Complete Text (Part 33)

aurantii florum, 5j- Aquse destillatse, q. s. ad Biij* Misce. Sig.: Teaspoonful every one or two hours during the fever. Indication: Used in acute tonsillitis. I^ Argenti nitratis, 3ij. Aquse destillatse, q. s. ad BU- Misce. Sig.: Apply with camel's brush once daily. Indication: Acute tonsillitis and will abort the disease in one case out of four. IJ Tinct. guaiaci ammon., 3vj. Tinct. cinch, comp., 3vj. Sodii chloridi, 3ij. Pulv. acacise, q. s. Aquae destillatae, ad 5iv. Misce et fiat mistura. Sig.: Shake well. Add teaspoonful of mix- ture to wineglassful of water and use as gargle three times daily. IJ Quininae sulphatis, gr. xlviij. Acidi sulpliurici diluti, m xlviij. Tinct. aconiti, m xlviij. Syrupi pruni virginianse, 5j« Aquse, q. s. ad 5iij. Misce. Sig. : One teaspoonful in water every four to six hours; dose for an adult. Indication: Used in acute cases. Hand-Book of Modern Treatment. 429 Q Sodii salicylatis, Siv. Potassii iodidi, Siv. Syrupi sarsaparills comp., ^j. Aquse, q. s. ad Biij> Misce. Sig. : Teaspoonful in water three times daily. Indication: Used in chronic enlargement of this condition. In acute cases administer calomel in broken doses until the desired effect is produced, after which a tablet containing the following ingredients is administered: — IJ Tinct. aconiti rad., gtt. Va. Tinct. bryonise, gtt. Vw Tinct. belladonnse, gtt. Vio* Hydrarg. iodidi rubri, gr. Vioo* Misce et fiat tabla no. j. Sig. : One such tablet every hour to an adult until eight are given. Alternating with the foregoing, quinine is given in 1-grain doses for eight doses. IJ Creosoti, m x. Tinct. myrrhae, 5j. Glycerini, 5j- Aquae, q. s. ad 5iv. Misce. Sig.: Use as a gargle or spray four or five times dailv. IJ Liq. ferri subsulphatis, 3j. Glycerini, opt., 5j- Spiritus frumenti, 5j- Aquae purae, q. s. ad 5iv. Misce. Sig. : A half-teaspoonful every hour or two, according to severity of the case. Can be uccd advantageously in form of a spray. Indication: Used in diphtheritic and other ulcerations of the throat. 430 Hand-Book of Modern Treatment, IJ Tinct. guaiaci ammon., 3vj. Tinct. cinchonse comp., 3vj. Sodii chloridi, 3ij. Pulv. acaciae, q. s. Aquae destillatae, ad 5iv. Misce et fiat mistura. Sig. : Shake well. Add teaspoonful of mix- ture to wineglassful of water and use as gargle three times daily. I( Sodii salicylatis, 3ij. Aquae menthae pip., Jvj. Misce. Sig. : Use as a gargle several times a day. In the way of general or systemic treatment of ordinary follicular tonsillitis, nothing has been found, in my hands, more serviceable than sodium benzoate. It will relieve and dissipate all of the unpleasant symptoms in a very short time. It may be prescribed according to the following formula: — I( Sodii benzoatae, Bss. QJycerini, Jj. Syrupi tolutani, q. s. ad ^iij* Misce. Sig.: Teaspoonful every hour or two. IJ Tinct. iodi, gtt. iiss. Sodii chloridi, gr. v. Aquae, 5j. Misce. Sig.: As a gargle, to be repeated several times through the day. In chronic pharyngitis the following is recommended : — I^ Iodi, gr. X. Potassii iodidi, gr. xx. Glycerini, gj. Misce. Sig.: To be applied locally on a swab. Hand-Book of Modem Treatment, 431 About 3 minims of the oil of peppermint may be added to the foregoing if an anaesthetic effect on the mucous membrane is desired. Indication: Either of the above in inflam- matory, ulcerative, and diphtheritic sore throat. I^ Tinct. aconiti, m xl. Spiritus setheris nitrosi, fjj. Liq. potassii citratis, q. s. ad Biij- Misce. Sig. : Dessertspoonful every three hours to a child ten years old. Indication: During fever, preceded by calo- mel and saline purge. IJ Aquae hydrogenii dioxidi, fjv. Sig. : Used as a spray every hour. Indication: Used in ulcerative tonsillitis to remove membrane. A pinch of sodium bicar- bonate should be added to each atomizer bottle of the solution. In cases where a rheumatic origin is suspected, guaiac ii recommended as a fair substitute for the salicylates, combined as follows:—^ IJ Potassii chloratis, gr. v-x. Tinct. aconiti, m ij-v. Tinct. guaiaci ammon., 3j. Mucilaginis acacise, m xx. Aquse, q. s. ad 3j> Misce. Sig.: This amount to be taken at one dose and repeated every four hours. As soon as the temperature has fallen the aconite should be discontinued, but the other ingredients kept up for a time. When- rheumatism and diphtheria are absent the author recom- mends rather a complicated combination, including the tincture of iron, which is of value in such cases : — 432 Hand-Book of Modem Treatment IJ Tinct. aconiti, m ii-v. Potassii chloratis, gr. v-x. Liq. ferri perchloridi, m-xx. Liq. hydrarg. perchloridi, mx. Glycerini, Sij. AqvLSd chloroformi, ^ss. Misce. Sig. : At one dose and repeated every four hours, or half the quantity every two hours. [The dose of potassium chlorate is larger than is usually recommended.] The mercurial preparation is added to combat any cocci which escape the iron preparation, and the glycerine is added to prolong its local effect in the fauces. Mills's medicinal treatment is to gargle with cheap claret wine, to obtain the benefit of the tannic acid therein, every two or three hours, or oftener. Aconite in small doses is often serviceable in simple tonsillitis, 10-per-cent. solution, 8-drop doses every hour, preferably in water. If we find very high fever, pulse full and bounding, face flushed, eyes red, and evi- dence of intense congestion of the throat, a 1-per-cent. solution of belladonna is the best remedy. For follicular tonsillitis the remedy par excellence is phytolacca in 1-drop doses as a 1-per- cent, solution, every one or two hours, according to the severity of the case. If suppuration does occur, nothing will clear it up more quickly than calcium sulphide in ^/joo-grain doses. IJ Potassii bromidi, gr. Ixxx. Sodii salicylatis, 3j. Tinct. opii deodorati, fSj. Cascarse cordialis, q. s. ad f^j. Misce. Sig.: A teaspoonful every four hours in water. Indication: Acute follicular tonsillitis. TONIC. B Acidi hydrochlorici diluti, Siv. Tinct. gentianse comp., Siv. Tinct. rhei vinos, Siv. Tinct. cinchonse comp., Siv. Misce. Sig.: Half a teaspoonful after eating. Hand-Book of Modern Treatment 433 IJ Strychninse sulphatis, gr. Vw Acidi phosphorici diluti, tnv. Ferri phosphatis, gr. j. Quininse bisulphatis, gr. j. Glycerini, Sss. Elixir aurantii, q. s. ad Jss. M. Fiat sol. Sig. : Take before each meal. Indication: A good general tonic. I^ Tinct. ferri chloridi, 3v. Tinct. digitalis, 3v. Acidi phosphorici diluti, 3x. Glycerini, Aquae, of each, q. s. ad ^iv. Misce. Sig.: One teaspoonful in wineglassful of water after each meal, through a glass tube. Indication: Tonic after a surgical operation. IJ Acidi hydrochlorici diluti, 3j. Bismuthi subnitratis, 3j. Ess. pepsini, q. s. ad $iy. Misce. Sig.: Shake well. A teaspoonful in water after eating. I^ Tinct. nucis vomicae, m iv. Acidi phosphorici diluti, m iv. Glycerini, m x. Fluidextracti gentianae, m ij. Alcoholis diluti, m xv. Vini xerici, q. s. ad f3j. Misce. Sig.: One teaspoonful after meals. Indication: Good general tonic. IJ Acidi arsenosi, gr. ss. Extracti nucis vomicae, gr. v. Ferri reducti, gr. ij. Misce et fiant pilulae no. xx. Sig.: One pill after meals. Indication: Used in anaemia. 28 434 Hand-Book of Modern Treatment. IJ Tinct. nucis vomicae, m iv. Acidi phosphoric! diluti, m viij. Syrupi hypophosphitis, q. s. ad 3j. Misce. Sig. : One teaspoonful three times daily after meals. I^ Asafcetida, 3j. Acidi arsenosi, gr. ss. Strychninae sulphatis, gr. ss. Ext. sumbul, 9iss. Ferri subcarbonatis, 9ij. Quininse valerianatis, 9j. M. Make capsules no. xxiv. Sig.: One capsule ^fter each meal. Indication: Nervine tonic. I^ Hydrarg. chloridi corrosivi, gr. iij. Potassii iodidi, 5j. Syrupi sarsaparillse comp., 5iij. Tinct. gentianse comp., Siij- Aquae, q. s. ad Jviij. Misce. Sig. : Teaspoonful one hour after meals. Indication: A splendid blood tonic. It has given excellent results. Iodine is recommended as a tonic and alterative in poorly nourished children, combined as follows : — I^ Tinct. iodi, m Ixxv. Kxt. catechu, 3v. Alcoliolis, fSiiss. (ilycerini, f^iij. Syrupi rubri, fSvij. Misce. Sig.: One tablespoonful once or twice daily. In rachitic children the following has been advised: — I^ Calcii phosphatis praecipitatis, gr. Ixxv. Spt. anisi, fSiiss. Syrupi, fgvj. Misce. Sig.: One tablespoonful exery morning be- fore breakfast. Hand-Book of Modem Treatment, 435 I^ Ferri et ammonii citratis, gr. v. Tinct. nucis vomicae, m v. Tinct. cinchonae comp., q. s. ad 3j. Misce. Sig. : One teaspoonf ul three times daily after meals. 5 Acidi nitrohydrochlorici diluti, wv. Tinct. nucis vomicae, m v. Tinct. columbae, mxxx. Syrupi limonis, q. s. ad 3j. Misce. Sig. : One teaspoonful three times daily after meals. IJ Acidi nitrohydrochlorici diluti, fSi-Sij. Tinct. nucis vomicae, fSj. Tinct. cardamomi comp., f^ij. Tinct. gentianae comp., q. s. ad fjiv. Misce. Sig. : A teaspoonful in water after meals. Indication: Excellent tonic for use in con- valescence from prolonged fevers. B Ferri et potassii tartratis, gr. Ixxv. Extract! cinchonae, gr. Ixxv. Extracti rhei, gr. IxxVv Extracti gentianae, gr. Ixxv. Pulveris nucis vomicae, gr. viij. Olei anisi, m x. Misce et fiant pilulae no. c. Sig. : One or two pills with each meal. IJ Liq. potassii arsenitis, m xvj. Elix. kolae compositi, fjiv. Misce. Sig.: Dessertspoonful after meals. Indication: Used in debility where arseniO is indicated. 436 Hand-Book of Modem Treatment, TOOTHACHE. When this condition arises from a diseased tooth in which there is a cavity, Mason recommends that a few drops of the fol- lowing combination be placed upon a pellet of cotton and applied to the cavity :^- IJ Linimenti aconiti (B. P.), fSiij. Chloroformi, fSiij. Tinct. capsici, fSj. Olei caryophylli, fSss. Pulv. camphorae, 58S. Sig.: A few drops on cotton placed in the cavity. ft Olei clavi, mxxx. Olei cajuputi, m xxx. Chloroformi, m xv. Acetici setheris, m xv. Mentholis, gr. ix. Camphorae, gr. iij. Misce. Sig.: Apply to tooth. ft Chloralis hydratis, gr. Ixxv. Cocainae hydrocliloratis, gr. xv. Camphorae, gr. Ixxv. Alcoholis, m x. Misce. Sig. : Apply to the cavity a tampon of cotton with a few drops of the solution. ft Chloroformi, m x. Glycerin i, m x. Sol. phenolis sat., m x. Morph. sulph., gr. j. Misce. Sig.: Saturate a small pellet of cotton and place loosely in cavity of tooth. If gums are swollen and tender, paint with a solution of cocaine. Hand-Book of Modeiti Treatment, 437 I^ Linimenti iodi, m iij. Tinct. aconiti, m iij. Chloroformi, mxxx. Misce. Sig. : Dry the gums and apply with a camel's hair brush. IJ Extracti opii, gr. xv. Pulv. camphorae, gr. xv. Balsami peruviani, gr. xv. Mastiche, §r. xxx. Chloroformi, 3v. Misce. Sig.: Wet a small piece of absorbent cotton with this solution and insert in the cavity of the tooth. Hildebrand states that orthofonn instantly and completely relieves severe pain due to inflammation of the pulp in decayed teeth. It should be applied in alcoholic solution on absorbent cotton. H. B. Ray gives the following advice on the treatment of toothache by the practitioner: Toothache is essentially an in- flammatory condition, and in 99 per cent, of the cases there is a cavity in the tooth. In those cases where there is a cavity, but no nerve exposure, the treatment is simple — apply a sedative and exclude the secretions of the mouth from the cavity ; prompt relief will follow, and then advise the patient to visit a compe- tent dentist. A very effective agent, and one always at hand, is the oil of cloves. It should be applied by saturating a pledget of cotton with the remedy and introducing it into the cavity with a toothpick or other pointed instrument; that being done, the secretions are kept out by filling the cavity with a little beeswax, a household remedy always at hand. The wax can be applied by warming over a lamp on the point of a knife and forc- ing into the cavity. The wax filling serves not only the purpose of keeping the secretions of the mouth out, but prevents thermal changes from affecting the nerve when hot and cold things are taken into the mouth. 438 Hand-Book of Modern Treatment, IJ Creosoti, fSij. Sig. : Cleanse cavity and pack with cotton saturated with creosote. Indication: Used in caries with exposed nerve. I^ Morphinse sulphatis, gr. iv. Atropinse sulphatis, gr. j. Aquae destillatse, f^j. Misce. Sig.: A few drops on cotton placed in the cavity. I^ Tinct. iodi, f3iv. Tinct. aconiti, f3j. Misce. Sig.: Paint the gums twice daily around the painful tooth. Indication: In dental periostitis. IJ Acidi arsenosi, gr. ij. Morphinse sulphatis, gr. j. Creosoti, q. s. Misce et fiat pasta. Sig. : Apply by a bit of cotton wool to cari- ous portion. TORTICOLLIS.— See Myalgia. TRICHINOSIS. IJ Tetramethyli thionin-chloridi, gr. xxx. Saloli, 3iss. Misce et pone in capsulas no. xxx. Sig.: One capsule every four hours. Indication: Used in the intermediate stage. IJ Syrupi ipecacuanhse, f5j. Sig.: Tablespoonful and repeat in twenty minutes. Indication: Used to unload the stomach after ingestion of trichinous food. To be fol- lowed by brisk purge. Fever, nausea, vertigo, and diarrhoea are relieved by this treatment. Hand-Book of Modem Treatment, 439 B Sodii sulphocarbolatis, gr. ii-x. Aquae, f^ij. Miace. Sig.: To be repeated every three or four hours. TRISMUS. B Fluidextracti gelsemii, mxlv. Syrupi simplicis, fSj. Aquae destillatse, q. s. ad fBss. Misce. Sig.: Half a teaspoonful every two to four hours. I^ Coniinae hydrobromatis, gr. Vw Aquae destillatse, fSij. Sig.: Two to four minims hypodermlcally and repeat frequently to relax spasm. Indication: For infant several days old. IJ Tinct. opii, gtt. v. Tinct. asafcetidse, fSiss. Syrupi simplicis, f3v. Aquae, q. s. ad fSxv. Misce. Sig.: Half a teaspoonful hourly. I^ Chloralis, gr. xvj. Potassii bromidi, gr. xvj. Mucilaginis acacise, 3iv. Aquae, q. s. ad 5ij- Misce. Sig.: A teaspoonful in a little water until spasm is relaxed. Indication: For infant seven days old. TUBEBCULOSIS. IJ lodoformi, gr. i-iij. Strychninae sulphatis, gr. Vw Arsenii iodidi, gr. Vw Balsami Peruvianae, gr. ii-v. Mix and encapsulate. Sig.: One capsule after meals three times daily. Indication: Useful in early stage of the dis- ease. 440 Hand-Book of Modern Treatment. The following prescription meets many indications in tuber- culous subjects: — I^ Acidi arsenosi, gr. ss. Ext. belladonnae, gr. iv. Ext. digitalis, gr. iij. Ext. nucis vomicse, gr. xv. Ferri sulphatis, gr. xxx. Quininse sulpliatis, 3j. Creosoti (beechwood), gr. c. Misce et fiiant capsulse no. xl. Sig.: One after each meal and upon retir- ing. Indication: Useful in chronic pulmonary tu- berculosis. IJ Syrupi ferri iodidi, wv. Olei morrhuae, m xx. Ext. pancreati, gr. j. Misce et pone in eapsula no. j. Sig.: One or two such capsules two hours after each meal. Indication: Useful in treatment of tuber- culous glands. IJ Ichthyoli, gr. x. Ung. zinci oxidi, 3ij. Adipis lanse hydrosi, 3ij. Misce et fiat unguentum. Sig. : Apply locally night and morning. Indication: Used as an external application in addition to tonics. IJ lodoformi, 3ij. Cocainae hydrochloridi, gr. iss. Morphinae sulphatis, gr. ss. Misce. Sig.: A small amount to be insufflated by the patient with a bent glass tube. Indication : To relieve from pain in the later stages of tuberculous laryngitis. It is advisable for patients suffering from this condition to take a liberal helping of boof or mutton twice a day, a plenti- ful supply of sugary food, and also of fatty food in the shape Hand-Book of Modem Treatment. 441 of milk, cream, butter, eggs, and fat bacon. It is advantageous to begin with one pint of milk per day for one week, increase to two pints during the second week, to three pints a day during the third week, and then to keep to this amount, or occasionally to go on to four pints a day. If a patient cannot take ordinary milk, whey may be tried. Koumiss is not advisable when there is active pyrexia, but is sometimes useful in other cases, per- haps, especially when there is bronchial catarrh. The expector- ation should not be swallowed, for one reason, because such a habit is one of the commonest causes of dyspepsia. The food should be eaten slowly, thoroughly masticated, and the patient should rest in the recumbent posture for about half an hour before meals and for one hour after meals. Lack of appetite may be caused by the presence of syrups in the cough mixture. The patient must also be encouraged to eat as much as he reasonably can, and in many cases an alkali with a vegetable bitter taken twenty minutes or so before meals is the best remedy. The fol- lowing is a useful prescription: — 9 Sodii bicarbonatis, gr. xv. Tinct. nucis vomicffi, mvij. Infus. gentian, comp., f^j. Misce. Sig. : Before the two principal meals of the day. Or, when a sedative action is desired, hydrocyanic acid in appropriate dosage may be substituted for the nux vomica. In other cases, especially where there is a pale tongue, and flatu- lence is a prominent symptom, better results are obtained by the administration of acids, with or without strychnine, after food. When there are irritative symptoms, such as pain in the region of the stomach or vomiting, the codliver-oil, if given, should be stopped, the bowels should be opened, and bismuth and hydro- cyanic acid should be administered before meals. Sometimes morphia is necessary. Where there is a red glazed tongue, with loss of appetite and repeated vomiting, it is better to keep the patient in bed and to allow only liquid diet, and if this is not suc- cessful, it may be necessary to feed the patient by the bowel for a few days. 442 Hand-Book of Modem Treatment. IJ Calcii hyposulphitis, gr. V^-Va. Strychninae sulpha tis, gr. Vao Acidi arsenosi, gr. Vw-Vw Pulv. ulmi (elm), gr. iv. Misce et fiat cachet no. j. Sig. : One or two such cachets three times a day. Indication: Useful in pulmonary tuberculosis. For five years Koch has been making systematic use of cam- phor in pulmonary tuberculosis. At first he gave it in subcu- taneous injections