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UNITED STATES OF AMERICA.
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V.HO-
THE
Twelve Tissue Remedies
OF
SCHUSSLER,
COMPRISING THE THEORY, THERAPEUTIC APPLICATION,
MATERIA MEDICA, AND A COMPLETE REPERTORY
OF THESE REMEDIES.
HOM030PATHICALLY AND BlO-CHEMICALLY CONSIDERED.
WILLIAM BOERICKE, M. D.,
Professor of Materia Medica and Therapeutics in the Hahnemann Hospital College, of
San Francisco, Member of the California State Homoeopathic
Medical Society, American Institute of
Homoeopathy, etc.,
WILLIS A.^DEWEY, M. D.,
Professor of Materia Medica in the. University of Michigan Homoeopathic Medical
College, Corresponding Member of the British Homoeopathic Medical
Society and of La Societe Francaise d' Homoeopathie,
Member of American Institute of
Homoeopathy, etc.
Fourth Edition, Rewritten and Enlarged.
PHILADELPHIA :
BOERICKE & TAFEL. 1899.
32369
COPYRIGHT BY BOERICKE & TAFEL. 1899.
TWO COPIES RECEIVED.
T. B. & H. B. COCHRAN, PRINTERS, LANCASTER, PA.
PREFACE.
The steadily increasing demand for this work has exhausted three large editions and necessitated the preparation of a fourth edition. What was intended originally as a mere suggestive guide to the use of a set of valuable remedies has developed by the demands of the profession into a volume comprising the whole of our present therapeutic knowledge of the so-called Twelve Tissue Remedies.
Compilation largely from every available source has to supple- ment the authors' personal experience and knowledge of these remedies. All the published data have been made use of but thoroughly sifted and critically examined. Thus presented, we believe this fourth edition will be found a reliable guide to the use of the Tissue Remedies in disease, not only as far as possible, according to the distinctive theory of Schiissler, as corrected and modified by him up to the time of his death, but especially ac- cording to the finer and more discriminating method of Hahne- mann. Seven German editions of Schiissler's " Abgekiirzte Therapie" have been published since the last edition of this work was issued, the therapeutic development of these remedies has made wonderful strides, and our periodical literature during the past few years has contained many records of cures wrought by them. All this has been incorporated and this work, in its present complete and revised form, is the only adequate presenta- tion of the therapeutic possibilities of the Tissue Remedies in our school.
We trust that the same consideration accorded to previous edi- tions will be extended to this by an indulgent profession.
William Boericke, M. D.,
San Francisco, Cal. W. A. Dewey, M. D.,
Ann Arbor, Mich, January i, 18pp.
Preface to First Edition.
The following treatise on the Twelve Tissue Remedies con- tains all that Schiissler himself wrote on the subject, and em- bodies as well the whole published experience of the homoeo- pathic school in their use, besides much original matter from some of our homoeopathic practitioners now published for the first time. Our aim has been to give to the profession a complete work on the subject, because we recognize the great value and importance of the Tissue Remedies, and in doing this our work necessarily was one mostly of compilation and arrangement. Every available source from the whole of our journalistic litera- ture and Society proceedings has been made to pay tribute to us; and however imperfect, fragmentary and crude the present work is, we know that it is complete, so far as present circumstances will permit.
We believe that the only hope for the future development of these magnificent remedies lies in their study, mainly according to the method of Homoeopathy; that they should all be as carefully proved as Natrum mur. and Silicea already are, and that the results of such provings alone will furnish the most accurate in- dications for their therapeutic uses. Only by careful provings will the permanency of these remedies be secured, and they them- selves be preserved from the possible fate of so many newly intro- duced remedies.
Thorough and systematic proving of drugs on the healthy is the one true method for the development of our Materia Medica: but this, from its very excellence, is a thing of slow growth, and the temptation could not be resisted to seek other and shorter methods, always more or less questionable, but sometimes yielding ad- mirable results. The most important of such deviations from the strictly classical method of proving on the healthy was the ac- ceptance of Clinical Symptoms; used cautiously, this source can be of inestimable value, as much of our clinical experience proves.
Why may not the same results follow, by accepting tentatively,
6 PREFACE.
and for the time, Schiissler's theories of the respective spheres of actions of his remedies and the indications based thereon, which, to say the least, are bold and often brilliant recommendations for their employment in disease ?
Here, in the absence of regular provings of them, we can avail ourselves of this source and enrich our Materia Medica with some remedies that will compare favorably with many polychrests.
Whatever opposition there may be in our ranks to Schiissler's methods, because it is not pure homoeopathic practice, we believe would speedily disappear if all critics could join in proving and confirming these valuable remedies, introduced first to American Homoeopathy by our own Hering, who surely could not be ac- cused of fathering and furthering anything absolutely mongrel and detrimental to the best interests of our school.
We do not sympathize with the attempt of Schiissler and a few others to look upon the Tissue Remedies as being sufficient for all purposes — provings alone can verify this. For the present, we think, with Dr. J. C. Morgan, that Schiissler throws away a great and necessary complement to his Materia Medica in discarding all organic drugs, as Bellad., Hyos., Aeon., etc , which really make the Tissue Remedies more valuable, acting as the opposite blade of the scissors; without these they would often remain incom- plete in curative action and might be blamed for the inevitable. We, therefore, have included in our study of the Materia Medica the homoeopathic relationship, at present merely suggestive, but a department which, we hope, will be greatly enlarged at some future time.
To those who, by kind encouragement and contributions of clinical cases and observations, have given us valuable assistance in the preparation of the present volume, we desire to express our gratitude and indebtedness, prominent among whom are Prof. Samuel Lilienthal, who kindly placed his valuable library at our disposal; Professors J. C. Morgan, S. Powell Burdick, C. B. Currier, Henry C. Houghton, Wm. E. Leonard, and Drs. Horace F. Ivins, C. E. Fisher, A. P. Davis, I. E. Nicholson, G. H. Martin, and many others whose names are mentioned throughout the work.
William Boericke, M. D. W. A. Dewey, M. D.
San Francisco, Jan. 2, 1888.
Preface to the Second Edition.
The; present edition has been thoroughly revised and enlarged by the addition of all the facts relating to the Tissue Remedies that have accumulated for the past two years. In its present state, the book represents the complete presentation of the Bio- chemical Treatment of Disease by means of the Twelve Tissue Remedies. In order not to increase unnecessarily the bulk of the volume, a number of the clinical cases of the previous edition have been omitted, to make room for new matter and fresh clinical illustrations by the best authorities. The Materia Medica part of the work has been brought up to date by the incorporation of the results of late provings, and we feel indebted especially to Dr. H. C. Allen, of the Medical Advance, Hering's Guiding Symptoms, and Prof. T. F. Allen's magnificent work, the Handbook of Materia Medica, which include much of interest about these remedies. These Tissue Remedies are too precious to be used only on the pathological indications laid down by Schiissler: they all merit careful proving in order to obtain the finer and more distinctive points for their therapeutic application; this has been done with several, and will undoubtedly be carefully done with all. Not until then will the Twelve Tissue Remedies take their rightful position permanently in our Materia Medica, and prove to be polychrests of the highest order.
We trust that this work, in its present revised form, will meet
with as favorable reception as was accorded to the first edition.
William Boericke, M. D.
W. A. Dewey, M. D. San Francisco, Jan. 2, 18 go.
IO PREFACE.
kindly and disinterestedly helped the preparation of the present volume by furnishing us with clinical material and observations.
William Boericke, M. D. Willis A. Dewey, M. D. San Francisco, Sept. i, 1892.
Table of Contents.
General Introduction, History, The Theory, Health and Disease, Preparation, Dose, Biochemic and Homoeopathic Relation- ship, etc.
II.
Materia Medica of the Twelve Tissue Remedies, Symptoms, Com- mon Name, Chemical Data, Preparation, Physiologico-Chem- ical Data, General Action, Characteristic Indications, Homoeopathic Data, Administration, Relationship, etc.
III.
Therapeutic Application of the Twelve Tissue Remedies, com- prising INDICATIONS AND CLINICAL CASES, ALPHABETICALLY AR- RANGED.
IV.
Repertory of the Twelve Tissue Remedies, arranged upon a Pathologico-Anatomical Basis.
PART I
Introduction to the Theory and General Sketch of the Twelve Tissue Remedies.
HISTORY OF THE TISSUE REMEDIES.
Samuel Hahnemann, whose genius divined the great im- portance of the inorganic cell salts as remedial agents of a high order, was the first who began thorough investigation into their pathogenetic effects and therapeutic uses. It was his provings of Lime and Salt and Potash that prepared the way for the rest of the Tissue Remedies, that showed what vast store-houses of medicinal force these inorganic sub- stances are, although wholly inert in their crude state. He it was who first pointed out how these forces could be un- locked and directed for therapeutic purposes. Later, in 1832, attention was called in a paper published in Stapf's Archiv to the great importance as remedies of all the " essential com- ponent parts of the human body," and again, in the same journal, in 1846 : "All constituents of the human body prin- cipally act on those organs wherein they have a function. All fulfill their functions when they are the cause of symp- toms." This from the pen of that remarkable genius in the field of Materia Medica — Constantine Hering.
Later still, we find Grauvogl, in his Text-Book, taking some notice of these remarks and amplifying them ; but it remained for Dr. Schiissler, of Oldenburg, Germany, to develop these suggestions and make the idea foreshadowed in them the basis
00
of a "new system." In March, 1873, an article, entitled UA Shortened Homoeopathic Therapeutics" from his pen, was pub- lished in a German Homoeopathic journal, in which he says :
14 THE TWELVE TISSUE REMEDIES.
"About a year ago I endeavored to discover by experiments on the sick if it were not possible to heal them, provided their diseases were curable at all, with those substances that are the natural, i. e., the physiological function-remedies." Of this no special notice seems to have been taken, until, five months subsequently, Dr. Lorbacher, of Leipzig, came out in the same journal with some critical considerations of it. This was fol- lowed by a reply from Schussler, which ran through seven numbers, giving a more detailed account of this "Abridged System of Homoeopathic Therapeutics," the important features of which are incorporated in this work.
The original communication from Schussler to the German journal was translated into English, and published first in the Medical Investigator, May, 1873, and soon afterwards in a small work, by Dr. C. Hering, entitled the " Twelve Tissue Remedies," "recommended for investigation " by this great teacher of our school. Several editions were published in rapid succession, from which this historical sketch is mainly derived, and following these appeared the translation of the twelfth German edition, by J. T. O'Connor, M. D., and one by M. Docetti Walker, considerably enlarged by the addition of an appendix popularizing the Biochemic Method. Dr. Schussler, previous to his death, which occurred early in 1898, published the 25th German edition, in which the appli- cation of several of the remedies has been greatly enlarged and considerable new matter added, all of which is incor- porated in this work. This edition has just been translated into English.
Notwithstanding that Dr. Schussler denies in the later edi- tions of his work all connection with Homoeopathy, and in- sists that his method is not based upon the homoeopathic law of cure, but upon physiologico-chemical processes that take place within the organism, it is nevertheless true that the present wide adoption of the Tissue Remedies in the treat- ment of disease is the fruit of the seed sown on homcepathic ground as early as 1832, although its development was slow until Schussler gave it a wonderful impetus by bringing
THE THEORY OF SCHUSSEER'S METHOD. 1 5
physiological chemistry and physiological and pathological facts to bear on his therapeutic procedure.
THE THEORY OF SCHUSSLER'S BIOCHEMIC METHOD.
The idea upon which Biochemic Therapeutics is based is the physiological fact that both the structure and vitality of the organs of the body are dependent upon certain necessary quantities and proper apportionment of its inorganic constitu- ents. These remain after combustion of the tissues and form the ashes.
These inorganic constituents are, in a very real sense, the material basis of the organs and tissues of the body, and are absolutely essential to their integrity of structure and func- tional activity. According to Schussler's theory, any disturb- ance in the molecular motion of these cell salts in living tissues, caused by a deficiency in the requisite amount, con- stitutes disease, which can be rectified and the requisite equili- brium re-established by administering the same mineral salts in small quantities. This is supposed to be brought about by virtue of the operation of chemical affinity in the domain of histology ; and hence this therapeutic procedure is styled by Schiissler the Biochemic method, and stress is laid on the fact that it is in supposed harmony with well-known facts and laws in physiological chemistry and allied sciences.
THE CONSTITUENTS OF THE HUMAN ORGANISM.
Blood consists of water, sugar, fat, albuminous substances, chloride of sodium, chloride of potash, fluoride of lime, silica, iron, lime, magnesia, soda and potash. The latter are com- bined with phosphoric, carbonic and sulphuric acids.
The salts of soda predominate in the blood plasma, while those of potash are found especially in the blood corpuscles. Sugar, fat, and the albuminous substances are the so-called organic components of the blood, while the above-named salts
1 6 THE TWELVE TISSUE REMEDIES.
and water constitute its inorganic components. Sugar and fat are compounds of carbon, hydrogen and oxygen, while the albuminous substances contain in addition sulphur and nitro- gen.
Sulphur, carbon and phosphorus are not present within the organism in a free state, but combined with organic sub- stances.
Sulphur and carbon are found in the albumen, carbon ii. the carbo-hydrates like sugar, starch and in the products in- cident to metamorphosis of organic substances. Phosphorus is contained in the lecithins and in the nucleins. The sulphur of the albumen is oxidized by the oxygen of the inspired air, forming sulphuric acid which combines with the bases of the carbonates, forming sulphates and setting free carbonic acid.
TISSUE-BUILDING.
Blood, containing the material for every tissue and cell of the body, furnishes nutriment for every organ, enabling it to perform its individual function ; thus it supplies every possible physiological want in the animal economy.
It does this by the transudation of a portion of its plasma into the surrounding tissues through the capillary walls, by which the losses sustained by the cells on account of tissue metamorphosis are made good. According to modern biologi- cal views, this pabulum is a material sui generis, called irritable matter or protoplasm, and is the only living matter, and is universally diffused throughout the organism, of which it con- stitutes about one-fifth, the remaining four-fifths being organ- ized and relatively, therefore, dead matter. In its physical character it is nitrogenous, pulpy, structureless, semi-fluid, translucent, homogeneous, similar to that of the ganglionic nerves and to the gray, nervous matter. In this transuded fluid appear fine granules, which unite to form germs, from which, again, cells develop. By the union of these cells are formed the tissue of every kind needed for the upbuilding of the whole organism. Two kinds of substances are needed in
FORMATION OF TISSUE CELLS. 1 7
this process of tissue-building, and both are found in the blood — namely, the organic and the inorganic constituents. Among the former organic constituents are the sugar, fat and albuminous substances of the blood, serving as the physical basis of the tissues, while the water and salts — namely, pot- ash, lime, silica, iron, magnesium and sodium — are the inor- ganic substances, which are believed to determine the par- ticular kind of cell to be built up. Other salts may from time to time be found, but the foregoing, however, embrace all which are constantly present. Wherever, then, in the animal organism, new cells are to be generated and formed, there must be present, in sufficient quantity and proper relation, both these organic and inorganic substances. By their presence in the blood, all the organs, viscera and tissues in the body are formed, fixed and made permanent in their func- tions, and a disturbance here causes disturbed function.
INORGANIC CONSTITUENTS OF CELLS.
The inorganic materials of nerve-cells are Magnes. phos., Kali phos., Natrum and Ferrum. Muscle-cells contain the same, with the addition of Kali mur. Connective tissue-cells have for their specific substance Silicea, while that of the elastic tissue-cells is probably Calc. fluor. In bone-cells we have Calc. fluor. and Magnes. phos. and a large proportion of Calc. phos. This latter is found iu small quantities in the cells of muscle, nerve, brain and connective tissue. Cartilage and mucous cells have for their specific inorganic material Natr. mur., which is found also in all solid and fluid parts of the body. Hair and the crystalline lens contain, among other inor- ganic substances, also Ferrum. The carbonates, as such, are, according to Moleschott, without any influence in the process of cell-formation.
FORMATION OF TISSUE CELLS.
The oxygen of the air, upon reaching the tissues through the blood by means of the respiration, acts upon the organic substances which are to enter in the formation of new cells. 2
1 8 THE TWELVE TISSUE REMEDIES.
The products of this transformation are the organic materials which form the physical basis of muscle, nerve, connective tissue and mucous substance. None of these substances are present as such in the blood, but are formed within the tissues from the albumen. With them, the inorganic salts form com- binations by virtue of chemical affinities, and thus new cells are formed. With the formation of new cells there occurs at the same time a destruction of the old ones, resulting from the action of oxygen on the organic substances forming the basis of these cells. This oxidation has, as a consequence, a breaking down of the cells themselves.
The ultimate results of this combustion of the organic sub- stances are the formation of urea, uric, sulphuric, phosphoric, lactic and carbonic acids, and also water. Some intermediate members of the series, as, for instance, hypoxanthin, acetic and butyric acids, etc., need not be mentioned with this therapeu- tic method, because, so far as our present knowledge of them extends, they play a very subordinate role. Urea, uric acid and sulphuric acid are the result of the oxidation of the al- buminous substances, while phosphoric acid is produced by the oxidation of lecithin contained in the nervous tissue, brain, spinal cord and blood corpuscles. L,actic acid results from the fermentation of milk-sugar, and finally breaks down into carbonic acid and water.
The final products of the oxidation of the organic sub- stances are urea, carbonic acid and water. These, together with the salts set free, leave the tissues, and thereby give place to less fully oxidized organic bodies, which in turn finally undergo the same metamorphosis.
The products of this retrograde tissue change are conveyed through the lymphatics, the connective tissue and the veins, to the gall-bladder, lungs, kidneys, bladder and skin, and are thereby removed from the organism with the excretions, such as the urine, perspiration, faeces, etc.
The importance and dignity of the function of the connec- tive tissues were established after the researches of Virchow and Von Recklinghausen led to a closer study and demon-
HEALTH AND DISEASE. 1 9
strated its fertile activity. That which formerly seemed only intended as a filling in or protective covering appears now as the matrix, in which the minute capillaries carry the plasma from the blood to the tissues and return the same to the blood vessels ; at the same time it serves as one of the most import- ant breeding places of young cells, which are capable of de- veloping out of the embryonic latent forms to the most differ- entiated structure of the body.
HEALTH AND DISEASE.
Health may be considered to be the state characterized by normal cell metamorphosis ; thus, when by means of digestion of food and drink, recompense is made to the blood for the losses it sustains by furnishing nutritive material to the tis- sues, this compensation is made in requisite quantities and in proper places, and no disturbance of the motion of the mole- cules occurs. Under these conditions alone will the building of new cells and the destruction of old ones proceed normally, and the elimination of useless materials be furthered.
Disease is the result of a disturbance of the molecular mo- tion of one of the inorganic tissue salts. The cure consists in the restoration of the equilibrium of the molecular motion by furnishing a minimal dose of the same inorganic substance, since the molecules of the material thus used remedially fill the gap in the chain of molecules of the affected cell or tissue salt.
Virchow says that disease is an altered state of the cell, and hence the normal state of the cell constitutes health. The constitution of the cell is determined by the composition of its nutritive environment exactly as a plant thrives according to the quality of soil around its roots.
In agricultural chemistry we add as fertilizer that element most lacking in the soil. But three essential substances used as fertilizers are required, namely, ammonia, phosphate of lime or potash. The other substances needful for plant nu- trition are found in sufficient quantities in the soil. The
20 THE TWELVE TISSUE REMEDIES.
same law of supplying a lack applies to biochemical remedies ; for instance, take the following example :
A child suffering with rickets shows a lack of phosphate of lime in the bones due to a disturbed molecular motion of the molecules of this salt. The quantity of phosphate of lime intended for the bones, but failing to reach its goal, would accumulate within the blood were it not excreted by the urine, for it is the office of the kidneys to maintain the proper composition of the blood, and therefore to cast out every foreign substance or surplus supply of any one constituent. Now after the normal molecular motion of the phosphate of lime molecules is again established within the involved nu- tritive soil by administering small doses of the same salt, the surplus can again enter the general circulation and the cure of the rachitis be brought about.
Every normal cell has the faculty of absorbing or rejecting certain substances. This property is diminished or suspended when the cell has suffered a loss in one of its salts in conse- quence of any irritation. As soon as this deficiency is made good by a supply of a homogeneous material from the im- mediate nutritive soil, the equilibrium is re-established. But if the supply is not offered spontaneously, it is to be assumed that the needful salt is lacking in quantity, or, on the other hand, that the diseased cells have suffered a physical altera- tion besides, which precludes the entrance of the required tissue salt. In such a case the salt must be offered in a more diluted state, that is, a higher trituration.
If the altered cells regain their integrity by recovering their loss, they can again perform their normal functions, and bring about the removal by chemical processes of morbid pro- ducts, exudations, etc. The biochemical therapeutics aids nature in her efforts to cure by supplying the natural reme- dies lacking in certain parts, that is, the inorganic cell-salts, and in this way corrects abnormal states of physiological chemistry.
The aim of biochemistry is to cover a deficiency directly. All other methods of cure reach this goal indirectly, when
DOSE OR QUANTITY. 21
they make use of remedial agents heterogeneous to the con- stituents of the human organism.
DOSE, OR QUANTITY OF TISSUE SALT REQUIRED
TO RE-ESTABLISH NORMAL CELL
EQUILIBRIUM.
Biochemic remedies are administered in minimal doses.
The curative virtue of small doses may be deducted from the following facts :
Throughout nature, atoms and groups of atoms or molecules form the basis of her operations. The growth of animals and plants is the accretion of new atoms or groups of atoms to the existing mass of molecules.
In view of the fact of the action of light, itself imponder- able, causing molecular movements in living plants by which carbonic acid is decomposed into carbon and oxygen, and again the action of light on the photographic plate and retina of the eye, it seems impossible of contradiction that infinitely small imponderable particles of matter can act upon the liv- ing body. The use of small doses in biochemical treatment is a chemico-physiological necessity. For instance, it is de- sired to have Glauber's salt reach the blood. It cannot be done by giving it in a concentrated solution. Only the intestinal canal is affected thereby, producing a watery diarrhoea in which the salt is cast out from the organism. But a diluted solution of this salt (Natrum sulph.) will enter the blood and intercellular fluids from the mouth and oesophagus ; and by virtue of its hygrometric property will induce passage of an excess of water in the tissues into the venous blood, and an increase of urinary secretion.
Every biochemic remedy must be sufficiently diluted to avoid destroying the function of healthy cells, and to restore disturbed function wherever present.
In the healthy organism, animal or vegetable, the salts are found in solution, corresponding to the third, fourth and fifth decimal dilution of medicines.
22 THE TWELVE TISSUE REMEDIES.
The following table of analysis of blood cells in relation to the human organism will show this :
In 1,000 grammes of blood cells the amount of inorganic substances are, according to Bunge's " Text-book of Physio- logical and Pathological Chemistry," as follows :
Iron 0.99S
Kali sulph 0.132
Kali mur 3.079
Kali phos 2.343
Natrum phos 0.633
Natrum 0.3.44
Calc. phos 0.094
Magnes. phos 0.060
In 1,000 grammes of intercellular fluid (plasma) the pro- portion of inorganic substances is the following :
Kali sulph 0.281
Kali mur 0.359
Natrum mur 5-545
Natrum phos 0.27!
Natrum 1-532
Calcar. phos 0.29S
Magnes. phos 0.218
Natrum sulph., Fluor., and Silica, traces.
Compare with these analyses that of milk. Of this i litre or 1,000 grammes, contains
Kali .\ . 0.780
Natrum 0.230
Calcarea 0.330
Magnesia 0.060
Iron 0.004
Phosphoric acid 0.470
Chlor 0.440
Fluor., and Silica, traces.
One litre (a little over a quart) suffices for the daily food of an infant weighing about 6 kilogrammes (13^ pounds).
Now if 6 centigrammes (3.5 of a grain) of magnesia are sufficient to cover the needful daily supply of magnesia for an infant, how minute must be the dose of magnesia to be given for a neuralgia which is caused by an inconceivably small deficiency of this salt in a minute portion of the nerve tissue.
DOSE OR QUANTITY. 23
The mineral contents of one cell are infinitely small. Ac- cording to the calculations of C. Schmidt, the physiologist, each blood corpuscle contains about one-billionth part of a gramme of Kali mur. This corresponds to the twelfth deci- mal trituration.
Similarly active in very small doses are some of the reme- dies used by the old school ; for instance, corrosive sublimate, of which Prof. Hugo Schulz says that a solution of 1-600,000 to 1-800,000 brings about quite powerful fermentation, one far above the normal, in a grape sugar solution to which yeast has been added. (See Berliner Klinische Wochenschrift, Nov. 4, 1889.)
The inorganic substances which serve plants for nutrition are taken up by them only in minimal quantities. Liebig, in his chemical letters, observes that the strongest manure of earthy phosphates in a coarse powder cannot be compared in its action with a much smaller quantity finely divided, which by its sub-division can be diffused throughout the soil. Each rootlet requires but a small quantity of nourishment where it is in contact with the soil, but for its functional activity and existence it is requisite that this minimum be present just at that spot. The insoluble mineral substances found in the soil must be dissolved by the acid juices of the fibres of the root before they can reach the vegetable organism.
A mineral, when it reaches the human stomach, is acted upon by the muriatic acid contained in the gastric juice. If this is a salt of iron, the chloride will be formed. Now if it is desirable to administer the phosphate of iron for thera- peutic purposes, it must be kept out of the stomach. For this purpose a minimal dose is required — the medicine must be diluted to such a degree that its molecules may penetrate the epithelium of the mouth, pharynx, oesophagus and reach the blood through the capillary walls. Those substances that are insoluble in water must be triturated to the sixth decimal potency at least ; those soluble in water may penetrate the epithelial cells in lower dilutions.
In some of the mineral waters, the mineral salts are present
24 THE TWELVE TISSUE REMEDIES.
only in quantities corresponding to the 6th and 8th decimal dilutions ; thus in the waters of Rilchingen Magnesia phosph. is present only in the 8th, Kali mur. in the 5th and Silicea in the 6th dilution.
Dr. Behneke, in his balneological letters, correctly observes that the relative proportion and the degree of concentration in which the salt is present in the mineral water is of great im- portance. Many of the most famous springs owe their good results to the fact that the curative constituents are present only in greatly diluted states, and that the best results are fre- quently obtained from doses usually considered very minute.
The adaptability of minimal doses to the end in view is in entire harmony with physiological and chemical facts, as may be seen from the following words of Professor Valentin, the well-known physiologist :
" Nature works everywhere with an infinite number of small magnitudes, which, whether in homogeneous or hetero- geneous aggregations, can only be perceived by our relatively obtuse organs of sense when in definite masses. The smallest picture which our eyes perceive proceeds from millions of waves of light ; a granule of salt that we are hardly able to taste contains myriads of groups of atoms which no sentient eye will ever view."
This fact is also illustrated by the well-known experiments of Professors Kirchoff and Bunsen with common salt by tak- ing three milligrammes (less than ^ of a grain), which are blown into a room containing 60 cubic metres of air. In a few minutes sodium lines appear in a flame standing at a con- siderable distance, which can be distinguished by the unaided eye.
Modern science gives numerous illustrations of the power of infinitesimal quantities. We will refer only to very few : one is by that most excellent observer, Darwin. In his work on Insectivorous Plants he says : " It is an astonishing fact * * * * that so inconceivably minute a quantity as 1—20,- 000,000 of a grain " [a much smaller quantity than the 6th decimal trituration, the usual prescribed strength of the Tissue
DOSE OR QUANTITY. 25
Remedies] " of ammonia phosphate should induce changes in a gland, sufficient to cause a motor impulse to be sent down the whole length of the tentacle, this impulse exciting move- ments through an angle of about 1800."
Now, although the presence of common salt can be per- ceived by the nerves of taste, even if the crude salt touch the peripheral ends of these nerves, still in such a crude and un- diluted form it is questionable whether the salt can enter and be taken up by the ducts of the neurilemma. For this pur- pose it seems much more reasonable to suppose that the de- gree of attenuation attained by the triturations is more appro- priate to meet the want of the required molecules of salts.
Atropin, even when diluted more than a million-fold, pro- duces, according to Reuter, dilatation of the pupil in man and the lower warm-blooded animals.
A litre (a little more than a quart) of milk contains about four milligrammes of iron, and a child nourished upon milk only receives therewith less than one milligramme or g1. of a grain of iron at a dose. If four milligrammes repre- sent the daily supply of iron contributed to the nourishment and growth of the child (for it is distributed to all the iron- bearing cells of the organism), how small should be the dose, therapeutically considered, of a salt of iron given to allay a molecular disturbance occurring in a small cell territory, such a disturbance, for instance, as determines the hyperemia of irritation ?
The amount of fluorine contained in milk has, as yet, not been quantitatively determined ; the amount of it in the organ- ism is much less than that of iron. It may be assumed that the amount of fluorine contained in milk is represented by a tenth of a milligramme ; therefore, one milligramme of calcium fluoride, pro dost, if prescribed as a remedy, would be a large dose.
The dose of a remedy prescribed according to chemical thera- peutics had better be too small than too large ; for if too small a repetition of it will attain the desired end, but if too large it will fail to accomplish the purpose in view.
26 THE TWELVE TISSUE REMEDIES.
Large doses of iron, given to cure chlorosis, disorder the stomach, pass off unused with the faeces, and in most cases leave the disease unaffected.
Hydrochloric acid, when diluted a thousand-fold with water, dissolves with ease at the temperature of the body fibrin and gluten, and this solvent power does not increase, but dimin- ishes, if the proportion of acid in the dilution be increased. — Liebig's Chemical Letters, vol. ii, p. 119.
PREPARATION AND DOSE.
The Tissue Remedies are prepared for therapeutic purposes, like all homoeopathic remedies, according to the decimal or centesimal scale in trituration or solution. The crude, chemi- cally pure article is taken and triturated with sugar of milk, one part of the drug to nine parts of sugar of milk, for at least one hour. This gives the first decimal trituration, each grain containing one-tenth of a grain of the cell salt triturated.
One part of this first decimal trituration is then used, and other nine parts of sugar of milk added and again triturated one hour, which gives the second decimal trituration, and is equivalent to the first centesimal trituration, each grain con- taining one-hundredth of the triturated cell salt. But expe- rience has shown, as may be seen, too, from the illustrations above that even this minute subdivision is too gross for many purposes in the animal economy, and so this triturating and subdividing process has been kept up to the sixth, twelfth and even higher preparations.
SCHUSSLER'S OWN PROCEDURE.
At first Schussler began with the sixth centesimal or twelfth decimal trituration ; but he, very early in his practice, adopted the sixth decimal preparation as the one most generally use- ful. Lately the lower triturations of Potassium and Sodium salts, the third decimal, of others the fourth and fifth, have been productive of equally good results. In the last edition of his " Abgekilrzte Therapie " he says on this point : "In
FREQUENCY OF DOSES. 27
my practice I employ the sixth decimal trituration generally. Ferrum phos., Silicea and Calcarea finor. I usually give in the 1 2th trituration. In acute diseases, a dose consisting of a powder, size of a pea, should be given every hour or two ; in chronic diseases 3 or 4 times daily. The powder may be given dry on the tongue, or dissolved in a spoonful of water."
We, ourselves, have had the most satisfactory results from the sixth decimal trituration, rarely going higher, at times lower, and generally we prefer to give the selected remedy in solution by dissolving a good-sized powder in a tumbler, half full of water, and administering teaspoonful doses every hour or two.
If liquid solutions are used, a few drops may be dissolved in water, or pellets or disks may be saturated and given in that way. The latter is especially to be recommended with children.
FREQUENCY OF DOSES.
In acute cases, a dose every hour or two ; in severe, painful affections, a dose every ten to fifteen minutes ; in chronic affec- tions, one to four doses daily.
In suitable cases the external use of the remedies is indi- cated and has been found useful. For this purpose the second or third and even the sixth trituration may be used.
In determining the dose of a biochemic remedy, the amount of the morbid product involved is no important factor. For instance, a very small deficiency of Natrum mur. in the cells of the epithelial layer of a serous sac may give rise to a massive serous exudation ; and as minute a supply of Natrum mur. corresponding to the deficiency may bring about a complete resorption of the exudation.
Guided by the relative quantities of the cell salts, each practitioner can select the proper dose of the indicated bio- chemic remedy.
One milligramme (1-100 grain = to the 2d decimal tritura- tion) of a substance is estimated to contain 16 trillions of
28 THE TWELVE TISSUE REMEDIES.
molecules. According to this estimate, the 6th decimal tritura- tion of it would contain about 16 billions ; this quantity is more than sufficient to restore disturbed molecular motions to the normal.
It may be urged as an objection that the molecules of a given salt administered as a medicine would unite with their like contained in the blood, and thus render illusory any cura- tive attempt. But this combination cannot take place simply because the carbonic acid present in the blood forms an isolat- ing medium of the salts.
RELATIONS OF THE BIOCHEMIC TO THE HOMCE- OPATHIC TREATMENT.
Often the question has been asked, " Is Schusslerism Homoe- opathy ?" and it has as often been answered in the affirmative as in the negative. Schiissler himself claims that it is not in any way related to Homoeopathy, and puts Biochemistry for- ward with an evident desire to become the founder of a new system of medicine.
He claims with others that the Tissue Remedies act by sup- plying deficiencies. This idea, taken literally, seems errone- ous ; for example, in a disturbance of the molecules of Natr. mur. there is not necessarily a deficiency in the amount of Natr. mur. in the body, but rather a lack of continuity in the arrangement of the existing molecules in the body. This salt given as a remedy does not supply a lack or deficiency of salt, as the quantity given is usually too infinitesimal for that pur- pose, and were this the case it might be given in quantity with food and drink with the desired effect. The deficiency that it does supply in minimal doses is in the arrangement of the equilibrium of the chain of Natr. mur. molecules in the affected tissues as before explained, thus causing them to per- form their function properly ; for, since the deficit is a molecu- lar one, the supply must also be molecular.
This idea of the action of remedies is not new, as any one who has carefully perused the works of that astute observer,
BIOCHEMIC TREATMENT.
29
Von Grauvogl, can testify. Many of Schiissler's ideas may be seen foreshadowed in Grauyogl and Hering.
It has always been a matter of dispute as to how our homoeopathic remedies act. The question, embracing as it does that of infinitesimal doses, is one of the most vital for Homoeopathy, and one that even at this day exposes us to the ridicule of our old-school brethren.
We present the hypothesis that Homoeopathy and Bio- chemistry are quite similar ; that Biochemistry offers a rational explanation of the homoeopathic action as contained in that law of Hahnemann, Similia Similibus Curantur /
The following table shows, so far as analyses have been made, that the twelve tissue salts are constituents of many of our well known and proved remedies of the vegetable
kingdom
Table.
Ferr. phos.
China, Gelsem., Veratr., Aeon., Arnica, Ail., Anis. stel., Phytol, Berb. vulg., Rhus, Asaf. (4.), Viburn. pr., Secale (.25), Graphite (2.74).
Calc. phos.
China, Viburn. pr., Ail., Phytol., Berb. vulg., Coloc. (2.7), Graphite.
Natr. phos.
Rheum, Ail., Anis. stel., Hamam.
Kali phos.
Pulsat., Bapt., Rhus, Veratr., Epiphegus, Viburn. pr., Digit , Cimicif., Cactus gr., Stramon., Xanth., Ail., Anis. stel., Hamam., Phytol.
Kali mur.
Phytol., Sanguin., Stilling., Pinus c, Asclep. , Viburn. pr , Ail., Anis. stel., Hamam., Cimicif.
Natr. mur.
Cedron, Arum tr., Ail., Anis. stel., Hamam., Cimicif., Secale (.50).
Calc. fluor.
Phytol.
Silicea.
Equisetum (nearly 18.2), Cimicif. (4.), Chelidon., Graphite (13.), Secale (.15).
Calc. sulph.
Apocyn., Ail., Asaf. (6.2).
Natr. sulph.
Apocyn., Iris v., Chamom., Chionanthus, Lycop., Bryon., Podoph., Chelid., Nux vom., Anis. stel., Hamam., Cimicif.
Kali sulph.
Pulsat., Hydrast., Myr. cer., Cimicif., Phytol., Viburn. pr., Anis. stel., Hamam.
Magnes. phos.
Viburn. op., Bellad., Lobel , Stramon., Viburn. pr., Ail., Secale (.50), Coloc. (3), Gelsem., Rhus, Graphite.
The figures in the above table indicate the percentage.
30 THE TWELVE TISSUE REMEDIES.
This table is a very incomplete one, as analyses have only been made of comparatively few of the remedies of the animal and vegetable kingdoms that we use ; and many of these an- alyses have been made so crudely as only to note the presence of these salts in them, not giving their proportions. To do this accurately would entail much time and expense. Of course this, to the allopath, is a question of no moment what- ever ; but to us, as homoeopaths, who deal with infinitesimals, such an enormous quantity as 18.2 per cent, of Silicea occur- ring in Equisetum ; 6 per cent, of potash and sodium salts occurring in Haviam.; 4 per cent, of Silicea in Cimicif.; 3 per cent, of Magnes. phos. in Coloc, as well as other inorganic constituents in varying quantities, becomes a matter of vital importance. Could we have an exact quantitative and pro- portionate analysis of any one drug from the animal or vege- table kingdom, we could then dissect its symptoms and tell which belonged to one tissue salt and which to another ; and it is highly probable that we, by this means, could easily ex- plain why the symptoms of one drug are so often found under the pathogenesis of another, why one is characteristic in one drug and only generic in another, when, indeed, it may not rightly be- long to either, but to an inorganic tissue salt, a constituent of each drug.
Perhaps the drug of which as complete an analysis has been made as of any is Phytolacca decandra. After evapora- tion and incineration, which remove the organic constituents, there remain 8.4 per cent, of the inorganic ; of these, 6.8 per cent, are soluble and consist mostly of the salts of potash, while the insoluble remainder, 1.6 per cent, consists of cal- cium, iron and silica. If we compare the pathogenesis of Phytol. with the biochemical application of these salts, we shall see a striking and significant analogy. As the largest quantity of the inorganic salts therein contained is potash, we shall find that more symptoms of Phytol. correspond to the Kalis, while fewer symptoms correspond to the calcium, iron and silica. The following table illustrates this :
BIOCHEMIC TREATMENT. • 3 1
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32 -THE TWELVE TISSUE REMEDIES.
Were' the analysis quantitatively correct, we should prob- ably find some Natr. nmr., as one of the prominent symptoms of Phytol. is acrid, watery discharge from the nose.
This would explain why we have different sets of symptoms under one homoeopathic drug, appearing to antagonize each other — each is produced by a different tissue salt.
This much for the vegetable and animal kingdom, sub- stances that can be reduced by analysis to elementary bodies. In the mineral kingdom the action is somewhat different. Nothing need be said of such remedies as are compounds of sulphur and phosphorus, as they derive their medicinal power by combinations which form tissue salts. The carbonates become transformed into the phosphates ; this disposes of such drugs as Kali card.., Calc. card., Magnes. card., etc.
There only remain the minerals, such as Aurum, Platinum, Argentum, etc. These in a crude state are acknowledged inert, and we triturate them to develop their power. In the crude state they do not appear to be materially changed by any of the organic acids of the body. When we finally divide these they still remain the same, but a new power has been developed in them, a catalytic power.
Examples of catalytic power are, unfortunately, very few. Of the known ones is the following :
Platinum in mass produces no change — no combination of oxygen and hydrogen — as it will do, as chemistry teaches us, when it is finely divided, without being changed itself.
This is catalysis, wherein one body produces changes in another without itself being changed. The wherefore of this action is not known, but it still remains a fact. Catalysis is contact action, and by this contact action, mineral drugs act inert in the crude state, by trituration a contact action is developed, which causes changes, and when given to the healthy produces symptoms.
This rationally explains how inert substances acquire by subdivision (trituration) medicinal properties. This has long been a stumbling-block to allopathic comprehension of Homoeopathy.
BIOCHEMIC TREATMENT. 33
Do we not when we prove a drug — that is, administer it to the healthy to produce symptoms — and nearly all our homoeo- pathic provings are made, more or less, with the potentized drug, which process also potentizes the inorganic salts therein contained — do we not produce a disturbance in the molecular equilibrium of the tissue salts contained in the drug given ? For example : When we give Phytol. to prove it, do we not, by virtue of 6.8 per cent, of potash salts it contains, cause a molecular disturbance of these salts, which would not occur were they given in so crude a form as not to be taken up by the ducts of the neurilemma of the nerves of taste, etc.?
This disturbance is only to be corrected when arising from disease by giving Phytol. in potency, the potash salts in it being the part which gives it its curative power.
This view by no means takes away the fact that each drug is an entity, to be proved as a whole.
But these very salts in certain proportions are its essential substratum, whose presence is necessary to fix, determine and embody the inner essence of the drug ; and it is a question to be decided whether we could obtain the same results by giving the inorganic salt constituents of a drug as by giving the drug itself. It seems to us, were it possible, that the former would be a more elementary Homoeopathy, and this an indirect Bio- chemistry.
Schiissler, in several of his editions, admits this and says that disturbed molecular motion of inorganic cell salts show- ing itself as disease is rectified by Biochemistry directly by the administration of homogeneous substances, whereas it is rectified by Homoeopathy indirectly by the administration of heterogeneous substances.
PART II.
Materia Medica of the Twelve Tissue Remedies.
CALCAREA FLUOR1CA.
Synonyms. — Calcii Fluoridum. Calcium Fluoride. Cal- carea Fluorata.
Common Name. — Fluorspar. Fluoride of Lime.
Chemical Properties. — Formula, Ca F2. Specific gravity of crystals, 3.4. It contains 58.21 parts of calcium. It occurs in nature in mineral fluorspar ; it is beautifully crystalline, crystallizing in various colors and in cubical or octahedral form. It is practically insoluble in water, but is decomposed by sulphuric acid generating hydrofluoric acid.
Preparation. — Selected pieces of crystal fluorspar are pre- pared by trituration, as directed under class VII American Pharmacopoeia.
Physiologico-chemical Data. — Calc. fluor. is found in the sur- face of the bones and in the enamel of the teeth. It is also a constituent of the elastic fibres and of epidermis. Flastic fibres are found in the skin, in the connective tissue, and in the vascular walls.
A disturbance of the equilibrium of the molecules of Calc. fluor. causes a continued dilatation, or chronically relaxed condition, of the implicated fibres. If the elastic fibres of any portion of the vessels of the connective tissue or of the lym- phatic system have arrived at such a condition of relaxation, the absorption of a solid exudation in such a part cannot take place. In consequence, induration of the parts sets in. When the elastic fibres of the blood vessels suffer a disturbance of
36 THE TWELVE TISSUE REMEDIES.
the molecules of Calc. fluor., such pathological enlargements of blood vessels take place, which make their appearance as hemorrhoidal tumors, varicose and enlarged veins and vas- cular tumors, and indurated glands.
Loss of Calcar. fiuor. in the system is thus seen to be fol- lowed by :
1. A hard, knotty exudation on the surface of a bone.
2. A relaxation of the elastic fibres, hence dilatation of ves- sels, relaxation and displacements of the uterus, relaxation of the abdominal walls, hence "hanging belly," hemorrhage of womb ; all absence of after pains.
3. Exudation of Keratin from the cells of the epidermis. (Keratin is contained in the skin, hair and nails.) The exu- dation dries readily and forms an adhering crust. Frequently found in the palms of the hands, which, through labor, form fissures and cracks.
In regard to the resorption of induration, two possibilities are to be thought of :
(a) The elastic fibres near the induration have lost their functional ability on account of the pressure exerted. Mole- cules of Calcar. fliwr. administered restore their functional integrity and thus are enabled to throw off the exudation, which will then be absorbed by the lymphatic vessels.
{b) By means of the volumetric force of Carbonic acid con- tained in the blood a part of the Fluorine is split off the fluoride of lime, this combines with nascent Hydrogen, forming Hydrofluoric acid, which gradually dissolves the molecules of the morbid product, and these are taken up by the lym- phatics. The part played by the Carbonic acid can be as- sumed by Sulphuric acid as well. The latter is formed dur- ing the oxidation of albuminoids.
In a similar manner, as explained under 5, it is possible for Calcar. fluor. to bring about solution of a laryngeal croupous or diphtheritic exudation.
General Action. — Diseases having their seat in the substance forming the surface of bone, enamel of the teeth, and part of all elastic fibres, whether of the skin, the connective tissues,
CALCAREA FLUORICA. $7
or the walls of the blood vessels, etc. Thus : all ailments which can be traced to relaxed conditions of any of the elastic fibres, including dilatation of the blood vessels, arterial and venous blood-tumors and piles, varicose and enlarged veins, indurated glands of stony hardness. Malnutrition of bones, especially of the teeth. Exostosis after injuries. Pendulous abdomen. Uterine displacements, etc. Indurations.
Guiding Symptoms and Characteristic Indications.
Mental Symptoms. — Great depression, groundless fears of financial ruin. Indecision. Disposition to set a higher value on money than natural to him.
Head and Scalp. — Blood-tumors on the parietal bones of new- born infants, on a rough, bony base. Bruises of the bones of the scalp, with hard, rough, uneven lumps. Hard excrescences on the scalp. Cephal-hsematoma. Ulcers of the scalp with callous, hard edges. Headache with faintish nausea in after- noon, better in the evening. In a proving by Dr. Sarah N. Smith the following symptom was quite constant : "A sort of creaking, straining and drawing, similar to the noise made by a cornstalk fiddle and greatly interfering with sleep."
Eyes. — Flickering and sparks before the eyes, spots on the cornea, conjunctivitis. Blurred vision after using eyes, eye- balls ache, better closing eyes and pressing lightly. Cataract. Enlarged meibomian glands. Cases of partial blindness. Dimness of vision from overstraining the eyes. Tumors of the eyelids.
Ears. — Calcareous deposits on the tympani. Mastoid dis- ease when periosteum is affected.
Nose. — Cold in the head, ineffectual desire to sneeze, stuffy cold, dry coryza, ozsena. Copious, offensive, thick, greenish, lumpy, yellow nasal discharge. Osseous growths. Affections of nasal bones ; odor of dead bone disappears after use of the remedy. Adenoid growths in post-nasal space and pharynx.
Face. — Hard swelling on the cheek with pain or toothache,
38 THE TWELVE TISSUE REMEDIES.
hard swelling on the jawbone, cold sores rather small, hard herpetic sores on lips from cold, not diffused like Natr. mur.
Mouth. — Gumboil with hard swelling on the jaw, stony hard swelling on the jawbone. Cold sores at corner of mouth. Great dryness of mouth.
Tongue. — Cracked appearance of the tongue with or with- out pain. Induration of the tongue, hardening after inflam- mation.
Teeth. — Enamel of the teeth rough and deficient. Un- natural looseness of the teeth with or without pain, teeth become loose in their sockets. Malnutrition of the teeth. Toothache with pain if any food touches the tooth. Tooth- ache with a looseness of the teeth.
Throat. — Diphtheria when the affection has gone to the windpipe. Relaxed throat with tickling in the larynx when caused by elongation of the uvula. Uvula relaxed, causing irritation, tickling and cough. Hawking of mucus in the morning. Burning in throat better by warm drinks. Great dryness of throat
Gastric Symptoms. — Vomiting of undigested food. Hic- cough from hawking of mucus, weakening and recurring during the day. Flatulence.
Abdomen and Stool. — Confined bowels, inability to expel faeces. Fissure of the anus, and intensely sore crack near the lower end of the bowel. Bleeding hemorrhoids. Itching of anus as from pinworms. Internal or blind piles, frequently with pain in the back, generally far down on the sacrum, and constipation. Piles with pressure of blood to the head. Pain in right hypochondrium, worse lying on painful side. Much wind in lower bowels.
Urinary Organs. — Copious urine, frequent- urging. Urine scanty and high colored, and emits a pungent odor.
Sexual Organs. — Constant dribbling of seminal and prostatic fluid with dwindling of the testes. Displacements of the uterus. Dragging pain in the region of the uterus and thighs, down-bearing of the uterus.
To tone up the contractile power of the uterus in cases of
CALCAREA FLTJORICA. 39
flooding. Excessive catamenia with bearing-down pain. Hy- drocele, drops)' of the testicles, indurations of the testicles. Syphilis. Hunterian chancre, for the induration.
Pregnancy. — After-pains if due to weak, feeble contractions. Hard knots in the breast. Given during pregnancy, it favors easy confinement.
Respiratory System. — Tickling in larynx. Dryness and hoarseness. Cough hacking from tickling in larynx, as from a foreign body. The chief remedy in true croup. In asthma when specks or small lumps of yellowish mucus are brought up after much exertion ; cough with expectoration of tiny lumps of yellow, tough mucus ; with tickling sensation and irritation on lying down, from elongation of the uvula or drop at the back of the throat. Suppressed respiration, epiglottis feels closed or as if breathing through a thick substance.
Circulatory Organs — Aneurism at an early stage may be re- duced or kept in check by this remedy and Ferr. phos., pro- vided that the iodide of potash had not been taken. Dilatation, enlargement of the blood vessels ; being the chief remedy to restore the contractility of the elastic fibres. Dilatation of the heart with palpitation. Chief remedy for vascular tumors with dilated blood vessels. Varicose ulcerations of the veins ; also the chief remedy for varicose or enlarged veins. Enlarge- ment, hypertrophy of the heart.
Neck and Back. — Indurated cervical glands of stony hard- ness. Small goitres. Backache simulating spinal irritation, with weak, dragging, down-bearing pain. Tired feeling and pain in the lower part of the back (sacrum), with a sensation of fulness or burning pain, and confined bowels. Chronic cases of lumbago ; aggravation on beginning to move and amelioration by continued motion.
Extremities. — Ganglia or encysted tumors at the back of the wrist. Gouty enlargements of the joints of the fingers, spina ventosa. Lumbago from strains. Inflammation of knee- joint, chronic synovitis. Cracking in the joints. Phalanges easily dislocated. Suppuration of bones. Osseous tumor on spine of scapula. Swelling of elbow-joint, crepitation, show-
4-0 THE TWELVE TISSUE REMEDIES.
ing -want of synovial fluid. Exotoses on fingers. Osseous growths on bones of lower extremities. Spavin of horses.
Nervous Symptoms. — Weakness and fatigue all day, espe- cially in the morning.
Sleep. — Vivid dreams, with sense of impending danger ; of new scenes, places, etc.
Febrile Symptoms. — Attacks of fever, lasting a week or more, with thirst ; dry, brown tongue.
Skin. — Chaps and cracks of the skin. Fissures or cracks in the palms of the hands or hard skin. Fissure of the anus. Suppuration with callous, hard edges. "Whitlow, gathered finger. Occasional erysipelas. Indolent, fistulous ulcers, secreting thick, yellow pus. Varicose ulcers of long standing have been cured by the rernedy.
Eczema due to venous hypersemia ; worse in damp weather, better at night. Squamous eczema, with thickening and crack- ing of skin. Eczema of anus consequent to hemorrhoids.
Tissues. — Solidified infiltrations ; thus indurated glands of stony hardness. Osseous growths, especially in tarsal and carpal articulation. Knots and kernels and tumors in the female breast. Bruises on surface of bone, with hard, rough and uneven lumps, as on shin. Dropsy caused by heart dis- ease. Anaemia. Ganglion, cystic tumors, from a strain of the elastic fibres. Elastic fibres relaxed. Swellings or indur- ated enlargements, having their seat in the fasciae and capsular ligaments of joints or in the tendons. Spina ventosa. Indo- lent ulcers. Ulceration of bone or enamel, bone injected. Whitlow or felons. Exudation from surface of bones, which quickly harden and assume a nodular or jagged form. Sup- puration of bones.
Modalities. — Worse in damp weather, but relieved by fomen- tations and rubbinof.
Homeopathic Data — Calc. fluor. has been proved by J. B. Bell, and the proving is reported in full in Allen 's Encyclope- dia, vol. x, page 398. The most complete data are to be found in the Guiding Symptoms ^ vol. iii. The drug had been
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Grtaps far Stair. — Foe fndmations: Cole jfbr. Baryta iod-, CaJcar. LxL. Heda lazx. Asscriaj, Comaam, Phytolacca, Carte amimu, Jfercar. prsL iadL, Suicca. For Qzaena : Cod- dle, pi.**.. Sitric acid, KaH bidL. Amrmmu Hepar, salpk. amr.. Amram agar, mafnm^ Anemic. iadL,
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42 THE TWELVE TISSUE REMEDIES.
acid and other acids, and, to a certain extent, in carbonic acid water.
Preparation. — The Phosphate of lime is prepared by tri- turation, as directed in our Pharmacopoeias.
Physiologico-chemical Data. — Calc. phos. is absolutely essen- tial to the proper growth and nutrition of the body. This salt is found in the blood-plasma and corpuscles, saliva, gastric juice, bones, connective tissue, teeth, milk, etc. It gives solidity to the bones. Calc. phos. has a special chemical affinity for albumen, which forms the organic basis for this salt in the tissue-cells, and is required wherever albumen or albuminous substances are found in the secretions. It also supplies new blood-cells, becoming the first remedy in ansemia and chlorosis. It is of the greatest importance to the soft and growing tissues, promoting cell growth, supplying the first basis for the new tissues, hence is necessary to initiate growth.
General Action. — Calc. phos. is curative in disease depend- ing upon a disturbed action of the lime-molecules in the body, such as occurs in the tardy formation of callus around the ends of fractured bones, in the unnatural growth and defective nutrition of bone and other textures found in rickets and simi- lar diseased conditions ; thus the sphere of action of this remedy includes all bone diseases depending on a diseased quality of the blood of a dyscrasic taint, involving also the dermoid tissues with the osseous. When from any cause an insufficient amount of Phosphate of Lime is assimilated for the uses of the animal economy, the vegetative system suffers primarily, causing defective nutrition, imperfect cell-growth and consequent decay and destruction of tissue, especially the osseous and glandular systems. It is of use during dentition, in convulsions and spasms occurring in weak, scrofulous sub- jects, stimulating nutrition, etc. Another important feature is its restorative power after acute diseases, either directly or preparing the way for other remedies, by stimulating the system to their action, thus becoming an important intercur- rent remedy. Schiissler, recognizing the origin of the red
CALCAREA PHOSPHORICA. 43
blood-globules in the white or embryonic ones, and crediting this drug with nutritive stimulation of the white globules, claims it promotes the formation of red globules indirectly by promoting that of the white globules. Practically, this drug proves itself a real tonic in many cases ; in chronic wasting diseases and hectic, when the phosphate is found in excess in the urine, thus corresponding to faulty secondary assimilation and to faulty workings of the excretory organs. In anaemia of young, rapidly growing people ; in women weakened by rapid child-bearing, prolonged suckling or excessive menstrua- tion or leucorrhoea ; in accompanying diseases with exhaustive discharges, as in chronic bronchitis, tubercular diarrhoea and night-sweats, abscesses and scrofulous sores, through its great power on the secretions, it acts curatively.
In old age, where the regenerative function decreases in the nervous tissue, Calc. phos. is well indicated, and we find it useful in senile cutaneous and vaginal itching, as well as dur- ing reconvalescence from severe acute diseases. In tuber- culosis pulmonum, with its emaciation, night-sweats, haemop- tysis and other marked physical symptoms, Calc. phos. in low potencies holds out great promise to ameliorate the severity of the case ; equally great is its benefit in pollutions of young married men (and sexual excitement of women) and onanists. In the osseous expansions of rachitic children, Traeger uses cider internally and externally, and gives at the same time Calc. phos. or Calc. finor. This is also his favorite treatment in chlorosis (cider-whey, and three times a day about 10 grains of the second trituration of Calc. phos.), and he prefers it by far to the usual iron treatment. In chorea during puberty the salts of lime quiet our patients far better than the reme- dies usually recommended.
Pains where bones form sutures or symphyses and numb, crawl- ing pains with chilliness, due to anaemic symptoms, worse from wet, and tendency to perspiration and glandular enlargement. Sensations mostly in small spots. Phosphatic diathesis. Gen- eral lack of vital heat and aggravation from wet.
If the molecular motion of Calc. phos. is disturbed within
44 THE TWELVE TISSUE REMEDIES.
the epithelial cells of serous membranes, a sero-albuminous exudation within the sacs takes place. In this way develop hydrops genu, hygroma patellae, etc. Minute doses of Calc. phos. will absorb these exudations.
If the cells of the epidermis have lost Calc. phos. albumen will be thrown upon the surface and by drying, form a crust, a desquamation of which can be brought about therapeutic- ally by administering Calc. phos. Similar albuminous secre- tions take place on mucous surfaces, if their epithelium is diseased through loss of Calc. phos.
Spasms and pains caused by anaemia are cured by this rem- edy. These pains are accompanied by formication, sensation of coldness and numbness.
Guiding Symptoms and Characteristic Indications.
Mental Symptoms. — Impaired memory, mental anxiety with all troubles. Children are peevish and fretful, stupid, slow of comprehension. After grief, vexation, disappointment.
Head and Scalp. — Vertigo in old age ; headache ; a cold feel- ing in the head ; the head feels cold to the touch. Head- aches before and during the second dentition ; worse near the region of the sutures, after mental exertion and from dampness and change of weather. Headache with flatulence. Rheu- matic headaches, tearing in bones of the skull. Crawling, as if ice water were on upper part of occiput. Headache of school-girls who are maturing and are nervous, restless, with diarrhoea, caused by jellies and sour things. Fontanelles re- main open too long, skull is soft and thin. Chronic hydro- cephalus ; very large head, bones separated. Cranio tabes. Scalp sore, tense, creeping, numbness ; itching of scalp in the evening. Scrofulous ulcers on the top of the head. Hydro- cephalic! conditions, acute or chronic ; also to prevent these conditions. Bald spots on head.
Eyes. — Spasmodic affections of the eyelids if Magnes. phos. fails. Amaurosis and cataract. Inflammation of the eyes and excessive dryness during dentition. Photophobia. Cannot use eyes by gaslight. Ulcers on cornea. Opacities following
CALCAREA PHOSPHORICA. 45
inflammation of the eyes. Scrofulous keratitis. Ophthalmia in scrofulous persons. Congenital amblyopia in children of a rachitic constitution and scrofulous diathesis.
Ears. — Outer ears feel cold. All bones around the ear ache and hurt. Earache with rheumatic complaints, associated with swollen glands in scrofulous children. Chronic catarrh of the ear with throat difficulty at the same time.
Nose. — Point of nose icy-cold. Swollen, ulcerated nose in scrofulous children. Cold in head, with albuminous dis- charge from the nose. Sneezing and sore nostrils. Chronic colds in anaemic and scrofulous patients. Uarge peduncu- lated nasal polypi. Ozaena, with Calc. fluor. Bleeding in afternoon.
Face. — Face full of pimples, especially with girls. Com- plexion sallow, dirty, greasy-looking. Cold sweat on face. Faceache ; pain in the superior maxillary bone, aggravated at night. Swelling of parotid and submaxillary glands, with earache. Lupus. Freckles.
Mouth. — Disgusting taste in the mouth in the morning. Bitter, with headache. A dislike to open mouth on account of pain from swollen tonsils. Upper lip swollen and painful.
Tongue. — Tongue swollen, numb, stiff, with pimples on it, white, furred. Bitter taste in morning with headache.
Teeth. — Teeth develop slowly; complaints during teething; too rapid decay of teeth. Convulsions in teething after Magnes. phos. Toothache with tearing, boring pain, worse at night. Gums painful and inflamed, or pale gums.
Throat. — External glands painful. Hoarseness day and night. Burning in larynx and back part of tongue. Sore aching in the throat, with much pain in every direction on swallow- ing. Constant hemming and hawking when talking. Chronic enlargement of the tonsils. Clergyman's sore throat. Relaxed sore throat.
Gastric Symptoms. — Heartburn and flatulence. Unusual hunger. Sinking sensation in epigastrium. Pain after eat- ing, with soreness on pressure. The sufferings from the stomach are aggravated by taking even the smallest quantity
46 THE TWELVE TISSUE REMEDIES.
of food. Dyspepsia with distress in stomach, temporarily re- lieved by eating and by raising wind. When fasting, pain goes to the spine. Infant wants to nurse all the time, and vomits often and easily. Pain in the stomach with debility. Vomiting after cold water and ice cream. Headache and diarrhoea, worse eating. Craves bacon, ham, salted or smoked meats. Much flatulence. Abdomen sunken and flabby. Mesen- teric glands enlarged. Colic at every attempt to eat. Maras- mus.
Abdomen and Stool. — Soreness and burning, and empty sink- ing sensation around navel. Colic, with green, slimy, undi- gested diarrhoea with fetid flatus. Cholera infantum, great desire for indigestible things — ham, smoked meat, etc.; abdomen sunken, flabby. Stool is hoi, watery, profuse, offensive, noisy and sputtering. Useful in summer complaint and marasmus, and in teething children. Diarrhoea aggravated by fruit. Crying spells, caused by soreness and pain around navel, every time the child nurses. Removes disposition to intestinal worms in anaemic and weakly patients [Natr. phos.). Gall-stones, to pre- vent re-formation of new ones. Abdominal hernise. Chronic, oozing hemorrhoids in ansemic or weakly patients. Fissures of anus. Fistula in ano, alternating: with chest symptoms, or in persons who have pain in all the joints from any change of weather. Painless fistulse. Costiveness, hard stool with blood, especially in old people, associated with depression of mind, vertigo, headache and chronic cough. Hernia in ansemic patients. Tabes mesenterica. Offensive pus with stools. Neuralgia ani. Severe pain in lower part of sacrum, coming on after stool and lasting entire day until retiring to bed.
Urinary and Sexual Organs — Wetting the bed and general debility. Frequent urging to urinate. Cutting pains in the urethra and neck of the bladder. Enuresis in old people and small children, with great debility. Diabetes mellitus where the lungs are implicated. Urine copious with weariness. Bright's disease, for the albumen (alternate with Kali phos.). Chronic gonorrhoea in ansemic subjects, with itching and
CALCAREA PHOSPHORICA. 47
soreness. Swelling of testicles and scrotum. Gravel, calcu- lus, phosphatic deposits, increase of urine, with flocculent sediment. Stone in the bladder, to prevent reformation of same. Hydrocele.
Female Organs. — Weakness and distress in uterine region. Uterine displacements with rheumatic pains. Prolapus uteri with weak, sinking feelings, worse after defecation. Throbbing in the genitals, with voluptuous feelings ; indicated also in ten- dency to masturbation in scrofulous children. Nymphomania worse before menses. Violent backache with uterine pains. Soreness in the sacro-iliac synchondroses. Deucorrhoea, as a constitutional tonic, discharge like white of an egg} cream- like, worse in morning, with sexual excitement, patient being disinclined to move about. Amenorrhcea. Menses too early in young girls. Discharge bright red, returning every two weeks, less painful than otherwise. Menstruation during lactation. In adults menses too late and dark, especially in rheumatic subjects, preceded by sexual excitement, accom- panied and followed by great weakness, distress and rheumatic pains. Iyabor-like pains before and during menses ; sometimes after stool or micturition ; worse from change of weather. Burning in vagina. Hardness of mammae.
Pregnancy. — Pains, burning and soreness in the mammae ; they feel enlarged. Spoiled milk of mother ; it is salty and bluish, and child refuses it. Decline after puerpera and dur- ing pregnancy. Prolapsus in debilitated persons (with Kali phos.). After prolonged nursing, with weak voice, cough and weakness and pain between shoulders. Weariness in all limbs during pregnancy.
Respiratory Symptoms. — Involuntary sighing. Cough with expectoration of yellow albuminous mucus, not watery, worse mornings, with sore, dry throat. Soreness of chest to touch. Sore pain about sternum and clavicle, with contrac- tion of chest and difficult breathing. Frequent hawking to clear the voice. Chest difficulties associated with fistula in ano. Chronic cough of consumptives who suffer from coldness of the extremities. Incipient phthisis in anaemic patients. Profuse
48 THE TWELVE TISSUE REMEDIES.
sweat, especially about the head and neck. Whooping cough, in obstinate cases, or in teething children and weakly consti- tutions. Suffocative cough in children ; better lying down. Catarrhs in scrofulous or gouty constitutions with anaemia. Spasm of glottis from retarded dentition.
Circulatory Organs. — Palpitation with anxiety, followed by a trembling weakness, particularly of calves. Non-closure of foramen ovale. Circulation imperfect. Sharp pain around the heart during inspiration.
Neck and Back. — Thin neck in children. Rheumatic pain and stiffness of neck from slightest draught. Backache in the lumbar region in the morning on awaking. Cramp-like pain in neck and around shoulder blades, small of back, region of kidneys, when lifting, or blowing the nose. Soreness around sacro-iliac symphysis. Aching in os coccygis. Potts' disease. Spinal curvature in young girls especially at puberty. Spina bifida. Buttocks and back "asleep."
Extremities. — Sore aching in shoulders and shoulder blades, and along arms ; cannot lift arm. Shooting tinrcmgh elbows. Cramp-like pain in forearms, wrists, fingers, and especially in the thumb. Ulcerative pain in roots of finger nails. Gouty nodosities. Rheumatism of the joints with cold or numb feeling:. Rheumatism worse from change of weather, getting well in spring and returning in autumn. Numbness of the limbs and coldness or a sensation of ants creeping on the parts af- fected. Rheumatic gout, worse at night and in bad weather. Aching in all the limbs, with great weakness. Rheumatic pains flying about. Aching soreness of thighs. Pains in knees, worse walking. Lower limbs feel numb. Pain in shinbones. Cramp in calves. Ankle joint feels as if dislocated. Gouty pain in toes and ankle joints. Coxarthrocace, third stage. Bursa?. Chronic synovitis. Swelling of the epipheses. Bow legs in children. Slow in learning to walk. Fistulous ulcers on the foot joints and on the malleoli. Potts' disease. Spinal curva- ture. Lumbar abscess. Syphilitic periostitis and ulcers.
Nervous Symptoms. — Neuralgias, commencing at night, recur- ring periodically ; deep-seated, as if in the bone ; tearing pains,
CALCAREA PHOSPHORICA. 49
worse from any change of weather, with sensation of crawling, numbness and coldness, or like electrical shocks. Pain in small spots. Rheumatic paralysis. Languor, weariness, especially ascending. Indisposition to work. Trembling of limbs. Great debility after weakening, acute diseases. Convulsions from teething. Spasms of all kinds after Magnes. phos. fails. Epi- lepsy.
Sleep. — Drowsiness, especially in old people, associated with gloomy thoughts. Hard to wake in the morning. Children cry out at night. Constant stretching and yawning.
Febrile Symptoms. — Creeping shivering. Copious night-sweats in phthisis. Cold sweat appears on the face and coldness of the body. Chronic intermittent fever in scrofulous children.
Skin — Skin dry and cold, wrinkled. Copper-colored, full of pimples. Ulceration of scars. Chafed skin, excoriations. Itchiness of the skin. Senile itching of the skin. Eczema with yellow, white scabs or vesicles in anaemic, scrofulous or gouty constitutions. Freckles are lessened by the use of this remedy. Herpes, acute or chronic, with itching. Eupus. Prurigo. Pruritis ; itching of the skin. Vaginal pruritis of old women. Albuminous exudations in or on the skin. Tuber- cles on the skin. Scrofulous ulceration also of the bones. Boils form ulcers. Acne rosacea.
Tissues. — Anaemia and chlorosis to supply new blood cells. Flabby, shrunken, emaciated children. Complexion waxy, green- ish, white. Exostoses, osteophytes, bone diseases. Condyles swollen. Rickets. Non-union of fractured bones. Spina bifida. Polypi, nasal, rectal and uterine. Tabes. Phosphatic diathesis. Defective nutrition. Bones thin and brittle. Dropsical affec- tions. Irregularity in development. Emaciations, accom- panying ailments. Eeucaemia. Excess of white corpuscles. Broncocele, goitre, cysts. Tumor albus. Pancreatic diseases. Bursse. Soreness of tendons and of joints.
Modalities. — The symptoms are generally worse from cold, motion, change of weather, from getting wet. Many symp- toms are ameliorated by lying down.
Homoeopathic Data. — Proved by C. Hering, collected in 4
50 THE TWELVE TISSUE REMEDIES.
Guiding Symptoms, vol. iii, and Allen's Encyclopedia. A history of the different provings is found in the Hahnemannian Monthly, March, 187 1, by C. Hering ; also a Resume by him in the North American Journal of Homoeopathy, vol. xx.
Administration. — The lower triturations, 3X to 6x, are the potencies usually employed, probably achieving most satis- factory results, although the higher potencies, 30 to 200, have given brilliant clinical results. Schiissler prescribes the 6x trituration. Large doses are useless and even injurious. Pro- longed administration has produced nephritic colic and pas- sage of small calculi.
Relationship. — Very similar to Calc. carb., but with Calc. phos. the patient, whose complexion is dirty-white or brown, is usually emaciated ; it corresponds more to the acute affec- tions of the lungs. In general the phosphate prefers the dark complexion, dark eyes and hair, while the carbonate acts best in the light-haired and blue-eyed. It occupies a ground between Calc. carb. and Phosphor., supplementing the latter frequently to great advantage. Calc. phos. and Berberis have both been beneficial in fistula in ano ; both have great similarity in chest symptoms, particularly such as follow surgical opera- tions. In anaemic headaches of schoolgirls, follow by Magnes. phos. In dental caries, similar to Fhtor ac, Magnes. phos. and Silicea ; in epilepsy, Ferr. phos., Kali mur., Kali phos. and Silicea ; in diabetes, Kali phos., Natr. phos.; the latter also is similar in worm affections. Follows China in hydrocepha- loid and anaemia. Complimentary to Carb. an. and Ruta. In neurasthenia Calc. hypophos. may be called for preferably for similar symptoms. In the copious sweats after weaken- ing, acute diseases compare Psorin. In acute articular rheu- matism, if after Natr. mur. and Kali phos. there remains a trace of the disease. In lupus, compare Kali mur. Butter- milk and koumyss are invaluable foods for the aged, because the lactic acid in them dissolves the phosphate of lime and prevents the ossification in tendons, arteries and elsewhere. As a remedy for the aged compare Baryta. In anaemia and chlorosis compare also Natr. mur., especially with constipation,
CALCAREA SULPHURICA. 5 1
palpitation on lying down, earthy complexion. In acne Calc. pier, is more frequently useful for boys, the Calc. phos. for girls. Dyspepsia temporarily relieved by eating is met by Calc. phos., but the drug for which this symptom is specific is Anacardium. Chelidon. has a similar condition. Compare Helonias in the mental depression, debility and phosphatic urine. Silicea, anaemia of infants, thin and puny, with a tendency to rickets, but with much oily perspiration on the head ; also Ferr., Cupr., Arsenic, etc. Zinc, is complementary in hydrocephaloid, and Ruta in joint affections. In non- union of fractures compare Symphytum. In consumption Calc. phos. is followed well by Silicea, Suiph., Tuberc; and often indicated after Phos., Merc., Iod., Ars. iod.
CALCAREA SULPHURICA.*
Synonyms — Calcii Sulphas. Calcium Sulphate.
Common Name — Gypsum. Plaster of Paris.
Chemical Properties — Formula, Ca S04. It is found in nature as anhydrite, gypsum, alabaster and selenite ; also in various waters constituting one source of permanent hardness. Molecular wt., 172. It occurs in flattened prisms (selenite) and in earthy masses (gypsum). It is a fine, white crystal- line powder, soluble in 400 parts of cold water, insoluble in alcohol and in dilute nitric and hydrochloric acids. It can be obtained by precipitating a solution of calcium chloride with dilute sulphuric acid.
Preparation. — By trituration, as directed in our Pharma- copoeias.
Physiologico-chemical Data — Present only in the bile accord- ing to Bunge, and even here not constant. The Calcarea sulph. contained in the bile comes from the liver, where it
* In the last years of Dr. Schiissler's life this remedy was discarded from his list, leaving only eleven, instead of twelve tissue remedies. It has been thought best to retain the original number contained in the previous editions of this work, as much clinical evidence in favor of this remedy has been collected. In the later editions of Schiissler's Therapeutics Natrum phos. and Silicea are substituted for this remedy.
52 THE TWELVE TISSUE REMEDIES.
fulfilled the function of destroying worn-out, red blood cor- puscles, by taking away their water.
Through a deficiency of Calcar. sulph. in the liver this destruction of unfit corpuscles is delayed, hence the blood soon contains an oversupply of useless cells. Under normal conditions all useless blood corpuscles disintegrate by means of Calcar. sulph. in the liver ; their remnants are excreted through biliary action from the circulation by the shortest route. But if a part of these useless corpuscles must be de- stroyed by oxidation within the circulation, their elimination will thereby be rendered tardy.
Such remnants as are not excreted by way of the liver from the circulation, nor taken up by the lymphatics, reach the mucous membranes and skin, producing there catarrh and eruptions.
General Action. — Calc. sulph. stands in close relation to sup- purations. It cures purulent discharges from the mucous membranes and purulent exudations in serous sacs, as well as tubercular ulcers or abscesses of the intestines, and ulcers of the cornea, etc. It is curative in suppurations at that stage in which matter is discharging or continuing to ooze after the infiltrated places have discharged their contents of pus. All ailments in which the process of discharge continues too long and the suppuration is affecting the epithelial tissues. Acts upon the connective tissue. If there is a deficiency of it in any small part of its domains, suppuration is the result. The presence of pus with a vent is the general indication. (J. C. Morgan.)
Guiding Symptoms and Characteristic Indications.
Mental Symptoms. — Changeable mood. Sudden loss of mem- ory ; of consciousness.
Head and Scalp. — Scaldhead of children, if there be purulent discharge or yellow, purulent crusts. Suppurations, etc., about the scalp. Headache with nausea and with feeling as if eyes were sunken. Pain around whole head, worse forehead. Craniotabes. Vertigo, with deadly nausea.
CALCAREA SULPHURICA. 53
Eyes. — Deep-seated abscess of the cornea. Inflammation of the eyes with discharge of thick, yellow matter. Hypopyon ; to absorb the effusion of pus in the eye, after Silicea. Ret- initis. Deep ulcers of the cornea. Ophthalmia, pus thick and yellow. Cornea steamy, pus in anterior chamber ; sensa- tion as from a foreign body ; has to tie up eye ; after injury to the eye from a splinter. Phlyctenular keratitis and phlyc- tenular conjunctivitis when accompanied by swelling of cervi- cal glands. Hemiopia. Twitching of eyelids. Inflamed canthi.
Ears. — Deafness with discharge of matter from the middle ear, sometimes mixed with blood, after Silicea. Pimples around ear. Sensitive swellings behind ear with tendency to suppuration.
Nose. — Cold in the head, with thick, yellowish, purulent secretion, frequently tinged with blood. Nosebleed. One- sided discharge from nose. Edges of nostrils sore. Yellowish discharge from posterior nares.
Face. — Swelling of the cheek if suppuration threatens. Tender pimples under the beard. Hepetic eruptions on the face. Pimples and pustules on the face.
Mouth. — Inside of lips sore. Raw sores on lips.
Tongue. — Tongue flabby, resembling a layer of dried clay. Sour, soapy, acrid taste. Yellow coating at base. Inflamma- tion of the tongue when suppurating. Clay-colored coating.
Teeth. — Rheumatic toothache. Toothache with inside of gums swollen and sore ; swollen cheek. Gums bleed on brush- ing teeth. Gum boils, ulcerated teeth. " The best remedy in gum boils" (M. F. R.)
Throat. — Suppurating sore throat. Last stage of ulcerated sore throat, with discharge of yellow matter. Suppurating stage of tonsillitis when abscess is discharging. Diphtheritis of the soft palate ; fauces are much swollen. Quinsy, discharg- ing pus.
Gastric Symptoms. — Desire for fruit, tea, claret, and green, sour vegetables. Great thirst and appetite. Nausea, with vertigo. While eating, roof of mouth sore. Burning pain in stomach.
54 THE TWELVE TISSUE REMEDIES.
Abdomen and Stool. — Purulent diarrhoea, mixed with blood. Dysentery, stools purulent, sanious. Intestinal ulcers with typhus. Painless abscesses about the anus in cases of fistula. Pain in region of liver, in right side of pelvis, followed by weakness, nausea and pain in stomach. Diarrhoea after maple sugar and from change of weather. Prolapsus ani. Costive- ness, with hectic fever and difficult breathing. Pus-like, slimy discharge from the bowels.
Urinary and Sexual Organs. — Red urine with hectic fever. Cystitis, chronic state, pus forming. Nephritis. To control the suppuration in cases of bubo alternately with Silicea. Gonorrhoea with purulent, sanious discharge. Abscess of the prostate. Chronic suppurating stage of syphilis. Glandular ulcerations, etc. Spermatorrhoea. Menses late, long-lasting, with headache, twitchings, great weakness. Extravasation of pus within the pelvic tissues unconfined by any pyogenic membrane (Betts).
Respiratory System. — Cough with purulent and sanious sputa and hectic fever. Asthma with hectic fever. Empyema, pus forming in the lungs or pleural cavities. Purulent, sanious expectoration. Pain across the chest. Pneumonia, third stage. Obstinate hoarseness. Third stage of bronchitis. Empyema after thoracentesis. Consumption. Purulent sputa. Catarrh, with thick, lumpy, white-yellow or pus-like secre- tions. Croup after Kali mur. In children, severe cough with malaise in the chest, green stools, herpetic eruptions.
Pregnancy. — Mastitis, when matter is discharging, after Silicea.
Circulatory Organs. — Pericarditis, suppurative stage.
Back and Extremities — Pain in back and coccyx. Fingers stiff. Carbuncles on the back. Last stage of gathered finger, when the suppuration is continuing and only superficial. Ischias. Acute and chronic rheumatism. Hip-joint disease, for the discharge of pus ; this remedy with Ferr. phos. and complete rest will cure this disease. Suppurating wounds. Burning-itching of soles of feet.
Nervous Symptoms — Twitchings. Weakness and languor. Neuralgia in aged persons.
CALCAREA SUEPHURICA. 55
Sleep. — Sleepy during the day, wakeful at night. Dreamed she had a convulsion from fright.
Febrile Symptoms — Typhus when diarrhoea sets in. Hectic fever, caused by formation of pus, with burning in soles. Her- petic eruptions all over. Itching of soles.
Skin. — Boils ; to reduce and control suppurations. Cuts, wounds, bruises, etc., unhealthy, discharging pus ; they do not heal readily. Burns and scalds, second remedy for the purulent stage. Carbuncles discharging pus. Chilblains, suppurating stage. Crusta lactea. Yellow, purulent crusts or discharge. Purulent exudations in or upon the skin. Festers, furuncles, pimples, pustules, scabs. Skin affections with yellowish scabs. Smallpox pustules discharging matter. Purulent sores and suppurations. Ulcers of lower limbs. Many little matterless pimples under the hair, bleeding when scratched.
Tissues. — Abscesses ; to shorten the suppurating process and limit the discharge of pus. If given after Silicea it will cause the abscess to heal. Serous swellings. Cystic tumors. Third stage of inflammation, with lumpy or bloody discharge. Mucous discharge in cough, leucorrhcea, gonorrhoea, etc., yellow thick and lumpy. Discharges of matter or sanious pus from the skin or mucous linings. Effusions when pus forms. Lymphatic glands discharging pus. Ulcerations of the glands. Suppurations, articular or anywhere on the body. Excessive granulations, painful, etc.
Modalities. — Aggravation and renewal of the symptoms after working- and washing in water.
Homoeopathic Data. — Calc. sulph. was proved by Dr. Clarence Conant. The proving appeared in the Transactions of the American Institute of Homoeopathy, 1873. It is also to be found in Alleys Encyclopedia, vol. ii, page 410. Nothing especially characteristic appears in this proving. In the Guiding Symptoms, vol. iii, page 227, is found a complete arrangement of the symptoms of this remedy.
Administration. — This remedy is also useful externally in such affections as felons, ulcers and abscesses. The most
56 THE TWELVE TISSUE REMEDIES.
common potencies for internal use are the 6x and I2x. L,ow potencies are most useful in purulent eye troubles.
Homoeopathic Relationship. — Calc. sulph. resembles Hepar sulph., but acts deeper and more intensely, and is often useful after Hepar has ceased to act. It is also useful when Kali mur. ceases to act. Apocyuum contains Calc. sulph. Compare Calend. in suppurations ; Kali mur. in milk-crust and other skin affections, swollen cheek, croup, dysentery ; Natr. sulph. in post-scarlatinal dropsy ; Silicea in hard or suppurating glands, ulcers of the cornese, tonsillitis, mastitis, frost-bites.
In neuralgia it occupies a ground between the very acute pains of Magnes. phos. and the paralyzing ones of Kali phos. (more in aged persons, if there is a want of regenerative force for the nervous tissue).
In the third stage of inflammation (resolution) after Kali mur., if the discharge is lumpy and bloody ; but if yellow or mucous, Kali sulph.; if puslike or bloody pus, Silicea. In car- buncles, Anthracine is better. Calc. sulph. is often useful after Kali mur., when the latter has but partially relieved, also after Bellad. and other acute remedies.
FERRUM PHOSPHORICUM.
Synonyms — Ferroso-ferric Phosphate. Ferri Phosphas.
Common Name. — Phosphate of Iron.
Chemical Properties. — Formula, Fe3 (P04)2. It is prepared by mixing sodium phosphate with sulphate of iron in certain proportions. The resulting precipitate is filtered, washed and dried, and rubbed to a powder, which is bluish-gray from ex- posure to the air, without odor or taste. Soluble in acids, but insoluble in alcohol or water. It is probably this phosphate which is capable of turning blue, which occurs in the lungs in phthisis in bluish pus and expectorations.
Preparation. — The pure phosphate of iron is prepared by trituration, as directed under Class VII, American Pharma- copoeia.
FERRTJM PHOSPHORICUM. 57
Physiologico-chemical Data. — Iron is found in the haemo- globin or coloring matter of the red blood corpuscles. Ac- cording to Dalton, it is not found in such considerable quanti- ties in any of the other tissues of the body except in hair. In a man weighing 65 kilogrammes (165 pounds) there would be 2.82 grammes (44 grains) of iron contained in the entire blood of the body. The organic basis of every cell is albu- men. Since albumen contains iron, each cell must likewise contain iron. Iron and its salts have the property of attracting oxygen. The iron of the blood corpuscles takes up the oxygen from the inspired air. This is carried to every cell through- out the organism by means of the mutual reaction of Iron and Kali sulph. A disturbance of the equilibrium of the iron molecules in the muscular fibres causes a relaxation. This, occurring in the muscular coats of the vessels, causes a dila- tation and accumulation of blood in the blood vessels — con- gestion— blood-pressure being increased, the walls rupture, and hemorrhage results. Again, if the muscular walls of the intestinal villi suffer a relaxation from the disturbed equi- librium of the iron molecules diarrhoea results ; when this occurs in the muscular walls of the intestines themselves the peristaltic action of the bowels is weakened and becomes less active. This causes tendency to constipation. Anything causing a relaxation of the muscular walls of a vessel, and consequent hyperaemia, such as an injury, finds its remedy in Ferr. phos., as this remedy in minute doses restores the equi- librium to the iron molecules, thus strengthening the muscu- lar fibres. Through its power of attracting oxygen iron becomes a useful remedy in such diseases of the blood cor- puscles as anaemia, chlorosis and leucaemia.
General Action. — From the above it is readily seen that Ferr. phos. becomes the first remedy in all cases depending on a relaxed condition of muscular tissue, wherever found ; also for an abnormal condition of the blood corpuscles themselves.
If a new supply of iron molecules is given to the relaxed muscle cells, caused by the lack of iron, their normal tonicity is restored, the circular fibres of the vessels contract to normal
58 THE TWELVE TISSUE REMEDIES.
bounds, with equalizing of the circulation and abatement of the fever.
Its field of action, then, is in all ailments of a hypersemic or congestive nature, with the usual accompaniments of these conditions, such as pain, heat, swelling and redness, quickened pulse and increased circulation ; in a word, all febrile d'Sturb- ances and inflammations at their onset, especially before exudation commences. Anaemia, want of red blood, etc. Especially use- ful in debility of children with failing appetite, becoming dull and listless, loss of weight and strength. Ferr. phos. not only improves the strength, but helps to increase the bodily de- velopment and regulates the bowels.
This drug is by Schussler supposed to be no longer indi- cated when exudation or even suppuration takes place ; but if adapted to the individual patient it may still be depended upon. Only when it fails to do any more good should it be relinquished.
In many inflammatory and some eruptive fevers, especially in the young and sensitive, seeming to stand midway between the intensity of Aeon, and Bellad. and the dulness of Gelsem.
Iron is the biochemic remedy for :
i. The first stage of all inflammations.
2. Pains that are worse from motion and better from cold.
3. Hemorrhages caused by hyperemia.
4. Fresh wounds caused by mechanical injuries.
Guiding Symptoms and Characteristic Indications.
Mental Symptoms — Indifference to ordinary matters. Doss of courage and hope, better after sleep. Trifles seem like moun- tains, annoyed at trifles. Hyperemia of the brain, produc- ing delirium, maniacal mood, mania transitoria. Delirium tremens, very talkative. Dizziness from congestion, conse- quences of anger.
Head and Scalp — Rush of blood to the head. Headache from a gouty predisposition {Natr. sulph.). Dull, heavy pain on top, during profuse menses, from cold. Bruising, pressing or stitching pain and soreness to the touch. Pain as if a nail
FERRUM PHOSPHORICUM. 59
were being driven in one side, over the eye. Congestive head- aches, hammering pain, worse right side ; pressing a cold object against the spot seems to relieve the pain ; relieved by nosebleed. Headache with vomiting of undigested food, top of head sensitive to cold air, noise, jar ; cannot bear to have the hair touched. Dull right-sided headache from vertex to right supra-orbital region. Ill effects of sun-heat (follow with Calc. fthos.). It is the chief remedy in headaches of children, throbbing sensation in the head, red face and suffused eyes ; worse from shaking the head, stooping and motion. Blind headache, sick headache, with vomiting of undigested food ; vertigo, with rush of blood to the head. Symptoms of men- ingitis, with drowsiness and heaviness. First stage of erup- tions on the scalp ; soreness of scalp ; sensitive to cold and touch.
Eyes. — Suffused eyes. Acute hypersemia of the conjunc- tiva. Inflammation of the eyes, with acute pain, without secretion of mucus or pus. Acute conjunctivitis. Conjunc- tivitis, with relaxation of conjunctiva and photophobia. Pain in the eyeball, aggravated by moving the eyes. Retinitis. Eyes inflamed, red, with burning: sensation, sore and red-looking:, and retinal congestion. Sensation as if grains of sand were under eyelids. Encysted tumor of the lids. Stye on lower lid of right eye. Neuralgia along inner orbit and nose.
Ears. — Sensitive to noise. " Earache after exposure to cold or wet." (Copeland.) Inflammatory earache, with burning or throbbing pain, or sharp, stitching pain. Tension, throb- bing and heat in the ears. Noises in the ears arising through blood-pressure, from relaxed condition of the veins not return- ing the blood properly. First stag:e of otitis; radiating pains, pulsation in the ear ; every impulse of the heart is felt there. Quick pulse, should be feeble and compressible, indicating marked debility. Circumscribed, dark, inflammatory appear- ance. Deafness from inflammatory action, or suppuration when there is cutting pain, tension or throbbing. Tinnitus aurium. A marked tendency of the inflammatory process to be diffused instead of circumscribed ; dark, beefy redness of
60 THE TWELVE TISSUE REMEDIES.
parts, mucopurulent discharge, if any, and a tendency to hemorrhage; the complete establishment of the discharge is not followed by the relief of the pain; paroxysmal and radi- ating character of the pain. Inflammation of the external ear. Mastoid process swollen and sore. Chronic, non-sup- purative catarrh of the middle ear, with thickening of mem- brana tympani and probable anchylosis of small bones.
Nose. — First stage of all colds in the head, predisposition to catch cold. Smarting, especially in the right nasal passage, worse on inspiration. Nasal catarrh, with trickling sensations. Congested nasal mucous membranes. Catarrhal fever. Epis- taxis, especially in children, and a concomitant of other com- plaints. Nosebleed of bright red blood. "Its indication in beginning of colds or in congestion of the mucous membranes anywhere is similar to Aco?iite, but its period of usefulness is much longer. Unless Aconite be given immediately after ex- posure in my experience it is useless, but the remedial value of Ferrum phos. continues for several hours." [R. S. Cope- land.]
Face. — A florid complexion, with less nerve tension than that of Bellad. Faceache, with flushing, heat and quickened pulse ; worse on moving ; with throbbing or pressing pain, flushed face, with accompanying sensation of coldness in the nape of the neck ; flushed face when a precursor of recurring headaches. Anaemic, chlorotic face; earthy, pale, sallow. Cheek sore and hot, when cold applications are grateful. Congestive or inflammatory tic douloureux.
Mouth. — Gums hot and inflamed; redness of the mucous membrane of the mouth.
Tongue. — Furred tongue, or clean and red, with headache. Inflammation of the tongue with dark red swelling.
Teeth. — Toothache with hot cheek, worse with hot, better with cold liquids or food ; teething troubles with feverishness ; great soreness of tooth to touch or pressure. Teeth feel elongated.
Throat. — Inflammation of the fauces. Redness and pain without exudation. Ulcerated throat, to relieve congestion,
FERRUM PHOSPHORICUM. 6 1
heat, fever, pain and throbbing. Sore throat, dry, red, inflamed, with much pain. Pharyngeal abscess. Red and inflamed tonsils and swollen glands. First stage of diphtheria to lessen the fever. Hemorrhages from pharynx, larynx, trachea and, perhaps, bronchi. Acute catarrhal affections of the Eusta- chian tubes. Sore throats of singers and those who use the voice daily.
Gastric Symptoms. — Aversion to meat and milk. Thirst for cold water. Desire for some stimulant, brandy, ale. Greasy eructation. First stage of gastritis, with pain, swelling and tenderness at the pit of the stomach. Dyspepsia with flushed, hot face, epigastrium tender to the touch. Furred tongue, beating and throbbing pain, red, flushed face, vomiting of undi- gested food. Indigestion from relaxed condition of blood vessels of the stomach, pain after taking food and on pressure. Deathly sickness at the stomach. Inflammatory stomach- ache in children from chill, with loose evacuations. Vomiting of bright-red blood. Flatulence bringing back the taste of the food eaten, loss of appetite, distaste for milk. After eating, nausea and vomiting of food; vomited matters are sometimes very sour; cannot take acids, herrings, meat, or coffee and cakes. Persistent vomiting of food. Vomits some- times before breakfast.
Abdomen and Stool. — First stage of all gastric and enteric fevers ; the chilly stage, also in the first stage of cholera and of peritonitis. Constipation with heat in the lower bowel, associated with prolapse and hemorrhoids and aversion to meat diet. Diarrhoea. Cholera infantum, with red face, full, soft pulse ; stools watery, even bloody, after checked perspiration. Stool watery, contains mucus and blood; urging, but no tenes- mus. Diarrhoea from a relaxed state of the intestinal villi, not taking up the usual amount of moisture. Stools undigested. Diarrhoea caused by a chill. Dysentery (alternately with Kali mur.). Hemorrhoids, inflamed or bleeding, bright-red blood with a tendency to coagulate, before any induration occurs. Disposition to prolapsus recti. Inflamed and incarcerated her- nise. Intestinal and thread-worms.
62 THE TWELVE TISSUE REMEDIES.
Urinary Organs. — Frequent desire to urinate ; urine spurts out with every cough. Hsematuria. First stage of cystitis with heat, pain or feverishness. Diabetes when there is a quickened pulse or when there exists pain, tension, throbbing or heat or congestion in any part of the system. Incontinence of urine from weakness of the sphincter. Diurnal enuresis de- pending on irritation of the neck of the bladder. Ischuria ; suppression of the urine with heat, especially in little children. Any inflammatory pain in the kidneys. Bright's disease with febrile disturbances. Irritation at the neck of the bladder and prostate. Symptoms are worse the longer the patient stands and better after urinating. Polyuria simplex, exces- sive secretion of urine.
Sexual Organs. — Varicocele with pain in testicles. Bubo with heat, throbbing or feverishness. First stage of orchitis or of epididymitis and gonorrhoea. Seminal emissions. Fer- ritin phos. has a close relationship with conditions of irrita- bility of the womb, associated with trouble in the bladder, and also with the lining membrane of the womb. Menstrual colic with flushing of the face and quickened pulse, vomiting of undigested food, sometimes tasting acid. First stage of metritis to remove fever, pain and heat. Excessive congestion at the monthly periods, blood bright red. Menses every three weeks ; profuse, with pressure in abdomen and small of the back and pain on top of the head. Bearing-down sensations and constant, dull ovarian pains. Dysmenorrhcea with frequent urging to urinate. Congestive dysmenorrhcea pains before, and during first days of flow. Vaginismus ; vaginitis, vagina dry and hot, pain in the vagina on coition or examination. Spasm of the vagina on account of the increased sensitiveness and dryness.
Pregnancy and Labor. — First stage of mastitis. Morning sickness of pregnancy, with vomiting of food as taken, with or without acid taste. After pains and as a preventive of the fever of lactation.
Respiratory Symptoms. — Acute, febrile or initiatory stage of all inflammatory affections of the respiratory tract. Rhinitis,
FERRUM PHOSPHORICUM. 63
laryngitis, trachitis, bronchitis, pneumonia, pleurisy and pleuro-pneumonia. Bronchitis of young children. Phthisis florida. Expectoration scanty, blood-streaked, chest sore, bruised. It is the chief and first remedy for the stitches in the side, catch in the breath, dyspnoea and cough, and should be continued until free perspiration is established. Conges- tion of the lungs with debility and oppression. Hsemoptysis after a concussion or fall, with short, oppressed breathing and high fever. In bronchial affections with heat and burn- ing soreness, no expectoration. In chronic bronchitis when a fresh aggravation sets in. Short, painful, tickling cough from an irritation or tickling in the windpipe. Spasmodic cough with involuntary emission of urine. Hard, dry cough with soreness of the lungs. Cough with rattling of mucus in chest, worse at night. Croup, for the febrile symptoms. Whooping cough with vomiting of food ; loss of voice, hoarse- ness, huskiness after singing or exertion of speaking, sore- ness, irritation and pain in the larynx.
Circulatory Organs. — First or congestive stage of carditis, pericarditis, endocarditis and arteritis. In aneurism, to estab- lish normal circulation and remove complications arising from excessive action of the heart. Dilatation of the heart or of the blood vessels, telangiectasi and nsevi. Palpitation of the heart, pulse rapid and quick. Varicose veins. Phlebitis and lymphangitis, first stage. Pulse full, round, not rope-like.
Back and Extremities. — Stiff neck from cold. Pains in the back, loins and over kidneys. Also in knees and ankles, shooting pains. Rheumatic pains worse on motion ; move- ment sets up and increases the pain. Rheumatism felt only during motion and better from warmth. Articular rheumatism, especially of the shoulder ; pains extend to the upper part of the chest, attack one joint after another ; muscular or siib- acute rheumatism. Lameness, stiffness from cold. Rheumatic pain in right wrist and in shoulder. Inflamed fingers, first stage of whitlow. Hip-joint disease for pain, throbbing, in- flammation and heat of the soft parts. Strains of ligaments and tendons, tenalgia crepitans, creaking in the sinews at the
64 THE TWELVE TISSUE REMEDIES.
back of the hand. Crick in the back (Calc. sulph.). Hands swollen and painful. Palms of hands are hot.
Nervous Symptoms. — Malaise, weariness, great prostration, debility of children, with no organic lesion. Feeling of indo- lence. Feels the need of a stimulant. Rheumatic paralysis. Nervousness at night. Convulsions with fever in teething children. Epilepsy, with blood rushing to the head. Conges- tive and inflammatory neuralgias from cold.
Sleep. — Sleeplessness from a hyperaemic condition of the brain. Restless at night. Anxious dreams ; drowsiness in the afternoon.
Febrile Symptoms. — All catarrhal and inflammatory fevers during the chilly or initiatory stage, rigors, heat, quickened pulse and pain. Rheumatic, gastric, enteric and typhoid fevers during the chilly stage, heat and feverishness at the beginning of any disease or ailment. Intermittent fever with vomiting of food. Simple cases of scarlet fever. First stage of typhus. Chill every day at i P. M. High fever, quick pulse and increased temperature ; copious night-sweats ; dry heat of palms, face, throat and chest.
Skin. — Hyperemia ; from mechanical injuries, fresh wounds, not yet suppurating. Capillary congestion, with burning of the skin, more exercise and warmth. Abscesses, boils, car- buncles and felons ; at the commencement of these affections this remedy reduces heat, blood-accumulation, pain and throb- bing. Chicken pox, erysipelas and erysipelatous inflamma- tions of the skin, for the fever and pain. Suppurative pro- cesses on the skin with febrile symptoms. Measles, scarlet fever and small-pox. Pimples, acne, for the pain and heat and congestion. Ulcers with febrile accompaniments. Nsevus.
Tissues. — Anaemia, blood-poverty, want of red blood. Leu- caemia. Hyperemia, from relaxation of muscular fibres of blood vessels. Pre-exudative stage of inflammation. Hemor- rhages from any part of the body ; blood bright red, with a tendency to coagulate rapidly. Epistaxis, especially in chil- dren. Mechanical injuries, results of kicks, blows, falls and cuts, for the inflammatory symptoms. Bone diseases when
FERRUM PHOSPHORICUM. 65
the soft parts are red, inflamed and painful. Dropsy from loss of blood and draining of the system. Varicose veins in young persons. Fractures, especially if soft parts are wounded. First stage of ostitis. Sprains externally as well as internally. Glandular ulceration. Wounds of the soft parts, with inflam- matory symptoms. To be given in true chlorosis after Calc. phos.
Modalities. — All the pains of this remedy are aggravated by motion and are relieved by cold. Acts brilliantly in old people.
Homoeopathic Data. — Ferr. phos. was proved by J. C. Morgan, M. D., in 1876. The symptomatology is to be found in Alleys Encyclopedia, vol. x, and in the Cyclopedia of Drug Pathogenesis, vol. ii. The wide and extensive usefulness of this drug is entirely owing to its introduction by Schiissler. The provings up to the present time do not give a sufficient basis for the broad clinical applications that have been made of it according to the indications of Schiissler, although the provings, so far as they have gone, support these.
Administration. — Triturations and dilutions from the 6x to the i2x are recommended by Schiissler, although for anaemia much lower preparations have been used, as the ix or 2x. Competent and trustworthy observers have found it advisable not to use this remedy below the i2x at night, as it is exceed- ingly liable to cause sleeplessness. Its external application is also recommended by Schiissler in such diseases as sprains, wounds, hemorrhages, hemorrhoids, etc. Cures with the 200th potency are reported in catarrh, summer complaint, gonor- rhoea, etc. Dr. Morgan (the prover) uses the 30th potency in water in scarlatina.
Relationship. — Corresponding as it does to the first stage of inflammation without, exudation, its nearest analogue is Aeon. It stands midway between Aeon, and Gels. Schiissler ex- presses himself as follows in regard to the use of Aeon, for similar indications : "In the cases in which the vegetable remedy Aeon, is used for irritation — hypersemia — the basis of the first stage of all inflammations — the practice is indirect 5
66 THE TWELVE TISSUE REMEDIES.
biochemistry. Regarding the way and the mode in which Aeon, can bring about a cure, there are two possibilities to be thought of. Either the Aeon, molecules, which have reached the seat of the disease, serve as a temporary substitute for iron molecules, which have ceased to perform their function, but only until the functional disturbance has been repaired by means of the vital circulation, or the Aeon, molecules cause at once the introduction of new iron molecules into the diseased tissue, and are themselves ejected as foreign bodies as soon as the integrity of the latter has been restored — a fate which naturally also would be shared by those Aeon, mole- cules which might have served as substitutes. Each of these possibilities would rest on indirect biochemistry. The heal- ing of the irritation — hyperemia — however, by means of Ferr. phos. is a direct biochemic procedure." {Walker's Ed. of Schiissler' s Diphth.)
Aconite has a more bounding pulse and the characteristic restlessness and anxiety ; Gelsem. a more soft, flowing pulse and more drowsiness and dulness.
In anaemic conditions compare also China, with which it has many symptoms in common. It is interesting to note that the tree from which Chi)ia is obtained is always found in a ferruginous locality.
In its action upon the respiratory organs it clearly stands between iron and phosphorus. L,ike Ferr., it is indicated in congestion of the respiratory organs, even when there is con- siderable fever. Especially notice that the oppression and dyspnoea, both of which are extremely marked in Ferr. and Phosphor., are duplicated in this compound and afford good indications for its use ; so, in a general way, symptoms of op- pression like Phosphor, should be treated by this drug. (Allen, Handbook?)
Ferr. phos. corresponds in many points also to Bryon.y Bellad. and Arnica, and to Hepar and Mercitr., especially in acute inflammation of middle ear. In the debility, loss of strength and vitality of children, it is the remedy if the flesh be firm, complexion delicate, hair light and curly ; but Sulphur
KALI MURIATICUM. 67
takes its place in dark-complexioned children, with flabby mnscles, long and lank hair and moist skin. In the rheumatic affections of the aged, when the muscles are stiff and weakened, with a disposition to painful cramps, compare Strych. phos. California Zinfandel wine, a pure claret, the product of the vine growing in a volcanic, virgin soil, strongly impregnated with iron, possesses virtues in cases of anaemic tendency, prob- ably due to the iron soil on which it grows. After Ferr. phos. is frequently indicated Kali mur. (See therapeutical part.) Especially in diphtheria, pneumonia, croup, etc., etc.
In chlorosis, follow or precede Calc. phos.
In hemorrhoids, Calc. fluor.
In diabetes, Natr. sulph.
In broncho-pneumonia, Tart, eynet.
In ear affections, catarrhal deafness, Calendula and Hydras- tis.
KALI MURIATICUM.
Synonyms. — Potassium Chloride. Kali Chloratum. Kali Chloridum. Potassii Chloridum.
Common Names. — Chloride of Potash or Chloride of Po- tassium. (N. B. — This drug must not be confounded with Kali Chloricum, whose synonyms are Potassium Chlorate, Potassae Chloras and Potash Chloras, whose common name is Chlorate of Potash, and whose formula is K CI 03. This has been proved, and the authors of the " Giciding Symptoms'''' have deemed them sufficiently similar to Schiissler's Kali mur. to incorpor- ate them in their work. See Vol. VI, " Guiding Symptoms."}
Chemical Properties. — Formula, K CI. Occurs in nature in mineral carnallite. It may be prepared by neutralizing pure aqueous hydrochloric acid with pure potassium carbon- ate or hydrate. It crystallizes in cubes, occasionally in octahe- drons. The crystals are colorless or white, melt at a low red heat and volatilize at a high temperature without decomposi- tion. It is soluble in three parts of cold and two of boiling water, and is insoluble in strong alcohol.
68 THE TWELVE TISSUE REMEDIES.
Preparation. — The pure chloride is prepared by trituration as directed under Class VII, American Pharmacopoeia.
Physiologico - chemical Data. — This salt, according to Schiissler, stands in a chemical relation to fibrin ; disturbances in its molecular action cause fibrinous exudations. Without the presence of this salt no new brain-cell formation would take place. This salt is found in the blood corpuscles, muscles, nerve and brain-cells, as well as in the inter-cellular fluids. In its physiological character it is closely related to the sodium chloride, many of the properties of which it shares. If the cells of the epidermis, in consequence of any irritation, lose molecules of Kali mur., fibrin in the form of a white or whitish-gray exudation, is thrown off. This, in drying, be- comes a mealy eruption. If the irritation extends to the tissues beneath the epidermis, both fibrin and serum will exude, and the involved part of the skin will be pushed up in the form of blisters. Similar processes can take place within and amongst epithelial cells. If the integrity of the affected tissue is again restored by the administration of Kali mur. molecules, then a reabsorption or throwing off of the exudation occurs. Either result is attained probably by the production of hydro- chloric acid formed by one part of chlorine from the K CI with hydrogen. The action of this hydrochloric acid consists in dissolving the fibrin in the formative (nascent) state.
General Action. — Kali mur. corresponds to the second stage of inflammations of serous membranes when the exu- dation is of a plastic character. If leucocytes remain after the absorption of the fibrin of a plastic exudation, Natrum phosph. is serviceable. Kali mur. answers to croupous or diph- theritic exudations, and hence is useful in such diseases as diphtheria, dysentery, croup, croupous pneumonia, fibrinous exudations in the interstitial connective tissues, lymphatic enlarge- ments, infiltrated inflammations, cutaneous eruptions from bad vaccine virus, etc. The principal general characteristic symp- toms are a white or gray coating at the base of the tongue, white or gray exudations, glandular swellings, discharges or expectora-
KAU MURIATICUM. 69
tions of a thick, white, fibrinous slime or phlegm from any mucous surface, or flour-like scaling of the skin, torpor of the liver, etc.
Kali mur. is one of the most useful and positive of all our remedies in the hands of the aurist — chiefly suited to the second or later stages of catarrhal states.
Guiding Symptoms and Characteristic Indications.
Mental Symptoms — Patient imagines he must starve.
Head and Scalp. — Headache with vomiting, hawking up of white, milk-like mucus. Sick headache with white-coated tongue, or vomiting of white phlegm, arising from a sluggish liver, want of appetite, etc. In meningitis as a second remedy. Crusta lactea. Dandruff.
Eyes. — Discharge of white mucus from the eyes, or yellow, greenish matter and yellow, purulent scabs. Specks of matter on the lids. Superficial, flat ulcer of the eye arising from a vesicle. Blisters on cornea. Feeling of sand in the eyes. Iritis. Cataract, after Calc. fluor. Ulcers of asthenic type, tedious cases, redness not excessive, dirty-white, yellow, dis- charge moderate. Onyx and hypopyon. Trachoma. Paren- chymatous keratitis. Retinitis when exudation sets in.
Ears. — Chronic catarrhal conditions of the middle ear. Deaf- ness or earache from congestion and swelling of the middle ear or Eustachian tubes, with swelling of the glands, or crack- ing noises on blowing the nose or swallowing. Deafness due to throat troubles, white tongue, etc. Deafness from swelling of external ear. Moist exfoliation of epithelial layer of the tympanic membrane. Granular conditions of external meatus and membrana tympani. Excessive granulations. Prolifer- ous form of middle ear inflammation, stuffy sensation, deafness and naso-pharyngeal obstruction. Closed Eustachian tubes. " When Politzer bag fails to open tubes, after a few doses of Kali muriaticum they may be inflated easily." (R. S. Cope- land). Retracted membrana tympani. Walls of external meatus atrophied. Seems to act more on right Eustachian tube. Glands about the ear swollen. Snapping and noises in the ear.
JO THE TWELVE TISSUE REMEDIES.
Nose — Catarrh, phlegm white, thick. Stuffy cold in the head, whitish-gray tongue. Dry coryza. Vault of pharynx covered with adherent crusts. Nosebleed in the afternoon. (Holbrook.)
Face. — Cheek swollen and painful. Faceache from swelling of face or gums.
Mouth. — Aphthae, thrush, white ulcers in the mouths of little children or nursing mothers. Canker, excoriation and rawness of the mouth. Swollen glands about jaw and neck.
Tongue. — For the swelling in inflammation of the tongue. Coating of tongue grayish-white, dryish or slimy. Mapped tongue.
Teeth. — Gumboil before matter forms. Toothache with swelling of the gums and cheeks.
Throat. — The sole remedy in most cases of diphtheria, with Ferr. phos. Gargle also with same. Mumps, swelling of the parotid glands. Pharyngitis, throat swollen, spots or pustules appear with gray or whitish exudation (follicular). Hawks up offensive, cheesy, small lumps. Pain on swallowing. Syphi- litic sore throat. Second remedy in tonsillitis as soon as swelling appears. Tonsils inflamed, enlarged so much can hardly breathe. Grayish patches or spots in throat. White deposits. Tonsils spotted gray or white. Adherent crusts in vault of pharynx.
Gastric Symptoms. — Want of appetite. Biliousness with gray or white tongue. Dyspepsia and indigestion, with a whitish-gray tongue, sick feeling after taking fat, pain and heavy feeling on the right side under the shoulder. Fatty or rich food causes indigestion. Indigestion with vomiting of white, opaque mucus ; water gathers in the mouth. Gastritis when caused by taking too hot drinks. Pain in the stomach, with constipation, vomiting of thick, white phlegm, or dark, clotted, viscid blood. Bitter taste with obstinate constipation. Jaundice with these symptoms. (Holbrook.)
Abdomen and Stool. — Jaundice if caused by a chill resulting in catarrh of the duodenum, stools light in color. Sluggish action or complete torpidity of the liver, pain in right side,
KALI MURIATICUM. J I
pale yellow evacuations, constipation and furred tongue. Typhoid or enteric fever, looseness of bowels, flocculent evacuations. Abdominal tenderness and swelling. Typhus, with constipation. Small white thread worms, causing itch- ing at the axm.s(Natr.phos.). Flatulence, abdominal swelling, etc. Second stage of peritonitis, typhlitis and perityphlitis (see clinical case under typhlitis). Constipation, light-colored stools denoting want of bile, sluggish action of liver, or oc- curring in consequence of some primary disturbance, espe- cially where fat and pastry disagree. Diarrhoea, after fatty food, and in typhoid fever, with pale yellow, ochre or clay-colored stools, white or slimy stools. Dysentery, purging, with slimy stools. Hemorrhoids, bleeding piles, blood dark and thick, fibrinous, clotted.
Urinary and Sexual Organs. — Acute cases of inflammation of the bladder, in the second stage, when swelling has set in and discharge is thick, white mucus. Chief remedy in chronic cystitis. Inflammatory affections of the kidneys. Dark colored urine, deposit of uric acid. The principal remedy in gonor- rhoea and orchitis, resulting from a suppression of the same. In bubo for the soft swelling, and in soft chancres it is also he chief remedy (3X). Chronic stage of syphilis with char- acteristic pathological conditions. Gleet combined with ec- zema, visible or latent. Menstruation too late or suppressed, checked or too early, excessive discharge, dark-clotted or tough, black blood, like tar. Amenorrhcea, menses sup- pressed. Periods too frequent. Leucorrhoea, discharge of milky-white mucus, thick, non-irritating, bland. Ulceration of the os and cervix uteri, with the characteristic discharge of thick, white, bland secretions. Chronic congestion of the uterus, hypertrophy, second stage (see Calc. fluor).
Pregnancy. — Morning sickness with vomiting of white phlegm. Puerperal fever, chief remedy. Mastitis, gathered breast, to control the swelling.
Respiratory Symptoms. — Doss of voice, hoarseness from cold, tongue white. Asthma with gastric derangements, mucus white and hard to cough up. Bronchial asthma, second stage
72 THE TWELVE TISSUE REMEDIES.
of bronchitis, when thick, white phlegm forms. Cough in phthisis, thick, white, milky sputa. L,oud, noisy stomach cough ; cough short, acute and spasmodic, like whooping cough, expectoration thick and white. Protruded appearance of eyes, white tongue, croupy, hard cough, harsh and barking. In croup the principal remedy for the exudation. Pneumonia, second stage, white, viscid expectoration. Pleurisy, second stage, with plastic exudations and adhesions. Wheezing rales, or rattling sounds of air passing through thick, tenacious mucus in the bronchi, difficult to cough up ; hard cough. Child grasps at throat during a coughing spell.
Circulatory Organs. — Embolism, blood in a condition favor- ing formation of clots, which act as plugs. Second stage of pericarditis, plastic exudation, adhesions, etc. Palpitation from excessive flow of blood to the heart in hypertrophic con- ditions.
Back and Extremities — Glands of neck swollen. Rheumatic fever, exudation and swelling around the joints. Acute articular rheumatism. Rheumatic gouty pains, if worse on motion and if tongue be coated white. Rheumatic pains felt only during motion or increased by it (Ferr. fthos.). Nightly rheu- matic pains worse from warmth of bed ; lightning-like from small of back to feet ; must get out of bed and sit up. Hands get stiff while writing. Chronic rheumatism and swelling, when all movements cause pain. Chronic swelling of the legs and feet, painless, itching violently. Second stage of hip- joint disease. Ulcers on extremities, fibrinous discharges, bunions. Tenalgia crepitans, creaking of the tendons on the back of the hand. Chilblains on hands or feet or any part.
Nervous Symptoms. — The specific or chief remedy in epilepsy, especially if occurring with or after suppression of eczema or other eruptions. Should be persisted in for some time. Tabes dorsalis.
Sleep. — Startled at the least noise. Somnolence. Restless sleep.
Febrile Symptoms. — Congestions and inflammations, second stage of any organ or part of the body. The second remedy in
KALI MURIATICUM. 73
gastric, enteric or typhoid fever. In puerperal fever, the chief remedy for the exudation ; also in rheumatic fever. In scarlet fever, with Ferr. fikos., suffices to cure most cases. Typhus fever, for the constipation. Intermittent fever, with charac- teristic accompaniments of this drug. Scarlet fever, as pre- ventive. Catarrhal fever, great chilliness, the least cold air chills him through, has to sit close to the fire to keep warm and is chilly. Better covered up in bed. (Holbrook.)
Skin. — Abscess, boils, carbuncles, etc., in the second stage, when interstitial exudation takes place, and to cause swelling to disappear before matter forms. Acne, erythema, eczema and other eruptions on the skin, with vesicles containing thick, white contents. Albuminoid eczema, or other skin disease, arising after vaccination with bad vaccine lymph. Eczema from suppressed or deranged uterine functions. Dry, flour-like scales on the skin. Obstinate eczema, crusta lactea, scurfy eruption on the head and face of little children. Its use in obstinate eczemas has been repeatedly verified. Burns of all degrees (externally also), blisters, etc. Bunions, chil- blains, eruptions connected with stomach or menstrual de- rangement. Erysipelas vesiculosa, the principal remedy. Herpes, shingles, lupus, measles, hoarse cough and glandular swellings, also for after-effects. Pimples on the face, neck, etc. Smallpox, principal remedy ; controls formation of pus- tules. Ulcers with whitish, flour-like coating, or fibrinous, white discharge. Sycosis, primary remedy. Ingrowing toe- nail. Warts on hands.
Tissues. — Anaemia, _ as an intercurrent if skin affections be present. Hemorrhages, dark, black, clotted, or tough blood. Effects of blows, cuts and bruises, for the swelling. Dropsy, arising from heart, liver or kidney disease, from obstruction of the bile-ducts, from weakness of the heart with palpitation. Whitish liquid is drawn off ; white mucous sediment in the urine and white tongue. Fibrinous and lymph exudations in the interstitial connective tissues not becoming absorbed. Chief remedy in glandular swellings, follicular infiltrations. Proud flesh, exuberant granulations. Scrofulous enlargement of the
74 THE TWELVE TISSUE REMEDIES.
glands. Scurvy, hard infiltrations. Second remedy in sprains, strumous conditions. Bad effects of vaccination. Syphilis.
Modalities. — All the stomach and abdominal symptoms of this drug are worse after taking fatty food, pastry, or any rich food. The rheumatic and other pains are increased and aggra- vated by motion.
Homoeopathic Data. — Hering's Guiding Symptoms, Vol. VI, contains a complete resume of symptoms of this drug, but unfortunately they are mixed up with symptoms of Kali chloriciim with no distinguishing sign, rendering the collec- tion of symptoms less valuable for purposes of study than would be the case had they been kept separate.
Administration. — Triturations and dilutions. Schussler's preference is for the 6x or i2x, though latterly he has given lower potencies. In diphtheria he recommends a gargle of the 3x, 10 or 15 grains in a tumbler of water. Its external appli- cation is also recommended in burns, boils, carbuncles, skin affections, warts, etc., to be applied on lint dressings.
Relationship. — Corresponding as it does to the second stage of all inflammatory troubles, immediately upon appearance of exudation, its nearest concordants are Bryon., Mercur., Apis, Thuja, Spongia, Iodine, Pulsat., Rhus and Sulphur.
Analyses of the following drugs show them to contain Kali mur. in quite considerable quantities (homceopathically con- sidered) : Phytol, Sanguin., Stilling., Pinus Can., Asclep., Ailanth., Anis. stell., Hamam. virg., Cimicif., Berber. Most of these possess many symptoms in common with Kali mur. When full chemical analyses shall have been made of the various drugs, vegetable and animal, we shall be able to com- pare the symptoms of each drug with those of its component parts. Compare in Eustachian tube troubles Merc. dulc. In syphilis follow with Kali sulph. and Silicea. In lupus, Calc. phos.
In Schussler's Therapeutics Kali mur. assumes a role much like Sulphur in pure Homoeopathy, as a deep-acting remedy with eradicating tendencies, useful as an intercurrent, and to prepare the way for other indicated remedies. Kali mur. is
KALI PHOSPHORICUM. 75
frequently followed by Calc. sulph., which latter completes the action of the former. Kali mur. follows Ferr. phos., when the true lymph-exudation of ripening interstitial inflammation sets in. It also supercedes Natr. mur. when the deeper layers of epithelium, adjoining the connective tissue base- ment, are involved, and even suffer exfoliation, causing a white-coated tongue and an opaque-whitish secretion. (Morgan.)
Kali mur. may be compared with the chlorate, Kali chlor.^ the most poisonous of all the potash salts, a violent irritant of the whole gastro-intestinal mucous membrane, producing gan- grenous ulceration. Compare in aphthae, dysentery, epithe- lioma and nephritis. See Allen's Handbook.
KALI PHOSPHORICUM.
Synonyms. — Potassium Phosphate. Potassii Phosphas.
Common Name. — Phosphate of Potash.
Chemical Properties. — Formula, K2 H P 04. Prepared by mixing aqueous phosphoric acid with a sufficient quantity of potash, hydrate or carbonate, until the reaction is slightly alkaline, and evaporating. It crystallizes with difficulty. It is very deliquescent ; it is freely soluble in water and insoluble in alcohol.
Preparation. — It is prepared by trituration, as directed under Class VII, American Pharmacopoeia.
Physiologico-chemical Data. — Kali phos. is a constituent of all animal fluids and tissues, notably of the brain, nerves, muscles and blood-cells. All tissue-forming substances retain it with the greatest obstinacy, all nutritious fluids contain it, hence we may well conclude that it is indispensable to the formation of tissues. We know also that the oxidation pro- cesses, the change of gases in the respiration, and other chemi- cal transformations in the blood, as well as the saponifying of the fat and its further oxidation, are brought about by the presence of the alkalies, and chiefly by the presence of Kali
j6 THE TWELVE TISSUE REMEDIES.
phos. This alkaline reaction is essential to a large number of vital processes taking place in the interior, and is present, without exception, in all the animal fluids which are actually contained in the circulating system, or in the closed cavities of the body. (Dal ton.) It is found that the nerves retain their vital properties for a long time and very completely in a solution of this salt. By the diminution of the excretion of Kali phos. in the urine, conditions are produced within the organism which may present many-sided resistance to the typhus-decomposing element, as well as to the extension of the typhus process. (Grauvogl.) Kali phos. is an antiseptic and hinders the decay of tissues. Adynamia and decay are the characteristic states of Kali phos.
The most important discovery of Liebig, that phosphate of potash is predominant in the serum of the muscles and chloride of sodium in the circulating blood, we have often made great use of, particularly with regard to preferring the one or the other nourishment. (Hering.) A disturbance of the Kali. phos. molecules has for its results :
i. In the mental sphere such conditions as bashfulness, anxiety, fear, tearfulness, suspicion, homesickness, weakness of memory, depression, etc.
2. In the vaso-motor nerves : Pulse at first small and fre- quent, later retardation.
3. In sensory nerves : Pains with paralytic sensation.
4. In motor nerves : Muscular and nerve prostration to paralysis.
5. Trophic fibres of sympathetic nerve : Retardation of nutrition to complete cessation within a circumscribed cellular domain, hence softening and degeneration of involved nerves.
General Action. — Conditions arising from want of nerve power, as prostration, exertion, loss of mental vigor, depres- sion. In general, a sluggish condition of mind, which will act if aroused ; also an exhausted mental condition after men- tal exertion or great strain. It corresponds to the hosts of conditions known as neurasthenia, in which field it has won its greatest laurels. It is a restorative in muscular debility
KAU PHOSPHORICUM. J J
following acute diseases, myalgia and wasting of muscular tissue, all dependent upon impaired innervation. Atrophic condition in old people. In cases arising from rapid decom- position of the blood corpuscles and muscle juice, such as hemorrhages of a septic nature, scorbutus, stomatitis, gan- grenous angina, phagedenic chancre, offensive, carrion-like diarrhoea, adynamic or typhoid conditions, etc.
G-uiding Symptoms and Characteristic Indications
Mental Symptoms. — Anxiety, nervous dread without any special cause, gloomy moods, fancies, looks on the dark side of every- thing, dark forebodings. Great despondency about business and pecuniary affairs. Indisposition to mix with people. Dis- inclined to converse. Brain-fag from overwork. Depressed spirits, general irritability, or great impatience. Loss of memory, omits letters or words in writing, uses wrong words, confusion of ideas. Dread of and oversensitiveness to noise. Dulness, want of energy, the slightest labor seems a heavy task. Un- decided, captious, changeable. Rambling talk while wide awake {Natr. mur.). Effects of fright. After-effects of grief. Hallucinations and illusions of senses. Homesickness, haunted by visions of the past and longing after them. Hysteria from sudden emotions, fits of laughter and crying, false impres- sions. Insanity, mania and other mental derangements. Pro- found hypochondria and melancholia. Puerperal mania. Sigh- ing depression. Shyness, excessive blushing from emotional sensitiveness. Stupor and low delirium. Whining and fret- ful disposition. Hysterical yawning. Delirium tremens, fear, sleeplessness, restlessness and suspicion, rambling talk. Grasp- ing at imaginary objects. Mental aberrations. Softening of the brain, early stage, starting on being touched. Mental symptoms in children : Cross and ill tempered, fretful, fright- ened, screaming, whining. Night terrors. Shyness and ex- cessive blushing. Somnambulism. Very nervous, starts at the slightest sound. Talks while asleep. Wants to be car- ried while awake from room to room. Wakes easily. (Hol- brook.)
78 THE TWELVE TISSUE REMEDIES.
Head and Scalp. — Vertigo on rising, from lying, on stand- ing up, from sitting and when looking upward. Vertigo and giddiness from nervous exhaustion and weakness. Cerebral anaemia. Concussion of the brain. Asthenic conditions. Headache, nervous, sensitive to noise, confusion. Headache of students and those worn out by fatigue. Headaches are relieved by gentle motion. Pains and weight in the back of the head, and across the eyes, better while eating:, with feeling of weariness and exhaustion, inability for thought and charac- teristic mental symptoms. Headache with weary, empty, gone feeling at stomach. Menstrual headache with hunger. Neuralgic headache, humming in the ears, with feeling of inability to remain up, yet better under cheerful excitement ; tearful mood, better when eating. Water on the brain. Itching of scalp. Back or head sore as if hair was pulled. Se- vere pain in the left mastoid ; worse on motion and in open air.
Eyes. — Weakness of sight, loss of perceptive power, after diphtheria, from exhaustion. Excited, staring appearance of the eyes. Strabismus or loss of accommodation after diph- theria. Drooping of eyelids. Inco-ordination of ocular muscles and loss of accommodation for near objects. Sensa- tion of sand or sticks in the eyes. Soreness of eyeballs — sore around edges of lids and burn as though full of smoke. Eye- lids twitch, sight blurred. Black spots before the eyes.
Ears. — Deafness from want of nervous perception, with weakness and exhaustion of the nerves. Noises in the ears from nervous exhaustion, on falling asleep. Discharges of foul, offensive, ichorous pus from the ears. Ulceration of membrana tympani and middle ear suppurations ; when dis- charges are foul, ichorous, offensive, fetid or sanious. Atrophic conditions in old people, tendency of the tissues to shrivel up and become scaly. Humming and buzzing in the ears {Magnes. phos.). Itching in the auditory canal. Hearing supersensitive, cannot bear any noise.
Nose. — Epistaxis in weak, delicate constitutions, predisposi- tion to same. Ozsena, offensive yellow crusts, ulcers. Thick yellow discharge. Sneezes from slightest exposure. Yellow
KALI PHOSPHORICUM. 79
crusts blown from nose followed by epistaxis. Thick mucus hawked from posterior nares.
Face. — Iyivid and sunken, with hollow eyes. Red, hot, burning face and forehead ; at other times pale and yellow. Neuralgic faceache, with great exhaustion after the attack. Right-sided neuralgia, relieved by cold applications. Neural- gic stitches from upper teeth to left ear. Pain in maxillary bones, better from eating, speaking and touch. L,oss of power in facial muscles, causing contortions. Itching of face under beard ; pimples. Facial paralysis from working in the water.
Mouth. — Hydroa on lips. Pimples and sore crusts on lips. Peeling of skin. Stomatitis ; breath offensive, fetid. Gums spongy and receding. Noma, cancrum oris ; ashy-gray ulcers. Offensive odor from mouth. Saliva profuse, thick and salty.
Tongue. — Excessively dry in the morning. Feels as if it would cleave to the roof of the mouth. Tongue white, slimy, brownish like French mustard. Inflammation of the tongue when excessive dryness occurs or exhaustion sets in ; edges of tongue red and sore.
Teeth. — Predisposition to bleeding of the gums ; red seam on the gums. Severe pain in decayed or filled teeth. Tooth- ache alternates with frontal headache. Toothache of highly nervous, delicate or pale, emotional persons, with easily-bleed- ing gums ; they have a bright red seam or line on them. Nervous chattering of the teeth. Speech slow and inarticu- late. Gums spongy and receding. Teeth feel sore. Grind- ing of teeth.
Throat. — Tonsils large and sore, with white, solid deposits like diphtheritic membrane. Throat very dry ; desire to swal- low all the time. Hoarseness and loss of voice. Salty mucus raised from throat. Gangrenous sore throat. Croup, last stage, syncope and nervous prostration. After-effects of diph- theria. Weakness of sight, nasal speech and paralysis of any part. Malignant gangrenous conditions, prostrations, etc. Paralysis of the vocal cords.
Gastric Symptoms. — Gastric ulcer, because this is a disturb- ance of the trophic nerves. Excessive hungry feeling soon
80 THE TWELVE TISSUE REMEDIES.
after taking food. A nervous "gone sensation " at the pit of stomach. Gaseous eructations. Gastritis when treatment has been delayed with asthenic conditions. Indigestion with nervous depression. Stomach-ache from fright or excitement. Very thirsty. Nausea and vomiting of sour, bitter food and of blood. Empty, gnawing sensation relieved by eating. Belching of gas tasting bitter and sour. Constant pain at epigastrium in a small spot. Deep green or blue vomiting from brain troubles.
Abdomen. — Weakness in the left side under the heart. Splenic troubles, flatulence with distress about the heart, or left side of stomach. Abdomen swells, dry tongue, etc. Typhoid fever, debility and other characteristic symptoms of this drug. Abdomen distended with gas. Bearing down pains. Colic in hypogastrium with ineffectual urging to stool ; better bending double. Collapse, livid, bluish countenance and low pulse.
Stool and Anus. — Diarrhoea ; painless, watery, from fright or other depressing causes, with great prostration ; stools putrid, like rice water, bloody, carrion-like odor. Putrid and typhoid dysentery. Watery stool with imperative call, followed by tenesmus. Cholera symptoms. Noisy, offensive flatus. Pro- fuse, painless, offensive and imperative stool while eating, fol- lowed by unsatisfied urging. Rectum burns and feels sore after movements, prolapsed. Bowels constipated. Stools dark brown, streaked with yellowish-green mucus. Paretic condition of rectum and colon. Hemorrhoids, sore, painful and itching.
Sexual Organs. — Intense sexual desire ; priapism in the morning. Impotence and painful emissions at night, without erection. Sexual instinct depressed, much of the time en- tirely dormant. Utter prostration and weak vision after coitus. Phagedenic chancres. Balanitis. Female : Menses premature and profuse in nervous subjects. Irregular, scanty, almost black, offensive odor. Amenorrhoea with depression of spirits, lassitude, and general nervous debility. Dull headache with menses, very tired and sleepy, legs ache, stitching all through pelvis and womb. Pain in left side and ovaries. Intense
KALI PHOSPHORICUM. 8 1
pain across the sacrum. Leucorrhoea, yellowish, blistering, orange-colored, scalding, acrid. Intense sexual desire after menses. Menstrual colic in pale, lachrymose, nervous females. Hysteria, sensation of a ball rising in throat. Nervousness.
Urinary Organs. — Enuresis in larger children. Paretic con- ditions of bladder. Incontinence of urine from nervous de- bility. Frequent urination or passing of much water, frequent scalding. Bleeding from the urethra. Incontinence from paralysis of the sphincter of the bladder. Cystitis in asthenic conditions with prostration. Bright's disease of the kidneys. Diabetes with nervous weakness, voracious appetite, etc. Gonorrhoea with discharge of blood. Urine quite yellow like saffron. Itching in urethra. Cutting pain in bladder and urethra.
Pregnancy. — Threatened miscarriage in nervous subjects. Puerperal mania, childbed fever. Feeble and ineffectual labor- pains, spurious labor-pains, tedious labor from constitutional weakness. Mastitis when the pus is brownish, dirty-looking, offensive odor, adynamic condition.
Respiratory Symptoms. — Asthma, from the least food. Asthma (large doses and often repeated, 3X), depressed condition of nervous system. Eoss of voice from paralysis of vocal cords. Hay asthma. Hoarseness with exhausted feeling from over- exertion of the voice, if rheumatic or nervous. Cough from irritation in the trachea, which feels sore. Expectoration thick, yellow, salty, fetid. Chest very sore. Whooping cough in the highly nervous, with great exhaustion. Acute oedema of lungs, spasmodic cough with frothy, serous masses being brought up in excess and threatening suffocation. Shortness of breath when going up-stairs, or on any exertion. Croup, last stage, extreme weakness, pale or livid countenance.
Ciculatory Organs. — Feeling of faintness in nervous people, or dizziness from weak action of the heart. Faintness from fright, fatigue, etc. Intermittent action of the heart, with nervous sensitiveness, from emotions, grief or care, with palpi- tation. Functional disturbances of the heart with weak, anxious, nervous state. Palpitation from slightest mental
82 THE TWELVE TISSUE REMEDIES.
emotion or from walking up-stairs. Pulse intermittent, irreg- ular, or below normal. Palpitation after rheumatic fever, with exhaustion. Anaemia, blood poor, palpitation with sleepless- ness and restlessness. Sluggish circulation.
Back and Extremities. — Spinal anaemia. Idiopathic softening of the spinal cord, patient has trouble in guiding himself ; loss of power of movement, he tumbles and trips easily. Paralytic or rheumatic lameness, with stiffness after rest, yet becoming better by gentle motion. Pain in back and extremities, re- lieved by motion, aching between scapulae. Finger tips as if asleep. Itching of palms and soles. Itching of legs at night with numbness and weakness. Burning of feet — fidgety feel- ing in feet. Pains worse on rising from a sitting posture and by violent exertion. Bruised and painful feelings in parts af- fected, also discoloration. Acute and chronic rheumatism, pains disappear on moving about, severe in the morning after rest and on first rising from a sitting position, parts feel stiff. Exertion and fatigue aggravate. Stiffness, paralytic tendency. Pain in the hips. Paralyzing, drawing pain in sole of foot. Chilblains on the toes. Muscular weakness after severe illness.
Nervous Symptoms. — The great nervous tissue salt. Neural- gic pains occurring: in any organ, with depression, failure of strength, sensitiveness to noise and light, improved during pleasant excitement, and by gentle motion, but most felt when quiet or alone. Sciatica. Dragging pain down back of thigh to knee, torpor, stiffness, great restlessness and pain, nervous exhaustion, etc. Nervousness without any reasonable cause ; patient sheds tears and makes "mountains out of molehills." Paralysis of any part of the body, partial, paraplegia, hemiplegia, facial, or of the bladder, upper lid, etc. Paralysis usually comes on sud- denly. Atrophic paralysis. Locomotor paralysis, loss of motor force, or stimulating power. Creeping paralysis in which the progress is slow, and tendency to wasting of the body, with loss of sense of touch, facial paralysis. Epilepsy, sunken countenance, coldness and palpitation after the attack. Attacks come from a fright. Hysteria, attacks from sudden emotion, feeling of a ball rising in the throat, nervous, rest-
KALI PHOSPHORICUM. 83
less, fidgety feeling. Trembling sensation. General debility, with nervousness and irritability. Bodily pains felt too acutely. Easily startled. Fears burglars. Neurasthenia, especially from sexual excess, characterized by severe spinal irritation. Paroxysms of pain, with subsequent exhaustion. In- fantile paralysis. Spinal anaemia from exhausting diseases, with laming pain, worse while at rest, but manifest on begin- ning to move.
Sleep. — Sleeplessness, after worry or excitement from nerv- ous causes. Somnambulism, walking in sleep in children. Yawning, stretching and weariness, with sensation of empti- ness at pit of stomach. Hysterical yawning. Constant dream- ing of fire, robbers, of falling, ghosts, etc. Night terrors of children. Awakening from sound sleep screaming with fright. Lascivious dreams. No desire to rise in the morning. Twitching of muscles, on falling asleep.
Febrile Symptoms. — Intermittent fever; fetid, debilitating, profuse perspiration. Typhus, malignant, putrid, camp, nerv- ous or brain fevers. The chief remedy in typhoid, gastric and enteric fevers with brown, dry tongue, petechias, sleeplessness, stupor, delirium, etc. All typhoid and malignant symptoms are met by this drug. High temperature. Scarlet fever, putrid conditions of the throat, exhaustion, stupor, etc. Ex- cessive and exhausting perspirations with fetid odor. Perspira- tion while eating, with weakness at stomach. Hay fever ; for nervous irritability.
Skin. — Eczema if oversensitiveness and nervousness accom- pany it. Felons, abscess and carbuncle when the matter becomes fetid. Pemphigus malignus, blisters and blebs over the body, watery contents, skin wrinkled and withered- looking. Greasy scabs with offensive smell. Alopecia areata. Irritating secretions on skin. Itching of the inside of hands and feet where the skin is thickest. Itching of the skin with crawl- ing sensation ; gentle friction agreeable, excess causes sore- ness and chafing. Smallpox, putrid conditions. Chilblains on the toes, hands or ears, tingling and itching pain. Malig- nant pustule.
84 the twelve; tissue remedies.
Tissues. — Anaemic conditions. Losing flesh all the time. Atrophy, wasting diseases with putrid stools. Hemorrhages. Blood dark, thin and not coagulating, putrid. General de- bility and exhaustion. Persons who suffer from suppressed sexual instinct or too much indulgence. Serous, ichorous, sanious, foul and offensive exudations, corroding, chafing ex- udations. Gangrenous conditions. Mortification in the early stages. Cancer ; for the pains, offensive discharges and dis- coloration. Rickets with putrid discharges from the bowels. Scurvy with gangrenous conditions. Septic hemorrhages. Sup- purations with dirty, foul, ichorous, offensive discharge of pus. Leucaemia lienalis, typhus, putrid states. Atrophic condition in old people, tissues dry, scaly, lack of vitality. Discharges have a carrion-like odor.
Modalities. — Many symptoms of this remedy are aggravated by noise, by rising from a sitting posture, by exertion and continued exercise and after rest. Cold air aggravates all pains. The characteristic ameliorations are gentle motion, eating, under excitement and company ; worse when alone. Pains and itchings worse 2 to 5 A. M.
Homoeopathic Data. — The remedy has been proved by the Provers' Union of Chicago, under the direction of Dr. H. C. Allen, the salient features of which are included in the above symptomatology. Another so-called proving has been made for Dr. B. Fincke, in a very sensitive young woman, with the cm. potency held between the fingers ! We must confess that we have not read the account of this heroic proving, as we could not conscientiously incorporate it in our treatise. However, any one interested in this curiosity can find a re- port of it in the Proceedings of I. H. A. Transactions, and also in The Medical Advance, March, 1892, in which number also Dr. Allen's arrangement of his proving can be found. A carefully prepared differential diagnosis of the phosphates from the imperfect materials, then in hand by the late Dr. Samuel Lilienthal, can be found in the Transactions of the American Institute of Homoeopathy for 1890. The drug merits more extended, careful provings with all potencies.
KALI PHOSPHORICUM. 85
Administration. — The lower potencies seem to work best ; thus the 2x or 3X in asthma is recommended by Schiissler. However, the higher, 6x and i2x, and high potencies have all been employed with success.
Relationship. — Probably the nearest analogues are Rhus tox. and Phosph., with which it has many symptoms in common. The nervous symptoms of Pulsat. seem to depend on the amount of Kali phos. present. The peculiar mental state of Pulsat. is also found under this remedy. Phytol. also has many symptoms in common with Kali phos. Compare the sciatica. Ignat., too, probably contains Kali phos., as the hysterical symptoms are nearly identical. Kali phos. in its actions as a nerve sedative is related to Ignat., Coffea, Hyoscy., Chamom. In menstrual headaches compare Zinc, Cimicif., Gelsem., Cyclamen, etc. In bladder troubles Kali phos. often finds a complementary remedy in Magnes. phos., the latter cor- responding more to the spasmodic affections, while Kali phos. more to the paralytic symptoms. In incipient paralysis of the brain, when nephritic irritation accompanies, compare Zinc, phos. In hemorrhages, bright or dark red, thin, watery, not clotted, follow Kali phos. by Natr. mur., also Nitr. ac. After weakening diseases, the French variety of mushrooms, which contain large quantities of Kali phos., restore the muscles more quickly than anything else. In its disordered mental conditions compare Cyclam., which frequently corrects the abnormal, dreamlike, mental state of the insane. Compare Kali mur. in puerpural fever. In post-diphtheritic complaints compare Lachesis, Caust. In the gangrenous conditions com- pare Kali chlor.
Groups for study with Kali phos.:
1. Nervous system, Cimicif., Hyos., Stramon., Zinc, Silicea, Ignat, Anacard., Conium, Staphisag.
2. Blood degeneration, Baptis., Mur. acid, Laches., Crotalus, Kreosote, Arsenic, Carbo, China.
86 THE TWELVE TISSUE REMEDIES.
KALI SULPHURICUM.
Synonyms. — Potassium Sulphate. Kali Sulphas. Potassse Sulphas.
Common Name. — Sulphate of Potash.
Chemical Properties. — Formula, K S04. Occurs native in lavas, etc. Crystallizes in short, permanent, colorless four- and six-sided prisms. It is soluble in ten parts of cold and three parts of boiling water. It is insoluble in alcohol. It has a sharp, bitter, saline taste.
Preparation. — Pure sulphate of potash is prepared by tritu- ration, as directed under Class VII, American Homoeopathic Pharmacopoeia.
Physiologico chemical Data. — This remedy, according to Schiissler, is the function remedy of the epidermis and of the epithelium. A deficiency of this cell salt causes a yellow, slimy deposit on the tongue, slimy, thin, or decidedly yellow or greenish discharge and secretions of watery matter from any of the mucous surfaces, and epithelial or epidermal des- quamation. The yellowness is probably due to retrograde metamorphosis — fatty degeneration of inflammatory products and of effete epithelium, etc.
The sulphates in nature and the oxide of iron serve as oxy- gen carriers. If sulphate and iron oxide come in contact simul- taneously with an organic substance in a state of decay they give off their oxygen, and sulphate of iron is formed thereby ; this may again be decomposed by the oxygen of the air, forming sulphuric acid and iron oxide, which, under favorable conditions, become again carriers of oxygen. Similar pro- cesses may occur in the human organism. Therefore, of the sulphates, Kali sulph. probably plays an important role, be- cause it is found in the cells and in the intercellular fluids, muscles, nerves, epithelium and in the blood corpuscles. It is the carrier of oxygen. The oxygen taken up by the iron contained in the blood corpuscles is carrried to every cell of the organism by the reciprocal action of Kali sulph. and iron. Kvery cell requires for its growth and development the vital-
KALI STJXPHURICUM. 87
izing influence of oxygen. But its continued action oxidizes the organic basis of the cells. Hence, they disintegrate into their constituent elements. A deficiency of Kali sulph. may, according to location and extent, occasion the following symptoms : Feeling of heaviness and weariness, vertigo, chilli- ness, palpitation, fear, melancholy, toothache, headache, pains in the limbs, which intermit and change location. These pains are worse in closed rooms, warmth and towards evening, and better in fresh, open air, that is rich in oxygen.
Epidermis and epithelial cells poorly fed with oxygen loosen and desquamate freely. If oxygen is brought to the suffering parts by means of Kali sulph. the formation of new cells is thereby furthered, and these hasten, by their activity, to promote the desquamation of the old ones.
General Action. — It is applicable to the third stage of in- flammation or to its stage of retrogression, the sulphates being characteristic products of the oxidation of tissue and the potas- sium having its special sphere in the solids, and the resulting salt becomes a prominent constituent of their ashes, whence we can infer its homceopathicity to the same stage. Ailments accompanied by profuse desquamation of epidermis. Yellow mucous discharges. Rise in temperature at night producing an evening aggravation. Another characteristic indication is amelioration in the cool, open air. Diseases caused by a retro- cession of eruptions. To produce perspiration if Ferr. phos. fails.
Guiding Symptoms and Characteristic Indications.
Mental Symptoms — Fear of falling.
Head and Scalp. — Vertigo, especially on looking and ris- ing. Headache, which grows worse in a warm room and in the evening, and is better in the cool or open air. Falling out of the hair, bald spots. Rheumatic headaches, beginning in the evening and in a heated atmosphere ; worse moving head from side to side or backward. Copious scaling of scalp, moist and sticky. Dandruff and scaldhead.
Eyes. — Cataract, opacity of the crystalline lens, Yellow
88 THE TWELVE TISSUE REMEDIES.
crusts on the eyelids, yellowish or greenish, purulent discharge from the eyes. Conjunctivitis, ophthalmia neonatorum. Ab- scess of the cornea. Hypopyon.
Ears. — Deafness from congestion of the tympanic cavity, or with catarrh and swelling of Eustachian lining. Worse in a heated room, with a yellow, slimy coating on the tongue. Earache, with discharge of watery or yellow matter. Secretion of thin, bright-yellow, or greenish fluid after inflammation. (Thick, pus-like discharge, Calc. stclph.) Pain under the ear, sharp, cutting pain, tension, stitches and piercing below the mastoid process. Stinking otorrhcea. Polypoid excrescence closes the meatus.
Nose. — Colds with yellow, slimy expectorations, or dis- charge of watery matter. Patient feels generally worse in the evening or in a heated room. Decidedly yellow or yellow- ish-green discharges from the nose. After Ferr. phos. in colds, if the latter does not produce free perspiration and the skin remains dry. Old catarrh with yellowish, viscous secre- tion. Nose obstructed, together with yellowish discharge from the nares. Smell lost. Ozsena.
Face. — Faceache aggravated in a heated room and in the evening, improved in cool or open air. Pallid face. Face red, features distorted. Epithelioma.
Mouth — Dower lip swollen. Dryness and desquamation of the lower lip, peels off in large flakes ; epithelioma, burning heat in the mouth.
Tongue. — Coating yellow and slimy, sometimes with whitish edge. Insipid, pappy taste. Dips, tongue and gums white. Taste lost.
Teeth. — Toothache worse in warmth and evening, better in cool, open air. Chronic painfulness of the gums.
Throat. — No symptoms that are noteworthy.
Gastric Symptoms. — Burning heat in stomach ; burning thirst, nausea and vomiting. Chronic catarrh of the stomach, with yellow, slimy, coated tongue. Indigestion with sensation of pressure as of a load and fullness at the pit of the stomach, painful, and water gathers in the mouth. Sensation of faint-
KALI SULPHURICUM. 89
ness in the stomach. Colicky pains in stomach, when Magnes. phos. fails. Deep-seated pain in stomach. Gastric fever with a rise of temperature in the evening and fall in the morning. Thirstlessness. Dread of hot drinks. Jaundice from gastro- duodenal catarrh.
Abdomen and Stool. — Yellow, slimy, watery, purulent diar- rhoea, with characteristic tongue. Pains resembling colic. Abdomen feels cold to touch. Pains similar to flatulent colic, caused by great heat, from excitement and sudden coldness of the part following. Gas escaping from the bowels has a sulphurous odor. Purging and severe colic. Habitual con- stipation. Internal and external hemorrhoids, with charac- teristic tongue and secretions. Typhoid and enteric fevers, with rise of temperature at night and fall in the morning. Tympanitic abdomen, cramp and every indication of ap- proaching peritonitis. Abdomen very tense. Symptoms of cholera. Black, thin, offensive stools. Post-scarlatinal nephritis.
Urinary and Sexual Organs. — Gonorrhoea, slimy, yellow or greenish discharge. Balanitis, gleet. Orchitis, after suppressed gonorrhoea. Deucorrhoea, discharge of yellow, greenish, slimy or watery secretions. Menstruation too late and too scanty, with a feeling of weight and fulness in the abdomen, and headache, yellow-coated tongue. Syphilis with charac- teristic evening aggravation. Metrorrhagia.
Pregnancy. — Symptoms are wanting.
Respiratory Organs. — Bronchial asthma with yellow ex- pectoration, worse in the warm season or in a hot atmosphere. Bronchitis, expectoration distinctly yellow, or greenish, slimy, or watery and profuse. Cough worse in the evening with heat. Pneumonia. Coarse rales but cannot cough up much mucus, sputa consists of watery matter. Mucus slips back and is generally swallowed ; hard, hoarse cough like croup. Weary feeling in the pharynx. Great rattling in the chest, rattling of mucus with cough. Third stage of catarrhal cough, with free, yellowish expectoration. Croupy hoarseness, speak- ing is fatiguing, hoarseness from cold. Whooping cough ; with yellow, slimy expectoration. Pneumonia with wheezing ;
9° THE TWELVE TISSUE REMEDIES.
yellow, loose, rattling phlegm is coughed up, or watery matter. Suffocative feeling in a hot atmosphere. Desire for cool air.
Circulatory Organs. — Pulse quick with throbbing, boring pain over crest of ilium. Pulse scarcely perceptible.
Back and Extremities. — Neuralgic or rheumatic pains in the back, nape of the neck or in the limbs, periodical, worse in the evening or in a warm room, and decidedly better in a cool atmosphere. Rheumatic pains in the joints or any part of the body, when of a shifting, wandering, flitting nature, settling in one place, then another, with characteristic modalities. Fungoid inflammation of the joints. Cramps in upper and lower extremities. Scaly eruptions mostly on arms, better from hot water.
Nervous Symptoms. — Neuralgic pains in different parts of the body, with tendency to shift in locality. Chorea.
Sleep. — Very vivid dreams.
Febrile Symptoms. — Temperature rises in the evening until midnight, then falls again. It assists in promoting perspira- tion, hence it should be given frequently, and warm coverings at the same time should be applied. Intermittent fever with yellow, slimy, coated tongue. Fevers from blood poisoning, gastric, enteric and typhoid fevers, scarlet fever, stage of des- quamation, cold sweat.
Skin. — Skin inactive (give in hot drinks while in bed, wrapped in blankets). Epithelial cancer, with discharge of thin, yellow, serous matter. Eczema, when the discharge is yellow or greenish, watery, or when suddenly suppressed. Sudden retrocession of the rash, from a chill or other causes, in any eruptive disease — measles, scarlet fever, eczema, etc., when the skin is harsh and dry. Blistering erysipelas ; to favor falling off of scabs. Burning, itching, papular eruption. Diseased condition of the nails, interrupted growth, etc. {Siliced). Skin scales freely on a sticky base. Sores on the skin with yellow, watery secretion ; surrounding skin peels off. Effects of ivy poison, nettlerash. In smallpox to promote falling off of crusts and formation of healthy skin. Scaly
KALI SULPHURICUM. 9 1
tetter in the palms. Chafing of children. Old tetters. Tuber- culous ulcers with a continuous oozing of yellow pus and lymph.
Tissues. — Inflammations with yellow, watery, serous, puru- lent secretions. Serous, watery exudations. Torpidity, de- pressed vitality ; and disease makes rapid headway. Soft polypi. Bpithelioma. Migratory rheumatism of the joints.
Modalities. — The grand characteristics are the evening: aggra- vation and the amelioration in the cool, open air. Great aggra- vation in a heated room ; also the characteristic secretion from mucous membranes, yellow, sticky, slimy.
Homoeopathic Data. — No regular proving, but a brief collec- tion of symptoms derived from very large doses, old school sources, is found in Alien 's Encyclopedia, vols, v and x, and vol. vi, Guiding Symptoms. They are included in the above.
Administration. — Schiissler recommends the i2x and 6x, these giving the best results. In febrile conditions it must be given frequently. It is recommended externally in dandruff and diseases of the scalp. Often completes a cure commenced by Kali mur.
Relationship. — The nearest analogue to Kali sitlph. appears to be Pulsat. It is interesting to compare these two remedies, as they have many symptoms in common. Thus both have :
Aggravation of symptoms in a warm room. Amelioration in the cool and open air. Discharges from mucous membranes are yellow, purulent in character ; sometimes yellowish-green. Coating of tongue yellow and slimy. Pressure and feeling of fulness in stomach. Gonorrhoea with yellow or yellowish- green, bland discharge. Yellow mucous expectoration from the lungs on coughing. Hoarseness from a simple cold. Pains in the limbs, worse at night and from warmth ; better in cool, open air. Palpitation of the heart. Migratory or shifting and wandering rheumatic pains. A chemical analysis of Pulsat. shows that one of its constituents is Kali sulph., another is Kali phos. and another is Calc. phos. Its mucous symptoms probably are due to the presence of Kali sulph., and its mental and nervous symptoms to Kali phos.; but, of course,
92 THE TWELVE TISSUE REMEDIES.
this is pure hypothesis, and only suggested for further study and observation. Kali sulph, often follows with advantage Kali mur. Compatible remedies in itching and redness of skin : Acetic acid, Arsen., Calc. carb., Dolichos, Hepar, Puis., Rhus, Sepia, Silicea, Sulphur, Urtica.
Compare Natr. mur. in deafness, pain in stomach, coarse rales and profuse exudations, but these are more watery in Natr. mur.
MAGNESIA PHOSPHORICA.
Synonyms. — Magnesium Phosphoricum.
Common Name. — Phosphate of Magnesia.
Chemical Properties. — Formula, Mg HP04, 7H20. It is made by mixing phosphate of soda with sulphate of magnesia. The crystals resulting are six-sided, needle-like. They have a cooling, sweetish taste. They are sparingly soluble in water ; 322 parts dissolving one part after standing a long time. Boil- ing decomposes it. It exists in the grains of cereals, and can be detected in considerable quantity in beer.
Preparation. — The salt is triturated according to Class VII, American Homoeopathic Pharmacopoeia.
Physiologico-chemical Data. — It is an earthy constituent of muscle, nerves, bone, brain, teeth and blood corpuscles. A disturbance of its molecular motion causes cramps, pains and paralysis. Schiissler says that the action of Magnes. phos. is the reverse of that of iron. By functional disturbance of the molecules of the latter the muscular fibres relax ; through the functional disturbances of the magnesium molecules they con- tract ; hence it is the remedy for cramps, convulsions and other nervous phenomena.
General Action. — Diseases having their seat in the nerve- fibre cells or in the terminal bulbs of the nerves, in the muscles or in the muscular tissue itself, are cured by this remedy. Pains which are darting, spasmodic in character, boring, lightning-like, accompanied by a constrictive feeling. They
MAGNESIA PHOSPHORICA. 93
are often changing in locality, and are relieved by warmth and pressure. It is purely antispasmodic, and hence is curative in cramps, spasms of the glottis, tetanus, epilepsy, spasmodic retention of the urine, paralysis agitans, etc. It is best adapted to lean, thin, emaciated persons of a highly nervous organiza- tion, and prefers light complexion and the right side of the body. Cold in general favors its action exceedingly, whereas heat and pressure interfere with it. Hence the patient is relieved by these. Attacks are often attended with great prostration and sometimes with profuse sweat. The Magnes. phos. patient is languid, tired, exhausted, unable to sit up, whether he is suffering from acute or chronic affections.
Guiding Symptoms and General Characteristics.
Mental Symptoms. — Illusions of the senses, forgetful, dulness and inability to think clearly, indisposition to mental effort. Sobbing with lamenting. Laments all the time about the pain, with hiccoughing. Talking to herself constantly or sitting still in moody silence. Carries things from place to place.
Head and Scalp. — Brain troubles of children, with uncon- sciousness and convulsive symptoms. Headache, pains shoot- ing, darting, stabbing, shifting, intermittent, spasmodic, par- oxysmal and neuralgic, always relieved by the application of warmth. Nervous headaches with sparks before the eyes. Very acute pains in the head, more in young and strong per- sons, constant while attending school or after mental labor, or from any injurious stimulus. Pain on top and back of head extending down the spine, most severe between the shoulders. Headache from occiput, spreading over whole head with nausea and chilliness. Scalp feels rough ; much dandruff ; pustules.
Eyes. — Vision affected, sees colors before the eyes (chroma- topsia), sparks, eyes sensitive to light, photophobia, diplopia, pupils contracted, dullness of vision from involvement of the optic nerve or retina. Dark spots float before the eyes. Nystagmus, spasmodic squinting, ptosis or drooping of the
94 THE TWELVE TISSUE REMEDIES.
eyelids. Twitching of eyelids. Orbital and supraorbital neu- ralgias, worse on the right side and relieved by warmth applied externally, and exquisitely sensitive to touch. Increased lachrymation with the pain. Itching of lids. " Retinitis Pigmentosa " (R. S. C).
Ears. — Weakness of the auditory nerve-fibres causing deaf- ness. Otalgia purely nervous in character, better from heat. Neuralgic pain worse behind right ear, made worse by going into cold air and washing face and neck in cold water. " A remedy to be thought of in all forms of internal ear disease." (Copeland).
Nose. — Loss or perversion of the sense of smell, even with- out catarrhal troubles. Alternate stoppage and profuse gush- ing discharge. Smarting and rawness, worse left side. Cold in head, alternately dry and loose.
Face. — Neuralgia, supra- and infra-orbital. Prosopalgia, lightning-like pains, intermittent, always better from warmth ; worse on touch, pressure, cold and on right side, at 2 p. m. and in bed. Neuralgic pains of right side, from infra-orbital foramen to incisor tooth, gradually radiating over the entire right side of face, worse by touch, opening the mouth, cold air and when body gets cold. From washing or standing in cold water. From exposure to a strong north wind.
Mouth. — Convulsive twitchings of the angles of mouth. Sensation of painful contraction at articulation of lower jaw, with backward jerking. Spasmodic stammering. Trismus ; lock-jaw.
Tongue. — Generally clean with pain in stomach ; coated white with diarrhoea ; bright red, with rawness in mouth, left side sore, smarting like canker-sore, making eating painful as if scalded.
Teeth. — Very sensitive to touch or cold air. Cannot brush teeth with cold water. Toothache worse after going to bed, changes place rapidly ; worse from cold things, cold washing ; better by heat and hot liquids (if cold, Ferr. phos., Bry., Coff.). Severe pains in decayed or filled teeth. Ulceration of teeth with
MAGNESIA PHOSPHORICA. 95
swelling of glands of face, throat and neck and swelling of tongue. Complaints of teething: children. Spasms without febrile symptoms.
Throat. — Soreness and stiffness, especially right side ; parts seem puffy, with chilliness and aching all over ; swallowing painful with pain in back of head. Must swallow. Dropping from posterior nares, with sneezing and rough throat. Spasm of the glottis. Spasmodic constriction of the throat on at- tempting to swallow liquids, with choking sensation.
Gastric Symptoms. — Sensitive to acids and averse to coffee. Craves sugar. Hiccough with retching day and night. Obsti- nate singultus, causing long lasting soreness. Regurgitation of food. Burning, tasteless eructations, better drinking hot water. Heartburn. Gastralgia, with clean tongue, relieved by warmth and bending double. Pain worse from touch at epigastrium and renewed by drinking cold water. Spasms or cramps in the stomach, pain as if a band were tightly laced around the body. Flatulent distension of stomach with con- strictive pain. Flatulent dyspepsia. Nausea and vomiting.
Abdomen. — Enteralgia. Flatulent colic forcing patient to bend double, relieved by rubbing, warmth, pressure, accompanied with belching of gas which gives no relief. Incarcerated flatulence ; rumbling and belching. Flatulent colic of children and the new- born. Abdominal pains cause great restlessness, radiate from navel, often accompanied by a watery diarrhoea. Cannot lie on back stretched out, has to lie bent over. Bloated, full sen- sation in abdomen; must loosen clothing, walk about and con- stantly pass flatus.
Stool. — Diarrhoea, watery, with vomiting and cramps in calves ; with chilliness and pain in stomach. Stools expelled with force. Dysentery, with cramp-like pains, spasmodic re- tention of urine ; cutting, lightning-like pains in hemorrhoids, so severe as to cause fainting ; most severe in rectum and abdomen. Pain in rectum with every stool. Pain with pro- longed spasm of abdominal muscles. Constipation of infants, with spasmodic pain at every attempt at stool, indicated by sharp, shrill cry ; much gas and rumbling and flatulent colic.
96 THE TWELVE TISSUE REMEDIES.
Urinary and Sexual Organs. — Constant urging to urinate when standing or walking. Spasm of the bladder ; child passes large quantities of urine ; spasmodic urinary complaints ; spasmodic retention ; spasm of the neck of the bladder ; pain- ful urging. Nocturnal enuresis from nervous irritation. Ves- ical neuralgia after use of catheter. Deficiency or excess of phosphates. Gravel. Sexual desire increased.
Female. — Menstrual Colic ; pain precedes flow ; intermittent, worse on right side, great relief from heat. Ovarian neural- gia, worse on right side. Vaginismus. Ovaritis. Mem- branous dysmenorrhoea. (Has cured a number of cases.) Menses too early, with dark, fibrinous, stringy flow. Swell- ing of external parts.
Pregnancy. — Spasmodic labor pains, with cramps in the legs, crampy pains, excessive expulsive efforts. Puerperal convulsions (intercurrent). Relaxes contracted uterus. Re- tained placenta.
Respiratory System. — Asthma when flatulence is trouble- some. Spasmodic closure of the windpipe, with sudden, shrill voice, constriction of the chest. Persistent semi-chronic cough of a pseudo-catarrhal, nervous character. True spas- modic cough, coming on in paroxysms without expectoration ; convulsive fits of nervous cough ending in a whoop ; whoop- ing cough ; spasmodic cough at night, with difficulty in lying down. Darting pains in the chest, more on right side, which radiate from pain in bowels. Oppression of chest, shortness of breath. Constriction of chest and throat, with spasmodic, dry, tickling cough.
Circulatory Organs. — Angina pectoris, neuralgic spasms (bet- ter given in hot water) ; nervous palpitation of the heart when spasmodic.
Neck and Back. — Sore pain in lower part of back, in neck and small of back. Acute, boring, darting, neuralgic pains in any part of the back. Shifting pains ; intercostal neuralgia. Dorsal spine very painful and sensitive to touch.
Extremities. — Darting pains in shoulders and arms, worse in right. Joints painful. Involuntary shaking of the hands.
MAGNESIA PHOSPHORICA. 97
Paralysis agitans. Tingling sensations. Neuralgia in lower limbs, at night, mostly with spasmodic muscular contractions ; legs ache after getting in bed. Sensation in limbs like a shock of electricity, followed by muscular soreness. Cramps in calves. Sciatica with excruciating, spasmodic pains. Violent pains in acute rheumatism of the joints (as intercurrent during rheu- matic fever). Deficiency in locomotive power. Feet very tender. Pains are aggravated by the slightest touch.
Nervous Symptoms. — Nutrition and function remedy for the nerve tissues. Languid, tired exhausted, unable to sit up. Alco- holism. Nightly neuralgias, with spasmodic muscular con- tractions. Spasms from idiopathic affections of motor nervous tissues. Twitchings all over body during waking hours. Lightning-like pains. Convulsions with stiffness of the limbs or of the body, fingers clenched, thumbs drawn in. Singultus. Chorea, involuntary movements and contortions of the limbs. Epilepsy resulting from vicious habits, spasms, stiffness of limbs, clenched fists and teeth. Paralysis agitans, trembling of hands, limbs, or shaking of head. Paralysis of nerve fibres. Writer's cramp. Piano or violin player's cramp. Tetanic spasms, lock-jaw (rub it into the gums). Convulsive sobbing.
Sleep. — Spasmodic yawning. Insomnia from exhaustion or lack of brain nutrition. Drowsiness. Sleep disturbed by troublesome dreams, by pain in occiput and back of neck.
Febrile Symptoms. — Intermittent fever with cramps in the calves. Chilliness after dinner, in evening, about 7 p. m. Chills run up and down the back with shivering: ; are followed by a suffocating sensation. Severe chills about 9 A. M. Bilious fever. Profuse sweat.
Skin. — Burning and stinging pain in bunions and corns. Barber's itch ; herpetic eruption with white scales. Boils. Rash like insect bites ; worse about knees, ankles and elbows.
Tissues. — Spasms and neuralgias. Nervous asthma. Spasm of glottis. Chorea. Tetanus. Bad effects from injurious stim- ulants.
Modalities. — All the pains of this remedy are characteristic- 7
98 THE TWELVE TISSUE REMEDIES.
ally worse on the right side, from cold, cold air, draught of air, cold washing and from touch. They are always relieved by warmth, heat, pressure, bending: double, and friction.
Homoeopathic Data. — Since its introduction by Schussler this magnificent remedy has been proved by Drs. W. P. Wessel- hoeft, J. A. Gann and other members of the I. H. A., by which the main indications of Schussler were verified and others added, thus giving us a polychrest of the highest order. ' All the provings have been arranged systematically by Dr. H. C. Allen, and published in the Medical Advance, December, 1889. The foregoing symptomatology contains all that seemed to us reliable and worthy of preservation. A resume of its symptoms is also given in Hering's Guiding Symptoms, vol. vii.
Administration. — Schussler recommends the 6x trituration, and adds that it acts best when given in hot water. Many practitioners have verified this valuable hint, and found also that in case of failure with this preparation, the lower poten- cies, such as the first and second, would cure. In colic, Dr. J. C. Morgan advises the 30X in water, and frequent doses. But in view of the really surprising and apparently wholly trust- worthy results obtained by the provers with the high and highest potencies, we would recommend these should the lower fail.
Relationship. — Magnes. phos. has won its greatest laurels in the treatment of nervous affections, neuralgias especially. Here, in a general way, it finds another tissue remedy with which it shares the honors. This is Kali phos., which is more truly the nutritive brain remedy, and clinically corresponds more to paretic affections, while Magnes. phos. does more to spasmodic affections. The general modality differs, too, Kali phos. having amelioration by cold applications. In studying the action of this drug, we find the most striking resemblance in the colic and other neuralgic symptoms with Colocynth.\ and it certainly is a suggestive and interesting fact that Colocynth. contains 3 per cent, of Magnes. phos. The flatulent colic reminds also of Dioscorea. Another near relative is
NATRUM MURIATICUM. 99
Gelsem. The provings of both show a close correspondence in the mixture of spasmodic and paretic symptoms, hence their successful employment in hysteria, hypochondriasis and spinal irritation. The chill up and down the back are common to both. Naturally enough come into this physio- logical group Ignat. and Nux mosch., which compare espe- cially in the flatulent symptoms of both and the spasmodic of Ignat. In spasms Magnes. phos. is like Bellad., and follows it frequently, should it fail and the patient present the dilated pupils, staring eyes and starting at slightest noise. In stra- bismus, if caused by worms, compare Natrum phos.; in wa- tery secretions, diarrhoea, etc., Natrum mur.; in epilepsy, Kali mur., Calc. phos., and Silicea ; affections of the right side of the body, Bellad., Bryon., Chelid., Kali carb., Lycop., Podoph. The violent pains remind of Bellad., Stramon.; the shifting, rapidly changing of Puis., Kali sulph., Lac can.; the squeez- ing, constricting sensation of Cactus, Calc, Iod. and Sulph. The menstrual and labor-pains resemble Viburn., also Pulsat, but, unlike this, are better by heat. Cimicif. has much simi- larity here, but its pains are more steady, those of Magnes. phos. more spasmodic. Again, the pains of Magnes. phos. seem to be more in the deeper structures — ovaries, fundus ; those of Cimicif. more in the ligamentous (A. P. Davis.) In membranous dysmenorrhea remember Borax and Acetic acid and Viburn. op. Among plants containing Magnes. phos. may be mentioned Lobelia, Symphytum, Stramon. and Viburn., which probably explains the presence of similar symptoms. In the nightly neuralgic pains relieved by heat compare also Ars.; and its action on the nervous system gen- erally compare Zinc.
Antidotes. — Bellad., Gelsem., Lachesis.
NATRUM MURIATICUM.
Synonyms. — Sodium Chloride. Chloruretum Sodicum. Natrium Chloratum Purum. Sodii Chloridum. Chloride of Sodium.
IOO THE TWELVE TISSUE REMEDIES.
Common Karnes. — Common Salt. Table Salt.
Chemical Properties. — Formula, Na CI. It occurs abun- dantly in nature, nearly everywhere. It crystallizes from aqueous solutions in colorless, transparent, anhydrous cubes ; it is soluble in three parts of cold water, scarcely more in boiling. It is insoluble in absolute alcohol. Its watery solu- tions dissolve several bodies insoluble in water, e. g., Calc. flhos., etc.
Preparation. — One part by weight of pure chloride of so- dium is dissolved in nine parts by weight of distilled water. Amount of drug power, one-tenth. Dilutions and triturations should be prepared according to Hahnemann's methods.
Physiologico-chemical Data. — This salt is a constituent of every liquid and solid part of the body. Its function is to regulate the degree of moisture within the cells.
This function of salt to regulate the degree of moisture within the cells is accomplished by virtue of its property of attracting water, which is imbibed as drink or in the food, and reaching the blood through the epithelial cells of the mucous membrane, whence it may finally reach ■ the various cells, giving them the needful degree of moisture. Every cell contains soda, combining with nascent chlorine, which is formed by the splitting up of the chloride of sodium contained in the intercellular fluids. This chloride of sodium within the cell thus produced has the property of attracting water ; in consequence of which the cell enlarges and is divided. Only in this way does division of cells for purposes of cell multiplication take place.
If no chloride of sodium is formed within the cells, the water destined to supply their moisture is retained in the intercellular fluids, and a hydremia results. The patient then shows a watery, bloated appearance, is languid, drowsy, lachrymose, chilly, especially along the spine and extremi- ties. He craves salt. Although a plentiful supply of salt may be offered in the food, the diseased condition is not re- moved, simply because the cells cannot take up the particles of salt unless offered in a very dilute solution.
NATRUM MURIATICUM. IOI
An oversupply of salt within the intercellular fluids often occasions a salty taste, due to the irritation of the glossophar- yngeal and lingual nerves. Such a condition also causes acridity of secretions of mucous membranes or of open wounds.
Chloride of sodium contained in the healthy epithelial cells of serous membranes regulates the osmosis of water from the arterial blood to the several serous sacs. A disturbance of the functions of these salt molecules is followed by a watery exudation within the sacs. By the therapeutic application of small doses of Natrum mur. the cells are enabled to reabsorb the exudation.
A disturbance of the molecular motion of this salt in the epithelium of the tear glands, or in the salivary glands is fol- lowed by lachrymation or ptyalism.
If the dental branch of the fifth nerve is irritated, and the disturbance reaches the lachrymal glands, which is done by means of the secretory fibres of the sympathetic, and which results in a disturbance of the function of the molecules of salt in these cells, we have a toothache accompanied by a profuse flow of saliva.
The epithelial cells of the intestinal mucous membrane transfer, by means of their salt, the water taken with the food into the blood contained in the branches of the portal vein. A disturbance of their function through any irritation results in a reverse flow. Serum enters the intestinal canal, and a watery diarrhoea results in consequence. And if the irritation reaches the mucous cells of the intestines, a watery, mucous diarrhoea results. The mucin of the mucous cells appears on the surface as a glairy, transparent mucus. The normal secretion of mucus is decreased if the mucous cells contain too little salt and mucin.
It is the sodium chloride particularly which regulates the quantity of water entering into the composition of the blood corpuscles, thereby preserving their form and consistence ; and it seems to perform an analagous office with regard to the other semi-solids of the body. (Dal ton.)
102 THE TWELVE TISSUE REMEDIES.
The Natr. mur. molecules contained in the epithelial cells of the peptic glands become split up by the mild action of the carbonic acid of the blood, its chlorine is separated, and the free soda unites with the carbonic acid, and this combination reaches the blood while the chlorine, united to the hydrogen and dissolved in water, reaches the stomach as hydrochloric acid. If on account of the want of salt in the epithelial cells of the peptic glands no HC1 can be formed, there arises an increase of the exudated alkaline mucus from the superficial epithelium of the mucous membrane of the stomach. Diluted hydrochloric acid, given in order to reduce the secretion of the superficial epithelial cell to the proper quantity, is but a palliative procedure ; a rational cure must be effected by re- storing the disturbed motion of the NaCl molecules which are found in the nourishing fluid of the epithelial cells of the peptic glands by means of administering homogeneous mole- cules.
This is also the function remedy of mucin, which is con- tained in the epithelial cells of all mucous membranes. It cures catarrh of such when its characteristic exudation is present ; just as the hydrochloric acid formed in the epithelial cells of the peptic glands reduces the increased alkaline mu- cous exudation of the superficial epithelium to the right quan- tity, so can the hydrochloric acid that is formed by splitting up of the chloride of sodium within the mucin of all mucous membranes limit the secretion of the mucus in the formative (nascent) stage.
It is a fact that hydrochloric acid is obtained from salt {Natr. mur.\ not only by means of carbonic acid acting upon the salt in a mass, but a similar result is obtained by the ac- tion of water. In the former the carbonic acid unites with the sodium which has lost its chlorine, and this combination reaches the blood ; in the other case, sodium hydroxyd results, which dissolves the mucin and increases the secretion of mucus. This explains the origin of catarrh in damp atmos- pheres.
In consequence of a marked disturbance of the function of
NATRUM MURIATICUM. 103
salt, blood serum may transude into the stomach and vomit- ing of a watery secretion (waterbrash) will result. If salt is lacking in a portion of cells (below) the epidermis, their proper amount of water cannot be received, and the epidermis rises in blisters, with clear, watery contents. Similar blisters, from corresponding disturbances, may arise on the conjunctiva.
In consequence of a disturbed function of salt we may find at the same time, though in different places, secretions either increased or decreased. For instance, a gastric catarrh with vomiting of water or mucus may exist, together with a con- stipation, caused by a lessened secretion of mucus in the colon.
Among the main effects of undue salt-eating we find :
1) A thickening and partial paralysis of the vocal cords and an almost continual sore throat.
2) A pale and waxy color, with dryness of the cuticle, which yet perspires too freely upon exertion.
3) Constipation or chronic diarrhoea.
4) Abnormal appetite.
5) Plethora and corpulence.
6) Retarded endosmosis and exosmosis.
7) Thinning of the blood, slow circulation and lowered temperature.
8) Dandruff, cutaneous affections, deposits and abscesses. — Medical Argus, Sept., '96.
General Action — Natr. mur. promotes the activity of tissue change and increases the excretion of urea, hence its use in chronic scrofulous ailments affecting the glands, bowels and skin. It acts upon the blood, lymphatic system, the mucous lining of the digestive tract and upon liver and spleen. It causes a deterioration of the blood and other vital fluids, par- taking of a scorbutic nature, giving rise to inflammation, going on to ulcerations and producing distinct dyscrasiae. It also produces, and hence cures, cachexia like that resulting from ague plus quinine. Malnutrition and emaciation. Anaemia, leucaemia, hydraemia, chlorosis and scorbutus. A serous dis- charge is the leader to this drug. It causes pains in any part
104 THE TWEEVE TISSUE REMEDIES.
of the body when they are accompanied by salivation, in- creased lachrymation, or by vomiting of water or mucus. Mucous membranes everywhere are affected, producing sponginess and swelling with venous hyperemia, bleeding and increased mucous secretion ; hence, catarrhs of all mucous membranes, with secretions of transparent, watery, coarse, frothy mucus. Vesicles with watery contents, which burst and leave a thin scurf. Watery vomiting, increased aqueous- ness of any part of the body, hydrocephalus, etc. The tongue has a clean, shiny appearance, or bubbles of frothy saliva extend along its sides, or is broad, pallid, puffy, with a pasty coat. Di- minished secretions of any part of the body, salty taste.
Dr. L,eon Rosenbusch, of Iyemburg, reports a most favora- ble experience in the use of Natr. mur. by subcutaneous in- jections in cases marked by danger of failing circulation. The following is a resume by the author of the indications for injection and the amounts to be used :
i. Sudden collapse (five to eight drams of a six per cent, solution).
2. Paresis of the heart muscles from any acute disease (five to eight drams at once, and then one to two drams daily).
3. Acute gastro-enteritis, great weakness after severe vomit- ing and diarrhoea (eight to twenty ounces of a tepid solution of six per thousand).
4. Hemorrhage from lungs, stomach or bowels (five drams, then one and a half drams daily).
5. Heart-failure in consequence of chronic disease and ca- chetic conditions (one and a half drams daily for several days).
Grinding- Symptoms and Characteristic Indications
Mental Symptoms. — Hopeless feeling about the future. De- jection of spirits, consolation aggravates ; fluttering of the heart follows. Delirium with starting, wandering delirium with frothy appearance of the tongue. Hypochondriacal mood with constipation. Excitement, excessively frolicsome, with inclination to dance and sing ; angry irritability with passion-
NATRUM MURIATICUM. 105
ate outbursts. Delirium tremens ; most cases will be cured by this remedy. Melancholia at puberty. Brain-fag.
Head and Scalp. — Dull, heavy headache, with profusion of tears, drowsiness and unrefreshing sleep. Head nods forward involuntarily from weakness of muscles of neck. Headaches with constipation, from torpor and dryness of a portion of the intestinal mucous tract, when the tongue is clean or covered with bubbles of frothy saliva. Headache with vomiting of transparent phlegm or water, also sick headache with this symptom {Calc. phos.). Hemicrania, loss of consciousness and twitching of limbs. Hammering: headache, generally worse in the morning. Headache of schoolgirls during menses, with burning on the vertex. This is the chief remedy in sun- stroke. Engorged venous sinuses with tendency to extrava- sation, temporary cerebral congestion. Itching eruption on margin of hair at the nape of neck with glutinous moisture. Dandruff, white scales on scalp sometimes co-existing with watery secretions from the mouth, nose or eyes. Falling off of hair.
Eyes. — Dimsightedness. Blisters on the cornea, white spots on same. Useful for involvement of the vitreous humor. Gauze before the eyes, letters run together when reading. Scrofulous ulcers of the cornea with photophobia. Especially in scrofulous or tubercular patients. Discharge of clear mu- cus from the eyes, or flow of tears with obstruction of tear duct, worse after use of nitrate of silver. Conjunctivitis with white mucous secretion and acrid lachrymation. Granulated eyelids with or without secretion of tears. Tarsi much thick- ened and red. Useful in blepharitis, the thick and inflamed lids smart and burn, with acrid lachrymation. Dachrymation with eruption of small vesicles causing scalding of the parts. For muscular asthenopia we have no better remedy. Neuralgic pains in the eyes, periodical, with flow of tears and reddened conjunctiva. Ciliary neuralgia coming and going with the sun. Stricture of lachrymal ducts.
Ears. — Deafness from swelling of the tympanic cavity, with characteristic tongue. Catarrh of tympanic cavity and Eus-
106 THE TWELVE TISSUE REMEDIES.
tachian tube {Kali sulph.). Roaring in ears. Purulent dis- charges from ears. Cracking when chewing. Itching and burning in the ear, stitches in the ear.
Nose. — Old nasal and pharyngeal catarrhs with loss of smell and taste. Colds causing vesicular eruptions with watery contents, which burst and leave thin scurfs or crusts. Scabs in the nose. Influenza, hay fever. Chronic catarrhs of bloodless patients, mucus having a salty taste. Coryza with clear, watery discharge or alternating with dry coryza, with loss of smell and taste, posterior nares feel dry. Epistaxis from stooping and from coughing. General morning aggra- vation of catarrhs. Redness of nose with pimples, vesicles and painful nodules. Nose on one side feels numb. Cold commencing with sneezing.
Face. — Sallow complexion, leaden. Faceache with consti- pation, with characteristic tongue or vomiting of clear water. Periodical neuralgia after quinine, with lachrymation. Greasy appearance of skin. Sweating while eating. Sycosis, whisk- ers fall out, with much itching, vesicles with watery contents. Pustular eruption on forehead.
Mouth. — Blisters like pearls around the mouth, humid sores in the commissures. Thrush with salivation. Cracks in lips, burning and painful. Relaxed uvula. Follicular ca- tarrh of pharynx. Lips swollen. Eruptions on chin.
Tongue. — Coating slimy, clear and watery, sero-mucous, and when small bubbles of frothy saliva cover the sides. Loss of taste. Vesicles on the tip of the tongue. Mapped tongue. Tongue numb ; stiff. Children are slow in learning to talk. Sensation of a hair on tongue. Dryness of tongue and mouth, more a sensation.
Teeth — Sensitive, easily bleeding, ulcerated gums. Tooth- ache with involuntary flow of tears or salivation. Looseness of teeth. Ranula, chronic inflammation of the salivary glands. Teething with dribbling of saliva. Gumboils with throbbing and boring pains.
Troat. — Neck emaciated. Diphtheria, if the face be puffy and pale, with drowsiness, watery stools, flow of saliva, or
NATRUM MURIATICUM. 107
vomiting of water. Post-diphtheritic paralysis when food goes the wrong way and only liquids can be swallowed. Sore throat with transparent mucus covering the tonsils. Relaxed uvula, chronic sore throat, with feeling of plug or lump, and great dryness of the throat. Constriction and stitches in throat. Follicular pharyngitis, especially in smokers and after Nitrate of silver treatment. Swelling of sub-maxil- lary glands, lips, cervical glands and tonsils. Goitre with watery secretions (chief remedy, Calc. phos.). Mumps with salivation and frequent coughing of mucus, tasting salty. Uvula elongated. Inflammation of uvula. Offensive breath.
Gastric Symptoms. — Indigestion with vomiting of clear, frothy water or stringy saliva, or with pain and salivation. Offensive breath. Stomachache with above symptoms. Heaviness and fulness. Waterbrash, water coming up into the throat, not acid. Pressure and distension of the stomach, with longing for salt food. Longing for salty and bitter things. Violent thirst. Ravenous hunger. Heartburn after eating. Sour taste. Aversion to Dread. Loss of desire for smoking. Jaundice with drowsiness. Feeling of great weak- ness and sinking at stomach. Red spots on pit of stomach.
Abdomen and Stool. — Constipation when arising, from want of moisture ; dryness of the mucous linings with watery secre- tions ; in other parts, watery vomiting, watery eyes, saliva- tion, etc. Pain in region of liver and spleen. Hemorrhoidal constipation. Constipation accompanied with much weak- ness of the intestines. Great torpor but without pain. Dry stool producing fissure, burning pain in the rectum. Sting- ing hemorrhoids. Herpetic eruption around anus. Torn, bleeding, smarting feeling after stool, which is hard, difficult and crumbling, with stitches in the rectum. Proctalgia. Pain in abdominal ring. Diarrhoea with watery, frothy stool. Diar- rhoea alternating with constipation. Excoriating watery diarrhcea, involuntary, knows not whether flatus or faeces escape. Great weakness of abdominal muscles and viscera.
Urinary and Sexual Organs. — Polyuria, especially if accom- panied with waterbrash and with much emaciation. Hsema-
108 THE TWELVE TISSUE REMEDIES.
turia from scurvy ; cutting and burning after urination Spermatic cord and testicles painful, swollen and infiltrated. Catarrh of bladder with characteristic discharge. Involuntary urination while walking, coughing, etc. Gonorrhoea with scalding. Chronic gonorrhoea, transparent, watery slime, in- tensely itching ; urethra painfully sore to pressure ; cutting in urethra after urinating. Chronic syphilis, serous exuda- tion, loss of hair from the pubes. Seminal emissions followed by chilliness and lassitude with increased sexual desires. Scrotal oedema. Impotence. Discharge of prostatic fluid. Burning and soreness of vagina after urinating. Incontinence of urine. Menstruation, discharge thin, watery, bloody ; de- layed menstruation, with headache. Pruritus vulvae. Ach- ing in testicles. Violent itching on scrotum. Doss of hair from pubes. Terrible sadness during menses. Leucorrhcea watery. Copious catamenia with slimy, corroding leucor- rhcea ; watery, smarting discharges, after or between periods. Scalding, irritating discharges, causing itching and falling off of the hair on the pubes. Before menses sad and melancholic ; during and after menses, headache. Prolapsus, must sit down to prevent it. Great dryness of the vagina. Chlorosis, dirty look to the skin with palpitation, delaying catamenia. Uterine troubles relieved by lying: on back, on a pillow. Pressing and pushing towards genitals in the morning.
Pregnancy. — Morning sickness with vomiting of frothy, watery phlegm. Loss of hair during childbirth or lactation.
Respiratory System. — Acute inflammation of the windpipe, with clear, frothy, watery phlegm, loose and rattling, some- times raised with difficulty. Dry, short cough day and night from irritation at pit of stomach. Bronchitis with cough from tickling behind sternum ; cough causes bursting headache, involuntary micturition, pain in abdominal ring and spermatic cord, lachrymation and palpitation and stitches in chest. Chronic bronchial catarrh, " winter cough," cough with bursting headache, tears stream down the cheeks, and invol- untary urination. Asthma with profuse watery mucus. Whooping cough with same conditions. Inflammation of
NATRUM MURIATICUM. IO9
the lungs with much rattling phlegm, serous and frothy, coughed up with difficulty. Pleurisy when serous exudation has taken place. (Edema of the lungs with characteristic expectoration. Hoarseness, pain, dyspnoea.
Circulatory Organs. — Pulse rapid and intermittent, worse lying on left side, felt all over the body, especially in the epigastrium, in hypersemic and scorbutic conditions. Flut- tering motion of the heart. Sense of constriction. Palpita- tion with anxiety and sadness, in anaemic conditions. Hyper- trophy of the heart, must lie down frequently, has cold hands and numb extremities.
Back and Extremities. — Emaciated neck in children. Back- ache relieved by lying on something; hard, spine and extremities oversensitive. Feeling of coldness in the back. Periodical attacks of gout. Great weakness and weariness. Chronic rheumatism of the joints. Joints crack ; rheumatic, gouty pains, involuntary jerking of legs, fidgets or jerkings dur- ing sleep. Stiffness and arthritic swellings, ankles weak. Pain in small of back on rising up. Blistering festers on the fingers, containing watery fluid. Hangnails. Skin of hands, especially about nails, dry and cracked. Warts in palms of hands. Pain in hip. Coxalgia. Sciatica — painful contrac- tion of hamstrings. Involuntary jerkings of legs. Weakness in knees and calves. Cracking of joints on motion. Syno- vitis, herpes in bend of knees. Urticaria about joints. Cracks between toes. Frequent falling asleep of the legs and feet, with weakness of ankle joints.
Nervous Symptoms. — Sensation of numbness in suffering parts. Paretic weakness in various muscular groups of the trunk and limbs. Spine oversensitive to touch or pressure. Spinal irritation. Restlessness and twitching of muscles. Paralytic pain in small of back. Paralysis. Neuralgic pains, especially biliary and infra-orbital, recurring at certain times, with flow of saliva or tears. Shootings along the nerve-fibre with watery eruptions. Chorea. Hysterical debility, worse in the morning. Hysterical spasms and debility. Takes cold easily. Easily fatigued. Singultus {Magnes. pltos.).
HO THE TWELVE TISSUE REMEDIES.
Sleep. — Excessive sleep if traced to an excess of moisture in the brain. The natural amount of sleep is unrefreshing, and he feels tired in the morning on awaking. Constant and ex- cessive desire to sleep. Dreams of robbers in the house. Fre- quent starting during sleep. Sleep very restless and setting in late. Insomnia, with unusual general animation.
Febrile Symptoms. — Scarlet fever with drowsiness, twitching or vomiting of watery fluids. Profuse night-sweats. After the second remedy in rheumatic fever with chilliness and characteristic symptoms. Hay fever with watery discharges from the eyes and nose. Typhus fever when stupor and sleepiness are great. Intermittent fever after abuse of quinine, living in damp regions, or newly turned ground. Chill from morning till noon, about 10 A. M., preceded by intense itching, heat with increased headache and thirst, sweat sour and weak- ening, much backache and throbbing headache, great lan- guor, emaciation, sallow complexion and fever-blisters on the lips. Typhoid or malignant symptoms when such accompa- niments as twitchings, drowsiness and watery vomiting occur.
Skin. — Chronic skin diseases, urticarious and miliary erup- tions. Eczema, fine scales or eruptions with water contents. Herpetic eruptions occurring in the course of a disease, blis- ters, blebs and watery vesicles on the skin. Herpes in bend of knee and elbow. Colorless, watery vesicles forming into thin scabs or crusts which fall off and readily form again. Intertrigo, soreness of the skin in children, with watery symptoms. Warts on the palms of the hands. White scales on the scalp, intertrigo between thighs and scrotum, with acrid and excoriating discharge. Pemphigus, watery blebs. Shingles or herpes zoster with characteristic symptoms. Herpes circinatus. Rupia, blisters, not pustular eruptions. Sycosis if watery symptoms correspond, beard falls out, dan- druff. Effects of insect-bites. Nettlerash, itching violently, appears after bodily exertion, tetter in bends of joints. Ooz- ing of an acrid substance. It is usually the second remedy in herpes zoster. Eczema from eating too much salt. Fungus hsmatodes. Greasy skin. Eczema of eyebrows, behind ears.
NATRUM MURIATICUM. Ill
Warts in palms of hands. Nettlerash in intermittent fever. Hangnails.
Tissues. — Anasarca, accumulation of serum in the areolar tissues. Dropsy or dropsical swelling, puffiness of the tissues. Serous or watery exudations, serous secretions. Anaemic con- dition, blood thin and watery ; chlorotic conditions ; chlorosis. Ansemia due to abuse of salt ; emaciation pallor with dirty, flaccid, torpid skin ; hydraemic, adynamic conditions, varices. Basedow's disease. Addison's disease. Dryness of mucous membranes, going on to erosion. Emaciation while living: well; emaciation especially of the neck. Cachexia from ague plus quinine. Chronic swelling of lymphatic and sebaceous glands. Gout. Acts upon cartilage, mucous follicles and glands, salivary and mesenteric glands. Catarrhs of all mucous surfaces. All exudations and secretions are transpar- ent, slimy, like boiled starch.
Modalities. — Generally worse in the morning, periodically ; at the seaside and in cold weather. Backache is relieved by lying on something hard. Complaints after urinating ; after abuse of nitrate of silver ; from quinine.
Homoeopathic Data. — This drug was first proved by Hahne- mann, and appears in vol. iv of the Chronic Diseases. It was also re-proved by the Austrian Society of Provers, and the pathogenetic effects recorded by Hahnemann and therapeutic results obtained by the use of the 30th potency brilliantly ver- ified. Its pathogenesis is found complete in the Chronic Dis- eases, but excellent resumes, together with added clinical experience since that publication, can be found in Hering's Guiding Symptoms, vol. vii, and Allen's Handbook of Materia Medica. An interesting and suggestive little book on Natrum muriaticum as a test of the doctrine of "Drug Dynamization" by Dr. Jas. C. Burnett, is also worthy of special mention. Published by B. Gould & Son, Dondon.
Administration — Schiissler recommends the 6th potency. The general experience of the homoeopathic school seems to be in favor of the higher potencies ; thus H. C. Allen, M. D., says it will cure more quickly in the attenuations above the
112 THE TWELVE TISSUE REMEDIES.
30th than below. Schiissler recommends also its external application in such diseases as the stings of insects, likewise as a gargle or spray in catarrhal affections.
Relationship. — Compare Kali sulph. and Kali mur. in catarrhs of the Eustachian tubes and tympanum. In gastric and intestinal conditions compare Natr. sulph. In headache of young girls during menses compare Calc. phos. and Ferr. phos. Headache during catamenia, Kali sulph. when metror- rhagic symptoms preponderate. When the menses are scanty, Natr. mur. In bites of insects Ledum comes nearest, but Ferr. phos. and Kali phos. have also been successfully em- ployed. Natr. mur. has as a close analogue Lycop., which will often be needed to supplement its action. Natr. mur. regulates moisture exudation from the circulation, especially when from the arterial system, while Natr. sulph. is more in- dicated when from the venous system. Complementary drugs : Apis and Arg. nit. Natr. mur. often precedes Sepia and Sulph. in chronic diseases. For the excessive use of salt in food give Phosph. For the bad effects of sea-bathing Ars. For the bad results of cauterization of any mucous surface with nitrate of silver, Natrum is the antidote. For dryness of mucous membranes compare Graphite, Alumina, Bryonia. In ranula, Ambra.
NATRUM PHOSPHORICUM.
Synonyms. — Sodium Phosphate. Natri Phosphas. Phos- phas Natricus. Sodse Phosphas. Sodii Phosphas.
Common Name — Phosphate of Soda.
Chemical Properties. — Formula, Na2HP04, i2H20. Sp. gravity, 1.55. It is prepared by neutralizing orthophosphoric acid with carbonate of sodium, and is also made from bone- ash. It crystallizes in large, transparent, monoclinic prisms containing twelve molecules of water of crystallization. It has a mild, cooling, saline taste. It is soluble in two parts of hot and in six of cold water. It is insoluble in alcohol. So- lutions are slightly alkaline.
NATRUM PHOSPHORICUM. II3
Preparation. — The pure phosphate of soda is triturated as directed under Class VII, American Homoeopathic Pharmaco- poeia. (Should be kept well corked.)
Physiologico-chemical Data. — This salt is found in the blood, muscles, nerve and brain-cells, as well as in the inter- cellular fluids. Through the presence of this salt, lactic acid is decomposed into carbonic acid and water. It absorbs the carbonic acid, taking up two molecules for every molecule of itself, and carries it to the lungs, where the oxygen of the air sets the carbonic acid free in exchange for oxygen, which latter is taken up by the iron contained in the blood corpus- cles. Natrum phos. is the remedy for conditions arising from excess of lactic acid. It prevents inspissation of the bile and mucus with crystallization of cholesterin in the gall duct and will thus remove the cause of many cases of jaundice, hepatic colic, bilious headache and imperfect assimilation of fats from lack of bile. It is useful in podagra, gout, as well as in acute and chronic articular rheumatism, being thus a remedy for the so-called acid diathesis.
The role of this salt in the normal economy, according to Moleschott and Schiissler, largely consists in the catalysis of lactic acid in the blood, thus purifying that fluid organ from this effete product of muscular function, which transforms stored glycogen into the acid. The liver is the prime and master laboratory of the animal body. It is essential to both the nitrogenous and the hydro-carbonaceous transformations, to the renewal and the depuration of the blood, to the pro- duction of glycogen and grape sugar from starchy and saccha- rine food, and to the higher oxidation of uric acid, and other effete tissue principles, into urea, ready for elimination by the kidney, and by bile-formation contributes to the intestinal work. When inert, this organ falls short of this extensive function ; when overactive, it exceeds it, and overproductions appear with symptomatic effects. These functions are prin- cipally due to cell-action. There are two classes of functional or parenchymatous cells ; the biliary, spread out as epithelium in the capillary branches of the ducts, in intimate relation
114 THE TWELVE TISSUE REMEDIES.
with the vessels of the liver and likewise with the remaining set of functional cells — viz : those of the hepatic acini, also lying in intimate relation to the blood vessels and to the biliary capillaries, with their glandular epithelium. This double duty belongs to the large cells of the acini — viz : the formation of glycogen and the formation of uric acid. In addition, the old red blood-globules are here in the liver, but in the portal system of veins, now become capillary in the acini, are finally disintegrated, and the new-formed globules perfected. All of these varied functions, separate as they are, undoubtedly assist each other, furnishing necessary chemical exchanges, etc. The glycogen is believed to be mainly carried away in the blood-current, to be stored in the muscular tissues, furnishing motor energy thereto, and being chemically split into two parts of lactic acid. This acid aids in later vital functions of the body, and is at last transformed into carbonic acid and water, while circulating in the blood. This transformation takes place through the presence in the blood of phosphate of soda — Natr. phos. — and by a catalytic action of this salt. Any deficiency in this prevents this chemical change, and the lactic acid remains as such. An acid state of the system now prevails ; rheumatism, dyspepsia, intestinal troubles, etc., ensue. According to Schiissler, by the administration of molecular doses of this drug, this catalytic action is at once restored — the acid state ceases, and the rheumatic and other symptoms subside. (J. C. Morgan, M. D.)
Uric acid is kept soluble in the blood by the presence of the phosphate of soda and the natural temperature of the blood. Whenever there is a deficiency of this salt, uric acid is combined with the soda, forming the urate of soda, an in- soluble salt and deposited near the points producing gout and acute inflammatory rheumatism. During an attack of acute grout, we find that the excretion of uric acid is diminished in proportion to the amount of the deposit of urate of soda around the points.
Natrum phosph. serves to emulsify fatty acids ; it is there-
NATRUM PHOSPHORICUM. 115
fore a remedy for all dyspeptic conditions traceable to fats, or such as are aggravated by their use. Besides combining with these acids the phosphate of soda appropriates molecules of albumen, which acts bio-chemically like an acid.
The white blood corpuscles, leucocytes or lymph corpuscles carry molecules of fat and peptones, which latter are modified albuminoids, from the intestinal walls to the blood and thence to the tissues. They do this by virtue of their active move- ments. From the walls of the intestinal tract the passage of the leucocytes, now laden with peptones, is a direct one, while those carrying the fat molecules reach the goal by an indirect way — namely, through the thoracic duct. Finally they reach the tissues through the walls of the capillaries. Here, after the peptones are retransformed into albuminoids, they are deposited and become material for the growth of young cells which are formed by division.
If the progress of the leucocytes carrying the fat molecules is stopped in their course through the lymphatic glands, skin, bones or lungs, phlegmonous and glandular inflammations, and swellings take place as well as tubercular conditions of these organs and tissues.
Since these stagnated leucocytes contain albumen and fat, their fatty degeneration is rendered possible. So long as this has not actually taken place, Natrum phosph. possesses the power to free the leucocytes and thereby again enabling them to carry on their specific function. This it does by its two properties — that of emulsifying fats even if but a trace of a fatty acid is present and its capacity to take up peptonic molecules.
General Action. — Diseases of infants suffering from excess of lactic acid, resulting from overfeeding with milk and sugar. Ailments with excess of acidity. Thin, moist coating: on the tongue. The soft palate also has a yellowish, creamy look. Sour eructations, sour vomiting:, greenish diarrhoea, pains, spasms, and fever with acid symptoms, etc. Acts also upon the bones and glands, lungs and abdominal organs. The knowledge of its sphere of action has been much enlarged by Schussler in re-
110 THE TWELVE TISSUE REMEDIES.
cent years. Small doses of Natrum phos. given subcutane- ously have been found to antidote the desire for Morphine and thus break up the habit.
Guiding- Symptoms and Characteristic Indications.
Mental. — Anxious and apprehensive fear as if something would happen. Dull and without ambition. Imagines on waking at night that pieces of furniture are persons ; that he hears footsteps in next room. Nervous, irritable, vexed at trifles.
Head and Scalp. — Headaches on crown of head ; on awaking in the morning, with creamy appearance at the back part of the palate, and yellow, moist tongue. Severe pain in the head as if the skull were too full, frontal or occipital, with nausea or some slimy vomiting. Intense pressure and heat on the top of the head as if it would open. Giddiness, vertigo with gastric derangements. Sickening headaches, ejection of sour froth.
Eyes. — Discharge of golden-yellow, creamy matter from the eyes. Ophthalmia, discharge of yellow, creamy matter, the lids are glued together in the morning. Hypopyon. Burn- ing lachrymation. See sparks before eyes. Squinting caused by intestinal irritation as from worms. Granular conjuncti- vitis, when granulations look like small blisters. Scrofulous ophthalmia. Pain over eyes. Dim sight, as if a veil were over eyes.
Ears. — Ears sore, externally, burn and itch. One ear red, hot, frequently itchy, accompanied by gastric derangements and acidity.
Nose. — Picking at the nose, associated with acidity of the stomach and worms. Pricking in the nares. Offensive odor before nose. Itching of nose.
Face. — Red and blotched face, yet not feverish, with acidity, etc., white about nose or mouth. Facial neuralgia ; shooting, stitching pain. Soreness of right lower jaw. Paleness or bluish, florid appearance of face, sour risings, etc.
Mouth. — Yellow, creamy coating; at the back part of the roof of the mouth. Acid taste in the mouth. Coppery taste.
NATRUM PHOSPHORIC UM. 1 17
Tongue. — The great keynote for this remedy is the moist, creamy or golden-yellow coating at the back part of the tongue.
Blisters and sensation of hairs on tip of tongue. Difficult speech.
Teeth. — Grinding of the teeth in children during sleep.
Throat. — The same moist, creamy or golden-yellow coating found at the base of the tongue is also found on the soft palate, tonsils and uvula. Inflammation of any part of the throat with this accompaniment calls for Natr. phos. It is also usually accompanied by an acid condition of the stom- ach. Diphtheritic throat, falsely so called. Sensation of a lump in the throat, worse swallowing liquids. Dropping of thick, yellow mucus from posterior nares, worse at night. Naso-pharyngeal catarrh.
Gastric Symptoms. — Acidity, sour risings due to excess of lactic acid. Gastric abrasions and ulcerations. Pain after food, in one spot. Vomiting of sour fluids or of a dark substance like coffee-grounds, sour risings, loss of appetite. Dyspepsia with characteristic eructations and tongue, sour taste in the mouth. Pain sometimes comes on two hours after taking food. Nausea and vomiting of acid fluids and curdled masses (not food). Waterbrash with acidity. Flatulence with sour ris- ings. Colic in children with symptoms of acidity, such as green, sour-smelling stools, vomiting of curdled milk, etc. Stomachache from presence of worms. Empty, gone feeling in stomach, with feeling of weight above the ensiform carti- lage. Imperfect assimilation of fats from lack of bile.
Abdomen and Stool. — Habitual constipation with occasional attacks of diarrhoea in young children. Sclerosis of liver. Acts upon the glandular organs of the intestinal tract. Diar- rhoea caused by excess of acidity, stools sour-smelling, green, jelly-like masses of mucus, painful, straining, coagulated casein, scanty and frequent. Sudden urging, difficulty in retaining stool. Pain through right groin. Intestinal, long or thread- worms, with characteristic symptoms of acidity or picking of the nose, occasional squinting, pain in the bowels, restless sleep, etc. Itching at the anus from worms, especially at
Il8 THE TWELVE TISSUE REMEDIES.
night when warm in bed (injections of same). White or green stools, with diarrhoea and sometimes with jaundice, due to deficiency of bile. Flatulent colic. Obstinate constipa- tion. Itching, sore and raw anus.
Urinary and Sexual Organs. — Hepatic form of diabetes. Con- stant urging, flow intermits, requires straining. Incontinence of urine in children with acidity. Urine dark red with arthritis. Frequent micturition. Atony of bladder. Sem- inal emissions without dreams. Semen thin, watery. Sex- ual desire gone or increased with erections. Drawing in testicles and spermatic cord. Menses too early, pale, with afternoon headache over eyes, worse after menses, with sensa- tion in knees, as if cords were shortened. Weakness and dis- tress in the uterine region. Prolapse, with weak sinking feeling after stool. Uterine displacement with rheumatic pains. Sterility with acid secretions from the vagina. Leuc- orrhcea, discharge creamy or honey-colored or acid and watery. Sour-smelling discharges from the uterus. Excitement with sleeplessness before menses.
Pregnancy. — Morning sickness with vomiting of sour masses or fluids.
Respiratory Symptoms. — A useful intercurrent in catarrhal troubles associated with acidity. Phthisis florida in young subjects, with hereditary tendency to sigh, especially during menses. Consumption. Soreness of intercostal muscles and lower sternum. Pains in chest, worse from pressure and deep breathing.
Circulatory Organs. — Trembling about the heart. Pains about the base of heart, relieving pain in limbs, and great toe. Palpitation, feels pulse in different parts of body. Sensation as though shot were rolling through arteries.
Back and Extremities. — Crick in neck. Swelling of glands of neck. Goitre. Weak feeling in back and limbs. Legs give way while walking. Gait unsteady. Spinal anaemia, paralytic weakness of lower extremities. Inside thighs draw. Sore hamstrings. Pain in knees, ankles and shins, in hollow and ball of foot. Synovial crepitation. Arms tired. Con-
NATRUM PHOSPHORICUM. II9
traction of extensor muscles on back of arm. Aching wrists. Crampy pain in hands while writing. Sore feeling in joints. Rheumatic arthritis, especially of joints of fingers, pains sud- denly go the heart.
Nervous Symptoms. — Irritation of the intestines by worms, sometimes causes squinting and twitching of the facial mus- cles. Nervousness, tired feeling, with goneness of stomach, crick in neck, trembling and palpitation. Heaviness, as if paralyzed. Prostration.
Sleep. — Sleep restless with worm troubles, very drowsy, falls asleep while sitting. Sleepless from itching. Wakes easily. Sexual dreams.
Febrile Sympioms. — Intermittent fever with vomiting of acid, sour masses. Acid, exceedingly sour-smelling perspira- tions. Feet icy-cold during the day, burn at night. Flashes of heat and headache every afternoon.
Skin. — Chafing of the skin. Eczema with symptoms of acidity, secretion creamy, honey -colored. Erythema. " Rose rash," golden-yellow scabs. Secretions yellow, like honey, and cause soreness of skin. Crusta lactea. Hives, itching: all over body, like insect bites. Much itching at ankle joints with eczematous eruption.
Tissues. — Exudations and secretions yellow, honey-colored. Leucaemia. Swelling of lymphatic glands before hardening. Marasmus of children. In bone diseases, to favor deposit of phosphate of lime. Scrofula ; its specific action upon glands tends to dissolve the morbidly formed products. L,eucocycosis. Rheumatic arthritis.
Modalities. — Some of the pains of this remedy were aggra- vated during a thunderstorm ; during menstruation many symptoms have an afternoon and evening aggravation.
Homoeopathic Data. — Proved under supervision of Dr. E. A. Farrington. The record of the proving is found in Allen's Encyclopedia, vol. x, first published in Hahnemannian Monthly, vol. xii. An excellent symptomatology of the drug is found in Allen's Handbook and Hering's Guiding Symp- toms, vol. viii.
120 THE TWELVE TISSUE REMEDIES.
Administration. — Schiissler recommends the 6x, either in trituration or in dilution. It may also be used as an injection in worm troubles. Dr. Morgan prefers infrequent doses of the 30th potency. The higher and highest potencies have also been employed with success.
Relationship. — As a remedy for scrofulosis with similar " acid " symptoms compare Calc. carb. In gastric catarrhal affections it is to be compared with Calcar., Kali carb., Nux, Coccul., Car bo, Carbol. ac. As a remedial agent for chil- dren, for whom Natr. phos. is pre-eminently the remedy, where these acid conditions of stomach and bowels are fre- quent, compare Rheum, where the whole body, but especially the stool of the little patient, smells sour. It is interesting to note the association of the peculiar Natr. phos. gastric symp- toms, so frequently verified clinically, and the symptoms of gout developed in the provings. Remembering the peculiar gouty dyspepsia, we may have in Natr. phos. a most useful remedy. Compare here Colchic, Bens, ac, Guaiac, Lycop., Sulphur. In itching all over, compare Dolichos, Urtica, Sul- phur, etc.
NATRUM SULPHURICUM.
Synonyms. — Sodium Sulphate. Sodae Sulphas. Sodii Sulphas.
Common Name. — Glauber's Salt. Sulphate of Soda.
Chemical Properties. — Formula, Na,S04, ioH20. It oc- curs rather abundantly in nature : sea water, saline springs, Russian salt lakes, etc. It is prepared by the action of sul- phuric acid on common salt and purified by recrystallization. It forms large, colorless, transparent, oblique, rhombic or six- sided prisms, having a cooling, bitter, saline taste. They effloresce in warm air at 30 ° C. They melt in their own water of crystallization, melting also freely at 330 C; above or below that temperature the solubility decreases.
Preparation. — The pure sulphate of sodium is triturated as directed under Class VII, American Homoeopathic Pharmaco- poeia.
NATRUM SUI^PHURICUM. 121
Physiologico-chemical Data. — The sulphuric acid formed by the oxidation of the albuminoids would destroy the tissues were it united in its nascent state with carbonates, by which the carbonic acid is set free. This salt does not appear in the cells, only in the intercellular fluids. It aids and regulates the excretion of superfluous water — e.g., that which arises from the decomposition of lactic acid with the phosphate of sodium, cedemas, etc. Disturbance of the molecular motion of this salt prevents the elimination of such water from the tissues as is produced by oxidation of organic substances.
The action of Natrum sulph. is opposite to that of Natrum mur. Both have the property to attract water, but for oppo- site purposes. Natrum mur. attracts the water which is to be used in the organism, while Natrum sulph. attracts the water due to retrograde metamorphosis and secures its elimination from the organism.
Natrum ?nur. furthers the division of cells for purposes of increase. Natrum sulph. takes away water from worn-out leucocytes, and thereby accomplishes their disintegration. It is, therefore, the remedy for leucaemia. It irritates epithelial cells and nerves, as will be seen in the following facts :
In consequence of the induced activity by the Natrum sulph. of the epithelial cells lining the uriniferous tubes, superfluous water, holding in solution or suspension products of metamor- phosis is sent to the kidneys. This leaves the organism by way of the ureter and bladder as urine.
Natrtim sulph., by stimulating the epithelial cells of the bile ducts, pancreas and intestinal canal, furthers the normal secre- tion of these organs. It also has the function to stimulate the nerves of these parts.
If the sensory nerves of the bladder are not stimulated by Natrum sulph. the impulse to urinate is not reported to con- sciousness and involuntary urination — enuresis — results. If the motor nerves of the detrusor are not irritated, suppression of urine results.
In consequence of an irregular action of Natrum sulph. on
122 THE TWELVE TISSUE REMEDIES.
the nerves supplying the gall apparatus, we may have an in- crease or diminution of that secretion.
If a diabetes mellitus is caused by a lessened secretion of pancreatic fluid, Natrum sulph. may be the remedy required.
If the motor nerves of the colon are not influenced suffi- ciently by Natrum sulph. constipation and flatulent colic re- sult.
If in consequence of disturbed molecular motion of Natrum sulph. the elimination of superfluous water from the intercell- ular spaces is rendered tardy, hydrsemia results.
The hydrsemia and the functional disturbances within the gall secreting apparatus are the conditions for the develop- ment of the following diseases :
Intermittent and bilious fevers, influenza, vomiting of bile, bilious diarrhoea, oedema, oedematous erysipelas, vesicular eruptions, filled with yellow serum ; moist eczema, herpes, sycotic growths, catarrhs, with yellowish-green or green secre- tions.
Persons suffering from hydrsemia are worse in damp weather, near water, in close, damp dwellings, cellars, etc., and are better under opposite conditions.
General Action. — Like other alkaline sulphates, an active cathartic. In addition, however, it exhibits a marked simi- larity to the uric acid diathesis in general, and is certainly a valuable remedy in combating numerous phases of that poly- morphous malady. (T. F. Allen.) Gastric bilious conditions, accumulation of water in the areolar tissues, yellow, watery secretions on the skin, or yellowish scales forming an eruption of vesicles. Excessive secretion of bile, liver affections, gravel, sand in the urine, diabetes, gout, figwarts, etc. The chief characteristic is a dirty greenish-gray or greenish-brown coating on the root of the tongue and aggravation from lying on the left side. Natr. sulph. combines in a measure the wonderful effects of Natr. mur. and of Sulphur in the Western climate as an active malarial agent. Its complaints are those that are brought on by living in damp houses, basements and cellars. Complaints are worse in wet weather, correspond to the hy-
NATRUM SULPHURICUM. 1 23
drogenoid constitution and sycotic dyscrasia, constitutional conditions in children that result in chest catarrhs and asth- matic complaints. (Kent.) The morbid alterations caused by Natr. sulpk. begin to be observable near the end of the ileum and in the lower part of the colon. In the latter the follicles appear swollen, with a bright red margin of capillaries ; the mucous membrane between is either pale or shows inconsider- able dentritic injections. In the lower part of the ileum the mucous membrane shows a saturated, bright red coloring, mostly equal. It is the chief ingredient in the Carlsbad water, so largely used for its action on the liver ; also con- tained in the cold springs of the Isle of Wight, of Piillna, Marienbad and Franzensbad.
Sulphate of Sodium as a Hemostatic. — Reverdin, in a paper read before the French Surgical Association, advocates the employment of the sulphate of sodium as a hemostatic. He has employed it a number of times successfully ; it is used in small doses (10 centigrams — gr. i}4) every hour, in danger- ous capillary hemorrhage either of spontaneous or traumatic origin. As an example, after the removal of a subcutaneous benign tumor there followed a hemorrhage which resisted all treatment for eight weeks. The same was true of other cases of traumatic origin, and also in cases of menorrhagia.
This remedy was used by Kussmaul, and is apparently pop- ular in the North of Germany in cases of hemophilia.
By experimental and clinical observation the author deter- mined that this drug should be given by the mouth only, as it is ineffectual when used in subcutaneous injections.
Guiding Symptoms and Characteristic Indications.
Mental Symptoms. — Suicidal tendency, must exercise restraint, attended with wildness and irritability ; irritability due to bil- iousness ; delirium. Music, especially melancholic strains, aggravates symptoms ; worse in morning. Disheartened. Mental troubles arising from a fall or other injuries to the head.
Head and Scalp. — Violent pulsating headache, worse on top
124 THH TWELVE TISSUE REMEDIES.
of head. Vertigo, dizziness from gastric derangements, ex- cess of bile, with bilious coating on the tongue, or bitter taste in the mouth. Sick headache with bilious diarrhoea, or vom- iting of bile, bitter taste, colicky pain. Headache with giddi- ness. Occipital headache. Ill effects of falls on and injuries to the head, and mental troubles arising: therefrom. Congestion of blood to head. Violent pains at base of brain, as if crushed in a vise or something gnawing there. Delirium. Burning in top of head. Brain feels as if loose. Scalp sensitive ; hair is painful on combing it.
Eyes. — Yellowness of the conjunctivae. Darge, blister-like granulations with burning lachrymation ; burning of the edges of the lids. Chronic conjunctivitis, with granular lids, green pus, terrible photophobia. Agglutination of lids in morning with photophobia. Maculae on cornea.
Ears. — Earache, as if something were forcing its way out, worse in damp weather. Ringing in ears as of bells. Iyight- ning-like stitches through ears.
Nose. — Nosebleed during menses. Ozaena syphilitica, worse every change from dry to wet weather. Stuffing up of nose. Great dryness and burning in nose. Itching of wings of nose. Pus becomes green on exposure to light. Nasal catarrh ; hawks up salty mucus.
Face. — Sallow or jaundiced with biliousness. Pain in the zygoma. Vesicles and pimples on face.
Mouth.— Bitter taste in the mouth, full of slime, thick and tenacious, white, must hawk it up constantly from oesophagus, trachea and stomach. "It wells up from the stomach, always foul and slimy." Burning in mouth. Bad taste in mouth and always full of slime. Vesicular eruptions around the mouth and chin. Roof of mouth sore to touch. Palate very sensitive ; better on taking cold things.
Tongue. — Dirty, brownish-green coating or grayish-green. Palate very sensitive, better taking cold things. Taste bitter ; slimy tongue. Burning blisters on the tip ; red tongue.
Teeth. — Toothache better by tobacco-smoke and cool air,
NATRUM SULPHURICUM. 125
also better holding cold water in month {Coffea). Gums burn. Blisters on gums.
Throat. — In diphtheria when green vomiting occurs as an intercurrent. Sore throat, feeling of a lump on swallowing ; throat dry. Ulcerated sore throat. Pharyngeal catarrh, pro- fuse, thick, tenacious, white mucus. Hawking of salt mucus in morning.
Gastric Symptoms. — Thirst every evening. Stomach feels distended and heavy ; constant nausea. Vomiting of bile with bitter, sour taste, giddiness and headache. Vomiting of salty, greenish water. Biliousness, excess of bile, vomiting of bitter fluids, greenish-brown or greenish-gray tongue. Bilious colic with the above symptoms and dark stools. Jaundice arising from vexation. Green evacuations, sallow skin, yellow eyeballs. L,ead colic (given often and low, ix, 2x). Sour risings, heartburn and flatulency. Wind colic, worse in the sigmoid flexure ; worse before breakfast when the stomach is empty. Aching and cutting pains in region of liver. Liver engorged, worse lying on left side. Pain in left hypochondriac region often accompanied by a cough with purulent expector- ation. Stomach feels distended.
Abdomen and Stool. — Great flatulence with cutting pains in abdomen and congestion of the liver. Cannot bear tight clothing around the waist. ' Tympanites in bilious fevers. Flatulent colic, often beginning in right groin and spreading over the whole abdomen. Heat in the lower bowels with green bilious discharges. Diarrhoea, stools dark, bilious or of green bile. Hereditary looseness of bowels in old women. Itching of anus. Irritable liver, sometimes after excessive study or mental work. Soreness of the liver to touch, to jars, with sharp, stitching pains in it. Typhlitis. Loose morning stools, particularly after a spell of wet weather. Wart-like eruptions on anus and between thighs, sycosis.
Urinary and Sexual Organs. — Urine loaded with bile. Chief remedy in diabetes. Chronic nephritis, urethral discharge, yellowish-green. Lithic deposits in the urine, brickdust-like coloring matter in the water, often associated with gout.
126 THE TWELVE TISSUE REMEDIES.
Burning during micturition. Gravel, sandy deposit in the urine. Polyuria simplex, excessive secretions of urine, espe- cially if diabetic. Preputial and scrotal oedema. Enlarged prostate ; pus and mucus with the urine. Condylomata, soft, fleshy excrescences of syphilitic origin, with greenish dis- charges. Itching of genitals. Chronic gonorrhoea. Gonor- rhoea and sycosis. Gonorrhoea suppressed. Female genitals inflamed, swollen and covered with vesicles ; nosebleed before menses. Menses are profuse, acrid and corrosive, with colic and constipation, or morning diarrhoea and chilliness. Leuc- orrhoea, acrid, corrosive ; parts inflamed.
Pregnancy. — Vomiting in pregnancy with bitter taste. Phlegmasia, alba dolens. Herpetic vulvitis.
Respiratory Symptoms. — Hoarseness. Asthma, worse every change to damp weather. Humid asthma, rattling of mucus. Asthma developing from general bronchial catarrh. Sensa- tion of all-goneness in chest. Cough with thick, ropy, green- ish, pus-like expectoration ; soreness of chest, which is better by pressure, hence patient holds his chest while coughing. Piercing pains, especially in left chest. Dyspnoea during damp weather. Bronchial catarrh, cough worse in early morning [Kali card.).
Circulatory Organs. — Pressure and anxiety in heart region, must go into open air for relief.
Back and Extremities. — Bruised pain in small of back and sacrum. Soreness up and down the spine and neck. Spinal meningitis, very important remedy, with drawing back of the neck and spasms in the back. Swelling and suppuration of axillary glands. Panaritium. Stitches in the left hip, trem- bling of the hands, languor and oedema of the feet. Parony- chia. Inflammation and suppuration around roots of nails. Tingling ulcerative pain under nails. Itching of toes. Sciatica when getting up from sitting or turning in bed ; no relief in any position. Pains from hips to knees. Rheumatic pains in the limbs if gastric symptoms correspond. Cracking of joints. Locomotor ataxia. Podagra, gout in the feet,
NATRUM SUWHURICUM. 127
acute and chronic cases. Burning in soles and extends to knees. Arthritis.
Nervous Symptoms — Prostration ; tired, weary feeling, espe- cially about the knees. Restless desire to move. Exhaustion with colic. Chorea with retarded stools. Trembling of the whole body. Twitching of hands and feet during sleep. Hands tremble on writing.
Sleep. — Drowsiness, often the precursor of jaundice, with bilious symptoms, worse in the forenoon and when reading. Heavy, ■ anxious dreams, awakes at night with attack of asthma. Much dreaming soon after falling asleep, starting as if in a fright. Is awakened by flatulent pain.
Febrile Symptoms. — Ague, intermittent fever in all its stages, bilious vomiting. Remittent bilious fever, yellow fever, assiiming form of severe bilious remittent fever, green- ish-yellow vomit, brown or black. Internal coldness. Chill with icy coldness towards evening. Hot feeling on top of the head. Sweat without thirst. " Soreness in the hepatic region, shifting flatus and tendency to diarrhoea." (J. W. Ward, M. D.)
Skin. — Tendency to warts around eyes, scalp, face, chest, anus, etc. Chafing of the skin in children with bilious symptoms. Eczema. Vesicles, eruptions containing yellow, watery secretions. Fingers swollen and stiff. Palms of hands raw and sore, and exude a watery fluid. Erysipelas, smooth, red, shiny, tingling or painful swelling of the skin. Pem- phigus, watery vesicles or blebs over the body, wheals, con- taining a yellow, watery secretion. Yellow scales after the breaking of vesicles or blisters on the skin. Moist skin affec- tions with bilious symptoms. (Edematous inflammations of the skin. Jaundiced skin, itching while undressing. Sycotic excrescences. Fistulous abscesses of years' standing, dis- charging watery pus, surrounded by a broad, bluish line, bur- rowing.
Tissues. — Regulates water capacity of venous system. CEdema. smooth swelling. Infiltration. Simple dropsy in- vading the areolar tissues of the body. Secretions which are
128 THE TWELVE TISSUE REMEDIES.
yellow, watery, etc. Sycosis and leucaemia. Hydrogenoid constitution. Consumption. Pyaemia. Sciatica.
Modalities. — Always worse in damp, wet weather, feels best in warm and dry weather and in open air. Symptoms such as arise from living in damp houses, basements and cellars, worse from water in any form. Complaints from eating plants that grow near water, fish, etc. Pains make him change position often (Rhus). General aggravation from lying on the left side.
Homoeopathic Data. — Proved first by Schretter in 1832, and by Nenning. The best arrangement of symptoms appeared in Hering's Materia Meddca, transferred with some additions to Alletfs Encyclopedia. But the credit of greatly enlarging our philosophical conception and therapeutic application of this drug belongs to Grauvogl, who showed the correspond- ence of this drug to the so-called hydrogenoid constitution and chronic effects of gonorrhoeal infection. His observations have been repeatedly verified.
Administration. — In lead colic low, ix to 2x, and often. Schiissler recommends the 6x trituration. Grauvogl used mainly the 2x to 6x potency, while the 30 and 200 have been used by Hering and others.
Relationship. — Natr. sulph. has many symptoms in common both with the Natrums and Sitlphur. In the eye symptoms compare Graphit., which also has the extreme aggravation from light in chronic eye affections. In the cough, Bryon. corresponds to Natr. sulph., in the all-gone sensation in chest, soreness and need of steadying the chest, hence relief by pres- sure ; but Natr. sulph. has much more the muco-purulent, thick, ropy, yellowish-green expectoration, hence in later stages, Bryon. more to the earlier, when cough is more irrit- able, with much rawness, constriction, burning and sensation of tearing in chest. In asthma compare also Silicea as a radical remedy. In gonorrhoea Natr. sulph. competes with Thuja and Mercur. It is painless with Natr. sulph., and the discharge keeps up a yellowish-green, thick discharge. Com- plementary to Thuja for deep-seated sycotic constitutional
SIUCEA. 129
affections, or where a sycotic condition is engrafted on a hydrogenoid base. In polyuria, Fermm phosph., Phosph. acid precede it. Compare Stillingia in hip disease.
SILICEA.
Synonyms. — Silica. Silicea Tera. Silex. Decarbonized white pebble. Acidium Silicicum. The proper name is Silicic Oxide.
Common Names. — Pure Flint or Quartz. Silicious Earth>
Chemical Properties. — Formula, Si02. Prepared by fusing silica and carbonate of sodium ; dissolving residue filtered and precipitated by hydrochloric acid. It is a white powder, hav- ing neither taste nor smell.
Preparation. — Pure Silicea is triturated according to Class VII, American Homoeopathic Pharmacopoeia. Dr. P. Wilde uses preferably the silicate of soda known as " liquid glass," which is freely soluble in water. (See "Administration.")
Physiologico-chemical Data. — Although this inorganic salt is found very abundantly throughout the vegetable kingdom, especially in grasses, grain, palms, etc., it is found compara- tively little in the animal kingdom, notably so in the higher orders, the vertebrae. Traces of Silicea, however, are found in the ashes of blood, bile or urine, and larger quantities (7 per cent.) in the white of egg, and even more in the ashes of the epidermis, hair and nails. It is also found in the connec- tive tissue, and hence its action on the spinal cord, brain and nerves must be referred to the investing membrane, the con- nective tissue, of the nerve-fibres. Disturbance of the func- tion of the Silicea molecules causes a turgescence of the cells of the connective tissues involved. This swelling may re- main stationary for a time, then disappear or occasion sup- puration.
General Action. — Silicea acts more upon the organic sub- stances of the body, involving prominently bones, joints, glands, skin and mucous surfaces, producing malnutrition 9
130 THE TWELVE TISSUE REMEDIES.
and corresponding to the scrofulous diathesis. Its action is deep and long-lasting. It is especially suited to imperfectly nourished constitutions, owing to deficient assimilation.
It is the remedy for ailments attended with pus-formation, and is closely related to all fistulous burrowings. Wherever pus is formed in an inflamed part of connective tissue or skin, Silicea may be used. Deeply-seated scrofulous cachexia and some forms of septic infections (vaccine) find in it a valuable general remedy. Like Calc. sulph., Silicea corresponds to the process of suppuration, with the following distinguishing fea- tures : Silicea ripens abscess, since it promotes suppuration. Calc. sulph., by restraining: the suppurative process, heals sup- purating wounds. As long as infiltration, which can only dis- appear by suppuration, lasts, Silicea is the remedy, and should be continued until all the infiltrated parts have disappeared. If then the wound fails to heal, give Calc. stdph. Ailments affecting the periosteum. Deep-seated suppurations, pus thick and yellow ; also in certain reflex affections connected with the nerves. After suppuration has ceased to be active, but the process lingers and the pus forms chronic depots, small or large, fistulous or otherwise ; also, where the general organism is both irritable and weak, and the nervous system is easily aroused to exhausting agitation (as Dunham says, it is contra- indicated by general nerve torpor), this is a specific remedy. In localized exhaustion, when the symptoms resemble paraly- sis— e. £-., rectal distention, dilated and irritable heart, great general debility, as after lying-in — it should always be thought of. In general hypersesthesia and exaggerated reflexes.
Silicea has also the power to reabsorb a bloody or sero- albuminous exudate, existing within the tissues by means of the lymphatics. Here it often follows Calc. phos.
Silicea cures chronic gouty rheumatic affections by means of its stimulating effects of the involved connective tissue cells, compelling these to throw off the accumulated urates through the lymphatics.
Silicea can restore suppressed foot-sweats, and in this way be an indirect remedy for diseases resulting from suppression
SIUCEA. 131
of foot-sweat, for instance : Amblyopia, cataract, paralyses, etc. If the cells of any part of the connective tissue show a lack of Silicea molecules, they atrophy in consequence.
Guiding Symptoms and Characteristic Indications.
Mental Symptoms — Thought difficult, attention difficult to fix, can be aroused but tires easily, stronger mentally than physi- cally ; he has grit. Desponding, peevish, disgust of life. Oversensitive to noise, etc., and with anxiety. Great irrita- bility. A peculiar mental abstraction, marked by a propensity to toy by the hour with pins and needles. Brain-fag, school girls become confused during recitations because they cannot concentrate their thoughts ; want to think but are unable to do so.
Head and Scalp. — Vertigo, patient inclines to fall forward or to the left. Labyrinthine vertigo. Headaches with vertigo, with small nodules on scalp, from hunger, from abdominal ir- ritation, from overstudy, from nervous exhaustion. Headache is throbbing, beating, pressing asunder and coldness of head, with constant need for wrapping it up. Headache from nape to vertex, more on right side, aggravated by noise, exertion, light, study, and relieved by warmth. Pressive headache from above downward, with intermittent itching of vulva. Cerebral apo- plexy, preceded by deep-seated stitches in the right parietal region and dull, heavy, crampy pain in arms. Scalp very sen- sitive and sore ; itching. Painful pustules. Suppurating wounds. Sweat on head of children, like to keep the head wrapped up warm ; large, open fontanelles. Offensive erup- tion on occiput. Hair falls out. Cephalaematoma. Nodules on scalp.
Eyes. — A remedy of great importance in diseases of the lachrymal apparatus, especially the lachrymal sac. Lachrymal fistula. Styes. Blepharitis. Tarsal tumors. Boils and cystic tumors around eyes and lids. Pustular keratitis. Ulcers of cornea, especially the small round variety with a tendency to perforate ; also the sloughing ulcer with sticking pains. (Hepar.) Cataract. Amblyopia after suppressed foot-sweat
132 THE TWELVE TISSUE REMEDIES.
or eruptions. Affections appearing in the angles of the eye. Corneal scars and opacities after small-pox. Ciliary neuralgia, especially over right eye. Pressure and soreness in the orbits. Muscse volitantes. Letters run together when reading or writing. Caries of the orbit.
Ears. — Sensitive to loud sound. Roaring in ears. Inflam- mation of middle ear, especially chronic suppuration. Inflam- matory swelling of external meatus. Dulness of hearing with swelling and catarrh of the Eustachian tubes and tympanic cavity. Otitis suppurativa. Otorrhcea curdy and ichorous, with caries of the mastoid cells. Inflammation of ear after bathing. Deafness, ears open at times with a loud report.
Nose. — Tip of nose red. Itching of nostrils. Sneezing; coryza, nasal catarrh. Ozsena, with fetid offensive discharge when the affection is seated in the submucous connective tis- sues or in the periosteum. Chronic coryza with swelling of the mucous membrane, dryness, excoriation, with crusts and loss of smell. Caries of the nasal bones from syphilis or scrof- ulosis. Intolerable itching of the tip of the nose. Inveterate ulceration producing acrid, corroding discharge. Herpetic eruption around nostrils and lips.
Face. — Faceache with small lumps or nodules on the face. Induration of cellular tissue of the face following gumboil. Sycosis menti, acne and lupus. Skin of face cracks. Caries and necrosis of the jaw. Tumors on the lips. Pale, earthy complexion.
Mouth. — Suppuration of the salivary glands. Mouth gan- grenous, with perforating ulcer of the palate. Chronic phar- yngitis with constipation. Ulceration of the corners of the mouth.
Tongue. — Induration of the tongue ; ulcer on the tongue ; sensation of a hair on tongue.
Teeth. — Very violent toothache at night, when neither heat nor cold gives relief, and when caused by chilling of feet. Toothache when the pain is deep-seated in the periosteum, or fibrous membrane covers the root of the teeth and an abscess
SIUCEA. 133
forms (fistula dentalis). Difficult dentition ; gums sensitive and blistered ; gumboils.
Throat. — Enlarged thyroid gland. Tonsillitis when the suppurating gland will not heal. Periodical quinsy. Paraly- sis of the velum pendulum palati.
Gastric Symptoms. — Child vomits as soon as it nurses. In- tolerance of alcoholic stimulants. Induration of the pylorus. Chronic dyspepsia with acid eructations, with heartburn and chilliness ; vomiting in the A. M. Disgust for meat and for warm food. Extreme hunger.
Abdomen and Stomach. — Large abdomen in children. En- larged inguinal glands. Constipation associated with spinal affections, due to semi-paralysis of the rectum ; particularly if stools recede after having been partly expelled, due to irritable sphincter ani. Hepatic abscess with induration. Infantile diarrhoea, cadaverous-smelling, after vaccination, with much sour perspiration about head, with hard, hot, distended abdo- men. Diarrhoea, cadaverous odor. Shifting of flatulence. Intensely painful hemorrhoids. Worm colic. Fissura ani and fistula in ano.
Urinary and Sexual Organs — Suppuration of kidneys, urine loaded with pus and mucus. Red sandy deposit, uric acid. Enuresis from worms or in chorea. Chronic syphilis with suppurations and indurations. Chronic gonorrhoea, with thick, fetid, purulent discharge. Sexual erethism, with per- sistent sexual thoughts, often nocturnal emissions, also with paralytic disease. Itching and much sweating about scrotum. Prostatis. Hydrocele. Seminal emissions. Menses are asso- ciated with icy coldness over whole body and constipation and fetid footsweat. Menses early, but scanty ; rarely profuse. Burning and itching of pudenda. Nymphomania. Deucorrhoea acrid, profuse, itching. Menses during lactation. Serous cysts of vagina. Sterility. Abscess of labia, with tendency to fistu- lous openings. Metrorrhagia due to standing in cold water.
Pregnancy. — Breasts very hard and painful, as if gathering. Inflammation of the breasts, mastitis, to control the forma- tion of the pus, and to absorb the remaining induration.
134 THE TWELVE TISSUE REMEDIES.
Scirrhus. Nipples crack and ulcerate easily, fistulous ulcers of the mammae, hard lumps in the mammae threatening sup- puration. Soreness and lameness of feet from instep to sole during pregnancy.
Respiratory Symptoms. — Pneumonia, stage of suppuration. Empyema. Suppurative, rattling, loose, copious expectora- tion of thick, yellow-green pus, accompanied with hectic fever ; profuse night-sweats and great debility. Chronic bronchitis and phthisis. Cough of sickly children with night- sweats. Hoarseness, irritative cough, with feeling of a hair on tongue, provoked by tickling in throat and suprasternal fossa, by cold drinks; worse at night when lying down. Sputa abundant, thick, pus-like, with weakness and deep-seated pain in chest. Phthisical abscess of lungs. Cough and sore throat, with expectoration of little granules smelling bad.
Circulatory Organs. — Palpitation after violent motion or when sitting quietly. Chronic heart disease.
Back and Extremities. — Soreness between shoulders. Spinal curvature, rachitis, spinal irritation. Coccyx hurts after rid- ing. Carbuncles along the spine. Spina bifida. Psoas ab- scess. Hip-joint disease, to prevent or control suppuration. Suppurating wounds of the extremities discharging thick, yellow matter, and the suppuration is deep-seated. Whitlow, felon, sensation in tips of fingers as if suppurating, assisting and controlling formation of pus and stimulating growth of new nails. Pott's disease. Proud flesh and caries ; old ulcers with burning and lancinating pains. Chronic synovitis of the knee, with great swelling and anchylosis. Caries of bone, with fistulous openings, discharging thin pus and bony frag- ments. In-growing toe-nails. Habitual fetid perspiration of the feet, smelling horribly, suppression causes other ailments. Offensive sweat in the axillae. Nails crippled and brittle, with white spots. In-growing toe-nails. Pains through foot from ankle to sole. Weak ankles. Feel insufferably tender. Nervous affections following injuries to spine. Tonic spasm of the hand when writing. Arms and hands feel heavy and par-
SIUCEA. 135
alyzed. Pain in shoulder and arm at night, relieved by warm wrappings. Limbs and feet feel very tired and as if paralyzed. Painful tonic spasm in the feet and toes during a long walk. Dis- eases brought on by exposure of back to draught of air.
Nervous Symptoms. — Epilepsy occurring at night, the aura begins in the solar plexus. Pain in various parts of the body, as if ulcerating. Irritability and sensitiveness of the spine, with numerous reflex pains. Spasmodic closure of the sphinc- ters. Hysteria and obstinate neuralgia. Suffering parts feel cold, are sensitive to dampness. Weakness with desire to lie down. Trembling of limbs and paretic symptoms. Tabes dorsalis. Spasms from slight provocation. Exhaustion with erethism.
Sleep. — Sleeplessness from orgasm of blood. Palpitation, rapid pulse, heat. Talking in sleep. Jerking of limbs dur- ing sleep. Bad dreams.
Febrile Symptoms. — Hectic fever during long suppurative processes. Chilliness all day, on movement, want of animal heat. Sensitive to cold air. Heat in afternoon and all night with burning in feet. Sweat at night, with loss of appetite and prostration. Copious sweat about the head. Offensive sweat of feet.
Skin. — Skin very sensitive ; itching, burning, papules, nod- ules, ulcers, boils, carbuncles, felons and malignant pustules. Chilblains. Crusta lactea with an offensive oozing. Eczema squamosum. Acne. Pustules are extremely painful. Great tendency to boils in any part of the body. Abscesses and carbuncles and subsequent indurations. Ulcers, with proud flesh, putrid, acrid ichor, edges elevated and bluish, fistulous ulcers, and around nails. Skin heals with difficulty and sup- purates eas'ly. Scrofulous eruptions. Rhagades. Deep-seated, phlegmonous erysipelas. Bursa. Glandular swellings. Var- iola, suppurative form. Impure vaccination. Lepra, espe- cially for the nasal ulceration, nodes and coppery spots.
Tissues. — Fungi, easily bleeding abscess with fistulous open- ings, inflammatory swelling, ulceration and necrosis of bone. Rachitis. Cellular suppuration with slow course and subse-
136 THE TWELVE TISSUE REMEDIES.
quent induration. Malignant and gangrenous inflammations. Enlarged suppurating glands, especially cervical glands. Neglected cases of injury if suppuration threatens. Dis- charges and excretions offensive. Dropsy. Suppurations of the sebaceous glands, scrofulous diathesis. Enchondroma. Tumor albus.
Modalities. — Symptoms are always worse at night and dur- ing full moon. Amelioration by heat and warm room. Head- ache relieved by wrapping the head up warm. Abdominal pains, cough, rheumatic pains all relieved by warmth. Worse in the open air ; worse from suppressed foot-sweat or chilling the feet or from cold.
Homoeopathic Data. — This drug was proved by Hahnemann. The first record of it appeared in the Chronic Diseases, vol. iii, in 1828.
Administration. — Schiissler recommends the 6x and the i2x potencies, but in the homoeopathic school the most brilliant results have followed the use of the higher attenuations (see Clinical Cases, Part III). Its external application is also recommended by Schiissler and others, in carbuncles, ulcers, ulceration of womb, abscess, ozsena as a spray, etc. Massive and repeated doses are indicated in scrofulous, glandular swellings without suppurations. But where there is actual suppuration, or even a tendency thereto, high potencies (30th) help in chronic cases, one dose daily, or even less often, in subacute cases, morning and evening — in acute cases from two to three hours. An effective method of using Silicea locally is to make a strong decoction of hay. This contains a large percentage of Silicea. The silicate of soda should be given in free solution. Percy Wilde, M. D., who introduced this valuable preparation of Silicea, gives three to four drops three times daily, and each dose is given in one-third of a tumbler of water, or, better still, in milk. The effect of the remedy must be watched, as it is apt to cause active changes in the tumor within forty-eight hours (see Tumors, Part III).
Relationship. — In suppuration compare Calcarea sulph., the difference being that Silicea promotes suppuration and brings
SILICEA. 137
the process to maturity, whereas Calc. sulph. heals the process by checking it and promoting the healthy granulation. For results from impure vaccination we have, besides Silicea and Thuja, Kali mur., which, according to Schiissler, is the one remedy necessary. The Silicea headache is similar to Spigel., Paris, Picric acid, Coccul., Gelsem. and Sanguin. In fistula lachrymalis compare Natr. mur. and Petrol. In whitlow and ingrowing toe-nail, when Silicea fails, Graphit. often succeeds. In caries and periostitis compare Asa/., Graphit., Conium, Platina mur. In tabes compare Alumina, RtUa. Silicea is a chronic Pulsat.; it corresponds to the chronic form of such diseases as Pulsat. cures when acute. Pulsat. grows on sandy bottom, and probably contains Silicea as one of its constitu- ents. In bone diseases it resembles closely Mercur., but it should not be given after Mercur., as it may much complicate the case. (Gilchrist.)
In Moleschott's Kreislauf des Lebens, he says that the ashes of Eqtiiset. hyem. consist nearly wholly of Silicea. The cures of bladder troubles reported by Equiset. are probably due to the Silicea it contains. The mineral springs of Bareges, in the Pyrenees, contain an unusually large amount of Silicea in a soluble form, and this spa has been singled out by em- pirical experience as most valuable in the class of cases for which Silicea is homceopathically indicated. (Percy Wilde, M. D.)
In labyrinthine vertigo compare Natr. salicy. In ulceration around the nails, Psorinum is invaluable. Allied remedies : Fluoric acid, Picric acid, Hypericum, Ruta, Mercur., etc.
PART Til.
Therapeutical Application of the Twelve Tissue Remedies.
ABSCESS.
Ferrum phos. — This is the first remedy to be given in all cases of boils, carbuncles, felons, or any suppurative process, where there are present fever, heat, throbbing pain and con- gestion in the parts. If given early, this remedy will often abort suppuration.
Kali mur. — Is indicated in the second stage of boils, car- buncles, felons, abscess, etc., where there is swelling, but as yet no pus formation ; especially is it indicated in abscesses of the breast, with the above characteristics. It may be given in carbuncles, boils, and other suppurative processes to abort swelling before matter forms. It may also be used as a lotion, applied externally on lint.
Natrum sulph. — Fistulous abscesses of years' standing, dis- charging watery pus, surrounded by a broad bluish border. Burrowing abscesses. A single dose of the 3d trituration gives everything a favorable turn ; the abscesses collapse, the fistu- lous canals dry up. Paronychia, inflammation or suppuration around roots of nails.
Silicea. — When suppuration appears this remedy should be exhibited at once. It greatly assists the suppurative process, causing the tumor rapidly to ripen, and often to break spon- taneously. It is to follow Kali mur. in those cases where pus has commenced to form, as in mammary abscess, especially if Kali mtir. has failed to abort the suppuration. After the ab- scess breaks or is opened, this remedy should be continued as
ABSCESS. 139
long- as infiltration remains. Silicea is also useful in blind boils. In whitlow Silicea assists and controls the formation of pus and stimulates the growth of new nails. The use of Silicea in all cases of commencing whitlow cannot be overes- timated. A dose every two hours will usually cure the felon in twenty-four hours. (A. P. Davis, M. D.)
Calcarea sulph. — This remedy follows Silicea well in sup- purative processes, when, notwithstanding the absence of in- filtration, the suppuration continues, owing to the torpidity of the affected tissues. It is useful in boils, gathered breasts, whitlow or felon, when they are discharging. It will abort felons and furuncles in the i2x. (W. E. Iy.) The presence of pus with a vent is an indication for its use. The distin- guishing features between this remedy and Silicea, in ab- scesses, are these : Silicea ripens abscesses, since it promotes suppuration ; Calcarea sulph. heals suppurating wounds, since it restrains the suppurative process. It lacks the fetor of Silicea. This remedy is similar to Hepar sulph., but it acts more deeply and intensely. Painful abscess about anus. A most useful remedy in gumboils.
Kali phos. — This remedy is indicated in abscesses, carbun- cles, felons and other suppurative processes when there are adynamic symptoms and the suppurative process becomes un- healthy. The pus is ichorous, bloody, offensive and dirty- looking. In mastitis when the pus is brownish, dirty and foul.
Calcarea fluor. — When the suppurative process affects the bone, or where there are hard, callous edges to the wound, then this remedy will be found effective. In felons a lotion on lint externally has been found to do good. "It is an in- valuable remedy in pelvic abscess proceeding from caries of some bone." (Southwick.) "In old cases of fistulous sin- uses of the mammae I have found this remedy especially valu- able." (J. W. Ward, M. D.)
CLINICAL CASES.
Patient had taken a slight cold which settled in the gums and the hard and soft palate, and a gumboil began to develop just back of the upper in-
140 THE TWELVE TISSUE REMEDIES.
cisors. Gave Ferritin phos. with some relief, but the boil seemed determined to suppurate. It continued to swell and grew very painful. After reading an article on Calc. sulph. wherein the writer stated, "for gumboils of the teeth it is the only remedy I ever use," I concluded to try it, and ac- cordingly took the 3X in five grain doses, three or four times a day for two days. There was immediate improvement; pain grew less, and, under occa- sional doses of Calc. sulph. the boil absorbed and disappeared. (M. F. R. )
A lady, Mrs. B., suffering from swelling of the leg below the knee, had been attended some months by her doctor, who had poulticed it, and had opened it with a lancet; but there was no discharge. She was unable to walk. It was then painted with iodine without effect; then bandaged to reduce the excessively hard swelling, and cold water poured over it thrice a day. Some parts were blue-looking on removing the bandage. It felt cold and very hard, and looked as if ready to burst; almost twice its usual size. Warm fomentations and Kali mur., taken internally and applied ex- ternally, cured the leg in three weeks. (From Schiissler. )
Lilly, aged 6, daughter of the above lady, had an ulcerated tooth with a well developed gumboil as an accessory. Gumboil would not go away, and wishing to see what the Tissue Salts would do for it I gave her a box con- taining about 125 tablets of Calc. sulph. 3X. They should have lasted her ten days or more, but they were sweet and, childlike, she could not resist, and so the box full was gone in three days. And so also was the gumboil and ulcerated tooth. (M. F. R. )
In August, 1877, a young man, who had suffered from sciatica some years ago, and had been in the habit of having subcutaneous injections of mor- phia, developed a boil on the seat. This discharged freely, and would not heal. When at last it seemed to be healed and was comparatively well, the patient took cold. Suppuration began again, and this time the discharge was excessive. His mother became alarmed, as he was very weak and had no appetite. His sleep was disturbed, and he felt a constant thirst. I pre- scribed Silicea — a dose every morning on an empty stomach. After one week the mother was able to furnish the very favorable report: "The dis- charge of matter has been reduced so much that at one time it seemed gone altogether. The great thirst has left him, and his appetite has returned; his sleep is sound, and the shivery, chilly feeling he had has completely gone." Silicea has here furnished a brilliant demonstration of its power over sup- puration, with its characteristic accompanying symptoms. ( Dr. Goullon, Jr. )
A dressmaker, in her busiest season, to her dismay, got a felon on the right thumb. Ferrum phos}'1 in water, every three hours, promptly re- lieved and she supposed cured it. She used it vigorously, and within three days it reappeared with greatly increased pain and hard swelling. Kali mur}'1 finished the cure at once, a single drop of pus appearing beneath the cuticle and escaped when snipped with the scissors. ( J. C. Morgan, M. D. )
An old gentleman came into my office with tenonitis of the second pha- langes. The whole hand was full of thick, yellow pus; had been sore for three months; sleep was a stranger to him; he had been poulticed, lanced and morphined, until the physicians (allopathic) had decided to remove the finger — in fact he came to town for that purpose. His physician being out
ADDISON'S DISEASE. 141
of the city he came into my office to have me look at it. I told him to let the finger remain on the hand; that although the flexors were all rotten — eaten off — and the periosteum inflamed, yet the finger could be cured. I injected Eucalyptus into the orifice, and it permeated the whole finger and up into the hand. After cleansing the sores I wrapped it up comfortably tight and put him on Silicea6, a dose every three hours; nothing else was given him; the Eucalyptus dressing was continued every day, and in four weeks the finger was restored to its natural size and shape; but the flexors being all destroyed he could not flex the fingers. The Silicea, however, restored all the connective tissue-elements, and the man was well satisfied with the cure. (A. P. Davis, M. D.)
Silicea has proved an excellent remedy. Within the last month I was able to cure a young lady, aet. 16; I did not see her myself. The mother came to me and told me her daughter had been suffering for the past few months from her right foot. The medical men treating her declared that the foot must be amputated. It was fearfully swollen; the discharge of matter was excessive. Her leg was almost bent to a right angle at the knee- joint, and could absolutely not be stretched out. I advised her to give up all internal as well as external remedies, and prescribed Silicea, to be taken once daily. Three months later the patient came herself, walking without any assistance. The foot was almost completely healed, with only a slight discharge of matter. Thus I succeeded in a case of discharge of matter from the ear, which had been treated for a long time ineffectually, and caused the patient severe pain day and night. This case was also cured with Silicea. (From Schiissler. )
ADDISON'S DISEASE.
Natrum mur. — When nutrition is greatly impaired, tension and heat in the region of the kidneys ; earthy complexion, brown spots upon the back of the hands, excessive mental and physical prostration ; trembling of legs, dim vision, want of appetite, nausea, vomiting, loathing of meat, constipation. Aversion to motion and labor ; frequent yawning and stretch- ing ; cold extremities, depression of mind with irritability ; vertigo on rising or on trying to walk.
AMENORRHEA.
Suppression of the Menses.
Kali mur. — Sluggish liver ; white coated tongue, and gland- ular inactivity.
Kali phos. — Suppression of flow with depressed spirits, las- situde and debility, where chest difficulties appear as a result of suppression.
142 THE TWELVE TISSUE REMEDIES.
Kali sulph. — Scanty or suppressed menses, with weight and fulness in abdomen.
Natrum mur. — In young girls, when the menses do not appear, or when scanty and at long intervals.
Calcarea phos. — Amenorrhoea in anaemic patients.
CLINICAL C&SES.
i . Case of a young girl whose menses had not appeared for several months,, and who began to have chest difficulties as a consequence thereof. Kali phos.'M, dose night and morning. The menses soon reappeared, and in four weeks she had no more chest pains.
2. A girl, set. 22, who always had scanty menses, which during the past year had completely ceased, and caused head and eye troubles, received, May 12, 18S7, Kali phos., six powders. After using it six days the menses, reappeared with violent headache and lasted seven days, and her other troubles gradualh' disappeared. (Monabsblatter. )
AFjEMIA.
Calcarea phos. — This remedy acts by supplying new blood- cells. Pains and cramps dependent on anaemic conditions. Waxy appearance of the skin due to anaemia. Chlorosis, complexion waxy, greenish-white, with constant headache and ringing in ears. Schiissler gives this remedy alone for chlorosis.
" A fine constitutional remedy in old cases of cerebral anae- mia where nutrition is manifestly defective." (Arndt.)
" Pernicious anaemia, vertigo when getting up or on rising from sitting ; eyes misty ; epistaxis, point of the nose cold ; pale face, sallow, yellowish, earthy ; cold sweat on the face ; body cold ; foul taste and smell ; tongue white, furred at the root most in the morning ; nausea and vomiturition ; empty, sinking sensation at the epigastrium ; watery looseness of the bowels, with urging after stools day or night ; urine with floc- culent sediment ; menorrhagia, blood either bright-red or too dark, palpitation with anxiety, followed by trembling weak- ness, particularly of the calves, weariness and the greatest weakness." (Arndt.)
This remedy is also useful in leucaemia, or excess of white corpuscles in the blood after exhausting diseases.
ANAEMIA. 143
Ferrumphos. — Follows Calcarea phos. as soon as improve- ment of the general health sets in. There is a want of red blood in the system. This remedy, by its power of attracting oxygen, colors the new blood-cells red and enriches them after they have been supplied by Calcarea phos. Schiissler in a recent letter says : " Iron, which enters into the formation of young blood-cells, is never absent in the blood-serum of chloro- tics. Therefore I have lately abandoned iron, which I recom- mended in the first editions of my Therapeutics for chlorosis and other ansemic conditions."
Kali mur. — This remedy may have to be given in anaemia, as a secondary remedy or intercurrent, if such symptoms as eczema or eruptions of the skin coexist.
Kali phos. — Cerebral anaemia, anaemic conditions of the brain, causing undue nervousness. Poverty of the blood from influences which continually depress the mind and nervous system. This remedy also cures the leucaemia, which is in- duced by long-continued disorders. " Spinal anaemia, from exhausting diseases, such as diphtheria, reflex paraplegia, with aching pains aggravated by rest, but' most manifest on beginning to move about." (Arndt.)
Natrum mur. — In anaemic conditions, where the blood is thin and watery ; in chlorotic conditions, with an almost habitual feeling of coldness in the back ; chlorosis in young girls, with dead, dirty skin, frequent palpitation, oppression and anxiety in the chest, morning cough, easily fatigued and prostrated, with the characteristic tongue, etc.; malarious ca- chexia, from ague and Quinine, sallow complexion or very pale, pressure and distension of the stomach, constipation with contraction of the anus, terrible sadness.
Natrum phos. — Spinal anaemia, paralytic weakness of the lower extremities, with general prostration, heaviness and sen- sation of fatigue, especially after a short walk or ascending steps ; legs give way, so as to be unable to progress farther.
Natrum sulph. — Hydraemia, sycosis, hydrogenoid constitu- tion of the body, depending upon dampness of weather or dwelling in damp houses ; sycosis and hydraemia. (I^ilienthal.)
144 THE TWELVE TISSUE REMEDIES.
Silicea. — L,eucorrhcea instead of menses ; attacks of momen- tary blindness or obscuration of vision. Anaemia in infants, thin, delicate and puny, with tendency to rickets.
CLINICAL CASES.
Dr. S. Powell Burdick furnished us with two cases of anaemia, both in young ladies, aet. 19 and 21. Both presented the following characteristic symptoms: Pale, anaemic countenance, great exhaustion, depression of spirits, violent attacks of frontal headache extending to the occiput. The youngest had suffered from this condition for six or seven years, and re- ceived treatment from several physicians, homoeopathic and allopathic, receiving from the latter large quantities of iron, without any benefit what- ever. The eldest had also been anaemic for several years. All their symp- toms were promptly relieved, the color returning even to rosy cheeks : the ears, which were formerly pale and almost translucent, became reddish and natural in color. The remedies employed were first Calcarea phos.vl, for ten days or two weeks, followed by Ferrum phos.1'2, for two weeks, then return- ing to the Calcarea phos. again. About six months sufficed to cure perma- nently in each case.
Young lady, aet. 17, became anaemic and chlorotic, after long continuance at school, becoming so debilitated that she could attend no longer, had no appetite, and desired only to lie about the house, having no ambition to go anywhere or do anything. Her study made her head ache, and she had to give it up entirely; her menses were irregular, absent for months, then a flow varying in quantity. I gave her Calcarea phos.6, as principal remedy, giving also, at times, Ferrum phos . as well. After a few months she became well enough to resume her studies, and could walk anywhere she desired to go, and her color improved. (C. T. M.)
NaTrum mur. — W. Rowley reports a case of anaemia due to the abuse of salt. The patient was emaciated, with general pallor; weakness; sensibility exalted; the menstrual flow never properly established. Bowels inclined to constipation. Has been in the habit of using salt to excess. In treating the case the use of salt was restricted, and one dose of Nat. mur. 200 given, which was followed by general improvement, the menstrual flow assuming its regular condition and strength, and general health being restored.
ANEURISM.
Calcarea fluor. — This disease at an early stage may be kept in check or reduced with the use of this, the chief remedy, in alternation with Ferrum phosn provided that the iodide of potash has not been taken.
Ferrum phos. — This remedy should be used early to estab- lish normal circulation and remove those complications due to excessive action of the heart ; can also be alternated with
ANGINA PECTORIS. 1 45
the preceding with good effect. In small aneurisms with a great deal of throbbing.
ANGINA PECTORIS.
Magnesia phos. — This remedy may be given for the neu- ralgic spasms of this disease. It should be given in hot water. Neuralgic constrictive pains in chest. It is also a remedy for " false " Angina.
Ferrum phos. — If accompanied by flushed face, burning or diffused heat, this remedy may be alternated with the pre- ceding.
Kali phos. — If the heart's action be weak or intermittent and if there be tendency to fainting this remedy should be used alternately with Magnesia phos.
APHONIA.
See also Hoarseness.
Ferrum phos. — Huskiness after singing or speaking in singers or public speakers, with soreness in the larynx.
ARTHRITIS.
Ferrum phos. — At the commencement this remedy should be given in repeated doses when there are febrile symptoms present, and later on in the disease it may be given as an intercurrent. The joints are painful on moving, motion sets up and increases the pain. Tenalgia crepitans.
Kali mur. — In acute arthritis, for the swelling or when the tongue is coated white. It may be alternated with Ferrum phos. Movement aggravates the pains. It is useful espe- cially after Ferrum phos. Tenalgia crepitans.
Natrum mur. — Chronic arthritis, joints crack (if tongue and other symptoms correspond, acts probably by increasing the eliminations of the urate of sodium). Synovitis, gout, sore hamstrings (verified).
Natrum phos. — Acute gout (after Ferr. phos.). Chronic gout, profuse, sour-smelling sweat. Rheumatic arthritis, espe- 10
146 THE TWELVE TISSUE REMEDIES.
cially of finger joints. Urine dark red. Pains go suddenly to heart ; sore hamstrings.
Magnesia phos. — Useful as an intercurrent remedy for the pains (violent). The keynote is excruciating pains, spas- modic in character.
Kali sulph. — In rheumatic arthritis where the pains shift from one joint to another, aggravated by heat. Shifting and wandering rheumatic pains in the joints. Fungoid arthritis. Tumor albus, white swelling.
Silicea. — Suppuration of the joints.
Calcarea sulph. — Suppurative process in the joints.
Katrum sulph. — In acute cases (attacks) of gout. This remedy should be alternated with Ferrum phos. In chronic gout it alone suffices. Gout in the feet, acute and chronic. Rheumatic arthritis, especially in joints of fingers, pains sud- denly go to heart, urine dark-red.
Calcarea phos. — Rheumatic gout worse at night and in bad weather. Hygroma patellae. Hydrops genu.
Calcarea fluor. — Gouty enlargements of the finger-joints.
CLINICAL CASES.
Rheumatic pains in joints of the feet, aggravated by motions; Bryon. and Kali iod. having failed, Ferrum phos., 10th dil., cured. — Pop. Zeitschrift, Berlin, 1886.
A shoemaker of Berlin was taken ill after catching cold. There was fever with violent pain in the right shoulder. The first visit I paid was on the third day after he had been taken ill; temperature high, pulse full and quick, thirst and loss of appetite. The right shoulder was very red and sensitive to the touch. He was not able to lie in his bed, as the pressure of the pillows was unbearable. He was lying on the sofa, supported with cushions, so that the shoulder should be free from pressure. I gave my patient Ferrum phos., as much as would cover a sixpenny piece. This was dissolved in a large glassful of water, and a teaspoonful of the solution given every hour. Improvement was felt even after a few hours. During the night the patient was able to sleep, and on the following day the fever abated; in three days he was able to move the arm pretty freely. In a few days longer he was entirely well. (Sulzer. — From Schiissler. )
ASTHMA.
Kali phos. — Nervous asthma. In large and oft-repeated doses is the chief remedy for the breathing and depressed con-
ASTHMA. 147
dition of the nervous system. Hay asthma and hay fever. Asthma from the least food.
Kali mur. — With gastric derangements. Tongue coated whitish or greenish, furred, and mucus white, and hard to cough up ; when this occurs with depression of breathing, alternate with Kali phos. Cardiac asthma with sensation as if heart and lungs were constricted.
Natrum mur. — Asthma with profuse frothy mucus. In alternation with Kali phos.; ■ also when the tears stream down the face whenever he coughs. Spasmodic jerking with each inspiration.
Calcarea phos. — Bronchial asthma intercurrently, secretion clear and tough. Child gets a suffocative attack on being lifted up from cradle.
Calcarea fluor. — When specks or small lumps are brought up after much exertion. In alternation with Kali phos. These lumps being of yellowish mucus. Oppressed respira- tion. Epiglottis feels closed, or as if breathing through a thick substance.
Magnesia phos. — In asthma where flatulence is trouble- some. Spasmodic nervous asthma. With paroxysmal dry tic tickling cough and difficulty in lying down.
Kali sulph. — Asthma, bronchial, with yellow expectora- tion, worse in the warm season or in hot atmosphere. Much rattling of mucus. In asthma, when the patient's attacks come on after taking food, and his color becomes bad, or when there is rapid emaciation, or sunken eyes, Dr. Rapp recommends the Kali preparations. (Schiissler.)
Natrum phos. — Asthma with thick yellow expectoration.
Natrum sulph. — Very important as a remedy for the sycotic taint, of which asthma is often a manifestation. Attacks, especially in the morning about 4 or 5 o'clock, with cough and raising of glairy slime, expectoration greenish and copi- ous, and vomiting after eating ; always worse in damp, rainy weather, from living in basements or cellars. Asthma from digestive disturbances. L,oose evacuations on rising in morn- ing. Asthma in children. Asthmatic breathing in young
148 THE TWELVE TISSUE REMEDIES.
people from a general bronchial catarrh, always worse from every change to damp weather.
Silicea. — Breathing so difficult that the eyes protrude from their sockets ; doors and windows must be opened, always during a thunderstorm. As a constitutional remedy with Natrum sulph. for eradication of the disease. Asthma on a cachectic base.
CLINICAL CASES.
A gentleman in whom attacks of asthma were frequent, lasting ten days, with much labored breathing, can hardly talk, thick yellow expectoration with much rattling on chest — Kali sulph. 3X relieved at once. (M. E. Douglass, M. D. )
Female, married, set. 36, asthma, attack violent, greenish, purulent ex- pectoration, a loose evacuation immediately on rising for past two days ; Natrum sulph. 500 every two hours. Was enabled to lie down that night, respiration and cough much improved and expectoration easier. Next day practically well.
Female, married, aet. 42, subject to attacks for years; expectoration green- ish and remarkably copious; Natrum sulph. every three hours. Improve- ment began after a few doses, expectoration becoming paler and less abund- ant, has felt better since than for years, and one noteworthy fact is that the expectoration stopped in a few doses, whereas under remedies given in pre- vious attacks it had continued for weeks, thus indicating that the Natrum sulph. had gotten at the root of the evil. (Wm. J. Guernsey, M. D.)
Dr. O. H. Hall, of Zumbrota, Minn., reports a remarkable case of asthma having passed ' ' through the hands of all the physicians of whom he had ever heard," cured by Kali phos. 2x. Eighteen months had passed at time of writing without an attack. — Minn. Med. Monthly, Nov., 1886.
Mr. C. has for years had attacks of asthmatic breathing, so marked as to herald his approach at some distance, and coming on after any unusual exertion. He is a tall, strong man, with no family history of lung trouble, albeit rather narrow-chested. Examination of the lungs during a period of remission disclosed no lesion or abnormal sounds, except coarse rales along the larger bronchi. In April, 1887, an especially severe attack, brought on by severe physical exertion, ' ' the worst spell " he has ever had, was promptly relieved by Natrum sulph.™, and occasional doses since have caused the attacks to disappear almost entirely for the first time in many summers. (Wm. E. Leonard, M. D. )
Mrs. E. , a lad}' under my care the past year for chronic bronchitis and other troubles, was seized on July 9th with her third annual attack Of hay fever — rose cold, or hay asthma, as you please — having contracted the same in Florida. She had formerly been entirely prostrated and forced to bed by these seizures, and dreads them much. Her husband came to me in the evening, a few hours after the sneezing and harsh breathing began, and
ATROPHY. 149
begged of me to check it if possible. I learned from him that she could not lie down; her breathing was aggravated upon the least motion and accom- panied by arching out between the scapulse. No other point could be elicited that would lead to the more ordinary medicines; indeed, all these had been tried by other physicians in former attacks. I had found Natrum mur. to relieve her troubles greatly, and so gave Natrum sulph.™0, with strong promise of relief. Nor were we disappointed; she fell asleep in an hour or so after beginning her half-hour doses, and in a few days all signs of asthma were gone. On July 18th no signs of asthmatic breathing could be heard over her lungs, whereas her former attacks had made her wholly miserable for weeks. (Wm. E. Leonard, M. D.)
ATROPHY.
Marasmus.
Calcarea phos. — Scrofulous diseases of children affecting the bones (Calc. fluor.\ General debility from mal-assimilation of food ; delayed dentition. Watery diarrhoea, with flatulence. Abdomen flabby and shrunken. Complexion sallow and child has an old and anxious look.
Kali phos. — Wasting disease when putrid-smelling stools occur. Atrophy of bones.
Natrum mur. — Rapid emaciation of the throat and neck of children ; irritability ; the children are very slow to learn to talk. Chilliness, earthy complexion and constipation.
Natrum phos. — Marasmus of children who are bottle fed. Abdomen swollen ; liver large. Colic after eating. Stools contain undigested food.
Natrum sulph. — Inherited sycotic constitution ; bloated ab* domen, with much rumbling of wind ; stools watery, yellow, gushing, worse on commencing to move in the morning.
Silicea. — Body wasted while the head is exceedingly large. Child perspires easily, is nervous and irritable ; face emaciated, decrepit looking. Aversion to the mother's milk; vomited if taken. Stools offensive and watery. Great prostration upon any change of weather.
CLINICAL CASES.
" Calcarea phos. in non-assimilation of food."
Miss R., aged 5 years, has been very frail all her life, and does not appear to be long for this world. She is very anaemic and has a dirty looking face. Has always been fretful at times and very nervous. Very sensitive and can-
150 THE TWELVE TISSUE REMEDIES.
not stand any punishment without being sick for a few days. She has no hair and during early life could not hold up her head. Her eyes are sensi- tive to light. She complains of a bad taste in the mouth and I noticed re- tarded dentition and chronic enlargement of the tonsils. She had pain in the stomach after eating, and the food seems to lie like a lump in it, and would not eat much because it always caused distress. She had suffered much with costiveness.
Urine highly colored and frequent urging to urinate. Had more or less pain in the limbs and felt restless and wanted to be moving all the time when she felt better. She had a constant leucorrhea, which was very offen- sive. She got tired and exhausted very easily and could not stand cold weather. Her bones were very small and weak and could have been easily broken. The child was ordered bathed on going to bed three times a week, and plenty of fresh air. I considered her case nearly a complete picture of Calcarea phos. I gave her two cones of the 3X tablets every two hours. It is needless to say that she improved from the first dose almost. Her general condition has remained permanently improved and it certainly is a great victory for the remedy. (O. A. Palmer, M. D. )
BACKACHE.
Silicea. — Spasmodic drawing in back compelling to lie still. Constant aching in centre of spine.
Ferrum phos. — Pains in the back and loins and over kid- ney. Rheumatic pains felt only on moving.
Kali mur. — Useful after Ferrum phos., if the latter fails to relieve.
Kali phos. — Pains which are laming. The parts affected feel powerless, gentle movement gradually lessening the pain and stiffness, yet too much exertion increasing the pain (such as walking too far). This kind of pain is always worse after rising from a sitting posture and at the commencement of motion.
Calcarea phos. — Pains with a feeling of numbness, cold- ness, or with a creeping sensation ; worse in the night and during rest. Can also be given alternately with Ferrum phos. After exhausting disease. Backache in the lumbar region in the morning when awaking.
Kali sulph. — Pains which are worse in warm rooms and in the evening, better in the open air (cool). Shifting and changing about.
BITES OF INSECTS. 151
Magnesia phos. — Pains vivid, shooting, boring, intermit- tent, shifting and neuralgic ; relieved by warmth.
Calcarea fluor. — Backache simulating spinal irritation. Tired feeling and pains in the lower part of the back, with a sensation of fulness and burning pain, and confined bowels. Lumbago aggravated on beginning to move, but improved after continuous motion.
Natrum mur. — Pains in small of back relieved by lying on something hard, with characteristic tongue, bubbles of frothy saliva. Pain after prolonged stooping, as if bruised. Weak back, worse in the morning. Spine very sensitive. Neck stiff and emaciated. Great weakness and weariness.
Natrum sulph. — Pain in the back, as if ulcerating, all night ; can lie only on the right side. Soreness up and down spine and neck.
Natrum phos. — Pains across loins on awaking in morning.
BITES OF INSECTS.
Natrum mur. — Cures rapidly. Moisten the painful spot and apply thereto Natrum mitr., 6th trituration, rubbing it in. Pain ceases at once. (Schiissler.)
BONES, DISEASES OF.
Calcarea phos. — Useful to aid the process of repair in frac- tures. When the bones are weak and soft, caused by soft sponginess, due to want of phosphate of lime molecules. Rachitis, bowlegs in children. Also, for ulceration of bone and wasting of skull-bones. Fistulous ulcers on the ankles ; edges callous, ichor putrid. Pains along sutures and sym- physes of bone.
Ferrum phos. — In bone diseases, when the soft parts are red, hot and painful, inflamed. Ostitis, periostitis. Hip joint disease.
Kali mur. — Second stage of ostitis.
Kali phos. — Atrophy of bones with foul diarrhoea.
Silicea. — Indication in nearly all diseases of bones. Fistu-
152 THE TWELVE TISSUE REMEDIES.
lous openings, discharge offensive. Parts around hard, swol- len, bluish-red ; fibrous parts of joints, especially of the knee, inflamed. Ulceration of bone, periosteal ulceration. All ex- cretions offensive, pus, stool, sweat, etc. Hip joint disease.
Silicea is oftener indicated and has cured more cases of caries and necrosis than any other remedy. It is a deeply penetrating remedy, and, while closely resembling Mercur. in its sphere of action, care must be taken not to administer it after Mercur., as it may much complicate the case. It is more suitable for chronic cases, or after the first stage is past. (Gilchrist.) No other drug so hastens the elimination of the dead bony particles to the largest piece of sequestrum so necessary to the cure of scrofulous diseases of the bones. In many forms of caries, necrosis and in enchondroma of the bones, Grauvogl recommends, as a popular and very effective remedy, hay-baths. Their efficacy depends on the presence of Silicea, which has been found as a chemical constituent in a state of solution in hay-baths — three drams of hay contain- ing about one-half grain of Silicea. Hence the usefulness of this local measure in diseases of the bone is apparent.
Calcarea sulph. — Ulceration of bone. Craniotabes.
Calcarea fluor. — Hard, rough, corrugated elevations on the surface of the bones. Useful in cephal-haematoma (so-called blood-tumor), on the parietal bones of new born infants. Bruises of bones. Exostoses after injuries. Diseases of bones ; caries leading to formation of pelvic abscesses. Affections of the nasal bones, causing bad odor to disappear. Nodes and hard bone swellings. Caries in consequence of syphilis or abuse of mercury. Spina ventosa, osteo-sarcoma. Malnutri- tion of bones, especially the teeth. Osseous growths, espe- cially in the carpal and tarsal articulations. Suppuration of bones.
Magnesia phos. — Spina ventosa alternately with Calc. fluor.
Natrum sulph. — Sycosis. Pain in bones, cracking of joints, knees stiff.
BONES, DISEASES OF. 1 53
CLINICAL CASES.
Non-union of a Broken Radius and Udna. — Mr. D., aged 23 years, who was an anaemic and frail man, received the injury several months before I saw him, and when the splints were removed the soreness was gone, but no union of the bones. The parts were cut down upon, the ends freshened, brought together and supported, and Calcarea phos. given three or four times daily, with a very fine result. (O. A. Palmer, M. D.)
Enchondroma Indicis. — A maiden lady of 60 had a shiny swelling on her left index finger, which had been there for eighteen months. The lump was hard and painful, and of about the size of a small split walnut, but rather natter. Patient was very nervous and depressed. Calcarea fluor. 3X, six grains four times a day. After two weeks the cartilaginous nature had clearly left, and swelling became softer and smaller and disappeared entirely within three months. No change was made in diet or place of abode. ( J. C. Burnett, M. D. ) '
Injury to the tibia of some years' standing ; a painful growth appeared on the seat of the injury. This was diagnosed as an osteo-sarcoma by a promi- nent surgeon, who advised an operation. Calcarea fluor. relieved the pain and reduced the growth. (L. A. Bell, M. D., Hahnemannian Monthly, April, 1887.)
Dr. Hansen, of Copenhagen, reports in the Allg. Horn. Zeit., 1886, p. 44, a case of caries of the tibia of three years' standing ; fistulous openings led down to the bone, through which splinters of dead bone were being dis- charged constantly, the secretion therefrom being thick and yellow, accom- panied by boring nightly pains. Calcarea fluor. ,5 cured completely in five months.
Enchondroma cured by Siucea. ( From Grauvogl's Text-book. ) Boy, set. 14, metacarpal bones of ring and index and middle fingers and thumb of right hand were swollen to such a degree that oval, hard, knobby masses of uniform surface were formed; joints obliterated and immovable for the past six months. These parts were, at various points, divested of their skin by ulcerated surfaces, under which the bones gave a rough sound to the probe, and places were found here and there which could easily be penetrated, and others again which offered resistance. The boy had no appetite, and was kept at work by a potter, carrying clay. Great pain in the suffering parts, drowsiness during the day, lassitude and depression. According to the doctrines of surgery, there was no other help but disarticulation at the wrist, with a loss of the right hand, since only the little finger and its metacarpal bone seemed free from the disease. Siliceas, five drops every two hours. In eight days the superficial ulcers began to cicatrize and the tuberous formations had manifestly decreased in extent. After fourteen days more the joints were already movable, though the mobility was very much re- stricted. After another fortnight all the concomitant symptoms which had been present disappeared, appetite returned, boy was lively and of good cheer, and discharged cured.
A child, aet. 3, had disease of the bone of the forefinger of the left hand, midway between the knuckle and next joint. There was a slight whitish
154 THE TWELVE TISSUE REMEDIES.
discharge from a minute opening, and the flesh was much swollen and dis- colored at the place, causing the finger to present a very unpleasant appear- ance. A physician had, after treating it unsuccessfull}', advised amputation of the finger, but the family, not desiring this result of the trouble, decided to try other remedies. Gave her Silicea^, in solution, which produced im- provement at once, and in a few weeks cured the disease in the bone, and the finger resumed its natural appearance, except a slight scar. ( C. T. M. )
Dr. C. F. Nichols reports a number of cases of osseous growths cured and benefited by Calcarea fluor?1 {Organon, 1880.)
Slow Union of Fracture. — Man, aet. 60, had a fracture of the shaft of the femur. It remained movable, in spite of great care, after two months. Calcarea phos.6 was given, at first every night; later every second night. At once the fracture grew firm and was soon well. This is certainly better than instrumental interference. Eighteen months later, the same femur sustained another fracture in its lower portion. The drug was given in like manner as before, but from the beginning. It was well in two months. (J.
C. Morgan, M. D.)
In the case of a poor orphan girl, set. 14, Silicea saved her from having her foot amputated. She had been under treatment a long time for bone disease. Her medical man saw no alternative, as the evil only grew worse, but to make arrangements with the infirmary surgeon to have it taken off. This was agreed on, six days before removing her. Her friends were greatly distressed and applied for the new remedies. Silicea, a. dose every hour, was steadily taken, and lotion on lint externally applied. On the fifth day the ankle-bone and surrounding tissues presented such a healthy appearance that all cause for amputation was removed. She continued the treatment for a short time longer, and her case was pronounced perfectly cured. (M.
D. W., from Scbiissler.)
BRAIN.
See also Meningitis.
Ferrum phos. — First stages of all inflammatory troubles.
Kali phos. — Softening of the brain, early state ; if with hydrocephalus, give also Calcarea phos. Softening as a result of inflammation, insidious in its approach. Concussion of brain. Putrid stools. Sleeplessness and stupor.
Magnesia phos. — When convulsive symptoms are present. Troubles of sight remaining after cerebral concussion.
Calcarea phos. — Hydrocephalic conditions. Chronic hydro- cephalus. Fontanelles remain too long open. Craniotabes.
Calcarea fluor. — Cephal-hsematoma.
Natrum sulph. — After injuries to the head. Mental troub- les following. Intense pain in occipital region.
BRAIN-FAG. 1 55
CLINICAL CASES.
J. C. Morgan, in the Transactions Pennsylvania Homceopathic Medical Society, 1882, p. 172, reports some cases of brain troubles in children in which convulsive symptoms were prominent, benefited and cured by Mag- nesia phos.m. ,
The following is from an elderl}- gentleman, Mr. J. M., who had suffered from a prolonged attack of acute and subacute inflammation of the brain. He recovered slowly, but symptoms of softening of the brain set in. He was anxious to give the new remedies a trial. His speech was affected; he seemed to lose momentary consciousness, could not hurry, though he saw himself in great danger of being run over, or stop walking when dangerously close to the quay, and could not be trusted out alone: " I think it is time I were again informing you that I still continue to improve; indeed, I have little to complain of except occasionally — only occasionally — a feeling of mental stupor, the best remedy for which I have found to be Kali phos. which you recommended to me." (M. D. W., from Schiissler. )
BRAIN-FAG.
Calcarea phos. — Nervous prostration, with depression of spirits ; profuse night-sweats ; pale, wan and emaciated coun- tenance ; loss of virile power ; habitual coldness and venous congestion of the extremities from debility, sleeplessness and loss of appetite ; numb sensations.
Silicea. — Confusion, difficulty of fixing attention. Yielding and anxious mood. Reading and writing fatigue, cannot bear to think. Sense of great debility, but patient can arouse him- self, has grit, but soon tires and is compelled to rest. Brain- fag in school girls, become confused during recitations, be- cause they cannot concentrate their thoughts. Want to think, but are unable to do so.
Kali phos. — To restore lost nervous energy. Covers the whole field of neurasthenia.
Natrum mur. — With sleeplessness, gloomy forebodings, ex- haustion after talking, embarrassment of the brain.
CLINICAL CASES.
In treating a number of cases of this trouble, the "Tissue Remedies" have been of the greatest service and the most rapid in their curative action. Cases which have been treated with various other methods and then changed on to the Tissue Remedies soon show the marked change for the better and take on a more rapid improvement. The great variety of causes and the
156 THE TWELVE TISSUE REMEDIES.
different styles and conditions in which you first find the patients precludes any set rule in treatment, but the prime and allimportant condition to estab- lish is proper nourishment to every part and tissue, and then to apply by the use of tissue remedies the most necessary demands. In order to supply the proper nourishment it may be necessary for the patient to have change of surroundings, happy occupation, change of air, scenery and food and then to build up with the Tissue Remedies the tissues or forces that have been overtaxed, overworked or under nourished and more or less exhausted. A regular method should be established — regular exercise, regular meals, reg- ular sleep and regular evacuations of the bowels and bladder. These are important. Usually Kali phos. is a good remedy to start with, it gets the mind in goo<l condition, and aided by Calc. phos., Ferrum phos or Natr. phos., dependent on condition, soon begins the improvement. Then follow with the Calc. sulph as soon as the Phos. has built up the nerve cells, and the Sulph. is needed to finish up the work which may take from three months to two years or more, but can be done as positively with these reme- dies and the proper application of hygiene as it is possible to cure any dis- ease in the domain of curative measures. (F. D. Bittinger, M. D , Dayton, Ohio.)
The following two cases are taken from my note book at a dispensary:
January 23, 1893, Mrs. J , aged nineteen, twitching of eyelids, worse
at 5 p. M. every day, after lamp is lighted Eyes water with the twitching. Has dread of an accident until a shudder passes over the body; is then relieved of the nervousness. Feels weak, is often dizzy. In walking on the street steers for the gutter, either to right or left. Despondent, had chorea when twelve years old, lasting two years. At seventeen had sense of dread at intervals for some months.
Prescribed Kali phosphoricum 4x, one grain tablet, four times daily. Jan. 30th mental state and dizziness improved. Remedy repeated. Did not return
June 4th I went to her home and she told me that the twitching, dread and difficulty in walking passed away during the second week of treatment and had not returned. She was also relieved of the dizziness but has some now, due, she thinks, to pregnancy.
March 30th, Jas. C , aged twelve, pain in right leg, right arm and
back. Drops things, especially if startled. Difficult speech, irritable, rest- less, constipated, sleep poor. Been nervous since seven years of age, at which time he was kicked in the back. After treatment for two years he was much better. Salt water bath down spine had benefited him. Last attack one month ago.
Kali phosphoricum 4x was prescribed, and he was kept on that remedy with continued improvement.
May 4th, reported better every way, except occasional inability to hold things in right hand; worse in the morning, gets better about noon.
May nth, holds things with less difficulty, can write with more ease, always at his best at noon.
June 8th, has none of the above symptoms; the spine was bathed with salt water at first, but that measure was discontinued over five weeks ago. ( T. C. Wiggins.)
BRAIN-FAG. 1 5 7
A Japanese laborer complained that he could not see after 4 p. m. He could see large objects, as a tree or a man, but could not tell whether he was hoeing out sugar cane or weeds. Learning that he did not notice such a condition on Sundays or holidays, I concluded that fatigue was the cause of his trouble, and put him on Kali phosphoricum 6x, with most gratifying im- provement in two or three days. Soon he ceased to call. ( T. C. Wiggins. )
Mr. S , over sixty years of age, having been under heavy financial
strain for months, was suddenly s'ricken the afternoon of August 14, 1893. He became unconscious in a store where he had gone for help. I saw him the next day and he was evidently on the verge of prostration. I advised him to give up business and go away for at least a month. He could only leave the city for the rest of the week but that, with Kali phosphoricum 6x, helped him to go on with his business, till he could go away for a longer stay, which was some weeks later. He said, " The medicine braced me up wonderfully."
The patient came to California with a modest fortune, which he has lost in unfortunate speculations — a common occurrence. Anxiety, business cares and overwork had been telling upon him for months. Finally, about three months ago, while on the local train going home, he suddenly experienced a peculiar cerebral sensation, and became unconscious, but in a few minutes recovered, and asked the conductor to assist him from the train when he arrived at the station, and had the presence of mind to remember a bundle which lay on the seat at his side, but was still dizzy and confused. After arriving at home, he experienced a severe spasmodic pain in the cardiac region, which was accompanied by faintness, shortness of breath, and cold- ness of the extremities. This lasted several hours, and continued thereafter to return for two weeks or more, without improvement, sometimes several times a day, at irregular intervals. This finally was attended by more or less mental weakness at times; and, as his physician informed him that he was suffering from an organic affection of the brain, the result of apoplexy, he became very despondent.
After three or four weeks he improved somewhat, but, in performing some trivial manual labor about his home, he experienced a relapse ; and, as his physician insisted that his days were few, he concluded to try an eclectic physician, as he employed one in the East formerly as his family adviser.
When the patient came, in company with his wife, we found the case an unpromising one. He was past sixty years of age, of careworn appearance, despondent, and presenting marked evidence of nervous exhaustion. There was no paralysis, however, and no evidence of any loss of motor or sensory function, and upon making the effort we found he could call into use all his reasoning faculties. He complained of sleepless nights from lancinating pains in the left chest and left side of the face.
The prescription was Kali phos. 3X, to restore lost nervous energy, and Magnesia phos. for the spasmodic pains. Add five grains to a tumbler half full of water, each agent to be dissolved in a separate glass, and alternating give a teaspoonful every hour during the day, and until bedtime. In about a week the patient returned for more medicine, and marked improvement was observable. The careworn, despondent appearance of countenance had more of an expression of comfort and hope. He said he was better; had felt
158 THE TWELVE TISSUE REMEDIES.
but one spasmodic attack since beginning the medicine, and could now go about and do light chores without becoming exhausted, and slept well all night. In another week his wife reported him as well as ever. — Editor California Medical Journal.
BRONCHITIS AND BRONCHIAL CATARRH.
Ferrum phos. — Takes the place of Aeon, in the acute in- flammatory stage, or in chronic bronchitis when a fresh ag- gravation sets in. It should be given in alternation with the remedy indicated by the expectoration. Any inflammatory irritation of the bronchi, accompanied with dyspnoea, heat, or burning soreness. Breathing short, oppressed and hurried. Capillary bronchitis of young children. Acute, short, spasmodic and very painful cough.
Kali mur. — In the second stage, when thick white phlegm forms, fibrinous in character.
Kali sulph. — When the expectoration is distinctly yellow, watery and profuse, or where it is greenish, slimy and watery. In the stage of resolution.
Natrum mur. — Acute inflammation of the windpipe, with frothy and clear watery phlegm, loose and rattling, sometimes coughed up with difficulty. Chronic bronchitis, bronchial catarrh, " winter cough," with any of the above symptoms. Clear, watery, starch-like sputa. Secretion causes soreness and excoriation. Chronic forms, when sputum is transparent, viscid, weak voice, fluttering of heart. Patient is worse near the seashore.
Calcarea phos. — In anaemic persons where expectoration is albuminous, like the white of an egg.
Calcarea sulph. — Where expectoration is yellow, or yellow- ish green, or mixed with blood, stage of resolution. Third stage of bronchitis. Ordinary catarrhal colds and in cases similar to those benefited by Hepar sulph.
Natrum sulph. — Where exudation causes soreness and chaf- ing. Patient must hold his chest on coughing. Asthmatic spells worse towards morning. Worse in cold, damp, rainy weather.
Silicea. — Cough worse from cold and better from warm
BURNS. 159
drinks. Pus-like expectoration, falls to bottom of vessel con- taining water and spreads out like sediment. Bronchial affec- tions of rachitic children. Laryngeal morning cough.
CLINICAL CASES.
Numerous cases of bronchitis, broncho-pneumonia and allied affections of the chest, especially in children, have been treated successfully with Ferritin phos., followed by or in alternation with Kali mur. Sometimes Bryon. has been found an excellent alternating remedy with Ferrum phos., no other treatment having been found necessary.
BURNS.
Kali mur. — Burns of the first degree, also those of the second. Blisters form, also scalds from boiling water. Can be applied externally. White or grayish exudation over wound.
Calcarea sulph. — Burns when suppurating.
Natrum phos. — Burns with suppuration ; also externally.
Natrum mur. — When blister has been formed.
CLINICAL CASES.
Dr. J. T. Frawley, of Cleveland, O., uses Ferrum phos. 2x as a powder to dust over burns in which there is much heat and redness.
CATARRHAL TROUBLES.
Ferrum phos. — First stage of cold in the head, with circu- latory disturbances, catarrhal fever, congestion of nasal mu- cous membranes. Smarting in nasal passages, worse inspira- tion ; excellent for a predisposition to take cold, alternately with Calcarea phos. " Ferrum phos. 3X in pharyngeal ca- tarrh, with characteristic white, frothy expectoration, has never disappointed me." (W. R. King.)
Kali mur. — Catarrh when there is white phlegm, thick, not transparent. Dry coryza. Stuffy cold in the head, with a whitish-gray tongue. Adherent crusts in the vault of the pharynx. " I use it often with profit in the purulent stage of acute nasal catarrh. Kali -mur. has proved to me the most satisfactory remedy in acute inflammations of the naso- pharynx in which there is a decided burning dryness. The appearance is that of redness with marked thickening, almost
160 THE TWELVE TISSUE REMEDIES.
as though the mucous membrane were solidly infiltrated." (Ivins.) Hawking of mucus from posterior nares. Syphilitic ozaena.
Calcarea fluor. — Catarrh with expectoration of yellowish, small lumps. Dry coryza. Stuffy cold in the head (alter- nately with Kali mur.), with ineffectual desire to sneeze. Ozaena. Osseous growths and diseases of nasal bones, with offensive odor of dead bone.
Natrum mur. — Catarrhs and colds with watery, transparent, frothy discharges. Chronic catarrhs of bloodless patients. The mucus has sometimes a salty taste. Cold causing vesic- ular eruptions with watery contents, which burst and leave thin crusts or scabs. Coryza, "running cold," with watery, clear, frothy discharge, worse on going into the cold and on exertion. Influenza. Epistaxis from stooping and from coughing. Posterior nares dry. Loss of sense of smell. Dr. Geo. Herring finds the i trit. almost infallible for stop- ping a cold commencing with sneezing. Sneezing worse un- dressing at night and in morning. Fever blisters.
Kali sulph. — Yellow, slimy secretions, or expectorations of watery matter, are conditions calling for this remedy. Patient feels generally worse in the evening or in a heated room. Yellow or yellowish discharge from the nose. Colds with dry skin when perspiration does not set in freely under use of Ferrum phos.
Calcarea phos. — Chronic catarrhs and colds in adynamic persons (as an intercurrent remedy). Colds in the head with an albuminous discharge from nose. Sneezing and sore nos- trils. Dr. L. A. Bull says : "I frequently began the treatment of chronic catarrhal conditions of the air-passages with Cal- carea phos. I find that it has quite a decided tonic action, and influences the conditions of the membranes for good. In many places it quite takes the place of the Cinchona prepara- tions." Darge pedunculated nasal polypi. Point of nose icy- cold. Swollen, ulcerated nose in scrofulous children.
Calcarea sulph. — Cold in the head, with thick, yellow,
CATARRHAL TROUBLES. l6l
opaque, purulent secretions, frequently tinged with blood. It clears up the condition of the mucous glands. Nosebleed.
Natrum phos. — As an intercurrent, when gastric symptoms appear, such as acid risings and yellow base of tongue. Pick- ing at nose. Naso-pharyngeal catarrh, with thick, yellow mucus, especially in the scrofulous oza^na. Offensive odor before nose.
Natrum sulph. — Nosebleed during menses. Ozaena syphi- litica, worse every change from dry to wet weather. Catarrhs of mucous membranes in general, characterized by a tendency to profuse secretion of greenish mucus. This is the tissue remedy for la grippe, since the disease is caused by an excess of water in the cellular fluids.
Kali phos. — Ozsena, foul, offensive discharge from nose, foul breath, and where secondary nervous troubles arise. Epistaxis and predisposition to same. Yellow crusts blown from nose. Thick, yellow discharge ; sneezes from slightest exposure. Thick mucus hawked from posterior nares.
Magnesia phos. — Loss or perversion of sense of smell. Al- ternate dry and loose coryza. Gushing flow from nostrils.
Silicea. — Ozaena, with offensive discharge from nose, when the affection is seated in the submucous connective tissue or periosteum. (Syringe also with a solution of the same remedy.) Painful, chronic dryness of the nose, or inveterate ulceration, producing acrid, corroding discharge ; herpetic eruption around nostrils and lips. Itching of tip of nose.
CLINICAL CASES.
Dr. H. Goullon {Pop. Zeitschrift) praises Natrum phos. in chronic post- nasal catarrh, giving as indications the golden-yellow exudation and yellow tongue, etc., and relates a case cured by Natrum phos.b after Kali bich. had failed, as well as everything else, and the patient had become hypochon- driacal.
Case of thick, yellow, offensive ozsena, alternating with watery discharge; has been affected with it for eighteen months; has lost taste and smell; left nostril worse. Catamenia occur every three weeks. Takes cold very easily. Stillborn child three years ago. Gave three doses of Kali sulph.u in water, to be taken once a week. In one month reported catarrh entirely well; has regained much of the lost senses of smell and taste. ( W. P. Wesselhceft, M. D.)
II
1 62 THE TWELVE TISSUE REMEDIES.
Dr. Breuer, of Munich, reports a case of suppressed foot-sweat, resulting in protracted bronchial catarrh; cured by Calcarea sulph. and Silicea. — A. H. Z., 1883.
Case of gentleman, light-complexioned. About once a week a thick, dark brown semi-fluid accumulation of pus formed in the left upper nostril; on being blown out it emitted a terrible stench. About a month previous a piece of carious bone was taken from the antrum highmori, through an upper left alveolus, from which a tooth had been drawn four years previous. The probe entered the antrum freely. Calcarea, Silicea and several other remedies proved inefficacious. Three weeks after having taken two doses of Kali sulph.6 in water, morning and evening, a tablespoonful for four days, nothing more remained of the discharge, and the alveolus closed so that no probe entered. (W. P. Wesselhceft, M. D )
NaTrum muriaTICUM. — Dr. Louis A. Bull records a case of atrophic rhino- pharyngitis in which the skin was "colorless, dry, fishy in appearance and profusely dotted with comedones, large and small." He was reminded, he says, of Boussingault's experiments in withholding salt from animals, and opined that here was a case in which chloride of sodium was not properly assimilated. He used it locally in ten grains to the ounce solution, and in- ernally in dynamized form, with most satisfactory results. — Horn. Recorder.
CHICKEN POX.
Ferrum phos. — This remedy alone, or alternately with the remedy indicated by the eruption, such as Kali mur., Calcarea sulph., Natrum sulph. or Silicea.
CHOLERA.
Ferrum phos. — In the first stage, for the vascular disturb- ances, alternating with Kali phos. Cholera infantum, dis- charges frequent, watery, even bloody ; child is greatly re- duced, falls into a stupor, red face, dilated pupils, rolling of head and soft, full-flowing pulse, cholera from checked per- spiration.
Kali phos. — When the stools have the appearance of rice- water. Collapse, livid, blue countenance and low pulse.
Kali sulph. — Cramps and other symptoms of cholera.
Magnesia phos. — Choleraic cramps. First stage. Watery diarrhoea with vomiting and cramps in calves.
Natrum sulph. — Is, according to Schiissler, the remedy for cholera and cholerine.
Calcarea phos. — Cholera infantum. Green diarrhoea in
CHOREA. 163
scrofulous children, slimy, watery, undigested and offensive. Thin body, child looks like an old woman.
CLINICAL CASES.
Old man attacked with severe vomiting and diarrhoea, cramps in calves and rice-water discharges. Kali phos. cured. (Schussler. )
CHOREA.
Calcarea phos. — In scrofulous children. Chorea during puberty in either boys or girls.
Magnesia phos. — This is the chief remedy. Involuntary movements and contortions of the limbs, with mute, appealing looks for sympathy. Follow or alternate with Calcarea phos.
Silicea. — When due to the presence of worms, spasms, sleep disturbed by frightful dreams, distorted eyes, pale face, canine hunger, irritation of nostrils, constipation, great thirst, cedema of face and extremities.
Natrum mur. — Suitable for chronic cases, after fright or suppression of eruptions on the face, paroxysms of jumping regardless of obstructions, twitchings on the right side, worse at full moon, especially in anaemic and chlorotic states, with thirst and fever.
Natrum phos. — If due to worms, or if acid symptoms are present. (See Silicea.}
CLINICAL CASES.
Case of chorea; face and upper part of body affected; lateral and down- ward jerking of the mouth, snapping of eyelids, sudden forward motion of head, and other irregular movements. Better during sleep; aggravated at stool and by emotions, Ignat. failed. Magnesia phos? for three months pro- duced gratifying results, but did not fully cure. Acting on Dr. Schiissler's advice, Calcarea phos . 6x was given alternately with the Magnesia phos., the former once daily, the latter twice. In one month the child was cured. (D. B. Whittier, M. D.)
Choreic patient talking to herself constantly, or sitting still in moody silence, or carrying things from one place to another and then back again. Magnesia phos. n cured. (Dr. Sager. )
H. S., aet. 7. Chorea for two years, caused by fright; pale, delicate, anaemic, drinks much water, feverish, white tongue, sore mouth. Natrum mztr.200 cured permanently. (C. P. Hart, M. D.)
164 THE TWELVE TISSUE REMEDIES.
Chorea cured by Magnesia phos.— By Dr. John H. Clarke. — Gertrude
S , aet. 6, was admitted to the London Homoeopathic Hospital, on
March 30th, 1887. She had suffered from well-marked chorea during the preceding eight months, and the usual remedies for such conditions had been administered to her as an out-patient during the previous two months, with but small success. No definite cause was to be made out. The child did not suffer from worms, and there was no history of a fright. On admis- sion she twitched all over during her waking hours, but was quiet during sleep. She walked fairly well and could feed herself, but her speech was exceedingly defective. The heart's action was accelerated, but no abnor- mal sound was to be distinguished. Subsequently, however, a soft, pre- systolic, blowing sound was at times audible, as if the muscular fibres of the heart participated in the general spasms. The pupils were symmetri- cally dilated. Magnesia phos. was prescribed — two grains of the sixth decimal trituration, three times daily. The improvement which followed was slow, but abundantly manifest. The general twitching became less; the articulation improved, the child took nourishment freely; slept well at night, and lost the scared expression so characteristic of the complaint. By May 17th no vestige of the chorea remained. On being directed to stand up, close the eyes, and hold the arms extended, she did so without difficulty. Subjected to the difficult test of walking blindfolded, she came through triumphantly. Lastly her powers of speech had so much improved that, whereas on her admission the meaning of her utterances was a matter of pure conjecture, by this date her remarks were quite intelligible. Thus within seven weeks this obstinate case of a very troublesome disease yielded completely to Magnesia phos. — one of Schiissler's so-called "tissue reme- dies." No other medicine was given. — Horn. World, July, 1887.
COLIC.
Magnesia phos. — Flatulent colic of children, with drawing up of legs. Colic forcing the patient to bend double; eased by friction, warmth and belching of gas. Colic in umbilical region. Muscular contractions. Remittent colic, crampy pain. " Colic of newborn infants. I use it in almost every case with absolute, invariable, prompt and complete success ; 30th potency." (J. C. Morgan, M. D.) Colicky babies when they cry half the time ; no interference with nutrition. Gall- stone colic.
Natrum phos. — Colic of children, with symptoms of acidity, such as green, sour-smelling stools, vomiting of curdled milk, etc.
Ferrum phos. — Colic at menstrual periods, with heat, flush- ing of the face and quickened pulse.
colic. 165
Natrum sulph. — Flatulent colic starting in right groin. Bilious colic, with bitter taste in the mouth and grayish or brownish-green coating at the root of the tongue. In lead colic this remedy should be given frequently in the ix or 2x trituration. Pain in abdomen and small of back as if bruised. Much flatulence. Incarceration of flatus. Flatulent complaints after confinement, with constipation.
Kali sulph. — Pains resembling colic. Abdomen feels cold to touch ; sometimes caused by great heat, from excitement and sudden coldness ; shortly after, gas escaping smells like sulphur ; if Magnesia phos. fail.
Kali phos. — Colic in hypogastrium, with ineffectual urging to stool ; better bending double. Abdomen distended with gas.
Natrum mur. — "In cases of bilious colic presenting the belching of Carbo veg. and the pains of Diosc. and Coloc. I have found Natrum mur. to do excellent service." (C. E. Fisher.)
CLINICAL CASES.
Woman, aet. 50, suffered for two years from gastralgia and enteralgia, attacks lasting several days; at each attack vomiting of a fluid as sour as vinegar. Two allopaths had treated her in vain, diagnosing the affection as cancer of the stomach and wandering kidney. My diagnosis was oversecre- tion of lactic acid. Natrum phos. Improvement set in in two days, and in a few weeks was entirely cured. (Schiissler. )
Case of lady with bilious colic. Was sent for in the night, and for par- ticular reasons did not go. I, however, sent what I thought would relieve her. Early in the morning her husband was again at my office, saying she was no better, but suffering terribly. I gave him a different remedy, to be administered until I could get there. About half past nine I arrived at the house, and found her still suffering excruciating pains. Ascertaining she had vomited bile, and had a very bitter taste in her mouth all the time, I administered a powder of Natrum sulph. in a little water. In about two minutes after taking it she said she was considerably relieved for the first time since eleven o'clock in the night. In about five minutes she had a free movement from the bowels, and she continued to improve, and was up and about the next morning.
One of the hard-working clergy of the metropolis was for several years subject to very frequent and very severe attacks of colic, always running on to inflammatory character, violent vomiting, great tenderness of abdomen , restlessness, anxiety, misery. These attacks generally lasted from three
1 66 THE TWELVE TISSUE REMEDIES.
days to one week. More than a year ago it was ascertained that the pain generally commenced i?i the right groin and thence spread over the whole abdomen. Natrum sulph. was given, the attack yielded immediately, and though he has had several threatenings, he has had no colic since. — Hering's
Materia Medica.
CONCUSSION OF THE BRAIN.
Kali phos. — Asthenic conditions, dilated pupils, depression of function of the brain-cells resulting from concussion.
Ferrum phos. — Febrile disturbances depending thereon.
Magnesia phos. — When optical illusions accompany.
Calcarea phos. — As an intercurrent sometimes, and with numb sensations.
Natrum sulph. — Chronic effects of falls and blows on head.
CONSTIPATION.
Note — No purging need be resorted to. Constipation occurs frequently in consequence of some primary disturbance. Ivook for the symptoms of this. The proper remedy will make the bowels move. (Schiissler.)
Kali mur. — Constipation accompanied by a white-coated tongue, also when fat and pastry disagree. Torpid liver, light-colored stools through want of bile from sluggish liver.
Kali phos.— Stools dark brown, streaked with yellowish- green mucus. Paretic condition of rectum and colon.
Natrum mur. — Torn, bleeding, smarting feeling after stool. Constipation with much intestinal weakness, and when aris- ing from want of moisture. Dryness of the mucous linings of the bowels, with watery secretions in the other parts ; watery vomiting, watery eyes, excess of saliva in the mouth or on the tongue. Drowsiness and waterbrash. Stools are hard, dry and difficult to pass. Accompanied by headache. Hemor- rhoidal constipation. Proctalgia. Pain in abdominal rings. " Constipation of fleshy people, especially those with weak hearts." (Frawley.)
Calcarea phos. — Costive, hard stool with blood, especially in old people, associated with mental depression, vertigo and headache.
CONSTIPATION. 167
Calcarea fluor. — Inability to expel the faeces.
Natrum phos. — Obstinate constipation. Habitual constipa- tion with occasional attacks of diarrhoea in young children. This remedy is an admirable laxative when administered with the food of infants. Dose, 5 to 10 grains three times daily for a six-months' old child.
Natrum sulph. — Hard, knotty stools streaked with blood, preceded and accompanied by smarting at the anus ; difficult expulsion of soft stool ; emission of fetid flatus in large quan- tities. (Strong.)
Ferrum phos. — Constipation with heat in the lower bowel, caused by atony of muscular fibres of intestines. " Ferrum phos. is indicated in obstinate constipation with prolapsus ani and piles, associated with anaemia ; face pale, readily flushing, cold hands and feet, palpitation, persistent chilliness, flatu- lence and fulness of epigastrium, with great aversion to meat diet." (Donaldson.)
Silicea. — Rectum seems to have lost the power of expul- sion. Faeces recede after having been partly expelled. Sore- ness, stitches and shooting pain in anus. Constipation asso- ciated with chronic scrofulous and suppurative diseases. Con- stipation of poorly nourished children with pale, earthy face. Copious perspiration around head, accompanying paralytic diseases.
CLINICAL CASES.
Mrs. H., aet. 26, mother of three children; constipation since birth of last child, three months ago. Cathartics had failed. The stools were hard and dry, were partially expelled with much straining, and then receded into the rectum. Silieea30 cured in four doses, taken night and morning. (I. P. Johnson.)
Dr. Gross, the pupil of Hahnemann, relates a very remarkable case of chronic constipation cured with Natrum mur.w The patient, a boy, set. 11, born of scrofulous parents, has an idiotic brother; patient himself mute and almost an idiot. The poor creature suffered with constipation from birth. Would go three to four weeks without stool. After a course of Natrum mur.so the constipation was entirely cured. (Full report of the case found in Strong's Constipation, p. 72.)
1 68 THE TWELVE TISSUE REMEDIES.
COUGH.
Ferrum phos. — Acute, painful, short, tickling cough. Short, sore, tickling cough from irritation of the windpipe. Short, dry, spasmodic cough, with feeling of soreness in the lungs, no expectoration. Cough hard and dry, with soreness from cold. Cough, with rattling of mucus in chest, worse at night.
Kali mur. — Loud, noisy stomach-cough, with grayish-white tongue. Short, acute and spasmodic, like whooping-cough, requires this remedy. Noisy cough with protruded appear- ance of the eyes and white or gray-coated tongue. Croupy, hard cough. Child grasps at throat during coughing spell. Persistent, croupy-like hoarseness. Cough with thick, milky- white, gluey albuminoid phlegm. Cough in consumption with thick, milky-white expectoration, or white-coated tongue.
Kali phos. — Cough from irritation in the trachea which feels sore. Expectoration thick, yellow, salty, and fetid, chest sore.
Kali sulph. — Cough with yellow expectoration or watery matter. Worse in a heated room or in the evening. Mucus slips back and is generally swallowed ; hard, hoarse cough like croup, weary feeling in the pharynx.
Magnesia phos. — True spasmodic cough coming on in fits, paroxysms ; without expectoration, spasmodic cough at night, with difficulty upon lying down. Whooping cough. Patients refer the spasm to the pit of the throat. The lungs are sore from the strain of coughing. In dry cough in nervous chil- dren this remedy should always be thought of.
Calcarea fluor. — Cough with expectoration of tiny, yellow, tough lumps of mucus. Cough with tickling and irritation in the throat on lying down, from elongation of the uvula, or dropping at the back of the throat.
Calcarea phos. — Cough with expectoration of albuminous matter, not watery. In cough of consumptives as an inter- current remedy. Suffocative cough in children, better lying down.
CROUP. 169
Calcarea sulph. — Cough with sanious, watery sputa.
Natrum mur. — Cough with excess of watery secretions. In consumption with watery sputa, tasting salty, winter cough. Stitches in liver with cough. Dry, short cough, day and night, from irritation in pit of stomach.
Natrum sulph. — Cough with a sensation of all-goneness in the chest. Muco-pus, thick, ropy and yellowish-green ex- pectoration ; must press upon chest to relieve soreness and weakness.
Silicea. — Cough provoked by cold drinks. Soreness and weak- ness of chest relieved by warm, moist air. Laryngeal, morning cough with tough expectoration. Dyspnoea on stooping or lying on back. Expectoration of profuse, yellowish-green pus of greasy taste and offensive odor. Suffocative night-cough. (Lilienthal.)
CLINICAL CA.SES.
Dr. J. A. Biegler reports in the Trans. I. H. A. 1888, a case of subacute laryngitis cured by Kali phos.30. The prescription was given " as a forlorn hope," because the case came late under treatment, with weakness, pale, bluish face, etc Speech slow, becoming inarticulate, creeping paralysis, and because Grauvogl says: "We know that the oxidation processes, the changes of gases in the respiration, and other chemical transformations in the blood, are brought about by the presence of Kali phos."
Dr. F. W. Southworth reports two cases of spasmodic cough, promptly re- lieved by Magnes. phos. 4X and 6x respectively, the leading indications being its spasmodic character, worse on lying down and at night, and on breathing cold air; better on sitting up; tightness across the chest. The second case had spurting of urine when coughing.
Dr. Fisher was consulted by a lady {enciente) who was suffering from a cough which caused great inconvenience, as with every cough there was emission of urine. Ferrum phos. cured her very speedily. A short time ago the lady under similar circumstances was again troubled with a cough. Ferrum phos. this time also cured her as speedily. (From Schiissler. )
CROUP.
Kali mur. — Is the principal remedy for the membranous exudation, alternating with Ferrum phos. The chief remedy in false croup.
Ferrum phos. — This remedy should be alternated with Kali mur.; breathing short, oppressed and hurried.
170 THE TWELVE TISSUE REMEDIES.
Calcarea fluor. — If Ferrum phos. and Kali mur. do not suffice. The chief remedy in true croup.
Calcarea phos. — Useful if the foregoing fail to act. "Suffo- cative attacks on lifting up the child from the cradle. After nursing, after crying, or being raised from the cradle, breath- ing ceases, the head turns backward, the face is blue, there is fighting with hands and feet; after the attack great laxation." (Bradford.)
Kali phos. — If treatment is delayed till the last stage, syn- cope ; for nervous prostration, pale, livid countenance ; in alternation with Kali mur.
Magnesia phos. — Spasmodic closure of the windpipe. Sud- den shrill voice ; suffocative cough.
Calcarea sulph. — Useful after the exudation stage when, after the hard membrane has been softened, there exists a tough mucus in the throat causing much discomfort. It will change the croupous to a catarrhal cough, and when given in season will sometimes prevent exudation.
CLINICAL CASES.
D. R., a boy, aet. 7, who took spurious croup when there was a sharp, keen, northeast wind, having had a few years before a very severe attack of true croup; this past autumn had again an attack, with fever, and a loud, barking cough. Aeon, and liver of sulphur, which have been recommended by so many authors against spurious croup, produced no change whatever, so that I prepared myself, in the case of this boy, for a continuance of the affection, as usual, for several days. The nights especially were very rest- less, with much coughing, rough and hard, so that his relatives were very anxious. There were dry heat and great oppression present. I exchanged my Hepar sulph. for Kali mur., and gave every two hours a full dose. After a few doses the cough became loose, lost completely the barking sound, and the whole of the following night my little patient slept quietly, so that on the following morning he awoke, able to get up, quite lively and well. (Schiissler )
In croup, do not be afraid of high potencies; they often do much better than the low. (E. H. H.)
DELIRIUM.
Ferrum phos. — When there is present high fever. Natrum mur. — Delirium occurring at any time, with start-
DENTITION. 171
ing of the body, wandering delirium with muttering ; frothy tongue. Delirium tremens. Chief remedy; if it does no good give Kali phos.
Kali phos. — Delirium tremens ; the horrors of drunkards, fear, sleeplessness, restlessness and suspiciousness, rambling talk, endeavors to grasp or avoid imaginary objects and images. Give alternately with Natrum mur., as this remedy restores the normal consistency of the brain substance which is disturbed in this disease.
CLINICAL CASES.
I was consulted by the relatives of a man suffering from delirium tremens. I ordered Natrum mur. A complete cure followed speedily. Natrum mur. is the principal remedy, as delirium tremens is caused by a disturbance of the balance of the molecules of the Natrum mur. and molecules of water in some portion of the brain. (Schiissler. )
DENTITION.
Ferrum phos. — Teething troubles with feverishness, flushed face, sparkling eyes, dilated pupils, and extreme restlessness and irritability.
Magnesia phos. — Convulsions in teething without fever, in alternation with Ferrum phos. "In convulsive cases, where Bellad. seems indicated, but does no good, spasmodic colic, loose bowels, this is a magnificent remedy." (J. C. Morgan, M. D.)
Calcarea phos. — The chief remedy in teething disorders. If they appear too late it should be given to hasten develop- ment. It is the remedy for troublesome ailments during den- tition. Especially useful in flabby, emaciated children with open posterior fontanelles. Child does not learn to walk or forgets to walk and loses flesh. Has a sputtering, pus-like diarrhoea and vomiting.
Natrum mur. — Where there is much dribbling or flow of saliva.
Silicea. — Especially suitable for children with large heads, open sutures, much sweat about head, large abdomen, fine skin, oversensitiveness, imperfectly nourished, due to mal- assimilation.
172 THE TWELVE TISSUE REMEDIES.
Calcarea fluor. — This remedy also greatly facilitates denti- tion. Vomiting during dentition. Malnutrition of the bones, especially the teeth. " Spasms, commencing by holding breath, incessant crying and momentary loss of consciousness." (Dr. J. W. Ward.)
CLINICAL CASES.
Case of vomiting of food and drink during dentition, undigested diarrhoea, curdled milk, with green specks in it, much offensive flatus. During sleep head wets pillow, head small. Calcarea phos} cured. (Raue, Record, 1873.)
Dentition. — Child 18 months old; hot skin, cheeks highly flushed, spark- ling eyes, pupils dilated, and extreme restlessness and irritability. Ferr. phos. 6x trit., in water every hour. The first dose had a decided quieting effect, the child going to sleep shortly after taking it and the cheeks becom- ing much less flushed. A few repetitions of the remedy entirely removed all the dental irritation. (Wilde. )
I have had many cases of that troublesome affection with children that I have easily cured with Magnes. phos. and Calc. phos. For the benefit of young practitioners, I will add that I generally prevent the recurrence of that trouble by treating the mother in the following manner: As soon as I see one of my regular patients having reached the fifth or sixth month of pregnancy, every morning and evening I order the pregnant woman to take a dose of Calc. phos. 3X trit. The results that I have obtained are: first, to prevent the usual decay of the mother's teeth; and, second, to see her off- spring cutting teeth sooner and without any trouble. (E. A. de Cailhol, M. D.)
DIABETES MELLITUS.
Natrum mur. — Polyuria ; unquenchable thirst ; emaciation, loss of sleep and appetite ; great debility and despondency.
Natrum sulph. — This is the chief remedy. Schiissler gives as a special reason for its use deficiency of the pancreatic secre- tion.
Kali mur. — Excessive and sugary urine. Great weakness and somnolence.
Kali phos. — The symptoms for which this remedy must be given intercurrently are nervous prostration, weakness, sleep- lessness and voracious hunger ; it establishes normal function of the medulla oblongata and pneumogastric nerve, which latter acts on the digestion or stomach and on the lungs.
Ferrum phos. — Diabetes, when there is a quickened pulse
DIABETES. 173
or when there exists pain, heat or congestion in any part of the system, as an intercurrent remedy.
Calcarea phos. — Polyuria, with weakness, much thirst, dry mouth and tongue ; flabby, sunken abdomen ; craves bacon and salt. Glycosuria when lungs are implicated.
Calcarea sulph. — Schussler says that this may possibly be a remedy useful for this disease ; also Kali sulph.
NOTE TO DIABETES.
A writer explains the biochemic treatment of diabetes as follows:
Lactic acid is composed of Carbonic acid and water, and must be split up on its way to the lungs. This is done by the catalytic action of Sodium phosphate in the blood. Any deficiency of Sodium phosphate will cause a disturbance in the water in the system by allowing an excess of Lactic acid to accumulate. Nature in her effort to eliminate the water produces the symptoms called diabetes.
But while a lack of Sodium phosphate is the principal cause of diabetes, the chief remedy is Sodium phosphate; because it regulates the supply of water in the blood. Sodium phosphate also gives off oxygen, 90 necessary for the process of the decomposition of sugar, and thereby prevents its reaching the kidneys as sugar, and also thins to its normal consistency bile that has become inspissated from a lack of Sodium phosphate.
If a case of diabetes has advanced to any considerable degree, the kidneys will have become ihflamed by the Lactic acid and sugar that passes through them. This injury to the tissue of the kidney calls upon the red corpuscles of the blood for Lron phosphate, which will in most cases cause a deficiency in that inorganic salt. Nature, in her efforts to supply iron, will probably draw on the nerve fluid, Potassium phosphate will be too rapidly consumed, and the patient suffers from nervous prostration.
The treatment, therefore, for diabetes mellitus is : the Phosphates of sodium, Iron and Potassium, and the Sulphate of sodium. For the great functional disturbance of