Convulsions of nursing children, with or without congestions, from teething. Liquor antim. Köchlini (Copper). (Dr. Körting, Frank's Archiv., vol. II., p. 711, quoted by W. Sorge, A. H. Z., 92, p. 134) Congenital Deformity. A remarkable case;

child born with a large tumor-like appendage at the umbilicus, containing omentum and intestines, which could not be replaced by taxis, the cord and peritoneum having grown together. Diameter of the sack at umbilicus from 1 to 1 inches; at three inches distance, eleven to twelve inches. Evacuation of fæces and urine normal, and took food well; sleep was good; but it died, at twelve days. (R. H. Cheney, M. I., vol. III., p. 457, 1876.)

Tumor, Umbilical. After the cord had

fallen off, the umbilicus remained moist, and when seven days old, the child presented at the navel a swelling of the size and appearance of a raspberry. After 14 days' use of Thuja 30, the tumor had disappeared. (H. Fischer, A. H. Z., 93, p. 61.)

Congenital. A rare case of, at the umbilicus. (A. D. Mayländer, A. H. Z., 92, p. 124.)

Vaccination. Out of 411 children sick with variola, 80 died; of these 80, 77 had never been vaccinated, and the three others had but defective marks. No child showing good vaccination marks died. (A. O., 1876, p. 68.) Climate. Its effect children. A paper. (T. C. Duncan, M. I., vol. IV., p. 528, 1876.)

upon

SPINE.

Spinal Remedies Characterized. Ignatia is a female Nux. Cocculus helps ailments made worse by passive motion. Conium, worn-out persons, especially for the aged. Nux has persistent vertigo; patient catches at objects to prevent falling. Coccu lus, dizzy, when raising head from pillow. Conium, dizzy, tend to fall to left; worse turning in bed. Esculus helps lumbar backache and piles; worse after menses. (Dr. Greenleaf, H. W., May, 1876.)

- Acon. and Bell. (F. F. De Derky, M. I., vol. IV., p. 312, 1876.)

Spinal Anæmia, autopsy in a case of. H. Amelia Wright, Trans. N. Y. S., 18767, p. 156.) Anaemia of the Posterior Columns of the Spinal Cord. A paper on nature, course, diagnosis, prognosis, and treatment. Nux vom. Subjects who use sewing-ma

chines; confined to the house; bowels constipated; ineffectual attempts to defecate or urinate; great pain in small of the back, with constant dull frontal headache; gastric troubles; high livers; agg. early morning (2 A.M.).

Phos. Those given to sexual excesses; tall, lean people; night sweats, with hectic fever; early morning diarrhoea, coming away with a gush, the thin watery fluid being covered with little pieces of tallowlike matter; vomiting of whatever has been taken, as soon as it gets warm in the stomach.

Phos. ac. Long continued sexual excesses, with impotence.

China. Loss of animal fluids; feeble nursing women, with profuse exhausting leucorrhoea; always complains of a weak back; great dizziness, with great roaring in the

ears.

Cimcif. rac. Spinal irritation, connected with uterine difficulty; great pain in lumbar region; severe infra-mammary pain; chorea and general twitchings of the mus cles; rheumatic pains; sinking at the stomach; stitching pains under the left breast; nervous palpitations.

Ignatia. Hyperæsthesia, with exalted mental condition; hysterical manifestations, melancholic in character; lancinating pains in back and neck; globus hystericus. Gels. General paralysis; spinal exhaustion from sexual excess; sudden loss of vision; great soreness of the body. (J. Martine Kershaw, M. I., vol. IV., p. 508, 1876.)

Hydrocephalus. Diagnosis and treatment of. (Von Salinger, H. K., v. XXI., pp. 142 and cont.)

Sclerosis, partial, of the brain and spinal cord. Mercury. Mercury. (Huber, H. P., v. VII.,

p. 345.) Spinal Irritation. Patient small, weak; dark hair and complexion; complains of pain in occiput and forehead; soon got severe convulsions in alternate forms, as risus sardonicus, trismus, opisthotonus, tetanus, etc. Bell., Ignat., Platina, Hyosc., without success. Atropin effected a cure. (Heyberger, H. K., vol. XXI., p. 53.) After weakening agencies. A nervous debility is often developed after severe zymotic and malarious affections, and

also and

follows too prolonged lactation mental labors. It is to be differentiated from tabes dorsalis, particularly when seminal losses are prominent. While the mental depression and other subjective symptoms are severe, a fatal termination is most rare. (A. 0.1876.)

Excessive sensitiveness to slightest touch upon the dorsal vertebra, producing spasmodic pains in the chest; indescribable distress in the cardiac region; sensation at times as if the heart turned over; intense headache; general parched heat and trembling of the whole body, even the tongue. (E. A. Farrington, M. I., vol. IV., p. 421, 1876.) Cerebro-Spinal Meningitis treated with Actea racemosa. (D. B. Hunt, H. M., Sept., 1876.)

On the Various Modes of Treatment of Lateral Curvature of the Spine by Unprofessional and Professional Men. Treated variously, by rubbers, bone-setters, etc. Author's method is as follows: Great attention is paid in the preparatory part of the treatment to expansion of the chest. As the general power of the patient is in proportion to his power of breathing, the power of exertion increases with his breathing capacity; good positions, special breathings, and arm movements are used for this purpose. The usually weak ankles are strengthened, partly by special movements, partly by passive manipulations or douches of salt water; in a similar way, the knee and hip joints are strengthened, and thus a kind of strong basis is prepared, on which the body is to be carried. After such a preparatory treatment, during which the patient begins to gain in strength and energy, the special treatment of the spine itself begins.

It is always necessary to attend first to the lower and lumbar curve; for this pur pose the patient is placed in a riding position; his body is turned or bent; one or both arms are raised in different positions, which are chosen according to the individual case; the spine is, partly by the patient himself, and partly by the medical man, stretched in the direction of the convexity of the curve, to such an extent as can be borne without pain. (M. Roth, B. J. of H., Oct., 1876, p. 632.)

MOTORY APPARATUS. Acute Articular Rheumatism. Man

of forty years contracted a severe cold, and had the following symptoms: increased temperature of body; pulse full and quickened; thirst; loss of appetite; right shoulder much swollen and reddened; so very sensitive to touch that he could not bear the contact of the pillows. Ferr. phos., 6-10, in water; a spoonful every hour. (Dr. Windelband, A. H. Z., 92, p. 94.)

Burning, tearing pains in the limbs, especially in the joints, with pale swelling; could not sleep, on account of the pains; only toward morning she would fall into a restless slumber, disturbed by frightful dreams, and accompanied by a profuse, bad-smelling sweat over the entire body, which eases the pains a little, but debilitates the patient greatly. The affected parts are worse from touching them, but a gentle motion lessens the pains. Wrapping up the parts in warm clothes affords the greatest relief. Great anxiety in the epigastrium; restlessness, especially nights; chills and heat alternately; much thirst; continuous eructations, especially after drinking; coated tongue; nausea; diarrhoea; short dry cough, with shortness of breathing and great weakness. Arsen. 3 cured. (Dr. Thenerkauf, A. H. Z., 55, p. 4, quoted by Dr. Karl Hencke, A. H. Z., 93, p. 61.)

attacking several joints; the swollen. joints pale red, and painful on the slightest motion, causing the child to cry out even when anyone trod hard in the room, or the bed was jarred. Pulse, 130; temperature increased. Bryonia, 2-10, every hour, cured. (Dr. Windelband, A. H. Z., 92, p. 94.)

Fifteen cases were cured by Ferrum phosph. (Dr. Feichtmann, A. H. Z., 92, p. 24.)

With pericarditis, and later, pleuro-pneumonia, cured, after using many remedies, by Iodine 2-10, five drops hourly. (Dr. Windelband, A. H. Z., 92, p. 94.)

Belladonna in. (Dr. Yeldham, H. W., Vol. XI., p. 234.)

Hypodermic injections of Carbolic acid in. This never causes pain or inflammation (1 or 2 per cent. solution). Half an hour to two hours after injection joint is free from pain, and can be moved in every direction. The more swollen the joint, the more benefit. Disposition to sweating remained unchanged. Sleep soon occurs after cessation of pain. (A. O., 1876, p. 414.)

Cyanides in treatment of. Their therapeutic effects are diminution of pain, redness, and swelling; the heart's action becomes less violent and frequent; the temperature diminishes; diarrhoea is exceptional. The Cyanide of zinc is preferable to the Cyanide of potassium, and the dose is 0.5 to 0.20 centigrammes. (A. O., 1876, p. 528.) Prophylamin in. 52 cases treated give excellent results. Under it the disease remains sub-acute. It is sedative to both nervous and arterial systems. The appetite soon returns, and nourishing diet may

be given, and no external application is necessary. Perfect rest is enjoined. (A. O., 1876, p. 420.)

Stiff neck after measles. Head drawn to left. Lycop. 2d. after the 9th failed. (E. C. Price, H. M., Oct., 1876.) Lumbago. Pain in hip and down the back part of the left thigh, also along the crest of the ilium, pressing up the back as far as the lower ribs, on both sides, preventing his bending to either side. Bell. 30 cured in a few moments, a second case of three weeks' standing obliging his taking the bed, was cured in three days. (W. Story, M. I., Vol. III., p. 358, 1876.)

Polyarthritis Rheumatica.

Salicylic

acid, in doses of 0.5 to 1.0 grammes, is said to be a specific in this disease. Its action is a chemical one; as it acts as a disinfectant in the blood; it must therefore be given in larger doses, considering the disease in question as belonging to the infections variety. (Schleicher, H. K., Vol. XXI., p. 37.)

Rheumatism. Rheumatism of the shoulder. joint cured with Ferrum phosph.

A girl eight years old suffered from painful, inflammatory rheumatism, which quickly changed from the ankle to the knee, and from the knee to the other side. Bry. 2 cured in three days. (Sulzer, H. K., Vol. XXI., p. 31.)

Stiffening the fingers and hands, and accompanied by pain; the latter symptom was much relieved for a long time by Cupr. acet. (W. Sorge, A. H. Z., 92, p. 125.)

- In people overworked, and subject to poor hygiene; with wave-like, erratic pains. Colch. a. (Rochet, Soc. Med. Hom. Franc., p. 11.)

Soreness and heaviness of all the limbs and loins, with dull, frontal head-ache. Merc. jod. 6 cured. (W. James Blakely, M. 1., Vol. IV., p. 167, 1876.)

(R. T. Cooper, Brit. Jour., p. 483.) Cramp-like pains in both lower extremities only during rest at night in bed, and day while lying down; never appears during active motion; worse in right thigh, knee, feet, and toes. Merc. jod. 12 cured. (W. James Blakely, M. I., Vol. IV., p. 168, 1876.)

Bry. relieved at once; high and low potencies of various remedies failed. (G. B. Sarchet, M. I., Vol. III., p. 452, 1876.)

Pains shifting rapidly; swelling, pale, puffy, anæmic; no appetite; constipated; worse on motion and at night. 30 and 200 of various remedies did no good.

Phyto. x cured. (G. B. Sarchet, M. I., Vol. III., p. 452, 1876.)

Tearing pains in front and exterior surface of right thigh, when standing; much worse when sitting down; freedom from pain when lying down; frequently in the right heel alone. Amm. mur. nor Phy. 200 did any good. Phy. 2x cured. The pain in the heel is characteristic. (0. W. Smith, M. I, Vol. IV., p. 266, 1876.)

Pains, aching, drawing with numbness; began in right hand and extended to all parts; stiff in the morning on beginning to move; must change position frequently at the cost of pain; worse after midnight. Rhus tox. 200 cured. (A. W. Smith, M. I., Vol. IV., p. 277, 1876.)

Kali bich.

Acute pains darting through right lung from just below the right mammæ to just below the right scapula; same pain darting from behind the left hip joint down on the outside of the thigh, sometimes to the calf of the leg; acute pains about the left eye and side of forehead. Cured at once by one dose. (M. I, Vol. III., p. 32.)

Natrum mur.
Pain from upper portion of
left lung, out into the left shoulder joint.
(C. F. Foote, M. I., Vol. III, 1876.)

Kali bichr. Rheumatism alternating with
gastric troubles; hypersecretion from mu-
cous surfaces, respiratory and digestive.
(Bib. Hom.)

Chronic. A violin player could no longer use his arm, and his gait was slow and limping. Cured in three weeks by Tinct. cupri acetici. (Rodemacher, quoted by W. Sorge, A. H. Z. 92, p. 125.)

Pain from Muscular Spasms. (W. D. Butcher, H. W., Vol. XI., p. 181.)

Gout, following the use of Merc. deut. chlo ride topically in ague. (Jousset, Soc. Med. France, May 1876, p. 11.)

NERVES.

Hemicrania may be said to be a neurosis of the cranial portion of sympathetic, and, as a consequence, irritation of sensory nerves of the head, caused by irregularity in circulation in affected side of head, the. circulation being controlled by sympathetic. It may be h. sympathici-tonica, from spasm of the vessels, or h. angio-paralytica, from paralysis of vessels. In treatment of hemicrania, Amyl nitrate is much recommended by allopaths daring attack. Rest, absence of noise and light are essential. In intervals of attacks, attention must be given to the abnormal condition of patient

which favors production of disease. Indications for the use of twenty-three different remedies are given. Electricity is also recommended in a certain class of cases. (A. O., 1876, p. 241.) Cephalalgia. Most violent attacks of pecu

liar pain in the anterior portion of the head, with great sensitiveness to light. During an attack he would sway his head from side to side, or strike it with all his force against the wall or the bureau which stood near the bed. After the attack he felt pretty well, except that he was tired and weak; wanted to eat right after a paroxysm of pain. Amm. 12 cured. (Dr. Segia, Hygea, X., p. 55, quoted by Karl Hencke, A. H. Z., 93, p. 157.)

Chronic. Brought on by overwork or excitement, preceded by intense flushing and heat of face and neck, with sensation of swelling of the neck; fullness and throbbing in the head; sensation as if blood was sent in waves to the head; aggravated from light, noise, talking of others, etc. Glon. 200 did no good; Amyl nit. 2 aggravated; 5th would stop it. (0. W. Smith, M. I., Vol. IV., p. 267, 1876.) Periostitica. Cured with Mezereum 6x, one dose per diem, after four months treatment. (A. O., 1876, p. 192.) Headache, violent, continuous, becoming worse at irregular periods. Copper cured. (Rodemacher, quoted by W. Sorge, A. H. Z., 92, p. 116.)

every

Glonoine in. Three drop doses hour of the 6th decimal cured a case of severe and obstinate headache, resembling a slight sunstroke, and coming on toward evening, preventing sleep, and continuing until eight or nine o'clock next morning. Remedy used two days. (N. E. Boardman, A. O., 1876, p. 216.)

Laurocerasus in. Frequent periodical paroxysms of aching pain under the frontal bone; nervous irritability, with indisposition to do any work. 1st Centes. trit. (I. M. Murray, H. W., Vol. XI., p. 231.) Nitrite of Amyl in Nervous. (H. W., Vol. XI., p. 149.)

Intermittent. Most violent pains about ten o'clock, A.M.; she runs about the room as if crazy; cries and laments; raps her head in tow, which alleviates somewhat; pains tearing, burning, boring in right side of head, especially in the supra-orbital region; right eye lachrymates; eye-lid and region of eyebrow swollen, but temperature not elevated; anorexia; pulse 96; anæmic murmur in veins (woman had suffered with metrorrhogia); sleeping restless, with horrible dreams; attack comes daily at 7 o'clock, A.M., reaches its height

at 11 A.M., and ends, gradually lessening, at 2 o'clock P.M., the patient being then very weak, and she is obliged to keep her bed. Arsen. 6 cured. Afterward Ferr. carb. sacch. was given for the anæmic condition with the best effect. (J. Kafka, Neue Zeitsche, from Hom. Klin. 1, p. 122, quoted by Karl Hencke, A. H. Z., 93, p. 198.)

On Sulphate of Zinc in Nervous. Miss A—, æt. 47, maiden lady; spare habit, but Has suffered from girl

well nourished.

hood with spinal irritation. Slight lateral curvature, which was arrested by mechanical means, then premature change of hair to gray; catamenia now scanty and irreg. ular, appearing only at intervals of three or four months. Suffers from mental depression; when not suffering in this way, has severe headaches compelling her to lie quiet and still. At times, extreme prostration and restlessness, burning pains in extremities, but no increase in feverish symptoms; cross and irritable; cannot bear to be spoken to. When in this state inclined to be violent in speech, with deficient memory, like Anacard., but, unlike that remedy, impatient; continually wanting to do something to relieve herself. When prostration is very bad the pain is better; mind in a kind of stupor; weariness in the eyes; dimness of sight. Pale, bloodless appearance of face, constriction of throat and stomach; feeling of bloatedness on taking the least food, with violent and sudden retching; this often produces, even when little food or liquid is ejected, dizziness for a few moments, and then relief of many symptoms. If no sickness, headache increases, then diarrhoea, with the same relief. Normal condition of bowels is obstinate constipation which Platina 5 has at times relieved. All symptoms worse when more anxiety, and toward evening. Headaches and all symptoms increased after partaking of sweet, especially fruit jams. Heart's action depressed; pulse feeble; urine normal. Great lassitude in extremities when worse. Zinc. s., aqueous sol., 1x, 2-drop doses relieved.

Master B, æt. 5, suffered earlier in life with symptoms of hydrocephalus. Continued attacks of headache; child precocious. Fair complexion; well nourished; very excitable; easily made cross, then very violent. Complains of pain in head, wanting to lay head down; relieved by stroking. Face often red, then pale; when headache. bad is always sick. Zinc. sulph., 1x, gave speedy relief, and by continuing the salt in the 3x dil., the child has quite recovered.

A. E-, infant boy, 3 months old, weak and puny from birth, hand-fed. Very weak, head small, eyes sunken, was not thriving or getting flesh, bowels constipated. The child could not bear any noise or movement. I at once put it on half-drop doses of Zinc. sulph. every four hours three days, then every night and morning. With this remedy in a few days the child improved. rapidly, and has now become a strong and healthy babe.

Mr. C―, æt. 25, suffered for some years with attacks of violent headache ending in bilious derangement and, several times, jaundice. Of a very nervous excitable temperament. These attacks generally come on with pain under left shoulder-blade. Stool lumpy and dark, showing obstruction; urine high-colored. Then headache, deep-seated, left-sided; vomiting and mental depression. Cannot bear to be contradicted. Found he could take beer, but not wine. Sugar always brought an attack. The vomiting, again, often relieved him. Put him on 1st dil. Zinc. sulph., and in twenty-four hours he was much better. From that attack he had freedom for a month. Repeated medicine night and morning for a month, then the 5th dilution night and morning. No attack till seventh week. Still continued medicine night and morning for another month, then alternate weeks

withont, and now four months have elapsed

without a return.

J. G. Blackley mentioned a case of neuralgia of the supra- and infra-orbital nerves on the right side which had been greatly benefited by Atrop. sulph.

Vernon Bell said when he happened to see the patient under the paroxysm, he now adopted any means that promised even temporary relief. If there was sympathetic vomiting, he encouraged it by hot drinks, and when the engorged and throbbing carotids were carrying blood rapidly to the head, he practiced firm digital compression on one or both sides of the neck for a few minutes, and sometimes with singular relief to the sufferer. A sharp attack of nervous headache had its period of exacerbation and its period of decline. A glass or two of wine and a mutton chop when it reached the acme often helped it down the hill wonderfully and curtailed its career; whereas the same food, if forced down only a short while before the crisis, intensified the suffering. (Brit. Jour., p. 108. 1876.)

Miss S. complained of violent intermittent pains in forehead over the right orbit, with soreness of the eyeball and frequent pains in occiput, with darting pains in back of

the neck. Had tried various remedies in vain, both domestic and scientifically prescribed. Cimicifuga 200 cured in four hours, with no return of symptoms. (J. T. Greenleaf, Trans. N. Y. S., 1876-7, p. 148.) - On taking a short trip lately, I was obliged to ride backward for two or three hours, a proceeding which invariably provokes me into a state of vertigo, nausea, and quite frequently, vomiting. I was surprised to find myself free from all these uncomfortable symptoms on stepping from the train, but on the following day I was visited by a peculiar symptom. The dining room, with its many tables and people, insisted upon rising up very slowly from the point where I was seated; and when the strange sinking sensation which accompanies vertigo when caused by looking off from a height, began to come upon me, I closed my eyes, and the whole room would seem to resume its position on a level with a quick movement, like the slam of a box lid. There was no swimming about of objects, no staggering or reeling on my part, and no desire to catch hold of anything to keep from falling. The same occurred in the horse-car, and in the street upon the sidewalk. Nux vom, did no good for one day; Cocculus 200 relieved at the first dose. (J. T. Greenleaf, Trans. N.Y.S., 1876-7, p. 148.)

Neuralgia. Intermitting, appearing at night,

-

Arsenic; in the morning and afternoon, Ignatia; inveterate, Silicea. (Buchner, H. P., vol. VII., p. 277.)

Severe pains, shifting about; appearing every night; quite well through the day. Magnes, phos. 6 every two hours. (Schuessler, H. K., vol. XXI., p. 46.)

Carbolic acid for local anesthesia and relieving neuralgia; two parts of the acid and one of Glycerine left on the part for three or four minutes. (Dr. .Beegonzini, H. W., vol. XI., p. 340.)

Chloral hydrate in. Painting over the course of the affected nerve with a mixture of equal parts of Chloral hydrate and Camphor will afford great, and often instantaneous, relief. (A. O., 1876, p. 174.) Caliac plexus. Arsen. 40,000 cured after low potencies failed. (G. B. Sarchet, M. I., vol. III., p. 452, 1876.)