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NOTE.—These formulæ have been published from time to time in various journals and formularies, and are supposed to represent the preparations designated. The name of the author is appended in each case when known.
Ayer's Cherry Pectoral. I Pierce's Golden Discovery. R. Morphinæ Acetat., . gr. iij. R. Ext. Lactuci, . .
Vini Antim. et Potass. Tartrat., Mellis, . .
Tinct. Opii Deodorat.,
Pierce's Favorite Prescription. R. Podophylli Radicis, . gr.x.
R. Sabinæ, Cinchonæ,
Agarici Albi, . äå zij.
. gr. xv. gr.x.
Coq. in aq. suff., ut ft. de
. . 3""
Deinde cola, et adde-
Sacchari Albi, · · 3ss.
. . . 3). Solve, et addantur
Tinct. Opii Deodorat.,
Tinct. Digitalis,. äā 355.
Ol. Anisi, gtt. viij, in AlR. Sennæ Foliorum, . pt. viij.
coholis, . . . Ziss. Mannæ, . . . pt. iv.
(Hager.) Coriandri, . . . pt. j.
R. Vini Zingiberis,
Vini Cardamomi, . ãā ziij.
Sacchari Albi, . . . 9. s. Cinchona,
Walker's Vegetable Vinegar
. . 3ij. Alcoholis Diluti,
Guaiaci Resinæ, . (Med. Bulletin, 1884.)
Sassasras Mucil., . • Aceti, . . . Aquæ, . .
Coque, et ft. decoctum, ad zxix, Radway's Ready Relief.
deinde cola, et addanturR. Tinct. Capsici,
Sodii Sulphatis, . . 3j. Aquæ Ammoniæ,
Acaciæ, . . . . 3').
(Hager.)l M. Dose zij. (Eberbach.)
Note.-For St. Jacob's Oil, see ante, page 40; and for Laville's Anti-Gout Remedy, see page 157.
THE TREATMENT OF POISONING.
The most energetic poisons are Hydrocyanic Acid, some reptile poisons, Strychnine, and Nicotine. (See pages 29, 271, 372.) Those usually selected for criminal purposes are Arsenic, Colchicum, and Tartarized Antimony, the symptoms of which resemble those of natural disease.
General Principles of Treatment. Jeaunel's General Antidote.-R. Liq. Ferri Sulphatis (sp. gr. 1.45) Zijss; Magnesiæ Calcinat. Zij; Carbonis Animalis Zj; Aquæ 3xx. The ingredients should be kept separate-the solution of the sulphate in one vessel, the others together. When needed, the former should be added to the latter and violently agitated. Dose, Zjss-ziij. This is a perfect antidote to Arsenic, Zinc, Digitaline, etc. It delays the action of salts of Copper, Morphine, and Strychnine, and slightly influences compounds of Mercury. It is valueless for Cyanide of Mercury, Tartar Emetic, Hydrocyanic Acid, Phosphorus, or the caustic Alkalies.
BELLINI, of Florence, considers the lodide of Starch a valuable antidote to alkaline Sulphides, earthy Sulphides, vegetable and caustic Alkalies, and Ammonia. In the first two cases, he considerers it superior to all other antidotes.
A fresh mixture of the Sulphide of Iron, Magnesia, and the Sulphide of Sodium, is a perfect antidote for salts of Copper, the Bichloride of Mercury (Corr. Sub.), and the Cyanide of Mercury.
If the nature of the poison is unknown, a harmless yet in most cases effectual antidote is: R. Magnesiæ, Carbonis Ligni, Ferri Oxidi Hydrati, aā partes æquales; Aquæ q.s. Give ad libitum.
Castile Soap, dissolved in 4 times its bulk of hot water, drunk by the cupful, is one of the best remedies in many cases, especially poisoning with metals, corrosive acids, or corrosive vegetable substances. It is injurious in cases of alkali poisoning
Albumen. White of egg, dissolved in water, is especially useful for me. tallic substances. Vinegar, for alkalies, and many narcoties. Coffee, made strong (black), in general antidoting narcotic poisons. Camphor, the principal antidote to all vegetable poisons, especially the corrosive. Milk, Oil, Mucilaginous Substances, for corrosive acids, and alkalies. Charcoal, for Arsenic, Corrosive Sublimate, etc.
Emetics.- Zinc Sulphate is the best (R.); gr. v-3ss; is non-nauseating. - Apomorphine, gr. Io hypodermically, when narcosis prevents administration by stomach. For children, Antim. Tart. gr. %2, in a little sweetened water. Use but little water in mixing the antidotes.
Antidote Bag, designed by Martindale of London, contains the followingnamed articles, labeled with directions for use, viz.Dialysed Iron.
Spt. Ammoniæ Aromat, Amyl Nitrite.
Acids. Alkalies, for those least irritating. Magnesium Oxide, Slaked Lime, chalk, or magnesia; plaster from wall, with water, milk, oil, white of egg. Bland mucilaginous and oily fluids, and poultices (R.). ACETIC.—Magnesia, or its carbonates. ARSENIOUS; see Arsenic CARBOLIC. - Stomach-pump; a strong solution of the official Syrup of Lime. Atropine is a good physiologi. cal antagonist (B.). Characteristic symj toms, very dark, black urine. When used locally to excess, apply a strong solution of Sodium Carbonate ; also as a wash for the mouth, if necessary. CARBONIC; see Gas. HYDROCYANIC (Dilute).-mxl have killed. Ammonia, in any form; cold douche; Calcium or Sodium Chloride, gtt. xxx-x1, in water; Aqua Chlori is the antidote. Inhalations of Chlorine or Ammonia; artificial respiration. MURIATIC, NITRIC, or SULPHURIC.--Albumen, Carbonate of Magnesium, Calcium, Potassium, or Sodium, Chalk, Soap, or whiting, in milk; Oil. No water in Sulphuric cases, OXALIC.—Calcium Carbonate the antidote (R.); Magnesium Oxide (R.). Prepared Chalk, plaster from ceiling, or common whiting, made into a creamy paste with a little water. Bland mucilaginous drinks, and poultices to the abdomen, Avoid potash or soda, and all alkaline carbonates. “Salts of Lemon," or of “Sorrel," is Potassium Oxalate, used for removing ink stains ; it should be treated as Oxalic Acid.
Aconite (compare Belladonna). Stimulants, emetics, Castor oil or other purgatives ; powdered animal Charcoal, in water; coffee. Bland fluids, and poultices, for abdominal irritation, Digitalis, to restore heart's action (Fother
Alcohol. [Compare ALCOHOLISM and DELIRIUM TREMENS in Part III.] Cold water smartly sprinkled over face, or cold douche from a height on the
head (R.). Stomach-pump; warmth to cardiac and gastric regions, and ex
ities. Artificial respiration. Alkaloids, Tannic Acid, holds a high place (P.).
Alkalies. Dilute Acids, especially Vegetable Acids; fixed oils (R.). Vinegar unites with them, producing innocuous acelates (L.).
Alum. Ammonium, or Potassium Carbonates, etc.
Ammonium. (Common Sources of Danger, Spt. of Hartshorn, Smell. ing Salts, Liquor Ammoniæ kept for cleaning purposes by housekeepers.) Vinegar, Lemon-juice, Orange-juice, followed by demulcents. If vapor has been inspired, inhale Acetic or Hydrochloric Acid.
Antimony. Alkalies, Tannin, or strong tea and coffee (R.). Astringent infusions ; Magnesium and Sodium Carbonates; milk; large draughts of warm water; emesis by tickling; Magnesia in milk, especially for Chloride of Antimony. Tannic Acid especially valuable (P.).
Arsenic (Arsenious Acid). Gr. ij have been fatal. Magnesium Bicarbo. nate, or other alkalies (R.). Charcoal zss, or more (R.). Magnesium Oxide (R.). Emesis by Zinc Sulphate 3j (avoid tartar emetic), or by feather tickling. Albumen. Oil and Lime-water mixed (Taylor), before and after emesis. Milk or other bland fluids to aid emesis in washing stomach. Castor-oil aster emesis. Linseed-tea and Magnesia. Dialysed Iron is a good antidote, especially for chronic poisoning. After free emesis, the Ferri Oxidum Hydratum (add Liq. Ammon. to Tinct. of Iron); Ferri Subcarbonate just as good; zij followed by Ol. Ricini (Leale); or Hydrated Magnesia ; or Magnesia and sugar (Carl), as antidotes. Poultices and fomentations over abdomen. Common sources of danger are arsenical wall-papers, arsenic mistaken for “ salts" or“ magnesia," or adulerated confectionery; Paris Green (Arsenite of Copper) taken with suicidal intent.
Barium. Fixed oils; Calcium, Magnesium, Potassium, or Sodium Sulphates.
Belladonna, or Atropine (Compare Aconite). Opium a direct antidote, gtt. iij-v, or more. Brandy, astringent infusions, Coffee. Cold to head, electricity, flagellation, pepper. Alkalies, especially Magnesium Bicarbonate, in poisoning by alkaloids (R.). Ammonia, breathed into air-passages (R.). Charcoal, zss or more necessary (R.). Physostigma possibly (R.).
Bees and Insects. Aq. Ammoniæ, solution of Sodium Bicarb., or Chloride, or Carbolic Acid, applied to the wound; or mxv of a 2 per cent. solution hypodermically, Liq. Ammon. Acetatis internally. [Compare STINGS, in main Index, Part III.)
Cannabis Indica. Stimulation by Brandy, evacuation of stomach, Strychnine and Faradic Electricity are antagonistic, also Lemon-juice freely.
Camphor. Stimulants, as wine, and Opium.
Cantharis. Emesis. No oils, but oleaginous injections into bladder. Warm bath, Camphor, Milk copiously, Broths, Enemata of demulcents, Opium.
Chloral. Strychnine, the antidote (R.). Hot bath, or pack, frictions, stimulants, artificial respiration. Coffee, fresh air, warmth over cardiac region. In fact, the treatment of narcotism.
Chlorine. After emesis with warm water, give milk, white of egg, flour and water, or Lime-water; Aqua Ammoniæ.
Chloroform, or Ether. Fresh air, cold affusions, flagellation, coffee, electricity, artificial respiration. Amyl Nitrite, as antidote (Schüller). Atropine, hypodermically as antagonist to Ether (Amidon in N. Y. Med. Record, May 2d, 1885); is equally efficient in chloroform narcosis, as I have found by experience (Potter). Invert patient, draw tongue well forward with forceps, then compress and relax chest; the position to be maintained until breath and pulse are good (Nélaton). Ice in rectum, Faradization of respiratory muscles. If swallowed, use stomach-pump, then Ammonia and warmth. Liq. Ammon. injected (mx-xl aq.) into veins, – Bartholow says unsuccessfully.
Colchicum. Treatment same as for Aconite.
Copper. Albumen, gluten, milk, sugar, Potassium Ferrocyanide. No vinegar. In absence of eggs, give a thin paste of flour and water.
Creasote. Mucilage, Oil, are antidotes. Ammonia when great depres. sion.
Digitalis. The treatment is similar to that for Aconite. Emetics, brandy, horizontal position; galvanism, in bad cases,
Fish Capsicum, Chloroform, Potassium Chlorate freely ; Liq. Ammon, Acet., Opium.
Gamboge. Potassium or Sodium Carbonate, or Magnesium in milk; mucilaginous drinks, Opium.
Gases. Carbonic Acid.—Galvanism, Oxygen inhaled; artificial respira. tion indispensable. Ammonia inhalations. Sponge with brandy or alcohol and water. Open air, horizontal position, clothing removed, cold douche, hot water to feet, stimulants, frictions. Subsequently, warm bed, open windows; Condy's fluid about room; stimulants sparingly; cold acid drinks ad libitum, SULPHURETTED HYDROGEN.— Chlorine Gas, well diluted with common air.
Gelsemium, Galvanic current, stimulants, Brandy and Cayenne Pepper, warm baths, frictions, hot bricks to feet.
Glass, coarse or in powder,- Much bread in crumbs to envelop it, then emetics. Gold. Ferric Sulphate, Mucilage. Hyoscyamus. See Belladonna.
Iodine. Starch or flour given in tepid water; white of egg and milk; free emesis, so long as liquid rejected tinges blue a solution of starch. Sodium Bicarbonate.
Iron. Carbonates of Ammonium and Sodium; Magnesia; Mucilaginous drinks.
Lead. Albumen, milk; alkalies, especially Magnesium Bicarbonate (R.). Lukewarm drinks, or Sulphates of Sodium or Magnesium, or freshly precipitated Ferric Sulphate (R.). Promote vomiting; stomach-pump (R.). Sul. phuric Acid and Magnesium Sulphate, for the constipation. "The cachexia is much relieved by a combination of Sulphate of Quinine, Sulphate of Iron, and dilute Sulphuric Acid (B.). Potassium Iodide, gr. xv-xx 3 or 4 times each day (B.); as after-eliminative, in chronic cases (R.). When great pain at defecation give Extr. Belladon., gr. 18, Rhei, gr. ij, in pill twice daily (Da Costa). Alum, the most effective agent for the colic. (See Colic for formula.] Or to a pint of boiling inilk add 90 grs, of alum, powdered ; separate the curd, and sweeten with sugar. Sig.-A wineglassful every hour or two (B.). Electricity, in the paralysis (dropped wrist), a slowly-interrupted current until it causes reaction. Cure to be completed by the faradic current (B.). Strychnine, in paralysis, gives good results (B.). Sulphides, as baths, in chronic form (R.).
Marked Diagnostic Signs.-Drop-wrist (paralysis of extensor muscles); dark-blue line around edges of gums.
Lime. Calcium Chloride. Albumen, mucilaginous drinks, oils, milk, flour, and water. No acids.