flesh is heir have been brought within its range of action. Of the two-tenths which remain, one consists of mechanical disorders requiring mechanical assistance; and the other may be only awaiting fresh knowledge on our part of diseases and drugs for its annexation. It is true that in the territory already won many patches remain whose cultivation is far from perfect, many diseases and varieties of disease for which we crave more perfect remedies. But the number of these is yearly decreasing. Such work as has been done in my present lectures may have on any who hear them the influence which Bacon's De Augmentis Scientiarum was designed to exert as regards knowledge in general, and by noting deficiencies encourage the labour which shall make them disappear. For here, too, we have an organon of discovery, whose capacities are inexhaustible. We are not only enriched with a treasure of golden eggs, but we have the bird that lays them, and are under no temptation to. kill it. The method which Hahnemann has wrought out and bequeathed to us remains in our hands; and we have but to emulate his faith and zeal and toil in working it to obtain new triumphs every year.

And now I have only to bid you God speed and farewell. In becoming practitioners of homoeopathy you will have accepted a position which is as onerous as it is advantageous. Use your vantage ground for the promotion of the advance of Medicine as well as for your own success in practice, that there may be a bearing of its onera, and not merely a receiving of its munera. I shall not regret then that I have for a long time past spent most of my leisure in putting together the materials for your work.

APPENDIX.

[The subjoined remarks on the menopause, which were evidently intended to come in at the end of Lecture xlix., were by some accident omitted by Dr. Hughes from the copy furnished to the printer. I am consequently compelled to insert them here.-R. E. D.]

The Menopause, or Critical Age.-There are few women to whom the menopause is not a time of considerable distress. They cannot call themselves, or be treated as, invalids; yet they rarely feel at ease. One of the most common of their troubles they call "flushes." They come over," as they express it, in sudden heats, sometimes dry, more commonly accompanied with perspiration, but rarely if ever preceded by chill. The attacks last but for a few minutes, but recur frequently, and cause indescribable discomfort. The pathological condition appears to be an ataxia of the vaso-motor nerves, analogous to that of the cerebro-spinal system which obtains in hysteria. There is no

arterial tension, and aconite does not help. But we have a valuable remedy for it in lachesis. Administered in the 6th or 12th dilution, it will rarely fail to reduce the trouble to a minimum, and to gain us the grateful thanks of our patient. I owe the original suggestion of this medicine to Dr. Madden. Dr. Gray and others have found sanguinaria, and Drs. Ringer and Edward Blake amyl nitrite, useful for these flushes; so that you have something to fall back upon, should lachesis fail you. Jaborandi promises to be useful when the flushes take the form of sudden perspirations.

There are two forms of distress in the head complained of by menopausic patients. The one appears to be a special local manifestation of that general hypermobility of the vascular nerves which I have already described. There is little or no pain; but the patients complain of great giddiness, with rush of blood, throbbing, beating, and roaring, sometimes with noises in the ears. Lachesis helps this, but not very decidedly. On the other hand it finds in glonoin a most efficient remedy. I believe that Dr. Kidd was the first to suggest this medicine for the malady in question; although the pathogenetic indications for it are so strong as to make it wonderful that no one had pointed out its applicability before. I have always used it, as recommended by Dr. Kidd, in the 3rd decimal dilution. Amyl nitrite, also, should be useful.

The other head affection of this period of life is a true ache, a burning pressure upon the vertex. Sometimes it is here, as elsewhere, a symptom of debility from loss of fluids; as when the shifting menses occasionally stream forth profusely. In these cases the patient often complains of a feeling as if the head were opening and shutting. The medicines are obviously china and ferrum. Quite as often, however, there is no such cause present to account for it, and the distress is purely sympathetic. In this case I have rarely failed to relieve with lachesis; and cactus may supply its place when needed.

The third climacteric affection I have to mention is "sinking at the stomach," and is very common. I have reason to suppose that the solar plexus with its ganglia is the seat of this distressing sensation, which is by no means confined to menopausic subjects. In idiopathic cases unconnected with this change in the system, I find hydrocyanic acid an invaluable medicine. But in the sufferers under consideration its place seems taken by the actaa racemosa. "Faintness at the epigastrium" is a symptom of frequent recurrence in its pathogenesis ; and its relation to the uterus makes it specially suitable. I give it in the 2nd and 3rd decimal dilutions, and rarely find it fail to relieve.

When speaking of aconite as inapplicable to the flushings of the menopause, I did not mean to exclude it generally from the treatment of climacteric sufferings. "Of all medicines," says Dr. Leadam, "aconite is the most soothing at the climacteric period, especially when the individual is robust and plethoric, or if there be any evidence of local or general increased action; and Dr. Ludlam writes-" The wonderful influence of aconite over most of the derangements of the circulation at the climacteric has long been known. It is an invaluable and almost indispensable remedy.' It acts best, I think, as Dr. Leadam says, at a medium or high attenuation.

"

INDEX.

Children, diseases of, 751.
Chlorosis, 312.

Cholera, 262; infantum, 767; nostras,

495.

Chorea, 387.

Choroidal congestion, 427.

Choroiditis, 427.

Chyluria, 635.

Clergyman's sore-throat, 470.

— Coccygodynia, 691.

Eczema, 714; rubrum, 714; impetigi-
nodes, 715; chronic, 715; of ear,

Colic, 492; of children, 768; lead, ¦ 448; pudendi, 715.

493.

Concussion of brain, 364.

Condyloma, 333.

Congestion of lung, 560.

Conjunctivitis simplex, 414; phlyc-
tenular, 421; membranosa, 421;
trachomatosa, 421.

Enteralgia, 492.

Constipation, 499; of children, 768; Enteric fever, 233.

Dacryo-cystitis, 413.

Deafness, 455; throat, 451.

Delirium tremens, 354.

Dementia, 353.

Dengue, 228.

Dentition, morbid, 764.

Dermatitis herpetiformis, 716.

Diabetes mellitus, 628; insipidus,

634.

Diarrhoea, acute, 494; chronic, 495;

Enuresis nocturna, 779.

Epilepsy, 380.

Epistaxis, 536.

Epithelioma of penis, 654.

Equinia, 283.

Erysipelas, 280; aurium, 448.

Erythema, 711.

Exanthemata, the, 205.

Exophthalmic goitre, 615.

Exostoses of ear, 450.

External remedies, 114.

Eye, diseases of the, 410, 422, 436.

Facial palsy, 409.

Fallopian tubes, diseases of, 660.

Fatty degeneration of kidneys, 626.

Fatty liver, 519; heart, 589.
Febricula, 242.

Female sexual system, diseases of,
655, 683, 693.

Fever, infantile remittent, 752.

Fevers, the, 46; continued, 231;
simple, 243.

inflammatory, 495; from improper — Fibroids, uterine, 679.

food, 495; from noxious effluvia,
495; of children, 765.

Digestive organs, diseases of the,

460, 472, 489, 499, 512.

Dilutions, 127.

Diphtheria, 267.

Disease, the knowledge of, 38.

Dose, the, 122, 144.

Dropsy, cardiac, 594; ovarian, 658.
Duodenitis, 490.

Dynamisation theory, 34.

Dysentery, 496; scorbutic, 498;
typhoid, 498; intermittent, 498;
chronic, 498.

Fissure of anus, 509.
Fistula lachrymalis, 414.
Fistula in ano, 510.
Flatulence, 486.
Fætor oris, 463.

Food, pain after, 484.
Fractures, 748.

Furuncle, 730.

Gall-stones, 522.
Ganglion, 744.

Gangrene of lung, 559.
Gastralgia, 480
Gastritis, 475.