DIABETES and Diabetic's gangrene

DIABETES and Diabetic's gangrene

A healthy meal plan for diabetics is generally the same as a healthy diet for anyone: it has to be low in fat (particularly saturated fats and trans fats) and must have moderate amounts of salt and starch. In addition, the meals must be based on whole grains, vegetables and fruits. This comprises a mix of fruits, vegetables, whole grains, fish, legumes, nuts and olive oil. It must be emphasized that the so called ‘diabetic’ foods offer no special benefits. Rather, many of them raise blood glucose levels, are usually more expensive and can also have a laxative effect. It, however, needs to be understood that no diet by itself will be effective unless accompanied by certain ground rules that include eating meals on time and at regular intervals and involve controlling portion sizes. These principles remain crucial to the management of the disease.

Feline diabetes often causes weakness in the hind legs of cats so that rather than walking normally, the cat will walk on his hocks ; this condition ( neuropathy ) is due to the nerve damage (and muscle wasting) caused by high blood glucose levels (hyperglycemia). Nerves, cells in the eye, and kidney cells are particularly sensitive to damage since these cells do not require insulin in order to take up glucose from the blood. When blood glucose is very high these cells take up lots of glucose which causes internal damage. Hind leg weakness is also caused by electrolyte imbalances (e.g. low potassium levels) related to excessive urination.

 

Arsenicum : There is great relief from warmth. Dry gangrene of old people, with soreness and burning in the parts affected.Unquenchable thirst and great hunger ; dryness of mouth, excessive urination and loss of strength.
 

Arsenicum differs from Secale: Secale has relief from cold applications. It is useful in the same kind of dry gangrene of old people. Secale with Arsenic and Kreosote forms trio for diabetic gangrene.
 

Carbo veg is the remedy for carbuncles and boils which become gangrenous.
 

Phosphoricum acidum - Glycosuria and Polyuria ; urine looks milky or like jelly after standing ; great debility ; cough on slightest exposure ; bruised feeling in muscles and burning in the spine ; urine loaded with phosphates showing a greasy pellicle.


Uranium nitricum - Emaciation, excessive thirst, vomiting of food with excessive urine ; sometimes tympanites.
 

Lactic acid has a reputation for usefulness in diabetes.
 

Nux vomica : When it is caused by mental overwork where there is distress in the stomach, coming on an hour or so after meals, and where the patient is cranky and irascible, and where he has a dull frontal headache in the morning. There is often nausea, empty retching and sour eructations.
  Indicating symptom for Nux vomica in an attack of dyspepsia is an abnormal hunger, which precedes the attack for several days. Characteristic tongue of Nux in dyspeptic troubles : It is usually coated white, especially on the posterior part. Special desires and aversions of Nux : There is a strong desire for beer and bitters and an aversion to coffee.


Lycopodium, Nux moschata 
and Abies nigra have distress which commences immediately after eating .


Carbo veg. 
and Sulphur. besides Nux are often indicated in the flatulent dyspepsia of
drunkards and those who use alcoholic stimulants.


Kalium
bichromicum is characteristic drug for dyspepsia of beer drinkers .


Kreosote
has the symptom that vomiting occurs three or four hours after the patient eats .


Sepia, Sulphur 
and Natrum carbonicum have pain and tenderness in the pit of the stomach, with aggravation at eleven o'clock in the morning ?


Carbo vegetabilis
in dyspepsia : There is a slow and imperfect digestion. A weight in the stomach and a faint, gone feeling, which is not relieved by eating ; after eating a few mouthfuls there is a sense of repletion. There is a great deal of burning in the stomach which extends to the back. There is a distention of the stomach and bowels, which is temporarily relieved by belching. There is heaviness, fullness and sleepiness after eating( Nux moschata and Lycopodium have heaviness, fullness and sleepiness after eating.), and the flatulence causes asthmatic breathing and dyspnoea. The patient may even desire to be fanned. Dyspepsias from overeating or high living ; useful in the chronic dyspepsias of the aged ; or in stomach troubles from abuse ofAlcohol. Carbo vegetabilis differs from Lycopodium : Carbo veg. flatulence is more of the stomach, while that of Lyc. is more of the intestines.


Carbo vegetabilis differ in general from Sulphuricum acidum:
Carbo veg. is a putrid remedy, and indicated in putrid dyspepsia. Sulphuric acid is a sour remedy and indicated in acid conditions.


Carbo vegetabilis compare with China and Nux vomica :
It has more upward pressure on the diaphragm, causing oppression of breathing, while China has not so much downward pressure as Nux vom.


Distinguishing feature between Carbo vegetabilis and Lycopodium:
Under Carbo veg. there is a tendency to diarrhoea. Under Lyc. the tendency is to constipation.


China:
There is distention of the stomach, momentarily relieved by belching. There are sour or bitter eructations. There is slow digestion, and the patient faints easily. There is a sensation as if the food had lodged in the oesophagus behind the sternum. The food seems to lie a long time in the stomach and causes eructations, and is finally vomited undigested. The distention after eating a little is characteristic. China distinguished from Carbo vegetabilis : Although useful in cases where there is depression of the vital powers, it does not have the belching nor the burning which Carbo veg. has.

Pulsatilla has the sensation as if the food had lodged in the oesophagus behind the sternum. Abies nigra has a sensation as if a hard boiled egg lay in the stomach.


Lycopodium
The patient has a vigorous appetite. After eating a small quantity of food, he feels so full and bloated that he has to force himself to take another mouthful.
The distress is felt immediately upon eating.The patient is very sleepy after eating. There is a great deal of flatulence in the stomach and intestines, which presses upward and causes difficulty of breathing. Ravenous hunger, which if not satisfied causes headache, sour taste, sour belching and sometimes sour vomiting. Pulsatilla, Nux vom. and Anacardium have a distress which comes on about two hours after eating. Arsenic, Carbo veg., China, Sepia and Sulphur have sensation of satiety after eating food. Belching of gas in Lycopodium does not relieve . Lycopodium differs from Nux vomica: The distress immediately after eating belongs to Lyc. , while in Nux vom. the flatus presses downward rather than upward. Nux vom. has constipation from fitful intestinal action. Lyc. from contraction of the sphincter. Difference between Sepia and Lycopodium: Sepia has a sensation of emptiness in the epigastrium, while Lyc. has a sensation of fullness. Both have red sand in the urine. That of Sepia, however, is very offensive. Lycopodium has great desire for sweets that is similar to one found under Argentum nitricum . Lachesis desires especially oysters.

Pulsatilla
:
Dryness of the mouth and putrid taste, and a sensation as if the food had lodged under the sternum. There is a feeling of fullness and weight in the stomach, which comes on an hour or two after eating. There is a great deal of flatulence, which characterizingly moves about, causing painful sensation about the chest, which is relieved by eructation. It is especially useful for dyspepsia arising from fatty foods, pork or pastry, or from chilling the stomach with ice cream or ice water. The eructations taste of the food. Tongue thickly white coated. Ipecac., Thuja and Carbo veg have dyspepsia arising from rich and fatty food. Arsenic and Carbo veg have stomach symptoms caused from chilling the stomach . Pulsatilla distinguished from Nux vomica: Firstly, by the mental condition. Then Pulsatilla is worse in the evening and Nux vom. is worse in the morning. Pulsatilla has more heartburn and Nux vom. more water brash.


Antimonium
crudum:
Nausea and persistent vomiting occurring as soon as the child eats or drinks. Digestive troubles from over-loading the stomach ; a useful remedy for the ill effects of Thanksgiving or Christmas dinners ; there is the white tongue and the vomited matters containing food, and there is a great deal of fullness, distress and distention about the abdomen ; eructations tasting of food. After nursing, the child vomits its milk in curds, and refuses to nurse afterwards, and is very cross. 


Anacardium
: There is a sickening feeling, which comes on about two hours after eating, and a dull pain in the stomach, which extends to the spine.The great characteristic of the drug is a great relief of all the symptoms after eating.The patient is forced to eat to relieve these symptoms.Tasteless or sour eructations.Petroleum, Chelidonium and Graphites have relief from eating.Petroleum is indicated when There is ravenous hunger and gastralgia relieved by eating ; it being especially useful in long, lingering gastric troubles with a great deal of nausea. Aversion to fat food and meat. Indigestion from sauer kraut.The nausea is worse from riding and motion. Anacardium & Nux vomica both have urging to stool, but unlike Nux vom. in going to stool the desire passes away and there is a characteristic symptom of a plug in the rectum.


Chelidonium :
For this drug to be effective, liver symptoms must be prominent. Argentum nitricum has gastralgia which is worse from eating.


Sepia :
There is a feeling of goneness in the stomach ; not relieved by eating. There is a white coated tongue and sour or putrid taste in the mouth. There is nausea at the sight or smell of food. The Sepia patient is worse in the morning and evening. There is a great longing for acids and pickles, and it is a useful remedy for dyspepsia from the overuse of tonics. Sensation of a lump in the stomach. Carbo animalis has a sensation of goneness in the pit of the stomach which is not relieved by eating.Colchicum has nausea at the thought of food ; even mention food and he vomits .


Sulphur  :
There is a bitter, sour taste and putrid eructation and sour vomiting.  It is useful in flatulent dyspepsia, and if has a feeling of satiety after eating a small quantity of food, and it has an empty, gone feeling in the epigastrium about eleven o'clock There is a great desire for sweets, which make him sick, causing a sour stomach and heart-burn. There is canine hunger. The patient can hardly wait for meals and is forced to get up at night to eat.  Phosphorus has canine hunger, causing patient to get up at night and eat .Natrum carbonica and Natrum sulph have a hungry, gnawing feeling in the epigastrium at about eleven o'clock in the morning .


Phosphorus :
A craving for cold food and drink, which relieves momentarily, but which are vomited as soon as they become warm in the stomach ; there are sour eructations and a white tongue. In chronic dyspepsia where the patient vomits as soon as food strikes the stomach it is the remedy. Perforating ulcer of stomach vomiting of coffee ground-like matters. Bismuth has symptom of vomiting as soon as food reaches the stomach .


Natrum carbonicum:
There is hypochondriasis, morning nausea and empty retchings ; sour eructations and fetid flatulence and a weak, hungry feeling in the epigastrium at eleven o'clock A. M. The patient is low-spirited after a meal and is worse after vegetable or starchy food, and it is especially useful in dyspepsia from eating soda biscuits. Natrum carbonicum stands between Nux vomica and Sepia .


Kalium carbonicum :
Dyspepsia of weak, anaemic and easily exhausted patients who have a tired feeling and backache.There is a faint, sickening feeling in the epigastrium before eating, sour eructations, heartburn and a weak, nervous sensation.The patient is sleepy while eating, and after eating there is an undue flatulence ; everything he eats seems to turn to gas.All the symptoms of Kalium carbonica are aggravated by soup or by coffee. Argentum nitricum and Iodine have the symptoms that everything eaten turns to gas . China and Carbo veg have dyspepsia from loss of fluids, or from protracted illness .


Graphites :
Tympanitic distention of the stomach ; the patient is obliged to loosen his clothing ; burning pains and cramps and putrid eructations ; there is a burning, crampy pain, which is relieved by eating ; there is disagreeable taste in the morning, and aversion to meat.Lycopodium has distention with great accumulation of flatus ; but this flatus is not rancid or putrid as under Graphites. Lycopodium, Carbo veg., Nux vom. and China have the symptom that the patient has to loosen the clothing after eating .All chlorotic remedies, such as Ferrum and China have aversion to meat. Angustura has an intense desire for coffee.


Ipecac :
Intense nausea and vomiting, which is followed by exhaustion and sleepiness. Troubles arising from fat food, pork, pastry, candy, etc. The stomach has a hanging down, relaxed feeling.The tongue is dean, whereas in Antimonium crud. it is thickly coated white. Staphisagria, Tabacum and Sepia have a relaxed hanging down feeling at the stomach. The distress in Pulsatilla comes on while the food is still in the stomach ; with Ipecac it is while the stomach is empty ; the tongue, too, with Ipecac is clean, in Pulsatilla coated.


Hydrastis :
There is a sinking, gone feeling at the pit of the stomach ; an empty, gone feeling, as if the patient had suffered from a diarrhoea for a long time ; there are also eructations and some nausea.Atonic dyspepsia ; tongue large, flabby, slimy.


Silica
: Aversion of a child to its mother's milk, with vomiting after sucking.  The mother’s milk is so bad that the child refuses it or vomits it soon after nursing.


Argentum nitricum:
The patient craves candies or sweets, which disagree ; there is flatulence, which presses up and causes dyspnoea ; there are violent efforts to belch, and the gas rises to a certain point, when a sudden spasmodic contraction pre-vents its escaping, but it is finally expelled in loud reports. There is severe gastralgia, the pains radiate from the stomach in all directions ; they are relieved by hard pressure and by bending double ; the pains often increase gradually, and decrease gradually as under Stannum, - vomiting of glairy mucus relieves.


Bismuth :
In Bismuth it is purely nervous gastralgia, and as soon as the least food touches the stomach the patient vomits. Cold drinks relieve.


Staphisagria :
A sensation as if the stomach was hanging down, relaxed ; it seems to be flabby and weak ; a great desire for wine, brandy or tobacco.Pain in abdomen after every morsel of food or drink.Ipecac has similar symptoms .


Robinia :
Acid dyspepsia with weight in the stomach and eructations of a sour fluid ; intensely acid vomiting, it sets the teeth on edge.


Sulphuricum acidum :
Extreme sourness of all vomited matters ; the stomach feels cold and relaxed, and the-patient desires a stimulating drink, such as brandy ; the stomach is so weak that all food is vomited. Stomach troubles of inebriates with these symptoms are greatly benefited by the remedy.


Arsenicum :
Burning, griping pains in the stomach followed by great prostration and vomiting ; the vomiting is severe ; the patient vomits water as soon as it becomes warm in the stomach ; the stomach is very irritable, and it is a remedy for irritable stomachs of drunkards ; there is heart-burn and gulping up of a watery substance.


Bryonia :
Food distresses the patient as soon as he takes it ; it lies in the stomach like a hard load ; there is a white or yellowish-white coating on the tongue ; there is a faint, weak feeling on sitting up.


Cadmium sulphate :
It is a cross between Arsenic and Bryonia, and comes in between those two drugs in certain stomach conditions where we have the characteristic Arsenic symptoms, and a desire to keep perfectly quiet, as under Bryonia.


Calcarea:
Pressure in the stomach, the pit is swollen like a saucer turned bottom side up ; sour vomiting and ravenous hunger in the morning ; the patient cannot bear anything tight about the waist.


Hepar sulphur:
Craving for acids, alcoholics and strong tasting substances ; hunger and gnawing in the stomach ; cannot bear anything tight about the waist.


Abies Canadensis:
There is a gnawing or burning in the stomach, a hungry, faint, weak feeling with craving for indigestible or unsuitable articles of food.


Abies nigra :
A sensation as if the patient had swallowed some indigestible substance which had stuck in the cardiac extremity of the stomach ; a hard boiled egg sensation ; dyspepsia from abuse of tobacco.


Alumina:
Constriction on swallowing food, and the patient is always worse after eating potatoes ; there is craving for chalk, charcoal, slate pencils and other indigestible substances.


Arnica :
Throbbing headache and drowsiness after a meal ; tendency to putrescence, foul breath, shiny tongue, belching of gas which tastes like rotten eggs ; tympanitic distention of the abdomen, foul-smelling stool and a great deal of weakness.


Ferrum metallicum:
There seems to be no secretion in the stomach capable of changing the food, and it is vomited as taken.The appetite is ravenous.


Iris versicolor
Severe burning distress in the stomach, vomiting of food, vomiting of excessively acid substances, with distress over the liver.


Ignatia
Bitter taste in the mouth and regurgitation of a bitter fluid, gastralgia and hiccough, relieved by eating and smoking.Empty, gone feeling and great nervous depression ; empty retching, relieved by eating ; the patient vomits simple food, but retains such things as cabbage.


Kalium muriaticum
Dyspepsia, with white tongue ; pain after eating ; liver sluggish ; fatty food disagrees ; indigestion, with vomiting of a whitish mucus, with gathering of water in the mouth.


Kalium bichromicum
Bitter vomiting, mixed with mucus, renewed by every attempt to eat or drink ; fullness even after eating a small quantity, worse from meat ; dyspepsia from beer.


Calcarea phosphorica
Excessive flatulence ; the patient craves ham, bacon, salted or smoked meats.Enlarged mesenteric glands ; pain after a small quantity of food.


Colchicum
Extreme aversion to food, nausea and loathing at the thought of food ; he gags at the mere mention of food ; loss of appetite, great debility and brown tongue.


Cyclamen
Aggravation from fat food, desire for lemonade, and thirst ; otherwise similar to Pulsatilla.


Belladonna
Pain in the stomach, worse during a meal. Gastralgia, Pains go to spine, not much thirst.


Natrum muriaticum
There is a violent thirst ; aversion to bread ; water brash and feeling of weakness and sinking in the stomach.


Asa foetida
Belching of rancid gas, and an empty, gone feeling in the stomach in the forenoon, greasy taste ; burning in the stomach and oesophagus ; great meteorismus.


Natrum phosphoricum
Great acidity, sour risings, vomiting of sour fluids with pain in the stomach and great flatulence.The sourness is the characteristic of the drug. Tongue : It has a thick, yellow coating on the back part.


Salicylicum acidum.
Dyspepsia, with excessive accumulation of flatulence and acidity of the stomach ; much belching of gas.


Carbolicum acidum.
Flatulence of the aged depending upon imperfect digestion ; acidity and burning in the stomach.


Benzoic Acid
: Urine ; ammoniacal, strong-smelling, excessively offensive, the odor penetrating the whole room. This is a guiding symptom in enuresis nocturne, dysuria senilis, irritable bladder, gravel, enlarged prostate, dribbling urine ;
Diarrhœa ; stool, copious, grey or white, like dirty soap-suds with excessively offensive, strong pungent odor, like the urine, scenting the entire house.
The name of the disease matters little, if these characteristics be present the result will usually be prompt and entirely satisfactory.  Chronic tonsillitis of right side. It must not be repeated too often.


Nitric
Acid : Has dark, brown, turbid urine, like the sediment of a cider barrel, and strong-smelling like horse's urine, but it lacks the pungent, penetrating character of the odor of Benzoic Acid.


Sepia
: Has turbid, blood-red, dark brown, very offensive urine with a white or reddish-white sediment which adheres so strongly to the vessel that it can be removed only with great difficulty. The odor is atrocious and must be at once removed from the room.


Argentum Nitricum
: Children with constant craving for sugar or candy ; irresistible desire for sugar, but diarrhœa may be caused or aggravated by it.


Oxalic
Acid : Sugar aggravates pains in stomach, but, unlike Argentum, rarely causes diarrhœa. Dr. Deschere says, "Children so often get sick from eating candies it should be more frequently thought of, and I know of no other remedy which will as certainly cure gastric ailments aggravated from eating sweets."


Ipecacuanha
: Has craving for sweets, for dainties, and gastric ailments from indigestible food-ice cream, raisins, cake, pastry, salads, fruits-but it is nearly always attended with more or less constant nausea, and the nausea is referred to the stomach.


Kali
-carb., Lycopodium, Mag-mur., Sulphur and other have desire for sweets, but the effect produced by indulging in them is not so marked.


Spigelia
: ( cases by By Henry Clay Allen ) Cancer of Sigmoid : I was led to use Spigelia in a case of cancer of sigmoid occurring in a stout plethoric lady with black hair, florid complexion and apparently in perfect health. She suffered fortunately from a moderate diarrhœa, and the cancerous mass had so contracted the caliber of the intestine that nothing approaching a normal passage of fecal matter had occurred for months, and the terrible pains through the pelvis, shooting into the back, hips, and down the limbs, were not even palliated by repeated doses of morphia which produced distressing nausea and insomnia. Guided by the following symptoms-a recent proving by Dr. Hoyne in January Advance- Spigelia 200 at once relieved the pains and diarrhœa and for ten days she had a normal stool. The pains then began to return when Spigelia 1000 again relieved. On their return the second time Spigelia 3000 afforded relief and for three weeks more she was comfortable and free from pain. I have since used it in two cases of incurable disease with intolerable pains in back, chest, pelvis, etc., with gratifying results. Spigelia : Stomach and Œsophagus : Severe constricting pain in the œsophagus, in two places ; one stricture is one inch and one-half above the cardiac orifice, and the other about the middle of the tube, at which point the pain is constant and severe, passing through to the back just below the inferior angle of the right scapula, aggravated by every attempt to swallow either liquid or solid substances, and by vomiting. Spasmodic constructions the entire length of the œsophagus, so severe that for days and nights, could neither rest nor sleep without the constant use of ice.
Sharp, cutting pains streak across abdomen, low down, and extend into back and lower limbs.
Severe labor like pains, coming in paroxysms, gradually increasing and decreasing in strength, preceded by the chili and aggravated by change of position, making face and feet cold, hands remaining warm.
Pressure and pain in whole pelvic region, the pains shooting down the limbs. Burning heat in vagina, with sense of fullness and pressure ; worse standing. Heat, pain and pressure in uterine region ; a dislike to move.


ABIES NIGRA
Stomach : The guiding symptoms so far as our provings or clinical experiment go, appear to cluster about this gastric characteristic.Sensation of an undigested hard boiled egg at pit of stomach. This is not a weight or a heaviness but a sensation causing a constant uneasiness and discomfort. The patient is often dull and drowsy during the day, with loss of appetite ; wakeful, restless and hungry at night. There may be constipation, nervousness, dysuria ; vertigo, flushed face and distressing headache, but they all appear to hinge upon this one symptom and are removed with it.


Bryonia
, has pressure in stomach, as from a stone, after eating, makes him fretful and irritable. But under Bryonia the stomach is sensitive to touch, cannot endure the pressure of the clothes and is aggravated from motion, especially a sudden or false step.


Calcarea
, has pressing pain as if a load or stone were in it, after a moderate supper, and like Bryonia is worse from motion and better lying quietly on the back. Also, like Bryonia, pressure is painful, but the saucer like distention is wanting under the latter.


Nux
vomica, has pressure, as from a stone, worse mornings and after meals. The region of stomach is sensitive to pressures but not to false step or jar, like Bryonia. The high living, abuse of drugs, sedentary habits and debauchery of Nux, serve to fur, their distinguish between them.


Pulsatilla
, has weight as from a stone, early morning on waking, and an hour after a meal, but is better by eating again. Pains are worse from walking, miss-step and when stomach is empty ; from fats, pastry, fruit, ice cream, etc.


ACETIC
ACID
In the treatment of many severe cases, both acute and chronic, this remedy is frequently indicated and as frequently overlooked. Any yet some of its leading symptoms are so clear-cut and so characteristic as not easily to be forgotten. It is especially adapted to persons of lax muscular fibre ; pale, anæmic, chlorotic, with more or less rapid wasting of the body.
Hæmorrhages : active or passive ; from nose, bronchi, lungs, stomach, bowels, genitalia.
Diarrhœa : profuse, exhausting ; in ascites, diabetes, typhoid, typhus, tuberculosis.
In these, or any affections, the characteristic indications for Acetic acid will be found in the following :
Intense, burning, insatiable thirst, even after drinking large quantities of water.
Passing large quantities of clear, watery urine, both day and night.
Profuse night sweats with great debility and marked emaciation.
These form the three points of support for the exhibition of this remedy ; and it matters little what the name of the disease is, a host of minor ailments revolving about them as satellites about a planet, will often be promptly dissipated by a few doses of this medicine. It acts promptly and effectively in the 30th potency. It may act as well in any other potency.


Arsenicum
, is the remedy which is usually thought of and generally given in many of the before mentioned affections, instead of Acetic acid ; and we are often astonished at our failure. A careful comparison in the first place would have promptly excluded it. While Arsenicum has emaciation, great prostration, marked debility and intense, burning thirst, and while in these particulars there is striking correspondence, there is also as striking a difference. The thirst of Arsenic is almost invariably "little and often" and when a large quantity is taken it is almost certain to be rejected or to produce nausea and vomiting, which never occurs under Acetic acid. The mental restlessness of the debilitated Arsenic patient is also wanting in Acetic acid.
The peculiarities of the Arsenic diarrhœa also, are entirely different ; like the thirst of Arsenic the uterine discharge is scanty ; it is painful and followed by great prostration ; while under Acetic acid it is profuse, watery, painless.


Ferrum
,
has the ashy pale face of the anæmic or chlorotic patient, and this paleness extends to the lips, tongue and mucous membrane of entire buccal cavity, which is rarely found under Acetic acid. But the earthy pale face is also subject to congestions, becomes easily flushed and bright red, from mental emotion, pain or other symptoms, which is never found under Acetic acid. Ferrum has watery, painless, even involuntary diarrhœa ; or diarrhœa of undigested food ; but is aggravated at or after a meal and by drinking cold water, while that of Acetic acid is not affected by eating or drinking. It has profuse, debilitating, long-lasting sweat ; clammy, stains yellow, strong smelling, fetid on going to sleep ; but it is aggravated by motion, may occur by day as well as night and patient is always worse when sweating.

In the marasmus which occurs during the first summer of teething children, we have found Acetic acid exceedingly useful.
There is loss of appetite, the child drinks much and often, pain in stomach and abdomen, diarrhœa with stool of undigested food restless or sleepless nights and great emaciation, with sometimes swollen œdematous legs. To this picture add the characteristics of the remedy and an apparently desperate case will be promptly restored. Here a comparison with Arsenicum or Iodine maybe necessary.

In myelitis, or cerebro-spinal meningitis, when the pain in the back is only relieved by lying on the abdomen, this remedy should always be thought of.

Acetic acid causes and cures menorrhagia. In some parts of the west the servant girls are in the habit of taking a tablespoonful of strong vinegar to check the menstrual flow, if the unwelcome "visitors", should occur when "a party" or other festivity is to be attended. It will promptly check the flow for a few hours or days, as the case may be, when a menorrhagia wilt take place of the normal flow, or nature may find relief in a hæmorrhage of the lungs, stomach or bowels.

The gastric symptoms are often valuable ; violent burning pain in stomach ; cannot bear the slightest pressure ; sensation as if an ulcer were in the stomach, or as if its contents were in a constant ferment. This may be accompanied by sour eructations soar vomiting, profuse salivation and water brash day and night and call for its use in morning sickness, gastric ulcer, etc., and provided the three characteristics are present, prompt and permanent relief may follow.

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