Complete Text (Part 6)

borated gauze, rubs some vaseline upon one side of it, quickly pours on it some cliloroform, applies it to the unopened boil or carbuncle, and places a bandage over all. It smarts a little at first, but this is soon succeeded by a pleasing, cool sensation. The patient is given a bottle of the remedy and directed to change the cloth often. In from two hours to one day the boil (no matter how indurated) softens and opens. The advantages claimed for this method are: (1) the pain is relieved from the first, (2) a painless opening, (3) it avoids shocking the patient, (4) it heals more rapidly than after any other method yet used, and (5) it makes a patient who fears a knife the doctor's everlasting friend. TO ABORT BOILS. Dr. Ochme covers the affected area freely with collodion, containing from Vo to 2 grains of salicylic acid to the drachm. This application is repeated two or three times in twelve hours. Another abortive metliod which is used with almost mirac- ulous results is the application of electricity to the area, after painting freely with colorless tincture of iodine. This is par- ticularly desirable where abscess-formations are present on the face. IJ lodoformi, gr. v. Plionylis HiiHeylatis, gr. viij. IMicnolis, gr. iss. Spt. jcthcrifl, 3ss. Alcoliolis, Siss. Miseo. Sig. : Ten drops to be injected into the dis- eased tissue. Inject the following directly into the boil : — B lodi, 3j. Ace ton i, Siiss. Misce. Sig.: Paint boil once daily. Kepeat in twenty-four hours if required. Hand-Book of Modem Treatment, 61 B Ichthyolis, 3j. Emplast. plumbij 5ij. Emplast. resinse, 3ij. Misce. Sig. : Apply to part. BRIGHT 'S DISEASE.— See Nephritis. BBOMIDBOSIS. B Formaldehydi ( 40-per-cent. sol.), 3ij. Adipis lanse hydros!, 5j* Misce et fiat unguentum. Sig.: Apply twice daily. , Indication: Used in bromidrosis of feet and axillae. FORMALDEHYDE SOLUTION IN SWEATING FEET. Bromidrosis and hyperidrosis of the feet can be more quickly relieved and cured by a solution of formaldehyde than by any other remedy. The use of the drug- combined in a powder is not as beneficial as when strong solutions are applied. Formaldehyde, 40 per cent., applied pure, is the most effective, but mixed with water, one part to five, and applied at bedtime for a week, will cure some of the most obstinate cases. Three applications of the pure solution are about as effective as seven of the dilute solution, but it is much more painful.* Between the toes and on the top of the feet should not be painted as often as the soles and heels. The odor disappears almost at once, and the trouble rarely recurs. I^ Pulveris talci, ^iss. Bismuth! subnitratis, ^iss. Potassi! permangan., gr. ^. Sodii salicylatis, gr. xxx. Misce. Sig. : Apply over feet and between toes. B Formaldehydi (40 per cent, sol.), 3j. Acidi salicylatis, 3j. Pulveris talci, ^iv. Misce. Sig. : Sift into the stocking each morning. 62 Hand-Book of Modem Treatment. This seems to harden and toughen the skin, and & nsefiil whenever the feet are tender from any cause. BBONCHinS. I( Ammonii carb., Sss. Tiiict. hyoscyanii, fSiv. Codeina; siilpli., gr. ij. Syrupi pruni Virginians, 3ij. Aquae camphors, q. s. ad 5ij* Misce. Sig. : One teaspoon fill everj' two hours. Indication: Used in early stage and unpro- ductive cough. Bronchitis frequently begins with an acute cold in the head, coryza, and perhaps pharyngitis, with symptoms of general malaise, fever, and muscular pain, ^here are also cases with laryngitis rapidly extending to the bronchi and others begin- ning primarily in the bronchi. In the first class, if there is much headache and frontal ])ain. the following is recommended: I^ Camphovfle, gr. j. Ext. belladonna, gr, Vs* Quininse sulph., gr. i-ij. Morph. sulph., gr. Vio- Misce ot fiat capsula no. j. Sig.: One such capsule every half-hour for four doses. Then one every three hours. B Olei picis liq., m xv. Fluidextracti marrubii (horehound), 3ss. Olei anisi, m ]. ' Spts. frumenti, ^j* Mellis despumati, q. s. ad Sij* Misce. Sig.: One-half to one teaspoonful three or four times a day. I^ Vini antimon., 3iv. Spir. chloroformi, 3iv. Spir. ammon. arom., Sj- Liq. ammon. acet., 5ij- AqujB, q. s. ad Sviij. Misce. Sig. : One tablespoonf ul every hour. Indication: Capillary bronchitis. Hand-Book of Modem Treatment, 63 H, Ammon. carb., gr. iij. Pot. iodidi, gr. iij. Liq. ammonii acetatis, 3ij. Aquse camphorse, 5j. Misce. Sig. : The entire amount to be taken once in four hours. Indication: Used in acute stage of the dis- ease. In aged individuals there is frequently a tendency to heart-failure, so that alcohol or strychnine may be in demand, or the following mixture may be of service in such cases: — B Spts. setheris sulph., gtt. xv. Spts. ammon. arom.^ gtt. xv. Syr. aurantii, 3s8. Aquffi camphorse, 5j. Misce. Sig.: One such dose every four hours. If necessary a few drops of the tincture of digitalis may be added to the foregoing combination. B Acidi nitrici dil., gtt. x. Tinct. nucis vom., gtt. v. Spts. chloroformi, gtt. x. Infus. gent, comp., Sj* Misce. Sig.: One such dose to be taken after each meal. Indication : During convalescence after cough is loosened up, this acid tonic is indicated. B Tinct. cinchonse, m xx. Acidi nitrici dil., m x. Syr. aurantii, 3j. Aquae chloroformi, 5j. Misce. Sig. : One such dose after each meal. Indication: Stimulating tonic after cough is loosened. g4 Eand-Book of Modem Treatment. In some cases quinine is indicated ; in others some prepar- ationof iron. In children a compound syrup of the phosphate of iron is useful. Malt extract and cod-liver oil are also of service. In debilitated individuals, when the earlier stages are not encountered, the following is recommended : — 1^ Ammon. carb., gr. xl. Vini ipecac, m xl. Tinct. cinchonae, 3iv. Aqiite chloroformi, q. b. ad Jviij. Misce et fiat mistura. Sig. : Two tablespoonfuls every four hours. 1^ Tinct. aconit., m xxiv. Spiritus aether, nitrosi, 3ij. Aquae destillat., q. s. ad f^j. Misce. Sig.: Half teaspoonful to a child every hour. Indication : Rub chest of child with camphor liniment and give the above in acute stage. B Ammonii chloridi, 3iv. Fluidextracti glycyrrhiz., f3iv. Aquae destillat., q. s. ad 5vj. Misce. Sig. : Two teaspoonf uls every three hours. Indication : Used in subacute stage with tenacious mucus. B Ammon. chloridi, 3j. Fluidextracti glycyrrhiz., f5j. Codeinae sulphatis, gr. iv. Aquae destillat., q. s. ad f^ij. Misce. Sig.: Teaspoonful every two hours in water. Indication: When cough is excessive and no, or scanty, expectoration. B Terpin. hydrat., gr. ij. Ext. cannab. indica, gr. V». Codeinae, gr. %. 01. menth. pip., gtt. i^. Sacchari albi, gr. iij. MiHce (»t fiat capsula no. j. Sig.: One everj' four hours until the cough is reliovod. Indication: Used when cough is excessive. Hand-Book of Modem Treatment, 65 3 Potas. iodidi, 3iss. Potas. bicarb., 3iss. Ammon. chloridi, gr. xlv. Ext. glycyrrhizae, q. s. ad 5ij. Misce. Sig. : One teaspoon ful in water four times daily. Indication: To relieve dyspnoea, difficult cough, and tenacious expectoration. B Sodii bicarb., gr. xv. Sodii chloridi, gr. v. Spts. chloroformi, gtt. x. Aquae anisati, q. s. ad ^ss. Misce. Sig. : One dose in warm water when waking. Indication : Morning cough and difficulty in raising mucus. 3 Syr. picis liquidse, 5ij- Syr. pruni virginianse, q. s. ad ^iij. Misce. Sig.: Two teaspoonfuls every three or four hours. I^ Potass, iodidi, 3iv. Syr. ferri iodidi, 5iss. Glycerini, q. s. ad ^iiiss. Misce. Sig. : One teaspoonful in milk or water after each meal. Indication: Useful in chronic bronchitis and pleurisy. I^ Morphinse sulphatis, gr. j. Ammonii carbonatis, gr. xxx. Mist, glycyrrhizae comp., fSxv. Syr. pruni virginianse, f3iv. Misce. Sig.: One teaspoonful in water every three hours to relieve cough. IJ Acidi benzoici, 3j. Tannin, 38S. Misce et facant chartulse no. xij. Sig.: One powder four times daily. Indication: Used in bronchorrhoea. 6 65 Hand-Book of Modern Treatment, 3 Sodii benzoatis, gr. xxx. Terpini hydra tis, gr. iij. Syrupi tolu, 5j. Syrupi acacise, q. s. ad ^iv. Misce. Sig. : Teaspoonful every three hours. Indication: Subacute bronchitis of children. I^ Copaibae, gtt. xx. Pulv. opii, gr. ij. Pulv. acaciae^ q. s. Misce et fiant capsulse no. x. Sig.: One every three hours. 3 Copaibse, gr. xx. Acidi gallici, gr. xxx. Pulv. acacise^ q. s. Misce et fiant capsulse no. x. Sig. : One every three hours. Indication: Useful in bronchorrhcea. BRUISES. OLIVE-OIL IN BRUISES. In the treatment of contusion where there is extensive dis- coloration of the skin, if olive-oil be freely applied without rub- bing, the discoloration will quickly disappear. Absorbent cot- ton may be soaked in the oil and applied. If the skin is broken, a little boric acid should be applied over the abrasion. A black eye thus treated can be rendered normal in a few hours, especially if the oil be applied warm. B Tinct. opii, 5j. Liquoris plumbi subacetatis, 5j» Aquae destillatse, q. s. ad 5xvj. Misce. Sig.: Apply freely on old soft rags or lint. Must not be employed if the skin is broken. If skin is broken, part must be dressed antisep- tically and hot or cold applications made. B Potass, chlorat., 3ss. Tinct. iodi, ^ss. Aquae, Sss- Misce. Sig.: Apply locally. Hand-Book of Modern Treatment. 67 3 Spiritus camphorse, 5j. Tincturse arnicse, 5ij- Aqus hamamelidiS; q. s. ad S^vj. Misce. Sig. : May be used with gentle friction or applied with lint. T^ Ammonii chloridi, gr. Ixxx. Alcoholis, Sxvj. Sig.: Evaporating lotion. A clean piece of linen is to be spread over injured part and kept wet with the lotion. BUBO. IJ Ichthyolis, 3j. Ung. hydrargjri, 3ij. Ung. belladonnse, 3j. Petrolatum, q. s. ad 5j. Misce. Sig.: Apply over bubo. I^ Phenolis, gr. viij. Aquse destillatse, f^j. Misce. Sig.: Inject six or eight minims in bubo. Indication: To abort bubo. I^ Aquae hydrogenii dioxidi, 5v. Sig.: Wash freely or inject in small quan- tities. Inject until froth is perfectly white again. B lodoformi, gr. cc. Petrolatum molle, ^iv. Misce. Sig. : Inject and fill entire cavity. B TinctursB iodi, f3vi. Sig.: Paint over swollen gland and repeat several times at intervals. BUBONIC PLAGUE. B HoflTkine's prophylactic vaccine. Indication: Used in doses of from 3 to 6 cubic centimeters as prophylactic against plague. Administered subcutaneously and repeated in fourteen days. This renders person immune for about six months. 68 Hand-Boole of Modem Treatment. BUNIONS. 3 Liquoris plumbi subacetatis, ^iss. Tincturse opii, Jiss. Aquse destillatse, q. s. ad Sviij. Misce. Sig. : Local use. Apply freely on soft cloths. Indication: L'sed to relieve pain and inflam- mation. B Acidi salicylici, gr. xv. Petrolati, 5j- Misce. Sig.: Apply freely for several nights. Then soak foot in hot water and remove softened scale. These painful enlargements, according to the Philadelphia Medical Times, are amenable to treatment by applying static sparks and galvanic applications with cocaine. If simply pain- ful, a fine static spark drawn through the shoe will suffice. In making the static application, a point in the center of the bunion will be found to be anaesthetic. Concentrate the sparks at this point until the patient feels the current. This may be repeated once or twice daily. The anodal spark has been used as a rule, but it seems to be the rapid vibrations that are beneficial ; con- sequently either electrode may be applied with the rapid vibra- tion. BURNS AND SCALDS. I^ Acidi picrici, gr. xxxviiss. Aquae dest., Sviij. Misce. Sig.: Apply on gauze constantly saturated with this solution, cover with absorbent cotton, and bandage. Indication: To relieve pain and promote healing in superficial burns. I^ Phenolis, 3ss. Olei lini, f^iv. Liq. calcis, fjiv. Misco. Rig. : Shake and apply on lint. Indication: Burns of first degree. Hand-Book of Modern Treatment, 69 I^ Ext. opii, gr. viiss. Ichthyoli, fSiv. Liq. petrolati, f3vj. Lanolini, 3vj. Misce. Sig. : Apply locally on gauze in burns of first degree. 3 Ichthyoli, wxlv. Olei olivae, f3i]. Lanolini, 5iij* Misce. Sig.: Apply locally to burns of the third degree. I^ Cocainse hydrochloratis, gr. x. CamphorsB carbolatis, 5j* Olei olivfle, Sj. Misce. Sig.: External use. The cocaine to be thor- oughly dissolved in the carbolate of camphor before adding olive oil. Painful burns are quickly relieved. IJ Cocainse hydrochlor., gr. x. Liq. petrolati, fSiij. Lanolini, 3ij. Aquae destillatse, f3v. Misce. Sig.: Apply freely on painful surface. After washing the surface of the bum by allowing a solu- tion of 1 drachm of common soda dissolved in a pint of tepid water to run from a sponge over the surface, apply the follow- ing prescription : — I^ Bismuth! subnitratis, 3j. Vaselini, 5i- Acidi carbolici, wv. Misce. Sig.: This added thickly and covered with a light dressing will relieve pain instantly. Indication: To relieve pain and keep bums from scarring. 70 Hand-Book of Modem Treatment, Baer records a severe bum in a child, 6 years old, with re- sults of treatment. The wound was caused by matches, with which the clothes were set on fire. The injury extended from the ninth rib on the left side to the axilla and thence to the elbow. The pain was most excruciating, and was relieved only by sustained treatment with opiates. Locally, carron-oil, cold cream, and unguentin were employed at different times, the former two being laid aside for the latter. The oil was objec- tionable because it stuck to the wound and made a dressing painful to wear, and especially so to remove. The consulting physicians agreed that extensive scarring would result no mat- ter what dressing was employed, and ordered cold cream. This was displaced by unguentin, which made the most satisfactory dressing in every particular. The result of treatment was rapid and uncomplicated cicatrization; and complete recovery fol- lowed, leaving not a vestige of scar-tissue or contraction. I^ Bismuthi subnitratis, 3j. Vaselini, Jj* Phenolis, m v. Misce. Sig. : Wash surface with a solution of com- mon soda ( 31 ) in pint of water, and then apply thickly and cover with a light dressing. Dr. T. S. Wassiljew records a case of extensive bums which seems to disprove the generally accepted view that such cases are hopeless when one-third of the surface of the body is affected. The patient, thoroughly chilled by tramping through mud and mire in a cold autumn night, lay down alongside a log fire in order to dry his clothes and warm his stiffened limbs. A quantity of whisky he had imbibed took effect, and he was soon in a deep slumber. Towards morning his clothing caught fire and he was terri- bly burned. When brought to the hospital about half of the tnmk — i.e,, the chest and abdomen, penis and scrotum — and the fingers of both hands were burned. In patches the epidermis was raised by collections of serous liquids, in other places it was hanging down in shreds. At least one-third the surface of the body was burned. Hand-Book of Modem Treatment, 71 Treatment consisted in soothing inflammation and pain, with cold compresses of solution of subacetate of lead. Xero- form was then applied. Xeroform possesses great desiccant and deodorizing powers, inhibits pus-formation, and stimulates granu- lation. In this case it was used as a 5-per-cent. vaseline salve. It was applied on large pieces of gauze and the dressing renewed daily. Soon the epidermis and parts of the corium detached; the burned surfaces became raw and bleeding in spots obscured by particles of corium. After about two months everything was clean, suppuration had disappeared, and healing progressed rapidly, though places which had been most exposed to the flames cicatrized more slowly. The strength of the xeroform- vaseline salve was therefore raised to 10 per cent., which noticeably hast- ened the process. After about four months almost all the wounds had healed. B Olei oliva, 3vj. Salolis, 3j. Liq. calcis, 3vj. Misce. Sig.: Local use. CALCULI, HEPATIC. B Chloroformi, f^ij. Sig.: Pour on gauze and inhale for relief of pains. B Morphinse sulpha tis, gr. iij. Atropinse sulphatis, gr. Vis- Misce et fiant chartulae no. xij. Sig.: One dissolved in 10 minims of water and given hypodermically. B -^theris. Sig.: Pour on gauze and inhale for relief of pain. 72 Hand-Book of Modem Treatment. CALCX7LI, RENAL. Am) VESICAL. 3 Morphinse sulphatis, gr. j. Atropinte sulphatis, gr. V«. Misce et fiant chartulse no. iv. Sig. : One in 10 minims of water, hypoder- mically, for pains. 3 Potas. bicarbonatis, S^ij* Sig.: Teaspoonful in cup of water three times daily after meals. Indication: When urine is acid. Q Salolis, Sj. Sig.: Ten grains three times daily and Celestins Vichy. I^ Urotropin, 3ij. Sig.: Ten grains three times daily if urine is alkaline. CANCER. CANCER OF THE UTERUS. In the medical treatment of uterine carcinoma, A. Lutaud speaks of the importance of vaginal asepsis. This may be ef- fected by injection, as: — H Acidi picrici, Siiss. Aquse, Oj%. Misce. Or:— I^ Resorcin., 3v. Aqu8B, Oj%. Misce. The injections should be made by the physician himself, after he has, by means of the speculum, located the site of disease. After the injection he employs a tampon of cotton, sat- urated with the followirg solution: — I^ Chloral is hydra tis, Sss. Cocainae hydrochlor., gr. iss. AqujB, 3v. Misce. Hand-Book of Modern Treatment, 73 When the disease involves the body of the womb he injects into the cervix a few drops of the following mixture : — IJ Hydrarg. chlor. corr., gr. iij. Cocainse hydrochlor., gr. xv. Aquse, Siiss. Misce. Or he may employ a bougie of: — Q lodoformi, gr. iss. Cocainse hydrochlor., gr. V«' Olei theobrom., gr. viij. Misce. He prefers powders, however, as they absorb discharges and do not disturb the weakened patient as much as injections nor necessitate such frequent changes of dressings. Among the combinations which he recommends isl^— B lodoformi, 3x. Cupri sulphatis, 5iiss. Morphinse sulphatis, 3j. Misce. When a caustic action is no