Part 4

In cases where the secretion of black urine shows that the liver is deeply involved in the disease, Apis is powerless. These are the only exceptions to the curative power of this drug. Here we are told by our law of cure, that the sphere of Lachesis commences. We give one or two globules of Lachesis 30 in seven dessert-spoonfuls of water, a dessert-spoonful every twelve hours, and in acute cases every three hours; and the good effects of the medicine must seem miraculous to one who is not accustomed to this mode of treating diseases. Already in a few hours the patient becomes tranquil, showing that the process of disorganization has been arrested; the improvement continues from hour to hour; the sleep becomes more tranquil; the cutaneous secretions, and those of the bowels and kidneys, become more active; after the lapse of one, or at most two days, the urine begins to look clearer and lighter-colored, and in about three days a return of the natural color of the urine shows that the functions of the liver are restored to their normal standard; the patient is able to do without any further medical treatment, and the natural reaction of the vital forces will be found sufficient to effect a cure.

If I have not mentioned the affections of the kidneys, which may be present in this disease, it is because I have become satisfied by years of experience, that they constitute secondary affections in scarlatina, and that we should commit a great error if we would draw conclusions regarding this point from post-mortem phenomena.

Nobody who has observed the resemblance, at any rate, during the present epidemic, between

RUBEOLA

and scarlet-fever, will deny that the remarks which we have offered concerning this latter disease, likewise apply to rubeola. In

MEASLES,

likewise, Apis will prove a curative agent.

In the American Provings, Apis is indicated in this disease by the following symptoms: "No. 1103, heat all over; the face is red as in scarlatina; eruption like measles; cough and difficult respiration as in croup; muttering delirium; 1211, superficial eruptions over the whole body, resembling measles, with great heat and a reddish-blue circumscribed flush on the cheeks; 1218, measle-shaped eruption."

If we add to these symptoms the peculiarity inherent in Apis, to cause catarrhal irritations of the eyes, such as occur during measles, we have a right to infer that Apis will prove a valuable remedial agent in measles.

Although common mild measles do not require any medicinal treatment, and generally get well without any prejudice to the general health; nevertheless, cases occur where intense ophthalmia, a violent and racking cough, and the phenomena which appertain to it; an intense irritation of the internal mucous membrane; diarrha; dangerous prostration of strength; marked stupefaction and various nervous phenomena render the interference of art desirable. In all such cases, I have seen good effects from the use of Apis, which differed not only from the regular course of the disease, but likewise from the effects which have been witnessed under the operation of other medicines. In ordinary cases, and without treatment, it takes three, five, seven and eleven days, before the eyes get well again; but under the use of Apis, the eyes improve so decidedly in from one to three days, that the eyes do not require any further treatment; and that even troublesome sequelae, such as photophobia; styes which come and go; troublesome lachrymation; continual redness; swelling and blennorrha of the lids; fistulae lachrymalis, etc., need not be apprehended.

If Apis has had a chance to exercise its curative action in a case of measles, we hear nothing of the troublesome, and often so wearing and racking cough, which so often prevails in measles, and the continuance of which is accompanied by an increased irritation and swelling of the respiratory mucous membrane and an increasing alteration of its secretion, which recurs in paroxysms, assumes a suspicious sound, shows a tendency to croup and to the development of tuberculosis, and finally degenerates in whooping-cough, so that epidemic measles and whooping-cough often go hand in hand. After Apis, the cough speedily begins to become looser and milder, to loose its dubious character, and to gradually disappear without leaving a trace behind. If these results should be confirmed by further experience, we would have attained additional means of preventing the supervention of whooping-cough in measles; a triumph of art and science which should elicit our warmest gratitude.

Any one who knows, how malignant measles, unassisted by art, are accompanied by deep-seated irritation of the mucous membrane of the stomach and bowels; how they lead to diarrha; to sopor; how they threaten life by long-lasting and troublesome putrid and typhoid fevers; and how, if they do not terminate fatally, they result in slow convalescence, and sometimes in chronic maladies for life, will admit, on seeing the diarrha cease; on beholding the quiet sleep which patients enjoy; the pleasant and general perspiration; the return of appetite; the increase of strength, and the complete disappearance of all putrid and typhoid symptoms, that Apis has indeed triumphed over the disease.

The following simple proceeding will secure such results: As soon as the fever has commenced, we prepare the above-mentioned solution of Aconite, of which we give a small spoonful every hour. If, after using the Aconite, the eruption breaks out and the fever abates, no further medication is necessary. If fever and eruption should require further aid, Apis is to be given, one or two globules of thirtieth potency in seven dessert-spoonfuls of water, well shaken, a dessert-spoonful morning and evening; or, if the disease is very acute, every three hours, which treatment is to be continued until an improvement sets in, after which the natural reaction of the organism will terminate the cure.

Sequelae seldom take place after this kind of treatment; this is undoubtedly an additional recommendation for the use of Apis. Until this day I have never seen a secondary disease resulting from measles. Nevertheless, such sequelae will undoubtedly occur, for it is characteristic of the measle-miasm, to rouse latent psoric, sycosic, syphilitic and vaccinine taints, which afterwards require a specific anti-psoric treatment. Nevertheless, sequelae will certainly occur less frequently after the use of Apis, for which we ought to be thankful. In

URTICARIA AND PEMPHIGUS

Apis will likewise afford speedy and certain help.

Many symptoms in the American Provings confirm this statement. More particularly 1198 to 1210, and 1232 to 35: "very soon thick nettle-rash over the whole body, itching a good deal, passing off after sleeping soundly; violent inflammation and pressure over the whole body; friction brought out small white spots resembling musquito-bites; suddenly an indescribable stinging sensation over the whole body, with white and red spots in the palms of the hands, on the arms and feet; her Whole body was covered with itching and burning swollen streaks, after which the other troubles disappeared; swelling of the face and body; the parts are covered with a sort of blotches somewhat paler than the ordinary color of the skin; eruption over the whole body resembling nettle-rash, with itching and burning; nettle-rash in many cases; spots on the nape of the neck and forehead, resembling nettle-rash under the skin; consequences of repelled urticaria; whitish, violently itching swellings of the skin, on the head and nape of the neck, like nettle-rash; after the rash disappeared, the whole of the right side was paralyzed, with violent delirium even unto rage; after taking Apis the eruption appeared in abundance, and the delirium abated."

These provings have been abundantly confirmed by my own experience. The use of Apis in these eruptions has been followed in my hands by the most satisfactory results; and I feel justified in recommending Apis as a most efficient remedy in these diseases, which are still wrapt in a good deal of obscurity. An additional source of satisfaction to have obtained more means of relieving human suffering. The experienced Neuman writes, in his Special Therapeutics, 2d Edit., Vol. I., Section 2, p. 681, about urticaria: "Howsoever unimportant a single eruption of urticaria may be, it becomes disagreeable and troublesome by its constant repetition, which is not dangerous, but exceedingly disturbing. It would be desirable to be acquainted with a safe method of curing this eruption, but so far, it has been sought for in vain." The same physician, speaking of pemphigus, writes in the same place, that its etiology, prognosis and treatment, are still very dubious; that it leads to extensive chronic sufferings, and often terminates fatally; and that no specific remedy is known for this disease. The more frequent opportunities we have of observing both these diseases in different individuals, the more frequently we observe them in conjunction with serious chronic maladies characterized by some specific chronic miasm, or in conjunction with the most penetrating and disturbing emotions, such as fright and its consequences; the more frequently we observe the sudden appearance and disappearance of such pustules, alternating with corresponding improvements or exacerbations in the internal organism, where we have to look on utterly powerless, as it were, the more uneasy do we feel at the mysterious nature of this malady, which, during the period of organic vigor, seems to be a sort of trifling derangement, somewhat like urticaria, but which, as the vital energies become prostrated by age, becomes more and more searching and tormenting, breaks forth again and again, exhausting the vital juices and leading irresistibly to a fatal termination; a result which is particularly apt to take place during old age, although I have likewise observed it, but rarely, among new-born infants.

These developments lead us to suspect that urticaria and pemphigus are identical in essence; this fact is richly substantiated by the homopathic law which furnishes identical means of cure for either of these affections. In either case, if the vital forces are prostrated, and the sensitiveness of the organic reaction is considerable, one pellet of Apis 30, and, if there is considerable resistance to overcome, two pellets shaken with six dessert-spoonfuls of water, a spoonful night and morning, is all that should be done, after which, all further treatment should be discontinued as long as the improvement continues or the skin remains clear from all eruptions. If the improvement cease or the eruption should reappear, we have in the first place to examine whether the improvement will not speedily resume its course, or whether the eruption does not show itself more feebly than before, or if the cure is not evidenced by some other favorable change. In the former case the medicine should be permitted to act still further; in the latter case, another dose of Apis 30 should be given, after which the result has to be carefully watched. In all benign cases, more particularly if no other means of treatment had been resorted to before, this management will suffice. If this should not be the case, if the eruption should appear again, we may rest assured that a psoric miasm lurks in the organism, and that an anti-psoric treatment has to be resorted to. The best anti-psoric under these circumstances, is Sulphur 30, one pellet, provided this drug has not yet been abused; or Causticum 30, one pellet, if such an abuse has taken place. Syphilis may likewise complicate the disease, in which case Mercurius 30, one pellet, may be given; or, if Mercury had been previously taken in excessive doses, Mercurius 6000, one globule.

After one or the other of these remedies, the symptoms should be carefully observed without doing anything else, with a view of instituting whatever treatment may afterwards be necessary, we wind up the treatment with another dose of Apis 30, one pellet, after which, the organic power is permitted to complete the cure. The result is, that the most difficult and complicated cases yield perfectly to such treatment, which is based upon the strictest scientific principles.

FURUNCLES AND CARBUNCLES

are likewise cured by Apis in the speediest and easiest manner.

We find the following symptomatic indications in the American Provings: "682, painful pimple, suppurating in the middle, with red areola; painful like a boil, in the hairy region on the left side above the os pubis, continuing painful for several days; 1196, furuncles with stinging pains; 844, 845, violent, stinging, burning pain at a small spot on the left side, in the lower region of the nape of the neck; also on the back part of the head; swelling at the nape of the neck, so that the head is pressed forward towards the chest; 1222, dark bluish-red painful swellings, with general malaise; 1167, acute pain and erysipelatous swelling, very hard and pale in the centre."

Apis has been a popular remedy for boils from time immemorial; the people have been in the habit of covering boils with honey, more particularly honey in which a bee had perished.

Apis, homopathically prepared, is better adapted to such an end than honey. A few drops of Apis 3, shaken with twelve tablespoonfuls of water, a tablespoonful of this solution every three hours, generally relieves the pain in a short period, promotes suppuration, effects the discharge of the decayed cellular tissue, and a speedy cure of the furuncle.

If furuncles incline to become carbunculous, the ichorous matter is speedily changed to good pus, and all danger is averted.

In a case of carbuncle the gangrenous disorganization of the skin and cellular tissue becomes very soon confined to a small spot; the dead parts are separated from the living tissues; the fever is hushed; the disorganizations which it threatens are averted; a healthy suppuration is established throughout the gangrenous part, detaching and removing all decayed matter, and replacing the loss of substance by new granulations until the sore becomes cicatrized in such a hardly perceptible manner, that any one who is acquainted with the ravages of this disease, and is in the habit of seeing deep and disfiguring cicatrizes, even in the most successful cases, is disposed to deny the fact that such an intensely disorganizing process has been going on in this instance. No other remedial means are required, much less a surgical operation.

Inasmuch as carbuncle is generally preceded for a longer period by a deep-seated feeling of illness in the organism, showing that the psoric miasm pervades the tissues, it behooves us, in order to secure all the better a favorable result, to give a dose of highly-potentized Sulphur at the very outset of the disease. After having used the first portion of Apis, a globule of Sulphur 30 or 6000 may be interposed, the former in all cases where no Sulphur had been used, and the latter in cases Sulphur had been used in large doses. We permit such a dose to act for twenty-four hours, after which Apis is resumed, and continued according to the above stated rule.