Kali., Laur., Lyc., M. arct., M. austr., MAGN., MAGN. MUR., Mang., Men., Merc., Mezer., Mosch., Mur. ac., Natr., Natr. mur., Nitr., Nitr. ac., Op., Phosph., Ph. ac., Plat., Plumb., PULS., Rhod., RHUS., Ruta., SABIN., Sarsap., Selen., Seneg., Sep., Spig., Spong., Stann., Staph., Stront., Sulph., Sulph. ac., TAR., Thuj., Veratr., Verb., Viol. tr., Zinc.

11. Cold feet.

Acon., Alum., Ambr., Anac., Ars., Aur., Bell., Bufo., CALC., CARBO AN., CAUST., Chenop., Chin., Cinnab., Cist., Cocc., CON., Creos., Daph., Dig., Dros., Ferr., Gels., GRAPH., Hipp., Hipp. m., Hyosc., Jod., IPEC., KALI C., Kali chl., Lach., Lact., Laur., Lyc., Mgn. s., Mang., Merc., Merc. cor., Mez., Mur. ac., NATR. C., Natr. m., NITR. AC., Oleand., Petr., Phosph., Plat., Plb., RHOD., Samb., Sars., Scill., SEP., SIL., Stann., Staph., Stront., Sulph., Sulph. ac., Tart., Verat., Zinc.

12. Cold hands.

Acon., Ambr., Apis., Ars., Aur., Bar. c., Bell., Benz. ac., Carbo veg., Caust., Cham., Chin., Cocc., Cupr., Dig., Dros., Elaps., Gels., Hell., Hep., Hipp. m., Hyosc., Iod., IPEC., Kali c., Lach., Lyc., Merc., Mez., Natr. c., Natr. m., Nitr. ac., Nitr., Nux m., Nux., Ox. ac., Petr., Phosph., Ran. b., Rhus., Rumex., Scill., SEP., Sulph., Tabac., Tart., Thuj., Verat., Zinc.

13. Restlessness of legs and feet.

Actea. r., ANAC., Ars., Bar. c., Carbo v., Caust., Chin., Con., Croc., Ferr., Glon., Graph., Kali c., Lach., Lyc., Mgn. c., Mgn. m., Meph., Merc., Mosch., Natr. m., Natr. s., NITR. AC., Ox. ac., Plat., Prun., Psor., Rhus., Sep., Sil., Sulph., Zinc.

14. Perspiration of feet.

Acon., Amm. c., Ang., BAR. C., CALC., Cannab., Canth., CARBO VEG., Cocc., Creos., Cupr., Cycl., Graph., HELL., Hep., Iod., KALI C., Lact., LYC., MGN. M., Merc., Natr. m., Nitr. ac., Petr., Phosph., Phos. ac., Plb., Puls., Sabad., Scill., SEP., SIL., Staph., SULPH., Thuj., Zinc.

In looking over our fourteen rubrics we find about all the remedies embraced in the repertory running into our

C

case, and it seems very uncertain what our choice is to be. To make this uncertainty and confusion plain I arrange all the remedies running into the case in an alphabetical list and then go through the rubrics, drawing a line after each remedy every time found in a rubric, properly underscoring and numbering it, to show its value in the summing up of the case.

In this case I have excluded all remedies that did not run into it ten times, and have preserved the abstract exhibited on this and next page, for comparison and refer

ence.

We glance over our case now and see that Lyc., Nitr. ac., Sep., and Sulph., run highest into it.

Lyc. appears thirteen times, with nine characteristics. Nitr. ac., the same number of times with an equal number of characteristics, but not of the same rank.

Other things being equal, Lyc. outranks Nitr. ac. in the case. Looking further we find Sep. and Sulph., having all the symptoms of our case. In the value of symptoms, Sep. takes precedence, having thirteen characteristic marks, eight of them occupying first place.

Before opening our Materia Medica, Sepia becomes our choice of remedies with the evidence plainly before us. Turning now to our Materia Medica we find our choice confirmed there.

NOTE. The numerals from 1 to 14, inclusive, at top of table, represent the different symptoms as numbered on last page.

The value of the symptom is indicated in above table by underscoring the figure 1. Thus indicates the highest value (corresponding to CAPS); indicates one degree less (corresponding to SMALL CAPS); indicates a still lesser value (corresponding to italics); while the unscored figure is the lowest degree (corresponding to the usual Roman type).

For example: Ars. has 12 of the 14 symptoms, of which 2 are of the highest degree, 2 of the 2d degree, 3 of the 3d degree, and 5 of the 4th or lowest degree.

Sepia is therefore given our patient, with some advice. At the end of a week he was sleeping better, appetite returning, pain in back less, work not so burdensome and general appearance better. This prescription was made March 14, 1887. Our patient has been under observation until now May 15, 1887, and improvement being continuous has received no more medicine. He has continued his usual work and it is fair to presume that our prescription was the simillimum of the case.

There is much of an instructive character to glean from this case. First, we learn what a great help even incomplete repertories are in the choice of the curative remedy.

By this scheme all drugs embraced by the repertory, pass before us for inspection. We guess at nothing. If we do not find the indicated remedy, the case is not fully taken, our Materia Medica is incomplete, or the fault rests with an imperfect repertory.

Sepia is here brought into prominence as a valuable remedy in nervous exhaustion, a sphere in which the profession at large have not so regarded its usefulness. I can not emphasize its value too highly wherever the totality of the symptoms calls for it, and they often will in this class of troubles.

Our abstract places in easy and ready comparison a list of valuable medicines for a class of troubles of which this case is a representative. As our cases vary in the totality of their symptoms, one or another of these may come into first place and be our choice.

We get some notion also of the order in which remedies are likely to be useful.

We are thus able to verify the observations of Hering as recorded under relationship, in his condensed Materia Medica, and possibly add others of our own.

I need not add that the careful working of our complicated cases, gives us a greater familiarity with the marvelous resources of our therapeutic storehouse, and makes off-hand prescribing far easier and more successful.

Only the abstract of our cases need be preserved and the record of the case can be kept on the back of this and filed away in an ordinary letter file devoted to this purpose.

I hope this case may call out valuable suggestions from those long familiar with repertory work, and also prove a help to those yet unacquainted with its advantages.

And last, but not least, I trust it will add to the demand for a repertory, that shall be fully up to our present state of therapeutic measures as represented in our drug provings.

A VERIFICATION.

B. LEB. BAYLIES, M. D., Brooklyn, N. Y.

TENIA SOLIUM: Lycopodium.-The son, seven years old, of C. K., who was himself subject to tape-worm for several years, was first observed a year ago to pass portions of the worm daily, joints often escaping involuntarily. Since last summer he took repeatedly, at intervals of a week, Lycopodium 45m, several times, omitting it for several months, till May 4th last, when he presented, beside the worm, the following symptoms, which had formerly been to some extent relieved by this medicine: Marked irascibility; aversion to be looked at; voracious at times, capricious appetite; pain in the abdomen often relieved by eating; abdominal distension worse in the afternoon; boring with the fingers in the nostrils.

Lycopodium, millionth (Fincke), one dose dry on the tongue, followed by Sac. lac., and five days later another powder if symptoms require. He took both doses and the day after the last powder voided a tape-worm of great length, which was inspected by a Vienna graduate of pharmacy with the aid of a microscope, and found complete, the head and all. A few days after the passage of the worm I found the boy well and cheerful, without any distension of the abdomen, and he continues perfectly well (June 8, 1887).

CURARE. Constant hawking, with trickling of clear, albuminous mucus down the throat. In post-nasal catarrh. Cured many patients.