Cannabis sat. is a useful remedy when the inflammation affects the lower portion of the lungs or principally the left lung, with palpitation of the heart, oppression behind the sternum, with dull shocks in the region of the heart, frequent hiccough, when the whole body is rather cold than warm, and the heat of the face increases constantly. Cannabis deserves attention in asthenic pneumonia.

Crocus is a distinguished remedy in pneumonia when there is much orgasm of the blood, palpitation of the heart, anxiety in the region of the heart, violent dry cough, particularly at night, obliging one to sit still, with stitches in the left breast near the heart; short, oppressed breathing, general, burning heat, lull, hurried pulse, violent thirst, hot urine, dry skin.

Zincum is useful when the following symptoms occur: Constant, short, generally nocturnal cough, causing the most violent stitches in the left chest, which are likewise caused by deep breathing; after coughing, a bloody mucus is hawked up; the breathing is very much oppressed; with burning heat of the whole body, great anxiety the whole night, quick, hard and full pulse, vivid redness of the cheeks and glistening eyes.

* See the u Essay on Pneumonia," in the Homoeopathic Examiner, vol. 4.

Kali carb. is likewise said to be useful in pneumonia, but more in pleuritic affections. Kali nitricum is recommended for violent stitches in the left side of the chest, shortening the breathing, worse towards evening, and being aggravated by the cough, which is accompanied with expectoration of pure blood. The fever is a synocha, with full, hard and quick pulse, accompanied with heat, heaviness and dulness of the head. The stool is sluggish and hard; the urine red and turbid; the thirst violent and constant.

§ 135. If the inflammatory symptoms should be moderated, but not completely subdued, and the fever should show a tendency to assume a lentescent character, Bryon., Bellad., Rhus t., Mercur., Hyoscyam., Acid, phosph., Lycop., China, are to be resorted to.

Bryonia is suitable when the fever is assuming a torpid character, the pains are still violent, the patient's-speech is becoming heavy, slight delirium and comatose symptoms are setting in.

Belladonna is indicated when the typhoid symptoms are more marked. The pains in the chest are still sticking, but have partly become dull and aching, the breathing is painful, the cough dry and fatiguing, the skin hot and dry, the head dull, the eyes are staring and red, there is delirium or sopor. If the typhoid symptoms should be still further developed, if the patient should cease to complain of pain although the objective symptoms (impeded or hurried breathing, and the abnormal physical symptoms) should be unchanged; if the face should be red, the patient soporous, and in a state of great debility and anorexia, Rhus t. should be exhibited.

Merc, and Acid, phosph. are principally indicated by great debility and profuse sweats. Mercurius especially by congestion of blood to the brain, slight delirium, and quick and strong beating of the arteries; when cough is still present, with difficult, blood-tinged expectoration. Acid phosph. more particularly by excessive debility and diarrhoea, loss of consciousness, strong, irregular, frequently intermittent pulse, distention of the temporal arteries and the arteries of the hand; the symptoms of the chest should, of course, correspond to the pathogenetic effects of this remedy.

Lycopodium is indicated by the following symptoms: nervous irritability without heat of the head or redness of the face, circumscribed redness of the cheeks, great debility, sweats which do not afford any relief, red and dry tongue, frequent irritation with desire to cough, and difficult, scanty gray expectoration, after which the rattling in the chest does not at all abate, and the difficulty of breathing becomes evident.

Hyoscyamus is indicated by typhoid symptoms, small, feeble pulse, oppressed breathing, expression of anguish in the face, etc.

China may be given when the patient has become exhausted by excessive loss of blood, giving rise to a typhoid state.

Sometimes we only obtain partial relief by the above-named remedies, even when fully indicated. This may be owing to the impoverished vitality of the patient, in which case a few magnetic passes will restore the susceptibility of the organism to the proper action of the remedy. At other times, the acute disease may have excited some latent dyscrasia, which can be effectually controlled by Sulphur, after which the treatment will proceed successfully.

§ 136. It may not be superfluous to add a few remarks in reference to the distinctive characteristics of pneumonia in the different ages of man.

In children, the disease frequently commences quite mildly, so that it is scarcely noticed; it is generally mistaken for catarrh. The disease generally sets in after a cold in winter or spring, is frequently epidemic, commences sometimes with convulsions, but always with loss of appetite, and some fever which is particu-larly perceived in the evening. The symptoms gradually get worse, the cough is particularly troublesome, especially while the fever is on the increase, during which period the cough frequently intermits; it is generally dry and comes on in short turns, because the child is unable to take deep breath. During the cough the child's countenance is expressive of anguish, the features are distorted and denote suffering; immediately after the cough the children cry and moan. The cough is excited by motion, breathing, or by taking the child out of the cradle. There is no expectoration, even when the cough is loose.

These are the symptoms of pneumonia in infants, but older persons likewise do not always complain of violent stitches in the chest, but of a mere general soreness.

The breathing, which takes place by means of the diaphragm and the abdominal muscles rather than by expanding the chest, is quick, intermittent and short; the cough frequently terminates in yawning and vomiting, which affords some relief. The inspirations are short, and the expirations are very quick. If the disease be far advanced, the alae nasi dilate during an inspiration, and the cervical muscles co-operate in the act of breathing. The respiration is the principal phenomenon to which the physician should draw his attention, since it reveals distinctly the local affection.