics. Balancing one force against another is
the sole question. What force will annihilate that force?
The constitutional treatment of Syphilis is the only treatment
that has ever yielded satisfactory results. This is admitted by
all trustworthy traditional therapeutists, and it is true beyond
all question what sort of constitutional treatment? That
which follows most nearly the law of Similars in the selection
drugs, and which carries out in practice the plainest truths in
science as to the real nature of the malady governing the “size”
of the dose and the frequency of its repetition by the condi¬
tion of the patient.

This may impress some progressive person as somewhat out
of line with modern scientific progress, but as two grains bear
no curative relation to forty grains we decline to accept the
baseless theory, exploded a million times and ready for a
fresh explosion at every trial, that color, or taste, or densi¬
ty—purely physical qualities—bear any relation whatever to
the problem. Traditional medicine is more successful, of
course, because the average homoeopath “dilutes” his doses
with so much sugar of milk!

The practitioner who has not treated Syphilis with the indi¬
cated remedy in its potentized form and in infrequent doses
may know a great deal, but he has much to learn about curing
Syphilis, which more of the love of truth and less of bigotry
will enable him to obtain.

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♦VARICOCELE ; ITS SURGICAL TREATMENT.

BY WM. DAVI8 F 08 TEE, M. D., KANSAS CITY, MO.

Varicocele is a distention and enlargement of the spermatic
vein; and whether considered on account of the pain it some¬
times occasions, or on account of a wasting of the testicle,
which now and then follows, it may be truly called a disease.
It has been frequently mistaken for a hernia. The uneasiness
or distress it produces in the back is readily relieved by the re¬
cumbent posture, or by suspension of the scrotum.

In addition to the pains in the back, sense of dragging, and
other physical inconveniences attending this complaint, persons
affected with varicocele are subject to recurring fits of melan¬
choly and mental depression. Delpech was assassinated by a
man whom he had cured of a double varicocele by tying the
veins some years before. The man’s testicles were found
wasted and soft after death, creating the suspicion that the
spermatic arteries had also been involved in the ligation.

The affection is mostly confined to the part of the vein below
the external abdominal ring, the vessel growing gradually
larger as the testicle is approached. This gland, if affected at
all in connection with this malady, is in consequence of the
pressure. In cases of long standing the testicle becomes prac¬
tically obliterated.

Varicocele most commonly occurs between the periods of
puberty and middle age. Gross met with it as early as the
eleventh year. About one male out of every ten is affected.
Assuming the population of the United States to be seventy
millions, and that one-half or thirty-five millions are men, then
three and one-half millions of cases of varicocele now exist.

The etiology is veiled in much confusion and considerable
obscurity,—different causes are assigned by different writers.

The disease nearly always occurs on the left side, to some
extent in consequence of the fact t&at the left spermatic vein,
at its entrance to the renal, has no valve; it is larger than the
right, and opens into its emulgent at a right angle.

The affection may be induced by whatever condition that Las
a tendency to facilitate an afflux of blood to the genital
organs, or to serve as a habitual barrier to its return to the

♦Read at Missouri Institute of Homoeopathy, April 18,1894.

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heart. Among these are lack of normal exercise of sexual
function, venereal excesses, masturbation, chronic diseases of
the scrotum and testicles, riding on horseback, bodily fatigue,
the presence of tumors in the groin or pelvis, and the wearing
of ill-constructed trusses. Constant relaxation of the scrotum,
however induced, powerfully predisposes to the development
of the disease.

It is believed that the practice of circumcision, by removing
the mo3t prolific cause of onanism, would materially contribute
to prevent varicocele. What information on this point might
be found in statistics, time has not allowed inquiry, whether
varicocele is less common among the Hebrews or other nations
who practice circumcision than in those who do not.

The diagnosis is usually easy. Varicocele is more likely to
be mistaken for hernia than any other malady. There is only
one method of distinguishing the two complaints: Place the
patient in a horizontal posture and empty the swelling by pres¬
sure upon the scrotum, then put the finger firmly upon the
upper part of the abdominal ring and desire the patient to
rise: if it is a hernia, the tumor cannot reappear as long as the
pressure is continued; but if a varicocele, the swelling returns
with increased size on account of the return of blood into the
abdomen being prevented by the pressure. The older sur¬
geons were of the opinion that varicocele could be palliated,
but seldom radically cured.

Various operations have been proposed and performed for
the cure of this malady. These include open and subcutan¬
eous ligation of the spermatic artery, castration, ligation of
the veins, destruction of the veins by the actual cautery; excis¬
ion of the veins, either alone or combined with ligation; com¬
pression with screw forceps; and lastly, excision of a portion
of the scrotum. From the fact that these various operations
have been made at different periods in the past by the best
surgeons, and the operations often attended with failure or
death, is conclusive evidence that the cure of varicocele is
difficult.

The method of radical cure attended with the minimum
amount of danger, and promising the very best results, is that
of multiple antiseptic ligation.

The field of operation should be shaved, scrubbed with soap

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and water, to render it absolutely clean, then with bichloride
solution one to four thousand, and covered with towels wrung
out of a similar solution. Before the incision is made the
exposed surface should be finally immersed with ether.

THE OPERATION.

The tissues are made tense by drawing the testicle down¬
wards; an incision two inches in length is made over the most
prominent portion of the tumor. The veins are exposed, but
not separated from the fascia surrounding them and holding
them together. The vas with its venous plexus is recognized
and avoided. An aneurismal needle threaded with catgut is
then passed through the fascia, carefully avoiding injury to
the veins; include about one-half or three-fourths of the entire
mass of dilated veins within the loop, then securely ligate.
Repeat this proceeding at several points—from two to six-
depending upon the bulk of the tumor when the veins are dis¬
tended. One ligature should be placed at the lower, one at
the upper end of the incision, and as many others as required
between these two. All oozing is arrested, the wound closed
with fine catgut suture, and dressed antiseptically. The
patient is to remain in the recumbent posture for about two
weeks, and a suspensory should be applied before getting on
his feet. The indurated condition of the tissue following will
be in due time completely absorbed. In cases where the
scrotum is extremely lax and pendent, it should be freely re¬
trenched before the wound is closed.

*ARTHROTOMY IN OLD DISLOCATIONS OF THE
SHOULDER JOINTS—CLINICAL.

W. E. GREEN, M. D., LITTLE ROOK, ARK.

Mrs. McT., aet. 50; eleven weeks previous, fell from her bed
and sustained an anterior (intra-caracoid) luxation of the left
shoulder. The arm hung rigidly by the side, but owing to the
patient’s being very fleshy, little change in the contour of the
shoulder was noticeable. Upon careful exploration, the head
of the humerus could be felt well forward in the axilla. The
arm was powerless, as all movements of the arm, fore-arm and
fingers were lost. She suffered constant and severe pain

*Read befcre the Missouri Institute, April iS, 1894.

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caused by pressure upon the nerve. An old school surgeon at¬
tended her and kept the arm for three* weeks in a dressing,
thinking he had effected a reduction. Later, two others were
called who attempted reduction under an anaesthetic and failed.

They told her nothing could be done and recommended her
to “make the best of it.” She then called upon another prom¬
inent surgeon who declined to take her case. As the suffering
from nerve pressure was so severe, she determined to try further
and came to me. I frankly stated to her the seriousness of her
case, told her that I would try reduction under an anaesthetic
and if I failed, would cut down upon the head of the bone
(Arthrotomy) and relieve it from its confined position. To this
she consented. Accordingly, after making every preparation
for a thorough aseptic operation, she was anaesthetized with
chloroform, carried to complete relaxation, and a laudable
effort made at replacement; failing in this, I entered a knife at
the outer side of the coracoid process and made an incision down
to the joint, extending it downward along the anterior margin
of the deltoid muscle five inches, exposing the capsule of the
joint. The capsular ligament was then opened, the biceps ten¬
don drawn aside, and the tissue separated from the bone by
means of a probe pointed bistoury, an assistant rotating the arm
to facilitate the procedure. It was found that a tendon or fold
of ligament, had formed an inseparable barrier to the reduction.

This was divided with great difficulty, but after its severance,
the head ,of the bone came readily into place. The tendon of
the biceps was placed in its groove, a counter puncture made on
the posterior aspect of the shoulder and a drainage tube passed
through. The wound was then closed with two rows of sutures,
one cat-gut, deep, and one silk, superficial. The shoulder,
heavily padded with antiseptic gauze and the arm immobilized
with a bandage.

The patient rallied well and no inconvenience whatever, fol¬
lowed the operation. The temperature for the next five days
never exceeded 99. 4. On the fifth day, through want of care
in the dressing, the wound became infected. A sero-sanguin-
ous discharge soon begun to ooze, and the temperature began to
increase, which reached 103 on the eighth day. The wound was
partially opened up; a long slender forcep passed downward,
was made to puncture the skin in the posterior aspect of the

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axilla, and a large drainage tube drawn through from below
upward, thorough irrigation was then practiced. This was
continued night and morning until suppuration ceased. The
temperature soon subsided and the patient made a tedious re¬
covery. While all pain and inconvenience, incident to the ab¬
normal position and rigidity of the member has been relieved,
and its function greatly improved, the arm has not been restored
to perfect usefulness; owing, I think, largely to the long
continued non-use before the operation. While extension, flex¬
ion, rotation and the movements of the hand and fingers are
fairly good, the arm cannot be elevated above a horizontal
position. Had not accidental after infection taken place, and
this was due solely to the neglect of the surgeon in giving proper
directions in regard to the dressing, the recovery would have
been an ideal one and a great triumph for operative surgery.

In private practice it is not always possible for the
surgeon to command the strict attention to nursing of cases
that can be enforced in a hospital, where his orders are rigidly
carried out and every appliance and convenience be at hand.

There is no class of cases that falls into the hands of the
surgeon, so trying as old unreduced dislocations. The comfort
of the patient, the usefulness of a limb, and often the reputation
of a brother physician, are at stake. Many times the mobility
of the limb is so impaired that it is worse than useless, and
again, the pressure of the displaced head of the bone causes so
much pain that life is rendered intolerable. To refuse one of
these cases surgical aid, seems heartless, and yet the under¬
taking of such a task requires no small amount of courage.

The possibilities of failure in results, suppuration, or perhaps,
death, are all important factors to be considered in making a
decision. In the present state of surgical progress, the ex¬
clusion of micro-organisms through the methods of aseptic
surgery, almost entirely removes the liability to suppuration,
the most serious complication that may arise, and renders
operations now feasible and justifiable, which the older surgeons
dared not attempt. In the management of old irreducable
dislocations of the shoulder, the physician has his choice be¬
tween open arthrotomy and excision of the head of the bone.

When arthrotomy and a restoration of the head to its natural
socket can be performed, it is the preferable method; but this

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cannot always be done, as it is sometimes impossible to make
a reduction of the limb, and again, its usefulness is not always
restoredby this method. Failing in reduction, the surgeon has the
alternative of excision of the head; though active rotation is
lost, a fairly good movement of the limb may be obtained.

The operation should always be done in accordance with the
most exacting and rigorous demands of aseptic laws; there
is no department of surgery in which absolute asepsis is so
necessary, as in operations upon the joints. Infection here,
means disaster and, by it, both life and limb may be placed in
jeopardy.

FERRUM PHOSPHORICUM.*

FREDERICA E. GLADWIN, M. D., H. M.

Ferrum Phos. was introduced into society by Schuessler.
Schuessler is not very particular as to what his friends are,
its enough if he takes a notion to them. Society kindly wel¬
comed Ferrum Phos. without question but a conservative few
though old acquaintances of his father and mother were not
willing to accept him without some knowledge of his life, so they
carefully observed him. They chiefly watched him when in the
company of sick people and whenever he inadvertently remark
ed “I was sick like this once” they put it down as a part of
his history, hence it came about that we have here and there a
bit of the history of Ferrum Phos. with but little knowledge of
him. To know a man one must become so thoroughly acquainted
with him as to know his habit of thought, his desires, his im¬
pressions and his expressions. No one ever yet came into such
friendship with Ferr-Phos. as to be able to read his thoughts,
to feel the influence of his inner life. This isn’t the fault of
Ferr-phos; if his friends are satisfied that on the surface he is
merry and entertaining he will never tell them of the thoughts
and feeling lying hidden away in his inner self; therefore I say,
though we may have an occasional glimpse of him through his
history, we do not know him. The tall slim figure of his mother
together with her intelligent face and delicate sensitive nature
reveal her patrician blood. Mother phosphorus belonged to
the psoric family which according to Hahnemann, counts its an-
ifetftors in a direct line straight back to the time of Moses.

•From Proceedings of the Organon and Materia Medica Society of Philadelphia.

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The haughty, proud, dark haired father, although he is always
quarreling and blushes on every occasion, it’s not because he
was lowly born, as each can boast a long ancestral line, so
each received the inheritance which a long line of ancestral
sin and ignorance so often entails upon unfortunate posterity.
Thus it came about that poor Ferrum-Phos. was by no means
a robust child.

Shortly after he was born his eyes became sore; they were'
very red and extremely painful, the nurse was obliged to keep
him in a darkened room because the lights made him cry. His
skin was dry and hot, he was restless at night, and would start
at any sudden noise. The nurse, one of those trained nurses
who are always ready for emergencies, applied a wash and cured
the eyes, before the pus had time to form, for which she received
the mother’s unbounded gratitude. ‘ ‘Sore eyes of the worst
kind, even blindness, were in Mother Phos. family and Mr.
Ferrum had always been troubled with weak eyes, styes, etc.,
no knowing what would have become of baby if his eyes were
once permitted to get a start in that direction. ” The eyes were
hardly cured when it was discovered that Ferr-Phos. had a
‘weak stomach.” He didnt seem to like the milk, and he vom¬
ited it as soon as taken. The mother knew he had taken it
from her, for she was always spitting up her food, she couldn’t
keep even cold water on her stomach longer than ten or fifteen
minutes while carrying him, she was sure they would never
raise the baby. The father said “nonsense!” he himself was
vomiting half the time whether any thing was the matter with
him or not, and he felt much better for it. The nurse knowing
a family quarrel might be disastrous to the mother and that
Mr. Ferrum was pretty sure to have a sick spell after an angry
fit, quieted the rising tempest by saying, baby’s sickness was
due entirely to the abscess in the breast of the mother, and
proved her statement by putting the baby on the bottle and
giving lime-water to correct the acidity of the stomach. Baby
recovered but always afterward, that stomach was ready to as¬
sert itself on the slightest provocation. He was always spit¬
ting up his food by the mouthful; why shouldn’t he? pa and ma
were always doing it.

One day the mother noticed a slight discharge from the nose.
That night she was awakened by the paroxysmal cough of the

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child. Upon going to him she found him in a high fever, his
face was flushed, his eyes glistening, the pulse was quick, the
skin dry and hot and there was much rattling of mucous, in
the chest, even the throat seemed to contain too much mucous,
the breathing was short as though a long breath were painful.

The father was sure that baby had the croup for Mother Phos.
frequently had it when a child. The mother was equally sure
it was asthma and wanted to know how many of Mr. Ferrum’s
family could take a decent breath. The family physician, an
Allopath, diagnosed bronchitis and—but no matter what he
gave—from that time baby was ‘ ‘subject to catarrh. ” He had
catarrh of the eustachian tube, catarrh of the ear, catarrh of the
chest, catarrh of the bowels and may be more.

So the child worried on until the second summer, always
suffering more or less from that “weak stomach.’ 7 He would
vomit when in pain, vomit when coughing, vomit in the morn¬
ing before eating, vomit after eating, he would even waken
from sleep to vomit. He vomited food, he vomited bile, he
had even been known to vomit blood, but worse of all was the
sour vomiting. It wasn’t sour like the ordinary sour food but
a pungent sour more like the fumes of sulphuric acid; it fairly
set his teeth on edge. At times he would puff in the region of
the stomach and hypochondrium, that came from both sides of
the house, then the neighbors were sure he was “liver grown”
and rubbed him down with lard, etc., but in spite of it all he
“worried through” without any more serious trouble until the
second summer, when he cut his stomach teeth. The teeth
came with a fever and the fever rushed in as usual with flushed
face, dry, hot, skin, quick respiration and pulse, and vomiting
of food as soon as swallowed. He had great thirst for much
water, the stools were frequent, green, watery, bloody, scanty,
straining and retching at stool, urine scanty, face pinched, eyes
half open, head rolling from side to side, moaning, starting
from sleep, stools worse at night or after midnight. How he
recovered was not learned, but next we find him a bright child
of fair delicate complexion, light curly hair, flesh fairly firm,
but he seemed weak; there was nothing in particular the matter
with him excepting his teeth.

His difficult dentition was only the beginning of trouble, for
the teeth though hard to come were soon to decay. Whenever

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he tries to eat the tooth begins to ache, as pain always brings
heat and redness to Ferr-Phos. face, so like his father in this,
we see him with hot flushed cheeks crying with pain and running
to the ice pitcher for cold water to hold in his mouth; he knows
that it will relieve it. After a little we find him with neuralgia
in the face, the pains are stinging, pressing, throbbing, worse
from stooping and from cold air.

He is inclined to congestive headaches, blinding headaches,
hammering pains in the forehead, rush of blood to the head,
hot flushed face; headaches are made better by nose bleed.
Ferrum-Phos. nose bleeds bright red blood ; in this he was
like his mother, his father often had epistaxis but the blood
was pale.

I might go on and tell about his measles during which the
parotids were swollen, red and painful, or about the diphtheria
in which the membrane first appeared on the right tonsil, or
the whooping cough in which he vomited and urinated with
the paroxysms of coughing. I might speak of the engorged
veins or tell of the pneumonia which came with sudden onset,
high fever, short, painful respiration and in which he could
not lie down, coughed up bright red blood, was restless at
night, but time compels us to pass on to the rheumatism of
which he was so painfully ill.

With all his other troubles poor Ferr-Phos. was obliged to
suffer the excruciating pains of rheumatism. His Sycotic
father was to blame for it; he knew when he married Miss
Phosphorus that he had never been cured of that old gonorrhoea
contracted so long before, but little he cared what suffering he
brought to his unsuspecting wife and unborn babe—was there
ever a selfishness so cold blooded and fiendish? So poor Fer-
rum-Phos. .walks the floor night after night with rheumatism
when it was where he could walk with it. His rheumatism
was the kind that moved from joint to joint and when it was
in the hip, knee or ankle joint walking was impossible. He
had violent pains in the right upper arm and shoulder, drawing,
tearing pains, better from gentle motion, so sensitive to touch
that he could not wear his coat; the joint red and swollen,
pains insufferable, pains in the wrists, fingers contracted.
One joint after another was attacked, joints were puffy with
but little redness, severe pains in the knees shooting down the

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legs, foot swollen, sensitive to touch, steady, terrible pains all
over the foot and ankle, with all this pain there was high fever,
red face, quick pulse, increased temperature and nights made
sleepless by the severity of the pain, and every day between
4 and 6 a. m. copious sweats which increased the pain already
so excruciating that he could not keep back the tears. Ferr-
Phos. was very sensitive to pain.

Thus was the sin of the father visited upon the child.

During the winter of ’89 and ’90, our first grip year, Ferr
Phos. was ill. His symptoms were very like his old catarrh of
the chest; he was much prostrated by this sickness and never
seemed to fully recover though he was able to be about. As
time went on it was noticed that he was nervous and was grow¬
ing weaker day by day, profuse night sweats seemed to weaken
him, he was restless at night, tired and wanted to lie down
during the day, there was a short, dry, hacking cough; vomit¬
ing of food after eating; instead of the pretty bright red cheeks
the face was pale and swollen, excepting in the afternoon or
during the pain, then the old flush returned. Remembering his
old hemorrhagic nature, for he has bled from nearly every
orifice of the body, we are not surprised to learn that the cough
brought up bright, clear blood, or that on every exertion or on
going into cold air the sputa became blood streaked. No
diagnosis is needed to reveal the meaning of it all

That dread disease tubercular phthisis which so quickly killed
the father and mother was palliated from time to time in Ferr.
Phos. but the end was inevitable. Ferr. Phos. the innocent
victim was surely dying. Who was the murderer? Was it
the generations of ancestors whose ignorance piled up psora
mountain high to await him? Or was it his father whose sin
cursed him with sycosis? Or was it the physician who in
stupidity and ignorance could not find the remedy though
nature screamed it at him all through a life of suffering.

Is not the physician responsible for all the unnecessary suf¬
fering which comes after nature has once plainly spoken the
remedy?

If some wise physician had given the baby, Ferrum Phos.
the correct remedy, the vital force would have been turned
into order and he would have escaped from his inheritance.

What a cry goes up from the suffering little ones against

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those physicians who having eyes see not and ears hear not
what nature is telling them.

When wisdom can redeem suffering humanity, what punish¬
ment is great enough for the sin of ignorance in those whose
ignorance but adds to the already too heavy burden of the
innocent victims.

EDITORIALS.

As the result of exposure and overwork the editor of the
Medical Advance has been confined to his bed for the past
three weeks, but present indications are that he will soon be
able to take his place at the desk and comply with the many
requirements of the journal; and at this point it might be well
to state that the clouds which have been hanging over the Ad-
nance have at last been dispelled, and it is now safe to say
that the journal will continue under the present management,
with more efficient co-operation than at any time in its past
history.

* *

Upon the question of vaccination, the arbitrary demands of
local and state boards of health ^iave been defeated in every
court of justice where a decision has been rendered. Else¬
where in this journal will be found a copy of the cfecision of
Judge Gaynor, of the supreme court of the state of New York
in regard to two men who were quarantined in their stables in
Brooklyn because they refused to submit to vaccination.

The authorities of Chicago have issued the same arbitrary
demands, and have presumed to fine- or imprison all who fail
to comply with their requirements within a specified time.
Meetings are being held in various parts of the city instructing
the public in reference to the inefficacy of the prescribed form
of vaccination, and also showing them their rights from a legal
standpoint.

Experience is an expensive teacher, but if something has
been gained by this general smallpox scare, the public may
feel that the discussion arising from the prevalence of the dis-

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ease will result in great advancement, both in the prevention
of the disease and the care given those who are victims of the
same.

* *

The reconsideration by the executive committee of the date
of the opening of the International Hahnemannian Asso¬
ciation, from June 19 to June 26, seems to be a very wise act
on their part, and will undoubtedly bring to the meeting at
Niagara Falls many who would have been compelled by cir¬
cumstances to attend the meeting of the American Institute at
Denver in place of the meeting at Niagara Falls. By this new
arrangement of dates many can so arrange their trip as to take
in both meetings without any breaks in their vacation

It is hoped that both of these meetings will be largely at-
♦tended; and the local management at Denver are certainly
doing everything in their power to make this semi-centennial
meeting of the American Institute of Homoeopathy one of the
grandest meetings in its history.

* *

Mr. Hills, a former resident of Chicago, and more recently from
Kansas City, is now manager of “The Windsor, ” one of the
best hotels, conducted on the American plan, in the
city of Denver. He has promised friends in Chicago
to 'give them and their fiends special attention
during the meeting of the Institute. It will be to
your interest to wait until after the special Institute Train
* leaves Kansas City before making definite arrangements.

* *

A Matter of Gratitude. —The route announced by the
official committee of the American Institute of Homoeopathy,
namely, the Chicago & Alton and Union Pacific from Chicago
and St. Louis, is the one that should by all means be patroni¬
zed by those who intend to visit Denver during the sessions of
tl^e Institute. For months the chairman of this committee
worked in vain with the various traffic associations, and in
every case met with discouragement or refusal, until the
Chicago & Alton find Union Pacific declared their intention of
making a one-fare rate for the round trip, when of course, all

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the competing lines rushed into print with correspond¬
ing offers. The members of the Institute owe a plain debt of
gratitute to these friendly lines, which came to our aid in a
time of need, and which deserves the united support of all who
recognize the demands of fair play. The route chosen is
famous for its scenic beauties and is justly celebrated for its
substantial and comfortable equipment.

* *

- *

There is an under current of faith in the discarded princi¬
ples of pure Homoeopathy present at almost all of our state
and local meetings which needs nothing but the strong, posi¬
tive direction of those who know the truth to encourage them
in their groping after a surer and better way for healing the
sick than they Jiave before known. And no better opportunity
can be offered faithful adherents to the principles of Homoeopa¬
thy than the floor of the state and national meetings. Faithful
and thoughtful preparation should be made upon the subjects
open for discussion, to carry conviction even to those who
would not believe.

It would surprise almost every one who has not witnessed
the fact, to see how many are eager and anxious to know of
this better way, and would be glad to learn how to apply these
principles in their every day work. It is not a matter of
prejudice, it is not a feeling of indifference, but it is an un¬
willingness to surrender that which they now have until they
may know how to obtain something better. It behooves every
one of us to be extremely guarded in every statement, so that
it may be scientific, logical and capable of positive demonstra¬
tion. Such preparation makes a man stronger, and every ex¬
pression given to such positive conviction adds largely to his
own adherence to the principles governing his actions.

* *

Under the title of “Vaccination and the Law,” The Record
for May 12 says:

“Our boards of health are sometimes compelled to act autocratic¬
ally and to strain the law a little in order to protect the public.
We have feared that they would get into trouble some day, and in
Brooklyn this expectation was recently realized. Two express-
men who refused to be vaccinated were quarantined in their

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399

stables. Their counsel obtained a writ of habeas corpus, and
challenged the right of the authorities to keep them in quarantine.

They were brought before Judge Gaynor, who said that he did not
see the shadow of right in the action of the Health Commissioner
in imprisoning the men. ‘It is beyond anything I ever thought
of, ’ he continued, *that such an officer should have the power to
impose perpetual imprisonment in this way. The discretion you
claim is limitless, and on the same theory you might as easily
sentence a man to death as to perpetual imprisonment. I am of
the opinion that you have no such power.’

The position of the judge is undoubtedly right. The health
boards have no power in this state to compel vaccination directly,
and to punish by imprisonment those who will not be vaccinated.
We doubt il a law compelling universal vaccination could be
enacted at the present time. ”

Herein is found some sound doctrine. Vaccination, without
regard to its virtues, or to its vices, is in part a surgical
operation ; and no responsible human being can be compelled
against his will to submit to such a procedure.

THE VACCINE MANDATE CANNOT BE ENFORCED.

On the 18th of May, Justice Gaynor, of the supreme court of
New York, handed down his decision, finding that Health Com¬
missioner Emery had no power to quarantine Jonn H. Smith
and Thomas Cummings in the stable on Franklin street, be¬
cause they refused to submit to vaccination. The point was
one of considerable interest This is what his honor says in
his opinion.

Notwithstanding the learned and able brief of the counsel to the
commissioner of health I see no reason to change the opinion ex¬
pressed in the argument The petitioner had recourse to the writ
of habeas corpus in a petition alleging that the commissioner of
health of the city of Brooklyn was unlawfully restraining them of
their liberty. It appears that the said commissioner had confined
them in the building where they carried on their business by
stationing at their door police officers who prevented them from
coming out or any one else from going in. To justify his action
the commissioner makes written return to the writ, but as the pe.
titioners are expressmen, and therefore go about and carry goods
and are, therefore, in his judgment “unusually exposed” to small¬
pox contagion, he ordered them to be vaccinated, and they refused
to submit their bodies to vaccination he (to quote from his return)
“therefore ordered a quarantine to be placed upon said premises,
and that said persons be detained therein, as aforesaid, until they
consented to be vaccinated.” If the commissioner had the power

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to imprison an individual for refusing to submit to vaccination I
see no reason why he could not also imprison one for refusing to
swallow some dose. But the legislature has conferred no such
power upon him, if, indeed, it has the power to do the like. Chap¬
ter 661 of the laws of 1893 (section 24) empowers all health boards
to require the isolation of all persons and things infected with or
exposed to contagious or infectious disease. There is no claim
that the petitioners are infected or have been actually
exposed to infoction. But even if they were subjects

for isolation by reason of infection or exposure, thereto,
they could only be detained while such, and not indefi¬
nitely until they yielded their bodies to vaccination. The
same act directs health boards to provide vaccine virus, “and
at all time provide thorough and safe vaccination for all persons
in need of the same.” This falls far short of authorizing the im¬
prisonment of those who refuse to be vaccinated. Life, liberty
property are inviolable except as effected by express law, and due
process of law. Arbitrary power is abhorrent to our system of gov¬
ernment. If the legislature desired to make vaccination com¬
pulsory, it would have so enacted. Whether it be within its power
to do so, and if so by what means it may enforce such an enact¬
ment, are not for discussion here. If, however, it should be made
by the legislature a criminal offense to refuse to be vaccinated, it
may well be suggested that one accused under such a law would
have to be tried like all other offenders in a competent court and
after that due process of law which is guaranteed to every one by
the constitution. My attention is also called to section 5 of title
12 of the charter of Brooklyn, which is that in the presence of
great and imminent peril of the public health it shall be the duty
of the commissioner of health “to take such measures and do and
cause to be done such acts; and make such expenditures beyond
those duly estimated for and provided, for the preservation of the*
public health from such impending pestilence, as he may, in good
faith declare the public safety and health demand and the mayor
of said city and the president of the medical society of Kings
county, shall-also in writing approve.” This does not mean that .
the commissioners may take unlawful measures or do unlawful
acts. It must be interpreted in the light of the constitution and
settled by legal principles and safeguards. It does not confer on
the commissioner the right to imprison any more than to take life.

I need not discuss here the right to isolate or quarantine in time
of pestilence. That right grows out of the overwhelming necessity
of the case and has its limitations. It is not being exercised here,
for the petitioners are not being held in isolation as subjects of
danger to the community, to be released when their bodies are no
longer sources of infection, but they are being forcibly confined,
because they refuse to submit to vaccination and until they do sub¬
mit thereto. The petitioners are discharged.

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Address of Dr. Cutler.

401

ADDRESS OF DR. WM. P. CUTLER,*

PRESIDENT OP MISSOURI INSTITUTE OF HOMOEOPATHY.

To the Members and Visitors of the Missouri Institute of
Homeopathy.

At the last session of this organization my distinguished
predecessor saw fit to make a departure in his annual address
from the customary review of the progress made in medical
science for the year preceding and presented some facts concern¬
ing good locations in Missouri for the Homoepath. I only regret
.that this address was not ordered printed and sent to every
Homoepathic College in our land, so important do I consider
the information therein contained.

Following this good example I have ventured to make a depart¬
ure and desire to present certain matter concerning State Medical
Societies in general and what I conceive to be the duty of the
Missouri Institute in particular.

No organization that I have ever been a member of has been
the help to me intellectually and professionally as has this one,
and I have observed that those physicians who seem the most
thought of at home and who stand most prominent before pro¬
fessional people are those who come out of their work-a-day
shells at home and regularly attend some State Society.

Many there are who attend a few years and then drop out. I
do not understand why this should be so, except that having
been active and others each year coming forward to aid, having
allowed themselves to be succeeded and so lose interest in the
good work. In looking over the rolls of this Institute I find
just the condition which I have cited above. This should not be.
Those who were the fathers of this Society and who were in¬
strumental in bringing it to it’s present efficient and honorable
position, and which has a reputation from one end of this
Continent to the.other as one of the best, should continue their
care and protection by regular attendance to the end that the
Missouri Institute of Homeopathy and through it Hahnemanian
principles in this State shall go forward in the good work of
education, better fitting it’s members,to cure disease and expound
by precept and example the laws which we know to be grounded
in Nature irrevocably sure and scientific.

•At the eighteenth annual teuton, St. Loait, Mo., April 17-19,1894.

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A law whose application we know can only be acquired by
intelligent people who closely apply themselves and who are
conscientious, honorable physicians. No quack can practice
Homeopathy successfully; and we know that such practitioners
are not found in our school. The bent of mind necessary to ac¬
quire a proper knowledge and understanding of the Homeopathic
law totally unfits one to practice dishonorable methods. Quacks
however are found in that school which uses our remedies oc¬
casionally homeopathically and then turn and shame-facedly
declare that all who practice in accordance with the law of
Similia are charletans.

I believe it is the duty of the Missouri Institute of Homeo¬
pathy for the sake of humanity if for no other reason to show
up in a public way the great disparity between an out of date
system founded by man and one God given founded by the
Almighty himself.

We are now, according to the report of the American Institute
of Homeopathy in it’s transactions for 1893, the fifth in number
of members of all the Homeopathic State Societies, in the
United States. The Homeopathic Medical Society, of New
York, is first with a membership of 415 and holding semi-annual
meetings. Second in size is the Illinois Society with 410 members
meeting annually. Third in membership is the Pennsylvania
Society. They have 349 and meet semi-annually. Next comes
the Massachusetts Homeopathic Medical Society with 305 mem¬
bers with semi-annual meetings.

It will be observed that the largest Eastern Societies (Home¬
opathic) meet twice a year while we meet but once. There may
be food for thought in this.

We are reported as having 260 members, making this Initi-
tute fifth in size. We perhaps have reason to be proud of this as
showing that we at least exist as a Society, but it does not
show the whole truth. I am informed by our ^treasurer that but
97 members, including those just admitted, paid the small an¬
nual due of $2.00 at the last session. This amount serves to
pay the expense of a session but it leaves many members in
arrears. I presume this is the experience of all other Societies,
but it is not as it should be. If every member enrolled felt it
his or her duty to pay each year the $2.00 dues we would have
at all times a fund of not less than $300.00 accumulating each

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Address of Dr. Cutler.

403

year after the expenses of each session had been paid. You
might well say what would be the use of this fund. In reply, I
would say that on the occasion of certain legislation being pro¬
posed which is inimical to Homeopathy in this State, money
would be forthcoming to send some one to Jefferson City to see
to it that Homeopathy was not behind hand in demanding her
rights, andno individual physician would feel burdened by con¬
tributing. Again with this fund on hand many matters would
come up to further the cause among our citizens that are but
thought of now.

It is an honor to be recognized as a member of the Missouri
Institute of Homeopathy second to none other. That much is
thought of the sessions of our Institute by others out side of
this State, that I had best to call your attention to the number
of distinguished visiting physicians present. In the matter of
our membership I have to suggest that it would be an advantage
to this organization to appoint a Committee to draw up some
resolution or amendment to the effect that any member who has
not paid his or her dues after the expiration of a certain length
of time be dropped from the rolls and be so notified by the
Secretary.

I am now led at this point to refer to the number of State In¬
stitutions under medical care or having to do with medical
science, none of whom are represented homeopathically save the
State Board of Health, which after some correspondence and
persistence on the part of a few Homeopaths, was accorded a
Homeopathic member who had been recommended by this In¬
stitute. In this we have cause for congratulation, for as the
Board was first made up, it had the name of no Homeopath as
a member, and it seems the result should teach us a lesson.

I have referred to the fact that persistence accomplished
what we desired and what was our right in this matter. Would
not persistence accomplish much in securing control of at least
one of our State Institutions? At Columbia we have the State
University where medicine is taught among other things. In two
other State Universities a chair of Homeopathy is maintained
at the expense of the State.

Why should this body representing so large a number of tax-
paying citizens not ask of the proper authorities that Homeo¬
pathy be represented in the curriculumof that institution as well

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as an antiquated system of medicine. Missouri is progressive
in all else pertaining to education, why not in this?

There are also three Lunatic Asylums and one School for the
Blind under State control and under medical management,
also the antiquated system. The Board of one Asylum which
is known as No. 1. and located at Fulton, with an average
number of patients of 529, is composed of two physicians whose
terms expire February 1st, 1895, and three laymen^who have
terms until February 1st, 1897. There is a medical super¬
intendent with three assistants, all physicians.

Asylum No. 2 is located at St. Joseph, with 649 patients,
and four medical gentlemen on the staff. This Board is also
made up of two physicians, terms expiring February 1st, 1895,
and three laymen who retire February 1st, 1896.

Located at Nevada is No. 3 with two medical and three lay
members constituting the Board, the former retiring February
1st, 1895, and the latter February 1st, 1897. This asylum has
414 inmates and a medical staff of three. In addition to these
there is the Missouri School for the Blind, located at St. Louis.
This has a Board of two medical and three lay members with
terms expiring at the same time as do those at Asylum No. 3.
The superintendent is a physician without medical assistance.

Now it seems to me that we as Homeopaths are largely to
blame for not having ere this made a demand on the Executive
of this State that he appoint out of the three asylums one
Board at least favorable to the Homeopathic treatment. This
would give us then a Homeopathic Superintendent and assist¬
ants. As to results in cures of the insane we can but point
with pride to the record of the Middletown Asylum, and Ward
Island Hospital in New York, and all othei places where the
Homeopathic treatment is in use. This desirable end can be ac¬
complished as elsewhere. If this Institute, and I believe
it should, would appoint an aggressive committee of three,
and I think if you will permit the suggestion, the present effi¬
cient Homeopathic member of the State Board of Health should
be one with power to act, place at their disposal sufficient funds
to pay their traveling expenses, postage, etc., and expect of
them untiring industry, laying facts before the proper people,
visiting the legislature, if necessary, I am satisfied that the

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Address of Dr. Cutler.

405

time would not be far distant when Homeopathy would be in¬
troduced in the State University and also in a State Asylum.

The time to act is now. As will have been observed the terms
of all medical members of the several Asylum Boards expire
February 1st, 1895, and the term of the lay members of the
Asylum at St. Joseph expire February 1st, 1896. If a re-appoint-
ment is made in each case at the expiration of their several
terms without active work on our part, four years will have to
elapse before we can again command attention. The future
of Homeopathic progress in this State is in our hands, and it
is not alone for the sake of Homeopathy that we should act,
but that the citizenship of this State should be given an oppor¬
tunity to know just what the law of Similia can accomplish, and
that some of these darkened intellects should have the benefit
of Nature’s law of cure to admit light to their diseased minds.
In furtherance of this cause the General Secretary or Treasurer
of this Institute should be instructed to open correspondence
, with all former members of -this body, laying this matter before
them and urging them to come back into the fold and add their
dues and influence to that of others for the glory of Homeopathy
and the benefit of Humanity.

My distinguished predecessor took occasion a year ago to
call your attention to the fund for the construction of a monu¬
ment to the immortal Hahnemann. I believe nothing official
was done at that time, although the committee on President’s
address recommended that something should be done. Let me
suggest now that a committee should be appointed to solicit
funds m this State for that purpose, and if this is not done, then
a given amount after the expenses of this session are paid
should be ordered appropiated and forwarded to the proper
committee.

I congratulate you upon the beautiful and intellectual pro¬
gramme which has been prepared, after much labor, by our effi¬
cient general Secretary. It indicates progress in our State work
and is a step in advance of old methods. I trust this session
will be one to be remembered in the cordial good will felt among
those present and that nothing intemperate will occur to mar
the harmony of the meeting. (Applause)

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IN THE MATTER OF VARIOLIN.

CHA8. B. GILBERT, M. D., WASHINGTON, D. 0.

Granting that Variolin will protect against variola, (Advance
XXX1-215) where can we get pure variolin? We cannot get
it from the cow or any other animal, except man; but man in¬
herits gonorrhoea and syphilis in their different forms of mani¬
festation; how shall we know that the source of our variolin is
not polluted with those viruses?

If we can get variolin from a source where there has been
neither gonorrhoea or syphilis for two generations on either
side I shall then be satisfied. There are two preparations in my
draw—Jenichen’s 80 and Swain’s cmm —but I do not know the
source.

I do not like to vaccinate because I do not know whether the
virus impure.

If I ever have a case of variola I shall draw the contents of
a viscule potentize(?) it to the 6th and give it back to the patient;
the plan works in chicken-pox, it'will do so in variola and will
also carry out the advice of the immortal Hering: give to every
patient of his own psorium.

There is variola now in several cities; try it.

PERSONAL.

Mr. E. H. Wells of Utica, New York, offers for sale the
private library of the late Dr. Lucien B. Wells. Write him for
particulars.

Dr. Herbert M. Dayfoot, of Rochester, New York, died at
noon Sunday, April 2, at the Hahnemann, Hospital in Philadel¬
phia. Dr. Dayfoot had practiced in Rochester since 1882 and
had won an eminent position in his profession. His death will
be deeply mourned in the community where he enjoyed the
esteem of a large host of friends.

Dr. C. Louis Olds, Dr. Mary A. Johnson and Dr. Rosalie
Stanhowitch recieved the Degree of H. M. at the Phila-Post
Graduate School, May 4th.

Dr. C. Louis Olds has accepted the Position of Lecturer on
Clinical Medicines in the Phila-Post Graduate School of
Homoeopathies, and has located in Philadelphia.

D. Duncan, M. D., has removed his office to Central Music
Hall, Corner State and Randolph Streets, Chicago, Suite 17-18
Hours: 1 to 4 p. m. Telephone Main 2642.

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OBITUARY.

■ j 1 * 1 ■ ■

DR. LUCIAN B. WELLS.

The Homoeopathic Medical Society of the county of Oneida
desires to place upon record and to communicate to his family
its estimate of the life, character and labors in their communi¬
ty of it’s late associate, Dr. Lucian B. Wells.

In the death of Dr. Wells, this society has lost one of its
most earnest and devoted members, and the school of medicine
to which he adhered, one of its most zealous advocates and
defenders; and in common with the other associations to
which he belonged, with the church of which for forty years
he was a consistent member, and the community in which he
had so long lived and labored, deeply deplores his death.

Decided in his convictions, he was courteous and honorable
in all his professional relations and highly esteemed by all who
knew him. Unostentatious and unambitious he was conscien¬
tiously devoted to his profession and faithful in all the varied
relations of life.

We shall miss the familiar presence of one who had long
passed the period allotted by the Psalmist as the usual dura¬
tion of human life, and whose genial and kindly bearing had
endeared him to every member of the profession.

Resolved , That we tender to the family of Dr. Wells our
most heartfelt sympathy, and that a copy of the minutes be
transmitted to them and entered upon the records of the
Society.

Resolved , That this Society will attend his funeral in a body.

DR. HERBERT A. DAYFOOT.

The following resolutions of respect were adopted by the
Monroe County Homoeopathic Society:

Whereas, We as a Society, have met with a great bereav

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ment in the death of our honored colleague, Dr. Herbert M.
Dayfoot, and fully realizing that in his demise we have lost a
warm and faithful friend, a valued associate, a wise counse¬
lor and an accomplished member of the profession.

Resolved , That the Homoeopathic Medical Society of the
county of Monroe place upon record the tribute of its appre¬
ciation of his sterling worth, his genial spirit, uniform cour¬
tesy, and his medical attainments.

Resolved , That we express our heartfelt sorrow in his un¬
expected death, which comes not only as a loss to this society
but to this community in which he lived and practiced.

Resolved , That we lender his afflicted family an expression
of our profound sympathy in their great sorrow.

Resolved , That a copy of these resolutions be sent to the
bereaved family, to the daily press, to the medical journals,
and that they be spread upon the minutes of this Society.

Thomas 0. Spencer,

EdH. Wolcott,
v W. S. Rambo,

T. C. White,

P. W. Neefus,

Committee.

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SOCIETIES.

OHIO HOMCEOPATHIC MEDICAL SOCIETY.

The thirtieth annual session of the Homoeopathic Medical
Society of Ohio was held at Toledo beginning with Tuesday,
May 8th, and continued two days. The meetings were called
to order promptly by the president and with a few exceptions
the sessions were about as formerly, neither better nor if at all
worse.

After the noonday recess, Dr Goodwin, of Toledo, delivered
the Address of Welcome, which was responded to by Dr. C. E.
Walton, who referred to the annual meetings of the state society
as clearing houses which facilitate the exchange of medical ideas
they tend to put value to our work. The man who never writes
a check may have plenty of cash, but it takes a long while for
him to establish himself in any thing in any community ; his
commercial value is never high. Hence we say to the men and
women who live in the state to pass in their checks annually
or stay at home and die and cheat the undertaker.

Dr. Laura Brickley, chairman, called the bureau of Paediatrics
and introduced Dr. Frank Kraft as the first essayist who read a
paper on Grand-motherly Interference. In this paper Dr. Kraft
spoke for some moments of the male grand-mothers who tend
to make the world uninhabitable by their meddlesomeness;
then he detailed two cases of female grandmothers who had
interfered with his work in the obstetric room, opposing him at
every point from the washing of the baby the first time to the
weaning.

Dr. Beckwith followed with ‘ ‘How to Improve the Children of
the Future. ” In this paper the Doctor briefly reviewed the cur¬
rent ideas concerning the value of proper ante-natal influences,
pointing wherein he approved and again where he thought the
theorists were too strong. He said I firmly believe that one
great reason why men of great literary attainments have child¬
ren so far inferior to themselves is because the wives of these
men have not kept pace with them intellectually. The life of
a society woman cannot develop her higher nature; it simply
dwarfs it. Hence she gives birth to children who inherit no

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motive power that tends to stimulate their brains into develop¬
ment. Future mothers should realize this fact that upon the
improvement of their higher faculties rests the future mental
conditions of their children.

Dr. T. M. Stewart’s paper on‘ ‘Snuffles” was debated at some
length. Dr. Ames stated that he had found nux vomica the
3d almost a specific in snuffles.

Dr. N. E. Wright advocated the use of sambucus nigra.

Dr. Quay, chairman of the Bureau of Rhinology, then presen¬
ted his own paper on' Adenoid Vegetations after which the
bureau was closed and the first day’s session was adjourned.

In the evening a very pleasant reception was given to the
visiting members of the state society and their ladies at the
residence of Dr. Emma L. Boice on Monroe and 23d streets.

The house was thronged with guests who partook of refresh¬
ments while listening to music and afterwards indulged in the
mild dissipation of lemonade, cards and some little dancing
Dr. Boice was ably assisted by Mrs. Dr. Watts, Dr. Dennison
and Dr. Clark and other ladies, wives of resident physicians.
Dr. Goodwin added a charm to the evening’s entertainment
by bringing several of his finest microscopes and slides, with
which he managed to corral a great number of the attending
physicians during the evening. During the afternoon, just
following the adjournment, Dr Watts had taken the member¬
ship to the new Toledo hospital and exhibited the handsome
apartments assigned to the homoeopathic school both for oper¬
ative purposes and treatment of disease.

On reassembling, Dr. Reed was given the floor for the purpose
of explaining his labors in behalf of the legislative committee
for the Society at Columbus during the past winter.

After considerable discussion in which many of the members
joined, Dr. C. E. Walton proposed the following resolution:
That the Homoeopathic Medical Society of Ohio convened in
annual session in Toledo, May 8th and 9th, favors the passage
of the Musgrove bill as formulated by the convention of del¬
egates held at Columbus, December 21st, 1893.

This was supported by Dr. Baxter. This original draft
which was ihowever never submitted but was changed by in¬
terested parties and appeared in the senate as a substitute
measure for an equally bad bill. This original draft provided

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Ohio Medical Society.

411

that no school should have a majority on the board; it gave it
power to revise diplomas, charging therefor $5; it had no ex¬
amination feature.

Dr. Morrell was opposed to all legislation. Let the people say
what they want and not the doctors.

The Walton motion is put to vote and declared carried.

Dr. Beckwith tenders a resolution containing a vote of thanks
to Dr. Reed for his services and interest at Columbus.

The Treasurer submitted his report which showed that the
total receipts from all sources was, $487.20; expenditures, $443.
96; leaving a balance on hand, $34.24. There are now 203
members in good standing.

Dr. H. F. Biggar then took charge of the bureau of Gynecology
and called on Dr. Beebe to present his paper on ‘ ‘The ^Automatic
Nervous Ganglia of the Female Pelvic Organs. ”

Dr. J. C. Wood said that it was a good paper for the general
practicioner. Some of the statements he did not believe were
final; it is almost too scientific to be discussed intelligently
without more careful study and consideration.

Dr. G. C. Sanders believed that in these ganglia in the uterine
walls are reservoired thejmrturient forces-

Dr. Biggar speaks of the rhythm of the organs. The author
from whom he quoted likens the menstrual epoch to a menstraul
clock which was wound up for 33 years and struck once a month.
Every woman has a rhythm. We should investigate the nervous
system its anatomy, as well as the pathology of the^female
pelvic organs.

Dr. Walton relates a case of a patient who died from the
effects of shock produced by the inserting of a trocar. The
paper of Dr. Beebe tends to explain that shock—that is that
the trocar struck a pelvic medullary and death ensued as quick¬
ly as if it had been thrust into the brain tissue.

Dr. Clarke, of Toledo, read the paper of Dr. Julia C. Jump
who was not present. It was decided inasmuch as Dr. Clark
was present and willing to read the paper that therefore Dr.
Jump was present by agent and the paper could be read. And
it was. It’s title was 1 ‘Some indications of uterine displacement
and Diseases with hints for non-surgical Treatment.”

Dr. Walton followed with an interesting paper on “Infantile
Sarcoma of the Uterus” somewhat as follows: baby of ten
months or age; healthy parents, fell from it’s crib in the absence
of mother. No immediate consequences; presently vaginal hem-

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orrhage every day. Physicians found supra-pubic enlargement
and rapidly advancing anaemia. Dr Walton's examination
revealed an immovable tumor the size of a goose egg occupy¬
ing all the position of the uterus. Indigitation started a dark-
red inoffensive blood. Mother was filled with remorse for the
apparent neglect of the child. The future comfort of the mother
depended upon the substantiated diagnosis. If the tumor were
an haematocele due to the fall and should the baby die never
could the mother be able to dissociate her carelessness from
the baby's death and be a life-long regret to her. Ten days
afterward we operated and found the uterus twice the size of
an adult firmly anchored in the pelvic cavity by the infiltration
of tubes and ligaments. Interior of uterus was found to be
occupied by a sarcoma large masses of which were easily broken
down by the finger and removed from the vagina. 36 hours
later baby died. Case is interesting because of the unusual oc¬
curence of a malignant disease of the uterus in a baby less
than a year old. Dr. Walton operated on a case so apparently
hopeless for three reasons: first, to clear up any possible doubt
as to the hopelessness of the case; the modern progressive
surgeon is not infallible. Second, to demonstrate to an over¬
wrought mother her entire freedom from culpability. Third
an ante-mortem examination is sometimes more easily obtained
than a post-mortem.

Dr. Biggar presented his paper on c ‘A Case Blind Gynecology"
which in an exhaustive way took up and discussed the more
salient features of ectopic gestation.

Dr. J. C. Sanders said that the graafian folicle is the theatre
in which the drama of impregnation takes place.

Dr. Parmalee relates the case of a woman of 28, the mother of
three children, began menstruating at 14 and continued until
June of last year. After that saw nothing but began to have
pain and a lump in her right side. On the 27th of September last
she showed what she supposed was a menstrual blood lasting a
day and a half, containing clots which are very unusual with her
and more pain in the right side. At that time, supposing there
was a fallopian tubal pregnancy, electricity was used for 12 or
14 sittings without being able to kill the foetus or stop it’s
growth. She gradually grew larger and continued to have pain
but no signs of any further menstrual blood or anything else
until the 15th of March of the present year, precisely nine
months from the date of the last menstruation when she was
so much run down, so much exhausted, that something was
determined upon being done. On opening the abdomen both
tubes were found to be normal, but upon the right side there
was a tumor projecting enclosing within it’s muscular wall
evidently a part of the uterine wall. We knew there was noth¬
ing inside of the uterus because the sound had been used, and

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Ohio Medical Society.

413

then it flashed upon us that this was not a case of tubal but of
interstitial preganancy; so rapidly dilating the mouth of the
womb to admit my hand into the cavity, upon the right side of
the womb could plainly be felt an opening or rather a membrane
or something lodged in the entire opening. The fingers couldn’t
get through that separation, it appeared to be about half as
thick as my fingers, and on taking a large plain sound and
passing it up along my fingers and using a good deal of force
I was then able to break through and to extract a child and
placenta. I didn’t cut off the uterus; I did nothing more at that
time only to take away the tubes and ovaries so that woman
should never be pregnant again. On the ninth day this woman
began to have a gangrenous discharge from the uterus. That
was immediately washed out. On.the next day that discharge
was worse. So the discharge went up and went down until in
time the woman made an uninterrupted recovery.

Dr. Parmalee also stated that a careful examination failed to
disclose any connection between the fallopian tube and the in-
terstitital pregancy.

Dr. Means now called the bureau of Obstetrics and introduced
Dr. C. A. Pauly who presented his views on 4 ‘When are we
justified in Producing Abortion?” which was a fine paper and
well listened to

At this point it was agreed to take up the election of officers
and the place of the next meeting.

Dr. Baxter moved that the next session of this .Society be
held in Cleveland, accenting his motion with the statement that
there no longer existed any feud between the Cleveland doc¬
tors ; that all that had been done away with, and that the im¬
pression which was abroad that the doctors were engaged in
slapping each other faces was erroneous.

Dr. Beckwith in,seconding the resolution supported the state-
of Dr. Baxter and added that now and henceforth the
Cleveland doctors would again be brethren; and that if the so¬
ciety would come to Cleveland next year they would be received
with open arms and made truly welcome.

Cleveland was thereupon selected for the next annual meet¬
ing place.

The election of officers resulted at follows: Dr. R. B.
House, Springfield, president; Dr. W. W. Watts, Toledo, first
vice-president; Dr. W. C. Hastings, Van Wert, second vice-
president; Dr. T. T. Church, Salem, treasurer; Dr. T. M.
Stewart, Cincinnati, secretary ; Dr. Frank Kraft, Cleveland,
assistant secretary ; Dr. D. H. Beckwith, Cleveland, necrolo¬
gist.

The Board of Censors is as follows: Dr. H. H. Baxter,
chairman; Dr. Martha A. Canfield, Dr. E. E. Walton, Dr. A.

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414

The Medical Advance.

B. Whitehead, Dr. Laura C. Brickley, Dr. Hart, Dr. J. P.
Hershberger.

On motion of Dr. Walton it was resolved that the next an¬
nual session shall be devoted to materia medica subjects in
every bureau; that is to say, materia medica as applied to sur¬
gery and gynecology, etc. More materia medica and less cut¬
ting.

This motion caused considerable discussion, simple as it
seems, but mainly through misunderstanding. Dr. Thompson
spoke for the country doctor who came up to these meetings to
learn something of value to himself and his patients and who
had but little if any use for the brilliant operations. Dr. Clay-
pool believed that we are too proud of our mechanical work,
and he thought it was time to stop and see if there is not some¬
thing yet in materia medica that^is of value even to the special¬
ist. Dr. J. C. Sanders wished the matter to take the form of
a suggestion not as a mandate to the chairman.

Dr. Sanders an$ Dr. Means took up the bureau of Obstetrics
and gave some fine papers, the former on Navel Dressings, the
latter on the Value of Preparatory Treatment in Parturition.

Dr. Gann, in the Bureau of Nervous Diseases introduced
Dr. Canfield who had an instructive paper on Neurasthenia,
and was followed by a paper by Dr. Boice with a paper on A
Few Cases of Reflex Origin. The chairman’s own paper
at his request was read simply by title, as well as two or three
others, ^his seemed to be necessitated owing to the lateness
of the hour and the breaking up of the society.

The following are delegates to other societies: American
Institute of Homoeopathy, Drs. D. H. Buck and C. E. Wal¬
ton; Indiana Institute of Homoeopathy, Dr. R. B. House;
Michigan Society, Dr. Albert Claypool; Missouri Institute of
Homoeopathy, Dr. A. L. Monroe; Kentucky Society, Dr.
Thomas M. Stewart.

Dr. Gann moved a resolution of thanks to the Toledo physi¬
cians for their kindness and courtesy, to the local press for re¬
ports.

The Bureau of Materia Medica reported the presentation of
a paper on Bacillinum by Dr. Henry Snow, of Cincinnati,
which was read by title and referred to the publication com¬
mittee.

The following chairmen of bureaux were then appointed:
Materia Medica, Dr. H. H. Baxter; Clinical Medicine, Dr. T.
T. Church; Paediatrics, Dr. W. C. Hasings; Anatomy, Phys¬
iology, etc., Dr. A. C. Roll; Laryngology and Rhinology,
Dr. Strokes; Surgery, Dr. A. E. Scheble; Ophthalmology and
Otology, Dr. Emma L. Boice; Nervous Diseases, Dr. J. A.
Gann; Obstetrics, Dr. G. W. Rhonehouse; Gynecology, Dr.
J. C. Wood. (Adjourned.)

)

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Mercauro does not cause stomachic disturbances.
E. M. JOHNSON CO., 4« °latt York.

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Announcements

Will be ready for mailing about June 15th.

If you do not receive a copy, address

OHAS. W. DAY, M. D., Registrar,

3368 Prairie Avenue, CHICAGO.

Hering Homoeopathic

HOSPITAL

---*-

T HE Faculty of HERING MEDICAL COLLEGE and HOSPITAL,
take pleasure in announcing to the Profession that they have
opened a comfortable Residence Hospital at No. 2334 Indiana
Avenue, for the reception of patients desirous of treatment according
to strict Homoeopathic methods.

Surgical and Gynecological Cases

of every name and nature will be received for operation and treatment.

Prices from $7 to $35 a week, depending upon room and attention
required.

Address all communications to the

HERING H0MG3GPATHI0 HOSPITAL,

2334 Indiana Avenu# v CHICAGO,

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Called H
Hereafter

“LABORDINE.”

ONLY ELEMENTS, C • K. *1* . O

CAUTION -To avoid mistakes in future, please specify t *I 4 AHORDI^ ,f Instead of ANALGINE-
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for our product. Hence our reason for CHANGK OF NAME. The majority of Antipyretics, Analgesics and
Anodynes on the market are COAL-TAR PRODUCTS and as Physicians well know, are DANGEROUS and
MANY DEATHS are attributed to their use.

LABORDINE is a purely VEGETABLE PRODUCT of a brownish gray color, Agreeable taste and odor,
slightly soluble in water, soluble in alcoholic solution, and compatible with all drugs. It is composed of the
active principles of Apium Graved us and Camellia Thea. It is an original formula of PROF . LABORDE,
and is in general use in France and all other European countries, ana has taken the place of all COAL-TAR
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headaches and fevers, arising from any cause, it is unexcelled, also for vague transitory and wondering pains
as of t he Neuralgic and Rheumatic type.

*LABORDINE Sustains the action of the heart LABORDINE Habit cannot be acquired.

always. Does not derange the stomach.

“ Is perfectly harmless. " Leaves the head clear.

** la a purely vegetable product. “ Does not cause dizziness.

“ Leaves no deleterious after effects “ The dose never needs to be in-

“ Always acts alike. creased.

Labordine is unexcelled by an j of the Coal-Tar Products or their compounds, as an antipyretic, analgesis
snd anodyne, compatible with all drugs, therefore most useful and indicated in all diseases of inflammatory
and nervous origin. PRICE $**oo per ounce (powder or five grain tablets.

Average dose, xo grains, repeat if necessary in fifteen minutes. Samples to physicians on application.

Tj A ~RO^X)I3SnB CHEMICAL CIS,

Sol* Agents for North and South Amorlea,

HO. 0 HOBTH EIGHTH STREET, 8T. LOUIS, MO*

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The Medical Advance.

iJMINORRHAQIA

A. Page, M. D., Rushmore, Ohio, says: “In the
treatment of uterine disorders, I have prescribed Alb-
tris Cordial, in preference to all other similar prepa¬
rations, for the period of two years, without a failure in
a single instance. I treated a young lady, 23 years of
age, who had been troubled with excessive menstrua¬
tion for five years. It amounted to almost a hemorrhage
at each period, and lasting ten days. Prescribed Alb-
tris Cordial to be taken in drachm doses, four times
a day, commencing five days before each period. The
first bottle reduced the discharge preceptibly, and
shortened the duration from ten to six days. Ordered
it taken during the interim of the next period, and the
result was almost magical, the second period being re¬
duced to four days, which was normal, and the dis¬
charge the same. The patient has now been eight
months without any treatment, and she, as also my¬
self consider the case permanently cured.

RIO CHEMICAL CO.

ST. LOUIS, MO.

A Full Size Bottle of ALETRIS CORDIAL will be sent FREE
to any Physician who wishes to test it, if he
will pay the Express Charges.

In writing to advertisers please mention The Medical Advance.

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PUBLISHER'S DEPARTMENT

IMPORTANT NOTICE TO SUBSCRIBERS.

THE MEDICAL ADVANCE has no authorized agents,
with the oxoeptlon of one at eaoh Homoeopathlo Medloal
College, who Is authorized to take student subscriptions
only. _

ADVERTISING RATES:

xa mo

6 mo

3 mo

x mo

One Page.

faoo

$xoo

$5°

$30

Half Page.

120

6 o

Quarter Page,.

8 o

Eighth Page..

Rbadxivo Notices fifty cents a line
first insertion, and twenty-five cents
for each successive appearance! ten
words to constitute a line.

Money must invariably accompany
the order.

Propbssxoicax. cards $xo.oo a year including copy of the Mbdxcal Advance.
Cover pages and pages facing first and last pages of the body of the journal, sub¬
ject to special contract

All advertisements will appear in the Mbdical Advance Miscellany Indbx
without extra charge.

Wanted. —Copies of Guernsey’s Bonninghausen. State condi¬
tion and price. The Medical Advance Co.,

Columbus Memorial Bldg. Chicago.

Lippe’s Repertory. —The second edition of this work is now
ready and will he sent post-paid to all parts of the country at the
following prices:

Bound in Cloth, - - $2 75, interleaved, - - $3 25

“ “ Half Morocco, - 3 50, “ - - - 400

“ “ Flexible Morocco, pocket book, gilt edge, - - 5 00

Address, Mrs. G. A. Lippe,

301 D. St., N. W., Washington, D. C.

FOR Rent.—A thorough Hahnemannian can secure office hours
in the elegant suite occupied by Drs. Crutcher, Pierson and Taft
for a very moderate rental. Call at Office.

SPLENDID OPPORTUNITY FOR A HAHNEMANNIAN.

For rent, the offices of the late Dr. Julius G. Schmitt, of Roches¬
ter, N. Y. Shannon file containing a record of every case treated
by Dr. Schmitt, also his complete library and office fixtures. Ad¬
dress for full particulars Mrs. J. G. Schmitt, 113 Ncrth Street,
Rochester, N. Y.

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xii

Publisher ’* Department .

MARYLAND HOMOEOPATHIC SOCIETY.

The Maryland Homoeopathic Medical Society closed its an¬
nual meeting the evening of May 16. The order of business
of the meeting of the Society, according to the program, called
for the election of officers after all the reports of the officers,
the committees and the sections had been made.

The following officers were elected: President, D*. U. A.
Sharretts, of Frederick; first vice-president, Dr. H. W. Web-
ner; second vice-president, Dr. A. P. Stauffer, of Hagerstown;
secretary, Dr. W. Dulaney Thomas; treasurer, Dr. N. Y.
Wright; librarian, Dr. Clarence Nichols; board of censors,
Drs. M. Hammond, Bartus Trew and J. H. Sherman, of Man¬
chester.

At the session of the Society during the day papers on
various technical subjects were read by Drs. O. Edward Jan-
ney, C. W. Weaver, George T. Shower, Eldridge C. Price,
Milton Hammond, Charles F. Goodell, Cora B. Brewster, J.
S. Barnard, Charles Leslie Kumsey, Henry Chandlee, Flora
A. Brewster, and Elias C. Price. At six o’clock the members
of the Society visited the Homoeopathic Hospital on North
Mount street. They were met and received by Dr. J. Oliver
Hendrix, the resident physician, and Miss M. Coonahan, the
superintendent of nurses. After being shown through the
building they were served with an excellent collation.

At night a meeting was held at the college in the interest of
the Hahnemann statue, which is to be erected in Washington.
The special committee from the Maryland Society consisting
of Drs. Clarence Nichols, L. R. Palmer and Noah Jackson,
reported progress in the work of soliciting subscriptions.
Drs. Elias C. Price and Milton Hammond, members of the
American Institute of Homoeopathy, delivered addresses in
honor of the Institute’s fiftieth anniversary.

Before the final close of the annual meeting the following
new members of the Society were elected: Drs. A. S. Atkin¬
son, C. E. Downes, Mary H. Darrell, J. LeCompte Hooper,
J. Arthur Clement, Donna A. Waldran and Jno. A. Shower,
of Baltimore; Joseph S. Garrison, Easton; William R. An¬
drews, Rockville ; William M. Panebaker, Manchester.

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The Medical Advance .

xiii

There are only Two Prepared Foods that will Nourish A Child am
perfectly aa Human Milk.

JLJEttt

CAIOHUCE’S

LACTO-PREPARATA

AND SOLUBLE FOOD

The former is an all-milk Food, close¬
ly resembling human milk in character,
composition and taste, and designed
for infants from birth to seven months
of age, and the latter is composed of
Lacto-Prbparata and Dbxtrinatbd
Whbat, and designed for the remain¬
der of the nursing period and for in¬
valids.

We make the statement at the head
of this page with a knowledge of the
general opinion of the Profbssion in
reference to artificial fbbding, and
a full appreciation of what our state¬
ment implies. It is based on personal
observation and actual test in hundreds
of cases, and we hope that no Physi¬
cian will doubt this statement without
verifying it by making a trial of our
Infant Foods as now put up in hermet¬
ically SBALBD CANS.

Samples will be furnished gratuitous
if you desire to make a comparaive test.

XUMYSCEN

Or Kumyaa in powder form for making Liquid
Kumyaa in less than one minute, by simply dissolving
the powder in water.

More nutritious and more palatable than any Liquid

Kumyaa .

There is no Food that equals it in all forms of Indi -
gestion, Pulmonary Affectiona f Fevera, Vomiting
in Pregnancy, Cancer of the Stomach, and all con¬
ditions of the digestive organs where no food or even
water can be retained. In Phthiaia, it will increase weight and atrength
far more rapidly than Cod Liver OiL ., ,, , ,

KUMYSGEN is incomparable as a Food where eaay digeation and pal -

*T^und , b“ e tlt e o^i7MFSGJBWwill be sent any Physician prepaid on re-
ceipt of fifty cents, which is about one-third its retail price. KUMYSGEN is
now put up only in bottles holding 20 ounces and 5 pounds.

KUMYSGEN is much less expensive than Liquid humyaa to prescribe
and its keeping qualities are perfect, while the latter spoils in a very short time.

* KUMYSGEN, when first prepared. vxu -not reU#/i«d hy some patients, but as IMPROVED
commencing with batch 200 . it wiu phase the most delicate palate .

REED & CARNRIOK. New York.

In writing to advertisers please mention The Medical Advance.

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xiv

Publisher 'a Department.

THE EDITOR OF “AN AMEBIC AN TEXT-BOOK OF
PRACTICE”

“In announcing the completion of “An American Text-
Book of Practice,” the publisher asserts that in this work over
500 pages are from the pen of Dr. William Pepper. This fact,
from a purely mechanical standpoint in these days of enormous
literary production, would not appear in itself to be matter for
special comment but when there is taken into account the Editor’s
busy life, it is a notable instance of the wonderful vitality and
executive ability of an exceptionally gifted man.”

“Dr. Pepper, who is a native-born Philadelphian, is perhaps
no less widely known as a medical practitioner than as Provost
of the University of Pennsylvania, and since assuming the ad¬
ministration of this venerable institution its interests have been
more rapidly advanced than during any equal period of its his¬
tory. The wordsof Governor Hoyt, addressed to Dr. Pepper at
the time of his installation as Provost (1881), that “the events
of this day will affect your own and the fortunes of the Univer¬
sity of Pennsylvania, ” were singularly prophetic. An indefat¬
igable worker, he has conducted the affairs of the University
with such remarkable tact that the various educational depart¬
ments now aggregate thirty huge buildings and the institution
commands an international reputation. But it is not alone as the
chief administrative officer of the University that Dr. Pepper’s
influence is all-potent; he is connected with, and is especially act¬
ive in various capacities in, many learned societies.”

‘ ‘Moreover, in addition to shaping and directing the general
policy of the University, Dr. Pepper attends to a very large
medical practice. He is recognized as the leading American
authority on medical questions, his powers of diagnosis amount¬
ing almost to intuition. He was mainly instrumental in securing
from the city of Philadelphia the gift of the site on which now
stands the University Hospital, and he has always been an ar¬
dent supporter and a successful promoter of charitable works
deserving public recognition. ”

‘ ‘The question naturally arises, How does Dr. Pepper meet
the exactions of all these engagements? The answer is, Simply
by self-abnegation and by his mental adroitness, no opportunity
being lost—whether it be in his office or in his carriage respond-

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P EACOCK’S B ROMIDES

(8YR: BROMs COMP: PEACOCK.)

Each fluid drachm represents IB grains of the Combined C. P. Bromides of
Potassium, Sodium, Calcium. Ammonium and Lithium.

Uses: Epilepsy, Uterine Congestion, Headache, and all
. Congestive, Convulsive and Reflex Neuroses.

This preparation produces results which can not be obtained
from the use of oommerolai Bromide substitutes.

DOSS -On. to two FLUID drachms, In WATER, three or more time* a day.

CHIONlA - CHIONANTHUS.

lists: Biliousness, Jaudlce, Dyspepsia, Cnstlpatlon, ad ill
Diseases Caused by Hepatic Tarptr.

CHIONIA stimulates the Liver and restores It to a
healthy condition, without debilitating the system by
Catharsis; does not purge, per se, but under its use the
Liver and Bowels gradually resume their normal functions.

D08E.—On. Fluid Draohm three time. . day.

SAMPLES SEMT TO AMT PHYSICIAN WHO WILL PAT EXPRESS CHABSES.

PEACOCK CHEMICAL 80., - ST, LOUIS.

Cactina Pillets.

Indicated in abnormal heart action, mental
depression, and general debility.

Cactina is the best oardiac and general tonic in
the materia medioa, and, therefore, indispensable
in the treatment of every fo-m of weakness

S^Each Pillet represents one one-hundredth of a grain of Cactina—ihe
active proximate principle of Cactus Mexican*.

DOSE.—On* Pillet eoery hour, or lets often, at Indicated .

Price, per Bottle (100 pillets), 26 Cents.
Samples Hailed Free to any Physician Sending His Address.

SULTAN DRUG CO., 8t. Louis and London.

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XVI

Publisher's, Department .

ing to a business, a professional, or a social call—in formulating
the duties of any function requiring personal attention. As an
Editor and writer, as Provost and practitioner, it may be inferred
that the official demands on Dr. Pepper would preclude attention
to the enjoyments of society; but in social as in public life he
stills finds time for interchange of civilities with a wide circle of
friends, by whom he is highly esteemed not only for the brilliancy
of his literary attainments and his gentlemanly qualities, but
also for his congeniality as a friend and a companion.”

They Will Have Theie Own Way. —Frances Willard de¬
clares that the total amount of force used at any given moment
to compress the waists of women by artificial means would
turn all the mills between Minneapolis and the Merrimac,
while the condensed force of their tight shoes, if it could be
applied, would run any number of trains. The amount of
energy j r early wasted in attempts to make women not follow
the fashion for health’s sake would, if it could be concen¬
trated, run not only all the mills but all the trains in the New
World. _

NEW AID SERIES OF MANUALS.

Mr. Saunders is pleased to announce, as in active preparation,
his ‘ ‘New Aid Series of Manuals for Students and Practitioners.

As publisher of the “Standard Series of Question Compends”
together with an intimate relation with leading members of the
medical profession, Mr. Saunders has been enabled to study,
progressively, the essential desideratum in practical ‘ ‘self-helps”
for students and physicians. ,

This study has manifested that, while the published ‘ ‘Question
Compends” earn the highest appreciation of students, whom
they serve in reviewing their studies preparatory to examination,
there is special need of thoroughly reliable hand-books on the
leading branches of Medicine and Surgery, each subject being
compactly and authoritatively written, and exhaustive in detail,
without the introduction of cases and foreign subject-matter
which so largely expand ordinary text-books.

The Saunders’ Aid Series will not merely be condensations
from present literature, but will be ably written by well-known
authors and practitioners, most of them being teachers in rep-

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The Medical Advance .

xvu

PHYSICIANS SENDING PATIENTS TO

HOT SPRINGS

OUGHT TO KNOW THAT THE

Qvicago &, fllton BR

Offers Comforts and advantages absolutly unequaled. Leaving Chicago
at 11:00 A. m. in a magnificent

PUllIiMAN VESTIBUhED TRAIN

Composed of a Combination Baggage, Buffet and Smoking Car; Palace
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The Traveler Arrives in Ql TTaii y»o where Immediate connec-
ST. LOUIS in 04 JCLUUi o tion is made with the

IRON MOUNTAIN ROUTE

(St. Louis, Iron Mountain and Southern R’y)

Arriving at HOT SPRINGS at 12, noon, the following morning, making the
journey with but one night on the road.

MF1AT.K served on the train, and through Pullman service
from Chicago to Hot Springs.

Physicians when visiting the Springs themselves should remember that the

CHICAGO & ALTON is the Shortest and Best Line.

For Illustrated Pamphlets, Folders, “An Indian Legend,” and further par¬
ticulars regarding the World’s Greatest Sanatarium, call on or address R. Som¬
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"M!?- 1 195 Clark Street, j •««<».

or your nearest Coupon Ticket Agent anywhere in the U. S. or Canada.
In writing to advertisers please mention The Medical Advance.

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xviii

Publisher's Department.

resentative American Colleges. This new series, therefore, will
form an admirable collection of advanced lectures, which will be
invaluable aids to students in reading and in comprehending the
contents of “recommended” works.

Each Manual, comprising about 250 pages (5£ x 8 inches),
will further be distinguished by the beauty of the new type; by
the quality of the paper and printing; by the copious use of illus-
traions; by the attractive binding in cloth; and by the extremely
low price, which will uniformly be $1.25 per volume.

A New Paroquet discovered in Western Australia.—
On returning to camp we sat down to a feast of fish that our
natives had in* the mean time caught in the pool, which they did
with the aid of their spears.

At the furthest point reached by our expedition the outlook
as far as the eye could reach was sand and salt plains sparsely
covered with the spinifex.

There was abundant evidence that the water does occasionally
descend on these arid tracts, but beyond a few tiny paroquets,
alighting at our furthest well, which had evidently flown to¬
wards us from a great>distance (they were so exhausted as to be
unable to get out of our way, one of the poor creatures actually
allowing me to gently bowl it over with my whip), sign of life,
other than insect life, there was absolutely none. The specimen
I secured was a singularly beautiful one. The length from the
tip of the bill to the extremity of the tail was six and a quarter
inches. The head was of a brilliant cobalt-blue, which blended
into softer tints down the back; the wing covered by bright
blue quill feathers, the breast emerald-green upon a ground
work of orange-yellow, the belly feathers also yellow, and tail
feathers flaming yellow, edged with emerald-green. Noticing
that after slaking their thirst these tiny birds began to feed up¬
on the spinifex seed, and as they are new to science, I propose
to name them after that plant.— Albert F. Calvert , M. E. in
The English Illustrated Magazine.

Dr. Gordillon, St. Amand, France, says: I have tried Aletris
Cordial in a case of dysmenorrhea. The result I obtained from
the use of the preparation was excellent—far better than I
had obtained in the same patient by prescribing the usual rem¬
edies employed in such cases.

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§ L c $45.00. These cases are made of two plates of solid gold, so thick

O p; that they will last for years ; between these plates is a very thin, stiff

sheet of composition metal, the purpose of which is to protect the
y^.%. works from damage when pressed or struck (a feature that saves

many a bill of repairs), and Is accompanied by a special guarantee
certificate from the manufacturers that they will wear FIFTEEN
YEARS. The movement Is a genuine Waltham, Columbus or Elgin.

A^v i 'wLfS ¥(p as you may sfleot, full (15) jeweled with fine genuine rubies, have the

N W'l celebrated corapensaion balance, safety pinion, hardened hair

l\ A spring, stem wind and set. warranted peifeet time keeper. Watches

R&i xiY/r' / / L j\ l) t this make are never advertised outside the show windows of fasta-

lon »tle Jewelry stores. If you order in good faith, cut this out and
forward to us and we will send you the watch by exp ess without the
i fA i payment of a single cent, so you can examiD.- It thoroughly, and if

P MV* aot as represented you refuse to take it—or if you will send ua 50

l Htff cents with your order we will rresent you FREE—with each watch—

\ Cfv no charge—a SOLID GOLD. Allied chain (not plated) wrh a special

/Am ‘ • v 4Q.i certificate from the manufacturers guaranteeing them. Tills is our

/V wTOLra method of selling goods. Instead of paying high priced salesmen we

( SivJil ? ,ve you the beneflt of the expense by selling the best watches so

y .tSrtr cheap that you cannot afford to pass the chance of obtaining one.
These watches are genuine American and there arc no better made
vsift fand must not be confounded with the cheap imported advertised so
t ♦ xt*nslvely. In ordering, be sure to state whether ladies’ or gents’ is

desired. (Gents' open face, oue dollar less).

Bernard Meuser, 93 & 95 Fifth Ave., Chicago.

Win regard to our responsibility, we refer to any bank In Chieago.

In writing to advertisers please mention The Medical Advance.

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Publuher't Department .

Extreme Modesty.

There wm a young girl named Ruth,

Who lived in the town called Duluth:

So modest and shy
Was she, that a lie

8he preferred to \h» plain, naked truth.

-N. Y. World

A LAW NOTE.

Young Mash called on Judge Brown’s
daughter last night, but his honor re¬
fused to grant a stay.—Judge.

Timely Caution.

Mrs. Youngwife—Katie, Mr .Young-
wife says cook must boil the drinking
water after this. Tell her to have
some boiled for dinner to-day.

• Katie—Yes ma’am.

Mrs. Youngwife—And, Katie, tell
her not to scorch it.—Brooklyn Life.

A Pointer.

Visitor (in congress)—And it is im¬
possible, I suppose, for these gentle¬
men to tell what results are attained
through all their long speeches.

Washingtonian—Oh, yes; they will
at the next elections.—Chicago Rec¬
ord.

She Didn't Go.

He (after a tiff)—Going home to your
mother, eh?

She—Yes, I am.

He—Huh! Whatdo you suppose she’ll
say to you?

She—She’ll say: “I told you so.” (He
made up.)—N. Y. Weekly.

A Mitigating Circumstance.

Little Benny—Mamma, please let me
hold the baby for a minute.

Mother—I am afraid, Benny, you
might let her fall.

Little Benny—Well, if she does fall
she can’t fall very far.—Alex Sweet,
in Texas Siftings.

Contentment.

1 'Rabbi, who is the happier, the man
who owns 81,000,000 or he who has
seven daughters?” "The man who has
many daughters ” “Why so?” "He
who has 81*000,000 wishes for more; the
man who has seven daughters does
not.”—Fliegende Blaetter.

A Modern Miracle.

"A miracle happened on the B & O.
line the other night.”

"You don’t say so.”

"Yes; they discovered a hot box
while the train was passing through
Philadelph ia.”—Brooklyn Li fe.

Easily Roused.

Minks—A noted preacher says that
American boys have no reverence.

Winks—Guess he never saw a group
of them gazingat a picture of Corbett.
—Good News.

At the Altar.

Bride —Why don’t you walk a little
faster? You are lagging behind.

Groom—I don’t propose to rush into
danger.—Alex Sweet, in Texas Sift¬
ings. _

A Good Thing.

Customer—Are you sure this article
will cure my rhematism?

Clerk—Oh, yes; all the doctors refuse
to recommend it.—Truth.

rieafiiint Prospect.

Old Maid (soliloquizing)—That is
the seventh man who played me falsel
But let the man who gets me look
out!—Hallo.

Impersonating ttri Officer.

Justice Stuffey—You charge this
tramp with coming to your saloon and
impersonating an oClcer, do you?

Grogan—Yis, sor; the blagard gave
three raps on me soide dure, an’ I
passed him out adhrink.—N. Y. World.

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-ON THE-

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In Orange County, Indiana, eighty miles north of Louisville, Kentucky. Pamph¬
lets descriptive of the Medicinal properties of these waters will be mailed
upon application to West Baden Hotel Co,, West Baden, Ind,, or

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232 CLARK STREET,

-—CHICAGO, ILL.

W. H. ncDOEL, FRANK J. REED,

General Manager, General Pa mm, Afpent*

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xxii

Publisher's Department

A Strategist.

Scene: restaurant. Time: dinner
hour. Characters: guest and waiter.

Guest—Waiter, here! Beefsteak,

well-done!

Intermission of thirty minutes.
“How does your steak suit yon,
sir?”

“Superb! splendid! done just to a
turn!”

“But yon called for well-done, and
this is rare!”

“Oh, I’ve been here before! I al¬
ways call for what I don’t want, and
then I am sure of getting exactly what
I do want.**—Tammany Times.

Valid Reason.

University Professor—And now, my
dear young friends, you are about to
exchange the pen—the peaceable in¬
strument of the muses—for the sword.
Go, then, and fight with contempt of
death, remembering what our ever¬
green poet says: “Sweet it is and hon¬
orable to die for one’s fatherland!’*
Student—Very good, Herr Professor;
then why don’t you come along with
ns?

Professor—I have been ordered by
the doctor to abstain from sweets of
every description.—Der Wanderer.

Was Compensation Enough.

Mrs. Tomkins—Mrs. Yabsley has had
such an experience! Arrested for shop¬
lifting! All a mistake, of course.

Mrs. Jenkins—I suppose she must
have been very much annoyed!

Mrs. Tomkins—Not at all. The pa¬
pers all said she was of “prepossessing
appearahce. ”—Tid-Bits.

A Good Reason for It.

Castle ton—I met your doctor this
morning and he said he hoped you were
well.

Clubberly—Strange thing for a doc¬
tor to say, wasn’t it?

Castleton—I don’t know. He said
your last illness cost him fifty dollars.
—Judge.

“Why do they say that ‘love is blind’?”
“Because if love weren’t blind
there’dbe no more marriages.”—Chica¬
go Record.

Betttork!' foortesy.

“What is senatorial courtesy?” asked
the young man who is not ashamed of
his ignorance.

“Senatorial oourtesy,” replied the
citizen who always believes the worst,
“is what prevents a statesman from
closing a deal before he has let his
colleagues in on the ground floor.**—
Washington Star.

Euftly Explained.

“I don’t see how your uncle ever got
well if you are telling the truth when
you say that he had nine doctors at
once.”

“0, it is simple enough. He ups and
gets well before they could agree on
the proper course of treatment.**—In¬
dianapolis Journal.

Endangering Us AIL

Mrs. Hussiff—Do you really believe
that servants encourage burglars?

Mrs. Flathouse—Of course I do.

Mrs. Hussiff—But how?

Mrs. Flathouse—By taking up so
much q f the policemen’s time.—N. Y.
World

Those Terrible Bates.

Little Miss Mugg (noticing family
Bible in friend’s parlor)—Sister Ellen
will not have our family Bible in the
parlor any more. She says it isn’t good
form.

Little Miss Freckles—I didn’t know
your sister was so old as that.—Good
News.

Wallle’s Catch.

“It's always winter when snow
comes,” said Wallie, “and fall when
rain comes.”

“Poh!” said Jackie. “Rain comes in
summer and spring too.”

“Yes; but it’s fall, just the same,”
said Wallie. “Rain-fall.”—Harper’s
Young People.

Meant for a Compliment.

Wheeler—Why, Miss Snooper, how
costumes and make-up alter people. I
hardly knew you.

Miss Snooper—Do I look such a
fright, then?

Wheeler—On the contrary; you look
most charming.—Town Topics.

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xxiii

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Of the Account of M .-..

ioo, $x.oo 300, $3.95

300 , 1.75 5«>. 3.00 ..

Your name and address inserted between these two lines without extra cost.

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not due , as per our Ledger.

This gives opportunity for correction of errors, and is not a demand for the pay¬
ment of accounts not due.

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Publisher ’* Department

COMMERCIAL ITEM.

“Going’ into the hands of a receiver.”
—Cycling’.

A Masculine Mrs. Malaprop.

The other day Mr. M- took his

wife to a concert. When he got to the
door he found he had left his tickets at
home; so he sidled up to the door-
tender and said: “Say, won’t you let
me in? I’ve transacted my pockets all
through and I can’t find my tickets.”
Speaking of a man he didn’t like, he
said: “I don’t admire that man. He al¬
ways holds himself aloft from me.”—
Demorest’s Magazine.

A Fortunate Selection.

Mother—What are all these senseless
trinkets for?

Pretty Daughter—They are for the
grab-bag at the church fair.

“Mercy! There is not one thing
that any human being eould want.”

“Yes, isn’t it fortunate? Everybody
who draws a prize will put it back in
the bag.”—N. Y. Weekly.

Her Age.

Jack—How old did you say Miss
Smith was?

Tom—She told me she was twenty-
three on’her last birthday.

Jack—When was her last birthday,
ten years ago?—Detroit Free Press.

Didn't Know Women*

City Editor—Have you got the report
of that ladie’s meeting?

Reporter—They voted to exclude re-

S orters. The proceedings are to be
ept secret.

C. E.—Yes, but why didn’t you wait
until the meeting was over see one
of the ladies and get all the particulars
from her?—N. Y. Press.

An Inartistic Combination.

Mrs. Darley—I never see your hus¬
band out with you any more, Mrs.
Gazzam.

Mrs. Gazzam—That is true. You see,
Frank has been feeling dreadfully blue
lately, and you know blue is a color
which never did agree with me.—
Judge.

Why He Complained.

Elder Sister—Come, Stanley, take
your powder like a little man. You
never hear me making any complaint
about such a little thing as that.

Stanley (peevishly)—Neither would I
if I could daub it on my face. It is
swallerin* it that I objeot to.—Brook¬
lyn Life. _

Hard to Bear.

Miss Grotesque—Every time I hear of
anyone getting married it makes me
sad.

Miss Elderly—Why?

Miss Grotesque—Because there is one
man less in the world.—Brooklyn Life.

His Diagnosis.

She—I have four new wrinkles on
my face since I married you.

He—Too bad! I presume it comes
from worrying over milliners’ bills
which I can’t pay.—N. Y. Weekly.

A Sign of the Times.

Lawyer—Where is thatsign: “Back in
ten minutes?”

Boy—The man in the next office bor¬
rowed it. He said he wanted to go to
the ball game.—Judge.

A Musical Criticism.

De doctor called my little nose
A ♦•organ” diss forenoon;

But I can’t say when it I blows
It plays a pretty tune.

—Harper’s Young People.

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xxvi

Publisher's Department.

More Than Likely.

Tippie—What is a double entendre?

Sibyl—Oh, it’s a word with a double
meaning.

Tippie—Then, when you said “No”
to Jack’s proposal it was a double en¬
tendre, was it?—N. 'i . World.

ALWAYS THE WAY.

I bought two dozen shoe strings once
To guard with anxious care
'Gainst coming wants, and now, great Soott!
I wonder where they are.

—Detroit Free Press.

They Do Their Part.

Mr. Deprecate — You women are
dreadful creatures; you seem to talk
nothing but scandal. Now, scandal is
something we men never talk.

Mrs. Sly dig—No. You simply fur¬

nish the material.—N. Y. World.

Parental Depravity.

“Girls,” gently said their mother,
“the neighbors will hear you quarrel¬
ing. Always keep your rages a se¬
cret.”

And the girls lifted up their voices
and wept.—Chicago Tribune.

An Orient Origin.

Uncle Kipton—Why is this called
yeast?

Robbie—I guess because it’s where
the sun rises. The sun doesn’t ever
rise in the west, you know.—Harper’s
Young People.

Truly reisinlno.

Mrs. Jones—Mrs. Snoop died sudden¬
ly this morning while trying on a new
dress.

Mrs. Green—Horrible! What was it
trimmed with?—Hallo.

Fresh Air Fund.

“Sulleigh sets aside a certain sum of
money each week for that dudish son
of his.”

“Sort of a fresh heir fund, so to
speak.”—Tammany Times.

Is Marriage a Failure?

Aston—Was your marriage the result
of love at first sight?

Exton (sadly)—Yes; on my part. Had
[ been gifted with second sight I’d
never have married.—Puck.

A Fair Guest.

Wife—Prof. Garner says the gorillas
have only eight words.

Hubble—I guess there are no females
among them.—Detroit Free Press.

Been There Before.

Groom—Why did vou allow all the
guests to kiss you at the wedding?

Bride—Force of habit, I suppose.—
Tammany Times. _ _ _

No Use Waiting.

First Boy—Come on.

Second Boy—Wait. They are raising
that big safe to that upper window.

First Boy—Well, there ain’t anybody
under it. Come on.—Good News.

Meanwhile She Had Soured.

Bride of a Year (weeping)—You used
to say I was sweet enough to eat.

Groom (of the same period)—Yes, I
wish to heaven I had eaten you.—Life.

A Great Scheme.

Wright—My life has been a failure.

Garner—Then you had better get
some rich girl appointed receiver.—
Truth.

Talked Enough as it Was.

Ned (reading paper)—Here’s a story
about a girl who can’t help talking in
her sleep.

Tom—Caesar! Don’t leave that paper
where my wife can get hold of it or
she’ll find how the girl contracted the
habit.—Chicago Record.

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xxvii

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xxviii

Publisher'* Department.

EXCELLENT ADVICE.

Waiter—What’ll you have?

Rube Jay seed—Waal, I don’t know
which ter take, whether roast beef,
▼eal or mutton.

Waiter—Take cornbeef hash and
yer'll get ther whole lot.—Truth.

Courage.

▲ heroine she was, indeed.

For women could discover
That she was wearing into church
▲ last year’s hat made over.

—Washington Star.

A Mean Husband.

Wife—I have just been to the dentist’s
and had a tooth drawn.

Husband—Lucky tooth 1 It is now
beyond the reach of your tongue.—De

Sobremesa._

Enough Needed to Go Bound.

Teacher—Now, remember that in or¬
der to become a proficient vocalist you
must have patience.

Miss Flipkins—Yes, and so must the
neighbors.—Washington Star.

The Only Way.

Eva—I hear you won your breach-of-
promise suit. Did you get the whole
twenty thousand?

Della—Every cent. I married my
lawyer.—N. Y. World.

Reckless.

Hills—Browne is a reckless fellow.
He never gives a thought to his cred¬
itors.

Hulls—Nor a dollar.—Truth.

Mrs. Malaprop.

A delightful Mrs. Malaprop is re¬
ported as speaking of an invalid daugh¬
ter as indelicate. Members of her fam¬
ily, she says, are in the habit of riding*
to Baltimore on communion tickets.
Another lady referred one day to a
spinal staircase, hearing which a
bright girl remarked: “‘Perhaps she
refers to the back stairs.” Another
lady refers occasionally to nashua of
the stomach, and to her sufferings
from neurology; and still another de¬
scribed the o visions which she saw
while in a state of prance.—Demorest’s

Magazine. _

Finding Fame as Advertised.

Tracey—Windle’s bicycle trip around
the world has made him famous. The
papers are full of it.

8tacey—Yes; he wore “Jiggins* Un¬
derwear,” “Hedman’s ’ Hats,” “Brog-
anne’s Shoes,” rode only the “Uncle
Sam Bicycle,” used “Bear’s Soap” and
took “Hundred Doses for a Dollar” in
every clime.—Puck.

More Work for Lawyers.

Dora—Edith married a very nice man,
I hear.

Clara—He’s nice enough, but it won’t
be long before there will be a divorce
in that family. He is cross-eyed.

“What difference can that make?”

“She can never tell whether he is ad¬
miring her or some other woman.”— N.
Y. Weekly._

Why She Mourned.

“Why, Mrs. Gazely, what are you
wearing mourning for? Weren't you
only married two weeks ago?”

“Yes; but you know Mr. G.'s first
wife has only been dead a year, and my
husband expects me to show proper re¬
spect, you know.”—Alex Sweet, in
Texas Siftings.

A Cold Doth Make Vs All Akin.

Mrs. Motter—Didn't Mrs. Smith say
she’d never speak to you again, after
you scolded her Johnny?

Mrs. Potter—Yes; but she heard I
had a cold, so she couldn’t throw off
the temptation to run over and tell me
her cure.—Truth.

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XXIX

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Publisher's Department .

A Latter-Day Romance.

Mite Finn-De-Sickle (breathlessly)—
Have I arrived in time?

Mr. Adorrer (suitor)—Eh? In time
for what?

“I hear that you and Mr. Lovein are
going to fight a duel.”

“We are.”

“And it’s about me?”

“It is.”

“It must not be.”

“One or the other must die. We can’t
both marry you.”

“No, but you can compromise.”

“How?”

“Play poker till one or the other gets
all the money, and then I will marry
the winner.”—N. Y. Weekly.

The Perversity of Girls.

Jamesby—Do you think she’ll have
you?

Nettles—Why, I’m sure of it. Her
family are all bitterly opposed to me.—
Chicago Record.

Rebellions.

Her Father—Do you think you would
like to marry him, Penelope?

Penelope (doubtfully)—Yes; provided
you and mamma don’t want me to.—N.
Y. Herald._

In Spite of It.

She—And so they are married! Was
it a case of love at first sight?

He—I imagine not. The first time he
saw her she was riding a bicycle.—Life.

The haw of Recompense.

The umpire has his troubles
As he engineers the ball,

But the life insurance agent
Doesn’t bother him at all.

The Retort Clerical.

“Since you take me to task so round¬
ly for my failings,” said the physician,
somewhat nettled, “let me ask why
you don’t restrain your own son. lie
gambles, drinks and plays the races. "

“Ah, yes,” said the clergyman, wil l
a sigh. “We don't seem to exert much
influence over our own families, do we?
By the way, doctor, please convey my
warmest sympathies to your wile au»i
say to her I am sorry she is still unable
to find any relief from her rheuma¬
tism.”—Chicago Tribune.

Told in a Smoking Car.

Stranger (in train)—A man in your
business can’t get home very often, I
presume?

Commercial—Home? I should say
not. Why, sir, I get home so seldom
that I can’t remember half the time
where I live. Have to telegraph to the
firm to send me my address.

Stranger—You don’t say so!

Commercial—That’s straight. Why,
one time I was away so long that I for¬
got I’d ever been married, and I took
such a fancy to a pretty woman I met
in a strange town that I eloped with
her.

Stranger—My! my!

Commercial—Yes, it would have been
A terrible thing, but when I called on
the firm during my honeymoon and in¬
troduced her, the old man told me she
was my wife before.—Agents’ Herald.

A Slippery Subject.

He—Do you believe in curing by the
laying on of hands?

She "a mother)—Yes, in the case of
children.—Detroit Free Press.

A Feasible Idea.

Nodd—I wish I could cure my wife of
dyspepsia.

Todd—Why don’t you get a servant
girl to do your cooking?—Truth.

He Knew Boys.

The boy had applied for a job.

“We don’t like lazy boys around
here,” said the boss; “are you fond of
work?”

“No, sir,” responded the boy, looking
the boss straight in the face.

“Oh, you’re not, ain’t you? Well, we
want a boy that is.”

“They ain’t any,” said the boy dog¬
gedly.

“Oh, yes, there are; we have had a
half dozen of that kind here this morn¬
ing to take the place we have.”

“How do you know they are?” ar.ked
the boy.

“They told me so.”

“So could I if I was like them; but
I’m different; I ain't a liar,” and the
boy said it with such an air of convinc¬
ing energy tliat he got the place.—De¬
troit Free Pre »3

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The Medical Advance .

xxxi

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-A Quinine Tonic--

Containing in Bach Pint

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Tincture of Nux Vomica - - - - »4

Fluid Extract of Mandrake - 15 min.

And the Hypophosphites Lime, Soda, and Potass,
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ranrAnsD by

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ty be se-
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xxxii

Publisher's Department.

A CAMT *F nCTCITIOX.

Mother—Mabel, stop pounding 1 your
little brother! What do you mean?

Mabel—Well, I told him we’d better
play we was only engaged, but he
wanted to play we was married.—
Leslie’s Weekly.

She It Still Learning.

She went through several olassio schools
And gained her tutors' approbation;

She's married now, and knows the woe
Of hiring girls who quiokly go;

Whereat she murmurs with a smile:

"In this I’m getting all the while,

A course In hire education."

—Indianapolis Journal

Lessons on Shooting.

Young Freshlie—Yaas, I think of go¬
ing onto a ranch for awhile, but I sup¬
pose, before I start, I ought to learn
something about shooting, oughtn’t I?

Cowboy—That’s so. Spend a few
weeks learning not to shoot off your
mouth; then you’ll be all right.—Good
News.

Hard to Keep Clean.

Haverly—No man can take charge of
the street-cleaning'department without
becoming corrupt.

Austen—Why so?

Haverly—Because, naturally, he is
gut for the dust.—N. Y. World.

Capital and Labor.

“Yes, sir,” said a pompous New York
manufacturer, “I consider myself a
benefactor of the human race. I feed
two hundred people in my factory.”

“You do ? ” replied a bystander.
“Goodness! And all the time I was un¬
der the impression that they fed you.”
—Alex Sweet, in Texas Siftings.

Job's Advantage.

Mr. Drywinter sat by the stove, with,
his face bandaged, groaning horribly,
and his wife endeavored to console him,

“Have patience, Charles; murmuring
and fretting will do no good. Remgro-
ber Job; he had patience.”

“Yes; but he never had his teeth ex¬
tracted by the painless process.”—Chi¬
cago Tribune.

Rough on the Cashier.

Mr. Manygirls — I have discovered
that my cashier has robbed me of
$ 20 , 000 .

Friend—Have you notified the polloe?

Mr. Manygirls — Not yet. I’ll give
him one more chance to propose to mj
eldest daughter. If he doesn't do It
then I shall have him locked up.—Texas
Siftings._

Injustice.

Mr. Richfello—What a peachy oom-
plexion Miss Beauti has!

Rival Belle—You do her injustioa,
really, Mr. Richfello. Her face isn't ao
very fuzzy—except on her upper lip.—
N. Y. Weekly. .

A Bad Case.

Robinson—How did you find Mrs.
Johnson?

Mrs. Robinson—Well, she says aha
can't complain.

Robinson—Can’t, eh? I had no idea
she was as low as that.—Puck.

Evident Improvement.

Aunt—Is your sister improving in bar
music?

Small Boy—I guesso. The people
nex’ door has decided not to move.—
Good News.

A Paradox.

Lams—So you are wedded to your
profession.

Plains—Yes, though it seems a para¬
dox. I’m a divorce lawyer. — N. Y.
World.

The Reward of Virtue.

Stokes—Our police don't seem very
zealous in the pursuit of virtue.

Maltby—What can you expect?
Everyone knows there is no reward.—
«. Y. World.

.. d9HHI

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The Medical Advance.

FOR LEUCORRHfflA, ULCERATION, AND ALL VAGINAL DISCHARGES.

BACH TABLET REPRBSBNTS

Listol . j gr. Ext Belladonna . % gr

Acid Boracic . 2 “ ExsHelonias . % “

Acid Tannic ./ 4 * Ex. Hyoscyamus .“

Acid Salicylic . % “ Ex. Opium . % “

With Ext. Hydrastis (colorless) Eucalyptol and Alnm.

Priee for package of 50 Tablets, 60 cents. Price for 100 Tablets, $1.00

Ordrr a Sample Package with Literature (Mentioning this Journal)

All Goods sent Prepaid on receipt of price. For sale by all wholesale Druggists.

LISTOL CHEMICAL COMPANY,

Successors to Chas. M. Puss’s & Co., Pharmacentioal Chemists.

34 ORCHARD STREET. CHICACO, ILL.

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powder it is a perfect substitute for iodoform, with the advantage that it is free
from disagreeable odor, and no more expensive, owing to its extreme lightness.

Listol is supplied Is ounces only, at $1.00 par ouncs, prepaid on receipt of price.

Order a Sample Package with Literature (Mentioning this JournsL)

LOTSIL, _1

IcACH B-ORAIN TABLET REPRESENTS . ^ C .J

Acetanilid . 3 gr I Caffeine Citrate . % gr.

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Price per ounce finely powdered, or in 5-grain Perfection Tablets 40 cents.

LOTSIL will be supplied in our Perfection Tablets toorder in such combinations as may be'desired

xxxiv

Publisher's Department .

—Chicago Record.

A Curious Fact.

For It’s the only place he has
On whloh his specs can sit.

—Harper’s Young People.

Getting Down to Figures.

“How much is your fiance worth?”
asked the matter-of-fact girl of her
romantic friend.

“Oh,” replied the latter, enthusias¬
tically, “my Fred is worth millions on
millions!”*

“Of course, but I mean how much is
he worth in cold cash?”

“Well, he has 314.75 in the bank.”-
Pittsburgh Chronicle.

It Came True.

A widower aged 84 had married a
young woman of 19. A local paper com¬
mented as follows on the happy event:
“A year ago when his wife died his
relatives expected that he would go
crazy over the sad bereavement. This
prognostication has come true.”—Ham¬
burger Nachrichten.

This Glorious Country.

Watts—There is one good thing about
this country. The demagogue can't
last long, no matter how big a follow¬
ing he has for a time.

Potts—That's so. Some other dema¬
gogue who is a little wilder generally
comes along and takes his followers
away.—Indiarapolis Journal.

He Was Battled.

“Well, my dear,” said a Houston
(Tex.) man to the wife of- his bosom,
“shall I call for you, say at three o'clock
this afternoon?”

“Call for me? Why, what for?” in¬
quired his wife in an ^evident tone of
surprise.

“To go to the milliner’s after a hat."

“After a hat! Why, hubby, didn't we
get a new hr.t for me only yesterday?
What on earth are vou talking about?”

“O, I forgot, surety. Why, yes, so wo
did. I see it now very plainly. It is
only every other day you want a new
fiat.”

By stepping out hastily and holding
the door shut, he managed to escape
merited punishment.—Alex Sweet, in
Texas Siftings.

A Solution.

Prospect Parke—I wonder why it is
that old men are so fond of giving good
advice?

Fulton Ferris—Possibly because they
are no longer able to furnish bad ex¬
amples.—Brooklyn Life.

No Wonder It It So Bad.

The poet felt the reverse of bright.

And muttered a deep, deep curse;

He had no idea, but he had to write,

And so he ground out this verse.

_ —Truth.

Willing to Change.

He—Do yon know, I think you are a
most singular girl?

She (coyly)—I assure you it isn’t from
choice.—N. Y. World.

jk jruDiio-spintea meuaoner.

“Doctor, they tell me you are attend¬
ing that young man next door free of
charge.”

“Yes, and glad to do it. He*s been
practicing on a snare drum for the last
six months, and now I have a chance
to pht an end to the nuisance.”—Life.

Useful in Making an Imp r ess i on.

Mr. Shallo—What in thunder did you
go and buy a couple of steamer trunks
for? We’re only going for a little trip
to the mountains.

Mrs. Shallo—Well, won’t the neigh¬
bors see them when the expressman
takes them away?—Chicago Record.

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The Medical Advance.

xxxv

i Monthly Magazine of not less Davoted to an exposition of the

than 48 Pages Each Month. 1 [\0 Principles of Pnre Homeopathy,

JHomeopathicPhysiciarv

Subscription Frice % Two Dollars and Fifty Cents a Year .

Bend twenty-five cents in Stamps, or postal ffff !JfilfPADIT!!!f DnVQTPTII

note, for a sample copy of latest date, to 1 ™ IlVEfiVrAilllU rfllOlWAfi,

I 125 Spruce Street, PHILADELPHIA, PA.

The Homoeopathic Physician publishes two oi three supplement#, the most important being
^ ... _ ^ w -Bt Bomnwikghauskk, translated by

SIDES OF THE BODY Db * J * D * T**®**^ of Toronto,with the

- notes and additions of the late Db. Ad.

Lippb. Twenty-seven pages, paper oover. Price, fifty cents. Sent postage free on receipt of
price. This celebrated work of Boennlnghansen has long been out of print, but it is now repub¬
lished for the benefit of the profession. Address,

THE HOMOEOPATHIC PHYSICIAN,
lias Spruoe Street, Philadelphia, Pa.

The NeW Eqglaqd Medical Grazette

A Forty-Eight Pago Journal Exclnsire of Advertisements

Full of original articles by able writers, editorials on current events in the
Homoeopathic world, condensed reports of cases in practice, reports of medical
societies and institutions, correspondence, book reviews, abstracts of important
articles in other journals, items, extracts and personals.

TSI 3AZ1TTI offtn mors tor tha amuy than nj othar Boactopathle Jonrnal

la the eoaatry.

•voxjxrz&a acacvxxx oo iinfFa ro sp jjln. x, xeoa.

Tio Dollars per year. Sample Cop; sent tree on application.

Send your subscriptions to the publishers,

OTIS CLiRPP & SON.

BOSTON. MASS

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xxxvi

Publisher's Department .

The Cat Oat of the Bag.

A little colored boy went to a butch¬
ers stall in Austin, Tex., and said to
the butcher:

“I say, boss, gib me a chunk of meat
for our dog.”

“All right, black face and shiny
eyes,” said the butcher, good naturedly.

“Yes, boss, but don't gib me sich a
tuff piece as yer did last time. My
fodder mos’ broke his jaw try in’ ter
chew hit.”—Alex Sweet, in Texas Sift¬
ings. _

A Merciless Exposure.

Insurance Agent — Have you your
house insured against fire?

Mrs. Holmes—No, sir.

I. A.—Are you afraid of fires?

Mrs. H.—I am not, but my husband
is very much in awe of them.

I. A.—That so?

Mrs. H.—Yes; during the ten years
of our married life he has never once
kindled a fire.—Truth.

Still a Subscriber.

Old Friend—You have made a mortal
foe of Col. Eaintuck.

Western Editor—Eh? Wha—do you
mean it?

“He threatens to shoot you on sight.”

“Oh, is that all? I was afraid he was
going to stop his paper.” — N. Y.
Weekly.

The Present Style.

The fighters who are talking fight
And would each other chew and gulp.
Seem to reduce each other to
Naught but newspaper pulp.

_ -Puck.

A Half Learned Lesson.

Teacher—Why was Lot's wife turned
Into a pillar of salt?

Boy—For looking back.

“Yes, but why did she look back?”

“I—I guess some other woman passed
her.”—Good News.

Mabel—Papa is getting anxious
about your calls. Yesterday he wanted
to know who you were.

Adorer—Um—I say, Mabel, if he
mentions the subject again, tell him
you heard me grumbling about high
taxes.—N. Y. Weekly.

Joys of a Railway Employe.

The Nervous Woman—How long did
you say it was before the train leaves?

Station Agent—One hour and a half,
ma'am.

The Nervous Woman—Are you sure?

Station Agent—Yes, ma'am.

The Nervous Woman—That would
make it safe for me to go out for a
short time, wouldn't it?

Station Agent—Certainly.

The Nervous Woman—You are pos¬
itive?

Station Agent—Yes, ma'am. How far
did you wish to go?

The Nervous Woman—I want to go
over to the newsstand on the other side
of the street and get a paper. But if I
lose the train I'll report you, now mind.
—Chicago Record.

His Skill.

The wife of a wealthy manufacturer
had occasion to call in the help of a
newtfloor polisher.

“Do you understand your business
thoroughly?”

“All I ask, madam, is that you shall
inquire for yourself at the colonel's
next door. On the parqueted floor of
the large drawing-room alone five per¬
sons broke their limbs during the last
winter and a lady slipped down the
grand staircase. It was I who polished
the stairs.”—Der Ulk.

Very Incongruous.

Mrs. Bonton—Tell me all about Mrs.
Beaumonde’s ball, Mr. Hautton.

Mr. Hautton—Oh, I assure you, Mrs.
Bonton, everything was in the most
wretched taste. Her floral decorations
were preposterous. Why, she put
touch-n^-nots on the wine table.—

Judge._

It Would Be a Give-Away.

Dags—I see that they have at last de¬
ciphered the Hittite hieroglyphics, sup¬
posed to be four thousand years old.

Wags—Really? I hope there are none
of my jokes among them.—N. Y. World.

He Bid Too High.

“ A penny for your tytfughts,” said he;

She sweetly smiled, as maidens do;

“ They are not worth that much,” said she,

“ For I was thinking, sir, of you.”

— N. Y. Press.

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The Medical Advance.

xxxvii

IPA-CIIFTC COAST

Journal of Homoeopath

Formerly The California Homoeopath.

mu.

Editor, H. R. ASIDT, San Diego.

A Monthly Journal Devoted

to the Cause of Homoeopathy
on the Pacific Coast. The
only Homoeopathic Medical

All Business Communications, Subscriptions,

Journal west of the Rocky
Mountains.

Advertising, etc., to the Publishers,

Subscription Price $2.00 per year

BOERICKE & RUNYON,

in Adrance.

234 Sutter Street,

Hnglo Copies 95 Conte,

SAN FRANOISOO, OAL.

SPECIAL HOLIDAY OFFER.

Tie Southerq Jourqal of jloqoBopathy

Ed graved Surfaee, 17x21 Indies.

AND A

Fine Engraving

Hirrej Demonstrating to
Charles I his Theory of the
(Motion of the Blood.

The above offer is to all
new cash subscribers , oi
old subscribers (not in ar¬
rears) remitting* for Vol.
XII in advance, prior to
March 1, 1894. Special
rates to students.

Address 1013 linden ave
Baltimore, Md.

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Txxviii

The Medical Advance.

HUMANITY AND HEALTH.

“SHNITHS"

_Jt_

Unfermented!

Concentrated!

E>UFe Juice of tfye (^Fape.

This Is a pure juice of the grape, prepared without boiling, and without the addition of any
kind of medicament whatever.

It Is Nature’s own Pure Food.

The freshness of the grape Juice Is preserved almost as one tastes it in eating grapes. Grape
juice exhibits

All the Proximate Principles of Human Food.

Protelds. I In this It resembles human milk. By some chemists It Is regarded

Carbohydrates, f as a kind of vegetable milk

Salts and Water. >

Medicinal feeding is the most important factor in medical practice, and Grape Sugar is the
most valuable form of sugar for assimilative purposes.

Its Fruit AoldSf ) Make it a valuable food

Its Salts and y , „ . .

Its Crape Sugar ) and medicine in

Pallid children with capricious appe¬
tites, Fsvers, Dyspepsia, Consumption.
Gastric Fever, Nervous debility, and
especially as

A Strengthening Tonlo for Nursing Women.

For literature, analyses, letters from physicians', etc., address

THE CALIFORNIA ORAPE FOOD 00.,

145 Broadway, N. T. Los Gatos, Santa Clara County, Oal.

NORMAN BARBER, J. S. TWOMBLY.

Sellidg Ag*ent, 77 Warren St., N. Y. 27 Commercial St., Boston, Mass.

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xxxu

BOERICKE & TAFEL’S
UNFERHENTED Grape Juice

This is good news to the sick, to the weakly, to everybody. Our celebrated
Pure Unfermented Grape Juice— Boericke & Tafel’s Unfermented Grape
Juice—heretofore sold at 75 cents per quart and 45 cents per pint, will in the
future be sold at

SO cents per Quart Bottle,

35 cents per Pint Bottle.

Remember that this is not a “job lot,” or a new or inferior brand, or one of
those vile brands that are preserved by chemicals, but

BOERICKE & TAFEL’S PURE URFERMERTED GRAPE JUICE.

The same brand, the same juice that has been so popular and so wonderfully
beneficial to the sick and the ailing for the past eight years.

It is made of the very choicest grapes.

It is preserved by the sterilization process.

It is an absolutely pure unfermented grape juice.

It is cooling and nutritious to fever patients.

It is keenly relished when all other foods pall on the taste.

It is a better “blood purifier” and “spring medicine” than all the sarsaparilla
over grown.

It is a delicious spring and hot weather drink.

It is put up in full-measure quart and pint bottles*

At 50 cents a quart the price stands you only $2.00 per gallon. Cheap
enough for every one. Unfermented grape juice was a complete failure
until our brand appeared, when its merits at once gave it a high place in the
estimation of the medical profession and the public.

Take a bottle home with you for trial, and then order a dozen; you and your
family will be the better for it. (It will keep for years).

BOERICKE & TAFEL,

Homoeopathic Pharmacists, Importers and Publishers*

PHILADELPHIA, 1011 Arch 8t, or 1409 Chestnut St
NEW YORK, 145Grand St., or 7 W. 42d St.

CHICAGO, 88 E. Madison St., Cor. Wabash Ave.

BALTIMORE. 228 N. Howard 8t.

PITTSBURGH, PA., 627 Sralthfleid St

CINCINNATI, O., 170 W. 4th 8t. BUSINBSS EST VBLISHRD IS 1835

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Publisher's Department

In Utah.

“I want a pair of boots for my wife.”

Bootmaker—Yes, sir. What number,
please?

Mormon Elder—Seventeen.

Bootmaker—Seventeen! Great Brig¬
ham Young, sir! We haven't boots of
that size.

Mormon Elder (sternly)—I'm not
speaking of the number of the boot,
sir, but of the number of my wife.—
Vogue.

Made It Useful.

“Hello, Timmins!” said the invent¬
or's friend. '‘Have you done anything
with your flying machine yet?”

“Yes.”

“Anything practical?”

“Eminently practical. Part of it I
used for kindling, and by putting rock¬
ers on the rest I made it into a first-
class cradle for the twins.”—Washing¬
ton Star.

A Deserving 1 Case.

Pension Agent—Why do you .want a
pension?

Applicant—I fought all through the
war.

Pension Agent—With whom?

Applicant—My wife.—Hallo.

At Five O’Cloek Tea.

“That’s an uncommonly pretty girl
over there pouring tea.”

“Yes, she is one of the reigning belles
this season.”

“Ah! these belles never reign but
they pour.”—Life.

Might Mave Somebody’s Idea.

Cholly (sulkily)—I suppose you'd ao-
cuse me of—aw—falsehood if I should
tell you I had an ideah.

Miss Caustique (genially)—Not at all.
Only of plagiarism.—Chicago Record.

Breathless and Unrecognisable.

“I just met Old Soak, He was breath¬
less with excitement.”

“Breathless, eh? How did you recog¬
nize him?”—Philadelphia Record.

Somebody Should Tell Her.

The maiden who in publio sings,

And puts on lots of fUrs and graces,
Apparently is not aware
She always makes most awful faces.

—N. Y. Journal.

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THE ARLINGTON CHEMICAL CO.,

YONKERS, N. Y.

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