DIAGNOSTIC AND THERAPEUTIC GYMNASTICS


The face of Carbolic patient is a dusky red, white about nose and mouth, while Ailanthus is definitely cyanotic. Mercurius cyanatus has some cyanosis. However, its outstanding symptom is great exhaustion. It has gray membrane of the throat, and the necrotic areas of the soft palate; has the dark blood from the nose, which is also present under Ailanthus, but not under Carbolic acid.


This paper will present an actual case record, taken from one of the foremost university hospitals in the United States, with comparative therapeutics of the allopathic and homoeopathic methods of treatment.

PRESENTATION OF CASE.

A 33-year-old American factory hand was admitted complaining of abdominal pain and vomiting.

The patient had been perfectly well until five months before entry, when he suddenly became ill with “intestinal grippe”, characterized by nonradiating, colicky, lower abdominal pain which was sufficiently severe to require the use of hypodermic medication. At the onset of the illness the temperature was 101 F., but this rapidly subsided. The patient was confined to bed for ten days. There was no nausea, vomiting or diarrhoea. Subsequently the patient returned to work but continued to feel rundown and became fatigued more rapidly than usual. There was no recurrence of the abdominal pain. Three days before coming to the hospital the patient took a mild laxative before going to work.

During the morning he had repeated shaking chills, headache and severe pain in the back and loins. There were several loose bowel movements, the color of which was not noted. His appetite was poor, but he had a bowl of soup for lunch. Subsequently he felt very sick and returned to his home, where the soup previously ingested was vomited. He felt hot and restless, and his temperature was found to be 102.5 F. He slept fitfully, and on the following day felt quite fatigued. There were anorexia and nausea, but no vomiting. A mild laxative was again taken, and throughout the remainder of the day there were frequent loose bowel movements. He felt alternately hot and chilly, but there were no further chills.

His skin was livid or purplish with face dark as mahogany and hot; sordes. He was white about mouth and nose with a thin, copious, ichorous, bloody nasal discharge. His temperature at that time was 104 F., and a physician stated that he had a septic throat, although his throat was not sore. It was swollen, purple and livid. There were ulcerations of the mouth with a gray membrane. Also burning in the mouth.

Necrotic destruction of soft parts of the palate and fauces with dark blood from the nose. Fauces red and covered with exudation. The throat was inflamed and oedematous. There was an irregular, patchy, livid eruption. Patient was semiconscious and delirious with weak pulse, general torpor and great and rapid prostration. There was a tendency toward haemorrhages from different orifices, of dark fluid blood; cyanosis, rapid respiration and heart action. The symptoms continued unchanged during the day preceding admission, but at two oclock on the following morning he began to vomit repeatedly. The vomiting was non-projectile. The vomitus was variously brown, yellow and green in appearance. He felt feverish and again took a laxative which was followed by a series of loose bowel movements, the character of which was not noted. During the day he developed epigastric soreness, worse when moving about, which he attributed to straining when vomiting.

The patient had received typhoid vaccine thirteen years ago, while in the navy. During a one-year period, twelve years before his entry, four members of his family contracted typhoid fever. There were no related illness in his family since that time. He last visited his family four weeks before the onset of his illness. Four years preceding entry the patient had attacks of burning mid-epigastric pain. This was thought to be due to an ulcer, but x-ray studies were negative. Subsequently the symptoms subsided.

C.P.Bryant
C. P. BRYANT, M. D.
Seattle.
Chairman, Bureau of Surgery