Charles Gottleib Raue.

Special pathology and diagnostics : with therapeutic hints online

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76



FACE.



denote an obstruction in one of the organs on tlie right side ; and
if on the left, a stasis in one of the organs on the left side.

Bright-red telangiectasia denote an arterial, whilst fur'plish-looking
indicate a venous^ obstruction^ either in the chest or abdomen of the
corresponding side.

Small varices on the left side of the nose, or lips, or glans penis,
indicate a venous obstruction in the heart or kidney.

So also are ringworms almost always indicative of some kidney
affections.

4. The temperature of the face.

a. Heat of the face is found in congestion of the head, in fevers, in
inflammatory conditions, in coryza, and in other complaints.

h. Coldness of the face we find in chills, in spasms, exhaustion, in
sickness of the stomach, in syncope.

A deadly coldness in cholera ; also in violent hysterical paroxysms.

In inflammation of the lungs, coldness of the face denotes the com-
mencement of suppuration.

Sudden coldness of the face in scarlet fever portends death.

Special Forms of Diseases of the Face.

Erysipelas of the Face.

Compare Erysipelas of the Scalp, All which is said there is equally
applicable here.

Crusta Lactea, Milk Crust.

This is a disease of nursing infants. The eruption usually com-
mences as a patch of slightly-raised pimples. The patch itches,
increases in size, and becomes more inflamed in consequence of
being constantly rubbed ; the cuticle is raised in more or less defined
vesicles, which are usually broken by friction ; the surface becomes
excoriated, somewhat swollen, pouring out an ichorous secretion.

With the increase of irritation, the patch spreads. In case the
eruption commences in several patches, they are liable to run into
one. Thus the disease increases ; the secretion, from being a trans-
parent and colorless ichor, becomes opaque, milky; then yellowish, and
at last purulent; while small pustules are developed on the red and
tumefied skin around the patch. For this reason it has been called
Impetigo. The forming crusts now grow thicker, and have the ap-
pearance of dried honey. Not unfrequently, as a consequence of
pressure or friction, blood is mingled with the discharges, and the



DISEASES OF THE FACE. 77

crusts become colored of various hues, from a liglitisli -brown to posi-
tive black.

Although commencing on and being confined most frequently to
the forehead and cheeks of the child, this obstinate disease may attack
the whole body, being a source of great suffering to the child and
annoyance to the mother.

Should the eruption continue even after the milk teeth are all cut,
no new light of prophecy need beam upon the little patient, accord-
ing to Wilson : " When puberty arrives, then certainly the disease
will go." For, although there are cases of pretty tolerable stubborn-
ness, yet I have not seen a case yet which did not yield to a judicious
Homoeopathic treatment in a reasonable space of time.

Therapeutic Hints.

Apsen., pimples and vesicles; acrid discharge; itching; burning;
worse at night, in cold air ; better from external warmth.

Bell., teething, jerking in sleep ; want to sleep yet inability to go
to sleep.

Calc. c, children fair and plump; teething; scrofulous habit ; worse
about new moon ; burning after washing ; perspiration after eating or
drinking.

Lycop., thick crusts, underneath, cracked surface ; skin dry ; excor-
iated places ; worse at night and in warmth.

Rhus t., acrid inflamed look ; swollen glands on neck and throat ;
stiffness of the neck.

Sulphur, excoriations, pimples, vesicles; violent itching; worse at
night ; bleeding from scratching ; diarrhoea in the morning.

Comedones, Acne Punctata and Rosacea,

Diseased sebaceous glands ; compare the Chapter on the Nose.

Lupus,

Which attacks offcenest the nose, may appear also on any other part
of the face ; see Ibidem.

Hydroa, Herpes Labialis, Fever-blisters.

By hydroa is understood an eruption of clusters of globular vesicles
upon mflamed patches of an irregular or circular form upon the lips,
sometimes affecting only the mucous membrane of the prolabium, at
other times the integument alone, and again, both simultaneously. It
extends a variable distance around the mouth, and sometimes covers,



78 FACE.

like pearls, the wliole upper lip. After a few days tlie lympli of the
vesicles becomes turbid, and on the fifth or sixth day forms a brownish
crust, from the desiccation of the vesicles and their contents. This
eruption is found most frequently in feverish conditions, especially
in intermittent and rheumatic fevers, in pneumonia and catarrh, but
scarcely ever in typhus.

It never calls for treatment, but its presence on the upper lip, cov-
ering, like pearls, its whole surface, in intermittent fevers, points espe-
cially to JSTatr, mur.

Eruptions



Have their seat especially on the forehead ; and appear in the form of
macule, pustules or tubercles ; all of a reddish brown or copperish
color.

The Cancer of the Lower Lip.

This affection generally develops itself on the prolabium and adjoin-
ing mucous membrane, seldom on the adjoining integument of the
lip. At first appear little round, hard lumps, which gradually grow
and join in one mass, mostly of the size of a pea — scarcely larger than
a walnut. By-and-by the skin becomes a dark purple color, and
finally the tumor breaks, but does not show any cavity, and appears
like a dark-red sore with a dirty-whitish, thin secretion. In its fur-
ther progress the borders of the sore become raised, the sore surface
cracks and upon it grow cauliflower excrescences. The lymphatic
glands of the lower jaw and under the tongue become soon involved
in the morbid process. At first they merely swell and are movable,
but later they grow fast to the submaxillary bone.

Therapeutic Hints, — Arsen., Con., Lach., Phos., Sepia, Silic,
Sulphur.

The Flat Cancer of the Face

Develops itself at the nose, at the corners of the eyes, on the cheeks
and forehead, and commences as very small, round tumors in the
skin close to each other, forming ridges of from one to two lines in
thickness. These ridges cover themselves with little yellow scabs,
which, if removed, leave a raw surface, raised scarcely any above the
skin and showing a great similarity to a common sore. It differs,
however, from a common ulcerating sore by its hardness and callous
edges, its want of healthy granulation, and any sign of a healing
process, and its tendency to spread in circumference but not in depth.

Therapeutic Mints. — Ars., Caust.



DISEASES OF THE FACE. 79

Spasmodic and Paralytic Affections of the Face.

The mimic spasm of the face (spasmus facialis) is an affection of tlie
nervus facialis, and manifests itself in a continuous or intermitting
contortion of one side, seldom botli sides, of the face.

The spasm of the masseter, whicli is an affection of a brancli of the
trigeminus — the masseteric nerve — is either a tonic spas7n^ constituting
what is commonly called lockjaw, to-ismus, or a clonic sp)asm, manifest-
ing itself by a chattering or gnashing of teeth.

Lockjaw is most commonly known as a consequence of wounds,
and may also be caused by brain affections.

The chattering of teeth is found during violent chills or after great
fright; and

The gnashing or grating of teeth is either a brain symptom, or a
reflex action from abdominal irritation.

Tlierapeutic Mints,

Lockjavj, Angustupa, after external injury; jerking in the dorsal
muscles.

Bellad., after taking cold, with great pain in the lower jaw. Com-
pare Lycop., Merc, Camph., Hyosc, Ign,

Spjasms of the face, compare Bell., Graph., Valer.

Paralysis of the face generally attacks only one side, and is caused
by either diseases of the brain, (apoplexy, abscesses, softening, or
pseudo-formations,) when it is mostly combined with paralysis of the
tongue and extremities — central irritation — or by diseases of the
petrous portion of the temporal bone, caries or external injuries, or
tumefactions, or scirrhous swellings of the parotid glands — peripheric
irritations.

The paralytic side of the face appears flatter, longer, drawn down,
motionless. When both sides are paralyzed, the whole face is smooth
and motionless like a mask.

If the masseteric branch of the trigeminus is affected, this paralytic
state manifests itself in an inability to chew ; the cheek of the affected
side sinks in, and the lower jaw stands crooked during the act of
mastication. This paralysis may be either a brain symptom or . the
consequence of local diseases of the corresponding nerves.

Tlierapeutic Hints. — Compare Bellad., Caust., right side;
Cocculus, Graphites, left side ; Nux v., Opium.



80 PACE.

Prosopalgia, Neuralgia of the Face,

Means a pain in the facial nerves, which may be caused by a diseased
inflammatory condition of the nerves ; by cerebral disturbances ; by
disturbances of neighboring organs-, by conditions we know little
about, so-called purely nervous affections. As this complaint is
quite frequently met with, and of a most painful nature, and as, in
most cases, it speedily and entirely yields to Homceopathic treat-
ment, when the old school treatment has entirely failed to give relief
or even made the trouble worse, I shall annex the following :

Therapeutic Mints. — Compare chapter on Nerves.

Aconit., left side, cheek hot and red; the patient is beside himself;
rolling about in bed or on the floor, and screaming.

Arsen., periodic ; great restlessness, exhaustion ; better from external
heat.

Arg. nitr., during the paroxysm an unpleasant, sour taste in the
mouth.

Belladonna, mostly right side ; paleness or redness of the face ; con-
vulsive motions of the muscles of the face during the height of the
paroxysm.

Bism. nitr., amelioration from constant running about and taking
cold water in the mouth.

Cact. grand., right side; chronic; worse from slightest exertion,
tolerable only when lying still in bed ; brought on by wine, music,
or strong light, or missing dinner at the usual hour.

Calc. c, chronic ; in fat persons ; profuse catamenia ; soft stools ;
cold damp feet.

Caust., right side ; worse at night ; chilly ; no thirst ; scanty menses.

Cham., hot, red face, perspiring ; or one cheek red and the other
pale ; crying ; irritable mood.

China, right side ; worse from slightest touch.

Chin, sulph., paroxysms at regular hours ; better from external heat
and tying up the head.

Coffea, pain is unbearable ; the pains extend down to the arms and
even fingers' ends ; patients loquacious, inordinately complaining ;
beside themselves.

Ferrum carb., during the paroxysm the face is fiery red, with glist-
enino- eyes ; afterwards earthy-looking ; head in constant motion.

Gelseminum, contractions and twitchings of the muscles near the



GENERAL OBSERVATIONS. 81

parts affected ; great nervousness and loss of control over tlie volun-
tary muscles, giving rise to odd, irregular motions.

He par, especially right side, after Bell., previous abuse of Mercury ;
brought on by cold west winds.

Natp. mur., periodic paroxysms ; great thirst ; yellowish pale and
livid complexion ; suppressed intermittent fevers.

Nux v., sometimes periodic ; the eye of the affected side is injected,
painful, with lachrymation ; earthy complexion.

Pulsat., easily crying ; worse in the evening, worse in the warm
room ; better in the fresh air ; looseness of bowels ; scanty or sup-
pressed menses.

Sepia, yellow saddle across the nose.

Silicea, itching and dryness in the nose, frontal sinuses and antrum ;
Highmorianum ; affection of the periosteum in these parts.

Spigelia, especially left side ; cheek dark-red ; eye watery ; palpita-
tion of the heart.

Stannum, the pain increases steadily to a certain height, when it
gradually decreases again just as steadily ; after suppressed intermit-
tent fevers by quinine.

Stramon,, delirious talk, with eyes open ; frowning with forehead ;
risus sardonicus.

Sulphur, often when all remedies fail ; deep-seated psoric diathesis ;
painful, scanty menstruation, insufficient hard stools, sleepless nights,
etc.

Thuya, right side; after suppression of eczema on the auricle ; numb
feeling in the parts affected after the pain ceases.

Veratr., bluish paleness of face, sunken countenance, coldness of
limbs, cold perspiration, vomiting, prostration.

Verbasc, daily from 9 A. m. to 4 p. m. ; brought on by talking,
sneezing, and made worse from pressure upon the affected parts.



MOUTH„

1. Its external parts.

The lips we have had to notice on several occasions, as parts of the
face.

Their paleness denotes poverty of blood ; a transient paleness, how-
ever, is found in chills, spasms, fainting fits and frights.

Their redness is a healthy condition ; but an increased, deeper or



82 MOUTH.

hrigliter redness is found in feverisli conditions. A higher redness of
the lower lip, without apparent fever, indicates Sulphur.

Bluish lips are seen in all such conditions, where a free circulation
of blood is interfered with.

Dry lips are found in all acute, feverish or inflammatory conditions.

Brownish or even hlacldsh crusts form in typhoid states.

Fever-hlisters, hydroa^ are found on the lips very often in intermit-
ting fevers and pneumonia, scarcely ever, however, in typhus; and
lastly, the cancer of the lip, a malignant growth, appears mostly at the
prolabium, rarely at the adjoining integument of the lip.

The mouth is kept open in stoppage of the nose, difficulty of breath-
ing, great interior heat, hardness of hearing. In fevers it is a sign of
great exhaustion — the lower jaw falling down, especially during
slumber. This symptom very frequently indicates Lycop.

The mouth is spasraodically closed in lock-jaw and other spasmodic
affections.

2, The interior cavity of the mouth. We shall examine it under the
following heads : Gums, teeth, tongue, salivary glands and their ducts,
tonsils, uvula, soft palate, fauces, and mucous membrane of the mouth
and fauces.

The Gums

Present different aspects. They are p)ale in angemia, from the abuse
of iron and mercury, and in spasmodic conditions ; hlue in cyanosis
and scurvy; hroion and hlacldsh^ coated with tough mucus in typhoid
conditions; a bluish, grayish, slate-colored stripe or line on the gums
is a sign of lead-poisoning; a purple line is found in old age, and
a pink line, especially on the gums of the lower jaw by paleness of
the remaining gums, is often met with in phthisical persons.

Swelling of the gums is either of a congestive and inflammatory nature
— in toothache, parulis — or of an oedematous and spjongy nature, (in
scurvy, mercurial affections, noma, stomatitis.) In such conditions the
gums generally bleed easily when being cleansed, or only slightly
touched.

Bleeding gums are said to have been observed also from suppressed
menstrual or hemorrhoidal bleedings — vicarious bleeding.

Ulcerated gums may originate from diseased states of the teeth, from
general maladies or from constitutional maladies, such as scurvy,
syphilis, mercurial poisoning, noma, stomatitis.

The special diseases of the gums are :



DISEASES OF THE MOUTH. 83

Papulis, Gumhoil^ Inflammatory Swelling of the Gums.

This generally takes its origin in a diseased tootli, but may appear
without any known cause. Its seat is almost always on the gums*
covering the external side of the alveolar processes, and may reach to
such a height as to swell up the cheek and corresponding side of the
face, making chewing and talking a very difficult operation. It almost
always ends in the formation of an abscess, which breaks and discharges.

Therapeutic Mints* — Hepar, Silicea.

Epulis, a kind of Fungoid Growth on the Gums.

This originates either in the gums, periosteum, or on the maxillary
bone. When it begins in the gums or periosteum there is a reddish
or bluish-red, hard and painless swelling of a roundish or oval shape
growing out of the alveolar process or between the teeth. It is some-
what movable if it rests upon a broad pedicle ; generally, however, it
has none, and shows no distinct boundaries. In its further progress it
assumes the form of an irregular, fleshy lump, which, growing larger,
overlaps one or more teeth ; the adjoining teeth are pressed out of their
position, and grow crooked or fall out. The swelling soon bursts
through the mucous membrane, by which it has been covered, and
presents a tuberous, grayish -red mass, which is either an entire mass
or is split into different, irregular lobes by deep crevices. It bleeds
easily, and, by sloughing, pieces of it fall off, forming cavities, which
secrete a most offensive ichorous discharge.

When it starts from the maxillary bone, we observe at first a swell-
ling of the bone, then the teeth fall out, and at last the morbid growth
bursts forth.

In some cases it has its seat in the antrum Highmorianum.

Therapeutic Mints. — Calc, c, Cham., Natr. m., Thuya.

Fistula of the Teeth.

In consequence of inflammation of the periosteum lining the root of
the teeth, and its consequent suppuration, or caries of the root and
alveolar processes, there forms gradually a channel, which opens
either on the inside of the mouth or outside of the face, which dis-
charges a morbid secretion, and forms on its outlet hard, callous
edges. This is called a fistula dentalis.

Therapetitic Mints. — Compare Askalabotes, Calc. c, Causticum,
Eatanhia, Silic, Sulphur.



84 TEETH.



« Tlie period of the first dentition, developing tlie tem]jorary or milk-
teeth, is frequently attended with quite severe ailments of the child. It
is especially during this period that we find children attacked by brain
diseases, bronchitis, and pneumonia, and especially catarrhal affections
of the intestinal canal. How is this ? Can such a comparatively small
irritation, as of necessity must be combined with the teeth piercing
through the gums, cause all such mischief? Or is it not rather one of
those common mistakes, where a thing is supposed to be the cause of
another thing, because it is found simultaneously with the same ? May
not it and the other have both a still deeper, yet common cause ? And
this cause is the develojoment of the hrain, tohich at that time is greater
and more rapid than at any other period of life, lasting to the seventh
year of life. The soft tissue of the brain grows denser, and the dis-
tinction between its cortical and medullary^ or gray and white suh-
• stance^ becomes more marked, whilst the yellowish substance; which
had formed a line of demarcation between them, gradually fades
away. The brain of infants is, compared with the remaining body,
very voluminous ; being in the proportion of 1 : 8, whilst in adults it
is in the proportion of 1 : 40 or 50. And still it grows on rapidly up
to the seventh year, so that the brain of an infant, which weighs at
its birth, say three-quarters of a pound, weighs in its second year
nearly one pound and a half, until up to the seventh year it attains a
weight of two pounds and a half and more. (Burdach.) It is clear,
that such great and marked changes in the central organ may natu-
rally be attended by a liability to disturbances in its own sphere and
other peripheric organs, and this is the reason why the period of den-
tition, which is in itself only the result of this interior development
of the brain, is attended by so manifold and serious disturbances. I
hope this will be sufficient to prove the absurdity of the practice of
lancing the gums during infancy.

The teeth become loose from mercurial poisoning, in scurvy and
syphilitic affections.

The decay of the teeth is ascribed to microscopic parasites, and to a
want of silicea in the system.

Odontalgia, Toothache.

Toothache has many causes : decay of the teeth and exposure of
the nerve ; various affections of different organs of the body ; taking



DISEASES OF THE TEETH. 85

cold, &c. The best treatise on tliis painful affection, the curing of

which has won many a friend to Homoeopathy, is that of Dr. Hering

in his Domestic Physician. With the kind permission of its author,

I shall insert it here :

Most in the Front-teeth. — Belladonna, Causticum, Carbo vegetabilis, Cliamomilla,
China, Coffea, Igiiatia, Mercurius, Natrum muriaticum, Nux moschata,
Niix vomica, Phosphorus, Phosphoric acid, Rhus, Silicea, Staphisagria,
Sulphur.

Most in the Eye and Stomach-teeth. — Aconite, Calcarea, Hyoscyamus, Rhus,
Staphisagria.

Most in the Molars or Back-teeth. — Arnica, Belladonna, Bryonia, Calcarea,
Carbo vegetabilis, Causticum, Chamomilla, China, Coffea, Hyoscyamus,
Ignatia, Mercurius, Nux moschata, Nux vomica. Phosphorus, Phos-
phoric acid, Pulsatilla, Rhus, Silicea, Staphisagria, Sulphur.

Most in tlie Upper-teeth. — Belladonna, Bryonia, Calcarea, Carbo vegetabilis,
China, Natrum muriaticum. Phosphorus.

Most in the Lower-teeth. — Arnica, Belladonna, Bryonia, Carbo vegetabilis,
Causticum, Chamomilla, China, Hyoscyamus, Ignatia, Mercurius, Nux
vomica, Phosphorus, Pulsatilla, Rhus, Silicea, Staphisagria.

One-sided. — Aconite, Belladonna, Chamomilla, Mercurius, Nux vomica, Puls-
atilla.

On the Left side. — Aconite, Apium virus. Arnica, Carbo vegetabilis, Causticum,
Chamomilla, China, Hyoscyamus, Mercurius, Nux moschata, Phosphorus,
Ehus, Silicea, Sulphur.

On the Riglit side. — Belladonna, Bryonia, Calcarea, Coffea, Lachesis, Natrum
muriaticum, Nux vomica, Phosphoric acid, Staphisagria.

A -whole Row of Teeth. — Chamomilla, Mercurius, Rhus, Staphisagria.

In Hollow Teeth. — Antimonium crudicm, Belladonna, Bryonia, Calcarea,
Carbo vegetabilis, Causticum, Chamomilla, China, Coffea, Hepar, Hyos-
cyamus, Lachesis, Mercurius, Nux moschata, Nux vomica. Phosphorus,
PhoGphoric acid, Pulsatilla, Rhus, Silicea, Staphisagria, Sulphur.*

In the Gums. — Antimonium crudum. Arnica, Belladonna, Bryonia, Calcarea,
Carbo vegetabilis, Chamomilla, China, Hepar, Hyoscyamus, Lachesis,
Mercurius, Natrum muriaticum, Nux moschata, Nux vomica, Phos-
phorus, Phosphoric acid, Pulsatilla, Rhus, Silicea, Staphisagria, Sulphur.

Upper. — Belladonna, Calcarea, Natrum muriaticum.

Lower. — Causticum, Phosphorus, Staphisagria, Sulphur.

Interior of. — Arnica, Natrum muriaticum, Phosphoric acid, Pulsatilla,

Rhus, Staphisagria.

Swollen. — Aconite, Belladonna, Calcarea, Chamomilla, Carbo vegetabilis,

Causticum, China, Hepar, Lachesis, Nux vomica, Natrum muriaticum,
Phosphorus, Pulsatilla, Rhus, Sulphur.

Painful. — Apiura virus, Arsenicum, Calcarea, Carbo vegetabilis, Caus-
ticum, Lachesis, Mercurius, Nux moschata, Nux vomica, Phosphorus,
Staphisagria, Sulphur.

Bleeding. — Belladonna, Calcarea, Carbo vegetabilis, Causticum. Lachesis,

Mercurius, Nux moschata, Nux vomica. Phosphorus, Staphisagria, Sul-
phur.



86 TEETH.

Ulcerated. — Belladonna, Calcarea, Carbo vegetabilis, Causticum, Hepar,

Lachesis, Mercurius, Natrum mui'iaticum, Nux vomica, Pkosphorus,
Staphisagria, Siiicea.

Pressing. — Aconite, Arnica, Bryonia, Carbo vegetabilis, Causticum, China, Hyos-
cyamus, Ignatia, Natrum muriaticum, Nux moschata, Nux vomica, Phos-
phorus, Rhus, Siiicea, Staphisagria, Sulphur.

In-wards. — Rhus, Staphisagria.

Outward. — Phosphorus.

Asunder. — Phosphoric acid.

As if from Congestion of the Blood, as if the teeth -were too close.—

Aconite, Arnica, Belladonna, Chamomilla, Calcarea, China, Coffea,
Hepar, Hyoscyamus, Nux vomica, Pulsatilla.

As if pulled out or wrenched. — Arnica, Causticum, Nux moschata, Nux vom-
ica. Phosphoric acid, Ehus.

Too Long. — Arnica, Arsenicum, Belladonna, Bryonia, Calcarea, Carbo veg-
etabilis, Gaustictom, Chamomilla, Lachesis, Hyoscyamus, Natrum mur-
iaticum, Nux vomica, Rhus, Siiicea, Sulphur.

Loose. — Arnica, Arsenicum, Bryonia, Carbo vegetabilis, Causticum, Chamomilla,
China, Hepar, Hyoscyamus, Ignatia, Mercurius, Natrum muriaticum,
Nux moschata, Nux voinica, Phosphorus, Pulsatilla, Rhus, Staphisagria,
Sulphur.

As if too Loose. — Arsenicum, Bryonia, Hyoscyamus, Mercurius, Rhus.

Blunt. — Aconite, China, Dulcamara, Ignatia, Lachesis, Natrum muriaticum, Mer-
curius, Nux moschata. Phosphorus, Phosphoric acid, Pulsatilla, Siiicea,
Staphisagria, Sulphur.

Sore, Bruised. — Arnica, Arsenicum, Belladonna, Bryonia, Calcarea, Carbo veg-
etabilis, Causticum, Ignatia, Natrum muriaticum, Nux vomica. Phos-
phorus, Pulsatilla, Ehus.

Burning.— Chamomilla, Mercurius, Natrum muriaticum, Nux vomica, Phos-
phorus, Pulsatilla, Rhus, Siiicea, Sulphur.

Gnawing, Scraping. — Chamomilla, Nux vomica, Rhus, Staphisagria.

Digging. — Antimonium crudum, Bryonia, Calcarea, China, Ignatia.



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