The modern treatment of gonorrhoea, as carried out in the hospitals now, I believe, especially in the women, is through irrigations, just hot irrigations. But if that is tried in a case that is far advanced, I am very much afraid you will get just the condition I mentioned in meningitis. I would never allow such a thing as that again, because I think that it is very wrong.
I have had occasionally a few cases to treat of gonorrhoeal arthritis. That is not so easily managed, but Rhododendron and Natrum sulph. and Thuja are some of our best remedies. To mention some of the remedies that help the condition in acute cases, I have had more help from Cannabis sativa followed by Mercurius- Cannabis sativa being Jahrs old remedy, and he generally used Mercurius corrosivus. Then Cantharis and Gelsemium are sometimes used and Natrum sulph, Rhododendron, Thuja, Sulphur, Sepia, Selenium, Medorrhinum and Pulsatilla, of course. I think that about covers the list of remedies.
I feel truly it is well worth while thinking about. Homoeopathy works wonderfully. You can prove it. The microscope gives such wonderful proof of it. There are the slides to this day that stand for those cases. I have been surprised to find these people coming in either voluntarily or when we questioned them. Some of those records were old records and in transferring we lost some of them; at least they were filed away so that complete records of some of the case that come to the clinic are not known except them. Another twenty-five of those cases, I feel sure, would show the same results. I think if we could carry out a venereal study on a more extensive scale, we would be well satisfied with the results.
Dr. P.L. BENTHACK: May I ask one question. What do you tell your patients? The ordinary, old school physician would tell them that they never would be what they were before. What do you tell your patients?.
DR. B.C. WOODBURY: I dont know what to say about.
DR. P.L. BENTHACK: I will tell you what my experience is. I have had lots of experience with it. I tell them they will be in better health.
DR. B.C. WOODBURY: I have known that to be the case. I have seen it, but, of course, you cant guarantee anything. There is an observation that I think is true.
DR. P.L. BENTHACK: I say, “I will get you in better health”, and I do.
DR. C.C. WOODBURY: The great thing is to get them to follow our treatment. They will hear about injections, and they must have injections, and away they go. Some of the faithful ones are in that list.
Dr. P.L. BENTHACK: In the old school, what is prescribed is worse than the disease.
DR. B.C. WOODBURY: One interesting thing about it is, if they are under homoeopathic remedies, I have never-with the exception of this case of salpingitis and one other case of orchitis, which I think is mentioned-seen a case of ophthalmia, never any epididymitis, or anything of the kind that followed in the wake of these things.
DR. A. H. GRIMMER: If you explain to your patients the danger of the suppressive treatment, they will stay with you much longer.
DR. B.C. WOODBURY” Oh, yes. Great many people are of the opinion that people like injections, but they dont. They much prefer the simple method of taking remedies. They dont like the injections, and I dont blame them.
DR. PLUMB BROWN: I think this method of telling them they will be better than they were before is a dangerous one. I have had cases come to me when they were not feeling well, and had them ask me that question. i have told people who had an attack of gonorrhoea or syphilis they would be much better, and had them come back in a few months time and tell me they havent been feeling better.
DR. C.M. BOGER: I think, particularly in the venereal diseases, it is easy for us to get on the slide which leads us into specific medication. The temptations is very great. I do not think Hahnemann himself was free from it when by him in the treatment of syphilis. He rarely mentions any other remedy. To illustrate that matter a little more thoroughly, I rarely think of the disease itself-especially venereal disease-but prescribed for the patient.
There was a young married woman who came to me some months ago with a phagdenic chancre. It was a bad one, because in a short time it was larger than a quarter, between a quarter and a half dollar, in about ten days. It made that much progress. I gave Mercurius. It did not do any good at all. It never touched it. The chancre kept growing bigger, and they grow pretty fast at times. Finally the patient said, “Doctor, I believe that thing is eating into my urethra.”
Then i came to my senses and prescribed to her constitutional aspect and gave her a single dose of Calcarea carb., and from that day on her chancre began to get smaller and smaller. When the secondaries came-sore throat and falling out of the hair and so on-she got along quite well. She is in the secondaries not, but they are very mild, about as mild as you ever see them unless they are entirely absent.
I think this is an extraordinary confirmation on prescribing for the patient and not the disease.
CHAIRMAN PULFORD: We will go on to the next paper, which will probably throw a little more light on Dr. Wilsons question. We have all been saying that you could not suppress symptoms. I think the dose Dr. Wilson gave his patient brought out a mental symptom that was well suppressed.
Will Dr. Lyle give the laboratory report on the case of gonorrhoea?.
The author offers the following classification in place of the usual textbook one: 1. Simple neuralgic including spasmodic. More rare than usually supposed. 2. Obstructive, malformative or traumatic. 3. Diathetic, largely due or strongly prejudiced by rheumatism, gout, phthisis, anaemia, etc. 4. DYSMENORRHOEA due to tubal, ovarian or uterine disease. For the neuralgic type due to cold he suggests Acon., Bell., Puls. With cold eliminated and no leading symptom then comes difficulty in selecting the remedy from a long list. Viburnum prun. seems useful in many such and, Vib. failing, Caulophyllum is probably next useful.
Obstructive: For stenosis little good from remedy alone, almost always some dilatation is necessary; flexion, surgical measures; varicocele of broad ligament, rest, tamponading, surgery, and such remedies as Lappa, Arnica, Calc. fluor. For young girls in whom vaginal examination is impossible try Veratrum viride. For diathetic type, rest, chronic remedy. Tub., Iod., Ars., iod. often useful. Tubal, ovarian and uterine DYSMENORRHOEA, find cause. Salpingitis very amenable to homoeopathic remedy. Surgery often indicated.
In the discussion the following additional remedies were mentioned, all on their own characteristic indications: Act. rac., Calc. carb., Cham., Cocculus, Gels., Graph., Lach., Lyc., Mag. carb., Mag. phos., Nat.mur., Plumbum, Sil., Sulph., and endocrine preparations. E.L. ROWSE, British Hom. Journal, April 1931.