"Heartburn."
This peculiar burning and distressed feeling at the stomach depends on imperfect digestion, but is not ordinarily, as is generally supposed, connected with a sour or acid state of the fluids in the stomach. The condition of the fluids is alkaline, in most cases, though it is sometimes acid. If it depends upon biliary derangement, Nux Vomica and Podophyllin are the remedies for a male; Pulsatilla and Podophyllin for a female.
Erysipelas.
This is a disease of the skin, producing redness, burning and itching pains, appearing in patches, in adults, most apt to appear about the head and face, but in children, upon the limbs, or in very young children, beginning at the umbilicus. It sometimes begins at one point, and continues to spread for a time, then suddenly disappears, and reappears at some other point.
Simple Erysipelas only affects the surface, with redness and smarting. Vessicular, produces vessicular eruption, or blisters filled with a limpid fluid, somewhat like the blisters from a burn.
The Phlegmonous Erysipelas affects the whole thickness of the skin and cellular tissues beneath it, producing swelling, and not unfrequently, resulting in suppuration, ulceration or gangrene and sloughing of the parts. It is a dangerous disease, especially when on the head.
TREATMENT.
For the simple kind, Bell. is all that will be needed, unless there should be considerable fever, when Aconite should be alternated with the Bell. For the vessicular kind, where there are blisters, Rhus tox. should be used with Bell. For the Phlegmonous, with deep seated swellings, Apis mel is the most important remedy. I prefer to use three of these remedies, giving them in rotation, beginning with the Bell., followed with Rhus, and then by Apis mel. giving them one hour apart. In a mild case, or after the patient begins to recover, give them at longer intervals. The Apis alone will often be sufficient. During the whole time, the affected parts should be kept covered with dry, superfine flour, some say Buckwheat flour acts most favorably. The diet should be very spare. Eat as little as possible, until the disease begins to subside.
A very important part of the treatment of this affection is to keep the patient in a room that is comfortably warm, say at a temperature of from 65 to 75°, and keep the temperature uniformly the same, as nearly as possible, night and day. Do not, by any means, expose him suddenly to cold air, or a cold breeze, as on going into a cold room, going out into cold air, or undressing or dressing in a cold room. Uniformly warm temperature is of great importance.