August 21st, 1881. On this day there was brought to me a little boy of five months of age, on the bottle, and I was informed that he had been ailing a week, beginning with violent vomiting, loss of appetite, and greenish slimy diarrhoea. The child looked very il, pale; upper eyelids dropping, tongue very thickly coated, moist; temperature high; throat severely ulcerated; deglutition painful; on the anterior aspect of the uvula one saw an open ulcer of about the size of a large split pea.
The greatest distress lay in the throat; the mother brought him on this account; it pained his throat, which was visibly and demonstrably severely ulcerated; so I gave him Kali chloratum 6, trituration, a dose every hour; and ordered him to be kept in a room with a good fire, and the windows open.
August 22nd. I called and found him no worse; more could not be said. He had had a very restless night. He was profoundly weak, hence I gave him Kali phos. 6 in alternation with the other medicine.
23rd. Not quite so weak, but the green, slimy diarrhoea continues. To have Merc. iod.
24th. The tongue had begun to clear a little on the left side, but otherwise there was no material change except that he could swallow a little better. Baby was very weak; his mother looked up at me and the anxious father kept his eyes fixed on my visage, as I sat and studied the little mankind : he looked very pale and very ill and weak; could not be got to notice anything, but perpetually whined in a piteous little way. I do not know when I every felt the weight of responsibility greater.
Previously I had carefully enquired about the drains, and had ordered the milkman to be changed, and was careful to seek for the real origin of the childs illness, but I could not trace it to anything. The dwelling was healthy, the bottle clean, and there seemed nothing to account for the illness. Suddenly it occurred to me to ask when the child was been vaccinated. The answer was on July 12th. I learned also that the child had a very bad arm, and that the present illness commenced on the day on which the last vaccinial scab fell off the arm.
This shed a light upon the case and allowed its true aetiopathology to be understood. The disease evidently was an en-exanthem, an eruption on the lining membrane of the throat and gut, due to the vaccination, and the vomiting, diarrhoea and sore throat started just as these inside pustules broke and discharged their contents, and the feverishness was synchronous therewith.
The childs organism had essayed to free itself from the vaccinial poison by an eruption on the internal mucous membrane. Had the child been stronger the eruption would probably have been on the skin in the form of an exanthem simply. I prescribed Thuja occidentalis 30, one-drop powders, one every two hours, and no other medicine.
25th. Much better, began to mend (in the mothers opinion and what more competent?) “very soon after the first powder.” Has slept better. To continue the Thuja powders.
28th. I called to say good-bye, and found the little one, still rather weak, but well and cheerful, and at play on his mothers lap.
Here Thuja 30 brought health to the child and joy to the home.
Of course this case is not conclusive either; for the effect of the vaccination-my vaccinosis-may have been working off, and the fact of the sudden amelioration immediately after the exhibition of the Thuja may have been a mere coincidence. Pretty well all acute cases are open to this objection, and hence I will relate no more cases of acute vaccinosis; they prove nothing; it can merely be a question of probabilities. I am satisfied that these two cases were genuine examples of acute vaccinosis, and that Thuja cured them, but others will, perhaps, demand further proof before they believe either in vaccinosis or in Thuja as its cure.
So let us pass on to the consideration of some chronic cases of the vaccinial state, or vaccinosis. For the sake of reference let us number the observations. Two I have narrated, and so we come to.
Mr. J, a hale-looking, middle-aged London merchant, came under my observation on November 3rd, 1818. Said he: “I am not a homoeopath, but twenty years ago I had eczema, and the allopaths could not touch it, so I went to a homoeopathic doctor and he cured me.” And he went on to say that he believed in homoeopathy for skin diseases. On the left leg he had a pustular eruption due, he believed, to a bruise. He had also eczema of the ear, and he volunteered the information that ever since his second vaccination he had been subject to eczema. The eczema of twenty years ago was soon after the re-vaccination.