Hepar Sulphur

"Liver of Sulphur" is a name which was given by the old chemists to several

sulphur compounds whose Colour was supposed to resemble that of liver. Before Hahnemann's

time Hepar sulphuris calcareum, Sulphuret of lime, was used as an external remedy for itch,

rheumatism, gout, goitre and scrofulous swellings. In 1794 Hahnemann proposed to use it

internally to arrest mercurial salivation. A few years later it was tried (Teste thinks first by Dr.

Busch of Strasburg) for asthma and pulmonary phthisis. That this was a happy inspiration

Hahnemann's provings and clinical experience has thoroughly borne out. The Hepar of

Hahnemann is not identical with ordinary sulphuret of lime, being prepared with oyster shells,

instead of ordinary lime, in a special way. Neither is it identical in composition or properties with

Calcium sulphate (Gypsum) of Schiissler. Being a chemical combination of Calcarea carb. and

Sulph. it has some of the properties of both, but is very different from either, and though it is

useful to compare them, Hepar must be studied as a separate entity. The one feature which more

than any other characterises Hepar cases 1s over-sensitiveness. It runs throughout the remedy.

"Any trouble occurring on the skin where there is a great sensitiveness to the slightest touch;

patient can't bear to have even the clothes touch the part, or have it touched in any way.

Exanthema, like nettle-rash, sore to the slightest touch. Skin hard to heal; inflammation of;

sensitive soreness of," is Guernsey's admirable definition of this feature as it affects the skin and

touch. But the sensitiveness is not confined to touch, there is excessive sensitiveness to the air;

patient can't bear the least draught; and if a hand accidentally gets outside the bed-clothes it

brings on an aggravation; sensitiveness to noise, to odours. The mind is no less "touchy" than the

body. "Dissatisfaction with oneself and others; dreamy, atrabilious mood, a sort of ferocious

spleen, as though one could murder a man in cold blood (even in persons who are generally of a

merry and benevolent disposition)." This is from Teste, who says he has removed these

symptoms with Hepar. Irritable and angry, feels inclined to kill any one who offends him.

Another instance of the sensitiveness of Hepar is in relation to pain: the slightest pain causes

fainting. There is also irritable heart. The sensitiveness to cold air is more to the dry cold air of

• ▸Acon.
• ▸and Bry.
• ▸This distinguishes it from Nat.
• ▸su/ph.
• ▸in asthma, which has < from damp cold

(Nat. sulph. is Grauvog|'s typical hydrogenoid remedy); and also fixes its applicability in croup.

Hepar croup is accompanied with rather loose cough, with wheezing and rattling. Cough as if

mucus would come up but it does not. The time of the Hepar croup is early morning (Acon. in

evening). The least breath of cold air < the cough, or any uncovering. Another feature of Hepar

is the sensation of a splinter or fish-bone in the throat. In quinsy with throbbing pain, where

suppuration is imminent, Hepar is indicated. Throbbing, stabbing pains, with general rigor are

characteristic. The relation of Hepar to the suppuration process is very marked. It meets the

hectic condition generally and the process locally. I once cured with Hep. 6 a case of axillary

abscess with a large collection of pus. The whole was absorbed without breaking. In an article

• ▸published in Minneap.
• ▸Hom.
• ▸Mag.
• ▸, 11.
• ▸292, L.
• ▸P.
• ▸Foster distinguishes between Hepar, Calc.
• ▸sul.
• ▸,

• ▸and Kali sul.
• ▸, in their action on tissues.
• ▸Kali s.
• ▸acts on the epidermis; Hepar on lymphatic

• ▸glandular system, skin and respiratory mucous membrane, Calc.
• ▸s.
• ▸acts much as Hep.
• ▸, only more

• ▸deeply.
• ▸Hep.
• ▸acts on abscesses before they open, Calc.
• ▸s.
• ▸after.
• ▸Foster cured a lady with Calc.
• ▸s.
• ▸,

high, of "several large ulcers in the gluteal region 3 in. in diameter and 3/4 in. deep, exposing the

• ▸bone.
• ▸" The pain ceased immediately, and the cure was completed in two months.
• ▸Calc.
• ▸s.
• ▸is

suited to quinsy after it breaks, Hep. before. In this connection it may be well to speak of the

relation of Hep. to Mercurius. Hahnemann's instinct led him to see in Hepar an antidote to

mercurial poisoning, and it remains still the chief antidote, whether to the effects of massive

• ▸doses or to over-action of the potencies.
• ▸Si/ic.
• ▸and Merc.
• ▸are inimical, but if Hepar is given as an

intermediary no unpleasant effects will occur. It follows Merc. when this ceases to help, or has

aggravated, in rheumatism, quinsy, boils and suppurations. In a case of eczema pudendi in a

young girl, 11, three months after puberty, the parts red and itching, Merc. was given and the

whole body became covered with the rash; Hep. was then given and removed all immediately.

"Sweats day and night without relief." It antidotes the sensitiveness of Merc. to atmospheric

conditions. In the old days of mercurialisation one of the chief things to be avoided by a patient

under the "course" was exposure to chill. Hepar has this same sensitiveness to chill and liability

to take cold from every exposure. Coryza, nose swollen and sore to the touch, especially inside

the alze. Boring at root of nose with catarrhal symptoms or headache is characteristic. Croupous

inflammations of throat, respiratory organs, bowels and kidneys—the inner as well as the outer

skin, in fact. The ulceration of the skin is peculiar. Guernsey thus describes it: "Ulcers with

bloody pus; with sour-smelling pus; stinking pus; putrid ulcers; with redness around; with little

pimples around—ten, twelve, or even as many as fifty may surround the large ulcer, and the ulcer

sometimes spreads by the little pimples joining in. Painful; painful at the edge; suppurating; with

pain as if sore; difficult to heal; inflamed; itching; looking like a lump of lead with a hole in it;

cancerous ulcers." "Smelling like old cheese" is very characteristic of Hep. ulcers and discharges.

The itching of Hep. is noteworthy; it occurs in connection with jaundice. It has cured cases of

pruritus especially when of mercurial origin. In the respiratory organs there are suffocative

attacks of breathing (in croup the child chokes in its coughing spells and there is much rattling).

It meets many cases of asthma and whooping-cough. Respiration with mucous rattle; expiration

in the morning, none in the evening; cough with expectoration during the day, none in the night

(in croup no expectoration at night but only in the daytime—with the suffocative coughing spells;

low, weak voice (Guernsey). There is a semi-paralytic condition of the rectum and bladder

somewhat like that of A/umina. The stools are passed with great difficulty even when clay-like

and soft. Fetid stools with a sour body-smell in children. Sour stools are also very marked in

diarrhoea; and this maybe noted along with the desire of Hepar for acid things. Micturition is

impeded; obliged to wait awhile before the urine passes, and then it flows slowly for many days.

Never able to finish urinating; it seems as if some urine always remains behind in bladder. Urine

drops vertically down. The urine is very acrid. There are complaints during micturition and after.

Nocturnal emissions. Escape of prostatic fluid at any time, and at stool. Affections of the sexual

organs occurring on the right side. Hepar is one of the great antipsorics. In his "Medicine of

Experience" Hahnemann speaks of the itch-like eruptions caused by Hepar and its corrective

properties in wool-worker's itch. It is suited to: The psoric, scrofulous, diathesis. Debilitated

• ▸subjects.
• ▸Great tendency to suppuration.
• ▸Strumous, outrageously cross children.
• ▸Torpid,

lymphatic constitutions; persons with light hair and complexion, slow to act, muscles soft and

flabby. Slow, torpid constitutions with lax fibre and light hair; great sensitiveness to slightest

contact of ulcers, eruptions and parts affected. (These conditions differ from the Su/ph. type:

lean, stoop-shouldered; unclean-looking, aversion to warmth.) The symptoms are: < in the night;

on awakening; when blowing the nose; from cold in general; in cold, dry weather; on single parts

of the body getting cold; from getting the skin rubbed off; on uncovering the head; from surgical

injuries in general; from lying on the painful side; from daylight; from pressure from without;

from abuse of Mercury; during sleep; when swallowing, particularly when swallowing food

(parts are so tender); while urinating; in clear, fine weather; in dry weather; in the least wind.

Symptoms are: > from wrapping up the head; from warmth in general; the, air being warm; in

damp and wet weather; from wrapping up the body warmly; by eating (a comfortable feeling

after eating is very characteristic). There is marked periodicity in Hepar: every day; every four

weeks (attack of paralysis); every four months (scabby eruptions on head); every winter

(whitlows); spring and autumn, bilious attacks. The bends of the elbows and popliteal spaces are

affected by Hep. In eye affections patient likes to have them covered /ightly. The following case

• ▸was cured by Hep.
• ▸after Su/.
• ▸and Calc.
• ▸had failed.
• ▸Pustular ophthalmia of left eye, > keeping eye

closely covered with some soft fabric, < mornings, > as day advanced. Pimples surround affected

eye.

• ▸Anguish in the evening and night, with thoughts of suicide.
• ▸The slightest cause irritates him.
• ▸Dejected and sad.
• ▸Ferocious.
• ▸Hasty speech.

Sadness and desire to weep.—Anguish and extreme apprehension, esp. in evening, and

sometimes suggesting suicide.—Ill-humour; dislike even to see friends.—Excessive

irritability—Vexation and passion, with hasty speech and excessive weakness of memory.—The

slightest cause irritates him and makes him extremely vehement.—A sort of furious spleen as

though one could murder a man in cold blood.—Anger; would have no hesitation in killing a man

who offended him, only he knows better.—Visions in the morning, in bed.

Tearing or paralytic pullings in the limbs, esp. in the morning on

walking.—Weakness in all the limbs.—Pains, as from excoriation or bruising on various places,

when they are touched.—Rheumatic pains in the limbs and shootings in the joints.—Arthritic

swellings, with heat, redness, and pains as from dislocation.—Swelling, inflammation, and

ulceration of the glands.—Appearance or aggravation of the pains at night, esp. during the

chills —Emaciation, sometimes with anguish, irritability, shiverings in the back, redness of the

cheeks, sleeplessness, &c.—Physical depression and trembling after smoking tobacco, or on

walking in the open air, with heat and anxiety.—Fainting fit, esp. in the evening, from moderate

pains.

• ▸Vertigo and headache, when shaking the head or riding.
• ▸Boring pain in the right temple and in root of nose every morning.
• ▸Scalp sensitive and sore.
• ▸Humid scald-head itching and burning.
• ▸Cold sweat on head.

Vertigo on moving the head, as well as from the motion of a carriage, or in the

evening, with nausea.—Sense of swashing in the head.—Vertigo, with loss of intellectual power,

and obscuration of sight.—Headache in the morning, excited by the slightest shock (< from every

contusion).—Headache at night, on moving the eyes; the forehead seems about to be torn

asunder.—Pain in the head, as if a nail were driven into it.—Boring headache from without to

within in r. temple; on one side of head; at root of nose, when waking from sleep; < by motion

and stooping.—Pressure in the head, semi-lateral, as from a plug or dull nail, at night and when

waking in the morning; < when moving the eyes and on stooping; > when rising and from

binding the head up tight —Pressure on the temples and on the vertex, with palpitation of the

heart in the evening.—Tension above root of nose.—Aching in the forehead, like a boil, from

midnight till morning.—Pain, as from ulceration, in the head, directly above the eyes, every

evening, or else at night, in bed.—Shootings in the head, esp. after having been in the open air,

and on stooping, or at night, as if the head were going to burst.—Piercing in the head, esp. at the

root of the nose, every morning.—Falling off of the hair, with very sore, painful pimples and

large bald spots on the scalp; sensitiveness of the scalp to contact, with burning and itching in the

morning after rising (after abuse of Mercury).—Cold sweat on the head.—Cold, clammy

perspiration, smelling sour, principally on the head and face, with aversion to be uncovered; <

from least exercise and during night; > from warmth and rest.—Disposition to catch cold when

uncovering the head.—Tuberosities on the head, with pain as of excoriation, on their being

touched; > from covering the head warm and from perspiration.—Humid scabs on the head,

feeling sore, of fetid smell; itching violently on rising in the morning and feeling sore on

scratching. —The head is bent backward, with swelling below the larynx, with violent pulsation of

the carotid arteries and rattling breathing (in croup).

• ▸Ulcers on cornea.
• ▸Iritis, with pus in anterior chamber; purulent conjunctivitis, with marked chemosis, profuse discharge, great sensitiveness to touch and air.
• ▸Eyes and lids red and inflamed.
• ▸Pain in the eyes, as if pulled back into the head.
• ▸Boring pain in upper bones of the orbits.
• ▸Eyeballs sore to touch.
• ▸Objects appear red and too large.
• ▸Vision obscured by reading; field reduced one-half.
• ▸Bright circles before eyes.
• ▸Hypopion.

Pain, as if the eyes were driven, or drawn back, into the head.—Painful and difficult

movement of the eyes.—Heat, pressure and shootings in the eyes.—Throbbing in and about the

eye.—Pressure in the eyes, as from a foreign body (sand).—Pain, as from ulceration, immediately

above the eye, every evening.—Inflammation of the eyes and of the eyelids, sometimes

erysipelatous, with pain as of a bruise, and of excoriation, on being touched.—Pimples above the

eyes, and on the eyelids.—Specks and ulcers on the cornea.—Nocturnal lachrymation and

agglutination of the eyelids.—Spasmodic closing of the eyelids (at night).—Eyes

• ▸prominent.
• ▸—Obscuration of the sight on reading.
• ▸—Photophobia by day, and by candle-light.
• ▸—The

eyes ache from the bright light of day, when moving them.—Confusion of sight, in the evening,

by candle-light, alternately with clearness of vision.—The objects appear to be red.

• ▸Scurfs on and behind the ears.
• ▸Discharge of fetid pus from the ears.
• ▸Whizzing and throbbing in the ears, with hardness of hearing.
• ▸Deafness after scarlet fever.
• ▸Pustules in auditory canal and auricle.
• ▸Mastoiditis.

Darting pain in the ears Shootings in the ears, on blowing the nose.—Detonation in

the ear, when blowing the nose.—Heat, redness, and itching in the ears.—Itching of the external

ear.—Discharge of pus from the ears, which is sometimes fetid—Scabs behind and on the

ears.—Hardness of hearing, with pulsations and buzzings in the ears, esp. in the evening in

bed.—Increase of cerumen.

• ▸Sore, ulcerated.
• ▸Soreness of nostrils, with catarrhal troubles.
• ▸Sneezes every time he goes into a cold, dry wind, with running from nose, later, thick, offensive discharge.
• ▸Stopped up every time he goes out into cold air.
• ▸Smell like old cheese.
• ▸Hay-fever (Hepar 1x will often start secretions and profuse drainage in stuffy colds).

Inflammation, redness, and swelling of the nose.—Pain, as of a bruise, and of

excoriation in the nose, on its being touched —Burning pain, as from ulceration and scabs in the

nostrils.—Epistaxis, in the morning, and after singing. —Want of, or increased power of

smell.—Coryza, chiefly on one side, with roughness in the throat, inflammatory swelling of the

nose, fever, or painful weariness in all the limbs.

• ▸Yellowish complexion.
• ▸Middle of lower lip cracked.
• ▸Vesicular erysipelas, with pricking in parts.
• ▸Neuralgia of right side, extending in streak into temple, ear, alae, and lip.
• ▸Pains in bones of face, especially when being touched.
• ▸Ulcers in corners of mouth.
• ▸Shooting in jaw on opening mouth.

Face yellow, with blue circles round the eyes.—Face burning, and of a deep

red.—Nocturnal heat of face —Erysipelatous inflammation and swelling of the face and cheeks,

with pricking tension, and eruption of vesicles.—Drawing and tearing pains, commencing from

the cheeks, and extending to the ears and the temples. —Pains in the bones of the face, on the

parts being touched.—Pimples on the forehead, which disappear in the open air.—Swelling of the

lips, with tension and pains on touching them.—Eruption at the corners of the mouth.—Ulcer in

the corner of the mouth.—Ulceration at the commissure of the lips——The middle of the lower lip

becomes chapped.—Blisters (boils) on the lips, chin, and neck, painful on being

touched.—Eruption on the face, scurfy, very painful to the touch.—Vesicles on the

chin.—Shootings in the articulation of the jaw, on opening the mouth.

Ptyalism. Gums and mouth painful to touch and bleed readily.

Accumulation of water in the mouth.—Salivation, hawking up of mucus.—The tip of

the tongue is very painful and feels sore—Speech hoarse and precipitate.

Odontalgia, with starting and drawing pains, < by closing the teeth, by eating, and ina

hot room.—Looseness of the teeth —The hollow teeth feel too long.—Swelling and inflammation

of the gums, which are painful when touched.—Ulcer on the gums and in the mouth, with a base

resembling lard—The gums and mouth bleed readily.

Sore throat, as if there were a peg in it, or an internal tumour.—Painful scraping in

the throat, with difficulty in speaking and in swallowing the saliva—Hawking up of

mucus.—Shootings in the throat, and even into the ears, as from splinters, on swallowing,

coughing, breathing, and on turning the head.—Violent pressure on the throat, with danger of

suffocation.—Deglutition impeded and almost impossible, without great efforts.—Dryness in the

throat.—Swelling of the amygdale.

• ▸When swallowing, sensation as if a plug and of a splinter in throat.
• ▸Quinsy, with impending suppuration.
• ▸Stitches in throat extending to the ear when swallowing.
• ▸Hawking up of mucus.

• ▸Longing for acids, wine, and strong-tasting food.
• ▸Aversion to fat food.
• ▸Frequent eructations, without taste or smell.
• ▸Distention of stomach, compelling one to loosen the clothing.
• ▸Burning in stomach.
• ▸Heaviness and pressure in stomach after a slight meal.

Loss of appetite —Bitterness of the mouth and of food.—Earth-like and bitter taste

in the throat, with natural taste of food.—Violent thirst Unusual hunger in the

forenoon.—Bulimy.—Desire only for acids, wine, sour and strong-tasting substances, or highly

seasoned things.—Dislike to fat—Desire for wine.

Risings, with burning sensation in the throat—Burning in the stomach.—Attacks

of nausea, sometimes with cold and paleness.—Nausea, with inclination to vomit in the

morning.—Acid, bilious, greenish, or mucous and sanguineous vomitings.—Frequent and easy

derangement of the stomach.—Pressure at the stomach, even after eating very little —Pressure in

stomach, as if lead were in it—Swelling in the region of the stomach, with pressive

pains.—Pressure, inflation and sensation, as if there were Something weighing heavily on the

epigastrium, with inability to continue seated, and to endure tight clothes.

Stitching in region of liver when walking, coughing, breathing, or touching it (Bry; Merc). Hepatitis, hepatic abscess; abdomen distended, tense; chronic abdominal affections.

Shootings in the region of the spleen.—Splenetic stitches when

• ▸walking.
• ▸—Shootings in the hepatic region, esp.
• ▸when walking.
• ▸—Pain, from a bruise in the in the

morning.—Cramps and contractive pains in the abdomen.—Sensation of violent clawing in the

umbilical region, with nausea, anxiety, and heat of the cheeks.—Cutting pains.—Pain, as from

• ▸ulceration in the abdomen.
• ▸—Shootings in abdomen, esp.
• ▸on |.
• ▸side.
• ▸—Swelling and suppuration of

• ▸the inguinal glands (buboes).
• ▸—(Rumbling in the abdomen.
• ▸).
• ▸—Incarceration and difficult emission

of flatus, esp. in the morning.

Clay-colored and soft. Sour, white, undigested, fetid. Loss of power to expel even a soft stool.

Constipation; hard and dry feeces.—Difficult emission of scanty and soft

excrement, with urgent want, and tenesmus.—Diarrhcea of feculent matter with cutting

• ▸pains.
• ▸—Whitish diarrhoea, of an acidulous smell, esp.
• ▸in children.
• ▸—Dysenteric evacuations,

greenish, or of a clay-colour, with evacuation of sanguineous mucus.—After the evacuation, pain,

as of excoriation, and sanious discharge from the anus——Heemorrhage from rectum, with soft

stool.—Burning at the rectum.—Protrusion of hemorrhoidal pimples from the

rectum.—Perspiration at the perineum.

Urine slow and turbid, with whitish sediment.—The urine is passed

slowly, with difficulty; drops out perpendicularly.—Abundant secretion of pale urine, with

pressure on the bladder.—Acrid, corrosive (corroding the prepuce), or pale and watery, or deep-

red, and hot urine.—Nocturnal emission of urine—Wetting the bed (at night).—Emission of blood

after urination.—Burning in the urethra during micturition.—Stitches in the urethra——Redness and

inflammation of the orifice of the urethra.—Discharge of mucus from the urethra.

• ▸Voided slowly, without force-drops vertically, bladder weak.
• ▸Seems as if some always remained.
• ▸Greasy pellicle on urine.
• ▸Bladder difficulties of old men (Phos; Sulph; Copaiva).

• ▸Discharge of blood from uterus.
• ▸Itching of pudenda and nipples, worse during menses.
• ▸Menses late and scanty.
• ▸Abscesses of labiae with great sensitiveness.
• ▸Extremely offensive leucorrhoea.
• ▸Smells like old cheese (Sanicula).
• ▸Profuse perspiration at the climacteric (Tilia; Jaborandi).

Excoriation of the vulva, and between the thighs.—Congestion of

• ▸blood to the uterus.
• ▸—Irritation of ovaries (1.
• ▸); with swelling; and great sensitiveness.
• ▸—Discharge

of blood between the periods, with inflation of the abdomen.—Catamenia too long delayed, and

diminished.—Leucorrheea, with smarting at the vulva.—Cancerous ulcer on the breast, with

stinging-burning of the edges, smelling like old cheese.—Itching nipples.

• ▸Herpes, sensitive, bleed easily.
• ▸Ulcers externally on prepuce similar to chancre (Nitr acid).
• ▸Excitement and emission without amorous fancies.
• ▸Itching of glans, fraenum, and scrotum.
• ▸Suppurating inguinal glands.
• ▸Figwarts of offensive odor.
• ▸Humid soreness on genitals and between scrotum and thigh.
• ▸Obstinate gonorrhoea "does not get well".

Weakness of the genital parts —Itching of the penis (glans,

freenulum).—Smarting, excoriation, and oozing, between the thigh and the scrotum.—Cancerous

ulcer on the prepuce.—Painful, cramp-like, and tensive erections.—Absence of sexual desire and

of erections.—Erections without energy, during coition.—Excitement of the genital parts, as if for

emission.—Flow of prostatic fluid, esp. after making water, and during a difficult evacuation.

• ▸Loses voice and coughs when exposed to dry, cold wind.
• ▸Hoarseness, with loss of voice.
• ▸Cough troublesome when walking.
• ▸Dry, hoarse cough.
• ▸Cough excited whenever any part of the body gets cold or uncovered, or from eating anything cold.
• ▸Croup with loose, rattling cough; worse in morning.
• ▸Choking cough.
• ▸Rattling, croaking cough; suffocative attacks; has to rise up and bend head backwards.
• ▸Anxious, wheezing, moist breathing, asthma worse in dry cold air; better in damp.
• ▸Palpitation of heart.

Hoarseness.—Pain and great sensitiveness (to cold) of the larynx, with

weak and rough voice, emaciation, hectic fever, and sleeplessness.—Rattling breathing (during

• ▸sleep).
• ▸—Swelling below the larynx.
• ▸—Roughness in the throat.
• ▸—Croup, with swelling under the

larynx.—Permanent pain in the larynx, < by pressure, speech, coughing, and

breathing. —Weakness of the organs of speech, and of the chest, causing a hindrance to speak

loud.—Cough, excited by irritation or pain in the larynx.—Titillation as from dust in the throat,

inducing cough, which is deep, wheezing, with expectoration, only in the morning, of mucus,

bloody, or like pus, generally tasting sour or sweet.—Cough, deep and dull, excited by difficulty

of respiration.—Suffocating, violent cough, with retching.—Cough, similar to whooping-

cough.—Cough after drinking.—Dry cough, in the evening, on taking cold in any part of the body,

or when lying on the bed.—Cough worse from evening till midnight.—Cough caused by a limb

getting cold; from eating or drinking anything cold; from cold air; when lying in bed; from

talking, crying. —Attacks of dry, rough, and hollow cough, with anguish and suffocation, often

ending in lachrymation.—Barking cough.—Cough, with spitting, of blood—Cough, with abundant

expectoration of mucus.—Ringing, and pain in the head during the cough, as if it were going to

burst.—Sneezing after the cough —Bronchitis.

Anxious, hoarse, wheezing respiration, with danger of suffocation on lying

down.—Soreness in the chest.—Attacks of suffocation, which force the patient to throw back the

• ▸head.
• ▸—Shortness of breath.
• ▸—Weakness of the chest; cannot talk from weakness.
• ▸—Tenacious

mucus in the chest.—Spasmodic constriction of the chest—Frequent want to breathe deeply, as

after running.—Shootings in the chest on breathing and walking.—Pimples and furunculi on the

chest, with lancinations, and pain as of excoriation on the part being touched.

Violent palpitation of the heart, with fine stitches in the heart and I. half of

chest.—Irritability of the heart.

Swellings on the neck, painful when touched.—Violent pulsation of the

carotid arteries.—Burning, shooting pain in the region of the loins —Pain, as from a bruise in the

loins, extending to the thighs.—Shootings and pulling in the back, between the shoulder-blades

and in the muscles of the neck.—Stitches and rheumatic pains in the back.—Nocturnal tension in

the back, on turning in bed.—Fetid sweat under the armpits ——Suppuration of the axillary glands.

Pain, as from a bruise, in the bones of the arm (humeri).—Arthritic swelling

of the hand, of the fingers, and of the joints of the fingers, with heat, redness, and pain, as of

dislocation during movement.—Skin of the hands cracked, rough and dry.—Granulated eruption

on the hands and on the wrists.—Nettle-rash on the hands and on the fingers.—Cold perspiration

• ▸of the hands.
• ▸—Tingling in the tips of the fingers.
• ▸—Itching in the palms of the hands.
• ▸—Steatoma at

• ▸the point of the elbow.
• ▸—Easy dislocation of the fingers.
• ▸—Fingers dead.
• ▸—Panaris.

Pain in the buttocks on sitting down.—Furunculi on the buttocks.—Pain, as

from a bruise, on the thighs.—Painful tension in the thighs, which prevents sleep.—Frequent

sudden lassitude of the limbs, when walking —The hip-joint feels sore, as if sprained when

• ▸walking.
• ▸—Pain as from bruises in the knee.
• ▸—Prickings in both heels.
• ▸—Tingling in the

• ▸toes.
• ▸—Burning, stinging pain in the toes.
• ▸—Swelling of the knees.
• ▸—Cramps in the calves of the

legs, the soles of the feet, and the toes.—Feet burning.—Swelling of the feet, and in the ankle-

bones, with difficulty of respiration.—Red, rheumatic swelling in the ankle-bones, with pain,

which increases at night.—Cracks in the feet—Shootings in the corns.

Finger-joints swollen; tendency to easy dislocation. Nail of great toe painful on slight pressure.

• ▸Abscesses; suppurating glands are very sensitive.
• ▸Papules prone to suppurate and extend.
• ▸Acne in youth.
• ▸Suppurate with prickly pain.
• ▸Easily bleed.
• ▸Angio-neurotic oedema.
• ▸Unhealthy skin; every little injury suppurates.
• ▸Chapped skin, with deep cracks on hands and feet.
• ▸Ulcers, with bloody suppuration, smelling like old cheese.
• ▸Ulcers very sensitiveto contact, burning, stinging, easily bleeding.
• ▸Sweats day and night without relief.
• ▸"Cold-sores" very sensitive.
• ▸Cannot bear to be uncovered; wants to be wrapped up warmly.
• ▸Sticking or pricking in afflicted parts.
• ▸Putrid ulcers, surrounded by little pimples.
• ▸Great sensitiveness to slightest touch.
• ▸Chronic and recurring urticaria.
• ▸Small-pox.
• ▸Herpes circinatus.
• ▸Constant offensive exhalation from the body.

Erysipelatous inflammations, even with swelling and vesicles.—Y ellowish colour of

the skin, esp. on the face, with yellowish colour of the sclerotica, and urine red like

blood.—Jaundice, with much itching —Burning itching in the body, with white vesicles after

scratching.—Nettle-rash.—Eruption of pimples and tubercles, painful to the touch—Unhealthy

skin; every injury tends to suppuration and ulceration.—Promotes suppuration.—Cracks in the

skin.—Putrid ulcers, smelling like old rotten cheese, and easily bleeding, with shootings,

sensation of gnawing (esp. at night), or with burning and pulsative pains.—Cancerous

• ▸ulcers.
• ▸—Suppurations; esp.
• ▸after previous inflammations.
• ▸—Panaris.
• ▸—Caries.

Strong desire to sleep, morning and evening, with convulsive yawning.—Unquiet

sleep, with the head turned back.—Prolonged sleep with stupefaction, as in

lethargy.—Sleeplessness, caused by a great flow of ideas——Dreams of fire, sickness, danger,

guns, &c.—At night, gastric sufferings, headache, agitation, starting of the limbs, and dry

heat.—Starts at night, during sleep, as from want of air, with tears and great anguish —Wakes at

night with an erection and an urgent desire to urinate-—The side on which he lies at night

becomes painfully sore; he must change his position.

Chilly in open air or from slightest draught. Dry heat at night. Profuse sweat; sour, sticky, offensive.

Pulse hard, full, accelerated; at times intermitting —Shuddering and shivering, esp. in

the open air.—Shiverings, with chattering of the teeth and coldness in the hands and feet,

followed by heat and sweat, esp. on chest and forehead, with little thirst—Chill in the evening, 6

• ▸or 7 p.
• ▸m.
• ▸—Chilliness and heat alternating during the day, with photophobia.
• ▸—Chilliness at night;

in bed aggravating all the symptoms.—Bitterness in the mouth, afterwards shivering with thirst;

an hour after, heat with sleep, after which, vomiting and cephalalgia.—Dry heat at night.—Flushes

of heat with sweat——Burning, feverish heat, with redness of the face and violent thirst.—Strong

disposition to perspire in the daytime, on the least effort, and on the least movement.—Profuse

perspiration day and night—Perspiration easily excited through the day, esp. from exertions of

• ▸the mind.
• ▸—Nocturnal sweat.
• ▸—Sweat in the morning.
• ▸—Night and morning sweat, with

thirst—Viscid acid sweat.—Cold, clammy, or sour or offensively smelling

perspiration.—Intermittent fever; first chills, then thirst, and, an hour later, much heat, with

interrupted sleep.

• ▸Abscess.
• ▸Amaurosis.
• ▸Angina pectoris.
• ▸Appetite, disordered.
• ▸Asthma.
• ▸Axilla, abscess

• ▸in.
• ▸Beard, eruptions of.
• ▸Blepharitis.
• ▸Boils.
• ▸Breast, affections of.
• ▸Bronchitis.
• ▸Bubo.
• ▸Burns.

• ▸Carbuncle.
• ▸Caries.
• ▸Chilblains.
• ▸Chlorosis.
• ▸Cold.
• ▸Constipation.
• ▸Consumption.
• ▸Cornea, ulceration

• ▸of; opacity of.
• ▸Cough.
• ▸Croup.
• ▸Diaphragmitis.
• ▸Diarrhcea.
• ▸Ear, affections of; polypus of.
• ▸Eczema.

• ▸Emphysema.
• ▸Erysipelas.
• ▸Eyes, affections of.
• ▸Fester, tendency to.
• ▸Glandular swellings.

• ▸Hemoptysis.
• ▸Hemorrhoids.
• ▸Headache.
• ▸Hectic.
• ▸Herpes preputialis.
• ▸Hip-joint disease.

• ▸Hoarseness.
• ▸Jaundice.
• ▸Joints, affections of.
• ▸Laryngitis.
• ▸Leucorrheea.
• ▸Lips, swollen.
• ▸Liver,

• ▸affections of.
• ▸Lungs, affections of.
• ▸Lupus.
• ▸Marasmus.
• ▸Menorrhagia.
• ▸Mouth, sore.
• ▸Nipples, sore.

• ▸Ovaries, affections of.
• ▸Parametritis.
• ▸Pleurisy.
• ▸Pneumonia.
• ▸Pregnancy, sickness of.
• ▸Pruritus

• ▸mercurialis.
• ▸Pylorus, affections of.
• ▸Quinsy.
• ▸Rhagades.
• ▸Rheumatism.
• ▸Scarlatina.
• ▸Scrofula.
• ▸Skin,

• ▸affections of.
• ▸Spinal irritation.
• ▸Stye.
• ▸Suppuration.
• ▸Syphilis.
• ▸Tenesmus.
• ▸Throat, sore.
• ▸Urticaria.

Wens. Whitlow. Whooping-cough.

• ▸Antidoted by: Acet.
• ▸ac.
• ▸, Bell.
• ▸, Cham.
• ▸, Sil.
• ▸/t antidotes: Metals, and especially

• ▸mercurial preparations, Nit.
• ▸ac.
• ▸, Calc.
• ▸, Iod.
• ▸, Kali iod.
• ▸, Cod-liver-oil.
• ▸It removes the weakening

• ▸effects of Ether.
• ▸Compatible with: Aco.
• ▸, Arn.
• ▸, Bell.
• ▸, Lach.
• ▸, Merc.
• ▸, Nit.
• ▸ac.
• ▸, Sil.
• ▸, Spo.
• ▸, Zinc.

• ▸Complementary to: Calend.
• ▸in injuries.
• ▸Compare: In > from warmth: Ars.
• ▸, Calc.
• ▸, Nux v.
• ▸, Nux

• ▸mos.
• ▸, Pso.
• ▸, Sil.
• ▸, Mag.
• ▸m.
• ▸In aversion to be washed Ant.
• ▸c.
• ▸, Clem.
• ▸, Rhus, Sep.
• ▸, Spi.
• ▸, Sul.
• ▸In

• ▸aversion to be touched Ant.
• ▸c.
• ▸, Ant.
• ▸t.
• ▸, Cin.
• ▸, Sil.
• ▸, Thu.
• ▸In irritable heart: Cact.
• ▸, Pho.
• ▸In

• ▸suppuration: Sil.
• ▸, Luet.
• ▸(succession of abscesses), Calc.
• ▸s.
• ▸, Merc.
• ▸Every little scratch suppurates:

• ▸Merc.
• ▸, Cham.
• ▸, Sil.
• ▸, Lyc.
• ▸Cries during cough: (Arn.
• ▸, before and after; Bell.
• ▸after), Sharp splinter

• ▸or fish-bone sensation: Arg.
• ▸n.
• ▸, Nit.
• ▸ac.
• ▸, Sil.
• ▸, Fl.
• ▸ac.
• ▸, Merc.
• ▸, Alm.
• ▸Hasty speech and actions: Bell.

• ▸(hasty speech, hasty drinking), Lach.
• ▸, Dulc.
• ▸, Sul.
• ▸Little pimples round eye: Euphras.
• ▸, Phos.

• ▸Croup: Aco.
• ▸(Hep.
• ▸follows Aco.
• ▸; Aco.
• ▸is anxious, high fever, distressed breathing); Spo.
• ▸(dry,

hard cough; little or no expectoration; starts from sleep choking, < before midnight; Hep. <

• ▸after); Bro.
• ▸, lod.
• ▸Constipation: Alm.
• ▸, Bry.
• ▸, Nux, Nat.
• ▸c.
• ▸Sour stools: Mag.
• ▸c.
• ▸, Calc.
• ▸, Rhe.
• ▸Pains =

• ▸fainting: Cham.
• ▸, Val.
• ▸, Verat.
• ▸Sensitiveness of ulcers, &c.
• ▸: Lach.
• ▸(absence of sensitiveness,

• ▸Graph.
• ▸).
• ▸Teste puts Hep.
• ▸in his Pulsatilla group with Sil.
• ▸, Calc.
• ▸, Graph.
• ▸, and Phos.

Antidotes: Bellad; Cham; Sil.

Compare: Acon; Spongia; Staphis; Silica; Sulph; Calc sulph; Myristica. Hepar antidotes bad effects from Mercury, Iodine, Potash, Cod-liver oil. Removes the weakening effects of ether.

First to 200th. The higher potencies may abort suppuration, the lower promote it. If it is necessary to hasten it, give 2x.

The Hepar patient is chilly. He is sensitive to the cold and wants

an unusual amount of clothing when in cold air. He wants the sleeping room very warm and can endure much heat in the room, many

degrees warmer than a healthy person ordinarily desires. He has no

endurance in the cold and all his complaints arc made worse in the

cold. If he becomes cold in sleep his complaints come on ; or if he

is out in the cold, dry wind, compltints come on ; inflammatory and

rheumatic complaints appear. The exposure of hand or foot at night

in hed brings on symptoms. He wints the covers drawn close about

the neck when in bed.

This patient is also oversensitive to impressions, to surroundings

and to pain. What with an ordinary person would only be an ache or

disagreeable sensation becomes with Hepar an intense suffering. But

the pains of Hepar may be very severe, very sharp. Inflamed spots,

eruptions, boils or suppurations are full of sharp pains. This is so

intense that it is described at times as a sticking and jagging like sharp

sticks. The pains in ulcers arc often felt like sticks ; intense and sharp

as if sticks were jagging the ulcer. This sensation is often expressed

by the patient suffering from sore throat. He feels as if he had

swallowed a fish bone or stick. This is in keeping with the general

character, because it is present everywhere, in inflammations, ulcers,

pustules, boils and eruptions ; all seem to have sticks in them or something jagging. Eruptions are sensitive to touch. This accords with

the oversensitiveness of the nerves found everywhere. The Hepar

patient faints with pain, even from slight pain.

This remedy belongs to patients that are called delicate, that are

oversensitive to impressions. The mind takes part in this oversensitiveness and manifests itself by a state of extreme irritability. Every

svtpmm

little thing that disturbs the patient makes him intensely angry, abusive

and impulsive. The impulses will overwhelm him and make him wish

to kill his best friend in an instant. Impulses also that are without

cause sometimes crop out in Hepar. A man may have a sudden impulse to stab his friend. A barber has an impulse to cut the throat

of his patron while in the chair. Mothers may have an impulse to

throw the child into the fire or an impulse to set herself on fire ; an

impulse to do violence and to destroy. These symptoms increase to

insanity and then the impulses are often carried out. It becomes a

mania to set fire to things.

In contrast with Hepar (although Hepar is a form of Calcarea),

• ▸Calc.
• ▸carb.
• ▸has no such tearing down nature in it.
• ▸It does not establish inflammation around foreign bodies and tend to suppurate them

but, but causes a fibrous deposit around bullets and other foreign sub*

The patient is quarrelsome^ hard to get along with ; nothing pleases ;

everybody disturbs; oversensitiveness to persons, to people and to

places. He desires a constant change of persons and things and surroundings and each new surrounding or person or thing again displeases and makes him irritated. With this irritability of temper and

physical irritability there is a tendency to suppuration in parts. Localized inflammations incline to suppurate, especially in glands and

cellular tissue do we have suppuration and ulcers. The glands of the

neck, axilla and groin and the mammary glands swell, become hard

and suppurate. First the hard swellings with the feeling as if they

had sticks jagging in them, then it becomes highly inflamed and red

over the part and ultimately it suppurates, discharges and heals slowly.

The bone even suppurates and takes on necrosis and caries. Felons

around the root of the nail and ends of the fingers. The nail suppurates and loosens and comes off. Sensation of splinters under the

nails, even when they do not suppurate. The nails become hard and

brittle. Warts crack open and bleed, sling and burn and suppurate.

Hepar is especially useful in felons in such a constitution as described,

but sometimes you will have nothing more than the fact that the

patient is a scrawny, chilly patient, who is always taking cold and subject to felons. I have often had to give Hepar on no better information and have known it to stop the tendency to felons. It also competes with Silica,

The patient is often scrawny, and has a tendency to enlargement of

glands. The lymphatic glands are generally hard and enlarged.

ITiey are chronically enlarged without suppuration, and at any cold

that comes on some particular gland may suppurate.

The catarrhal state is general. There is no mucous membrane

exempt, but especially do we have catarrh of the nose, cars, throat,

larynx and chest. The Hepar patient is subject to coryza. In some

instances the colds settle in the nose and then there will be much discharge, with sneezing every time he goes into a cold wind. The cold

winds bring on sneezing and running from the nose, first of a watery

character and finally ending in a thick, yellow, offensive discharge.

SO3

These offensive discharges smell like decomposed cheese, and this characteristic runs through the remedy. The discharges from all parts of

the body smell like old cheese. The discharges from ulcers are offensive, and have a decomposed, cheesy smell. It has discharges running

through it also that smell sour, and this is also a general because it

modifies all things that can be sour. The babies arc always sour in

spite of much washing. Or it may he noticed by the members of the

family that one of the family always smells sour, has a sour perspiration. The discharges from ulcers are sour, and also discharges from

mucous membranes. The discharge from the nose becomes copious,

and causes ulceration in patches. The throat has a catarrhal condition ; the whole pharynx is in a catarrhal state with copious discharge.

Throat extremely sensitive to touch ; pain as if full of splinters ; pain

on swallowing. The larynx also is painful on talking ; painful as a

bolus of food goes down behind the larynx, and painful to touch with

the hand. There is a loss of voice, and a dry, hoarse bark in adults,

especially in the mornings and evenings. Every time he goes out in

the dry, cold wind, he becomes hoarse, loses the voice and coughs. It

is a dry, hoarse, barking cough. Inspiring cold air will increase the

cough and putting the hand out of bed will increase the pain in the

larynx or cough. Putting the hand or foot out of bed brings a general

aggravation of all the complaints of Hepar. Putting the hand out of

bed accidentally when sleeping will bring on cough, and cause sneezing.

The larynx has its catarrhal statc^ and in oversensitive children this

catarrhal state becomes a croup. Sensitive children that are exposed

during the day in a cold, dry wind, or cold air, come down next morning with a violent attack of croup. The Hepar croup is worse in the

morning and in the evening ; evening until midnight. Sometimes cases

that at first call for Aconite run into Hepar. The /Icon, croup comes

on with great violence, worse in the evening before midnight. The

child wakes up from its first sleep with a hoarse, barking croup. A

dose of Aocnite may prove entirely sufficient ; or it may be only a palliative. The child goes to sleep and along towards morning, or at least

sometime after midnight, there is another attack, which shows that

Aeon, was not sufficient. Such a case will be controlled by Hepar.

When the croup comes on after midnight and the child wakes up

frightened, suffocating, rouses up in bed with a dry, hoarse and ringing cough, which rings like a dry whoop, then Spongia will nearly

always be the remedy, and again if Spongia palliates it and it is not

sufficiently deep and there is a morning aggravation which shows that

the trouble is returning Hepar follows. Aeon., Hepar and Spongia

are closely related to each other and they are truly great croup

remedies.

Dry, paroxysmal cough from evening until midnight and sometimes

lasting all night, with choking, gagging and Grouping ; some loose

coughing in the daytime ; rawness and scraping the larynx ; worse in

cold air or uncovering hand or foot in bed.

The catarrhal state is sometimes lower down in the trachea, and the

trachea becomes extremely sore from much coughing. The patient

has been coughing days and weeks and has the morning and evening

aggravations ; a rattling, barking cough with great soreness of the chest

in an oversensitive and chilly patient. The cough is attended with

choking and gagging, even to vomiting ; it is worse in the cold air,

and from putting the hand out of bed. He coughs and sweats. There

is much sweating the whole night, without relief. Sweating all night

without relief belongs to a great many complaints of Hepar. He

sweats easily, so that with the cough and on the slightest exertion he

is fairly drenched with perspiration.

It has catarrhal affections of the ear. A sudden inflammation comes

on in the middle ear, an abscess forms, the drum of the ear ruptures

and there is a bloody discharge and sticking, tearing pains in the inflamed ear. There is first a sensation of stopping up of the ear, then

bursting and pressure in the ear, and then perforation of the drum.

There is also an inflammatory condition causing a discharge that is

foetid, or a bloody yellow, purulent discharge, thick, with cheesy particles and smelling like old cheese.

Hepar sometimes is bad on the oculist. When it is indicated, it

cures eyes very quickly, so that the oculist does not have a very long

case and it does away with the necessity for washes in the hands of

the specialist. From the eyes we have the same offensive thick, purulent discharge. Inflammation of the eyes attended with little ulcers.

Ulcers of the cornea, granulations, bloody, offensive discharge from

the eyes. The eyes look red, the iids are inflamed, the edges are turned

out and the margin of the lids become ulcerated. In all sorts of socalled scrofulous affections, the eye conditions may be covered by

Hepar when the constitutional state is present. The constitutional

state of the patient is the only guide to the remedy. Many times the

eye symptoms are nondescript. You have only an inflamed eye with

catarrhal discharge, and for this you could give a large number of the

anti-psorics ; but when you go into the state of the patient and find

these general symptoms, then this remedy will cure. The general

symptoms mil guide to the remedy that will cure the eyes. You will

see that the specialist for the eyes is often limited unless he knows

how to secure all the symptoms of the patient and selects the remedy

upon the totality of the symptoms.

There are other catarrhal conditions. Catarrh of the bladder, with

purulent discharges in the urine and copious muco-purulent deposits.

Ulcers of the bladder. The walls of the bladder become hardened,

SOS

80 that it has almost no power to expel its contents, and the urine

passes in a slow stream or in drops, or in the male the stream falls

down perpendicularly. No ability to expel the urine with force. It

is a paresis. There is burning in the bladder and frequent, almost

constant, urging to urinate. It has also a catarrhal state of the urethra

that resembles gonorrhoea, and it has been a very useful remedy in

chilly patients with glcety discharge of long standing. Thick discharge of a white, cheesy character. Ulcers and little inflammatory

spots along the urethra. There is a sticking sensation here and there

along the urethra and when passing urine a sensation of a splinter in

the urethra. Copious leucorrhoea with the same offensive, cheesy

smell. The leucorrhoea is so copious that she is compelled to wear

a napkin, and the napkins, I have been told by women who have been

cured by Hepar, are so offensive that they must be taken away and

washed at once because the odor permeates the rooms. This horribly

offensive odor that is so permeating is often cured by Kali phos. It

has really one of the most penetrating of odors, so much so that when

a woman suffers from this leucorrhoea the odor can be detected when

she enters the room.

A very important sphere for Heper is after mercurialization. Many

old people are walking the street at the present day who have been

the victims of Calomel, who have been salivated, who have taken blue

pill for recurrent bilious spells, to ‘tap the liver," until finally they

get into a state of chilliness felt, aa it were, in the bone. They sweat

much about the head, they ache hi the bones, and every change of

weather to cold, and every cold, damp spell affects them. They are

like barometers. Heper is the remedy for that state. They go into

diseases of the bone easily and arc always shivering. While they have

periods of aggravation from warmth, as a general rule they are chilly

subjects, and feel the cold easily. In the more acute affections of

Mercury there is an aggravation from the warmth of the bed, but the

old subjects who have been years ago poisoned with it get almost bloodless, and they become chilly ; they cannot get clothing enough to keep

them warm, ^hey become withered and shrivelled, and have rheumatic affections about the joints. Then it is that the symptoms of

Hepar agree and it becomes a valuable antidote to that state of mercurialization. Hepar is also a complement and antidote to potentized

Mercury. When Merc, has been administered and has done all it can

do as a curative remedy, or when it has acted improperly and has somewhat mixed up the case and it is necessary to follow it with the natural

complement or antidote and prepare for another series, Hepar is to be

thought of as one of the natural followers of Merc. It is well known

that Merc, is not followed well by Silica. Sil. does not do useful

work when Merc, is still acting or has been acting. This is the time

S!o6,

HEPAR SXn,PHURthat Hepar becomes an intercurrent remedy. Sil. follows well after

Hepar, and Hepar follows well after Merc., and thus Hepar becomes'

an intercurrent in that series.

In old syphilitic cases when the symptoms agree Hepar is a very

full and complete remedy. It corresponds to the majority of symptoms of syphilis, and it only needs to correspond to the symptoms of

the individual patient when he is syphilitic to be indicated. Thus in

old cases who have been mercurialized, who have had the symptoms

suppressed so that the disease is latent and ready to crop out at any

time, Hepar will come in and have a decided eftect upon the syphilis

and upon the mercury. It will straighten matters out and cause a

development that will lead to clear prescribing. In this relationship

to syphilis and mercury Hepar is closely allied to Staph., Asaf., Nit.

acid, Sil., etc. Especially Hepar the remedy in those cases of syphilis

where great quantities of mercury have been taken, until it is no

longer able to suppress the symptoms of the disease ; in old cases when

the syphilitic miasm attacks the bones of the nose and they sink in,

or a great ulceration takes place ; those cases you sometimes see walking around the street, with a big patch over the nose or over the opening that leads down into the nasal cavity. When there is severe pain

in the region of the nasal bones, the bridge of the nose is so sensitive

that it cannot be touched and in the root of the nose there is a sensation as if a splinter were sticking in. For offensive discharge fromi

the nose, foetid ozsena in an old case, which has been mercurialized,

who is chilly in his very bones, think of Hepar. It has cured many

such cases ; it has healed up the ulcers ; it has cured the catarrhal state,

and it has hastened the healing up of the portions of diseased bone,

by hastening the suppuration and has returned the patient to an orderly

state.

As we go into the syphilitic affections that lead into the throat, we

find ulcers of the soft palate which eat away the uvula, small ulcers

which finally unite and destroy the soft palate and then commence

to work upon the osseous portion of the roof of the mouth. The odor

that comes from that mouth when it is opened to show the throat is

extremely offensive ; very often like spoiled cheese. The medicines that

are especially related, or especially useful in this form of ulceration in

• ▸old syphilitics, will be Kali bi.
• ▸Lack.
• ▸, Merc, cor.
• ▸, Merc, and Hepar,

but in those syphilitic cases that have been mercurialized Hepar and

PJitric add should be thought of. Nitric acid is very closely related

to Hepar ; it is just as chilly ; it has the sensation of sticks in the throat

and; in inflamed parts. It has fine ulcers in the throat, upon the tonsils

and in the larynx. Nitric acid competes with Hepar . You think of

the two together. Both have sensation of a fish bone or stick in the

throat.

y>r

Hie cartilages of the larynx become attacked in syphilitic affections

and old mercurial affections. When the case is not of syphilitic origin

but is of sycotic origin, small or large white gelatinous polypi form

in the larynx and they are sore, causing loss of voice, or cracked voice ;

when they cause choking or uneasiness, Hepar is one of the remedies.

• ▸Hepar, Cak.
• ▸^ Arg.
• ▸nit and Nit.
• ▸ac.
• ▸and sometimes Thuja are the

remedies related to such conditions.

Again, in the earlier syphilitic manifestations, the chancre has the

feeling of a stick in it ; then comes the formation of a bubo that may

be either non-suppurative or a suppurating gland, associated with a

chancre or a harmless ulcer upon the penis. These conditions are

often indications for Hepar, when the constitutional state is present.

Hepar has also sycotic warts. It is useful in old cases of gleet ; also

when there is a sensation of a splinter in the urethra. In strictures

and constrictions of inflammatory character during the inflammation

there is a tendency to ulcerate, and with this the sensation of a stick

• ▸is felt.
• ▸Arg.
• ▸nit.
• ▸Nit, ac.
• ▸and Hepar run close together for this kind

of inflammation, and will cure the inflammatory stricture before it

becomes a complete and permanent fibrinous stricture. It is only very

rarely that you will be able with your medicines to cure a stricture

after it has taken on permanency, after it is many years old, but as

long as the inflammation keeps up there is hope. I remember one

very old one that was cured by ^pia. I did not know at first of its

presence, but prescribed Sepia on the symptoms of the case, and the

patient came back with great suflfering in the urethra, and then con*

fessed to me that he had had gonorrhoea and had been troubled for

years with a stricture. That inflammation was aroused anew and

after it ran its course it really left the passage clear and there was

never any more trouble with the stricture. That was a very unusual

result. I have many times prescribed for patients with the utmost

endeavors to do the same thing, and have cured the patient in other

respects, but the stricture would remain. Remember then that Hepar

has fig warts, chronic sycotic discharges, or chronic gonorrhoea, offensive, cheesy discharges, the sensation of sticks in the urethra, inflammatory stricture, which will be associated with difficulty in passing

urine, to the extent that there is a weakness of the bladder and the

urine falls perpendicularly.

Hepar has served a valuable purpose in its ability to establish suppuration around foreign bodies. For instance, a foreign body is under

the skin or is somewhere unknown. Perhaps it is the tip end of a

projectile after the projectile itself has been taken away, or under the

nail a splinter is forming a suppuration. It is so small that it is iiardly

observed and it is supposed often that the splinter has been entirely

removed, but an inflammatoiy condition starts up. Hepar if indicated

5o8

by the general symptoms of the patient hastens the suppuration and

heals up the finger, for it has all such things. Silica is another remedy

capable of establishing inflammation and suppuration and removes

little foreign bodies that cannot be located. Of course it is understood

that if the physician knows the location of a splinter, he will take such

steps as are necessary to remove it, and not wait for the action of a

remedy. But at times a needle point breaks off against the bone of

the finger of a seamstress, or small portions of the needle may exist

where they cannot be found without an immense amount of slashing

which the patient refuses. Hepar or Silica will remove it. A little

abscess will form, and the little mite will be discharged. Knowing

that these two remedies have this tendency to establish a suppuration

wherever there are foreign bodies, it is w^ell to be reminded that if a

bullet were encysted in the lungs it would be well, if the symptoms

Called for Hepar or Silica, to consider whether it might not be injurious to give a remedy that would establish a suppuration. It might be

that the bullet is resting in a vital place, in a net-work of arteries, and

it would be well not to establish suppuration in this vital region. Deposits of a tubercular character are often located in a place that they

can easily be suppurated out, and the action of the remedy on them)

would be the same as a foreign body. Hence it is that Hepar, aftei"

its administration, will very often abolish a crop of boils all over the

economy because in the skin there are small accumulations of sebaceous matter and these will be suppurated out. Sulphur also does this,

so that it may be well to be careful and not give Silica or Sulphur,

or Hepar too often, or too high, in patients that have encysted tubercle

in the lungs. Rokitansky in his numerous post-mortems found a large

number of encysted caseous deposits in the lungs, in cases that had

lived and outgrown these trouble ; they had become encysted and

therefore perfectly safe and the patient had died of something else.

It might be dangerous to administer these medicines that have a tendency to cause suppuration in such, and you should at least proceed

cautiously in using them. After you have seen a great many cases

you will find that you have killed some of them. If our medicines were

not powerful enough to kill folks, they would not be powerful enough

to cure sick folks. It is well for you to realize that you are dealing

with razors when dealing with high potencies. I would rather be in

a room with a dozen negroes slashing with razors than in the hands

of an ignorant pxescriber of high potencies. They are means of

tremendous harm, as well as of tremendous good.