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.

D : Debility,
Delirium,
Delirium_tremens,
Dentition,
Diabetes,
Diarrhoea,
Diphteria,
Dropsical_affections,
Dysentery,
Dysmenorrhoea,
Dyspepsia.

DEBILITY.

Q. : What is the great characteristic of Cinchona in cases of debility
?

A. :

Weakness,
debility, and diseases resulting from the loss of vital fluids, such as
blood, semen, milk, or in exhausting diarrhoeas.

Q. : What is the debility of Muriaticum acidum ?

A. :

It is general
and so great that the patient slips down to the foot of the bed and must
be lifted up every little while ; inability to void the urine unless the
bowels move.

Q. : Describe the debility calling for Phosphoricum acidum.

A. :

It is a nervous
debility, arising from continued grief, over-exertion of mind, sexual
excess or any nervous train on the body ; it is characterized by
indifference, apathy, and torpidity of body and mind.

Q. : How does the debility of Sulphuricum acidum show itself ?

A. :

As a tremor ;
there is a sense of tremor accompanied by objective trembling ; it is a
debility which occurs at the change of life or in drunkards.

Q. : When is Arsenicum and Phosphorus indicated ?

A. :

Arsenicum :
Debility from
overtaxing muscular tissues ; mountain climbing.

Phosphorus

:
Nervous debility, with great drowsiness and sleepiness.

Q. : When, in debilitated conditions, is Cocculus the remedy ?

A. :

When of spinal
origin, from loss of sleep ; where loss of sleep causes languor and
exhaustion.

Q. : Give another drug having debility from loss of sleep.

A. :

Colchicum.

DELIRIUM.

Q. : What kind of a delirium is produced by Absinthium ?

A. :

Delirium with
great desire to move about.

Q. : Give briefly the characteristic delirium of Belladonna, Hyoscyamus
and Stramonium, so that they may be distinguished.

A. :

Belladonna
: Visions,
screaming out and desire to escape, full of fear and imaginings, sensation
as if falling, and the patient clutches the air ; sometimes a stupor, when
aroused they strike people, bark and bite like a dog and are very violent.

Hyoscyamus

:
Averse to light, fears being poisoned, sits up in bed and looks around,
exposes sexual organs ; is nervous, whining, crying and twitching.

Stramonium

:
Desires light and company ; objects rise from every corner to frighten him
; laughs, sings, swears and prays in the same breath ; face bright red.

Q. : What is the delirium of Phosphorus ?

A. :

It is
characterized by a condition of ecstasy ; sees all sorts of faces grinning
at him ; has fanciful and imaginary notions, such as imagining his body in
fragments.

Q. : Give delirium of Veratrum.

A. :

Restless ;
desires to cut or tear clothing ; in many respects like that of Belladonna,
but there is
coldness of the surface of the body, with cold sweat.

DELIRIUM TREMENS.

(See Alcoholism.)

DENTITION.

Q. : Give indications for Ferrum phosphoricum.

A. :

Feverishness,
flushed face, sparkling eyes, dilated pupils ; restlessness and
irritability.

Q. : When is Calcarea phosphorica indicated in dentition ?

A. :

There is slow
development and rapid decay of the teeth, dental troubles in flabby,
emaciated children who have open posterior fontanelles, and are slow in
learning to walk.

Q. : When is Chamomilla the remedy ?

A. :

The
characteristic mental state of peevishness is present ; one cheek is red,
head and scalp hot and sweaty.

Q. : How does Belladonna compare ?

A. :

In further
advanced cases where there is evidence of cerebral irritation with the
characteristic generalities of the drug ; spasms.

Q. : When is Kreosote indicated ?

A. :

Child worries
and must be tossed and patted all night ; teeth decay rapidly.

DIABETES.

Q. : Give some indications for Arsenicum.

A. :

Unquenchable
thirst and great hunger ; dryness of mouth, excessive urination and loss
of strength.

Q. : Give the indications for Phosphoricum acidum in diabetes.

A. :

Glycosuria and
Polyuria ;
urine looks milky
or like jelly after standing ; great debility ; cough on slightest
exposure ; bruised feeling in muscles and burning in the spine ; urine
loaded with phosphates showing a greasy pellicle.

Q. : What are some clinical indications for Uranium nitricum, another
remedy for diabetes ?

A. :

Emaciation,
excessive thirst, vomiting of food with excessive urine ; sometimes
tympanites.

Q. : Mention another remedy having a reputation for usefulness in
diabetes.

A. :

Lactic acid.

DIARRHEA.

Q. : When is Aconite indicated in diarrhoea ?

A. :

When of
inflammatory origin with watery, slimy and bloody stools ; occurring in
summer from cold drinks or checked perspiration ; also chopped spinach
stools.

Q. : Give diarrhoea of Aloe.

A. :

Stools of
jelly-like mucus, a weak sphincter ani, with great prostration following ;
the patient loses confidence in his sphincter and passes stools when he
thinks he is passing wind ; stools are involuntary.

There is a weight and fulness in the pelvic region.

This full feeling drives patient out of bed in morning for stool.

Q. : How is this compared with the diarrhoea of Apocynum ann. ?

A. :

Here we have a
copious yellow or watery diarrhoea discharged with force, like a cork from
a bottle ; stools escape while passing flatus, and after stool an all gone
feeling in abdomen.

Q. : What drag has a stool expelled all at once, preceded by cutting
about navel, followed by great relief ?

A. :

Gamboge.

Q. : Give diarrhoea of Apis.

A. :

Thin, watery,
yellow diarrhoea, worse in the morning, in debilitated children.

The bowels move with every motion of the body as if the anus stood
open.

Q. : What other drug has the symptom of a sensation as if the anus
stood open ?

A. :

Phosphorus, which
has green mucous stools worse in the morning, often undigested and
painless.

The stools pass as soon as they enter the rectum ; contain white
particles like rice or tallow.

Q. : Give diarrhoea of Argentum nitricum.

A. :

Diarrhea
following great excitement, fright, etc.

The stools are slimy and green with much flatulence, worse at night.

The bowels move every time the patient drinks ; the child appears to
have but one bowel extending from mouth to anus.

Q. : What other drugs have diarrhoea from fright ?

A. :

Gelsemium,
Opium, Veratrum alb. and
Pulsatilla.

Q. : What drug has diarrhoea as soon as the patient attempts to eat ?

A. :

Ferrum met.

Q. : What drugs have diarrhoea after eating ?

A. :

China and
Arsenicum.

Q. : What is the diarrhoea of Arnica ?

A. :

The stools are
foul, slimy, bloody and even purulent ; there is great urging and
straining.

Q. : Give in brief the indications for Arsenicum in diarrhoea.

A. :

The stools are
yellow, undigested, slimy or bloody ; they are scanty and attended with
great burning in the rectum, the burning being all out of proportion to
the stools.

These are the characteristics :

1

. The small
quantity.

2

. The burning.

3

. The offensive
odor.

4

. The great
prostration following.

Q. : Compare Carbo vegetabilis with Arsenicum.

A. :

Also a useful
remedy for diarrhoea from chilling of the stomach, but has no
restlessness.

Q. : How does Secale compare ?

A. :

The Secale
movements are copious and come in spurts, with no restlessness.

Q. : Give the stool of Mercurius.

A. :

The stools are
slimy and bloody and accompanied by great tenesmus, which continues after
stool, ” a never get done feeling.”

Q. : Is Belladonna ever indicated in diarrhoea ?

A. :

When it arises
from cold and is associated with tenesmus, with slimy and bloody
discharges ; stools may be yellowish green, looking like chalk ; summer
complaints of children.

Q. : What is the stool of Chamomilla ?

A. :

Hot,
yellowish-green diarrhoea like chopped eggs, mixed with bile and causing
soreness of the anus, and having a sulphuretted-hydrogen odor ; worse
evenings and from dentition.

Q. : What other drug has a hot stool smelling like rotten eggs ?

A. :

Staphisagria.

Q. : Name some remedies having greenish stools.

A. :

Borax, Calc.
phos., Magnes. carbonica and
Hepar sulphur.

Q. : Give the diarrhoea of Hepar sulphur.

A. :

Greenish,
slimy, undigested, white or sour ; the whole child smells sour.

Q. : Name four prominent remedies for sour stools.

A. :

Magnes.
carbonica, Calcarea carbonica, Hepar sulphur and
Rheum.

Q. : What are the symptoms calling for Rheum ?

A. :

Sour stools,
the whole body smells sour ; stools are frequent, brown and frothy,
attended with straining and crying.

Q. : How does Magnesia carbonica differ here ?

A. :

Both have sour,
slimy stools.

Magnesia

is the
deeper acting remedy.

Q. : What is the diarrhoea of Bryonia ?

A. :

It is a morning
diarrhoea, worse from motion, provoked by indulgence in vegetable foods or
stewed fruit or by getting overheated ; it comes on after getting up and
moving about ; stools are pasty or dark green ; involuntary discharge of
thin stool while sleeping at night.

Q. : What other drug has a morning diarrhoea which is worse after
getting up and moving about ?

A. :

Natrum
sulph.

Q. : Mention some other drugs which have early morning diarrhoea.

A. :

Sulphur,
Kalium bi., Aloe and
Rumex.

Q. : What is the diarrhoea of Sulphur ?

A. :

The stools are
changeable in color and may contain undigested food.

It occurs in the morning and drives the patient out of bed ; there is a
great deal of abdominal uneasiness ; the odor of the stool clings to the
patient for a long time, and there is much soreness at the anus.

Q. : How does the stool of Podophyllum compare ?

A. :

It has a
morning stool, with a great deal of soreness and fullness in the region of
the liver, and it continues throughout the day.

Q. : How is Rumex distinguished ?

A. :

It has a
morning diarrhoea associated with catarrhs.

Q. : What is the stool of Kalium bichromicum ?

A. :

It is a watery,
gushing stool, with urging and tenesmus ; he has not time to reach the
closet and stains the bed-clothes.

Q. : Mention three prominent drugs having undigested stools.

A. :

China,
Podophyllum and Ferrum.

Q. : What is the diarrhoea of China ?

A. :

Evacuations are
watery and contain undigested food ; the stools are debilitating and may
be involuntary ; worse after eating fruit ; stools may be yellow, watery,
brown and offensive ; worse after eating ; is usually painless.

Q. : How is Phosphoricum acidum differentiated ?

A. :

The Phosphoric
acid diarrhoea does
not exhaust ; other-wise it is similar to China.

It is also painless.

Q. : Give diarrhoea of Calcarea acetica.

A. :

It is exactly
the same as that of Phosphoric
acid with the
addition of the general symptoms of Calcarea
and sourness of
stools.

Q. : What is the diarrhoea of Oleander ?

A. :

Thin,
undigested stools, the patient passing what he had eaten the day before,
undigested.

In children ” every time they pass wind they soil the diapers.
“

Q. : Give the Ferrum diarrhoea.

A. :

Painless,
undigested stool, apt to occur during a meal.

It may occur quite periodically after midnight great hunger.

Eating brings on diarrhoea.

Q. : Give the characteristics of Podophyllum in diarrhoea.

A. :

A painless
morning diarrhoea of watery, yellow stools, which are profuse and pour out
like water from a hydrant, preceded by retching and vomiting followed by a
sensation of great weakness in the abdomen, and especially in the rectum ;
the stools are worse after eating and drinking, and there is apt to be a
natural stool later in the day.

Q. : Is it ever useful in the diarrhoeas of dentition ?

A. :

In greenish,
watery stools, with grinding of the teeth, rolling of the head, with
whining and moaning during sleep, it is an excellent remedy.

Q. : What is another indicating feature of Podophyllum in diarrhoea ?

A. :

Prolapsus of
the rectum during stool.

Q. : What drug has profuse, watery, yellowish-green discharges whenever
the patient eats or drinks, gushing out like water from a hydrant ?

A. :

Croton tig.

Q. : What other drug has a like symptom and what is its characteristic
feature ?

A. :

Gratiola, and
it is caused by excessive drinking of water, especially in summer.

Q. : What is the diarrhoea of Elaterium ?

A. :

Watery, frothy
diarrhoeas with copious, forcible stools, preceded by violent cutting in
the abdomen, chilliness, prostration and colic ; olive green stools, but
always gushing.

Q. : Give four grand characteristics of the stool of Veratrum ?

A. :

1.
Pain in abdomen preceding stool.

2

. Cold sweat
accompanying.

3

. Great prostration
following.

4

. Profuse, watery
discharges.

Q. : What is the stool of Jatropha ?

A. :

Violent, watery
stool, preceded by much flatulence, with prostration and collapse.

The excessive flatulence is the indicating feature.

It is discharged with the stool.

Q. : When is Colocynthis indicated in diarrhoea ?

A. :

Stools are
preceded by griping in the abdomen and are provoked by the slightest food
or drink.

The stools are fluid, copious or papescent and the griping is relieved
by bending double.

Q. : What is the diarrhoea of Dioscorea ?

A. :

Morning
diarrhoea with colicky pains in the abdomen, which, however, are apt to
fly to other parts of the body.

Q. : Mention a few not often used remedies which should be borne in
mind in cases of diarrhoea .

A. :

Oenothera
biennis, Gnaphalium, Geranium mac., Paullinia sorbilis, Nuphar luteum,
Kalium bromatum and
Opuntia.

Q. : Give the stool of Iris versicolor.

A. :

Copious stools
associated with vomiting ; worse at two or three o’clock in the morning ;
there is no coldness or collapse ; excoriated feeling about anus ; stools
watery, yellowish-green, mixed with bile.

Q. : Give diarrhoea of Petroleum.

A. :

Offensive,
watery stools, containing undigested food, comes on in morning and lasts
all day.

diarrhoea from cabbage or sauer kraut ; there is also emaciation.

Q. : When is Pulsatilla indicated in diarrhoea ?

A. :

Greenish
stools, yellowish and changeable, occurring often after fright or after
taking mixed food the night before ; eating ice cream, immediately after a
meal.

Q. : What is the diarrhoea of Ipeca. ?

A. :

Green, yellow,
liquid stools covered with mucus and blood or fermented and looking like
molasses, associated with colic.

Q. : What remedy has a suddenly appearing diarrhoea from fright or
excitement ?

A. :

Gelsemium.

Q. : What are the characteristics of the diarrhea of Leptandra ?

A. :

Black,
pitch-like stools, with colic at the umbilicus.

Q. : When is Lachesis indicated in diarrhœa ?

A. :

Horribly
offensive diarrhoea, preceded by sopor ; the offensiveness of the stool
indicates it in low forms of disease ; constant urging in the rectum and a
sensation as of little hammers there ; the sphincter is unduly irritable.

Q. : What are the stools of Nitricum acidum ?

A. :

Offensive,
greenish, and contain lumps of casein ; slimy and associated with tenesmus
and soreness about anus.

There may be pasty and sour stools, particularly in scrofulous
children.

Q. : What drug is indicated in diarrhea from drinking Cocoa or
Chocolate ?

A. :

Lithium
carbonica

Q. : When is Nux vomica indicated in diarrhoeas ?

A. :

When they occur
after a debauch and are worse in the morning ; they are papescent, scanty
and watery, and accompanied by urging.

Q. : What are the symptoms calling for Rhus toxicodendron ?

A. :

A bloody, slimy
diarrhoea, or an involuntary stool of cadaverous odor in typhoid fever.

Q. : Give five drugs which have especially offensive stools.

A. :

Carbo veg.,
Silicea, Psorinum, Sulphur and
Podophyllum.

Q. : What is the diarrhoea of Ferrum phosphoricum ?

A. :

Undigested,
copious and sudden, may be watery or greenish mucus ; diarrhoea during
dentition.

Q. : Give indications for Natrum phosphoricum in diarrhoea.

A. :

Sour smelling,
greenish stools ; mucus with painful straining, excoriating parts as they
pass.

Q. : What is there characteristic of the stools of Hyoscyamus ?

A. :

They are
involuntary in low delirious conditions.

Q. : What is the stool of Chelidonium ?

A. :

It is a bright
yellow or clayey diarrhoea.

Q. : How does Mercurius differ ?

A. :

It has the
hepatic soreness and tongue taking the imprints of the teeth, but it also
has slimy stools, with a great deal of tenesmus — a never-get-done
feeling.

Q. : What is the diarrhoea of Calcarea phosphorica ?

A. :

Diarrhoea in
teething, scrofulous and rachitic children ; the stools are green, slimy
and undigested ; it is a noisy, offensive, watery and spluttering
diarrhoea ; cholera
infantum, with a great deal of offensive flatus.

Q. : What is the diarrhoea of Carbo vegetabilis ?

A. :

Thin, watery,
morning diarrhoea, accompanied by straining and urging to stool, which is
due to flatulence ; the discharges are offensive and burn the parts.

Q. : Give the diarrhoea of Phosphoricum acidum.

A. :

It is a watery,
painless, oftentimes undigested, diarrhoea, preceded by rumbling in the
bowels, and despite the frequency of the stool the patient does not seem
weakened by it ; the keynotes are absence of pain and absence of
exhaustion.

Q. : Give also the diarrhoea of Euphorbia corollata.

A. :

Diarrhoea ,
with vomiting, purging, and cold sweat over the body.

Q. : What is the diarrhoea of Thuja ?

A. :

Chronic
diarrhoea traceable to vaccination, forcibly expelled like water from a
bunghole ; thirst with same gurgling sound on drinking, worse in the
morning after break-fast, from coffee and onions, with rapid emaciation
and exhaustion.

Q. : Give the diarrhoea of Natrum muriaticum.

A. :

It is a
diarrhoea which is watery and accompanied with great weakness of the
abdominal muscles, and is sometimes involuntary.

Q. : What is the diarrhoea of Dulcamara ?

A. :

Yellow, watery
diarrhoea in damp weather, or in summer, when the weather suddenly cools ;
mucous, green or changeable stools of sour odor.

diarrhoea from repelled eruptions.

Q. : What are the stool symptoms of Colchicum ?

A. :

Abdomen is
distended enormously, with urging to stool and passage of jelly-like mucus
; there are also dysenteric symptoms, with spasm of the sphincter ani.

DIPHTHERIA.

Q. : Give the symptoms calling for Apis in diphtheria.

A. :

Great oedema of
the throat ; stinging pains ; elongated, swollen and oedematous uvula and
tonsils ; breathing is difficult from swelling of the throat and tongue ;
the throat has a red, varnished appearance.

Q. : When would Arsenicum be indicated in diphtheria ?

A. :

Where there is
adynamic fever, fetid breath, and the membrane looks dark and gangrenous,
where the pulse is rapid and weak ; the patient restless and prostrated,
with throat swollen both externally and internally, and the membrane has a
dark and wrinkled appearance, and where there is considerable oedema about
the throat.

Q. : Give four indications for the use of Kalium bichromicum in
diphtheria.

A. :

1.
Yellow-coated or dry, red tongue

2

. In the later
stage, when the line of demarcation has formed and the slough has
commenced to separate.

3

. Tough, tenacious
exudation.

4

. Pain extending to
neck and shoulders.

Q. : Give indications for Kalium permanganicum in diphtheria.

A. :

Throat swollen
inside and outside ; the membrane is horribly offensive ; throat
oedematous, thin discharge from nose ; fetor is the characteristic.

Q. : What are the indications for Lac caninum in diphtheria ?

Where the membrane forms on one side and goes to the other, or is
constantly changing sides ; the membrane is mother-of-pearl like.

Q. : What are the indications for Lachesis in diphtheria ?

A. :

Great
difficulty in swallowing, great fetor and exhaustion, infiltration of
tissues about the neck, membrane more on left side.

Great sensitiveness of throat externally.

Throat worse from empty swallowing.

Q. : Give indications for Mercurius cyanatus in diphtheria.

A. :

Malignant type
of diphtheria, with extreme prostration ; where the disease invades the
nostrils and there is a formation of membrane, which is at first white,
then dark and gangrenous ; the breath is fetid, the tongue is coated, and
nosebleed is often present.

Q. : When are other varieties of Mercurius indicated ?

A. :

Merc.
bin. iod. :
Membrane on left side, yellowish-gray in color.

Glands of neck swollen.

Symptoms worse from empty swallowing.

Merc. prot. iod.

: Deposit on right side ; glands swollen.

Thick, yellow, dirty coating at base of tongue.

Much tenacious mucus in throat.

Q. : When is Ailanthus the remedy in diphtheria and when Arum
triphyllum ?

A. :

They both have
excoriating discharges from the mouth and nose ; they both have swellings
of the throat inside and out, but Ailanthus
is drowsy, lies in
a stupor and is torpid, while Arum
has restless
tossing about.

Q. : What of Alcohol in this disease ?

A. :

It tends to
counteract the terrible prostration as well as to destroy the diphtheritic
growth.

Q. : When is Baptisia useful ?

A. :

When the
disease assumes a typhoid type.

The mouth is putrid and the membrane dark and gangrenous.

The patient can only swallow liquids.

Q. : When, if ever, should Bromine be given ?

A. :

In the
laryngeal form, with much rattling in the larynx ; of most use in the
croupous form.

Q. : What are the indications for Lycopodium ?

A. :

The right side
is most affected, and the disease travels towards the left.

The nose is stuffed up ; constant desire to swallow, with stinging
pains ; patient is worse from

4
to 8
P. M.

Q. : When is Muriaticum acidum indicated in diphtheria ?

A. :

Malignant
cases, with intense prostration ; breath fetid ; uvula oedematous.

Discharges very excoriating.

Q. : When is Nitricum acidum to be thought of ?

A. :

When the
disease progresses and affects the stomach.

Nasal diphtheria.

Discharge watery, offensive, excoriating ; sensation of splinter in
throat, fetid odor, intermittent pulse.

Q. : What is the characteristic of Phytolacca ?

A. :

The muscular
aching, the dark red purple look and the aggravation from hot drinks.

Q. : Why should not local applications be used in this disease ?
A. : Because it is not
a local, but a constitutional disease.

DROPSICAL AFFECTIONS.

Q. : What are our principal uses of Aceticum acidum ?

A. :

In dropsies,
standing midway between Arsenic
and Apis,
distinguished from
both in the characteristic thirst, and the predominance of the gastric
symptoms.

Q. : Give the symptoms of Apis in dropsy.

A. :

The skin is
waxy and transparent like alabaster ; the urine is scanty and albuminous,
or with a dark sediment like coffee grounds.

Absence of thirst, bruised feeling of abdominal walls, stinging pains,
urine scanty, etc.

Q. : How does Aceticum acidum compare here ?

A. :

There is a waxy
look about the face and limbs and a great predominance of gastric
symptoms, thirst and water-brash.

Q. : What is the chief homoeopathic use of Apocynum can. ?

A. :

In dropsical
conditions, such as hydrocephalus and abdominal dropsies, where it is
given as a diuretic ; the principal indication is a copious yellow or
brownish diarrhoea, expelled with great force, and a weak, all-gone
feeling in the abdomen ; oppression about the epigastrium and chest.

Irritable stomach, drinking causes distress, though thirst is great.

Dropsy, especially from liver affections.

Q. : How does it differ from Arsenicum and from Apis ?

A. :

It has
unquenchable thirst.

Arsenic

wants
little and often, Apis
thirstless.

The bloating in

Apocynum
is on the side on
which he lies.

Arsenic

in the
extremities.

Apis

under the
eyes.

Q. : What are the indications for Digitalis in dropsies ?

A. :

Dropsies from
cardiac affections ; urine scanty, dark, hot ; infiltration of scrotum and
penis.

Feeble pulse, feeling as if the heart stood still ; constant desire to
take a deep breath.

Post-scarlatinal nephritis.

Q. : What are the indications for Lachesis ?

A. :

The urine is
dark and contains albumen, and the skin covering the oedematous parts is
dark, bluish black.

Q. : When is Arsenicum indicated ?

A. :

In all forms of
dropsy ; transparent, waxy skin, intolerable thirst, spells of
suffocation, worse at night, great dyspnoea.

Q. : Give symptoms calling for Lycopodium.

A. :

Dropsies of
lower half of body from liver disease ; legs swollen and covered with
ulcers, from which serum oozes.

DYSENTERY.

Q. : When is Aconite the remedy in dysentery ?

A. :

Especially when
it occurs in the autumn, when the days are warm and the nights are cold ;
stool frequent, scanty and with tenesmus, hot, dry skin and general Aconite
symptoms.

Q. : What are the indications for Capsicum in dysentery ?

A. :

Stools small
and frequent ; slimy ; with burning and tenesmus, with thirst, yet
drinking causes shivering.

Soreness of anus.

Q. : What are the indications for Aloe in dysentery ?

A. :

The stools are
of a jelly-like mucus and covered with blood, accompanied by griping in
the epigastric region.

Q. : What are the indications for Arsenicum in dysentery ?

A. :

Scanty stools,
burning in the rectum ; tenesmus and thirst, and great prostration
following.

Q. : What are the symptoms of Cantharis in dysentery ?

A. :

Discharge of
blood-streaked mucus, looking like scraping of the intestines ; cutting
and burning in the anus ; the tenesmus of the bladder predominates over
that of the intestines.

Q. : What remedy clinically has proved useful in dysentery ?

A. :

Ferrum phos.
In cases which are
less acute’ than those calling for Aconite.

There is more blood also with the stool.

All the symptoms are less intense than those calling for

Aconite.

Q. : When is Mercurius corrosivus indicated in dysentery ?

A. :

When the
tenesmus is extreme, and when the stools are scanty, of mucus and blood,
with great burning at the anus, and at the same time tenesmus of the
bladder.

Q. : Compare Carbo vegetabilis and Cinchona in dysentery.

A. :

Both have dark,
offensive, fluid discharges ; both have distension of stomach ; both have
great weakness and hippocratic face.

Cinchona

alone
has movement provoked by eating.

The flatus of

Carbo
veg. is much more
offensive.

Q. : Give a differentiating point between Mercurius and Nux vomica.

A. :

In Nux
vomica the desire
ceases after stool ; in Mercurius
it continues.

DYSMENORRHOEA

Q. : When is Belladonna the remedy in painful menstruation ?

A. :

There is pain
preceding flow, and a sensation as if everything would protrude from the
vulva, relieved by sitting up straight ; pains come on suddenly and cease
suddenly ; offensive clotted flow ; congestive form of dysmenorrhoea.

Q. : When should Cactus be thought of ?

A. :

Menses scanty
and too early ; cease when lying down ; pain recurs periodically.

Q. : What are the indications for Cimicifuga in this affection ?

A. :

Severe pains in
back and down thighs, cramps and tenderness across hypogastrium ;
rheumatic, irritable uterus.

The pains are neuralgic in character and bearing down.

Often, hysterical symptoms accompany.

Q. : How does Caulophyllum compare ?

A. :

Spasmodic
dysmenorrhoea, bearing down pains, scanty flow ; it produces a continued
spasm of the uterus.

Q. : Give indications for Pulsatilla.

A. :

The menstrual
flow comes by fits and starts, griping pains doubling patient up ; patient
tosses about and cries on account of pain.

Q. : What are the indications calling for Chamomilla ?

A. :

Discharge dark
and clotted, with tearing pains, excessive irritability and impatience.

Q. : When should Viburnum be chosen ?

A. :

In spasmodic
dysmenorrhoea with severe rain in lower part of abdomen, preceding flow.

Q. : Give indications for Magnesia phosphorica.

A. :

Crampy
neuralgic pains preceding the flow several hours ; continue during flow.

Warmth is grateful, and motion aggravates.

Said to be useful in membranous dysmenorrhoea.

Q. : What other drugs are useful in membranous dysmenorrhoea ?

A. :

Borax and
Caulophyllum.

Q. : Mention another remedy useful in neuralgic dysmenorrhoea with
pains extending down thighs.

A. :

Xanthoxylum.

DYSPEPSIA.

(See Gastric Derangements.)

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Séror 2005.