The general practitioner

Front matter

f

UNITED STATES OF AMERICA.

THE

Preface

In launching this book into the sea of medical life, the author is very well aware that it is not a full ship ; but among the smaller craft it is sure to take the rank of a trustworthy life-boat. As would be expected, the matter treated of in this work is neither new nor original; but the author claims for the form in which it has been pressed, not only originality, but real practical utility, and as it is expected to furnish to a large circle of the medical profession a veritable hand-book, "for reference, of service, in any case, whatever its nature may be," hopes that it will prove a true friend to many a practitioner into whose hands it should fall. To avoid a wrong interpretation of the above assertion it will be necessary to add, that "any given case" will have something of an analogon "of service" to the reflective physician.

The therapeutical part, with an introductory paragraph on poisoning and other cases of emergency, which require prompt and energetic treatment, is presented in three divisions: Internal, hypodermic, and external medication. The medicines for internal use are classified according to their physiological and therapeutical action in Chapter I, while the remedies for hypodermic medication (which form, after all, a part of them) are arranged alphabetically in Chapter II; and the topicals, with which are also classed electricity, hydropathic items, and those remedial agents used for inhalations, rectal, urethral, and vaginal medication— since they for the most part belong to the domain of surgery and collateral branches — are enumerated in Chapter III, under the heads of the various organs to which they are applied for curative purposes. The omission of many new, though perhaps important remedial agents, will be excused, because the reliability of the work must largely depend upon

v.

vi. Preface.

the employment of drugs of known properties, and beyond the stage of experimentation. Part II. gives in concise form the essentials of the medical art, including Obstetrics, Gynaecology, Pediatrics, Neurology, Dermatology, and all those branches, which, being treated of in purely medical and surgical works but sparingly, if at all, represent that important part of subdivisions which claim of late the special attention of therapeutists.

As by far the greater number of prescriptions are selected from standard works, though not authenticated by the names of their respective originators being attached to them, they may be used with perfect confidence; and the formulae, both of official and non-official compounds much in use, and to be prepared ex tempore, will be a welcome addition, especially to the country practitioner. The occasional dosage of these formulae and prescriptions, par excellence, in metric weight, is calculated to make him acqainted with a system which before long is sure to be adopted in the United States, as it is already in use in most European countries. Besides a table for converting one kind of weight into the other, the doses of all the remedies are given in apothecaries' weight, with its equivalent of the decimal system.

I may mention that I have advisedly made an indiscriminate, though by no meaus exhaustive, use of the different names of one and the same remedy in the prescriptions for the purpose of bringing into full view the existing confusion, and if, with regard to t! e chemicalp, I have given a preference to the nomenclature employed in Germany, it has been on the ground that it is the one in conformity with the symbols used in works on chemistry, not only in that country but also here and in England.

In conclusion I wish to say that the views held in this work are strictly in conformity with the teachings of authorities on the various subjects here and abroad — thus representing the present state of medical science — and I need scarcely add, that nobody will make me responsible for their correctness, as I am perfectly aware of their not infrequent collision with the opinions and theories of practitioners of undoubted ability.

THEODORE STREHZ.

Part I. Therapeutics

PAGE.

Introductory— Drowning, Hanging, Strangulation, Asphyxia from breathing Noxious Gases, Poisoning, and other cases of emergency, which require prompt and energetic treatment, - - 1

Chapter I. Internal Medication

Section 1.— Reconstructions, comprising Alteratives, Antiperiodics, Antistrumous, Antisyphilitics, Antiseptics, Antizymotics, etc., with notes relating to their physiological action and their therapeutic value, besides rules to be observed in their exhibition in certain diseases, etc. ^

Section 2. — Sedatives, including Anodynes, Narcotics, Antispasmodics, Hypnotics, Ancesthetics, etc. -

Section 3.— Correctives and Eliminatives, comprising Acids, Antacids, Expectorants, Diaphoretics, Diuretics, etc.

Section 4. — Astringents, etc.

Section 5.— Restoratives, comprising Stimulants and Tonics, -..-"■"

Section 6.— Cathartics, ---.-'-

Section 7.— Emetics, "

Section 8.— Vermifuge, ... - 102

40 59

CHAPTER IIvin. Contents.

Chapter III. Page

EXTEENAL MEDICATION.

1. For Eye and Ear Diseases, - - 111

2. For the Air Passages and adjacent

parts, including Inhalations, - - 115

3. For Genitals of Man, - - - 122

4. For Female Genitals and Womb Dis-

eases proper, 124

5. For the Rectum, including Enemata, 134

6. For the Head, Face and Skin — 138

a, Erysipelas, Neuralgia, Rheumatism

and Eruptive Feveis. by Ulcers, Tumors and Skin Diseases

proper.

c, Affections from Heat and Cold.

d, Bites and Stings of Insects, etc., and

other Wounds. 6, Hydropathic Items. f 9 Electricity.

Appendix

1. Table of Weights and Measures (Metric

and Apothecaries'), - - - 152

2. Analysis of Urine, - - - - 154

Part II

GENERAL NOSOCOMIUM CONSISTING IN AN ALPHABETICAL ARRANGE- MENT OF THE DISEASES, with their several definitions, symptoms (whenever possible pathognomic) and causes, together with diagnostic hints, and the remedies usually employed in their treatment, according to the present state of medical science, - - - 158

PART I.

THERAPEUTICS.

Introductory — Drowning, Strangulation, Poisoning and other cases of emergency which require prompt and energetic treatment. (For other cases of Asphyxia, Insolation, Poisoned wounds, etc., see part II).

Asphyxia from Drowning — Let the head hang down for two seconds, that the water may run out of the month. Now lay down the body with the head raised, wipe out the mouth and throat, draw the tongue well forward and dry the face; then have the wet clothes stripped off and the rest of the body rubbed dry. If breathing has not quite ceased, the nose and fauces may be tickled to excite sneezing, coughing or vomiting, and the circulation and respiratory acts should be roused by brisk friction, occasionally dashing cold water on the face, neck and chest, and then wiping them dry with a warm towel. If these means fail, Artificial Respiration.* Warm spiced w r ine may be given, if the patient can swallow, if not, it maybe introduced into the stomach by means of a flexible catheter and syringe. Warm

* Marshall Hall's Plan — Have the patient placed on his chest, with one wrist under the forehead; then roll the body over on the side far enough to remove the pressure of its weight on the thorax, to facilitate respiration; now, after two seconds, return it to its normal position, in which you leave it also for two or three seconds. In this prone position the expiratory act may be increased by some pressure with the hands along the back. These movements of alternate compression

2 Death From Hanging.

enemata, with, salt and mustard, or of brandy and water, may be of service in the early stage, whilst the heart's action is faltering. One point is to be enforced: Treat the patient instantly on the spot, in the open air, freely exposing the face, neck and chest to the breeze, except in severe weather.

Death from Hanging or Strangulation, which is usually induced by a mixed cause — suffocation and apoplexy (the latter, when the rope or strangling implement has been applied so high on the neck, that the jugulars are more effectually compressed than the windpipe), seldom by dislocation of the neck, requires a similar treatment: dashing of cold water on chest and face; if the latter be turgid, bleeding from the jugular vein; and Artificial Respiration, (p. 1*). In cases not complicated with apoplexy, the diaphragm may be excited by the passage of a galvanic current from the nape of the neck to the pit of the stomach.

Asphyxia from Breathing Noxious Gases, is treated on the same principle: The body must be stripped at once, cold water dashed over the head and chest and Artificial Respiration, (p. 1*). Chest and limbs should be rubbed with stimulating embrocations, and electric shocks sent through chest and diaphragm may be tried.

and expansion should be gently but perseveringly continued until natural respiration sets in, but no longer.

By Pectoral Concussion— About fifteen consecutive movements are made with both fists, placed in the ileo-ooecal region, in the direction of the diaphragm and heart, followed each time by a few brisk slaps in rapid succession on the chest over the heart with the palm of the hand. The single movements must be performed with a certain vigor, as if the contents of the chest had to be forced out of the mouth.

In all cases, before commencing artificial respiration^ clear the mouth and air passages from obstruction.

Poisoning. 3

Afterward the patient should be put in a warm bed and Stimulants given.

Asphyxia from Lightning claims the same treatment: Stimulants internally and electricity are said to be here especially useful.

Suspended Animation Induced by Intense Cold. — Here the body is first rubbed with snow or iced water, then with water of the usual temp., which is very gradually replaced by warmer water, when the patient is put to bed in a temperate room, where friction with the warm hand should be continued for some time. (The same procedure is indicated if only part of the body is affected, because the sudden application of heat would be sure to cause mortification.) Volatile Essences applied to the nose; Stimulants internally or by injection; and, if necessary, Inflation of the lungs.

Antidotes* to Anorganic Poisons. — Green of Paris and other arsenical preparations : The principal antidote is freshly prepared Hydrated Sesquioxide of Iron, given in large quantities (p. 80). Besides milk gruel, Albumen (156); Magnes. (112); Aq. Calcis, etc.

Mercury and its Salts: Albumen in the shape of the white of eggs (156). Catechu as infusion (p. 63); flour

* General Treatment of Poisoning. — In addition to the treatment of Gastritis, which is always caused by acrid and corrosive poison*, the evacuation and neutralization of the poisonous substance claim primary attention. Emetics (pp. 100 and 101) are to be promptly given, and, if they fail, the stomachpump (297) must be resorted to, provided the poison be one which can be ejected. After having the stomach evacuated, the required antidote may be given, followed, if necessary, by Cathartics and Diuretics. In poisoning with corrosive acids the necessary antidote has to be given at once, and the vegetable irritants, as Aloes, Elaterium, Jalap, Croton,etc, require after the emetic warm and copious Demulcents, with Cordials or Narcotics, according to circumstances. Drowsiness or insensi-

4 Poisoning.

and water, followed by an Emetic (p. 100). The stomach-pump. In chronic poisoning {Salivation) : Pot. chlor. or Pot. jod. (298 & 300) as gargle.

Verdigris and other Copper preparations : Albumen (156); Pot. cyanat. (66); Milk; Tea. Infusion of Oakbark, etc. (no acids).

White Vitriol and other Zinc preparations : Albumen (156); Soda (p. 55); Tannin (p. 62); Milk; OakbarJc. If vomiting, plenty of warm waxer.

Nitrate of Silver: Table salt in solution freely.

Lead and its Salts: Magnes sulf. (p. 95); Sod. phosph. (p. 97); Acid, sulfuric, (p. 61); Alumen (p. 63). To relieve pain and spasms: Opium (p. 35). In the chronic form: Iodine (p. 15); Strychnine (p. 83).

Tartar Emetic: Tannin (p. 62); Tea; Oakbark, etc. Besides Stimulants.

Mineral Acids : Alkaline Carbonates or Soap; Plaster from the wall with milk or water; Chalk; Magnesia (112). In Sulfuric acid poisoning : Plaster or Soap without water, afterward flaxseed tea. In Oxalic acid poisoning: Chalk or Magnes. but no Alkalies. In Carbolic acid poisoning : Soap or Magnesia; Sod. sulf. or

bility as a consequence of narcotic poisoning may be treated with strong hot coffee, after the stomach has been evacuated by means of Purgatives, or Apomorph. hypod. (p. 107), or some other emetic; and if syncope or paralysis of the respiratory movements have been induced by the poison, Stimulants must be given to counteract the former, whilst the latter may be treated with cold affusions, irritation of the skin, artificial respiration, excitation of the Pneumogastric by Atropia, etc., etc.

As the Antidotes act either chemically, by destroying the properties of the poison, or physiologically by their antagonistic power, it is of vital importance to arrive as soon as possible at a correct diagnosis.

Poisoning. 5

Sulf. acid. (p. 16); Sacch. Calcium in strong solution. In Bichrom. acid, poisoning : Chalk or Magnesia with milk.

Ammonia and Alkalies: Vinegar and Vegetable acids; Oil and Demulcents.

Alcohol: Strong Coffee; Cold douche; Ammon. (p. 43); Salt (p. 101); Brom. (p. 25); Cocaine (pp. 77 & 109).

Bronx.: Amylum; Magnesia (112); Ammonia (p.43).

Chloral: Counter-irritants, Cardiac Stimulants and maintaining the bodily heat (as in Opium).

Chlorine : Album. (1 5 6) ; Magnes.( 1 1 2) ; Mucilag. drinks.

Chloroform : Head low and feet elevated; Inhalation of Ammonia (316); Cold water to chest and ice to rectum. Brandy hypoderm.; Artificial Respiration (p. 1*).

Creosot.: Albumen (156).

Iodine: Amylum; flour and water; afterward vinegar and water; and mucilaginous drinks.

Phosphor.: Magnesia (112); Terebinthina (150).

Antidotes (p. 3*) to Organic Poisons. — Aconite: Warmth, friction and veget. Astringents (p. 62); Opium (p. 35); Digital, (p. 78), to support the heart's action.

Belladonna: Vegetable Astringents (p. 62); Morph. hypoderm. in small and repeated doses (p. 110); Jaborandi (109); Apomorphine (p. 107).

Calabar: Atropin (pp. 23 and 108), to antagonize the respiratory depression. Artificial Respiration (p. 1*).

Cannabis like Opium.

Cantharis: Opium (p. 35); Camphor, (p. 28); Demulcents and warm bath.

Colchicum Coffee; Tannin (p. 62); Demulcents and Stimulants. Digitalis (p. 78); Opium (pp. 35 & 48).

Conium: Stimulants; Atrop. (pp.23 &108); Strychnin (p.83); Opium(pp. 35 & 110); Artif. Respiration (p. 1*).

6 Poisoning.

Cyan. (Aq. laurocerasi — 01. Amygd. am, etc.): Cuprum (p.100); Ferrum(143); Ammonia (p. 43). Cold douche and Artificial Respiration (p. 1*).

Digitalis: Horizontal position; Tea; Coffee; Stimulants; Tannin (p. 62); Albumen (156); Opium (p. 35).

Ergot: Brandy and Demulcents with hot applications to body. Digitalis (p. 78).

Gelsemin: Brandy; Ammon. (p. 44); Digital, (p. 78); Bellad. (pp. 23 & 108); Artificial Respiration (p. 1*).

Hyoscyamus like Belladonna.

Lobelia: Brandy; Counter-irritation; Tannin, (p. 62); Anodynes (p. 20).

Opium: Continuous motion; strong Coffee or Tea; cold Douche; Emetic (p. 101); Caffein (163); Tannin (p. 62); Cocaine (pp. 77 & 109); Bellad. (pp. 23 & 108;; Digitalis (p. 78); Artificial Respiration (p. 1*).

Santonin: Emetics and Laxatives (p. 104); Chloroform (pp. 30 & 109).

Strychnin: Coffee; Tea; Brandy (p. 73); Tannin (p. 62); Brom. (p. 27); Chloral (p. 30); Calabar (270); Inhalations of Chlorof . or Amyl. (304 & 308). Inf us.Chamom. p. os et p. anum; Tobacco-enema. Artif. Respir. (p. 1*).

labaccum: Brandy (p. 72); Opium (p. 35); Digital, (p. 78); Strychnin (p. 83). Inhalation of Ammonia and Artificial Respiration (p. 1*).

Veratrum viride: Brandy by mouth and rectum (p. 72); Ammonia (p. 43); Opium (p. 35); friction to body.

Animal Poison (Snake-bite, etc.): Cauterization of wound with Arg. nitr. or Nitr. Acid (329). Alcoholic Stimulants (p. 72); Ammon. (p. 43); Cedron (p. 10).

Section I. Eeconsteuctives

They comprise Alteratives, Antiperiodics, AntistrumouSj Axtisyphilitics, Antiseptics, Antizymotics, in fact, all those medicines which have a decided effect on certain cachectic conditions of the blood, and through either their destructive or reconstructive power assist the vis medicatrix naturce in her efforts to reproduce the natural state of the various constituents of the human body.

Acid, nitric, d: Alterative, Antilithic.

Arsenic: Alterative Antiperiodic, Anticonvulsive, Nerve Tonic.

Aurum: Antiscrofulous, Antisyphilitic.

Baptisia: Antiseptic, Cathartic.

Barium : Antiscrofulous, Anthelmintic.

Cedron: Antiperiodic.

Chinin. : Antiperiodic, Antiseptic, Antispasmodic, Antineuralgic, Antipyretic, Tonic.

Chrom. : Antiseptic.

Fucus : Alterative.

Guayacum: Alterative, Diaphoretic, Stimulant.

Hydrargyrum: Alterative, Antisyphilitic, Antiphlogistic, Cholagogue, Sialogogue, Cathartic.

Iodum: Alterative, Antiscrofulous, Antisyphilitic.

Naphthalin: Antiseptic.

Phenol : Antiseptic.

Hecons tructives.

Pulsatilla: Alterative, Emmenagogue. Resorcin: Antiseptic, Antipyretic, Haemostatic. Salicin: Antiperiodic, Antizymotic, Antiarthritic. Sarsaparilla: Alterative, Diuretic.

Silicia: Antiarthritic.

Sulfides : Antisuppurati ve.

Sulfites: Antizymotic.

Thymol : Antiseptic.

Antiperiodics, Antiseptics, etc.

1. 5 Acidi nitric] d. 3 j.

Dec. Saiza* Oj.

To be taken during one or

2b.

I> Liq. arsenic. Donov. 3 ij.

Gtt. x ter die p. cibum.

Tumor within Brain.

two days. Syphilis.

I£ Sol. arsenic. Fowl. 3 ij.

5 Arsenici iod. 0.2.

Gtt. v. ter die p. cibum.

Extr. Conii 2.5.

Gastralgia.

F. pilula3 35, ut singula?

contineant 0.005 7.

IJ Auri et Sod. Chlor. gr. j.

j ter die p. cibum.

Argilla? 3ij.

Gout (rheumatic).

Divide in 20 p. nequales.

Gutan. Erupt.

j ter die. Spermatorrhoea.

Acidum nitricum dil.: gtt.

2—20 = 0.15 —1.5.

Arsenicum album: gr.

11 iod.: gr.

" Sol. Don.: gtt.

3—15 = 0.2 —1.0.

" " Fowl.: gtt.

2—10 = 0.12 —0.6.

Auri et Sodii Chlor. : gr.

Acid, nitric, dilutum is also used in Physometra. Gttviij — x sextis horis in Intermittens. See sections in & v.

Arsenic must never be given on an empty stomach, and it must be stopped when there is itching of the conjunctiva. Its specific effects aside from the itching are: (Edema and stiffness of the eyelids and face, tenderness of mouth, itching of the skin and uneasiness about the stomach. It is frequently used in Chronic Eczema, Lichen, and the scaly diseases — Lupus, Lepra, Psoriasis; and in some skin diseases it is valuable for subduing pain. It is also used in Chronic Bronchitis, Cystic Goitre, Chorea, and Vomiting of Drunkards.

In Rheumatic Gout it is said to be superior to any other remedy, and in conjunction with Tannin it is preferable to Quinine. The average dose isgr. 1-10 ter die; gr. 1-20 ter die in Cancer or Irritable Uterus.

10 RECONSTRUCTIVE 8: Alteratives.

5 Auri et Sod. Chlor. 0.1. ^ Barii Chloridi

Aquae destillatae 50.0. Extr. Conii ^ 2.0.

Gtt. xx. ter die. Syphilis. Vini stibiat. 5.0.

(secondary) Aq. destillatae 20.0.

(To increase to 50.) Gtt. xx— xxx tertiis horis.

4. Orchitis {chronic).

" Gentian.comp.^ 3ij. 1J Barii chlorati 2.0.

Glycerini § ss. Aq. destillatae 30.0.

Gtt. v — xx omni hora. Gtt, v— x semel vel bis die.

Typhus. (2 to 3 years.) Scrofula.

IJ Tr. Baptisiae 3 ij. 5 Cedrcn. Simab.

Elix. simp], ad | ij. Con. Cinchonae T 0.5.

3 j hourly. Scarlatina. During cold stage.

(malignant. ) Intermittens.

Fowler's Solution: gtt. v — x ter die in Intermittens. Arsen. chlor o-phosph. : gtt. xv — xx ter die post cibum in Sexual Weakness, Nervous Exhaustion, Loss of Memory, or Threatening Insanity.

Cigarettes made of paper, saturated with a strong solution of Sod. arsen. are smoked in Asthma.

Donovan's Solution: Arsen. iod.

Hydr. biiod. aTgr. xxxv, Aq. § viij.

Auri et Sod. Chlor. is similar in its effects to Sublimate, but is most used in premature decline of sexual powers; and in Locomotor Ataxia, early and persistently exhibited, it will arrest the disease(?) — As sugar and other organic substances reduce the gold, the salt should be given in Aqua destillata, or as pill with Argilla.

Baptisia is sometimes given in Diphtheria and in putrid ulceration of the buccal mucous membrane.

Cedron is with the inhabitants of Dutch Guiana a popular antidote for snake bite. Dose, gr. j — ij.

IJ Chinini Sulfatis IJ Chin, sulfurici

Acid. sulf. d. 7 3 ss. Extr. Gentiana?, ? 3 j.

Syr. Aurant. C. 3 ij. F. piluloe 24.

Aq. font. 3 jv. j vel ij quartis horis.

3 j omni hora. Pneumonitis (Until cinchonism; and to {abortive.) begin, if possible, in the 7b. sweating stage. ) Intermittens

g, Chinini sulf. 3 ss. 8.

Tr. Ferri chljr. 3 ijas. IJ Cinchonid. tannici 1.0.

Aquae footana* 3 v. Syrupi Rhei 40.0.

3 ss quartis horis. 3 j bihorio vel tertiis horis.

(The first dose may be Teething.

doubled.) Septicemia. (with constipation^)

Quinine has a marked influence on pulse and temperature, lessening at the same time the amount of uric acid and urea in the urine. Taken for some time, or in large doses, it produces Cinchonism — tinnitus aurium, with partial deafness, coupled with severe headache; sometimes dimness of sight, (suffused eyes and dilated pupils) with flushed face; and not unfrequently delirium, even convulsions may supervene. In Intermittens and other fevers of malarial origin, it is the remedy, p> ar excellence. In pernicious Intermittens 3j every 3 hours unless Cinchonism; per rectum the dose may be larger. In the varieties of Typhus, especially that termed Cerebro-Spinal Meningitis, it is given in similar doses, in conjunction with alcoholic stimulants. A 3j dose in Bronchitis is said to be abortive, and from ±)i to 3ij may be given in Typhoid before the evening exacerbation. It is contra-indicated during menstruation, as it may produce hypogastric pnin. See section v.

Cinchonid. tann. 0.1 — 0.3 every hour or half hour in febrile diseases and Cholera Infantum; and in weak children, with worms, it is very valuable. See sec. viii.

12 HECONSTRUCTIVES: Alteratives.

vel Bichrom. 0.01. Opii gr. jv.

3 j ter die Syphilis, j bis die until ptyalism; then

(secondary.} every-other-night one. 10. Chancre.

1$ Extr. Fuci vesiculosi Vel:

Elix. simpl. 7 1 j. fy Mass. Hydrargyri 3 ss.

3 ij ter die. Adipositas. Opii gr. jv.

11 F. pilules 16. Same.

]J, Tr. Guayaci ammon. Vel:

Tr. Cinchonae 'a 1 j. % Hydr. iod. fl. gr. vj.

3 ij bis die e cyatho lactis. Extr. Conii 3j — ij.

Rheumatism (chronic.) F. pilulse 24. Same.

_ a

Chrom. As organic substances reduce chromic acid, the salt must be dissolved in Aq. dest., or mixed with Argilla as pill. Pot. bichrom. in doses of 0.05 is sure to produce Gastro-enteritis, and may even cause death !

Fucus requires the following diet: Roast meat, fish, fruit and vegetables; but no potatoes and other farinaceous articles. (Bread, sparingly, and either stale or toasted.) Tea and coffee without milk and sugar, a little wine and Succus Citri to quench the thirst.

Guayacum is also used in Syphilis; occasionally in Amenorrhoea and Dysmenorrhoea.

Mercury (see Iodine) has to be suspended or stopped altogether as soon as salivation sets in. The latter is soonest produced by Blue Pill; Calomel comes next Calomel in larger than 2 gr. doses acts as a purgative. See sec. vi. Hydr. c. Creta, gr. 1 ter die is recommended fy Calomel, gr.j. 5 Hydr. bichlor. gr.f .

Opii, gr. | to £. Pot. iod. $].

Tertiis vel quartis horis. Tr. Cinchonae

Dysentery. Tr. Rhei ^ § ss. 13. Gtt. xxx ex aqua bis die:

IJ Hydr. c. Creta gr. ij. (6 years). 1 yearrgtt. x.

Every third night, followed Vaginal Discharge.

in the morning by salts 3 j. (fro?n Scrofula.)

Jaundice. 14a. 14d.

5 Hydrarg. bichlor. t> Hydr. Bichloridi gr.j.

Ammon. chlor. ^ gr.j. Pot. Iodidi T)ij.

Micae Panis, q. s. Extr. Cinchon. fl. § ss.

F. pilulae 12. vel Syr. Ferri iod. § j.

j ter die post cibum. Aq. fontanae ad § viij.

Tumor within Drain. § ss ter die ex aqua.

Chancre.

r> Hydr. bichlor. gr.j. r> Hydrarg. biiodati 0.1.

Tr. Ferri chlor. 3 ss. Pot. iodati 8.0.

Extr. Fuci mar. fl. 3 jss. Pot. bicarb. 3.0.

3 j ter die ex aqua. Decocti Sarzae 180.0.

Pharyngitis. § ss ter die. Syphilis.

{syphilitic.) [secondary and tertiary.)

as preventive of secondary Syphilis; 0.02 ter die will relieve the swelling in Parotitis. (?)

Hydr. Dichloridum (Hydrargyrum bichloratum) gr. 1-60 — 1-30 ter die ante cibum in Gastric Ulcer; and in chron. Diarrhoea this dose may be gradually increased. Hydrarg. Iodidum rbr. (biiodatum No. 15) in syphilitic Iritis and Pharyngitis. Hydrargyrum iodatum flavuni is the protoioduret.

14 RJBCON STBVGTIVES: Alteratives.

5 Pot. Iodidi 3ij. 5 Pot. iod. 3 j.

Inf. Quassiae § jv. Tr. Cinchonae § ss.

| j bis die. Syphilis. Aq. font, ad § vj.

{secondary.) § ss ter die. Pharyngitis. 16b. Vel :

r> Pot. iod. 3 j. 5 Pot. Iodidi

Extr. Xantoxyl. fl. 3 ij. Pot. Bromidi Aq. Fontis | vj. Amnion. Chloridi -j 3j.

| ss. ter die. Rheumatism. Aq. destillatae § vj.

(chronic.) 19 a.

( TF%A cedemat. extremities.) rj Kalii iodati 3 iij.

Syr. Ferri iodati f ij. 17a. Tr. Colombo § vj.

^ Kalii iodati 5.0. 3 ij ter die ex aqua.

Natri biearbonici 1.0. Chronic Peritonitis.

Aquae fontanae 400.0. [pelvic.)

| ss bis die. Pimples. 19b.

(of young people.) rj Pot. iodati 8.0

17b. Aq. destillatae. 50.0.

IJ, Pot. iod. gr. ij. Ferri sulfurici 6.0.

Pot. bicarb, gr. v. Post agitationem admisce:

Extr. Sarz. fl. 3j. Tr. Cardam. comp.

vel Ext. Cinchon. fl. gtt. viij. Syrupi simpl. 'J 25.0.

Aq. fontanae § j. 3 j ter die. Amenorrhoea.

3 jbis die. Scrofula, (with headache and pains in

(1 year.) pelvis.)

Iodine. Pot. iod. must not be given with narcotic alkalies, metal salts, acids and Aq. Amygdal. am. Its use has to be stopped for 5 — 10 days if there appear inflammatory eruptions of the skin. If in use, Calomel, even externally, must not be employed, as Hydr. iod. may form, nor Pot. chlor. or Syr. Ferr. iod. must be used, as Iodine may separate and produce intoxication.

Antiperiodics, Antiseptics, etc.

Pot. Iodidi 10.0

Aq. destillatre 250.0

3 ijterdie ante cibum ex vino

rubro vel aqua. Paraplegia.

20b.

IJ Iodi 1.5.

Pot. iodati 3.0.

Aquae destillataa 30.0.

Gtt. v — xxx ter die ex aqua

saccharata.

{Liq. iodatus Lugol.) 20c. 5 Iodi 1.0.

Solve leni calore in

1 j — j g s per diem.

Substitute of Ol. Jecoris. 21.

IJ Naphthol. (Beta) Bism. salicylici • Magn. carbon. ^ 0.3.

This dose quartis horis.

Furuncles. 22a. 5 Liq. antisept. P. 25.0.

Tr. Catechu 15.0.

Syr. simplicis 150.0. 3 ij semis horis. Cholera.

Iodum: gr. \ — 1

IodiTr.: gtt.2— 10 Naphthalin.igr. 2 — 8 Phenol: gtt..i— 3

Iodism is characterized by Eruptions of Skin, Laryngitis, Intestinal Catarrh, Vertigo, Fainting, etc.

Pot. iod. gr. 15 — 3 j p. diem, if it be borne, in Lead Colic; gr. 5 — 10 quater die in Cellulitis and second stage "of acute Cerebral Meningitis. Syr. Ferri iodati gtt. xxx ter die in Scrofulaand Chlorosis. Forchildren: gtt. 15bis die (4 years); gtt. 6 — 10 ter die (2 years). In convulsions from loss of blood it is sometimes very valuable.

Tr. Iodi gtt. v ter die in Retention of Menses. In gtt. j doses it is said to check the vomiting in cholera; and t. die with Laudan. gtt. ij it is recommended as prophylactic.

Iodine is also used in Fibroid, LTterine Cancer, Ovarian Dropsy, Bronchocele, Ringworm, etc.

Naptholin is a good antifermentative and germicide, and therefore recommended in intestinal disorders; it has been given as much as 3 j per diem. Naphthol 2,5 p. diem in Typhoid.

16 BEGONSTJRUCTIVES: Alteratives.

5 Acidi carbolic! 5.0.

^ Extr. Pulsat. fl. 3 ss.

Glycerolati Arayli 10.0.

Aq. Menthae § jss.

Radicis Calami 5.0.

3 j bihorio. Hysteria.

Rad. Althseae q. s.

5 Resorcini 1.0 — 2.0.

singulae contineant 0.025).

Aq. destill. 100.0.

j quater die. Pruritus.

Syr. Aurant. Cort. 30.0.

(To increase to 3 daily.)

| ss bihorio. Intermittens.

5 Hb. Pulsatilla

5 Salicini

Extr. Pulsatilla T 5.0.

Pepsini 'J 1.0.

01. Menthae pip. gtt. j.

F. pilulae 75.

Leni calore solutio efficiat.

j vel ij ter die. Amaurosis.

3 j ante cibum. Dyspepsia.

Pulsat. Extr. h\: gtt.

2— 6 = 0.065—0.2.

Pulsat. Tr.: gtt.

30—60 = 1.0. —2.0.

Salicin: gr.

3—60 = 0.2. —4.0.

Phenol is said to be excellent in tapeworm. (See section vm). Sod. sulfo-carbolic. 3j with Syrup bihorio in Variola. Intoxication from repeated Carbol. applications may be treated with Sod. sulf., vel Acidum sulf. dilutum: Sulfo-carbolic acid is formed, and the dark color of the urine soon disappears.

Liq. antisepticus Pernes: Acid, carbol. 10.0.

Aqua. dest. 300.0.

Mixtis instilla. Bromi. 5.0.

Pulsatilla is also employed in skin diseases, catarrhal affections of nares, fauces and larynx, urinary passages and intestines.

Pesorcin is equal to Quinine as antipyreticum, but by no means as tonic; to Phenol it is equal as antiseptic. The latter is a monhydroxylbenzol, whilst Resorcin is a dihydroxylbenzol.

Salicin has not the disagreeable effects of Acidum salicylicum; and Sod. salicyl. is also milder than the acid, and therefore preferable; moreover, as it is decomposed by

AntiperiodicSy Antiseptics, etc.

26a.

IJ Acidi salicylici 5.0.

Spir. Vini Gallic!

Vini Hispanici 7 100.0.

Syr. Aurant. Cort. 50.0.

3 j bihoriovel quartis horis.

Vel: Diarrhea.

IJ Acidi salicylici 10.0.

Liq. Amra. acet. 60.0.

3 j omni bora.

26b.

IJ Acid, salicyl.

Sod. bicarb. 7 3 ss.

Spir. Vini Gall. 3 ij.

Glycerini 3 vj.

Aq. font, ad 3 ij. 3 ij omni hora. Same.

( 4 years.) Vel: 3 Acid, salicyl. gr. xij.

Cretae praep. gr. viij.

Divide in 10 vel 6 partes. j every 2 or 4 hours. ( 2 months to 3 years.)

27. rj Acidi salicylici 5.0.

Sod. phosph. 13.0.

Liq. Amm. caust. 2.0.

Glycerini

Aq. fontanae ? 10.0.

H.somnisumenda.7 7 y/>/ms.

28. rj Acidi salicylici gr. x.

Natri salicylici gr. xv.

Ter die. Rheumatism.

{cirtic. acute.) 29a.

IJ, Sod. Salicylatis

Sacchari ^ 1.0.

Tales doses 5. j ex aqua. Migraine.

29b. t> Sod. Salicylatis 6.0.

Sod. Bicarbonatis 2.0.

Glycerini

Aquae fontanae £ 25.0.

The whole at once, or in 2 doses within -J- hour.

Typhus.

Salicyl. Acid.

= 0.4 —4.0.

Salicyl. Sod.:

= 0.65—2.6.

Carbonic acid, the acid is liberated in the stomach. As antipyreticum, Salicin is inferior to Nitre, and in heart and kidney diseases, it is moreover contra-indicated. In intestinal disorders, which are due to fermentation and putrefaction in the alimentary canal, Sod. salicyl., especially combined with Bismuth, has been lately much employed. Treble the quantity of Acid, salicylicum will rep' ace Acidum earbolicnm?