Tuberculinum Bovinum Kent

I consider it best to reserve the name Tuberculinum for this preparation of

Koch, as it is universally known by that name. Burnett's "Bacillinum" is now accepted as the

name of the original homceopathic preparation, and though its originator, Swan, named it

Tuberculinum, it owes its present position in therapeutics to Burnett, and it will simplify matters

if we make the term Bacillinum cover the homceopathic nosode and Tuberculinum the

preparation of Koch. When Koch's Tuberculinum was first launched the medical papers were

teeming with reports of cases undergoing the injection for various diseases. Of the reported

• ▸effects, curative and pathogenetic, I made a collection.
• ▸These will be found in 1.
• ▸W.
• ▸, xxvi.
• ▸155.
• ▸I

have there given the authority for the observations and the nature of the cases in which the

effects were observed. These symptoms will be found arranged in the Schema, and each

symptom has appended to it the initial of the observer, or an indication of the disease from which

the patient was suffering when the observation was made. Koch's own observations are marked

(K); Virchow's, (V); Jonathan Hutchinson's, (H); Ewald's, (E); Albrand's, (A); Watson Cheyne's,

(W C); Lennox Brown's, (L B). The names of other observers are given in full. Lupus cases are

• ▸marked (lps.
• ▸); observations made on a leper (Ipr.
• ▸).
• ▸In Jour.
• ▸Belge d'H.
• ▸, 1894, 236, Mersch

published a pathogenesis of Jub. compiled mainly from the same sources as mine, but giving

some additional symptoms. These I have included and marked (M). A few cured symptoms are

put in brackets. The undistinguished symptoms are from a proving by Nebel, of Montreux (7.

• ▸W.
• ▸, xxxv.
• ▸397).
• ▸The provers were tuberculous individuals, mostly workpeople, and only

pathogenetic symptoms are recorded. Tub. 30 was used, the preparation having been obtained

from Hausmann's Pharmacy, St. Gall. I do not find any appreciable difference between the action

of Tub. and that of Bac. My own impression is that they are practically identical, and that the one

will answer to the indications of the other. Nebel has used 7ub. in exactly the same way as

Burnett and others have used Bac., on the indications Burnett laid down and with Burnett's

• ▸results.
• ▸In H.
• ▸W.
• ▸for May, June, and July, 1901, I have copied from H.
• ▸R.
• ▸of the same year

articles by Nebel giving his experiences with Tub.: (/) Boy, 13, had diphtheria with fearful

headache extending from neck to vertex, with swelling in back of neck and occiput, due, it was

supposed, to an affection of the middle ear. Seven weeks passed without improvement.

Paracentesis of the tympanum resulted in the evacuation of pus for a day or two. Nebel found the

face bloated; strawberry tongue coated white at the root; mastoids not sensitive to even strong

pressure. Swelling of occiput and neck down to fifth dorsal vertebra. The head is held fixed

sideways towards the middle of the clavicle. If the boy wants to move his head he has to seize it

with both hands and turn it slowly, with painful distortion of facial muscles, until it reaches the

position desired. Even the slightest pressure on first, second, or third cervical vertebra was very

painful; the skin on them was reddened and the periosteum was swollen; glands in neck enlarged.

Tuberculosis of atlas and second and third vertebree consequent on diphtheria was diagnosed.

• ▸Tub.
• ▸1m.
• ▸was given, five grains, during the day.
• ▸Two days after the dose the boy could move his

head more freely, the swelling of the neck diminished, appetite returned, and in a short time he

was able to get up and run about. Five weeks after the dose, the swelling had altogether gone,

and the boy's condition was altogether changed. (2) Swelling of tibize two inches below the knee,

• ▸in a lady who had had cough for twenty years.
• ▸Cured chiefly with Tub.
• ▸1m.
• ▸This patient had

offensive sweat in axillz, strawberry tongue, lack of appetite. Distaste for milk, constipation, and

• ▸bad sleep.
• ▸[Mau, of Kiel, treated the following cases with Bac.
• ▸(H.
• ▸W.
• ▸, xxxvi.
• ▸316)—I introduce

them here for comparison: (/) Vigorous man, tall and of well-developed appearance, was very

liable to get pneumonia in cold weather, and spent the winter in some sanatorium or other in

order to escape. His father had died of pneumonia, his mother of consumption, and a sister was

consumptive. He perspired much, took much fluid nourishment, partly alcoholic. Sleep poor.

• ▸Almost constant fever.
• ▸Enlarged glands.
• ▸Three months' treatment with Bac.
• ▸removed all the

symptoms, and, moreover, made his tissues less watery and reduced his corpulence somewhat.

(2) A distinguished author, 50, complained of dreadful pains in the head, almost total insomnia,

and great debility. His brother and sisters had mostly died of dropsy of the brain; he himself had

congestion of the right lung, due probably to healed cavities, as he has frequently had

hemorrhages. For this he had had a lengthened treatment in the South, and had been pronounced

cured of consumption. Softening of the brain and loss of reason were now feared. The headache

was attended with a sensation as if his head was being tightly squeezed behind with an iron ring.

Hands trembling; but he, was most uneasy from a sensation in, his back as if his clothes were

moist. In less than a month, under Bac., the headache, insomnia, and sensation in the back had all

vanished. Another patient of Mau's, a child, had "screaming out in sleep and great restlessness at

night," which were cured, along with peevish, irritable, taciturn disposition.] In 1892 B. S.

• ▸Arnulphy (Clinique, xvi.
• ▸629) began giving 7ub.
• ▸6x.
• ▸and 8x trituration internally in tubercular

cases, acute and chronic, and with encouraging success, but with at times undesired

aggravations; with 12x and 30x these were avoided. In one case, originating in grippe, both

apices were affected, the right one breaking down; and abundant pleuritic effusion on the left

side. Six weeks' treatment with 7ub. brought about recovery, and seen a year later the patient was

quite well except for retraction of the left side. Arnulphy considers (Clinique, xvii. 86) that Tub.

is frequently the remedy for bronchitis, catarrhal pneumonia, lobular pneumonia, tubercular

pleurisy, parenchymatous nephritis, and grippe. He gives (Clinique, xvii. 457) two cases of acute

lobular pneumonia with characteristic symptoms and high temperatures quickly resolved by Tub.

One was in a boy of three who received the 12x; the other was a man, 78, being a sufferer from

chronic bronchial catarrh. The latter was taken with grippe, pneumonia developed, and he was in

a very serious state. Tub. 30x made, an almost immediate change for the better, and recovery

followed. Arnulphy relates that in this cage an abundant perspiration took place (the skin had

been dry) during the night and he had observed this in all cases of pneumonia when 7ub. acted

favourably. I have found 7ub. 30, loop 200, and Im the best general antidote to the chronic

• ▸effects of influenza poisoning.
• ▸B.
• ▸G.
• ▸Clark (H.
• ▸W.
• ▸, xxix.
• ▸349) reports the case of a lady, 60, who

had had for some time a mild form of tuberculosis of the skin of the face, and, more recently a

small growth (lupus) on the side, of the nose on a line with the inner canthus of left eye. It had

• ▸grown much in six.
• ▸mouths.
• ▸7ub.
• ▸200 F.
• ▸C.
• ▸, six powders given, one to be dissolved in twelve

teaspoonfuls of water, one teaspoonful every two hours. The six powders were taken in this way

• ▸on successive days.
• ▸On the fifth day the growth began to dry up.
• ▸On the tenth it fell off.
• ▸Another

dose of Tub. was given after this with marked improvement to the older affection of the face. A

• ▸curious use has been made of 7ub.
• ▸by Jauregg, of Vienna, in a case of insanity (H.
• ▸W.
• ▸, xxx.
• ▸196).

Having observed that cases of insanity are always benefited by an attack of an acute infectious

disease, especially if it is accompanied with high fever, the idea occurred to him of utilising the

fever produced by Koch's Tuberculin injections. He tried it on some patients, and though the

decidedly, favourable symptoms, soon disappeared after the fever subsided, still there was a

steady clearing of the comfused sensorium. Insanity is very frequently a manifestation of the

consumptive taint and there is something more than a pyrexial power in 7ub. [Burnett has cured

with Bac. a case of insanity, being led to give it by a ringworm-like eruption on the body. ]

Among the Peculiar Sensations noted under Tub. are: As if the brain were squeezed with an iron

ring. As if the teeth were jammed together and were too many for the mouth. Of mucus in the

throat; of a tumour in the throat. Pressure in stomach going to throat as if the clothes were too

• ▸tight.
• ▸As if the clothes on the back were wet (Bac.
• ▸).
• ▸Fatigue, faintness, profuse debility are

frequent symptoms. Great weakness in the limbs after dinner: this at times amounts to paralysis.

The circulation is always disturbed, chills and flushes alternating. "Shivering when beginning to

sleep" is a peculiar and interesting symptom; also "cold feet in bed," which is common in

persons of low vital reaction. "Sensitive to music" was observed in one of Nebel's patients;

another had pains in the region of the appendix vermiformis, which should lead to serviceable

action in appendicitis cases. The symptoms are: < By slightest exertion (it = excessive fatigue;

• ▸sweat).
• ▸Walking = pains in loins (fatigue).
• ▸Raising himself up = palpitation.
• ▸Every movement =

sticking in chest and back. Rubbing = itching to change place. < Morning (much purulent

• ▸expectoration; sickness and nausea; loss of appetite; thirst; fatigue).
• ▸< From 10 to 3 p.
• ▸m.
• ▸(frontal

headache). < Evening (heat in head; cough preventing sleep; severe pains in breast at beginning

• ▸of menses.
• ▸< Evening in bed (itching; feet cold).
• ▸< Night (sweat; from 3 a.
• ▸m.
• ▸sleep disturbed).
• ▸<

Beginning to sleep (shivering). < After dinner (flushing; drowsiness). Sensitive to music.

• ▸Contradictory characteristics of Tuberculinum are mania and melancholia, insomnia and sopor.
• ▸Irritable, especially when awakening.
• ▸Depressed, melancholy.
• ▸Fear of dogs. Animals especially.
• ▸Desire to use foul language, curse and swear.

Anxiety, gloomy, melancholy humour.—Has lost melancholy expression she formerly

• ▸had (Ipr.
• ▸).
• ▸—Is disposed to whine and complain; dejected mind, anxiety.
• ▸—She is very

• ▸sad.
• ▸—Nervous irritation.
• ▸; aversion to labour.
• ▸—Indifferent.
• ▸—Forgetful.
• ▸—Aversion to all labour,

• ▸esp.
• ▸mental work.
• ▸—Sensibility to music.
• ▸—Does not like to be disturbed by people; trembling of

hands.

Feeling of fatigue (K, 2nd d.).—Malaise, depression, headache, somnolence,

oppression of breathing, tightness of chest, nausea (Ips.).—General fatigue in morning; sensation

of faintness; great weakness in lower extremities, esp. from knees down to feet.—Terribly tired,

so that she can scarcely walk.—General excessive fatigue after a short walk, so that he must lean

on his companion.—Emaciation (lost six pounds in fourteen days, twenty pounds in five

weeks).—In parts affected throbbing pain.—Leucocytosis; diminution of oxyhemoglobin

(M).—Oxyhzmoglobin first diminished then increased (Henoque).—Feeling well, but decidedly

losing flesh (Ips.).—Acts principally by very acute irritation of internal organs affected (in the

same way as in external organs), causing intense redness and great swelling (V).—Actual

inflammatory processes (not mere hyperzemias), and esp. active proliferations, occur to an

intense degree, in (/) edges of existing ulcers; in (2) neighbouring lymphatic glands, esp.

bronchial and mesenteric (V).—Lymphatic glands present a quite unusual degree of enlargement,

and notably that form of medullary swelling, characteristic of acute irritations, which is caused

by rapid proliferation of the cells in the interior of the glands (V).—Leucocytosis: various

infiltrations of white blood corpuscles over affected parts, esp. round the tubercles themselves

(V).—Enormous dangerous swellings in parts near ulcers (even where the surface of the ulcer

becomes clean), causing dangerous constriction (V).—Phlegmonous swelling resembling

erysipelatous oedema of glottis and retropharyngeal abscess (V).—Where tubercle is associated

with any other specific disease, reaction is so slight as to be scarcely discernible

(Heron).—Syphilitic cases are refractory to reaction Heron).—Children bear the treatment well

(Wendt).

• ▸Subject to deep brain headaches and intense neuralgias.
• ▸Everything seems strange.
• ▸Intense pain, as of an iron band around head.
• ▸Meningitis.
• ▸When critical discharges appear, sweat, polyuria, diarrhoea, exanthema, repeating the dose only when crises come on.
• ▸Nocturnal hallucinations, awakes frightened.
• ▸Plica polonica (Vinca).
• ▸Crops of small boils, intensely painful, successively appear in the nose; green, fetid pus.

Vertigo: esp. in morning; heavy with obscuration of eyes; is obliged to lean on

something; by bending down, esp. by rising after bending down; with palpitations; with

headache; with nausea; with headache in morning; after dinner.—Great heat in head; flushes of

heat after dinner; sensation of heat in head in evening.—Headache: deep in forehead; deep in

temples; on vertex with sensation of heat; from neck to forehead; in morning, passing away in

afternoon.—Sensation of heaviness on vertex.—Headache with obscuration of sight—Headache

• ▸with vertigo.
• ▸—Piercing headache.
• ▸—Piercing pain in forehead from 10 a.
• ▸m.
• ▸to 3 p.
• ▸m.
• ▸—Headache

in evening; in afternoon.—Frontal headache in morning.—Headache with rushing in

ears.—Headache in morning with bleeding of nose.—Headache from neck to forehead; burning,

piercing.—Colossal hypereemia of pia mater and brain substance; extreme engorgement of vessels

on the surface, internally dusky red; tubercles presented no retrogressive changes

• ▸(arachnitis.
• ▸—V.
• ▸).
• ▸—(Sensation as if brain squeezed with iron band.
• ▸—Bac.
• ▸)

Swollen lids; headache with swollen lids in morning.—R. eye much swollen,

• ▸conjunctiva inflamed (Ips.
• ▸).
• ▸—Dulness and heaviness of eyes; darkness before eyes.
• ▸—Obscuration

• ▸of vision with vertigo.
• ▸—Opens r.
• ▸eye (which had been closed.
• ▸—W C).
• ▸—Breaking down of

cicatrices of old corneal ulcers (Stoker).—Clearing of corneal opacity the result of old

tuberculous corneitis (Stoker).—Tuberculosis of eyelids, small grey and yellow nodules, existing

in conjunctiva of outer sections of lids, increased in size, ran together, then suddenly disappeared

(A).—Phlyctenulz appeared where none existed before (Maschke).—Conjunctivitis; herpes on

lids (M).—Amblyopia with irregularity and complete paralysis of pupils (in an alcoholic).

Persistent, offensive otorrhoea. Perforation in membrana tympani, with ragged edges.

• ▸Tinnitus (Ips.
• ▸).
• ▸—Rushing in ears with heavy head.
• ▸—Sticking pain from pharynx to

ears.—Headache with rushing in ears and pressure on vertex.—Great aching in ears and teeth.

Coryza.—Secretion of mucus from nose, viscid, yellow-green.—Increased secretion of

mucus, with frontal headache —Aching of ears and teeth with coryza in evening, with

• ▸headache.
• ▸—Bleeding of nose.
• ▸—Comedones on nose, surrounded with minute pustules (Ips.
• ▸).
• ▸—The

nose, which used to feel "hot and burning," has lost this sensation (Ips.).

(Edematous, pale face.—Clonic convulsions of musculus orbicularis inferior,

• ▸acute.
• ▸—Convulsions in region of facial muscle, esp.
• ▸buccinator.
• ▸—In one case the inflammation of

the lupus (on face) presented unquestionable erysipelas of a rather severe type, and the patient

was for some time in danger (H).—Flushing of cheek of same side as lung affected, during the

reaction (Borgherini).—Upper lip and nose become swollen during the first two or three

reactions, the lip becoming cracked on inner surface (W C).—Herpes on lips and eyelids

(Heilferich).—After the tenth injection his |. moustache, which was kept cut to prevent scabs

from gathering, ceased to grow, every hair fell out, and for a month the |. upper lip was perfectly

denuded of hair, and had all the appearance when seen under a lens of being depilated; however,

the hairs began to grow well before he left the Home (Ips., Hine).

Tongue foul, furred—Tongue much coated (Ips.).—Coating on soft palate and tongue

(M).—Taste: salty, purulent—Aphthz on tongue and buccal mucosa.—Tongue dry

• ▸(Ips.
• ▸).
• ▸—Dryness of lips.
• ▸—On lips black blisters.
• ▸—Palate: granulations enormously swollen and

vascular (Ips.).—Breath offensive (M).

Vague toothache —Teeth felt loose (Ips.).—"Feeling as if the teeth were all jammed

• ▸together and too many for his head" (Ips.
• ▸).
• ▸—Sordes on teeth (Ips.
• ▸).
• ▸—Inflammation of gums,

scurvy-like.—Gums turgescent, felt swollen (Ips.).

Aching in pharynx and larynx.—Scratching in pharynx.—Tickling in throat exciting

• ▸cough.
• ▸—Sensation of mucus in throat.
• ▸—Sensation of a tumour in throat.
• ▸—Dryness in throat;

tonsillitis; general inflammatory condition of pharyngeal mucous membrane

• ▸(M).
• ▸—Retropharyngeal abscess (M).
• ▸—Burning pain in throat.
• ▸—Sensation of constriction in throat;

in larynx.—Heaviness and sensation of rattling in throat—Aching extending from throat to

ears.—Dysphagia increased; later diminished (in laryngeal phthisis.—L B).

Averse to meat. All-gone, hungry sensation (Sulph). Desire for cold milk.

Loss of appetite, esp. in morning.—Thirst: extreme, day and night; burning in

morning.

Eructations and sensation of fulness over stomach.—Nausea, vomiting (K,

• ▸5h.
• ▸).
• ▸—Vomited severely with > to headache (Ips.
• ▸).
• ▸—Nausea and vomiting, nausea with efforts to

vomit with colic and diarrhcea—Transitory sickness and vomiting after dinner—Vomiting after

every meal.—Nausea and sickness in morning with heaviness in stomach region.—Pressure in

stomach, going to throat, as if the clothes were too tight.—Cramping pain in stomach.—Nausea

with pains in umbilical region with diarrhcea.—Nausea with racking and stirring in stomach and

• ▸increased thirst.
• ▸—Sickness in stomach and pressing.
• ▸—Nausea in morning.
• ▸—Sticking pains in

stomach region.

Early-morning, sudden diarrhoea (Sulph). Stools dark-brown, offensive, discharged with much force. Tabes mesenterica.

Cramping pains in stomach and abdomen.—Sensation of constriction in

abdomen.—Colic with diarrhoea and heaviness in stomach.—Colic with great thirst—Fatigue and

sickness in region of stomach and abdomen; sticking pains deep in spleen; severe pain in region

• ▸of liver.
• ▸—Aching (sticking) in region of liver, spleen, ovaries, spermatic cord, testicles (esp.
• ▸1.
• ▸),

in hip-joints, in rectum.—Pains in region of appendix vermiformis.—Mass of enlarged glands, in

r. iliac fossa much smaller (W C).—Six pustules at different parts of skin of back and abdomen,

and after discharging have healed (W C).—Discrete papular rash over chest and abdomen (W

C).—Perforating ulcer in intestines (V).

Obstipation; stool hard, dry, with wind and colic.—Diarrhoea with pinching

• ▸and burning pains.
• ▸—Pressure and constriction in rectum.
• ▸—Pain in rectum.
• ▸—Itching sensation in

anus.

Diminished quantity of urine.—Is obliged to urinate very often, esp.

during changes of weather.—One tenth albumen in height of reaction; disappeared afterwards (W

C).—Specific gravity of urine increases from 1016 to 1023 with an excess of urates and ropy

• ▸mucus.
• ▸—Peptonuria in man, 33 (Maregliano).
• ▸—Hzematuria with renal pain (M).
• ▸—Excess of urates

(M).—Abundant viscid mucous discharge.

Benign mammary tumors. Menses too early, too profuse, long-lasting. Dysmenorrhoea. Pains increase with the establishment of the flow.

Severe pains in breast in evening at beginning of

menstruation.—Menstruation with pains in lumbo-sacral and ovarian region.—Sticking pain in

lower abdomen; pains in lumbo-sacral region < when walking.—Weakness in genital region;

painful menstruation.—Blood lumpy, menstruation lasting more days than usual; menstruation

antepones eight days.—Burning pains in external genitals; sharp leucorrhoea; pains in sacral and

ovarian region to hip-joints.—Sensation of heat in genitalia externa, with increased

leucorrhcea.—Cramps in uterine region with pains in sacral and ovarian region.—Burning pain in

ovarian region.—Menstruation, returns fourteen days after parturition.

• ▸Enlarged tonsils.
• ▸Hard, dry cough during sleep.
• ▸Expectoration thick, easy; profuse bronchorrhoea.
• ▸Shortness of breath.
• ▸Sensation of suffocation, even with plenty of fresh air.
• ▸Longs for cold air.
• ▸Broncho-pneumonia in children.
• ▸Hard, hacking cough, profuse sweating and loss of weight, rales all over chest.
• ▸Deposits begin in apex of lung (Repeated doses).

Decided effect in laryngeal cases, mostly beneficial (L B).—After ten

injections, larynx markedly affected, inflammatory Swelling and ulceration (L B).—General

infiltration of mucous membrane of larynx, high red colour, brighter than normal (L

B).—Enormous swelling of arytenoids appeared (L B).—Tuberculous outgrowth (L

B).—Exfoliation at r. vocal cord, appearance extravasated below its posterior part (L

B).—Hyperzmia of cords intensified and covered with minute ulcerating points.—Cough and

expectoration lasting four months, from a wetting (removed, no bacilli found).—Sensation of

pressure on chest—Cough and sputa.—Irritating cough, < in night.—Little cough in night with

aching in side and blood-tinged sputa.—Severe cough in evening with pains below mamma onr.,

• ▸side.
• ▸—Inclination to cough (K, 3 to 4h.
• ▸).
• ▸—Severe cough with muco-purulent secretion in

• ▸morning.
• ▸—Cough prevents him sleeping in evening.
• ▸—Cough, secretion of phlegm, esp.
• ▸by

walking, with sticking pains in lungs and, palpitation —A sort of whooping-cough.—Dry cough;

in night.—Cough with viscid mucus.—After much cough sensation of mucus in pharynx, mucous

secretion being easily ejected —Expectoration diminished (Heron).—Palpitation and pains in back

• ▸with cough.
• ▸—Crackling rales at r.
• ▸shoulder behind (Ips.
• ▸).
• ▸—Copious watery expectoration usually

seen during the reaction (Wilson).—With every increase of dose he suffered from asthmatic fits,

lasting from three to seven hours.—Extreme rapidity of respirations without dyspnoea, 60 to 90 in

the minute; if the patient is spoken to, the rapid breathing ceases at-once (as with a dog panting

• ▸in the sun.
• ▸—Heron).
• ▸—Is obliged to take deep inspirations; dyspnoea.
• ▸—Difficulty in breathing

• ▸speedily increased (K, 3 to 4h.
• ▸).
• ▸—Marked feeling of suffocation (Ipr.
• ▸).

• ▸Sensation of pressure in chest.
• ▸—Heat in chest (M).
• ▸—Sticking pain in chest, esp.
• ▸at the

• ▸apex of |.
• ▸lung.
• ▸—Sensation of contriction in the preecordial region.
• ▸—Pains in both sides of chest

• ▸going to back.
• ▸—Pains in 1.
• ▸side —Sticking in side.
• ▸—Nightly pains on chest.
• ▸—Sticking pains: in

• ▸lungs; in 1.
• ▸side, pains between scapule.
• ▸—Aching in side in night.
• ▸—Sticking pain in chest, on r.

• ▸and |.
• ▸side.
• ▸—Sticking pain in 1.
• ▸side in morning and afternoon.
• ▸—Sticking pain in lungs when

• ▸laughing.
• ▸—Pain in axilla, esp.
• ▸when elevating arm.
• ▸—Sticking pain: in lungs with cough and

palpitation.—Pressure in chest, sticking pain an both sides of chest, in back.—Palpitation, caused

by deep inspirations, aching in back with pains under ribs.—Pains in subclavicular region with

• ▸cough.
• ▸—Sticking pain in |.
• ▸lung.
• ▸—Pain from clavicles to throat.
• ▸—Pain in apex pulmonis radiating

• ▸to axilla and arm.
• ▸—Sticking pain in chest and in back, < from every movement.
• ▸—Pain in 1.
• ▸lung

• ▸to axilla—Pain on 1.
• ▸side going to back.
• ▸—Pain in 1.
• ▸apex and in region of the spleen—Severe pain

• ▸in back, in axilla and arms.
• ▸—Pains in |.
• ▸side, must take deep inspiration.
• ▸—Bronchitic sounds in

both lungs (W C).—Dulness r, apex (L B).—Sudden, profuse hemoptysis, ends fatally

(E).—Developed a cavity on side opposite to that first affected (E).—New deposit of tubercles on

pleura (E).—Surface of old pulmonary cavities showed unusually intense redness of granulation

layers (V).—Hzmorrhagic infiltration of the walls (V).—Recent hemorrhage observed in the

cavities.—In fatal cases of ulcerative phthisis the lungs esp., and also the pleure, showed

extensive and severe recent changes-pleurisy, for the most part very severe, simple and

tuberculous, frequently hemorrhagic, and not infrequently bilateral (V).—Caseous pneumonia or

caseous hepatisation—the lung appearing like blood-pudding studded with pieces of lard; (the

patient, an architect, 33, had six injections, the last four weeks before death. At the beginning he

had induration of one apex only. The treatment was suspended because of persistent fever and

infiltration of lower lobe.—V).—Catarrhal pneumonia was found, but it differed from ordinary

catarrhal pneumonia (in which the alveoli when squeezed out have a gelatinous appearance) in

that the contents of the alveoli were very watery and turbid—a turbid infiltration; it resembles a

phlegmonous condition (V).—Soft hepatisation, which differs from ordinary catarrhal

hepatisation in that in the midst of the patches foci of softening become developed, leading to

rapid breaking down and excavation (V).—Development of fresh tubercles: small tubercles

giving rise to new ulcers have suddenly appeared, esp. in pleura, pericardium, and peritoneum

• ▸(V).
• ▸—Metastasis, bacilli mobilised (V).
• ▸—Abscesses in the lungs (V).
• ▸—Perforating abscesses in

respiratory organs (V).

Palpitation early in morning.—Sensation of heaviness and pressure over

heart.—Palpitation with cough and sticking pains in lungs.—By deep inspirations severe

• ▸palpitation.
• ▸—Aching in heart.
• ▸—Palpitation in night, < when raising himself up.
• ▸—Palpitation with

pain in the back—Death from paralysis of heart (Libhertz).

Tension in nape of neck and down spine. Chilliness between shoulders or up the back.

Glands in neck and scars swollen and very tender, various lupus points

about them showing yellow fluid under epidermis (Ips.).—Scars in neck softer and flatter; no

lupus nodules now perceptible (Ips.).—Glands cannot now be felt, except the largest, which is

• ▸now reduced to size of a pea (Ips.
• ▸).
• ▸—Cervical glands much smaller (W C).
• ▸—Aching like needle-

• ▸pricks in the back.
• ▸—Prickly feeling in skin of back (Ips.
• ▸).
• ▸—Weakness in lumbo-sacral

region.—Sticking pain over both scapulze; pain in region of spleen; vague pains in back and on

• ▸chest, with sensation of pressure.
• ▸—Sticking in back.
• ▸—Pain in back with palpitation.
• ▸—_(Sensation

• ▸on his back as if the clothes were moist.
• ▸—Bac.
• ▸).
• ▸—Three red patches on I.
• ▸side of back became

much deeper (Ipr.).—Violent reaction, during which severe pains in loins < by pressure; (case of

• ▸Addison's disease; two injections given.
• ▸—Pick.
• ▸).
• ▸—Tuberculosis of sacrum greatly improved

(Kurz).

Aching in forearms; vague, sticking pain —Diminution of inflammation

above elbow-joint; disappearance of abscess over olecranon; sinus connected with radius

discharging freely a thick yellow pus (W C).—Sensation of luxation with severe pains in r. carpal

joint; < by effort to move it; ceasing by rest.—Trembling of hands.

During night pain referred to r. knee; r. leg rotated in and flexed slightly at

• ▸hip and knee; movement of r.
• ▸hip-joint free; 1 p.
• ▸m.
• ▸, 1.
• ▸hip much more painful and tender, more

• ▸flexed, abducted and rotated out (disease of |.
• ▸hip in girl of five-——B.
• ▸M.
• ▸T.
• ▸).
• ▸—Aching in the hip-

• ▸joints.
• ▸—Pain in r.
• ▸knee without swelling (Heron, a non-tubercular case).
• ▸—The knee became easily

movable and could be bent to a right angle (tuberculous affection of r. knee).—Swelling and

tenderness of both knee-joints (Heron).—Tenderness in r. ankle-joint (Heron).

Chronic eczema; itching intense; worse at night. Acne in tuberculous children. Measles; psoriasis (Thyroid).

Erythematous eruption like measles or scarlatina (M).—Erythema with subcutaneous

indurated nodules (M).—Great bronze patches on the forehead and temples.—Bronze finger-

points.—Finger-points as if touched by Argentum nitricum.—lItching all over the body in the

evening in bed; changing place after rubbing.—"Rash on chest and abdomen similar, patient says,

to what came out when disease first appeared" (Ipr.).—Rash on abdomen and back, commencing

very red; speedily becoming brownish, resembling ordinary skin eruption of secondary syphilis

(L B).—CEdematous condition of upper lip —(CEdematous condition of eyelids—Nose swollen,

tense, erysipelatous-looking epidermis in lupus patch raised by yellow fluid.—In two cases, at

least during the febrile action, old chilblains became again inflamed (H).—Slight attack of

jaundice (several cases.—W C).—Site of injection slightly painful and red (K, 2nd

• ▸d.
• ▸).
• ▸—Erythematous blush confined to lupus parts, which were the seat of throbbing pain.
• ▸—It has

repeatedly caused general erythematous eruptions on the skin, and, in some, nodular effusions

into the cellular tissue (H).

Poor; wakes early. Overpowering sleepiness in daytime. Dreams vivid and distressing.

Great desire for sleep; drowsiness during day; after dinner—Inclination to sleep in

• ▸mornings.
• ▸—Shivering when beginning to sleep.
• ▸—Cold feet in bed.
• ▸—Troubled sleep;

• ▸sleeplessness.
• ▸—Sleep disturbed from 3 a.
• ▸m.
• ▸—Sleeplessness on account of constant

coughing.—Many dreams; disturbed sleep, interrupted by fearful dreams; gloomy dreams;

dreams of shame; cries out in dreams.

• ▸Post-critical temperature of a remittent type.
• ▸Here repeat dose every two hours (MacFarlan).
• ▸Profuse sweat.
• ▸General chilliness.

Shivering, when beginning to sleep; cold feet in bed.—Freezing and heat alternately;

• ▸cold and heat for moments.
• ▸—Violent attack of ague, lasting almost an hour (K, 5h.
• ▸).
• ▸—Freezing on

• ▸the back in evening.
• ▸—Freezing during whole day.
• ▸—Sensation of heat in evening in bed.
• ▸—Flush of

heat from back to head.—Feverish, nausea, thirsty, with headache, no vomiting (Heron).—Flushes

of heat after eating —High temperature, abating in twelve hours (K).—Lowering of temperature

after each injection (Heron).—Lowering of temperature before a rise (Heron).—Temperature

seven hours after injection, 103.8°, accompanied by thirst, rigor, increased cough, headache, and

• ▸pains in joints (Heron).
• ▸—Sweat in the night.
• ▸—Much sweat, esp.
• ▸on head in night.
• ▸—Profuse sweat

after light exertion.—A little walk and slight efforts produce sweats.—Short sweats in morning,

while awaking.—Profuse sweats during slight exertion.

• ▸Acne.
• ▸Albuminuria.
• ▸Appendicitis.
• ▸Asthma.
• ▸Bones, caries of.
• ▸Bronchitis.
• ▸Catarrhal

• ▸pneumonia.
• ▸Chilblains.
• ▸Cornea, opacity of; ulceration of.
• ▸Dentition.
• ▸Erysipelas.
• ▸Erythema.

• ▸Heematuria.
• ▸Hemoptysis.
• ▸Headache.
• ▸Heart, affections of; palpitation of.
• ▸Influenza.
• ▸Leprosy.

• ▸Leucorrhoea.
• ▸Lungs, cedema of.
• ▸Lupus.
• ▸Mania.
• ▸Menses too early.
• ▸Nephritis.
• ▸Night-terrors.

• ▸(Edema glottidis.
• ▸Paralysis.
• ▸Phthisis.
• ▸Pleurisy.
• ▸Pneumonia, acute.
• ▸Tuberculosis.

[Burmett recommends to give the Tuberculinum high if there is a strong tubercular

element in the case; if that element is small, 30 is better.] Compare: Bacillinum (including

• ▸Tuberculinum of Swan), Bacil.
• ▸test.
• ▸, Aviaire.
• ▸In tubercular meningitis, Iodf.
• ▸Irregular distribution

• ▸of circulation; constitutional remedy, Sul.
• ▸Analogous constitutional remedies, Pso.
• ▸, Med.
• ▸, Syph.
• ▸,

• ▸Thuja.
• ▸Sensation of an iron band compressing brain (Thuj.
• ▸hoop round forehead).
• ▸Sensitive to

• ▸music, Thuj.
• ▸Phthisis, insanity, Thyroid.
• ▸Pain in region of appendix, Ir.
• ▸t.
• ▸, Ars.
• ▸, Lach.
• ▸Pains in

• ▸breasts at menses, Con.
• ▸, Calc.
• ▸Compatible: Hydrast.
• ▸, "it actually seems to fatten up tuberculous

• ▸patients" (Burnett; confirmed by Nebel), Calc.
• ▸, Calc.
• ▸iod.
• ▸, Calc.
• ▸ph.
• ▸, Phos.
• ▸, Thuj.
• ▸, Sep.
• ▸, Puls.

• ▸Sensitive to music, Aco.
• ▸, Amb.
• ▸, Nat.
• ▸c.
• ▸, Nux, Pho.
• ▸ac.
• ▸, Sep.
• ▸, Thuj.
• ▸, Vio.
• ▸o.
• ▸(> by music, Trn.
• ▸).

Compare: Koch's lymph (acute and chronic parenchymatous nephritis; produces pneumonia, broncho-pneumonia, and congestion of the lungs in tuberculous patients, and is a remarkably efficacious remedy in lobular pneumonia-broncho-pneumonia);

Aviare-Tuberculin from birds--(acts on the apices of the lungs; has proved an excellent remedy in influenzal bronchitis; symptoms similar to tuberculosis; relieves the debility, diminishes the cough, improves the appetite, and braces up the whole organism; acute broncho-pulmonary diseases of children; itching of palms and ears; cough, acute, inflammatory, irritating, incessant, and tickling; loss of strength and appetite); Hydrast (to fatten patients after Tuberc); Formic acid (tuberculosis, chronic nephritis, malignant tumors; pulmonary tuberculosis, not in third stage, however; lupus; carcinoma of breast and stomach; Dr. Krull uses injections of solutions corresponding to the third centesimal potency; these must not be repeated before six months). Compare: Bacil; Psorin; Lach. Kalagua (tuberculosis; garlicky odor of all secretions and breath). Teucrium scoradonia. Compare: Thuja (Vaccinosis may block the way of action of Tuberculin-until Thuja has been given and then acts brilliantly (Burnett).

Complementary: Calcarea; China; Bryon.

• ▸Tuberculin needs more frequent repetition in children's complaints than nearly every other chronic remedy (H.
• ▸Fergie Woods).
• ▸Thirtieth and much higher, in infrequent doses.
• ▸When Tuberculinum fails Syphilinum often follows advantageously, producing a reaction.

"The use of Tuberculinum in phthisis pulmonalis demands attention to the following points: In apyretic purely tubercular phthisis results are marked, provided the eliminative organs are in good order, but nothing below the 1000th should be used, unless absolutely necessary. With patients where streptostaphylo-pneumococci are in the bronchi; where also after washing the sputum, a pure "t b. " bacilli-mass remains, the same treatment is indicated. With mixed infection-found in the majority of cases-where the sputum swarms with virulent micro-organisms in addition to the "t b. ", other procedure is necessary. If the heart is in good shape, a single dose of Tuberculinum 1000-2000 is given, provided there are no marked indications for other remedies. With due attention to temperature and possible excretions, the dose is allowed to work until effects are no longer observed, eight days to eight weeks. Usually a syndrome then presents, permitting the accurate choice of an antipsoric Silica, Lycopodium, Phosphorus, etc. After a while the picture again darkens and now a high potency of the isopathic remedy corresponding to the most virulent and prominent micro-organism found in the sputum is given: Staphylo-Strepto-, or Pneumococcin. The accurate bacteriological analysis of the sputum is absolutely essential; the choice of the ison again clears the picture, and so, proceeding on the one side etiologically (where these isopathica have not yet been proved); on the other side symptomatically with antipsoric remedies, the disease is dominated.

My own experience warns, in the case of mixed infection, against the use of Strepto-, Staphylo-, or Pneumococcin below the 500th. I use them only from 2000 to 1000, having seen terrible aggravations from the 30, 100, 200, with a lowering temperature from 104 to 96. Hence the admonition, which need not concern scoffers, but those alone who wish to avail themselves of a potent weapon. The toxins used as remedies are, like Tuberculinum, prepared from pure and virulent cultures.

And cases, seemingly condemned to speedy death, are brought in a year or two back to normal temperature, though, of course, sacrificing a large portion of lung tissue. This result is sure when the patient can and will take care of himself, where the heart has withstood the toxin and the stomach and liver are in good function. Further, climatic variations must be avoided. With the great mineral metabolism of the phthisic, diet regulation is imperative, and should be preponderately vegetable, together with the addition of physiological salts in low potency, Calcarea carb, 3x, 5x, Calcarea phos, 2x, 6x, and intercurrently according to indications organ-remedies as Cactus Tr. 30, Chelidonium Tr. 30, Taraxacum Tr, Nasturtium Tr, Urtica urens Tr, Tussilago farfara Tr, Lysimachia numularia Tr, for short periods.

• ▸The first dose of Tuberculinum in any difficult case is, however, the most weighty prescription.
• ▸The remedy should not be given without a most careful cardiac examination.
• ▸As the surgeon before the anaesthetic, so must the physician know the heart before administering this drug, especially to children, and seniles-and to young seniles.
• ▸He who observes this rule will have fewer clinical reproaches on his conscience.
• ▸When Tuberculinum is contraindicated, recourse must be had to the nearest antipsoric.

The above caution applies also to asthma, pleuritis, peritonitis in scrofulous (tuberculous) subjects. " (Dr. Nebel Montreux)

I want to take up the study of Tuberculinum. The preparation

which I use is a little different from that which is generally found in

the market. This preparation I procured through a Professor of

Veterinary Surgery. In Pennsylvania there came a time when a handsome herd of cattle had to be slaughtered because of tuberculosis.

Through the Veterinary Surgeon of the Pennsylvania University I

secured some of the tubercular glands from these slaughtered cattle.

I selected from these the most likely specimen. This was potentized

by Boericke & Tafel as far as the 6th, and has since been prepared on

the Skinner machine, the 30th, aooth, loooth and the higher potencies.

This preparation I have been using for fifteen years. Many of my

friends have been using it, as they have procured it from me.

From observing the effects of this preparation I have been gathering these notes in my inter-leaved Hering’s Guiding Symptoms, and

they now guide me in the use of Tuberculinum. I do not use Tuberc,

merely because it is a nosode, or with the idea that generally prevails

of using nosodcs ; that is, a product of the disease for the disease, and

the results of the disease. This I fear is too much the prevailing

thought in using nosodes. In certain places it prevails and is taught

that anything relating to syphilis must be treated with Syphilinum;

that anything relating to gonorrhoea must be treated with Meclorrhinttm, anything psoric must be treated with Psorinum, and anything

that relates to tuberculosis must be treated with Tuberculinum. That

will go out of use some day ; it is mere isopathy, and it is an unsound

doctrine. It is not the better idea of Homoeopathy, It is not based

upon sound principles. It belongs to a hysterical Homoeopathy that

prevails in this century. Yet much good has come out of it.

It is hoped that provings may be made so that wc may be able to

prescribe Tuberc. on the symptoms of Tuberc. just as we would use

any drug. It is deep acting, constitutionally deep, because it is a

product of disease from a very deep-seated constitutional condition,

like Silica and Sulphur. It goes deep into the life : it is antipsoric ; it

is long acting, and it affects constitutions more deeply than most

remedies ; and when our deepest remedies act only a few weeks, and

they have to be changed, this remedy comes in as one of the remedies — when the symptoms agree — and brings a better state of reaction, so that remedies hold longer. It may well be considered a species of Psorinum.

One of the most prominent uses of this remedy is in intermittent

fever. Some of our most stubborn cases of intermittent fever will

relapse and continue relapsing, even when such remedies as Silica and

Calcarea and the deeper-acting remedies have been indicated, have

acted well, have broken the fever, mttii in a few weeks, from exposure

to cold, from sitting in a draft, froHii becoming fatigued, from mental

exertion, from over-eating and from disordering the stomach this aguq

• ▸has returned.
• ▸Any of these circumstances will bring back these stubborn cases of intermittent fever when Tul>erc.
• ▸is needed.
• ▸When a

patient is travelling toward phthisis and he is exposed and intermittent

comes out. He is of a feeble constitution and his complaints have a

tendency to relapse, and remedies w’^ell selected do not hold long,

though they act well at first — they must soon be changed — changing

symptoms.

It is not an indication for Tuberc. when the well selected remedy

fails to act. Well selected is a relative expression and involves too

much of human opinion. It may be thought to be well selected

when it is not related to the case. When the well selected remedy

has acted and the constitution shows a tendency to break down, and

the well selected remedy does not hold, because of vital weakness and

because of deep-seated tendencies ; then it is that this remedy sometimes fits in. Such a case is often tuberculous in inclination, even

though no evidence is present of a patholbgical character.

Burnett dropped an idea, that has been confirmed many times. Pa-

TUBERCUUNUM BOVIKUM

tients who have inherited phthisis, patients whose parents have died

of phthisis are often of feeble vitality. They do not throw off their

inherited tendencies. They are always tired. They take on sicknesses

easily. They become anaemic ; nervous ; waxy or pale. These conditions are sometimes met, when the finer syifiptoms agree, although

Burnett evidently used this medicine in a sort of routine way for this

kind of constitution, which he called ‘‘Consumptiveness.” Persons

who had inherited phthisis, who were debilitated and anaemic.

It seems from looking over the record of many cures that this remedy has been given many times for just that state on a paucity of

symptoms, and if the records can be believed it has many times balanced up to the constitution in that anaemic state, where the inheritance

has been phthisis. It is not the best indication for Tuberc., but where

the symptoms agree in addition to that inheritance, then you may have

indications for the remedy.

• ▸If Tuberculinum bovinum be given in lom.
• ▸, 50m.
• ▸and cm.
• ▸potencies,

two doses of each potency at long intervals, all children and young

people who have inherited tuberculosis may be immuned from their

inheritance and their resiliency will be restored. It cures most cases

of adenoids and tuberculous glands of the neck.

The nodes that have guided me to its use 1 will attempt to explain.

The mental symptoms that I have seen give way while the patient was

under treatment, and the mental symptoms that I have seen crop out

under the provings, and the mental symptoms that I have so often seen

associated when the patient is poisoned by the tubercular toxines are

• ▸such as belong to many complaints and are cured by Tuberc.
• ▸Hopelessness in many complaints.
• ▸Aversion to mental work.
• ▸Anxiety

evening, until midnight. Anxiety during fever. Loquacity during

fever. Weary of life. Cosmopolitan, Tormenting, persistent

thoughts during the night. Thoughts intrude and crowd upon each

other during the night. These I will say are the common mental

features, and have often yielded when the remedy has been prescribed.

Anyone who has inherited phthisis, anyone who has been in a state

of debility, who has had intermittent fever with continual replases,

and these mental symptoms are present, you may think of Tuberc.

Loquacity during fever is a common feature in hectic fever when the

patient is decidedly affected by the toxines of tuberculosis. A person

gradually running down, never finding the right remedy, or relief only

momentarily ; has a constant desire to change, and travel, and go

somewhere, and do something different, or to find a new doctor. The

desire to travel, that cosmopolitan condition of the mind belongs so

strongly to the one who needs Tuberc. It comes out so often in clinical experience, is found so often in the Calcareas, and especially in

Calc, phos,, alwjays wanting to go somewhere.. Such is -the condition

TOBERCUUNUM BOVINUM

9^3

of those about to go into insanity, about to go into some lingering disease. Persons on the border-land of insanity. It is true that phthisis

and insanity are convertible conditions, the one falls into the other.

Many cases that are treated and cured, and phthisis of the lungs has

just been turned aside, finally become insane. Persons who have been

cured of insanity go into phthisis and die, showing the deep-seated

character of their nature. The intellectual symptoms and the lung

symptoms arc interchangeable.

Tuberculinum cures the most violent and the most chronic periodical

sick headaches, periodical nervous headaches. Coming every week ;

every two weeks ; and the irregular periodicity coming under certain

conditions, in damp weather, after overwork, from mental excitement,

from overeating, disordered stomach — Tuberc. breaks up the tendency

to this chronic periodical headache when the symptoms agree.

It has been observed in the hands of good prescribers that when

chronic constitutional headaches have been broken up sometimes the

patient has a tendency to lose flesh and become feeble. An entire

transformation scene takes place ; a cough sets in ; the headache has

been removed, but the patient is feeble. Whenever that takes place

Tuberc. is a most useful remedy. A new manifestation comes ; a new

organ is affected.

Sore bruised feeling all over the body. Aching of the bones. Sore

bruised condition of the eyeballs, sensitive to touch, and on turning the

eye sideways. Persons who have long felt the weakness of tuberculosis, tubercular conditions, and are suEbjcct to cold sweat on the head.

This was brought out in the provings? of Calcar ca^ and those about to

go into phthisis have many times been cured by Calcarea, The relationship between Tuberc. and C^c, is very )close. They are interchangeable ,* that is, the one may be indicated for a while, and then the

other. They are both deep-acting remedies — also Silica is closely

related to Tuberc., on the same plane of action, going deep into the

life in a similar way ; Calcarea, Tuberc. and Silica, and the Silicates.

In the Guiding Symptoms is a record, “Pain in the head, as if the

head had a tight hoop of iron around it,” an iron band.

Headache, with frequent sharp cutting pains. Headache, worse

• ▸from motion.
• ▸In the Guiding Symptoms, “A sullen, taciturn, irritable” condition of mind.
• ▸“Screams in his sleep.
• ▸Is very restless at

night. Sister died of tubercular itieningitis.” That symptom was

given by Burnett. It has cured hydrocephalus.

Many years ago Doctor Biegler cured a case of tubercular meningitis

with Tuberc. In many instances it has cured tubercular meningitis

and tubercular diseases of the brain in the early stages.

The face becomes red, even to purple, during the chill, and during

the heat. Aversion to all foods, Suda aversion to meat that it be-

Sensation of formication in arms and legs.—Great weakness in limbs after

• ▸dinner.
• ▸—Sensation of fatigue and faintness in all limbs.
• ▸—Pains in limbs, fatigue (K, 3 to 4h.
• ▸after

• ▸injection).
• ▸—Pains in limbs (K, 2nd d.
• ▸).
• ▸—Pains in ulnar nerve and calves of legs and knees, |.
• ▸great

toe much affected, and became very red and turgid (Ipr.).—Trembling of limbs (in an

alcoholic).—Twitching in the limbs (M).

A Nucleo-protein, a Nosode from Tubercular Abscess

Tuberculinum is indicated in renal affections, but caution is necessary, for where skin and intestines do not perform normally even high potencies are dangerous. In chronic cystitis, brilliant and permanent results (Dr. Nebel Montreux).

• ▸Of undoubted value in the treatment of incipient tuberculosis.
• ▸Especially adapted to the light-complexioned, narrow-chested subjects.
• ▸Lax fiber, low recuperative powers, and very susceptible to changes in the weather.
• ▸Patient always tired; motion causes intense fatigue; aversion to work; wants constant changes.
• ▸When symptoms are constantly changing and well-selected remedies fail to improve, and cold is taken from the slightest exposure.
• ▸Rapid emaciation.
• ▸Of great value in epilepsy, neurasthenia and in nervous children.
• ▸Diarrhoea in children running for weeks, extreme wasting, bluish pallor, exhaustion.
• ▸Mentally deficient children.
• ▸Enlarged tonsils.
• ▸Skin affections, acute articular rheumatism.
• ▸Very sensitive, mentally and physically.
• ▸General exhaustion.
• ▸Nervous weakness.
• ▸Trembling.
• ▸Epilepsy.
• ▸Arthritis.