TELA ARANE^. 



from the small of the back to the end of the penis, with an irresistible 

 desire to pass urine, and from that time until 6 A. M. he passes from one 

 to one and a half gallons of clear, light, straw colored urine, composition 

 very slightly acid, no sugar, no albumen, and rapid decomposition. Tela 

 in three-drop doses every three hours relieved' the paroxysmal flow when 

 other medicine of good repute failed. 



The specific indications for Tela are these, viz.: masked periodical 

 diseases in hectic, broken down patients. In all diseases that come up 

 suddenly with cool, clammy skin and perspiration, cool extremities; in 

 nocturnal orgasms in either sex. Numbness of the extremities when sitting 

 still or lying down. It relieves spasm of the arterioles, and stimulates cap- 

 illary circulation. It relieves hyperesthesia of the cerebro-spinal nerves, 

 and the great sympathetic, that depends on debility. It is the greatest 

 heart stimulant in the materia medica, and Lobelia is second only to it. — 

 Eclectic Medical Journal, November, 1886. 



By Herbert T. Webster, M. D., Oakland, Cal.: 



The experience of the writer with this remedy has been very much to 

 its credit. Though it has failed him occasionally — or he has failed to apply 

 it properly — he is convinced that Grauvogl enunciated a lasting benefit to 

 the profession in his exploit with Tela. He has afforded us a central truism, 

 around which much substantial knowledge has been built with clinical 

 experience. Within the past few months, two of the most honored prac- 

 titioners of our State, Drs. Fearn and Munk, upon separate occasions, have 

 signified their high appreciation of this remedy, in various conditions 

 marked by persistent chilliness. 



This symptom appears to be the keynote for its use, though we should 

 dissociate the proposition from the idea that the prolonged chilliness must 

 necessarily belong to an ague, or malarial manifestation. Unless this is 

 done, we are liable to neglect it almost completely; for so many better and 

 more reliable remedies for intermittents are in vogue that we can never 

 expect to win renown with it in this field, though when specifically indi- 

 cated, it is as applicable in malarial conditions as in any other, according 

 lo my experience. The writer, however, has obtained most satisfactory re- 

 sults from it, possibly because he became better acquainted with it in a 

 district where intermittent fever is unknown, unless imported; though it 

 may be mentioned, in passing, that periodicity is rather a significant indi- 

 cation for Tela, though not the leading one. Periodicity, it is to be remem- 

 bered, does not always indicate malaria. There are exceptions to all rules, 

 and to this rale there are a number. 



Whenever a case presents, be it acute or chronic, in which the patient 

 finds himself prone to continual chilliness, unable to get comfortably warm 

 by the aid of proper clothing, apartment and fuel. Tela is the first remedy 

 to be thought of. The demand for it is emphasized if the skin is continually 

 cool and "clammy, and if the chilliness is quickly aggravated by dampness. 

 A patient in this condition presents us with what Grauvogl designated a 

 "hydrogenoid constitution," or condition, and this is his specific indication 

 for Tela. We ought, then, to regard the phrases, "cool, clammy skin," and 

 "hydrogenoid condition" as synonymous in their meaning, in this conrtec- 

 tion, both being specific indications for Tela. 



As an illustration of what is meant by the application of Tela to the 

 "hydrogenoid condition" by Grauvogl, one of his cases may be related. A 

 chronic inflammation of the heel, in an old man — probably due to involment 

 of the petriosteum of the os calcis — resulted in abscess, and later on in 

 a sloughing ulcer. ' The ulcer 'was very painful, and arnica was given to 

 relieve the pains, but without much effect. The ulcer continued to deepen 

 and resort was had, alternately, to silica and calcarea carb., but aggrava- 

 tion still persisted. The patient was constantly chilly, and the pains in- 

 creased and decreased periodically. Tela was administered, and improve- 

 ment speedily followed. 



Do we understand the modus operandi by which Tela corrects this 



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