Complete Text (Part 15)

Six grains every three hours. The following is a valuable prescription for malaria when the stomach is not irritated very much: — IJ Tinct. capsicum, 3j. Fluidextracti myrica cerifera, Sij. » Tinct. cinchonae, Six. Misce. Sig.: One drachm every one or two hours. The following is a most excellent combination for malaria coni])licated with pregnancy, where large doses of quinine could not safely be used, and also for a large class of patients who have an idiosyncrasy against tlie use of quinine proper : — IJ Strych. sulj)h., gr. iij. Acidi arsonosi, gr. v. Forri roduct., 3ij. Quiniiijc sulpli., Sij. Aloes soc, gr. xx. Misce et fiant pilulie no. c. Sig.: One pill every four hours. Indication: I'sed in chronic malaria. Hand-Book of Modern Treatment. 181 Eegarding the after-treatment for malaria, the following is most excellent : — B Tinct. fer. mur., f^j. Strych. sul., gr. j. Liq. arsen. potassii, 5ij. Tinct. capsici, 3iij. Acidi phos. dil., 3iij. Glycerini, q. s. ad Jviij. Misce. Sig. : One teaspoonful three times a day in water. Protect teeth with quill or alkaline wash. Label "Shake." For children decrease the iron and strychnine according to age, and for infants the acid one-half. Keep the bowels well open and the skin active by frequent cleansing. If the chills return while taking the tonic, stop it and check them with quinine ; then give tonic again. Don't promise relief in chronic malarial poisoning under three months' regular treatment. Q Quininse sulphat., 3j. Tinct. ferri chloridi, 3v. Liq. acidi arsenosi, 3iss. Potassii chloratis, 3j. Syr. zingiberis, q. s. ad ^iv. Misce. Sig.: Teaspoonful in water thrice daily after meals. I^ Quininse sulphatis, 3ij. Acidi sulphurici aromatici, 3iv. Tinct. ferri chloridi, Sij. Liquoris potassii arsenitis, 3iv. Strychninse sulphatis, gr. j. Elixiris aurantiaj, q. s. ad 5viij. Misce. Sig.: Shake and give a teaspoonful in a wineglass of water before meals, and at bed- time if necessary. Indication: Pernicious chronic malaria. IJ Tinct. iodi comp., 3ij. Liq. potassii arsenitis, 3j. Misce. Sig.: Ten or fifteen drops after each meal. Xg2 Hand-Baok of Modem Treatment. 1^ Tinet. iodi, oiss. Potassii iodidi. oiss. Aqus dest., fj-. Misce. Sig. : One teaspoonful in water given in the beginning of the paroxysm and repeated in about fifteen minutes, if neede<l. Indication : This is supposed to be of special value in cases where the chill comes at irregu- lar intenals. Q Liquor is potas>ii arsenitis. fSj. Sig.: Three to five drops after meals. Indication: In conjunction with quinine be- tween paroxysms as a nti periodic. Also in ma- larial cachexia. li Acidi arsenosi. gr. * ^ Salicini. gr. iij. Ferri re<lucti. gr. ij. Strychninte sulphatis, gr. /«>• Phosphor i. gr. V a^.. Podophyllini. gr. '.^^ Capsici. gr. - .. Extracti gentianae. q. s. Misce et fiat pilula no. j. Sig.: C^e pill after each meal. Indication: Used in pemicioaa malarial fever. li Quinins hydroi-hloratis, 3j. Saloli. gr. xl. Codeinff sulphatis. gr. iij. Phenawtini. gr. xxx or 3d. Misce et fiant in capsulas no. xij. Sig.: '.hie c-apsule every three or four hours. Indication: Usp<1 in both the intermittent and remittent forms. ^^.,^, .:^ H Methylene blue. gr. j. Arseni iodidi. gr. ' 4,^ Hydrarg. iodidi. gr. V»(r Ferri iodidi. gr. ^/^ Strychninsp sulphatis. gr. ^/e^. Misce et pone in capsulam no. j. Sig.: One capsule three times daily. Hand-Book of Modem Treatment. 183 The above combination is markedly beneficial in cases of chronic splenic enlargement due to malaria. It is advisable to discontinue the capsules at once, because there occurs a reaction which weakens the patient. In most cases of malaria you can dispense methylene blue in cinnamon-water every two hours until the chills disappear, and after that you can use the fol- lowing combination, which will stand you in good need: — I^ Methylene blue, gr. ^/^. Liq. potassii arsenitis, m j. Aquffi cinnamomi, 3j. Misce. Sig.: This dose three times daily after meals. I^ Tetramethyli thionini chloridi, 3j. Methylene blue, Pone in eapsulas no. xxiv. Sig.: One capsule every four hours. I^ Euquinse, 3ij. Fiant chartulse no. xij. Sig.: A powder six, four, and two hours before repeated paroxysm. Indication: This is a tasteless salt and well suited for children. I^ Cinchonse sulphatis, 3ss. Liq. potassii arsenitis, f5iss. Tinct. ferri chloridi, fjss. Syrupi zingiberis, f^iss. Aquse destillatse, q. s. ad f^iv. Misce. Sig.: A dessertspoonful after meals. Indication: Used in chronic cases. I^ Tinct. cinchonae comp., f^iv. Tinct. nucis vomicae, f3j. Pluidextracti taraxaci, fjij. Fluidextracti rhamni purshianse, fSij. Misce. Sig.: Half to a tablespoonful in water three or four times a day. }g4 Hand-Book of Modem Treatment. B Tinct. Warburgi, ^iv, Sig.: A tablespoonful and repeat in four hours to prevent attack. One to two tea- spoonfuls after meals as a prophylactic. FEVER, RELAPSING. ^ Saloli, 3ss. Phenacetini, 3j. Misce et fiant chartulse no. xij. Sig.: One powder every two hours. Indication: Used to relieve muscular pains. To increase the elimination and as a febrifuge in scarlet fever : — ^ Tinct. aconiti, wviij. Potassii citratis, 3iij. Syr. limonis, ^ss. Aquse, q. s. ad 5iv. Misce. Sig.: One teaspoonful every hour or two. And as a gargle for the throat in scarlet fever the follow- ing :— I^ Acidi carbolici, 3ss. Glycerini, gj. Aquae camphorse, 3j Potassii chloratis, gr. x. Aqu£e dest., q. s. ad 5vj. Misce. Sig.: Use as a gargle or spray. Ointments for hastening desquamation and for the benefit of the skin in scarlatina: — B Tchthyoli, 3vj. Olei olivarum, ^j. Lunolini, 5v- Rig.: Rub in tliorouglily over the entire body every six or twelve hours. Eand-Book of Modern Treatment, 185 B Ichthyoli, 5j. Glycerini, 5ij. Aqiise rosae, ^v, Misce. Sig. : Alternate every six hours with pre- ceding ointment or apply either one every six hours. The latter prescription will promote desquamation quicker than the first. B Glycerini, 3iv. Aquae hydrogenii dioxidi (15 volume), Sivss. Misce. Sig.: Use as inunction all over the body except the head, once daily. Indication: Shortens period of scarlatinal desquamation. B Sodii salicylatis, gr. xlviij. Aquae destillatae, f3ij. Syrupi aurantii, q. s. ad fjiij. Misce. Sig.: A teaspoonful every hour during the day and every two or three hours at night, in a little water. Indication: Given throughout the attack and for some days after defervescence has en- sued. I^ Potassii chloratis, 5ij. Tinct. ferri chloridi, f3j. Aquae, q. s. ad ^iij- Misce. Sig.: Dessertspoonful in a half glass of water used as gargle every two hours. Indication: Used for sore throat. I( Ung. picis liq., 3i-5j. Ung. zinci oxidi, Sj. Vaselini albi, Sj- Misce. Sig.: Anoint as needed, once or several times daily. Indication: To prevent itching. 186 Hand-Book of Modem Treatment, IJ Ichthyoli, 3vj. Aquae, fSij. Misce. Sig. : Fifteen drops placed in a capsule three times a day at times of administration for a child five years old, and use at the same time the following prescription: — IJ Olei terebinthinae, f^ss. Sig.: Five drops in milk three times daily for a child five years old. Indication: Used at same time as the above prescription. IJ Phenolis (acidi carbolici), f3j. Olei olivse, fjxvj. Misce. Sig.: Anoint the body several times daily. Indication: Used to allay itching. IJ Spt. setheris nitrosi, fSj. Potassii citratis, 3ij. Aquae destillatae, q. s. ad f^vj. Misce. Sig.: A teaspoonful every two hours if urine is high colored. IJ Tinct. ferri chloridi, 5j- Sig.: Five minims diluted and through a glass tube three times daily. Indication: To combat anaemia and infec- tion during later stages and convalescence. Widowitz has never had a case of nephritis among one hundred and two scarlet fever patients treated since he intro- duced the plan of preventive administration of urotropin. He gives from 0.05 to 0.5 gram of urotropin three times a day, ac- cording to age, during the first three days of the disease, and again, at the beginning of the third week, for another three davs. IJ Infusi digitalis, f^as. Spiritus jetheris nitrosi, fjss. Potassii bitartratis, 3ij. Misce. Sig.: A teaspoonful in water every two or three hours. Indication: Used when urine is scanty. Hand-Book of Modem Treatment. 187 FEVER, TYPHOID. THE WAY TO SPONGE FEVER PATIENTS. The following prize-winning description of how to sponge a patient is quoted from the Hospital. When about to com- mence to sponge a fever patient the exact temperature of the body must first be noted. For tepid sponging the water pre- pared should be from 80° to 90° F. Eemove all personal cloth- ing from the patient and place blankets both under and over him. Place beside the bed all basins, sponges, and towels, or anything that may be required, as under no circumstances should a patient be left during an operation. Commence at the head and sponge downward, exposing only one limb at a time. When the whole body has been sponged the patient should be wrapped in a warm blanket and left undisturbed for an hour or even longer. The temperature may then be taken again to ascertain how much it has been reduced. The same precautions should be used in cold sponging as in tepid. It will, however, be found advisable to sponge each limb over with tepid water before apply- ing the cold, as it will then cause less shock to the patient. It is wise to keep a hot bottle at the patient's feet during sponging, as with the feet warm there is less fear of chill, and in the case of a fever patient there is always more or less danger of col- lapse. When the temperature has been reduced the body must be gently dried and a flannel nightgown put on. After a cold sponge the temperature may fall from 1 to 6 degrees; the colder the water the sooner the reaction takes place. Ammonia, cologne-water, or vinegar added to the water makes it more cooling by its rapid evaporation. Sponging can also be done by wringing towels out of cold water, dry enough not to drip, and placing them one after another from the neck downward. When the feet are reached, begin again at the head and renew each in succession, continuing as long as necessary. Absolute rest for the patient and bowels, obtained by with- holding food for several hours and by the free exhibition of opium, preferably in the hypodermic injections of morphine or the following: — 188 Hand-Book of Modern Treatment, IJ Acidi tannici, gr. x. Tinct. opii, m x. Spiritus terebinthinsB, mxv. Mucilaginis acacise, 3ij. Tinct. chloroformi comp., mxx. Aquae menthse piperita, q. s. ad 5j Misce. Sig. : Tablespoonful at one dose. Indication: Used in intestinal hsemorrhage. The following to prevent meteorism and aid in checking haemorrhage : — I^ Spiritus terebinthinse, 3ij. Spiritus setheris nitrosi, 3ij. Spiritus chloroformi, 3ij. Emulsii amygd., q. s. ad 5vj. Misce et fiat mistura. Sig. : Shake bottle and give tablespoonful at a dose every three to four hours as required. An ice-bag laid over right side of the abdomen; when haemorrhage is so profuse as to threaten life, ice-water enemata or a hypodermic injection of salt solution may be employed; in such cases 20 grains of chloride of calcium every few hours are of value. IJ Acidi sulphurici aromatic!, f3ij. Fluidextracti hflematoxyli, f3iij. Syrupi zingiberis, fjiij. Misce. Sig.: A tea spoonful in water every hour until relieved. Indication: Used when diarrhoea is trouble- some. IJ Spiritus glycerylis nitratis, m xxiv. Tinct. nucis vomicae, m Ixxij. Tinct. cardamomi comp., fjiij. Misce. Sig.: A teaspoonful three times a day after about the second week. Hand-Boole of Modem Treatment, 189 IJ Acidi hydrochloric! diluti, 3iv. Aquae, q. s. ad Svj. Misce. Sig. ; One teaspoonf ul three times daily. Indication: Used to aid digestion. I^ Bismuthi subnitratis, 3ij. Fiant chartulse no. xij. Sig.: One powder every three or four hours. Indication: Used to control diarrhoea. B Olei terebinthinsB, f3j. Olei olivse, f^iv. Emulsi asafoetidse, q. s. ad Oj. Misce. Sig. : Shake well and use as an injection. Indication: Used in excessive tympany. I^ Hydrarg. chloridi mitis, gr. j. Sodii bicarbonatis, gr. x. Misce et fiant chartulae no. vj. Sig. : One powder every fifteen minutes until one grain is taken, then followed with mag- nesium sulphate one-half ounce. .Indication: Used during initial stage of dis- ease to empty the intestine. IJ Urotropin, 3ij. Fiant chartulse no. xxiv. Sig.: One powder twice daily. Indication: Used to render urine sterile and act as an intestinal antiseptic. B Glycerini, Jviij. Aquae, Jviij. Misce. Sig.: Mouth is washed frequently with this, to which a little lemon juice may be added. B Hydrarg. chloridi corros., gr. j. Elix. calisaya, 5iij. Misce. Sig.: A teaspoonful four times a day. Indication: Useful after typhoid. 190 Hand-Book of Modern Treatment, James Billingslea stated that in one year he had treated in private and hospital practice 150 cases of typhoid fever, with acetozone, and the results had surpassed his expectations, not a single death having occurred. This special treatment con- sisted in dissolving 15 to 20 grains of acetozone powder — equal to 7^ or 10 grains of the benzoyl-acetyl-peroxide — in a quart of water and giving the patient this amount to drink in the twenty-four hours, both in water and in milk, diluting the milk : 1 part of acetozone solution to 3 parts of milk. The action of the drug would be materially aided by administering a mild saline laxative — say, sodium phosphate or magnesium sulphate — every other day. B Naphtholis, 31 j. Bismuthi subsalicylatis, 5ij. Misce et fiant chartulse no. xv. Sig. : One powder every hour as required. Indication: Useful for children when diar- rhoea is profuse. FEVEB, TYPHUS. IJ Antimonii et potassii tartratis, gr. iv. Tinct. opii, f^j. Aqase camphorse, fjviij. Misce. Sig.: A tablespoonful every two hours. Indication: Used in sleeplessness and ex- treme nervous excitement. IJ Guaiacoli, f3iv. Sig.: Ten to twenty drops in teaspoonful of sweet oil applied over abdomen. Indication: Used to reduce fever. B Extracti opii, gr. iv. Fiant pilulse no. viij. Sig.: One pill every three hours until quiet. Indication: For restlessness when no lung complication is present. IJ Acidi phosphorici diluti. Sig.: Twenty to thirty minims well diluted every four or six hours. Band-Book of Modem Treatment. 191 FEVER, YELLOW. T^ Hydrarg. chloridi mitis, gr. v. Sodii bicarbonatis, gr. x. Misce. Sig.: Place on the tongue. Indication: Used as initial purge. IJ Cocainse, gr. xxiv. Aquae, fjiij. Misce. Sig.: Teaspoonful every two hours. Indication: Used for vomiting. IJ Potassii iodidi, gr. ij. Liq. potassii arsenitis, gtt. ij. Misce. Sig.: One such dose every two or three hours. This should be given throughout the entire course of the disease, beginning with the second day. I^ Morphinffi sulphatis, gr. ij. Fiant chartulee no. xij. Sig.: Dissolve one powder in twelve minims of water and give hypodermically as needed. Indication: Used to control vomiting and relieve from restlessness. ^ Tinct. digitalis, Siij. Sig.: Five minims three times daily. Indication: Used to stimulate the circula- tory system. FISSURE OF ANUS AND NIPPLES. To relieve the pain and to promote healing the following may be used : — T^ lodoformi, 3j. Acidi carbolici, gr. xx. Petrolati, 5j- Misce. Sig.: Apply once daily. Indication: Used to relieve pain and pro- mote healing in anus. 192 Hand-Book of Modern Treatment T^ Sulphuris loti, 3vj. Fotassii bitartratis, 3ij. Pulv. sennffij 3j. Misce et iiant cachetse, no. xij. Sig. : One at night as a laxative. Indication: Used in anus. I( Bismuth! subnitratis, gr. x. Aristol, gr. ij. Pulv. opii, gr. ss. Olei theobrom., q. s. ad suppos. no. j. Misce. Sig.: Introduce one hour before bowels move. I^ Potassii bromidi, 3j. Glycerini, f3v. Misce. Sig.: Apply locally to cnus. IJ Phenol is (acidi carbolic! ), gr. xxiv. Aqua;, fjj. Misce. Sig.: Apply several times daily to the nip- ples. T^ Ichthyoli, 3ij. Glycerini, 3iij. Lanolini, 3v. Misce. Sig.: Apply freely after nursing and remove by thorough washing before the next morning. 3 Acidi tannici, 3j. lodiformi, 3j. Misce. Sig.: Batlie nipples after each nursing and cover with gauze moistened with a saturated solution of boric acid. IJ Argcnti nitratis, gr. x-xx. AquiE dostillata?, 5j« Misce. Sig.: Apply to fissure oiieo daily. Indication: Used to produce healing. Rand-Book of Modern Treatment, 193 FISTULS. IJ Formaldehydi (40 per cent, solution), fjj. Sig. : Five to ten drops in half pint of water, and inject into fistula once daily. IJ Argenti nit rat is, gr. xv. Aquae dest., f5j. Misce. Sig.: Inject a few drops into fistula once daily. Indication: Used to promote healing. IJ Phenolis (pure), gr. viij. Olei olivae (boiled), f|^j. Misce. Sig. : Apply on absorbent cotton. FLATULENCE. Tlie following has been useful in flatulency and gastric i'ermentation : — IJ Aquae chloroformi, f^viij. Sig. : Tablespoonful before and after meals. Used in chronic gastric catarrh: — IJ Sodii sulphocarb., gr. iv-viij. Syr. aurantii, m xl. Aquae menthae pip., q. s. ad 5j. ^lisce. Sig.: One teaspoonful three times a day for two days. Indication: Used in flatulence of children. IJ Ext. colocynth. comp., gr. Vs. Terebinthinae (Venice), gr. j. Pulveris aloes Roc, gr. iss. Ext. nucis vomicae, gr. Vi* Ext. hyoscyami, gr. j. ^fiaco et fiat pilula no. j. Sig.: One such pill twice daily. Indication: For constipation with flatu* lence. 13 194 Hand-Book of Modern Treatment, IJ Acidi salicylic!, gr. xxiv. Oleoresinse capsici, gtt. vj. Strychninse sulphatis, gr. ss. Ext. gentianse, gr. xxiv. Misce et fiant pilulse no. xxiv. Sig.: One after meals. IJ Pulv. zingiberis, 3ij. Pulv. acacise, 5ij. Sodii bicarb., 3ij. Bismuthi subnit., 5ij. Sacch. alb., 3ij. Misce. Sig.: Teaspoonful in water. Indication: Used in flatulency with gastro- intestinal catarrh. Flatulency is said to be relieved by l-grain doses of cam- phor given three times a day. IJ Olei terebinthinae, fjj. Olei olivse, fjiss. Camphorae, gr. xx. Mucilaginis acacise, f^ss. Aquae, fjx. Misce. Sig.: To be injected as an enema for the relief of tympanites and to aid in the removal of hardened faeces. Stir thoroughly before using. I^ Betanaphtholis,