§ 8. In febrile diseases hemorrhages are favourable symptoms and may be considered critical even by homoeopathic physicians, when the hemorrhage proceeds from an -organ which is not injured by it, such as the nose, womb, anus, or if the hemorrhage take place in young, vigorous, plethoric subjects, affected with inflammatory diseases, and the congested organ be relieved by it from the excess of blood. Hemorrhage frequently takes place in subjects who have become plethoric by the abuse of spirituous drinks or in whom the choleric temperament predominates; or in persons in whom an habitual hemorrhage which is usually left to nature, has been suppressed by accidental causes. We frequently see hemorrhage taking place in exanthematic fevers. If the hemorrhage be too violent and exhaust the patient, if it proceed from the nobler organs, the lungs, stomach, bladder, if the blood itself be decomposed, in all such cases the hemorrhage loses its critical character and ought to be considered a dangerous symptom characteristic of a special form of fever and requiring specific remedies.

Epistaxis or hemorrhage from the nose rarely occurs suddenly; it is generally preceded by more or less characteristic complaints, such as: heat, redness, puffi-ness* of the face, red, running eyes, scintillations and flashes before the eyes, headache, especially in the temporal region, vertigo, humming in the ears, itching in the nose, throbbing of the temporal arteries and the carotids, distension of the veins, illusion of the senses and delirium; all these symptoms denote a congestion of blood to the head. If the physician is able to remove those symptoms by suitable remedies why should he not do so; since he cannot know beforehand whether the hemorrhage from the nose will be of a critical nature, why should he delay treatment until the hemorchage has actually occurred? According as the constitution and temperament of the patient, the exciting cause, the concomitant symptoms, the time of day, etc., require, he may use Aconite, Bellad., Nux, Crocus, Carbo veg., Cham., Arnica, Pulsat., China, Merc, Ranunc. bulb., Secale, Sulphur, or some other remedy. If those symptoms should have been occasioned by a remedy which had been given a little while previous, in that case they have to be met by a suitable antidote.

If the hemorrhage from the nose has already set in, then one of the following remedies is indicated and ought to be selected in conformity with the existing symptoms: Aconite, China, Arnica, Bryon., Pulsat., Ignat., Crocus, Bellad., Carbo veg., Sulphur, and a few more. If the hemorrhage from the nose continue, and great weakness, fainting fits, collapse and other symptoms of depletion make their appearance, it is perfectly proper, even for a homoeopathic physician, to make cold water applications to the genital organs. If the blood be entirely decomposed, Kreosot, China, Conium, Rhus, Arnica, Carbo veg., Ferrum acet., Nitri. acidum and Acidum sulphuricum may be of use, each remedy to be given in accordance with the concomitant symptoms.

A similar treatment is adopted by the homoeopathic physician in congestion of the womb and hemorrhage from that organ. The congestion of the womb is recognised by the fulness, tension, uncomfortableness, the dull and painful drawing along the groin to the ossa pubis; by the peculiar tension in the lumbar region; by the sensation as if the os sacrum had not sufficient firmness. These symptoms are frequently accompanied by a burning warmth in the internal sexual organs, by a pressing in those organs as if every thing would fall out; the lips of the vulva are tumefied and there are occasionally symptoms of nymphomania. The symptoms of congestion of the uterus occur most frequently in those fevers which arise from the sexual organs; hence they occur most frequently during confinement, after suppression of the menses, or when the sexual organs are very irritable, or the uterus and vagina are varicose. Symptoms of congestion of the uterus may likewise occur when disturbances of organs which have a sympathetic relation to the sexual system, are accompanied by febrile symptoms involving the uterine system by sympathy, for instance affections of the breasts, or of neighbouring organs, in gastric and haemorrhoidal fevers, or in fevers depending upon congestions in the portal system. It is scarcely necessary to state that the exciting cause of the disease and the disease itself have to be considered in selecting a remedy, nevertheless we may direct the attention of the practitioner to the following remedies when the congestion of the uterus is characterized by the above mentioned symptoms: Belladonna, Hepar sulp., Plat., Sulphur, Mercurius, Nux, Bryon., China, Ipec, Crocus, Murias magnes., Calcar., Carbo veget., Sabina, Ferrum, Secale corn., Ignat., and Thuja.

If the hemorrhage is inconsiderable or if it occurs at the regular period of the catamenia and affords relief to the patient, she does not require any new remedy; but if the hemorrhage should increase to a metrorrhagia, the following remedies deserve particular consideration: Crocus, Cham., China, Ipec, Platina, Ferrum, Millefol., Hyosc, Stramonium, Bryon., Ignat., Sabina, Secale corn., Sulphuric acid, Phosp., Calc. carb., Nux mosch., Ratanhia (and the tincture of Cinnamon, - Hempel). It is always understood that each remedy should be administered in strict accordance with the symptoms.

The so-called critical haemorrhoidal flux is likewise preceded by symptoms of congestion which determine the remedy to be selected; these symptoms are: pain in the small of the back as if it would break, and as if there were no power in it; desire to evacuate the bowels and bladder; burning and itching of the anus and of the haemorrhoidal tumours. If those symptoms occur in fevers, the following remedies may be employed: Nux, Bellad., Ars., Sulphur, Mercur., Ferrum, Ignat., Pulsat., Phosp., Lycop., Caps., Carbo veg., Acid, mur., Acid, sulp., and Acid. nitr. A very troublesome and exhausting symptom in congestion of the anus, is the excessive burning pain of the haemorrhoidal tumours. That pain is generally caused by an inflammatory condition of the swollen tumours. I have frequently succeeded in relieving it, at least for a few moments, by repeated smelling of Aconite, without disturbing the action of the principal remedy.