CAULOPHYLLUM [Caul]:
--- M.L.Tyler.
Squaw-Root: Papoose-Root: Blue Cohosh.
Introduction:
WHEN the conventional practitioner saturated with the learning of the Schools, finds his lost cast for him among "natives" and "savage tribes" of sorts, he is apt to brush aside impatiently the inherited lore that surrounds him-whether malign and benign; perhaps often the former--but far from always! Secure in his comparatively easy methods, sanctioned, as they are, by Authority, he is apt to despise and trample out, in his lordly way, much that it were greatly to his advantage to explore and study. His beloved antiseptics, for example, oust for him the invaluable "wound-herbs" of the district. These (instead of his clumsy and anxious efforts to destroy, or at least deter, the dreaded "organisms" more or less at the expense of the inherent healing powers of the tissues) would work for him, gently and effectively, after the manner of such herbs; routing the enemy by the simple method of stimulating healthy healing in damaged tissues. Or again, armed with quinine (one thing he did obtain, by observation of native healing). and some few stock drugs chiefly of a palliative nature, he is apt to consider that all knowledge is with him; that what he does not know about medicine is not worth knowing, or, for him, no subject for orthodox speculation. Forgetting that, Knowledge is proud because she knows so much: Wisdom is humble that she knows no more. Far other, thank God! is the attitude of the Homoeopath.-- always on the prowl for that which heals. His insatiate thirst for power has taught him to not despise but investigate. Hence he has introduced, from the world over, from North American Indians- -from South America, especially from Brazil--from Martinique and the West Indies--from everywhere--not only precious herbs of healing, but those magnificent reptilian venoms --of snakes-- spiders--toads--lizards--which give to homoeopathy a much wider range of healing than is dreamt of by Old School. Some of his native remedies have been slowly filtering through to the laggards in Materia Medica: for instance Hamamelis--Witch Hazel, introduced by Constantine Hering in 1850, and now common property. In glancing down the lists of medicines in Hale White, who instructs the cramming student in "Mat. Med.", one can always spot the imported homoeopathic remedies, because they are set down as simple tinctures, and not wrought into the compound prescriptions of hoary antiquity. But--it is amusing to find oneself occasionally warned off our everyday stand-bys -and for this imperative reason, as Clarke points out, that curative remedies work under a double Law: and that of Dynamization must be added to the Law of Similars, if they are to be, not only safe, but effective. It stands to reason that, if you are using that which can cause mighty evil to cure something similar, it requires delicate handling and prescribing. You cannot pour it in from a bucket. And now Old School has at last got its teeth into the snake venoms, and it is lost in admiration of the vast possibilities envisaged. But here again, the snag!--for these most potent of potent homoeopathic remedies will have to be used according to the methods of Hahnemann, if they are to do the maximum of good and the minimum of damage. And, again, it is only by their "provings" that it can be discovered what actually they are capable of, as well as which is to be used for this case--this purpose--and which for that! But, to revert to our subject, the Squaw-roots of America are wonderful aids in the treatment of the pangs and diseases "which" (female) "flesh is heir to." One notices that, coming from such source, they have often, at all events to begin with, been used in low potencies and in substantial doses. But, as a case we quote presently, from Nash, shows, they may do even better service in the potencies. DR. BORLAND (Homoeopathy for Mother and Infant), says: It is an experience common to homoeopathic doctors everywhere, who are conducting a general practice, that their patients do not suffer from difficult labour. That does not prove anything, but it is a fortunate fact for the patients. There are two factors which have a bearing on this happy experience. A pregnant woman who is treated throughout her pregnancy with homoeopathic medicines will approach her confinement freed from the physical and mental ailments which so often are factors in the production of an unsatisfactory confinement. Secondly, there is a drug-- Caulophyllum--which has the power of regulating the processes of labour. This is a fact which was known and used by homoeopaths many years ago, and is equally true to -day. I have a patient, recently confined of her first child. Years ago her mother was given Caulo. before this patient was born. Now the patient herself was put on Caulo. before the birth of her child. During her confinement she was attended by an obstetrician of very wide experience. She had a large child and it was her first pregnancy, labour had started, and she was examined. The attending lady gynaecologist said that everything was going well, but that many hours must elapse before anything could be done to help, and went off home. She got into her own door as the telephone bell rang, asking her to return at once, and got back to the nursing home just in time to see the child born. The mother was saved trouble, forceps delivery, hours of suffering, and prolonged labour with its increased danger for the child. She had been taking small doses of Caulo. daily for a month before. Coincidence, perhaps, but a coincidence one has come to expect.* N.B.--At our farm it helps the cows also in their calving.--E.D. And again, IN PREPARATION FOR UNCOMPLICATED LABOUR Fretful--apprehensive. Uterus feels congested. Tension and fullness. Spasmodic pains, uterus: and during menses. Leucorrhoea: with bearing down pains. Threatened abortion (Viburnum). Spasmodic rigidity of os, delaying labour. Labour pains, short, irregular, spasmodic, no progress being made. Caulophyllum has not been extensively proved: but taken, a dose daily, during the last two or three weeks of pregnancy, it is found to make labour easy. 12th or 30th potency. IT was HALE, in his New Remedies, who first drew attention to this invaluable remedy. He says: This is one of a class of remedies whose virtues seem to have been well known to the aborigines of this country. They called it "squaw-root" by which name it is known to the common people. Early pioneers, lay as well as professional, all bear witness to the high estimate placed on it by the Indians for the relief of the sufferings and weaknesses of the women of that race. It has another name, "Blue Cohosh", the origin of which I have not been able to ascertain. Its sphere of action, as near as can be stated at present, is not extensive, but confined to the small muscles and joints, the muscular tissues of the generative organs, and possibly the motor nerves and mucous membranes. The provings made do not throw much light on its general powers. Its clinical uses afford us almost all the data upon which we base our knowledge. Its most prominent value seems to be its power of causing intermittent contractions of the gravid uterus, and possibly of the unimpregnated. In this it differs from Ergot, which causes, or tends to cause, persistent contractions. The remedies which most resemble it in this respect are Viburnum, Cannabis indica and Cimicifuga. It is a powerful agent for the prevention of premature labour and of miscarriage, provided the premonitions are pains of a spasmodic character. The aborigines and earlier settlers claimed for it the power of preventing tedious and painful labours. This testimony has been substantiated by many prominent and trustworthy physicians of the eclectic school, as well as of the homoeopathic. My experience has been so uniform and conclusive on this point, that I do not hesitate to assert that it prevents not only a too painful labour, but it prevents those premature labours which are so common among the weakly women of this age. It seems to be homoeopathic to rheumatism of the short muscles and small joints of the extremities, and a few cases of that character have been reported. FARRINGTON (Clinical Materia Medica) says: "Another remedy to be compared with Pulsatilla is Caulophyllum. This is a remedy that we have had not many years, and yet it is so useful that we would not now be able to get along without it. Its main characteristic is intermittency of pains. If they are neuralgic and reflex from uterine disorder, they are intermittent in character. They are usually sharp and crampy and appear in bladder, groins and lower extremities. During labour Caulophyllum is indicated when there is extreme uterine atony. The pains may be as severe as ever, yet there is apparently no expulsive effort. It is often indicated in nervous women in whom pain seems to be intolerable. The pains are spasmodic and fly about from place to place, now in the groins, then in the abdomen and next in the chest; but not going in the direction of the normal pains. The patient seems to be exhausted, There is great exhaustion of the whole system. She can scarcely speak at times, so weak is the voice. These are the symptoms which call for Caulophyllum. It has been used here by most physicians in the low potencies, although all potencies may be used. It may also be indicated during the last weeks of pregnancy when the patient suffers from false labour pains, these consisting of painful bearing-down sensations in the hypogastrium. I have known a single dose stop them after they had lasted for hours. Another remedy that I have found very valuable in the leucorrhoea of little girls is Caulophyllum, when the discharge is profuse and weakens the child very much. We find that in uterine spasms, Caulophyllum and Actea racemosa act like Magnesia mur. I must say that I believe Caulophyllum heads the list. I know of no other drug that produces such continued spasmodic condition of the uterus unless it be Secale. Caulophyllum is especially suited to rheumatism of the phalangeal and metacarpal joints, particularly in females. GUERNSEY (Keynotes) has also a few words of appreciation for Caulophyllum. Rheumatism of small joints. In labour we find deficient pains on account of the exhaustion of the patient; Caulo. will at once brace up her strength and produce efficient pains. His summary of the uses of Caulo. in diseases of women is worth reproducing. Extraordinary rigidity of the os uteri. Spasmodic and severe pains, with no progress made. Pains become very weak from exhaustion of the patient, on account of long labour. Thirst and feverishness. False pains: spasmodic, in various parts of abdomen. Patient much exhausted, and pains very inefficient. Menorrhagia, or haemorrhage after labour, especially hasty labour. Flow very profuse, due to want of tonicity of uterus, which is relaxed and contracts feebly. Convulsions with very weak and irregular pains. Feels very weak. Retained placenta, with characteristic sense of weakness or exhaustion, and pains too weak. After-pains after protracted and exhausting labour: spasmodic pains across lower abdomen, may extend to groins. Lochia bloody lasts too long: passive oozing from relaxed uterus with great exhaustion. Abortion threatened, with want of tonicity; uterine contraction feeble. Neuralgia of vagina, when vagina is excessively irritable, and pain and spasm are intense and continued. Hysteria and uterine displacements with above characteristics. Leucorrhoea burning, producing characteristic weakness. Extremities: Very severe rheumatic pains, aching, drawing, erratic, now in one place, now in another. Especially in small joints, fingers, wrists, toes, ankles. Great painful stiffness of affected joints. Worse in open air: from coffee. Weakness: exhaustion: want of tone, as one sees, are the Keynotes of the remedy.--KENT (New Remedies) brings this out. Weakness in the reproductive system of the woman. From weakness she is sterile, or she aborts in the early months of gestation. During parturition the contractions of the uterus are too feeble to expel the contents, and they are only tormenting. Labour-like pains during menstruation with drawing pains in the thighs and legs, and even the feet and toes. Uterine haemorrhage from inertia of the uterus. Relaxation of muscles and ligaments. Heaviness, and even prolapsus. Subinvolution. Excoriating leucorrhoea. Menses too soon, or too late. She is sensitive to cold, and wants warm clothing, quite unlike Pulsatilla. She is hysterical, like Ignatia. She is fretful and apprehensive. She is rheumatic, like Cimicifuga, only the small joints are likely to be affected. Later she suffers from after pains, and they are felt in the inguinal region. Rheumatic stiffness of the back, and very sensitive spine. She is sleepless restless, and withal very excitable. This remedy has cured chorea at puberty when menstruation was late. There is always a good deal of repetition in quotations from several prescribers, yet each one is able to stress some important point, "Learn from many, if you would know more than a little." Lastly NASH speaks of Caulophyllum as another very valuable "women's remedy" because of its specific action upon the uterus. He says it deserves a thorough proving. And in regard to its curious action on uterus and small finger joints he gives an instructive and suggestive case. We will abbreviate. Married lady of 40, with wry neck of long standing, was seven months pregnant. She was attacked with severe pains and swellings of all the finger joints. Intense pain, and only relief, in order to get sleep, by enveloping her fingers in mustard. Nash gave Caulo. 3d, which relieved the finger pains, but brought on severe labour pains, and was discontinued for fear of premature labour. Then the bearing-down pains ceased, and the finger pains returned and continued in full force until she was delivered of her child, when they ceased for two or three days, Then the lochia, instead of decreasing, increased till it amounted to a metrorrhagia. The flow was passive, dark and liquid. There was a great sense of weakness and internal trembling, and now the terrible finger pains returned again. Nash was afraid of Caulo, which seemed indicated, because it had brought on the bearing-down pains. He gave Arnica, Sabina, Secale and Sulphur, without the least improvement: then concluded to give Caulophyllum high. He did so in the 200th potency, and cured the whole case promptly and permanently. He says, "Now this was a perfect Caulo. case, and had I given it properly in the first place I have no doubt I would have saved that woman all unnecessary suffering." He adds: "I have given this remedy in long-continued passive haemorrhage from the uterus after miscarriage when I had the characteristic weakness and sense of internal trembling present. It has often regulated irregular spasmodic labour pains, and relieved pains of the same character in dysmenorrhoea." Many cases of rheumatoid arthritis in women begin at the menopause. Whenever that is the case, and the small joints of hands and feet are involved, Caulophyllum should be one of the drugs and comes up for consideration. Also in any non-menopausic cases where uterus and small joints are affected. Here is a LITTLE CASE that came up again the other day at Out- patient and, reminding one of the drug, suggested that, as it was little known, and could be frightfully useful, it should be Drug- pictured. Hence this attempt! Mrs. X, 52, came to Out-patients in April 1936 complaining of rheumatoid arthritis. Hands and feet deformed. Symptoms suggested Causticum or Medorrhinum. She had one after the other, without improvement. Later, because of the very marked "Worse thunderstorms", she got Rhododendron, for some months, in different potencies, and improved very much. In February 1937, hands were "less good" and there was more pain. And now Rhododendron failed, and, again, Causticum. March 1937. Finding that hands were "worse during her periods and for three days before", and "nice afterwards" she got Caulophyllum, a dose of the 30th potency. April. "MUCH better and knuckles less swollen." May. Much better. July 20th. "Ever so much better"; and in herself also. "Not so down-hearted now she can use her hands." August 17th. Says, "When she first came her hands got much better, then bad again. They are fine now." She feels and looks very well; and the movements of her hands are normal, with very little to show their original condition.
Squaw-Root: Papoose-Root: Blue Cohosh.
Introduction:
WHEN the conventional practitioner saturated with the learning of the Schools, finds his lost cast for him among "natives" and "savage tribes" of sorts, he is apt to brush aside impatiently the inherited lore that surrounds him-whether malign and benign; perhaps often the former--but far from always! Secure in his comparatively easy methods, sanctioned, as they are, by Authority, he is apt to despise and trample out, in his lordly way, much that it were greatly to his advantage to explore and study. His beloved antiseptics, for example, oust for him the invaluable "wound-herbs" of the district. These (instead of his clumsy and anxious efforts to destroy, or at least deter, the dreaded "organisms" more or less at the expense of the inherent healing powers of the tissues) would work for him, gently and effectively, after the manner of such herbs; routing the enemy by the simple method of stimulating healthy healing in damaged tissues. Or again, armed with quinine (one thing he did obtain, by observation of native healing). and some few stock drugs chiefly of a palliative nature, he is apt to consider that all knowledge is with him; that what he does not know about medicine is not worth knowing, or, for him, no subject for orthodox speculation. Forgetting that, Knowledge is proud because she knows so much: Wisdom is humble that she knows no more. Far other, thank God! is the attitude of the Homoeopath.-- always on the prowl for that which heals. His insatiate thirst for power has taught him to not despise but investigate. Hence he has introduced, from the world over, from North American Indians- -from South America, especially from Brazil--from Martinique and the West Indies--from everywhere--not only precious herbs of healing, but those magnificent reptilian venoms --of snakes-- spiders--toads--lizards--which give to homoeopathy a much wider range of healing than is dreamt of by Old School. Some of his native remedies have been slowly filtering through to the laggards in Materia Medica: for instance Hamamelis--Witch Hazel, introduced by Constantine Hering in 1850, and now common property. In glancing down the lists of medicines in Hale White, who instructs the cramming student in "Mat. Med.", one can always spot the imported homoeopathic remedies, because they are set down as simple tinctures, and not wrought into the compound prescriptions of hoary antiquity. But--it is amusing to find oneself occasionally warned off our everyday stand-bys -and for this imperative reason, as Clarke points out, that curative remedies work under a double Law: and that of Dynamization must be added to the Law of Similars, if they are to be, not only safe, but effective. It stands to reason that, if you are using that which can cause mighty evil to cure something similar, it requires delicate handling and prescribing. You cannot pour it in from a bucket. And now Old School has at last got its teeth into the snake venoms, and it is lost in admiration of the vast possibilities envisaged. But here again, the snag!--for these most potent of potent homoeopathic remedies will have to be used according to the methods of Hahnemann, if they are to do the maximum of good and the minimum of damage. And, again, it is only by their "provings" that it can be discovered what actually they are capable of, as well as which is to be used for this case--this purpose--and which for that! But, to revert to our subject, the Squaw-roots of America are wonderful aids in the treatment of the pangs and diseases "which" (female) "flesh is heir to." One notices that, coming from such source, they have often, at all events to begin with, been used in low potencies and in substantial doses. But, as a case we quote presently, from Nash, shows, they may do even better service in the potencies. DR. BORLAND (Homoeopathy for Mother and Infant), says: It is an experience common to homoeopathic doctors everywhere, who are conducting a general practice, that their patients do not suffer from difficult labour. That does not prove anything, but it is a fortunate fact for the patients. There are two factors which have a bearing on this happy experience. A pregnant woman who is treated throughout her pregnancy with homoeopathic medicines will approach her confinement freed from the physical and mental ailments which so often are factors in the production of an unsatisfactory confinement. Secondly, there is a drug-- Caulophyllum--which has the power of regulating the processes of labour. This is a fact which was known and used by homoeopaths many years ago, and is equally true to -day. I have a patient, recently confined of her first child. Years ago her mother was given Caulo. before this patient was born. Now the patient herself was put on Caulo. before the birth of her child. During her confinement she was attended by an obstetrician of very wide experience. She had a large child and it was her first pregnancy, labour had started, and she was examined. The attending lady gynaecologist said that everything was going well, but that many hours must elapse before anything could be done to help, and went off home. She got into her own door as the telephone bell rang, asking her to return at once, and got back to the nursing home just in time to see the child born. The mother was saved trouble, forceps delivery, hours of suffering, and prolonged labour with its increased danger for the child. She had been taking small doses of Caulo. daily for a month before. Coincidence, perhaps, but a coincidence one has come to expect.* N.B.--At our farm it helps the cows also in their calving.--E.D. And again, IN PREPARATION FOR UNCOMPLICATED LABOUR Fretful--apprehensive. Uterus feels congested. Tension and fullness. Spasmodic pains, uterus: and during menses. Leucorrhoea: with bearing down pains. Threatened abortion (Viburnum). Spasmodic rigidity of os, delaying labour. Labour pains, short, irregular, spasmodic, no progress being made. Caulophyllum has not been extensively proved: but taken, a dose daily, during the last two or three weeks of pregnancy, it is found to make labour easy. 12th or 30th potency. IT was HALE, in his New Remedies, who first drew attention to this invaluable remedy. He says: This is one of a class of remedies whose virtues seem to have been well known to the aborigines of this country. They called it "squaw-root" by which name it is known to the common people. Early pioneers, lay as well as professional, all bear witness to the high estimate placed on it by the Indians for the relief of the sufferings and weaknesses of the women of that race. It has another name, "Blue Cohosh", the origin of which I have not been able to ascertain. Its sphere of action, as near as can be stated at present, is not extensive, but confined to the small muscles and joints, the muscular tissues of the generative organs, and possibly the motor nerves and mucous membranes. The provings made do not throw much light on its general powers. Its clinical uses afford us almost all the data upon which we base our knowledge. Its most prominent value seems to be its power of causing intermittent contractions of the gravid uterus, and possibly of the unimpregnated. In this it differs from Ergot, which causes, or tends to cause, persistent contractions. The remedies which most resemble it in this respect are Viburnum, Cannabis indica and Cimicifuga. It is a powerful agent for the prevention of premature labour and of miscarriage, provided the premonitions are pains of a spasmodic character. The aborigines and earlier settlers claimed for it the power of preventing tedious and painful labours. This testimony has been substantiated by many prominent and trustworthy physicians of the eclectic school, as well as of the homoeopathic. My experience has been so uniform and conclusive on this point, that I do not hesitate to assert that it prevents not only a too painful labour, but it prevents those premature labours which are so common among the weakly women of this age. It seems to be homoeopathic to rheumatism of the short muscles and small joints of the extremities, and a few cases of that character have been reported. FARRINGTON (Clinical Materia Medica) says: "Another remedy to be compared with Pulsatilla is Caulophyllum. This is a remedy that we have had not many years, and yet it is so useful that we would not now be able to get along without it. Its main characteristic is intermittency of pains. If they are neuralgic and reflex from uterine disorder, they are intermittent in character. They are usually sharp and crampy and appear in bladder, groins and lower extremities. During labour Caulophyllum is indicated when there is extreme uterine atony. The pains may be as severe as ever, yet there is apparently no expulsive effort. It is often indicated in nervous women in whom pain seems to be intolerable. The pains are spasmodic and fly about from place to place, now in the groins, then in the abdomen and next in the chest; but not going in the direction of the normal pains. The patient seems to be exhausted, There is great exhaustion of the whole system. She can scarcely speak at times, so weak is the voice. These are the symptoms which call for Caulophyllum. It has been used here by most physicians in the low potencies, although all potencies may be used. It may also be indicated during the last weeks of pregnancy when the patient suffers from false labour pains, these consisting of painful bearing-down sensations in the hypogastrium. I have known a single dose stop them after they had lasted for hours. Another remedy that I have found very valuable in the leucorrhoea of little girls is Caulophyllum, when the discharge is profuse and weakens the child very much. We find that in uterine spasms, Caulophyllum and Actea racemosa act like Magnesia mur. I must say that I believe Caulophyllum heads the list. I know of no other drug that produces such continued spasmodic condition of the uterus unless it be Secale. Caulophyllum is especially suited to rheumatism of the phalangeal and metacarpal joints, particularly in females. GUERNSEY (Keynotes) has also a few words of appreciation for Caulophyllum. Rheumatism of small joints. In labour we find deficient pains on account of the exhaustion of the patient; Caulo. will at once brace up her strength and produce efficient pains. His summary of the uses of Caulo. in diseases of women is worth reproducing. Extraordinary rigidity of the os uteri. Spasmodic and severe pains, with no progress made. Pains become very weak from exhaustion of the patient, on account of long labour. Thirst and feverishness. False pains: spasmodic, in various parts of abdomen. Patient much exhausted, and pains very inefficient. Menorrhagia, or haemorrhage after labour, especially hasty labour. Flow very profuse, due to want of tonicity of uterus, which is relaxed and contracts feebly. Convulsions with very weak and irregular pains. Feels very weak. Retained placenta, with characteristic sense of weakness or exhaustion, and pains too weak. After-pains after protracted and exhausting labour: spasmodic pains across lower abdomen, may extend to groins. Lochia bloody lasts too long: passive oozing from relaxed uterus with great exhaustion. Abortion threatened, with want of tonicity; uterine contraction feeble. Neuralgia of vagina, when vagina is excessively irritable, and pain and spasm are intense and continued. Hysteria and uterine displacements with above characteristics. Leucorrhoea burning, producing characteristic weakness. Extremities: Very severe rheumatic pains, aching, drawing, erratic, now in one place, now in another. Especially in small joints, fingers, wrists, toes, ankles. Great painful stiffness of affected joints. Worse in open air: from coffee. Weakness: exhaustion: want of tone, as one sees, are the Keynotes of the remedy.--KENT (New Remedies) brings this out. Weakness in the reproductive system of the woman. From weakness she is sterile, or she aborts in the early months of gestation. During parturition the contractions of the uterus are too feeble to expel the contents, and they are only tormenting. Labour-like pains during menstruation with drawing pains in the thighs and legs, and even the feet and toes. Uterine haemorrhage from inertia of the uterus. Relaxation of muscles and ligaments. Heaviness, and even prolapsus. Subinvolution. Excoriating leucorrhoea. Menses too soon, or too late. She is sensitive to cold, and wants warm clothing, quite unlike Pulsatilla. She is hysterical, like Ignatia. She is fretful and apprehensive. She is rheumatic, like Cimicifuga, only the small joints are likely to be affected. Later she suffers from after pains, and they are felt in the inguinal region. Rheumatic stiffness of the back, and very sensitive spine. She is sleepless restless, and withal very excitable. This remedy has cured chorea at puberty when menstruation was late. There is always a good deal of repetition in quotations from several prescribers, yet each one is able to stress some important point, "Learn from many, if you would know more than a little." Lastly NASH speaks of Caulophyllum as another very valuable "women's remedy" because of its specific action upon the uterus. He says it deserves a thorough proving. And in regard to its curious action on uterus and small finger joints he gives an instructive and suggestive case. We will abbreviate. Married lady of 40, with wry neck of long standing, was seven months pregnant. She was attacked with severe pains and swellings of all the finger joints. Intense pain, and only relief, in order to get sleep, by enveloping her fingers in mustard. Nash gave Caulo. 3d, which relieved the finger pains, but brought on severe labour pains, and was discontinued for fear of premature labour. Then the bearing-down pains ceased, and the finger pains returned and continued in full force until she was delivered of her child, when they ceased for two or three days, Then the lochia, instead of decreasing, increased till it amounted to a metrorrhagia. The flow was passive, dark and liquid. There was a great sense of weakness and internal trembling, and now the terrible finger pains returned again. Nash was afraid of Caulo, which seemed indicated, because it had brought on the bearing-down pains. He gave Arnica, Sabina, Secale and Sulphur, without the least improvement: then concluded to give Caulophyllum high. He did so in the 200th potency, and cured the whole case promptly and permanently. He says, "Now this was a perfect Caulo. case, and had I given it properly in the first place I have no doubt I would have saved that woman all unnecessary suffering." He adds: "I have given this remedy in long-continued passive haemorrhage from the uterus after miscarriage when I had the characteristic weakness and sense of internal trembling present. It has often regulated irregular spasmodic labour pains, and relieved pains of the same character in dysmenorrhoea." Many cases of rheumatoid arthritis in women begin at the menopause. Whenever that is the case, and the small joints of hands and feet are involved, Caulophyllum should be one of the drugs and comes up for consideration. Also in any non-menopausic cases where uterus and small joints are affected. Here is a LITTLE CASE that came up again the other day at Out- patient and, reminding one of the drug, suggested that, as it was little known, and could be frightfully useful, it should be Drug- pictured. Hence this attempt! Mrs. X, 52, came to Out-patients in April 1936 complaining of rheumatoid arthritis. Hands and feet deformed. Symptoms suggested Causticum or Medorrhinum. She had one after the other, without improvement. Later, because of the very marked "Worse thunderstorms", she got Rhododendron, for some months, in different potencies, and improved very much. In February 1937, hands were "less good" and there was more pain. And now Rhododendron failed, and, again, Causticum. March 1937. Finding that hands were "worse during her periods and for three days before", and "nice afterwards" she got Caulophyllum, a dose of the 30th potency. April. "MUCH better and knuckles less swollen." May. Much better. July 20th. "Ever so much better"; and in herself also. "Not so down-hearted now she can use her hands." August 17th. Says, "When she first came her hands got much better, then bad again. They are fine now." She feels and looks very well; and the movements of her hands are normal, with very little to show their original condition.
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