Homeopathic Materia Medica

Lectures on Homoeopathic Materia Medica, James Tyler Kent

I want to take up the study of Tuberculinum.

The preparation which I use is a little different from that which is generally found in the market. This preparation I procured through a Professor of Veterinary Surgery.

In Pennsylvania there came a time when a handsome herd of cattle had to be slaughtered because of tuberculosis. Through the Veterinary Surgeon of the Pennsylvania University I secured some: of the tubercular glands from these slaughtered cattle.

Dynamization: I selected from these the most likely specimen.

This was potentized by Boericke & Tafel as far as the 6th, and has since been prepared on the Skinner machine, the 30 th, 200 th, 1000 th and the higher potencies. This preparation I have been using for fifteen years. Many of my friends have been using if, as they have procured it from me.

From observing the effects of this preparation I have been gathering these notes in my inter-leaved Hering's Guiding Symptoms, and, they now guide me in the use of Tuberculinum. I do not use Tuberc. merely because it is a nosode, or with the idea that generally prevails of using nosodes; that is, a product of the disease for the disease, and the results of the disease. This I fear is too much the prevailing thought in using nosodes.

In certain places it prevails and is taught that anything relating to syphilis must be treated with Syphilinum; that anything relating to gonorrhoea must be treated with Medorrhinum, anything psoric. must be treated with Psorinum, and anything that relates to tuberculosis must be treated with Tuberculinum.

That will go out of use some day; it is mere isopathy, and it is an unsound doctrine. It is not the better idea of Homoeopathy. It is not based upon sound principles. It belongs to a hysterical Homoeopathy that prevails in this century. Yet much good has come out of it.

It is hoped that provings may be made so that we may be able to prescribe Tuberc. on the symptoms of Tuberc. just as we would use any drug.

It is deep acting, constitutionally deep, because it is a product of disease from a very deep-seated constitutional condition, like Silica and Sulphur. it goes deep into the life; it is antipsoric; it is long acting, and it affects constitutions more deeply than most remedies; and when our deepest remedies act only a few weeks, and they have to be changed, this remedy comes in as one of the remedies-when the symptoms agree and brings a better state of reaction, so that remedies hold longer. It may well be considered a species of Psorinum.

One of the most prominent uses of this remedy is in intermittent fever. Some of our most stubborn cases of intermittent fever will relapse and continue relapsing, even when such remedies as Silica and Calcarea and the deeper-acting remedies have been indicated, have acted we have broken the fever, and in a few weeks, from exposure to cold, from sitting in a draft, from becoming fatigued, from mental exertion, from over-eating and from disordering the stomach this ague has returned.

Any of these circumstances will bring back these stubborn cases of intermittent fever when Tuberc. is needed. When a patient is traveling toward phthisis and he is exposed and intermittent comes out. He is of a feeble constitution and his complaints have a tendency to relapse, and remedies well selected do not hold long, though they act well at first, they must soon be changed-changing symptoms.

It is not an indication for Tuberc. when the well selected remedy fails to act. Well selected is a relative expression and involves too much of human opinion. It may be thought to be well selected when it is not related to the case. When, the well selected remedy has acted and the constitution shows a tendency to break down, and the well selected remedy does not hold, because of vital weakness and because of deep-seated tendencies; then it is that this remedy sometimes fits in.

Such a case is often tuberculous in inclination, even though no evidence is present, of a pathological character.

Burnett, dropped an idea, that has been confirmed many times. Patients who have inherited phthisis, patients whose parents have died of phthisis are often of feeble vitality. They do not throw off their inherited tendencies.

They are always tired. They take on sicknesses easily. They become anaemic; nervous; waxy or pale. These conditions are sometimes met, when the finer symptoms agree, although Burnett evidently used this medicine in a sort of routine way for this kind of constitution, which he called "Consumptiveness." Persons who had inherited phthisis, who were debilitated and anaemic.

It seems from looking over the record of many cures that this remedy has been given many times for just that state on a paucity of symptoms, and if the records can be believed, it has many times balanced up to the constitution in that anaemic state, where the inheritance has been phthisis. It is not the best indication for Tuberc., but where the symptoms agree in addition to that inheritance, then you may have indications for the remedy.

Tuberculinum Bovinum be given in 10 M., 50 M. and 100 M. potencies, two doses of each potency at long intervals, all children and young people who have inherited tuberculosis may be immuned from their inheritance and their resiliency will be restored. It cures most cases of adenoids and tuberculous glands of the neck.

Mind: The nodes that have guided me to in use I will attempt to explain.

The mental symptoms that I have seen give way while the patient was under treatment, and the mental symptoms that I have seen crop out under the provings, and the mental symptoms that I have so often seen associated when the patient is poisoned by the tubercular toxines are as belong to many complaints and are cured by Tuberc.

Hopelessness in many complaints. Aversion to mental work. Anxiety evening, until midnight. Anxiety during fever. Loquacity during fever. Weary of life. Cosmopolitan. Tormenting, persistent thoughts during the night.

Thoughts intrude and crowd upon each other during the night. These I will say are the common mental features, and have often yielded when the remedy has been prescribed. Anyone who has inherited phthisis, anyone who has been in a state of debility, who has had intermittent fever with continual replases, and these mental symptoms are present, you may think of Tuberc. Loquacity during fever is a common feature in hectic fever when the patient, is decidedly affected by the toxines of tuberculosis.

A person gradually running down, never finding the right remedy, or relief only momentarily; has a constant desire to change, and travel, and go somewhere, and do something different, or to find a new doctor.

The desire to travel, that cosmopolitan condition of the mind belongs strongly to the one who needs Tuberc. It comes out so often in clinical experience; is found so often in the Calcareas and especially in Calc. Phos., always wanting to go somewhere. Such is the condition of those about to go into insanity, about to go into some lingering disease. Persons on the border land of insanity.

It is true that phthisis and insanity are convertible conditions, the one falls into the other. Many cases that are treated and cured, and phthisis of the lungs has just been turned aside, finally become insane. Persons who have been cured of insanity go into phthisis and die, showing the deep-seated character of their nature. The intellectual symptoms and the lung symptoms are interchangeable.

Head: Tuberculinum cures the most violent and the most chronic periodical sick headaches, periodical nervous headaches.

Coming every week; every two weeks; and the irregular periodicity coming under certain conditions, in damp weather, after overwork, from mental excitement, from overeating, disordered stomach. Tuberc. breaks up the tendency to this chronic periodical headache when the symptoms agree.

It has been observed in the hands of good prescribers that, when chronic constitutional headaches have been broken up sometimes the patient has a tendency to lose flesh and become feeble. An entire transformation scene takes place; a cough sets in; the headache has been removed, but the patient is feeble. Whenever that takes place Tuberc is a most useful remedy. A new manifestation comes; a new organ is affected.

Sore bruised feeling all over the body. Aching of the bones. Sore bruised condition of the eyeballs, sensitive to touch, and on turning the eye sideways. Persons who have long felt the weakness of tuberculosis, tubercular conditions, and are subject to cold sweat on the head. This was brought out in the provings of Calcarea, and those about to go into phthisis have many times been cured by Calcarea.

The relation ship between Tuberc. And Calc. is very close. They are interchangeable; that is, the one may be indicated for a while, and then the other. They are both deep-acting remedies - also Silica is closely related to Tuberc., on the same plane of action, going deep into the life in a similar way; Calcarea, Tuberc. and Silica, and the Silicates.

In the Guiding Symptoms is a record,

"Pain in the head, as if the head had a tight hoop of iron around it," an iron band.

Headache, with frequent sharp cutting pains. Headache, worse from motion. In the Guiding Symptoms,

"A sullen, taciturn, irritable" condition of mind.

"Screams in his sleep.

Is very restless at night.

Sister died of tubercular meningitis."

That symptom was given by Burnett. It has cured hydrocephalus.

Many years ago Doctor Biegler cured a case of tubercular meningitis with Tuberc. In many instances it has cured tubercular meningitis and tubercular diseases of the brain in the early stages. The face becomes red, even to purple, during the chill, and during the heat. Aversion to all foods. Such aversion to meat that it becomes impossible to eat it.

Thirst during the chill and heat, for large quantities of cold water. It has cured tubercular meningitis with effusion, where the head was greatly enlarged. Craving for cold milk. Emptiness in the abdomen, with faint feeling. Anxiety in the abdomen and stomach, much like the Sulphur sensation described. An all gone, hungry feeling, that drives him to eat. This has been cured by Tuberc. after Sulphur had failed.

All know what a marked feature emaciation is in persons who are going into phthisis. The emaciation often begins before there is any sign of phthisis, gradually losing flesh. A gradually growing weakness, a gradually increasing fatigue.

This is a prominent place for Tuberc., if the symptoms agree. Always let that stand out boldly, if the symptoms agree, and when the symptoms agree. Of course it will be said that Tuberc. has cured when there are few symptoms this is granted, but should not be lauded as a clinical practice.

Bowels and rectum: It is a common feature of tubercular affections of the brain and of the meninges to suffer from constipation.

Stool large and hard; or, constipation alternating with diarrhoea. It is a well-known clinical fact. Constipation is a strong feature of Tuberc.

"Constipation, stool large and hard; then diarrhoea.

Itching of the anus.

Sudden diarrhoea before breakfast, with nausea.

Inguinal glands indurated and visible.

Excessive sweat in chronic diarrhea."

That symptom was brought out by Burnett. It was merely a clinical symptom. Burnett dwells on this phase of it;

"Tabes Mesenterica."

"Swelling on left side, also on right; complains of a stitch in side after running; languid and indisposed to talk.

Nervous and irritable.

Talks in his sleep; grinds his teeth.

Appetite poor.

Hands blue.

Indurated and palpable glands everywhere.

A drum belly.

Spleen region bulging out."

That was one of Burnett's clinical cases. That was cured by Burnett's Bacillinum. In most instances, I am informed, he used the Bacillinum 200 th.

It is a common feature of Sulphur to be driven out of bed in the morning by a diarrhoea. It is a very common feature in cases of phthisis, and patients going into phthisis. In advanced stage of phthisis, driven out of bed with a diarrhoea; or, diarrhoea worse in the morning than at any other time in the twenty-four hours. This is a common feature of phthisis that Tuberc. has cured, and it has been verified many times, although it is a clinical symptom.

General relaxation. Weakness and hanging down of the genitals. Relaxed scrotum.

Menses too early, too profuse, long lasting. Amenorrhoea. Dysmenorrhœa.

Cough before, and during chill.

Suffocation; worn in a warm room. Tubercular deposits in apices of lungs (left).

The uterus sags down and is heavy at the menstrual period, a relaxation, as if the inner parts would come out.

Dry hacking cough before the evening chill (Rhus t.). and the hacking cough lasts sometimes during the chill, and sometimes during the fever, but be knows the chill is coming by the cough. The patient has been cured perhaps a number of times by remedies. Intermittent fever has been cured a number of times by remedies well selected.

The fever goes away promptly under the action of the remedy; but from slight exposure, as was mentioned, it comes back again. Now at the end of three, four or five weeks - often two or three - he says,

"I know my old chills are coming back again, because of the cough I have."

The previous remedies have not been successful. They are not deep enough acting, they are not long enough acting.

When the homoeopathic remedy is really and truly able to cure the diseased condition it will hold that case, so that when the symptoms come back again the same remedy will be indicated, and only a changed potency, perhaps will be necessary.

The same remedy is called for; but it is an indication for Tuberc, when at every coming back of the case it calls for a new remedy. Calcarea breaks up the case once, and the next time it comes back it calls for something else, and the next time for something else, and it keeps turning around.

Perhaps a number of times it calls for the same remedies again. Changing about. That very changing and unsatisfied symptom image is a strong indication for this medicine.

Respiration: Suffocation in a warm room.

Can find easy breathing only when riding in the cold wind. When phthisical patients find no comfort except riding in the cold wind - which is a rare symptom, but has been noticed. This was a symptom specially marked in the lamented Gregg, of Buffalo. He would ride out in the cold winds by the lake for hours. Arg. nit. many times relieved that, but it is a strong symptom of Tuberc. He finally died of tuberculosis.

Desire for deep breathing. Longs for the open air. Wants the doors and windows open. Sits in the room covered with a cold sweat, but wants the air, wants fresh air. When covered with cold sweat he cannot have the wind blowing on him because he takes cold, he is sensitive to it, but he wants the fresh air, he wants the open air. Especially when the tubercular deposits begin in the apex of the left lung, which is the indication that has been verified by quite a number of observers.

"Hard, dry cough. Hard, dry, shaking cough," were symptoms noticed by Boardman - regardless of phthisis. The expectoration is thick, yellow, often yellowish-green in catarrhal conditions. Hacking cough in young girls, where there is a suppression of the menstrual flow of the first menses.

They come on once or twice or three times, and the patient is yellow, is puny, is tired, has a hacking cough, and a suspicious chest. If the tubercular deposits have not gone too far, Tuberc. may arrest the progress of the disease. Tuberc. often gives immunity if taken before the tuberculosis begins in those who have inherited it. It immunes the constitution.

Another marked feature recorded by Burnett was ringworms. Burnett was of the opinion that ringworms commonly formed upon those who had inherited phthisis. He thought it was a sign of approaching phthisis, that it was a very common feature of those who have inherited phthisis; and he used the Bacillinum 200 th. He used it somewhat as a routine remedy on every child with ringworm.

Patients who suffer from weakness in the evening. Rapid pulse in the evening. Every evening for years he has noticed the pulse has been rapid. Palpitation after the evening meal.

Jerking of the muscles or going to sleep, and during sleep. Rheumatic pain in the right elbow. Sore bruised condition of the bones and periosteum. Aching, drawing pains in the limbs during rest, better by walking. A strong feature of this remedy is that its pains and aches are better by motion. I have seen this aching distress in the limbs many times where Rhus has acted only temporarily or has failed; where Rhus seemed to be the remedy, but was not deep enough to hold its action.

Where Rhus was superficially indicated - or the deep action of the disturbance, the deep inheritance - the tired constitution, the chronic nature of the case prevents the action of Rhus, and Tuberc. cures these cases.

Especially in girls that are bookkeepers, and shopkeepers, who have inherited phthisical constitutions, who have aches and pains during damp weather, in rainy weather, during a storm, when the weather changes, when the weather becomes cold; then it is that Tuberc. cures after such remedies as Rhus have failed; these patients are better by motion, better by walking; worse during rest.

While sitting the pains become so severe that be is driven to travel, driven to walk. Aching, drawing pains in limbs during rest, better walking. Coldness of left foot and leg, evening in bed. Stitching pains in limbs during rest. Wandering pains in limbs - in joints. Pains all over the body, but mostly lower limbs.

Aching, drawing, tearing, as if in bones, and nerves, during rest; better walking. Pains in bones lower limbs. Stiffness on beginning to move. Sore bruised joints. Pains all ameliorated by heat. Drawing pains in thighs. Stitching pains in limbs. Restless. Stiffness of lower limbs, evening. Physical exertion aggravates.

Complaints worse standing; must move. This is as marked in this remedy as in Sulphur.

Intermittent fever, with drawing in limbs during rest. Chill 7 P.M.

Chilliness, evening; better in bed. Chill 5 P.M., with thirst. Cough before chill, during chill, and vomiting during fever. Wants to be covered during all stages. Extreme heat, with chilliness. Relapsing intermittents

Drawing in the limbs in the evening before the chill, and during the chill. He knows the chill is coming on because of the drawing in the limbs. Chill at 11 o'clock at night. Must be covered up during all stages, the chill, the fever and the sweat. The chilliness extends into the fever and into the sweat if there is any uncovering.

Aching in the bones of the head, with soreness of the periosteum and these are better by traveling about, like Rhus. Better by motion worse keeping still.

Skin: Perspiration from mental exertion.

Perspiration stains the linen yellow. Heat and perspiration during sleep. We know what a common feature it is in phthisis to have night sweats. Formication in the skin.

This remedy has cured tubercular eruptions of the skin. This remedy has cured red purplish eruptions that are nodular in character; the patient wants to sit all the time by the fire - itching in cold air, better by going to the fire, worse from scratching. Sensitive to every change of the weather, especially to cold, and to damp weather, and sometimes to warm damp weather, and to rainy weather. Always worse before a storm.

Can feel every electric change in the weather. Becoming cold brings on all the symptoms pains, aches, distresses and sufferings. A large list of symptoms of patients that have been cured in all their varying conditions may be found by looking up the Guiding Symptoms.

Periodicity, then, is a strong feature of this remedy, and sensitive to weather changes. Fainting fits, Weakness after a short walk.

It has cured constitutional headaches, periodical headaches, that existed forty-five years. It cures even old people of these periodical complaints.

The pains will sometimes travel. Stitching; pinching, cramping, wandering; and always worse from cold, and from cold damp weather.

A Dictionary of Practical Materia Medica, John Henry Clarke

Tuberculin of Koch. A glycerine extract of a pure cultivation of tubercle bacilli (human). Liquid attenuations.

Clinical.─Acne. Albuminuria. Appendicitis. Asthma. Bones, caries of. Bronchitis. Catarrhal pneumonia. Chilblains. Cornea, opacity of; ulceration of. Dentition. Erysipelas. Erythema. Haematuria. Haemoptysis. Headache. Heart, affections of; palpitation of. Influenza. Leprosy. Leucorrhoea. Lungs, oedema of. Lupus. Mania. Menses too early. Nephritis. Night-terrors. Oedema glottidis. Paralysis. Phthisis. Pleurisy. Pneumonia, acute. Tuberculosis.

Characteristics.─I consider it best to reserve the name Tuberculinum for this preparation of Koch, as it is universally known by that name. Burnett's "Bacillinum" is now accepted as the name of the original homoeopathic preparation, and though its originator, Swan, named it Tuberculinum, it owes its present position in therapeutics to Burnett, and it will simplify matters if we make the term Bacillinum cover the homoeopathic nosode and Tuberculinum the preparation of Koch. When Koch's Tuberculinum was first launched the medical papers were teeming with reports of cases undergoing the injection for various diseases. Of the reported effects, curative and pathogenetic, I made a collection. These will be found in H. W., xxvi. 155. I have there given the authority for the observations and the nature of the cases in which the effects were observed. These symptoms will be found arranged in the Schema, and each symptom has appended to it the initial of the observer, or an indication of the disease from which the patient was suffering when the observation was made. Koch's own observations are marked (K); Virchow's, (V); Jonathan Hutchinson's, (H); Ewald's, (E); Albrand's, (A); Watson Cheyne's, (W C); Lennox Brown's, (L B). The names of other observers are given in full. Lupus cases are marked (lps.); observations made on a leper (lpr.). In Jour. Belge d'H., 1894, 236, Mersch published a pathogenesis of Tub. compiled mainly from the same sources as mine, but giving some additional symptoms. These I have included and marked (M). A few cured symptoms are put in brackets. The undistinguished symptoms are from a proving by Nebel, of Montreux (H. W., xxxv. 397). The provers were tuberculous individuals, mostly workpeople, and only pathogenetic symptoms are recorded. Tub. 30 was used, the preparation having been obtained from Hausmann's Pharmacy, St. Gall. I do not find any appreciable difference between the action of Tub. and that of Bac. My own impression is that they are practically identical, and that the one will answer to the indications of the other. Nebel has used Tub. in exactly the same way as Burnett and others have used Bac., on the indications Burnett laid down and with Burnett's results. In H. W. for May, June, and July, 1901, I have copied from H. R. of the same year articles by Nebel giving his experiences with Tub.: (1) Boy, 13, had diphtheria with fearful headache extending from neck to vertex, with swelling in back of neck and occiput, due, it was supposed, to an affection of the middle ear. Seven weeks passed without improvement. Paracentesis of the tympanum resulted in the evacuation of pus for a day or two. Nebel found the face bloated; strawberry tongue coated white at the root; mastoids not sensitive to even strong pressure. Swelling of occiput and neck down to fifth dorsal vertebra. The head is held fixed sideways towards the middle of the clavicle. If the boy wants to move his head he has to seize it with both hands and turn it slowly, with painful distortion of facial muscles, until it reaches the position desired. Even the slightest pressure on first, second, or third cervical vertebra was very painful; the skin on them was reddened and the periosteum was swollen; glands in neck enlarged. Tuberculosis of atlas and second and third vertebrae consequent on diphtheria was diagnosed. Tub. 1m. was given, five grains, during the day. Two days after the dose the boy could move his head more freely, the swelling of the neck diminished, appetite returned, and in a short time he was able to get up and run about. Five weeks after the dose, the swelling had altogether gone, and the boy's condition was altogether changed. (2) Swelling of tibiae two inches below the knee, in a lady who had had cough for twenty years. Cured chiefly with Tub. 1m. This patient had offensive sweat in axillae, strawberry tongue, lack of appetite. Distaste for milk, constipation, and bad sleep. [Mau, of Kiel, treated the following cases with Bac. (H. W., xxxvi. 316)─I introduce them here for comparison: (1) Vigorous man, tall and of well-developed appearance, was very liable to get pneumonia in cold weather, and spent the winter in some sanatorium or other in order to escape. His father had died of pneumonia, his mother of consumption, and a sister was consumptive. He perspired much, took much fluid nourishment, partly alcoholic. Sleep poor. Almost constant fever. Enlarged glands. Three months' treatment with Bac. removed all the symptoms, and, moreover, made his tissues less watery and reduced his corpulence somewhat. (2) A distinguished author, 50, complained of dreadful pains in the head, almost total insomnia, and great debility. His brother and sisters had mostly died of dropsy of the brain; he himself had congestion of the right lung, due probably to healed cavities, as he has frequently had haemorrhages. For this he had had a lengthened treatment in the South, and had been pronounced cured of consumption. Softening of the brain and loss of reason were now feared. The headache was attended with a sensation as if his head was being tightly squeezed behind with an iron ring. Hands trembling; but he, was most uneasy from a sensation in, his back as if his clothes were moist. In less than a month, under Bac., the headache, insomnia, and sensation in the back had all vanished. Another patient of Mau's, a child, had "screaming out in sleep and great restlessness at night," which were cured, along with peevish, irritable, taciturn disposition.] In 1892 B. S. Arnulphy (Clinique, xvi. 629) began giving Tub. 6x. and 8x trituration internally in tubercular cases, acute and chronic, and with encouraging success, but with at times undesired aggravations; with 12x and 30x these were avoided. In one case, originating in grippe, both apices were affected, the right one breaking down; and abundant pleuritic effusion on the left side. Six weeks' treatment with Tub. brought about recovery, and seen a year later the patient was quite well except for retraction of the left side. Arnulphy considers (Clinique, xvii. 86) that Tub. is frequently the remedy for bronchitis, catarrhal pneumonia, lobular pneumonia, tubercular pleurisy, parenchymatous nephritis, and grippe. He gives (Clinique, xvii. 457) two cases of acute lobular pneumonia with characteristic symptoms and high temperatures quickly resolved by Tub. One was in a boy of three who received the 12x; the other was a man, 78, being a sufferer from chronic bronchial catarrh. The latter was taken with grippe, pneumonia developed, and he was in a very serious state. Tub. 30x made, an almost immediate change for the better, and recovery followed. Arnulphy relates that in this cage an abundant perspiration took place (the skin had been dry) during the night and he had observed this in all cases of pneumonia when Tub. acted favourably. I have found Tub. 30, loop 200, and 1m the best general antidote to the chronic effects of influenza poisoning. B. G. Clark (H. W., xxix. 349) reports the case of a lady, 60, who had had for some time a mild form of tuberculosis of the skin of the face, and, more recently a small growth (lupus) on the side, of the nose on a line with the inner canthus of left eye. It had grown much in six. mouths. Tub. 200 F. C., six powders given, one to be dissolved in twelve teaspoonfuls of water, one teaspoonful every two hours. The six powders were taken in this way on successive days. On the fifth day the growth began to dry up. On the tenth it fell off. Another dose of Tub. was given after this with marked improvement to the older affection of the face. A curious use has been made of Tub. by Jauregg, of Vienna, in a case of insanity (H. W., xxx. 196). Having observed that cases of insanity are always benefited by an attack of an acute infectious disease, especially if it is accompanied with high fever, the idea occurred to him of utilising the fever produced by Koch's Tuberculin injections. He tried it on some patients, and though the decidedly, favourable symptoms, soon disappeared after the fever subsided, still there was a steady clearing of the comfused sensorium. Insanity is very frequently a manifestation of the consumptive taint and there is something more than a pyrexial power in Tub. [Burnett has cured with Bac. a case of insanity, being led to give it by a ringworm-like eruption on the body.] Among the Peculiar Sensations noted under Tub. are: As if the brain were squeezed with an iron ring. As if the teeth were jammed together and were too many for the mouth. Of mucus in the throat; of a tumour in the throat. Pressure in stomach going to throat as if the clothes were too tight. As if the clothes on the back were wet (Bac.). Fatigue, faintness, profuse debility are frequent symptoms. Great weakness in the limbs after dinner: this at times amounts to paralysis. The circulation is always disturbed, chills and flushes alternating. "Shivering when beginning to sleep" is a peculiar and interesting symptom; also "cold feet in bed," which is common in persons of low vital reaction. "Sensitive to music" was observed in one of Nebel's patients; another had pains in the region of the appendix vermiformis, which should lead to serviceable action in appendicitis cases. The symptoms are: < By slightest exertion (it = excessive fatigue; sweat). Walking = pains in loins (fatigue). Raising himself up = palpitation. Every movement = sticking in chest and back. Rubbing = itching to change place. < Morning (much purulent expectoration; sickness and nausea; loss of appetite; thirst; fatigue). < From 10 to 3 p.m. (frontal headache). < Evening (heat in head; cough preventing sleep; severe pains in breast at beginning of menses. < Evening in bed (itching; feet cold). < Night (sweat; from 3 a.m. sleep disturbed). < Beginning to sleep (shivering). < After dinner (flushing; drowsiness). Sensitive to music.

Relations.─[Burnett recommends to give the Tuberculinum high if there is a strong tubercular element in the case; if that element is small, 30 is better.] Compare: Bacillinum (including Tuberculinum of Swan), Bacil. test., Aviaire. In tubercular meningitis, Iodf. Irregular distribution of circulation; constitutional remedy, Sul. Analogous constitutional remedies, Pso., Med., Syph., Thuja. Sensation of an iron band compressing brain (Thuj. hoop round forehead). Sensitive to music, Thuj. Phthisis, insanity, Thyroid. Pain in region of appendix, Ir. t., Ars., Lach. Pains in breasts at menses, Con., Calc. Compatible: Hydrast., "it actually seems to fatten up tuberculous patients" (Burnett; confirmed by Nebel), Calc., Calc. iod., Calc. ph., Phos., Thuj., Sep., Puls. Sensitive to music, Aco., Amb., Nat. c., Nux, Pho. ac., Sep., Thuj., Vio. o. (> by music, Trn.).

SYMPTOMS.

1. Mind.─Anxiety, gloomy, melancholy humour.─Has lost melancholy expression she formerly had (lpr.).─Is disposed to whine and complain; dejected mind, anxiety.─She is very sad.─Nervous irritation.; aversion to labour.─Indifferent.─Forgetful.─Aversion to all labour, esp. mental work.─Sensibility to music.─Does not like to be disturbed by people; trembling of hands.

2. Head.─Vertigo: esp. in morning; heavy with obscuration of eyes; is obliged to lean on something; by bending down, esp. by rising after bending down; with palpitations; with headache; with nausea; with headache in morning; after dinner.─Great heat in head; flushes of heat after dinner; sensation of heat in head in evening.─Headache: deep in forehead; deep in temples; on vertex with sensation of heat; from neck to forehead; in morning, passing away in afternoon.─Sensation of heaviness on vertex.─Headache with obscuration of sight.─Headache with vertigo.─Piercing headache.─Piercing pain in forehead from 10 a.m. to 3 p.m.─Headache in evening; in afternoon.─Frontal headache in morning.─Headache with rushing in ears.─Headache in morning with bleeding of nose.─Headache from neck to forehead; burning, piercing.─Colossal hyperaemia of pia mater and brain substance; extreme engorgement of vessels on the surface, internally dusky red; tubercles presented no retrogressive changes (arachnitis.─V.).─(Sensation as if brain squeezed with iron band.─Bac.)

3. Eyes.─Swollen lids; headache with swollen lids in morning.─R. eye much swollen, conjunctiva inflamed (lps.).─Dulness and heaviness of eyes; darkness before eyes.─Obscuration of vision with vertigo.─Opens r. eye (which had been closed.─W C).─Breaking down of cicatrices of old corneal ulcers (Stoker).─Clearing of corneal opacity the result of old tuberculous corneitis (Stoker).─Tuberculosis of eyelids, small grey and yellow nodules, existing in conjunctiva of outer sections of lids, increased in size, ran together, then suddenly disappeared (A).─Phlyctenulae appeared where none existed before (Maschke).─Conjunctivitis; herpes on lids (M).─Amblyopia with irregularity and complete paralysis of pupils (in an alcoholic).

4. Ears.─Tinnitus (lps.).─Rushing in ears with heavy head.─Sticking pain from pharynx to ears.─Headache with rushing in ears and pressure on vertex.─Great aching in ears and teeth.

5. Nose.─Coryza.─Secretion of mucus from nose, viscid, yellow-green.─Increased secretion of mucus, with frontal headache.─Aching of ears and teeth with coryza in evening, with headache.─Bleeding of nose.─Comedones on nose, surrounded with minute pustules (lps.).─The nose, which used to feel "hot and burning," has lost this sensation (lps.).

6. Face.─Oedematous, pale face.─Clonic convulsions of musculus orbicularis inferior, acute.─Convulsions in region of facial muscle, esp. buccinator.─In one case the inflammation of the lupus (on face) presented unquestionable erysipelas of a rather severe type, and the patient was for some time in danger (H).─Flushing of cheek of same side as lung affected, during the reaction (Borgherini).─Upper lip and nose become swollen during the first two or three reactions, the lip becoming cracked on inner surface (W C).─Herpes on lips and eyelids (Heilferich).─After the tenth injection his l. moustache, which was kept cut to prevent scabs from gathering, ceased to grow, every hair fell out, and for a month the l. upper lip was perfectly denuded of hair, and had all the appearance when seen under a lens of being depilated; however, the hairs began to grow well before he left the Home (lps., Hine).

7. Teeth.─Vague toothache.─Teeth felt loose (lps.).─"Feeling as if the teeth were all jammed together and too many for his head" (lps.).─Sordes on teeth (lps.).─Inflammation of gums, scurvy-like.─Gums turgescent, felt swollen (lps.).

8. Mouth.─Tongue foul, furred.─Tongue much coated (lps.).─Coating on soft palate and tongue (M).─Taste: salty, purulent.─Aphthae on tongue and buccal mucosa.─Tongue dry (lps.).─Dryness of lips.─On lips black blisters.─Palate: granulations enormously swollen and vascular (lps.).─Breath offensive (M).

9. Throat.─Aching in pharynx and larynx.─Scratching in pharynx.─Tickling in throat exciting cough.─Sensation of mucus in throat.─Sensation of a tumour in throat.─Dryness in throat; tonsillitis; general inflammatory condition of pharyngeal mucous membrane (M).─Retropharyngeal abscess (M).─Burning pain in throat.─Sensation of constriction in throat; in larynx.─Heaviness and sensation of rattling in throat.─Aching extending from throat to ears.─Dysphagia increased; later diminished (in laryngeal phthisis.─L B).

10. Appetite.─Loss of appetite, esp. in morning.─Thirst: extreme, day and night; burning in morning.

11. Stomach.─Eructations and sensation of fulness over stomach.─Nausea, vomiting (K, 5h.).─Vomited severely with > to headache (lps.).─Nausea and vomiting, nausea with efforts to vomit with colic and diarrhoea.─Transitory sickness and vomiting after dinner.─Vomiting after every meal.─Nausea and sickness in morning with heaviness in stomach region.─Pressure in stomach, going to throat, as if the clothes were too tight.─Cramping pain in stomach.─Nausea with pains in umbilical region with diarrhoea.─Nausea with racking and stirring in stomach and increased thirst.─Sickness in stomach and pressing.─Nausea in morning.─Sticking pains in stomach region.

12. Abdomen.─Cramping pains in stomach and abdomen.─Sensation of constriction in abdomen.─Colic with diarrhoea and heaviness in stomach.─Colic with great thirst.─Fatigue and sickness in region of stomach and abdomen; sticking pains deep in spleen; severe pain in region of liver.─Aching (sticking) in region of liver, spleen, ovaries, spermatic cord, testicles (esp. l.), in hip-joints, in rectum.─Pains in region of appendix vermiformis.─Mass of enlarged glands, in r. iliac fossa much smaller (W C).─Six pustules at different parts of skin of back and abdomen, and after discharging have healed (W C).─Discrete papular rash over chest and abdomen (W C).─Perforating ulcer in intestines (V).

13. Stool and Anus.─Obstipation; stool hard, dry, with wind and colic.─Diarrhoea with pinching and burning pains.─Pressure and constriction in rectum.─Pain in rectum.─Itching sensation in anus.

14. Urinary Organs.─Diminished quantity of urine.─Is obliged to urinate very often, esp. during changes of weather.─One tenth albumen in height of reaction; disappeared afterwards (W C).─Specific gravity of urine increases from 1016 to 1023 with an excess of urates and ropy mucus.─Peptonuria in man, 33 (Maregliano).─Haematuria with renal pain (M).─Excess of urates (M).─Abundant viscid mucous discharge.

15. Male Sexual Organs.─Pains in testicles, and cord of l. side.

16. Female Sexual Organs.─Severe pains in breast in evening at beginning of menstruation.─Menstruation with pains in lumbo-sacral and ovarian region.─Sticking pain in lower abdomen; pains in lumbo-sacral region < when walking.─Weakness in genital region; painful menstruation.─Blood lumpy, menstruation lasting more days than usual; menstruation antepones eight days.─Burning pains in external genitals; sharp leucorrhoea; pains in sacral and ovarian region to hip-joints.─Sensation of heat in genitalia externa, with increased leucorrhoea.─Cramps in uterine region with pains in sacral and ovarian region.─Burning pain in ovarian region.─Menstruation, returns fourteen days after parturition.

17. Respiratory Organs.─Decided effect in laryngeal cases, mostly beneficial (L B).─After ten injections, larynx markedly affected, inflammatory Swelling and ulceration (L B).─General infiltration of mucous membrane of larynx, high red colour, brighter than normal (L B).─Enormous swelling of arytenoids appeared (L B).─Tuberculous outgrowth (L B).─Exfoliation at r. vocal cord, appearance extravasated below its posterior part (L B).─Hyperaemia of cords intensified and covered with minute ulcerating points.─Cough and expectoration lasting four months, from a wetting (removed, no bacilli found).─Sensation of pressure on chest.─Cough and sputa.─Irritating cough, < in night.─Little cough in night with aching in side and blood-tinged sputa.─Severe cough in evening with pains below mamma on r., side.─Inclination to cough (K, 3 to 4h.).─Severe cough with muco-purulent secretion in morning.─Cough prevents him sleeping in evening.─Cough, secretion of phlegm, esp. by walking, with sticking pains in lungs and, palpitation.─A sort of whooping-cough.─Dry cough; in night.─Cough with viscid mucus.─After much cough sensation of mucus in pharynx, mucous secretion being easily ejected.─Expectoration diminished (Heron).─Palpitation and pains in back with cough.─Crackling rales at r. shoulder behind (lps.).─Copious watery expectoration usually seen during the reaction (Wilson).─With every increase of dose he suffered from asthmatic fits, lasting from three to seven hours.─Extreme rapidity of respirations without dyspnoea, 60 to 90 in the minute; if the patient is spoken to, the rapid breathing ceases at-once (as with a dog panting in the sun.─Heron).─Is obliged to take deep inspirations; dyspnoea.─Difficulty in breathing speedily increased (K, 3 to 4h.).─Marked feeling of suffocation (lpr.).

18. Chest.─Sensation of pressure in chest.─Heat in chest (M).─Sticking pain in chest, esp. at the apex of l. lung.─Sensation of contriction in the praecordial region.─Pains in both sides of chest going to back.─Pains in l. side.─Sticking in side.─Nightly pains on chest.─Sticking pains: in lungs; in l. side, pains between scapulae.─Aching in side in night.─Sticking pain in chest, on r. and l. side.─Sticking pain in l. side in morning and afternoon.─Sticking pain in lungs when laughing.─Pain in axilla, esp. when elevating arm.─Sticking pain: in lungs with cough and palpitation.─Pressure in chest, sticking pain an both sides of chest, in back.─Palpitation, caused by deep inspirations, aching in back with pains under ribs.─Pains in subclavicular region with cough.─Sticking pain in l. lung.─Pain from clavicles to throat.─Pain in apex pulmonis radiating to axilla and arm.─Sticking pain in chest and in back, < from every movement.─Pain in l. lung to axilla.─Pain on l. side going to back.─Pain in l. apex and in region of the spleen.─Severe pain in back, in axilla and arms.─Pains in l. side, must take deep inspiration.─Bronchitic sounds in both lungs (W C).─Dulness r, apex (L B).─Sudden, profuse haemoptysis, ends fatally (E).─Developed a cavity on side opposite to that first affected (E).─New deposit of tubercles on pleura (E).─Surface of old pulmonary cavities showed unusually intense redness of granulation layers (V).─Haemorrhagic infiltration of the walls (V).─Recent haemorrhage observed in the cavities.─In fatal cases of ulcerative phthisis the lungs esp., and also the pleurae, showed extensive and severe recent changes-pleurisy, for the most part very severe, simple and tuberculous, frequently haemorrhagic, and not infrequently bilateral (V).─Caseous pneumonia or caseous hepatisation─the lung appearing like blood-pudding studded with pieces of lard; (the patient, an architect, 33, had six injections, the last four weeks before death. At the beginning he had induration of one apex only. The treatment was suspended because of persistent fever and infiltration of lower lobe.─V).─Catarrhal pneumonia was found, but it differed from ordinary catarrhal pneumonia (in which the alveoli when squeezed out have a gelatinous appearance) in that the contents of the alveoli were very watery and turbid─a turbid infiltration; it resembles a phlegmonous condition (V).─Soft hepatisation, which differs from ordinary catarrhal hepatisation in that in the midst of the patches foci of softening become developed, leading to rapid breaking down and excavation (V).─Development of fresh tubercles: small tubercles giving rise to new ulcers have suddenly appeared, esp. in pleura, pericardium, and peritoneum (V).─Metastasis, bacilli mobilised (V).─Abscesses in the lungs (V).─Perforating abscesses in respiratory organs (V).

19. Heart.─Palpitation early in morning.─Sensation of heaviness and pressure over heart.─Palpitation with cough and sticking pains in lungs.─By deep inspirations severe palpitation.─Aching in heart.─Palpitation in night, < when raising himself up.─Palpitation with pain in the back.─Death from paralysis of heart (Libhertz).

20. Neck and Back.─Glands in neck and scars swollen and very tender, various lupus points about them showing yellow fluid under epidermis (lps.).─Scars in neck softer and flatter; no lupus nodules now perceptible (lps.).─Glands cannot now be felt, except the largest, which is now reduced to size of a pea (lps.).─Cervical glands much smaller (W C).─Aching like needle-pricks in the back.─Prickly feeling in skin of back (lps.).─Weakness in lumbo-sacral region.─Sticking pain over both scapulae; pain in region of spleen; vague pains in back and on chest, with sensation of pressure.─Sticking in back.─Pain in back with palpitation.─(Sensation on his back as if the clothes were moist.─Bac.).─Three red patches on l. side of back became much deeper (lpr.).─Violent reaction, during which severe pains in loins < by pressure; (case of Addison's disease; two injections given.─Pick.).─Tuberculosis of sacrum greatly improved (Kurz).

21. Limbs.─Sensation of formication in arms and legs.─Great weakness in limbs after dinner.─Sensation of fatigue and faintness in all limbs.─Pains in limbs, fatigue (K, 3 to 4h. after injection).─Pains in limbs (K, 2nd d.).─Pains in ulnar nerve and calves of legs and knees, l. great toe much affected, and became very red and turgid (lpr.).─Trembling of limbs (in an alcoholic).─Twitching in the limbs (M).

22. Upper Limbs.─Aching in forearms; vague, sticking pain.─Diminution of inflammation above elbow-joint; disappearance of abscess over olecranon; sinus connected with radius discharging freely a thick yellow pus (W C).─Sensation of luxation with severe pains in r. carpal joint; < by effort to move it; ceasing by rest.─Trembling of hands.

23. Lower Limbs.─During night pain referred to r. knee; r. leg rotated in and flexed slightly at hip and knee; movement of r. hip-joint free; 1 p.m., l. hip much more painful and tender, more flexed, abducted and rotated out (disease of l. hip in girl of five.─B. M. T.).─Aching in the hip-joints.─Pain in r. knee without swelling (Heron, a non-tubercular case).─The knee became easily movable and could be bent to a right angle (tuberculous affection of r. knee).─Swelling and tenderness of both knee-joints (Heron).─Tenderness in r. ankle-joint (Heron).

24. Generalities.─Feeling of fatigue (K, 2nd d.).─Malaise, depression, headache, somnolence, oppression of breathing, tightness of chest, nausea (lps.).─General fatigue in morning; sensation of faintness; great weakness in lower extremities, esp. from knees down to feet.─Terribly tired, so that she can scarcely walk.─General excessive fatigue after a short walk, so that he must lean on his companion.─Emaciation (lost six pounds in fourteen days, twenty pounds in five weeks).─In parts affected throbbing pain.─Leucocytosis; diminution of oxyhaemoglobin (M).─Oxyhaemoglobin first diminished then increased (Henoque).─Feeling well, but decidedly losing flesh (lps.).─Acts principally by very acute irritation of internal organs affected (in the same way as in external organs), causing intense redness and great swelling (V).─Actual inflammatory processes (not mere hyperaemias), and esp. active proliferations, occur to an intense degree, in (1) edges of existing ulcers; in (2) neighbouring lymphatic glands, esp. bronchial and mesenteric (V).─Lymphatic glands present a quite unusual degree of enlargement, and notably that form of medullary swelling, characteristic of acute irritations, which is caused by rapid proliferation of the cells in the interior of the glands (V).─Leucocytosis: various infiltrations of white blood corpuscles over affected parts, esp. round the tubercles themselves (V).─Enormous dangerous swellings in parts near ulcers (even where the surface of the ulcer becomes clean), causing dangerous constriction (V).─Phlegmonous swelling resembling erysipelatous oedema of glottis and retropharyngeal abscess (V).─Where tubercle is associated with any other specific disease, reaction is so slight as to be scarcely discernible (Heron).─Syphilitic cases are refractory to reaction Heron).─Children bear the treatment well (Wendt).

25. Skin.─Erythematous eruption like measles or scarlatina (M).─Erythema with subcutaneous indurated nodules (M).─Great bronze patches on the forehead and temples.─Bronze finger-points.─Finger-points as if touched by Argentum nitricum.─Itching all over the body in the evening in bed; changing place after rubbing.─"Rash on chest and abdomen similar, patient says, to what came out when disease first appeared" (lpr.).─Rash on abdomen and back, commencing very red; speedily becoming brownish, resembling ordinary skin eruption of secondary syphilis (L B).─Oedematous condition of upper lip.─Oedematous condition of eyelids.─Nose swollen, tense, erysipelatous-looking epidermis in lupus patch raised by yellow fluid.─In two cases, at least during the febrile action, old chilblains became again inflamed (H).─Slight attack of jaundice (several cases.─W C).─Site of injection slightly painful and red (K, 2nd d.).─Erythematous blush confined to lupus parts, which were the seat of throbbing pain.─It has repeatedly caused general erythematous eruptions on the skin, and, in some, nodular effusions into the cellular tissue (H).

26. Sleep.─Great desire for sleep; drowsiness during day; after dinner.─Inclination to sleep in mornings.─Shivering when beginning to sleep.─Cold feet in bed.─Troubled sleep; sleeplessness.─Sleep disturbed from 3 a.m.─Sleeplessness on account of constant coughing.─Many dreams; disturbed sleep, interrupted by fearful dreams; gloomy dreams; dreams of shame; cries out in dreams.

27. Fever.─Shivering, when beginning to sleep; cold feet in bed.─Freezing and heat alternately; cold and heat for moments.─Violent attack of ague, lasting almost an hour (K, 5h.).─Freezing on the back in evening.─Freezing during whole day.─Sensation of heat in evening in bed.─Flush of heat from back to head.─Feverish, nausea, thirsty, with headache, no vomiting (Heron).─Flushes of heat after eating.─High temperature, abating in twelve hours (K).─Lowering of temperature after each injection (Heron).─Lowering of temperature before a rise (Heron).─Temperature seven hours after injection, 103.8°, accompanied by thirst, rigor, increased cough, headache, and pains in joints (Heron).─Sweat in the night.─Much sweat, esp. on head in night.─Profuse sweat after light exertion.─A little walk and slight efforts produce sweats.─Short sweats in morning, while awaking.─Profuse sweats during slight exertion.

Keynotes and Characteristics with Comparisons of Some of the Leading Remedies of the Materia Medica (Allen's Keynotes), Henry Clay Allen

Pus (with bacilli) from tubercular abscess (A Nosode)

Adapted to persons of light complexion; blue eyes, blonde in preference to brunette; tall slim, flat, narrow chest; active and precocious mentally, weak physically; the tubercular diathesis. When the family history of tubercular affections the best selected remedy fails to relieve or permanently improve, without reference to name of disease. Symptoms ever changing; ailments affecting one organ, then another - the lungs, brain, kidneys, liver, stomach, nervous system - beginning suddenly, ceasing suddenly. Takes cold easily without knowing how or where; seems to take cold "every time he takes a breath of fresh air" (Hep.). Emaciation rapid and pronounced; losing flesh while eating well (Abrot., Calc., Con., Iod., Nat.). Melancholy, despondent; morose, irritable, fretful, peevish; taciturn, sulky; naturally of a sweet disposition, now on the borderland of insanity. Everything in the room seemed strange, as though in a strange place. Headache: chronic, tubercular; pain intense, sharp, cutting, from above right eye to occiput; as of an iron hoop round the head (Anac., Sulph.); when the best selected remedy only palliates. School-girl's headache: < by study or even slight mental exertion; when using eyes in close work and glasses fail to >; with a tubercular history. Acute cerebral or basilar meningitis, with threatened effusion; nocturnal hallucinations; wakes from sleep frightened, screaming; when Apis, Hell., or Sulph., though well selected, fail to improve. Crops of small boils, intensely painful, successively appear in the nose; green, fetid pus (Sec.). Plica polonica; several bad cases permanently cured after Bor. and Psor. failed. Diarrhoea: early morning, sudden, imperative (Sulph.); emaciating though eating well (Iod., Nat.); stool dark, brown, watery, offensive; discharged with great force; great weakness and profuse night sweats. Menses: too early; too profuse; too long-lasting; tardy in starting; with frightful dysmenorrhoea; in patients with a tubercular history. Tubercular deposit begins in apex of lungs, usually the left (Phos., Sulph., Ther.). Eczema: tubercular over entire body; itching intense, < at night when undressing, from bathing; immense quantities of white bran-like scales; oozing behind the ears, in the hair, in folds of skin with rawness and soreness; fiery red skin. Ringworm.

Relations. - Complementary: Psor., Sulph. When Psor., Sulph., or the best selected remedy fails to relieve or permanently improve; follows Psor. as a constitutional remedy in hay fever, asthma. Belladonna, for acute attacks, congestive or inflammatory, occurring in tubercular diseases. Hydrastis to fatten patients cured with Tuber.

Note: *The potencies of Fincke and Swan were prepared from a drop of pus obtained from a pulmonary tubercular abscess or sputa. Those of Heath from a tuberculous lung in which the bacillus tuberculosis had been found microscopically; hence the former was called Tuberculinum and the latter Bacillinum. Both preparations are reliable and effective.

Leaders In Homoeopathic Therapeutics, Eugene Beauharnais Nash

Cosmopolitan; never satisfied to remain in one place long; wants to travel.

Wandering pains in limbs and joints; stiff when beginning to move; < standing, > continued motion.

Longs for open air, wants doors and windows open, or to ride in strong wind.

Takes fresh cold on least exposure, can't get rid of one before another comes.

Emaciation, even while being well, and so hungry must get up nights to eat.

Pain through left upper lung to back. Tubercular deposit begins there.

Persons with a history of tuberculosis in the family.

Symptoms ever changing, begin suddenly, ceasing suddenly.

* * * * *

One case or retarded menstruation in a young girl who had greatly enlarged tonsils and who began to grow tired and weak, pale and short breathed on any exercise. The menses appeared twice under the action of Pulsatilla, but at intervals of several months, and finally not at all. After the failure of several other remedies to give her any benefit, she took one dose of Tuberculinum 1m. with prompt, easy and natural appearance of the menses and corresponding improvement in other respects, and is now attending school in apparent good health. I forgot to state that her sister, older, died of consumption a few years before.

Again, while on a visit to my daughter in Athens, Pa., I called upon one of the homoeopathic physicians of the place, whom I had never met before. He had read "Leaders", and after we had talked books a while he asked me if I would not like to see a curious case, and there was no money in it, but it had come into his hands from all allopaths who had given it up to die. Of course, there being no money in it, I readily consented to go. Found a child of seven months with "head on him" larger than a man's head, with eyes pushed out and turned upwards, only movable a little from side to side. It looked idiotic. The fontanelles could not be felt, because of the hydrocephalic condition which filled the whole scalp, distending it as above described.

I could not see that that child recognized anything, except that its whining, moaning (almost constant) seemed to increase if it was spoken to or moved.

Inquiry into its family history discovered that several of the mother's sisters had died with tuberculosis. She was the only one left of the family, I think. I gave, with the doctor's consent, a powder of Tuberculinum 1m. and advised to let it act. This was on the Monday following Easter Sunday.

May 24th, l900, I received the following letter:

"Dr. E. B. Nash,

"Cortland, N. Y.

"Dear Doctor:–You will doubtless remember the case of hydrocephalus you saw with me while in Athens, and for which you prescribed Tuberculinum. Well, from that day, the head ceased to increase in size and (though it has taken no medicine at all, since taking that) has begun to gradually decrease. They measure it in the same place every Sunday, and last Sunday it was half an inch smaller than a week before. Will you kindly send me a graft at once of Tuberculinum high, that I may continue the remedy at intervals, etc., etc."

I received one letter since, reporting further improvement. I can hardly expect a cure in such a case, but the effects of the remedy, so far, seem to be quite remarkable. A case of lung trouble brought to me over a year ago from Seneca Falls, N. Y., had been under allopathic treatment for four years and had been every summer up in the Adirondacks at Saranac, at a Sanitarium established by Dr. Loomis of New York, lung specialist. She continued to grow worse until I took her case in hand. Under the action of two doses of Sulphur c. m. followed by Tuberc. c. m. she is so improved that I think it would be hard to convince any one that she ever suffered from such conditions.

The trouble located in the upper left lung, where there was a distinct cavity, which as far as I can discover, is now healed, though there is a little dullness of respiratory murmur remaining.

One result of the action of these remedies was to restore a granular surface to the eyelids which had been cured (?) with local applications. I am sure that many incurable chronic diseases have had their beginning in just such tampering with local manifestations of Psora.

One more case.–L. D. G., a man sixty years of age, whose brothers and sisters had several of them died of consumption, had been troubled at times with a spasmodic gagging cough for twenty-five years. He was operated for a stricture of the urethra, and a few weeks after was attacked with chills resembling fever and ague. It was in the winter season, and chills and fever are not common here at any time of the year, unless imported. He had several of these chills daily, until there developed a strong Rhus toxicod., condition, when a dose of that remedy put an end to them. But here followed frequent attacks of great pain from the back all through the abdomen, especially the hypogastric region. When I would get these pains in the bowels relieved in a measure he would have what appeared to be neuralgic pains in different parts all over him, first in one place, then in another. When these would seem to subside, he would begin to cough more, and so the thing travelled from pillar to post, for months.

Dr. Sheldon, of Syracuse, man of large experience, was called in consultation. After careful examination, he decided, in view of the family history and (as he expressed it) a peculiar doughy feeling in the abdominal walls, that the case was tubercular in character, and advised Verat. album at present, because the patient was so weak and reduced and cold, especially the extremities.

It was given, but with little or no effect, and things went on as usual until on his theory of Tuberculosis one evening I dropped a dose of Tuberculinum upon his tongue. The effect was that he slept that night as quietly as if under the influence of an anodyne, and every symptom was alleviated, and he improved in every way for weeks until he was able to be out on the street every day. It was very cold weather and he caught cold and came down to the bed again. After a few doses of Aconite for symptoms following his exposure, he received another dose of Tuberculinum as before, with similar effect, and in a short time he had so far improved as to be able to go on a visit to his friends in Troy, N. Y.

How he will come out is still a question, but repeated effects of the remedy were so apparent in so grave a case that I have deemed them worthy of narration.

If you turn to H. C. Allen's "Key-Notes of Leading Remedies", page 297, you will find recorded: "Symptoms ever changing, ailments affecting one organ, then another, the lungs, brain, kidneys, liver, stomach, nervous system – beginning suddenly, ceasing suddenly."

This seemed to be the case with this patient.

In conclusion, I have seen apparent benefit follow the exhibition of this remedy in both incipient as well as advanced cases of Phthisis, always giving the high preparations in the latter and letting it act a long time without repetition. In view of what Dr. Burnett has written, and my own limited experience lately, I am confident that Tuberculinum is destined to rank with Psorinum in the treatment of chronic diseases.

I will add now, Dec. 17th, 1900, that the case of L. D. G. has continued to improve until he seems as well as he has during the last ten years and weighs more.

Another case.–Maude Porter, age 27, unmarried; sanguine, nervous temperament; short, and stout when in health; blue eyes, brown hair.

Has had bad occasional epileptic fits for eleven years. Have been less frequent for past two years under the influence of a specialist's medicine that she got by letter from New York. Her mother had just died of tubercular consumption. Maude cared for her and was continually over her for the last month of her sickness.

After her mother died, on May 28, 1900, she came to me bringing symptoms as follows:

Can't eat anything.

Mouth tastes very badly; in the morning <.

Smell of cooking food nauseates.

Coughs badly, especially nights.

Soreness middle of chest, behind sternum, worse when coughing or ascending hill or stairs.

Has lost 22lbs. of flesh since May 1st.

Backache when tired.

Feels cold and shivery, < morning and evening.

Feels very weak, can't walk without fatigue.

Passed her last period without menses.

Greatly depressed and cries easily.

Has had a cough since la grippe last December.

Has had a diarrhoea for past four weeks.

Pulse from 100 to 120 all the time.

Sweaty nights.

On that date I prescribed Pulsatilla 200th and later 10m. with no perceptible change for the better.

After Pulsatilla failed I prescribed for her Tuberculinum 1m., and for the next four months she got about once in two weeks the same, once or twice changing to Bacillinum 200, under which treatment she made a perfect recovery, and is doing her usual housework, looking as well as ever at this date, December 17, 1900.

I believe that she would have gone with quick consumption but for this remedy. What do you think, my reader?