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source of many other symptoms; such as fever, convulsions, St. Vitus' dance, inflammations, etc. ; but how much more potent is this primary irritation in the production of the above, when aided by the drastic and irritating agents alluded to. And the question arises, how far the very condition itself which favors the generation of worms, may serve to produce many of the symptoms attributable to their actual existence. I have frequently prescribed for children suffering from fever, or more decided inflammatory symptoms and such as threaten convulsions, and have known Aconite, Belladonna, Ignatia, Hyosciamus, etc., to fail, although they were specifically indicated ; which led me to refer ' back for a cause, to the possible existence of verminous irritation, or to the peculiar condition of the system, (remote as it may appear,) that favors the production of worms; and after the administration of a single dose of Cina, the other drugs would act with the most unerring certainty. It is well to adopt the above course generally in diseases of children, (not referable to a specific cause,) when the drugs indicated fail of success.

For the ordinary symptoms of worms, such as variable appetite; foul tongue; offensive breath; distended abdomen; emaciation of the limbs; irregular bowels; itching of the nose; moroseness or irritability. Cina.

Should inflammatory or febrile symptoms follow.

Aconite and Belladonna.

The latter more particularly if there are symptoms of convulsions, such as startings, twitching, sudden crying out; or cerebral derangement; head hot; face flushed, etc.

When in addition to most of the symptoms of worms, the abdomen is timid and hard, and the bowels constipated.

Cina, Nux Vomica.

If mucous diarrhoea follow the administration of Cina, give Puls., Merc., Sulphur.

The medicines most suitable for tape worm and the symptoms depending upon its presence are

Mercury, Sulphur, Graph., Stannum.

For the small pin worm.

Teucrium, Aloes, JVux Vomica.

Should fever and distressing urinary symptoms set in or continue after the above, give Belladonna, Dight, Cham.

Administration.—Give the drug indicated, morning and evening, unless some of the secondary symptoms continue severe; then the drugs may be repeated to advantage every three or four hours.

Local Eemedies.—I have found great advantage from the use of an injection of an ounce of sweet oil, or molasses and water in dislodging them from the rectum.

Diet And Regimen.—The diet should be restricted to plain simple food, particularly while under treatment; and pure cold water is unquestionably the best beverage in this as well .as in all other affections.

CHAPTER VI.

DOLOR. {Pain.)

Any unpleasant sensation or irritation. (Hooper.)

The location and peculiarities of pain are almost innu merable, and like cough and headache, symptomatic to many diseases. But it does sometimes exist isolated from other apparent affections, and as such I shall briefly notice it.

For pain in the head. (See Headache.)

I. PAIJV IJV THE FACE. PROSOPALGIA. (Tic Douloureux.)

For a lacerating and tensive pain, extending to the ear and head. Colocynth.

For a severe nervous pain ; violent cutting pains in the cheek bones; pain extending to the eyes; profuse secretion of tears. Belladonna.

For pain in the face and arthritic pains in the lower jaw.

Causticum.

For sharp stitches in the face, and redness of the cheeks.

Coccvlus.

For pain in the face at night, lancinating, itching and gnawing pain. Conium.

For pain and soreness of the bones of the face on touching them. Hepar-sulph.

For spasmodic twitching in the muscles of the cheeks.

Lycopodium.

For a tearing pain in the face; heat and redness, or clay color of the face. Mercurius.

For a tearing pain in the cheek bones of one side of the face; swelling of the cheek, particularly a pale swelling; or redness and heat of one, and the other pale. Nux Vom.

For a lacerating pain of the jaws, in the evening when lying down. Phosphorus.

For pressure in the cheek bones; darting lacerating pains, or lacerating pain with pressure in the right side.

Spigelia.

For tearing pain in the right half of the face. Sulph. For distortion of the face. Lachesis. For convulsive twitches of the muscles of the face.

Ignatia.

For distortion of the mouth. Opium.

Administration.—Pains in the face, particularly those of a nervous character, are very severe and demand a repetition of drug every fifteen or twenty minutes, until relief is obtained: should the appropriate drug fail, make use of the Tinct. Aconite; mix five drops in two or three tea-spoonsfulls of brandy or alcohol, and bathe the part every fifteen or twenty minutes with it until relieved; at the same time apply immediately after bathing, a piece of soft warm flannel, or warmed cotton.

Pain in the ears. (See Inflammation of the ears.)

Pains in the eyes. (See Inflammation of the eyes.)

Pain in the jaws and teeth. (See Toothache.)

Pains in the nose.

For a digging pulsative pain from the left side of the mouth to the root of the nose. Colocynth.

For pain or rather soreness in the nose, and black sweaty pores, or perspirable matter on the nose. Graphites.

For a crampy pressure in the root of the nose and in the cheek bones. Hyosciamus.

For pain in the nose as if it were sore and ulcerated.

Ignatia.

For pain in the nose proceeding from the head.

Lachesis.

For pain of a corrosive character in the nostrils.

Lycopodium.

For pain of the borders of the nostrils as if they were sore and ulcerated. Nux Vomica.

For constriction of the nose. Hellebore. For soreness of the nose and scurfy nostrils.

Kali-Carb.

For swelling of the entire nose. Mercurius.

For soreness and ulceration of the external ring of the nose. Pulsatilla. For polypus of the nose.

Staphysag., Phos., Calc -carb., Silex, and Sepia.

Administration.—The pains confined to the nose are not generally very acute; therefore there is no especial occasion to repeat the drugs oftener than once or twice a day. For polypus of the nose, commence with the remedies as named in order, and give a dose a day, continuing each remedy three or four days.

n. PAIJV UV THE CHEST.

For aching pain in the chest, only relieved for a short time by bending the trunk backwards; pain in the chest as if the sides were drawn together. Jlconite.

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