Complete Text (Part 4)

Tinchirse gentian, comp., f^vj. Misce. Sig.: Dessertspoonful after meals in water. Indication: For failure of appetite, weak digestion, and general debility. I^ Pulv. capsici, gr. xx. Quininse sulph., 3ss. Sodii bicarb., 3j. Ext. nucis vomicae, gr. iss. Misce et fiat in capsulas no. xviij. Sig.: Give one immediately after each meal, three times per day. Indication: Anorexia in old and debilitated subjects. I^ Acidi nitrohydrochlorici dil., fJiv. Tincturae gentianae, q. s. ad fSiij* Misce. Sig.: One teaspoonful after meals, well diluted. Indication: Taken after severe illness. ANTHRAX. I^ Phenolis, 5j. Aquae destillatae, f^iiss. Misce. Sig.: Soak gauze in this and apply to abort or inject into swelling* 8 84 Hand-Book of Modem Treatment. I^ Acidi carbolic!, 3j. AqiUB destillats, 3x. Misce. Sig.: Inject a few drops, wash out the cavi- ties with H2O1, and then cover with 25 per cent, ointment of ichthyol and equal parts of lanolin and zinc oxide used as a base. IJ Hydrarg. chloridi corrosivi, gr. j. Aquse destillat., gtt. c. Misce. Sig.: Inject into and around the border of the pustule. Indication: Used in early stage to abort in- fection. APHTHA. I^ Potassii chloratis, gr. x. Listerine, fSij. Aquae, q. s. ad fSj. Misce. Sig.: Shake and use freely as mouth wash. I^ Potassii iodidi, gr. iij. Glycerini, f3ij. Aquse ros», q. s. ad fBj. Misce. Sig.: Use locally. IJ Potassii chloratis, gr. xlviij. Acidi muriat. diluti, fSj. Syrupi, Sss. Aquse, q. s. ad f^iij. Misce. Sig. : Teaspoonf ul diluted for a child three years old every three hours. Indication: Used in obstinate cases. IJ Potassii chloratis, gr. Ixxx. Phenolis, gr. ij. Glycerini, f^j. Aquae, q. s. ad f^viij. Misce. Sig. : Thoroughly apply to ulcers twice daily and use as mouth wash. Hand-Book of Modern Treatment, 35 IJ Boroglycerini, fjj. Sig.: Wash mouth with warm water and then apply this with clean piece of cloth or gauze. I^ Sodii salicylat., gr. x. Sodii borat., gr. x. Phenolis, gr. j. Glycerini, fSij. Aquse rosse, q. s. ad f^j* Misce. Sig.: Use locally. I^ Tr. myrrhsB, f3v. Tr. opii camph., m Ixxv. Mel. rosflB, fjj. Misce. Sig.: Add to 5 ounces of barley water and use as a gargle. IJ Potassii chloratis, gr. xxx. Tinct. myrrhflB w x. Elix. calisayse, fjiij. Misce. Sig.: Dilute one tablespoonful with two of water and use as mouth wash. IJ AqusB hydrogen, dioxidi, fjij. Sig.: One teaspoonful dissolved in five of water and mouth washed freely every two or three hours. I^ Sodii hyposulph., gr. xx. AqusB destil., f3v. Glycerini, fSiij. Misce. Sig. : One teaspoonful every two hours, to be taken internally. And it should be applied locally with a camel's hair brush. I^ Argenti nitratis fusi. Sig. : Apply to the ulcers. Indication: Used in the severe forms. 36 Hand-Book of Modern Treatment. The following combination is also recommended as of great value as an antiseptic and astringent: — ^ Zinci sulph., gr. ij to v. Aquae rosse, f^ij. Misce. Sig. : Apply locally. Baginsky recommends the application of potassium perman- ganate topically in a 1 to 25 solution, and resorcin internally. I( Alumin. et potass, sulph., 3j. Tinct. catechu, fSj. Mel. rosai, 5j- Misce. Sig.: Apply locally. I^ Potass, chloratis, gr. xlviij. Acid, hydrochlor. dil., f3j. Syrupi, f^ss. Aquae, q. s. ad fSiij* Misce. Sig.: One ounce diluted every three hours for child three years old. IJ Potassii chloratis, gr. xlviij. Listerini, f5.j. Aquae hydrogen, peroxidi, f^j. Misce. Sig.: Cleanse mouth by means of soft cloth dipped in this every two or three hours. B Potaaaii permanganatis, gr. iij. Aquae, q. s. ad f^iij- Misce. Sig.: Use as mouth wash twice daily. IJ Acidi borici, gr. xxiv. Acidi salicylici, gr. v. Aquae, q. s. ad f^v. Misce. Sig. : Wash mouth every four hours. Hand-Book of Modern Treatment, 37 APOPLEXY. I^ Olei tiglii, fSss. Sig. : One drop in five of olive oil on tongue. Indication: Rapidly acting purge. I^ Potassii iodidi, Sj> Aquae, q. s. ad f^j. Misce et fiat solutio. Sig.: Three drops in water or milk and in- creased each day until ten or fifteen are given. m ^ Elaterini, gr. v. Alcoholis, fjiv. Dissolved by gentle heat. Misce. Sig.: One teaspoonful as dose and as indi- cated. IJ StrychninsB sulphatis, gr. j. Sacchari lactis, q. s. Alcoholis, q. s. Misce. et fiant tabellae triturationes no. xxx. Sig.: One tablet three times a day and in- creased to four or five times daily. IJ Tincturse aconiti, f3j. Sig.: Used as indicated to lower blood- pressure. IJ Triturationes elaterini, gr. iij. Hydrargyri chloridi mitis, gr. xij. Misce et fiant chartulse no. vj. Sig.: One powder every hour until four are taken. IJ Potassii iodidi, 3vj. Syr. sarsap. co., q. s. ad fjiij. Misce. Sig.: Forty drops every three hours. Indication: To absorb clot. I^ Liq. potassii arsenit., f3j. Syr. calcii lactophos., q. s. ad fjiij. Misce. Sig. : Two teaspoonf uls three times a day. gg Hand-Book of Modern Treatment. APPENDICITIS. I^ Magnesii sulphatis, 3j> Sig.: Give at one dot$e and repeat after a time if no result. Indication: To unload the bowels if opera- tion is refused. Ice^ag over painful area. Liqui'l diet. 1^ Olei ricini, fjj. Sig.: Take in one dose and repeat if neces- sary. Indication: Same as the preceding. IJ Acidi hydrochlor. diluti, fSiv. Aquae, q. s. ad fBiij. Misce. Sig. : One teaspoonful after each meal. Indication: To aid digestion. Rest in bed. Icebag on abdomen, liquid diet, enema of soap water or oil, each day, in non-operative treat- ment. IJ Opii deodorata, gr. xx. Fiant pilulse no. xx. Sig.: One pill every four hours to relieve pains. Indication: Used in those refusing opera- tion and non-operative cases. I^ Magnesii sulphatis, Siij. Sig.: One tablespoonful in tepid water every tliree hours until bowels thoroughly moved. An ifcbag may be applied over the appendix to n'clw(!(» inflammation, similarly to the treat- ment r)f ovaritis. Care must be exercised that the cold is not too continuously prolonged, as necroHis and sloughing may occur. The medical treatment requires constant care and is not a very safe procedure. TURPKXTIXK-OIL IX IXFLAMMATIOX OF THE APPENDIX. Mayer, liaving used turpentine-oil with much success in a case of empyema, and believing that it possesses an antiphlo- gistic and absorbing quality, has employed it in cases of in- Hand- Book of Modern, Treatment. 39 flammation of the appendix. He uses it in doses of several drops three or four times a day, given either in an emulsion with the yelk of eggs or in mixtures with brandy, sugar, tincture of cinnamon, or other substances. It has certain disadvantages, particularly the production of strangury, or, in cases of infiltra- tion of the lung, having a tendency to cause pulmonary haemor- rhage. Its advantages are that it diminishes the pain, causes the exudate to appear early, and probably stimulates the organ- ism to remove the cause of irritation. The histories of twelve cases are appended. ARTHRITIS.— See Rheumatism. ASCARIDES (ROUND WORMS). I^ Olei chenop. anthel., 3j. Fluidextracti spigelise et sennse, Sss* Santonini, gr. viij. Pulv. acacise, 3j. Syr. rhei arom., Jj. Misce. Sig.: Shake and take one teaspoonful 'an hour before each meal. After the last dose the following should be taken: — I^ Olei terebinthinsB, gtt. x. Olei ricini, ^ss. Misce. Sig.: To be taken at one dose. To children four or five years of age the following combina- tions are of service in the removal of roundworms: — IJ Fluidextracti spigelise, 5ss. Fluidextracti sennse, Jss. Syr. simplicis, 5ss. Misce. Sig.: One teaspoonful night and morning. IJ Fluidextracti spigeliae, Z^a, Santonini, gr. v. Fluidextracti sennsB, ^ss- Misce. Sig. : One teaspoonful twice a day. 40 Hand-Book of Modem Treaiment. The following combinations are sometimes recommended in the form of an enema in the treatment of ascarides:— T^ Olei cajuputi, m xx. MagnesisB levis, gr. z. Mudlaginis, 5iv. Misce. Sig.: At one dose in the form of enema. T^ Liquor calcis, 5iv. Decoct, althee, Sj* Misce. Sig.: As an enema. The roimdworm, or ascaris lumbricoides, inhabiting, as it does, chiefly the small intestine, requires more especially internal treatment for its destruction and dislodgment Santonin is regarded as the best preparation. It may be given in powder form as follows: — IJ Santonin, gr. ij. Hydrarg. chloridi mitis, gr. j. Sacch. lactis, q. s. Misce. Sig : At one dose at bedtime or in solution according to Yeo, as follows: — IJ Santonin, gr. vj. 01. ricini, 3iv. Syr. aurantii, Siij. Mucil. acaciae, 3vj. Aq. carui, q. s. ad 5vj. Misce. Sig: Take one-half of the amount in the morning while fasting. The oil of chenopodium was formerly used a great deal. It may be given in a mixture similar to the following : — U 01. chenopodii, mviij. 01. ricini, Sss. Mucil. acacise, 3iij. Misce. Sig.: One teaspoonful three times a day be- fore meals. Hand-Book of Modem Treatment, 41 ASCITES.— See Dropsy. ASTHENIA. I^ Tinct. nucis vomicse, Sv. Elixiris calisayse, q. s. ad Svj. 3ii8ce. Sig.: One teaspoonful before meals. Indication: Useful in asthenia with loss of appetite. I^ Strychninse sulphatis, gr. j. Acidi hydrochlor. diluti, 3iv. Infus. gentianse comp., q. s. ad Bviij. Misce. Sig.: One teaspoonful diluted three times daily. I^ Liq. arsenici chloridi^ 3iss. Tinct. ferri chloridi, Sj* Hydrarg. chloridi corrosivi, gr. j. Acidi hydrochlor. diluti, 3ss. Aquse, q. s. ad ^iv. Misce. Sig.: One teaspoonful diluted three times daily. J^ Strychninae sulphatis, gr. j. Acidi phosphorici diluti« 5ij. Aquae, q. s. ad Biv. Misce. Sig.: One teaspoonful diluted three times daily. I^ Elixiris ferri, quininse et strychninse phos- phatum, 5vj. Sig.: One teaspoonful diluted three times daily after meals. I^ Elixiris phosphori, fjv. Sig.: One teaspoonful in water after meals. 42 Hand-Book of Modem Treatment, I^ QuininsB sulphatis, gr. zlviij. Acidi hydrochloric! diluti, 3ij. Aquse, q. s. ad Siv. Misce. Sig.: One teaspoonful in water after meals. Indication: Used in ansemia. IJ Tinct. nucis vomic®, 3ij. Tinct. gentianse comp., q. s. ad ^iv, Misce. Sig.: One teaspoonful three times a day. I^ Strychnin® sulphatis, gr. j. Acidi phosphoric! diluti, 5Jj. Aquae, q. s. ad ^v. Misce. Sig.: One teaspoonful in water three times a day. Use with care. ASTHMA. I^ Potassii iodidi, 3ij. Liq. ammon. anisati, 3j. Tinct. opii camphoratse, 3ij. Syrupi tolu, Siv. Aquse, q. s. ad ^iij- Misce. Sig.: Teaspoonful in water every two or three hours. Indication: Useful in an acute attack. T^ Potass! iodidi, 3ij. Morphinse sulphatis, gr. j. Tinct. belladonnae, 3iss. Liq. ammon. anisati, Siss. Syrupi tolu, q. s. ad 5ij» Misce. Sig.: A teaspoonful in water every two or three hours. Indication: Useful in acute attacks. Hand-Book of Modem Treatment. 43 I^ Pulveris potassii nitratis, 3j. Pulveris stramonii, 3ij. Pulveris lobeliee, 3ij. Pulveris belladonnse, 3ij. Pulveris grindelise, 3ij. Pulveris hydrastis canadensis, 3j. Misce. Sig.: A teaspoonful of this is to be burned under an improvised tent. Inhale for ten to twenty minutes or until relieved. • I^ Chloroformi, 3j. Morphine sulphatis, gr. j. Pulv. gummi arabici, 3j. Syrupi simplicis, 3iv. Aquse, q. s. ad ^iw, Misce. Sig.: A teaspoonful every hour. Indication: When the dyspnoea is urgent this is very helpful. I^ Ammonii iodidi, 3iss. Ext. gi'indelise robustse, f3vi. Tinct. lobelia, 3iij. Tinct. belladonnse, 3iiss. Extracti glycyrrhizse, f^ij. Syrupi tolutani, q. s. ad Jiv. Misce. Sig.: One teaspoonful in water three or four times daily. BRONCHIAL ASTHMA. In considering the treatment of bronchial asthma, the Practitioner calls attention to the importance of distinguish- ing it from the other forms of asthma, such as cardiac, renal asthma, hay asthma, thymic asthma, or laryngismus stridulus due to enlargement of the thymus gland. During the attack a little chloroform should be inhaled to produce rapid relaxation of the bronchial muscles. A powder consisting of pulverized belladonna, stramonium, and hyoscya- mus leaves with some potassium nitrate, burnt and the fumes inhaled, will often bring relief. An inhalation of from 3 to 5 44 Hand-Book of Modem Treatment. minims of the nitrite of amyl from a crushed capsule frequently relieves the paroxysm. Between the attacks the following com- binations, containing potassium iodide^ are recommended: — I^ Potassii iodidi, gr. x. Tinct. lobelise, fSss. Vini ipecacuanhse, mxij. Aquae chloroform!, q. s. ad fSj. Misce et fiat mistura. Sig.: Two tablespoonfuls three times a day after food. I^ Potassii iodidi, gr. xij. Ext. stramonii, gr. V«. Spts. chloroformi, wxx. Spts. ammon. arom., rn xx. Aquse, q. s. ad fjss. Misce. Sig.: To be taken at one dose on retiring at night. Whiskey and a few minims of the spirits of chloroform often relax the bronchioles and check an oncoming attack. Combinations containing lobelia and also stramonium are recommended by some authors: — J^ Tinct. lobelise, fSj. Tinct. belladonnse, fSj. Tinct. aconiti, wxx. Aquae cinnamomi, q. s. ad fjiij. Misce. Sig.: One tablespoonful every three or four hours until relieved. I^ Tinct. stramonii, f3iv. ^ Tinct. aconiti, fSij. Potassii bromidi, 5j. Aquse chloroformi, q. s. ad fjiij. Misce. Sig.: One teaspoonful in water at the be- ginning of the attack. Hand-Book of Modem Treatment. 45 SPASMODIC ASTHMA. I^ Potassii iodidi, 5iis8. Fid. ext. grindelise robustse, Sj. Syrupi asafcetidse, 5j. Misce. Sig.: One teaspoonful every three hours. Syrup of lemon or orange peel with saccharin may be added to mask the taste. I^ Potassii nitratis, ^sa, Pulv. anisi fruct., 3ss. Pulv. stramonii foL, 5j» Misce et fiat pulv. Sig. : Let patient inhale smoke of a thimble- ful of this powder, formed into a cone and lighted at the top. I^ Potassii nitratis, Sss. Pulv. stramonii flor., Sj« Pulv. anisi fruct., 3ij. Pulv. lobelise inflate, 5j. Pulv. fol. these sinemsis nig., 3j. 01. eucalypti, m xv. Misce et fiat pulv. Sig.: To be burned as above, using a thim- bleful at a time. A good asthma powder for •emergency use is one part by weight, of saltpetre and two parts of black tea, powdered. ASTHMA AND ADRENALIN. According to M. Aronsohn, the painting of the mucous membrane of the nose with a solution of adrenalin (1-1000) arrests an attack of asthma in a very few minutes. It does not cure asthma, but affords rapid relief. If it were not possible to employ the solution, the following ointment might be sub- stituted : — 9 Sol. adrenalini, mxx-lx. Lanolini, 3j. Vaselini, 6j, Misce. Sig.: About the size of a pea is introduced into the nostrils. 46 Hand-Book of Modem Treatment, I^ Potassii iodidi, 3j. Tr. phytolaccflB, 3ij. Tr. belladonnee, 3ij. Tr. sanguinarise, 3j. Aquee, q. s. ad %}. Misce. Sig.: Half-teaspoonful every two hours until eased, then teaspoonful three times a day. In the humid variety, nitrate of sanguinaria, Vso graii^> every two hours, will be found of benefit. In chorea, fluid extract of Scutellaria and cimicifuga, with bromide of soda, forms one of the best modes of treatment. CARDIAC ASTHMA. Osier advises comfortable bed rest; tapping for hydro- thorax; morphine for nocturnal dyspnoea with restlessness; nitroglycerine in increasing doses in mitral valvular disease without dropsy and with high pulse tension. A. H. Smith gives fluid extract of quebracho, mxx-xl t. i. d. In mitral insufiiciency von Basch emphasizes the utility of light exercise adapted to the individual case; suitable diet; regular secretions and excre- tions ; digitalis and atropine. For the dyspnoea of mitral sten- osis Thomson recommends belladonna with compound spirit of ether. IJ Tinct. phytolaccse, ^ss. Potass, iodidi, 3j. Syrupus simplici, 5ij- Misee. Sig.: One teaspoonful after meals and at bedtime. This will cure a large number of cases, but, as each is a law unto itself, it must be carefully studied, and, as the differ- ent symptoms come up, they must be treated. By so doing we can treat a large percentage of asthmatics with success. Exercise, gymnastics, walking, and bicycle. In the attack paint the nostrils at once with a 1 to 20 solution of cocaine hydrochlorate. Take a hot mustard foot-bath, with the hands Hand-Book of Modern Treatment, 47 placed in very hot water. Smoke cigarettes "Epsic^^ or nitre- paper in a pipe, or bum the following mixture in a saucer : — IJ Potass, nitrat., gr. xlv. Pulv. stramonii, 3i%. Pulv. fol. belladonnse, 3i%. Pulv. gelsemii, 5i^. IODINE AND ABSENIC IN THE ASTHMA OF CHILDREN. Lemonnyer, following Comby, recommends as a prophylac- tic treatment between the crises, potassium iodide and arsenic in alteration: — I^ Potassii iodidi, gr. Ixxv. Aquse dest., 5iiiss* Mi see. Sig. : A teaspoonf ul morning and evening in a little water. When this mixture is finished it is to be followed by : — IJ Sodii arsenatis, gr. Vs. Aquse dest., Siiiss. Misce. Sig.: A teaspoonf ul morning and evening. After this a suspension for ten days is recom- mended, and then the treatment is to be re- newed. For treatment during the crises, besides the usual drugs, a careful use of morphine, fumigations of belladonna, hyoscya- mus, stramonium, internal use of lobelia inflata or grind elia robusta, the author finds inhalations of pyridine (a handkerchief, upon which a few drops have been poured, suspended from the child^s throat) of great use. Powdered ipecac in a nauseating dose may abort the attack and arrest the spasm. IJ Codeini sulph., gr. iij. Fluidextracti grindelise, Siij. Syr. pnmi serotinse, ^i], Misce. Sig.: A teaspoonf ul four times a day, and during the night if awake more than an hour at a time. 48 Hand-Book of Modem Treatment. PASSIFLOBA INCARNATA IK ASTHMA. From the department "Treatment of the Sick^^ in American Medicine, edited by Dr. Solomon Solis-Cohen, we extract the fol- lowing:— "Passion-flower (Passiflora incamata) is not official in the United States Pharmacopoeia, and does not appear to have been well studied experimentally. Clinically it possesses hypnotic and antispasmodic powers, and in sufficient dosage it would prob- ably act as a narcotic poison. Even in moderate doses it may in some cases provoke nausea and emesis. The emetic properties may depend upon a different principle from that to which its sedative action is due. At all events, the combination of relax- ant influences gives it a peculiar value in