Part 93

NAT. ORD., Caprifoliaceae.

COMMON NAME, Snow Berry.

PREPARATION.--One part of the fresh ripe berries is macerated in two parts by weight of alcohol.

(In 1882 Dr. Edward V. Moffat read the following paper on this remedy before the Homoeopathic Medical Society of New York:)

Let us go back about fifteen years and sketch a history of this drug. At that time Prof. S. P. Burdick investigated the medicinal of many plants hitherto unused by the profession, among others chanced to be the snow berry, or Symphoricarpus racemosus. He gave some of the drug to the first prover, an intelligent lady, who on feeling the marked nausea, which it soon produced, exclaimed: "Doctor, this is precisely like the morning sickness I always experienced during pregnancy." Dr. Burdick became more interested, repeated the experiment with other provers, obtained almost uniform results, viz., a feeling varying from qualmishness to intense vomiting. It was given to female provers only and merely tested far enough to verify that symptom.

Upon this clue Dr. Burdick gave it in the higher potencies to patients suffering from the vomiting of pregnancy with most satisfactory results. Indeed, after a trial of many years, he has found it so far superior to other remedies that he now relies on it altogether with rarely any but entirely satisfactory results.

He mentioned the drug in his course of lectures, so I bore it in mind waiting for a test case. Soon that came in the person of a young lady three months advanced in her first pregnancy who was suffering from a deathly nausea, with vomiting and retching so prolonged and violent as to produce haematemesis. The smell or thought of food was repugnant in the extreme. An examination disclosed no malposition or apparent cause for the trouble, so I procured some Symphoricarpus (200) from Dr. Burdick and gave her one dose in the midst of a violent paroxysm. In a few minutes she stopped vomiting and said she felt soothed and quieted all over. In half an hour the nausea began again, but a few pellets checked it promptly and she fell asleep. Once during the night she awoke distressed and took a dose, but slept again quite soon. For a month or so she felt very well until after over-exerting herself she became nauseated once more; but it was promptly checked, nor did it return during her pregnancy.

After this I had the opportunity of prescribing it in a number of cases with such gratifying results that I gave some of the drug to a number of physicians, requesting a faithful trial. Among them were my father, brother, Dr. Danforth, Dr. McClelland, of Pittsburg, and several others. All reported favorably and some enthusiastically, and so I have been led to bring this subject before this society. The indications as far as I have observed them in cases of pregnancy are a feeling of qualmishness with indifference to food. In more severe cases, like the above, there is a deathly nausea; the vomiting is continuous violent retching, but it covers every graduation between these extremes; it does not seem to be confined to any particular morning aggravation; a prominent symptom is the disgust at the sight, smell or thought of food. One case I remember where the patient was comparatively comfortable while lying on the back, but would be nauseated by the slightest motion of the arms, particularly raising them. The case was completely relieved by a few doses. And so the cases might be multiplied.

Thinking that if the irritation of pregnancy were thus subdued, that of menstruation might be as well, I have given it repeatedly in such cases of nausea or vomiting just before, during or after catamenia, with admirable results.

TELA ARANEARUM.

COMMON NAMES, Spider's Web, Cobweb.

PREPARATION.--Triturate in the usual way.

(The following paper is by Dr. S. A. Jones, it was published in the American Observer, 1876):

Dr. Gillespie, of Edinburgh, "cured an obstinate intermittent with cobweb after other means had failed." Dr. Robert Jackson was led from this to try it himself. He told his success to Dr. Chapman, of Philadelphia, who requested one of his pupils, Dr. Broughton, to investigate the subject, which he did, and wrote his Inaugural Thesis thereon in 1818. From these and other authorities we can gather enough testimony to show that it is well worth while to make a systematic proving of this animal product, thereby predicating its sphere and precisioning its employment.

In a work on fevers--which particular edition I have not been able to consult--Dr. Jackson writes: "I think I may venture to say that it prevents the recurrence of febrile paroxysms more abruptly, and more effectually, than bark or arsenic, or any other remedy employed for that purpose with which I am acquainted: that, like all other remedies of the kind, it is only effectual as applied under a certain condition of habit; but that the condition of susceptibility for cobweb is at the same time of more latitude than for any other of the known remedies."

If we bear in mind Grauvogl's constitution-classification of Diadema aranea as an hydrogenoid remedy, and recall how generally the hydrogenoid constitution is induced by intermittent fever, we shall be ready to acknowledge the truth of the passage which I have placed in italics, and with this evidence of a truthful beginning we shall be more ready to accept the subsequent testimony.

"If the cobweb," continues Dr. Jackson, "was given in the time of perfect intermission, the return of paroxysm was prevented; if given under the first symptoms of a commencing paroxysm, the symptoms were suppressed, and the course of the paroxysm was so much interrupted that the disease, for the most part, lost its characteristic symptoms. If it was not given until the paroxysm was advanced in progress the symptoms of irritation, viz.: tremors, startings, spasms, and delirium, if such existed as forms of febrile action, were usually reduced in violence, sometimes entirely removed. In this case sleep, calm and refreshing, usually followed the sudden and perfect removal of pain and irritation. Vomiting, spasms, and twisting in the bowels, appearing as modes of febrile irritation, were also usually allayed by it; there was no effect from it where the vomiting or pain was connected with real inflammation or progress to disorganization."

"In cases of febrile depression, deficient animation, or indifference to surrounding objects, the exhibition of eight or ten grains of cobweb was often followed by exhilaration: the eyes sparkled; the countenance assumed a temporary animation, and, though the course of the disease might not be changed, or the danger averted, more respite was obtained than is gotten from wine, opium, or anything else within my knowledge."

"In spasmodic affections of various kinds, in asthma, in periodic headaches, in general restlessness and muscular irritabilities its good effects are often signal. The cobweb gives sleep, but not by narcotic power;--tranquillity and sleep here appear to be the simple consequence of release from pain and irritation."

"The changes induced on the existing state of the system, as the effect of its operation, characterize it as powerfully stimulant: 1. Where the pulses of the arteries are quick, irregular, and irritated, they become calm, regular, and slow, almost instantaneously after the cobweb has passed into the stomach: the effect is moreover accompanied, for the most part, with perspiration and perfect relaxation of the surface. 2. When the pulses are slow, regular, and nearly natural they usually become frequent, small, irregular, sometimes intermitting. 3. When languor and depression characterize the disease, sensations of warmth and comfort are diffused about the stomach, and increased animation is conspicuous in the appearance of the eye and countenance."

Dr. J. likewise "effected perfect cures with it in some troublesome spasmodic affections, and gave it with the most marked benefit in dry, irritating coughs, usually termed nervous. In the advanced stage of phthisis it procured a respite beyond his expectation. He also found it useful in restraining a troublesome hiccough."

Remembering the fame of Mygale avicularia in chorea we may well expect this other spider to be of use "in some troublesome spasmodic affections."

Dr. Chapman writes of it: "I have cured some obstinate intermittents, suspended the paroxysms of hectic, overcome morbid vigilance from excessive nervous mobility, and quieted irritation of the system from other causes, and particularly as connected with protracted coughs and other chronic pectoral affections. * * * * Some consider it as highly stimulant, invigorating the force of the pulse, increasing the temperature of the surface, and heightening excitement generally--others, witnessing no such effects, are disposed to assort it with those remedies which seem to do good chiefly by soothing the agitations of the system. I confess that I concur in the latter view of its properties."

How unconsciously the Philistines of Old Physic bear testimony to the truth of our therapeutic law. Given where "heightened excitement" obtained, Chapman saw it "do good chiefly by soothing the agitations of the system," and to him, of course, cobweb was a sedative.

Dr. Broughton, in his Thesis, says: "In all the cases of disease in which I have seen or heard of the exhibition of the web, no sensible, or at least no uniform, operation could be observed. Some patients were sensible of none, others of a slight sudorific, and some a nauseatic effect; and one or two thought it proved cathartic after remaining in the system for the space of twelve or fifteen hours. These accounts being so incorrect and various, I determined to ascertain (if possible) the correct operation by giving the web to healthy persons."

"I found from these experiments that the operation of the web appeared principally to be upon the arterial system; and perhaps in less time than any article already known: the force and frequency of the pulse being uniformly reduced in some cases ten, in others fifteen strokes in a minute; and in one case, the pulse, from being strong and full, became soft, small, and very compressible; all which operation took place within the space of two hours, after which time the artery gradually regained its former force and frequency. This has been the only invariable effect I could observe, all others appearing but anomalous."

Dr. Thacher cites the following case from a paper of Dr. Jackson's: "W. Sands has been afflicted for many years with a distressing asthma, which has proved fatal to his father and two sisters. The complaint being hereditary, and aggravated by malformation of the thorax, no remedy gave any permanent relief, nor did change of climate procure any alleviation of symptoms. For a considerable time back he has never been able to lie down in bed on account of a sense of suffocation, but is obliged to be supported half sitting by pillows, and is seldom able to sleep. He swallowed nearly a scruple of the spider's web, he swallowed it at bed time, and to his utter astonishment enjoyed sound and uninterrupted sleep all night; a blessing to which he had been an entire stranger above six years. Since he began with the cobweb thinks his health is improved; the cough has certainly abated, but whenever the remedy is omitted the complaint returns."

Dr. Oliver found that "by the use of this remedy a patient laboring under organic disease of the heart and hydrothorax obtained great relief and refreshing sleep, who had not before slept for three nights. Another, under similar affection, experienced uncommon relief from the same prescription. To one suffering much pain from cancer it afforded ease and comfortable sleep. A patient in phthisis pulmonalis being affected with distressing agitation of mind and nervous irritation, it answered like a charm, and soon induced great sleep like a moderate dose of opium."