Practice of Homoeopathy

Contents Dedication Preface Chapter 1 Of the Disease Necessity of ascertaining the Cause of Disease The Patient himself details the Symptoms The Parents of Attendants explain what they know The Practitioner writes down all details Interrogation of the Patient Classification of the Symptoms according to their Importance undamental Symptoms Sympathetic Symptoms Causes of many diseases remain unknown Importance of !or"id Anatomy Conditions which constitute the Nature of a !alady # Acute Affections # Chronic Affections Complicated !aladies $enerali%ation& when employed 'omoeopathy re(uires a reformed Nosology Importance of former )"ser*ers Chapter + Of Medicaments Numerous symptoms produced "y !edicaments Importance of their Study !ethod of Studying the !ateria !edica Classification of ,emedies in the ,epertorium ,ickert-s ,epertorium& and its .se /ahr-s ,epertorium& and its .se ,epertoria are insufficient to gi*e a complete 0nowledge of !edicaments The Study of !ateria !edica the only infalli"le $uide The necessity of the Physician referring to the !ateria !edica Conditions which constitute the "est ,emedy Chapter 1 Dispensing of the Remedy Disgust and danger produced "y Drugs allopathically administered Patients not su"2ected to such Disgust and Danger under the .se of 'omoeopathic !edicines These !edicines administered "y Tincture # dry in glo"ules # in glo"ules dissol*ed in 3ater # "y )lfaction # "y riction

Suita"le Doses Suita"le Dilutions Chapter 4 Of the Repetition of the Medicament Difficulty of the proper Application of the ,emedy The Physician to "e go*erned "y the 5ffects of the !edicaments6on the )rganism 'ahnemann at first prohi"ited ,epetitions ,epetitions often found necessary 'ahnemann& Aegidi& 3olf& the first who repeated the !edicaments The Cholera ga*e the most striking Proofs of the Necessity of ,epetitions ,epetitions in Acute Diseases # in Intermittent Diseases # in Chronic Diseases The 'omoeopathic 7aw furnishes the 8asis for ,epetitions ,ummel-s )pinion 3hy 'omoeopathists differ sometimes in the Dose and its ,epetition )pponents in *ain attempt to a*ail themsel*es of those differences The Character of the Complaint regulates the Dose Choice amongst the different Dilutions Data "y which the Practitioner is guided in those points Aegidi-s 9iews The Physician-s course in case of Aggra*ation 'ering-s )pinion ,epetition of the same !edicament # e*ery +& 1& 4& :& 11& and 1; days Alternate ,epetition Alternation of a ,emedy with its Antidote Case in which se*eral Doses of Sulphur cannot "e administered Dr< $riesselich-s Disco*ery for Destroying o*er Doses of Sulphur signs of Aggra*ation produced "y the !edicament& Aggra*ation of the Disease itself Intermediate ,emedies in Treatment of Chronic !alady Circumstances interrupting the Course of Treatment in Chronic Affections Conclusions on the different )pinions as to the ,epetition of Doses Chapter = Palliatives Preliminary ,eflections Circumstances in which they may "e .sed Chapter ; Of Regimen )"2ect of ,egimen 9egeta"le ood Animal ood 8e*erage Condiments 8aths

Air and "odily 5xercises 'a"its of 7i*ing< Chapter : Cases and Practical Observation De*iation of the 9erte"ral Column Periodical .lcerations in the !outh Cases of >uinsy Cases of 9omitings in pregnant 3omen Cases of Diarrhoea Strangulated 'ernia 'emorrhoids Cases of 3hooping#cough Pulmonary Catarrh Cases treated "y Arnica Contused 3ound Cases of Contusion 'emorrhage # cutaneous eruption $landular Disease Cases of )phthalmia Delirium Tremens !yopia Chapter ? Sketch of some of the more important Articles of the Materia Medica Acidum Nitricum Acidum Phosphoricum Aconitum Ammonium Car"onicum Antimonium Arnica !ontana Arsenicum Asafoetedia Aurum 8aryta 8elladonna 8ryonia Calcarea car"onica Canna"is Car"o *egeta"ilis Causticum Chamomilla China @CinchonaA Cina Coffea Conium !aculatum Dulcamara $raphites

Ignatia Amara Ipecacuanha 0ali Car"onica 7ycopodium !agnesia !agesiae !urias !ercurius Natrum car"onicum Nux *omica Petroleum Phosphorus Pulsatilla ,hus Toxicodendron Sarsaparilla Sepia Silicea Sodae !urias Spongia Stannum Staphisagria Strammonium Sulphur Thuya 9eratrum Al"um Bincum Chapter C Medicines and their Antidotes

D5DICATI)N
To The !edical Profession< To you # whose li*es are de*oted to the application of scientific knowledge # whose interests are in*ol*ed in em"racing Truth and re2ecting 5rror # whose feelings are often tortured at the "ed of sickness& "y the inefficiency of your present remedial meansD # to you I *enture to dedicate this work& the earnest hope that it may attract your attention to the practical and all#important truths contained in the doctrines of 'ahnemannD # truths which it is the o"2ect of Dr Paul Francis Curie the following pages to illustrate< 1799-1853 'omoeopathy froms a new era in !edical Science& destined& I "elie*e& to dispel the darkness& errors& and uncertainty in which Therapeutics ha*e "een hitherto en*eloped< Its principles is a law of nature& unerring and immuta"leE# a principle on which alone can "e esta"lished the future of progress and impro*ement of the healing art< The leading and peculiar features of 'omoeopathy are theseE# That the pathogenic power of each medicine is fully and clearly ascertained "y experiments upon healthy persons< That "y the law FSimilia Simili"us&F the physician is directed with certainty to the choice of the remedy suited to the cure of the disease< That the la"orious process of trituration in preparing the medicines increases all their known properties& and de*elops a multitude of others not pre*iously ascertained to exist in them< That only one medicinal su"stance is administered at one time< That extremely minute doses # so minute as usually to "e denominated FInfinitesimal DosesF # are experimentally pro*ed& "eyond dou"t& to "e most potent in their effects upon disease< 'ahnemann has also re*ealed to the medical world a new theory of the remote causes of chronic maladiesD and has taught& not only the means of alle*iating the sufferings arising from them& "ut of fre(uently effecting a radical cure< Is is therefore unreasona"le to anticipate the ultimate extinction of hereditary diseases& "y the destruction of the miasmata which engender themG The !ateria !edica is already enriched with nearly +HH different medicines& the properties of which ha*e "een minutely and carefully registered< Such are disco*eries made "y 'ahnemannE the result of years of perse*ering experiment and research& *erified "y the daily e*idence of se*eral hundred homoeopathic physicians& upon the continent& "y the few who reside in this country< To these disco*eries I in*ite # nay more& I entreat # the attention and consideration of my medical "rethren< I do not re(uire you to assent to a single proposition& without the most rigid in*estigationD "ut I do ask you fairly to examine& to scrutinise& and to test "y actual experiment the homoeopathic doctrines& instead of contemptuously re2ecting them without trial& and condemning them without proof< !y o"2ect in thus urging you to the en(uiry cannot& I trust& "e attri"uted to interested or unworthy moti*es< It arises solely from a sincere and ardent desire for the ad*ancement of scienceD for the "enefit of mankindD for infusing the conscious feeling of satisfaction which e*ery "ene*olent mind must experience in "eing ena"led to alle*iate the sufferings of

humanity& "y means at once mild& rapid& effectual& and& a"o*e all& unproducti*e of e*il conse(uences< I shall consider myself fortunate if you& my professional "rethren& will deign to accept the dedication of this work& as a proof of my heartfelt desire to see enlightened mem"ers of so li"eral a profession enter upon this path in pursuit of rational and scientific medicine< Paul < Curie
ormerly surgeon in the !ilitary 'ospital of ParisD !em"er of the Parisian 'omoeopathic and $allican SocietiesD Physician to the 7ondon 'omoeopathic Dispensary& Author of FPrinciples of 'omoeopathyF& etc<< 7ondonE 1H& 8rook Street& $ros*enor S(uare /une& 1st& 1?1?

P,5 AC5
It is intended in the present work to lay "efore the professional reader such illustrations of the doctrine of 'ahnemann as will ena"le him to arri*e at a tolera"ly correct estimate of practical 'omoeopathy< I shall commence with the method recommended "y him for in*estigating the state of the patient& and ac(uiring a satisfactory knowledge of the malady under which he la"oursD then proceed to the mode of administering remedial agents # their doses and repetitionsD and& lastly& detail a few cases& from my own practice& as results of this treatment< These doctrines& in conse(uence of their no*ely& originality and comprehensi*eness& and a"o*e all& of their tendency to o*erturn recei*ed and esta"lished opinions& in whate*er relates to therapeutics& ha*e hitherto excited& with "ut a few honora"le exceptions& the most *irulent and unrelenting hostility of the medical worldD and that& too& it must with regret "e added& without sufficient experimental en(uiry into their merits& or examination of their pretensions to scientific considerationD "ut which& ne*ertheless& ha*ing all#powerful truth for their "asis& and unerring experience for their support& will certainly& sooner or later& con(uer e*ery oppositionD and though perhaps slowly& yet surely& ad*ance in pu"lic estimation& and finally supersede all pre#existing medical doctrine and practice< In my first work& FPrinciples of 'omoeopathy&F I ende*oured to gi*e a succinct and clear exposition of the "asis on which these new and important doctrines are founded< I therein studiously& howe*er& distinguished the principles of the science from the hypotheses and reasonings made use of to elucidate them& lest the reader should confound the facts with such explanations as the present state of our knowledge ena"les us to gi*e< The facts rest on the e*idence of extensi*e and un*arying experience& and are therefore incontro*erti"le& whilst the hypotheses and reasonings may "e either wholly or partially inaccurate or incompleteD it was not& howe*er& "ecause I considered the hypotheses untena"le or the reasoning unconclusi*e& that I so separated them& "ut "ecause& whether true or false& they impair not the facts& which remain practically indisputa"le< Thunder and lightning were o"ser*ed hundreds of years "efore our knowledge of electricity ena"led us satisfactorily to explain their origin& yet no one& on that account& dou"ted their existence< The hea*enly "odies mo*ed in their or"its& and ponderous su"stances were attracted to the earth& thousands of years "efore Newton arose to disco*er and explain the laws which regulated their motionsD so& likewise& the law "Similia similibus " co#existent with electricity and gra*itation& remained unknown till the genius of 'ahnemann disco*ered& de*eloped& and applied it to the cure of disease<

The facts to which I ha*e a"o*e referred& and to which I in*ite particular attention& are theseE 1st< The law& "riefly expressed "y the axion& "Similia similibus curantur!" +d< The pathogenic power of the most minute doses of medicine& if prepared in accordance with the rules prescri"ed "y 'ahnemann< These facts "eing the groundwork of homoeopathy& and the points at issue with the existing medical practice& it is essential that those who sincerely desire to ascertain the truth or fallacy of its doctrines should commence their examination "y fairly and dispassionately testing these two experimental facts& instead of in*erting this rational course& and gi*ing undue attention to reasonings and illustrations which are intended merely to con*ey a rationale of the facts& "ut which do not constitute essential or fundamental portions of the system< Simple and intelligi"le in its theory& and axiomatic in its principles& as homoeopathy undou"tedly is& its practical application is not therefore easy< )n the contrary& to accomplish its proposed o"2ect& *i%<& to effect Fspeedy& safe and permanent cures&F re(uire much toil& study and o"ser*ationD the extreme simplicity of the law of gra*itation does not remo*e the difficulty or la"our of its application in accounting for the *arious phenomena of the uni*erse< The principles of mathematics are also simpleD "ut does this diminish the difficulty of applying them to intricate calculations in the higher "ranches of the scienceG 8efore the homoeopathist can practice with skill& confidence& and success& his pre*ious study and professional knowledge must necessarily "e as extensi*e as is re(uired "y any other class of physiciansD and must& at least& comprise of intimate ac(uaintance with physiology& pathology& and mor"id anatomy< 'e must& in addition& "e familiar with the pathogenic effects of each medicine& or& in other words& "e deeply read in the Materia Medica Pura of 'ahnemann< 'e must also possess the knowledge necessary to select& with unhesitating confidence& the remedy suita"le to the malady under treatment< The homeopathist& in his study of pathology& does not allow his en(uiries to terminate with a knowledge of diseases& as they ha*e "een classified and handed down "y pathologistsD his researches must extend "eyond such classifications& which are restricted to gi*ing names to certain groups of symptoms& and prescri"ing according to those namesD the practitioner of the old school& moreo*er& is continually di*erted from his real o"2ect "y a futile attempt to penetrate into the nature or essence of disease& and to treat that disease according to his own particular notion of that essence< This& in reality& is "ut an unphilosophical in*ention of nosologists # a useless search after final causes& which& howsoe*er desira"le& appear unattaina"le "y human reason< 'ence it happens& that the treatment of one school of medicine is completely at *ariance with that of anotherD and that twenty opposing modes of cure are recommended for the same disease& according to the peculiar tenets of each school< Now& homoeopathy& instead of *ainly directing its attention to hypothetical *iews of the essence of disease& and "uilding speculati*e theories thereonD instead of gi*ing names to particular groups of symptoms& and administering routine prescriptions empirically recommended for these classified groups # considers each case of malady as possessing a distinct and indi*idual character< To "ecome thoroughly ac(uainted with the exact state and extent of each malady& the homoeopathist is re(uired to in*estigate first& the cause of the maladyD then& the entire symptomsD and& lastly& the periods during which those symptoms are most acti*e< Possessing& thus& an exact and detailed history of all these phenomena& the homoeopathic physician is ena"led& in *irtue of the principle on which its therapeutic "ranch

is ingrafted& to select that medicinal su"stance which will arrest& and finally exterminate the exciting cause of the disease< It will "e seen& in the chapter on the FStudy of Diseases&F that for the purposes of pathological in*estigation& homoeopathic physicians do not wholly repudiate classification of diseaseD "ut whilst they adopt generic names& in cases of well#defined and strongly marked diseases& such as scarlatina& measles& croup& Ic<& mere classification would "e of no use to them in cases of complicated maladies& nor e*en in thos 2ust named& when accompanied "y other derangements of the system< !oreo*er& there are always peculiar idiosyncrasies& which it is of the utmost importance to consider& and which cannot "e included in such classificationsD these& therefore& are insufficient to indicate the choice of the remedy& and render necessary the mode recommended "y 'ahnemann& *i%<& to gi*e that single medicine which comprises the greatest num"er of the most important symptoms< No *alid o"2ection can "e urged against the homoeopathic mode of in*estigating disease< There is& indeed& no other rational process "y which an accurate knowledge of it can "e o"tained& than a searching en(uiry into all the symptoms "y which its existence and character are manifested< To whate*er other points theoretical physicians and pathologists may direct their attention& to this& and to this alone& must they return for all practical and remedial purposes< 'ow& let me ask& can inflammation of the lungs "e detected& "ut "y noting the pains in the chest& peculiarity of "reathing and expectoration& connected with the indications furnished "y percussion and auscultationG 'ow can we discriminate phrenitis& typhus& con*ulsions& epilepsy& scrofula& measles& scarlatina& syphilis& mania Ic<& "ut "y peculiar symptoms which each of those maladies exhi"itsG No theoretical researches& presuming them to "e successful& could furnish us with a more correct knowledge of these diseases than we deri*e from their well#defined symptoms< To these outward and *isi"le signs& then& the homoeopathist confines his immediate attention& seeing that the great disco*ery of 'ahnemann ena"les him "y their means to com"at and con(uer the mor"id cause& whate*er and where*er it may "e< 'ow little the study of the intimate nature of disease has contri"uted to the impro*ement of medical treatment it is easy to show< The many learned discussions on the nature of typhus and cholera ha*e "een a"solutely unproducti*e of impro*ement in the treatment of those fearful epidemics< Patients& attacked "y them& still die as rapidly as "efore those discussionsD whilst& on the other hand& "y the skilful application of the homoeopathic law& these maladies are seldom fatalD "ut are in general& speedily and prefectly curedE# "ryonia and Rhus #c! "eing in accordance with the general symptoms of the formerD and veratrum phosphorus arsenicum cuprum #c! $ith the usual appearances of the latter< I might& indeed& (uote e*ery disease "y which life is endangeredD and& in the long catalogue& it would not "e difficult to shew that allopathy is deplora"ly ineffectual in arresting the great ma2ority of cases& although that mode of treatment "oastingly claims to "e founded on a knowledge of the intimate nature of disease< In the same re*iew it would not "e more difficult to pro*e homoeopathy to "e triumphant in "y far the greater num"er of like casesD although it makes no pretension to understand the essence of any one of them& and only attempts to ac(uire a knowledge of their *isi"le manifestations& and of the se*eral circumstances that influence them< 8ut& "ecause we use the direct& rational& and philosophical mode of in*estigating diseases through the sole medium of their symptoms& is it thence to "e inferred& that all study of anatomy& physiology& and pathology is re2ected "y the homoeopathistG or that any "ranch of

science re(uisite for the allopathic physician can "e dispensed with "y usG Assuredly not< 'omeopathy re(uires a knowledge of e*ery symptom& its seat& and exciting cause< 'ow& then& are we to know these& or to detect the changes which take place in the sensi"ility& structure& and functional action of the *arious organs& if we do not comprehend the structure of those organs& and all their *aried functions& in a state of healthG or& in other words& if we do not fully understand anatomy and physiologyG Since& then& we are o"liged to study with minute attention the thousands shades of structured change and functional derangement which are influenced "y different diseases& we re(uire a most intimate ac(uaintance with pathology& "y which alone we are ena"led to understand the mor"id changes which take place in the human frame< The great distinction& howe*er& "etween homoeopathy and allopathy lies in that all# important di*ision of medical art& the therapeutic< It is for the purpose of perfecting and rendering effectual this "ranch that all the others are su"ser*ient& and for which they are professedly culti*atedD yet it is here that allopathy is so lamenta"ly deficient& so far in arrear of its sister sciences& and so little progressi*e that it may& too truly& "e said to "e almost stationaryD @This lamenta"le position of medical science is felt and confessed "y e*ery candid writer of the present day< !r< $< !acilwain has 2ust pu"lished a work& throughout which he deplores its deficienciesE he says in his Preface& FI ha*e sensi"ly felt the humiliating con*iction that medical science has not kept pace with other departments of knowledge& either in progress of diffusion<F # Medicine and Surgery% one &nductive Science!A its ad*ances "eing marked only "y the occasional additions of a new medicine or a new preparation of an old oneD whereas& it is in this "ranch that 'omoeopathy stands so pre#eminently superiorD raising medicine to the rank of a positi*e scienceD and replacing mere con2ecture "y a sound and unerring principleD esta"lished on which an entire and perfect system has "een erected& rendering of curati*e agents at once rational and effecti*e& and de*eloping increased energies in the medicinal su"stances themsel*es& "y a new and scientific process of preparation< If I ha*e spoken in the preceeding pages in a tone of confidence and "oldness that may appear un2ustifia"le in one who ad*ocates a science hitherto held in scorn and derision& it is "ecause long and extensi*e experience ha*e wrought in my mind the deep con*iction of its importance and superiority as a means of cure< I claim no merit& for none is due to me& for the great ad*antages which a knowledge of the science of homoepathy has placed in my handsD it is enough that I feel a conscious pride and satisfaction in "eing a hum"le yet %ealous disciple and propagator of the doctrines of 'ahnemann # a man whose powerful mind& philosophical *iews& and unwearied la"ors& ha*e contri"uted more towards mitigating the sufferings of the human race& and ele*ating a degraded yet no"le science to it merited position& than has "een accomplished "y the com"ined talents of all his predecssors and contemporariesD a truth& which I trust& the founder of this science will yet li*e to see acknowledged "y the whole medical community< This country& I know& a"ounds in enlightened medical men& who sensi"ly feel the low condition of their ar& @!acilwain& acknowledging this fact in page 1 of his first discourse& say& # F5rroneous notions ha*e so effectually retarted the progress of medical science& as to render it lo$est in the scale of improvement!FA who toil incessantly and honestly in the fields of science& and who consider the ac(uisition of truth as the highest and most *alua"le o"2ect to "e attainedD to them& I say& e'amine e'perimentally our facts( "ring with you& if you will& all your preconcei*ed opinions& all the pre2udices of your education& and the recollection of all that interested moti*es can urge against this scienceD with these in array against us& I still

say& e'amine( and "y the result of that examination # if conducted with an honest and truth# lo*ing spirit # we are willing to "e 2udged< The author claims indulgence for any errors which may ha*e escaped the notice of the re*iser<

Chapter 1
Of the Disease
In entering upon the study of any disease& it is o"*ious that the first step to "e taken "y the physician& is to ac(uire a complete and perfect knowledge of e*ery symptom "y which that particular malady may "e distinguished< Not only is this essential in 'omoeopathic practice& "ut it is also indispensa"le to learn under what circumstances and at what particular periods the symptoms are manifested and are most strongly felt< It is& moreo*er& highly important to ascertain& if practica"le& the cause which may ha*e induced the maladyD and& lastly& whether there exist any inherent *irus in the constitution of the patient< These conditions are indispensa"le for the successful treatment of maladies< A thorough knowledge of all the functional derangements& exciting causes of disease& and moral peculiarities of the patient& "eing the only sure guide to the choice of an accurate remedy& it is essential that the physician should carefully record the most minute and most ample detailsD it is& therefore& the o"2ect of this chapter to point out a methodical and effecti*e mode of o"taining the re(uired information< 'e must first desire the patient to relate his caseD and& "y allowing him to descri"e his sensations and sufferings in his own words and manner& the physician may depend upon recei*ing a more accurate and faithful statement of the characteristic symptoms of his complaint than can "e o"tained "y interrogatories< The patient should "e directed to express his sensations with as much perspicuity and correctness as he is a"leD this may "e accomplished& after a few attempts& and "y the aid of reflection< The physician need not& howe*er& prescri"e a methodical arrangement in doing soD nor should the patient "e interrupted whilst making his statement& lest he should digress from the su"2ect on matters not connected with the complaint< The physician ha*ing elicited all that the patient may ha*e to communicate& the narration thus gi*en will pro*e the most faithful image of his malady< In certain cases the friends of the patient should "e (uestioned upon the o"ser*ations they may ha*e madeD of what he may ha*e complained& and how he may ha*e acted< In short& nothing should "e omitted that might throw light upon a complicated and dangerous caseD inasmuch as many occurrences seemingly unimportant in themsel*es are *alua"le to the homeopathic practitioner< The length and minuteness of these details& with the indispensa"le necessity of re*erting to them during treatment& exhi"it the propriety of transferring the entire statement to paper< This should "e done at the moment of its dictation "y the patient& and as nearly as possi"le in his own wordsD and each distinct symptom should occupy a separate paragraph< the ad*antage of this soon manifests itself in practice& for a patient in his first statement will rarely disclose all his ailments< 9arious circumstances may render the first explanations *ague and incompleteD "ut his communications& "ecoming gradually more unreser*ed and minute& the physician is ena"led not only to supply whate*er may ha*e "een deficient& "ut to arrange each particular under its proper head<

1H

'itherto the practitioner has strictly confined himself to listening to and noting down the patient-s statementD and at the same time attenti*ely o"ser*ing his appearance& as well as any changes that may take place< At this period& howe*er& he "egins to take a more acti*e part& re(uiring the exercise of all his discretion and skillD he now enters upon the interrogation of the patient with a *iew to complete the particulars already noted down @as regards each symptomEA he then& for the purpose of more minute en(uiry& reads o*er consecuti*ely all the details< 'is mode of examination& howe*er& must "e *ery guarded& and his (uestions must "e so framed as ne*er to suggest the replyD for if "y the listlessness of the patient& on the one hand& it may "e difficult to o"tain an accurate *iew of his malady& there may "e in danger& on the other hand& of calling forth an erroneous statement& ine*ita"ly tending to mislead the physician in selecting the remedy< Not unfre(uently& howe*er& "oth the patient and his friends may "e una"le to gi*e so full an account of his sufferings as may "e desira"leD in such cases the practitioner must "e satisfied with the amount of information elicitedD this& assisted "y the o"ser*ations which he himself ena"led to make& will direct him to a suita"le remedy< As a general rule it is desira"le that the physician should learn whether the patient ha*e "een under pre*ious medical treatment& that he may ascertain whether any of the symptoms are the result of that treatment& or whether they were felt prior to the exhi"ition of medicine< 'a*ing satisfied himself upon this point& he will en(uire whether the pains are intermitting or permanent& and under what circumstances they increase or su"side< 'is in*estigation will next "e directed to the particular seat of pain& and also to its precise character& *i%<& whether aching& shooting& thro""ing& pricking Ic<D the period at which the pain is principally felt& whether in the morning or in the e*ening& during the day& or in the nightD and e*en the hour of its access& as well as its duration should "e noted< 5n(uiry should also "e made whether any and what influence may "e induced "y the position of the "ody< I must repeat& howe*er& that if these (ueries "e so directed as to lead the patient to gi*e an incorrect definition of his sufferings& their character will necessarily "e incorrect& and the physician will "e led into error< It is essential to ascertain with minuteness& the inclinations and a*ersions of the patient& his desire for particular kinds of food or "e*erage& his degree of appetite& and whether he suffer from thirst or experience any particular taste in the mouthD and if so& at what period of the day it is noticed& and whether "efore& during& or after a meal< 5ructations and rising of the food must also "e en(uired into& and the patient must explain when these incon*eniences principally affect him& and the taste with which they are accompanied< Similar en(uiry applies to matters e2ected from the stomachD their usual appearance& consistency& taste& smell& and fre(uency< The state of the "owels next demands considerationD whether relaxed& constipated& or healthy& with the colour and consistency of the al*ine e*acuations& and whether attended with pain< As regards the urine& when the patient has related its peculiarities as to colour& density& smell& and inter*als of discharge& the physician must ascertain its appearance at the time of deposit& and su"se(uently& the color and character of the sediment& Ic< The next su"2ect of en(uiry # the condition of the sexual functions # is one of paramount importance& and re(uires the utmost delicacy and tact on the part of the physician& the more especially as it is in females that these functonal derangements are the most fre(uent and serious& froming the "asis of many other ailments< A clear and definite exposition of irregularities and mor"id appearances in these functions is indispensi"leD "ut as the details will suggest themsel*es to e*ery enlightened practitioner& it is not re(uisite for me to point

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them out in this place # suffice it to say that sterility and impotence are usually founded upon these derangements& and afford *alua"le data for selecting a remedy< Particulars relati*e to sleep must "e gathered with similar care& and the position of the patient when in "ed must "e noticed # whether he lie on his "ack or on his side& on which side he is more at easeD and whether he prefer much or slender co*ering< 5ach distinct affection produces its characteristic *ariety in sleep& as regards its duration and soundness< In some maladies the patient is distur"ed "y the slightest noise& or "y the most trifling causeD in others& the sleep is profound& and he is with difficulty arousedD in some cases he talks in his sleep& cries out& groans& or complainsD in others he snores& starts up suddenly& or walks a"out< These peculiarities should "e noted downD neither should the appearance on waking& if unusual& "e permitted to pass unnoticed< Should the patient "e la"ouring under a fe"rile attack& the physician must not content himself with ascertaining the state of the pulse& tongue& secretions& and type of the fe*er& "ut must extend his en(uiries to the minutest symptoms< 'e must first learn whether the patient had only a sensation of chilliness& or were really cold& and what portion of the "ody was principally affectedD he may complain of cold either internally or externally& and yet his skin may "e warm at the time< The exact period at which the cold was felt& and its continuance& should "e ascertained& and whether accompanied with shi*eringD for all these circumstances are important& and should not escape the o"ser*ation of the practitioner< The in*estigation of the hot paroxysm in fe"rile disease demands a similarly rigid examination of symptoms< The symptoms produced "y and conse(uent upon the hot fit& demand the same scrupulous in*estigation as those of the cold< It must "e ascertained whether the patient feel a sensation of internal heat& whilst the surface of the "ody is coldD whether the heat "e e(ually diffused or confined to particular partsD and whether the face "e pale of flushedD the duration of this paroxysm should also "e en(uired into& as well as its alternation with cold fit& and whether it precede or follow it< The sweating fit& which constitutes the third stage& must "e e(ually attended to< The physician must ascertain the period of its access& and its connection with heatD the degree and (uality of the perspiration& whether it "e hot or cold& *iscid or wateryD it is possess any peculiar odour& and if one portion of the "ody "e more under its influence than another< In addition to these facts& the Physician should also learn if any and what external circumstances ha*e had an influence upon the patient& such as noise& air& heat& cold& Ic<& nor must his appearance escape o"ser*ation< Thirst is a symptom entitles to particular considerationD and the practitioner should learn whether it were felt during the cold or hot stage& or during "othD its intensity and continuance should "e en(uired into& as should also the diluents which the patient may prefer or dislike< These minute details& which may appear superfluous to the allopathic practitioner& are indispensa"le in homoeopathic treatmentD inasmuch as they furnish the means of discriminating the *arious shades of pathological distur"ance in different constitutions& and conse(uently ena"le the physician to select a medicine in accordance with each indi*idual characteristic< The healthy or mor"id condition of the organs of sense and *itality must all "e successi*ely en(uired intoD and the state of the eyes& nose& ears& mouth& as well as the whole a"dominal *iscera& the heart& and circulating system& must "e carefully registered<

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The respiratory organs& # their changes as regards the function of respiration itself& or their secretions& # the sensations incident to "reathing& # and the indications supplied "y percussion& the stethoscope& Ic<& should "e accurately noted down< In examining the eyes& their general expression should "e noticedD the appearance of the pupils& and how influenced "y daylight& candle#light& Ic< The "rain and ner*ous system re(uire serious attention& and if mor"id symptoms should ha*e "een manifested& the practitioner will ha*e recourse to the like method of in*estigating their character& nor must he omit to note down the appearance& gestures& complexion& Ic< of the patient< The last though not least important in these en(uiries is to ascertain the intellectual and moral affections< The physician should learn whether he "e irrita"le& passionate& and *iolent& or mild& patient& and enduringD whether li*ely or melancholy& anxious or indifferentD whether hysterical& hypochondriacal& or restless& and whether there exist a disposition to shed tears or a desire to commit suicideD each of these mor"id tendencies will denote a peculiarity in the patient which calls for minute attention& and which forms and important su"2ect for consideration in determining on a remedy< Thus these remarks will em"race the general tenor of the in*alid during the inter*iewD his moral indications& such as fear& sorrow& "ursts of passion& mildness& hope& despondency& Ic< 'e will remark the effect produced on the mor"id phenomena "y positionD such as sitting& lying& standing& or mo*ing a"out& either within doors or in the open air< 'e must o"ser*e the influence of foodD whether the patient "e principally affected in the morning "efore eating& after "reakfast& after dinner& or only at nightD and whether during or immediately su"se(uent to repast< In short& the organs of the economy must "e considered seriatim& and each examined with reference to sensation and change& whether organic of functional< As in chronic affections& the symptoms are confused& o"scure& and difficult to appreciate& and re(uire the nicest attention& the en(uiry must "e most rigidly conducted& and the minutest details must "e entered into< In these maladies patients ha*e "ecome so ha"ituated to their condition& that they attach little or no importance to slight symptomsE these& howe*er& not unfre(uently characteri%e the complaint& and necessarily assist to determine the remedy< It would "e superfluous to point out the difficulties incidental to this minute& exact& and se*ere system prescri"ed "y 'ahnemann& and confirmed "y experience& as essential to success< Practice alone can con*ince the physician how acute must he his o"ser*ance in tracing the countless *arieties and shades of difference in the diseases which afflict our species< This mode of in*estigation& the outline of which we ha*e 2ust proclaimed& is in some measure adopted "y e*ery close o"ser*er& "ut "y none so fully as "y 'ahnemann< 'e it was who first indicated the propriety of noting the distinct and peculiar characteristics of each case& and there"y conferred upon each an indi*iduality< This method& then& "eing at once the most precise as well as the most complete& must "e put in force< The practitioner& howe*er& whilst studying the rules laid down "y 'ahnemann& will not "e a"le at all times to follow unde*iatingly the order prescri"ed& "ut will occasionally "e induced to in*ert this methodical se(uence< 'e will therefore *ary his measures according to circumstances& and his tact must determine the particular form which the en(uiry should assume< It is important& howe*er& that he "e guided "y the spirit of the methodD and he will

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in*aria"ly achie*e his aim& pro*ided he "ear in mind that it is comprised under the three following headsE 1st< The information furnished "y the patient and his friends< +d< Their replies to the (uestions of the physicianD 1d< The changes which the physician may himself "e ena"led to detect< Although the aggregate of symptoms constitutes our guide in the treatment of disease& it does not follow that& when those symptoms ha*e "een collected& the in*estigation is at an end< To form a correct diagnosis& it is not alone sufficient to o"ser*e a confused mass of symptomsE we must study their connection and com"ination& their mutual influence& relati*e worth& Ic< In studying disease& experience teaches that mor"id symptoms are far from possessing uniform importanceE their relati*e *alue must therefore "e weighed "y the physician& and each arranged under a distinct category< Certain symptoms are inherent or fundamentalD others are incidental& and dependent upon the former< undamental symptoms are those which& correctly speaking& constitute the disease itself& indicating the organ& apparatus& or organic system& first and principally attacked& in which the affection& though general& may ha*e more particularly taken its stand& and from which it per*ades the frame< 8y allowing the patient to speak& and "y attenti*e o"ser*ation& these symptoms will in*aria"ly recurD and& whether they manifest themsel*es "y precisely similar sensations& or whether they *ary& their character will continue essentially the same< The symptoms which are not permanent&and which are termed incidental& are numerous& and occupy the next station of en(uiry< They are de*eloped in conse(uence of other more important lesionsD they are indicati*e of organs not deeply affected& "ut suffering sympatheticallyD they appear& disappear& and returnD they assume other forms& and fre(uently& in dissimilar ailments& they exhi"it the same phenomena< Notwithstanding the *ersatility of these symptoms& the practitioner must not lose sight of themD if at times they a*ail little in detecting the actual malady& at other times& "y their sympathetic relations& the physician is ena"led to indi*iduali%e the case& and they pro*e ser*icea"le in exhi"iting the constitutional tendencies of the patient& and in determining the choice of remedy< As it is an acknowledged truth that the disco*ery of the cause of a disease is the first step towards its cure& the physician will naturally apply himself to this o"2ect& and& if successful& will ende*our to remo*e it< Notwithstanding the importance of an en(uiry into the cause of disease& we must guard against the conclusions deri*ed from this "ranch of medical study< The exciting cause is in many instances unknown& and we ha*e "ut little or no ac(uaintance with the origin of epidemics& of measles& scarlet fe*er& small#pox& cholera& Ic< The doctrine of 'ahnemann happily pro*ides the means of resisting the dreadful effects occasionally resulting from unknown causes< or this we are inde"ted to the great fundamental and guiding law& Similia similibus curantur! )f late years physicians ha*e entered upon a new "ranch of medical science to perfect their knowledge of diseaseD I allude to pathological anatomy< Pathological anatomy exhi"its& after death& the most striking and remarka"le results of disease& and the changes which the affected organs ha*e undergone< It ena"les us to com pare the a"normal tissues with the healthy ones& and& "y a scientific estimate of those changes& it

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may& "y induction& and "y a comparison of those lesions with the symptoms during life& lead us to determine how those organs are affected& and will "ecome a safer guide in similar cases< In a ma2ority of instances& pathological anatomy can accomplish nothing "eyond thisD for it fre(uently happens that an autopsy yields "ut *ery imperfect informationD this is especially the case in ner*ous affections< In most instances pathological anatomy "ecomes supplementary& lending its aid in the diagnosis< The assem"lage of symptoms&# the circumstances under which they appear& disappear& are aggra*ated or relie*ed& # and the causes producing disease& constitute what the homoeopathic physicians denominate the nature of the affectionD and no other method can exemplify it so completely and with so much fidelity< In this system nothing is left undetermined& nothing left unexplainedD neither is there any any useless hypothesisD rigid o"ser*ation "eing the "asis upon which the 2udgement is esta"lished< 'a*ing proceeded thus far in his research& the physician can determine whether the affection "e general or merely local& whether acute or chronic& or whether participating in "oth these characteristics< Those diseases may "e considered acute which are& for the most part& sudden in their appearance and "rief in their duration& and which are refera"le to atmospheric phenomena& ingesta& moral impression& Ic< )*er these diseases the *ital energies alone will fre(uently triumphD occasionally& howe*er& from their intensity& vis vitae is o*erpowered& and& in default of prompt assistance& life would "e destroyed< A chronic malady is one which has its "asis& as 'ahnemann has endea*oured to pro*e& is one of the three miasmata # the syphilitic& sycosic& or the psoric& or in a complication of them< These germs of disease& ha*ing "eing transmitted to us through many preceeding generations& are therefore& deeply rooted in the constitution& and can ne*er "e destroyed "y the mere influence of the *ital powers& although they may remain latent in the constitution for se*eral years& and e*en to a late period of life& unless called into acti*ity "y some accidental cause& "y "ad food& "y ener*ating ha"its& or lastly& "y a decay of the *ital energies< The symptoms produced "y these diseases change their seat and character& not only in different indi*iduals& "ut in the same person at different periods of life< The third class is that of complicated disease& and comprises& as the name explains& a com"ination of acute and chronic affections& and therefore& re(uires no further illustration< In this classification the physician& in*aria"ly guided "y o"ser*ation& lays down for himself new di*isions and su"di*isions< Thus& an acute disease may "e either sporadic& infecting "ut a few indi*iduals at a timeD or it may "e endemic& confining itself to a particular localityD or epidemic& spreading its contagion o*er large districts& whether the exciting cause "e apparent or concealedD moreo*er& it may "e produced "y the a"use of certain medicines& or "y the *oluntary or in*oluntary exhi"ition of poisons< A chronic disease must "e classed in reference to its exciting cause& whether syphilitic& sycosic& or psoric& "ut the di*ision to which it may appertain can only "e detected "y the symptoms it produces< The preceding di*isions are of great importance in homoeopathic practiceD inasmuch as the remedies to "e selected must ha*e reference to the class to which the malady "elongsD some medicines "eing specially adapted for acute& others for chronic affections& and a third class re(uiring the adminstration of "oth<

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rom what has "een stated& it will "e seen that the system of 'ahnemann does not exclude classification of disease& so far as it is su"ser*ient to the choice of a remedyD "ut in this the predominant symptoms and accessory circumstances& rather than the existing nosological classification& must "e the guide to the homoeopathic practitioner< It is possi"le that homoeopathy will& at some future period& cease to "e limited to the classification it already adopts& "ut will possess a systematised nosology suita"le to its ad*anced position in medical science< 'ahnemann& howe*er& acted 2udiciously in re2ecting the minuter classifications of the present time& as their tendency is to mislead the student& "y teaching him to rely more on names gi*en to certain groups of mor"id symptoms& than to the actual character and indi*iduality of each maladyD and& moreo*er& di*erts his *iews from the percepti"le manifestations of disease& for the *ain search after its nature or essence< It must "e stated& that neither 'ahnemann nor his disciples ha*e e*er denied that there are certain groups of symptoms denoting such diseases of nosologinsts such as pleuritis& dia"etes& pneumonia& podagra& Ic<D "ut only that these denominations are too *ague and too general& and therefore insufficient to mark the indi*iduality which ought to distinguish each case& and& conse(uently& are inade(uate to direct the homoeopathic practitioner to the choice of the specific remedy< It must not& howe*er& "e inferred that we presumptuously and a"surdly re2ect as useless the important disco*eries of our predecessors in pathological in*estigationD on the contrary& the *alua"le store of facts which they ha*e accumulated are as fully appreciated "y& and are essential to& the homoeopathic as to any other school of medicine< 3e dissent from their nosological nomenclature& wherein particular groups of symptoms recei*e names which suggest erroneous ideas& and conse(uently lead to the "lind administration of remedies< 'omoeopathy re(uires a well#digested and methodical symptomatology& of which a "rief and imperfect sketch has "een attempted in the preceding pages& "ut which& ne*ertheless& ser*es to show that each case of complicated disease is marked "y it own peculiarities& and therefore re(uires medicinal treatment in accordance with its particular diagnosis< It is manifest that& "y the rigid in*estigation which is here enforced& the homoeopathic practitioner will not only escape the errors incidental to the allopathic school& "ut will moreo*er o"tain a faithful picture of the malady& howe*er complicated or deeply seated it may "e< The cause& if attaina"le& and the symptoms& with their infinite *ariety and shadesD the circumstances which influence them& the idiosyncrasy of the patient& Ic<& all are tri"utary to this o"2ectD it is only "y su"scri"ing to these rules that the practitioner can arri*e at the successful application of the grant 7aw of Nature # Similia simili"us curantur< In re*iewing what has 2ust "een stated as regards the in*alid& it will "e seen that his different symptoms may "e classed under three important headsD *i%< 1< The symptoms affecting his moral tendencies< +< Those influencing the intellectual faculties< 1< Those connected with his organic economy< It is impossi"le to institute a careful examination of the patient& without admitting this threefold tendency of his symptoms< These recei*e endless modifications from the disease< It is for this reason that we o"ser*e a man of the mildest temperament "ecome irrita"le& hasty& passionate& and implaca"le& when under the influence of ill health< The con*erse of this may "e fre(uently remarkedD and a man naturally stern& *iolent& and impeteous& is often entirely changed in disposition< It is thus& then& under the influence of disease that the moral organi%ation undergoes an important change<

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These remarks apply with e(ual 2ustice to the intellectual facultiesD the patient fre(uently losing the power of connecting ideas& the memory "ecoming impaired& his imagination defecti*e& Ic<D or there may "e such confusion of intellect as to pre*ent the existence of any affinity or unison "etween one idea and another< The mental faculties may "ecome deranged& e*en to fatuity< It is useless to dwell upon the third classification& the indicia more especially materialD in fact& all our organs& more or less affected& present manifest derangements< The entire malady is exemplified "y the union of these three classes of symptoms& "ut there is an infinite di*ersity in their de*elopment< They may "e scarcely defined& or indeed insignificantE on the other hand& they may "e striking& and in conse(uence& entitled to important consideration< In order& then& to characteri%e a gi*en disease& we must consider attenti*ely the three classes of phenomenaD for either of the three may predominate& and impress the affection with its own peculiar stamp< In practice& therefore& we must "y no means exercise a prediliction for one or other of these three grand classifications& since each may& occasionally& "e in the ascendant< The indicia of disease manifest themsel*es yet again under a new trinary su"di*ision& which we ha*e endea*oured to point out& # *i%<& symptoms of sensation& physical symptoms& and functional signs< The in*estigation of e*ery disease will furnish these phenomena< In all affections the patient complains of certain pain or uneasinessD this is sensation< The entire malady is connected with the organi%ation& and though una"le& in all instances& to percei*e or point out the physical modifications& we are ne*ertheless compelled to acknowledge their existence< These are the physical signs< 3ith regard to functional symptoms& they are usually apparent& as e*ery patient presents a change in one or many of the functions of his economy< These three classes of symptoms unite in constituting the affectionE how great& then& is the importance attaching to the symptoms deri*ed from these three classesJ 'ow especially should the practitioner apply himself to these sensationsJ This must in*aria"ly "e enforced& inasmuch as the symptoms experienced and well detailed "y the patient will conduce to a thorough knowledge of the ailment< In many instances& howe*er& the in*alid is at a loss to descri"e the sensations which indicate the malady< In the treatment of children and of "rute animals& the indicia supplied "y sensation are reduced to little or no *alue< In such cases we must attach chief importance to the physical indications& and o"ser*e them will all possi"le care< rom their palpa"le and self#e*ident character& they possess much weight& more particularly as regards childrenD while in adults they mainly contri"ute to the correctness of the diagnosis< )n the other hand& we must not attach too much importance to the ad*antage which& in a multitude of affections& may "e deri*ed from these symptoms< The actual state of science teaches nothing relati*e to these physical signs& not e*en after the decease of the patient< Thus& in many ner*ous affections& the diagnosis has deri*ed no certainty from the in*estigation of physical changeD whilst& in diseases of the eye& for instance& the aspect of the tissues& and of the humours which they comprise& present the most *alua"le indications< The third di*ision& or the symptoms deri*ed from the function of the economy& is of paramount importanceD and e*en in children& as also in the "rute creation& admit of "eing studied with much precision< Indi*iduals& indeed& the least competent to descri"e their condition& *ery fre(uently render a clear and explicit account of their functional state< The three classes of symptoms 2ust mentioned& which& when united& constitute disease& ought then to "e studied with attention& and& according to circumstances& should ser*e& indi*idually

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or collecti*ely& as the "asis of sound diagnostic< 'ere we must again insist& that the homoeopathic physician& howe*er much he may "e inclined& should a*oid leaning towards any one of these classes< The sensations may un(uestiona"ly conduce to the diagnosisE the physical indications may ena"le him at once to detect the diseaseD the functional signs may esta"lish a 2udgement sufficiently correct< 8ut& that the diagnosis may "e infalli"le& it must "e "ased upon the assem"lage of symptomsD that is to say& upon the union or coalition of the three grand classifications which we ha*e 2ust en(uired into< These *arious indications are entitled to greater or less importance& according to the nature of the disease< In concluding this chapter& we may o"ser*e that it is more particularly addressed to medical men& who& ha*ing already a profound knowledge of their profession& may desire to de*ote themsel*es to the practice of 'omeoeopathy<

Chapter 2
Of the Remedy
In my work on the FPrinciples of 'omoeopathy&F I ha*e already related in what manner 'ahnemann& "y his experiments with "ark& succeeded in determining that diseases are to "e cured only "y the use of those medicines which excite phenomena similar to those of the disease themsel*es< This law& expressed in the trite "ut expressi*e sentence& FSimilia simili"us curentur&F is a fixed principle& # an immo*ea"le "asis of homoeopathic art< !ost of the uncertain pro"lems of practice *anish in a moment "efore this law of natureD and& for all future time& the practice of medicine has "urst through the mists of hypothesis& # through a "lind routine& which continued to pre*ail until this fixed and a"solute law had "een disco*ered< As soon as 'ahnemann had got possession of this therapeutic law& in order to support and illustrate it "y practice& he undertook to perform on himself& his family& and his most de*oted pupils& a series of experiments& with a *iew to ascertain the real or pure properties of medicines< This new undertaking was incontesta"ly one of the most la"orious and difficult which was e*er undertaken and accomplished< The medicinal agents which& up to this time& ha*e "een tested "y experiment& are more than two hundred in num"erD of which& upwards of one hundred and fifty ha*e "een *ery ela"orately in*estigated< 3hen these curati*es are gi*en to healthy su"2ects& they produce an immense series of greater or less phenomena< ,eckoning all the effects produced in *arious constitutions& aconite& for instance& produces upwards of =HH symptomsD arnica& upwards of ;HHD arsenic and sulphur each upwards of 1&HHHD pulsatilla& upwards of 1&1HHD nux *omica& upwards of 1&1HHD and so onE and thus we see that the homoeopathic materia medica& composed of the aggregate of su"stances capa"le of producing symptomatic effects in a healthy man& is a *ast arsenal wherein the physician& "eing directed in his choice "y an unerring guide& is at li"erty to select the weapons with which he intends to encounter disease< The study of the pure materia medica is therefore of the highest importanceD for it is (uite as re(uisite to know the proper remedy as the diseaseD these two things are insepara"le< In homoeopathic practice& physicians do not make a hasty sur*ey of an isolated symptom& and then apply at random the remedy it points out to the disease indicated "y such symptomE they ha*e to engage the aggregate of the symptoms of the complaint& "y a similar aggregate of the medicinal symptomsD and these medicinal symptoms must "e excited and increased

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under the influence of the same causes and circumstances which excite and increase the symptoms of the disease< In a word& it is necessary that the characteristic features of the disease should also form the characteristic features of the remedy< 'ow then& with two hundred medicines& with upwards of 1HH&HHH symptoms& or circumstances tending to produce& to lessen& or increase them& # how& then& is it possi"le for us to direct our courseG is there a memory strong enough to retain and class them allG And& if the memory is incapa"le of this& what is the method to "e employedG 8y what thread shall we guide oursel*es in this la"rynthG In fine& what method is there for studying the pure materia medicaG The medical man has no other course than to "egin "y studying thoroughly some few of the most important curati*es& so as to know them fully< After that& "y pursuing an attenti*e course of reading as regards the other remedies& and "y drawing comparisons "etween them and those he has mastered& he will detect the differences and resem"lances which are o"ser*ed "etween them< The homoeopathic practitioner ought ne*er to let a single day pass without reading some portion of the materia medica< 3hen he has read a moderate portion& he should again resume that taskD and each successi*e reading will increase his knowledge& and make it more and more present to his mind< The cases of his patients will ine*ita"ly suggest themsel*es to ser*e as means of comparison< Thus he will "e sure to ac(uire a considera"le "ody of facts< In this manner& the medical man will succeed& not merely in "ecoming ac(uainted with single and distinct symptoms in each article of the materia medica& "ut in grasping their sum total& the principal features they present& and the connection of the symptoms one with another& and conse(uently he will do& for the in*estigation of curati*es& what I recommend for the study of diseases& when I said it was not enough to possess a knowledge of the symptoms in order to ascertain the complaint& "ut that it was also re(uisite to know which were the principal symptoms& and which the sympathetic< Such is the "asis of the study of our materia medica< 8ut& notwithstanding this method& the physician must not "e so presumptuous as to imagine that he e*er can retain& in his memory& all the facts which constitute that "ranch of the artD and& if he cannot retain all& he must ha*e recourse to the works of classification to assist him< The disciples of 'ahnemann in $ermany soon "ecame sensi"le of this necessityD and& "y dint of patience and exertion& they ha*e succeeded in forming most useful classifications for the search of the remedy< Doctors 3e"er& ,uckert& 8oenninghausen& /ahr& ha*e successi*ely contri"uted to this *ery useful work& and ha*e accomplished the o"2ect with a scrupulous exactness< 3e shall stop only to make known two of these authors& ,uckert and /ahrD @,uckert has not yet "een translated from the $ermanD /ahr has "een translated into rench<A for if these are known& a mere glance will sufice to gi*e the reader an idea of the writings of the rest< ,uckert has pu"lished the systematic arrangement of e*ery curati*e of which the action has "een ascertainedD

Dr Thodor Johann RCKERT 1C 18!!-1885"

and has therein o"ser*ed& in a great measure& the same order as has "een o"ser*ed in the materia medica of 'ahnemann< 'e "egins "y exposing the general symptoms presented in the head& and then in each organ connected with it& such as the eyes& the ears& the nose& the mouth& Ic< In a word& he de*otes a distinct section to each organ in its turn< # After this& he exhi"its the symptoms which affect the general economyD such as sleep& fear& the distur"ance of the mental faculties& Ic< In this order& he has classed the different remedies which affect these organs& taking care to range them according to the analogy of action< Nothing will gi*e a "etter notion of his "ook& and the mode of using it& than an example of the author-s manner< or instance& in that portion of the contents which regards the eye& he esta"lishes three great di*isions< 1st< The eyelidsD +d& the eye"allD 1d& the sight< 1st< In that which regards the eyelids& he lays down as many classes or di*isions as there are symptoms recogni%ed as pertaining to the organsD thus& a< 'eat and "urning sensation in the eyelids< "< Smarting in the eyelids c< Pressure in the eyelids< d< Shooting pains in the eyelids< e< Dryness and sense of dryness in the eyelids f< Swelling and sense of swelling in the eyelids< It would "e useless to gi*e in detail e*ery di*isionD for foregoing is sufficient< +ndly< or the eye itself& he proceeds in the same manner< a< A sense of pressure in the eye< "< Shooting pains in the eye< c< 'eat and "urning in the eye< d< Smarting in the eye< e< Inflammation& redness& "lood in the eyes< f< 3atery eyes< # And so on with the rest< 1dly< or the sight& he lays down the following di*isionsE a< Dread of light # the eyes "eing painfully affected "y light& da%%ling of the eyes& "< 3eakness in the eyes& gradual diminution of the sight& c< Darkness& mist in the eyes& the loss of sight and so forth 'e has extended this method to e*ery organ& gi*ing as many su"di*isions as there are symptomsD and& throughout& he adheres to the tre"le di*ision of the symptoms& into symptoms of sensation& symptoms of percepti"le change& and symptoms which "elong to the function itself< All these di*isions "eing once well determined& ,uckert has& in the "ody of his work& introduced into these di*isions al the curati*es which& "y their symptoms& ha*e reference to them< Thus& in the article eyelids& we ha*e seenE a< 'eat and "urning sensation< Phosphoric acid # produces "urning sensation in the eyelids during the day& and "urning with itching in the internal angleD "urning in the internal angle& generally after noon& as if too much air and light penetrated to the partD "y pressing the eye& some relief is o"tained<

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AgaricusE the internal angles are "urning hot& and feel as if they were a"out to "e inflamedD when touched& they smart still moreD when the eyelids are contracted& the internal angles ha*e a sensation of "urning< Am"raE "urning in the eyelid< The author goes on to enumerate e*ery curati*e which can produce "urning pains in the eyelidsD and he does the same with e*ery other sensation relating to them< Thence he proceeds& "oth in the Contents and in the 8ody of the work& to the article F5ye"all&F and repeats the same process< That is again entirely repeated in the article FSight<F # 5*ery organ is treated in the same searching manner& and e*ery symptom of which each is suscepti"le< It follows& that in order to profit "y this repertory& the physician& a"o*e and "efore all things& must "e perfectly master of the order and distri"ution of the "ook< It will then "ecome a comparati*ely easy task to deri*e from it the great ad*antage which if affords< 7et us suppose that a practitioner has to prescri"e for a patient who& among other symptoms& is affected with tender eyes& una"le to "ear the influence of day or candle light< In order to disco*er directly what is the fittest remedy& he at once consults the article F5ye&F and looks in the ta"le of contents for the su"di*ision& Fdread of lightDF and in the chapter allotted to this di*ision& he will learn that a"out forty curati*es ha*e the property of de*eloping this symptom< Nothing will then remain to "e done& "ut to compare these forty curati*es one with another& and to select the right one< The same process must "e renewed& for the other symptomsD and it will constantly "e seen that the curati*es are disposed according to the resem"lance of the symptoms which they produce in the *arious di*isions and su"di*isions of the different organs< 8y means& therefore& of ,uckert-s ,epertory& the great o"stacle& the materia medica& is surmountedD as& for the most part& it ena"les us to disco*er *ery readily the symptoms re(uired< 3hen& howe*er& the physician has to treat a rather complicated disease& the same intimate en(uiry must "e instituted for e*ery symptom& as that pointed out for sensi"ility under the impression of light< 8ut& as the comparing of so many symptoms one with another is "oth long and trou"lesome& 8oenninghausen& and su"se(uently /ahr& in order to simplify and curtail this task& ha*e composed another kind of repertory< In this& they ha*e "een *ery successful& as their works lead us much more speedily to the proper remedy< I shall here examine only the repertory of /ahrD for after ha*ing understood it& a glance will suffice to explain that of 8oenninghausen<
Dr Georges Henri Dieudonn JAHR (1800-1875)

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This physician adopts the di*isions as they stand in the materia medica of 'ahnemann& or in ,uckert-s ,epertoryD the only difference "eing in the order of the chapters< 'e "egins "y exposingE 1st< The general and predominant symptoms< +d< The cutaneous symptoms< 1d< Sleep and dreams< 4th< The fe"rile or fe*erish state< =th< Affections of the mind< ;th< The head # giddiness< :th< Internal symptoms of the head< ?th< 5xternal symptoms of the head< Cth< The eyes& and sight< 1Hth< The ears& and hearing< In short& e*ery organ is examined in rotation& terminating with the lower lim"s& which form the 11d and final section< 5*ery one of these classes contains& in alpha"etical order& all the different symptoms which refer to the organ under examinationD and annexed to each symptom& are stated the medicines which produce them< Thus the eye can re*iew at once and o"ser*e the whole collection of medicines which in operation "ear any resem"lance to one another< This work does not present& as in ,uckert& the text of the materia medica of 'ahnemann& for& in that case& the two works would ha*e "een nearly the same< 3hen one medicine& howe*er& is distinguished from another "y some striking peculiarity& the su"di*isions make them distinct< In (uoting a passage from the author& in order to gi*e a "etter notion of his "ook& I shall once more select the 5ye for an exampleD and& "y this means& the practitioner will percei*e& at the same time& the coincidence in ,uckert and the author I am speaking ofD and the "enefit conferred "y "oth writers will appear< )yes and Sight! Smarting pains in the eyesE car"< *egeta"<& causticum& china& clematis& euphrasia& graphites& kali car"<& kali hydriodD& lycopodium& mercurius& nux *om<& ol<& petr<& rheum<& rhus& sa"ad<& sepia<& silicea& stannum& staphisagria& sulphur& sulph< acid<& ta"<& teucrium& thu2a& *alerium& *iola tricolor& %inc< Smarting under the eyes when ru""edE conium< Smarting in the eyelidsD clem<& lyc<& rhus& sepia& spigelia& sulph<& %inc< Smarting in the angles of the eyeE car"< *eg<& conium& me%ereum& mur< acid& ranunculus sc<& ruta& silic<& staph<& tart<& teucr<& %inc< Smarting& gi*ing the sensation of dustE rheum< Dread of lightE acon<& amm<& mur<& anac<& ant<& "or<& "ell<& "ry<& camph<& castor<& caust<& chin<& cic<& cina& clem<& euphr<& graph<& helle"<& hep<& ign<& kali hydriod<& magn<& sulp<& mer<& nat<& nat< sulph<& nitr<& nux *om<& phos<& phos< ac<& psor<& puls<& senega& sepia& sil<& sulph<& sulph< ac<& ta"<& tar< Dread of candle#lightE cast<& hep<& phos< Dread of morning lightE amm< m<& amm<& nat< sul<& nux *om< Dread of sunshineE cast< Dread of daylightE ant<& graph<& helle"<& hep<& nux *om<& phos<& phos< ac<& sep<& sil<

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3hat I ha*e 2ust (uoted will "e more than enough to show with what intention the "ook is writtenD for what has "een said a"out the eyes is e(ually applica"le to e*ery other organ< The repertory of /ahr is therefore extremely ser*icea"le in pointing out the symptoms re(uired< All& howe*er& that this work effects is to gi*e the symptoms in a simple formD there are no detailsD not do I hesitate to say& that it would "e impossi"le to practice homoeopathy with the single assistance of /ahr& for the reasons a"o*e mentioned< Its real use consists in fixing the physician-s attention on a limited num"er of remedies< After that preliminary step& the practitioner must ha*e recourse to ,uckert-s ,epertory& in which he will find the symptoms extended& and o"ser*e them in their true state< 5*en in ,uckert& there is only a skeleton& since it is from symptom to symptom that we proceed< ,epertories& indeed& ne*er disclose the complete knowledge of a medicine& ne*er afford a full *iew of it& which can "e o"tained only from the materia medica of 'ahnemann< As soon& therefore& as the works of /ahr and ,uckert ha*e ena"led the practitioner to confine his choice to a small num"er of medicines& he must a"andon repertories& and return to the materia medica of the founder of 'omoeopathy< This last alone& if constantly perused& and studied in the medicines which it descri"es& dispels e*ery difficulty& nay e*ery ha%ard induced "y repertories& which& if always relied on& would pre*ent the administrator from acting according to any real ac(uaintance with medicine< The physician need ha*e no false scruples in consulting the materia medica& no dread of showing to his patients that he possesses the means of determining the proper medicament& e*en if his memory were "adD his patients will not do him the in2ustice to suppose that he gathers from "ooks his knowledge of the disease< 7et him& if he please& explain to his patients that& whene*er he has recourse to the materia medica& he does no more than the lawyer does when he consults his codeE he is merely sur*eying the formulae of the written law< I ha*e already shown that the physician who& in studying diseases& rests satisfied with summing up in an accurate manner all the phenomena of a complaint& has merely collected an unmeaning mass of symptoms& and that these symptoms ought to "e appreciated and classified& as the only way to o"tain a genuine notion of the disease< These remarks& which are applica"le to the symptoms pre*ailing in each natural disease& are also applica"le to the symptoms pre*ailing in the corresponding medicinal affection< 7et us not& therefore& in considering a curati*e& limit our *iew to a mere mass of symptoms& "ut let us attach a signification to the symptoms "y arranging and classing them< And nothing can effect this o"2ect "ut the reading of the materia medica< 3hen the physician shall ha*e entirely mastered the exact and scrupulous method taught "y 'ahnemann& for summing up a case of disease& he will ha*e ad*anced a considera"le way& "ecause he will know what he has to contend withD for the moment he knows what are the characteristic symptoms& which may "e said to put a distinct stamp on the disease& his future conduct will "e marked out for him< 'e must similarly commence his in*estigation of the proper remedy& "y the characteristic symptomsD for the medicine gi*en to the patient ought to possess the same characteristic symptoms as those which distinguish the disease itself< As soon as the characteristic symptoms of the medicine ha*e "een disco*ered "y the aid of the repertory& the physician pursues his search for the symptoms which follow in the second and third order<

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3hen he has& "y this means& o"tained a certain num"er of medicaments& including within their range of action the characteristic symptoms and a certain num"er of secondary one& the use of the repertory is suspended& and recourse is had to the a"ridgements of the materia medica& "y /ahr& 8oenninghausen and ,uckertD and these authorities soon ena"le him& out of the few medicines cited in the Baron Clemens Maria ran! "on B#$$%$GHA&'($ (1785- repertories& to select the one 18)*) which is "est adapted to the case in hand< If these a"ridgements of materia medica should not pro*e sufficient& the physician must e*entually consult the materia medica of 'ahnemann& which contains the greater num"er of medicinal symptoms o"ser*ed up to the present time< That which guides most surely to a right choice of the remedy& is the fact that the medicine includes within its range of action the fundamental characteristic symptoms& and as great a num"er of possi"le of sympathetic symptoms& especially those amongst them which are extraordinary< I here say as great a num"er as possi"le& "ecause it fre(uently happens that it is impossi"le to trace all the particulars of a disease in the symptoms presented "y the medicine< If the missing symptoms are not fundamental and characteristic& the remedy may ne*ertheless "e considered as well chosen< If otherwise& it will often re(uire the successi*e administration of se*eral medicines to "ring a"out a cure< This su"2ect will "e enlarged upon in speaking of the repetition of doses< Ne*ertheless& we may lay it down as a rule& that the most rapid cures are o"ser*a"le in these cases& wherein the remedies present e*ery symptom of the complaintD and that cures are more difficultly effected when the remedies do not entirely comprehend all the symptoms< That part of the method which directs practitioners to take notes in writing of e*ery distinct case may ha*e "een deemed se*ere and trou"lesome "y practitionersD and it will "e deemed still more trou"lesome that& in e*ery case& we now recommend them to consult the materia medica< I shall not endea*our to dissem"le the difficulties and exigencies of so searching a system& "ut shall only o"ser*e that the present (uestion is not to ascertain whether all this is painful or not& "ut whether it is the "est of all methods& and conse(uently the most "eneficial to the patient< 8ut& after all& this mode of procedure is not so wearisome as it may "e accounted at firstD for when once the features of the complaint ha*e "een recogni%ed& and the disease fully in*estigated& the progress of the treatment gi*es no further trou"le& and the more one ad*ances in practice& the more easy all this "ecomes< It is only after a long course of experience& that the physician will "e a"le to dispense with this strictness in slight acute diseases<

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Chapter 3
Dispensing of *he Remedy
In the routine mode of administering drugs& "esides their *iolent and in2urious action on healthy organs& and the utter uncertainty of their curati*e effects& e*ery one can testify as to the disgust and nausea in*aria"ly excited in the indi*idual doomed to "e the su"2ect of their influenceD and especially is this the case in children and delicate females& who indeed constitute the great ma2ority of medicine#takers< 3ho& without a shudder& can contemplate the powders& the drops& the pills& the draughts in a thousand nauseous forms& causing the poor patient to dread the arri*al of the moment when he is to swallow them& e*en though he "elie*es they are to restore him to healthG Add to this the painful conse(uences e*er attendant on taking these health#destroying doses # the reaching and straining caused "y emetics& the griping "y purgati*es& the sali*ation and emaciation "y mercury& the lassitude& fainting and weakness caused "y leeches or the lancet& the smarting& "urning and intolera"le itching produced "y "listers& the running sores "y setons& the torment "y caustics< Nor is this allD still greater torture is reser*ed for the poor patient who may unfortunately "e afflicted with disease of the chest or spine& for which moxa or red hot iron is applied< It would "e easy to draw a frightful yet faithful picture of the conse(uences resulting from the medicinal and other curati*e means resorted to "y the common practice< That& howe*er& is not my o"2ectE it is sufficient for my purpose to show that& "y the rational and scientific doctrines here recommended& the human race will "e deli*ered from the torments of such cruel& unnecessary and dangerous treatment< In its *ast resources& homoeopathy is not restricted to its immuta"le law& which directs the choice of curati*esD neither is it restricted to an immense materia medica from which to select< Independently of these great ad*antages& it possesses others which arise from the mode of preparing the medicines& and from the excessi*ely minute doses in which they are prescri"edD thus wholly exempting the patient from the dreadful conse(uences we ha*e 2ust detailed& as accompanying the old prescriptions< As an ad*antage of no small importance& it supersedes& and conse(uently a"olishes& "loodletting& whether "y the lancet& "y cupping& or "y leechesD as well as the employment of "listers& cauteries& setons& moxae& and e*ery other process which produces pain or de"ility< It a"olishes& also& pills& draughts and disgusting poisons< The homoeopathic physician& in the place of all these& su"stitutes doses of medicine& minute& tasteless& "ut efficacious # in efficacy& indeed& o*er disease& far surpassing the *iolent means enumerated a"o*eD and so minute and tasteless& that it may "e administered to the youngest infant without exciting repugnance< Those doses do not consist of compound medicines& for the homoeopathic principle does not admit of themE they in*aria"ly contain "ut one simple ingredientD and they are all& as I ha*e shown in my first work& reduced to a li(uid state& *i%<& to an alcoholic tincture< In this state& medicines may "e administered& gi*ing the patient either a single drop of pure tincture& or diluting this drop in a certain (uantity& +& 4& ?& or 1+ ounces& of water< This way of gi*ing homoeopathic medicines is fre(uently employedD "ut it seldom happens that an entire drop of tincture& e*en in the highest dilutions& as the +4th or 1Hth& is dispensed at

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one time& "ecause experience daily pro*es that this is too strong a dose when correctly chosen< The method of gi*ing homoeopathic medicines most generally pursued& is that of dispensing in glo"ules< These consist of sugar and starch& su"stances without medicinal property @This is true for most personsD cf< one of the larger materia medicas # transci"er-s commentA& and perfectly calculated to a"sor" the alcoholic tincture and to retain for years the medicinal properties imparted to them< These minute "odies are a"out the si%e of a poppy seed& and are administered according to the greater or less suscepti"ility of patients& three "eing generally considered the maximum (uantity< It will "e o"ser*ed that& "y means of these glo"ules& it is easy to di*ide a drop of tincture *ery minutely& and therefore& no more need "e gi*en than the fraction intended< !oreo*er& as we possess *arious dilutions& or degrees of strength in tincture& we also possess glo"ules im"i"ed with these different attentuations< The glo"ules are usually gi*en in a *ery small (uantity of sugar of milk& which contains no medicinal property< @This is true for most personsD cf< one of the larger materia medicas # transcri"er-s commentA This dry powder is either taken on the tongue& or dissol*ed in a little clear water& and taken at once& or at stated times& as the physician may see necessary< Should the glo"ules thus dissol*ed "e re(uired to last se*eral days& it will "e necessary& in order to keep the water fresh& to add a few drops of pure alcoholD or& still "etter& one or two small pieces of charcoal& after ha*ing first washed them thoroughly< As Dr< Aegidi was the first to disco*er& or atleast to announce& the ad*antage of dissol*ing the medicament in water& it is "ut 2ustice to him that his name should "e attached to this important impro*ement& which ena"les us to graduate the strength of a remedy at pleasure& and to repeat doses as often as we think proper& "y o"ser*ing the effects which arise< Dr Karl Julius #E$%D% In acute diseases& the most inestima"le effects are& "y this means& producedD and& in chronic disease& "y repeating the remedy e*ery day& in *ery small fractional doses& regularly continued& we o"tain the most speedy cure< This cure is seldom delayed "y strong aggra*ations& which induce the necessity of suspending the treatment& or of ha*ing recourse to antidotes< There are also circumstances under which curati*es may "e administered "y the smell< or this purpose& the patient places the phial& containing the suita"le remedy& under his nostrils& and inspires the aura se*eral times< The applying of them exteriorly to affected parts& has hitherto "een "ut rarely resorted to& ha*ing "een almost entirely confined to arnica& of which the tincture& mixed with water& is used to relie*e contusions& wounds& Ic<& and to oil of turpentine& used to cure scalds and "urns< 8ut it is possi"le that analogy may induce practitioners to try other useful medicinal

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applications to the skin& in cases of local and external disease& taking care& at the same time& to gi*e the internal remedy< ootnoteE 3hen the use of the magnet is desired in diseases& a "ar is taken& from eight to eighteen inches long& each end ha*ing an attracti*e power of a"out two ouncesD after which& ha*ing chose the end "est suited to the symptoms& it is put in contact& or nearly in contact& for one minute only& with the part affected& or with the extremity of one of the patient-s fingers< 3hat is the proper dose to "e dispensed of the curati*eG what is the "est dilutionG and which& among those we ha*e named& is the prefera"le manner of dispensing itG # are *ery important (uestions< In general& the curati*e should "e administered in *ery minute doseD one& two& or three glo"ules& according to the suscepti"ility of the patient< It will seldom occur that the larger doses will "e re(uired< As to the fittest dilution& I shall state a few particulars on that su"2ect& when I treat the repetition of doses& and shall at present merely o"ser*e& that the grand point is to make choice of a good remedy& "ecause it will effect the cure at any degree of dilution< If small& instead of large dilutions are used& it is usually done to a*oid too strong an operation of the remedyD the cure is similarly accomplished when the dilution is low& as I ha*e *ery often witnessed in my own practice< As to the modes of dispensing the curati*e& we may safely say that all are goodD and that& hitherto& practice has not determined which is "est< The grand o"2ect& as already said& is to choose the right remedyD for& when well chosen& it will cure in the state of diluted tincture # in the state of glo"ules mixed with sugar # in the state of glo"ules dissol*ed in water # and& finally& in sensiti*e patients& when inspired "y smelling< The more lia"le a patient is to "e impressed& the more a medicine should "e di*ided& and conse(uently that method which most facilitates this di*ision should "e adopted< Smelling& therefore& should "e had recourse to in the case of a person of so much sensi"ility that the slightest medical action would "e painful< Patients less apt to "e impressed should take the glo"ules dissol*ed in water& a portion only of the solution "egin gi*en at one time< )ther patients& still less sensi"le& may take the glo"ules dry& or in sugar of milk& to the num"er of +& 1 or 4< Those& on the other hand& who are far less suscepti"le of impressions under the influence of medicine& may take them in tinctureD "ut& as already pointed out& they are *ery few persons and *ery few cases which will re(uire or will "ear such strong homoeopathic doses< The dilutions made use of "y most homoeopathic physicians are& the millionth& "illionth& (uadrillionth& octillionth& and decillionth< I am perfectly aware that physicians ha*e exceeded& and lessened these proportionsD "ut& generally speaking& this is not only useless "ut improper& since the a"o*e produce effects (uite powerful enough< 8ut it is time to treat the that most interesting su"2ect& the repetition of the doses<

Chapter 4
Of *he Repetition Of *he Medicament
In the routine practice& whether the patient su"mit to the law of contrary remedies& and therefore& ha*e recourse to narcotics& or sanguine e*acuations& or whether he adopt the pertur"ati*e or re*ulsi*e method& and conse(uently employ emetics& purgati*es& "loodlettings& "listers& or other irritating remedies& the difficulty of applying them has always

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"een acknowledged< In like manner& the repetition of the purgati*es& emetics& and "loodlettings& and the proper time and fre(uency of their use& ha*e always "een considered "y medical men as among the most delicate and critical points in the art< Now& in homoeopathy& although we ha*e no longer to dread the perplexities of the old school respecting the method of treatment& we cannot shut our eyes to the numerous difficulties which "elong to the proper application of medicaments< In this respect& our task is no longer that of studying in "ooks the disease& or e*en the medicamentsD we must o"ser*e the operation of the medicament on the diseased organs& and practice accordinglyD and hence it will "e easy to concei*e the difficulty of regulating that administration of medicaments which& in homoeopathic language& is called the repetition of the doses< In his first edition of the )rganon& 'ahnemann recommended to his pupils& to let the action of one dose of a homoeopathic remedy "e completely exhausted "efore gi*ing another remedy& or a second dose of the first< 'e indeed proscri"ed repetitionD o"ser*ing that one large dose or se*eral smaller ones& gi*en at short inter*als& did not allow the *ital power to re#act in a proper degreeD for the distur"ance occasioned to the constitution "y large doses& or "y repeated small ones& of the "est selected medicament& "ecomes in a manner permanent& or is renewed each time that the *ital strength reco*ers its tone and reactsD so as to render it impossi"le to o"tain a happy result< These reasons induced 'ahnemann to repro*e in the se*erest terms some homoeopathic physicians& who had ad*ised the prescription of doses much more powerful than those prescri"ed "y himselfD whilst he& on the contrary& assured us that the highest dilution& such as thirty& and the smallest doses of this dilution& were those which ought to "e prescri"ed& allowing them entirely to exhaust their effort< I must o"ser*e& howe*er& that though it should appear in practice that& in some slight cases of sickness& one of these small doses is enough to produce almost all the effects expected from the medicament& especially in the case of *ery young children& or of older persons of *ery sensiti*e and irrita"le constitutions& yet it is e(ually certain& that& in many cases& and indeed in most cases& whether in serious acute& or in chronic diseases which ha*e lasted for a long time& and the *ery nature of which has "een su"*erted "y improper medicines& so small a dose of the medicine can ne*er suffice to effect all that may "e expected of its curati*e influenceD "ut& on the contrary& se*eral doses will "e re(uired to raise the *ital re#action to its re(uisite power< It was Dr< Aegidi who first o"ser*ed that& in many cases& the repetition of the doses was re(uired in order to accelerate and esta"lish a cure< 3olff afterwards ad*ised the repetition of the doses as essentially useful in many chronic maladiesD and this drew attention of physicians to the su"2ect< 'artmann was the first to cite a cure of psoric disease "y means of repeating Dr Fran& '#RT(#)) the same dose se*en times< 179*-1853"

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inally& the cholera pro*ided us with most *alua"le data regarding the repetition of the dosesD and it was in conse(uence of the experience gained "y the treatment of this scourge& that the *enera"le founder of 'omoeopathy was led to modify some of his former ideas< 'ahnemann& therefore& who has always "een guided "y experience& found& after a time& the necessity of repeating the medicament< 'e felt that& in order to distinguish the correct practice from among the different practices& of non#repetition and fre(uent repetition& it was necessary to "e guided as well "y the nature of the *arious medicaments as "y the patient-s constitution and the nature of his complaint< In pure syphilitic diseases& 'ahnemann has often found that a single dose of metallic mercury was sufficientD "ut that not unfre(uently two or three doses were re(uired& when& in these diseases& the least trace of psora was o"ser*a"le< The opinion of 'ahnemann& which I ha*e 2ust announced& was pu"lished in 1?11 "y 8oenninghausen& at the head of his repertory of chronic diseasesD and I "elie*e that this practical decision is *ery generally recei*ed at present< I know that 'ahnemann often prescri"es his medicines to "e dissol*ed in waterD the patient repeating the dose e*ery day& though "y fractions of glo"ules< Thus he dissol*es one or more glo"ules in six& eight or e*en fifteen spoonfuls of water& and orders the patient to take a spoonful of this potion e*ery day< 8ut up to the present time& he has not pu"licly declared his adoption of this mode of administering the medicamentE experience alone will show us whether it is to "e adopted to the exclusion of other methods< In his instructions as to experiments on remedies at the tenth dilution& 'ahnemann has himself furnished the grounds for the practice of repetition "y repeating se*eral glo"ules e*ery third day< The repetition of "ryonia and ignatia after twel*e or twenty#four hours& when a rapid "ut short impro*ement has taken place& the repetition of the magnet& of *ertrum in malignant fe*ers& and pro"a"ly of "elladonna& opened the way for the repetition of medicines of more dura"le action& such as silicea& causticum& car"o *egeta"ilis& Ic<& which ha*e all "een practised with success< In acute diseases& the proper time for repeating a remedy which has "een rightly chosen& is determined "y the greater or less progress of the diseaseD in so much that when the case is urgent& the remedy is gi*en e*ery twenty#four& eighteen& twel*e& eight or four hours& and e*en less& if the remedy does good< This repetition is not e*en (uick enough for the rapid and dangerous ad*ance of some acute diseases< Thus& in a most speedily fatal disease which we know of& the cholera& at the "eginning of the disease& we must administer& e*ery fi*e minutes& one or two drops of a mild solution of camphor& in order to secure prompt and certain relief< 3hen that disease has de*eloped itself& the proper medicaments& such as cuprum& *eratrum& phosp<& arsenic& car"< *eg<& Ic<& are gi*en e*ery two or three hours< In the case of intermitting diseases& which pre*ail in a sporadic or epidemic manner& we find that each attack or paroxysm is e(ually composed of two alternate and contrary states& cold and heat& or heat and coldD and most fre(uently of three states& cold& heat and perspiration< It is therefore necessary that the remedy which is chosen for these diseases& and which is mostly selected from a class of apsorics& shall "e capa"le of exciting in healthy persons& these similar successi*e states& or at least that it should ha*e the faculty of exciting that one of the two or three states& which is the strongest and most marked "y all the accessory symptoms<

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'owe*er& it is chiefly according to the symptoms of the state of the patient during apyrexy& that the physician must "e guided in selecting the homoeopathic curati*e< The time of administering this& consists in gi*ing the medicine immediately& or atleast e*ery soon after the fits< Thus administered& it has time to produce in the system all the effects which depend on it for the restoration of health& without *iolence or distur"anceD whilst& if it were gi*en at once& "efore the paroxysm& its effect would coincide with the renewal of the disease& and would excite in the system such a struggle& so strong a reaction& that the patient would lose a great part of his strength& and his life might "e in danger< If the time of the apyrexia is *ery short& as in some serious cases of fe*er& in which it is marked "y circumstances connected with the preceding paroxysm& the homoepathic medicine must "e gi*en as soon as the sweating& or other symptoms indicating the termination of the fit& "egin to decline< @footnoteE 3hen an intermittent fe*er& not sustained "y march emanations& does not entirely gi*e way to the proper remedy& this failure has arisen from the patients "eing affected with some chronic disease more or less latentD antipsorics should then "e resorted to& in order to make the cure a more certain e*ent<A In chronic diseases& to cite an instance of the use of suplhur& 'ahnemann thinks of the mildest dose of this su"stance& in most cases& cannot "e repeated with good effect a"o*e once in se*en days& a period which must "e lengthened in proportion as the patients are more delicate or excita"leD and& when these latter are to "e treated& it will "e ad*isa"le to gi*e such a dose "ut e*ery nine& twel*e& and fourteen days& continuing it until the remedy ceases to "e efficacious< It may "e further o"ser*ed of sulphur& the medicine affording the present illustration& that& in chronic diseases& it will "e found that four& six& eight& or ten such doses gi*en in succession& will almost always "e sufficient to destroy e*ery part of the chronic affection& which sulphur possesses the property of curing< 8ut I am all along supposing that there has "een no a"use of sulphur in the treatment& for otherwise& the most minute dose of sulphur would "e extremely in2urious to the patient< rom the first year of my homoeopathic practice& I had "een so strongly impressed with the law Fsimilar simili"us curentur&F on which the homoeopathic doctrine is founded& that I did not hesitate to look upon this law as not only the "est guide for disco*ering the remedy itself& "ut as the surest for making known the rules of that remedy-s application< This proposition re(uires a little explanation to "e clearly understood< According to this law& the remedy ought to excite& in a man of sound health& phenomena analogous to those found in the diseases it is known to cure< 8ut& to fulfil this condition& it will "e necessary that the remedy "e adapted to each indi*idual& as well with respect to the symptoms as with respect to the strength of the dose and its repetition< 5ach case must "e studied "y itselfD each must "e treated distinctlyD and the nature of each must lead to the disco*ery of the remedy& the dose& and the repetition< It is thus that the physician must display his most enduring attention& and gi*e proof of his practical talentD and thus the reader will understand why hitherto so much dou"t and indecision ha*e per*aded the opinions of homoeopathic physicians on this su"2ect<

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F3hen& indeed&F says ,ummel& Fwe consider the opinions which different homoeopathists ha*e expressed on the repetition of the doses& we are led to "elie*e that great uncertainly pre*ails in homoeopathic medicine< F)n one side& the founder of homoeopathy and the sagacious $ross gi*e their authority to uphold high dilutions< The latter& howe*er& admits the propriety of more Dr Friedrich Ja+o, R-((E. concentrated doses of certain medicamentsD as& for instance& of dulcamara in diarrhoea< 'e prescri"es& of most su"stances& a few glo"ules of the 1Hth dilution to the dose& and he cures a *ast num"er of patients< FAt the head of the opposite party& that is& of the ad*ocates of the lower dilutions& is Trinks& who is supported "y $riesselich& Ic< This method has "een *ery fa*oura"ly recei*ed "y practitionersD and Aegidi has lately declared for it< FIf I select at random from cases treated "y an extensi*e practice of homoeopathy& through a course of ten years& I find that I ha*e cured a chronic disease in a ro"ust man with only two glo"ules of sepia 1H& which& without any other auxiliary& displayed their curati*e action for six successi*e weeks< 8ut& I likwise find that a child& a few months old& took se*eral glo"ules of arsenic 4& repeated e*ery fourth dayD that I ha*e cured acute diseases& attended with great uneasiness& with aconitum 1& and ipecacuhana 1& repeated e*ery two and six hours& in entire drops of the doseD that nux *omica was found "eneficial at the dose of one drop of tincture not diluted& or at the 1HHD and that I ha*e often "een o"liged to use 1HH or a 1H&HHH of mercury to effect a rapid cure of syphilis& whilst there ha*e "een other cases in which mercury =& and rarely repeated& produced the cure of in*eterate pseudo#syphilitic affections< F5*ery honest homoeopathist will& no dou"t& "e a"le to recall to his mind similar cases& of which I could produce many other examples& if there were any conclusion to "e deduced therefrom& sa*e this& that we are still *ery much in the dark as to the dose most proper to "e gi*en< FThe result& therefore& may "e stated thusE cures are effectual with all kinds of doses& with decillionths as well as with drops not diluted& when the right medicine is usedD "ut the cure is rendered more speedy in proportion as the dose is well ad2usted to the excita"ility of the patient< In this nice point& it is that the talent of the physician re*eals itself& a talent which can neither "e imparted nor reduced to any final rules& "ut which must "e ac(uired "y experience and o"ser*ation< FIf we desire to su"mit our practice to rules more and more defined in this respect& we ought especially to o"ser*e the following pointsE F1st< Do strong doses produce homoeopathic aggra*ations& and are these necessarily pernicious& or rather are they not merely transient& and ser*ing only to shackle the cureG

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F+d< Do high dilutions always suffice& in all casesD or rather are there not circumstances in which& after ha*ing *ainly had recourse to high dilutions& lower dilutions produce the cureG FAfter sol*ing that pro"lem& we shall dispel the numerous contradictions which are to "e met in the works of homoeopathists< F$riesselich has hit with a rude hand this sore and tender place& and has *ery naturally gi*en pain< 8ut it is ne*ertheless true& and there is a contradiction in saying that a su"stance is at once attenuated and rendered more potent "y dilution& and likewise in attri"uting a longer and more lasting action& sometimes to the ?th and sometimes to the 1st Dr P/ 0/ .ud1i2 $R%E33.%C' dilution< This contradiction 18!4-1848" would possi"ly disappear "y admitting that there is an essential difference "etween de*eloping the *irtue of a drug& and making this *irtue manifest< FA medicament& inert in itself& will ac(uire an e*ident *irtue "y trituration and succession& which di*ides in parts and renders it not only capa"le of "eing dissol*ed in other *ehicles& "ut likewise more assimila"le to the system< KCorpa non agunt& nisi soluta&- is an old adage& which certainly ought not to "e less considered in the natural history of organic "odies than in chemistry< 8ut whether operations do or do not raise the po$er of such medicines& is still a matter of dou"t& which the facts hitherto collected do not ena"le us to determine< FAttrition and succussion are indispensa"le to render many su"stances solu"le in a *ehicle< 8ut solu"ility is also a condition in which the de*elopment of strength continues fee"le or dwindles to nothing< F5xperience alone can decide how far attenuation may correct& without doing in2ury to the manifestation and de*elopment of powerD and& for that reason& I must oppose the affectation of assigning to decillionths the degree of dilution most proper at all times and for all cases< The *arious degrees of power& indeed& with which unpounded medicaments act on the "ody& protect against this pretence of marking any general limit according to mere whim& and on no ground "ut supposition< F8eyond the point within which there is a necessity for attenuating a particular remedy& in order to unfold its properties& these properties must of course declineD and this is pro*ed "y impartial o"ser*ation< Still we cannot deny that there are systems sensiti*e enough to percei*e *ery extended dilutions& when they correspond with the nature of such a sensi"ility< 8ut no exception must "e recei*ed as a ruleD and it is not fair to reproach us& as our opponents ha*e un2ustly done& with doing nothing& "ecause they do not happen to percei*e the moti*es of our acts< F8ut let us return to the (uestions which I ha*e put& and to the second of which is refera"le what had 2ust "een said< FIn the opinion of most homoeopathists& the highest dilutions are not sufficient in all casesD and& though se*eral of these practitioners ha*e limited this admission to acute disease& the

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reader has seen that it is more easy to percei*e the efficaciousness of a remedy in an acute& than in a chronic& affection< In relation to aconite& I possess su"stantial proofs that the third attentuation has o"tained speedy relief& where the twenty#fourth has "een unsuccessful& after se*eral trials< I can say as much of mercury for chancresD and I could easily produce similar e*idence relating to other means& did it not appear unnecessary to pro*e that e*ery"ody is ac(uainted with< FThe first (uestion& that is& whether stronger doses produce more sensi"le aggra*ations& is more difficult for solutionD for the continual progress of the disease& which the means does not resist& is often mistaken for an aggra*ation of the disease "y the remedy< F8ut e*en though cases of this kind were excepted& others would still remain< The most impartial o"ser*er must certainly admit the effect of aggra*ation "y the medicament& in as much as the course of the disease attests it& and "ecause the impro*ement which soon "ecomes apparent in a mor"id state& which had long persisted without exhi"iting any change& will not allow any dou"t as to the action enforced "y the medicinal su"stance< FThis fact may& a"o*e all& "e witnessed most positi*ely in cases of exanthems and in chronic ulcers< I remem"er a case which was lately presented to my o"ser*ation& in which& after a few doses of sulphur gi*en to a ro"ust young girl& an itching and watery exanthem "roke out all o*er her "ody& though for a long time pre*iously the patient had only tetters on the arm< F8ut this effect is not always the conse(uence of large dosesD it is seen to follow the most *arious dilutions&and it is not of fre(uent occurrence< It is therefore an exception to the rule& and an e*ent seldom pernicious< F!y o"ser*ations ha*e not ena"led me to determine whether in such a case it is "etter to interrupt the use of the medicine and to a"andon the cure to the mediating power thus called to life& or to continue to raise the reacting energy of the "ody "y fresh doses& in order to accelerate the cure "y this means< FThere are facts to support "oth opinions< I must not conceal& howe*er& that in some particulars& the result of the second method was not a perfect cure& "ut rather a return to the state of health in which the patient had "een& "efore this means had "een employedD and I am therefore persuaded& that too much reliance ought not to "e placed on it& or more than one failure would ensue< FAccording to my own o"ser*ations& the repetition of the doses has fre(uently pre*ented the necessity of descending to inferior dilutions< 'owe*er& the method adopted "y a great many homoeopathists& and which consists in gi*ing each time a different dilution& deser*es to "e carefully considered< FI ha*e made it a rule to descend at all times to a lower dilution& when higher dilutions do not effectuate a fa*oura"le re#action& and when I am con*inced I ha*e chosen the right remedy< FThe result of our examination may "e stated to "e& that we already posses some rules relati*e to the strength and repetition of the dosesD "ut these rules are far from "eing sufficient to direct the practitioner in e*ery case< FAs we cannot teach the painter what thickness he ought to gi*e the colours& in e*ery particular case& in order to attain the greatest possi"le effect& as we must lea*e this to his own 2udgement and skill as an artist& in the same manner& the strength of doses& in the greater num"er of cases& must "e left to the appreciation of the medical man& to his estimation of the excita"ility of his patient& and to his practical skill<

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FIf we reflect again that fre(uently the greatest and most o"stinate complaints gi*e way with surprising rapidity to an extremely minute dose of the exact remedy& it "ecomes more and more e*ident& that circumstances are fre(uently mere accessories& with the medicament has "een properly selectedD "ut that they ac(uire more importance& when the analogy is less decided "etween the medicament and the disease& and that stronger doses are then re(uired to "ring a"out a cure< F8ut if we employ& as is fre(uently the case& these strong doses in cases where this means is not necessary& they fre(uently do mischief& and gi*e rise to o"stinate disorders& which re(uire a length of time for relief& more especially when the physician is as stu""orn as he is ignorant<F rom all this& it is e*ident that homoeopathists do sometimes differ with regard to the dose& and its repetition< 8ut of what pre2udice can that "e to the principleG The experience of 'ahnemann has taught him that medicaments operate *ery fa*oura"ly at the 1Hth attenuationE some of his disciples insist upon much lower dilutions& such as the millionth& the "illionth& Ic< 'ahnemann recommends that the repetitions should "e rareD others insist that they should "e fre(uent< Are not these differences of opinion explained "y the fact that the law re(uires the dose to "e increased or diminished& "oth in strength and fre(uency& according to the case and state of the patient< 'ad not the physicians& to whom we are alluding& a *ariety of of cases to treatG the *ery same men who prescri"e such strong doses& ha*e often succeeded& under other circumstances& with much weaker dosesD and those who& in certain cases& insist on fre(uent repetitions& ha*e succeeded in curing many diseases with a single dose& or at least with *ery few repetitions of it< The contrary fact has also occurredD and many who recommend high attenuations and few Dr $us5a6 0ilhel7 $R833 1794-1847" repetitions& ha*e "een o"liged to ha*e recourse to more powerful and more fre(uent doses< The opponents of homoeopathy *ainly flattered themsel*es that these di*isions were a certain proof of the downfall of the artD their opinion only ser*ed to show that they were totally ignorant of our doctrineD for if homoeopathist disagreed as to the repetition of the doses& or e*en as their strength& no difference has e*er existed as regards the law& which

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indicates the choice of the remedy< All homoeopathists& without a single exception& when treating a patient& prescri"e for him a medicament which harmoni%es with the symptoms of the complaint they ha*e to su"dueD they are all orthodox& since they o"ey the fundamental law< It seems to me that the preceding o"ser*ations pro*e that what we said in the "eginning is trueD and conse(uently& that great care should "e taken with respect to strength or repetition& that the dose should therefore "e ad2usted to the intimate nature of the case& to the constitution of the su"2ect& and finally that it& as well as its repetition& should "e determined "y the aid it has lent to the symptoms< The study of the laws which regulate life& the study of the law which directs us in the choice of the remedy& e*ery thing concurs in persuading us to adopt this opinionD and& after all the practical experience of 'ahnemann& of Stapf& of $ross& of 'ering& of Aegidi& 'artmann& ,ummel& etc<& e*ery day con*inces us more and more of the truth of Dr Johann Erns5 3T#PF 1788our opinion< 18*!" The practical experience of all those men& who ha*e de*oted themsel*es to homoeopathy& and of many others which I might name& "ut a"o*e all the long experience of 'ahnemann himself& rescues us from many perplexities and difficulties as to the repetition and increase of the dose< or "y them we know that generally minute doses are much more fa*oura"le than stronger ones& so that& with high dilutions& we cure without encountering those painful aggra*ations which frighten when they occur& and which are the result of strong doses< Thus& in the case of *omitings& a pre*ailing symptom in certain gastric affections& the sti"iated tartar which is prescri"ed& with the greatest propriety& will sa*e the patient in a few hours& if administered in minute doses& "ut often occasions the greatest suffering if gi*en in powerful doses& such as a few grains at a time< So that& in making choice of the dose& the difficulty is far more apparent than real& since the experience of many practitioners during a course of years& informs us& that we ought to choose the dose from among the dilutions prescri"ed "y 'ahnemann& that is& "etween the hundredth& the millionth& or the decillionth of a grain< It is o"*ious that this scale is sufficiently extended& since we can& without any ha%ard& according to the sensi"ility of the patient& take one or other of these dilutionsD always remem"ering that the most extended ought usually to "e preferred& or atleast until we ha*e ascertained the patient sensi"ility& and the degree of suscepti"ility with which he recei*es the impression of the medicaments< As regards the repetition of the medicament& the same may "e said as of the doseD experience teaches us that it ought to *ary in fre(uency according to the case< 7et all these remarks& which ha*e "een the result of o"ser*ation& "e constantly present to the mind of the practitionerD let him lay them down and arrange them formally as preceptsD "ut let him& at the same time& ne*er consider himself as the mere mechanical o"ser*er of the

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fundamental law and its secondary precepts< The whole of his mind must "e employed in the scientific practice of the art< .ndou"tedly& it would "e fortunate for the patient if& "y means of our fundamental and infalli"le "asis& the physician could& without effort& without incon*enience and without hesitation& always disco*er the "est remedyD undou"tedly it would "e fortunate for the patient if the physician could tell "efore#hand that& for a gi*en case and with a gi*en remedy& he had nothing to do "ut repeat mechanically& two& three& or four doses& more or less& to "ring a"out the cure of a disease< 8ut we shall ne*er "e a"le to esta"lish such in*aria"le and positi*e rulesD for in order to o"tain a similar result& it would "e necessary not only that two cases should "e completely identical& "ut that the patients- constitution should "e a"solutely alike& that all accidental causes& "oth physical and moral& affecting the patient& should exactly correspondD in short that which cannot "e found would "e re(uired< Thus then& instead of attempting to determine the num"er of glo"ules and the fre(uency of their repetition& let us confine oursel*es to the collecting of results pro*ided "y experience& and let us endea*our to ascertain what are the data "y which the physician ought to "e go*erned< In this pursuit& the physician ought a"o*e all things to feel that& in dispensing homoeopathic medicaments& it is intended to aid the healing power of nature as e*idenced in the symptoms& in order that this may su"due the e*il which is oppressing life& and conse(uently restore the e(uili"rium to the functions< It is e*ident& therefore& according to this reasoning& that the remedy must "e prescri"ed in a dose sufficiently strong to lend this aid& and that we ought to a*oid as much as possi"le the gi*ing more of the remedy than may "e re(uiredD for doses too strong and too fre(uent carry the *ital reaction to too high a pitch& and produce a dangerous commotion in our functions< Thus "y experiments repeated a thousand times& we know that minute doses are "est adapted to assist *ital re#action& and it is therefore among this num"er that the physician will ha*e to select his dose< Clinical experience teaching us e*ery day the respecti*e acti*ity of each and e*ery remedy& this datum also comes to our aid in fixing the dose< inally& we possess the data furnished "y the patient himself& from whom we learn that he is endowed with a li*ely sensi"ility& and great suscepti"ility to impressionD or else that he is almost insensi"le to the action of medicinal and other agents< According to the sum of all these *arious data& we ha*e to settle the power of the dose& which can ne*er "e a"solute& "ut constantly *aria"le& according to the nature of the complaints& the acti*ity of the remedy& and the age& sex and constitution of the patient< Dispense& therefore& homoeopathic remedies "y "eginning at the highest attenuations& in order to learn the suscepti"ility of the patientE choose accordingly the 1H& +4& +H& 1; or lower dilutionsE experience will inform you whether the doses ought to "e kept up at the same dilutions& or whether you will ha*e to replace them "y stronger or weaker doses< In the repetition of the doses& the primiti*e action of the remedy& and the *ital reaction& will ser*e for our guides< As to the se(uel of our procedure& I cannot do "etter than (uote some *iews of AegidiE After the taking of the medicament& one of these two cases must ensureE A< No alteration in the state of the patient< 8< An alteration in the state of the patient< The alteration in the state of the patient comprehends three casesE

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1< Alteration in the group of the symptoms affecting the patient< +< Impro*ement< 1< Aggra*ation< AE Sometimes it is seen& that in spite of the "est selected medicaments& and the most proper doses& the state of the patient e*inces no changeD which might induce the "elief that the system is de*oid of all suscepti"ility to homoeopathic agents< In this case& we must repeat the dose at greater or less inter*als& according to the suscepti"ility of the patient to the medicament& until we ha*e produced a sensi"le homoeopathic aggra*ation& which will "e followed "y marked impro*ement& or else until we percei*e other symptoms& proper to the medicament& which had not "efore declared themsel*es among the symptoms of the disease< This process does certainly complicate the state of the patientD "ut impro*ement will succeed itE in the contrary case& the sign of an ill chosen medicine is e*inced< 3e sometimes meet in our practice with patients who are "ut ill#adapted to recei*e the influence of medicaments< In such cases& one dose of opium and another of sulphur will "e found e*ery effectual in preparing the system to yield to the action of the curati*es< And this course is prefera"le to that of attempting to effect a cure "y sudden and hasty repetitions of any one medicament< /ahr states a case in which medicaments ought to "e fre(uently repeatedE It is in complaints which should a paucity of symptoms& such as "arrenness& chil"lains& wens& certain chronic exanthem& and all local diseases& which are perfectly inacti*e& and manifest themsel*es only "y one striking symptom< The same may "e said of all general affections of the "ody and the mind& which do not assume appearances sufficiently distinct to warrant the choice of a medicament< Now& assuming in this place that e*ery remedy attacks the system on its weakest side& and that the manifestations thence proceeding are always a the same time so many signs of the latent disease& I should prescri"e either tincture of sulphur or some other medicine still more o"*iously suggested& at the dose of a single glo"ule of the thirtieth attenuation& e*ery two or three days& until there is sufficient signs of e*ery kind elicited< Then I should immediately dispense another remedy& capa"le of co*ering& not only the first e*il& "ut likewise all the new signs thus o"tained& and this I would lea*e to operate until the impro*ement it produced had "ecome stationary& or else I would repeat it& or change it& according to the persisting symptoms< This rule of conduct deri*ed from 'ahnemann& and ad*ised and successfully practised "y /ahr& appears *ery rational& and I do not hesitate to recommend it in similar cases< 5lectricity has "een employed in these cases with e(ual success& and after its application the system has "ecome *ery fit for impression from the action of homoeopathic remedies< @ ootnoteE 'ahnemann has already recommended electricity& in slight shocks& for in*eterate local diseases& especially for those pertaining to the organs of sense< 5xperience has pro*ed to Aegidi that the use of electricity is useful not only in those cases which ha*e "een cited "y 'ahnemann& "ut in others far more general< Still he ne*er o"tained any great conse(uences from electric shocks& whilst he succeeded much "etter "y su"mitting the patient& in an isolated position& to an electric draught e*ery second or fourth day< The diseases for which he found this practice "eneficial were& "ad eyes& sore ears& chronic ulcers& o"structions in the glands& paralysis& scrofula& Ic< !edicines which were "efore ineffectual& are found to act

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with efficacy after the employment of electricity& which is continued as long as it may "e deemed necessary<A 8<E 1< In the first case& the change in the group of symptoms& is a proof that the medicament has not "een well selectedE it must& therefore& "e speedily replaced "y a "etter< +< In the second case& the medicament is seen to act in a salutary manner& and it would "e *ery unwise not to wait for the term of this impro*ement without gi*ing it another dose< If its action were to continue through se*eral weeks& the slow progress of the impro*ement would not "e a reason for gi*ing anything new& for we should only o"tain an in2urious effect from the first result< It not unfre(uently happens that the first dose of a well selected medicament produces a complete cure< This will take place when the disorder is not *ery serious& and especially when the patient has not "een su"2ected already to the "aneful influence of potent medicinal mixtures< So long& then& as the first action of the remedy is *isi"ly manifest& without "eing too strong& do not interrupt it< So long as the *ital reaction& the specific result of the remedy& is fa*oura"le and strongly marked& let this repairing power work out its good effects& and do distur" its salutary action< 1< In the third case& the state of the patient is apparently worseD the characteristic symptoms ha*e "ecome more intense without changing their formE this is called homoeopathic aggra*ation< It must not& howe*er& from the use of the word aggra*ation& "e supposed that the disease has recei*ed an accession of intensityE it is the symptoms that are aggra*ated # not the disease< Patients& after ha*ing taken a homoeopathic medicine& fre(uently o"ser*e that the organs where the disease is lodged& and e*en other parts which "efore appeared in perfect health& "etray symptoms of pain& of *isi"le alteration& or functional disorder< These symptoms are the result of the powers of the medicine& and shew that it has "egun to act on the diseased parts& and on other parts of the constitution in order to ensure the curati*e reaction< This medicinal action is therefore *ery different from an aggra*ation of the disease< To affect the remo*al of the latter& would re(uire the assistance of an appropriate remedyD whilst the former& far from inducing such a necessity& terminates in the relief of the patient< This medicinal action operates in proportion to the strength of the dose& the age of the patient& and his suscepti"ility< 'ence the stronger the dose is made& the more this action will "e seenD and the more the patient is youthful and open to impressions& the more remarka"le it will appear< This action need not "e *ery percepti"le to "e salutaryD conse(uently& we should always endea*our to produce it in as mild a degree as we canD and it fre(uently happens that& "y largely diluting medicines& as "y mixing them with water& this homoeopathic aggra*ation is not felt at all< rom what I ha*e 2ust said& it will "e foreseen "y the reader& that& in cases of acute diseases& the medicinal action& homoeopathic aggra*ation& must "e *ery speedy in showing itself& and e(ually prompt to disappear< )ften indeed& in a few minutes after the ingestion of the remedy& the patient "egins to feel its effectsD "ut soon afterwards& especially when pain has caused suffering& a light and peaceful sleep declares the curati*e action of the remedyD and the patient& especially if a child& awakes in a state of impro*ement& which promises an early reco*ery<

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In chronic diseases& the action of the medicine is much slowerD it often takes se*eral days to ena"le you to percei*e that the remedy is actingD and in general it is only "y the same slow degree that the salutary effects or reaction of the medicine is made apparent< 5nough has now "een said to explain that what is called homoeopathic aggra*ation is merely an aggra*ation of the symptoms& and "y no means of the disease itself # a *ery material point to "e rightly understood& that the physician may not confound the actual disease with the action of the curati*e agent< This action& though too great& may "e left to die away& unless it "e too *iolent or too continuousD and in the latter case& the proper antidote pointed out in the materia medica must "e gi*en< 8y following this course& the physician will ha*e the pleasure to "ring a"out the cure of his patient in a much shorter time& more certainly and more effectually than it was possi"le to effect at the commencement of homoeopathic practice& in which& *ery fre(uently& it happened that the physician& "ewildered "y dou"ts of most perplexing solution& had not the experience and the rules since ac(uired to point the way< FI made experiments&F says 'ering& Fon the repetition of the doses& guided "y the old ruleE I repeated the doses at wider and wider inter*alsD the remedy not acting at all& or producing merely aggra*ation& it was repeated until reaction had "ecome apparent< 8ut in administering it after that period& which is the case when the patient resides far from his physician& notwithstanding his contrary prescriptions& the result in general was unfa*oura"le< 3hen the reaction does not continue& or is of short action& *i%<& appears to "e "ut palliati*e& it is allowed to repeat the dosesD and the fittest medicament is then the one which has already produced "enefit< A second dose& administered the following day& is sufficient in most cases< It may& howe*er& in this case "e gi*en not only a second time& "ut "e repeated as often as any satisfactory result shall continue to "e o"tained< Aegidi says he found that& in most cases& it was proper to gi*e a dose e*ery se*enth day& and that "y this means patients *ery speedily reco*ered< There are likewise cases in which it is re(uisite to repeat the dose e*ery fourth and e*en e*ery second day< 'ering says& he performed numerous experiments with much success& repeating the doses according to the following ruleE the first dose "eing allowed one day to actD the second dose two daysD the third three days& and so onD lengthening the inter*al "y one day for each repetitionD that is to say& gi*ing the remedy the fist& second& fourth& se*enth& the ele*enth& the sixteenth day& till the reaction or new symptoms appear< After this& it is right to wait until the reaction is o*er& when we may gi*e another medicine adapted to the remaining symptoms< It may often "e o"ser*ed that the first dose dose not produce any action on the first dayD that the second dose& on the second day& produces only a slight action& which disappears the next dayD that the third dose produces& on the fourth day& an action longer and often more permanentD and& when this does not appear& the same result is o"tained from the fourth dose on the se*enth day< Sometimes the inter*als "etween the repetition of the doses must "e longer that those a"o*e mentionedD that is& instead of gi*ing the medicine on the first& second& the fourth& the se*enth and the ele*enth days& it is necessary to gi*e it only on the first& the second& the fifth& the ninth& the fifteenth& and so on< This point cannot "e decided at firstE we must always proceed until ade(uate reaction takes place "efore we can settle these inter*als< The nature of the malady will "e a "etter guide that the usual duration allotted to these inter*als< In *ery *iolent and acti*e diseases& ten or fifteen minutes are the space o"ser*ed for

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remedies of short action& and a few hours of those of long action< In less *iolent disorders& it may "e one dayD in those which are *ery slow& se*eral daysD and the su"se(uent inter*als must "e prolonged to the utmost possi"le extent< It is only when it is seen that the remedy hitherto made use of ceases to produce impro*ement in the state of the patient& that a su"stitute is chosen& the use of which must "e su"mitted to the same conditions< Another kind of repetition proposed "y 'ering& is that in which no one medicine co*er the whole of the symptoms& and which takes place after a single intermediate remedyE it is called alternate repetition< It appears to him that this kind of repetition has "een "ut *ery imperfectly studied hithertoD and is yet far from "eing insignificant< In the "eginning of my practice& in 1?++& says 'ering& FI cured a li*er complaint& with 2aundice& with alternate use of ruta tincture and ignatia& prescri"ing those medicaments alternately& e*ery three or four daysE a permanent cure followed in a few weeks< FAt a later period& when I found a remedy of short action and another of long action& each corresponding with some of the mor"id symptoms& I alternated the use of those medicines with the greatest success< FDr< Ihm of Philadelphia& cured a child affected with dropsy& "y the use of "ryonia and pulsatilla& repeated "y turns& and at proper inter*alsE a great many similar cases might also "e cited< F re(uently a remedy will pro*e extremely successful when taken after the use of some other medicine& especially when the remedy is apsoric or of short action& and is prescri"ed after an anti#psoric medicine& as fre(uently happens& on prescri"ing aconitum after sulphurD hepar sulphuris& after silicea or %incumD nux *omica& after arsenicum& ha*ing no intention to destroy the action of the medicine pre*iously administered< FIn many cases of chronic disease& I ha*e prescri"ed on anti#psoric remedy& shortly after ha*ing prescri"ed another& when each of the medicines applied only to a part of the symptoms< or instance& to a patient la"ouring under a li*er complaint& I first administered kali car"onium& and a few day afterwards& car"o *egeta"ilis& which was followed "y the most fa*oura"le result< FIn all these cases& neither of the medicines& if it had "een gi*en without the other& would ha*e affected a cure< F.p to the present time& I ha*e usually prescri"ed anti#psoric medicines of short action& after anti#psorics of longer action< Thus car"o *egeta"ilis& aurum& argentum& platina& capsicum& conium& colocynthis& dulcamara& "elladonna& rhus& clematis& anacardium& staphisagria& thu2a& sa"ina& sa"adilla& moschus& were prescri"ed after causticum& phosphorus& natrum muriaticum& kali car"<& natrum ca"onicum& calcarea& alumina& magnesia& silicea& agaricus& "o*ista& lycopodium& sepia< 8ut the diagnostic alone affords the most precise rules on the su"2ect< Similarity of symptoms is to "e considered in repeating two medicines& one after the other& at a short inter*al& or in the continuous use of se*eral remedies after their action has su"sided< re(uent confirmation has also "een gi*en to the precept& which prescri"es the choice of similar remedies amongst those which "elong to different kingdoms& families& or classes< 8ut in the present state of the art& this is a point not yet determined< In certain cases of chronic disease& in which sulphur is deemed necessary& and in which it is forseen that eight& nine or ten doses will "e re(uired& it is "etter& instead of gi*ing them in a continuous series& to interrupt them at the third dose& and replace this remedy with some

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other& if considered particularly homoeopathic to the symptoms and circumstances of the complaint< This intermediate remedy should "e left to act eight& nine& or twel*e days& and then sulphur should "e resumed< 3hen other anit#psoric remedies are indicated& it is not necessary to gi*e so many doses as of sulphur& and at the same inter*als& "efore taking an intermediate remedy& when it is homoeopathically pointed outE phosphorus alone may "e excepted< As soon as any new symptoms of importance appear& the rule is to administer immediately another medicine "etter adapted& and especially corresponding with the new symptoms< FIt is proper&F says 'ering& Fto mention the alternation of a remedy with its antidote< FI used if for the first time& in order to diminish the effects of colocynthis& prescri"ed for dry#"ellyach& the dreadful colic peculiar to the 3est Indies< 5*ery case of it& which fell under my notice& was speedily and permanently cured& with the same medicine& partially modified& according to the greater or less se*erity of the caseD and that without any relapse& notwithstanding its tendency to re#appear& and without palsy in the hands or arms& or the almost incura"le diarrhoea which follows it& and which produces death in a few years to most of those who ha*e "een once attacked "y it& # which also changes into leprosy& as I witnessed on one occasion& after the use of sulphuric "aths< FI administered the remedy at the thirtieth dilution& as in other chronic diseasesD and in spite of the minuteness of the glo"ules& which are no "igger than a poppy#seed& a"out one hundred to a grain& the aggra*ation which immediately ensued was excessi*e< I prescri"ed coffee directly& to "e taken in spoonfuls until the pain "egan to su"side< Then after an inter*al of six& twel*e& or twenty#four hours& I repeated the use of colocynthis< FIt was in general necessary to ha*e recourse to coffee& an hour after taking the medicineD though I could easily percei*e that& after the second dose& the exacer"ation "ecame less *iolent& "esides "eing delayed in its ad*ent& and a smaller dose of coffee was sufficient to moderate its action< After a longer inter*al than the first& as soon as the attack returned& I repeated the same dose a third time< In the greater num"er of cases& I had nothing more to do to complete the treatmentD the disorder disappeared altogetherD and the patients speedily reco*ered their health and strength< Not one of them has e*er had a relapse< I was *ery seldom o"liged to gi*e a fourth dose< FThe rule in such cases is to repeat the medicine& at inter*als more and more distant& and after each dose to administer the antidote& till the increased pain shall gradually su"side< 8y this method of treating the disease& from 1?+? to 1?11& I always found it gi*e way in three or four days& without lea*ing "ehind any secondary symptom< FThe same manner of administering the medicines in other maladies is confirmed for conium alternated with coffeeD sepia with *inegarD and pro"a"ly phosphorus with opium< !uch may "e done with this method& in *iolent rheumatic fits< FIn explanation of this mode of practice& it must "e o"ser*ed that there is no known antidote& which either destroys or completely annihilates the action of a remedy< The most powerful medicine continues to act in spite of another weaker application su"se(uently employedD for antidotes are "ut means ser*ing to moderate the action of medicaments< FCamphor is seldom to "e gi*en in the same manner& though at first it a"ates the power of most medicines< Nitric ether @spr< nit< dulc<A appears to assuage the pains caused "y remedies& only "y directing the action of the medicine to the skin<F Now& in e*ery one of these cases& 'ahnemann would *ery 2ustly say # Diminish your doses<

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3e ha*e already said that the homoeopathic materia medica is distinguished from the old one& not only "y the far "etter known effects of its components& "ut also "y the indication of antidotes to these medicaments< It is undou"tedly a great ad*antage to "e a"le to arrest& or atleast to (ualify the action of each remedy& especially when an unskillful hand has misapplied certain su"stances& such as mercury& sulphur& (uin(uina& iron& iodine& Ic<D for without the assistence of antidotes& it would "e almost impossi"le to effect a cure in such cases< In dispensing antidotes& the practitioner has to follow the same principles as those which go*ern the general conduct< In a well#directed treatment& indeed& it is not often re(uired to make use of antidotes to homoeopathic medicines& unless they are administered conforta"ly with the method of 'ering& when that has "een found more useful than the mere dimunition of the doses< In truth& in a treatment skillfully conducted& the aggra*ations are so mild& that they do not need to "e soothed< Thus it often happens that in acute disorders& a little while after the taking of the remedy& a mild and comforting sleep& of greater or less continuance& o*ercomes the patient& which announces that he is already relie*ed& and he feels that the cure has commenced< These phenomena are of most fre(uent occurrence among children< )ne of the most *alua"le medicines in chronic diseases& is sulphur& which often& without any auxiliary& completely masters a complaint& and at other times "rings the cure half#way to its term< Cases arise& howe*er& which will not permit the use of se*eral consecuti*e doses of sulphur< This happens when the accidental symptoms of the sulphur "egin to distur" the cure< Then& it will "e proper to gi*e a dose of nux *omica or of pulsatilla& according to circumstances # which& after a few days- operation& will dispose the system again to recei*e a fa*oura"le influence from sulphur< Patients 2ust arri*ed from the waters of Aix#la#Chapelle& and who had taken them for se*eral successi*e years& ha*e "een treated with sulphurD and& in spite of the different states in which they were& all of them were either entirely cured or *ery much relie*ed "y a few doses of pulsatilla& repeated once in se*en days< Se*eral days after dispensation of this su"stance& Aegidi o"ser*ed nocturnal sweatings& attended with a strong smell of sulpureous hydrogen& which kept pace with the patient-s cure< .nfortunately& this *alua"le remedy is too fre(uently a"used& "y gi*ing it in disproportionate doses in allopathic mixtures< 8ut this must not pre*ent its use when it is apparently pointed out< Doctor $riesselich& I may o"ser*e& of Carlsrue& has "een so fortunate as to disco*er the means of counteracting the mischie*eous conse(uences of an inconsiderate use of sulphur< This means consist in making the patient take a dose of metallic mercury& and to allow this dose to operate se*eral days& in order to induce the *ital strength to recei*e a fa*oura"le influence from the sulphur< This disco*ery is a *ery useful oneD for we often meet patients& who ha*e misapplied sulphur& and& were it not for this relief& we should& in a great measure& "e depri*ed of the *alua"le assistance of this remedy< The repetition of the medicament is entirely grounded& as we see& on the o"ser*ation of the phenomena which are re*ealed in the patient& and the "etter to appreciate these phenomena& and conse(uently to learn how to apply the repetition of this medicament& we must rightly understand "y what signs we are to 2udge< 1st< )f the aggra*ation produced "y the remedy< +d< )f the aggra*ation of the malady itself<

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/ahr says& that an attenti*e o"ser*er will percei*e& "y the following circumstances& that the aggra*ation is factitious # that is& what I ha*e distinguished as aggravation of symptoms! 1st< The aggra*ation takes place without a prior impro*ement& almost always suddenly& after the space of half an hour& three (uarters of an hour& or an hour& in acute and *iolent diseasesD of six& eight or twel*e hours& in those which are less se*ereD and of se*eral days in chronic diseases< +d< This aggra*ation is usually attended with accessory characteristic phenomena& which "elong exclusi*ely to the remedy dispensed< 1d< If often happens that the phenomena present a continual *ariation& disappearing as suddenly as they had shown themsel*es& and lasting altogether "ut a *ery short timeD that is to say& that they do not endure a"o*e one& two& three& or six hours& from their "reaking out in acute diseasesD and not a"o*e three or four hours in chronic diseases< The natural return of the disease& or what I ha*e distinguished as the aggravation of the disease is almost always announced in the following mannerE 1st< It succeeds an impro*ement which& for the most part& has declared itself immediately after the remedy& and it usually takes place slowly& after the lapse of half an hour or an hour& in *iolent acute disordersD of twenty#four or thirty#six hours& in those which are less se*ereD and from eight to fifteen days in chronic diseases< @ ootnoteE F3hene*er an aggra*ation&F says 'ering& Fmay proceed to a rapid a"atement of the symptoms& that effect is generally called the palliati*e effect& whereas it is& in fact& a transient curati*e effect& and therefore not palliati*e according to the meaning of the old school< It is also incorrect to consider as palliati*e a transient cure of chronic diseases with remedies of short action< !edicines act as palliati*es only in large doses& when their primiti*e action is opposed to the illness< The action of opium itself& in se*eral species of colic& is not palliati*e& for it is a positi*e fact that opium produces them in its primiti*e action<A +d< The return of the disease is accompanied "y phenomena of a pathognomonic character of the disease& and fre(uently signali%ing a period already gone "y< 1d< The re*i*al of the disease not only persists for a greater length of time& without any change percepti"le in its phenomena& "ut& moreo*er& it increases daily and hourly< These remarks are rigidly correct< They ha*e "een attested and confirmed "y many o"ser*ers< or my own part& I ha*e experienced them on myself many times& and ha*e had occasion to pro*e their exactness on a great num"er of patients< The importance of these remarks in the action of remedies and the natural progress of the disease& will "e felt in proportion as the practitioner shall "etter understand the necessity of taking for his guide& in repeating the medicament& the o"ser*ance of the phenomena which occur when the patient is su"2ected to the influence of any remedy whate*er< The cure of a malady may "e interrupted "y a particular causeD and this is the place to explain the conduct which the practitioner should in that case adopt< I shall therefore point out the intermediate medicaments in chronic diseases& and examine the circumstances which may trou"le their course< Intermediate !edicaments or Chronic Diseases @8oenninghausen& ,epertorium de 'omoeopathischen Ar%neien<A Coffee< # 3hen there exists too much sensi"ility& increase of pain in the diseased parts& internal uneasiness& want of sleep< 'epar Sulph< # Alternately with nitric acid& in case of o*er#excitement& after a"use of mercury<

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!agnes< Aret< # 3hen there exists too much irrita"ility& accompanied with tremor& agitation of the lim"s& swellings of the "elly& scrupulous anxiety& moral apprehension& and great weakness of the ner*es< Nux 9omica< # 3hen there exists suscepti"ility or irrita"ility in the ner*ous system& extreme impressi"ility on the organs& fear& timidity& a desire to keep one-s "ed& dread of the open airD *iolent& pee*ish& cra""ed temperD in find& too (uick or too continuous menstruation< )pium # or cases of ner*ous insensi"ility& and a want of reaction on the *ital force< Sometimes& also& in these circumstances& may "e employed car"o *<& lauro corasus& moschus& nitric acid& and sulphur< Pulsatilla< # In some cases& at proper inter*als& taken alternately with nux to reduce the excess of irrita"ility< Sometimes& "ut not often& in this extreme impressi"ility& use is made of asarum& chamomile& china& ignatia& teucrium& *alerean& accordingly as either of these remedies happens to "e "est suited to the entire condition of the patient< Circumstances 3hich !ay Distur" The Course )f Treatment In Chronic Diseases< 8.,NS on the skinE repeated application of hot "randy& or essence of turpentine& sapo domesticus& internally administered& at the 1+& 1; or 1H dilution< 95LATI)N& with inclination to gi*e away to anger attended with shi*erings and coldE 8ryonia< 95LATI)N& with indignation sufficient to induce you to throw whate*er you ha*e in your handsE Staphisagria< 95LATI)N& producing inward melancholy sadness or shameE Ignat< 95LATI)N& with anger violence and passionE Chamomile< ,.PT.,5E mostly Nux *omica< N)STA7$IA& with flushing in the face and $ant of sleepE Capsicum< )95,C'A,$5D ST)!AC'E diet and moderate use of coffee< ST)!AC' ).T ) ),D5,& with gastric fever shiverings and coldE 8ryonia DIS),D5,5D ST)!AC'& with risings of similar taste& as the food it contains& nausea and vomitingsD Anit< crud< DIS),D5,5D ST)!AC' proceeding from fat meat& especially porkE Pulsatilla< C'I775D ST)!AC'& proceeding from fruitsE Arsenic& pulsatilla< 3).NDS and contusionsE Arnica ,I$'T& mingled with ve'ationE Aconitum< ,I$'T& followed "y afflictionE Ignatia< ,I$'T& followed "y dreadE )pium< 35A0N5SS& proceeding from loss of "lood and a"undant secretionsE >uina< C)7DS in $eneralE Nux *omica< DIA,,')5A& after taking coldE Dulcamara< ITS ) S. )CATI)N& after taking coldE Ipec< 595,& '5AT& after taking coldE Aconitum< PAIN AND T5A,S& after taking coldE Coffee< C),MBA& after taking cold& with loss of smell and tasteE Pulsatilla< SP,AINS AND DIS7)CATI)NSD sometimes Arnica& mostly ,hus< AI7!5NTS after drinking too much $ineE Nux *omica I ha*e now made known the *arious opinions of homoeopathic physicians as to the increase and repetition of the medicamentsD and& "y attenti*ely considering these opinions& the reader

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will infalli"ly come to the same conclusion as I ha*e< or& in spite of apparent contradictions of physicians& it is at last o"ser*a"le that they all recogni%e the same fact& that these (uestions must "e determined for each separate case& and for each indi*idual& according to the reacti*e faculties of his system< All those who are una"le to appreciate the fact that each and e*ery practical impro*ement must emanate as a logical deduction from the grand law of similarities& ha*e not understood "roadly and completely the re*olution which 'ahnemann has effected in medicine< Those& therefore& who may flatter themsel*es that they ha*e introduced a reform in homoeopathy "y gi*ing extra doses& or "y gi*ing those doses of greater strength than those pointed out "y 'ahnemann& are& in my esteem& not only no reformers& "ut ha*e not understood the la"ours of their chief& who has shown that e*ery case is to "e studied singly and treated "y itself& and that doses are to "e proportional to the torpidity or suscepti"ility of the patient< 5*en if we suppose that it should "e pro*ed that the thousandth part of a grain is& in some rare cases& to "e preferred to the decillionth& the law& FSimilia simili"us curenturF continues to ser*e as the directing star in the treatment< This law& which points out the proper remedy to "e used in e*ery *aried shade of disease& and to ad2ust the repetition of the dose to the manifestation of the complaint and suscepti"ility of the patient& # this law is the main#spring of the whole doctrine& and e*ery impro*ement& to "e practical& must "e in accordance with it and "ased upon it< rom this law ha*e proceeded all the achie*ements of physicians against disease< I may again repeat that 'ahnemann& who at first prohi"ited the repetition of the doses& su"se(uently admitted that this precept was too a"solute& and was also among the first to acknowledge the ad*antage of the repetition< Now& if he exclaims against those who wish to raise the dose too high& although homoeopathic& it is "ecause he has ascertained that& in the *ast ma2ority of cases& high dilutions are sufficient& and that when they happen to fail& it is more fre(uently caused "y an ill#chosen remedy& than "y any want of power in the medicament< It is right to o"ser*e here& that a drop of the tincture which would moisten more that a hundred glo"ules& is far from acting a hundred times more than a glo"ule& # a curious fact which has not yet "een clearly explained& and which I mention to call to it the attention of the physicians< or my own part& I feel pride in acknowledging that experience sanctions me in coinciding with the opinion of the founder of our doctrineD a failure seldom occurs through a want of power in a medicament& "ut "ecause it is not perfectly homoeopathic< 'owe*er& I am con*inced the choice among the *arious dilutions is not so material as one might suppose< The great point is to understand the disease& and to choose the remedy well< 3e then administer a fee"le dose& from a fraction of a glo"ule up to a few glo"ules& or a fraction of a drop& and success is o"tained from different degrees of dilution< Cases in which physicians will "e 2ustified in employing entire drops will "e rare and exceptional< 'e will succeed "est who is most skilful in proportioning the dose to the sensi"ility of the patient& and to the power of reaction which he possesses< As a guide he may take this rule& that the medicaments ought to "e repeated in direct proportion to the progress of the malady& and in in*erse proportion to the impressi"ility of the patient< 3hate*er "e the conse(uence of these (uestions& we think it right that they should "e open to discussion< The law is in*aria"leD "ut it is our duly to "etter its applicationD and& to that end& we shall continue to impro*e our materia medica& and the dispensing of remedies& as

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well as the repetition of them& in order that all these points may harmoni%e to the utmost with the law which the genius of 'ahnemann as esta"lished "eyond a dou"t<

Chapter 5
Palliatives
3hen examining& in my former work& the different modes of medical treatment& I stated that the homoeopathic method alone could "e regarded as curati*e& "ecause it alone acted in harmony with the *ital powers in order to su"due disease< FSimilia simili"us curentur<F 8y administering medicines& on the contrary& in opposition to existing symptoms& # "y taking for a guide the aphorism FContraria contrariis curentur&F physicans may for a time succeed in depressing the symptoms& "ut& in se*ere cases& they ne*er succeed in destroying the disease< In employing the mode of treatment& known "y the name of the re*ulsi*e& they are 2ust as far from o"taining a real cure& # they do not directly attack the disease& they merely di*ert the powers of life from the affected organ to a sound one& and they there"y lose or destroy their effort for the cure of the complaint< The cure conse(uently is delayed& if it "e not pre*ented& or it is o"tained with in2ury to the organs so *iolently acted upon< I ha*e returned to these theoreticl truths& "ecause the physician ought to understand them well& in order that his practice may always "e regulated "y them< Accordingly& whene*er a physician desires to accomplish a cure& he must administer the medicine which will produce symptoms analogous to those of the disease which has to su"due< 3hene*er he wishes merely to palliate the symptoms& he will prescri"e medicines in opposition to them& or he will use re*ulsi*es for the purpose of di*erting for a time the acti*e symptoms to healthy organs< As it is the "usiness of the physician to cure the diseases& for which aid is re(uired& and that "y means the most prompt& effectual and safe& it follows that when once he has a distinct notion of the law of nature& which unerringly points out the remedy& he would "e guilty of a dou"le fault "y adopting any other meansD he would commit at once a scientific error and a moral offence< 8ut although the sole o"2ect of the physician is to cure& it is "ut too true that he fre(uently has the painful duty of attending the patient to the fatal close of a case which he cannot remedy< Nothing can "e more delicate& or more difficult& that the task of the physician under such circumstances< )ught he then to ha*e recourse to the sole curati*e method& or ought he merely to apply the palliati*eG As the disease may "e thought to "e "eyond the reach of human skill& as it may e*en "e a mortal one& it will "e asked& why attempt a cure& why not administer palliati*es in order to o"tain temporary reliefG 8ut who can assign a limit to the potency of artG 8esides& when we employ palliati*es& we discard e*ery chanceD we relie*e the pain merely for an inter*alD it returns more se*erely than e*er< !y opinion is& that e*en in cases which seem desperate& palliati*es ought not to "e employedD or if they "e employed& it ought to "e in great moderation< Such ought to "e the case with opium to lull pain& with purgati*es to o*ercome o"stinate constipation Ic<

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Perhaps the only exception to "e made to the re2ection of palliati*es is when patients ha*e long "een accustomed to similar means of relief< Indeed& when a person& accustomed to daily doses of opium to assuage his sufferings& consults a homoeopathic physician& the latter& after prescri"ing a suita"le remedy for the disease& ought not to depri*e him of his twenty& thirty& or sixty drops of laudanum& "ut should prescri"e its gradual diminution& until he shall finally "e a"le entirely to proscri"e the palliati*e< 'e who for months and years has had recourse to purgati*es or clysters& would "e una"le to a"stain suddenly from such palliati*es& if he experienced a shock "y cessation< 'e must& therefore& skillfully graduate the disuse of such means& a*erse as they are to the radical cure of a disease& which can there"y "e "ut palliated& instead of "eing su"dued< 3hat I ha*e 2ust asserted respecting opium& purgati*es and clysters& is applica"le to e*ery other kind of palliati*eD and it will pro"a"ly "e sufficient to settle e*ery dou"t as to this practical (uestion< In conclusion& I may say that the use of palliati*es should "e rare and exceptional& and an impro*ed practice will render it less and less necessary< )n the contrary& the employment of really curati*e remedies must "e our rule& and therefore& the only method fully curati*e& the method of similars& will e*ery day ac(uire more credit with the profession< There are cases& indeed& in which the physician cannot at once open his treatment "y the use of curati*e meansD as when the patient happens to "e completely insensi"le to the action of medicine< thus& in asphyxia& we are o"liged to ha*e recourse to stimulants& in order to re*i*e the sensi"ility& "efore we dispense the proper homoeopathic remedies& which& like all remedies& can act only on the li*ing organism< 'ahnemann affirms& that it is only in cases of extreme urgency& when life is in peril& and impending death lea*es no time for the action of homoeopathic medicine& in diseases lighting suddenly on persons in perfect health& such as asphyxia& fulguration& suffocation& ocngelation& su"mersion& Ic< that it is proper to "egin "y resorting to irrita"ility and sensi"ility& "y means of palliati*es& such as slight electric shocks& clysters& strong coffee& pungent smelling salts& gradual heat& Ic< As soon as "y these means life is restored& those organs which maintain it& resume their regular actionD "ecause& in such cases& there is no permanent organic in2ury& "ut only a suspension or an oppression of the *ital power& which& in other respects& is (uite unin2ured< In pulmonary phthisis& when the patient has "een long treated allopathically& or when he has "een left unaided& the lungs are more or less impermea"le to the air& as the stethoscope shews< In these case& the homoeopathic physician& "efore su"2ecting the patient to treatment& may with ad*antage employ re*ulsi*es directed to the parts congested& and only afterwards ha*e recourse to curati*e treatment< 'ahnemann has in these cases& always a"andoned palliati*es entirely& considering them as useless< Dr< 7aurencet& howe*er& reports a great num"er of cures of this disease "y homoeopathic means& preceded "y frictions on the congested parts< This physician considers frictions merely as palliati*es which& ser*e only to disgorge the lungs& and gi*e time for suita"le medicines to act< It is with these cases as with others& where there is a mechanical o"stacle& if I may say so& which impedes the reaction of the organismD and it is in such cases that homoeopathy employs palliati*es<

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Chapter 6
Of Regimen
The o"2ect of the physician in su"2ecting a patient to a certain regimen is& not to cure his disease& "ut merely to dispose his system to recei*e the salutary influence of an appropriate remedy< 8efore prescri"ing for a patient any mode of li*ing& the physician should& therefore& reflect what circumstances of this kind there are which may fa*our the use of intended medicaments and what circumstances may o"struct their effects< The patient-s regimen must "e considered in two distinct relationD 1st& the things which the physician should ad*iseD and +d& those which he ought to prohi"it< In order to direct his choice& and ena"le him to enter these in two corresponding lists& he must& as a general rule& recommend only such things as are nutriti*e and not medicinal # those which promote the most natural distri"ution of the *ital power& and he must prohi"it those which would throw it into disorder< y ha*ing his mind impressed with these simple rules& the physician will "e ena"led to prescri"e a good system of regimen for his patientsD and it is under their guidance that we shall now consider this portion of our art< 3e shall accordingly ha*e to examineE 1< The ailments deri*ed from the *egeta"le kingdomD +< Those deri*ed from the animal kingdomD 1< DrinksD 4< SpicesD =< The air and atmospheric influencesD ;< 5xercises # walking& dancing& carriage#riding& riding on horse"ack& gymnastic exercises< :< Social amusements # the "all& the theatre and concertsD ?< The passions< I shall de*ote a paragraph or two to each of these di*isions< ood Permitted +egetable ,ood! The "asis of most people-s nourishment is undou"tedly "orrowed from the *egeta"le kingdom< Corn affords a species of food in uni*ersal use< 3heaten "read is& the most perfect of all alimentary su"stances& and therefore& a most nutritious and wholesome food< This is e*inced "y the feeling of strength and comfort which succeeds it useD and some degree of the same feeling is produced "y e*ery su"stance really nutritious& apt to assimilate with our frames& and free from noxious and medicinal properties< It is "y contrary symptoms that we detect those su"stances& especially if taken too copiously& which are not simply nutritious& "ut contain stimulating or indigesti"le ingredients< The potato is a wholesome and nutritious aliment& owing to its amylaceous fecula< The most simple mode of cooking it& as in 5ngland& is the "estD the only precaution "eing to ha*e it "oiled "y steam& instead of water& as it is more agreea"le to the palate& and more digesti"le& when water is& as much as possi"le excluded< !acaroni& *emicelli& semolino& sago& salep& arrowroot& potato fecula& rice& rench "ean& peas& lentils when well prepared& are excellent alimentsD and it is chiefly among these& especially semolino and *ermicelli& that the physician chooses the fittest aliments for a

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patient 2ust con*alescent& and whilst his frame is still too weak to endure more su"stantial food< 9ery ripe melon& "ut in small (uantities& may "e allowed to patients& whose digestion is soundD "ut in case of weakness of the digesti*e organs& it ought to "e prohi"ited< Straw"erries and goose"erries& when perfectly ripe or reduced to a 2elly& rasp"erries& apricots& peaches& grapes& cherries& pears& applies& Ic<& in short& all fruits of a good (uality& not sour& and perfectly ripe& in some cases "aked or dressed with sugar& are *ery proper< The physician himself will& in particular cases& for"id any of these he may deem unsuita"le< Animal ,ood! 8eef is& of all "utcher-s meats& the one generally found "est adapted to the health of manD it perhaps "est assimilates with our organsD and& as almost e*ery nation prefers it& its consumption is greater than that of any other meat< 3e are less apt to grow tired of "eefD all other kinds of meat& in spite of their natural relish& and the fla*our they ac(uire in skilful hands& soon cloy the appetite and disgust the stomach& pro"a"ly "ecause they do not possess the same affinity with our organi%ation< If we are under the necessity of continuing to eat them& disgust is soon followed "y disorder of the functions< All other flesh& accordingly re(uires to "e much more fre(uently *aried and intermingled with other su"stances< !utton may almost "e ranked along with "eef& as it apparently assimilates readily with our organs< 'am& in conse(uence of the preparation it undergoes& is more easy of digestion "y a *igorous stomach than other kinds of porkD and& on that account& it may sometimes "e allowed to the patient a"le to digest itD "ut it should e*en then "e sparingly used< The flesh of hare and roe#"uck may *ery properly admitted into homoeopathic regimen< 8eing highly animali%ed& it is in e*ery respect suita"le< The *arious kinds of poultry& pullets& hens& capons& turkeys& may "e allowed during treatmentD "ut as their flesh is not sufficiently animali%ed& and too mucilaginous& they must "e used with moderation< The woodcock& partridge& heathcock& pheasant& wild duck and wild goose& are infinitely "etter than the "irds of the poultry#yard< 8oth sea and ri*er fish furnish wholesome food& *ery easy of digestionD and they are *ery properly gi*en to patients& pro*ided they are not too often used< resh eggs are a *ery wholesome food& and may "e prescri"ed in *arious formsD "ut hard eggs are unfit for use< Drinks! )f all the drinks which can "e offered to a patient under homoeopathic treatment& there is none so good as fine fresh water< No other drink is so fa*oura"le to digestion< In acute diseases& the physician will do well to order fresh water& or toast and water& slightly sweetened with sugar& milk and water& "arley water& or gruel< In chronic diseases& the same drinks are proper< 'ere& howe*er& we may allow a good kind of weak "eer to those ha"ituated to it& or to stronger drinks< Those who ha*e "een for years accustomed to wine& elderly people especially& cannot sometimes& without incon*enience& entirely relin(uish it< Such people& therefore& may "e indulged with a small (uantity of good wine& largely diluted with water& # as in the proportion of from one#fifth to one#tenth of wine< 8ut it is only to those to whom wine has "ecome an ha"itual drink& that it is to "e thus permitted<

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3ine& howe*er& may also "e prescri"ed to pre*ent certain diseases& and to assist in remedying certain "odily states< Thus when a man has to endure great and unusual exercise& as a forced and fatiguing march& when he is heated with se*ere "odily la"our& Ic<& the use of wine will always& at some cost of another kind& dispel his weariness& "ecause the excitement of the *ascular system produced "y exercise& will "e opposed "y the *ascular excitement from wine< # If& in such circumstances& the same person were to take a glass of water& he would o"tain contrary result& "y *irtue of the law of reaction& explained in my first work< This law is conse(uently of great importance& e*en in regimen& and should "e well known& in order that no wrong employment of it may occur< Tea is less pre2udicial than coffee& and for that reason& when not too strong& it may "e permitted in moderate (uantity to those accustomed to its useD "ut the immoderate use of strong tea& so common with many& should not "e sanctioned< If coffee "e allowed during homoeopathic treatment& it must "e in great moderationD and its toleration should "e in fa*our only of those who ha*e long "een used to it< 3e ha*e& indeed& seen many cases homoeopathically treated& wherein those who took coffee got wellD "ut we may lay it down as a rule that the less that is taken of strong coffee the "etterD and this rule applied likewise to people in health< Cocoa may "e ad*antageously taken as a su"stitute for "oth tea and coffee at "reakfast< It is a nutriti*e "e*erage& and *ery agreea"le when properly made< Chocolate& though less to "e appro*ed than cocoa& may *ery safely "e recommended& if free from *anilla and all aromatic ingredients< It gi*es a sensation of hea*iness on the first time of using it& or of recurring to its useD "ut this always disappears on the second or third time of employing it< ood Prohi"ited +egetable ,ood! During homoeopathic treatment& asparagus should generally "e proscri"ed as e*idently a medicinal plant< I will not say that treatment would ne*er succeed when it is eatenD "ut it assuredly pro*es an impediment& which it is all well to a*oid< Sorrel& radishes& horse#radish& celery& should "e as much as possi"le a*oided during treatment< 8aking remo*es much of the medicinal properties of onion& garlick& shalot& scallion& cher*ilD "ut still these *egeta"les ought to "e almost entirely a"stained from< !ushrooms must also "e in general discarded from homoeopathic regimen< All fruits which are not *ery ripe and those of acid taste must "e a*oided& on account of their difficulty of digestion& and "ecause acidity is an antidote to se*eral medicaments< In all these cases& it is for the physician to determine what fruits may "e allowed< Camomile& elder& and all flowers employed in diet drinks& should "e carefully a*oided as medicinal< The greater num"er of flowers are also unfit appendages to the apartment of a patient< Animal ,ood! 9eal is far from "eing so salutary as "eef& owing to its want of maturity& and its not ha*ing ac(uired the degree of animali%ation necessary for easy assimilation< This meat is said to predispose the lymphatic system to o"structionsD "ut it is more specially the organs charged with the functions of digestion& which recei*e in2ury from itD persons in whom these organs are fee"le or deranged& then generally find their ailments increase< or this reason& *eal ought to "e prohi"ited in such casesD and sedentary people ought seldom to partake of it< Those

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alone in whom no incon*enience attends its use& may moderately employ itD and it is then prefera"ly eaten with ham< The fat part of pork must& in general& "e prohi"ited during homoeopathic treatmentD o"2ections similar to those which apply to *eal apply also to it< If a patient do make use of it on any occasion& he must "e sure that his digesti*e organs will "ear itD and must lead an acti*e life< Ducks and geese are fat& indigesti"le& and oppressi*e to delicate stomachs< If we do not entirely prohi"it the white and mucilaginous flesh of young animals& such as lam"& chicken& Ic<& we ought to allow them only in small (uantities< Drinks! 5*ery stimulating drink& and e*ery "e*erage of medicinal property& ought to "e excluded from homoeopathic regimen& as far as it is possi"le to dispense with them< 3ine is a tonic and stimulating drink& and is on that account proscri"ed "y homoeopathy from the regimen of the sick< 3ine may& indeed& "e looked upon as a real medicamentD it excites *ital action in a special mannerD and it may conse(uently destroy the effects of mediament possessing analogous properties< The drunkard *ery naturally tries to persuade himself& or rather those who witness his excesses& that wine is a sort of elixir *itaeD "ut it is (uite impossi"le that it should cure& or e*en relie*e& the *arious de"ilities for which it is so fre(uently employed< These de"ilities and cachexies depend on deeper causes& which re(uire to "e destroyed "efore we can destroy their effectsD and wine can only delay such a result< The *arious species of strong li(uors ought to "e entirely discarded during homoeopathic treatment< And if a few cases may "e cited& in which treatment has pro*ed successful in spite of the use of spiritous li(uors& these few exceptions& ascri"a"ly to ha"ituates& and amply punished "y other distressing effects& do not interfere with the general rule< Strong tea& and specially strong coffee& ought& generally speaking& to "e shunned during homoeopathic treatmentD for these "e*erages are o"*iously of medicinal nature& as will "e easily seen "y o"ser*ing their effects as descri"ed in 'ahnemann-s !ateria !edica< The physician& as usual& must decide when exceptions may "e made in their fa*our< Seasonings! Seasonings& generally "elong to aromatic su"stances& spices& and therefore to the class of acti*e medicaments< Their use& therefore& must "e as much as possi"le re2ected during homoeopathic treatmentD and they must "e employed only as curati*es for disease< Salt and "utter are indeed (uite enough for dressing all mealsD and it is owing only to a factitious taste that we use pepper& nutmeg& saffron& clo*es&Ic< 8esides& where it is re(uired to render certain kinds of food more palata"le or digesti"le& we can most ad*antageously ha*e recourse to milk& cream& and sugar< "aths #!c! A"use of warm "aths must "e for"idden& and their place supplied "y lotions of cold or luke warm waterD and this water should "e pure< All great changes of temperature are pre2udicial< 3hat I ha*e stated on the su"2ect of seasoning sis applica"le to cosmetics& when these are "orrowed from aromatics< Possessing medicinal *irtues& they must "e discarded& on the principle that we ne*er dispense two medicines at a time& lest one should destroy or o"struct the other-s action< Persons who ha"itually use to"acco may "e allowed to continue it& "ut they ought to do so with great moderation< @ ootnoteE FI ha*e learned&F says 'ering& Fhowe*er& that coffee and to"acco often act at high attenuations in persons who use them e*ery day<FA

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Air and "odily )'ercises! It is unnecessary to dwell here on the importance of pure air in the treatment of disease< I might assert nearly as much of exercise< Indeed& e*ery"ody knows @and that perhaps more in 5ngland than elsewhereA the immense influence of exercise upon health when taken in the open air< 8y means of exercise& it is& that we preser*e the e(uili"rium of the whole systemD and it is this which preser*es us especially from the effects of a too plentiful ta"le< As that offers to us daily en2oyments& it is difficult for us not to commit some de*iations from strict regimenD all our social ha"its fa*our the pro"a"ility of too su"stantial a mode of li*ingD and there can "e no dou"t that most affluent people eat and drink more than is necessary< It is fortunate& therefore& that the rich are ena"led "y exercise to counteract the in2ury they do "y indulging at their "oards< It is "y that means alone that they can maintain the e(uili"rium of their functions< In chronic diseases& it is& for that reason 2ust pointed out& of the greatest conse(uence to recommend exercise in the open airD and e*en supposing the regimen not to "e *ery nutritious& "y thus directing a great portion of the *ital powers towards the muscular system& we pre*ent *isceral congestion< 3alking in the open air is& for the in*alid& the most "eneficial exerciseD and the patient has only to regulate his walks "y his strength< 'e ought not at first to take walks too long& "ut should desist "efore he feels exhausted& and should prefera"ly graduate this remedy< The muscles of the lower lim"s& as well as those of the trunk& do almost all contri"ute to the exercise of walkingD and dancing employs them still more extensi*elyD "ut the upper lim"s& in general& are not sufficiently exerted& as especially occurs with children< It is urgent& therefore& to recommend gymnastic exercises& in which the upper lim"s are put in action< 5xercise on horse"ack& and in open carriages& is certainly far more healthful than a sedentary lifeD "ut the "enefit deri*ed from them is not to "e compared with those which spring from walking& dancing& and gymnastic exercises in general< -abits #c! 'a"its& such as night#watching& the fre(uenting of "alls& theatres and concerts& the gaming ta"le& Ic< must not "e passed o*er in silence& as they may ha*e a powerful effect on the success or failure of treatment< It may& as a general remark& "e o"ser*ed& that all large assem"lies are in2urious to homoeopathic treatment& and fre(uently render its success impossi"le< In fact& the atmosphere& *itiated "y the dust and effu*ia inhaled at these places& the glittering of lights& and the emotions excited& are reasons why patients should keep as much as possi"le away from themD and this recommendation is chiefly directed to those whom nature had endowed with an unusual share of sensi"ility and irrita"ility< 3hile speaking of social ha"itudes& I may take the opportunity of saying a word on the passions< 3e all know that strong emotions may gi*e rise to serious derangements in our economy< Thus anger and terror may throw our whole system into disorderD and 2oy& too intense& has "een the cause e*en of death< 9iolent passions& therefore& always distur" the action of a remedyD and most fre(uently this in2ury extends to the utter destruction of its effects< An important point in regimen is& conse(uently& to induce the patient& as much as position in life will permit& to shun these moral causes< And if such causes do occur& the physician will treat their effects with the medicaments which materia medica indicates& "efore proceeding further with the treatment which these causes ha*e interrupted<

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9ehement mental disputes are likewise pernicious to treatment& and must "e prohi"ited< !oderate employment& on the contrary& has a *ery fa*oura"le influence on the *ital powers< Sleep and watching ought to "e particularly attended to& and carefully studied "y the medical practitioner< The physician should& therefore& recommend to his patient not to "e too long in "ed& if a"le to "e out of itE se*en& eight& or nine hours are sufficient in almost all cases< )n the other hand& it is *ery important for the patient not to sit up lateD for sleep is more refreshing in the fore part of the night than afterwards& and long watchings irritate the system and exhaust the strength< The clothing of a patient ought not to "e too warmD for it then increases the sensi"ility of the "ody to cold& ener*ates the *ital strength& and excites perspirations& which& "esides de"ilitating& predispose the "ody to attacks of cold< 3hat has 2ust "een said does not& howe*er& imply that we ought not to guard oursel*es against changes in temperature& wet and cold& "ut merely that we should a*oid excessi*e care< If what I ha*e written on regimen "e duly considered& it will "e seen that the whole is comprised in three rules laid down in my former workD namelyE 1st< The patient should a"stain from e*ery su"stance which contains medicinal property< +d< 'e should select those aliments which experience has taught him to "e "est adapted to his peculiar state< 1d< 'e should a*oid e*ery physicial& moral& and intellectual act which might occasion disorder in his economy& or derange his *ital powers< These are the real "ases of regimenD and it is the physician-s duty to induce the patient to make the nearest possi"le approach to the exact o"ser*ance of them< 3e know that a"solute perfection is not within man-s power of attainment& and we conse(uently are not so *ain as to hope to reach it< 8ut as we do know the real o"2ect to "e sought& it is our duty to approach it as nearly as our "est efforts and exertions will ena"le us<

Chapter 7
Cases and Practical Observation
. Affections Of *he /ocomotor System! . Affections of the +ital System . Of *he Pharyn'! . Of *he Stomach! . Of *he &ntestinal Canal! . Of *he Air Passages and /ungs! . Of *he +ascular System! . Of *he Secreting System! . Affection Of *he )yes! After the exposition of the homoeopathic theory& and the principles which direct its practice& it will not "e useless to offer to practitioners some cases selected "oth from the less dangerous maladies& and from the most se*ere< I do not lay these "efore physicians as models& though they ha*e "een drawn up with scrupulous exactnessD "ut I think they will satisfy those who wish to determine& "y the "est test& whether homoeopathy is true& or whether it is not< I must here make a remark which is applica"le to all medicines< 3hen I point out a disease "y the recei*ed name& as "eing cured "y a gi*en medicine& I must not "e understood to assert

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that all the forms of the disease yield to the power of that medicine< I wish merely to a*er that the form of the disease& which corresponds to the remedy& is cured "y itD and the only certain method to ascertain that& is& "efore administering it& to ha*e recourse to the materia medica of 'ahnemann # ,outine medicine takes *ery little account of the *arious shades of our diseasesD homoeopathy& on the contrary& in order to succeed& pays the most scrupulous attention to shades the most delicate< Affections )f The 7ocomotor System< Deviation of the +erterbal Column! I ha*e treated successi*ely many de*iations of the *erte"ral column and of the ca*ity of the thorax& "oth amongst infants of tender age& and among girls< In these cases& the medical treatment has "een purely homoeopathic< No mechanical means ha*e "een employed< The patients ha*e& howe*er& "een su"mitted to the course of exercises to reesta"lish the particular muscular powers which had "een more or less lost< I will gi*e here& from my notes& only a single extract& as to one of the most remarka"le cases< I was sent to Paris& at the "eginning of the year 1?1=& to gi*e my opinion on the case of !ademoiselle T#& nine years of age& li*ing at ,eims< This young lady had "een attacked "y a swelling and pain of the lymphatic glands "ehind the ears& and along the neck< Sometimes afterwards& I was told that these glands had increased in si%e& "oth at the "ack of the neck and immediately at the "ase of the cranium< !adame T# soon after percei*ed that the left side of her daughter-s chest was increased in "ulk& or& as it is commonly said& that she had grown toward one side< She accordingly had left ,heims for Paris& and "rought her daughter to me< )n inspection& I found that the glandular affection had "een well descri"edD "ut that the *icinity of the first four cer*ical *erte"rae was inflamed& and enlarged& and that the child could scarcely mo*e her head& which she held in a state of stiffness& (uite characteristic of the affection< I disco*ered& "esides& that the left side of almost all the *erte"rae was enlarged& and had de*iated in form< The parents& uneasy at the opinion which I ga*e& desired to consult an experienced allopathic physician< This gentleman sent them to one of the first orthopedic esta"lishments in the capital< There& they *erified the nature of the malady& and confirmed my diagnosisD "ut they smiled with incredulity at the idea of curing such a disease "y homoeopathic means< They proposed leeches& cauteries& a recum"ent position& and machines< The physician pre*iously consulted& o"2ected to the leeches& "ut consented to the use of cauteries and machines< !adame T# returned to me& to communicate the results of these medical en(uiries and to ask my ad*ice< I answered& that all these means might palliate the e*il& "ut had no specific property to cure rachitic diseasesD that homoeopathic treatment attacked especially the cause of the osseous maladyD that it employed appropriate exercise& and did not a"solutely re2ect mechanical aids& though it employed them only as auxiliary and dependent upon circumstancesD and that no *iolence was exercised "y it< It was decided that the child should "e placed under my careD and the treatment was immediately commenced< )n her su"se(uent return to ,heims& the treatment was regulated according to the statements of her health& communicated "y her mother< It was commenced in the month of August& 1?1=& and finished in the succeeding month of !arch<

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The medicines employed in the course of the disease were calcarea& lycopodium& lead& pulsatilla& silicea& sulphur& "elladonna and mercury< These medicines were always administered at the thirtieth or the twenty#fourth attenuationD and they were generally repeated e*ery fi*e& six or eight days< I *aried the medicines according to the changes indicated "y the symptomsD and many times the moral symptoms induced me to prefer one remedy to another< No other means that those recommended "y homoeopathy were employedD and the only precaution taken& as to position or action& was to suffer the child& during part of the day& to lie upon a sofa& in order to relie*e the *erte"ral column from the weight of the head< !ademoiselle T# reco*eredE her cure was complete< This is a fact in which imagination could ha*e no shareD and& as no machine was employed& this cure must "e attri"uted entirely to homoeopathy< Affections of the 9ital System Of the Primae +iae! Periodical 0lcerations &n *he Mouth! 7ondon& 1?1;< !rs< 8#& aged twenty#six years& of a good constitution& had always en2oyed excellent health& and recollected only that& at fourteen years of age& she had an eruption a"out the chin< or two years& she had suffered from a periodical ulceration in the mouth& and during that period& had su"mitted to many different kinds of treatment< She had taken purgati*es& calomel& sarsaparilla& and nitric acid in lotion& to destroy the diseased parts< All was without successE she grew worse& and "ecame much emaciated< The disorder had ne*er completely disappeared during the two pre*ious years& and it assumed a new aggra*ation during the latter six weeks or two months< At that time& the gums and the interior of the cheeks were affected< Those parts "ecame red& swollen& and there appeared upon them red and granulated ulcers< The patient felt heat and "urningD sali*ation occurred& especially in the nightD the mouth exhaled a strong and offensi*e odourD and e*ery part furnished "lood and true pus< 3hen the malady was at its height& and the smell was extremely offensi*eD the cheeks were much swollenD and the lips inflamed& almost hiding the nose& and "eing co*ered with a foul yellow matter& like false mem"ranes< The first time I saw the patient& she had& for eight or ten days& "een attacked with one of the aggra*ations of the complaint which had still to run a"out fifteen or twenty days "efore reaching its climax< There existed fulness in the head& hea*iness a"out its superior part& and giddiness e*ery morning< The thirst was continualD the tongue clogged with yellowish mucusD and fe*erish taste in the mouth< She was affected with sinkings at the stomach& and much weakness in that organ< It seemed to her as if the food could not pass through her oesophagus& and as if her stomach had no space to contain it< The right hypochondrium was swollen& and painful when touchedD the constipation ha"itualD the sleep accompanied "y terrifying dreams< The patient had "een melancholy& and *ery irrita"le e*er since she was ill& and the slight emotion pro*oked in her sinkings in the epigastric region< At the moment when she was most affected& her sight was impaired& and she percei*ed insects "efore her eyes< The feet were coldD the head "urning hotD the skin dryD and the pulse rather fre(uent< The case was *ery complicatedD and& after an attenti*e examination and recapitulation of symptoms& I concluded that !rs< 8# was suffering under two complaints& *ery distinct # one

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"eing medicinal& and pro*oked "y the remedies of which she had made an a"use& and the other "elonging to the mucous mem"rane of the digesti*e system< I first applied myself to the getting rid of the medicinal malady& in order afterwards to *an(uish the other more easily< )n the :th of !arch 1?1;& I therefore administered two glo"ules of hepar sulphuris& of the 1Hth dilution& to "e taken in four days& in distilled water&# The disease was alle*iated after the first doseD and& on repeating the same medicine& the amelioration continued& # I then had recourse to the nitric acid& in the same dose and at the same dilutionD "ut there appeared to follow little or no change< !rs 8# informed me& only at this time& that she had for two months "een pregnantD that she experienced some inclination to *omitD and that the constipation was now more o"stinate than e*er< I then prescri"ed nux *omica& which was taken at three different times& and with the greatest success&# The desire to *omit ceasedD the constipation "ecame less and less painfulD the appetite impro*edD and strength and freshness "egan to appear< !rs< 8# went through the first attack& thus treated& incompara"ly "etter that she had done the pre*ious one< The attack following was much fee"ler< I had recourse to "elladonna& as soon as the redness of the mucous mem"ranes of the mouth "egan to show itselfD and I next employed sulphur and hepar sulphuris&# The third attack could scarcely "e said to shew itself< After the first two attacks& I had ordered me%ereon& to remo*e the "urning *esicles on the tongue and on the exterior cheeks< After the sulphur& I prescri"ed two doses of muriate of soda< !rs< 8# was perfectly cured in the space of three months and a halfD her accouchement was perfectly happy< Se*eral months afterwards& the mercurial disease reappeared& and was again su"dued "y the antidotes to mercuryD and considering what experience tells us of the long a"ode of mercury in the system& it is possi"le that this patient is not yet permanently relie*ed from mercurial symptoms< I ha*e& at this moment& under my care& se*eral mercurial affections nearly similar& which ha*e reappeared se*eral times< Nothing is more difficult than the radical cure of such diseasesD they are much more so that ordinary ones< The antidotes to mercury # hepar sulphuris& nitric acid& and "elladonna& remo*ed the medicinal disease< The nux *omica& me%ereon& and muriate of soda destroyed the primiti*e symptoms< )f The Pharynx< 1uinsy! !alhausen& 1?11< # A la"ouring wea*er re(uired my attendance< 'e had a *ery high fe*erD the face *ery redD the neck stiffD the deglutition *ery difficultD and he experienced an intolera"le thirst& which nothing was a"le to satisfyD his speech was painfulD this *oice altered and nasal< I endea*oured in *ain to see the posterior part of the pharynxD the mouth could not "e opened sufficiently wideD "ut those portions of it that could "e seen were red and swollen< )n placing my hand on his neck& a *ery e*ident swelling was felt in the region which corresponds to the amygdalae< The disease had affected him for three days< 'e had made use of gargles and emollient cataplasmsD and fifteen leeches had "een applied under the angles of the lower 2aw< Notwithstanding these means& the disease was manifestly much on the increase< I suspended the antiphlogistic treatment& and ga*e immediately 1 glo"ules @at 1HA of aconite< This dose was repeated six hours afterwards< I ga*e him also three glo"ules of

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"elladonna& to "e taken early on the ensuing morning< # At my *isit& I was gratified to see e*ery symptom sensi"ly ameliorated< The fe*er was su"dued& and I could see the "ack part of the mouth< The redness there was *i*id& and the amygdalae much swollen< Next morning I repeated "elladonnaD and saw the patient in the afternoon< # The natural *oice had returnedD deglutition had "ecome easyD and there was less pain< The swelling of the tonsils had sensi"ly diminishedD the thirst was appeasedD and the patient was a"le to take some soup< I prescri"ed nothing for the next day& wishing to see if& under the action of the last dose& the malady would continue to decrease< )n my arri*al& the mother of the patient told me that her son was much "etter and had returned to work< Notwithstanding this imprudence& the patient had no relapse< It is impossi"le here to deny the action of the aconite and "elladonna< .nder their influence& two days sufficed to cause the disappearance of an extremely acute disease< If any one should tell me& it often happens that *ery acute diseases of the throat come on (uickly and as (uickly disappear& I should add that I ha*e witnessed the most se*ere cases of that kind& "ut they had no resem"lance to that which I ha*e 2ust reported< The patient& in fact& was "edridden for three daysD the fe*er had increased in an une(ui*ocal mannerD the pain was aggra*ated in the same proportionD the 2aws could scarcely permit anything to enter them< In similar cases& we ne*er see the inflammation disperse so (uickly as in the case I ha*e reported< I will add more # in the greater num"er of such cases& the malady terminates in suppuration& and sometimes death< 1uinsy ,#& of !ulhausen& aged ten years& was sei%ed& in the spring of 1?11& with a *ery intense (uinsy< It was characteri%ed "y swelling of the tonsils& with a *ery *i*id redness& pain chiefly during deglutition& the *oice altered& the speech difficult& and *ery considera"le fe*er< Six leeches were applied to the neck of the little patient& and a linseed#meal poultice<# The disease a"ated nothing& Ne*ertheless& during the entire day& I limited myself to prescri"ing poultices and emollient gargles< In twenty#four hours& it was e*ident that the disorder was "ecoming worse and worse& and the fe*er had redou"led in intensity< 8y this time& I thought it my duty to sa*e the infant from "eing sacrificed to the routine practice< I prescri"ed +N1H of aconite& and& six hours afterwards& the child took +N1H of "elladonna<# The patient was agitated during the nightD the neck "ecame for some seconds more painfulD and the child was delerious until the morning< At my *isit& I thought that the "elladonna still continued to actD and I therefore prescri"ed nothing further< # Twel*e hours afterwards& the fe*er had much diminishedD the deglutition had "ecome more easy& though still painfulD the *oice was clearer< I now prescri"ed a single glo"ule of "elladonna< # Some hours afterwards& the patient experienced a painful sensation along the neck and head< Next day& howe*er& he was so much "etter that he sat up& and took a little nourishmentD and& in a few days more& he reco*ered health and strength< 1uinsy! Scarcely had the preceeding patient reco*ered& when his elder "rother was attacked "y the same malady& "ut with symptoms much more intense< 8eing of the same nature& I need not recount them< The aconite& and after it se*eral doses of "elladonna& administered at inter*als of six and twel*e hours& mastered the disease< This child was not su"2ect to any allopathic treatment& #

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In the former case& I had yielded to the wishes of the fatherD and "esides& I must acknowledge that& at that period& I was not so well satisfied that the most *iolent inflammation might "e safely treated without the a"straction of a single drop of "lood< I was still possessed of old pre2udices& although I had long acknowledged the truth of the homoeopathic principle< 8ut how difficult it is to "elie*e& "efore ha*ing seen and pro*ed it one-s self& that inflammatory diseases are much more easily o*ercome "y aconite& "elladonna& "ryonia& Ic< in extremely small doses& than "y "leedings the most a"undantJ # Met this is a fact so certain& that there is nothing more easily *erified in practice< The single circumstance of the general a"olition of sanguineous e*acuations& is so *ast a "enefit that the result will immensely ameliorate the health of mankind< 1uinsy! !alhausen& 1?11< C#& a nurse& usually en2oying excellent health& was& without any assigna"le cause& attacked on the 11th of August with a *ery intense fe*er< The heat was considera"leD the pulse "eat with force and rapidityD the skin was moistD the head highly in2ectedD and the patient had a slight cough& with hoarseness< I prescri"ed 1 glo"ules of aconite at the 1Hth attenuation& and repeated the dose six hours afterwards<# )n the 14th& the fe*er had remarka"ly diminishedD "ut the hoarseness was greaterD and the neck was *ery painful in swallowing< It seemed to her that she swallowed needlesD and yet she felt the necessity of producing fre(uent mo*ements of deglutition< I prescri"ed 1 glo"ules of chamomile at the 1=th dilution< # Next day& the affection of the throat had completely disappeared< In mentioning a case so *ery simple as the foregoing& my o"2ect has "een to ha*e it compared with the preceeding cases of (uinsy cured "y "elladonna& and to compare "oth with the common practice< According to that practice& different diseases "earing the same name& are treated "y the same means # Antiphlogistics under all their forms& to which are added re*ulsi*es to the intestinal canal& or to the skin< No account is taken "ut of the common elements of irritation and inflammationD and for that reason& the treatment should "e identical< 3hen one thing will not answer the purpose& recourse is had& it is true& to other means& "ut without any certain data to descri"e the choice of medicines< 8y these simple cases& howe*er& may "e seen the great superiority of homoeopathic medicine< It prescri"es aconite to regulate the excitement of the sanguiferous system in those cases where physicians are o"liged to de"ilitate the constitution "y means of an a"undant a"straction of "lood& in order to dissipate the excitement of the *ascular system& so common in all forms of disease< 3ith the smallest doses of aconit& homoeopathy cures more (uickly and more surely than the strongest medicines or the art of "loddletting has e*er done< After sanguineous e*acuations& or aconite& there remain other symptoms peculiar to each case&# In the old routine& what would "e the course as to themG what guide should "e followedG AlasJ there remains to it no more than to a"andon itself to empiricims and groping in the dark<#homoeopathy& on the contrary& after the administration of aconite& proceeds with the same certainty& which pointed out to it the choice of the medicine& to regulate the sanguiferous systemD for& in e*ery gi*en case& it has its immuta"le law< 1uinsy! 7ondon& 1?1;< # I was consulted at the commencement of the summer "y !r< 8#& who was attacked "y a *iolent inflammation of the throat& for which he had already taken a dose of "elladonna& and if I rightly recollect& a dose of aconite at the "eginning< 'e suffered cruelly during two days& could scarcely open his mouth& and swallowed with great difficulty and

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much pain< The *elum palati and amygdalae could scarcely "e percei*ed& "ut appeared to "e *ery red and much swollen< The *oice was so completely altered& that what the patient uttered could scarcely "e understood< The neck& e*en externally& was swollen< The patient was restless& and could not sleepD and the pulse indicated a high state of fe*er< 'e told me that the "elladonna had greatly aggra*ated the disease& without "eing of ser*ice< I thought that the disease had augmented in strength& owing to the patients not ha*ing often enough repeated the medicine< The "elladonna appeared to me well#chosen< I prescri"ed two glo"ules more to "e dissol*ed in water& for the patient to take during the day< # At my second *isit& I found him still worse than the day "eforeD the symptoms appeared a"solutely the same& "ut more intense< I now noticed one circumstance which& at my former *isit& had escaped me< # The patient spit a great deaD and he told me that a thready mucus was secreted in great a"undance< This led me to think that the disease "elonged to mercury and not to "elladonna< !ercury& in fact& produces the same kind of excretion& with which the patient was affectedD whilst& if "elladonna do produce a kind of *iscid sali*ation in the mouth& the symptoms of inflammation of the neck and amygdalae are characteri%ed rather "y a state of dryness< After ha*ing remarked this& I administered immediately a glo"ule of mercury of the 1=th attenuationD and I dissol*ed + others in a glass of water& that the patient might take a spoonful e*ery two hours< # Next day the symptoms amended considera"ly& and two more doses of mercury made them entirely disappear< This case points out the importance of en(uiry into all the symptoms& and shows also how necessary it is that we should not& as usual& treat diseases according to the names gi*en "y pathologists& "ut that we should *ary the treatment "y following the particular symptoms which "elong to each *ariety and which differ widely in diseases "earing the same common name< Angina! 8#& aged six years& en2oyed ha"itually the "est health& "ut had "een indisposed for some days& although his indisposition offered no precise character& up to the e*e of the day when I saw him for the first time< 'e had& at that time& an intense fe*erD the pulse "eat at least a hundred and twenty strokes a minuteD he complained of pain the headD his face was yellowD and the tonsils and *elum palati were *ery strongly inflamed& and co*ered with a layer of thick mucus< The patient had his mouth constantly open and thrown "ack& owing to the difficulty which he experienced in "reathingD and the tongue was protruded from the mouth< The throat was much swollen& and a considera"le (uantity of mucus issued "y the nose< The a"domen was swollen& hot& and rather painful upon pressureD and there was constipation< .ntil that time& the child had "een su"mitted only to treatment the most insignificant& consisting of emollient clyster& poultices on the a"domen& and infusion of *iolets to drink< I ga*e him a glo"ule of aconite& and desired that the dose should "e repeated six hours afterwards< # The medicine had no *ery remarka"le effectD the pulse diminised only ten strokes a minuteD and the affection of the throat *isi"ly augmented< The mouth was constantly openD the tongue protruded from its ca*ityD and the head was strongly turned "ack in order to assist the entrance of air into the tracheaD the patient was much weakened& and do%ed without ceasing< I prescri"ed + glo"ules of "elladonna& at the 1Hth dilution< # The aggra*ation was *isi"le to those who had watched the patientD the fe*er ac(uired more intensityD the a"domen "ecame

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hotterD the child threw "ack his head in a manner much more determinedD and in the night was delirious< In the morning he was in the same state as in the e*ening "efore the administration of "elladonna # I made him take a single glo"ule of the same medicine< # Next day the disease "egan to yield& though "efore this there had "een a remarka"le increase of it< The pulse was at 1+HD the a"domen slightly flattenedD and the tongue less protruded from the mouth< The child& although always sleepy& roused with less difficulty from that stateD the mouth appeared much swollenD and a thick mucus co*ered the tonsils and the *elum palati< I again administered a glo"ule of "elladonna# Next day& the state of the patient was alle*iatedD for the tongue protruded much less from the mouthD the glands of the neck were diminished in si%eD somnolency was less o"stinateD the little patient also had tried to amuse himself< I prescri"ed a glo"ule of solu"le mercury at the 1=th dilution<# The medicine had the most striking result< rom next day& the state of the child presented nothing further to alarm< The tongue had ceased to protrudeD the glands of the neck had much diminishedD the *elum palati and the tonsils were infinitely less swollenD the mucus was discharged with the greatest facilityD and the a"domen retained only its natural heat< I ga*e nothing that dayD and the impro*ement continued till the next< I then ordered a second glo"ule of solu"le mercury< This was the last medicine< #The child had already "egun to amuse itselfD and& twenty#four hours later&it remain up for some hours< The appetite reappeared a little laterD and not many days elapsed "efore the patient had reco*ered his strength< 1uinsy! 7ondon& 1?1:<# I was consulted "y !iss 8#& at the time when the influen%a was pre*alent in 7ondon and its en*irons< This young lady had suffered incon*enience for some days& # until& on riday& she felt the approaches of a complaint to which she had "een su"2ect to some years "efore< She apprai%ed me& that she had many attacks of the same kind& and dreaded them muchD that no treatment had e*er facilitated their cureD that she had generally "een ill for three weeks& and remained fee"le for some time afterwardsD that her periodical discharges @to which she was su"2ect to three times in fi*e weeks&A were a"undant& and super*ened on the least agitation< )n Sunday& when I first saw her& she was suffering greatly< 'er lips were red and dryD her throat and tonsils were also red and inflamedD her deglutition was painfulD she experienced a grating sensation& as if there were something in the throatD there was some little swelling toward the outside of the neck& which was painful when touchedD there was also a "itter taste in the mouthD loss of appetiteD pain of the ears during swallowingD pain in all the lim"sD general fatigue& a little fre(uency of the pulse< inding "elladonna the suita"le remedy& I ga*e her two glo"ules immediately& and one glo"ule to "e taken eight or ten hours afterwards< The first dose of "elladonna did not afford any reliefD on the contrary& that e*ening the patient was worseD she could scarcely swallow at allD her lips were more dryD there was much mucosity in the throatD and many shooting pains a"out the head< In the night she was much agitatedD next day& the "ody was co*ered with a natural perspiration& and the throat "ecame "etter after the second dose<

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)n Tuesday morning& all the symptoms "ecame more *iolentD the exterior of the neck was painfully sensi"le and much swollenD there was dryness of the mouth and throatD great thirstD great difficulty of swallowingD heat and fe*er< I prescri"ed& to "e taken immediately& a glo"ule of aconiteD six hours afterwards& another glo"ule of the same su"stanceD and& six hours after the latter& two glo"ules of "elladonna< # After the second dose of aconite she *omited a"undantly& and an impro*ement immediately after commenced& at the same time the little *esicles "roke out around the mouth< # The "elladonna @gi*en ten& and not six hours after&A con(uered the remaining symptoms< )n 3ednesday& then& she "egan to feel pretty well toward the e*eningD on Thursday she& in some degree reco*ered her appetiteD and on riday she might "e considered cured< )n the Sunday following I found her perfectly reco*ered&# three or four days ha*ing effected that which perhaps had ne*er "efore "een o"tained in less than three weeksD and "esides this& the menstrual functions ha*e since "een performed infinitely "etter& and& since that painful "ut short illness& she en2oys good health< I shall not report any more cases of (uinsy treated with "elladonna< All that I need add is& that I ha*e always seen the same successful results follow the employment of aconite and "elladonna in similar casesD and as such cases are *ery fre(uent& physicians can easily put to the test the accuracy of the opinions of 'ahnemann )f The Stomach< +omitings of Pregnant 2omen! !adame B#& thirty#two years of age& was pregnant for the se*enth time< All her pregnancies had "een accompanied "y a*ersions& *omitings& inexpressi"le discomforts& with extreme lowness of spirits& in*oluntary fits of weeping& and *arious indispositions during a great portion of the period< I undertook the treatment of !adame B# in the first weeks of her pregnancyD all the incon*eniences a"o*e stated existing in a high degree& and the lowness of spirits appearing similar& though greater than in the preceeding pregnancies< I administered two doses of ipecacuanha< # A little impro*ement followed& preceded "y a *ery slight exacer"ation< I then had recourse to nux *omica< Two doses of that medicine& administered six days apart& completely remo*ed the uneasiness< The melancholy& which had generally lasted for many months& also disappeared< Some weeks afterwards& !adame B# was threatened with the same incon*eniences< # The nux *omica& administered again& immediately dispersed the symptoms< Still later& after a chill& !adame B# was attacked "y a cough and an oppression so great& that she felt as if there were a determination of "lood to the chest< Some glo"ules of aconite re# esta"lished (uietude as "y enchantment< In former times& when I followed the common practice& to o"tain the same result& I had "een o"liged to ha*e recourse to "loodletting< The infant of this lady was "orn strong and healthy< Similar! !adame 0#& pregnant for the third time& was reduced to a state of great emaciation< She had fre(uent coughD nourishment of the lightest kind distur"ed her muchD she had strong desires to *omit& yet the *omitings were painfulD and she& "esides& was a prey to mental sufferings< It as in the midst of these unfa*oura"le circumstances that I undertook her treatment< # After ha*ing recommended a"stinence from spices& *inegar& wine& and coffee& I desired her to take three glo"ules of nux *omica at the thirtieth dilution< There was great aggra*ation of the

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symptoms for many daysE the stomach "ecame painfulD and the other distur"ances more tormenting that they had e*er "eenD "ut a *ery remarka"le amendment succeeded to this state< This lady& "eing o"liged to go to a distance& I did not wish her& "efore her departure& to take another dose of nux *omica& "ut desired her to wait a few days longer& and then to make me ac(uainted with her situation< or many days after her departure& the amendment continued& though without making much progress< I sent her three glo"ules of nux *omica< The aggra*ation of symptoms was now lessD and all uneasiness disappeared< I saw the patient again many weeks afterwards< She was well& with the exception of her cough& which she still retained< # I administered sepia& which was attended with much success< The cough disappeared under its influence< Similar! !adame ,# had "een cured of a *ery *iolent toothach "y homoeopathic means< She came to solicit my care for certain incon*eniences attendant upon pregnancy< She had& at this time& "een in that condition a"out a month& and suffered much< She did not *omit& "ut felt a continual and *ery painful desire to do soD all kinds of nourishment increased the e*ilD she was a prey to a deep melancholyD and she *isi"ly lost flesh< I prescri"ed three glo"ules of nux *omica at the thirtieth dilutionD the patient took them in the e*ening& going to rest< Next day& the increase of the symptoms was well#markedD there were no *omitings& "ut the stomach was painful during many hours< The day following& she was relie*ed from all her pre*ious incon*eniences& and could eat of any food with impunity< I administered nothing fartherD and the symptoms ne*er reappeared< )ne important circumstance should here "e noted< !adame ,# had already "een a mother twice& and her pregnancies had always "een accompanied "y much uneasiness< It is& therefore& e*ident that the impro*ement must "e attri"uted to homoeopathic treatment& although three glo"ules only of nux *omica had "een employed< )f The Intestinal Canal< Diarrhoea! Paris<# There pre*ailed in Paris& in 1?14& an epidemic& not of a serious character& "ut of which the principal symptom of which was a"undant al*ine e*acuation< I had occasion to treat a *ery large num"er of those affections& and the cure always promptly followed the treatment< It is in these acute& "ut not dangerous cases& that I "eg of my fellow#practitioners to make their first essaysD such cases "eing& from the first& *ery simpleD the appropriate remedy "eing readily knownD and there "eing no fear of losing any precious time< 3hen they ha*e succeeded in these easier case& they will "e encouraged to undertake cures more difficult< Similar! !r< !#& residing in !ontmartre& "egged of me to call on him& and my attendance for a great incon*enience which he was then suffering under< 'e was attacked "y the colic accompanied "y fre(uent li(uid stools& distaste for food& the mouth clogged with mucus& "ut no thirstD and he had desire to *omit& dryness of the palate and tongue& and great prostration of strength< The symptoms "eing perfectly those "elonging to pulsatilla& I prescri"ed& of that su"stance& three glo"ules at the thirtieth attenuation< The patient took the medicine at nine o-clock in the e*ening< Some hours afterwards& he found himself much worse< The desire to *omit was

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succeeded "y *omitingD the stools were fre(uentD and toward the latter part of the night& he slept profoundly& and awoke a"out se*en o-clock in the morning& feeling "ut little fee"leness< 'e rose to "reakfast& and went out the same day to his "usiness< The disease ne*er returned< Similar! The lady of !r< !#& the last#mentioned patient& eight months and half ad*anced in pregnancy& had "een su"2ect for more than eight days to a *ery loose diarrhoea& which had greatly enfee"led her& and which had rendered her almost unrecogni%a"le& her face "eing lengthened and yellowish< She felt a slight colicD and stools happened chiefly in the night& and were extremely fre(uentD she had no restD her appetite was entirely goneD nor was there the least feeling of thirst< The mouth was notwithstanding dryD the tongue& red< Pulsatilla appeared to "e the most appropriate medicine& on account of the nature of the stools& the total a"sence of thirst& and the diarrhoea occurring principally in the night< At my *isit& I administered to her three glo"ules of pulsatilla at the thirtieth attenuation< Se*eral hours after the administration of the medicine& the stools thickened& and diminished considera"ly in fre(uency< The patient suffered colic on the succeeding day& and hea*iness of the stomach< I prescri"ed three glo"ules of chamomile at the fifteenth attenuation< rom that moment& con*alescence "eganD and the patient regained her full strength in a little time< Similar! !adame D# sent for me in the e*ening< She had "een for ten days suffering under fre(uent diarrhoea with gripings< Two days "efore& the matters passed had "een "loody& and their e*acuation accompanied "y tenesmus< The pulse was at eighty#sixD the appetite was almost entirely goneD thirst was presentD and there was prostration of strength& and restlessness< I desired that she should take 1#+H of corrosi*e su"limate< The medicine was accordingly taken at half#past nine in the e*ening< rom that time& without any apprecia"le aggra*ation& the sanguinolent diarrhoea& the tenesmus& and the gripings disappearedD and there were no more li(uid e*acuations< Next day& the patient had a solid stool& and the appetite returned< In simple cases of diarrhoea& such as those which I ha*e reported& allopathic physicians say it is nature which has produced the result& the patients "eing restored so (uickly that& without medicine& the same fa*oura"le terminations ha*e "een seen to follow< That without medicine& such disorders may "e cured& there is no dou"tD for& in fact& a diarrhoea or a dysentery& which is not too se*er& will yield to the efforts of nature alone< 8ut ne*er& except under homoeopathic treatment& do these cases& simple though they are& yield so completely and so (uicklyD they lea*e also "ehind them a weakness& which may "e said ne*er to "e the case when they ha*e "een su"2ected to homoeopathic treatment< Similar! !adame D#& aged thirty#six years& residing in Paris& asked my ad*ice on the 1Hth of /une& 1?1=< She had "een confined se*en days pre*iouslyD and& dating from the second day after her accouchement& she had "een attacked "y a diarrhoea which had reduced her rapidly< The tongue was charged with a thick mucusD the appetite annihilatedD the thirst *ery great< She had fre(uent e*acuations& the aspect of which resem"led water& mucus& and "lood& and which were offensi*e to the smell< After stool& she had *iolent strainingsD and& "efore the e*acuations& colic pain throughout the a"domen< The lochial discharge flowed moderately< There existed oppression& slight fe"rile excitement& faintness& weakness& and lowness of spirits<

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I prescri"ed thin gum#water for a drink& and a glo"ule of solu"le mercury a the fifteenth attenuation< A few hours after the administration of the medicine& the appetite reappeared& and the patient took some soup< The had had& up to that tim& an e*acuation of the "owels e*ery twenty minutes or half an hour< After the medicine& she had "ut four in eighteen hours& and the colic was moderated< I again prescri"ed a glo"ule of mercuryD and the same day& the colic and "lood in the motions disappeared< Next day& she had no stool< The patient ha*ing& howe*er& yielded too soon to her appetite and "eing fatigued& the diarrhoea returnedE it was mucous and "ilious& and shewed itself during the night and morningD the patient complained& "esides& of pains and swellings in the "reasts< I prescri"ed a glo"ule of pulsatilla at the twentieth dilution< 'ealth was completely re# esta"lished three days afterwards< The disorder which I ha*e descri"ed& is one of those in which allopathy triumphs the most easily& "ut it is o"liged to ha*e recourse either to leeches applied to the anus& emollient clysters& cataplasms and fomentations& or to saline purgati*es& Ic< and in all cases to a"stinence from meat& perhaps for some weeks< 8ut& in homoeopathy& the treatment has "een infinitely shorterE three minute doses ha*e sufficed to re#esta"lish the distur"ed e(uili"rium& and to restore health& without either loss of "lood& or long and se*ere a"stinence&# with nothing& in a word& which could in2ure the constitution& nothing also which could "e disagrea"le to the patient< Strangulated -ernia! !r< #& mechanician& aged forty and upwards& consulted me on account of colic ha*ing caused him an inguinal hernia& with which he had "een afflicted for some yearsD he had& at the same time& constipationD in other respects& his health was good< 'e was of middle height& "ut of strong constitution& ardent temperament& (uick and hasty& and a little too much addicted to wine< I prescri"ed a dose of nux *omica& which I repeated ten days afterwards< !r< T# found himself there"y relie*edD his stools "ecame more easyD and I discontinued seeing him< Some time afterwards& he desired to see me again for the same indisposition& saying that the pain was much greater than on the former occasion< I disco*ered that the hernia was not supported& and that the truss compressing it was the principal cause of his suffering< I ad*ised him to ha*e recourse to an experienced truss#maker& in order to pre*ent strangulated hernia& which otherwise he could not fail to ha*e< !y prediction pro*ed true< 'e word his old truss& during the time that another was "eing madeD and he was suddenly attacked "y still more *iolent pains& which o"liged him to keep his "ed& and take off the truss< 'e sent for me again< I found him suffering much< The hernia had attained a considera"le si%eD the least contact increased the painD the hernial sac was tender and hot& and it was e*ident that there was no time to exercise the operation of the taxis< The patient had fre(uent "elchingsD no air escaped "y the anusD the a"domen was "ut little sensi"leD the patient ne*ertheless experienced gripings from time to time< I prescri"ed a glo"ule of nux *omica< It was ele*en o-clock in the morningD and the patient took his medicine immediately< # Two hours afterwards& the pains appeared to "e much (uieted& that he took a light repast< This meal was the cause of fresh misfortuneE a little afterwards& he had a *ery *isi"le aggra*ationD and at ele*en o-clock at night& the malady had redou"led & with extreme

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*iolence< I went to the patient& and found him a prey to indescri"a"le anxiety< 'e was sitting "y his "edside& with his head down upon the clothesD soon after& he (uitted that positionD he got up into the "ed& and got out againD he them walked a"out the room with his "ody "ent dou"leE he hiccuped much& he felt desire to *omitE and a (uantity of air escaped "y the mouth< I was at last a"le to induce him to remain in "ed< 'is lim"s were chillD his face "etokened painE a cold perspiration co*ered his foreheadE his pulse was little percepti"le& small and rather fre(uent< The tumour had nearly dou"led in si%e since the morningD it was painfully sensi"le& tender& and hot< I made him take three glo"ules of nux *omica< # Scarcely had they "een swallowed& when a decided action manifested itself< The patient "ecame colderD his agitation redou"ledD he could not for an instant& retain the same positionD he slid to the foot of the "ed& and rolled himself on the floorD he felt as if death were approachingD he took lea*e of his wife&and of meD he entreated me to gi*e him something to hasten death& and put him out of pain< This scene of affliction lasted for a"out twenty minutes< I was then a"le to get the patient again into "edD he found himself "etterD the tumour was less rigidD the a"dominal gripings less se*ere< I remained for twenty minutes longer with him& and left a dose of nux *omica to "e taken at three o-clock in the morning& and a dose of cocculus indicus to "e taken at six o-clock& if the first should not produce any result< The patient was agitated all night& "ut there was no other crisis that that which I ha*e related< There was a marked action after the administering of the nux *omica< The tumour& howe*er& not ha*ing altered& I ga*e the cocculus at six o-clock< # No phenomenon produced till ele*enD the patient was tolera"ly calmD "ut he had desires to *omit& and from time to time *iolent gripings in the "elly< I could not ascri"e any effect to the action of cocculusD and I prescri"ed three glo"ules of nux *omica to "e taken at noon< At two o-oclock& the patient sent for me< I went& and according to the relation of his attendants& it was certain that the nux *omica had acted powerfully< the patient had "ecome again chillD the perspiration on the face and forehead was coldD the features discomposedD he was again a prey to the most painful anxietyD he foretold his speedy death< I assured him& in a few hours& he would "e relie*ed< After a few instants& he "ecame entirely changed< 'is lim"s were warm againD the cold sweat had ceasedD the tumour had diminished at least one thirdD I could touch it& and the patient did not complain< I did not& howe*er& attempt to interfere with it& "ut left the patient calm and free from alarm< A (uarter of an hour after my departure& the intestine returned "y its own action& without the patient applying his hand to the tumourD all the symptoms had disappeared< Twenty#four hours had thus sufficed to cure a malady of the most formida"le kind< This fact says more for homoeopathy than all the remarks onit that could "e added< A disease the most dangerous& for which e*ery expedient @and its result is *ery certainA lea*es a painful and cruel operation as the only chance to sa*e life& # such a malady is cured "y means of an internal agent& esta"lishing health without the tortures and dangers attached to the operation& e*en were it performed in the happiest manner& "y the most experienced surgeonJ 'as imagination e*er cured such diseasesG -aemorrhoids! 7ondon& 1?1=< # !rs< 7#& whose accouchement had taken place fifteen days pre*iously& was attacked "y *iolent "urning sensations in some haemorrhoidal swellingsD the pain "eing great

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enough to render sleep almost impossi"le for many nights< She was in other respects perfectly well< I had therefore only to treat an affection recent and well#defined< Arsenic ha*ing the power to pro*oke the appearance of haemorrhoidal swellings& with "urning pains& # was the remedy most suita"le< A single glo"ule of arsenic& at the thirtieth dilution& was administered in the e*ening<# The same night& the pains has "ecome calmerD and they disappeared in the course of the following days< Since that time& they ha*e caused no more incon*enience< It was easy to forsee that this immediate cure will "y some "e attri"uted to chance< I do not know how many physicians can cite a case of *ery painful haemorrhoids dispersing "etween one day and another< # In cases of chronic piles& a cure is not affected so (uickly as we may readily suppose< If& howe*er& the malady is simple& homoeopathy e*er triumphs speedily<

)f The Air Passages and 7ungs< -ooping.cough! In the month of e"ruary& 1?11& I was consulted for the child of a la"ouring man which had "een suffering under hooping#cough for three weeks< The child coughed frightfully night and dayD it threw up a great (uantity of phelgmD and the disease daily augmented in intensity< )n the day when the mother "rought it to me& I prescri"ed three glo"ules of drosera at the thirtieth dilution& to "e taken next morning& and ordered that no nourishment should "e gi*en "ut such as the child could digest easily< # At the end of a few day& the mother of the child "rought to me her eldest girl& who was phthisical< She told me that the child who had had the hooping#cough& had coughed for three or four days after it had taken the medicine& "ut that& since that time& it had not coughed at all< I wished to see the child in order to assure myself of the factD and I found it to "e true< I "estowed my attention on the elder child for many monthsD and& during the whole of the time& the younger one& had no relapse< -ooping.cough! In the month of e"ruary& 1?11& there was "rought to me& a child of fi*e years of age& who had "een the su"2ect of hooping#cough since Christmas< The disease had already much enfee"led the little patient& and it existed at that time in all its intensity& extremely fre(uent fits of it occurring with great *iolence< )n the :th of e"ruary& I prescri"ed three glo"ules of aconite at the thirtieth dilution& and repeated the medicine in the course of the night< # The fe*er which existed at that time sensi"ly diminished& "ut the cough did not recei*e much apprecia"le modification< I order& on the 1Hth of e"ruary& three glo"ules of drosera< # or se*eral days& the parents complained of seeing the state of their child worse< )n the 1?th of e"ruary& howe*er& the disease had decreased in a decided mannerE the child had "ut a few returns of coughing during the nightD in the day& there were "ut one or twoD while& "efore the homoeopathic treatment& the fits had succeeded each other with fearful rapidity< )n the +1st& I again prescri"ed three glo"ules of drosera< # Immediately after this dose& the paroxysms diminished "oth in length and fre(uency<

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)n the +=th& I repeated the medicine once more< # A few days afterwards& the patient was entirely cured< Similar! )n the +?th of /anuary& 1?11& I was consulted for # 3# aged fi*e years< This infant had always en2oyed excellent health& until a"out fifteen days "efore& when she was attacked "y a *ery *iolent hooping#cough< The face was puffedD the pupils dilatedD the skin ga*e a sensation of heat to the touchD the pulse was rather (uickE the lips were cracked and "lackishD the tongue foul and more *i*id than ordinary< The little patient had lost her appetiteD she was constipatedD the "elly was painfulD the respiration rather fre(uent< She had had three paroxysms in the night& and slept well during the inter*als< In the day& she was fre(uently in a state of somnolency< She had& during the day& two paroxysms *ery long and *ery *iolent& and threw off much phelgm< I ordered for the patient three glo"ules of aconite at the thirtieth dilution& at three o-clock in the afternoonD and& at eight o-clock in the e*ening& three glo"ules of drosera< # I could not watch the child for some daysD and it was conse(uently impossi"le for me to pro*e it there was any aggra*ation of the symptoms< 8ut& when I saw her again& there was a *ery e*ident impro*ement& which continued for some little time< )n the :th of e"ruary& the infant had relapsed into its former condition& and it might e*en "e said that it was much worseD for it could not take any nourishment # the food "eing all re2ected "y the efforts of the cough< I ga*e the same day& three glo"ules of drosera<# This dose allayed the *iolence of the cough& in a *ery little time< The patient had no occasion for any other medicine< She complained still from time to time for fifteen days& "ut without any paroxysm< I saw the little patient again in the month of !arch< She had "een exposed to "ad weather& and had taken coldE yet she did not cough< She had a diarrhoea& which was remo*ed at once "y means of two glo"ules of rheum< It is well known that children who ha*e "een attacked "y hooping#cough& retain for whole months such suscepti"ility that the least cold renews the complaint< In the case which I ha*e reported& the hooping#cough was thrice remo*ed *ery speedily "y drosera& and did not reappear& notwithstanding a *ery se*ere cold which was taken immediately after the cure of the disease< Similar! In April& 1?11& was "rought to me an infant& twenty#two months old& who had "een suffering under hooping#cough for se*eral weeks< The disease was well markedD the child *ery delicateD it "elonged to a *ery poor family< I prescri"ed a glo"ule of drosera of the thirtieth dilution< # There was increase of the disease for many days< As soon as there was alle*iation of this& I ordered a second glo"ule of droseraD and some days afterwards& a third< # The malady disappeared entirely& and was cured in fifteen days from the time when the infant was first "rought to me< Similar! )n the 1=th of April& 1?11& a woman& C#& "rought& to "e placed under my case& two children # one of two years and a half& and the other four months old& "oth affected *ery decidedly with hooping#cough& the paroxysms of which were so *iolent that the mother greatly feared she should see the younger sink under time<

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I ga*e immediately a glo"ule of drosera to each< # Some days afterwards& the mother came to ask me for more powders& telling me that her children had "een relie*ed "y the former ones< I ga*e her two packets of drosera for each of the children& desiring her to gi*e them with fi*e or six days inter*al "etween their administration< # The complaint was entirely remo*edE they had no occasion for any more medicine< -ooping.cough Pneumonia Abdominal &nflammation! I was consulted& in Paris& in 1?1=& for a child fi*e years of age& who& su"se(uently to the measles& had "een attacked "y hooping#cough< This case was extremely se*ere< The child had "een ill for two months< It had "een treated allopathically& "ut was far from impro*ing< It was exhausted "y the disease& excessi*ely emaciated& and "eyond the aid of routine medicine< The child was of a fee"le constitution& although up to the time of its malady& it had always en2oyed good health< It was *ery thin& and earthy#lookingD all its frame announced it sufferingsD it ate& howe*er& *ery heartily& and had a moderate thirst< The tongue was li*ely colouredD the a"domen enlargedD and there were *omitings during the paroxysms of the hooping#cough& with much mucous e2ection< )n auscultation of the chest& much gurgling was heard& caused "y the passage of air through the mucus in the longsD the pulse was fre(uentD the skin hotD the weakness greatD and the leanness appalling< I prescri"ed a glo"ule of aconite of the thirtieth dilution& to su"due the fe*er and ena"le me to com"at more easily the hooping#cough< # The aconite produced a marked impro*ement< I then prescri"ed a glo"ule of drosera< The child& ha*ing a great appetite& and "eing of a *ery o"stinate character& ate one day much more than it ought to ha*e doneE its state immediately "ecame in a frightful manner worse< 3hen I was sent for& in the e*ening& the a"domen had swollen& with a heat *ery sensi"le to the touchD there was constipationD the pulse was exceedingly fre(uentD and the eyes were "rightD It was e*ident that an inflammation of the a"dominal *iscera had super*ened on the former malady< I ga*e& without delay& a glo"ule of aconiteD and then a glo"ule of "elladonna& to "e taken in six hours afterwards< Next day& I repeated "elladonna< # There was an impro*ement with respect to the a"domen which "ecame less sensi"le and less inflated< Scarcely had the patient appeared out of danger as regard the digesti*e organs& when the state of the chest afforded fresh uneasiness< The cough did not appear to "e more fre(uent& "ut it was more *iolentD and the expectoration was that of yellowish mucus& much streaked with "lood& which little "y little& "ecame completely sanguinolent< A crepitous rattle existed in "oth lungsD the nostrils were strongly dilatedD and the respiration& short and fre(uent& still indicated danger< I prescri"ed a glo"ule of "ryonia< # Three doses of that medicine allayed the symptoms< )n the fourth day of this attack of the pulmonayr symptoms& the patient appeared to go on afresh towards amendmentD "ut there still remained an extreme weakness and great fre(uency of pulse< I ga*e nothing during two entire days& wishing to lea*e to *ital reaction the period of producing all the "enefit possi"le& after the administration of the last medicine< After two succeeding day& it was easy to recogni%e that the primiti*e disease& the hooping# cough& which had "een di*erted& successi*ely "y a *iolent a"dominal inflammation& and "y acute pneumonia& "egan to display itself afresh in all its forceE its attacks reappeared with *iolence< The disease had assumed the following formE# Paroxysms& principally in the nightD the cough accompanied "y pains in the "ellyD anxietyD the "reathing shortD expectoration mixed with "lood<

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The o"ser*ation of these symptoms showed clearly that remained to "e com"ated< It was e*ident that no medicine would "etter correspond to it than conium macalatum< I administered a glo"ule of this& of the 1Hth attenuation<# Two hours afterwards& I was called for in haste< The parents thought the little patient much worseD they had remarked con*ulsi*e mo*ements in the lim"s following great faintness& and sleep which they considered lethargic< )n my arri*al& I found the patient fast asleepD the lim"s perfectly (uietD the pulse less fre(uent< I 2udged that the child had felt strongly the first impression of the remedy& and that an amendment would follow my *isit< It happened as I had predictedD and& dating from that day& the patient rapidly approached a cure< 'e had afterwards scarcely any paroxysms of hooping#cough& and much less "lood with the expectoration< 'alf a glo"ule of conium arrested the remainder of the symptoms< The strength of the in*alid was restored in some degreeD and I ga*e& during the con*alescence& a glo"ule of (uinia& which undou"tedly accelerated the return of health< I left Paris for 7ondon in the month of August& when the child was perfectly well< Se*eral months afterwards& I learnt also that he still fully en2oyed his health< Pulmonary Catarrh! 7ondon& /anuary& 1?1;& C#& aged forty years& of a strong constitution& had "een ill for three weeks& when he came to consult me on the 11th of /anuary& 1?1;< 'e had "een attacked "y a *iolent cough throughout the dayD and at night& he was o"liged to discontinue his work< The paroxysms of the cough came on a"out *ery (uarter of an hour& "eing excited "y the mucus in the trachea& and great ticklings "eneath the sternum and in the pit of the neck< 3hen much of the mucus had "een discharged& he was "etter for an instant< The cough shook the whole of the "odyD the "lood determined strongly to the head& which was painfulD the appetite was lessenedD and the patient fre(uently had *omitings of "ile< I prescri"ed two doses& each of two glo"ules of "elladonna of the 1Hth dilution& to "e taken twenty four hours apart< # )n the 1=th of /anuary& the patient was much "etterD the head was less painfulD he did not *omit any moreD the cough was most pre*alent during the day< I prescri"ed two doses of "elladonna of the 1+th dilution< # )n the 1:th& the patient was infinitely "etter< The cough could scarcely "e said to exist& except in the morning when he got up< I ordered 1#1H of nux *omica< # Some days after& the patient called on me& completely cured< 'ere& then& is an acute catarrh of the "ronchia cured in a"out a weekD the amendment ha*ing declared itself from the day when the patient "egan to take the medicinesD whilst he suffered cruelly for three weeks "efore& and& far from "ecoming ameliorated& had felt the disease worse< Cases treated by Arnica! )ne of the medicines which will powerfully contri"ute to the prompt con*iction of physicians& is arnicaD for nothing is more adapted to demonstrate the truth of homoeopathy than making use of this medicine in contusions& wounds& and lacerations< Surgeons will soon acknowledge that& "y its help& will "e a*oided the so often distressing conse(uences of operations< I shall (uote only a few examples of the employment of arnica& "egging practitioners to essay it themsel*es< Contused 2ound! !ulhausen& 1?11< # )ne of the first cases which I had occasion to treat& was the followingE A young girl& running "ehind a carriage for her amusement& fell with her head against the

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footsteps "ehind& and slit the right upper eyelid< I saw the child half an hour afterwards< I was "elie*ed that the eye was destroyedD the contusion was greatD the loss of "lood& moderate< 'a*ing examined the wound& I found that the eye had "een untouched< I re#united the edges of the wound& and applied it to compresses moistened with water containing twenty drops of tincture of arnica to the ounce< The fomentation was renewed twice in twenty#four hours& and the patient took two glo"ules of the ;th dilution< # To my great astonishment& the swelling& which had already arisen when the child was first "rought to me& had disappearedD the ecchymoses was *ery triflingD no more inflammation had set in than was necessary for the re# union of the woundD and the cure was effected rapidly< I had afterwards occasion to treat many cases of contused and torn wounds with arnicaD and I can a*er that& up to the present time& I ha*e ne*er seen any success so rapid in the treatment of these kinds of maladies< Contusion! Paris& 1?14< # !y eldest son& at that time a"out se*en years old& when playing with his school#fellows& was thrown *iolently upon a heap of stonesD he fell on his right sideD and his arm and el"ow recei*ed the shock of the fall< I did not see him till four hours after the accident< The whole arm was swollen& and the pain considera"leD it was impossi"le to mo*e itD and at the least handling of it& the child could not restrain his tears and cries< I assured myself& with much difficulty& that there was neither fracture nor dislocation< I prescri"ed a glo"ule of arnica of the ;th dilution& and a fomentation of water and arnica to the lim"< # The pain was increased for se*eral instantsD "ut& a"out two hours afterwards& the child suffered much less< The same treatment was continued next day< # )n the third day& the child "egan to mo*e the armD the pains had "ecome *ery fee"leD the swelling considera"ly diminished< I prescri"ed a third dose of arnica& and a lotion night and morning< # In a few days& all was restored to orderD the child returned to school a"out the eighth day after the accident& and he has not retained any trace of the *iolent in2ury< Similar! 7ondon& 1?1;< # )ne of my daughters& aged four years& fell in coming down stairs& on the left side of her face& her nose& and her forehead< She rolled down from the top as far as the first floor< 'er left cheek was red and "lue from the contusion& her nose greatly "ruised& with a"undant "leeding from it& and paleness o*er the face< I immediately applied the tincture of arnica and water& and one glo"ule of arnica was taken internally< The child& at the end of some hours& was perfectly well< The lotions& howe*er& were renewedD and& next morning& nothing could "e percei*ed& excepting a *ery slight "lue mark on the "ridge of the noseE no swelling had super*ened< Confining myself here to mem"ers of my own family& I may next mention what occurred to my wife< In piercing a hard "ody& a"out two months ago& the instrument slid rapidly aside& and penetrated her index#finger to great depth< The would did not "leedD "ut *iolent plunging pains soon took place in the fingerD the *eins swelledD the finger "ecame hardD the pains extended along the forearm and the arm as far as the axillaD and the heat was *ery great in the part which had recei*ed in in2ury< These phenomena did not re(uire more than a (uarter of an hour to de*elop themsel*es< !adame C#& recollecting that& in the cure of wounds& she had understood arnica to an infalli"le means& hastened to my room& took a phial of arnica& and dropped on drop of the

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tincture& (uite unmixed& upon the wounded part<# Scarcely had the arnica "een applied& when all at once the painful symptoms diminishedD and& when I came in& some hours afterwards& there did not seem to remain the least trace of incon*enience< So much then for arnicaJ 7et practitioners try it as 'ahnemann has pointed outD their trials will "e rewarded "y the greatest recompense that a physician can en2oy # success )f The 9ascular System< -emorrhage . Cutaneous )ruption! 7ondon& 1?1;< # ,uth S#& aged se*en years last No*em"er& the child of a la"ourer& poor& generally unhealthy and hypochondriac& residing in a marshy situation& where agues were *ery fre(uent& # "ecame affected with a disease called "y a medical attendant of the mother Fthe purples&F a dangerous affection< The child had "een pre*iously su"2ect to costi*eness& loss of appetite& great thirst& urine cold and of colour of "lood& lowness of spiritsD deafness @to which the mother is constitutionally su"2ectA& and shi*erings similar to those of ague< These symptoms commenced their appearance& two years last Christmas< The later phenomena of the disease were as follows< Pimples or spots nearly on a le*el with the skin& or not percepti"ly ele*ated& of a dingy purple hue& and originally *ery minute& "ut increasing to the si%e of a dry currant& co*ered her all o*er from head to foot< These spots "egan at the upper part of the person& affected the rest of the "ody in succession downwards& and re(uired a"out a fortnight to attain their full si%e< There was hemorrhage into the mouth& lasting pro"a"ly two or three daysD "ut the time of its continuance or the (uantity of the discharge was not accurately known& as the child continued to hold a handkerchief to its mouth to recei*e it< The spots then usually disappeared& to renew themsel*es in a"out a fortnight& as "efore< The hemorrhage into the mouth announced its approach "y a *ery intense heat there& and came on at uncertain and *aria"le times of the day or night< Its last attack had "een on Sunday& /une =thD and& on Thursday& the 1;th& the appearance which the disease presented was that of small spots on the head& larger on the neck and arms& the whites of the eyes (uite "lue& the tongue whitish& the pulse rather rapid& hard& and wiry< A re*erend gentleman took the pains to forward me the a"o*e account of the symptoms& and to direct the administration of the medicines which I prescri"ed< )n perusing the symptoms& I 2udged that 7edum palustre was the most appropriate remedy for the disease< I prescri"ed first two glo"ules dissol*ed in water& which should last at least six or eight days< After many doses of this medicine& I sent a dose of 8elladonna< I then returned to the 7edumD and& on the child "eing considera"ly impro*ed& I prescri"ed two doses of sulphur< # 7ittle "y little& all the symptoms dispersedD and the child actually en2oys good health< The treatment was commenced in the month of /une& and finished in that of )cto"er< )f The Secreting System< 3landular Disease! 7ondon& April& 1?1;< # C#& aged three years& had "een ill nearly two months< This little patient& when "rought to me& "etrayed a remarka"le air of languourD she was extremely thinD her face was pale& and a little yellowishD the pulse was fre(uentD the appetite& entirely goneD thirst& continuedD the tongue& redD the a"domen& hotD the head& hea*y and "urningD the glands of the neck on the left side& swollen and painful<

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I prescri"ed a glo"ule of "elladonna< # )n the 11th& the infant appeared "etterE the face was a little more animated& yet the head was still *ery hotD and the pulse *ery fre(uent and weak< I ordered the same medicine< )n the 14th& the little girl was infinitely "etterD the face& much less de2ectedD the heat& considera"ly diminished in the headD the appetite& restoredD the stools& e(ually pro*edD the glands less painful& and almost entirely gone< It must here "e remarked that the first powder had produced three stoolsD and from that time& the intestinal functions were accomplished regularly< I prescri"ed again a glo"ule of "elladonna< The child afterwards entirely reco*ered& and regained (uickly its strength& as well as greater stoutness< Affection )f The 5yes< Ophthalmia! !ulhausen& 1?11< # A working woman& named #& li*ing at !alhausen& in Alsace& was attacked with a *ery intense ophthalmia& which was treated allopathically for four months& without the slightest impro*ement "eing experienced< I was& at this time& in the second year of my homoeopathic practiceD had not experience necessary for serious casesD and had not decided upon employing homoeopathic treatment in the case of this woman& until I ha*e pro*ed the powerlessness of allopathy< The day when I commenced the treatment "y the homoeopathic method& the patient was in "ed& in a dark cham"erD she had a "andage o*er her eyesD yet& notwithstanding these precautions& she was so painfully affected "y the light& that she dreaded the moment when any one opened the door< An a"undance of tears trickled from the eyes& and inflamed the cheeks< She suffered sharp itchings& a *ery strong feeling of scalding& fre(uent shootings& and much heat& accompanied "y redness of the eyelids and contiguous parts& as well as inflammation of the glo"e of the eye< There was no fe*er nor anorexiaD and the appetite was good& when the pain was not too great< 3ith the exception of the circumstances I ha*e pointed out& and the acute pains in the head& all the organs executed their functions freely< The patient had had& for a long time& a *ery large goitre< I prescri"ed three glo"ules of "elladonna at the decillionth di*ision< The next day& the patient suffered much& and her eyes ran considera"ly< I ordered no new prescriptions for forty#eight hours< )n the third day& I repeated the administration of the "elladonna at the same dose as "efore< The pain was *ery great during the dayD "ut after succeeding well#marked impro*ement& the itchings and "urning sensation were diminished greatly< Two days afterwards& I repeated the "elladonna once more< # This time& the tears "ecame almost entirely suppressed& the eyes lost much of their painful sensi"ility< or many days afterwards& I prescri"ed nothing fartherD and the state of the disease continued impro*ing< I now regarded& with redou"led care& the category of the symptoms which the patient la"oured underD and re*iewing the period which had preceded the disease& I learnt that the woman had formerly "een the su"2ect of itch& and that her periodical discharges had "een suppressed at least six months "efore the appearance of the ophthalmia< I then prescri"ed three glo"ules of sulphur at the 4th dilution< The ad*antage o"tained from the sulphur was *ery remarka"leE e*ery day the eyes ac(uired fresh strength< 7ater than this& the patient complained of constipationD and the eye continuing to "e inflamed& I prescri"ed three glo"ules of nux *omica< # The intestinal functions were reesta"lished<

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Scarcely had fifteen days elapsed since this treatment had commenced& when the eyes had "ecome perfectly clearD the woman endured the light e*ery wellD and the menses returned< She resumed her occupation after the third week& without experiencing any relapse< Ophthalmia! In the month of No*em"er& 1?14& I was consulted at Paris& in the case of a child 5# !#< This infant& aged three years& had "een attacked for than a year with a *ery painful opthalmia< I could o"tain none "ut *ague particulars respecting the case< I can only o"ser*e that the grandfather had "een a soldier and trou"led with itch& and that the mother was of a lymphatic temperament< The child could not support the most fee"le lightD it applied its hands continually to the eyes& in order to pre*ent the light falling on the eyelidsD it uttered almost constant piercing criesD acrid tears escaped from the eyes& which were surrounded "y great num"er of little red pimplesD the exterior ha"itude was that of a scrofulous infantD the digesti*e functions were performed *ery well< I prescri"ed a glo"ule of "elladonna of the 1Hth dilutionD and& fi*e days afterwards& I ordered a glo"ule of calcarea< # The child was "rought to me ten days afterwards& saying that it had suffered a *ery great aggra*ation of the symptoms after each medicineD "ut that it had ceased to utter cries< The sensi"ility of the eye to light was still considera"leD and I administered two fresh doses of "elladonna at fi*e days- inter*al< # The aggra*ation was well markedD the child cried much and compressed its eyes without ceasingD the reaction was salutaryD and the impro*ement greater than after the first doses< 3hen I could examine the interior or the eyes& I disco*ered little whitish spots on the transparent cornea< I administered nitric acid& calcarea& and then arsenic< # The spots lost their opacityD the child saw perfectlyD and its parents ceased to "ring it to me< Some time afterwards& I was called on to gi*e my attention to the same child< It was attacked "y a *iolent fe*er& and "y all the precursory symptoms of measlesD the opthalmia was still se*ere< .nder the influence of two doses of aconite& two of "elladonna& and two of pulsatilla& the child was (uickly restored< This impro*ement did not last< They committed great imprudence with regard to the childE it was suffered to go out too soon& and in rainy weatherE they yielded to its extremely sharp appetite& and the child was ceased with dysentery< # This new disease was com"ated with much success "y two doses of corrosi*e su"limate& # each dose a glo"ule& and taken with six hours- inter*al< )ther acts of imprudence "rought on ophthalmia& *ery intense& and accompanied "y fe*er< # the treatment was almost the same as in the first ophthalmia< I cured it completelyD and the child& since that time& had en2oyed excellent health< Delirium *remens! I was called in the month of /une& 1?14& to *isit a man who was said to "e in the last extremity< I found him lying on his "ackD his face& strongly in2ected and o*ercast& announced a complete loss of intelligenceD he muttered& without ceasing& words which had no sense& and so confused that they could "e little understoodD he drew the clothes of his "ed o*er his chest& and up to his faceD his arms and hands were agitated with a continual trem"lingD he appeared sometimes to recogni%e his wife& "ut no other personD no function was normally performedD he had an o"stinate constipation< The extremities were coldD the cheeks redD there was sleepiness& dreams& and a state of anxiety and fear<

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I was told that the man had "een ill for a"out eight daysD that his state had "ecome worse day after dayD and& on the present morning& after a "ath& they had thought his death imminent< They attri"uted his malady to the use of spiritous li(uors& the fear of "eing assassinated& and a paroxysm of anger< 'e was now attacked with the disease for the third timeD and& each time& the immediate cause of which had "rought it on had "een wine< )n pre*ious occasions& he had "een cured allopathically& after se*eral months- treatment< I had& without dou"t& to com"at delirium tremensD and the disease had "een incontesta"ly caused "y the effects of wine< Nux *omica is one of the principal remedies for delirium tremens& and& moreo*er& it is one of the antidotes for wineD for it produces& on persons in health& a state of stupor and other symptoms of intoxication< I administered& therefore& one glo"ule of nux *omica of the 1Hth dilution< That e*ening& the disease appeared redou"led in intensityD the patient threw himself out of his "edD he "egan to run a"out in the gardenD and he was mastered only with great trou"le& and "rought "ack again to his "ed& where he remained as if insensi"le& and fell into a state of stupor& which little "y little "ecame a natural slum"er& from which he did not awake until next morning< The sleep appeared to his friends to "e the prelude of deathE they were astonished when he awoke< 'e recogni%ed all those around himD and the most frightful symptoms had disappeared< I left the organi%ation to react freely< I ordered nothing medicinal that day& and I desired a little "roth might "e gi*en to the patient< During the day& he was a little deliriousD "ut his lim"s were less agitated& and his fears calmed< The next day& I administered a fresh glo"ule of nux *omica< # The e*acuations from the "owels were re#esta"lishedD the appetite returnedD the patient rose& and walked in his garden< The delirium tremens had completely disappearedD and the patient had taken "ut two glo"ules at the 1Hth attenuation< Myopia! 7ondon& 1?1;< # !iss #& aged 11 years& of a delicate constitution& "ut of good health usually& had notwithstanding "een trou"led& e*er since her earliest infancy& with myopiaD and& so far was it from decreasing with years& that her sight had "ecome more and more short and indistinct< She could recogni%e no o"2ect nor any person at a distance from herD and when she descended the stairs& she held "y the "annister to a*oid falling< 'er sight was uncertain& cloudy& and light spots passed and repassed& at that tim& continually "efore her eyes< 'er face had a peculiar characterD not recei*ing& except incompletely& impressions from surrounding o"2ects& her features were "ut little mo*edD her eyes were singularly prominent& melancholy& with pupils dilated< Twice I presci"ed 1O1H of conium& to "e taken in fi*e spoonfuls of waterD one spoonful to "e taken e*ery day< # The patient had not finished her two powders& when her mother wrote to me in the following termsE FMou will& I am sure& "e glad to learn that my dear child has already deri*ed "enefit from your powders you kindly sent her< She can tell the hour& "y the clock in the sta"les& from the windows in the school#roomE formerly she could only 2ust distinguish that there was something there with gilt#work upon itD and se*eral other o"2ects she is a"le to see which she formerly was not<F The patient& after taking two powders& lost entirely the luminous appearances "efore the eyesD the pupils were infinitely more contracted& and the eyes altogether less prominent< I suffered nearly fifteen days to pass "y "efore I administered anything& when I ga*e two more glo"ules of conium in the same manner as at first< The patient& meanwhile& could read at the distance of a foot and a half& or two feetD and she could not do so at six or ten inches

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distance& nor with the eyes *ery near the "ook& as she had done "efore< In walking through a large room& she could see the pictures& and distinguish them< She recogni%ed e*ery"ody& and her face ac(uired an animated character< 'er regimen had not "een changed& excepting that spices and wine had "een prohi"ited< This se*erity was the only one introduced into the treatment& which lasted not two months< I do not wish to draw a result from this fact& that all cases of myopia are cura"le& or especially that they are cura"le "y conium< Conium cured& "ecause it corresponded not only to the myopia& "ut also to the cloudy and luminous spots with which the patient was affected< I thought that his fact might "e of utility to occulists< If they will study homoeopathy& they will render ser*ices # *ery great ser*ices # to num"erless patients who ha*e recourse to them< I shall not here report further cases& "ut shall reser*e the doing so for the 'omoeopathic /ournal& which I shall pu"lish at the "eginning of the year 1?1?D and thither I refer physicians who desire to study fundamentally the doctrine of 'ahnemann<

Chapter 8
Sketch Of Some Of the Most &mportant Articles Of *he Materia Medica
Nitric Acid P Phosphoric Acid P Aconite P Crude Antimony P Arnica P Arsenic P Assafoetida P $old P 8aryta P 8elladonna P 8ryonia P Canna"is P 9egeta"le Car"on P Car"onate of Ammonia P Car"onate of 7ime P Car"onate of Potassa P Causticum P Chamomile P 0ina P Coffee P Conium !aculatum P Dulcamara P $raphitis P St Ignatius-s 8ean P Ipecacuanha P 7ycopodium P !agnesia P Solu"le !ercury P !uriate of !agnesia P !uriate of Soda P Nux 9omica P Petroleum P Phosphorus P Pulsatilla P Cinchona P ,hus P Sarsaparilla P Sepia P Silicea P Soda P Spongia P Stannum P Staphisagria P Stramonium P Sulphur P Thuya P 9eratrum P Binc I shall now pass in re*iew a certain num"er of medicaments& and make a few practical remarks on eachD "ut the reader is warned& that these "rief remarks can in no way dispense with the study of the materia medica # they are gi*en merely to o"*iate some difficulties for those who "egin homoeopathy# they form an introduction to the study of the materia medica pura< 4itric Acid! This medicine is appropriate especially for persons of "rown complexion& and those in whom the stools are ha"itually too soft< In can rarely "e employed in those ha"its where there is a tendency to constipation< Nitric acid is employed with great success in diseases of the "ones& chiefly when those diseases ha*e "een preceded "y syphilis or the a"use of mercury< The circumstances in which it most exhi"its its efficacy& are thos in which the following mor"id conditions existE # 9ertigo& which o"liges to sit down& pulsating headache& paralysis of the upper#eyelid& sense of weight in the eyes& running of pus from the eyes& "utton#like eruption a"out the face& "u%%ings in the ears& "eatings in the ears& o"struction in the ears& hard#hearing& dryness of the nose& "leeding of the nose& ulceration in the red portion of the lips& swelling of the glands of the neck& "urning heat in the throat& pain as of excoriation in the throat& "itter taste in the mouth& closure of the throat after ha*ing drank fast& distaste for animal food& impossi"ility of digesting milk& thirst @in suppuration of the lungsA& :=

accumulation of air in the a"domen& expulsion of wind night and morning& colics& shootings in the a"domen when touched& pain similar to that of ulcer in the lower part of the a"domen& "or"orygmi in the a"domen& weight in the fundament& fetidness of the urine& pain in passing water& swelling of the glands of the groin& leucorrhoea& dry cory%a& o"struction in the nostrils& asthma& pain in the sacrum& pain in the "ack& stiffness in the nape of the neck& shooting pains in the shoulders& pain in the thighs in rising from a chair& fee"leness in the knees& cramps in the calfs of the legs in walking after ha*ing sat down& shooting pains in the heel in walking& cold legs& icy coldness& itching inflammation in the lim"s in conse(uence of the least cold& tearing pain in the lim"s& itching of tetters& reddish "rown spots on the skin& warts& great disposition to take cold& morning lassitude& after dinner weakness& agitation in the night& fre(uent dreams& afternoon fe*er with cold and heat& night#sweat& want of serenity of mind& sadness& chagrined temper& excessi*e irriti"ility& uneasiness as to the termination of the disease with fear of death& a*ersion for employment< It has "een found highly useful in amaurosis< Phosphoric Acid! This medicine is *ery efficient in cases of ner*ous fe*er with stupor& in cere"ral affections& in megrim& o"stinate headach& some kinds of ophthalmia& Ic< Aconite! Aconite is& in the highest degree& antiphlogisticD and it acts especially on the sanguiferous system< It is useful& therefore& at the commencement of all inflammatory diseases& and all *iscereal congestions of "lood< It has all the ad*antages of "loodletting& without its disad*antages< It is employed with the greatest success in croup& pleurisies& acute hepatitis& inflammatory fe*ers& catarrhs& inflammations of the "rain and mem"ranes& measles& small# pox& and "eatings and palpitations of the heart< Alternated with pulsatilla& it is a preser*ati*e against measlesD one glo"ule "eing ordered& and& twenty#four hours afterwards& one of pulsatilla& and "oth repeated se*eral times< 5*en when the disease is not pre*ented& it is thus rendered much less formida"le< Aconite ought to "e administered during the hot stage of fe*erD "ut should "e a*oided during the cold stage< A"o*e all other remedies& it is useful in diseases caused "y fear or anger< It is indispensa"le with women who ha*e suffered fear or disagreements during their periodical dischargesD when one glo"ule will "e enough to reesta"lish tran(uility& whether the medicine "e laid on the tongue or simply smelled "y the patient< 9egeta"le acids and wine destroy the effects of aconiteE they ought to "e excluded from the regimen during the use of the medicine< Indeed& all medicines which ha*e great analogy in action with aconite& act so that wine and acids ser*e as antidotes when it is wished to destroy their effects< Crude Antimony! This medicine is *ery important in the treatment of diarrhoea in lying#in women& colds in the head& fulness in the stomach& fistulous suppurations& inflammatory rheumatisms& and some intermittent fe*ers< Arnica!

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Arnica soon su"dues those accidents which either accompany or follow a fall& a "low& or a "ruise from a resisting "ody< It ensures the success of the most dangerous operations "y pre*enting any serious ner*ous accident& any too *iolent fe"rile re#action& or any inflammation of too strong a nature< After the use of arnica& the "ruised parts exhi"it only *ery slight ecchymoses& and often none at all& and the pain (uickly disappears< Angina in the chest& apoplexy& arthiritis& "ronchitis& cephalagia caused "y a "low& cere"ral distur"ances& hooping cough& corns& strains and sprains& epistaxis proceeding from a traumatic cause& eruptions of pimples& excoriations in the sacrum in "ad cases of fe*er among women after deli*ery& clefts in the "reasts& intermittent fe*ers& swelled cheeks& furoncles& gastroenteritis& heamatemesis& hoemoptysis& "ad lips& "ites& facial neuralgia& odontalgia& traumatic ophthalmia& orchitis& sore ears& paralysis caused "y contusion& puerperal peritonitis& stings of "ees& gnats& etc<& chronic rheumatisms& typhus& expansion of the *eins& # these disorders are to "e o*ercome "y arnica& especially when they are occasioned "y external in2ury& or when the patient experiences tearing pains& etc< Arsenic! Arsenic& homoeopathically administered in minute doses& displays itself fa*ora"ly on a great many mor"id statesE for example& in many (uotidian fe*ers and intermittent fe*ers of a particular kind& in *arices& shootings in the sternum& *omitings after ha*ing eaten any food whate*er& too great loss of "lood during the periodical discharges in women and other mishaps to the menstrual flow& constipation& leucorrhoeal flow& and the excoriation which succeeds it& hardness of the li*er& oppression on the chest in mounting a height& "ad smell of the "reath& "leeding of the gums& "leeding from the lungs& weight on the sternum& sense of weight in the stomach& pulling shootings in the face& sleepiness in the e*ening& shi*erings in the e*ening with pandiculation and anxious agitation& difficulty in going to sleep again after ha*ing "een awakened in the night& lassitude in the legs& contusi*e pains in the knees& swellings with pain as if of scorching in the great toes& old ulcers in the legs which gi*e "urning and lancinating pain& plucking pains in the hips& groin and thighs& plucking and drawing pains at night from the el"ow to the axilla& painful swellings of the inguinal glands& o"structions in the glandular system& chiefly in the mesentery& amongst infants of a *ery tender age& great emaciation and a fee"le constitution& amongst persons of a dry and irrita"le ha"it& in couperose& cancerous ulcers& chronic cutaneous& eruptions& dropsies& some complaints of the a"domen& Ic< # In all these& arsenic produces the most salutary effects< Assafoetida! Assafoetida is one of the most powerful remedies against diseases of the "ones& # necrosis& caries& exostosis& and chiefly when these diseases are of a scrofulous or rachitic nature< 3old! This su"stance is producti*e of the "est effects in ophthalmias and other scrofulous affections& spots on the cornea& indurations of the glands& some mental diseases& hysteria& hypochondriasis& the desire of destroying one-s self& chronic cory%a< "aryta! 8aryta is of great ser*ice in multitude of cases& and chiefly when chronic diseases which it tends to cure put on the following as their predominant symptomsE# 'eadach immediately

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o*er the eyes& cal*itia& eruption o*er and "ehind the ears& eruption on the lo"e of the ear& disagreea"le dryness in the nose& crusts "elow the nose& stiffness in the nape of the neck& prickings in the nape of the neck& shakings here and there of the teeth& "urning shootings in a hollow tooth when a hot "ody is "it& dryness of the mouth& weight in the stomach after a meal& stomach#ache& fasting and after ha*ing eaten& fee"leness of the genital functions& cory%a& mucous choking in the chest& tongue clogged with cough in the night& cough throughout the night& pain at the sacrum& pain in the deltoid muscle on raising the arms& num"ness in the arm when lain on& num"ness of the fingers& fetid perspiration of the feet& great tendency to "ecome cool& want of strength& sleep interrupted "y dreams& night con*ulsions in the muscles of the whole "ody& night sweats< "elladonna! 8elladonna is one of the most precious homoeopathic medicines< It is applica"le to a *ery great num"er of diseases affecting childhood#particularly when occurring in sanguine and lymphatic temperaments and scrofulous constitution< This medicine is the preser*ati*e and specific against scarlatina& such as is descri"ed "y Sydenham< It is useful to com"at another form of disease& miliary purpura& which is often confounded with scarlatinaD "ut it is not the pre*enti*e against that disease< Angina with swelling of the exterior of the neck yields& with wonderful ease& to this medicine< !any headache& ophthalmias& erysipelas& fe*ers#gastric& "ilious& puerperal and erupti*e& glandular engorgements& a"o*e all of the a"domen& rheumatisms& inflammations& "ronchitis& hooping#cough& cere"ral inflammations& con*ulsions& miscarriages& mental alienation& rage& facial neuralgia& otitis& peritonitis& all find their remedy in the use of this powerful medicine< "ryonia! The resem"lance "etween its effects and those of rhus are remarka"le< 8ryonia totally changes the moral state< Its fe*er consists chiefly of the cold stage& and its symptoms are made e*ident or are increased in a particular manner during the motion of the "ody< This su"stance is applica"le chiefly when the diseases are accompanied "y rending and tearing pains in the chest and lim"s& which are increased "y mo*ingD when there is constipationD and it is the chief remedy in inflammatory affections of the chest& pleurisy& pneumonia& acute hepatitis& in rheumatic fe*ers& erysipelas in the "reasts in pregnant women& in asthma threatening suffocation& and inflammatory fe*er< It is useful in ascites& ner*ous fe*ers& eruptions on the face& pains of the head and lower "elly< Cannabis! Canna"is is used with great success in gonorrhoea& paraphymosis& certain ophthalmias of difficult cure& leucorrhoea& "ronchitic catarrhs& certain diseases of the organs of sense& cataract< atigues caused "y walking are cured "y the Persians "y means of this su"stanceD and it is (uite a homoeopathic remedy< This medicine is especially recommended for the treatment of amaurosis< +egetable Carbon! Car"on displays its utility in cases in which the following mor"id states occurE# headach "y "eing heated& disease of the eyes following work which has fatigued those organs& "leeding

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from the gums& fetidness in the mouth& the teeth loose for a long time past& "itter taste in the mouth& "itter risings& empty risings& continual nausea& long standing dislike for meat& fulness and pressure on the stomach after ha*ing eaten& shootings in the sides under the ri"s& prolonged hoarseness& catarrh& and complaint of the throat in measles& dropsy of the chest& plucking pain in the "ack& lia"ility to take cold& pain as of dislocation in the lim"s& contusi*e pain in the lim"s on awaking in the morning& tendency to trem"le& con*ulsions in some of the lim"s during the day& uneasiness after excess of wine in the e*ening& in*oluntary flow of urine during sleep& fetid ulcers on the legs which "leed readily and cause sharp pain& sleeplessness caused "y agitation in the "ody< Carbonate of Ammonia! This medicine is especially useful in weakness following great fatigue< It is producti*e of the greatest ser*ice in asthma and in dropsies of the chest< It is appropriate chiefly in cases exhi"iting the following symptomsE#*acillating distur"ance of the sight& hardness of hearing& with suppurations and itchings in the ear& swelling of the glands of the neck& with itching eruption on the the face and "ody& pain in the nape of the neck& chronic unsteadiness of the teeth& swelling of the interior of the mouth& "itter taste in the mouth& especially after ha*ing eaten& loss of appetite in the morning& stomach#ache& constipation& discharge of "lood "y the anus @running pilesA& menstrual flow in too small (uantity& leucorrhoea& dry cory%a& short "reathing& asthma& cough with shooting pains in the sacrum& pain in a wrist which had "een in2ured a long time pre*ious& cramps in the soles of the feet& great weakness in the lim"s& sleeping during the day& agitation at night& nightmare in sleep& shi*ering at night& sweatings& anxiety< Carbonate of /ime! This medicine is one of the most powerful anti#psoric remedies& and& as 'ahnemann has o"ser*ed& especially when the following states are predominantE# *ertigo on ascending stairs& *ertigo on going up to any height& as the roof of a house& ha"itual state in the head as if it were pressed in front "y a "oard& trem"ling "efore "reakfast& headach as if from repeated strokes of the hammer within the head& after ha*ing walked in the open air so (uick as to "e o"liged to lie down& piercing pain in the forehead as if the head were splitting& headach& "eating in the middle of the "rain& headach and "u%%ing in the head with heat in the 2aws& headach caused "y reading and writing& headach in lifting up in a wrong manner a hea*y "ody& icy#cold in the right side of the head& e*ening sweats in the head& falling off of the hair& flying of feathers apparently "efore the eyes and em"arrassment of the sight& pres"ytia& impossi"ility of reading without spectacles ha*ing con*ex glasses& o"scurity of the sight in reading& o"scurity of the sight after ha*ing eaten& pressure in the eyes& flow of pus from the eyes& heat and tearing pains in the eyelids& shootings in the eyes& weeping of the eyes in the open air& itching and eruption of the face& "eatings in the ears& "u%%ings in the ears& cracking in the ear in swallowing& hardness of hearing& o"struction in the nose "y yellow and fetid pus& distressing dryness of the nose& pain in the su"maxilliary glands& *oluminous goitre& difficult dentition& swelling of the gums& toothach after the use of any cold drink& shootings in the teeth& day and night& renewed "y cold and heat& dryness of the tongue on awaking in the morning& accumulation of mucusin the throat& risings after ha*ing eaten& "itter risings& "itter taste in the mouth in the morning& repugnance to smoking when one has ac(uired a ha"it for it& loss of appetite& continual thirst with want of appetite& hunger on lea*ing the ta"le& or a

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little time afterwards& de*ouring appetite in the morning when the patient cannot "ecome satisfied& stomach fee"le& languishing digestion& pressure on the stomach& pressure with shooting pains in the stomach after ha*ing eaten& pressure on the stomach in coughing& spasms of the stomach& pressure at night in the praecordial region& heat after ha*ing eaten& hardness of the a"domen& swelling in the praecordial region with painful pressure& "or"orygmi& colics in the superior portion of the a"domen& aching of the "elly as if proceeding from pressure there& pinchings without diarrhoea& "owels often or always relaxed& producing two stools a day& constipation& ascarides in the rectum& pro2ection of "utton#like haemorrhoids on going to stool& with "urning painD after the stool& sensation of slackening and of "ruisingD heat in the ureter& too fre(uent discharge of urine& "leeding from the ureter& passage of "lood for urine& hemorrhage from the uterus during menses& tearing pains in the a"domen and painful feeling at the sacrum& whites pre*ious to the periodical discharge& leucorrhoea like milk& leucorrhoea accompanied "y itching and heat& itching in the pudendum during the running of whites& fre(uent snee%ing& dry cory%a& catarrhal discharge& long in esta"lishing itself in the nose& fre(uent cory%a& roughness of the *oice& dry cough all the night while in "ed& the same while sleeping& yellow and fetid expectoration& disorder of respiration in "ending the "ody& heat in the chest& shootings in the side of the chest during motion& shootings in the left side on inclining the "ody to that sideD pain at night in the "ack and arms& pain in the "ack as if there were dislocation there& stiffness in the nape of the neck& pluckings and tearings at night in the arms& sudden lassitude in the arms which are paralysed& the hands as if dead when grasping any o"2ect& swelling of the hands& num"ness and deadness in the fingers& also when in a warm placeD gouty knots in the articulations of the hand and fingersD formication similar to that of Fpins and needlesF in the fingers& fre(uent paralysis of the fingers& shootings in the thigh on ascending& hea*iness in the legs& stiffness in thelegs& cramps in thelegs& swelling of the knee& red spots on the legs& ulcerations on the inferior extremities& swelling of the soles of the feet& sweating of the feet& heat in the soles of the feet& painful sensi"ility in the great toes& pains in corns& the feet as if dead at night& a *isi"le shi*ering in the skin from head to foot& state after which the patient is as if shaken& num"ness of the lim"s& the skin of the "ody rough as if co*ered with a miliary eruption& great tendency to twist and strain the loins& which makes the neck stiff& with headach& great sensi"ility to cold& great tendency to "ecome cold& a"undant perspiration although only moderate mo*ements are made& great lassitude following a moderate walk in the open air& tearings in the lim"s& the arms and legs& warts& extreme fatness in young persons& failure of strength& lassitudes& great lassitude after the least walking& extreme fatigue caused "y the action of talking& sleeping in the day& wish for sleep early in the e*ening& fre(uent dreams at night& dreams distressing to the mind& disordered imagination during the night& in(uietude in the e*ening at twilight& heat and anxiety in the night& asthma during the night& nothing "ut turning a"out in "ed throughout the night& pressure during the night in the praecordial region which ascends to the larynx and thence to the head& thirst through the night& night sweats& tertian fe*er appearing in the e*ening& at first heat in the face& followed "y cold& perspiration with anxiety& extreme ner*ous suscepti"ility& great disposition to frighten onle-s self& disposition to weep& uneasiness of the mind with hea*iness in the legs& fits of despondency caused "y loss of health< 7ime cures often& without the help of other medicines& a disease of the most formida"le kind& and one till the present time regarded as incura"le& # I allude to epilepsy< This medicine is appropriate& chiefly in childhood& for athletic temperaments and scrofulous constitutions& in chorea& diseases of the heart& eruptions on the face& suppurations of a "ad

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character& glandular disease in the chest and a"domen& dry chronic cough& amaurosis& amenorrhoea< Carbonate of Potassa! The efficacy of this medicine is principally shewn in cases in which the following mor"id conditions pre*ailE# *ertigo appearing to come from the stomach& swimming in the head& the head shaken& want of memory& afflux of "lood toward the head& confused noise in the head& headach in a coach& painful pressure at the occiput& dryness of the hair& falling off of the hair& great tendency in the outer part of the head to get cool& flying heats in the face& yellow complexion& puffiness of the face& "lindness in light& spots flying "efore the eyes& running from the eyes& closure of the eyelids in the morning from suppuration& fee"leness of hearing& hard hearing& shootings in the ears& shooting pains from the inner to the outer part of the ears& dulness of smell& toothach only while eating& lancinating toothach& accumulation of mucus in the throat& acid taste in the mouth& per*ersion of taste& "itter taste in the mouth& fre(uent risings& sour risings& nausea& desire to *omit accompanied "y anxiety& "ulimia& great taste for sugarD nausea after ha*ing eaten& fulness of the stomach after eating& tension o*er the stomach& pressure upon the li*erD pain in "ending& as if the li*er had changed from its placeD inertness and cold in the a"domen& colics similar to the pains of la"our& a"undant production of wind& displacement of wind& not discharge of wind& continual discharge of wind& itching at the anus& piles in the anus& inertness of the rectum& difficult passage of the stools which are moulded and which are too *oluminous& painful pressure in the rectum "efore the escape of wind& constipation and difficult passage of the excrements& constipation& the same for two days& mucus which accompanies the al*ine e*acuations& anxiety pre*ious to going to stool& fre(uent desires to pass urine day and night& dullness of *enereal appetite& no erections& a"sence of pollutionsD periodical discharges which appear too soonD itching eruption and excoriation "etween the thighs during the mensesD running from the *aginaD o"struction in the nostrils& dry cory%a& cough& cough in the night& spitting of pus& spittings of pus with a cough& spasm of chest in coughing& difficulty of "reathing& whistling in the chest& asthma in the morning& spasmodic asthma& "eating of the heart& pain in the sacrum& pains in the sacrum following a fall& painful plucking from the sacrum as far as the middle of the "ack& plucking pain in the "ack& stiffness "etween the shoulder#"lades& stiffness in the nape of the neck& fee"leness of the muscles of the neck& pressure on the shoulders& num"ness in the arms& want of power in the arms& lassitude of the arms in the morning while in "ed& stiffness of the el"ow#2oint& trem"ling of the hands in writing& paralytic pain in the articulation of the hand& nocturnal tearing pains in the legs& cold feet& fetid perspiration of the feet& num"ness of the lim"s& tendency to shi*er in the day& tendency to twist and strain the loins& want of transpiration and impossi"ility to perspire& eruptions& great tendency to perspire in walking& desire to sleep at an early hour in the e*ening& dreams& foolish dreams in sleep& un(uiet dreams& con*ulsions in sleep& morning heat in "ed& night sweat& ill humour& disposition to frighten one-s self< A patient attacked "y ulcerous pulmonary phthisis will rarely "e cured without the use of this antipsoric remedy< Causticum! This medicine is a *ery powerful agent against certain pains in the head& certain kinds of ophthalmia& cataract& spasmodic pains in the stomach& o"stinate rheumatic pains<

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'ahnemann disco*ered that it is& more than all other remedies& appropriate for cases in which the following symptoms existE# dull pressure in the "rain producing a sense of fulness& shooting pains in the temples& lancinating pains toward the top of the head& sparks passing "efore the eyes& as well as "lack spots& incipient amaurosis& suppuration of the eyes& "u%%ing and noise in the head and ears& eruption a"out the nose& old growths a"out the nose and eye"rows& painful teeth dri*en into their sockets& long suppuration of parts of the gum& dental fistula& mucous affection of the throat and "ack part of the palateD mucous spittle& which re(uires efforts to ena"le it to "e thrown off& inflammation of the glands of the neck similar to goitre& nausea almost to fainting& pressure and painful sensation in the stomach& hea*iness of the stomach after ha*ing eaten "read& pressure at the superior part of the a"domen& swollen a"domen in children& puffiness of the inferior part of the a"domen& expulsion of wind& with hard stools& long constipation& tearings of the rectum in going to stool& pressing desire to pass urine& with thirst& in*oluntary passage of urine day and night& in*oluntary emissions& fre(uent pollutions without erection& stoppage of the periodical discharges& running from the *agina& o"struction of the nostrils& short cough& shooting pains in the heart& painful stiffness of the "ack& especially in rising from a chair& tearing and pulling in the shoulder "lades& pulling in the arms& painful pressure o*er the el"ow& sensation of fulness in the hand on sei%ing an o"2ect& shooting from the finger as far as the el"ow& cold feet& swelling of the feet& insecure walking of a child who falls on the slightest cause& "eatings of the heart& agitation in the "ody& anxiety& melancholy& gloomy thoughts night and day& weeping< Chamomile! Chamomile administered in the smallest dose& appears especially to diminish greatly excess of sensi"ility to pain and the *iolent effects of pain on the moral feelings< Thus it appeases a multitude of e*ils to which coffee#drinkers are su"2ect& and those who ha*e "een medically treated "y means of palliati*e narcotics< 'ence we ought not to employ it for persons who can support pain with patience and resignationE this remark is of the greatest importance< Its action "eing "ut a short duration& it is useful only in acute diseases& or altogether as auxiliary in chronic ones< It is chiefly indicated in catarrhal and "ilious affections following an attack of passion or deep sorrow& principally amongst children and persons *ery sensi"le to pain and highly suscepti"le to its effect< It is *alua"le in inflammations& when the inflammatory state has not attained to a high degree< Chamomile appears to ha*e a direct action on the ganglionic systemD and& whether in childhood or adult age& to produce distur"ance in the a"dominal organs< It displays its utility in certain forms of angina& in asthmas affecting children& "ronchitis& cardalgia& colics& con*ulsions in maladies "rought on "y teething& diarrhoea& diseases of infants at the "reast& gastro#enteritis "ilious complaints& piles& 2aundice& metrorrhagia& toothach& ophthalmia& puerperal peritonitis& acute rheumatism& Ic< 5ina! This medicine is useful in nocturnal con*ulsi*e coughs& hooping#cough& in intermittent fe*ers with *omiting& canine appetite& in affections produced "y worms in cases of weakness produced "y loss of "lood and other humours< Coffee!

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Coffee is often useful in certain pains of the head& in *iolent pains during accouchement& in a state of o*er#excitement which is sometimes o"ser*ed in lying#in women& in all strong pains& and acute irritations& a"o*e all& in sleeplessness& and in the effects produced "y great 2oy< Conium Maculatum! The cases in which this remedy displays is greatest efficacy& are when there exists the greatest possi"le analogy "etween the symptoms produced "y it& and the most characteristic ones of the chronic maladyE that is& where the following conditions predominateE# *ertigo in looking around& as if the patient were a"out to fall to one side& chronic lancinating headach& attack of tearing headach which o"liges the patient to lie down& hea*iness in the head& shooting at the top of the head& o"scure points and coloured fillets "efore the eyes in a roomD sense of cold in the eyes on going into the open air& itching in the eyes when they are ru""ed& smarting heat& myopia& "lindness in the light of day& heat in the face& itching eruption in the face& shooting pains in the ear on going into the open air& tearing and shooting pains in and a"out the ears& "u%%ing and tingling in the ears& plucking shootings in the ears from within to the outside& confused noise in the ear& accumulation of wax& induration of the parotid glands& o"struction in the nose in the morning& o"struction in "oth the nostrils& o"struction of the nose ha*ing lasted for years& painful sensation of dryness in the nose& running of pus from the noseD lips dry and scaling& plucking pain in sound teeth& in*oluntary deglutition& scratching in the throat& fre(uent empty risings all the day& noise risings& risings with the taste of food& soda which rises into the throat& fulness in the hollow of the neck& with attempts at risings which do not howe*er super*eneD "read not swallowed and a distaste for it& nausea in pregnant womenD "ulimiaD heat after ha*ing eaten& which rises into the the pharynxD weight in the stomach after ha*ing eatenD painful constriction in the stomachD spasm of the stomachD displacement of wind& "or"orygmi and gurglings in the "elly& tightness of the a"domenD sensation of smarting in the a"domen in walking on pa*ement& fulness in the a"domen on awaking in the morning& twisting and distur"ance in the um"ilical region& colic when wind is endea*ouring to escape& stools tinged with "lood& hard stools only e*ery other day& diarrhoea& constipation with useless efforts to go to stoolD tearing pains in the ureter on passing water& pressure in the "ladder as if the urine would pass out at once& on passing it stops suddenly and does not recommence till after some instants& urine thick& tur"id and whiteD impotence and want of erection& erections which last too short a time& want of energy in the *enereal actD hysteric spasms& pressure towards the fundament& and shooting pains in the *agina& shooting pains in the external la"ia& hysteric spasms which commence "y a mo*ement a"o*e pudendum& the entire a"domen then swells& the sensation of risings into the chest& and shooting pains are felt in the left sideD itching of the genitals within& pressure towards the fundament and plucking pain in the thigh during presence of the periodical discharge& menses too a"undantD cough in scrofulous su"2ects& asthma in awaking in the morning& morning asthma& short "reath in walking& shooting pains in the sternumD agitation in the chestD weight and compression o*er the hanchesD tension in the nape of the neck& smarting pains in the inferior cer*ical *erte"ra& smarting in the arm#pits& sweating in the palms of the hands& plucking pain in the hanches& lassitude in the knees& tendency of the feet to "ecome cold& cold feetD nettle eruptions after great exercise& fre(uent red spots and itchings on the "odyD old moist eruptions& "rown spots on the "odyD paroxysms of hysteria and hypochondriasis& fit of shootings which come from the stomach to the left side and extend as far as the "ack&

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lassitude throughout the "ody& especially in the legsD sudden oppression in walking& sleeping during the day& sleepiness in the e*ening with closure of the eyelidsD the patient o"taining no sleep in "ed until late at nightD sleep with foolish dreams& many dreams during the nightD tendency to "ecome frightenedD disgust for employmentD melancholy& low spirits& tendency to disappointment& to low spirits& and hypochrondriasis& irrita"lity of temper< Dulcamara! This medicine is a specific in diarrhoea& in pains and uneasiness produced "y cold& in some epidemic fe*ers& and in *arious acute diseases caused "y taking cold< 3raphitis! $raphitis is useful chiefly when one or more of the following symptoms predominate in the patientE# "u%%ing in the head& state as if of intoxication on getting out of "ed in the morning& falling off of the hair& the same on the sides of the head& itching in the head& tinea& perspiration in the head on going into the open air& transient heats in the face& a*ersion for daylight& confusion of the letters in reading& dimness of sight on stooping& sparks passing "efore the eyes& weight and shooting pains in the eyes with weeping& eruption of crusts "ehind the ears& confused noise and tingling in the ears& "u%%ing in the ear& dryness of the internal ear& distressing dryness of the nose& dry crusts in the nose& ulceration in the corners of the mouth& ulcers inside the lips& lancinating toothach after ha*ing drank cold fluid& risings from the stomach& morning nausea& nausea e*ery time of eating& dislike for "aked food& immoderate hunger& fee"leness of the stomach& weight in the stomach& weight in the a"domen& hardness of the a"domen& the a"domen "lown up with wind on rising from ta"le& "lowing up of the lower part of the "elly @taeniaA& accumulation of wind& expulsion of wind& escape of wind in too large (uantity& chronic constipation with hardness of the a"domen and hardness of the region of the li*er& stools ha"itually too soft& flow of mucus from the rectum& haemorrhoidal pains at the anus& want of passing urine in the night& immoderate *enereal appetite& e2ection of semen almost in*oluntarily and without erection& want of *enereal appetite& want of morning erection& menses flowing in insufficient (uantity and too pale& discharge reappearing not soon enough& spasms in the a"domen during menses& pains in the chest during menstrual flow& weakness during the menses& leucorrhoea& o"struction in the nose& cory%a in the daytime when the weather "ecomes coldD false *oice in singingD coughD night cough& asthma& oppression of the chest& pain in the nape of the neck& gout knotty in the fingers& excoriation "etween the thighs& tetters in the thighs& num"ness of the thigh& cold feet at night in "ed& "urning heat in the feet& suppuration of the toes& deformity& thickness of the toe#nails& num"ness in the left side of the chest& of the arms and lim"s& cramps in the ham& the calfs of the legs& Ic<& tendency to sprain the loins& plucking pain in the lim"s& want for a long time of transpiration o*er the "ody& perspiring on the least mo*ement& difficulty of going to sleep& terrifying and un(uiet dreams& morning sleep which fatigues the head& sleep at night which affords no refreshment& foolish dreams in sleep#anxiety at night dri*ing the patient out of "ed& in(uietude and anguish in the morning& ill humour& a*ersion to work< In cases which there has "een for a long time constipation& and the periodical discharges in women retarded for se*eral days "eyond their accustomed time& graphite cannot often "e replaced "y any other remedy< St! &gnatius6s "ean!

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In cases of in2ury to health& resulting from offensi*e conduct suffered "y persons of mild disposition& who do not resent these in2uries "y fits of anger& "ut conceal their wounded feelingsD in short& in those who are accustomed to dwell in silence upon in2uries recei*ed& St< Ignatius-s 8ean is an excellent remedy< Thus& epileptic fits& e*en of a *ery chronic kind& "rought on "y contrariety or other moti*e of indignation& are pre*ented "y the speedy employment of St< Ignatius-s 8ean< 5pilepsy in young persons& following fear& may "e cured "y this medicine& if the fits ha*e not "een repeated a great many times< !any cases of chorea& of hysteria& of pains in the a"domen& cramps in the uterus& periodical pains in the stomach& gastric em"arrassment& catalepsy& certain forms of intermittent fe*er& ha*e "een cured "y St< Ignatius-s 8ean< This medicine presents a *ery peculiar character& which it is important to "e well ac(uainted with< It causes alternate effects& which succeed each other with great rapidity< This is the reason that when this su"stance had "een made use of& it sometimes happens that the first dose is not credited as "eing of any use& "ecause the patient feels first symptoms opposite to those of the disease& and& in conse(uence of the law of reaction& the disease is aggra*atedD as happens in cases where a palliation has "een employedE in that case& the same medicine is to "e repeated& when then acts properly< It is desira"le to administer this medicine in the morning< It taken "ut a little time "efore going to "ed& it produces too much agitation during the night< &pecacuanha! This su"stance is highly useful in certain forms of diarrhoea and *omiting& *omitings of pregnant women& and cholera< It displays a specific efficacy chiefly in haemorrhages& in spasmodic asthmas which assume the form of paroxysms& in suffocating spasms& and in some kinds of tetanus< Certain kinds of intermittent fe*ers are perfectly cured "y this su"stance< Di*erse consecuti*e symptoms& which follow the taking of arsenic and china& yield to ipecacuanha< 3hen any person has "een poisoned "y a large dose of opium& recourse must "e had to a large dose of ipecacuanha&#thirty& forty& sixty drops of the strong tincture& unless indeed& camphor or coffee "e "etter indicated< Ipecacuanha is always producti*e of great ser*ice in pulmonary catarrhs& in gastric affections accompanied "y disgusts& wishes to *omit& etc< /ycopodium! This is one of the most powerful anti#psoric remedies< It is employed with the most marked ad*antage in scrofulous affections& fungus of the cornea& ulcers of a "ad kind& especially those of the nose& the tonsils& and the feet& with heat and itching& in humid eruptions of a purulent kind& in hepatic spots& in dry "loody cough& asthma& phthisis& *ertigo& congestions in the head& headachs& plica& dryness of the skin& coldness of the exterior of the "ody& especially of the extremities< It is especially useful in chronic diseases& in which the following symptoms predominateE# *ertigo principally on stooping& flow of "lood toward the head& heat there& attacks of tearing pain at the top of the head& in the forehead& the temples& the eyes& the nose& e*en in tooth& taking place when we go to "ed& tearing pains in the forehead& here and there e*ery

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afternoon& headach at the exterior of the head during the night& tearing& piercing and scraping painD hea*y tension in the headD alopeciaD the eyes sensiti*e in artificial light& prickings in the eyes in the e*ening in conse(uence of the light& pressure in the eyes& chaps in the eyes& suppuration from the eyes& ophthalmia& with suppuration in the night and weeping during the day& weeping of the eyes in the open air& pres"yopia& distur"ed sight as if feathers passed "efore the eyes& sparks and "lack points passing "efore the eyes& sparks and "lack points passing "efore the eyes& fre(uent paroxysms of heat in the face& itching eruption in the face& tumefaction and tension of the face& ephelides in the face& excessi*e sensi"ility of the ear& disagreea"le impression produced "y organ#musicD tingling in the ears& hard hearingD "leeding at the nose& suppuration of the nostril during the night& crusts in the nose& ulcerated nostrilsD hard swelling at the nose& suppuration of the nostril during the night& crusts in the nose& ulcerated nostrilsD hard swelling at one of the sides of the neck& stiffness at the "ack of the neckD a"sence of thirst while there is dryness of the lips and mouth& so that these parts stretch& the tongue mo*es with difficulty& and the words "ecome unintelligi"leD loss of the sense of taste& tongue foul and clogged& mucous taste in the mouth in the morning& the patient "rings up mucus in coughing& chronic complaint at the throat& "itterness in the mouth with nausea in the morning& immoderate hunger& canine appetite& want of appetite& the appetite gone after the first few mouthfuls& distaste for cooked and warm ailment& repugnance for "rown "read or meat& too great lo*e of sweets& tendency of milk to "ring on diarrhoeaD risings of fat& acid risings& heart"urn& phlegm& fre(uent or continual nausea& the stomach weak in the morning& pressure on the stomach& hea*iness in the stomach after ha*ing eaten& swelling in the pit of the stomach and pain when it is touched& fulness in the stomach and "elly& the a"domen "lown up& want of escape for wind& "or"oyrgmus in the "elly& indurations in the lower part of the "elly& pinchings in the "elly& colics in the superior part of the a"domen& heat in the lower part of the "elly& tension in the hypochondria& pains in the li*er after ha*ing eaten with satiety& palpitations of the heart during digestion& stools difficult to "e passed and not without great efforts& constipation for se*eral days& pains at the arms after ha*ing eaten and after ha*ing gone to stool& gripings in the rectum and "ladder& gra*el& pressing desire to pass urine& too fre(uent desire to pass urine with earnest wishes& itching in the ureter on the passage of water and afterwards& hemorrhage from the ureter& ineffecti*e erection of the male organ& want of erection& a"sence of pollutions& a"sence of the *enereal appetite& impotence for some past years& too (uick seminal e2aculations& periodical discharges in women flowing too long and in too great a"undance& menses suppressed "y fear for a long time& flow of whites after gripings at the inferior part of the a"domen& humid cory%a& cory%a and cough& dry cory%a& o"struction of "oth the nostrils and cough after drinking& dry cough lasting day and night& dry morning cough of some years- standing& cough and expectoration& cough with purulent spitting& shootings in the left "reast& heat in the chest during descent& continual pressure at the "ack part of the side of the chest& short "reathing in children& continual oppression of the chest& the least work rendering the "reathing short& shootings in the sacrum on raising the "ody after "ending& pain in the "ack at night& tearing pains in the shoulders& plucking pains in the nape of the neck as far as the occiput day and night& plucking pain in the arms& pain in the "ones of the arm at night& num"ness of the arms& the same also when they were simply raised& num"ness of a spasmodic character in the arms at night& loss of strength in the arms& nocturnal pain of the "ones of the el"ow& stiffness of the wrist from gout& num"ness of the hands& stiffness in the 2oints during work& tearing pains in the articulations of the fingers& redness& stiffness& swelling& and tearing arthiritic pains in the

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articulation of the fingers& stiffness in the fingers produced "y the knots of gout& tearing pains at night in the lim"s& tearing pains in the knees& stiffness or swelling in the knee& heat in the lim"s& painful contraction in the calfs of the legs in walking& swelling of the ankle& cramps in the feet& cold feet& cold and perspiration of the feet& a"undant perspiration in the feet& puffiness of the soles of the feet& pain in the soles of the feet in walking& turning "ackward of the toes in walking& cramps in the toes& corns in the feet& corns painful& perspiration during the day on working a little& perspiration in the day and chiefly on the face from stirring or mo*ing a little& dryness of the skin on the hands& the skin chaps and "ecomes split here and there& itching during the day on warming one-s self& itching at night& "efore lying down& painful eruption on the neck and chest& "oils& old ulcers on the legs with tearing pains at night& itching and heatD cramps in the fingers and calfs of the legs& spasmodic contractions of the fingers and toes& tearing pains in arms and legs& tearing in the knees& the feet& and the fingers& painful pluckings in the lim"s& transient heatD *arices in pregnant women& great tendency to twist and strain the loins& as well as to "ecome cold& want of heat in the "ody& num"ness of the lim"s& and in the arms& hands& and legs& day and nightD insensi"ility of the arms and legs after ha*ing walked a little& lassitude of the feet& and heat in the soles of the feetD internal de"ility& lassitude in the lim"s& lassitude on walking& gaping often and sleepiness& sleepiness during the day& sleep at night distur"ed fre(uently "y dreams& constant dreaming in sleep& un(uiet dreams& terrifying dreams& dreams often in the night& tendency to "e a long time "efore going to sleep& thoughts pre*enting sleep& tertian fe*er with acid *omiting& puffiness of the face and hands after cold& great sensiti*eness& fear of e*erything& capricious and irrita"le temper& morose uneasy mind& desponding character& tendency to seek (uarrels< It is when lycopodium is indicated homoeopathically& after calcarea has exhausted its action& that it produces effects "est adapted to follow up the treatment< Magnesia! This medicine shews itself efficacious chiefly in chronic maladies& in which are found the following conditionsE# "lack spots "efore the eyes& fre(uent sudden loss for words& difficulty of comprehension& stiffness in the nape of the neck& inguinal hernia& constipation& hindrance of the periodical discharge& want of erection& o"struction in the nose& dry cory%a& fits of tearing pains in the axilla& the same during the night& with formication as far as the fingers& and impossi"ility of mo*ing them in the slightest degree& the whole arm painful& "oils on the leg& itching& fre(uent and sudden falling without loss of consciousness whether while stationary or walkingD sleepiness during the day& e*ery night dreams e(ually terrifying caused "y oppression at night in the a"domen< Soluble Mercury! This medicine is remarka"le for the *ariety of symptoms which it produces in those persons who make use of it< It is employed successfully against aphthae& ulcerations of the mouth& glandular o"structions& angina with sali*ation& inflammations of the tongue& cramps in the stomach& diarrhoea& dysentery& *enereal complaints& parotitis& small#pox& scrofula& rheumatism& gout& acute hydrocephalus& many kinds of toothachs& in the precursors of amaurosis& Ic< Muriate of Magnesia!

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This medicine render the greatest ser*ice in the following casesE#daily headach& pulsation in the ears& hea*y pain in the li*er& the same in walking and touching it& "ut especially on lying down on the right side& great and continual swelling of the a"domen& with constipation& long# standing and painful hardness of the right side of the a"domen& which extend themsel*es to the thighs& and are followed "y a flow of white discharge& stools round& hard& difficult of passage& insufficient in (uantity& and retained& num"ness of the arms on awaking in the morning& sweating of the feet< !uriate of magnesia exists in a"undance in the ocean& and& "y the properties which it is known to possess of de*eloping a num"er of phenomena in the human system& we can explain the great efficacy of sea#"aths in many chronic diseases< Muriate of Soda! A *ery powerful medicine< The "est effects are produced "y it in incipient cataracts& when the patient sees insects flying "efore his eyes& and when& as he reads& the letters seem to change placesD in cases of incontinence of urine& chlorosis and leucorrhoea< This remedy is one of the most *alua"le in *omitings of pregnant women& in loss of smell& induration of the glands& dental fistulas& heart"urn& inappetence& cardalgia< The cases in which this medicine chiefly exhi"its its curati*e power are those in which& amongst others& the following states are o"ser*edE# *ertigo& in which all o"2ects turn round "efore the eyes& and the su"2ect of it is in danger of falling forwards on the groundD *ertigo& with 2oltings in the head and giddiness& incapa"ility of thinking& di%%y headach& hea*iness in the head& daily hea*iness in the head& chiefly in the occiput& which causes the patient to shut the eyelids& headach& as if the head would split open& tearing and lancinating headach& which o"liges the patient to lie down& shootings in the parietal "one& morning headach on walking& plucking and "eating pain in the forehead& strokes in the head& headach& in which it seems that there are strokes from a hammer& crusts on the scalp& "utton#like eruption on the forehead& shootings o*er the eyes& painful pressure o*er the eyes& o"scurity of the sight in walking or stopping& sudden o"scurity of sight on the access of tearing and lancinating headach& kind of gau%e appearing "efore the eyes& which pre*ents anything seen& incipient amaurosis& the sight trou"led as if feathers were "eing passed "efore the eyes& pres"yopia& confusion of the letters in reading& shutting up of the eyelids in the e*ening& flow of tears from the eyes& inflammation of the eyes& *iscous matter in the external angles of the eyes& issue of pus from the eyes during the night& "u%%ing in the earsD pain as of internal ulceration in the 2aw#"ones in chewingD dryness in the nose& want of smell& swelling of the upper lip& smarting of the upper lip& "listers on the inner side of the upper lip& which are painful to the touch& fre(uent swelling of the maxillary glands& dental fistulae& "listers on the tongue& chronic affections of the throat& from which proceed mucous e2ections in the morning& "itter taste in the mouth& risings from the stomach& disagreea"le risings after ha*ing eaten fat or milk& sour risings& heart"urn& heat which ascends from the stomachD contraction of the throat& with flow of water into the mouth and sensation of whirling in the stomach& distaste for fat aliments& *omitings of food& distaste for "read& want of appetite& immoderate appetite for dinner and supper& continual thirst& "ulimia& with fulness and satiety after ha*ing eaten "ut a little& pressure on the praecordial region& pressure on the stomach& spasm of the stomach& pressure on the stomach with nausea and sudden depression of power& pain in the praecordial region when it is pressed upon& swelling in the praecordial region which& when pressed upon& causes the same pain as if it were ulcerated within& catching in the praecordial region&

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perspiration in the face while eating& empty risings after ha*ing eaten& nausea after eating& heart"urn after ha*ing eaten& cramp in the diaphragm on stooping& daily colic& swelling of the a"domen& expulsion of air& noisy gurglings in the a"domen& tumefaction of the "elly& noise in the left side of the "elly& too fre(uent stools& constipation e*ery other day& ha"itual constipation& useless efforts to go to stool& difficult passage of stools with tearing and lancinating pains in the anus and rectum& hemorrhoids at the anus& smarting and "eating in the rectum& heat in the rectum on going to stool& desires to pass urine in the night& in*oluntary flow of urine in walking& coughing and snee%ingD mucous running from the penis& immoderate *enereal appetite& itching in the pudendum& headach "efore& during& and after the periodical discharge& melancholy "efore appearance of it& sadness during its presence& whites& hoarseness& snee%ing and cory%a& useless efforts to snee%e& cold in the head& stuffing in the nose& collection of mucus in the chest with cough& morning cough& ha"itual short cough& tickling in the chest& which induces cough& in walking or making a deep inspirationD headach& as if the forehead were a"out to splitD roughness in the chest& short "reathing on walking (uickly& asthma on performing mechanical la"our& tightness of the chest& painful tension in the chest& shootings in the chest on making a deep inspiration& shooting in the chest on coughing& shootings in one of the "reasts& palpitations of the heart with anxiety& tearing pains in the sacrum& sharp painful tension in the sacrum& sharp pains passing across the hips and sacrum& painful tension in the "ack& pressure in the neck& paralytic oppression& lassitude of the arms& shooting pains in the articulations of the hand& num"ness and formication in the fingers& pain like dislocation in the hip& pain as of plucking in the legs& tetters in the hollows of the thighs& painful contractions in the tendons of the thighs& lassitude in the knees and calfs of the legs& ulcerati*e pain in the ankle in standing or touching it& swelling of the feet& plucking pressure in the lim"s& fatigue from much talking& ailments occasioned "y grief& indisposition from acid foods& incon*enience produced "y "read& great tendency to take cold& to strain or twist the loins& a fre(uent coldness within& continual sense of cold and failing of heat& leanness& difficulty of mo*ing the "ody& lassitude& indolence in rising in the morning& sleepiness during the day& confused and imperfect dreams during sleep& un(uiet dreams with weeping& thirst at night& painful dreams at night and sleeplessness for whole hours& pri*ation of sleep when once aroused& morning sweat& irrita"ility which disposes to anger& anxiety& sadness& great propensity to take alarm< 4u' +omica! This medicine acts powerfully upon the ner*ous system& and the a"dominal *iscera< It is applica"le in gastric and "ilious affections& in those which the symptoms are aggra*ated in the morning& and in many chronic diseases caused "y the a"use of coffee or of spiritous li(uors for those who lead a sedentary life& and fatigue themsel*es with mental la"our< It is proper for indi*iduals who ha*e "lack hair& dark complexion& and who are disposed to "e constipated& for persons of a li*ely& ardent& acti*e character& and who ha*e a temper inclined to mischief& or anger< This medicine is employed with success when the menses are apt to appear some days "efore their time& and when they are too a"undantD in certain epidemic maladies or other acute fe"rile diseases& principally those in which the cold stage is preceded or accompanied "y heats& as well as in complaints produced "y cold< Nux 9omica is applica"le especially when the state of the patient is aggra*ated in the morning& when he awakes towards three o-clock& and cannot sleep again& on account of a

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succession of ideas which "esiege him& or when he is kept awake till day"reak only to fall into a sleep full of anxious dreams& from which he wakes up more fatigued than when he lay down& and is reluctant to rise< It is applica"le also to those who many hours "efore they lie down cannot resist sleep& and fall into slum"er in a chair< Nux *omica has cured many "ronchial catarrhs& spasms in the stomach& chronic constipations& headaches& angina& diseases of the eye& inflammatory rheumatisms& "ilious fe*ers& 2aundices& hemorrhoidal diseases& hysteric indispositions& complaints of pregnant women& chronic gastro#enteritis& hepatitisD "ut& to o"tain a clear idea of the power of the remedy& attenti*e regard must "e paid to the numerous symptoms which it de*elops in healthy person& and this is moreo*er the only guide to "e followed in the selection of a remedy& as we ha*e already so many times o"ser*ed< .nless under pressing necessity& this medicine should "e administered at night "efore the patient goes to "ed< Petroleum! According to 'ahnemann& petroleum has "een found efficacious when the following symptoms predominateE# loss of memory& *ertigo& swimming in the head& hea*y and lancinating headachD "eating in the occiput& falling off of the hair& eruption on the head and neck& crusts on the scalp& eruptions on the neck& yellow complexion& appearance of gau%e "efore the eyes& pres"yopia& impossi"ility of reading small type without spectacles& tingling in the ears& "u%%ing and tingling in the ears& hardness of hearing @especially when use has pre*iously "een made of nitric acidAD dryness and a painful sensation of it in the internal ear& dryness and painful sense of it in the nose& o"struction in the nose& swelling of the su"maxilliary glands& tongue white and clogged& noisy risings from the stomach& contraction of the throat& with afflux of water into the mouthD sickness& loss of appetite& repugnance for meat& canine appetite& great commotion in the a"domen& colics& hard stools& in*oluntary leaking of urine& narrowing of the ureter& heat in the ureter& itching and moistness of the scrotum& fre(uent pollution& hoarseness& cory%a& cough after ha*ing gone to "ed& dry cough during the night& shootings in the side of the chest& tetters on the chest& pain at the sacrum& which pre*ent the patient from standingD "ackach& "leeding cracks in the skin of the hands and fingers in winter& arthiritic stiffness of the articulations of the fingers& tearing pains in the hands& "rown spots on the wrist& tetters on the knee& cracking noise and stiffness of the articulations& num"ness of the lim"s& repugnance to the open air& production of unhealthy flesh in ulcers& e"ullition of the "lood& *i*id dreams& hard sleep in the morning& intermittent fe*er in the e*ening& cold and afterwards heat in the face& with cold in the feetD night sweats& irasci"le temper& inclination to mischief& dis(uietude< Phosphorus! Phosphorus is most *alua"le in diseases of the eyes& especially in gutta serena& in an incipient stateD *iolent headaches& discharges from the ears& spasmodic coughs& uneasiness of the stomach& pains in the epigastrium& colics of the lower "elly& diarrhoea of a chronic kind& menstrual derangements& and& a"o*e all& diseases of the "ones& rickets& and scrofula< This remedy is seldom indicated in cases of chronic diseases& characteri%ed "y the loss of *enereal appetite and fee"leness of the genital organs& or when the periodical discharges appear "efore their epochsD so& in general& in all those where there is weakness from too great depression of *ital energy<

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This medicine is one the most appropriate in cases of ha"itually soft or li(uid stools< Phosphorus will "e found *ery efficacious& chiefly in the cases in which the following symptoms predominateE# *ertigo& of different kindsD stupifying headach& afflux of "lood toward the head& morning headach& shootings externally at the side of the head& falling off of the hair& difficulty in opening the eyelids& heat and smarting in the external angles of the eyes& running from the eyes when exposed to the wind& weeping and suppuration of the eyes at night& inflammation of the eyes& heat within them and pressure& as if caused "y a grain of sandD myopia& dim sight& dark spots flying "efore the eyes& "lindness& "y day e*ery o"2ect appearing co*ered with a grey *eilD dimness of sight in artificial light& sallow complexion of the face& "eating in the ear& "u%%ing in the ears& difficulty of hearing the human *oice& discharge of "lood on "lowing the nose& distressing dryness of the nose& continual running of mucus from the nose& "ad smell exhaled "y the nose& swelling of the neck& white tongue& erosion in the interior of the mouth& mucus in the mouth& mucous taste in the mouth& taste of cheese in the mouth& mucosities clinging to the throat in the morning& dryness in the throat day and night& risings from the stomach& spasmodic risings& acid risings& morning sickness caused "y hunger& wish for restorati*es& hunger after ha*ing eaten& uneasiness in the a"domen after ha*ing "reakfasted& heat and anxiety after ha*ing eaten& "urning heat in the hands after ha*ing eaten& indolence and drowsiness after eating& a kind of narrowing of the cardiac orifice which causes the food on "eing swallowed to rise again in the mouth& pain proceeding from pressure in the praecordial region& distur"ance in the praecordial region& sense of fulness in the stomach& swelling in the same region caused "y wind after dinner& "or"orygmi in the a"domen& pains caused "y wind& discharges of wind& morning colic while in "ed& tearings in the a"domen& accompanied "y much desire to go to stoolD discharge of "lood on going to stool& piles in the rectum and at the anus& mucous running from the anus& which remains openD tension in the ureter& smarting in the ureter while passing urine& head of the urine& "urning spasm in the ureter& *ery strong erections "y night& continual desire of coitus& too (uick e2aculation of semen in the *enereal act& fre(uent pollutions& shootings in the *agina as far as the uterus& dry cory%a& difficulty of "reathing& tickling in the chest& cough pro*oked "y tickling& roughness in the larynx& mucous expectoration from the larynx& cough& with hoarseness and harshness in the chestD cough at night& with shooting pains in the larynxD shooting pains in the left side of the chest& pain in the chest when the patient lies down& palpitation of the heart when sitting& stiffness in the neck& tearing shootings in the arms and shoulder "lades& trem"ling of the hands& swelling of the "ones of the leg& shakings of the feet day and night "efore sleeping& yellow spots on the a"domen and chest& "rown spots on the "ody& transient heat& sleep long delayed& morning sweats& tendency to fear& moroseness& timidity& dis(uietude when along& great irrita"ility and suscepti"ility& ill humour& a*ersion to work< Pulsatilla! The use of pulsatilla will "e found most salutary in those diseases& during the pre*alence of which the patient exhi"its a lowness of spirits and de2ection of mind& or else a state of mildness and resignation& especially if& when in sound health& his temper was easy and his disposition "ene*olent< It is therefore chiefly useful for lymphatic temperaments& and conse(uently improper for persons of decided character and hasty temper< !ost of all it is fa*oura"le when the patient feels from time to time a sense of chilliness and experience no thirst<

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Pulsatilla is suita"le to women whose monthly discharges are fre(uently o"structed& or whose sleep is long delayed at night& and whose sufferings are most acute at that time and in the e*ening< It is "eneficial for indispositions produced "y pork& and in numerous affections of the digesti*e organs< Chlorisis is often *ery speedily cured "y this medicine& also certain kinds of ophthalmia& inflammations of the throat& acute incipient phthisis& affections of the stomach and intestines& puerperal fe*ers& certain intermittent fe*ers& hooping#coughs& chronic *omitings& acute rheumatisms& some kinds of headaches& measles& affections of the ear& incipient amaurosis& and lastly& affections caused "y *exation< It displays its effect most fre(uently "y symptoms shewn on one side of the "ody< The effects which are produced "y it during sleep are soothed or dispelled "y motion< It is one of the most powerful antidotes to sulphur& and conse(uently a remedy against ailments produced "y the use of sulphur "aths< Cinchona! Cinchona is useful in scrofulous ophthalmias& delirium tremes& "ilious fe*er& certain forms of intermittent fe*er& conse(uences of onanism& chlorosis& the effects of loss of "lood and humours& rheumatic pains accompanied "y heat and "urnings& in amauroses< Rhus! The principal symptoms produced "y this remedy take place during sleepE No other medicine possesses this property in so remarka"le a degree< There is much analogy "etween it and "ryony& "ut the preceeding circumstance marks the difference "etween these two remedies< ,hus and "ryony con(uer typhus in an infalli"le manner& and were employed with the greatest success against the terri"le epidemic of the year 1?11& which "roke out in $ermany after the great "attles which were fought there< ,hus is the "est specific against the effects of muscular straining and contusions& certain paralyses& chronic rheumatisms& affections of the a"dominal organs& headaches& tetters& eruptions& sprains& erysipelas& ophthalmia& o%ena& pemphigus& peritonitis& puerperal peritonitis& pneumonia& scrofula& tetanus& *ertigo& Ic< ,hus is applica"le to persons of pusillanimous disposition& of a melancholy humour& and lo*ers of solitude& to those who readily weep& or who li*e in dread of death< After the administration of this su"stance& it is often o"ser*ed that the patient-s malady is not alle*iated till after twenty#four or thirty#six hoursE we must therefore "e on our guard as to the choice of this medicine& and "ear in mind this last important circumstance in the repetition of the doses< Sarsaparilla! The sufferings and pain occasioned "y gra*el are sensi"ly calmed "y this medicineD it is appropriate in great sensi"ility of the scalp& in chronic arthiritis& stiffness of the 2oints& painful constrictions of the "ladder& mercurial ulcers& and chronic diseases of the skin< Sepia! This medicine is extremely "eneficial in megrim& congestions of the head& falling of the eyelids& prolapse of the anus and uterus& sharp pains in the wom"& incontinence of urine& con*ulsi*e cough& chronic amenorrhoea& growths<

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It is found chiefly useful in cases in which the patient presents some of the following symptomsE# *ertigo& attacks of piercing headach& so *iolent as to extort cries& and accompanied "y *omitings& commonly called gouty headach& pulsating headach& chiefly in the occiput& the head confused& and inapptitude of mental la"or& afflux of "lood toward the head on stooping& itching in the head& nose& and earsD falling#off of the hair& impossi"ility of opening the eyelids during the night& hea*iness and falling of the upper eyelid& an appearance of gau%e "efore the eyes and "lack flying spots& the eyelids glued during the night& "u%%ing and tinkling in the ears& excessi*e sensi"ility to sound& hardness of hearing& yellowness of the face& distressing dryness of the interior of the nose without o"struction& want of smell& swelling of the gums& lancinating pains in the teeth& excoriation of the tip of the tongue& which is white and clogged& dryness in the mouth& thirst in the morning& constriction in the throat& risings& contraction of the throat chiefly after ha*ing drunk& acid taste in the mouth after ha*ing eaten& reluctances to eat& difficulty to swallow food& distaste for meat and for milk& great appetite& *oracity& "eating in the region of the heart while walking& stomach#ache after supper& sweating after ha*ing eaten& heat in the stomach and a"domen& piercing sensation n the hypochondriac region& sensation of emptiness in the a"domen& sensation of hardness in the a"domen& swelling of the a"domen in women after fecundity& a"undant production and expulsion of wind& "or"orygmi and gurgling in the "elly& especially after ha*ing eaten& colics after motion& itching in the rectum and at the anus& afflux of "lood toward the anus& protrusion of the rectum in going to stool& pro2ection of hemorrhoids from the rectum& leaking from the anus& delayed stools& e*acuation too lax& earnest desire to pass urine at night& in*oluntary flow of urine during the first sleep& during deep in colour& smarting in the ureter in passing urine& pain in the testicles& fee"leness of the genital organs& suppression of the menses& white and yellow discharges from the *agina& cory%a& dry cory%a& "oarseness& e"ullition in the chest& sensation of excoriation in the middle of the chest& pain in the chest on mo*ing& oppression on the chest& shooting pains in the left side of the chest& shootings on the chest during mental applications& pain in the side on "reathing and coughing& cough e*ening and morning& with e2ections of saline spittings& phelgm difficult to "e cast off& pain in the sacrum& shi*erings in the "ack& itching eruptions on the "ack& tearings and cramps in the "ack& stiffness in the "ack& stiffness in the neck& sweatings in the axilla& stiffness in the arms& lassitude of the arms& shootings in the articulation of the hand when mo*ed& heat in the palms of the hands& paralysis of the legs& cold in the legs and feet& plucking pains in the legs and in the great toe& con*ulsions of the feet during sleep at mid# day& cramps in the calfs of the legs& swelling of the legs and feet& a"undant perspiration of the feet& or its suppressions& *iolent heat in the feet& formication and deadness of the soles of of the feet& num"ness of the arms and legs& especially after mechanical employment& stiffness and inflexi"ility of the 2oints of the hand& knee& and foot& ulcers on the articulations of the fingers and toes& agitation and "eatings in all the lim"s& "urning pains in many parts of the "ody& transient feelings of heat& sense of e"ullition in the "lood& palpitations of the heart& attacks of heat when seated& and while walking in the open air& copious perspiration on the slightest motion of the "ody& want of natural heat& great tendency to take cold& great tendency to sprain the "ack& "aneful effects of grief& lassitude causing tremor& indolence and difficulty of mo*ing the "ody& sense of exhaustion on rising& drowsiness in the day& fre(uent and un(uiet dreams gi*ing alarm& nocturnal perspiration& morning sweats of an acid (uality& anxiety& anxiety at night when in "ed& anxiety and uneasiness with transient heat& tendency to "e alarmed& a*ersion to ha"itual duties& indifference to kindred& discouraged& melancholy<

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Silicea! This medicine pro*es of great use in whitlows&& in old fungous ulcers of a "ad kind& in glandular indurations& scrofula& de*iations of the spine& white swellings& chronic catarrhs& phthisis& corrodings white discharges< Its efficacy particularly shews itself in circumstances in which the following symptoms predominateE# *ertigo& loss of memory& affection of the head caused "y reading and writing& giddiness in the e*ening as if in a state of intoxication& hea*iness in the head& headach from the nape of the neck to the top of the head which pre*ents sleep in the night& daily headach& tearing with heat of the forehead during the morning& hea*iness as if something were a"out to issue from the forehead& dragging pain in the head extending to the forehead& pain in the head as if "ursting& pulsating headach& headach on one side only& tearing and shooting pains meeting at the eyes and in the "ones of the face& night sweats in the head& moist and itching crusts on the head& tu"erculous ele*ations on the scalp& falling#off of the hair& cracks in the skin of the face& pres"yopia& "lindness in "road day& "lack spots flying "efore the eyes& whilst the sight seems *eiled as if "y a grey "ody& amaurosis& sparks of fire "efore the eyes& fee"leness of the sight& so that letters seem confused together when reading& paleness of the face while reading& attack of sudden "lindness which takes away the sight for se*eral minutes& running of the eyes in the open air& smarting in the eyes& suppuration of the eyes which glues together the eyelids& redness with pain in the angles of the eyes& ophthalmia& noise in the ears& stoppage in the ears which sometimes passes off with noise& hardness of hearing& piercing pain in the ears& shootings from within to the outer part of the ears& "leeding at the nose& painful sensation of dryness in the nose& want of smell& eruptions of pimples in the nose& swelling of the lower 2aw#"one& pluckings and shootings during the night in the lower 2aw& ulceration in the interior of the lower lip& tetters on the chin& swelling of the su"maxillary glands& piercing pains in the teeth& tearing pains in the teeth and along the 2aws day and night& excoriation of the tongue& pri*ation of taste& constant presence of mucus in the mouth& risings& risings taste of food 2ust eaten& morning nausea& continual nausea and *omiting& nausea succeeding e*ery motion producing excitement& nausea e*ery morning with headach and pains in the eyes when they are turned& tightness of the throat with shi*ering& much thirst& distaste for all food& a*ersion to meat& disgust for meat& in children refusal of the "reast or *omiting after ha*ing sucked& hea*iness of the stomach after drinking too fast& painful sensi"ility in the praecordial region when it is pressed upon& the same after ha*ing eaten& hea*iness of the stomach for years& tightness of the throat followed "y *omiting after ha*ing eaten any food& fulness after ha*ing eaten& tension and hardness of the "elly in infants& gurgling in the "elly during "odily motion& expulsion of wind& painful inguinal hernia& gripings& colics& tearing pains in the a"domen without diarrhoea& "elly#ache with diarrhoea& many stools soft during the day& constipation& delayed stools& constipation with fre(uent and useless endea*ours to go to stool& excessi*e *enereal appetite& menses in too small (uantity& suppression of the menses for se*eral months& emission of "lood from the wom" during suckling& white discharges preceded "y colics in the um"ilical regionD itching of the genitals& incessant or too fre(uent snee%ing& o"struction in the nose for years& dry cory%a& running cory%a which o*ercomes a chronic o"struction of the nostrils& hoarseness& asthma& short "reathing on the least mechanical exertion& short "reathing or panting on walking (uickly& suspended "reathing when lying on the "ack& suspension of respiration in walking& running& or coughingD cough with expectoration of a purulent kind& phelgm& or of suffocating cough in

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the night& spitting of pus& oppression on the chest& oppression of the chest in coughing or snee%ing& pulsation in the sternum& shooting pains from the chest to the "ack& shootings under the left false ri"s& pain at the sacrum& with or without "eing touchedD spasmodic pullings in the sacrum& which will not allow of an erect posture and o"lige the patient to lie downD shooting pains in the "ack& tearings in the trunk of the "ody& as if from the rackD pains& when sitting or lying down& in the loins a"o*e the pel*is& num"ness in the arms on placing them on the ta"le or lying on one of themD pain and num"ness in the arm which has "een lain on& state similar to paralysis and trem"ling in the right arm on the least exertion& plucking pain in the arm& tearing pain in the arm& commencement of paralysis of the fore#arm& the hand in*oluntarily letting slip what it holds& shootings at night in the wrist& which ascend toward the armD formication in the fingers& plucking pains and stiffness in the legs& pressure felt in the muscles of the thigh& swelling of the knee& pulling pains in the legs& num"ness of the calfs of the legs& num"ness of the feet at night& cramps in the calfs of the legs on lea*ing off employment in the e*ening& shootings in the ankle in walking& cold feet& perspiring of the feet& suppression of the natural perspiration in the feet& cold in the feet& a sensation of tickling in the sole of the feet which "ecomes so intolera"le that it almost distracts the patient& fetid smell of the feet& swelling& swelling of the feet& shooting pains in corns& e"ullition of the "lood& and thirst after ha*ing drank a little wine& great tendency to sprain the "ack& perspiration from walking a little& great tendency to take cold in unco*ering the feet& shi*erings& ganglions& fetid smelling ulcers& unsightly ulcers on the legs& itching ulcers on the thigh and ankle& nocturnal shootings in all the lim"s& tearing pains in the arms and legs& cramps in the arms and legs& num"ness of the lim"s& state similar to paralysis of the lim"s at night& "ruised sensation of the lim"s in the e*ening& general de"ility& tendency to fainting on lying down on the side& fre(uent gapings& difficulty of o"taining sleep at night in "ed& unsound sleep at night& similar to a mere state of drowsinessD much dreaming and fre(uent waking during the night& repeated dreams e*ery night& uneasy dreams& con*ulsions of the "ody at night& while sleeping& fre(uent and painful dreams in the night& speaking aloud during sleep& night sweats& a"undant acid sweats at night& ill#humour< Soda! This medicine is *ery applica"le in particular casesE for example& in that kind of hypchondriasis in which the digesti*e organs are ha"itually so fee"le that to depart in e*er so small a degree from the usual diet is enough to occasion and maintain ill humour and general uneasiness< 'ahnemann has disco*ered also that it exhi"its great efficacy in chronic @psoricA diseases& or where the following symptoms are markedE#*ertigoes& general uneasiness after mental exertion& tearing pains on the exterior of the forehead at certain hours of the day& headach produced "y the sun& shooting pains from the inside to the outside of the eyes& impossi"ility of reading small type& perception of "odies flying "efore the eyes& yellow spots on the forehead and on the upper lip& freckles on the face& hardness of hearing& uncommon sensiti*eness of the ear to noise& toothach& chiefly during eatingD nausea& continual sickness& "itter taste in the mouth& thirst& affections caused "y cold drinks& as for example& pains in the left hypochondrumD hea*iness on the stomach after ha*ing eaten& dragging spasms in the stomach& pain on touching the praecordial region& accumulation of wind in the a"domen& great distention of the "elly& retention of wind& scanty e*acuations& heat in the ureter after ha*ing passed water& pains during the periodical discharges of women& o"struction in the

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nose& cory%a e*ery second day& continual cory%a "rought on "y a current of air and which does not cease till after a sweat& short "reathing& saline and purulent expectoration with cough& continual cold in the left side& tearing pains in the hands and feet& cramps in the calfs of the legs& coldness or swelling in the feet& a tendency in the articulations of the foot to "e sprained& shooting pains in the soles of the feet in walking& copious perspiration on the least exertion in works& a*ersion to the open air& extreme tendency to take cold& great tendency to strain the loins& dryness of the skin& warts and tetters& chronic weakness& relaxation and atony of the whole "ody after ha*ing walked a littleD fatigue& almost great enough to cause the sufferer to fall downD sleepiness during the day& delayed sleep at night& too early wakingD dreams during the night& night sweats& cold and lasting perspiration& the conse(uence of anxiety& anxiety& tremor and sweats caused "y pain& a state of mental anguish& palpitation of the heart which produces anxiety& a*ersion to persons and society& hypochondriacal disposition& discouragement< Spongia! Croup& con*ulsi*e coughs& and pains in the oesophagus and larynx& seldom resist the effect of this medicine< It is administered with success in "ronchitis and tracheal phthisis& worms& and worm fe*er< Stannum! This medicine is adapted to chronic catarrhs in the chest& mucous phthisis& and chronic haematemesis< Staphisagria! This remedy is powerful against scrofulous diseases& certain pains in the 2oints& tinea& chronic exanthemata on the face& pains in the ner*es of the teeth at the period of menstruation< This remedy disperses chagrin and melancholy< Stramonium! Stramonium effects the greatest ser*ices in ner*ous affectionsD in epilepsy& catalepsy& St< 9itus-s dance& in some mental diseases& melancholy& spasmodic affections& hydropho"ia< Sulphur! Sulphur is chiefly proper in cases where the following symptoms existD *ertigo when sitting down& headach with difficulty of thinking& weakness of memory& pulsating headach& formication and "u%%ing in the head& appearance of gau%e "efore the eyes& contraction of the eyelids in the morning& complexion pale and sickly& "u%%ing and noise in the ears& tinkling or roaring in the ears& dryness& "leeding in the nose& li*er#coloured spots on the upper lip& toothach in the e*ening& swelling in the gums with pulsating pain& chronic sensation of some foreign "ody in the throat and pharynx& risings& accompanied with disagreea"le smell while asleep& risings of food& nausea "efore eating& morning nausea& tightness of the throat& with afflux of water into the mouthD insipid taste of food& "ulimia& oppression of the chest ha*ing eaten a little& as if were laden with a weightD agitation in the region of the heart& shooting pains in the left side of the "elly in walking& colic after ha*ing drunk& expulsion of wind& hard stools& stools only e*ery two or three days& flow of urine in the "ed at night& fee"leness of the genital powers& pressure on the genital organs& headach "efore the appearance of the menses&

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too early return of the periodical dischargeD leucorrhoea& cory%a& formication in the larynx exciting cough& cough in the night& difficulty in "reathing& asthma& with whistling and stertorous "reathing and *isi"le palpitations of the heart& fulness in the chest& "urning heat in the chest& pressure on the sternum& pains in the sacrum& sense of pulling in the "ack& pulling in the 2oint of the el"ow& of the hand and fingers& weakness in the knees and arms& hea*iness in the legs& stiffness in the articulations of the foot& cold and stiffness in the toes& erysipelas in the leg& nettle rash& num"ness of the lim"s& lancinating pains& sinking of the head in walking& an unpleasant sensation produced "y talking& sleepiness during the day& desire to *omit after dinner& unrefreshing sleep& fear during sleep& uneasy and terrifying dreams& inducing "roken speeches during sleepD trem"ling and con*ulsions of the "ody in sleep& acrid sweats e*ery night& much perspiration during "odily exercise& lia"ility to "e cold& irrita"ility& propensity of ill#humour and de2ection of spirits& aptness to alarm< Sulphur is one of the most important medicines in chronic psoric diseasesD and it is in few cases that this su"stance will not "e found useful< ,ecourse must& howe*er& "e had also to the study of the symptoms which it produces on persons in health& in order to recogni%e completely the cases to which it is especially applica"le< *huya! This medicine is chiefly useful in sycosic excrescences& "lennorrhoea& some painful affections of the eyes& cataract& exanthematous eruptions of the face and nostrils& with acute pains< +eratrum! This medicine is *ery useful in chronic *omitings& *omitings with diarrhoea& principally "iliousD repugnance to food& especially if hot< 9eratrum is one of the principal remedies for certain headaches with *omiting< It is& moreo*er& a powerful remedy in cholera mor"us< I recollect to ha*e cured a patient affected with a disease of the stomach& the symptoms of were in perfect harmony with those produced "y 9eratrumD and the patient was& "esides& so irasci"le& that at certain times& if not pre*ented& he was impelled to the most furious actionsE he e*en assured me that he would not hesitate to plunge a knife into the "osom of any person who might "e exposed to his fury< 9eratrum restored the digesti*e canal to a healthy state& and the tumultuous passions which had agitated him were completely set at rest< 7inc! This medicine is useful in the paralysis of the eyelids& purulent runnings of the ears& cramps of the oesophagus& pains of the spleen& stone in the kidneys and "ladder& certain eruptions on the skin& mealncholy& and derangement of the menstruation< PPPPP I shall here conclude my o"ser*ations on medicaments< Those remarks are a useful introduction to the Materia Medica Pura& of which they will facilitate the difficult study "y pointing out se*eral striking properties which will afterwards afford to the physician the ad*antage to collect round them more minute details< It is from 'ahnemann-s works that I ha*e chiefly "orrowed these practical remarksD when physicians shall ha*e carefully weighed all the matter this work comprises& they will "e perfectly a"le to ascend to the fundamental sources of the system& and the constant study of

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!ateria !edica will ena"le them most successfully to practice the doctrine of our *enera"le founder<

Chapter 9
/ist of medicines and of their antidotes
Acon< # Aconitum napellus @$<A Napell sturm"ut& 5isen"ut @ <A Chaperon de moine& Aconit< Antidotes< 9inum& Acidi *egeta"ili Aeth< # Aethusa Cynapium& Corindrum Cynapium @$<A 'unds#Petersillie& $arten Schierling< @ <A Aethusa Antidotes! 8 Agar< # Agaricus !uscarius @$<A $liegen 8latterschwamm& liegen Pil% @ <A )ronge faussse& Champignon rouge Antidotes! Camphor& Coffee& Pulsatilla& 3ine< Agn< # Agnus Castus& 9iten Agnus Castus< @$<A $emeiner 5uropaeischer !ullen& 0euschlamm& !oenchs#Pfeffer @ <A $atilier commun< Antidotes! 8 Alum< # Alumina& Aluminii )xydum& Aluminium )xydatum& )rgilla Pura& Terra Aluminosa @$<A Alaun& Thon#erde @ <A Alumine Antidotes! Camphor& Chamomila& Ipecacuanha Am"< # Am"ra grisea& Am"ra am"rosiaca @$<A $raue am"ra @ <A )m"re gris< Antidotes! Nux 9omica Amm< # Ammonium Car"onicum @$<A Ammonium Sal%< luchtiges laugensul% @ <A Car"onate d-ammoniac Antidotes! Camphor& 7i*er of Sulphur< Amm< !< # Ammonium !uriaticum @$<A Sal%saures Ammonium& Salmiak @ <A !uriate de magnQsie Antidotes< Camphor Anac< # Anacardium )rientale& Semecarpus Anacardium @$<A 5lephantentaus& !alacca#Nut% @ <A R*e de malac Antidotes! 88

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Anis< # Anisum Stellatum& Illicum Anisatum @$<A Stern#Anis @ <A Anis Antidotes! 8 Ang< # Angustora& Cortex Angusturae& 8onplandia Trifolia @$<A Angustura @ <A Angusture *raie Antidotes< Coffee Ant< # Antimonium crudum& Sti"ium Sulphuretum nigram< @$<A Schwesel Spies%glan%& ,o"er Spiesglan%< @ <A Sulfure d-antimoine Antidotes! 'epar Sulph& !ercury Arg< # Argentum oliatum @$<A 8latt#Sil"er @ <A Argent Antidotes! 8 Arn< # Arnica !ontana @$<A 8erg#3ohl*erlei @ <A Arni(ue< Antidotes! Camphor& Ipecacuanha N< 8< 3ine aggra*ates the symptoms< Ars< # Arsenici )xydum& Arsenicum Al"um @$<A 3eis%er Arsenik @ <A )xyde d-arsenic Antidotes! Peru*ian 8ark& Iron& $raphites& Ipecacuanh& Nux 9omica& 5lder& 9eratrum Arum< # Arum !aculatum @$<A $eflecker Aron< @ <A Arum< Antidotes! 8 Asa< # Assafoetida& erula Assafoetida< @$<A Stink#Asand< @ <A Asafoetida Antidotes! Caust<& Chin<& 5lect< Asar< # Asarum 5uropaeum @$<A 'aselwurt% @ <A Asaret< Ca"aret< Antidotes! Camphor& 9egt< Acids Aur< # Aurum foliatum @$<A 8latt $old @ <A )r Antidotes! 8 8ar< # 8aryta Car"onas& 8aryta Car"onica @$<A Schwererde @ <A Car"onate de "aryte< Antidotes< Camphor<

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8ell< # 8elladonna& Atropa 8elladonna @$<A 8elladone#Schlaf"eere& $emeine 3olfskirsche& Tollkraut @ <A 8elladonne& !orelle furieuse< Antidotes! Coffee& 'epar Sulphuris& 'en"ane& Pulsatilla& 3ine< N< 8< 9inegar aggra*ates the symptoms< 8is< # 8ismuth& 8ismuthi !agisterium< @$<A 3ismuth#oxid& Salpetersaure% 3ismuth @ <A )xyde de "ismuth Antidotes! 8 8or< # 8orax *eneta& Su"#"ora% Sodae& Natrum "oracicum @$<A 8orax& 8oraxsaures Natrum @ <A 8orate de soude< Antidotes! Chamomile& Coffee 8o*< # 8o*ista plum"ea& 7ycoperdon 8o*ista @$<A 8o*ist @ <A 9esse#de#loup des "ou*iers Antidotes< Camphor 8ry< # 8ryonia al"a< @$<A gichtru"e weisee %aunre"e @ <A 8ryone Antidotes< ,hus< Cal< # Caladium reguinum& Arum seguinum @$<A $iftiger Aron< @ <A PQdi*eau *QnQneux ou S feuilles de "alisier Antidotes! Capsicum Calc< # Calcis Car"onas& Calcarea Car"onia @$<A 0alkerde @ <A Craie "lanche& cahux car"onatQe< Antidotes! Camphor& Spirtus Aethaeris Nitrici< Cam< # Camphora& 7aurus Camphora @$<A 0ampher& 0ampher#7or"eer @ <A Camphre Antidotes! Spirtus Aethaeris Nitrici< Cann< # Canna"is sati*a @$<A 'anf< @ <A Chan*re< Antidotes! 8 Cant< # Cantharides& !eloe *esicatorium& 7ytta *esicatoria @$<A 0anthariden& Spanishe liegen @ <A Cantharides Antidotes< Camphor Caps< # Capsicum annum< @$<A 0apsicum& Spanishe Pfeffer @ <A Poi*re de $uinQe Antidotes< Camphor<

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Car"< a< # Car"o animalis< @$<A Thier#0ohle @ <A Char"on animal Antidotes< Camphor< Car"< *< # Car"o< *egeta"ilis @$<A 'ol%#0ohle @ <A Char"on de "ois< Antidotes! Arsenic& Camphor& Coffee Casc< # Cascarilla& Cortex Cascarillae& Croton Cascarilla< @$<A Cascarille @ <A Cascarille Antidotes! 8 Cast< # Castoreum& Castor i"er< @$<A 8i"ergeil @ <A Castoreum Antidotes! 8 Caus< # Causticum& Tinctura acris sine 0ali @$<A 0austicum& Aet%stoff @ <A Causticum Antidotes! Coffee& Spiritus Aethaeris Nitrici Cham< # Chamomilla *ulgaris& !atricaria Chamomilla& Anthemis No"ilis @$<A eld#Chamille& Cahmille !ettram& 'almerchen @ <A Camomille commune& !atriculaire Camomille Antidotes! Acon<& Cocculus& Coffee& Ignatia& Nux 9omica& Pulsatilla< Chel< # Chelidonium !a2us @$<A Schoellkraut @ <A $rande chQlidoine Antidotes! 8 Chin< # China& Cortex Peru*iana& Cinchona officinalis @$<A Chinarinde @ <A >uin(uina Antidotes! Arnica& Arsenic& 8elladonna& Colc<& Capsicum& 9egeta"le Car"on& 9erat< Sulphur Sepia Pulsatilla Cina& Iron& Ipecacuanha& !ercury& !uriate of Soda< Cic< # Cicuta 9irosa @$<A $ift#3utherich& 3asser#Schierling @ <A Arnica !ontana Cin< # Cina& Semen Cinae& Santonici& Artemisia 2udaica @$<A Cinasamen& Bittwersamen @ <A Armoise de /udQe& SQmen contra Antidotes! 8 Cinn< # Cinna"aris @$<A Binna"er @ <A Sulfure rouge de !ercure& 9ermillion< Antidotes! GG Cinnam< # Cinnamomum @$<A Aechter#Bimmet& Bimmet#7or"eer& Canel

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@ <A Cannelle Antidotes! 8 Clem< # Clematis erecta @$<A 8renn#3alder"e @ <A ClQmatite droite Antidotes! 8yronia& Camphor< Coccin< # Coccionella septempunctata& Chrysomela septempunctata< @$<A Sonnenkafer& 'immelskuh& Sommerkal"chen @ <A Cochenille Antidotes! 8 Cocc< # Cocculus Palmatum& !eispermus Cocculus @$<A 0ockelskorner& 0ockelsamen @ <A Colom"e& Co(ue du le*ant Antidotes! Camphor& Nux 9omica Coff< # Coffea Ara"ica cruda @$<A 0affee"ohnen& ,o"er 0affee @ <A CafQ Antidotes! Chamomile& Ignatia& Nux 9omica< Colch< # Colchicum Autumnale @$<A 'er"st#Beitlose& 7ich"lume @ <A Colchi(ue Antidotes! Nux 9omica& Pulsatilla< Coloc< # Colocynthis& Cucumis Colocynthis @$<A 0olo(uinte @ <A Col(uinte Antidotes! Camphor& Caustic& Chamomile& Coffee& Staphisagria< Con< # Conium !aculatum @$<A lecken Scchierling< @ <A Cigue ordinaire Antidotes! Coffee& Spir< Nitr< dulc< Cop< # copai*e 8alsamum& Copaifer officinalis @$<A 0opahu 8alsam& 0opai*a 8aum< @ <A 8aume de Copahu< Antidotes< G Cor< # Corallium& Corallia ru"ra< @$<A ,othe 0orallen @ <A Corail rouge Antidotes! 8 Croc< # Crocus sati*us orientalis @$<A )rientalischer Safran< @ <A Saffron Antidotes< )pium Crot< # Croton Tiglium& )leum Crotonis @$<A Purgier#Croton& Tigli"aum @ <A 'uile de Croton Antidotes! 8

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Cupr< # Cuprum !etallicum @$<A 0upfier @ <A Cui*re Antidotes! 8elladonna& Peru*ian 8ark& Cocculus& Dulcamara& 'epar& Sulphuris& Ipecacuanha& !ercury& Nux 9omica Cyc< # Cyclamen 5uropaeum @$<A 5rdschei"e& Schweins"rod< @ <A Cyclame d-5urope& Pain de pourceaux Antidotes! 8 Diad< # Diadema& Aranea diadema @$<A 0reu%spinne< @ <A AraignQee diadRme ou S croix papale Antidotes< !ercury Dict< # dictamnus al"us& ,adix dictamni @$<A Diptam#3ur%el @ <A Dictame< Antidotes! 8 Dig< # Digitalis Purpurea @$<A ,other ingerhut @ <A Digitale pourpre Antidotes! Nux 9omica& )pium Dros< # Drosera rotundifolia @$<A Sonnenthau @ <A DrosRre a feuilles rondes& ,osQe du soleil Antidotes! Camphor Dulc< # Dulcamara& Solanum Dulcamara @$<A 8ittersuss#Nachtschatten @ <A Douce amRre Antidotes< Camphor 5ug< # 5ugenia /am"os @$<A $emeiner /am"usen"aus& 3ilder /am"os& 3ilde /am"usen !yrthe @ <A 5ugenin 2ame rose& /ame#rosade Antidotes! 8 5uph< # 5uphor"ium& 5< officinarum @$<A 5uphor"ium 3olfsmilch @ <A 5uphor"e officianale Antidotes! 8 5uphr< # 5uphrasia officinalis @$<A Augentrost& 3ohlredenheits#0raut @ <A 5uphraise officinale< Antidotes! 8 5*on< # 5*onymus 5uropaeus @$<A Pfaffenhutlein

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@ <A 5*onymus d-5urope Antidotes! 8 err< # errum !etallicum @$<A 5isen @ <A er< Antidotes! Arsenic& Peru*ian 8ark& 'epar Sulphuris& Pulsatilla& 9eratrum< il< # ilix !as<& Aspidium ilix !as& Polypodium ilix @$<A !annliches arrankraut @ <A ougRre male< Antidotes! 8 $raph< # $raphites& Plum"ago @$<A $raphit& ,eiss"lei @ <A $raphites& Plom"agine< Antidotes! Arsenic& Nux 9omica< $rat< # $ratiola officinalis @$<A $ottes $nadenkraut& 3ilder Aurin @ <A $ratiole Antidotes! 8 $yak& # $yauacyn officinale& $uaiaci $ummi @$<A $ua2ak& $ua2ak $ummi @ <A $ayac Antidotes! 8 'elle"< # 'elle"orus niger @$<A Nieswur%& Schwar%e Christwur% @ <A 'ellQ"ore Antidotes! Camphor& Peru*ian 8ark 'ep< # 'epar Sulphuris calcareum& Calcarea Sulphuris @$<A 0alk Schwefelle"er @ <A oie de Soufre Antidotes! 9egeta"le Acids& 8elladonna 'yo< # 'yosciamus niger @$<A 8ilsenkraut @ <A /us(uiame Antidotes! 8elladonna& Camphor< Ign< # Ignatia amar& a"a Sancti Ignatil @$<A Ignat%"ohne @ <A Q*e de St< Ignace Antidotes! Arnica& Camphor& Chamomila& Cocc<& Coffee& Nux 9omica& Pulsatilla< Ind< # Indigo& Indigofera tinctoria @$<A $emeiner Indigo& aer"er Indigo @ <A Indigo Antidotes! 8

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Iod< # Iodium& Iodinum @$<A Iod& Iode& Iodine @ <A Iode Antidotes! 8 Ipec< # Ipecacuanha& Cephaelis Ipecacuanha& Psycotria emetica& ,adix Ipecacunha @$<A Ipecacuanha& 8rechwur%el @ <A IpQcacuanha Antidotes! Arnica& Arsenic& Peru*ian 8ark< /al< # /alapa& Con*ol*ulus /alapa ,adix /alapa @$<A /alappenwinde& /alappenwur%el @ <A /alape Antidotes! 8 /at< # /atropha curcas& icus Infernalis @$<A Schwarse "rechnut%& 'ollenfeige @ <A /atropha Antidotes! 8 0al< # 0ali car"onicum& Potassae car"onas @$<A $emwachs 7augensai%& 0ali @ <A Car"onate de Potasse Antidotes! Camphor& Coffee& Sp< Aetheris Nitrici 0ali< '< # 0ali hydriodicum @$<A 'ydriodsaures 0ali @ <A Idriodate de Potasse Antidotes! 8 0reos< # 0reosotum @$<A 0reosot< @ <A Creosote Antidotes! 8 7ach< # 7achesis& Trigonocephalus 7achesis @$<A 7achesis#Schlangengift @ <A 7achesis Antidotes! 8 7ac< # 7actuca 9irosa @$<A $ift#7attich @ <A 7aitue *ireuse Antidotes! Camphor& 3ine< 7am< # 7amium al"um< @$<A 3eisee Tau"e#Nessel& 3eiss 8ienensaug< @ <A 7amier "lanc& )rtie "lanche< Antidotes! 8 7aur< # 7aurocerasus& Prunus 7aurocerasus @$<A 0irsch#7or"eer

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@ <A 7aurier cerise< Antidotes! Camphor& Coffee& Ipecacuanha 7ed< # 7edum Palustre @$<A Porst& Sumpf#Porst& 3ilder ,osmarin @ <A 7edum& ,omarin sau*age Antidotes< Camphor< 7yc< # 7ycopodium cla*atum& 7ycopodi Pollen @$<A 8arlappsamen& 'exenmehl& Streupul*er @ <A 7ycopodium& Pied de 7oup Antidotes! Camphor& Pulsatilla !gs< # !agnes artificalis @$<A 0unstlicher !agnet @ <A Aimant Antidotes! 88 !gs< Arc< # !agnetis Polus Arcticus @$<A Nord Pol des !agnetsta"es @ <A Pole Nord Antidotes< Sud Pol !gs< Aus< # !agnetis Polus Australis @$<A Sud Pol des !agnetsta"es @ <A Pole Sud Antidotes! Nord Pol< !agn< # !agnesia car"onica& !agnesiae car"onas @$<A 0ohlensaure !agnesiae& 8ittersal%erde @ <A Car"onate de !agnQsie Antidotes! 8 !agn< !< # !agnesia murias& !agnesia muriatica @$<A 0ochsal%saure 8ittererde @ <A !uriate de !agnQsie Antidotes< Camphor !agn< S< # !agnesia sulphurica& !agnesiae sulphas @$<A Schwefelsaure 8ittererde @ <A Sulphate de !agnQsie Antidotes! 8 !ang< # !anganum& !anganesium< @$<A 8raundstein @ <A !anganRse Antidotes< Coffee !en< # !enyanthes trifoliata @$<A Trifoliam fi"rinum& 8itterklee& i"erklee @ <A !Qnianthe Antidotes! 8 !erc< # !ercurius *i*us @!ercur< solu"isA @'ahnemanni griseusA 'ydrargyrum& Argentum *i*um< @$<A >uecksli"er @>uecksil"er oxid<A

1H;

@ <A !ercure Antidotes! Arnica& Silica& Sulphur& Asafoetida& 8elladonna& Camphor& Peru*ian 8ark& 'epar Sulphuris& Iodine& !e%ereum& Nitric Acid& )pium& Sass< Sepia< !erc< S< # !ecurius su"limatus corrosi*us& 'ydragyrum muriaticum corr<& 'yedrargyri "i# chloridum @$<A >uecksli"er#su"limat& )et%#su"limat& Sal%saures >uecksil"er< @ <A Su"lime corrosif& Dento chlorure de !ercure< Antidotes! The same as for mercury< !e%< # !e%ereum& Daphne !e%ereum @$<A 0ellerhals& Seidel"ast @ <A 8ois gentil& $arou& !e%ereon Antidotes! Camphor& !ercury !ill< # !illefolium& Chillaea !illefolium @$<A Schafgar"e @ <A !ille feuilles Antidotes! 8 !osc< # !oschus& !oschiferus @$<A 8isam& !oschus @ <A !usc< Antidotes< Camphor !ur< Ac< # !uriaticum acidum& Acidum muriaticum& acidum hydrochloricum< @$<A 0ochsal%saure @ <A Acide muriati(ue& Acide hydro#chlori(ue< Antidotes! Camphor< Natr< # Natrum car"onicum& Sodae car"onas< @$<A !ineralisches 7augensal% @ <A Soude& Car"onate de Soude Antidotes< Camphor Natr< !< # Natrum muriaticum& Sodae murias& Sal culinarae& Sodii chloridum @$<A 0ochsal% @ <A !uriate de Soude& 'ydrochlorate de Soude Antidotes! Camphor& Sweet Spirit of Nitre Natr< S< # Natrum sulphuricum& Sodae sulphas& Sal !ira"ile $lau"eri @$<A Schwefelsaures Natrum& $lau"ersal% @ <A Sulfate de Soude& Sel de $lau"er< Antidotes! 8 Nic< # Nicolum car"onicum& Nicoli car"onas @$<A Nickel !etall @ <A Nickel Antidotes! 8 Nitr< # Nitrum& 0ali Nitricum& Potassae Nitrus @$<A Salpeter& Salpetersaures 0ali @ <A Nitre& Nitrate de Potasse Antidotes! Spiritus Aetheris Nitrici N<8< Camphor agra*ates the symptoms<

1H:

Nitr< Ac< # Nitri Acidum& Acidum Nitricum @$<A Salpetersaure @ <A Acide nitri(ue Antidotes! Camphor& 'emlock& 'epar Sulphuris& !e%ereum& Sulphur Nux< !< # Nux !oschata @$<A !uskat Nut% @ <A Noix muscade Antidotes! 8 Nux 9< # Nux 9omica& Strychnos Nux 9omica @$<A 8rechnut%& 0ra"enaugen#Schwindel"aum @ <A Noix 9omi(ue Antidotes! Aconite& Camphor& Cocc<& Chamomila& Coffee& Ignatia& Pulsatilla& Spirit of 3ine< )leand< # )leander& Nerium )leander @$<A )leander @ <A )leander& 7aurier#rose Antidotes! 8 )l< # )leum animale aethereum& )l< cornu cer*i rectificatum& )l< pyro#animale depuratum& )leum animale dippelii @$<A Aetherisches Thieroel& Thieroel#Aether& 'irschhorn#$eist @ <A 'uile animale Antidotes! 8 )nis< # )niscus )sellus< @$<A 0elleresel& 0ellerasseln @ <A )niscus Antidotes! 8 )p< # )pium& Papa*er somniferum @$<A )pium !ohnsaft @ <A )pium Antidotes! Camphor& Coffee& Ipecacuanha Paeon< # Paeonia& ,adix Paeoniae< @$<A Paeonienwur%el @ <A Paeonia Antidotes! 8 Par< # Paris >uadrifolia @$<A 9ier"latt 5in"eere @ <A Parisette a (uatre feuilles Antidotes< Coffee Petr< # Petroleum& )leum Petrae< @$<A 8ergoel& Steinoel @ <A PQtrole Antidotes! Nux 9omica Petros< # Petroselinum sati*um& )pium Petroselinum @$<A Petersilie<

1H?

@ <A Persil Antidotes! 88 Phell< # Phellandrium a(uaticum& Semini foeniculi a(uatici @$<A 3asser enchel @ <A enouille d-eau& Phellandre a(uati(ue& Cigue a(uati(ue Antidotes! 8 Phos< # Phosphorus @$<A Phosphor @ <A Phosphore< Antidotes! Camphor& Coffee& Nux 9omica& 3ine< Phos< Ac< # Phosphori Acidum& Acidum Phosphoricum @$<A Phosphorsaure @ <A Acide phosphori(ue Antidotes! Camphor& Coffee Plat< # Platinum& Platigna @$<A Platina @ <A Platine Antidotes! Pulsatilla Plum< # Plum"um !etallicum @$<A 8lei @ <A Plom" Antidotes! Alum<& 8elladonna& 'yosciamus& )pium& Platina& Stramonium& 5lectr< Prum< # Prunus spinosa @$<A Schlehdorn @ <A Prunier Qpineux Antidotes! 8 Psor< # Psorinum @$<A Psorin& 0rat%stoff @ <A Psorine Antidotes< Silica< Puls< # Pulsatilla nigricans& Anemoni Pratensis @$<A 3iesen Anemone& 0uchenschelle @ <A Pulsatille& AnQmone des prRs& Co(uelourde Antidotes! Chamomila& Coff<& Ignatia& Nux 9omica< ,an< # ,anunclus 8ul"osus @$<A 0nolliger hahnenfuss @ <A ,enoncule "ul"euse Antidotes! G Pulsatilla& Coffee& 3ine ,an< Sce< # ,anunculus sceleratus @$<A 8user 'ahnenfuss& $iftiger 3asser 'ahnenfuss& 3assereppich& roschpfeffer& $eit%"lume< @ <A ,enoncule *QnQneuse Antidotes! Pulsatilla& Coffee& 3ine ,at< # ,atanhia& 0rameriae triandriae radix @$<A ,aatanhia 3ur%el

1HC

@ <A ,atanhia& 0ramer a trois Qtamines Antidotes! 8 ,hm< # ,heum& ,adix ,hei Palmati @$<A Si"irische Schneerose @ <A ,hododendron& ,osage a fleurs "lanches Antidotes< ,hus ,hus< # ,hus toxicodendron& ,hus radicans& @$<A $ift Sumach& 3ur%el Sumach @ <A Toxicodendron& Sumac *QnQneux Antidotes! 8ryony& Camphory& Coffee& Sulphur ,ut< # ,uta $ra*eolus @$<A ,aute @ <A ,ue sau*age Antidotes< Camphor< Sa"ad< # Sa"adilla& 9eratrum Sa"adillae& Semen Sa"adillae @$<A Se*adille samen @ <A Se*adile Antidotes! Camphor& Pulsatilla< Sa"in< # Sa"ina& /uniperus Sa"inae @$<A Sade"aum @ <A Sa"ine Antidotes< Camphor Sam"< # Sam"ucus nigra @$<A 'ollunder& lieder @ <A Sureau ordinaire Antidotes! 8 Sass< # Sassaparilla& Smilax Sassaparilla @$<A Sassaparille @ <A ,acine de Salsepareille Antidotes! 8 Sec< # Secale cornutum @$<A !utterkorn @ <A Seigle ergote Antidotes! Camphor& Solanum Nigrum Sel< # Selenium @$<A Selenium metallum @ <A SQlQnium Antidotes! 8 N< 8< 3ine and 8ark increase the symptoms< Sen< # Senega& Polygala Senega @$<A Senega 3ur%el @ <A Polygale de 9irginie Antidotes! Arnica& 8elladonna& 8ryony& Camphor< Senn< # Senna Alexandrina& olia Sennae& Senna @$<A Sennes"latter

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@ <A Sene Antidotes! Chamomila Sep< # Sepia& Sepiae succus @$<A Sepiensaft< @ <A SQpia Antidotes! 9egeta"le Acids& Aconite& Sweet Spirit of Nitre& 5metic Tartar< Sil< # Silicea& Terra silicea @$<A 0ieselerde @ <A Silice Antidotes! Camphor& 7i*er of Sulphur Sol< !< # Solanum mammosum< @$<A Bit%en Nachtschatten @ <A Solanum mammosum Antidotes! 8 Sol< N< # Solanum nigrum @$<A Schwar% Nachtschatten @ <A Solanum noir< Antidotes! Secale cornutum Spig< # Spigelia anthelmia @$<A Spigelie @ <A SpigQlie#anthelminti(ue Antidotes< Camphor Spong< # Spongia marinia tosta @$<A ,oste Schwamm& 8ade Schwamm @ <A 5ponge Antidotes< Camphor S(uil< # S(uilla maritima& scilla maritima& Scylla !< @$<A !err%wie"el @ <A Scille Antidotes< Camphor Staph< # Staphisagria& Delphinium Staphisagria& Semine Staphisagriae @$<A Stephanskraut& Stephanskorner @ <A Staphisaigre Antidotes< Camphor Stram< # Stramonium& Datura Stramonium @$<A Stechapfel @ <A Pomme Qpineuse Antidotes! 9egeata"le Acid& Nux 9omica& To"acco Stront< # Stroniana car"onica& Strontiae car"onas @$<A 0ohlensaurer& Strontian @ <A Strontiane Antidotes< Camphor Sulph< # Sulphur @$<A Schwefel @ <A Soufre Antidotes! Camphor& Chamomila& !ercury& Nux 9omica& Pulsatilla& Sepia

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Sulph< Ac< # Sulphuris acidum& Acidum Sulphuricum @$<A Schwefel#saure& 9itriol#saure @ <A Acide sulfuri(ue Antidotes! Pulsatilla Ta"< # Ta"acuum& Nicotiana Ta"acum @$<A Ta"ak @ <A Ta"ac Antidotes! Camphor& Ipecacuanha& Nux 9omica Tan< # Tanacetum *ulgare @$<A $emeiner ,ainfarrn @ <A Tanassie Antidotes! 8 Tar< # Taraxacum& leontodon Taraxacum @$<A 7owensahn @ <A Dent de 7ion& Pissenlit Antidotes! 8 Tart< # Tartarus emeticus& Tartarus sti"iatus& Antimonium s& Sti"ium tartaricum& Antimonii et potassae tartras @$<A 8rech 3einstein& 3einsteinsaures Spies%glan% @ <A Tartre QmQti(ue Antidotes! Ipecacuanha& Pulsatilla< Tart< Ac< # Tartari Acidum& Acidum Tartaricum @$<A 3einstein saure @ <A Acide tartari(ue Antidotes! 8 Tere"< # Tere"inthina& )leum Tere"inthinae @$<A Terpentin#oel @ <A 'uile de TQrQ"enthine Antidotes! 8 Teuc< # Teucrium marum *erum @$<A 0at%enkraut @ <A Teucrium& 'er"e aux chats& $ermandree maritime Antidotes! 8 The< # Thea caesarea @$<A 0aiser Thee& Chinesischer Thee @ <A ThQ Antidotes! Chin& errum& Thu2a< Ther< # Theridion curassa*icum @$<A Theridion @ <A ThQridion Antidotes! 8 Thu2< # Thu2a occidentalis @$<A 7e"ens"aum saft @ <A Thu2a occidental& Thu2a du Canada Antidotes< Camphor

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Tong< # Tongo& 8aryosma tongo& dipterix S< couma#rouma odorata @$<A Tongo 8hone @ <A Tongo Antidotes! 9egeta"le Acids .*a< # Ar"utus u*a ursi @$<A 8arentrau"e @ <A 8oussirole Antidotes! 8 9al< # 9aleriana minor S< offic @$<A 8aldrian @ <A 9alQriane Antidotes! 8elladonna& Camphor& Coffee& !ercury 9erat< # 9eratrum al"um @$<A 3eisse Niesswur% @ <A 'elle"ore "lanc Antidotes! Aconite& Arsenic& Camphor& Coffee& Peru*ian 8ark< 9er"< # 9erascum thapsus @$<A 0onigsker%e @ <A 8ouillon 8lanc Antidotes! 8 9inc< # 9inca minor @$<A 8arwur%el @ <A !uguet de 8ois Antidotes! 8 9iol< )d< # 9iola )dorata @$<A 3ohlriechendes 9eilchen @ <A 9iolette odorante Antidotes! 8 9iol< Tric< # 9iola Tricolor& /acea @$<A reisam 9eilchen& Stiefmutterchen @ <A PensQe Antidotes! 8 Binc< # Bincum @$<A Bink @ <A Binc Antidotes! Camphor& 7i*er of Sulphur& Ignatia

111