Complete Text (Part 29)

twice daily. This produces no irritation nor discoloration of the skin. IJ Acidi salicylici, Siiss. Chrysarobini, 3v. Olei rusci (birch tar), 3v. Sapo. viridi, 3viss. Vaselini, Sviss. Hand-Book of Modern Treatment. 371 For from four to six days the ointment is applied by the aid of a stiff brush to the affected area (after this has dried somewhat it is well to apply a little starch or zinc powder). On the fifth or sixth day the patient starts taking hot baths daily for from one to three days; and after the bath, vaseline is to be well rubbed in from one to three times a dav. This course of treatment, which embraces a period of eight days, may be repeated several times, according to the severity of the dis- ease, but as a rule the psoriasis patches disappear soon after the first treatment. I^ Liq. potassii arsenitis, Sig. : Three to five drops, well diluted, thrice daily after meals. Q Liq. potassii arsenitis, fSii-iij. Liq. potassii, fSiv-f^j. AqusB menthse pip., q. s. ad f^iij* Misce. Sig.: A teaspoonful in one glass of water after each meal. Q Ext. glandulse thyroidese, 3ij. Fiant tabellse compressse no. Ix. Sig.: One three times daily. PTTALISBl Q Tinct. myrrhse, 3iij. Potassii chloratis, 3s8. SoJii chloridi, 3ij. AqnsB destillatffi, q. s. ad Sviij. Misce. Sig.: Used as a mouth wash. Repeat every two hours. Q Potassii chloratis, 31 j. Infusi rhois glabrs radicis, Oj. Misce. Sig.: Use as mouth wash. B Listerini, f^v. Sig.: Teaspoonful in a wineglassful of water ms a month wash every two hours. 372 Hand-Book of Modem Treatment. Q Atropinse sulphatis, gr. j. Aqus destillato, f3j. 8ig.: Four minims three times daily. I^ Potassii permanganatis, gr. ii-x. Aqiue destillato, f3j. Misce. Sig.: Use as a mouth wash. Indication: To correct the fetor. I^ Phenol sodique, fBviij. Sig. : Teaspoonful in one-half glass of water as a mouth wash every two or three hours. Indication: Used in mercurial ptyalism to check secretion and harden gums. PTTERPEBAL 00NVTTL8I0NS. In addition to the correct hygiene and dietetics of preg- nancy, always have the patient take daily a aose of the liver tonic par excellence, to wit : — B Euonymi, gr. Vs- Hydrarg. chloridi mitis, gr. %. Pulv. ipecacuanha, gr. V». Aloini, gr. Via- Podophyllini, gr. Vjo. Misce et fiat pilula no. j. This is the ordinary, average dose to be taken at bedtime. The amount of this combination suitable for a given case must be determined by a few nights^ use. The best rule is to give just enough to cause one natural movement of the bowels daily. If one pill is too much, give a fraction; if too little, double. One will meet with cases requiring very different amounts — from Vs to 3 or 4. IJ Aquae defltilla'se, f3ij. Synipi pruni virginiansB, fSij. Chloralia hydratis, Sss-j. Sodii bromidi, Sss-j. MlHce. 8ig. : A tablespoonful in water every hour. Hand-Book of Modern Treatment. 873 Q Elaterini, gr. ^. Sacchari lactis^ gr. iij. Misce et fiant chartuls no. iij. Sig.: One powder on tongue. Indication: Used during attack in sthenic cases to cause free watery purgation. PUBPUBA. I( Calcii chloridi, Bss* Aqu», q. s. ad %vr, Misce. Sig.: One teaspoonful every eight hours for three or four days. Indication: To increase the coagulability of the blood. B Liq. potassii arsenitis, 3ss. Sig.: Five drops in water after meals three times daily. Indication: When due to iodism. I( Fluidextracti bamamelidis, f^ij. Sig.: A teaspoonful every one to three hours. I( Olei terebinthinse, f3iij. Fluidextracti digitalis, fSj. Mucilaginis acacise, fjss. Aquse menthse pip., fSj. Misce. Sig.: A teaspoonful every three hours. Indication: Used in the hsmorrhagic form. I( Extracti glandulse suprarenalse, 3ij. Pone in capsulas no. xlviij. Sig.: One to four capsules three times a day after meals. Indication : Used in purpura with vasomotor relaxation. PYiBMIA AND SEPTIOiEMIA. B Tinct. ferri chloridi, 3iv. Sig.: Ten to fifteen drops, well diluted and through a glass tube, every four hours. 374 Hand- Book of Modem Treatment, I^ QuininsB sulphatin, 3ij. I^one in capsulas no. xxiv. Sig. : One three times daily. Indication: To aid in combatting infection and as a systemic stimulant. I^ Salophcni, 3ij. Fiant chartulie no. xij. Sig.: One powder three times a day. Indication: l^Hcd as an intestinal antiseptic and to neutralize and eliminate toxins. li Unguenti Cred<^, Sig. : One to two drachms by inunction twice daily. Indication: Used in all forms and stages of pyemia and septiesemia. PYELITIS AND CYSTITIS. Q Terebinthine (Venice), Siss. Pulv. camphorse, Siss. Ext. opii, gr. v. Ext. aconiti rad., gr. iij. Misce et fiant pilule no. xx. Sig. : One pill every eight hours, with a glass of the infusion of uva ursi sweetened. Indication: Used in chronic pyelitis. Tlie charge tliat has been brought against turpentine, of speedily upsetting the stomach, may be brought with truth against benzoic acid and sodium benzoate, the drugs that of late years have replaced turpentine. The truth is that turpentine, taken in small doses with meals, does not upset the stomach in such a way as is asserted of it. So slight action as it has in that way may be overcome by combining it with the soft extract of cinchona, as follows: — B Terebinthinff, gr. ias. Mollis extraeti cinchonsp, gr. iss. Misce et fiat pilula no. j. Sig.: Three during each of the principal nieals. Indication: ITsed in the chronic form of pye- litis. Hand-Book of Modern Treatment. 375 B Terebinthiiue canadensis, gr. iss. Balsami peniviani, gr. iss. Magnesii oxidi, q. s. Misce et fiat pilula no. j. Sig.: Three such to be taken at each meal. Add the balsam of Peru to Canada balsam; the fonner is to some extent a peptic adjuvant; it doubles the anticatarrhal properties of turpentine; it prevents the ammoniaeal fermen- tation of the urine consequent on the transformation into hip- puric acid of the cinnamic and benzoic acids contained in it; and it enjoys, rightly or wrongly, a special reputation for ex- pelling calculi. Dr. J. Pollock Simpson describes some cases in which he had employed urotropin with benefit. In a case which had proved resistant to many remedies, in a severe paroxysm of pain, and the urine being very foetid, he gave this drug a trial in 6-grain doses, with the happiest result; the pain was relieved in a very short time, the urine rendered free from odor or smell, the pus-corpuscles quickly disappeared from the urine, and the patient in a few weeks became free from the severe paroxysms that she had looked upon as a part of herself, as she could not carry her mind back to the time when she was free from these attacks. In a case of many years' standing speedy relief was obtained by use of the same remedy. A case of cystitis in a young girl is also described in which 4 grains thrice daily was productive of great amelioration. PYBOSIS. B Sodii bicarbonatis, 3iij. Flant chartulie no. xij. Sig. : A powder in a wineglass of water after meals. B Hydrarg. cum cretae, gr. iij. Bismuthi subnitratis, gr. xij. Polveris nucis myristicse, gr. iij. Misce et fiant chartulse no. vj. Sig.: One powder morning and nights 376 Hand-Book of Modern Treatment. I^ Pulv. ipecacuanhsB, 3j. Pulv. rhei, gr. ij. Sodii bicarbonatis, gr. xij. Misce et fiant chartulse no. xij. Sig.: One powder every four to six hours to an infant one year old. Q Bismuthi subcarbonatis, 3iv. Tinct. hyoscyami, fSiv. Aqiue camphore, q. s. ad fSiij. Misce. Sig.: Shake. Teaspoonful one hour before meals. 3 Tinct. nucis vomicsB, fSii-iv. Acidi nitrici diluti, fSvj. Syrupi zingiberis, q. s. ad f^iij. Misce. Sig. : A teaspoonful in a wineglass of water. I( Sodii bicarbonatis, ^qs. Aquae menths viridis, fjiv. Sig.: Shake and take a tablespoonful two hours before meals. Q Sodii salicylatis, 3j. Bismuthi subsalicylatis, Siiss. Magnesii carbonatis, Siiss. Sodii bicarbonatis, Siiss. Misce. Sig.: One-half a teaspoonful in hot water before meals. I^ Sodii sulphatis, 3vj. Sodii chloridi, 3vj. Calcii sulphatis, 3ss. Sodii carbonatis, 3iiss. Sodii boratis, 3j. Misce. Sig.: Teaspoonful before each meal. Indication: Gastric acidity that is pro- nounced. Hand-Book of Modem Treatment. ^J1 QUmSY.— See TonsiUitis. Q Tinct. guaiaci ammoniatse, f^ij. Sig.: A teaspoonful in half a glass of milk three times daily in early stage. B Tabellas protonucleini no. xxiv, each gr. v. Sig.: One tablet dissolved in mouth every hour until flushing of face. Then one tablet every two or three hours. Indication: Used at onset. B Tinct. iodi, gtt. x. Aquae menths pip., Siss. Syrupi simplicis, |(ss. Misce. Sig.: A teaspoonful every hour. B Tinct. aconiti radicis, f^ss. Sig.: Half a drop every fifteen minutes for two hours, and afterward hourly. Q Ichthyoli, fSiij. Ung. belladonne, 3ij. Olei citronellse, m iv. Adipis lansB hydrosi, 3iij. Misce. Sig.: Apply freely externally. Q Sodii salicylatis, 3iij. Syrupi acacise, f^ss. Aquae cinnamomi, q. s. ad Siij- Misce. Sig.: A dessertspoonful every three hours. Q AquflB hydrogenii dioxidi, f^iv. Sodii bicarbonatis, 3iv. AqiUB, q. s. ad S^vj. Misce. Sig.: Use as a gargle or spray every hour or two. Q Tinct. aconiti, gtt. vj. Potassii bromidi, 3j. AquflB, q. s. ad %\y. Misce. Sig.: Teaspoonful every two hours in water. 378 Hand-Book of Modem Treatment, Q Cocainse sulphatis, gr. iv. Aquae hydrogenii dioxidi, ^ij. Phenolis, mviij. Sodii bicarbonatis, 3ij. Aquse, q. s. ad ^iv, Misce. Sig. : Use one or two teaspoonfuls as gargle every three or four hours. RABIES.— See Hydrophobia. BAOHITIS (RICKETS, SCROFULA, STRUMA). I^ Liq. potassii arsenitis, 3iv. Sig. : One drop three times daily. B Olei morrhuse, f^v. Phosphor i, gr. iij. Facit solutio. Sig.: One teaspoonful daily. B Olei morrhuse, fjvj. Syrupi calcis lactophosphatis, |(iij. Liq. calcis, |(iij. Misce. Sig.: One or two teaspoonfuls three or four times daily. IJ Olei morrhuae, fSxvj. Sig.: Apply freely by inunction twice daily. IJ Syrupi ferri iodidi, f3iv. Sig.: One to five drops in water or milk after meals. Indication: Used in anaemic and strumous children. I^ Elixiris phosphori, f^ij. Sig.: Five to fifteen drops in water three times daily after meals. I^ Syrupi calcis lactophosphatis, f^iv. Sig.: Adult dose a teaspoonful three times daily. Hand-Book of Modern Treatment, 379 Q Fluidextracti rhamni purshianse arom., f^iv. Sig.: Use as conditions indicate. Indication: Useful in constipation compli- cating rickets. Q Ferri et quininse citratis, gr. x. Olei morrhnsB, fSij. Glycerini, fBij. Misce. Sig.: A tablespoonful three times daily. RATTLESNAKE BITE. Q Potassii permanganatis, Bbs. AqnsB destillatsB, $iij. Sig.: Apply to the wound and inject hypo- dermically above the seat of injury. At same time take internally the following: — Q Aquffi ammoniffi, ^\y, Sig.: A half teaspoonful in water, repeated every ten or fifteen minutes. Q Tinct. iodi, fSiv. Sig.: Excise wound and swab out freely. REMITTENT FEVER.— See Fever. RENAL OOLIC— See OalcuU. B Lithii citratis, 3j. Fluidextracti hydrangese, 3iv. Infusi tritici, q. s. ad $vj. Misce. Sig.: One tablespoonful every four hours in water. Q Lithii citratis, 3j. Potassii citratis, Siss. Fluidextracti zesB, Sj- Infusi uv» ursi, q. s. ad Svj. Misce. Sig.: One tablespoonful every four hours. 380 Hand-Book of Modern Treatment, Infusion of birch-leaves has been recommended by Win- temitz as a bland diuretic. Jaenicke states that its diuretic action is unimportant, but that it is a good solvent of renal calculi. In one case an eminent surgeon had decided to oper- ate, and the presence of calculi had been demonstrated by radio- graphy. Before consenting to an operation the patient consulted the writer. About thirty-five ounces of urine were passed in the twenty-four hours. It was acid, turbid, yellowish-white, and occasionally haemorrhagic. A cupful of infusion of birch- leaves was ordered to be taken twice daily, and liquor ferri per- chloridi was given to combat the haemorrhage. A generous meat diet, with sometimes a small amount of wine, was substituted for one which consisted chiefly of milk. Six weeks later the general condition had improved, the attacks of colic were less severe and less frequent, and the strangury was scarcely noticeable. After another six weeks the general condition was excellent. Ko severe attack of colic had occurred for some time, and the urine was in all respects normal. BETENTION OF URINE. When you succeed in passing a catheter into the bladder in cases of considerable retention, do not empty it entirely or too suddenly, as it may give rise to haemorrhage, which is some- times very profuse, or to severe cystitis, or even to urinary sup- pression and death. It is well to partially plug the lumen of the catheter so as to allow the urine only to dribble out. B Atropinae sulphatis, gr. ^/^. Morphin® sulphatis, gr. iss. Aquse destillatse^ f3j. Misce. Sig. : Ten minims bypodermically and repeat once if required. Indication: Used in retention from spas- modic stricture. Patient should be immersed in hot bath for half an hour. Hand-Book of Modem Treatment 381 BHEXTMATISM. Q Sodii salicylatis; 5iv. Vini colchici, 3iv. Spiritus gaultherise^ J^j. Spiritus setheris nitrosi, 5j. Syrupi simplicis^ q. s. ad Biv. Misce. Sig.: One teaspoonful every three or four hours in ice-water. Indication: Acute inflammatory rheumatism. I^ Sodii salicylatis, Sss. Potassii iodidi, 3j. Methyl is salicylatis, f3j. Extracti cimicifugse fluidi, fSij. Alcoholis, f||ss. Aquse, q. s. ad f^iij. Misce. Sig.: A teaspoonful three times a day. B Potassii acetatiS; J^ij. Acidi salicylici, 3iv. Syrupi limonis, Jij. Aquse menthse pip., q. s. ad gviij. Misce. Sig.: Tablespoonful every three hours. I^ Sodii salicylatis, 3i3s. Sodii phosphatis, 3ij. Sodii bicarbonatis, 3ij. AqusB menthse viridis, q. s. ad J^iv, Misce. Sig. : Tablespoonful every four hours. Indication: Acute articular rheumatism. This prescription is recommended by Eschner in acute and Bubacute rheumatism in which considerable involvement of the muscles and great pain exist: — 3 Antipyrinae, 3ij. Sodii salicylatis, 3iij. Ammonii bromidi, 3iv. Aquse cinnamomi, q. s. ad f^iij Misce. Sig.: Teaspoonful every three or four hours. 382 Hand-Book of Modem Treatment. IJ Sodii salicylatis, 3iv. . Tinct. ferri chloridi, 3iv. Acidi citrici, gr. x. Glycerini, ^ss-iss. Olei gaultherise, wx-xxx. Liq. ammon. cit. ( B. P. ) , q. s. ad J^iv. Misce. Sig. : Dessertspoonful every two, three, four, or six hours. Indication: Used in the acute form and those predisposing to anaemia. IJ Acidi salicylici, gr. x-xx. Ferri pyrophosphatis, gr. v. Sodii phosphatis (crys.), gr. 1. Aquse, ^as. Misce. Sig.: At a dose. B Lithii benzoatis, 3ss. Sodii bromidi, 3ij. Potassii carbonatis (pura), 3ij. Potassii acetatis, ^isa. Sodii phosphatis, Sss. Syrupi zingiberis. Aquae menthae pip., of each q. s. ad Jvj. Misce. Sig.: Two teaspoonfuls to a tablespoonful in a half-glass of water, every four to six hours^ after food. Indication: Used in the acute form. I^ Acidi salicylici, 3ss. Ferri pyrophos., 3j. Sodii phosphatis, 3x. Aquae, q. s. ad Jvj. Misce. Sig. : One tablespoonful every two hours well diluted in water. Indication: Useful in acute rheumatism. • J^ Sodii salicylatis, 3ij. Ichthyoli, f^j. Adipis lanae hydrosi, Sj* Misce et fiat unguentum. Sig.: Apply freely to joint and envelop in cotton-wool. Hand-Book of Modem Treatment. 383 Q Potassii iodidi^ 3ij. Potassii bromidi, 3ij. Chloralis hydratis, Siij. Glycerini, 5ij- Syrupi sarsaparillse, Jij. Ext. gaultherise, 3ij. Aquae, q. s. ad ^iv, Misce. Sig.: A teaspoonful four times a day, after meals and at bedtime. 3 Tinct. opii, f^ij. Glycerini, fjij. Potassii bicarbonatis, $j. Aquae, q. s. ad f^xyj. Misce. Sig.: Warm and apply to joints on soft cloths. Indication: Useful in acute articular. B Olei terebinthinae, 3iij. Betul-ol, 3ij. Acidi oleici, 3ij. Mentholis, 3j. Spiritus vini rect., 3iij. Misce et fiat linimentum. Sig.: For external use by friction, or, if the parts are too tender, apply to any muscular part of the body, as this liniment will be easily absorbed by the skin and carried by the circu- lation to the seat of the lesion. Indication: For painful stiff joints, sprains, and muscular rheumatism. I^ Spiritus camphorae, Siss. Spiritus terebinthinae, ^is9, Chloroformi, 3ij. Mentholis, 3j. Balsami Peruviani, Siss. Misce. Sig.: Apply with gentle friction. Indication: Useful in muscular rheumatism. The basis of the most rapid treatment of acute rheuma- tism is salicylic acid, preferably in its combination with soda. 384 Hand-Book of Modem Treatment. If pain be excessive some morphine may be conjoined. For instance : — IJ Sodii salicylatis, gr. x. Morphinse sulphatis, gr. %, Tinct. cardamomi comp., 3ss. Glycerini, 3^. Aquae, q. s. ad 3ij. Misce. Sig. : For one dose. One such dose to be given every three hours. Codeine may be substituted for morphine. If the narcotics are omitted from the prescription a dose may be given hourly until six doses have been taken. Lead-water and laudanum is a good local application. Wrapping the affected joints in cot- ton-wool affords relief. When the temperature has returned to normal and the swelling is lessening it is well to add an alkali to the salicylate. Sodium bicarbonate or iodide answers a very good purpose. A little later the salicylate can be eliminated and the alkalies given until convalescence is assured. In subacute cases, which are frequently attended by sluggish liver and constipated bowels, we have often found it of advantage to add enough cascara sagrada to each dose to secure free evacua- ation. In this class of cases salicylic acid has been found useful as a local remedy. It may be made into an ointment in the pro- portion of a drachm to an ounce. In the chronic and muscular forms salicin is more reliable than salicylic acid. The following will often give good results: — T^ Salicini, gr. iii-v. Ext. cimicifugse, gr. ss-j. Misce. Sig. : For one dose. One capsule to be given four times a day. B Acidi salicylici, 3vj. Fluidextracti pruni Virginianse, 3iv. Fluidextracti gentianse, 3ij. Fluidextracti glycyrrhizae, 3ij. Elixiris simplicis, Sx. Misce. Sig. : Teaspoonful every three hours. Indication: Used in rheumatism as a tonic. Hand-Book of Modem Treatment 385 IJ Fluidextracti taraxaci, 3vj. Fluidextracti pruni Virginianae, 3iv. Fluidextracti gentianse, gtt. x. Fluidextracti glycyrrhizse, gtt. ix. Elixiris simplicis, 5x. Misce. Sig. : Teaspoonful every three