Let these abundant evidences of its usefulness become an incentive to renewed diligence in developing and perfecting the pathogenesis of this important remedy.

It is usually prepared by grating the nut, after removing the shell. When dry it can easily be reduced to a fine powder. Triturations are made as of any other homœopathic remedy.

CLINICAL PROVINGS.

I.—Dr. H. M. PAINE-have been subject for several years to occasional attacks of hæmorrhoids attended with little hæmorrhage, although considerable pain, aching, swelling and rigid hardness of the rectum. The paroxysms usually accompany constipation. The pain commences about an hour after an evacuation, and continues from two to six hours.

About ten grains of the crude nut finely pulverized were placed in a half ounce vial of alcohol and water in equal parts. Of this ten or twelve drops were taken nearly every evening for about five weeks, commencing August 11, 1860.

The piles were uniformly relieved after three or four doses. Observed on two or three occasions, that when the remedy was discontinued for a few days, the symptoms soon returned. It is now four months since all symptoms of the disease disappeared. No other effects were discovered.

II.-Dr. J. C. RAYMOND has been suffering severely from hæmorrhoids for ten or twelve days, with a constipated state of the bowels, and severe pain in the tumors, making it very unpleasant to stand on my feet or walk. Also more or less nausea; loss of appetite, furred tongue; a sensation of fullness about the navel; flatulent pains in the bowels, and very dark stools. About two weeks previous to the attack of hæmorrhoids had a severe attack of bilious colic which was relieved by Colocynth, Chamomilla and Mercurius sol.

On the morning of June 13, 1860, took 200 pellets of the sixth centesimal attenution of Esculus. The only symptom referable to the drug was an irritation of the throat and œsophagus, a sort of constricted scraped sensation, causing a

disposition to hawk, this occurred about an hour after taking the drug, and continued for several hours.

Continued the remedy for several mornings in succession. The piles are entirely relieved; the bowels act regularly; the appetite fair; nausea and flatulence gone; and in short enjoy my usual standard of health.

III.-Dr. L. B. WELLS, of Utica, has employed this remedy in all cases of hæmorrhoids, occurring in his practice during the past two years, and generally with very good results.

PROVING OF ESCULUS HIPPOCASTANUM.-By Dr. Woodward Warren.-W. W. age 36, nervo-bilious temperament, subject to bilious and gastric derangements.

May 22, 1860. Took two grains of first decimal trituration at 4 p.m. In half an hour felt a dull pressing and pricking in fauces, with a sensation of fullness in the epigastrium with empty eructation, followed immediately by burning in stomach and bowels. At 4.45 dull pains in the head, here and there, but principally in right temple and occiput, followed by dull stitches in forehead and left temple. At 5.30 colic with pinching pains in right hypochondrium, empty eructations. At 6.30 fine pricking pains around the umbilicus.

May 29. Took two grains of second decimal trituration at 2 p.m.. At 2.30 felt a dull pressure in forehead, with a slight feeling of nausea in stomach, followed immediately by stitches in the right hypochondrium. At 2.45 bruised feeling in occiput, with feeling of lameness in the back of the neck. At 3.50 pressure in the rectum with inclination to stool, with empty eructations. At 4.45 ineffectual efforts to stool. At 8.25 feeling of constriction in rectum.

May 30. At 6 a. m. difficult scanty stool.

At 8 a.m., took three grains of first decimal trituration. In ten minutes coppery taste in the mouth, with increased flow of saliva. At 8.30 dull pain in the occiput, with feeling of heat in the integuments covering the occiput, extending to the ears; fine stitches in the left temple, with slight feeling of nausea in stomach. At 9 o'clock, feeling of lameness and

weariness in the back of the neck, and small of the back. At 10 a.m., empty eructations.

May 31. Took two grains of second trituration at 8.30 a.m. At 9, copious soft stool followed by burning, and a feeling of swelling and constriction in rectum. At 9.15 empty eructations. At 9.30 slight burning and nausea in stomach, with increased flow of saliva. Fine stitching in the left hypochondrium. At 9.45 confused feeling in the head; giddiness. At 10 dull pain in the occiput, with flushes of heat in integuments of occiput, back of the neek and shoulders. At 11.25, burning in the ears.

June 7. Took five grains of second decimal trituration at 12 m. At 12.30, coppery taste, with increased flow of saliva, and a dull pressing pain in the left hypochondrium. At 12.45, dull pain in left temple, giddiness and confused feeling in the head. Sharp, biting and stinging pain in fauces and tip of the tongue. At 1 p. m., rumbling in hypogastrium, with cutting pains around the umbilicus, burning and stinging deep in left orbit, as if the pain surrounded the ball of the eye, with a feeling of coldness in the eye. At 1.15, heat in the integuments of the occiput, extending to the ears. At 1.30, cutting in the left inguinal region. Slight nausea with empty eructations. At 2.30, general feeling of malaise, with dull stupifying feeling in the head. At 4 p.m., dull pain in the occiput and lame feeling in the small of the back. June 8. At 7 a.m., difficult hard stool, followed by burning and feeling of constriction in the rectum.

At 9 a.m., took three grains of second trituration. At 9.45 stinging and burning in soft palate and posterior nares, bitter taste and increased flow of saliva. At 10, vertigo, with sensation of balancing in the head. Throbbing in the right frontal eminence. At 10.15, empty eructations with burning in the stomach, and fine pricking pains around the umbilicus. At 10.30, sharp pressing pain in the right temple. At 2 p.m. lameness and sensation as if strained in right lumbar region extending to the gluteal muscles.

OBSERVATIONS ON RUMEX CRISPUS.

As but little has as yet been published regarding this remedy, except the provings, the experience of those who have used it will not only be of interest but also serve to introduce to the profession a truly valuable remedy, which from a want of clinical facts has not received the attention it merits.

No proving has been published with as great accuracy as that of this remedy. The names of the provers, the potency used and the time of taking the remedy have all been so carefully noted that any one can see at a glance what provings he can rely on. Those who believe only in the massive doses can observe the symptoms produced by the tincture and low dilutions while others who look for characteristic symptoms, can observe the effects of the potencies.

The names of the provers attached to the symptoms, especially when they are confirmed by several provers, are a sufficient guarrantee of their reliability.

There are yet several cough symptoms for which the remedy has proved curative, which have not been observed by many provers as pathogenetic of the remedy. Most of the

other symptoms have been confirmed by clinical experience. Dr. CARROLL DUNHAM, to whom we are indebted for the suggestion to publish these observations, furnishes the following as his experience.

My clinical experience of the last two years has given me a feeling of great gratitude to Dr. Joslin, for his introduction of Rumex Crispus to the profession by his excellent proving. The value of the published proving is much enhanced by the publication of the daily records of each prover, which enable the student to appreciate the consecutive action of the drug much more perfectly than the Hahnemannian scheme allows, while the latter, again, is indispensable to the prescriber.

I have used Rumex chiefly in acute catarrhal affections of the larynx, trachea and bronchi. In these cases it seems to to me to present a close analogy in its action, to Belladonna, Lachesis, Phosphorus and Causticum. Without assuming to present an exhaustive analysis of the action of Rumex on the Respiratory organs, I proceed to state the indications for its use to which my studies of it thus far have led me.

Rumex diminishes the secretions, and at the same time exalts in a very marked manner the sensibility of the mucous membrane of the larynx and trachea, exceeding in the extent of this exaltation any remedy known to us. The cough therefore is frequent and continuous to an extent quite out of proportion to the degree of organic affection of the mucous membrane. It is dry, occurs in long paroxysms, or, under certain circumstances, is almost uninterrupted. It is induced or greatly aggravated by any irregularity of respiration such as an inspiration a little deeper or more rapid than usual, by the inspiration of air a little colder than that previously inhaled, by irregularity of respiration and irregular motion of the larynx and trachea such as are involved in the act of speech and by external pressure upon the trachea, in the region of the supra sternal fossa. These phenomena show a very great morbid irritability of the mucous membrane of the larynx and trachea.