Tuberculinum

William Boericke 1922

Early-morning, sudden diarrhoea. [Sulph.] Stools dark-brown, offensive, discharged with much force. Tabes mesenterica.

William Boericke 1922

Tension in nape of neck and down 'spine. ChWlmess between shoulders or up the

William Boericke 1922

Bacil.; Fsorin.: Loch. K<tlagua (tuberculosis; garlicky odor of all secretions and breath). Teucrium scoradonia. Complementary: Calcarea; China: Bryon. 756

William Boericke 1922

Koch's lymph {acute parenchymatous nephritis; produces pneumonia, broncho-pneumonia, and congestion of the lungs in tul)erculous patients, and is a remarkably efficacious remedy in lobular pneumonia — broncho-pneumonia); Aviaire — Tuberculin from birds — (acts on the apices of the lungs; has proved an excellent remedy in influenzal bronchitis ; symptoms similar to tuberculosis ; relieves the debility, diminishes the cough, improves the appetite, and braces up the whole organism ; acute broncho-pulmonary diseases of children: itching of palms and

William Boericke 1922

When Tuberculinum fails Syphilinum often follows advantageously, producing a reaction. The use of Tuberculinum in phthisis pulmonalis demands attention to the following points : In apyretic purely tubercular phthisis results are marked, provided the eliminative organs are in good order, but nothing below the 1000th should be used, unless absolutely necessary. With patients where strepto-staphylo-pneumococci are in the bronchi; where also, after washing the sputum, a pure “t. b.’* bacilli-mass remains, the same treatment is indicated. With mixed infection — found in the majority of cases — where the sputum swarms with virulent micro-organisms in addition to the “t. b.,” other procedure is necessary. If the heart is in good shape, a single dose of Tuberculinum 1000-2000 is given, provided there are no marked indications • for other remedies. With due attention to temperature and possible critical excretions, the dose is allowed to work until effects are no longer observed, eight days to eight weeks. Usually a syndrome then presents, permitting the accurate choice of an antipsoric Silica, Lycopodium, Phosphorus, etc. After a while the picture again darkens and now a high potency of the isopathic remedy corresponding to the most virulent and prominent microorganism found in the sputum is given: Staphylo-, Strepto-, or Pncumococcin. The accurate bacteriological analysis of the sputum is absolutely essential ; the choice of the ison again clears the picture, and so, proceeding on the one side ctiologically (where these isopathica have not yet been proved) ; on the other side symptomatically with antipsoric remedies, the disease is dominated. My own experience warns, in the case of mixed infection, against the use of Strepto-, Staphylo-, or

William Boericke 1922

cough, acute, inflammatory, irritating, incessant, and tickling; loss of strength and appetite) ; Hydrast. (to fatten patients after Tuberc.) : Formic acid (tuberculosis, chronic nephritis, malignant tumors ; pulmonary tuberculosis, not in thud stage, however; lupus; carcinoma of breast and

William Boericke 1922

Persistent, offensive otorrhoea. Perforation in mebrana tympani, ivith ragged edges.

William Boericke 1922

Benign mammary tumors. Menses too early, too profuse, long-lasting. Dysmenorrhoea. Pains' increase with the establishment of the flow. Expiratory. — Hard, dry cough during

William Boericke 1922

Post-critical temperature of a remittent type. Here repeat dose every two hours. (MacFarlan.) Profuse

William Boericke 1922

from the slightest exposure. Rapid emaciation. Of great value in epilepsy, neurasthenia and in nervous children. Skin affections, acute articular rheumatism. Very sensitive, mentally and physically. General exhaustion. Nervous weakness. Trembling. Epilepsy.

William Boericke 1922

Dobc. — Thirtieth and much higher, in infrequent

William Boericke 1922

Subject to deep brain headaches and intense neuralgias. Everything seems strange. Intense pain, as of an iron band around

William Boericke 1922

Meningitis. When critical discharges appear, sweat, polyuria, diarrhoea, exanthema, repeating the dose only when crises* come on. Noctuial hallucinations, awakes frightened. Plica polonica. [Vinca,] Crops of small boiN, intensely painful, successively appear in the

William Boericke 1922

Contradictory characteristics of Tuberculinum are mania and melancholia; insomnia and sopor. Irritable, especially when awakening. Depressed, melancholy, Fear of dogs. Animdls especially. Desire to use foul language, curse and swear.

William Boericke 1922

Worse, motion, music ; before a storm ; standing: dampness; from draught; early morning, and after

William Boericke 1922

green, fetid pus.

William Boericke 1922

Chronic eczema; itching intense; worse at night. Ringworm. .{Tellur.] Acne in tuberculous children. Measles; psoriasis [Thyroid.]

William Boericke 1922

Poor; wakes early. Overpowering sleepiness in daytime. Dreams vivid and distressing.

William Boericke 1922

Expectoration thick, easy; profuse brouchorrhoea. Shortness of breath. Sensation of suffocation, even with plenty of fresh air. Longs for cold air.

William Boericke 1922

Better, open air.

William Boericke 1922

Dr. Krull uses injections of solutions corresponding to the third centesimal potency; these must not be repeated before six months).

William Boericke 1922

.\vcrse to meat. All-gone, hungry sensation. [Sulph.] Desire for cold milk.

William Boericke 1922

General chilliness.

William Boericke 1922

Pneumococcin below the 500th. I use them only from 2000 to 1000, having seen terrible aggravations from the 30, 100, 200, with a lowering temperature from 104 to 96. Hence the admonition, which need not concern scoffers, but those alone who wish to avail themselves of a potent weapon. The toxins used as remedies are, like Tuberciilinum, prepared from pure and virulent cultures. And cases, seemingly condemned to speedy death, are brought in a year or two back to normal temperature, though, of course, sacrificing a large portion of lung tissue. This result is sure when the patient can and will take care of himself, where the heart has withstood the toxin, and the stomach and liver are in good function. Further, climatic variations must be avoided. With the great mineral metabolism of the phthisic, diet regulation is imperatve, and should be prepondcrately vegetable, together with the addition of physiological salts in low potency, Calcarea carb., 3x, 5x, Calcarea phos., 2x, 6x, and intercurrently according to indications organ-remedies as Cactus Tr. 30, Chelidonium Tr. 30, Taraxacum Tr., Nasturtium Tr., Urtica urens Tr., Tussilago farfara Tr., Lysimachia numularia Tr., for short periods. The first dose of Tuberculinum in any difficult case is, however, the most weighty prescription. The remedy should not be given without a most careful cardiac examination. As the surgeon before the anaesthetic, so must the physician know the heart before administering this drug, especially to children, and seniles — and to young seniles. He who observes this rule will have fewer clinical reproaches on his conscience. When Tuberculinum is contraindicated, recourse must be had to the nearest antipsoric. 758 TL'PRR. — TTRNERA — TUS. PET. — UPAS TIENTE The above caution applies also to asthma, pleuritis, peritonitis in scrofulous (tuberculous) subjects. [Dr. Nebel Montreux.] Vernaer (Paris) never gives Tuber-