Complete Text (Part 32)

— Q Sacchr. alb., Siss. Aluminis sulph., Siss. Hydrarg. ehlor. mit., Siss. Hydrarg. bisulph. rub... gr. x. Aquffi cong., iij. Boil gently down to one gallon, strain, and put ijito four 40-ounce bottles. On the same days, at 3, 4, 5, and 6 p.m., half-pint of the following decoction is taken cold: — To the dregs from No. 1 decoction add : — IJ Rad. sarcae contus., 5ij- Ck)rt. limonis contus., Sj. Cardamon. contus., Sj. Glycyrrh. contus., Sj. Aquae, Cong. iij. Boil gently down to one gallon, strain, and put into four 40-ounce bottles. The patient is kept in l)od except for an hour each evening, when he may sit up. On the fifth day he is given a hot bath and allowed to get up. In the evening two pills are admin- istered, the patient starting the decoctions again on the next day as before. The treatment goes on in the same way until the fifteenth dav, when it is discontinued. Hand-Book of Modern Treatment, 415 Good results are claimed from its use in all tertiary lesions of syphilis as well as in many skin diseases and in rheumatic and gouty affections. Q Potassii iodidi, Sj* Ferri et ammon. citratis, 3j. Strychninse nitratis, gr. V3. Oleosacchari menth. pip., gr. Ixxv. Aquse aurantii flor., q. s. ad f^v. Misce. Sig. : One teaspoonful in a pint or more of water. ft Tabellas hydrarg. chlor. eorros., gr. V». Fiant tabellse no. xv. Sig.: One tablet hypodermically daily. IJ Potassii iodidi, 5j. Aquse destillatse, f5j. Misce. Sig.: Ten drops after each meal, in water, and gradually increased to the limit of tolerance. Sodium, ammonium, or strontium iodide can be substituted for the potassium. Indication: Headache in brain syphilis. ft Hydrarg. iodidi rubri, gr. iss. Potassii iodidi, gr. ix. Sodii phosphatis, gr. xv. Aquse destillatae, fjij. Sol. sodii chloridi (decinormal), fjij. Misce. Sig.: Sixteen drops by hypodermic injection once daily. ft Hydrarg. iodidi flavi, gr. v-x. Strychninse sulphatis, gr. ss. Ferri sulphatis, gr. xx. Pepsini pulv., gr. xl. Misce et fiant capsulse no. xx. Sig.: One capsule after each meal. Indication: Useful when there is malaise and anaemia. 416 Hand-Book of Modem Treatment, IJ Acidi salicylici, gr. xyiij. Ichthyolis, gr. xxx. Ung. aquffi rosse, Sviiss. Misce. ft Hydrarg. chloridi mitis, gr. xv. Ung. aquse rosse, Sviiss. Misce. Sig. : Hub palms of hands each evening at bedtime, and wear gloves at night. Indication : ( 1 ) Used to cure palmar psoria- sis, and (2) to prevent its recurrence. 3 Hydrarg. chloridi corrosivi, gr. iij. Chloralis hydratis, 3j. Resorcini, 3ss. Olei rieini, gr. xv. Alcohol is, 31-Oiij. Misce. Sig.: Apply daily. Indication: Used in syphilitic alopecia. IJ Hydrarg. iodidi rubri, gr. j. Potassii iodidi, 3iv. Synipi sarsaparillae comp., fgij. Aquae f^ij. Misce. Sig.: A teaspoonful three times daily after meals. Indication: Mixed treatment. ft Potassii iodidi, 3ii-iv. Hydrarg. chloridi corrosivi, gr. ss. Synipi aurantii cort., fSj. Aquse destillatse, q. s. ad f^ij. Misce. Sig. : Teaspoonful three times daily. Indication: Mixed treatment. ft Hydrarg. chloridi corrosivi, gr. j. Potassii iodidi, 3ij. Tinct. gent, comp., fjiij. Misce. Sig.: Teaspoonful three times daily after meals. Indication: Mixed treatment. Hand-Book of Modem Treatment. 417 Jacobi recommends the following treatment: A syphilitic infant should be nursed by its mother but never wet-nursed; treatment should be carried out for two years, with periods of intermission. Mercury does not aflEect the mouth and bowels of infants like it does those of adults. Calomel/ ^/g grain, three times daily for many weeks; iron, if the infant is anaemic (no reliance is to be placed on mercury given to the mother) ; mer- cury with chalk, in doses of Ve to ^/g grain, may be given. Inunctions of blue ointment are of value, but are apt to do harm, as the skin of the infant is very sensitive. In urgent cases the hypodermic injection of 10 or 15 drops daily of the following solution is advantageous: bichloride, 1 part; sodium chloride, 2 parts ; water, 200 to 300 parts. Inject deep into the muscular tissue. Bichloride bath, 1 to 1000, in extensive skin-lesions, does well ; iodides are not needed in the secondary stage ; in syphilis tarda, potassium iodide. In iodism, affecting the mucous mem- brane, potassic chlorate and atropine; in ill nutrition, iron and arsenic. Indication: Used in hereditary syphilis. IJ lodoformi, Siij. CamphorsB, Siij. Morphinse, gr. ij. Pulv. aeacise, 3ij. Acidi tannici, gr. x. Bismuth i subnitratis, 3iv. Misce. Sig. : Use with powder-blower. 3 lodi puri, gr. xx. Kalii iodidi, gr. Ix. Acidi carbolici, 3ss. Olei eucalypti, 3j. Boroglyceridi, Siij. Olei menthse pip., m x. Glycerini tannat., q. s. ad 5j' Misce. Sig.: Apply with a probang or camel's hair pencil. Indication: Used in syphilitic lesions of the throat and nose. 27 41 S Hand-Book of Modern Treatment. J^ Hydrarg. ehloridi corrosivi, gr. xx. Tinct. cantharidii^, fBss. Tinet. capsici, fjss. Glycerini. fjj- Olei ricini, fjj. Spiritus eolognensis, q. s. ad S^iij. Misce'et fiat lotio. Sig. : Rub in scalp night and morning. R Hydrarg. iodidi nibri, gr. v. Olei verbena, »i ij. Petrolati, 5j. Mi see. Sig.: Rub well into the scalp at bedtime. The following formula for use in the tertiary stage: — IJ lodi resubl., gr. viij. Potas^ii iodidi, 3viij. Syrupi sarsaparills com p., fSviij. Misce. Sig.: One drachm dose. As a local application to the chancre : — IJ Olei mirbani, m iv. Balsami peruviani, 5iij. lodoformi, 3ij. Petrolati, q. s. ad Jj. Mi see. IJ Hydrarg. ehloridi mitis. Jij. Lycopodii, Jij. Misce. Sig.: Use as a snufT three times daily. Indication: Used in syphilitic lesions of the nose. IJ Hydrarg. cum cretff, 3j. Fiant ehartulte no. xl. Sig.: One powder three times daily. Indication: Used in infants instead of yel- low iodide. Hand-Book of Modem Treatment, 419 IJ Ung. hydrargyri, 3ij. Pone in chartulse no. xvj. Sig. : One package applied by thorough in- unction once daily. TABES. — See Locomotor Ataxia. In 1901 Negro announced that in 8 out of 11 cases of tabes the fulminating pains were arrested by administration of san- tonin, while two others were much improved and only one proved refractory. Combemale reports in Echo Medical his experience with it in 16 cases of various nervous affections. In 7 cases not the slightest effect was appreciable, whether the patients took larger or smaller doses, in shorter or longer courses. These were all cases of neurasthenia or ordinary neuralgia. On the other hand, in the 9 cases of tabes the fulminating pains were unmistakably arrested in 5 by the medication. Negro's dose was 15 centigrams of santonin in three doses of 5 centi- grams each at an hour's interval, given during the attack. Combemale gave smaller amounts, longer continued, but has become convinced that Negro's method is preferable. He found that gastric crises followed the subsidence of the fulminating pains in one case in which the santonin had been given con- tinuously for a maximum period. He remarks that xanthopsia is the first sign of incipient intoxication and requires suspension of the drug, but at this early stage of intoxication there is no danger of serious consequences from it. He is inclined to try a preventive course of 15 centigrams in future when fulminating pains are imminent. M. Collet, of Lyons, writes that hitherto santonin has been employed against the fulgurant pains of tabes with different re- sults. In one case of severe and frequent laryngeal crises of several years' duration, and which had resisted all methods of treatment, the symptoms vanished in three days under the in- fluence of a daily dose of 45 centigrams of santonin, taken in three doses. This treatment was continued for two months without inconvenience. At the end of eight months there was a return of the laryngeal symptoms which obliged recourse again to the medicine, and on this occasion it was used with equal success (only one slight crisis in a month). Since the santonin 420 Hand-Book of Modern Treatment, influences favorably in certain cases the fulgurant pains of locomotor ataxia, it need not surprise us to see the same drug determine the disappearance of the laryngeal crises, a spasmodic phenomenon which has its point of departure from a sensory surface. The action of santonin upon the fulgurant pain being inconstant, it is probable that the action upon the laryngeal crises will be the same. The laryngoscope shows a paresis of the abductors of the glottis. Small doses of mercury and potassium iodide are a very efficient combination in the treatment of tabetic and neuritis pains, combined as follows: — IJ Hydrarg. biniodidi, gr. /,. Potassii iodidi, 3j. Aquae, Siij- Misce. Sig.: Thirty drops to be injected about the seat of the pain. The same treatment is also recommended in the obstinate late manifestations of syphilis. It aids in the rapid absorption of the gummatous lesion. T^ Hydrarg. benzoatis, gr. xv. Ammon. benzoatis, gr. Ixxv. Aquse destillatse, q. s. ad Jiij. Misce. Sig.: Inject deeply into buttock, beginning with fifteen grains and increasing gradually to two drachms. IJ Hydrarg. biniodidi, gr. xv. Sodii iodidi, q. s. to dissolve the mercury. Aquse destillatae, q. s. ad ^iiiss. Misce. Sig.: Dose may be increased to 90 minims daily. B I^iq. potassii arsonitis, 5j- Sig. : One drop three times daily after meals and increase till opdenia above the eyes. Then reduce to smaller dose. Band-Book of Modern Treatment, 421 TAPEWOBM. The patient is instructed to thoroughly clean out the bowels by purgatives the day previous to the administration of the remedy. In the morning, as early as possible, a 20-grain capsule of pelletierine tannate is given, and after this has operated fully, which is usually in about two or three hours, the following pre- scription is administered: — I^ Oleoresinse aspidii, 3ij. Athens, 3ij. Hydrarg. ehloridi mitis, gr. xij. This is divided into sixteen capsules and one given every ten minutes, no food being taken. In about two or three hours the worm will be expelled whole, with its head intact. I( Granati radicis, ^ss. Seminis peponis, 5j- Ext. filicis maris ether, 3j. Pulv. ergotae, Sss. Pulv. acacise, 3ij. Olei tiglii, gtt. ij. Misce. Sig. : The pomegranate and pumpkin seed should be thoroughly mixed in a mortar with the ergot and boiled for fifteen minutes in water and strained. The croton oil is first mixed with the acacia and the male fern and then formed into an emulsion with the decoction. The following combination containing pelletierine tannate has been used with almost uniform success in treatment of tape- worm, but it disturbs the stomachs of some patients: — IJ Oleores. aspidii. fSiv. Olei terebinthinae, fSij. Pelletierince tannatia, 3j. Spiritus chloroformi, f3j. Misce. Sig.: Shake well. One teaspoonful in the morning on an empty stomach, followed in about two hours by a saline cathartic. 422 Band-Book of Modem Treatment, After the contents of the intestinal canal have passed we may begin with the following prescription : — Q Bismuth! subnitratis, 3j. Saloli, gr. xxiv. Synipi tolutani, 3ij. Mucilaginis acacise, q. s. ad SU- Mi see. Sig. : Teaspoonf ul every three or four hours. IJ Pepo (seeds), 3x. Ext. granati, 3iiss. Misee. Sig.: Divide into twenty parts and take five every half-hour, after fasting for twenty-four hours. One-half hour after the last dose a combination of tinctura jalapae composita and sympus frangulae should be given. TETANUS. IJ Tinct. iodi, m xv. Alcoholis, m xxx. Misce. Sig.: Five drops in half a tumbler of hot water every half-hour. Indication: Tetanic uterine contractions. Ten minims of a 10-per-cent. carbolic acid solution were in- jected hypodermically, and after fifteen minutes 20 minims in addition, in a boy of 12, with general symptoms of tetanus, dyspncea, and opisthotonos ten days after injury to the foot. After the third day there was improvement, and he gradually recovered. IJ Ext. physostigmatis, gr. ij. AquiE destillatiK, f3j. Misce. Sig.: Ten minims every two hours hypo- dermically as required. To be pushed just short of arresting breathing. Hand-Book of Modern Treatment. 423 I^ Chloralis hydratis, ^ss. Syrupi aurantii cort., Jiss. Aquse, q. 8. ad fjiij. Misce. Sig. : A dessertspoonful as required. Q Liq. potassii arsenitis, fSj. Sig. : Five to eight drops, well diluted, every three hours. I^ Potassii bromidi, lisB. Fiant chartulse no. xij. Sig.: One powder in water every three or four hours. Indication: To relax spasm. IJ Tetanus antitoxin, Sig.: Used as conditions indicate. THBEADWORMS.— See Worms. THBUSH.— See Aphthse. I^ Sodii bicarbonatis, 3j. Sodii boratis, 3ss. Syrupus idsese, 3vj. Misce. Sig.: To be used as a mouth wash. IJ Glycerini, 3vj. Amyli, 3j. Sodii boratis, 3j. Misce. Sig.: Apply with a camel's hair brush. A drachm of sodium hypophosphite to an ounce of rose- water makes an excellent moutli-wash for thrush. IJ Sodii hyposulphatis, gr. xx. Aquae destillatse, 3v. Glycerini, 3iij. Misce. Sig.: One teaspoonful every two hours to be taken internally, and it should be applied locally with a camel's hair brush. 424 Hand-Book of Modern Treatment. The following combination is also recommended as of great value as an antiseptic and astringent: — Q Zinci sulphatis, gr. ii-v. Aquse rosse, 5ij. Misce. Sig. : Apply locally. Baginsky recommends the application of potassium perman- ganate topically in a 1 to 25 solution, and resorcin internally in solution of 1 to 100, 1 to 4 teaspoonfuls being given daily. A writer places the greatest faith in the application of iodine com- bined as follows : — I^ Tinct. iodi, 3ss. Glycerini, Siiiss. Misce. Sig.: Apply locally with a eamel's hair pencil. By this latter treatment the disease is completely eradi- cated within three or four days after the first treatment. He does not ascribe all the curative properties to the iodine, but re- gards glycerine as a very important factor. This treatment surpasses any treatment heretofore instituted; it is harmless and rapid in its action. While thrush is most frequently a trifling affection and readily cured, it at times becomes a very serious trouble, so serious that it may threaten the life of the child. In the lighter forms of thrush, in which the parasite has as yet spread but little and its threads have not penetrated deeply into the epithe- lial layer, the treatment is not a very difficult matter. Here the hyposulphate of soda is preferred by some: — B Sodii hyposulphatis, gr. xx. AquiE destillatae, 3v. Glycerini, Siij. Misce. Sig. : One teaspoonful every two hours inter- nally and applied topically with a large camel's hair brush. Book of Modem Treotrntemt. 42o In severer cases the following should be used: — Q Tinct iodi, Ssa. Glycerini, Siiisa. Sig:: Apply with « large earners hair pen- cil to the tonigue, gums, and cheek. This application produces a remarkable effect. Some b^ lieve that it surpasses any other that has hitherto been recom- mended. ^ Argenti nitratis, gr. z. Aqiue, 5j. Misce. Sig.: Apply with swab. ^ Hydrarg. cum cretse, gr. j. Pulv. hydrastis, gr. ij. Bismuthi subnitratis, gr. iij. Misce. Sig.: Use at one dose and repeat every three or four nours. When the secretions are very free, bellailonun or atropine is useful. In some cases the treatment should be begun with small and frequent doses of lobelia, repeated until it acts as an onictic. Sodium sulphite will be of vahie when tbe tongue is broad, pallid, and a whitish or yellowish moist coating on it. In debilitated conditions, iron in some agreeable form, nux and other tonics will be very useful, as occasionally tbe disease will resist almost any remedy until the general bealtb is built up. TIC DOULOUREAUX.-See Neuralga. 426 Hand-Book of Modem Treatment. TINEA TONSURANS.— See Bingworm and Sycosis. I^ Olei tiglii, 3j. Sulphuris praecipitati, Sss. Phenolis, 3ss. Olei amygdalffi, q. s. Adipis lanse hydros!, q. s. ad 5j* Misce. Sig.: Epilation should be practiced daily, and a slight amount of folliculitis produced by use of the above prescription. In the treatment of tinea tonsurans of children the Medi- cal Record recommends that the hair be cut as close as possible once a week. Even' third day the head should be washed with soap and warm water. Morning and evening the scalp should be massaged, triturating the diseased areas vigorously. Following the massage, prolonged friction should be applied with the fol- lowing application : — T^ Olei ricini, 3j. Tinct. cantharidis, 3j. Spiritufl camphorae, Jiv. Misce. Sig. : To be applied locally to the scalp. T^ Hydrarg. ammoniati, gr. vj. Hydrarg. oxidi nibri, gr. vj. Adipis lanse hydrosi, 5j» Misce. Sig.: Use after epilation and washing. TINEA VERSIGOLOB. IJ Resorcini, 3i-iiss. Olei ricini. 3xiss. Alcoholis, 3xxxviiiss. Balsami Peruviance. gr. viiss. Misce. Sig.: Apply locally. Hand-Book of Modern Treatment. 427 5 Acidi salicylici, gr. xlv. Sulphuris loti, Silas. Adipis lanse hydrosi, 5xiiss. Vaselini, Siiss. Misce. Sig. : After rubbing well with tar soap, rub in the ointment well every evening, and wash off in the morning. TINNirUS AUSIUM. IJ Acidi hydrobromici diluti (10 per cent.), fSij. Sig.: One-half to one teaspoonful in a wine- glassful of sweetened water thrice daily. IJ Pilocarpinae hydrochloratis, gr. j. Sacchari lactis, gr. xviij. Alcoholis, q. s. Misce et fiant tabellse triturationes no. xij. Sig.: One tablet night and morning. Indication: Used in rheumatic and gouty subjects with thickening of the ear drum. IJ Ammonii chloridi, 3iv. Tinct. cimicifugse^ f^iss. Syrupi aurantii florum, q. s. ad fjiij. Misce. Sig. : Teaspoonful in water after meals. Indication: Used in rheumatic subjects with chronic otitis media. TONSILLITIS.— See Quinsy. IJ Sodii salicylatis, 3iss. Ferri sulphatis, 3iss. Liq. ammon. acetatis, f^iss. Syrupi tolutani, q. s. ad 5iij. Misce. Sig. : Teaspoonful three times daily in milk. Indication: Useful in rheumatic tendency. 428 Hand-Book of Modern Treatment, I^ Potassii chloratis, 3ss. Acidi hydrochlorici diluti, 3ij. Tinct. ferri chloridi, 3iij. Glycerini, 5j- Syrupi tolutani, q. s. ad 5iij. Misce. Sig.: One teaspoonful in water every two hours. Indication: Used in acute follicular tonsil- litis, preceded by a mercurial or saline purge. I^ Tinct. aconiti, m xxiv. Sodii salicylatis, 3j. Spiritus etheris nitrosi, 3iv. Syrupi