LAC CANINUM [Lac-c]:

-M.L.Tyler.

Dog's Milk.

Introduction:
IN early medical days, unwilling to tie oneself down, even by coming on the Hospital Staff, and being only desirous of "keeping ones hand in", and getting experience by helping in various out- patient clinics (general medical, gynaecological, and the departments for children's diseases and nerve diseases), one filled in half days all the week round, and took the place of absentees, and worked on in this desultory way from the day of qualification in 1903 till 1914, when one sought and was reluctantly given a Staff appointment:--reluctantly, because the, then, medical staff had an idea of raising the status of the hospital by excluding any doctors who could not boast the "highest qualifications", M.D. Lond. being the desideratum. Well in those far-off days a certain woman presented herself in the Gynaecology Department complaining of ovarian pain; which appeared first on one side, crossed to the other, and then went back, always. The physician in charge was horrified at the obvious prescription, Lac can. "Why give such a drug?"--to him most repulsive. However, when she next turned up, a month later, the pain had, of course, disappeared. It was quite a nice little introduction to Lac can. These are the things that rivet a drug in the memory: and establish it as a Power, and, as such, certainly not to be despised. By the way, while we are telling tales out of school, the same doctor was greatly disgusted at the idea of Tuberculinum as a medicine. "I would not take it myself, and would not give it to my patients." Wee globules, mark you! medicated with a highly potentized alcoholic preparation, probably the 30th in those days, that is to say, one in a decillion, and given by the mouth. Well shortly afterwards, when the Koch excitement came along with a perfect tornado of trumpets, and a little later, the Armbroth Wright demonstrations, under the microscope, of tubercle bacilli in the process of digestion, or elimination, safely ensconced in white blood corpuscles, this same doctor began injecting his former horror; the dosage now crude, and the method far more questionable and perilous . Ah, but!--we are told, such drugs are apt to get neutralized, or digested, or something, and lost in mouth or stomach. Think of the impurities of the buccal cavity! Why risk delicate remedial agents in--what is, after all, nature's own ordained way of absorption! As a matter of fact, once potentized, remedies do not suffer the perils of neutralization. Hahnemann proved that to his own, most critical satisfaction 100 years ago: though we are still slow and reluctant to realize the true inwardness of his experiments and teachings. Among the unstable elements there is Phosphorus, which, if exposed to air, promptly changes its nature and properties. It must be kept under water in order to survive as Phosphorus, without metamorphosis into phosphoric acid. Yet Hahnemann proved that, when potentized, a few globules of phosphorus in a paper may remain for years in a desk, retaining their medicinal properties and without changing them for those of phosphoric acid. He says, "The medicinal chemical substances which have been thus prepared" (by potentization) "are no longer subject to chemical laws . A remedy which has been elevated to the highest potency, and by this means has become almost spiritualized, is no longer subject to the laws of neutralization: highly dynamized natrum, ammonium, baryta, magnesia, cannot, like their bases, be changed to neutral salts by acetic acid: their medicinal properties are neither changed nor destroyed." And he also says, Besides the stomach, the tongue and the mouth are the parts most susceptible of medicinal impressions." And Hahnemann was not only a most careful observer, but was accounted "one of the great analytical chemists" of his day. But of course all this has been of late physically demonstrated by Dr. Boyd of Glasgow. Well: Lac can. is, as we must recognize, a very potent subversive and therefore remedial agent. If anyone doubt this, let him study the Provings: especially the mental symptoms, many of them detailed on page 438; which show that this remedy has as wide a range of imaginations and fantastic terrors as any drug in our pharmacopoeia:--and it is the marked "mentals" that are, so Hahnemann teaches, of supreme importance in prescribing. And here, a point! It is the drugs that have been proved in the higher potencies that reveal their delicate nervous and mental symptoms. The more crude dosages only evoke the more gross effects: the systematic lesions. Such drugs as Lachesis, and Lac can. are so very definite with their useful symptoms, because proved in the higher potencies. But dog's milk, as a remedy, did not originate with the homoeopaths; but some among them, notably that pioneer in the Nosodes, the American, Dr. Swan, hearing of its extra-ordinary usefulness in an epidemic of malignant diphtheria, potentized it, and proved it, and thereby showed its exact sphere in medicine; and demonstrated,moreover, that its ancient flame corresponded, as is so often the case, with its present, scientific uses as revealed by the provings. All drugs of very special and unique action, are easily studied, and well worth learning up. The polycrests, "the common drugs of many uses", will serve us ordinarily; and when we have mastered Sulphur, Sepia, Lycopodium, Calcarea, Nux, etc., etc., we are a long way on towards running, fairly easily and success-fully, an ordinary out-patient clinic. But the less universally-useful drugs, of very peculiar and distinctive features, are less frequently, yet amazingly helpful. Once mastered, they romp in brilliantly every time, and make prescribing an excitement and a delight. Generally they do not "work out", unless for one who has mastered the secret, that the best work is done with a few of the "strange, rare and peculiar symptoms", fitting the case, rather than with a host of somewhat indefinite general symptoms, which, if politely given precedence, will often only suggest several remedies of the polycrest type, and perhaps completely miss the one brilliant and indispensable. But, we must hark back to our subject, the peculiarities of Lac can. As said, it is the remedy, par excellence, of fears and terrifying imaginations: among them SNAKES loom tremendously. The tissues it can severely annoy and successfully comfort, are, skin; its ulcerations red and glistening:--mucous membranes, especially throat, as in diphtheria, where it has been found prophylactic as well as specifically curative:--gland troubles:-- nerve troubles; and as said, mental troubles. The Lac can. throat is very sensitive to external touch (Lach.), sensitive also internally--terribly sensitive. It feels as if it were closing; he wants to keep the mouth open, lest he should choke. Swallowing is difficult--almost impossible, yet with constant inclination to swallow, when pains shoot up into ears (Phyto.). Feeling of a lump in throat which goes on swallowing, only to return (Ign.). The worst pain is when swallowing solids. Throat feels dry, husky, as if scalded. Lac can. is not only one of the great remedies of diphtheria, but of syphilis, when that attacks the throat, which has a shiny, glazed, red appearance, or characteristic patches, that "look like white china" . We have already pointed out the distinctive character of its pains: they fly about, or, characteristically, change from side to side and back again. These pains may be neuralgic, rheumatic, or ovarian. Boger (Synopsis) gives its special regions as "NERVES: THROAT: female generative organs." It not only affects the ovaries, but inflames and congests the uterus, whose haemorrhages are bright and stringy. (Dark and stringy, Croc.) They come in gushes, but (unlike those of Ipec.) they clot easily. "Its sore throats are apt to begin and end with menstruation." The mammae are also affected: full, lumpy, sensitive to the least jar, very painful and must be supported when going up and down stairs . And "Lac can. is serviceable in almost all cases where it is required to dry up milk." In this, and in its sensitiveness to jar, it reminds one of Bell. Lac can. is an uneasy sleeper. Cannot get a comfortable position. "There is no way she can put her hands that they do not bother her: falls asleep,at last, on her face" (Med., Cina.) Dr. H. C. ALLEN sums up more of its characteristics. For nervous, restless, highly sensitive organisms. Very forgetful, absentminded, makes purchases and walks away without them. In writing, uses too many words and not the right ones: omits letters or words: cannot concentrate to read or study. Despondent, hopeless: nothing worth living for: her disease is hopeless! has not a friend in the world. Could weep. Cross and irritable: child cries and screams all the time, especially at night. Attacks of rage; cursing and sweating. Intense "ugliness". Coryza: one nostril stopped up, the other free and discharging: these alternate. Discharge acrid: nose and upper lip raw. Can't eat enough to satisfy; as hungry after meals as before. Sensation as if breath would leave her, when lying down: must get up and walk. When walking, seems to be walking on air: when lying, does not seem to touch the bed. Intense, unbearable aching of spine: aches from base of brain to coccyx. Very sensitive to touch and pressure. His other important points, we have already indicated. But in his Materia Medica of the Nosodes he writes, in regard to Lac caninum, "Like Lachesis, and many other well-known polycrests in the Materia Medica, this remedy met most violent opposition from ignorance and prejudice. It was for years looked upon as one of the novelties or delusions of those who believed in and used the dynamic remedy; yet its wonderful therapeutic powers have slowly but surely overcome every obstacle. It was successfully used by Dioscorides, Rhasis and Pliny in ancient times. Sammonicus and Sectus praise it in photophobia, otitis and other affections of the eye and ear. Pliny claimed that it cured ulceration of the internal os. It was then used as an antidote to many deadly poisons. The use of the remedy was a revived by Reisig, of New York, who, while travelling in Europe, heard it lauded as a remedy for throat diseases, and on his return used it successfully in an epidemic of malignant diphtheria. He called the attention of Bayard, Wells and Swan to the wonderful results he obtained during that epidemic, and induced them to give it a trial. Reisig potentized it to the 17th cent. from which the potencies of Swan and Fincke were prepared. The profession is indebted to the indefatigable labour of Swan for it provings, which were made from the 30th, 200th and higher potencies. The provings of this remedy have placed it among the polycrests of our school and verified and confirmed the clinical accuracies of the observers of ancient times. Dr. Allen gives striking cases of its power even in what we have called "Chronic Diphtheria", i.e. "never well since diphtheria." NASH tells that he had thought it disgraceful to try to foist dog's milk on the profession, as a remedy, but after accumulated evidence, he tried it on a case of rheumatism, wandering from joint to joint, that had resisted Puls, and where it not only wandered, but crossed to and fro, in the manner of Lac can. And the case cured very quickly. Then a case of scarlatina with side- to-side-and-back pains and throat trouble, and again Lac can. scored over Rhus, which had seemed indicated. Then a bad case of tonsillitis, choking and struggling in effort to swallow, where alternate sides were worse, and again Lac can. cured within thirty-six hours. Then he got three clerks in a store to prove it:--in the 200th potency, taken two-hourly. They all got sore throats, one with patches on both tonsils. Nash finds it especially useful not only for the inflammatory affections that alternate sides; but also for breasts and throats that get sore at every menstrual period; in mastitis, the great indication being they cannot bear a jar; has to hold them up when stepping and going down stairs. KENT, in his small Lecture on Lac can. says, All the milks should be potentized, they are our most excellent remedies, they are animal products and foods of early animal life, and therefore correspond to the beginnings of our innermost physical nature. If we had provings of monkey's, cow's mare's and human milk, they would be of great value. Lac defloratum has done excellent work and so has this remedy. Lac can. is in its beginnings yet, although it has made some marvellous cures . It is deep-acting and long-acting; the provers felt its symptoms for years after the proving was made. It abounds in nervous symptoms. The mental symptoms are prolonged and distressing. It makes ulcers very red, and has cured such ulcers: ulcers are dry, glistening, as if covered with epithelium. An important remedy in complaints following badly treated diphtheria, in paralysis and other conditions dating back to diphtheria oversensitive hyperaesthesia of skin and all parts. It makes women violently hysterical, and causes all sorts of strange and apparently impossible symptoms. For example, a woman lay in bed with fingers abducted, and would go wild if they touched each other:--not worse from hard pressure, but she would scream if they touched. This state is difficult to cure outside Lac can. and Lachesis. A strange and peculiar vertigo: as if floating in mid-air, or not touching the bed . Then, the changing sides: in throats, rheumatic affections, headaches and neuralgias . Ambulating erysipelas attacks first one side, then the other, then back again inflammatory sore throats do the same. Full of imaginations, and harassing, tormenting thoughts. No reality in the things that be : thinks that everything she says is a lie. (Compare Alumina.) she is not herself, and her properties not her own--as wears somebody else's nose. And so on:-we have already emphasized most of the points. Putrid mouth. Wherever there is mucous membrane, there will be exudate: a grey, fuzzy coating, like that piling up on the tongue . We have already given the characteristic symptoms of throat, mammae, etc.
BLACK LETTER SYMPTOMS
Swallowing very difficult, painful, almost impossible. Soreness of throat begins with a tickling sensation, which causes constant cough; then sensation of lump on one side, causing constant deglutition; this condition entirely ceases, only to commence on the opposite side, and often alternates, again returning to its first condition; these sore throats are very apt to begin and end with the menses. Tonsils inflamed and very sore, red and shining, almost closing throat; dryness of fauces and throat; swelling of submaxillary glands. Diphtheritic membrane white like china; mucus membrane of throat glistening as if varnished; membranes leave one side and go to the other repeatedly. Desire for warm drinks, which may return through the nose. Post-diphtheritic paralysis. Serviceable in almost all cases where it is required to dry up milk. When walking seems to be walking on air: when lying does not seem to touch the bed. Erratic disposition of symptoms: pains constantly flying from one part to another. Great fear: of falling downstairs: of inability to perform duties. Fear of death, with anxious face. Wakes distressed: must rise and occupy herself. Fear she will be crazy: that any symptom is some settled disease: that everything she says is a lie: that she is looked down upon by everyone: that she is of no importance: that she is dirty: that she wears someone else's nose: that she sees spiders. That she is surrounded by myriads of snakes. Some running like lightning up and down inside skin; some inside feel long and thin. Fears to step on floor lest she should tread on them, and make them squirm and wind round her legs. (Compare Arg-nit., Sep.) Fears to look behind her lest she should see snakes: is seldom troubled with them after dark. On going to bed, afraid to shut her eyes lest a large snake should hit her in the face (compare Bell.). Has most horrid sights presented other mental vision (not always snakes). Horribly afraid they will show themselves to her natural eye. Fear lest pimples would prove little snakes, and twine and twist round each other. Feels that she is a loathsome, horrible mass of disease: could not bear to look at any part of her body, even hands, as it intensified the feeling of disgust and horror. Could not bear any part of her body to touch another; could not bear one finger to touch another (>) If she could not get out of her body,she would soon become crazy. Feels that heart or breathing would stop; frightens herself, which makes heart palpitate. Fancies he is going out of his mind. Looks under chairs, table, sofa, expecting some horrible monster to creep forth: feels that it would drive her mad. Not afraid in the dark: only imagines she sees them in the light. Feels that she is going to become unconscious:wakes with sensation of bed in motion. Dreamed of a large snake in her bed (Bell) Dreams often that she is urinating: wakes to find herself on the point of doing so. (Sep).

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