much exposed to wet and cold, became a patient of mine in November last, suffering from an attack of acute rheumatism; disease affecting the wrists, elbows, and extremities; came on sharply, attended with general feverishness and profuse perspiration. Four Atropine injections, in the space of fourteen days, completely restored this man to perfect health and strength. These four cases will be sufficient to indicate that the injection of the cellular tissue, in any part of the body, however remote from the seat of pain, will remove the morbid condition of nerves so often productive of irritation and suffering. A Case of Traumatic Tetanus successfully treated with Prussic Acid. By GEORGE MOORE, M.D. On February 27th last, J. H., joiner, æt. 20, sent for me. History. Whilst in good health he got his feet and legs, below the knees, severely scalded; the skin was removed when his stockings were pulled off. Surgical aid was obtained and matters progressed favorably until, as nearly as I could ascertain, the sixth day after the injury. The patient then began to feel some stiffness in the neck and above the throat, which was at first attributed to "cold;" this stiffness and a feeling of general uneasiness gradually extended to the tongue and muscles of the jaws; and there was some difficulty of swallowing. Speedily the lower jaw became fast, and the surgeon diagnosed "lock-jaw." The stiffness gradually crept over all the voluntary muscles; a gloomy prognosis given; and my assistance was sought. Present symptoms.-The patient has the true "tetanic grin," which needs no description. His jaws are firmly fixed; the masseters hard. He lies on bed, with the head fixed and thrown backwards, and the legs fixed and rigid; there is no distinct bend backwards or sideways of the trunk and legs. The abdominial muscles are firmly contracted and hard as a board. He suffers greatly, especially at night when dropping off to sleep, from severe spasms of all the muscles, during which the breathing becomes hurried and laboured; he feels on the verge of suffocation, and his powerful father is hardly able to keep him in bed. These attacks came on without any apparent provocation even in the daytime; he dreads their approach; and they leave him prostrate with exhaustion and apprehension. He could sleep, he thinks, but for the fear of these attacks seizing him just as he closes his eyes. He has not had sound sleep for several days. He can swallow fluids when they are poured into the mouth by separating one cheek from the side of the corresponding jaws, but the act is difficult and painful. The pulse is 80. The bowels have not acted for four days; the urine is natural in quantity. The injured legs are suppurating and otherwise doing well. Progress. It would be wearisome and unprofitable to give the details from day to day. I shall therefore content myself with a summary of the treatment and results. I enjoined perfect quietness in the house and in the movements of the attendants, and had the room darkened and warmed. Acon. and Bell. were given for the first forty-eight hours without any effect whatever; the spasms, on the contrary, were more numerous and violent, and the patient much more prostrate. I then gave one drop of Prussic acid (Scheele's) in a teaspoonful of water every two hours, the first result being that the following night the patient slept some minutes and had fewer spasms, and these less severe. The acid was steadily continued in the same way for a week, when the patient was able to sleep soundly for some time, and the muscles of the trunk and extremities had lost much of their rigidity and hardness. The same dose was then given four times a day, and later twice a day until the stiffness had wholly disappeared. The locking of the jaw was the last to yield. I considered the patient out of danger after the first week. A simple salve was applied to the legs. When I last saw the patient, six weeks after my first visit, he was dancing a polka on the pavement to show me how well he was. Iris Versicolor in Skin Diseases. By J. D. Buck, M.D. My attention was first called to this remedy by Dr. S. Rogers, who has used it for a number of years; and during the past year I have made repeated clinical provings of it in skin diseases, and with a degree of success which I think will bear recording. At first I used it in alternation with other remedies, being anxious to effect a speedy cure, and not having the necessary confidence in the Iris to trust it alone, without knowing more of its pathogenesis. C. W, æt. 18 months, light complexion, nervous-sanguine temperament, father of scrofulous tendency, had been affected. 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 a few 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. Hom. Obs., January, 1866. * An American word, meaning, according to Webster, meager, wasted.— [EDS.] Apocynum Cannabinum in Dropsy and Chronic Diarrhoea. 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. CASE I.-Incipient Phthisis Pulmonalis, following Amenorrhoea. -Maggie C, æt. 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 Acid, Puls., were tried in succession without relief, excepting from the night-sweats, which were controlled by Nitric Acid, when I determined to give Sanguinaria, according to the rules contained in Hale's New Homœopathic 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 Calc. 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.-Anemia consequent upon Amenorrhoea.—Adele L—, æt. 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 |