CASE III. Minnie B., age 14, school girl; of typical Calcarea carb, make-up. F.H., mother healthy, also her family; father died of T.B.C. when the patient was nine months old and his mother died of T.B.C. when he was eighteen months old. P.H. had cholera infantum when she was eleven months old, but her life was saved by Calc. iod. 6x (Boericke & Tafel), a grain powder every two hours at first then at longer intervals for several months and Arlington Co. Liquid Beef Peptenoids, soups and fruit as her diet for over a year. Her present condition began with an attack of lobar pneumonia.
Her life was saved, this time, by Iodine 6x, during the first few days given for the high temperature, dry skin and rapid emaciation. Later the iodine was changed to Calc. Iod. 6x (Luyties). This checked the emaciation and the liquid stools but the temperature soon became the typical pyaemic and the constantly dry skin became dry and hot alternating with sweaty and cold as the temperature went up or down. At this point a change was made from the Calc. iod. to Ech. which was given three drops of the 1x, in a cup of hot water every two hours, and a hot cloth moistened with equal parts of the tincture and water was kept over the entire abdomen. Her diet was the same as after the attack of cholera infantum.
The patient began to respond to the treatment after about sixty hours and the improvement was constant so that she was normal at the end of eight months except for her weight which took sixteen months more to become normal. There was no doubt that pus was present not only in Peyers patches but also in all the glands of the peritoneum. I never felt sure that the local applications played a very important part in the cure but the patient always said that they felt good so they were kept up for nearly two weeks.
BLOOD AND PLEURA.
CASE IV. I had one case, a cousin of Case V, who had a mild attack of pleuritis followed by infusion which became purulent and presented all the determining symptoms of Ech. A rib was resected, the fluid evacuated and the usual drain put in, but with results similar to those in Case V. Ech. was used in Case V with most excellent results.
About nine months after treating Case V, I was called to another case of pleurisy, whose symptoms were apparently identical to those of Case V. The same treatment however failed completely, and after two weeks trial Silicia 30th was substituted. The Silicia was given in five drop doses, three times daily. It was Boericke & Tafel Silicia. Improvement began in four days and contained till the patient was normal in three weeks.
BLOOD AND LIVER.
CASE V. Mr. C.H.T., a bank teller, age 36, dark, of sluggish temperature. F.H., nil. P.H., had suffered from several attacks of gallstone colic for which he was finally operated on and over two hundred small stones removed from the gall-bladder. There was also some pus in the liver. A drain tube was inserted and continued to drain a muco-purulent substances for several days when the discharge stopped suddenly. The typical rise and fall of temperature began in a few days, also the dry and moist skin. His physician then went into an abscess between two ribs and put in another drainage tube.
There was a free discharge of pus and the two extremes of temperature lessened but the patients weight and strength ebbed rapidly. Alcohol stimulants and a special diet did not check the downward course. At this point I came into the case at the request of the patients brother, a patient of mine. He was given ten drops of the 1x of Ech. (Boericke & Tafel) in two ounces of warm water, every two hours. A dram of equal parts of Ech. tincture and distilled water was injected into the rubber drainage tube.
This was done three times at intervals of four hours. After that the rubber tube was withdrawn and a gauze drainage saturated with the same solution of Ech. substituted. Pus ceased forming in seven days and all the symptoms gradually improved. The interval between the doses was lengthened and discontinued at the end of three weeks. The patient was normal at the end of six months except some soreness of the region of the liver and the weakness and prostration the tired feeling.
CASE VI. Boy, nine years old. Both family and personal history good. Contracted diphtheria during an epidemic. The symptoms were a chill lasting half an hour, followed by pains in the throat and all the muscles of the body. There was rapid and profound prostration, a livid colour of the skin, a dry mouth and throat with only a few patches of membrane. The pulse was rapid and weak. I had been watching a case of diphtheria with Dr. A.M. Linn, who had responded remarkably to Ech. five drops of the 1x, every two hours, in water, and a gargle of the tincture of Ech. one part to two parts of water, every four hours. My case was given the same treatment, but died in ten hours.
A second member of the same family, with like symptoms was given Mercurius cyn. 3x, a grain powder every hour for four doses, then every two hours for four doses, then every two hours for twelve doses. The powder was dissolved in water. The patient recovered though very slowly. Paralysis of the muscles of deglutition set in on the eighth day but responded nicely to a few doses of Lachesis. For sub-normal temperature and great prostration there is no remedy like Merc. cyn.
AS A PROPHYLAXIS.
I have never been able t o either abort or lessen the severity of the symptoms of typhoid fever with Ech. I tried it for the group of symptoms given by Thomas but it failed, whereas Baptisia never failed for that syndrome of symptoms.
POTENCY AND DOSE.
They have been given in the illustrative cases. The tincture and low potencies seem most effective in a great majority of cases.
The dose should be frequently repeated.
THE SPHERE OF ACTION.
(1) The blood is the tissue for which Ech. has its strongest “elective affinity.”
(2) Pyaemia is the condition which most frequently calls for the remedy.
(3) The “up and down” temperature is a “ranking” symptom. The extreme prostration “so tired, so tired” is the second. Profuse perspiration is the third.
The field of action is small but in that field it is adequate, prompt, and successful.