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Nose-bleed when washing the face in the morning.
Weak, anæmic, flabby women. Weak, no reaction. Addicted to the smelling bottle.
Tendency to gangrenous degeneration of glands, as in scarlatina; the parotids.
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Guernsey says. This remedy seems particularly useful in constitutionally delicate women who faint easily and want some kind of smelling salts around them most of the time. They are weak, with deficient reaction and generally of the lymphatic temperament. Such patients want stimulants, especially such stimulants as act through the olfactory nerves, like spirits of Ammonia, Camphor, Musk, Alcohol, etc. In the first onset of such a suddenly prostrating disease as cerebro-spinal meningitis this has been found a good remedy to excite reaction and place the patient in a condition for the choice of the next remedy indicated by the now aroused vital force in conflict with the disease (so called). One thing Ammonium carb. is good for is dry or stuffed coryza, acute or chronic. The patient is worse at night, has to breathe with the mouth open. Sambucus, Lycopodium, Nux vomica, and Sticta pulmonaria may be compared with it.
Another frequently verified symptom of the nose is epistaxis while flashing the face. (Kali carbonicum). I don't know why it comes on then, but it does, and this remedy cures it. The only other affection in which I have found it very useful is scarlatina. The body is very red, almost bluish-red, and the throat seems to be the center where the force of the disease seems to be expended in malignant intensity. The eruption is faintly developed, or has seemed to disappear, from sheer inability from weakness of the patient's vitality to keep it on the surface (Zinc. has convulsions from the same cause). Erysipelas of old, debilitated persons comes under the same head. Cerebral symptoms, simulating a drunken stupor, are present in both cases. The whole system seems to be overpowered by the toxic effect of the disease poison. (See also Ailanthus). Ammonium carb. will sometimes help us out in such cases.
symptom of this remedy that has proved to be a valuable keynote for its
administration is: "Sensation of coldness in the
back, between the shoulders." It is generally found in chest
affections, such as cough or pains in the chest without cough. I have found it
as reliable a keynote as is the burning
between the shoulders of Lycopodium or
Phosphorus. It is also a remedy for
constipation, the stool being hard, dry and
crumbling and also very difficult to expel. Sometimes the stool is
covered with mucus, something like Causticum, which has stool covered with mucus,
shining, as if greased. There is also a resemblance between these two remedies
affecting the muscles and ligaments. Ammonium
mur. has pain with a sensation as if the muscles were contracted or
too short, while Causticum goes a step
further and has actual contraction of
these parts, producing what is known as arthritis deformans. (Cimex, Nat. m.).
There are two remedies that have menses, or flow of blood from the uterus, at night. They are Ammonium mur. and Bovista, the other symptoms, of course, deciding the choice between them (Kreosot. menses flow only on lying down, cease when sitting or walking about; Lilium tig. flows only when moving about, ceased to flow when she ceased to walk; Magnesia carb. flows only at night or when lying, ceases when walking). This remedy is also sometimes useful in sciatica. Here we have the sense of contraction in the tendons and the patient is worse while sitting, some better when walking and entirely relieved when lying down. It also has pains in the heels as if ulcerated. For pains in the heels see also Phytolacca, Cyclamen, Manganum, Ledum and Causticum. I once cured a case, very severe and long lasting, with Valeriana.
Is one of our best remedies for vomiting in children. The milk comes up as soon as swallowed, by a great effort, after which the child becomes greatly relaxed and drowsy; or if the milk stays down longer it finally comes up in very sour curds, so large that it would seem almost impossible the child could have ejected them. if this condition of the stomach is not cured the case will go on to cholera infantum, with green watery or slimy stool, colic and convulsions. The convulsions of this remedy are peculiar, in that the eyes turn downward instead of up or sidewise. If the case still progresses unfavourably there is an appearance of sunkenness in the face with linea nasalis, which is a surface of pearly whiteness on the upper lip, bounded by a distinct line from the outer nasal orifice to the angles of the mouth.
This last symptom is more characteristic of Æthusa than any other remedy. Æthusa has complete absence of thirst. The prostration and anxiety are very marked, but the absence of thirst rules for Æthusa instead of Arsenicum album. Vomiting of large curds (sour) is also found under Calcarea ostrearum, but with this remedy we have at the same time sour stools, and then sweaty head, and open fontanelles as well as Calcarea temperament would generally be found in the case.
There is another very peculiar symptom of Æthusa that has been cured twice to my knowledge by this remedy, viz.: Imagined she saw a rat or mouse run across the room. In both these cases the symptom occurred in hard worked, nervous women, but the symptom was very persistent and annoying. Æthusa not only cured the aberration but improved the general health. I always use it in the 200th potency.
"Child 'good' all day; screaming, restless and very troublesome at night" (frequently verified). I once had a case of entero-colitis that for more than eight weeks baffled my best efforts to cure. The case went from bad to worse, until it was reduced almost to a skeleton. Instead of screaming all night it screamed day and night, all the time (so the mother said), and certain it was, it was always screaming when I saw it. With the screaming there were constant contortions of the body, bending forward, backward and sidewise alternately. I cannot tell how many different remedies I tried, but finally, in the course of human events, l gave it some Jalapa, 12th, run up from some of the crude drug which I procured from an ordinary drug store. The child went to sleep, and from that nap, which was a good, long one, recovery was rapid and perfect. The only indication I had was that it caused colic and diarrha.
Is another remedy which like Jalapa, has been abused by the old school, but is very valuable when used homopathically. The leading indication is sour stools. They may be brown mixed with mucus, or thin and pasty. There is often much pain before the stool, of a colicky nature, and there may be tenesmus after stool. It is most useful in colicky diarrha of children. There is another very characteristic symptom, viz.,: "Not only the stools are sour; the whole child smells sour, no matter how much it is bathed." In colic and diarrha during dentition a choice will sometimes have to be made between this remedy and Magnesia carb.
This remedy has not been thoroughly proven, but enough has been learned from what we have, and clinical experience, to indicate that it is a very valuable one. As a remedy for hæmorrhoids or rectal trouble it may be compared with Æsculus hippocastanum, for both have a sensation as if the rectum was filled with sticks. From this one symptom we could not know which one to prescribe. But let us note some of the differences:
Æsculus has also a prominent sense of fullness in rectum, Collinsonia has not.
Æsculus piles do not, as a rule, bleed.
Collinsonia piles often bleed persistently.
Æsculus has great pain, soreness and aching in the back.
Collinsonia does not as yet develop that symptom.
Æsculus sometimes has constipation, sometimes not.
Collinsonia is greatly constipated, with colic on account of it.
This comparison is carried far enough to show that a choice between these remedies is not generally difficult. With Collinsonia I once cured a very severe colic which had been of frequent occurrence in a lady for several years and had completely baffled the old school efforts to cure. I was led to choose the remedy on account of the obstinate constipation, the great flatulence and the hæmorrhoidal condition present.
I also cured one of the most obstinate cases of chronic constipation I ever met. The patient for two years had only averaged a movement of the bowels once in two weeks, and then only under the action of powerful cathartics, after which he would be almost sick two or three days in bed. Collinsonia cured him within a month so perfectly that his bowels moved naturally every day and the trouble never returned so long as I knew him, for years afterwards.
Is useful for spasmodic cough, like whooping cough. It is continual, short, hawking through the day, so constant and frequent as to have merited the description given it of "Minute gun" cough. This is during the day and there is not much whooping, but at night there is more whooping. The night paroxysms are sometimes very severe.
I have found Coral. one of the very best remedies for post nasal catarrh, with mutch dropping of mucus into the throat. (Natrum carb.) I do not know any other remedy so efficacious in the majority of cases, and generally prescribe it, unless I have strong indications for some other remedy. I seldom fail to hear a good report from it. Coral. has also been found useful in chancre. The ulcer is red (coral red), flat and exceedingly sensitive, sometimes painful. Chancroids or soft chancre, for which the old school cauterize, may find a swift and sure cure in Coral.
This is a good remedy for gonorrha when there are on account of slow or intermittent flow of urine indications of formation of a stricture, and will, if given early (high), often prevent it So much pain and suffering often necessitating operation for the relief of stricture has been experienced that everything possible should be done to avert it. In the first place the cauterization method, or fashionable local treatment, is responsible for nearly, if not quite, all strictures. I know that such practice is neither scientific nor curative in the remotest sense, and on the other hand I know that constitutional treatment alone is adequate to cure (not simply suppress) the worst cases, and that in the shortest possible time. Another use for Clematis is for curing the orchitis arising from the suppression of gonorrha, or when it may have extended to the testicles without such suppression, which latter condition seldom occurs. The testicle becomes greatly swollen, and if not promptly relieved becomes indurated and hard as a stone. I have cured this very promptly with Clematis. Pulsatilla is undoubtedly the remedy oftenest indicated in orchitis from suppressed gonorrha, but if after it has reduced the pain and restored the discharge it fails to reduce the swelling or induration, Clematis will do the rest. It has not disappointed me. Clematis has a symptom similar to Coffea, viz., "Toothache relieved by holding cold water in the mouth."
This remedy acts strongly upon mucous membranes. It has, like many other remedies, been so abused by the old school that it has fallen into disrepute, and the tendency even with our own school under such circumstances is to underrate its virtues or to fail to investigate as they ought to. It is, however, an excellent remedy in the form of chronic bronchial catarrh, with profuse expectoration of greenish or gray purulent matter. (Stannum, Lycopodium, Sulphur, Phosphorus, etc.) Among remedies not yet well understood we have:
Copaiva, profuse greenish-gray, disgusting smelling sputa.
Illicium anisatum, pus, with pain at third cartilage, right or left.
Pix liquida, purulent sputa, pain at left third costal cartilage.
Myosotis, copious sputa, emaciation, night sweats.
Balsam Peru. catarrhal phthisis, copious purulent expectoration.
Yerba santa, accumulation of mucus causing asthmatic breathing.
I mention these remedies in order to call attention to them for trial in case we cannot find the curative among the better proven ones. All the old remedies had to have their beginnings.
Copaiva is a valuable remedy in gonorrha. There is great irritation in the urethra and at the neck of the bladder. It may be indicated in the beginning, when the discharge is thin or milky, and later, especially when the disease has extended to the bladder, with discharge of a large amount of viscid mucus or blood and mucus in the urine. Although not so violent in its action on the urinary tract as Cantharis, it stands very close to it.
This remedy, also fallen into disrepute from its empirical use in the old school, has an important place in the therapeutics of gonorrha, if after the first or inflammatory stage is passed under the usual remedies for that stage there still remains burning in the urethra after urination and the discharge remains thick, yellow or puslike. Notwithstanding Mercurius or Pulsatilla, we may find our remedy in Cubeba. I have made some fine cures myself in such cases. With Pulsatilla the discharge, while thick, or yellow, or green, is more likely to be bland, as it is on mucous membranes elsewhere. Mercury has a similar discharge, but all the symptoms are worse at night. When the discharge becomes thin (gleety) neither of these remedies are, appropriate.
Right here let us call attention to another remedy which ought to be mentioned in connection with the treatment of gonorrha.
It has a very characteristic indication for its administration, viz.: "Great and sudden desire to urinate," children stand and jump right up and down from pain and urging. This is mostly found in chronic cases (especially after gonorrha) after the inflammation has extended backward to the neck of the bladder. Another very troublesome symptom found under Petroselinum is itching in the urethra; feels as if he must run a stick or something in there and scratch it. Burning, tingling, from perinæum throughout whole urethra. Children are sometimes troubled with such sudden and intense desire to urinate that they will jump right up and down, trying to hold on until their clothes are unbuttoned. It is like the sudden desire for stool of Aloe -"must git thar."
Coryza with frequent sneezing and profuse acrid discharge, corroding upper lip and nose. Lachrymation also profuse but bland. (Euph. reverse).
Cold extends to the bronchi, with profuse secretion of mucus; coughing and much rattling (Chelidon).
Modalities < in the evening, and in warm room, > in open air (the coryza).
* * * * *
Anyone who has cut up raw onions for coming knows what is the effect upon the eyes and nose -irritation, which causes violent sneezing and lachrymation. Then, if the homopathic law of cure is true, it ought to be a good remedy for coryza, and so it is; but like every other remedy, it cures its own peculiar and characteristic form of the disease.
It has constant and frequent sneezing, with profuse acrid discharge, which burns and corrodes the nose and upper lip, and it is worse in the evening and indoors and better in open air. It has also profuse lachrymation, with burning, biting and smarting of the eyes, but the discharge is bland; that is, it does not make the eyes sore afterwards. There may or may not be headache; if there is it is, like the coryza, worse in warm room or evening and better in open air. I have found it particularly useful in children when the profuse coryza or cold extended downward to the bronchi, with a like profuse secretion in the bronchial tubes, with much coughing and rattling of mucus. Before Cepa came into homopathic use we used to give Euphrasia when there was profuse coryza and lachrymation. The difference between the two remedies is, that with Cepa the nasal discharge is acrid and the lachrymal bland, while exactly the reverse is true of Euphrasia. The action of the remedy seems to be primarily in the nose with the one and in the eyes with the other, and thus we must learn to differentiate between all remedies.
The action of this remedy seems to center in the eyes. If you read the symptoms as laid down in "Hering's Guiding Symptoms," you would think that it would cure almost all possible affections of the eyes, acute or chronic conjunctivitis, iritis, kerato-iritis, spots, vesicles, pannus, etc., and so it will if indicated by the symptoms.
In colds with cough and severe fluent coryza it will sometimes cure, but here the choice must be made between it and Arsenicum, Cepa and Mercurius. (See Cepa for comparison).
In measles with watery eyes and fluent coryza it is sometimes the best remedy. I remember Dr. C. W. Boyce, of Auburn, N. Y., reporting great success with it in an epidemic in that city.
He cured all his cases with it. So I went for the next epidemic in my vicinity with Euphrasia, and my failure was as marked as his success. It was not the remedy for my epidemic. But I know enough not to "go it blind" that way very long, and hunted up my simillimum. Then I succeeded, too. Look out, young man, for the remedy that is recommended for all cases of any disease, or you'll "come down hard" some time.
One very prominent characteristic in eye troubles for this remedy is a tendency to an accumulation of sticky mucus on the cornea, which is removed by winking. All cases of any kind attended with photophobia and lachrymation, with or without coryza, should suggest this remedy, or at least call it to mind. In the eye affections of Euphrasia the lids are often involved. Of course this is so with other remedies, such as Arsenicum, Apis, Rhus toxic., etc. Study up. one more symptom: Cough, sometimes dry, but generally loose, worse during the day, not troublesome at night. This is important, as more coughs are < at night.
Tonsils red, swollen, with white spots, which sometimes coalesce and form patches; pains run up into the ears, and aching, bruised, sore feeling in head, back and limbs; < on motion, but must move; he aches and is so sore.
Irresistible inclination to bite the teeth or gums together. (Dentition).
Breasts very hard, swollen, hot and painful; pain radiates all over the back when the child nurses.
* * * * *
Phytolacca decandra is one of our most valuable remedies for sore throat, and the indications are plain. The throat becomes generally inflamed; the tonsils swell and become very red at the first, and then white spots appear which (unless checked) soon spread and coalesce and form patches of a diphtheritic appearance. There are sharks pains often running up into one or both ears. These are the local throat symptoms, and the constitutional symptoms are:
Intense head and backache, and a sore, aching, bruised feeling all over the body, causing the patient to groan, and while, like Rhus toxicodendron, he feels as if he must move, the act of moving greatly aggravates all his pains and soreness. The patient is also greatly prostrated, and sitting upright makes him faint and dizzy like Bryonia. There is high fever, for the pulse is very quick; but the heat, like that of Arnica, is mostly in the head and face while the body and limbs are cool.
Now these symptoms present, it makes no difference whether the case is called tonsilitis, diphtheria or scarlatina. Abundant experience in my own person and observation with my patients has proven Phytolacca to be a remedy of inestimable value. Nor is it necessary to give it in twenty drop doses of the mother tincture, and gargle in addition, as some advise, but it will in the potentized dose do much better, the same as other homopathic remedies. I have done some good work with this remedy in follicular pharyngitis, especially when in public speakers the voice gave out from over-work and there was much burning in the throat, as of a hot substance there. In this kind of sore throat I have the best success with the remedy very high.
Now let me call attention to a symptom of this remedy that has been of great value to me: "Irresistible inclination to bite the teeth or gums together." On this indication I have often relieved the complaints of various kinds incident to the period of dentition. I once had a case that was sent up to the country from New York City. The child had been sick a long time, with cholera infantum (entero-colitis), and its physicians said it must leave the city or die. But country air and change of diet brought no relief. The little fellow was greatly emaciated, having frequent loose stools of dark brown color, mixed with slime or mucus of the same color. After trying various remedies I discovered that the child wanted to bite its gums together, or to bite on everything that it could get into its mouth, and the mother then told me that this had been the case all through its sickness. Phytolacca produced immediate relief of the symptoms and rapid recovery followed.
I have since verified this symptom several times. Phytolacca is also one of our best remedies for mastitis. The breasts are very hard, greatly swollen, hot and painful. When the child nurses the pain radiates all over the body. There is fever, great pain in the head and back, and if it is a bad case, unless checked, is very liable to go on to suppuration. Every time the child nurses the pains spread all over the body.
The choice often lies between this remedy and Bryonia, and they complement each other. Almost every case of swollen breasts with the milk fever, when the breasts fill for the first time after confinement, may be speedily relieved with one or the other of these two remedies. If the case should have gone on to suppuration, with large fistulous, gaping and angry ulcers discharging a watery or ftid pus, Phytolacca is still the remedy; and will often do more good than Hepar sulphur. and Silicea. But the choice sometimes has to be made between other remedies such as:
Croton tiglium. The pain runs through to the back when child nurses. (Silicea, Pulsatilla).
Phellandrium. Pain runs along the milk ducts between the acts of nursing.
Lac caninum. The breasts are greatly filled and so sore that their own weight hurts the patient, who wants to hold them up and shrinks from the least jar. Of course Aconite, Apis and Belladonna must not be forgotten, and have as positive indications for their use as any of the above remedies. (See also Castor equorum.)
I have removed a great many suspicious lumps or tumors in the breasts, some of them of years' standing, by giving a dose of Phytolacca c. m., once a month, during the wane of the moon. What has the moon to do with it? I do not know. I cure goître the same way (but not with Phytolacca), and was led to that way of administration by a suggestion of Jahr. That some diseases have their aggravations in certain times of the moon I know, and that certain remedies act better then, I know just as well. Do not forget that the bruised, sore feeling of Phytolacca that we noticed at length when writing of Arnica is sometimes markedly present in sciatica, for which it is one of our successful remedies. The characteristic symptom for Phytolacca in this painful affection is, that the pain runs down the outer side of the limb. Sciatica is one of the complaints in which Homopathy has scored some of its most brilliant victories over the anodyne treatment of the old school. Periosteal rheumatism, where the pains are especially worse in wet weather, sometimes finds a remedy in Phytolacca. This drug seems to resemble in its action on the periosteum, glands, bones and skin Kali hydroiodicum, and the two remedies complement each other, of course, with indications, or the choice may sometimes lie between them. H. C. Allen says: Phytolacca occupies a place midway between Bryonia and Rhus tox., and will often help when these seem indicated but fail. It is curious to note that almost every chemical remedy has a closely resembling relative from the vegetable kingdom. Kali hydroiodicum and Phytolacca, Aloes and Sulphur, Cepa and Phosphorus, Chamomilla and Magnesia carb., China and Ferrum, Belladonna and Calcarea ost., Ipecac and Cuprum, Bryonia and Alumina, Mezereum and Mercury, Pulsatilla and Kali sulphuricum. This has been before mentioned by Hering.
Sudden local congestion, especially to head and chest; bursting headache rising up from neck, with great throbbing and sense of expansion as if to burst; cannot bear the least jar.
Can't bear anything on the head, especially hat; or pressure as of a hat.
Over-heating in the sun, or sunstroke.
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This is, in the first place, one of our great head remedies. It has intense pain in the head, with great throbbing and sensation of fullness and constriction of the vessels of the neck. There are so many symptoms attending this condition of congestion that it is not wise to try to give them all here. I used, in my early practice, to carry a small vial of the 1st dilution in my case on purpose for those who were inclined to sneer at the young doctor and his sweet medicine, and many a disbeliever have I convinced, in about five or ten minutes, that there might be power in small doses of sweet medicine, by dropping on the tongue a drop of this preparation, for it seldom failed to produce its characteristic throbbing headache within that time. One lady, not willing to acknowledge that it affected her, rose to leave the room, and fainted and would have fallen to the floor if I had not caught her. No one ever asked after that experiment for any more proof of the power of homopathic medicine. This throbbing headache, seeming to arise from the neck, is very characteristic, and the throbbing is not a mere sensation but is visible in the carotid arteries. The vessels are full to bursting, and if their walls were not healthy there is danger of apoplexy. No remedy equals this one for producing sudden and severe congestion of the head, and none can cure it quicker when indicated by the symptoms. The remedies that stand nearest Glonoine in their effect on the head I believe to be Belladonna and Melilotus. Belladonna and Glonoine both have the fullness, pain and throbbing, but that of Glonoine is more intense and sudden in its onset, and, on the other hand, subsides more rapidly when relieved. Again, Glonoine is better adapted to the first or congestive stage of inflammatory diseases of the brain, while Belladonna goes further and may still be the appropriate remedy after the inflammatory stage is fully initiated. Belladonna is better by bending the head backward; Glonoine worse. Belladonna is made worse by having the head uncovered, and suffers from having the hair cut; Glonoine must have the head uncovered, can't bear to wear his hat, or wants the hair cut. Belladonna is worse lying down, even if he keeps still; Glonoine, though sometimes worse after lying down, is also sometimes better when lying still. One symptom very characteristic of Glonoine is, that the patient carries the head very carefully, for the least jar or shaking of it greatly aggravates the pain. Another peculiar symptom is, it seems to the patient that there is not only throbbing, but there is an undulating sensation as if the brain were moving in waves synchronous with the pulse. There is more disturbance of the heart action with Glonoine than with Belladonna, though both have it strongly. Glonoine has a sensation of rush of blood to the heart or chest.
Melilotus also has great congestion to the head, with pain and sense of fullness. Not being so thoroughly proven as Belladonna and Glonoine, we cannot so clearly indicate the exact place for it, but there is one very prominent symptom which always makes one think of it, viz.: "Glowing redness of the face." No remedy that I know of has it more strongly. Glonoine and Belladonna may both have very red face; on the other hand, a pale face, with the other congestive symptoms, does not contraindicate them, but does Melilotus. Then, again, with Melilotus the head symptoms are often relieved by a profuse epistaxis, which is also another very prominent symptom of this remedy. I cured a very bad case of typhus cerebralis, and also a case of insanity of long standing, with this remedy, being guided to it by these symptoms.
"Loses his way in well-known streets" is a symptom of Glonoine that has several times been confirmed. The local congestions of Glonoine are often found in different diseases; for instance, climacteric flushings are often most felt in the head. Glonoine cures such cases. It is also useful in puerperal convulsions. And another symptom often present in these cases is, a sense as if the head were expanding from fullness. Now look out for convulsions and give Glonoine, especially if there be albumen in the urine. Congestion to the head from suppressed or retarded menses sometimes finds a remedy here; also, different pathological conditions of the heart, but the symptoms must be present.
For sunstroke it is probably oftener indicated than any other remedy; also for the after-sufferings therefrom. Not only from sunstroke, but from other bad effects of radiate heat; for instance, children get sick in the night after sitting too long or falling asleep before an open coal fire.
Then, again, warm room increases the headache and warm bed the faceache.
"Burning between the shoulders" is another symptom of this remedy, like Lycopodium and Phosphorus. Ammonium muriaticum and Lachnanthes have the opposite. While we are here now I will call attention to another remedy, which, for flushings and congestions to head and face, resembles Glonoine, that is, Amyl. nit.
Here is a remedy of undoubted great value. The best rendering of it is given by Dr. H. C. Allen in the transactions of the I. H. A., page 104, year 1887, although a very fair one is found in the "Guiding Symptoms" (Hering). The provers all had fearful headaches and hæmorrhages except myself (Bowen).
The congestion to the brain is equal to that of Belladonna and Glonoine, and the most characteristic symptom of such congestion is intense redness of the face, with throbbing carotids, which is often > by a profuse epistaxis. Several years ago I cured a very bad case of mania of the religious form with the 6th potency. This lady had had one similar attack a few years before, when, after she had been given up by two allopaths, who said she must go to the asylum, I relieved her with Stramonium. She was very loquacious at that time.
This time Stramonium failed, but no indication of the intensely red face I gave her Melilotus with a rapid and permanent cure. The first cause of these attacks was overheating in the sun.
One more case will illustrate the action of this truly great remedy.
During a run of typhoid fever in a young lady she had frequent attacks of profuse epistaxis. One attack followed another, sometimes twice or three times in twenty-four hours, until I became alarmed on account of the great loss of blood.
She had been subject to frequent attacks of nosebleed since childhood, from the time she was injured in the nasal passage by a button she pushed up the nose, and which a "regular" claimed, after much violence, to have pushed down her throat, but which in reality remained in her nose a long time -several months- when it was ejected in a fit of coughing and sneezing. Two years before I carried her through a very severe attack of diphtheria, which was also attended by severe nosebleed, occurring at night, the blood hanging in clots from the nose like icicles.
Mercurius sol. 30th then stopped it very nicely. Now the blood clotted some, but not so markedly. Mercurius did no good. Every attack has preceded by the most intense redness and flushing of the face and throbbing of the carotids I ever witnessed. The nosebleed would invariably follow within a few hours this apparent rush of blood to head and face. Belladonna did no good. Neither did Erigeron, which, in Hering, "has congestion of the head, red face, nosebleed and febrile action."
Melilotus 30th relieved promptly not only these attacks of congestion to head and nosebleed, but the whole case afterward progressed without an untoward symptom to perfect recovery.
F. A. Waddell, M. D., reports a case of pneumonic congestion, in which the characteristic red face and epistaxis were present, as cured with this remedy.
Dr. Bowen, to whom belongs the credit of first introducing this remedy to the profession, reports many cases of headaches, colic, cramps in the stomach and spasms relieved and cured by it. It seems to me that this remedy should be classed with Belladonna and Glonoine, and never forgotten in comparison with remedies having strong head symptoms.
It has quite a reputation for arresting paroxysms of epilepsy and resuscitating patients sinking under anæsthetics. It is given here by olfaction. There are various speculations as to how it does this; the most important thing, after all, is that it does it.
We know that it causes and cures tumultuous heart action very similar in appearance to that of Glonoine. I have cured a very bad case of chronic blushing or flushing of blood to the face on the least excitement, either mental or physical. It was in a young married woman, not near the climacteric, and she had suffered very much for a long time. The cure is permanent and the patient is very grateful, for, as she said, she supposed it was natural and medicine could not help it. Those who cannot blush don't need it. This is all the experience I have had with this remedy and I always used it in the 30th.
I do not know much about this remedy from a homopathic standpoint. It first gained a reputation with the old school profession for its sleep-producing qualities and its power over epileptic seizures. As usual, it was pushed for these things until they found it was a dangerous remedy in the large doses which they had to use to produce the desired effect.
They discovered that it produced sleep, not by increasing the blood in the brain to stupefaction, like Opium, but, by decreasing the amount of blood, thus resembling more nearly natural sleep. Then they exclaimed, Eureka! But, alas! too great and long-continued anæmia resulted in lack of nutriment to the brain tissue, and as a consequence there developed depression, melancholia, insanity and signs of brain softening until Hammond, its chief advocate, admitted that it put more patients into the insane asylum than any other remedy.
Well, for what can we safely use the remedy? For the symptoms arising from cases simulating the effects of Kali bromatum, just as we do any other homopathic remedy. I do not understand the remedy well enough to give characteristic indications for its homopathic uses. There is one symptom which I think is valuable as a "guiding symptom," viz.: "fidgety hands." The patient must be working or playing with them continually; even the sleeplessness is somewhat relieved by moving the fingers over the bed clothes; or he plays with his watch chain or the head of his cane, anything to work off this excess of nervousness. Zincum has "fidgety feet," and Phosphorus a general fidgetiness of uneasiness; can't sit still, but changes position continually; not like Rhus toxicodendron, because he is relieved of pain by moving, but because he is simply nervous. The homopathic uses of Kali bromatum ought to be better understood.
Here are five so-called hysterical remedies. They have many nervous symptoms that are similar, and I will only give a few characteristic symptoms of each and leave their study to those who love to study.
These five remedies should be studied together.
Moschus. "Hysterical spasms of the chest, nervous suffocative constrictions, especially on becoming cold." Palpitation (hysteric) with dyspna, prostration, fainting, exclaiming, "I shall die! I shall die!" etc., greatly excited. Laughs immoderately, or cries or scolds until her lips turn blue, eyes stare and she falls down fainting or unconscious.
Castoreum. "Exhausted pains better from pressure, menstrual colic, with pallor and cold sweat."
Asaftida. Enormous accumulation of flatulence all pressing upward; ball rising in throat.
Great suffering, especially hysterical, from suppression of discharges. Discharges ftid.
Great sensitiveness to contact; in ulcers, especially periosteal.
"Full of wind; flatulence with eructations all pressing upward, but none downward. Seems as if she would burst with the upward pressure, reverse peristalsis." "Especially useful if its nervous symptoms come on after the suppression of leucorrhal or other habitual discharges." All discharges offensive, even of ulcers, and great sensitiveness to contact or touch. Osteitis or caries with this same exceeding sensitiveness to contact (Hepar).
Valerian. General nervous irritation, cannot keep still, tearing pains and cramps in different places. Feels as if floating in the air (Sticta pulm. as if legs were floating in the air). Over-sensitiveness of all the senses. Sensation as of a thread hanging down throat. With this remedy I once cured a severe case of sciatica in a pregnant woman on the symptom, pain worse when standing and letting the foot rest on the floor. She could stand with that foot resting on a chair, or could lie down in comfort.
Ambra grisea. Convulsive cough, with frequent eructations of gas.
Discharge of blood between the periods; after a hard stool; or walk.
Very nervous women, cannot void stool or urinate when others are in the room.
Discharge of blood between periods; any little exertion or straining at stool causes it. Nervous cough followed by eructations of wind. It is particularly adapted to nervous affections of old people and spare subjects nervously "worn out."
A lady with dropsy, consequent on valvular heart disease, after being relieved of the bloating, was suddenly unable to talk. In answer to a question she could begin a sentence, but could not finish it, because she could not remember what she intended to say. She was very impatient about it and would cry, but could not finish the sentence, but could signify her assent if it was finished by some one else for her. This continued for several days, or until she received Cannabis Indica, when she rapidly recovered her power to express herself. This is all the experience I have had with this remedy that is worth relating.
Ears, face, nose and skin in general, red and itch as if from chilblains.
Twitching in eyelids (especially), face, extremities, even choreaic jerkings, which cease during sleep.
Spinal column painful and sensitive to touch, aching extending into the lower limbs.
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Agaricus has some very characteristic skin symptoms. "Ears, face, nose, toes and skin in general are affected with a redness, itching and burning as of from being frozen." This is a very valuable symptom and may lead to the choice of this drug in many very different diseases. I have used the remedy a good many years with very gratifying results for chilblains. I always use it internally in the 200th. It is also a remedy of first importance for twitchings, from simple twitching in face, eyelids (especially) and extremities, to severe cases of chorea. In the latter disease the twitchings cease during sleep. Again it has been found useful in spinal irritation. The symptoms indicating it here are best given in Allen's Encyclopædia. No doubt this remedy has been over proven, and as a consequence many of its recorded symptoms are unreliable. The best work that can be done with it now is to separate them, if possible, "proving all things and holding fast that which is true."
Chronic rheumatism connected with valvular heart troubles should call our attention to this remedy, for it has done good service in such cases. Symptoms: "Rheumatic soreness in the cardiac region." "Violent pains in the heart when bending over." "Pains in heart when urinating or at menstrual period." "Flattering of the heart with mental agitation," are all valuable guides to its selection. Then if we have the rheumatic symptoms, swelling and redness with great tenderness of the small joints, the indications are very positive for its use.
There are often heavy deposits in the urine of mucus, uric acid or pus. I have done some excellent work with it in such cases.
Is a prime remedy for "snuffles" in small children. It is of the dry variety, completely obstructing the nose, child must breathe through the mouth. It is also one of the best remedies for asthma millari. The attacks come on suddenly in the night; child turns blue, gasps for breath and seems as if almost dying. Then it goes to sleep and wakens with another attack again and again. I once relieved a very bad case of chronic asthma in an old lady having similar attacks of suffocation with the 200th of this remedy. The relief was followed, or rather accompanied, by a profuse flow of urine which carried off a large amount of dropsical effusion in her legs and abdomen. She has remained much better of all her symptoms since and is now very old. One very peculiar characteristic which should never be forgotten is "dry heat" while asleep and "profuse sweet when awake." No other remedy has it, and it has been confirmed many times. Conium has "sweats as soon as he closes his eyes to sleep." Thuja has sweats on uncovered parts. (Belladonna on covered.) Pulsatilla, one sided sweats and many of our best characteristics are found under the so-called fever symptoms, including chill, heat and sweat, and as we are apt to have one or the other, or all of these three conditions in most diseases, it is well, to have a ready understanding of them. It will save much time sometimes in hunting after the simillimum.
Has been found useful in cough, with sneezing; watering of the eyes, and involuntary micturition. There may also be pleuritic stitches in the chest, with or without effusion. The cough is generally loose and rattling, with expectoration of such mucus, and the loose cough in the morning is more fatiguing than the dry one in the evening.
Verbascum thapsus. Cough, deep, hollow, hoarse, with sound like a trumpet. I have cured many cases and always used it low. I have never used the remedy for anything else.
Senega. Cough with great accumulation of mucus, which seems to fill the chest, with much rattling, wheezing and difficult breathing; especially valuable with old people, but works well with others. Have also cured many cases of this kind and always use it low; no success with the high.
Illustrations. -Several years ago I was called to an old asthmatic, who was having a terrible paroxysm. After several days of intense suffering, which ordinary remedies did not relieve in the least, I gave him Senega three or four drops of tincture in one-half glass cold water, dessertspoonful doses once in two hours until relieved, with a promise to call again in the evening. Imagine my surprise when I called as he ushered me in with a smile and bow, for he was perfectly free from hard breathing and cough, and remained so for a long time after.
During September, 1900, I was called again to a lady 50 years of age, suffering the same way. She had been suffering for over a month, at times very severely, but this paroxysm was worst of all. The dyspna was very great; had to sit propped up in bed; chest rattling and wheezing; filled with mucus which she could not raise; face and hands purple from unoxygenized blood. Ipecac., Arsenic and Antimonium tart. were of no benefit. One evening after their failure I dropped seven drops of the tincture of Senega into one-half glass water, with directions to give teaspoonful once an hour until relieved, then at longer intervals. The next A. M. as soon as she saw me exclaimed, "Oh, Doctor, I wish you could just realize how I slept. In one-half hour after the first dose I went right to sleep, and I have had a beautiful night." I give these two cases to impress the value of this remedy upon the reader. I have used it many years in obstinate coughs with dyspna and difficult expectoration of mucus which seemed to fill the bronchial tubes.
Myrtus communis. Obstinate cough, mostly dry, with pain in upper portion of left chest, right through to left shoulder-blade. this is a gem and has, I believe, cured more than one case of incipient consumption for me. Sulphur, Pix liquida, Anisum, Arum tri., and Theridion have a similar symptom, but Myrtus leads, unless there is decided psoric taint, when Pix liquida or Sulphur would lead.
Drosera rotundifolia has a deep sounding, hoarse, barking or trumpet-toned cough, something like that of Verbascum, but there is more laryngeal trouble with Drosera, for the voice in talking has a deep base sound. Drosera is also one of our leading remedies in spasmodic coughs, whooping cough. With the cough there is great constriction of the chest and abdominal muscles, so that the patient holds them with the hands. The cough is worse after midnight.
Is a very valuable remedy for diarrha, though not so often used, I think, as it should be. It resembles Croton tiglium in the suddenness of the desire for stool, and in the all coming out at one gush. Again, it resembles it, in that it is sometimes watery and yellow, but Croton tig. is aggravated by the least food or drink, which is not the case with Gambogia. Again, Gambogia has all the way from yellow, watery, to almost formed stools, and in each case, the stool comes all at once in one prolonged effort, and there is a feeling of great relief after stool, as if an irritating substance were removed. Sometimes there is burning of the anus after the stool, similar to Arsenicum, Iris versicolor and Capsicum. It is curative in both acute and chronic forms of diarrha. There is often much rumbling in the bowels.
Gratiola officinalis is another remedy that has the yellow, watery diarrha, gushing out with great force. It is sometimes especially useful in the summer complaints of children, especially where they have been drinking too much cold water, which frequently happens. Gratiola resembles Aloes in some points, but has not the hæmorrhoids.
Oleander is one of our best remedies for diarrha of undigested food, and the best indication for it is involuntary stool when emitting flatus. The least passage of flatus is always accompanied with stool, so that the clothes are always liable to be soiled. I cured with the 200th of this remedy a case of three years' duration in a child. It was my own child, and I had tried many remedies (it was in the beginning of my practice) and was almost despairing that she would ever be well or strong, but after taking the Oleander she was cured, not only of the diarrha, but became perfectly strong and well and has always remained so, not having the slightest tendency to a return of the trouble.
I believe the lily of the valley is to become one of our very valuable remedies. It ought to receive a Hahnemannian proving. I have used it with much satisfaction in women who complained of great soreness in the uterine region and sympathetic palpitation of the heart. It has also served me well in dropsies of cardiac origin, especially in women who have at the same time the above mentioned soreness in uterine region. I once checked the progress of a very bad case of cardiac dropsy after the effusion in the chest had so increased that the patient could not breathe when lying down, and there was much bloody expectoration. I used the 30th potency in this case, though many times very fine results follow the use of the remedy in much lower preparations. The dropsy all disappeared and she was able to be around and enjoy life very well, though the organic heart trouble was not removed.
Bovista has been of use to me in only one affection, but in that it is invaluable -menorrhagia. The flow is always worse, or sometimes flows only in the night in bed. I do not know of a more reliable symptom. It has helped and cured many cases, both acute and chronic.
It has also sometimes a flow between the periods like, Ambra grisea, but the latter remedy has more nervous or hysterical symptoms.
Ustilago maydis is also a remedy that is very useful in menorrhagia or metrorrhagia, and I think I have observed that it is best adapted to those cases where the flow is of a passive nature (Thlaspi bursa pastoris.) There is apt to be more or less pain and irritation, at the same time, in one or both ovaries. It is especially useful in these cases at the climacteric. I have cured some very bad cases, and always use both this remedy and Bovista in the 200th potency.
Is a so-called liver remedy, and I have seen good results from it in liver troubles, yet I do not know of any special indications for its use. I have known cases of habitual colic from gall stones checked and the further formation of the stones prevented by this remedy. One of them was a very bad case, for which old Dr. Pulte, of Cincinnati, prescribed Carduus. Her daughter inherited the trouble, and I saw her, in consultation with another physician, at one of these terrible attacks of gall stone colic. She could not lie down, but sat in her chair, bent over forward, for forty-eight hours, and during this time she passed two hundred gall stones, very hard and nearly the size and shape of a beech-nut, which were found by washing the fæces. I have a dozen or so now in a little vial in my office. Carduus was also a help to her, but she takes, right along for years at a time, olive oil, thinking that it dissolves the stones or keeps them from forming.
When other remedies fail for pain in the region of the liver, with dizziness, bad-tasting mouth, jaundiced skin and the usual symptoms called "bilious", if I have no special indications for other remedies, I have given Carduus and several time with good results. But, as I said before, I can give no special indications for its use. I can do better for.
Another liver remedy, for it has one very characteristic symptom, viz.: Aching and heaviness in the region of the liver, greatly aggravated by lying on the left side; turning to the left causes a dragging sensation. (See Bryonia, which is also < lying on left side and has the dragging sensation. Remember, Bryonia is generally > lying on painful side.) Magnesia mur., you will remember, has all these symptoms, termed "bilious," but like Mercurius, it is worse when lying on the right side. Then Mercurius is apt to have loose stools, while Magnesia mur. is greatly constipated. Ptelea may have either constipation or diarrha, or, like Nux vomica, constipation and diarrha alternately. I cured one bad case of liver trouble with Ptelea after dema of the feet and legs had set in; she had the symptoms, could not lie comfortably on the left side; her breathing was becoming oppressed, and I thought the case looked as if it would not be very likely to be much better. I used the 30th in this case. The trouble rapidly disappeared and never returned. I considered it a brilliant cure.
I have found this remedy one of the best for ascarides. Have cured many cases who had "tried everything" (so they said) without avail. I have noticed that people troubled with ascarides often have a great deal of tickling, tingling, etc., in the nose, which they are frequently rubbing. (Children troubled with ascarides have this symptom.) And it is notable that Teucrium is one of the best remedies for polypus of the nose; will cure it, and that never to return. I have a preparation of the remedy, made on the Santee potentizer, 50m., which does the best of any preparation I ever used.
Pains in the long bones, especially tibia.
Facial neuralgia or toothache, when the pains are greatly < by eating or motions of the jaws, > by radiate heat.
Nose; vesicular eruptions, with excoriations, formation of thick scabs, < at night; zona.
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Pains in the long bones, especially the tibia are sometimes greatly relieved by this remedy. I once cured a very obstinate case of facial neuralgia with it. The pains were brought on, or greatly aggravated, by eating, and the only relief he could get was to hold that side of his face as near as he could to a hot stove. Hot cloths, wet or dry, or any other heat applied did not relieve.
Zona. Skin diseases, etc. See Materia Medica.
With this remedy I have had the pleasure of curing several cases of otorrha of long standing, generally following scarlatina in childhood. I used the 6th in these cases. The high failed.
Cures headaches coming on after a hard day's work, over-fatigue from work or excitement, what is often called "tired headache." Such cases are very frequent, find the patients volunteered to mention the fact that they always came on when they were "tired out." Of course one swallow does not make a summer, neither does one symptom always make unfailing indication for a remedy, but a symptom often verified is always a valuable leader to the totality of symptoms.
Epiphegus needs further proving.
Suffocative spells about the heart, < sitting up, > lying down; cardiac cough; gasping, twitching and jerks.
Lack of re-active power, low vitality, with blueness or cyanoses, especially in heart troubles.
Drink rolls audibly down through the sophagus and intestines; very low pulse.
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"Want of energy, of vital power; want of reaction, especially in chest and heart affections." And there is another characteristic symptom under this remedy in heart troubles: "The cyanosis, dyspna, etc., are worse when sitting up." Only one other remedy has this aggravation, and that is Psorinum. "Want of nervous reaction; the well-chosen remedy does not act."
"Capsicum, lack of reaction in persons of lax fibre."
Opium, in patients where there is no pain; stupidity and drowsiness.
Valerian and Ambra in nervous affections, well chosen remedies fail.
Carbo vegetabilis, collapse, coldness of knees, breath; perfect indifference.
Sulphur and Psorinum, where Psora complicates and hinders reaction.
Each one of these remedies may he called for in defective reaction, and there may be many more, and in each case, as with all remedies elsewhere, symptoms must decide which one.
Is a great remedy for diabetes mellitus. It is especially indicated if in addition to the thirst, voracious hunger and profuse urine loaded with sugar there are rheumatic pains in the joints. It is generally given low, but abundant experience has taught me that the high is much better, and it does not need frequent repetition.
Oxalic acid has a very peculiar symptom which has often been verified by myself. Palpitation and dyspna in organic heart disease, worse when thinking of it, a very peculiar modality, but genuine.
Is the remedy "par excellence" for wounded or injured nerves; from simple punctures from nails, splinters, pins, rat bites, etc., to severe concussions of the spine and brain, and especially to parts rich in centient nerves. It is to this kind of injuries what Arnica, Hamamelis, Ruta, etc., are to bruises, and Calendula to lacerated muscular tissue, and Staphisagria to cuts with sharp instruments.
Severe pain in stomach after eating. Sensation of an undigested hard-boiled egg in stomach. (Nash 11)
Cough better lying down.
Great thirst, but water disagrees, causing pain, or is immediately thrown off; sinking feeling at pit of stomach (Dropsy.)
Easy vomiting without previous nausea.
Colic pain begins at umbilicus and radiates to all parts of the body, even extremities.
Violent itching over the body, without any visible eruption; jaundice; white stools.
Great difficulty in drinking on account of short breathing; drinks in sips.
Stiffness of neck, head drawn to one side; torticollis.
Intense pain along the sciatic nerve, alternating with numbness.
Cough with expectoration of ftid pus.
When dropping off to sleep the breath stops, the patient awakens catching for it, with a gasp, cannot get to sleep on this account.
Stops breathing when falling asleep; wakens with a start.
Nausea and vomiting with great relaxation of muscular system and profuse accumulation of saliva.
Complaints < when thinking of them. (Helon., Calc. phos.)
Great pain in renal region, with much red sand in urine. (Lycopodium.)
Icy coldness of hands and feet with warmth of the rest of the body (intermittents).
Constant urging to urinate; goes down on his knees with straining; pain runs down thighs.
Marasmus most pronounced in lower extremities, from malnutrition; diarrha; diarrha alternating with rheumatism.
Excessive acidity of the stomach; vomits substance that sets teeth on edge.
Loud wheezing breathing, with cough, < in evening or night, after the first sleep (asthma).
Indurated swellings, of a stony hardness; in glands, or fasciæ or ligaments.
Excess of acidity; yellow, creamy coating at the back part of the roof of the mouth; sour eructations and vomiting.
Blister-like eruptions (eczema) in the palms of the hands.
Eczema capitis, cracks, exudes and wets the hair; strong urine like cat's urine.
Diarrha from drinking impure water.
Catarrhal inflammation of the Eustachian tube and middle ear. (Kali mur.)
Violent headache, with flickering before the eyes, or stops and various colors, < in the morning and at the menses.
Extreme torture from bone pains and periosteal affections, especially in the "tibia," syphilitic eruptions, etc.
Remarkable over-sensitiveness of the nerves; scratching linen or silk or even thinking of it is unbearable.
Tongue coated white, which peels off in patches, leaving dark, red, tender, sensitive spots; mapped tongue.
Spasmodic cough, which ejects viscid mucus, which flies out of the mouth.
Diseases of the bones, especially the long bones, > from cold. Silicea, > by warmth.
Vesicular eruption all over the body, which itches excessively; better after rubbing, but leaving a burning pain.
Clock-like periodicity of complaints, in low, deep, marshy districts.
Deep-seated or cutting pains and fullness in region of spleen.
Sticking pains through right breast, near sternum, extending to back under shoulders. Cough with profuse ftid expectoration, compels to sit up.
Abdomen tympanitic; hard; no flatus up or down. (Dunham.)
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