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After many experiments,
I have hit upon the following course as the most proper:
If the limping, as is often the case in the severest forms of the
disease, sets in gradually, almost imperceptibly and without much pain,
I give at once a globule of Kali carbonicum 30. As a general rule, this
one dose is sufficient to arrest the further development of the disease,
and to award all danger so completely, that one, who is unacquainted
with the nature of the malady, feels disposed to assert that it never
existed. But if the pains continue, and are accompanied with fever, I
resort to Apis 3, after Kali had been allowed to act for a day or two,
mixing a drop in twelve tablespoonfuls of water, and giving a dose every
hour, or every two or three hours, according as the pains come on more
or less frequently. This treatment is continued until the patient is
quieted, after which the two remedies are permitted to act without any
further repetition of the medicine.
If the inflammation of the joint sets in suddenly and with a violent
fever, as is often the case after violent commotions, castigations,
etc., we prepare a solution of Aconite in the same manner as the Apis,
and give these two medicines in alternate tablespoonful doses every
hour. After these two solutions are finished, and the first assault of
the disease has been controlled, we give a globule of Kali 30, and
permit it to act for twenty-four hours. After this period we again give
Apis every hour, two or three hours, as above, until the pains cease,
after which Kali is allowed to act until the disease is entirely cured.
If suppuration and caries of the joint have already set in, no matter
whether the pus has found an outlet in the region of the joint itself,
or burrows down the thigh to find an outlet somewhere else, Kali is no
longer sufficient, Silicea has to be exhibited; it is more
hom[oe]opathic to caries than other anti-psorics. We give a globule of
Silicea 30, and allow it to act for two or three days, after which a
drop of Apis 3, is repeated morning and night, until the pains--which
may require a more frequent exhibition of the drug--cease, and a healthy
pus is secreted. After this change is accomplished, Silicea is
sufficient to complete the healing of the osseous disorganization, and
should be left undisturbed to the end of the treatment.
I have found this simple proceeding so perfectly efficient in this
dreadful malady that the fever was speedily controlled, and rendered
harmless, the inflammation was scattered without leaving a trace behind,
the secretion ichor was transformed into that of healthy pus, and the
disorganization of the joint was prevented; the limb, even after it had
become elongated, again assumed its normal shape, the carious masses
were expelled, the various channels of suppuration were stopped, and the
danger of a fatal consumptive fever was averted. If our aid is not
sought until _the head of the femur is destroyed, and the bone has
completely slipt out of its socket_, it is impossible to prevent
shortening and stiffness of the limb. Another splendid triumph over a
dreadful source of danger and disease!
WHITE SWELLING OF THE KNEE
is very similar to this affection of the hip-joint. Here too we observe
the same insidious inflammatory beginning, the same irresistible
tendency to ichorous suppuration and disorganization of the constituent
parts of the joint, the same tendency to destroy the organism by gradual
exhausting fever. We have unmistakeable proofs of the presence of a
poisonous process pervading the whole organism. He who has had frequent
opportunities of observing this disease, knows perfectly in what
mysterious obscurity it is still enveloped, and how specifically
different this affection of the knee sometimes appears to us from the
hip disease. The hom[oe]opathic law teaches us more positively than any
thing else could do, that every case of disease should be viewed as
something specifically distinct from other cases, and should be treated
with medicines that are specifically adapted to it. An experience of
many years has taught me that iodine is the best remedy to meet the
symptoms which generally characterize white swelling of the knee. Even
at the present day Iodine is one of those remedies that require a good
deal of elucidation. Hence we should not, carried away by analogy,
conclude from those things which are not clear, concerning other things
which are no more so. Nevertheless the observations which have been made
so far, have led to some highly important, more or less positive
conclusions, and have shown us with a certain degree of satisfaction and
certainty, that iodine is an inestimable gift of God, by means of which
we are enabled to free mankind from one of the most frightful
complications, the psoric, sycosic and mercurial miasms. I have been
induced by various signs to believe that, in white swelling of the knee
such a complication exists.
Considering the paucity of our observations bearing upon this important
point, it seems impracticable to make any positive statements with
reference to the assistance that we might possibly derive from the use
of Apis in this disease. My own opportunities for observation having
been very few, I recommend the use of Apis in white swelling of the
knee, to my professional brethren. The following symptoms in "Hering's
American Provings," seem to indicate it; No.'s 828, 829 and 931,
"violent pain in the left knee, externally, above and below the knee,
particularly above, somewhat in front; painful [oe]dematous swelling of
the knee; burning stinging about the knee." In white swelling of the
knee, where no all[oe]opathic treatment has yet been pursued, I
recommend Iodine 30, one globule, in six dessert-spoonfuls of water, a
dessert-spoonful morning and evening, until the whole is finished; after
this wait three days, and then give Apis 3, as before mentioned, a
tablespoonful every hour or three hours, or a drop morning and evening,
according as the pain or danger is more or less pressing. Apis is more
especially useful in removing pain, in changing the secretion of ichor
to that of healthy pus, and in arresting the consumptive fever. After
these results have been accomplished, we permit the previously given
Iodine to achieve the cure. If Iodine had been abused under
all[oe]opathic treatment, before the hom[oe]opathic treatment commenced,
we give Iodine 5000, one globule, in order to subdue the Iodine
diathesis, and thus remove the most powerful obstacle to a cure. Any one
who knows more about this point, will please mention it.
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