and twitching of the limbs; white
miliaria on the chest and abdomen; extreme debility, with settling
towards the foot-end of the bed; changing pulse, which is at times slow,
at others accelerated, feeble, intermittent: in such a case Apis
requires more time to heal the mucous membrane of the alimentary canal;
to restore the normal action of the bowels; to regulate the digestive
functions; to procure quiet and refreshing sleep, and to gradually
effect a complete restoration of health. If the mucous membrane of the
respiratory organs was invaded by the morbid process, the cure was
nevertheless completed as soon as the mucous lining of the intestinal
canal was restored to its natural condition.

So far, the only obstacle to a cure which I have witnessed, has been
tuberculosis of the chest or abdominal viscera, or of both at the same
time, and still more the vaccine-virus; likewise a tendency to paralysis
in persons who were otherwise morbidly affected. Tuberculosis has often
been combated by a single dose of a high potence of Sulphur between the
doses of Apis, no Apis being given after the Sulphur, as long as the
course of the typhoid symptoms would render it safe to postpone this
medicine. I have found it much more difficult to conquer the
vaccine-poison, _which I have become satisfied by years of observation,
constitutes the most universal and most powerful generator of the typhus
which is prevailing in our age and which seems unwilling to leave us_.
Tartar emetic proves in this, as in other cases, its antidotal power
against the vaccine-virus; but under no circumstances is more caution
required in the use of tartar emetic than in typhus, where the
vaccine-virus seeks to develop its characteristic pustules with a
tendency inherent in each pustule to terminate in the destruction of
the mucous membrane. It may seem hazardous to add to this combination of
destructive forces another similarly-acting element; but a careful
consideration of the circumstances of the case will justify such a
proceeding, although death may be the inevitable result of the morbid
process. Experience has satisfied me that the alternate use of tartar
emetic and Apis, a drop of the third potency of each, every three, six
or twelve hours, according as the symptoms are more or less violent, or,
in very sensitive organisms, in tablespoonful doses of a watery solution
of a drop, will accomplish all that can be expected; for these two
drugs, thus administe