Kreosotum

All parts of this well-known ornamental tree are poisonous, our knowledge of

it being derived chiefly from the accidental poisoning of children who have eaten the pea-like

• ▸seeds and pods.
• ▸Here is a typical case: W.
• ▸G.
• ▸, zt.
• ▸10, ate eight to ten seeds.
• ▸Five or ten minutes

after began to sweat, but soon became cold and shivering, skin pale, pulse scarcely perceptible,

general collapse. Pupils dilated, is drowsy and giddy, but in no pain. Emetics and brandy were

given, but after an hour of this there was no improvement. An enema of hot strong coffee was

now given, the patient was wrapped in blankets, and hot bottles applied. The collapse then

• ▸gradually passed off (Brit.
• ▸Med.
• ▸Jour.
• ▸, Sept.
• ▸26, 1891).
• ▸—The giddiness is intense and in some

cases peculiar: "Constant vertigo, even while lying; if she attempted to sit upright, she

immediately fell back again." In one case the head was rigidly thrown back. Head hot.

Convulsions, insensibility, drowsiness, and mental indifference were leading features; and

muscular twitchings about the face were noted. Pupils dilated; in two cases they were unequally

dilated. These patients were two boys poisoned by the root of an old tree; they had very strange

waving motions of the arms and convulsive drawing up of the legs, first one leg then the other. A

boy who ate the green twigs was seized with vomiting, pain in the stomach, and collapse; there

was no diarrhoea but tenesmus and erections. After a few hours he passed 300 grams of grass-

green urine, after which he felt >. The urine soon after passing assumed a natural colour.

Music causes weeping and palpitation. Vanishing of thought; stupid, forgetful, peevish, irritable. Child wants everything but throws it away when given.

No anxiety; remarkable indifference to all around.—When spoken to, seemed stupid

and unconcerned; when aroused by a shake and asked a question, he answered by a nod or shake

of the head.—Stupefaction.

Pain, as from excoriation and ulceration; painful paralytic sensation; pulling

and shooting pains.—Hzemorrhages; small wounds bleed much.—Putrid ulcers of any kind; putrid

diarrhoea.—Glossitis.—Exanthema on face; on cheeks; around mouth; on upper lip; on forehead;

burning urine; erethism of blood; yawning in general; complaints accompanying

• ▸yawning.
• ▸—Pulse changed in general.
• ▸—Pinching pains, and shootings, esp.
• ▸in joints.
• ▸—Lassitude,

• ▸heaviness, and painful weariness in all limbs, esp.
• ▸in legs.
• ▸—Shocks in limbs, esp.
• ▸when asleep at

night—Nocturnal pains.—Fainting fits on waking in morning.—Fainting (in morning, when rising

too early).—Disposition to faint in a warm room, with heat of face and shortness of

breath —Numbness; loss of sensation.—Rapid emaciation.—Attacks of stupor, with paleness and

coldness of several parts, which seem then as if dead.—Pains, as from a bruise or

contusion.—Excessive excitement of whole body.—Restlessness in whole-body, < during

repose.—Pains < during repose.

Dull pain, as from a board pressing against forehead. Menstrual headache. Occipital pain (Gels; Zinc pic).

Constant vertigo even while lying down; if she attempted to sit up, she immediately

fell back.—Giddy, wheeled perfectly round before and during vomiting.—Staggered, rolled head

from side to side, eyes closed.—Giddiness prevented him from walking, but he could sit

• ▸upright.
• ▸—Head rigidly thrown back.
• ▸—Head hot.
• ▸—Headache.
• ▸—Pain in head and abdomen.

Salty lachrymation. Lids red and swollen.

Eyes: dull, lustreless; surrounded by livid zone; sunken.—Lids only half open; mostly

closed.—Pupils: much dilated, but react to strong light; unequally dilated; slightly contracted;

sluggish.

Eruption around and pimples within. Difficult hearing and buzzing.

Heat and burning in ears —Inflammatory swelling of the ear, with tensive, burning

pains, or else with painful stiffness of neck, on side affected, with swelling of the cervical glands

and livid grey complexion; pains extending to shoulders and arm, heat in forehead, and pressure

above eyes.—Inflammation of (I.) outer ear, red, hot, swollen, burning, proceeding from a pimple

in the concha, with stiffness and pain in |. side of neck, shoulder, and arm.—Pullings and

shootings in ears, or cramp-like, pressive, and expansive pains.—Deafness, or aural vertigo, with

signs of hereditary syphilis —Buzzing in ears, with hardness of hearing, alternately with tingling

and whistling in head.—Roaring in head; also humming and difficulty of hearing before and

during menses.—Humid tetters on ears.—Itching in ears (and soles of feet).

• ▸Offensive smell and discharge.
• ▸Chronic catarrh of old people.
• ▸Acrid rawness.
• ▸Lupus (Ars).

Offensive and fetid smell before nose, sometimes with want of appetite.—Bad smell

before nose (on waking).—Nose constantly moist.—Bleeding of nose, even in morning; blood

• ▸bright red and thin, or thick and black.
• ▸—Frequent sneezing, esp.
• ▸in the morning.
• ▸—Fluent coryza,

with painful sensibility of the nasal fossze, on breathing the air.—Coryza, with sensation of

erosion under sternum.—Dry coryza, with frequent sneezing. —Chronic catarrh with old people.

Sick, suffering expression; hot, cheeks red.

Expression anxious.—Face: pale, cold, of dull expression; pale and expressive of severe

pain, augmented from time to time by a succession of spasmodic muscular contractions after the

pain; deathly pale with blue lips.—Twitchings of muscles of face (and neck); with efforts at

vomiting.

• ▸Lips red, bleeding.
• ▸Very painful dentition; child will not sleep.
• ▸Very rapid decay of teeth, with spongy, bleeding gums; teeth dark and crumbly (Staph; Ant c).
• ▸Putrid odor and bitter taste.

Slight frothing at mouth.—Pale, glazed tongue.—Tongue dry, glazed, and

• ▸red.
• ▸—Dryness of mouth; and throat.
• ▸—Lips parched.
• ▸—Speech very indistinct.

Drawing pains and successive pullings in teeth, even on waking in morning, and

sometimes with pains in diseased side of face, extending to temple.—Elongation of

• ▸teeth.
• ▸—Drawing, throbbing, jerking pains in teeth.
• ▸—Bad odour from decayed teeth.
• ▸—Teeth

wedge-shaped (syphilitic deafness).—Dentition, great restlessness, wants to be constantly in

motion, screaming all night—Teeth show dark specks and begin to decay as soon as they

appear.—After extraction, oozing of dark, slightly coagulated blood —Inflammatory redness of

• ▸gums (1.
• ▸upper side).
• ▸—Gums bluish red, soft; spongy.
• ▸—Protruding gums infiltrated with dark

watery fluid——Gums bleed readily; scorbutic, spongy, and ulcerated —Absorption of gums and

alveolar processes.

Burning, choking sensation. Putrid odor.

• ▸Nausea; vomiting of food several hours after eating; of sweetish water in the morning.
• ▸Feeling of coldness, as of ice water in stomach.
• ▸Soreness; better eating.
• ▸Painful hard spot.
• ▸Haematemesis.
• ▸Bitter taste after a swallow of water.

Greedy drinking followed by vomiting; great thirst——Keen appetite, esp. for meat;

• ▸craves smoked meats.
• ▸—Cold food <; warm food >.
• ▸—Dares not remain fasting (< fasting).
• ▸—Bitter

• ▸taste, esp.
• ▸in throat, and when swallowing food.
• ▸—Water after it is swallowed tastes bitter.
• ▸—Sickly

taste in mouth.—Entire loss of appetite, sometimes with pale and flaccid tongue, accumulation of

saliva in mouth, and burning thirst.

Impaired appetite —Excessive thirst.—Greedily thirsty, grasped at liquids with

avidity, seizing the vessel with both hands and draining it—Constant nausea and

eructations.—Vomiting, pain in stomach, collapse; no diarrhcea but tenesmus and erections;

followed by copious urination.—One vomited repeatedly during twelve hours, another one two or

three hours; in the latter case the other symptoms were much more violent.—Nothing remained in

stomach, even water or ice was almost immediately rejected —Burning pain in

epigastrium.—Cramp-like sensation in region of stomach.

• ▸Distended.
• ▸Burning haemorrhoids.
• ▸Diarrhoea; very offensive; dark brown.
• ▸Bloody, fetid stools.
• ▸Cholera infantum in connection with painful dentition, green stools, nausea, dry skin, exhaustion, etc.

Abdomen distended; tympanic sensation.—Flatulent distension.—Colic < by

pressure.

Diarrhcea: followed by cessation of convulsions; with tenesmus and slightly bloody

stool.—Never vomited but was much purged.—Watery fluid with peculiar odour constantly

drained involuntarily from bowels.—In the crude form it colours the stools, giving them either a

green, clay, or dark appearance.—The bowels almost always become constipated.—Tenesmus and

• ▸erections.
• ▸—(Marked relief to constipation due to pressure on rectum.
• ▸—Cooper.
• ▸)

Stools: watery; papescent; dark brown; watery, putrid, containing

undigested food; greyish or white; chipped, very fetid; frequent, greenish, watery; cadaverous-

smelling —Ineffectual painful urging.—Children struggle and scream during act of defecation,

and scream as if they would go into fits.—Evacuations hard, dry, difficult, and only every third or

fourth day.—Several evacuations daily.—Pulling, acute drawing pains, and cramp-like pains in

rectum (towards the 1. groin).

After a few hours passed 300 grains of grass-green urine and felt > after.

The urine soon assumed natural colour on standing.

• ▸Offensive.
• ▸Violent itching of vulva and vagina, worse when urinating.
• ▸Can urinate only when lying; cannot get out of bed quick enough during first sleep.
• ▸Dreams of urinating.
• ▸Enuresis in the first part of night.
• ▸Must hurry when desire comes to urinate.

• ▸Corrosive itching within vulva, burning and swelling of labia; violent itching between labia and thighs.
• ▸During menses, difficult hearing; buzzing and roaring; eruption after.
• ▸Burning and soreness in external and internal parts.
• ▸Leucorrhoea, yellow, acrid; odor of green corn; worse between periods.
• ▸Haemorrhage after coition.
• ▸Menses too early, prolonged.
• ▸Vomiting of pregnancy, with ptyalism.
• ▸Menstrual flow intermits (Puls); ceases on sitting or walking; reappears on lying down.
• ▸Pain worse after menses.
• ▸Lochia offensive; intermits.

Premature catamenia, of too long continuance, and too copious,

with a discharge of black blood.—During an embrace, burning in the parts, followed next day by

menstrual discharge of dark blood.—Appearance of menses in third month of pregnancy (blood

black, flows in a stream).—Before the catamenia, abdominal spasms, leucorrhcea, irritation, and

inquietude, vomiting of mucus or frothy risings, and inflation of the abdomen.—During menses:

Hardness of hearing; discharge of fetid wind, constipation, and incarceration of flatus; buzzing

and roaring in head; with pressive pains, colic, cuttings, sacral pains, constant shivering, or sweat

on the back, and on the chest—After menses: Abdominal spasms; pressure in the genitals;

leucorrhcea; and many other sufferings.—Pains during menses, but < after.—Menses flow only

when lying down; cease on sitting. or walking about.—Metrorrhagia < lying, > getting up and

walking about.—Metrorrhagia; in fungoid disease of endometrium.—Leucorrheea, corrosive or

mild, and sometimes followed by exhaustion and fatigue, esp. in legs.—Leucorrhcea of a yellow

colour, staining linen yellow, with great weakness in legs.—White leucorrhoea, having odour of

green corn.—Nausea during pregnancy; ptyalism; excoriating lochia.—Dwindling away of

mamme, with small, hard, painful lumps in them.—Leucorrheea putrid, with accompanying

complaints; leucorrhoea in general, esp. if very fetid and exhausting.—Complaints of females at

change of life-—Cramp-like pains in external genitals —Excoriation, with smarting pains between

genitals and thighs Shootings in vagina, as if produced by electricity.—Voluptuous itching in

vagina.—Itching in vagina, inducing rubbing in evening, succeeded by smarting, swelling, heat,

and induration of external parts, with soreness in vagina when urinating.—Desire for coition, in

females, esp. in morning.—After coition, pain, as of excoriation, and hard knottiness in neck of

uterus, or swelling of the genital parts (both male and female) with burning pains (worse in

morning than in evening).—A fter coition discharge of dark blood the next day.—Prolapsus

vaginze.—Prolapsus uteri.—Pulling, stitches, and shootings in the mammary glands.

• ▸Hoarse, with pain in larynx.
• ▸Cough; worse evening, with efforts to vomit, with pain in chest.
• ▸Raw burning in chest; pains and oppression.
• ▸Cough after influenza (Eriodyction).
• ▸Winter coughs of old people, with heavy pressure on sternum.
• ▸Gangrene of lungs.
• ▸After every cough, copious, purulent expectoration.
• ▸Haemoptysis; periodic attacks.
• ▸Sternum feels pressed in.

Breathing: stertorous; accelerated after the fever; hurried and

laboured; slow, expiration very markedly prolonged.

Shortness of breath, sometimes with a sensation of heaviness in chest, and desire to

make a deep inspiration, or with pain, as of a bruise, in chest (esp. sternum), when

breathing.—Difficult and anxious respiration.—Frequent blood-spitting; afternoon fever and

morning sweat.—Violent shootings in chest, in region of heart, in ribs, and in intercostal muscles,

sometimes when breathing, or with suspended respiration; these shootings manifest themselves

also at night.—Burning pain in chest, as after drinking brandy; the pain extends from centre of

chest to throat and tongue, and is accompanied by heat, redness, and tension in face.—Terrible

burning at chest, as from hot coals. Stitches in chest above heart, with oppression of breathing; in

r. side, extending under scapula, arresting breathing.

Heart's action rapid and tremulous.—Slight increase of pulse, and respiratory

movements are also accelerated; this is transient, pulse soon falls below normal; languor and

tendency to sleep follow.—Pulse alarmingly weak.

Dragging backache, extending to genitals and down thighs. Great debility.

Glands of neck swollen.—Pain in back; great sleepiness and profound

sleep.—Pain as if small of back would break; < at rest; > from motion.—Pain in back at night; <

• ▸when lying.
• ▸—Scapule feel as if bruised.
• ▸—Pain under (1.
• ▸) shoulder-blade; > hard pressure and by

warmth; < riding in carriage and by any motion.—Pains in small of back, like spasmodic pains of

labour, with urgent want to make water, and to evacuate, or with leucorrhoea.—Pains, as of

ulceration, in the lumbar vertebree.—Nocturnal pains in back, more violent during

repose.—Continuous burning in small of back.—Drawing pain along coccyx to rectum and

vagina, where a spasmodic, contractive pain is felt.

Shootings in muscles and joints of shoulders.—Pain, as from contusion, in

arms.—Pain in shoulders as if they had been uncovered all night.—Painful paralytic sensation in

fore-arms and fingers —Cramp-like pains in elbows and fore-arms.—Stiffness of hands, with

• ▸cracked skin.
• ▸—Pimples on hand, with violent itching, esp.
• ▸in evening in bed.
• ▸—Tetters on elbow,

• ▸hands, and fingers.
• ▸—Pain, as from dislocation, in thumbs.
• ▸—L.
• ▸thumb pains as if sprained and

stiff—Fingers dead; they grow pale and insensible, early in morning, when rising, with

tingling —Numbness of fingers.

Some had a peculiar twitching in their walk.

24. Generalities—Convulsions.—Insensible, very strange waving motions of arms to and fro;

now and then the legs, first one then the other, convulsively drawn up.—Complete collapse with

great restlessness; with, perfect consciousness.—Extreme intractable restlessness ending in

incessant, almost frantic jactitation.—Felt faint and giddy.

Pain in joints, hip and knee. Boring pain in hip-joints. Scapulae sore.

• ▸Itching, worse towards evening.
• ▸Burning in soles.
• ▸Senile gangrene.
• ▸Small wounds bleed freely (Crot; Lach; Phos).
• ▸Pustules and herpes.
• ▸Ecchymosis; dorsal surface of fingers and hands eczematous.

Soft, unnatural feel of skin, with pegged teeth.—Violent itching all over body, esp.

towards evening, and with burning sensation in arms and legs, after scratching.—Burning itching

at night, and heat over whole body.—Nettle-rash.—Eruption, like bug-bites, with violent itching

• ▸esp.
• ▸in evening.
• ▸—Large, greasy-looking, pox-shaped pustules over whole body.
• ▸—Mealy and

pustular, dry or humid tetters (on backs of hands and fingers, in palms, on ears, elbows,

knuckles, and malleoli), with violent itching in almost every part of body.

Disturbed with tossing. Paralytic sensation in limbs on waking. Anxious dreams of pursuit, fire, erections, etc.

Remarkably sleepy.—Transitory somnolence and languor, but this soon passed off,

leaving marked insomnia, which lasted through the night.

Surface of body pale, remarkably cold, almost like marble; at same time great

• ▸aversion to slightest covering.
• ▸—Sub-normal temperature.
• ▸—Skin, very cold add clammy.
• ▸—Every

now and then severe rigors shook his frame.—Skin covered with clammy sweat.—Cold sweats,

vomiting, vertigo, preceded by slight feeling of malaise, and followed by high fever.

Antidoted by Coffee, and stimulants, hot and cold douches to chest. Compare: Nux;

Gels. (> by copious urination).

Antidote: Nux. Inimical: Carbo.

Complementary in malignant diseases: Ars; Phos; Sulph.

Guaiacol (is the principal constituent of Kreosote, and similar in action. Used in pulmonary tuberculosis. Dose 1 to 5 m).

• ▸Matico-Artanthe or Piper augustifolia, (Gonorrhoea, haemorrhage from lungs; catarrhal conditions of genito-urinary organs and gastro-intestinal tract.
• ▸Topically a haemostatic.
• ▸Difficult, dry, deep, winter cough.
• ▸Use tincture).

Compare also: Fuligo ligni; Carbol ac; Iod; Laches.

Third to thirtieth potency. The 200th in sensitive patients.

There arc three things that stand out mOwSt prominently in Kreosotum, and when they appear together the symptoms in minor degree

will be likely to be associated. These three characteristics are:

I. Excoriating discharges ; 2, Pulsations all over the body, and

3. Profuse bleeding from small wounds.

When these three things are associated in a high degree Kreosote

should be examined. A prick of a pin will cause the oozing of bright

red blood, and mucous membranes bleed easily. Any pressure upon

the mucous membranes will cause oozing. Bleeding here and there

about the body. The lachrymation is excoriating. It excoriates the

margins of the lids and cheeks, and they become red and raw, and

smart. If there is a purulent discharge it is acrid. The corners of

the lips and mouth are red and raw, and the saliva burns and smarts.

The moisture about the mouth, whatever it may be, excoriates and

the mouth is raw. The eyes smart and burn as if raw. The leucor

rhoea causes smarting and burning about the vulva, so that the mucous

surfaces of the labia are red and raw, sometimes inflamed, but always

burning. The vagina bums during coition, and there is bleeding after

coitioh ; granulations of the vagina and os uteri, so that the pressure

of the act of coition brings on bleeding and burning, smarting and

excoriation. And the male organ will smart and burn after coming

in contact with the secretion of tb^ vagina during coition. The uriw

KREOSOTOM 587

bums and smarts. This tendency to excoriation from the excretions

and secretions applies to all the tissues of the body.

Every emotion and exciting circumstance is attended with throbbing all over the body, pulsations to the ends of the fingers. Every

emotion is attended wdth tearfulness. Music that will in the slightest

way excite the emotion, minor strains and music that strikes home to

the heart, pathetic music, will bring out tears that are acrid, and palpitation and pulsations that are felt to the extremities.

When the Kreosote sore throat is present the least pressure of the

tongue depressor will establish oozing, little drops of blood will appear.

During the coryza there is nosebleed. When the eyes arc red and raw^

and inflamed, they will bleed easily. If an individual pricks the finger

the blood will not merely be a single drop, but a good many will flow.

Prolonged haemorrhage from the passages ; haemorrhage from the

kidneys, from the eyes, the nose, the uterus. Haemorrhage after

coition. Tumors bleed easily.

These are the most marked features of Kreosote. If these arc fixed

in your mind, we have what may be known, as a Kreosote constitution,

out of wdiich may come all the rest of the symptoms in all their

minutiae, and little symptoms and fragments in every organ. You

have in this one group the strong features of Kreosote. No matter

how many particulars you may have in a case, if you do not have

something of these general features you need not expect to find your

patient constitutionally cured or relived by Kreosote. These may be

considered essentials.

Mentally the patient is so irritable that there is nothing that will

suit him. The wants are so numerous that nothing satisfies. The

patient wants everything and is satisfied with nothing, that is, he

wants something and when he has it he does not want it. That is

the state of irritability and lack of satisfaction in a chronic condition.

You see the child in the mother’s arms. It wants a toy, and when

given it throws it in the face of somebody ; it wants this and that and

is never satisfied, alw^ays wanting something new — a new toy which

it throws away the moment it gets it and then calls for something,

else. The lips are red and bleeding, the corners of the mouth are

raw, the eyelids red and the skin excoriated. If it has, in connection)

with all this, loose passages from the bowels and you examine the

fissure between the nates, you will find it is red and raw. If the child

be old enough to make such motions he will put the hands upon the

sore genitals and fissures and cry out in a most irritable way, because

of the smarting. Such is the Kreosote baby. It may be suffering

from cholera infantum ; it may be subject to wetting the bed ; it may

have spells of vomiting, in which it vomits all its food ; it is a Kreosotc baby. Kreosote has attacks of diarrhoea and vomiting; all sorts

i^reosotum

sd8

of disturbances of the urine ; great distension and trouble with the

bowels ; abdomen distended from flatus. You look over the whole

case at once as a Kreosote case, because of these general features that

can be summed up in the aspect of the child.

The Kreosote face has a yellowish pallor ; it is a sickly countenance,

semi-cachectic, intermingled with blotches that are reddish looking,

as if erysipelas were going to set in. In olden times this countenance

was called a scorbutic countenance.

Take a woman with this kind of countenance ; at every menstrual

flow she complains of much swelling and rawness of the genitals ; the

flow is copious, clotted, stops and then starts again, comes too soon

and lasts too long ; at times it is black, very foetid, produces rawness

upon the thighs and the genitals, with much swelling ; at every menstrual period there is rawness of the lips and fissures in the corners of

the mouth ; the tears become acrid ; at the menstrual period all the

fluids of the body seem to be acid and they burn wherever they touch.

Very often there is a loose stool, which is also acrid and smarts the

anus at the menstrual period. All the symptoms are worse at the

menstrual period, sometimes in the early part, sometimes at the middle,

sometimes all through, and sometimes at the close. Something more

about the scorbutic constitution is brought out in relation to the gums ;

the gums become puffed and red and tumid and settle away from the

teeth. They become spongy and bleed easily. In the mouth there is

much ulceration and little ulcers spread from aphthous patches, smarting and burning ; the tongue has ulcers upon it, which bleed easily

upon touch.

Ar the close of a typhoid fever haemorrhage from the bowels, bleeding from the mucous membranes. The mouth becomes raw, and

wherever there is a mucous membrane there is a rawness, and the

fluids that ooze continue to eat and cause ulceration. If at the close

of a typhoid fever, when the time comes for convalescence, vomiting

comes. Vomiting, bleedings, diarrhoeas. The fluids vomited front

the stomach are so acrid that they seem to take the skin off from the

mouth, set the teeth on edge, make the lips raw. So excoriation from

acrid fluids, as well as throbbing all over the body, are features that

you must bear in mind with Kreosote.

The discharges from the body are offeUssive ; offensive, bloody, acriddischarges from the nose; offensive, watery discharges from any part

of the body ; sometimes even putrid ; the leucorrhoea is very offensive

Rapid emaciation, with spongy, burning ulceration, pus acrid, ichor

ous, foetid and yellow. Sometimes the inflammatory condition will

run so high in an ulcer, only a small ulceration, that gangrene will set

in, and hence we have a gangrenous ulceration ; gangrene of parts that

are inflamed. Very low formations occur upon the margins of mucous membranes ; crusts form. Indurations under the crusts, and the

crusts continue to form. The circulation is so poor, so feeble in the

parts all about the margin of the lips and the corners of the mouth,

and corners of the eyes, and eyelids, and upon the genitals, and there

is so much venous engorgement that crusts form and ulcerate and

bleed and pile up, and this continues until a phagedenic spot comes.

This condition is so much like epithelioma that Kreosote has cured

epithelioma.

The next striking thing in Kreosote is its stomach symptoms. Soon

after eating there comes a burning pain in the stomach, and then a

sense of fulness and an increasing nausea, ending in vomiting of the

food, which looks as it did when taken ; it looks undigested, but it is

sour and acrid, coming up an hour or two after eating. Vomiting,

the stomach seems unable to digest, and after the patient empties it

there is constant nausea. After a swallow of water a prolonged bitter

taste remains in the mouth. There is aggravation from eating cold

things and relief from warm diet. In malignant diseases of the stomach

when this symptom is present, Kreosote becomes a great palliative ;

it relieves the burning and improves the digestion for a while, but the

trouble comes again. Many times our remedies furnish us the greatest

known palliation in cancerous affections. Homoeopathy should at all

times furnish a degree of palliation in cancerous and other incurable

malignant diseases of the stomach.. This palliation will bring more

comfort to the stomach than can possibly be brought about by Morphine, I have watched patients iJitder Morphine and under homoeopathic medicine, and as a mere matter of comfort I will take thei

homoeopathic medicines. This ]has been the experience of many.

When you hear a homoeopath say that he prefers anodynes in cancerous affections of the stomach and in other painful affections, it is

pretty sure evidence that he is not able to find the medicines that are

suitable for the patient. These cases test the ability of the physician.

Kreosote is a great remedy for diarrhoeas in the summer, especially

for infants. The infant that I described as to his temper may be the

infant suffering from the worst form of summer complaint, or having

a light attack of cholera infantum. Or he may be ‘‘teething,'' and

suffering from the troubles that arc sometimes associated with teething. Infants have troubles at the time of teething only because they

are sick, and if the child were not in disorder he would not have

trouble when teething. Teething is a crisis, and the things that are

within will come out at the time, just as there are troubles that are

likely to come out at the time of puberty and at the climacteric period.

A marked feature of the Kreosote constitution is that when the

desire to urinate comes he must hurry or the urine will escape. The

urine is passed during sleep. Bloody urine ; clots in the urine ; acrid