THE North American Journal of Homeopathy of August and following months, 1888, published a series of case treated by Dr. Bojanus of Moscow, and published in a German journal. The articles were translated from the German by Dr. T.M. Strong.
The first eight of Dr. Bojanus’ cases I have somewhat condensed from his narrative. The rest are given in his own words and are written in the first person. The opening of his article runs as follows:
“If in reference to the various constitutions I give preference to the Hydrogenoid, which I shall endeavour to illustrate by examples, I do this chiefly, first, since this constitution for many years past is the predominant one and affords me more material for illustration, and secondly, because it gives practical proof of what Grauvogl says in his posthumous work concerning the subject. May it encourage the study of the works of the eminent and well-deserving enquirer!
“Ever since I began to apply the study of the doctrine of constitutions to practice, and with eminent success-twenty years ago-only one single case of perfect Oxygenoid Constitution has come to my observation.”
EXAMPLES FROM DR. BOJANUS
“The Carbonitrogenoid indeed often appears together with the Hydrogenoid, but seldom alone, and presents in this fashion an extremely difficult, often enigmatically mixed up, therapeutic subject. Almost all of the cases mentioned here belong to the period of time previous to my acquaintance with the posthumous work of Grauvogl; the practical results, of which but a small portion is communicated here, are based chiefly on the study of Grauvogl’s Text-book and familiar remarks which I have gathered during my acquaintance and conversation with him.”
Dr. Bojanus’ remarks on the frequent combination and complication of the Hydrogenoid and Carbo-nitrogenoid Constitutions I can fully corroborate, but for all that, the three-fold division can be of great assistance in the selection of remedies. Bojanus endorses what Grauvogl says about the accessory circumstances characterising the constitutions, but the “Constitution” itself is not sufficiently clearly characterised in its exterior manifestations to admit of an exact description of it. “But in reference to the various materials constitution the diet it will be found invariably that aquatic plants and animals, fruits and vegetables largely containing aqueous material-cucumbers, melons, mushrooms, moreover, milk in every form, eggs even cooked soft; as also a moist atmosphere, humidity in dwelling apartments, even accidental and transitory baths, warm or cold, drinks of water or of liquids containing much water; rain, cold, storms, whose approach many persons of this sort feel and foretell in advance, not only may aggravate the disease (in a Nitrogenoid the reverse takes place-t the approach of the during the tempest they feel better), but may also cause a relapse after a disappearance of several months.
“After a complete cure even, the diet restriction should be followed for a further year at least. Among patients of this class some will be able to digest some of the forbidden articles and not others without detriment to their health. Some can take salt-water fish and not fresh-water fish. Some can take eggs and milk but no fish. Most are decidedly averse to flesh meat.”
Bojanus gives a very graphic description of the terribly unhygienic condition of Moscow and its two rivers in his day, which mightily fostered the hydrogenoid state in the inhabitants. Filth and ice in winter, dust in summer, floods in spring, and smells all the year round re about the sum of his description. It is not to be wondered at that intermittents are among the endemic deceases he had to treat, and “intermittent fever” and “hydrogenoid constitution” are frequently more or less identical.