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would change its name. Besides this, nothing is more un-
certain than the pathognomonic symptoms of clinical cases,
because that all ought necessarily to disappear together, when
the principal lesion upon which they depend is cured; for it
would be very wrong to insert them among the curative
effects of a medicine, if the pathogenetic study of their sub-
stance has not already revealed them as actually appertaining
to the sphere of action of the drug. This is even so much
tlie more important', as it is not sure to see a malady cured
by means of a medicine whose pathogenesis does not contain
in a striking manner, any pathognomonic symptom, but
whose characteristic symptoms respond in a most marked
manner to the a^ccidentaZ .symptoms of a given case. The
same thing obtains in other cases where a medicine whose
pathogenesis contains positively all of the pathognom/mic
symptoms of the disease in name^ but does not produce any
good effect, in consequence of the single fact that it does not



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1869,] Collection of Clinical Ohservations. 257

possess at the same time the characteristic symptoms or indi-
cators which distinguish the given case as a special one.

In order to profit by a knowledge of the true therapeutic
character of medicines, the study of qlinical cases ought to
be undertaken in such a manner as to combine, in each case,
symptoms which are particularly indicators; that is to say,
accessory symptoms which, in diseases the most diverse rela-
tive to their name^ might indicate the eflBcacious and salutory
use of this medicine.

Made from this point of view, this study, absolutely inad-
missible as it is, when it comprehends only pathognomonic
symptoms, becomes not only more useful, but actually indis-
pensible, in throwing a more vivid light upon the character of
pathogenetic effects, especially when facts of the most diverse
nature combine to confirm the salutary influence of a medicine
as such or such accessory symptoms always characterize a
given case. This rule is so general, that all symptoms con-
firmed in tliis manner, may be boldly regarded as perfectlj
equivalent to the pathogenetic symptoms, even when these
experimentations have not yet demonstrated any simile. The
same rule holds good up to a certain point, with all morbid
symptoms which disappear in a. manner isolated under the
influence of a medicine, and while the principal malady is
not materially ameliorated : as, for example, vomiting which,
in consequence of a dose of Ipecacu<znha^ alone ceases in a
case of cholera ; as the rapid pulse and the intense febrile
heat which (done disappear after a dose of Aconite^ in the
treatment of an inflammatory disease, and so on. All symp-
toms thus cured may bo included in the symptomatology as
equivalent to the pathogenetic symptoms, even when tiiey
have not yet been observed as such, provided only that we
take the precaution to distinguish them, by some sign, from
the latter. Hahnemann in his treatise on Chronic Maladies
has included some of these, among other symptoms, at the
end of the preface upon medicines called antipsorics^ and
which have been very erroneously confounded with cha/rac-
teristic symptoms. Tliis confusion, which still exists in many

18



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258 The American Ham/Bopathic Jieview. [Mar.

writings, is so mucli the more deplorable, as Hahnemann
himself has, in the most formal manner, protested against
everything which tends to contribute to it. Already, in the
last edition of his Organon^ he says positively that it is not
necessary to regard those clinical symptoms, collected by him,
as indicators (or characteristic symptoms) for the choice of
the medicine, because that they are only signs ah usu in
marhisy incapable of furnishing any definite indication : and,
in the second edition of his Chronic Maladies^ page 150 of
the German edition, he reverts to the- subject as follows : We
translate.

" This shameful indolence, in a work which requires so
much accuracy, is often applicable to pretended homoeopathists
who only select medicines according to difiical signs {ah usu
in moriis) such as theyfrnd enumerated in the preface of medi-
cinesy and is a mode of procedure absolutely false, and very
similar to that adopted by allopathists. For these clinical
signs only express isolated symptoms capable of confirming
to a certain extent the choice which should be made, accord-
ing to the characteristic pathogenetic symptoms, but which
ov^ht never to he taken as a guide in the choice iiself especi-
ally as they are only prohlematicah Notwithstanding^ there
are authors who advise this empirical mode of procedv/re.^'^

To this passage, imperfectly rendered in tlie French trans-
lation of Jourdan, we may add that the " authors" of whom
Hahnemann speats are homoeopathic authors whose names
we could cite, as we were at that time writing under the
dictation of the master. We claim the right therefore of
deciding what Hahnemann regarded as characteristic symp-
toms capable of serving as indicators for the absolute choice
of remedies. Indeed these clinical symptoms, placed by him
at the head of the pathogeneses of his antipsoric medicines,
are, as he himself observes, nothing less than special indica-
tors^ simply THERAPEUTIC signs, which, like pathognomonic
symptoms of pathogeneses, declare in a general manner in
what affection a medicine may do good, when it will be speci-
ally indicated, but which in themselves do not declare when^ or
by the presence of what particular symptom, this medicine
will be specially indicated against one or the other of these



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1859.] Collection of Clinical Observations. 259

clinical signs included at the head of the pathogeneses. This
does not imply that there may not be characteristic signs or
special indicators among these clinical symptoms; but those
which have this quality do not possess it in virtue of their
character of clinical symptoms, but in virtue of the special
role which they play, besides this, in the general therapeutic
physiognomy of the medicine.

Clinical and characteristic symptoms of a medicine are not
identical, mifortunately for those who confound them in
practice. The first, when well selected, are signs that the
medicine can cure, particularly if it is specially indicated.
Chc^acteristic symptoms are those which indicate the medi-
cine, and which can be selected as well by the study of its
pcUhogenesis alone as by that of clinical cases. Thus most of
the cha/racteristic symptoms which Hahnemann has pointed
out to us, especially of PulsaMla^ IghaUa^ Nvx vomica^ and
other substances of his Materia Medica^ have been recogni-
zed by him, not in practice, but from comparative studies
which he has made of pathogenetic symptoms among them-
selves, and according to which he employs medicines with
perfect tact, without knowing a single clinical symptom.
These characteristic symptoms even now fail ns with regard
to all aniipsoric medicines, notwithstanding the great number
of clinical signs with which Hahnemann has accompanied
their pathogeneses ; and if we had remained with him a longer
time, during the last years of his sojourn in Germany, he would
perhaps have done for them what he has done for many
medicines of his Matena Medica; for, indeed, we had com-
menced, with him, a very extensive preparatory work for the
cOTTiparatvoe study of all the symptoms of many antipsoric
drugs. Later, we have continued this work alone, according
to the indications and views of Hahnemann, with the intention
of thus filling one of the most essential defects of his works.
But, qs clinical observations, although incapable of furnishing
all of the characteristic symptoms, may however, contribute
much to the confirmation of those which pathogenetic studies
have included as such, we have prefered to join the results of



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260 The American HomcBopoithio Review. [Mar,

both, which we have constandy done to retard the publication
of our works of this kind.

The series of publications which we have commenced to-
day is designed to place before our readers the first part of
our work, that is to say, the clinical elements. We expect to
dispose of these elements in such a manner that they shall be
associated with the characteristic symptoms which constitute
the pathogenesis of each medicine. To this end, we shall
first give, in the most precise manner, the chief symptoms of
all cases which any given medicine has cured. Then, after
having reviewed all these cases, we shall arrange the symptoms
which, both from clinical observations and from the patho-
genetic character of the medicine, appear to have the most
general application to the most diverse cases of disease. In
this work we shall follow precisely the method indicated by
Hahnemann, when we worked under his supervision, and
according to the same method by which we together achieved
the study of the character of many medicines, especially of
Aconite^ SidphtiTj SUicea^ and Arnica. We hope that two
things will result from this work, viz, to know :

1st. That the symptoms which Hahnemann himself regard-
ed as characteristic for the choice of medicine are not identical
with the dmical signs which he has placed at the head of the
pathogeneses of liis antipsorics.

2d. That the works and opinions which Hahnemann has
published in this sense, in order to make known the character
and symptoms indicative of PtdsatUla^ Bryonia^ Quinia^ etc.,
do not include aU the signs which he regards as characteristic
for the choice of these substances; and which he would have
given, if he had intended to publish thereupon a complete
work. This remark applies with still greater force, to all
medicines respecting whose therapeutical character we possess
only a few notes made by him ; that is to say, incidentally,
as for example, upon Aconite^ Camphor ^ etc.

We commence our work to day with Acomte^ where our
readers may see how we intend to satisfy both the exigencies
of a clinical hvUetin^ by the publication of practical facts.



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1869.] Collection of Clinical Observations. 261

and those of a work upon the character of medicines. In a
word, we expect in future, to publish alternately a series of
new observations, and a series of observations made with a
single medicine, both, for the benefit of the practice.

CLINICAL EFFECTS AND Tni^lKAPEUTIC CHARACTEB OF ACONFIE.

Vertigo. — 1. A man forty years of age, with light hair,
red face, healthy, but accustomed to sanguineous discharges
until four years since, was taken with an attack of general
heat, with sweat, redness of the face, violent vertigo forcing
him to sit down, and the paroxysm continuing about two
hours. Four weeks afterwards he had two new attacks, the
last of which was accompanied with vomiting, great weak-
ness, and slow and uncertain step. After the use of six doses
of AcoTiite 3d, one drop morning and evening, the attacks
disappeared. — Ga2ette Homce&pathique of Leipzig^ vol. XXXII
page 228, Lembka.

2. A young man of an apoplectic constitution, and suffer-
ing from repeated attacks of vertigo, forcing him to support
himself — with buzzing in the head, and difficulty in collecting
his ideas, was cured of his complaint with a drop of Aconite
3d, daily. — Hygea^vol. V^page 102, Schroen.

3. A woman forty-three years old, after a fright, had
attacks of vertigo whenever she attempted to rise, and forcing
her to remain in bed — with great anguish, as if she was about
to die. Immediately after the fright she had felt a whirling
sensation in the stomach, which soon ascended to the head,
with trembling, and a sensation of faintness and vertigo.
Aconite 16th, followed by two doses of Opium 9th, sufficed to
cure the malady. — Armales de Ha/rtlavb et Trifiksy vol. /,
page 72, Bethma/nn.

4. Aconite decidedly produces vertigo, faintness, weakness,
apoplexy^ and singing in the ears, and its curative power
against these affections is very positive as experience has
already demonstrated. — Hahnemann^ Studies respecting a
new principle for the discovery of the curative virtues oj^
medicines. — Journal of Hufeland^ vol. 11^ sheet 3.



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362 The American Momcsopathic Heview. [Mar.

5. Aconite produces all the morbid phenomena which we
observe in persons who have had a fidght accompanied with
vexation, and it is the most efficacious remedy in these cases.
— JSdhnematm^ Materia Medica, preface to Aconite,

6. General indicaiions. — ^Vertigo which forces the patient
to sit down, to support himself, to He down ; apaplecHc con-
stitution ; fright as the cause.

7. Vertigo as if he would have to fall down^ or with tot-
tering ^ not much when seated, but strongest when rising from
his seat — Ma;teria Medica^ symptoms 2, 3, 5.

Apoplexy. — 8. A young girl twenty years old, in full
health, of an apoplectic constitution and very plethoric, men-
struating profusely, was attacked with apoplexy, after a fright
with vexation. She fell suddenly as if stricken with lightning.
Respiration slow and rattling, face and body like a corpse,
marbled with violet; pulse imperceptible, beatiligs of the
heart slow and trembling, pupils insensible to light ; involun-
tary emission of urine ; limbs cold and rigid. After five
doses of Aconite 1st, at intervals of a quarter of an hour, and
the simultaneous application of cold compresses to the head,
and of warm napkins to the limbs, the first signs of a return
to life manifested themselves. At the end of eight hours,
after a few new doses of Aconite at intervals of sixty to ninety
minutes, life and consciousness completely returned, but the
entire left side was paralysed, the arras and feet of this side
being cold and incapable of any movement ; speech stammer-
ing, tongue drawn to the left side, left ear deaf, ringing in the
whole head, the left side of the lips elevated in a sensible
manner during respiration ; the breast is cold to the touch,
and leaves the impress of the finger. At the expiration of
thirty hours, after a drop of Aconite 3d every two hours, the
entire condition was ameliorated, with the exception of the
congestion of the head, the buzzings, the stammering, and
the paralysis of the tongue and limbs, which were cured with
Opium, — Sturm, Gazette Hommopathique de Leipzig, vol. /,
pa^e 66.



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1859.] CoUection of Climcal ObservcUions, 263

9. A man sixty-four years old, having a short neck, large
shoulders, addicted to spirituous drinks and sexual pleasure,
had an attack of sanguineous apoplexy, with all signs of life
upon the point of being extinguished. At the end of four
hours, after drop doses of Aconite 1st, every hour, life
returned. At the expiration of twelve hours, after a dose of
Aconite 3d every three hours, consciousness, vital heat and
complete mobility of the upper extremities were restored.
Nothing remained except paralysis of the lower limbs, of the
bladder and rectum, and strong pains in the back and lumbar
region, which were cured "witii^ux vomica. — Sturm^ loco dt^
page 67.

10. Aconite appears to correspond especially to sanguifieous
ajpoplexi/y and is particularly adapted to persons of an apo-
plectic constitution, or to those who have suffered from
maladies in the sphere of the circulatory system, as well as to
apoplexy caused by a suppression of habitual heemorrhages.
In general it is indicated when the head is hot to the touch,
with violent pulsation of the carotids, skin ratlier hot than
cold to the touch, pulse full, strong and hard, or nearly sup-
pressed, &w^ w?^ intermittent, — Dose: 15th to the 18th dilu-
tions. — KreuMler Therapeutiqice des Maladies aigties ct chron'
iques^page 126.

11. Aconite is particularly capable of producing transient
apoplectic and paralytic affections, partial or general, and its
curative efficacy is the same in maladies of this kind. —
Hahnemann^ Etvdes sur un nouveau principe^ etc., Jawmal de
Su/dand^ vol. 1, sheet 3, 1796.

12. Symptoms which a/re particularhf indicators. Sanguine
temperament, plethoric constitution, pulsation of the carotids,
face hot and red, or cold and pale ; paralysis of the left side.

{To he Continued.)



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264 T?ie American HomcBopathic Eeview. [Mar.

HOOPING COUGH.

BY OIJVEB B. KING, M. D., NEW YORK.

Hooping cough, though seldom a fatal disease when un-
complicated, is often the source of much vexation to the
physician, from the obstinacy with which it resists every
remedy employed. We have as yet no drug that can be
considered a specific for this disease, and probably shall never
find any one remedy capable of eflfecting a cure in every case ;
but if, by a comparison of cases and the treatment employed
in their cure, we can arrive at the symptoms which shall indi-
cate the proper remedy in any given case, we shall have made
a great advance on the present tentative mode of treatment.
With this object I would make known the remedies used by
me in some twenty cases successfully treated during the past
six months. When I say successfully treated, 1 mean that
they were all cured, with two exceptions, in from two days to
two weeks after the first exhibition of the remedies employed.
These remedies are :

Droaeraj Corallia rvbra^ CoccioneUa septempmiciata^
Guprum and Ipecacuanha; enimierated in the order of their
importance.

I feel satisfied from my own experience, and I think that
the experience of others will confirm the assertion, that Dro-
sera and Corallia will cure the majority of all cases. But to
get this result, it is absolutely necessary that the Drosera
should not be used in too low a dilution.

When in the habit of using the Drosera in mother tincture,
or third dilution at highest, I do not remember ever seeing
any good eifect from it in this disease, and like many others
sX the present time, thought Hahnemann had greatly over-
rated its value ; but since 1 have tried from the thirtieth to
the two hundreth, 1 prescribe it with confidence, feeling
that there is at least an even chance of its eflfecting a cure.

Corallia rubra is indicated when there is a violent, dry,
spasmodic cough, or when there is but a slight accumulation



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1859.] Hooping Cough. 265

of mucus in the air passages ; in these cases its action is
• nsually rapid and complete, frequently removing all traces
of the cough in a few days.

Coccionella septempunctata is a valuable remedy in this as
well as other spasmodic coughs. The Coccus cacti, or common
Mexican cochineal, has been long used empirically in this
disease,' and probably possesses analogous medicinal proper-
ties. The septempunctata is the well known lady bug, or
lady bird of our gardens, and is particularly partial to the
rose bush. I gathered enough from three rose bushes to
prepare the tincture which I now use. The indications for
its use are a violent spasmodic cough, with expectoration of
white or transparent, ropy, tenacious mucus ; and frequently
ending in retching or vomiting.

Cuprum seems particularly applicable to those cases com-
plicated by convulsions, also when there is a great accumula-
tion of mucus in the bronchial tubes, with difficult breathing
and rattling in the chest.

Mrs, Er- — called upon me early in September last to
prescribe for her two children, the one five and the other two
years old, who had contracted Hooping cough while in the
country. The cough in each case was violent, frequently
accompanied by vomiting, and bleeding from the nose, and
once in the younger by bleeding from the eyes. 1 prescribed
Dros.' • three times a day, to be given to both for three days.

On the evening of the second day I was sent for in haste,
and on going found the younger child lying in convulsions.
A loud rattling in the trachea could be heard at every inspir-
ation, and on applying the ear to the chest the same could be
heard in all the large bronchial tubes ; beyond these there
was no sound, the air apparently not penetrating the smaller
air-tubes. I immediately gave Cuprum •, and in a few min-
utes the convulsions ceased, and there was no return of them.
1 left Cuprum* to be alternated with Ipecac* every three
hours. At the end of a week the child was free from cough
and as well as ever. The elder child receiving no benefit
from the Dros., and the cough being comparatively dry, I



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266 The Amei^ican SomcBopathiG Review. [Mar.

prescribed Corallia^ to be taken three times a day. Under
the use of this the cough speedily became modified, and in
about ten days had disappeared, without the use of auy other
remedy.

About the same time Doctor S an allopathic physician

requested me to prescribe for his child eighteen months old ;
saying that he had tried everything he knew of for Hooping
cough, but that his child only got worse, and that he did not
believe it could live another week unless relieved. The cough
had lasted six weeks ; the paroxysms were violent and of long
duration, terminating with vomiting of large quantities of
thick white and yellow mucus, with which the air passages
seemed flUed. I gave him four or five drops of Dros. ' • on
Sac. Lact., to be dissolved in a tumbler half full of water, and
a tea-spoonfuU given three times a day. I did not see him
for a week afterwards, when on enquiring about his child,
and if he had tried the medicine I gave him, he said he had,
and that the child was so well as to need nothing more.

Mrs. V , whose child I had previously cured of Hoop-
ing cough with Coccion-sept.', was attacked with the same
while on a visit to Philadelphia, and was treated for it there
without benefit. Returning I found her suffering from fre-
quent paroxysms of cough, with expectoration of tenacious
white, and sometimes yellowish mucus. The cough deprived
her of sleep and nourishment, for whatever she ate was
vomited up at the next return of the cough. She also com-
plained of great pain in the eyes, which were swollen and
protruded. I gave her Dros.' " once in six hours, and in two
days she was free from cough.

I will only mention one other case which was complicated
with dysentery. The child, fourteen months old, had been
treated homoeopathically, allopathically, and empirically for
ten weeks, and had been getting continually worse, until the
physician who was attending it said it could not live twelve
hours. I found tlie child wasted to a skeleton, the paroxysms
of cough very severe and occurring with intermissions of only
a few minutes, followed by vomiting of ropy mucus. There



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1859.] Climcal Notes on Amenorrhea. 267

was great congestion of the head, with burning heat of the
whole surface ; pulse small and too rapid to be counted ; and
the child so weak as not to be able to move itself. At every
turn of coughing there was a dysenteric evacuation followed
by much straining. The stools consisted of green and yellow
mucus mixed with considerable blood. Life was evidently
flickering, and unless these frequent discharges could be
checked, would soon be put out.

Aconite, one drop of the tincture in half a tumbler of
water, alternated with Pulsatilla^, prepared in the same
manner, a tea-spoonfull every hour and a half, removed all
the dysenteric symptoms in twenty four hours, and Corallia',
once in six hours cured the cough in three or four days.



CLINICAL NOTES ON AMENORRHOEA.

BY JAMES T. ALLEY, M. D., NEW YORK.

The tew clinical remarks under this head will be upon
AmenorrhsBa Suppressa or suppressed menses, rather than
that variety known as retention.

This perhaps is the form of the disease we most often meet,
for the reason that its causes are more abimdant and oifective
than those of retention. No function of the animal economy
is so liable to temporary obstruction as this, from the fact
that in most others, their action is a regular habit and not
easily perverted, whilst this is critically periodical, so that the
influence of the smallest causes whether physical or mental
during the flrst hours of the commencing congestion are often
sufficient to defer for another month the capricious impress
of the vital forces. Doubtless the causes of this disease are
far more often slight mental, than purely physical ones.

If severe and persistent paroxysms of ague, which have
resisted the most powerful remedies, are suspended by a
monopoly of the mind, if violent nerve-pains and other serious



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268 The Am^riccm Homo^jpathic Review, [Mar.



Online LibraryTorquato TassoAmerican homeopathic review → online text (page 28 of 60)