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Dr.Dr.R.Gnanasambandam Email: gnanas@vsnl.com

I had been successful in treating vitiligo patients with Arsenicum Album in majority of the cases. It gives promising result in dark complexioned patients. I hope that the curative power of Arsenicum Album is excellent, as it covers the three Miasms. When this remedy fails the treatment would be rather difficult and calls commonly Lyc, Selenium, Calc Carb …and so on. Even mother tinctures like psoralea Q, Piper Methysticum Q and Hydrocotyle Q is required to accelerate to hold our patients. I never seen in my practice improved with Ars Sulp Flav, but I heard from others it is giving remarkable result

Dr. Sayeed Ahmad, D.I. Hom. (London) E-Mail: sayeed_ahmad1@rediffmail.com

RHEUMATISM
Ingrowing toe nails and ulcers about the nails are often most troublesome affections, and the more we confine ourselves to the treatment of these apparently local troubles the worse off we shall be as well as the patient. A few months since I saw a case of this kind in company with another physician. The treatment had been localized, and such remedies as Arn., Merc., Hepar., Nit. ac., had been given. It now turned out that she was full of Rhus tox. symptoms. Restless nights ; was compelled to change her position frequently, and always with relief ; was stiff in joints and muscles on first motion, better after moving for a while ; loss of appetite, etc. Rhus tox. in a high potency gave her good night's rest ; stiffness of joints and limbs left her ; her appetite returned ; the ulcer and apparent ingrowing toe nail got perfectly well a few weeks later without any tropical applications. (H. N. Guernsey.)

INTERMITTENT FEVER
I was called in consultation to an obstinate case of intermittent fever. It was a case imported from a district in the west where malaria abounds. It had been of years' standing, having been cured several times by the inevitable Quinine on account of the plasmodium malaria. But of late she had been unable to take Quinine. It made her sicker than the disease. I had suggested Ipec. and again one or two other remedies on the statement of the physician in charge, and because she had been so abused with Quinine, but still the case went on and grew worse until the doctor insisted on my coming to see her. When arrived at the house where the patient was she was just coming out of a very severe chill. She was tossing from side to side, with moaning, low delirium with muttering. I managed to get a look at her tongue, it was red and dry, in a triangular red tip pointing backward. Just then she gave a hard dry cough. What about the cough ? said I. Well, said one of the lady bystanders, that cough is very peculiar. She only coughed during the chill. Probably she won't cough again now until the next chill. There were other symptoms, of course, which I will not narrate here, because we have enough to prescribe on without fear of failure. Every homœopath knows what it is. Rhus tox. 200 was given. She never had another chill. The doctor was a good prescriber, but he had not seen the case right in the paroxysm, and he was a young practitioner and had never heart of Carroll Dunham's cough symptom. (Nash.)

SPRAIN
A man sprained his leg in a harvest field. When he presented himself to me he had exhausted the old school remedies. Found a swelling about the size of half an ordinary orange just below the knee-cap at the head of the tibia. Was very lame, worse during rest, at night, before a storm, etc., a complete Rhus case.
Prescribed Rhus 30. In five days he reported no swelling and no pain to speak of. He got but one prescription. He sent another man who had been hurt in the same field ; he had sprained his ankle. The symptoms in this case were precisely the same as in the other ; it was, however, of more recent occurrence, and was located at the ankle instead of at the knee ; but still a clear Rhus case. I gave him the same as I gave the other, with the assurance to the patient that it would cure him in a week. He came to me again not better. I was so sure of the remedy that I gave him the 3d of the same. He reported in a week that the medicine acted like a charm. (W. J. Hawkes.)

RHEUMATISM
German, aged sixty-six, attacked in 1837, from exposure to cold, accompanied by paralysis of the right side from which he slowly recovered. No symptoms of rheumatism until twelve years ago ; since then pains almost constantly in the right side ; decidedly rheumatic in character with marked periodicity, coming on at 10 P. M. and lasting till 6 A. M., worse in winter and before a storm ; during storm pains over the whole body ; intense pain on moving after a rest, but continued motion relieved. Rhus tox. 200, one dose a week, in six weeks well and no rheumatism since. (H. H. Baxter.)

ERYSIPELAS
Mrs. Duane Fuller, age about 65, was taken with severe chill, which was soon followed by aching pains all over, wrist, in back and head. She soon lost consciousness, went into a stupor with low grade delirium muttering and continually tossing from side to side in the bed. The tongue began to grow dry and stiff so that her muttering grew unintelligible. There was an epidemic of typhoid fever in the vicinity, some had died under old school treatment ; so I first prescribed Baptisia with confidence that it would so modify the case that its subsequent treatment would be easy or abort it entirely, as I had done in a number cases before. But it failed. The next day there was no improvement, and I, thinking that psora might be standing in the way, dropped in a dose of Sulphur 200. Then erysipelas of the head and face, the most intense I ever saw, developed. Perhaps the Sulphur brought it out, but there was no amelioration of the other symptoms.
The head and face were so swollen that the eyes were completely closed, and the size of the head it seemed to me was nearly one-third increased. The eruption was decidedly vesicular. Now the remedy was pain. Rhus tox. m. m. was given in solution. The restlessness immediately began to subside, the muttering less, and an easy sleep (though she remained unconscious) followed in which she remained for several days and nights. The swelling gradually subsided, the vesicles dried and scaled off, and when she awoke her mind was clear. In nine days sat up in bed and took nourishment, and made rapid and complete recovery. (Nash).

CANCER
I had a similar case. It was of long standing. The tumor of the stomach or rather just below the pit of the stomach was the size of my two fits ; it was very large. After the coffee grounds vomit appeared twice then came a large wash bowl full of vomitus looking like molasses ; these were signs of dissolution. That case received a dose of Arsenicum at that time, and has never received a dose since, and she has been well for two years. No repetition of the remedy. (Biegler.)

ECZEMA
Florence Johnson, a young woman, had been afflicted a long time with chronic gastritis. She was unable to take ordinary food without great burning and distress in her stomach. This condition of stomach was relieved when she had eczema of both ears, which was intensely painful and burning. She would sometimes succeed in healing the ears, but in proportion as she succeeded in that the stomach symptoms returned. Then she would get very poor in flesh. I had given her Sulphur and Graphites without perceptible benefit and also Arsenicum 30 and 200. Finally I concluded to try the Arsenicum higher. Gave her Arsenicum 37m., made on my own potentizer, and the effect was wonderful. The whole trouble promptly yielded, and she had no trouble since now several years. I forgot to say that she also had scalp trouble of a similar nature with that of the ears, which also subsided. (Nash.)

MEASLES
Jennie Marit, young lady, had measles ; everything went well for a few days. The eruption came out all right, when all at once, in the night, the eruption, without apparent cause, disappeared from the skin, and intense dyspnœa with great restlessness and tossing about in agony and extreme prostration set in. These were all Arsenicum symptoms, and this remedy in frequently repeated doses relieved all those distressing and dangerous symptoms in a very short time, and she made a rapid recovery. (Nash.)

GASTRALGIA
Mrs. Hayford, age 35, had severe attacks of gastralgia. They came on a little after midnight and lasted until 3 A. M. I asked her what was the character of the pains. She answered, burning as if my stomach was full of live coals. What have you done four yourself ? Everything I can think of, but the only relief I can get is to walk the floor with a hot water bag held across my stomach. I am blistered now with it, and I am growing weak from pains and loss of rest, fairly prostrated. The veriest tyro would not hesitate to prescribe Arsenicum for such a case, which I did, with a promise to call next day. I was very busy at the time, and forgot all about the case for a week, when, passing the house one day, it came to mind. Then I went in and found the patient at her house work looking bright and happy. Well, said I, how are you ? Are you dead, well or got another doctor ? I forgot you. She answered, I am not dead or sent for another doctor, and I haven't had any more of those attacks of pain ; but, doctor, would that medicine send out salt rheum ? Ah, you had salt rheum before you had the gastralgia. Yes. You cured or rather suppressed it with an ointment. Yes. That was the cause of your trouble in the stomach. But, doctor, I don't want either. We'll try to make you better of both. Which we did by letting the Arsenicum act.
She moved away from Cortland about a year after, and, while not entirely cured of the eczema, was very much better. (Nash.)

A COMPLICATED CASE
Mrs. B., aged 45, had for many years suffered from a very delicate and irritable stomach, from cankerous sore mouth (cured by Phytolacca), all in consequence of what is mistermed scientific treatment. She also had suffered from hay fever, regularly returning every year on the 16th of September.
Mrs. B. returned from Europe, after an absence of several years, on the 26th of July last ; the voyage had been a very unpleasant one ; she had been very seasick all the time. From the time she left Liverpool till she was visited by me, on the 27th of July, she had taken literally no nourishment ; broken ice was the only thing that had passed her lips. I found her sitting up, occasionally straining to vomit, very weak, pulse 116 per minute ; she complained of a violent pain in the occiput, with great heat, which she had tried to relieve by applications of broken ice ; urinary secretions suppressed ; mouth dry and hot ; she had not slept for fortnight, and could not lie down on account of great nervousness, as she expressed it, which compelled her to change her position and her chair so very often ; she wandered about all night from chair to chair ; was very disagreeable ; perfect loathing of food, and for a few days had a watery, very offensive and black looking diarrhœa. The choice of the remedy was easy enough. I gave her one dose of Arsenicum alb. 50m. (Fincke), on her tongue, July 27th (10 A. M.). July 28th had slept in her bed from 10 P. M. till 1 A. M., then became nervous and restless, but says that she feels better. No medicine.
July 29. She has been in bed all night ; slept ; and no return of the diarrhœa ; urinary secretions re-established ; the hot water applications to her head have very much relieved the pain, had later some milk toast, and relished it ; pulse below 90 ; is cheerful and hopeful.
July 31. Had a still better night ; is better in every respect, but complains of severe pains in a bunion on the left foot ; it is much inflamed and stings. I gave her now one dose of Nitric acid. c. m. (Fincke).
August 1. The bunion is less painful, otherwise there is not much change perceptible.
August 2. Bunion still improving, and on August 3rd no more pain or inflammation in it. In the evening, same day, I was again summoned to see her ; found her quite ill ; the diarrhœa and vomiting had returned with great violence ; pulse over 110 ; the same headache as on the 27th had also returned, also the great restlessness. Gave her one dose of Arsenicum album (Fincke) dry on her tongue. Found her better the next day, and the improvement continued ; on the 6th of August her bunion began to pain her again as on the 21st. Gave no medicine. Improvement continued satisfactorily ; when the 16th of September came she had that night, about 1 A. M., some oppression of breathing, which reminded her of the terrible asthmatic attacks she had had years ago ; she had to sit up for half an hour. No medicine. She fully recovered and traveled for some weeks ; had no hay fever ; really has had nothing to complain of since ; enjoys better health than she has had for years (Ad. Lippe.)

SCIATICA
Mrs. Jehial Clark, aged about 60, was afflicted with one of the worst forms of sciatica. Her brother, Charles Sanders, of New York, of "School Reader" fame, was already a cripple from the same disease, allopathically treated. In this patient's case the pains were intense, with decided burning sensation. They were greatly aggravated from 1 to 3 in the morning. She was greatly prostrated from her suffering. The only way she could get any rest (for she was exceedingly restless, continually wanting to be changed from place to place) was from bags of dry hot salt continually applied along the nerve. There were other symptoms, but these are enough to show the remedy that a homœopath would naturally prescribe. Arsenicum alb. was given in the 30 and 200. To my surprise no good came of it. Then Sulphur was given in the possibility that psora was complicating matters, but with no good result given. Now other remedies were tried, but, of course, ineffectually.
I had one thing in my favor, the history of her brother's case, which had run much longer than hers. So there was no object in her changing to the old school, especially as he had been left an incurable cripple. It was in the earlier part of my practice, so I had not gotten much above the 200th potency then. But I had a graft of Jenichen's 8,000th in the office, so as nothing else did any good I concluded to try it. It was given in solution with rapid and permanent relief. She was well in an incredibly short time, and never had a return of the trouble, although she had suffered for four weeks, before she got this preparation. (Nash).

METRORRHAGIA
Mrs. E. G., æt. 36, had been given up to die by her family physician.
She came of a consumptive family, her mother and her mother's parents having died with the disease. She had always menstruated VERY PROFUSELY, and after having practiced upon herself, within the course of eight or nine years, no less than seven abortions, her menses assumed the type of recurrent hæmorrhages. Her lungs had always been very sensitive ; has had more or less cough ; at first DRY and HACKING, later loose and hollow. Has had pneumonia twice, making a tardy recovery each time. At present was convalescing from a third and severe attack of pneumonia, when some imprudence on her part brought about an unfavourable change, and she failed so rapidly that her case seemed hopeless.
SYMPTOMS. Constant hollow, loose cough, extreme sensitiveness of the lungs to cold air and to far ; profuse and general perspiration at night, of a sour smell. Extreme emaciation, constipation alternating with watery diarrhœa ; great despondency ; constant passive hæmorrhage from the uterus of dark foul blood. Calcarea carb. 30 was the first and only remedy prescribed. Under its use she not only made a good recovery from this attack, but regained by its long continued use a surprising degree of general health. (Arndt.)

ENTERO-COLITIS
Peckham, child at 18 months. Fair haired, blue eyes, chubby when born, but with open fontanelles and sweaty headed. Has for a few weeks past had what her doctor called cholera infantum. All sorts of foods had been tried until now, when they called me in, the diarrhœa, of a sour smell and light colored, was almost incessant ; every diaper. There was also frequent vomiting of sour substance and the milk came up in very large curds. There was great emaciation and child when it slept did so with half open eyes, and the sweat on the head wet the pillow far around. I put Calcarea carb. 6m. (Jenichen) in the child's food, as suggested by Dr. Hering, and in a few days marked improvement set in and continued until the patient was perfectly well. Many such cases are on record. (Nash.)

CARIES
Rank W., a lad aged 10, blue eyes, light thin hair, pale, thin face and of a scrofulous disposition. One year previous to my call a periostitis set up in the shaft of the left tibia upon the inner side. Case as presented to me the first time ; bone has exfoliated along the whole length of the shaft ; ulcer is so deep that not more than one-half of the supporting structure remains and leg is much bent ; ulcer keeps up a continuous discharge which has left little vital resource behind. Patient is not only badly emaciated, but has a hectic fever and a bad cough, with dullness in the right apex. Cough is dry and harasses him in the evening ; has night sweats. Was given Calcarea carbonica 6, and urged to use milk freely as a diet, to which added the amount of three tablespoonfuls of brandy every twenty-four hours. Ulcers were fully healed and bone reparation complete within the next twelve months. All traces of lung trouble also passed away and I have never known of subsequent trouble, though case passed from my observation in the course of half a dozen years. We will here add that we have many times succeeded in curing these bone ulcers, commonly called "fever sores," with the use of Calcarea carb., milk and brandy, and they all remain cured so far as we know. (G. N. Brigham.)

MARASMUS
Eddie D., 18 months old. Oct. 30, 1881, the mother brought him to me, saying she had done all she could, and now desired me to treat him, if I thought I could do him any good.
The child was pale, flabby and very weak ; has pale blue eyes and golden hair ; had diarrhœa three months, which nothing could stop. According to the mother's ingenuity, "He's a good child and never cries much." Was eating a biscuit when his mother entered the office with him. I told her the child was forming a bad habit. She immediately answered, "I must always carry something for him to eat wherever I go, because he wants to eat all the time, and he just loves eggs, but I don't know whether he ought to have them or not ; they make his bowels run off, and he takes a very bad spell once a month. I have noticed it now three times."
Question : What time of the month ?
Answer : When the moon fulls.
I noticed a watery coryza and rattling in the chest. Every time the mother opened her mouth I thought more of Calcarea, which I gave in the 85m potency, one dose, dry on the tongue, in the office, and thirteen powders of Sac. lac., a powder to be dissolved in a half glass of water, and a teaspoonful to be given every two hours. The mother desired to know about letting him have the eggs. I told her that his craving for them would gradually decrease, and that I could not withhold them from him.
November 14. Much better in every respect. "He does not crave eggs quite so much and his bowels are better, but he cannot walk yet." I told her she should not expect the child to be entirely well in two weeks, when it had been sick three months.
Sac. lac., 13 powders to be taken in the same manner.
Dec. 9. Still improving. Is beginning to walk again and does not crave eggs any more, though he likes to eat them. Mother thinks his bowels are natural now. I could detect no rattling in the chest, and nose had stopped running.
Sac. lac., nine powders. Told the mother she need not come back unless the child got worse, and then to let me know immediately. I have heard from the child repeatedly and he is still "hearty." (Tom Hagen.).

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