Complete Text (Part 36)

wv. Syrupi, 3xxx. Aquse destillatse, 3xxx. Misce. Sig.: A dessertspoonful every two hours. Some spoonfuls of water should then be admin- istered from time to time. VULVITIS. B Aluminis, 3j. Aquse, Oij. Sig.: Apply locally. Indication: Used in vulvitis of children. Q Liq. plumbi subacetatis, f^j, Tinct. opii, f^j. AquflB, Oij. Misce. Sig.: Add a quart of water and apply freely on absorbent cotton saturated with the lotion. Indication: Used to allay inflammation and reduce oedema. WAKEFULNESS.— See Insomnia. B Sulphonalis, 3j. Fiant chartulse no. vj. Sig.: One in cup of hot water and repeat if necessary. Indication: Used in insomnia of drunkards. 470 Hand-Book of Modern Treatment. B Tinct. hyoscyami, fjij. Sig. : One teaspoonful. Indication : Where opium is not borne. I^ Trionalis, 3j. Fiant chartulse no. iij. Sig.: One powder in hot milk. I^ Potassii bromidi, 3iv. Chloralis hydratis, 3ij. Syrupi pruni virginianse, f^j. Aquae, q. s. ad fjiij. Misce. Sig.: A dessertspoonful in a wineglassful of water at bedtime. Indication: Used in insonmia due to mental overwork, anxiety, or physical fatigue. 3 Morphinse sulphatis, gr. ij or iv. Chloralis hydratis, 3ij. Syrupi, fjij. Aquae, q. s. ad fjiv. Misce. Sig.: A dessertspoonful at night. Indication: Used when dangerously large doses of either are required to produce results. IJ Hypnal, m xv. Alcoholis, m xj. Syrupi, fjiss. Misce. Sig.: One dose to be followed by one-third of a tumbler of water. Indication: Used when insomnia is due to pain. B Paraldehydi, fjss. Olei gaultheriae, m xv. • Pulv. acaciae, 3ij. Syrupi pruni virginianae, q. s. ad f^iv. Misce. Sig.: A half to a tablespoonful in water every hour or two. Indication: Used in insomnia due to psych- ical disturbances. Hand-Book of Modem Treatment. 471 B Chloral is hydra tis, 3iij. Syrupi, fSiv. Aquae cinnamomi, q. s. ad fSiij. Misce. Sig. : Dessertspoonful at night. WARTS.— See Condylomata. I^ Resorcini, gr. xv. Liq. petrolati, 5j. Misce et fiat unguentum. Sig.: To be applied locally after thoroughly cleansing the parts. The following combination is quoted as being a very val- uable caustic : — 3 Plumbi oxidi, gr. ij. Potassii hydratis, gr. xx. Aquse, q. s. ad 5j. Misce. Sig.: Shake well and apply, by means of a brush, to the lesion. One or two applications are sufficient. Indication: Venereal warts. IJ Acidi salicylici, 3ij. Ext. cannabis indicse, gr. xv. Adipis benzoinati, q. s. ad Sj. Misce. Sig.: Apply freely for several days; should be covered with absorbent cotton and collodion. For a corona of small warts just back of the glans penis, and traced to the irritative action of the vaginal secretions on a surface weakened by too much venery, use the following dust- ing powder, and insist upon continence for at least three months : IJ Hydrargyri chloridi mitis, Sss. Acidi tannici, gr. xx. Bismuthi subnitratis, 3ss. Misce. Indication: Used on venereal warts. 472 Hand-Book of Modem Treatment I^ Acidi salicylici, gr. xxx. Resorcini, gr. xxx. Collodion flexile, 3iv. Misce. Sig. : Paint on the warts every night for a week. Apply Fowler's solution of arsenic to the warts five or six times daily (or oftener) ; this is painless, and, in addition, to make assurance doubly sure, particularly for very large warts, or where they are in great numbers, give from 5 to 8 (or even 10) minims of the drug internally, in a little water, three times daily. The internal or external use of Fowler's solution alone will remove them, but takes longer than when used both internally and locally. It is easy to dispose of the smaller varieties by caustic or the electrically excited needle, but annoying scars sometimes result which worry a sensitive patient more than the original blemish. Painting lightly with glacial acetic acid will cause the disappearance of all such blemishes. The application should be made twice each day, taking precaution that none of the fluid runs upon the sound skin, and suspending the paint- ing for two or three days whenever there is a sense of soreness felt, and again resuming as soon as the soreness disappears. If the application is properly made, the blemish will be banished and no scar remain. Warts can be removed by the persistent application of castor-oil. The oil probably softens the growth. I^ Formaldehydi (40 per cent, sol.), fjss. Sig.: Apply locally with small brush twice daily. Indication: Common condylomata. I^ Hydrarg. chloridi mitis, 3vj. Acidi boracici, 3iij. Acidi salicylici, 3j. Misce. Sig.: Dust over the vegetations. Indication: Used on venereal condylomata. Eand-Book of Modeim Treatment, 473 I^ Olei terebinthinse, fBj. Sig.: Paint vegetation well with brush daily. WHITLOW.— See Onychia. WHOOPING COUGH. IJ Acidi nitrici dil., Bj. Tinct. cardamomi comp., Siij. Syrupi simplicis, ^iiiss. Aquae, Bj. Misce. ' Sig.: One small teaspoonful every two hours. The foregoing is especially recommended as a prophylactic measure in infants who have been exposed to the disease. I^ Bromoformi, m ij. Chloretoni, gr. iss. Tinct. aurantii, m x. Mucilaginis acacise, mxx. Aquae, q. s. ad 3j. Misce. Sig.: At one dose. Indication: To prevent vomiting of pertus- sis. I^ Chloralis hydratis, gr. xv-xlv. Potassii bromidi, gr. Ixxv. Syrupi aurantii, Siij. Aquae destillatae, ^ij, Misce et fiat mistura. Sig.: One small teaspoonful every two hours. The dose must be varied according to the age of the patient. I^ Ext. belladonnae, gr. V«' Pulv. aluminis, gr. ss. Syrupi zingiberis, fSss. Aquse, fSss. Misce. Sig.: One teaspoonful every two hours for a child one year old. Indication: Useful as an anti-spasmodic mixture when expectoration is profuse. 474 Hand-Book of Modern Treatment, ^ Ext. cannabis Indicae, gr. xij. Ext. belladonnse, gr. vj. Spiritus vini rectif., 5iss. Glycerini, Siss. Aquse, q. s. ad Biij* Misce et fiat mistura. Sig.: One-half teaspoonful to two teaspoon- fuls for a dose, according to the age, night and morning. (Not to be given to children under eight months old.) I^ Tinct. opii camphoratse, f3j. Syrupi ipecacuanhse, f3j. Syrupi scillse, fSiij. Syrupi tolutani, f^ss. Liq. potassii citratis, q. a. ad fBiij* Misce. Sig.: Teaspoonful every two or three hours for a child one year old. Indication: Useful during catarrhal stage as a simple expectorant. T^ Bromoformi, m xvj. Alcoholis, fSij. Glycerini, fSxij. Tinct. cardamomi comp., q. s. ad fBij. Misce. Sig.: Teaspoonful in water three times daily. Indication: Used for relief of spasmodic cough. I^ Codeinse sulphatis, gr. %. Tinct. belladonnae, m vj. Spiritus chloroformi, mx. Syrupi pruni virginianae, q. s. ad 3j. Misce. Sig.: One dose at night. Indication: Useful as a sedative. - IJ Potassii bromidi, 3j. Ess. pepsini ( Fairchild's ) , 3iv. Tinct. belladonnae, gr. vj. Aquae, q. s. ad Jiij. Misce. Sig. : One teaspoonful every three hours. Hand-Book of Modern Treatment, 475 Q Sodii bromidi, gr. 1. Antipyrini, gr. xv. Glyeerini, fSiij. Aqiu& cinnamomi, q. s. ad i^iij. Misce. Sig.: A teaspoonful every two hours for a one-year-old child. SPECIFIC FOB PERTUSSIS. Dr. Asa Jones claims for Jamaica dogwood — dose, 3 drops in a teaspoonful of water, every three or four hours — a specific for whooping-cough, as much as quinine for chills. 3 Bromoformi, m xlviij. Alcoholis, 3iiss. Aquae laurocerasi, 3j. Aquae destillatse, ^iv. Misce. Sig.: One teaspoonful four times daily. T^ Bromoformi, m xlviij. Oiei amygdalae dulcis, B^s. Pulv. acacise, Jss. Aquae laurocerasi, 3j. Aquae destillatae, q. s. ad Biv. Misce. Sig.: One teaspoonful three or four times daily. When administering bromoform the effects must be care- fully watched on account of its tendency in some cases to pro- duce depressing effects. IJ Resorcinolis, gr. xv. Antipyrinse, gr. xv. Syrupi simplicis, f^j. Syrupi acaciae, f^iiiss. Misce. Sig.: Three to five dessertspoonfuls each dav. Indication: During paroxysmal stages to de- crease duration and frequency of spasms. 476 Hand-BooTc of Modern Treatment, I^ Terpini hydratis, gr. xv. Antipyrini, gr. xv. Syrupi aurantii cort., fjij. Mucilaginis acacise, f^ij. Misce. Sig. : One or two ounces in divided doses several times daily. Indication: Used to decrease severity of the convulsive attacks. 3 Antipyrini, gr. ij. Sacchari albi, gr. xx. Misce et fiant chartulse no. xiv. Sig. : One powder three times during the day and once during the night for very young chil- dren. Dose increased up to fifteen grains for adults. I^ Aquae hydrogenii dioxidi, Bij. Syrupi tolutani, 5iss. Aquse, ^aa. Misce. Sig.: From ten drops to one teaspoonful. according to age. One dose each hour for two or three doses, then everv two hours for six or eight doses, getting farther between doses as patient improves. I^ Crcosoti (beech wood), 3iij. Kucnlypti, 3ij. Spiritus chloroformi, 3vj. Terebeni, q. s. ad Siij. ^riaoe. Sig.: For inhalation. Fifteen drops on a spongt' wrung out of hot water. B Antipyrini, gr. ss-j. Ammonii ohloridi. gr. iiaa-v. Syrupi linioni^, 3sm. Aqu«>, q. 8. nd 3j. Misce. Sig.: From one-half to one teaspoonful every tlirte houra. Hand-Book of Modern Treatment. 477 IJ Mentholis, gr. j. Sacchari; gr. xxj. Misce et fiant chartulse no. vj. Sig. : One powder every two hours. Indication: Used in vomiting of pertussis. ^ Fluidextracti castanese, Bj> Fluidextracti belladonnse^ gtt. iv. Fluidextracti hyoscyami, mx to 3j, ac- cording to age. Syrupi simplicis^ q. s. ad Jiv. Any desirable flavoring may be added. Sig.: One drachm every two hours. Children take it readily, as it is not unpleasant. The same size doses should be given at any age over 2 years, and 15 to 20 minims every two hours is sufficient. ^ Tinct. stramonii sem., 3ij. Am. bromidi, 3ij. Elixiris simplicis, q. s. ad Bij« Misce. Sig. : One teaspoonful to a child of five years in water every two or three hours as may be necessary. to quiet the cough. The after-treatment should consist in giving ammonium carbonate, 2V2 grams every three or four hours, as an expecto- rant, administered in a little whisky and milk. The foregoing prescription should be given sufficiently often to control the cough. IJ Pulv. belladonnse rad., gr. iss. Quininse sulphatis, gr. viij. Sacchari albi, 3ss. Misce et fiant chartulae no. x. Sig.: One powder three times a day. As a spray the following may be used for children over 6 years of age: — 478 Hand-Book of Modern Treatment. I^ Cocainse hydrochloridi, gr. x. Potassii chloratis, gr. iij. Aquse grad., Biss Misce. Sig.: To be sprayed into the throat twice a day. As an insufflation, introducing it into the larynx by means of a glass tube curved at one end, the following is of value as an antiseptic and germicide: — IJ Pulv. benzoin!, gr. Ixxv. Bismuth! subsalicylatis, gr. Ixxv. Quininse sulphatis, gr. xv. Misce et fiat pulvis. Sig. : A few grains to be used as an insuffla- tion into the larynx once daily. T^ Acid! carbolic!, gr. xv. Spiritus vini rectif., m xv. Tinct. iodi, m x. Tinct. belladonnse, m xxx. Syrup! simplicis, q. s. ad Bij' Misce et fiat mistura. Sig.: One teaspoonful every two hours, be- tween one and two years of age; half the quantity diluted with water for infants under one year of age. I^ Quininse hydrochloridi, gr. xxx. Sod!! bicarbonatis, gr. xx. Pulv. acacise, Siij. Misce et fiat pulvis. Sig.: A few grains to be insufflated into the throat two or three times a day. As a liniment to the chest the following combination is recommended : — IJ 01 ei eucalypti, 5!j. Linimenti camphorse, Jij. Olei cajuputi, Bss. Ole! menth. pip., 3ij. Misce et fiat linimentum. Sig. : To be applied locally to the chest. Band-Book of Modern Treatment. 479 WOBMS. I^ Santonin!, gr. i-ij. Hydrarg. chloridi mitis, gr. i-iij. Pulv. aromatic!, gr. iv. Misce et fiant chartulae no. iv. Sig. : One at bedtime to be followed by cas- tor oil in the morning. Indication: Used for round worms. I( Pelletierinse tannatis, gr. ij. Syrup! acacise, fSiv. Aquae, q. s. ad f||j. Misce. Sig. : Given in two doses at intervals of half an hour, and followed in an hour by a brisk purge. Indication: Used in tapeworms in children of one to six years old; children under two should not be given pelletierine. Ijt Oleoresinse aspidii, m xlv. Tinct. vanillffi, mxlv. Pulv. acaciae, 3ss. Aquae destillatse, fSj. Misce. Sig.: Take the entire amount after fasting, and follow in two hours by a full dose of mag- nesium sulphate. Indication: Used for tapeworm. I^ Olei chenopodii, f3j. Sig.: Five to ten minims on sugar night and morning. Follow last dose with calomel. Indication: Used to remove round worms in child two to four years old. 3 Acid! salicylic!, Sss. Sodi! borat., 3ss. Aquae, Oj. Misce. Sig.: Warm and inject into the bowels. For a child reduce this one-half in all its parts. Indication: Used in round worms. % 480 Band-Book of Modern Treatment, IJ Fluidextracti spigelise, 3ij. Fluidextracti sennse, 3ij. Glycerini, 3ij. Misce. Sig. : A teaspoonful night and morning. Indication: Used to remove round worms in a child four or five years old. 3 Infusi quassise, Bvj. Sig.: Use as a rectal injection. Indication: Used in seat worms. I^ Kamalse, 3ij. Confectionis sennse^ 3j. Misce. Sig.: To be taken at one dose after fast- ing for twenty-four hours. Indication: Used for tapeworm — no purge required. 3 Olei tiglii, gtt. j. Chloroformi, f3j. Glycerini, f3viiss. Misce. Sig. : At night give a saline purge ; the fol- lowing morning before breakfast give the above mixture. Indication: Used in tsenia. WOUNDS. Dr. Burger recommends, in the treatment of wounds such as usually occur in factories, that the wound be cleansed with a sublimate solution, after which pure balsam of Peru be dropped over the affected areas and gauze immersed in the bal- sam applied. The gauze does not adhere to the wound as oc- curs in dry dressings, nor does it macerate the tissues as do moist dressings. The dressings should be changed every two or three days. In this way the wounds heal quickly and are easily kept clean. Varicose ulcers may be treated in the same way with fairly good results. Wagner advocates the treatment of healthy granulating wounds by exposing them to the air. Exposure to the atmos- phere causes a drying of the wound which hinders the growth f< I ■• ' ..»-- ;:rvr Li!" >v< ;:t W ! 1 ' ■ " ' * ' '■ jr -'i: Is!!: ' 1 1 # » T n 1 / iiirl : ! . llli -fl . . fjicr.i"'..' FIl--- - '■ '" -1— •■ ' ^.T. a. »• t:.«ar •'.«•• "EtM1/«-- r-. i>*lM''' • 42- v.^ '' :»n^'.«" • IS •1. 482 Hand-Book of Modem Treatment. I^ Acetanilidi, 3ij. Sig.: Use as a dusting powder. I^ lodoformi, ^aa. Sig.: Used as a dusting powder. ^ Europheni, 3ij. Sig.: Used as a dusting powder. I^ Formaldehydi (40 per cent, solution), fJlj. Sig.: Ten drops in a pint of water and ap- ply as a wash. This solution is much too strong to be used about the eyes. I^ Hydrarg. chloridi corrosivi, gr. viiss. Aquse ferventis, Oij. Misce. Sig.: Solution (1-2000). Used in washing wounds, irrigating cavities, or on saturated dressings. I^ Chloretone, 3ij. Acidi borici, 3ij. Sig.: Used as a dusting powder, acting as an efficient antiseptic dressing. I^ Collodii flexilis, 5j. Sig.: Used as impervious dressing on slight wounds. X-RAY BURNS. Bums caused by the x-rays, which are generally found to be so intractable, are readily cured by the following ointment, the dermatitis soon disappearing: — B Phimbi oxidi. 3j. Zinci carbonatis, 3ij. Olycerini, 5j. Olei olivffi, 3ss. Adeps benzoatis, ad 5j» Mi ace et fiat unguentum. Sig.: To be applied freely. Hand-Book of Modem Treatment 483 PREVENTION OF X-RAY BURNS. By the use of a single coat of paraffin, the x-ray bum can be prevented, according to recent demonstrations. The wax is applied either to the skin, or by using a wax-coated paper screen before the light. ACUTE X-RAY BURNS. Dr. Martin F. Engman has been called on to treat several x-ray burns. All of them have been of the second degree or milder, with one exception, a bum of the back, with small points of deeper ulceration. Infection and ulceration were not factors to combat in their treatment, the indications being to stop the intolerable itching, assist repair, and to keep the sur- face aseptic, for which the following dressing seems to be won- derfully successful: — IJ Acidi borici, Sxij. Zinci oxidi, 5j' Amyli, gj. Bismutlii subnitratis, 5j. Olei olivse, 5j- Liq. calcis, 5iij- Adipis lanae hydrosi, Biij. Aquae rosse, Sxij. Misce. The powder should be well rubbed up in a mortar and the lanolin added. The olive-oil and lime-water are well mixed, then this mixture slowly added to the powder and lanolin, con- stantly stirring. When this is thoroughly mixed the rose-water is added and the whole beaten up in the mortar into a light, creamy paste. If there is much pruritus, 1 per cent, or 2 per cent, of carbolic acid can be added to the whole. In applying this creamy paste it should be spread on sev- eral thicknesses of absorbent gauze and laid over the surface, and a sheet of gutta-percha tissue placed over it to prevent evaporation. The cream, paste is very cooling on account of the great percentage of water it contains, and acts almost as a lotion without the disagreeable effects. YELLOW FEVER.— See Fever. \ i: I : I I I LANE MEDICAL UBRARY To avoid fine, this book should be returned on or before the date last stamped below. NOV 4 SEP 5 19 6 1915 i U\