had not moved for seven months. The lower limbs were completely paralysed. In the lumbar region of the spine there was a marked projection; in the cervical region another, but smaller. At both these places there was pain on pressure; and similar distress was produced when pressure was made on a spot in the sacrum. The head could not be raised from the pillow; the face was pale, the pulse quick and feeble, the appetite very bad. No abscess was discoverable.

I ordered one of Mr. Amesbury's spine supports to be made for her. While this was being prepared she grew steadily worse; and I feel certain could not have lived many weeks longer. On May 25th the support was applied. The internal treatment consisted of ten drops of the Syrupus Ferri Iodidi, in a teaspoonful of cod-liver oil, thrice daily. She was ordered good diet, with wine, and to spend at least two hours daily in the open air. The neck was kept quiet and steady by pillows.

June 1st.-Feels and looks much better; colour on cheeks is gaining flesh; pulse slower and fuller; appetite much improved. The support is felt to be a great comfort.

7th. Improving still in every particular; firm pressure can be borne at the lumbar and sacral, and moderate pressure at the cervical seats of disease, without pain.

July 6th.-Continues to improve; twitching felt in the legs, indicating returning power.

16th. This day she walked, with her mother's assistance, twenty paces at once-a thing she had not done for ten months.

Sept. 3rd.-The Iodide of Iron having caused persistent occipital headache was left off. The lumbar projection is sensibly reduced.

The spinal disease was now cured. The paralysis continued to improve, but walking was long delayed through repeated attacks of subacute synovitis in the knees and ankles. These were, always subdued at the time by cold lotions and subsequent strapping; but continued to recur until my acquaintance with homœopathy in 1860. I was

then able to modify the scrofulous taint by Sulphur and Calcarea; and after a short course of these the attacks ceased. She became perfectly well; and when I last saw her, the lumbar projection had completely disappeared, and the support was discontinued.

CASE IV.-On February 16th, 1865, my attendance was requested on Miss B—, æt. 16. She had suffered for some months from angular projection of the spine, in the lower dorsal region; for which rest had been prescribed by my friend Dr. Roth. I found her lying on one of his couches, from which she rarely moved except to go out in a Bath chair, or to exchange it for bed. The lower limbs were weak, but not paralysed; on the left leg appeared three scrofulous sores. The general health was below par, and the appearance delicate; puberty was delayed. She had been taking Calcarea and Phosphorus for some little time, under Dr. Roth's direction.

But the object to which my attention was especially directed, was a large swelling in the left iliac region. I was informed that this had first appeared as a small tumour, some months before; and had been pronounced by two of our colleagues to be a rupture. Its size had remained stationary until the last few days, when it had very rapidly increased. On placing my hand upon the part, I found the left iliac region covered by a tense, firm, and elastic swelling, neither affected by coughing nor repressible by the hand. It was neither painful nor tender.

I made an appointment to call again in the evening, when I should be more at leisure, then to make a thorough examination, and reduce the supposed hernia. I had not sat long by the patient, however, when doubts as to the correctness of my colleagues' opinion, hitherto taken for granted, began to affect my mind. I was soon satisfied that what I had to deal with was not a hernia, but an abscess, descending from the spine. In this opinion I was confirmed by Dr. Roth, whose judgment I at this time requested. I accordingly applied poultices, and gave Silicea three times a day, at VOL. XXIII, NO. XCIV.-OCTOBER, 1865.

R R

the same time ordering one of Mr. Amesbury's spine supports to be made for her.

Fluctuation soon became evident, and on March 4th I opened the abscess, letting out a large quantity of healthy pus. The wound was closed, and healed nicely. There was no hectic; and the appetite increased rather than the reverse. On March 23rd, finding the cicatrix threatened to give way under the pressure of the matter, I again punctured, setting free pus of less quantity and not so good quality as on the former occasion. Some hectic followed this, which was easily controlled by China.

In two or three weeks from this time, first one and then the other puncture ulcerated, and a drain of pus was set up. This, however, was by no means great; and the constitution did not suffer. Silicea, Calcarea, and China were given according to the indications present.

The support was applied on April 15th, and was found a great comfort. The couch was soon abandoned; and in June she was allowed to walk out. I saw her last on Sept. 7th. She was then in perfect health, able to walk very fairly; the punctures had nearly healed, and the drain of matter hardly stained the lint which covered them; the sores on the leg had cicatrized. She will wear the support for some time yet, in the hope of diminishing the curvature.

HAMAMELIS VIRGINICA.

By Wм. H. BURT, M.D., OF Lyons, Iowa.
(From the Western Homeopathic Observer.)

My temperament is sanguine-nervous; weight, 148 lb.; am in perfect health; tongue clean; good appetite; bowels move once a day.

Sept. 16th, 1864, 9 a.m.-Took half an ounce of the 10th dilution, prepared in water. 10 a.m.-Great fulness of the forehead, with a pressing distress in the roots of the

tongue; distress in the umbilicus; dull, aching pain in the sacrum and hips, quite severe when walking. The fulness in the forehead and the pain in the hips were the first two symptoms. These symptoms lasted all day with the addition of a great dryness and burning feeling of the palms of the hands. The pain in the lumbar region was very severe all day.

17th.-Had a restless night; my whole body felt very dry and hot; sexual dream, with an emission, followed by great weariness and severe dull pain in the loins; fingers stiff, with sharp sticking pains in the first joint of the right index finger; soft stool. 7 a.m.-Took one ounce. 9 p.m.-Fulness of the forehead and sharp pains in the temples all day of a severe character, with a pressing sensation in the pharynx; back and legs ached severely all day; very gloomy and sad, probably caused by the nocturnal emission; ate some plums for supper-they soured on my stomach, and I had to vomit them up at midnight; consequently took no more notes of the symptoms.

19th.-Feeling well. 4 p.m.-Took fifty drops of the 3rd dilution. 9 p.m.-For the last four hours have had slight frontal headache, with a constant burning distress in the lower part of the epigastrium and umbilicus; desire for stool, but cannot accomplish it with the greatest effort; for one hour have had severe drawing pains in both testicles; rheumatic pains in the legs; hands hot and dry.

20th. Slept well; had a sexual dream, but no emission; right wrist and fingers stiff; dull pains in the lumbar region. 6 p.m.-Took half an ounce, prepared in water. 9 p.m.-Slight headache, with severe distress in the pyloric portion of the stomach and umbilical region; dull aching pains in both testicles; dull pain in the lumbar region.

21st. Slept well; dull headache; slight distress in the bowels; dull pain in the lumbar region; hands and fingers ache, and are quite stiff; stool natural consistence, but covered with mucus. 11 a.m.-Took half an ounce. 8 p.m.Have all of the above symptoms, with a dull, pressive distress in the pharynx, and roughness of the fauces; dull pains

in the right hypochondrium; the flexor muscles of the right arm have constant, very severe, dull, drawing pains in them; dull pains in the feet and toes.

22nd. Slept well; had a sexual dream, with an emission; soft stool at 6 a.m., covered with slimy mucus, with distress in the bowels; very severe backache; hands hot and dry. 10 a.m.-Took half an ounce. 9 p.m.-All day feeling as if something had lodged in the fauces, which produced a constant inclination to swallow; dryness of the fauces; slight pain in the bowels; very severe backache-without a doubt, it was caused by the emission; hands hot and dry; very gloomy; no disposition to move.

23rd. Had a restless night; my throat was very dry all night, with a feeling as if something large had lodged there; compelled to swallow every few minutes, which produced dull pains in the tonsils; very painful when swallowing food; the fauces are very much congested, and the tonsils slightly swollen; natural stool; severe backache. 9 a.m.-Took half an ounce. 9 p.m.-Tongue has two blisters on the right side; they are very troublesome. My throat has been very painful to-day ; sharp pains in the stomach; drawing pains in the groins, passing down to the testicles; drawing pains in hands, legs and feet. Took half an ounce.

24th.-Slept well; very languid; skin hot and dry; flat, rough taste; blisters on both sides of my tongue, which are very troublesome; severe congestion of the fauces and tonsils; deglutition is very painful; a number of times, through the day, had severe dull pains in the testicles, with distress in the bowels; hands hot; very gloomy.

25th. Slept well; throat feeling better; natural stool, with distress in the umbilicus; all day had frequent dull pains in the testicles; frequent inclination to urinate; constant backache.

26th. The tonsils and fauces are still congested, but do not pain me any; the tongue is well. Last night had a profuse cold perspiration all over the scrotum, but not of the body. Had a number of rheumatic symptoms, through the day, of the arms and legs.