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Title: Apis Mellifica

or, The Poison of the Honey-Bee,

Considered as a Therapeutic Agent

Author: C. W. Wolf

Release Date: July 10, 2008 [EBook

#26020]

Language: English

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APIS MELLIFICA;

OR,

THE POISON OF

THE HONEY-BEE,

Considered as a Therapeutic Agent.

BY C. W. WOLF,M.D.,

Ex-District Physician in Berlin.

PUBLISHED AND FOR SALE BY

WILLIAM RADDE, 635ARCH STREET.

1858.

PREFACE.

EVERY physician who has spent yearsof an active life in prescribing for largenumbers of patients, is morally boundto publish his experience to the world,provided he is satisfied, in his interiorconscience, that such a publicationmight be useful to the general interestsof humanity.

In offering the following essay to myreaders, I simply desire to fulfil anobligation recognised as valid by theinner sense. This essay contains everything that an experience of forty years

in the conscientious and philanthropicexercise of my profession hassanctioned and confirmed as truth. Norhave I adopted a single fact, suggestedby my own observation, as correct,without contrasting it with the mostapproved records of medicine. Toevery true friend of man, and moreparticularly to every physician whoconsiders the business of healingdisease as the highest office of medicalart, I offer this essay for further trialand examination. May the statementsexpressed in it either be confirmed orelse corrected and improved by thosewho excel in more thorough knowledgeand ability.

THE AUTHOR.

Berlin, Oct., 1857.

APIS MELLIFICA.

"The bee helps to heal all thy internal andexternal maladies, and is the best little friendwhom man possesses in this world."—Morein Cotton's Book of the Bee, p. 138.

SINCE Hahnemann's successfulattempt to develop the medicinalnature of Aconite, no other discoveryhas been made in the domain ofpractical medicine, as comprehensiveand universally useful as the discoveryof the medicinal virtues of the poisonof the bee. It is of the utmostimportance to the interests of humanity

to become as intimately acquaintedwith the efficacy of this poison aspossible. It is the object of these papersto contribute my mite to this work.

As soon as Dr. Hering had publishedthe provings of the bee poison, in his"American Provings," I at oncesubmitted them to the test ofexperience in an extensive practice. Iprepared the drug which I used for thispurpose, by pouring half an ounce ofalcohol on five living bees, and shakingthem during the space of eight days,three times a-day, with one hundredvigorous strokes of the arm. From thispreparation, which I used as themother-tincture, I obtainedattenuations up to the thirties

centesimal scale. So far, the effectswhich I have obtained with thispreparation, have been uniformlysatisfactory. It has seemed to me thatthe lower potencies lose in power asthey are kept for a longer period;hence, I consider it safer to preparethem fresh every year. As a generalrule, I have found either the third or thethirtieth potency, sufficient.

Day after day I have obtained moresatisfactory results, and now I lookupon Apis mellifica as the greatestpolychrest, next to Aconite, which wepossess.

The introduction of this poison to themedical profession, will be looked

upon as the most brilliant merit of oneof the most deserving apostles ofhomœopathy, and will secureimmortality to the honored name ofConstantine Hering. The followingstatements will show how far this faithof a grateful heart is founded uponfacts:

Apis mellifica is the mostsatisfactory remedy for acutehydrocephalus of children.

The more acute and dangerous theattack, the more readily will it yield tothe action of Apis. Sudden convulsions,followed by general fever, loss ofconsciousness, delirium, sopor whilethe child is lying in bed, interrupted

more or less by sudden cries; boring ofthe head into the pillow, with copioussweat about the head, having the odorof musk; inability to hold the headerect; squinting of one or both eyes;dilatation of the pupils; gritting of theteeth; protrusion of the tongue; desireto vomit; nausea, retching andvomiting; collapse of the abdominalwalls; scanty urine, which issometimes milky; costiveness;trembling of the limbs; occasionaltwitching of the limbs on one side ofthe body, and apparent paralysis ofthose of the other side; painful turninginwards of the big toes, extorting criesfrom the patient; accelerated pulse,which soon becomes slower, irregular,

intermittent and rather hard; thesesymptoms inform us that life is indanger, the more so the more numerousthey are grouped together.

In comparing with these symptomsthe following symptoms from Hering'sAmerican Provings, Part I., 3d Num., p.294: "40, 41, muttering during sleep;muttering and delirium during sleep;83, 84, he had lost all consciousness ofthe things around him; he sank into astate of insensibility; 140, 144, sense ofweight and fulness in the fore part ofthe head; heaviness and fulness in thevertex; dull pain in the occiput,aggravated by shaking the head;pressure, fulness and heaviness in theocciput; 170, her whole brain feels

tired, as if gone to sleep; tingling; sheexperiences the same sensation in botharms, especially in the left, and fromthe left knee down to the foot; 175,176, sensation as if the head were toolarge; swelling of the head; 391, whenbiting the teeth together, swallowing;after gaping or at other times, a sort ofgritting the teeth; only a single,involuntary jerk frequently repeated;501, nausea and vomiting; 506, nausea,as if one would vomit, with fainting;512, vomiting of the ingesta; 619,retention of stool; 640, retention ofurine; 665, scanty and dark-coloredurine; 980, 984, 985, trembling,convulsions, starting during sleep as ifin affright; 1020, sudden weakness,

compelling him to lie down; he lost allrecollection; 1032, great desire forsleep, he felt extremely drowsy." If wecompare these effects of Apis to theabove-mentioned symptoms ofhydrocephalus, we shall find thehomœopathicity of Apis to this diseasemore than superficially indicated. If weconsider, moreover, that the knowneffects of Apis show that it possessesthe power of exciting inflammatoryirritation and œdematous swellings, weare justified, by our law of similarity,in expecting curative results from theuse of Apis in all such diseases.

The experiments which I haveinstituted for the last four years, haveconvinced me of the correctness of this

observation. Whenever I had anopportunity of giving Apis at thecommencement of the diseases, itwould produce within twelve totwenty-four hours quiet sleep; generalperspiration, affording relief; thefeverish and nervous symptoms,together with the delirium, woulddisappear from hour to hour, and onwaking, the little patient'sconsciousness was lucid, the appetitegood and recovery fully established.This is a triumph of art which inspiresus with admiration for our science.Less surprising, but equally certain, isthe relief, if Apis is given after thedisease has lasted for some time. Insuch a case, the medicine first excites a

combat between the morbific force andthe conservative reaction. The greaterthe hostile force, the longer thestruggle between momentaryimprovement and aggravation of thesymptoms; it may sometimes continuefor one, two, or three days. It is notuntil now, that a progressive andpermanent improvement sets in. Thedesire to vomit is gone; the twitching,trembling, and the struggle, generallydiminish from hour to hour;consciousness returns; the squintingand the dilatation of the pupils abate;gritting of the teeth and protrusion ofthe tongue cease; the position andmovements of the head and limbsbecome more natural; the pulse

becomes more regular; its slownessyields to a more normal frequency; thefeverish heat terminates in sweat whichaffords great relief, and the retention ofstool and urine is succeeded by a morecopious action of both the bowels andbladder. The natural appetite returns;the reproductive process is restored;sleep is quiet and refreshing, andrecovery is perfectly established in anincredibly short period. A cure of thiskind generally requires five, seven,eleven, and fourteen days. This result isso favorable, that those who have notwitnessed it, or who are too ignorantand egotistical to investigate the facts,may reject it as incredible.

Such brilliant results are obtained by

means of a single drop of Apis, thirdattenuation. I mix a drop with seventablespoonfuls of water, and give adessert-spoonful every hour, or everytwo or three hours; the more acute theattack, the more frequently the dose isrepeated; this method generallysuffices to effect a cure more or lessrapidly. As long as the improvementprogresses satisfactorily, all we have todo is to let the medicine act withoutinterfering. If the improvement isarrested, or the patient gets worse,which sometimes happens in the moreintense grades of this malady, the bestcourse is to give a globule of Apis 30,and to watch the result for sometwenty-four hours. After the lapse of

this period the improvement will eitherhave resumed its course, or else it willcontinue unsatisfactory. In the lattercase we should give another dose of theabove-mentioned solution of Apis 3.Not unfrequently I have met withpatients upon whom Apis acts toopowerfully, causing pains in thebowels, interminable diarrhœa, of adysenteric character, extremeprostration and a sense of fainting. Insuch cases the tumultuous action ofApis is mitigated, and the continueduse of this drug, rendered possible bygiving Apis in alternation with Aconitein water, every hour or two hours.

Except such cases, I have never beenobliged to resort to other accessory

means.

Apis is no less efficacious againstthe higher grades of ophthalmia.

It is particularly rheumatic,catarrhal, erysipelatous, andœdematous ophthalmia, which is mostrapidly, easily, and safely cured byApis, no matter what part of the eyemay be the seat of the disease.

The symptoms 188-307 distinctlypoint to the curative virtues of Apis inophthalmia: "Sensitiveness to light,with headache, redness of the eyes; hekeeps his eyes closed, light isintolerable, the eyes are painful andfeel sore and irritated if he uses them;

weakness of sight, with feeling offullness in the eyes; twitching of theleft eyeball; feeling of heaviness in theeyelids and eyes; aching, sore-pressing,tensive, shooting, boring, stinging,burning pains in and around the eyes,and above the eyes in the forehead;redness of the eyes and lids; secretionof mucus and agglutination of the lids;the lids are swollen, dark-red, everted;the conjunctiva is reddened, full ofdark blood-vessels which graduallylose themselves in the cornea; thecornea is obscured, smoky, showing afew little ulcers here and there; profuselachrymation; stinging itching in theleft eye, in the lids and around the eye;sensation of a quantity of mucus in the

left eye; sensation of a foreign littlebody in the eye; soreness of the canthi;styes; œdema of the lids; erysipelatousinflammation of the lids."

I have found the correctness of theseobservations uniformly confirmed bythe most satisfactory cures of suchaffections. I use the medicine in thesame manner as for acutehydrocephalus. In some cases I foundthe eye so sensitive to the action ofApis, that an exceedingly violentaggravation of the inflammatorysymptoms ensued, which might haveproved dangerous to the preservation ofsuch a delicate organ as the eye.Inasmuch as it is impossible todetermine beforehand the degree of

sensitiveness, I obviate all danger byexhibiting Apis in alternation withAconite in the manner indicated forhydrocephalus. By means of thisalternate exhibition of two drugs, wenot only prevent every aggravatingprimary effect, but we at the same timeact in accordance with the importantlaw, that, in order to secure theeffective and undisturbed repetition ofa drug, we have first to interrupt itsaction by some appropriateintermediate remedy. All repetitionsshould cease as soon as a generalimprovement sets in; if the medicine iscontinued beyond the point where theorganism is saturated with the drug, itacts as a hostile agent, not as a curative

remedy. This important point is knownby the fact, that the improvementwhich had already commenced, seemsto remain stationary; the patientexperiences a distressing urging tostool, a burning diarrhœa sets in, and adisproportionate feeling of malaisedevelops itself. Under thesecircumstances, a globule of Apis 30will quiet the patient, and the action ofthe drug will achieve the cure withoutany further difficulty, and withoutmuch loss of time, unless psora,sycosis, syphilis, or vaccine-virusprevail in the organism, or sulphur,iodine or mercury had been previouslygiven in large doses. In the presence ofsuch complications Apis will prove

ineffectual until they have beenremoved by some specific antidote.After having made a most carefuldiagnosis, a single dose of the highestpotency of the specific remedy begiven, and be allowed to act as long asa trace of improvement is stillperceptible. As soon as theimprovement ceases, or an aggravationof the symptoms sets in, Apis is in itsplace and will act most satisfactorily.We then give Apis 3 in water, asmentioned above, with the mostsatisfactory success.

Apis is the most appropriate remedyfor inflammation of the tongue, mouth,and throat.

The following symptoms may belooked upon as striking curativeindications: 378-380, 383, 384, 399,400, 405, 406, 409, 410, 413, 419, 436,437, 439, 443, 444, 449, 455, 458, 459,463, 470, 471: "Burning of the lips; theupper lip is swollen to such a degreethat the inside seems turned outside;swelling of the lips and tongue;swelling of the upper lip, it becomeshot and red, almost brown; dark streaksalong the vermilion border, particularlyon the upper lip, rough, cracked,peeling off; violent pains spreadingthrough the gums, the gums bleedreadily; the tongue feels as if burnt;tongue and palate are sore; raw feeling,burning, blisters along the margin of

the tongue, very painful, stinging; atthe tip of the tongue a row of smallvesicles which cause a pain as if soreand raw; dry tongue; the inner cheekslook red and fiery, with painfulsensitiveness; inflammation of thetongue; inflammation and swelling ofthe palate; burning, stinging sensationin the mouth and throat; pressure in thefauces as of a foreign body; ptyalism;copious accumulation of a soapymucus in the mouth and throat; drynessand heat in the throat; inability toswallow a drop, with swelling of thetongue; sensation of gnawing andcontraction in the throat, increasingafter four hours so as to renderdeglutition difficult; sensation of

fulness, constriction and suffocation inthe throat; deglutition painful andimpeded, stinging pains duringdeglutition; swelling and redness of thetonsils, impeding deglutition; anginafaucium; chilliness followed by heat;violent pain in the temples; redness andswelling of the tonsils; uvula andfauces, painful and impededdeglutition, and stinging pains whenattempting to swallow."

The more frequently we make use ofApis in the treatment of these verycommon forms of angina, and of theinflammation of the salivary glands,which are so closely connected with theother parts of the throat, the more webecome convinced by the most striking

success, that this drug is by far thespeediest, safest and easiest remedywhich we possess for the treatment ofthese exceedingly common and yet sovery distressing affections. Not only incommon affections of this sort, butalso in the most acute and dangerousforms of angina faucium, will Apis befound efficient; even where theseaffections are hereditary, or havebecome habitual, and generallyterminate in suppuration, Apis will stillafford help. In these affections likewiseApis acts most promptly andefficiently, if given in alternation withAconite, both remedies in the thirddilution, a few drops dissolved intwelve tablespoonfuls of water, in

alternate hourly doses. After taking afew doses, the patient begins to feelrelieved, enjoys a quiet sleep, and theresolution of the inflammation takesplace, accompanied by the breaking outof a general perspiration. If thereshould be a natural tendency tosuppuration, this treatment will hastenit from hour to hour, and after the pusis discharged, a cure will soon beaccomplished. In the most inveteratecases, which had been previouslytreated in a different manner, the samecurative process takes place gradually;first one outbreak of the disease ishushed; next, if another portion of thethroat becomes inflamed, thisinflammation is controlled, and this

proceeding is continued with anincreasingly rapid success and acontinued abatement of all sufferings,until, finally, a perfect recovery isobtained, even under thesedisadvantageous circumstances.

Apis is not sufficient to prevent therecurrence of such inflammatoryattacks; this object has to beaccomplished by means of theappropriate antidotal specific.

Apis becomes an exceedingly usefulremedy in consequence of the specificpower which it possesses over thewhole internal mucous membrane andits appendages.

It is particularly the mucousmembrane of the alimentary canalupon which Apis has a strikinginfluence. It excites an inflammatoryirritation, which not only disturbs thesecretion of mucus, but alsodisintegrates the intestinal juices soessential to the process ofsanguification, thus disqualifying theblood from properly contributing to thereproduction of the nervous tissue. Bythus altering the blood and nerves,these two principal vehicles of vitality,it develops a group of symptoms whichis exceedingly similar to ourabdominal typhus that seems to havebecome stationary among us for thelast twenty years. This similarity, in its

totality, results from the followingsymptoms contained in the "AmericanProvings."

"398: troublesome pains in the gums.400: the gums bleed readily. 402:bitterish taste in the back part of thetongue and in the throat. 405: tongue asif burnt. 406: tongue and palate feelsore. 411: a number of vesicles andsmall, sore, somewhat red spots at thetip of the tongue and along the leftmargin of the tongue. 413: dry tongue,the inner cheeks look red, fiery, arepainfully sensitive. 416: burning fromthe tongue down the œsophagus, as faras the stomach, eructations every fouror five minutes, with flow of tastelesswater in the mouth; eructations became

worse after drinking water, she almostfelt as if choked. 420: swelling of thetongue, the tongue is dry, shining,yellowish. 421: tenacious salivaadhering to the tongue. 424: tongue dryand white. 427: feeling of dryness inthe mouth and throat. 441: fetid breath,with gastritis. 445: quantity of thick,tenacious mucus deep in the throat,obliging him to hawk. 447: tenacious,frothy saliva. 450: dryness in thethroat, without thirst. 452: loathing, asif out of the throat. 459: sense offulness, constriction and choking in thethroat. 474: loss of taste. 475: completeloss of appetite. 488: no thirst, withheat. 492: very thirsty when waking atnight, after diarrhœa. 495: eructations

tasting of white of eggs. 501: nauseaand vomiting. 504: fainting sort ofnausea from the short ribs across thewhole abdomen. 512: vomiting of theingesta. 513: vomiting of bile. 516:vomiting and diarrhœa. 517: nausea,vomiting of the ingesta, and diarrhœa;repeated vomiting, first of bile,afterwards a thin, watery fluid, havinga very bitter taste, with violent painsacross the abdomen. 518 to 525:oppression, pressing, creeping, drawingand gnawing, pricking, soreness, heatand burning in the stomach. 528:painful sensitiveness in the pit of thestomach, with burning, like heartburn,with bilious diarrhœa, rather greenish,and almost painless. 530: violent pain

and sensitiveness in the region of thestomach and epigastrium, withvomiting, coated tongue, fetid breath,costiveness, and sleep disturbed bymuttering and dreams, with frequent,wiry pulse. 533: sense of numbnessunder the right ribs. 532: sense ofcompression, squeezing, bruising,under the ribs, worse on the left side.535: violent burning pains under theshort ribs on both sides, worst and mostpermanent on the left side, where thepain is felt for weeks, preventing sleep.543: rumbling in the abdomen, withviolent urging to stool. 545: nausea inthe abdomen, has to lie down. 546:weight in the abdomen. 547: dull painin the bowels. 552: occasional attacks

of colic, with a feverish, tremuloussensation. 553: violent, cutting pains inthe abdomen. 555: slowly pulsating,boring pain above the left crest of theilium, relieved by eructations. 556:pain in the abdomen, from the hips tothe umbilical region. 560: soreness andpressure in the lower abdomen. 563:feeling of soreness, burning andnumbness below and on the side of theright hip, deep-seated. 566: the innerabdomen feels sore and as ifexcoriated, painful when pressed upon.567: feeling as if the bowels had beensqueezed, with tenesmus during stool.576: fulness and sense of distension inthe abdomen, as if bloated. 589:frequent urging to stool, with pain in

the anus on account of the frequentpressing. 590: violent tenesmus. 593:several thin, yellow evacuations,accompanied by excessive prostration;the stools set in at every motion of thebody, as if the anus were wide open.598: copious discharges of dark brown,green and whitish excrements. 599:dysenteric stools. 608: blood andmucus with stool. 611 and 612: painfuland also painless diarrhœa, especiallyin the morning. 617: retention of stoolfor one week. 646: disagreeablesensation in the bladder, with pressingdownwards in the region of thesphincter, and frequent urging, so thathe voids urine frequently in the day-time, and ten or twelve times at night;

burning and cutting during urination.668: the urine is dark colored. 730:hoarseness and distress of breathing.733: roughness and sensitiveness in thelarynx. 738: violent cough, especiallyafter lying down and sleeping. 754:hurried and difficult breathing, withheat and headache. 803: sense ofsoreness, lameness, bruised andcontusive feeling in the chest. 812:trembling and pressure in the chest,with embarrassed breathing. 818: pulsescarcely perceptible. 822: pulseaccelerated. 833: swelling of thecervical glands on the injured side.968: extreme sensitiveness of thewhole body to contact, every hair ispainful when touched. 971: excessive

nervousness. 979: general lassitude,with trembling. 994: in the afternoonhe becomes extremely restless andexhausted. 1011: paroxysms of greatweakness. 1021: sudden weakness, hehad to lie down, and lost his senses.1025: complete loss of recollection,with vomiting, desire for sleep andrest, slow beating of the heart andscarcely perceptible pulse. 1032:excessive drowsiness. 1039: startingduring sleep, as if in affright, withsome cough. 1046: sleeplessness. 1047:restless sleep, frequent waking andconstant dreaming. 1064: chatteringduring sleep (in the case of a child).1081: chilly every afternoon at three orfour o'clock, she feels a shivering,

worse during warmth; chilly creepingsacross the back, the hands feel numb;an hour after, feverish heat, with roughcough, hot cheeks and hands, no thirst;these symptoms pass off gradually, butshe feels heavy and prostrated. 1089:chill after a heat of thirty-six hours.1090: sudden chilliness, afterwardsheat and sweat. 1124: alternate sweatand dry skin. 1198: thick urticaria,itching a great deal (very soon). 1224:swelling and erysipelatous redness. 54:unable to concentrate his thoughts. 57:dulness of the head, it feelscompressed. 62: vertigo and weakness.79: dizziness."

Whosoever compares the totality ofthese effects of Apis to the symptoms

of the prevailing abdominal typhus,will admit that Apis is homœopathic tothis disease. He will even admit thatthis homœopathicity of Apis toabdominal typhus extends to theminute particulars of the disease intheir totality. Even the course whichApis pursues, in developing its effectsin the organism, is similar to theprogressive development of typhus.Any one who has witnessed, as I have,the course which this disease pursues,will admit that mucous membrane ofthe alimentary canal is first affected bythe disease, in the same manner as Apisaffects it; that this irritation of themucous membrane is followed bygastric catarrhal symptoms, which are

speedily succeeded by symptoms ofdisintegration of the animal fluids andtyphoid phenomena; that the gastricirritation is generally characterized byboils, urticaria, erysipelas of the skin,and the nervous irritation by symptomsof abdominal typhus; that the internaland external development of thedisease is determined by a strikingsympathetic derangement of theorganic functions of the liver, and stillmore of the spleen, and likewise by amore striking prominence of theintermittent type of the fever; and thatall these varied disturbances finallyculminate in abdominal typhus.

Owing to this remarkable similarity,Apis will effect striking cures of all

these different derangements.

If, after more or less distinctly feltpremonitory symptoms—after asudden cold, excessive exertions,prostrating emotions or enjoyments—amore or less violent fever is developed,accompanied by dulness andpainfulness of the head, retching andvomiting, distention and sensitivenessof the pit of the stomach, and soonafter of the whole abdomen, withurging diarrhœa, pappy and foul tastein the mouth, loss of appetite andthirst, feeling of dryness in the mouthand throat, tongue sore, as if burnt andswollen, with antagonistic change ofsymptoms, suspicious andextraordinary prostration, and feeling

of fainting; a few spoonfuls of theabove-mentioned solution of Apis 3,will afford such speedy relief, that itmay seem incredible to those who havenot witnessed it. The nausea, thevomiting, the diarrhœa, and thepainfulness of the abdomen, disappear;quiet sleep sets in, with generalperspiration, which terminates thefever, and affords great relief; afterwaking, the patient is comforted by theinternal sensation of returning health; anatural appetite is again felt, thestrength returns, and in a few days thehealthy look of the tongue and buccalcavity shows that the mucousmembrane of the stomach and bowelshas recovered its normal quality. The

longer help is deferred, the longer timethe morbid process has had in makingits inroads upon the system, the morefrequently will it be necessary to repeatthe medicine, until a cure is achieved.

The same good result is perceived, ifthe morbid process is accompanied byfuruncles, urticaria, erysipelas—thelatter principally on the head and in theface, less frequently upon theextremities, and inclining to shift fromone place to another. Such acombination of symptoms not onlyshows a higher degree of intensity ofthe disease, but also shows that theorganism is still capable of battlingagainst the internal disease, bycompelling it to leave the interior

tissue, and to develop itself externally.It is the first business of the physicianto support the organism in thistendency, and to guard the brain andbowels from every destructive relapse.Apis, employed as above, accomplishesthis result more speedily than any otherdrug. Of course, a few days arerequired for this purpose, although therules of using the drug and the courseof treatment are the same.

The same observation applies to thenot unfrequent complication withorganic disease of the spleen andconsequent dropsy. Apis, used in thesame manner, effects, in as short aperiod as the intensity of the symptomswill permit, a mitigation and gradual

disappearance of the painfulness of thespleen, restores the normal action ofthe spleen more and more, andneutralises the tendency to dropsicaleffusion at the same time as it expelsthe accumulated fluid by increasing thesecretions from the bladder andbowels, and the cutaneous exhalation.

If the liver is organically diseased,Apis is no longer sufficient. In such acase, the action of the liver has first tobe restored to its normal standard. Indropsical diseases, I have effected thisresult most frequently, for years past,by means of Carduus mariæ, lessfrequently by Quassia, still lessfrequently by Nux vomica, and only ina few cases by Chelidonium: according

as one or the other of these agentsseemed indicated by the epidemiccharacter of the disease. In all non-malignant cases, if the medicine waspermitted to act in time, the wholedisease was often cut short by the useof these drugs, and the development oftyphoid symptoms prevented. Not,however, in all more inveterate cases,where the prevailing character of thedisease, by its more penetrating actionupon the tissues, induced a slower andmore threatening course ofdevelopment. As soon as the pains inthe right hypochondrium haddisappeared, the bilious quality of thefæces had been restored, and the urinehad become lighter colored, but the

fever still continued, tongue, throat, pitof the stomach and abdomen hadbecome more sensitive; the head dullerand tighter, and the prostration moreoverpowering. In such a case, Apis,prepared as above, becameindispensable, in order to remove alldanger to life. Its curative action soonbecame manifest in two different ways.

If the reactive force of the organismwas still sufficient, the medicinesucceeded very speedily in preventingthe supervention of the typhoid stage,in changing the fever-type from aremittent or even continuous to anintermittent type, during which theconvalescence of the patient, aided by asuitable diet, was more and more

firmly established and generallycompletely secured after the lapse of aweek.

If the typhoid stage could not beprevented and set in with the followingsymptoms: the patient lies on his bedin a state of apathy, with loss ofrecollection, sopor, muttering delirium,hardness of hearing, inability toprotrude the tongue or to articulate;dry, cracked, sore, blistered, ulceratedtongue; difficult deglutition; painfuldistention of the abdomen, which issensitive to contact or pressure;retention of stool, or else frequent,painful, foul, bloody, involuntarydiarrhœa; fermentous urine, which issometimes discharged involuntarily;

the skin is at times and partially dry,burning, at times and partially clammy,cool; trembling and twitching of thelimbs; white miliaria on the chest andabdomen; extreme debility, withsettling towards the foot-end of thebed; changing pulse, which is at timesslow, at others accelerated, feeble,intermittent: in such a case Apisrequires more time to heal the mucousmembrane of the alimentary canal; torestore the normal action of thebowels; to regulate the digestivefunctions; to procure quiet andrefreshing sleep, and to graduallyeffect a complete restoration of health.If the mucous membrane of therespiratory organs was invaded by the

morbid process, the cure wasnevertheless completed as soon as themucous lining of the intestinal canalwas restored to its natural condition.

So far, the only obstacle to a curewhich I have witnessed, has beentuberculosis of the chest or abdominalviscera, or of both at the same time,and still more the vaccine-virus;likewise a tendency to paralysis inpersons who were otherwise morbidlyaffected. Tuberculosis has often beencombated by a single dose of a highpotence of Sulphur between the dosesof Apis, no Apis being given after theSulphur, as long as the course of thetyphoid symptoms would render it safeto postpone this medicine. I have found

it much more difficult to conquer thevaccine-poison, which I have becomesatisfied by years of observation,constitutes the most universal and mostpowerful generator of the typhus whichis prevailing in our age and whichseems unwilling to leave us. Tartaremetic proves in this, as in other cases,its antidotal power against the vaccine-virus; but under no circumstances ismore caution required in the use oftartar emetic than in typhus, where thevaccine-virus seeks to develop itscharacteristic pustules with a tendencyinherent in each pustule to terminate inthe destruction of the mucousmembrane. It may seem hazardous toadd to this combination of destructive

forces another similarly-actingelement; but a careful consideration ofthe circumstances of the case willjustify such a proceeding, althoughdeath may be the inevitable result ofthe morbid process. Experience hassatisfied me that the alternate use oftartar emetic and Apis, a drop of thethird potency of each, every three, sixor twelve hours, according as thesymptoms are more or less violent, or,in very sensitive organisms, intablespoonful doses of a waterysolution of a drop, will accomplish allthat can be expected; for these twodrugs, thus administered, seem tocompensate or complete each other. Iam unable to say how far this

proceeding requires to be modified inparticular cases; all I desire to do, is tosubmit this important subject to mycolleagues for further inquiry and trial.

If a tendency to paralysis prevails,the danger is less threatening, althoughequally momentous. In such cases I useApis and Moschus in alternation,although I am unable to assert, onaccount of deficient experience, thatthis treatment will always provesatisfactory. Such cases hardly everarise under homœopathic treatment;and if they come to us out of the handsof allœopathic practitioners, theygenerally prove incurable.

If these three obstacles to a cure

appear combined, I have never found itpossible to effect any thing. All that Ihave found it possible to do, has beento prevent such a dreadful combinationby carefully attending to my patients inprevious diseases.

Sometimes in typhus, the affectionof the spleen shows itself again, evenafter recovery has fairly set in; theintermittent type again breaks forth,and recovery finally takes place, as theintermissions become more and moredistinct and lengthened. As long as theintermittent type continues, Apis has tobe given; the action of the spleenbecomes more and more normal, thefever paroxysms become shorter andless marked, and the restoration of

health is effected without any moretreatment than a single dose of Apis 30,one globule, which is permitted to actuntil the patient is well.

Observations of this kind, which Ihave made under the most diversifiedcircumstances, have taught me thatApis is the most sovereign remedy forall those morbid processes which wedesignate as intermittent fever.

The following symptoms indicatethe homœopathicity of Apis tointermittent fever:

"1081: every afternoon about threeor four o'clock she feels chilly,shivering, worse in warmth; a chilly

creeping along the back, the handsseem dead; in about an hour she feelsfeverish and hot, with rough cough, hothands and cheeks, without thirst; thesesymptoms pass off gradually, afterwhich she feels heavy and prostrate.1088: chilliness all over, recurringperiodically, with an undulatingsensation. 1089: chill after a heat ofthirty-six hours. 1090: suddenchilliness, followed by heat and sweat.499: loathing, with chilliness andcoldness of the limbs. 534: pains on theleft side, below the last ribs. 535:violent burning pain below the shortribs, on both sides, worst and mostpermanent on the left side, where itcontinues for weeks, preventing sleep.

577: enlargement of the abdomen, withswelling of the feet, scanty urine."

The provings of Apis show that thisdrug affects every portion of thenervous system—the cerebral, spinaland ganglionic nerves—and the processof sanguification, in the same generaland characteristic manner as is the casein fever and ague.

In comparing the symptoms of Apiswith those of any other known drug,there is no medicine that bears as closean affinity to fever and ague as Apis.Howsoever useful other remedies mayhave proved, in the treatment of feverand ague, they are only homœopathicto isolated conditions, in comparison

with Apis. In practice, it was oftenfound very difficult, even for the mostexperienced physician, to decide inwhich of these exceptional cases thespecifically homœopathic agent shouldhave been employed. Sometimes noproperly homœopathic remedy couldbe found, in which case the treatmenthad to be conducted in a round-aboutway.

All these difficulties have beeneffectually removed by Apis, and thetreatment of intermittent fever mayhenceforth be said to constitute one ofthe most certain and positiveachievements of the homœopathicdomain. For the last three years, duringwhich period I have experimented with

Apis, I have not come across a singlecase of intermittent fever that did notyield satisfactorily to Apis. I havetreated a pretty fair share of obstinateand complicated cases of this disease,and have, therefore, had an opportunityof testing the curative virtues of Apisin a satisfactory manner. Here are theresults of my observations:

Apis is the natural remedy for thepathological process which ischaracterized by periodical paroxysmsof chill, heat and sweat; the othermorbid symptoms being common tothis process, as they are to all otherdiseases.

All the symptoms which have

hitherto been observed in intermittentfever, will be found, with strikingsimilarity, among the provings of Apis.For a confirmation of this statement,we refer to Hering's AmericanProvings, and to Bœnninghausen'sEssay on Intermittent Fevers.

In making use of Apis in every formof intermittent fever, we not only act instrict accordance with thehomœopathic law generally, but wefulfil all the requirements of theindividualizing method. Apis is theuniversal remedy in intermittentfevers, for which every homœopathicphysician has been longing, and whichpure experiments, conducted accordingto the rules of homœopathy, have

revealed to us;—another shining lighton the sublime path of the healingartist!

The beneficent action of Apis, inintermittent fever, is still increased bythe fact that it prevents thesupervention of typhus,disorganizations of the spleen, dropsy,china-cachexia. In using Apis from thecommencement, all such consequencesare avoided, and if they should havebeen induced by different treatment,Apis removes them as speedily aspossible.

In all lighter cases, it is sufficient togive a drop of Apis 3, morning andevening, during the apyrexia, and to

continue this treatment until the attackscease; very often no other paroxysmsets in after the first dose; there arescarcely ever more than two or threeparoxysms. In a few days the cure isaccomplished, provided the action ofthe medicine is not disturbed.

In more obstinate cases, which hadbeen coming on for a longer period, orhad been caused by more noxiousinfluences, had lasted longer, hadinvaded the organism with moreintensity, or where the paroxysms lastlonger and the intermissions areshorter, or where two paroxysms occurin succession, or the life of theorganism is endangered by some causeor other,—the organism has to be

saturated with the medicine in theshortest possible period, in order toensure victory to the curative agent.Under these circumstances, we preparea solution of from two to four drops ofthe third potency in twelvetablespoonfuls of water, shake it wellin a closed bottle, and give atablespoonful of this solution everyhour. If the case should be urgent, wemay give a drop of Apis 3, on sugar,every three or six hours. This treatmentis to be continued until the patient isdecidedly better; after which themedicine should be discontinued. If theimprovement is not quite satisfactory,the last dose is continued several timesevery twelve or twenty-four hours,

after which the proper effect will havebeen obtained. If the progressiveimprovement of the patient should beattended with distinct morbidsymptoms, it would be injurious tocontinue the repetition of the drug.Nevertheless, a globule of Apis 30 maysometimes hasten the convalescence ofthe patient, and otherwise afford relief.Signs of reaction, even if more or lessviolent, should not deceive one. If leftto themselves, they are often andspeedily followed by a refreshing calm,and cannot be interfered with, as anaggravation of the symptoms, withoutdamaging the case.

These are all the rules which I haveso far been able to infer from my use of

Apis. Further experience will have todecide whether they apply to allperiods, or only to the prevailing typeof fever.

I am unable to say whether Apis willprove effectual against epidemicmarsh-intermittents, and if so, how theuse of it will have to be modified. Mayit please those, who can shed light onthis subject, to communicate theirexperience!

Two other exceptions to Apis, as auniversal febrifuge, have occurred tome in my practice: The development offever and ague in poisoned soil, andfever and ague complicated withChina-cachexia.

It is peculiar to intermittent fever toexcite the morbid germs which areslumbering in the organism. This ismore particularly true in reference topsora. In proportion to universality ofthe psoric miasm, fever and ague willdevelop and complicate itself withpsoric affections; and it is suchcomplications that give rise to theinveterate character of intermittentsand their disorganizing tendency.

In such cases, a cure cannot beeffected without some suitable anti-psoric. During the prevailing fever,Natrum muriaticum has proved such ananti-psoric, provided it was used asfollows: If the signs of psoriccomplication became visible at the

outset, I gave a pellet of Natrum mur.30, and awaited the result until afterthe third paroxysm. If symptoms ofimprovement had become manifest, noother remedy was given, and theimprovement was permitted toprogress from day to day. If the signsof psoric complication were obscure atthe beginning of the attack, Apis was atonce given. If no improvement becamevisible after the third paroxysm, or ifother symptoms developed themselves,this was looked upon as a proof of theexistence of psora, and Natrum mur. 30was given, and no other remedy, untilafter the third paroxysm. Either thedisease had ceased, or it requiredfurther treatment. In the latter case,

Apis 3 was continued in drop-doses,morning and evening, until the patientwas decidedly convalescent. No furthermedicine was given after this, and theNatrum mur. was permitted to actundisturbed, without a singlerepetition. Every such repetition ishurtful; it disturbs the curative process,excites an excess of reaction in theorganism, exhausts it, and developsartificial derangements, which oftenmislead the judgment, and induce anuncalled-for and improper applicationof remedial means. Such repetitions areunnecessary; any one who isacquainted with the action of Natrummur., will at once perceive that thepsora-destroying effect of this agent

had not been neutralized by Apis.Recovery becomes more and morecompletely established, and sometimesterminates in the breaking out of awide-spread, bright-looking eruption,resembling recent dry itch, andattended with the peculiar itchingwhich always exists in this disease. Thecomplete peeling off of the epidermisshows the true cause of the disease. Ina few cases, an itch-eruption of thiskind proved contagious, andcommunicated itself to other persons inthe family.

A similar course of treatment waspursued, if some other anti-psoric hadto be resorted to, according as one orthe other of the three miasms seemed

to require.

The thoroughness of this treatmentof intermittent fevers is proved by thefact, that no relapses ever took place,or that no secondary diseases wereever developed.

If these sequelæ were theconsequences of an abuse of Cinchona,and this China-cachexia was the sourceof subsequent paroxysms of fever, Ihave, even in such cases, when nothingelse would help, seen Apis cure boththe fever and the China-cachexia, inmost cases which came under mytreatment. In the most inveterate cases,which had perhaps been mismanaged invarious ways, and where the reactive

power of the organism seemed entirelyprostrated, I found it necessary toresort to the employment of a mostpenetrating agent, more particularly the5000th potency of Natrum muriaticum,which I have so far found the onlysufficiently powerful curativeinfluence under the circumstances. Therules of administering this potency arethe same as those for the exhibition ofthe 30th.

Not only does Apis afford help in theaffections which habitually and mostgenerally occur among us; it islikewise in curative rapport with the

TYPHOID-GASTRIC CONDITIONS WHICH

DEVELOPE THEMSELVES DURING THE COURSE OF

AN ERYSIPELATOUS OR EXANTHEMATOUS

CUTANEOUS AFFECTION, MORE PARTICULARLY

SCARLATINA, RUBEOLA, MEASLES ANDURTICARIA.

The use of Apis in erysipelas isindicated by: "Nos. 168, 169: greatanxiety in the head, with swelling ofthe face; inflammatory swelling andtwitching so violent, that an apoplecticattack is dreaded. 175 to 178: sensationas if the head were too large; swellingof the head; sensitiveness to contact onthe vertex, forehead; burning, stingingabout the head. 292: erysipelatousinflammation of the eyelids. 295: afterthe most violent pains of the right eye,a bluish, red, whitish swelling of botheyes, which were closed in

consequence. 297: swelling under theeyes during erysipelas, as when stungby a bee. 316: red swelling of bothears, with a stinging and burning painin the swelling, with redness of the faceevery evening. 356: erysipelasspreading across the face, andproceeding from the eyes. 359: tensionin the face, awakening her about oneo'clock, the nose was swollen, so werethe right eye and cheek, stinging painwhen touching the part; under the righteye, and proceeding from the nose, redstreaks spread across the cheek, untilfour o'clock; next day, after midnight,sudden swelling of the upper lip, withheat and burning redness, continuinguntil morning; on the third night,

sudden crawling over the right cheek,with stinging near the nose, after whichthe cheek and upper lip swelled. 363:face red and hot, with burning andstinging pain, it swells so that he is nolonger recognized. 388: pimple in thevermilion border of the lower lip,which he scratches, after which anerysipelatous swelling arises, spreadingrapidly over the chin and the lower jaw,and invading the anterior neck and theglands, so that he is unable to move thejaws, as during trismus, or as if theligaments of the jaws were inflamed;with constant disposition to sleep, thesleep being interrupted by frightfuldreams. 706 to 707: swelling of theright half of the labia, with

inflammation and violent pain, rapid,hard pulse, diarrhœa consisting ofyellow, greenish mucus, in the case ofa girl of three years old; deeply-penetrating distress, commencing inthe clitoris and spreading to the vagina;the labia minora are swollen, they feeldry and hard, they are covered with acrust; at the commencement urinationis painful. 948: burning of the toes, anderysipelatous redness with heat at acircumscribed spot on the foot, theremainder of the foot being cold. 1167,1168: acute pain and erysipelatousswelling, hard and white in the centre;bright red, elevated, hard swelling ofthe place where he was stung, andround about a chilly feeling. 1170-

1173: red place where he was stung,with swelling and red streaks along thefingers and arm; red streaks along thelymphatic vessels, proceeding from thesting along the middle finger and arm;inflammatory swelling, spreading allaround. 1181: throbbing in theswelling. 1182: wide-spread cellularinflammation, terminating inresolution. 1224, 1225: swelling anderysipelatous redness; erysipelatousredness of the toes and feet."

If we add to these remarks, that Apiscorresponds to gastric and typhoidconditions, as was shown before, withremarkable similarity of symptoms, wefind, without doubt, that all knownerysipelatous forms of inflammation

are covered by the pathogenetic effectsof Apis. Hence we may with proprietygive Apis in these affections. Practicalexperience has abundantly confirmedthese conclusions. For the last fouryears, I have cured readily, safely andeasily all forms of erysipelas whichhave come under my notice—œdematous, smooth, vesicular, light ordark colored, seated or wandering,phlegmonous, recent or habituallyrecurring, of a light or inveteratecharacter, repelled, among individualsof every disposition and age. I havenever seen all kinds of pain yield morereadily; I have never seen theaccompanying fever abate morespeedily; I have never arrested the

further spread of erysipelas, noreffected a resolution of theinflammation of the cellular tissue,more certainly; nor, if the terminationin suppuration was no longeravoidable, have I ever succeeded ineffecting the formation of laudable pus,the spontaneous discharge of the pus,the radical healing of the sore withoutany scar—how important is all this inerysipelatous inflammation of themammæ—with more certainty andthoroughness, than by means of Apis!No remedy possesses equal powers inprotecting internal organs from thedangerous inroad of this disease.

I effected all this without any othermedicinal aid, or without resorting to

an operation. Keeping quiet and dry,and in a uniform temperature, is allthat is required, in order to secure thefull curative action of Apis. In thisdisease it is used in the same manner aswe have indicated before. If the livershould be very much involved in thisdisease, we effect a cure still morerapidly, by alternating Aconite withApis, in case inflammation is present;Carduus mariæ, in case of simpleinflammatory irritation, and Hepatin, ifdisorganizations have already set in. Inphlegmonous and suppurative habitualerysipelas, a cure is generallyfacilitated, if a dose of Sulphur 30 isinterpolated, in the manner which wehave explained before, in order to

neutralize the psoric taint which is heregenerally present.

According to this experience, inconjunction with the symptoms 706,707, I believe that Apis will prove asuccessful prophylactic and curativeagent in a disease of children, whichterminates fatally in almost every case.I mean erysipelas of new-born infants,which commences at the genitalorgans, thence spreads over the skin,and terminates in the induration anddestruction of this organ. Until now, Ihave not had an opportunity ofverifying the truth of this theoreticalconclusion by actual experiments.Hence I content myself with offeringthis suggestion for further practical

trials.

The American Provings likewiseshow that Apis may be of great use inscarlatina.

"No. 349: redness of the face, as inscarlatina. 408 to 413: tongue verypainful, the burning and raw feelingincreases; vesicles spring up along themargin of the tongue, the pains areaccompanied by stitches; at the tip ofthe tongue, toward the left side, a rowof small vesicles spring up, some six oreight, which are very painful and sore;dryness of the tongue, red and fieryappearance of the inside of the cheeks,with painful sensitiveness. 311: painsin the interior of the right ear. 413 to

417: burning at the upper portion of theleft ear; stitches under the left ear,tension under and behind the ears; redswelling of both ears, with a stingingand burning pain in the swelling. 462 to463: difficulty of swallowing, stagingpains when swallowing. 466: burningin the fauces down to the stomach. 470:difficulty of swallowing inconsequence of redness and swelling ofthe tonsils. 473: ulcers in the throatduring scarlet fever. 1236: scarlatinadoes not come out, in the place ofwhich the throat becomes ulcerated.1237: retrocession of scarlatina, violentfever, excessive heat, congestion of thehead, reddened eyes, violent delirium.832: redness and swelling in front of

the neck, swelling of the glands. 833:swelling of the cervical glands on theinjured side. 836: tension on the rightside of the nape of the neck, below andback of the ear. 897, 898: itching andburning of the dorsum of the hand andof the knuckles and first phalanges;cracking of the skin here and there;itching and chapping of the hand andlower lip."

If we add to these symptoms theabove enumerated cerebral symptoms,the typhoid alteration of the internalmucous membrane of the wholealimentary canal and of the respiratoryorgans, the disorganizing andparalyzing action upon the blood andnerves, the inclination to dropsical

effusion, the affection of the cervicalglands with tendency to suppuration,the appearance of otorrhœa,—we havea group of symptoms which resemblevery accurately the prevailing type ofepidemic scarlatina. I know, fromabundant experience, that thehomœopathic law has been brilliantlyconfirmed in this disease. Thanks tothe curative powers of Apis, scarlatinahas ceased to be a scourge tochildhood. The dangers to whichchildren were usually exposed inscarlatina, have dwindled down to one,which fortunately is a comparativelyrare phenomenon. It is only where thescarlet-fever poison acts at the outsetwith so much intensity, that the brain

becomes paralyzed at once, and thedisease must necessarily terminatefatally, that no remedy has as yet beendiscovered. In all other cases, unlesssome strange mishap should interfere,the physician, who is familiar withApis, need not fear any untowardresults in his treatment of scarlatina.

In all lighter cases, where the diseasesets in less tumultuously, and runs amild course, it is proper, as soon as thedisease has fairly broken out, to give aglobule of Apis 30, and to watch theeffects of this dose withoutinterference. The immediateconsequence of this proceeding, is tobring the eruption out in a few hours,all over the skin, with abatement of the

fever and general perspiration, afterwhich the eruption runs its course in afew days, with a progressive feeling ofconvalescence, the epidermis peels offfrom the third to the fifth day, and, atthe latest, to the seventh day, withcessation of the fever, so that theprocess of desquamation is generallyterminated within the next seven days,after which the patient may be fairlysaid to be convalescent, and the patientmay be said to be absolutely freed fromall danger of consecutive diseases.

The same result is obtained bynature in cases of mild scarlatina,without the interference of art. But theexperience which I have had anopportunity of making during my long

official employment as district-physician, has convinced me thatNature accomplishes her end far moreeasily, more speedily andsatisfactorily, if assisted by art inaccordance with the law ofhomœopathy. The sequelæ especiallyare rendered less dangerous by thismeans.

But if the disease sets in with aconsiderable degree of intensity at thevery outset, and the fever continueswithout abatement, it is advisable tokeep up a medicinal impression byrepeating the dose. To this end wedissolve a globule of Apis 30, in sevendessert-spoonfuls of water, by shakingthe solution vigorously in a corked

vial, and giving a dessert-spoonfulevery three, six, or twelve hours as thecase may require. In all ordinary casesa single solution of this kind sufficedto subdue the fever and to secure afavorable termination of the disease.

The struggle between disease andmedicine assumes a far different form,if the morbific poison has penetratedthe organism more deeply; if a processof disorganization has alreadydeveloped itself in the intestinalmucous membrane, and if thealteration of the sanguineous fluid,which is an inherent accompaniment ofsuch a disorganizing process, hasdepressed the nervous activity to such adegree that typhus, or paralysis of the

brain or lungs seems unavoidable, asmay be inferred from the bright-redtongue, which is thickly studded witheruptive vesicles, and speedilybecomes excoriated, fissured andcovered with aphthæ; by a copiousdischarge of thick, white, bloody andfetid mucus from the nose; by theswelling and induration of the parotidglands, increasing difficulty ofdeglutition; sensitiveness of theabdomen to pressure; badly-colored,slimy, bloody diarrhœa; scantyemissions of turbid, red, painful urine;accelerated and labored breathing; lossof consciousness; delirium; sopor;convulsions; trembling of the limbs;appearance as if the patient were lying

in his bed in a state of fainting; the skinis at times burning, hot and dry; atothers it feels like parchment, cooler;at others again, hot and cool together inspots; the fever increases withchanging pulse, and is more constant;in short, all the symptoms, althoughdeveloping themselves less rapidly,show that a fatal termination becomesmore and more probable. In such a caseit is above all things necessary tosaturate the organism with Apis. Ifthere is much fever, this result is bestaccomplished by means of alternatedoses of Aconite and Apis, a few dropsof the third potency, shaken togetherwith twelve tablespoonfuls of water,each drug by itself, the dose to be

repeated every hour; and if thetemperature is rather depressed, bygiving Apis without the Aconite, atablespoonful every hour or two hours.In favorable cases the fever becomesmore remittent within one to threedays; a moderate and pleasantperspiration breaks out all over theskin; the sleep becomes calm andnatural, and the typhoid symptomsabate. If this change takes place, it isproper to exhibit Apis in a moredynamic form, in order to assimilate itmore harmoniously to the newlyawakened reactive power of theorganism. To this end we dissolve afew globules of Apis 30 in sevendessert-spoonfuls of water, giving a

dessert-spoonful morning and evening,and we continue this treatment, untilthe symptoms of typhoid angina havegradually abated, the tongue has beenhealed, the normal desire for food hasreturned, and the digestive functions goon regularly; after which the naturalreaction of the organism, assisted bycareful diet, will be found sufficient tocomplete the cure. If no improvementsets in after Apis has been used forthree days, we may rest assured that apsoric miasm is in the way of a cure,which requires to be combated withsome anti-psoric remedy. I havegenerally found Kali carbonicumefficient, of which I gave one globulethirty on the fourth day of the

treatment, permitting it to actuninterruptedly from one to three days,according as the disease was more orless acute, after which I again exhibitedApis in the manner previouslyindicated. In this way I succeeded indeveloping the curative powers ofApis, so that in a few days a gradualimprovement, however slight, becameperceptible to the careful observer. Assoon as the improvement is wellmarked, all repetition of the medicineshould cease, and the natural reactionof the organism should be permitted tocomplete the cure. Any one who isacquainted with the action of the Kali,must know that it continues withoutbeing interrupted by Apis. An

invaluable blessing of Nature!

This proceeding is crowned with thedesired results; the convalescence isshorter and easier, and there is lessdanger of serious sequelæ, which,according to all experience, are socommon in complicated cases ofscarlatina, otorrhœa and suppuration ofthe parotid glands are generallyavoided under this treatment withoutany other aid, or, if it is impossible toavert such changes, they generallycome to a speedy and safe end. Thistreatment likewise keeps off dropsyand its dangers.

In cases where the secretion of blackurine shows that the liver is deeply

involved in the disease, Apis ispowerless. These are the onlyexceptions to the curative power of thisdrug. Here we are told by our law ofcure, that the sphere of Lachesiscommences. We give one or twoglobules of Lachesis 30 in sevendessert-spoonfuls of water, a dessert-spoonful every twelve hours, and inacute cases every three hours; and thegood effects of the medicine mustseem miraculous to one who is notaccustomed to this mode of treatingdiseases. Already in a few hours thepatient becomes tranquil, showing thatthe process of disorganization has beenarrested; the improvement continuesfrom hour to hour; the sleep becomes

more tranquil; the cutaneoussecretions, and those of the bowels andkidneys, become more active; after thelapse of one, or at most two days, theurine begins to look clearer and lighter-colored, and in about three days areturn of the natural color of the urineshows that the functions of the liver arerestored to their normal standard; thepatient is able to do without any furthermedical treatment, and the naturalreaction of the vital forces will befound sufficient to effect a cure.

If I have not mentioned theaffections of the kidneys, which maybe present in this disease, it is becauseI have become satisfied by years ofexperience, that they constitute

secondary affections in scarlatina, andthat we should commit a great error ifwe would draw conclusions regardingthis point from post-mortemphenomena.

Nobody who has observed theresemblance, at any rate, during thepresent epidemic, between

RUBEOLA

and scarlet-fever, will deny that theremarks which we have offeredconcerning this latter disease, likewiseapply to rubeola. In

MEASLES,

likewise, Apis will prove a curativeagent.

In the American Provings, Apis isindicated in this disease by thefollowing symptoms: "No. 1103, heatall over; the face is red as in scarlatina;eruption like measles; cough anddifficult respiration as in croup;muttering delirium; 1211, superficialeruptions over the whole body,resembling measles, with great heatand a reddish-blue circumscribed flushon the cheeks; 1218, measle-shapederuption."

If we add to these symptoms thepeculiarity inherent in Apis, to causecatarrhal irritations of the eyes, such asoccur during measles, we have a rightto infer that Apis will prove a valuableremedial agent in measles.

Although common mild measles donot require any medicinal treatment,and generally get well without anyprejudice to the general health;nevertheless, cases occur where intenseophthalmia, a violent and rackingcough, and the phenomena whichappertain to it; an intense irritation ofthe internal mucous membrane;diarrhœa; dangerous prostration ofstrength; marked stupefaction andvarious nervous phenomena render the

interference of art desirable. In all suchcases, I have seen good effects fromthe use of Apis, which differed not onlyfrom the regular course of the disease,but likewise from the effects whichhave been witnessed under theoperation of other medicines. Inordinary cases, and without treatment,it takes three, five, seven and elevendays, before the eyes get well again;but under the use of Apis, the eyesimprove so decidedly in from one tothree days, that the eyes do not requireany further treatment; and that eventroublesome sequelæ, such asphotophobia; styes which come and go;troublesome lachrymation; continualredness; swelling and blennorrhœa of

the lids; fistulæ lachrymalis, etc., neednot be apprehended.

If Apis has had a chance to exerciseits curative action in a case of measles,we hear nothing of the troublesome,and often so wearing and rackingcough, which so often prevails inmeasles, and the continuance of whichis accompanied by an increasedirritation and swelling of therespiratory mucous membrane and anincreasing alteration of its secretion,which recurs in paroxysms, assumes asuspicious sound, shows a tendency tocroup and to the development oftuberculosis, and finally degenerates inwhooping-cough, so that epidemicmeasles and whooping-cough often go

hand in hand. After Apis, the coughspeedily begins to become looser andmilder, to loose its dubious character,and to gradually disappear withoutleaving a trace behind. If these resultsshould be confirmed by furtherexperience, we would have attainedadditional means of preventing thesupervention of whooping-cough inmeasles; a triumph of art and sciencewhich should elicit our warmestgratitude.

Any one who knows, how malignantmeasles, unassisted by art, areaccompanied by deep-seated irritationof the mucous membrane of thestomach and bowels; how they lead todiarrhœa; to sopor; how they threaten

life by long-lasting and troublesomeputrid and typhoid fevers; and how, ifthey do not terminate fatally, theyresult in slow convalescence, andsometimes in chronic maladies for life,will admit, on seeing the diarrhœacease; on beholding the quiet sleepwhich patients enjoy; the pleasant andgeneral perspiration; the return ofappetite; the increase of strength, andthe complete disappearance of allputrid and typhoid symptoms, that Apishas indeed triumphed over the disease.

The following simple proceedingwill secure such results: As soon as thefever has commenced, we prepare theabove-mentioned solution of Aconite,of which we give a small spoonful

every hour. If, after using the Aconite,the eruption breaks out and the feverabates, no further medication isnecessary. If fever and eruption shouldrequire further aid, Apis is to be given,one or two globules of thirtieth potencyin seven dessert-spoonfuls of water,well shaken, a dessert-spoonfulmorning and evening; or, if the diseaseis very acute, every three hours, whichtreatment is to be continued until animprovement sets in, after which thenatural reaction of the organism willterminate the cure.

Sequelæ seldom take place after thiskind of treatment; this is undoubtedlyan additional recommendation for theuse of Apis. Until this day I have never

seen a secondary disease resulting frommeasles. Nevertheless, such sequelæwill undoubtedly occur, for it ischaracteristic of the measle-miasm, torouse latent psoric, sycosic, syphiliticand vaccinine taints, which afterwardsrequire a specific anti-psoric treatment.Nevertheless, sequelæ will certainlyoccur less frequently after the use ofApis, for which we ought to bethankful. In

URTICARIA ANDPEMPHIGUS

Apis will likewise afford speedy and

certain help.

Many symptoms in the AmericanProvings confirm this statement. Moreparticularly 1198 to 1210, and 1232 to35: "very soon thick nettle-rash overthe whole body, itching a good deal,passing off after sleeping soundly;violent inflammation and pressure overthe whole body; friction brought outsmall white spots resemblingmusquito-bites; suddenly anindescribable stinging sensation overthe whole body, with white and redspots in the palms of the hands, on thearms and feet; her Whole body wascovered with itching and burningswollen streaks, after which the othertroubles disappeared; swelling of the

face and body; the parts are coveredwith a sort of blotches somewhat palerthan the ordinary color of the skin;eruption over the whole bodyresembling nettle-rash, with itchingand burning; nettle-rash in many cases;spots on the nape of the neck andforehead, resembling nettle-rash underthe skin; consequences of repelledurticaria; whitish, violently itchingswellings of the skin, on the head andnape of the neck, like nettle-rash; afterthe rash disappeared, the whole of theright side was paralyzed, with violentdelirium even unto rage; after takingApis the eruption appeared inabundance, and the delirium abated."

These provings have been

abundantly confirmed by my ownexperience. The use of Apis in theseeruptions has been followed in myhands by the most satisfactory results;and I feel justified in recommendingApis as a most efficient remedy inthese diseases, which are still wrapt ina good deal of obscurity. An additionalsource of satisfaction to have obtainedmore means of relieving humansuffering. The experienced Neumanwrites, in his Special Therapeutics, 2dEdit., Vol. I., Section 2, p. 681, abouturticaria: "Howsoever unimportant asingle eruption of urticaria may be, itbecomes disagreeable and troublesomeby its constant repetition, which is notdangerous, but exceedingly disturbing.

It would be desirable to be acquaintedwith a safe method of curing thiseruption, but so far, it has been soughtfor in vain." The same physician,speaking of pemphigus, writes in thesame place, that its etiology, prognosisand treatment, are still very dubious;that it leads to extensive chronicsufferings, and often terminates fatally;and that no specific remedy is knownfor this disease. The more frequentopportunities we have of observingboth these diseases in differentindividuals, the more frequently weobserve them in conjunction withserious chronic maladies characterizedby some specific chronic miasm, or inconjunction with the most penetrating

and disturbing emotions, such as frightand its consequences; the morefrequently we observe the suddenappearance and disappearance of suchpustules, alternating withcorresponding improvements orexacerbations in the internal organism,where we have to look on utterlypowerless, as it were, the more uneasydo we feel at the mysterious nature ofthis malady, which, during the periodof organic vigor, seems to be a sort oftrifling derangement, somewhat likeurticaria, but which, as the vitalenergies become prostrated by age,becomes more and more searching andtormenting, breaks forth again andagain, exhausting the vital juices and

leading irresistibly to a fataltermination; a result which isparticularly apt to take place during oldage, although I have likewise observedit, but rarely, among new-born infants.

These developments lead us tosuspect that urticaria and pemphigusare identical in essence; this fact isrichly substantiated by thehomœopathic law which furnishesidentical means of cure for either ofthese affections. In either case, if thevital forces are prostrated, and thesensitiveness of the organic reaction isconsiderable, one pellet of Apis 30,and, if there is considerable resistanceto overcome, two pellets shaken withsix dessert-spoonfuls of water, a

spoonful night and morning, is all thatshould be done, after which, all furthertreatment should be discontinued aslong as the improvement continues orthe skin remains clear from alleruptions. If the improvement cease orthe eruption should reappear, we havein the first place to examine whetherthe improvement will not speedilyresume its course, or whether theeruption does not show itself morefeebly than before, or if the cure is notevidenced by some other favorablechange. In the former case themedicine should be permitted to actstill further; in the latter case, anotherdose of Apis 30 should be given, afterwhich the result has to be carefully

watched. In all benign cases, moreparticularly if no other means oftreatment had been resorted to before,this management will suffice. If thisshould not be the case, if the eruptionshould appear again, we may restassured that a psoric miasm lurks in theorganism, and that an anti-psorictreatment has to be resorted to. Thebest anti-psoric under thesecircumstances, is Sulphur 30, onepellet, provided this drug has not yetbeen abused; or Causticum 30, onepellet, if such an abuse has taken place.Syphilis may likewise complicate thedisease, in which case Mercurius 30,one pellet, may be given; or, ifMercury had been previously taken in

excessive doses, Mercurius 6000, oneglobule.

After one or the other of theseremedies, the symptoms should becarefully observed without doinganything else, with a view of institutingwhatever treatment may afterwards benecessary, we wind up the treatmentwith another dose of Apis 30, onepellet, after which, the organic power ispermitted to complete the cure. Theresult is, that the most difficult andcomplicated cases yield perfectly tosuch treatment, which is based uponthe strictest scientific principles.

FURUNCLES ANDCARBUNCLES

are likewise cured by Apis in thespeediest and easiest manner.

We find the following symptomaticindications in the American Provings:"682, painful pimple, suppurating inthe middle, with red areola; painfullike a boil, in the hairy region on theleft side above the os pubis, continuingpainful for several days; 1196,furuncles with stinging pains; 844, 845,violent, stinging, burning pain at asmall spot on the left side, in the lowerregion of the nape of the neck; also onthe back part of the head; swelling atthe nape of the neck, so that the head ispressed forward towards the chest;1222, dark bluish-red painfulswellings, with general malaise; 1167,

acute pain and erysipelatous swelling,very hard and pale in the centre."

Apis has been a popular remedy forboils from time immemorial; thepeople have been in the habit ofcovering boils with honey, moreparticularly honey in which a bee hadperished.

Apis, homœopathically prepared, isbetter adapted to such an end thanhoney. A few drops of Apis 3, shakenwith twelve tablespoonfuls of water, atablespoonful of this solution everythree hours, generally relieves the painin a short period, promotessuppuration, effects the discharge ofthe decayed cellular tissue, and a

speedy cure of the furuncle.

If furuncles incline to becomecarbunculous, the ichorous matter isspeedily changed to good pus, and alldanger is averted.

In a case of carbuncle thegangrenous disorganization of the skinand cellular tissue becomes very soonconfined to a small spot; the dead partsare separated from the living tissues;the fever is hushed; thedisorganizations which it threatens areaverted; a healthy suppuration isestablished throughout the gangrenouspart, detaching and removing alldecayed matter, and replacing the lossof substance by new granulations until

the sore becomes cicatrized in such ahardly perceptible manner, that any onewho is acquainted with the ravages ofthis disease, and is in the habit ofseeing deep and disfiguring cicatrizes,even in the most successful cases, isdisposed to deny the fact that such anintensely disorganizing process hasbeen going on in this instance. No otherremedial means are required, much lessa surgical operation.

Inasmuch as carbuncle is generallypreceded for a longer period by a deep-seated feeling of illness in theorganism, showing that the psoricmiasm pervades the tissues, itbehooves us, in order to secure all thebetter a favorable result, to give a dose

of highly-potentized Sulphur at thevery outset of the disease. After havingused the first portion of Apis, a globuleof Sulphur 30 or 6000 may beinterposed, the former in all caseswhere no Sulphur had been used, andthe latter in cases Sulphur had beenused in large doses. We permit such adose to act for twenty-four hours, afterwhich Apis is resumed, and continuedaccording to the above stated rule.

Sulphur should likewise be given inall cases where the furuncles reappearat different periods. Such areappearance of the eruption, after ithad once been cured by Apis, showsthat a psoric taint pervades theorganism which it is absolutely

necessary to meet with specificcounter-acting remedies.

The more frequently we meet suchdifficult complications, and see withour own eyes their successfultreatment, the more we learn toappreciate the fact, that Apis cures to acertainty the most dangerous affectionsof this kind, and that the anti-psoricremedy corrects at the same time theprimary degeneration of the tissues,without either interfering with theoperations of the other drug, on thecontrary, by assisting each other. In

PANARITIA

Apis proves the same invaluableremedy.

Genuine panaritia only spring up inpsoric ground, and in regard to extentand intensity of development, dependaltogether upon the existing psorictaint. Hence it is indispensable toextinguish this taint by appropriateremedies. This is most effectuallyaccomplished by at once givingSulphur, the most powerful of our anti-psorics. Sulphur seems to attack theevil at its very foundation, and we feelperfectly satisfied with its action,except that we would like to hasten thecourse of the disease still more, inorder to abbreviate the torturesinherent in this malady. This result is

most certainly accomplished by meansof Apis.

If panaritia are the result ofexcessive doses of Sulphur, Apis meetsour case perfectly. In hundreds of casespanaritia spring up and will continue tospring up from such a source, as longas the world continues to live indarkness, and to reject the rays of truthwhich the genius of Hahnemann hassent forth among the benightedunderstandings of his fellow beings.Notwithstanding Hahnemann'steachings concerning the medicinalpower of Sulphur, which the world hasnow been in possession of for years,and which the most thoughtful mindshave accepted as a truth, the true friend

of man has still to weep over thequantities of Sulphur which allapothecaries sell to any one at hisoption; hæmorrhoidal patients continueto swallow Sulphur from day to day;almost every body, from the child up tothe old man, who is affected withcatarrh, swallows the so-termedpulmonary powders which containSulphur, and of which relief isexpected; whole legions repair everyyear to the Sulphur Springs; young andold use sulphur-baths at home; all overthe world, the itch, which is a verycommon disease, is removed by meansof a sulphur ointment, &c. One of theevil consequences of this ignorance,which particularly oppresses the

laboring class, is the artificialdevelopment of panaritia; the morefrequently these occur, the morenecessary it is to employ speedy andsafe means for their extermination. Insuch a case we can no longer dependupon Sulphur, of which we cannotpossibly know how far it has alreadypoisoned the organism, and to whatextent it may still be able to rouse areaction; in which case, even those whoknow, may be led to make dangerousmistakes. In all such cases Apis is ofthe best use to us; it is even sufficientto arrest the disorganizing process, andto bring about a satisfactorilyprogressing cure.

The curative indications contained in

the "American Provings," have beenconfirmed by my own experience. Weread in Nos. 903-911, "the phalangealbones are painful; burning jerking, likea stitching, contracting sensation, inthe right numb, from without inwards;drawing pains reaching the extremitiesof the fingers; distinct feeling ofnumbness in the fingers, especially inthe tips, around the roots of the nails,with sensation as if the nails wereloose, and as if they could be shakenoff; burning in the tips of fingers, asfrom fire; fine burning stinging in thetips of the fingers; burning around ahang-nail, on the outside of the fourthfinger of the right hand, with paininternally, without redness and without

aggravation from pressure, withcontinual burning in the tip; swellingof the fingers, which remained painfulfor several days; 915, blister at the tipof the right index, discharging a bloodyichor when opened, and afterwards amilky pus, with violent burning,throbbing, and gnawing pains,continuing to spread for two days."

From all this we deduce the highlyimportant practical rule: In a case ofwhitlow, first ascertain whether andhow far Sulphur has been abused by thepatient. Unfortunately the non-abuse ofSulphur is an exception to the rule,whereas the abuse of Sulphur is quitecommon even in our age. Would that inthis respect the ancient darkness might

yield to the new light.

In case Sulphur had been abused bythe patient, we mix a few drops of Apis3 in twelve tablespoonfuls of water,giving a tablespoonful every hour, orevery two or three hours, according asthe pains are more or less violent. Thistreatment has to be continued until thepains cease. They cease either becausethe inflammation has been dispersed,and the morbid process is terminated,or else a healthy suppuration has beenset up, so that the swelling willdischarge of itself, and a cure will beeffected as speedily as the nature of thepanaritium will admit. In either casethe medicine need not be repeated, andthe organic reaction will be sufficient

to complete a cure without theinterference of surgery. A simple breadand milk poultice may be used assoothing palliative, especially if theexternal skin is of a firm, hard texture.Resolution may be depended upon inevery case, where Apis has beenresorted to in time. A healthysuppuration will always set in after theexhibition of Apis, provided Sulphur ora psoric taint do not gain theascendancy. If the Sulphur miasmgains the ascendancy, there will be nomarked improvement during the firstdays of the treatment. In such a case wehave at once to resort to a very highpotency of Sulphur. A single globule ofSulphur 6000 would frequently

ameliorate the worst aspect of the caseas by a miracle, after which a few moredoses of Apis 3, a drop morning andevening, would so improve thesymptoms, as to render all furthermedication unnecessary.

If the psoric miasm should be thecause of the retarded improvement, asmay easily be determined by thepredisposing circumstances of the case,and if no Sulphur should have beenadministered previously, it is expedientto discontinue the use of Apis, and to atonce exhibit a globule of Sulphur 30,which may be allowed to act fortwenty-four hours, after which Apis isto be resumed in the same manner,until a cessation of the pain manifests

the cure of the disease.

These explanations likewise pointout the true course to be pursued, incase we should at the outset find that awhitlow owes its existence to thepsoric miasm.

Ever since homœopathy has enabledus to treat this dreaded affection withpositive and specific remedies in amost satisfactory manner, the horriblepains which characterize this trouble,and the mutilations to which it sofrequently leads, only exist in quarterswhere egotism, the love of lucre andthe absence of all conscientiousnessprevents physicians from inquiring intothe merits of our superior mode of

treatment. Is not this unpardonablywicked?

SPONTANEOUS LIMPING

is another affection which we cure withApis.

This disease which causes so muchdistress in life, is likewise, in itsessential nature, an outbirth of psora,and, as regards its local character andits effects upon the constitution of thepatient, it seems to be characterized bythe same inflammatory and suppurativeprocess as whitlow, and be endowedwith a similar tendency to organic

destruction. In the American Provings,symptom 917, "Painful soreness in theleft hip-joint, immediately after takinga dose of Apis 2, afterwards debility,unsteadiness, trembling in this joint,"is the only symptom that seems toindicate the curative power of Apis inthis distressing malady. Whatexperienced physician has not oftenseen the hip show such symptoms ofdisease, particularly after violentfrights and anguish? Who has not seenblows on the back and nates, by way ofpunishment, attended with suchconsequences? Who has not seencoxarthrocace develope itself duringthe course of a severe cerebral disease,scarlatina or typhus, where the patient,

on suddenly awakening toconsciousness from a state of stupor, ismade sensitive of the presence of thisinsidious disease, perhaps already fullydeveloped? Since I have used Apis, Ihave never had to deplore suchsaddening results.

According to my observation, wemay regard Apis as a specific remedyfor spontaneous limping; every newtrial confirms me in this statement.Apis may be depended upon as acapital remedy in every stage of thisdisease, as long as the psoric miasm iskept in the background; but as soon asthe psoric taint is fully developed, asuitable anti-psoric has to be given inalternation with Apis. My experience

has led me to prefer Kali carbonicumto all other anti-psoric remedies in thisdisease. But inasmuch as the keenestobserver may overlook the rightmoment when the psoric poison beginsto operate, it is well to forestall theenemy at the very commencement,which may be done with the morepropriety, the more certainly we knowthat these two remedies, Apis and theanti-psoric, not only not counteract, butmutually support each other from thebeginning to the end of the treatment.After many experiments, I have hitupon the following course as the mostproper:

If the limping, as is often the case inthe severest forms of the disease, sets

in gradually, almost imperceptibly andwithout much pain, I give at once aglobule of Kali carbonicum 30. As ageneral rule, this one dose is sufficientto arrest the further development of thedisease, and to award all danger socompletely, that one, who isunacquainted with the nature of themalady, feels disposed to assert that itnever existed. But if the pains continue,and are accompanied with fever, Iresort to Apis 3, after Kali had beenallowed to act for a day or two, mixinga drop in twelve tablespoonfuls ofwater, and giving a dose every hour, orevery two or three hours, according asthe pains come on more or lessfrequently. This treatment is continued

until the patient is quieted, after whichthe two remedies are permitted to actwithout any further repetition of themedicine.

If the inflammation of the joint setsin suddenly and with a violent fever, asis often the case after violentcommotions, castigations, etc., weprepare a solution of Aconite in thesame manner as the Apis, and givethese two medicines in alternatetablespoonful doses every hour. Afterthese two solutions are finished, andthe first assault of the disease has beencontrolled, we give a globule of Kali30, and permit it to act for twenty-fourhours. After this period we again giveApis every hour, two or three hours, as

above, until the pains cease, afterwhich Kali is allowed to act until thedisease is entirely cured.

If suppuration and caries of the jointhave already set in, no matter whetherthe pus has found an outlet in theregion of the joint itself, or burrowsdown the thigh to find an outletsomewhere else, Kali is no longersufficient, Silicea has to be exhibited;it is more homœopathic to caries thanother anti-psorics. We give a globule ofSilicea 30, and allow it to act for two orthree days, after which a drop of Apis3, is repeated morning and night, untilthe pains—which may require a morefrequent exhibition of the drug—cease,and a healthy pus is secreted. After this

change is accomplished, Silicea issufficient to complete the healing ofthe osseous disorganization, and shouldbe left undisturbed to the end of thetreatment.

I have found this simple proceedingso perfectly efficient in this dreadfulmalady that the fever was speedilycontrolled, and rendered harmless, theinflammation was scattered withoutleaving a trace behind, the secretionichor was transformed into that ofhealthy pus, and the disorganization ofthe joint was prevented; the limb, evenafter it had become elongated, againassumed its normal shape, the cariousmasses were expelled, the variouschannels of suppuration were stopped,

and the danger of a fatal consumptivefever was averted. If our aid is notsought until the head of the femur isdestroyed, and the bone has completelyslipt out of its socket, it is impossibleto prevent shortening and stiffness ofthe limb. Another splendid triumphover a dreadful source of danger anddisease!

WHITE SWELLING OFTHE KNEE

is very similar to this affection of thehip-joint. Here too we observe thesame insidious inflammatory

beginning, the same irresistibletendency to ichorous suppuration anddisorganization of the constituent partsof the joint, the same tendency todestroy the organism by gradualexhausting fever. We haveunmistakeable proofs of the presenceof a poisonous process pervading thewhole organism. He who has hadfrequent opportunities of observing thisdisease, knows perfectly in whatmysterious obscurity it is stillenveloped, and how specificallydifferent this affection of the kneesometimes appears to us from the hipdisease. The homœopathic law teachesus more positively than any thing elsecould do, that every case of disease

should be viewed as somethingspecifically distinct from other cases,and should be treated with medicinesthat are specifically adapted to it. Anexperience of many years has taughtme that iodine is the best remedy tomeet the symptoms which generallycharacterize white swelling of the knee.Even at the present day Iodine is one ofthose remedies that require a good dealof elucidation. Hence we should not,carried away by analogy, concludefrom those things which are not clear,concerning other things which are nomore so. Nevertheless the observationswhich have been made so far, have ledto some highly important, more or lesspositive conclusions, and have shown

us with a certain degree of satisfactionand certainty, that iodine is aninestimable gift of God, by means ofwhich we are enabled to free mankindfrom one of the most frightfulcomplications, the psoric, sycosic andmercurial miasms. I have been inducedby various signs to believe that, inwhite swelling of the knee such acomplication exists.

Considering the paucity of ourobservations bearing upon thisimportant point, it seems impracticableto make any positive statements withreference to the assistance that wemight possibly derive from the use ofApis in this disease. My ownopportunities for observation having

been very few, I recommend the use ofApis in white swelling of the knee, tomy professional brethren. Thefollowing symptoms in "Hering'sAmerican Provings," seem to indicateit; No.'s 828, 829 and 931, "violent painin the left knee, externally, above andbelow the knee, particularly above,somewhat in front; painful œdematousswelling of the knee; burning stingingabout the knee." In white swelling ofthe knee, where no allœopathictreatment has yet been pursued, Irecommend Iodine 30, one globule, insix dessert-spoonfuls of water, adessert-spoonful morning and evening,until the whole is finished; after thiswait three days, and then give Apis 3,

as before mentioned, a tablespoonfulevery hour or three hours, or a dropmorning and evening, according as thepain or danger is more or less pressing.Apis is more especially useful inremoving pain, in changing thesecretion of ichor to that of healthypus, and in arresting the consumptivefever. After these results have beenaccomplished, we permit thepreviously given Iodine to achieve thecure. If Iodine had been abused underallœopathic treatment, before thehomœopathic treatment commenced,we give Iodine 5000, one globule, inorder to subdue the Iodine diathesis,and thus remove the most powerfulobstacle to a cure. Any one who knows

more about this point, will pleasemention it.

Although Apis acts well in whiteswelling of the knee, which iscomparatively a rare disease, yet it isfar more useful in

DYSENTERY.

It is undoubtedly true thatHahnemann has revealed to us themeans of surpassing in this disease theallœopathic wisdom of a thousandyears, by a far more successful, safeand expeditious treatment.Nevertheless, much remains to be

desired in this dreaded disease. Whodoes not know that medicinalaggravations are particularly to bedreaded in this malady? Who has notoften felt embarrassed to select theright remedy among three or four thatseemed indicated by the symptoms,and where it was neverthelessimportant, in view of the threateningdanger, to select at once the rightremedy? Who has not been struck bythe strange irregularity that in a diseasewhich generally sets in as an epidemic,different remedies are often indicatedby different groups of symptoms? Whohas not become convinced after acareful observation of the course of thedisease, that nothing is more deceptive

than the pretended curative virtues ofcorrosive sublimate in dysentery, andthat it is a matter of duty to be mindful,in this very particular, of the warningwords of the master who, havinghimself been deceived at one time bythe delusive palliation of mercury,addresses to us the remarkable warningthat "mercury, so far from respondingto all non-venereal maladies, on thecontrary is one of the most deceitfulpalliatives the temporary action ofwhich is not only soon followed by areturn of the original symptoms ofdisease, but even by a return of thesesymptoms in an aggravated form." (SeeHahnemann's Chronic Diseases, Vol.II.)

This delusive palliation is moreparticularly one of the effects ofcorrosive sublimate in Dysentery; andis exceedingly dangerous in thisdisease. Hence we warn practitionersagainst this danger.

We feel so much the more gratefulto the principle Similia Similibus,which, even though it did not protectits discoverer from faulty applications,yet finally led us to the discovery ofthe right remedy for dysentery.

No.'s 590 and 599 in the AmericanProvings, read as follows: "Violenttenesmus; nausea, vomiting anddiarrhœa, first lumpy and not fetid,afterwards watery and fetid, lastly

papescent, mixed with blood andmucus, and attended with tenesmus;afterwards dysenteric stools, withtenesmus and sensation as if the bowelswere crushed;" combining thesesymptoms with the general character ofApis, particularly the circumstance thatnot only the ordinary precursors andfirst symptoms of dysentery, but alsoits terminations and its sequelæ, and itsmost important complications findtheir approved remedy in Apis; all thisshows us that Apis is a natural remedyfor dysentery. This truth is abundantlyconfirmed by experience. All mypreviously obtained results in practice,testify to the correctness of thisstatement.

At the very commencement of thedisease, a globule of Apis 3 issufficient to cut short the disease sothat the patient feels easy, and sleepsquietly. During this slumber, fever,pain and tenesmus disappear, and thepatient wakes with a feeling of health.If this should not take place in threehours, owing to the more advancedstate of the disease, another dose ofApis is required, after which the patientsoon feels well.

If the dysenteric disease has had achance to localize itself, and to assumea higher degree of intensity, it becomesnecessary to excite the organic reactionall the more frequently. Under thesecircumstances we repeat the medicine

every hour, or every two or three hours,one globule at a time, until all furthermedication has become unnecessary.

It is well known that epidemicdiarrhœa, viz., a diarrhœa resultingfrom peculiar alterations of the normalcondition of the atmosphere, earth,water, indispensable food, or fromother still unknown elementaryinfluences inevitably acting upon everybody, commences in the form of asimple, apparently unimportantdiarrhœa; that it gradually increases inintensity as the processes of nutritionand sanguification become moredeeply disturbed, and that it finallyterminates in life-destroying cholera.All these different stages of diarrhœa,

whether with or without vomiting,watery or papescent, of one color oranother, with or without pain, with orwithout fever, have yielded readily,safely and thoroughly to Apis in myhands. I must except, however, choleraof the epidemic form, where I have notyet been able to try Apis for want ofopportunity. As far as my personalobservations go, I am disposed toaffirm that the best mode of effecting agood result, is to give Apis 3 andAconite 3, in alternation, one drop ofeach preparation well shaken in a bottlecontaining twelve tablespoonfuls ofwater, and giving a tablespoonful everyhour or three hours, if the danger isgreat, and in milder cases a full drop

alternately morning and evening. Thistreatment is continued until animprovement sets in, after which theorganic reaction is permitted todevelope itself, which will terminate ina few hours or days, according as thedisease is more or less violent, andassistance was sought more or lessearly, in the perfect recovery of thepatient.

This end is not always attained withequal certainty and rapidity, if Apis isnot given in alternation with Aconite.In such a case, Apis alone oftendevelops a powerful reaction, which isavoided by the alternate use of Aconite.Wherever the case is urgent, and it isimportant to shorten the durations of

the organic reaction, the two remediesshould be given in alternation. In mostcases I have seen a few alternate dosesgive rise to a pleasant perspiration,speedily followed by quiet sleep andrecovery on waking. May we notexpect the same result at thecommencement of Asiatic cholera, andthus arrest the further development ofthe disease?

Apis is no less effectual againstchronic diarrhœa, more particularly ifresulting, not from any deep-seateddisorganizations, but from somepermanent inflammatory irritation ofthe intestinal mucous membrane, andwhich causes and fosters so muchdistress, by rendering all normal

digestion impossible and finallybringing on its inseparable companion,the last degree of hypochondria. Thismisery is so much more lamentable, asit is, so to say, forced upon mankindfrom the cradle to the grave by the stillprevailing and almost ineradicabledelusion of cathartic medication.

Scarcely has the little being seen thelight of the world, when the process ofpurgation begins. Nurse, aunt,grandmamma, everybody, hasten tohush the cries which the rough contactof the outer world extorts from thelittle being, by forcing down its throata little laxative mixture, and thefamily-physician, who goes by fashion,approves of all this. It is his habit, in

after-life, to combat every littlecostiveness, every digestivederangement, every incipient disease,by means of his cathartic mixture, andhis skill is considered proportionate tothe quantity of stuff which the bowelsexpel under the operation of his drugs.Laxative pills, rhubarb, glauber-salts,bitter-waters, aloes, gin, etc., etc., arein every body's hands, and become anincreasing necessity for millions. Anancient prejudice decrees that, topermit a single day to pass by withoutstool, would be to expose one's life tothe greatest danger. Every year we seethousands rush to warm and coldsprings that have the reputation ofbeing possessed with dissolvent and

cathartic properties. Those who cannotafford to go to the springs, useartificial mineral water in order toaccomplish similar purposes. Veryseldom a disease is met with, that ispermitted to run its course withoutdissolvent or cathartic means. It is stilla profitable business to sell patentpurgatives, such as cider in which alittle magnesia has been dissolved.

Everybody feels how offensive thesethings are to nature; how they attackthe stomach and bowels; how theyderange digestion and nutrition; howslowly patients recover from theeffects of such drugs; how chronicabdominal affections, after having beeneased for a while by such drugs, soon

return again with redoubled vigor; howthe dose has to be increased in order toobtain the same result; how theintervals of relief becomes shorter andshorter, and how, in the end, thestomach is totally ruined, and theabnormal irritation and paralysis ofthis viscus, with the diarrhœa andconstipation, corresponding to theseconditions, gradually lead to thecomplete derangement of thereproductive process.

In spite of all this, long habit hassecured to these pernicious customs asort of prescriptive right. The distressconsequent upon them, increases inproportion as the reactive powers of theorganism decrease, which is more

particularly the case in the presentgeneration. The suppression of theseabuses has never been more necessarythan in our age. Indeed, the old proverbis again verified: "Where need isgreatest, there help is nearest."

The world is not only indebted toHahnemann for a knowledge, but alsofor a natural corrective of this seriousabuse. His provings on healthy personsshow this beyond a doubt. Few men, iftheir attention has once been directedto this abuse, will feel disposed to denyits extent. Nor has a favorable changein this respect been looked for in vain,since homœopathy has now, for half acentury at least, shown the uselessnessof all regular methods of purgation,

and the superiority of the means withwhich this new system accomplishesmost effectually all that thosepernicious methods promised to do. Itshould be considered a duty by everyphysician, to be acquainted with thenew means of cure. The continued useof purgatives should be considered acrime against health. They will sooncease to exist as regular means oftreatment, and their perniciousconsequences will no longer have to berelieved by remedial means. But untiltheir use is abolished, we shall have tocounteract them by adequate means ofcure, more particularly the abnormalirritation and the paralytic debility,which are the most common

consequences of the abuse ofcathartics.

It is a most fortunate thing that wehave in Apis one of the most reliablemeans of removing the evil effects ofcathartic medicines. A single globuleof Apis 30 is sufficient to this end. It isbest to use it as follows: dissolve theglobule in five tablespoonfuls of waterby shaking the mixture well in a wellclosed vial, and let the patient take atablespoonful of this solution. If thisdose acts well, no repetition isnecessary for the present. If this doseshould not be sufficient, we prepare anew potence by throwing away threetablespoonfuls of the former solutionand substituting four tablespoonfuls of

fresh water, shaking the mixture well.We give a spoonful of this secondsolution, twenty-four hours after thefirst had been given, and, if necessary,a third spoonful prepared in the sameway, and even a fourth and fifth, afterwhich we await the result, withoutthinking either of improvement orexacerbation.

Generally, a feeling of ease isexperienced shortly after taking Apis.The painful sensitiveness of the pit ofthe stomach and of the abdomen,together with the troublesome,disagreeable and oppressive distentionand weight, soon disappear; the tonguegradually loses its swollen and crackedappearance, its dirty redness, its slimy

coating, its sore spots, tardyindentations along its edges, the burntfeeling at its tip, which is dotted withvery fine vesicles, that cause a gooddeal of soreness; the pappy, sour,bitter, metallic, foul taste disappears;the appetite is again normal; both theprevious aversion to food and theexcessive craving disappear; theabsence of thirst, which is so commonin this condition, again gives place to anatural desire for drink, the bluish-redcolor and swelling of the palate andthroat, and the incessant urging tohawk, decrease visibly: the distressafter eating; the sour stomach with orwithout nausea or heartburn; theexcessive rising of air; the

regurgitation of the ingesta; theeructations which taste of the food thathad been eaten long before; theyawning; the irresistible drowsinesswhen sitting; the general loss ofstrength; the vacuity of mind, theaversion to talking and to company,decrease more and more every day; thewhole abdomen feels easier and softer:the excessive and irresistible urging tourinate, especially after rising from achair or from bed, and accompanied bya distressing nervousness, abates; thediarrhœic and abnormally coloredevacuations, together with the frequentand irresistible urging, increased aftereating, early in the morning and aftersour and flatulent food, and

accompanied by various sore pains inthe rectum, diminish more and more,and give place to normal evacuations,first for days, next for weeks, althoughthey continue to alternate more or lesswith constipation, or painful,insufficient, hard stool, until theyterminate sooner or later, according asthe disease is more or less deep-seated,and had lasted more or less long, inpermanent restoration of the normalsecretions and excretions of thedigestive organs. At the same time themany distresses which the abnormalcondition of the bowels and stomachhad occasioned in the head and heart,disappear; the poor patient who hadbeen a prey to so many sufferings, feels

like one born again.

This is the general result, unlesspsoric, sycosic, syphilitic or vaccininecomplications should be present.Unfortunately the abuse of catharticsexcites these miasms if they exist inthe organism, and at the same timeprostrates the reactive powers of theorganism, and enables its enemies torise against it. The distress becomesmore and more complicated;disorganizations, alterations of thefluids, disturbances of the assimilativesphere, nervous derangements fromsimple illusions of the sentient sphere,and occasional trembling andtwitching, to spasmodic and convulsivemovements, and final extinction of

nervous power, marasmus of the spinalmarrow or a ramollissement of thebrain; these are the consequences ofsuch miasmatic complications.

In such a case Apis alone is notsufficient. We have to employ suchantidotes as Sulphur, our mostpowerful anti-psoric which, unless ithad been abused previously, neverleaves us in the lurch in the presence ofpsor a ; iodine which, under similarcircumstances, becomes indispensablewherever psora and sycosis arecombined; bichromate of potash orfluoric acid, if psora, syphilis andmercurial poisoning are united; andlastly, tartar emetic, or again fluoricacid, if the vaccine poison alone, or in

combination with the other poisons,occupies the foreground.

This is not the place to treat of thesespecial forms of human distress, and toindividualize their treatment; I shallendeavor to do this on a more suitableoccasion. I shall have to limit myselfhere to a superficial sketch of thetreatment, adding merely that a singledose of the specific antidote will actbest if given highly potentized, and thatthe improvement should afterwards beallowed to progress as long as a traceof it remains visible. But as soon as theimprovement stops and an exacerbationsets in, which is not speedily followedby another improvement, or whichseems to require our aid, we use Apis

3, one drop every day, until theimprovement is again perceived, afterwhich we wait until anotherexacerbation demands our interference.One dose of Apis is often insufficient;if not, from three to five doses will befound sufficient to mitigate the pains,and to advance the cure which Apiswill complete in conjunction with thehigh potency that should not berepeated, and which is not interferedwith by the Apis. What more preciousboon for the physician and patient inthese serious moments? It is only aphysician who has instituted provingsupon himself, that is capable ofcomprehending this harmoniousblending of the two therapeutic agents.

He sees the well known effects of awell known cause go and come atalternate periods. What man ofcommon sense would be willing torepudiate such evidence?

But even in a case where Sulphurand Iodine had been given to excess,and a sort of Sulphur and Iodinediathesis had been established inconsequence, Apis is still the bestremedy to meet this complicatedderangement.

Although we may believe that thetime is at hand when this kind ofignorance shall no longer be tolerated,it unfortunately is still a prevailing sinof the profession. Even if we should be

unable to effect a perfect cure, yet wemay afford essential relief to suchpatients; we may often arrest theirsufferings for a longer or shorterperiod, and shorten the paroxysms untilthey become almost imperceptible.Apis is particularly instrumental ineffecting this end. Diseases of the

RESPIRATORY ORGANS

are likewise successfully combated byApis. The American Provings containthe following symptomatic indications:

1. No.'s 731, 733, 736, 742, 743, 749,760: "Hoarseness and difficulty of

breathing, roughness and sensitivenessin the larynx, each time after he smellsof the poison; talking is painful,sensation as if the larynx were tired bytalking; drawing pains in the larynx;cough when starting during sleep;rough cough during evening; heat;difficult breathing, every drop of liquidalmost suffocates him; laboredinspirations as during croup."

2. 737-740: "Violent paroxysms ofcough, occasioned by a titillatingirritation in the lower part of the larynxnear the throat-pit, with increase ofheadache when coughing, on the leftside, superiorly; in half an hour, somephlegm is detached, after which thecoughing ceases; on the first day, when

waked from his sleep before midnight,he had a violent cough, especially afterlying down and sleeping, withtitillation at a very small spot, deepdown on the posterior wall of thethorax, which wakes him; he feelsbetter as soon as the least little portionof mucous is detached; coughparticularly during warmth, during rest,and rousing him from his first slumberfor several evenings."

3. 1081, 746, 790: "Chilly everyafternoon at three or four o'clock; sheshudders, especially during warmth;chill across the back, the hands feel asif dead; in about an hour she felt hotand feverish, with rough cough, hotcheeks and hands, without thirst; this

passes off gradually, she feels heavyand prostrate; cough and laboredbreathing as during croup, after violentfeverish heat, with dry skin and fullpulse; disturbed sleep, with muttering,timid and incoherent talk, whitish-yellow coating of the tongue, andpainless, yellow-greenish, slimydiarrhœa, in four days the breathingbecome labored, a violent abdominalrespiration, red face, increasingly livid,pulse hard, cough, with barkingresonance—pains in the chest, withlabored breathing."

4. 754, 770, 772, 803: "Hurried,labored breathing, with heat andheadache; chest oppressed; difficultlabored breathing; sense of suffocation

even when leaning against a thing;general debility; worse during coldweather, accompanied by asthmaticpains; cough; sense of suffocation;pains in the chest; coldness anddeadness of the extremities, whichlooked bluish; sense of soreness;lameness; sense of bruising in thechest, as after recent contusions by ablow; jamming, etc."

These observations do not indeedshow with characteristic certainty thediseases to which Apis mightcorrespond. But if they are contrastedwith the total character of Apis; if weconsider that Apis develops a catarrhalirritation throughout the wholeintestinal mucous membrane, affecting

most deeply the nervous system andthe normal constitution of the fluids,we have sufficient ground toexperiment with Apis in thoserespiratory diseases which seem to beinherent in the prevailing genius ofdisease, and which are characterized bythe very conditions which I havedescribed. Who is not struck by thefact, that the same individual morbidprocess is reflected by different formsof disease, croup, whooping-cough,influenza, acute and chronic bronchialcatarrh? The more essential theresemblance between these forms ofdisease and the medicinal power, themore certainly may we expect a cure.The medicinal power which seems to

be most adequate to this end, isundoubtedly Apis. My observations inthis respect are not sufficientlynumerous to enable me to offerpositive directions concerning the bestmode of using the medicine in thesediseases, or concerning the extent ofthe curative process or thecomplications that may exist. All I cando is to recommend Apis for furtherexperiments in this range, and toremind my brethren of theinsufficiency of other drugs, which hasbeen a source of trouble to us in thepast ten years. Every body who haswatched the course of these diseasesduring this period, must have seen thedifference existing between the present

and the past character of the symptoms.It must, therefore, be a source ofsatisfaction to all of us, to have foundin Apis an agent that is capable offilling up the gap.

My observations regarding thecurative virtues of Apis in urinary,uterine and ovarian difficulties, and inrheumatism and gout, are not veryextended. In the American Provings,symptoms 634 to 669, seem to point tourinary difficulties, and 685 to 695, toovarian troubles; symptoms 697 to 727to uterine derangements; and 837, 842,867, 873, 874, 918, 919, 940, 942, 964,969, to rheumatism and gout.

What little experience I have had in

the employment of Apis in thesediseases, is, however, sufficient toinduce me to recommend the use of itfor further and more enlargedknowledge.

I have had abundant opportunities ofverifying the warning expressed in No.721, "pregnant women should use thedrug very cautiously." I am notacquainted with any drug which seemspossessed of such reliable virtuesregarding the prevention ofmiscarriage, more particularly duringthe first half of pregnancy, as Apis. Ihave often become an involuntaryspectator of the power of Apis to effectmiscarriage; for I had given it to honestwomen who did not know that they

were pregnant, and where the fact ofpregnancy was revealed to them by thesubsequent miscarriage, which tookplace after one or two doses of Apishad been taken. Ever since I have madeit a rule not to give Apis to females inwhom the existence of pregnancy canbe suspected in the remotest degreeuntil the matter is reduced to acertainty, and the conduct of thephysician can be determined upon inaccordance with existing facts.

I am unable to say how far thispower inherent in Apis, of producingmiscarriage, may be serviceable tofemales who are prone to miscarriage.

I beg the privilege of adding a more

general warning to this particular one.The more generally useful a thing is,the more liable is it to abuse. The mostimportant and useful discoveries ofhomœopathy are abused in this mannerby our age given to all sorts ofexcesses.

Not only are the records ofhomœopathy ransacked by speculativeminds, who use her advantages forpersonal gain without giving due creditto the source whence the good thingsare obtained. This species of egotismmay perhaps be excused inconsideration of the use which thiskind of plagiarism affords, even ifwhole volumes should be filled with it.But if the stolen property is paraded

before the world as somethingbelonging to one's self by right divine;if official influence is abused for thepurpose of dressing up that whichrightfully belongs to our science, assome original discovery, thuscaricaturing and disfiguring the beautyof the genuine blessing; then good ischanged to evil, and the evil is thegreater, the more comprehensive thetruth that is so shamefully abused. It isabsurd and may entail sadconsequences upon the world, if therational use of Apis is to be convertedto the irrational proceedings of the so-called specific method, which is oftenpractised by men who, knowing better,purposely conceal the truth from the

world. For years past, I have beencalled upon again and again, bypatients who had been in the hands ofthese men, and who had been drenchedwith medicine, and had had all sorts ofdisastrous complications engendered intheir poor bodies, to afford them somerelief from these tortures inflicted byphysicians who do not hesitate to assailthe health of their patients by massivedoses of drugs, of which they oftenknow nothing but the name.

With these facts before me, nobodycan find it strange that I should feelsome misgivings in laying before theworld a drug endowed with suchextensive virtues. Apis is one of thosedrugs, the abuse of which may prove as

destructive as the use of it is a sourceof saving good. It is no anti-psoric, noris it capable of antidoting the threemiasms, or of inflicting medicinaldiseases for life. Nevertheless, it is adeeply and speedily-acting drug, for itaffects the whole internal mucousmembrane, the nervous system, and theprocess of sanguification, thusdisturbing the health for a long time.Its primary aggravating action, itsdeeply penetrating interference withthe existing morbid process, whichmay lead to errors in diagnosis, and itspower to exhaust the reactive energiesof the organism prematurely, render ita very dangerous agent. Thesecircumstances go to show that such an

agent, in the hands of the partizans ofthe Specific School, may be asdangerously and injuriously abused asother important drugs have been. Icannot sufficiently warn my readersagainst such distressing abuses. Onlyhe is protected from the danger ofimitating such shameful absurdities,who listens to the words of our master:

"Imitate this, but imitate this correctly!"

Transcriber's Note:Minor typographicalerrors have beencorrected withoutnote. Inconsistenthyphenation has beenstandardised, whilstvariant and archaicspellings remain asprinted.

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Apis Mellifica, by C. W. Wolf

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