Complete Text (Part 25)

grams of graham bread, and two or three teaspoonfuls of cooked fruit with sugar. I^ Magnesii citratis effervescentis, ^viij. Sig. : Tablespoon ful in water before break- fast. Indication: Used as an adjunct to strictly regulated diet and exercise. From the fact that borax exercises in animals and man an inhibitory action upon the processes of nutrition, M. C. Ger- hardt conceived the idea of employing this salt in the treatment of obesity. He found that in the dose of 1.50 grams (nearly 24, grains) a day taken in three doses, borax is well supported and reduces excessive corpulence. In smaller quantities it pro- duces no appreciable effect in diminishing fat. B Tabellse glandulse thyroideae, gr. v. No. XXX. Sig.: One tablet after each meal and cau- tiously increased. 320 HandrBook of Modem Treatment. (EDEMA.— See Dropsy. O'Donovan finds that atropine is a remedy that rapidly contracts the vessels, powerfully stimulates the sympathetic sys- tem, increases the force of the heart's beat, raises arterial ten- sion, stimulates the respiratory centers, and dries up the secre- tions of the skin and mucous membrane. Its physiological ac- tion can be easily gauged by watching the amount of dilata- tion of the pupil. It is well to supplement it with some drug that acts promptly and surely as a direct stimulant to the heart, strychnine preferably. In cases of acute pulmonary oedema he has seen relief from the hypodermic injection of Vioo grain of atropine with Vg^ grain of strychnine sulphate so immediate and complete that it seemed like magic. The pulse should be watched to see that the effect is not merely transitory. Time should not be wasted on remedies through the stomach, but the hypodermic method should be used at once. I^ Pulv. digitalis foliorum, gr. xx. Hydrarg. chloridi mitis, gr. xx. Pulveris scillse, gr. xx. Misee et fiant chartulse no. xx. Sig. : One powder after meals. Indication: CEdema due to cardiac disease. I^ Antimonii et potassii tartras, gr. ij. Pulveris scillse, 3j. Potassii sulphatis, ^sa. Potassii bitartratis, Jiss. Misce et fiant chartulte no. xx. Sig.: One powder four times daily. Indication: Useful in general oedema. I^ Triturationis elaterini, gr. ij. Fiant chartulae no. xxx. Sig. : One powder on tongue every hour until nausea is produced or bowels begin to move. Indication: Cardiac oedema. B T^iq- potassii arsenitis. Sig.: One drop to three in a half-glass of water after meals. Indication: In oedema in feet of old people. Hand-Book of Modem Treatment, 321 Q Potassii iodidi, S^s-Bj. Aquae destillatse, f^vj. Misce. Sig. : A tablespoonful three times daily. Indication: Useful in anasarca with scanfy urine. ONYCHIA. I^ Thymol-di-iodidi, 3ij. Sig.: Apply freely and cover with antiseptic gauze, after removing diseased portions of matrix. 3 Pulv. plumbi nitratis, ^ss. Sig.: Dust on part affected twice daily. OPHTHALMIA.— See Conjunctivitis, Purulent. The secretions should be thoroughly removed from the lids by means of absorbent cotton, and the following lotion iipplied : — I^ Potassii perman., gr. v. Aquse destillatse, 01 j. Misce. Sig. : To be used as an irrigation to the lids. Three or four hours later the following should be applied locally : — 3 Argenti nitratis (crys.), gr. iij. Aquae destillatse, 3v. Misce. Sig.: To be applied locally by means of an applicator. This should be neutralized by a solution of sodium chloride. If a 1- or 2-per-cent. solution of silver nitrate gives no relief in two or three days, it should be increased to 4 or 5 per cent. In case of corneal infiltration or ulceration, the silver nitrate should not be allowed to come in contact with the cornea. In such cases the following ointment should be applied : — 21 322 Hamd-Book of Modem TrtmtwtemL 9 lodoformi (disaolTed in ether j, gr. ir. Vaselini (neutral;, 3ii8s. juflce* Sig.: Appiv locally. If perforation seemg probable, instill a few drops of a 4- per-cent- solution of atropine into the eye. In ophthalmia neonatorum and all forms of catarrhal conjunctivitis : — H Hydrastin. hydrochlor., gr. iv-vj. Acidi borici, gr. xx. Tinct. opii deod., 3ij. Aquae destillatse, Siv. ^liflce. Sig.: Eye lotion. SODIUM CACODYLATB IN OCULAR AFFECTIONS. This salt has been employed internally in the treatment of various ocular affections with good results, particularly in rebellious herpetic keratitis. Galezowski has employed it locally in the eye in the form of an oily or aqueous coUyrium as fol- lows : — 9 Cocainae hydrochloratis, gr. iv. Liquid vaselini, 3iY. Sodii cacodylatis, gr. ij. Misce. Sig.: A few drops in tiie eye two or tiiree times daily. Calomel will meet the same indications as nitrate of silver in ophthalmia neonatorum, for which the latter drug is consid- ered almost a specific, and it has not the same inconveniences. The conjunctivae should be carefully cleansed with a solution of boric acid and then dried with tampons of cotton, and the calomel carefully dusted over the mucous membrane in a thin layer. The method is applicable among the poor, as it requires to be repeated but once a day, and in the vast majority of cases is followed by a prompt amelioration of the symptoms, the dursp tion of many of the cases not exceeding seven days. The aii- Hand-Book of Modern Treatment, 323 thor's observations are based upon fifty-seven cases of ophthal- mia in which gonococci were noted in the discharge. 3 Argenti nitratis, gr. x. Aquse destillatse, f^j. Misce. Sig.: Bathe the eyes frequently, remove all pus, and apply the above locally, followed by a solution of sodium chloride. I^ Protargolis, gr. xxv-c. Aquse destillatse, f^j. Misce. Sig. : To be applied to the everted lids twice daily after cleansing with a solution of boric acid. OPIUM HABIT. IJ Tinct. nucis vomicee, gtt. xij. Acidi phosphorici diluti, gtt. xx. Syr. pruni virginianse, f^ss. Misce. Sig.: To be taken twice daily. IJ Tinct. moschi, fSvj. Tinct. hyoscyami, fSij. Tinct. cannabis indiese, fSiv. Spiritus camphorse, f3ij. Misce. Sig.: Teaspoonful every two to four hours. Indication: For restlessness and insomnia following withdrawal of opiates. ORCHITIS. B Ung. hydrarg., 3ij. Adipis lanse hydrosi, 5vj. Ichthyoli, 3j. Extracti belladonnae, gr. x. Misce. Rig.: Apply externally twice daily and then follow with a suspensory bandage. 324 Hand-Book of Modern Treatment. I^ Tinct. iodi, f^ss. Sig.: Apply locally to swollen testicle. IJ Tinct. opii, fSiv. Liq. plumbi subacetatis, fSiv. Misce. Sig.: Add pint of water and use locally. I^ Guaiacoli, 3iv. Sig.: Paint a few drops twice daily. Indication: Used in acute stage while tes- ticle is supported by a suspensory bandage. OTITIS AND OTOBBH(EA. IJ Ichthyoli, gr. xv. Glycerini, 3ij. Aquse destillatse, 3ij. Misce. Sig.: Instil into the ear thrice daily several drops of this mixture. Indication: Acute otitis. IJ Phenolis, gr. ij. Mentholis, gr. iij. Eucalyptolis, mx. Olei pini pumil., m x. Benzoinolis, q. s. ad 5j. Misce. Sig. : Use as a nasal spray and inhalant. In influenza, scarlet fever, measles, diphtheria, inflamma- tion of the nasal accessory cavities with purulent discharge into the naso-pharynx, it is of the greatest importance that the in- fection be prevented from gaining an entrance to the middle ear. To accomplish this the nasal cavities and naso-pharynx should be thoroughly irrigated at least four times in the twenty- four hours — i.e., once in six hours — with quantities of a warm, alkaline, cleansing solution. Immediately after the irrigation let the patient gently blow out the nostrils to rid them of any super- fluous solution and tlien spray into each nostril, having the patient inhale at the same time a few whiffs of some antiseptic protective as the above prescription. Hand-BooJc of Modetn Treatment. 325 I( Liq. plumb, subacet. dil., gtt. xx. Acidi acetici dil., gtt. vj. Vini opii, gtt., xx. Aquse destillatse, 3j* Misce. Sig. : Instill several times daily ten drops of the above mixture. Indication: Useful in otorrhoea. IJ Tinct. ferri chloridi, fSss. Alcoholis, f3j. Aquse destillatse, fSj. Misce. Sig.: Three or four drops to be instilled into the external auditory meatus two or three times daily. Indication: Useful in otorrhoea. IJ Nosopheni, 3ij. Sig.: Use as a dusting powder. IJ Glyceriti acidi tannici, ^ss. Sig.: Fill the meatus and plug with cotton wool. Indication: Used in the chronic form. * IJ Aquse hydrogenii dioxidi, f Jv. Sig.: Syringe the ear carefully with one part of solution to two of water, and when cleansed instill a few drops of the above solu- tion. Hot water is injected into the affected ear, which is then painted with : — IJ Phenolis (crystals), gr. xv-lxxv. Glycerini pur., mlxxv-cl. Misce. Sig.: Use locally. Later, when the flow has diminished, use : — I^ Glycerini pur., mcl. Hydrarg. chlor. cor., gr. "/io-Vs* Misce. Sig.: For local use. Indication: Chronic otorrhoea. 326 Hand-Book of Modern Treatment, Carbolated glycerine, besides acting as a cure, has a dis- tinct analgesic action in otorrhoea. N. G. Ward has obtained the best results in the treatment of suppurative middle-ear disease with formalin. The ear is thoroughly cleansed, and if the pus is not discharging and is abundant an incision is made in the drum at the postero-in- ferior quadrant. After cleansing, an aqueous solution of forma- lin, 5 drops to the ounce, is instilled. As a cleansing lotion, lysol, 15 to 30 drops in half a glass of warm water, is used with a soft-rubber pus-syringe. When the discharge no longer blocks the canal all syringing is stopped. In those cases not requiring syringing, and also ten minutes after syringing in those that do, the patient is directed to lie down on the opposite side, and 5 to 10 drops of the formalin solution, slightly warmed, is poured into the ear. The patient remains in this position to allow the fluid to penetrate and reach the tympanum. This is repeated night and morning. In acute cases 1 to 3 drops of for- malin to the ounce is sufficient; in chronic and obstinate cases alcohol is added, as follows : — IJ Formalini, gtt. v. Alcoholis, fSij. Glycerini, fSij. Aquae, q. s. ad fjj. Dr. Ward has treated forty cases by this method. In thirty-five cases the discharge ceased entirely in from three to fifteen days, the average being a week. There was improvement in the other cases, though no cessation of discharge. In two of them there was necrosis of bone. IJ Resorcini, gr. ix. Tinct. opii, m ix. Aquae destillatae, fSj. Misce. Indication : Purulent otitis media. The meatus is first washed out with a tepid boric acid solu- tion and then dried with absorbent cotton. From 8 to 15 drops of the above mixture, rendered lukewarm, are then instilled into the passage, where they are retained for from twenty to thirty Hand-Book of Modem Treatment. 327 minutes by bending the head toward the healthy side. The in- stillation is practiced once a day, and under its influence the otorrhoea disappears in from one to three weeks. This applica- tion is equally useful in furunculosis of the auditory canal and acute mjrringitis. Geronzi reports the result of formalin treatment of 55 cases of chronic purulent otitis media. He commenced with a 2-per-cent. glycerine solution and gradually increased the strength to 5-per-cent. The middle ear was tamponed with a small strip of gauze impregnated with the fluid, or two or three drops of the 5-per-cent. solution were instilled. This treatment was applied in those cases that had proved rebellious to ordin- ary measures. Improvement was manifest by the second or third application; and a complete cure between the tenth and fifteenth application was obtained in 34 out of the 55 cases. The duration of the affection in some of the cured cases was from 10 to 21 years. The formalin reduced the size of the granulations in the tympanum and, supplemented by silver nitrate, was able to accomplish their complete disappearance in a number of cases. He found that the addition of 5-per-cent. sodium carbonate to the 5-per-cent. solution of formalin in- creased the tolerance, while others have proved that it also enhanced its bactericidal power. I^ Potassii iodidi, gr. xxx. Tinct. iodi, 5ij« Alcoholis, Bj* Glycerini, 3vj. lodoformi, gr. xxx. Misce. Sig.: Inject into outer ear. Indication: Chronic otorrhoea. OXALUBIA. Microscopical urinary sediments frequently contain few or many calcium-oxalate crystals. Physiologically this deposit may be due to the ingestion of one of many fruits or vegetables, such as beets, rhubarb, tomatoes, spinach, cauliflower, celery, carrots, beans, asparagus, apples, pears, grapes, peas, and cab- 328 Hand-Book of Modern Treatment, bage. Claret and effervescing drinks have the same effect. Oc- casionally when the urine stands for some time, calcium-oxalate crystals may form urates and uric acid. Pathologically oxal- uria is noted especially when there is defective digestion of fats and carbohydrates, with nervous and flatulent dyspepsia. The classical symptoms of oxaluria, due to indigestion as well as the irritation of the hard, sharp crystals, are vesical tenesmus and pain across the back; sometimes extending down the thighs or into the testicles; sexual neurasthenia, and h3rpochondriasis. IJ Acidi nitrohydrochlorici diluti, 31 j. Tinct. gentianse comp., f^j. Tinct. cinchonse comp., f5j. Elixiris curacaoe, q. s. ad f^iij. Misce. Sig. : A dessertspoonful In water through a glass tube. IJ Acidi nitrohydrochlorici, f^ss. Sig.: Three drops in half a glass of water after meals, through a tube. IJ Tinct. ferri chloridi, ^iss. Acidi hydrochlorici diluti, ^ss. Aquae destillatse, q. s. ad 5viij. Misce. Sig.: A tablespoonful three times a day through a glass tube. Indication: With anaemia and nervous atony. OZiENA. B Thymol i, gr. ss-j. Spiritus vini rect., 3ss. Glycerini, 3ss. Aquae, q. s. ad 5J. Misce. Sig.: To be used as a stimulating spray. Bonnet speaks highly of nasal irrigation with a S^/j-per- cent. solution of methyl-blue, practiced at first three times, and later once, daily. This method has the inconvenience of staining Hand-Book of Modern Treatment. 329 the nasal orifice and upper lip of a bluish tint, but it causes rapid disappearance of the foul odor, and a cure is commonly attained in three or four weeks. Dr. Sidlo claimed to have cured many cases of ozaena by daily washing out the nasal cavities with a 2-per-cent solution of chloride of potassium to which 10 per cent, of glycerine had been added. This is followed by inserting rolls of cotton in a mixture of 1 part of glycerine and 3 parts of water, the tam- pons to remain in place for one hour. I^ Hydrarg. ammoniati, gr. iv. Pulv. sacchari alb., ^ss. Sig.: To be used as snuff after thoroughly blowing the nose. I^ Syr. ferri iodi, 5j. Sig.: Five drops increased to thirty, thrice daily, after meals. I^ Sodii biboratis, gr. xx. Ammon. chloridi, gr. xx. Potassii permanganatis, gr. x. Sig.: Dissolve in one pint of water and use thrice daily with a syringe or douche. IJ Aquse hydrogenii dioxidi, fjvj. Sig.: Two tablespoonfuls with a teaspoonful of borax, to a pint of tepid water used as a^ nasal douche several times daily. I^ Resorcini, 3ss. Glyeerini, f3ij. Aquse destillatse, q. s. ad f^iv. Sig. : Use as a nasal spray every second day after using alkaline wash. Indication: Used to check secretion, heal ulcers, and prevent foetor. 1^ AqusB cinnamomi, Bj< Ext. hamamelid., 5j- Liq. hydrogenii dioxidi, 5j» Misce. Sig.: Use two teaspoonfuls as a nasai douche twice daily. 330 Hand-Book of Modern Treatment. I^ Hydrarg. chloridi mitis, gr. xv. Sacchari albi^ 3iv. Misce. Sig. : Used for insufflation. PALPITATION.— See Heart Disease. I^ Sodii bromidi, q. s. Sig.: Ten to thirty grains once or twice daily, and ice-bag to the heart. Indication: Useful in emotional or nervous palpitation. IJ Tinct. digitalis, f5j. Sig.: Ten minims three times daily. Indication: In irritable heart with palpita- tion. IJ Tinct. digitalis, m x-xx. Tinct. calumbse, f3j. Aquse camphorse, fSx. Misce. Sig.: One dose twice daily. Indication: Nervous palpitation. IJ Tinct. aconiti, f3ij. Tinct. digitalis, wxlv. Tinct. belladonnse, fSiss. Tinct. gentianse comp., q. s. ad f^iij. Misce. Sig.: Teaspoonful every six hours. Indication: In palpitation with cardiac hy- pertrophy. IJ Pulveris digitalis, gr. v. Pulveris scillse, gr. x. Pilulse hydrargyri, 3ss. Misce et fiant pilulse no. x. Sig.: One pill three times daily. Indication : Palpitation with anasarca. IJ Acidi hydrochlorici diluti, Jss. Sig.: Five minims in water after meals. Indication: In simple palpitation as an aid to digestion. Hand-Book of Modern Treatment. 331 I^ Potassii citratis, 5ij. Tinct. stramonii, fSj. Tinct. colchici seminis, fSij. Infusi digitalis, f^iij. AqusB menthse pip., q. s. ad ^viij. Misce. Sig.: Two tablespoonfuls three times dailj'. Indication: In violent palpitation. PABALTSIS. ^ Sodii salicylatis, 3iij. Aque, q. s. ad Jiij. Misce. ' Sig. : One teaspoonf ul in two ounces of water and injected into the rectum three times daily. Indication: Acute ascending paralysis. I^ Potassii iodidi, Bj- Tinct. gentians comp., q. s. ad f^vj. Misce. Sig.: Teaspoonful in water after meals. Indication: Used in hemiplegia after acute inflammation has subsided. I^ Strychnine sulph., gr. j. AqusB destillatse, fSx. Misce. Sig.: Ten minims contains gr. ^/w. Inject ten to twenty minims into substance of the muscle paralyzed. Indication: In diphtheritic paralysis. I^ Extracti physostigmatis, gr. iij. Extracti taraxaci, gr. xxiv. Misce et fiant pilulse no. xxx. Sig.: One pill every three hours. Indication: In locomotor ataxia, writer's cramp, etc. 332 Band-Book of Modern Treatment. PABAL7SIS AOITANS. ^ Sulphatis hyoscyaminse, gr. ss. Aquae destillat^e, 3vj. Misce. Sig. : Five minims hypodermically once daily, or by stomach twice daily. Indication: In paralysis agitans. IJ Strychninse sulphatis, gr. j. Acidi arsenosi, gr. ij. Ext. belladonnse, gr. v. Quinin» sulphatis, gr. xx or xl. Pilulse ferri carbonatis, gr. xx or xl. Ext. taraxaci, gr. xx. Misce et fiant pilulse no. xl. Sig.: One pill three times daily. Indication: In paralysis agitans. PABTUBITION.— See Labor. PEDICULI.— See Lice. PEMPHIGUS. I^ Liq. potassii arsenitis, fSij. Aquae destillatse, q. s. ad f^iij* Misce. Sig.: Begin with twelve drops t.i.d. and increase to from 48 to 60 drops after meals. I^ Liniment! calcis, Jij- Sig. : Apply after the bullae have been punc- tured. Parts should be fixed