catarrhal scarlatinal or puerperal. This is the eclamptic form on a grand scale, so to speak; it presents all the signs of acute poisoning. The types of parenchymatous and interstitial nephritis have been described in the last lesson so I will not return to them. Why do they separate uræmic eclampsia from uræmia? For my part, I think there is no reason, naturally, for separating eclampsia from the other slower forms of uræmia. It holds to the same causes-to troubles from urine poison, and presents many common symptoms.

Passing to the treatment. The affected heart produces asystole and the affected kidney produces anæmia (Bouchard). The preventive treatment, then, will be a question of regime; shun colds and excesses.

BACTERIA IN DISEASE.

A. MCNEIL, M. D., San Francisco, Cal.

Dr. W. Albert Haupt, of Chemnitz, is famous not only in Germany and Europe but also in America as an able and ardent champion of the bacteria theory. He has conducted many discussions with learned opponents, and if he has not always carried conviction to his readers yet he has always shown himself an antagonist entitled to respect. He still remains as firm in his belief, but he has made an acknowledgement in the Allg. Hom. Zeitung that every true follower of Hahnemann must feel it a great victory at a point which had caused some trepidation in those whose faith in the law was not very strong. He says in the issue for July 14 of the above mentioned journal:

I must again and again repeat that it is a matter of utter impossibility to destroy the bacillus tuberculosis in the lungs of a living man. One may administer sulphuric acid, carbonic acid or any other form of gas, iodoform, analine, menthol, creosote, carbolic acid, eucalyptol or whatever the agent to be experimented with, either by inhalation, subcutaneous injection, per orum or per anum, in order to get it into the body of the consumptive. Experiments in the test tube and a simple calculation should prove to every one that doses which introduced into the human organism would destroy these parasites would, without doubt, cause a

fatal poisoning of the patient. In the lungs the bacillæ stand in a different relation to the germicide than in the test tube, for in the former they are protected by the muscles in which they are nestled from the destructive action.

If, in the face of all probability, a substance should be discovered which, greatly dilatated, would kill the rods (the vegetable forms which multiply by fission) of the bacillus tuberculosis, and administered in massive doses, would not injure the patient, yet even then nothing would be gained, for these rods form spores (which grow and reproduce the permanent forms in the human body) and possess powers of resistance to destruction unparalleled in all forms of life, and can only be destroyed by boiling for hours by certain poisons in strong solution.

It sounds strangely when Dr. Klauber asserts in his 'Scientific Reports' (in this journal, Vol. CXIV, No. 19): 'If the bacillæ are the actual cause of disease, therefore the treatment based on this theory must have the anticipated and desired result. Has he not thought that such therapeutics might be wrong? And it is certainly completely wrong, as long as it attempts to do what is impossible to destroy the instigators of the disease (Krankheits erreger.)

The reports of cases of the improvement of consumption which we now and then meet in allopathic journals after the administration of antiparasitic agents, look very plausible indeed, but can deceive no one who is conversant with the solution of questions on bacteriology [the italics are mine]. Frequently it is only an accidental decrease of the symptoms, a momentary stoppage of the morbid process, as occurs in all phthisical patients without any medication, or they are the result of the improvement of the external relations of the patients, particularly after reception in a hospital. Sometimes it arises from the regular inspiration and expiration of the inhalents, whereby portions of the lungs, which were before inactive are now set in action and the capacity of the lungs thus increased.

Doubtless the only true therapie in tuberculosis is that in which the primary aim is to strengthen the resisting power of the lung tissue."

Dr. Haupt maintains the great advantage of bacteriology in diagnoses and exemplifies this by a case which was diagnosed as tuberculosis with fatal prognosis, but from the entire absence of the bacillus from the expectoration he maintained that it was not consumption, and that it was curable, and when the indicated remedy, which was Stannum, was given a happy result soon followed.

The doctor further acknowledges that in diphtheria it is not by the germicidal qualities of drugs, but by the similar remedy that the disease is cured.

It is to be hoped that those who, although calling themselves Homœopaths, talked of curing disease by germicides, perhaps under the shadow of this and other great names, will now return to the law of cure which they had abandoned.

CURES BY DR. HESSE, OF HAMBURG.

A. MCNEIL, M. D., San Francisco.

CASE I.-OTORRHEA: Lycopodium.-A blonde, delicate boy of three years, four weeks after a successful vaccination was attacked by a profuse, stinking, purulent discharge from the right ear; at the same time he became lachrymose and his feet strikingly cold. He received one dose of Thuja 30, Silica 30 and Pulsatilla 30, in watery solution for four weeks without benefit, so that the parents became impatient and spoke of the necessity of local treatment. As I then questioned the mother again she called my attention to the ugly yellow color of his teeth. In Jahr's Repertory I found that symptom in Lycopodium, Nitric acid and Phosphoric acid. The latter is not mentioned by Bönninghausen in purulent otorrhoea, so only the first two -Nitric acid and Lycopodium remained; both have disposition to weep. For Lycopodium the coldness of the feet and the blonde hair decided.

I gave him some pellets of Lycopodium 30 on his tongue and gave it to be taken at home in watery solution. In four days his mother reported that the flow abated immediately after the first dose and now had entirely ceased. And several months after had not returned. If I had tried local treatment it would have been in this as in many other cases that it was not Homoeopathy but the Homœopath that should be blamed.

CASE II.-PULMONARY HEMORRHAGE: Arsenicum.-Some weeks ago I was called in the morning to see a young man who had been bleeding since midnight. I found him sit

ting on a sofa; breathing with difficulty; unable to speak; with all indications of anguish and restlessness; pulse small, irregular and uncountable. Frequently a slight cough brought up bright-red, foaming blood; tormenting thirst, drinking but little at a time. He could not remain in bed, as he could not lie down and thought he would soon die.

I gave him Arsenicum 30, a powder every two or three hours. In two hours I found him sleeping quietly with elevated head; respiration tolerably quiet; pulse 70, regular and weak; neither cough nor blood since the first powder, but rest and sleep. He recovered very quickly.

CASE III. CHOLERA MORBUS: Ipecac.-A boy of nine was attacked in the evening without known cause, with vomiting and diarrhoea which continued every half hour till I saw him in the morning. Violent thirst, he wanted to drink a large glass of water at a time, constantly; much pain in the bowels; great weakness and restlessness, and no sleep. He could only lie on his back.

I gave him Ipecac 30, a powder every three hours. His mother reported next day that he went to sleep after the first dose and when he awoke asked for food; no more vomiting or diarrhoea.

I was guided by the impossibility of lying except on his back, according to Bönninghausen.

VERIFICATIONS.

J. T. KENT, M. D., St. Louis.

CASE I.-Natrum Sulph.-Mrs. A. A. B., aged 48. Gnawing pain in back of head, extending down spine, brought on from grief and protracted anxiety.

Thin, sallow.

General mental sluggishness.

Throbbing in back of the neck.

Has had much trouble with back of head and neck since

an attack of sunstroke many years ago.

Bowels constipated, no stool for days, no urging; but the head symptoms are improved after a stool.

Dreadful bitter taste in the mouth.

The headache is mostly in the morning and gets better after moving about a while.

The other symptoms have been better and worse for years. Coming in wane-like attacks, but never well.

Cathartics once gave relief, but nothing seems to give her any comfort now.

She was given a few powders of Natrum sulph., 500 (B. & T.), with instructiona to dissolve one and take of it frequently at the beginning of every spell of growing "billious," as she called it, and to hold the rest of them. She has never taken but the first, she is holding the others. All the symptoms that remained through the interim of the more severe attacks have departed, and she is perfectly well.

CASE II.-Pulsatilla.-Miss E. B., aged 35.

Deafness, cannot understand except when watching the motion of lips.

Can only speak in a whisper.

Deafness and aphonia of many years' standing, but has been whispering for four years.

Accumulation of yellow, thick phlegm in throat, especially in the morning.

Burning feet and ankles.

Warm room suffocates and flushes face.

Fast walking causes nausea, faintness and flushes the face. All kinds of bodily exertion heats her up and suffocation follows, with purplish red face.

Fast motion is quite impossible.

Brown spots on the face.

Constant swallowing.

May 9.-Pulsatilla 15m (J.).

July 15.- Voice mostly recovered; hearing only slightly improved. Can take active exercise without flushing. Ankles become very weak, they turu when walking, otherwise fteadily improving.

No medicine.