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--- en:hphys:wells-pp-hahnemann-chronic-miasms-159-11001 [2013/05/21 09:36]
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+++ en:hphys:wells-pp-hahnemann-chronic-miasms-159-11001 [2013/05/21 09:45]
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 The following case beautifully and perfectly illustrates this fact:
-The writer was called to a consultation in the case of C. S., aged five months, June 15th, 1859. The child was large, plump in form; indeed, as to figure might be taken as a model. She was perfectly healthy at birth, as were her parents then and before. Her first complaint was developed immediately after her //vaccination//. This showed itself in the form of eczema in folds of her fat limbs and neck. These were all red and raw, oozing a colorless, thick, slightly sticky and slightly offensive fluid. This eruption was followed by an attack of croup after two or three months, and this by “Miller’s asthma” immediately after, the croup seeming to pass into this last, sometimes so troublesome a malady. The parents, having, a year or two before, lost a little boy by this disease, became alarmed, and I was consequently called in consultation on the case. The spasmodic disease was soon controlled and there remained visible only the eczema. But there was much more which was not visible, as was shown the first time she took a cold, to which she seemed more than commonly inclined. She had a return of the croup, and this passed into Miller’s asthma, as before, showing she had not been cured radically. As before, the attack was apparently overcome and the child was well again, except her eczema. This, in the attack of croup and asthma, became dry, and the oozing only returned when the spasmodic affection was relieved. The third attack of this kind followed, again from cold, and the child now became my patient. Notwithstanding the best prescriptions of remedies and hygiene I could make, the child would take cold and repeat the experiences above mentioned till she was near two years old, when it was suggested that change of air, scene, and circumstances might be of service in healing the child of this chronic disposition to taking cold. The suggestion was accepted, and she was taken to Newburgh, N. Y., and placed under the care of my friend, the late Dr. Dunham. She took her cold there and went through her former troubles, as she had at home. [[en:ahr:dunham-c-chlorine-and-spasmus-glottidis-158-10409#s21|Dr. D. treated her spasms with Chlorine water]] * %%[*%%//Vide Am. Hom. Review//, vol. III, p. 370.] successfully, and she returned to her city home at the close of the summer, as it was hoped, cured. It was not so. She soon took cold, had croup and asthma as before. The spasms were relieved by Chlorine water, and were seemingly cured, but the attacks were repeated at intervals, and not less severely, till she had grown to the age when she ran about the nursery on her feet. One day, when I called at the house, the mother said, “Doctor, what makes Lottie walk so?” She put the child on the floor, and as she walked she limped when she stepped on her right foot. She complained of pain in the hip-joint if the head of the femur were pressed into the socket or rotated, or if pressure were made on the great trochanter. The child was stripped, and the buttock of the affected side was flattened very perceptibly by atrophy of the great gluteal muscles--there was no doubt of having serious disease of the hip-joint to deal with. This was prescribed for as well as I could in the still imperfect knowledge of the case--for it was imperfectly understood, though it had been so long under my care. The prescription was hardly better than a failure. Now there was one fact in the case which, as it turned out, had received less attention from both Dr. Dunham and myself than it should. This was a thin, green, closely adherent scab on the right temple. The mother was told to have this removed at our next morning visit. This was done, and the key to the whole case was disclosed by a nipple-like //wart//, something more than an eighth of an inch in length, oozing the same sticky fluid as the eczema had been all this time discharging. This //oozing wart// was at once recognized as the representative of the original cause of all the troubles the poor child had endured. With this view a new study of the case was made, and the remedy found which had all the symptoms of the case, //including this oozing wart//. A powder in which were a few pellets of that remedy was dissolved in half a goblet of water, and of this a teaspoonful was given every six hours. The cure of the case was so prompt and perfect, including the hip disease and the eczema, that no second powder was required for its completion.
+The writer was called to a consultation in the case of C. S., aged five months, June 15th, 1859. The child was large, plump in form; indeed, as to figure might be taken as a model. She was perfectly healthy at birth, as were her parents then and before. Her first complaint was developed immediately after her //vaccination//. This showed itself in the form of eczema in folds of her fat limbs and neck. These were all red and raw, oozing a colorless, thick, slightly sticky and slightly offensive fluid. This eruption was followed by an attack of croup after two or three months, and this by “Miller’s asthma” immediately after, the croup seeming to pass into this last, sometimes so troublesome a malady. The parents, having, a year or two before, lost a little boy by this disease, became alarmed, and I was consequently called in consultation on the case. The spasmodic disease was soon controlled and there remained visible only the eczema. But there was much more which was not visible, as was shown the first time she took a cold, to which she seemed more than commonly inclined. She had a return of the croup, and this passed into Miller’s asthma, as before, showing she had not been cured radically. As before, the attack was apparently overcome and the child was well again, except her eczema. This, in the attack of croup and asthma, became dry, and the oozing only returned when the spasmodic affection was relieved. The third attack of this kind followed, again from cold, and the child now became my patient. Notwithstanding the best prescriptions of remedies and hygiene I could make, the child would take cold and repeat the experiences above mentioned till she was near two years old, when it was suggested that change of air, scene, and circumstances might be of service in healing the child of this chronic disposition to taking cold. The suggestion was accepted, and she was taken to Newburgh, N. Y., and placed under the care of my friend, the late Dr. Dunham. She took her cold there and went through her former troubles, as she had at home. [[en:ahr:dunham-c-chlorine-and-spasmus-glottidis-158-10409#s21|Dr. D. treated her spasms with Chlorine water]] * %%[*%%//Vide Am. Hom. Review//, [[en:ahr:dunham-c-chlorine-in-spasm-of-the-glottis-158-10410|vol. III, p. 370]].] successfully, and she returned to her city home at the close of the summer, as it was hoped, cured. It was not so. She soon took cold, had croup and asthma as before. The spasms were relieved by Chlorine water, and were seemingly cured, but the attacks were repeated at intervals, and not less severely, till she had grown to the age when she ran about the nursery on her feet. One day, when I called at the house, the mother said, “Doctor, what makes Lottie walk so?” She put the child on the floor, and as she walked she limped when she stepped on her right foot. She complained of pain in the hip-joint if the head of the femur were pressed into the socket or rotated, or if pressure were made on the great trochanter. The child was stripped, and the buttock of the affected side was flattened very perceptibly by atrophy of the great gluteal muscles--there was no doubt of having serious disease of the hip-joint to deal with. This was prescribed for as well as I could in the still imperfect knowledge of the case--for it was imperfectly understood, though it had been so long under my care. The prescription was hardly better than a failure. Now there was one fact in the case which, as it turned out, had received less attention from both Dr. Dunham and myself than it should. This was a thin, green, closely adherent scab on the right temple. The mother was told to have this removed at our next morning visit. This was done, and the key to the whole case was disclosed by a nipple-like //wart//, something more than an eighth of an inch in length, oozing the same sticky fluid as the eczema had been all this time discharging. This //oozing wart// was at once recognized as the representative of the original cause of all the troubles the poor child had endured. With this view a new study of the case was made, and the remedy found which had all the symptoms of the case, //including this oozing wart//. A powder in which were a few pellets of that remedy was dissolved in half a goblet of water, and of this a teaspoonful was given every six hours. The cure of the case was so prompt and perfect, including the hip disease and the eczema, that no second powder was required for its completion.
 For a proper understanding of this case, Boenninghausen and Wolf’s observations of the vaccine disease should be remembered; that each, after a forty years’ observation, had come to the same conclusion--that the vaccine virus was the concrete sycotic cause; that introduced into the human organism it had the power to produce all the fearful train of diseases expressed by the term //Sycosis//; that the //wart// is the external specific representative of the internal sycotic condition. It will be further remembered that this child was perfectly healthy, even more than commonly strong and robust, up to the time of its vaccination; then began the long train of evils which caused her so much of suffering and her parents anxiety and her doctor of study and perplexity; that when her recurring attacks were apparently cured, the //child// was only partially cured by remedies only like a part of her sick condition, one most essential part being omitted in gathering the symptoms, and, of course, in selection of the remedies employed in treating these paroxysms; that as a result of this omission the unrecognized element progressed in its invasion of the organism, making deeper inroads upon it till destruction so important as that of the hip-joint was threatened, which had already become much diseased. The sycotic cause and condition were singularly overlooked by Dr. Dunham and myself, and it was only when this was apprehended that the true remedy was found and the cure was made promptly and perfectly. It appears, on looking at the history of the case and its partially successful treatment before this condition was apprehended, that if this had not happened the joint would have been destroyed, if not even the life of the child, after great and long suffering.

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