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or with great fear. Pulse full, strong, quick and hard; from one hundred twenty to one hundred and forty; burning thirst; everything tastes bitter but water; eyes glistening, often with flushed face that becomes pale on arising to a sitting position; over-sensitive to external impressions, light noise or music; fever, with great restlessness and fear of death; child tosses about constantly although asleep. Frequent calls for water; constantly complaining, often moaning; frequent swallowing, licking of the lips, calling out in sleep; tossing from side to side with much anxiety.

Skin: Skin hot, dry with no moisture, or breaks out in a profuse perspiration with chilliness; bathed in sweat when the temperature is very high, but it quickly disappears, and the skin is dry and hot again.

When the temperature is high, the heat seems to radiate from the skin as from an oven. In aconite symptoms everything is at high tide. Its circulation is as a river after a freshet, or like the melting of the snows on the hills in the spring time.

In an hour the aconite patient is suffering intensely. It is the hurry-up remedy, and if you do not see the symptoms calling for it quickly, they will soon have passed by, and your patient is well on the way to some serious congestion, that might have been aborted if you had given aconite in time.

Not infrequently when aconite fever is at its height, we have nose bleed, or a profuse perspiration which temporarily relieves the patient. The eruptions of aconite are usually of the acute form. In children, a red rash-like eruption resembling Rotheln's provings from the 50-M. The skin is hot, dry, or bathed in sweat; papular eruptions or a fine pap ular rash like measles. Eruptions like bee stings or flea bites; biting sensations in the skin as if a nerve snapped. Suppressed eruptions with aconite febrial symptoms. The patient does not break out well during scarlet fever, measles, chicken-pox, etc. (cup. zinc.)

Aggravations: At night, in bed, lying on left side, music, exposure to dry north winds.

AGARICUS.

Agaricus is one of the strange remedies. It is so full of spinal symptoms and reflexes that it is difficult to understand. Its skin symptoms are largely of a reflex or spinal origin. It is full of strange sensations everywhere, but especially in the skin. Twitchings, tremors and choeric-like symptoms are everywhere. Sensations of ants in the skin. and in the deeper tissues; itching of the skin all over, which changes place when scratching or rubbing. Spinal irritation. Sensation of coldness; sensation as of hot needles; stinging and burning is a very marked symptom in this remedy. Red spots that burn and itch appear on the parts remote from the center of circulation; on the ears, face, nose, back of hands, feet and especially on the toes. Chilblains that appear every winter for years, coming at about the same time of the year, as in rhus tox. Often we have a combination of abnormal sensations in the skin, like itching, burning, tingling, prickling, as of ants or insects creeping in a part. All the symptoms of this remedy are aggravated after sexual intercourse or from sexual irritation. Red, itching and burning spots are found here and there upon the skin. Petroleum is a great remedy for chilblains, but there is usually some oozing from the affected part. In petrolium we have a great tendency to vesicate in all its skin troubles. They are usually moist, pustular or vesicular. With agaricus the suppressed eruptions bring on epilepsy (psor.). There are herpes that itch and burn like rhus tox.; herpes that spread rapidly about. There is an irresistible desire to scratch the part which greatly aggravates the itching and burning (rhus). Its carbuncles are very painful and the contents are usually bloody.

The itching often begins with a crawling sensation under the skin. There is an intense itching of the scrotum or hairy parts; natrum, at the margin of the hair. Itching grows worse at evening, like sepia. There is a trembling of the extremities, a twitching of the muscles and a formication in the skin. Violent itching in parts that have been frostbitten, even long after they have been healed. When

winter approaches the parts burn, itch and become inflamed, red and hot. The spine is very sensitive, with sensations as of an ant creeping along it. There is an itching of the inner side of the thighs; prepuce, coccyx, external genitals, especially the hairy parts. Study the reflexes of this remedy as to the cause of its skin troubles in many cases.

There is erysipelas with corrosive itching, burning and tingling or formication; jaundice with the burning and itching peculiar to this remedy (lichen pilaris).

Aggravations: Coitus, after, cold air. after eating, before a thunderstorm.

ACETIC ACID.

This is one of the deepest acting remedies of the acid group. It is indicated more frequently that we think of in tuberculosis and chlorotic patients. When taken frequently and in crude doses, it crude doses, it prevents the increase of adipose tissue. It is therefore a good remedy in wasting diseases, such as tuberculosis, chlorosis, cancer, specific anæmia; hectic flushes of the face, like ferum, copious night sweats, resembling china. In typhoid fever we have flashes of heat, alternating with copious sweats, and septic fevers with night sweats.

The skin may be pale, but dry and hot. The cuiticle comes off in large flakes after fevers. The acetic acid skin usually looks pale and wax-like. Anasarca with pale, waxen skin (apis) after scarlet fever, alternating with profuse night sweats.

It is best indicated in thin, pale, lean people in advanced, exhausting diseases. No remedy, however, should be used with greater caution in these diseases, as its action upon the secretory glands of the skin is very powerful; there is, therefore, much danger of suppression or suspension of the work of the skin in its elimination. The temperature of an acetic acid patient is often subnormal, yet bathed with a profuse perspiration; red, hectic spots are on the skin with burning sensations-especially is this true of the cheeks.

AILANTHUS.

This remedy has the restlessness of arsenicum, the apathy of phosphoric acid, the stupor of opium, the heat in the skin and the scarlet redness of belladonna. Its mental as well as its physical symptoms are phenomenally strange. The leading symptoms of any remedy, especially in acute diseases of the skin, do not lie in the skin always, yet we may have to depend upon the skin symptoms alone at times.

The skin eruptions in ailanthus are so clear cut and so prominent that we have no trouble in recognizing them. Its scarlet fevers, its erysipelas and its eruptions due to poisons, all have that typhoid state; the cerebral stupor and the livid, purplish red, patchy eruption. In scarlet fever, the eruption is slow to make its appearance. Ammonium carb. has a similar eruption, though less severe. A typical eruption of this remedy is a purplish, patchy miliary rash, and often the surface of the skin is cold and dry. There may be a measleylike rash with no catarrhal symptoms; a faint, reddish rash on the chest and anterior surfaces of the body, but with profound constitutional symptoms; stupor, mental indifference, semi-conscious, with muttering delirium, great restlessness and anxiety. Stupor with a low form of delirium in suppressed eruptions, or where the exanthema do not come out well. The patient looks as if intoxicated; staggers as he walks; nausea, with retching and vomiting, where the eruption does not make its appearance; malignant scarlet fever or in the hemorrhagic form of measles or scarlet-fever. Glands of the neck sore and painful; skin dry and hot or with cold perspiration standing on it. Measles with a dark, livid, patchy rash, no catarrhal symptoms. Malignant throat symptoms with scarlet fever; throat swollen, dark red or purplish. During the height of the fever, there is a great thirst and a longing for brandy. The vesicles or bullae are usually of a dark color or filled with blood. Nose bleed is a common symptom in its typhoid states; blood very dark. Low fever with stupor, muttering delirium, with sighing as if the heart were tired. The discharges are often involuntary during fevers; ears, nose, lips and fingers cold; threatening collapse, with a cold sweat. Compare ammonium carb., prussic acid, baptisia, lach., arnica, diptherinum, and rhus tox.

It is one of those remedies that produce a rapid decomposition of the vital tide, Petechia and hemorrhagic

spots appear anywhere over the surface of the skin or through its eruptions.

Do not let your use of this remedy be confined to scarlet fever; it has a wider sphere of action. Its eruptions resemble lachesis, baptisia, anacardium.

Its special aggravation is in the morning, upon motion, bright light and swallowing.

(Continued next month.)

Chicago, Illinois, December 20th, 1910.

UNDESCENDED AND MISPLACED TESTICLE,
BY CLINTON ENOS, M. D.

AUSE OF UNDESCENDED AND MISPLACED TESTICLE is an abnormal development, or rather a failure of normal development. Early in fetal life the testicle is situated in the abdominal cavity below the kidney and behind the peritoneum, so that the peritoneum covers its anterior surface and sides, but not the posterior surface. About the third month of fetal life a bond-gubernaculum testis, which extends from the site of the internal abdominal ring to the testicle and thence upward toward the diaphragm, is formed. At the lower end of this bond a tube-like process of peritoneum is formed-the process vaginalis-which extends into the vaginal canal. This process of the perieoneum and the gubernaculum gradually descend until they have reached the bottom of the scrotum. After this has taken place the gubernaculum ceases to grow, and consequently the testicle is drawn backward as the body increases in size, so that the testicle is in the scrotum shortly before birth. The peritoneal sac which preceded the testicle is at first continuous with the general peritoneal cavity. Shortly before birth, however, the upper part of the tube of communication becomes closed, and this obliteration extends gradually downward to within a short distance of the testicle. That portion of the sac which surrounds the testicle is thereby completely cut off from the peritoneal cavity, and forms the tunica vaginatis testis.

In case of undescended testicle this peritoneal sac is usually found extending to the bottom of the scrotum, but the testicle is arrested in its descent posterior to this per

-Read before Colorado Homeopathic Society, 1910.

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