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with severe shooting pain. Tongue pale and flabby. Ranunculus bulb. 3X, a drop to be taken every four hours.
25th.—Is much improved as to the pleuro-dynic pain, which is nearly gone. The head also better. Appetite good. The bowels constipated, not having acted for five days. Nux vomica 3X, a drop to be taken every four hours.
March 1st.—Reported to have been improving in general condition until yesterday, when she was attacked with severe headache, with heat of the head, flushing, &c., aggravated by movement and light. Bowels still constipated. Belladonna 3X, gtt. j every two hours.
5th.—Much better. Still suffers from headache in the morning, but it does not last, nor is it of the same character. The flushing and heat of the head are gone. There is still some vertigo. The bowels are acting spontaneously. A'ppetite good. No signs of the catamenia occurring. Pulsatilla 3X, a drop every four hours.
8th.—The condition generally improving; takes her food better than she has done for months. Continue Pulsatilla. No other medicine was required, and on the 18th there was some appearance of the catamenia, very scanty, and lasting only a day or two, but the patient felt so much inspirited by the occurrence that she requested to be dismissed, and was allowed to depart, taking some Pulsatilla with her to continue under its influence.
M. L—, aet. 24, nursemaid. Admitted February 7th, stating that she has suffered from weakness, palpitation of the heart, and general failure of strength for the last year. Has suffered from pain in the right flank for the last six weeks. Is complaining now of tenderness in the right side. Pain at the back of the head. Shooting pain through the temples. Dyspnoea with the least exertion. Anaemic bruit audible over the cervical vessels. Catamenia very irregular, and very scanty when they do occur. Leucorrhoea remaining after their cessation. Countenance very pale, the lips, especially inside, are very anaemic looking. The tongue pale and flabby. Appetite very bad, eructations after food, and tasting of it. Pulsatilla 3, a drop three times a day; first diet.
11th.—Feels rather better in all respects.
14th.—Not so well. Nausea after food. Severe headache, with shooting pains in occiput and temples.
17th.—Nausea gone. Appetite returning. Tongue clean. Pulse small and somewhat frequent. Complaining of pain and soreness in right flank, with tenderness to pressure.
22nd.—Improving. Pain in side less. Appetite continues to improve. Bowels acting. Complaining of shooting pain in the dorsal region of back.
25th.—Continuing to improve. Some pain in cardiac region. Continue Pulsatilla.
March 1st.—Feeling much better. Some sharp catching pain occasionally in left hypochondrium. Complexion greatly improved. She was dismissed at her own request, wishing to go back to her situation.
Bronchitis and chronic metritis.
L. R—, servant, aet. 39, admitted January 18th, stating that for several winters she has been subject to a cough, recurring as soon as the cold weather sets in. Always appears to arise in an attack of cold from exposure, but remains behind, after the other symptoms disappear, until moderately warm weather sets in. Sputa generally yellow, sometimes rather frothy and copious; they have been occasionally streaked with blood; cough very frequent, most at night and morning, and aggravated by any change of temperature. Sharp pains at the upper part of the chest, especially the left side. In this spot there is some tenderness to pressure. The percussion sounds are clear, but there are all sorts of moist rales to be heard over the whole upper part of the chest. The voice is at present very hoarse, and the larynx is tender to pressure. There is some pain in swallowing. Complaining of pains in head and in the back. Appetite is moderately good. Tongue clean. Bowels regular. Catamenia regular. Belladonna 1, a drop every two hours. Cold water compress to the neck.
21st.—Hoarseness decidedly less, but the throat is still much inflamed and sore. The fauces, &c., are of a dark red colour. Feels as though there were a sore spot,in one point in the throat, with occasionally a sharp pricking sensation. The cough continues much the same, but often wakes her at night; the sputa are greyish. Lachesis 12 to be taken three times a day. Continue the compress.
28th.—Improving greatly. The throat is much better, though the fauces are still dusky in colour and there is a feeling of dryness in one spot in the throat. Cough continues in the day, and especially night and morning. The expectoration is much less. Bryonia 3*, a drop three times a day.
February 4th.—Still improving, but the cough is still dry, and violent in paroxysms. On examination found the uvula elongated and the velum relaxed. Kali carb. 12 three times a day.
On the 8th I find Carbo veget. was prescribed, but no notes of the patient's condition.
15th.—Patient has been progressing well till last night, when the pain in the chest returned. Pulse 98. Headache. Aconite 3, a drop every four hours.
17th.—Head and back both painful. Cough much the same. Expectoration copious, greyish, difficult to raise. Lumpy, acrid, mucous leucorrhcea. Repeat Lachesis.
21st.—The leucorrhcea continuing, and becoming still more acrid, causing a feeling of scalding. She was examined by Dr. Leadam, who reported a state of chronic metritis with ulceration of the os uteri. Other symptoms were improving. Mercurius corros. 3, three times a day.
March 4th.—The leucorrhoea much improved. Bowels constipated, acting every second or third day, with the stools of natural size. Thinks she has contraction of the rectum on account of severe paiu and throbbing occurring at times. Has never had haemorrhoids to her knowledge, but has had fissure of the anus twice (?). Has always very little control over the actions of the howels. Aloes 3X three times a day.
15th.—Feels better in most respects. The constipation continues. There is desire for stool, but she dreads the pain following the action.
18th.—Better, except that the constipation continues. The leucorrhoea less and much more bland. The action of the bowels is extremely painful, the pain continuing for a long time after. Aloes 3X was continued.
21st.—Better. The leucorrhcea gradually subsided, and with it the pain in the rectum lessened so that the bowels acted each day, although there was much pain after. Throat is at times irritable, causing paroxysms of barking choky cough.
28th.—The improvement was progressive, and the uterine and rectal trouble were so far improved that she was dismissed at her own request much relieved.
The Specific Action of Drugs on the Healthy System: an index to their therapeutic value, as deduced from experiments on men and animals. By Alex. Gr. Burness, M.B., CM., Univ. Aberd.; and F. T. Mavor, M.R.C.V.S., President Central Veterinary Society. London: Bailliere.
The appearance of the above volume was heralded with the following statement in advertisement:—
"The object of this work is threefold—
"1. To point out that each drug, when introduced into the system, acts upon some special parts or tracts, in virtue of its physical, chemical, or dynamical properties.
"2. That the therapeutic value of each drug is to be determined by ascertaining the symptoms produced, and the parts influenced by it, when introduced into the healthy animal system.
"3. That while a toxic dose will effect such changes in a part as to unfit it for any vital action, a lesser dose applied to a diseased part will, by removing that state of combination of the elements which excited diseased action, enable the normal process of nutrition to restore the healthy constitution."
It was very easy to see that this was homoeopathy with the name left out. The above propositions embody the three supports of our tripod—the relation of similitude (at least as far as seat goes), the proving of medicines on the healthy, and the reduction of the dose below the level of physiological action. We naturally looked forward with some interest to the appearance of such a work.