Carbo vegetabilis

Low, grave, depraved, or cachectic states. Atony, failing reaction or obstinate sequelæ. Complaints of old age. WEAKNESS, FLATULENCE, FETOR OR AIR HUNGER, with most complaints. Tremulous, WEAK, SICK AND EXHAUSTED; suddenly; with pulselessness. Fainting. Collapse. Easily chilled. Cold, yet wants air or to be fanned, or thirsts for cold water. BLUENESS and decomposition. Sepsis. Ulceration (aphthous). HÆMORRHAGE; dark oozing. Overfulness. Venosity. Thick, acrid discharges (Hyds.). Old catarrhs. General bruised soreness or heavy aching burning; in bones, ulcers, etc. Numbness, of parts lain on. .................... Slow, anxious and irritable. Dejected. Unhappy. Dull, compressive, heavy (leaden) headache; < occiput; < overheating, lying or pressure of hat. Sneezing from irritation in larynx; < blowing nose or sneezing. Colds go downward (Pho.). PINCHED, HIPPOCRATIC or DUSKY FACE. Twitching upper lip. Mumps with metastasis. Loose teeth. Scorbutic gums. Small, painful aphthæ. Black tongue. Loathes even the thought of food. BELCHINGS; RANCID; loud, without >; with cough. EXCESSIVE FLATULENCE; obstructed; distending; < upper abdomen (Pul.); < lying. All food turns to gas. Dyspepsia. Colic. Burning in rectum. Itching anus. Septic albuminuria. Sore, hot itching, swelled vulva. Hoarse in evening. Spasms of tormenting, hollow or choking cough, with headache and vomiting; < cold drinks and in bed; expectorates with retching. Pertussis and its effects. Heavy, sore or weak chest; on awaking. Senile asthma. Destructive lung diseases. Continuous, anxious palpitation. Sore ribs. As of a plug in back. Weak fingers. Raw or mottled skin. Ulcers, foul, burning and bleeding. Varicosis. Horrors during sleep. Thready pulse. Alternate chill and heat. ICY COLD; tongue; knees; legs, at night; breath; foot (l); unilateral, etc. Warm head, cold limbs. Internal, burning heat; at heart; in chest; with icy skin, < coughing. Icy, but wants air.

WARMTH. DEPLETIONS. Cooling off. EXHAUSTING DISEASES. Old age. HIGH LIVING. Rich foods. DISSIPATION. Overlifting. Walking in open air. Pressure of clothes. Weather: Extreme temperatures. Cold night air; frosty; humid. Air. Wind on head. Suppression.

ERUCTATIONS. Cool air. Elevating feet.

MUCOUS MEMBRANES: DIGESTIVE TRACT. STOMACH. HEART: VENOUS CIRCULATION. Blood. Occiput.

Complementary: Chin. Kali-c. Follows: Caust. Antidote: Nat-m. Related: Am-c. Ars. Colch. Grap. Lyc.

Carbo vegetabilis

Vegetable Charcoal.

For the bad effects of exhausting diseases, whether in young or old (Cinch., Phos., Psor.) ; cachectic persons whose vitality has become weakened or exhausted.

Persons who have never fully recovered from the exhausting effects of some previous illness; asthma dates from measles or pertussis of childhood; indigestion from a drunken debauch; bad effects of a long ago injury; has never recovered from effects of typhoid (Psor.).

Ailments : from quinine, especially suppressed intermittents; abuse of mercury, salt, salt meats; spoiled fish, meats or fats; from getting overheated (Ant. c.).

Bad effects from loss of vital fluids (Caust.) ; hgemorrhage from any broken down condition of mucous membranes (Cinch., Phos.).

Weakness of memory and slowness of thought.

Epistaxis in daily attacks, for weeks, worse from exertion; face pale before as well as after a haemorrhage.

Haemorrhage from any mucous outlet; in systems broken down, debilitated; blood oozes from weakened tissues ; vital force exhausted.

Hippocratic face; very pale, grayish-yellow, greenish, cold with cold sweat; after hsemorrhage.

Looseness of teeth, easily-bleeding gums.

Patients crave things that make them sick ; old topers crave whiskey or brandy; want clothing loose around abdomen.

Weak digestion: simplest food disagrees; excessive accumulation of gas in stomach and intestines < lying down; after eating or drinking, sensation as if stoni ach would burst; effects of a debauch, late suppers, rich food.

Eructations give temporary relief.

Diseasesof the venous system predominate (wSulph.) ; symptoms of imperfect oxidation (Arg. nit.).

Deficient capillary circulation causes blueness of skin and coldness of extremities ; vital powers nearly exhausted ; desire to be constantly fanned.

Hoarseness : < evenings ; damp evening air ; warm, wet weather; fails when exerted (< morning, Caust.).

Awakens often from cold limbs and suffers from cold knees at night (Apis).

Frequent, involuntary, cadaverous-smelling stools, followed by burning; soft stool voided with difficulty ( Alum. ) .

In the last stages of disease, with copious cold sweat, cold breath, cold tongue, voice lost, this remedy may save a life.

Want of susceptibility to well-selected remedies (Opium, Val.).

Compare: Cinch., Plumb, in neglected pneumonia, especially in “old topers;” Ant. t. in threatened paralysis from inability to expectorate loosened mucus.

Opium: with lack of reaction after well-selected remedies fail to permanently improve (Val.).

Phos. in easily bleeding ulcers.

Puls., bad effects from fat food and pastry.

Sulph., acrid-smelling menstrual flow and erysipelas of mammae.

Aggravation. — From butter, pork, fat food; abuse of quinine, bark and mercury; from singing or reading aloud ; in warm, damp weather.

Amelioration. — From eructation; being fanned.

Lecture XLVI — The Carbon Group — Carbo vegetabilis

Carbo animalis (contains phosphate of lime).

Carbo vegetabilis (contains carbonate of potash)

Graphites (contains iron).

Aniline sulphate.

Carboneum (Lampblack).

Coal gas.

Bisulphide of Carbon.

I invite your attention this morning to the medicines obtained from the carbon group. Carbon in its purity is found only in the diamond. We have it comparatively pure, however, in lampblack, or Carboneum. Carbon will necessarily be somewhat different in its action, according to the source from which we obtained it. Hahnemann used principally three carbons, Carbo animalis, Carbo vegetabilis and Graphites. The first he derived from the animal kingdom, the second from the vegetable, while the last was an artificial product found principal^ lining the interior of large iron retorts. Carbo animalis is obtained principally from bones. It contains some phosphate of lime. Carbo veg. contains some carbonate of potash. It is obtained principally from a variety of the beech-tree. Graphites is always contaminated with more or less iron. Hence you see that these are not pure carbons. I have also placed on the board the Sulphate of Aniline, which behaves like a carbon and is a carbonaceous compound. Then, too, we have Carboneum and Carbonic oxide. Carbonic acid gas does not seem to possess active medicinal properties. It is not very poisonous. Its main deleterious effects are due to deprivation of oxj^gen. Carbonic oxide is much more poisonous, producing death, not only by suffocation, by displacing the needed oxygen, but by another remarkable peculiarity. It has the property or peculiarity of displacing oxygen from the blood and taking its place there. You know that oxygen is carried along in the blood by the red corpuscles. Carbonic oxide has the power of supplanting the oxygen in these structures. For a time, it seems to act like oyxgen, but soon its poisonous properties are manifested with all the inevitable results of asphyxia. Coal gas, which we obtain by slow combustion of coal, and the illuminating gas used in our large cities, are of this character. They produce serious effects when taken in large quantities, especially when the subject is deprived of the ordinary atmosphere. It is said that this coal gas is beneficial in the treatment of whooping-cough. I have known of but one case thus treated, and that one died. Bisulphide of Carbon, which has also been proved, has some valuable symptoms.

Now, all of the carbonaceous substances have some properties in common. For instance, they all have a tendency to relieve putrescence or putrid discharges or putrid exhalations from the body and offensive sores. You all know the mechanical properties of charcoal, what an absorbent it is, and how it can purify the atmosphere or substances that are undergoing decomposition. The animal charcoal, which is more porous, is here more effectual than the vegetable. If you bury a dead rat or mouse in charcoal for several months, you will not find any odor from decomposed tissue at the end of that time, but only a clean white skeleton. But this property, I would have you know, is not entirely mechanical. In the potencies, it may .be exemplified in the human system. Now I do not mean that potentized charcoal will remove the odor from a decomposing animal, but I do say, that in a potentized state it exerts similar effects on the human system. All the carbons act also on the skin, producing excoriations and intertrigo. They affect the glands also, causing enlargement and induration of the axillary and other lymphatic glands, even as in the case of Carbo veg. and Carbo animalis, simulating cancerous enlargement and infiltration. They all affect the mucous membranes, producing catarrhs of the nose, throat and lungs, and also of the bowels. They all tend to produce asphyxia. We find this prominently in Carbo veg., less so in the Carbo animalis, and very marked in Aniline and Carboneum. Carbojieum may produce asphyxia with convulsions simulating those of epilepsy. Coal gas and Carbonic oxide, too, are calculated to produce dyspnoea from deprivation of oxygen. We find, also, that all the carbons act on the veins, producing varicose veins. We find, too, that all the carbons tend to produce flatulence This is one of the reasons why I object to toast as an article of diet for the sick. Toast, when the bread is nicely dried through by gentle and continuous heat, is very beneficial, but when it is charred, it tends to produce flatulence. The flatus is offensive and has an odor like that of rotten eggs. Carbo veg.

V Kali c.

V Phos.

Carbo Vegetabilis.

Ars., China, Phos., Phos. ac.

In collapse, Camph., Veratr. alb.

Caust., Kalic, Sulph.

Ant. tart., Amnion, c.

<{ Baryt. c, Mosch., Nitr.

Paralysis of lunsrs ac.

( Lauroc, Lach., Opium.

Bry., Nux v., Puis., etc.

As I have already intimated to you, Carbo veg. contains some carbonate of potash. It is also a fact worthy of note that Kali carb. is complementary to Carbo veg. , especially in lung and throat affections and also in dyspepsia. Carbo veg. is also complementary to Phosbhorus, here, too, in chest affections, in the throat more than anywhere else and, in excessive debility, particularly in the threatened paralysis of the whole system as a sequel to severe disease. The drug is antidoted by Arsenicum and Camphor, and holds an inimical relation with Causticicm. The inimical relation between Carbo veg. and Causticum is not so marked as that between the latter remedy and Phosphorus. Carbo veg. is especially indicated in patients who are advanced in life, and, consequently, debilitated. It is called for in weak, delicate persons who are old dyspeptics, especially if they have abused their digestive organs by debauchery.

In analyzing the drug we will speak first of its effects on the blood. We find Carbo veg. indicated in affections in which the composition of the blood is decidedly changed. There is decided sepsis or blood poisoning in many of the diseases in which Carbo veg. is the remedy. We find the drug indicated in haemorrhages, haemorrhages, too, of a very low type. Thus we give it in epistaxis or nose-bleed when the face is pale and sunken and almost hippocratic. The blood flows persistently for hours, perhaps for days. It is dark and rather fluid. It is apt to occur in old and rather debilitated persons and during the course of diphtheria. You find nearly the same symptoms under Camphor and Mercurius cyanatus.

We also find Carbo veg. indicated in haemorrhages from the lungs, not only in haemoptysis but also in bronchorrhagia. In these cases 3i the patient suffers from great anxiety and yet without any particular restlessness. The anxiety is very evident in the face and in the efforts at breathing, but there is no particular restless tossing about. The patient complains of burning pain in the chest. Carbo veg. is to be used especially in well advanced cases of lung degeneration. The pulse in these cases is apt to be intermittent and thready, the face is pale and often covered with cold sweat. The patient wants to be fanned, because fanning brings more air to the lungs.

These same symptoms indicate Carbo veg. in haemorrhages from the uterus, whether metrorrhagia or menorrhagia. Here, again, you find marked burning pains across the sacrum and lower portion of the spine. If the haemorrhage continues any length of time you will notice the same trouble in the chest, with the difficulty in breathing above mentioned.

Carbo veg. will here work hand in hand with Cinchona and Arsenicum. Arsenicum is useful in these persistent haemorrhages of a low type, depending upon some degeneration in the organ affected. Both it and Carbo veg. have these violent burning pains. With the Arsenicum, however, you have, as a distinction which applies in all conditions, irritability of fibre and mind, which is not the case with Carbo veg. Carbo veg. is a torpid, sluggish remedy, while Arsenicum^ has irritability, with restless tossing about, anxiety, etc. Ipecacuanha should also be remembered in haemorrhages, especially in haemorrhages from the lungs and uterus, when the patient takes long breaths, as if panting. Unless there is present coldness, amounting almost to collapse, you may prefer to begin with this drug rather than with Carbo veg. or Cinchona.

Next we find Carbo veg. useful in varicose veins which occur on either the arms or legs, or even on the female genital organs. These varicose veins tend to ulcerate. They are bluish or livid, looking as though the blood had long remained in them. In the resultant varicose ulcers you will find very similar symptoms to those in other ulcers in which Carbo veg. is the remedy; burning pains, and mottled appearance of the surrounding skin as though the smaller veins had become enlarged. Bcchymoses are seen beneath the skin. The ulcers have a decidedly indolent appearance.

Carbo veg. is also useful in ulcers other than varicose when they are of a very low type. They are flat, tending rather to spread on the surface than to dip deeply into the parenchyma. They discharge not a laudable pus, but instead, that which is ichorous, corrosive, thin, burning and offensive in character. The burning is worse at night, depriving the patient of sleep and keeping him in torture the whole night. Even in cancerous ulcers, as in ulcerating scirrhus, you will find Carbo veg. useful.

It may also be administered in carbuncle, particularly when the affected parts are bluish or livid, and when the discharges are offensive and associated with burning pains. In these cases it is not only your duty to give it internally, but also to apply it externally as a plaster. It tends to prevent decomposition of fluids, sweetens the sore and so prevents poisoning of the system. The same is true for gangrene. When carbuncles or boils become gangrenous, Carbo veg. may be indicated. In these cases it is distinguished from Arsenicum by the absence of this extreme restlessness.

In febrile conditions, Carbo veg. is useful for the typhoid and intermittent types of fever, for collapse during fever, and for yellow fever. It is a preventive of yellow fever just as Sulphur is of cholera. If all the ejecta of the patient are buried in charcoal, the spread of the disease will surely be prevented. When the disease is fully established, Carbo veg. is of no more use than Sulphur is during the course of cholera. The intermittent type of fever in which you may employ Carbo veg. is of a low grade. The case is one of long standing, and has been abused by quinine. There is thirst during the chill. The feet are icy-cold up to the knee, a very characteristic symptom of Carbo veg. When the heat comes, it is in burning flashes. The sweat is either sour or else exceedingly offensive from alterations in the discharges of the skin. During the apyrexia the patient is pale and weak. Memory is weak ; the mind seems to be befogged. The patient is decidedly low-spirited and melancholy.

In the hectic type of fever, Carbo veg. is indicated by pretty much the same symptoms as those which I have already mentioned. It is particularly useful for hectic fever dependent upon long-lasting suppuration, whether due to abscess in the lungs, or in the hip-joint, or about the vertebrae. Menyanthes is the remedy in quartan fever when the legs below the knees are icy-cold.

You know that abscesses accompanying diseases of the spine may have to be opened. Sometimes surgeons are afraid to do this before they have prepared the system for it, because reaction is so slow that the patient may not survive. The danger from opening these abscesses may be greatly lessened by the use of Carbo veg. or Cinchona, according to the particular indications.

In collapse from various causes you may use Carbo veg. There is decided lack of animal heat. The nose, cheeks and extremities are cold. It is indicated in the late stages of typhoid fever; after protracted loss of vital fluids, as after long-lasting haemorrhages; during cholera Asiatica; during pneumonia; and, in fact, in any form of disease in which these symptoms appear. The body may be icy-cold, especially about the extremities; the breath is cool; the pulse is thread-like, scarcely perceptible and intermittent. The lips may be bluish from cyanosis. Breathing is very weak and superficial; the patient may be either conscious or unconscious. Now, Carbo veg. in just such cases comes in as a savior, and rescues many a case that would otherwise die.

There are other remedies similar to Carbo veg. in collapse. Camphor ; especially, is similar to it in cholera Asiatica, but it is indicated rather in the beginning of cholera without any vomiting or diarrhoea; when the poison seems to have depressed or shocked the nervous system, so that the patient is icy-cold, dry or in a cold sweat; the tongue is cold. If he can speak it is in a squeaky or in a high-pitched voice, or else it is a husky, toneless voice. Camphor, in such cases, brings about reaction very quickly. Carbo veg. would be indicated in the later stage, when the prostration is the result of the drain on the system by the alvine discharges.

Veratrum album is also similar to Carbo veg. in collapse. It has cramps in the calves of the legs, the thighs and the chest, and characteristically cold sweat on the forehead.

I wish next to say a word about the action of Carbo veg. on glands. The glands, especially the mammae, become indurated. There are burning pains in the swollen glands, with tendency to suppuration. When they do suppurate, the discharged pus is not of a laudable character.

We find Carbo veg. indicated in catarrhal troubles which are provoked by warm moist atmosphere, such as we have in this latitude with southwest or southerly winds. The patient is worse in the evening or less characteristically in the morning. He has aphonia recurring regularly each evening, painless or associated with raw feeling down the larynx and trachea. There is dry tickling cough, at times quite spasmodic in character.

It is here analogous to Phosphorus, and is often preceded or followed by that remedy. The Phosphorus aphonia is associated with rawness of the larynx, and is worse in the evening.

In the morning aphonia, Carbo veg. is more closely allied to Sulphur, which has loss of voice, particularly in the morning.

Still another concordant remedy is Causticum, which is suited to laryngeal catarrh in singers with rough hoarse voice, associated with tracheo-bronchial catarrh, and rawness and burning under the sternum. This group is found under both remedies. The main difference is that Causticum has hoarseness worse in the morning, and Carbo veg. in the evening. Causticum has aggravation in dry, cold weather, and Carbo veg. in a damp warm atmosphere.

Another remedy is Eupatorium perfoliatum, which I use for hoarseness with soreness in the larynx, trachea and bronchial tubes. The hoarseness is worse in the morning, and is apt to be associated with aching all over the body.

Carbo veg. may also be used in asthma, particularly in the asthma of old people and of people who are very much debilitated. They look, during the asthmatic attack, as if they would die, so oppressed are they for breath. They are greatty relieved by belching wind. It is especially indicated in asthma which is reflex from accumulation of flatus in the abdomen.

It may also be used in threatening paralysis of the lungs in typhoid fever, after pneumonia, and in old people. The "paralytic catarrh "

of old people calls for Ca?'bo veg. There are loose rattling rales when the patient coughs or breathes, a marked symptom of emphysema. The bronchial tubes are greatly dilated. In addition to this you will find coldness, symptoms of collapse, etc.

The nearest approach to Carbo veg. in emphysema is Ammonium carb., which, like Carbo veg., has blood poisoned by carbonic acid, giving you the coldness, blueness, etc., incident to that condition. In threatened paralysis of the lungs, we have a great many remedies to consider, most of which I will reserve until we come to speak of Phosphorus, which stands very close to Carbo veg. Then, too, you should also remember Mochus and Antimouium tartaricum.

A?iti??io?iiu?7i tartaricum applies when there are loud rales heard in the chest. It seems as if there was an immense amount of mucus there, and yet the patient can scarcely raise any of it. The extremities are cold and blue from the cyanosis developed by the blood poisoning. The patient^soon becomes drowsy and passes into a stupor from which he can be aroused, but into which he readily relapses. You should also remember Antimonium tartaricum when, in the course of lung affections, whether there be bronchiectasia or catarrh on the chest in children (and here it is especially called for), the cough ceases or becomes more rare and yet there is no diminution in the mucus-production itself. Your practiced ear placed on the chest detects just as copious an Jexudation, and just as much rattling of phlegm in the lungs, and yet the child does not cough so frequently. The mother thinks the child is better, but in reality it is worse, for the lungs are losing their power.

Carbo veg. is an excellent remedy for the terrible dyspnoea of chronic aortitis, especially when the patient has become very anaemic, dropsical, etc. Here you should compare Arsenicum, Cuprum and Lachesis.

Still further, I want to speak of the action of Carbo veg. on the stomach and bowels. We find it here, rivalling other well-known remedies in dyspepsia or indigestion, and those of a rather low type, too. We find it indicated, too, for the bad effects of debauchery, for excessive indulgence in table luxuries, and for bad effects from wines and liquors and all kinds of dissipation. As a result of dissipation, we may have just such symptoms as call for Carbo veg.; headache, particularly in the morning when the patient awakens from sleep, having spent the best part of the night carousing; dull headache referred to the back part of the head, with a great deal of confusion of mind. There is humming or buzzing in the head as though a hornet's nest had taken its place there. The patient feels worse in the warm room. The pain also seems to go from the occiput through the head and into and over the eyes, with dull heavy aching in that region. There are nausea and usually a sort of burning distress and weakness referred to the epigastrium. He is unable to take any fat food, whether meat, gravy or fried food. He cannot drink milk because it produces flatulence. After eating the stomach feels heavy, as if it were dragged down. The abdomen is distended with flatus and both belchings and borborygmi are offensive. The wind belched has a rancid or putrid taste, and a decidedly offensive odor when passed from the bowels. He suffers from constipation with piles. The piles get worse every time he is on a spree; oozing of moisture from anus; perineum, sore, THE CARBON GROUP. 4.87 itching.* Sometimes they protrude and are bluish, they are so distended with blood. At other times, he has morning diarrhoea with stool which is very watery and thin and accompanied by a great deal of straining. We find Carbo veg. particularly indicated here after the failure of Nux vomica. The patient is peevish, easily angered. Vertigo reflex from the gastric disturbance is present. It is especially worse after a debauch and excessive indulgence in high living. It is often associated with syncope, especially at meals or after eating. The nearest concordant remedy here is Arsenicum. Both remedies have bluish protruding piles, both have burning in the epigastrium, both have anxiety, and both are suitable for the bad effects of icecream, and ice-water in hot weather. The difference may be expressed in these few words : Carbo veg. is torpid, Arsenicumis always irritable ; of the two remedies, Carbo veg. has the burning most marked especially in internal parts, as in the stomach.

Nux vomica impinges on Carbo veg. in the bad effects of over-eating and high living. As I have already said, Carbo veg. comes in when Nux has ceased to act. The Nux toper is a thin, spare, yellow, wiry fellow. That of Carbo veg. is sluggish, stout and lazy. Next we are to distinguish Carbo veg. from Cinchona. This is easily done, because the two drugs meet only in the flatulent dyspepsia and in debility. Cinchona is suited to a peculiar functional debility, when the system is devitalized by loss of animal fluids. Carbo veg. is the better remedy when the debility arises from organic causes, and we have a picture of collapse with hippocratic face and coldness of the body, particularly of the knees. Both remedies produce great flatulence. Cinchona, however, does not have the rancid belching with burning. Belching temporarily relieves the symptoms in Carbo veg. In Cinchona they sometimes seem to be worse therefrom.

Lycopodium also typifies perfectly this state of tympanites. The abdomen is enormously distended. The distinction to be made is this : Carbo veg. produces more flatulence of the bowels, Lycopodium more of the stomach. Again, Carbo veg. produces rancid belching, or else passage of offensive flatus, with bitter taste in the mouth. Lycopodium has more of a sour taste with its belching.

* Perineum, moist, raw, oozing, etc.; Amnion, c, Alum, Natr. m., CARBO V., Carbo a., NITR. AC, Graph (and cracked), SuivPH., Rhus tox., Arsenic, Ant. cr. (mucous piles), THUJA (offensive oozing), SIIylCEA (moist), Sulphuric acid, Capsic, Petroleum (see also Fissures), Borax (slimy, purulent oozing), Sepia (oozing).

Carbo veg. may be indicated in dysentery. Here it is called for in very severe cases. There are burning pains situated deep in the abdomen, usually in one or the other of the bends of the colon. The abdomen is greatly distended and tympanitic. The pulse is weak and intermittent. The discharges from the bowels are horribly offensive and brown, watery and slimy in appearance. You see what a desperate case we have here, one that calls for great skill in prescribing. Here you must distinguish between two other remedies and Carbo veg., namely, Arsenicum and Cinchona.

Arsenicum helps when there is, as I have said, that irritability of fibre. The patient is just as sick and just as near death's door as is the Carbo veg. patient, but he is restless, and complains of burning thirst and yet exhibits an intolerance of water. The discharges from the bowels are about the same in character under the two remedies. Arsenic, however, has less tympanitic distension of the abdomen. Cinchona and Carbo veg. are also similar in these cases. Both have these dark offensive fluid discharges, both have the distension of the abdomen, both have great weakness and hippocratic face. With Cinchona, however, the movements from the bowels are provoked by every attempt to eat or drink. Belching gives but temporary relief . Again, the flatus is not so offensive as with Carbo veg. , nor are the burning pains so marked as under Carbo veg. or Arseyiicum.

Carbo animalis.

Aversion to darkness. Fear of ghosts. Sudden loss of memory.

Vegetable Charcoal Disintegration and imperfect oxidation is the keynote of this remedy. The typical Carbo patient is sluggish, fat and lazy and has a tendency to chronicity in his complaints. Blood seems to stagnate in the capillaries, causing blueness, coldness, and ecchymosis. Body becomes blue, icy-cold. Bacteria find a rich soil in the nearly lifeless stream and sepsis and typhoidal state ensues.

A lowered vital power from loss of fluids, after drugging; after other diseases; in old people with venous congestions; states of collapse in cholera, typhoid; these are some of the conditions offering special inducements to the action of Carbo veg. The patient may be almost lifeless, but the head is hot; coldness, breath cool, pulse imperceptible, oppressed and quickened respiration, and must have air, must be fanned hard, must have all the windows open. This is a typical state for Carbo veg. The patient faints easily, is worn out, and must have fresh air. Hæmorrhage from any mucous surface. Very debilitated. Patient seems to be too weak to hold out. Persons who have never fully recovered from the effects of some previous illness. Sense of weight, as in the head (occiput), eyes and eyelids, before the ears, in the stomach, and elsewhere in the body; putrid (septic) condition of all its affections, coupled with a burning sensation. General venous stasis, bluish skin, limbs cold.

Worse, evening; night and open air; cold; from fat food, butter, coffee, milk, warm damp weather; wine. Better, from eructation, from fanning, cold.

Aches from any over-indulgence. Hair feels sore, falls off easily; scalp itches when getting warm in bed. Hat pressed upon head like a heavy weight. Head feels heavy, constricted. Vertigo with nausea and tinnitus. Pimples on forehead and face.

Puffy, cyanotic. Pale, hippocratic, cold with cold sweat; blue (Cup; Opium). Mottled cheeks and red nose.

Vision of black floating spots. Asthenopia. Burning in eyes. Muscles pain.

Otorrhœa following exanthematous diseases. Ears dry. Malformation of cerumen with exfoliation of dermoid layer of meatus.

Epistaxis in daily attacks, with pale face. Bleeding after straining, with pale face; tip of nose red and scabby, itching around nostrils. Varicose veins on nose. Eruption in corner of alæ nasi. Coryza with cough, especially in moist, warm weather. Ineffectual efforts to sneeze.

Tongue coated white or yellow brown, covered with aphthæ. Teeth very sensitive where chewing; gums retracted and bleed easily. Blood oozing from gums when cleaning teeth. Pyorrhea.

Eructations, heaviness, fullness, and sleepiness; tense from flatulence, with pain; worse lying down. Eructations after eating and drinking. Temporary relief from belching. Rancid, sour, or putrid eructations. Waterbrash, asthmatic breathing from flatulence. Nausea in the morning. Burning in stomach, extending to back and along spine. Contractive pain extending to chest, with distention of abdomen. Faint gone feeling in stomach, not relieved by eating. Crampy pains forcing patient to bend double. Distress comes on a half-hour after eating. Sensitiveness of epigastric region. Digestion slow; food putrefies before it digests. Gastralgia of nursing women, with excessive flatulence, sour, rancid belching. Aversion to milk, meat, and fat things. The simplest food distresses.

Epigastric region very sensitive.

Pain as from lifting a weight; colic from riding in a carriage; excessive discharge of fetid flatus. Cannot bear tight clothing around waist and abdomen. Ailments accompanying intestinal fistulæ. Abdomen greatly distended; better, passing wind. Flatulent colic. Pain in liver.

Flatus hot, moist, offensive. Itching, gnawing and burning in rectum. Acrid, corrosive moisture from rectum. A musty, glutinous moisture exudes. Soreness, itching moisture of perineum at night. Discharge of blood from rectum. Burning at anus, burning varices (Mur ac). Painful diarrhœa of old people. Frequent, involuntary cadaverous-smelling stools, followed by burning. White hæmorrhoids; excoriation of anus. Bluish, burning piles, pain after stool.

Discharge of prostatic fluid at stool. Itching and moisture at thigh near scrotum.

Premature and too copious menses; pale blood. Vulva swollen; aphthæ; varices on pudenda. Leucorrhœa before menses, thick, greenish, milky, excoriating (Kreos). During menstruation, burning in hands and soles.

Cough with itching in larynx; spasmodic with gagging and vomiting of mucus. Whooping cough, especially in beginning. Deep, rough voice, failing on slight exertion. Hoarseness; worse, evenings, talking; evening oppression of breathing, sore and raw chest. Wheezing and rattling of mucus in chest. Occasional spells of long coughing attacks. Cough, with burning in chest; worse in evening, in open air, after eating and talking. Spasmodic cough, bluish face, offensive expectoration, neglected pneumonia. Breath cold; must be fanned. Hæmorrhage from lungs. Asthma in aged with blue skin.

Heavy, stiff; feel paralyzed; limbs, go to sleep; want of muscular energy; joints weak. Pain in shins. Cramp in soles; feet numb and sweaty. Cold from knees down. Toes red, swollen. Burning pain in bones and limbs.

Blue, cold ecchymosed. Marbled with venous over distension. Itching; worse on evening, when warm in bed. Moist skin; hot perspiration; senile gangrene beginning in toes; bed sores; bleed easily. Falling out of hair, from a general weakened condition. Indolent ulcers, burning pain. Ichorous, offensive discharge; tendency to gangrene of the margins. Purpura. Varicose ulcers, carbuncles (Ars; Anthrac).

Coldness, with thirst. Chill begins in forearm. Burning in various places. Perspiration on eating. Hectic fever, exhausting sweats.

Antidotes: Spirits Nitre; Camph; Ambra; Arsenic. Compare: Carboneum-Lampblack (Spasms commencing in tongue, down

trachea and extremities. Tingling sensation). Lycop; Ars; China. Complementary: Kali carb; Dros.

First to third trituration in stomach disorders. Thirtieth potency and higher in chronic conditions, and in collapse.

Carbo Vegetabilis

We will take up the study of Vegetable Charcoal - Carbo veg.

It is a comparatively inert substance made medicinal and powerful, and converted into a great healing agent, by grinding it fine enough. By dividing it sufficiently, it becomes similar to the nature of sickness and cures folks. The Old School use it in tablespoonful doses to correct acidity of the stomach. But it is a great monument to Hahnemann. It is quite inert in crude form and the true healing powers are not brought out until it is sufficiently potentized. It is one of those deep acting, long-acting antipsoric medicines. It enters deeply into the life, in its proving it develops symptoms that last a long time, and it cures conditions that are of long standing-those that come on slowly and insidiously.

Generalities: It affects the vascular system especially; more particularly the venous side of the economy, the heart, and the whole venous System.

Sluggishness is a good word to think of when examining the pathogenesis of Carbo veg. Sluggishness, laziness, turgescence, these are words that will come into your mind frequently, because these, states occur so frequently in the symptomatology. Everything about the economy is sluggish, turgid, distended and swollen. The hands are puffed; the veins are puffed; the body feels full and turgid; the head feels full, as if full of blood. The limbs feel dull, so that the patient wants to elevate the feet to let the blood run out. The veins are lazy, relaxed and paralyzed. Vaso-motor paralysis. The veins of the body are enlarged; the extremities have varicose veins.

Mind: The whole mental state, like the physical, is slow. The mental operations are slow. Slow to think; sluggish; stupid; lazy. Cannot whip himself into activity, or rouse a desire to do anything. Wants to lie down and doze.

The limbs are clumsy; they feel enlarged. The skin is dusky. The capillary circulation is engorged. The face is purple. Any little stimulating food or drink will bring a flush to that dusky face. When you see people gather round a table where wine is served you can pick out the Carbo veg. patients, because their faces will be flushed; in a little while it passes off and they get purple again dusky - almost a dirty duskiness. The skin is lazy; sluggish.

Running through the remedy there is burning. Burning in the veins, burning in the capillaries, burning in the head, itching and burning of the skin. Burning in inflamed parts. Internal burning and external coldness.

Coldness, with feeble circulation, with feeble heart. Icy coldness. Hands and feet cold and dry, or cold and moist.

Knees cold; nose cold; ears cold; tongue cold. Coldness in the stomach with burning. Fainting. Covered all over with a cold sweat, as in collapse.

Collapse with cold breath, cold tongue, cold face. Looks like a cadaver. In all these conditions of coldness the patient wants to be fanned. Bleeding runs all through the remedy. Oozing of blood from in flamed surfaces. Black bleeding from ulcers. Bleeding from the lungs; from the uterus; from the bladder. Vomiting of blood. Passive haemorrhage. On account of the feeble circulation a capillary oozing will start up and continue. The remedy hardly ever has what may be called an active gushing flow, such as belongs to Belladonna, Ipecac, Aconite, Secale, and such remedies, where the flow comes with violence; but it is a passive capillary oozing.

The women suffer from this kind of bleeding; a little blood oozing all the time, so that the menstrual period is prolonged. Oozing of blood after confinement, that ought to be stopped immediately by contractions.

There are no contractions of the blood vessels; they are relaxed. Black venous oozing. After a surgical operation there is no contraction and retraction of the blood vessels. An injury to the skin bleeds easily. The arteries have all been tied and closed, but the little veins do not seem to have any contractility in their walls. An inflamed part may bleed. Feeble heart; relaxed veins.

Ulcers: Again, ulceration. If you have a case, such as I have described, with relaxation of the blood vessels and feebleness of the tissues, you need not be surprised if there is no repair, no tissue making.

So, when a part is injured, it will slough. If an ulcer is once established, it will not heal. The tissues are indolent. Hence we have indolent ulcers; body, ichorous, acrid, thin discharges from ulcers.

The skin ulcerates; the mucous membranes ulcerate. Ulcers in the mouth and in the throat. Ulceration everywhere because of that relaxed and feeble condition. Poor tissue making, or none at all, "The blood stagnates in the capillaries," is the way it reads in the text.

You can see how easy it would be for these feeble parts to develop gangrene. Any little inflammation or congestion becomes black or purple and sloughs easily that is all that is necessary to make gangrene.

It is a wonderful remedy in septic conditionsblood poisoning, especially after surgical operations and after shock. It is a useful remedy in septic conditions; in scarlet fever; in any disease which takes on a sluggish form, with purplish and mottled appearance of the skin.

Sleep: In Carbo veg. the sleep is so full of anxiety that it may be said to be awful. On going to sleep there is anxiety, suffering, jerking, twitching, and be has the horrors. Everything is horrible. Horrible visions; sees ghosts. A peculiar sluggish, death-like sleep, with visions. The Carbo veg. patient wakens in anxiety and covered with cold sweat. Exhaustion. Unrefreshed after sleep.

And thus the whole patient is prostrated by his sleep. So anxious that he does not want to go to sleep. Anxiety in the dark. Anxiety with dyspnoea as if he would suffocate. Anxiety so great that be can not lie down.

In Carbo veg. indifference is a very prominent symptom. Inability to perceive or to feel the impressions that circumstances ought to arouse. His affections are practically blotted out, so that nothing that is told him seems to arouse or disturb him.

"Heard everything without feeling pleasantly or unpleasantly, and without thinking about it." Horrible things do not seem to affect him much; pleasant things do not affect him. He does not quite know whether he loves his wife and children or not.

This is a part of the sluggishness, the inability to think or meditate, all of which is due to the turgescence. Sluggishness of the veins. Head feels full; distended.

His mind is in confusion and he cannot think. He cannot bring himself to realize whether a thing be so or not, or whether he loves his family or not, or whether he hates his enemies or not. Benumbed stupid.

There is another state anxiety and nightly fear of ghosts anxiety as if possessed; anxiety on closing the eyes; anxiety lying down in the evening; anxiety again on waking. He is easily frightened. Starting and twitching on going too sleep.

Head: The headaches are mostly occipital. His whole head is turgid, full, distended. He feels as if the scalp was too tight. Everything is bound up in the head. Awful occipital headaches. Cannot move, cannot turn over, cannot lie on the side, cannot be jarred, because it, seems as if the head would burst, as if something was grasping the occiput.

Dull headache in the occiput. Violent pressive pain in the lower portion of the occiput. Head feels heavy. When the pain is in the occiput the head feels drawn back to the pillow, or as if it could not be lifted from the pillow.

Like Opium; he cannot lift the head from the pillow. Painful throbbing in the head during inspiration. The Carbo veg. patient takes short breaths, quietly, keeping just as still as possible, until finally he is compelled to take a deep breath, and it comes out with a sharp moan. Headache as from contraction of the scalp. Painful stitches through the whole head when coughing; the whole head burns. Intense heat of the head; burning pain. Rush of the blood to the head followed by nose-bleed.

Congestion to the head with spasmodic constriction, nausea, and pressure over the eyes. A feeling as of an oncoming coryza from an overheated room. Many of these headaches come on from taking cold, from coryza, from slacking up of an old catarrh.

The Carbo veg. patient suffers from chronic catarrh. He is at his best when he has a free discharge from the nose, but if he takes cold and the discharge stops congestion to the head comes. He cannot stand suppression of discharges.

Headaches come on every time he takes cold; from cold damp weather; from going into a cold damp place and becoming chilled. Awful occipital headache, or headache over the eyes, or headache involving the whole head, with pounding like hammers.

These states are like Kali bichromicum, Kali iodatum and Sepia. Many of these headaches are due to stopped catarrhal conditions.

The hair falls out by the handful. Eruptions come out upon the head. School girls and boys, too, who are sluggish, slow to learn, and suffer from night terrors; they will not sleep alone, or go into a dark room without someone with them. They have headaches, worse from pressure of the hat. A long time after taking off the hat they still feel the pressure. Sweat, cold sweat; particularly sweat of the head and of the forehead.

The Carbo veg. patient breaks out into a copious sweat, appearing first on the forehead, and the sweat is cold. The forehead feels cold to the hand, and any wind blowing upon it will produce pain; he wants it covered up. Head sensitive to cold.

If he becomes overheated and like head perspires, and then a draft strikes that sweating head, his catarrh will stop at once and headaches will come on. His knees and hands and feet get cold, and he sweats without relief.

Eyes: The eye symptoms are troublesome, and they often occur along with the headache. Burning pain in the eyes. The eyes become lustreless, deep-set, and the pupils do not react to light. He feels sluggish mentally, and does not want to think.

He wants to sit or lie around, for every exertion gives him a headache. Whenever this state is present the eyes show it. You know he is sick because the bright, sparkling look has gone out of his eyes. If he could only get somewhere by himself and lie down-provided it was not dark, he would be comfortable.

He wants to be let alone; he is tired; his day's work wears him out. He comes home with a purple face, lustreless eyes, sunken countenance, tired head and mind. Any mental exertion causes fatigue. Weight in the head, distress and fullness in the head, with cold extremities.

The blood mounts upward. Hemorrhages from the eyes; burning, itching and pressing in the eyes. The eyes become weak from overwork or from fine work.

Ears: Carbo veg. is one of the medicines for discharges from the ears. Offensive, watery, ichorous, acrid and excoriating discharges, especially those dating back to malaria, measles or scarlet fever, particularly to scarlet fever. A sluggish condition of the venous system. The veins seem to be most affected in all old complaints, especially whenever a patient says of himself, or a mother says of her child, that he has never been quite well since an attack of malarial fever.

The daughter has never been quite well since she had the measles, or typhoid fever, or scarlet fever; Carbo veg. is one of the medicines to be thought of when symptoms are in confusion, and the patient has been so much doctored that there is no congruity left in the symptoms. Old ear discharges, or old headaches, when all the symptoms have been suppressed. It is then Carbo veg. often becomes one of the routine remedies to bring symptoms into order and to establish a more wholesome discharge from that ear. it brings about reaction, establishes a better circulation and partially cures the case, after which a better remedy may be selected. Inflammation of the parotid glands, or mumps. When mumps change their abode, from being chilled, and go in the girl to the mammary glands, and in the boy to the testes, Carbo veg. is one of the medicines to restore order; very often it will bring the trouble back to its original place, and conduct it on through in safety. Pains in the ear. Passive, badly-smelling discharges from the ear. Loss of hearing. Ulceration of the internal ear. Something heavy seems to lie before the ears; they seem stopped; the hearing is diminished, especially in those cases that date back to some old trouble.

Nose: The Carbo veg. patient is always suffering from coryza. He goes into a warm room, and, thinking he is going out in a minute, he keeps his overcoat on.

Pretty soon he begins to get heated up, but he thinks he will go in a minute and he does not take off his coat. A procedure like that is sure to bring on a coryza. It will commence in the nose, with watery discharge, and he will sneeze, day and night.

He suffers from the heat and is chilled by the cold; every draft chills him; and a warm room makes him sweat, and thus he suffers from both. He can find no comfortable place, and he goes on sneezing and blowing his nose.

Perhaps he has bleeding from the nose. At night he is purplish. The coryza extends into the throat and brings on rawness and dryness in the mouth and throat. A copious watery discharge, filling the posterior nares and the throat.

Larynx and chest: Then he begins to get hoarse, and in the evening he has a hoarse voice, with rawness in the larynx and throat. Rawness in the larynx on coughing; soreness to the touch. The more he coughs the worse the rawness becomes. This condition extends into the chest. Secretion of much thin mucus, finally becoming thick yellowish-green, and bad-tasting. Such is the coryza. Now, with it there comes a stomach disturbance that is commonly associated with Carbo veg. complaints.

Great distension of the abdomen with gas. With this coryza he has belching, and sour, disordered stomach. Every time he disorders his stomach he is likely to get a coryza. Every time he goes into an overheated room he is likely to get a coryza, with sneezing, chest complaints, and catarrh. This catarrhal state in the nose is only a fair example of what may occur anywhere where there is a mucous membrane. Catarrhal conditions with a flow of watery mucus and bleeding. Carbo veg. has catarrhs of the throat, nose, eyes, chest, and vagina.

Old catarrhal conditions of the bladder; catarrh of the bowels and stomach. It is pre-eminently a catarrhal remedy.

The woman feels best when she has more or less of a leucorrhea, it seems a sort of protection. These discharges that we meet every day are dried up and controlled by local treatments, by washes, and by local applications of every kind, and the patient put into the hands of the undertaker, or made a miserable wreck. If these catarrhal patients are not healed from within out, the discharges had better be allowed to go on. While these discharges exist the patient is comfortable. It is quite common for the Carbo veg. patient to be feverish with the coryza, but with many other complaints he is cold; cold limbs; cold face; cold body; cold skin; cold sweat.

It is not so common for the earlier stages of the coryza, and the catarrhal conditions to have these cold symptoms. He is feverish in the evening and at night. But after he passes into the second stake, when the, mucus is more copious, then come the cold knees, cold nose, cold feet, and cold sweat.

Face: The face of Carbo veg. is a great study. In the countenance and in the expression we see much that is general.

The patient shows his general state in his expression, especially in the eyes. He tells you how sick he is; he tells you the threatening points.

In Carbo veg. there is great pallor and coldness, with lips pinched and nose pointed and drawn in. Lips puckered, blue, livid, sickly, deathly. Face cold, pale, and covered with sweat.

As the tongue is protruded for examination it is pale and cold, and the breath is cold, yet he wants to be fanned. This is true whether it be cholera, diarrhea, exhaustive sweats, or complaints after fevers.

Sometimes, after a coryza has run its course and ended in the chest, there is great dyspnea, copious expectoration, exhaustive sweat, great coldness and the patient must be fanned. Cough followed by dyspnea, exhaustion, profuse sweats, with choking and rawness and he wants to be fanned. Cold face; pinched face. So the sufferings are expressed in the face. The pains and aches, and anxiety and sorrow are all expressed in the face.

The study of the face is a delightful and profitable one. The study of the faces of remedies is very profitable. It is profitable to study the faces of healthy people that you may be able to judge their intentions from their facial expressions. A man shows his business of life in his face; he shows his method of thinking, his hatreds, his longings, and his loves.

How easy it is to pick out a man who has never loved to do anything but to eat: the Epicurean face. How easy it is to pick out a man who has never loved anything but money: the miserly face. You can see the love in many of the professional faces; you can single out the student's face.

These are only manifestations of the love of the life which they live. Some manifest hatred; hatred of the life in which they have been forced to live; hatred of mankind; hatred of life. In those who have been disappointed in everything they have undertaken to do we see hatred stamped upon the face.

We see these things in remedies just as we see them in people. The study of the face is a most delightful one. A busy, thoughtful and observing physician has a head full of things that he can never tell: things he knows about the face. So the face expresses the remedy. In Carbo veg. the face flushes to the roots of the hair after a little wine. This is a strong characteristic. All over the body the skin will become flushed. Sometimes a flush appears in islands, which grow together and become one solid flush, creeping up into the hair.

So great is the action of this remedy upon the capillary circulation that sometimes a tablespoonful of wine is sufficient to cause this flushing of the skin.

Gums: The old books talk about "scorbutic gums;" now we call it Rigg's disease: a separation of the gums from the teeth. Bleeding of the gums; sensitiveness of the gums. Separation of the gums from the teeth. The teeth get loose.

We hear about "the teeth rattling in his mouth." The Carbons produce just such a state, a settling away and absorbing of the gums. They get spongy and bleed easily, and hence looseness of the teeth with bleeding of the gums, which are very sensitive.

Teeth decay rapidly. Bleeding of the gums when cleaning the teeth. Teeth and gum affections from abuse of Mercury, Teeth feel too long and are sore. Drawing and tearing in the teeth. Tearing in the teeth from hot, cold or salt food; pain from both heat and cold. This is in keeping with the general venous condition of the whole system.

Sensitiveness of the tongue. Inflammation of the tongue. In certain low forms of fever, like typhus and typhoid fevers, the gums turn black; that is, they throw out a blackish, bloody, offensive, putrid exudate. If disturbed or touched they bleed; and the tongue piles up that blackish exudate - that oozing of black blood from the veins.

This is present in putrid forms of fevers like the typhoid-in zymotic states. This remedy is rich in those zymotic symptoms, such as are described in common speech as "blood-poisoning." Carbo veg. is a sheet-anchor in low types of typhoid; in scarlet fever where a typhoid condition is coming upon the case, and in the last stages of collapse; in cholera, and in yellow fever at the time of collapse, where there is coldness, cold sweat, great prostration, dyspnoea - wants to be fanned. Great prostration with cold tongue,

Mouth and throat: The mouth and throat are filled with little purple aphthous ulcers, which were little white spots to begin with, but they have grown purplish and now ooze black blood. These aphthous patches bleed easily, burn and sting. Blisters form. Smarting, dryness of the mouth with bleeding aphthous ulcers. These are common features of Carbo veg. in any of the mouth and throat conditions.

Tough mucus in the throat; bloody mucus in the throat. These little ulcers run together, spread and become one solid mass. A large surface will become ulcerated, denuded of its mucous membrane, and then it will bleed. Little black spots come upon it. Food cannot be swallowed because the throat is so sore. Generally the throat feels puffed.

The Cargo veg. patient has a longing for coffee, acids, sweet and salt things. Aversion to the most digestible things and the best of food. For instance, aversion to meat, and to milk which causes flatulence. Now, if I were going to manufacture a Carbo veg. constitution I would commence with his stomach.

If I wanted to produce these varicose veins and the weak venous side of the heart; this fullness and congestion, and flatulence, this disordered stomach and bowels, and head and mind troubles; sluggishness of the economy. I would begin and stuff him. I would feed him with fats, with sweets, puddings, pies and sauce, and all such indigestible trash, and give him plenty of wine - then I would have the Carbo veg. patient.

Do we ever have any such people to treat? just as soon as they tell their story, you will know, enough about their lives to know that they are mince pie fiends; they have lived on it for years, and now they come saying, "Oh, doctor, my stomach; just my stomach; if you will simply fix up my stomach."

But what are you going to do with him? He has made himself into a Carbo veg. patient for you, and it may be quite a while before you can bring him down to a sensible diet.

Now he must begin at the foot of the ladder. I only brought this up to show how a Carbo veg, patient is produced and what kind of a stomach he has, and what he has been living on. He has burning in the stomach, distension of the stomach, constant eructations, flatulence, passing offensive flatus.

In reality he is in a foetid condition, a putrid condition. His sweat is offensive. He has heartburn eructations, the stomach regurgitates the food that he takes.

Carbo veg. has much vomiting at the end of the chill. Vomiting and diarrhoea. Vomiting and blood; with the vomiting of blood the body is icy cold; breath cold, The pulse is thready and intermittent. Fainting; hippocratic face; oozing of thick black blood.

Vomiting of sour, bloody, bilious masses.

Stomach and food: There is an accumulation of flatus in the stomach, so that the stomach feels distended. All food taken into the stomach seems to turn into flatus; he is always belching and is slightly, relieved for a while by belching. Carbo veg., has cramps in the bowels and stomach; burning pain; anxiety; distension.

All these symptoms are ameliorated by belching or passing flatus. Amelioration from belching seems quite a natural event; but when we study China, you will see that the patient appears to be aggravated from belching. The idea is that the patient gets relief from belching from eructation, but under Lycopodium and China it seems that no relief comes. They belch copiously and yet seem just as full of mind as ever, and sometimes even seem to be worse.

The Carbo veg. patient experiences a decided relief from eructation. This is a particular symptom, but it becomes almost general, and sometimes quite general. Headaches are relieved by belching; rheumatic pains are relieved by belching; sufferings and distensions of various kinds are relieved by eructations.

This abdominal fullness aggravates all the complaints of the body. The fullness, which is described as if in the veins, is sometimes in the tissues, under the skin, so that it will crepitate. This is a feature of Carbo veg., and, in rheumatic conditions, part of the swelling is sometimes of this character.

Food remains a long time in the stomach, becomes sour and putrid. It passes into the bowels and ferments further, finally passing off in the form of putrid flatus.

There is colic, burning pains, distension, fullness, constricting and cramping pains from this distension.

The patient complains of feeling as if the stomach were raw. This is described as a smarting, sometimes from taking food; sometimes from taking cold water. Carbo veg., has cured ulceration of the stomach. It is a deepacting medicine, and is capable of curing all disordered conditions of the stomach; such as disorders from eating indigestible things, mince pie, too hearty food.

Liver: In Carbo veg. the liver, like all the other organs, takes on a state of torpidity and sluggishness. It becomes enlarged. The portal system is engorged, and hence hemorrhoids develop.

Pain and distension in the region of the liver; sensitiveness and burning in the liver, accompanied by a bloated condition of the stomach and bowels. A feeling of tension in the region of the liver; the part feels drawn, as if too tight.

There are pressing pains in the liver, and it is sensitive to touch.

Abdomen: Much that I have said regarding the flatulence and fullness of the stomach applies also to the abdomen. Carbo veg. may be indicated in low forms of fever, as in septic fever, when there is a marked tympanitic condition, with diarrhoea, bloody discharges, distension and flatulence.

Extremely putrid flatus escapes making the patient very offensive. A striking abdominal symptom of Carbo veg. is that the flatus collects here and there in the intestine as if it were in a lump incarcerated flatus; a constriction of the intestine will hold it in one place so that it feels like a lump or tumor, that finally disappears. Colic here and there in the abdomen from flatus. There is burning in the abdomen. No matter what the trouble is, in Carbo veg. there is always burning. The part burns; it feels full; it becomes engorged and turgid with blood.

Diarrhoea, dysentery, cholera, when there is a bloody, watery stool. Cholera infantum; stool mixed with mucus; watery mucus mixed with blood.

The child sinks from exhaustion, with coldness, pallor and cold sweat. The nose, face and lips are pinched and hippocratic. With all diarrheic troubles the prostration will indicate Carbo veg. as much as, if not more than, the stool. In the diarrhea of Carbo veg. all the stools, no matter what kind, are putrid, with putrid flatulence. The more thin, dark bloody mucus there is, the better is the remedy indicated. Itching, burning and raw ness of the anus and round about, are strong features of Carbo veg. Soreness in all diarrheic conditions - soreness to pressure over the abdomen. Round about the anus, in children, there is excoriation. The parts are red, raw and bleeding, and they itch. Itching of the anus in adults. Ulceration of the bowels. This tendency to ulceration of mucous membranes is in keeping with the character of the remedy. Whenever there are mucous membranes there may be ulceration. Aphthous appearance. Ulceration of Peyer's glands. The patient lies in bed and oozes involuntarily a thin bloody fluid, like bloody serum.

Bladder: Old chronic catarrhal conditions of the bladder, when the urine contains mucus, especially in old people, with cold face, cold extremities and cold sweat.

There is suppression of urine. In both the male and the female organs there is a weakness and relaxation. The male organs hang down. Relaxation of the genitalia; cold and sweating genitals. The fluids escape involuntarily.

Women: In the woman the relaxation is manifested by a dragging down sensation; dragging down of the uterus, as if the internal parts would escape. The uterus drags down so that she cannot stand on her feet. All the internal organs feel heavy and hang down.

Another strong feature of Carbo veg. is dark, oozing haemorrhage from the uterus. It is not so often a copious gushing hemorrhage, the remedy has that also - but it is an oozing. The menstrual flow will ooze from one period almost to another. The blood is putrid and dark, even black, with small clots, and considerable serum escapes with it. it says in the text:

"Metrorrhagia from uterine agony."

Atony is a good name for the condition; lack of tone; relaxation; weakness of the tissue. Atony is everywhere present in the Carbo veg.

constitution. The muscles are tired, the limbs are tired, the whole being is tired and relaxed. This is in contradistinction to the gushing found in Belladonna, Ipecac, Secale and Hamamelis, where the blood escapes in great gushes, followed quite naturally by a contraction of the uterus, for there is more or less tonicity in connection with it.

In Carbo veg., either in connection with confinement or menstruation, or in an incidental haemorrhage, the uterus does not contract. Subinvolution from mere atony; no contraction; no tonicity; weakness and relaxation.

After menstruation, confinement and the various complaints that woman is subject to, there is a period of weakness that Carbo veg. often fits. When there is a retained placenta, with scanty hemorrhage - just an oozing, with no tendency to a gush of blood - the physician remembers that throughout the whole pregnancy and confinement there has been sluggishness and slowness of pains, and he says:

"Why did I not think of Carbo veg. Before?" The woman has needed Carbo veg. for a month. He administers a dose, and before he has time to think about it, the uterus will expel that placenta and fix up matters so nicely that he will not need the mechanical interference that might otherwise have been necessary.

Now-a-days we hear so much about this meddlesome midwifery, this curetting, and doing this and that and the other thing, that it makes a homeopathic physician disgusted, just as if those parts were not made by Nature, and could not take care of themselves; as if they must be swabbed out and syringed out.

These injections of bichlorides, etc., to keep the germs out of a woman are all nonsense. If a state of order is maintained there will be no germs.

A homoeopathic physician can manage hundreds of these cases, and have no trouble. If he sees clearly beforehand what remedy the woman needs there will be no bad cases; they will all take care of themselves.

Irregular contractions that bring on abnormal conditions are all avoided if the woman is turned into order before she goes into confinement. Carbo veg. is one of the medicines that prepares a woman well for confinement, that is, the symptoms calling for Carbo veg. are often present in such conditions. She is often run down, relaxed and tired. Pregnancy brings about a great many unusual conditions.

There is the nausea in pregnancy; the flatulence; the offensiveness; the weakness; the enlarged veins. They will tell you that the enlargement of the veins of the lower limbs is from pressure, but it is generally not from pressure, but from weakness of the veins themselves.

Suppression of milk; prostration or great debility from nursing. It is not natural for a woman in a healthy state to become prostrated when nursing her child. She becomes so because she is sick. She was in a state of debility before she began nursing, and the weakness should be corrected by an appropriate remedy.

Then she can make milk and feed her child without feeling the loss of it. Such is the state of order. Carbo veg. is a friend to the woman, and a friend to her offsprings. You will be astonished, after ten years of real homoeopathic practice, that you have so few deformed babies; that they have all grown up and prospered; that their little defects and deformities have been outgrown, and that they are more beautiful than most children, because they have been kept orderly.

The doctor watches and studies him, and feeds him a little medicine now and then, that the mother suspects is sugar, to keep on the good side of the baby. She need not know that it is medicine, or that anything is the matter with the baby.

So he watches the development of that little one, and grows him out of all his unhealthy tendencies. The children that grow up under the care of the homoeopathic physician will never have consumption, or Bright's disease; they are all turned into order, and they will die of old age, or be worn out properly by business cares; they will not rust out.

It is the duty of the physician to watch the little ones. To save them from their inheritances and their downward tendencies is the greatest work of his life. That is worth living for. When we see these tendencies cropping out in the little ones we should never intimate - that they are due to the father or mother.

It is only offensive and does no good. The physician's knowledge as to what he is doing is his own, and the greatest comfort be can get out of it is his own. He need never expect that anyone will appreciate what he has done, or what be has avoided.

The physician who desires praise and sympathy for what he has done generally has no conscience. The noble, upright, truthful physician works in the night he works in the dark, he works quietly; he is not seeking for praise. He does this when called to the house, and when members of the family bring little ones to the office. In this manner children can be studied and their symptoms observed and enquired into. Whenever the mother brings the child. expecting medicine, she may know that he is receiving medicine, but when she docs not ask for medicine let her suspect that Johnnie is getting sugar so the doctor can get on the good side of him. That is sufficient.

Voice and larynx: In Carbo veg. the voice manifests a great many symptoms. I described a part of them when going over the coryza. I explained how it began in the nose, and traveled to the throat, the larynx, and the chest. Now many of the complaints of the larynx begin with a cold, in the nose, which finally locates permanently in the larynx and in that way we bring out the Carbo veg. cases.

It is only now and then that the Carbo veg. cold settles in the larynx first; it usually travels through the nose. Most remedies have a favorite place for beginning a cold. For instance, the majority of Phosphorus colds begin in the chest or larynx. Not so with Carbo veg.; its cold generally begins in the nose, with a coryza, and the larynx is simply one of the stopping places. If the Carbo veg. cold goes down into the chest it may have its ending in the bronchial tubes or the lungs. There is a favorite place for it to settle, and it seems as if it were going to remain there. Weakness in the larynx from talking. Tired larynx of speakers and singers, and feeble, relaxed persons.

The hoarseness comes on in the evening. The larynx may be fairly well in the morning, but as soon as it becomes evening his voice becomes husky. In more serious forms he may be speechless in the morning, but hoarseness and huskiness in the evening are more characteristic. Huskiness and rawness in the evening. Rawness in the larynx when coughing. Some will say there is burning, some will say rawness. Rawness in the larynx and trachea when coughing.

A continual formation of mucus in the larynx, which he has to scrape and cough out. We see the same tendency to weak ness in the mucous membranes. No tendency to repair; no tendency to recover. He goes on from bad to worse, with a catarrhal condition of the larynx and trachea. Hoarseness and rawness from talking, worse afternoon and evening.

He is obliged to clear his throat so, many times in the evening that the larynx becomes raw and sore. Let me tell you another thing about the Materia Medica. Most of the provers were laymen, and hence there is some confusion of terms in the provings. This the physicians must see. Irritation in the throat from coughing nearly always means irritation in the larynx, though the prover said "throat."

Now here is an expression, "obliged to clear his throat so often in the evening that the larynx becomes raw and sore." Clearing the throat would not make the larynx sore.

Scraping the throat does not scrape the larynx; but he is obliged to clear his larynx so often that the part feels raw. Ulcerative pain, scraping and titillation in the larynx. Irritation in the larynx causing sneezing. Laryngeal phthisis. This catarrhal condition and lack of repair in the larynx goes on so long that tuberculosis begins.

Whooping cough: Carbo veg. is one of the greatest medicines we have in the beginning of whooping cough. Its cough has all the gagging, vomiting and redness of the face found in whooping cough. It is one of our best medicines when the case is confused; when the cough indicates no remedy or when it remains in a partially developed state.

A dose of Carbo veg. in such cases will improve matters very much, and minor cases of whooping cough may be wiped out in a few days. When the remedy does not cure permanently, it brings out more clearly the symptoms calling for another remedy. Most cases of whooping cough, in the care of a homoeopathic physician, will get well in a week or ten days under a carefully selected remedy.

When allowed to run, they continue a long time, gradually increasing for six weeks, and then declining according to the weather. If it is in the fall, the cough will sometimes keep up all winter; so whooping cough furnishes an opportunity for the homeopathic physician to demonstrate that there is something in Homoeopathy.

Respiration: The Carbo veg. patient suffers very much from difficulties of breathing. Suffocation; cannot lie down. A feeling of weakness in the chest, as if he could not get another breath. Sometimes it is due to cardiac weakness, and sometimes to stuffing up of the chest. The latter is most common. Sometimes the difficulty is asthmatic. The remedy cures asthma. We will see the patient propped up in a chair by an open window, or some members of the family may be fanning him as fast as possible.

The face is cold, the nose pinched, the extremities cold and he is as pale as death. Put the hand in front of the mouth, and the breath feels cold. The breath is offensive; putrid. The extremities are cold clear to the body; not only the hands, but the whole upper extremities; and not only the feet, but the limbs clear to the body, are cold. The body only feels warm; even the skin is cold.

Carbo veg. has a rattling cough with retching and vomiting. A morning cough, with much rattling in the chest; the chest fills with mucus, and on endeavoring to expectorate he coughs and gags, or coughs and vomits. At any time during the day a peculiar choking, gagging, retching cough may develop from the mucus in the chest. He cannot get it up; it is tough, purulent, yellow and thick.

Greatly reduced vitality; great relaxation; worn out persons, old people. Persons worn out from coughing or from prolonged exertion. Prostration. Catarrh of the chest, with copious expectoration. At times there will be a hard, dry hacking cough, but finally, after prolonged coughing, it commences to loosen and he throws up great quantities of mucus.

A dry, hacking cough, yet there is rattling in the chest, and the cough does not seem to do any good. He seems to cough and become exhausted, sweats and strangles. It seems as if he would suffocate with the cough.

Finally he succeeds in getting up some mucus, and the follows mouthful after mouthful of thick purulent expectoration. Frequent attacks of spasmodic cough in violent paroxysm lasting for many minutes, sometimes an hour.

Cold sweat, coldness and pinched appearance of the face. This increases as he goes into the paroxysm of coughing. His face looks haggard, so distressed does he become while in a paroxysm of coughing. This state is present in old phtisical cases, in the advanced stage, when they are incurable. Under such circumstances Carbo veg. furnishes an excellent palliative. It seems to strengthen the muscles of the chest so that the patient can expectorate better. It mitigates the cough; the gagging and retching and dyspnoea are relieved, and he is temporarily improved. It is a wonderful palliative in many incurable conditions with dyspnoea and weakness of the chest. In Bright's Disease, in phthisis, and in cancerous affections Carbo veg. stops the violent symptoms and mitigates greatly. This remedy is one to begin whooping cough with. It simplifies the case greatly, and sometimes cures it in a few days. The patient coughs until the chest is sore, as if he had been beaten all over the chest.

All night he has paroxysms of coughing. He sleeps into a paroxysm of, coughing, like Lachesis. He rouses up from sleep with coughing, gagging, sweating and suffocation. He will go two or three hours without a paroxysm, and then on comes one that will last an hour. He has two or three hard paroxysms of coughing during the night. He commences to fill up, he hears the rattling breathing and he knows that before long he will have a hard time of it.

This goes on and on, to the end of his life in asthmatic cases-what is called "humid asthma". Real humid asthma comes on in persons who suffer from contractions of the small bronchial tubes, so that even at the best there are little whistlings in the chest. Every time such patients take cold their whistling increases.

They expectorate mucus, at first copious, then tough and finally purulent. During all this there is great asthmatic dyspnoea. Carbo veg. is an excellent remedy in all those cases of asthma where the shortness of breath is so marked that there is only a partial oxidation, as a result of which he suffers much from occipital headache and wants to be fanned.

Old cases of recurrent asthma. Every time there comes a warm wet spell his asthma comes on. It is common for Carbo veg. asthma to come on in the night. He goes to, bed without warning of an oncoming attack, only. He says, "I don't like the weather;" and he wakes up with asthma.

He wakes up suffocating, springs out of bed and goes to the window or wants to be fanned. Carbo veg. required in old, badly-treated cases of pneumonia, with a remaining bronchitis; in cases where there has been hepatization that was not cleared up, and there are bad places in the lungs and bronchial tubes, with weakness of the chest. Weakness of the chest when coughing. He feels that there is not enough force in the muscle of the chest to get up a good cough, or to help him carry on the breathing. Pneumonia, third stage, with foetid expectoration, cold breath, cold sweat, desire to be fanned.

Threatened paralysis of the lungs. This is a combination of clinical states that the remedy covers well. Sometimes these asthmatic cases go on for a while, and then comes an infiltration of tubercle. If Carbo veg. can be given early it will prevent infiltration.

There is pain in the chest, and burning. Burning in the lungs; burning in the sides of the chest; burning with the cough; burning behind the sternum - the whole length of the trachea; burning aggravated when coughing; a sense of rawness even when breathing. He feels a load upon the chest, an oppression, a great weight. These are the various words that he uses, all descriptive of the same thing.

Heart: The heart comes in for a great deal of trouble. It appears to be struggling. Of course it is the venous side of the heart that is in distress. The veins are engorged. it is a venous condition of the whole patient; the veins are performing their labor with great difficulty. A state of relaxation, struggling, and there are orgasms of blood - described by some of the authors as an orgasm, by others as a tumultuous action of the heart felt throughout the body.

Pulsation felt all over the body. Flushes of heat mounting upwards, ending in a sweat. Suitable, sometimes for women at the turn of life. Especially suitable to persons in advanced years. Carbo veg. complaints come on in a weakly state in young people as if it were a premature old age in the middle-aged people; or in the breaking down that naturally belongs to old age. It is a great comforter for aged people with enlarged veins, or fullness of the veins and coldness of the extremities. Oozing of blood, with palpitation tumultuous action of the heart. The pounding goes on like a great machine, shaking the whole body.

The pulse is almost imperceptible. It seems as though the volume of blood ought to be tremendous, but it is not. Weakness of the whole vascular system. Pulse irregular, intermittent, frequent. Blood stagnates in the capillaries. Complete torper; impending paralysis of the heart. Burning in the region of the heart. With this there is an awful feeling of anxiety in the chest - in the region of the heart as if he were going to die, or as if something were going to happen. He feels that tumultuous action and tires out under it.

In going over the remedy I have said so much about the limbs, their coldness and the cold sweat, that I have practically covered most of the symptoms that belong to the extremities. Carbo veg. is an excellent remedy for the general constitutional disorder where there arc indolent varicose ulcers upon the lower limbs - the legs above the ankles.

There is no activity in these ulcers; thin watery discharge or it is thick. bloody and ichorous. Burning indolent ulcers; varicose, ulcers; swelling of the limbs. A gangrenous state from the extremely feeble circulation.

Gangrenous condition such as old people have, senile gangrene. The limbs wither; the toes and lower parts wither and look dusky. There are blisters upon them and they ooze a bloody, watery fluid. Burning like fire. Loss of sensation. Stiffness in the joints. Excoriating sweat between the toes, and numbness. Numbness in the limb lain on. If he lies on the right side, the right hand gets numb. It he turns over on the left side, the left arm gets numb.

The circulation in the part is so feeble that if there is any pressure the part becomes numb. The surface is cold. The extremities are cold. He is indolent, weak and always tired, with an aversion to mental and physical work. Every little exertion brings on a feeling as if he would faint and collapse.

The sleep is full of dreams. He wakes up with dyspnoea, wakes with cold limbs, especially cold knees. Legs drawn up during sleep. Unrefreshed after sleep. The dreams he has are the kind that most of these patients have where the remedy acts so violently upon the veins, upon the basilar portion of the brain, and upon the voluntary system. They are awful. He dreams of fire, burglars, fearful and horrible things. Anxiety, restlessness and congestion of the head prevent his going to sleep. Rush of blood to the head. His head feels hot, but to the hand the skin feels cold. The inner chest feels as if burning, but the outer chest feels cold to the hand. So it is in the abdomen. The feeling of internal heat and burning, with external coldness, is a common feature of Carbo veg.

The fever is violent; it has a violent rigor or chill. Of course during the chill he is cold, but there is one strange feature, he wants cold water during the chill, and when the fever comes on he has no thirst.

That is strange; it is uncommon. It is common for patients to be thirsty when they are hot with fever, and when cold not to ask for water. It is common not to ask for water during sweat. But in this patient you observe coldness, rigor, cold breath, and even in the chill sometimes a cold sweat, and you say that it is peculiar that he drinks so much cold water. It is strange; it is uncommon; rare. Hence it is one of the strong features of Carbo veg. febrile conditions. With the chill of this remedy one side of the body frequently feels in its natural state of heat, that is, naturally warm, while the other side, is cold. One-sided chill. Chill with icy coldness of the body. Chill with great thirst. Sweats easily, especially about the head and face Exhausting night or morning sweats. Sweat profuse, putrid or sour.

Low forms of fever like yellow fever, and a very low type of typhus and typhoid fevers. After the fever has somewhat subsided he has prolonged cold spells with lack of reaction. He does not seem to rally, but he is cold, his knees are cold, his breath is cold, cold sweat, a sort of paralytic weakness. Cadaveric aspect of the face. Cyanotic face. Coldness of the limbs.

Yellow fever in the last stage, the stage of haemorrhage, with great paleness of the face. Violent headache, trembling of the body, collapse with cold breath, cold sweat, cold nose. Nose and face pinched. Vital powers very low, tells a great deal of the story of Carbo veg.

Lack of reaction after some violent attack, some violent shock, some violent suffering. In weakly persons who give right out, with dyspnoea, coldness, copious sweat, exhaustion, collapse and cadaveric aspect, Carbo veg. must be*given. Carbo veg. is indicated after surgical shock, when the patient goes into collapse, and is in danger of dying from the shock of the operation. This is before inflammation sets in, for there is not vitality enough to arouse an inflammation. The heart is too weak to establish reaction enough for an inflammation. Inflammation comes after a reaction. But if reaction does not take place, Carbo veg. is one of our most important remedies.