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Urine:- Copious flow, relieving the headache, incontinence from paralysis of the sphincter; nervous children.

Alternate dysuria and enuresis.

Male Sexual Organs :-Spermatorrhoea, without erections. Cold and relaxed. (Phos. ac) Emissions during stool. Gonorrhoea, first stage, discharge scanty. Gonorrhoea suppressed and followed by rheumatism or orchitis.

Female Sexual Organs:-Threatened abortion from sudden emotions; Uterus as if squeezed by a hand; anteflexion. (Cham. Ust. Nux. v). Ovarian irritation with the characteristic headache.

Dysmenorrhoea, preceded by a sick headache, deep red face, and bearing down in the abdomen. Menses suppressed with congestion to head and convulsions every evening.

Pregnancy:-Double vision, headache, drowsiness, vertigo, cannot walk for muscles will not obey. (Eclampsia).

Albuminuria:-Sensation like a wave from the uterus to the throat with choking feeling; impending spasms.

Retarded labor from rigid os uteri. False pains from before to back and up in the abdomen and legs. Pains go through to and up the back. False pains from a few days to weeks before time.

Uterine Inertia :-Nervous chills in first stage of labor. Woman stupid and apathetic. Pains cease on an examination, she is "so nervous." Convulsions, preceded by great lassitude. Dull feeling in forehead and fullness in the medulla. Head feels big, os uteri rigid, face besotted, there is great muscular pros tration.

Larynx:-Spasm or paralysis of the glottis. Slow, heavy and labored breathing.

Heart:-Sensation as if the heart would stop if he did not keep in motion. (Dig. Just the reverse). Irritable, nervous heart. A peculiar action of the heart, as if it attempted its beat and failed, the pulse intermitting each time, worse especially lying-lying on left side. Nervous chill with violent shaking, wants to be held. Heart disease. Weak, slow pulse of old age.

Back:-Dull heavy pain, muscles feel bruised, and will not obey the will; prostration, congestion of the spine. Locomotor ataxia-Paraplegia pains of spine to head and shoulders.

Extremities:-Loss of power, cramps in forearm. Writers cramp. Paralysis from excessive piano playing. Excessive trembling of hands and limbs.

Sleep-Delirious on falling asleep. Insomnia from exhaustion, incontrollable thinking (Coffee) or tobacco using.

Fever:-Regular, perodic fever without chill.

(Ars.) Recent, uncomplicated cases. Intermittent takes on remittent, type. Tendency to typhoid, Quotidian or tertian type.

Paroxysm at same hour every time. Marked periodicity. (Aranea. Ced. Sabad). Malarial-Yellow-Typhoid. Chill preceded by incontinence of urine.

Chill:- Without thirst. Commences in hands and feet. (Nat. m.) Chilliness runs from feet up spine to occiput in (Kali. iod.) Coldness is so severe it is painful and child

waves.

wants to be held from shaking so hard. (Lach.)

Heat:-Without thirst, intense burning, face hot, sleepy, stupid, tired, wants to lie still, (Bry.) or great nervous restlessness. Sensation and fear of falling. Heat is long lasting. Loquacity.

Sweat:-Profuse, with thirst. Relieves the pain. (Nat. m.) Most profuse on genitals.

Apyrexia often wanting or very short. Must be covered in all stages of paroxysm.

Modalities:-Worse from damp weather, fog, before a thunder storm. (Psor. Rhus. Phos. Sep. Agar.) bad news, tobacco smoking. (Ig.) thinking of his ailments, when spoken to of his loss.

Better:-After profuse urination, bending forward, openair, continued motion (heart) and from stimulants.

CASE I.-Mrs. G. W. I was called in a hurry and found her in a semi-conscious state, face red, besotted, lying on back, eyes half closed, head drawn back with intense pain and full feeling in the occiput and medulla. She was nearly at term with her first child. She was having some uterine pains which ceased when I examined her. I gave her Gels. which relieved the condition and she was confined about two weeks later without any unusual trouble.

CASE II.-Geo. W. About fifty years old. Metal pattern maker. Had attacks of vertigo for over a year. Severe from spine and occiput into head with severe pressure on the vertex; came suddenly, causing falling and semi-unconsciousness at times he felt as if drunk. Pain in eyes and stomach. A few doses of Gels. cured.

CASE III.-Mrs. R. C. Mother of two children. During her last pregnancy she was determined to commit suicide. Severe pain in occiput, said she felt she was going crazy. Sensation of a band about the head. Weak, gone feeling in the stomach. Felt scared and afraid something would happen. Trembled all over. Legs weak. This condition was brought on by a fright from seeing her little boy get injured. Gels. given occasionally for two or three months cured this case.

Note.-I. H. A., Chicago, Ill., 1905.

A NEW AID IN EXTRACTION OF THE BREECH.— Wienskowitz makes a suggestion of interest. He points out that many authors are opposed to the use of the forceps upon the breech; that most of them advise to wait until the breech is born before interfering; that the blunt hook is a dangerous instrument and the linen band in the groin is difficult to apply and not easily sterilized. He says this prolonged waiting without giving any aid to a case of breech presentation may possibly be carried out in a clinic, but in private practice the circumstances are quite different, and especially when a consultant is called it is expected that some assistance shall be rendered. The author therefore suggests that by passing an inelastic rubber tube through the groin, a procedure easily accomplished, traction without injury may be made, and the case rapidly terminated.-Zentralbl. f. Gyn., 1906, 379.

And then Bunge (Berlin) commenting upon this article says this method is not at all new, but that for twenty-five years he has used practically the same, only that he has passed a cord through a rubber tube and thus accomplished the inelastic feature of the instrument.-Zentralbl f. Gyn., 1906, 597.

RHEUMATISM-PULSATILLA.

While never losing our faith in the efficiency of the law of similars sometimes, owing to our lack of knowledge in its application, we are prone to doubt. A case like the following, however, is a star which ought to keep our feet treading the straight and narrow way of homeopathy.

Mr. C. called one day and asked if I could do anything for his wife's rheumatism, with which she had suffered for two years and for which she had been treated by both schools of medicine with no improvement.

He outlined many symptoms, all common to the disease and to many remedies; standing out prominently, however, was "pains shift from right to left; from knee to hip; the shoulder and elbow; only one joint affected at a time; a constant and sometimes rapid shifting of locality."

Mrs. C. is blonde and a typical pulsatilla patient.

On this I gave her six powders of this remedy, 51 M., Finke, one to be taken at bedtime each night. This was on October 1, 1905.

Improvement was reported at intervals until November 5th of the same year, when there was a cessation of pain in joints but a very severe and agonizing headache, beginning in occiput and extending into and over the left eye; very sharp, and aggravated by moving or sitting up.

This was not an indication of curative treatment, this tendency of complaints upward, and I hastily prescribed gelsemium, 200, four powders, one every two hours.

This was a mistake, for, while it relieved the headache, the pains promptly returned to the extremities-locating in right hip-and on November 10th I gave three powders of pulsatilla, cm., Finke, and this was followed by immediate and continued improvement until December 6th, when there was a slight recurrence, and pulsatilla, 5cm., Finke., was given-four powders.

January 1st Mr. C. came in to pay his bill and stated that there was no further pain and he believed a cure had been effected.

Up to January 1, 1906, there has been no return of the symptoms.

ALBERT F. SWAN, M.D., BRIGHTON, COLO.

THE PRINCIPLES OF PRESCRIBING.

By W. A. Yingling, M. D., Emporia, Kansas.

Homeopathic prescribing is scientific prescribing, and is based on the science of symptomatology, which includes or is based upon the Law of Similars. Unless one comprehends the science of Symptomatology homeopathic prescribing is very difficult and unsatisfactory, and even with the broadest comprehension of true symptomatology it is often no easy task, as none of the sciences are in their art. The farther we get from the teachings of the Organon of the Healing Art as taught by Hahnemann the more uncertain and the more unsatisfactory becomes the art of healing the sick. Homeopathic symptomatology is not a mere array of the signs of sickness as expressed by the patient. Nor is it the aggregate of the subjective and objective expressions of disease. The mere symptom coverer is not a true homeopathician. Yet to-day the tendency with homeopathic physicians is to cover symptoms, as nosological prescribing is with our allopathic fraters. There is more in the sick condition than the mere name, as there is more to a homeopathic symptom than the simple sensation. The homeopath must be a broad-minded man as well as philosophical. He is to consider the "totality of symptoms." This "totality of symptoms" is misconceived by a certain part of the profession. It has not to do with the aggregate of symptoms so much as with the completeness or entirety of symptoms. Totality means whole, entire, full, complete, etc., not divided, and its synonyms are "whole, entire, complete." Wholeness implies freedom from deficiency, not defective or imperfect, integral. The "totality of symptoms" means, then, the completed symptom, the symptom in its entirety, with all its integral parts.

At times many symptoms of a patient should not be considered in a given prescription because they are lacking in completeness and are misleading, or lead to guessing. This is what Hahnemann refers to in the last clause of section 153 of the Organon when he says the undefined symptoms demand but little attention in prescribing. Every symptom to be complete or

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