BY THOMAS M. STEWART, M. D., CINCINNATI, OHIO.

CASE I.—Patient, a tall thin woman; dark hair and eyes. Badly

nourished as a result of mal-assimilation of food. Troubled with

frequent attacks of styes on the upper right eyelid. Patient anæmic.

Complained of frequent chilliness; chilly on least exposure.

Physically and mentally patient was exhausted.

Some improvement was secured by correcting an eye trouble with

glasses. Nux vomica, psorinum, and hepar of course acted

indifferently. On a later visit the case was cleared up by the

mention of the chilly sensation and the exhaustion. Kali carbonicum

began an improvement and carried the case on to a point where diet

did the rest.

The woman’s means were limited, but she was able to carry out the

diet direction, because her principal articles of diet had been meat

and eggs. She was getting too much nitrogen. A generous supply of

the carbo-hydrates; a direction to drink plenty of water, but not at

meal times; and more exercise in the open air changed the conditions

to healthful ones.

CASE II.—A young woman, well nourished, but not muscularly strong.

Catches cold easily and is readily exhausted by muscular exertion.

Sensation of a lump in the throat, with stitching sensation at each

cold. With each cold has some cough, due largely to an elongated

uvula. With each cold must “hawk” a great deal in the mornings to

“clear the throat.” The patient was a vocalist and suffered

frequently from these acute colds and hoarseness.

The case had been prescribed for by several physicians. A study of

the case brought out the kali carbonicum picture of “coryza with

hoarseness; catches cold at least exposure to fresh air, and with

each cold there is a stitching pain in the pharynx,” and kali

carbonicum 6x trituration cured the case, including the relaxed

uvula. The patient has frequently presented this picture and each

time kali carb. did the work.

Some additional benefit, in lessening the liability to these

attacks, has been secured by the cold sponge bath each morning. Deep

inhalation of fresh air three times a day, to aid in the oxidation

of the food stuffs; and by inculcating the habit of daily attending

to Nature’s demands, whether there is any desire or urging in that

direction or not.

CASE III.—Patient a nervous woman. Suffering from mixed astigmatism

and pronounced insufficiency of the internal recti muscles, which we

oculists denominate an exophoria. Patient suffered terribly from

headaches, almost daily in their occurrence, frequently with nausea.

The muscular trouble was cured by the use of prisms, the mixed

astigmatism corrected by a glass, and there remained a severe

backache. It was located in the small of the back as if there were a

heavy weight pressing there; worse during menses, with bearing-down

pain; patient was obliged to sit down frequently, on account of the

ache. Her physician had prescribed sepia, cimicifuga, and natrum

muriaticum—and in response to a question, “Could the eye treatment

have had anything to do with apparently aggravating the backache?” I

replied, “No; I think the relief of the headache has simply allowed

the attention to be drawn to the backache.” I asked for other

symptoms and one day received a little line stating that the

“backache was worse after eating, and the patient could not walk

much on account of the backache, was obliged to sit down

frequently,” and kali carbonicum was advised. It cured the case.

The Journal of Ophthalmology, Otology and Laryngology. Vol. XII. July, 1900. Part 3. · 第 8 / 64 题