- terebinth., 3ij. Tinet. opii, 3j. Syr. acacise, Jiss. Mucil. acaeise, ^viiss. Mi see. Sig.: Tablespoonful every two or throe hours, reducing the dose after twenty-four hours if there is improvement. Indication: Acute dysentery. 140 Hand-Book of Modem Treatment, Lactic acid is beneficial if there are greenish, slimy stools, especially in children. Filteen-grain doses are given, largely diluted, with syrup of acacia every two hours. Iodoform with small doses of opium acts well in some cases with severe abdom- inal pain. IJ Acidi sulph. arom., f^ss. Tinct. opii deodorat., fjss. Magnesii sulphatis (sat. sol.), Sij* Misce. Sig. : Shake and give teaspoonful in water every three hours. This treatment should be commenced as early in the case as possible and continued until the bloody and mucous stools have changed to liquid or ordinary faecal discharges, which will usually be the case in from twenty-four to forty-eight hours. Dr. G. E. Eichmond reports two cases of dysentery in which the administration of 20 grains of sublimed sulphur com- bined with 5 grains of Dover's powder, every four hours, brought about rapid recovery. The discharge of blood and mucus quickly stopped, and the movements became faecal. The sulphur seems to act as a strong antiseptic and brings about a speedy healing of any ulcerated surfaces in the intes- tine. So far that author has not had a single failure in the treatment of dysentery by this method. IJ Cupri sulphatis, gr. ss. Magnesii sulphatis, 5j. Acidi sulphurici dil., 3j. Aquae, Jiv. Misce. Sig.: A tablespoonful every four hours. XO. 1. B Chloral is hydra t is, gr. xx-xxx. Liq. opii sed., m xx. Aqu8B, ad 3j. Syrupi aurantii, 31 j. Hand-Book of Modem Treatment, X41 NO. 2. Q Pulv. ipecacuanhse, gr. xx-xxx. AqusB chloroformi, 5j* Mucilag. tragacanthi; q. s. Sig.: No. 1 draught is given, and usually takes effect in from ten to fifteen minutes. When the patient is just asleep he is suffi- ciently aroused to take No. 2. It must be shaken up in a phial and poured out just be- fore being taken. In many cases the patient will, after this treatment, sleep from three to six hours, and wake without experiencing any in- convenience. In some cases the ipecacuanha does produce sick- ness in spite of the chloral draught, but in these the author has not known it to come on in less than one and one-half hours, and in no case did the vomit contain ipecacuanha, showing that it had already been absorbed. Q Quininse sulphatis, gr. ij. Pulveris ipecacuanhse, gr. v. Ammon. chloridi, gr. x. Tinct. opii, mxij. Aquse, q. s. ad Sj* Misce. Sig.: To be given every four hours. The following treatment for dysentery has proved of greatest value when a good deal of trouble through griping pains and frequent stools with mucus and blood were present : — 9 Terebinthinse, m x. Tinct. opii, mx. Pulveris acacise, 3j. Saccharini, 3j. Aquse menthse pip., 3j. Misce. Sig.: To be taken three times daily for three days only, after cleansing the intestines with a dose of castor oil. At the expiration of this time: — Q Pulveris ipecacuanhse, gr. x. Sig.: To be taken thrice daily, half an hour after the following draught: — 142 Hand-Book of Modern Treatmeni. 3 Tinct. opii, m x. Tinct. eardamomii comp., Sss. Misce. 8ig. : Apply a sinapism over the pit of the stomach in order to prevent vomiting, which often attends the administration of ipecacu- anha in large doses. I^ Bismuthi salicylatis, gr. ij. Guaiacolis benzoatis, gr. ij. Misce et pone in capsulas no. j. Sig. : One capsule every four hours. DYSHENOBBHCEA. Prescribe a pill, to be taken three times a day, after a meal, containing: — IJ Phosphor., gr. Voo- Ferri valerianat., gr. j. Zinci valerianat., gr. j. Quininse sulphatis, gr. j. Extracti aloes, gr. j. Then prescribe the following mixture: — IJ Tinct. cannabis Indicae, m x. Syr. chloralis hydratis, m xx. Glycerini, 3j. Aquae camphorae, ad Sj. Sig. : For one dose. In spasmodic and neuralgic dysmenorrhoea the following prescription will prove beneficial if administered several days prior to and during the menstrual epoch : — IJ Fluidextracti hyoscyami, 3ij. Fluidextracti cannabis Indicae, 3j. Fluidextracti ciraicifugae, 3iv. Spiritus camphorae, 3j. Spiritus etheris compositae, q. s. ad Jiij. Misce. Sig.: Teaspoonful in water three times a day. Hand-Book of Modern Treatment. 143 I^ Ammonii chloridi, ^iiss* Tinct. stramonii, Sss. Tinct. cimicifugse, Jj. Syr. glycyrrhizfle, 3ij. Tongaline, ^vj. Misce. Sig.: Teaspoonful three times a day. Indication: Rheumatic dysmenorrhoea. I^ Ext. cannabis Indicse, gr. ^,. Ext. belladonnse, gr. %, 01. theobrom., q. s. Misce. Sig.: This is sufficient for one suppository; five such ones may be made. One suppository may be introduced every evening, commencing the fifth day before the menses. Dysmenorrhoea, frequently noticed in women with a ten- dency to asthma or subject to chronic diseases, is often cured or benefited by arsenic. 3 Asafoetidse, gr. ij. Ext. valerianis, gr. j. Ext. cannabis Indicse, gr. %. Misce for one pill. Sig.: One three times a day. Locally for the pain in the back the following ointment is of value: — IJ Ext. hyoscyami, gr. xxx. Ext. belladonnse, gr. xxx. Adipis, 5j- Misce et fiat unguentum. Sig.: A small amount to be applied locally night and morning. The following combination is recommended in painful men- struation in which there is more or less inflammation present: — IJ Berberinae phos., gr. xij. Tinct. hydrastis, 3ij. Syr. simp., q. s. ad 5ij- Misce. Sig.: One teaspoonful every three or four hours. 144 Hand-Book of Modem Treatment, 3 Apiol, 3ij. Acetanilidi, gr. xl. Spt. chloroformi, mxxx. Spt. recti, q. s. ad 5ij. Misce. Sig.: Teaspoonful in water every two or three hours. Indication: Neuralgic dysmenorrhcea. B Liq- potassii arsenitis. Sig.: One drop after meals increased to from three to five drops three times daily. Indication: In ansemic patients this is use- ful between attacks. IJ Extracti belladonnse gr. %, Olei theobromatis, q. s. Misce et fiat suppositorium no. j. Sig.: Insert in or against the os when pain is severe and persistent. B Amyl nitritis. Sig.: Three to five drops upon handkerchief by inhalation to relieve severe pains. DYSPEPSIA.— See Indigestion. IJ Acidi arsenosi, gr. %. Pulv. ignatiae, gr. viiss. Pulv. rhei, gr. xxxvj. Pulv. opii, gr. viiss. Ext. gentianse, q. s. Misce et fiant capsulse no. 1. Sig.: One capsule after each meal. Indication: Dyspepsia accompanied by phos- phaturia. B Aquse chloroformi, Jij- Aquse menthse pip., 5ij. Aquae dest., 5ij- Misce. Sig.: One teaspoonful before meals. Hand-Book of Modern Treatment, 145 Q Sodii bicarbonatis, 3ij. Pulveris saccharini, 3ij. Spt. ammon. aromatici, mxl. Aquse menthsB pip., q. s. ad Bviij. Misce. Sig. : Tablespoonful after each meal. Indication: Each of abov<3 useful in flatu- lent dyspepsia. I^ Tinct. ipecacuanbse, 3j. Tinct. calumbse, 5iij. Tinct. gentiante, Siij. Misce. Sig.: Take fiv« to 10 drops in a little water after eating, and repeat the dose in a half-hour, ^nd again in an hour. Indication: Feeble digestion. J^ Pepsini, gr. xlviij. Acidi hydrochlor. diluti, 3iv. Glycerini, 3iv. Aquae, q. s. ad 3iij. Misce. Sig. : One teaspoonf ul well diluted three times daily. I^ Bismuthi subnitratis, 3iv. Pepsini, xlviij. Misce et fiant chartulae no. xxv. Sig.: One powder three times daily. I^ Tinct. nucis vomicae, 3ij. Acidi nitromuriat. diluti, 3iv. Glycerini, 3v. Tinct. gentianae comp., q. s. ad Jiv. Misce. Sig.: One teaspoonf ul after meals. B Sodii salicylatis, 3ij. Bismuthi subsalicylatis, 3v. Magnesii carbonatis, 3v. Sodii bicarbonatis, 3 v. Misce et flant chartulae no. xij. Sig.: One powder three times daily after meals. 10 ]46 Hand-Book of Modem TreatmeiU. IJ Acidi hydrochlorici dil., fSiv. Fluidextracti condurango, fSvj. Tinct. gentiaiue comp., q. 8. ad fBuj. Misce. Sig.: Teaspoonful in water after meals. Indication: Painful gastric dyspepsia with deficient secretion of gastric juice. 3 Acidi hydrochlorici diluti, 3vj. Tincturse capsici, 3iv. Tincturse nucis vomicae, 3ij. Tincturse quassise, q. s. ad Biv. Misce. Sig.: One teaspoonful in water after meals. For atonic dyspepsia of alcohol drinkers. 3 Zinci valerianatis, gr. iij. Acidi carbol., gr. ij. Acidi arsenosi, gr. V«>. Ext. cannabis Indicse, gr. V«* Misce et fiat capsula no. j. Sig.: One capsule after each meal. Indication: Nervous dyspepsia. IJ Bismuthi subsalicylatis, 5ij. Magnesii carb., 3ij. Carbonis pulv., 3iij. 01. menthse pip., gtt. xxx. Misce. Sig.: Of this powder give a small teaspoon- ful one-half to one hour after meals. Indication: Flatulent dyspepsia. IJ Acidi hydrocyanic! dil., gtt. xl. Tinct. belladonnse, 3iij. Bismuthi subnitratis, 3vj. Aquse destil., q. s. ad giij. Misce. Sig.: Shake well and take one teaspoonful an hour before meals. Indication: Painful dyspepsia with excess- ive gastric secretion. Hand-Book of Modem Treatment. I47 9 Bismuthi subnitratis, gr. z. Magnesii carbonatis, gr. xv. Liq. potassii hydroxidi, m vj. Acidi hydrocyanici dil., m ij. Tinci. zingiberis, m v. AquflB menths pip., q. s. ad 5j- Misce. Sig.: At one dose, to be repeated two or three times a day. Indication: Acid dyspepsia. Splendid. U ^ Pepsini pur., gr. xxx. Pancreatic ext., gr, xxx. Pulv. carb. lig., gr. Ix. Bismuthi subgal., gr. Ix. Misce et fiant chartulse no. xij. Sig.: One before meals. Indication: Intestinal dyspepsia. I^ Creosoti, m iij. Tinct. card, co., m xv. Syr. aurantii, 5ss. Aquse, q. s. ad Sj* Misce. Sig.: To be taken at one dose and repeated three times daily. I^ Bismuthi subnitratis, 3iss. Pepsini, 3iss. Strychninse sulphatis, gr. j. Orexini tannati, 3j. Tinct. cardamomi comp., q. s. ad Jiv. Misce. Sig.: A teaspoonful three times daily. Indication: Useful in atonic dyspepsia. DYSPNOEA. In the treatment of chronic fly8j)nn^a duo io vascular changes^ Foxwell recommends the following combinations : — 148 HandrBook of Modem Treatment. » 'm ■■»■—— ■ » ■-■■■■■ ■■ ■ I^ Liq. strycbniiue (1 per cent.)* mv. Tinei. strophantbi, m x. Liq. trinitrini (1 per cent.), mij. Sodii bromidi, gr. xv. Tinct. card, co., 3ss. Aquse, q. s. ad 5j- Misce. Sig. : To be taken in- two or tbree divided doses, alternating witb the following: — ■ f I^ Pulv. rbei, gr. i-ij. Hydrargyri chloridi mitis, gr. V»-Vio» Ext. byoscyami, gr. i-ij. Misce et fiat capsula no. j. Sig.: One such capsule once or twice daily. IJ Cbloralis hydratis, gr. xvi-xxxij. Potassi iodidi, gr. viii-xvj. Julapii, f^ij. Misce. Sig.: A teaspoonful every hour. Indication: A mixture for cardiac dyspnoea. IJ Cbloralis, 3v. Sodii nitratis, gr. xlv. Tinct. stramonii, Jiiss. Elixiris simp., q. s. ad 5iv. Misce. Sig.: One teaspoonful every four hours in water. Indication: Asthmatic dyspnoea. IJ Spiritus glycerylis nitratis, gr. Viw Amyli nitritis, gr. V^- Menthol is, gr. Vw Oleoresini capsici, gr. Viw Misce et pone in capsula no. j. Sig.: One capsule every four hours. I^ Morphinse sulphatis, gr. ij. Tinct. strophanthi, gtt. xcvj. Spiritus frumenti, Jij* Misce. Sig.: One teaspoonful night and morning. Indication: Cardiac dyspnoea. Hand-Book of Modem Treatment. 149 Q Fluidextracti digitalis, 3ij. Tinct. opii, 3ij. Misce. Sig.: Two to four drops every three hours. Indication: Cardiac dyspnoea. I^ Sparteinae sulphatis, gr. iss. Fluidextracti digitalis, gr. xv. Aquse, q. s. ad Sij. Misce. 8ig.: A teaspoonful every two hours. EARACHE. TREATMENT OF EARACHE. It should be remembered that pain in the ear may be a sim- ple otalgia, but is also frequently secondary to dental caries, and especially to inflammations of the external ear, as a furuncle, and sometimes as the result of deeper inflammations of the ear. To relieve the pain four to six leeches applied in front of the tragus will usually have the desired effect. Besides this the ear may be washed out with a warm boric solution, which should be repeated every two hours for ten minutes at each application. In the intervals cotton saturated with carbolized oil (1 to 20 or 1 to 40) may be left in the ear. During the night the oil may be left in or, if the pain is very severe, may be replaced by the following : — I^ Morphinse hydrochlor., gr. j. C!ocain8B hydrochlor., gr. xv. Aquae, 3v. Misce. Sig.: Six drops in the ear on retiring, to be used warm, FOR THE REMOVAL OF WAX IN THE EAR. Hardened wax in the external ear can often be removed readily by injections of warm water and soap, soda, or ammonia. Many cases resist tliis and require the softening effects of glycerine or sweet oil for a day or two before syringing. Do not bother with these long processes, but use a half-strength 150 Hand-Book of Modem Treatment. solution of hydrogen dioxide in the ear for about five or ten min- utes. This will disintegrate the hardest plugs and they can be removed with very little syringing. Too much force with the syringe is not to be used. The ear should be wiped perfectly dry with absorbent cotton and apply petrolatum. A small plug of cotton should be worn in the ear for one day after removal. T^. Acidi carbolici, m xl. Alcoholis, m xlv. Glycerini, ad 5j. Misce. Sig: One-half a dropperful warmed, to be instilled into the ear, for adults; less for a child. Indication: Useful in earache. IJ Acidi carbolici, m vij. Ext. opii fi., m vj. CocainaB hydrochlor., gr. vj. Atropinae sulph., gr. iij. Aqu8B, m iij. Gelatini, gr. xviij. Glycerini, 3iij. Misce et div. in bougies no. xlvij. Sig.: Insert one bougie in the auditory canal every two hours. Indication: Earache in children and to be used before tympanic exudation occurs. IJ Chloralis (camphorated), 3j. Glycerini, 5j. Olei amygdalae dulcis, 3iiss. Misce. Sig.: Saturate a piece of cotton and intro- duce well into the ear. A SURE CURE FOR EARACHE. A small funnel of stiff paper is inserted into the ear, with a pledget of cotton saturated with chloroform into the outer, larger part. By this means the fumes of chloroform are blown into the ear, and instant relief is obtained. Hand-Book of Modem Treatment, 151 ]^ Zinci oxidi, 3j. Acidi carbol., gr. x. Vaselini albi, 5j* Misce et fiat unguentum. Sig. : Insert a cylindrical tampon of cotton wool, covered with the ointment, into the canal. Indication: Useful for excruciating pains and furuncles in the ear. This tampon should be large enough to produce consider- able pressure. The greater the swelling the greater should be the pressure made by the tampon. The pain is at first severe, but disappears after tamponing. Before tamponing, use an antiseptic and repeat daily. Atropine in solution is an excellent remedy for earache. A drop or two of a solution of 4 grains to the ounce of water will be sufficient. Earache to be treated intelligently must be treated through the speculum. In the mild, congestive forms local applications may and often do prove beneficial, but if persisting more than twelve hours, paracentesis should be done. Early paracentesis, properly performed, is a harmless procedure, doing the greatest good to the patient with the minimum of danger and suffering. It anticipates nature, relieves pain, and reduces the chances of mastoid and intracranial complications. Preparatory to opera- tion, the doctor renders the external canal aseptic through syringing with a 1 to 10,000 bichloride solution, then drying with a few drops of alcohol. The procedure may be rendered painless by first applying over the line of incision a mixture of equal parts of menthol, phenol, and cocaine rendered syrupy with alcohol. I^ Phenolis, 3j. Glycerini, 3ij. Camphorse, gr. xx. Aqu8B, q. s. ad fjj. Misce. Sig.: Use this on pledget of cotton which fits tightly and place in ear. Leave in ear six to twelve hours. Remove and apply again. Follow this with purges. Indication: Furuncle in canal of ear. To abort. 252 Hand-Book of Modern Treatment, IJ Sol. adrenalini, f3j. Cocainse, gr. x. Glycerini, f3j. Aquse, q. s. ad fjj. Misce. Sig. : Apply to ear warm, in drops. Indication: Useful in acute catarrhal otitis media. ECTHYMA. T^ Sulphuris prsecipitati, 3j. Resorcini, gr. x. Acetanilidi, 3ss. Ung. petrolati, ^j. Misce. Sig. : Apply once daily. Indication: Useful in parasitic varieties. I^ Liq. plumbi subacetatis, Sj* Tinct. opii, 5j. Aquse, Jxvj. Misce. Sig. : Apply this on gauze or lint. Indication: Useful in inflammatory stage. IJ Aristol, 3ij. Acidi borici, 3ij. Acetanilidi, gr. x. Misce. Sig.: Use this as a dusting powder. ECZEMA. In an acute form of eczema, when redness and swelling of the skin are associated with burning and itching sensation, usu- ally a simple application of an absorbent powder, as talcum, rice, amylum with some oxide of zinc, or 1 per cent, of boric or salicylic acid often repeated, will answer the purpose. If there should be also some oozing, the powder will form a kind of paste and protect the excoriated epidermis, prevent the break- ing of the vesicles, and the acute inflammatory process will grad- ually subside. In cases of eczema intertrigo, the natural folds of Hand-Book of Modem Treatment. 153 the skin must be separated with strips of lint or absorbent cotton. In some eases the simple application of powder does not re- lieve the inflammation, and bathing with solution of 2 per cent, of subacetate of lead or of aluminum is found useful to diminish the inflammation. But as soon as the purpose has been ob- tained it has to be stopped and dry applications resumed. In a general way moist applications macerate the epidermis, and for this reason are not so beneficial in eczema. In these cases, as a sedative lotion, a mixture of calamine in the following proportions will be found useful: — IJ Pulv. calamine prep., 3ij. Zinci oxidi, 31 j. Glycerini, Jiss. Aquse rosse, Siss. Misce. Sig.: This is applied on the surface with a earners hair brush, or with strips of lint dipped in the lotion. In cases of acute eczema with deep excoriations, accom- panied by abundant serous discharge and unbearable itching sen- sation, the use of ichthyol in liniment form will be found bene- ficial in many cases. IJ Ichthyolis, 3iJ. Olei amygd. dulc, 3iv. Aquse calcis, 3iy. Aquse rosae, 5j. Glycerini, 5j. Misce. Sig.: This is applied on strips of lint satu- rated in the
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