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for about five months with Impetigo figurata. The eruption covered the entire hairy scalp, extending to the ears, face, and portions of the neck; was confluent soon after its first appearance, very moist, the scabs of a gray or slate colour, with inflamed base, and the little patient exceedingly irritable and troublesome. Hepar 6th was given at night, and Iris 3rd in the morning. A decided improvement was soon manifested, and the medicine was continued at longer intervals for about one month, when all symptoms of eruption had disappeared. Of course it would be impossible to tell in this case which remedy performed the cure; but in the following cases the Iris was used alone, and they are not by any means the only ones in which it has served me well.

In another case, age about the same as first, the eruption had been of longer standing, appearing but ajfew weeks after birth. The family were filthy; mother decidedly scrofulous; child scrawny,* impoverished, and of small cerebral development. Eruption like first, except more dry and distinct, and of darker hue, extending to the lips, limbs, and posteriors. Iris 3rd was given, six pills once a day, and an occasional bath ordered. The case recovered quite as readily as the first, and the child appears much improved every way. The same medicine and dose were given to the mother.

I treated two other cases in one family, one case a year old, and the other of five years' standing, curing both with the same remedy in a different form, Irisin. The oldest had been troubled from infancy, the eruption sometimes confined to the head; but when I commenced the treatment it extended in patches over the whole body, being worse on the knees above and below the patella.

I by no means believe Iris to be a "panacea" for skin diseases; but nevertheless believe it has a range of action which, when fully developed, will be of much service to the profession. I design making a proving of the drug at an early day, meantime shall use it according to the light I have, for I have no sympathy with those who decry a part because they have not the whole; who swear by "provings," which are not always reliable, and denounce clinics, which are at least practical.Am. Horn. Obs., January, 1866.

» An American word, meaning, according to Webster, meager, matted.—


Apocynum Cannabinum in Dropsy and Chronic Diarrhoea.
By Dr. D. W. Kogebs, of Cold Water, Mich.

A middle-aged lady who had been an invalid many years, and suffered much from the combined effects of disease and the doctors, applied to me for the relief of a thin, watery diarrhoea, with discharge of undigested food. Pulsatilla and Arsenicum removed the lienteric character of the evacuations and the frequency of the stools, but the diarrhoea was otherwise the same.

The patient was a thin, spare woman; has had prolapsus uteri for a long time. For many years she has been troubled with alternate constipation and diarrhoea. The latter commencing in the spring and lasting continuously until cold weather commences, when obstinate constipation sets in and continues until warm weather the next season.

With the diarrhoea she now had ascites. This and other symptoms led me to prescribe Apocynum cann. in the 2nd dilution, two drops every two hours. She had only one diarrhoeic stool after the second dose of the remedy; since that time the evacuations have been normal; the size of the abdomen is rapidly decreasing; from being low-spirited and morose she has become cheerful and hopeful—says she never experienced such prompt relief from any other medicine.

I report this case to call attention to the Apoc. cann. in dropsy complicated with diarrhoea. According to Dr. Hale (New Provings), it is as homoeopathic to the one condition as to the other.—Med. Investigator.

Clinical Experience with Sanguinaria Canadensis.
By S. B. Pabsons, M.D.

Case I.—Incipient Phthisis Pulmonalis, following Amenorrhaea. — Maggie C—, aet. 16, of lymphatic temperament, quiet disposition, applied to me for treatment on the 21st of March, 1865. Had her courses for the first time in December, 1864, since when they had never reappeared. Present symptoms: loose, stringy, sometimes flocculent expectoration, attending a severe cough, which seemed to rack her whole frame during the paroxysm; darting pains through both lungs, more especially the apex of left lung; cough worse at night in bed; evening exacerbations of fever, with burning of palms of hands and soles of feet; debilitating night-sweats; paroxysms of excruciating frontal headache; dulness of percussion in left supra- and infra-clavicular regions; fine whistling and long expiratory sounds heard on auscultation on same side in the top of the lung, which are not observed in the right lung, but the bronchial tubes in middle and lower parts of both lungs contain much mucus; pulse 114, easily compressed; anorexia; insomnolency; thirst; bowels regular; urine changeable in colour and less in .quantity; emaciation was quite marked —the cheeks hollow, limbs and body small and bony, eyes sunken and presenting a glassy appearance. For this train of symptoms Phos., Ars., Nitric Aeid, Puis., were tried in succession without relief, excepting from the night-sweats, which were controlled by Nitric Aeid, when I determined to give Sanguinaria, according to the rules contained in Hale's New Homoeopathic Provings. Sanguinaria was given with immediate good results, in checking the cough, restoring the abnormal condition of the respiratory mucous membrane to a normal action; exciting the digestive functions and stimulating the whole vegetative sphere of life. The remedy was given alone for two weeks, at lengthened intervals, as improvement continued, and then stopped for one week, improvement still going on, when Cale. Carb. 30th was substituted every third night, bringing on the menses in two weeks later, or just five weeks from commencement of treatment. I have seen the patient frequently since, and find she is and has been regular ever since.

Case II.—Ancemia consequent upon Amenorrhea.—Adele L—, SBt. 15, of French extraction, nervo-lymphatic temperament, applied for treatment, February 3rd, 1865, having been under allopathic medication for a year without material benefit, and lately condemned by the same authorities to a premature consumptive grave. I found her with the following symptoms: great emaciation; perfectly bloodless skin; had never menstruated, but twelve months ago there was a slight discharge and pains in loins, at which time she commenced to fail; severe, painful cough, with profuse expectoration of thick, stringy mucus, yellowish-white in colour; cough and expectoration worse at night; night-sweats; soreness of the chest to pressure; auscultation and percussion did not reveal any organic lesion of the lungs, but that the respiratory murmur was faint, and covered in some parts by mucous rales; the bronchial tubes seemed filled with mucus, a hypersecretion of the debilitated respiratory mucous membrane. There was shortness of breath; headache; evening fever; burning in feet; dryness of throat; anorexia; pulse 100, soft and quick; alternation of constipation and diarrhoea; urine high-coloured and foul-smelling; sleeplessness at night; shooting, erratic pains through the body, and especially the chest; great exhaustion. Having had such good success in the treatment of similar cases with Sanguinaria before, I immediately prescribed it in the third dilution, ordering at the same time a good nutritious diet. Improvement began in the first six hours, and did not cease until the patient was up and about in good health. But one other medicine was used in the case, Sulphur 30th, which I gave for an irritation of the eyelids. I discharged the patient on the 3rd of March, one month from the date of the first visit, and on the 17th her courses appeared, lasting three days.—West. Horn. Obs., May 15th, 1866.

Bismuth in Gastric Affections.

A young lady, aet. 20, of lymphatic-nervous temperament, dark eyes and hair, chlorotic; subject to headache, palpitation of the heart, sense of faintness at praecordia; had attacks of gastric pain, which usually came on soon after breakfast, lasted from one to three hours, were sometimes of great severity, when they were attended by cold sweats and vomiting. I prescribed for these symptoms from time to time, for about a year, with only occasional and partial relief. Bismuth 3 was given ineffectually. Crude Bismuth, in two-gr. doses, before eating, relieved at once, and, as I have not beard from the patient since I gave her the second prescription of it, some three months since, I have no doubt permanently.

Another case in which crude Bismuth was of marked efficacy was as follows: Mrs. E. J., aet. about 30, mulatto, childless, tall, well-formed, leads a dissolute life; drinks strong coffee, and smokes, but doesn't drink spirits. She first applied to me for a distressing feeling in the throat, of a pressing, choking character. It was doubtless hysterical, as she was weak and nervous, had leucorrhoea, too frequent and profuse menses; and had also bleeding piles. Platina, third decimal, relieved the symptom she complained of, and the menses became more regular. Afterwards, during the summer and fall, she came to me from time to time, complaining of a weak, sinking feeling at the stomach, which depressed her very much, physically and mentally. She also had pain after eating; a feeling as though she could not get a long breath; palpitation of the heart upon slight excitement or exertion; headache, particularly in the morning. For this group of symptoms I prescribed for five months, with varying, but on the whole discouraging, results. Some improvement had followed the abandonment of coffee and tobacco, while Nux 1 and Arsenicum 3 had at times appeared to give partial relief. Still, the main symptoms continued to trouble and depress her very much, and she was getting thin, when, Nov. 28th, I gave her Bismuth (crude), as in the other case. The relief was immediate and decided. At the date of my last prescription in this case, Jan. 29th, 1866, she reported very much relieved; general health improving; is gaining flesh.—Dr. H. B. Clarke, in New England Med. Gazette, vol. i, No. 3.

Iris Versicolor in Prosopalgia.

In the proving I made of the Iris Versicolor I suffered intensely with facial and dental neuralgia of the right side. I saw a case two weeks ago in a lady, who had agonizing pains in the course of the same nerves upon the left side. I prescribed Iris Vers., 1st, and she was relieved in two or three hours.

The idea here occurred to me—have not the two symmetrical halves of the human body some kind of male and female relation to each other? .Will not a drug which produces and cures a neuralgia on the right side of the male face, produce and cure neuralgia of the same nerves on the left side of the female face?

Singularly enough, a few days after, a clergyman called on me for some medicine for severe facial neuralgia, involving especially the dental nerves, for both himself and his wife. The only difference, in the cases, was, he said, that his neuralgia was on the right, and his wife's on the left, side of the face. I prescribed Iris Vers., 1st, for them both, and they reported well next morning.—Br. Holcombe in Medical Investigator, May, 1866.

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