On January 8th lycopodium was prescribed. The symptoms determining the selection of this remedy were: period of aggravation from 4 to 8 p. m.; color of the sputa, grayish-white; sense of satiety on beginning to eat; pain in the renal region, aggravated by retaining the urine and relieved by passing it; sandy sediment in the urine, and one foot colder than the other.

January 15th he reported himself very much improved.

Case No. 3.-Man aged 58, complains of stomach trouble, which he says has existed for seven years. Pain in the stomach of a burning, pricking character, eased by pressure, except that he can not bend forward on account of the pain. Complains, also, of headache and dizziness, often as if he would fall; is very thirsty for cold water, but if he drinks much of it his stomach is distressed and the water is thrown up. Does not sleep well; after sleeping two hours he wakes and is unable to go to sleep again; rises and walks about on account of a nervous restlessness which compels him to do so. Complains of chilliness in the back of the neck and between the shoulders; frequent urination; coughs in the early morning. Complains of shortness of breath; when the cough attacks him he is obliged to sit up.

On January 8th, arsenicum was prescribed. The symptoms deciding its selection were: The burning sensation in the stomach; thirst, with intolerance of cold water which was craved; restlessness at night, obliging him to get up and walk about: chilliness between the shoulder blades, and difficulty of breathing, especially when lying.

On January 15th, and every succeeding week up to Febru ary 26th, he reported steady improvement. He received no medicine except three powders of the remedy given him on January 8th.

It will seem strange to those who do not understand the philosophy of the single dose, when I say as the patient said, that he had improved more during the week from February 19th to 26th, than during any previous week since receiving the medicine.

Case No. 4.-Man, aged 28, has had dyspepsia and ocnstipation for one and one-half years; has taken much of all kinds of drugs. He complains now especially of bad taste in the mouth in the morning, that he tastes his food four or five hours after eating a meal, and it then tastes as it did when eaten; the stomach feels weak. Two hours after eating he experiences a feeling of heaviness in the stomach, with sour belching. Constipation is characterized by a desire for stool without the ability to accomplish anything. Does not sleep well during the latter part of

the night; awakening about 3 o'clock and lying awake or half asleep for hours, feeling unrefreshed when it is time to get up. Very low-spirited, and has lost his ambition. Hands and feet cold. He is cross and irritable.

On January 8th nux vomica was prescribed. The symptoms deciding the choice of this remedy were: The fact that he had taken large quantities of drugs; heaviness in the stomach some hours after eating; wakefulness and aggravation in the early morning hours; cold hands and feet; cross and irritable; desire for stool without the ability to accomplish anything.

On January 15th reported better generally, and so continued to report weekly until February 5th, gaining as much in the last week as in the first or any other since beginning the medicine, although he had medicine only on his first visit.

Case No. 5.-Young married woman, aged 19 years, has been greatly troubled with indigestion for six years; her family history is bad, some of her family having died of consumption, and her mother of typhus fever. She now complains of distressing, heavy feeling in the stomach after eating, with sharp pains for two hours, after which she is very weak; also complains of pain in the left side; heavy feeling after eating, and sour belching; bowels regular; menses appear only once in six weeks; complains of pains in right ovarian region while menstruating, also of a bearing-down, distressing feeling in that locality during the two weeks she goes beyond her time; feet cold and dry day and night; tongue white and furred; gone feeling before eating, which is relieved by eating; red sediment in the urine; also complains of a shooting, darting pain from around and below the gastric region up to the heart, which causes her great alarm an l is so severe she has to hug herself to relieve it. She feels generally worse in the latter part of the afternoon and early evening.

On October 30th she received lycopodium. The symptoms deciding the choice of this remedy were: the period of aggravation; red sand in the urine; shooting, darting pain from the gastric region up to and around the heart.

November 6th she reported general improvement, there had been no cramps since, heavy feeling in the stomach not so severe, the sandy sediment had almost disappeared from the urine, the sharp pains in the region of the heart about the same. Sach. lac was prescribed. Report from week to week until December 4th was general improvement, except during the past few days. At this time three more powders of lycopodium were given, and the report of improvement was continued weekly until January 8th,

when the symptoms seemed to indicate sepia, which was prescribed in the same manner as had been the lycopodium. The report for the succeeding three weeks was of general improvement. Los Angeles, California.

AN ALUMINA SILICATA CASE.

By Rudolph F. Rabe, M. D.

Mr. W. H., age 47, roofer by trade, has been ill for the past six years. During this time he has had much and varied treatment, including careful prescribing by a Hahnemannian homeopath. His condition has steadily grown worse. In may, 1905, he was sent by me to Dr. Clarence C. Howard of New York for diagnosis, preparatory to treatment at my hands. The doctor gave him a thorough examination which resulted in a diagnosis of posterior spinal sclerosis being made. From me he received in the order named, causticum, without benefit, and dulcamara wit some benefit to his wet weather aggravation. I give his symĮ toms exactly as they appear on my record card:

Bowels costive, much straining, stools dry and dark in color, passed with difficulty, even if soft. Formerly with mucus. Stools daily, but sits for a long time. Distention and a weak feeling in the left hypochondrium. After stool feels as if more remained. Soreness in left hip joint posteriorly in gluteal fold, on pressure has a shooting pain down outside of left thigh to knee. Hardness of muscles of posterior aspect of thigh, which prevents him from extending the leg. Thigh feels as if bound around, worse near knee. Cannot extend knee on account of the shortening of tendons. Calves are hard and feel bound; worse at night, better by rubbing hard. Waves of contraction of muscles of lower limbs, at night. When these waves of pain come on he wants to urinate. When stepping the ball of the left foot feels as if a cushion were beneath it. Burning heat on inside of left foot. Passes stool better when he stands up. After urinating feels as if more remained. Frequent ineffectual desire for stool and frequent micturition. Damp weather aggravates all his sufferings, also dry weather, if cold. Cannot stand any cold about the knees, wants them warm, better from drafts. Is always worse at night. Formerly was much exposed to wet and damp; feet often wet. Sour sweat about the genitals. Appetite good, fond of sweets. Is easily irritated and annoyed. Pains make him very restless at night, tosses and turns constantly. Little thirst. Walks very little and with the aid of

two canes.

On August 29, 1905, I gave him one dose of alumina silicata, c. m., F., my attention having been called to this remedy by some remarks of Doctor Kent, while at the meetings of the A. I. H. and I. H. A., in June, at Chicago.

On September 24th, 1905, my card record notes: Is better. Had for two weeks a natural daily stool; not quite so well now. Pains better. Damp weather has less effect. No Medicine.

October 10, 1905. Not so well. I had procured the Skinner potencies and now gave one dose of alumina silicata, 10m.

October 29th, 1905. General improvement. Walks better and bowels are better; walks better in dark than formerly. No medicine. November 6th, 1905. Legs again stiff, not so well. Alumina silicata, 10m., one dose. December 26th, 1905. Gradual and perceptible improvement. No

medicine.

January 23d, 1906. No further improvement for the last ten days. Alumina silicata, 50m., one dose.

February 12th, 1906. Had a severe aggravation immediately after taking the remedy, which lasted for four days. Since then there has been a general improvement. No. medicine.

February 15th I received from the patient the following report of his symptoms, having furnished him with a typewritten copy of his original anamnesis:

Bowels costive, much straining. Better.

Stools dry and dark in color, passed with difficulty, even if soft. Formerly with mucus. Stools daily, but sits a long time. provement.

Slight im

Distention and weak feeling in left hypochondrium. Not improved. After stools feel as if more remained. Not improved. Soreness in left hip joint posteriorly in gluteal fold, on pressure has shooting pain down outside of left thigh to knee. Improvement. Hardness of muscles of posterior aspect of thigh which prevents him from extending the leg. Improved.

Thigh feels as if bound around, worse near knee. This sensation is gone entirely.

Can't extend knee on account of shortening of tendons. Better. Calves are hard and feel bound; worse at night. Better. Waves of contraction of muscles of lower limbs at night. Better. When these waves of pain come on he wants to urinate. Better. When stepping the ball of the left foot feels as if a cushion were beneath it. Better.

Burning heat on inside of left foot. Gone.

Passes stool, easier when standing. Better.

After urinating feels as if some remained. Better.
Frequent ineffectual desire for stool, frequent micturition.

better.

Both

Damp weather aggravates all his sufferings. Better; also dry weather, if cold. Gone.

Can't stand any cold about knees.

gone.

Made worse by drafts.

Better.

Wants them warm. Nearly

Always worse at night. Formerly was much exposed to wet and damp. Feet often wet. Sour sweat about the genitals. Better.

Appetite good. Fond of sweets; if eaten seem to cause dysuria.
Easily irritated and annoyed. Better.

Pains make him very restless at night; tosses and turns constantly. Better.

Little thirst. Better. Drinks more now.

Walks very little and with aid of two canes. Better.

Patient has gained in weight and strength. After sitting some time, has a little trouble straightening his back, muscles feel cramped when he attempts to rise.

June 15, 1906, improvement at an end. Alumina silicata, 50m., one dose.

From the report of February 15th it will be seen that there was a general improvement in the patient's condition. The annotations to symptoms are, of course, his own, and refer to symptom groups or single symptoms, according to the context and punctuation marks.

Since June 15th of this year I have not heard from the patient, having removed my residence since that time. Although an unfinished case, the curative action of alumina sil. is plainly apparent.

New York City, N. Y.

A VARICOSE ULCER.

By G. E. Dienst, M. D.

More than two years ago an elderly Scotch lady called at my office for help in a painful ulcer.

Her story, briefly stated, was that, more than eleven years previous, she noticed a cluster of enlarged veins on the inner side of left leg about four inches above the ankle, which caused her great pain and discomfort. In the course of a few months these veins "broke" and caused an ulcer which has remained there in a more or less aggravated form for years. She had consulted a number of physicians who prescribed Ung. as a local treatment and which would, after applying it assiduously for a few weeks, dry up the ulcer and cure (?) it for a few weeks. Sometimes it would stay cured (?) for two or three months. Thus matter and the ulcer went on for years until the poor woman almost drifted into the despairing mood so common among them that have been "plastered." Her symptoms were largely negative. Having been a woman of unusual health and vigor, she did not notice this trouble until some time after the birth of her last child, when, according to her statement, she had to be on her feet very much of the time.

The ulcer itself was about the size of a silver half-dollar, smooth edges, irregular base, discharging a grayish-white pus of