TABLE OF CONTENTS

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Preface

LIKE most generalisations, the old saying "A little knowledge is a dangerous thing" contains quite as much of error as it does of truth; and if anything were needed to prove it, the experiences of lay homoeopathists in the various cholera epidemics would be amply sufficient. In view of a possible return of cholera, it has seemed desirable to reprint with amplifications an article which appeared in the Homoeopathic World of may last, entitled "What to do if Cholera comes", that the lay public may have within reach all the knowledge that is necessary to enable them to deal with any case of cholera that may occur in their midst in the absence of a medical man. Cholera is a disease that needs treatment at the very first onset, and if the treatment is not forthcoming, the patient may die before a doctor can be procured. I

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It is analogous in this respect to cases of drowning or rupture of varicose veins; anybody on the spot who has coolness and intelligence is bound to do what can be done without waiting for a doctor's arrival. It is therefore of supreme importance that all "First Aid" graduates, and, indeed, all who hold responsible positions as employers or guardians of others, should know what homoeopathy has done and can do with such a scourge as cholera, that they may apply it at once should the emergency arise.

That I may give a concrete instance of the value of lay homoeopathy in a cholera epidemic I will quote a passage from Tract 42 of the Homoeopathic League Series, adapted from an article on "The Cholera", by Dr. Pope, in the Homoeopathic Review of October 1892.

"The epidemic which prevailed at the East End of London in 1866 furnished abundant evidence of the power of Camphor to control the early symptoms of cholera.

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As it is at the very commencement of the illness that Camphor is useful, its administration is, necessarily more or less domestic; the second stage generally reached ere a medical adviser is called in, and then Camphor is of little service. Hence it is rather to clergymen, missionaries and district visitors, who during an epidemic are constantly in and out of the houses of the poor, whether ill or well, than to medical men, that we have to look for evidence of its value.

"In an interesting and intructive account of the mission work accomplished by the late Rev. C.F. Lowder, of St Peter's, London Dock, during the epidemic of 1866, when alluding to the tincture of camphor the author writes. - ' When this was used in time, on the very first symptoms of the attack, it seldom failed to arrest the disease; of this we had numberless proofs, as there was no difficulty in giving it at once before the medical man was able to attend the case'.

Mr Lewis, a gentleman who devoted his time to visiting among the poor in Spitalfields, distributed among them several thousands of small bottles of tincture of camphor, together with printed directions for its use. When doing so, Mr Lewis took the name and address of every applicant, and subsequently visited him. "Wherever", he writes, 'it has been resorted to early, it has been successful'.

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"Miss Lowe, a lady who went to reside in a cholera-stricken district for the purpose of ministering to the wants of the poor, wrote: - 'I have to express the deepest gratitude to Mr Lewis for his invaluable gift of Camphor. He has supplied me abundantly, and I feel that there is no remedy like it, when taken in time. The Bible-woman, labouring in Holywell Lane district under Mrs Ranyard, has also been supplied, as a free gift by Mr Lewis, and can testify to many wonderful instances of its power.' "

In issuing this reprint it has seemed to me that I might enhance its value by adding a chapter on English cholera and ordinary diarrhoea, and another on dysentery.

JOHN H. CLARKE.

30 Clarges Street,

Piccadilly, W., June 1893.

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Asiatic cholera

Cholera

What is cholera ?

Hahnemann and microbes

It will surprise some modern scientists to be told that the microbic theories which they now advance to explain any and every disease are by no means of recent date, and that Hahnemann was before them all in claiming for microbes the chief share in the causation of cholera.

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In a pamphlet published in Leipzic in 1831 1 he vigorously attacked Hufeland, who advocated the atmospheric and telluric theory. In the following passage he anticipates modern views of immunity as well as of infection.

"On board ships - in whose confined spaces, filled with mouldy, watery vapours, the cholera miasm finds a favourable element for its multiplication, and grows into an enormously increased brood of those excessively minute, invisible, living creatures so inimical to human life, of which the contagious matter of the cholera most probably consists - on board these ships, I say, this concentrated aggravated miasm kills several of the crew ; the others, however, being frequently exposed to the danger of infection and thus gradually habituated to it, at length become fortified against it and no longer liable to be infected.

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These individuals, apparently in good health, go ashore, and are received by the inhabitants without hesitation into their cottages, and ere they have time to give an account of those who have died of the pestilence on board the ship, those who have approached nearest to them are suddenly carried off by the cholera. The cause of this is undoubtedly the invisible cloud that hovers closely around the sailors who have remained free from the disease, and which is composed of probably millions of these miasmatic animated beings, which at first developed on the broad marshy banks of the tepid Ganges, always searching out in preference the human being to his destruction [ he means, I suppose, having little or no effect on animals - J. H. C.] "and attaching themselves closely to him, when transferred to distant and colder regions become habituated to these also, without any diminution of their unhappy fertility or of their fatal destructiveness".

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With all our microscopes and experiments on living animals (which possess a natural immunity against cholera, and are thus peculiarly unfitted for the study of this disease) we have got little further than this. That there is an infective principle there is no doubt, and that it is of an infinitesimal organised nature need not be disputed. Whether it is a comma-shaped bacillus or a straight bacillus, or a variety of bacilli, may safely be left to the microbiologists to fight over.

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The thing of vital importance to know is, the conditions under which the infection may be guarded against, and how the disease may be cured when once the infection has "taken". Happily each of these points is pretty fully understood.

Habits of cholera infection

Though Hahnemann was doubtless right in attributing cholera to a specific infection, he was perhaps unnecessarily severe on the upholders of the "atmospheric-telluric" theory. In all epidemics there are a number of factors at work ; and it is in proportion as the accessory conditions are favourable that the infection spreads.

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It would be bold to deny that atmospheric and electric conditions have nothing to do with it. Though no quarantine may be observed, one town will escape whilst another is smitten, and that though both may be fed by the same water-supply. In India, where the disease is endemic, an outbreak in troops may be suddenly determined by the occurrence of a thunderstorm. Or the disease may-take one side of a street and spare the other, the fortunate side being the side exposed to the sun. In the outbreak at an asylum of Halle in Germany, the inmates of one wing only were affected, that wing having been built over the site of an old pond.

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Professor von Pettenkofer's experiments on himself at Munich go to show the same thing. He swallowed an enormous number of bacilli, but remained free from cholera ; his contention being that the condition of locality was one of the determining factors, and that in Munich, which had remained free from the disease, although in frequent communication with Hamburg, this condition was wanting.

For my part, I should define cholera as a specific fever, due to epidemic influences not well understood, and more allied to intermittent than to the eruptive fevers ; the chill stage of the fever being so intense that it overshadows all its other features .

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The external chill being accompanied by internal congestion, which generally finds relief in copious evacuation by the stomach in vomiting, and by the bowels in diarrhoea.

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The superiority of homoeopathic treatment in cholera - an allopathic doctor's testimony - homoeopathy in the hamburg epidemic

But there is no need to wait until the nature of cholera is thoroughly understood before undertaking to cure it. If there is one thing certain in this world, it is that thousands of lives have saved by homoeopathic treatment in cholera epidemics that would infallibly have been lost under allopathy.

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It is a matter of the first importance to public safety that this fact should be made thoroughly well known wherever cholera may reach. The fact is attested not by homoeopathists merely from their experience in every epidemic in which it has been put to the test, but by allopaths themselves who have watched the treatment and its results, many having been converted to homoeopathy in consequence of the cures they have witnessed. Here is an extract from a letter written by Dr Macloughlin, the Medical Inspector of Stepney, Poplar, St Andrews, St Giles, and St George's, Bloomsbury, who undertook to watch the practice at the London Homoeopathic Hospital during the epidemic of 1854.

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The letter was addressed to Mr Hugh Cameron, one of the surgeons to the Hospital at that time. Dr Macloughlin said : -

"You are aware that I went into your hospital prepossessed against the homoeopathic system ; that you had in me, in your campp, an enemy rather than a friend, and that I must therefore have seen some congent reason there, the first day I went, to come away so favourably disposed as to advise a friend to send a subscription to your charitable fund. And I need not tell you that I have taken some pains to make myself acquainted with the rise, progress, and medical treatment of cholera, and that I claim for myself some right to be able to recognise the disease, and to know something of what the treatment ought to be ; and that there may be therefore no misapprehension about the cases I saw in your hospital, I will add that all I saw were true cases of cholera in the various stages of disease ; and that I saw several cases which did well under your treatment, which I have no hesitation in saying would have sunk under any other.

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"In conclusion, I must repeat to you what I have told every one with whom I have conversed, that, although an allopath by education, principle, and practice, yet, were it the will of providence to afflict me with cholera, and to deprive me of the power of prescribing for myself, I would rather be in the hands of a homoeopathic than an allopathic adviser." - (British Journal of Homoeopathy, vol. xiii.

The efficacy of homoeopathic treatment in cholera needs no stronger testimony than this. If more were needed, the experience of the hamburg epidemic of last year would supply all that was lacking.

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It was a matter of surprise to many homoeopaths that during the height of the cholera epidemic at Hamburg last summer nothing was heard of the treatment of the disease by the method of Hahnemann. It was felt that some of the representatives of our Art on the spot must have been busily engaged to the public advantage ; and it now turns out that such was indeed the case, but the work was done so quietly and unostentatiously that the caterers for the public press passed it by in their eagerness to give full details of the gruesome horrors of the cholera hospitals.

Dr Hesse, of Hamburg, has communicated his experiences to the allgemeine Homoeopatische Zeitung, a translation of which, by Dr Lambrights fils, of Antwerp, appears in the February number of the Revue Homoeopathique Belge.

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Dr Hesse is of opinion that the greater part of the population of Hamburg were more or less affected by the epidemic, the larger number only in a slight degree. At any rate, morning diarrhoea was a very common occurrence, and this was controlled by Sulphur. Fear of cholera was also very common, reminding us of the old story of the plague and the philosopher at Damascus. As tha plague was entering the city he met a philosopher, and informed him that he had 3000 victims to carry off. As it happened, 6000 died, whereupon the sage expostulated with the demon of the epidemic : "You said you had only three thousand victims, and you have taken six."

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"Oh ! no," was the reply, "I only killed 3000 ; fear killed the rest." Perhaps if he had wished to be quite exact he might have credited a few of the victims to the Damascus doctors.

There is not the slightest doubt that fear is a potent factor in the causation of disease. It is the most depressing of all emotions, and greatly lessens the resisting-power of the organism. In the Hamburg cases Dr Hesse found Arsenicum a specific when the fear of cholera was the leading element in the case. Arsenic was also the most useful medicine in the cases reported by Mr A. Paasch, a lay homoeopathists who, in the dearth of medical aid, volunteered his services, which were accepted by the authorities, who assigned him a district.

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Excluding the lightest cases, his death-rate only amounted to 5 percent. An account of his work is published in the Leipziger Populäre Zeitschrïft für Homoeopathie, and a translation in the Hahnemann Monthly and the Homoeopathic Envoy for March last.

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Protection from cholera by homoeopathy

Copper belts ; sulphur ; camphor

RECENT observations by Professor Charcot, of Paris, and earlier ones by Dr Burq, have proved the correctness of Hahnemann's observations with respect to the medicinal powers of metallic substances in their insoluble, uncombined state. The mere application of gold, silver, copper, and other metals to the skin in sensitive subjects will produce powerful and characteristic effects; and all persons, whether sensitive or not, who wear these metals next the skin will be brought more or less under the influence of them, although no symptoms may be produced.

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In the last volume of the Homoeopathic world 2 I plubished an extract from one of the medicaljournals in which a practitioner related a case of copper poisoning which was almost indistinguishable from a case of Asiatic cholera. This property of copper to produce symptoms exceedingly like those of cholera renders it one of the most valuable medicines in the treatment of the disease.

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But, more than that, it has also proved the very best preventive.

In some of the epidemics it had been noticed, and especially by Burq 3, that workers in copper foundries were exempt from the disease, whilst all around them were being attacked.

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It was this circumstance which led to the practice of wearing copper plates next the skin, a practice first adopted in Hungary, according to Hahnemann. The custom of wearing rings of copper on the toes followed by some of the natives of India may have some (conscious or unconscious) connection with its power of affording protection against this disease.

Europeans in India wear round the waist a double band of flannel, which they call a cholera belt ; and doubtless the magnetic properties of flannel may increase the bodily resisting power. But these belts have been improved upon, and the protection rendered much more certain by the addition to the flannel of a plate copper, two to four inches in diameter.