ESSENTIALS OF HOMOEOPATHIC THERAPEUTICS. – Pr Willis Alonzo Dewey – Presented by Dr Robert Séror.

ESSENTIALS OF
HOMOEOPATHIC THERAPEUTICS.
Pr Willis Alonzo Dewey.
Presented by Dr Robert Séror.

P : Paralysis,
Parotitis,
Peritonitis,
Phthisis,
Pleurisy,
Pleurodynia,
Pneumonia,
Pregnancy_disorders,
Puerperal_state.

PARALYSIS.

Q. : What are the symptoms of Causticum about the face, mouth and
throat ?

A. :

There is
paralysis of the face, due to exposure to dry, cold winds ; there is also
a paralysis of the tongue, lips and throat.

Q. : How does Aconite compare here ?

A. :

Like Causticum
it has paralysis
due to dry, cold winds, but it is more suitable to the beginning, Causticum
coming in after Aconite
fails.

Q. : What is the effect of Dulcamara on the nervous system ?

A. :

Paralysis from
lying on the damp ground ; paralysis of the bladder or of any part of the
body which is brought on or made worse by damp weather.

Q. : Give some of the nervous disturbances of Gelsemium.

A. :

Loss of power
of muscular control, cramp in muscles of forearm ; professional neurosis,
such as writers’ cramp, violin players’ cramp, etc.

Excessive trembling of all limbs, ptosis and other paralyses, post
diphtheritic paralyses.

Q. : What are the paralytic symptoms of Plumbum ?

A. :

Paralysis of
the extensor muscles of the wrist, wrist drop ; the paralysis is
accompanied by atrophy of the affected parts, or they suffer from fatty
degeneration.

Q. : Mention two drugs useful in paralysis of the bladder ?

A. :

Dulcamara and
Hepar sulphur.

Q. : Give paralytic symptoms of Rhus toxicodendron.

A. :

Paralysis of
any part in rheumatic subjects as a result of getting wet ; chronic cases.

Q. : Mention some remedies, having ptosis or paralysis of the upper
eyelid.

A. :

Rhus, Sepia,
Kalmia, Causticum and
Gelsemium.

Q. : What are the indications for Zincum ?

A. :

Paralysis from
cerebral softening, from suppressed foot sweat ; there is vertigo,
trembling, numbness and formication.

PAROTITIS.

(See Mumps.)

PERITONITIS.

Q. : What are the indications for Belladonna in peritonitis and
inflammation about the abdomen ?

A. :

Swollen, tense,
sensitive abdomen, cannot bear the weight of the bed clothes, jarring of
the bed aggravates, on raising the clothes, the heat streams out.

Q. : Give indications for Bryonia.

A. :

There must be
present the sharp stitching pains and aggravation from motion ; there may
or may not be fever.

Q. : Give symptoms calling for Arsenicum.

A. :

Sudden sinking
of strength ; restlessness and thirst ; constant vomiting and burning in
abdomen ; copious and persistent exudation.

PHTHISIS.

Q. : What are the special indications for Arsenicum iodatum in
tubercular conditions ?

A. :

The great
debility, the night sweats and the decided cachectic appearance of the
patient, the recurring fever, the emaciation, the profound prostration and
the tendency to diarrhoea.

Q. : Give some indications for Calcarea phosphorica in phthisis.

A. :

Associated with
fistula in ano ; chronic cough, with cold extremities ; profuse night
sweats in phthisis ; sweat, especially about the head and neck.

Incipient phthisis in anaemic subjects.

Q. : What are the indications for Nitricum acidum in phthisis ?

A. :

Difficult,
green, purulent expectoration ; night sweats ; soreness of the chest ;
hectic ; hemorrhages ; dyspnoea and hoarseness, worse in the morning.

Q. : Compare Calcarea carbonica here.

A. :

Pale, light
complexion, painless hoarseness ; the chest soreness is worse from touch
or pressure ; dyspnoea and loose, rattling cough are the characteristics
of Calcarea ;
while thin, dark
complexion, stinging hoarseness, chest soreness, not worse from touch or
pressure, palpitation and intermittent pains on going up stairs, morning
diarrhoea and tight dry cough are the characteristics of Nitricum
Acidum.

Q. : Give some further symptoms of Calcarea calling for its use in
phthisis.

A. :

Pain in the
right side of the chest ; mucous rales which worse on the right side ;
purulent expectoration ; great emaciation and sweat ; there is great
shortness of breath, on going up stairs ; there is dry cough at night, it
is apt to be loose during the day ; the expectoration — sweetish.

Q. : Give an indication for Tuberculinum.

A. :

Tubercular
troubles, tubercular meningitis, consumption or tubercular arthritis.

Dr.

Burnett
reports several cures of phthisis with Bacillinum,
which
is practically the
as Tuberculinum.

Constant disposition to catch cold.

Q. : Give the indication for Sulphur in tuberculosis.

A. :

In the
beginning of the disease, with pain through the chest, heat on the head,
cold feet, frequent flushes, patient wanting the window open.

Q. : Is Spongia ever indicated in phthisis pulmonalis ; if so, with
what symptoms ?

A. :

Hard, ringing,
metallic cough, worse from deep breath, with a sensation of weakness as if
the patient would worse from deep breathing, talking and dry, cold ;
flashes of heat which
return when
thinking of them.

Q. : Differentiate Carbo animalis from Carbo vegetabilis in phthisis.

A. :

Carbo
animalis has hoarse
cough ; sensation as if brain were green, purulent and offensive
expectoration ; when patient closes his eyes sensation of smothering.

Carbo vegetabilis

:
Deep spasmodic cough, with smothering burning in chest ; profuse yellow
expectoration, more fetid than that of Carbo
animalis ;
there is dyspnoea
and rattling in chest.

Q. : Give the chest symptoms of Stannum.

A. :

A teasing cough
which is worse at night, with shortness of breath, profuse sweats, and
great weakness ; the expectoration tastes sweetish and is of a light
yellow or lemon color ; this is characteristic.

Q. : When is Silicea indicated in phthisis ?

A. :

Cough increased
by rapid motion ; copious rattling of mucus in chest ; expectoration
purulent ; catarrhal phthisis of old people.

Q. : How do Phosphorus and Stannum compare ?

A. :

Both have
hectic, copious sputa, evening aggravation, hoarseness, etc., but Phosphorus
has more blood
streaks and more oppression of chest.

Q. : What is another drug that has been used clinically for copious
purulent expectoration ?

A. :

Balsamum
Peruvianum.

Q. : What are two remedies for the dry, teasing night coughs of
phthisical patients ?

A. :

Codeine and
Laurocerasus.

Q. : Give symptoms calling for Sanguinaria.

A. :

Hectic fever ;
cheeks have a bright, circumscribed flush ; cough is dry ; there is
burning and fullness in the chest and sharp pains in right lung, and
dyspnoea.

Q. : Give the respiratory symptoms of Arsenicum.

A. :

Great dyspnoea,
with restlessness and exhaustion ; cough dry, fatiguing and whistling,
with sensation as of smokes of sulphur in the larynx ; rawness, soreness,
and ness, and burning in the chest ; cough worse after midnight.

Q. : What drug has a dry cough worse before midnight ?

A. :

Sulphur.

PLEURISY.

Q. : When is Aconite indicated in this disease ?

A. :

High fever,
restlessness, sharp stitches in side ; chills, especially if brought on by
checked perspiration.

Q. : In Pleurisy what would be the indications for Bryonia ?

A. :

Sharp stitching
pains in the chest ; worse from the slightest motion ; friction sounds ;
lies on affected side.

Q. : Mention some other remedies with stitching pains in the chest.

A. :

Ranunculus
bulbosus, Kalium carbonica, Rumex and
Senega.

Q. : When is Sulphur the remedy ?

A. :

Sharp stitching
pain through left lung ; worse lying on and worse from motion ; where
well-marked pleuritic effusions refuse to absorb.

Q. : Mention another remedy useful to cause absorption of pleuritic
fluid.

A. :

Apis.

PLEURODYNIA.

Q. : What is the chief remedy in this affection, and what are its
symptoms ?

A. :

Ranunculus
bulbosus.

There are sharp, sticking pains in the chest, and a sore spot, worse
from motion, pressure or change of temperature.

Q. : Where the bruised, sore feeling of the chest walls predominate,
what is the remedy ?

A. :

Arnica.

Q. : What are some other drugs sometimes called for in this affection ?

A. :

Gaultheria,
Actea racemosa , Rhus radicans, Senega and
Rumex.

Q. : When is Bryonia the remedy ?

A. :

When there is a
rheumatic diathesis with stitching, tearing pains ; worse by motion ;
relieved by lying on painful side.

PNEUMONIA.

Q. : When is Aconite indicated in pneumonia ?

A. :

Where there is
high fever preceded by a chill with full, hard and tense pulse, and a
hard, dry, teasing and painful cough.

Q. : Is there any expectoration under Aconite ; if so, what is it ?

A. :

It is only a
serous, frothy or watery expectoration, never thick, but it may be blood
tinged.

Q. : When does Aconite cease to be useful ?

A. :

When exudation
is commencing, as indicated by thick expectoration.

Q. : What other indications do we find under Aconite ?

A. :

There is great
restlessness, tossing about, anxiety, and perhaps fear of death.

Q. : How is Aconite distinguished from Veratrum viride ?

A. :

In commencing
pneumonia.

Under

Veratrum we
have full, rapid pulse, indicating great arterial excitement.

Eyes are glistening, and there is a red streak along centre of the
tongue.

Q. : What is a still further indication of Aconite in pneumonia ?

A. :

Especially if
it be sudden in its onset and occurs in young, plethoric persons, who are
full of life and vigor.

Q. : When is Ferrum phosphoricum indicated in first stage of pneumonia
?

A. :

When there is a
high fever on the onset of the disease, hurried breathing and thin, watery
and blood streaked expectoration, and it is useful when the second stage
has commenced.

Q. : How do we distinguish Ferrum phosphoricum from Aconite ?

A. :

There is less
restlessness and anxiety than under Aconite.

Q. : Another remedy for first stage is Iodine, what are its symptoms ?

A. :

It has high
fever and restlessness like Aconite.

There is a tendency to a rapid extension of the hepatization.

There is cough and difficulty in breathing as if the chest would not
expand, and the sputum is blood streaked.

Q. : What are the symptoms of Sanguinaria ?

A. :

There is a
great deal of fever, burning and fullness in the chest.

A dry cough, sharp, sticking pains and rust-colored expectoration.

There is great arterial excitement also with this drug.

Q. : How does it differ here from Veratrum viride ?

A. :

Under Veratrum
viride there is
little or no hepatization, while Sanguinaria
is the remedy for
hepatization.

Q. : What other drug has rust-colored expectoration ?

A. :

Phosphorus.

Q. : What are the symptoms of Sanguinaria in imperfect resolution after
pneumonia ?

A. :

There is
purulent expectoration and it is very offensive, even becoming so to the
patient himself.

Q. : When does Bryonia come in pneumonia ?

A. :

After Aconite,
Ferrum phosphoricum and
Veratrum viride.

Q. : When does Bryonia come in after Aconite ?

A. :

Bryonia comes
in after Aconite when
the skin is not so hot, nor the face so red, nor the patient so restless,
and the cough is not so dry and teasing ; then, too, with Aconite
we have the anxious
expression of pulmonary congestion.

Q. : What are some other symptoms of Bryonia in pneumonia ?

A. :

There are the
sharp, stitching, pleuritic pains.

There is the hard and dry cough and scanty expectoration, and the
patient desires to keep perfectly still, and it is perhaps more indicative
in the croupous form of pneumonia.

The patient dreads to cough and holds his breath on account of the pain
it causes.

The patient is relieved by lying on the painful side, because it
relieves the motion.

Another indication for

Bryonia
is where the cough
hurts different parts of the body ; for instance, the head.

Q. : What are the indications for Kalium muriaticum in pneumonia ?

A. :

They are mostly
clinical.

It is given simply on account of the pathological condition, being a
fibrinous exudation into the lung substance.

The expectoration is white and viscid.

Q. : What are the characteristics of Phosphorus in pneumonia ?

A. :

It is the
remedy when the bronchial symptoms are prominent.

There is a cough and a characteristic pressure across the upper part of
the chest.

There is labored respiration, rust-colored sputum, and it is especially
the remedy if typhoid symptoms be present.

There is a sensation as if the chest were full of blood, which causes
oppression of breathing.

Q. : How does the chest oppression of Phosphorus differ from that of
Sulphur ?

A. :

In Phosphorus
it is external, as
of a load on the
chest.

In

Sulphur it
is internal, as if congestion in
the chest with
dyspnoea and burning.

Q. : Mention another drug that has weight on the chest but where there
is little inflammation.

A. :

Ferrum
metallicum.

Q. : What are the indications for Kalium carbonicum in pneumonia ?

A. :

There are
sharp, stitching pains in the chest, intense dyspnoea and a great deal of
mucus in chest, which is raised with difficulty.

The cough is tormenting and there is a great deal of wheezing and
whistling breathing.

Q. : How do the stitching pains of Bryonia compare with those of Kalium
carbonicum ?

A. :

Like Bryonia,
they are worse from
motion, but unlike Bryonia
they come whether
the patient moves or not, and are more about the lower part of the lung.

Q. : When does Kalium carbonicum come in expectoration ?

A. :

It comes in
after Ipecac and
Antimonium
tartaricum have
failed to cause the expectoration to be raised.

Q. : Give the indications for Chelidonium in pneumonia.

A. :

Here we have
stitching pains, especially under the right scapula ; the cough is loose
and rattling ; there is difficult expectoration and oppression in the
chest.

It is especially the remedy in catarrhal pneumonia of young children
where there is plentiful secretion and inability to raise it ; it is also
the great remedy in bilious pneumonia.

The respiration is difficult and there is a fan-like motion of the
wings of the nose.

Q. : What other drug has the latter symptom, and is it ever indicative
in pneumonia ?

A. :

Lycopodium. It
is a remedy in typhoid pneumonia and for maltreated pneumonia, especially
if there be impending suppuration of the lungs.

The fan-like motion of the alae nasi the indicative symptom of the
drug.

Q. : How does Mercurius compare with Chelidonium in bilious pneumonia ?

A. :

They are very
similar ; the stools will decide ; the Mercurius
stool is slimy and
attended with tenesmus, occurring both before, during and after stool ;
the Mercurius expectoration
is blood streaked, and there are sharp pains from the lower part of the
right lung ; icteroid symptoms are present.

Q. : Give the indications for Antimonium tartaricum.

A. :

It is
especially indicated in the stage of resolution ; there are fine, moist
rales heard all over the hepatized portion of the lungs, and there is
great oppression of breathing, worse toward morning, compelling the
patient to sit up ; there is a characterizing symptom in that the patient
thinks the next cough will raise the mucus, but it does not do it.

There is a great deal of rattling on the chest also.

Q. : How does Ipecac differ from Antimonium tartaricum ?

A. :

Under Ipecac
the rales are
coarse and large, instead of small and fine, and with Ipecac
there is always
nausea.

Q. : When should Sulphur be given in pneumonia ?

A. :

Sulphur should
be given when the case has a typhoid tendency, and the lung tends to break
down ; where there are râles, and muco-purulent expectoration, dry tongue
and symptoms of hectic fever ; there is no tendency to recuperation.

Q. : When would Lachesis be indicated in pneumonia ?

A. :

Especially when
it assumes a typhoid form and where an abscess forms on the lung ; brain
symptoms are present, such as low muttering, delirium, hallucinations ;
the sputum is frothy and mixed with blood ; the patient rouses out of a
sleep in an asthmatic paroxysm.

Q. : Is Digitalis ever a remedy for Pneumonia ?

A. :

Pneumonias in
old people with a prune-juice expectoration, cold extremities ; cyanotic
face and feeble pulse will indicate it.

Dyspnoea, the least movement causes palpitation.

Q. : When is Hepar sulphur indicated ?

A. :

Late in the
disease, when during resolution pus forms ; croupous pneumonia.

PREGNANCY, DISORDERS OF.

Q. : Mention the principal symptoms of Pulsatilla in the pregnant
state.

A. :

Threatened
abortion, changeable character of the labor pains ; faintness and
oppression of the chest ; retained placenta from too weak contraction of
the uterus.

Q. : What is the principal sphere of action of Actea and what are the
characteristic symptoms here ?

A. :

The female
sexual organs, and especially in the pregnant state.

The symptoms are pain going across the abdomen from hip to hip, seeming
to double the patient up.

Spasmodic after-pains, and a predisposition to abortion, with
nervousness, weeping mood.

Ovarian neuralgia, with other reflex, left-sided pains.

Q. : What are the symptoms of Bryonia in the pregnant state ?

A. :

Suppressed
lochia, with the splitting headache characteristic of the drug.

Q. : What of its use in milk fever ?

A. :

The breasts are
hard and tender ; there is chilliness, headache, fever, coated tongue,
bitter taste and aching in the back and limbs.

Q. : What are the indications for Pulsatilla in milk fever ?

A. :

Breasts swollen
and painful, , with scanty, almost suppressed flow of milk to them, and
accompanied by the gloomy, tearful disposition.

Q. : Give some indications for the use of Cerium oxalate.

A. :

Vomiting of
pregnancy or vomiting that is reflex from intestinal or cerebral
irritation, spasmodic in character.

Q. : What are some uses for Aconite here ?

A. :

Milk fever ;
mammary glands hot and swollen ; skin hot and dry ; suppression of lochia
when caused by some violent emotion.

Q. : What are the symptoms calling for Caulophyllum ?

A. :

False labor
pains during the latter months of pregnancy painful bearing-down
sensations in hypogastrium.

Q. : For what may Hamamelis be used ?

A. :

For varicose
veins over the abdomen, with soreness ; and for phlegmasia
alba dolens or milk
leg.

Q. : Mention another remedy useful for varices of the pregnant state.

A. :

Lycopodium.

Q. : What is a useful remedy for toothache of pregnant women ?

A. :

Magnesia
carbonica.

Q. : What are the indications for Nux vomica in morning sickness ?

A. :

The retching
predominates over vomiting.

Jaundice may be present, at least the skin is sallow, the bowels are
constipated and the appetite lost.

PUERPERAL STATE.

Q. : When is Aconite the remedy in puerperal fever ?

A. :

When chill,
fever, distended abdomen, suppressed milk, etc., result from too cold
bathing or carelessness in changing clothes immediately after delivery.

Q. : What are the indications for Actea racemosa in puerperal mania ?

A. :

Patient thinks
she will go crazy, is suspicious, has visions of rats, of which she is
conscious, but is unable to prevent them.

Q. : What are the symptoms of Belladonna in the puerperal state ?

A. :

Puerperal
metritis, with cerebral irritation.

Pungent heat of body, abdomen hot, lochia scanty or suppressed.

Least jar aggravates.

Puerperal eclampsia.

Q. : Give symptoms of Gelsemium in impending puerperal convulsions.

A. :

There is
drowsiness and twitching of different parts of the body, with rigid os.

Albuminuria may be present.

Q. : How does Veratrum viride compare ?

A. :

Here the face
is red, the eyes injected and the convulsive twitching is more violent.

Q. : When is Glonoine the remedy ?

A. :

In the
congestive form of convulsions during labor ; where there is much rush of
blood to the head, the face is bright red and puffed ; patient froths at
the mouth and is unconscious.

Q. : Name some other remedies sometimes indicated by their general
symptoms in puerperal convulsions.

A. :

Hyoscyamus,
Cicuta, Kalium bromatum.

Q. : What is a remedy for puerperal fever caused by fright ?

A. :

Opium.