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spirited and sensitive. Blood scanty or profuse and coagulated.
Cocculus. Dysmenorrhoea always followed by hemorrhoids. Irregular labor-like pains, one severe one followed by several light ones. Tired by the least conversation. Nausea and vom. iting with dizziness.
Coffea. Great nervous erythism.
Lachesis. Pains relieved by flow, Menstrual colic begin. ning in left ovary.
Magnesia Carb. Menses preceded by sore throat, which continues until end of flow and is worse at night. Blood thick, dark and pitch-like, difficult to remove from linen. During pain there is no flow. Flow at night. During menses weakness, (Gels.) chilliness, headache, pale face, and pain in small of back.
Lillium Tig. Pain extends across hypogastrium to groin and down leg. Menses dark, thick, and smell like lochia (Kreosot.) Severe neuralgic pain in uterus. Slightest jar ag. gravates. Great palpitation. Distressing urination and bearing down of uterus (Helonin).
Pulsatilla.. Delayed menses. Discharge thick and dark, flowing by fits and starts (Kreosote). Pains violent, causing anguished tossing about with weeping (Cimicif.) Chilliness and paleness of face. All symptoms worse in warm room. Mild and tearful disposition.
Sepia. Preceding menses, excoriating leucorrhoea. Menses scanty and premature, feeling as if every thing would protrude through vulva, must cross legs to prevent it (Bell.) All gone sensation at pit of stomach (Ignatia.) Colicky pains and bearing down. Sallow complexion, yellow saddle across the bridge of the nose,
Sulphur. Blood thick, black and acrid, corroding the thighs. Coustant heat on top of head (Cimicif.) Frequent flashes of heat (Nitrate of Amyle.) Weak, fainting spells (Baryta, Moschus.) Spotted red face. Pains by standing. Chronic eruptions here and there. Suitable to thin people who walk stooping.
Verat. Alb. Before menses, headache, vertigo, nosebleed, and night sweat. During menses, morning headache, nausea, ringing in ears and pains in all limbs. After menses, grinding of teeth and bluish face. Hands and feet ache with the cold.
Viburnum. Spasmodic dysmenorrhoea. Before flow she is suddenly seized with terrible colicy pains in womb and lower part of abdomen, which continues sometimes for hours. Cramps in legs. This remedy is similar to cimicifuga and caulophyllum.
Kreosotum. Hardness of hearing before and during menses, Menses appear in third month of pregnancy. Menstru. ation too early and too profuse, discharge offensive.
Natrum Mur, Melancholy, and colic during menses. Headache preceding, during and after menstruation. Pressing and bearing down in genitals. Craves salty food.
NOTES ON CYSTITIS.
F. E. McCurtain, M. D., Denver.
2. Urine dropping from meatus instead of being ejected with force. Hepar.
3. High fever, restlessness, constant desire. Aconite.
7. Stitching, recurring, crampy pain; thick mucus and bright red mealy sediment. Berberis Aqua.
8. Urine alkaline and ropy. Kali Bi.
10. Phos. Acid. Urine looks like milk and quickly decomposes.
11. After exposure to cold the urine deposits a slimy sediment which sticks to the vessel. Pulsatella.
12. A sensation as if a ball were rolling in the bladder, Lachesis.
13. Sensitiveness of Hypogastrium tenesmus of bladder. Burning in region of kidneys. Terebinth.
14. Retention of urine; great thirst; dry tongue and delirium. Hyosciamus.
15. In old people and chronic cases where the acute in. flammation has subsided. Carbo, Veg.
16. When in consequence of long retention of urine the muscular coat of the bladder becomes almost paralyzed. Causticum.
17. Persistent and violent urging to urinate with great tenesmus; urine seems like molten lead passing through the urethra. Cautharis.
18. Turbid urine and great difficulty in commencing to urinate. Chimaphila.
19. Enuresis, marked vesical irritation. Bladder sore and tender; pressure on bladder. Equisetum.
20. Irritable bladder; dribbling of urine; high colored; ammoniacal odor, like that of the horse. Benzoic Acid.
CERTAIN AFFECTIONS OF CHILDREN AND
By Dr. Dudley Wright. (Reported by Dr. Lambreght Jr.; Translated from the French by Dr. J. W. Harris,
Denver.) The author brings forth, first, the differences which exist between the infant and the adult, in respect to the affections of the ear and throat. In the infant the epithelial membrane has a tendency to become the seat of the morbid process, hence the predominance of the engorgement of the tonsils, and peculiar affections, etc., while in the adult the malady invades the deeper tissues. In infants the affections whieb are more liable to injure the ear, are, diphtheria, mumps, scarletina, measles, tuberculosis, mengitis, etc., while in the adult it is the gout, the uric diathesis, acquired syphilis, and certain professions as that of copper-smith, etc. Finally in infants the diseases of the ear have a tendency to affect the voice and even produce muteness when the deafness is very pronounced.
In the infant, as in the adult, heredity plays an important part, the consanguinee marriages, the existence in the ancestors of nervous affections, as epilepsia, dementia, etc., predisposes the future generation to deafness and deaf-mutes. The author then considers the principal affections of the external ear, which can produce deafness. For Eczema of the auditory can. al he prescribes Hepar Sulph, internally, and locally a solution of Bi-carbonate of Soda in glycerine. For Furuncles, Acont, and Bell., to relieve the pain, locally an aqueous solution of Verat. Vir.
Among the affections of the middle ear which produce deafness, the more frequent, beyond all dispute, is the obstruction of the eustachian tubes. In order to remedy this, it is first necessary to overcome the predisposing cause, as the chron ic catarrh of the throat, and nose, the enlargement of the ton. sils, adenoid growths of the posterior nares. The author emphasizes the need of surgical interference in cases of enlarged tonsils and adenoid growths, the internal treatment for these tumurs taking too long, during which time the ears could undergo serious damage.
The scrofulous constitution of the infant should be treated with the ordinary homeopathic remedies. The obstruction of the eustachian tubes is over come by the use of the Politzer bag; the use of the eustachian catheter is not advised in children under 12 years. When there is an accumulation of liquid in the tympanic cavity, the insufflation of air is so much the more indicated, at the same time, Potassium Iodatum, in. ternally to cause rapid absorption, this being the chief homeopathio remedy, because given in large doses it will produce an accumulation of liquid in the middle ear. Ho prescribes it in 1x dilution, at the same time applying over the mastoid region an ung, of lanoline and same remedy.
If the otitis is acute, the treatment should be, Acont, in beginning, followed by Bell. for the pain. Puls. or Merc. to prevent effusion. Chamom. or Tenbrith, if caused by dentition. Should pus form it should be evacuated as soon as possible, internally Hepar Sulph.
Elaps is indicated when the secretions dry quickly, forming crusts which obstruct the canal. Sulphur is to be used as an intercurrent remedy. Kali Bichrom, and Hydrastis are in. dicated when the secretion is muco-purulent, the nose obstructed by crusts, which provoke slight bleeding when removed. Tellurium is a very important remedy, the chief indication being an acrid, corroding secretion, having the odor of fish,
When the discharge is profuse, the dry treatment, locally gives excellent results. The two principal remedies are, first, Boric acid, which should be insufflated into the ear after the canal has been thoroughly cleansed; second, Fluo-silicate of sodium, one grain to the ounce of powdered starch, thorough. ly triturated. Long continued suppuration often provokes the development of granular tissue and polypi. If the polypi are small they are best removed by cauterizing with Trichloracetic acid. The Tubercular Otorrhea are very rebellious to treatment. The two remedies most useful are Arsc. Iodat. and Kreosote,
THERAPEUTICS OF TICDOULOUREUX.
Compiled by Walter J. King, M. D. Ticdouloureux, or neuralgia of the facial nerve, is characterized by intense, darting pains, indescribable or excruciating; coming on in paroxysms of shorter or longer duration; usually but one side affected.
Dry heat is often of great service; applied locally.
Attention to hygiene and the use of electricity are often valuable aids in perfecting a cure. Fats should enter largely into the diet.
ACONITE NAP. Left side; face red and hot; violent stinging pains, with restlessness and anguish; from exposure to dry west winds; worse at night; acute congestion and active inflammation.
ARGENT. NITR. Bones of head feel as if separating, or the head feels as if it was enormously large; pains increase to such a degree that the patient almost loses her senses; relieved by binding the head up tightly; at height of paroxysm, unpleasant sour taste in the mouth, and the attack ends in vomiting,
ARSENICUM ALB. Burning as of red-hot needles; worse about midnight, relieved by heat; face pale, shrunken and distorted; great restlessness; typic paroxysms of miasmatio or purely nervous origin.
BARYTA CARB. Left side; chronic or anaemic form; sen. sation as if the skin were covered with cobweb.
BELLADONA. Right side; worse from light, noise, touch, or the slightest motion of the eyelids or jaws, face flushed; pains come and go suddenly; worse towards midnight,
BISMUTHUM. Relieved by taking cold water in the mouth and walking quickly about.
Cactus Grand. Right side; tolerable only while lying still