Complete Text (Part 26)

and no motion allowed. Indication: Used in painful cases. I^ Ung. zinci oxidi, Jss. Sig.: Apply locally. I^ Sodii arsenatis, gr. ss. Quininse hydrochloridi, 3j. Massse ferri carbonatis, Sss. Misce et fiant pilulae no. xxx. Sig.: One pill after meals. Indication: Used in anaemic subjects. Hand-Book of Modern Treatment. 333 B Calaminse, 5ij- Zinci oxidi, fjij. Liq. calcis, ^ij. Acidi borici (sat. sol.), q. s. ad 5iij. Misce. Sig. : Apply freely several times daily. IJ Pulv. acidi borici, Jss. Talci, 588' Zinci oxidis, ^ss. Misce. Sig.: Apply freely. PEBICABDITIS. IJ Infusi digitalis, fjiv. Potassii acetatis, 5ij. Spiritiis aetheris nitrosi, fSij. Aque cinnamomi, f^iss. Misce. Sig. : Tablespoonful every fourth hour. Indication: With pericardiac effusion. I^ Tinct. acondti, fjss. Sig.: One drop every hour until pulse be- comes soft and heart quieted, then one drop every three hours. Indication: In acute stage with strong heart, and ice-bag over prsecordium. B Aspirin, gr. xxiv. Pone in capsulse no. viij. Sig.: One capsule twice daily. Indication: Rheumatic pericarditis. IJ Sodii iodidi, 5j- Syrupi sarsaparillse comp., q. s. ad ^iv. Misce. Sig.: One teaspoonful after meals. Indication: In pericarditis with effusion. PERIOSTITIS. B Ung. plumbi iodidi, 5j. Sig.: Apply twice daily. Indication: Used in chronic periosteal thick- ening. 334 Hand-Baok of Modem Treatment. I( Cadmi iodidi, 3ij. Ichthyoli, fSiv. Adipis laiiA hydros!, q. s. ad [^j. Miace. Sig.: Spread upon new cloth and apply \o affected area. I( Potassii iodidi, 3ij. Ammon. iodidi, 3j. Tinct. cinchona comp., ^Siij- Misce. Sig.: A teaspoonful well diluted in water after meals. I( Potassii iodidi, 3ij. Misce et fiant chartulae no. xij. Sig.: One in glass of milk morning and evening. IJ Syr. ferri iodidi, Sig.: Ten to fifteen drops in water after meals. Indication: In syphilitic or tubercular peri- ostitis. IJ Ung. hydrargyri, l], Sig.: Apply over the affected area by inunc- tion or upon a new cloth daily. Indication: Used in syphilitic periostitis.' PEBITONinS. I( Morphinse sulphatis, gr. viij. Aquse destillatae, f^iv. Misce. Sig. : Begin with a dessertspoonful and wait two hours. If no effect give three teaspoonfuls and wait two hours. If still no effect give four teaspoonfuls and wait two hours. The medicine should be increased gradually to produce these effects, to allay pain, to produce gentle sleep, to reduce the respiration to twelve per minute. When aroused continue these effects two days and then gradually diminish the dose, but if symptoms return, increase again. Hand-Book of Modern Treatment, 836 I^ Guaiacoli carbonatis, gr. xx. Pone in capsulas no. xx. Sig.: One capsule after each meal and grad- ually increased. Indication: Tubercular peritonitis. I^ Magnesii sulphatis, Biss. Fiant chartule no. xij. Sig.: One powder in hot peppermint water every hour until the bowels are freely opened. Indication: In acute peritonitis. I^ Acetanilidi, gr. xxx. Fiant chartulte no. xv. Sig.: One powder every three or four hours for vomiting. Indication: Used to allay vomiting. I^ Olei terebinthinse, 3j. Emulsi asafoetidse, f^iij. Misce. Sig.: Warm, shake well, and inject in rec- tum. Indication: Used to relieve tympany. I^ Tinct. opii deodorati, fBj. Tinct. aconiti, 3ij. Misce. Sig.: Six to eight drops in water every two hours. IJ Olei terebinthinse, Bvj. Sig. : Put a piece of flannel in hot water and then wring it out. Then dip it in the warm turpentine and wring again. Then spread over the abdomen. Indication: Used in tympany. B Linimenti hydrarg., f^v. Sig.: Daily inunctions over the abdomen and the application of flannel abdominal binder, which is not to be changed when soiled. Indication: In tubercular peritonitis. 336 Hand-Book of Modern Treatment. H Syrupi ferri iodidi, fSij. Olei morrhuae, fjiss. Misce et pone in capsulas no. xxiv. Sig. : One capsule after each meal. Dose gradually increased to three capsules. Indication: Used in tubercular peritonitis. PERTUSSIS.— See Whooping Cough* PHAGEDENA. B Acidi salicylici, 5ss. Sig.: Dust over the slough. I^ Potassii permanganatis, 3ss. Aquae, Oj. Misce. Sig.: Apply locally. PHABTNGITIS. IJ Tinct. ferri chloridi, mxxiv. Potassii chloratis, gr. xxiv. Syr. zingiberis, fjj. Aquae, q. s. ad fjiij. Misce. Sig.: Teaspoonful every two hours for a child of two years. B Ergot ini, 3j. Glycerini, 3vj. Aquae destillatae, 3j. Sig.: Use as a spray every one-half hour. One-tenth grain of ergotin by mouth may be used as an adjuvant. Indication: Acute pharyngitis. B Sodii bicarbonatis, 3iv. Sodii biboratis, 3iv. Sodii chloratis, 3iv. Potassii bicarbonatis, 3iv. Misce. Sig.: A quarter of a teaspoonful in a quar- ter of a glass of tepid water, and used by in- sufflation and gargle. Hand-Book of Modern Treatment, 887 IJ lodi, gr. iij. Potassii iodidi, gr. v. Acidi trichloracetici, gr. vij. Glycerini, f^ss. Aquse, f^ss. Misce. Sig.: To be applied locally. Indication: Follicular pharyngitis. I^ Aluminis, 5iss. Tinct. opii, 3ss. Mellis, 3ij. Syr. rosse (B. P.), 3iij. Aquse, q. s. ad Bviij. Misce. Sig.: To be used as a gargle. I^ Tinct. capsici, 3ss. Acidi tannici, 5ss. Infus. rosse acidi, Siij. Aquse, q. s. ad 3v. Misce. Sig.: To be used as a gargle. Indication: When the throat is relaxed and reddened. I^ Aluminis, Siv. Acidi tannic!, 3j. Mellis, 5j- Aquse ros», q. s. ad ^iij. Misce. Sig.: To be used as a gargle. T^ Ammon. chloridi, 3ss. Mel lis, Bss. Syr. rosse, Bss. Aquae, q. s. ad Bvj. Misce. Sig.: As a gargle several times during the day. Indication: This and the following one are used as gargles in the chronic form. 22 338 Hand-Book of Modem Treatment. IJ Glycerini acidi carbol. (B. P.), Siiss. Acidi tannici; 3j. ... Tinct. capsici, Sss. Iiifusi rosse acidi, q. s. ad B^* Misce. Sig.: To be used frequently as a gargle. In the chronic form of pharyngitis, Ingals recommends eliminants and tonics. Arsenous acid internally is also advised, combined with nux vomica, as follows: — I^ Acidi arsenosi, gr. j. Ext. nucis Tomicse, gr. x. Ext. cascarse sagradse, gr. xij. Misce et fiant capsulse no. xxiv. Sig.: One capsule before each meal. For chronic follicular pharyngitis, place half an ounce of pine tar in a pint bottle, and add to it ten ounces of 95 per cent, alcohol. Mix by shaking. Label the bottle "pine tar ^^^ and keep for future use: — I^ Picis liquidse, 3iij. Glycerini ext. laurocerasi, 3j. AqasB, q. s. ad ^iv. Misce. Sig.: Dose, a teaspoonful every two to six hours. Hold the dose in the throat for some little time, to get its soothing, healing influ- ence. Indication: Useful in chronic follicular pharyngitis. For a more drying effect, add belladonna. To stop a cough, add paregoric. B Pilocarpinae hydrochloratis, gr. ij. Aquae, fjj. Glycerini, fjj. Misce. Sig.: A teaspoonful thrice daily. Indication: In atrophic or dry pharyngitis. Hand-Book of Modein Treatment. 339 I^ Tinct. ferri chloridi. Sig.: Ten drops in water through a glass tube every two hours. Indication: Used in ulcerative infectious pharyngitis. I^ Tinct. aconiti, mvj. Sodii salicylatis, 3ij. Aquse menthse pip., fSiij. Misce. Sig.: Teaspoonful every hour. Indication: Used in acute pharyngitis with moderate fever and circulatory excitement. PHLEOKASIA ALBA D0LEN8. I^ Fluidextracti hamamelidis, fSj. Syrupi simplicis, fjss. Elixiris simplicis, fjss. Misce. Sig.: One or two teaspoonfuls three or four times daily. I^ Phenacetini, 3ij. Fiant chartulse no. vj. Sig.: One powder every four hours. Indication: For relief of pain. I^ Fluidextracti hamamelidis, f^vj. Sig.: Apply locally. B Tinct. iodi, fjiv. Sig. : Paint along the course of swollen veins on alternate days. B Ung. belladonnse, $j. Ung. hydrargyri, 3iv. Ichthyolis, f5j. Adipis lanse hydrosi, q. s. ad 3iv. Misce. Sig.: Apply gently without friction along the course of swollen veins. Indication: Useful in protracted cases. Wrap limb with cotton batting and keep ele- Tated on cushions. 340 Band-Book of Modern Treatment. I^ Plumbi acetatis, gr. xxx. Tinct. opii, Siij. Aquse, Oj. Misce. Sig. : ■ Apply locally on gauze to the affected area. ' I^ Ung. belladonnse, 3vj. Ung. zinci oxidi, 5j- Lanolini, 3x. Misce et fiat unguentum. Sig.: Apply locally and wrap the limb in cotton. The patient should be put to bed and the affected limb im- mobilized, after wrapping it in cotton, for thirty days. Locally, along the course of the inflamed vein, the following is applied : — I^ Olei hyoscyami, Siifts. Spiritus chloroformi, 3iiss. Misce. Sig.: Apply locally. In the treatment of the chlorotic condition a rich diet is prescribed and the following combination given internally : — IJ Ferri oxalatis, gr. ij. Magnes. carb., gr. iv. Pulv. gentianae, gr. iv. Pulv. rhei, gr. iij. Misce et pone in capsulas no. ij. Sig.: Two such capsules at one dose and re- peated twice daily before meals. PHTHISIS. — See Tuberculosis and Scrofulosis. Methylene-blue (medicinal) has been used largely in malaria, nephritis, gonorrhoea, cystitis, chyluria, and rheuma- tism, but only to a very limited extent in pulmonary tubercu- losis— we have seen but one report in this direction, that by Althen in 1892. Dr. Henry Herbert recently had occasion to use it in a case of malaria associated with phthisis, and was Band-Book of Modern Treatment, 341 surprised to find the latter disease more benefited by it than the malaria. This led to a trial of it in nineteen other cases of consumption in various stages; ^/g to 3 grains was given three times a day. It was observed that the methylene-blue in larger doses caused nausea and even vomiting; ntwly all the cases complained of stranguary, which subsided after a short pejfiod; and in most cases the drug produced a sensation of choking — probably in consequence of impeding expectoration. The only advantageous feature noticed consists in a reduction of the amount of expectoration and relief of the cough. Dr. Herbert states that methylene-blue may safely be administered in chronic advanced cases of phthisis with profuse muco-puruient expec- toration, and that it is contraindicated in sensitive and hectic cases. When not accompanied by much expectoration the follow- ing mixture is recommended : — I^ Codeinse, gr. iv. Acidi hydrochlorici dil., 58B. Spiritus chloroformi, Siss. Syrupi limonis, 5j- Aquse destillatse, q. s. ad ^iv. Misce et fiat emulsio. Sig.: One teaspoonful at short intervals when cough is troublesome. Indication: Irritating cough. I^ Guaiacoli carbonatis, Siv. Glycerini, 3x. Sodii chloridi, 3ij. Aquse menthse pip., Siiss. Misce. Sig.: Twenty to thirty drops to be taken daily. I^ Creosoti (beechwood), gtt. xxxij. Tinct. gentianse, fSj. Alcoholis, fjj. Vini albi, q. s. ad Jiv. Misce. Sig.: Teaspoonful in water or wine three times daily. 342 Hand-Book of Modem Treatment. IJ Codeinse, gr. iv. Acidi hydrochlorici diluti, mxxx. Spiritus chloroformi, f3iss. Syr. limonis, f^j. Aquae, q. s. ad f^iv. Mi see. Sig. : One teaspoonful as necessary. Indication: To control cough. I^ Spiritus chloroformi, f$ss. Morphinse sulphatis, gr. i or ij. Syr. pruni Virginianse, fjiij. Misce. Sig.: Teaspoonful every four hours. Indication: To relieve excessive cough. I^ Guaiacoli carbonatis, 3ij. Dionini, gr. ij. Misce et fiant chartulse no. xxiv. Sig.: One powder three or four times daily. Indication : Used in early stages to improve conditions of bronchial mucous membranes and quiet cough. In absence of cough the dionin may be omitted. J^ Guaiacoli carbonatis, 3ij. Pone in capsulas no. xxiv. Sig.: One or two capsules three times a day after meals. I^ Acidi camphorsB, 3iij. Pone in cachetas no. xviij. Sig.: One cachet about two hours before ex- pected sweat. Indication: Used to prevent night sweat. IJ Balsami copaibse, 5j- Syrupi tolutani, 5j- Aquae menthae pip., Jj* Spiritus vini rectificati, 5j. Spiritus aetheris nitrosi, fSj. Misce. Sig.: Two teaspoonfuls every two to four hours. Indication: In obstinate haemoptysis. Band-Book of Modern Treatment, 343 IJ lodoformi, gr. xxiv. Guaiacolis carbonatis, 5ij. Misce. Pone in capsulas no. xxiv. Sig. : One capsule after meals. Indication: Used in tuberculosis of bladder. I^ Codeinse sulphatis, gr. iv. Acidi hydrocyanici diluti, gtt. xv. Ammon. chloridi, gr. xv. Syr. pruni virginianse, q. s. ad f^ij. Misce. Sig.: A teaspoonful every three or four hours. Indication: Useful for cough. I^ Terpini hydratis, gr. Ixxv. Spiritus vini rectificati, £3v. Glycerini, fSx. Misce. Sig.: Teaspoonful or two in a little sweet- ened water two or three times daily. Indication : Expectorant. I^ Sodii iodidi, gr. Ixxv. Sodii bromidi, Siiss. Sodii chloridi, 3v. Aquse destillatse, fSj. Misce. Sig.: Teaspoonful every morning in cup of milk. "Summer codliver-oil," containing prin- cipal constituents of olei morrhuse. I^ Tinct. ferri chloridi, f3j. Acidi nitrici diluti, fSj. Syrupi zingiberis, fSxiv. AquflB menthse viridis, f^iv. Misce. Sig.: Tablespoonful every four hours. Indication: Astringent tonic. I^ lodoformi, ^ss. Sig.: Use about ten or fifteen grains once or twice daily by insufflation into larynx. Indication: In laryngeal tuberculosis. 344 Hand-Book of Modern Treatment, IJ Amyli hydratis, Siss. MorphinsB muriatis, gr. V«» Ext. glycyrrhizae, Siiss. Aquae destillatfle, fSxv. Misce. Sig. : The half to be taken at bed time. Indication: Insomnia of phthisis. I^ HeroinsB, gr. ij. Acidi acetici diluti, f5ss. Syr. acidi citrici, f^j. Aquse cinnamomi, q. s. ad f^iij. Misce. Sig.: One to two teaspoonfuls to relieve cough. Indication: While quieting cough, heroin does not check secretions as do morphine and codeine. I^ Chi oralis hydratis, 3iij. Syrupi tolutani, fjj. Aquse destillatse, q. s. ad f^iij. Misce. Sig.: A teaspoonful at bed time. Indication: Useful for insomnia. PILES.— See Hsemorrhoids. IJ Tinct. hamamelidis, f^iv. Sig.: Inject into the rectum one-half to one ceaspoonful in an ounce of cold water daily before rising. Also take internally two to five minims three times daily. B Ferri subsulphatis, gr. iij. Plumbi acetatis, gr. j. Massa hydrarg., gr. ss. Olei theobrom. q. s. et facit suppos. no. j. Sig.: Introduce one morning and evening. IJ Ung. belladonnse, '^i], Camphorse, 3j. Tinct. camphorse comp., fSj. Misce et fiat unguentum. Sig.: Apply to painful piles. Hand-Book of Modet^n Treatment, 345 IJ Ext. opii, gr. viij. Ext. belladonnse, gr. ij. Olei theobromi, q. s. Misce et fiant suppos. no. viij. Sig.: One to be introduced into the bowel every four to six hours. I^ Acidi tannici, gr. xx-xxx. Aquse, fjvj. Misce. Sig.: To be injected, after being cooled with ice, into the rectum. Indication: Used in bleeding piles. PITYRIASIS.— See Dandruff. PLEURISY. Dr. Samuel W. Kelley, after reviewing the usual signs and symptoms of pleurisy, says: "In the course of symp- toms which indicate the early stage of pleurisy, among which is the attitude of lying upon one side or bending toward or press- ing upon one side, this position changes, and the patient in- stinctively turns and prefers to lie upon the back or to be propped up high in bed, and avoids bending toward that side or pressing upon it. This is a sign of an effusion — probably of an effusion of considerable bulk and poured out with a degree of rapidity/^ This sign is not always present, but is conclusive, according to the author, when it occurs. The posture on the affected side in cases of effusion, as usually described by medical authors, is altogether a later phenomenon. Kelly^s sign occurs at the time of onset of the effusion, and he attributes it to the assumption of a new position which allows the greatest freedom to the compressed viscera, thereby easing the breathing and cir- culation. Prozorovsky has used a mixture of guaiacol and tincture of iodine, 1 part of the former to 4 of the latter, as an applica- tion in serous pleurisy, painting it on twice daily, and covering it with an impermeable dressing. He believes that the exudate was absorbed more rapidly than by any other method of treat- ment with which he had experience ; and, unless too many appli- cations were made, it caused no irritation of the skin. H Ammonii chloridl, 3j. Ammonii carbODatia, 3j. Tinct. cubebie, Jiij. Syrupi tolutftiii, q. b. ad Jiv. Misce. Sig.: Two teaepoonfuli every hour. Indication: Flenrisy with effuaioD. The stiimilation of the natural recuperative forces by the local, prolonged application of alcohol has been found ex- tremelj' beneficial in pleuriey with effusion, articular rheuma- tism, and also in acute gout. Burwinkel roporte in the Allge- meiner nierl. Centralzeitung. the application of an alcoholic com- press over night banished the pain in a peculiarly severe and rebellious caae of articular rheumatism. A pleuritic effusion which had persisted unmodified by any measures rapidly sub- sided after four applications of alcohol for two hours each. The relief obtained in two cases of gont surpassed that secored by otlier measures in years of experience. He describes several other cases benefited in the same way. H Podophyllin, gr. Vi. Hydrarg. cliloridi mitiB, gr. s. Qulninse aulphatia, gr. i. Sig.: One doee. Indictif ion : Earliest stage of acute pleurisy vrith pains. Strapping cheat will give relief from pain. B Tinct, aconiti, m viij, Spiritus ietheris nitrosi, fjj. Syrupi, fSij. Liq. potatiflii citratia, q. s. ad Si'iij. Sig. : Tablespoonful every hour until pulse becomes soft and compressible, and then every two or three hours. Indication : Used in earliest ataise of acute pleurisy. It Pulveria opii et ipeeacuanhw. gr. ks. Sig.; Two grains every two or three houra. Indication: To control pain in early stage. Hand-Book of Modem Treatment. 347 I^ Tinct. veratri viridis, 3ij. Sig.: Two or three minims every half -hour until patient is slightly nauseated or skin is moist. Indication: In early stage of an acute dry pleurisy. I^ Potassii acetatis, Svss. Spiritus aether is nitrosi, 3ij. Aquse, q. s. ad Sviij. Mi see. Sig.: A tablespoonful every three or four hours. Indication: In pleuritic effusion. I^ Potassii acetatis, 3ij. Infusi digitalis, q. s. ad $iij. Misce. Sig.: Teaspoonful every three hours to a child five years old. Indication: To remove effusion. I^ Potassii iodidi, ^ss. Sodii salicylatis, 5j- Syr. sarsaparillse comp., f$ij. Aquse menthse viridis, q. s. ad fBviij. Misce. Sig. : Two teaspoonful s in water after meals. Indication: Used in pleurisy with effusion. I^ Syr. ferri iodidi, ^ss. Sig.: Ten to fifteen drops in water after meals. Indication: Used in strumous subjects. I^ Collodii cantharidati, f$ss. Sig.: Apply with a brush over a small area and paint new areas each day. Indication: In pleurisy with effusion to ab- sorb exudate and for