Complete Text (Part 2)

bran and sodium borate. In the evening, after washing the parts with naphtha soap, the following ointment should be applied : — B Betanaphtholis, gr. ivss. Tinct. saponis viridis, m ivss. Cretae proep., Sulphuris loti, of each, gr. viiss. Petrolati, 3vj. Misce et fiat unguentum. Sig.: Apply locally. Hand-Book of Modern Treatment, The following morning, after bathing the face, the follow ing lotion is recommended : — I^ Sodii boratis, 3j. Spt. eetheris, fSv. Aquse rosse, f^iss. Aquse destil., fjiiss. Misce, fiat lotio. Sig. : Apply locally to the affected parts. Indication: Used in acne in children. SIMPLE ACNE. I^ Bismuthi subnitratis, 3ij. Ung. hydrarg. ammon., 3ij. Ichthyolis, 3ij. Vaselini, Siiss. Misce. Sig.: Apply locally. I^ Ichthyolis, 5j. Aquffi dest., 5j. Misce. Sig.: Rub in before retiring; wash off with soap and warm water in the morning. During the day use a weak solution of mercuric chlo- ride. Indication: Simple acne. B Mucilaginis acacise, m Ixxij. Sulphuris sublimati, Jss. Alcohol is, Sss. Aquffi, Sss. Misce. Sig.: Apply once daily. Indication: A paste for the acne of young persons. I^ Sulphuris prsecipitati, gr. xc. Spt. camphorai, f3iv. Aquffi dest., fjj. Sig.: Apply in the evening and let dry on the skin. Next morning wash off with warm water. Indication: Inflammatory acne. r_ Hand-Booh of Modern Treatment. ACNE LOTION B Betanaphthol, gr. xl. Sulphuris sublimati, gr. cc. Petrolati, gr. c. Saponis viridis, gr. c. Misce. Sig. : Apply externally each night. Indication: Simple acne. I^ Sulphuris prsecipitati, gr. xc. ^theris, f3iv. Alcoholis, fgj. Misce. Sig.: Apply as a lotion. Wash parts fre- quently with hot water and green soap. Indication: Used when acne becomes pustu- lar. B Ichthyolis, mxxx. Acidi salicylici, gr. xxx. Saponis viridis, gr. xviij. Adipis lanse hydrosi, q. s. ad 3iv. Misce. Sig.: Apply at night and wash off in the morning with hot water. I^ Potassii iodidi, gr. xl. Potassii bromidi, ^j. . Liq. acidi arsenosi, Siss. Tinct. sumbul, 3ij. Aquse camphorse, S^ij. Misce. Sig.: Tablespoonful in water after meals. Indication: Acne rosacese. I^ Potassii sulphidi, 3j. Zinci sulphatis, 3j. Aquae rosse, fjiv. Misce. Sig. : Apply before retiring at night. Indication: Used as an acne lotion. B Antipyrini, Siss. Fluidextracti cocse, Jij. Tinct. auranti, 5j« Glycerini, 5j. Misce. Sig.: Teaspoonful three times daily between meals. Hand-Book of Modern Treatment. T^ Potassii arsenitis (sol.), f5j. Sig. : Three minims three times daily. Indication: Useful if debility or ansemia is present, and should be continued for a month or two. ADDISON'S DISEASE. H. A. Moody publishes an account of a well-matked case in which the use of 3 grains of suprarenal extract in capsules thrice daily was attended by rapid amelioration of the symptoms and lessening of the pigmentation. Finally the patient discontinued the remedy for nine months. Upon resuming it in the same dose, on the fifth day, after having taken twelve capsules, 36 grains, the patient was attacked by intense gastralgia, the sur- face being pale and cold, indicating intense vasoconstriction, the mucous membrane participating in the bloodless condition. "Morphine and atropine soon relieved the paroxysm, and, after suspending all medicine for a few days, the capsules were resumed. After taking six more she had another attack of gastralgia and again the extract was suspended. At the end of a week she began taking one capsule at night and one in the morning. On the fifth day the gastralgia returned more violently than ever, the vasoconstriction being marked and per- sistent. The pulse was weak, slow, and labored, and the entire surface cold and pale. It required active and energetic treat- ment, including the administration of morphine, atropine, and nitroglycerine, to relieve her. It was with some difficulty that I persuaded the patient to resume the treatment, but in a few days she did so, taking only one capsule a day. This amount caused no trouble, and a very gratifying improvement of all the symptoms appeared.^^ I^ Glandulae suprarenalis siccse, 3j. Pone in capsulas no. xx. Sig.: One capsule three times daily after meals. ADENITIS. I^ Ammonii chloridi, 3iss. Camphorae, 3ss. Adipis, Sj. Misce. Sig.: To be applied morning and evening. Hand-Book of Modern Treatment. I^ Potassii iodidi, gr. xvj. Extract! ciculse, gr. xxxij. Aquae dest., fSiss. Lanolini, Sj. Misce. Sig.: Apply twice daily. Indication: Useful in chronic adenitis. I^ Syrupi ferri iodidi, fjiv. Sig.: 5 to 20 minims in water after meals. Indication: Good when accompanying anae- mia. I^ Unguenti iodi, 3j. Adipis, Sj» Misce. Sig. : Apply locally night and morning. I^ Ichthyolis, 3iv. Adipis benzoinat., Jij. Misce. Sig. : Rub some into the swelling three times daily. I^ Tinct. iodi, 3ij. Sig. : Paint thoroughly over the gland. ADHERENT DRESSINGS. PAINLESS REMOVAL OF ADHERENT DRESSINGS. Dr. von Mikulicz suggests an easy means of obviating this drawback — ^viz., by wetting the dressings with oxygenized water. This provokes a copious evolution of bubbles of gas, the mechanical effect of which is to. free the gauze and allow its removal without causing pain. The method is so simple as to deserve the notice of surgeons. REMOVAL OF ADHESIVE STRIPS. In removing adhesive strips which have been used as dress- ings, a little ether poured on the same will facilitate the removal by dissolving the adhesive substance. 10 Hand-Book of Modern Treatment. ADRENALIN. Dr. Winfield Ayers has found a mild solution of adrenalin extremely useful in certain kinds of genito-urinary work. In examining the urethra an irritable stricture is frequently dis- covered, the first evidence of the fact being generally a severe haemorrhage, which there is sometimes difficulty in stopping. It occurred to Dr. Ayres to use adrenalin, and he finds it answers the purpose well, a solution of 1 to 100,000 being suffi- cient for the purpose. THE USES OF ADRENALIN. Adrenalin, a stable substance of pure crystalline form, is the active principle of the suprarenal gland recently isolated. Dr. Emil Meyer writes that he has used solutions of adren- alin chloride, 1 to 1000, 1 to 5000, and 1 to 10,000. Blanch- ing of the tissues followed the application of the strongest of these solutions in a few seconds, and was very thorough. In no instance was there any constitutional disturbance. Thirty- five cases are reported. A few operative cases bled freely, but in every instance the haemorrhage was promptly checked by a second application of adrenalin. The adrenalin was used not only as a haemostatic, but for the relief of nasal congestion, as a diagnostic aid, and for the continuous treatment of acute inflammatory affections of the accessory sinuses. Of the same preparation, Dr. E. Fletcher Ingals says that a case of daily epistaxis was relieved by sprays of a 1 to 10,- 000 solution. Another case, one of conjunctival congestion from overwork, was entirely relieved by the instillation of a similar solution. The author has had equally satisfactor\ results in cases of conjunctivitis; laryngitis, acute and chronic; acute laryngitis with oedema glottidis; acute coryza; chronic laryngo-tracheitis with acute exacerbation; and in preparation for operations upon the nose. AFTER-PAINS. In many cases a nice warm meal is better than any medicine ; 8till, whore the pains are exhaustingly severe, I turn to amvl lutrite. The potent drug is a very efficient controller of after- iland-Book of Modem Treatment. 11 pains, and, used cautiously, I see no reason to apprehend harm from 'it. A neat way of using it is to saturate a small piece of tissue-paper with 5 or 6 drops, stuff this into a two-drachm \ial, and request the patient to draw the cork and inhale the odor when she feels the pains coming on. It acts with magical celerity. SALOPHEN IN AFTER-PAINS. Dr. Audebert recommends salophen for the treatment of after-pains. The remedy has the property of abolishing the pain without interfering with the contractions of the uterus. He prescribes a dose of 15 grains, which he repeats in two hours if necessary. As a rule, the pains disappear in a half -hour after the first dose. It occasionally happens that the pains reappear on the next day, but then another dose drives them away completely and permanently. AGALACTIA. B Strych. sulph., Pilocarpinae hj'^drochlor., of each, gr. j. Sacch. ]actis, 3iiss. Misce et fiant tabellse triturationes no. Ix. Sig. : One every four hours. I^ Ext. ergotae, Ext. nucis vomicffi, of each, gr. vj. Quinin® hydrochloratis, gr. xxiv. Misce, fiant pilulse no. xxiv. Sig. : One pill every six hours. Indication: Use in ansemic subjects. B Liq. potassii arsenitis, fSiv. Sig. : One drop three times daily in milk and increasing one drop each day until five is reached, and return to one drop three times daily. ALBUMINURIA.— See Nephritis. 12 Band-Book of Moilern Trfaimrnt. ALCOHOLISM. I^ Oleoresini capsici, m x. Olei caryophylli, m x. Hydra rg. chlor. mit., gr. xx. Aloe, gr. xl. Misce et fiant pilulse no. xx. Sig. : One three times a day after meals. Indication: Used in the atonic stomach of drunkards. ]^ Tinct. capsici, fSiss. Tr. opii deodorat., fSij. Spiritus setheris nitrosi, fSiv. Tr. lavandulse comp., q. s. ad f^iv. Misce. Sig.: Dessertspoonful every four or five hours. B Spiritus aromatici ammon., fjij. Sig.: Ten minims in water every half-hour. Indication: To relieve acute alcoholism. S Potassii bromidi, gr. v. Sodii bromidi, gr. v. Chloralis hydratis, gr. x. Tr. zingiberis, m v. Tr. capsici, ni v. Spts. amnion, aromatici, lu xv. Aqua>, q. s. ad 3j. Misce. Sig.: To be taken as one dose, and used as necessary. Indication: Useful in delirium tremens. ]^ Paraldehydi, f3vj. Elixiris aromatici, q. s. ad fjiv. Misce. Sig.: Tablespoonful in every two or three hours. Indication: Useful in mild delirium and rcHllcBsness. Hand-Book of Modern Treatment 13 Q Acidi hydrochlor. diluti, £5j. Tr. nucis vomicse, fSij. Tr. capsici, fSj. Tr. gentianse comp., q. s. ad fSiij. Misce. Sig. : Two teaspoonfuls in water before meals. Indication: To improve appetite and diges- tion after an alcoholic debauch. The insomnia and intense nervousness which frequently accompany acute alcoholism should be corrected by promoting free elimination from the bowels, skin, and kidneys. A brisk laxative in the form of Hunyadi water, Seidlitz powder, or mag- nesium citrate should be given, also a Turkish bath, if not too depressing. Sodium bromide should be preferably used as a sedative and hypnotic. The author does not favor the indiscriminate use of bromides chiefly because of the danger of producing gastric disturbance. A mixture similar to the following is recommended : — 3 Chloralis hydratis, gr. xv. Sodii bromidi, gr. xv. Tinct. capsici, m x. Aquse menthae piperitis, ^ss. Misce. Sig.: At one dose. The author, however, prefers paraldehyde as an hypnotic, combined as follows: — 3 Paraldehydi, 3s8 to j. Olei olivse, Sss. Misce. Sig.: At one dose, to produce sleep. Paraldehyde is said to produce sound, refreshing sleep, with no depressant after-effects. Food should be withheld until the bowels move freely. I^ Sodii bromidi, 5j. Tinct. capsici, 3j. Tinct. digitalis, 3ss. Elix. simplicis, ad 5ij Misce. Sig. : A teaspoonful every two or three hours in water. Indication: Acute alcoholism. X4 Hand-Book of Modem Treatment. quinquaud's sign of chronic alcoholism. This sign is thus described by Aubry: The patient holds up his hand with the fingers spread apart. The examiner then presses upon the patient's finger-tips with his own, using mod- erate firmness. If the patient is an alcoholic there will be observed in a few seconds a grating or crackling of the phalanges as though the bones were rubbing each other. It is more marked in men than women. In the extreme depressions, irritable system, and cerebral perversions following a debauch, I have frequently observed excellent results from the following: — I^ Sodii bromicM, 3ij. Fluidextracti hyoscyami, fSj. Fluidextraeti lobeliae, f3j. Fluidextracti puIsatillaB, gtt. xx. Fluidextracti Iiipulini, fSij. Aquae menthse piperitae, q. s. ad fBij. Misce. Sig. : Teaspoonfu] occasionally. Indication: For alcoholic excess. If the heart is very weak give nitrate of strychnine, while as a tonic in convalescence prescribe nux vomica, calumba, gentian, and hydrastis. The primary feature is to afford the patient rest and comfort, the above usually being sufficient. ALOPECIA. IJ Resorcin, 3j. Olci ricini, m xxx. ()l(»i tipjlii, m iv. Alcohol, 5iv. MIhcc. Sig.: Rub in twice daily. Indication: Used in premature dropping out of the hair. IJ Acidi salicylici, gr. x. R<'tanaphtholis, gr. xx. Rulphuris praicip., 3j. Vaselini, q. s. ad 5j- MIhcc. Sig. : Apply night and morning. Hand-Book of Modern Treatment. 15 IJ Liq. carbonis deterg., fSj. Adipis lanae hydrosi, 5iij. Petrolati, q. s. ad Sj» Misce. Sig. : Apply night and morning. R Acidi acetici, 3ij. Sodii boratis, gr. xxx. Glycerini, fSiss. Spts. vini, fSij. Aquae rosae, q. s. ad Siv. Misce. Sig.: Apply twice daily. R Liquoris ammon. acetatis, fSj. Ammon. carbonatis, gr. xv. Glycerini, f5iss. Aquae sambuci, q. s. ad f^iv. Misce. Sig.: Apply once daily. I^ Tr. cantbaridis, f5iv. Tr. capsici, m xl. Olei ricini, fSj. Alcobolis, q. s. ad fjiv. Misce. Sig.: Apply once daily. Indication : Stimulating tonic and to be used with care. R Olei cadini, fSisa Lanolini, Siij. Vaselini, q. s. ad 5j. Misce. Sig.: Apply once daily. I^ Chrysarobini, gr. xxx. Vaselini, 5j. Misce. Sig.: Paint over and rub in. Indication: Useful in alopecia areata. I^ Cresolis. Sig. : Apply to scalp by inunction once weekly. 16 Hand-Book of Modem Treatment, Q Olei ricini, f^ss. Acidi carbolici, 3j. Tinct. cantharidis, f^ss. Olei rosmarini, gtt. xv. Spts. vini rectif., q. s. ad fSiv. Misce. Sig. : Apply as indicated. 3 Pilocarpina hydrochlorati, gr. v. Olei rosse, m viij. Olei rosmarini, 3iv. Linimenti cantharidis, 3iv. Glycerini, 5j. Olei amygdalse expressi, 3x. Spiritus camphorse, 3x. Misce. Sig.: To be rubbed well into the scalp night and morning. After cutting the hair close to the scalp and cleansing with soap and water, the following lotion : — 9 Hydrargyri chloridi oorrosivi, gr. iij. Acidi acetici, gr. xv. Alcoholis, 5iv. iEtheris, 5ij. Sol. lavend. (alcoholic), Jij. Misce. Sig.: Apply locally once a day. After drying, the head is rubbed with lactic acid, about 30 per cent. The following has been used with gratifying success in preventing that condition so annoying to humanity which is described by the patient as "My hair is falling out" : — I^ Acidi salicylic!, 3iij. Acidi carbolici, 3j. Olei ricini, fSij. Alcoholis, q. s. ad fBvj. Misce. Sig. : Apply freely to the scalp once or twice daily. Hand-Book of Modern Treatment, 17 ALOPECIA CIRCUMSCRIPTA. J. V. Shoemaker states that persons troubled with alopecia circumscripta generally require constitutional treatment by means of diet and proper medicine. The following combinations are advised by him: — I^ Syr. ferri lactati, 3ij. Ext. malti diastasic, ^vj. Misce. Sig. : One dessertspoonful three times a day after meals. Locally the following: — I^ Sulphuris sublim., 3j. Olei eucalypti, m x. Acidi salicylici, gr. x. Ungt. zinci oxidi, 5j. Misce et fiat unguentum. Sig.: Rub into the affected spots well twice a day. CRESOL IN ALOPECIA AREATA. MacGowan states that he has cured eight cases of alopecia areata within a period averaging two and one-half months. After the part has been cleansed with benzin, the patch and surrounding zone are thoroughly rubbed with a cotton swab saturated with cresol. The latter is applied pure to the scalp and in 50 per cent, dilution with alcohol on the face. The applications cause burn- ing, which disappears in the course of a few minutes. The applications are repeated in from four to ten days. B Tr. cantharidis, 3j. Quininse hydrochloratis, 5j. Aquse .rosae, q. s. ad Bviij. Misce. Sig. : Apply morning and evening. Indication: For falling hair after severe ill- ness. ALOPECIA AREATA. A young woman who had rebellious alopecia for more than a year was practically cured by washing the head twice a day 2 18 Hand-Book of Modem Treatment. with soap and then rubbing kerosene vigorously into the bald patches. They soon became covered with soft hairs which, by the end of eight months, had almost all been transformed into adult hairs. ALTERATIVES. For failure of appetite, weak digestion, and the general debility of warm weather, the following stomachic: — IJ Acidi nitrohydrochlorici, 3ij. Aquae, Siss. Strychniae sulph., gr. j. Misce et adde: — Tincturae cardamomi oomp., Jiij- Tincturae gentianae comp., q. s. Svj. Misce. Sig. : Dessertspoonful after meals in water. 3 Potassii iodidi, Sj- Tincturae gentianae comp., q. s. Jvj. Misce. Sig.: Five minims or more well diluted three times daily. I^ Liq. potassii arsenitis, 5iss. Infus. gentianae comp., q. s. ad }^iv, Misce. Sig.: One teaspoonful dilated three times daily after meals. I^ Hydrarg. chloridi corrosivi, gr. iss. Infus. gentianae comp., ^ivss. Misce. Sig.: One teaspoonful diluted three times daily. Use with care. I^ Hydrarg. iodidi rubri, gr. iss. Potassii iodidi, 3iv. Aquae cinnamomi, Jiij^ Misce. Sig.: One teaspoonful well diluted three times daily. Hand-Book of Modern Treatment. 19 3 Vini colchici seminis, Siv. Potassii iodidi, 3ij. Aquse menthae piperit., q. s. ad 5iij. Misce. Sig.: One teaspoonful three times daily. I^ Olei morrhusB, f^iij. Syrupi calcii lactophosphat., 5iss« Liquoris calcis, ^iss. Misce. Sig.: One or two teaspoonfuls three times daily. Indication: Useful for rachitis and ill-nour- ished child over two years. I^ Liq. potassii arsenitis, m xx. Syrupi, 5j. Tinct. cardamom! comp., 3iij. Aquae q. s. ad 5v. Misce. Sig.: One teaspoonful three times daily. Indication: Useful for children. R Potassii iodidi, gr. xlviij. Syrupi sarsap. comp., Siij- AqujB, Siij. Misce. Sig.: One or two teaspoonfuls three times daily. Indication: Useful for children. AMAUROSIS AND AMBLYOPIA. IJ Potassii iodidi, 3ij. Pepsini (scale), 3ij. Aquae, q. s. ad fSiij- Misce. Sig.: Teaspoonful in water after meals and increased. Indication: Useful when due to syphilis or metallic poisons. 20 Hand-Book of Modern Treatment, AMENORRHEA. 3 Tinct. ferri chloridi, fSiij. Tinct. cantharidis, fSj. Tinct. guaiaci ammon., fSiss. Tinct. aloes, f^ss. Syrupi, q. s. ad fSvi. Misce. Sig. : One tablespoonful three times a day. I( Ferri et potassii tartratis, Siss. Ext. artemisise, 3ss. Ext. absinthii, 3ss. Pulveris aloes Socotrinse, 3s8. Essen, anisi, gtt. iij. Misce et fiant pilulse no. 1.