CASE No.I.-Mrs. M.W.O. October 19, 1922.
C.C. – Nervousness, utter exhaustion and vertigo.
P.H. – Always rather weak, tall and thin, average weight 112 pounds. One attack of pneumonia, influenza 1923. Both breasts, removed. 1913. Had been treated with iron, calcium lactate, strychnia, quinine, digitalis and the endocrines.
P.I. – Has felt weak, nervous and exhausted for some time. She worries a great deal, has little appetite, has insomnia, sleeping only in cat-naps and awaking 2 to 4 A.M., palpitation on exertion, but no dyspnoea, no headaches, no cough. Her digestion is good and B.M. regular. She has no aches nor pains. She feels a sinking sensation in middle of morning. Standing is always bad for her, causing her to sit to dress. There is a sensation of weight on chest. She dislike heat of weather or clothing. The weight of the bedclothes is disagreeable.
P.E. – A female about fifty; tall, six feet; very thin, ninety-four pounds; slightly stooped; hair somewhat gray. Skin is dry, with some evidence of eczema of hands, which is worse t night and in winter. Reflexes are normal. Eyes are astigmatic. Ears and nose normal. Teeth are in good condition and X-rays show no evidence of infection. Tonsils are atrophied. Lungs are normal. Chest wall shows scars of breast amputations. Heart has no murmurs, but shows a weak muscle tone. Abdomen gives no evidence of rigidity, tenderness nor tumors. Pelvis is normal-98 degree-90-16. Blood pressure, 90\140. Blood pressure, 90/140 Blood picture is : Hemoglobin, 90 per cent.; erythrocytes, 4,740,000; leucocytes, 6000; polynuclears, 76 per cent.; large mononuclears, 14 per cent.; small mononuclears, 9 per cent.; eosinophiles, I per cent. She was given sulphur.
Progress : In less than a month all symptoms were improved and she had gained four pounds in weight. I have seen her occasionally since then for a cold or a return of her former exhaustion. When she returned to me the first time for the latter trouble she said: “I wish you would give me some of those little white pills; they did me more good than anything Ive taken.” A week ago she came to me, saying that she felt so well she was going on a trip to Europe.
CASE No.2.- T.R.B. Male child; born July 2, 1922; normal delivery.
C.C.- Eruption face, May 8, 1923.
F.H.- Negative except for eczema in paternal great-great- grandfather and two great-great-uncles.
P.I.- Eruption face, irregular, flat areas of varying size, which are red, worse from heat and washing, better from cool and open air, itching and bleeding when scratched. An aggravation occurred during dentition. Soothing external applications were employed to prevent the baby from scratching. Diet, and sulphur in high and low potencies, were used for nearly two years, with only occasional slight improvement, if any. Then the little patient was given Thyroid IIX for one week, with complete relief up to the present time.
CASE No.3.- Miss A. August 13, 1923.
C.C.- Pain left arm.
F.H.- F.d.67, acute Brights; rest negative.
P.H.-Diphtheria twice. Constipation. Styes with every tooth.
P.I.- January 21, fell downstairs and injured left arm; treated by osteopath. On April 1, 1923, had stiff neck sides from day there was severed pain in left arm externally and in the internal surface of forearm and through palm. She had to lie down for relief during the next two months. By degree the pain became less. Heat relieved. She was given sodium bicarbonate baths, hypodermic injections of neurosinic tonic four times a week, and the arm was baked three times a week. The pain is grinding, throbbing, twisting in character, aggravated by cold, damp, pressure, movement, especially pulling, and use of other arm, and lying on side. Pain is relieved by lying on back. If the surface is moist and air blows on it, it feels like ice. There is also aggravation from riding and vibration.
P.E.- Normal except for a hyperacid urine, far-sightedness, low blood-pressure, and a node on right index finger. She was given nux vomica to clear the picture. Bryonia followed, but gave only slight alleviation. Rhus tox. 200 gave prompt relief.
Progress : Since has had one slight slight attack which was promptly relieved. However, she has developed dry points, painful nodosities of fingers, etc.