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R. Tinct. Iodi, . .

1 R. Alcoholis, Saponis Viridis, Ætheris Fort., . . . . ziij. Olei Cadini, . . Tinct. Aconiti,

• 3ss. 1 M. et fiat pigmentum. . Ext. Belladon. Fl., . . ziv. | Sig.- Paint over the part. Morph. Sulph., . . gr. ij.

Iodi, . . . . 3jss. B. Olei Tiglii,. . . . 3j. M. et fiat pigmentum.

Ætheris Fort., . . . 3ij. Sig.–Paint 4 or 5 coats freely over Tinct. Iodi, . the inflamed and painful parts.

M. Sig.–Paint on once in 3 days.

GASEOUS PREPARATIONS.

Vapors (Vapores) and Inhalations (Inhalationes),--are medicines in the form of a vapor, a gas or an atomized spray, to be inhaled by the patient for their local action on the respiratory tract. The well-known steam-atomizer is the agent by which most of these preparations are administered, though many substances may be inbaled from the surface of hot-water, from a sponge in a bottle surrounded by a hot cloth, or from a heated shovel. They are prescribed in the usual manner, as follows:Stimulant Inhalation.

Carbolized Inhalation.
R. Olei Cubebæ, . . . 3ij. R. Acidi Carbolici, . .mxlviij.

Magnesii Carbonat., . . 3j. Aquæ, q. s. . . ad zij.
Aquæ, .

:,...

M. Sig.--Use one-half in the cup M. Sig.-A teaspoonful in a pint of a steam-atomizer for each inhala. of water at 150° F., for each inhala- tion. tion.

Oil of Pine.

Tar and Turpentine. B. Ol. Pini Sylvestris, . . 3ij. R. Ol. Picis Liquidæ, Magnesii Carb., . . 3!:. ||

Ol. Terebinth., . . äā zij. Aquæ, .

Biij. M. Sig.- Pour slowly on a hot M. Sig.-A teaspoonful on a pint shovel in the sick-room, keeping the of hot water for each inhalation. I vapor confined therein.

The official Charta Potassii Nitratis, Nitre-paper (see ante, page 464), is a preparation intended for use as an inhalation, its vapors while burning being taken into the lungs.

PART III.

SPECIAL THERAPEUTICS.

Applied Therapeutics may be studied either with the various therapeutic agents as the objects of chief consideration, as in the first part of this work; or with the different diseases and morbid conditions forming the objects of study in respect to their modification and treatment by medicines. In the following pages the latter method is followed, the therapeutics of each affection being exhibited in the form of an Analytical Index to the recognized text-books of the day. Every indication for the use of a drug, or statement regarding its value, is followed by the initial (in parentheses) of its author: these references enabling the book to be used as an index to the authorities, for more strict differentiation between indicated remedies,--while the brief analyses given include enough to make each section a complete synopsis of the most advanced therapeutics of the disease forming its title.

The principal authors to whom references are made, and the various initials indicating them, are comprised in the following list.

REFERENCES AND BIBLIOGRAPHY. (A.) Aitken.— The Science and Practice of Medicine, 7th edition, revised, Philadelphia, 1885.

(Ag.) Agnew.— The Principles and Practice of Surgery, Philadelphia, 1878, 3 vols.

(B.) Bartholow.—Materia Medica and Therapeutics, 5th edition, New York, 1884.

(Br.) Brunton.-Pharmacology, Therapeutics and Materia Medica, Philadelphia, 1885.

(C.) Carter.-A Practical Treatise on Diseases of the Eye, edited by Green, Philadelphia, 1880.

(CI.) Clarke.-A Manual of the Practice of Surgery, New York, 1881. iD.) Druitt.-A Manual of Modern Surgery, 12th edition, London, 1882.

(E.) Emmet.- Principles and Practice of Gynæcology, 3d edition, Phila. delphia, 1884.

(El.) Ellis.—A Practical Manual of Diseases of Children, 3d edition, London, 1883.

(F.) Fothergill.—The Practitioner's Handbook of Treatment, 2d edition, London, 1884.

(G.) Goodell.-Lessons in Gynæcology, Philadelphia, 1882.

(H.) Hamilton.-Nervous Diseases, their Description and Treatment, ad edition, Philadelphia, 1881. (L.) Leishman.-A System of Midwifery, 3d edition, Philadelphia, 1884.

M. & P.) Meigs and Pepper.-A Practical Treatise on Diseases of Chil. dren, 7th edition, Philadelphia, 1882.

(N.) Niemeyer.-A Text-book of Practical Medicine, 9th edition, New York, 1884.

(P.) Phillips.Materia Medica and Therapeutics, revised edition, Phila. delphia and London, 1886.

(Pf.) Piffard.-Materia Medica and Therapeutics of the Skin, N. Y. 1881. Editor of Phillips's Materia Medica and Therapeutics, Vegetable Kingdom, 1879.

(R.) Ringer.-A Handbook of Therapeutics, 11th edition, New York, 1886.

(Ros.) Rosenthal.-A Treatise on Diseases of the Nervous System, New York, 1884.

(S.) Stillé.—Therapeutics and Materia Medica, 4th edition, Philadelphia, 1880.

(St.) Sturgis.-The Student's Handbook of Venereal Diseases, New York,

(†.) Tanner.-An Index of Diseases and their Treatment, 2d edition, Philadelphia, 1882.

(Tr.) Trousseau and Pidoux.-A Treatise on Therapeutics, 9th edition, New York, 1880. (Tt.) Tait.—Diseases of Women, by Lawson Tait, New York, 1879.

W.) Wood, H. C.-Therapeutics, Materia Medica and Toxicology, 6th edition, Philadelphia, 1886.

(Wa.) Waring.--Practical Therapeutics, 4th edition, edited by Buxton, Philadelphia and London, 1886.

Besides the above named, occasional references are made to other works by the same authors. References will also be found, with names in full, to Anstie, Brown-Séquard, Clymer, Cohen, Da Costa, Fordyce-Barker, Gross, Hammond, Hilton, Lister, Mitchell, Nélaton, Noyes, Nussbaum, "Ricord, Roosa, Simpson, Thomas, and others. When a statement is not followed by any reference it is to be understood as coming from the writer of this book.

1883.

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Abdominal Plethora. Cathartics. The saline and hydragogue cathartics are of value in conges. tion of the portal circulation (B.). Saline Mineral Waters, especially the purgative saline waters, as Vichy and Saratoga, in plethora of the abdominal viscera (B.). Grape-cure has helped many cases, particularly those of hepatic engorgement and sluggish portal circulation; is best used after a preliminary course of powerful mineral waters (P.). Aliment is very important. A dry diet is particularly indicated in cases of dyspepsia and hepatic enlargement due to excessive beer drinking. Avoid much bread, also salted or twice-cooked meats, rich sauces, solid vegetables especially cucumbers, soups and fruit. Biscuits, fresh meat, lemons, fish, fowl and game, may be used. [Compare HEPATIC CONGESTION, OBESITY.)

Prescriptions. R. Potassii Bicarbonatis,

R. Resinæ Podophylli, . gr. vj. Sodii Sulphatis, . . äā ziv. Ext. Colocynthidis Co,. gr. xij. Dissolve in 1/2 pint of Water, and Ext. Belladonnæ, . . gr. iij. add Acidi Tartarici (cryst.). zij. Fiat massa, et div. in pil. no. xij.

Cork quickly and firmly. Vad to be Sig.-One pill every night. taken thrice daily.

Abortion. Opium, cautiously in threatened abortion, is often very valuable (Wa.);the tincture, mxx-xxx by rectum (Parvin);-Opium to check uterine action and Ergot to restrain hemorrhage (B.). Ergot, small tonic doses give excellent results in threatened abortion (P.). Tannin, combined with Opium and Ipecac. (Wa.). Cimicifuga, to prevent miscarriage when uterus is irritable and prolapsed (R.). Savine, the dried powder of the leaves, gr. xv-xx, thrice daily, one of the most powerful remedies against the hemorrhage indicative of approaching abortion (Wa.);-the tincture in doses of 5 to io drops, every y2 to 3 hours, useful against the hemorrhage (P.). Aurum Chloride, to avert the tendency to habitual abortion (B.). Iron, with Potassium Chlorate, throughout the pregnancy, when fatty degeneration the cause of habitual abortion (McLane). Tamponade of the cervix uteri, with cotton or sponge, dipped in vinegar or glycerin, when abortion is inevitable and it is desirable to hasten it and restrain hemorrhage. Empty uterus thoroughly with the finger, placenta-forceps liable to do harm (Barker). Abortifacients, see pages 207 and 428. Quinine and Ergotin, of each gr. ij in pill every 3 hours, the routine abortifacient of many irregular practitioners. Only by the production of such violent irritation of the abdominal and pelvic organs as generally endangers lise, can the pregnant uterus be stimulated to expel its contents (P.). The abortifacient effect of Savine and other drugs cannot be obtained unless by the administration of a quantity sufficient to endanger life (B.).

Prescriptions. B. Ext, Ergotæ Fluidi, . . 3v. R. Acidi Tannici, . . gr. xv.

Tinct. Opii Deodorat., . zijl Pulv. Ipecacuanhæ, . gr. xij.

Syrupi Limonis, . . 3j. Extractii Opii, . . gr. iij. M. Sig.--A teaspoonful thrice Ft. pil. xij. Sig.-One every six daily.

| hours.

Abscess. Poultices, to check or to assist in maturation, may be smeared with Belladonna or Opium (R.). Belladonna, as plaster to subdue (B.); painted around areola (Wa.); internally often successful in aborting (R.). Sulphide of Cal. cium, half-grain doses frequently repeated, to abort abscess or to hasten formation of pus (B.); gr. to every hour or two, gives striking results in healing large abscesses (R.). Phosphate of Calcium, in large abscesses (R.). Mercury and Morphine, the Oleate locally, diminishes induration due to old abscesses and prevents the formation of new ones (R.). Carbolic Acid, a weak solution as injection after evacuation, also as a dressing ( Lister), Silver Nitrate, a strong solution in Nitrous Ether if applied early to adjacent surface will check inflammation (B.). Blisters or Iodine, as counterirritants around or adjacent to seat of disease (R.). Potassium Permanganate, 3j to the pint of water, to correct setor (B.). Iodine, the tincture injected after opening large abscesses (R.); especially in scrofulous abscess (Wa.). Salicylic or Boracic Acid, as dressings (B.). Sar. saparilla, a very useful remedy in chronic abscess with profuse discharge (P.). Cod-liver Oil, improves and lessens discharge from scrofulous abscesses (Wa.). Surgical. Opening necessary in all deep abscesses, or when on face, near anus, mammary, or if danger of its opening into an internal cavity. Open with grooved director and forceps (Hilton). Never open a deep abscess with a plunge. Drainage-tube may be required, also irrigation of the cavity and pressure (Agnew). Weaning of child necessary in chronic mammary abscess (Gross). Psoas abscess may result from strain or laceration of muscle, as by heavy lifting, effort to recover balance when skating, etc., as well as from spinal disease. Symptoms often obscure and simulating those of chronic malaria. Early opening by lumbar incision necessary; then tonics, good food, and daily irrigation of the cavity with an antiseptic solution. (Compare SUPPURATION, CARBUNCLE.]

Prescriptions. R. Syrupi Ferri, Quininæ et R. Quininiæ Sulph., op . 3j.

Strychninæ Phosphatum, zvj. Ferri Pyrophosphatis, . 3j. Sig.-A teaspoonful in water thrice Strychninæ Sulph., . . gr. daily. To repair waste from suppura. Ac. Phosphor. Dil.,. . 3ij. tion.

Syrupi Zingiberis, • ., !;

Aquæ, q. s. . . ad Ziv. R. Syrupi Hypophosphitum, . zvj. M. st. mistura. Sig.-A teaspoon

Sig.- A dessertspoonful thrice daily. ful thrice daily.

Acidity. Acids, Hydrochloric or Phosphoric before meals; acid wine, a genuine Rhine wine best; Sulphurous Acid mv-xxx well diluted; for acid fermentation of starchy foods (R.); acids after meals for alkaline pyrosis (R.). Tan. nic Acid, useful in pill,gr iv. with mj of glycerin (B.). Carbolic Acid, often arrests eructations (B.). Alkalies, after meals for immediate relief, effects only temporary, bicarbonate best (R.); frequent use of alkalies enhances the mischief (B.). Nux Vomica, gtt. ij-iij of tincture before meals, excellent in small doses (B.); especially in acidity of pregnancy (R.). Pulsatilla, gtt. v of tincture every 4 hours in acid dyspepsia (P.). Silver Oxide, extremely useful (B.). Manganese Oxide, gr. x-xx of the purified black oxide relieves (B.). Kino, a favorite remedy (B.). Ipecacuanha, in acidity of pregnancy (R.). Mercury, gr. ss of gray powder ter in die, when acidity with clayey stools (R.). Bismuth gives excellent results, combined with Opium or Morphine, sometimes with Magnesia (R.). Diet. Use lemon-juice, aērated or old bread, plain biscuits. Avoid new bread, pastry and vegetables.

Prescriptions.
R. Bismuthi Subnitrat., . 3iij. R. Sodii Bicarb., . . 3ij.

Acidi Carbolici, . . gr. ij-v. Spt. Ammoniæ Aromat., . 3ij.
Mucil. Acaciæ, · 3)..

Tinct. Zingiberis, . . 3j.
Aq. Menth. Pip., . . iij.

Infus. Gentianæ Co. (U. M. Sig.–A tablespoonsul 3 or 4 S. P., 1870), 9.s. ad zviij. times daily for adults.

1 M. Sig.-A tablespoonful or two.

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