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Already in a few hours the patient becomes tranquil, showing that the process of disorganization has been arrested; the improvement continues from hour to hour; the sleep becomes more tranquil; the cutaneous secretions, and those of the bowels and kidneys, become more active; after the lapse of one, or at most two days, the urine begins to look clearer and lighter-colored, and in about three days a return of the natural color of the urine shows that the functions of the liver are restored to their normal standard; the patient is able to do without any further medical treatment, and the natural reaction of the vital forces will be found sufficient to effect a cure.

if i have not mentioned the affections of the kidneys, which may be present in this disease, it is because i have become satisfied by years of experience, that they constitute secondary affections in scarlatina, and that we should commit a great error if we would draw conclusions regarding this point from post-mortem phenomena.
in the american provings, apis is indicated in this disease by the following symptoms: "no. although common mild measles do not require any medicinal treatment, and generally get well without any prejudice to the general health; nevertheless, cases occur where intense ophthalmia, a violent and racking cough, and the phenomena which appertain to it; an intense irritation of the internal mucous membrane; diarrh[oe]a; dangerous prostration of strength; marked stupefaction and various nervous phenomena render the interference of art desirable.
in all such cases, i have seen good effects from the use of apis, which differed not only from the regular course of the disease, but likewise from the effects which have been witnessed under the operation of other medicines. in ordinary cases, and without treatment, it takes three, five, seven and eleven days, before the eyes get well again; but under the use of apis, the eyes improve so decidedly in from one to three days, that the eyes do not require any further treatment; and that even troublesome sequelę, such as photophobia; styes which come and go; troublesome lachrymation; continual redness; swelling and blennorrh[oe]a of the lids; fistulę lachrymalis, etc.
if apis has had a chance to exercise its curative action in a case of measles, we hear nothing of the troublesome, and often so wearing and racking cough, which so often prevails in measles, and the continuance of which is accompanied by an increased irritation and swelling of the respiratory mucous membrane and an increasing alteration of its secretion, which recurs in paroxysms, assumes a suspicious sound, shows a tendency to croup and to the development of tuberculosis, and finally degenerates in whooping-cough, so that epidemic measles and whooping-cough often go hand in hand.
after apis, the cough speedily begins to become looser and milder, to loose its dubious character, and to gradually disappear without leaving a trace behind. if these results should be confirmed by further experience, we would have attained additional means of preventing the supervention of whooping-cough in measles; a triumph of art and science which should elicit our warmest gratitude. any one who knows, how malignant measles, unassisted by art, are accompanied by deep-seated irritation of the mucous membrane of the stomach and bowels; how they lead to diarrh[oe]a; to sopor; how they threaten life by long-lasting and troublesome putrid and typhoid fevers; and how, if they do not terminate fatally, they result in slow convalescence, and sometimes in chronic maladies for life, will admit, on seeing the diarrh[oe]a cease; on beholding the quiet sleep which patients enjoy; the pleasant and general perspiration; the return of appetite; the increase of strength, and the complete disappearance of all putrid and typhoid symptoms, that apis has indeed triumphed over the disease.
the following simple proceeding will secure such results: as soon as the fever has commenced, we prepare the above-mentioned solution of aconite, of which we give a small spoonful every hour. if, after using the aconite, the eruption breaks out and the fever abates, no further medication is necessary. if fever and eruption should require further aid, apis is to be given, one or two globules of thirtieth potency in seven dessert-spoonfuls of water, well shaken, a dessert-spoonful morning and evening; or, if the disease is very acute, every three hours, which treatment is to be continued until an improvement sets in, after which the natural reaction of the organism will terminate the cure.
sequelę seldom take place after this kind of treatment; this is undoubtedly an additional recommendation for the use of apis. until this day i have never seen a secondary disease resulting from measles. nevertheless, sequelę will certainly occur less frequently after the use of apis, for which we ought to be thankful. many symptoms in the american provings confirm this statement. the use of apis in these eruptions has been followed in my hands by the most satisfactory results; and i feel justified in recommending apis as a most efficient remedy in these diseases, which are still wrapt in a good deal of obscurity. an additional source of satisfaction to have obtained more means of relieving human suffering.
the experienced neuman writes, in his special therapeutics, 2d edit. it would be desirable to be acquainted with a safe method of curing this eruption, but so far, it has been sought for in vain." the same physician, speaking of pemphigus, writes in the same place, that its etiology, prognosis and treatment, are still very dubious; that it leads to extensive chronic sufferings, and often terminates fatally; and that no specific remedy is known for this disease. these developments lead us to suspect that urticaria and pemphigus are identical in essence; this fact is richly substantiated by the hom[oe]opathic law which furnishes identical means of cure for either of these affections.
in either case, if the vital forces are prostrated, and the sensitiveness of the organic reaction is considerable, one pellet of apis 30, and, if there is considerable resistance to overcome, two pellets shaken with six dessert-spoonfuls of water, a spoonful night and morning, is all that should be done, after which, all further treatment should be discontinued as long as the improvement continues or the skin remains clear from all eruptions. if the improvement cease or the eruption should reappear, we have in the first place to examine whether the improvement will not speedily resume its course, or whether the eruption does not show itself more feebly than before, or if the cure is not evidenced by some other favorable change.
in the former case the medicine should be permitted to act still further; in the latter case, another dose of apis 30 should be given, after which the result has to be carefully watched. in all benign cases, more particularly if no other means of treatment had been resorted to before, this management will suffice. if this should not be the case, if the eruption should appear again, we may rest assured that a psoric miasm lurks in the organism, and that an anti-psoric treatment has to be resorted to. after one or other of these remedies, the symptoms should be carefully observed without doing anything else, with view of instituting whatever treatment may afterwards be necessary, we wind up the treatment with dose of 30, one pellet, after which, the organic power is permitted to the cure.
the result is, that most difficult and complicated cases yield perfectly to , which is upon the strictest scientific principles.. ..