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of Savannah, Ga. I will also state that the mortality At Chattanooga, Tenn, Dr. N. P. Curtis has lately statistics of the two schools compared show largely received an appointment upon the Board of Health. in favor of homeopathy.
From this narration of facts we learn that homeFor allopathy the average of deaths was from 25 to opathy is not only progressing, but, at the same time, 30 per cent. For homeopathy the average was only reconstructing its educational basis. By which, in the .06 per cent. This needs no comment.
advance and increase of converts to our system, we When the National Board of Health was organized, will be enabled to keep abreast with the world of med. the President honored homeopathy by appointing our | ical science; not only abreast, but it shall be that alloworthy colleague, T. S. Verdi, M. D., as one of its pathy will be left as far behind in surgery, pathology, members. The bulletin issued by this board has been etc., as it is in therapeutics, and it shall take the place sent to the Secretary of the State Homeopathic Medi- now occupied by the followers of Thomson. cal Society since its first issue; thus virtually the State The prevalent idea among the laity is that the two Society is recognized by the National Board of Health. schools will finally merge into one; but that is impos
The following examples of the advance of homaco sible, as I hope I have demonstrated, of homeopathy pathy I have collected Irom various medical journals: and allopathy per se. That there will be but one sysIn Sacramento, Cal , the large county hospital, wlrich tem of medicine at some time in the future I think constantly maintains from 130 to 150 patients, the city there is no doubt; and it will result by an amalgamaand county dispensary and jails, and the large Protest- tion, not of principles, but by the consenting of alloant orphan asylum are all exclusively under homeopathy to the adoption of our law. pathic control. Also the city board of health. The The question is often asked: How will the different office of commissioners of the insane has also been medical sects be amalgamated ? The following an. promised them. “This is as grand and important a swer is to be found in the Investigator for Sept. 15, victory for homeopathy as was ever won in this coun- 1879, and explains this indefinite question of amalgatry, and all done in two weeks, previous to which time mation: it was not thought of.”
“Very easy; the leaders in the eclectic and alloIn Blackwoodtown, N. J., an asylum for insane pau pathic ranks are fast paving the way. pers, a few months ago, was placed under superin. “ Small doses have been adopted by the mass of tendance of homeopathy.
physicians. In New Hampshire a homeopathic physician has “There is a bungering for something beside 'shotbeen appointed surgeon general, with the rank of brig. gun' practice. What weapon shall be selected, and adier general.
what is the rule of selection, is the anxious longing. A homeopathic physician was re-elected this spring some of these leaders begin to see that there is a mayor of Warrensburg Mo., and was also appointed method that will secure direct action' Their vision Examining Surgeon for the U. S. Pension Department has not grown wide enough to see a law,' but they or Distr ct. In ihis same State great improvement has can not glean long in our literature before the fact will been made in the standard of the medical school, it be- dawn upon them. Then they will try it (as many are ing now 5.7 per cent. harder to graduate than it was quietly now doing), and then it will be broached here last year. Just at this point I will mention the follow- and there, quietly at first; then the echo will swell the ing progressive stride made by the Homeopathic In. chorus : Homeopitby, the science of therapeutics, ter-collegiate Congress of the United States, which met excelsior !' Then we will all shake hands, and turn at Indianapolis, Ind., April 30th, 1879. Delegates our attention to studying therapeutics, materia medi. from tive different medical colleges were present. ca, posolo:y. Then we expect to see the union of One main object of the congress is to improve the many societies, the closing of some colleges, the susstandard of medical education. They unanimously pension of several journals, and the closure of many agreed " that the time of study required of candidates drug stores and pharmacies. Such a revolution will for graduation shall have been three full years, includ: not occur without opposition from the small men in ing three courses of lectures in a reput ble medic 1 all schools. But it will come. * Truth is mighty and college." Do you find such an action as that taken by shall prevail.' The distinctive terms, Allopathic, any of the allopathic colleges? On the contrary, ! Homeopathic, and Eclectic, will drop out of our voknow they hold ihe idea that two ye rs is sufficient cabulary ; the first, Contraria,' will gui le in hygiene; for any ordinarily educated man to study medicine be the second, Similia,' in therapeutics; and the last will fore graduating Either homeopathy is a much more indicate the royal freedom of medical study.” profound study than allopathy, or our standard of education is much higher, Allopathy is welcome to either horn of the dilemma.
In Pittsfield, Pike Co., III., at the recent election of county physiciın, homeopathy was successful over Dr. Thos. J. Mays (N. Y. Med. Jour., Oct., 1879) both el..ctic and allopathic competitors.
explains, with cut, the use of a very simple steam In Joliet, III., a homeopathic physician has been ap- jacket devised by him, and claimed to be of service pointed prison physician of the Northé rn Illinois Peni- in cases where external heat is desirable, ien iary; Dr. R. Ludlam has been reappointed on the Mino s Board of Health by the Governor; Charles W.
N. Y. OPTHALMIC HOSPITAL.-Month ending NoLorg, M. D., has been appointed U. 8. Examining vember 30, °79: Prescriprions, 3,272, new patients, 360; Surg.on of Pontiac, III.; th- homeopathists of Chicago resident patients, 44; average daily attendance, 142; have petitioned the commi-sioners for recognition by largest attendance, 200. suitable appointments upon the Melical Board of
J. H, BUFFUM, M. D., Resident Physician. County Hospitals. We all sincerely hope their effurts may meet with due sucress.
At C dar Rapids, Iowa, homeopathy has just received its first official recognition by the appointment of Dr. HORLICK's Food has become so well and favorably C. E. Cogswell, upon the Board of H-alth. L. S. Ord- wn to the profession as an adjunct in the nutri. way, M. D., has been elected m mber of the Board of tion of children, that it is scarcely necessary, for Health at Hot Springs, Ark. Prof. Dankorth has the us to call attention tu it. To those who have never honor to have performed the first successful ca-e of employed it, we need only say that you will find it a ovarintomy at Milwaukee, Wis. We lear, tbat 18 food perfectly free from starch, and one which will months are required at Ward's Island Huspital, instead upon many occasions serve you excellently in cases of of a year, as formerly.
mal-assimilation in adults as well as in children.
A FUNGOD GROWTH–THE CAUSE OF “That the essential symptoms of whooping cough WHOOPING OOUOH.
are the result of a spasmodic closure of the glottis, There can be but little doubt; but whether this is owing
to an irritation seated in the larynx or trachea, (TUSBIO CONVULSIVA, PERTUSS18.)
or in the brain, it is difficult to determine." In pathol
ogy as uncertain as this, how are the proper remedies BY HENRY A. Mott, Ph. D., E. M.
to be selected? Are they to be addressed to the brain,
the origin of ihe nerves, or the larynx or the trachea? The idea has prevailed, and in fact is prevalent now The question having only recently been answered, to a very great extent, that whooping cough must run among the former remedies are found purgatives, its course or that it has a definite limit, and if the astringents, emetics, expectorants, narcotics, vesicants cough is broken up, it would be much worse for the tonics, depletants, anti-spasmodics, caustics, revul child; for it would be laying the foundation of some sants, anti-periodics, ablutions, etc. As Dr. J. O. fearful disease in the child's system. To this conclu. Hamilton, in his able article* on whooping coughs re sion I fully believe can be attributed much of the marks: “How can we imagine such a bydra-headed mortality among children. The deaths from whoop disease requiring such fearful instruments for its decap, ing cough, according to Condie, are 1 to 82 of the en- itation ?'s tire mortality in Boston, 1 to 46 in Charlestou, 1 to 95! From the above it is certain that Dr. R. Dungleson, in Baltimore, 1 to 63 in Philadelphia, and 1 to 64 in in his work on Diseases of Children,t stated the truth New York. When we consider such figures as these, when he said, “But little is known of the cause of surely any effort made to discover the cause of this whooping cough ”
The above illustration is of the fungus spores and mycelium. Of course no one slide gave the field here represented,
but it is the result of the examination of a very large number. A represents the mycelium ; B, cells thrown oil from the epithelium; C, the fungus spores which exist in great numbers, D représent a film of epithelium from
the under surface of the epiglottis. terrible disease, and to point out the proper line of As stated before, in 1871, Dr. Ludwig Letzerich comtreatment, should be met with a hearty reception. menced a series of microscopical investigations as to
Mach diversity of opinion has existed in regard to the real cause of whooping cough, and his original inves: the pathology of whooping cough. Fortunately, how. tigations are to be found in full in VirchowArehiv. Lotz ever, owing to the investigation of Dr. Letzerich, of erich showed for the first time that if the expectorated Germany, in 1871, and the confirmation of his results mucus whooped up during the short duration of the by myself, our knowledge of this disease has been first catarrhal-like stage of the disease, be examined greatly enhanced.
under the microscope,there will be seen, besides the porCondie says: “A majority of the most authoritative tion of phlegm, etc., etc., small elliptically-sbaped, writers refer it to bronchial inflammation, which by brownish-red fungus spores, some of which have par few is considered to be of a specific character. By tially germinated and brought into existence mycelium. some, however, who have written very ably upon the This discovery gave a clue at once to the cause of disease, the bronchial affection is viewed as a mere pertussis, and opened a new channel for its treatment, concomitant, or effect of the whooping cough, and not As the editor of the Quarterly Journal of Microscopy in any degree essential to its existence.”
stated that this observation of Letzerich had not as Most of the writers refer it either to disease of the yet been confirmed by any other investigator, having pneumogastric or phrenic nerve, or to disease of the an opportunity offered to study the disease in my own brain, affecting the origin of the respiratory nerves, while others consider the cerebral irritation to be
* Page 299. 0. Vol. 49, p. 630. secondary to the bronchial disease, and often absent. + Ills. State Med. Soc. Rep., p. 48. 1875.
children, I concluded to do so; and after a careful larynx and trachea, then it is simple whooping cough; microscopical investigation of the phlegm whooped up but if the fungus enter into the delicate bronchial at various stages in the development of the disease, 1 tubes and the cavities of the lungs, then the dreaded can now state that in the main my investigations con- complications arise. firm those of Letzerich; the only difference being It is therefore best to meet the disease in its earliest that he found the developed fungus brownish-red, and stages and treat it properly; that is, with an object to these I was unable to deteet.
kill the fungus and prevent its further development, and The ripe spores of whooping cough differ from those then we shall seldom have the complications of bronof diphtheria in not being circular, and 'in not showing chitis, cholera infantum, or cerebral difficulties to conany inger-like protuberances.
tend with. The growth of the mycelium in the masses of phlegm What, then, shall be the proper remedy? goes on very rapidly, and the threads acquire consid; Quinine has been used for a long time with excellent erable length, especially when the disease is at its results, but its use was not founded on the fact that height. The expectorated mucus is also very thick at it kills fungus plants; it was not so used until 1869, this stage, and on drying becomes of a glassy appear when Prof. Binz made numerous experiments to show ance, although quite tenacious. In these latter stages that it would check very markedly the alcoholic ferthe mycelium are very plentiful, and there is an ener- mentation in various fluids, and that this antiseptic getic formation of spores.
action was due to the poisonous influence of the drug If the fresh spores are treated with iodine and con. upon the fungi, which are the cause of such fermenta centrated sulphuric acid, the mycelium are colored tion. According to his experiments, the largest infubeautifully blue, and the unripe spores,which are white, sosia are killed by a solution of quinine of the strength now appear brown.
of 1 in 800 immedia'ely; and upon the ordinary mould To show how this theory was received by Dr. Ham- penicillum, upon vibrios and bacteria the drug acts ilton, who made such a careful investigation of all with a similar fatalily.* In the latter part of 1870 other theories, I will quote what he says. The only Prof. Binz, and later in the same year, Breidenbach, theory that seems to me tenable, and I think the suc- published articles on the beneficial action of quinine cess of certain remedies bears it out, is that whooping in tbe convulsive stage of pertussis. cough is the direct result of a fungus growth; that the Their application of this drug indicated tbat they spores are thrown off by the individual coughing, and thought pertussis was due to the growth of fungi; but are received by another in the saliva of the mouth still this had never been demonstrated until Letzerich which retains them until they have time to attach undertook the investigation, themselves to the under side of the tongue, where the
In 1871 Steffin confirmed in the main the accuracy mucous membrane is the thinnest and softest of any of the observations of the savants mentioned above; part of the mouth, and at the same time are not so and two years later Dr. B. F. Dawson reported eighteen liable to be dislodged by drink or food. In this situa- cases in a valuable pamphlet
, and advocated strongly tion they remain until they are able to germinate and the value of quinine in curing the whooping in this spread along the sides of the tongue and backward, disease. Since then the use of quinine has been ably until they reach the larynx and pharynx, when the defended by Dr. Hamilton of Jerseyville, Ills., and De. full whoop is established. Elevations or lumps can Chas. W. Earle of Chicago. My experiments lead me very plainly be seen under the tongue before the pa to the same conclusion, as after administering quinine tient begins the whooping, but the catarrhal symptoms to my children, and in fact to numerous other children, are at this time quite prominent. Discharge from the they all speedily recovered, not whooping more than nose, suffused eyes, headache, some fever and general once a day after the third day it was given them, and lassitude. The time of incubation is from nine to fif- discontinuing to whoop entirely by the end of the fifth teen days, though varying in the different subjects. or sixth day. These elevations on either side of the frænum linguæ The time could be made much shorter if children are smal, and might escape observation unless carefully could be induced to take it in a powder directly on sought for, as it is quite difficult to induce the young their tongue and let it dissolve slowly, but owing to subject to turn the point of the tongue up long enough its extremely bitter taste they object; so I found by to make the proper observation.'
dissolving the quinine in gum, that is to say, sugar Letzerich made numerous experiments on rabbits and water, tbey soon became accustomed to the taste with the spores from whooping cough. The spores and craved for it, as it afforded them relief. The best were cultivated on pieces of bread soaked in milk and time 1o administer it is just after a coughing spell and then introduced into the trachea of young rabbits for just before retiring at night. As regards the size of further development. This was effected by tracheot- dose, this should depend on the age and severity of the omy, but the animals rapidly recovered from the affects case. To a grown person, from three to five grains of of the operation, and in a short time became effected powdered quinine can be put right on the tongue and with a cough the same as whooping cough. The rab. allowed to dissolve itself; to a child, from two to five bits were killed and their air passages and lungs were graios may be dissolved in two ounces of gum (sugar found to contain innocuous quantity of fungus. The and water and one teaspoonful can be given as stated expectorated mucus was also the same as in man. above. The gum belps to keep it in contact with the
From Lerzerich’s valuable investigations he was able parts longer. Quinine administered in gelatine or to show the difference between the action of the fungus sugar coated pills is of no use whatever. in diphtheria and that in whooping cough. He says : · Diseases produced by the vegetation of fungi in the
* Virchow's Archiv. 1869. p. 68. Wood's Therapeutics Materia epithelium stratum of the respiratory organs are of two Med. and Toxicol. P. 62.
1st. Diphtheria.-Tbe vegetation of the fungus origi- NUTMEG POISONING,-E, R., æt. 36, was delirious, nates at the head of the windpipe and trachea, and pulse was accelerated and feeble; great prostration; seizes and destroys the epithelium with startling rap- pupils dilated; temperature about normal; stupor. On idity
inquiry, found that about three o'clock that afternoon 2d. Whooping Cough.-The fungus vegetation ger- be bad eaten a large nutmeg, and about seven in the minates in the epithelium web, at first in the upper evening, symptoms of drowsiness and stupor set in, part and then over the whole respiratory organs, with wbich increased till 9 o'clock; thirty drops of aro out destroying the web, produces whooping cough and matic spirit of ammonia, in brandy, every three hours. its manifold complications. If the growth of the fungus Strong coffee given freely; free from unpleasant symis confined to the epithelium of the epiglottis of the toms, but somewhat weak.
REMARKS ON YELLOW FEVER. noticed that Dr. Victor Iturralde, a native of Spain,
and one of the most learned and accomplished physiBY JOSE J. NAVARRO, M.D., OF SANTIAGO DE CUBA. cians that ever visited this island, met with most ex
traordinary success in the treatment of this disease, curDuring the sojourn in Cuba of the Medical Coming every case of which he took charge. In fact patients Gis-ion appointed by the United States for the study in the last stage, given up as hopeless by other homeof the nature and causes of yellow fever, the Governor. opathic physicians, were saved by Dr. Iturralde, if meneral of the island appointed a Spanish medical called in consultation. This gentleman's surcess was committee to aid the American commission in its noble so striking that the allopathic practitioners themselves and humane task. This Spanish committee sought began to surrender their cases to him when considered information from the several boards of health through fatal. These 'results were attributed by many to the out the island.
superior knowledge and skill of Iturralde, șand by The circumstance of my being secretary of the State others to merely“ good luck.". It was, however, after. Board of Heal' h in this province (Santiago de Cuba) ward ascertained that Iturralde possessed a new rem. gave me peculiar advantages for comparing the reports edy prepared by himself from a Cuban plant, and this of fourteen county boards of health existing in this was the efficacious preparation with which he conprovince. As all of these reports passed through my quered yellow fever. hands, I was gratified to observe that the deductions Rev. Father Callejas, a very pious and learned made from them agree with the opinion expressed in priest who, as an amateur, was devoted to the practice the Special Report of the Homeopathic Yellow Fever of bomeopathy gratis, and aided greatly in its dissemCommission ordered by the American Institute of ination, in his Manual, published in 1866, speaks of Homeopathy for presentation to Congress, viz, : this discovery as follows: “On the eve of his depart
Yellow fever is a specific disease. In this country ure for Europe, Dr. Iturralde called at my house and the fever never attacks a second time the same person. gave me half an ounce of a tincture, stating that this It originates from local causes, the most potent of was a new remedy prepared by himself from a Cuban which is decomposition of vegetable matter in the plant, and had been the secret instrument of his sucwater. It shows greater virulence and malignity cess. He requested me to try it in every case of yelwhere there is mixture of sweet (river) water with low fever submitted to my trea ment, and report my salt (sea) water. It very rarely attacks Cubans, unless experience to him. I begged him to reveal the name in exceptional cases, when, after having lived from of the plant, but he steadfastly declined, alleving that early youth in the high mountains, they remove to he did not consider it sufficiently iried. He added infected places during the fever season. Its range is that when he was convinced of its thorough trial, he limited to the seashore, especially in low, marshy would present the drug with its pathogenesis to the places. The disease has never been known to appear Hahnemannian Society of Madrid for publication to in inland places or high mountainous land. The fever the world.” season is the summer and fall; that is, when heat and Shortly after his arrival in Spain Dr. Iturralde died, dampness predominate from the heavy rains. Very carrying with him, as was supposed, his secret to the few cases appear in winter, and these are almost in. grave. This circumstance caused Father ('allejas at variably fatal. The disease can be propagated by in. that time to slight the medicine, for he did not feel fection through families.
justified in making use of an unknown substance in The report from Baracoa is curious and interesting, so grave a form of disease as yellow fever. For this and seems to be an exception to the general rule. reason, although he made dilutions of the 3d, 6th, 12th, That ciiy, the oldest in the island, is situated on the and 30th centessimal potency, he did not employ thé extreme northeast end, close by the open sea, and remedy until the next year, when he decided to try bɔunded east and west respectively by two rivers, it in a desperate case, in which he experienced highly both large enough to be navigable. The surrounding satisfactory results. Father Callejas continued its use, land is low, and vegetation luxuriant. In spite of and always met with uniform success. these circumstances, so favorable to the development He gave some of his preparation to several physiof yellow fever, the report says that it has only twice cians of the homeopathic faith, the writer among made its appearance, and then in an epidemic form, them, and the result of its use has always been entirely and in both cases imported; the first time, thirty years successful. Dr. Avilés, at that time in charge of the ago, it was introduced from Martinique; the second, Charity Hospital, used it in 103 cases, with only two four or five years ago, from Havana. Thus we see that deaths. Alihough not a believer in specifics, for I in this place the disease does not occur sporadically, hold that individualization of disease and remedy is not even among the troops, who, from their European the surest and only scientific base for a correct preorigin, are consequently certain victims of this fever. scription, still the great success attending this remedy, How may these facts be explained?
not only in genuine yellow fever, but also in some of The mortality is far greater under allopathic than our tropical fevers, gastric, bilious, etc., when the under homeopathic treatment. Aconitum, Ars- symptoms resemble yellow fever, moves me to recom. enic, Belladonnii
, Bryonia, Curbo veg., Crotulus, Lachesis, mend this substance to the profession. Not knowing Nux tomica, etc., have always done their work nobly the name of the plant which contains such precious But during the last fifteen years a revolution has medicinal power, we called the remedy Fiebre amarilla taken place; all these well tried friends have been de. (yellow fever.) throned by a new indigenous remedy, which might
In conclusion, I will cite from my notes a few cases justly be called a specific by those who favor the to illustrate the action of the Fiebre amar: theory of specifics.
In July of 1874 was called to a tend Mrs. P. de V., I have already mentioned this new and important aged 25, a native of England, and of lymphatic constiagent in a paper sent to the World's Homeopathic tution. Had resided from infancy in Portugal; marConvention; but, as the Transactions of the Conven- ried to a Cuban gentleman. After a residence of six tion have not yet been published, and yellow fever has or eight months in this city, was taken with chills, latterly caused great ravages in the southern parts of followed by bigh fever and severe headache. I saw the United States, it may not be superfluous to make her 26 hours afier the occurrence of chills, at 5 PM.; a few explanatory remarks on the history of this and found the following symptoms: patient lying on remedy.
her back; face pale, with flushed cheeks; restlessness, About the years of 1863 and 1864 we experienced a with extreme anxiety and fear of death; great thirst; terrible yellow fever season, and although homeop- headache worse on moving the head; tongue natural athy, as usual, triumphed over its rival system, it was) pulse 98; complained of chilliness when uncover
ing any part of her body. Aconitum 3, one dose 8 A. M., pulse 92; conjunctiva and skin slightly but every three hours. Called again in the morning, 7 visibly tinted with yellow; pains abated; no thirst, no A.M., and found the same symptoms, rather increased, pain in the head; tongue clean and moist ; po vomitwith these additions: tongue dry, and coated white; ing nor nausea; slept almost all night. Continued severe pain in the stomach, with frequent nausea and the same medicine every four hours. 6 P, M, no fever, bitter taste in the mouth; bruised, tired feeling all no pain; pulse 86; natural temperature; conjunctiva over the body, with violent pains in the waist and and skin quite normal in color; patient in good spirits, down the thighs, following the course of the sciatic but complaining of hunger. No medicine; allowed to nerve; pulse 102, small and soft; tendency to perspira- take twice during the night half a teacup of iced tion on the upper part of the body. Fiebre amar., 30, milk. 8 A. M., pulse 84; patient slept all through the every two hours. At 5P.M. I found the following change: night and feels quite well and contented. Is very hunpulse 112, small, soft, and compressible; lower tem- gry, and begs to be allowed to leave bis bed. advised perature; great prostration; subdelirium; had vomited him to keep in bed, and ordered chicken broth. Cansix times; while I was at the bedside she threw up valescence began, and a rapid recovery followed. about two ounces of black vomit exactly resembling August 15th, 1877.-I was called at 3 A. M. to see coffee grounds; icterus commences to appear on the D. R. C., æt. 42, a native of Barcelona, Spain, who, conjunctiva and skin. Fiebre amar., 30, every hour. according to the message, was not expected to live
Returned at 6 A. M. next day; found that the patient half an hour longer. I found him in the 3d day of had vomited twice in the early part of the night, ejecta yellow fever, and in a state of collapse. I learned consisting of pure bile; the nausea had ceased since that he had been treated from the beginning by allo10 P. M.; warm perspiration all over the body; mind pathic physicians, who held several consultations, quite clear and calm; pulse 102; less thirst; had slept | In the last one, half an hour before, the patient was twice; about half an hour each time; icterus quite de declared to be dying. As a matter of course, the veloped; tongue not so dry. Fiebre amar., 30, every usual energetic regular treatment had been resorted three hours. At 5 P. M. pulse 98 ; tongue begins to; the last means employed were stimulants in the to get clean: icterus decreasing, no pains, no thirst, shape of preparations of Anmonia internally; subpo nausea; urine free and copious, with slightly yel cutaneous injections of Sulphate of Quinine, frictions, low tint; bowels have acted once quite naturally; pa- mustard poultices, and four blisters on the limbs. Í tient says that she feels relieved. Fiebre amar., 30, was informed that the symptoms of yellow fever had every four hours. At 7 A. M. next day obvious im- been complete, even the black vomit had taken place provement; pulse 88; copious perspiration; slept the twice the previous day. The state of the patient was greater part of the night; turns herself in bed; tongue as follows : Position supine, with complete relaxation almost clean and moist. Fiebre amar., 30, every six of all the muscles; features pinched; eyes glassy; hours. At 5 P. M. pulse 85; heat of the skin almost breathingstertorous and sighing ; skin cold, natural; tongue quite clean and moist; no pain; had pulse small, frequent, flickering, intermittent. Carbo. slept several times during the day; says she is much deg, 200, one dose every 10 minutes. Dry frictions on better. Placebo. Next day at 7 a. m. no fever; pulse the skin and hot applications to the extremities; re76; normal heat; has slept the entire night; feels very moved blister, synapisms, etc. After the fifth dose well and asks for “ something to eat, as she feels quite reaction commenced, so that when I saw him again, faint and hungry.” No medicine; chicken broth allows two hours later, the scene was completely changed; ed. From this day convalescence commenced and the patient was now very restless; skin very hot; face continued without further trouble. Two days after-flushed; eyes bright and sparkling; strong delirium ward the patient passed a tenia solum, measuring with rage; pulse 110, hard, full, and bounding. Acoabout three yards, including head, which had trou- nitum 30, and Belladonna 30, alternately every two bled her for many years.
hours. Four P. M., less fever; pulse 102, full but soft; We have here a severe case of yellow fever whose temperature lower; no delirium; patient more trantableau of symptoms was so complete as not to leave quil. On the other hand, there was nausea, severe the least doubt about the diagnosis, running its course pain in the stomach, waist and lower limbs ; violent in five days, with no medication or external auxilia- Thirst, and yellowish tint on the skin. Fiebre amar. ries but the precious Fiebre amarilla, 30, administered 12, every two hours. internally.
August 16, 8 A. m., very little fever; pulse 94; no August 15th, 1874.-J. G. æt. 12, a native of San- pains, no nausea, no thrist; patient calm. Fiebre tander, Spain, strong, robust constitution, sanguine amar. 30, every four hours. Five P. M., no fever; pulse temperament, never been ill, except in infancy, when 85; skin normal in color and temperature. No medihe had the measles in his native country, Seven weeks cine. Next morning convalescent. after his arrival in Cuba was taken with fever, which
It would be an endless task to cite the numerous commenced about 6 A. M. At 4 P. M. he began to be cases of yellow fever in which Fiebre amar, has been a restless, and in half an hour afterward was taken with curative agent in my hands. I have selected only convulsions and I was sent for. The condition of the three cases, in which the symptoms are so character. patient at my first visit, 5 P. M.; was as follows: Vio- istic of the disease, that there can be no room for doubt lent fever; skin very hot; feet cold; pulse 112, hard as to diagnosis ; omitting reference to those in which and full; general convulsions, occurring every fifteen the disease was not allowed to develop itself, by the or twenty minutes; respiration accelerated; tongue timely use of this precious remedy. I could cite hunprotruding from the mouth; strabismus; copious per- dreds of cases wbere the symptoms of the initiatory, spiration on the forehead. Veratrum viride 3x, one and even those of the first stage, were entirely supdrop every twenty minutes, and hot applications to pressed after the second or third dose of this remedy ; the feet. Called again at 9 P. M.; convulsions have thus practically demonstrating that by its early adsubsided after the 3d dose of the medicine; natural ministration it possesses the power of destroying the heat in the extremities ; pulse 98; violent dilirium; principius morbi, or, as it is often called, the germ of tries to strike and bite those around; pupils dilated; the disease. starts at the least noise or light. Bell., 200, every two It is worthy of notice that in these three cases the hours. Next day, 7 A. M., pulse 96 ; no delirium; com- remedy has been used singly and alone, for the reason plains of severe pains in the waist and limbs; frequent that I was desirous, by careful observation, of deter
Fiebre amar., 12, every two hours. 5 P. M., mining what Fiebre amar. could accomplish unaided has vomited twice pure bile; pulse 94; general warm in yellow fever. The result of these and many other perspiration; pains the same, but patient more quiet. experiments has been to convince me of the great Fiebre amar., 30, every three hours. Following day, efficacy of this medicament in the disease under con