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were injected. The patient recovered
slowly, and after two months was still
weak, and felt bad; moved her limbs slowly
and without energy, and thought she had,
beside a slight dread of light, a somewhat
weakened vision. (T. Kafka, A. H. Z., 92,
p. 95, quoted from Allg. Wiener Medic.
Zeitung, 1875.)

Bromide of potassium in. Reported cure
by, in four, five, and six gramme doses.
(H. W., vol. XI., p. 88.)

Xanthium spinosum a remedy for. (H.
W., vol. XI., p. 287.)

Liquor Ammon. Caustici as prophylactic
against bite of rabid dog. Three persons
bitten by same animal; one took no pre-
caution, and died; the two used Liquor
ammon. caust. locally, on lint, frequently
changed. Wounds healed and patient re-
mained well. (A. O., 1876, p. 231.)

Four Fatal Cases from Infection with Vaccine.
Eight soldiers vaccinated with Vaccine
from children's nursery.
Failure in two
cases. Twenty-four hours after vaccina-
tion, chills, severe fever, deliria supervened;
Phlegmonous erysipelas, followed by gan-
grene, developed itself. Autopsy showed
anæmia, emaciation, and icterus; viscera
normal but ensanguined; blood in larger
vessels dark-red and gluey; skin of affect-
ed arms thickened, denuded of epithelium,
subcutaneous cellular tissue, fascial and
sheaths infiltrated with serous fluid, mus-
cular fibres relaxed, bone normal, lymph
glands not enlarged. Seventeen other
tubes from same source gave no untoward
results. (A. O., 1876, p. 307.)

Animal Physiology. Upon the causes of spon

taneous coagulation of the blood upon its escape from the body. (Cl. Bernard, as reported by M. F. Glinard, Bib. Hom., vol. VIII., p. 147.)

When an arterial or venous segment is removed from a living animal and is preserved from the air, the blood is not coagulated. After a variable time the seg ment dries to a point, and becomes of the consistence of horn. If the blood thus dessicated is distributed in water, it dissolves, and is susceptible of spontaneous coagulation en masse, even after filtration. The coagulation of blood is caused by contact with foreign bodies. Blood preserved in its segment is revivitied as soon as it is liquid, and beef's blood may, seven hours after it is taken from the body, be applied successfully to transfusion upon an exsanguine dog.

Blood is living when it is spontaneously coagulatable-coagulation is the death of

blood.

FEVERS.

Intermittent Fever. My rule is this: I
always insist on treating the case homo-
opathically," it possible; but, it the patient
insists on taking Quinine or threatens to
go to some other physician, I then give a
prescription for Chinoidine pills, two
grains each, with directious to take a pill
every two hours. As soon as he misses
one paroxysm, 'cease giving the Chinoi-
dine and prescribe Ipecac third three times
a day until the seventh day after the oc-
currence of the last paroxysm, when I give
Chinoidine every two hours for one day,
followed by Ipecac, as before. This treat-
ment I keep up till the twenty-first day,
and in a large majority of cases there
has been no recurrence of the disease.
(Thos. Franklin Smith, Trans. N. Y. S.,
1876-7, p. 150.)

The three most prominent causes of failure
are too hasty or careless selection of the
remedy, giving it too low, and repeating it
too often. Remedies:

Apis. Chill at 3 to 4 P. M., but, if other symptoms are markedly Apis, the time of the chill is not all important. Chill worse in a warm room or near a hot stove; heat in face and hands; chilliness renewed from the slightest motion; oppressed breathing, with or without a dry cough; burning in the chest, particularly left side, such as is experienced from rapidly inhaling frosty air; chill every day or every other day, preceded by a sudden attack of nausea and vomiting; soreness of all the joints; swelling of the feet; scanty urine, depositing a pink sediment; the medicine should be given in the 200th, two powders in an interval of three hours, the first being given as the perspiration appears, and then wait until after the next paroxysm, and the same with all of the drugs.

Arsenicum. Burning, like fire, in the stomach and bowels; not much thirst, small quantities being taken at a time; paroxysms incomplete; heat and chilliness blending together, or one stage wanting; face pale and sunken; if sweat occurs, it is long after the chill; dry heat is the most prominent symptom; anxious restlessness. Bryonia. Chill predominates; great thirst during it and the fever; perspiration pro

fuse.

Capsicum. Chills commencing in the back, and, after the chill, sweating sometimes follows without heat; thirst greatest during the sweating stage, sometimes burning; scalding diarrhoea; worse at night. Carbo veg. Sweat before the chill,

Cimex. Clenching of the hands as the chill sets in, and constricted feeling in the œsophagus, with trouble in swallowing liquids. Eupatorium perf. Chill from 7 to 9 A. M.; vomiting after the chill, as the fever is coming on; thirst is the first indication of the approaching chill, which is often of an hour or more duration, and continues during all stages; distressing pain in the small of the back, with aching in the extremities, as though the bones were broken. Ipecac. Gastric symptoms predominate; chill preceded by yawning, stretching, and often vomiting, which may occur a number of times, until reaction sets in.

Natrum mur. Morning paroxysm, 11 A. M., thirst during all stages; often vomiting, not confined to any special time; headache and extreme weakness; fever blisters which cover lips like pearls.

Pulsatilla. Chills returning after being suppressed by Quinine or Chinoidine, before 12 o'clock; next night, diarrhoea; little or no thirst during any of the stages. Rhus tox. A distressing, burning, itching rash appears during the chill, disappearing as the fever declines; an intolerable urticaria, in the form of spots or irregular wheels, all over the body, even on palms of the hands and soles of the feet, setting patient frantic.

Veratrum alb. This remedy will modify a paroxysm after it has set in, and may be given where there is extreme suffering, with cold shrunken features, vomiting, and purging; great thirst, cold-blue extremiWhen ties, with cramp pains like cholera.

children become very hungry after a chill, we will think of Cina, Phos., Staf hy.; the latter will be found useful in double tertian and where there is diarrhoea, bloating of the abdomen, sore mouth and gums, as in

scurvy.

Don't use Quinine, as you can do better. Look well to the diet of your patient. (C. Pearsons, M. I., vol. III., 219, 1876.)

Miss W., on visiting the southern part of New York, from a malarial district in Michigan, was attacked with intermittent fever. Had taken Quinine without effect; chill. lasted into fever, and any change of position would bring on chills again. Nux 30 cured. A child in the same family was cured by Ars. 30, after many other remedies prescribed for symptom," Drinks little but often." (J. T. Greenleaf, Trans. N. Y. S., 1876-7, p. 149.)

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Hypodermic injections of Carbolic acid for cure of From twenty to thirty milligrammes were injected, and the result in seven cases was the cure of five. In one case, Quinine was given to assist the action of the acid, and the other failed to be relieved at all, except by the use of Quinine. (A. H. Z., 92, p. 104, quoted from Allg. Medic. Zeitung.)

Shaking chill, with dyspnoea, coming early in the morning, followed by dry heat of skin; pulse small, soft, frequent; headache; dryness of mouth and lips; great thirst, but did not drink very much; longing for sour things. In the evening, great lassitude, and bruised pain in the legs; no sweat. Arsen. 15th cured. (Dr. Karl Hencke, A. H. Z., 51, p. 125, and quoted in A. H. Z., 93, p. 108.)

Woman sick four weeks; had taken Chinin. sulph. Face looks grayish yellow; a little puffed; great weariness and weakness; pains in the lower extremities; little appetite; tongue coated yellow; taste bitter; eructations; dull pain in left hypochondrium; small, thin, bad-smelling stools; sleep restless, disturbed by terrifying dreams; she was cross, despondent, and restless; paroxysm of fever, as followsstretching, yawning, uneasiness, great weakness; chilliness over back easily excited by drinking; then coldness; face pale, earthy, distressed looking; lips blue; pressive pain in forehead; hunger and faintness so that she had to eat something; then violent shaking chill, and oppression of the chest; heat slowly increasing; restlessness; thirst; pressive pain in the region of the spleen; teeling of fullness in the epigastrium; thirst for sour drinks; after several hours the heat ceased; sweat scanty; patient exhausted and would sleep for some time, wakening with ringing and roaring in the ears. Arsen. 9th, and later 12th and 15th potencies, cured. (Dr. Hencke, A. H. Z., 54, p. 119, quoted in A. H. Z., 93, p. 53.)

Chill in forenoon; pale face; much shaking and trembling; restlessness and crying; heat, with groaning and sleep; sweat with

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much drinking; boy was cross in the evening and had two diarrhoeic stools. Arsen. 15 cured. (Dr. Hencke, A. H. Z., 51, p. 125, quoted in A. H. Z., 93, p. 53.)

Girl of sixteen years; suppression of menses from a cold; fainting on getting up in the morning; diarrhoea, ten or twelve greenishyellow stools, streaked with blood, daily; weak and sleepless; tongue thickly coated, with red edges; dry; much thirst; belly swelled; skin dry, hot; pulse 120,small, weak; intermittent fever, double quotidian; chills coming at noon and midnight; coldness; shaking of the limbs, with chattering; nails and lips blue, followed by heat, thirst, and sweat. Arsen. 24 cured. (Dr. Godier, Jour. de la Société Gall. de Med. Hom., vol. VI., No. 3, 1855; Bruckner, A. H. Z., 50, p. 182, quoted by Karl Hencke, A. H. Z., 93, p. 52.)

Ferrum is called for in old cases treated by Quinine; anæmia; prostration; great debility; extreme paleness of the face, and mucous membrane of the mouth white and bloodless, also of lips, gums, and tongue; vomiting of undigested matter as the chilĺ comes on; oedema of face above and under the eyes and ears. (G. B. Sarchett, M. I., vol. IV. p. 501, 1876.)

Verat. vir., 3x, every fifteen minutes, during chill; then Acon., 3x, during hot stages, and Phos. ac., 3x, in same way, during sweat, thus reducing the stages from two to six hours, and Nat. mur. if it came in the morning; if in afternoon, Arsenicum a sure cure. (W. P. Roberts, M. I., vol. IV., p. 452, 1876.)

When chill commences at ten A.M., Natrum mur. 30 cures; one, P. M., Arsenicum; three to four, P. M., Apis; four to eight, P. M., Lyc. is the remedy. (Dr. Price, M. I., 1876.)

High potencies in, and a case cured with Natrum mur. 30; chill begins at 5 A. M., lasted one hour, followed by five hours fever; thirst in all stages; aching in head, limbs, and back; vomiting before chill. Hydroa labialis. (A. McNeil, M. I., vol. III., p. 112, 1876.)

Cured. Rhus tox. 12 and Cham. 30. (J. E. Winans, M. I., vol. III., p. 69, 1876.) Chill at from noon to one P, M. Arsenicum cured. (A. F. Randall, M. I., vol. IV., p. 139, '76.)

When chill is partial: e. g., child has cold nose and extremities a few minutes before the fever. Menyanthes will cure. (P. P. Wells, M. I., vol. IV., p. 121, '76.) A paper. When there is sweat, great thirst, excessive debility, and emaciation;

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patient has had it before, and treated with Quinine. Arsenicum 6th should be given; if there is manifested symptoms of blood poverty, alternate with Carbo veg. (C.F. Panelli, M. I., vol. IV., p. 161, '76.)

Had four paroxysms; stages distinct and well marked; chills occur in the forenoon, from eight to eleven A. M.; thirst before and during fever; vomiting between chill and fever. Enp. purp. 200 cured. (0. W. Smith, M. I., vol. IV., p. 267, '76.)

Gels. when there is coldness of the hands and feet; if the chill begins between the shoulders, Capsicum is the remedy. (J. C. Morgan, M. I., vol. IV, p. 126, "76.) A case cured with Apis. Paroxysms commence in the afternoon, accompanied by vomiting and diarrhoea; during fever they sleep or are delirious. (T. J. Merryman, M. I., vol. IV., p. 351, '76.)

Hell. is the only remedy that has rheumatic pains in the knees during the chill, and cured it at once. Also cured a case with Lyc. 100,000, where cool drinks during the fever produced vomiting. (C. Lippe, M. I., vol. IV., p. 352, '76.)

Anacardium. Ague during the sweat; shortness of breath. (T. S. Hoyne, M. I., vol. III., p. 280, '76.)

Apis is the remedy where chill in afternoon, 3 to 4 P. M.; worse in a warm room, and moving around; wants to lie down; hates to be disturbed; it is strongly indicated when the chill commences in the knees, and when cedematous swellings are present; complain of want of air; feel oppressed; have to be fanned constantly; so called sinking chill, followed by heat, with sleep or weariness; patient remains quiet; may ask now and then for a sip of water; heat is generally at the upper part of the body; skin may be dry, or dry and moist alternately; scanty and perhaps dark urine. Apis will cure. (W. Eggert, M.

I., vol. IV., p. 448, '76.)

(T. J. Mer

A case cured with Apis mel. ryman, M. I., vol. IV., p. 29, '76.) Apis m. Ague; during chill, shortness of breath. (T. S. Hoyne, M. I., vol. III., p. 280, '76.)

Quinia for a milky white coating of the tongue, and a nervous, stretchy feeling, even before the paroxysms have become fully developed; ipec. for the nausea and vomiting during or between the paroxysms. When the tongue exhibits a yellow coat, administer a few doses of Merc. viv. or Jod., and then return to the Quinia. If there is great congestion of the head, loss of appetite, and general nervous prostration,

Berberine 1x acts admirably. If there is great loathing of fat food, Puls. and Nux vom. are the remedies. When chill is not severe, but long lasting, with slight fever, patient thin, pale, complains of great weakness, and in the dumb chills, give Arsenicum. When chronic diarrhoea complicates the malarial trouble, give Salicine 1 or 2 dec. When there is a constant tendency to chills and fever, patients being comparatively well for a week or two, and then relapsing, Eucalyptus globulus has cured. When there is swelling of the feet, especially in delicate females with menstrual difficulties, Apis is the very best remedy; if it fails to remove, and there is great sallowness of the skin, with enlargement of the liver, use China or Merc. For the usual spring and autumn fevers Gels. is a most useful remedy, when there is yellow coating of the tongue, slight nausea, nervous headache, and sometimes rigors. For those dangerous fevers of a congestive type Verat. vir. gives good satisfaction. (Lucius D. Morse, M. I., Vol. IV., p. 403, 1876.)

Quartan. Shaking chill at 5 P.M., but with intercurrent chilliness; thirst often begins at the end of the chill; no sweat; toward the end of the chill a stinging pressure and drawing occurs in the forehead as far as the eyes; pain worse from opening the eyes, and from long motion; flat taste in mouth; on going to sleep starts up in a fright; feet dematous. Arsen. 30 cured. (Dr. Neumann, Praktische Beitroge, 3, p. 117, quoted by Dr. Karl Hencke, A. H. Z., 93, p. 117.)

Quartan. Shaking chill at 2 o'clock P.M., preceded by drawing pains in the feet; heat violent; thirst; sweat not great. Arsen. 30 cured. (Dr. Thores, Prakt. Bietroge, 2, p. 47, quoted by Dr. Karl Hencke, A. H. Z., 93, p. 130.)

Quotidian. In the morning stretching and yawning, with bewildered sensation; thirst with chilliness and shivering following drinking; then general coldness; face pale, sunken; pale lips; shaking chill; pains in limbs; oppression of breathing; restlessness; trembling'; heat and burning in the body; heat seems to run through the blood-vessels; anxiety, restlessness; great lassitude; thirst and longing for sour drinks; pain in left hypochondrium; after the heat, great sleepiness, and sweat during the sleep; apyrexy; very weak; anorexia; desire for sour and refreshing things; restless nights; bad dreams. Arsen. 9th and 12th cured. (Dr. Hencke, A. H. Z., 51, p. 133, quoted in A. H. Z., 93, p. 116.)

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Tertian. Chill in afternoon, with yawning; stretching of the limbs; headache, after two hours; burning heat (headache better), with anxiety, restlessness, palpitation of the heart; bruised pain in the thighs; at end of heat great exhaustion and feeling of weakness; sleep; hunger and great thirst in the evening; sleep at night restless, full of dreams; profuse sweat toward morning. Arsen. 9th cured. (Dr. Hencke, A. H. Z., 51, p. 125, quoted in A. H. Z., 93, p. 53.)

Slight thirst aud chill in the forenoon; then violent heat, with great thirst, vertigo, and stupefaction; lastly, profuse sweat, without thirst; after the fever languid; looked bad; face yellowish in color; face swollen, doughey like; belly distended; colicky pains in abdomen; urine decreased; slept badly, and sweat a great deal. Arsen. 2d centes. cured. (Dr. Watzke, Oester. Zeitsche, 2, 3, p. 513, quoted by Dr. Karl. Hencke, A. H. Z., 93, p. 157.)

Chill lasts two hours, very severe, with violent pains in the lower extremities; heat great, with much thirst, though only a little was drank; great anxiety and restlessness; pains in epigastrium; phantasies; nausea; constriction of breathing; sweat came very late, bad smelling and exhausting; traces of dropsy, such as oedema of the feet and face; flow of urine greatly lessened; lower part of belly tender. Arsen. 3 cured. (Dr. Sheurkauf, A. H. Z., 58, p. 86, quoted by Dr. Karl Hencke, A. H. Z., 93, p. 189.)

Anticipating two hours each time; attack begins with stretching and yawning, with violent pains shortly before and during the chill; heat, at first with shiverings; sweat; no thirst; during the whole continuance of the paroxysm constriction of the chest, as if the patient would suffocate; so great anxiety that she could not lie quiet a moment. Arsen. 30 cured. (Dr. Neumann, Prakt. Beitroge, 3, p. 117, quoted by Dr. Karl Hencke, in A. H. Z., 93, p. 150.)

Chill shaking in forenoon; lips blue; violent headache; teeth chatter; chest oppressed; heat, with cessation of headache; thirst; restlessness, weariness, and relaxation; after working, great lassitude; next night would have restless sleep and terrifying dreams, with outcries; toward morning some sweat; skin looked grayish yellow; great lassitude; muscles relaxed; pulse soft, small, and frequent; no appetite; tongue coated yellow; bitter taste in mouth; drank a great deal; at times bellyache; diarrhoea. Arsen. 9th and 15th cured. (Dr. Karl Hencke, A. H. Z., 51, p. 132, quoted in A. H. Z., 93, p. 109.)

Chill at night; stretching; headache, and
pain in right eyeball, especially bad on
moving the eye; after about two hours,
dry heat; thirst; restlessness; anxiety;
beating and pulsating through the entire
body; sleeplessness; sweat early in the
morning, with cessation of morbid symp-
toms; in apyrexy; feeling of weakness;
fullness in upper part of belly; little appe-
tite; inquiry for refreshing things. Arsen.
8th, and later 15th, cured. (Karl
Hencke, A. H. Z., 51, p. 125, and quoted
in A. H. Z., 93, p. 108.)

Therapeutics of. (A. Leroy Fisher, N. A.
J., Nov., 1876.)

A farmer, æt. 40, naturally robust, had been
sick three months, and despaired of recov-
ery; fever, at times remittent; lancinating
pains in various joints; obstinate insom-
nia; great anxiety; difficult respiration;
prostration caused by fright. Acon. 6.
cured. Dr. Pasi translated. (F. L. Priso,
M. I., Vol. III., p. 403, 1876.)

Obstinate remittent, in a child, cured by Chin. ars. (S. R. Geiser, C. M. A., p. 79.) Dr. Finkelstein's case reported. Quartan fever of long standing, in spite of Quinine, Fowler's solution, Piperin, Eucalyptus, cured by one Russian bath taken during chilly stage. Another case intermittens tertian cured by same method. (A. O., 1876, p. 113.)

Bapt. for thick, white coating on on the tongue; small, rapid pulse; in first stage of yellow fever has been useful. (Jose J. Navarro, M. L, Vol. IV., p. 552, 1876.) Prostration, even when accompanied with fever. Gels. is a grand remedy. (S. Lilienthal, M. I., Vol. IV., p. 155, 1876.) - Obstinate constipation; the bones all ache; there is fever, perspiration, full pulse, with congestion of blood to the head; chill, followed by fever, fever coming on at night; an hour of chilliness, followed by an hour of fever, such a succession continuing through the whole twenty-four hours. Give a pill of the resinoid Podophillin. (W. A. Allen, Hoм. TIMES, Vol. IV., p. 102-3.) Peripheric Temperatures in febrile affections. (H. W., vol. XI., p. 346.)

Fever. Aconite suitable only to synochal,

with mental anxiety, etc., with violent erethism, full, hard pulse; therefore not indicated in typhoid; Bellad. has more cerebral excitement. Veratrum viride may reiard the pulse, but this is not necessarily curing a fever. Dr. Nash thought that the Viride should be preferably selected by frequent pulse, which is its secondary action, and thus its curative. (Dr. Miller, H. M., May, 1876.)

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Typhus. Girl sick already for 14 days under allopathic treatment; head heavy; vertigo; roaring in ears; face pale, sunken, with a characteristic typhoid appearance; eyes dull; tongue dry; dirty coating; lips dry; speech stammering; anorexia; excessive thirst; belly distended, sensitive to touch; 4 or 5 stools daily, dark, thin, bad smelling; skin dry, hot; sleep restless, with delirium. Arsen. 6 every 3 hours; no change for 8 days, then she began to improve, and finally recovered. (Dr. Fleischmann, Oerten Zeitsches, f., Hom. I. 1., p. 190, quoted by Karl Hencke, A. H. Z. 93, p. 142.)

After a violent attack the patient, a soldier, suffered from great weakness, chilliness, trembling, and chronic morning vomiting; appetite good; tongue but slightly coated. Cupr. ammon. cured. (Frand's Archiv., vol. I., p. 46, quoted by W. Sorge, A. H. Z. 92, p. 134.)

And Typhoid Fever. Rhus tox. has the same place in typhus fever that Bapt. has in typhoid. Dr. Hering recommends Amm. trip. in typhus and other nervous fevers where there is picking the ends of the fingers and the lips until they bleed; great restlessness, the patient tossing about and wanting to escape; unconsciousness; suppression of the urine. Bapt. tinct. is now in great repute, and has the power to produce great perspiration. The great loathing of food also disappears under its action. (See case.) It removes the distress of the fever, delirium, headache, lassitude, pain in the back and limbs. Enothera biennis tinct. 5 drops may be used in the watery diarrhoea of typhoid fever. Mur. ac. when there is chilliness, with thirst, diarrhoea, violent cutting with pinching in the abdomen; oppression across the chest ; aching pains in the small of the back. (Dr. Massy, M. I., vol. IV., p. 268, 1876.) Typhus. Observations on the therapeutics.

Arsenicum. Very restless, and anguished frame of mind; so weak that they can only move the hands and feet, but not the body; pulse quick, even uncountable, and usually irregular; high temperature; cheeks red and hot; thirst insatiable; blood decomposition advancing rapidly, shown by the violent hemorrhages from various organs; exanthemata and distraction of parts on which they lie; sensorial activity no longer subject to the will; exalted imagination; vivid images in quick succession, always of an anxious character; this delirium may remain even after the patients have passed into a state of stupor; the active delirium is now changed to a constant murmuring,

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