DR GIBSON MILLER'S HOT AND COLD REMEDIES:
- James Tyler Kent
(Extracted from Dr. Kent's Works, etc.) REMEDIES PREDOMINANTLY AGGRAVATED BY COLD
Abort., Acet-ac., Acon., Agar., Agn., Alumen., Alum., Alph., Alum-sil., A, c., Apoc., Arg-m.,. ARS., Ars-fl, Asar., Aur., Aur- ars., Aur-sulph., Bad, BAR-C., Bar-m., Bell., Calc-fl, CALC-PH, Calc-sil,. Camph., Canth., CAPS., Carbon, Carb-veg., Carbon-a, Cimic, Cistus., Cocc., Coff., Colch. Con., Cycl., DULC., Euphras, FERR.,Ferr-ars., Form., GRAPH., Guaj., Hell., Helon., HEP., Hyosc., HYPER., Ign. KALI-ARS., Kali-bich, KALI-CARB., Kali- chlor., Kali-phos, Kali-sil., Kalm, Kreos., Lacdefl., MAGN_CARB., MAGN PHOS, Many, MOSCH, Mur-ac., Natr-ars., Natr-carb., NITRIC-AC., Nux-m. NUX-VOM, Oxal-ac., Petrol., PHOS. Phos-ac., Plb, Pod., Psor, PYROGEN.,RAN-B., Rheum, Rhodo., RHUS, RUMEX, Ruta,SABAD., Sars., SEPIA, SIL., SPIG., Stann, Staph., Stram., STRONT., Sul- ac., Therid, Valer., Viol-t., Zinc.
REMEDIES PREDOMINANTLY AGGRAVATED BY HEAT
Aesc-h., All-c, Aloe, Ambra,APIS,ARG-NIT, Asaf., Aur-iod, Aur-m, Bar-iod., Bry., Calad., Calc-iod., Calc-sul., Cocc cacti., Comoc., Crocus, Dros., Fer-iod., FLUOR-AC, Grat., Ham, IOD, Kali- IOD., Kali-SUL., Lach., Led., Lil-t. Lyc., NAT-MUR., NAT-SUL, Niccol., Op., Pictic-ac, PL-At., Ptelia., PULS, SABINA, SECALE Spong., Sul., Sul-iod., Thuj, Tuberc (Rabe), Ustil, Vespa, Viburn.
REMEDIES SENSITIVE TO BOTH EXTREMES OF TEMPERATURE MERC., Ip., Nat-carb., Cinnabar.
Ant-cr., agg. by heat and cold: agg. by overheating and radiated hat., though many symptoms amel.by heat
MERC. in chronic trouble agg. by cold: in acute agg. by heat.)
SOME CASES TO SHOW THE METHOD OF WORKING Case I
Miss B., aet.52. Been heavy tea drinker for twenty years; had much pain and discomfort in stomach; with flatulence immediately after eating; gradually got better till next meal; much rumbling in abdomen. Appetite poor; bowels fairly regular.
Desires-Salt, sweets.
Averse-Fats, acids.
Flushes of heat with sweating which relieved her. She was very him; excitable person-a bundle of nerves.
On further enquiry show was found top be very chilly. GENERALS
Very Chilly, (<)Spring. (<)Before and during thunderstorm.
Irritable in morning.
Anxiety for others.
Fears. Burglars; something going to happen; crowds; being suffocated, and therefore in Tunnel.
Impatient
Suspicious.
Very sensitive; readily offended; startled easily with least noise.
CHILLY PATIENT-Used as Eliminating Symptom: only chilly remedies are given in the following lists.
Fears: Something will happen (Kent's Repertory, p.45)-The number in brackets all through refer to Kent's Repertory.
Alum,Ars., Calc., Carb-v., CAUST., Graph., Kali-ars.
Kali-p., Mag-c, Mang., Nat0a., PHOS
Fears: robbers (p.47)-Alum., ARS., Bell., Con.,
Ign., Mag-c, Nat-c., phos., Sil., Zinc.
Fears: darkness (not included in robbers) (p.43)
Calc., Camph., Carb-an., Carb-v., Caust, Rhus.,
STRAM, Stront., Valer.
Fears: suffocation (p.47)-Carb-an., Phos.,, Stram.
Fears: crows (p.43)-Aloe, Ars., Bar-c., Calc., Carb-an., Caust., Con., Ferr., Graph., Hep., kali-ar., K-bi., Kali-c, Kali- p., Nat-a., Nat-c., Nux-v., Phos., Plb., Rhus-t., Stann.
Anxiety for others (p.7) Ars., Bar-c., Cocc., Phos.
Suspicious (p.85)-ARS.,, Aur., BAR-C., Bar-m., Bell.,
Bor., Calc-p., Carb-s, Canth., CAUST., Charm.,m Chin., Cimic., Cocc., Con., Graph., Bell., Hyos., KALI-ARS., Kali-p., Mur-ac., Nat-a., Nat-c., Nit-ac., Nux- v., Phos., Plb., RHUS-T., Ruta., Sep., Sil., Stann., Staph., STRAM., Sul-ac., Viol-t.
Offended readily (p.69)-Agar., Alum., Ars., Aur., Bor., Calc., Camph., Caps., Carb-s., Carb-v., Caust., Cham., Chel., Chin., Chin a,., Cocc., Cycl, Graph, NUX-V., Peter., Phos., Ran-b., Sars., Sep., Spig., Stram, Zinc.
(<)Approach storm (p.14030-Agar., Aur,.m, Caust., Hyper., Kali-bi., Nat-c., Nit-ac., Peter., Phos., PSOR., Phos., Ran-b., Sars., Sep, Spig., Stram, Zinc.
(<)Approach storm (p.1403)-Agar., Aur, Caust., Hyper., Kali-bi., Nat-c., Nit- ac., Peter., Phos., PSOR., RHOD., Thus-t., Sep., Sil/
(<)Spring (p1403)- Aur,m Bar.m., Bell., Calc., Carb-v., Chell, Colch., Dulc., Hep., Kali-bi, Nux-v., Rhus-t, Sars., Sep., Sil.
Averse fats (p.480)-Ars., Bell., Calc., Carb-an., CArb-v., CHIn., Chin-a., Colch, Cycl., bell., Hep., Nat-c., PETR., Phos,Rheum, Rhus-t., Sep.
Averse acids (p.480)-Bell, Cocc, Ferr., Ign., Nux-v., Ph-ac., SAbad.
Desire Salt (p.486)- Calc., Calc-p, CARB-V., Caust,Cocc,Con, Nit-ac., PHOS,m Plb.
Desire sweets (p.486)-Am-c., Arg-m., Ars., Bars-c., Calc., Carb-v., CHIN., China-a, Kali-ars., Kali-c., Kali-p., Nat-c., Nux-v., Petr.,Plb., Rheum., Rhus- t., Sabad, Sep.
Remarks. The chief remedies running through the case. are ARs., Calc,., Caust., Nat-c Nux-v., Phos., Rhus., Sep. Giving the different types their values: (Capitals=3; Italic=2; Ordinary=1); we find that Ars. appears 8 times to value of 16=Ars, 8 16, Calc.8 14; Caust.7 ; Nat-c. 69; Nux-v; 69; Phos.10 18; Rhus-t. 712; Sep.611.
The constitution of the patient suggested either Ars. or Phos.
We have thus come to these two remedies by only considering the general symptom of the patient.
The pain in (>)hot drinks;even wine which suits her generally had to be given up owing to its coldness,a nd as Phos. patients crave cold drinks (even ices) in gastric troubles, we are left with Ars.
Ars-Alb.30-3 doses a 6-hourly intervals.
Pain (>) (which had been present for years) in a few days, and in a few weeks she was almost well, being much less excitable.
This case she the importance of Generals in their order mental, climatic, desires and aversions in food; all of which must be markedly present to be of any value.
CASE II
Mrs. W@/.aet.58-Dec. 6th, 1910-Complaining of headaches ever since a girl in her teens; usually requires to got to bed for at least two days every month (not at period). She has a heaviness all over head as if in iron case; and head extremely tender to touch, also much throbbing in left temple.
(<)Warm room; exposure to sun; if heated; east wind; touch.
(>)Rest;alone; quiet;lying down;pressure.
Menopause,two years ago. Has some bearing down sensation if she strains, with burning internally and a feeling of distension.
Stomach-Appetite fair; averse fish; desires fats.
Bowels constipated.
GENERALS
General-Fears: dark, robbers. Always in a hurry. Very sensitive to all impressions. moody: (<)consolation (gets angry).
Climatic-(<)Warmth (faintish; summer-exposure to sun. Flushes,heat with sweats. (<)Thunder (hair stands on end, and gets had headaches).
WARM PATIENT-Therefore following lists only include those drug affected by heat.
(<)Consolation (Kent,p.16)-Lil-t., Lyc., NAT-M., Plat.,, Thuj.
Fear dark (p.43)-Calc-s., Lyc., Puls.
Robbers (p.47)-Arg-n.,, Lach., Nat-m., Sulph.
Hurry (p.52)-Aloe, Ambr., Apis., Arg-n, Bry., Calad., Calc- s., Grat., Iod.,Kali-s., Lach., LIL-T, Lyc, NAT-M., Op., Ptel., Puls., SULPH., Thuj.
(<)Thunder (p.1403)-Bry., Lach., Lyc.,Nat-m. Puls., Sulph., Thuj., Tub.
(<)Summer (p.,1404)- Arg-n., Bry, FL-AC., Iod.,Lach,,m Lyc., Nat-m., Puls., Thuj.,
Faintish warm room (p.1361)-Lach., Lil-t., Lyc.,
PULS.
FaINTISH CROWDED ROOM (P.1359)-nAT-M., sULPH.
Averse fish (p.480)- Nat-m., Sulph.
Desire fats (p.485)-Sulph.
Particular of Headache.
(<)Sun (p.149)-Aloe,BRY., LACH., Nat-m., PULS., Sulph.
(<)WARM room (p.151)-Aloe, APIS, Bry., Coc-c., Croc., Ferr-i, Iod., Kali-s., Led., Lil-t, Lyc, Nat-m, PLAT., PULS., Spong., Sulph.
(<)Touch (p.149)-Bry., Great., Led., Lyc., Nat-m, Sabin.
(>)Lying (p.142)-Bry., Calc-s., Coc-c., Fer-9., Fl-ac, Lach.,, Lyc., Nat-m, Spong., Sulph.
(<)pressure p.145)- Apis, Arg-n., BRY, LACH., Lilt., Lyc., NAT-aM., Nicc., PULS., Sabin., Sulph., Thuj.
Bry.8 1; Lach 8 17; Lyc.10 15; Nat-m. 12 32; Puls. 8 19; Sulph 10 16.
Remarks. Nat-mur. seems to suit the case, not because it is numerically highest alone but because it corresponds to the type of the patient Nat-mur has marked aversion to fats, which this patient desires: but that would not rule out the drug for this reason: that,though the desires and aversion are general symptoms, they and much lower i the scale tan the mental symptoms. /a strong mental symptom like the markedly (<) consolation would rule out many of lesser importance, Puls. again could never suit this case, no matter how great its numerical value, because of he marked (<)from consolation. Repertory work is never mechanical, and is only a guide to the study of Materia Medica.
Dec.9th, 1910-Natrum-mur.200,3 doses.
Dec.15, 1910-A marked aggravation of the headache three days after taking the powders.
February 14th, 1911-Not had a bad headache since;no heaviness or caged-in feeling. Bowels began to act naturally soon after the medicine. Hardly any flushes of heat. Much better generally; got up after influenza and not felt shaky, used to take her weeks to recover. No medicine.
February 20th, 19-Got bad colic due to chill which caused return of headache for one day only., Natrum mur,200, 3 doses.
April 7th, 21911-No real headache since last note, slight attempts no caged- in feeling. Bowels quite regular. Bearing down with burning and distension entirely gone. No flushes of heat. No medicine.
May 16th, 1911-A little vertigo on fist lying down: goes off immediately. Headache absent despite severe thunderstorm which formerly caused her to go to bed; not once the cased in sensation. Bowels still good.
Generally a different pursue in every say; brighter; more cheerful; husband declares her to be a different person to live with Nat-mur, 2, dose.
December 27th, 1911-May have had a slight attempt at headache, but never came to anything; feels a new creature; able to do much more work; very energetic; general health excellent. Had no medicine since above.
CASE III
Miss C., aet.35-June 13th, 1910-Sleepless since 20 years age; brought on by excessive musical study; never taken any sleeping drugs. She lies quite wide awake night, brain active all the time, especially after lights are out. Often kept awake by persistent tunes; hardly ever falls asleep for three hours after going to bed;readily wakened by the least gleam of light: even if drowsy becomes sleepless immediately on getting into bed. Dreams always: nightmare.
General health has been good. Throat; painless hoarseness; all clods fly here.
Stomach: Appetite good. Averse fats, milk. craves ices cold food. Emptiness without hunger soon after getting into bed which might prevent sleep.(>) eating. Emptiness t 11 a.m.
M.P. normal.
Mental:Very excitable to music: irritable; impatient; discontented. Fears: in a crowd; being hemmed unfair suffocation. Indifferent to people, especially relatives. Depressed easily.
Chilly: Hates the cold; (<)thunderstorms.
CHILLY, used as an "eliminating symptom" top cut al;l; the warm remedies in all the following lists.
Indifference relations 9Kent, P.550-Hell., Hep (., Nat-c., PHOS., SEP.
Fears crowd (p.43z)-Ars., Aur., Bar.c, Calc., Carb-an., CAust., Con., Ferr., Ferr-ars, Graph., Hep., Kali-ar., Kali-bi. Kali-c., Kali-p., Nat-a., Nat-c, nux-v., Phos., Plb., Rhus., Stann.
Fears suffocation (p.47)- Carb-an., Phos., Stram,.
Fears fire (p.45)-Cupr.
(<)Thunder (p.1403)-Agar., Aur,m Caust., Hyper.,
Kali-bi.,nat-c., Nit-ac., petr., Phos., PSOR.,
RHOD., Rhus-t., Sep., Sil.
Averse fast (p.480)-Ars., Bell., Calc., Carb-an, Carb-v.,CHIN., Chin-a., Col.h., Cycl., Hell., help.,Nat-c., PETER., phos., Rheum, Rheum, Rhus-t., Sep.
Averse milk (p.48i)-Am-c., Bell., Calc,.m Carb-v.,Guaj., Ign., LAC.D., MAG_c., NAT.C., Nux-v., Phos., Rheum., Sep., Sil.
Desires cold food (p.484(-Am-c.,PHOS., Sil., Zinc.
dESIRES ICES (485)-cALC., PHOS.
Emptiness 11 a.m. (p.488)-Alumen.Nat-c.,Phos., Sep., Zinc. Emptiness without hunger (p.489)- Agar., Alum., Ars, bar-c, Chin., Cocc., Dulc., Hell., Mur-ac.,Phos., Rhus-t., Sil., Sul- ac., Sleepless after going to bed (p.1)-Bor., Carb-v., Mag-c Phos.,Ph-ac.
Sane idea (tune_ always repeated (-.1254)-Bar-c., Calc., Coff., Graph.,, Petr.
Hoarseness, painless (p.760)- CALC., CARB-V. Caust,.Phos; =Calc.6 11., Nat.-c 1; Phos 24; Sep.5 .
Remarks. The larger rubrics such as sensitive to noise, impatience,etc., are left out, as all the competing remedies are in them.
Phos. not only best indicate,but it has th important peculiar symptoms,-indifference to relations; all the ears (except fire); and the marked craving or ices.
June 16th, 1910-Pos. 10M. 3 doses, 6 hours apart.
JULY 4TH 1910-She writes "been sleeping better, ad have been much weather mentally at night." No medicine.
July 27th, 1910-"Very much better generally; sleeping better,even with worrying times. Not half so tired as usual; no emptiness even at 1 a.m.; no restless mentally at night; no persistent tunes or thoughts; not dreaming so much; extraordinarily better." No medicine.
Oct.10th,1910-Abroad, tiring journey so took Phos., 10M, 3 doses., 6-hourly.
January 27th, 1911-Been sleeping perfectly well and much better in every way; no persistent tunes t night; hardly ever dreams. No medicine.
Jan. 19- "Still sleeping quite well; have absolutely nothing to complain about. "No medicine.
Case IV
Mr. B., aet.28-May 6th 1910-pain and distension for last three years, especially 6 a.m. or 4 p.m.; felt like bubble inside; been taking Sod-bicarb all the time. distension, not for some time after eating.
(>) Escape flats (offensive); (>) hot drinks . Sleeps well till wakened at 6 a.m. by pain.
Appetite good; no special desire or aversions; some heartburn.
Rheumatic pains general; mo special modalities.
Weather conditions do not affect him.
Mental:(<) In himself if angry. Neither care not worry Quick tempered by controls it. Weak concentration.
Lycop .IM, 4 doses, 6-hourly.
May 19th,1910-Not had slightest effect. Gave additional symptoms. Pain especially as 6 a.m. comes in waves or spasms. Pain especially as 6 a.,. comes in waves or spasms; has draw up knees on abdomen, causes him to roll in discomfort.
(<)If he gets angry.(>) Coffee.
Gets cramp in arms readily when rowing.
Abdomen Pain(<)6 a.m. (Kent., p.555)-Coloc., Ox-ac.
(<)4 p.m. (p.555)-CAUST. Coloc., Hell.
LYC., Mag-m, Phys.
(<)anger (p.556)-Charm., Cocc,m Coloc.,m, Nux-v., Sulph Sulph.
(>)coffee (p.557)-COLOC., Coloc. Im, 4 doses,6-hourly.
May 27th, 1910-Been practically well last few days. No medicine.
June 3rd, 1910-"Nothing wrong with me." No medicine.
June 29th, 1910-Not wakened at 6 a.m. now; never feels pain at 4 p.m. sleeping perfectly; but some flatulence still about; no heartburn; distension hardly present; rheumatic pains gone. Almost but not quite well. No medicine.
Coloc. 10M, 4 doses, 6 hourly.
June 18th, 1911-Mother reports that the medicine upset him somewhat at first, but since then and now is perfectly well; not least trouble.
Remarks. We had here nothing but particular to work with, but they were so definite; though not obtained till second visit
Lycop. had the 4 p.m. aggravation, also generally (<)after angers, and the (>)escapee flutes. We these see the grate difficulty of prescribing on particulars. We ad Hearing;s "three legs to our stool," but that was not enough.
CASE V
A.M., (32), Sept. 30th, 1911-(An outpatient case)., Headache vertex and eye all his life. Getting much worse. Lasts from three days to three weeks.
So severe hardly knows what to do. Worse sleep. Head very tender, can't bear being touched. sickness last ten yours, and vomits very ten minutes. Always got a headache. Can't eat, therefore very weak.
Feels well before attack.
Good family history; also general history good. No better for anything. Burrows head in pillow. Eyes good, tested lately tongue indeed. Feels as it suffocated after eating which greatly aggravates the headache.
Averse: Fats, milk.
Very sleepy at 8 p.m. Dreams exciting Alopecia areata.
(<)Heat; thunder; sleep. Depressed(<) Consolation. Wants to be al;one.
Worse heat is used as an eliminating symptom to cut out all the cold remedies from the following lists.
(<) Consolation (p.16)-Lyc., Merc., NAT-M., Plat, Thuj.
(<)Thunder (P.16)- Aur., Bry., K-bi., Lach., Lyc., nat-m., puls., Sul., Thuj., Tub.
Averse fat (p.480)-Bry., Merc., Nat-m., PTEL., PULS., Sul.
Averse milk (p.481)-Bry., Puls., Sul.
Headache (<) sleep (p.148)-Arg-n., Aur.. Bry., K-bi., LACH., Lyc., Merc, NAT-M., Puls., Sul., Thuj.
=Lach. 25,lyc.3 5, Merc, 34 Nat-(<). 49, Puls,4 7, Sul. 4 7, Thuj. 3 4.
Puls cold never come in,outruled by "(<)consolation" test, and by look of patient. Leaves nat-m., and Sul. Aspect typical Nat- mur., Nat-mur. 30, 4 doses 6-hourly.
October 21st-Not been laid up with his headaches for the last three weeks; and not been sick,but hardly so well in himself. Has bad a cold and is heavy and dull. No medicine.
November 11th-One attack threatened put passed off. If they came on before, they always laid him up for a week. He feels stronger, brighter, more heart for things. Sleep less heavy; dreams the same. Hair the same. No medicine.
December 7th-had bilious attack on the 3rd inst., but was not sick; only headache; same character. No medicine.
December 13th-nat mur.30, 6 doses, 6 hourly.
January 4th, 1912-Had four attacks since here, two bad. Same character; Bry 30,5 doses, 3-hourly.,
Remarks. it is never wise during an acute exacerbation of a chronic malady to prescribe the chronic remedy, as you are apt to increase needlessly the sufferings of your patient. under such circumstance one prescribes a more superficial remedy corresponding to the immediate modalities e.g. Bry., in a nat mur case: Bell in a Calc-c. case, & c.
January 11th-Cannot cat; though headache. Nat-mur. 200, 4 doses, 6-hourly.
February 1st-Not had an attack since here despite heavy work,feels very well. No medicine.
February 22nd-Not had a headache for 2 months. indigestion immediately p.c. Feels better in himself. No medicine.
March 14th-Only a slight headache since here, but was able to stop at work; and right again. No medicine.
Case VI
Miss R.G., (20) (Outpatient, Hospital). Feb,15th, 1912- Pain, back, when she catches cold. AHead, burning pain on vertex:(<) on closing eyes. Feels, sick with headache daily; hospitals or privately all the time; really never free from cough No pain; no sputum. Worse heat
Faintish in warm room. Depressed, consolation. Irritable with noises. Fidgety.
(<) Heat-(used as eliminating symptom to cur out cold remedies from lists).
(<) consolation (Kent, p. 16)- Let-t., Lyc., NAT-M., Plat., Thuj.
Noises=irritable (p.59)- Iod., Nat-m., (later addition to Repertory).
Faint inward room (p.1361)- Lach, Lil-t., Lyc., PULS Faint in crowd (p.1359)-Nat-,., Sul.
Headache (>) closing eyes (p.137)-Aloe, Bry., Iod., Nat-m., Plat., Sul.
Pain, burning vertex (p.177)-Bry., Lach.,,Nat-m., Nat-s Sul.
Pain, Burning, vertex at M.P. (p.177)-Lach., Nat-,., Sul.
=Bry.2 4 Lach 3 6. Lyc 2; Nat-m 6 11 Sul 4 7. Nat-mur e0, r doses 6 hourly.
March 14th, 1912-Very much better in herself. Hardly had a headache. no burning vertex. No the least faintish., Pain in back gone. no cough: never been so free of cough since it began years ago. No medicine.
Of course there are heaps of cases, where you cannot et an mental or other general symptoms so definitely mares as in the foregoing,and where you have got to be most careful not to take symptoms too easily for "eliminating" purposes. or to knock out drugs in insufficient cause., If you do, you will find yourself landed with -Sepia probably, most times; though you might very often do worse.
Times of day, if very definite, help. Some people are perfectly well all day, but their nights are purgatorial. Some are in pain all day long, put perfectly well at night. Some wise feeling miserably ill and tired after a good night's rest, and with nothing to account for it (it is important to ascertain this !) and only feel pretty well as the day wets on,k and are bright and happy and ready for work, mental and physical, in the evening, when you might expect them to be tired.
Others have all their wariness ad languor, all their sufferings, in the evening- after days neither strenuous nor fatiguing. These are important generals, and very useful in helping to determine the drug. Some drugs have their very hour on the face of the clock; and others a very marked periodicity. The worse-in-the evening people, by the way, have a talent for working out at Lycopodium.
Worse from damp, and worse from dry weather are deep seated, and very important: if strongly marked in the patient, they may be used as eliminating symptoms. "I feel ten years younger to- day because it is raining; all my joints are quite loose, and I case move freely, ; said a patient a few days ago": while others stiffen and ache for a mere passing shower. There is a small important list, patient better in wet weather which is not in Kent;s Repertory Dr.Kent points out that this rubric appears in his repertory as "DR weather agg" p., 1357 and "Cold dry weather agg." p. 1349. Alum., Ars., ASAR., Bell., Boy, BRY., Carb-an.,m Carb-v., CAUST., Charm, Fl-ac., HEP., Ip., Laur., Mang., Med., Mez., Mur-ac., Nit-ac., NUX,m plat,m Rhod., Saba., Sep., Sil., Spig., Spong., Staph., Sulph., Zinc. (Rheumatic pain better in wet weather, means practically, caust,m Hep or Nux-c) Dr. G. miller says, :in rheumatism where we expect as a rule to have an agg. from weather changes, its absence becomes peculiar; where the patient is not affects by change or weather, exclude Dulc., Nux-most., Phos., Ran-b,m Rhodo, Rhus., Sil., Tuberc. And where to patient is not affects by wet weather exclude Calc., Merc., Nat-c., Nat-s., Ruta."
Then there are patients who never dare t get in. a bath, who are obliged to "wash in sections" as one of them expressed it; since they feel faint, or actually do faint, as soon as the water flows over their skins: while in a lesser degree,others feel miserably week and ill after a bath.
Such symptoms must be very marked and definite to carry great weight or to rule out drugs; but they help immensely; the last may give the casting vote between Puls. and Sulph.
Last and least important of all, comes the name of the patients malady. Look it up, if you like, at the very end, and it may joyfully confirm your choice of drug, which it must not unduly bias. If your patient is an asthma patient, it is comforting to know that the drug his symptoms demand has gain and again cured bad cases of asthma. But remedies that have never been recorded as having cured asthma will do the trick, if the symptoms of he patient cry our for them, as their simillimum. Drugs have not all been pushed far enough to produce lesions, and their voices do not carry, as a rule, deeper than function-except in the cases of accidental poisoning. But get the right drug, the stimulus needed,ad you will find the long-sustained. Then KEEP YOUR HANDS OFF! Wait long for a second very definite cry,before you dare to interfere. You may have to wait months- then wait ! Remember, it is the patient who has to cure himself; the drug cannot cure him; the drug is only the stimulus that starts the vital reaction. So long as curative reaction is in progress, it is senseless-criminal-to interfere. This is the way to crush your work., to vitiate your experience, to break your heart. So long the patient is improving, let him be, d never meddle till he begins to slip back; that is the first possible moment to repeat, or to reconsider the case. It is safer to be a little late than a little soon. You must "go fast slowly," there is no other way.
(Extracted from Dr. Kent's Works, etc.) REMEDIES PREDOMINANTLY AGGRAVATED BY COLD
Abort., Acet-ac., Acon., Agar., Agn., Alumen., Alum., Alph., Alum-sil., A, c., Apoc., Arg-m.,. ARS., Ars-fl, Asar., Aur., Aur- ars., Aur-sulph., Bad, BAR-C., Bar-m., Bell., Calc-fl, CALC-PH, Calc-sil,. Camph., Canth., CAPS., Carbon, Carb-veg., Carbon-a, Cimic, Cistus., Cocc., Coff., Colch. Con., Cycl., DULC., Euphras, FERR.,Ferr-ars., Form., GRAPH., Guaj., Hell., Helon., HEP., Hyosc., HYPER., Ign. KALI-ARS., Kali-bich, KALI-CARB., Kali- chlor., Kali-phos, Kali-sil., Kalm, Kreos., Lacdefl., MAGN_CARB., MAGN PHOS, Many, MOSCH, Mur-ac., Natr-ars., Natr-carb., NITRIC-AC., Nux-m. NUX-VOM, Oxal-ac., Petrol., PHOS. Phos-ac., Plb, Pod., Psor, PYROGEN.,RAN-B., Rheum, Rhodo., RHUS, RUMEX, Ruta,SABAD., Sars., SEPIA, SIL., SPIG., Stann, Staph., Stram., STRONT., Sul- ac., Therid, Valer., Viol-t., Zinc.
REMEDIES PREDOMINANTLY AGGRAVATED BY HEAT
Aesc-h., All-c, Aloe, Ambra,APIS,ARG-NIT, Asaf., Aur-iod, Aur-m, Bar-iod., Bry., Calad., Calc-iod., Calc-sul., Cocc cacti., Comoc., Crocus, Dros., Fer-iod., FLUOR-AC, Grat., Ham, IOD, Kali- IOD., Kali-SUL., Lach., Led., Lil-t. Lyc., NAT-MUR., NAT-SUL, Niccol., Op., Pictic-ac, PL-At., Ptelia., PULS, SABINA, SECALE Spong., Sul., Sul-iod., Thuj, Tuberc (Rabe), Ustil, Vespa, Viburn.
REMEDIES SENSITIVE TO BOTH EXTREMES OF TEMPERATURE MERC., Ip., Nat-carb., Cinnabar.
Ant-cr., agg. by heat and cold: agg. by overheating and radiated hat., though many symptoms amel.by heat
MERC. in chronic trouble agg. by cold: in acute agg. by heat.)
SOME CASES TO SHOW THE METHOD OF WORKING Case I
Miss B., aet.52. Been heavy tea drinker for twenty years; had much pain and discomfort in stomach; with flatulence immediately after eating; gradually got better till next meal; much rumbling in abdomen. Appetite poor; bowels fairly regular.
Desires-Salt, sweets.
Averse-Fats, acids.
Flushes of heat with sweating which relieved her. She was very him; excitable person-a bundle of nerves.
On further enquiry show was found top be very chilly. GENERALS
Very Chilly, (<)Spring. (<)Before and during thunderstorm.
Irritable in morning.
Anxiety for others.
Fears. Burglars; something going to happen; crowds; being suffocated, and therefore in Tunnel.
Impatient
Suspicious.
Very sensitive; readily offended; startled easily with least noise.
CHILLY PATIENT-Used as Eliminating Symptom: only chilly remedies are given in the following lists.
Fears: Something will happen (Kent's Repertory, p.45)-The number in brackets all through refer to Kent's Repertory.
Alum,Ars., Calc., Carb-v., CAUST., Graph., Kali-ars.
Kali-p., Mag-c, Mang., Nat0a., PHOS
Fears: robbers (p.47)-Alum., ARS., Bell., Con.,
Ign., Mag-c, Nat-c., phos., Sil., Zinc.
Fears: darkness (not included in robbers) (p.43)
Calc., Camph., Carb-an., Carb-v., Caust, Rhus.,
STRAM, Stront., Valer.
Fears: suffocation (p.47)-Carb-an., Phos.,, Stram.
Fears: crows (p.43)-Aloe, Ars., Bar-c., Calc., Carb-an., Caust., Con., Ferr., Graph., Hep., kali-ar., K-bi., Kali-c, Kali- p., Nat-a., Nat-c., Nux-v., Phos., Plb., Rhus-t., Stann.
Anxiety for others (p.7) Ars., Bar-c., Cocc., Phos.
Suspicious (p.85)-ARS.,, Aur., BAR-C., Bar-m., Bell.,
Bor., Calc-p., Carb-s, Canth., CAUST., Charm.,m Chin., Cimic., Cocc., Con., Graph., Bell., Hyos., KALI-ARS., Kali-p., Mur-ac., Nat-a., Nat-c., Nit-ac., Nux- v., Phos., Plb., RHUS-T., Ruta., Sep., Sil., Stann., Staph., STRAM., Sul-ac., Viol-t.
Offended readily (p.69)-Agar., Alum., Ars., Aur., Bor., Calc., Camph., Caps., Carb-s., Carb-v., Caust., Cham., Chel., Chin., Chin a,., Cocc., Cycl, Graph, NUX-V., Peter., Phos., Ran-b., Sars., Sep., Spig., Stram, Zinc.
(<)Approach storm (p.14030-Agar., Aur,.m, Caust., Hyper., Kali-bi., Nat-c., Nit-ac., Peter., Phos., PSOR., Phos., Ran-b., Sars., Sep, Spig., Stram, Zinc.
(<)Approach storm (p.1403)-Agar., Aur, Caust., Hyper., Kali-bi., Nat-c., Nit- ac., Peter., Phos., PSOR., RHOD., Thus-t., Sep., Sil/
(<)Spring (p1403)- Aur,m Bar.m., Bell., Calc., Carb-v., Chell, Colch., Dulc., Hep., Kali-bi, Nux-v., Rhus-t, Sars., Sep., Sil.
Averse fats (p.480)-Ars., Bell., Calc., Carb-an., CArb-v., CHIn., Chin-a., Colch, Cycl., bell., Hep., Nat-c., PETR., Phos,Rheum, Rhus-t., Sep.
Averse acids (p.480)-Bell, Cocc, Ferr., Ign., Nux-v., Ph-ac., SAbad.
Desire Salt (p.486)- Calc., Calc-p, CARB-V., Caust,Cocc,Con, Nit-ac., PHOS,m Plb.
Desire sweets (p.486)-Am-c., Arg-m., Ars., Bars-c., Calc., Carb-v., CHIN., China-a, Kali-ars., Kali-c., Kali-p., Nat-c., Nux-v., Petr.,Plb., Rheum., Rhus- t., Sabad, Sep.
Remarks. The chief remedies running through the case. are ARs., Calc,., Caust., Nat-c Nux-v., Phos., Rhus., Sep. Giving the different types their values: (Capitals=3; Italic=2; Ordinary=1); we find that Ars. appears 8 times to value of 16=Ars, 8 16, Calc.8 14; Caust.7 ; Nat-c. 69; Nux-v; 69; Phos.10 18; Rhus-t. 712; Sep.611.
The constitution of the patient suggested either Ars. or Phos.
We have thus come to these two remedies by only considering the general symptom of the patient.
The pain in (>)hot drinks;even wine which suits her generally had to be given up owing to its coldness,a nd as Phos. patients crave cold drinks (even ices) in gastric troubles, we are left with Ars.
Ars-Alb.30-3 doses a 6-hourly intervals.
Pain (>) (which had been present for years) in a few days, and in a few weeks she was almost well, being much less excitable.
This case she the importance of Generals in their order mental, climatic, desires and aversions in food; all of which must be markedly present to be of any value.
CASE II
Mrs. W@/.aet.58-Dec. 6th, 1910-Complaining of headaches ever since a girl in her teens; usually requires to got to bed for at least two days every month (not at period). She has a heaviness all over head as if in iron case; and head extremely tender to touch, also much throbbing in left temple.
(<)Warm room; exposure to sun; if heated; east wind; touch.
(>)Rest;alone; quiet;lying down;pressure.
Menopause,two years ago. Has some bearing down sensation if she strains, with burning internally and a feeling of distension.
Stomach-Appetite fair; averse fish; desires fats.
Bowels constipated.
GENERALS
General-Fears: dark, robbers. Always in a hurry. Very sensitive to all impressions. moody: (<)consolation (gets angry).
Climatic-(<)Warmth (faintish; summer-exposure to sun. Flushes,heat with sweats. (<)Thunder (hair stands on end, and gets had headaches).
WARM PATIENT-Therefore following lists only include those drug affected by heat.
(<)Consolation (Kent,p.16)-Lil-t., Lyc., NAT-M., Plat.,, Thuj.
Fear dark (p.43)-Calc-s., Lyc., Puls.
Robbers (p.47)-Arg-n.,, Lach., Nat-m., Sulph.
Hurry (p.52)-Aloe, Ambr., Apis., Arg-n, Bry., Calad., Calc- s., Grat., Iod.,Kali-s., Lach., LIL-T, Lyc, NAT-M., Op., Ptel., Puls., SULPH., Thuj.
(<)Thunder (p.1403)-Bry., Lach., Lyc.,Nat-m. Puls., Sulph., Thuj., Tub.
(<)Summer (p.,1404)- Arg-n., Bry, FL-AC., Iod.,Lach,,m Lyc., Nat-m., Puls., Thuj.,
Faintish warm room (p.1361)-Lach., Lil-t., Lyc.,
PULS.
FaINTISH CROWDED ROOM (P.1359)-nAT-M., sULPH.
Averse fish (p.480)- Nat-m., Sulph.
Desire fats (p.485)-Sulph.
Particular of Headache.
(<)Sun (p.149)-Aloe,BRY., LACH., Nat-m., PULS., Sulph.
(<)WARM room (p.151)-Aloe, APIS, Bry., Coc-c., Croc., Ferr-i, Iod., Kali-s., Led., Lil-t, Lyc, Nat-m, PLAT., PULS., Spong., Sulph.
(<)Touch (p.149)-Bry., Great., Led., Lyc., Nat-m, Sabin.
(>)Lying (p.142)-Bry., Calc-s., Coc-c., Fer-9., Fl-ac, Lach.,, Lyc., Nat-m, Spong., Sulph.
(<)pressure p.145)- Apis, Arg-n., BRY, LACH., Lilt., Lyc., NAT-aM., Nicc., PULS., Sabin., Sulph., Thuj.
Bry.8 1; Lach 8 17; Lyc.10 15; Nat-m. 12 32; Puls. 8 19; Sulph 10 16.
Remarks. Nat-mur. seems to suit the case, not because it is numerically highest alone but because it corresponds to the type of the patient Nat-mur has marked aversion to fats, which this patient desires: but that would not rule out the drug for this reason: that,though the desires and aversion are general symptoms, they and much lower i the scale tan the mental symptoms. /a strong mental symptom like the markedly (<) consolation would rule out many of lesser importance, Puls. again could never suit this case, no matter how great its numerical value, because of he marked (<)from consolation. Repertory work is never mechanical, and is only a guide to the study of Materia Medica.
Dec.9th, 1910-Natrum-mur.200,3 doses.
Dec.15, 1910-A marked aggravation of the headache three days after taking the powders.
February 14th, 1911-Not had a bad headache since;no heaviness or caged-in feeling. Bowels began to act naturally soon after the medicine. Hardly any flushes of heat. Much better generally; got up after influenza and not felt shaky, used to take her weeks to recover. No medicine.
February 20th, 19-Got bad colic due to chill which caused return of headache for one day only., Natrum mur,200, 3 doses.
April 7th, 21911-No real headache since last note, slight attempts no caged- in feeling. Bowels quite regular. Bearing down with burning and distension entirely gone. No flushes of heat. No medicine.
May 16th, 1911-A little vertigo on fist lying down: goes off immediately. Headache absent despite severe thunderstorm which formerly caused her to go to bed; not once the cased in sensation. Bowels still good.
Generally a different pursue in every say; brighter; more cheerful; husband declares her to be a different person to live with Nat-mur, 2, dose.
December 27th, 1911-May have had a slight attempt at headache, but never came to anything; feels a new creature; able to do much more work; very energetic; general health excellent. Had no medicine since above.
CASE III
Miss C., aet.35-June 13th, 1910-Sleepless since 20 years age; brought on by excessive musical study; never taken any sleeping drugs. She lies quite wide awake night, brain active all the time, especially after lights are out. Often kept awake by persistent tunes; hardly ever falls asleep for three hours after going to bed;readily wakened by the least gleam of light: even if drowsy becomes sleepless immediately on getting into bed. Dreams always: nightmare.
General health has been good. Throat; painless hoarseness; all clods fly here.
Stomach: Appetite good. Averse fats, milk. craves ices cold food. Emptiness without hunger soon after getting into bed which might prevent sleep.(>) eating. Emptiness t 11 a.m.
M.P. normal.
Mental:Very excitable to music: irritable; impatient; discontented. Fears: in a crowd; being hemmed unfair suffocation. Indifferent to people, especially relatives. Depressed easily.
Chilly: Hates the cold; (<)thunderstorms.
CHILLY, used as an "eliminating symptom" top cut al;l; the warm remedies in all the following lists.
Indifference relations 9Kent, P.550-Hell., Hep (., Nat-c., PHOS., SEP.
Fears crowd (p.43z)-Ars., Aur., Bar.c, Calc., Carb-an., CAust., Con., Ferr., Ferr-ars, Graph., Hep., Kali-ar., Kali-bi. Kali-c., Kali-p., Nat-a., Nat-c, nux-v., Phos., Plb., Rhus., Stann.
Fears suffocation (p.47)- Carb-an., Phos., Stram,.
Fears fire (p.45)-Cupr.
(<)Thunder (p.1403)-Agar., Aur,m Caust., Hyper.,
Kali-bi.,nat-c., Nit-ac., petr., Phos., PSOR.,
RHOD., Rhus-t., Sep., Sil.
Averse fast (p.480)-Ars., Bell., Calc., Carb-an, Carb-v.,CHIN., Chin-a., Col.h., Cycl., Hell., help.,Nat-c., PETER., phos., Rheum, Rheum, Rhus-t., Sep.
Averse milk (p.48i)-Am-c., Bell., Calc,.m Carb-v.,Guaj., Ign., LAC.D., MAG_c., NAT.C., Nux-v., Phos., Rheum., Sep., Sil.
Desires cold food (p.484(-Am-c.,PHOS., Sil., Zinc.
dESIRES ICES (485)-cALC., PHOS.
Emptiness 11 a.m. (p.488)-Alumen.Nat-c.,Phos., Sep., Zinc. Emptiness without hunger (p.489)- Agar., Alum., Ars, bar-c, Chin., Cocc., Dulc., Hell., Mur-ac.,Phos., Rhus-t., Sil., Sul- ac., Sleepless after going to bed (p.1)-Bor., Carb-v., Mag-c Phos.,Ph-ac.
Sane idea (tune_ always repeated (-.1254)-Bar-c., Calc., Coff., Graph.,, Petr.
Hoarseness, painless (p.760)- CALC., CARB-V. Caust,.Phos; =Calc.6 11., Nat.-c 1; Phos 24; Sep.5 .
Remarks. The larger rubrics such as sensitive to noise, impatience,etc., are left out, as all the competing remedies are in them.
Phos. not only best indicate,but it has th important peculiar symptoms,-indifference to relations; all the ears (except fire); and the marked craving or ices.
June 16th, 1910-Pos. 10M. 3 doses, 6 hours apart.
JULY 4TH 1910-She writes "been sleeping better, ad have been much weather mentally at night." No medicine.
July 27th, 1910-"Very much better generally; sleeping better,even with worrying times. Not half so tired as usual; no emptiness even at 1 a.m.; no restless mentally at night; no persistent tunes or thoughts; not dreaming so much; extraordinarily better." No medicine.
Oct.10th,1910-Abroad, tiring journey so took Phos., 10M, 3 doses., 6-hourly.
January 27th, 1911-Been sleeping perfectly well and much better in every way; no persistent tunes t night; hardly ever dreams. No medicine.
Jan. 19- "Still sleeping quite well; have absolutely nothing to complain about. "No medicine.
Case IV
Mr. B., aet.28-May 6th 1910-pain and distension for last three years, especially 6 a.m. or 4 p.m.; felt like bubble inside; been taking Sod-bicarb all the time. distension, not for some time after eating.
(>) Escape flats (offensive); (>) hot drinks . Sleeps well till wakened at 6 a.m. by pain.
Appetite good; no special desire or aversions; some heartburn.
Rheumatic pains general; mo special modalities.
Weather conditions do not affect him.
Mental:(<) In himself if angry. Neither care not worry Quick tempered by controls it. Weak concentration.
Lycop .IM, 4 doses, 6-hourly.
May 19th,1910-Not had slightest effect. Gave additional symptoms. Pain especially as 6 a.m. comes in waves or spasms. Pain especially as 6 a.,. comes in waves or spasms; has draw up knees on abdomen, causes him to roll in discomfort.
(<)If he gets angry.(>) Coffee.
Gets cramp in arms readily when rowing.
Abdomen Pain(<)6 a.m. (Kent., p.555)-Coloc., Ox-ac.
(<)4 p.m. (p.555)-CAUST. Coloc., Hell.
LYC., Mag-m, Phys.
(<)anger (p.556)-Charm., Cocc,m Coloc.,m, Nux-v., Sulph Sulph.
(>)coffee (p.557)-COLOC., Coloc. Im, 4 doses,6-hourly.
May 27th, 1910-Been practically well last few days. No medicine.
June 3rd, 1910-"Nothing wrong with me." No medicine.
June 29th, 1910-Not wakened at 6 a.m. now; never feels pain at 4 p.m. sleeping perfectly; but some flatulence still about; no heartburn; distension hardly present; rheumatic pains gone. Almost but not quite well. No medicine.
Coloc. 10M, 4 doses, 6 hourly.
June 18th, 1911-Mother reports that the medicine upset him somewhat at first, but since then and now is perfectly well; not least trouble.
Remarks. We had here nothing but particular to work with, but they were so definite; though not obtained till second visit
Lycop. had the 4 p.m. aggravation, also generally (<)after angers, and the (>)escapee flutes. We these see the grate difficulty of prescribing on particulars. We ad Hearing;s "three legs to our stool," but that was not enough.
CASE V
A.M., (32), Sept. 30th, 1911-(An outpatient case)., Headache vertex and eye all his life. Getting much worse. Lasts from three days to three weeks.
So severe hardly knows what to do. Worse sleep. Head very tender, can't bear being touched. sickness last ten yours, and vomits very ten minutes. Always got a headache. Can't eat, therefore very weak.
Feels well before attack.
Good family history; also general history good. No better for anything. Burrows head in pillow. Eyes good, tested lately tongue indeed. Feels as it suffocated after eating which greatly aggravates the headache.
Averse: Fats, milk.
Very sleepy at 8 p.m. Dreams exciting Alopecia areata.
(<)Heat; thunder; sleep. Depressed(<) Consolation. Wants to be al;one.
Worse heat is used as an eliminating symptom to cut out all the cold remedies from the following lists.
(<) Consolation (p.16)-Lyc., Merc., NAT-M., Plat, Thuj.
(<)Thunder (P.16)- Aur., Bry., K-bi., Lach., Lyc., nat-m., puls., Sul., Thuj., Tub.
Averse fat (p.480)-Bry., Merc., Nat-m., PTEL., PULS., Sul.
Averse milk (p.481)-Bry., Puls., Sul.
Headache (<) sleep (p.148)-Arg-n., Aur.. Bry., K-bi., LACH., Lyc., Merc, NAT-M., Puls., Sul., Thuj.
=Lach. 25,lyc.3 5, Merc, 34 Nat-(<). 49, Puls,4 7, Sul. 4 7, Thuj. 3 4.
Puls cold never come in,outruled by "(<)consolation" test, and by look of patient. Leaves nat-m., and Sul. Aspect typical Nat- mur., Nat-mur. 30, 4 doses 6-hourly.
October 21st-Not been laid up with his headaches for the last three weeks; and not been sick,but hardly so well in himself. Has bad a cold and is heavy and dull. No medicine.
November 11th-One attack threatened put passed off. If they came on before, they always laid him up for a week. He feels stronger, brighter, more heart for things. Sleep less heavy; dreams the same. Hair the same. No medicine.
December 7th-had bilious attack on the 3rd inst., but was not sick; only headache; same character. No medicine.
December 13th-nat mur.30, 6 doses, 6 hourly.
January 4th, 1912-Had four attacks since here, two bad. Same character; Bry 30,5 doses, 3-hourly.,
Remarks. it is never wise during an acute exacerbation of a chronic malady to prescribe the chronic remedy, as you are apt to increase needlessly the sufferings of your patient. under such circumstance one prescribes a more superficial remedy corresponding to the immediate modalities e.g. Bry., in a nat mur case: Bell in a Calc-c. case, & c.
January 11th-Cannot cat; though headache. Nat-mur. 200, 4 doses, 6-hourly.
February 1st-Not had an attack since here despite heavy work,feels very well. No medicine.
February 22nd-Not had a headache for 2 months. indigestion immediately p.c. Feels better in himself. No medicine.
March 14th-Only a slight headache since here, but was able to stop at work; and right again. No medicine.
Case VI
Miss R.G., (20) (Outpatient, Hospital). Feb,15th, 1912- Pain, back, when she catches cold. AHead, burning pain on vertex:(<) on closing eyes. Feels, sick with headache daily; hospitals or privately all the time; really never free from cough No pain; no sputum. Worse heat
Faintish in warm room. Depressed, consolation. Irritable with noises. Fidgety.
(<) Heat-(used as eliminating symptom to cur out cold remedies from lists).
(<) consolation (Kent, p. 16)- Let-t., Lyc., NAT-M., Plat., Thuj.
Noises=irritable (p.59)- Iod., Nat-m., (later addition to Repertory).
Faint inward room (p.1361)- Lach, Lil-t., Lyc., PULS Faint in crowd (p.1359)-Nat-,., Sul.
Headache (>) closing eyes (p.137)-Aloe, Bry., Iod., Nat-m., Plat., Sul.
Pain, burning vertex (p.177)-Bry., Lach.,,Nat-m., Nat-s Sul.
Pain, Burning, vertex at M.P. (p.177)-Lach., Nat-,., Sul.
=Bry.2 4 Lach 3 6. Lyc 2; Nat-m 6 11 Sul 4 7. Nat-mur e0, r doses 6 hourly.
March 14th, 1912-Very much better in herself. Hardly had a headache. no burning vertex. No the least faintish., Pain in back gone. no cough: never been so free of cough since it began years ago. No medicine.
Of course there are heaps of cases, where you cannot et an mental or other general symptoms so definitely mares as in the foregoing,and where you have got to be most careful not to take symptoms too easily for "eliminating" purposes. or to knock out drugs in insufficient cause., If you do, you will find yourself landed with -Sepia probably, most times; though you might very often do worse.
Times of day, if very definite, help. Some people are perfectly well all day, but their nights are purgatorial. Some are in pain all day long, put perfectly well at night. Some wise feeling miserably ill and tired after a good night's rest, and with nothing to account for it (it is important to ascertain this !) and only feel pretty well as the day wets on,k and are bright and happy and ready for work, mental and physical, in the evening, when you might expect them to be tired.
Others have all their wariness ad languor, all their sufferings, in the evening- after days neither strenuous nor fatiguing. These are important generals, and very useful in helping to determine the drug. Some drugs have their very hour on the face of the clock; and others a very marked periodicity. The worse-in-the evening people, by the way, have a talent for working out at Lycopodium.
Worse from damp, and worse from dry weather are deep seated, and very important: if strongly marked in the patient, they may be used as eliminating symptoms. "I feel ten years younger to- day because it is raining; all my joints are quite loose, and I case move freely, ; said a patient a few days ago": while others stiffen and ache for a mere passing shower. There is a small important list, patient better in wet weather which is not in Kent;s Repertory Dr.Kent points out that this rubric appears in his repertory as "DR weather agg" p., 1357 and "Cold dry weather agg." p. 1349. Alum., Ars., ASAR., Bell., Boy, BRY., Carb-an.,m Carb-v., CAUST., Charm, Fl-ac., HEP., Ip., Laur., Mang., Med., Mez., Mur-ac., Nit-ac., NUX,m plat,m Rhod., Saba., Sep., Sil., Spig., Spong., Staph., Sulph., Zinc. (Rheumatic pain better in wet weather, means practically, caust,m Hep or Nux-c) Dr. G. miller says, :in rheumatism where we expect as a rule to have an agg. from weather changes, its absence becomes peculiar; where the patient is not affects by change or weather, exclude Dulc., Nux-most., Phos., Ran-b,m Rhodo, Rhus., Sil., Tuberc. And where to patient is not affects by wet weather exclude Calc., Merc., Nat-c., Nat-s., Ruta."
Then there are patients who never dare t get in. a bath, who are obliged to "wash in sections" as one of them expressed it; since they feel faint, or actually do faint, as soon as the water flows over their skins: while in a lesser degree,others feel miserably week and ill after a bath.
Such symptoms must be very marked and definite to carry great weight or to rule out drugs; but they help immensely; the last may give the casting vote between Puls. and Sulph.
Last and least important of all, comes the name of the patients malady. Look it up, if you like, at the very end, and it may joyfully confirm your choice of drug, which it must not unduly bias. If your patient is an asthma patient, it is comforting to know that the drug his symptoms demand has gain and again cured bad cases of asthma. But remedies that have never been recorded as having cured asthma will do the trick, if the symptoms of he patient cry our for them, as their simillimum. Drugs have not all been pushed far enough to produce lesions, and their voices do not carry, as a rule, deeper than function-except in the cases of accidental poisoning. But get the right drug, the stimulus needed,ad you will find the long-sustained. Then KEEP YOUR HANDS OFF! Wait long for a second very definite cry,before you dare to interfere. You may have to wait months- then wait ! Remember, it is the patient who has to cure himself; the drug cannot cure him; the drug is only the stimulus that starts the vital reaction. So long as curative reaction is in progress, it is senseless-criminal-to interfere. This is the way to crush your work., to vitiate your experience, to break your heart. So long the patient is improving, let him be, d never meddle till he begins to slip back; that is the first possible moment to repeat, or to reconsider the case. It is safer to be a little late than a little soon. You must "go fast slowly," there is no other way.
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