Sleep
Hempel - Materia Medica and Therapeutics · Charles Julius Hempel · 182,170 chars
General
Aconite causes a restless sleep which is moreover disturbed by dreams of an anxious or terror-inspiring nature. The prover talks a good deal in his dreams and is in constant motion during his sleep. Anxious dreams, with oppression of breathing, as if he had the night-mare ; he wakes with a start as if frightened. Constant drowsiness, even in the day-time.
Some of these symptoms occur during the course of an ordinary fever to which aconite is homoeopathic. One of them shows that aconite may prove curative in
NIGHT-MARE, if persons are habitually subject to it.
HABITUAL DROWSINESS may depend upon a certain torpor of the cerebral nerves, or upon deficient action of the liver. Our provings point to aconite as one of the remedies for this condition. This drowsiness may sometimes be insurmountable ; it may attack a person even in the midst of a conversation, and is generally accom- panied with a feeling of heaviness and weariness, especially in the lower extremities, and with a frequent inclination to yawn and stretch one's limbs.
SLEEPLESSNESS Aconite also causes sleeplessness, which
seems to be owing to pain ; hence we have in this agent a specific substitute for morphine in many cases of sleeplessness which result from pain. Aconite will procure sleep by mitigating the pain. You will understand that this result can only be obtained in cases where aconite is in curative adaptation to the nature of the pain.
ACONITUM NAPELLUS. 233
Some of these symptoms show that aconite may prove useful in certain monomaniacal states of the mind ; we may refer to the follow- ing : He has a dream about one and the same thing which clings to his mind like a fixed idea even after waking.
MENTAL GROUP.
FITFUL MANIA. — Aconite is adapted to a variety of mental derangements both in the sphere of perception and volition. We have seen that aconite is homceopathically adapted to certain forms of fitful mania, with varied exhibitions of temper, singing and weep- ing, whistling and moaning.
MANIA. — Aconite causes vehemence, headstrongness, quarrel- someness, great sensitiveness to the least joke. This effect renders it a valuable agent in mania, characterized by a tendency to fight, dispute, or take offence at the least provocation or fancied provo- cation.
MONOMANIACAL HYPOCHONDRIA.— Aconite is disting- uished by the peculiar property it possesses of exciting a foreboding state of thft mind, with apprehensions of death or fear of one's recovery. How often do we meet with this state of the mind among pregnant or hysteric women ! We therefore recommend aconite in monomanical hypochondria or hysteria, where these fears and sad forebodings are constantly uppermost in the patient's mind.
ECSTASIS. — Aconite has an exalting effect upon the fancy, and hence may be recommended in abnormal states of ecstasis or rather ecstatic hallucinations of the mind ; we infer this from such symp- toms as these : He exclaims that his beloved has this moment sung the difficult passage which he had just executed himself ; when wide awake, his mind and fancy wander even so as to make him start out of bed ; he has a dream which explains to him a thing that seemed inexplicable in the waking state.
Aconite deranges the intellectual faculties ; it causes weakness of memory? more particularly an inability to remember dates. It like- wise causes an extreme absence of mind, a complete vanishing of ideas. This sort of weakness may be the result of, or it may be accompanied by, an habitual congestion of the cerebral sinuses, aching pains in the region of these sinuses, more particularly in the region of the frontal sinuses and likewise on the top of the head where a sensation of pressure is experienced. A condition of this kind may occur after sunstroke, or in consequence of an habitual rush of blood
234 ACONITUM NAPELLUS.
to the head, constitutional headaches. The general hygienic means adopted in such cases may be assisted in their operation by an occa- sional dose of aconite.
CKAZINESS. — Among the effects of aconite upon the mind we notice the following symptoms : He acts foolishly like a crazy person ; he performs a variety of things with extreme haste and without reflection, and runs about the house. This symptom shows us that aconite has power to disorganize the normal operations of the mind, and that it may be of use in certain forms of craziness characterized by unsteadiness of purpose, inability to logically con- nect cause and effect, nervous restlessness.
Let me not forget to point out the curative relation of aconite to the consequences of a sudden fright, or even of other depressing emotions such as care and anger. Under such influences the capil- laries may become affected as they are when acted upon by aconite, and similar pathological results may follow, such as fever, dropsy, prostration, nervousness, weakness, loss of appetite and other de- rangements for which aconite has already been recommended.
A French lady had a violent fright. On coming out of her house, a man was shot dead in front of her in the street. The effect of this fright was anasarca. When I first saw her, she was enormously distended.
On pricking the skin with a needle, the water would spirt out. After using aconite for a few days she began to discharge a quart of water from the vagina in the course of twenty-four hours ; this gradually increased to two and even three quarts, and the dropsical symptoms had all disap- peared when, from some cause or other, my patient removed to other parts. What became of her I am unable to say.
Gentlemen, this concludes my remarks on aconite. If I have suc- ceeded in imparting to you a knowledge of the curative range of this remarkable agent, we have made a fair beginning toward a sound comprehension of our materia medica. It is only by studying the physiological effects of our drugs with constant reference to the pathological conditions with which they are in therapeutic rapport, that we shall weave a golden thread which like Ariadne's thread of old, will lead us through the maze of symptomatology into the bright sunshine of therapeutic truth.
JESCULUS HlPJ'OCASTA.NU.tt.. 235
^ESOULUS HIPPOUASTANUM.
[HOKSE CHESTNUT. NAT. ORDER, SAPINDACEjE.]
Calyx five-toothed ; corolla irregular, four or five petaled ; stamens seven, distinct, unequal, inverted on a hypogynous disk ; style fili- form, ovary three-celled, with two ovules in each cell ; fruit coria- ceous, two to three valved, containing but one or very few large, smooth seeds ; cotyledons thick, bulky, inseparable. Flowers paniculate, terminal. Leaves of seven obovate leaflets ; petals five, spreading. Fruit prickly.
A noble tree, justly admired for its majestic proportions, and for the beauty of its foliage and flowers. It is a native of the north of Asia, but is now known throughout Europe and in this country, and is a frequent ornament of courts and avenues. It is of rapid growth, and attains the height of forty or fifty feet. In June it puts forth numerous pyramidal racemes or thyrses of flowers of pink and white, finely contrasting with the dark green of its foliage.
The seed is large, mahogany-colored and eaten only by deer. The tree is largely cultivated for ornamental pur- poses. (Wood.)
The seeds of the horse chestnut contain a large amount of nutritious matter. Certain animals, as horses, deer, and sheep, eat the fruit ; in utilizing it for the feeding of domestic animals, it be- comes necessary to exercise caution, because of its medicinal prop- erties. A very superior article of starch is also manufactured from the seed. The root, bark, leaves and seeds contain medicinal properties.
The bark is astringent and use has been made of it in the process of tanning. Decoctions of the bark have been used by European and American physicians of the old school, whose fertile imagination ever sees great virtue and strength in anything unpalatably bitter ; it has been recommended by them as a tonic, astringent, narcotic and febrifuge.
Tradition among the lower classes in Europe, particularly the peasants, attributes to the horse chestnut great curative powers in a number of maladies, especially in chronic rheumatism and gout; the seed is, for that purpose, carried in the pocket or worn next to the skin, like an amulet.
Few of our new remedies have been more thoroughly proven than aesculus hippocastanum. Experiments, made with small and large-
236 ^SCL'LUS HIPPOCASTANUM.
doses, have yielded a very formidable array of symptoms. If the clinical experience of the profession is a just criterion of the merits of the drug, its range of action is infinitely smaller than the results of the provings made would indicate.
iEsculus hippocastanum affects the cerebro-spinal system, some- what like mix vomica. But its greatest power is shown in its effects upon the portal system, both in the pathogenesis of the drug and in its promptness to cure diseases based upon or accompanied by dis- turbances in that part of the organism.
Dr. Hale has collected and published the various provings of sesculus ; from their number we will select experiments made upon himself by Dr. T. C. Duncan, at the time of proving twenty-four years old, of a nervo-bilious temperament and predisposed to weak- ness of the bowels, from protracted diarrhoea while in the United States service.
May 6th, 1865, at 10 A. M., Dr. Duncan took twelve drops of the second deci- mal dilution of the tincture of oesculus hippocastanum (nut), experiencing slight nausea, eructations; shooting pain in the left eye; loss of memory; soreness in the epigas- trium, with heat in that region. Stool at 2 o'clock P.
M. Continual pain in the back, shoulders and neck, at times with prickling sensations ; fulness in both ears ; pain in the right nasal bone. Profuse coryza, with a feeling of fulness in the nose and fore- head, as if he had taken cold. Fulness at the epigastrium; fulness and stitching at the anus after walking some distance ; pricking in the hands after washing them ; feeling of languor; dull pain in the back; nausea three hours after tea.
May 7th. — Slept well, but felt very sore on waking ; lachrymation and general symp- toms of coryza ; itching and heat at the anus ; at 8 A. M. took fifteen drops. Pain in the neck. No stool.
May 8th Slept well. Took twenty drops of the first dilution. Nausea.
Mouth and pharynx feel irritated ; pressure, burning, itching and fulness at the anus ; rub- bing will produce extreme flow of heat to the parts ; twitching over the region of the heart. Stool at 8 A. M. Very costive, great straining, feces in balls ; urine hot ; fulness of the skin, as though there was too much blood in the body.
Rubbing after washing the face produces red spots under the skin ; swelling of the feet after walk- ing the usual distance ; soreness of the throat ; dryness of the mouth and throat ; fre- quent urination.
May 9th Slept hard ; exciting dreams (had been sleeping on his back) ; soreness all over upon awaking ; soreness and slight swelling of the external throat ; heaviness of the limbs. Dryness of the mouth and throat ; soreness of the lungs ; fulness at the epigastrium; anus sore; bowels torpid; urine hot and clear; flatus in the bowels; soreness of the right side of the scalp ; irritable and peevish. Took thirty drops of the first decimal dilution at 8 A.
M. ; soon after, followed by sharp darting pains in the trachea, producing titillation and coughing ; rumbling in the bowels and expulsion of flatus ; ineffectual attempt at stool ; soreness of the anus ; yawning with stretching, followed by chilly sensations. Sensitiveness to cold air ; twitching of the eyes ; heavi- ness in the back part of the head ; aching of limbs; the limbs feel tired; great pain
2ESCULUS HIPPOCASTANUM. 237
in the sacro-lumbar region ; numbness and prickly sensations in the arms, with ina- bility to control the muscles to write well ; tenderness of the right hypochondriac region ; pain at the umbilicus ; retention of urine, passed after several trials ; urine hot and clear; dull aching pain at the anus, and fulness of the rectum. Later: Bloating of the stomach ; belching of wind ; expulsion of flatus ; darting pains in the region of the heart with fulness and palpitation. At IO P.
M., soreness and pain in the eye, with twitching of the lids; catarrh, with pressure in the forehead and at the root of the nose ; heat in the throat, oesophagus and stomach ; great expulsion of flatus and pain at the umbilicus. At 10:30, great pressure in the rectum, fulness of the colon ; must have stool ; great straining with shivering, expulsion of rope-like, solid, knotted feces ; great soreness of the anus, with inability of the sphincter ani to con- tract ; protrusion of the rectum, which had to be replaced ; great burning and itching at the anus.
May 10th There was, in the main, a repetition of the same symptoms. The prover became frightened and concluded not to take any more medicine. Sic transit gloria mundi !
Among the symptoms experienced later and of particular interest, we have : feeling of great lassitude upon awaking from sleep ; great pain around the loins, especially in the sacro-lumbar region ; the same symptoms of the eyes, head, mouth and throat, previously experienced ; yawning, stretching ; flow of saliva from the mouth. Darting pains in the trachea, as if death were impending, followed by exal- tation of the brain ; dull pains here and there ; he cannot control the tongue so as to speak words right ; frontal headache ; soreness of the external throat, etc., etc. ; no stool.
May nth. — Symptoms similar, but not so severe. At 12 m. Stool of hard, impacted feces, with great soreness at the anus ; itching, burning and protrusion of the anus ; soreness of the bowels, etc. The symptoms constantly lessened in violence ; the prover's spirits soon resumed their natural buoyancy, and no more medicine was taken.
Dr. C. W. Boyce proved the drug with the first decimal trituration of the nut, taking it, off and on, in ten-grain doses.
The effects produced were similar to those recorded by Duncan. There was a great deal ot nausea and a well-marked diarrhoea. Increased salivation. Also a sensation as if the mucous membrane of the rectum were thickened, obstructing the passage of the feces.
Dryness of the passage for several days, followed by an increase of moisture. Soreness of the rectum with a feeling as if something would pass off all the time. There was also produced a persistent dry- ness of the throat. Feeling in the rectum as though folds in the mucus membrane obstructed the passage, and as if, were the effort continued, the rectum would portrude.
Dr. C. H. Lee experienced remarkable symptoms from one drop of the third atten- uation.
In his case the throat symptoms became quite violent; he had also a severe chill, lasting three hours, followed by very high fever, the pulse running up to- 130. The fever was characterized by absence of thirst, with an increase of saliva ; a head- ache, as if the head would burst ; photophobia ; profuse hot perspiration with the fever; dyspnoea with rapid breathing; a feeling as if the lungs were engorged; a heavy and very rapid action of the heart ; the urine was scanty, of mahogany color and scalding.
The symptoms experienced by the prover were so remarkable in their intensity, that we are tempted to ascribe them, in part at least, to some influence besides the one drop of the third dilution of sesculus; if they were really produced by the preparation they prove an unusual susceptibility of the prover to the remedy.
£d& -ffiSCULUS HIPPOCASTANUM.
We have also a proving made Dy Dr. Burt, with appreciable doses. His proving is a verification of drug effects already related, showing particularly the remarkable effect of the drug upon the portal system.
CHRONIC CONSTIPATION.— iEsculus hippocastaimm has been used in the treatment of chronic constipation. The stools are hard, knotty, dark ; constant urging to stool ; inability to expel the stool from weakness in the rectum ; prolapsus ani. There may be present prolapsus ani ; feeling as if the rectum were full of dry sticks ; heavy ache in the lower back ; colicky or heavy throbbing pains in the bowels, especially around the umbilicus ; flatulence ; shivering while at stool. — constipation begets
HEMORRHOIDS ; and, usually, a radical cure of piles is out of the question unless you correct this predisposing cause. The cura- tive effect of aesculus upon cases of chronic constipation furnishes us the rationale of brilliant cures of piles performed with it, often in a comparatively short time, after other efforts of skilled prescribers had utterly failed. Says Dr. Hughes: When the piles are only secondary to existing portal, or other intra-abdominal congestion, aesculus will probably be inferior to nux and sulphur.
When they are associated with symptoms of varicosis elsewhere, and bleed much, hamamelis will be a better remedy. But when the only connected symptoms or appreciable cause is constipation, and there is much pain, but little bleeding, aesculus seems pretty likely to effect a cure.
Mr. B., aged thirty-five years, bilious temperament, a carpenter and joiner, had been afflicted with piles for several years, and for two years had been unable to work at his trade. He had alloi the symptoms of aggravated cases of said disease ; and the constitution was much impaired. Prolapsus always occurred when evacuating the bowels or when lifting, and he frequently suffered severely with pain in the diseased part.
I had occasionally prescribed the usual remedies without more than temporary relief, and all the cures had been tried, until every expectation of being cured had fled. In the spring of 1 864 I gave him aesculus, third decimal, one dose every third day until relieved, and then occasionally a dose as circumstances seemed to require. An improvement soon took place, and continued with slight interruption, until the cure was completed, which was within six months from the time of taking the first dose of aesculus.
Mr. M., a farmer, aged thirty years, had all the symptoms manifested in the case of Mr. B. ; also spermatorrhoea, which seemed to originate from the irritation produced by the disease in the rectum. All of the usual remedies had been tried in this case without any good result. In the summer of 1864, I gave aesculus as in the case of Mr. B., with the same good effects. (Dr. V. W. Sunderlin, inthe^w. Horn. Obser- ver, 1867, page. 163.)
The patient, a lady, aged forty-three years, had been treated for twelve years with- out any relief. Confined to her bed most of the time. Looked more like a dead person than like a live one. Had constant pain across the small of her baek, with a drag- ging, bearing down sensation that produced great faintness on standing.
Bleeding constantly kept her reduced. Gave her aesculus, six drops in a tumbler two-thirds filled with water, to be taken once in three to four hours during the day. Treated for twenty days and cured. (Dr.
A. A. Bancroft in Am. Horn.
Observer, Vol. iii- page 225.)
^SCULUS HIPPOCASTANUM. 239
Mrs. H., a German woman, mother of four children, constitution impaired by purgatives and emetics, has had haemorrhoids for twelve years. Nux had given some relief; always troublesome during pregnancy; a small vial of sesculus cured her. — (R. S., in Am. Horn. Observer, Vol. ii., page 42.)
Mr. R. consulted me three years ago. Has been very much constipated for years ; closely confined during the day and evening. Stool always difficult, followed by bleeding from hemorrhoidal tumors; so excessive an itching at the anus, that he is at times unable to attend to his business ; again an extreme soreness takes the place of the itching.
Has been operated upon and been under constant treatment for years past. iEsculus hippocastanum, third decimal, one dose every four hours cured him ; at least he has had no return of the difficulty for three years.
The general experience of the profession with the drug in the treatment of haemorrhoids has been very satisfactory. Our English friends have also placed on record some brilliant cures made with it.
Dr. H. N. Guernsey recommends the use of aesculus hip. in
UTERINE DISPLACEMENTS with pain across the sacro-iliac symphysis, more or less constant, with a feeling as if the back would give way at that point ; this causes a sense of great fatigue when walking, so that exercise of that nature is almost impossible. The same authority urges its use in
LEUCORRHOEA — "I always expect to cure cases of leucorrhoea with this remedy, and am not disappointed when there are promi- nently, as concomitant symptoms, great lameness across the sacro- iliac symphyses, so that walking is very fatiguing; it seems as if the back would 'give out' at that point ; the patient is unable to walk any great distance in consequence of this lameness and weakness. The first condition removed by aesculus is the back symptom, and soon it is evident that the leucorrhoea is subsiding and is finally cured a few weeks later." (Hahn. Monthly, March, 1869.)
Pregnancy
The peculiar pain in the sacro-iliac symphysis, spoken of by Dr. Guernsey as so valuable a symptom, is frequently found very troublesome during pregnancy and may be relieved by the drug.
DYSPEPSIA
Dr.
Charge recommends it under the following conditions: Hgemorrhoidal patients.
Vivid pains in the stomach after eating, lasting from one meal to another.
Fulness ; burning in the stomach ; nausea, vomiturition and violent vomiting.
Empty eructations, or bringing up of thick phlegm.
Heaviness, pricking in the hepatic region, existing at the same time with pains between the shoulders, the whole length of the spinal column.
The pain in the liver is increased by a deep inspiration and by walking.
The spleen is also sensitive.
Bloatedness of the abdomen, colic around the naval, and incisive pains around the anus.
Incessant desire to
240 ^ESCULUS HIPPOCASTANUM.
go to stool, provoked by a pressure behind, and accompanied by pruritus and by a sensation of ulceration in the anus.
Hemor- rhoidal tumors hard, round, very prominent, of a violet color and very painful.
Bilious temperament ; melancholy ; he feels himself very sick, ill-humored ; lassitude ; no desire to work ; distress in the head, with throbbing ; confusion of ideas
The late Dr.
Hirschel, an eminent German homoeopath,, recommends the aesculus in
GASTRALGIA, in the following language: "It will be found useful in cardialgia due to defective action of the liver, intestinal derangement and hemorrhoidal affections. There is burning dis- tress in the stomach, with inclination to vomit, dull burning pains in the pyloric portion of the stomach, sometimes even unbearable, making him feel faint and weak ; early in the morning feeling of emptiness, but after eating the stomach feels full ; heartburn, water- brash, nausea, retching, violent vomiting ; icterus frequently accom- panies or follows the gastralgia." In
DIFFICULTIES OF THE HEART it may be found useful (Dr.
Hale in the Med. and Surg.
Journal, January, 1874,) when there is palpitation of the heart, severe, frequent, periodic, with great anguish.
Lancinations or stitches in the region of the heart, near the apex.
Dull, burning, aching pain in the region of the heart.
Tightness in the chest with labored breathing.
There may be present congestive headaches, dyspepsia, constipation with haemorrhoids.
Dr. Charles Mohr gives a case of
BRONCHIAL CATARRH which yielded to gesculus and presented the following charrcteristics : Patient suffers much with haemor- rhoids ; has backache, aggravated by walking.
Owing to this condi- tion she is irritable, and does not care to engage in any work.
Leucorrhcea, thick, yellow, worse from walking.
Every morning has a troublesome cough, mostly dry, increased by eating her break- fast.
Stitches in the right side of the chest and some tenderness in the hepatic region.
Dull headache.
Appetite poor.
We use the tincture made from the pulverized or finely-cut seed, and dilutions prepared from it as prescribed. We make also tritu- rations from the seed. iEsculin represents the active principle of the drug and is occasionally used by homoeopathic physicians.
AETHUSA CYNAPIUM. 241
AETHUSA OYJSTAPIUM.
[fool's pakslet, dog's parsley, lesser HEMLOCK. NAT. order:
UMBELLIFERiE.]
Formerly this plant was confounded by many writers with the spotted hemlock or conium maculatum under the general term Cicuta.
It has a tapering, whitish root, the stem from one to two feet high, but not spotted.
Leaves bipinnate, smooth, or a dark lurid green ; flowers whitish, forming umbels.
It resembles the common garden-parsley, from which, however, it may be readily dis- tinguished.
The leaves are of a darker green than those of common parsley ; the flowers of fool's parsley are whitish, those of the com- mon parsley of a pale yellow ; the flower-stem of wild parsley is striated and grooved ; a characteristic appendage of the wild parsley- flower is the beard or three long pendulous leaves under the flower.
Cows, horses, sheep, goats and swine are said to eat it without injury.
We make a brownish-yellow tincture of the whole plant.
Orfila and others relate a few interesting cases of poisoning by this plant.
A boy, six years of age, having eaten some of this herb by mis- take for parsley, at 4 p. m., commenced, immediately after, to cry out in great pain, and complained of cramps in the stomach ; whilst taking him home the whole body became excessively swollen, and of a livid hue ; the respiration became difficult and short, and he died toward midnight. Another child was poisoned in the same manner, but he was fortunate enough to vomit up the herb ; this, however, did not prevent his talking wildly, and, in his delirium, he thought he saw numbers of dogs and cats.
We see from these cases that aethusa cynapium affects very power- fully the sensorium and the liver ; it seems to arrest the secretory functions of this organ, and the patient dies with all the symptoms of bilious poisoning.
Riviere reports the case of an individual who perished by this poison, and, on a post-mortem examination, the tongue was found black. There was a brown serous fluid in the stomach ; the liver was of a yellow color ; the spleen was livid ; the body was not tumefied.
This case again shows the disorganizing action of aethusa cyna- pium upon the liver, an action resulting in a sort of granular induration of this organ and in consequent decomposition of the
VOL. I. — 15.
242 AETHUSA CYNAPIUM.
gastric juice by bile, gangrene of the tongue and disorganization of other internal organs.
A woman gave two of her children some soup in which this herb had been boiled. They were both seized with severe pains in the abdomen, and next morning there was perfect unconsciousness ; the lower jaw was spasmodically fixed ; abdomen tumid ; vomiting of bloody mucus, and constant diarrhoea ; cold extremities ; convul- sions ; death in twenty-four hours. Post-mortem appearances : red- ness of the lining membrane of the oesophagus, and slight vascular contraction of the stomach and duodenum.
This case is extracted from a German medical periodical ; it shows that aethusa cynapium must be a powerful narcotic poison and that the signs of vascular congestion which were discovered after death must have been incidental to the narcotic agency of the drug. We can imagine an acute attack of bilious typhus where the symptoms might, in a measure, be analogous to these symptoms of poisoning, and where aethusa cynapium would, of course, be indicated.
In the Medical Times of August 23, 1845, the following case is reported :
A child who had eaten the bulbs by mistake for young turnips, was suddenly seized with pain in the abdomen, followed by nausea, without vomiting ; she could not swallow, had a vacant look, was unable to answer questions ; her lower jaw became fixed ; she became insensible and died an hour after the first symptoms of poisoning had begun to show themselves.
Ranging these physiological effects of aethusa cynapium under our usual categories, we obtain the following series of symptoms :
CEREBRO-SPINAL GROUP.
Wild delirium, the patient fancies he sees dogs and cats ; giddiness and oppressive headache ; loss of consciousness ; spasmodic rigidity of the lower jaw ; tremors and numbness of the extremities ; languor, weariness and great weakness ; cold extremities and convulsions \ paralysis of the organs of speech.
INFLAMMATORY GROUP.
Violent ophthalmia ; gangrene of the tongue ; inflammation of the oesophagus, slight vascular congestion of the stomach and duo- denum ; inflammatory and transitory swellings in the face.
ORBITAL GROUP.
Confused vision and diplopia ; staring look.
AETHUSA CYNAPIUM. 243
CHYLO-POIETIC GKOUP.
Thirst; nausea and vomiting; paralytic dysphagia; spasmodic pains in the bowels ; bloody diarrhoea ; yellow and hard liver ; gran- ular liver.
EXANTHEMATIC GKOUP.
Livid skin ; swelling of the body.
Sopor; restless night.
The symptoms of these different groups cannot be separated in practice. Practically they will be found to constitute a pathological unit which may be described as
CIRRHOSIS, or the symptoms of bilious irritation may have be- come localized in the eyes, producing a severe ophthalmia, or in the oesophagus and gastro-intestinal lining membrane, determining an iniiammation of these parts ; if we wish to employ this drug succes- fully in any of the pathological conditions to which it is homoe- opathically adapted, it is of the utmost importance that we should always view the action of this drug in its integrality, and from its integral relation to the nervous centers upon which the functional vitality of the liver depends, determine the homoeopathicity of aethusa to the case before us. If the patient happens to be addicted to the abuse of spirits, aethusa may perhaps be so much more spe- cifically indicated.
The clinical record of the drug is quite meager. Its principal use has been in
CHOLERA INFANTUM where it has been employed with con- siderable success. It is of especial use where the brain shows a tendency to become implicated. Eaue gives the following indica- tions : " Stools watery, greenish, without smell ; vomiting ; the milk which the child drinks is thrown up in coagulated lumps; after stool and vomiting the child dozes ; utters now and then plaintive cries, and again commences to doze ; its face is pale, with a painful expression around the mouth."
A child, nine months old, heretofore quite well, brought up on cow's milk, has had, for two days, frequent watery, greenish, odorless passages from the bowels, and, since yesterday, vomiting.
The countenance looks haggard, pale with an expression of suffering around the mouth.
Frequently it cries out, anxiously and as if in pain, but relapses into a doze, or if it has been vomiting or has had a passage, it falls, perfectly exhausted, into a half-stupor.
There is little warmth of the body and the feet are cold.
The action of the heart is irregular.
Frequently it drinks milk diluted with
244 AETHUSA CYKAPIUM.
water, but this is soon followed by vomiting of large pieces of curdled milk.
Pre- scribed aethusa6.
The diarrhoea and vomiting ceased in the course of the same evening and she slept well during the night, making an early recovery.
(Hencke in. the A leg.
Horn.
Zeitg. liv, 107.)
A child of six months has had for several days diarrhoea of light-yellow or green- ish, watery, slimy, stools, with much crying and drawing-up of the limbs.
Chamo- milla3 gave no relief.
Vomiting of curdled milk since yesterday.
The countenance looks sunken.
It nurses voraciously, but soon after nursing throws up the curdled milk in large chunks.
Thin, grayish, slimy stools.
Frequent crying; cold feei 1 sleeplessness.
Prescribed aethusa9.
The child improved during the course of the day, slept well the next night and was well on the following day. [Ibid.)
Another and often very unpleasant affliction of infancy is a persistent
VOMITING OF MILK
A mere throwing up of the milk, even if of frequent occurrence, is by no means a serious matter.
But during the hot months of summer this symptom is often the fore- runner of coming trouble.
The prompt use of the aethusa will frequently prevent a full development of "summer complaint," sure- to set in, if neglected.
The vomiting then appears suddenly, is veiy forcible in its nature, and the milk may be thrown up fresh or coag- ulated.
Diarrhceic symptoms will still further confirm the use of this remedy.
CONVULSIONS OF CHILDREN, caused by or accompanying irritation of the intestinal track, have been cured by its exhibition.
Mr.
A.
C.
Clifton writes in the Monthly Horn.
Review, July, 1868, "I have found it a useful remedy in convulsions of children suffering from gastro-enteric irritation, characterized by colicky pains, greenish stools, with tenesmus before and after each motion, and a distended and tender abdomen.
The convulsions were attended by dilated pupils, the eyeballs directed downward, the fingers and thumbs clenched.
The head-symptoms of aethusa are of considerable interest. Be- sides those already given we find vertigo, especially in the middle of the day ; sensation of tightness in the head ; tightness above the root of the nose ; beating in the head ; pain at the vertex ; pressure in the eyes ; tearing pain in the eyes ; the head inclines to fall back- ward ; vomiting, shuddering, sense of weakness ; depression of spirits ; urination of pale and prof use urine ; difficulty of fixing one's attention ; absence of ideas ; loss of consciousness ; dreamy stupe- faction ; sadness ; serious, whining mood ; excessive sensitiveness of feeling.
These symptoms suggest the use of the remedy in HEADACHES presenting a similar group of symptoms.
AETHUSA CYNAPIUM. 245
A young lady has been subject, for several months, to headaches which come on periodically, appear suddenly and last from three to four days.
There is violent ptessive pain in the forehead, as if the head would burst; the eyes look as if pressed outward and there is marked pallor of the countenance.
Restlessness and anxiety, driving the patient into the open air, where she finds much relief.
When the head- ache is most intense she vomits repeatedly and experiences contractive, pressive pains in :he epigastrium, empty eructations and, at times, spasmodic hiccough.
Frequent and copious emissions of watery, clear urine.
The attack lasts several hours, and disappears gradually, usually followed by a watery evacuation from the bowels and several hours' sleep.
After that she is well for the next three or four days, with ex- ception of the distress in the epigastrium.
Aside from these paroxysms she is per- fectly well.
She received several doses of aethusa after waking from the usual sleep, which had followed an attack.
After this she had violent cramp-like pain at the stomach and vomiting of frothy matter which lasted nearly an hour.
She made a complete and permanent recovery.
(Hencke in Allg. horn.
Zeitg., liv, 107.)
CEREBBO-SPINAL MENINGITIS.— Aethusa may be of service in cerebrospinal meningitis, particularly of children, and in
HYDROCEPHALUS AND HYDROCEPHALOID.
"Aethusa has answered the best purpose in my experience, and more nearly covers the totality of symptoms than any other remedy that I have used. * * * Autopsies in poisoning from aethusa show its great applicability.
The sinuses of the brain are filled with blood ; the intestinal canal is filled with air ; the duodenum contains light- colored bile ; the liver is hard and yellow ; the spleen has a livid color ; the kidneys are congested.
With this display of pathological effects let us compare Dr.
Smith's autopsy after death from hydro- cephalus : The sinuses of the brain were congested with blood, with numerous blood-clots ; the stomach and intestinal canal showed streaks and patches of blood." (Dr.
W.
H.
Jenny, on "The Man- agement of Hydrocephalus and Hydrocephaloid," Am.
Inst, of Horn., 1877.)
Petroy recommends aethusa in chronic inflammation of the mar- gin at the eyelids, pustules on the cornea, incipient amaurosis, swell- ing of the glands, tettery eruptions at the tip of the nose, swelling of the cervical and axillary glands, eruptions around joints, dryness
of the skin, nodes of the skin, tetters that itch in a warm room or bleed easily.
ANTIDOTAL TREATMENT.— Vomiting, diluted vinegar or
citric acid, friction and mustard plasters to the feet. Aconite for
the inflammatory symptoms.
246 AGARICUS MUSCARIUS.
AGAKIOUS MUSOAEIUS.
[AMANITA, FLY-AGARIC]
This mushroom is so-called from its property of destroying flies when steeped in milk.
The pileus or top of this fungus varies in color from blood-red to orange, white, green or brown ; it is from three to seven inches broad, fleshy, convex, and at length nearly plain.
It is found in Europe, Asia and America, and grows very abundantly in Kamschatka.
In some seasons the crop is very abun- dant, in other seasons scanty.
They are collected by the people of Kamschatka in the hottest months, and hung up by a string in the air to dry ; some dry of themselves on the ground, and are said to be more narcotic than those artificially preserved.
Small, deep colored specimens, thickly covered with warts, are said to be more powerful than those of a larger size and paler color.
The Amanita muscaria is used by the inhabitants of the north- eastern parts of Asia in the same manner as wine, brandy, arrack, opium, etc., by other nations.
The usual mode of eating the fungus is to roll it up like a bolus, and swallow it without chewing, which the Kamschadales say would disorder the stomach. It is sometimes eaten fresh in soups and sauces, and then loses much of its intoxicating properties. One large or two small fungi is the common dose to produce a pleasant intoxi- cation for the whole day, particularly if water be drank after it, which augments the narcotic principle. The desired effect comes on from one to two hours after taking the fungus; giddiness and drunkenness result in the same manner as from wine and spirits ; cheerful emotions of the mind are first produced ; the countenance becomes flushed, involuntary words and actions follow ; and some- times, at last, an entire loss of consciousness.
It renders some remarkably active, and proves highly stimulant to muscular exertion •> with too large a dose violent spasmodic effects are produced. So very exciting to the nervous system in many individuals is this fungus, that the effects are often very ludicrous. If a person under its influence wishes to step over a straw or a small stick, he takes a stride sufficient to clear the trunk of a tree ; a talkative person can- not keep silence or secrets, and one fond of music is always singing.
Several interesting cases of poisoning with this fungus are reported by Orfila, Ohristison and other toxicologists.
AGARICUS MUSCARIUS. 247
Several French soldiers in Eussia ate a large quantity of the Amanita muscaria, which they had mistaken for the Amanita csesarea, Some were not taken ill for six hours and upward. Four of them, who were very powerful men, thought themselves safe, because, while their companions were already suffering, they themselves felt perfectly well ; and they refused to take emetics. In the evening, however, they began to complain of anxiety, a sense of suffocation, frequent fainting, burning thirst and violent griping pains.
The pulse became small and irregular, and the body bedewed with cold sweat ; the features were singularly changed, the nose and lips acquiring a violet tint ; they trembled a great deal ; the body swelled, and a profuse, fetid diarrhoea supervened. The extremities soon became livid ; and the pain of the abdomen intense, delirium ensued, and all four died.
Several of their comrades were severely affected, but recovered.
Two of these had weak pulse, tense and painful belly, partial cold sweats, fetid breath and stools.
In the afternoon they became delirious, then comatose ; the coma lasted twenty-four hours.
This case presents all the symptoms of deep narcotism and violent irritation. On opening their bodies, large spots of inflammation and gangrene appeared in the stomach and alimentary canal, and putre- faction seemed advancing very rapidly.
In other cases the brain, after death, was found very turgid ; the sinuses of the dura mater, and the arteries were enormously distended with blood ; the arachnoid and pia mater were of a scarlet color ; a clot of blood was found in the cerebellum.
Christison details the morbid appearances as follows : " The body is in general very livid, and the blood fluid ; so much so, that it sometimes flows from the natural openings of the body ; the abdomen is distended with fetid air, which, indeed, is usually present during life ; the stomach and bowels may present the appearance of inflam- mation passing in some places into gangrene ; in two cases the stomach was gangrenous in many places, and far advanced in putrefaction. The same appearances were found in the cases mentioned by Picco ; in these, there was also an excessive enlargement of the liver. The lungs have sometimes been found gorged or even inflamed ; the vessels of the brain very turgid."
Professor Zlatarovich has published a series of highly interesting and instructive provings of this agent in the OesterreicMsche Zeits- chrift.
Dr. Adler instituted his provings with the watery attenuations as well as with five to eighty drops of the strong tincture.
Three hundred drops of the second decimal attenuation developed a pain in the
I
248 AGARICUS MUSCARIUS.
anterior portion of the head, as if both sides of the head were pressed against each other ; this pain was accompanied by a sensation in the bowels as if diarrhoea were to come on. A few hours after, a copious and exceedingly pressing evacuation from the bowels took place, which was preceded by a painful pressing in the rectum. On the same day, after dinner, the prover experienced stitches in the right calf, a burning in the rectum and the hemorrhoidal tumors became iuflamed. (The prover had been subject to piles which, however, had not troubled him for several years).
Next morn- ing he awoke with a stitching pain from the left parietal bone to the right temple ; also a stitching pain in the right eye-ball.
From five to thirty drops of the strong tincture caused painful stitches in the tem- ples, a tearing-drawing pain in the right upper jaw and in the right cheek, prickings in the left thumb which were increased and even excited by slight contact, a painful lameness of the right upper and lower arm, oppression on the chest, dyspnoea, obliging him to draw a long breath frequently.
Forty drops caused pressive pains in the region of the eyebrows, a burning in the fauces, a rough feeling of soreness and burning under the tongue, here and there, and, on lying down, shocks in the region of the heart, and trembling in the pit of the stomach, with paroxysms of oppressive anxiety which were excited by every little noise and were likewise experienced early in the morning on waking, at which period they were accompanied by stitches in the umbilical region, frequent sneezing and yawning. .
Forty drops excited a painfulness of the left maxillary articulation and a stitching tearing in the horizontal ramus of the lower jaw; these pains were increased by con- tact.
Fifty drops caused stupefaction and vertigo, the printed letters seemed to be in motion, with itching and burning in both eyes ; these symptoms were accompanied by a gnawing in the pit of the stomach and a pinching in the bowels.
Sixty drops caused a sensation as rf the head were pressed upon all around, with a pressive and stitching pain in the palpebral region, afterward followed by stitches in the hairy scalp changing to a painful pressure at the vertex. In the night he expe- rienced shocks and an aching pain in the right tarsal joint, followed by a sensation as if the heart were pressed into a narrower space. On the following morning he experienced a violent urging in the rectum after a copious stool ; during the urging he lost a quantity of blood from the hemorrhoidal vessels, which he had not done for years. During the day he was attacked now and then with a drawing-aching pain in the forehead which extended to the eyes.
Eighty drops developed the above mentioned drawing and aching pains in the forehead, pressure at the stomach with disposition to sigh, and, after the lapse of sev- eral days, painful shocks in the region of the heart, with paroxysms of oppressive
anxiety and a momentary burning in the orifice of the urethra.
i
Mrs.
Adler, the Doctor's wife, seems to have been very sensitive to the action of agaricus.
Two hundred drops of the second attenuation caused almost immediately a stinging in the head, and especially in both temples, followed by a stupefying ver- tigo.
In the night she had to toss about, owing to a troublesome sensation of shud- dering in the head, chest, abdomen and feet.
After midnight she was waked by a violent tearing pain in all her upper teeth which continued for a quarter of an hour.
Next day, in the forenoon, she was attacked with crampy-contractive pains in the pit of the stomach and penetrating into the abdominal cavity, attended with nausea, as if she would vomit, and followed by empty eructations alternating with violent
AGARICUS MUSCARIUS. 249
hiccough.
In the afternoon she was attacked with tearing pains in the left upper arm and lower teeth, tearing pain and a furious itching in the left ear; these pains lasted the whole afternoon and were aggravated by lying on the affected side.
The menses flowed more profusely than usual, attended with tearing and pressing pains in the bowels and back.
She had to go about from place to place, although her legs felt languid and weak.
In the night she experienced a violent itching between the index- finger and thumb of the left hand, and on the external pudendum, which only passed off the day following.
In the morning she awoke with a stupefying headache and vertigo, and, in the forenoon, experienced a burning pain in the region of the heart, with palpitation.
She looked pale and haggard.
The feeling of debility and weari • ness after the least exertion, the palpitation, the stupefying headache and vertigo, the disturbed sleep and the paroxysms of anxiety continued more or less for eight days in rotation.
A maiden lady, sixty years old, swallowed one hundred drops of the second deci- mal attenuation.
Shortly after she was seized with a violent shuddering through the whole body, accompanied by goose-flesh.
The same sensation was experienced after two hundred drops, followed by heat in the head and a painful beating in the frontal region, during which the forehead was covered with perspiration.
Three hundred drops caused an intolerable buzzing in both ears like that of a spinning-wheel.
Ten drops of the tincture caused a burning in the left eyebrow, and a creaking sensation in the occiput, towards the left side, aggravated by pressing on these parts.
These pains were accompanied by deafness of the left ear, as if something were stop- ping up the external meatus.
A few vesicles on the hard palate, with soreness.
Fifteen and twenty drops caused the same burning, and a stitching and jerking in the left eyebrow ; shortly after, nausea and lassitude, saltish taste in the mouth ; a feeling of warmth pervaded the whole body.
Twenty-five drops caused a pinching in the bowels, and a tearing, stitching and cutting distress in the epigastrium, followed by violent bitter vomiting.
From thirty to thirty-five drops of the tincture caused the same bitter vomiting, attended with a shuddering through the whole body ; also, vomiting of a saltish fluid; a griping sensation in the pit of the stomach ; burning in the stomach ; pressive pain ; stitching and jerking in the forehead down to the eyes, and more particularly on the left side ; also, a burning at the vertex, with stupefaction and vertigo as if she were turning about, she had to sit down lest she should fall.
Surgeon Baumgaertner, thirty-two years old, has furnished some highly interesting provings with the attenuations and the tincture.
One hundred drops of the seventh attenuation yielded the following symptoms : Momentary tearing in the tendinous expanse in various parts of the body, especially on the outer side of the left leg ; pain between the eighth and ninth thoracic vertebrae, changing on the following day to a painless throbbing, from above downward, syn- chronous with the pulse.
One hundred drops of the sixth attenuation, taken three mornings in succession, caused a pain in the small of the back, increased flow of saliva, hard stool; after dinner, nausea without loathing of the food he had eaten, a cutting shifting of flatu- lence in the bowels, lassitude, inability to think, and an internal restlessness, driving the prover from one place to another. At the same time a sensation in the forehead as if it were expanding, and as if the brain in that region were whirled about, accom- panied with a painful pressure in both temples, dryness of the fauces, yawning, and a
250 AGARICUS MUSCARIUS.
painful sensation in the fauces when swallowing the saliva as if something were torn off.
The fifth attenuation, one hundred drops, induced a pain caused by contact in the region of the eyebrows ; an abscess, of the size of a bean, had formed in the middle of the right deltoid muscle.
Pain between the eighth and ninth thoracic vertebrae, periodically extending to the os hyoides.
The prover complained of chilliness in the open air and a throbbing pressure in the nasal bones, with a sensation as if a swollen body were forcing its way downward in the upper part of the nose.
In the evening the throat felt dry, and the face warm with flashing stitches when touching it.
On the 15th or November, 1847, Baumgasrtner commenced a brillant series of provings with the concentrated tincture, beginning with twenty drops and gradually increasing the dose to four hundred.
These provings exhibit the disturbing effect of agaricus upon the sentient and motor nervous systems, to a most remarkable degree of intensity.
Twenty drops caused stitches in the left heel, darting upwards into the leg, and likewise stitches in the hip-joint, and a tensive pain in the left acetabulum, as if the head of the femur were being drawn out.
Thirty drops induced a sensation of fulness in the head, and a digging or formica- ting sensation in the forehead ; a cutting-boring pain in the left nasal canal, darting like an electric spark, upward into the frontal region ; diarrhoeic stools with stitches at the anus and emission of cadaverously-smelling flatulence; stitches and weakness of the knees ; occasional darts through the chest from behind forward ; violent stitches in the region of the heart with occasional intermission of the pulse.
One hundred drops caused dryness of the throat, nausea and vomiting, unsteady gait, involuntary sighing with oppression on the chest and accelerated pulse ; a dry cough causing a stitching pain in the left side of the chest ; .soft stools with paralytic weakness of the sphincter ani ; pain in the region of the first and second lumbar ver- tebras, with a sensation of coldness in the glutei muscles and formication in the feet.
The effects of this last dose continued more or less until the 15th of December. On the 30th of November, the pains in the left side of the chest became stinging- burning, extending to the left shoulderblade; they were excited by a deep inspiration and aggravated by coughing or sneezing.
On the 6th of December, the dryness in the throat became less, but the voice seemed husky and the prover, when drawing a long breath, experienced stinging pains in the larynx.
On the 10th of December a sensation of fulness set in, high up in the nose, as if a ball were pressing downward ; pain in the sacrum as if it would fly to pieces, violent beating of the heart which seemed to be felt even at the os coccygis, painful stitches in the region of the heart.
One hundred and fifty drops caused an extreme weakness, liquid stools with burn- ing at the anus, profuse sweat over the whole body, and small and accelerated pulse, involuntary dribbling of the urine, pressure in the small of the back, with sensation as if a weight were pressing upon it ; a feeling of coolness spreading down the legs.
Two hundred drops induced similar symptoms as the above, and moreover a sen- sation as if the head were larger than usual and a cough with expectoration of large flocks of brown mucous, especially in the morning.
Three hundred drops caused a slight burning in the stomach, vomiting with great straining, during which the sensation of a foreign body in the throat increased a good deal ; after the vomiting the left eyeball felt larger than usual ; lassitude and trembling of the lower extremities ; coldness and insensibility of the glutei muscles ; continual twitching in the small of the back and the lower extremities, coldness of the whole
AGARICUS MUSCARIUS. 251
body with heat of the head, apathy of the mind as if he had lost his senses and thoughts, followed by a violent cold shuddering over the whole body.
On the following day, December 30th, this shuddering spread from the stomach over the whole body ; cough; pulse 100, intermittent; painless throbbing in the ver- tebral canal ; sensation as if a cool current of air were spreading from the spine over the whole body. The prover experienced a fulness and a sensation of weight, with pressure, in the small of the back, a creaking in the fingers and toes, when moving them, with stinging pains in the same, and in the integuments generally.
On the 10th of January, 1848, several of these phenomena disappeared, and were replaced by an inability to retain the urine, which flowed off involuntarily when the desire was felt, with occasional interruption of the stream and a long-lasting dribbling after emission ; the penis was cold and shrivelled.
On the 1st of January, Baumgaertner swallowed four hundred drops, with a marked recurrence of the above described symptoms, such as : confusion in the brain as if in a whirl, forgetfulness, weakness of sight, liquid stools with burning in the varices, paralytic weakness of the sphincters ani and vesica?, dry cough with wheezing under the sternum causing a burning sensation, increased beating of the heart, redness of the face, tickling in the urethra, refreshing sleep.
Dr.
W.
Huber, the well-known prover of the metallic silver, has instituted a series of provings, with the attenuations, decimal scale, as well as with the strong tincture.
These provings illustrate in a most remarkable manner the extraordinary influence which agaricus exerts upon the nervous system.
The sentient and motor nerves, as- well as the great sympathetic, are powerfully disturbed by this agent.
Dr.
Huber com- menced his provings with ten drops of the sixth attenuation, gradually increasing the dose to fifty, and descending in the scale of attentuations, and finally winding up his provings with the strong tincture.
Each portion of the drug was taken in a table- spoonful of water.
The effects induced occurred in the folllowing order.
Ten drops of the sixth attenuation caused dizziness, as if slightly intoxicated, ac- companied by an unusual weariness of the whole body, and a tensive-aching pain in the lower lumbar vertebrae, right side, which was only felt when lying on this side, and disappeared when turning to the left side.
Fifteen drops caused dizzines and a throbbing throughout the whole body, especially in the epigastric region ; the above-mentioned tensive-aching pain was now felt in the left side, and disappeared when turning to the right.
Thirty drops caused a violent stitch at the left olecranon, with shaking of the arm, as from an electric shock.
Forty drops caused a gnawing at small spots of the skin, here and there.
Fifty drops, severe catarrh, which lasted from September 9th to the 15th; confused feeling in the head, stitches in the chin and at the olecrana, frequent chills and rest- less sleep.
Fifteen drops of the fifth attenuation caused dizziness and confusion of the head, a digging, aching pain in the right posterior cervical region, with muscular twitchings, while lying down, of the inside of the left knee, left upper arm, back, and right shoulderblade.
Twenty drops caused a smarting prickling at the left half of the tongue, followed by a smarting burning at a small spot of the spinal column ; next morning a colicky griping extending from the left ileum across the abdominal cavity to the right, relieved by pressing upon the bowels.
Thirty drops of the fifth caused cool creepings in the scalp at the vertex, with
252 AGAKICUS MUSCARIUS.
sensations as if this portion of the scalp were adhering more tightly to the skull ; after a sound siesta, muscular twitchings of the right leg, with concussive shocks of this part, and a gnawing itching of the sole of the left foot, near the toes, and of the left index-finger.
Forty drops caused a burning stitch at the left heel.
Fifty drops caused dryness of the lips, mouth and fauces, and a cooling sensation at the right glutei muscles, as from the contact of quicksilver.
Twenty drops of the fourth caused this same feeling of coolness, twitching of the glutei muscles, and a prickling at the left index-finger, toes and heel, like the prick- ling of chilblains during a change of weather. Soon after, while lying in bed, he ex- perienced a burning in both feet as far as the ankles, as if the blood were burning hot. Next morning, lancing pain in the inner canthi, with secretion of mucus ; stitch •darting from the lumbar portion of the spinal marrow toward the right glutei muscles.
Forty drops caused a dizziness, as if he would lose his senses, with buzzing in the left ear ; stinging pain in the right jaw, as if fine splinters were stuck under the skin ; ■stinging pain in the back, as if coarse splinters were stuck under the skin ; itching and ■burning in the skin, here and there, with darting stitches, as from fine splinters, at the left olecranon ; cooling sensation at the left glutei muscles, and a violent shock of the body, during rest, the arm being involuntarily jerked downward.
Fifty drops, smarting under the tongue, cooling sensation at the right buttock and under the right shoulder-blade ; griping and rumbling in the bowels, left side, and the above-described muscular twitchings.
Thirty drops, violent stitches, as with coarse needles, where the left infra-orbital nerve issues from its foramen ; creaking in both ears during empty deglutition; in the •evening, in bed, a serpentine twitching in the abdominal rectus muscle.
Forty drops, at 5 A. M., convulsive shocks of the left leg, lower jaw, and lastly, of the left arm, followed by twitchings in the left temporal and zygomatic regions.
Fifty drops, muscular twitchings here and there; at 3 A. M. the prover was awakened by a restlessness in all the voluntary muscles, followed by a trembling of the whole body, especially of the lower jaw ; a sort of chorea set in, consisting of a twitching of the hairy scalp, of the muscles of the temples and cheeks, upper and lower lips, muscles of the shoulders and back, upper and lower extremities, especially the left deltoid muscle, the left glutei and gastrocnemii muscles, and even the mus- cular tissue of the soles of the feet.
The abdominal muscles twitched about confus- edly. These chorea-like twitchings were accompanied by convulsive shocks of vari- ous parts of the body, and jerking up of the fingers ; likewise by violent beating of the heart. The twitchings occurred irregularly, as regards time and locality, and lasted two hours. In the morning the prover awoke with fine stitches at the margin of the lower jaw.
Fifteen drops of the second attenuation induced the same chorea-like twitchings, and a stinging, as from a splinter, close above the left internal malleolus, and, in a few minutes, at the same spot on the right leg.
Forty drops, sticking pains in the right heel and toe ; crampy pains on the inside of the right calf and in the left groin; concussive shocks of single limbs and jerking of the fingers.
Fifteen drops of the first attenuation caused a gnawing itching of the hairy scalp on the front part of the head, and likewise of the skin in various places ; the other symp- toms were the same as those that had been obtained before, such as : muscular twitchings, sticking pains, as if splinters were stuck under the skin ; creaking in the ears during empty deglutition ; convulsive shocks of the whole right side of the body
AGARICUS MUSCABIU& 253
proceeding from the spine. This attenuation yielded, moreover, a biting sensation in the Schneiderian membrane, accompanied with frequent and violent sneezing and muscular twitching in the left lumbar region. Another and peculiar symptom was the following ; on waking in the morning, the prover experienced a smarting sensa- tion at the tip of the tongue, succeeded by a titillating itching, which extended from the nasal orifice of the right Eustachian tube to the inner ear and alternated with a loud ringing in the left ear.
On the 22d of October, twenty-three days after taking the last dose, the prover ex- perienced a violent stitch flashing through the brain like lightning, with sensation as if he should lose his senses. In the afternoon of the same day, several shocks or con- vulsions of the heart were felt. In the evening, in bed, when scarcely half asleep, the prover was awakened by a horrible shock in the interior of the thorax and throat, accompanied by a shriek. This explosion seemed to proceed from the diaphragm, taking an upward course along the oesophagus or trachea, until it violently shook the larynx.
Shortly after this paroxysm, the lower jaw was attacked with a tremor, and finally a convulsive shaking, giving rise to an apprehension lest paralysis should set in. On the first of November the effects of the drug seemed to have vanished entirely, with the exception of one noteworthy symptom, which occurred on this day: A sort of clucking twitching in the interior of the right drum, occurring repeatedly ; a sort of jumping of the tensor tympani, the sound resembling that of a leather covered metallic key which strikes against the instrument.
Nov. 15, 1847, Dr. Huber commenced a series of provings with the strong tincture, prepared from recently gathered fungi. These provings yielded no other result than a confirmation of the symptoms obtained by means of the attenuations, with this dif- ference, that the symptoms elicited by the tincture were more marked, more charac- teristic, more largely and accurately delineated than the symptoms which the attenu- ated drug had yielded.
The dizziness occasioned by the tincture amounted to a sudden and violent parox- ysm of vertigo, as if he should fall to the ground.
The feverish heat of the body increased to a burning ; the lower extremities burned as if burning blood were coursing through the blood-vessels. This feverish vascular excitement was accompanied by a cutting pain in the upper part of the left nostril, as if that part had been sore ; this pain was felt when drawing in, not when expelling air ; it was attended with a catarrhal feeling of obstruction of the nose and discharge of a watery fluid from both nostrils, frequent sneezing and yawning, and frequent and easy expulsions of small pieces of mucus from the fauces and the posterior nares; constant buzzing in the left ear, with a creaking noise in both ears during empty deg- lutition ; soreness at the tip of the tongue ; a cooling burning down the oesophagus, electric stitches in the skin, convulsive shock in the left shoulder.
The itching in the cavity of the ear wras accompanied by a stitch as with an icy-cold needle ; these stitches were painful, and often sudden and darting.
The prover was likewise troubled with a crampy pain in the muscles of the upper arm, and in those of the anterior surface of the thigh ; also with a dislocation-pain in the substance of the left deltoid muscle, where the prover experienced a sensation, whenever he attempted to raise the arm, as if a thousand splinters were sticking in the muscle.
On the 24th of November, in the evening, after lying down, the prover experienced a similar pain in the extensor muscles of the right forearm, as if thousands of splin- ters were sticking in the flesh ; this horrid pain was attended with a momentary sen-
254 AGAEICUS MUSCAKIUS.
sation as if the prover would lose his senses, and succeded by a pain as from splinters sticking in the right cheek, which changed to a digging pain, as if in the bone.
The stinging as if splinters were sticking under the skin and in the flesh, was ex- perienced in various parts of the body, in the cheeks, carpal and metacarpal articu- lations, spinal column, sublingual glands, etc. The feeling often was as if thousands of splinters were sticking in the part.
The sensation as if a part were touched with a piece of ice, or by mercury, was likewise experienced in various parts of the body, in the spinal cord of the lumbar region, temples, nates, right olecranon, toes and ankles, etc.
A creaking, chirping or crepitating noise in the spinal column, especially in the articulation of the atlas, was experienced during a sudden movement of the trunk.
The headache often increased to a violent digging pain, involving one whole hemi- sphere of the brain.
Although the last portion of the drug had been swallowed on the 22d of Novem- ber, yet its effects were distinctly perceived as late as the loth of February of the fol- lowing year, 1848.
On the nth of February, Dr.
Huber reported the following:
" It is scarcely to be believed how long, how obstinately and insidiously the effects of agaricus continued to torment me, even long after I had discontinued my provings with the strong tincture. Even to this day, the nth of February, 1848, these effects continue to show themselves so clearly and characteristically that their genuineness cannot be doubted. Sometimes they appeared quite mildly, as simple indications, as though they were on the point of vanishing altogether, when suddenly they broke forth again with their former intensity.
Not only the former, but entirely new phe- nomena made their appearance. When lying quietly in bed, for instance, I frequently experienced a peculiar creaking in the osseous portion of the nose, as if the spongy bones were pressed or driven toward each other. For many days, even at the same hour in the morning, in bed, I perceived a continual chirping deep in the posterior 'cervical region, as if a cricket were lodged in the lumbar region of the vertebral canal. This chirping was very distinct, lasted four to ten minutes during rest, and reappeared for several days at the same hour.
" In the night of the 5th to the 6th of February, after midnight, I was awakened by my family rushing into my bedroom with lights.
I asked, What is the matter ? and was answered they thought some accident must have happened to me, for I had uttered a horrible cry as if I had been murdered.
I was utterly unable to remember anything of all this, not even my dream.
" I felt so much the more authorized to ascribe these occurrences to the action of agaricus, as I had experienced similar results during my proving, and had never been troubled by anything like this at any previous period of my life."
Vincent Kletzinsky, a student, twenty-one years old, who had been subject, when a boy, to fever and ague and a pain in the occiput, swallowed on several occasions five and ten drops of the tincture. His proving developed the following symptoms :
Stitches through the occiput every ten minutes, more or less violent.
Hemicrania on the left side, with stitching of the facial muscles on the right side, weakness of sight, heat and pressure in the eyes, dizziness with inclination to fall backward.
Palpitation of the heart, attended with a feeling of anxiety which caused the sweat to break out, terminating in a restless slumber, during which he dreamed that he was walking up and down the room, reading, although he knew perfectly well in his dream that he was lying in his bed.
AGARICUS MUSCARIUS. 255
One forenoon, after having swallowed five drops in the morning, he was attacked with confusion of sight, he saw the objects indistinctly and sometimes double.
Ten drops induced the above-mentioned hemicrania, and the inclination to fall backward, burning urine, a drawing pain in the knees, which occurred pretty gen- erally after every dose, burning heat and dryness of the face, which felt as if swollen, with a troublesome feeling of tension in the cheeks; buzzing in the ears, at times in the right, at other times in the left ear.
Kletzinsky concludes his report with the following statement: " While undressing for bed at six o'clock in the evening, I was seized with a violent chill ; while wrapt up in my bed-cover, I experienced a sudden desire to laugh, which originated in an indescribably mingled feeling of comfort and pain. The urine which had just been voided was burning hot and of a dark yellow color. The heat of the face, which was now accompanied with an intolerable anguish, yielded four or five times to a perspiration which I excited by intentionnlly breathing hurriedly with my head under the bed-cover.
On the breaking out of the perspiration I was pervaded by a short- lasting feeling of an extremely pleasant coolness which, as soon as the head was raised from under the cover and the perspiration ceased, was at once replaced by the former heat and anxiety, until about eight o'clock in the evening I fell into a restless sleep, full of dreams, from which I awoke at seven o'clock in the morning of the 13th of February, with a feeling as if I had been very sick, with dullness of the head, bit- ter taste, loss of appetite, and pain in the knee.
I remained in my bed all day, during which yesterday's symptoms gradually disappeared, until an interrupted, dreamless sleep had afforded me so much relief that I was able to leave my bed in the forenoon of the 14th of February, the dizziness and weakness continuing to some extent. The burning in the urethra during urination continued until the 17th of February.
Dr.
Rosenberg instituted a series of valuable provings with the saturated tincture.
On the 1st of March he swallowed ten drops of the saturated tincture at 7 A.
M.
Immediately after swallowing the drug, he experienced a burning and scraping in the throat, extending low down into the left chest.
In the afternoon, during a walk in the open air, he was suddenly attacked with a violent stitch in the small of the back, attended with vertigo and nausea, he had to vomit ; the pain gradu- ally extended along the whole spine, as far as the medulla oblongata.
On touching the vertebral column it was painful in several places.
Toward evening he felt alter- nately hot and chilly ; slept uneasily, with incoherent dreams, felt weary and weak on waking in the morning ; had palpitation of the heart, with copious secretions of pale yellow urine.
Five drops caused violent palpitation of the heart, and, at a later period, ravenous hunger which he was unable to gratify on account of the food not suiting his palate. This disappointment caused another attack of palpitation of the heart, attended with a convulsive cough and sweat as from great anxiety, excessive depression of spirits. About midnight he was roused from sleep by a spasmodic pain in the left side of the abdomen, with urging to stool ; straining at stool caused a violent pain in the small of the back, the lower limbs felt as if bruised and semi-paralyzed ; the urging contin- ued all night ; next morning violent stinging-burning pains were felt deep in the vertebral column (cord?).
The violent distress in the lower limbs continued for several days, and the backache for more than a fortnight.
Twelve drops of the first attenuation caused frequent attacks of yawning, followed
256 AGARICUS MUSCARIUS.
by involuntary laughter.
After a sound sleep he awoke in the morning with a spas- modic cough, tremor of the heart and a feeling of anxiety.
Next night he had three watery stools with pain in the region of the spleen.
Dr. Alexander Wagner instituted provings with the attenuations as well as with the saturated tincture.
Forty drops of the second decimal attenuation caused a feeling of weakness and colicky pains in the umbilical region.
Ten drops of the first decimal attenuation caused colicky pains and burning-aching pains in the hypogastric region ; also coated tongue and flat taste in the mouth.
Forty drops caused a feeling of repletion after eating, as from flatulence, itching on various parts of the body, in the umbilical region, on the inner surface of the thighs, on the hairy scalp, arms, etc. ; yellowish tint around the wings of the nose, in the corners of the mouth, and in the face generally ; yellow spots before the eyes.
Sixty drops caused an itching and burning at the anus, and burning pimples on the upper and lower lips, changing in the course of the day to vescicles filled with a yellowish serum. Whitish pimples broke out in the umbilical and pubic regions and on the inner surface of the thighs, which caused a furious desire to scratch. The itching commenced with a crawling sensation under the skin, occasionally mingled with stinging and burning ; 'scratching stained the linen with numberless bloody points. A close examination showed that the eruption was grouped around the roots of the hairs in the shape of two to ten desquamations of the epidermis, constituting Hebra's lichen pilaris urticatus.
The first attenuation was continued in quantities of one hundred to one hundred and fifty drops, without developing any other symptom beside the furiously itching and burning eruption.
This itching was relieved by washing the parts with the spir- its of camphor.
The eruption gradually disappeared, but the itching continued more or less until about the middle of January.
On the 22d of January, 1848, Dr. Lintz commenced his provings with the tincture He swallowed successively ten, forty, fifty, sixty, eighty, one hundred and two hun- dred drops of the saturated tincture. The furious itching again tormented him, and the rash likewise reappeared, but was less distinctly defined than it had been while the attenuations were proved. Another prominent and constant effect of these large doses was a thickly coated, pasty tongue, scraping and burning, or astringent dryness of the fauces, stitches, or a drawing and pressure, from the throat to the ear, appar- ently along the Eustachian tube or lower jaw ; a tension and drawing in the sterno- cleido-mastoidei muscles ; colicky griping in the bowels ; sensation as if the liver were dragged down ; loss of appetite.
GENERAL THERAPEUTIC INDICATIONS.
It is evident, from the splendid provings which Professor Zlataro- vich has furnished of this drug, that it must exert a most powerfully disturbing influence upon the nervous system. It seems to affect, more particularly, the sentient nerves, the motor nervous system, the nerves which are more particularly connected with the functions of the heart, and likewise those which regulate the functions of the reproductive system. Locally this fungus seems to act as an irritant
AGARICUS MUSCAKIUS. 257
and eminently destructive poison. It causes vomiting, colicky pains, diarrhoea, meteorism, a small and frequent pulse, anxiety, oppression of breathing, etc., and finally destroys life by inflammation and gangrene of the mucous lining of the stomach and intestines.
When reaching the brain, by absorption or by direct action, the poison causes vertigo, delirium, loss of consciousness, etc., and may cause death by these violent inroads upon the nervous system.
Paulet relates several cases of poisoning where the patients experi- enced intense loathing, vomiting, fainting fits, anxiety, stupefaction, loss of consciousness and a feeling of constriction in the throat.
They remained free from colicky or any other pains.
Emetics and warm water caused discharges of fungi and bloody substances, both by the mouth and rectum, after which the patients slowly recovered.
Some experienced violent colicky pains and were treated with emollients and opiates.
Viewing the symptoms in their totality and considering moreover the essential nature of the effects of this fungus, and their remark- able analogy to those of the continued abuse of alcoholic stimulants, we are led to regard this drug as eminently adapted for the cachexia, viz., the deterioration of the fluids and the aberrations of the nervous system, to which drunkards are so frequently and so univers- ally liable. Experience will have to show how far the various series of effects which this agent develops in the physiological organism, may point to it as a curative agent in pathological disturbances other than those occasioned by alcohol.
The pains which this fungus has developed in our provers are very peculiar. Beside the pains of a rheumatic character, such as tearing, or drawing-tearing pains, we note stinging or sticking pains, as if splinters were sticking under the skin or in the part ; the record reads that these pains sometimes seem to proceed from thousands of such sharp points ; they seem to have been more par- ticularly felt in the deltoid muscles and in the cheeks.
Another set of pains are tensive pains with a feeling as if the muscles had been strained ; this pain, when affecting the scalp, causes a sensation as if this organ were adhering more tightly to the scalp.
Dislocation pains are felt in the deltoid muscle, in the hip joint, etc.
Burning pains are likewise caused by this agent, more particularly in the region of the spinal cord, in the hypogastrium, in the fauces.
Dr. Huber's provings show most conclusively that this drug exerts
VOL. I. — 16.
258 AGARICUS MUSCARIUS.
a powerful action upon the nervous system, causing a variety of muscular twitchings and tremors. The provings instituted by Kletzinsky and Rosenburg, likewise point to this drug as a powerful curative agent in nervous derangements, more especially for such chorea-like twitchings and tremors as drunkards are subject to, and even for acute irritations of the spinal cord, of which the acute and intensely-painful stitch experienced by Dr. Rosenburg, the burning and stinging-burning pains in the cord, the burning spots, the pain- ful tension and excessive tenderness of the cord and various other abnormal sensations, such as chirping, crepitating and other mur- murs constitute characteristic indications.
The special senses are powerfully disturbed by this fungus ; more particularly the sense of vision, the poison having occasioned diplo- pia, mistiness of sight, itching under the eyelids, lancing pains in the canthi, aching pains in the eyeballs, as if occasioned by the pressure of some foreign body upon the globes of the eye. These symptoms do not indicate agaricus as a remedy for special affections of the eyes, but can only be regarded as confirmatory indications for the use of this agent in some general constitutional cachexia.
The functions of the alimentary canal, of the urinary and sexual organs, are materially altered by the action of agaricus. A careful analysis of these alterations will satisfy the reader that these altera- tions, when occurring as pathological disturbances, will not yield to the action of agaricus unless they can be traced to some more gen- eral dyscrasia as their fountain head.
Similar remarks apply to the action of agaricus upon the respira- tory organs and upon the heart. The deterioration of the mucous lining of the former can only be regarded as symptomatic of a vitiation of the secretory functions of the general organism, and the violent irritation of the heart, as manifested by convulsive shocks, fainting, depression and intermission of the pulse, if occurring as a more or less specific or isolated group of morbid phenomena, will most likely require some more or less specific agent, such as aconite or digitalis.
These few indications may suffice to illustrate our ideas concern- ing the therapeutic range of agaricus. It is a vastly penetrating agent, affecting every part of the animal economy, and for this reason ranked by Hahnemann among the antipsorics and ill-adapted for the removal of morbid phenomena which do not constitute integral ele- ments of a logically-connected series.
AGARICUS MUSCARIUS. 250
CEREBRO-SPINAL GROUP.
Stupefaction and vertigo, as if the brain were in a whirl. \ ertigo with buzzing in the left ear.
Intoxication.
Depression of spirits, even in cheerful company.
Frequent yawning, followed by involun- tary laughter.
Sensation as if both sides of the head were pressed against eacli other.
Stitching pain from left parietal bone to left temple.
Painful stitches in the temples.
Sensation as if the head were pressed upon all around.
Stitches through the brain, as if he were to lose his senses.
Digging pain in one hemisphere of the brain.
Drawing-aching pain in the forehead, extending to the eyes.
Stitches through the occiput every ten minutes.
Stinging in the temples.
Stupefying headache, with vertigo.
Creaking sensation in occiput, with deafness in left ear.
Stitching and jerking in left forehead, extending to the eyes.
Burning at vertex, with stupefac- tion and vertigo.
Painful prickings in the temples.
Digging and formicating sensation in the forehead.
Sensation of expansion in the forehead, as if the brain were whirling about.
Painfulness to contact in the region of the eyebrows.
Sensation of fulness in the head.
Drawing-pressing pain at left frontal protuberance.
Cool creeping at the vertex, with a feeling as if the scalp were adhering more tightly to the skull.
Hemicrania.
Painful pressure in the head and eyes.
Painful spots at the forehead.
Shock in the left side of the head.
Prickings in the left frontal protuberance.
Stitches in the left frontal protuberance which a slight but unexpected noise is sufficient to excite.
Stitching at the hairy scalp, changing to a pressure at the center.
Headache
We may recommend agaricus for headache or hemicrania, more especially when consequent upon a debauch or per- haps upon some violent nervous excitement. For the symptoms which characterize the agaricus headache we refer the reader to the symptoms of the Cerebro-Spinal Group generally.
APOPLECTIC CONDITION OF THE BRAIN, characterized by coma, paralytic condition of the extremities, feeble and irregular pulse, nausea, fetid breath, puffiness and bluish color of the face.
CEREBRO-SPINAL MENINGITIS
It may prove a valuable remedy in cerebro-spinal meningitis, especially in cases where the congestive symptoms are well marked.
A careful scrutiny of the symp- toms given under the respective groups will point out to you the conditions under which the drug will be homoeopathic to the case.
The spinal and ganglionic nerves are impressed by agaricus in a
260 AGARICUS MUSCARIUS.
■variety of ways. The abnormal sensations by which these impres- sions are characterized, and the anatomical regions where these dis- turbances of the nervous equilibrium are experienced, constitute agaricus one of our chief agents by means of which the restoration of nervous harmony can be successfully effected. Our provers have noted the following remarkable list of characteristic abnormal changes in the action of these systems of nerves, which are circum- scribed by the boundaries of any particular anatomical locality.
Weakness after the least exertion.
Tearing in various parts of the body, in the outer side of the left leg.
Pain in the sacrum, as if it would fly to pieces.
Weight at the small of the back, with coldness spreading down the thighs.
Weariness of the body.
Ten- sive-aching pain of lumbar vertebrae on the right side, only felt on this side when lying on it, disappearing when turning to the left.
Digging-aching pain in the right posterior cervical region.
Muscular twitchings at the left knee, arm, back, etc.
Shock of the whole body, the arm being jerked downward.
Serpentine twitchings of abdominal rectus muscle.
Shocks in the lower limbs, lower jaw and lower arm.
Chorea-like twitchings.
Nervous derangements of vari- ous kinds (see Dr.
Huber's report).
Dislocation-pain in left deltoid muscle, with sensation, when raising the arm, as if a thousand splinters were sticking in the muscle.
This pain was likewise expe- rienced in the extensor muscles of the right forearm, in the cheeks,, carpus, metacarpus, spine, sublingual gland, etc.
Creaking, chirp- ing or crepitation in the spine during sudden movements.
Chirping deep in the cervical region.
Fainting turns, with inclination to vomit.
Tension in lumbar region, aggravated by standing.
Spinal irritation.
Stinging pain in every articulation of the body, especially the knee-joints.
Stinging-burning pain deep in the vertebral column.
CHOKEA. — Agaricus has been of eminent service in the treat- ment of chorea minor and chorea major with twitchings of the muscles, or with excessive mobility ; the limbs being often moved in the most fantastic manner.
Albert L., aged ten years, slender, well grown, with a lively, sanguine tempera- ment, and merry disposition, had an attack of St.
Vitus dance when he was four years old, wnich was then cured by iron-powders.
Four months before I was called to see him he had another attack of the same disease.
It commenced this time with an impediment of speech ; he ceased to talk intelligibly.
After this he began to- drag his right foot ; he could not walk in a straight line, nor did the muscles of his right arm obey his will.
He could not use it for eating, because his hand would go everywhere but to his mouth.
The same symptoms soon extended to the left side, particularly of his face ; and when I first saw him his limbs were in incessant motion,.
AGARICUS MUSCARIUS. 2G1
with the distinct character of involuntary jerking, pushing or pulling in various directions.
These motions lasted all day, and during the first period his mother had to use some violence to keep him in bed ; but as soon as he has once fallen asleep, all motion ceases entirely, and he sleeps quietly.
His appetite is very strong, and his bowels are in good order.
He passed a couple of long worms some time ago.
His speech is entirely unintelligible to every stranger; his tongue is not subject to his will, and the same phenomenon extends to the muscles of deglutition ; the food he eats and the water he drinks fall out of his mouth again, before he is able to swallow them.
He walks in a jumping, jerking way, as if he were pushed by some invisible power, in one or the other direction, different from that of his will.
His mind is not impaired at all, and his disposition exceedingly merry and playful, inclined to fun and mischief.
This latter circumstance, which struck me as a prominent symptom of the case, decided my choice among the indicated remedies in favor of hyoscyamus.
But, to my astonishment, this remedy did not show the least effect in the course of one week ; whereupon I prescribed agaricus muscarius8.
This exnibited a slow but decided action upon all the symptoms at the end of the first week after commencing it.
It was therefore continued, and four weeks later I made tbe following memoran- dum : Improvement steadily progressing ; he walked out alone for the first time to-day; has dressed himself without assistance; he can drink alone; he jerks his mouth, which, when talking, he opens in the form of a fish-snout; his speech is much better, but he still makes involuntary motions with his hands and feet, particularly in in a backward direction.
Agaricus muscarius40 was persevered in for some time longer, and gradually restored the boy, who at the same time was growing and rapidly gaining perfect health.
(Dr.
Blcede in the U.
S.
Jour, of Horn., Feb., 1861.)
In the Horn.
Review of July, 1868, Mr.
Clifton gives the case of a patient, a thin, spare girl, eighteen years of" age, who had had no previous ailment except ascarides.
Her appetite was irregular and capricious ; the extremities cold, and she was very liable to chilblains.
The catamenia had not appeared ; neither was there any devel- opment denoting their approach.
For two months past she had complained of weak- ness, and for five weeks this weakness had increased, especially in the right arm and leg, and had been attended with twitching.
On examining her I found the following symptoms : Pupils dilated ; tongue large, furred white ; appetite capricious ; thirst moderate ; digestion fair, but attended by some flatulence and eructations ; urine and stools normal ; pulse feeble and slow ; hands and feet cold ; right arm and hand con- stantly in motion; turning or twisting of them inward; twitching of arms and fingers ; weakness of the muscles of the arms ; she often dropped her knife or spoon when eating; the right leg was weak; she dragged it after her and twisted the toes inward ; generally tired and weary.
I gave her sulphur, then cina, then ignatia, and afterward belladonna with no effect.
I then found out that all these choreic symp- toms ceased during sleep.
This condition led me to agaricus.
I commenced with drop-doses of the second dilution three times a day.
In a week she was better.
She continued it for three weeks, and was improving, when I gave her the 6th for another three weeks ; by this time she was well, and has continued so ever since.
Catamenia came on three years afterward quite naturally.
DELIRIUM TREMENS, with maniacal rage, attempts to commit suicide.
Mr.
Clifton, in the article already quoted from, says: u Agaricus has in my hands cured two cases of delirium tremens when other medicines had proved ineffectual.
I gave it in two-drop doses every four hours.
The restless, nervous excitement was calmed, the horrible visions of mice and men running about the room were dispelled, sleep followed, and the craving for wine and spirits was allayed."
MANIA SALTATORIA, where the muscles are excited into the most fantastic motions by the slightest stimulus imparted to them by the will.
262 AGARICUS MUSCARIUS.
EPILEPSY, when the paroxysms are accompanied by symptoms of violent cerebral congestion.
Agaricns exerts a specific action upon the optic nerves and upon the ophthalmic division of the fifth pair, or the nerve of Willis, as may be inferred irom the following symptoms described by our provers:
Stitching pain in the right eyebrow.
Stinging above left eyebrow.
Pressing pain in the region of the eyebrows.
The letters seem to be in motion.
Objects are seen as if through gauze.
Stitching and burning in the eyes.
Burning at the left eyebrow.
Stitching pain in the right eyebrow.
Weakness of sight.
Coarse stitches at infra-orbital foramen.
Confusion of sight, indistinct vision, diplopia.
Pain in the eyeballs.
Painful prickings in the eyeballs.
Tingling and itching under the left eyelid.
Yellow spots before the eyes.
Vanishing of sight when reading.
Swimming sensation before the eyes.
Burning in the outer canthi.
Lancing pain in the inner canthi.
WEAK AND SORE EYES— Agaricus has a marked influence upon the eyes.
How far this may be made available in the treat- ment of weak and sore eyes when caused by abuse of alcoholic stim- ulants or by exposure to hygenic and atmospheric conditions which would lead to a general deterioration of the tissues, remains to be tested by experience.
In
SPASMS OP THE MUSCLES OF THE EYE, ceasing during sleep, it has been found useful.
AURICULAR GROUP.
Stitch in the left meatus auditorius.
Itching in the ear, with icy- cold stitches, which are painful and often sudden and darting.
Buzzing in the ears, alternately in the right and left.
Purring in the ears, like the puffing of a locomotive ; this noise changes to a sen- sation as if a nail were driven in at some distance.
Titillating itching front the nasal orifice of the right Eustachian tube to the inner ear, alternating with a loud ringing in the left ear.
Buzzing in the left ear.
Creaking in both ears during empty deglutition.
Furious itching in left ear.
A clucking twitching in the interior of the right drum, occurring repeatedly.
FACIAL GROUP.
Flushed face.
Itching of the face.
Painful crack in the middle of the lower lip.
Burning in the face, also with sensation as if it were swollen, tension of the skin.
Yellow tint around the wings of the nose and in the corners of the mouth.
AGAIRCUS MUSCAKIUS. 263
JAWS, CHIN, TEETH.
Si*, jng pain in the right jaw as if splinters were sticking under the skm.
Painfulness of the left maxillary articulation.
Stitching- tearing in the horizontal ramus of the lower jaw.
Tearing pain in the upper teeth.
Tearing pain in the lower teeth, also in the left upper arm.
Tearing-drawing pain in the right upper jaw and chin.
NASAL GKOUP.
Throbbing pressure in the nose as if a swollen body were pressing down in it.
Cutting-boring pain in the left nasal canal, darting up to the forehead.
Severe catarrh.
Biting sensation in the Schneide- rian membrane, with sneezing.
Creaking in the nose as if the bones were pressed together.
Sensation as if the nose were ob- structed.
MOUTH AND FAUCES*
Burning and scraping in the throat.
Stitches shooting from the throat to the ear.
Scraping-burning in the fauces.
Soreness of the tip of the tongue.
A cooling-burning sensation down the oesoph- agus.
Smarting-prickling at the left half of the tongue.
Dryness of the fauces, with yawning and sensation as if something would be torn off in the fauces.
Sensation as of a foreign body having lodged in the throat.
Burning in the fauces, the tongue feels rough and dry.
Vesicles on the hard palate, they feel sore.
GASTRIC SYMPTOMS.
Saltish taste in the mouth.
Pinching and tearing in the bowels, followed by bitter vomiting.
Vomiting of a saltish fluid.
Bitter vomiting attended with shuddering.
Vomiting with straining.
Sudden flow of saliva.
Ravenous hunger.
Nausea, terminating in a fit of sneezing.
Repletion after eating.
Sensation as if the stom- ach were dragged down ; a similar sensation is experienced in the region of the liver.
Coated tongue, with flat taste in the mouth.
CHYLO-POIETIC GROUP.
Burning at the stomach. Stitches in the umbilical region, at- tended with sneezing and yawning.
Crampy pain in the pit of the stomach, attended with nausea, empty eructations alternating with hiccough.
Cutting flatulence in the bowels.
Tension in the hypogastric region, followed by flashing stitches in right lumbar region.
Colicky griping extending from left to right ileum.
Griping and rumbling in the bowels.
Violent
264 AGARICUS MUSCARIUS.
stitches in the liver.
Painful sensitiveness in the region of the spleen.
Painful feeling of tension in the lumbar region involving the abdominal muscles, which feel strained.
Crampy pain in the left side of the abdomen at night, with urging to stool.
Pinching and crawling sensation in the umbilical region.
Burning-aching pain in hypogastrium.
Stitches at coecum, anus, knees.
Liquid stools, also with burning at anus.
Watery stools, with pain in the region of the spleen.
Diarrhoeic stool, with griping.
Papescent stools after the usual morning evacuation.
Diarrhoeic stool, with stitches at the anus and cadaverously smelling flatulence.
Obstinate constipation.
Pinching in the bowels, followed by dry stool ; after the passage of the feces a painful dryness is experienced in the anus, attended with a desire to draw it up.
Urging in the rectum, attended with loss of blood.
Straining at stool causes a pain in the small of the back, and a feeling in the lower limbs as if bruised and semi-paralyzed ; the urging to stool continued all night.
The hemorrhoidal tumors become inflamed.
DYSPEPSIA
Agaricus may be of use in dyspepsia, when the following symptoms are present : Epigastric pain, commencing to be felt about three hours after eating, and daily renewing itself about the same time after the meal.
This pain consists in a sensation of burning, soon changing to a sensation of deep pressure, as if a foreign body were inside, accompanied by nausea and vomiting, and by a feeling of obstruction in the throat.
Stitches in the hypochon- driac region and around the navel ; borborygmus ; colic ; constipation.
Nervous subjects, with small, weak and rapid pulse.
(Dr.
Charge.)
INFLAMMATION OF THE STOMACH AND BOWELS, acute or chronic, when caused by the excessive use of alcoholic drinks; the morbid process is revealed by the fetid breath of the patient, by foul discharges from the bowels, by vomiting of blood and bile, cold- ness of the extremities, feeble, rapid and irregular or intermittent pulse, tumefaction and excessive sensitiveness of the bowels, stupe- faction, etc. In
ENLARGEMENT OF THE LIVER, when depending upon ex- cessive vascular engorgements, caused by abuse of alcoholic stimu- lants, we may obtain curative results from the persistent use of agaricus. In the
CHRONIC VOMITING OF DRUNKARDS, and likewise in the
CONSTIPATION or alternate constipation and diarrhoea, to which drunkards are subject, agaricus may prove useful. The,
AGARICUS MUSCAIUUS. 2G5
diarrhoea is watery and has a very offensive, cadaverous smell; when the bowels are constipated the feces are hard and dry, their passage through the rectum causes a painful soreness of the lining mem- brane and invites a spasmodic retraction of the anus.
DIARRHOEA in the morning after rising and after eating, with much rumbling and passing of inodorous flatulence. Green, thin, slimy stools.
Rumm relates the case of a person subject to chronic diarrhoea, coming on in the morning, immediately after rising and after eating, accompanied with much rumbling in the bowels, emissions of flatus and spasmodic colic. After phosphoric acid, Pulsa- tilla, cuprum and other remedies had been given in vain, two doses of agaricus209 cured the case.
URINARY AND SEXUAL ORGANS.
Dribbling of the urine, the penis is cold and looks shriveled.
Urging to urinate.
Tickling in the urethra.
Burning in the urethra at urinating.
Diminished secretion of urine.
Increased secretion of urine.
The skin on one side of the scrotum becomes swollen and inflamed.
Griping tingling in the glans penis.
Invol- untary emissions.
Profuse flow of the menses, attended with tearing in the bowels and uneasiness in the lower limbs.
RESPIRATORY GROUP.
Biting sensation in the Schneiderian membrane, wnn sneezing.
Sensation as if the nose were obstructed.
Dry cough.
Husky voice, with stinging pain in the larynx when drawing a long breath.
The lungs are relieved by expectorating balls of mucus.
Dry cough, with stitching pain in the left breast, changing to a stitching-burning.
Sore pain in the left then in the right breast.
Pain under the shoulder-blades, and in corresponding regions in the front part of the chest.
Cough, with expectoration of flocks of brown mucus.
Oppression of the chest when drawing a long breath, pain in the chest and abdomen as if the parts were wrenched out of place.
Pressure at the right nipple.
Painful pressure at a spot in the lower part of the sternum.
Sharp throbbing pain near the sternum.
Dartings or lancinating stitches through the chest.
Sighing and oppression on the chest.
BRONCHIAL AND PULMONARY IRRITATIONS of the lining membrane, with occasional paroxysms of spasmodic cough, or turns of short hacking cough, with expectoration of lumps or flakes of vitiated mucus, may require agaricus, if the exciting cause can be traced to alcohol.
266 AGARICUS MUSCARIUS.
CIRCULATORY APPARATUS.
Palpitation of the heart, which is sometimes excited by a trifling disappointment.
In the morning he wakes with a spasmodic cough, tremor of the heart, and a feeling of anxiety.
Shock at the heart, with anxiety and a burning distress at the orifice of the urethra.
Shocks at the heart, and trembling at the pit of the stomach ; par- oxysms of oppressive anxiety.
Burning at the heart, with palpita- tion.
Pain in the chest at circumscribed spots.
Pain between the eighth and ninth thoracic vertebras, changing to a painless throb- bing.
Rheumatic tearing and drawing in anterior wall of right side of thorax.
Stitches in the heart, with irregular and intermittent pulse.
Convulsive shocks at the heart.
Palpitation of the heart.
Sharp throbbing pain near the sternum.
Sensation of anxiety and hurriedness in the chest.
Horrid shock in the chest, for a descrip- tion of which see Huber's statement.
IRREGULARITIES OF THE HEART'S ACTION when char- acterized by violent and spasmodic shocks in the region of the heart,, anxiety, and sense of suffocation, may find a remedy in agaricus.
Dr.
Hale gives the following: Clinical Indications
Sub-acute endo-carditis in typhus or renal disease.
Functional Disorders during chorea from cerebral disease and enlargement of the liver, and spinal irritation.
Motor Symptoms
Painful palpitation of the heart when standing ; stitches in the middle of the chest when breathing or bending forward.
Pulse
Small, quick (in moving) ; slow, feeble, unequal, intermitting; undulating, feeble, slow.
Sensory Symp- toms
Drawing pain in the region of the heart, with oppressions and pulsations ; violent oppression of the chest, preventing deep breathing, a sense of constriction ; paroxysms of anxiety in the chest, with a sense of suffocation. * * * Ameliorated by sleep, by standing or sitting still.
Aggravated by the erect posture and from stimulants.
Pathology
Heart filled with black fluid blood.
Peri- cardium and arch of aorta much reddened.
It prevents the proper arterialization of the blood.
FEVER GROUP.
Although some of our provers have observed certain alterations of the nervous system and circulation which may be designated as fever, yet it is evident that the abnormal elevations and depressions of the animal temperature which the amanita is capable of causing, Cannot be regarded in the same light as similar effects developed by
AGARICUS MUSCARIUS. 26?
aconite or belladonna.
The amanita seems to exert its chief impres- sion upon the nervous centers of the cerebro-spinal axis and of the ganglionic system ; the disturbances in the circulatory apparatus are altogether incidental to the nervous derangements which this powerful agent is capable of occasioning.
The following symptoms illustrate more particularly the effects of our drug upon the animal temperature :
Burning in both feet.
Sensation of coolness at the glutei muscles.
Burning in the blood-vessels, which is attended with a cutting pain in the upper part of the left nostril when drawing in air, with a feel- ing of obstruction in the upper part of the nose ; discharge of a watery fluid from both nostrils ; sneezing and yawning and hawking up of small lumps of mucus from the fauces.
Coolness in different parts of the body as if they were touched by quicksilver.
Feeling of coldness at the occiput.
Feeling of coolness in the abdomen.
Cold- ness of the lower limbs.
Weight at the small of the back, with a feeling of coolness spreading down the thighs.
Painless throbbing in the vertebral canal.
Apathy followed by cold shuddering over the whole body.
A cool current spreading from the spine over the whole body.
Shuddering spreading from the stomach over the whole body, attended with cough, pulse 100 and intermitting.
A smar ting-burn- ing at small spots of the spinal column.
Chilliness in the open air* Shuddering, followed by heat in the head and painful beating in the frontal region ; the forehead being at the same time covered with perspiration.
Warmth in the whole body.
TYPHOID FEVER
In some cases of typhoid fever agaricus may be used advantageously.
It comes into play when the nervous system is seriously involved and the brain is clouded.
There is usually constant delirium with attempts to get out of bed, with diffi- culty of protruding the tongue and trembling of the whole body.
Dr.
Hibbard (Am.
Observe?*, 1875, page 150,) has given ten drops of the mother tincture every half hour with excellent success, quiet- ing the delirium and improving the general condition, when lighter doses of the tincture and the dilutions had failed.
BACK AND EXTREMITIES.
Gnawing stitches under the shoulder-blades.
Tension and draw- ing pain in the sterno-cleido mastoid muscles.
Convulsive shocks in the left shoulder.
Painful tearing and tension between the left index-finger and thumb, and in the upper arm.
Prickings in the left thumb.
Numbness of the left hand while leading a little boy.
268 AGAKICUS MUSCARIUS.
Lameness of the right upper and lower arm.
Fine tearing in the left elbow-joint.
Luxation-pain in the right wrist.
Stitch in the olecranon as from an electric spark.
A small abscess on the left deltoid muscle.
Stitch in chin and olecranon.
Fine tearing in ulnar side of left fore- arm.
Painful tearing in right elbow and wrist.
Fine tearing in the left lower arm, with seated pain in the dorsum of the wrist ; numbness of the skin of the left forearm.
Unsteadiness of the right hand.
The thumb and forefinger of the right hand feel numb, with a tingling sensation.
Swelling on the sides of the toe-nail.
Weariness and heaviness of the lower limbs.
Stitching in the left heel, darting upward into the leg.
Stitches in the hip-joint.
Tensive pains at the left acetabulum as if the head of the femur were drawn out of the socket.
Stitches and weakness in the knees.
Weakness and trembling of lower limbs.
Twitching in the small of the back and lower limbs.
Creaking in the fingers and toes, with stinging pain in these parts, and in the integuments.
Dislocation-pain in both hip- joints.
Electric shocks in the extremities.
Unsteadiness of the knees.
Stitches in the knees when rising from a seat.
Muscular twitchings of the right leg, with concussive shocks in this part.
Burning stitch in the left heel.
Drawing pain in the knees.
Rheumatic-drawing pain under the glutei muscles.
Sensation as if somebody were pulling his lower extremities.
NEURALGIA. — tAgaricus is an excellent remedy in neuralgic ail- ments characterized by stitches, a burning distress, sensation as if splinters were sticking under the skin, or as if the muscular tissue had been strained or wrenched out of place ; luxation-pains, stinging- pains in the joints, tearing and drawing pains in the surface of the limbs ; depression of the animal temperature, characterized by a sensation as if a part were touched by a piece of ice or by quick- silver, or as if a cool current were spreading from the umbilical region or from some points in the spine down the lower extremities.
GENERAL SYMPTOMS.
Tearing and drawing in the left thumb and index finger, left temple, left costal region, right side of the head, right knee-joint, etc.
Fine tearing in the right knee and thumb, left upper jaw be- hind and under the ear ; the parts feel sore when pressed upon.
Painfulness and lameness of the limbs after a sound siesta.
Fine tearing at the right parietal bone, on the right leg, and at the middle of the dorsum of the hand.
Orampy pains in the upper arm and anterior surface of the thigh.
AGARICUS MUSCARIUS. 2G9
EXANTHEMATOUS GROUP.
Itching in different parts of the body.
Itching stinging in differ- ent parts of the body.
Gnawing at small spots here and there.
A dense crop of white vesicles of the size of millet seeds.
A prickling at the left index finger, toes and heel.
Itching and burning here and there, with darting stitches as from splinters stuck under the skin.
Gnawing itching of the hairy scalp and other parts of the body.
Electric stitches in the skin.
Boils on the left leg and nates, discharging blood for five days.
Nightmare (see Huber's report).
Suffocative anxiety while dream- ing.
Stupefying sleep.
FROST-BITTEN LIMBS— These symptoms justify the use of agaricus in frost-bitten limbs, when itching and burning a great d^a.L
ERUPTIONS consisting of an itching and burnino- vesicular rasn such as Professor Hebra describes as lichen pilaris urticatus, and the ordinary
ACNE ROSACEA of drunkards may be advantageously treated with agaricus.
ANTIDOTAL TREATMENT— In a case of poisoning with amanita, give emetics until the poisonous substance is expelled ; after which give sulphuric ether or Hoffman's anodyne liquor.
Orfila informs us that he restored dogs after giving them doses of amanita sufficient to kill them, by making them swallow, after the poison was evacuated, alternate doses of ether and etherated water, or the mineral anodyne liquor of Hoffman.
Besides ether, an effusion of galls may likewise prove useful.
Carthartics may have to be resorted to.
We have learned by the experiments of Orfila and other toxicolo- gists, that vinegar dissolves the active parts of amanita and agaricus bulbosus, so that one may with impunity swallow either of these kinds of mushrooms, cut in pieces, and cleansed in this acid, but the liquor itself is exceedingly poisonous.
Hence, when these mushrooms are taken into the stomach with vinegar, in a quantity sufficient to produce death, it takes place sooner than without vinegar, provided the substance has not been vomited ; which doubtless arises from the property possessed by the vinegar, of dissolving those parts which are most easily absorbed.
Orfila further determined by experiment that vinegar and water
270 AG AYE AMEBIC AN A.
appear to be useful when the substance has been removed by evacuants.
Common salt dissolved in water has the same property as vinegar in dissolving the active parts of the mushroom, and has of course the same advantages and disadvantages.
Mr.
Gerard has recently shown before a committee of the Paris Council of Health, that the poisonous mushrooms may be entirely deprived of their deleterious properties by being simply macerated and then boiled in water, to which a little vinegar has been added.
The poisonous principle is entirely soluble in water, and is entirely removed by it.
It is not soluble in alcohol except by virtue of the water which it may contain.
Hence an alcoholic tincture of agaricus must be comparatively weak and perhaps inefficient.
The best process would undoubtedly be to make a watery- solution of the fungus, if it can be obtained fresh, and to add just enough of the alcohol to secure the preservation of the liquid.
I am unable to say whether triturations of the recent fungus would prove efficient ; the experiment is undoubtedly worth a trial.
AGATE AMEBIC A±S A.
[AMERICAN ALOE, CENTURY PLANT.
NAT.
OKD., AMARYLLIDACE^].]
Acaulescent (apparently stemless) ; leaves spinous-dentate, lanceo- late, leather-like, and fleshy ; scape branched, lofty and arborescent ; coronal tube contracted in the middle ; pedicel as long as the corolla.
The largest of all herbaceous plants, native of tropical America, often cultivated.
It is a popular notion that it flowers but once in a hundred years, but it is known to flower much oftener, according to the culture it receives.
Leaves radical, thick, three to eight feet long and four by twelve inches wide.
The scape arises from the center of the leaves to the height of fifteen to twenty-five feet, bear- ing a pyramidal panicle of innumerable yellow flowers.
Cultivated for ornamental uses.
(Wood.)
The plant grows in the American tropics, in barren, sandy soil.
Its juice furnishes to the natives an intoxicating drink, and the tender part of the plant is used for food.
The fresh juice is said to be diuretic, laxative and emmenagogue.
Little is known of its me- dicinal properties.
In the A7".
Y.
Jour, of Med., 1850, a report by Surgeon Perrin, U.
S.
A., to his department is published, stating that he had successfully employed it in a number of cases of scurvy.
AGNUS CASTUS. 271
In the cases narrated it had been given in doses of two fluid ounces, three times daily, of the expressed juice of the plant (leaves) and cured when the older remedies, including citric acid, had failed.
GONORRHOEA. — Homoeopaths have used it in gonorrhoea, char- acterized by excruciating, painful erections ; chordee ; strangury ; drawing in the spermatic cord and testicles, extending to the thighs, " so violent that he wishes to die."
A student had gonorrhoea, with violent, painful erections, chordee, strangury with drawing in the spermatic cords and in the testicles, running into the thighs.
The usual medicines did him no good and he wished that he might die.
A teacher in Montpellier gave him a few grains of the extract of agave americana and in a few hours he was relieved, as if by magic, from his unspeakable torment.
(Rosenberg in the Allg.
Horn.
Zeitg., xxxv, 4.)
Arsenic causes excessive restlessness especially at night, when the effects of arsenic are generally more marked than in the daytime ; the patient is utterly unable to keep quiet, he has to move and toss about continually.
Arsenic also causes nightly attacks of dreadful anxiety and oppression during sleep, which suddenly rouse him as if he would suffocate.
Anxious dreams, or dreams about revolting
ARSENICUM JODATUM. 505
vermin, animals, constitute another effect of arsenic. These symp- toms, if occurring as elements of other, more general, groups, are so many characteristic indications for the use of this great agent.
ANTIDOTAL TREATMENT.— In a case of poisoning, we use the stomach-pump, and give an emetic of sulphate of zinc, tickle the throat with a feather, and promote vomiting by demulcent and dilu- ent liquids, such as milk, a solution of the white of eggs and water, flour and water, gruel, sugared water, oil and lime-water ; the liquid serves to promote vomiting, the demulcents invest the poison- ous particles, and the lime-water diminishes the solubility of the arsenious acid. To expel arsenious acid from the intestines, use castor oil.
We use mechanical and chemical antidotes : The Cornish miners use olive oil with confidence.
Charcoal, magnesia, and any inert powder may be used to envelop the arsenic, and prevent its contact with the gastric surfaces.
The principal chemical antidotes are, the hydrated sesquioxide of iron, or brown iron-stone, magnesia and lime-water.
If the hydrated oxide be not at hand, give the common red oxide or iron rust with water.
According to Pereira, these agents only act as mechanical antidotes.
We give a table-spoonful to adults, and a dessert-spoonful to children every five or ten minutes, until the poisonous symptoms are subdued.
This acts well in cases where the poison was taken in solution ; it then precipitates the arsenic as a neutral arsenite of iron.
For the constitutional symptoms we may have to resort to dynamic remedies, such as aconite, cinchona, ipecacuanha, etc.
Stimulants may be required for the depression.
Castor oil and opium may like- wise be required, together with the continued use of antidotes.
Bryonia disturbs the sleep by exciting annoying dreams about one's affairs; dreams full of quarrel ; startings during sleep, visions of frightful scenes and objects crowding upon the fancy, while the body is hot and covered with sweat.
These symptoms show that in conditions of the system where the vascular and nervous functions are powerfully irritated by disease, particularly in the various inflammatory fevers to Avhich bryonia is homoeopathic, this agent must often be capable of affording help.
MENTAL GROUP.
Bryonia depresses the spirits, causes irritability of temper, vanishing of ideas, delirious talk, with desire to get away from bed, hurried speech; he fancies that he is among strangers and wants to get home.
These symptoms are not very important in themselves ; but they may complete a group of phenomena such as may occur in various fevers, and other derangements for which bryonia has been recom- mended. An irritable temper, and a gloomy, hypochondriac depress- ion of spirits, are eminently characteristic of bryonia.
Small doses of chamomile cause drowsiness ; the more intense or violent action of this drug induces a sort of wakefulness at night, with paroxysms of anxiety, visions, incoherent talking ; moaning and starting up during sleep, with anxious and quarrelsome dreams.-
These effects of the drus: mav be observed during an attack of fever, or they may occur as elements of a more general pathological group with which chamomile is in homoeopathic curative relations.
MENTAL GROUP.
Ohamomilla causes restlessness, irritability of temper, anxiety which may be accompanied with flashes of heat and occasional at- tacks of palpitation of the heart.
These symptoms are only of importance in so far as their presence may confirm or complete the homoeopathicity of chamomile to the various pathological disorders which we have enumerated in previous paragraphs.
OHELIDOOTUM MAJUS.
[GREAT CELANDINE. NATURAL ORDER, PAP AVER ACE.E.]
This plant grows along hedges, roads, in waste places, from one to' two feet high, with yellow flowers, and filled with a yellow, milky juice, which has a burning taste. We make a tincture of the root, which has a gold-yellow color and a nauseous, acrid taste.
Hahnemann has left us a few provings of this drug, which were repeated by the Imperial Pro vers' Society of Vienna.
Schneller commenced his experiments with five drops of the tincture, increasing by five drops each day for the first six days, and afterward by ten, twenty and thirty
CHELIDOKIUM MAJUS. 689
drops, so that, on the last day of the trial, one hundred and forty drops were taken at once, and six hundred and twenty-five drops in all.
The first doses caused a sensation of burning in the pharynx and oesophagus, empty eructations, an increased secretion of mucus in the fauces, warmth in the face, some increase of the urinary secretions and alvine evacuations, restless sleep.
From twenty to twenty-five drops caused a more marked burning and more eruc- tations, pappy taste, white-coated tongue, increased secretion of mucus in the hot mouth; a vesicle in the mucous lining of the lower lip, filled with clear serum and disappearing after breaking ; aching pain in the forehead and occiput.
After the last doses of seventy to one hundred and forty drops : drawing pains in the muscles of the chest and backhand in the teeth ; a papulous exanthem upon a red base, breaking out on the upper lip and right cheek ; loathing, eructations, repletion in the abdomen, burning in the urethra, frequent urging to urinate with increased secretion of a clear, watery urine, restless sleep.
The watery extract of the plant was likewise experimented with.
The experi- ments were commenced with ten grains; this dose was increased every day by ten grains, until one hundred grains were taken at one dose.
In all, five hundred and fifty grains were taken.
Up to sixty grains, the gastric symptoms remained the same : Loathing, eructations, rumbling in the abdomen, oppression of the stomach, white-coated tongue, emission of flatulence ; shooting stitches in the right lower extremity ; a very striking symp- tom, which manifested itself three hours after taking the drug, was a peculiar burning with increased redness in the face ; after seventy to one hundred grains, papulae and pustules broke out in the face, especially on the forehead and temples, on the cheeks, the wings of the nose, and upon the upper lip, most frequently on the left side in clusters of four each; moreover a small furuncle in the middle of the right jaw. Whilst the pustules in the face were drying up, fresh ones broke out which disap- peared in a few days after the drug was discontinued. The urinary secretion seemed increased, the feces had a darker color and the head felt somewhat embarrassed.
A closer examination of these symptoms makes it appear that chelidonium exercises a disturbing influence over the bilious and gastric functions, and that its therapeutic agency will be found mostly confined to bilious and gastric derangements.
BILIOUS DERANGEMENTS, to which chelidonium is homoeo- pathic, are characterized by the following symptoms : Dull headache, burning in the face, flushed face; loathing, nausea and vomiting, coated tongue, pasty taste, flatulence, increased frequency of the alvine evacuations, dark urine ; dimness of sight, sopor. In
BILIOUS FEVER, especially in persons whose liver has been de- ranged for sometime previous to the attack of fever, chelidonium may prove an excellent remedy.
Bernhardi in his your, of Clin.
Med., relates among others, the case of a woman, aged thirty-eight, of robust constitution, who had been ill for eight days when he was consulted.
She then felt so exhausted and bruised, that she could leave the bed for a short time only ; there was drawing and aching in the limbs, tightness in the epigas- trium, but no other well-defined pain.
The pulse was about 90, feeble, soft ; urine of a dark golden-yellow, clear, with the exception of a muddy looking sediment at the
vol. 1. — 43.
690 CHELIDONIUM MAJUS.
bottom ; reaction was decidedly acid. She had a foul taste in the mouth, the tongue looked clean but pale. After receiving other drugs, which failed to benefit her, she was put upon hourly doses of five drops each of the tincture of chelidonium, fol- lowed by slight improvement. Under the continued use of the remedy she made eventually a good recovery ; and was cured of a similar attack, about a year later, by the same remedy.
To the homceopath this case presents one feature of great interest, namely, a prompt and remarkable aggravation of all of the symptoms (pulse, temper- ature, urinary symptoms, epigastric distress, etc.), which followed an increase of the dose from five to eight drops, her attendant evidently acting upon the belief that, if a little did the patient good, more would do still better. The. remedy was promptly discontinued until the aggravation had subsided, when it was resumed in four-drop doses.
GASTRIC DERANGEMENTS are characterized by a sour or saltish-bitter taste, bitter eructations, increased secretion of mucus and saliva, pasty taste in the mouth, pressure in the stomach, sense of fulness in the abdomen, increased urging to urinate, with a more copious discharge of watery urine.
Chelidonium has been used by old school physicians for chronic liver-complaint, very often with remarkable success. Our provings show that every striking success of this kind must have depended upon the homoeopathic relation which the drug held to the disease.
JAUNDICE. — Bitter taste, tongue clean and of a deep-red color, tension of the praecordia, urine brown-red, clear, sour ; stool white.
DIARRHCEA. — In diarrhoea of a gastric bilious character, slimy, greyish-yellow, or watery, papescent, with sallow complexion, tongue slightly coated, no appetite, chelidonium is useful.
ASCITES.—
A boy was attacked with light-yellow, watery diarrhoea; in a few days ascites supervened.
Complexion very pale and sallow, urine scanty, light-yellow, clear and sour ; the palms of the hands looked remarkably yellow.
Chelidonium cured him in a week.
While chelidonium exerts its action mainly upon the chylo-poietic apparatus, it cannot now be denied that it affects the respiratory ap- paratus in a pretty decided manner.
Many of the symptoms of the chest, recorded by provers, are undoubtedly due to bilious derange- ments.
But clinical experience has proved the usefulness of the drug in at least a few disorders of the respiratory organs.
The asser- tion of Rademacher that it is often curative in
PNEUMONIA is generally concurred in by practitioners who have used it.
We have verified his indications, viz., pneumonia of the right lobe ; pain under right shoulder blade ; great and quite irregular palpitation of the heart.
Bilious symptoms.
WHOOPING COUGH
Hughes indorses Teste's recommendation of the drug for whooping cough.
Kissel relates a number of very satisfactory cures made with it.
CHIMAPHILA (JMBELLATA. 091
A robust, fat boy, four years old, has coughed for eight days and has had evening fever, with perfect intermission.
By the 19th day of March, 1849, ne had grown re- markably poor, had a dirty-grayish appearance of the countenance, and expectorated phlegm, but complained little.
Auscultation revealed nothing abnormal; the stools were of a light yellow ; the urine was of the same color, and acid; in the morning, the pulse and the temperature were normal.
He received in all about twelve drops of the tincture of chelidonium daily.
Two days later his fever had left him and he convalesced rapidly.
It is claimed that chelidonium produces marked effects upon the kidneys.
That it may be of advantage in diseased conditions of that structure, if coincident with hepatic derangements or indirectly de- pending upon them, is quite probable.
But whether it is safe to attribute to it any power beyond that, time and continued observa- tion will have to prove.
PAPULAE. — Our provings show that papulse and pustules and rheumatic stitches, when characterizing bilious or gastric derange- ments, may bo treated with chelidonium.
Coffee causes wakefulness and great restlessness, as if caused by an excessive mobility of the nervous system.
Hence we rely upon coffee as an excellent means of controlling such a condition.
The wake- fulness which coffee is capable of remedying is the result of excessive mental exertions, excessive anxiety, an overstrained condition of the brain.
Even if persons had been in the habit of drinking coffee, we shall find that the potentized coffee will still affect them.
MENTAL GROUP.
MANIA
The first effect of coffee is to excite the brain and to enliven the spirits.
This is followed by a corresponding depression
C0LCH1CUM AUTUMNALE. 1 5 7
of spirits.
We may, therefore, prescribe coffea for mania, charac- terized by fits of liveliness, followed by the opposite state of depres- sion.
In
HYSTERIA where similar changes prevail, with occasional flashes of heat, precordial anxiety, coffea may be of great service.
ANTIDOTAL TREATMENT Coffee is an antidote to many
narcotics, such as aconite, belladonna, opium ; the ill-effects of coffee are controlled by nux vomica and cold affusions.
COLOHIOTJM AUTUMNALE.
[MEADOW SAFFRON". NATURAL ORDER, COLCHICEiE.]
This is a perennial plant, which flowers in September and October. The bulbous extremity of the plant is a dark-looking cormus, to which numerous filamentous rootlets are attached, from which rise flowers of a pale-purple hue ; the leaves are a foot or more long, of a dark -green color, smooth, and from one to two inches broad ; the flower-stem, which is tubular, is whitish at the lower extremity and surrounded by two or three membraneous sheaths. The flowers appear in September, the leaves and fruit not till the spring follow- ing. During the winter, the seeds remain buried in the cormus.
This plant is found in most parts of Europe, Asia Minor and North America.
It grows in moist and rich meadows.
The plant derives its name from Colchis, a district in Asia Minor, in whose neighborhood it was first found in great abundance.
In medicine we use the cormus, which when gathered at the proper season, is about the size of a chestnut, and resembles, exter- nally, the bulb of the common tulip, from which, however, it is readily distinguished, as well as from other lilaceous bulbs, by being solid, the tulip bulb and others being composed of laminae or scales. The cormus has two coats, the outer one of a brown color, the inner of a reddish -yellow. Internally it is white, fleshy and solid ; it is very feculent and has an acrid' bitter taste.
We prepare a tincture from the recent cormi by maceration and subsequent expression of the juice.
If we wish to dry the cormi they should first be cut in transverse slices, and then dried in an airy place of about 170°F.
The seeds, however, are generally preferred to the cormus ; of the seeds we make a fine yellow tincture.
The effects of Colchicum upon the human organism are both in-
758 COLCHICUM AUTUMN" ALE.
teresting and instructive. Baron Stoerck found that, on cutting the fresh juice into slices, the acrid particles emitted from it, irritated the nostrils, fauces and breath, and that the ends of the fingers with which it had been held became quite benumbed ; that, applied for two minutes to the tip of the tongue, it rendered the part rigid and almost void of sensation for six hours ; that, less than a grain, wrapped up in a crumb of bread and taken internally, produced alarming symptoms, a burning heat and pain in the stomach and bowels, strangury, tenesmus, thirst, total loss of appetite, etc., which were greatly relieved by an acidulous mixture of syrup of poppies ; that an infusion of three grains of the root in four ounces of wine, slowly swallowed, occasioned a tickling in the larynx and a short, dry cough ; soon after, a heat of the urinary passages, and a copious discharge of pale urine, without sensibly affecting the other organs of the body ; that an ounce of the sliced root being digested in a pound of vinegar for forty-eight hours, and the bottle frequently shaken, the root became insipid, but the vinegar became acrid, irri- tated the fauces and produced cough.
Large doses of colchicum have frequently destroyed human life.
In the tenth volume of the London Medical Gazette the following case is reported by Mr.
Fereday.
A man swallowed two ounces of the wine of the seeds of colchicum by mistake for rum.
About an hour and a half after swallowing it, acute pain in the bowels came on, followed by copious vomiting of a yellow fluid, acute tenesmus, suppression of urine, small, slow and feeble pulse.
The pain was described as of a knife piercing him ; the tongue was natural ; the countenance anxious, features sharp, cheeks, lips and eyelids purple ; sensation of losing his limbs on walking ; the vomiting increased ; the fluid brought up was like coffee-grounds, and the patient died forty-seven hours after taking the poison.
After death, the face, neck and front of the thorax were found covered with a purple efflorescence.
The stomach and bowels were coated with a thick, tenacious colorless mucus.
Blood was effused between the muscular and peritoneal coats ; the pleurae costales were much reddened ; the heart was flabby, and its structure easily broken down ; ecchymosed spots were observed on the surface of the lungs, of the heart and of the diaphragm.
Two cases are reported by Dr.
Ollivier, in the Annales d* Hygiene, where cramps in the soles of the feet constituted a characteristic symptom.
In one case the symptoms were : continual vomiting but no purging ; pulse thready and slow ; intense thirst, no convulsions or tetanic spasms, but severe cramps in the soles of the feet ; the
COLCJIICUM AUTUMNALE. 759
intellect was unaffected ; the patient died in twenty-two hours.
In the second case, the symptoms soon set in after taking the poison.
There were violent pains in the abdomen ; frequent vomiting, but no purging ; difficult respiration ; pupils not dilated ; coldness of the surface ; no tetanic spasms, but cramps in the soles of the feet ; pulse small ; the intellect was not impaired.
Death took place in twenty-seven hours.
The vessels of the pia mater were much in- jected ; no vascularity of the stomach.
I found, writes Dr.
M'Phail, on my arrival at Fort Denaud, (in Florida), J.
A.
P., a private in the Marine Corps, laboring under symptoms not unlike those of Asiatic cholera.
He had constant sero-mucous ejections and purgings resembling rice-water, and thrown off with considerable force ; cramps of the abdominal muscles and of the flexors of the arms and legs ; cold surface, tongue and breath ; mottled skin and bluish nails ; shrunken features expressive of great agony ; sunken and watery eyes, with contracted pupils.
Expressing my surprise at the state of the patient, I was shown a porter-bottle labelled Vinum Oolchici, and was told that he, being an hospital attendant and thus having access to the stores, had, with some of his comrades, exhausted the whole stock of liquors, and feeling the "horrors" coming on, searched for more stimulus.
Judging by the smell only, he took what he thought was a bottle of Maderia.
With characteristic generosity, he gave a glass to some of his comrades, telling them to make the most of it as he believed it to be the last, and then swigged off the remainder, which was over a pint.
When first seen, J.
A.
P. was beyond hope, as the poison had been taken on the day previous, (February 1st, 1838,) and he was now laboring under its uncontrollable effects, viz., violent inflammation of the stomach and bowels, and probably of the cerebro-spinal serous envelopes.
Death took place in forty-eight hours after the poison was swallowed.
This case teaches us a great lesson. It shows that in neuralgic or arthritic inflammation of the gastro-intestinal mucous membrane, where the inflammatory irritation emanates primarily from the cerebro-spinal centres and terminates in the mucous surfaces with all the characteristics of a violent and most destructive inflamma- tion, colchicum may prove an invaluable specific in the hands of a homoeopathic physician.
These few cases of poisoning suffice to reveal what might be termed the regional action of colchicum. We find that it acts
1.
Upon the brain, for it causes giddiness, headache, and even loss of consciousness.
These effects upon the brain sometimes seem
rv >
7oO COLCHICUM AUTUMNALE.
to be signs of a reflex irritation rather than of a directly disturbing influence.
2.
Upon the nervous centres of the spinal and ganglionic systems of nerves.
It causes convulsions, debility, acute cutting, neuralgic pains in the bowels, cramps in the calves and thighs and in the soles of the feet.
Upon The Biliary Secretions
Dr. Lewins mentions a case where seventy drops of the wine of colchicum caused the discharge of upward of a pint of bile by vomiting.
Upon The Salivary Glands
Wood and Bache report a case in the United States Dispensatory, where violent salivation was a promi- nent symptom.
Upon The Stomach And Bowels
It causes violent inflammation of the intestinal mucous membrane.
Upon The Urinary Bladder
It causes retention of urine, and burning in the urethra. Professor Ohelius, of Heidelberg, asserts that in gout and rheumatism, for which colchicum has always been considered in the light of a specific by alloeopathic physicians, col- chicum occasions a striking increase in the quantity of uric acid con- tained in the urine ; in one case it was nearly doubled in the space of twelve days. But this effect is by no means constant, as Dr. Graves has pointed out.
Indeed it sometimes happens in acute rheumatism, when the urine is loaded with uric acid or the urates, that under the use of colchicum the quantity of these matters in the urine is diminished ; so that it would seem rather to prevent the form- ation of uric acid in the system than to provoke its elimination. To the homoeopathic practitioner the presence of uric acid in the urinary secretions would therefore be an indication for the use of colchicum in arthritis or rheumatism.
7.
Colchicum acts upon the thoracic viscera, the lungs and heart, likewise through its primary action upon the nervous centres.
It causes dyspnoea, a feeling of constriction across the chest, a burning in the windpipe, a dry and hacking cough.
Post-mortem examina- tions have shown ecchymosed spots on the surface of the lungs, heart and diaphragm.
The heart is, moreover, found flabby and its structure is easily broken down.
Provers have experienced palpita- tion and tearing pains in the region of the heart.
8. Colchicum likewise possesses a remarkable power of depressing tiie pulse, and it likewise excites, to some extent, cutaneous perspira-
COLCHICUM AUTUMNALE. 761
tion. It depresses the pulse, if given in large doses; small doses stimulate the pulse.
To sum up the therapeutic uses of this interesting agent we would recommend it in
GOUT, when the pulse is slightly irritated, the affected part is exceedingly painful, the skin in that region looks rose-colored, and leaves a white spot under the pressure of the finger; or when the disease has developed nodosities in the affected part, and is charac- terized by paroxysms of pain and inflammation, colchicum may be found adapted to these conditions ; if the febrile irritation is con- siderable, this medicine is advantageously preceded by, or alternated with, aconite. An additional indication for colchicum is the sympa- thetic irritation, in which the intestinal mucous lining of the thoracic viscera, and more particularly the heart, may be involved ; threaten- ing symptoms of metastasis to the inner organs further confirm the use of colchicum.
INFLAMMATORY IRRITATIONS. — We would recommend colchicum in all inflammatory irritations taking the place of, or accompanying gout, or occurring in persons of a gouty diathesis, such as asthma, inflammatory irritation of the stomach and bowels, endocarditis, strangury and ischuria, and even in dropsical disorgani- zations (anasarca, ascites, hydrothorax,) which have developed them- selves out of the gouty diathesis or gouty disease by a process of metaschematismus, or change of form and locality, or which occur as idiopathic rheumatic diseases.
DYSENTERY — Particular mention should be made, under this group, of the use of colchicum in dysentery, with frequent, scanty mucus, bloody stools, with violent tenesmus, constriction of the oesophagus, burning or icy coldness of the stomach, cramps in the calves of the legs, shuddering down the back. The following symp- tom is said to be characteristic of this drug : decided aversion to the smell of cooked food.
NEURALGIC INFLAMMATIONS.— We would recommend col- chicum in all neuralgic inflammations, both acute and chronic, of the thoracic and abdominal viscera, if the constitutional arthritic diathesis of the patient, and the symptomatic indications, such as dyspnoea, constriction, soreness and irritating cough in the chest ; palpitation aud tearing pains of the heart ; thirst and loss of appetite, nausea and vomiting, soreness and heat in the stomach, cuttino- and
*
762 COLLINSONIA CANADENSIS.
spasmodic pains in the bowels, with discharges of serum, mucus or blood, accompanied by acute tenesmus ; strangury and ischuria ; swelling, pain, heat, redness and lameness in the extremities ; general debility, fever, heat and dryness of the skin, tendency to perspira- tion, justify the use of this drug.
The cormi, seeds, leaves and flowers of the plant have all been found sufficiently poisonous to destroy life.
In a case of poisoning with colchicum we should as soon as pos- sible withdraw the poison from the stomach ; after which,' large doses of strong black coffee may be administered. Existing symp- toms of inflammation have to be combated on general principles, by aconite, bryonia, etc.
OOLLIISrSONIA CANADENSIS.
[stone-hoot, natural order, labiatje.]
Glabrous or sparsely pubescent; leave acuminate, coarsely serrate, abrupt or subcordate at the base; panicle loose, elongated; calyx teeth subulate, not longer than its tube ; stamens two, exserted.
A coarse herb, in woods and fields, growing from Canada to Ken- tucky and Carolina.
The stem is four-sided, from three to four feet high, smooth or a little pubescent.
The leaves are thin, from six to eight inches long and from three to four inches wide.
Flowers in a large, compound raceme, with opposite branches and pedicles.
The corolla is five to six lines long, greenish-yellow, the lower lip elong- ated and fringed.
Styles and stamens very long.
Flowers in the summer.
(Wood.)
A tincture is made of the whole plant; also a trituration of the root. From these higher attenuations, or triturations, as the case may be, are prepared.
The proving of the plant, by Dr.
W.
H.
Burt, with twenty drops of the tincture [Am.
Horn.
Observer, vol. iii., page 296,) is eminently suggestive.
The single dose taken produced frequent passages from the bowels, preceded by severe, cutting pains in the hypogastrium and urgent desire for stool.
The passages from the bowels are at first hard and lumpy, but soon became liquid and consisted of bile, yellow matter, mucus, and, later, some blood.
Severe tenesmus was regularly present.
There were also nausea and great prostration while at stool.
Other symptoms experienced were: emissions of flatus from the anus ; yellow coating of the tongue along its centre and base; rough, bitter taste in the mouth; yellow tinge of the skin around the eyes; high-colored and scanty urine ; dull pain in the small intestines and in the umbilicus.
COLLINSONIA CANADENSIS. 3 63
One-half ounce of the third decimal dilution produced : dull frontal headache, dis- tress in the umbilicus ; eructations of gas ; tearing, rheumatic pains in the anus, hands and legs ; neuralgia of the upper jaw-bone ; dryness of the nostrils ; sharp, cutting pains in the stomach ; nausea, lassitude, constipation lasting three days.
DIARRHCEA
The more prominent symptoms recorded find their counterpart in diarrhoea, characterized by severe colic, flatu- lence, bilious disturbances, straining at stool, nausea, faintness.
We have used the remedy with excellent results and are surprised that it is not more frequently prescribed for this disease.
There is danger of overlooking the constipation experienced by Dr.
Burt after taking the attenuation, in the more violent symptoms which followed the use of the strong tincture.
And yet clinical experience has amply demonstrated the fact that in this seemingly insignificant symptom lies the secret of its greatest usefulness.
It portrays the peculiar torpor of the lower part of the alimentary canal, the congestive inertia, as Hughes has it, which it cures so readily.
In diseases also which depend upon such a constipated habit it acts curatively; among them we might not only mention haemor- rhoids and prolapsus ani, but a congestion of the pelvic organs of women, resulting in painful menstruation, uterine prolapse, leucor- rhoea and pruritus.
We incline to believe that the value of collin- sonia in these latter diseases depends very largely upon the conditions stated; at least we know that the drug fails to cure unless the char- acteristic constipation of collinsonia is a prominent symptom.
Dr.
I.
J.
Whitfield has even succeeded in curing a case of epilepsy which had run for years by the administration of collinsonia, basing his selection of the remedy upon the constipated habit of the patient.
In
CONSTIPATION you will then find collinsonia a very important remedy.
INERTIA OF THE LOWER BOWEL is the keynote; loss of appetite, flatulency, distention of the abdomen, itching at the anus, will also be present.
Mrs.
B., aged twenty-nine years, was in the six months of gestation and suffered very much from obstinate constipation, as she had previously done under the same circum- stances.
Her bowels had not moved for six or seven days.
She had some nausea, a dull pain in the head, a very light, whitish coating of the tongue, loss of appetite, inability to sleep and a feeling of constant pressure in the rectum, with a heavy, drag- ging ache in the pelvis.
Collinsonia1 every hour, relieved her in a short time ; and with its help she was enabled to avoid what, on previous occasions, had been a source of constant suffering to her.
HAEMORRHOIDS — In haemorrhoids its use is indicated when we find flowing piles, incessant, though not profusely, or protruding
704 COLLINSONIA CANADENSIS.
piles without bleeding ; sensation in the rectum as if sticks, sand or gravel had lodged there, growing worse as evening approaches till late at night; better in the morning; constipation; pain in the epi- gastrium, with loss of appetite, or diarrhoea. (Raue.)
PROLAPSUS ANI finds its most prolific cause in a torpid, pass- ively congested state of the lower intestine, and may speedily yield to collinsonia.
Wm.
C, aged thirty-six, short in stature, very scrawny and sallow, of a nervous temperament, a spinner by occupation, presented his case to me for treatment about the ist of April.
Upon examination I found an aggravated case of prolapsus ani, complicated with haemorrhoids ; he was losing much blood, causing great debility.
I replaced the bowels within the sphincter and placed him upon hamamelis.
Upon his return in a week he was no better.
I tried then ignatia, also mix vomica.
I treated him this way for three months with no success, as the bowels would continu- ally protrude.
The only relief which he received was given by the application of a truss supporting the abdomen and permitting the bowel to rest upon an ivory ball.
I then put the patient on material doses of collinsonia canadensis.
From that time the improvement was remarkable.
He is now attending to his business.
(Dr.
Capen in New Eng.
Med.
Gazette, Jan., 1877.)
HEADACHE, particularly of a dull, heavy and at times throbbing nature, resulting from protracted constipation;
DYSMENORRHEA, obstructive, membranous ;
LEUCORRHCEA, with much itching of the pudenda ;
MENORRHAGIA, with a congested condition of the cervix uteri; all these may demand the exhibition of collinsonia if accompanied by symptoms of a passive congestion of the pelvic organs, aggravated constipation, haemorrhoids.
On Nov. 19, 1864, I was called to see a young woman who was suffering from dys- menorrhcea and menstrual convulsions. She had been subject to these attacks at each menstrual period of the last four years, without receiving any benefit from medi- cal treatment. The mother of the patient said that the homoeopathic medicines had helped her daughter in controlling the violence of the spasms. The convulsions were generally preceded by severe pain in the region of the womb, amounting to twenty or more, in paroxysms of fifteen or twenty minutes duration, and requiring two or three persons to prevent the patient from hurting herself.
On further inquiry I was told that she was subject to extreme constipation, and that she would sometimes go a week or ten days without having a movement from the bowels. She had been treated for prolapsus uteri, some symptoms of her case pointing in that direction, as, for instance, inability to walk ; she had to be carried from the house to the carriage in the arms. Prescribed collinsonia3, one drop in twelve powders of sugar of milk, one powder every three hours until better ; then one or two a day only.
The next day I found the patient greatly improved : her mother told me that she had had two more convulsions in the evening, but that to-day she was unusually comfortable, be- cause at other times she would remain in a stupor for twenty-four hours or more, and then come out of it with a severe headache. Prescription continued, one powder twice a day. In two weeks the patient called on me, saying that she had not felt so well for years, that her bowels were regular, free from all pain, and she could walk a mile or two, a thing she had not done for a long time.
It is now about eight months since I prescribed the one drop of collinsonia; the patient has remained perfectly free from the former menstrual disturbances, regular in her bowels, and is able to walk from three to four miles daily. (Dr. Krebs, Boston.)
COLLINSONIA CANADENSIS. 705
PRURITUS often finds its remedy in collinsonia. The real nature of this disease, or symptom rather, is as yet not quite under- stood. Careful observers, however, are inclined to look upon venous vaginal congestion of a passive nature as the cause of the disorder ; and the fact that it usually accompanies states, which in themselves develop such congestion (pregnancy, constipation,) is pretty strong argument in favor of this view.
I was called, February 9th, to see Mrs.
B., then eight months advanced in preg- nancy.
I found the genitals considerably swollen and inflamed, very sore, so that she could neither walk, lie down, nor sit^ except upon the edge of her chair.
The itching was intolerable, and the patient was almost delirious.
Various remedies had been tried without benefit.
At 11 A.
M.
I prescribed collinsonia3 in water, ateaspoon- ful every hour.
The patient continued the same until toward evening, when the itching began to subside, the swelling commenced to lessen, the muscles contracted, and, to use the patient's own words, "everything went to its place" ; and so great was the relief, that it was followed by complete syncope.
The patient was confined, March 8th; and when I last saw her, April 12th, she had had no return of the diffi- culty.
(Br.
A.
M.
Cushing in the New Eng.
Med.
Gazette of May, 1866.)
SPERMATORRHEA. — in the male, spermatorrhoea is at times produced by the same conditions. When this is the case, collinsonia may be our remedy.
Eclectic practitioners consider collinsonia of great usefulness in coughs, irritations of the vocal organs in speaker's sore throat and iu functional and even valvular affections of the heart.
Dr.
Hale (N.
A.
Jour, of Horn., Aug., 1870,) has had very gco? results from its use in irritation of the cardiac nerves.
INDEX.
GENERAL INDEX. 769
GENERAL INDEX.
Acidum aceticum. ........... 43
Acidum benzoicum. ........... 48
Acidum carbolicum. ........*.. 51
Acidum citricum. ........... 64
Acidum fluoricum. ........... 65
Acidum gallicum. ........... 68
Acidum hydrocyanicum. .......... 70
Acidum muriaticum. .......... 88
Acidum nitricum. ... t. ...... . 97
Acidum oxalicum. ........... 112
Acidum phosphoricum. .......... 115
Acidum picricum. ........... 122
Acidum salicylicum. .......... 130
Acidum sulphuricum. .......... 135
Acidum sulphurosum. .......... 146
Acidum tannicum. ........... 149
Aconitum napellus. ........... 150
yEsculus hippocastanum. 235
./Ethusa cynapium 241
Agaricus muscarius 246
Agave americana. ........... 270
Agnus castus. 271
Ailanthus. • 274
Alcohol 282
Aletris farinosa. 291
Allium cepa. ............ 292
Aloes. 294
Alumen. ............. 296
Alumina. , 299
Ammoniacum. ........... 303
Ammonium aceticum. . ......... 304
Ammonium carbonicum 305
Ammonium muriaticum. .......... 309
(Liquid ammonia.) .......... 312
Amyl nitrite. ............ 313
VOL. I. — 48.
770 GENERAL INDEX.
Anacardium orientale. .......... 324
Angustura vera. ........... 326
Antimonium crudum. . . . . . . , . . . 328
Antimonium tartaricum 342
Apium virus. ............ 359
Apocynum androssemifolium. ......... 382
Apocynum cannabinum. .......... 385
Argentum metallicum. .......... 391
Argentum nitricum. 394
Aristolochia virginiana. .......... 422
Arnica montana. ........... 423
Arsenicum album. ........... 446
Arsenicum jodatum. .......... 505
Artemisia vulgaris. ........... 508
Atropia (see Belladonna). . . . 4
Arum triphyllum 512
Asafcetida. 516
Asarum europseum. ........... 524
Asclepias syriaca 527
Asclepias tuberosa 529
Aurum. 531
Baptisia tinctoria. ........... 540
Baryta carbonica. ........... 552
Baryta muriatica 558
Belladonna. 560
Berberis vulgaris. 597
Bismuthum. . 599
Borax. ............. 602
Bovista. ............. 603
Bromium. ............ 604
Bryonia. 607
Cactus grandiflora 616
Calcarea carbonica. . 622
Calcarea phosphorica. 626
Calcarea sulphurata. 627
Calendula officinalis. 628
Camphora. ............ 629
Cannabis indica. ........... 638
Cannabis sativa. 641
Cantharis vesicatoria. 644
Capsicum annuum. ........... 651
GENERAL INDEX. 771
Carbo animalis. ........... 657
Carbo vegetabilis. ........... 659
Caulophyllum thalictorides. ......... 669
Causticum. ............ 671
Cedron. ............. 678
Chamomilla matricaria. .......... 680
Chelidonium majus. ........... 688
Chimaphila umbellata. . . . . . . . . . . 691
Cinchona officinalis. ........... 694
Chininum sulphuricum. .......... 701
Chloral 705
Chloroform. . . . . . . . . . . . . 711
Cicuta virosa. . . . . . . . . . . . . 718
Cimicifuga racemosa. .......... 723
Cina. ............. 730
Cinnamomum. ............ 735
Cistus canadensis. ........... 735
Clematis erecta. ........... 738
Coccionella. ............ 739
Cocculus menispermum. .......... 740
Coccus cacti. ............ 746
Coca. ............. 749
Coffea 752
Colchicum autumnale. ••••757
Collinsonia canadensis. •••••••*•• 762
CLINICAL INDEX.
CLINICAL INDEX.
ASTERISKS [*] INDICATE CLINICAL CASES INTRODUCED INTO THE
BODY OF THE TEXT.
Abortus [see Labor],
Abscess, *acid. carbolic. 53, calcarea phos- phor. 627, calcarea sulphur. 628.
Acne, acid, phosphor. 121, borax 602, car- bo animal. 659.
Adenitis, aconit. nap. 196, belladonna 576.
After-pains [see Labor].
Agalactia (lack of milk), aconit. nap. 220, agnus cast. 272, asafcetida 522, belladon- na 589.
Albuminuria (acute and chronic), acid, benzoic. 50, *acid. nitric. 106, acid, phos- phoric. 117, apiUm virus 370, apocynum cannab. 388-, arsenic, alb. 491, *aurum 533, 534, cannabis ind. 641, cantharides 649, chimaph. umb. 693, ^coccus cacti 746.
Alopecia (baldness), arsenic, alb. 503.
Amaurosis [see Amblyopia].
Amblyopia, aconit. nap. 202, agaricus muse. 262, arnica 433, aurum 532, belladonna 578, 579, *calcar. carbon. 623, cannabis sat. 642, causticum 673, cicuta virosa 723, cina 732, cocculus 743.
Amenorrhcea, aconit. nap. 219, *apium vi- rus 374, arnica 440, belladonna 588, bry- onia 614, chamomilla 685, *cimicifuga 729.
Anaemia, *acid. picric. 128, aconite, nap. 224.
Anasarca [see Dropsy].
Aneurism, aeon. nap. 194.
Angina diphtheritica [see Angina faucium] .
Angina faucium. *acid. carbolic. 60, acid, muriatic. 92, *acid. nitric. 101, acid, ox- alic. 115, acid, sulphuric. 143, aeon. nap. 207, antimon. tart. 352, apium virus, 367, argent, nitric. 408, *baptisia 545, bella- donna 575, 582.
Angina pectoris, acid, hydrocyanic. 84, *acid. oxalicum 114, aeon. nap. 227, amyl nitrite 317, argent, nitric. 417, ar- sen. alb. 496, cactus grand. 619, cimici- fuga 728.
Anorexia [see Gastric derangements].
Anthrax, *acon. nap. 197, arsen. alb. 484, cantharides 650, coffea 756.
Aphonia [including: hoarseness, clergy- men's sore throat, etc.], *ailanthus 282, alumina 301, *antimon. crud. 340, arsen. alb. 493, belladonna 591, carbo. veg. 665, ^causticum 676, chamomilla 686.
Aphthae (stomatitis infantilis), acid, muri- atic. 92, acid, sulphuric. 142, baptisia 546, borax 602.
Apoplexy, acid, hydrocyan. 77, aeon. nap. 198, agaricus muse. 259, ^arnica 431, arsen. alb. 463, ^baryta carb. 554, *bel- ladonna, 565, *chininum sulphur. 702.
Arcus senilis, argent, nitric. 404, *arsen. alb. 485.
Arthritis [see Gout].
Ascites [see Dropsy].
Asphyxia [see Cyanosis].
Asthenopia [see Amblyopia].
Asthma (including Hay-asthma), *acid. benzoic. 51, acid, hydrocyan. 84, *acid. sulphuric. 148, *alumina 300, amyl nitrite 317, *antimon. crud. 341, argent, nitric. 417, *arsenic. alb. 496, *arum triphyl. 514, asafcetida 522, baryta car- bon. 555, bromium 605, cactus grand. 619, cannabis sat. 643, cocculus 745, coccus cacti 747.
Atrophy, general [see Marasmus].
Balanorrhoea [see Gonorrhoea spuria], aeon. nap. 218, ammoniacum 303, ♦am- nion, muriat. 311, carbo veg. 664.
Bed-sores, *acid. carbol. 53, acid, sul- phuric. 146.
Bladder, affections of, acid, benzoic. 49, baryta muriat. 559, chimaph. umb. 693.
Bladder, catarrh of, acid, hydrocyan. 82, ammon. muriat. 311, antimon. crud. 340, capsicum ann. 654, *chimaph. umb. 692.
Bladder, paralysis of, [see Paralysis].
Blepharophthalmia, aeon. nap. 202, anti- mon. crud. 336, apium virus 366, arsen. alb. 485, aurum 533, belladonna 579, bryonia 611, calcar. carbon. 623.
Blepharospasms, agaricus 262, belladonna 579, chamomilla 682.
CLINICAL INDEX.
Bones, inflammation and diseases of, [see Ostitis].
Brain-fag, *acid. picric. 129.
Brandy-mania, acid, sulphuric. 146.
Bright's disease [see Albuminuria],
Bronchitis, acute and chronic, also Bron- chial Irritation, acid, muriat. 95, acid, phosphor. 119, *acid. sulphurosum 148, aeon. nap. 184, 222, agaricus muse. 265, ailanthus 282, antimon. crud. 340, apium virus 368, arsenic, alb. 495, bryonia alb. 610, calcar. sulphur. 628, causticum 676.
Bulimia [see Gastric derangements].
Burns, acid, sulphuric. 146, arnica 446, cantharides 650, carbo veg. 668.
Cancer [see Scirrhus],
Cardialgia [Gastrodynia, etc.], acid. acet. 43, *acid. hydrocyan. 79, acid, nitric. 102, aeon. nap. 212, sesculus hip. 240, *alumina 301, antimon. tart. 352, *argent. nitr. 409, arnica mont. 435, *arsen. alb. 487, *asafcetida 521, baryta carb. 557, bismuthum 601, bryonia 61 2, calcar. carbon. 623, camphora 634, cannab. sat. 642, cinchona 700, *coccus cacti 747.
Carditis, aeon. nap. 212, arsen. alb. 497, belladonna 574, bismuthum 601, cactus 619.
Caries, acid, nitric. 101, *acid phosphor. 121, *aurum 535, capsic. ann. 652.
Catalepsy, *acid. hydrocyan. 77, *artemi- sia vulg. 511, cannab. ind. 640.
Cataract, arnica 433, cannab. sat. 642.
Catarrh, (acute, chronic, bronchial, nasal, etc.) acid, hydrocyan. 8^, acid, salicyl. 132, aconit. nap. 220, 221, 225, sesculus hip. 240, ailanthus 281, allium cepa 293, alumina 300, amnion, muriat. 310, ar- gent, met. 393, argent, nitric. 406, arsen. alb. 492, arum triph. 514, aurum 535, belladonna 591, bromine 605, cactus grand. 619, capsicum ann. 655, cimici- fuga 727, cina 734.
Cerebritis [see Encephalitis].
Cerebro-spinal meningitis, sethusa cynap. 245, agaricus muse. 259, apium virus 364, bryonia 610, cactus grand. 620, ^cicuta virosa 721, cimcifuga 725.
Chancre, acid. acet. 45, *acid. nitric. 107, argent, nitric. 416, aurum 438.
Chlorosis, *antimon. crud. 340, apium vi- rus 376.
Cholera Asiatica, acid, hydrocyan. 81, aeon. nap. 214, ^antimon. tart. 354, argent, nitr. 4T3, arsen. alb. 489, cam- phora 634, carbo. veg. 663.
Cholera infantum, aeon. nap. 213, aethusa cynap. 243, arsen. alb. 489, borax 603, bryonia 613.
Cholera morbus, acid, hydrocyan. 81, aeon. nap. 214, antimon. tart. 354, arsen. alb. 489, asarum europ. 526, camphora 634, carbo. veg. 663.
Cholerine [see Diarrhoea].
Chorea, acid. oxal. 114, *acid. phosphoric. 117, *acid sulphur. 142, *agaricus muse. 260, alumnia 299, *antimon. tart. 350, argent, nitric. 404, arsenic, alb. 468, *artemisia vulg. 511, ^causticum 671, cicuta virosa 721, cimcifuga 726.
Cirrhosis, sethusa cynap. 243.
Clergymen's sore throat [see Aphonia].
Climateric period, affections of, [see Mens- trual derangements], amyl nitrite 323.
Colic (including : enterodynia, lead-colic, etc.) *acid. hydrocyan. 80, acid, oxalic. 115, acid, sulphur. 144, aeon. nap. 212, alumen. 297, belladonna 584, camphora 634, causticum 674, chamomilla 684, coffea 754.
Colic, nephritic, acid, benzoic. 50, bella- donna 587.
Conjunctivitis, apium virus 366, argent, ni- tric. 404, chamomilla 683.
Condylomata, acid, nitric. 108, aurum 538.
Congestions, acid, hydrocyan. 84, aeon, nap. 198, belladonna 565, 576, chinin. sulphur. 703.
Constipation, acid, nitric. 104, aeon. nap. 215, sesculus hip. 238, agaricus muse. 264, *alumen 299, amnion, muriat. 310, arsen. alb. 489, bryonia 613, calcar. carb. 623, capsicum ann. 653, causticum 674, chamomilla 684, cinchona 700, *collin- sonia can. 763.
Convulsions, acid, muriat. 89, %cid. sul- phuric. 142, sethusa cynap. 244, amnion, carbon. 308, arsenic, alb. 471, *belladon- na 57°j 57 x» camphora 632 cantharides 646, chamomilla 682, cicuta virosa 721, cina 732.
Coryza [see Catarrh].
Cough, aconit. nap. 223, 226, ^ailanthus 280, ^alumina 300, ammoniacum 303, amnion, carbon. 307, antimon. tart. 356, apocynum cannab. 390, arnica 441, arsen. alb. 493, arum triph. 514, asafcetida 523, *baryta carb. 556, belladonna 591, *bo- rax 602, bryonia 615, causticum 676, chamomilla 686, coccus cacti 748, *cof- fea, 755.
Croup, acid, sulphur. 143, aeon. nap. 184, 222, *antimon. tart. 356, ^bromine 605, calcar. sulph. 627, causticum 676.
Cystitis, aeon. nap. 190, 216, apium virus 370, cantharides 648.
Cyanosis (and Asphyxia), aeon. nap. 194, camphora 636.
CLINICAL INDEX.
77,
Deafness, acid, muriat. 89, arnica 434, arsen. alb. 486, belladonna 580, bryonia 611, chininum sulph. 704.
Debility, acid, phosphor. 1 16, aconit. nap. 232, arsen. alb. 464, *coca, 751.
Delirium (also delirium tremens), oethusa cynap. 242, agaricus muse. 261, anti- mon. tart. 348, arsen. alb. 462, bella- donna 567, cannabis ind. 640, chininum sulph. 701, cimicifuga 727.
Diabetes, acid. nitr. 106, acid, phosphor. 117, argent, met. 393, *arsen. alb. 491.
Diarrhoea, *acid. carbol. 60, acid, hydro- cyanic, 81, acid, muriatic. 94, acid. nitr. 104, acid, sulphuric. 144, aeon. nap. 213, *agaricus 265, *aloes, 295, antimon. crud. 332, 339, *apium virus 369, *ar- gent. nitric. 412, 413, arnica 438, arsen. alb. 488, asafcetida 521, baptisia 548, ^belladonna 585, bromiun 606, calcar. carb. 623, capsicum ann. 653, carbo veg. 663, chamomilla 684, chelidon. maj. 690, cinchona 700, cocculus 744, coffea 754, collinsonia can. 763.
Diphtheritis, acid, carbol. 61, acid, muri- at. 91, acid, salicyl. 134, acid, sulphur. 143, aeon. nap. 207, *alumen 298, apium virus, 367, baptisia 547, belladonna 575. bromium, 606.
Diplopia, belladonna 579.
Dropsy (ascites, anasarca), acid. acet. 46, aeon. nap. 231, apium virus 37l,*apocyn. cannab. 387, arsen. alb. 503,aurum 534, baryta muriat. 560, chelidon. maj. 690, *cinchona 699, coccus cacti 746.
Dysentery, *acid. carbol. 60, *acid. hydro- cyanic 81. acid, nitric. 104, aeon, nap. 183, aloes 294, apium virus 370, arnica 438, arsenic, alb. 488, baptisia 548, carbo veg. 663, chininum sulphur. 703, colchicum 761.
Dysmenorrhcea, aeon. nap. 219, amnion, muriat. 307, amyl nitrite 322, *apium vi- rus 374, asclepias syr. 529, belladonna 588, *borax 603, bromium 607, cactus grand. 620, carbo veg. 664, caulophyll- um 670, chamomilla 685, cimicifuga 729, cocculus 744, coffea 755, *collinso- nia can. 764.
Dyspepsia, *acid. acet. 44, *acid. carbolic. 59, acid, muriat. 92, acid, nitricum 101, acid, salicyl. 134, aeon. nap. 21 1, sescu- lus hip. 239, agaricus muse. 264, alumina 301, amnion, muriat. 310, anacardium 325, argent, nitric. 410, 417, arnica 436, arsen. alb. 465, 486, baptisia 548, *bis- muthum 601, capsicum ann. 653, carbo animalis 659, carbo veg. 663, chamomilla 6S4, chininum sulph. 705, cocculus 744, coffea 754.
Dysphagia, antimon. tart. 351, arnica 435, belladonna 583, carbo veg. 662, coccu- lus 744.
Dysuria, aeon. nap. 216, antimon. crud. 340, artemisia vulg. 512, cantharides 648, chamomilla 685, chimaph. umb. 693, clematis erecta 738.
Ecstacy, cannabis ind. 640.
Ecthyma [see Eruptions, ete.]
Elephantiasis, acid. nitr. 109, arsen. alb. 502.
Emphysema pulmonum, bromium 605.
Encephalitis, belladonna 566, bryonia 609.
Encephalomacia, ammon. carbon. 308, bel- ladonna 566.
Enterodynia [see Colic].
Enuresis, *acid. benzoic. 49, acid, nitric. 106, acid, phosphor. 1 18, aeon. nap. 216. angustura vera 328, berberis 599, *can- tharides 648, causticum 676, chamomilla 685, cina 733.
Epilepsy, *acid hydrocyan. 76, acid, sul- phuric. 142, agaricus muse. 262, *amyl nitrite 318, *argent. nitric. 400, *arsen. alb. 470, *artemisia vulg. 509, bella- donna, 572, causticum 672, chininum sulph. 703, cicuta virosa 721.
Eruptions (erythema, papulae, ecthyma, tetter, urticaria, etc.) acid. acet. 47, acid, muriat. 90, 96, 97, acid, nitric. 109, acid, phosph. 121, acid, sulphuric. 146, aeon, nap. 230, agaricus muse. 269, alumina 301, antimon. crud. 334, antimon. tart. 359, *apium virus 381 , arnica 446, arsenic, alb. 503, arsenic, jodat. 507, baryta car- bon. 557, baryta muriat. 560, bryonia 615, calcar. carbon. 626, causticum 677, cicuta virosa 722, cina 734.
Erysipelas, acid, phosphor. 1 21, aeon. nap. 188, *apium virus 379, *arsen. alb. 478, 479, belladonna 576, bryonia alb. 615.
Erythema [see Eruptions].
Excoriations [see Wounds].
Fever, bilious, aeon. nap. 229, antimon.
tart. 358, arsen. alb. 498, berberis 598,
bryonia alb. 615, chamomilla 687, *che-
lidon. maj. 689, cocculus 745. Fever, gastric, aeon. nap. 229, arsen. alb.
499, *baptisia 550. Fever, hectic, acid, hydrocyan. 85, acid.
phosphoric. 120, aeon. nap. 229, arsen.
alb. 501, baptisia 551, berberis vulg. 598,
calcar. carbon. 626. Fever, inflammatory and congestive, aeon.
nap. 183, 228, 229, belladonna 592. Fever, intermittent, acid, nitric. 109, apium
virus 373, *arnica 445, arsen. alb. 498,
asarum 527, cactus 620, camphora 636,
CLINICAL INDEX.
Fever, intermittent, cont'd, capsicum 656, carbo. veg. 666, cedron 680, chininum sulph." 704, cina 734, coffea 756.
Fever, mucous, aeon. nap. 229, arseu. alb. 499.
Fever, puerperal, aeon. nap. C83, arsen. alb. 501, belladonna, 589, bryonia 615.
Fever, rheumatic, aeon. nap. 183, arsen. alb. 499, bryonia 616, chamomilla 687.
Fever, scorbutic, acid, carbol. 62, acid, ni- tric. 109, *acid. phosphor. 120, arsen. alb. 501.
Fever, sweating, aeon. nap. 229.
Fever, typhoid, acid, hydrocyan. 85, acid, nitric, 109, acid, phosphor. 120, aeon, nap. 228, agaricus muse. 267, apium vi- rus 373, arnica 445, arum triphyl. 516, *baptisia 549, belladonna 594, bryonia 615, camphora 636.
Fever, typhus, *acid. acet. 46, *acid. muri- at. 96, acid, nitric. 109, *acid. sulphuric. 145, ammonium carbon. 308, *arsenic. alb. 500, belladonna 567, carbo. veg. 667, cocculus 745.
Fever, yellow, aeon. nap. 229, antimon. tart. 358, carbo veg. 667.
Fistula in ano, *causticum 675.
Fistula lachrymalis, *causticum 673.
Flatulence [see Colic and Gastric derange- ments].
Fright, consequence of, aeon. nap. 234.
Galactia, aeon. nap. 220, belladonna 589.
Gangrene, acid, citric. 65, *acid. phospho- ric. 122, arsenic, alb. 481, 482, 483, bel- ladonna 577, carbo veg. 668, cinchona 698.
Gastralgia [see Cardialgia].
Gastric Derangements, acid, hydrocyan. 80, acid, phosphoric. 120, aeon. nap. 212, agaricus 264, alumen 297, ammon- iacum 303, antimon. tart. 352, apocyn. androsaem. 384, *asafcetida 521, *aurum 536, baptisia 548, belladonna 583, cal- car. carbon. 623, cannabis sat. 642, cap- sicum ann. 653, chelidon. maj. 690, cinchona 700, cocculus 744.
Gastritis, acute and chronic, acid, fluoric. 67, acid, muriat. 94, acid, nitric. 104, aeon. nap. 187, agaricus 264, antimon. tart. 352, arsenic, alb. 476, baryta muri- at. 559, bismuth. 601, capsicum ann.
653- * Gastro-enteritis, acid, oxalic. 115, agaricus
muse. 264, alumen 297, antimon. crud.
333, arsenic, alb. 475.
Gleet [see Gonorrhoea].
Glossitis, aeon. nap. 206, apium virus 366,
belladonna 582. Gonorrhoea, *acid. salicylic. 132, aeon.
nap. 217, *agave amer. 271, agnus cast- us 271, ammoniacum 303, antimon. crud. 340, argent, nitric. 414, baptisia 557, cannabis sat. 643, cantharides 649, coca
751- Gout, apocynum andros. 3S4, argent, met. 392, arnica 443, colchicum 761.
Haemorrhage from the eye, ""'belladonna 580, carbo veg. 661, chamomilla 682.
Haemorrhage from the nose, amnion, car bon. 307.
Haemorrhage from the lungs, acid, phos- phoric. 119, aeon. nap. 226, *apocynum cannab. 390, *arnica 441, *arsenic. alb. 494, "*cactus 619, carbo veg. 666.
Haemorrhage from the stomach, acid. nitr. 102, acid, sulphur. 143, aeon. nap. 210, *arnica 436, arsen. alb. 488.
Haemorrhage from the urinary passages, arnica 439, arsenic, alb. 491, canthari- des 649, chamomilla 682, chimaphil. umb. 693.
Haemorrhage from the uterus, acid, fluoric. 68, acid, nitric. 108. *acid. phosphoric. 118, acid, sulphuric. 145, aeon. nap. 194, 219, aloes 296, ammon. carb. 307, "^apoc- ynum cannab. 389, arnica 440, *asafceti- da 522, aurum 538, bryonia 614, cactus grand. 620, carbo veg. 664, caulophyll- um 670, chamomilla 685, cinchona 700, cina 733, cinnamon. 735, *coccus cacti
748. Haemorrhoids, acid, nitric. 104, aeon. nap.
214, *aesculus hip. 238, aloes 296, bella- donna 585, capsicum 654, carbo. veg. 663, causticum 675, collinsoniacan. 763.
Hay- asthma [see Asthma].
Headache, acid, hpdrocyanic. 76, acid, muriat. 89, aeon. nap. 198, 199, *aethusa cynap. 244, agaricus muse. 259, antimon. crud. 339, antimon. tart. 349, ^argent, nitric. 398. *arnica mont, 430, 433, asar- um, europ. 524, *aurum 532, *baptisia, 544, *belladonna 564, bryonia 609, cac- tus grand. 620, calcar. carb. 622, canna- bis sat. 642, capsicum ann. 651, carbo veg. 660, caulophyllum 669, chamo- milla, 682, ^cinchona 698, *chininum sulphur. 702, *cimcifuga 724, cina 731, collinsonia can. 764.
Heart, affections of the, (palpitation, irrita- bility, congestion, hypertrophy, etc.) *acid, benzoic 50, acid, hydrocyanic. 8^, 84, aeon. nap. 227, aesculus hip. 240, agaricus muse. 266, agnus cast. 272, anacardium 325, apium virus 368, apocy- num cannabis 388, argent, met. 394, arsenic, alb. 498, *aurum 536, baryta carbon. 556, bromium 606, *cactus grand. 618, 619, cannabis sat. 643.
CLINICAL INDEX.
Hemeralopia, belladonna 579.
Hemicrania, arsen. alb. 462, asafoetida 521, aurum 532, bryonia 608, calcar. carbon. 622, calcar. sulphur. 627, carbo veg. 661, chamomilla 681, chininum sulphur. 703, coffea 753,
Hemiopia, aurum 532.
Hepatitis, acid, muriat. 94, acid, nitric. 104, aeon. nap. 188, bryonia 610.
Herpes, *acid. sulphur. 147, aurum 534, carbo veg. 667, *clematis erecta 738.
Hernia, aeon. nap. 188, chamomilla 684.
Hiccough [see also Gastric derangements], acid, sulphuric. 143. arsen. alb. 486.
Hives [see Eruption],
Hoarseness [see Aphonia].
Hydrocephalus, sethusa cynap. 245, anti- mon. tartar. 349,*apium virus 364, arnica 431, *arsen. alb. 464, artemisia vulgar. 512, belladonna 566, calcar. carbon. 622.
Hydro-pericarditis, arsen. alb. 497, ^cactus grand. 618.
Hydrophobia, ^belladonna 571.
Hydrothorax, apium virus 372, arsen. alb. 498.
Hygroma patellae, arnica 446.
Hypochondriasis [see Hysteria],
Hysteria, *acid. hydrocyan. 78, 85, acid, phosphor. 116, 122, aeon. nap. 204, 233, argent, met. 394, asafoetida 520, baryta carbon. 553, belladonna 583, 587, 591, cocculus 745, coffea 757.
Icterus, acid, nitric. 106, arsen. alb. 490, berberis vulg. 599, bryonia 615, cheli- don. maj. 690, cinchona 699.
Ileus, ^belladonna 586.
Impotence, *acid. phosphor. 118, acid, pic- eric. 128, agnus cast. 271, antimon. crud. 340 *camphora 635, cantharides 649, coffea 755.
Incontinence of urine [see Enuresis].
Indigestion, coffea 754.
Induration of uterus [see Uterus, affections of,].
Inflammation, traumatic and idiopathic, aeon. nap. 183, 195, aloes 295, apium virus 372, arnica 444, arsenic, alb. 473, belladonna 574, 590, coccus cacti 749, colchicum 761.
Influenza, aeon. nap. 222, antimon. tart. 355, arsen. alb. 493, bryonia 614, cam- phor a 636.
Insanity, ^anacardium 324, *argent. nitric. 420, *arsen. alb. 504, *aurum 539, bel- ladonna 594, camphora 633, *cimici- fuga 726.
Iritis, *acon. nap. 196, aurum 533, bella- donna 578.
Joints, concretions of, acid, benzoic. 49. Joints, inflammation of, aeon. nap. 191,
197, argent, met. 392. Joints, ulceration of, calcarea phosph. 627.
Labia, swelling of, *apium virus 375.
Labor, *acid. hydrocyan. 82, arnica 440, caulophyllum 670, chamomilla 686, cim- icifuga 729, coffea 755.
Laryngismus stridulus, aeon. nap. 223.
Laryngitis, acid, nitric. 108, acid, sulphur- ic. 143, aeon. nap. 222, apium virus 367, argent, met. 394, argent, nitric. 417, aurum 535, belladonna 591.
Lepra, arsen. alb. 502, ars. jodat. 506.
Leucorrhcea, *acid. carbol. 63, acid, fluor- ic. 68, acid, muriatic. 95, acid, nitric. 108, acid, phosphoric. 119, acid, salicyl. 132, aeon. nap. 219, aesculus hip. 239, alum- ina 302, ammon. carbon. 307, amnion, muriat. 311, anacardium 326. arsenic, alb. 492, baptisia 551, baryta carbon. 557, borax 603, bovista 604, calcar. carb. 624, carbo veg. 664, caulophyll. 670, caustic. 677, cocculus 744, collinsonia can. 764.
Liver, affections of (enlargement, degenera- tion, liver complaint, etc.), *acid. nitric. 104, 105, agaricus 264, arsen. alb. 490, *aurum 537, baryta muriat. 559, chamo- milla 684, chelidon. maj. 689.
Lumbago [see Rheumatism].
Mania, acid, sulphuric. 146, aeon. nap. 220, 233, belladonna 589, 594, camphora 633, cannabis ind. 640, *chininum sulph. 702, cicuta vir. 722, coffea 756.
Mania-a-potu, coffea 753.
Marasmus, aeon. nap. 218, *agnus cast. 272, antimon. crud. 340, arsen. alb. 465, *cinchona 699.
Mastitis, apium virus 375, belladonna 576, bryonia 614.
Masturbation, consequences of, [see Maras- mus].
Meningitis, aeon. nap. 183, belladonna 574.
Menstrual disorders [see also Amenorrhcea and Dysmenorrhcea], acid, muriatic. 95, acid, nitric. 108, acid, sulphur. 145, alu- mina 302, apium virus 376, asafoetida 522, cocculus 744, coffea 755.
Metritis, aeon. nap. 183, antimon tart. 355, belladonna 574, calcar. carbon. 624.
Miliaria, chamomilla 687.
Mind, dullness of, acid, phosphor. 116, anacardium 324.
Morbilli, allium cepa 293, apium virus 379, belladonna 593, bryonia 615.
Myelitis, aeon. nap. 196, belladonna 574,
Nasitis, *acon. nap. 195, belladonna 578, calcar. carbon. 623.
CLINICAL INDEX.
Nausea, [see Gastric derangements].
Nephritis, *apium virus 370, ^arnica 439, cantharides 649.
Neuralgia, (including Prosopalgia), *acid. carbol. 61, *acid. oxalic. 114, *acid. salicyl. 134, aeon. nap. 199, agaricus muse. 268, agnus cast. 273, ^allium cepa 293, argent, nitric. 399, arnica 438, arsenic, alb. 473, asafcetida 523, bella- donna 568, cannab. ind. 640, causticum 673, chamomilla 682, ^cinchona 697, chininum sulpb. 703, cimicifuga 726.
Nipples, indurated and ulcerated, argent, nitric. 420, arnica 440, bryonia 614.
Nymphomania, belladonna 589, *canthar- ides 649, coffea 755.
Odontalgia, aeon. nap. 205, argent, nitric. 407, *arnica 434, asarum europ. 525, belladonna 580, bryonia 611, calcar. car- bon. 623, causticum 673, chamomilla 683, coccionella 739.
CEdema glottidis, apium virus 367.
Oesophagitis, belladonna 575, cocculus 743.
Ophthalmia, acid, muriat. 90, acid, nitric. 100, aeon. nap. 196, 202, ailanthus 281, *apium virus 366, *argent. met. 392, *argent. nitr. 404, arsen. alb. 485, arsen. iodat. 508, baptisia 546, belladonna 578, bryonia 61 1, calcar. carb. 623, calcar. sulphurata 627, capsicum ann. 652, car- bo veg. 661, caustic. 673.
Orchitis, aeon. nap. 218, argent, met. 393, arnica 440, arsen. alb. 492, aurum 538, belladonna 588.
Ostitis, argent, met. 392.
Otalgia, acid, muriat. 90, belladonna 580, chamomilla 683.
Otitis, aeon. nap. 203, belladonna 580, bryonia 61 1, causticum 6J3.
Otorrhcea, acid, nitric. 100, aeon. nap. 203, aurum 533, belladonna 580, calcar. carbon. 623, calcar. sulphur. 627, capsi- cum ann. 652.
Ovaries, dropsy of the, apium virus 375.
Ovaritis, aeon. nap. 183, apium virus 375, cantharides 650.
Ozaena, acid, nitric. 101, argent, nitric. 407, *aurum 536.
Panaritium, acid, fluoric. 67, *acid. nitric.
no. Pancreas, induration of, *baryta muriat.
559-
Papulae, [see Eruptions].
Paralysis, acid, oxalic. 1 14, *acon. nap. 200, ^arnica 444, arsen. alb. 471, baryta carbon. 554, baryta muriat. 558, bella- donna 572, 582, 586, bryonia 609, *caus- ticum 672, chininum sulph. 701.
Pericarditis [see Carditis].
Periostitis [see Inflammation].
Peritonitis, aeon. nap. 187, apium virus 370,
belladonna, 575, bryonia, 610. Phlebitis [see Inflammation].
Phthisis, laryngeal and pulmonary, acid, hydrocyan. 83, acid, nitric. 108, acid, phosphoric. 119, *acid. sulphuric. 148, aeon. nap. 196, 225, amnion, muriat. 559, bromium 605, calcar. carbon. 625, carbo veg. 666, *coca 751.
Phthisis, intestinal, acid, nitric. 104, arsen. alb. 489.
Pityriasis [see Herpes].
Pleuritis, *acon. nap. 185, 223, arnica 442, bryonia 610.
Pneumonia, acid, nitric. 108, acid, phos- phor. 119, *acid. sulphurosum 148, *acon. nap. 185, 190, antimon. tart. 357, arsen. alb. 493, 551, belladonna 574, bryonia 610, cannabis sat. 644, carbo veg. 666, chelidon. maj. 690, cimicifuga 727.
Poisoning, value of charcoal in, 668.
Polydipsia, acid, sulphur. 144.
Pregnancy, disorders of, acid, carbol. 59, aesculus hip. 239, aletris far. 292, arsen. alb. 487, belladonna 584, cimicifuga 729.
Proctitis, *aloes 295.
Prolapsus ani, acid, nitric. 104, aeon. nap. 214, *collinsonia can. 764.
Prolapsus uteri (including displacements generally; see also Uterine difficulties), aesculus hip. 239, aurum 536, belladonna 589, calcar. carbon. 625.
Prosopalgia, [see also Neuralgia], acid, carbol. 62, *bismuthum 601, cedron 680.
Prostate gland, hypertrophy of, causticum 676.
Pruritus vulvae, aeon. nap. 230, arsen. alb. 503, belladonna 590, carbo veg. 664, *collinsonia can. 765.
Ptyalism, acid, nitric. 101, acid, sulphuric. 143, antimon. tartar. 352, baryta muriat. 559, belladonna 582, calcar. sulphur. 627.
Purpura haemorrhagica, *acid. phosphor. 116, acid, sulphuric. 145, arsen. alb. 501.
Pyaemia, *acid. carbol. 63.
Pyrosis (including Waterbrash, etc.), acid, gallic. 69, acid, nitric. 102, acid, oxalic. 115, aeon. nap. 209, argent, nitric. 410, arnica 436, arsen. alb. 486, calcar. car- bon. 623, capsicum 653, carbo veg. 663, coffea 753.
Rheumatismus, acid, benzoic. 50, acid, car- bol. 55, *acid. salicyl. 133, *acid. sul- phurosum 148, aeon. nap. 189, 192, 197, 204, antimon. crud. 341, arnica 432,
CLINICAL INDEX.
asafostida 523, asarum europ. 526, *aur- um 535, ^belladonna 569, 576, bromium 607, bryonia 61 1, *cactus grand. 618, capsicum aim. 655, caulophyllum 669, causticum 676, china 698, chininum sulph. 703, cimicifuga 728, cina 732, *coccus cacti 747.
Satyrasis, acid, picric. 128, cantharides
649. Scabies, acid. acet. 47, carbo veg. 667.
Scarlatina, *acid. carbol. 61, acid, muriat. 96, acid, nitric, no, acid, phosphoric. 121, *ailanthus, 279, amnion, carbon. 308, *apium virus 377, arsenic, alb. 502, arum triphyl. 515, baryta carbon. 558, belladonna, 593.
Sciatica [see Neuralgia].
Scirrhus, *acid. carbol. 54, *acid. muriat. 91, apium virus 375, *arsen. alb. 484, 487, *arsen. iodat. 507, aurum 539, bell- adonna 577, ^bromium 606, *carbo ani- mal. 657.
Scrofulosis, (swellings, etc.), *baryta muri- at- 559? calcar. carbon. 626, calcar. phosph. 626, calcar. sulphurat. 628, cis- tus can ad. 737.
Scurvy (also Stomacace), acid, citric. 64, aeon. nap. 198, 206, amnion, carbon. 307, antimon. tart. 352, argent, nitric. 407, arsenic, alb. 477, carbo veg. 661.
Somnambulism, *artemisia vulg. 511.
Spectra, belladonna 579.
Spermatorrhoea, acid. acet. 46, acid, phos- phor. 118, aeon. nap. 218, aurum 538, belladonna 588, cantharides 649, chamo- milla 685, cinchona 700, collinsonia can.
765- Spine, irritable, acid, oxalic. 114, *arsen.
alb. 473, cimicifuga 725, *cocculus 742. Spina bifida [see also Scrofulosis], calcar.
phosphor. 626. Spleen, hypertrophy of, ^cinchona 697,
chininum sulph. 704.
Sterility, cantharides 650.
Stomacace [see Scurvy].
Stomatitis materna, *acid. sulphuric. 143,
aeon. nap. 206, *arum triphyl. 515, bap-
tisia 545, baryta carbon. 556. Stomach, acidity of [see also Pyrosis, and
Gastric derangements], acid. acet. 45,
acid, citric. 64, acid, sulphuric. 144.
Stools, involuntary, acid, hydrocyan. 80.
Strangury [see Dysuria].
Strictures ani and recta, aeon. nap. 214,
baryta carbon. 559, belladonna 586. Synovitis [see Inflammation].
Taenia, acid, salicyl. 135.
Tetanus, acid, hydrocyanic. 77, aeon. nap. 205, *angustura vera. 327, belladonna 580, bryonia 609.
Tetter [see Eruptions].
Tinea capitis, antihion. crud. 336, cocculus
745- Tonsils, hypertrophy of, baryta carbon. 556, belladonna 582.
Tonsillitis, aeon, nap, 207, apium virus 367, baryta carbon. 556.
Torticollis, aeon. nap. 193.
Treatment, antidotal, of, acid. acet. 47, acid, carbol. 63, acid, hydrocyan. 87, acid muriat. 97, acid, nitric. Ill, acid, oxal. 115, acid, phosph. 122, aeon. nap. 182, sethusa cyn. 245, agaricus muse. 270, alcohol 290, amnion, carbon. 309, am- nion, muriat. 312, (liquid ammonia 313), antimon. tart. 359, argent, nitric. 421, arnica 446, arsenic, alb. 505, aurum muriat. 540, baryta muriat. 560, bella- donna 595, bromium 607, cinchona 701, chloral hydrate 711.
Tumors, fatty, baryta carbonica 558.
Tussis convulsiva, acid, carbol. 62, acid, hydrocyan. 83, acid, muriat. 95, aeon, nap. 225, *antimon. tart. 356, asafostida 523, ^belladonna 591, chamomilla 686, chelidon. maj. 690, cina 734, coccus cacti 748.
Ulcers, *acid. muriat. 90, 96, *acid. nitric. 101, 106, no, acid phosphor. 121, aeon, nap. 231, arsen. alb. 503, calcar. phos- phor. 627, carbo veg. 667, cinchona 699.
Urethritis, aeon. nap. 191, argent, nitric. 416, belladonna 588.
Urine, incontinence of [see Enuresis].
Urine, milky, acid, phosphor. 117.
Urine, retention and suppression, acid, hydrocyan. 82, arsen. alb. 491, bella- donna 587, cantharides 648, coffea 754.
Uterus, affections of, *acid. carbol. 53, 63, *acid. muriat. 90, 96, acid, nitric. 101, 106, no, acid, phosphor. 121, aeon. nap. 231, antimon. tart. 355, apium virus 375, arsenic, alb. 484, 503, baptisia 552, bel- ladonna 590, calcar. phosphor. 627, can- tharides 650, carbo veg. 665, 667, coc- culus 744.
Urticaria [see Eruptions].
Variola, acid. acet. 47, *acid. carbol. 61, acid, muriat. 96, acid, phosphoric. 121, antimon. crud. 341, antimon. tartar. 359, apium virus 379, arsenic, alb. 502, cimi- cifuga 728.
Veins, varicose, acid, nitric, no, chamo- milla 687.
CLINICAL INDEX.
Vertigo, acid, hydrocyan. 76, acid, phos- phoric. 116, anacardium 326, *arnica 432, belladonna 564, camphora 632, cannabis ind. 640, chininum sulph. 704, coffea 753.
Vomiting [see also Gastric derangements], acid, carbolic 59, sethusa cyanap. 244, calcar. carbon. 623, coffea 754.
Vulva, pustules on, antimon tartar. 355.
Warty excrescences, *acid. nitric, no. Worm affections, aeon. nap. 214, *argent.
nitric. 414, cina 730, 733. Wounds, *acid. carbol. 53, acid, sulphuro-
sum, 147, arnica 433, 444, asclepias
syriaca 529, *calendula 628.
Date Issued
t
"RXgoi
fcsol- )