Complete Text (Part 23)

.daily. IJ Tinct. aconiti, 3ij. Sig.: One minim every hour imtil pulse be- comes soft and compressible. Indication: Used in sthenic and early cases. IJ Morphinse sulpha tis, gr. ij. Aquae destillatse, 3ij. Misce. Sig.: Five to ten minims hypodermically, according to age, as required to relieve rest- lessness and insomnia. Indication: Used during any period of the disease. IJ Hydrarg. chloridi mitis, 3j. Pulv. jalapse, 3j. Sacchari albi, 3j. Misce et fiant chartulse no. x. Sig. : A powder every hour until free purga- tion occurs. Indication: In cerebrospinal meningitis. B Fluidextracti ergotse, f^j. Potassii bromidi, 3ij. Potassii iodidi, 3ij. Syrupi sarsaparillse, fjij. Aquae compositse, q. s. ad f^vj. Misce. Sig.: Two teaspoonfuls in water after meals. Indication: Used in chronic meningitis. 294 Hand-Book of Modern Treatment. R Sodii bromidi, 5ij. Chlorali hydrati, 3j. Syr. aurantii eorticis, f^j. Aquae, q. s. ad ^\}. Mi see. Sig. : A dessertspoonful every hour until excitement abates. MENOPAUSE. B Zinci valeralis, gr. Ve* Extracti hyoscyami, gr. V3. Extracti belladonnse, gr. Ve- Misce et fiat pilula no. j. Sig.: One such pill three times daily. I^ Camphorse monobromatse, gr. iss. Quininae valeralis, gr. iss. Extracti hyoscyami, gr. Vs* Extracti belladonnse, gr. V«. Misce et fiat pilula no. j. Sig.: Four or five pills daily. Indication: Either of the above for nervous excitement and neuralgia. I( Ammonii bromidi, 3ij. Potassii bromidi, 3iv. Spt. ammonise aromatici, 3vj. Aquae camphorse, q. s. ad ^], Misce. Sig.: A dessertspoonful every four hours. Indication : Nervousness. Gottschalk recommends, from personal observation in a number of cases, hot baths as a means of relieving the sweat- ing and hot flushes and associated disturbances occurring at the menopause or after removal of the uterus or adnexa. The hot baths are administered at bed- time, duration twenty minutes. Three or four weeks' treatment was sufficient to effect a cure. He does not state exactly what temperatures were employed, but baths at 92® to 96'' are best for these cases. Carefully-gradu- ated tonic treatment, consisting of wet-hand rubbing, cold fric- tion, the friction-mitt, cold wet-towel rubbing, and like measures are of great service. Eand-Book of Modem Treatment 295 Q Ammonii bromidi, 3ij. Potassii bromidi, 3iv. Spts. ammon. aromat., fSvj. Aquse camphorse, q. s. ad fSvj. Misce. Sig.: Dessertspoonful to a tablespoonful every four hours. I( Sodii arsenatis, gr. ss. Extracti cannabis Indicse, gr. iv. Potassii bromidi, 3iv. Camphorse, gr. xxiv. Misce et fiant tabellse compressse no. xxiv. Indication: For relief of headache and nervousness. Sig.: One tablet after meals. MENOBBHAOIA AND METROBBHAOIA. The coagulating properties of calcium chloride have been utilized by a French confrere as a prophylactic measure against menorrhagia, in the cases in which the menstruation is pain- less, but the flow excessive. He prescribes for a week before the expected period two tablespoonfuls a day of the following: — I^ Calcii chloridi, Siiss. Syrupi, Sxv. AquSB, Svj. Misce. Sig.: Two tablespoonfuls a day. This treatment, repeated each month for two or three times, has always cured the pathological excess of the menstrual flow. Nephritis is a contraindication. The enterorrhagia in typhoid fever is also favorably affected by calcium chloride. Mathieu reports eight cases successfully treated by an injection, once or twice a day, of a liter of water at 48® C. containing 4 grammes of calcium chloride, supple- mented by 2 grammes administered by the mouth in an aqueous solution during the day, and measures to immobilize the intes- tines. These hot injections clear the intestines of extravasated blood, and thus suppress a new source of intoxication and fever. 296 Hand-Book of Modern Treatment. ^ Fluidextracti hydrastis Canadensis, 3j- Ergotin, 3j. Misce. Sig. : Twenty drops three or four times a day. B Hydrastininae hydrochloratis, gr. x. Aquae destillatse, 3iiss. Misce. Sig.: Inject one syringe (gr. j) two or three days in succession. B Quininse hydrobromatis, gr. ij. Hydrastininae hydrochloratis, gr. ss. Ergotin, gr. j. Misce et fiat pilula no. j. Sig.: Two such pills daily. Indication: Metrorrhagia from fibroma. These pills can be prescribed for ten days. The ten fol- lowing days recourse can be had to cannabis Indica or adrenalin. The latter has frequently succeeded — 10 drops of the 1 to 1000 solution morning and evening. Sometimes accidents occur: sensation of anguish and cardiac arhythmia. The treatment should be carefully watched, and suspended on the slightest un- favorable symptoms. B Codeinae sulphatis, gr. %. Ghloralis hydratis, gr. xv. Amraon. bromidi, gr. xv. Aquae camphorae, 5j. Misce. Sig.: To be taken while lying down. Indication: Painful menstruation. I^ Fluidextracti hydrastis, Siiss. Fluidextracti hamamelis, 3iiss. Fluidextracti viburnum, 3i^. Misce. Sig.: Twenty drops in a little water three times a day. Indication: Useful in abundant metror- rhagia and menorrhagiar Hand-Book of Modern Treatment. 297 In the treatment of menorrhagia in virgins fifteen minims of the fluid extract of seneeio in a hot infusion of lemons is often effective. As soon as the menstrual period appears the patient is put to bed, poultices containing laudanum applied to the abdomen, and suppositories containing the following in- serted : — B Ext. cannabis IndicsR, gr. Vw Ext. belladonnse, gr. Vis* Olei theobrom., q. s. Misce et fiat suppositoria no. j. Sig.: One such suppository inserted as often as necessary. As a substitute for the foregoing suppository enemata con- taining laudanum are recommended, or the following: — T^ Tinct. viburni prunifolii, gtt. x. Tinct. piscidise erythinse, gtt. x. Misce. Sig.: To be taken at one dose in a hot in- fusion. For the accompanying lumbar pains the following ointment is recommended: — B Spts. chloroformi, Siiss. Olei moschi, 3j. Essentise carj^ophilli, 3j. Spts. etheris, 3iv. Alcoholis, 5iij- Misce. Sig.: To be applied locally to the lumbar region with thorough friction. I^ Fluidextracti ergotse, fSiij. Sig.: One-half to one teaspoonful thrice daily. I^ Potassii bromidi, 3ij. Fiant chartulse no. xij. Sig.: One powder in one-half glass of water . twice daily for the irregular flow. Begin be- fore period and continue till it is over. 298 Hand-Book of Modem Treatment 3 Stypticus, gr. xxx. Pone in capsulas no. xxx. Sig.: One capsule three times daily for sev- eral days before period and when flow slows; one grain every two or three hours during the period. T^ Olei cinnamomi, fSj. Pone in capsulas no. xxx. Sig.: One capsule after meals. Indication: Useful in oozing haemorrhage. MERCUBIALISM.— See Ptyalism. BOSTKITIS. B Camphorse, gr. xv. Phenylis salicylatis, gr. xv. Olei betulae, m xxx. Chlorali hydrati, gr. Ixxv. Misce et facit applic. Sig. : Dilate cervical cavity and apply this antiseptic treatment. Make hot injections, thoroughly cleansing the parts before this ap- plication. The symptoms calling for belladomia in inflammation of the uterus are distended abdomen, with pains of a lancinating character, or as if the intestines were clasped by some sharp claws; painful pressure, as if everything would protrude through the vulva; abdomen very sensitive to contact; face red, with heat about the head and eyes; pressive headache, throbbing carotids ; pains in small of back as if it were broken ; lochia suppressed, or, if there is a discharge, it is free and offensive. IJ Tinct. iodi comp., fjj. Sig.: Use locally on a probe wrapped with absorbent cotton, once or twice weeklv. Two applications are made and a glycerine tampon is left against the cervix. In the intervals let the patient use hot water as a vaginal injec- tion twice daily. Hani-Book of Modern Treatment. 299 MIOItAINE I( Sodii sulph., 3ss. Sodii salicylatis, gr. x. Mag. sulph., gr. 1. Lithii benzoatis, gr. v. Tinct. nucis vom., m iij. Aquse destillatse, 5iv. Misce. Sig.: To be placed in a siphon bottle and carbonated, and a small amount, sufficient to produce a laxative effect, taken daily before breakfast, and dose is to be regulated by ca- thartic effect. Active purgation is not desired. B Caffeinse, gr. iv. Sodii salicylici, gr. viij. Cocainse hydrochl., gr. Vs* AqusB, gj. Syrupi simpl., 3iiss. Misce. Sig. : To be taken at once. Indication: Especially active where trigem- inal neuralgia accompanies the migraine. For the distressing nausea and vomiting B Tinct. zingiberis, 3j. Tinct. capsici, gtt. xxxvj. Syrupi zingiberis, gss. Aquae menth. pip., ad giij* Misce. Sig. : Two teaspoonfuls at dose as conditions indicate. IJ Zinci phosphidi, gr. Vio- Ferri reducti, gr. j. Ext. nucis vomicae, gr. ^/^. Ext. cannabis Indicse, gr. V*. Misce et fiat pilula no. j. Sig.: One pill three times daily for one month. Then alternate for two weeks with some nerve tonic, after which use the pill for another month, and so on. 300 Hand-Book of Modern Treatment, 3 Ext. cannabis Indicae, gr. Va* Acidi arseniosi, gr. Vw Ferri. pulv., gr. j. Misce et fiat pilula no. j. Sig. : One pill three times a day. Indication: Useful in migraine accompany- ing anoemia. If an attack occurs during menstruation a sitz-bath should be taken and the following given internally: — B Spts. chloroformi, 3ij. Spts. ammon. arom., 3ij. Tinct. card, co., 3ij. Liq. ammon. acet., q. s. ad %\}. Misce. Sig.: Two teaspoonfuls and repeat in two hours if necessary. Citrophen, according to the author, acts admirably in some of these cases. I^ Acetanilidi, gr. xx. Camphorse monobromatce, gr. v. Caffeinae citratae, xl. Misce et pone in capsulas no. xl. Sig.: One capsule followed by others as necessary. I^ Crotonchloralis, 3j. Pone in capsulas no. xij. Sig.: One capsule every four hours. Indication: Used in neuralgia of fifth nerve, not due to decayed tooth. I^ Ext. aconiti ale, 3j. Adipis, 3ij. Fiat unguentum. Sig.: Rub into affected temple every nights Hand-Book of Modern Treatment. 301 R Ext. belladonnse, gr. v. Sig. : To be rubbed into the affected temple every night. R Potassii acetatis, 5vj. Infusi digitalis, fjvj. Misce. Sig.: A tablespoonful every third hour. B Quininse valerianatis, gr. xv. Ext. colehici, gr. iv. Extract! digitalis, gr. iv. Extracti aeoniti, gr. ij. Misce et fiant pilulse no. x. Sig.: One at night after evening meal. Indication: Gouty migraine. B Sodii phenolsulphonatis, gr. v. Potassii permanganatis, gr. j. Betanaphtholis, gr. j. Misce et fiat pilula no. j, and coat with phenyl salicylate to insure entrance into the bowel before being dissolved. Indication: Useful in intestinal fermenta- tion when accompanied with migraine. MORNING SICKNESS.— See Vomiting. MOUTH-WASH. B Saloli, 3j. Tinct. catechu, 3ij. Spiritus menthse pip., Jvij. Misce. Sig.: Use a teaspoonful to a glass of warm water. Indication: Mouth-wash for smokers. B Tinct. calendulse, Siss. Phenolis, gr. xl. Aquae, q. s. ad Sviij. Misce. Sig.: Use as necessary. 802 Hand-Book of Modem Treatment. IJ Acidi thymici, gr. iij. Acidi benzoic!, gr. xlv. Ess. menthse pip., m x. Tinct. eucalypti, Sivss. Alcoholis, 3iij. Misce. Sig. : Put a sufficient amount in the glass of water to render the water milky and use as a mouth-wash. I( Acidi tannic!, 3iij. Mentholis, 3ij. Thymolis, gr. xv. Tinct. benzoini, 3iss. Alcoholis, 3"j- Misce. Sig.: Ten drops in half a glass of tepid water. IJ Olei menthse pip., m xxx. Olei clavi, m xv. Olei gaultherise, mxv. Glycerini, Sss. Aqiue destillatae, q. s. ad Siij. Misce. Sig.: Use as necessary. Indication: Mouth- wash for children suffer- ing with infantile diarrhcea, before feeding. For the first six weeks the infant's mouth should be washed before nursing and also after nursing, unless asleep, with a soft, small square of linen dipped in water. No square should be used more than twice, or at another nursing. By the time the child is three or four months old it will suffice to wash the mouth twice a day. During dentition, however, it should be frequently washed out with cold water. As long as the child subsists on milk and broths the teeth need cleansing with a bit of wet linen only; when solid food is taken a soft, fine tooth-brush should be used. The following makes a suitable powder : — Hand-Book of Modem Treatment, 303 IJ Pulv. OSS. sepise, 3v. Magnesii carb., 3v. Pulv. rad. iridis flor., 3ss. 01. menth. pip., gtt. iij. Misce. Sig.: Tooth powder. Rinse the mouth well after using. IJ Acidi borici, 3ss. Aquae hydrogeni dioxidi, ^j* Glycerini, ^ss, Aquse rosae, q. s. ad 5iij« Misce. Sig.; Use before and after feeding. MUMPS. B Guaiacolis, 3j. Vaselini, 3x. Adipis lanse hydros!, 3x. Misce et fiat unguentum. Sig.: Use morning and evening. Indication: Useful for the pain in mumps. B Ichthyolis, gr. xlv. Plumbi iodidi, gr. xlv. Ammon. chloridi, gr. xxx. Adipis lanse hydrosi, ^j. Misce et fiat unguentum. Sig.: Apply to swollen part three time? daily. Vaseline may be used instead of lard and belladonnse added. B Tinct. aconiti, 3j. Sig.: One minim every two hours during first twenty-four to thirty-six hours. B Pilocarpinae hydrochloratis, gr. j. Sacchari lactis, gr. xvii]'. Alcohol, q. s. Misce. Fiant tabellae triturationes no. xij. Sig.: One tablet every hour until mild sali- vation or diaphoresis. Indication: Used in the acute stage. 304 Hand-Book of Modern Treatment. MYALGIA. ii^ 'We know a large number of affections better clinically than pathologically," says Dr. A. A. Eshner, and continuing, has this to say: "One of these is that condition of peripheral soreness or painfulness, sometimes an affection of the muscles themselves or their fibrous sheaths, sometimes involving the peripheral sensory nerves. In the absence of definite knowledge as to the precise nature of cases of the kind referred to, I am in the habit of grouping them together under the common desig- nation of myalgia; and have found the following formula of service in the treatment of a large number of cases: — I^ Fluidextracti cimicifugae, 5ss. Fl uidextracti erythroxyli 5ss. Tinct. guaiac. ammon., 5ss. Misee. Sig. : A teaspoonf ul three times a day before meals. "When constipation co-exists, an equal proportion of fluid extract of cascara is added. I can warmly commend the em- ployment of this combination imder the conditions indicated/' IJ Tinct. belladonnse, fSiss. Tinct. aconiti, fSvj, Tinct. opii, fSij. Linimenti saponis, q. s. ad fSvj. Misce. Sig.: To be used externally and only as a liniment. I^ Linimenti belladonnse, %. Sig.: Rub in thoroughly several times daily. IJ Saloli, 3iv. Phenacetini, 3iv. Misce et fiant chartulae no. xxiv. Sig.: One powder after meals. Hand-Book of Modern Treatment. 305 MYX(EDEMA. 1^ Glandulse thyroidese siccse, 3j. Fiant tabellse compressse no. xij. Sig.: One to three tablets daily. Dose to be determined. N-fflVUS. IJ Sodii ethylatis, gr. vj. Alcoholis absoluti, fSij. Misce. Sig.: Paint over nsevus freely, and after drying cover with collodion. Allow to remain on ten to twenty days. Indication: Used to remove small birth marks. NASAL CATABRH.— See Catarrh. NEPHRITIS. R Tinct. aconiti, m xij. Spiritus aetheris nitrosi, f3vj. Syrupi, f3ij. Liq. potassii citratis, q. s. ad f^iij. Misce. Sig.: Teaspoonful in water every two hours. Indication: To be used in early stage. IJ Potassii acetatis, Sss. Infusi digitalis, f^vj. Misce. Sig.: Tablespoonful in a glass of water every six to eight hours. Indication: I^sed in late stages of acute or in chronic nephritis. I^ Liq. ferri ot amnionii acetatis. f^viij. Sig.: One to four teaspoonfuls in water after meals. Indication: Used for anaemia in chronic form. 20 806 Hand-Book of Modem Treatment, IJ Hydrarg. chloridi mitis, gr. j. Sodii bicarbonatis, gr. x. Misce et fiant chartulae no. vj. Sig. : One powder every one-half hour, to be followed by mag. sulphate. Indication: Purging good at the beginning. R Spiritus glonoini, f3ij. Sig.: One drop every four hours. Indication: Used as a diuretic in later stages of acute and in chronic nephritis with high arterial tension. IJ Fluidextracti jaborandi, fSj. Sig.: Five to ten minims every hour until a free diaphoresis is established. May be com- bined with digitalis. B Pulv. jalapse comp., 5j. Fiant chartulsB no. xij. Sig.: One powder every four hours until free catharsis occurs. To be given after patient has been rolled in blankets wrung out of hot water. Indication: In acute nephritis. CHRONIC INTERSTITIAL NEPHRITIS. Dr. George F. Butler, in discussing the treatment of chronic interstitial nephritis, says that drug therapeusis has its place, it is true, but after all, the little, yet very essential things of eating, drinking, and doing influence the patient's comfort and gradually turn the scale of health in his favor. A good pre- scription to keep the patient on is the following : — B Sodii iodidi, gr. xv-xxx. Sodii phosphatis, gr. xxx-xlv. Sodii chloridi, Siss. Aquae, Oij. Misce. This can be taken freely as a drink. The author states that besides being a good eliminant, the iodine is a vasodilator Hand-Book of Modern Treatnwnt, 307 and of great value in progressive lessening of elasticity and contraction of the smaller arteries. Moreover, this combina- tion modifies the state of albuminoid substances in the blood. For failure of compensation, digitalin may be necessary, but it should be combined with some vasodilator (sodium nitrate, spirit of nitrous ether, or glonoin, as well as the iodides and opium). The objection to the nitrites is that they are much more rapid in their action than digitalin, while their effect is more transitory. In severe cases he is very partial to opium, as it not only strengthens the heart but dilates the arterioles, the dose of the deodorized tincture being from 3 to 4 minims. Dr. Butler lays particular stress on veratrine in doses of Vi34 grain as a vasodilator, and considers that it surpasses them all; he says that it is not a depressant as so many physi- cians believe, and that its action is uniform, and its effects cer- tain and unvaried; in addition, it is a stimulant to excretion; the dose given alone can be repeated every half-hour until the pulse is relaxed. He also discusses the combative measures for anasarca, dyspnoea, convulsions, and other uraemic symptoms. Referring to purgatives, the author states that they fulfill three indications, viz.: (1) in determining an irritation upon the intestinal mucous membrane, they produce a revulsion from the inflamed kidney; (2) in bringing about a hypersecretion from the glands of the intestines, they deplete the vascular system and thus combat the anasarca and oedema; (3) they enable the