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is, however, a mighty mistake to treat the cases all alike, as
quite a number of different diseases give rise to the usual anginal
symptoms; the cases must be diagnostically and therapeutically
differentiated if they are to be really cured. A short time since,
it was my duty to see a lady in Belgravia with angina pectoris:
unwonted domestic drudgery, loss of loved ones, fright, loss of
fortune, had led up to it. Apart from the anginal attacks, there
was a chronic constant pain across the prsecordia, running away
under the left breast. For years blisters had been applied at
intervals with temporary relief, till theycould no longer be borne.
Patient was very depressed, sulky, and morose. The menses
suppressed. Aurum metallicum, 3 trituration, six grains every four
hours, cured the constant pain in a week, and the anginal attacks
have thus far not recurred, and patient smiles now, and is bright.
The menses have, however, not appeared, and for this she remains
under treatment. Since this was written a year has elapsed, and the
lady is quite well of her angina. What led me to use Aurum was ts
known affinity for the heart, and the profound melancholy of the
patient. As I said, the cure has been maintained, but the lady
keeps some of the Aurum powders in the house for fear, and thus
unconsciously testifies to its therapeutic efficacy. The lady had
for years used the nitrite of amyl with temporary and prompt
easement, but the attacks returned just the same, though rather
less violently she thought. Although the nitrite of amyl will not
often cure genuine angina, it does temporarily stop the agony, and
may therefore not be despised. Unfortunately, it is too superficial
in its action. I will now pass on to and draw somewhat from my
little book entitled Vaccinosis an...
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