spasms, Cuprum ac. was exhibited in alternation with the Liquor Calc. chlorin.

in

In many cases of diphtheritic mucous Ac. muriat. dil. diarrhoea Ac. muriat. dil. seemed to have a still better effect than the Liquor Calc. chlorin.

Diphtheritic Diarrhoea.

CHRONIC DIPHTHERIA AND SEQUELÆ.

In conclusion, I must say a few words about chronic diphtheria and its sequelæ, often lasting for months or a year, and longer, particularly after Allopathic treatment. Patients have come to me with the chronic diphtheria, the membrane still visible in the throat, dryness and soreness in the mouth and throat, tenderness and swelling of the submaxillary glands, etc. In many instances they had tried every conceivable remedy from domestic practice, as well as from various physicians, without any permanent benefit. They were invariably cured by the Chloride of Lime.

I will detail a few cases of this chronic diphtheria.

Calc. chlor. best remedy also in Chronic Diphthe

1. Miss S. had for over five months a dryness and choking in the throat. On examination, a thin membrane, having the appearance of a spider's web, was visible in the throat and upon the pharynx as far as the eye could penetrate. All kinds of Homoeopathic medicine were taken without benefit for four months. Three drops of the Liquor Calc. chlorin., in a tablespoonful of water, was prescribed every three hours. She immediately, to her great astonishment, improved after the commencement of this treatment, and was cured in a very short time. Her general health also improved.

ria.

2. Mrs. K. was subject for six months to a pain the bowels, a soreness on the left side, with constipation; at the same time she discharged great quantities of mucus of a stringy nature, like diphtheritic membrane in a state of partial solution. This form is not unfrequent, consisting of a metastasis of the dis

ease of the throat to the intestines. She was attended by a skilful Homœopathic physician for some months, and had also the advice of several other practitioners, without deriving the slightest benefit from their treatment. On my being called in, and considering the disease of diphtheritic nature, I prescribed to her the Calc. chlor., which cured her in less than a week.

3. In one case, which had existed for a year, the Liquor Calc. chlorin. was of incalculable benefit. In addition to the throat symptoms, there were also present constant pain and uneasiness in the stomach, and a white, thickly-coated tongue. The pale, anæmic child soon became blooming and healthy.

No less efficacious was the Chloride of Lime, when the diphtheritic membrane attacked the Schneiderian membrane of the nose.

In a few cases, where chronic diseases of the throat were hereditary in the family, Causticum and White Turpentine were of great assistance to me after the acute attack of diphtheria.

1. I. B., sore throat and dryness; cough, with soreness from the chest to the back; steady pain in kidneys; eczema in face. Terebinth. 1 cured.

2. Mrs. S. S., æt. forty-eight, dark eyes and complexion; dryness and fulness in the throat, with scraping and hawking of phlegm; diphtheritic membrance still visible in throat t; aching pain in right kidney, with stitches. Terebinth. 1 cured.

Two other cases noted down, and characterized by dryness, soreness, and swelling of the throat, also hoarseness, with constipation of the bowels, were likewise cured by the White Turpentine, 1st trit. Although diphtheria was often complicated with different constitutional ailments, the Chloride of Lime was always an important remedy. Thus, in a nervous disease, connected with the climacteric years, Lachesis only gave relief, after the main symptoms had been subdued by the Calc. chlor.

Among the sequela, an interesting case of paralysis came under my notice. B., æt. seven, had a severe attack of diph

Paralysis cured

by Rhus tox.

theria during his sojourn in the country. He was treated by a Homœopathic physician of the neighborhood, chiefly, as far as I could learn, by large doses of the Iodide of Mercury. This remedy is still preferred by many Homœopathic practitioners in the treatment of the disease. He was cured with great difficulty, and arrived at home with paralysis of the lower extremities. The chief characteristic symptom of the case was, that the pain in the hips and legs was excessive, whenever the little boy was made to stand up. To my astonishment Rhus tox. 3, in water, every two hours, enabled him to walk a little in about twenty-four hours. In the space of a week he had the complete use of his limbs, as well as ever.

A very singular case of headache and spinal irritation, as a consequence of diphtheria, came under my treatment. Eliza T., æt. nine, was left with a great sensitiveness of the whole spine, after an attack of diphtheria. The least touch was extremely painful. At the same time there was a sensation of great heat on the vertex, and extreme sensitiveness to the slightest touch. This sensitiveness was so great, that even holding the hand at a considerable distance above the head was hardly bearable. It caused extreme suffering. At the same time it was impossible for her to lie flat on the bed, without increasing the pain in the head. She had to sleep in a sitting position. She felt best leaning forwards. She had also a hacking cough and frequent bleeding from the nose. The hands became benumbed on lying down. Subject to ascarides. Rhus and several other remedies were prescribed without much relief. Aconite 6, in water, entirely cured the sensitiveness in head and spine.

A not unusual complaint after diphtheria was enlargement and induration of the submaxillary and parotid glands. These were invariably cured by Conium mac. 1, in water.

Aconite-best remedy in Sensitiveness of Head and Spine.

Conium cures indurations of submaxillary glands.

Chloride of Lime in Anæmia.

Chloride of Lime, of such superior efficacy during the height of the disease, is also exceedingly useful and active in that form of sequelae characterized by anæmia, dropsical swelling of the abdomen, soreness of kidneys, sick stomach, vomiting of every thing eaten, finally of phlegm only, and by black and sanguinolent urine, showing a dissolution of the blood. Chinin, arsenic. and several other remedies remained powerless in such cases. A solution of Chloride of Lime effected a cure very quickly. The symptoms of several of these cases were truly alarming, but all recovered under the influence of the Lime. One case, attended by two other Homoeopathic physicians, where I was called in at the close of the scene, died.

Several cases of soreness and dryness of Alumina 3, dry- the throat after an acute attack of diphness, etc., in throat. theria, not yielding to the action of Chloride of Lime, were cured by Alumina 3.

A partial paralysis of the glosso-pharyngeal nerve, after diphtheria, was cured by Dr. Kidd, with Gratia, Ferrum sulphuricum, and local galvanism. The case was that of a young man æt. eighteen. His legs and arms much wasted. His voice was indistinct and muffled, requiring a strong voluntary effort to articulate. Every effort to swallow liquids caused choking, unless they were allowed to flow gently over the tongue without effort.

Disease of the Spinal Cord after Epidemic Diphtheria, by Dr. Trinks.

"The debility of the feet became perceptible immediately after she got through diphtheria, and kept increasing from time to time. She was also struck, as soon as she quitted her bed for the first time, with a furry sensation in the soles and toes of both feet. She was unable to raise herself by her own strength from her seat on the sofa, but required the support of another, nor could she stand upright alone, but had to rest her hands on the tables, or be propped up under the

arms; so also, in attempting to move two steps forwards, she could not lift her feet, but pushed them on along the floor. After long sitting her feet became stiff and inflexible, and on each attempt to raise herself by her own exertions, her knees bent under her. When sitting or lying down, she felt drawing pains in the flesh of the thigh and leg. During the last four weeks she also had experienced stiffness and awkward powerlessness of the hands and fingers, which were no longer in a condition to grasp and retain small objects, but let them fall again directly, nor could she any longer play the piano. She has frequent occasion to pass water, being unable to retain it as long as when she was in health.

"A private examination of all the cervical, dorsal and lumbar vertebræ, and of the sacral region, discovered nothing more than a curvature of the spine towards the left side, established in early youth; not a single vertebræ painful or prominent. Also, the patient had no painful symptom in the spinal canal or marrow of the dorsal or sacral region. She had become emaciated, but no wasting of the muscles of the neck, the back, or the upper and lower extremities could be observed. The brain was free from all morbid symptoms. Latterly it became difficult for her to hold up her head long. The sensation in her head and feet had become more and more dull; the numbness or furry sensation of the toes and soles of the feet specially troublesome, with which, also, a certain heaviness of the feet was associated. Minute physical examination of the organs of respiration and circulation, and of the abdomen, discovered nothing abnormal. The appetite, digestion and stool were not deranged; the urine continued bright and clear, and was proved acid by testing. The monthly period occurred regularly, (scanty and short duration.) Sleep often interrupted, not refreshing and restorative. All these morbid symptoms, which manifested themselves in the spheres of sensation and motion of the upper and lower limbs, indicated some disorder of the spinal cord, which had developed itself subsequently to the diphtheria, and may well be considered as a sequela of it.