Dr. John Paterson said that they had listened to a real clinical paper. There was not much which one could criticize, but one might add a little. With regard to the cardiac cases, Arsenic and Sulphur his experience was that Arsenic was often the acute of Sulphur and on  the mental side they were the exact opposite. One found that a Sulphur patient swung in an acute condition to Arsenic and Dr. Boland had brought out that point. He was interested in the question of Aconite acting in the first attack but not in the second. There had been many discussions about covering the totality of the symptoms and here was evidence that the homeopathic remedy could be prescribed on the mental symptoms which worked in the first instance but it did not cover the whole of the case. It was possible to prescribe homeopathically with­out covering the whole of the case, only covering a phase because obviously on the next occasion the pain was present but not the fear, the Aconite had removed one phase of the case — mental fear. Aconite came out very strongly in the air raids.   Another remedy was Natrum Mur.
He wondered if any orthodox practitioners were surprised that there was no mention of Digitalis but Digitalis was quite useful in these slightly relaxing hearts in homeopathic doses, not in the massive doses given in allopathic medicine.

Dr. Stonham said that the paper was excellent and the sort of paper which would appeal to the general practitioner, who was always coming up against acute cases. To have such cases so plainly stated with the drug indications for them was  valuable. There were one or two points he would like to mention with regard to Aconite which, as Dr. Borland had , was very useful in many cases.   The case which he did not mention was the acute pulmonary oedema. He had given. Aconite 30 in such cases and it quickly calmed the patient in that distressing and somewhat dangerous condition and he had found it valuable not only in the first case but also in cases when the attack has been repeated. Dr. Borland said he gave Laurocerasus in acute heart complaints. He had had an acute case with Cheyne-Stokes respiration, it looked as if the patient would die, he gave Hydrocyanic Acid and he recovered very nicely. Many people would substantiate the value of Dr. Borland's paper.

Dr. G. R. Mitchell said that a clinical paper was most useful. He wanted to criticize something Dr. Paterson said when he took the Aconite example as not prescribing on the totality. He would have thought it was an example of pres­cribing on that procedure because in the first case, on all the manifestations, Aconite was the drug, and it worked and on the second occasion there was a different totality, and the Aconite did not work. That was the way he would have re­garded the matter.

Dr. Hardy added her grateful thanks to Dr. Borland for his paper. With regard to medicines for heart complaints she agreed with Dr. Paterson that Digitalis 200, one dose, was very effective in the semi-chronic or chronic case of the right sided congestion, blue face and blue nails, but not in the acute patient. She also used mother tincture Crataegus for heart patients because it was specific for the cardiac muscle. An­other drug which was used in Russia was Adonis mother tinc­ture, five drops to a dose. ..the wonderful collection of details on which indications had been given and which were of the greatest possible value. The paper would require a great deal of study, so that these indi­cations could be taken for future use.
He was rather in favour of trying to keep the remedies which were very definitely specific for particular conditions because in cases where there was an emergency there was no time to seek for all the exact indications which might help, but he was rather surprised that Dr. Borland did not make more use of the Snake Poisons in heart cases because he must admit he would not be without Lachesis. If there was any suggestion of heart failure he would give Lachesis and would be surprised if it did not answer. There was one rather in­teresting point from the homeopathic point of view with regard to Snake Poisons and that was to think of the first thing which an individual felt when he was bitten by a snake, which was death, and when death threatened the patient ,the prescriber should think of the Snake Poisons. He mentioned this in a paper he read on Snake Poisons in Berlin just before the war and it attracted the attention of reporters who were pre­sent. In the Berliner Tageblatte there appeared in headlines, "When death threatens, think of the Snake Poisons."..

Dr. Alva Benjamin said that with regard to the collapse cases one would have thought that Dr. Borland would have mentioned Veratrum Album for cases of great coldness and excessive sweating. With regard to heart cases he had had a lot of help from Chamomilla, particularly when the pain was very severe. ..

Dr. W. Lees Templeton said that most of them felt that they had been back at school and he felt not only humbled but humiliated, for he must admit that he did not get such good results, possibly because one did not always get the symptoms. Most of the emergencies he saw were unable to give symptoms and one had to judge on appearances. He was glad, therefore, that Dr. Borland had elaborated on the ap­pearance of the patient, because that was important. With regard to drugs, he did not find Ant. Tart,  useful in heart cases because he believed the pathology was different. He thought Ant. Tart, had a pulmonary pathology, not cardiac. Carbo Veg. had a great and justifiable reputation as the "corpse reviver" and it did work when the appropriate symp­toms were present. Cold sweat he looked upon as a guiding symptom for Verat. Alb. and he had verified its value in collapse. He was sorry that Dr. Borland was not more speci­fic in his diagnoses, e.g. if pain was due to coronary thrombosis he doubted if the high potency alone would ease this parti­cular pain in a matter of minutes.
The wait with the patient for four or five hours for the second presentation was a serious matter when one was called out in the middle of the night, and like confinements many of these emergencies did occur at night. Why was this, he wondered?