Green Sickness. This disease is confined principally to female youth, but not unfrequently occurs in married women, and 15 occasionally in the young and delicate of the male sex.

Diagnosis

Chlorosis has generally three distinct stages; the incipient, the confirmed and the inveterate. The first stage steals on the patient insidiously, and is usually but little observed by parents or friends. There is slight paleness and languor, fatigue more easily produced by the ordinary occupations, restless, nights and heavy mornings. With these changes there is a confined state of the bowels, morbid appetite, deranged condition of the bowels, fetid breath and a white and pasty tongue; there is recurrent headache, pain in the left side, and palpitation. The menses are also, when present, of a lighter character.

In the second or confirmed stage all the symptoms are aggravated. The whole system, especially the face and fingers, seem absolutely without blood, sometimes presenting a pearly, at others a yellow hue. The eyelids are sometimes slightly swollen, the tongue apparently without blood, the teeth liable to decay, the nails brittle, the hair dry and harsh, and the ankles swollen. As the disease progresses, the menses grow scanty and pale, until they entirely cease, the stomach is oppressed after eating, and a pecular morbid appetite is present. The friends may be deceived, as it regards the character of the disease, from the occasional appearance of severe headache, pain in the side or breast, and the various symptoms found in hysteria. The second stage gradually passes into the third, when dropsical symptoms set in, and the disease assumes a more dangerous form. There may also be in each stage of this affection a peculiar tendency to haemorrhage from different organs in the body. Uses. - The most usual exciting causes are, delicate and sedentary habits, especially in persons of a lymphatic constitution, impure air and unhealthy food. Servants, and especially cooks, are particularly liable to this disease, but the delicate and inert habits of the rich not less frequently lead to this affection. In all, there is the same torpor of the bowels, the same defective digestion, assimilation and formation of blood.

Treatment

Pure air, frequent bathing, moderate outdoor exercise, and digestible and nutritious diet, are of the utmost importance in this disease. Daily bathing should be practiced, commencing with tepid baths, gradually increasing the temperature of the water, as the strength of the patient will permit. (See bathing.) Bathing in sea-water and a sea-voyage to some warm climate will also prove of benefit. The blood is impoverished and needs enriching, and this must be done by nutritious articles of diet, easy of digestion. The use of wine, porter, and Scotch ale, at the meals, may also be advisable.

It may also be advisable to drink the water of some mineral spring impregnated with iron.

The most prominent remedies in the treatment of this affection are, China, Sulphur, Sepia, Ferrum, Arsenicum, Calcarea, Pulsatilla, Platina, and Nux-v.

Pulsatilla

Especially adapted to persons of a mild, timid or sad disposition, who have been irregular in menstruation, or where there is total suppression of menses, with pain in the small of the back, chilliness, etc.; also if the disease was produced by cold or dampness. There may be beating and cutting pain in the stomach and abdomen; severe pain in one side of the head or in the forehead, pale face; green, slimy or bloody stools; suppression of the menses or scanty menstrual discharge; acrid, thin leucorrhoea; nausea, loss of appetite; pain and weakness in the small of the back; weight in the abdomen; general sensation of fatigue, palpitation of the heart, and periodic expectoration of dark coagulated blood.

Sepia

When Pulsatilla has proved insufficient, and where there are painful beatings in the head, swollen and puffy face, pain in the region of the liver, and difficulty of breathing; colic, pain in the limbs as if bruised, and weakness and pain in the small of the back; sensitiveness to cold air, and restlessness during the night. This remedy is particularly indicated in females of a nervous temperament, and thin aad delicate skin, and in those in whom there is a great tendency to irregularity of the menses.

Sulphur

Pressive fullness and heaviness in the stomach and bowels; emaciation, violent appetite, and burning or sour eructations; irregularity of the bowels, pain in the loins, and difficulty of breathing, congestion to the head, with throbbing pain; pain in the back of the head, or humming in the head; eruption around the mouth and on the forehead; general nervous irritation; acrid or burning leucorrhoea; swelling of the feet and ankles; glandular swellings about the neck. Symptoms aggravated by motion.

China

Pale or livid countenance: swelling of the limbs; leucorrhoeal discharge; yellowish skin; scanty menses, or suppression of them; sensitiveness of the whole nervous system, and dread of cold air: unnatural appetite; lassitude and debility. It is particularly indicated where the disease is accompanied or produced by haemorrhage, leucorrhoea, or masturbation, and where there is great weakness of the whole system, fetid breath, pale or yellowish skin, and derangement of the stomach and bowels. There may be headache, vertigo, ringing in the ears, nausea, bitter or sour taste, flatulence, haemorrhoids, asthmatic respiration, trembling of the limbs, and sensitiveness of the skin. It is particularly indicated in persons of sedentary habits, or in those who have indulged freely in wines or coffee.

Bryonia

Congestion to the head, chilliness, sometimes alternating with heat; dry cough, colic, constipation, and sometimes bleeding at the nose.

Ferrum and Calcarea may be important remedies, where there are emaciation, swelling of the extremities, and great debility.

Dose

Six globules, or a powder, may be given morning and night; or if the liquid is given, two drops may be mixed in a tumbler of water, and a tablespoonful taken at the same intervals.