HAEMORRHOIDS IN THE PHTHISIC- ALLY DISPOSED.
By phthisically-disposed I mean those whom the experienced eye easily diagnoses as prone to consumption, though as a matter of fact they cannot be said to have consumption at all and, very possibly, they may never get it. They ail in various ways; some of them have hay fever and some piles. The phthisical and the phthisically-disposed are very prone to piles, notably those who are dark and dusky; and, indeed, I have often found the piles in such more troublesome and painful than the phthisis proper.
Simple uncomplicated cases exemplify best; thus :-
In the month of June, 1891, a married man of about thirty years of age, known to me from his boyhood almost, came to me for chronic piles of a most distressing nature that were making him almost an invalid. He had attacks of pain about an hour after stool; he was also a chronic sufferer from hay fever, and his teeth were tubercular (indented in dots) and the pains were greatly aggravated by coughing and sneezing, both of which he indulged in very freely.
Bacillinum 1000 cured him right off in a fortnight both of the piles and of the just-described pains after stool, and to- day, December 7, 1891, he continues quite well and has had no relapse. His hay fever was also seemingly cured in the same rapid way, but hay fever has an ugly knack of returning again and again after you have cured it! Two or three successive summers must pass before we can rely upon a cured case of hay fever being really cured to return no more. From the remedies I have found useful, and also useless, in the therapeutics of hay fever I have come to the conclusion clinically that what nosologists and clinicians call hay fever includes several aetiologically and pathologically totally different ailments or diseases. In some, I think hay fever very distinctly a manifestation of a phthisical taint,–about the others I have not yet made up my mind. The pollen of grasses has the same relationship to hay fever as the north wind has to a phthisical cough–the cough is hardly a north-wind cough in a pathological sense.
A married gentleman twenty-four years of age came under my care on the 2nd of March, 1891, to be treated for most distressing and inveterate dyspepsia of three years’ standing. He had the characteristic symptom “as if a tight rope were bound round his stomach.” Debility, paleness, acidity; nervous, a kind of dead-all-over feeling. He had from me at first Argentum nitricum 3x with a certain amount of benefit, but he was not cured by any means, and complained very bitterly. The dyspeptic generally know well how to grumble and their descriptive talents are by no means inconsiderable. But after I had him a few weeks under Bacillinum C.C. he turned all his talents at graphic grumbling into persuasive recommendations to his sick friends to journey forthwith to see the writer.
One of his friends came a long- distance–some 200 miles–
to see me and burst forth: “You have made a great cure of Mr. —, etc.”
I was ultimately led to give Bacillinum C.C. in this case because of the numerous peripheral glands that were visibly and feelably enlarged and indurated; by the fact that he had blood- spitting and because his mother had died of phthisis at 49 and one of his sisters had also died of phthisis.
He considers himself quite well these three months; I put it in this way as I have not seen him, he living so far away.
COUGH WITH CHRONIC PULMONARY CATARRH.
A London gentleman just turned fifty years of age came under my professional care in the first days of January, 1891. He was subject to a chronic cough with much catarrh of both the lungs; his cough was very distressing indeed, and no wonder considering the awful fog then on. But, though the cough was much aggravated by the fog, it was by no means due to it. There was some wheezing all over the chest, much worse of the left side, and patient gets feverish attacks which he terms his “heats and sweats.” Cough worse at night, wakened by it. Said he : “I was always a `coughing’ man, my father died at my present age of consumption, and I have lost a brother and also a sister from consumption.”
Two months of the Bacillinum C. quite cured him and he was really a different man, and his friends hardly knew him without his cough so frequently had it been to the fore.
INCIPIENT GENERAL ATROPHY.
A boy of ten years of age was brought to me by his mother at the beginning of the year 1891 for wasting weakness. Rather tall for his age, he presented the following picture: a glum, ancient face, thin, almost cheekless, hollow eyes, neck long, thin, studded with “waxen kernels,” i.e., peripheral hypertrophic glands, thorax almost like a skeleton, and its cutaneous covering very full of wee veins; abdomen thin and yet pot-like, the so-called drum- belly; extremities long and thin; groins full of feelably indurated very small glands. He is mum always, gives no replies to my enquiries and his mother tells me he will hardly ever talk; he takes no interest in strangers or in general surroundings, and seemingly has no very special desire for anything or anybody, and hardly ever wants either to eat or drink, “And yet,” exclaimed his mother, “he is not ill!”