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The experiments which I have instituted for the last four years, have
convinced me of the correctness of this observation. Whenever I had an
opportunity of giving Apis at the commencement of the diseases, it would
produce within twelve to twenty-four hours quiet sleep; general
perspiration, affording relief; the feverish and nervous symptoms,
together with the delirium, would disappear from hour to hour, and on
waking, the little patient's consciousness was lucid, the appetite good
and recovery fully established. This is a triumph of art which inspires
us with admiration for our science. Less surprising, but equally
certain, is the relief, if Apis is given after the disease has lasted
for some time. In such a case, the medicine first excites a combat
between the morbific force and the conservative reaction. The greater
the hostile force, the longer the struggle between momentary improvement
and aggravation of the symptoms; it may sometimes continue for one, two,
or three days. It is not until now, that a progressive and permanent
improvement sets in. The desire to vomit is gone; the twitching,
trembling, and the struggle, generally diminish from hour to hour;
consciousness returns; the squinting and the dilatation of the pupils
abate; gritting of the teeth and protrusion of the tongue cease; the
position and movements of the head and limbs become more natural; the
pulse becomes more regular; its slowness yields to a more normal
frequency; the feverish heat terminates in sweat which affords great
relief, and the retention of stool and urine is succeeded by a more
copious action of both the bowels and bladder. The natural appetite
returns; the reproductive process is restored; sleep is quiet and
refreshing, and recovery is perfectly established in an incredibly short
period. A cure of this kind generally requires five, seven, eleven, and
fourteen days. This result is so favorable, that those who have not
witnessed it, or who are too ignorant and egotistical to investigate the
facts, may reject it as incredible.
Such brilliant results are obtained by means of a single drop of Apis,
third attenuation. I mix a drop with seven tablespoonfuls of water, and
give a dessert-spoonful every hour, or every two or three hours; the
more acute the attack, the more frequently the dose is repeated; this
method generally suffices to effect a cure more or less rapidly. As long
as the improvement progresses satisfactorily, all we have to do is to
let the medicine act without interfering. If the improvement is
arrested, or the patient gets worse, which sometimes happens in the more
intense grades of this malady, the best course is to give a globule of
Apis 30, and to watch the result for some twenty-four hours. After the
lapse of this period the improvement will either have resumed its
course, or else it will continue unsatisfactory. In the latter case we
should give another dose of the above-mentioned solution of Apis 3. Not
unfrequently I have met with patients upon whom Apis acts too
powerfully, causing pains in the bowels, interminable diarrh[oe]a, of a
dysenteric character, extreme prostration and a sense of fainting. In
such cases the tumultuous action of Apis is mitigated, and the continued
use of this drug, rendered possible by giving Apis in alternation with
Aconite in water, every hour or two hours.
Except such cases, I have never been obliged to resort to other
accessory means.
_Apis is no less efficacious against the higher grades of ophthalmia._
It is particularly rheumatic, catarrhal, erysipelatous, and [oe]dematous
ophthalmia, which is most rapidly, easily, and safely cured by Apis, no
matter what part of the eye may be the seat of the disease.
The symptoms 188-307 distinctly point to the curative virtues of Apis in
ophthalmia: "Sensitiveness to light, with headache, redness of the eyes;
he keeps his eyes closed, light is intolerable, the eyes are painful and
feel sore and irritated if he uses them; weakness of sight, with feeling
of fullness in the eyes; twitching of the left eyeball; feeling of
heaviness in the eyelids 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; secretion
of mucus and agglutination of the lids; the lids are swollen, dark-red,
everted; the conjunctiva is reddened, full of dark blood-vessels which
gradually lose themselves in the cornea; the cornea is obscured, smoky,
showing a few little ulcers here and there; profuse lachrymation;
stinging itching in the left eye, in the lids and around the eye;
sensation of a quantity of mucus in the left eye; sensation of a foreign
little body in the eye; soreness of the canthi; styes; [oe]dema of the
lids; erysipelatous inflammation of the lids."
I have found the correctness of these observations uniformly confirmed
by the most satisfactory cures of such affections. I use the medicine in
the same manner as for acute hydrocephalus. In some cases I found the
eye so sensitive to the action of Apis, that an exceedingly violent
aggravation of the inflammatory symptoms ensued, which might have proved
dangerous to the preservation of such a delicate organ as the eye.
Inasmuch as it is impossible to determine beforehand the degree of
sensitiveness, I obviate all danger by exhibiting Apis in alternation
with Aconite in the manner indicated for hydrocephalus. By means of this
alternate exhibition of two drugs, we not only prevent every aggravating
primary effect, but we at the same time act in accordance with the
important law, that, in order to secure the effective and undisturbed
repetition of a drug, we have first to interrupt its action by some
appropriate intermediate remedy. All repetitions should cease as soon as
a general improvement sets in; if the medicine is continued beyond the
point where the organism is saturated with the drug, it acts as a
hostile agent, not as a curative remedy. This important point is known
by the fact, that the improvement which had already commenced, seems to
remain stationary; the patient experiences a distressing urging to
stool, a burning diarrh[oe]a sets in, and a disproportionate feeling of
malaise develops itself. Under these circumstances, a globule of Apis 30
will quiet the patient, and the action of the drug will achieve the cure
without any further difficulty, and without much loss of time, unless
psora, sycosis, syphilis, or vaccine-virus prevail in the organism, or
sulphur, iodine or mercury had been previously given in large doses. In
the presence of such complications Apis will prove ineffectual until
they have been removed by some specific antidote. After having made a
most careful diagnosis, a single dose of the highest potency of the
specific remedy be given, and be allowed to act as long as a trace of
improvement is still perceptible. As soon as the improvement ceases, or
an aggravation of the symptoms sets in, Apis is in its place and will
act most satisfactorily. We then give Apis 3 in water, as mentioned
above, with the most satisfactory success.
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