CLINICAL CASES By C M Boger

THE

 HOMOEOPATHIC RECORDER

Vol. XXXVII. Philadelphia, July 15, 1922. No. 7.

CLINICAL CASES

C. M. Boger, M. D., Parkersburg, West Va.

Case 1. 

Intermittent fever for two years. Patient aged 71 : 

confined to bed. Every day between 3 and 4 p. m. first 

a crawling here and there over body, then drowsiness ending 

in stupor during which a violent shaking chill comes 

on. In spite of its violence the shaking doesn't awake her 

from the stupor. 

She received a dose of Opium 12 late in the evening and 

early in the morning for five days, then Sac Lac, whereupon 

the chills ceased for over a week but came on again in an  

irregular and milder form. She again received Opium 12 as  

before. This cured the case. 

Case 2. 

1. Chronic dysmenorrhoea. Menses early, scanty and 

painful. The pains come and go quickly < left side. 

2. Chilly and nauseated ; she lies on abdomen ; > belching. 

3. Aggravation Lying on Left side. From anger. 

4. The heart misses beats. 

5. Dyspnoea < excitement (Amb. Ars. Coc-c. Ferr. Pul. 

Sep.) ; or from anger (Arn. Ars. Rhus-t. Stap.). 

6. Frontal and occipital headache. 

7. Bad taste in a. m. 

8. No inclination to sweat or cold sweats. 

9. Jerks and starts in sleep. 

10. Sore over kidneys. 

Arsenicum mm. a single dose cured. 

Case 3. 

1. Lumps drop from posterior nares < after breakfast. 

2. Profuse, thin, brown leucorrhea. 

3. Dull ache over left ovary. 

4. Frequent scanty urine. 

5. Flatulence during the menses. (Kali-c. Kre. Mag-c. Nat-c. 

Phos. Vespa.) 

One dose of Vespa 1m. cured. 

Case 4. Arthritis deformans

A physician ordered antiseptic injections for foul lochia, 

some months afterward arthritis deformans slowly developed 

with the following symptoms: 

1. Sore epigastrium, < coughing. 

2. Stiff on lying down; > continued motion. 

3. First one joint then another gets stiff and puffy. 

4. Emaciation. Weakness; < epigastrium, then ravenous 

hunger. 

5. Menses too early. 

6. Internal trembling, < before and during menses. Sense 

of swelling all over. 

7. Dreams causing fear; of falling; of accidents. 

8. Chloasma on face. 

9. A little food fills her up; craves acids. 

Puls 12 a single dose. 

Improved slowly for seven months and now at the end of 

thirteen months remains well and strong. 

Case 5. 

1. Aching and coldness along spine. 

2. Cramp in bowels then dark, thin, diarrheic stools. 

3. Spells of general aching,.

 Polyporus off.  three doses cured. 

Since then patient has undergone a great change and is in 

better health than for years. 

Case 6. 

1. Secretions, urine and leucorrhea all cause itching. 

2. Offensive, sticky, raw axillae; fingertips sting, burn and 

crack. 

3. Before menses the face swells, pains, gets rough and the 

eyes sting, burn, itch and the tarsi turn red. 

4. Piles which burn and crack. 

5. The feet sweat and smell. 

6. Violent eczema of palms with many cracks. 

One dose of Sulfur acting for four months removed 

every symptom except the leucorrhea which grew steadily 

worse. She now received a single dose of Medorrhinum 

and within a very few weeks reported herself pregnant for the 

first time, after many years of married life and the leucorrhea 

gone. 

Case 7. 

Patient had been under local treatment for seven 

weeks for suppuration of the left ear with sharp shooting 

and violent throbbing, radiating pains with anorexia and 

sleeplessness. Aggravation at 4 p. m. and all night. A 

single dose of Asafoetida cleared everything within a week, 

since which she remains well. 

Case 8. 

1. Sore at left angle of mouth. 

2. Hard breathing as if he were breathing through a metallic 

tube, seeming to start from abdomen. Fears his breath 

will stop. Throat feels scraped and burns. 

3. Burning over kidneys. 

4. Follicular pharyngitis. 

5. Restless feet; rocks hard; is nervous. 

6. Ravenous hunger with sour belching; but very weak and 

exhausted. 

7. Weeping attacks; sits with head in hands. 

8. Amelioration; cool air. 

9. Neuropathic inheritance. 

10. Urine and heart normal. Merc-cor C. M. later followed 

by the MM has slowly made him a ruddy, healthy looking boy 

full of vim and vigor. 

CATARRH OF THE BLADDER By Eli G. Jones

 The

Homeopathic Recorder

Vol. XX Lancaster, Pa., March, 1905. No. 3

CATARRH OF THE BLADDER

By Eli G. Jones, M. D.

Several years ago I was called to the southern part of this 

State to see a middle aged man suffering with catarrh of the 

bladder. The physician whom I met in consultation had used 

many remedies to try and relieve the distress of the patient. He 

finally had to use the catheter to draw off the water every few 

hours, and the pain at such times was so great that the neighbors 

could hear him scream with the pain. The discharge from the 

bladder was mixed with blood and mucus, with a burning pain 

extending down from the bladder to the end of the penis. I told 

him I thought I could help him, and in consultation with his phy- 

sician gave him my idea of the treatment of the case. To relieve 

the most pressing symptoms I prescribed Solidago virga-aurea ix, 

third dilution, five drops once in two hours; in twenty-four hours 

he could pass water without the catheter. For the constant dis- 

charge from the bladder I gave him Tr. Chimaphila umb. 9C ten 

drops once in three hours. In cases of this kind it is well to remem- 

ber that the greater the amount of catarrhal discharge the more cer- 

tain the indications for the Chimaphila As his nervous system was 

pretty well unstrung with the pain, I gave him Kali phos. 3X 15 

grains in a goblet of water, teaspoonful once an hour, till his nerves 

were calmer. This plan of treatment was strictly followed out 

until the patient was discharged cured. 

I have used the Solidago (golden rod) in cases where it is indi- 

cated and it is one of our best remedies. 

New Brunswick, N. J. 

A CASE OF COLICKY PAIN WITH A FOETUS-LIKE MOVEMENT - By A. W. K. Choudhury

The

 Homoeopathic Recorder

 Vol. XX Lancaster, Pa., April, 1905. No. 4.

A CASE OF COLICKY PAIN WITH A FOETUS-LIKE

MOVEMENT IN ABDOMEN 

TREATED WITH

A SINGLE HOMCEOPATHIC MEDICINE.

By A. W. K. Choudhury, M. D.

Patient, a poor Mohammedan female adult, named Makhau, 

came under my homoeopathic treatment May 27, 1904. She be- 

ing mother of two children, both surviving. She came to me 

with the following history and symptoms: 

The colicky pain commences from the left ovarian region and 

spreads rightward to below the umbilicus, and then extends up- 

wards. It is not constant, but when it ails her it increases in the 

morning and continues till noon, then the pain subsides and fever 

sets in. This fever is characterized by a chill of about an hour, 

then a severe heat followed by sweat, no thirst in any stage. The 

pain under pressure on the left ovarian region is constant, in- 

creasing especially at each menstrual nisus; during menses she 

has pains all over body and is feverish; flow copious, may be 

with blackish clots, and it continues six days; menses irregular, 

some days too early or some days too late. She had been ill nine 

months. 

She notices a foetus-like movement in the abdomen from left to 

right and then sometimes upwards. 

Bowels open daily, once; stool hard, not sufficient; never diar- 

rhoea; no thread-worms; acidity afternoon, evening or morning; 

heartburn; acid eructation; taste in mouth insipid; appetite dull; 

urine sometimes colored; sleep, good; heaviness of head; tooth- 

ache. 

Dark complexion and black hair. 

Never leucorrhoea; vertigo when closing the eyes; headache; 

photophobia and lachrymation since nine months ago; no warts 

anywhere; spleen little enlarged; pain under percussion on right 

hypochondrium and epigastrium, and below navel a little to the 

left; nails all right; vaccinated in infancy; itching all over body 

since about a month; itching increasing while sweating. 

1 -6- 1904. — Thuja 30, two doses given; to be taken daily, one 

dose. 

Diet: Rice, vegetable curry, milk. 

Bathing allowed. 

7-6-1904. — Felt much better for three days; menses five days; 

menses on this occasion at full month; pain in abdomen much 

less; no foetus-like movement in abdomen any more; complaints 

little increased since yesterday; no toothache; pain all over body; 

bowels open; appetite as above; heartburn. 

Repeated one dose of Thuja 30. 

8-6-1904. — Pain in abdomen no more felt; no more foetus-like 

movement in abdomen; pain all over body somewhat less; heart- 

burn always, frequent eructation; daily, one or two better stools; 

stools soft with bad smell; appetite not good after evening; taste 

in mouth insipid; burning of eyes; heat of soles of feet; paleness 

of hands and of vertex; pain under pressure on abdomen a little 

below the navel and a little to the left, where a hardened structure 

of about the size of a hen's egg is felt under the fingers; slight 

enlargement of spleen; no pain under pressure on right hypo- 

chondrium and epigastrium. Placebo. 

She continued under treatment and observation till the 14th 

inst., getting only Placebo. She gradually improved and fully 

recovered. 

Remarks. — Three doses only cured her complaint. A bodily 

complaint of nine months' duration disappearing with the ad- 

ministration of three doses of the medicine would not fail to excite 

envy and admiration in the bosom of our elder brothers, the 

allopaths, if they kindly condescend to study the case. 

Thuja was tried in this case, and why? Dr. H. C. Allen, in 

his Therapeutics of Fevers, mentions Thuja, Crocus, Sulphur and 

Nux as having the movements of living child in abdomen. 

Our patient was vaccinated; and treating chronic cases previously 

vaccinated we may get a good help using Thuja. Her left 

ovarian pain increasing at every menstrual nisus is another symp- 

tom in the patient to indicate Thuja. So Thuja was selected and 

given her. 

Satkhira P. O., Calcutta, India. 

PROLAPSUS OF VAGINA CURED BY THUJA By Dr W H Wheeler

The

Homoeopathic Recorder

Vol. XX Lancaster, Pa., March, 1905, No. 3

PROLAPSUS OF VAGINA CURED BY THUJA

 By   Dr. W.  H. Wheeler

Edited By Dr. Vandana Patni 

About five months ago I was consulted in regard to a case of 

prolapsus of the vagina in a woman seventy-seven years old and 

told, that one of the best homoeopathic and Hahnemannian physicians 

in the country had advised a surgical operation, saying that 

she knew of no internal remedy which would be likely to help the 

case. The prolapsus had already existed for at least a year and 

was steadily getting more and more troublesome, together with 

increasing weakness and marked irritability in one who naturally 

was one of the kindest of women. But having an intense antipathy 

to needless surgery, and counting surgery always needless until 

careful study of all possible clews has proved beyond a 

doubt that no other remedy is possible, I asked the privilege of 

going over the case to see if somewhere in our Materia Medica a 

vaginal tonic could not be found which would touch the case. 

As so often happens in such cases, I soon discovered that in the 

case as it now stood there were no clews; but a very careful study 

of the lady's past life and family history brought out the fact 

that she had often been helped for a while by Pulsatilla and Silica, 

though neither of these seemed to have any real control over the 

prolapsus. But Thuja is complementary to both of these; in fact, 

is probably the true chronic of Pulsatilla three times out of four, so 

I devoted myself to a study of some of the more rare and unusual 

symptoms of Thuja, and sending my patient by mail a list of 

seventy-nine of these I soon got conclusive proof that all through 

her past life a thuja vein had run, for she had had quite a number 

of its rarest and most distinctive symptoms. So I advised a 

trial dose of Thuja 1000 to see if medicine could do anything 

for the case. This was Oct. 15, 1904. As is so often the case 

with Thuja when it does its finest curative work, the initial 

aggravation after taking this one dose was very severe, actually 

putting the dear lady to bed. But then came the relief. She 

began to feel stronger, and the prolapsus gradually became less 

and less and soon wholly ceased. Her irritability also became a 

thing of the past, and for four whole months she felt better than 

she had for years, in spite of slowly advancing old age and a very 

trying winter climate. At the end of these four months some of 

the symptoms and a renewed tendency to prolapsus showed itself, 

and I have just advised a second dose of Thuja; but that in a 

woman seventy-seven Thuja should have given such marked 

relief for four solid months certainly shows that it has a marked 

affinity for prolapsus vagina in so-called Pulsatilla women, which 

is well worth keeping in mind. 

To show how marked and many-sided the improvement has 

been I will quote a part of the lady's last letter: she writes, 

“Till the last few days I have not had to lie down as often as I 

used to, have had but little backache, have been largely free from 

coughs which used to trouble me a good deal and have had only 

one attack of grippe this winter, and that much milder than usual; 

my knees and ankles do not feel cold as they used to do before 

[one of her most persistent symptoms formerly] . I do not get 

tired when working, as I used to do, and am able to do a good 

many hours' work each day.” To all of which her daughter 

adds,  “that she has also been her old, sweet self once more, with- 

out the strange irritability and temper fits which were formerly 

beginning to trouble her so much, and make it so hard to keep a 

servant girl.” Evidently Thuja has helped, and is going to help 

still more; but this is enough to set many an interested reader to 

observing for himself. Think of it as one of the commonest 

chronics of Puls., always expect a rather severe aggravation 

EVERY time you USE IT, and tell your patient to expect it, 

and except in very urgent cases like this do not begin higher 

than the 30th for chronic troubles, and I am sure you will soon 

learn to love it almost as much as I do, for it has saved some of 

my dearest friends and is saving others from sufferings almost as 

old as Noah's ark; for though it works very slow it works 

wondrous deep. Of course, the 30th is slower than the 1000th would 

be, but the curative aggravation is also less. In fact, one young 

doctor who needed it, turning up her nose at 30ths, took the cm. 

and was almost frantic, so sharp was her aggravation. But if 

you wish to get really fine results be patient and don't repeat 

until an unmistakably serious relapse of at least five days’ duration 

calls for it, for some of its later curative action is even more 

cheering than the relief and uplift which it gives when first taken, 

two to four months seeming to be the time that a single dose of 

the thirtieth can run with steady improvement and only a lot 

of minor annoyances to show that the work is not mere palliation 

but cure, melancholia slowly changing to mere neurasthenia, in- 

sanity slowly changing to mere restlessness, despair to mere 

intermittent blues, etc. 

And now just one more hint that may save some one much 

worry. It has wonderful power over dropsical swelling of the 

feet of several weeks’ duration in some mild Pulsatilla women, 

when the dropsy is probably due to mere weakness rather than 

heart disease in its graver forms, though over true heart disease 

it seems to have great power in some cases. But dropsy due to 

weakness it sometimes cures like magic. I do not find this symp- 

tom reported in our repertories; but Allen's Cyclopaedia 

(Symptom 2714) tells us that in the case of one prover it persisted for 

ten days. 

SOME CASES OF RHEUMATISM By Dr. Mossa

 The

 Homoeopathic Recorder

Vol. XX, Lancaster, Pa., January, 1905  No. 1

SOME CASES OF RHEUMATISM

By Dr. Mossa, Stuttgart

Translated for the Homoeopathic Recorder from Allg. Hon. Zeit.

Edited By Dr. Vandana Patni

Gnaphalium

A servant girl, twenty-nine years of age, had suffered much 

ever since her ninth year from rheumatism. This pain roved 

about in all the joints, sometimes in the fingers which are red and 

swollen, then again in the shoulders or the loins. She cannot 

sleep at night. The joints are stiff and sore and hard to move. 

The mother-tincture of Gnaphalium, ten drops a week, continued 

for two months, brought remarkable relief. In the course of two 

months she was freed from all pains, except a slight aching in the 

back (Cartier). Gnaphalium is generally most useful in non- 

inflammatory rheumatism, and still more in nervous rheumatism 

and in gouty myalgia. 

Kalmia Latifolia

A school boy, ten years of age, had an attack of rheumatic fever, 

lasting thirteen days. Acute pains in the shoulder-joints and in 

the upper arm, jumping from one side to the other; penetrating 

lancinations in the cardiac region, worse at night; thirst for large 

quantities of water; great restlessness. Pains darting through 

the intercostal muscles in the left side, worse while breathing; 

the tongue, red in the middle, with a red triangular spot on the 

tip; the joints neither reddened nor swollen. Temperature higher, 

respiration 48-60 ; the cardiac pains worst while lying down. The 

boy had had a similar attack the year before, which had been less 

painful, indeed, but which under allopathic treatment had lasted 

six weeks and a half, and had left behind a deficiency of the 

valves. On giving him Kalmia latifolia the pain disappeared in 

two days. 

Medorrhinum

This remedy is according to J. H. Allen most effective in rheu- 

matism after gonorrhoea, especially when the small joints are 

affected. The gonorrhoea in such cases has often been quickly 

repressed. Whenever in rheumatism the joints, especially those 

of the fingers and toes, or the knee joint, are swollen, we should 

think of Medorrhinum; for there is usually a specific infection pres- 

ent. This remedy has cured gouty exudations, extending to the 

whole of the body. The patients in such cases have hardly any 

use of the joints affected (similarly as Rhus in muscular rheuma- 

tism). It is worse in cold weather, better when it is warm.

Winter is always the worst season with such patients, especially 

when it is cold and moist. They complain of heaviness of the 

limbs while walking, as if the limbs would refuse their service. 

In Arthritis deformans, this crux for patients and physicians, 

Dr. Bonino has found the best results from a weekly alternation 

of Causticum and Thuja. In pronounced gout Urtica urens has 

been most serviceable. 

ALTERNATING REMEDIES

HOMOEOPATHIC RECORDER

MONTHLY

VOLUME XII

1897

(Page No. 559 – 563)

ALTERNATING REMEDIES

Edited By: Dr Ravinder S. Mann

Translated for the Homoeopathic Recorder from “Willst du Gesund 

weren ?”

There are in homoeopathic practice states of disease, the 

symptoms of which viewed in their completeness, point to a 

single remedy of the homoeopathic treasury of medicines, so 

that when rightly applied the said disease can be thereby fully 

extinguished. But not less numerous are the cases in which a 

single remedy carries us only to a certain point; then changes 

appear or symptoms still remain which point to another remedy; 

and the time for its application has come, when the improvement 

makes no further progress. In this case, however, it is 

by no means indifferent what remedy is elected to follow immediately 

after the other, for experience shows us that there are 

some remedies which are especially adapted to complement one 

another's action, while there are others which mutually repel 

each other. There is not at the present time any satisfactory 

explanation of this phenomenon which, however, rests on experience 

and observation. 

We also frequently find in homoeopathic practice that simultaneously 

two remedies are prescribed by some physicians to be 

used in alternation. This mode of treatment, which is especially 

frequent in acute diseases, but also used in chronic cases, is not, 

indeed, in agreement with the method of our master, Hahnemann, 

who directed that only one remedy should be used, yet 

the choice of two remedies may be perfectly justified even from 

the homoeopathic standpoint; for there are states of disease 

which point to different remedies, not only by some of their 

secondary symptoms, but even by their fundamental character. 

The latter is, indeed, very rarely the case, and we find more 

frequent instances where alternating remedies are prescribed, not 

from necessity, but with a well meant intention of hastening 

the cure. And this result may, indeed, be hastened by the use 

of alternating remedies, when these remedies are mutually concordant 

and supplementary. But the use of alternating remedies 

has also its drawbacks, which appear when one of the remedies 

is unsuitable and not adopted to the special case, so that its influence 

instead of furthering the cure only serves to obstruct the 

action of the other remedy. On this account we ought from 

principle to continue our observance of Hahnemann's doctrine, 

that only one remedy should be brought into action at one time. 

The image presented by the provings were obtained and continue 

to be so from the use of one single remedy at a time on a 

healthy person. But these results only obtain their full value 

when they are confirmed by practice, and for this it is necessary 

that the respective remedies should be prescribed singly. The 

more frequently a remedy has thus been “confirm” under 

certain circumstances the greater will be the confidence of the 

practitioner in its virtue and the more easy will it then be possible 

for him to associate with it another remedy in consequence 

of the experience he has gained. By this the practitioner also 

is led to see that there are remedies which serve specially to 

complement one another. 

As an example of this I would here mention Silicea, 

Calcarea fluor., which gives splendid results in caries of the 

bones. We may further refer to Sulphur and Mercurius, which, 

when used alternately, are very effective in the cure both in 

humid and in dry herpetic eruptions. I have had much experience 

in the latter disease, so that I may say that in the course of 

years these two remedies have been of the greatest service to me 

in many herpetic cutaneous ailments ; I have used them in the 30, 12 

and 6 potencies. Usually these remedies were given alternately, 

every 4 or 6 days, one dose of one or the other. In humid eruptions, 

with an inflamed basis with violent itching, of which we find 

especially many cases with children, I have found these two 

remedies effective with hardly an exception. When such eruptions 

come to suppurate Hepar sulphuris is to be preferred; still 

remedies like Graphites and Juglans cinera, etc., may still be 

considered, especially when the success of the former remedies 

has not been decisive and permanent; but Sulphur and Mercurius 

are always the chief remedies and will continue to be so. 

Of course the treatment of a chronic cutaneous disease will always 

require months. 

Two additional remedies, which are mutually concordant and 

supplementary, are Arsenicum and Carbo vegetabilis in chronic 

ulcers on the legs. These remedies are indicated when dilatation 

of the veins lies at the bottom of the disease, and this is well 

known to be the case in most instances of this ailment. They 

are indicated in cases where the process is inert for a long time, 

and where the secretions from the ulcer is slight in quantity and 

perhaps occasionally sanguineous, and where there are burning 

pains, occasionally also stinging pains, while there is no intermission, 

even at night. 

Arsenicum and Carbo veg. are given in herpes somewhat more 

frequently than Sulphur and Mercurius. We may also give for 

two days three doses a day of one remedy and then, after a pause 

of one or two days, give the other remedy in the same manner. 

It is certain that chronic ulcers on the legs are improved and 

cured in this manner without necessitating a cessation of the 

usual employment. The remedies mentioned last I have preferably 

used in the 12 potency, also in the 30, but rarely in the 6. Instead 

of Carbo veg. it may also become necessary to use Lachesis, when 

the limb affected is much disfigured by considerable swellings and 

the parts around the ulcer have a bluish-black appearance. 

Two other remedies which also supplement one another's 

action remarkably well are Calcarea carb. and Nux vom. when 

the catamenia appear too early and are too profuse. This 

ailment may also be caused by a certain weakness, and is not 

always due to change of position, ulcers, etc. In such cases, 

Nux vom. and Calcarea carb. in the 30 and 12 potencies, one dose 

every third day, prove very curative. Even in cases where female 

physicians had operated on the patient, and where the irregularity, 

according to their statement, was due to a thickening of the mucous 

membrane, I have been able to effect a cure through the two remedies, 

demonstrating that modern surgery is not always 

the last sheet-anchor for suffering patients. In these cases also it is, 

however, necessary to continue the treatment for several months. 

I do not mean to be understood that in the above-mentioned 

diseases only the two remedies there mentioned ought to be used. 

I myself have, indeed, learned to know and value these remedies 

by very many observations, but another practitioner may also 

discover other remedies which used together may not be less 

effective. I have only desired to make a small contribution to the 

doctrine of alternative medicines, and perhaps assist one 

or another practitioner to a certain success in similar cases. 

The following from the Medical Advance gives a good idea of the 

nature of the recently published Gross' Comparative Materia Medica: 

The first edition appeared in 1866, and for many years this 

splendid volume, upon which the author spent so many years of 

hard labor, has not been obtainable. If our practitioners will use 

this work in comparing the action of two remedies, the symptoms 

of which are opposite or more or less similar, they will have very 

little excuse for alternating remedies. Here are about 500 com- 

parisons of 100 of our most frequently called for remedies, and a 

little work will yield an abundant harvest in the brilliant cures which 

follow the carefully selected simillimum. Never before has the student 

of Materia Medica had such an opportunity to become familiar with 

the essence of his armamentarium as is here offered. A study of these 

comparisons will speedily remove the erroneous impression 

of the student in the similarity of drug pathogeneses, for the complaint 

is frequently made that the symptoms are nearly the same in every drug. 

On the contrary, after a study of Gross, the question more frequently 

asked will be, “Where is the similarity?” It would certainly be difficult 

to find the similarity in the following remedies so often given in 

alternation by those who believe in and practice poly-pharmacy: 

PULSATILLA                                               SEPIA 

Inclination for open air                         Aversion to open air. 

Hot and painful swelling of                  Painless swelling of glands. 

glands. 

Eruptions more humid than                   Eruptions mostly dry. 

dry. 

Heat on suffering part.                           Sweat on suffering part. 

Taciturnity.                                             Loquacity. 

Mood gentle, distrustful.                        Mood  Irritable, rarely amorous. 

Mania from suppressed menses             Mania from profuse menses 

Catamenia too short and scanty.           Catamenia protracted and profuse. 

Worse from warmth of bed.                   Better from warmth of bed. 

Better from pressure.                              Worse from pressure. 

Mostly worse after sleep.                     Better after sleep; but worse  when            

                                                                   disturbed. 

"Frequent reference to this work will not only save much 

valuable time in a sharp and clear-cut individualization of the 

remedy, but it will often demonstrate that our examination of 

the patient has from some cause been imperfect, something vital 

has been overlooked by the physician or patient, and a new and 

more complete examination must be made. Those who have 

used this book most consider it almost indispensable when a life 

depends upon the selection of the perfect remedy. A very 

trifling change may often decide a momentous question. Be 

sure you are right, then go ahead."