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Lumps and indurations of the mammae with diminished or decreased secretion of milk. Sometimes, about the third day after confinement when the mllk should start quite freely, the patient is inclined to chill, the breast becomes hard, swollen and painful to the touch, even their own weight makes them painful and when the child nurses there is a dragging sensation extending from the nipple through the gland into the thorax and to the scapula. This is not always a sign that there is an inflammation; it may simply be a dragging on the milk tubes and there may not be any milk in them, but an exudation which now and then will cause hard lumps. Now you must not allow the nurse to resort to rubbing, if you do the milk tubes may be bruised, distended or ruptured, which will surely result in an absess with all its painful and annoying discomforts to mother and child, as well as all in the house. Simply give Bryonia. I have seen a similar case or condition clear up in a night after a single dose of Bryonia 1000th.

Respiratory Organs : Cough from tickling in throat and pit of stomach. Stitches in chest when breathing or coughing. Dry, spasmodic cough. Cough worse on coming into a warm room, by motion. Continual inclination to take long, deep breath.

Pneumonia, with thick tenacious secretion, streaked with dirty colored sputum.

All symptoms worse on motion, by warmth, better when lying on painful side.

Back:-Painful stiffness in back and neck, worse by motion.

Upper Extremities:-Swelling in the joints of the hands and elbows. Rheumatic swelling in shoulder, especially in Rheumatism with stitching, worse by motion.

Lower Extremities:-Sensation as though hip was dislocated, with a crackling sensation when walking. There is a feeling as though knee or ankle was dislocated. Unable to move without great pain. Swelling of lower extremities. Rhoumatism of the lower extremities.

Sleep :-Sleepiness before midnight. Drowsiness in day time with eyes half open.

Fever :--Pulse full, hard, tense and quick, seldom intermitting, more chilliness in warm room than open air.

Dry, burning heat, mostly internal as though the blood was burning in the veins. Profuse perspiration during night, oily or greasy.

Skin:-Yellowish, burning, itching eruptions, when meas. les do not appear, face red and hot, with dry cough.

A Bryonia fever case in the main, will present the following picture:-Pulse hard, frequent and tense. Chill and cold. ness in the head, preponderating, red cheeks, great thirst, external coldness with internal heat, blood seems hot in veins, more chilliness in warm room than in open air. All symptoms aggravated by and during the heat, all symptoms worse by mo. tion. Profuse, oily perspiration after fever abates. Great dizziness with jerking pains in the head, particularly if patient moves. All symptoms usually aggravated in the morning. Over-sensitiveness of the senses to external impressions, worse by motion, pressure, heat, etc.

The following is a sample of a written examination in modern Materia Medica, conducted by C. W. Enos, M. D., in the Denver Homeopathic Medical College.

1. Give Picture of an Aconite Case.

Aconite acts on the nervous system. Mental symptoms are restlessness, anxiety and fear of death. Patient predicting day and hour of death. The face is flushed, and hot, skin is dry with tingling sensation Pulse is rapid.

Aconite symptoms come on suddenly and cease suddenly for it is a very short acting remedy, lasting from half hour to about twenty-four hours. Headache is pressive, frontal as if brain would fly out-that is the pressure is forward and outward. Aggravated by stooping over, relieved by warmth and slight exercise. In eyes there are sharp, stinging pains, caused by exposure to dry cold winds. Pupils are dilated. In ears thero is aching, caused by exposure to dry, cold winds. Throat is dry. There is palpitation of the heart, aggravated by motion Cough of Aconite is dry except when there is blood. Better by lying on back; worse by lying on left side. There is no periodicity in action of Aconite.

Menses are suppressed by fright and same way with labor pains. In stomach symptoms there is great thirst. Death is produced by paralysis of cerebro-spinal nervous system. Sul. phur is the antidote.

2. Differentiate between Hepar Sulphur, Aconite and Spongia in Croup.

In Hepar Sulph. cough is rattling and is worse after mid. night.

In Acon. child wakes up from first sleep about 11 o'clock p, m., with dry, flushed, hot face, with dry cough.

In Spongia there is rasping respiration, aggravation just before or just after midnight.

3. Picture of an Arsenicum Case.

Arsenicum acts on all tissues of the body in three ways:First, is violent irritation of alimentary canal and mucous membranes from which death results in first 24 hours. Second, is slight irritation of alimentary canal, stomach, mucous membranes with great debility and prostration; death results in 5 or 6 hours. Third, is not so severe as Second, preceding; action is upon circulatory and nervous systems and there is a chance of recovery, or death may results in 5 or 6 days.

Arsenicum acts periodically. There are restlessness and anx. iety and desire to move about, and motion relieves many pains. Arsenicum discharges are excoriating and watery. Patient craves water, little and often, but it disagrees with him. Headache is relieved by warmth. There is a bloated condition of the skin, waxy, pallid and cadaverous. There are intense burning and itching, but scratching does not relieve. Skin troubles are worse by use of the water, in cold air, at night and by scratching. Antidote is iron.

4. Difference between Arsenicum and Veratrum stomach and bowel troubles,

Arsenicum diarrhoea is caused by drinking water, which patient craves (little and often) stool is pappy, dark and is not so profuse as in Veratrum. but Arsenicum patient is weak and prostrated while Veratrum patient is not so much so, though of a more quiet disposition. Veratrum has more vomiting than Arsenicum, though less prostration than Arsenicum. Arseni. cum patient is restless.

LEADING INDICATIONS IN DYSMENORRHOEA.

By Pearl B. Wheeler, M. D., Denver. Aconite. Congestive type with violent headache, flushed face; labor like pressing in womb; necessity to bend double on account of pain, but finds relief in no position; restless; suppressed menses from fright.

Alumina. Menses too early, too short and too scanty (Nux. vom); blood pale; pain in abdomen before and during menses. After menses she is so exhausted in mind and body that the slightest effort prostrates (Cocculus). Acrid, excoriating, transparent mucous discharge before and after menses.

Ammonium Carb. Menses too soon; abundant; (may be scanty); blood clotted, black and passed with colicky pains; hard difficult stools; pale face, toothache, backache, chilliness and pain in abdomen during menses. Itching, burning and swelling of pudendum, (Senecio Grac.)

Apis Mel. Inflammation, induration and swelling of right ovary (Bell) with sharp, cutting and stinging pains during menses. Pressing down pain in uterus. Scanty dark urine (Lyc., Bell, Nit., Ac.) Wax colored skin,

Baryta. Discharge of bloody mucus. Very weak; has fainting spells (Moschus). Menses scanty. Troublesome weight above pubes. Glandular enlargements.

Belladonna. Strong bearing down as if everything would protrude through vulva (Sepia, Platinum). Pains come sudden. ly and go as suddenly. Congestion to head and confusion of sight. Redness and bloatedness of face, dilated pupils, throbbing of carotids. Discharge of copious blood, clotted or bright red and offensive. Violent pain in small of back and bearing down. Rage, wants to bite and to escape. Congestion of uterus and labia (Atropine).

Berberis Vulg. Catamenia too scanty, painful (in small of back). Menses consisting of gray mucus or brown blood.

Bufo. Menses too early with headache.

Bromium. Some hours after menstrual flow has commen. ced, violent contractive spasms followed by soreness of abdomen. Loud emissions of flatulence from vagina (Lyc.) Hard swell. ing of ovarian region.

Cactus Grand. Menses scanty and cease flowing when lying down. Terrible pains which make her cry out and weep (Puls. Cham. Cuprum. Nux.) Periodical pains in evening. Constricted pain in region of heart as if grasped by iron hand. Palpitation (Lillium) when lying on left side.

Calcarea Carb. Various complaints accompanying any monthly flow. Swelling and tenderness of breasts, headache, colic, shivering and leucorrhoea precede flow, cutting pain in abdomen and bearing down in genitals during flow and toothache following. Feet cold as if covered with damp stockings. Catamenia too early and too profuse (Bell. Croc. Phos.) Scrofu. lous diathesis. Least excitement causes menses to return.

Calcarea Phos. Dysmenorrhoea resulting from carelessness at puberty (J. T. Kent.)

Conium. Painful abdominal spasms during menses. Discharge scanty and brown. Soreness of mammae at each period (Calc. Carb.) Urine stops and starts to flow several times during urination.

Gelsemium. Dysmenorrhoea preceded by sick headache, Congestion to head, red face (Acore. Bell.) and bearing down in abdomen. Pain in back and limbs (Cimicifuga). Loss of voice during menses. Weakness.

Ignatia, Menses too early and too profuse, or scanty, black, clotted and putrid (Puls) Uterine spasms with crampy pressing during menses by pressure in recumbent position. All gone sensation at stomach. Tearful,

Caulophyllum. Spasmodic bearing down pain with scanty flow. Sympathetic cramps in rectum and bladder. Hysterical spasms of chest and larynx. Membranous dysmenorrhoea (Ci. micifuga, Collin.) Headache with heat and heaviness in head.

Chamomilla. Drawing pains from back to front. Blood dark and coagulated with tearing in thighs (Cimi.) Pains, labor-like (Acon.) Bloated face or one cheek pale and the other red. Hot perspiration about head. Very impatient, can't answer one civilly, can't bear the pains.

Cimicifuga. Severe pain in back, occiput and vertex. Pains through hips and down thighs of a neuralgic character. Labor-like pain with heavy pressing downward (Cham.) Hysterical spasms. Tenderness of hypogastrium and cramps. Low

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