GOOD AFTERNOON

1
The Homoeopathic Therapeutics
of DIARRHOEA,
DYSENTRY, CHOLERA, CHOLERA, CHOLERA
MORBUS, CHOLERA INFANTUM, and All Other
Loose Evacuations of The Bowels
JAMES B BELL

2
Year of Publication- The book has
undergone 15 editions.

Ist Edition 1869

2nd Edition 1881

3rd Edition 1888

4th Edition 1896

3
 Plan and construction
 Preface
 Preface to the first edition
 Author's preface to the second edition,
 Editor's preface,
 Preface to third edition,
 Preface to fourth edition
 Introduction
 Character and object of the work,
 The selection of the remedy,
 The administration of the remedy
 Therapeutic part
 Repertory part
 List of authors
 Index 4
Preface to first edition
• This edition contained the carefully collated
experience of ten active years of practice of the
author.
• In fact, the work was prepared for his own
reference as a labor-saver.
• Finally it was printed because colleagues, who had
seen it, desired to possess a copy.
• Mr. Tafel had a great role in printing the material
in the book form.

5
Cont….

• Even the young physician, of a single summer's

experience,will feel the want of such a work,
particularly when dealing with the frequently
occurring and obstinate diarrhoeas of infants.
James B. Bell.
Augusta, Feb. 21, 1869

6
Author's preface to the second
edition.

The material for a new edition of

this little work has been collected
ever since the first was published,
and such an edition has long been
called for, but I do not think it
would have ever seen the light

7
CONT…..

• Dr. W.T. Laird, late of Watertown has added

much from his own collection of material, and to
him is due the entire remodelling of the Repertory,
which, in the first edition, was quite defective
• Dr. T.M. Dillingham, had kindly made a partial
revision of the work, but went abroad before its
completion.
• Dr. Ad. Lippe has contributed two annotated
copies and many suggestions, and I wish to tender
my thanks to him

8
Editor's preface
The revision of a monograph like the present work,
after the lapse of twelve years, many new remedies
demand recognition. These may be conveniently
divided into four classes.
• In the first, we place those which have been
thoroughly proved and repeatedly verified in
practice.
• The second consists of drugs, which have also
been well proved, but whose symptoms, as yet,
lack clinical confirmation.

9
 Cont……..
• The third embraces the medicines of which we
possess only fragmentary and imperfect
pathogeneses. These may be styled "the suggestive
remedies," and include such drugs as Coto Bark,
Gent. lut., Geran., Gnaph., Hura, Oenothera,
Paullinia, etc.
• The fourth division contains those remedies
whose indications are derived solely ab us in
morbis.
Augusta, ME., March, 1881.
W.T. Laird, M.D.

10
Preface to third edition
• This book has been most thoroughly revised, with
the earnest purpose of making it as nearly
complete as possible.
• Four remedies of little importance have been
omitted, viz.: Cactus, Euphorb., Opuntia and
Castoreum, and five of much value have been
added, viz.: Acetic acid, Crotalus, Angustura,
Carbolic acid and Valeriana.

11
 Cont……

• Dr. Samuel A. Kimball, author of the Monograph

on Gonorrhoea, has given faithful and most
valuable assistance in this revision
• Drs. J. G. Allen and W. Jefferson Guernsey have
furnished annotated copies of the earlier edition.
• Many others also have contributed observations
and suggestions, to all of whom most cordial
thanks are tendered.
James B. Bell.
Boston, June, 1888

12
Preface to fourth edition

The most that can be said as a preface to a fourth

edition, is that a thorough revision, and re-revision,
and a renewed comparison with all the Materia
Medica now available, reveals but few changes to
make, and no remedies to add or to omit.
James B. Bell.
178 Commonwealth Ave
Boston, Oct., 1896.

13
 INTRODUCTION
Character and object of this work
• This work is intended to apply to all loose
evacuations of the bowels, and to describe them,
their aggravations and ameliorations, with their
immediate accompaniments and general
accompanying symptoms.
• The character of the stool is used as an adjective,
and after it the "stool" is always to be understood.
The semicolon stands for it.

14
 Cont……

• Under the head of aggravations and ameliorations

those influences are given which affect the stool,
and also those which act as excited causes of the
attack. When referring to other symptoms, they
will be found indicated in parentheses.
• The concomitants of he stool have been studied
and observed with much care.
• The general accompaniments include all the
symptoms that occur during the attack.

15
 The selection of the remedy
 All will consider the law of similars to select the
remedy.
 One class thinks the solution is found in a similitude
to the pathological state. If able to diagnose
hyperaemia, hyperaesthesia, ulceration, plastic
exudation, atony, atrophy, hypertrophy, and so on…
is sufficient for them

16
 Cont…….
 Those who are following direction of similars
soon discover that the selection of the remedy
requires, two similars
 1. corresponding to the general symptoms, or
those which bring it into relation to the
pathological state to be treated
 2. corresponding to the special and characteristic
symptoms, or those which bring it into relation
with the individual case to be treated.

17
 Cont……
Conclusion
• Similimum on Pathological state
• Similimum on Holistic approach

18
The administration of the remedy
• Began
30th potency – chronic
Lower and crude preparation – acute
• Later
 experience has been most satisfactory with the use
of the 12th, 15th, 30th,200th and often higher
potencies, administered in water, and repeated
every 1-6 hours according to the urgency of the
symptoms, and suspended as soon as improvement
appeared. If the same remedy was needed to be
again, it has to do better in a higher potency

19
Cont…

 All classes have responded favourably to the high

potencies.
 As regards temperament, we cannot speak with
equal positiveness, but we have no certain
testimony proving it to form an exception.

20
Homoeopathic Therapeutics.
Part 1-The remedies and their
indications
• Number of Remedies: 141
• Second Edition:
32 remedies added
• Third Edition:
4 remedies omitted – Cactus, Euphorb, Opuntia and
Castoreum. 5 remedies added – Acetic acid,
Crotalus, Angustura, Carbolic acid and Valeriana.
• Fourth Edition:
No addition or deletion.
21
Drugs are mentioned in the
following headings

• Stools
• Aggravations
• Ameliorations
• Before Stool
• During Stool
• After Stool
• Accompaniments
• The last paragraph under each medicine
contains valuable information

22
Eg; Oxalicum acidum
Stools
Muddy, brown, fecal; Watery; Mucous and
bloody;
Involuntary (a constant discharge, white
mucous).
 Aggravation
After coffee: In the morning: After breakfast:
When lying down:
From motion: From eating sugar (pains).
 Amelioration
From rest (pains).
23
Cont……
 Before stool
Headache: Twisting colic around the navel.
 During stool
Colic about the navel: Colicky pains seem to radiate
from a small spot.
Violent urging: Griping pains in the anus so severe as
to cause headache and heat in the head.
 After stool
Nausea: Relief of pain in small of back: Dryness of
the throat: Cramps in the calves.

24
Cont…..

 Accompaniments
Thinking of the symptoms aggravates them.
Exhilaration.
Stomach very sensitive to pressure.
Frequent pains and soreness about the navel.
Copious urine.

25
Special features in materia
medica part

Symptoms are given in 3 formats.

 In bold – characteristic symptoms.
 In italics – most frequently observed &
distinguishing symptoms.
 In ordinary – common symptoms
 There is also an index for therapeutic part given in
the back

26
Repertory Part
• Repertory is divided into 5 sections
• A)Pathological Types- Diarrhea, Dysentry
• B)Character of Stools
• C)Conditions of the stools -Aggravation ,Amelioration
• D)Accompaniments of the evacuation -Before Stool
,During Stool, After Stool
•

27
 Cont…..
E) General
accompaniments • Anus
• Mind and mood • Urine
• Head • Sexual organs
• Eye and Ears • Chest
• Nose • Back and Neck
• Face • Extremities
• Mouth • Sleep
• Throat • Fever
• Oesophagus • Chill
• Appetite • Heat
• Eructations • Sweat
• Nausea and Vomiting • Pulse
• Stomach • Skin
• Abdomen • General Symptoms

28
Gradation of Remedies4 Grades
1st Grade: Roman
(Thoroughly proved and repeatedly verified)
2nd Grade: Italics
(Remedies well proved lack clinical verification)
3rd Grade: Roman
(Remedies - suggestive remedies less proved)
4th Grade: (Roman)
(Remedies whose indications are derived from diseased individuals)
They need not be taken for the purpose of repertorization (doubtful).
Eg; Page-231

29
Pathological name

• Rubrics are in capital bold letter

• 3 Main rubrics
• Rubrics are (eg;)
1.CHOLERA
-,infantum
2.DIARRHOEA
-,infantile
3.DYSENTRY
-,periodical in early part of summer,every year on
same month and day:
Kali bich

30
CHACTER OF THE STOOL
• Starts with Albuminous
• Total number of rubrics-79
Some important rubrics-
• Bloody208
• Expulsion difficult212
• Frothy214
• Involuntary215
• Mucous 216
• Watery222

31
CONDITIONS OF THE STOOLS AND OF
ACCOMPANYING SYMPTOMS

a)Aggravation Ameliorations
• Acid after224 • Air,in open237
• Aged person in224 • Drinks cold237
• Anger after225 • Ice cream238
• Drastic medicine • Milk hot238
after227 • Vomiting,after238
• Eruption ,after
suppression228
• Fruit after229
• Milk231
• School girls234
• Pregnancy during234 32
Accompaniments of the
evacuation

a)Before stool b)During stool

• Abdomen239 • Exhaustion246
• Fainting241 • Palpitation247
• Nausea242 • Perspiration247
• Perspiration242 • Rectum,burning in248
• Urging243 • Vertigo250
• Vomiting243 • Vomiting250

33
Cont......

c)After stool • Relief of

• Calves,cramps colic,tenesmus and
in252 urging254
• Drowsiness252 • Tenesmus255
• Fainting252 • Thirst255
• Hunger, canine253 • Urging
,unsatisfied255
• Lie down, obliged
to253 • Weakness255
• Perspiration253

34
General accompaniment

Mind and mood Head

• Anguish256 • Headache260
• Desire to be • Vertigo261
carried257 Eyes and ears
• Moaning259 Ears,ringing in262
• Intoxication258 Eyes,blue ring around
• Laugh tendency to
259

35
Nose Mouth
• Nose bleeding of • Aphthae:266
,with pale face263 • Chewing
• Nostrils sore, motion266
cracked and • Saliva bitter267
crusty263
• Teeth decay as
Face
soon as they
Cheecks red263
appear 269
Lips black265

36
THROAT ERUCTATION
• Throat,dry272 • Eructation278
• Goitre272 • Hiccough278
OESOPHAGUS NAUSEA AND
• Oesophagus,burnin VOMITING
g • Nausea278
APPETITE • Vomiting279
• Appetite,canine STOMACH
• Aversion 273 • Stomach ,acrid
• Desire274 feeling282
• Thirst276
• Thirstlessness277
37
ABDOMEN URINE
• Abdomen,burning2 • Dysuria289
82 • Strangury
• Flatus287 • Urination ,burning
• Hypochondria after290
sensitive to • Urine,dark291
pressure287 SEXUAL ORGANS
• Liver indurated288 • Ovarian
ANUS irritation292
• Anus biting at288 • Prolapses uteri292
• Haemorrhoids289 • Sexual
• Rectum,crawling in excitement292
38
CHEST
EXTREMITIES
• Chest,burning in
293 • Ankle weak295
• Cough,dry293 • Calves, cramp in
• Respiration • Legs cold296
difficult293 • Nails blue
• Yawning294 SLEEP
BACK AND NECK • Dreams297
• Back 294 • Sleepiness299
• Neck294 • Sleeplessness299

39
FEVER • d)Pulse
• a)Chill Pulse,coming in long
Coldness300 waves
Shuddering300 Irregular302
• b)Heat SKIN
Heat • Skin,blue302
Hot flushes
• c)Sweat
Sweat

40
GENERAL
SYMPTOMS
• Anasarca303
• Chlorosis303
• Cyanosis
• Ecchymosis304
• Jaundice305
• Paralysis

41
TOTALITY
Accompanying symptom, before, during and after
evacuation.
Modalities include ailments from, aggravation and
amelioration
Character of stool
Pathological types
General accompaniments are for the final differentiation.

42
 Special features of repertory
1) Rubrics are arranged in alphabetical order. Format
adopted in arrangement of rubrics is of
Boeninghausen.
2) 141 remedies are given
3) There is also an index for repertory part given in the
back
4) Causation are given under aggravation sub section
includes
• Food items like fruits, dairy products, vegetables
Seasonal
• Disease during/ after: Pneumonia during
• Stages of life etc
5) Desires and Aversions are mentioned in Appetite sub
section

43
 List of authors
Consulted in the preparation of work

•Hahnemann’s Chronic Diseases •Guernsey’s Obstetrics and Diseases

of Females and Children
•Jahr’s New Manual Repertory
•Hartmann’s Therapeutics
•Lippe’s Materia Medica
•Teste’s Diseases of Children
•Hale’s Materia Medica
•Williamson’s Diseases of Woman
•Mure’s Materia Medica and Children
•Metcalf’s Homoeopathic Provings •Croserio’s Obstretrics
•Gross’s Comparative Materia Medica •Well’s Diarrhoea
•Possart’s Arzneimittellehre •Wolf’s Homoeopathic Works
•Journels
• Boenninghausen’s Therapeutic
Pocket Book
•Raue’s Pathology and Therapeutics

44
Additional work
Consulted in the preparation of the second edition

• Allen-encyclopedia of pure • Raue-annual record

materia materia medica
• Lilienthal-homoeopathic
• Hering- condensed materia therapeutics
medica
• Hyone-clinical
• Hering- guiding symptoms therapeutics
• Hughes- • Farrington-supplement to
pharmacodynamics cross comparative materia
• Dunham-homoeopathy the medica
science therapeutics • Burt- characteric materia
• Baehr- science therapeutics medica
• Lippe- repertory
• Journels

45
Additional work consulted in the
preparation of the fourth edition

• Allen- general
symptoms register
• Knerr-repertory of
herings guiding
symptoms

46
 INDEX

• To preface
• To introduction
• To
part1(therapeutics)
• To part2(repertory)

47
Merits

1) The book has towards its end a list of authors and

additional works consulted in the preparation of
the second and fourth edition.
2) There is also an index for preface, introduction,
therapeutic and repertory part given in the back
3) Easy for reference
4) This repertory is a complete work as it has
expressed not only the symptoms of the bowel but
also the general state of the patient too.

48
 Cont……
5)Clinical experience of 10 years and notes taken
from all authentic works.
6) Handy, cost effective.
7) A quick reference to the therapeutic part makes it
all the more useful for prescribing.
8) Accompanying symptoms before, during and after
is well elaborated in separate sub section

49
 LIMITATIONS

1) Relationship of remedies not given, We are unable

to find a follow up.
2) Newly proved remedies are to be added E.g.
Bowel nosodes
3) Under aggravation is given
- Children in
- Nervous persons in
4)Number of remedies is less mentioned in this
repertory

50
THANK YOU

51