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Encyclopaedia Homeopathica

BURNETT J. C., Vaccinosis and its cure by Thuja (bn16)


BURNETT James C. With remarks on homoeoprophylaxis

Preface to first edition


TRUTH is not Truth save only to the Infinite : to the mind of mortal man Truth is not necessarily Truth, but only that which appears to be true. Hence it is that what is a glorious truth to one man is inglorious nonsense to another, and both individuals may be equally honest of purpose and of like earnestness in their search after Truth. Minds have their affinities no less than matter, and no one ought, after reflection, to be disappointed to find his own most cherished pursuits contemned and ridiculed by men of other minds. The contents of this little volume appear to the writer to constitute an important elucidation of certain, otherwise obscure, clinical phenomena; for him vaccinosis is a sub-division of the sycosis of Hahnemann; and its recognition of considerable utility in the consulting-room and at the beside. The idea of using Thuja Occidentalis as here recommended is not new, nor is it peculiar to the writer, though it is but very little known in this country, and still less acted upon, and hence it is hoped that the publication of these pages may help to establish vaccinosis as a form of disease, and Thuja as one of its chief remedies. There is an admirable Prize Essay on Thuja, by a learned German physician of eminence. Dr. H. Goullon of Weimar, entitled THUJA OCCIDENTALIS. Abendln, discher Lenbensbaum. Eine monographisch-therapeutische Abhandlung nebst Kritischer Beleuchtung der sogenannten LUES GONORRHOICA (blenorrhoischen Syphilis) oder SYKOSIS HAHNEMANNS VON Dr. Med. H. Goullon. This important essay obtained the prize of the Homoeopathische Centralverein of Germany, and was published at Leipsic in 1877, by Baumgrtner. It is a complete monograph on the subject of which treats, and is eminently instructive and suggestive. In Dr. Goullons Essay, p. 64, we read Dr. Kunkel erinnert bei dieser Gelegenheit an Aehnlichkeit des Krankheitsbildes, wie es die von uns so genannte Vaccinose, d.i. der Complex von Krakhaften Symptomen nach dem Impfen bietet und wie es der eben beschriebene sycotische Tripper darstellt. Auch sei bei beiden das Incubationsstadium verhaltnissmasig Kurz. And, again, page 120, Folgen des Impfens and Revaccinirens. To those to whom the evidence adduced may be insufficient as proof of the existence of VACCINOSIS, to those, it is submitted, the facts may nevertheless possess some interest merely as a Contribution to the Clinical History of Thuja Occidentalis. And, moreover, it the Thuja cured the recorded cases it must be manifest that the efficacy of very minute doses is a factor yet to be reckoned with by practical medicine, both curative and preventive. Of the critics it is merely asked that they go to their task since ira et studio : truth is the aim of the writer. As to the word vaccinosis it is only needful to say that, though a hybrid word-form, it is coined on the model of such designations as scrofulosis and tuberculosis, whose sole apology is practical usefulness and the difficulty of putting pure word-forms in their stead. In regard to the second part of this little treatise on Homoeoprophylaxis the writer believes it will prove suggestive and instructive, and he is not without some hope that it may lead to a clearer appreciation of how the law of similars might with advantage be extend systematically to the prevention of specific diseases. How far this may be possible exeprience must shew. J. COMPTON BURNETT 5, HOLLES STREET, CAVENDISH SQUARE, W. March, 1884.

Preface to second edition


IT is a dozen years since, this little volume was first printed, and during these years I have steadfastly followed in my Copyright 2000, Archibel S.A.

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treatment of disease the lines indicated herein. With what result? Successes not even dreamed of by those who cannot or will not believe that Vaccinosis is a very great clinical truth, and one of enormous therapeutic range. What little I have added to this edition will be found strewn here and there throughout the volume; but the case that is narrated on page 94 is one of somewhat wide import, as it lays very special stress on a point of practice that I have frequently touched upon more especially in my little work ON RINGWORM. It is called, Vaccinosis baring the way to a cure of an ailment of a dual nature, and this throws a strong light on not a few failure to cure for a case of disease of dual nature (two separate and distinct pathologic qualities) cannot be cured by any one remedy homoeopathic to one only of its two pathologic qualities. For more on this subject, see my New Cure of Consumption, and my Diseases of the Skin. Properly speaking, this highly important subject deserves to be thoroughly worked out from the clinical side with ample proofs of this contention, but thus far I have failed to fix anybodys attention upon the subject, and I have myself no time to spare at present. Moreover, one thing at a time has long been my motto. J. COMPTON BURNETT 86 WIMPOLE STREET, CAVENDISH SQUARE, W., Michaelmas, 1897.

On vaccinosis and its cure by Thuja Occidentalis, with remarks on homoeoprophylaxis

Vaccinosis
Thuja occidentalis
FEAR not, critical reader, this is not an anti-vaccination treatise, for the writer is himself in the habit of vaccinating his patients, au besoin, and he believes that vaccination does protect, to a certain large extent, from small-pox, though the protection must necessarily cease as soon as the vaccinated person has slowly returned to his pristine state of pure health. The writer starts with this declaration just to clear the ground, and to explain that the following pages are neither pro-vaccinational nor anti-vaccinational in the ordinary sense, inasmuch as their scope is essentially one of etiopathology and cure, and of Homoeoprophylaxis. That is to say : the writers aim is to shew, 1 that there exists a diseased state of the constitution which in engendered by the vaccinial virus (the so-called lymph), which state he proposes to call VACCINOSIS, or the Vaccinial State; and 2

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, that there exists also in nature a notable remedy for said Vaccinosis, viz.

: the Thuja Occidentalis; and 3 , that Thuja is a remedy of Vaccinosis by reason of its homoeopathicity thereto; 4 , that the law of similars also applies to the prevention of disease. Vaccinosis does not express merely the same thing as vaccinia, for the latter means the febrile reaction which occurs in an organism after vaccination, with special reference to the local phenomena at the point where the vaccinial pus, or lymph, is inserted. Sometimes, also, the term vaccinia is applied to a general varioloid eruption following vaccination; but here, vaccinia is commonly held to end. Now all this is included by me in the term vaccinosis, but still I do not mean merely this, but also that profound and often long-lasting morbid constitutional state engendered by the vaccine virus, which virus we usually euphemistically term lymph. Lymph, of course, it is not, but pus matter and why a specific virulent pus should be persistently called lymph seems somewhat peculiar, and is eminently unscientific. As I am a lover of purity, and incidentally also of philological purity, I call this lymph pus, because it is pus and not lymph. The diseased state, then engendered by this vaccinial pus, by vaccination, is vaccinosis; and in it are not included any other diseases whose causes may be accidentally or incidentally contained in the vaccine pus, -such as scrofulosis, syphilis or tuberculosis. At the times of the publication of the first edition of this little work, I brought down the critics upon my devoted head on account of my having called vaccine-lymph pus, and thereupon I replied to my otherwise un-get-at-able reviewers by issuing a pamphlet proving my standpoint. I do not here propose dragging in the question of pus versus lymph, further than to say this : -What the thing is called is of no consequence so far as my thesis anent vaccinosis is concerned, Copyright 2000, Archibel S.A.

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inasmuch as whether pus or lymph, it is only as carrier of the virus that it really concerns us. The virus of cow-pox when inoculated produces cow-pox or vaccinia (vacca, a cow). This is the accepted theory of vaccination. This granted, it follows that true vaccination must form pocks (pox), which we all know it really does. The end result of every successful vaccination is a pustular eruption, viz., pox (=pocks). Now, every pustule is first a vesicle, and in the vesicle the pus is lymph-like and clearish (not so clear as a true vesicle), but it contains leucocytes; in a certain number of hours the vesicle-contents become opaque, and no one questions that it is now pus. Wherefore I maintain that the contents of a pustule are of the nature of pus, even though they be taken in the vesicular stage of pustulation, and the absolute proof that it is indeed pus, lies in the fact that if you successfully vaccinate a child with the so-called lymph, and the process goes through its natural course, you get as end result a local crop of what? pustules, or pocks. It is very important to know exactly what we are dealing with, for calling the thing lymph is not fair and square. Let the great question of vaccination stand or fall on its own merits, and do not let us try to persuade ourselves and others that it is lymph, and that lymph is a nice thing and as pleasant to contemplate as nymphs at play in a limpid stream. However, as before said, be it pus or be it lymph, it is all one to us in the consideration of vaccinosis, for it concerns us only, as the carrier of the virus of vaccinia.

Wherein does the protective power of vaccination consist?


Given a perfectly healthy individual who has never been vaccinated. We say to such a one, you must be vaccinated or you are liable to catch small-pox, which is often about. Let us pause to note clearly that the individual thus warned by us as being liable to catch small-pox is perfectly healthy. Now let us vaccinate this perfectly healthy person, and, the vaccination succeeding, we say he is henceforth protected from small-pox. That is to day, this thoroughly healthy non-vaccinated person becomes more or less proof against the contagion of small-pox by vaccination, or, at any rate, it is so averred. It may be safely admitted that no one can be more than perfectly healthy, and may modification or altering of perfect health must result in a minus, i.e. , less than perfect health; and less than perfect health must necessarily be disease or ill health of some sort and in some degree. Hence it follows that the protective power of vaccination is due to a diseased state of the body. [See Remarks on Homoeoprophylaxis further on.]

Forms of vaccinosis
A few preliminary remarks on vaccinosis may here follow before we go to my clinical evidence. For convenience sake let us call the vaccinated person a vaccinate.

Latent vaccinosis
The vaccinate is one who is suffering from vaccinosis; he may not be ill in the ordinary sense, but he must be in a subdued morbid state, he has been blighted, or he is not vaccinate; it is his diseased condition that protects him from small-pox. Some may, perhaps, say that vaccinosis is the same as vaccinia; this is, however, not so; vaccinosis is vaccinia and something more, for if a person is vaccinated unsuccessfully he has not had vaccinia, whereas some of the worst cases of (my) vaccinosis which I have met with were just those in whom the vaccination did not take, as the saying goes. Hence I must call attention to what I believe is a fact, viz. : that it often does take deep hold of the constitution without calling forth any local phenomena, and, not only so, but such cases may be even very severe in their internal developments, manifested by the supervention of various morbid symptoms after vaccination. Let us dwell a little on this novel assertion, I was going to say fact, yet probably very few will admit that it is a fact at all, but only a fad of mine, since everybody holds that if the vaccination does not take the individual has remained uninfluenced by the process of putting vaccine under the cuticle. In other words, when a person is vaccinated and does not take; is, in fact, unsuccessfully vaccinated, it is held that said person is proof against vaccination, and we certify accordingly. Every one believes that the unsuccessfully vaccinated individual has not in any way been affected or altered by the vaccination. CLOSE AND MINUTE OBSERVATION, HOWEVER, TEACHES ME THAT SUCH IS BY NO MEANS NECESSARILY THE CASE, FOR NOT A FEW PERSONS DATE THEIR ILL HEALTH FROM A SO-CALLED UNSUCCESSFUL VACCINATION. My own conception of the thing is just this : The vaccinated person is poisoned by the vaccine virus; what is called the taking is, in point of fact, the constitutional re-action whereby the organism frees itself more or less from the inserted virus. If the person do not take, AND THE VIRUS HAS BEEN ABSORBED, the taking becomes a chronic Copyright 2000, Archibel S.A.

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process paresis, neuralgiae, cephalalgiae, pimples, acne, and c. The less a person takes, therefore (in such a case), the MORE is he likely to suffer from chronic vaccinosis, i.e. , from the genuine vaccination disease in its chronic form, very frequently a neuralgia or paresis. Most practitioners will agree that neuralgia is more prevalent now than ever before within the present age, and experience has forced me to ascribed many such cases to vaccinosis. If my colleagues object to my etiopathology of such neuralgiae, perhaps they will favour as with a more satisfactory one. The word neuralgia covers such a multitude of sins in the world of nosology and pathology that my hypothesis is as exact science compared therewith! But what evidence have I to offer that shall go to shew whether there is such a disease as vaccinosis? or, that being conceded, whether Thuja can cure it? It will first repeat that I do not claim to be the originator of this clinical application of Thuja; Boenninghausen was, I believe, the first to point out the homoeopathicity of Thuja Occidentalis to small-pox itself, and thence its use was extended by Kunkel and Goullon to the curation of the ill-effects of vaccination, or vaccinosis as I propose to call it. My attention was first arrested by hearing of Dr. David Wilsons use of Thuja, and then a perusal of Dr. Kunkels pamphlet and Dr. Goullons monograph on Thuja shewed me the great importance of Thuja as a dynamic antidote to the effect of vaccination. Let us now pass on to the consideration of some cases of what I call vaccinosis, and of the behaviour of Thuja therein.

A severe case a dying baby


Very early in the year 1881, I was called to see a baby in Harley Street, about ten weeks old; its mother thought it was dying. She had previously lost babies by death, and knew what a dying baby looked like. The wee patient had begun its lifes journey on the bottle; but, being overtaken by the measles, it nearly died, when a wet nurse was obtained and the baby rallied and began to thrive. But a new wet nurse had to be obtained, as the first went dry from over-feeding. The new wet nurse was healthy and strong, but, having gone into the Marylebone workhouse with her own very fine boy, she was re-vaccinated the day before she was removed therefrom to take charge of the patient in question. The baby throve for two or three days, and the mother was just congratulating herself on her success, when one afternoon it went very ill, and getting much worse towards the evening, the mother sent this passage to me I think baby is dying. I visited the babe in the warm and airy nursery, and investigated everything. There was nothing to account for the sudden change. Baby was ghastly white, and in collapse. On questioning the wet nurse as to her own health and state, she remarked that she was quite well (and she looked it, and had a notably good appetite), but she said her re-vaccinated arm was a little painful. The vesicular stage of the local vaccinial eruption was just, at the point of turning to the pustular. I thought the matter over a little, and came to the conclusion that the poor wee thing was, in point of fact, sucking the vaccinial poison from its nurse through the milk. There I gave Thuja 6, in pilules, both to babe and nurse, but whether every half-hour or every hour, I do not now remember. Calling later in the evening, I noticed baby was asleep and looking a little less ghastly. Next morning it was indeed still pale, but practically well; and the vaccinial vesicles on the nurses arm had withered, and they forthwith dried up completely, in lieu of becoming pustular. That baby never looked back, and is now a bonny child. It is not possible to prove, of course, that this apparently dying baby was suffering from vaccinosis. It lay apparently dying : I feared it would die. But some points in connection with this case are incontrovertible. For instance, it is a fact that the nurse had been re-vaccinated; it is equally a fact that she was suckling the baby; the baby was desperately ill of something; it got Thuja and began to mend forthwith. Moreover, and this point is significant, the vaccinial vesicles in the nurses arm withered instead of gong on to their usual development. Hence some disturbing influence must have intervened in her organism, and the only thing I know of was the Thuja. If the Thuja had no effect upon the suckling woman, what made the vaccinial vesicles wither? Let us suppose that they withered because the milk drained off all the virus. But the baby sucked the milk, and very ill; and the withering of the vaccination vesicles was synchronous with the prompt and evident amelioration in the child. But that is only one case and proves nothing : there are strange coincidences in organismic life as we all know. Now let me narrate to you another case of acute vaccinosis, but before doing so it might not be amiss to interpolate an observation by Dr. J. T. Harris, of Boston, and published in the New England Medical Gazette, for June 1883. I quote it entire, because it strengthens my position somewhat; it runs thus :

A case of true vaccinia in a child following the vaccination of her mother


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On the 13 , of February, 1882, I called at the house of Mr. G. -, intending to vaccinate his two children, one about three years old, the other a seven months babe at the breast, whose head, face, arms, and legs were covered with eczema, crusta lactea, from which it was suffering severely. Fearing an aggravation of the humour from complication with the vaccination I decline to operate, giving as my reason that I thought the child was suffering already; that she would be more feverish, irritable, and would require greater care if vaccinated than at present. Although the three-years-old child was troubled with the same form of humour, I vaccinated her, and also the mother. Both vaccinations took, and ran the usual course without much constitutional disturbance. The fifth day after the operation was Mrs. G s sickest day. She then had headache, backache, fever, and chill. The vaccination developed normally, but more rapidly than usual. On the first day of March the baby was more restless and feverish, requiring constant care. On the second day the mother noticed a number of little red pimples upon the child. These increased rapidly upon the face, arms, and legs. I was called to see the little patient on Saturday, the 4 of March. The little pimples at this time were very numerous, had increased in size; the areola quite red; some swelling; baby feverish; temperature 102. To the question, What is it, doctor? I frankly answered, I do not know; it is not small-pox nor chicken-pox. I shall have to wait until it is more fully developed. On Sunday morning, the fifth day of the fever, the vesicles were forming and more or less filled with lymph, and in the afternoon some were umbilicated. Fresh eruptions were also developing, and upon the face, arms and legs those portions of the surface most severely marked with the eczema the new eruption had become confluent, the whole character of the eruption resembling that of small-pox. There were without doubt between four and five hundred well-defined circular vesicles upon the child during the course of the disease. I invited Dr. Miles to see the case on Sunday afternoon. After a careful examination we concluded that it was a case of vaccinia communicated to the child through the mothers milk. That there should be no mistake, however, I called upon Dr. M. Cullom, the city physician, reported the case, and invited him to see the patient with me, which he did on Monday morning. Dr. Martin, of Roxbury, and Dr. Cutler, of Chelsea, also saw the case, and were much interested in it. On Monday; Tuesday, and Wednesday, the sixth, seventh, and eighth days, there was much swelling of the face, arms, and legs, where it had taken on the confluent form. The little patient was quite feverish and restless. On the seventh, eighth, and ninth days was quite hoarse, and had some difficulty in swallowing. All the symptoms gradually diminished after the ninth day, and many of the scabs were rubbed off. On the seventeenth day very few adherent scabs remained. Acon. and Tart. emetic were the remedies used. At the present time May 14 the child shows pits, not deep however. The parts where the eruption was confluent are still quite red. The eczema, however, seems to have left for good, and I am in hopes of seeing a good clear skin before many weeks. Although the diagnosis the first few days was obscure, all doubt was removed, and it was pronounced a case of vaccinia communicated from the mother. You will note that on the fifth day after the re-vaccination of the mother the paroxysm of fever occurred, and ten days after the baby was feverish and the eruptions made its appearance one day later. We can therefore call it fourteen days from the time the babe first took the milk impregnated with vaccinia from its mother. If the system can thus be so thoroughly impregnated with vaccinia, may we not also fear various and worse evils from the milk of unhealthy and unclean nurses? My remark to this instructive experience of Dr. Harris is, that Thuja Occidentalis was more Homoeopathic to the case than Acon. and Ant. tart. It shews that vaccinia may most probably be sucked by the babe in the milk though this is not conclusively shewn, inasmuch as it may have been a case of small-pox in the suckling. The same transmissibility of disease through the milk has been observed more than once. For instance On Christmas-day last, 1883, M. Layet and a number of medical men, veterinary surgeons, and others, examined and reported on an alleged case of spontaneous cow-pox occurring in a milch cow at Crons near Bordeaux. The animal presented on the four teats and the neighbouring parts of the udder a considerable number of small pustules, most of them already dried and covered with black crusts, but some containing a more or less milky fluid. The eruption was confluent, and there were no umbilicated pimples. It had made its first appearance on December 22 . On December 26 , six or seven tubes were filled with the fluid from such pustules as had not already burst. The reporters state that an infant fed with the milk from this cow had at the same time presented very similar symptoms. I now revert to my narrative.

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Observation II
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Acute vaccinosis
August, 21 , 1881. On the day there was brought to me a little boy, of five months of age, on the bottle, and I was informed that he had been ailing a week, beginning with violent vomiting, loss of appetite, and greenish slimy diarrhoea. The child looked very ill, pale; upper eye-lids drooping; tongue very thickly coated, moist; temperature high; throat severely ulcerated; deglutition painful; on the anterior aspect of the uvula one saw an open ulcer of about the size of a large split pea. The greatest distress lay in the throat -the mother brought him on this account; it pained his throat, which was visibly and demonstrably severely ulcerated : so I gave him Kali Chloratum 6, trituration, a dose every hour, and ordered him to be kept in a room with a good fire, and the windows open. Aug. 22 . I called and found him no worse; more could not be said. He had had a very restless night. He was profoundly weak, hence I gave Kali Phos. 6 in alternation with the other medicine. 23 24

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. Not quite so weak, but the green slimy diarrhoea continues. To have Merc. iod.

. The tongue had begun to clear a little on the left side, but otherwise there was no material change except that he could swallow a little better. Baby was very weak; his mother looked up at me, and the anxious father kept his eyes fixed on my visage, as I sat and studied the little manikin : he looked very pale, very ill and weak; could not be go to notice anything, but perpetually whined in a piteous little way. I do not know when I ever felt the weight of responsibility greater. Previously I had carefully inquired about the drains, and had ordered the milkman to be changed, and was careful to seek for the real origin of the childs illness, but I could not trace it to anything. The dwelling was healthy, the bottle clean, and there seemed nothing to account for the illness. Suddenly it occurred to me to ask when the child had been vaccinated. The answer was, on the 12 July. I learned also that the child had a very bad arm, and that the present illness commenced on the day on which the last vaccinial scab fell off the arm. This shed a light upon the case, and allowed its true etiopathology to be understood. The disease evidently was an en-exanthem, an eruption on the lining membrane of the throat and gut, due to the vaccination; and the vomiting, diarrhoea, and sore throat started just as these inside pustules broke and discharged their contents, and the feverishness was synchronous therewith. The childs organism had essayed to free itself from the vaccinial poison by an eruption on the internal mucous membrane. Had the child been stronger the eruption would probably have been on the skin in the form of an exanthem simply. I prescribed Thuja Occidentalis 30, one-drop powders, one every two hours, and no other medicine.

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. Much better, began to mend (in the mothers opinion and what more competent?) very soon after the first powder has slept better. To continue the Thuja powders.

28 . I called to say good-bye, and found the little one still rather weal but well and cheerful and at play on his mothers lap. Here. Thuja 30 brought health to the child and joy to the home. Of course this case is not conclusive either; for the effects of the vaccination my vaccinosis may have been working off, and the fact of the sudden amelioration immediately after the exhibition of the Thuja may have been a mere coincidence. Pretty well all acute cases are open to this objection, and hence I will relate no more cases of acute vaccinosis : they prove nothing, it can merely be a question of probabilities. I am satisfied that these two cases were genuine examples of acute vaccinosis, and that the Thuja cured them, but others will, perhaps, demand further proof before they believe either in vaccinosis or in Thuja as its cure. So let us pass on to the consideration of some chronic cases of the vaccinial state, or vaccinosis. For the sake of reference let us number the observations. Two I have narrated, and so we come to.

Observation III
Pustular eruption
Mr. J -, a hale-looking, middle-aged London merchant, came under my observation on November 3 , 1881. Said he, I am not a homoeopath, but twenty years ago I had eczema, and the allopaths could not touch it, so I went to a homoeopathic doctor, and he cured me. And he went on to say that he believed in homoeopathy for skin diseases. On the left leg he had a pustular eruption, due, he believed, to a bruise. He had also eczema of the ear, and he volunteered the information that ever since his second vaccination he had been subject to eczema. The eczema of twenty years ago was soon after the re-vaccination. R Thuja Occidentalis 30. Four three-drop powders to the two dozen. To take one, dry on the tongue, three times a day. Copyright 2000, Archibel S.A.

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He came in a week nearly well; the pustules had at once begun to wither. The Thuja was repeated, but in less frequent dose, and the patient subsequently sent word by his brother to say that his skin was well, and he himself too busy to shew himself as he had promised. This case also proves nothing, because anyone might get a pustular eruption after a bruise, or without a bruise, and be quickly rid of it, with out either suffering from vaccinosis, or getting Thuja, supposedly, to cure it. The fact is it is exceedingly difficult to absolutely prove anything clinically at all. The patient himself attributed his cure to the powders, knowing of old the very stubborn nature of all his cutaneous eruptions.

Observation IV
Pustular eruptions
Miss -, aet. 18, was re-vaccinated in July, 1881, at her parents country residence, thirty miles from London, by the local
surgeon, with lymph direct from the calf. The operation was very successful, and she had a very fine arm. But as the arm was just at its greatest perfection she got an eruption on her chin, covering its whole extent and involving the lower lip. The thing was very unsightly, and had a singularly ugly repulsive aspect. The gentleman who had done the re-vaccination was of opinion that Miss had got some of the vaccine virus on to her fingernails and inoculated herself by scratching. The sequel, however, shewed that the chin manifestation was from within. The surgeon had ordered applications, two of which were vaseline and zinc ointment, but the eruption on the chin was not to be got rid of. The young lady had to wear a dense veil to hide her face when driving out. She was brought to London for my advice, and I gave Thuja 30. In a fortnight she was out and about, and only some diffused redness of the skin remained, but no scar or thickened skin. Now, it might be objected to this case that the Thuja had nothing to do with the disappearance of the eruption, because it was just the history of the disease : it ran through its natural course and died. I thought that to myself at the time of prescribing it, but against this was the fact that the arm had healed already, and it had depassed the natural course of vaccinia by at least a fortnight when I first prescribed the Thuja. But to have a test I gave her brother, who also had a somewhat similar pustular eruption (and who had been re-vaccinated at the same time), but more spare, and instead of being on the chin, it was round the left nostril. I say, to have a test, I gave this brother of Miss Antimonium tart., which is also, as every one knows, apparently homoeopathic to such a pustular eruption. This boys case will be -

Observation V
This is the brother of Miss - . (Observ. iv.) The two eruptions were similar, though the boys was comparatively trivial, and of the same age, and from the same cause, i.e. , from the vaccine virus. The patients went into the country, and in two or three weeks time the mother wrote that the young lady was quite well, the medicine soon put her right was her expression, but the boy had a bad cold in his head; nose-bleed; left side of nose swelled and red; two little spots of matter, the size of a large pins head, at the edge of the nostril, and below it, having something the look of s chin; his arm is also not well, and he has had four little pocks about the vaccination marks. I sent Thuja 30, and he was reported well in ten days. If any one can account for the cure of these two cases independently of the Thuja, his ingenuity is greater than mine. That they were causally connected with the re-vaccination admits of no doubt whatever. Nevertheless, it does not do to be quite sure of ones facts; sources of error are often very occult.

Observation VI
Post-orbital neuralgia of twenty years standing
This case (which came under observation on January 9 , 1882) is one of considerable interest on various accounts. Its subject, a lady of very high rank, over fifty years of age, had been in turns, and for many years, under almost all the leading oculists of London for this neuralgia of the yes, i.e. , terrible pain at the back of the eyes, coming on in paroxysms and confining her to her room for many days together; some attacks would last for six weeks. Some of the neuralgic pain, however, remained at all times. Her eyes had been examined by almost every notable oculist In London, and no one could find anything wrong with them structurally, so it was unanimously agreed and declared to be neuralgia of the fifth nerve. Of course no end of tonics, anodynes, and alternatives had been used. The oculists sent her to the physicians and these back again to the oculists. The late Dr. Quin and other leading homoeopaths had been tried, but no one had ever touched Copyright 2000, Archibel S.A.

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it. Latterly, and for years, she had tried nothing; whenever an attack came on, she would remain in her darkened bedroom, with her head tied up, bewailing her fate. To me she exclaimed, My existence is one lifelong crucifixion! I should have stated that the neuralgia was preceded and accompanied by influenza. In the aggregate these attacks of influenza and post-orbital neuralgia confined her to her room nearly half the year. In appearance she was healthy, well-nourished, rather too much embonpoint, and fairly vigorous. A friend of hers had been benefited by homoeopathy in my hands, and she therefore came to me in utter despair. These are the simple facts of the case, though they look very like piling up the agony! Now for the remedy. The resources of allopathy had been exhausted, and, moreover, I have no confidence in them anyway; homoeopathy and good homoeopathy too, for the men tried knew their work had also failed. Do-nothing, now much in vogue, had fared no better. I reasoned thus : This lady tells me she has been vaccinated five or six times, and being thus very much vaccinated, she may be just suffering from chronic vaccinosis, one chief symptom of which is a cephalalgia like hers, so I forthwith prescribed Thuja 30. It cured, and the cure has lasted till now. The neuralgia disappeared slowly; in about six weeks (February 14, 1882) I wrote in my case book, The eyes are well! As I have not heard from the patient for some time, I am just writing a note to her to know whether the neuralgia has thus far (December 30, 1882) returned. The reply I will add. Of course, it does not follow that because Thuja cured this case of neuralgia of some twenty years standing that therefore the lady was suffering from vaccinosis; that Thuja DID cure it is incontrovertible, and my vaccinosis hypothesis led me to prescribe it. More cannot be maintained. At least the case must stand as a clinical triumph for Thuja 30 this much is absolute. In reply to my inquiry, I received the following : Jan. 1, 1883. I have been in very much stronger health ever since I crossed your threshold, and excepting one or two attempts at a return from the enemy, I have been quite free from suffering The lady continues well of her post-orbital neuralgia at the time of going to press. After the disappearance of the neuralgia she had several other remedies from me for dyspeptic symptoms. I shall probably never have a more severe case of what I conceive to be vaccinosis than the one just narrated, or one that had lasted longer. Twenty years may be considered enough to declare it en permanence, and its gradual cessation within six weeks from the time of commencing with the Thuja, stamps it as an undoubted prug-cure. However, the following is not uninteresting.

Observation VII
Chronic headache of nine years duration
Miss G -, aet. 19, came under my care on March 12, 1881, complaining of bad attacks of headache for the past nine years. She said it was as if the back of her head were in a vice, and then it would be frontal, and throbbing as if her head would burst. She was very pale, and her forehead looked shiny and in places brown. These head attacks occurred once or twice a week. Tendency to constipation; menses regular; an old sty visible on left eyelid; poor appetite; dislikes flesh-meat; lever enlarged a little; had a series of boils in the fall of 1880. Feet cold; used to have chilblains. For years cannot ride in an omnibus, or in a cab, because of getting pale and sick; skin becomes rough in the wind; lips crack; gets fainty at times. To have Graphites 30 April 13 . Appetite and spirits better, but otherwise no change; questioned as to the duration of the head attacks, she tells me the last but one continued for three weeks the last, three days. Over the right eye there is a red, tender patch; has two or three white-headed pustules on her face. Was vaccinated at three months, re-vaccinated at seven years, and again at fourteen. Had small-pox about then years ago. Thus here was a case that had had small-pox ten years ago, or thereabouts, for she could not quite fix the date, and had been vaccinated three times besides, once subsequent to the small-pox! R Tc. Thuja Occidentalis iv. 3x. To take five drops in water twice a day. May 13 . Much better : has only had one very slight headache lasting an hour or two; the frontal tender patch is no longer tender; no further faintiness at all. Lips crack. The pustules in the face gone and skin quite clear. Copyright 2000, Archibel S.A.

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Encyclopaedia Homeopathica To have Thuja 12, one drop at bedtime.

June 17 . Was taken ill yesterday fortnight with soreness of stomach; fever; nausea and perspiration. Subsequently spots broke out like pimples, - eight on the face, one each on the thumb and wrist, one on the foot, and two on the back, - they filled with matter, were out five days, became yellow, and then died away. Her mother says the symptoms were just the same as when patient had the small-pox. Her headaches were well just before this bout came on. July 1 . Continues well. 27

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. The headaches have not returned.

Feb. 24 , 1882. The cure holds good, for she has had no headache and is otherwise well. She had subsequently some other remedies for the little tumour on her eyelid and for a small exostosis on lower jaw, but she had received nothing but Thuja when the cephalalgia disappeared, and it was two or three weeks before the next medicine followed. Some months after this date this young lady was brought by her mother merely to shew me how well she was, and to take final leave of me; two years later I learned from her mother that she continued well, so the cure is permanent. An interesting feature in this case is the curious attack which came on at the beginning of June. My reading of it is that it was really a proving of Thuja, or a general organismic reaction called forth by it; and this sent me often up to the thirtieth dilution in my subsequent use of Thuja, though I have occasionally found the third decimal dilution answer better than the thirtieth. But this is not my thesis, for this case was evidently cured by the low dilution, and when the low dilutions cure, and cure promptly, even though not very agreeably, but well, it cannot be necessary to go up any higher, especially as ones faith is sufficiently on the stretch without it.

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Observation VIII
Enlarged glands Apex-catarrh
Master C -, aet. 11 , came under my care on August 18 , 1881, complaining of a cough, worse at 7-30 P.M. ; he also coughed by day and through the night, but it did not wake him. He perspired fearfully, worst on the head, and worse during the night. Over upper half of left lung one heard moist crackling rles. The cervical lymphatic glands at the top of the apex of left lung were indurated and distinctly feel-able. He weighed 5st. 4lbs. The vaccination scars were on the left arm, and the glands over the apex of right lung were on the left arm, and the glands over the apex of right lung were not indurated. Induration of the lymphatics on the left side of the neck (the vaccination being performed on that side), is the rule after vaccination, as any one may observe for himself if he will take the trouble to examine a healthy child just before vaccination and any time thereafter. I say : any time thereafter, for the thing generally persists for a very long time unless cured by medical art. R Thuja 30, m. ii Sec. lac. q. s. Fiat. pulv. Tales. xxiv. One, three times a day. Aug. 27

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. Is well of cough, but the sweats continue. To take no medicine.

Sept. 6 . The most careful examination of chest reveals no rle; there is no cough; the sweats have quite ceased; the said cervical lymphatics can not be found. The boy now weighs 5st. 8lbs., so that he has gained 4lbs. in weight since he got the Thuja. Discharged cured. The boy had been at school, and was sent home to his parents by the school physician on account of his obstinate cough, and because his general symptoms excited alarm. To me it appeared to be the first stage of phthisis. That the boy should increase in weight at home just after returning from school is, of course, not necessarily due to the medicine; home life, too, would improve his nutrition generally, and would perhaps also account for the disappearance of the apex-catarrh, cough, and perspirations. But what is to account for the disappearance of the induration of the cervical glands? Of course this case offers but little evidence of the existence of vaccinosis or of its cure by Thuja; so I will ask the reader to wade through yet a few more observations which I transcribe from my case books. For if there be such a disease as vaccinosis, in other words, if vaccination have any ill-effects beyond those commonly epitomized under the name vaccinia, it is clearly important that it should b recognised, and its existence being demonstrated, it is desirable that we know how to cure it. Copyright 2000, Archibel S.A.

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Observation IX
Hairless patches on chin
Mr. -, a London merchant, came under my care on July 27 , 1882, to be treated for some roundish hairless patches on either side of his chin, which began four months ago. The larger patch on the right side about the size of a florin. Had also an old hordeolum on his right lower eyelid. Has been twice vaccinated; the second time twelve years ago; did not take. R Thuja Occidentalis 30(4 in 24). To take one dry on the tongue at bedtime. Sept. 7 . The bald patches are smaller, the one on the left side nearly gone. Has, apparently, a very bad coryza -? organismic reaction? Rep. Oct. 17 . The bald patches are gone; the old hordeolum also gone. The closely-shaven beard is now uniform, the preciously-existing white bald patches being completely covered with hair. I give this as an interesting cure by Thuja, but I am not very sure that the disease was really due to vaccinosis because of other points in his clinical history. Still it might have been so, as the hair is very powerfully influenced by the vaccine poisoning. Thus Kunkel observed both a very weak growth of hair, and an excessive growing, especially in wrong places, as effects, he believed, of vaccination. Therefore let it stand as a doubtful case of vaccinosis for what it may be worth, -but there can hardly be any reasonable doubt as to the cure of the case by Thuja. Here it might not be amiss to observe casually that the presence of sties on the eyelids is often, in my opinion a symptom of vaccinosis. This case is not without practical importance, inasmuch as hodiernal medicine hands over a sty to the chirugeons art; and all the time, poor old dame, weens herself so very much superior to scientific therapeutic usually called homoeopathy. The conceit of the orthodoxly ignorant is truly sickening.

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Observation X
Habitual influenzas. @general ill-health and headache
Mr. -, a city gentleman, came under my observation on December 28 , 1882, complaining that he was suffering from a series of neglected colds. He is costive; gets boils and pimples; has a number of warts, both flat and pedunculated; never had gonorrhoea; has severe frontal headache these three months; much pain across chest; and feels so out of health that he can no longer attend to his work, which is only light office work. He especially asks for a preventive for his frequent influenza colds. Flesh is flabby and skin spotted with pimples. The habitual influenza, the chronic frontal headache, the pimply skin, the feeling of general malaise point according to my experience, to vaccinosis. But had patient been vaccinated? Yes. Four times, and did not take the last three times. I do not expect many to agree with my theory that, when an individual is unsuccessfully vaccinated, he may have been seriously affected in his health by the reactionless vaccination, perhaps more so than as if it had taken. But it is a settled point with me, and in these cases I find Thuja as promptly efficacious as in the ordinary forms of vaccinosis. R Thuja Occidentalis 30 (4 in 24). One at bedtime and on rising. January 10 , 1883. Wonderful improvement already in the first week; the headaches gone (had had them three months); pain in chest gone; and the bowels are less costive. What a change in twelve days! R Thuja Occidentalis 100, as before. February 8 . Well; he complains of nothing, and merely calls to thank me. This case made a considerable sensation in the gentlemans large office-circle, partly because the change in his condition was so sudden and complete, and partly because he came to homoeopathy demonstratively unwillingly, and in consequence of the earnest solicitations of his chef de bureau.

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Observation XI
Acne of face and nose, and nasal dermatitis
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A young lady, about twenty years of age, was brought by her mother to me on October 28 , 1882. Patient had a very red pimply nose not like the red nose of the elderly bibber, or like that due to dyspepsia or to tight-lacing but a pimply, scaly nasal dermatitis, which extended from the cutaneous covering of the nose to that of the cheeks, but appearing here more as facial acne. The nasal dermatitis was, roughly, in the form of a saddle. Of course this state of things in an otherwise pretty girl of twenty was painfully and humiliatingly unpleasant to her and to her friends; in fact it was likely to mar her future prospects very materially, more especially as it had already existed for six years, and was making no signs of departing. She also complained of obstinate constipation. The pimples of the nose and face used to get little white mattery heads. In trying to trace the skin-affection back to its real origin. I ascertained that the patient was re-vaccinated six years ago, but she could not remember whether the nose was previously affected or not. This re-vaccination was unsuccessful i.e. , it did not take. R Thuja Occidentalis 30. November 30th. Pimples of face decidedly better. Nose less red. Constipation no better. R Thuja Occidentalis 100. January 3 1883. The face is free! Her mother gratefully exclaims, She is wonderfully better. I ask the young lady which powders did her most good; she says. The last. The skin of the nose is normal, but the constipation is no better, and for this she remains under treatment. That Thuja cured this case is incontrovertible; but that it was a case of vaccinosis is not quite so certain, though it is far from improbable. The re-vaccination and inflammation of the skin of the nose were referred both to six years ago, when she was in Switzerland at school; but patient could not remember which was the first the bad nose or the vaccination.

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Observation XII
Neuralgia of right eye
Mr. -, a gentleman of position and means, about fifty years of age, came to consult me on 28th June 1882, for a neuralgia of the right eye. He had come in consequence of the cure of the case recorded here as Observation vi. He complained of almost constant pain in right eye ever since Christmas 1881, i.e. , just about six months. Had had neuralgia in head and shoulders in 1886, and so much morphia had been injected in his shoulders by a doctor in Scotland that it almost killed him; for seven or eight hours it was doubtful if he would recover. Has a brown, eczematous itchy (at night) eruption on both shins and between the the toes. The neuralgia of right eye, and for which he comes to me, is bad both by day and night, but rather worse at night. Mr. (now Sir William) Bowman had examined the eye and declared it to be neuralgia, the eye being normal. Mr. White Cooper had done the same. On my inquiring when he was last vaccinated, he seemed completely frightened, and stammered out rapidly. I should not like to be vaccinated again. Why? I was very seedy the the last time I was vaccinated in fact I felt awfully ill for about a month; and he again hurriedly protested that he would not like to be vaccinated again. The vaccination that had made him so ill was either in 1852 or 1853. This seemed to me to be a case of vaccinial neuralgia, and therefore I ordered Thuja 30, in frequent dose. This was on the the 28

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of June, 1882.

July 8 . But very little pain after the first powder. To have the same medicine again. The cure proved permanent, and is interesting as proof of the rapidity with which the most like remedy can cure a neuralgia. And, considering how awfully ill he had been after his last vaccination, I think it rather probable that this case is an example of vaccinosis. What do you think? Having narrated some rather striking cases of what I conceive to be the neuralgia of vaccinosis, let me pass on to a case shewing evident tissue change or organic disease. It will be

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Observation XIII
Diseased finger-nails
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Encyclopaedia Homeopathica Being a case of diseased finger-nails.

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On December 22 , 1882, a young lady of 26 came under my care for an ugly state of the nails of her fingers. Naturally a lady of her age would not be indifferent to the state of her nails. These nails are indented rather deeply, and in addition to these indentations there are black patches on the under surfaces of the nails, reaching into the quick. Very slight leucorrhoea occasionally. She had chicken-pox as a child of eleven. On her shoulders there is an eruption of roundish patches, forming mattery heads. Has been vaccinated three different times; the last time two years ago, and the nails have become diseased since this last vaccination. The black patches have existed these eighteen months. Looking upon the diseased condition of the nails as evidence of chronic-vaccinosis, I ordered her Thuja 30 (one in 6). March 19 , 1883. Has continued the Thuja 30 for just about three months, with the result that within a fortnight from commencing with it the black patches under the nails began to disappear, and there is now no trace of them. The indentations are notably better. The eruption on the back has not been modified, and for this she remains under treatment; but I thought this much of a case of nail disease would be of some interest, and the more so as it is not easy to demonstrate drug-action on nail growth at all. We will now go back to the head and the central nervous system.

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Observation XIV
Case of ptosis
A young lady of about 25 years of age came to me in May, 1881, telling me that she had had some tooth-stumps extracted in November, 1880, where after there was haemorrhage for eight or nine hours. Two very able men in the homoeopathic ranks had treated her for some time with much benefit, but she still remained ill. Conium had been of greatest use. She still complained of ptosis of left side; sleeplessness; reeling to the right when walking out of doors, tendency to fall to x the right. I gave her Equisetum hyemale (3 ), because her tongue was cracked. (Clinicians may note this valuable little wrinkle i.e. , cracked tongue Equisetum, of which I first saw an account in the Therapeutic Gazette). It was continued for months with very great benefit, and was followed by Bellis per., and then by Junglans regia, and c. Then came Avena

q sativa , Cadmium 6 and 12, and Psorinum, 30, and finally Titanium 30.
These more or less well-chosen remedies wrought a great change in the patient, but on the 29 July 1882, she still complained that the left eye was wrong. It made her feel sea-sick when she read; pains in left eye worse in the early morn; some ptosis of left upper lid; eyeball stiff, and an aching across it and tight across the forehead, and she was giddy in walking about. The case having thus come to a standstill, I cast about for some etiologico-therapeutic appui, and in so doing, learned that she had been vaccinated four times in all; the last time, three years ago, took but faintly. Thuja 30 soon cured the ptosis and the other described symptoms. Of course I cannot prove that we had here to do with a case of vaccinosis, but such it appeared to me. Well-chosen remedies had greatly benefited the patient, but there seemed to be a bar to the complete cure, and Thuja effectually removed this bar. In chronic disease, when the right remedies seem barred in their action, Hahnemann, on the off-chance that it might be due to psora, recommended his disciples to interpose sulphur as the great, most likely, anti-psoric. Most of us have found this a very valuable clinical suggestion. Similarly, I have found that vaccinosis frequently bars the way, and then Thuja comes in with simply the beautiful effect of a genuine simillimum. I shall narrate several more such cases before I take my leave, so that others may be in possession of evidence sufficient to form a judgment on the questions of whether there exists such a morbid state as vaccinosis? and whether Thuja can cure the same?

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Observation XV
Paresis
Mr. -, a private gentleman, married, and one who had always led a healthful life, but too great a traveler, came under my observation early in the year 1882, in a very weak condition. He had had slight hemiplegia of the right side, and still shewed some symptoms of paralysis, e.g. , weakness of right arm, occasional dragging of the legs, loss of memory, Copyright 2000, Archibel S.A.

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impaired vision, and loss of power generally. His effective virility was extinct, and had been so for two or three years, and naturally this did not tend to raise his spirits. I treated him for a few months with but slight benefit, when one day he complained of a frontal headache that at once reminded me of the Thuja headache. I gave him Thuja Occidentalis 30(4 in 24), and within a few days he remarked a very notable improvement, feeling better than he had for three years. Getting this report at his next visit, I fell to questioning him about vaccination, which I had previously not done : and what was the answer? Feb. 24 , 1883. How many times have you been vaccinated? I have been vaccinated six or seven times. Did it take every time? No, never. And from close questioning I satisfied myself that this gentleman had been six times unsuccessfully vaccinated, and this suggested to me that he was really suffering from that vaccinial blight which I have ventured to call vaccinosis. Patient had received only four doses of the Thuja 30 in the early part of January, 1883, just to cure his headache, and which resulted, inter alia, in a hypo-pubic resurrection of great importance; and the headache having simultaneously left him, he then took the constitutional remedy I had prescribed, viz., Titanium, and continued it until a few days ago. I had instructed him to take the Thuja only for a few days, till his headache disappeared. Now, thought I, we will saturate him with Thuja, and extinguish the vaccinosis; so I gave him this prescription : R Tc. Thuja Occidentalis, 3, iv. To take four drops in water night and morning, and report in a month. The result was quite satisfactory, and he became in his wifes words - quite a different man; all paralytic symptoms having disappeared, and the old headache had not returned at the end of 1883, when I last saw him. Loss of virile power is frequently a result of vaccination, and when the local debility is due to this cause, it is really wonderful how the case is altered by a few doses of Thuja.

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Observation XVI
Case of spinal irritation
Miss -, aet. 29, came under my care in November, 1882, complaining of owning a spine. She had been under the best physicians and surgeons of London. Had derived a little benefit from many most, she thought, from the movement cure, under Mr. Roth, of Wimpole Street. She also alleged that mesmeric passes had eased her a good deal. Her symptoms were legion; she was bent forward could scarcely walk, her spine very tender and painful; twitchings; pain all down the back; and chilliness, worse at night. Her liver was decidedly enlarged, and there was pain in the right side. This hepatic disturbance was righted by Chelidonium majus 1; five drops, in water, twice a day. Then, on December 19 , I gave her Cedron 1, which certainly eased the cephalalgia and chilliness a good deal, and it was therefore continued till. February 9 , 1883, when I went into her case a little more thoroughly as to its anamnesis. She had been vaccinated four times successfully; once it did not take. R Thuja Occidentalis 30. March 8 . Patient exclaimed ...that is capital stuff; I am very much better; my back is very much better; the coldness is gone; I am so much stronger altogether.

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Rep.
March 31 . Back wonderfully better. She needed several other remedies, but practically her cure was effected by Thuja. On May 17

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she had Thuja 100, and soon afterwards began to play at lawn-tennis.

On June 12 she reported herself thus I have not been so well for three or four years; I feel strong, and can do anything. I do not know whether anyone will admit that this was a case of vaccinosis; certain it is that she had been vaccinated five times, and was very ill practically and invalid till I gave her Thuja, and then she mended, and is now well and comparatively vigorous.

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Observation XVII
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Case of scriveners cramp; cephalalgia, and enlarged spleen


Miss -, aet., 29, a city clerk, came under my observation on May 7 , 1883, complaining of much epigastric beating, pain in left side, great chilliness, and writers cramp of the right side. An examination shewed an enlargement of the spleen, and a swelling of the left ovary of about the size of a hens egg. Her breath is heavy, and she gets giddiness. She has frontal headache of a severe kind, almost every day for a long time. R Ceanothi Americani. 1. Five drops, in water, three times a day. May 30 . Side is much better; the chilliness is better; the feet warmer; the beating less. Rep. et Cup. acet. 1. July 30 . Side nearly well; paining every alternate day or so. Pain in the back no better; giddiness better. Complains especially of the severe frontal headache, and the cramps in the right arm are so bad that she has had to give up office work. Has been vaccinated three times, but the last time it did not take. R Tc. Thuja Occidentalis 30, night and morning. August 16

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. Headache and writers cramp well. She returns to work.

November 16 . Continues at office work with comfort; no return of either headache or cramps. Continues under treatment for ovarian tumour, and gets Silicea 6. The hydrogenoid constitution of Von Grauvogl was here well pronounced, and what I call vaccinosis was implanted on it. The action of Thuja was most marked, prompt, and durable. Questioned on November 16 headache and the cramps, she instantly said it was the powders (i.e. , the Thuja).

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Observation XVIII
Arrested development and hemiparesis
Miss -, aet. 16, was brought to me on May 16 , 1883. This was her state : roof of mouth very much arched; left side of face drawn to the left, so that her mouth is awry. She speaks very badly; cannot articulate properly; and is very deaf. Has always been so. Has a polypus in left nostril; the tonsils are enormously hypertrophied; breathes very loudly. Left mamma smaller than the right; left side of thorax generally smaller than the right. Tongue is cracked; pain in left side for years; frontal headache for a twelvemonth. Menses normal, having begun six months ago. She was vaccinated at the age of three months; it did not take and so she was done a second time in both arms, when it took fairly well. Patient is the child of healthy parents, and there did not appear to be anything to account for the extraordinary backwardness. I reasoned that the child had evidently been blighted by the vaccination for she did not readily take (the organism resisted), and then did take (organism overcome). R Thuja Occidentalis 30. Two drops, daily, for four weeks. Now note the sequel, not forgetting that the childs condition had been, as described., nearly all her life. June 13 . On this day her mother brought her and reported this is the note in my case-book : On the whole very much better; can certainly articulate better!! and the head and face are not so one-sided, and she hears better!! Both parents were agreed that the changes had been wrought since the medicine had been taken. The father is an unusually gifted professional man, and the mother an educated lady.

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. Headache well; side pain better; and the whole state is better. Considering the vaccinial blight removed, I gave

September 7 . The increased dullness on percussion in the left hypochondrium having disappeared, and the left side having been manifestly bettered, and that considerably, I reverted to the Thuja, and this time gave it in the hundredth centesimal dilution.

Ceanothus Americanus 1, five drops, in water, night and morning, for two months. I gave this because the spleen was enlarged, and I thought its specific influence on the left side generally might be beneficial. I was not disappointed but very much gratified to see that the left side of thorax began to grow, and also the left mamma. The little play of the imagination here as to the left-sidedness of the action of Ceanothus was fruitful. th

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October 7 . Under this date I read in my case-book Side remains well, but she seems to have suffered a good deal generally while taking the Thuja 100. She articulates decidedly better, speaks now so that I can understand her, and her hearing is greatly improved. She remains under treatment, and will receive other constitutional remedies, but the influence of the Thuja upon her has been most marked and remarkable. I have myself no doubt that the childs condition of hemiparesis arose from the vaccinial blight i.e. , from vaccinosis, she being originally delicate, particularly her nervous system.

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Observation XIX
Neuralgia of eyes of nine years standing
Miss -, aet. 20, came to me on January 18 , 1883, with various ills. The constipation for which I treated her had been cured by Nux 30 and Sulphur 30, but the fluor albus was no better. But then, said she, there is the neuralgia in my eyes, which I have had for nine years nothing has ever touched that. The neuralgia complained of was worse in the morning and at the menstrual period. Thuja 30 (4 in 24). One at night. I saw her no more till the 8 of December 1883, when she called, complaining of too frequent and too profuse menstruation. What about the neuralgia? Oh! that is cured; I have not had it since those powders. Was this a case of vaccinosis? Patient had been twice vaccinated and the second time was when she was 15 years old, when it did not take. I do not feel so sure that this was a case of vaccinosis, because patient was re-vaccinated unsuccessfully after this neuralgia began, and besides, her mother died of epithelioma, so it may have been merely a case of sycosis Hahnemanni. The only certain thing about it is that the neuralgia had lasted nine years, and disappeared after the giving of the Thuja. I have treated a certain number of other cases, with varied disease symptoms, on the hypothesis that I was dealing with vaccinosis, and often with results little short of startling, but I hardly think it would serve any useful purpose to multiply examples. The foregoing observations embody and exemplify all that its essential of what I have observed and thought on the subject; if other physicians will follow on the same lines, the reward will be theirs and mine; and if they will not, then the reward still is mine in this, that I have cured very obstinate cases of disease by reckoning with vaccinosis as a clinical fact, and as a man I could not do less than lay what I believe I know on the subject before the world. It remains for others to judge whether the work was worth doing. Although I had fully intended citing no more cases of vaccinosis and its cure by Thuja, still the following very recent observation is really too telling to be left out.

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Observation XX
On January 25 , 1884, I was requested to see a lady in well-known London Square. She is a trifle over fifty, healthy looking, and enjoying good health except for her headaches. These headaches were the bane of her life as any extra exertion, worry, or work put her out and brought them on or exacerbated them. A few visitors at her house, her ordinary social duties a dinner, an evening at the theatre, a little meeting for benevolent purposes, an uncivil servant each and all put her hors de combat with her headache. She had had them every few days, and ever since she could remember, but greatly increased in severity during the past three years. She did not expect to be cured; at my age, and after to many years, said this lady. Moreover, she did not believe in homoeopathy, no, not in the least, but I have tried all the best doctors and they have failed, and hearing from lady -, that you were specially good at headaches, I determined to send for you. Vaccinated? Oh! yes, five or six times; has not taken for years; do you think I had better be done again? Thuja Occidentalis 30. On Feb. 9 I called. Oh, I am better, I have only had one headache two days after I began with your powders and I am very much less nervous. To continue the medicine. March 2

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. I have not had any headache at all, although I have been doing just the very things that always bring them on. I

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Encyclopaedia Homeopathica have the greatest confidence in homeopathy, and c. These are, professional brother, what I conceive to be clinical facts. The lady had had headaches for more than thirty years; I gave her Thuja, and the headaches departed, and thus far have not returned. But what are facts to me may be faddles to you, all laws of evidence to the contrary notwithstanding.

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Vaccinosis bars the way to the cure of ringworm by bacillinum


Some of my readers may know that I have started the theory that ringworm is in its nature of a tuberculosic quality, that the presence of the fungi on an individual is a proof of this, that the presence of ringworm on such an individual is to his (or her) advantage, and that external treatment of ringworm is harmful, and finally I have written a small treatise on the subject of the curability of ringworm by internal constitutional treatment, notably Bacillinum. I have proved the truth of all this up to the hilt over and over again; but at present, only a few thinkers accept any of my said theses. Well, its all true nevertheless, and the world will have to accept this truth sooner or later. Said a very well-known homoeopathic practitioner to me in a letter at the beginning of the year. I have been giving a little girl suffering from ringworm your treatment by Bacillinum, but its no good. Have you gone on with it steadily, in infrequent doses, and for several months? Yes, I have, and I tell you it gets no better. The little child was brought to me, when I found the usual manifestations of ringworm, viz., large patches, originally circular but now covered with scabs. I further ascertained that this child had been under the local homoeopathic chemist before coming to the practitioner, who had given Bacillinum a three months trial. Any phthisic taint in her? Both her maternal grandparents died of phthisis. Here it seemed to me that vaccinosis barred the way. Simple ringworm does not become pustular and encaked with mattery scabs as in this case. Vaccinosis is a filthy pustular art disease that is put into the blood by force. I therefore put the little forty-four month old maiden on Thuja 30, when great scabs were still seen on the scalp, but they were dryer. Then after two months under Bacillinum 30(in infrequent doses), the scabs had all fallen off, and the circular patches were covered with young hairs. Said her mother, Oh, she is so much better in every way, and her hair is growing so much that I really hardly know what to do with it. After another two months of treatment by Bacillinum 30, the cure was complete. And here we see that my colleague, who condemned my views in regard to ringworm, and claimed that they would not hold water, was mistaken in that Bacillinum is not homoeopathic to vaccinosis but to ringworm only the vaccinosis barred the way, and when this was removed by Thuja, the tuberculosic mycosis yielded to Bacillinum. This point is of the very highest importance is several respects, but here we are concerned with only one, viz., Vaccinosis : here this super-implanted disease had to be homoeopathically cured before the underlying tuberculosic taint could be got rid of, and this done, the fungi died of starvation, when the hair grew again naturally.

Some remarks on homoeoprophylaxis


In the April number, 1884, of the Homoeopathic World, there appeared the following communication to the Editor : Dr. Skinner on M. Pasteurs Homoeopathy Dear Sir. If he italicized is not Homoeopathy, what is it? Thos. Skinner, M. D. 25 Somerset St., W., Feb. 27, 1884. M. Pasteurs Experiments M. Pasteur made an interesting communication to the Paris Academy of Sciences on Monday in relation to canine madness. His experiments had shown him that an injection in the region of the skull of the virus of rabies always produced the malady in an acute form, but that an injection in the veins only occasionally had acute results, being often followed by chronic affection only, without barking or ferocity. If a dog were inoculated with fragments of marrow or of nerve taken from a mad dog, the disease would be communicated. M. Pasteur further stated that he had rendered twenty dogs proof against the disease by inoculating them with other virus than the virus of rabies. Fowls and pigeons, injected with the latter became affected, but soon recovered spontaneously. If the italicized is not Homoeopathy, what is it? Just so, what is it? I think a little reflection will show that it belongs in the sphere of preventive medicine, and is not homoeopahty, i.e. , it is an extension of the principle of similars to the prevention of disease. Copyright 2000, Archibel S.A.

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Many other ardent homoeopaths besides Dr. Skinner have claimed that vaccination is a proof of the truth of homoeopathy; that it is, in fact, part and parcel of it. Evidently this is from the want of a little though on the subject, since it must be manifest that such is quite impossible, for the simple reason that homoeopathy is a system of curing similia similibus curantur whereas vaccination is not a curative measure at all, but a preventive one. And since prevention is, admittedly, better than cure, it must follow that it cannot be the same; therefore, vaccination is not homoeopathy, though I shall suggest that it might fitly be termed Homoeoprophylaxis, inasmuch as vaccinia and variola are similar pustular diseases, and the former being preventive of the latter, it may be in obedience to the principle LIKE PREVENTS LIKE. Being a question of prophylaxis, it cannot be classed in any system of cure. And that likes are prevented by likes, I could adduce very many examples to show, did the narrow limits of this little treatise admit of it. Here it must suffice to differentiate between homoeopathy and homoeoprophylaxis, and to endeavour in a very general way to study a little true nature of the latter as exemplified in vaccination and analogous facts such as Pasteurs inoculation. Giving a various patient vaccine pus, or lymph (vaccininum), wherewith to cure his small-pox, that is homoeopathy, and we have ample testimony that it will thus act if given in refracted dose, and thus acting, it can hardly be other than homoeopathic in such action. The law of similars is the groundwork of both; in the one case to prevent, and in the other to cure. M. Pasteur and others, by their inoculations, are empirically labouring to extend homoeoprophylaxis in the line initiated by Jennerian vaccination, or rather it is a revival of the old inoculation for small-pox, and on a line with syphilization. We are here met by the dose question, just the same as we are in homoeopathy, or the treatment of disease by the light of the law of likes. By the clear light of this same law will preventive medicine also have to march. But the dose? Jennerian vaccination is in accordance with the principle of homoeoprophylaxis, though only enunciated as an empiric fact by Jenner, and ever since practiced as such. Pasteur gets, perhaps, a little further by advancing along the line of cultivating. One cannot help wondering, however, how much Pasteur knows of isopathy and of homoeopathy. We will return to M. Pasteurs experiments presently.

Nature of homoeoprophylaxis
The prevention of disease according to the law of similar homoeoprophylaxis is still struggling with its swaddling clothes, but we may reflect on the following : Two similar diseases will affect the organism similarly : they will affect the same parts, organs or tissues, and in a like manner. If we call the two diseases a and b, and the organism O, then if a fall upon O, and affect it positively (positive effect =c), this effect of a upon O, c will be like the effect of b (=d), for a and b are alike. Now if we admit that the similarity between a and b is enough to render them effectively equal, potentially congruent, then we should say a=b, and therefore c=d. Consequently O+a=O+b, and O+c=O+d. That is the question for the solution of which we must appeal to scientific experiment, both at the besides and in the laboratory, as well as to abstract reasoning. It has frequently appeared to the writer that time and quantity (dose), are not duly reckoned with in the question of the efficacy or inefficacy of Jennerian vaccination; and Pasteur seems also to lose sight of both factors in his own experiments. The great mass of medical men firmly believe that vaccination protects against variola; and, that vaccinia and variola are ALIKE is quite certain; it is only the degree of the likeness that can be subject of dispute, for both are pyrexial pustular diseases. Statistics of a number of years, nevertheless, shew that variola is, in the aggregate, about as deadly as ever, allowing for a natural decrease of its vis by age; this cannot be controverted, so much must be conceded to the anti-vaccinators. And yet, given groups of individuals are evidently protected for the time from variola by vaccination, and the more recent the vaccinia the greater the temporary protection, provided the effect of the vaccination be not too great, in which case

there will be a homoeoprophylactic aggravation, and then there will not only be no protective power, but on the contrary the vaccinate will be predisposed to it, i.e. , instead of a positive and a negative eliminating one another we shall have two
positives to be added together. Let us express the difference between a vaccinated and an unvaccinated individual by the algebraic quantity x. Now, what is the nature of x? Is it positive or negative? Quoad perfect health it is negative, but quoad the organismic individual it is positive, if a diseased condition can be said to be a positive one. To begin with, it is inconceivable that x should be a CONSTANT FACTOR, which is evidently the general assumption; it must be an always lessening quantity, and x might thus be initially congruent with variola, while it may at any subsequent point Copyright 2000, Archibel S.A.

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be incongruent. This really expresses the sum of human experience on the question of the efficacy or inefficacy of Jennerian vaccination, though it is not apprehended; whence the cry for the re-vaccination coup sur coup on the one hand, and the want of faith in vaccination on the other, both positions being readily comprehensible if the effect of vaccination be recognised as an inconstant factor. And from these considerations it must be manifest that the protection afforded by vaccination will be different in different individuals, and diminishingly different in the same individual, and always growing less and less until it is nil. Thus x might to-day be preventively equal to variola in an endemic form, but not equal to it in epidemic form. In other words the protection afforded by x is relative and contingent. Moreover, if the vaccinosis be too great, i.e. , too powerfully diseasing, it not only does not protect, but must actually add fuel to the flames. We thus appear to arrive at the conclusion that vaccination does relatively and contingently protect from small-pox as a disease, but nevertheless, the mortality from small-pox remains in the aggregate the same, but in a greater percentage. That is to say, fewer people probably get small-pox, but the absolute number of deaths is not affected, or is greater. In pro-vaccinational and anti-vaccinational literature, morbility and mortality are commonly confounded together. We have no means of knowing how many people get small-pox, either absolutely or proportionately, we, only know how many die of it. Therefore all the vaccination statistics are wide of the mark except perhaps those in certain hospitals. The pro-vaccinators maintain that vaccination protects from variola because they see that, as a general rule, the vaccinated do not get small-pox. The anti-vaccinists say, Oh! but a good many of your vaccinated persons do get small-pox nevertheless, and the mortality from small-pox is as great as ever, or greater than ever! Both sides are honest; both are apparently dealing with facts; both are striving after truth, and collectively they expend enough human energy to enrich a nation or colonize a continent. Where then is the missing link? While writing this an ardent bacteriologist, Dr. H. Thomas, of Llandudno, very kindly sends me a clipping from the

Sciences on the 25 of February the important fact that by inoculation with virus taken from mad dogs they can render all dogs absolutely safe from the effects of rabies, in whatever way and in whatever quantity the virus may be administered. This is the same fact referred to by Dr. Skinner further back. But we find no principle enunciated here by the Athenaeum : nevertheless, the results must be in obedience to the law of similars in prophylactics homoeoprophylaxis. Here M. Pasteur and his fellow-workers, just the same as the Jennerian vaccinators, and the anti-vaccinators here, I say, they practically ignore the element time, and the altering nature of the protection. When people speak of the necessity of re-vaccination, because vaccination loses its effect, time IS roughly reckoned with, but an arbitrary limit is set entirely devoid of any scientific basis. On the other hand it has been often noticed that a healthy person gets variola soon after vaccination, which to my mind militates in no wise against a belief in the protective power of vaccination, but is to be interpreted as meaning that the vaccinial infection was more than enough; just the same as a little Aconite will lessen feverishness, while much Aconite will make the feverishness worse. Continuing now to let x stand for the difference between a vaccinate and a non-vaccinate, we must keep well before our minds that x represents the remaining effects of a disease vaccinosis and this is not a constant quantity; in an otherwise healthy person it must be continually growing less and less, and finally become extinct. Therefore, in order to determine whether vaccination protects against variola or not, we must first have the date of the vaccination in each case of varioloid or small-pox in the vaccinate. Were a considerable number of such cases tabulated we might arrive at some idea as to how long a given vaccination continues to affect the individual sufficiently for the vaccinosis to leave no room for variola, provided always that the vaccination were unipotential.

Athenaeum of March 15 th

th

, 1884. It run thus : M. PASTEUR and his fellow labourers communicated to the Acadmie des

Is it possible for vaccination to be contingently effective, and yet for the mortality from small-pox to be greater?
This question crops up and presents itself to ones mind thus : Vaccination protects from variola say the vaccinators. Quoth the anti-vaccinators. That is impossible, because some of those who have been vaccinated do get variola, and the mortality from variola actually increased, so where is the prevention? How can these things be? Let us ponder these points. And first of all let us not confound morbility with mortality. We really want three words to Copyright 2000, Archibel S.A.

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express our meaning well. Firstly, mortality or the number of deaths; secondly, morbidity, or the quantity of ill-health of the living; and thirdly, morbility, or the number of those who actually take a given disease. I ask forgiveness for his word-coining; no one need use the words if they are needless or objectionable, but it seems to me that these three ideas must be accurately expressed if we are to adequately discuss the question. In judging of the ill-effects of vaccination, only the mortality is considered as a general rule by the pro-vaccinists. By giving attention to vaccinational morbidity (the vaccinosis of this little treatise), I have been enabled to do some notably good clinical work, and I put the facts observed before the world as a duty, and really unwillingly, as I am sure to be much misunderstood, but that cannot be helped, and besides I am now wandering away from my text. Before we can scientifically reckon with vaccination we must take accurate account of the morbility as well as of the mortality and morbidity. The practical physician alone had the necessary scope for making observations in respect of the morbidity arising from vaccination, i.e. , vaccinosis. Unfortunately it is by completely ignored as a general rule. Any statistician can observe and arrange the facts relating to its morbility, and the Registrar General might be go to deal with them as he does with those relating to mortality. But. I must submit that mortality statistics alone without morbility statistics cannot possibly lead to any real settlement of the vaccination question, for we want to know not only how many die of small-pox, but also how many get it and get over it. Herein, it seems to me, lies the kernel of the nut. And not only do we want to know how many get small-pox and recover, and how many get it and die of it, but also what is the morbidity of those protected by the vaccination. What is the ordinary liability of the perfectly healthy to catch small-pox, i.e. , what is their prospective morbility, morbidity, and mortality? Assuming that vaccination does protect, relatively and contingently, what do we pay for the protection, not in money, but in vaccinial morbidity, or vaccinosis? It seems to me probable that ordinary Jennerian vaccination is not efficiently protective in those whose proneness to catch small-pox is very great, while it is efficiently protective where the proneness to catch small-pox is less. If we reflect upon this for a while we shall see that there is nothing unreasonable in this proposition. The unvaccinated are not equally prone to catch small-pox; we vaccinate them all alike. Now is it even conceivable that the vaccination has rendered them equally immune, when some of the unvaccinated were already immune? My line of argument here stands thus : Vaccination is preventive of small-pox when the proneness to catch it is small; and when the proneness to catch it is small, those who do get small-pox do not die of it, therefore vaccination affects the morbility rather that the mortality of small-pox. I refer to ordinary Jennerian vaccination, and not to microposic homoeoprophylaxis. If I am right then we can affirm on aprioristic grounds that ordinary microposic vaccination will diminish morbility but increase the mortality, i.e. , fewer will get it, but more will die : the mortality will be greater. How so? Vaccination is a homoeoprophylactic diseasing measure : one disease is given to prevent a like one vaccinia to prevent variola. If the diseasing process of vaccination fail to protect, then the vaccinated person will be more likely to die because there is the homoeoprophylactic aggravation : the two diseases combine to kill the patient just the same as too much of the homoeopathic remedy will aggravate the disease to which it is highly homoeopathic with perhaps, the like result. This is manifest, for in vaccinating a person we are diseasing him; we communicate vaccinosis to him; if he, in addition to the vaccinosis, now get small-pox, he is the more likely to die the worse he has the vaccinosis. If y represents the prospective mortality of the unvaccinated, and x the difference between the vaccinated and the unvaccinated, i.e. , vaccinosis, then the chances of dying of the vaccinated person who gets small-pox are y+x. Against the hypothesis that vaccination may be protective in some cases (relatively and contingently), and add fuel to the flames in others, i.e. , decrease the morbility and increase the mortality : Against this hypothesis it will be objected that the mortality is much greater in variola than it is in varioloid. This, I submit, proves nothing, because the unvaccinated belong almost exclusively to the social residuum in whom all diseases are relatively very fatal. Vaccination has been comme il faut now for many years, and hence almost everybody who is anybody has been vaccinated. Nearly all the anti-vaccinists have themselves been vaccinated. Now that the mental lite of the world are rising against vaccination, I venture to foretell that in the future the mortality in their unvaccinated offspring will be very small; probably only those who inherit the PURULENT DIATHESIS; will die, and many of these would be saved if homoeopathically handled, or homoeoprophylactically vaccinated in refracted dose. Copyright 2000, Archibel S.A.

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Dynamic or microposic homoeoprophylaxis


When I began with this little essay I meant it to be, on the one hand a contribution to the clinical history of Thuja Occidentalis, and on the other, a plea for the recognition of the clinical importance of vaccinosis, particularly in chronic neurotic headaches. But as I went on I felt impelled to say a few words on the subject of what I have called homoeoprophylaxis, and now I cannot bring myself to conclude without dipping a little into the dynamics of preventive medicine according to the law of likes. Strewn about in literature there are examples of small-dose homoeoprophylaxis; see Hahnemanns little essay on Belladonna, for example, at the very birth of Hahnemannian homoeopathy. Then vaccine lymph pus has been dynamized more homoeopathico and given as a prophylactic against small-pox in epidemic times, and apparently with effect. Thuja Occidentalis has been used in like manner by more than one homoeopathic practitioner, and they claim that it is effective. The eminent Dr. David Wilson, of London, has, I hear, long used Thuja, in dynamic dose, as a sure preventive of variola. Speaking for myself, I have for the last nine years been in the habit of using vaccine matter, in the thirtieth homoeopathic centesimal potency, whenever small-pox was about, and I have thus far not seen any one so treated get variola. Dr. Massoto inoculated the diphtheritic exudation in an epidemic of diptheria, and that with success. It seems to me that the requirement of the age is to systematize the prevention of disease according to the law of similars, AND IN DYNAMIC DOSE. Clearly the dynamic dose is ESSENTIAL, or at any rate the very small dose, for otherwise the homoeoprophylactic aggravation would be a serious detriment in every way. It is easy to see that M. Pasteur and his fellow-workers are sailing down straight on this rock, whereon they are sure to suffer shipwreck. M. Pasteurs latest communications to the Acadmie des Sciences are in substance as follows : If the virus of rabies be transmitted from the dog to the monkey, and then from monkey to monkey, it will be found that after each transmission the virulence of the virus has become enfeebled. If the virus thus enfeebled be re-transmitted to a dog, or an animal of that species, it will remain still attenuated. By a few transmission of the virus from monkey to monkey, there can easily be obtained a virus so attenuated as shall never communicate, by hypodermic inoculations, the disease to a dog. Inoculations by trepanning of such virus will likewise produce no result; but an animal will notwithstanding, be rendered thereby proof against the disease. The virulence of the virus becomes, on the contrary, augmented in its passage from rabbit to rabbit. If a dog be inoculated with virus thus augmented in power, a far more intense form of the disease will be manifested than that apparent in ordinary canine madness, and it will invariably prove fatal. By applying these and other observations, Mr. Pasteur obtained virus of different degrees of virulence, and succeeded, by inoculations of the milder qualities, in preserving animals from the effects of more active and moral kinds. For example, after several days longer than the shortest incubation term, M. Pasteur extracted virus from the head of a rabbit which had died of the disease, and inoculated successively two other rabbits. Each time a dog was inoculated with the virus, which, as has been seen, would increase each time in virulence. The result was that the dog was ultimately rendered capable of bearing a virus of mortal strength, and became absolutely proof against canine virus. M. Pasteur anticipates that the time is still distant when canine madness will be extinguished by vaccination, but pending that consummation, he feels pretty certain that he will be able to avert the consequences of a bite from a mad dog. He says : Thanks to the duration of incubation after a bite, I have every reason to believe that patients can be rendered unsusceptible before the mortal malady has had time to declare itself. M. Pasteur stated, in conclusion, that he had solicited the Minster of Education to appoint a Commission to test his experiments. He added : The principal experiment that I shall attempt will consist in taking from my kennels twenty dogs unsusceptible to the disease, and placing the same in comparison with twenty ordinary dogs. I shall then have all these forty dogs bitten by a number of dogs in a rabid state. If the facts that I have enunciated are exact, the twenty dogs that I believe to be proof against the disease will remain healthy, while the other twenty will become affected. For a second experiment no less decisive, I propose to place before the Commission twenty vaccinated and twenty unvaccinated dogs. All the forty I shall then inoculate in the most sensitive parts with virus taken from a rabid dog. The twenty vaccinated dogs will resist, and the other twenty will all die of madness, either paralytic or furious. This is as far as M. Pasteur has got at present, and his labours clearly tend in the direction of homoeoprophylaxis and homoeopathy; but time and dose are not duly reckoned with. The fatal fallacy underlying the whole thing is regarding the immunity produced by Jennerian or Pasteurian vaccination as a constant factor, whereas it is a constantly diminishing one, and must in the nature of things be so. As a last word I would put in a plea for homoeoprophylactic vaccination, or what might be termed homoeopathic vaccination. That is to say, the vaccine matter is to be prepared as a homoeopathic remedy, and to be given by the mouth, in dynamic Copyright 2000, Archibel S.A.

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dose as the homoeoprophylactic. Pasteurs attenuating it by poisoning a series of animals is a very serious proceeding; an ordinary vial will do just as well if only attenuation is wanted. It is with virus thus attenuated that I used to treat myself when I was attending small-pox instead of being re-vaccinated. I used to treat my family and others with whom I was compelled to associate in the same way. None of us ever took small-pox. But here many grave questions crop up, a consideration of which would carry us too far away from our subject. Although very much has been done by the Pasteurians during the past decade, we still see no light whatever, notwithstanding all the pushing, noisy advertisings of the entire fraternity. All the same there are amongst them many honest hard workers, who at time seem to be just going to put a pinch of salt on Birdie Truths tail. In regard to homoeoprophylaxis, I have here an there been written to know if I recommend any special mode of applying the law of similars to the prevention of disease. I should like here to briefly answer the question as falling well within the scope of our inquiry. Does Belladonna the red-rash-producing Belladonna really prevent the evolution of the red-rash-producing virus of scarlatina? The question has been kicking about Europe for the past hundred years, and is mostly rejected of men of science, and yet I more than once raised the ire of our late (alas! that is should be late) friend, Dr. John Drysdale of Liverpool, for calling in question this prophylactic virtue of Belladonna. Drysdale thoroughly believed it after forty years of practice behind his back, and yet Drysdale found it very, very difficult to believe anything unless supported by very much evidence indeed I, too, require a good deal of evidence before I inwardly believe. And though I have also used Belladonna in this sense, and very often with seeming success, yet I somehow would like a little more positive proof! It seems so hard to believe it, and yet we cannot disbelieve it. When it comes to animal viruses it is easier, of acceptance even priori. And then comes the question of how long the preventive power of say vaccininum against vaccinia, or against variola, would be likely to last? for it, too, must be a constantly decreasing quantity just as any other force-effect. And with the data from the work of the Pasteurians we do not know what to do : are the various viruses as passed through divers animals still the same in a diluted form, or all different but allied bodies, and, if allied, how? Kochs experiments with Tuberculin I have dealt with in my New Cure of Consumption though here anent I may be pardoned for just a little crowing. Very early in his investigations I published the statement that though I knew from my own experiments with Bacillinum that Koch was on right lines, yet I was sure it would all end in a terrible fiasco, and so it has. I said he would give too much, and he did, and so did his followers, and the result is that the whole thing has become discredited. Koch came to this same view later on, and tried his hand afresh to produce a new milder tuberculin in which he succeeded so far as obtaining the preparation itself, but its practical application has had the same result the milder preparation is still too terrible, for it aggravates and kills just as the other did. So Kochism is dead, as dead as a door-nail. And all because they will not, cannot, accept Hahnemanns dosage. But Kochs tuberculins will become and remain great homoeopathic remedies. Oh, the irony of the thing! Pretty well all the best work of the orthodox school ends in what? In securing the ultimate triumph of homoeopathy. In magnis voluisse sat est.

BURT W. H., Characteristic Materia Medica (btw1)


BURT William H.

Preface to the second edition


- For the kind reception which the Characteristic Materia Medica met with from the Homoeopathic Profession the author is truly grateful. While the rapid sale of the work has at the same time opened the way, and encouraged him to prepare a new, and as he hopes, greatly improved edition; numerous letters from physicians in various parts of the country have also stimulated him to spare no pains to render this second edition more acceptable than the first. - A most important improvement, to which the particular attention of the profession is invited, is to be found in the Classification of the Remedies. This classification is based upon a new discovery which to the author appears of great practical value, since by its application the varied and ponderous Materia Medica is simplified and rendered less difficult. - This new discovery consists in the fact that all medicines have for their starting point or centre of action, one or the Copyright 2000, Archibel S.A.

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other of the two nervous centres, either the animal or the organic; those that have their centre of action in the animal (cerebro-spinal) nervous system being the true remedies for acute and sub-acute diseases, while those that have their centre in the organic (ganglionic) nervous system are the true remedies for sub-acute and chronic diseases. This distinction greatly simplifies the Materia Medica and I believe it to be a corollary to the immortal Hahnemann's great law Similia similibus curantur. - During the last year I have applied this new truth in daily practice; and I am now perfectly satisfied that it is one of the fixed laws of nature; as much as the law of the similars itself, and that it gives us a higher and more practical unfolding of this great principle. In order to apply this new law in practice it is necessary thoroughly to understand drug pathology, failure in this being the great fault of our school as well as of every other. It will be objected that in many cases it is impossible to tell whether the disease is in the organic or in the animal nervous system. But if we cannot make the distinction, our prescription will in all probability be a poor one. And this should stimulate us to become better pathologists. The high estimation in which physicians well skilled in pathology are held by the people, is well known. And unless we understand upon what part of the living tisues a drug will act and what changes it will inaugurate, we cannot prescribe with precision. I think it will be no exaggeration to say that one half of all the symptoms in our most reliable Materia Medica (Hull's Jahr) are sympathetic, and consequently cannot be relied upon in prescribing. - Of the two sets of symptoms, the functional or sympathetic, and the physical or anatomical, the former are the least to be depended on, and the more we allow ourselves to depend on them, to the exclusion of, or in preference to the physical or anatomical signs, the less accurate will be our diagnosis and the more frequently shall we fail to cure our patients. How often is the physician led astray by sympathetic symptoms. For example, a lady calls for medicine to relieve a distressing pain in the heel and sole of the foot; how long would it take to cure her, if we did not know that it was a reflex symptom caused by a small granule or tumor in the urethra? In such a case the reflex symptoms are utterly useless, and the anatomical symptoms everything. Entire pages could be filled with similar illustrations, showing the worthlessness of sympathetic symptoms, where the physical symptoms are our only true guide. - This superabundance of sympathetic symptoms and confounding them with physical symptoms seems to be the one great fault of our Materia Medica, and the one which we should all strive to remedy. And this new truth of one class of remedies being suited to acute and another to chronic diseases, appears to me to be the key to the great problem of therapeutics. Sometimes we find the best affiliated remedies, according to similia, fail to cure. In such a case this new truth will often help us out of the difficulty. We may be using an animal remedy when it should be organic, and vice versa. The great desideratum is to know the exact organs and tissues which each remedy affects, and the changes which each one produces in them. Then we can grasp and utilize the innumerable sympathetic symptoms given us by Hahnemann, Hering, Hale, & c., & c. - And in order that a full and clear idea of this new truth may be formed, I have classified the entire Materia Medica, and arranged a kaleidoscopic view of the whole on a CHART which explains itself better than any written description could. - The animal or Cerebro-Spinal group I have sub-divided into four groups, placing first in alphabetical order the remedies that act most powerfully on the brain; second, those that spend the most of their action on the pneumogastric nerve; third, those that especially affect the anterior portion of the spinal cord, and fourth, those that act especially upon the posterior portion of the spinal cord. The latter groups are far from being complete; the imperfect knowledge we have of our remedies, rendering it impossible to place them all in their proper groups. - The organic group I have simply placed in alphabetical order, so that they can be the more readily found. Some half a dozen remedies, it will be seen, have been placed in both the animal and organic groups, they having the power, so to speak, to reach over one system into the other-Arsenicum for example. - In reading the treatment of Scrofulous affections in Dr. Goullon's new work, a few days since, I was greatly pleased to see that about every case was treated with an organic remedy, and I point with pride to that book as completely confirming this new truth. - The sub-division of these two groups has been placed into ten groups. In forming these groups no one realizes their imperfections better than myself; some remedies have been placed in the wrong group; the first attempt at such a great work could not be otherwise than more or less imperfect, but time will remedy this, and we can point with pride to the utility of this classification. In closing I would earnestly beg of you to give this new truth a fair trial at the bed-side--there and there only can you tell whether it is true or false. You will find some few exceptions to it, but not any more than you have found in our great law Similia similibus curantur; for it is a part of that great law, the crowning stone that completes the structure. The following illustrations will show the practical utility of this law.

Pleurisy
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- In acute and sub-acute cases, we find the remedies most useful are contained in the animal group; these are, Aconite, Bryonia, Arnica, Rhus tox., Apocynum and., Senega, Digitalis and Sabadilla. For sub-acute and chronic cases, we again find that our reliable remedies are contained in the organic group, such as Hepar sulphur, Silicea, Sulphur, Iodine, Calcarea carb. and Ferrum.

Croup
- The first or acute stage of croup will always have to be combated with a cerebro-spinal remedy, and Aconite is the remedy par excellence. But some cases will be better met by such remedies as Sanguinaria, Ipecac., Tartar emetic, Rhus vernix and Belladonna. - In the second or sub-acute stage, especially the membranous form, where the organic nervous system is greatly at fault, we must then use an organic remedy, such as Iodine, Kali bi. Spongia, Hepar s., Bromine, Phosphorus, Kaolin, Tartar emetic, Argentum, Arsenicum or Sulphur.

Bronchitis
- In the acute and sub-acute form, we use always a cerebro-spinal remedy; such as Aconite, Bryonia, Belladonna, Rhus tox., Ipecac., Tartar emetic, Sanguinaria or Pulsatilla. In the sub-acute and chronic form we find our best remedies in the organic group; such as Phosphorus, Hepar sulph., Calcarea carb., Iodine, Kali b., Rumex c., Arsenicum, Mercury or Sulphur.

Pneumonia
- No one ever thinks of using an organic remedy in the first stages of acute pneumonia, but a remedy is always taken that belongs to the cerebro-spinal group; such as Aconite, Veratrum viride, Bryonia, Rhus tox., Belladonna, Senega, Digitalis, Sanguinaria, Chelidonium, & c. In the sub-acute and chronic forms, we are forced to select from the organic group, if we wish to cure our patient; such as Phosphorus, Tartar emetic, Hepar sulph., Phos., Lycopodium, Silicea, Kali carb., Kali b., Sepia, Arsenicum, Mercury, Iodine or Sulphur.

Carditis
- We find in acute and sub-acute cases, our most reliable remedies in the cerebro-spinal group; such as Aconite, Veratrum v., Cactus, Digitalis, Spigelia, Bryonia, Naja, Lachesis, Colchicum, Belladonna, and Zinc val. For sub-acute, and chronic cases, we have again to rely on one from the organic group; such as, Arsenicum, Iodine, Kali brom., Spongia, Kali. jod. and Sulphur.

Rachitis
- This is nearly always a chronic disease, and in it we see our law most beautifully illustrated; the great and useful remedies being always found in the organic group; such as, Calcarea, Calc. phos., Silicea, Mercury, Lycopodium, Graphites, Sulphur and Cod-liver oil. - When acute symptoms do arise, we find such remedies as Belladonna, Phytolacca, and Pulsatilla, belonging to the cerebro-spinants, most useful, for a short time.

Psoitis
- For the acute and sub-acute stages, we have again to select a remedy from the cerebro-spinants; such as Aconite, Bryonia, Arnica Belladonna and Cimicifuga. In the second stage, when suppuration begins, that is, in the sub-acute and chronic form of this disease, we look to the organic group for our remedy; such as Hepar sulph., Silicea, Mercury Calcarea, Sulphur, Phosphorus and Iron.

Inflammation of joints
- In acute and sub-acute cases we again find the remedy must be one from the cerebro-spinants; such as, Aconite, Bryonia, Copyright 2000, Archibel S.A.

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Rhus tox., Belladonna, Stramonium, Pulsatilla, Arnica, Ruta grav. Chronic cases call for an organic remedy; such as Iodine, Calcarea, Hepar s., Mercury, Lycopodium, and Sulphur.

Erysipelas
- We find that the acute form of this disease demands a cerebro-spinal remedy; such as Aconite, Belladonna, Veratrum v., Rhus tox., Rhus rad., Lachesis, Clematis, Euphorbia, Chamomilla, Opium, & c. In sub-acute and chronic cases, our best remedies will be again found in the organic group; such as Apis m., Graphites, Arsenicum, Hepar s., Silicea, Sarsaparilla, Mercury, Carbo veg. and Sulphur.

Eczema
- Acute cases call for an animal remedy; such as Aconite, Rhus tox., Rhus rad., Mezereum, Cuprum acet., & c. In the chronic form we again find the reliable remedies in the organic group; such as Sulphur, Hepar s., Sarsaparilla, Arsenicum, Graphites, Mercury, Lycopodium, Croton tig., Calcarea, Apis m., Sepia, Petroleum, Lappa, Silicea, & c.

Scarlatina
- We again find this law most beautifully illustrated in this disease, the standard remedies for all the acute symptoms, throughout the land, by every Homoeopathic physician, being selected from the cerebro-spinal group; such as Aconite, Rhus tox., Bryonia, Opium, Ailanthus, Belladonna, Arum t., Camphora, Helleborus, Cuprum acet., Hyoscyamus, Stramonium and Zinc. For the dropsy following and other sub-acute and chronic symptoms of this disease, we are compelled to select the remedy from the organic group; such as, Arsenicum, Apis m., Phosphorus, Sulphur, Hepar s., Mercury, Kali h., Iodine, Calcarea, Nitric acid, Citrate of iron and strychnia, & c. Organic remedies will be found adapted to all the sequelae of this disease.

Small-pox
- The remedies adapted to the first stage belong to the cerebro-spinal group; such as Aconite, Bryonia, Rhus tox., Belladonna, Veratrum v., and Tartar emetic. The second stage demands an organic remedy, such as Mercury, Vaccine, Arsenicum, Sulphur, Thuja, & c.

Intermittent fever
- Gives us a fine illustration of this great truth. Acute cases have always to be treated with cerebro-spinal remedies, the most useful of which are, China and its alkaloid, the Sulphate of quinine, Ipecac., Eupatorium, Nux v., Pulsatilla, Sabadilla, Ostrya v., Polypori, Cina, Arsenicum, Veratrum alb., Ignatia, Capsicum, Cedron, Coffea, Belladonna, Atropine, Gelseminum, Antimony, & c. Chronic cases are only cured by the use of organic remedies, such as Natrum m., Sulphur, Carbo veg., Sepia, Ferrum, Lycopodium, Kali h., Calcarea, Apis m., Arsenicum, Ferrium et strychnia, Hepar s., Mercury, & c. In its chronic form, ague is one of the most simple diseases the physician is ever called upon to cure; any doctor if he but selects an organic remedy will succeed in making successful and brilliant cures; but it is not so with acute cases. No disease is more difficult to handle, and there are but few physicians in malarial districts capable of mastering it so as to give satisfaction either to themselves or to their patients. This new law simplifies the treatment of Ague and makes it one half easier then it has been heretofore.

Rheumatism
- Acute inflammatory cases are successfully treated only by cerebro-spinal remedies; such as, Aconite, Bryonia, Rhus tox., Rhus rad., Veratrum v., Cimicifuga, Caulophyllum, Arnica, Pulsatilla, Chamomilla, Rhododendron, Nux v., Belladonna, Colocynth, Phytolacca, Colchicum, Dulcamara, Spigelia, & c. Sub-acute and chronic cases are more successfully treated with organic remedies; such as, Sulphur, Calcarea, Lycopodium, Thuja, Causticum, Mercury, Antimonium c., Acid benzoic, Colchicum, Ferrum, Phosphorus, Kali bi., Kali carb., Phytolacca, Hepar s., Iodine, Arsenicum, & c. - Cases enough have now been cited to convince any thinking physician that this law can be applied to all diseases, making Copyright 2000, Archibel S.A.

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their treatment much more simple, and the physician who takes this law as a guide in selecting his remedy, will find his success far superior to that of those who go on in the old hap-hazard way, without this practical truth to guide them. Why has Dr. Goullon in the treatment of scrofulous diseases used nothing but organic remedies, hardly ever mentioning one that belongs to the cerebro-spinal group? Not only he, but our whole school has been sensibly led to depend on the organic remedies, as the true and reliable agents in the treatment of scrofulous chronic diseases. Now there must be some law that leads us all to rely on these remedies, and the one I have tried to demonstrate covers the ground completely. It tells us that in acute diseases we must select a cerebro-spinal remedy if we wish to be successful, and that in the treatment of chronic diseases we equally have to rely on the organic remedies. I am well aware that many physicians will not accept this new truth, but will fight against it with all their might, but this practical truth will live when their names will long have been forgotten. Truth never dies, but man does. - I have made a separate classification, adding many more remedies, placing them in the form of a chart printed in large letters designed to hang up in a physician's office, to which I would call especial notice; believing that for quick and ready reference it will be found invaluable.

Preface to the first edition


- The following work is neither a "Text book," nor an "Epitome"; much less is it offered as a substitute for the Materia Medica. - But from all the sources within my reach, including pretty much the entire range of our English and American Homoeopathic literature, I have endeavoured to collect those symptoms, which, whether originally pathogenetic, or clinical only, have come to be regarded as "Characteristics," and as "Key Notes," by reason of their own prominence, or from the frequency of their mention by the best authorities. - Very many of the symptoms comprised within this book, have been expressly set forth as "Key notes," and "Characteristics," by Drs. Guernsey, Hering and numerous others; to all of whom due credit has been given in every instance. These symptoms, thus approved, as having been tried and verified, ex usu in morbis, I have with great labor, collected and arranged in such a manner as to render them at the same time more accessible to the junior members of the profession, and more convenient for their use. - And in order the better to facilitate the study of the remedies which these symptoms represent, I have adopted a method of grouping, arranging by themselves those remedies which produce similar physiopathological and pathogenetic symptoms. In forming such groups, I have availed myself of the labors of Dr. Hale and Dr. Hughes. The method here persued differs from that of Teste, who based his groups upon the pathogenesis alone. His plan appears to me to be both unscientific and insufficient; since, in order to apply our remedies successfully, we must understand their pathological relations, as well as their pathogenetic symptoms. - It is for this reason that I have also attempted, in a few words, to point out the several organs and tissues for which each particular remedy has a special affinity; and also the nervous spheres through which it primarily acts upon the system. - In the next place is stated the particular kind of pathological influence which the remedy exerts upon each tissue and important organ. Then follow what I have allowed myself to term the Grand Characteristics of the remedy. - And here it is proper that I should refer to the sources from which these latter are derived, although it would seem superfluous to give a full catalogue of the numerous works consulted; and the more especially, since, whenever practicable, an authority has been subjoined to each individual "Characteristic," or "Key-note." And while I have endeavoured to render this work representative of the practical experience of the whole profession, rather than that of a single man, I cannot here refrain from making special mention of Prof. H.N. Guernsey's work on Obstetrics. Upon this, as will appear, I have depended more for Characteristics than upon any other. The initial G. stands, therefore, for Prof. Guernsey; H. for Prof. Hering; and F. for Prof. Frost. The names of other authorities being given in full. The symptoms credited to Prof. J.S. Douglas, were from my notes of his lectures. - In the absence of any fixed and absolute rule for grouping, I have been obliged to depend upon my own judgement; and whether from my own inability or the natural difficulties of the undertaking, it is no doubt as true that others may prefer a different classification, as that I found it impossible to confine certain remedies exclusively to any particular groups. - And from being alone, and thus obliged to depend upon my own judgement only, in regard to what symptoms should be selected as characteristic, and what rejected, it also follows, most undoubtedly, that many persons will look in vain in these pages for symptoms which they know to be characteristic, from having successfully applied them for years in their practice. This being the first attempt to collect together the characteristic symptoms, it must be regarded only as a Copyright 2000, Archibel S.A.

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beginning, and therefore necessarily imperfect. - It is believed that the present work will be found of especial use to the profession, from its presenting the most important symptoms and indications of some new and valuable remedies, many of them contained in Dr. Hale's Materia Medica of the New Remedies; not to mention my own humble contributions of Polyporus and Ustilago madis; the latter of which Dr. J.B. Woods reports (Hahnemannian Monthly, April, 1869) "having used with good success in cases of uterine hemorrhage, & c." In other respects, I have made use of my own experience in writing and compiling this work, which I trust may richly repay my labor, by proving itself acceptable and useful to the profession.

Materia medica Aconitum napellus


Wolfsbane
- All writers on Materia Medica claim that Aconite's great centre of action is upon the ganglionic nervous system, and that through this it affects the capillary circulation. - This I cannot subscribe to; for certainly, it is a powerful narcotic similar to Belladonna, and all of its great therapeutic properties are performed through the cerebro-spinal nervous system; consequently it especially affects that portion of the cerebro-spinal nervous system which presides over the action of the heart and arteries; the posterior portion of the spinal cord; the serous membranes; muscles; joints, and digestive organs. - The cerebro-spinal nervous system is deeply invaded by the poisonous principle of Aconite, the heart and arterial capillary vessels are so paralyzed as to produce violent congestion and inflammation in any and every organ and tissue in the body that contains capillaries; the parts become swollen, red, hot, and painful, with all the constitutional symptoms of phlegmonous inflammation, such as high fever, hard bounding pulse, violent thirst, great anxiety, restlessness, & c. - Thus we find that Aconite exerts its poisonous influence so profoundly upon those delicate arterial capillary vessels and so paralyzes their action as to produce congestion and inflammation. - Meyer says : "Aconite's sphere of action is manifested principally in the ganglionic system, and exercises here its special influence upon the nerves of the capillary vessels, exciting fevers, congestion, and inflammation." - Grusselich says : "Its operation on the arterial system is unmistakable; its reaction upon the nerves and lymphatic system, is easily substantiated from physiological principles." - Diez says : "Aconite corresponds to the first stage of inflammation; as such, and apart from its various modifications, it occupies the foremost rank among all the medical plants that have been proved up to the present time." - Schneider sums up the action of Aconite as follows : - "1. Synocha and inflammation, arising from primordial irritation of the nerves of the central vessels, as distinguished from exanthematous and traumatic irritation, which proceeds from original irritation of the nerves of the vessels of the periphery. - 2. Rheumatism; viz : Those congestive or inflammatory painful affections of the joints, muscles, or sensory nerves, which arise in consequence of cold. - 3. Gastroses; also with predominant affections of the liver amounting to jaundice. - 4. Paralysis of the nerves of the blood-vessels, as in cholera. - 5. Convulsions; but we regard all kinds of convulsions as consecutive, proceeding from anaemia or hyperaemia in the centre of the higher nerve life. - 6. Paralysis in the sphere of the physical nervous system."

Cerebro-spinal system, or nervous system of animal life


- This includes the brain, spinal cord, with the nerves connected with them, and the ganglia seated upon these nerves.

The brain
- The arterial capillary vessels of the brain are so paralyzed as to produce violent cerebral congestion, as shown by the swollen face, blue lips, violent pain in the head, stupor, partial insensibility, trembling of the head, mania, at times singing Copyright 2000, Archibel S.A.

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and laughing, and then weeping and moaning, filled with hope or great despair, pain in the head as if it was filled with hot water or encircled with a hot iron, excessive anxiety, restlessness, dread of death; whizzing in the ears, loss of sight, vertigo with partial loss of consciousness, loss of memory, & c.

Nerves of motion
- Aconite sometimes produces convulsions, but more generally paralysis of the muscular system. - It does not irritate the motor nerves of animal life directly, like Nux vomica.

Nerves of sensation
- These are more powerfully acted upon by Aconite, as shown by the numbness, tingling, prickling, crawling, and creeping sensation throughout the body. - "This sensation arises from its depressing action upon those ganglionic or vaso-motor nerves which follow the blood vessels to their most minute ramifications, and preside over their functions." - This congestion by pressing on the sentient nerves, arrests the nervous circulation and produces a state similar to that when a limb is said to go to sleep; consequently the neuralgia Aconite is homoeopathic to is secondary, from pressure of the congested vessels surrounding the nerve. - When the nerve alone is involved we must look to other remedies that directly affect the nerves. - (I now believe that Aconite has a special and specific action upon the posterior portion of the spinal cord, affecting the sentient nervous system.)

Muscular system
- Aconite especially affects the muscular system, also the tendons and the fibrous tissues of the joints; producing in them congestion and inflammation of a rheumatic character. - For inflammatory rheumatism of the joints and fibrous tissue, in any part of the body, no known remedy is equal to Aconite. - If the fibrous tissue is the seat of the disease, the pains are tearing and aching. - If it is in the serous membranes, the pains are sticking, or sore and stinging. - If in the mucous membrane, the pains are burning. - If in the muscles, the pain from sudden movement is extremely great.

Serous membranes
- The most accurate and best authenticated cases of poisoning by Aconite establish the fact that it affects especially the capillaries and this through a direct impression upon the retinae of cerebro-spinal and vaso-motor nerves supplied to them. - This power to influence the whole or any portion of the capillary system, renders it a polychrest par excellence. - Its field of operation is the cerebro-spinal nervous system, which it affects primarily. - This primary impression is communicated to the vaso-motor filaments which regulate the circulation in all the vessels. - The changes which occur in the circulation of a tissue brought under its (Aconite's) influence are believed to the very similar to those indicated by Dr. Bennet as peculiar to the congestive process. - Dr. Prevost found that if Aconite, much diluted by water, was brought in contact with the web of a frog's foot, contraction and afterwards dilatation of the capillary vessels ensued. - The congestive stage of inflammation in serous membranes most frequently commences with a chill, followed by dry heat, & c. - Inflammation in serous membranes does not generally go on to ulceration, sloughing and gangrene; but the fluid that is thrown out in the second stage takes on what is termed "adhesive inflammation", the fluid effused undergoes such an organizing process as to glue the opposing surfaces of the serous membranes together. - As soon as the second stage, that of effusion, takes place in serous membranes, the usefulness of Aconite ceases, Bryonia, Sulphur or some other remedy must be chosen; but up to the stage of effusion, Aconite is the remedy par excellence. - Most examples of serous inflammation are believed to be more or less rheumatic in character. Copyright 2000, Archibel S.A.

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- This again shows us why Aconite is so useful in serous inflammation, for the inflammation caused by Aconite is rheumatic in character.

Mucous membranes
- Mucous membranes are highly vasculary and the millions of arterial capillary vessels found in them become the centre for the action of Aconite; acute congestion and inflammation of this tissue are at once produced under its influence.

Lymphatic system
- Lymphatics have three coats; - 1. Internal epithelial and elastic fibre; - 2. Middle, smooth, muscular, and fine elastic fibres; - 3. External, areolo-fibrous, areolar tissue, intermixed with smooth muscular fibre. - Arteries are distributed to their outer and middle coats, and in these two coats Aconite produces congestion and inflammation.

Grand characteristics
- The grand sphere for Aconite is found in all diseases that emanate from, or have their starting point in the cerebro-spinal nervous system, and are of a congestive, inflammatory, or rheumatic character; with full bounding pulse, much heat, dry, burning skin, agonized tossing about, violent thirst, red face, shortness of breath, and great nervous excitability.

Mind
- "Great fear and anxiety of mind, with great nervous excitability."--G. - Fear is one of the most prominent symptoms of the use of Aconite in its whole pathogenesis. - "He is afraid to go out, to go where there is any excitement, or many people, or to cross a street. - His life, in fact, is rendered miserable by this all-pervading fearfulness. - The countenance exhibits strong and unmistakable expressions of fear."--G. - "Fear of death, predicts the day he will die."--G. - "She is alarmed, and sure she will die, although there is no occasion for alarm."--G. - "Active hemorrhages, with fear of death and great nervous excitability."--G. - "She complains much of her head with anguish and great nervous excitability."--G. - "If a pregnant woman has fright and the fear remains, and she cannot seem to get over it, she must take Aconite at once."--G. - "Great fear during pregnancy that the child will be deformed, or that she never can give it birth."--G.

Head
- "If the patient sits up in bed, he immediately falls over in consequence of vertigo, and he is afraid to rise again, lest the same trouble should recur."--G. - Vertigo when rising from a recumbent posture, with fainting and pale face. - Headache as if everything would press out of the forehead, with vertigo on rising. - "Sensation as if the hairs of the head were standing on end; the scalp is sensitive to the touch."--G.

Eyes
- Acute catarrh, or rheumatic ophthalmia, excessively painful as if some foreign body had lodged in it, accompanied by much fear. - "She complains much of her head, anguish and acute conjunctivitis."

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Mouth and fauces


- Burning sensation, extending from the stomach all the way up to the mouth, and along the dorsum of the tongue, with tingling in the lips, tongue, fingers and spine. - Everything tastes bitter, except water. - Tongue coated white. - Unquenchable thirst.

Organs of digestion
- Bitter, bilious vomiting with anguish and cold perspiration. - Acute hepatitis, with high fever, and soreness in the liver. - Enteritis with burning tearing pains, and high fever. - "Sharp shooting pains in the whole abdomen, which is very tender to the touch."--G. - "Abdomen swollen after scarlet fever."--HEMPEL. - Green watery diarrhoea, like chopped spinach."--G. - Watery dark colored stools. - "Bilious diarrhoea of infants, with colic, which no position or circumstance relieves."--G. - Dysentry with high synochal fever; great fear and restlessness accompanied with cutting, lancinating, burning and tearing pains in the abdomen.

Urinary organs
- Scanty, red, hot urine. - "Retention of urine from cold, particularly in children, with much crying and restlessness."--G.

Sexual organs
- In males, acute orchitis, high fever with bruised painful feeling, from colds, or gonorrhoea. - In females, suppression of the menses after a fright. - "Restores the menses of plethoric women, after their suppression from any cause."--G. - Menses too profuse in plethoric women. - Very severe after-pains, with fear and restlessness. - "Suppression of the lochia, or too scanty discharge, soon after labor with distress in the abdomen, chest and head."--G. - Acute puerperal peritonitis. - Breast hard and knotted, with hot, dry skin, much thirst and fear. - "The mammae are congested, burning hot, hard and distended, with little or no milk."--G. - "When the patient, during pregnancy, is distressed between twelve and three a.m. , having to get up to urinate, having no affection for any one."--J.C. M. - "Os uteri dry, tender and undilatable; with distress, moaning and restlessness during every pain."--G. - "Cannot bear the pain, nor bear to be touched or uncovered."--G.

Organs of respiration
- Croup, brought on by sudden change of temperature from warm to intensely cold weather. - "First stages of croup, with cough and loud breathing during expiration, but not during inspiration; every expiration ends with a hoarse hacking cough."--G. - "Croupy cough waking in first sleep, particularly with children, after dry cold west winds."--G. - "Child grasps at his throat after every coughing fit."--G. - "Short, dry, titillating cough, every inspiration seems to increase the cough."--G. - "Pleurisy and Pneumonia, especially with great heat, much thirst, dry cough and great nervous excitability."--LIPPE. - Quick, anxious, labored, sobbing breathing. Copyright 2000, Archibel S.A.

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- "Stitches through the chest and side, especially when breathing and coughing."--LIPPE. - Haemoptysis, the blood comes up with great ease by hemming and hawking, of a bright red color, and in large quantities, from exercise or cold, dry west wind, with great fear and anxiety of mind, and palpitation of the heart. - "Expectoration of bloody mucus with cough. - There is almost always a tingling sensation in the chest after coughing. - There may be stitches in the chest and side, which are often so severe as to interfere considerably with respiration; can only get half inch respirations."--G. - "The child has much oppression of the chest, anxiety, can scarcely cough, the suffering is intense."--G. - "Stitches in the chest, hindering respiration; cannot breathe freely in consequence of a sensation as if the lungs would not expand."--G. - "Burning in the internal organs."--LIPPE. - "Palpitation of the heart with great anguish."--LIPPE.

Fever
- Synochal fever, with full bounding pulse, great heat, restlessness, thirst for large quantities of water, and great nervous excitability. - "Great thirst, and though he cannot retain fluids in the stomach, yet will always drink; then up it comes as from a pump, all up and out in a very short time, even before a basin or anything can be produced."--G. - Great heat and agony, and craves a large amount of cold drink. - Cannot bear to be covered.

Skin
- Red, hot and swollen skin, with much pain. - Scarlet rash; the eruption is fine and red, worse at night. - Acute erysipelas, with synochal fever, anxiety and great restlessness.

Extremities
- Much numb, tingling sensation in the back and in the fingers from irritation of the sentient nervous system. - "Numbness in left arm, can hardly move the hand."--G. - "Painful sensitiveness of any part of the body; does not wish to be touched on account of this sensitiveness; of course he will be irritable, and fearful of any one approaching him."--G. - "This remedy is frequently indicated when there is a great and sudden sinking of the strength; but here we must look to the state of the mind. - If we find cheerfulness and content with no alarm, Aconite is not the remedy. - But if we find great alarm at this sudden sinking, study Aconite."--G. - Bad effects from dry, cold air; suppressed perspiration from fright, with fear and anguish."--G. - The symptoms are worse from rising and in a warm room, and are ameliorated in the open air. - At night the pains are insupportable, with fear, anxiety and great restlessness. - Adapted to people of a full plethoric habit, especially young girls of sanguine temperament and sedentary life; and to acute diseases brought on by dry, cold west winds.

Aesculus hippocastanum
Horse Chesnut
- Acts especially upon the cerebro-spinal system, selecting for its special centre of action, the filaments of the motor nerves that emanate from the lower portion of the spinal cord and are distributed to the mucous membrane of the colon and rectum; the functions of these nerves are paralyzed so as to entirely suspend the secretions of the mucous follicles, producing constipation, and white colored stools. Copyright 2000, Archibel S.A.

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- I once thought it powerfully influenced the liver, entirely suspending its secretions, producing white stools; but a better knowledge of physiology has taught me that white stools are caused by the follicles of the colon not performing their functions. - "Dr. Inman has shewn that the faeces do not become brown until they reach the colon; and that the green stools of infants assume their peculiar color at this point." - AEsculus probably produces some passive portal congestion. - Dr. E.M. Hale, says : "A careful study of its pathogenesis would lead us to believe (a) that it affected the whole mucous membranes in a peculiar manner, exciting therein congestion (venous,) with irritation, and that this action was the cause of the whole phenomena; or (b) that the starting point of its action was in the portal system, the circulation of which is deranged in a peculiar and profound manner, and from this cause proceeded the gastric, hepatic, intestinal, and rectal symptoms. - It is difficult to hold to one explanation to the exclusion of the other. - The explanation under (a) is the nearest to being correct. - This is a real cerebro-spinal remedy; especially spinal, and its effects are mostly spent upon the rectum and anus. - There is no remedy that produces so many symptoms in this region. - The many symptoms of the fauces noted in the provings, are due to its local, astringent action, and must not be relied upon as curative.

Grand characteristics
- Exhausts the nervous power of the spinal cord, so that its functions cannot be performed. - Constant backache, affecting the sacrum and hips, aggravated by walking or stooping. - "Constriction, protrusion, fullness, aching, dryness, itching, pricking tenesmus, and pains in the rectum and anus." Hale. - "Dry uncomfortable feeling in the rectum which feels as if it had been filled with sticks." Hughes. - "Excessive dryness of the rectum with a feeling of heat." Hale. - "Hemorrhoids; there is little tendency to hemorrhage, but much severe fullness and bearing down, with constipation." Hughes. - "Dreadful pain in the anus; could not sit, stand or lie down. - The pain was like a knife, sawing backwards and forwards; almost a martyrdom for agony."--HUGHES. - "Large hemorrhoids, which quite block up the rectum, without much hemorrhage."--HUGHES - The hemorrhoidal tumors protrude from the rectum; are of a blue-purple color, with sharp, shooting, cutting pains in them running up into the rectum. - "An intolerable burning, itching pain, with a feeling of fullness of the anus."--T.C. DUNCAN. - "Aching, swelling, and rigid hardness of the rectum, with constipation."--T.C. DUNCAN. - "Soreness in the rectum, with increased secretion of mucus, or as if the folds of the mucous membrane obstructed the passage, with a feeling as if the rectum would protrude."--BOYCE. - Severe lumbar and sacral pains. - "A painful weakness of the loins with dull aching pain."--Dr. W.M. CUTHBERT. - Dull aching pains in the small of the back, much aggravated by walking. - "Severe aching pains in the lumbar and sacral regions, with stiffness in the back; almost impossible to walk."--G. - "Pain across the sacro-iliac symphysis, more or less constant, with a feeling as if the back would give way at that point, causing great fatigue when walking. - This symptom is common to both sexes, but in uterine displacements may be regarded as a key note."--G. - Leucorrhoea, with lameness in the back, across the sacro-iliac articulations, and hence great fatigue from walking; because that part of the back gives out from walking even a little way."--G. - Capillary congestion of the mucous membrane of the bowels. - White soft papescent stools. - Prolapsus ani with constipation. - It is said to act well in jaundice.

Aethusa cynapium
Fool's Parsley
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- Acts especially upon the cerebro-spinal system, and through that, affects profoundly the liver and bowels. - Through the spinal system, "it strikes down the functional power of the liver, and secondarily gives rise to symptoms of bilious inflammation, bilious disorganization of vital fluids, bilious paralysis, by which I mean that the inflammation, disorganization of vital fluids and the paralysis result from the irritating action of the bile upon the tissues." - This powerful remedy has not been used enough to reveal its characteristics. - In bilious typhoids, and low grades of abdominal diseases, with prominent cerebral symptoms, this remedy will be found of great utility. - Stools, light yellow liquid, with tenesmus and great drowsiness, I believe, is one key to its use, in malignant summer complaints. - "Intolerance of milk, particularly in children : black tongue and bilious diarrhoea in typhus fevers."--G. - Disturbance of the sleep, caused by violent startings; profuse cold perspiration, cholera infantum, after much purging and vomiting the child becomes cold, clammy, stupid, loses consciousness, and will often lie with staring eyes, and dilated pupils."--G. - Great expression of anxiety of the face; it is puffed and spotted.

Agaricus muscarius
Fly-agaric
- Especially affects the cerebro-spinal nervous system, and through it the blood. - Upon the cerebro-spinal system it produces giddiness and drunkenness, similar to alcohol; at last, an entire loss of of consciousness takes place. - The chorea-like twitchings show its irritating influence upon the anterior spinal nerves, but its special centre of action is more upon the posterior spinal nerves, as shown by "the sensory nerves lose their elasticity and power of resistance; when even feeble pressure is applied to any spot, it pains still a long while after. - Neuralgic pains as though sharp ice touched the parts, or cold needles ran through the nerves; compare with the Arsenic neuralgia, in which the imaginary needles are red-hot." Hughes. - The spine is tender to the touch, especially the lumbar portion. - But the most peculiar effect of Agaricus is its septic influence upon the blood, and the power the urine has of producing intoxication. - The blood becomes fluid; the brain, lungs and liver being gorged with this fluid blood. - "During life too, there are many symptoms of septic change; the face is blue; the body swells; the breath, flatus, and stools are fetid." - "A man moderately intoxicated to day, will by the next morning have slept himself sober; but, as is the custom, by drinking a teacupful of his urine he will be more powerfully intoxicated than he was the preceding day. - This intoxicating property of the urine is capable of being propagated; for every one who partakes of this intoxicating urine, has his own urine similarly affected." - I have no doubt but a microscopical examination of the urine and blood of one who has been poisoned with the Agaricus, would reveal thousands of fungi in these fluids capable of reproducing themselves with great rapidity, similar to yeast. - One of my reviewers, I believe it was Dr. Martin, (my Journals all being burned I cannot refer to it) seems to think I had better study this drug again, not believing there could be microscopical fungi produced in the urine by this drug. - I still hold to that belief, but if the Doctor will show me with the microscope that I am wrong, I will gladly recall what I have written.

Grand characteristics Mind


- Indisposed to talk, or labor. - "Great selfishness."--G. Copyright 2000, Archibel S.A.

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Head
- Vertigo; giddiness, as from intoxication, especially in the morning, in the open air, and caused by the bright rays of the sun. - "Great sensitiveness of the scalp, as if from subcutaneous ulceration." Lippe. - "Long lasting vertigo, with great sensitiveness to cold air." A.E. Small. - It ought to be useful in delirium tremens, venous congestions, and in septic diseases.

Eyes
- Sees objects double, with nictitation of the eyelids.

Organs of digestion
- Gastric derangements, with itching, burning, and redness of various parts of the body, as if frost-bitten; of the ears, nose, cheeks, fingers and toes."--G. - "Much hunger but no appetite."--G. - "Abundance of flatulence."--G. See Carbo V. and Lycopodium. - "Constipation; first part very hard, latter part liquid."--G.

Female generative organs


- "Menses too profuse; with titillation in the genital organs and desire for an embrace."--G. - Hysterical subjects, with spasmodic jerkings of different muscles of the body. - Worse during the approach of a thunder storm.

Skin
- "Burning itching and redness, as if frost-bitten." Lippe.

Extremities
- "Itching and burning redness of the toes, with titillation as if frozen."--G. - Chilblains itch and burn much, and are very red. - Great sensitiveness of the body to pressure and cold air; much trembling of the limbs. - Great chilliness in the open air, striking through the whole body, without thirst. - "Symptoms often appear diagonally; right arm, left leg." Lippe. - Adapted to acute diseases, where the cerebro-spinal symptoms predominate.

Agnus castus
Chaste-tree
- Through the motor portion of the cerebro-spinal system, it acts especially upon the genito-urinary organs. - There is no excitation of the sexual instinct; but complete prostration and impotence; semen watery and deficient, with utter absence of erections; promotes menstruation and the secretion of milk.

Grand characteristics
- "Premature old age, which arises in young persons from abuse of the sexual powers, marked by melancholy, apathy, mental distraction, self contempt, general debility, frequent loss of the spermatic fluid."--HUGHES. Copyright 2000, Archibel S.A.

Encyclopaedia Homeopathica - Impotence with complete paralysis of the sexual organs. - Thinks he is certainly going to die, and there is no use of doing anything. - "Agalactia in young women; milk much diminished."--HEMPEL. - Complete loss of sexual desire, the penis is small, flaccid and cold. - Bowels constipated. - Retention of the urine from paralysis of the bladder.

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Ailanthus glandulosa
AILANTHUS

Tree of Heaven
- Acts especially upon the cerebro-spinal axis, and through this on the pneumogastric nerve and skin. - Upon the skin "it produces an eruption which has an exact resemblance to ordinary measles, but is attended by no catarrhal symptoms, or other concomitants of that eruptive fever."

Grand characteristics
- Low, adynamic, malignant scarlet fever. - Severe headache, with dizziness and red hot face. - Very drowsy and restless, which soon passes into insensibility, with constant muttering delirium. - Great anxiety. - Intolerance of light. - Inability to sit up, with sudden and violent vomiting. - Covered with a miliary eruption with efflorescence between the points of the rash; all of a dark, almost livid, color, the eruption more profuse on the forehead and face than elsewhere. - The pulse small and so rapid as hardly to be counted. - "The livid color of the skin, when pressed out by the finger, returned very slowly; the whole was a most complete picture of torpor, and seemingly a perfect instance of that manifestation of it which immediately precedes dissolution in these rapidly fatal cases of scarlet fever."--P.P. WELLS, M.D. - Vomiting with stupor, and a livid purple rash covering the skin. - It seems to be especially adapted to those cases that come on suddenly, with vomiting, stupor, great prostration, and the fever partakes of a low, adynamic character; and I have no doubt but that it will prove one of our best, if not the best remedy we have for Cerebro-spinal meningitis.

Alcoholus
ALCOHOL

Rectified Spirit
- Alcohol especially selects the cerebro-spinal nervous system for its grand centre of action. - On the brain, it first produces excitement; jovial, sympathetic, and sometimes indiscreet; confusion of thought; various mental affections, varying with individual character; some become sentimental and affectionate, but the majority become quarrelsome, and some murderous in their ferocity. - Some become depressed and sad, and sit quietly by themselves. - The imagination and lower impulses predominate. - The symptoms are followed by drowsiness and sometimes profound coma. - After this state of somnolency, there are vertigo, headache, stupidity, nausea and vomiting. - In some cases the stupor is followed by great cerebral excitement, the face becomes flushed; eyes injected, great restlessness; violent delirium; pulse accelerated, with fever of a typhoid character. - In other cases, it develops a tendency to congestive apoplexy; the coma soon becomes profound; face livid or ghastly pale; Copyright 2000, Archibel S.A.

Encyclopaedia Homeopathica pupils contracted, more generally dilated; breathing stertorous, and death takes place in a few hours.

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Pathological changes
- The scalp and membranes of the brain are congested, serous effusion occurs under the arachnoid, the substance of the brain is usually white and firm, the ventricles generally empty. - The peculiar firmness of the brain was noticed several times, even when decomposition of the rest of the body had made considerable advance. - Typhus fever is the only disease, save induration of the brain, in which a like firmness is often observed. - The cerebrum and cerebellum both become indurated, and sometimes softened. - The cerebral arteries are in a state of fatty degeneration.

Nerves of motion
- Are especially affected, as seen in the stammering speech, staggering gait, diminished strength, from relaxation of the muscular system, trembling of the hand and arms, trembling motion of the muscles under the skin, and partial paralysis.

Nerves of sensation
- There is hyperaesthesia, or anaesthesia; has to move the limbs constantly, from a great feeling of restlessness; formication under the skin, and drawing piercing pains.

Great sympathetic nervous system


- The chronic effects of alcohol upon this part of the nervous system, are not fully known; I believe its action to be merely sympathetic, from its action upon the cerebro-spinal system; the changes as noted in books are mostly due to the various drugs it has been adulterated with, but it will do no harm to note them. - They "are evinced more by the alterations in structure and functions of the various organs of the chest, abdomen and pelvis than by any particular sensations," more rapid digestion, peristaltic action of the bowels, increased secretions, fatty degeneration of the heart and liver, which sometimes are much enlarged; the omentum and mesentery become loaded with fat. - The stomach becomes congested and greatly wrinkled, as if a powerful astringent had been taken; in some the mucous membrane is perfectly white and thickened; in others it becomes softened and covered with a muco-purulent secretion. - The appetite is at first increased, but becomes in a short time less and less in proportion as the taste for drink increases. - The tongue becomes furrowed from the median line toward the edges, and looks as if varnished. - In the morning the throat seems filled with mucus, and gradually it becomes more and more difficult to clear, and the victim has nausea and vomiting every morning, with a long train of dyspeptic symptoms, in some cases the bowels become much irritated, and there is colic, acidity, flatulence, constipation, or alternate constipation and diarrhoea. - The kidneys become more or less congested, the pelvis and uterus are generally in a chronic slate-gray inflammation. - The skin at first is soft and velvety, but gradually changes and becomes dry, dirty, rigid, or yellowish gray, and there are more or less prurigo, eczema, & c. - The blood becomes fluid and venous, and the proportion of carbon and hydrogen is much increased, contains much albumen and fat, but little fibrin, which accounts for its non-coagulability; the blood globules are diminished.

Grand characteristics
- Tweedie says : "I. It sometimes happens that when a patient in fever has been going on favorably, the pulse becomes suddenly soft and compressible, the skin cool and damp, accompanied by a feeling of considerable exhaustion; with these symptoms, there need be little hesitation in allowing six or eight ounces of wine in twenty-four hours, at proper intervals. - "II. When the symptoms denoting sensorial disturbance, languor, low muttering delirium, tremor or subsultus, progressively increase, if at the same time the patient lose his strength from day to day, the pulse soft and skin cool. - "III. When the fever assumes the petechial character, more especially if the spots be large and of a dark livid hue. - "IV. In cases of sudden and unexpected collapse." Copyright 2000, Archibel S.A.

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- Coma with stertorous breathing. - "Melancholy, with inclination to suicide."--P. - "Mania, with inclination to murder."--P. - "Mania, with inclination to incendiarism."--P. - "Maniacal ferocity."--P. - "Mania with excessive inclination to drink."--P. - Dementia. - Eyes congested (bloodshot). - "Hallucination of sight, sees double; or thinks he sees a variety of objects, men, animals, snakes, good or bad spirits, angels, or demons." - This shows that alcohol profoundly affects that portion of the brain that gives origin to the optic nerve. - "Hallucination of smell, imagines the devil has defiled his bed, and that it smells as the devil is supposed to." - "Great dryness of the mouth." - Hallucination of taste. - Throat seems full of mucus, which is hawked up with difficulty. - Morning nausea and vomiting. - Gagging and vomiting of sour offensive matter. - Loss of appetite. - Difficult digestion, with colic and flatus. - Constipation or alternation of constipation and diarrhoea.-See Nux vomica. - Adiposis and venosis, fatty state of the heart, and adiposis in general, in gouty and rheumatic subjects. - Dr Peters thinks it is more or less antagonistic to tuberculosis; in cases where there is great emaciation, it may supply the fat; it only aids in developing adipose, never muscular tissue. - Alcohol as a remedy and as a nutritious substance. - It especially arrests destructive assimilation, "so that for a certain period, during the stay of Alcohol in the system, less urea, less phosphates, less water are excreted by the kidneys; less carbonic acid by the lungs, and less digestion goes on in the alimentary canal, showing that the muscles, bones, nerves, & c., are not getting rid of their effete tissue, but retaining it, and making use of it as far as possible." - But at the same time, they give rise in the body to defensive reaction, which is prominent first, immediately after taking the dose, and then gives place to the special action, and on this ceasing, is again manifested to a greater extent. - So that if a suitable quantity be taken, and both action and reaction are allowed to exhaust themselves before the dose be repeated, there will be a positive gain in vitality; but, if such a large quantity be taken that the reaction is overpowered, or if the manifestation of life is kept down by continuous repetition of the dose, the body is not renewed, because its effete particles are not removed, and the amount of vitality must certainly be reckoned at a loss. - A distinguished politician, who suffered from the effect of habitual intoxication thus describes it. - "In that world of all that is high and noble, the human heart; that consecrated temple of glorious hopes and generous purposes, and godlike aspirations and countless joys, known only to the heart of man, the alcoholic poison breaks up the fountains of the great deep of human passion, and converts the mind into a wild distorted receptacle of passions, lashed into monstrous and phantom forms, by flames which distil the fountains of human love and charity, and chastity and kindness, into the red lava of hell's worst hate. - And that bright principle of the human intellect, which comprehends the laws that govern the universe and our own mysterious being, instead of being blotted out in darkness, is transformed into the wild architect of a world distorted and ideal, peopled with fiends, such as perverted minds alone can conceive, and fraught with sufferings, and agonies, for which breathing nature furnishes no type or parallel."

Alumina
Aluminum
- This is a prominent ganglionic, or antipsoric; it especially acts upon the ganglionic nervous system that presides over the functions of the mucous membranes, producing great dryness of their secretions, more especially that of the colon and rectum. - It also has more or less action upon the motor nervous system, as shown by the complete prostration of the whole animal Copyright 2000, Archibel S.A.

Encyclopaedia Homeopathica system during menstruation.

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Mind
- "Thinks his mind is some one else's.--G. - "Groans at night, and says it is not him, and wants them to stop."--G. - "As soon as she sees blood, or a knife, wants to kill herself."--J.S. DOUGLAS. - "Stupid, thinks he is falling forward."--J.S. DOUGLAS.

Head
- "Excessive dryness of the scalp; it goes to sleep; feels light, and the hair falls out."--J.S. DOUGLAS. - "Disposition to take cold in the head."--J.S. DOUGLAS. - "Semi-lateral affections of the head; old rheumatic affections always appearing on the same side."--G. - Affections of the external ears. - Acrid secretions from the nose.

Digestive organs
- "Constriction of the oesophagus, when swallowing; food is felt until it enters the stomach."--D. - Better after warm drinks. - Great dryness of the throat. - Specific for painter's colic. - Constipation, from great dryness of the mucous follicles of the rectum, with long lasting pain in the rectum. - "Great inactivity of the rectum; even a soft stool can only be passed by great pressing and straining."--G. - "Diarrhoea, from acidity of the primae viae; in children the stools are green."

Urinary organs
- "She cannot pass her urine without straining at stool; she has to strain at stool to pass her urine."--G. - This is a sure key to the use of Alumina.

Sexual organs
- "Profuse, transparent, acrid leucorrhoea, running down to the heels in large quantities."--G. - Profuse acrid leucorrhoea, with great debility, aggravated by walking. - "Abundant discharge of mucus before the menses, which are delayed, scanty and pale."--G. - "Profuse, transparent leucorrhoea only in the day time."--G. - "After the menses, she is so weak in body and mind, that a little exercise prostrates her."--G. - This prostration after menstruation is a very prominent symptom. - "During menstruation, corroding urine is frequently passed day and night."--G. - "Stitches in the left side of the vulva, extending up as far as the chest, with throbbing pains in the vagina."--G. - "Bearing-down pains, as though everything would fall through the vagina."--J.S. DOUGLAS. - Hardness of the testicles, in men that have had gonorrhoea.

Chest
- "Tearing cough; every turn of cough being accompanied by involuntary emission of urine, which reduced the patient to despair." - "Pain in the back as if a hot iron were thrust through the lower vertebrae."--LIPPE. - Copious mucous expectoration. - "Rheumatic, and traumatic paralysis in gouty subjects."--Dr. LOBETHAL. - "Chronic diseases which occur in dry, thin subjects, and people."--HUGHES. Copyright 2000, Archibel S.A.

Encyclopaedia Homeopathica - Worse on alternate days; in a warm-room, and in the evening. - Better in the open air. - Has frequent relapses.

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Aloe socotrina
ALOES

Socotrine Aloes
- Through the cerebro-spinal nervous system it especially acts upon the liver, producing great portal congestion. - The muscular portion of the large intestines is especially acted upon. - From the portal congestion the generative organs of women are especially congested by aloes. - Also the skin has quite an attraction for the action of aloes.

Digestive organs
- The grand centre of aloes is chiefly centered upon the rectum. - Violent tenesmus, with stools of bloody water; great faintness during and after each stool. - "The patient has frequent calls to stool, which pass away in "gobs" either large or small, in consistence like the jelly-fish, usually dark in color, but sometimes quite colorless."--G. - Sharp pains in the bowels, with large quantities of flatus with the stool; when passing wind, often has a stool. - "Stools in consistence like jelly-cakes; a quantity of clear jelly-like substance, which may be green or white, adheres like congealed mucus."--G. - "Sense of insecurity in the bowels, as if diarrhoea might occur at any time."--HUGHES. - "Diarrhoea with want of confidence in the sphincter ani. - The rectum seems full of fluid, which feels heavy as if it would fall out."--H.N. M. - Morning diarrhoea; every summer for ten years while dressing she is seized with colic in the umbilical region; nausea, chilliness, followed by a sudden and irresistible desire for stool, can hardly get to the water closet, before a dark almost black, offensive and liquid stool passes off; usually the nausea and colic are not wholly relieved until the second stool. - Aloes 3rd cured in two days."--W.S. Searle, M.D. - Dysentery, stools frequent and extremely painful, with burning tenesmus at the extremity of the rectum.--A.E. Small, M.D. - Fistula in ano; it never has disappointed me.--Dr. BOYD. - Diarrhoea at 10 a.m. and 10 p.m. --H.N. M. - "Diarrhoea, pain, and soreness, and burning in the rectum; stools copious and watery, with much flatus; great exhaustion and faintness after stool; at 2 or 3 a.m. every morning is driven out of bed for stool." - Hemorrhoidal congestions; the hemorrhoids bleed often and profusely : protrude like grapes.

Generative organs
- "Fullness and heaviness in the region of the uterus."--G. - "Pressing down in the rectum during the catamenia."--G. - Profuse menstruation. - "Experience has shown that this drug is among the most efficient agents for exciting the uterine vessels, and directing the afflux of blood to them, and deserves to be accounted the best remedy we possess against those protracted, exhausting and obstinate hemorrhages from the uterus, which occur in females of nervous, relaxed, and phlegmatic habits, about the critical period of life."--EBERLE.

Head
- Dull, heavy headache, with congestion of the liver. - "A peculiar, heavy, dull pressing pain in the forehead, of no great severity, but which indisposes to, or even incapacitates Copyright 2000, Archibel S.A.

Encyclopaedia Homeopathica for all exertion, especially for intellectual labor."--Dr. P.P. WELLS. - "Falling out of the hair in adults."--TESTE. - Aggravated early in the morning, or in the evening, or from sedentery habits. - Ameliorated from the use of cold water, and from the discharge of flatus.

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Ambra grisea
Gray Amber
- This is a cerebro-spinal remedy, and has a special and peculiar action upon that part of the animal system that presides over the generative organs, producing a state of the motor and sensitive nervous systems similar to hysteria. - For nervous and hysterical diseases this is one of our very best remedies.

Generative organs
- Extremely nervous hysterical females, subject to nightly leucorrhoea. - "Discharge of thick, bluish-white mucus from the vagina" only at night. - "Discharge of blood between the periods, at every little accident; for instance after a very hard stool, or after a walk a little longer than usual."--G. - "Stitches in the ovarian region, when drawing in the abdomen, or pressing upon it."--G. - "Pain as from soreness and violent itching; the vulva swollen."--G. - During urination there is a burning, smarting itching, and titillation of the vulva, and urethra."--G. - Too frequent and too profuse menstruation, that exhausts the nervous energies, and produces hysteria. - Hysteria with fainting fits, with dry, spasmodic cough. - Frequent micturition of copious, pale urine. - Spasmodic choking. - "Choking and vomiting can hardly be avoided when hawking up phlegm from the fauces."--RAUE. - Great langour in the morning. - "Sleep disturbed by coldness of the body and twitching in the limbs."--G. - "Hastiness and nervous excitement when talking."--G. - Spasms of the facial muscles. - "Nervous vertigo to which old people are subject."--HUGHES. - "One-sided complaints, (perspiration, tearing numbness, sensation of coldness in the abdomen.")--LIPPE. - Especially adapted to lean people. - Symptoms worse evenings, and better in the open air. - Spasmodic cough, in elderly emaciated people, with abundant eructations accompanying the cough."--DUNHAM.

Ammonium carbonicum
Carbonate of Ammonia
- Its action is mostly spent upon the ganglionic nervous system, through this it especially affects the blood, and the secretions of the mucous membranes. - "By its specific action upon the solar plexus, it rouses into augmented activity, temporarily, the heart, stomach and lungs. - Under its influence the activity of nearly every organ in the body is for a short time increased. - Thus we have an increase of perspiration, of urine, of mucous secretions, and a temporary increase of muscular power." - It has a wonderful power to produce liquefaction of the blood, dissolving the blood corpuscules, producing hemorrhages and great exhaustion. - "This remedy is especially suited to weak and nervous persons, a lymphatic or venous temperament.

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Grand characteristics
- The moment he falls asleep he is aroused again for want of breath. - Night-mare; face pale, with perspiration. - Nose obstructed and bleeds from washing the face. - Vast hemorrhages from the bowels. - Tendency to gangrenous ulceration. - Menses composed of clots; premature and abundant. - "Diarrhoea and vomiting during menstruation."--LIPPE. - "At every menstrual period discharges blood from the bowels."--G. - "Cholera-like symptoms at the commencement of menstruation."--HELBIG. - Extreme debility during menstruation; she must lie down. - "Incessant cough, excited by a sensation as of down in the larynx, from 3 to 4 A.M. "--HUGHES. - Dyspnoea from retrocession of an eruption. - Especially suited to scurvy and spanaemic diseases. - Affects the right side of the body more than the left. - "Women who are always delicate and must have their smelling bottle continually at hand. - This medicine is particularly suited to such."--G. - Worse evenings and in wet weather.

Angustura vera
Galipoea Officinalis
- Acts through the cerebro-spinal system, more especially affecting the motor portion of the spinal cord.

Grand characteristics
- Paralytic diseases, and tetanus. - "Lock-jaw, the lips are drawn back, showing the teeth."--LIPPE. - "Spasmodic breathing, palpitation of the heart, with anguish."--LIPPE. - Intermittents, chill every day at 3 P.M.

Antimonium crudum
Antimony
- Through the filaments of the pneumogastric nerves, it especially acts upon all the mucous membranes the vagi are distributed to. - Its action upon the mucous membranes hardly ever goes on to inflammation, but the mucous membranes become loaded with mucus, producing slow digestion, fermentation, & c. - Also acts upon the skin.

Grand characteristics Digestive organs


- Thick milky white coating on the tongue; this is the sure key to indicate Antimonium. - "The mucous membranes are loaded with mucus, with slow digestion; fermentation of food, with nausea and Copyright 2000, Archibel S.A.

Encyclopaedia Homeopathica vomiting."--HUGHES. - Stomach out of order; belching with the taste of food, nausea and hard stool.--H. - "Decayed teeth ache worse at night, cannot bear to be touched with the tongue."--H. - "Sore cracked and crusty nostrils, and corners of the mouth."--H. - Sensation as if a copious stool was going to take place when only flatus comes forth; finally a hard stool is voided."--G. - "Stools often liquid, containing portions of solid matter."--H. - Diarrhoea and vomiting, with white coated tongue. - Diarrhoea, with hard lumps mixed with the discharge."--G. - Diarrhoea at night with great thirst for cold water.

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Generative organs
- Tenderness over the ovarian region, with nausea, vomiting and white tongue."--H. - "Distinct pressure in the womb, as if something would come out with hemorrhage."--G.

Chest
- Cough from irritation in the abdomen. - Looking in the fire or hot sun increases the cough.

Skin
- "Corns or callosities in the soles of the feet."--H. - "Crushed finger-nails grow in splits, and like warts, and with horny spots."--H. - "Complaints after bathing, particularly in cold water."--H. - "In aged people, inflammation of the skin, corns, horny excrescences, fistulous ulcers; fungus articularis; obesity, excessive hemorrhages and dropsical effusions."--LIPPE.

Mental symptoms
- "Sentimental mood in the moonlight, particularly ecstatic love."--H. - "The greatest sadness and woful mood, in intermittents."--H. - Child cannot bear to be touched or looked at."--H. - "Excessive grief, great emaciation, lowness of spirits, faintness; constant vomiting after eating let it be ever so little, with intense gastralgia."--Dr. DUVOS. - Aversion to washing; which aggravates his symptoms. - Aggravated in the evening; from getting heated, and from acids.

Antimonium tartaricum
Tartar Emetic
- This remedy we are compelled to place in the cerebro-spinal group, but its more proper place, would be to put it in a class heading the pneumogastric group. - Its great centre of action being upon all those organs under the control of the vagi, that is, the mucous membrane of the stomach, lungs and liver. - Also affects the base of the brain, skin and blood. - The action upon the pneumogastric nerve causing vomiting according to Hughes is sympathetic or nervous, not gastric. - "The emetic influence of Tartar emetic appears to be purely neurotic in its modus operandi. - The numerous muscular movements, whose harmonious play produces the complex act called vomiting, are under the control of the nervous centres at the base of the brain, and in the medulla oblongata, and are especially affected through the medium of the pneumogastric nerves. Copyright 2000, Archibel S.A.

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- That Tartar emetic acts directly on these centres and through these nerves is shown positively by the fact that it causes vomiting, when injected into the veins, or rectum, or rubbed into the skin, as well as when introduced into the stomach, and in the latter mode of administration is emetic in doses too small to irritate the mucous membrane; negatively by the experiment of dividing the vagi on both sides, when neither Antimony nor any other remedy will act."

Mucous membranes
- It produces a pustular inflammation in the mouth, throat, oesophagus, stomach, and small intestines. - Upon the respiratory mucous membrane the inflammation is of a catarrhal character, though pustules have been seen in the larynx. - "The nares escape untouched, but the inflammation beginning in the larynx becomes intense in the trachea and bronchi. - In the lungs the pneumonia induced never goes beyond the second stage (i.e. that of red hepatization); that it is always accompanied by bronchitis, and that the inflammation of the bronchial tubes is observed in cases where the animals die before the pneumonia has time to be developed."--HUGHES.

Skin
- The action upon the skin would indicate that this remedy has the power, so to say, of reaching over the cerebro-spinal system, and acting upon the ganglionic nerves, as shown by the pustulation of the skin, which so closely resembles that of variola. - Also the blood would indicate this by its liquefaction.

Grand characteristics Respiratory organs


- Large collections of mucus in the bronchial tubes; expectorated with great difficulty; indicating approaching paralysis of the pneumogastric nerve. - "When the patient coughs, there appears a large collection of mucus in the bronchial tubes, and it seems as if much would be expectorated, but nothing comes up."--G. - In broncho-pneumonia, second stage, with bronchi loaded with mucus, it is specific. - "Rattling or hollow cough; worse at night, with suffocation, throat full of phlegm, sweat on forehead, vomiting of food."--H. - "Coughing and gaping constantly, particularly children, when crying or dozing, and twitching in the face."--H. - "Paralysis of the lungs, with great dyspnoea and fits of suffocation. - "Cough when we have partial paralysis of the pneumogastric nerve; short, hoarse, weak, nearly suffocating breathing, with whistling noise; thorax expands with great difficulty; head thrown backwards, with great anxiety and prostration; face livid and cold; forehead and sometimes the whole body covered with cold perspiration; pulse feeble and accelerated." - Acute oedema of the lungs. - "Upon the respiratory mucous membrane the influence of Tartar emetic is almost purely catarrhal, although pustules are said to have been found in the larynx."--HUGHES. - "The nares escape untouched, the inflammation beginning in the larynx becomes intense in the trachea and bronchi."--HUGHES.

Digestive organs
- Pustular and catarrhal inflammation of the mucous membranes. - "The pustular inflammation occurs in the oesophagus, mouth, throat, larynx, stomach and small intestines."--HUGHES. - "Much nausea and vomiting day and night with drowsiness."--G. - Vomiting of large quantities of mucus. - "Tongue coated thinly, white, with reddened papillae, red edges, particularly with whooping-cough."--H. - Red in streaks. Copyright 2000, Archibel S.A.

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- "Colliquative diarrhoea, with meteorism."--G. - "Very great thirst day and night." - "He could lie on his right side only, any change from this position was sure to produce vomiting."--J.H. WOODBURY, M.D. - Variola, with vomiting of viscid mucus clogging the air passages; pustules in the larynx, mouth, throat and digestive organs.

Urinary organs
- Painful, urging to urinate; scanty discharge, dark red, or the least bloody, with stitches in the bladder, and burning in the urethra.

Head
- The head trembles, particularly when coughing with an inward trembling; teeth chattering, and drowsiness, more in the evening and in warmth."--H. - "Vertigo with drowsiness."--H. - "Beating and throbbing through the whole body, particularly in the belly or pit of the stomach, with great concern about the future."--RAUE.

Skin
- Ecthymatous eruption."--E. WILSON, M.D. - "The breast and interior surface of the arms, wrists, hypogastrium and inner surface of the thighs were thickly covered with an eruption of bright red, small conical distinct hard pimples, having an inflamed base, resembling lichen, itching intolerably."--J.H. WOODBURY, M.D. - "The child wants to be carried, and cries if any one touches it."-LIPPE. - Desire for acids. - Tartar emetic is of great service in variola.

Apis mellifica
Poison of the Honey Bee
- Through the ganglionic nervous system, it especially acts upon the mucous tissues of the tongue, fauces, throat, and neck of the bladder; also slightly upon the mucous tissues of the eyes, lungs and kidneys. - It especially produces acute oedema of the ovaries and tonsils. - On the serous tissues it produces an inflammation which disposes to dropsical effusions. - Upon the skin, it causes an affection similar to urticaria. - It especially produces an acute oedema of the cellular tissue; this is the most prominent symptom in the pathogenesis of Apis.

Grand characteristics
- Particularly adapted to diseases that are located upon the left side of the neck and fauces. - Scanty secretion of urine is one of its greatest characteristics. - Another prominent characteristic is a sensation like the sting of a bee accompanied with burning.

Head
- Very tired feeling of the brain. - Child lies in a torpor; delirium; sudden shrilling cries, squinting, grinding teeth; boring head in pillows; one half of the body twitching, the other lame; head wet from sweating; urine scanty."--H. - "Very busy; restless; changing the kind of work, with awkwardness; breaking things." Copyright 2000, Archibel S.A.

Encyclopaedia Homeopathica - Much yawning and uneasiness."--RAUE.

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Eyes
- OEdematous swelling of the eyelids with stinging and burning pains; lids turned inside out, with granulations on their edges; cornea especially involved; falling out of the eye-lashes. - "Styes, particularly on the left eyelid."--G. - "Inflammation of the cornea."--G.

Digestive organs
- Buccal cavity red and swollen, with burning pains, like a bee sting. - "Red and highly inflamed tonsils; dryness of the mouth and throat, with stinging burning pain when swallowing."--G. - "Could bear nothing to touch his neck; could hardly breathe from suffocation."--Dr. C.W. BOYCE. - "Diphtheria, with great debility at the beginning; the pseudo-membrane assumes at once a dirty grayish color; puffiness around the eyes; numbness of the feet and hands."--RAUE. - "Great thirst, drinks little but often."--G. - "Great soreness when touched in pit of stomach, under the ribs in abdomen."--H. - "Plunging pain in the abdomen; pains like a bee sting in peritonitis, with great prostration; rapid pulse and fever."--G. - "Sensation in the abdomen as if something tight would break, if too much effort was made to void a constipated stool."--G. - "Diarrhoea every morning; stools greenish yellow."--H. - "Greenish, yellowish, slimy mucus; or yellow watery diarrhoea; worse in the morning."--J.B. BELL. - One of the best remedies for morning diarrhoea.

Copyright 2000, Archibel S.A.

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