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Dec. 3rd.

Has been better. Last night exerted herself a good deal, and had stiffness and pain in the back after it. B. still loose, twice a day, watery; hypogastric pain Mouth rather dry. App. poor. P. 124.

almost gone.

Ars. 5x, pil. j, Arn. 1, pil. j, 2 h. alt.

7th.-Much better in general health, but the bowels are not right yet. On the night of the 3rd (Monday) head light, loose slimy motions. On Tuesday she had diarrhoeapain, but no motion. Yesterday (Wednesday) the same slimy diarrhoea, with gurgling in the lower abdomen. This morning only two motions. Urine clear. Is thirsty. Merc. cor. 6, p. j, 2 h.

12th.-Was much better the day after getting last medicine. Is looking quite herself again. Pain is gone. B. natural; T. better, but still red; app. middling. good. Head giddy, and inclined to ache. Rep.

Sleep

18th.-Better. No pain. Sleep good. App. good. T. less red, moist. B. rather confined; they are never regular, always rather confined when she is taking solid food; motions hard, large, not knotty, painful. She is never bilious. Mutton agrees with her better than beef. Ars. 5x, p. j, 3 h.

P. 84. Rep.

26th.-Feeling very well. March 5th. She came back to-day-ten weeks after her last visit-having taken fresh cold. Up till this time she had kept very well. The cold had been on her over a week. She had pain in the limbs at first. The last two days has had cough and a return of the pain in the hypogastrium. This was so severe last night that she thought she would have died. T. red again; not thirsty. Herpes on lips. B. reg.; app. very bad. She raises phlegm with the cough, which is worst on going to bed. Does not sweat at night. She still has nasal catarrh, but this is better than it has been. Ars. 5x, p. j, 2 h.

8th.-Feels better, but bowels have not moved since 4th. T. rather red; no thirst. Cough easier, still a little phlegm. Pain in hypogastrium better, but not quite gone. P. 108. Rep.

12th.-Better. T. better. B. reg.; app. better.

Still

a little pain in hypogastrium.

Spits up phlegm in the

morning on rising. Cold in the head diminished.

Rep. 3 h.

P. 96.

B.

right.

T.

20th.-Nearly well. Free from pain. Free from pain. better; app. good. Has only a little cold now.

Rep. t. d. Remarks.-This was a case of very acute catarrh of the lower portion of the large intestines and the rectum, brought on by cold. It is much more common for cold to affect the air passages than the alimentary tract in the winter, and the reverse in summer. But exceptional cases

are by no means rare, and this appears to have been one. The medicines Arsen, and Mer. cor. acted very satisfactorily. The slimy evacuations particularly indicates the latter.

CASE 13. Headache; pain in side.-November 27th, 1882.-Mrs. M. A. D-, æt. 32, small, dark hair, grey eyes; nervous; is weaning baby. She complains of pain in her side, which she has had for twenty-two months. Headache across forehead and temples. Sinking sensation. Has always enjoyed very good health before. T. white. B. confined; no catam. since pregnancy. Ign. 1, gtt. j, q. d.

December 12th.-The pain in the side is better. Has had no headache since getting Ignat. She has pain in hypogastrium as if near her confinement, B confined; not affected by Ignat. ; motions knotty, painful, get as far as the orifice and then arrested; she has to strain, and feels strained afterwards. T. clean; app. better. Has Nat. m. 6, pil. j, q. d.

had leucorrhoea a long time. Remarks. This patient did not return. The Ignat.completely relieved her of the chief symptoms complained of, but not the constipation. I have usually found, where there has been constipation in cases calling for Ignat. the constipation has been removed as well as the other symptoms. The characteristic stool of Ignat. is one that it is too large to pass. The stool of Nat. m. is a hard, dry, unsatisfactory stool; and there is a sense of constriction in the rectum, and great pain when the motion is passing.

CASE 14. Cough; constipation. November 27th, 1882. -Millie B—, æt. 16 months, weakly child, joints large and

rickety. Has had a cough for a week or two, worse during the night, better during the day. B. very much

confined. Bell. 3, pil. j, Cal. c. 6, pil. j, 2 h. alt.

December 15th.-Bowels very much better. Cough soon got well. Now the cough has returned, it is looser than Has had chilblains a fortnight. Rep.

it was.

January 9th.-Has got a feverish cold; came on yesterday. No sleep; hot, pale; throat sore; sick. Ars. 3, p. j, Bell. 3, p. j, 2 h. alt.

CASE 15. Cough; debility after measles.-November 28th, 1882.-Jessie B-, æt. 2 years and 2 months. Very irritable; never strong. Six months ago had measles; not well since; has had gatherings in the ear; now has very offensive discharge. Never had whooping-cough. She gets very stout, and then if out of health for a week wastes almost to a skeleton. She has had ulcerated mouth. For a month has slept badly, screaming on waking. Three weeks ago got cold and had aching all over her. A cough came on, at first hacking, now in fits, worst at night. She gets up no phlegm. There are snoring sounds in the chest. T. white coat, ulcer under it. No grinding of teeth. reg., motions dark, very offensive. Urine very strong.

Puls. 1, pil. j, Hepar. 6, p. j, 3 h. alt.

B.

December 7th.-Has slept better the last two nights. App. very much better. Screams on passing water. Intertrigo. Motions still dark, but not nearly so offensive. Cough still bad at night. Cham. 6, p. j, Hep. 6, p. j, 3 h. Last attendance.

alt.

Mrs. E–, at. 45, about a year, off and It comes on in red,

CASE 16.-November 28th, 1882. dark, grey eyes. Has suffered for on, from irritation of skin of face. raised, rough blisters, which peel the morning after they appear. The eruption is always dry. Sometimes as it gets better on the face it comes out in each axilla (Juglans r.). The part under each eye becomes swollen, peels; after this it becomes sore and red, and then the area all round the mouth becomes sore. The skin is worse when she is warm. It is worse just before the catam. periods. T.

white. App. good; very thirsty; has taken no beer for months; has left off suppers; has noticed no difference from this. B. always very much confined; urine natural. Cat. reg. but scanty. Has six children, youngest thirteen. Has had good health all her life, except that she had congestion of left lung ten years ago, and has had cough in winter since. For fourteen years she has been very deaf. It is hereditary, mother and father both were deaf. She has noises like rushing water in her ears. Lately, when feeling quite well, has come over giddy at times; this within the last twelve months. She has taken Sennu, Salts, and Sulphur. Thinks Sulphur did her a little good but not much. Arsen. 3, pil. j, q. d.

Dec. 6th.-Better. General health good. B. more reg. Face better. No eruption in arm-pits. She used to sweat a good deal formerly, now does not, but gets into dry heats. Giddiness not so bad. Rep. 14th.-Face very much better.

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Giddiness less often and

21st.-Face not so well the last two days;

much irritation.

1, pil. j, q. d.

more lumps;

Giddiness keeping better.

Juglans Reg.

No eruptions

28th.-Face feels better, and looks better. in axillæ. Giddiness keeping much better. attendance.

Rep. Last

CASE 17. General debility; styes; enlarged glands.Nov. 30th, 1882. Louisa K, æt. 8. Delicate-looking, thin, dark eyes, florid, never robust; delicate from babyhood; never had severe illness. For the last eight months has had an enlarged gland on the right side of the neck, about an inch below the ear. For the last six months has

been troubled with styes in both eyes. Her lips are dry and feverish. She is troubled in her sleep; does not have bad dreams, but always looks miserable, and makes a miserable moaning noise in her sleep; has ground teeth at night, but not lately. T. white; B. reg.; app. never good. Cin. 1, Hep. s. 6, p. j, 3 h. alt.

Dec. 18th.-Has had more styes, but not such bad ones. VOL. XLI, NO. CLXV.-JULY, 1883.

Is still unhappy in her sleep, but it is quieter. T. white; app. fair.

Rep.

Jan. 9th, 1883.-Styes better. Not so miserable in sleep, but grinds teeth at times. Has scurfy spots on face, one at corner of right eye, many on legs and thighs, rough and dry; has had them slightly twelve months, worse last few weeks. T. clean; B. reg.; app. very good. Ars. 3, p. j, t. d.

(See note after next case of brother of this patient.)

CASE 18. Nov. 30th, 1882.-Samuel K-, æt. 5. Has been out of health three or four weeks; worse the last week. Cannot eat his food, cries when pressed, retches. Abdomen large. Wakes early in the morning (3.30 a.m. to 4.30 a.m.) with a pain in his body, then he has a clayey motion, and after that is sick. He is bad at night; no head-sweats. He was exceedingly delicate from his birth till three months old. Phos. 3x, p. j, Calc. c. 6, p. j, 3 h. alt. Dec. 7th.-Motions worse, two in the day, and two in the night. Much sickness; can eat nothing but dry toast. T. white. Urine very high-coloured with bad smell. He is getting very thin. He feels the cold very No bruit de diable. Merc. s. 6, p. j, 2 h.

much. 18th. Very much better. Motions one or two a day, more natural; has not had to rise once in the night. App. much better. No more sickness. Body still very large. Rep.

Feb. 9th.-Keeping better; body not quite so large. T. white; B. reg.; app. good. Sleep good. During sleep at night he always lies on his belly, and the pillow-case is always blood-stained with bloody saliva that runs from his mouth in sleep. This has been the case for a week. He has bad teeth, has a chronic gumboil. Rep. t. d.

13th.-Has kept very well. T. clean; B. reg.; app. decidedly better than it used to be. No pain in the body now. For the last week has had a dry, hard, barking cough, worse at night, not keeping him awake. No laryngeal

tenderness.

Remarks.-I afterwards attended these children at their

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