Leaders In Homoeopathic Therapeutics
by E. B. NASH
Presented by Médi-T

   

ARGENTUM NITRICUM.

Impulsive: time goes too slow; must walk fast.

Apprehension, on getting ready for church, opera, etc., has an attack of diarrhœa.

Vertigo, with buzzing in the ears and weakness and trembling.

Canthi, as red as blood; swollen, standing out like a lump of red flesh.

Irresistible desire for sugar; gastric ailments, with violent loud belchings.

Stool; green, mucous, like chopped spinach in flakes; turns green on remaining on diaper; expelled with much spluttering.

Profuse, sometimes purulent, discharges from mucous membranes, generally.

Dried-up, withered patients, made so by disease.

Craves fresh air.

* * * * *

Guernsey says: "We think of this remedy on seeing a withered and dried up person, made so by disease." This especially in children. "He looks like a little withered old man." (Fluoric acid, young people look old.) Argentum like Gold profoundly affects the mind. Like Gold it is one of the best remedies for hypochondriasis. The symptoms are so many in this trouble that we can only call attention to them as found in Guiding Symptoms. I will only mention a few more prominent and peculiar symptoms that have been frequently verified. "The sight of high houses makes him dizzy and causes him to stagger. It seemed as if the houses on both sides of the street would approach and crush him."

"When walking in the street he dreads to pass a street corner, because the corner of the house seems to project and he is afraid he will run against it." Impulsive, must walk very fast, always hurried. (Lilium tigrinum.) "Apprehension when ready to go to church or opera; brings on diarrhea." (Gelsemium).

The hurried feeling of both Argentum nitricum and Lilium tigrinum have occurred mostly in uterine troubles; while the diarrhœa on excitement seems to depend upon a general nervous condition. Unless the indications pointed strongly to one in preference to the other remedy it might be well to try the vegetable first. The minerals are generally longer and deeper in their action, and would perhaps be preferable the more chronic the case.

Some of the very curious symptoms found under this and other remedies are not found in everyday practice, but when found are all the more valuable because the cases presenting them are rare and not easily understood or cured by the ordinary remedies. Some of our most brilliant cures have been made in just such cases, and they are very gratifying to both physician and patient.

Argentum nitricum is sometimes the best remedy for hemicrania; this kind of headache is often very distressing and hard to cure. One peculiar symptom belonging to Argentum nitricum in headache is a feeling of expansion, feels as though head were enormously enlarged, and like Pulsatilla and Apis, feels better when tied up tight. This feeling of expansion is also a general symptom, feels as though the whole body or part of it were expanding, some express it as a feeling of fullness. (Æsculus hipocastanum). It is found under other remedies also, but very prominently under this.

Argentum nitricum has a great deal of vertigo, which is often accompanied with buzzing in the ears, general debility and trembling. Cannot walk with the eyes closed; the sight of high houses makes him dizzy. These symptoms call to remembrance Gelsemium. Both remedies have much vertigo; great tremulous weakness, accompanied with general debility, actual trembling and tremulous sensation, and both have been found useful in locomotor ataxia. I should, other things being equal, give the preference to Gelsemium in recent cases, or in the beginning, and Argentum nitricum further along. But there are generally diagnostic indications which enable us to choose between them. In eye affections Argentum is one of our most valuable remedies, and like all remedies which are very valuable for anything has been woefully abused by the old school. It is a pity that they do not know enough to get the good and to avoid the bad effects of such valuable agents, for many times the disastrous results of their misuse brings the remedies into such disrepute that others are afraid to use them at all. It was for this reason that the old botanics rejected all mineral remedies. Mercury had so scared them. It falls to the Homœopath to teach how to use all such a way as to get the good, while avoiding the bad effects. In eye troubles Allen & Norton write as follows: "The greatest service that Argentum nitricum performs is in purulent ophthalmia. With large experience, in both hospital and private practice, we have not lost a single eye from this disease, and every one has been treated with internal remedies, most of them with Argentum nitricum of a high potency, 30th or 200th. We have witnessed the most intense chemosis, with strangulated vessels, most profuse purulent discharge, even the cornea beginning to get hazy and looking as though it would slough, subside rapidly under Argentum nitricum internally. The subjective symptoms are almost none. Their very absence, with the profuse purulent discharge, and the swollen lids from a collection of pus in the eye, or swelling of the sub-conjunctival tissue of the lids themselves, indicates the drug. (Apis; Rhus.)", Later Norton writes: "I do believe that there is no need of cauterization with it except in the gonorrhœal form of purulent conjunctivitis." Such testimony from such sources ought to shame the abuse of this agent in the hands of old school physicians, and sometimes bogus Homœopaths. In ophthalmia neonatorum in my own practice as a general practitioner I have had very often better success with Mercurius solubilis, especially where there was much purulent matter pouring out on opening the eyes. In blepharitis Graphites and Staphisagria have served me oftener than Argentum nitricum, but this may not be the experience of others, for in eye troubles, as in all others, the indications are to be studied and carefully recognized in their entirety. (Borax must not be forgotten in blepharitis.) Specialists are apt to lose sight of this and be led to local treatment when constitutional would be infinitely better. The symptom, "red, painful tip of the tongue, papillæ erect, prominent," has guided to the cure of many different kinds of cases. There are also some valuable symptoms in the digestive organs; for instance, "Irresistible desire for sugar; fluids go right through him; most gastric ailments are accompanied by belching; belching after every meal, stomach as if it would burst with wind, belching difficult; finally air rushes out with great noise and violence." All of these are characteristic, and there is no doubt that this remedy is sometimes indicated when Carbo veg., China or Lycopodium are given because they are generally so much better understood. Dyspepsia, gastralgia and even gastric ulcer have sometimes found a powerful remedy in Argentum, and it has also done great good in very obstinate cases of diarrhœa of various kinds.

"Green mucus like chopped spinach in flakes."

"Stool turning green after remaining in diaper."

"Stool expelled with much spluttering."

"Stool shreddy, red, green muco-lymph, epithelial substance."

"During stool emission of much noisy flatus."

Now there are other remedies which have some of these symptoms in a marked degree, notably: Calcarea phos., which has the spluttering stool with much noisy flatus, and it is also a fact that both remedies are very valuable ones in hydrocephaloid consequent on the long-continued drain from intractable cases of entero-colitis. If the bone development should be slow with open fontanelles and sweaty head of course Calcarea phos., would win. Then in Calcarea phos. the child wishes smoked meats, bacon, etc., in Argentum nitricum sugar or sweets. Yet both have great emaciation, the child looking old and wrinkled, and it will sometimes be close individualizing to choose between them. Argentum nitricum has its place in the treatment of throat affections. There is thick, tenacious mucus in the throat obliging him to hawk and causing slight hoarseness. Rawness, soreness, scraping in throat, causing hawking and cough. Sensation as of a splinter lodged in the throat (Nitric ac., Hepar sulph., Dolichos). and wartlike excrescences, which feel like pointed bodies when swallowing. This kind of throat may extend downward until it involves the larynx, especially in singers, clergymen, or lawyers who are using their voice very much. Then it is doubly indicated. When we come to the back and extremities we again find our remedy in the field for a share of the honors. "Pain in the back (small of) relieve when standing or walking, but severe when rising from a seat," is a condition often found in practice. I have often relieved it with Sulphur or Causticum, but remember also Argentum nitricum. If in back troubles we find great lassitude (Kali carbonicum), with weariness, especially in forearms and lower legs, especially calves, or if in addition to this we find vertigo and trembling of the extremities, we may be sure Argentum nitricum will do us good. In paraplegia from debilitating causes or paralysis after diphtheria we may find this remedy indicated. Also in epilepsy or convulsions; in the former (epilepsy) one characteristic symptom is that for hours or days before the attack the pupils are dilated; in the latter the convulsions are preceded for a short time by great restlessness.

Cuprum metallicum has great restlessness between the attacks. Finally Natrum muriaticum is the best antidote for the abuse of Argentum nit., especially upon mucous surfaces.

   

FERRUM METALLICUM or ACETICUM.

Anæmia with great paleness of all the mucous membranes; with sudden fiery-red flushing of the face.

Profuse hæmorrhages from any organ; hæmorrhagic diathesis; blood light with dark clots; coagulates easily.

Local congestions and inflammations, with hammering, pulsating pains; veins full, flushed face, alternates with paleness.

Canine hunger, alternates with complete loss of appetite.

Regurgitations or eructations, or vomiting of food at night that has stayed in the stomach all day; undigested painless diarrhœa.

Red face during chill.

Modalities: < after eating and drinking; while at rest, especially sitting still; > walking slowly around.

This is another one of the abused remedies. It stands with the old school for anæmia, as does Quinine for malaria. Each can and does cure its kind of both conditions, but can cure no other; and each, when it is the true curative, is capable of doing its best work in the potentized form. Dr. Hughes writes "The treatment of anæmia by Iron is one of the few satisfactory and certain things in modern medicine. From whatever cause this condition may arise, whether it be the chlorosis of defective menstruation, or the simple poverty of blood induced by hæmorrhages, deficiency of air, light, and suitable food, or by exhausting diseases, Iron is the one great remedy." I must say that I think that a man who would write like that of any remedy is not to be blamed for talking of the few satisfactory and certain things in modern medicine. Iron is no more of a panacea for anæmia than is Quinine for malaria or Phosphate of Lime for deficient bone development. My experience has taught me that there are several other equally efficient remedies for these conditions and that when they are not indicated they not only cannot cure but do injure every time they are prescribed, especially in the material doses in which they are generally recommended by such teachers. I must here state my experience founded on abundant practice and observation that such prescribing is not only un-Hahnemannian, but in every sense un-homœopathic, and I warn all beginners not to practice along that line or they too will come to talk of the few satisfactory and certain things in modern medicine. Now we have given this quotation from Dr. Hughes, it is only fair to him to quote him again, inasmuch as he, in this latter quotation, talks more sensibly. Talking about anæmia, he says "The malady does not ordinarily arise from any failure of the quantity of iron supplied in the food. If the element is deficient in the blood the fault lies in the assimilative processes. But Reveil has ascertained that in anæmia there is no change whatever in the amount of iron present in the blood. However few the corpuscles they contain within them the full proportion of the metal normal to health, and though under the influence of iron itself they increase to double and triple their number they yield no more iron." Then Cowperthwaite adds: "It is also true that when irons is introduced into the system in large quantities with a view to supplying a deficiency of iron in the blood that it is not assimilated, but may be almost entirely obtained from the fæces, having been eliminated by the intestines. It is evident, therefore, that iron does not act as a curative agent by virtue of its absorption as a constituent of the blood, but rather, as we are led to conclude, from its physiological effects upon the organs and tissues of the body, that it owes its therapeutic virtues to the same essential dynamic agency possessed by other drugs, and its application is subject to the same therapeutic law." Sound words, these; then let no man prescribe Iron or any other remedy for anæmia, or any other disease, without indications according to our therapeutic law of cure. I have seen better cures of bad cases of anæmia by Natrum muriaticum in potentized form than I ever did from Iron in any form, although Iron has its cases, as have also Pulsatilla, Cyclamen, Calcarea phos., Carbo veg., China and many other remedies. We will now call attention to the symptoms that indicate Iron in anæmia or any other condition where Iron is the remedy.

"Ashy, pale or greenish face, with pain or other symptoms the face becomes bright red." (Raue). "The least emotion or exertion causes a red, flushed face." (Guernsey.) "Rush of blood to head; veins of head swollen; flushes of heat in the face." "Hammering, beating, pulsating pains in the head." (Bell, China, Natrum mur., Glon.)

"Great paleness of mucous membranes, especially that of the cavity of the mouth." (Raue.) "Always better from walking about, notwithstanding weakness obliges patient to lie down." (Guernsey.) "Menses too soon, too profuse, too long lasting, with fiery red face, ringing in the ears (China), flow pale, watery and debilitating." Now if in addition to these symptoms you have, notwithstanding the general anæmic condition of the patient, frequent rushes of blood to the head, chest, face, or other local congestions you have a typical Iron case and may confidently expect a cure if given in potency and at proper intervals. But if your patient has been already "loaded up" with Iron on the theory that the blood must be "fed" with it, the fact is, generally that she is suffering from the over-dosing more than from the original disease and you will proceed to find the best antidote, guided by the symptoms here as elsewhere, and, in adapting such remedy to the case as it is, will often be able to cure both the natural and drug disease together.

It is a blessed thing that this is so, for if the Quinine, Iron and other medicinal cachexia stalking about in our midst were not curable, we would be a sorry spectacle as human beings if allopathic dosing were allowed to go on. Now while we are talking about this so-called blood remedy we will speak about its general hæmorrhagic tendencies.

These local congestions so characteristic of Iron are attended by hæmorrhages from nose, lungs, womb, kidneys, etc., hence it becomes one of our best remedies for hæmorrhages in anæmia or debilitated subjects with the peculiar symptoms before mentioned. In the form of Ferrum phos., of which we have already written, taking the fact that both remedies entering into the combination have decided hæmorrhagic tendencies, it becomes doubly effective in this sphere.

But Iron is not by any means confined in its usefulness to blood troubles, and we will notice briefly some other uses of this valuable curative agent. In disorders of stomach and bowels it becomes sometimes the only remedy, and has some peculiar and characteristic symptoms indicating it here.

"Canine hunger (China), alternating with complete loss of appetite." "Regurgitation of food, or eructations after eating." "Wants bread and butter; meat disagrees (opposite Natrum mur.) Beer or tea also disagrees. Food lies in the stomach all day and is vomited at night." "Bowels feel sore as if they had been bruised, or as if he had taken cathartics; undigested, painless stools at night, or while eating or drinking." (Croton tig., China). These and many other symptoms show its value here, and it is noticeable, the resemblances of this remedy to China. There is sometimes difficulty in choosing between them, but there is more flatulence with China. Both remedies have, markedly, lienteria and painless diarrhœa. These two remedies both antidote and complement each other under certain circumstances. They should be studied in comparison as debility remedies.

Next to the easily flushed and red face as a characteristic symptom stands this -"Walking slowly about relieves." (One other remedy has this general characteristic almost, if not equally strong, viz., Pulsatilla). This is true of the general restlessness, of the great weakness also; he feels better walking slower about, even though he is so weak he has to sit down every little while to rest; pain in the hip joint drives out of bed and is only relieved while walking slowly. I once had a rather pale lady come to me for treatment for pains in the forearms; after prescribing for her for a week, she let drop this symptom, that the only way in which she could get relief nights (when the pain was almost unbearable) was by getting right up out of bed and walking slowly about the room. Ferrum metal. 1000th cured her promptly and she never had a return. Some people think that metals cannot be potentized, but when I make numerous cures like this with Iron, Stannum, Zinc and Platina I don't believe it. Palpitation of the heart, hæmoptysis and asthma are also relieved in the same way by walking slowly about. It would seem hardly possible that such complaints could be so relieved, but there are many such curious and unaccountable symptoms in our Materia Medica which have become reliable leaders to the prescription of certain remedies.

Ferrum is one of our best remedies for cough with vomiting of food. It is also one of the very few remedies having a red face during chill, and has more than once led to the cure of intermittent fever on that symptom. Again it is one of the remedies found in intermittents that have been abused by Quinine. In these cases we often find the splenic region sore on pressure and much swollen.

   

PLUMBUM METALLICUM or ACETICUM.

Abdomen retracted toward the spine, as if drawn in by a string; both objective and subjective.

Distinct blue line along margin of the gums.

"Wrist-drop" paralysis of the extensor muscles.

* * * * *

Notwithstanding the very extensive provings, this remedy has not been so useful as it would seem it should be. One symptom has proved to be very characteristic and has led to its successful administration in different diseases, viz.: "Abdomen retracted to the spine as if drown in by a string." In this symptom there is both, or either, actual retraction and sensation of retraction in the abdomen. Excessive pain in abdomen radiating to all parts of the body (Dioscorea). It is found mostly in colic, but may be found in uterine troubles, such as menorrhagia, etc. Also in constipation. H. N. Guernsey claimed great powers for it in jaundice; whites of eyes, skin, stool and urine all are very yellow, and I have prescribed it with success. Its power to produce paralysis is well known, and it is owing to this power that lead colic is induced, which is one of the most distressing and dangerous of diseases. I cured one case of post diphtheritic paralysis with it. It was a very severe case in a middle-aged man. His lower limbs were entirely paralyzed, and there was at the same time a symptom which I never met before, nor have I since, in such a case, viz., excessive hyperæsthesia of the skin. He could not bear to be touched anywhere, it hurt him so. After much hunting I found this hyperæsthesia perfectly pictured in Allen's Encyclopædia, and that, taken together with the paralysis, seemed to be good reason for prescribing Plumbum, which I did in one dose of Fincke's 40m. with the result of bringing about rapid and continuous improvement until a perfect cure was reached. He took only the one dose, for a repetition was not necessary.

The father-in-law of Dr. T. L. Brown, over seventy years of age, was attacked with a severe pain in the abdomen. Finally, a large, hard swelling developed in the ileo-cæcal region very sensitive to contact or to the least motion. It began to assume a bluish color, and on account of his age and extreme weakness it was thought that he must die. His daughter, however, studied up the case, and found in Raue's Pathology the indications for Plumbum as given in therapeutic hints for typhlitis. It was administered in the 200th potency, which was followed by relief and perfect recovery.

Plumbum has excessive and rapid emaciation; general or partial paralysis; "wrist drop." Distinct blue line along margin of gums.

   

CHELIDONIUM MAJUS.

Fixed pain (dull or sharp) under the lower inner angle of the right shoulder blade.

Yellow eyes, face, skin, hands, stool clay colored or yellow as gold; urine yellow. Tongue thickly coated yellow, with red edges.

Right-sided remedy; supra-orbital; hypochondriac; lungs; hip; foot cold as ice, etc.

* * * * *

The center of action of this remarkable remedy is in the liver, and its most characteristic symptom is a fixed pain (dull or sharp) under the lower inner angle of the right shoulder blade. This very characteristic symptom may be found in connection with general jaundice, cough, diarrhœa, pneumonia, menses, loss of milk, exhaustion, etc., in fact, no matter what the name of the disease this symptom present should always bring to mind Chelidonium and close scouting will generally reveal hepatic troubles or complications as would be naturally expected with such a remedy. Chelidonium is like Lycopodium, by preference, a right-sided remedy, right supra-orbital neuralgia, right hypochondrium and scorbiculum cordis tense and painful to pressure; right-sided pneumonia and shoulder painful; shooting pain in right hip extending into abdomen; drawing pain in hips, thighs, legs, or feet, more right-sided; right foot cold as ice, left natural. Further study will show that Chelidonium not only is a right-sided remedy, but in many other points stands close to Lycopodium, and in my experience one is often found indicated after the other. Although this characteristic infra-scapular pain is as reliable as any in the Materia Medica, there may be cases in which it does not appear at all, which can only be cured by Chelidonium, especially liver and lung trouble. If we should find pressive pain in the region of the liver, whether it be enlarged and sensitive to pressure or not, bitter taste in the mouth, tongue coated thickly yellow, with red margins showing imprint of the teeth, yellowness of whites of eyes, face, hands and skin; stools gray, clay colored, or yellow as gold, urine also yellow as gold, lemon colored or dark brown, leaving a yellow color on vessel when emptied out, loss of appetite, disgust and nausea, or vomiting of bilious matter, and especially if patient could retain nothing but hot drinks on the stomach, we would have a clear case for Chelidonium even though the infra-scapular pain were absent. All these symptoms might be found in either a chronic or acute case. If in a chronic case, some anti-psoric like Lycopodium might have to be called in, according to indications, of course, to help complete a cure, but Chelidonium would be the chief reliance.

These liver troubles range from simple congestion and inflammation of the organ, to the more severe and deep-seated affections like fatty liver, gall stones, etc. Chelidonium is one of the leading remedies in pneumonia, which is complicated with liver symptoms. Sometimes in coughs which are persistent with much pain through right side of chest and into shoulder, Chelidonium helps us out and saves the patient from what might easily terminate in consumption.

   

AURUM MURIATICUM NATRONATUM.

When writing of Aurum metallicum we might have said something of this combination as a remedy for jaundice or liver troubles. Several years ago I was troubled with frequent attacks of derangement of the liver characterized by, first, a white fæcal stool for several days in succession, with dullness of the head, bad tasting mouth, coated tongue, fullness and pain in right side and shoulder, and jaundiced skin. This would either culminate in an attack of bilious vomiting and diarrhœa, or in fæcal stools as black as tar, for several days in succession, with gradual relief of the general bilious symptoms. I tried various remedies, as well as I was able to choose them, among which were Mercurius, Leptandra, Podophyllum, Lycopodium and others, with nothing more than temporary relief, and sometimes not even that. While on a visit to New York City, I called upon Dr. M. Baruch, partly to see the man who had been reported to me as both very skillful as a prescriber and eccentric as a man. During my call I stated to him my case. He prescribed for me a dose of Aurum muriaticum natronatum 1000th, followed by a powder each of Veronica officinalis 500th, 200th and 30th, and directed me to take them in the order named once in sixty hours and said: "In three months you will be well." I took the powders as directed and have never been troubled in that way since. Since then I have prescribed the Aurum muriaticum natronatum for some obstinate cases of jaundice, with the alternating white and black stools, and have been successful in relieving them.

   

LEPTANDRA VIRGINICA.

While writing on Aurum muriaticum natronatum I mentioned Veronica with which Dr. Baruch followed that remedy in the cure of my own case. After returning home I tried to find the two remedies. Found Aurum muriaticum natronatum in Hering's Guiding Symptoms, and, although meager, had something to go by in treating other cases, with the result there mentioned. But I could find no Veronica proven unless it was the Leptandra, which is one of the Veronica tribe. So the next time I saw Dr. Baruch I asked him if it was the Leptandra that he gave me, and he said, "No, it was the Veronica officinalis" (common Speedwell). It is not found in our Materia Medica as yet. There is no doubt the Veronicas and especially the Leptandra are good liver remedies, but aside from the alternate ashy and black stools we have nothing very definite to guide us to their selection. The only two provings made were with the alkaloid, and that in too low preparations to be of much value. I once succeeded with Leptandra in curing, or at least she improved until she was well, a lady very sick with what was called by her former physician typhoid fever. The following indications which I found in Jahr's Clinical Guide (by Lilienthal, first edition) led to its prescription. Symptoms: -"Great prostration, stupor, heat and dryness of skin, calor mordax or coldness of the extremities, dark, fetid, tarry, or watery stools mixed with bloody mucus, and a jaundiced skin." Otherwise I have never seen any marked benefit from this remedy in any case. Still I believe it to be capable, with scientific proving, in potency, of developing great curative powers. If I might, in this short notice, inspire some young physicians to thoroughly prove it I should not have written in vain.

   

BERBERIS VULGARIS.

Bruised pain, with numbness, stiffness and lameness in region of kidneys < in bed in the morning.

Soreness in the region of the kidneys; bubbling sensation, < stepping or jarring motion.

Rheumatism or pains, like gouty pains in the joints; the pains radiate from a center.

* * * * *

"Bruised pain, with stiffness and lameness in the small of the back." "Rise from a seat with difficulty." "Backache worse when sitting or lying, especially when lying in bed in the morning." "Sensation of numbness, stiffness and lameness, with painful pressure in lumbar and renal regions." These pains sometimes extend all through the hips. Guernsey says: "A great many old troubles in the back. Sufferings in the back aggravated by fatigue." One might say all these symptoms are found under Rhus tox. True, but in the Berberis cases they all come from or are in connection with kidney or urinary troubles, Rhus tox. seldom so. The pains extend often into the bladder and urethra, and the urine itself is changed. It may have a turbid, flocculent, clay-like, copious, mucous sediment, or a reddish, mealy sediment, or be blood-red, but the persistent pains in the back are the leading indications. It is especially to be thought of in arthritic and rheumatic affections, when these back symptoms connected with urinary alterations are present. One very characteristic symptom is a bubbling sensation in the region of the kidneys. Another is soreness in region of kidneys when jumping out of a wagon or stepping hard downstairs or from any jarring movement. There is almost always, in the back troubles of Berberis a great deal of prostration or a sense of weakness across the back, and the face looks pale, earthy complexion, with sunken cheeks and hollow eyes, with blue circles under them. No matter what ails the patient, if he has persistent pain as above described in the region of the kidneys do not forget Berberis.

   

TEREBINTHINA.

Burning and smarting on passing urine; urine red, brown, black or smoky in appearance.

Tongue smooth, glossy, red, with excessive tympanites (typhoid).

Hæmorrhages from all outlets, especially in connection with urinary or kidney troubles.

* * * * *

Terebinthina ought to come in here, because it, like Berberis, has much pain in the back with kidney and bladder troubles. Painters working under the smell of Turpentine are often seriously affected by it. Some are unable to work in it. In the Turpentine kidney troubles there is apt to be more strangury than with Berberis and more blood in the urine. The urine becomes brown, black, or smoky in appearance from more or less admixture of blood. For burning and smarting on passing urine, Turpentine stands nearer to Cantharis or Cannabis sativa than it does to Berberis. All four may be found useful in the first stage of albuminuria, Turpentine taking the lead, and it may sometimes require considerable study to choose between them. Mercurius corrosivus generally comes in a little later. Terebinth. is one of our best anti-hæmorrhagic remedies. Hæmaturia, hæmoptysis, and hæmorrhage from the bowels, especially in typhoid, and even in purpura hæmorrhagica it may do splendid work. One of the chief characteristics for its use is the smooth, glossy, red tongue (Crotalus, Pyrogen); another is excessive tympanites. These two symptoms are often found in typhoids, and then Terebinth. is the remedy. Dropsy after scarlatina, with smoky urine, may find its remedy here, but Lachesis, Apis, Helleborus niger, or Colchicum will often dispute claims with it. The old school make great use of it in many other affections as a local application. I have seen some bad effects from its use in that way for the chest in pneumonia in their hands. I would not recommend it.

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