Spigelia corresponds to those symptoms which are especially violent after dinner, when the patient complains of pinching pains in the abdomen, with coldness and diarrhoea, canine hunger and thirst, morning nausea with sensation as if something were crawling out of the stomach into the throat, biting in the nose, pale countenance, palpitation of the heart, anguish.

If convulsions should set in, Cham., Ignat., Stram., Hyosc, will prove useful next to Belladonna; if there should be a violent vascular erethism, Aconite may be given before any other remedy. If the cutting pains in the abdomen should be accompanied with partial spasms of the abdominal muscles, and painful ineffectual pressing upon the rectum, Stramonium is recommended; Cicuta virosa is indicated for a febrile condition, with violent colic and convulsions. If the symptoms which characterize the worm affection, be worms discharged or not, are of a gastric, bilious, or pituitous nature, the remedies which have been indicated for those fevers will have to be used.

In scrofulous individuals worm fevers have been several times cured entirely by Silicea. That Silicea is a useful remedy in those fevers, is evident from the power which it possesses to occasion febrile and gastric conditions, and from the fact that the pathogenetic symptoms of Silicea are more marked at the time when the moon changes, which is likewise the case in worm fevers.

The most powerful remedy in eradicating the disposition for worm diseases is Calcarea; it is entirely adapted to children of a lymphatic, fleshy constitution, with disposition to blennorrhoea and excessive secretion of mucus,* to feeble individuals whose assimilative functions are impaired, with pale, cachectic complexion, bloated countenance, weak feet, chronic dyspepsia, diarrhoea, and when scrophulosis and rickets are present. Next to Calcarea ranks Sulphur, which is especially adapted to lymphatic and leuco-phlegma-tic constitutions, when a disposition to catarrh and blennorrhea is present, and when the following symptoms occur: bitter, slimy taste in the mouth, aversion to meat, irresistible desire for sugar, alternation of canine hunger and loss of appetite, frequent regurgitation of food with heartburn and waterbrash, hickup, gagging, vomiting, rumbling in the bowels, intolerable itching of the rectum, with raw and sore feeling of that organ, etc. Puls., Ipec, Merc, Antim., and other remedies, may likewise prove suitable for such symptoms.

Worm affections cannot be cured unless the diet and mode of life of the patient are strictly regulated; the diet ought to be nourishing and substantial, the principal food being meat; vegetable food, milk, flour, and, above all, pastry, ought to be carefully avoided.

§ 54. This seems to be a proper place to add a few words relative to the treatment of taenia. Hahnemann says, in his Organon, that the morbid phenomena denoting the presence of taenia can be speedily removed, or rather quieted, by the smallest portion of the tincture of Filix mas; the taenia being calmed, it no longer irritates the bowels of the patient. Hahnemann advises a sort of palliative treatment, until the radical cure is completed by means of the antipsorics. Several homoeopathic physicians agree with Hahnemann; among whom we may particularly mention the name of Hering, who advises to keep the taenia, which he does not consider as a very great plague, rather than to expel it by violent means, lest some other more dangerous affection should appear in the place of the taenia. However, not to mention the insufficiency of this palliative treatment, which every physician will be frequently obliged to resort to, it is absolutely necessary that we should consider the express wish of the patient to have the monster expelled. If we do not comply with his wishes, he will resort to nostra and the pernicious expedients of old women and quacks. We are so much more justified in attempting the expulsion of the taenia, as the antipsoric treatment is very slow and very problematical. Several homoeopathic physicians have, therefore, been induced to attempt that expulsion, and have indeed been successful. Gross recommends particularly Graphites, Calcarea, Sabadilla; also Fragaria vesca; Hering recommends Sulp., Merc, and Calc.; besides these remedies, the following deserve to be mentioned: Carbo anim. and veg., Kali carb., Magn. mur., Natr., Phosp., Petrol., Plat., Stann., Tereb. Stannum is recommended by a number of homoeopathic physicians as a great remedy in worm affections; at any rate it is an excellent palliative for the symptoms of taenia and lumbrici. Among the remedies which have effected the expulsion of taenia in a short period and directly, the first is Filix mas. Bicking has been successful in almost every case. He directed the patient to drink a quantity of cold water, to use cold water injections, and to apply cold water douches to the abdomen. This being done, he gave the patient a saturated decoction of Filix mas (half an ounce per diem); he admits, however, that the taenia was frequently reproduced, but speedily expelled again by similar means, without ever reappearing. Lobethal affirms that the daily use of a few drops of the concentrated tincture of Filix mas has been quite sufficient in his hands. In the Horn. Gazette, vol. ii., p. 67, a case of a frightful worm colic is reported, which was speedily cured by a single drop of the tincture of Filix mas; eight days after the colic, fifty yards of taenia were discharged without the dose having been repeated.

* The German term is "Verschleimung," which conveys the idea as if every thing were turned into phlegm.

The same results have been obtained by means of Pu-nica granatum. Lobethal recommends that remedy in very obstinate cases. J. O. Muller (Hygea, vol. x., pp. 137, 193,) mentions the following symptoms as having been removed by Punica granatum: convulsive movements, catalepsy and epilepsy, fainting turns, emaciation, notwithstanding a constant appetite, sudden waking, hallucinations, hypochondria, vertigo, stupor, trembling before the eyes, dilatation of the pupils, yellow complexion, grating of the teeth, confluence of water in the mouth, variable appetite, gulping up of a watery fluid, vomiting, sensation in the stomach as if a body were ascending in it, distended abdomen, colic, chronic palpitation of the heart, etc.

The expulsion of the taenia frequently succeeds in a very peculiar manner, and the cases of cure which will be recorded in the following paragraphs confirm Hahnemann's rule: "Remove the perceptible phenomena of disease, and health will be restored."

A lady suffered with irregularity of the menses; they occurred either too early or too late, were either too profuse or too feeble, the menstrual blood being always thick, coagulated, black. Several times she had been affected with the most violent symptoms of inflammation of the liver, after which a jaundiced complexion had remained. For some time past she had been complaining about intense pain in the region of the liver and umbilicus, recurring at intervals, accompanied with nausea, gagging, vomiting of tenacious mucus, yellowish grey complexion. After having employed the remedies which we thought were indicated, without any success, we exhibited the second trituration of Argentum nitricum crystallisatum, three times a-day, each dose consisting of as much of the trituration as would cover the point of a pen-knife. Eight days after having taken the medicine, she passed a quantity of fragments of taenia, all her troubles disappeared, and have not returned; it is now two years. We were guided in the selection of the remedy by the profuse menstruation, as Kopp advises.

Another lady had been affected with taenia for the last seven years. The fragments which she had occasionally passed during that period were evidences of the continual presence of the animal. The lady had given birth to two children, one of whom was still alive, but she had never been pregnant since, owing to the presence of the taenia. She had gone through various kinds of treatment for taenia, including the cold-water treatment, but without any success; she was now determined to try homoeopathy. The peculiar pain which she experienced in the stomach, the constipation, the irregular menses, which were scanty, and at times appeared too late and then again too early, the jaundiced tinge around the mouth and nose, seemed to require Nux, third attenuation; this was given, and the condition of the patient soon improved to such an extent that the cure might be looked upon as terminated. Some time after she had a violent chagrin, which brought back all her former troubles, and required Chamomilla, first attenuation, which effected an essential improvement, but left the constipation as it was. This circumstance leading us to suppose that the alternate use of those two remedies would remove the trouble, we put the patient on Chamomilla and Nux, giving her two doses of the former in the morning and one dose of Nux in the evening. Four days after taking the medicine, the entire taenia was expelled; soon after she became pregnant, and expects soon to be delivered.

We may here observe that the real taenia, bothrio-cephalus latus, occurs very seldom in Germany, the taenia lata solium more frequently.