Anthracinum

The alcoholic extract of the anthrax poison prepared from the spleen of cattle befallen with the disease. A nosode rejected by the Old School, and by a majority of the New, in spite of its being a remedy which bears out our theory, and one which has proved of the utmost use in practice. It has not yet been proved, but the frequent use made of it by some of our best practitioners justifies its reception. The first preparation was made ac- cording to C.

Hg's propositions (laid down in Stapf's Archives, 1830), by Dr. G. A. "Weber, and applied with the most astonishing success in the cattle plague.

He cured every case with it, and also men poisoned by the contagium. His report, a small treatise of 114 pages, was published in 1836, by Reclam, Leipzig. No notice was taken of it. Only the talented Dr.

P. Dufresne, the founder of the Bibliotheque Homoeopathique, of Ge- neva (see eulogium by Grieselich, in Hygea, VI., p. 351, 352), used it and prevented the further murderous spread of the disease, in a flock of sheep (among which it is always more fatal than among other domestic animals), and cured the shepherds as well (Biblioth. Homoeop. de Geneve, Jan. and Feb., 1837).

The discovery of the bacteria and their incredibly rapid propagation, seemed to be of much more importance than the cure of cattle, and the loss of millions of dollars by this disease. In 1842 France sustained a loss of over seven millions of francs, and every year a small district of Germany has a loss of sixty thousand thalers, from the cattle plague ; in Siberia, in 1785, 100,000 horses died with it ; in 1800, one small district lost 27,000 horses. Radiate heat, proposed scores of years ago, for other zymotic diseases, by C.

Hg, was discovered, in a very ingenious way, by Pasteur, to prevent the increase of bacteria. Now the heat (as it has done in hydrophobia), and the nosode may suffice to cure every case.

Doctor Kasemann had moral courage enough to introduce anthracine in gangrene and sphacelus, in 1853, and Doctor Raiie has given it in carbuncles, since 1858. See his Pathology and Diagnosis, and in gangrenic whitlow, see Journal of Clinics, 4, 142.

All symptoms produced by the poison on men are inserted, because the symptoms from the snake-bite and from the bee-sting have been proved to be useful in numerous cases ; they are marked 1 1.

ANTHRACINUM. 300

^ Mind. I I Anxiety, particularly in prsecordia. I I Delirium. ^ With the fever. I I Excitement, d With the fever. I I Loss of consciousness. I I Depression, with debility, and chill. I I Thinks she feels death approaching.

Animals howl, bite, run about, become greatly excited; followed by paralytic symptoms.

■ Disinclined to work, d Cynanche cellularis.

^ Sensorium. Dullness in head as from narcotics. I I Confusion, d With the fever.

■ Dizziness.

I i Dizziness with pain in head.

Loss of consciousness. ^ Inner Head. llHeadache, as if a smoke with a heating pain, was passing through the head (fumde de douleur chaude) ; two shepherds who caught it from their flock. 6 Anthrax- carbuncle.

I Head is affected in an indescribable manner. ^Poisoning by a foul breath.

I I Uncomfortable feeling in head, slight chills, mild fever.

1 I If fully conscious they complain of great pain in head.

I I Pain in head, dizziness ; inner anthrax.

I I Here and there in all parts of brain small and large hemor- rhages of embolic origin ; after death from anthrax.

I I Membranes of brain exhibit circumscribed or symmetrically extended bloody infiltrations.

I I Headache with chill. '

Cerebral symptoms with carbuncle.

* Outer Head. Flying gangrene.

Small swellings on temples and cheeks, extending through the

orbital sutures and foramina to the dura and pia mater. Carbuncles mostly on head, near the ears or temples.

■ Flying gangrene, head swollen, (in swine).

■ Swelling of the head, (sheep).

^ Sight and Eyes. ' l Great dilatation of pupils ; inner anthrax. I I A pale yellowish or greenish swelling, if in the eyelids, of a

half-translucent aspect. I A pale redness above the brows along the forehead.

* Hearing and Ears. I l Ringing in ears ; inner anthrax.

• Parotitis gangrenosa, after scarlatina.

■ Swelling extending backward over the angle of the r. lower

jaw, which could not be felt, and up to near the ear. d Cy- nanche cellularis. ^ Smell and Nose. Nose swollen and red, fetid smell from it. I I Bloody suffusions on mucous membrane of nose.

■ Intense, redness of the r. half of nose, extending to the cheek.

d Poisoning from foul breath.

301 ANTHRACINUM.

^ Face. I Erysipelatous, dark brown redness and swelling over the whole right side of face, the nose and part of 1. cheek ; swelling very hard, redness does not disappear under the pressure of finger, d Poisoning by foul breath.

B Extending to cheek, redness from nose. ^ Lower Part of Face. B Could not move the lower jaw as usual. d Cynanche cellularis.

B Could open the mouth only so far as to put the point of the tongue out. d Cynanche cellularis.

B Impossible to open the jaws in the least, d Cynanche cellu- laris.

B Tearing in the right lower jaw.

'BBeginning of swelling was the region of the r. submaxillary gland. 6 Cynanche cellularis.

BA stony swelling around the r. low^er maxilla, the inner space of the mandibula filling up to half, reaches to nearly half the cheek, and disfiguring the face, extending backwards over the angle of the lower jaw, very little pain, not red, but sharply defined edges, d Cynanche cellularis.

B Swelling extending from the inner edge of the left lower jaw across the whole throat, in front and over the edge of the r. lower jaw, and au niveau with the upper surface of the r. lower molars, d Cynanche cellularis.

BA large, stony hard, pale swelling around the r. lower jaw, nearly painless, disfiguring the face, d Cynanche cellularis.

B Gland under the chin painfully swollen, d Poisoning by a

foul breath.

^^ Teeth and Gums. BOn making an incision near second molar

a mass of stinking, brown ichor is discharged. 6 Cynanche

cellularis.

^^ Taste, Tongue. BFlabby taste. ^Poisoning by foul breath.

I I Tongue often furred with a thick brown coat ; dry. '^ Inner Mouth. B Offensive odor from the mouth. ^Cynanche cellularis.

B Mouth could not be opened, d Cynanche cellularis.

B Saliva increased. 6 Cynanche cellularis.

I 1 Continued bleeding from the mouth ; the blood shows a lack of power to coagulate ; with inner anthrax.

I I Dark red, bloody ecchymoses in mouth.

I I Bloody suff"usions and hemorrhagic collections on the mucous membranes of canthi of mouth and nose ; inner anthrax.

B Fundus of mouth is elevated by the swelling, as hard as a cal- lus, extending back to the parotis, and reaching up to the external surface of the lower jaw. 6 Cynanche cellularis.

I I Superficially escharred pustules in mouth after death. ^^ Fauces and Throat. I ' The submucous tissue, especially in fauces and around the larynx is thickened and oedematous.

ANTHRACINUM. 302

I Region of the throat above the larynx to the mouth swollen. d Cynanche eellularis.

Submaxillary, laryngeal, and retro-pharyngeal glands are infil- trated, hypergemic, filled Avith hemorrhagic foci, colored of a grayish or dark blackish-red, and considerably enlarged.

(Right tonsil hurts. ^Carbuncle. ^Erysipelas.

Anthrax-quinsy.

I Cynanche eellularis; a sharply-marked margin about the swellings. See 9.

I I Slight difficulty in swallowing ; inner anthrax.

■ Swallowing exceedingly difficult. ^Cynanche eellularis. I Could not swallow, with great thirst.

'* Appetite, Thirst. Diminished appetite, with heat. I I Loss of appetite, with chills.

I I Loss of appetite and gastralgia ; inner anthrax.

I I Loss of appetite. ^ Cynanche eellularis. Thirst with heat. See 40.

lExcessive thirst, but can hardly swallow. 6 Cynanche eellu- laris. ^^ Eating and Drinking. ■ Symptoms from putrid water. ^® Belching, Nausea and Vomiting, i Belching, nausea, and

inclination to vomit.

I I Nausea and vomiting with chill.

Vomiting of bilious and slimy masses.

I I Vomiting followed by diarrhoea. ■

Nausea and vomiting following great pain in the abdomen. ^^ Stomach. I Pressure and burning in the region of the stomach.

I I Gastralgia. See 14.

I I Walls of stomach and intestine oedematous, discolored, a cloudy red.

I I Mucous membrane of stomach and intestines reddish, swollen, with isolated o.r numerous oedematous, hemorrhagic promi- nent infiltrations, from size of a lentil to that of a coffee bean, showing a grayish or greenish-yellow discolored surface, with a positively sloughing centre.

I I Numerous peculiar hemorrhagic and superficially eschared infiltrations of stomach and intestines ; intestinal anthrax. '* Hypochondria. I Sensation as if the diaphragm was pushed forward. 6 Poisoning by foul breath, d Erysipelas.

■ Sensation of anxiety and constriction, most in the prsscordia,

liver engorged, slight hemorrhage here and there, spleen moderately enlarged, soft, full of blood, dark color.

I I Enlargement of spleen.

The spleen, the main seat of the anthrax in animals, is rarely

cured in men (Old School). HEpidemic spleen disease of cattle or horses, j In alternation with Arsen.

I I The same disease in sheep. Anthracinum suum, is better

303 ANTHRACINUM.

than Anthracinum ovium in the acute form, but in the chronic form Anthracinum ovium is better. ^^ Abdomen. Sudden prostration with great abdominal soreness, mostly in the epigastrium with vomiting, cold limbs, dull head.

I I Bellyache with chill.

I I Colicky pains ; inner anthrax.

I A horse fell down with colic, no motion except now and then bending the head towards the abdomen.

I I Mycosis intestinalis ; intestinal anthrax.

I I In the intestines a thinly fluid material, slightly colored with blood.

I I The retro-peritoneal and mesenteric connective tissue infil- trated, jelly-like, and of a yellowish-reddish color.

I I Moderate serous or sero-hemorrhagic effusion and sub-perito- neal suggilations.

I I Simple hemorrhages infarctions and foci on difi"erent parts of intestines.

I I Serous and sero-hemorrhagic infiltrations of the peritoneal and mesenteric connective tissue, walls of stomach and in- testine, and of the mucous membranes.

I I Mesenteric and retro-peritoneal glands enlarged to the size of a walnut ; form blackish-red masses, held together by a jelly-like congestive tissue, infiltrated with serum.

Dark red carbuncle in the omentum.

I I Peculiar pustular and carbuncular foci in the intestinal tract.

I I Swelling of the abdomen ; inner anthrax. ^^ Rectum and Stool. Vomiting, followed by a painless, often bloody, diarrhoea.

Diarrhoea with bellyache.

I I Diarrhoea. 6 With the fever.

I I Vomiting followed by a painless, moderate, more or less in- tense, often bloody diarrhoea ; inner anthrax.

I I With the diarrhoea sometimes a cholera-like collapse ; inner anthrax.

Retarded stool. ^^ Urinary Organs. Kidneys swollen, with oedema, sprinkled with small hemorrhages, engorged ; suggilations in mucous membranes of the pelvis. ^^ Respiration. I l Breathing frequent, laborious ; quick, spas- modic ; inner anthrax. ^^ Lungs. Pulmonary hypersemia, ecchymoses.

I I Slight serous effusions into pleural cavities.

I I Sub-pleural ecchymoses with vascular engorgement, and a dark coloring of the parenchyma.

I I CEdema of the mediastinal lymphatic glands. ^^ Heart, Pulse and Circulation. Heart-beat frequent but weak.

ANTHRACINUM. 304

I Her heart beats altogether different. ^Poison by a foul

breath. I I The beating of the heart stronger, more decided and more

perceptible. iPulse frequent, small, with violent action of the heart ; —

soft; — B small and feverish. ^ Cynanche cellularis.

■ Soft, scarcely frequent pulse. ^Poisoning by a foul breath. 1 I Discolored lines over the veins, or red lines and stripes in

the course of the lymphatics. I I Cyanosis ; inner anthrax. I I Blood of a dark cherry red, generally fluid or with some

loose clots. I I Blood not coagulating. ^^ Neck and Back. Axillary glands swollen and painful.

6 Erysipelas.

I Swelling in the neck size of hazelnut, burning and fiery red ;

is pointed and hard, d Carbuncle on neck. See 46.

I I Carbuncle on the back, nine inches in length and five inches in its greatest width ; with sloughing, abundant discharge of ichorous, terrible smelling pus, and blood-poisoning by absorption of pus. d Pyemia.

\ Hydrorhachitis (Grubbe, Kreuzdrehe), a disease of sheep. ^^ Upper Limbs. ' l Tetanic spasms of upper limbs ; inner anthrax.

■ Arms and hands covered with a crusty eruption, full of

cracks, discharging pus and an acrid fluid, with painful, un- bearable itching ; checked for a while by the Old School, it had burst out again with terrible fury. After Anthracine, the crusts peeled off and were flying about like snow.

I The whole left hand (not the fingers) swollen, highly red-

dened, very painful ; the redness extended over the whole hand and even the wrist, and a red streak ran up the fore- arm, d Inflammation of hand.

■ On the middle of the palm of the hand a large blister, which,

when opened, discharged a yellow watery fluid.

I I Felon, the worst cases, with sloughing. I Whitlow.

^^ Lower Limbs. I Thighs livid to the nates, hard and painful ; lower legs dark blue, feet oedematous ; when the blisters break they discharge an offensive ichor, d Traumatic gangrene.

I The whole thigh was swollen, most above the knee, and also the foot. 6 After a fracture of tibia.

I Livid redness on lower part of the whole thigh, up to the buttocks, hard and painful. 6 After a fracture of tibia.

I Above the knee, redness, swelling and pain, and later a large black blister on inside of thigh, extending four inches up- ward and inward ; after being lanced bloody water ran out. d Fracture of tibia.

305 ANTHRACINUM.

I On outside of knee a large fluctuating swelling, by pressure discharging a horribly smelling gangrenous ichor, d After fracture of tibia.

■ From the openings on lower leg, caused by the fracture, a

copious stinking pus (like from carious bones), d Traumatic

gangrene. I Bluish-brown spots, which break open. I The whole lower limb blackish-blue; the region of the blister

( foolishly lanced ) mortified, discharging much stinking

ichor. 6 After a fracture of tibia.

■ Ulcers size of a hand on lower limbs; no antipsoric had re-

lieved. Anthrac.^'^ helped very soon. Carious ulcei"s.

I Foot oedematous. ^Fracture of tibia. ^^ Limbs in General. Discolored lines trace out the veins over

the oedematous part. I I Severe pains in limbs and joints with the fever; intestinal

anthrax. Limbs as if beaten. Limbs weak. 36 Jferyes, i i Great restlessness. Paroxysms of trembling.

Single muscles start or tremble. ~

I I Epileptiform convulsions; inner anthrax. I I Clonic spasms, trismus or opisthotonos ; sometimes in

serious cases. Clonic spasms.

I I Tetanic spasms in upper limbs. I I Opisthotonos ; inner anthrax. Debility and depression, with pain in the limbs. I I Debility, with chill. I I Great weakness, with the fever. I I Debility and depression, with pains in limbs and general

sense of malaise, followed by disturbance of intestinal canal ;

inner anthrax. Debility and sweat all over, d Carbuncle.

■ Completely exhausted, she thinks she feels death. ^Poison-

ing by foul breath, d Carbuncle.

I I Cholera-like collapse after diarrhoea.

Collapse, with difficulty of breathing; loss of consciousness; death.

I I Sudden fatal issue, preceded by extreme collapse.

I I With cyanosis, asphyxia and the most extreme collapse, fol- lowed by death in all cases of bleeding.

I I Marked rigor mortis after death. ^^ Sleep. I I Somnolence ; inner anthrax.

Could not sleep for pain, d Inflammation of hand.

■ Sleeplessness, d Cynanche cellularis.

ANTHRACINUM. 306

Restless sleep.

I Restless, irritated at night.

I I Restless sleep, with chill.

Delirium, sopor, then death.

B Sleep short, not refreshing, more like a stupor. ^Poisoning by a foul breath.

^Sleep short, unrefreshing. 6 Erysipelas, ^^ Temperature and Weather. July, August and September

furnish the greatest contingent. ^^ Fever. I ' Chilly, with debility, headache, followed by a general malaise, loss of appetite, restless sleep, great debility and depression, and in eight or ten days carbuncles, most on arm, forearm, head, d Anthrax from eating the meat of diseased animals.

1 I Decided chill, followed by bellyache, nausea, vomiting and in two or three days with the supervention of collapse and cyanosis ; death, d Anthrax after eating diseased meat.

I I Slight chills with fever and strange sensation in head.

With great prostration, chilliness, pains in the limbs, increase of fever and weakness, anxiety, restlessness, vertigo, deli- rium, dull head ; stool retarded, urine scanty ; skin dry, later covered with cold sweat.

I 1 Temperature very slightly elevated ; inner anthrax.

I I Febrile movement, slight in the beginning, is often followed apace by high fever ; great weakness, delirium, excitement, confusion.

BModerate heat, little thirst, general sweat. See 8. ^Poison- ing by foul breath.

BVery much fever. 6 Cynanche cellularis.

I Heat, thirst, less appetite, suffering and fatigued. ^Inflam- mation of hand.

I Fever with diarrhoea.

Fever attended by sweating.

I I Sweat all over with debility.

■ Disposed to sweat; rather sticky. ^ Cynanche cellularis.

■ Copious sweat. ^ Cynanche cellularis. ^Carbuncle. I I Cold sweats, in serious cases.

Typhoid type, with rapidly sinking pulse, loss of strength, fainting, delirium. ^^ Attacks. Attacks : of trembling ; of headache with chills and coldness of the head. Course in one case irregularly intermittent ; inner anthrax. Paralytic symptoms intermit. ^"^ Locality and Direction. I Right side of nose: redness.

■ Right side of face : redness.

■ On the r. lower-jaw : softness, fluctuating.

■ Right tonsil hurts.

■ Left hand swollen and red.

307 ANTIIRACINUM.

From right to left : dark brown redness in face. See 8.

B Sensation as if the back part of diaphragm was pushed for- ward. 6 Erysipelas. ^* Sensations. ' l Pricking pain like that of the bite of a fly.

■ Swelling sometimes very painful, as if the skin was touched by nettles, more in day-time, d Carbuncle on neck.

I I Slight burning and itching, as from the bite of an insect, on

the spot having come in contact.

I I Terrible burning. ^Paronychia. ^Carbuncle. See 48. ^* Tissues. Blood black, thick, like tar, decomposing rapidly.

Injection and ecchymosis, on motor organs of deglutition.

Hemorrhao-ic exudations.

Blood oozes from mouth, nose, anus or sexual parts.

I I Hemorrhages in different parts of body.

I I Diffuse phlegmon ; inner anthrax.

Surrounding tissue infiltrated with coludy serum and small hemorrhages.

BRed lines, streaks and stripes mark out the course of the lymphatics.

I 1 Glands in throat and under maxilla indurated.

B Gland painfully swollen under the chin. See 9.

I I Hemorrhagic infiltration of mesenteric and other lymphatic glands.

Lymphatic glands hard, swollen, dark-red, infiltrated with a bloody serum.

The lymphatic vessels and glands swell, get hardened and if cut across, are very red, harder or softer, always infiltrated with a hemorrhagic or bloody serous matter.

Lymphatic glands swollen, dark-red, brittle or softened as if filled with extravasations.

I I Corresponding lymphatic glands swell.

I I Mediastinal lymphatic glands oedematous.

I I Most mucous membranes are injected and reddened.

BB Induration of the cellular tissue.

I I OEdema and infiltration of cellular tissue spread rapidly ; skin on the parts hard or doughy, sometimes also oedema- tous, reddened, cool or hot.

I I The tissues near the pustule become indurated very quickly, and this oedematous swelling rapidly spreads over a con- siderable area, the entire arm, half the neck, occasioning lively pain and a feeling of heaviness in the affected limbs.

Q^jdema of the affected parts, more or less reddened, sometimes cool, sometimes hot.

B (Edema of the affected parts; with anthrax or gangrene ; collapse.

I I Edematous and phlegmonous swellings show the changes of cloudy oedema, often striped and flecked with blood.

ANTHRACINUM. 308

(Edema spreads, with a gangrenous process, rapidly over the whole limb.

I I (Edema, with a superadded gangrenous process, spreads rapidly over the whole limb, collapse quickly comes on with difficulty in breathing, loss of consciousness and death. ^After eating diseased meat.

I I Erysipeloid anthrax-oedema.

I I Transudations into the serous cavities.

I i Contents of a regular pustule are neutral or alkaline, some- times blackening the metals.

■ Abundant ichorous, offensive pus.

■ Abundant discharge of ichorous, terribly smelling pus.

d Carbuncle.

■ Gangrenous ichor of horrible smell.

■ Stinking pus from wound on leg. See 33.

■ Penetrating, stinking, thin ichor from a lanced swelling. I I Gangrene, with inner anthrax.

In some cases the gangrene is extending, and violent febrile

symptoms may follow. I I From the tough infiltration, which is hemorrhagic and often

sloughed in the centre, blackish-red hemorrhagic bands go

off into the underlying adipose tissue and they send into

it numerous branches. The knot gets sphacelous while it is drying up on the surface,

the decomposition is quicker, deeper in and becomes an

emphysematous gangrene. I I Gangrenous destruction.

■ ■Sloughing on carbuncles; on paronychia.

■ Gangrene and sphacelus, d After a fracture of tibia.

■ Gangrenous ulcers (sheep).

■ Absorption o!:" pus into the blood. ^ Pyseraia. ^Gangrenous

carbuncles. Septic infection from absorption of deleterious substances. I I Septicasmia with the gangrene and with the sloughing. ^° Touch. Passive Motion. ■Dark-bro'A'n redness in face, does not disappear under pressure.

■ From the two small wounds, much pus of a bad odor on the

twelfth day. d After a fracture of tibia.

■ Reddish ichor discharges from the small wounds. ^ After a

fracture of tibia.

■ After suspicious stings, if the swelling changes color.

■ Cuts show outwardly a dark hemorrhagic mass, deeper in bright

red, and at the bottom a yellowish mass.

■ Gangrene from inoculating sheep.

■ After dissection wounds become gangrenous. *^ Skin. ■Dark-red spots (sheep).

I lEcchymoses. Cyanosis.

^^^ ANTHRACINUM.

Skin of the affected part either hard or doughy.

I Skin dry, itching violently and burning.

I Unbearable itching on arms and hands.

I Itching with dry skin; violent as if mad (horses).

I Crusty oozing eruption, with the most violent itchinc^. See 32, 33. "=

I Crusty eruption discharging acrid fluid.

A small red spot, sometimes with a blackish point in the mid- dle, gradually becoming more sensitive, has to scratch, it reddens more and more, swells and forms a small pustule or blotch.

I I A little red speck, like a flea-bite, with a central black point, swells gradually and changes into an itching papule, capped with a small, clear, reddish or bluish vesicle, gradually enlarging.

I I The excoriated spot dries up, becomes brown and livid and a local eschar forms.

I I By inflammatory swelling of the surrounding skin a red or violet raised border is formed, around it a bluish or pale yellow ring, upon which little vesicles, size of a hemp seed, appear surrounding the central eschar.

I I With an increase of the round, thick eschar, one-fourth to

three-fourths of an inch, the raised border also extends. Excoriated surface dries and mummifies, but new blisters form all around.

I I Small and large epidermal vesicles filled with serum.

■ Blister on palm of hand.

I I The secondary vesicles contain a yellowish, reddish and

blackish fluid. I I Over the pustule a blister, size of a lentil, with a clear,

bright yellowish, later a reddish or bluish fluid. I Black or blue blisters, d Pustula maligna. I I Black blisters, fatal in twenty-four to forty-eight hours.

■ Large black blister on inside of thigh.

I I In case of more than one detritus, the whole is swollen like erysipelas, and when cut it looks like the Vespajas of the Italian dermatologists.

■ Erysipelatous inflammation about the carbuncle.

■ Erysipelas gangrenosa.

■ Erysipelatous form of chronic anthrax.

■ Small-pox of sheep.

Umbilicated pustules, yellow or bluish around, with the de- pression of a dark red hue, and hemorrhagic foundation. 6 Pustula depressa.

If scraped off soon the excoriated spot dries, turns brown and livid and leaves a scar.

I I The dense or doughy soft papules or pustules, around and beneath the eschar, vary in size from a pea to a nut.

ANTHRACINUM. 310

I I The papule promptly bursts and discloses a dark red base. Sometimes blisters looking more like furuncles ; a pus-like

collection under the epidermis, which loosens and discloses

decomposed matter. I I Papules and pustules, with extensive oedematous and

phlegmonous infiltration of the neighboring skin and sub- cutaneous tissue. I I The anthrax pustule penetrates deeply into the subcutaneous

cellular tissue. I I Anthrax pustules most on face, forearms, hands, fingers,

neck, less often the ear, still less frequent the covered parts. Anthrax carbuncles, with typhoid symptoms. I I Little carbuncles; inner anthrax. I Carbuncle.* I I Carbuncle darkish rod, greasy, and is often more eroded

than ulcerated. Circumscribed carbuncle, hard large knots. Difi"use, erysipelatous carbuncle.

I I Carbuncle on arm, forearm, head. See chill.

I I Carbuncle with horrible burning pains; or discharge of ichorous offensive pus. See 31.

IB Anthrax carbuncles cured by Anthracine^^, every day, also

externally, in 4 days. Anthrax contagiosus.

■ Seventh day after the remedy several larger and smaller

openings, discharging watery, sometimes bloody matter, very

little pus ; swelling less hard around the base. 6 Carbuncle.

v lAll openings run into one, discharge much pus. d Carbuncle.

■ After having taken homoeopathic medicine for malignant

ulcers, suddenly the greatest malaise, and a black blister formed below the knee with swelling all around, and feverish shaking chill through the whole body.

■ Ulcus excedens (sheep).

■ Most malignant gangrenous ulcers (sheep).

■ Chronic forms of anthrax with indurations like knots under

the skin. I I Large cutaneous eschars. ^^ Stages of Life, Constitution. Girl, set. If. d Carbuncle. A girl not quite 2 years old. 6 Inflammation of hand. Girl, set. 35, subject to blood-spitting, tuberculous. Anthrac.^

three doses daily. 6 Cynanche cellularis. A robust country girl, set. 21, had suff'ered up to her 7th year

with tetters, has had for 2 years a crusty eruption.

* To call a carbuncle a surgical case is the greatest absurdity. An in- cision is always injurious and often the cause of death. Never a case has been lost under the right kind of treatment, and carbuncle should always be treated by internal medicine only.

311 ■ ANTHRACINUM.

A strong man, set. 22, fell from a wagon and a very heavy stone fell on his leg, causing a compound fracture with two small open wounds.

Man, set. 35, liver complaint after drawing tearing pains in decayed teeth, Staphis. 6 Cynanche cellularis.

A weakly hysteric woman, get. 43, after great fatigue and mental suffering. Bedridden since years, after losing two children with putrid diseases. ^Poisoning by foul breath.

A man, aet. 43, strong, corpulent, phlegmatic temperament. 6 Carbuncle.

A strong, well-developed man, set. 43, of a phlegmatic tem- perament, d Carbuncle on neck.

A strong man, set. 60, had from his youth brown-bluish spots on lower limbs, which now broke open and formed ulcers. ^® Relationship. Antidotes : in poisoning from anthrax of animals, Camphor; Arsen.; Cinehon.; Rhus tox ; Silic; Laches; Carb. veg. ; Pulsat. ; Kreosot. ; Carbolic, ac; Salycil. ac. ; Apis.

1 1 Give Anthrac. after Arsen. fails to relieve the burning and ulceration.

Useful where Arsen. had no beneficial effect in carbuncles and other complaints with burning and sloughing.

Often useful when A^'sen. seems indicated and fails to relieve.

Two days after Acon.^^ for the fever : Anthrac.^^ for the itch- ing crusty eruption.

After Phosph. ac. in a poisoning by inhaling the foul breath of a child dying with putrid fever.

Anthrac. 0,8, three gtt. in 12 teaspoonsful of water at first in alternation with Phosph. ac. 0,3, two gtt. in 12 teaspoonfuls of water. d Poisoning by foul breath.

Silic. followed well after Anthrac. 6 Fracture of tibia.

xlfter Anthrac: Aur. mur. natr. (for a remaining peri- osteal swelling on the lower-jaw) ; Silic. (cellulitis).

Anthrac. bovum ; from gangrenous spleen of cattle.

Anthrac. swum ; from the bloody saliva of raving swine.

ANTHEOKOKALI. 312