in rectum. Menses profuse, bright or black and clotted. Discouraged.

Opium, Mag. Mur.)

Cimex:-Stools hard and in small balls (Plumb., Thuja, Stools with hemorrhoidal sufferings. Pain in small of back, extending over abdomen with distension of abdomen. After white stool, discharged in small pieces, rectum closes firmly.

Cocculus:-Hard stool expelled with difficulty (Nux), after stool, violent tenseness of rectum even to fainting. Contractive pain in rectum, preventing sitting.

Colchicum:-Extremely painful stools. Scanty evacuation even soft stool is expelled with hard straining in back (Alum. China, Plat., Phos. Ac.) with pain in back (Aesculus, Kali Carb.) Ineffectual pressing to stool (Nux, Colch., Anacard.) Feels feces in rectum but can't expel them. Lancinating or lancinating-lacerating at anus.

Conium:-Frequent urging without stool (Anac., Lyc., Nux). Hard stool with tenseness (headache discharge of prostate fluids). Tremulous weakness after every stool (Verat. Alb.) passing off in open air. Frequent stitches in anus between stools. Involuntary flow of urine, suddenly stops and continues after a short intermission. (Ledum., Gummi-Gutti) Dizziness when turning in bed. Heat and burning in rectum during stool, (Burning in Epigastrium, Apis).

Cuprum:-Suppressed stool with general heat. Obstruction of intestinal canal or violent evacuation.

Eup, Perf.:-Constipation with catarrh.

Euphorb.:-Stool like glue (like putty, Alum. Plat.) with previous itching of rectum. Burning sore pain around the anus (Mur. Ac., Aloes, Ars.) Itching of rectum during desire for stool (Mur. Ac.).

Graph.--Stools hard and knotty, (Alum., Kali Bi) lumps being united by threads of mucus. A quantity of white mucus is expelled with stool (Lach.) or the feces are covered with mucus (Am. Mur., Graph., Lyc.) Stools size of lumbricoides. Humid tetters and eruptions.

Hepar:--Sluggishnsss of rectum (Alum.) Stools hard or soft and insufficient (Alum., Carb. Veg., Kali Bi, Nat. Carb., Nit. Ac., Ruta). After mercurial dosing.

Graph., Am. Mur.)

Hydrastis:-Stools lumpy, covered with mucus. (Lyc., Constant headache with piles, severe pains in anus and rectum for hours after stool. Fainting turns and heat in bowels.

Ignatia:-Difficult stool causing prolapsus ani (Aesculus, Mur. Ac., Ruta, Calc. C., Ferrum). After stool a violent, stabbing stitching from anus up into rectum (Mezer) Constipation from taking cold or from riding in a carriage (from traveling, Plat.) Grieving. All-gone feeling at stomach.

Iodium:-Ineffectual desire for stool, immediately prompt. ed by drink of milk. Scrofulous people with low cachectic state of the system. Stools hard, knotty and dark (Graph.) Part of feces retarded.

Kali Bi:-Habitual constipation. (Verat. Alb.) Painful retraction of anus. Stools dry, knotty, with burning at anus, (Nat. M., Verat.) Stools slate colored, bloody, coldness of extremities, debility and headache.

Kali Carb:--Insufficient, soft stool (Alum.) Constipation with distress and colicy, stitching pains an hour or two before stool. Too large sized feces (Ant., Collinson., Cond.) Stools resembling sheeps dung (Chel., Mag. M., Verbasc., Berber.) Passing of white mucus before and during stool. Large painful varices (Mur. Ac.), inactivity of the rectum (Alum., Ign., Opium).

Lach.:-Chronic constipation without any other ailments. Constipation of years standing (Verat. Alb., Lach., Phytol., Sarsap.) Unsuccessful urging to stool, anus feels closed, feces press against it at all times without passing, only flatus is passed, sensation as of lump lodged in rectum (Sepia) Sheep's dung stool (Chel., Ruta, Plumb., Mag. M., Verbasc., Berber.) with difficult, scanty discharge or tenesmus. Severe pains in back with constipation (Aesculus, Kali Carb). Cadaverous smelling stools.

Lycopod:-Ineffectual urging owing to contraction of sphincter ani. Small stool with sensation as if much remained behind (Part of feces retarded, Iodium), (Nux). Acid and heartburn with great drowsiness after dinner (Phos.). Red sand in urine (Phos., Sil.) Fermentation in abdomen.

Mag. Mur-Constipation, stool hard, difficult and insuf.

ficient. Knotty, like sheep's dung, covered with blood and mucus. Stools in little round balls (Opium, Plumb,) crumbling as they pass the anus (Am. Mur., Nat. Mur.) Throbbing in stomach with dullness of head.

Nux Vom.:-Constipation with rush of blood to the head. Stool insufficient, black, hard, often streaked with blood as from inactivity of intestines, with ineffectual effort to go to stool (Bry., Anacard., Lyc., Iod.) Sensation as if anus were closed or too narrow (see Anacard. and Lyc.) Large hard feces (Calc. C., Mag. Mur., Bry., Verat. Alb.) Piles, blind or bleeding. Frequent eructations of some bitter fluid. Sensation as of stone or lump of lead in stomach. Frontal headache. Sedentary habits. Pregnant women (Bry., Lyc., Sepia) Victims of drugs.

Opium-Torpor of bowels after chronic diarrhoea or from abuse of cathartics (Nux) Stools small, hard, black balls, (Plumb.) balls that crumble as they pass, like excrement of dogs in small lumps, (Prun., Spin.) Constipation from fear or fright. Costiveness for weeks with loss of appetite. Inertia of rectum (Alum. Hepar). Vomiting of stecoraceous matter in consequence of intussusception.

Phos.:-Stools long, narrow and hard like a dog's (Caust. Opium, Prun. Spin.) Very difficult to expel. Exceedingly painful cramps in rectum after stool. Alternate constipation and diarrhoea (Bry., Ant. C., Lach, Rhus., Phos.) Very sleepy after eating, especially after dinner.

Platina:-Difficult expulsion of scanty stool, adhering to parts like soft clay. After lead poisoning (Alum, Opium). Constipation caused by travelling. Cramp like pressing in temples from within, outward. Low spirited and nervous. After expulsion sense of great weakness in abdomen or chilliness (Puls., Cocc., Gummi Gutti, Verat.)

Plumb:-Stools consist of hard balls made up of smaller balls. Constipation with violent colic. Sensation of constriction in sphincter ani (see Lyc. and Nux.) with ineffectual urging.

Puls.: Constipation, especially if feces are large and hard after suppressed intermittent fever by quinine, with menstrual disorders. Constipation consequent upon eating rich greasy

food. Alternate constipation and diarrhoea (Ant. C., Bry. Phos Lach., Rhus.)

Ruta Grav.:-Frequent urging to stool with protrusion of rectum (Ign. Nux., Podo, Aesculus.) Constipation following mechanical injuries.

Sabadilla:-Violent urging to stool with noise like croaking of frog. Must sit a long time before stool (which is enormous) is passed, preceded by immense amount of flatus, and followed by burning in abdomen.

Sarsaparilla:-Obstinate constipation with urging to urinate. Desire for stool with contraction of intestines and excessive pressure from above downward as if bowels would be pressed out. Frequent scanty emissions of urine, especially at night.

Selen.:-Stools so hard and impacted that they must be removed by mechanical agency. Feces contain threads of fecal matter like hair.

Sepia:-Hard, knotty stools, sometimes mixed with mucus with cutting pain in rectum (Ignatia, Mag. Mur.) Unsuccessful urging to stool Only wind and mucus are passed with sensasation in rectum as if lump had lodged in it (Anac. Sepia.) Not relieved by stool. Insufficient stool with tenesmus. Pressing stool does not relieve. Constipation during pregnancy (Alum., Bry., Lyc., Nux.)

Silic.:-After much effort and straining stool recedes back in rectum after partial expulsion. Stools composed of hard lumps. Constipation of women before and during menses (Constipation before and diarrhoea after menses Graph.) Infants and scrofulous children.

Sulph.:-Stools hard, lumpy, (Silic) mixed with mucus, followed by burning pain in anus and rectum (Sepia). Constant heat on top of head (Coolness, Verat.) Frequent weak spells. Constant urging pressing on rectum as if it would protrude, with pressure on bladder. Palpitation of heart. Fainting regularly towards 10 or 11 in forenoon.

Thuja: Obstinate constipation as from inactivity or intussusception (Opium). Stools in hard balls (Opium, Plumbum Verat. Alb.) streaked with blood (Sulph. ac.) Violent pain in rectum during stool. Copious and frequent urination

with burning in urethra. Offensive perspiration in anus at perineum. (Colch.)

Verat. Alb.:-Chronic constipation (long standing Lach, Phytol., Sarsap.) particularly in infants. Much straining with cold perspiration on head. Stool too large and hard (Bry. Calc. C., Mag. Mur.) Inactivity of rectum, it seems as if para. lyzed (Alum. Opium.)

SYMPTOMS AND TREATMENT OF ORCHITIS.

By F. E. McCurtain, M. D.

Clinical Lecturer on Genito Urinary Diseases in Denver
Homeopathic Medical College.

Orchitis is an inflammation of the secreting part of the testis, which may be acute or chronic. It may be caused by malaria, but is usually the result of metastasis from parotitis in young adults, traumatism, excessive venery, gouty diathesis and debilitated conditions, but it sometimes occurs in children.

Clinical History. Pain referred to the lumbar region is sometimes the only subjective symptom, but usually the pain in the testicle, when it occurs, is agonizing and out of all proportion to the amount of swelling, and is due to the distention of the unyielding tunica albuginea. The pain may be continuous, gradually disappear, or stop suddenly. The sudden stopping of the pain may indicate gangrene or death of the part, which would be accompanied by a chill and rapid swelling of the parts. When pus is formed it may work its way to the surface and point, then it should be opened. If pus forms in the center of the testicle it may become encapsulated.

As the disease progresses the testis becomes swollen, hard, tense and sensitive, and the scrotum red and inflamed. Examination of the inflamed and swollen organ may be so painful as to cause faintness.

Recovery without atrophy may occur, as the testicle may undergo degeneration and result in the formation of an abscess which in time may terminate in fungous growths which would necessitate the removal of the organ.