or during the attack; and repeat in two hours if neces- sary. Indication: Insomnia of asthma. Q Sodii bicarb., 5iss. Spt. ammon. aromat., 3v. Ammonii bromidi, Siss. Tinct. card, comp., 5j» Aquae menthse pip., q. s. ad ^iv, Misce. Sig.: One dessertspoonful at bedtime and repeat in one hour if necessary. 3 Ammon. bromidi, 3iij. Tinct. humuli, 3vj. Aquae camphorse, q. s. tfd Siij> Misce. Sig.: One dessertspoonful in water at bed- time. Indication: Insomnia during climacteric. I^ Sulphonalis, gr. xxx. Syrupi, f3ij. Mucilaginis acacise, f3ij. Aquae destillatse, q. s. ad f^j. Misce. Sig.: From half to all of this at one dos^ as may be needed. IJ Tinct. hyoscyami fjij. Sig.: From one to four teaspoonfuls when opium is not well borne. IJ Hyoscinae hydrobromatis, gr. %. Camphorse monobromatae, 3j. Misce et fiant capaulae no. xv. Sig.: One capsule at bedtime and repeat in six hours if necessary. Indication: Used to induce sleep in mel- ancholia, neurasthenia, and mania. 264 Band-Book of Modern Treatment. IJ Urethani, 5ss. Aquae aurantii flor., f^ij. Misce. Sig. : One to four teaspoonfuls at bedtime. Indication: In nervous cases not bearing opiates. IJ Morphinse sulphatis, gr. j. Fluidextracti Valerianae, f^j. Elixiris humuli, fjj. Misce. Sig.: One or two teaspoonfuls as required. Indication: In insomnia of delirium tre- mens. INTERMITTENT FEVER.— See Fever. INTERTRIGO.— See Skin Disease. I^ Calaminae, 3j. Ung. zinci oxidi, Svij. Misce. Sig.: Apply to eczematous spot. Indication: Useful in infantile forms. IJ Lycopodii, 3v. Sig.: Used freely several times daily as a dusting powder. IJ Amyli, 5ss. Sig.: Used freely as a dusting powder. ^, Pulv. zinci oxidi, 5j- Sig.: Apply freely to parts affected. IJ Pulv. acidi salicylici, gr. xv. Pulv. zinci oxidi, Siij. Pulv. amyli, Siij. Vaselini, 3vj. Misce et unguentum. Sig.: Apply locally and cover with cotton after rubbing in. Indication: Useful in squamous eczema and infantile intertrigo. Hand-Book of Modern Treatment, 265 IJ Ung. aquse rosae, Sss. Sig.: Apply freely several times daily. INTESTINAL CATARRH.— See Diarrhoea, Enteritis, Etc. INTUSSUSCEPTION. IJ Hydrogenii. Sig.: Inject slowly into the bowel from rubber bag with rectal tube. Patient should be under anaesthetic, and buttocks raised and head lowered while the injection is being made. Used during first or second day; never later than fourth day. IJ Fellis bovini, gr. x-xxx. Aquae ferventis, Oi-iv. Misce. Sig.: Inject slowly into the bowel until it is fully distended. Use in knee-chest position. IJ Ext. opii, gr. iij. Ext. belladonnae, gr. iij. Olei theobromae, q. s. Misce et fiant supposit. no. xij. Sig.: At first one of these suppositories can be introduced every two hours, and later as necessary to relieve pain and tenesmus; and food only as much as necessary to sustain life. miTis. IJ Atropinae sulphatis, gr. j. Cocainae hydrochlor., gr. iv. Adrenalin (1-1000), mxxx. Aquae, q. s. ad Siiss. Misce. Sig.: One drop in eyes every three hours. Indication: Used when the inflammation is very acute. 266 HandrBook of Modem Treatment. IJ Ung. hydrargjTi, Siiss. Ext. belladonnae, gr. xv. Misce. Sig.: Rub over eyebrow. Indication: To relieve severe pains. Pain may be relieved by leeches to the temple and use of drj' heat externally, or hot fomentations. IJ Scopolaminae, gr. ss. Aquae destillatae, f5j. Misce. Sig.: One drop in eye morning and night. Indication: Used in cases where atropine causes irritation. Ije Duboisiae sulphatis, gr. j. Aquae destillatae, fSj. Misce. Sig.: One drop into eye once or twice daily. IJ Ung. hydrargyri, Jij. Sig.: One drachm as an inunction at night. Indication: Used in plastic iritis, and when gums are touched discontinue. IJ Quininae sulphatis, gr. ij. Hydrargyri iodidi flavi, gr. ^-%. Ext. hyoscyami, gr. %. Misce et fiat pilula no. j. Sig.: One pill three to six times daily. Indication: Syphilitic plastic iritis. "^ Hydrargyri chlor. corros., gr. j. Potassii iodidi, 3j. Tinct. calumbae, f5ij. Aquae destillatae, q. s. ad fjvj. MiHce. Sig.: Dessertspoonful in a glass of water two or three times daily. I^ Atropinae sulphatis, gr. iv. Aquae destillatae, f5j. ^lisce. Sig.: One drop in eye two or three times daily, and bathing fifteen minutes every hour till pain is relieved. Hand-Book of Modern Treatment. 267 ITCH.— See Scabies. JAUNDICE.— See Biliousness, Catarrh, and Calculi. I^ Mentholis, gr. Ixxx. Zinci oxidi, gr. Ixxx. Amyli, gj. Talci, 5j. Misce. Sig. : Dust on freely. Indication: Used as a dusting powder for the itching of jaundice. IJ Ammon. chloridi, gr. j. Syrupus acacise, 5ss. Misce. Sig.: A teaspoonful every two hours. Indication: Jaundice in the new-born. IJ Hydrargyri chloridi mitis, gr. ij. Sodii bicarbonatis, 3ij. Misce et fiant chartulse no. xij. Sig.: One powder every half-hour, and fol- low with a laxative. Indication: Useful in catarrhal jaundice with constipation. I]6 Phenolis, gr. xj. Glycerini, Sj- Aquae, Sj. Misce. Sig.: Apply locally to affected parts. "^ Sodii phosphatis, ^\v. Sig.: Dessertspoonful in hot water three times daily before meals. Ije Saloli, 5ss. Fiant chartulae no. xlviij. Sig.: One powder six times daily or two before meals. Indication: Useful in jaundice with intes- tinal catarrh and flatulency. 268 Hand-Book of Modern Treatment. I^ Fellis bovis purificata, 3j. Manganesii sulphatis exsiccati, gr. xl. Ke-sinse podophylli, gr. v. Mlsce et fiant pilulae no. xx. Sig.: One pill three times daily. Indication: Catarrhal jaundice. ^ Ammon. iodidi, 3j. Liq. potassii arsenitis, f5s8. Tinct. calumbae, f^ss. Aquae destillatae, f^iss. Misce. Sig.: A teaspoonful three times a day be- fore meals. ^ Fluidextracti hydrastis, fSj. Sig.: Five to fifteen drops before meals daily for some weeks. I^ Ammon. chloridi, Siij. Fluidextracti hydrastis, f^ss. Syr. sarsaparillse comp., f^iss. Aquae destillatae, q. s. ad ^iv. Misce. Sig.: A dessertspoonful every three hours. JOmr, INFLAMED.— See Synovitis. KELOIDS. I^ Ichthyoli, ^ss. Adipis lanse hydrosi, q. s. ad Sj- !Misce. Sig.: Apply freely to soften and absorb. R Thiosinaminae, gr. xij. Alcoholis (absolute), q. s. ad 3ij. Misco. Sif?. : Tnjoct ton to fifteen minims directly into tlie part afl'ected every fourth day. Hand-Book of Modem Treatment. 269 KERATITIS, INTEBSTITIAL. IJ Ung. hydrarg., 3j. Sig.: One drachm used by inunction by night. Indication: In earlier stages until slight tenderness of gums. IJ Atropinse sulphatis, gr. j. Aquae destillatse, 3iij. Misce. Sig.: One drop in eye morning and night. Indication: To reduce irritation. May be combined with a weak solution of boric acid. R Hydrarg. oxidi flavi, gr. ij. Lanolini, 3j. Petrolati albi, 3j. Misce. Sig.: Small portion between lids, and upper lid gently rubbed over, cornea for several min- utes. Indication: To hasten absorption of opaci- ties. Only indicated when all inflammation of disease has subsided. IJ Syr. ferri iodidi, 5j. Sig.: Ten drops in water after meals, in- creased gradually to twenty or thirty drops. EEBATITIS, PHLYGTENULAS. IJ Syrupi ferri iodidi, fSvij. Liquor is potassii arsenitis, f3j. Misce. Sig.: Three to ten drops internally after meals. Indication: Tonic for strumous children. IJ AtropinsB sulphatis, gr. iv. Aquae destillatae, J^j. Misce. Sig.: One drop in the eye morning and night until pain ceases. 270 Band-Book ofModern Treatment. KERATITIS, ULCERATIVE. IJ Atropinse sulphatis, gr. j. Aquae destillatae, 3iij. Misce. Sig. One drop in the eye morning and even- ing. IJ Physostigminse sulphatis, gr. %, Aquae, destillatae, f^j. Misce. Sig.: One drop in the eye three times daily. Indication: Beneficial effect on the cornea. IJ Pulv. iodoformi, 3iv. Sig.: Dust on the cornea. R Phenolis, gr. xl. Aquae, f^viij. Fiat collyrium. Sig.: Any trace of ulceration on cornea is scraped, and cornea, lids, and conjunctiva are washed with the above solution. IJ Tinct. iodi, 3ij. Sig.: Apply to sides and floor of the ulcer and then inject into the conjunctival sac a few drops of olive oil to prevent irritation from the contact of thf iodine with healthy mucous membrane. E0X7MISS, PREPARATION OF. Once in a while it is advisable to make koumiss, on which occasions the following method of preparation as given by H. V. Sachse, in "How to Cook for the Sick/' is the best: — Heat 2 quarts of milk to 100° F., or pasteurize and cool to 100° F. Dissolve ^/g yeast-cake in 2 tablespoonfuls of the milk, boil 2 tablespoonfuls of sugar with 3 tablespoonfuls of cold water, mix all together and bottle at once. Cork firmly and stand in a warm (70°F.) place over night. !N'ext morning lay the bottles carefully on their sides in a cool place for twenty- four hours. Open with a tap, or use ordinary beer-bottles. Hand-Book of Modern Treatment. 271 LABOR. I( Chloralis hydratis, Siiss. Sodii bromidi, Siiss. Ammon. bromidi, Siiss. Syrupi simp., %ss. Aquae destillatse, q. s. ad 5ij» Misce. Sig. : One teaspoonful every hour until three doses are taken. Indication: A sedative in the first stage of labor. IJ Lactis, fSj. AqusB, fSj. Chloralis, gr. xxx. Misce. Sig.: This may be given in first stage of labor to lessen pain, and as the head passes vulva the patient is given sufl&cient chloroform to dull the sensibility. Indication: Used as an injection to lessen later pain. FALSE LABOR-PAINS. Dr. Bennett, of Chicago, gives 15 grains of chloral-hydrate in solution in those cases of labor where there is a severe, irri- tating pain without progress of great labor or with rigid os uteri. This dose often corrects the whole train of symptoms. Dr. Archangelsky says that for several reasons the external application of chloroform to the abdomen in severe and irregular labor-pains is superior to chloroform anaesthesia. He employs a mixture of 1 part of chloroform to 2 or 3 parts of olive-oil, rubs it in well on the abdomen, and then applies a warm compress. In a very short time the pain is relieved, the contractions be- come regular and more effective. Its advantages over chloroform anaesthesia are: The patient remains fully conscious, the pulse and the respiration remain good, there is no nausea, vomiting, or uterine atony. 272 Han^B(/ok of Modem Treatment. I^ Morphinae eulphatis, gr. ij. AqusB destillatae, 3j. MiBce. Sig.: Five to ten minims hypodermically, repeated if necessary. Indication: Useful in protracted labor due to rigid OS. IJ Vini opii, gtt. xl. Sig.: Inject with a little starch water, in two or three doses, in the course of a couple of hours. Indication: To prevent premature labor. IJ Fluidextracti kolse, f^ss. Sig.: One-half teaspoonful in water every hour. Indication: Useful in protracted labor. IJ Quininae sulphatis, gr. xl. Acidi sulph. aromat., q. s. ut ft. sol. Syrupi zingiber is, f^j. Aquae, q. s. ad f^ij. Misce. Sig.: A tablespoonful at once and a des- sertspoonful every four hours afterward. Indication: Useful in atony of the uterus. IJ Fluidextracti ergotae, fjss. Sig.: One or two teaspoonfuls. Indication: Used in post-partum haemor- rhage. Never to be administered before deliv- ery. LARYNGISMUS STRmULUS (SPASMODIC GROUP). IJ Zinci valeriant., gr. Ve- AHJifa'tidae, gr. "/«• ]*ulv. gcntianae, Ext. gentianae, of each, q. s. Misce et liat pilula no. j. Sig. : One such pill morning and evening. Indication: Useful in spasms of the larynx. Hand-Book of Modern TreatmenU 273 1^ Chlorofarmij mx. Glycerini, f5j, Syrupi Tolutani, f3v. Aquae, f^ij. Misce. Sig. : To be taken at the time of outset in doses of one teaspoonful every one-half-hour. IJ Potassii bromidi, 3ij. Chloralis hydratis, Sss. Syr. Tolutani, f^ss. Aquae destillatse, fSiss. Misce. Sig.; A teaspoonful every half-hour. IJ Thymoli, gr. xx. Alcoholis, f^ij. Misce. Sig. : Evaporate a tablespoonful in the room every hour. Indication: Used to relieve larj^ngeal spasm. IJ Syrupi ipecacuanhae, fSj. Sig.: A teaspoonful every fifteen minutes imtil emesis. IJ Chloroformi, f^j. Sig.: A few drops inhaled from a handker- chief. IJ Ferri citratis, 3ij. Aquae aurantii flor., f^vss. Syrupi simplicis, fSiv. Misce. Sig. : A teaspoonful to a tablespoonful thrice daily between paroxysms. Indication: Useful for the anaemic condi- tion. LABYNOmS. R Olei succini, Siss. Olei olivae, q. s. ad 5vj. Misce. Sig.: Rubbed well into parts affected. 18 274 Hand-Book of Modern Treatment, H, Sodii benzoatis, 3ss. Tinct. aconiti, m x. Aquse laurocerasi, 5ss. Syrupi Tolutani, 5j. Syrupi codeinae, 5j- Aquse destillatae, ^j. Misce. Sig. : To be taken in divided doses in the twenty-four hours. Indication: Useful in acute attacks of laryngitis and bronchitis. R Tinct. aconiti, m xl or Ixxx. Sodii bromidi, 3ij. Syr. lactucarii, f^j. Aquse destillatse, q. s. ad fjiij- Misce. Sig.: Dessertspoonful every hour until six or eight doses are taken. IJ Thymoli, gr. xv. Eucalyptol, gr. xx. Creosoti, 3ij. Olei gaultherise, 3j. Olei pini sylvestris, 3v. Misce. Sig.: Take five or six drops four or five times daily. Indication: Chronic laryngitis. I^ Acidi muriat. diluti, f3j. Aluminis, 3iss. Mellis, fSj. Aquse, f^v. Misce. Sig.: Gargle every four hours. Indication: Useful for chronic form in children. T^, Tinct. aconiti radicis, mxxx. Syrupi limonis, f^ss. Liq. ammonii acetatis, fjij. Misce. Sig.: A dessertspoonful every three hours. Indication: Useful in acute form. Hand-Book of Modern Treatment, 276 I^ Menthol, gr. xc. Olei pini sylvestris, fSj. Olei eucalypti, fSj. Tinct. benzoini, f3j. Tinct. Tolutani, f3j. Misce. Sig.: Inhale from a steam kettle or vapor- izer. I^ Potassii permanganatis, gr. ij. Aquffi destillatse, fSij. Misce. Sig.: Use with atomizer several times daily. Indication: Useful in fetid variety of chronic laryngitis. IJ Menthol, gr. iij. Albolense, fSj. Misce. Sig.: Use as a spray. IJ Potassii iodidi, 3iv. Hydrarg. chloridi corrosivi, gr. j. Syrupi sarsaparillse compositi, f^ij. Aquae, q. s. ad f^vj. Misce. Sig.: Dessertspoonful three times daily. Indication: Used in syphilitic lar}nigitis. LEAD-POISONma IJ Strychninse sulphatis, gr. j. Confectionis rosse, 3ss. Misce et fiant pilulse no. xx. Sig.: One pill three times daily. Indication: Lead palsy. IJ Magnesii sulphatis, 5j- Acidi sulphurici diluli, f3j. Aquae, f^xy Misce. Sig.: A tablespoonful three times daily pre- ceded by five to ten grains of potassium iodide. 276 Band-Book of Modern Treatment. IJ Acidi sulphurici, f3j. Syrupi a(adi citrici, fjiv. Sacchari albi, jiv. Aquae, f^xxx. Misce. Sig. : To be taken in small cupfuls twice or thrice daily. Indication : Used as a preventive. IJ Potassii iodidi, Sj. AqufiB destillatse, fSiij. Misce. Sig. : A teaspoonful three times daily. Indication: Useful in chronic form. LENTIOO AND CHLOASMA. I^ Hydrarg. chlor. corrosivi, gr. iij. Acidi hydrochlor. diluti, 3j. Alcohol is, 5j- Glycerin i, Ssa. AqusB, q. s. ad Jiv. Sig.: Apply at bedtime and remove with sugar water in the morning. IJ Hydrarg. chlor. corrosivi, gr. vj. Acidi acetici diluti, 3ij. Boracis, gr. xl. Aquae rosce, q. s. ad Siv. Misce. Sig.: Apply twice daily. IJ Acidi citrici, 3ij. Ferri sulphatis puri, gr. xviij. Camphorae, q. s. Aquae flor. sambuc, Siij« Misce. Sig.: The camphor is placed in the bottle in a lump, undissolved, and used freely. IJ Hydroquinone, gr. xlviij. Acidi phos. glac, gr. xxx. Glyeerini, 3ij. Aquffi destillatse, 5vj. !Misco. Sig. : Apply to face. Band-Book of Modern Treatment, 277 IJ Hydrarg. chlor. corrosivi, gr. xij. Acidi hydrochlor. diluti, fSiij. Tinct. amygd. diluti, fSiss. Glycerini, fSj. Tinct. benzoini, fSij. Aquae flori aurantii, q. s. Misce by dissolving the corrosive sublimate in three ounces of the orange flower water, add the HCl and set aside. Blanche the bit- ter almonds, and bruise them in a mortar, add- ing the glycerine and using the pestle vigor- ously. Then add nine ounces of orange flower water, stirring constantly until a creamy emul- sion is the result. Subject this to a violent agitation and allow the tincture of benzoin to fall into it drop by drop. Then add the mer- curial solution, filter, and make up the whole to the measure of one pint with more orange flower water. Sig. : With a fine sponge apply twice daily, and after awhile diminish frequency. Indication: Useful as an anti-freckle lotion. I^ Bismuthi subnitratis, 3ij. Ung. simpL, Sij- » Misce. Sig.: Apply to the skin at night to remove freckles and remove in the morning with a little cold cream previous to washing. I^ Bismuthi oxidi, 3iv. Zinci oxidi, 3iv. Glycerini, fjiv. Aquae rosae, q. s. ad f^viij. Misce. Sig.: Shake well, bathe and dry the face, and apply with soft cloth twice daily. Indication: Used in chloasma of pregnancy. LEUGOGYTRSSMIA. B Extracti glandulae suprarenal is, 3ij. Pone in capsulas no. xxiv. Sig.: One capsule two hours after each meal. 278 Hand-Book of Modern Treatment. I^ Acidi nitro-muriatici diluti, fBj. Sig. : Ten to twenty drops in a wineglass- ful of water thrice daily. I^ Liq. potassii arsenitis, f5j. Sig.: One drop in water after meals and increase until physiological limit is reached, then reduce one-half and continue for a long period of time. IJ Acidi arsenosi, gr. ij. Quininse hydrochloratis, gr. xlviij. Massse ferri carbonatis, 5iij. Misce et fiant pilulse no. Ixviij. Sig.: One pill after meals. LEUGORRHCEA. If the discharge is watery the following formula will supply a valuable suppository for leucorrhoea: — IJ Hydrastininse hydrochloratis, gr. xij. Zinci boratis, gr. xij. Extracti belladonnse, gr. iij. Boroglycerini, 3iv. Misce et fiant suppositoria no. xij. Sig.: Introduce suppository into vagina at bedtime, after using a cleansing douche. The following treatment is said to cause considerable im- provement in the local symptoms, and in the general condi- tion : — ^ Quininse hydrobrom., 3ss. 01. theobrom., 3v. Misce et fiant suppos. no. x. Sig.: One suppository is to be inserted into the vagina daily. IJ Arseni trioxidi, gr. 14. Ferri reducti, gr. v. Quininse sulphatis, gr. xx. Misce et fiant pilulse no. xx. Sig.: One pill after meals for an adult. Indication: Useful in the ansemia that ac- companies this condition. Hand-Book of Modern Treatment, 279 I^ Acidi tannici, 5v. Alcoholis, Siij. Creosoti, 3ij. Aquae, q. s. ad ^iv. Misce. Sig.: Teaspoonful to a quart of warm water as a douche three times a day. In an article by Seguirey attention is called to the use of lactic acid in neutralizing infectious bacteria in the vagina. He demonstrated that douches containing 3 per cent, of lactic acid quickly deodorized and diminished the discharge, besides chang- ing its color. It was found that lactic acid, either pure or in solution, caused an abundant desquamation of epithelium when applied to the cervix or to the cavity of the uterus, and led to a cure of endometritis or endocervicitis with
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