Complete Text (Part 20)

the pressure on the tongue with the hope of further knowing the action of the palate-muscles, 248 Hand-Book of Modem Treatment, when, to his surprise, the hiccoughs ceased. After the doctor's departure the hiccoughs returned, and the patient applied the spoon-handle himself to the back of the tongue, and with both hands pushed down firmly. The hiccough again ceased. The hiccough appeared several times, later, and was always promptly stopped by the application of the spoon-handle. This is a very valuable suggestion, as it can be used by any- body, and might be the means of saving many lives. B Pilocarpinse hydrochlor., gr. ss. Aquae, 3j. Misce. Sig. ; Twenty to thirty drops hypodermic- ally and repeat if required to produce free sweating. Indication: Used in conjunction with hot pack in hiccough of uraemia. Noir reports a cure in a case of persistent hiccoughing by continuous traction of the tongue for one and one-half minutes. All other measures had failed to produce results. There was no recurrence. Q Sodii bicarbonatis, 3j. Tinct. nucis vomicae, f3j. Tinct. cardamomi, q. s. ad f^iij. Misce. Sig.: One teaspoonful before each meal. Indication: Useful when the hiccough is due to indigestion. I^ Spiritus aether is compositi, fSj. Sig.: One teaspoonful in cold water. IJ Tinct. capsici, 3iv. Sig. : Two to fifteen minims, well diluted, in water. Xoir reviews the various methods of treating obstinate hic- cough. He alludes to galvanization of the phrenic nerve, to the application of a faradic current to the epigastrium (Erb's method), to compression of the left phrenic nerve (Leloir's Hand-Book of Modem Treatment. 249 method), to the forcible elevation of the hyoid bone by the fingers (NothnageFs method), and finally to vigorous trac- tion of the tongue (Laborde^s method). He prefers the latter on account of its simplicity and efl&ciency. It has given excel- lent results in his hands. In a nervous girl, aged 6 years, who was completely exhausted by hiccough of over six hours^ dura- tion, traction of the tongue for a minute gave immediate relief. In a second case, a patient with advanced diabetes complicated with tuberculosis, hiccough which had already lasted several days and which had resisted all other remedial measures, promptly yielded to Laborde's treatment for about two minutes. HYDROCEPHALUS. IJ Potassii iodidi, 5j. Aquse, q. s. ad Jij. Misce. Sig.: Two drops three times daily. Indication: Useful in condition due to syph- ilis. IJ Syrupi ferri iodidi, 5j. Sig.: Two to three drops three times daily. Indication: Useful in the strumous type. HYDROPHOBIA. I^ Phenolis, 5j. Sig.: Incise freely and cauterize with this, and then apply alcohol. IJ Potassii permanganatis, gr. ij. Aquse dest., 5j. Misce. Sig.: Incise the wound, cauterize, and inject this solution around the wound. HYPERACroiTY. In patients who persistently complain of acidity of the ptomach, associated with great discomfort or real pain, it be- comes necessary to counteract the hyperacidity by the frequent 250 Hand-Book of Modern Treatment. administration of alkalies. Ewald has obtained marked success by combining rhubarb and sugar with the alkalies: — IJ Magnes. ust., gr. Ixxv. Sodii carbonat., gr. Ixxv. Potassil carbonat., gr. Ixxv. Pulv. rhei, gr. cl. Sacch. lactis, 3vij. Misce. Sig. : Take three to five grains dry, on the tongue, every hour. The mechanical difficulty some patients experience in tak- ing magnesia, bismuth, or charcoal in powder form is appre- ciated by E. M. Harbin, who recommends the following ser- viceable mixture in the treatment of hyperchlorhydria : — I^ Strontii bromidi, 3iss. Carbo ligni, 3j. Bismuthi subnit., 3iv. Lactis magnesifp, ^iij. Aquae menth. pip., q. s. ad Jvj. Misce. Sig.: Shake and take one tablespoonful one hour after meals. If an antiferment is indicated the mild chloride of mer- cury should be given in divided doses. IJ Sodii bicarbonatis, gr. viij. Hydratis magnesii, gr. xxix. Morphinse hydroehloratis, gr. Vw Sacchari lactis, gr. xv. Cretae preparitse, 3ij. Misce. Sig.: One dose. H Sodii bicarbonatis, gr. v. Spt. ammoniae aromat., m xx. AqujE menthae pip., q. s. ad f3j. Misce. Sig.: One teaspoonful three times daily. Hand-Book of Modem Treatment. 251 HTFERHIDROSIS. Wash the affected parts with spirits of camphor and apply the following: — B Ichthyoli, 3ij. Spts. terebinthinse, 3ij. Ung. zinci oxidi, 3iv. Misce et fiat unguentum. Sig.: Apply locally. In the shoes the following may be sprinkled: — Q Sinapis, 3j. Pulv. talci, 5iv. Misce. Sig. : To be dusted in the shoes and hose. 3 Balsami peruviani, gr. xv. Acidi formici, gr. xlv. Chloralis, gr. Ixxv. Alcoholis absoluti, q. s. ^iij Sig.: Rub into hands or feet. Baths of formalin or potassium permanganate will cause the foetid odor to disappear rapidly. The former may be used as follows: — B Formalin, 3j. Aquse, Oij. Misce. Sig. : To be used as a bath locally. I( Potassii permanganatis, 3iiss. Aquae, 5x. Misce. Sig.: One dessertspoonful to a quart of water for a local sponge bath. Brocq recommends the following combination: — IJ Betanaphtholis, 3j. Glycerini, 3ij. Alcoholis, ^iiss. Misce. Sig. : To be used locally, followed by a pow- der of salt, starch, bismuth subnitrate, or the following: — 252 Band-Book of Modern Treatment. IJ Acidi salicylici, gr. xlv. Pulv. amyli, Siiss. Pulv. talci, 3vss. Misce. Sig. : Apply locally as a dusting powder. B Acidi salicylici, gr. xlv. Pulv. amyli, Svss. Betanaphtholis, 3iiss. Sodii boratis, 5iiss. Pulv. sodii chloridi, Sivss. Misce. Sig.: Apply locally. Once in eight days a few drops of the following combination may be dropped between the toes: — B Plumbi oxidi rubri, gr. xv. Sol. plumbi subacetatis, 3vij. Misce. Sig.: Apply locally between the toes once every eight days. HYPNOTICS. Eapiteaii has observed that the combination of trional and paraldeliyde gives a new hypnotic which is four or five times more active than trional alone, and which may be employed for a great length of time without the fear of foniiing a habit or of cumulative eifects. He recommends its administration ac- cording to the following formuhv: — First make a normal solution of the two drugs as follows: — R Trional. gr. xv. Paraldehyde, gr. xxx. Oloi amygdalis diilcis. fjsx. "Mix the trional and paraldehyde, then add the oil. and obtain a solution in a water-bath. Hand-Book of Modern Treatment, 253 As a draught: — I^ Sol. trional et paraldehyde (normal), f^iss. Mucilaginis, fjiij. Syr. pruni Virginianae, f^ss. Misce. Sig. : One tablespoonf ul at bed time in cases of insomnia. Each tablespoonf ul* of the foregoing will contain 5 grains of trional and 10 grains of paraldehyde. The following is serviceable, to be given per rectum : — B Sol. trional et paraldehyde, fSii-iv. Ovi vitelli uni. Laetis, 5ivss. Misce. Sig.: At one injection for an adult. In the form of a suppository: — B Trional, gr. iij. Paraldehydi, gr. vj. Olei theobromae, f3j. Misce et fiat suppositorium no. j. Sig.: To be given at night for an adult. For a child these preparations may be given in the follow- ing proportions: — B Trional, gr. %. Paraldehydi, gr. is3. Olei theobromae, m x. Misce et fiat suppositorium no. j. Sig.: At bed time. To be given in a capsule either to children or adults in the proper-sized doses, the following form of administration is rec- ommended : — 254 Hand-Book of Modern Treatment, IJ Trional, gr. %. Paraldehydi, gi*. iss. Olei amygdalis dulcis, m x. Misce et fiat capsula no. j. Sig. : One capsule three to six times a day. Dr. W. M. Donald describes his experience with chloretone, according to which this new drug is one of the most reliable and safe hypnotics known at present. He reports one case in which the patient surreptitiously took chloretone within a very brief period to the extent of 120 grains. . In consequence he slept almost continuously, with only brief lucid intervals, for six days, and with no visible bad or untoward effects, except that the stomach was somewhat irritable, which, however, may be ascribable rather to the fasting than the drug. HYSTERIA. Q Elixiris ferri, quininse et strychninse phos- phatis, Siv. Sig.: One teaspoonful three times daily. Indication: Useful in hysteria accompanied with anaemia. I^ Quininse valerianitis, gr. xx. Ferri valerianitis, gr. xx. Ammon. valerianitis, gr. xx. Misce et fiant pilulse no. xx. Sig.: One or two three times a day. Indication: Useful in nervous hysteria and when associated with ansemia. I^ Camphorse monobromatse, 3ij. ^iant pilulae no. xxx. Sig.: One pill three times daily. T^ Spiritus setheris compositi, Jij. Sig.: One teaspoonful at bed time to pro- duce sleep. I^ Extract! ovarianse, 3ij. Fiant tabellse no. xxx. Sig.: One tablet daily until some effect is secured. Hand-Book of Modern Treatment. 255 « -.■ ICHTHYOSIS. H Chrysarobin, gr. xv. Ung. petrolati, ^j* Misce. Sig. : Wash with hot water and green soap and apply once daily. IJ Ung. hydrarg. nitr., 3iv. Ung. sulphuris, 3iv. Misce. Sig.: Wash with hot water and apply and rub in well. IJ Acidi salicylici, gr. xl. Glycerini, mxl. Adipis lansB hydrosi, 3iv. Lardi benzoaci, 3vj. Petrolati, 3vj. Misce. Sig.: Wash parts with green soap and hot water, and then apply this. IJ Ung. ichthyolis (10 per cent.), ^ij. Sig.: Apply locally once daily. IJ Ung. sulphuris, Jij. Sig.: Apply locally once daily. IMPETIOO. IJ Acidi salicylici, gr. xv. Bismuthi subnitrat., 3y. Pulv. amyli, 3ij. Ung. aquse rosse, Jiss. Misce. Sig.: External use. Indication: Useful for face and scalp in nursing children. If the impetigo is of the dry, squamous variety, use above ointment by inunction, frequently repeated. If moist, apply a thick coat of the ointment on gauze. Pruritus and congestion will rapidly diminish while the new, healthy epidermis forms under the ointment-crust. 256 Hand-Book of Modem Treatment, B Hydrarg. oxidi flavi, gr. xlv. Zinci oxidi, Ixxv. Amyli, gr. Ixxv. Adipis lanae hydrosi, gr. Ixxv. Petrolati, Siiss. Misce. Sig. : Used locally as required. I( Acidi salicylatis, gr. xx. Acidi carbolici, gr. xij. Ung. hydrarg. ammon., 3ij. Ung. zinci oxidi, q. s. ad 5j- Misce. Sig.: Crusts should be removed with warm water and soap, and then this thoroughly rubbed in three times daily. IMPETIGO CONTAGIOSA BULLOSA. When the disease is distributed over a large area and there is much crusting, a bland oil, such as Carron oil, liquid albolene, or sweet oil, to which is added 2 per cent, of salicylic acid, should be used. This is rubbed well over the surface, the bullae are opened, the crusts are gently detached, then the following pow- der is plentifully dusted on: — 3 Acidi salicylici, gr. xx-5ss. Acidi borici, 3ij. Zinci oxidi, 3ij. Amyli, 3ij. Misce. Baths are contraindicated. Ointments also seem irritating. A drying, mildly-antiseptic, soothing dusting-powder, with a bland oil to soften the crusts and prevent the clumping of the powder when mixed with the serous oozing and contents of the bulla?, has been, with me, the most successful method of treat- ment. IJ Acidi borici saturated solution, ^ij- Phenol is, gr. x. RcKorcini, gr. x. Misce. Sig. : Apply two or three times daily. Indication: Useful when accompanied with itching. Hand-Book of Modem Treatment. 257 IMPOTENCE. I^ Extract! cannabis Indicse, gr. xv. Extract! nuc!s vomicae, gr. xv. Extract! ergotse aquosi, 3j. Misce et fiant pilulse no. xxx. Sig. : One pill morning and evening. IJ Tinct. phosphor!, fjiss. Tinct. cantharidis, Siiiss. Elixiris simplicis, q. s. ad f^v. Misce. Sig.: One teaspoonful three or four hours before retiring. Increase the dose carefully. IJ Phosphor!, gr. j. Alcoholis absoluti, f^v. Glycerin!, f^iss. Alcoholis, f3ij. Spt. menthse pip., fSj. Misce. Sig.: One-half teaspoonful three times daily. IJ Caniphora;, gr. xxiv. QuininsG hydrochloratis, gr. xxiv. Extract! nucis vomicae, gr. xij. Tinct. cantharidis, mxxiv. Oleoresinae capsici, gr. iv. Misce et fiant pilulae no. xxiv. Sig.: One pill after meals. Indication: Useful in debilitated subjects. INGONTINENGE OF URINE. RETRORECTAL SALINE INJECTIONS. All the ordinary methods of treatment failing to give relief, Patel injected 200 grammes of the solution into the retrorectal space of a female patient of 25. The following night there was no incontinence; there was, however, on the second night, and a second injection was made. The incontinence disappeared en- tirely, with no recurrence within six months. After the first injection in a second female patient of 20, the incontinence dis- 17 258 Hand-BooJc of Modem Treatment. appeared for three days ; after the second injection for six days. The third injection (200 grammes) was followed by thirty days' continence; after the fourth injection (200 grammes) there was no recurrence. The needle of the s}Tinge is introduced at the tip of the coccyx, or to one side of it, and is passed vertically upward. A finger in the rectum guides the needle as it is passed in, and pre- vents perforation of the rectal wall. The fluid is slowly intro- duced. Xo anaesthetic is required. I^ Sodii benzoatis, gr. xx. Sodii salicylatis, gr. xx. Fluidextracti belladonna, gtt. ij. Aqua cinnamomi, f^iv. Misce. Sig.: A teaspoonful four or five times daily. Indication: Nocturnal incontinence of urine. B PotasBii citratis, 3ij. Spt. atheris nitrosi, fSij. Aqua dest., q. s. ad f^iij. Misce. Sig.: A dessertspoonful every four hours in water. Indication: When urine is concentrated. IJ Syrupi ferri iodidi, fjss. Sig.: Fifteen to twenty drops, well diluted, three times daily. B Atropina sulphatis, gr. j. Aqua destillata, fSj. Misce. Sig.: Four to eight drops in water for chil- dren. IJ Spt. atheris nitrosi, fSvj. Syrupi, f3iv. Liq. potass!! citratis, f^viij. ^riftce. Sif^. : Tablespoonful in water every two hours. HanU'Book of Modern Treatment, 259 I^ Arseni trioxidi, gr. V». Ext. nucis vomicae, gr. ij. Misce et fiant pilulse no. xx. Sig. : One pill three times daily after meals for children of eight or ten years. 3 Chloralis, gr. xvj. Potassii broraidi, gr. xxiv. Syrupi acacise, fSij. Aquae, q. s. ad Jj. Misce. Sig.: A tea spoonful in water at bed time. Indication: Used for a child of five or ten years of age with nocturnal incontinence. IJ Tinct. belladonnaj, fSJ. Sig.: Ten to twenty drops thrice daily. IJ Acidi benzoici, 3ij. Aquse cinnamomi, f^vj. Sig.: A tablespoonful thrice daily. IJ Syrupi ferri iodidi^ f^ss. Sig.: Fifteen drops well diluted three times daily. IJ Tinct. cantharidis, fSiij. Sig.: One to two minims three times daily. Indication: Useful for aged women when in- continence occurs when coughing, sneezing, or laughing. IJ Fluidextracti rhois aroma ticse, f3ij. Sig. : Five minims at two years, ten at four to six, and fifteen to older children, in sweet- ened water. INFLUENZA. IJ Potassii bromidi, gr. iij. Codeinse, gr. Ve- Antipyrini, gr. ivss. Morphin» hydrochlor., gr. Vs* Misce et fiat capsula no. j. Sig.: One such to be taken two or three times daily. Indication: Useful to control cough. 2()0 Hand-Book of Modern Treatment. 3 Quiniiue salicylatis, gr. xxxvj. Acetanilidi, gr. xxiv. Pulv. camphorae, gr. iv. Pulv. capsici, gr. ij. Pulv. ext. belladonnae, gr ij. Mince et fiant capsulae no. xij. Sig. : One every three hours if necessary. Indication: Useful to ameliorate the ca* tarrhal symptoms. 3 Heroin, gr. %. Ammon. chloridi, 3j. Syr. picis liq., 5j. Syr. tolutani, 5j. Syr. pruni virginianae, Jss. Misce. Sig.: Two teaspoonfuls every three or four hours. I^ Pulv. camphorae, gr. xij. Ammon. carbonatis, gr. xv. Pulv. opii et ipecacuanhas, gr. xx. Quininae bisulphatis, gr. xxj. Misce et fiant capsulae no. xv. Sig.: One every two hours. IJ Potassii carbonatis, Jss. Tinct. belladonnae, Jss. Aquae camph., q. s. ad Jiv. Misce. Sig.: Apply to inflamed parts every hour. Indication: Useful for the muscular and joint pains of this condition. IJ Salicini, 3ij. Quininae hydrochlor., gr. xxiv. Mi ace ot pone in capsulas no. xxiv. Sig.: One capsule every five hours. Indication: To relieve pain in limbs and joints. IJ Strychninaj sulphatis, gr. j. Fiant tabellae no. xxx. Sig.: One tablet three times daily. Indication: l^seful in convalescence. Hand-Book of Modern Treatment. 261 3 Pulv. opii et ipecacuanhse, gr. Ix. Sig. : Two grains every three hours during early stages of the disease. I^ Sodii benzoatis, gr. iss. Salol, gr. iss. Aeetanilidi, gr. iss. Caffeinse, gr. %. Misee et fiat char tula no. j. Sig.: One powder every three hours to a child six years old, or, if the pain is "severe and the child is kept awake, add V12 grain of codeine sulphate to each powder. Where children refuse to take powders, prescribe the fol- lowing mixture, again adding codeine if necessary: — I( Sodii benzoat., 3ss. Antipyrin., 3ss. Liquor ammon. anisat., 3ij. Syr. scillse comp., 3ij. Syr. althaeae, fjss. Aquse anisi, q. s. ad fSij. Misce. Sig.: One drachm every three hours to a child six years old. INGBOWma TOENAIL. I^ Liquoris potassae, fSij. Aquae destillatae, fSj. Misce. Sig.: Apply with pledgets of cotton wool to margin of nail at point of ulceration. I^ Pulv. plumbi acetatis, 3j. Tinct. opii, f^j. Aquae, q. s. ad fSviij. Misce. Sig.: Shake and apply constantly until in- flammation is reduced and pain alleviated. 262 Band-Book of Modern Treatment. INSOMNIA. Q Morphinse sulph., gr. j. Fiant chartulae no. vj. iSig. : One powder dissolved in ten minims of water and given hypodermically at bed- time. Indication: Used for insomnia of sthenic fevers, exhausting disease, and heart disease. I^ Sodii bromidi, gr. xv. Chloralis hydratis, gr. xv. Tinet. hyoscyami, ni xv. Misce. Sig. : Take at one dose and repeat in one hour if necessary. Indication: Insomnia of acute alcoholism. I^ Chloral formamidi, gr. xl. Acidi hvdrochlor. diluti, mv. Syrupi, f3ij. Aquse destillatse, f^ij. Misce. Sig.: Take in two doses four hours apart in a little water. I^ Trionalis, gr. xv. Codeinffi, gr. ss. Misce. Sig.: Take on retiring. I^ Trionalis, gr. xv. Phenacetini, gr. x. Misce. Sig.: Take on retiring and follow either of the last two with a glass of hot milk. I^ Morphinse sulph., gr. ij. Chloralis hydratis, 3ij. Syrupi, fjij. Aquflp, q. 8. ad fSiv. Mi«ce. Sig.: One dessertspoonful at night. Hand-Book of Mode^'n Treatment. 263 IJ Tinct. lobelise, 3iv. Morphinse sulph., gr. Vs* Elixiris simplicis^ q. s. ad ^ij* Misce. Sig.: One teaspoonful at night