EDITORIAL NOTES AND COMMENTS


In Arsenicum iodide we have a pain in the forehead directly above the nose; the frontal sinuses are involved; the patient feels weak, dragged out; the nasal discharge is hot and watery burning and much of it passes down by way of the posterior nares. The head in general feels heavy and dull. The patient himself feels better in the warm room.


Similia Similibus Curantur.:- We have much pleasure in presenting in this issue, an article with the above title, by Prof. Hugo Schulz, of the University of Greifswald, Germany. It is this article which perhaps, more than any other, first aroused the present interest in homoeopathy throughout Germany and which has caused men of eminence, such as August Bier, to investigate the claims of Samuel Hahnemann. We are indebted to Dr. W.J.Sweasey Powers and his wife, Dr. Lillian D.Powers, for the English translation.

Nasal Sinusitis.- Irrigation of the sinuses is never without danger, especially in acute processes. In case of fever, or when a fibrous exudate has formed, irrigation should not be performed. Riedel believes that operative treatment of the antrum frequently entails inflammation in the ethmoidal and frontal sinuses. The latter and the sphenoidal sinus should be operated on only when persistent headaches cannot be cured by an antrum operation and conservative treatment:- J.A.M.A.

Frank and honest confession; too bad that the advice implied, is not more often followed! Too much monkeying with the nasal accessory sinuses is productive of serious mischief, especially in the hands of the inexpert; and Heaven knows, there are plenty of these.

Carefully chosen homoeopathic remedies are quite capable of doing much good, in the various forms of sinusitis. Arsenicum iod, Iodin, Kali iod, Pulsatilla and Silicea can do wonders here.

In Arsenicum iodide we have a pain in the forehead directly above the nose; the frontal sinuses are involved; the patient feels weak, dragged out; the nasal discharge is hot and watery burning and much of it passes down by way of the posterior nares. The head in general feels heavy and dull. The patient himself feels better in the warm room.

The Iodin patient is likely to be thin and lean, dark and hungry-looking, an appetite which demands attention and compels respect; he always feels better when his paunch is full and like Oliver Twist, is apt to cry for more. Pressive pains in the forehead are complained of, or a small, painful area above the nose. Fluent coryza and a great deal of sneezing, discharge is hot and excoriating and fever may be in evidence. The cold open air relieves.

Kali iod. is usually without fever; in fact, the temperature is often subnormal; stretching and aching of the limbs is complained of; sneezing is both violent and paroxysmal and accompanied by a filling up of the eyes with tears. The nasal discharge is at first watery, hot and burning, corrosively so. Sneezing is frequently painfully ineffectual. The eyes and nostrils are red and the upper lips is sore. Heat, locally applied over the nose and forehead, is very agreeable, but in general, the potassium iodide patient feels better in the cold open air. Great weakness is present. In general also, there is an aggravation at night, as with other anti-syphilitics. Later on the nasal discharge becomes thick and yellow.

Pulsatilla is especially familiar to us all, with its afternoon and twilight aggravation, its docile placidity, its bland, thick and yellowish-green discharges and its amelioration in the cold open air. The head feels better in the cool open air which indeed is more agreeable to the sufferer, whose frontal and facial pains may be due to an inflammation of the frontal sinus itself, or even of the antrum of Highmore. Fever may be present and is apt to be high, with absence of thirst. Smell and taste are temporarily abolished, or at least greatly diminished. Pulsatilla is more likely to be needed during the later stages of sinus inflammations.

In Silicea we find a remedy of much value when the frontal sinuses are affected, with severe pressure in the forehead, as though from a heavy weight above the eyes. Cold air especially a draft of cold air, aggravates the pains, the head is extremely sensitive to drafts and feels better when wrapped up warmly. Chronic sinus inflammations are likely to be helped by this great remedy. The nose is obstructed and sore and bloody mucus as well as acrid watery mucus in blown from it.

Other remedies may, of course, be required; they often are and symptoms must decide, but the five remedies mentioned are important and often most useful; we ought always to bear them in mind, especially when tempted to resort to local measures of doubtful value.

Should Schick Test Be Abandoned? -: Observations are recorded by Kellogg showing that the Schick test is subject to errors in its application, which more than offset the value of the information derived from its use. A high percentage of false negative Schick tests has been found in persons following immunization, the information as to their true status having been determined by laboratory test using the Kellogg method. The Schick test is of academic interest only and should be abandoned completely for the following reasons:

It is subject to a sufficient percentage of false negative reading to result in the failure of protection of children who otherwise would have been protected. Knowledge of the immune status of children is not required, as most of those in the age group most concerned are susceptible, while immunization of the balance is open to no objection. General immunization of children without further attention to whether or not immunity has been attained will result in complete public health control of diphtheria. For determining the immune status of individuals and small groups, where this information is specially desired, the laboratory test devised by the author is convenient and accurate.

The above is abstracted by J.A.M.A. from the American Journal of Public Health, Albany, N.Y. October, 1925. The question presented and the conclusions drawn are quite remarkable, if not bewildering. The infallibility of the Schick test has been rammed down our throats so persistently, that we gasp in astonishment at Kelloggs revelations and we are sorely tempted to cry out in the language of the street: “Where are we at and where do we go from her?”.

Rheumatism and the Tonsils.

Gording reports clinical and experimental research on 260 cases of joint and muscular rheumatism, all but 25 percent in women. A history of tonsillitis was known in only thirty of the 108 cases of primary chronic polyarthritis, and in thirty-four of the 107 muscular and nervous rheumatism cases. The average age that the onset in the tonsillitis cases in both groups was twenty-seven, and in the non tonsil cases forty-three and forty-four. In the thirty-for cases treated with tonsillectomy, improvement followed in twenty-two but not in the others. J.A.M.A.

Sehr interressant, nicht wahr? Evidently tonsillectomy is not always successful; still, the modern slogan is “teeth and tonsils” four out of five get pyorrhoea, unless forsooth, all use some celebrated dentifrice; the immaculately dressed dental surgeon, with his charming, white-clad office nurse as partner, looks down upon the passing throng beneath his office window and with a saintly expression of true benevolence, utters his prophetic words: Four out of five, four out of five! The psychology is compelling and off we rush to the nearest Liggetts and purchase a tube of prophylactic toothpaste.

Effect of Ovarian Therapy on Menstrual Cycle.

The clinical features and course in a group of 132 women who complained among other symptoms of hot and cold “Flashes” and who received as therapy desiccated whole ovary are reported by Sharlit, Corscaden and Lyle. They have been most favorably impressed with the value of this therapy. J.A.M.A.

Our homoeopathic Ovarian in 3x or 6x is at times of value in the condition cited in this abstract. But other remedies, such as Lachesis, Sepia and Sulphur, must be thought of as well. Their indications are well known to all and need not be repeated.

Pernicious Anemia.:- In a series of forty-two cases of addisonian anemias under Hunters observation, only two have apparently been cured by transfusion, drugs and dietetic measures. Of the forty-two cases, thirty four were Type II blood, three Type IV, and one case was Type III, according to Moss method of blood grouping. Whether or not there is any significance to the large number of Type II cases, has not been determined. Two of the patients died after transfusion, with hemoglobinemia and hemoglobinuria, indicating hemolysis, one having been transfused thirty-six times, the other twenty-eight times.

Both were given homologous blood after direct matching in a last desperate attempt to bring them out of a severe relapse. On the other hand, one to bring them out of a severe relapse. On the other hand, one patient has had thirty-two transfusions, many times by the same donors without any hemolysis or untoward reactions. All the patients have either shown a frank pyorrhea alveolaris or increased amount of oral bacterial flora, particularly the spirillary forms. J.A.M.A.

Well, here pyorrhoea did play a deadly villanous part. No doubt these forty-two patients had not read the street car “ads” and so, had failed to prevent disaster by using the “four out of five” treatment. Moral: Always read the street car “ads”, even if you are carried away beyond your destination!.

Does Bedbug Transmit Kala-Azar? A total of 138 Cimex hemiptera, all caught in the bedding of cases of kala-azar, were examined by Shortt and Swaminath by culture of the entire gut in NNN medium. The cultures were uniformly negative J.A.M.A.

Frankly, we do not know and we probably care less, for there are many more important things to worry about. Yet, bedbugs (cimex lectularius), can certainly make life very uncomfortable. It seems to us as though Europe, more particularly Germany, had a monopoly of them; at least every time we have travelled abroad, we have managed to pick up a few samples. Oh, how they did itch! In desperation, one rainy night in September, arriving at a comfortable hotel in Schwerin, on our way to Copenhagen through Germany, we plunged into a tub of delightfully clear hot water and in short order, three specimens of the bedbug family were spurlos versenkt.

We have always believed that we had annexed the devilish little beasts in Hamburg, for anything may happen in Hamburg, with its great cosmopolitan population, its beautiful Alster Bassin and its wonderful residential suburbs of Harvestehude, Uhlenhorst, etc. not to mention the marvellous North German cooking and Rhenish wines. In our childhood days, a famous topical song ran something like this:

“The June bug he has wings of gold,

The fire-fly has em of flame;

The bedbug has no wings at all,

But he gets there just the same!”.

Truly he is a veritable go-getter, with a post-graduate degree in salesmanship, for does he not sell himself to you, whether you want him or not? Ah, this indeed is art! Kala-Azar, by the way, sounds like the name of some Rudolph Valentino sheik, but really is an extremely fatal epidemic fever of Assam. So dont you go there unless you must and if you do, be extra cautious, remembering the little go-getting jingle we have just recited.

Homoeopathically considered, Cimex is said to be of use in certain case of intermittent fever, when there is a sensation as though the tendons of the joints were contracted or too short. Ausprobiren and find out!.

Leukemia and Pernicious Anemia Consecutive to Occupational Injury from Radioactive Substances.:- Emile-Weil reports a fatal case of myelogenous leukemia in a mechanic occupied for several years in the preparation of radioactive substances of the thorium family. Another mechanic, working on the same substances for several years, in the same factory, died from pernicious anemia.

Both were robust and of healthy families. On microscopic examination, the lesions of the spleen, liver and bone marrow appeared to be identical with those in ordinary leukemia. It is assumed that irradiations as well as infections may induce changes in the cells in the hematopoietic organs. The author comments on the fact that the same radioactive substance seemed to be responsible for the two quite different blood diseases, probably on account of differing predisposition. He cites another case of fatal leukemia in a woman given a single intensive seven hour application of radiotherapy seven years before J.A.M.A.

In the December issue we called attention to the disastrous possibilities of radioactive substances. This poor victim, whose case we cited, is still suffering, after eight weeks of torture, from the pain and spasms of the pharyngeal muscles, due to the prolonged effects of the Radium seeds which had been implanted in her tonsils. The latter have now been enucleated entirely but the surrounding tissues still show an ugly picture of necrosis and sloughing.

The X – ray, radium, etc., with their wonderful powers for good, are at the same time capable for spreading destruction and death Medical science should most assuredly proceed cautiously in their employment.

Impacted Wisdom Teeth –

Wishart treats each attack of tonsillitis as if it were premonitory to an attack of rheumatic fever. With the aid of an atomizer or throat brush he applies to the tonsils, during gentle expirations, a paint consisting of one part of tincture of iodin to seven parts of anesthetic ether, until the tonsils become iodin colored and dry. It may be found necessary to repeat the application every third day. J.A.M.A.

Those who still believe in the efficacy of straight homoeopathic prescribing more and more are meeting the pressure of opinion, which stands behind such modern methods as employed by Wishart. Old-fashioned homoeopathy is losing its grip, except among the small number of the intelligentsia who are powerless to stem the tide. This modern age of ours is a swift one indeed, especially in our large cities, particularly New York.

Quick results are wanted, nobody wants to wait; everyone wishes something tangible to be done and painting the tonsils is assuredly something tangible! Those who do not employ such theatrical methods are in danger of finding themselves playing to empty houses; the furniture in the waiting room accumulates dust and rapidly becomes an index of the old foggy doctors dwindling practice. Its all very sad, but very true and as a notorious Tammany chief once said, “What are you going to do about it? Shall we bow to the seemingly inevitable and let principle go hang, or is virtue, resplendent and lonely, to be its own reward?.

Case of Anaphylaxis to White Wine.

De Lavergne and P.Florentin observed a case of this kind in a patient with recurring urticaria. An excessive amount of some protein substance added to the grape juice in making the white wine may have produced in it an antigen property, thus responsible for the anaphylactic condition. This was confirmed by the skin reactions in the patient, as well as by experiments on guinea pigs. J.A.M.A.

Let us see! Anaphylaxis is “the state of unusual or exaggerated susceptibility to a foreign protein, which sometimes follows a primary injection of such protein”. Well, protein or no protein, individual reactions to white or other wines are extremely variable and at times ludicrous. In one of our unpadlocked Italian restaurants, which thus far has happily escaped the eagle eye of Emory Buckner, assistant united States District Attorney, we recently observed a typical Yankee of the obnoxiously vociferous type, in a state of flaming inebriation, call for and consume three large plates of ice cream in rapid succession, perhaps the truly wonderful Chianti for which Greenwich village resort is famous, may have warmed the cockles of his heart not wisely, but too well; no doubt his urticarial manifestations were altogether internal and hidden by his well-padded rotund anatomy.

Of course, down in the “village” the simple-minded jokers dont call it “anaphylaxis” and euphonious though this highly cultured and scientific term may be, the denizens of the Quartier Latin of New York use a much simpler and shorter word, which everyone understands. Yes, the good old Italian red ink can produce a wide variety of bizarre, anaphylactic effects; there is some atmosphere still, in little old New York. May it never vanish entirely!.

Value of Iron in Anemia.

Williamson and Ets have found that inorganic iron, whether given by mouth, subcutaneously or intravenously, is absorbed and may be found especially in the liver and spleen, but is not converted into hemoglobin. Animals made anemic by one or several large bleedings do not recover any more rapidly when inorganic iron is given in any of these ways. The efficiency of food iron is very pronounced, and animals on a diet containing food iron only recover very rapidly from hemorrhages that remove an amount of iron greater than exists in the entire body outside the blood. In the light of the foregoing experiments, the administration of inorganic iron has no therapeutic value in anemia. J.A.M.A.

This is no particular news to homoeopaths, who are well aware that iron is rather seldom of use in anemia. More often Natrum mur and Pulsatilla will demand recognition. When iron is indicated, the patient will present a pseudo-plethoric appearance, the face pales, but just as easily flushes from any exertion or slight emotion. Fatigue and sensitiveness to cold are complained of; throbbing headaches occur; gastric distress, with vomiting of food, especially at night, is common and diarrhoea with undigested food in the stools, often takes place. Pale lips are a striking feature.

The menses are too copious, appear too frequently and last too long, the menstrual blood is pale and watery. Amenorrhoea, on the other hand, may be present. Loss of appetite alternates with an unusual hunger. Diarrhoea takes place immediately, while eating or drinking. The Ferrum patients symptoms are ameliorated by walking about slowly, in spite of her marked sensation of weakness.

Allan D. Sutherland