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This is the general result, unless psoric, sycosic, syphilitic or
vaccinine complications should be present. Unfortunately the abuse of
cathartics excites these miasms if they exist in the organism, and at
the same time prostrates the reactive powers of the organism, and
enables its enemies to rise against it. The distress becomes more and
more complicated; disorganizations, alterations of the fluids,
disturbances of the assimilative sphere, nervous derangements from
simple illusions of the sentient sphere, and occasional trembling and
twitching, to spasmodic and convulsive movements, and final extinction
of nervous power, marasmus of the spinal marrow or a ramollissement of
the brain; these are the consequences of such miasmatic complications.
In such a case Apis alone is not sufficient. We have to employ such
antidotes as _Sulphur_, our most powerful anti-psoric which, unless it
had been abused previously, never leaves us in the lurch in the presence
of psora; _iodine_ which, under similar circumstances, becomes
indispensable wherever psora and sycosis are combined; _bichromate of
potash_ or _fluoric acid_, if psora, syphilis and mercurial poisoning
are united; and lastly, _tartar emetic_, or again _fluoric acid_, if the
vaccine poison alone, or in combination with the other poisons, occupies
the foreground.
This is not the place to treat of these special forms of human distress,
and to individualize their treatment; I shall endeavor to do this on a
more suitable occasion. I shall have to limit myself here to a
superficial sketch of the treatment, adding merely that a single dose of
the specific antidote will act best if given highly potentized, and that
the improvement should afterwards be allowed to progress as long as a
trace of it remains visible. But as soon as the improvement stops and an
exacerbation sets in, which is not speedily followed by another
improvement, or which seems to require our aid, we use Apis 3, one drop
every day, until the improvement is again perceived, after which we wait
until another exacerbation demands our interference. One dose of Apis is
often insufficient; if not, from three to five doses will be found
sufficient to mitigate the pains, and to advance the cure which Apis
will complete in conjunction with the high potency that should not be
repeated, and which is not interfered with by the Apis. What more
precious boon for the physician and patient in these serious moments? It
is only a physician who has instituted provings upon himself, that is
capable of comprehending this harmonious blending of the two therapeutic
agents. He sees the well known effects of a well known cause go and come
at alternate periods. What man of common sense would be willing to
repudiate such evidence?
But even in a case where Sulphur and Iodine had been given to excess,
and a sort of Sulphur and Iodine diathesis had been established in
consequence, Apis is still the best remedy to meet this complicated
derangement.
Although we may believe that the time is at hand when this kind of
ignorance shall no longer be tolerated, it unfortunately is still a
prevailing sin of the profession. Even if we should be unable to effect
a perfect cure, yet we may afford essential relief to such patients; we
may often arrest their sufferings for a longer or shorter period, and
shorten the paroxysms until they become almost imperceptible. Apis is
particularly instrumental in effecting this end. Diseases of the
RESPIRATORY ORGANS
are likewise successfully combated by Apis. The American Provings
contain the following symptomatic indications:
1. No.'s 731, 733, 736, 742, 743, 749, 760: "Hoarseness and difficulty
of breathing, roughness and sensitiveness in the larynx, each time after
he smells of the poison; talking is painful, sensation as if the larynx
were tired by talking; drawing pains in the larynx; cough when starting
during sleep; rough cough during evening; heat; difficult breathing,
every drop of liquid almost suffocates him; labored inspirations as
during croup."
2. 737-740: "Violent paroxysms of cough, occasioned by a titillating
irritation in the lower part of the larynx near the throat-pit, with
increase of headache when coughing, on the left side, superiorly; in
half an hour, some phlegm is detached, after which the coughing ceases;
on the first day, when waked from his sleep before midnight, he had a
violent cough, especially after lying down and sleeping, with
titillation at a very small spot, deep down on the posterior wall of the
thorax, which wakes him; he feels better as soon as the least little
portion of mucous is detached; cough particularly during warmth, during
rest, and rousing him from his first slumber for several evenings."
3. 1081, 746, 790: "Chilly every afternoon at three or four o'clock; she
shudders, especially during warmth; chill across the back, the hands
feel as if dead; in about an hour she felt hot and feverish, with rough
cough, hot cheeks and hands, without thirst; this passes off gradually,
she feels heavy and prostrate; cough and labored breathing as during
croup, after violent feverish heat, with dry skin and full pulse;
disturbed sleep, with muttering, timid and incoherent talk,
whitish-yellow coating of the tongue, and painless, yellow-greenish,
slimy diarrh[oe]a, in four days the breathing become labored, a violent
abdominal respiration, red face, increasingly livid, pulse hard, cough,
with barking resonance--pains in the chest, with labored breathing."
4. 754, 770, 772, 803: "Hurried, labored breathing, with heat and
headache; chest oppressed; difficult labored breathing; sense of
suffocation even when leaning against a thing; general debility; worse
during cold weather, accompanied by asthmatic pains; cough; sense of
suffocation; pains in the chest; coldness and deadness of the
extremities, which looked bluish; sense of soreness; lameness; sense of
bruising in the chest, as after recent contusions by a blow; jamming,
etc."
These observations do not indeed show with characteristic certainty the
diseases to which Apis might correspond. But if they are contrasted with
the total character of Apis; if we consider that Apis develops a
catarrhal irritation throughout the whole intestinal mucous membrane,
affecting most deeply the nervous system and the normal constitution of
the fluids, we have sufficient ground to experiment with Apis in those
respiratory diseases which seem to be inherent in the prevailing genius
of disease, and which are characterized by the very conditions which I
have described. Who is not struck by the fact, that the same individual
morbid process is reflected by different forms of disease, _croup_,
_whooping-cough_, _influenza_, _acute and chronic bronchial catarrh_?
The more essential the resemblance between these forms of disease and
the medicinal power, the more certainly may we expect a cure. The
medicinal power which seems to be most adequate to this end, is
undoubtedly Apis. My observations in this respect are not sufficiently
numerous to enable me to offer positive directions concerning the best
mode of using the medicine in these diseases, or concerning the extent
of the curative process or the complications that may exist. All I can
do is to recommend Apis for further experiments in this range, and to
remind my brethren of the insufficiency of other drugs, which has been a
source of trouble to us in the past ten years. Every body who has
watched the course of these diseases during this period, must have seen
the difference existing between the present and the past character of
the symptoms. It must, therefore, be a source of satisfaction to all of
us, to have found in Apis an agent that is capable of filling up the
gap.
My observations regarding the curative virtues of Apis in urinary,
uterine and ovarian difficulties, and in rheumatism and gout, are not
very extended. In the American Provings, symptoms 634 to 669, seem to
point to urinary difficulties, and 685 to 695, to ovarian troubles;
symptoms 697 to 727 to 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 these
diseases, is, however, sufficient to induce me to recommend the use of
it for further and more enlarged knowledge. |
