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Pothos


NAT. ORD., Araceae.



COMMON NAME, Skunk Cabbage.



PREPARATION.--The fresh root gathered in spring is macerated in twice

its weight of alcohol.



(Contributed by Dr. S. A. Jones to the Homoeopathic

Recorder, 1889.)



This perennial, odorous member of the natural order Araceae is one of

our most common meadow and bog plants. From its very realistic,
br />
skunk-like odor when cut or bruised, and its resemblance in shape of

leaf and mode of growth to the cabbage, it has been commonly well known

as the skunk cabbage.



Belonging to the same family as the Calla lily and Indian turnip, the

shape of its flower becomes at once familiar to anyone who observes it.

Among the first plants to flower in spring is this species, and by

closely observing the surface of any boggy meadow in the latter part of

March or early April one will find irrupting the earth like mushroom the

points of many beautiful spathes gaping open to extend invitations to

the earliest slugs and carrion beetles of the season. These are the

flowers of Pothos appearing some time before the leaves, and when

divested of the mud that clings to them, and polished with a damp cloth,

as the apple-woman serves her pippins, they shine out in beautiful

mottled purple, orange, and deep red, and, being very fleshy, will keep

up appearances many days if cut deep and placed in hyacinth jars.



The root is large, thick, and cylindrical, giving off its lower end

numerous long, cylindrical branches; the leaves which appear on the

fertilization of the ovary are large, smooth, entire, and deeply plaited

into rounded folds. On opening the pointed spathe or floral envelope, a

club-like mass will be noted arising from its base. This is the spadix

bearing the naked flowers, which are perfect, consisting of a

four-angled style and four awl-shaped stamens. The fruit, when mature,

is a globular, ill-smelling, glutinous mass, consisting of the enlarged,

fleshy spadix and changed perianths, and enclosing several large

bullet-like seeds.



The roots are easily gathered, one alone being sufficient to make a

year's stock of tincture for the most lavish practitioner.



THE TINCTURE.



Take the fresh root stalks and rootlets, gathered in spring on the first

appearance of the flowers, and chop and pound them to a pulp, and weigh.

Then taking two parts, by weight, of alcohol, mix the pulp with

one-sixth part of it, add the balance, and, after stirring the whole

well, pour it into a well-stoppered bottle and let it stand for eight

days in a dark, cool place. After straining and filtering, the resulting

tincture should be of a light brown color and have a slightly acrid

taste and a neutral reaction.



CHEMISTRY.



The active principle of this plant is doubtless volatile, as the dried

root presents none of the acridity of the fresh, and is odorless as

well. Dr. J. M. Turner determined in the root a volatile fatty body, a

volatile oil, a fixed oil, and a specific resin.



* * * * *



On the 16th of December, 1887, there came into my hands a case that the

family physician (a homoeopath) had pronounced epilepsy and declared

incurable. Upon being consulted, his diagnosis had been confirmed and

his prognosis corroborated by the late Prof. E. S. Dunster, of the

University of Michigan.



Up to date that identical patient has had neither a "fit" nor any

approximation thereto, and that fact is an occasion of this paper. One

who already discerns the first gray shadows of that night which comes to

all, does not now write at the urging, or the itching, of the Ego. He

disclaims any merit, having evinced only a monkey-like imitativeness. He

had from the Infinite, the gift of a good memory, and an old book,

picked up one happy day at a street stall, flashed into recollection

some twelve years later, and enabled him then to imitate the much

earlier doing of its worthy author--



"Only the actions of the just

Smell sweet and blossom in the dust."



This dead worthy--he that was James Thacher, M. D.--more than any other,

made known the virtues of Pothos foetida, and gratitude for what his

book had taught me to do made me feel that to write up this forgotten

remedy were the fittest return that I could make for his well doing.



A second incentive, ample enough, is found in the fact that the first

homoeopathic paper on Pothos foet. has never had a faithful

translation into our language, and has not been critically reproduced in

any other. A study of the Homoeopathic Bibliography, as given in

this paper, will teach an impressive lesson not only to the real

student of Materia Medica, but also to those who assume the

responsibilities of editorship.



A third inducement, and perhaps a pardonable, is the singular fact that

much search in our literature has not enabled me to find any assistance

of the clinical application of Pothos foet. by a homoeopathic

practitioner. If any reader knows of any such, he will greatly gratify

the writer by making it known.



AN EMPIRICAL BIBLIOGRAPHY.[K]



[K] As my researches are confined to my own library, I do not

profess to be exhaustive. I have not given all the references

at my command, but have aimed to include such writers as have

made positive contributions to our knowledge of this drug. Of

my list, only Rafinesque is a mere (but a useful) compiler.



1785. Rev. Dr. M. Cutler.--Memoirs of the American Academy of Arts and

Sciences. Boston.



1787. D. J. D. Schoepf, M. D.--Materia Medica Americana potissimum

Regni Vegetabilis. Erlangen. (Not in my possession. Quoted from

Barton.)



1813. James Thacher, M. D.--The American New Dispensatory. Boston.

(This is the second edition wherein Pothos is mentioned for the first

time. Our citations are from the fourth edition. Boston, 1821.)



1817. James Thacher, M. D.--American Modern Practice, etc. Boston.



1818. Jacob Bigelow, M. D.--American Medical Botany, etc. Vol. 2.

Boston.



1820. Wm. M. Hand.--The House-Surgeon and Physician. Second edition.

New Haven.



1822. Jacob Bigelow, M. D.--A Sequel to the Pharmacopoeia of the U.

S. Boston.



1822. John Eberle, M. D.--Materia Medica and Therapeutics.

Philadelphia. (The citations are from the fourth edition. Philadelphia,

1836.)



1825. Ansel W. Ives, M. D.--Paris' Pharmacologia. Third American

edition. New York.



1830. Elisha Smith.--The Botanic Physician, etc. New York. (The title

page proclaims him "president of the New York Association of Botanic

Physicians.")



1838. C. S. Rafinesque.--Medical Flora, etc. Philadelphia.



It was admitted into the catalogus secundarius of the second edition

of The Pharmacopoeia of the United States of America, and dropped

into the dust-heap when the men who knew how to use it had passed away.



EMPIRICAL APPLICATIONS.



In dealing with authors who have gone to their reward, it has always

seemed to me a duty to give their own words as far as possible. It

brings them face to face with the reader, and is as if one brushed the

moss from their gravestones, or perhaps, like Old Mortality, carved

afresh a half-obliterated name.



It is not the briefest way, but it has the merit of showing from whence

the bricks came of which the edifice is built. I shall, then, cite the

authorities in chronological order, and copiously enough to include

essentials.



Cutler.--The roots dried and powdered are an excellent medicine in

asthmatic cases, and often give relief when other means are ineffectual.

It may be given with safety to children as well as to adults; to the

former, in doses of four, five or six grains, and to the latter in doses

of twenty grains and upwards. It is given in the fit, and repeated as

the case may require. This knowledge is said to have been obtained from

the Indians, who, it is likewise said, repeat the dose, after the

paroxysm (sic) is gone off, several mornings, then miss as many, and

repeat it again; thus continuing the medicine until the patient is

perfectly recovered. It appears to be anti-spasmodic, and bids fair to

be useful in many other disorders.--Op. cit., 1,409.



Schoepf.--I am obliged to cite at second hand, as I have never been

able to find a copy of his opus. One may judge of its rarity, when a

foreign advertisement by a German bookseller some years since failed to

obtain it for me.



Prof. W. P. C. Barton, op. cit., gives the gist of the Hessian

surgeon's contribution in a style and manner as prim and orderly as that

of Surgeon Schoepf himself on a dress parade.



"Pharm. Dracontii Radix.

Qual. Acris, alliacea, nauseosa.

Vis. Incidens, califaciens, expectorans.

Usus: fol. contrita ad vulnera recentia et ulcera.

Tussis consumptiva. Scorbutus et elii morbi radix.

Ari officin. utilis."



"Incidens": Young reader, you must go back more than a century to

understand the "pathology" that is wrapped up in that word like a mummy

in its cerements. Don't laugh at that "pathology," for some graceless

graduate will laugh at yours in 1989. Note, however, in passing, that

Schoepf says nothing, save tussis, that suggests the vis

anti-spasmodica of Cutler.



Thacher.--The roots and seeds, when fresh, impart to the mouth a

sensation of pungency and acrimony similar to Arum.



It may be ranked high as an anti-spasmodic, experience having evinced

that it is not inferior to the most esteemed remedies of that class. In

cases of asthmatic affections, it alleviates the most distressing

symptoms, and shortens the duration of the paroxysms. * * * Rev. Dr.

Cutler experienced in his own particular case very considerable relief

from this medicine, after others had disappointed his expectations. * *

* The seeds of this plant are said by some to afford more relief in

asthmatic cases than the root.



In obstinate hysteric affections this medicine has surpassed in efficacy

all those anti-spasmodics which have generally been employed, and in

several instances it has displayed its powers like a charm. In one of

the most violent hysteric cases I ever met with, says a correspondent,

where the usual anti-spasmodics, and even musk had failed, two

teaspoonfuls of the powdered root procured immediate relief; and on

repeating the trials with the same patient, it afforded more lasting

benefit than any other medicine. In those spasmodic affections of the

abdominal muscles during parturition, or after delivery, this root has

proved an effectual remedy. In chronic rheumatism, and erratic pains of

a spasmodic nature, it often performs a cure, or affords essential

relief.



It has in some cases of epilepsy suspended the fits, and greatly

alleviated the symptoms.



In whooping cough, and other pulmonic affections, it proves beneficial

in the form of syrup.



During every stage of nervous and hysteric complaints, and in cramps and

spasms, this medicine is strongly recommended as a valuable substitute

for the various anti-spasmodic remedies commonly employed. It is free

from the heating and constipating qualities of Opium. [Yet Schoepf

endowed it with the vis colifaciers.]



Having in a few instances tested its virtues in subsultus tendinum,

attending typhus fever, its pleasing effects will encourage the future

employment of it in similar cases.



Two instances have been related in which this medicine has been supposed

to be remarkably efficacious in the cure of dropsy.



The roots should be taken up in the autumn or spring, before the leaves

appear, and carefully dried for use. Its strength is impaired by long

keeping, especially in a powdered state.--Mat. Med., 4th ed., p. 249.



A young woman, about eighteen years of age, was harassed by severe

convulsive and hysteric paroxysms, almost incessantly, insomuch that her

friends estimated the number at seven hundred in the course of a few

weeks; her abdomen was remarkably tumefied and tense, and there was a

singular bloatedness of the whole surface of her body, and the slightest

touch would occasion intolerable pain. At length her extremities became

rigid and immovable (sic), and her jaw was so completely locked that

she was unable to articulate, and liquids could only be introduced

through the vacuity of a lost tooth. She had been treated with a variety

of anti-spasmodic and other medicines, by an experienced physician,

without relief. Having prepared a strong infusion of the dried root of

skunk cabbage, I directed half a teacupful to be given every few hours,

without any other medicine; the favorable effects of which were soon

observable, and by persisting in the use of it about ten days the

muscular contractions were removed, the jaw was relaxed, and her faculty

of speech and swallowing, with the use of all her limbs, were completely

effected.



Another young woman had been exercised with the most distressing

paroxysms of hysteria for several days, without obtaining relief by the

medicines prescribed, when the skunk cabbage infusion was so

successfully directed that her fits were immediately arrested, and in a

few days a cure was completely effected.



The brother of this patient was seized with violent convulsions of the

whole body, in consequence of a cut on his foot; the skunk cabbage was

administered, and he was speedily restored to perfect health.



A woman was affected with violent spasmodic pains, twenty-four hours

after parturition; six doses of skunk cabbage entirely removed her

complaints.--American Modern Practice, p. 530.



Barton.--The smell from spathe and flowers is pungent and very subtle.

Experience leads me to believe they possess a great share of acridity;

having been seized with a very violent inflammation of my eyes (for

the first time in my life), which deprived me of the use of them for a

month, by making the original drawings of these plates. The pungency of

the plant was probably concentrated by the closeness of the room, in

which many specimens were at the time shut up.--Veg. Mat. Med., 1,

128. [The italics are not in the original text.]



The seeds are said to afford more relief in asthmatic cases than the

root; and this I believe very probable, for they are remarkably active,

pungent, and, as has before been mentioned, exhale the odor of

Asafoetida.--Op. cit., p. 131.



The bruised leaves are frequently applied to ulcers and recent wounds,

and, it is said, with good effect. They are also used as an external

application in cutaneous affections; and I have heard of the expressed

juice being successfully applied to different species of herpes. The

leaves are also used in the country to dress blisters, with the view of

promoting their discharge. * * * For this purpose I can recommend them

where it is desirable to promote a large and speedy discharge, and no

stimulating ointment is at hand.



Colden recommends the skunk cabbage in scurvy.--Op. cit., p. 132.



Bigelow.--The odor of the Ictodes resides in a principle which is

extremely volatile. I have not been able to separate it by distillation

from any part of the plant, the decoction and the distilled water being

in my experiments but slightly impregnated with its sensible character.

Alcohol, digested on the plant, retains its odors for a time, but this

is soon dissipated by exposure to the air.



An acrid principle resides in the root, even when perfectly dry,

producing an effect like that of the Arum and the Ranunculi. When chewed

in the mouth, the root is slow in manifesting its peculiar taste; but

after some moments a pricking sensation is felt, which soon amounts to a

disagreeable smarting, and continues for some time. This acrimony is

readily dissipated by heat. The decoction retains none of it. The

distilled water is impregnated with it, if the process be carefully

conducted, but loses it on standing a short time.--Amer. Med. Bot., 2,

45.



To insure a tolerably uniform activity of this medicine, the root should

be kept in dried slices, and not reduced to powder until it is wanted

for use.--Op. cit., p. 49.



A number of cases have fallen under my own observation of the catarrhal

affections of old people, in which a syrup prepared from the root in

substance has alleviated and removed the complaint.--Op. cit., p. 48.



In delicate stomachs I have found it frequently to occasion vomiting

even in a small quantity. In several cases of gastrodynia, where it was

given with a view to its anti-spasmodic effect, it was ejected from the

stomach more speedily than common cathartic medicines. I have known it

in a dose of thirty grains to bring on not only vomiting, but headache

(sic), vertigo and temporary blindness.--Op. cit., pp. 48-49.



Hand.--The root is a pungent anti-spasmodic in colics and griping of

the bowels.



Leaves bruised relieve painful swellings, whitlows, etc.--House Surg.

and Phys., p. 250.



Eberle.--In chronic cough attended with a cold, phlegmatic habit of

body, I have employed the powdered root of this plant with the most

decided benefit. In an old man who had been for many years afflicted

with a very troublesome cough and difficulty of breathing, I found

nothing to give so much relief as this substance.



In cases of chronic catarrhal and asthmatic affections, and very

generally with evident advantage.--Mat. Med. and Thur., 2, 154.



Ives.--The root loses its pungent taste, and appears to be nearly

inert in a few weeks after it is gathered. I prepared, however, an

alcoholic extract some years ago, by digesting the fresh roots and

evaporating the tincture in the sun, which possessed and retained all

the acrimony of the recent root. The fresh leaves are actively

rubefacient.--Pharmacologia, p. 147.



Smith.--Skunk cabbage is not only a good anti-spasmodic in all cases

where such are indicated, but it is also a powerful emmenagogue,

anthelmintic, and a valuable remedy in dropsy, in spasms, rheumatism,

palpitations, etc. It is frequently used in childbed to promote the

birth. * * * * For expelling worms, the pulverized root should be

administered in molasses for a sufficient length of time, following it

up with a purge.--Op. cit., p. 511.



Rafinesque.--Powerful anti-spasmodic, expectorant, incisive,

vermifuge, menagogue, sudorific, etc. Used with success in spasmodic

asthmas and coughs, hysterics, pertussis, epilepsy, dropsy, scurvy,

chronic rheumatism, erradic and spasmodic pains, parturition,

amenorrhoea, worms, etc.--Op. cit., 2, 230.





III.



THE HOMOEOPATHIC BIBLIOGRAPHY.[L]



[L] The definite article is used because it is believed to be

complete, thanks to the scholarship and courtesy of Dr. Henry

M. Smith, of New York. To him, also, am I indebted for the

original text of Pothos foet. from the

Correspondenzblatt.





1837. Correspondenzblatt der Hom. Aerzte, January 18th, 2d part, No.

1, p. 6. Allentown, Pa. Hering, Humphreys, and Lingen.



1843. Symptomus Kodex, vol. 2, p. 392. Jahr. (Taken from the

Correspondenzblatt, and not correctly.) Handbuch der Hom.

Arzneimittellehre, vol. 3, p. 613. Noack and Trinks. (Taken from the

Correspondenzblatt, and incompletely.)



1847. Manual of Hom. Mat. Met.--Jahr. Translated by Curie, 2d ed.,

vol. 1, p. 462. London. (This is the first appearance of the Allentown

"abstract of symptoms" in English. Curie credits his data to some

"United States' Journal," probably meaning the Correspondenzblatt. His

translation is erroneous, and yet, up to date, it is the fullest source

of information for him who reads English only.)



1848. New Manual or Symptomen Codex.--Jahr. Translated by Hempel, vol.

2, p. 573. (This is a singularly incomplete translation from the German

Kodex, with no reference to any source. A literal copy of this

translation is all there is of Pothos foet. in the Encyclopaedia.

It omits the only symptom in the Correspondenzblatt abstract that made

my application of this remedy not purely empirical.)



1851. Jahr's New Manual. Edited by Hull, 3d ed., vol. 1, p. 797.



1851. Characteristik der Hom. Arzneien. Possart, part 2, p. 506.



1860. "Hull's Jahr." A New Manual of Hom. Practice. Edited by

Snelling, 4th ed., vol. 1, p. 977.



1866. Text-Book of Mat. Med. Lippe, p. 545.



1878. Encyclopaedia of Pure Materia Medica. Allen, vol. 9, p. 155.



1884. American Medicinal Plants. Millspaugh, vol. 1, p. 169.



POTHOS FOETIDA SYMPTOMATOLOGY.



Translated from the Correspondenzblatt by T. C. Fanning, M. D.,

Tarrytown, N. Y.[M]



[M] Literalness rather than elegance has been sought in the

translating.



Because the odor is quite like Mephitis it is considered a so-called

anti-spasmodic.



Abstract of symptoms from Hering, Humphreys, and Lingen.



So absent-minded and thoughtless that he enters the sick rooms without

knocking; pays no attention to those speaking to him. Irritable,

inclined to contradict; violent.



Headache of brief duration, in single spots, now here, now there, with

confusion. Pressure in both temples, harder on one side than on the

other alternately, with violent pulsation of the temporal arteries.



Drawing in the forehead in two lines from the frontal eminences to the

glabella, where there is a strong outward drawing as if by a magnet.



Red swelling, like a saddle, across the bridge of the nose, painful to

the touch, especially on the left side near the forehead, while the

cartilaginous portion is cold and bloodless; with red spots on the

cheek, on the left little pimples; swelling of the cervical and

sub-maxillary glands.



Unpleasant numb sensation in the tongue; cannot project it against the

teeth; papillae elevated; tongue redder, with sore pain at point and

edge.



Burning sensation from the fauces down through the chest. With the

desire to smoke, tobacco tastes badly.



Pain in the scrobiculus cordis as if something broke loose, on stepping

hard.



Inflation and tension in the abdomen; bellyache here and there in

single spots; on walking, feeling as if the bowels shook, without pain.



Stool earlier (in the morning), frequent, softer.



Urging to urinate; very dark urine.



Painful, voluptuous tickling in the whole of the glans penis.



Violent sneezing, causing pain in the roof of the mouth, the fauces and

oesophagus all the way to the stomach, followed by long-continued

pains at the cardiac orifice.



Pain in chest and mediastinum posticum, less in the anticum, with

pain under the shoulders, which seems to be in connection with burning

in the oesophagus. Pressing pain on the sternum.



Sudden feeling of anxiety, with difficult (or oppressed) respiration and

sweat, followed by stool and the subsidence of these and other pains.



Inclination to take deep inspirations with hollow feeling in the chest,

later with contraction in the fauces and chest.



The difficulty of breathing is better in the open air.



Pain in the crest of the right tibia.



Rheumatic troubles increased.



Sleepy early in the evening.



All troubles disappear in the open air.



In attempting to analyze this "abstract of symptoms," to see if the

internal evidence tends to show that the recorded effects are genuine

results of the drug, it is well to remember that these provings--for we

infer that three observers participated therein--were made in the light

of the empirical history of Pothos foet. The said history was on

record before the date of these provings, and it cannot have escaped

Hering's eye; he was too wide a reader for that. He was, beyond doubt,

aware of the pathogenetic effects observed by Bigelow--headache,

vertigo, temporary blindness, vomiting, even from small

quantities. Having, then, this clue to its physiological action, these

symptoms should reappear in his proving if his imagination furnished his

symptoms. As only a mild headache is noted in the Correspondenzblatt,

it is evident that these provers did not work from a pattern. It is

also evident that the usus in morbis did not suggest the Allentown

symptomatology, for the anti-asthmatic virtue of Pothos foet. is one

feature on which the greatest stress had been laid, and yet the only

pathogenetic suggestion of its applicability in asthma is: "Sudden

feeling of anxiety with difficult (or oppressed) respiration and sweat,

followed by stool and the subsidence of these and other pains." Who

ever heard of an asthma relieved by stool? Who could have invented

such an odd modality? As it stands it is an unicum, and by every rule

of criticism this single symptom-group gives the stamp of verity to the

Allentown "abstract of symptoms." But there is other and singularly

convincing evidence of the genuineness of this abstract. As the reader

is aware, Thacher had emphasized the efficiency of Pothos foet. as an

anti-spasmodic in hysteria, although the "key-note" that indicates it in

hysteria had wholly escaped his discernment.



Now this very "key-note" appears in the Allentown pathogenesis, but so

unobtrusively as to show most conclusively that the prover who furnished

it did not recognize its singular import and value. Such testimony is

absolutely unimpugnable by honest and intelligent criticism.



It is also apparent that some of the less pronounced of its empirical

virtues are reflected in the proving. For instance, Thacher found it

efficacious in "erratick pains of a spasmodick nature." Is not this

"erratic" feature reproduced in such conditions as:



"Headache, of brief duration, in single spots, now here, now there?"



"Pressure in both temples alternately, harder on one side than on the

other?"



"Bellyache, here and there, in single spots?"



Brevity of duration and recurrence "in single spots, now here, now

there," are phenomena at once spasmodic and erratic. It must be

admitted that the trend of its pathogenetic action and the lines of its

therapeutical application are parallel, and, therefore, that the latter

are confirmatory of the former.



With such an anti-hysterical reputation as the empirical use had given

to Pothos foet., it might fairly be anticipated that its

pathogenesis would be distinguished by a paucity of objective data,

for only a tyro in pharmacodynamics, or a "Regular," would expect to

find a full-lined picture of hysteria in any "proving." And so we have

in the "abstract" a flux of subjective symptoms, "erratic" enough for

hysterical elements, and still further characterized by an apparent

evanescence, as if its phenomena of sensory disturbance were as fleeting

and unsubstantial as those of an hysterical storm.



The will-o'-the-wisp-like character of its subjective symptoms, and

its physometric property (hinted at in the pathogenesis and emphasized

in Thacher's case) are the features that will chiefly impress one in

studying this distinctively American remedy.



That the "abstract of symptomes" evinces a cautious trial of this drug,

and that more heroic experiments will add to our knowledge of its

pathogenetic properties, are plain deductions from the absence in the

"abstract" of such pronounced effects as Bigelow observed and also from

the evidence of the usus in morbis. The remedy needs an efficient

proving, especially in the female organism.



AN APPLICATION OF POTHOS FOETIDA.



Miss B----, aet. 20; a tall, spare brunette, and a good specimen of

Fothergill's Arab type, brainy and vivacious. General health has been

good, but she was never robust; could not go to school regularly.

Between her thirteenth and fifteenth years grew rapidly in stature, and

then she was easily wearied on walking; knees tired and limbs ached. Had

good digestion through the growing period, but subsequently became

subject to "bloat of wind" in abdomen. These meteoristic attacks came

when lying down. A "weight rises from the abdomen up to the heart." She

must at once spring up. This condition is relieved by eructating, by

liquor, and by drinking hot water. The night attacks of meteorism are by

far the worst. She is now subject to them.



[Her grand-mother had such "spells of bloating;" would spring out of bed

at night, lose consciousness, and "bloat up suddenly." If she had such

an attack when dressed, they had often been obliged to cut open her

clothes.]



Patient has found that apples, tomatoes, cabbage and onions disagree

with her; no other food. She is constipated--"wants to and can't."



Her hair is unusually dry; scalp full of dandruff; skin, generally, soft

and flexible.



She has frequent epistaxis; has had four and five attacks a day. Blood

bright red, "runs a perfect stream," does not clot at the nostrils. Has

previously a "heavy feeling" in the head, which the bleeding relieves.



In appearance she is "the picture of health;" good complexion, fairly

ruddy cheeks, sparkling eyes--in a word, she is an incarnated protest

against "single blessedness."



In the latter part of July, 1886, had her first "fit." She had arisen

with a headache, which kept on increasing in severity. Just after a

light meal had the attack; "Oh, dear! Oh, dear!" and fell insensible.

Stiffened at first, then had clonic spasms. Neither bit the tongue nor

frothed at the mouth. No micturition or defecation. On coming to, did

not remember that she had fallen, but recollected being borne up stairs.

Had a "dreadful nosebleed" after the attack. Left her very weak; could

hardly lift her feet from the floor. Before the "fit" the headache had

become unbearably severe.



Had her second "fit" on August 7th, 1887. Headache came on and kept

growing worse; was in temples, beating and throbbing, and in eyes,

"light hurt"--also on vertex, "pressing-down" pain. At 4 P.M. suddenly

fell down insensible. No cry. Tongue bitten. Slight frothing at the

mouth. First "stiff all over," then clonic spasms. After the "fit" knew

that something had happened to her. Was prostrated for nearly a month,

but not so much as after first attack.



December 10th, 1887, third "fit." On the night of the 9th her mother had

been very ill, and she herself was very uneasy and alarmed. Had the

attack before breakfast. Blurred vision, headache, fall; no biting of

tongue, nor frothing. First rigid, then clonic spasms; after attack,

nose bled profusely, head ached all day, face flushed and dark.

Prostrated as usual.



In none of the attacks was there any involuntary micturition or

defecation, nor was it ever necessary to use any force to hold her on

the bed.



One other fact I gathered from her brother, namely: during her "fits"

her abdomen bloated so rapidly and to such a degree that the family had

learned to remove her clothing as soon as possible after she fell.



Of course, Thacher's case, wherein the "abdomen was remarkably tumefied

and tense," came into memory at once. The old volume was taken down, and

that case re-read. Then followed the Encyclopaedia, and then the

English Symptomen Codex. No pathogenetic light or corroboration

there. Then Curie's "Jahr." Ah! "Inflation and tension in the

abdomen." Only a straw, but a pathogenetic, and I grasped it

thankfully. I found also, "aching in the temples with violent arterial

pulsation."



It was an open winter; my son dug some skunk cabbage roots in a swamp; a

tincture was made; ten-drop doses, four times daily, were taken until

six ounces had been consumed.



No "fit" up to date; no epistaxis; only once a slight headache.



I never made a diagnosis in this case; have not reached one yet, nor am

I grieving over that omission. I did rashly declare that it was not

epilepsy, because Sauvages tympanites intestinalis is a feature of

hysteria, but not of epilepsy. But not a word of this was said to the

patient. It was not a "mind cure," for I have no "mind" to spare; nor

was it "Christian science," for I am not up to that. I had an amnesis

in which grand-mother and grand-daughter participated. Nature had put

the "key-note" in italics, not only in the patient but also in the drug.

Thacher stumbled upon it empirically; Hering found it pathogenetically,

and that led to its application under the guidance of the only

approximation to a law in therapeutics that has yet been discovered by

any of woman born: similia similibus curantur!



(Anent the foregoing paper Dr. W. C. Campbell sent the

following to the same journal:)



POTHOS FOETIDA, HYSTERIA.



November 6, 1889, was called in haste to see Miss N----, aged 19 years.

Found her lying upon the floor, exhibiting all the phenomena of

epilepsy, clenched hands, frothing at the mouth, clonic spasm, etc.



On questioning the family, I learned that she had been subject to such

seizures for about two years, and that they were increasing in

frequency. She had been dismissed from the various cotton mills in which

she had been employed because of them. The father had been informed that

she had epilepsy, and she had been treated accordingly by three old

school physicians.



The sister informed me that although she had frequently fallen near the

stove she had never struck it. Further questioning elicited the fact of

her never having injured herself more seriously than to bite her tongue.

It was then I became suspicious, and later felt convinced that it was

hysteria and not epilepsy with which I had to deal.



I remembered having read in The Recorder an article by Dr. S. A.

Jones, of Ann Arbor, on Pothos foetida, with the record of a case in

some respects similar to mine. After again reading it up, I made a

tincture of the roots and tendrils gathered at the time, of which I gave

her a two drachm phial, directing her to take ten drops three times per

day.



On the second day she had a slight seizure while at dinner. After two

months she again resumed her place in the mill, where she has since been

steadily employed, and is strong and well in every way.



Have used Pothos in epilepsy, also in dropsy, with negative results.



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