e know that these two remedies, Apis and the
anti-psoric, not only not counteract, but mutually support each other
from the beginning to the end of the treatment. After many experiments,
I have hit upon the following course as the most proper:

If the limping, as is often the case in the severest forms of the
disease, sets in gradually, almost imperceptibly and without much pain,
I give at once a globule of Kali carbonicum 30. As a general rule, this
one dose is sufficient to arrest the further development of the disease,
and to award all danger so completely, that one, who is unacquainted
with the nature of the malady, feels disposed to assert that it never
existed. But if the pains continue, and are accompanied with fever, I
resort to Apis 3, after Kali had been allowed to act for a day or two,
mixing a drop in twelve tablespoonfuls of water, and giving a dose every
hour, or every two or three hours, according as the pains come on more
or less frequently. This treatment is continued until the patient is
quieted, after which the two remedies are permitted to act without any
further repetition of the medicine.

If the inflammation of the joint sets in suddenly and with a violent
fever, as is often the case after violent commotions, castigations,
etc., we prepare a solution of Aconite in the same manner as the Apis,
and give these two medicines in alternate tablespoonful doses every
hour. After these two solutions are finished, and the first assault of
the disease has been controlled, we give a globule of Kali 30, and
permit it to act for twenty-four hours. After this period we again give
Apis every hour, two or three hours, as above, until the pains cease,
after which Kali is allowed to act until the disease is entirely cured.

If suppuration and caries of the joint have already set in, no matter
whether the pus has found an outlet in the region of the joint itself,
or burrows down the thigh to find an outlet somewhere else, Kali is no
longer sufficient, Silicea has to be exhibited; it is more
hom[oe]opathic to caries than other anti-psorics. We give a globule of
Silicea 30, and allow it to act for two or three days, after which a
drop of Apis 3, is repeated morning and night, until the pains--which
may require a more frequent exhibition of the drug--cease, and a healthy
pus is secreted. After this change is accomplished, Silicea is
sufficient to complete the healing of the osseous disorganization, and
should be left