Cuprum, according to Grauvogl, will cure some diseases associated with anaemia when iron fails. For dilatation with fatty degeneration it appears to be decidedly indicated.
The hypophosphite of potassa is a favorite remedy with me in all heart affections with muscular atony or myalgia. All the potash salts appear to have an affinity for muscular tissue, and none more so than this. If the patient has been prostrated by excesses, loss of fluids, loss of sleep, mental labor, and is emaciated, use this salt in doses of 1/4 to 1/10th grain three times a day; alternate with hydrastis, nux vomica, or collinsonia, and the results will be very satisfactory.
The mineral acids have not been used as often or as thoroughly in cardiac affections with debility, as their merits demand. The phosphoric acid is unrivalled as a remedy when indicated by the general symptoms of the patient. Sulphuric acid has enabled me to relieve and prolonged the life of several patients suffering with dilatation, co-existing with Bright’s disease. Not only did the heart’s action improve under its use, but the renal disease was decidedly benefitted, the dropsical symptoms disappeared, and the appetite and strength returned in a short time.
Muriatic acid will prove a valuable remedy in your hands. Study the provings well, and the clinical indications, and select accordingly. In prescribing these acids, insist on the aqueous dilutions, from the 1st to 3rd, sufficient to render the water slightly acid, and repeat the dose four or five times a day.
The remedies of Class IV., namely, belladonna, solanum, lachnanthes, glonoine, stramonium, agaricus, aethusa, conium, etc., will be found useful as palliatives when paroxysms of obstinate palpitations, attended by local congestions, occur. In the so-called cardiac apoplexy they are useful medicines.
I cannot give you the indications for all these remedies. You must be guided by their characteristic symptoms and pathological effects. You will find that the middle dilutions (6th to 30th) will give the best results.
Do not forget the anti-psoric remedies while treating dilatation, for they will prove of service to you in combatting lurking miasms, and arousing the dormant energies of the organism.
The stillingia and chimaphila are very important antipsoric remedies, as well as those introduced by Hahnemann. All this class should be used in the middle or higher attenuations.