duced to finish the case. able editorial : แ Dr. Minton, the accom- with violent vomiting and purging. Mrs. Davin plished editor of the Obstetrical Magazine, says in an recovered rapidly under his treatment. She is deSuffering woman has a right to described as a slender and delicate woman, of Irish parentage, 28 years of age, but looking 10 years older; hair abundantly streaked with gray; insufficiently nourished, and of feeble constitution. Dr. Saltonstall heard no more of Mrs. Davin and her again solicited his services, saying that his wife had troubles until the last of July, when her husband been prostrated by the heat, and required immediate attention. The physician found the woman very sick and nervous, with all the symptoms of prostrathe first day of August he paid six visits to his tion from high temperature fully developed. On patient, so critical did he consider the case, and from that date to the middle of the month he called at least once every day. About this latter period the symptoms of prostration began to disappear symptoms supervened. The latter commenced with rapidly; but a new series of still more alarming loss of voice (aphonia), and went rapidly on to complete paralysis of the lower limbs, with such entire extinction of sensibility that the foot could be punctured to the bone with a needle without provoking the slightest reflex action. At the same time there was a corresponding extinction of motor function, and the poor woman lay helpless in her bed, or sat musing by the window, with the prospect of becom ing a life-long burden to her husband. mand of us the use of the forceps as those frequently do who have once experienced their harmless and efficient aid, and the physician who, from fear or ignorance, refuses her this aid is unfit for the high calling of an accoucheur. Frequently we but mock her when we gave her a few globules of medicine and a large amount of advice, urge her to hold her breath, to redouble her efforts and exert herself to the utmost, while we sit by and calmly contemplate her throes of agony and make no effort ourselves to assist her." In all cases what we wish to guard against is, not only that routine practice which leads to a meddlesome interference on the part of some, a culpable waiting on the part of others for something to turn up, but the refinement of diag. nosis which fritters away everything in non essentials instead of striking boldly and firmly at the heart of the malady. PHENOMENAL. The following intelligent account from the Daily "Curiously enough, as the paralysis of the limbs Times shows the kind of material upon which the progressed, the aphonia subsided, and, what is superstitiously inclined build their faith in the equally suggestive, there was no perceptible wasting miraculous. It is upon such data that we are in- cal treatment having proved unavailing for several of the apparently palsied muscular structures. Medivited and expected-if we would avoid sacrilege- weeks, Dr. Saltonstall finally advised the removal of to lend our countenance. There is no record of any Mrs. Davin to the County Hospital, with a view to other than some similar case which has been miracu-nated abruptly at the hips, and did not appear to test the virtue of electricity. The paralysis termilously cured, and we have yet to learn of the actual indicate structural disease of the spinal cord. reproduction of tissue in any such manner, or even from the adoption of Prof. Tyndall's proposed "prayer guage." 66 The offices of faith and prayer are but illy understood by the masses, and occurrences like the following only tend to confirm and perpetuate a superstition which has no foundation in fact, but lives by unauthenticated assertion alone! "Dr. Saltonstall urged removal to the hospital with such persistence that Mrs. Davin finally consented to be taken there if she did not recover tion of going to the monastery to give Father Victor within a certain time, and then announced her intena trial. Accordingly, a little more than two weeks ago, a grocer's wagon was procured, and Mrs. Davin cal treatment ceased, and the issue of the case was was taken to West Hoboken. From this date medileft in the hands of the monks. It was near noon Any physician who has to do with insane patients one Saturday when the patient was removed from knows that "religious melancholia" is not only one the rude ambulence and carried into the presence of of the most frequent phases to be met with, but the Father Victor, who immediately commenced the cases in which it exists are the most intractable, by the altar with the relic in his hand-the famous form of ritual incident to such occasions, standing Many are the pitiful cases we could recount which bone of St. Vincent de Paul, inclosed in a glass case have been induced by religious excitement, by too to preserve it from the profaning contact of the exconstant study of theological subjects, and we ques-erend Father rubbed the patient's limbs with the ternal air. After praying for some minutes the revtion whether the time will not come when political relic, and finally dismissed her with the comforting economists will urge upon the Commonwealth the assurance that in nine days she would commence to importance of adopting some means to regulate an get better. Mrs. Davin returned to her humble home exercise which seems to be filling its asylums with in Clinton Street comforted in mind, and on the fifhopeless cases, which may become a burden teenth day after Father Victor's manipulation, havupon it. We quote this case more for the purpose of pre- walked into Dr. Saltonstall's office and told her ing had no medical treatment in the meantime, serving its historical record than for any medical story. The day after her return from the monastery value it may contain: she was able to move her toes, although with ex"About the middle of last June a poor Irishman her feet. From this beginning, day by day the paraltreme difficulty, and partial sensibility returned to named Davin, living at No. 170 Clinton Street, Ho-ysis gradually departed, until, on the ninth, she was boken, called at Dr. Saltonstall's office and requested able to walk about her room. Mrs. Davin told the him to pay a visit to his wife, who had been seized doctor that she had previously had two similar attacks of paralysis-one when only 21 years old, and the other some three years ago. Both commenced with loss of voice, went on to transitory facial paralysis, and terminated in settled palsy of the lower limbs, which was finally cured by Father Victor. She believes that her faith was the instrument of her healing. "Extraordinary as this case seems when viewed apart from its causal relations, to the trained expert in nervous diseases it presents itself in the light of a simple case of transitory paralysis contingent upon hysteria. The loss of voice, the transitory facial paralysis, and the final loss of motion and sensibility in the lower limbs, are the several members of a succession of phenomena with which experienced practitioners are familiar, and of which medical annals supply abundant cases. Spontaneous cure under stress of religious emotion or sudden terror, when the patient has lain helpless for months, is one of the extraordinary things associated with hysterical palsy, and it is of such materials that our nineteenth century miracles are composed." In this city we find many charlatans and irregulars in the ranks of the so-called "Regular" or “Old School"; and if modes of practice have anything to do in making "irregulars," certainly the epithet will apply to the majority of “Old School" empiricists, whose therapeutics are still a jargon of unscientific generalization. The statement regarding homoeopathy is absolutely false, as statistics will show. There are at present about 250 practitioners of homoeopathy in Philadelphia, to which the number has gradually and steadily increased since its first introduction there, Hahnemann College, of that city, was never in so prosperous a condition. With a faculty second to none, and a class of 200 students, it does not look much as if "homeopathy is drawing its last breath!" And this prosperity is due to the "common sense of the people." No, gentlemen; you never can put down the principle upon which homoeopathy depends, by misrepresentation and downright lying. The name will continue so long as the necessity for it exists; until its principles and practice-the mode of selecting the remedy and the minimum dose-has been acknowledged by the majority of the practi. tioners of medicine, as is rapidly being done Then there will be no occasion to continue it as a distinct ive name, and all practitioners will be glad to adopt the simple title of "physician." "HOMEOPATHY VS. MATERIALISM.” A FEW QUESTIONS ADDRESSED TO "E. N. E.” In the September number of the HOMEOPATHIC TIMES, speaking of the theory of "dynamization" of drugs, you say "After all that has been written against this theory, we are just as far from having its truth disproved as at the morning of its birth." the other side? 1. Do you not know that the onus probandi lies on In the sciences, and among scholars accustomed to some exactitude of thought and action, are principles accepted as sound and sufficient to guide the efforts of art. upon the dicta of theorists? If a man tells the American Association for the Advancement of Science, that "the moon is made of green cheese," are the members of that learned body to accept his theory, and place it prominently in their text-books on Astronomy until it is disproved? Who has tried to disprove dynamization? Those you call "materialists," do they not rather claim that it has never been adequately proved? Why should they undertake to disprove a gratuitous assumption? 2. You say "It is maintained by materialists, that when a drug has reached a potency beyond which none of the crude drug can in any way be discovered, either chemically or microscopically, the solution or trituration is nothing but the menstruum used for at tenuating." Will you please name the "materialist" who has maintained such an opinion? Are you sure that men of that class deny all the therapeutics? proofs of drug presence furnished by pathogenesy and 3. Again, speaking of "materialists," you say"Such men should entirely discard the law of similars, actually as they do virtually." Was the law of similars discovered and successfully applied in medical practice before or after the" birth" of the theory of “dynamization ?" How old was Homœopathy when Hahnemann began the use of attenuations, in which the "materialist' could not recognize the presence of drug matter? What proportion of homœopathic physicians, in Europe, England and the United States, declare that they have found the attenuations used by Hahnemann during the first twenty-five years of his homœopathic practice, sufficiently high for all practical purposes? Did Hahnemann then, and do they now virtually discard the law of similars ?" 4. You say " We homeopathists are told that we are professional frauds; that nothing above the 5th or 6th potency will cure. Why? Because above this no trace of the crude drug can be found." Again I ask you to name those who have thus stigmatized you. Who says no trace of the drug can be found above the "5th or 6th potency?" 5. And you say-" Some of these sceptics even attempt the unnecessary task of computing the number of miles the diameter of a globe must be to contain one grain of crude matter in a moderately high potency." Why is such a task "unnecessary" if a truthful representation of the matter is made in figures? Who denies the correctness of the calculations made 8. You speak of an experimenter in Philadelphia tasting a bowl of oyster soup in New York, by means of a wire charged with electricity. Your story being true, please tell me if the soup be potentized by Finke to the c. m. centesimal, will the experimenter in Philadelphia taste the oysters ? With your willingness to ignore all difficulties, your abounding faith, can you doubt it? and In conclusion allow me to ask you if in your spiritual philosophy it is the right thing to misrepresent the views of those with whom you cannot agree? When you complain of your sceptical brother because he represents the fractional part of a grain of medicine, possible in your attenuated dose, by a long row of figures, the correctness of which you cannot at all deny, why do you perpetually and falsely accuse him of virtually discarding the law of similars," while he is, year in and year out, daily and hourly curing the sick homeopathically with his more sensible doses ? Is it fair and honest in you to claim allegiance to the law of similars when you employ drugs so “potentized" that they are no longer similar to the morbific influence, but actually OPPOSED to it? Do you believe in consistency? BIBLIOGRAPHICAL. HOMOEOPATHIC THERAPEUTICS: SECOND, REVISED AND ENLARGED EDITION. By S. Lilienthal, M. D. Boericke & Tafel, 1879. The work before us is based upon "Jahr's Clinical Guide" as a nucleus---which was formerly translated into English by the author of the present volumewith copious additions, especially of the "new iemedies," by the author, which adds largely to its useful ness and value, and is a great improvement over the original of Jahr. The opportunity for the edition was made possible by the late fire which destroyed the bulk of the first. On page 39, line 19, we read tart., which may mean any one of several preparations. In the author's translation of "Jahr" the same abbreviation also occurs, 80 that we presume it to be a literal translation of the original text. It ought not to be left to the reader to guess what ant. means, for the addition of a single letter would indicate exactly what is intended, and leave no room for mistake or guess-work. For students and such as are not thoroughly familiar with materia medica, such abbreviations are dangerous guide-posts (?), and should have been changed by the author in issuing the work as his own. We should like the work better if the spelling of the name of each drug in the context were commenced in capitals; they are pleasanter to the eye and less tedi ous to read. We miss from the article on Asthenopia some welltried friends, such as especially Gelsem, which has proved itself one of our best in this affection, as the results of clinical experience based upon "provings" have often demonstrated. In the next edition Diplopia ought to be brought under this chapter. The section on Cataract might just as well have been omitted, for who ever heard of a well-authenticated cure of this affection with any remedy? We will admit that our literature abounds in unfounded assertions-statements which any specialist in this department knows to be unreliable and uselesswhich has done much to gain for us the opprobrium of the "Old School" on account of their improbability. For Cataract we find recommended “Bell., after an acute inflammation of the eye" (!) a condition having no connection whatever with this affection, and a remedy not at all related to the pathological condition upon which it depends. In all the criticisms upon the use of Atropine, it has never been suggested as a possible cause of Cataract, and as it has been largely employed these many years, and in some cases in immense doses for protracted periods, we think it safe in asserting that Bell., or its alkaloid, never has caused and never can cure Cataract. Ergot is a drug that has produced cataractus degeneration of the lens, but no mention whatever is made of it here as a curative agent. The indication for the use of Caust is not one that would suggest a probable case of cataract. "Constant inclination to touch and rub the eye, which seems to relieve a pressure upon it," looks more like some form of conjunctivitis than anything else. Again," Sepia, when dependent upon uteriue disorders and climaxis." We have known uterine disorders at the climaxis to be relieved by this remedy, but have never heard of a single case of well-authenticated cataract to be cured, or the vision, in such cases, in the least improved by its administration. The trouble is that our literature is decidedly mixed in respect to this affection. Cases of macula cornæ have been diagnosticated by the general practitioner as cataract, and as they frequently clear up, even without nedication at all, an unwarranted credit has thus been accorded to remedial agents, a grave error committed, and expectations aroused which the facts will not bear out, with the result of disappointment and failure! not be constructed by a single individual who is not This is one of the reasons why text-books should supposed to be familiar with all the specialties in medicine, and hence unable to judge of therapeutic probabilities. The books we want are those which, like Ziemssen, are edited by specialists in the particular departments, and then we have a right to expect something to be depended upon. Some chapters are admirably worked up, for instance the ones devoted to Cough, Diarrhea, Dysentery, Diphtheria, Headaches, Heart Diseases. Leucorrhaa, Dysmenorrhea, Insanity, Ophthalmia, and others. The indications are concisely and clearly stated, and one can scarcely fail to find the remedy, providing the case has been properly diagnosticated. (We mean by this, a perfect picture which is only accorded by the totality of the symptoms.) The chapter on Fevers is, perhaps, the best in the book, and worth the price asked for the whole. The divisions are excellent, and the indications most useful. The same comment can be made in respect to Hemorrhages. The section under Keratitis has already been included in "inflammation of the cornea," and should be omitted, to economize space and avoid complication. We do not know from what data Apomorphine is italicized in Sea-sickness. Like Amyl nitrit., it has had its day, and utterly failed as a curative remedy in most cases, The provings upon which it is theoretically based were made with hypodermic injections, and we fail to see the symptoms produced-excepting the nauseawhich are similar in any degree to those manifested in this affection. It would be better to place an inter-rogation point after it for the present, and instigate provings in the regular way, then we shall find out positively its proper relationship to disease, for we already have enough remedies theoretically recommended. The physical part of the work is absolutely faultless, and great credit is due Messrs. Boericke & Tafel for the enterprise and faithfulness which could make such a possibility. The general arrangement, the mode of emphasizing characteristic symptoms, is convenient, usable and striking. The index is of little account, and, perhaps, even unnecessary at all, in consequence of the alphabetical arrangement of the subjects treated. "SCRATCHES" OF A SURGEON. By Wm. Tod Helmuth, M. D. Chicago: Wm. A. Chatterton & Co. ica yet published. The portion devoted to therapeutics, however, fails to do justice to the subject. It lacks fullness and point, and presents few of those clear, strong pictures so essential in studying drug action and drug indications. A CLINICAL ASSISTANT: Being Reliable Gleanings from Practice. By H. W. Nelson, M. D., F. R., C. S. I. Chicago: Duncan Brothers, Publishers. This little pocket volume is evidently the work of a careful student and close observer. It can almost be carried in the vest pocket, and will prove of real assistance to the physician's memory. HEMPEL'S MATERIA MEDICA. We are glad to see by the announcement in the Medical Counsellor that W. A. Chatterton, Chicago, is about to issue a third edition of Hempel's Materia Medica. The venerable author has associated with himself, in the revision of the book and bringing it up to the present time, Dr. H. R Arndt, a ripe and painstaking scholar, fully competent for the work he has to perform. The general plan of Hempel's Materia Medica is, in our estimation, the best of any yet worked into form. With a careful revision, in which some of the philosophy and theorizing shall be left out, and the work brought up to the times, it will form the best treatise on Materia Medica yet presented to the public. We wish the publishers ample success in their under The fountain of youth consists, after all, in the faculty of never getting rusty and never growing old. The fountain is in one's own soul, and he who never permits it to be crusted over, but, notwithstanding the flight of years, bubbles up bright and sparkling, only adds with increasing years a ripened experience taking. to perpetual youth. The brightest intellects have ever been the most versatile in their accomplishments, BY DR. JOUSSET. (Read before the International Homeopathic Congress, at Paris, Aug. 12th, 1878.) and keep up strength for vigorous intellectual work THE CHOICE OF DOSES IN HOMEOPATHY. by the rest obtained from the wide range of their studies and their keen enjoyment of life in its varied phases. Our friend Helmuth sees with a clearer eye, and is a better surgeon for being a wit, a scholar, and a poet. The little volume of rhymes, poetry, and odd conceits, which Dr. Helmuth sends out as some of the offsprings of his leisure hours, does credit to the father, and will be read with interest by all, who know the witty and accomplished surgeon, professor, and author. ANALYSIS OF THE URINE, WITH SPECIAL REFERENCE TO DISEASES OF THE GENITO URINARY ORGANS. By K. B. Hoffman, Professor in the University of This work will not take the place of exhaustive treatises on the genito-urinary organs, but will be of especial value to the student and active practitioner, who will find here all that is really necessary for the analysis of urine and the diagnosis of urinary diseases, so far as they can be diagnosed by an understanding of the urine. It is less a text book than a work of daily reference, constantly refreshing the memory upon those minute matters, which are so easily for gotten. The typography and general appearance of the book are exceedingly creditable to the publishers. MATERIA MEDICA AND THERAPEUTICS-VEGETABLE KINGDOM. By Charles D F. Phillips, M. D., F. R. C. S. E., Lecturer on Materia Medica, Westminster Hospital, London. Edited and adapted to the United States Pharmacopoeia, by Henry C. Piffard, A. M., M. D. New York: Wm. Wood & Co. 1879. This work forms one of the series of Wood's Library of Standard Medical Authors. In discussing the dif ferent drugs: 1st, the active ingredients are given; 2d, physiological action; 3d, therapeutic action; 4th, proportion and dose. The general idea of the work is excellent, and if properly carried out would meet the wants of the profession more fully than any work on Materia Med TRANSLATED BY GEO. VANDENHOFF, JR., M.D. The most controverted question at the present time, among homoeopathic physicians, is assuredly that of the choice of doses in medicines. Let us cast a rapid glance over the history of this question, and pause at the point it has reached to-day. employed medicines in medium doses, came a second, After an initial epoch, during which Hahnemann much longer, and in which our master attained the highest point of glory and authority. This second epoch was characterized by the use of more and more infinitesimal doses, and it is this method which is, so to speak, the last word and testament of the great reformer. But a re-action against the exclusive use of infinitesimal doses sprang up even during Hahnemann's lifetime. The decimal dilutions were discovered, and an important group of homeopaths attached themselves to the exclusive employment of ponderable doses-the first decimal dilutions and substances not diluted at all. Between these two schools, excessively and equally medicines act in all doses, and which seeks to establish exclusive, arises a mixed school which declares that certain rules for the choice of the dose. This school, which prescribes in certain fixed cases, Lycopodium, the 200th dilution, employs without hesitation, in other Silicea, Copper, Nux vomica, in the 20th, and even in cases equally fixed, sulphate of quinine, iron, iodide of and even in grammes. potash, mercury, in doses expressed in centigrammes It is precisely this mixed school which needs to elucidate the problem which is the subject of this paper. Among the extreme infinitesimalists, as among the physicians who give only ponderable doses, there is no question on this point; the very statements of their system reply to all such difficulties. Meanwhile, if both schools sometimes cure, both schools too often fail, and it is exactly this that we ought to demonstrate homoeopaths, who were all, or nearly all, infinitesibefore going further. If either one or the other of the malists, and this argument, drawn from the practice excessive schools succeeded in always curing, we of a great number of physicians, has an incontestable should have nothing left to do but to rally to that value; but we have more direct arguments to oppose school. INSUFFICIENCY OF THE THEORY OF THE PURE INFIN ITESIMALIST. Hahnemann endeavored to explain the partial want of success of infinitesimal doses, and from this need of explanation came the idea of psora; but this theory is insufficient, and there are cases which resist anti psoric remedies. To-day the pure infinitesimalists affirm that if any medicine does not act in an infinitesimal dose, it is because it has been badly chosen. convenient argument, and one that consists in habitThis is a ually treating one's adversaries as being either very ignorant or very lazy. To this argument I will oppose a simple anecdote, but which has an instructive side. A certain great lady of Spain, afflicted with an intermittent facial neuralgia, was treated without success, during a whole year, by a most distinguished physician-one of the purest of homeopaths. Was it psora that caused this want of success? It could not have been the bad choice of remedies, for the length of treatment and the acknowledged merit of the physician will not permit this supposition. Well, this lady, coming to Paris, was cured in eight days by a few grammes of Sulphate of quinine. Have I not seen victims of heart disease arrive at asystolia, abandon homœopathy, which had been powerless to relieve them by infinitesimal doses, and receive, if not a perfect cure, at least a considerable amelioration, by using Digitalis in ponderable doses ? Has not Rogers, cited by Richard Hughes, affirmed that the repugnance of certain homœopaths to the use of ponderable doses of Sulphate of quinine, in cases of intermittent fever, hurt our doctrine in various localities, and supported his affirmation by our own statistics? In diarrhoeas amenable to Arsenic, to Phosphoric Acid, to Bismuth and to Rhubarb, I have arrived, by successive trials, at the conclusion that low triturations and ponderable doses act more surely than high dilutions. I am glad to be able to refer to the testimony on this point of Dr. Allen (Review of American Journals, by Dr. Keghel, in the Belgian Homœopathic Review, June number), who, after vainly giving the 30th and the 200th dilution of Arsenic in a case of diarrhoea, succeeded with the third trituration of the same medicine. Tobacco, which is a remedy so strongly indicated in vertigo accompanied with vomiting (vertigo a stomacho læso, vertigo of Meniere), should often be prescribed in low dilution, the third or even the first. M. the Marquis of M- comes to consult me for a vertigo of this kind, which had troubled him for several His physician believed him to have an affection of the stomach, as the vomitings were frequent and he was considerably emaciated. Tobacco lessened the frequency of the attacks, and finally cured him, but I was obliged to descend from the third dilution to the first; the twelfth and the thirtieth dilutions produced no effect on this malady. years. Ganglionic enlargements, which yield so readily to a few drops of tincture of Belladonna, resist indefinitely the higher dilutions of the same remedy. Iron in chlorosis, Mercury and Iodide of potassium in syphilis, Sulphate of quinine in intermittent fevers, should, according to the experience of the generality of homœopaths, be prescribed in substance. INSUFFICIENCY OF THE THEORY OF THE EXCLUSIVE PARTISANS OF PONDERABLE DOSES. One might, in the first place, hold up to these exclusives of another kind, the brilliant success of the early them with. value of doses, following the ascending ladder of the I have experimented a great number of times on the finitesimal doses had a decided superiority. For example, dilutions, and I have found that,in certain fixed cases, inthe twelfth and thirtieth dilutions of Nux vomica have a much more sure action in neuralgia and in certain affections of the stomach, than the low dilutions and the tincture itself; the same may be said of Silicea in scrofulous affections, of Lycopodium in constipation, etc. I have noticed that the partisans of the habitual of Copper in cramps, of Sulphur in consumption, etc., use of low dilutions and ponderable doses, like Richard tieth, evident proof that their practice has led them Hughes, recommend Sulphur in the twelfth and thirto recognize the superiority of infinitesimal doses in certain cases. ponderate doses are both, in their exclusiveness, If the pure infinitesimalist and the partisans of only equally at a loss when face to face with a great number of morbid conditions, shall we find a more perfect solution in some one of the intermediate sects? I do not think so. physicians who, practicing the adage: in medio stat Shall we attach ourselves to those virtus, represent the school of moderation, and always would deprive us at once of the services and advanprescribe the sixth dilution? Evidently not; this tages of the high potencies. Shall we let ourselves be led away by those who say: doses; witness the success of the two opposing schools, "But medicines cure in all this remedy cures the capricious cough that belongs witness our own works on Drosera, which show that to it, in the thirtieth dilution, and in the mother tincture"? The great question, say these physicians, is the choice of the remedy; the dose is unimportant. Of what use is it to seek the solution of a problem that at his temperament and his caprice, prescribe the thirtieth this time seems insoluble? Let each one, following dilutions or the mother tinctures. truth in this system, and it is certain that there are We must admit at once that there is something of medicines which, in fixed cases, act in all doses. But it is also certain that even for these medicines there is always a preferible dose, and it is still more certain, as we have already shown, that there are cases which resist infinitesimal doses, as there are others which absolutely rebel against ponderable doses. The question rests here, then, and we shall try to give it a solution. on the healthy man that will give us the solution that I believe that it is the study of the action of medicine we seek. The works on materia medica by Hahnemann and his pupils show that all medicines produce, on the healthy man, two species of actions, and that these actions are contrary. Thus, all medi ine that, by its primitive action, augments the temperature, diminishes it by its secondary action. That which diminishes the pulse, finishes by accelerating it; the same remedy produces cerebral excitement and somnolence, diarrhoea and constipation, pain and anesthesia. The symptoms tive symptoms, the others that of secondary symptoms. which first appear have received the name of primiLet us add that a sort of alternation of these opposing the primitive, which reappear again after the seconsystems is often produced; the secondary succeeding dary. Experiment has shown that the dose employed of the medicine has a considerable influence on the production of these alternate effects of the medicine. Thus, with very strong doses the primitive symptoms are almost entirely suppressed, and the secondary of Aconite cause collapse with coldness, without first symptoms directly produced. For example, large doses raising the temperature; they produce anasthesia |