Corresponds to the acute stage where the urine is hot and burning, scanty and passed with difficulty. In this stage it is very efficacious in allaying the first symptoms of inflammation and discharge such as dryness, crawling sensation in the urethra, meatus red and swollen and the mental anxiety often present in this disease. The discharge has as yet no color. It is also a most useful remedy in chordee. The writer has successfully used **Aconitine in the inflammatory stages of urethritis, but cannot recommend it as being superior to **Aconite.
**Gelsemium is another remedy to be used in the beginning or the inflammatory stage of gonorrhoea. It is almost the opposite of *Aconite. With this remedy there is great urethral soreness burning along the urethra and slight discharge. It is also a useful remedy in epididymitis and gonorrhoeal rheumatism.
**Atropine 6X has been recommended as one of the best remedies for the acute symptoms of gonorrhoeal urethritis.
An extensive experience has convinced the writer that the homoeopathic remedy in the initial stage of gonorrhoea is far more potent as a modifying and curative measure than a chase after the gonococci with alleged germicidal injections.
Cannabis sativa. [Cann-s]
This is the favorite remedy of the homoeopathic school, though there is much difference of opinion as to its real value. It comes in after **Aconite when the disease has localized itself as is shown in the patient discharge, the great burning and tenderness on urinating. The glans penis is dark red and swollen chordee is most likely present and what is still more painful, a spasmodic contraction of the sphincter vesicae on urinating. Berjeau considered this remedy valueless in gonorrhoea, but later authorities have found it to be a most useful and important remedy when properly prescribed. Formerly it was the custom to prescribe the remedy in the tincture, and it will be found that those who condemn the remedy and become disgusted with the homoeopathic treatment of gonorrhoea are those who do not treat the disease homoeopathically. The dose here has a great deal to do with the homoeopathicity of the treatment, it not being the physiological action of the remedy that we seek, but the homoeopathic action. Therefore as the remedy in the tincture has produced symptoms similar to urethritis, to get a curative effect it must be given in a much smaller dose. Frost recommends this remedy in the 3 to 6 potencies and many others have verified the correctness of his observation. Given in these doses when properly indicated, it will be found to greatly modify the pain and discharge. It must be borne in mind that cases requiring this remedy have less profuse discharge than those requiring **Argentum nitricum.
**Petroselinum. Useful in cases where there is a sudden desire to urinate and the pain is referable to the root of the penis. There is intense itching in the urethra as if it must be rubbed.
**Cannabis Indica is a most useful remedy where the chordee is marked and there are painful erections and priapism.
Ripe gonorrhoeas without much pain, but with a thick muco-purulent discharge which is yellow or yellowish green, call for **Pulsatilla. There is some pain in the loins going from side to side. It is valuable remedy when the discharge becomes suppressed and orchitis results; here it will often establish the flow and reduce the swelling of the testicle.
**Argentum nitricum. This remedy has thick yellow purulent discharge, soreness and swelling of the urethra and sexual dreams with emissions. It is also useful for chordee when the urethra seems drawn up into knots worse at night.
Bayes states that for the first stage of an uncomplicated gonorrhoea there is no better simile, no better or more efficient remedy than **Mercurius solubilis. It is a most useful remedy for inflammatory symptoms such as chordee, and especially paraphymosis, phymosis and inflamed prepuce. The discharge is greenish. **Mercurius cor is similar here; the discharge is green and purulent, worse at night, the meatus is red and there is violent tenesmus of the bladder.
Intense sexual excitement marks this remedy; an intense irritation with persistent erections which prevent urination; the pains are burning and excoriating, the discharge is purulent and especially bloody. It is our best remedy when the disease has been sent to the bladder by injections. Violent and persistent tenesmus is a keynote.
**Capsicum. Gonorrhoea in fat persons who are indolent and lax in fibre, with fine stinging pains in the meatus urinarius.
Burning in the neck of the bladder and urethra, great dysuria, constant desire to urinate, and the urine smells of violets. Haematuria. Discharge yellowish, purulent, corrosive and milky. If the trouble be accompanied by nettle rash the remedy is well indicated.
**Cubeba. Cutting and constricting after urination; the patient urinates every ten or fifteen minutes. Smarting tenesmus, ropy discharge, inflamed prostate and violet smelling urine are also symptoms of **Cubeba.
This is a most valuable remedy in lingering cases with prostatic complications; and in cases of continued or oft repeated attacks of gonorrhoea, or in cases of gonorrhoea suppressed by injections. Here the trouble becomes complicated with orchitis or rheumatism, and there are apt to be fig warts or condylomata showing the sycotic dyscrasia to which **Thuja is particularly applicable. There is with this remedy a constant desire to urinate and the urine scalds; there is also a thin greenish discharge.
**Digitalis. Burning in the urethra, purulent bright yellow discharge and inflammation of the glans penis.
**Natrum sulphuricum is also remedy for sycosis, condylomata, etc.
Hughes finds this remedy the best one for gonorrhoea in women after the acute symptoms have subsided, and Raue finds it very frequently indicated.
**Tussilago has a brilliant clinical record in gonorrhoea, but there are no characteristic indications.
**Agnus castus. Also of use after the acute symptoms have subsided; it is marked, in **contra-distinction to Cantharis, by absence of sexual desire and a yellow purulent discharge.
This remedy will generally have to be used in cases of a scrofulous or psoric taint; here again the patient must be prescribed for, though the remedy has some local symptoms, such as burning and smarting during urination and phymosis which might lead to its use. Kafka recommends it at once, claiming that when used the disease never reaches a high degree of violence.