John Hutchinson: Dr. Boger calls attention to the truth that in one case the emphasis must be laid upon one part of the totality, while in another case—although the disease might be the same, and the symptoms quite similar—the true reading would require that the emphasis be laid upon quite a different part Of the totality. In other words, as I see it, he maintains that the mere number of symptoms, mechanically dug out, is not so important as an insight into the case and the remedy that enables one to put the emphasis into the right place. These are the points that should be taught in our colleges and to our younger prescribers, but seldom are. I have heard a discussion of these finer points in the classroom, but we all have occasion constantly to analyze our cases in much the same manner in our own practice. Belladonna, Aconite, and Arsenic all have a state that may come under the word “anguish,” but the anguish of each may be different from that of either of the others, and its rank as a symptom may not occupy the same position under the three remedies, or under even two of them.
C. M. Boger: Baryta Carb. has a profound action upon the heart muscle, although pathogenetic heart symptoms are few in number. Should other symptoms point decidedly to Baryta carb. and the heart also be involved, its symptoms would be an affirmative indication as well as tend to enlarge its symptomology of the heart region. In this way we may extend the symptoms of remedies into- regions that are but faintly or not at all portrayed in the proving.
In a case of valvular insufficiency which could be traced to suppressed foot sweat, Baryta did not have the sufferer’s heart symptoms in its provings, but it did have the others and it cured both the foot sweat and the heart trouble.
In the concluding paragraph of my paper I laid some stress upon the relation of meteorological phenomena to disease. We should know more about the effects of the winds and weather upon the action of remedies and disease.