[Read before I.H.A. Bureau of Media Medica, September, 1945].
K. A. MC LAREN, M.D.
We all know the common use of the “Jack in the Pulpit,” and I, for one, have found it useful when indicated in diphtheria, severe diarrhoea, acidosis and in stomatitis. Whenever it has been indicated the patient was very ill. It therefore corresponds to a very low state of vitality or speaking in reverse, it can be said that it exhibits its power of cure in cases of severe infection.
This infective process is not limited to any one form of germ, for through stomatitis, and diphtheria are both productive of a pseudo-membrane their cause is not in any way similar, and it is unlikely that acidosis and severe diarrhoea are attended by the production of such a membranous appearance.
The classical symptom of picking at the lips and nose do not, in my experience, occur until the patient is almost in extremis. This may be really the case or it may be due to faulty observation on the part of the physician.
The thought arises as to whether this most powerful remedy should be given prior to the observance of the classical symptom above noted. In other words, should the physician wait in a severe case if other remedies are not strongly indicated until this symptom arises, or should he be guided by the fact that he is treating a serious condition and give Arum in anticipation of the classical symptoms appearance?.
Three years ago in Toronto there was an epidemic of acute cervical adenitis. These little patients ran a high temperature, suffered a lot of pain, were very ill and did not have any clear cut remedy indicated that I could determine. Under Arum they made a rapid and uneventful recovery.
This spring, which has been very wet, there were several cases of what appeared to be a “flu” infection. There was little or no nasal discharge, but they developed pain in the middle ear and small tender cervical glands. Belladonna and Lycopodium did not help, so Arum triphyllinum was given with immediate and favorable response.
From the record I find that it has been very useful in nasal colds with acrid discharge and very little temperature. These colds, however, made the patient feel very miserable in general.
I believe this remedy can be used more frequently in our general practice with very quick and favorable results in many acute cases, chiefly children, where the disease is debilitating to a marked degree, and when other remedy indications are not clearly called for.