Complete Text (Part 9)

Sig. : One or two such pills at bed time. i02 Hand- Book of Modem Treatment. IJ Euonymin, gr. '/lo. Podophyllini, gr. Vw Ext. hydrastis Canaden., gr. ss. Pulv. saponis, gr. ss. Misce et fiant pilulse no. j. Sig. : One such pill at bed time. In considering the treatment of chronic constipation, J. A. MacMillan recommends rectal tampons in atonic con- stipation. This tampon should be made of absorbent cotton, cheese-cloth, or lamb's wool, and should be large enough to cause some distension of the bowel. It should be inserted through an ordinary proctoscope, and packed by means of a long forceps. The best location is at the recto-sigmoidal junction. A piece of string, of course, should be attached to the tampon, in order to facilitate its withdrawal after it has remained in place for from two to six hours. This treatment should be carried out every other day at first, and the interval between the treatments should be gradually lengthened as im- provement takes place. The value of this treatment, accord- ing to the author, is due to the distension of the intestine. He records success in the majority of the cases in which he has tried it, although not in all of them. In most of these cases enemata and cathartics should be discontinued from the first, in order that regularity of stools may be established. CONVULSIONS. IJ Sodii bromidi, gr. viij. Chloralis hydratis, gr. viij. Sodii bicarb., gr. viij. Aquae, f^j. Sig.: Teaspoonful every hour to a child under four months old. IJ Chloralis hydratis, gr. viij. Caraphorae, gr. xv. Tinct. moschi, gtt. xx. Aquae destillatse. ^u}. Yelk of 1 egg. Sig.: As an enema. Hand-Book of Modern Treatment. 103 B Chloralis hydratis, gr. v. Moschi, gr. iij. Camphorse, gr. xv. Aquse, Siij- Yelk of 1 egg. Sig. : As an enema. Indication: Persistent convulsions. B Chloroformi, f^ss. Sig.: Used by physicians. Small quantity on handkerchief until convulsion ceases. Indication: Infantile convulsions. Infantile convulsions or spasms may be arrested in one minute by the application of one or two dry cups on the back, from the seventh cervical to the first dorsal vertebra. This se- cures a remission for other medication. Veratrum viride is an excellent remedy in convulsions. It may be given to infants, or in puerperal eclampsia, or in epi- lepsy. It may be given per orem or hypodermically. It must be given in full doses in severe cases. 3 Moschi, gr. vij. Gum acacia, 3ss. Aquae foeniculi, 5j- Syr. aurant. cort., 5j- Misce. Sig.: A teaspoonful every hour or two. Indication: Infantile convulsions. CORNS. Soften the com at night by covering it with a piece of flannel coated with soap and some spirits of wine. Afterward scrape it with a curette or a knife. Apply on eight successive days a layer of the following collodion: — B Fluidextracti cannabis Indicse, gr. v. Acidi salicylici, gr. xv. Alcoholis (90 per cent.), 3ij. Athens, mxlv. Collodii flexile, gr. iv. Misce. 104 Hand-Book of Modern Treatment. On the eighth day, after bathing the foot for a long time in hot water, scrape away with a curette or knife the mass of collodion, and along with it the greater part or all of the corn. If necessary, the treatment may be repeated. A common and often efficient remedy is to place upon the corn a round piece of lemon during one or several succeeding nights. Cantharidal collodion or salicylic ointment is also used. Different caustics should be used with extreme caution. Sur- round the very painful corns with a special ring of wool or a corn-plaster. When the corn is situated between the toes, keep the latter separated with a pad of fine cloth, and dust the com with a powder of tannin, alum, or oxide of zinc. Certain au- thors recommend the following method: (1) moisteii the com with a concentrated solution of salicylic acid in alcohol; (2) cover with powdered salicylic acid and make a sealed covering with a small piece of cotton wadding; (3) renew the dressing in four or five days, and if there is any inflammation, stop the treatment. About the eighth day remove the com by soaking. B Extract! cannabis Indicse, gr. ij. Acidi salicylic!, gr. xx. Olei terebinth inse, m x. Acidi acetici glaciale, gr. iv. Cocainse ( alkaloidal ) , rn iv. Collodii, q. s. ad Siiiss. Misce. Sig. : Apply a thin coating every night, put- ting each coating on top of the preceding one, until finally the whole drops off, bringing the indurated portion, and frequently the whole corn, with it. I^ lodi, gr. ij. Collodii flexile, Siij. Alcohol is, 3j. Potassii iodidi, gr. ij. Misce. Sig.: Paint the corn every night. Indication: Used in soft corns. A radical cure for corns consists in paring the callosity as closely as possible without causing any haemorrhage, then placing in the center of the corn a very small drop of croton-oil, Hand-Boole of Modem Treatment, 105 and bandaging for twelve hours. Then remove the bandage and paint the com with reliable cantharidal collodion; a pustular bleb will result, in the formation of which the entire callosity, nucleus and all, will be raised without very much pain from the tissues beneath, and can be easily removed. The pro- cess should be conducted under the care of a surgeon to insure prompt sterilization of the part after the callus is removed. Healing has always been rapid, not requiring more than three or four days, with no liability to recurrence unless the foot is afterward abused. I have treated active, working patients without a loss to them of more than half a day of time. CORTZA AND COUGH. B Extract! belladonnse, gr. Vs. Pulveris camphorae, gr. j. Sulphatis quininse, gr. j. Pulveris opii et ipecacuanhas, gr. ij. Misce. Sig.: Take at one dose. For the slight colds often seen in the aged, even during warm weather, the main indication is for a stimulating expec- torant that will disturb the stomach as little as possible. Much better than the ordinary ammonium carbonate preparations, says International Clinics, under these circumstances, is the following formula: — IJ Spt. ammon. aromat., ^]. Spt. chloroform., 3ij. Aquae menthae pip., q. s. ad Jiij. Misce. Sig.: Teaspoonful every four hours. Indication: Cold in old people. The following is a successful treatment of coryza in infants : — IJ Spts. camphorae, mv. Tr. belladonnas, mij. Quininse sulphatis, gr. iij. Syrup tolutani, q. s. ad 5j. Misce. Sig.: One-half teaspoonful every three hours. 103 Hand-Book of Modem Treatment, The relief of the immediate symptoms is best assured by local treatment. The following is a favorite prescription : — Q Mentholis, gr. j. Camphorte, gr. j. Petrolati ]iquidi, 5j« Misce. Sig. : One drop in each nostril several times a day. The menthol and camphor increase the roominess of the meatus and usually afford prompt relief. The oil may be intro- duced by a small cotton tampon or preferably a bit of cotton on an applicator. IJ Sodii salicylati, gr. xx. Pulveris opii et ipecacuanha, gr. ij. Misce. Sig.: Give at first every three hours and later three times daily. Indication: Used in acute coryza. B Atropinae sulphatis, gr. /»• Camphorse, gr. vj. Quininse, gr. xij. Pilocarpinae hydrochloridi, gr. Vioo Misce et fiant chartulae no. xij. Sig.: One every hour for six hours and re- peat in eight hours. Indication: Used when membranes are dry and swollen. I^ Pulveris camphorse, gr. vj. Extracti belladonnae, gr. iss. Bromidi quininae, gr. xij. Misce et fiant capsulae no. xij. Sig.: One every hour until four doses are taken and repeat in six hours. T^ Cocaina?, gr. ij. Camphorae, gr. j. Olei rosae geranii, gtt. ij. Olei albi, f5j. Misce. Sig.: Drop into nose or put on pledget of cotton and place on each tonsil four or five minutes, having three or four drops on each pledget. Hand-Book of Modern Treatment. 107 B Syrupi tolu, 3iv. Syrupi scillse, Siss. Vini ipecacuanhse, Siss. Tinct. opii camphoratse, q. s. ad Svss. Misce. Sig.: One teaspoonful four times daily. Indication: Winter cough and cold. Q Codeinse sulpha tis, gr. iij. Chloroformi, 3j. Syrupi pruni virginianae, 5j. Tinct. lavand. comp., 5j. Spts. vini gallici, 5j. Misce. Sig.: One teaspoonful every three or four hours. Indication: Used in early stages with exces- sive cough. n Camphorse, gr. xv. Quininse hydrochloratis, gr. xlv. Tinct. aconiti, gr. xl. Tinct. belladonnse, gr. xl. Sacchari lactis, q. s. Misce et fiant capsulse no. xv. Sig.: One capsule every two or three hours. Indication: To relieve acute congestion. B Salicin, gr. xv. Potass, bicarbonatis, gr. xx. Spts. setheris nitrosi, 3ss. Liquoris amnion, acet., 3iij. Aquae camphorse, q. s. ad Jiss. Misce. Sig.: At one dose to be taken at bed time. I B Codeinse, gr. iv. / Acidi hydrochlor. diluti, 3ss. Spiritus chloroformi, 3iss. Syrupi limonis, 5j- Aquae, q. s. ad Jiv. Misce. Sig.: A teaspoonful frequently when cough is troublesome. Indication: Used in hacking, irritable cough of phthisis. 108 Hand-Book of Modem Treatment, Cannabis Indiea is a good remedy in persistent coughs of pregnancy. Bromides sometimes are beneficial; the combined bromides of gold and strontium are also recommended. If the patient is anaemic as well as nervous^ the three valerianates of quinine, iron, and zinc should be given an hour after each meal, in doses of one grain. One very often meets with an annoying condition wherein the patient c-oinplains of a "tickling in the throat which makes me cough constantly.'^ This will be relieved by the following : — B Codeinse, gr. j. Aeetphenetidini, gr. ij. Pulveris glycyrrhizw, gr. xvj. Sacchari lactis, q. s. Misce et fiant chartulie no. viij. Sig. : Dissolve one in mouth every hour. IJ Spiritus a^theris nitrosi, 3ij. Amnion, muriat., 3j. Pulveris opii ot ipecacuanhse, 3j. Syrupi simplieis, q. s. ad Jiij. !Misoe. 8i^. : Shake well and give from one to two teaspooiifuls according to age of child. Indication: I'sed in cough of measles. Tho following is a well-tried combination for the relief of the cough in bronchitis: — IJ Codcinie sulpii.. gi\ iij. Amnion, chloridi. Siss. Spts. chloroformi. Siss. Syr. tolut^ini, 3j- Fluidoxtracti glycyrrhiza?, 3j- Acidi hydrocyanici dil., gtt. xv. Aqua», q. s. ad Jiv. Misce. Sig.: One teaspoonful every four hours. This might bo made more palatable by the omission of the glycyrrhiza or of tho syrup of Tolu, especially in cases with impaired digestion or appetite. Hand-Book of Modern Treatment, 109 3 Ammon. muriat, gr. viiss. Mist, asafoetida, fSiv. Sig.: One dose as necessary for after-cough from habit. For the night cough of habit Boyland gives 2 grains of terpin hydrate at bedtime and in the early morning. For the nervous cough of mothers during whooping cough in the house- hold, Bartholow gave : — B Acidi hydrocyan. dil., m ii-iv. Syr. Tolu., m xxx-xl. Aquae laurocerasi, q. s. ad f3j. Misce. Sig.: A teaspoonful or two every three or four hours. COUGH OF CONSUMPTIVEljJ. B Morphinae sulphatis, gr. ij. Acidi sulph. dil., gtt. viij. Misce et adde Vini ipeeacuanhae, 3iij. Tinct. serpentariae, 3vj. Spir. vini, 3j. Syr. prun. Virg., q. s. ad ^iv, Misce. Sig. : Teaspoonful when required. It is certainly safer to allay cough by means of a non- poisonous local anaesthetic than by morphine or any other nar- cotic. Such an agent, according to Saenger, of Magdeburg, is menthol. A few crystals may be va])orize(l in a spoon over a flame and inhaled, or a few drops of a 40- or oO-per-cent. alcoholic solution may be rubbed between the hands and tlio handg then held l)eforo the nose. At first the cough is intensi- fied, but it soon subsides. This result can l)e produced, how- ever, onlv if the mucous membrane is free from accumulated secretion. The remedy .acts well in whooping-cough, but it should not be used in cases of acute inflammatory disease of the lung or pleura or if there is a tendency to hiemoptysis. 110 Hand-Book of Modern Treatment, B Heroin, gr. ij. Syrupi tolu, Siiss. Misce. Sig. : One teaspoonful three times daily. Indication: Used as sedative in excessive cough. IJ Tinct. opii camphoratse, 3ij. Vini ipecacuanhse, 3ij. Misce. Sig.: Ten to 15 drops. Indication: Sedative and expectorant for a child. CRETINISM. B Glandulae thyroidese siccae, gr. x. Sacchari lactis, gr. xxx. Misce et fiant tabellse no. xx. Sig.: One three times daily and increase according to need and toleration. GBODP, MEMBRANOUS.— See Diphtheria. CROUP, SPASMODIC. B Hydrargyri chloridi mitis, gr. iij. Saccharinse albse, gr. xxx. Misce et fiant chartulse no. viij. Sig.: One powder every two hours, alter- nating with the following: — B Apomorphinae hydrochlor., gr. V«. Acidi hydrochlor. dil., m ij. Syr. simplicis, 3ij. Aquae dest., q. s. ad ^iv. Misce. Sig.: One or two teaspoonfuls every two hours. The two remedies are given alternately every two hours; so that the patient gets calomel one hour and apomorphine the next. For children under two vears the dose of calomel is re- Hand-Book of Modem Treatment. m duced to ^/q grain. Both prescriptions may be repeated, and in the author^s cases more than two repetitions were never re- quired. The calomel should be discontinued as soon as ameli- oration sets in, lest untoward results appear. B Chloralis, gr. Ixxv. Potassii bromidi, gr. xlv. Ammonii bromidi, gr. xxx. Aquse cinnamomi, ^j. Misce. Sig. : One teaspoonful and repeat in twenty minutes if not relieved. The bichromate of potash is of marked value in pharyn- geal irritations, and will be found eminently satisfactory in spasmodic croup. Many times the efficiency of this drug will be increased by combining with it apomorphine. One-tenth grain of each placed in 2 ounces of hot water and a teaspoon- ful of hot solution administered every fifteen minutes will pro- duce decidedly beneficial results after a few doses. S. E. Wertman, after having lost several cases of croup of an unusually severe and malignant character, resorted to hy- podermics of pilocarpine hydrochlorate, from which he obtained surprisingly good results. Injections of pilocarpine, from ^/^g to V24 S^^^^> were- given. In each case improvement was no- ticed within a few hours; the disease was entirely checked, one or two days being sufficient to effect a cure. In only one case was the second injection made. SPASMODIC OR CATARRHAL CROUP. B Mentholis, 3ij. Misce. Sig.: Volatilize about 10 grains in room, by placing in spoon and applying heat. Indication: Used to relieve attack. Wrap cold cloths around neck. An emetic is a valu- able adjunct to this treatment if child does not promptly improve. The following combination, containing creosotal, is recom- mended in the treatment of croup contracted by children be- tween the ages of five and ten years: — 112 Hand-Book of Modem TreatmetU. 3 CreoBotal, gr. xlv-3j. Liq. ammou. anis., m xv. 8yr. senegse, ^. Infus. ipecac, rad., ^i^s-Siij- Mwce. 8ig. : One teaspoonful every hour until fever diminiBhcH, then every two or three hours. I^ Syrupi ipecacuanhas, fSiss. Tinct. opii camph., fSij. Syrupi »cillse, fSj. lj\q. potass, citrat., q. s. ad f^iij* Misce. Sig. : Teaspoonful every two hours. CYSTITIS. The following treatment is recommended in this condi- tion: In acute cystitis the chief indications are rest in bed, light diet, bowels kept open, urine rendered bland and unirri- tating by copious draughts of water, milk, buttermilk, whey, and lithia water. Hot fomentations to the pelvis or hot sitz baths lessen the congestion and relieve the pain. In women, hot vaginal douches should be given once or twice daily. These, as a rule, are sufficient to make the patient comfortable; if not, suppositories may be given. 9 Morphinse sulphatis, gr. Via* Ext. belladonnsp, gr. ^/^. Ext. hyoscyami, gr. V4. 01. theobroni., gr. xij. Misce et fiat Hup{)08. no. j. Sig.: One such introduced into the rectum er'ery few hours as recjuired for the pain. TTrotropin or cystogen in 5- to 10- grain doses is valuable to make the urine antiseptic, but is particularly indicated when the urine is alkaline. The author states that irrigations should not be given in hyperacute cystitis or if there is an acute urethritis or nephritis, but may be used with decided benefit in the sul)si(ling stage to prevent the cystitis from becoming chronic. The fluid should have al>out the same specific gravity as the urine. The following has given very satisfactory results: Hand-Book of Modem Treatment. 113 I^ Acidi borici, 3j. Sodii biboratis, 3j. Sodii chloridi, gr. xxx. Misce. Sig. : Dissolve in a quart of hot water and use as irrigation. As the disease becomes chronic the irrigations should be made more stimulating, as mercuric chloride, 1-5000 to 1-800; potassium permanganate, 1-12,000 to 1-1000, or nitrate of silver, 1-4000 to 1-800. As an antiseptic and sedative given internally the follow- ing:— . B Fluidextracti beUadonnse, mxx. Sodii boratis, 3ij. Acidi benzoici, gr. xx. Tinct. opii camph., 5iss. Olei gaultherise, mxij. Syrupi, Jij. Aquae destil., q. s. ad 5iv. Misce. Sig.: One dessertspoonful in water four times a day. When the urine is acid the following is of service as an antiseptic : — B Potassii acetatis, 3iv. Liq. potassii hydroxidi, f3j. Fluidextracti uvse ursi, 3iv. Tinct. hyoscyami, 3iv. Tinct. lupulini, 3iv. Aquae, Jij. Syr. zingiberis, q. s. ad Sviij. Misce. Sig.: One tablespoonful in water after meals and at bed time. For cystitis, where there is a sanguineous discharge : — IJ Potassii bromidi, 3iv. Tinct. gelsemii, 3ij. Fluidextracti ergotae, 3ss. Spt. aetheris nitrosi, q. s. ad Jiv. Mix and make into solution. Sig.: Teaspoonful three or four times daily in water. 8 114 Hand-Book of Modem TrtatmeiU, The following coiubination has proved very satiflfactory in the treatment of cystitis associated with alkalinity of urine: — 3 Saloli, gr. v. Acidi boraeici, gr. v. Codeinse sulph., gr. ^. Misce et fiat chartula no. j. Sig.: One powder after meals and at bed time. B Atropiae sulpliat., gr. j. Acidi acetici, m xx. AleoholiH, J^hh. Aqute, ^HH. Misce. Sig.: Four drops in water before each meal, in acute cystitis. Indication: Used in acute cystitis. 3