Digestive Diseases



Pumpkin seed is often used successfully, and is a pleasant remedy for tape-worm, especially for children. From two to four ounces of the seed should be scalded, and when he outer shells are softened, the inner portion should be taken out a and bruise din a mortar, and made onto a pulp with milk or cream. It should be taken in. the morning fasting, and a dose of castor oil should be give some hours later..

Urtica Urens- Excessive itching of the anus, especially at night, from thread-worms.

Ant-Crud-This remedy is particularly recommended for the correction of that morbid condition of the intestinal canal which favours the development of worms.

China-Thread-worms, with tendency to Diarrhoea, irritation of the anus, pallor of the face, and livid appearance under the eyes.

Sulphur-Worm-colic; also after the general symptoms have disappeared to complete the cure. See also Calcarea

Calcarea-After is continuing the other remedies specially and immediately indicated, this is generally require for patients having an hereditary predisposition to worms, with other tubercular symptoms.

LOCAL MEANS-The propagation of the most common varieties of worms-the Ascaris and the Oxyuris-may be prevented by the simple application of lard or oil around the anus of the patient. I has been observed that light and air are necessary to the propagation of some varieties of intestinal worms in horse and other animal and Mr. Haserick, of america states that he female holds on or gasps the mucous membrane within the sphincter ani and then discharge its eggs around the anus; in a few hours these are detached and make their way in to the rectum. He has found the application of lard around the anus destroys the larvae, and that by renewing the application two or three times a day for a week, the surface is completely protected, and he egg as no nidus for development; consequently, as the worm is short-lived, in the space of eight days the animal is fee from parasites. Encouraged by his success with animals, this gentle man recommends similar measure in the case of children, and with the prospect of equal success. (Dr. Woodwine, of Boston, confirms Mr. Haserick;’s theory After many attempts, he states, I succeeded in satisfying myself that the method by which he oxyuris vermicularis propagates its species is by deposing the ova outside the sphincter ani and around the edge of the anus, where, in the space of a few hours, the worms re hatched, and make their way into the rectum. In order to ascertain if he ova are thus deposited, I direct the parents of the child afflicted with the oxyuri, a few minutes after a paroxysm of itching an pricking pain in the rectum and subside, d to mistake a piece of damp black silk, and wiping the anus of h child with it, cold it, and send it to me. Mucus. This I placed in. microscopic cell, and ulcer a one-fifth objective we found that, one several occasions, I had succeeded in obtaining large number of h eggs, thus confirming he observatory of Mr. Haserick.)

Dr. Hills and Dr. Grosvenor have advised this treatment in, any cases, with the best result in every instance.

DIET, eTC.-To correct the excessive end morbid intestinal secretion, considerable change of diet are generally necessary. the food should be taken only at regular hours, and be selected with special reference tot hit digestibility; it many include properly-cooked animal food mutton, beef, fowl, -also white fish, cakes, pastry, sweetmeats sweet-made dishes, potatoes (except prepared as afterwards recommended, ) butter, veal and pork in any form, must be forbidden. Salt, as a condiment, may be taken with he food.

The following scale of diet is recommend by Dr. Eustace once Smith for a child over two years of age, to be given in four separate meals in the ours of he day-

First Meal- Fresh milk, diluted with a third pat of lime-water. A small slice of toast, or of dry, stale bread.

Second meal-a small mutton chop, or a slice of roast beef or mutton, without fat; dry toast, or stale bread.

Third meal- A cup of beef tea or mutton broth, free from grease the yolk of a lightly boiled egg; dry toast.

Fourth Meal (if necessary-The same as the first. it is not always easy to persuade children to submit readily to the deprivation of starchy food, for which, and especially for potatoes, there is often in these cases a great craving. so long, however as the slimy appearance of he tongue, before described, continues to to be observed, the above did should, if possible, be adhered to. when potatoes a once more followed, they must be well boiled, and should be afterwards carefully mashed with spoon. Seaming is generally the best method of cooking potatoes. Gravy may be poured over them before they are food, children often show an especial reluctance to take met, which it is very difficult to overcome. a small bird will, however, often tempt them, of r their fancy is pleased by the idea of eating a whole bird, and this means frequently succeeds when all other fail.

The above scale of diet need not be literally followed in the case of all children troubled with worms, but may be varied according to circumstances., In general, but may be varied according to circumstances. In general three means are better than four; but whichever arrangement is adopted, no food should due allowed between the meals.

GENERAL MEASURES-The general hygienic management of children should be conformed to the best principles children should be quickly bathed with cold water on rising in. the morning, a nd afterwards rubbed with a large to well or sheet till the whole skin is in a glow. An occasional warn bath at night is advantageous by aiding the healthy action of he when improvement has taken pace, change of air to the coast or to a bracing country is desirable, if only for a short time. Change of air tends to perfect and reader permanent the treatment recommended.

PREVENTION OF WORMS-I. Open waters should be avoided (either for drink or use in the preparation of food_) into which worm-eggs may be washed be rain, or other agencies, or to which even dogs or other animals have access. All suspected water should. previously boiled, distilled, or well filtered,.. 2. Decomposing pieces of meat should be destroyed by fire;; if thrown to dogs, or allowed to acute on the ground, or even buried, worms are propagated, and human health and life endangered. 3. Raw or underdone met, especially ham, bacon, sausages, etc., should be carefully avoided. Cooks, butchers, etc., are more liable to be infested with taenia than other persons, and in countries where uncooked flesh, m fowl, or fish, fowl, or fish is consumed, worms, abound. good cooking ranks next in importance to the attempt to exterminate parasites from the animals were eat, or the water we drink. 4. Dessert fruits, vegetable eaten raw, and salads should be fist most scrupulously washed and examined, as it is through such media that the ova of parasites often find their way into our bodies. After being thoroughly cleansed, they should be well masticated before they are swallowed.

There are one or two other worm parasites which deserve a word. In the Section on Topical Disease. will be found reference to the Guinea worm, the Filaria and the Bilharzia. There is a tape- worm of the dog which passes through its intermediate state in the body of man, if the eggs gain entrance through accidental contamination. In this phase it grows to be a large cyst full of fluid, called a hydatid, and may from in the liver or lung, or indeed anywhere, perhaps most often in the liver. Its treatment is entirely surgical. It is much more common is Australia than in Britain.

The Hook-worm (Anchylostoma) is common in America, and cases occur in England occasionally. It is endemic in Italy and Egypt. Infections is the rough impure drinking water. the worm inhabits the duodenum (part of the small intestine_) and cases profound anemia, with grave constitutional symptoms.

The disease is diagnose by tea discovery under the microscope of the eggs of the parasite in the faeces. Treatment is by Thymol, two doses of 30 grains being given with in interval of two hours, followed by Castor oil. It is well to repel this treatment after a week. for the general symptoms, Arsen., China., Ac.-Phosphorus, Calcarea Carb. will be found useful.

162.-Diarrhoea.

DEFINITION- Frequent excessive, fluid evacuation from the bowels, without tormina or straining, from functional or structural change in the small intestines, of a local or constitution origin.

Simple frequency of evacuation may exist while her may be no increase in the quantity of faeces, matter discharged or it may even be deficient. True diarrhoea depends upon defective absorption of the intestine, so that an excess of matter passes through them, and less is taken up for the nourishment f the body.

FORMS-The following are the chief Irritative Diarrhoea from successive stimulating or Inflammation diarrhoea; Diarrhoea lienterica, or discharges of unaltered food from arrest of the digestive and simulative functions and Summer -diarrhoea Diarrhoea lienterica, or discharge of of unaltered food form arrest of he digestive and assimilative functions; and Summer Diarrhoea a(see Enteritis).

Edward Harris Ruddock
Ruddock, E. H. (Edward Harris), 1822-1875. M.D.
LICENTIATE OF THE ROYAL COLLEGE OF PHYSICIANS; MEMBER OF THE ROYAL COLLEGE OF SURGEONS; LICENTIATE IN MIDWIFERY, LONDON AND EDINBURGH, ETC. PHYSICIAN TO THE READING AND BERKSHIRE HOMOEOPATHIC DISPENSARY.

Author of "The Stepping Stone to Homeopathy and Health,"
"Manual of Homoeopathic Treatment". Editor of "The Homoeopathic World."