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been no leucorrhoea, nor any uterine symptoms, but the general health has failed; she has become pale and anæmic; suffering much from irregular circulation, causing palpitation on the least exertion. Rush of blood to the head even on raising her head from the pillow, with severe vertigo; roaring in ears and sense of faintness; the appetite is fair, but muscular power very small. The feet and legs feel very heavy, and swell somewhat when sitting. Bowels regular, and urine normal. During the following six months she gradually but very slowly improved underGelseminum, Puls. of various potencies from 6 to 30, Sulph. 30, Sep. 30, and Natr. Mur. 12. Still she continued weak, and there was no sign of menstruation being re-established. The anæmia was less, and the circulation was more regular; but the whole uterine system seemed perfectly torpid. I then gave the first centesimal trituration of Oleum Sabinæ, of which she took at first two, then three grains daily; and I continued this steadily from October 25th, 1865, to January 3rd, 1866, with very great benefit. Her general health was much improved; she had increased in strength, the anæmic symptoms were nearly gone; in fact, she felt quite well; still there were no signs of menstruation. I then ordered Natr. Mur. 30, one drop night and morning for a fortnight, and just as she was finishing the course the menses returned normally, and lasted four or five days.

In this case I am inclined to credit the Ol. Sabine as the chief remedy, seeing that her general health was so manifestly benefited thereby. At the same time Natr. Mur. 30 evidently gave the finishing touch; and though it is possible that had the 30th potency been used in place of the 12th before the Sabina was given, the effect might have been equally good, still, the change in her general health which occurred during November and December leads me to doubt whether it would have succeeded.

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Baptisia in Enteric Fever. By Dr. MADDEN.

I have had repeated opportunities of testing the virtues of this drug in the peculiar form of fever which occurs in this climate. The fever is an adynamic gastric or enteric fever with many resemblances to the Edinburgh relapsing fever; like it relapses are very frequent, and the disease is often prolonged in conse

quence. As regards the sphere of Baptisia, I have hitherto found it most useful in the early stage; but later in the course of the disease its effects are much less striking. Again, when the enteric condition is complicated with head-symptoms, a combination by no means rare as the result of brain-fag, I do not find Baptisia so useful; whereas, in the same condition caused by exposure to the sun it proves thoroughly satisfactory, as in the following

case:

G. G—, æt. 6, had recently recovered from pertussis, when on November 11th, 1865, he played about all day in the hot sun, and was seized in the evening with violent headache and vomiting, considerable fever, quick pulse, and somewhat dilated pupils. I gave Gelsem. 6, every two hours.

November 12th.-High fever and delirium during the night; this morning he is conscious, but the tongue has become foul and yellow; the fever continues, with occasional vomiting, and all the symptoms indicate the commencement of a regular attack of gastro-enteric fever. Baptisia 1 x, was ordered every two hours, and by the 16th, i. e. in four days, the boy was quite convalescent.

I have known so many cases of this sort, which under allopathic treatment have dragged out a weary length of many weeks that I feel well satisfied with the curative action of the Baptisia.

At the end of the summer of 1864-5, viz., from March to May, gastric fever was very prevalent at Brighton, a suburb of Melbourne, and I treated several cases with Baptisia. All those whom I saw from the commencement recovered rapidly, of which the following may be taken as examples:

Miss B. D, æt. 7, attacked with fever of the usual character. On May 18th, she took Baptisia 1 x, every two or three hours, and was convalescent on the 24th. As a proof of the low condition produced by this zymotic poison, I may mention that two days after the fever left her she had copious and repeated epistaxis of dark blood, which however, was speedily checked by Hama. 2.

G. D—, æt. 9. May 8th, complained of rheumatic pains in his shoulders, for which I gave Bryonia. On the 11th, however, fever set in with headache, foul tongue, foetid breath, tenderness of abdomen, and all the indications of a severe attack. I at once put him on Baptisia 1 x, every two hours, under which he steadily improved, and by the 19th he was thoroughly convalescent. In this case also there was epistaxis and oozing of dark blood from the nose for two or three days.

H. B, æt. 16, attacked with fever, headache, and some diarrhoea on April 25th was cured in three days by Baptisia 1 x.

E. B—, æt. 7, had fever and foul tongue, and all the usual symptoms of the epidemic on April 27th, and she also recovered in three days under Baptisia.

J. B—, æt. 14, had a very severe and protracted attack of enteric fever in March, and was treated allopathically for nearly a month, when he became my patient. On my first taking charge of the case his condition was typhoid with great tympanitic distension of the abdomen; black fœtid diarrhoea, and low muttering delirium. In this state Baptisia did but little, whereas Tereb. 1 and Nitr. Ac. 1, acted well, and after a severe struggle for life he convalesced completely, and was going about as usual, when on May 10th, he became chilled while standing in the cold wind, and the fever returned severely with very rapid prostration, and accompanied as on the former occasion with a most distressing laryngeal cough. I at once gave Baptisia 1 x, but for the cough's sake I alternated it with Nitr. Ac., which was the remedy that had relieved the cough before. In five days he was well.

Case of Malignant Ulceration of the Nose, cured by Kali
Bichromicum. By CHARLES RANSFORD, M.D.

Mr. H—, æt. 82, was visited professionally by me in September, 1862. He was suffering from diarrhoea with tenesmus in a severe acute form, but chronic as to duration; the evacuations were of a dark greenish colour, of the consistence of pitch. The patient had resided upwards of thirty years in India, where he had held high offices in the Civil Service. During his residence he suffered from two attacks of fever and one of cholera. Mr. H- was so satisfied with homoeopathic treatment, now for the first time tried, that he continued it. During the winter of 1863 he suffered from bronchitis; but as he was not then under my care I can only report that he had a good recovery, although the cough after that attack never entirely left him. The condition of the bowels was generally loose; two or three dark Taured stools daily; the pulse between 80 and 90, full and inresetting about once in five beats. The intermittence in Mr. are ve always preceded the aggravation of the bronchitic attack. then gave manifest relief.

In the autumn of 1864, whilst residing for a few weeks at Upper Norwood, and during my professional attendance upon him, a swelling of a highly vascular spongy texture appeared in the right nostril, distending it and apparently growing upwards. Its progress upwards was a matter for anxiety, but after a few weeks I had the satisfaction to see it travel slowly downwards and protrude externally.) The left nostril became affected in the same way; the soft parts of the alæ nasi were involved, but the bony structure was unaffected, and there was but very slight and occasional muco-purulent discharge. I never perceived any fœtor, but those constantly about him affirmed that such existed; he was most assiduously nursed by a competent valet, whose attention to cleanliness and other important details was unremitting. Occasionally there were severe paroxysms of lancinating pain in the affected parts, sufficiently acute to make the poor man cry out loudly; deglutition was unaffected, and the soft palate likewise; but by the continued growth of the tumours and by their constant pressure, the neighbouring soft parts were absorbed, and considerable disfigurement was the result. Speech was not much affected, except that the voice was rather hoarse. Desirous of further advice, I suggested that Mr. Paget should see him; this able surgeon evidently put the case outside the pale of treatment, contenting himself with prescribing cleanliness and generous diet, both of which suggestions had been anticipated. Sanderson, late of the Bengal Army, saw the patient with me. He considered the case hopeless, and gave his prognosis accordingly. Up to this time the principal medicine and the one the most frequently given had been Arsenicum in various dilutions, but without any apparent check to the ulcerative process. Kali Bichromicum occurred to me. I prescribed it in the third dilution, applying it externally and locally by means of a glass syringe. Most unexpectedly the progress of the disease was gradually but visibly checked; healthy granulation took the place of the phagedenic ulceration, which never recurred. He lived many months after the healing process was accomplished, dying at last of mere exhaustion of the vital powers without any apparent suffering; his advanced age after so long a residence in India, and passing through such severe attacks of illness in that country, show a more than ordinary robust constitution. He was one of a very healthy family, in whom no hereditary disease existed. Mr. Hhad been a great snufftaker until the appearance of the disease. VOL. XXIV, NO. XCVI.-APRIL, 1866.

Dr.

The snuff taken was chiefly Mausilapatam, which contains ingredients of a peculiar and acrid nature. Dr. Sanderson rather inclined to the opinion of this snuff being the cause of the malady. I cannot give a positive opinion as to its true character, but that the Kali Bichromicum cured the apparent malignant and corroding ulceration I have no doubt whatever.

After Mr. H.'s removal to his residence at the west end of London, I saw him but occasionally, for in consequence of his being subject to sudden and severe attacks of a convulsive nature, a physician nearer at home was required, and my friend Dr. Henriques became his regular attendant. There was no difference of opinion between us as to the supposed inefficiency of medicine whatever the nature of the disease might be, but the use of the Kali Bichromicum, and the happy results consequent upon its administration were as unexpected and astounding to Dr. Henriques as they were to myself. I saw my patient for the last time about ten days before his death. He conversed with me in his usual cheerful manner, and was perfectly resigned to the event which he knew was close at hand.

Broken Breast. By MERCY B. JACKSON, M.D., Boston, Mass..

Having read with interest Dr. Wesselhoeft's article on Diseases during Lactation, I was surprised to find him saying: "But it has often appeared to me that treating a patient for an individual case of broken breast has many features in common with the treatment of a patient suffering from periodical convulsions, the least benefit can be afforded during the attack; more might perhaps be done previously or subsequently by proper homoeopathic medicines." Also, that "the majority of cases, particularly in scrofulous patients, have terminated in suppuration, many without indicating any effect from the remedies."

My own experience, in twenty-four years of practice, has differed so widely from this that I am at a loss how to account for such a statement from so skilful a physician. During my early practice cases often came under my care which had been attended by allopathic physicians, and poulticed until the suffering had become so intolerable that anything that promised relief was hailed with joy, and the universal result was that the patient was delighted with the change, and the relief experienced by the substitution of a few spoonfuls of water, medicated with the little

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