Complete Text (Part 30)

hours. Indication: Used in rheumatism as a tonic. IJ Acidi salicylici, 3ij. Olei gaultheriae, 3j. Fluidextracti hamamelidis^ Bj* Olei sinapisj gtt. v. Alcoholis, Siv. Misce. Sig. : For external use only. Apply at night and in the morning if necessary. The above formula makes a clear solution. The wintergreen gives a pleasant odor, so that the most fastidious patients find no objections to its use. It does not stain the skin nor the cloth- ing, and is clean to use. The oil of mustard makes a comfortable warmth, and by its irritation accelerates the absorption of the acid. B Ichthyoli, Sij- Adipis lanae hydrosi, ^ij. Misce. Sig.: Rub in well and apply about the in- flamed part on lint. T^ Salicini, 3j. Potassii bicarbonatis, 3iss. Sodii bicarbonatis, 3iss. Misce et fiant chartulse no. x. Sig.: One powder every three hours dis- solved in hot water or hot milk. Aspirin, a more recent preparation, is a very valuable sub- stitute for the salicylates, salol, or salophen, and its action being similar, it may be classified in this group. It may be prescribed as follows : — B Aspirini, 3iss. Ext. nucis vomicae, gr. v. Misce et fiant capsulse no. xij. Sig.: One capsule every four hours. 25 386 Hand-Book of Modern Treatment, Q Sodii salicylatis, 3ij. Potassii iodidi, 3j. Tinct. veratri viridis, gtt. xv. Tinct. aconiti radicis^ gtt. xv. Aquae, Sij^ Syrupi, q. s. ad Siij. Misce. Sig. : A teaspoonful every two hours for adults. One-half a teaspoonful every two or three hours for children. I^ Aspirini, Sss. Pone in cachetas no. xxiv. Sig. : One every three hours during the day. Indication: Used as a substitute for the salicylates. Q Salopheni, B^s* Fiant chartulse no. xxiv. Sig.: One powder every four to six hours. Indication: Used as a substitute for the salicylates. I^ Acidi salicylici, 3j. Adipis lame hydrosi (lanolini), 3v. Misce et fiat unguentum. Sig.: Apply locally to the affected joint. Q Extracti belladonnae, gr. v. Acidi salicylici, gr. xx. Sodii salicylici, gr. xx. Adipis lanse hydrosi (lanolini), Siv. Misce et fiat unguentum. Sig.: Apply locally. H Saloli, 3j. Mentholis, gr. xlv. Spiritus setheris nitrosi, 3j. Adipis lanae hydrosi, Sj. Misce. Sig.: Apply locally. Hand-Book of Modern Treatment. 387 The following outline of treatment in acute rheumatism is recommended : — Q Sodii iodidi, 3ij. Sodii salicylatis, 3iij. Syrupi sarsaparillae comp., %\}, Misce. Sig. : One teaspoonful after each meal in water. Q Olei gaultherise, B^s. Linimenti chloroformi, Siss. Misce et fiat linimentum. Sig.: To be applied locally night and morn- ing. As a combined alkaline and salicylate mixture the following may be given, which is according to the formula of Whitla : — Q Sodii salicylatiSj Siv. Potassii bicarbonatis, 3v. Liq. morphinae hydrochloridi (1 per cent.), 3j. Aquse camphorae, q. s. ad B^iij. Misce. Sig.: One tablespoonful four times a day in one-half glass of water. Q Sodii salicylatis, 3iss. Potassii iodidi, 3ss. Tinct. aconiti, gtt. x-xv. Aquse, 5ij. Misce. Sig.: One drachm three times daily. Indication: Used in acute rheumatism of children. There is a common notion that lemon-juice produces good effects in the treatment of rheumatic diathesis, but up to the present the employment of citric acid in acute articular rheu- matism has not been spoken of to any extent. For patients very susceptible to salicylates, it proved effective both in acute and subacute rheumatism. The dose of citric acid is 75 to 150 grains a day, and may be prescribed as follows : — 388 Hand-Book of Modern Treatment, 1 l I j .^w_^_ IJ Acidi citrici, gr. Ixxv-Siiss. Syrupi tolutani, fSvij. Syrupi pruni Virginianse, fSvij. Aquse, fjviij. Misce. Sig. : To be taken during the day — two to three tablespoonfuls every two hours. Under this medication the pain and swelling disappeared from the joints in twelve hours in some cases. IJ Codeinse sulphatis, gr. iv. Acetanilidi, gr. xlv. Sodii salicylatis, Siiss. Alcoholis, 58S. Syrupi rubi idsei, ^j. Glycerini, ^9s. Misce. Sig.: Take one teaspoonful every three hours. Alcohol to dissolve the acetanilid; glycerin and raspberry syrup to render the pre- scription more palatable. Indication: Useful in neuralgia, rheuma- tism, pains, and fever. GONORRHCBAL RHEUMATISM. Of the first importance is the urethritis. The urethritis must be cured, the gonococcus must be destroyed. As long as the gonococcus has a dwelling place in the man^s urethra and gener- ates gonotoxin, a radical cure is out of the question. The gono- coccus must be destroyed, and silver nitrate is still best for the purpose, if the urethritis is of a chronic character. If of acute or subacute character, protargol will prove more satisfactory. Internally the following combination is about the best: — I^ Saloli, gr. v. Antipy rinse, gr. x. Codeinae, gr. ss. Misce et fiat chartula no. j. Make twenty- four such doses. Sig.: One in the morning, one in the after- noon, and two on going to bed. Hand-Book of Modein Treatment. 389 If the kidneys are in perfect condition, the dose of salol may be doubled. But the urine must be watched, and as soon as a suspicion of a blackish or smoky color is noticed, the salol should be discontinued. For the pain in the joints, painting with a solution or rubbing with a liniment or ointment is to be ordered. The solution, which sometimes produces a magic effect and sometimes fails entirely, has the following composition : — Q Acidi salicylic!, 3j. Mentholis, gr. xv, Guaiacoli, m xxx. Alcoholis, 5j. Misce. Sig. : Paint with camel's hair brush and cover with cotton and oiled silk. The liniment has the following composition: — Q Methyl, salicylatis, 3ij. G-uaiacoli, 3j. Oleat. veratrinse, 3j. Linimenti camphorse, 3j. Linimenti belladonnae, Sj. Misce. Sig. : Rub in well and cover with cotton and oiled silk or muslin. The ointment has the following composition : — Q Chloralis hydratis, 3j. Camphorse, 3ss. Mentholis, 3ss. Acidi salicylici, 3j. Guaiacoli, 3j. Atropinse, gr. ij. Petrolati, 5j. Lanolini, ad ^ij. Misce. Sig. : Apply externally. Ten to fifteen drops of ol. sinapis volatile may be added to the above. While this ointment does excellent service in articular and muscular rheumatism, in lumbago, in sciatica, etc., its effects in gonorrhceal arthritis are only moderate; occasionally, however, it surprises us very agreeably. 390 Uand-Book of Modern Treatment. BHETTMATISM, CHBONIC. I^ Sodii iodidi, 5ij. Vini colchici rad., 3iv. Sodii salicylatis, 3iij. Tinct. guaiaci ammon., Bij* Syrupi sarsaparillae comp., q. s. ad J^j. Misce. Sig.: Dessertspoonful three times daily. 3 Pulv. guaiaci resinse, 3j. Potassii iodidi, 3j. Tinet. colchici seminis, 3iij. Syrupi simplicis, 5ij. Aquse cinnamomi, q. s. ad Svj. Misce. Sig.: Dessertspoonful to a tablespoonful twice daily. T^ Fluidextracti jaborandi, 3vj. Fluidextraeti colchici, 3vj. Fluidextracti cimicifugse, 3vj. Aquse cinnamomi, Syrupi simplicis, of each, q. s. ad Bviij. Misce. Sig.: One teaspoonful every three hours — sufficient to keep the bowels loose. I^ Potassii et sodii tartratis, ^ss. Potassii nitratis, 3v. Vini colchici, 3ij. Aquse, q. s. ad ^ij. Misce. Sig.: A teaspoonful three times daily. 3 Liq. potassii arsenitis, fj.j. Sig.: One drop in water after meals and gradually increase until slight puffiness under the eyes or slight intestinal pain. Then reduce dose and continue a long time. Indication: Used in anaemia and debility of chronic rheumatism. Hand-Book of Modern Treatment. 39 1 Q Potassii bicarbonatis, Sss. Vini colchici radlcis, f3ij. Tinct. guaiaci, f^ij. Syrupi aurantii corticis, f^ij. Misce. Sig.: A dessertspoonful thrice daily in water. Indication: In rheumatic arthritis. I^ Potassii iodidi, 3iij. Vini colchici, Sij^ Tinct. opii camphoratsB, ^ij. Tinct. stramonii, 3vj. Tinct. cimicifugfle, Siij. Misce. Sig.: A teaspoonful three times daily. B Liq* potassii arsenitis, f3ij. Potassii iodidi, 3ij. Syrupi simplicis, fjiij. Misce. Sig.: A teaspoonful thrice daily in water. Indication: Useful in rheumatic arthritis. Q Sodii iodidi, 3iij. Vini colchici sem., f3iij. Spiritus gaultherise, f^iv. Misce. Sig.: A teaspoonful in water after each meal. I^ Sodii iodidi, 3iiss. Liq. potassii arsenitis, 3iss. Olei gaultherise, 3iss. Spiritus gaultheriae, q. s. ad 5iv. Misce. Sig.: One teaspoonful in water after each meal. IJ Tinct. aconiti, 31 j. Chloroformi, 3ij. Aquae ammonise, 3ij. Linimenti saponis comp., q. s. ad 5viij. Misce et facit linimentum. Sig.: Use locally. 392 Hand-Book of Modo-n Treatment, 3 Tinct. iodi, Jss. Alcoholis, Sss. Misce. Sig. : Apply morning and evening. B Tinct. aconiti, f5j. Tinct. opii, fSiv. Aquae ammon. fort., fSiv. Linimenti chloroformi, fSvj. Misce. Sig.: Poison. Use as liniment to chronic- ally inflamed muscles and joints. IJ Ichthyoli, 5ss-5j. Adipis lanse hydrosi, Sj* Misce. Sig.: Rub into the joint thoroughly. RHEUMATISM.— See Gonorrhoeal. RHEUMATISM, MUSCULAR.— See Myalgia. RHINITIS.— See Catarrh. RICKETS.— See Rachitis. RINOWORM. Wash clean with hard green soap and dry thoroughly. Then apply collodion in which pyrogallic acid has been dissolved in the proportion of 15 grains to the ounce. 1. The entire scalp is painted with tincture of iodine and then carefully dried. By this each diseased patch is stained a darker brown than the healthy skin, enabling one to attack places other- wise invisible. A circle is dra^Ti with a blue pencil around each ring, and the hair epilated for 1 centimeter outside of it, the rest of the hair being cut short. 2. The patches are painted every day with the iodine until a certain amount of irritation of the skin is set up. The treatment is then suspended until the skin has regained its natural appearance, and the hair begins to grow. The treatment is especially applicable to the more com- mon variety of tinea caused by small spores. Hand-Book of Modem Treatment 393 Q Sodii biboratis, 3j. Aceti destillatee, f^ij. Fiat lotio. Sig.: Apply locally. Indication: In ringworm of the scalp. Q lodi, 3ij. Adipis lansB hydrosi, Sij. Misce. Sig.: Apply once daily. T^ Tinct. iodi, Sss. Sig. : Apply with camel's hair brush once or twice daily. Indication: Useful in ringworm of the body. ROTHELN.— See Measles and Fever. RUPIA. Q Olei cadini, 3ij. Ung. hydrargyri, 3ij. Vaselini, 5j- Misce et facit unguentum. Sig.: Apply locally. Indication: In psoriasis palmaris and plan- taris syphlitica. IJ lodoformi, 5ss. Sig.: Dust upon the lesion. B Hydrarg. protiodidi, gr. xii-xx. Ung. simplicis, Sj- Misce. Sig.: Apply locally. I^ Hydrarg. iodidi rubri, gr. iij. Potassii iodidi, 3i-ij, Alcoholis, f3ij. Syrupi zingiberis, f3iv. Aquae, q. s. ad f^iss. Misce. Sig.: Thirty drops three times daily. Indication: In rupia. 394 Band-Book of Modem Treatment. SATYRIASIS. Q Potassii bromidi, 3vj. Aquae destillatae, f^v. Misce. Sig.: Three teaspoonfuls before dinner and four at bedtime. IJ Potassii bromidi, 3iv. Potassii iodidi, 3iv. Aquae camphorse, q. s. ad ^viiij. Misce. Sig.: Tablespoonful in water three times daily after meals. Indication: All sources of local irritation should be removed. B Sodii arsenatis, . gr. ss. Hyoscinae hydrobromatis, gr. %. Potassii bromidi, 5j. Misce et fiant tabellse compressse no. xxx. Sig.: One tablet after meals. SCABIES. I^ Sulphuris sublim., 3ii-vj. Balsami Peruviani, 3ii-vj. Adipis benzoinat., Petrolati, of each q, s. ad ^iv. Misce. Sig.: First take a hot bath. The ointment is then rubbed in over entire surface, niglit and morning, for two to four days, patient wear- ing the same underwear continuously. Indication: For children and those of deli- cate skin. T^ Sulphuris sublim., 3iv-vj. Balsami Peruviani, 3iv. Betanaphtholis, 3i-ij. Adipis benzoinat., Petrolati of each q. s. ad Jiv. Misce. Sig.: Apply locally as above. Hand-Book of Modern Treatment. 395 Q Balsami Peruviani, 3ij. Sulphuris prscipitatis, 3ij. Acidi salicylatis, 3ss. Ung. petrolati, 5ij* Misce. Sig.: After scrubbing with soap and water rub in thoroughly. I^ Sulphuris sublim., 3j. Balsami Peruvian!, 3ss. Lanolini, Sj. Misce et fiat unguentum. Sig.: Apply locally. B Hydrarg. chloridi corros., gr. j. Ammonii chloridi, 3ss. Alcoholis, 3vj. Aquse rosse, q. s. ad Bvj. Misce et fiat lotio. Sig.: Apply locally. Q Sulphuris sublim., 3ij. Olei cadini, 3ij. Cretse prep., 3iiss. Saponis viridis, Sj. Lanolini, Sj. Misce et fiat unguentum. Sig.: Apply locally twice a day. SCABLATINA.— See Fever and Diphtheria. SCIATICA. B Tinct. aconiti, 3ij. Tinct. colchici sem., 3ij. Tinct. belladonnse fol., 3ij. Tinct. cimicifugflB, 3ij. Misce. Sig.: Six to twelve drops every six hours. IJ Liq. potasaii araenitis,* fjj. Sig.: One drop, to be gradually increased until puffineas under the eyes, then reduce and continue several weeks. Indication: Useful in anoemia. 396 Hand-Book of Modern Treatment. B Spiritus glycerylis nitratis, 3ss. Tinct. capsici, Sss. Aquse menthse pip., 3iij. Misce. Sig.: Five drops thrice daily in a tablespoon- ful of water for the first three days, and ten drops thrice daily on the following days. IJ Guaiacoli cry stall., gr. xv. Methylis salicylatis, Siiss. Adipis, Siiss. Lanolini, 5iiss. Misce. Sig.: Apply upon a linen cloth along the course of the sciatic nerve and cover with cot- ton and waxed taffeta. IJ Cocainae hydrochloratis, gr. j. Morphinae hydrochloratis, gr. i-viij. Sodii chloridi, gr. j. Phenolis, m j. Aquae, q. s. ad 5j« Misce. Sig.: Inject ten to fifteen drops deeply into tissues along course of nerve. IJ Salopheni, 3iv. Phenacetini, 3iv. Misce et fiant chartulae no. xxiv. Sig.: Two powders every four hours until pain is relieved; then one powder every six hours. IJ Calcii glycerophosphatis, 3iss. Sodii glycerophosphatis, 3iss. Ferri glycerophosphatis, gr. xxx. ^Miftce ot fiant ea])sul8e no. xxx. Sig. : One after each meal three times a day. IJ Aeidi salieylici, 3s8. Ichthvoli. 3iv. « Olei hyoseyaini comp., 3iv. A<lij)is lance hydrosi. ^lisce. Sig.: Apply locally. Hand-Book of Modern Treatment, 397 Dr. James Taylor reminds us of the well-known but too much ignored fact that electricity is very useful in sciatica. It is useful, first, in relieving the pain, which is often, severe, and in the second place it is useful in stimulating muscles which have become wasted, and thus aiding their growth. In sciatica itself the best current to use is, he says, the constant current, and it is best applied by getting the patient to lie prone, with one of the flat conductors over the sciatic area, the other pole being stroked over the distribution of the nerve. He has known very great benefit, and, indeed, practically complete relief, af- forded in sciatica from comparatively few applications of the battery. IJ Acidi osmici, gr. ij. Aquae destillatse, m cc. Sig. : Sixteen minims hypodermically at the seat of pain, at first daily, then less frequently. I( Tinet. gelsemii, Sij- Tinct. colchici, Jij. Misce. Sig.: Ten to twelve drops three times daily. B Potassii iodidi, 3iv. Sodii salicylatis, 3vj. Tinct. cimicifugse, f^ij. Syrupi sarsaparill® comp., fjij. Aquae, q. s. ad f5vj. Misce. Sig. : Two teaspoonfuls in water after meals. Indication : Used in rheumatic subjects. I^ Aspirini, 3j. Phenacetini, gr. 1. Quininse salicylatis, gr. xx. Codeinae, gr. iiss. Misce et fiant chartulae no. x. Sig.: One powder every six hours. B Spiritus glonoini, m j. Morphinae sulpha tis, gr. Vs-Va- Aquae destillatae, m xxx. Misce. Sig.: Injected by means of a long hypo- dermic needle deeply inserted into the tissues above the nerve. 398 Hand-Book of Modern Treatment, SCLEBinS. T^ Pilocarpinse hydrochloridi, gr. 'A-'A. Sig. : Injected hypodermically after a hot- bath. Sweating should continue for one or two hours. I^ Sodii salicylatis, 3iv. Potassii iodidi, 3iv. Vini colchici radicis, fSij. Syrupi sarsaparillse comp., f^j. Aquae, q. s. ad f^iij. Misce. Sig.: Teaspoonful in water after meals. Indication: Used when due to gout or rheu- matism. SCLEROSIS.— See Locomotor SCROFULA. Codliver-oil should be given during the winter months if the stomach can retain it. In the summer the syrup of the tan- nate of iodine or the following may be given: — IJ Calcii iodidi, Siss. Aquae calcis, Sij- Aquae menthae pip., ^iv. Misce. Sig.: One teaspoonful in a small amount of water twice daily after a meal. Every second day a bath should be taken, the water con- taining sodium bicarbonate, 2 ounces; and sodium chloride, 32 ounces. The body should receive a thorough rubbing daily, after which the following should be applied : — B Eau de cologne, 5iij. Spiritus lavendulae, Siij- Misce. Sig. : To be rubbed thoroughly over the body. Hand-Book of Modem Treatment. 399 The diet should be rich in fats and phosphates. Conse- quently the patienf s food should consist mainly of milk, eggs, farinaceous compounds, meat, chicken, and dry vegetables. The country and seaside are better locations for these cases. I^ Liq. potassii arsenitis, mxvj. Aquse destillat«e, f3ij. Misce. Sig. : Teaspoonful three times daily after meals for child five years old. I^ Olei morrhiise, f^vj. Syrupi calcis lactophosphatis, Biij* Liq. calcis, Biij- ^ Misce. Sig.: One or two teaspoonfuls three or four times daily. ]^ Olei morrhuse, fjxvj. Sig. : Inunction night and morning. B Syrupi ferri iodidi, 3iij. Syrupi simplicis, q. s. ad ^v. Misce. Sig.: Teaspoonful three times daily after meals. SCURVY. B Acidi hydrochlorici, fSj. Mellis, fjj. Aquse rosse, fSj. Misce. Sig: Apply to affected gums three or four times daily. I^ Potassii chloratis, 3ss. Listerinse, f3j. Acidi citrici, gr. vj. Aquae, fjij. Misce. Sig.: Use several times daily as a mouth wash on soft cloth. 400 Hand-Book of Modem Treatment. T^ Limonis succi, 8ig. : Use ad libitum as a drink. SEASICKNESS. IJ Sodii bromidi, 3j. Ammon. bromidi, 3ss. Aquffi menthffi pip., fjv. Misce. Sig. : A tablespoonful before meals and at bedtime. To be used three days before embark- ing. ]^ Acetanilidi, gr. xlviij. Fiant chartulae no. xxiv. Sig.: One powder on tongue every two or three hours. IJ Spiritus glycerylis nitratis, 3ij. Sig.: One or two drops two or three times daily. IJ Chloroformi, m xlv. Alcoholis, fjss. Elixiris aromat., f3ss. Misce. Sig.: Twenty to forty drops as needed. B Sodii bromidi, 3iij. Sig.: Sixty grains in divided doses three days before embarking, combined with strych- nine, gr. Vao* three times daily. SEBORRHCEA.— See Dandruff. SEPTICEMIA.— See Pyaemia. SHINGLES.— See Herpes. SHOOK. B Atropinse sulphatis, gr. /«o-/ioo- Sig.: Give hypodermically as required, espe- cially when the skin is moist. Hand-Book of Modem Treatment. 401 ]^ Ammonii carbonatis, gr. viij. Syrupi, fSij. Aquse camphorse, q. s. ad f$j. Misce. Sig. : Teaspoonful as required. Indication: Used in surgical shock in chil- dren. I^ StrychninflB sulphatis, gr. /»-/4o Sig.: