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Sodium Hyposulphite, an unfailing remedy in lotion for aphthæ of the vulva (R.). Arsenic, much used for eczema (T.). tion in glycerin, for eczema of vulva (T.).

Vulvitis.

Lead Acetate, a concentrated solu[Compare PRURITUS, PRURIGO.]

Alum, as lotion in vulvitis of children; gr. lx-Oj aquæ, or less strong if found to increase discharge (R.). Lead, solutions of the acetate or the diacetate as wash, after the acute stage has subsided. Lime Water, as wash (R.). [Compare VAGINITIS.]

Warts.

Thuja, worthy of recommendation in the highest terms, for the cure of warts with a narrow base and pendulous body. A strong tincture locally three times a day, for one or two weeks, with 5 drops in a wineglassful of water internally, night and morning (P.). Iron, tincture of the chloride and dilute HCl acid, applied night and morning, equal parts, very effective (Bulkley). Nitric Acid, 3j-ij of the dilute acid to a pint of water, as wash, to keep small syphilitic warts constantly moist (R.). Sabina, as caustic (P.); j-ij of alum (Wa.). Rue, the oil, with honey, locally (P.). Arsenious Acid, as a caustic; enough to be used to excite active inflammation. Liq. arsenicalis painted over warts (R.); may be taken internally (B.). Mercurial Ointment, containing 5 per cent. of Arsenic, or a plaster having in each 8 square inches 154 grains of Arsenic and 77 grains of Mercury (Unna). Tannin, and Burnt Alum, equal parts, powdered over warts twice daily, gives good results. Chromic Acid, gr. 100 to 3j aquæ, with a glass rod, to saturate diseased growth. Remove any superfluous acid; dress with dry lint (R., Wa.). Mercuric Nitrate, locally (R.). Silver Nitrate, as caustic, but is usually too superficial (R.). Dermal Curette, is much used in Vienna to remove warts by enucleation. Strangulation, by tying a string tightly around the base, will cause them to drop off in a few days. Heat, is a most thorough measure for their radical removal; it may best be applied by touching the wart 3 or 4 times daily with the hot end of a cigar; the first few applications only give pain. Caustic Alkalies, locally (R.); a saturated solution of potassa fusa, carefully applied by a brush or sponge fastened to the end of a stick, is to be preferred (E. Wilson). [Compare CONDYLOMATA.]

Wen.

Extirpation, the least troublesome and most speedily effective method. Run a scalpel through it, seize the cut edge of the cyst, and gently tear it out with a touch or two from the knife. Dressing of lint and carbolic oil to cause suppuration and contraction (D.).

Worms.

Filix Mas, Brayera (Kousso), Rottlera (Kamala), Pepo, Granati Fructus Cortex, as tæniafuges (B.). Filix Mas to be taken on an empty stomach, for tape-worm, and followed by a purge (R., P.). Pepo, Zij as emulsion, taken fasting, one of the most efficient remedies against tænia (B.). Santonin, the best anthelmintic; laxative in morning, fasting all day, a dose (gr. ss-v) of santonin and calomel, or troches of santonin (j-x), at bedtime, a senna draught next morning. For ascarides (B., P.). For round and thread-worms, in castor oil by mouth, or as injection (R.). Iron, the Syrup of the Iodide internally and a solution of the tincture locally, for ascarides (B.); the tincture ferri sesquichlor. 3ss ad Oj aquæ, a good injection for thread-worms; coagulates albumen (R.). Quassia, the infusion an effectual injection, conjoined with simple bitters internally, for ascarides (R.). Pelletierine, the alkaloid of Granatum, is by far the best vermifuge for a tape-worm, repeated after a week for a second worm, as many as 3 having been found in one patient (Da C.); gr. xv-xx of the tannate, followed in a few hours by Castor Oil (R.). Chloroform, a very efficient tæniafuge, 3j in 3j of mucilage, after 20 hours' fasting, followed one hour later by 3j of Castor Oil; this is an adult dose, 3j should never be exceeded (Wilde). Lime Water, as injection for threadworms (R.): 3iij-iv repeated, for ascarides (Wa.). Sodium Chloride, in 3ss doses on empty stomach, expels ascarides and prevents reproduction (Wa.). Quinine, as a tonic; also cold sponging, out-door exercise and judicious diet. Useful probably by preventing the production of the abundant mucus which favors the growth of worms (R.); especially useful for ascarides; also as injection for thread-worms and tænia (Wa.). Ignatia, for convulsive symptoms (P.). Kamala (Rottlera), excellent for tænia, requires no purge (P.); gr. cl-clxxx for an adult (Wa.). Eucalyptus, as injection, for ascarides (B.). Aloes, are efficacious for ascarides (P.). Ailanthus, decoction of fresh bark, for tænia (B.). Tonics, as cod-liver oil and iron to restore intestinal canal to healthy condition (R.). Turpentine, as poison to tape- and thread-worms (R.); also for tænia (Wa.). Scammony, for thread-worms in rectum (R.); with calomel, effective (Wa.). Tannin, as catechu, kino, red-gum, rhatany, hæmatoxylum, in injections to destroy thread-worms (R.). Alum, as solution for injection (R.). Ammonium Chloride, to prevent formation of thick mucus which serves as nidus for worms (R.). Valerian, especially when convulsions (R.). [Compare the List of Anthelmintics on page 40.]

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WOUNDS YELLOW FEVER.

Wounds.

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Arnica, very useful for external bruises and cuts, also for internal injuries; unites surfaces very rapidly after amputations. The infusion or decoction best (P.); very effectual (Wa.). Aconite, valuable in surgical fever (P.). Carbolic Acid, solutions check suppuration, and correct fetor (B.). The "antiseptic " treatment of wounds (Lister), especially surgical wounds. See Ag. vol. 1, page 187. Bismuth Subiodide, dusted into a wound, one of the most efficient antiseptics, non-irritant, and a prompt stimulant of granulation. An excellent dressing for wounds after approximation of the edges, the powder to be dusted thickly over the edges, and thoroughly smeared with Flexible Collodion (Potter). Ammonium Carbonate, gr. v hypodermically in the vicinity of wounds caused by poisoned arrows, repeatedly used with success in saving life, by Dr. Parke, the surgeon to Stanley's last expedition in Africa. Sulphurous Acid, in solution, diluted or not, constantly applied (R.); in solution or by fumigation, is regarded by some as superior in efficacy to carbolic acid, and less irritant (Wa.). Salicylic Acid, Thiersch prefers to Carbolic; may be applied pure in powder to gangrenous and sloughing wounds (B.). Mercury, the bichloride, gr. vijss to quart j of hot water, stirred with a stick, makes a solution of 1 to 2000; the best of all antiseptics, for washing a wound or cavity, and for saturating the dressings. See List of Antiseptics on page 51. Boracic Acid, also applicable as Carbolic Acid (B.). Balsam of Peru, excellent for closing recent wounds (P.). Benzoin, the basis of healing "balsams" (P.). Aloes, topically as a slight stimulant; often purges (R.). Gum Tragacanth, a thick aqueous solution to granulating surfaces, to protect them from the air (Wa.). Opium, to quiet intestinal movements in wounds of the abdo. men (R.); forwards the reparative processes (P.). Tannin, or glycerin of tannin to coat over wounds (R.). Collodion or Liquor Gutta-perchæ, to secure primary union of incised wounds (B.); as protective covering (P.). Iodoform, powdered and dusted over sloughing wounds, irritable and ill-conditioned ulcers, sores (B.). Iodoform 1, Collodion 9 parts, painted on a superficial wound while edges are held together (Gross); may be painted over edges when stitched together: gives excellent results. Aristol, an excellent substitute for Iodoform, and odorless. Galvanic Couplet, to wounds of indolent form (B.). [See BEDSORES.] Nitric Acid, as escharotic for gangrene (B.). Turpentine, one of the most efficient applications in hospital gangrene (B.). Aloes, pulverized fine, as a dressing for wounds, favoring cicatrization and closing them, also relieving the pain at once; requires removal only at long intervals (Millet). Poultices, are often abused. Yeast or Charcoal best for foul wounds (B.). Alcohol, an excellent antiseptic dressing when suppurating; also favors cicatrization of open wounds (B.). Water, in universal use as dressing. Cold water often abused. Hot-water dressing as advocated by Hamilton, of New York, promises better results (B.). Turkish Baths, for pain in the seat of old wounds (R.). Ice and Salt, applied to wound prevents inflammation (R.). [Compare HEMORRHAGE, INFLAMMATION, PYæmia, SurgiICAL FEVER, GANGRENE, ULCERS.]

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Treatment must all be done at the beginning, no time to be lost. Cold sponging early and frequently repeated. Calomel, Quinine and Salines at the start. Potassium Acetate for the kidneys. Morphine for gastric irritation, the feet to be in mustard water (Da Costa). Diaphoretics and Diuretics, also Laxatives, are very important throughout the disease (Da Costa). Pilocarpine, in

dose of gr. hypodermically, in first stage, carried to the induction of emesis and catharsis, as well as that of diaphoresis, the most efficient treatment known, absolutely jugulating the paroxysm (Habersmith). Mercury, a calomel purgative, gr. ss, 2 or 3 times on the first day, followed by a warm-water enema, is good treatment (B.); has many advocates, and many opponents (Wa.); should generally be abstained from (S.). Duboisine, gr., subcutaneously, the most efficient hypnotic and calmative (B.). Turpentine, when cardiac weakness, depression of vaso-motor system, dissolved state of the blood; mx-3ss; small doses, with tinctura ferri chloridi, in hemorrhagic form (B.). Quinine, has some strong evidence in its favor as an abortive agent, one large dose (gr. xxx-x1) with opium at outset (Wa.); is not a specific; may hasten recovery in mild cases (S.); gr. xx per rectum, to reduce temperature (B.). Liquor Calcis, with milk, has been found efficient for the vomiting (Wa.). Capsicum, to obviate the black vomit, is highly spoken of (Wa.). Cocaine, for the vomiting, nothing equals it in efficiency, it also acting as a diuretic, 10-minim doses of a 4 per cent. solution, by mouth, every hour for 2 or 3 doses, acts like a charm (Jennings). Chloroform, for the vomiting, a few drops to prepare the stomach for reception and retention of food; effects transitory, has to be repeated before each meal (Wa.); the Ammoniated Chloroform in zymotic pyrexia; its action is sedative, analgesic and antipyretic (Richardson). Carbolic Acid, by stomach and hypodermically, remarkably efficacious, even after the ominous "coffeegrounds" vomit (Lecaille). Chlorodyne, is excellent for restlessness, insomnia, irritability of stomach (A.). Veratrum Viride, gtt. j-x hourly, according to age, till pulse and temperature subdued; successfully used in connection with mercury, etc. (White and Ford). Stimulants, only in typhus form (B.); in 3d stage must be bold, prompt and continued (Da C.). Diet, of the blandest description (A.); milk and lime-water, half and half, in small quantities, is the best aliment. In convalescence, the utmost care is necessary in giving aliments (B.). Rest is very important (Da C.). Iced Champagne, in tablespoonful doses every hour, for the vomiting (B.). Purgation, throughout the disease (Da C.). [Compare REMITTENT FEVER.]

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APPENDIX.

OF LATIN WORDS, PHRASES, ETC., USED IN WRITING PRESCRIPTIONS; WITH THEIR CONTRACTIONS, AND THE CORRESPONDING ENGLISH EQUIVALENTS.

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