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                the;


PHYSICIAN'S ]fADE  f|ECUM.


                BEING


A  HAND-BOOK  OF  MEDICAL  AND
   SURGICAL  REFERENCE,  "WITH
      OTHER USEFUL INFORMA-
         TION  AND TABLES,


                  BY


SEBASTIAN J. WDIMER, M. A., M. D.
                rff

Author of "Tables and Xotes on Human Oste-
  ology;"  Co-Author  of   "Memoranda  and
   Tables of Human Anatomy;" Member of the
    Alumni  Association of the  New York
      College of Physicians and  Surgeons
       (Columbia College); Metropolitan
        Medical  Society; Xew  York
           Press   Club,   etc.


          WITH ADDITIONS

                  BY

     FRANK S. PARSONS, 31. D.,


Editor of the Philadelphia "Times and Register;"
  Member of the American Medical Association;
   Massachusetts  Medical  Society; Formerly
    Lecturer on Diseases-of  Children,  Col-
      lege  of  Physicians  and  Surgeons,
       Boston (1889-1892);  etc.,  etc.


           PHILADELPHIA:  , ^ J}   Qfa

THE MEDICAL PUBLISHING COMPANY
       NO. 718  BETZ  BUILDING.
                  1894.
I *
2927, ^t
5^898 
Vv/nsip
        Copyright,
By Sebastian J. AVimmer, M. D.
          1894.
 
CONTENTS.
                 CHAPTER I.

   A Table of Abbreviations—A Table of the Ab-
  breviations and  Definitions of the  Properties  of
  Remedial  Agents—A  Table  of  the  Doses  for
  Children—Addenda to Doses  for  Children—Table
  of  the  Elementary  Substances—Table  of  the
  Solubility  of  Chemicals.

                CHAPTER II.

   Tables of the Apothecaries'  Weight and Wine
  Measure—Table of the Metric System of Weights
  —Approximate Equivalents of Weights—Table  of
  the  Metric System of Measures—Table of the
  British  Phancacopoeial  Weights—Table  of  the
  Imperial  Measure—Table  Showing  the  Number
 of Average Spoonfuls to Round Metric Volumes-
 Meadow's Posological Table—Comparison of Ther-
 mometers—Table  of  the  Domestic   Measures-
 Table  for  Cocverting Apothecary Weights  and
 Measures into Grammes.

               CHAPTER IHi

   Synonyms of Disease—Table of the  Eruptive
 Fevers—Table   of   Incompatibles—Antagonistic
 Action of Medicines—Table of the Pulse Formu-
 las  and  Doses of  Hypodermatic  Medication—
 Doses for Inhalation of Medicines.

               CHAPTER  IV.

  Table  of  Doses-^-Table' 'fdr Calculating  the
Action of Medicines—Table of  the Pulse—Forms
of Bright's Disease—Landmarks (medical and sur-
gical)—Disinfectants—Examination of the Urine.

               CHAPTER V.

  A  General Rule  for  the Memorizing of Doses
of  the various Pharmaceutical  Preparations-
Rules  for  Calculating  the Doses for Children-
Methods  of  Administering  Medicines—Table of
Feigned Diseases—Temperature  and Child—Medi-
cal Examination of Children—Doses for Children. 
CHAPTER VI.
  Classification and Treatment of Diseases of the
Skin—Table showing the Eruption of  the Teeth-
Relative frequency of Cutaneous Diseases—Dress-
ings in  Surgery—Antiseptic Operations—Depletion
and  Cupping—Counter-irritants—Leeching—Trans-
fusion—Hypodermatic  Medication.

              CHAPTER  VII.

  Emergencies  and their Management  (Artificial
respiration; conditions calling for artificial  res-
piration;  conditions  causing  insensibility;  syn-
copic conditions;  control of arteries  during hem-
orrhage; special wounds; railroad and machinery
accidents;  effects  of  heat,  etc.)—Diseases of the
Blood-Forming Organs  (leucocythemia;  Addison's
disease;  melanaemia;  haemophilia;  scorbutus;
purpura  haemorrhagica; anaemia, etc.)—Diseases
of  the  Heart (pericarditis;  fatty degeneration;
hypertrophy  and  dilatation;  endocarditis;   val-
vular lesions; palpitation)—Diseases  of  the Peri-
toneum   (peritonitis,  ascites)—Diseases  of  the
Liver (jaundice; hepatic colic; sclerosis; abscess;
acute  parenchymatous hepatitis; amyloid liver;
carcinoma,  etc.)—Diseases of the Digestive  Sys-
tem (stomatitis;  glossitis; oesophagitis; stenosis
of the oesophagus; dilatation of the oesophagus;
gastritis; dyspepsia; ulcer of the  stomach;  car-
cinoma of the stomach; dilatation  of  the stom-
ach).
              CHAPTER  VIII.

  Diseases  of the  Digestive  System   continued
(duodenitis; typhilitis; perityphilits;  dysentery;
cancer  of  the intestines; cholera morbus; enter-
algia; constipation;  diarrhoea,  etc.)—Diseases  of
the  Kidney  (uraemia;  renal  congestion; Bright's
disease, etc.)—Disorders of Nutrition  (rheumatism;
gout; arthritis deformans,  diabetes mellitus,  etc.)
—Malarial  Diseases  (intermittent fever;  remit-
tent fever)—Parasites  (trichnosis).

                CHAPTER IX.

  Miasmatic   Diseases  (cholera;   cerebro-spinal
 meningitis;  influenza;  hay-fever; pertussis; diph-
 theria)—Diseases of the Respiratory Organs (pleu-
 risy;   hydrothorax;   pneumothorax; lobar  pneu-
monia; lobular pneumonia;  phthisis; oedema of the
 lungs;  atelectasis; emphysema; bronchitis; laryn-
 gitis;  croup;  false  croup).

                CHAPTER X.

   Fevers  (typhoid;  typhus;   relapsing;   yellow
 fever;  measles;  erysipelas;  scarlet fever;  vari-
 cella;   small-pox;   vaccina)—Diseases   of   the
 Xervous System (meningitis; hydrocephalus;  tuber-
 cular meningitis, etc.)—Diseases of Women  (vul-
 vitis;  pudendal  hernia;   pudendal  haematocele;
  pruritus vulvae;  hyperaesthesia of  vulva; vagin-
 ismus;  coccyodynia,  etc.)—Displacements of the
  Uterus—Diseases of  Pregnancy—Eclampsia—Abor- 
 tion—Placenta Praevia—Accidental Hemorrhage—
 Management of Mother  after Delivery.

               CHAPTER  XI.

  By Dr.  Parsons—Introduction—Care of the In-
 fant  from  Birth  through the  First  Dentition-
 Resuscitation of the New-Born—The Tying of the
 Umbilical  Cord—Washing  the  Infant—The  Care
 of the  Umbilical Stump—Dressing of the Infant.

               CHAPTER XII.

  By.   Dr.  Parsons.—Infant    Feeding  (feeding
 of   infants   under   one  year  of . age;  arti-
 ficial   feeding;    comparative  table   of   wo-
 man's    and     cow's     milk;    sterilization;
 food   ingredients)—Table  of   Diet  at   Eight
 Months  of Age—Feeding of Children after  One
 Year of Age—Table  of  Diet  from One  to  Two
 Years of Age—Dentition—Table showing  time of
 Eruption of Milk-Teeth.

              CHAPTER XIII.

  By Dr. Parsons—Diseases of Infancy generally
 occurring prior to the Third Year—Constitutional
 Diseases  (rachitis;  scorbutus;  scrofulosis;   cre-
 tinism)—Acute  Diseases  of  Respiratory  Tract
 (acute  coryza;  bronchitis;   broncho-pneumonia;
 croupous pneumonia)—Acute Diseases of Digestive
 Tract (stomatitis; thrush; noma;  parotitis;  ton-
 silitis;  dyspepsia; constipation; infantile diarr-
 hoea; acute mycotic diarrhoea; cholara infantum;
 acute  entero-colitis;  infantile  eclampsia).

              CHAPTER XIV.

  The Physicians'  Interpreter in three languages
 (General observations; previous history of patient;
 present  illness;  conditions of  organs of circu-
 lation,  etc.; condition of  digestive organs;  con-
 dition of urinary organs; condition of nervous sys-
 tem;  numbers; days of  the week;  months of the
 yeai; seasons of  the  year; names of various parts
 of the body; food and drink; occupations;  time;
 nations; household articles; relations' dress; the
 house;  salutation; accidents,  etc.;  directions to
 patient,  etc.)

               CHAPTER XV.

  Notes—Prescriptions    (over    1000)—Poisons—
Names of Diseases.
                   INDEX. 
 
              PREFACE.

  This little volume has been prej»*red for
the busy  physician, pharmacist and medi-
cal student,  as  a  pocket companion  on
their  daily  rounds.  A  brief  examination
of its contents will convey a  clearer idea
of its nature and  scope  than any  state-
ment  could  do,  yet a few words  may  be
permitted. In the preparation  of this book
the author  lays no claim  to originality
whatever; hie object has  been to  make a
compilation  of recorded points of interest,
relative to medicine and pharmacy.   He has
not hesitated to copy liberally  and  literally
from  published  journals and  books. The
various tables and  other  subjects  of im-
portance  have been culled from the moat
authentic and  approved sources,  and,  as
great  pains have been  taken  in their re-
vlsal,  the author feels  an unusual degree
of  confidence in their correctness.  The
chapters  devoted to  emergencies and gen-
eral diseases w'Jl be found extremely ser-
viceable and  convenient for the busy prac-
titioner, as they  will prove a great saving
of time when referred  to. The author  is
greatly indebted  to Dr.  Frank S. Parsons,
Editor of the "Times and Register,"  Phila-
delphia, Pa., for exceedingly valuable chap-
ters relating to the diseases of infancy and
childhood, and based  upon  a very extensive
practice.
  The contents  of this work are of so varied
a nature that it was not deemed necessary
to make  any  strenuous efforts to  arrange
them  systematically.  Being solely intended
as a  book of reference, the relative  order
of  the  subjects  is  immaterial,  and the
copious table of contents and index affords
all  the assistance that  can be desired  by
those  who wish to consult  its pages.
              SEBASTIAN J. WIMMER.
  New York City, July 23,  1894. 
s
EXPLANATION   OF  ABBREVIATIONS

        USED IN  THIS WORK.
  The  composition  on  the pages  of this
book has  been done by the Linotype pro-
cess,  which  makes  certain  explanations
necessary  on account of the machine work.
  In chapter XIV the  French and  German
accent  marks   are   purposely  omitted.
Physicians  who  do not  know  French  or
German will  not  understand their accent
those who do  know  these languages will
not need  the table of  questions.
  oz. takes the place of the usual  sign  of
ounce.
  dr. takes the place of the usual sign  of
drachm.
  scr. stands for scruple.
  eq.  stands for equals.
  gr. stands  for grains.
  The gramme sign,  or cubic  centimeter,
of  the  metric system  is implied  in  the
decimal system of figures.
  Roman numerals   are  used in the Eng-
lish  system  of  weights,  but fractions  in
this system are indicated by  a  dash sepa-
rating  the numerator  from the denomina-
tor;  thus,  1-6  means one-sixth;   1-150,
means  one one-hundred and fiftieth, etc.
  ins. stands for  insoluble.
  v. s. stands for very  soluble.
  s. stands  for soluble.
  Other abbreviations  will  appear  in the
pages of the book. 
9
CHAPTER  I.
A TABLE OF ABBREVIATIONS.
  Abbreviations, Latin Word and  English Word.
AA.—Ana (Gr. word)—Of each.
Abs. febr.—Absente febre—In the absence of fever
Ad.  or  add.—Adde or addatur—Add to.
Ad.  lib.—Ad libitum—At pleasure.
Admov.—Admoveatur—Let  it  be  applied.
Altern.  hor.—Alternis horls—Every  other hour.
Alv.  adstrict.—Alvo  adstricta—The  bowels being
    confined.
Aq.  bull.—Aqua bulliens—Boiling  water.
Aq.  comm.—Aqua  communis—Common water.
Aq. ferv.—Aqua fervens—Hot water.
Aq. font.—Aqua fontis—Spring water.
Aq. marin.—Aqua marina—Sea water.
Aq.  tepid.—Aqua  tepida—Tepid water.
Aq.  pur.—Aqua pura—Pure water.
Aq.  nlv.—Aqua nivalis—Snow water.
Aq.  pluvial.—Aqua pluvialis—Rain water.
Aliquant.—Aliquantillum—A very  little.
Applic.—Applicetur—Apply.
B. A.—Balneum arenae—A sand bath.
Bain. tep.—Balneum tepidum—A  warm  bath.
Bib.—Bibe—Drink.
Bis.  ind.—Bis  Indies—Twice a  day.
B. M.—Balneum mariae—A water bath.
Bol.—Bolus—A  bolus.
Bulliat.  (bull.)—Bulliat—Let  It boil.
But.—Butyrum—Butter.
B.  V.  (bain,  vap.)—Balneum vaporis—A  vapor
   bath.
C.—Congius—A gallon.
C—Cum.—With.
Cap.—Capiat—Let him take.
Cat.—Cataplasma—A  poultice.
0. 0.—Cucurbitula cruenta—A cupping.glass.
C. M.—Cras mane—To-morrow morning.
C. N.—Cras  nocte—To-morrow night.
Cochleat—Cochleatin—By spoonfuls.
Coch.—Cochleare—A  spoonful.
Cochl.  ampl.—Cochleare  amplum—A  large  spoon-
   ful.
Coch. parv.—Cochleare  parvum—A teaspoon.
Coch. mod. (med.)—Cochleare modicum—A dessert
   spoonful.
Colat.—Colatur—Let it be  strained.
Comp.—Compositus—Compound.
Conf.—Confectio—Confection.
Cont.—Continuetur—Let  It be  continued. 
                      10

  Abbreviations, Latin Word and English Word.

Cong.—Congius—A gallon.
Ooq.—Coque—Boil.
Cort.—Cortex—Bark.
Crast.—Crastinus—For  to-morrow.
Ouj.—Cujus—Of  which.
Cyath.— Cyathum—A  teacup.
D.—Dosis—A dose.
D.  et S.—Detur et  Signetur—A* the end  of pre-
    scription.
D. D.— Detur ad—Let It be given in or to.
Deaur.  pil.—Deaoratur  pilula—Let the  pill  be
    gilded.
Dec—Decanta—Pour off.
Decub.—Decubitus—Lying down.
DeJ. alv.—Dejectiones  alvl—Stools, alvln evacua-
    tion.
De  D. in D.—De die in diem—From day to day.
Dep.—Depuratus—Purified.
Dest.—Destilla—Distil.
Det.—Detur—Let it  be given.
Dlv. in p. aeq.—Dlvldatur in partes aequales—Di-
    vide into equal parts.
Dex.  lat.—Dextra lateralis—Right side.
Dll.—Dilutus—Weaken, dilute.
Dim.—Dimidius—One-half.
Dlv.—Divide—Divide.
Drach.—Drachma—A drachm.
Ejusd.—EJusdem—Of the  same.
Enem.—Enema—A clyster, enema.
F.  (ft.)—Fiat—Let  there be made.
Feb.  dor.—Febre durante—The Fever  continuing.
Fl.—Fluidus—Fluid.
Flit.—Filtra—Filter.
Fol.—Folium vel folia—A leaf or leaves.
Ft. mist.—Fiat mlstura—Let a mixture  be made.
Ft.   haust.—Fiat haustus.—Let a draught  be
    made.
Ft.  pil.  no.  xx.—Fiant  pilulae viginti—Let  20
    pills  be made.
Fern,  intern.—Femorlbua lnternus—To the  Inner
    part  of  the  thigh.
Flor. (fl.)—Flores— Flowers.
Ft. venaes.—Fiat venesectlo—Bleed.
Fontlc.—Fonticulns—An  issue.
Lot.—Lotto—Lotion,  a  wash.
Garg.—Gargarisma—A  gargle.
Gr.—Granum vel grana—A grain or grains.
Gtt.—Gutta vel guttae—A drop or  drops.
Guttat.—Guttatum—By  drops.
Haust.—Haustus—A  draught.
Hor.  decub.—Hora  decubitus—At bed-time.
Hor.  interm.—Horis intermedils—At intermediate
    hours.
H.  S. (hor.  som.)—Hora eomni—On going to sleep.
Inf.—Infusum—Infusion.
Inject.—Injectio—Injection.
Ind.—I dies—Daily.
Jul.—Julepus—A Julep.
Lat.  dol.—Laterl dolenti—To the pained  side.
Lb. (lib.)—Libra—A pound weight.
Llq.—Liquor—Liquid.
Lot.—Lotio—Lotion,  a  wash. 
                      11

  Abbreviations, Latin Word and English Word.
M.—Misce—Mix.
Mac. —Macera—Macerate.
Man.—Manipulus—A  handful.
M.  P.—Massa pilularum—A pill mass.
Man. prim.—Mane primo—Early in the morning.
Mln.—Minimum—The  60th  part of  a drachm  by
   measure.
Mitt.—Mltte—Send.
Mod. prescript.—Modo prescrlpto—In  the manner
   directed.
Muc.—Mucilago—Mucilage.
Mass.—Massa—A  mass.
Mist.—Mlstura—A mixture.
N.—Nocte— At night.
No.—Numero—In number.
O.—Octarius—A  pint.
01.—Oleum—Oil.
Omn. hor.—Omni horis—Every hour.
Omn.   alt.  hor.—Omnibus  alternis  horis—Every
   other hour.
O. O. O.—Oleum  olivum optimum—Best  Olive oil.
Ov.—Ovum—An egg.
Omn. bid.—Omni blduo—Every two days.
Omn.  hor.—Omni  hora—-Every hour.
Oz.—Uncia—An ounce.
Pulv. —Pul vis—Powder.
P.—Pondere—By  weight.
PH.—Pilula—Pill.
P. Ae.—Partes aequales—Equal parts.
P.  R.   N.—Pro re  nata—According  to circum-
   stances.
Pug.—Pugillus—A grasp  between  the finger and
   thumb.
Pot.—Potio—A  potion.
P. Rat. AEtat.—Pro ratlone aetatls—According to
   age.
Q.  P.—-Quantum  placeat—Aa much as you please.
Q. S.—Quantum sumciat—As much  aa is  Bufflclent.
Quor.—Quorum—Of which.
Bad.—Radix—A root.
Rect.—Rectiflcatus—Rectified.
Rep.— Repetatur—Let it be repeated.
Redig.  in pulv.—Redactus in pulverem—Let It be
   powdered.
B.  Slgna—Write,  mark.
Slg.—Signa—Write', mark.
Sem.—Semen—Seed.
Seml-D.—Semidrachma—Half a  drachm.
Sesqulh.—Sesquihdra—Half  an hour.
Sesunc—Sesuncia—An ounce  and  a half.
Sing.— Singulorum—Of each.
Solv.—Solve—Dissolve.
Sp. (spir.)—Splritus—Spirit.
Se.—Semi—One-half.
St. (stet.)—Stet^-Let it stand.
Syr.—Syrupus—Syrup.
Si op.  sit.—Si opus  sit—If there is occasion.
Sum.—Sumendus—To  be  taken.
Temp,  dext.—Tempori dextro—To the right templr
Tlnct.  (tr.)-Tinctura—Tincture.
Trlt.—Tritura—Triturate.
VS.—Venaesectio—Venesection. 
12
TABLE  OF THE ABBREVIATIONS

    AND  DEFINITIONS  OF THE

        PROPERTIES OF REM-

            EDIAL  AGENTS.

  Abbreviati )ns, Latin  Word  and Translations.
Alex.—Alexipharmacus—Antidotal to poisons.
Alt.—Alterative—Stimulating  the secretions.
Anod.—Anodynus—Medicine to allay pain.
Antac—Antacida—A remedy against acidity.
Antipholg.—Antiphlogisticus—A  remedy   against
   fevers.
Antil.—Antilithica—Tending to cure gravel, etc.
Autibil.—Antibilious—Correcting  biliary derange-
   ment.
Antiem.—Antiemeticus—A remedy for  vomiting.
Antlphlog.—Antiphlogisticus—A  remedy   against
   inflammation.
Antiper.—Antiperiodicus—Preventing  the   recur-
   rence of periodical  diseases.
Antlscorb.—Antiscorbuticus—Against  scurvy.
Antiscrof.—Antiscrofulus—Against scrofula.
Antisep.—Antisepticus— Opposed  to  putrefaction.
Autispas—Antispasticus—Opposed to spasm.
Aper.—Aperiens—Slightly  laxative.
Aphro.—Aphrodisiacus—Exciting love.
Arom.—Aromaticus—Aromatic,  spicy.
Astrin.—Astringentia—Contracting organic texture.
Bals.—Balsamicus—Mitigating, healing.
Calm.—Calminativus—Quieting
Carmiu.—Oarminativus—Correcting fl&Hilency.
Cathar.—Catharticus—Producing  evacuations   of
   the  bowels.
Ceph.—Cephalicus—Applicable  to diseases of  the
   head.
Choi.—Cholagogus—Causes bilious stools.
Colly. - Collyrium—A  wash for the  eyes.
Dem.—Demulcentia—Mollifying, softening.
Deob.—Deobstruens—Removing obstructions.
Deterg.—Detergentia—Cleansing,  removing impur-
   ities.
Diaph.—Diaphoreticus—Producing perspiration.
Diur.—Diureticus—Increasing  urinary  secreton.
Disc.—Discutientia—Repelling  tumors,  etc.
Dras.—Drasticus—Acting  strongly.
Emet.—Emeticus—Causing vomiting.
Emol.—Emolliens—Softens, soothing.
Emm.—Emmenagoga—Promotes  menstruation.
  Abbreviations, Latin  Word  and  Translations.
Epispas.—Epispasticum—Blistering,  irritating.
Errh.—Errhinum—Excites  nasal  discharges.
Eschar—Escharoticum—Destroys  flesh.
Expect.—Expectorans—Provokes expectoration.
Febr.—Febrifugus—Allaying fever.
Hepat.—Hepaticus—Causes healthful action  of the
    liver.
Herp.—Herpeticus—Curing diseases  of the  skin.
Hydrag.—Hydragoga—Producing watery stools.
Irrit.—Irritans—Exciting  inflammation. 
                       13

  Abbreviations, Latin  Word and English Word.
Lax.—Laxativus—Causes   gentle   action  of the
   bowels.
Lith.—Lithontripticus—Dissolving  calculi  In the
   urinary passages.
Mucilag.—Mucilago—Lubricating,  gummy.
Narc.—Narcotica—Stupefying.
Nerv.—Nervinus—Allaying  irritation.
Nutr.—Nutritive—Nourishing.
Part.—Parturiens—Bring  forth,  exciting parturi-
   tion.
Pect.—Pectoral—Allaying  diseases  of  the lungs.
Refrig.—Refrigerantia—Cooling,  mitigating  heat.
Resolv.—Resolventia—Dispersing    Inflammation
   without ulceration.
Restor.—Restorative—Bringing  back  the  natural
   functions.
Rubef.—Rubefaciens—Causing  superficial  Inflam-
   mation.
Sec.—Secernere—Causing  the secretions  to flow.
Sed.—Sedativa—Depressing the  vital  powers.
Sial.—Sialogogus— Stimulating the salivary glands.
Somnif.—Somnifer—Hypnotic.
Sopor.—Soporific—Induces  sleep (hypnotic).
Ster.—Sternutamentum—Exciting sneezing.
Stim.—Stimulans—Exciting action.
Stom.—Stomachic—Causing a  healthful  action  of
   the stomach.
Styp.—Stypticum—Arresting hemorrhage.
Sudor.—Sudorificum—Excites sweating.
Ton.—Tonic—A  medicine  which  strengthens.
Verm.—Vermifugus—Destroying worms.
Vesic.—Vesica—Blistering.
Vuln.—Vulnerarius—Healing wounds.
TABLE OF DOSES FOR CHILDREN

           TWO YEARS OLD.

  Preparation and Dose.
Acetum, opii—m ss-j
  "  scillae—m  j-v
Acldum acetum dll—m v-xv
  "  carbolicum—gr.  l-8th
  "  hydrocyanicum  dil—m, l-8th to l-4th.
  "  gallicum—gr. ss-ij
  "  hydrochloricum dil—m J-v
  "  nitricum dil—m  j-iij
  "  nitrohydrochloricum dil—m  j-v.
  "  phosphoricum dil—m j-v
  ''  salicylicum—gr.   j
  "  sulphuricum dil—m  J-v
  "  sulphuricum aromaticum—m J-v
  ''  tannicum—gr.  ss-ij
Aether—m ij-x
Chloroformum—m j-v
Ammonii bromidum—gr.  j-v
  ''  carbonas—gr. ss-j
  "  chloridum—gr. j-v 
                          14

  Antlmonll et potassil tartras—gr. l-48th to l-4th
  Aqua ammoniae  (external use),
    "  camphorae—f  dr.  J
    "  cinnamomi—f dr.  j-lj
    "  menthae piperitae—dr. J-ij
    "  rosae  (external  use).
  Argentl nitras—gr. l-64th to l-32d
    "  nitras  fusa  (external use).
  Blsmuthl  subnltras—gr. j-v
    "  subcarbonas—gr. j-v
  Creta preparata—gr. ij-x
  Testa preparata—gr. ij-x
  Carbo lignl—gr. j-v
  Chloral—gr.  J-v
  Confectio  sennae—gr.   x-xx
  Decoctum  haematoxyli—dr. J-ij
    " hordei—oz.  j-iv
    " quercus  (external  use).
  Extractum belladonnae—gr. l-32d to l-16th
    " cinchonae—gr.  J-iv
    " colocythidis C—gr.  l-4th to  J
    " gentianae—gr.  1-2 to  J
    " glycyrrhlzae—gr.  J-v
   " haematoxyli—gr.  j-iv
    '  hyoscyami—gr. l-16th to  l-4th
   "  kramerlae—gr.  1-2  to  ij
   "  malti—m xv- dr. ss
   "  nucis  vomicae—gr.   l-48th to 1-24th
   "  taraxaci—gr.   ij-x
   "  buchu fluid—m ij-v
   "  cimifugae fluid—m  lv-vilj
   "  ergotae fluid—m J-lj
   "  gelsemii fluid—m l-4th to 1-2
   "  grindeliae fluid (external).
   "  pilocarpi fluid—m  x
   "  pruni  virg. fluid—m x
   "  rhei fluid—m  J-v
   "  sennae fluid—m x-xxx
   "  spigeliae et sen.  fluid—dr. 1
   "  subcarbonas—gr. j-lj
  "  uvae urei fluid—m  ij-v
  " Valerianae fluid—m  IJ-x
 Ferrl citras—gr. ss-ij
  " et ammonli citras—gr. ss-ij
  " et potassil tartras—gr. ss-ij
     et qulnlnae citras—gr.  ij
  " .lactas—gr.  ss-ij
     pyrophosphas—gr. l-4th to J
   ' sulphas exslccata—gr.  l-4th  to J
     ferrum  reductum—gr. ss-lj
 Hydrargyrl  chlorldum corros—gr   l-100th
  "  chlorldum mite—gr.  l-24th  to iss
 Hydrargyrum  cum  creta—gr. ss-lss
 Infusum buchu—f dr. J-ij
  "  calumbae—dr.   J-lj
  "  digitalis—m  x-dr.   ss
  "  llnl—oz.  83-iJ
Kamala—gr.  v-xv
Liquor  acldl arseniosl—m J-ilJ
  "  ammonli acetatls—dr. ss-J
  '•  arsenic! et hydrarg.  lodidl—m es-1
     calcis—dr. J-oz. ijj
  "  ferrl nitratis—m J-iij 
                       15

Liquor ferri subsulphatis—m ss-j
  "  magnesll  citratis—dr. lj-oz. ss
  "  pepsini—dr. ss-j
  "  potassil arsenitis—m J-ilJ
  "  potassi  citratis—dr.  ss-j
  "  sodae chloratae  (external  use).
Magnesia—gr.  v-scr. ij
  "  carbonas—gr.   v-scr. 11
  "  sulphas—gr. v-xv
Manna—gr.  xx-dr.  J
Mistura ammoniaci—dr.  ss-lj
  "  amygdalae—dr. j-oz.  J
  "  assafoetidae—dr.  j-lj
  "  chloroformi—dr. J-ij
  "  cretae—dr.  ss-j
  "  ferrl comp.—dr.  J-IJ
  "  ferri et ammonli acetatis—dr.  bb-J
  "   glycyrrhizae  comp.—m xv-dr. ss
  "  potassil citratis—dr. ss-j
  "  rhei et sodae—dr.  ss-j
 Morphinae  acetas—gr. l-48th  to  l-30th
  "   murias—gr. l-48th to l-30th
  "   sulphas—gr. l-48th to l-30th
 Moschus—gr.  J-ij
 Mucilago acacia—ad  lib.
  *'  sassafras medullae—aa  11D.
  "  tragancanthae—ad lib.
  "  ulmi—ad lib.
 Oleum chenopodii—m  ij-iv
  "  cinnamomi—m l-4th
   "  gaultherlae—m j-ij
   "  menthae piperitae—m ss-j
   "  morrhuae—m  xv—dr. J
   "  olivae—dr. j-ij
   "  riclnl—dr.  ss-ij
   "  succinl (external use).
   "  terebinthlnae—m lj-v
 Oleoreslna  aspidll—m v-xx
 Opium—gr.  l-10th to l-8th

 Phosphorus—gr. l-160th to  l-lOOth
 Plumbi  acetas—gr. l-8th to  1-Btn
 Potassil acetas—gr.  lj-v
   "  bicarbonas—gr.  ij-v
   "  bitartras—gr. x-xv
   "  bromldum—gr. lj-v
   "  chloraa—gr.   ij-v
   "  citras—gr.  ij-v
   "  et  sodil tartras—gr.  xv-dr.  J
   "  lodidum—gr.  ss-ilj
   "  nitras—gr. isa-ylij
   "  permanganas (external  use).
  Pulvis aromaticus—gr.  i-ij
   "  glycyrrhizae  comp.—gr. "-▼"J  .   .
   •'  ipecacuanhae et opli-gr. l-4th to iss
    "  rhei  comp.—gr. v-x
  Quininae bisulphas—gr.  ss-lr
    "  sulphas—gr.  ss-iv
    "  valerlanas—gr.  l-4th to  ss
  Reslna  jalapae-gr. V^J^"-, iMh
    "  podophylli—gr.  l-64th  to l-48th
    ••  scammonii—l-4th to  iss
  Rheum—gr. ss-ij 
                        16
 Salol—gr.  ss-iss
 Santoninum—gr.  l-4th to ss
 Sulphonal—gr.  Jss
 Scammonlum—gr. l-lj
 Senna—gr. iij-v
 Slnapis,  as an  emetic—gr.  vilj-xx
 Sodii acetas—gr.  ij-v
  "  arsenias—gr. l-160th to l-64th
  "  bicarbonas—gr.  ij-v
  "  boras (external use).
  "  bromidi—gr. j-v
  "  salicylic!—gr. ss-lss
 Spirltus  aetheris comp.—m  ij-x
  "  aetheris nitrosi—m v-xx
  "  ammoniae  aromati.—m  ij-v
  "  camphorae—m  ss-lv
  "  chloroform!—m j-v
  "  cinnamonl—m  j-ij
  "  frumentl—m v-(dr. j)
  "  junlperi comp.—m v-xv
  "  menthae piperitae—m  ss-ij
  "  vini galllcl—m v-dr. J
Strychnlnae sulphas—gr. l-130th to l-100th
Sulphur  praeclpltatum—gr.  v-xv
 Syrupus  acaciae—ad  lib.
  "  allil—dr. ss-dr.  Ij
  "  ferri  iodidl—m ij-v
  "  Ipecacuanhae—m  ij-dr.  J
  "  krarneriae—m xx-dr.  J
  "  lactucarrli—m  xx-dr. J
  "  llmonis—ad lib.
  "  prunl Virginlanae—m  xv-dr.  ss
  "  rhei—dr.  ss-ij
  "  rhei aromat.—dr.  ss-j
  "  sarsaparillae corr.p.—m xv-dr. ss
  "  scillae,  and  sclllae comp.—m ij-vj
  "  senegae—m  lj-vj
  "  tolatani—m lj-vl
  "  zlngiberis—m v-x
Tinctura  aconlti—in  l-4th  to  ss
  "  belladonae—m i-lj
  ■'  calumbae—m ilj-xv
     cannabis Indlcae—m  j-lj
  "  cardamom!  comp.—m v-xv
  "  clnchonae  comp.—m x-xv
  "  cinnamomi—m ij-xv
  "  colchici—m  i-iij
  "  digitalis—m  ss-ilj
  "  ferrl chloridi—m i-v
  "  gelsemil—m j-ij
  "  gentianae  comp.—m  v-xv
  "  gualaci  ammon.—m  v-vx
  "  hyoscyami—m 1-iv
  "  iodi—m  i-lv
  "  ipec.  et  opli—m l-4th  to  iss
   '  kino—m ij-xx
  "  krameriae—m lj-xx
  "  lavandulae comp.—m v-xx
  "  nucis vomicae—m ss-ij
  "  opii—m  i-lij
  "  opii camphorata—m  v-xx
  "  opii deodorata—m 1-ilj
  "  rhei dulcis—m v-x
  "  scillae—m  i-v 
17
Tinctura strophanthi—m ss-j
  "  Valerianae  ammoniata—m  v-:
  ''  zingiberis—m  ij-vij
Vinum  ergotae—m  v-x
  "  ferri amarum—m xx-dr.  ss
  "  ipecacuanhae—m ij-viij
  "  opii—m ss-j
  "  rhei—m v-dr.  ss
  "  portense—m v-dr. J
  "  xericum—m x-dr. j
Zinc!—oxidum—gr.  l-8th to ss
  "  sulphas—gr. l-8th to v
  "  valerianas—gr. l-8th  to  ss

                 ADDENDA.

  Preparation  and  Dose.
Antlfebrin—gr.  ss-j
Antipyrln—gr. ss-lj
Ex. cascara sagrada fld.—m  ij-x
Pelletlerine tannas—gr.  i-v
Phenacetin—gr.  ss-iss
Pulvis zingibeiid—gr. l-6th  to  ij
TABLE   OF    ELEMENTARY SUB-

                STANCES.
No.
Elements and .Symbols.
jEquiva-ISpeciflc
| lents.  ]Gravity.
 1. Aluminum—Al  ..........
 2. Antimony istibiuni)—8b .,
 3. Arsenic—As ............
 4. Barium—Ba .............
 5. Eismuth—Bi ............
 6. Boron—B  ..............
 7. Bromine—Br ............
 8. Cadmium—Cd  ...........
 9. ICaesium Cae ............
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
26
Calcium—Ca
Carbon—C  ...............
Cerium—Ce ..............
Chlorine—a  ..............
Chromium—Cr............
Cobalt—Co ...............
Calumbium (tantalum)—Ta
Copper  (cuprum)—Cu......
Didymium—Di ...........
Erbyuin—Er .............
Fluorine—Fl .............
Glucinum—G.............
Gold  (aurumi—Au ........
Hydrogen—H  .............
Ihr.enium—II .............
Iodine—I
26.1 Iridium—Ir
 27
120
 75
137
207
 11
 80
 56
123
 39.9
 12
 46
 35.37
 52.4
 30
184
 63.2
 48
 i
 19
  7
196
  1

i27
 99
  2.58
  6.7
  5.7
  3.6
  9.9
|  2. OS
  3.18
2.46
19.32 
No.
27.
28.
29.
30.
81.
32.
83.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
65.
66.
67.
58.
69.
60.
61.
62.
63.
64.
65.
18
  Elements and  Symbols.
Iron (ferrum)—Fe .........
Lanthanum—La  ...........
Lead (plumbum)—Pb ......
Lithium—Ll  ..............
Magnesium—Mg ...........
Manganese—Mn  ...........
Mercury (hydrargyrum)—Hg
Molybdmum—Mo .........
Nickel—Ni ...............
Niobium—Nb .............
Nitrogen—N  ..............
Norium—No  ..............
Osmium—Os ..............
Oxygen—O  ...............
Palladium—Pd ...........
Pelopium—Pe.............
Phosphorus—P  ............
Platinum—Pt .............
Potassium (kalium)—K
Rhodium—Ro  ........  ...
Rubidium—Rb  ............
Ruthenium—Ru ...........
Selenium—Se .............
Silicon—SI  ...............
Silver (argentum)—Ag
Sodium  (natrium)—Na
Strontium—Sr  ............
Sulphur—S  ...............
Tellurium—Te  ............
Terbium—Tb  .............
Thorium—Th  .............
Tin (stannum)—Sn ........
Titanium—Ti .............
Tungsten (Wolfram)—W ..,
Uranium—U ..............
Vanadium—V .............
Yttrium—Y  ..............
Zinc—Zn .................
Zarconium—Zo  ...........,
Equiva-I	Specific
lents. |	Gravity
56	7.78
44	
207	11.37
7	0.59
24	1.76
7	
200	13.6
48	
58.6	9.1
14	0.971
100	
16	
54	
31	1.83
194	21.4
39	0.865
52	
85	
52	...
40	
28	
10	10.5
53	0.98
44	
32	
64	
7	
60	
117.8	7.3
24	
92	...
240	
68	
32	
65	7-7.2
34	
TABLE  OF  THE SOLUBILITY  OF
              CHEMICALS.
            (From the U.  S. P.)
	WATER.
CHEMICALS.	At 1 Boil-
	15 C. 1 ing.
1 part is sol. in:	(59 F) |
	Parts. |Parts
Acldum arseniosum. ...	30-80 1 15
	500 | 15
	25 1 3
	20 |.....
'' chromlcum.......	V. S. 1 V. 8.
	0.75 I 0.5
	100 | 3
I ALCOHOL.
I------------------
I  At  |  Boil-
|15 C. I  lng.
I (59 F) |
  ep.
    3
I   15
I v. s.
I  dec.
    1
I   4.5
sp.
   1
   5
V. 8.
dec.
 0.5
   1 
CHEMICALS
    3
al.ins.
 ins
 ins
1 part Is sol
Aciduin salicylicum... I  450
  "  tannicum........     6
  "  tartaricum.......|   0.7
Alumen..............  10.5
  ''  exsiccatum......    20
Alumnli hydras.......  ins.
  "  sulphas..........    1.2
Ammonii benzoas.....     5
  "  bromldum........    1.5
  "  carbonas.........     4
  "  chloridum........     3
  "  lodidum.........|    1
  "  nitras...........|   0.5
  "  phosphas........     4
  "  sulphas..........J   1.3
  "  valerianas.......I v. s.
Antimonii et potass.  |
  tart................    17
  "  oxidum..........  Ins.
  "  sulphidum.......  ins
  "    "  purificat....  Ins.
Antimonium  sulphur-1
  atum..............-  ins.
Apomorphinae hydroch-
  lorus...............    6.8
Argenti cyanidum.....  ins.
  "  lodidum.........  ins.
  '•  nitras...........    0.8
  "    "  fusus.......    0.6
  ''  oxidum..........  v. s.
Arsenii iodidum.......    3.5
Atropia............-.   600
Atropinae  sulphas.....    0.4
Bismuthl citras.......I ins.
  "  et ammonii  .citraa] v. s.
  "  subcarbonas......  ins.
  "  subnitras........I ins.
Bromum..............    33
Caffeina..............    75
Calcii bromidum___.-    0.7
  " carbonas precipitatl ins.
  "  chloridum........    1.5
  ''  hypophosphis.....    6.8
Calcii phosphas praecip  ins.
Calx.................    750
Camphora monobromata al.ins
Cerii oxalas...........   ins.
Choral...............  v. s.  I v. s.
Chrysarobinum........I al.ins.
Cinchonidinae sulphas. I   100
Cinchonina............I al.ins.
Cinchonlnae sulphas... I   70
Codeina..............     80
Creta preparata.......   ins.
Cuprl acetas..........     15
  "  sulphas..........    2.6
Elaterinum...........I  ins.
14	2.5
v. s.	0.6
0.5	2.5
ins.	0.3
ins.	0.7
ins.	ins.
v. s.	al.ins.
1.2	28
0.7	150
dec.	dec.
al.ins.	1.37
0.5	9
v. s.	20
ins.	0.5
1	sp.
V. 8.	V. s.
 V. s.
 V. 8.
  0.2
 ins.
 ins.
 ins.
 ins.
  7.6
   15
 dec.
al.ins.
  3.7
    3
 Ins.
 s. p.
 V. 8.
       ins.
       ins.
       ins.
       ins.
     I      I
ins.    ins. | Ins
ins.
ins.
Ins.
Ins.
 dec.
 ins.
 ins.
  0.1
  0.5
v. s.
 dec.
   35
ins.
ins.
I   9.5
| V. 8.
I  ins.
 V. 8.
I    6
I  ins.  I
I 1300  I
lal.ins.J
I  ins.  I
al.ins.
    4 1'
al.ins.
   14
   17
 ins.
    5
  0.5
 ins.
  50
ins.
ins.
  26
  25
ins.
  10
v. s.
  6.5
ins.
sp.
ins.
ins.
dec.
  35
   1
ins.
   8
ins.
ins.
ins.
v. s.
ins.
v. s.
 jp.
  71
  IK
   (
 '. 8
 Ins.
  13!
 Ins.
  125
sp.	sp.
71	12
1 110	28
6	1.5
V. 8.	V. 8.
ins.	Ins.
135	14
ins.	Ins.
 dec.
 ins.
 ins.
    5
    5
 ins.
dec.
 v. 8.
 v. e.
 ins.
 s. p.
 Ins.
 ins.
 dec.
 v. 8.
 v. 8.
 ins.
 •1.5
 ins.
 ins.
 Ins.
 v. 8.
 ins. 
Ferri chloridum.......I v. s.
  "  citras...........   s.
  "  et ammonii citras  v. s.
  "  et ammonii sulpha |    3
  "  et ammonii tartras v. s.
  "  et potassii tartras ( v. s.
  "  et quininae citras.I  s.
  "  et strychnnae     |
     citras...........I v. s.
  1'  hypophosphis.....I sp.
  "  lactas...........|   40
  "  oxalas...........  sp.
  "  oxidum hydra turn.  ins.
  "  i>hosphas.........I v. s.
  "  pyiophosphas..... v. s.
  "  sulphas..........   1.8
  "  sulphus praecipitat|  1.8
  "  Valeriana s........| ins.
Hydrargyri chloridum '• |
     cor.............I   16
  "  chloridum mite... | ins.
  "  cyanidum........J 12.8
                       al.ins.
                       al.ins,
                        ins.
                        ins.
                        ins.
                        ins.
V. s.	V. s.	v. s.
v. s.	ins.	ins.
V. K. '	ns.	ins.
0.8	ins.	ins.
v. s.	ins.	ins.
V. s.	ins.	ins.
V. s.	ins.	ins.
  "  lodidum  rubrum
  "  lodidum viride...
  "  oxidum flavum. ..
  "  oxidum rubrum...
  "  subsulphas flav..,
  ''  sulphidum rub...
Hydrargyrum  ammoni-
  atum...............I  ins.
Hyoseyaminae sulphas. | v. s.
Iodoformum...........I ins.
Todmn................I sp.
Lithil benzoas
  "  bromidum.....
  "  carbonas.........   130
  "  citras............  5.5
  "  salicylas.........| v.  s.
Magnesia.............'al.ins.
Magnesia ponderosa... .lal.ins.
Magnesii carbonas.....lal.ins.
  "  sulphas..........I  0.8
  "  sulphis..........|   20
Mangani oxidum nigrum |  ins.
  "  sulphas..........I  0.7
Morphina.............|v. sp.
Morphinae acetas......I    12
  "  hydrochloras......I    24
  ''  sulphas..........     24
Phosporus.............I  ins.
Physostigminae salicylaj  130
Picrotoxinum..........|  150
Pilocarpinae hydrochloraj v. s.
Piperina..............lal.ins.
Plumbi acetas.........I   1.8
  "  carbonas.........|  Ins.
  "  lodidum..........| 2000
 v. s.
 sp.
   12
 sp.
 ins.
 v. s.
 v. s.
  0.3
  0.3
 dec.

    2
 Ins.
    3
al.ins.
al.ins.
 ins.
 ins.
 ins.
 ins.

 ins.
 v. s.
 ins.
  2.5
 v.  s.
  130
  2.5
 V.  s.
al.ins.
al.ins.
al.ins
 0.15
    19
 ins.
  0.8
  500
  1.5
  0.5
 0.75
ins.
    30
    25
 v.  s.
al.ins.
I  0.5
 ins.
|  200
ins.	ins.
ins.	ins.
al.ins.	al.ins.
ins.	ins.
ins.	ins.
ins.	ins.
ins.	ins.
ins.	ins.
ins.	ins.
v. s.	V. 8.
3	1.2
ins.	ins.
15	6
130	15
ins.	Ins.
ins.	Ins.
ins.	ins.
ins.	ins.
ins.	ins.
ins.	ins.
v. s.	V. 8.
80	15
11	
12	10
v. s.	V. 8.
ins.	ins.
12	ep.
v. s.	v. s.
ins.	ins.
ins.	ins.
ins.	ins.
ins.	ins.
ins.	ins.
ins.	ins.
ins.	ins.
100	36
68	14
63	31
702	144
v. sp.	v. sp.
12	V. 8.
10	3
v. s.	V. 8.
   30
    8
 Ins.
v. sp. 
21
WATER.  | ALCOHOL.
    CHEMICALS.

1 part is sol. in:
  At  I Boil-
15 C.  | ing.
(59 F) |
Parts IParts.
Plumbi nitras.........
  ''  oxidum...........
Potassa...............
Potassii acetas........
  ''  bicarbonas.......
  "  bichromas........
  "  bitartras........
  "  bromidum........
  "  carbonas.........
  ''  chloras..........
  ''  citras............
  ''  cyanidum........
  "  et sodii tartras...
  "  ferrocyanidum....
  "  hypophosphis.....
  ''  lodidum..........
  "  nitras...........
  1'  permanganas.....
  "  sulphas..........
  "  sulphis.......---
  "  tartras...........
Quinidinae sulphas.....
Quinina..............
Quininae bisulphas.
  ''  hy drobromas.....
  "  hydrochloras.....
  "  sulphas..........
  "  valerianas.......
Saccharum............
  "  lactis............
Salicinum............
Santoninum...........
Soda.................
Sodii acetas..........
  ''  arsenias.........
  1'  benzoas..........
  "  bicarbonas.......
  "  bicarbonas venalis
  "  bisulphis........
  ''  boras............
  "  bromidum........
  "  carbonas.........
  ''  chloras..........
  ''  chloridum........
  "  hypophosphis.....
  "  hyposulphis......
  "  iodidum..........
  "  nitras...........
  "  i)hosphas........
  "  pyrophosphas.....
  "  salicylas.. /......
  "  santoninas.......
  "  sulphas..........
  "  sulphis..........
  ''  sulphocarbolas
Strychnina............
  At |
13 C.
(59 F)
Parts.
Boil-
 ing.
2	0.8	al.ins. |	al.ins.
ins.	ins. I ins.		ins.
0.5 1	v. s. 1 2		v. s.
0.4	v. s. 1 2.5 1		v. s.
3.2	dec. lal.ins.		al.ins.
10	1.5 1 ins.		ins.
210	15 v. sp.		v. sp.
1.6	1	200	16
1	0.7	1ns. I	ins.
16.5	2	v. sp.	v. sp.
0.6	v. s.	v. sp.	v. sp.
2	1	sp.	s. p.
2.5	v. s. lal.ins.		al.ins.
4	2 I ins.		ins.
0.6	0.3 I 7.3		3.6
0.8	0.5 1 18		6
4	0.4 lal.ins.		al.ins.
20	3 1 dec.		dec.
0	4 ! ins.		ins.
4	5 1 sp.		sp.
0.7	0.5 lal.ins.		al.ins.
100	71 8		V. 8.
1600	700 1 6		2
10	v. s. 1 32		v. s.
16	11 3		i.oi
34	1 1 3		V. 8.
740	30 | 65		3
100	40 1 5		1
0.5	0.2 1 175		28
7	1 1 ins.		ins.
28	0.7 I 30		2
al.ins.	250 I 40		3
1.7	0.8 1 v. s.		v. s.
3	1 1 30		2
4	1 v. s. |v. sn.		60
1.8	1.3 1 45		20
12	dec. 1 ins.		ins.
12	dec. 1 ins.		ins.
4	2 1 72		49
16	0.5 1 ins.		!ns.
1.2	0.5 1 13		11
1.6	0.25 1 Ins.		ins
1.1	0.5 ' 40		43
2.8	2.5 lal.ins		al.ins.
1	0.12 1 30		1
1.5	0.5 [ ins.		Ins
O.fi	0.3 1 1.8		1.4
1.3	0.6 1 sp.		40
6	2 1 ins.		Ins.
12	1.1 1 ins.		Ins.
1.5	1 v. s. 1 6		v. s.
3	1 0.5 1 12		3.4
2.8	0.4 1 Ins.		ins.
4	0.9 1 sp.		sp.
5	0.7 I 132		10
6700	| 2500	I 110	! 12
 
   CHEMICALS.

1 part is sol. In:
I  WATER.   I ALCOHOL.

|  At   | Boil-  At  |  Boil-
|15 C. I ing.  [15 C. I  ing.
|(59 F) I      1(59 F)
[Parts  |Parts. ]Parts. ]Parts.
Strychninae sulphas.... |    10 I     2 1
Sulphur lotum.........[  Ins  I  ins.
  "  praecipitatum....
  "  sublimatum......
Thymol...............
Veratrina.............
Zinci acetas...........
  "  bromidum........
  "  carbonas praecipit:
  tus.................
  "  chloridum........
  "  iodidum..........
  "  oxidum..........
  "  phosphidum......
  "  sulphas..........
  "  valerianas........
 
23
CHAPTER H.
WEIGHTS  AND  MEASURES.
TABLE  OF APOTHECARIES'  WEIGHT.
Grain. | Scruple. |		Drachm.	| Ounce.	| Pound.
20	1		•	I
60	3	1	•	
480	24	8	1	
6760	288	96	1 12	1'
The Pound (libra),  lb, contains 12 ounces.
The Ounce (uncia), oz., contains 8 drachms.
The Drachm (drachma), dr., contains 3 Bcruplee
The Scruple (scrupulum), sc, contains 20 grains.
The Grain (granum), gr.
TABLE   OF   APOTHECARIES'   WINE

                 MEASURE.
Minim.|Fluidrachm.|Fluldounce.)Pint.  |Gallon.
60	1			
480	8	1	, 1	
7680	128	16	1 1	
61440	1024	128	8 1	1
 The Gallon (congius),  O,  contains 8 pints.
 The Pint (octarius), O., contains 16 fluidouncee.
 The Fluidounce (uncia fluida),  Fl.  oz.,  contains
8 fluidrachms.
 The Fluidrachm  (drachma fluida),  Fl. dr., con-
tains 60 minims.
 The Minim (minimum), M. 
24
TABLES   OF   METRIC   SYSTEM   OF

                WEIGHTS.
  a

1*
5 Q
0
8 tl n &  t> fc
101 1					
100 10	1				1
1000| 100	10	1			1
100001 1000	100	10	1		
1000001 10000	1000	100	10	1	
10000001 100000	10000	1000	100	10	1
1000000011000000	100000	10000	1000	100	10
 The parts of a Gramme (grammarium) are writ-
ten  as follows:
    Gramme  ....................    1.00
    Centigramme  ................    0.01
    Decigramme  .. T.............    0.10
    Milligramme  ................    0.001
    Decagramme  ................   10.00
    Hectogramme ...............  100.00
    Kilogramme  ................ 1000.00
    Myriagramme ...............10000.00
APPROXIMATE  EQUIVALENT?

              WEIGHTS.
OF
i	i 1	03 a	a	s	f 3 £
?	ii	£		a	03
e	e I	a	o	&	£
1 equ.	0.065	% equ.	0.008	1-40 equ.	0.0016
% equ.	0.05	1-10 equ.	0.006	1-60 equ.	0.0011
Vi eou.	0.032	1-12 equ.	0.005	1-61 equ.	0.001
% equ.	0.02	1-16 equ.	0.004	1-100 equ.	0.0006
% equ	0.016	1-20 equ.	0.003	1-120 equ.	0.0005
1-5 equ	0.013	1-30 equ.	0.0022		
% equ.	0.01	1-32 equ.	0.002		
5 equ.	0.32	10 equ.	0.65	20 equ.	1.29
60 equ	4.00	240 equ.	16.00	480 equ.	32.00
 
                     25

TABLE   OF   METRIC   SYSTEM

                MEASURES.
OF
lliliter. ntiliter.		■- ' 1 *■' u Eh' 5	c	oliler. rialiter.	
					
S O Q ^ 1 Q			s		i s
10	11 III				
100	10 1| II				
1000	100	10| 1| 1			
10000	1000	100| 10| 1|			
100000	10000	10001 1001 101 1			
1000000	100000	10000 1000 100 10		1	
10000000	10000001100000110000110001 100| 10| 1				
TABLE OF  BRITISH  PHARMACOPOE-

              IAS WEIGHT.
Grain.
(Troy.)
   Ounce.
(Avoirdupois.)
   Pound.
(Avoirdupois.)
437.5
7000
IViBLE OF IMPERIAL MEASURE.
60	1	
480	8	1
9600	160	20
6800	1280	160
 
OLDBERG'S TABLE FOR CONVERTING APOTHECARIES' WEIGHTS AND MEASURES INTO
                                 GRAMS.
TROY	METRIC.	APOTHECARIES' MEASURE.	GRAMS FOR LIQUIDS. *		
WEIGHT			Lighter* than	Specifio Gravity!	HeavierJ
Grains.	Grams.				than
			Water.	of Water.	Water.
1-400	.00013 |	1	.055	.06	.08
1-200	.00033	2	.10	.12	.15
1-128	.0005 |	3	.16	.18	.24
1-100	.00065	4	.22	.24	.32
1-64	.001	5	.28	.30	.40
1-40	.0015	6	.32	.36	.48
1-30	.002	7	.33	.42	65
1-20	.003	8	.45	.50	.65
1-16	.004	9	.50	.55	.73
1-12	.005	10	.55	.60	.80
1-10	.006	15	.80	.72	.96
1-8	.008	16	.90	1.00	1.32
1-6	.010	20	1.12	1.25	1.60
1-4	.016	25	1.40	1.55	2.00
1-3	.02	30	1.70	1.90	2.50
1-2	.03	35	2.00	2.20	2.90
 
27
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28
TAPLE  SHOWING  NUMBER  OF  AA'EK
     AGE  SPOONFULS  TO   ROUND
            METRIC  VOLUMES.
		Cubic
Teaspoonfuls.	Tablespoon fuls.	Centimeters.
5		25
10		50
20	5	100
40	10	200
50		250
60	15	300
80	20	400
100	25	600
MEADOW'S  POSOL03ICAL   TABLE.
Age.
Maximum Dose.
One  fluid
 ounce.
I  Twenty
|  grains.  |
 Sixty
grains.
1 month.......Iminims 30
8 months...... I
6 months'.......minima 40
0 months.......|
1 year.
2 year:*
8 years,
4 years
5 years
6 years
7 years
8 years.
10 years.
12 years.
13 years.
15 years.
18 years.
20 years.
20 to 45.
|fl.  dr.  J
fl.  drs.   iss
fl. drs.  iss
fl. drs.  Jj
11. drs.  ljss
fl.  drs.  lij
fl. drs.  iljss
fl. oz. ss
fl. drs.  lvss
fl. drs.  v
fl. drs.  vss
fl.  drs.  vj
fl. drs.   vjss
fl. drs.   vij
fl.  oz.  J
60 years.......Jfl. drs.  vij
60 to 70 years, fl. drs.  vj
80 to 90 years, [fl. drs.  v
100 years......|fl.  oz.  ss
1 gr.	1
1 gr».	2
grs.	3
grs.	4
grs.	4
grs.	i>
grs.	0
grs.	7
grs.	8
grs.	10
grs.	12
grs.	14
grs.	15
grs.	16
grs.	17
grs.	18
grs.	20
grs.	18
grs.	16
I grs.	14
1 grs.	10
grs.   3
grs.   4
grs.   6
grs.   7
grs.   8
grs.  10
grs.  12
grs.  15
grs.  18
grs.  20
grs.  25
grs.  30
grs.  35
grs.  40

grs.  45

grs.  60
grs.  60
grs.  50
grs.  45
grs.  40
grs.  30
  EXPLANATION—If  the  maximum  dose  of a
liquid  is  1  fluid ounce,  the dose  for an  Infant
1 month old is 30  minims. If the maximum dose
be 60  grains of a  solid, then  the dose for an
Infant  1 month old will be  3  grains,  etc. 
                    29
COMPARISON  OF THERMOMETERS.
  (From Gould's New Medical Dictionary).
Fahr. |	Cent. |	Eeau. ||	Fahr. |	Cent. | Reau.	
212	100.	80. ||	76-1	24.4 | 19.6	
210	98.9	79.1 1	74	23.3 | 18.7	
208	97.8	78.2	72	22.2 I 17.8	
206	96.7	77.3 |	70	21.1 |	16.9
204	95.6	76.4	68	20.	15.
202	94.4	75.6	66	18.9	15.1
200	93.3	74.7	64	17.8	14.2
198	92.2	73.8	62	16.7	13.3
196	91.1	72.9 l|	60	15.6	12.4
194	90.	72.	58	14.4	11.6
192	88.9	71.1 |	56	13.3	10.7
190	87.8	70.2	54	12.2	9.8
188	86.7	69.3	52	11.1	8.9
186	85.6	68.4	50	10.	8.
184	84.4	67.6	48	8.9 1	7.1
182	83.3	66.7	46	7.8	6.2
180	82.2	65.8	44 |	6.7	5.3
178	81.1	64.9	42	5.6	4.4
176	80.	04.	40	4.4	3.6
174	78.9	63.1	38	3.3	2.7
172	77.8	62.2	36	2.2	1.8
170	76.7	61.3	34	1.1	0.9
168	75.6	60.4	32	0.	0.
166	74.4	59.6	30	— 1.1	— 0.9
164	73.3	58.7 1	28	— 2.2	— 1.8
162	72.2	57.8	26	— 3.3	— 2.7
160	71.1	5G.9	24	— 4.4	— 3.6
158 156	70. C.s.9		22 20	— 5.6 — 6.7	— 4.4 — 5.3
154	67.8	54!2	18	— 7.8 | — 6.2	
152	66.7	53.3	16	— 8.9 | — 7.1	
150 148 146	65.6 64.4 63.3	52.3 51.6 50.7	14 12 10	—10. | — 8. -11.1 — 8.9 -12.2 | — 9.8	
144 142 140 138 136 134 132 130 128 126 124 122 120 118 116	62.2 61.1 60. 58.9 57.8 56.7 55.6 54.4 53.3 52.2 51.1 50. 48.9 47.8 46.7	49.8 48.9 48. 47.1 46.2 45.3 44.4 43.6 42.7 41.8 40.9 40. 39.1 38.2 37.3	8 6 4 2 0 — 2 — 4 — 6 — 8 —10 —12 —14 —16 —18 —20	—13.3 1 —14.4 —15.6 —16.7 —17.8 1 —18.9 | —21.1 —22.2 | —23.3 | —24.4 | —25.6 —26.7 | —27.8 —28.9	—10. < —11.6 —12.4 | —13.3 —14.2 | —15.1 | —16. | —16.9 | —17.8 I —18-7 | —19.6 —20.4 | —21.3 | —22.2 | —23.1
114 112 110 108 106	j 45.6 44.4 | 43.3 42.2 41.1	36.4 35.6 34.7 33.8 32.9	—22 —24 —26 —28 —30	| —30. | —31.1 1 —32.2 | —33.3 | —34.4	—24. | —24.9 | —25.8 | —26.7 | —27.6
 
                      30
Fahr. |  Cent.  | Reau. ]|Fahr. |  Cent.  | Reau.
104
102
100
 98
 96
 94
 92
 90
 88
 86
 84
 82
 80
 78
40.	32.	—32	—35.6 |
38.9	31.1	—34	—36.7 1
37.8	30.2	—36	—37.8 |
36.7	29.3	—38	—38.9
35.6	28.4	—40	-40.
34.4	27.6	—42	—41.1
33.3	26.7	—44	—42.2
32.2	25.8	—46	-^3.3
31.1	24.9	—48	—44.4
30.	24.	—50	—45.6
28.9	23.1	—52	-46.7 |
27.8	22.2	—54	—47.8
26.7	21.3	—56	—48.9 |
25.6	20.4		1
—28.4
—29.3
—30.2
—31.1
—32.
—32.9
—33.8
—34.7
—35.6
—36.4
—37.3
—38.2
—39.1
  TABLE  OF  DOMESriC MEASURES.

   Dessertspoonful...  | equals f. dr. 2 (10.0) Gm.)
   Tablespoonful.....I equals f. oz. % (20.0 Gm.).
„  Wlneglassful.....   equals f. oz. 2.
8 3 Cupful...........   equals f. oz. 4.
gc3 Tumblerful.......| equals  f. dr. 1. (5.0 Gm.). 
31
CHAPTER III.
SYNONYMS OF DISEASES.
  Disease and Synonym.

Addison's—Melasma  Addieonii;  bronzed   skin-
  disease.
Alcoholism (chronic)—Dipsomania.
Alopecia—Baldness.
Alopecia  areata—Area  Celci;  alopecia circum-
  scripta.
Atrophia pilorum  propria—Atrophia of the hair.
Atrophia  unguis—Onychatrophia;  atrophy of the
  nails.
Atrophia  cutis—Atrophedema;  atrophy of  the
  skin.
Angioma—Naevus  vasculosus;  naevus  sangui-
  neus.
Anaemia—Ollgaemla; oligocythaemia;  spanaemla;
  hydraemia.
Anaemia, pernicious—Essential anaemia; malig-
  nant  anaemia;  anaematosis;  idiopathic  fatal
  anaemia;  myelogenic pseudo-leucocythaemia.
Angina pectoris—Neuralgia  of  the heart; suffo-
  cative breast-pang.
Arthritis deformans—Rheumatoid arthritis; chron-
  ic rheumatic arthritis;  nodular rheumatism,
  rheumatic  gout.
Ascites—Hydro-peritoneum; dropsy of the perito-
  neum; abdominal  dropsy.
Atelectasis—Pulmonary  collapse;  apneumatosis;
  carnification  of  the  lung.
Bile-ducts, catarrh  of—Inflammation of the bile-
  ducts.
Bronchitis—Catarrh of the tracheal and bronchial
  mucous  membrane; bronchial catarrh.
Bronchitis   (capillary)—Oatarrhus  senilis;   peri-
  pneumonia  notha;  bastard pleurisy; suffocative
  catarrh.
Bronchitis  (plastic)—Bronchial croup; diphtherit-
  ic bronchitis; croupous bronchitis; pseudo mem-
  branous bronchitis; exudative bronchitis;  bron-
  chitis with fibrinous exudation.
Baldness—Alopecia.
Barber's itch—Tinea triohophytina barbae; tinea
  sycosis; parasitic  sycosis,  etc.
Calculi,   renal—Nephrolithiasis;  gravel;  renal
  cold.
Chlorosis—Cachexia  virginum;  anaemia; green-
  sJctrjCBB;  chloro-anaemia;  spanaemla. 
32
 Cholera  (Asiatic)—Algide,  Epidemic  or  malig-
   nant cholera; Rice  disease, etc.
 Cholera  infantum—Summer  complaint;  choleri-
   form diarrhoea  of  children;  summer cholera;
   gastro-lntestinal catarrh.
 Cholera  morbus—Sporadic    cholera;   European
   cholera;  English cholera;  summer  cholera;
   cholera  nostras.
 Chorea—St.  Vitus'  dance; St. John's  dance;  St.
   Guy's dance.
 Colic,  intestinal—Elnteralgla.
 Cerebral  congestion—Hyperaemla  of  the brain.
 Coryza—Acute  cold in  the  head;  acute nasal
   catarrh;  acute rhinorrhoea; acute  rhinitis.
 Chronic coryza—Chronic nasal  catarrh;  rhinitis
   chronica; foetid coryza; ozaena; chronic rhin-
   orrhoea.
 Croup—True croup; croupous laryngitis; membra-
   nous  croup; laryngitis with  fibrinous  exudation;
   plastic  or membranous laryngitis;  pseudo-mem-
   branous laryngitis.
 Comedo—Flesh-worms;  blackheads.
 Oallosltas—Tylosis; Tyloma; callus;  callous; ker-
   atoma.
 Clavns—Corn.
 Oornu  cutanaum—Coma  hnmanum;    cutaneous
   horn.
 Canities—Grayness  of  the hair.
 Carbunculus—Anthrax; carbuncle.
 Chafing—Erythena  Intertrigo.

 Dementia, paralytica—Progressive  general paraly-
   sis;  general  cerebral paralysis  of  the insane;
  diffused  interstitial  cerebritis.
 Dengue—Dandy  fever;  breakbone fever;  scarla-
  tina rheumatica; neuralgic fever.
 Diabetes insipidus—Polyuria; polydipsia; diuresis.
 Diabetes  mellitus—Glycosuria  ; melitura.
 Diphtheria—Malignant  sore-throat; garrotillo; ep-
  ldemio  croup;  diphtherltls; cynanche maligna
  vel contagiosa; angina maligna vel  gangraenel;
  morbus  vel   strangulatorius.
 Duodenitis—Catarrh of the  duodenum.
 Dysentery—Bloody  flux; flux; ulcerative colitis.
 Dyspepsia  (atonic)—Indigestion.
 Dandruff—Seborrhoea;   acne   sebacea;  steator-
  rhea; ichthyosis sebacea.
 Dissection-wound—Post-mortem pustule.

 Encephalitis,  (acute)—Acute  cerebrltis; cerebral
  abscess;  abscess  of  the  brain; inflammatory
  softening and abscess of  the brain.
Endarteritis—Arteritis;   atheromatous  arteritis;
  arterial  sclerosis;  endarteritis  de   formaus;
  atherosis.
 Enteralgia—Neuralgia of the bowels.
 Enteritis,   (membranous)—Follicular    enteritis;
  croupous enteritis.
 Epilepsy—Falling sickness; npoplexla parva.
 Erysipelas—The rose; St. Anthony's fire.
 Eczema—Tetter.
 Elephantiasis—Elephantiasis Arabum;  pachyder-
  mia; Barbadoes leg; Elephant leg. 
                      33

Epithelioma—Skin-cancer;  epithelial cancer; car-
  cinoma  epitheliale.
Equinia—Glanders; farcy.
Febricula—Simple continued fever;  simple fever;
  syuocha;  ephemeral  lever.
Fever, intermittent—Ague; chill fever; fever and
  ague.
Fever,  remittent—Bilious  fever; African fever;
  H'ingarian  fever; bilious remittent fever;  Wal-
  cheren fever;  iungle fever; lake fever, etc.
Fever, relapsing—Famine fever, tvphus recurrens;
  seven-day  fever; five-day fever; bilious typhoid
  fever; spirillum fever; febris recurrens.
Fever, typhoid—Enteric fever; abdominal typhus;
  pythogenic fever; autumnal fever; common con-
  tinued fever;  typhoid affection of Louis;  ileo-
  t j phus.
Fever,  typho-malarlal—Chickihominy fever;  camp
  fever.
Fever,   typhus—Camp  fever;  ship fever;  jail
  fever; putrid  fever;  petechial fever;  cerebral
  typhus, etc.                      ,,..,.
Fever,  yellow—Black vomit;  yellow jack; typhus
  lcttrodes.
Fibroma—Molluscum flbromvn; fibroma molluscum.
Framboesla—Yaws; Endemic  verrugas; rian.
Gall-stones—Hepatic colic  (?);  biliary  calculi;
  cholelithiasis.
Gastralgia—Gastrodynia.
Gastritis, (acute)—Acute gastric  catarrh.
Gastritis, (chronic)—Chronic gastric catarrh.
Gastritis, phlegmonous—Gastritis submucosa;  in-
  terstitial suppurative gastritis.
Gastritis, toxic—Acute gastritis  due to poisons.
Glanders—Farcy;  equina.
Glossitis—Acute or  chronic  inflammation of  the
  tongue.                                      ,
Goitre, exophthalmic—Basedow's disease;  Graves
  disease.
Gout—Poda gra.
Haematemesis—Vomiting of blood;  hemorrhage of
  the stomach;  melaena; gastrorrhagia.
Haemophilia—Bleeder   disease;   haeinotophilia;
  hemorrhagic  diathesis.
Haemolysis—Pulmonary  hemorrhage;  bronchial
  hemorrhage; broicho-pulmonary hemorrhage.
Hay-fever—Rose-cold;  autumnal  catarrh;   hay-
  asthma; June cold, etc.
Heart,   endocarditis  (simple)—Plastic  endocar-
  ditis.                          „  ..     ,
Heart,  endocarditis (ulcerative)—Septicaemlc en-
  docarditis; malignant endocarditis;  diphtheritic
  endocarditis.                 .     „  „        .
Heart,  enlargement of—Dilatation  of  the heart;
  hypertrophy of the heart.
Heart,   fatty  degeneration  of—Obesity  of  the
  heart;   fatty metamorphosis   of  the  heart;
  Quain's disease;  fatty  infiltration  (or deposi-
  tion or growth)  of the heart.
Herpes, simplex—Fever  blisters.
Herpes, zoster—Zona; zoster; shingles.
Heart,  hydropericardium—Pericardial dropsy. 
31
Heart,  myocarditis—Fibroid degeneration of the
  heart;  abscess  of  the  heart;  sclerosis of the
  heart.
Heart,   parenchymat >us   degeneration—Granular
  degeneration; cloudy  swelling;  fatty  metamor-
  phys's; albuminoid degeneration.
Heirt,  acute  pericarditis—Inflammation of the
  pericardium.
Heart,  pneumo-pericarditls— Pneumopericardium;
  pneumo hydro-pericardium.
Hemorrhage,  cerebral—Cerebral  apoplexy;   san-
  guineous  apoplexy.
Hemorrhage, intestinal—Melaena.
Hemorrhage,  spinal—Haematorrhachis  (if  men-
  ingeal) ; haemotomyelus  (if into the  substance
  of  the cord).
Hydrocephalus,    congenital—Cerebral    dropsy;
  dropsy of the brain.
Hydronephrosis—Dropsy of  the  kidney.
Hydrophobia—Rabies.
Hydrothorax—Dropsy of the pleura; dropsy of the
  chest.
Hysteria—Suffocation hysteria,  etc.
Influenza—Grippe; epidemic bronchitis;  epidemic
  catr.rrh.
intestines, cancer of—Caricinoma of the intestines.
Intestines,   obstruction  of—Occlusion  of  the  in-
  testir.es;  ileus; intussusception; volvulus; iliac
  passion, etc.
Ichthyosis—Fish-skin disease.
Itch—Scabies.
Jaundice—Morbus Regius;  Icterus.
Kidney,  amyloid—Waxy kidney;  lardaceous  kid-
  ney.
Kidney,  carcinoma of—Cancer of the kidney.
Kidney,  echlnoccus  of  the—Hydatid  cyst of the
  kidney.
Kidney,   movable—Misplaced   kidney;   floating
  kidney; wandering kidney; ectopia  renis.
Keloid—Cheloid;  keloid of  Alibert.
Laryngitis    stridulus—Spasm   of   the   larynx;
  spasm  of  the glottis;  spasmodic  croup;  suffo-
  cative laryngismus;  cerebral  croup;  catarrhal
  croup; pseudo-croup.
Laryngitis,   (acute)-Acute   catharral  laryngitis;
  angina eplglottidea;  cyanche laryngeal angina
  laryngea;  laryngite muqueuse; acute catarrh  of
  the  larynx, etc.
Larygitis,   (chronic)—Chronic   catarrh   of  the
  larynx; throat consumption;  laryngeal  phthisis;
  chronic laryngeal  congestion.
Larynx,  oedema  of the—Submucous laryngitis;
  dropsy of  the  larynx;  oedema of  the glottis;
  oedematous laryngitis.
Lead poisoning—Lead colic; painters' colic; sat-
  urnism; plumbism, etc.
Leueocythaemia—Leukaemia.
Leucocythaemia   (pseudo)—Hodgkin's    disease;
  lymphatic anaemia; Adenie  (Trousseu); Splenic
  anaemia  of cachexia
Liver,  abscess  of   the—Hepatic  abscess;  local
  parenchymatous hepatitis; suppurative hepat-
  titis. 
35
Liver, acute yellow  atrophy of—Acute parenchy
  matous  hepatitis;  malignant  jaundice;  hemor
  rhagic icterus; typhoid icterus,  etc.
Liver, cancer of the—Carcinoma, of the liver.
Liver, congestion of the—Hepatic congestion; nut-
  meg liver; hyperaemia of the liver.
Liver, echinoccus  of  the—Hydatid disease; multi-
  lccular cyst of the liver;  cystic degeneration.
Liver,  fatty—Hepar adiposum.
Liver, sclerosis of the—Chronic diffuse inflamma-
  tion of the liver; chronic interstitial hepatitis;
  cirrhosis  of  the  liver;  gin  drinker's  liver;
  drunkard's liver.
Liver,  waxy—Lardaceous  liver;  amyloid  liver;
  albumenoid  liver.
Lungs, apoplexy  of the—Pneumorrhagia;  hemor-
  rhagic infarctus.
Lungs, cancer of the—Carcinoma of the lungs.
Lungs,  hydatids  of   the—Echinococci   of   the
  lungs.
Lepra—Leprosy; elephantiasis  Graecorum.
Louse, body—Pediculus corporis.
Measles—Rubeola;  morbilli.
Meningitis,   acute  cerebral—Simple meningitis;
  primary  meningitis;  leptomeningitis.
Meningitis,  cerebral,   tubercular—Basilar  men-
  ingitis;  acute  hydrocephalus;  "water  on  the
  brain."
Meningitis,    epidemic  cerebro-spinal—Epidemic
  meningitis;   Petechial   fever;   cerebro-spinal
  fever.
Meningitis,  spinal—LeptomenyitiB spinalis.
Migraine—Megrim;   hemicranlo; sick-headache.
Myalgia—Muscular  rheumatism (misnomer).
Myelitis  of the  anterior  horns—Infantile spinal
  paralysis; poliomyelitis  anterior  acuta; essen-
  tial  paralysis  of children;  acute  or  chronic
  paralysis  of   adu'ts;  acute  atrophic  spinal
  paralysis.
Neuralgia—Neural hyperaesthesia.
Neurasthenia—Nervous  exhaustion.
Oesophagitis—Catarrh  of the oesaphagus.
 Oesophagus,  dilatation  of  the—Ectasia   of  the
  oesophagus.
 Oesophagus,  stenosis  of   the—Stricture  of  the
  oesophagus.
 Pachymeningitis—Inflammation    of   the   dura
  mater;  haematoma of the  dura mater.
Paralysis,   agitans—Parkinson's   disease;    the
  trembles; shaking palsy.
Paralysis,   facial—Mimetic    paralysis;    Bell's
  paralysis; histrionic paralysis.
 Paralysis,  glosso-labio-laryngeal—raralysis of the
  bulbar  nuclei;   progressive   atrophic    bulbar
  paralysis;  chronic  bulbar  paralysis;  progres-
  sive muscular  paralysis  of  the  tongue,  soft
  palate  and lips.
 Paralysis,  pseudo-hypertrophic spin—Pseudo—hy-
  pertrophic  progressive  muscular  atrophy;  Du-
  chenne's   paralysis;    progressive    muscular
  sclerosis;  atrophia musculorum lipomatosa.
 Parotiditis  (idiopathic)—Parotitis;  mumps. 
36
Parotiditis (symptomatic)—Parotid  bubo.
Peritonitis—Inflammation  of  the peritoneum.
Perityphlitis—Ulceration  of  the  caecum;   perl-
  typhilitic abscess.
Pharyngitis—Relaxed  sore-throat;  cyanche  phar-
  yngeal angina simplex;  clergymen's sore-throat;
  pharyngeal  catarrh.
Phthisis   pulmonalis—Pulmonary    consumption;
  filer's phthisis;  chronic catarrhal pneumonia;
  knife-grinder's, rot;  fibroid  degeneration of the
  lungs;  cheesy pneumonia;  pulmonary  tubercu-
  losis; chronic pneumonia; tuberculous  pneutuoni;
  interstitial pneumonia.
Plague—Pestllentla; pestls.
Pleurisy—Pleuritis.
Pleurisy,  chronic variety—Empyema;  pyothorax;
  suppurative  pleuritis.
Pneumonia (embolic)—Pneumonia from  embolism.
Pneumonia,  lobar—Acute  pneumonia; lung  fever;
  pneumonic  fever; croupous  pneumonia;  acute
  athenic  pneumonia;  fibrinous pneumonia.
Pneumonia,  lobular—Broncho-pneumonia;  catar-
  rhal pneumonia; bronchitis with collapse  of the
  pulmonary lobules;  disseminated  pneumonia.
Pneumo-hydrothorax—
Purpura—Morbus  maculosis  Werlhofii.
Pustule,  malignant—Charbon.
Pylephlebitis,   suppurative—Pylethrombosis; sup-
  purative inflammation of the portal vein.
Parenchymatous nephritis, acute—Acute  Bright's
  disease; acute  albuminuria;  acute  tubal ne-
  phritis;  acute  desquamative nephritis;  acute
  diffuse  nephritis;  catarrhal nephritis;  croupous
  nephritis;  acute  renal  dropsy.
Parenchymatous nephritis,   chronic;—Chronic ca-
  tarrhal  nephritis; large white  kidney.
  (Chronic diffuse nephritis)—Large white kidney;
  chronic  interstitial  nephritis; chronic  Bright'B
  disease;  chronic  croupous  nephritis1; chronio
  tubular  nephritis; atrophied  kidney.
Rheumatism  (acute)—Polyarthritis;  rheumatlca;
  rheumatic fever;  acute rheumatic  arthritis.
Rheumatism   (chronic)—Chronic  rheumatic   ar-
  thritis.
Rheumatism  (gonorrhoeal)—Urethral  rheumatism.
Rickets—Rachitis.
Roseola  (Rubeola)—Rotheln;  German   measles;
  hybrid  measles;   hybrid  scarlatina;  rubeola
  notha.
Rheumatism of the  skin—Dermatalgla;  dermalgla;
  neuralgia of  the  skin.
Ringworm—Tinea  trlchophytlna.
Salivation—Ptyalism.
Scarlatina—Scarlet fever.
Sclerosis, cerebro-spinal—Disseminated sclerosis;
  nultiple or  insular  sclerosis.
Scorbutus—Scurvy.
Small-pox—Variola.
Splenitis—Inflammation  of  the  spleen.
Stomach,  inflammation of—Gastritis.
Stomach,  dilatation of the—Gastrectasla. 
37
Stomach, cancer of the—Carcinoma  of the  stom-
  ach.
Stomach,  ulcer  of  the—Gastric ulcer; peptic ul-
  cer;  ulcus  ex digestione; digestive ulcer.
Stomatitis—Thrush; white mouth;  muguet;  can-
  crum  oris; water canker; apthae.
Sun-stroke—Insolation;  thermic heat; heat fever.
Shingles—Zoster; zona;  herpes zoster.
Tabes  dorsalis—Posterior  chronic leuco-myelitis;
  posterior spinal  sclerosis; progressive locomotor
  ataxia; gray degeneration of the posterior col-
  umns; sclerosis  of the  posterior  columns.
Tabes,  dojsalis  (spasmodic)—Lateral spinal  scler-
  osis;  tetanoid pseudo-paraplegia;  spastic spinal
  paralysis.
Tetanus—Trismus;  lock-jaw.
Tetter—Eczema.
Tonsillitis—Quincy; cyanche tonsillaris;  amygdal-
  itis.
Trichinosis—Trichinous disease;  trlchinasis.
Tumors   intracranial—Tumors   of   the  brain;
  cerebial  tumors.
Typhilitis—Catarrh of  the caecum; typhlo-enter-
  itis;  inflammation of the caecum; caeeltis.
Tinea   trichophytina—Ringworm.
Uraemia—Typhloenteritis.
Urticaria—Hives;  nettierash.
Vaccinia—Cow-pox.
Varicella—Chicken-pox.
Vitiligo—Leucoderma;  leucopathia.
Vitiligoidea—Xanthelasma; xanthoma.
Whooping  cough—Pertussis.
Worms, intestinal—Helminthiasis.
Writer's cramp—Mogigraphia; chorea scrlptoruni,
  Scrivener's palsy.
Xanthoma—Xanthelasma;  vitiligoidea.
Yaws—Framboesia; Pian; endemic verrugas.
Zona—Herpes zoster;  shingles;  zoster. 
Name.
TABLE OF ERUPTIVE FEVERS.
                                          —I-
Incubation.
Day of rash.  Rash fades
Duration.
Measles......
Scarlatina....
Typhus fe\>er.
Typhoid fever.
Small-pox. .. .
Chicken-pox. .
Erysipelas. .. .
Roseola......
About 10 days
|4 to 10 days.
1 to 12 days.
110 to 14 davs.
8 to 14 days.
14 days.
|3 to 7 days.
6 to 10 days.
4th day.
2d day.
4th to 7th.
7th to 14th.
3d or 4th.
2d or 3d.
2d or 3d.
After 12 to
 36 hours'
 illness.
3d or 4th day.  110 davs.
4th or 5th day. [l to 2 weelcs.
..............114 to 21 davs.
..............121 to 30 days.
8th to 16th day. 12 to 3 weeks.
3d to 5th.       II week.
7thtoSth.      .........
7th to Sth.      .........
From 24 to
 4S hours. 
39
    TABLE  OF  IXCOMPATIBLES.

        Drugs and  Their Incompatibles.

Absinthium—Sulphates of  iron  and  zinc;  ace-
  tates  of lead;  nitrate  of silver;  tartar emetic.
Acacia—Alcohol; Goulard's  extract;  nitric acid;
  muriated tincture  of iron.
Acidum Aceticum—Alkalies;  alkaline  and earthy
  carbonates.                              .
Acidum Citricum—Acetates  of lead; nitrate  and
  acetate  of  mercury;  alkalies; alkaline sulphur-
  ets;  mineral  acids.
Acidum  Arseniosum—Lime-water;  hydro-sulphate
  of potassa;  magnesia;  astringent  vegetable  in-
  fusions  and  decoctions;  hydrated peroxide  of
  iron.
Acidum  Carbolicum—Mineral  acids;  sulphides,
  red oxide of mercury;  chlorine; metallic salts;
  saccharate  of lime.
Acidum Lacticiun—Mineral salts; alkalies.
Acidum  Gallicum—Alkaline carbonates; lime-wa-
  ter;  iodide or iron;  solution of opium; sulphate
  of copper,  tartar  emetic;  acetate of lead;  ni-
  trate of silver, etc.
Acidum Hydroeyanicum—Chlorine;  mineral acids;
  metallic oxides,  etc.
Acidum  Muriaticum—Alkalies  and  their  carbon-
  ates,  alkaline  earths;  metallic oxides;  sul-
  phuret  of  potassium;  potassium  tartrate;   sil-
  ver and most other  metallic salts.
Acidum  Nitricum— Salifiable bases; metallic  ox-
  ides;  essential oils,  etc.
Acidum  Nitro-Muriaticum—Earths;  oxides;  alka-
  lies;  sulphurets,  etc.
Acidum Oxalicum—Calcium;  magnesium.
Acidum   Phosphoricum—Soluble  salts   of  lime;
  baryta; lead.
Acidum Salicylicum—Alkalies.
Acidum Sulphuricum—Earths; alkalies;  their car-
  bonates, sulphurets,  etc.
Acidum   Sulphurosum—Mineral   acids;  oxidizing

Acidum Tannicum—Albumen;  gelatin;  per-salts of
  iron;  alkalies;  alkaline earths; carbonates; tar-
  tar  emetic;  vegetable  alkaloids;  acetate  of
  lead,  etc.
Acidum  Tartaricum—Alkalies;  their  carbonates;
  alkaline earths and  carbonates.
Aconitum—Tannin;  animal  charcoal.
Aethers—Solutions of  caustic potash.
Alumen—Alkalies;   alkaline  carbonates;  lime;
  magnesia;  infusion  of galls;  acetate of lead,
  etc.
Ammonia—Acids; alum; mineral salts, etc.
Ammoniae Acetas—Strong acids; alkalies; nitrate
  of silver;  corrosive  sublimate; alkaline  earth,

Ammoniae  Carbonas—Acids;   soda  and  caustic
  potash;  alum;  magnesia;  bitartrate  and  bi-.
  sulphate of po'assa;  calcium  chloride;  salts
  of iron; corrosive sublimate;  lead  salts;  zinc
  sulphate,  etc. 
40
Ammoniae  Murias—Sulphuric  acid;  nitric  acid;
  lead  salts;  silver  salts;  potassa;  soda;  car-
  bonates of soda  and potassa; lime, etc.
Angustura—Sulphates  of   copper  and  iron;  ni-
  trate  of  silver;  tartar  emetic; lead acetate;
  potassa; infusion of galls; corrosive sublimate.
Authemis—Gelatine  solution;  salts of  iron;  ni-
  trate   of   silver;  lead   salts;  infusions  con-
  taining gallic  acid, and the "'hree last  men-
  tioned  salts.
Antimonii Sulphuretum—Nitro-murlatlc  acid; ni-
  tric  acid.
Antimonii et Potassae Tartras—Alkalies; earths;
  rhubarb; infusions  with  gallic acid; lead salts;
  carbonates of  the  alkalies and earths;  strong
  acids;   hydrosulphurets;    lime-water;   calcium
  chloride,  etc.
Armoracia—Carbonates  of the alkalies;  nitrate
  of silver;  vegetable bitters; vegetable astrin-
  gents; corrosive  sublimate,  etc.
Argenti Nitras—Fixed alkalies;  solutions of  the
  salts  of  copper  and mercury;  lime;  murlatio
  acid and salts; arsenious acid and  salts; chlor-
  ides;  sulphurets;  astringent vegetable  Infusions,
  etc.
Arnica—Sulphates  of zinc and iron; acet.ite  of
  lead;  mineral  acids,  etc.
£ ssafoetida—Neutral  salts;  acids.
Aun.Llii  Cortex—Bark infusion; sulphate of iron;
  Hme-WLter.
Aurem—Eggs;  flour;  albumen;  milk,  etc.
Barii  Chloridum—Earthy  and alkaline  carbon-
  ates;  alum;  nitrate of  silver,  etc.
Benzoinum—Alkalies; acids.
Bistorta—Gelatine; salts  of  iron, etc.
Belladonna—Tannin; vegetable astringents;  caus-
  tic alkaline  solutions,  etc.
Bismuthi Nitras—Vegetable astringents; alkalies,
  etc.
Bromides—(Including   bromides   of   ammonium,
  lithium, ciileuini, potassium  and sodium), with
  acids; acidulous  and metallic salts.
Caffein—Iodide   of  potassium;  mercurial  salts;
  tannic  acid;  which  precipitate   it  from   a
  watery  solution.
Calamus—Acetate  of lead.
Calcii  Chloridi  Liquor—Carbonates  of  soda  and
  potassa; soluble  sulphates;  carbonate of  mag-
  nesia, etc.
Calcis  Liquor—Mineral acids; muriate  of  am-
  monia;  acetic  acid; tartaric acid;  citric  acid;
  phosphoric acid;    alkaline   carbonates;   soap;
  vegetable  astringent; alum; sulphate of  iron;
  sulphate of zinc;  sulphate of magnesia; chlor-
  ides of mercury; nitrate of silver.
Calcis  Carbonas—Alum;  muriate   of   ammonia;
  acids;  acidulous  salts.
Camphorae—Earthy  and  alkaline  salts.
Cannabis—Acids; caustic   alkalies.
'Capsicum—Acetate of  lead;  nitrate  of silver;
  corrosive  sublimate; sulphates  of  iron,  copper
  and zinc;  carbonates of the alkalies. 
41
Cardamomum—Sulphate of iron; acids; corrosive
  sublimate,  etc.
Caryophyllus—Sulphates of zinc  and iron;  tartar
  emetic,  etc.
Cascarilla—Sulphates   of  zinc  and  iron;   lime-
  water;  infusions  in  which there  is gallic  or
  tannic acid.
Cassia  Fistula—Alcohol.
Castanea  Vesca—Mineral  acids;   alkalies;   per-
  salts  of  iron;  antimony  salts;  lead;  silver;
  vegetable alkaloids form insoluble precipitates.
Catechu—Gelatine;  salts  of iron;  alkalies,  etc.
Clilora—Alkalies.
Chloroform—Separates  from  mixtures when com-
  bined with  weak spirits or glycerin.
Cimiclfuga—Those  preparations  of  it  containing
  gallic or tannic acids,  with the salts of  iron.
Cinchona—Alkalies; strong acids;  sulphates zinc
  and  iron;  magnesia; lime;  nitrate  of  silver,
  etc.
Coccus—Sulphates  of   zinc and  iron;  acetate  of
  lead.
Coca—Metallic  salts and  muriatic acid with  the
  infusion and fluid extract.
Colchicnm—Acids  (which render  the vinous  tinct-
  ure drastic);  it  is  rendered milder  in  its  ac-
  tion   by alkalies.
Colocynthis—Sulphate  of  iron:  acetate of  lead;
  fiver!  alkalies; nitrate  of  silver,  etc.
Colomba—Lime-water;  ammonia: mineral  acids;
  nitrate  of  silver; muriate of  iron;  isinglass;
  lead  acetate,  etc.
Conium—Alkalies;  tannin; strong acids,  etc.
Contrayerva  (tincture  of)—Water.
Copaiba—Mineral  acids.
Coptis  Trifolia—Lead  aretat":  nitrate  of  silver.
Creta Preparata—Acidulous salts;  acids; muriate
  of ammonia:  alum.
Cuprum  Ammoniatum—Potassa;   soda;   acids;
  lime-water.
Cupri  Sulphas—Ammonia  and   its   carbonate;
  fixed  alkalies; corrosive sublimate:  nrsenite of
  potassa; silver  nitrate;  acetate of lead;  vege-
  table infusions,  etc.
Cydonia—Most  metallic  salts; acids:  alcohol.
Digitalis—Infusions of Peruvian  bark; acetate of
  lead; sulphate  of iron; tannin;  vegetable as-
  tringents.
Frgota—Metallic .sal's: caustic alkalies.
Eucalyptus  Globulus—Mineral acids;  iron  salts;
  alkalies; salts of zinc;  mercury,  and lead.
Ferrum Ammoniatum—Fixed alkalies; acids; as-
  tringent infusions;  lime-water.
Ferri   lodidum—Vegetable   astringents;   fixed
  alkalies; lime-water, etc.
Ferro  et  Potassae  Tartras—Mineral acids;  alka-
  lies;  vegetable  astringents.
Ferri   Subcarbonas—Acidulous   salts;   mineral
  acids, etc.
Ferri   Chlorldi   Tinctura—Lime-water:  alkalies
  and  their  carbonates;  carbonate of lime; mag- 
42
  nesla  and its carbonate;  vegetable astringents;
  solution of  gum.
Ferri Sulphas—Nitric acid; flxed alkalies nnd the
  carbonates;  nitrates of potassa and silver; lime-
  water; sodium  borate;  lead  acetate;  potassium
  iodide; vegetable  astringents, etc.
Galla—Carbonates of the  alkalies; alkalies;  sul-
  phates of  iron and zinc; lead acetate; corrosive
  sublimate;  tartar  emetic;  gelatin;  vegetable
  alkaloids,  etc.
Gelsemium—Tannin;  caustic  alkalies.
Gentiana—Sulphate  of iron;  salts  of  lead  and
  silver.
Granatum  (cortex)—Sulphate of iron, r-tc.
Grindella—Mineral salts; caustic alkalies.
Guaiaci Tirctura—Mineral acids; water;  spirit of
  nitric  nether; metallic and  earthy salts,  etc.
Hamamelis  Virginica—Alkalies;  mineral acids;
  salts  of  antimony;  per-salts of  iron;  salts of
  lead  and  "silver;  vegetable  alkaloids form  in-
  soluble precipitates.
Haematoxylon—Alum; sulphates of iron and  cop-
  per;  lead acetate;  tartar emetic.
Hydrargyrum  Ammoniatum—Muriatic  nnd  other
  acids; protochloride  of  tin; fixed  alkalies.
Hydrargyrl  Chloridum  Mite—Lime:  muriate of
  ammonia; potassium and sodium chlorides;  car-
  nonates of the  alkalies; nitric acid; iron  salts;
  lead salts;  copper and salts; soaps;  potassium
  iodide,  etc.
Hydrargyrl  Chlorldum  Corrosiyum—Alkalies  and
  their   carbonates; carbonates of  lime; tartar
  emetic;  sulphuret of  potassium;  iron;  snap;
  salts of iron, lead and copper; albumen; nitrate
  of  silver;  gluten;  gelatin;  vegetable  astrin-
  gents; flxed oils; milk. etc.
Hydrargyri  Oxidum Rubrum—Mineral acids.
Hydrargyrl  Oxidum Nigrum—Acetic  and mineral
  acids.
Hydrargyrl  lodidum—Sodium   chloride;  mineral
  acids.
Hydrargyri  lodidum Rubrum—Potassium iodide;
  sodium chloride; mineral  acids.
Hydrargyrum  Cum  Creta—Acetic   and  mineral
  acids; acidulous  salts;  alum, etc.
Hydrastis—Tannic and organic acids;  alkalies.
Hyoscyamus—Nitrate of  silver; acetate of lead;
  tannin; sulphate of iron; veget-ible pstringents.
Ingluvin—Salts   of  copper;   alkalies;   salts  ol
  mercury,  lead   and zinc;  gallic  acid; tannic
  acid;  alcohol  (?); creasote.
Iodine—Starch: magnesia.
Ipecacuanha—Lead  acetate;    vegetable   astrin-
  gents, etc.
Jaborandi—Per-salts of iron; metallic salts; caus-
  tic alkalies.
Kine— Lead acetate: salts of iron;  mineral acids;
  tartar emetic;  gelatin,  et3.
Krameria—Lead  acetate; salts of Iron;  gelatin;
  mineral acids,  etc.
Lithli Carbonas and Citras—Acids; acidulous and
  metallic salts.
Lobelia—Caustic  alkalies. 
43
  Magnesia—Acids;   acidulous   salts;   ammonium
   muriate;  metallic salts.
  Magnesiae Carbonas—Acids;  acidulous salts;  mu-
   riate of ammonia; metallic  salts;  lime-water;
   bitartrate  of  potassa.
  Magnesiae Sulphrs—Lead acetate;  ammonia;  cal-
   cium chloride; lime-water;  potassa; soda; potas-
   sium and sodium  carbonates, etc.
  Manganesium—Its    preparations,    with   lead
   salts;   mercury   salts;  silver  salts;   caustic
   alkalies.
  Mentha—Lead acetate; nitrate of silver; sulphate
   of iron, etc.
  Morphinae   Acetas—Alkaline  carbonates;   am-
   monia;  vegetable  astringents;  all  articles  in-
   compatible with  infusion  of  opium,  except
   lead acetate.
  Morphinae Murias—Tannin; acetate of lead; alka-
   line carbonates;   ammonia,  etc.
  Moschus—Corrosive  sublimate; mineral acids;  ni-
   trate of  silver;   sulphate  of iron;  infusion of
   bark,  etc.
  Myrica _Cerifera—See Hamamells Virginica.
  Opium—Carbonates  of  soda and  potassa;  nitrate
   of  silver;  lead acetate; salts  of copper,  zinc,
   mercury nd lead; astringent infusions, etc.
  Pepsin—See  Ingluvin.
  Pancreatinum—See  Ingluvin.
  Phosphorus—Lime-water;  commercial  turpentine;
   hydrated  magnesia;  charcoal.
  Physostigma—Vegetable    astringents;   tannin;
   caustic alkalies.
  Pimenta—Ammonia; alum; salts of iron,  copper,
   silver and zinc; vegetable astringents.
  Piper Nigrum—Vegetable astringents.
  Plumbi  Acetas—Alkalies and their carbonates;
   sulphuric,   tartaric and citric  acids;  tartrate
   and bitartrate of  potassa; alkaline and metallic
   sulphates; alum; borax; lime-water; infusion of
   opium;  vegetable astringents;  milk; soaps.
  Plumbi lodidum—Sulphuric acid; solution of po-
   tassa.
  Potassa—Acids  and rcidulous salts; metallic and
   earthy salts;  ammonia  and its salts, etc.
  Potassae  Acetas—Sulphates  of  soda and mag-
   nesia;  tartaric acid; most  metallic  and earthy
   salts;  mineral acids,  etc.
  Potassae  Arsenitis  Liquor—Acids;  lime-water;
   chlorides  of  iron and  calcium;  sulphate  of
   magnesia;  alum;  sulphates of iron  and copper;
   iodide  of  iron; nitrate  of silver; vegetable as-
   tringents.
"Potassae  Bitartras—Very  strong ccids; ammonia;
   lime-water; sodium and potassium carbonates;
   sulphate of magnesia; magnesia, etc.
  Potassae  Carbonas—Acids; metallic  salts; lime-
   water;  sulphate  of magnesia;  muriate  of  am-
   monia;  calomel;  alum; etc.
 Potassae  Citras—Salts  of lime, lead, and silver;
   sulphuric  and other  acids.
 Potassal  Nitras—Alum; sulphate of magnesia; me-
   tallic sulphates;   sulphuric acid; muriatic acid
   (when  heated). 
44
  Potassae  Sulphas—Tartaric  acid;  lead  acetate;
    nitric acid; muriatic  acid;  calcium  chloride;
    corrosive sublimate;  nitrate of silver,  etc.
  Potassil  Suphuretum—Acids,  and  most  metallic
    salts.
  Potassae Tartras—Most  acids;  acetate of  lead;
    lime-water; nitrate of  silver;  calcium chloride.
  Potassil lodidum—Corrosive sublimate; lead ace-
    tate; tartaric  acid; metallic salts; all  acids
    and  acidulous  salts;  (exception, bitartrate of
    potassa  and chlorate  of  potash).
  Pulsatilla—Tannin;  metallic salts; caustic  alka-
    lies.
  Quassia—Lead acetate;  nitrate  of silver;  etc.
  Quercus—See Oastanea Vesca.
  Quininae  Sulphas—Tartaric acid;  potassium tar-
   trate;  alkalies and   their  carbonates;  lime
   water; infusions of galls.
  Rheum—Lime-water; strong  acids; sulphates  of
   zino  and  iron;  corrosive  sublimate;  tartar
   emetic;  vegetable  astringents.
  Rosa  Gallica—Sulphates  of  zinc and  Iron; lime-
   water;  gelatin.
  Rubus—See  Hamamelis  Virginica.
  Salix—Sulphate   of   iron;  lime-water;  alkaline
   carbonates;  solution of  isinglass.
 Sanguinaria—See   Pulsatilla.
 Salvia—Iron  salts.
 Sapo—(Also liuiments,  etc.,  which  contain it)
   with sulphates  of  magnesia and lime; calcium
   chloride; metallic  salts;  alum;  lime-water
 Sarsapanlla—Infusion of  galls;  lime-water-  lead
   acetate.
 Scilla—Alkaline  carbonates; lime-water- lead ace-
   tate; nitrate of  silver,  etc.
 Senna—Alkaline  carbonates;  strong acids-  tar-
   taric acid; lime-water.
 Serpentaria—Lead  acetate.
 Sodae  carbonas—Acids;  potassium   bitartrate-
   earthy  acidulous  and  metallic  salts;  lime-
   water.
 Sodae  Phosphas—Magnesia;  lime; mineral  acids
  etc.
 Sodae   Sulphas—Salts precipitated  by sulphuric
  acid;  carbonates of potassa; potassium acetate.
 Sodae  et Potassae  Tartras—Most  acids; acidulous
  salts;  lead acetate; nitrate of  silver
 Spiritus AEtheris Nitrici—Sulphate of  iron- tinc-
  ture  of guancum,- earthy  and alkaline carbon-
  ates.
 Stramonium—See Belladonna.
 Strychina—American  hemp;  belladonna; bromides*
  calabar bean; aether; chloroform; chloral-  In-
  dian   hemp;  amyl   nitrate;  tobacco;  opium-
  wToorara.                                      '
 Tabacum—Iodides;  tannin;  caustic alkalines
 Tamanndus—Potassium  salts; lime-water;  alka-
  line  carbonates;  tartar  emetic.
Taraxacum—Sulphate   of  iron;  corrosive   subli-
  mate; lead acetate; nitrate of  silver; infusion
  of galls,  etc.
Thea—Iron salts;  lime-water; gelatin,  eto. 
45
Tormentilla—Solution  of  isinglass;   iron  salts;
  alkalies; etc.
Tragacanth—Copper and Iron sulphates; lead ace-
  tate; alcohol; etc.
Trimethylamine—Alkalies; mineral acids; metal-
  lic salts;  vegetable  astringents.
Ulmus—Alcoholic tinctures if added  in quantity.
Uva Ursi—Salts of iron; gelatin; tartar emetic.
Zincum—(Its  preparations.)  Alkalies  and  their
  carbonates;  lead acetate;  lime-water;  acids;
  many metallic salts; soluble carbonates; vege-
  table astringents with the valerianate of zinc;
  milk; common soap; tannic  acid;  mucilages.
ANTAGONISTIC ACTION OF MEDI-

                   CINES.

  Medicine and  Antagonist.
Acidum Hydrocyanicum—Atropia, although  It  is
  slowly diffused.
Aconitum—Ammonia; alcohol; digitalis; turpen-
  tine;  Aether.
AEther—Oxygen; strychnia;  quinine;  tetanizlng
  alkaloids.
Ammonium (its  preparations)—Aconite; veratruni
  viride;  aconite;  digitalis.
Amyl Nitrite—Strychuia; ergot;  belladonna; bru-
  cia.
Antimonium  (its   preparations)—Coffee; aether;
  tea;  opium;  alcohol.
Arnica—Alcoholic -stimulants; opium;  camphor;
  ammonia.
Belladonna—Calabar bean; bromides; tartar emet-
  ics;  jaborandi; nitrite of  amyl; opium;  digi-
  talis ; conium; gelsemium.
Bromides—Digitalis;  belladonna; ergot; stramo-
  nium; hyoscyamus.
Caffein—Opium; antimony.
Camphora—Coffee;  arterial  sedatives; arnica.
Cannabis   (Americana   and   Indica)—Faradism;
  strychnia.
Chloral—Galvanism;  belladonna;  strychnia;  al-
  cohol; atropia.
Cimicifuga—Stimulants.
Colchicum— Opium;  alcoholic stimulants.
Cinchona  (its alkaloids)—Iodides;  iodine; copper
  salts; zinc salts; lead baits;  mercury salts.
Conium—Brucia; atropia; strychina; nux vomica.
Digitalis—Atropia;   aconite;   gelsemium;    bro-
  mides; Pulsatilla; lobelia;  veratrum viride.
Ergota—Aconite; bromides;  veratrum  viride;  ni-
  trate of amyl; lobelia;  tobacco.
Gelsemium—Alcoholic stimulants; ammonia; dig-
  italis; ammonia;  belladonna.
Gentiana—Strychnia; opium;  alcohol. 
46
Grindelia—See  Gentiana.
Iodinum—Digitalis;  quinine.
Iodides—See  Iodinum.
Jaborandi—Belladonna.
Lobelia—Ammonia;  alcohol;   belladonna;  ergot
  digitalis:  strychnina.
Opium—Arnica; antimony; belladonna;  atropia;
  coffee; colchicum;  Pulsatilla; tea;  sanguinaria;
  strychnia.
Phjsostigama—Daturia;  atropia; chloral;  tetaniz-
, ing agents.
Phytolacca—AEther;  alcohol;   digitalis;  opium;
  strychnia.
Potassium (its preparations)—Cold;  ergot;  bella-
  donna ; digitalis.
Pulsatilla—Opium;  digitalis;  alcohol.
Ssrpentaria—Ergot;  arterial sedatives.
Tahacum—Ammonia; alcoholic  stimulants; ergot;
  digitalis;  belladonna.
Triirethylamine—Belladonna;   opium;  digitalis;
  stimulants.
Valeriana—Quinine;  ergot; digitalis.
Veratrum Album and  Viride—Ammonia;  alcoholic
  stimulants; digitalis;  opium.
TABLE  OF  THE  PULSE.
Age.
In  the embryo........
At  birth  .............
During the first year..
During second year
During third  year....
From 7th  to 14th year. .
From 14th to 21st vear.
From  21st to 60th year.
Old age   ............
Beats Per	By Other
Minute.	Au-
(Carpenter)	thorities.
150	140
130 to 140	150
130 to 115	120 to 108
115 to 100	108 to 90
105 to 95	90 to 80
bo to so	80 to 72
85 to 75	S5 to 80
75 to 70	70 to 60
75 to 80	
 
47
FORMULAS AND  DOSES OF HYPO-

      DERMATIC MEDICATION.
1.  R—Acid, hydrocyau.  dil.,  m. vj;
       Aquae destil., dr. j.
      Solve, m.  j  contains m.  1-10.   Dose, m.
       x-xxx.

2.  R—Aconit. rad. tinct., m.  vj
       Aquae destil.  dr. j
      Solve,  m.   j  contains  1-10.   Dose,  m,
       x-xx.

3.  R—Ammoniae  aq. fort., m.  xx
       Aquae  destil.,  dr.  ij
      Solve, m.  j  contains m. 1-6.  Dose,  m.
       xxx.

 4   R—Apornorphinae,  gr.  j
        Aquae destil., dr.  iiss
       Solve  m.  j contains gr.  1-150.   Dose, m.
        v—xx.  (A  prompt  emetic).

 5. R—Arseniatis  liq. sodii, dr. ss
        Aquae destil., dr. ss
       Solve,  m.  j  eq.  m.  1-60.   Dose, m.
        ii-x.

 G  R— Atropinae  sulphatis, gr. j
        Aquae destil., dr. xv
       Solve,  m.  j  contains  gr.  1-900.  Dose,  m.
        v-xx.

 7.  R—Caffeini,  gr. x
        Aquae destil., dr  3            „
       Solve, in.  j  contains gr.  1-6.  Dose,  m.
        v-xx.

  8  R—Camphorae, gr. v
         Alcoholis, dr.   j
       Solve.  Dose, m.  vi-xxx.

  9   R—Chloral  hydratis,  dr.  J
         Aquae destil., dr. l]
       Solve,  m.   j  contains  gr.  %.  Dose,  m.
         x-xxx.

 10   R—Coneini,  gr. %
         Spiritus,  dr.  ss
         Aquae  destil.,  dr.  Iss
        Solve  m.  j contains gr.  1-480. Dose,  m.
         iij-xij  (Must  be freshly  prepared.) 
48
11.  R—Curarae, gr. %
        Aquae  destil.,  dr.  iv
       Solve, m. j  contains  gr.  1-900. Dose,  m.
        v-xv.

12.  R—Digitalin,  gr.  ss
        Alcoholis,
        Aquae  destil.,  aa dr. ij
       Solve, m. j  contains  gr.  1-480. Dose,  m.
        iv-viij.

13.  R—Daturiuae. gr.  ss
        Aquae  destil.,  oz  j
       Solve, m. j contains  gr.  1-900.  Dose,  m.
        iv-x.

14.  R—Ergotinae,  gr.  xv
        Alcoholis.
        Glycerini,  aa  dr.  Ij
       Solve, m. j  contains   gr.  1-20.  Dose,  m.
        v-xxx.

15.  R—Extracti ergotae  fl.,  q.  s.
       Filter carefully.  Dose,  m.  x.

16.  R—Eserline muriate,  gr.  j
        Aqua destil., oz.  j
       Solve, m. j  contains  gr.  1-4S0. Dose,  m.
        v-x.

17.—Ether  sulphuric,  m. x-xv

18. R—Hydrarg. chlorid. corros.
        Ammonii chloridi, aa gr. iij.
         Misce  et  solve in.
        Aquae  destil.,  dr.  iss
       Dein adde:
         Albuminis ovi  dr. iss
        Aquae  destil.,  dr.  v
       Filtra et adjice—Aquae destil., q.  s.  ad
         dr.  x.  m.  contains  gr.  1-200. Dose,  m.
        iij  to   x.

19.  R—Hydrarg.  et sod.  iodid., gr.  iij.
        Aquae  destil., dr. iiiss
       Solve, m. j contains   gr.  1-70.  Dose,  m.
        x,  every other day.

20.  R—Morphinae  sulphatis, gr. xvj
        Acid salicylic, gr. ss
        Aquae  destil., oz. j
       Solve, m. i  contains 1-30.   Dose. m.  iij-x.
        (Filter).

22.  R^-Morphinae sulphatis,  gr. xxiv
        Atropinae sulphatis,  gr.  j
        Olei amygdalae amarae, gtt. j
        Aquae  fontanae,  oz. i j
       Solve, m.  x  contain  gr.  >4  of morphine,
        and gr. 1-96 of  atroplna.  (Didama's  so-
        lution.)

23.  R—Morphinae  sulphatis,   (Magendies'  solu-
          lution), gtt.  v-x.
24.  R—Physostigmia (Eserlne muriat). 
                        49

25.  R—Physoetlgmae  ext.,  (Calabar  bean),  gr.
          xvj
        Aquae destil.,  oz. j
       Solve,  m.  j  contains gr.  1-30.  Dose,  m.
        iv-xij

26.  R—Pilocarpinae muriatis  vel nitratls,  gr. iij
        Aquae destil.,  dr. iv
       Solve,  m.  j  contains gr.  1-SO.  Dose, m.
        x-xx.

27.  R—Potassil iodldi,  dr. j
        Aquae destil.,  dr.  iv
       Solve.  Dose,  m. vi-xx.

2S.  R—Quininae  sulphatis,  gr.  xv
        Acidi sulphurici  aromat., q. s. ad solu-
          tlonem
        Aquae destil.,  q. s. ad  dr. iiijs
       Fiat solutio.,  m. j  contains gr. 1-10.   Dose,
        m. v-xx.

29.  R—Quininae  bisulphates, dr.  i
        Acidi borici, gr.  ij
        Morphinae  sulphatis, gr.  1/4.
        Aquae destil.,  oz. i
       Solve.  Not irritating

30.  R—Quininae  bimuriat  carbamadata,  (hydro-
          chlorate with urea),  gr. xx
        Aquae destil.,  dr. j
       Solve,  m. j contains gr.  %. Dose, m.  vi-xxx

31.  R—Splritus  (brandy, whiskey),  m. xx-lx.

32.  R—Strychninae sulphatis, gr. j
        Aquae destil.,  oz.  j
       Solve,  m.  j  contains gr. 1-480.  Dose, m.
        iv-xv. iTriturate  in a  mortar  until all
        the crystals disappear, or heat in a  test-
        tube). 
                  50

DOSES  FOR  INHALATION.
      DRUG.         QUANTITY IN 1  OZ.  DIS-
                        TILLED WATER.
 Aoidl Carbolici  .........................grs.ij-x
 Acid Cresylic  ....................grs. xv-xxx
 Aoid.  Lactici.......................grs.\-xxx
 Acid. Salicyli  ---...................grs.xv-xxx
 Acid.  Sulphuric,   dil....................m x xx
 Acid. Tanniui   ...................grs.ij-xx
 Ahmnis  ...........................grs.v-xxx
 Anionii  Chlcridi   ......................grs.ii-xii
 Ammon   Murat.......................grs.v-x
 Aquae Amygdalae Am.iraa ........... .Undiluted
 Aquae  Calcis ....................Full  strength
 Aquae Menth. Pip.....................dr j.jj
 Argenti   Nitrat...................... . .'grs.i-x
 Arseniatis  Liq.,   Sodii   ..................m v-x
 Auri  Chlorldi .............................gr? ii
 Aquae  Destil.........................'.'.'. .0^.j
 Belladonnae  Tinct...................m' xv-xxx
 IHomine  ........................'.'.'...    <t i
 Iodide  of Potassium  .................... .dr.i
           ,  ,.          Pour into cone and inhale'.
 Cannabis  Indicae   Tinct...........     m iii-xv
 Cupri Sulph...........................gr.'i-xv
 Ferri  Cbloridi  Tinct........          ' ni  x-xx
 Hauii.melis Tinct.................V.'.'.'.m xx-xl
 Ipecac,  Fld.  Ext.................     m  x_xx
 Morphinae Aceta-tis  ..................gr' SS-is,s
 Morphinae Sulphatis  ............grs i-12 to  1-6
 Morphinae Muriatis ............  . .grs 1-12 to 1-6
 Opii  Deodorat.,  Tinct............    m xv-xxx
 Potass.  Chlorat......................gls.. v.xx
 Potassii  Permanganatis  .......        "" gr ii  v
 Potass.  Liquor   ..................'.'.'.'.'.in x-xii
Picis  Liquidis Infus.  (aquae  picis). ....dr.ii-viii
Sodii  Benzoat.......................grs.iii-xv
Sodii  Liquor............                m y -rii
Terebinth, 01...........................  in v  x
 zmci   suiph  ................:;::.';.'.' ;grs'. m-xv 
51
CHAPTER  IV.
TABLE   OF   DOSES   AND   REME-

              DIAL  AGENTS.


  Remedies.         Apoth. Dose and  Metric Dose.
Abstract.
  Aconitl.................gr.  ss  to  j  0.06-0.005
  Aspidosperm  .........gr.  v to xx  0.333-1.333
  Belladonnae  ............gr. ss to 1  0.03-0.065
  Cannabia Indicae ......gr. i to iii  0.066-0.200
  Conii  ................gr.  i  to ii  0.066-0.133
  Digitalis   ............gr.  i to iij  0.066-0.200
  Gelsemll   ............gr.  1  to iii  0.0)6-0.200
  Hyoscyaini ............gr. ii to v  0.133-0.333
  Ignatiae  ............gr.  i  to iii  0.0<>e>-0.200
  Ipecacuanhae........gr.  iii to  xxx  0.200-2.000
  Jalapae  ..............gr. vi to  x  0.400-0:61)6
  Nucis vomicae ........gr. ss to ii  0.03*0-0.130
  Phytolaccae  ..........gr.  v to xv  0.333-1.000
  Pilocarpi   ..........gr.  vi to  xxx  0.400-2.000
  Podophylli  ............gr. iv  to  x  0.266-0.666
  Senegae  ............gr.  iv  to  x  0.266-O.G60
  Valerinae  ............gr. v to xx  0.300-1.300
  Veratrum viride........gr.  i to iii  0.065-0.200
Acetum  lobeliae........m xv to  xxx  1.000-2.O0O
  Opii  ................m  v  to  xvi  0.333-1.066
  Sanguinariae  ........in xv  to  xxx  1.000-2.000
  Scillae ..............m x  to  xxx  0.0t>6-2.000
Acidum acet. dil.........m 60 to 90  4.000-6.000
  Arseniosum........gr. 1-64  to 1-20  0.001-0.003
  Benzoicum  ..........gr.  v to xv  0.333-1.000
  Boricum............gr.  v  to  x  0.333-0.(iti6
  Oarbolicum  ..........gr.  i to  iii  0.065-0.200
  Gallicum  ..........gr.  iii to  xv  0.200-1.000
Acidum  bydrobromicum  (34  per  cent.)
                           gr. x to xv  0.066-1.000
  Hydrobromicum  dilutum,
                      m. 40  to dr.  ij  2.6G6-8.000
  Hydrochloricum  ......m.  iii  to  x  0.200-0.066
  Hydrocliloricum  dilutum,
                        in.  x  to  xxx  0.006-2.000
  Hvdrocyanicum  dilutum..m. i to iv  0.005-0.250
  Lacticum ........gr. xv  to dr.  j  1.000-4.000
  Nltrlcum  ............m.  iii  to  x  0.200-0.G(>6
  Nitricum  dilitum.....m. x  to  xxx  0.666-2.000
  Nitiohvdrochloricum---m. ii  to  v  0.130-0.300
  Nitrobydi-ochlorioum dilutum,
                          m. v to xx  0.300-1.300
  Phosphoricum ......m. iii  to  viii  0.200-0.500
  Sulphuricum..........m. v to x 0.333-0.066 
52
  Phosphoricum dilutum..m. x 10 xxx 0.666-2.000
  Salicylicum  ........yr. v  'O xxx 0.333-2.000
  Sulphuricum  ..........m.  v to  x 0.333-0.666
  Sulphuricum dilutum. .m.  v to xxx 0.333-2.000
  Sulphuricum  aroma ticum,
                         m.  v to xxx 0.333-2.000
  Sulphurosum  .........m.  30  to 60 2.000-4.000
  Tannicum  ...........gr.  iii  to xx 0.200-1.300
  Tartaricum  .........gr. x to xxx 0.650-2.000
Aconitum  (white crystals),
               gr.  1-400  to 1-200  0.000167-0.0003
Adonldin ..........gr.  1-16  to 1-10 0.004-0.006
Aloe  ...................gr.  ii to  v 0.133-0.333
Aloinum ................gr. i  to iii 0.006-0.200
Alumen ................gr. x  to xv 0.066-1.000
Ammonii benzoas......gr.  x  to  xx 0.666-1.333
  Bromidum  ..........gr. v to xxx 0.333-2.000
  Carbonas ............gr.  iii to  x 0.200-0.666
  Chloridum  ............gr. v  to xx 0.300-1.300
  lodidum  ..............gr. ii to  v 0.130-0.300
  Phosphas ............gr.  v to xx 0.333-1.333
  Picras................gr. Vi to y2 0.016-0.033
  Sulphas  ............gr. Iii  to  xv 0.200-1.000
  Valerians............gr. iii  to xv 0.200-1.000
Amyl nitris  ............m.  iii to  v 0.200-0.333
Anylum iodatum......gr. iii to xxx 0.200-2.000
Antifebrin ............gr.  ii  to  xv 0.133-1.000
Antimonii  et  potassii tartras.
     (diaphoretic)  ..gr.  1-20 to 1-12 0.003-0.005
  Et potass,  tartr.,(emetic).gr. i to ii 0.066-0.133
  Oxidum  ..............gr.  iss to ii 0.100-0.133
  Oxysulphuricum  ......gr.  ss  to ii 0.033-0.133
  Sulphidum............gr. v  to xv 0.300-1.000
  Sulphldum puriflcatum. .gr.  % to  j 0.016-0.065
  Sulphuratum  ..........gr.  1  to x 0.065-0.650
Antypyrine ............gr.  x to xx 0.666-1.333
Apiol  ..................gr. iii to v 0.200-0.333
Apomorphina hydrochloras,
                     gr.  1-12 to  1-6 0.005-0.010
Aqua ammoniae  ......m. v  10 xxx 0.300-2.000
  Amygdalae amarae___dr. il to  iv  8.000-16.000
  Campliorae..........oz. ss to ii  16.000-64.000
  Chlori ...............dr. 1 to iv  4.000-16.000
  Creasoti  .............dr.  i to  iv  4.000-16.000
  Laurocerasi .........m. vi to xxx 0.400-2.000
Argenti iodidum........gr.  ss to  2 0.033-0.133
  Nitras ..............gr. 1-0 to 1-3 0.011-0.022
  Oxidum  ..............gr.  ss  to ii 0.033-0.133
Arsenii iodidum ___gr.  1-61  to 1-10 0.001-0.006
Asafoetida ............gr.  v  to  xx 0.333-1.333
Atropina   ........gr.  1-120  to  1-60 0.0005-0.001
Atropinae sulphas, .gr.  1-120 to  1-60 0.0005-0.001
Auri  et sodii  chloridi,
                     gr.  1-32  to 1-16 0.002-0.004
Bebeerinae  sul.......gr.  iii  to  x 0.200-0.066
Beberina, and  its salts..gr. iii  to xv 0.200-1.000
Bismuthi citras  ........gr.  iii  to xv 0.200-1.000
Bismuth  et ammonia citras.gr.i to xv 0.060-1.000
  Sulicarbonas  ........gr. vi to xxx 0.400-2.000
  Subnitras ..........gr.  v  to xxx 0.300-2.000
  Tannas  ............gr. vi to xxx 0.400-2.000
  Valerians ............gr.  i to iii 0.066-0.200
Brayera ..............dr. 11 to  vi  8.000-24.000 
53
Brucina  ............gr. 1-G4 to 1-16  0.001-0.004
Caffeina  ................gr. i to  v  0.066-0.333
Caffeinae citras  ..........gr. i to v  0.000-0.333
Calcii bromidum ......gr. v to  xxx  0.333-2.000
  Carbonas  praecipitatus.. .gr. x to xl  0.650-2.600
  Hypophosphis..........gr. v to xx  0.300-1.300
  Iodidum ..............gr.  i  to iii  0.000-0.200
  Phosphas  praecipitatus. .^r. v  to xx  0.300-1.300
Calx  sulphurata ......gr. 1-10 to  ii  0.000-0.130
Camphora ..............gr.  iii to x  0.200-0.666
  Monobromata  ..........gr. ii to x  0.130-0.650
Cannabis Indica........gr.  1-4 to ss  0.016-0.030
  Americana  ..........gr. 1-3 to ss  0.020-0.030
Cannelia ............gr. xv to  xxx  1.000-2.000
Cantharis  ............gr.  ss  to  ii  0.033-0.133
Capsicum ..............gr.  i  to iii  0.006-0.200
Carbo animalis  ........oz.  ss  to i  15.000-30.000
  Ligui   ...............oz.  ss  to j  15.00O-30.OO0
 Castoreum  ............gr.  vi  to xv  0.400-1.000
 Catechu ...........gr.  xv  to xxx 1.000-2.0000
 Carbonei bisulphidum___m  ii  to  vi  0.130-0.400
 Cerii nitras  ............gr. i to iii  0.066-0.200
   Oxalas...............gr. i  to iii  0.060-0.200
 Chinoidinum ..........gr. Hi  to xxx  0.200-2.000
 Chloral ................gr.  iii to xx  0.200-1.333
 Chlorofornium  ............m  i  to  v  0.066-0.333
 Chrysarobinum........gr.  1-10  to  n  0.00b-0.130
 Cinchona ..........gr.  xv  to dr.  l  1.000-4.000
 Cinchonidina, and Its salts,
                          gr. i  to xxx 0.066-2.000
 Cinchonina, and salts..gr    i  to xxx 0.066-2.000
 Cinnamomum  ........gr.  vi  to  xxx 0.400-2.000
 Cocaine sol. p. c...........gr.  l to iv
 Codeina ..............gr.   ss  to  ii 0.033-0.133
 Confectio sennae  ........gr.  l  to  n 0.0o6-0.133
 fVmiiim          ........gr. "  to v  0.130-0.300
 C^nint and -salts. .. .gr. 1-64  to 1-32  0.001-0.002
 Copaiba ..............m xv to dr. i  1000-4.000
 ruvta              ........gr.  l to ii  0.066-0.133
 cStoina........ •......gr. 1-6 to 1-2  0.011-0.033
 tteasotum'"' '............ -m.  i  to  iii  0.066-0.200
 rveta nrenarata   .......gr.  x  to  xl  0.650-2.650
 CrotencWoral      ......  gr.  i to v  0.66G-0.333
 Cuteba          .'...gr. x? to  dr. 1  1.000-4.000
 Qrorf acetas.....     ^r. 1-10 to 1-4 0.006-0.016
    ^ilnhas    ......  ■ .  gr.  1-4  to  ss  0.016-0.033
    A„r*S..............gr.  1-6 to j  0.011-0.066
  r,^-  i'.........:  .. .  . gr. x  to  xl O.G50-2.600
  S^L  ...........  gr. 1-32  to  1-6  0.002-0.011
  Curarina.'!.'::...... Jr.  1-64  to 1-20 0.001-0.003
 Cydonium.....................           ..<-„,
 Daturine......gr. 1-100 to 1-60 ,0.00067-0^0134

  DcSaealoes comr.v.ozz-  "toV £o°oZ%Z
    SarsapaiiUae composites       ^ 64.000-120.000
    .  .,.,.               %t 1-64 to 1 32  0.001-0.002
  gllftalfsr.-.V.-.V/.V:8::.gr64ss°to ii  0.033-0.133

  Duboisina and salts                 0.0005-0.001
                       n  hi  to dr. J  2.000-4.000
  Dulcamara..........gr. xxx  io m. j
    ,  ,   .            err  1 20  to 1-10  0.003-0.006
  Elaterinum........gr-  J--*0  l" x  u 
54
Emetina and salts (emetic)
                      gr.  1-8 to  1-4  0.003-0.016
  And  salts  (diaphoretic),
                  gr.  1-120 to 1-30  0.0005-0.002
Emulsio hydrocyauicum___dr. ss  to  i  2.000-4.000
Ergota..............gr. xv.  to dr.  j  1.000-4.000
Ergotinum.............gr. ii to  viii  0.133-0.533
Eserina and salts___gr. 1-G4 to  1-20  0.001-0.003
Erythroxylon............dr.  ss  to  j  2.000-4.000
Euouymus ....................
Ethindene  dichloride,  dr.   iv  (in-
     halation).
Ethyl  iodide......m.  xv,   inhale.
Ethyl bromide............in.  x to xl  0.650-4.000
Eucalptus..............gr. v  to xx  0.300-1.300
Eupatorium..............dr.  ss  to  j  2.000-4.000
Extractum absinthii......gr. ii to vi  0.133-0.400
  Absinthii fluidum___m.  xv to xxx  1.000-2.000
  Achillae  .............gr.  iii  to x  0.200-0.066
  Achilleae fluidum___m.  xv to dr.  j  1.000-4.000
  Aconiti fol..........gr.  1-4 to ss  0.010-0.032
  Aconiti fol. fluidum.....m. i  to v  0.060-0.333
  Aconiti rad.  (U. S.  P.,   l.s^O),
                      gr.  1-12 to 1-4  0.005-0.016
  Aconiti (rad.)  fluidum. .m ss to  iiss  0.033-0.1G6
  Aletridis  fluidum......in xv to xxx  1.000-2.000
  Alni  rub. fluidum___in.  xv to  xxx  1.000-2.000
  Aloes  aquos..........gr. ss to iii  0.033-0.200
  Alston const,  fluidum..dr.  i to  iv  4.000-16.000
  Angelicae  rad. fluidum,
                     m  xxx  to dr.  j  2.000-4.000
  Angusturae fluidum___m xv to  xlv  1.000-3.000
  Anthemidis............gr.  ii  to x  0.133-0.666
  Anthemidis fluidum..in xxx to dr.  j  2.000-4.000
  Apocyni andros fluidum,
                       m  viii to 50  0.533-3.333
  Apocyni cannab. fluidum,
                      m  viii to  xxx  0.533-2.000
 Extractum araliae  hisp.   fl.
                       m  xxx to dr.  j  2.000-4.000
  Araliae  racem fluidum,
                      m.  xxx to dr.  j  2.000-4.000
  Araliae spin,  fluidum.,
                      m.  xxx to dr.  j  2.000-4.000
  Arecae fluidum.......m. 45 to 75  3.000-5.000
  Arnicae flor.........gr. iii to viii  0.200-0.533
  Arnicae fluidum  .......m. v to xv  0.333-1.000
  Arnicae radicis  ........gr. ii to v  0.133-0.333
  Arnicae rad.  fluidum... .m. v to xv  0.333-1.000
  Aromat.  fluidum..  .m.  xxx to dr.  j  2.000-4.000
  Ari. triphyill  fluidum. .m. xv to xxx  1.000-2.000
  Asari fluidum  ......m. xv to  xxx.  1.000-2.000
  Asclep.  insar. fluidum. m. xv to xxx.  1.000-2000
  Asclep.  syr.  fluidum. .m. xv to xxx  1.000-2.(.00
   Asclep. tuber, fluidum.m. xv to xxx  1.000-2.000
  Aspidii  fluidum......dr. i to iv 4.000-16.000
  Aspidosperm.   fluidum  m. xv to xlv  1.000-3.000
  Aurantii  cort.  fluidum,
                       dr. 1-4 to  iiss 1.000-10.000
  Aurantii  aurantii amari fl.,
                        m. xv to xxx  1.000-2.000
  Azedarach fluidum___m.  xv to 75  1.000-2.000
  Baptisiae fluidum... .m. vii to xxx  0.466-2.000 
55
Belladonnae alcohollcum,
                      gr. 1-4 to 1-2  0.016-0.030
Belladonnae  fol.  (Engl.),
                      gr. 1-6 to 2-3  0.011-0.044
Beladonnae  fol.  fluidum,
                        m. ill to vi  0.200-0.400
Belladonnae  radicis.  .gr. 1-6 to 1.4  0.008-0.016
Belladonnae  radicis  fluid.m. i to iii  0.006-0.200
Berber  aqui-fol. fluidum, ^ ^ ^  j ^ ^

Berber, vulg.  fluidum, ^ ^ ^ ^  1000.2i000

Boldi  fluidum  ........m. iii to xv  0.2001.000
Bmyerae  fluidiun  ___dr. n to iv  8.0 .0-16.000
Brv'oniae  fluidum  ---m. xv to 60  1-000-4.000
Buchu  fluidum  ......dr. ss to iiss 2^00^10.000
 Calami  fluidum.......m xv to 60  1.000-4.000
 Calend.  fluidum......m xv  to 60  1^00-4.000
 Polnmbne        .......gr. Ill to X  0.200-O.M)')
 Calumbae' "fluidum   . .. .m. xv  to GO 1000^000
 Canellae  fluidum  ..  . .m. xv  to 60 1000-4.000
 Cannabis  indicae  ...  .gr. 1-4 to ss 0.016-0.030
 Cannabis  American, fluidum..  ^ ^  02OQ_lo00

 Cannabis  indicae fluidum^ ... ^ ^ ^^^

 Capsici fluidum........m. 1 to iii  O-0™0/2^
 Cardam.  comp.fluidum.m. xv  to xvl  1-000-3.000
 Cardui  ben.  fluidum.. .m. xv to 60  1.000- .000
 Carnis  ...........gr. xv to dr. j  1.000-4.000
 Cascara sagrad.  rad. fluids, ^ ^  q ^ ^

 Cascarillae  fluidum.^  3 4 fQ .. t 3  3.000-10.000

 Castaneae fluidum  . .dr. 3-4 to iiss  3 00f>10.000
 Catariae  fluidum  . .dr. 1-4-to i 1-4  1.000 5-™
 Catechu  liq........m. vmtoxxx  0.53.--.000
 Caulophyii  fluidum  .  .m. xv to xxx  1-000-2.000
 Chelidonii  fluidum  ...m. xvtoxx  l-™?-0^
 Chelonis  fluidum  -••«n-™*°16?  *2no1"on0
 niinnnb  fluidum   . .dr. 3-4 to l 1-4  ■l'**'-*1*'"
 OnSthal fluidum dr. 3-4 to iiss  %™»»-™
 Chirettae fluidum   . .dr. ss to i 1-4 |000-|.000
Extractum cimlcifugae fl- -dr. ss to i  2000-4.OO0
  Cinchoniae........gr- xv  to xxx  1-000--.000
  Chinchcniae fludum    m. xxx to 60  _.000-4.000
  Cinchoniae  fluidum arom,^ ^ ^  2Q0QA0O0

  Cinchoniae comp.  fluidum,    ^      2.000.5.000

  Cocculi  fluidum........m.  i to iii  O.0G0-0.2OO
  Colchici  fadicis fluidum^  ^ ^ ^  al33.0.266

  Colchicl  radicis......gr. i-3 to jss  0.022-0.100
  Colchici  seminis fluidum,  ^  ^ ^  0 130.0 500

  Collinsoniae fluidum.m. xxx  to  60  2 00014.0^0
  Colocyntbidis........gr.  nss to v  0.100 0.333
  Colocynth  comp ......gr-..^"!  o W-2 000
  Condurango fluidum. .m. vm  to  xxx  0...33 2.000
  Conil  fluidum ..........m.  n to y  0.130-0.OT
  Conii  alcoholicum......gr  ss to ij   0.030-0.130 
56
Oonvalleriae radicis fluid.
                   m.  iv  to xxx 1.000-2.000
Ooptldls fluidum  ....in. xxx  to  60 2.000-4.000
Cornus fluidum ........dr. ss to j 1.000-2.000
Corydalis fluidum___m. xv to xxx 1.000-2.000
Coto fluidum  ........m. iij  to  xv 0.200-1.000
Cubebae fluidum     m.  x to xxx 0.050-2.000
Cypripedii  fluidum    m.  xv  to  GO 1.000-4.000
Damianae fluidum___dr.  ss to iiss  2.000-10.000
Delphinae fluidum......m.  1  to  iij 0.006-0.200
Digitalis ............gr. 1-6 to ss 0.011-0.033
Digitalis fluidum ......m. i to vi 0.066-0.400
Dioscorene  fluidum  .  .m.  xv to xxx 1.000-2.000
Ditae fluidum......dr. i to iv  4.000-16.000
Dulcamarae fluidum___dr. ss to j 2.000-4.000
Dracontii fluidum___gr. xxx to 60 2.000-4.000
Droserae fluidum  ......m. v to x 0.333-0.6GG
Ergotae  ..........gr. iss to viii 0.100-0.533
Ergotae  fluidum ___m.  xv  to  60 1.000-4.000
Eryodictyl  fluidum . .m. xv  to  60 1.000-4.000
Erythoxylum fluidum'  ..dr. ss to ii 2.000-4.000
Eucalypti fluidum  ___m.  v  to  xx 0.300-1.300
Euonvmi fluidum  ___m. xv  to  60 1.000-4.000
Eupatorii fluidum  ___dr.  ss to j 2.000-4.000
Euphorb. ipec.  fluidum,
                      m. v to xxx 0.333-2.000
Ferri pom............gr. iij to xv 0.200-1.000
Frangulae  fluidum  ... .m. x  to xxx 0.650-2.000
Frankeniae  fluidum . .m. viij to xv 0.533-1.000
Oallae  fluidum  ......dr. 3-4 to  ij 3.000-8.000
Oelserail flu'dum  ......m. ij to v 0.130.0.300
Gelsemii ............m. ii to viii 0.133-0.533
Gentianae  fluidum  . .m. x to xxx 0.650-2.000
Gent. comp. fluidum*. .m. xxx to 60  2.000-4.000
Gent. quin. fluidum..m. xv to xxx 1.000-2.000
Geranii auidum ........dr. ss to  i  2.000-4.000
Gei  fluidum  ........m.  xv to xxx  1.000-2.000
Gilleniae fluidum  ......xv to xxx  1.000-2.000
Gossvpil radicis fluidum.
                        dr. ss to  J  2.000-4.000
Granatl radicis  fluidum,
                     dr. 3-4  to  ii  3.000-8.000
Grindeliae  fluidum . .m.  xv  to lx  1.000-4.000
Guaiaci ligni fluidum.m. xxx to 60 2.000-4.000
Ouaranae fluidum......m.  xv to lx 1.000-4.000
Haematoxyli........gr. viij  to xxx  0.533-2.000
Haematoxyli  fluidniu. .m xxx to 60  2.000-4.000
Hamamelidis  fluidum..m. x  to xxx  O.'65O-2.OO0
Helleb.  nlgris........gr. ss to  iij  0.0:^-0.200
Helleb. nigrls fluidum... .m v to xv  0.333-1.000
Heloniae fluidum....m viij to xxx  0.533-2.000
Hepatlcae  fluidum....m xxx to 60  2.O00-4.OO0
Humull..............gr.  iii to xv  0.200-1.000
Humuli  fluidum......m  xxx to 60  2.000-4.000
Hydrangeae fluidum___m xxx to 60 2.000-4.000
Hydrastis  fluidum  ......dr. ss to j  2.000-4.000
Hydrastis..............gr. iii to  x  0.200-0.«"66
Hyoscyami  fluidum......m v to x  0.300-0.600
Hyoscyami sem.  fluidum m ii to  viii  0.133-0.533
 Ignatiae..............gr. 1-4 to ss 0.016-0.033
 Ignatiae fluidum........m. i to vj  0.066-0.400
 Iridis fluidum..........m  v  to xx  0.300-1.300 
57
Iridls  versic..........gr. iii  to  vi  0.200-0.400
Ipecacuanhae  fluidum.. 111 xv to xxx  1.000-2.000
Jaborandi fluidum........m x to  GO  0.666-4.000
Jalapae (U. S. P., 1870). .gr. v to x  0.333-0.666
Jalapae alcoholicum... .gr.  iii to  vi  0.200-0.400
Jalapae fluidum......m  xv to xxx  1.000-2.000
Juglandis..............gr.  v to  xx  0.300-1.300
Juglandis  fluidum......dr. 3-4 to ii  3,000-8.000
Junip.  fluidum........m xxx  to  60  2.000-4.000
Kamala fluidum......m  xxx to  60  2.000-4.000
Kino,  liquid..........m xv to xxx  1.000-2.000
Krameriae............gr." v  to  xv  0.333-1.000
Krameriae fluidum...m  xxx  to  60  2.000-4.000
Lactucae.............gr.  v to  xv  0.333-1.000
Lactucarii fluidum......m x to xxx  0.600-2.000
Lappae fluidum..........dr. i to il  4.000-8.000
Laricis fluidum........dr.  ss  to  ii  2.000-8.000
Leonuri fluidum.......m xxx  to  60  2.000-4.000
Leptandrae fluidum......dr. ss to j  2.000-4.000
Lobeliae fluidum........m v  to  xx  0.300-1.300
Lupulini  fluidum.......dr. ss  to j  2.000-4.000
Lycopi fluidum........m. v to xxx  0.333-2.000
Malti................dr. i to iiss  4.000-10.000
Manzanitae fluidum___dr.  ss  to  ii  2.000-8.000
Marrubii  fluiduni........dr. i to ii  4.000-8.000
Matico fluidum..........dr. ss to j  2.000-4.000
Matricariae..........m viij to xxi  0.533-2.000
Menisperm. fluidum___m xxx to  60  2.000-4.000
Methystice fluidum___m xv to xxx  1.000-2.000
Mezerei fluidum........m  iii to x  0.200-O.G66
Mezerei................gr.  ss to j  0.033-0.066
Micromeriae............m xv  to  60  1.000-4.000
Mitcheliae fluidum___m xxx  to  60  2.000-4.000
Myricae fluidum......m  xxx to  60  2.000-4.000
Nectandrae............dr.  1 to lv  4.000-16.000
Nucis  vomicae fluidum. .. .m i to  iv  0.065-0.250
Extractum  nucis vomicae,
                   gr.  1-8  to 1-2  0.008-0.033
Nuphar.   fluidum......m. v  to  xv  0.333-1.000
Nymphaeae fluidum ... .m. v  to  xv  0.333-1.000
Oenotherae fluidum---m. xv to xxx  1.000-2.000
Opii................gr. 1-6 to  ss  0.011-0.033
Papaveris ..........gr.  ss  to  ii  0.033-0.133
Papaveris fluiduni... .m. xv to xlv  1.000-3.000
Parelrae fluidum......m. xxx to  00  2.000-4.000
Petroselina fluidum  ___dr. i to ii  4.000-S.OOO
Fhellandrii fluidum___dr.  1  to  ii  4.000-8.000
Phorandend. fluidum___dr.  ss to j  2.000-4.000
Physostigmae......gr. 1-16 to 1-6  0.0O1-0.011
Physostigmae fluidum___m. i to  iii  0.066-0.200
Phytolaccae  baccar.  fluid,
                      m. v to xxx  0.333-2.000
Phytolaccae radicis---gr.  i  to  iii  0.066-0.200
Phytolaccae rad. fluidum,
                      m. v to xxx  0.333-2.000
Pilocarpi  fluidum ___m. xv  to GO  1.000-4.000.
Pimentae fluidum___m.  xv to xlx  1.000-3.000
Piper,  nigr. fluidum. .m. xv  to xlv  1.000-3.000
Piscidiae  fluidum......m. xv  to  60  1.000-4.000
Podophylli............gr.  iii to x  0.200-0.650
Polygonl fluidum......in. xv to xxx  1.000-2.000
Fodophylll fluidum. .m.  viij to xxx  0.533-2.000
Polygonati  fluidum..m.  to x  to  xv  0.333-1.000 
 Populi  fluidum......m.  xxx to  60 2.000-4.000
 Prinos fluidum........m.  xxx to 60 2.000-4.000
 Pruni  Virginiae  fluidum,
                       m. xxx to  60 2.000-4.000
 Pteleae............m.  xv  to  xxx 1.000-2.000
 Pulsatillae  fluidum.....m.  ii to v. 0.133-0.333
 Quassiae  ..............gr.  i  to v 0.0Cii-0.333
 Quassiae  fluidum......m.  v to  xx 0.300-1.300
 Quercus fluidum___m. xxx  to  dr. j 2.000-4.000
 lthamni cath. ft. fluidum.
                     m. xxx to dr. j 2.000-4.000
 lthamni purs. cort. fluidum,
                  in. xxx  to dr.  ij 2.000-8.000
 Rhei................gr.  v to  xv 0.333-1.000
 Rhei fluidum........m. xv  to xlv 1.000-3.000
 Rhus   aromatic,  fluidum,
                    m.  xv  to  dr. j 1.000-4.000
 Rhus  glabr.  cort.  fluidum,
                     m. xxx  to  dr.  1 2.000-4.000
 Rhus  glabr.  fruct.  fluidum,
                    m. xxx to dr.  j. 2.000 4.000
 Rhus  toxicod. fluidum,
                         iu.  1 to vj 0.066-0.400
 Ricini  fol.  fluidum___dr.  11 to  ij 2.000-8.000
 Rosae  fluidum........dr.  ss  to  ij 2.000-8.000
 Rubi  fluidum..........dr.  ss  to j 2.000-4.000
 Rumicis fluidum___iu.  xxx to  dr. j 2.000-4.000
 Rutae  fluidum......m.  xv  to- xxx 1.000-2.000
 Sabbatiae fluidum.  .m.  xxx to  dr. j 2.000-4.000
 Sabinae  fluidum......m.  v to  xv 0.333-1.000
 Salicis fluidum........dr.  ss  to ij 2.000-8.000
 Salviae fluic.'um........dr.  ss  to ij 2.000-8.000
 Kainbuci  fluidum......dr. ss  to  ij 2.000-8.000
 Sanguinariae fluidum. .. .m.  ii to v 0.130-0.300
  Santall citr. fluidum___dr. i  to ij 4.000-8.000
  Santonicae flufdum. .m.  xv to  dr.  j 1.000-4.000
Extractum  sarsaparillae fl. .dr. ss to j 2.000-4.000
 Sarsaparillae compositae 11.,
                          dr.  ss to  j 2.000-4.000
 Sassafras fluidum......dr.  ss  to Ij 2.000-8.000
 Scillae fluidum..........m.  i  to iij 0.065-0.200
  Scillae comp. fluidum..m v to xxx 0.333-2.000
 Scoparii  fludium........dr.  ss  to  j 2.000-4.000
 Scutellariae fluidum......dr. ss to j  2.000-4.000
  Senecionis  fluidum......dr.  i  to ii  4.0uo-s.ooo
  Senegae  fluiduni........in  v to xx  0.300-1.300
  Sennae fluidum........dr.  i to  iv  4.000-1O.Ooo
  Serpentarie fluidum... .m xx to xxx  1.300-2.000
  Simarubae  fluidum... .m  xv tj xxx  1.000-2.000
  Solidag.  fluidum___in  xxx to  dr.  j  2.000-4.000
  Spigeliae fluidum........dr. j to ij  4.000-8.000
  Spigelian et sennae  fluidum,
                         dr. ss to il  2.000-8.000
  Stillingiae fluidum___m xv to  xxx  1.000-2.000
  Stillingiae  comp.   fluidum,
                       m xv  to  xxx  1.000-2.000
  Stramonii fluidum........m i to ij  0.065-0.130
  Stramonii............gr.  1-4  to ss  0.016-0.030
  Sumbul fluiduni......in.  iv to dr. j  1.000-4.000
  Taraxaci fluidum........dr. j to ii  4.000-S.OOO
  Taraxaci..............gr.  v  to  xv  0.333-1.000
  Thujae fluidum........m viij  to xv  0.533-1.000 
59
  Toxieodendri fluidum......m i to v  0.066-0.333
  Trifol. prat, fluidum___dr. j to li  4.000-8.000
  Trillii fluidum..........dr.  ss to il  2.000-8.000
  Tritici fluidum........dr. 1  to lv 4.000-10.000
  Tussilag. fluidum___m xxx  to dr. j  2.000-4.000
  Urticae radicis fluidum..m v  to  xv  0.333-1.000
  Ustilag. maid, fluidum..m xv to GO  1.000-4.000
  Uvae  ursi  fluidum......dr.  ss to i  2.000-4.000
  Vaccin. crassifol.  fluidum.dr. ss to i  2.000-4.000
  Valerianae flndium......dr. ss to 1  2.000-4.000
  Valerian..............gr. x  to  xv  0.333-1.000
  Veratri viridis fluidum___m I to iii  0.065-0.200
  Verbenae..............m xv to  GO  1.000-4.000
  Viburni opuli fluidum..dr.  i to ii  4.000-8.000
  Viburni (prunifol.) fluidum.dr. i to ii  4.000-8.000
  Wahoo..................gr. 1 to v  O.OG6-0.333
  Xanthoxyll fluidum......dr. ss to j  2.000-4.000
  Zinglberis fluidum......m. x  to  xx  0.650-1.300
Fel bovis purificat.......gr. iii to vi  0.200-0.400
Ferri arsenias........gr.  1-20 to 1-2  0.003-0.033
Fel  bovis  inspissatum..........gr x  0.550
Ferri benzoas............gr.  i  to v  0.0G6-0.333
  Bromidum..............gr. i  to v  0.066-0.333
  Carbonas sacch........gr. iv to xv  0.267-1.000
  Chloridum..............gr. i to iii  0.066-0.200
  Oitras..................gr v  to x  0.333-0.6GG
  Et  ammoniae citras. .. .gr.  ii to v  0.130-0.300
  Et ammoniae sulph......gr. v to x  0.300-0.660
  Et ammoniae tartras... .gr. v to xv  0.300-1.000
  Et  cinchonid. citras.....gr.  v to x  0.300-0.666
  Et potas. tartras......gr. xv to 60  1.000-4.000
Ferri et quininae  citras.gr.  ii  to v  0.130-0.300
  Et  stryohninae  citras..gr.  i  to  iij  0.0f5-0.200
  Hvpophosphis  .......gr.  v  to  x  O.TOO-0.650
  Iodidum  ........... gr.  i  to  v  0.0G6-0.333
  lodidum saccharatum ...gr.  ii to v  0.130-0.300
  Lactas ..............gr. il  to  v  0.130-0.300
  Oxalis ..............gr.  ii  to  v  0.130-0.300
  Oxidum magnet   .......gr. v to x  0.333-0.066
  Oxidum hydratum .. .oz.  ss to ii  16.000-64.000
  Oxidum  hydratum  cum  magnesia,
                         dr. i to lv  4.000-15.000
  Phosphas  ............gr. 11  to  v  0.130 0.300
  Pvrophosphas  ........gr. ii  to  v  0.130-0.300
  Subcarbonas  ......gr.   v  to  xxx  0.333-2.000
  Sulphas   ........gr.  ii  to  v  0.130-0.300
  Sulphas  exsiccatus  ..gr.  i  to  ij  0.065-0.130
  Valerianas  ..........gr.  i  to  iij  0.065-0.200
Ferrum dialys  .......m  i  to  xv  0.066-1.000
  Reductum  ...........gr.  I   to  v  0.066-0.333
Foeniculum   .........gr,  x  to  xxx  0.650-2.000
Frangula  ............gr.  x to  xxx  0.050-2.000
Galbanum ............gr. x to xxx  0.650-1.300
Galla...................gr.  x to xx  0.650-1.300
Gamboge  .............gr.  i  to iv  O.OG6-0.2R7
Guarana ............gr. viii to xxx  0.533-2.000
Gelsemium  ...........ct.  ii   to  v  0.130-0.300
Geranium   ............dr.  ss  to  j  2.000-4.000
Clvcerinum   .......  - -dr.  i  to  ij  4.00O-S.000
Glycyrrhlza..................1 to v  4.000-15.000
Gossypii radicis  cortex..dr.  ss to  j  2.000-4.000
Granatum   ........gr.  xx  to  xxx  1.300-2.000 
60
Grindelia..............gr.  xv to  lx  1.000-4.000
Haematoxvlon  ................dr. i        4.000
Hamamclis  .........gr.   x  to  xxx  0.G50-2.0O0
Hydrargyri chloridum  corros.,
                  gr.   1-30  to 1-12  0.002-0.005
  Chloridum  mite  ...gr.   1-20 to x  0.003-0.650
  Iodid.  flav.........gr.  1-6 to  j  0.011-0.066
  Iodid. rubr...... gr. 1-50 to 1-10 00013-0.006
  Subsulp. flav........gr.  %  to  ss  0.01G-0.0.'I3
  Cum creta .........gr.  Iii  to viii  0.200-0.533
  Cvanidum  .........gr.  1-10  to  Va  0.004-0.008
  Oxidum mbrum...............gr.  1-10  0.006
  Sulphidum rubr.....gr.  x to xxx  0.650-2.000
Hydrastis  ...........dr.  ss  to  i  2.000-4.000
Hvosevamus  ...........gr.  v to  x  0.300-0.650
Hyoscine.......gr.  1-100 to 1-70 0.00007-0.001
Hyoscyamina  and salts,
                  gr.  1-132  to 1-32 0.0005 0.002
Hypnone   ............m.  v  to   x  O.O33-0.OGG
Ichthvol   ...........gr.   Iii  to  iv  0.200-0.266
Ignatia   ..............gr.  ss  to ii  0.O30-0.130
Inula  ..............gr.   xx  to  lx  1.300-4.0OO
Iodum.....................gr.Vi         0.010
lodoformum  ...........gr.  1 to  iij  0.065-0.200
Infusum brayerae. .oz. lv to  viii   120.000-240.000
Infusum cinchonae.....oz.  i  to iv  30.000-120.000
  Digitalis ............dr.  1 to iv 4.000-10.000
  Pruni Virginian......oz. I to iv  30.000-120.000
  Sennae  comp........oz.  i  to  ii 32.000-64.000
Iodol  ................gr.  1-8 to 1-2  0.011-0.O33
Ipecacuanha (emetic). .gr.  xv to  xxx  1.000-2.000
  Expectorant..........gr.  1-6  to j  0.011-0.006
Iris....................gr. v  to xx  0.300-1.300
.Talapa..............gr.  xv  to  xxx  1.000-2.000
Kairina..............  gr.  v to  xxx  0.300-2.000
Kamala.................dr.  1 to  ii  4.000-S.0O0
Kino..................gr. x to  xxx  0.650-2.000
Koumiss1  (Kumvss)......Food.
Krameria..............gr.  x to  xxx  0.650-2.000
Lactucarium............gr. x to xxx  0.650-2.000
Lappa.....................dr.   1          4.000
Lfiptnndra..............dr.  ss  to i  2.000-4.000
Limonis  succus........oz.  i  to iv  30.000-120.000
Liquor acidi  arseniosi... .m.  iii to x  0.200-0.650
  Ammonii acetatis. .. .oz. ss to  i  15.000-30.000
  Arsenii et  hydrarg. iodidi,
                           m.  iii to x  0.200-0.650
  Calcis..............oz. Ii  to iv  60.000-120.000
  Ferri  acetatis..........m. ii  to x  0.130-0.650
  Ferri  chl >ridi......... .m.  ii to x  0.130-0.650
  Ferri  citratis..........m.  ii to x  0.130-0.650
  Ferri  et quininae citratis,
                          m. v to xv  0.300-1.000
  Ferrl nltratis..........m.  v to xv  0.300-1.000
  Ferri  subsulphatls......m. v  to x   0.300-0.650
  Iodl comp..............m. v to x  0.300 0.650
  Magnesii cltrails. .oz.  ii to viij 60.000-240.000
  Pepsini...............dr.  11 to iv  8.000-1.6.000
   Ferri  dialyn...........m.  i to xv   0.066-1.000
   Potassae.............in. x to  xxx  0.650-2.000
   Potassil arsenitis......m.  iii  to x  0.200-0.650 
61
Potassil citratis......oz. ss to J  15.000-30.000
  Sodae................m. x to xxx  0.650-2.000
  Sodae chloratae........m. iii  to x  0.200-0.650
Lirhii  lionzoas-..........gr. v to  xx  0.300-1.300
  Bromidum.  ..........gr.  v to  xx  0.300-1.300
  Carbonas..............gr.  ii  to x  0.130-0.650
  Citras.................gr.  v  to x  0.300-0.650
  Salicylas..........,. .gr. v to xxx  0.300-2.000
Lobelia................gr.  v to  xx  0.300-1.300
Lupulinum................gr. v to x  0.333-0.666
Macis...................gr.  v  to  xx  0.333-1.300
Magnesia...............dr. ss  to ii  2.000-8.000
  Ponderosa............dr.  ss  to  ii  2.000-8.000
Magnesii  carbonas.......dr.  ss  to Ij  2.000-8.000
  Citras granulates___dr. 11 to  viii  8.000-32.000
  Sulphas.............dr.  ii  to  vill  8.000-32.000
  Sulplis.............gr.  xv to xxx  1.000-2.000
Magnolia................dr. ss to  i  2.000-4.000
Mangani oxidum nigrum . .gr.v to xxx  0.300-2.000
  Sulphas ................gr. ii to x  0.130-0.650
Manganese  binox  ......gr. 11  to  iv  0.133-0.266
Manna  ..............dr.  j to  viij  4.000-30.000
Marrubium  ..............dr. ss to  1  2.000-4.000
Massa copaibae ........gr. x to xxx  0.650-2.000
  Ferri  carbonatis........gr. iii to v  0.200-0.300
  Hydrargyri  ..........gr.  iii  to x  0.200-0.600
Matico  ..................dr. ss to  i  2.000-4.000
Menispermum  ..........gr. v  to  xx  0.300-1.300
Moschus  ................gr. v  to i  0.300-O.T550
Muscarina ............gr.  1-3 to  1-2  0.020-0.030
Myrrha  ..............gr.  x to xxx  0.650-2.000
Mistura amiuoniaci  ___oz.  ss to  j  15.000-30.000
  Amygdalae  ..........oz.  ss to  j  15.000-30.000
  Asafoetidae  ..........oz. ss to  j  15.000-30.000
  Chloroforml  ..........oz. ss to  j  15.000-30.000
  Cretae  ..............oz. ss to  j  15.000-30.000
  Ferrl comp.........oz.  ss to  j  15.000-30.000
  Ferrl et  ammonli  acetatis,
                         oz. ss to  j  15.000-30.000
  Glycyrrhizae  comp....oz.  ss to  j  15.000-30.000
  Magnesiae et asafoetidae. .dr.ss to j  2.000-4.000
  Potassil citratis......oz. ss to  j  15.000-30.000
  Rhei  et sodae ..........dr. ss to j  2.000-4.QOO
Morphina  ............gr.  1-8 to  1-4  0.008-0.016
Morphinae  acetas ___gr.  IS to  1-4  O.OOS-0.016
  Hydrochloras........gr. 1-8  to  1-4  0.008-0.016
  Sulphas   ..........gr.  1-8  to  1-4  0.008-0.016
Naphthalin ............gr. i to  viii  0.065-0.500
Nectandra.
Nitroglycerinum (1 per cent, sol.),      nft(.KniQn
                            m l  to n  0.065-0.130
Nux  vomicae   ..........gr.  i   to iv  0.065-0.250
Oleoreslna  aspidii  ......dr. ss to  J  2.000-4.000
  Cansici  ............gr. 1-6 to  1-2  0.011-0.033
  Cubebae  ...........  m v to  xxx  0.300-2.000
  Filicis   ...........m xxx to dr.  j  2.000-4.000
  Lupulini  ..............m v  to  I  0.300-0.600
  Piperis ................m ss to ij  0.030-0.130
  Zlngiberis  ............m ss  to ij  0.030-0.130
Oleum  amygdalae expressum,       #
                     dr.  i to oz.  j  4.000-30.000
  Copaibae ............m viii  to xv  0.533-1.000 
                       62

  Cubebae  ............m xv  to xxx  1.000 2.000
  Eriger  ................m  v to xv  0.333-1.000
  Etherenm  ..............m  il' to v  0.130-0.300
  Amygdalae amarae . .. .m 1-4  to  j  0.016-0.005
  Anisi  ..................m  ii to v  0.130-0.300
  Cajuputi  ..............m  ii  to x  0.130-0.650
  Cari  .................. m  ii to v  0.130-0.300
  Caryophilli ............ju  ii to v  0.130-0.300
Chenopodii..............m  lv to x  0.250-0.650
  Cinnamomi ............m  ii  to v  0.130-0.300
Oleum coriandri  ..........m. Ii to v  0.130-0.30O
  Eucalypti ............:m. v to xx  0.300-1.300
  Foeniculi  .............m.  v  to x  0.300-0.000
  Ganltheriae  ...........m.  v to x  0.300-0.600
  Hedeomae  ............m. ii  to v  0.130-0.300
  Juniperi  .............m.  v to xv  0.300-1.000
  Lavandulae  ...........m.  ii to v  0.130-0.300
  Mrfntlme piperitate___m.  11  to v  0.130-0.300
  Menthae viridis.......in.  ii  to v  0.130-0.300
  Myrciae  ...............m. ii to v  0.130-0.300
  Morrhuae...........dr. to oz. j  4.000-30.000
  Mvristicae ............m.  Ii to v  0.130-0.300
  Olivae ..............dr.  to oz. j  4.000-30.000
  Pimentae .............m.  ii to v  0.130-0.300
  Phosphoratum  ........m.  i to !ii  O.OG6-0.200
  Picini  .............dr. j  to oz. j  4.000-30.000
  Rosmarini  ............m.  ii to v  0.130-0.300
  Rutae  ...............m.  ii  to v  0.130-0.300
  Sabinae  ..............m.   ii  1o v  0.130-0.300
  Sautali ..............m.  x to xxx  0.G50-2.000
  Sassafras .............m.  ii to v  0.130-0.300
  Siccini ......  .......m. v to xv  0.300-1.000
  Terebinthtnae  ........m.  v  to x  0.300-0.650
  (Vermifuge)  .........oz.  ss to .1  15.000-30.000
  Thyml  ...............m.   il to v  0 130 0.300
  Tiglii  ...............m. 1-6  to iss  0.011-0.100
  Valerianae  ...........m.   il to v  0.130-0.300
Opium  .................gr.  i  to li  0.065-0.130
Paraldehyde ........m.  xx to dr. ii  1.300-8.000
Pepo..................oz. j to ij  30.000-60.000
Pepsimim saccharatum. .gr.  v to xxx  0.300-2.000
  Pur............gr. xv  to  dr.  ss  1.000-2.000
Phosphorus......gr. 1-128  to 1-50  0.0005-0.0013
Pflysostigminae  salnvlas,
                     gr.  1-60  to 1-20  0.001-0.003
  Sulphas  .......gr.  1-128  to  1-64 0.0005-0.001
Phytolacca radix........gr.  1 to xxx  0.065-2.000
Piorotoxinum ........gr. 1-00 to 1-8  0.001  0.008
Pilocarpus  ............gr.  xx  to lx  1.300-4.000
Pilocarpinae  hydrochloras.
                      gr.  1-12 to 1-3  0.005-0.020
Pimenta  ..............gr.  x  to  xl  0.650-2.600
Piper ..................gr.  v  to xx  0.300-1.30f
Pilulae  aloes   ..........1  to 3 pills.
  Aloes  et  asafoetidae. .2 to 5 pills.
  Aloes  et ferrl.........1  to 3 pills.
  Aloes  et mastlches... .1 to 2 pills.
  Aloes  et myrhae......1 to 4 pills.
  Antlmonll comp........1  ti 3 pills.
  Asafoetidie...........1 to 3 pills.
  Calharticae  comp......1 to 3 pills.
  Ferri  comn............2 to 5 pills.
  Ferri iodidi  ...........1 to 3 pills. 
63
Pilulae galbani  compositie,
                          1  to 4 pills.
  Opii  .................1  to 2 pills.
  Phospbori  ............1  to 3 pills.
  Rhei  .................2  to 5 pills.
  Rtoi  coup............2  to 5 pills.
Piperlnum  ............gr.  i to viij  0.066-0.533
Plumbi acetas  ..........gr. i to  v  0.065-0.300
  Iodidum .............gr.  ss to 1-4  0.030-0.016
  Nitras ..............gr. 14 to ss  O.0V!-0.030
Podophyllum ............m. v  to xx  0.300-1.300
Poti'ssa  sulphurata......gr. ii to  x  0.130-0.650
Potassii acetas . .  .......gr. x to lx  . 0.( 50-4.000
  Bicarbonas........gr. viii to dr. j  0.533-4.000
  Bichromas ..........gr.  1-0  to  ss  0.012-0.030
  Bitartras.............dr. j to iv  4.000-15.000
  Bromidum........gr. viii to dr. j  0.533-4.00G
  Carbonas ............gr.  x to xxx  0.650-2.000
  Chloras............gr. viii  to xxx  0.533-2.000
  Citras  ..............gr.  v to xxx  0.300-2.000
  Cyanidum..........gr. 1-12 to 1-8  O.0U5-0.00S
  Et  sodii tartras .....oz.  ss to j  16.000-f2.000
  Ferrocvanldum  ......gr.  x  to xv  0.650-1.000
  Hypophosphis........gr. x  to xxx  0.650-2.000
  Iodidum  ............gr.  ii to xv  0.133-1.000
  Nitras  ..............gr.  x to xxx  0.650-2.000
  Permanganas .........gr. ss to  ii  0.030-0.130
  Sulphas .............dr.  j  to  iv  4.000-15.000
  Sulphis  ..............dr. ss to  ii  2.000-8.000
  Sulphidum ............gr. i to  x  0.066-0.666
  Tartras.............dr.  j to viij  4.000-30.000
Pulvis  antimonialis......gr. iii to x  0.200-0.650
  Aromaticus  ..........gr. x  to xx  0.650-1.300
  Cretae  composites.....gr. x to  xx  0.050-1.300
  Effervescens comp........1 ponder
  Glycyrrhizae comporites. .dr. ss to i  2.000-4.000
  Ipecacuanhae et opii...gr. v  to  x  0.300-0.650
  Jalapae compositus.gr. xxx to dr. j  2.000-4.000
  Morphinae comp.......gr. v  to  x  0.300-0.650
  Rhei  composites  ......dr.  ss to i  2.000-4.000
Prinos................gr.  xxx to lx  2.000-4.000
Prunus virginiana ......dr.  ss to j  2.000-4.0O0
Pulsatilla ..............gr. ii to iij  0.130-0.200
Pyrethrum ..............dr. ss to i  2.000-4.000"
Quassia  ...............gr. v  to  rx  0.300-1.300
Quercus alba............dr.  ss to 1  2.000-4.000
Qulnldinae sulphas......gr. v to  xxx 0.300-2.000
Quinina  ..............gr.  i to dr. j  0.005-4.000
Quininae bisulphas___gr.  1 to dr. j  0.O65-4.000
  Hydrobromas....... gr.  i to dr. j  0.063-4.000
  Hvdrochloras .......gr.  1 to dr. j  0.065-4.000
  Sulphas ............gr.  i to dr. j  0.065-4.000
Quininae  valerians  ___gr.  i to dr. j  0 005-4.000
Quiuin.  arsen.........gr.   1-6 to j 0.011-0 066

Res;na  copaibae  .....gr.   v  to  xv 0.300-1.000
  Jalapae ..............gr.  il  to  v 0.130-0.300
  Podophylll ..........gr.  1-8 to  ss  0.00S-0.030
  Scammonli ..........gr.  iv to viij  0.250-0.500
  Guaiaci ...............gr. x  to  xx  0.650-1.300
Resorcin  ..............gr. ii to  v  0.133-0.333
Rheum  ..............gr.  x to  xxx  0.650-2.000
Fbus toxicodendron  ......gr. ss to 1  0.030-0.065 
                       64

Rubus ................dr.  ss to i  2.000-4.000
Rumex  ...............  , .dr. ss to 1  2.000-4.000
Saliclnum............gr.  viii to xxx  0.533-2.000
Salix ..................gr.  xx to lx  1.300-4 000
f-flol ................gr. xx  to  xl  1.300-2.goo
Salvia  ............. gr.  xx  to xxx  1.300-2.000
Sambucus  ............dr.  j  to  iv  4.000-15.000
Sanguinarla  ............gr. il fo  v  0 130-0.300
Santonica  ........gr. viii to  dr.  j  0.533-4.000
Santouinum  ..........gr. 1-4  to  lv  0.016-0.250
Sapo ..................gr. v  to xxx  0.333-2.000
Scammonlum  ............gr.  ii to  x  O.'l 30-0.650
Senna ___'........gr.  viii to dr.  j  0.533-4.000
Sodii acetas  ............gr.  v to xl  0.300-2.600
  Arsenias ........gr.  1-64  to 1-10  0.001-0.006
  Benzoas  ..............gr.  v to lx  0.300-4.000
  Bicarbonas  ........gr. viii  to xxx  0.533-2.000
  Bicarbonas vcnalis . .gr.  viii to xxx  0.533-2.000
  Bisulphis  ..........gr.  x  to xxx  0.650-2.000
  Boras  ..............gr. v  to xxx  0.300-2.000
  Bromidum  ..........gr.  xx  to  lx  1.300-4.000
  Carbonas  ............gr.  v  to xx  0.300-1.300
  Carbonas exsiccatus... .gr.  il to  x  0.130-0.650
  Chloras ..............gr.  v  to xx  0.300-1.300
  Chloridum  ........gr.  x to oz.  ss  0.650-15.000
  Hypophosphis ......gr.  viii  to xv  0.533-1.000
  Hyposulphls  ..........gr.  x  to xx  0.650-1.300
  Iodidum  ............gr.  xx  to  xl  1.300-2.600
  Nitras ..............dr. j  to viij  4.000-30.000
  Phosphas  ............gr. ii  to xv  0.133-1.000
  Pyrophosphas..........gr.  v to xl  0.300-2.600
  Salicylas  ..........gr.  v  to xxx  0.333-2.000
  Santoninas  ............gr.  il to  x  0. £10-0.650
  Sulphas  ............dr. ss  to  1   15.000-30.000
  Sulphis ..............gr. xx to  lx  1.300-4.000
Spigelia ................dr.  j to lj  4.000-8.000
Somnal  ............m xxx  to dr.  j  2.000-4.000
Stilllngla  ..........gr.  xv  to xxx    1.000-2.000
Sulphonal  ............gr. xv  to  xlv  1.000-3.000
Sulphur  lotum ..........dr. j to iij  4.000-12.000
Sulphur  praeclpitatum. .dr. i to 111  4.000-12.000
  Subllmatum..........dr. 1 to ill  4.000-12.000
Siunbul  ..............gr.  x   to  lx  0.650-4.000
tjplrltus eetherls.  ......dr. ss to ii  2.000-8.000
  Aetheris ccmpositus___dr. ss to ii  2.000-8.000
  Aetheris nltrosi........dr.  ss to i  2.000-4.000
  An monlae..........m. vjli  to xxx  0.533-2.000
  Ammoniae i romaticus. .dr.  ss to i  2.000-4.000
  Anlsi..................dr. i to ij  4.000-8.000
  Aurantii................dr. i to ii  4.000-8.000
  Camphorae......... in.  vlli to xxx  0.533-2.000
  Chloroformi  ...........dr.  ss to il  2.000-4.000
  Cinnamoni..............dr.  ss to 1  2.000-4.000
  Gaultherlae  ........m. xx  to  lx  1.300-4.000
  Juniperi  ............dr.  ss to  1  2.000-4.000
  Juniperl copositus___dr. il to iv  8.000-16.000
  Lavandulae  ............dr.  ss to i  2.000-4.000
  Mer.thae plperitae......m.  x to xl  0.650-2.600
  Mentliae vlrldis........m.  x to xl  0.050-2.600
  Myristicae  ............dr. ss to i  2.000-4.000
Strychnina  ........gr.  1-00  to 1.12  0.001-0.005
Strychninae sulphas, .gr.  1-00 to 1-12  0.001-0.000 
65
 Syrupus acidi hyriodlcl,
                         m.  xx to xl  1.300-2.600
  Allii..................dr. i to  ii  4.000-8.000
  Althaeae............dr.  i  to  iv  4.000-16.000
  Calcii lactophosphatis. .dr. i to iv  4.000-16.000
  Calcis..................dr. ss  to 1  2.000-4.000
  Ferri bromidi..........dr. ss  to 1  2.000-4.000
  Ferrl iodidi..........m.  xx to lx  1.300-4.000
  Ferrl, Quininae et strychnlnae
    phosphatum..........dr. j toil  4.000-8.000
  Hypophosphitum........dr.  1 to ii  4.000-8.000
  Hyphosphitum  cum ferro,
                          dr. 1 to ii ' 4.000-8.000
  Ferri oxidi  ................dr.  i       4.000
  Ipecacuanhae  ......dr. ss  to  lv  2.000-16.000
  Krameriae  ..........dr. ss to iv  2.000-16.000
  Lactucarli..........dr.  1 to  iii  4.000-12.000
  Piois liquidae........dr.  i  to  iv  4.000-16.000
  Pruni virginlanae......dr. i to ii  4.000-8.000
  Rhei ................dr.  i  to iv  4.000-16.000
  Rhei aromaticus......dr.  1  to  iv  4.000-16.000
  Rosae..................dr.  i to ii  4.000-8.000
  Rubi ................dr. i  to ii  4.000-8.000
  Sarsaparillae  compositus. .dr. ipiv  4.000-16.000
  Scillae................dr. ss to i  2.000-4.000
  Scillae  compositus......m. x to lx  0.650-4.000
  Senegae ..............dr. i to ii  4.000-8.000
  Sennae..............dr.  i to  iv   4.000-16.000
  Tolutanus............dr.   i to  iv  4.000-16.000
  Zingiberis............dr. i to ii  4.000-8.000
Tabacum................gr. v to vi  0.300-0.400
Tamarindus  ..........dr. j to viii   4.000-30.000
Tanacetum..............oz. ss  to  i  2.000-4.000
Terebinthina  ..........gr. xx to lx  1.300-4.000
Thallina  ..............gr. iii to iv  0.200-1.000
Theine (hypo.)..........gr.  1-6  to j  0.011-0.066
Trimethylamin  ........m.  xx to lx  1.300-4.000
Trypsin  ............dr.  iii to vi  12.000-24.000
Thvmol  ..............gr.  ss to 11  0.030-0.130
Trional ..............gr. xv to  xlv  1.000-3.000
Tetronal  ............gr. xv to  xlv  1.000-3.000
Tinctura aconiti..........m. i to v  0.065-0.300
  Aconiti  fol..........m. viii  to  xvi   O.533-1.O00
  Aconiti   rad.  (Fleming's),
                        m.  2-3  to ii   0.044-0.133
  Aloes ..............dr. ss to  iv  2.000-16.000
  Aloes et myrrhae......! .dr. i to ii   4.000-8.000
  Arnicae  florum........m.  x to lx   0.650-4.000
  Arnicae  radicis........m.  x to xl   0.650-2.600
  Asafoetidae ..........dr.  ss to ii   2.000-8.000
  Aurantii amari........dr. i to ii  4.000-8.000
  Belladonnae. ........m. v to  xxx   0.320-2.000
  Benzoini..............dr.  ss to  i   2.000-4.000
  Benzoini composita......dr. cs  to 1   2.000-4.000
  Brvoniae..............dr.  i to  ii  4.000-8.000
  Ca'lendulae..........m. xv to xxx  1.000-2.000
  Calumbae............dr.   i  to  ii  4.000-8.000
  Cannabis Indicae......m.  v to xxx  0.300-2.000
  Cantharidis..........m. iii  to  xv  0.200-1.000
  Capsici...............dr  ss to i  2.000-4.000
  Cardamom!............dr.  1 to  ii  4.000-8.000
  Cardamomi composita.. dr.  i to  il  4.000-8.000
  Catechu composita......dr. i to ii  4.000-8.000 
66
  Chiratae..............dr.  1  to  ii  4.000-8.000
  Cimioifugae............dr. i to  ii  4.000-8.000
  Clnchonae  ............dr.  i to iv  4.000-16.000
  Cinchonae composita___dr. i to iv  4.000-10.000
  Colchici..............m. xv  to lx  1.000-4.000
  Conii  ..............m.  xx  to  lx  1.300-4.000
  Croci  ................dr. i to  ii  4.000-8.000
  Cubebae..............dr. i to  ii  4.000-8.000
  Digitalis  ............m.  v to  xx  0.300-1.300
  Ferri  acetatis........m. xv  to lx  1.000-4.000
  Ferri  cbloridi........in.  x to  xxx  0.650-2.000
  Ferri  chloridi  aetheris,
                     m.  xv  to  xxx  1.000-2.000
  Ferrl  pomati........m. xx to dr.  i  1.333-4.000
  Gallae  ................dr. i  to  ii  4.000-8.000
  Gelsemii  ............m.  x to  xx  0.650-1.300
  Gentlanae  comp........dr.  i  to  :i  4.000-8.000
  Guaiaci ..............dr.  i  to  ii  4.000-S.000
  Guaiaci ammoniata......dr. i to 11  4.000-8.000
  Helleborl  ............m. x  to  xv  0.666-1.000
  Humull..............dr. i to ill  4.000-12.000
  Hydrastis.............dr. ss to  i  2.000-4.000
  Hyoscyami............dr. ss to  i  2.000-4.000
  Ignatiae..............m.  x  to xx  0.650-1.300
  Iodi  ..................m.  v  to xv  0.300-1.000
  Ipecacuanhae  et opii.-.in. v  to  xv  0.300-1.000
  Jalapae ..............dr.  ss to  ii  2.000-s.OOO
  Kino..................dr. i  to  ii  4.000-8.000
  Krameriae.............dr. 1 to  ii  4.000-8.000
  Lavandulae composltae. .dr. ss to  I  2.000-4.000
  Lobeliae ............m.  xx  to ix  1.300-4.000
  Lupnlini..............dr.  ss  to  ii  2.000 8.000
  Matico................dr.  i  to  il  4.00O-S.0OO
  Moschi................dr.  ss to  ii  2.000-8.000
  Myrrhae ............dr.  ss  to  i  2.000-4.000
  Nucis vomicae........m.  x to  xx  0.300-1.300
  Opii..................m.  x to xx  0.650-1.300
  Opii  camphorata......dr.  i to lv  4.000-16.000
  Opii  deodorata........m.  x to xx  0.650-1.300
  Phvtolaccae........m. viii to dr.  j  0.533-4.000
  Physostigmatis........m.  xv to xl  1.000-2.600
  Phrerhri............m viii to  xxx  0.533-2.000
  Quassiae ..  ...........dr. ss to  1  2.000-4.000
  Rhei.................dr.  i  to  11  4 000-8.000
  Rhei aromatlca....... dr.  ss to  il  2.000-8.000
  Rhei dulcis..........dr.  il to  iii  8.000-12.000
  Sangulnariae.........'.m.  xx to lx  1.300-4.000
  Sclllae.............. m. x to xx  0.650-1.300
  Serpentariae............dr. i to  il  4.000-8.000
  Stramonii fol........m. viii  to  xv  0.533-1.000
  Stramonii  som........m. vi to  xv  0.400-1.000
  Sumbul................dr. ss to  i  2.000-4.000
  Tolutana..............dr.  i  to  11  4.000-8.000
  Valerianae ............dr. i to  ii  4.000-8.000
  Valerianae ammoniata. .dr. i to  ii  4.000-8.000
  Veratri  viridis........m. iii to viii  0.200-0.500
  Zinglberis  ............m.  x  to xl  0.650-2.600
  Strophantus........m.  iii  to  v  0.200-0.350
TJrethan  ..............gr. xv  to lx  1.000-4.000
Valeriana ...............dr. ss to i  2.000-4.000
Vanilla..............gr.  v to xxx  0.300-2.000
Verstrina..........gr. 1-64 to 1-10  0.001-0.006 
67
Vinum  aloes  ............dr. i to ii  4.000-8.000
  Antimonii (emetic)... .m.  xxx to lx  2.000-4.000
  Colchici radicis........m. x  to xx  0.650-1.300
  Colchici sem..........m. v to  xxx  0.333-2.000
  Ergotae ............dr.  i to  iv  4.000-16.000
  Ferri  amarum..............dr. j         4.000
  Ferri  citratis  ..............dr. j         4.000
  Ipecacuanhae   (expectorant),
                        m.  v  to  xv  0.333-1.000
  (emetic)............dr. iii to vi 12.000-24.000
  Opii  ................m.  x  to  xx  0.650-1.300
  Rhei  ................dr.  i to  iv  4.000-16.000
Xanthoxyium............dr. ss to 1  2.000-4.000
Zinci acetas............gr. ss to il  0.030-0.130
  Bromidum..............gr. ss to ii  0.030-0.130
  Iodidum..............gr.  ss  to ii  0.030-0.130
  Oxidum ..............gr.  i  to x  0.066-0.666
  Phosphidum ......gr. 1-20 to 1-10  0.003-0.006
  Sulphas (emetic)......gr.  xv to xxx  1.000-2000
  Valerian.............gr. 1-4 to j  0.015-0.065
Zingiber................gr.  x to  xx  0.650-1.300 
TABLE FOR  CALCULATION THE
 PERIOD OF UTERO-GESTATION.
12   12   12   12   12  12
P   r  ?-  2. .  S;  8  ?  P  5  3-   3   g
1	8	1	8	1	G	1	6	1	5	1	8
2	9	2	9	2	7	2	7	2	6	2	9
3	10	3	10	3	8	3	8	3	7	3	10
4	11	4	11	4	9	4	9	4	8	4	11
5	12	5	12	5	10	5	10	5	9	5	12
6	13	6	13	6	11	6	11	6	10	6	13
7	14	7	14	7	12	7	12	' 7	11	7	14
8	15	8	15	8	13	8	13	8	12	8	15
9	16	9	16	9	14	9	14	9	13	9	16
10	17	10	17	10	15	10	15	10	14	10	17
11	18	11	18	11	16	11	16	11	15	11	18
12	19	12	19	12	17	12	IT	12	16	12	19
13	20	13	20	13	18	13	18	13	17	13	20
14	21	14	21	14	19	14	19	14	18	14	21
15	22	15	22	15	20	15	20	15	19	15	22
16	23	16	23	16	21	16	21	16	20	16	23
17	24	17	24	17	22	17	22	17	21	17	24
18	25	18	25	18	23	IS	23	18	22	18	25
19	26	19	26	19	24	19	24	19	23	10	26
20	27	20	27	20	25	20	25	20	24	20	27
21	28	21	28	21	26	21	26	21	25	21	28
22	29	22	29	22	27	22	27	22	26	22	29
23	30	23	30	23	28	23	28	23	27	23	30
24	31	24	1	24	29	24	29	24	28	24	31
25	1	25	2	25	30	25	30	25	1	25	1
26	2	26	3	26	31	26	31	26	2	26	2
27	3	27	4	27	1	27	1	27	3	27	3
28	4	28	5	28	2	28	2	28	4	28	4
29	5		6	29	3	29	3	29	5	29	5
30	6		7	30	4	30	4	3P	6	30	6
31	7			31	5			31	7		
Nov.		Dec.		Jan.		'Feb.		Mar.		Apr.	
 
69
1	2	1	2	1	2	1	2	1	2	1	2
c	> ■d	IT)	|	'/i p	=H	3	■*	y,	>	3 -3	3.
1	7	1	8	1	8	1	8	1	8	1	o w 7
2	8	2	9	2	9	2	9	2	9	2	8
3	9	3	10	3	10	3	10	3	10	3	9
4	10	4	11	4	11	4	11	4	11	4	10
5	11	5	12	5	12	5	12	5	12	5	II
6	12	6	13	6	13	6	13	6	13	6	12
7	13	7	14	7	14	7	14	7	14	7	13
8	14	8	15	8	15	8	15	S	15	8	14
9	15	9	16	9	16	9	16	9	16	9	15
10	16	10	17	10	17	10	17	10	17	10	16
11	17	11	18	11	18	11	18	11	IS	11	17
12	18	12	19	12	19	12	19	12	19	12	18
13	19	13	20	13	20	13	20	13	20	13	19
14	20	14	21	14	21	14	21	14	21	14	20
15	21	15	22	15	22	15	22	15	22	15	21
16	22	16	23	16	23	16	23	16	23	16	22
17	23	17	24	17	24	17	24	17	24	17	23
18	24	IS	25	IS	25	18	25	18	25	18	24
19	25	19	26	19	26	19	26	19	26	19	25
20	26	20	27	20	27	20	27	20	27	20	26
21	27	21	28	21	28	21	28	21	28	21	27
22	28	22	29	22	29	22	29	22	29	22	28
23	29	23	30	23	30	23	30	23	30	23	29
24	30	24	31	24	31	24	31	24	t	24	30
25	1	25	1	25	2	25	1	25	1	25	1
26	2	26	2	26	3	26	2	26	2	26	2
27	3	27	3	27	4	27	3	27	3	27	3
28	4	28	4	28	5	2S	4	28	4	28	4
29	5	29	5	29	6	29	5	29	5	29	5
30	6	30	6	30	7	30	6	30	6	30	6
31	7	31	7			31	7			31	7
May.			Jun.	Jul.		Aug.		Sep.		Oct.	
  Explanation.—Find  in first column  the date of
menstruation; the  figure  opposite will  indicate
the date  when  confinement  may  be looked  for.
The  figures  at the top of "table" refer to  the
columns. 
POTTER'S   TABLE  OF  THE   FORMS  OF  BRIGHT'S DISEASE

        (Compared with  Acute Nephritis and with  each other).
                                  Acute
     Clinical           Acute     Rright's
   rhoioiuena.       Nephritis.   Disease.
                                 Parench
                                 Nephrit.

Quantity.........?    Normal       —
                       or —
Reaction...........  Ac'd.       Acid.
Color.............  ■  Wine       Dark
                     Yellow.     smoky.

Sp. Gr.............   Normal     High.
                       or —
Urea............     Normal.       —

Chlorides...........  Normal.       —
Albumen...........  1-10 to 1-5  1  to 6
 (P. c).
Chronic Bright's Disease.
 Chron.
Parench.                             Chron.
Nephrit.        Fatty   Amyloid    Intel si it.
 (Large        Kidney.   or Waxv    Nephrit.
 White                 Kidney."     M'irrtint.
Kidney.)                             Kidney.)

— or -|-       Normal   Normal     Normal
                or —     or -|-       or -j-
Acid.         Acid.     Acid.       Acid.
Brown        Pale.     Pale.       Clear.
j el low.
              1.015     —, above
 —            to          1.010     — 1.1010
              1.030
 —             —      Normal     Normal.
                          or —
 —             —        —        Normal.
1-2 to 2       1 to 6     1-10 to 1-2  1-10 to 1-2
                            of
                        globulin. 
Casts.
                      Hvaliuc
            .......       ami
                       Kpillicl.

Sediment...........   Mucus.
                       Blood.
    Mucroscopical.
DROPSY. ..

URAEMIA.
OTHER SYMPTOMS
Stiff
joints.
Sacral
pain.
Lassi-
tude.
Blood
Kpithel.
ll.\ aline.

lll'OU'11
cells.
Urates.
(iieat,
c-speci'ly
of face.
Often
great.
Recovery,
 Granul'r
 l'yaline.
 No blood.
 Kidney
 cpithel.
 Blood.
 Ljmpu.

 Never
 absent.
   Not
 marked.

    Temp.
     low.
 No fever.
 Iiillam. of
serous membr's
 Cardiac
 hyper.
                                                   Recovery (?)
PROGNOSIS..........   Favorable.  Ch. parench   or fatty
                                     Nephritis.    kidney.
Fatty.




 Free oil.

Great.

Rare.
Face pale,
    puffy.
  Cardiac
  hyper.
Always
fatal.
Few and
hyaline.
Seldom
  any.
Trifling.

Rare.

Fmacia-
tion, sal-
low face,
enlarged
liver and
spleen,
diarrhoea,
thirst.
Dp] lends
on con-
stitutional
disease
    ent
Very few.


Seldom
  any.

In last
Stage.

Great.
  Retinitis.
Tense, quick
  pulse.
  Hyper, of
  heart.
Unfavorable,
  l ut course
  perhaps
  long.
'"'Note.—The  signs  -|- and — respectively  denotea  specific gravity  greater than 1.024,  or less
than 1.018, in the  line entitled Sp.  Gr. 
72
LANDMARKS,    MEDICAL    AND

              SURGICAL.



            THE  ABDOMEN.
  BOUNDARIES.—In Front and  at Sides—
By lower ribs,  transversalis muscle, venter
ilii;   behind—by vertebral  column,  psoas
and  quadratus  lumborura muscles; above-
by brim of pelvis.

  REGIONS AND CONTENTS.—Right Hy-
pochondriac Region—Right  lobe  of liver,
gall-bladder,  duodenum,  pancreas, hepatic
flexure of colon, upper part of right kidney,
right suprarenal capsule. Epigastric Re-
gion—Middle and pyloric end of stomach,
left lobe of liver, lobulus Spigelii, pancreas.
Left Hypochondriac  Region—Splenic end of
stomach,  extremity  of  pancreas, spleen,
splenic flexure  of colon,  upper half of left
kidney,   left  suprarenal capsule.   Right
Lumbar  Region—Ascending colon, part  of
right kidney,  some  convolutions  of  small
intestine.  Umbilical  Region—Transverse
colon, part of great omentum, part of mes-
entary,  duodenum (transverse  part),  some
convolutions of small intestine.  Right In-
guinal  Region—Caecum,  appendix   caeci,
ureter.   Hypogastric Region—Convolutions
of small  intestines,  bladder if  distended,
bladder in children, uterus in pregnancy.
Left Inguinal  Region—Sigmoid  flexure  of
colon, ureter.

  LINEA ALBA.—Extends up  middle line
of body,  from  apex of  ensiform cartilage
to symphysis pubis.

  POUPART'S   LIGAMENT.—Is   indicated
by  a  well-marked  depression  from  the
symphysis pubis outward to ant.  sup. spine
of ilium.

  LINEAE  TRANSVERSAE.—Some  three
are  above umbilicus,  none  below.   First
line  is  about level  of  umbilicus; second,
about 4 inches  higher (level of lowest part
of tenth  rib).  Upper part of rectus  mus-
cle is divided by these lines into two por-
tions (upper and lower). 
                   73

  CREST OF ILIUM.—Can be felt at lower
part of abdomen. It ends in front in the
ant. sup. spine of the ilium.  "When  body
of patient is erect the spines  are just be-
low  level of promontory of sacrum. The
highest part of the crest is on  a level with
bifurcation  of aorta.  The direction of the
common iliac and ext. iliac arteries may
be discerned by drawing  a line from high-
est point of crest of ilium to  the groin.

  SPINE  OF ILIUM.—Length of lower ex-
tremity is measured from here,  and is valu-
able as a landmark in determining nature
of  injuries to  hip and  pelvis.  Examine
position of spine  with regard  to trochan-
ters.

  SPINE  OF  PUB ES.—This guide  to the
ext.  abdominal ring may be found by push-
ing  up skin of scrotum, or by  abducting
thigh,  using the tense tendon of  the ad-
ductor  longus  as a guide.  It is situated
external to the symphysis,  about % inch,
and  lies on outer side of the  neck  of an
inguinal hernia, and  on inner  side of the
neck of a femoral hernia,

  ABDOMINAL RINGS.—Just  above spine
of pubis we find the ext. abdominal  ring.
Internal ring is midway  between spine of
ilium and symphysis of pubis;  it lies about
2-3 inch above Poupart's ligament.

  SPERMATIC   CORD.—As   it   passes
through ext. ring  it can be felt  and its
course made out.  The vas deferens can be
felt at back of cord.

  EPIGASTRIC ARTERY.—A  line  drawn
from inner margin of  int. ring up to mid-
dle of  rectus muscle toward chest would
Indicate the direction of deep epigastric.
  Other Surface Markings that should be
known are: Tip of sternum,  edges of ribs,
irest of pubes, position of navel.

           THE PERINEUM.

  Make out surface markings of the  sym-
physis  pubis, rami of pubes and ischium,
tuberosity of ischium, position of triangu-
lar   ligament,  great   sacro-ischiatio  liga-
ments, apex of coccyx.

  ANUS.—A white line at junction of skin
and  mucous  membrane is important, and
Is readily perceived.  The fissure of anus
is situated at the  bottom of  the cutaneous
folds of ext. sphincter. 
                   74

  RAPHE OF PERINEUM.—Extends from
anus  up perineum  to  scrotum aud penis;
it is called the "line of safety" in making
incisions,  etc.
  CENTRAL   POINT  OF  PERINEUM.—
Bulb of urethra is above it, artery of bulb
likewise; perineal muscles meet  here.

  TRIANGULAR LIGAMENT- Is attached
to back edge of rami of pubes and ischium;
the lower  border can be  felt in  this re-
gion.  One  inch  below lower  part  of sym-
physis  pubis, and about  % inch  higher
then the central tendon, the urethra passes.

  RECTUM.—Track  of membranous part
of urethra can be felt through front wall
of bowel.  Prostate gland is about l%-2
inches from anus, and can be felt, also its
lateral  lobes.   Finger can  appreciate  by
touch also  the following:  Apex of trigone
of bladder, one  of ridges  or  folds of mu-
cous membrane  at lower  part of  rectum,
isohio-rectal fossae.
THE  THIGH.
 TROCHANTER MAJOR.—Pop of trochan-
ter is almost on level with spine of pubes;
it  is about % inch  lower than  top  of head
of femur.The trochanter lies in  a  natural
depression  over  hip, and  can  be  readily
felt.                                   (

  SARTORIUS.—If  patient raises  his leg,
the direction  and margins of  this muscle
can be easily made  out.

  COURSE  OF  FEMORAL  ARTERY.—A
line  from midway  between  the  ant.  sup.
spine of ilium and  the  symphsis pubis,  to
tubercle for adductor magnus on  inner side
of knee, would  indicate its course.

  SAPHENOUS   OPENING.—Located im-
mediately below inner  third of  Poupart's
ligament,  about  an inch and  a half  ex-
ternal to the spine of pubes.  The Femoral
Ring  is about  %  inch higher  than the
above opening, just under Poupart's  liga-
ment.

  LYMPHATIC  GLANDS IN  GROIN.—In-
guinal  glands lie along line of  Poupart's
ligament; the  femoral,  along  outer  side
of saphena vein,  and over saphenous open-
ing.   These  clusters can be  felt  in  thin
persons. 
                   75

  NELATON'S  LINE.—A  piece of  string
stretched  from  the  ant.  sup.  spine  of
ilium in  front to the  ischial  tuberosity
behind will pass over the great trochanter
and  is termed Nelanton's line.
THE BUTTOCKS.
  SURFACE MARKINGS.—Crest of ilium,
post.  sup.  spine  of  ilium, spines of sacral
vertebrae,  coccyx, ischial tuberosity, great
trochanter,  fold of buttock.

  CREST OF ILIUM can  readily  be  felt
behind, and traced as far as the post. sup.
spine.

  POSTERIOR SUPERIOR SPINE  OF IL-
IUM  is  on  a level with   second  sacral
  spine:  it corresponds with the middle of
sacro-ilias  symphysis.

  SACRAL  VERTEBRAE   may  be  felt
(spines) in middle line of body.
  COCCYX  is just above anus.

  FOLD  OF BUTTOCK  corresponds with
lower margin of gluteus maximus.

  GLUTEAL ARTERY.—A line drawn from
post.  sup.  spine  of ilium to  top of great
trochanter  (rotated  inwards)   will show
point  where artery comes out of pelvis.

  PUDIC  ARTERY.—A  line  from outer
side  of the tuberosity  of  the  ischium to
post. sup. spine of ilium will  show  course;
ischiatio artery is close to it.
THE  KNEE.
  BONY POINTS.—Patella,  tuberosities  of
condyles, tubercle  of  tibia for attachment
of  ligamentum, patella,  tubercle  of  outer
side of head of tibia,  head of fibula, which
lies  at the outer and back part  of  tibia,
being  nearly on a level  with the tubercle
for attachment of ligamentum patella.

  LIGAMENTUM,  PATELLAE.—This liga-
ment,  the tubercle  of  tibia, and the middle
of ankle should be in the same line—that
is, a straight one.  The synovial membrane
of knee-joint is situated  behind the upper
half of ligament; a synovial  bursa and pad
of fat  lies behind the lower half. 
                   76

  POPLITEAL TENDONS--The  biceps on
outer side,  extend downward  to head  of
fibula; on  inner side we can  feel  three
tendons,  viz.:  The  semitendonosus  (near
middle of politeal space);  semi-membrano-
6us; more internally, the gracilis.

  POPLITEAL BURSA.—It is situated  in
the popliteal space, between  the  tendon  of
the inner head  of  the gastrocnemius and
the tendon  of the semi-membranosus.

  POPLITEAL  ARTERY.—A  line  drawn
from midway between the greater trochan-
ter and tuberosity of the  ischium  to  mid-
dle of back of  knee (the  ham)  will show
course of this  artery. The great  sciatic
nerve also runs here.

  PERONEAL  NERVE.—Parallel with in-
n.-r border of tenJon of biceps;  it can  be
felt below knee just  below  head of fibula.
THE  LEG AND  ANKLE.
  BONY POINTS.—Tubercle of tibia, head
of fibula, lower fourth of shaft of fibula.

  MALLEOLI.—Inn er malleolus is more to
the front  than the external one, it does  not
descend as low either. The lotch in lower
margin of this malleolus can be  felt.  The
InLer edge of patella, inner ankle and in-
ner side of great toe should be in same
verticle plane.

  TENDONS  BEHIND INNER  ANKLE.—
The  tendon of tibialis anticus and upon it
that of flexor  longus  digitorum can  be  felt
above  and behind the malleolus internus;
the tendon of the first nauscle can also be
found  close to  the  inner margin  of  the
tibia.

  TENDONS   IN FRONT OF  ANKLE.—
Tendons of tibialis anticus, extensor longus
pollicis, extensor longus  digitorum and the
peroneus tertius.

  POPLITEAL ARTERY.—Divides into  ant.
and post, tibial arteries, at about 1% inches
below  head  of fibula,  or  1 inch  below
tubercle of tibia.  About three  inches be-
low  head  of fibula, the peroneal comes off
from the post, tibial. 
                   77

 ANTERIOR TIBIAL ARTERY.—Lies close
to bone, about  1*4  inches  below head  of
fibula; a line, from  the front of the head
of the fibula to  the  middle  of the front of
the  ankle,  shows  its  subsequent course.
At the point where  it crosses the front of
the tibia  and ankle it can be compressed
and felt beating.

  POSTERIOR TIBIAL ARTERY.—It com-
mences about  114  inches  below head  of
fibula.  A line  drawn from the  middle of
the upper  part  of the  calf to hollow be-
hind inner ankle shows  subsequent course;
it can be felt beating here.

  SAPHENA VEINS.—The internal one can
be  seen over front of  inner ankle.   The
external vein has a course behind the outer
ankle  and  extends  up  the middle  of the
calf.
THE  FOOT.
  BONY  POINTS.—From  behind, along in-
ner side  of foot we can feel the following
parts:  Tuberosity of os  calcis, projection
of int. malleolus,  sustentaculum tali,  tub-
ercle  of  scaphoid  bone  (about 1  inch  in
front  of  int.  malleolus),  int. cuneiform
bone,  projection  of first  metatarsal  bone,
sesamoid bones of  great  toe.   Along outer
side of foot can be felt:  The ext.  tuberos-
ity of os calcis,  ext.  malleolus,  peroneal
tubercle  of os calcis, projection of base  of
fifth metatarsal  bone

  LINES OF JOINTS.—Level of ankle joint
Is Yz  inch  above  end of  inner malleolus;
the  astragalo-scaphoid joint  lies behind
tubercle  of  scaphoid bone;  a line drawn
from the tubercle  of the  scaphoid to about*
1% inches in front  will show joint between
the int.  cuneiform bone  and the  metatar-
sal of great toe; the line of the calcaneo-
cuboid joint is midway  between  the ext.
malleolus and the tarsal end of metatarsal
bone of  little toe;  the joint between the
fifth metatarsal  bone  and the  cuboid  is
shown by  the  projection  of  the former
bone. 
78
  DORSAL ARTERY.—Course  is from mid-
dle of  ankle  to space  between  first  and
second  metatarsal  bones;  guide to  it  is
the outer side of the extensor longus polll-
cls.

  PLANTAR ARTERIES.—A line from hol-
low behind inner ankle obliquely across the
sole  almost  to   base  of  fifth metatarsal
bone would indicate part  of the  course  of
the ext. plantar.  The  int.  plantar corre-
sponds  with  a line  from  inner side of  os
calcis to middle  of great toe.
                THE ARM.

    SURFACE  MARKINGS.—Clavicle,  acro-
  mion  process  and spine of  scapula,  cora-
  coid  process,  angle of sternum, ribs, inter-
  costal spaces,  nipple,  outline of pectoralis
  major, interval between latter muscle and
  deltoid, interval between sternal and clavic-
  ular origins of pectoralis major muscle.

    BONY POINTS OF THE  SHOULDER.-
  Spine of  scapula  and  acromion  process
  can be felt at  angle of junction with shoul-
  der.

    CORACO-ACROMIAL LIGAMENT—Can
  be felt under  anterior fibres of deltoid.

    AXILLARY  ARTERY.—Can  feel it  beat
  when  arm is  raised  to a  right angle  with
  body; it can  be compressed on inner side
  of coraco-brachialis muscle.

    BRACHIAL  ARTERY.—The  course  of
  this artery can  be  shown  by  drawing  a
  line from  the deepest  part of the axilla
  (the  arm  being  extended and  supinated),
  at its middle,  down  the inner side of the
  biceps to  the  middle  of the bend of the
  elbow.   The median  nerve  is in  relation
  with  the  artery,  also the  musculo-spiral
  nerve.

   BEND OF  ELBOW.—Tendon  of biceps
  can be felt here;  pulsation of the brachial
, artery close to its inner side can  also  be
  noted.

    OLECRANON   PROCESS.—Near  inner
  condyle. The  ulnar nerve lies in a depres-
  sion between  the olecranon  and int.  con-
  dyle.   An  important  landmark  of  the  el-
  bcw  is the little  "pit" on  outer  side  of
  this process,   immediately  below  the  ext.
  condyle; the head of radius  can  be felt in
  pronation  of supination of forearm. 
                   79

  "TUBERCLE  OF RADIUS.—In extreme
pronation,  it can be  felt on back of  fore-
arm

  INTEROSSEOUS ARTERIES.—The  com-
mon interosseous is given off by the ulnar,
about 1 inch below  head of radius;  it  di-
vides into  ant.  and  post,  interosseous Ya
inch lower still.

  LYMPHATIC GLAND.—Just above inner
condyle, in front of intermuscular septum.
  TUBEROSITIES.—Tuberosities  of   hu-
merus, just beyond  acromion process,  can
be felt through  the  fibres of deltoid;  head
of humerus can be felt high up in axilla.

  BICIPITAL GROOVE.—May  be  felt  by
pressing  in front of  shoulder,  when arm
is pendant and  supine;  its direction is
vertically  downward.
FOREARM AND WRIST.
  RADIUS.—Styloid  process  can  be felt;
lower half of radius  is accessible to  touch.

  ULNA.—In supination the margin of ulna
can  be  felt frcni olecranon to styloid pro-
cess. Apex of  styloid process of ulna  is
parallel  with radio-carpal joint.  At baok
of wrist, head  of ulna  can  be  seen and
felt; it  is  in  relation with the tendons of
ext.  carpi  ulnaris  and  extensor minimi
digiti.  When  the forearm is supinated, the
styloid  process is  felt posteriorly, and not
the head.

  CARPUS.—The tubercle of the scaphoid
bone is situated below the styloid process
of  radius   (inner  side   of   extensors  of
thumb).  The  level of tjie radio-carpal joint
is between  the  styloid process and  tuber-
cle.  The trapezium is lower. Pisiform bone
is immediately below ulna on  the palm of
hand,  the  cuneiform bone  being on  the
inner side of this. The  lowest transverse
furrow  on  palmar aspect of  wrist  corre-
sponds  with  upper  edge of  ant. annular
ligament and  intercarpal joint. The medi-
an nerve runs  near  the inner  border  of
tendon of palmaris longus muscle.

  PULSE.—Can  be felt outside of tendon
of flexor carpi radicalis.  Occasionally the
superflcialis volae runs by side  of  radial
artery, so,  feel  pulse in both wrists when
In doubt. 
                   80  .

  TABATIERE ANATOMIQUE.—This deep
depression  at  root  of  thumb lies between
the second and third extensor  tendons of
thumb;  in it can be made out the relief of
the superficial  radial vein, the radial artery
In its passage to back of hand and the meta-
carpal bone of thumb (upper part).

  COURSE OF  RADIAL ARTERY.—A  line
drawn  from outer border of tendon of bi-
ceps at the bend of elbow  to  front part
of styloid process of radius would indicate
the course of this artery.

  COURSE OF  ULNAR ARTERY—From
middle of bend of  elbow to outer side of
pisiform bone.
THE  HAND.
 DIGITAL  AND PALMAR  FURROWS.—
The  first  furrow of fingers  does  not cor-
respond with  metacarpal joints;  the sec-
ond  and  third  do  correspond with  their
respective joints.  The middle of  the ant.
annular ligament corresponds with the lit-
tle depression between the ball of thumb
and  that  of little  finger.  Of furrows  in
palm of hand, the only one of surgioal in-
terest  is  that which extends transversely
across  the lower third, from ulnar border
to interval  between fore and middle  fin-
gers.  It almost  corresponds with the  meta-
carpal  joints  of fingers; with upper limit
of the synovial  sbeaths of  the flexor ten-
dons of fingers, except the little finger;
with the  divisions  of the   palmar fascia
(into four slir/s), and the transverse  meta-
carpal  ligament, which lies  in same plane.
The  digital arteries "divide or bifurcate  a
trifle below this furrow.

  PALMAR  ARTERIAL  ARCHES.—The
thumb, widely separated from the fingers,
will  indicate a line which corresponds with
the  line  of the superficial  arch  of  these
arteries;  thence their course is  straight
between the shafts of the metacarpal bones.
The deep palmar arch is 1%  inches nearer
wrist than the superficial.

  METACARPAL   JOTNT    OF   THE
THUMB.—Can  be  felt by tracing  the  dor-
sal surface of trapezium upward to promi-
nence  which  indicates joint  at bottom of
"tabatiere  anatomique." 
81
  KNUCKLES  AND DIGITAL JOINTS -
First row  is formed by ends  of  metacar-
pals; second row,  by  ends of first  pha-
langes, etc.
THE  HEAD.
   SUPRA-SCAPULAR  ARTERY.—Felt im-
 mediately above supra-orbital notch.

   TEMPORAL   ARTERY.—The   anterior
 branch  ascends about  V-/±  inches behind
 the ext.  angular  process of  the frontal
 bone.

   OCCIPITAL ARTERY.—About the mid-
 dle of  a line  traced  from  the  occipital
 protub.  to the  mastoid process it can be
 felt.

   MASTOID  PROCESS.—Situated  behind
 the ear,  where  it  can  be felt.

   OCCIPITAL PROTUBERANCE.—Felt at
 back  of  head,  together with  the  sup.
 curved lines; thickest  part  of  skull.

   SUP.  LONGITUDINAL SINUS.—A  line
 traced  from  root  of  nose  over  head  to
 occipital  protub. will indicate its  position.

   LATERAL  SINUS.—A  line drawn  from
 the occipital protub. to  front  border  of
 mastoid process  will correspond with part
 of this sinus.

  MIDDLE MENINGEAL ARTERY.—The
 trunk  of  artery extends  along the front
 lower  corner  of  the parietal  bone, % inoh
 above,  and  I1/* inches  behind  the  ext.
 angular  process  of the  frontal  bone.  It
 lies V/2 incbes above the zygoma.

  LEVELS OF   BRAIN.—A  straight line
 across the forehead, immediately above the
 eyes,  will  correspond with the level of the
 anteiior lobes in front;  a line from  the
 ext. angular process of the frontal bone to
 upper  part of  meatus  auditorius corre-
 sponds with the lower level of the anterior
 and middle  lobes  of  the cerebrum;  the
 lower  level  of  the  posterior lobe corre-
 sponds with a line  drawn from the meatus
 auditorius to  the occipital protub.

  AXIS OF AUDITORY  CANAL.—Inward
 and forward toward the  temple,  but  not
directly transverse. 
82
              THE FACE.

  PULLEY  FOR  SUP.  OBLIQUE MUS-
CLE.—Can be felt beneath the int.  angular
process  of the frontal bone.
  LOWER JAW.-A line  traced  from  the
condyle of jaw to the angle  indicates  the
post, margin of  the  ramus.

  ZYGOMA.—It lies in front of ear.

  SEVENTH NERVE.—Its branches extend
toward the eye, cheek and jaw. It emerges
from the  stylo-mastoid foramen,  and after
passing  into the parotid gland supplies  the
facial muscles.
  PVROTIO  DUCT.—The  course  of  this
duct can  be indicated by drawing a line
from the  bottom  of lobe  of ear to midway
between the nose and the mouth.  It opens
into the mouth  by a papilla  opposite  the
second upper  molar  tooth.

  TEMPORAL ARTERY.—Can be  felt  be-
tween the root of zygoma and the ear.

  FACIAL ARTERY.—At the  point of its
passage over the body of the jaw, at  the
anterior  edge of the masseter muscle, it
can be  distinctly felt; also at the corner
of the mouth; and  by side  of  the  nasal
wing, up to inner side of  tendo oculi.

  FACIAL VEIN.—Course is from  inner
angle of  eye  to front border of masseter
muscle;  it is behind the  artery.
  MOUTH.—The  following  parts  can  be
seen and  felt:  Upper surface of  tongue;
a  median  furrow on its under surface;
ranine vein on  each  side of this furrow;
fraenum  linguae  has  duct of submaxillary
gland on each side; submaxillary  gland  can
be found under the mucous membrane near
angle of  jaw; sublingual glands  are  con-
tained in  the long ridges  of mucous mem-
brane on  each side of floor of mouth;  be-
hind the symphysis of jaw, the genio-hyo-
glossi attachment can be felt.

  THROAT.—Finger  can  be passed as  far
as the bottom of the cricoid cartilage.  The
following  parts can therefore be examined:
Epiglottis; pharynx  to top of oesophagus;
each side of  hyoid space; great cornu of
hyoid bone;  the  coronoid process  of jaw
can be felt between the teeth and cheek'
recess, on inner  side of  coronoid  process' 
                    S3

between it and the tuberosity of the sup.
maxilla,  where  abscesses  might  burst;
hamular process of the sphenoid bone  can
be felt behind the last molar on inner sur-
face of  upper jaw; lower part of pterygoid
fossa, and int.  pterygoid plate; on outer
side of   last  molar (behind),  part  of  the
back  of the  antrum and the  lower part
of  the  ext.  pterygoid  plate can  be felt.
On  roof  of mouth,  pulsation  of post, pala-
tine artery can  be felt;  gustatory nerve
can  be   reached  by  finger  close to  bone
below the  last molar tooth.
THE  NECK.
  EXTERNAL  JUGULAR  VEIN.—A  line
drawn from  the angle of jaw to middle  of
clavicle will indicate its course.

  ANTERIOR  JUGULAR VEIN.—Extends
along front border of sterno-mastoid mus-
cle.

  PARTS IN CENTRAL LINE—1. Body  of
os  hyoides,  just below inf. maxilla.   2.
Whole length of cornua  can be outlined.  3.
Gap above thyroid cartilage;  it corresponds
with  the  ant.  thyro-hyoid  ligament,  and
apex  of  epiglottis.

  THYROID CARTILAGE.—Can  recognize
the  following:   Lateral lobes  (one  each
side); pulsation of sup.  thyroid artery (or*
upper  and front part  of  gland);  below
angle of  thyroid cartilage there  is an  in-
terval between it and  the cricoid  for the
crico-thyroid  membrane.

  CRICOID CARTILAGE.—The  projection
of this cartilage can be felt; it corresponds
to  spaces between  the fifth and  sixth
cervical  vertebrae.  The point where the
omo-hyoid muscle crosses the common caro-
tid artery  can be shown by  drawing a line
transversely  from  the   cricoid  cartilage
across the neck.

  STERNO-MASTOID MUSCLE.—The com-
mon  carotid  is  overlapped  by  its  inner
border. 
84
  STERNOCLAVICULAR   JOINT.—Parts
behind this joint:  Commencement of vena
innominata; behind  this, the  common  car-
otid  (left  side);  on the right side we have
the  division of  the  arteria  innominata;
deeper, the  apex of  the lung.  The arteria
innominata  in children very frequently lies
in front  of the trachea,  dividing a  little
higher than joint.

  SUBCLAVIAN ARTERY.—The outer bor-
der of sterno-mastoid corresponds with the
outer edge  of  the  scalenus  anticus,  this
being a guide to  this artery.
THE CHEST.
  PARTS  BEHIND  FIRST  BONE  OF
STERNUM.—Left vena Innominata (crosses
sternum  just below upper border); primary
branches of aorta; trachea  divides   into
two  bronchi opposite junction of first  and
second bones of sternum; oesaphagus.   The
highest part of aorta, which rests upon the
bifurcation  of  the   trachea,  is  about 1
inch from upper border of the sternum.

  ARTERIA INNOMINATA.-A line drawn
from the middle  of  the junction  of  the
first and second bone  of  the sternum to
right sterno-clavicular joint would show its
course.   Sometimes its  pulsation can  be
felt  in the fossa above the  sternum.

  INTERNAL  MAMMARY  ARTERY.—Its
course is vertically behind  the cartilages
of the ribs.  Its largest perforating branch
passes through the second intercostal space.

  INTERVAL  BELOW CLAVICLE.—It is
triangular, and  situated between the  pec-
toralis major and  deltoid muscles, being a
guide to  the coracoid process  and axillary
artery.   This  space corresponds  with  the
axillary  artery.

  APEX  OF THE HEART—Pulsates  be-
tween  fifth  and sixth ribs,  about 2 inches
below  the nipple, and 1  inch to its sternal
side.

  HEART.—Its upper border is on a  level
with the third costal cartilage; lower  bor-
der extends from half an inch below lower 
85
end  of sternum  to fifth  left space   The
left boundary, at apex, is located to left of
junction of fifth rib with its costal carti-
lage, and behind, or to left, of a  line traced
from   left  nipple  downward.   The  right
boundary  extends  about an  inch to  right
of right edge  of sternum.   From  behind,
the base of heart is at  level of  the suines
of  sixth  and seventh  dorsal  vertebrae;
the apex is at level of  ninth rib.

  VALVES OF HEART.—Pulmonary valve
(in most cases) is  at level  of third carti-
lage,  or, in part, on left  side of sternum,
behind second intercostal space;  the aortic
valve  is  at level   of  third  cartilage, or
thii'd  space;  it  is behind  the  left  two-
thirds,  or one-half  of  the  sternum;  the
mitral valve is oblique,  and lies  behind the
third  intercostal  space,  near  middle of
sternum;  the  tricuspid  valve   is   also
oblique, and lies behind the  middle  of fhe
sternum, the upper end being at the  level
of the third intercostal space.
  OUTLINE  OF LUNGS.—Apex of lungs
rises  into  neck   behind  sternal  end of
clavicle  and  sterno-mastoid   about   lMs
inches. The lungs converge  from the  ster-
nal ends of  the  clavicles.  No lung behind
sternum (first bone); the  margins of the
lungs  run  parallel, from  the level  of the
second costal  cartilage to  level  of  the
fourth.   Lungs  diverge  below  level of
fourth costal cartilage.
THE BACK.
  SPINES  OF  VERTEBRAE.—They  can
be  counted  by  using  friction  with the
fingers,  down  the  backbone,  when the
tips of spines will redden.   The  spine  of
the  third  dorsal  vertebrae is  level with
the beginning of the spine of the scapula;
the  spine  of the  seventh dorsal is level
with  the  inferior  angle  of  the  scapula;
the spine  of the  last dorsal is level with
the head of last  rib.
  DIVISION OF THE TRACHEA.—The  di-
vision of trachea, in front, is level with junc-
tion of first and second parts of  sternum;
it is opposite the  spine of the third dorsal
vertebia; sometimes the fourth. On a level 
                     86

  with the third intercostal space, a  slight
  dimple in the  skin marks the root of scap-
  ula; placing the ear on  inn^r side of this
  dimple will cover  the  bronchus, particu-
  larly the right one. The lower  border  of
  trapezius is a  guide  to  the  spine of the
  twelfth  dorsal vertebra.  Below the last
  rib,'on outer edge  of erector spinae, is the
  place where the kidney is most  accessible
  to  pressure.
   The lower border of the trapezius muscle
  Is a guide to the spine of the twelfth dor-
  sal vertebra.   This  muscle,  together with
  the ligamentum nuc'iae, can be felt  in the
  pit of the neck.
   Below  last  rib,  and  on  outer side  of
  erector spinae,  the kidney is most accessi-
  ble to  pressure.
   The fourth lumbar spine  is  about  level
  with the  highest  part  of the ilium. The
  spines  of the  sixth and  seventh cervical
  vertebrae can be felt.
   The spines of the second dorsal vertebra
  correspond with the head  of the third rib,
  the third with  that  of the fourth rib, and
  so on.


 PARTS  OPPOSITE  THE  SPINES  OF
              VERTEBRA E.

   Fifth  Cervical—Cricoid  cartilage;  begin-
 ning of oesophagus.
   Seventh cervical—Apex of lung
   Third dorsal—Apex of lower lobe of lung-
 aorta reaches  spire; angle of  bifurcation
 of trachea.
   Fourth  dorsal—The arch of  aorta  ends;
 upper level of heart.
   Eighth dorsal—Lower level of heart; cen-
 tral tendon  of  diaphragm.
   Ninth dorsal—Passage of oesophagus and
 vena cava through diaphragm; upper edge
 of spleen.                            ^"b<=
  Tenth  dorsal—Lower  edge of  lung-  liver
 comes^to surface posteriorly;  stomach (car-

  Eleventh  dorsal-Renal   capsule;  lower
 margin  of spleen.                 '  luwer
  Twelfth dorsal-Passage of aorta through
 diaphragm; pylorus; lowest part of pleura.
 terioB.  lumbar-pel^» <>f kidney; renal ar^

  Seeond lumbar-End  of  cord; pancreas-
 duodenum; receptaeulum chyli  1Jaul'reas'

of kidneyUmbar-UmblllCUS: lower mtaeln

paFr?Uorf mumbar-DiViSi0n °f a0rta; W*"»t 
87
DISINFECTANTS. *
  FOR THE PERSON.—For hands and gen-
eral surface of body of attendants, and for
convalescents: Sol. chlorinated soda, dilut-
ed  with 9 parts of water  (1-10), or, 2 per
cent. sol.  of carbolic  acid.  Bichloride of
mercury (1-1000),  for hand  washing.

  FOR  CLOTHING, BEDDING,  ETC.—1.
Destroy by  fire  if  of  little  value.  2. Boil
in  water for at least  half  hour, and keep
infected articles  from the  general  wash.
3. Sol.  of  bichloride of  mercury -(dr. j to
gal. j water); clorinated lime (oz. j to  gal.
j);  sol.  of  chlorinated  soda,  diluted with 9
volumes of water;  carbolic  acid (2 per cent.
sol.). May be used also  for  the hands  and
general  use, with  the  exception  of  the
bichloride.

  C  TI ER  METHODS  OF DISINFECTION.
—Outer garments of wool or silk, and sim-
ilar articles, which would  be injured  by
boiling  water or disinfecting solutions,  can
be  treated as  follows:  1.  By  exposure to
dry heat  (230 degrees F.)  for two  hours.
2. Fumigation with  sulphurous  acid  gas
for at least twelve hours.

  FOR  EXCRETA.—Four per  cent. sol. of
chloride of lime,  or bichloride of  mercury
in  sol.  (1-500).  For  privy vaults:  Bichlor-
ide of mercury (1-500), chloride of lime in
powder,  eto.
  FOR THE DEAD.—Envelop body in sheet
thoroughly  saturated  with:   1. Four  per
cent. sol.  chloride  of lime.  2. Bichloride
of  mercury  (1-500).  3. Five per cent.  sol.
carbolic acid.
  FOR   SICK  ROOM  AND   HOSPITAL
WARDS.—Wash all surfaces with:  1. Bi-
chloride of  mercury  sol.  (1-1000).  2.  One
per  cent.  sol.  of  chloride of lime.  3. Two
per cent. sol. of carbolic acid.   When room
is vacated:  Fumigate with  dioxide of sul-
phur (12 hours),  using  3 pounds of sulphur
for everv  1000 cubic  feet  of  air-space in
room;  then  wash  all  surfaces, articles of
  * From Conclusions of the Committee on Disin-
fectants of the American Public Health Associa-
tion. 
88
furniture, etc.,  vvith  any of the disinfect-
ant  solutions  mentioned,  and  afterward
with water  and soap.  After  all, ventilate
thoroughly.
  FOR  MERCHANDISE.—Free  aeration.
Fumigate with dioxide  of sulphur,  etc.
Rags used for wiping infectious discharges,
etc., shculd be destroyed at once.  Sputa
oups,  bed-pans, etc.,  should  always con-
tain some disinfecting fluid,  or mix with
sawdust  and burn.
EXAMINATION  OF  THE URINE.

            OBSERVE:
I.  Quantity Passed Daily.  (About 50 fluid
   ounces.)
 Decreased,  by  warm and dry  weather;
 active  cutaneous and pulmonary  trans-
 piration;  in diseases with profuse  and
 watery evacuations  of  bowels; in  chol-
 era;  hemorrhage; latter  stages' of heart
 affections;  acute inflammation; diseases
 of the  liver, etc.
   Increased,  by cold and  damp  weather;
 morbid conditions,  associated  with dry-
 ness  of the skin; suppression  of pulmon-
 ary   and  cutaneous  transpiration;  defi-
 ciency  or excess of  uric acid;  presence of
 sugar or  chyle.

II. Color and Transparency.
   Pale  in color,  when quantity  is  great;
 when scanty, it is high-colored.  May be
 white,  bluish-white   and   turbid,  from
 chyle,  mucus,  milk,  pus, or from  the
 earthy phosphates in  excess; cystic oxide
 causes it to be yellowish; brown,  from
 bile;  deep amber, high-colored, from  uric
 acid in excess; purpurates cause the color
 to become  dark red  or  purplish;  green-
 grass  color,  from   excess of  sulphur;
 brownish  or red-cherry,  from  red  par-
 ticles of blood; melanio acid causes it to
 become black,   etc.  Some   substances,
 such    as   rhubarb,  logwood,  beet-root
 corn-poppy and madder,  cause  the color
 to  simulate that of blood.

III. Reaction.

TV Odor.
   When quantity decreases, the odor in- 
89
  creases; it is wanting  when color is pale
  and  quantity is  large.   Is  altered  by
  various  articles of  food,  as  asparagus.
  In many nervous diseases  it is aromatic;
  ammoniacal in  injuries to spinal cord;
  putrid,  from pus, mucus, ichor,  lochial
  and  leucorrhoeal  discharges,  affections
  of the genito-urinary organs,  and  putrid
  fevers.  When it contains  cystine,  it has
  the odor of violets,  or  of  sweet-brier; it
  is sweetish in odor and taste in  diabetes
  mellitus.
V.  Specific Gravity. (About 1.020.)
    Can be obtained  by specific gravity bot-
  tle,  by  a urinometer,  or  Baume's areo-
  meter.

VI.  Presence or Absence of Sediment,  Its
    Quantity  and  Character.

VII.  Presence or  Absence of Albumen.
    Tests:  Pour perfectly clear  urine into
  a test tube one-fourth its depth;  add a
  drop  or  two of acetic acid,  if  not  dis-
  tinctly  acid in  reaction,  then boil over
  a spirit lamp.  If an opacity appears, it
  is due either to  albumen or earthy phos-
  phates.   It will  disappear, if  the  latter,
  on the addition  of a few  drops of nitrio
  acid;  if  albumea,  it is permanent.
  Heller-Morton Test:   Take a  very small
  test-tube, 2V2 inches in length, one-third
  inch  in calibre.   Fill one-third  with
  nitric acid;  fold one or more 3 by  3%-
  inch-diameter  filter  papers  twice,  thus
  making  a funnel, and insert its point
  into the mouth of the test-tube,  support-
  ing  it by the forefinger holding the tube.
  Then pour into the funnel about a drachm
  of  the  suspected  liquid;  it  will  run
  through quite clear  and  form a  sharp-
  cut  white ring at the junction of the two
  tubes  if albumen be  present.
   Test for Bile:  Pour  on  a white sheet
  of writing  paper  a  little  of  the  urine,
  forming a very thin layer;  then with care
  allow  a drop or two  of nitric acid  fall
  upon it.  If  bile be present,   green and
  pink colors  will show themselves. Chloro-
  form test: Two drachms of the suspected
  urine  are placed in  a  test-tube, and  12
  to  15  drops of  chloroform added;  then
  the  mixture is shaken, and if the urine
  contains  bile a  fine  yellowish color  ap-
  pears.  After being allowed to  settle, the
  chloroform settles  to the bottom of test-
  tube, carrying with it the  yellow biliary
  substance. 
90
  Picric  Acid and Potash  Test:   Add  a
fluid drachm of  the urine,  add 40 minims
of a  saturated  sol.  of  picric acid, and
half a drachm  of liquor potassae.  The
mixture  is then  boiled,  and  if sugar be
present,  a dark, mahogany-red color will
appear.
^flfr 
91
CHAPTER V.
A  GENERAL   RULE   FOR  THE
  MEMORIZING   OF  DOSES OF
    THE  VARIOUS  OFFICINAL
           PREPARATIONS.


  1. ACIDS (dilute).—May be prescribed in
doses  of  fl.  dr.  ss.  Exception:  Hydrocy-
anic, the dose of which  is m. i-iv.
  2. ALKALOIDS.-Dose:  With  the  ex-
ception of caffeina, piperina and  cinchona,
the dose is a small fraction of a grain
  3. ABSTRACTS.—Dose:   gr.  %-ss.   Ex-
ceptions:  Abstracts of jalap, podophyllum
senega and  valerian, the doses  of which
are gr. v-x.
  4 AQUAE.—Dose:   oz.  ss.  Exception:
Aqua  ammonia,  the dose of which is m.
x-xx;  aqua  chlori,  the  dose of  which  is
dr. j;  aqua  creasoti, which  has  a dosage
of dr. j.
  5 FIXED OILS.—Dose:   dr.   ss-oz.  j;
Exceptions:  Oil of  phosphorus  (dose, m.
i-iii); croton oil (dose, m. ss-ij).
  6. VOLATILE OILS.-Dose: m. ii-v.  Ex-
ceDtions:  Bitter  almond (dose,   m.  %-ivj,
copaiba   erigeron,  cubeb,  eucalyptus  juni-
or? sandalwood and amber (dose of  each
is  m. v-xx).   Tar  and mustard are  for
ext. use.
  7  VINEGARS—Dose: dr.  ss.  of  each.
 Exception: Acetum  opii (dose, m.  x-xx).

  8. DECOCTIONS.—Dose: oz.  ii-iv.

  9. EXTRACTS.-Dose:  gr.  %-ss.   This
 annlies to the very  potent  ones.  No  gen-
 eral rule can be advanced for  the remain-
 ing ones.   Exception:  Physostigma,  gr.
 1-12—14. 
                    92

  10. FLUID  EXTRA GTS.-Dose:  m   x.
Exceptions:  (The poisons), fluid  extracts
of aconite  (m.   ss-ij):  belladonna  (m.  1-
lj); colchicum root (m. ii-v): colchicum seed
(m.  ii-x);  digitalis  (m.  i-ij);  nux vomica
(m.  i-v):  sanguinarla (m.  i-v);  squill  (m.
i-ii); stramonium (m. j);   veratrum viride
(m.  i-iv).
  11  INFUSIONS.—Dose:   oz.   ss-ij.   Ex-
ceptions:  Infusion  of digitalis,  the  close
of which is  dr.  i-iv.
  12  MIXTURES.—Doso:  oz.  ss-j.  Excep-
tions:   Magnesia (dr.  ss-j);  rhubarb  and
soda (dr.  ss-j).

  13. PILLS.—Dose:  1-2 pills.

  14. POWDERS.—Dose: gr. ii-x.
  15. SPIRITS.—Dose: dr.  ss.

  16 SYRUPS.—Dose:  dr. ss-ij.   Excep-
tions:  Svrups of the bromide and of the
iodide  of iron (m. v-xxx);  compound syrup
of squill (m. x-xxx).
  17. TINCTURES.—Dose:  m. v-dr. j; ex-
ceptions (the poisons), tinctures of aconite
(m. i-v); belladonna  (m. viii-xxx); colchicum
(m. v-xxx); digitalis (m. v-x); iodine (m.i-x);
Ipecac  and  opium  (m.  v-xv);  nux vomica
(in.  i-x); opium (m. ii-x);  deodorized  tinc-
ture of opium (m. ii-x); tinctures  of physo-
stigma (m.  v-xv); squill  (m.  v-xxx);  stra-
monium  (m.  v-xv);  veratrum  viride  (m.  ii-
x).

  1.8.  TROCHES.—Dose:  1-5.

  19. WINES.—Dose:  dr.  j.    Exceptions:
 Vint.m  aroma tie.um  (ext.   use);  colchicum
 root and opium (dose of each, m.  x-xx). 
93
RULES FOR   CALCULATING THE
      DOSES  FOR CHILDREN.

  DR. COWLING'S RULE.—Divide the pa-
tient's  next  birthday by 24;  for example,
at  three  years  the dose would  be  4-24,
equivalent to 1-6 of that of the adult.

  DR. YOUNG'S RULE.—Add  12  to the age,
and divide by  the age  to get the denomi-
nator of the fraction, the numerator being
1.  For  example,  the  age  being  4  years,
4  plus  12 divided by  4 equals  4,  or  one-
fourth  of the adult  dose.  The full dose is
given at the age  of  21  years.

  DR.  LAUDER'S   METRIC  RULE.—As
follows:  Multiply the  next  birthday  by  4
and  divide the  result by 100; or,  multiply
the full dose by the child's next birthday,
then by 4,  and  remove the decimal point
two  places  to  the  left. For  example, the
adult dose  being 1  gm., that for a  child
of 3 years will  be 1 times 4 times 4 divided
by 100  equals .160 gm.
      DOSES FOR CHILDREN,  ETC.

               (Approximately.)

  Dose for child of one month is 1-20 that  of an
adult.
  Dose for child of three months  Is 1-15 that of
an adult.
  Dose for child of six months Is  1-10 that  of an
adult.
  Dose for  child of one year is  1-8 that  of an
adult.
  Dose for child of two years Is  1-6 that  of an
adult.
  Dose for child of three years is 1-5 that  of an
adult.
  Dose for  child  of  five years is 3-10  that of
an adult.
  Dose for child of eight years is 1-2 that  of an
adult.
  Dose for  child of  ten years is  3-5 that  of an
adult.
  Dose for  child of 12 years Is  2-3 that  of an
adult.
  Dose for child of fifteen years is 4-5 that  of an
adult.
  Dose for person  of twenty to forty-five years is
that  of an  adult.
  Dose for person  of fifty years is 5-6 that  of an

  Dose for person  60 years, 4-5; eighty years,2-3. 
94
        FEIGNED DISEASES.

  ABDOMINAL TUMORS.—Mode  of Simu-
 lation:  I'.v  guiding  worn  in  dress;   by
 pushing abdomen forward  while erect;  by
 raising  spine when lying down;  by rigidity
 of  recti muscles; by  permitting  constipa-
 tion for a few days, and thus overloading
 bowels  with faeces, etc. How Detected:—
 Must make  examination of  abdomen  un-
 covered; produce relaxation of the muscles;
 give nauseous and anti-flatulent purgatives.

  A PORTION.— Mode  of   Simulation:—By
 staining body and clothes with blood. How
 Detected:—Make vaginal examination; note
 appearance of  mammae, etc.

  AMAUROTIC  BLINDNESS.—Mode    of
 Simulation:  By making  applications of  ex-
 tract of belladonna  or datura stramonium
 to eye.  How Detected:  The effects of  the
 applications  made to eye will wear off in
 a  few  days.  Amaurosis  has  the pupil
 dilated.

  ABSTINENCE.*—Mode of  Simulation:—
 Most frequently  done for  purpose of  ex-
 citing pity or  wonder.   How Detected:—A
 very difficult task.   Watch person atten-
 tively.

  AniONIA.—Mode   of  Simulation:—Not
 often resorted  to. The  "true aphonia"  re-
 sults from  tumefactions of  glottis  and
 fauces;  from a  relaxed chordae  vocales;
 from tumors which  compress    trachea-
 sometimes succeeds  apoplexy,  etc.   How
 Detected:—By taking person off  his or  her
 guard; by  the  use of anaesthetics; person
 may be suddenly wakened, etc.

  APOPLEXY.—Mode  of  Simulation :-By
falling down, and  lying as though dead.
 How Detected:-Powerful stimulants; ster-
nutatories; electric shocks; actual  cautery

?oatywateS"gS8Sted iD hearing of toPoS

-,^itT?MA-~\rode  of  Simulation:—Diffi-
culty in breathing;  cou?h  and  exnectora-
tion;  palpitation.   How  Detected" Use
  •Fast of G. Henry Stratton, New York 1SQ1
Record,  41 days, 18 hours  and  some n,Tn ,,,s'
lost 59 pounds.  Attended by Drs.  Justin  ii ■  hi'
Schlereth and Sebastian J.  Wimmer     n""M< 
95
 stethoscope,  which will detect  presence or
 absence of trouble; watch patient without
 his knowledge.

  BLINDNESS.—(See  Amaurotic Blindness
 above.).

  CACHEXIA,  EMACIATION  AND  DE-
 BILITY.—Mode of  Simulation:—By using
 substances to make  face  appear livid  and
 pale; indulging freely in spirituous  liquors,
 etc.;  by foregoing sleep for a  time  before
 an examination.   How Detected:—Examine
 and  see if pulse is  strong; see  whethert
 there  be loss of  appetite, of strength, or
 swelling of  the limbs, etc.;  feebleness of
 the  vital powers; give emetics, and then
 examine vomited matter; inspect  stools,
 etc.

  CALCULI IN  BLADDER.-Mode  of Sim-
 ulation:  By  putting pebbles,  sand, etc.,
 into urine; young women  sometimes intro-
 duce  pieces of bone,  cinders,  etc.,  into the
 vagina, and  even  into urethra and  bladder
 to simulate this affection.  How Detected:
 Remove and  examine foreign body, by aid
 of chemistry.

  CANCER.—Mode of Simulation:   Smooth
 surface of half of the spleen .of an animal
 has been glued to the skin, leaving on the
 outside an appearance of an ulcerated  sur-
 face.   How Detected:  Notice if there are
 signs  of  cachexia;  make  a  very  careful
 examination  of  the part.

  CATELEPSY.—Mode of  Simulation:  By
 appearing  suddenly  motionless, the joints
 being flexible, and external objects  making
 no impression.  How  Detected: Powerful
 stimulants;  let  a  drop  of hot  water  fall
 upon  back; propose use of actual  cautery.

  CHOREA.—Mode of Simulation:   By as-
 suming the convulsive motions which char-
 acterize this  disease.   How Detected: Sud-
 denly  a we ken person and notice  whether
 the peculiar movements take  place;  watch
 person unobserved; by anaesthetics, etc.

  CONVULSIONS.—Mode   of   Simulation:
 Nervous convulsive movements  of  the fac-
 ial  muscles  and  other  parts  are often
feigned.  How Detected:   We do  not find
the stiffness  of the  muscles, nor  the re-
sistance and rapidity  of action,  that belong
to the real disease; watch suspected person
without his knowledge, etc. 
                   96

  CONTRACTION OF  JOINTS AND FIN-
GERS.—How  Detected:   By  anaesthetics.
For the fingers, introduce a cord between
the fingers and  palm of hand, then apply
weights so as to expand fingers; anaesthet-
ics, etc.

  CUTANEOUS   ERUPTIONS.—Mode   of
Simulation:  Urticaria  or nettle-rash  are
frequently brought on by articles of diet,
such  as  shell-fish,  bitter   almonds,  etc.
Pustular eruptions are the result of oint-
ments  of  tartar  emetic,   croton  oil,  etc.
How Detected:  By careful  watching and
examination, etc.

  CORNEA, OPAKE.—Mode  of Simulation:
Produced  by applications  of  acrid powders,
strong  acids,  quick-lime,  etc.   How  De-
tected:  Attentive  observation will  detect
existence  of any opacity.

  DEAFNESS AND DEAF-DUMBNESS —
Mode of Simulation:  Loss of hearing gen-
erally  takes  place gradually,  while  im-
postors become  deaf suddenly.  It is  very
hard  to imitate the gestures  and expres-
sion of countenance of the deaf and dumb.
How  Detected:'  Examine  ear;  deaf per-
sons  do not- require loud  shouting  to  be
heard,  but  demand  slow  and  distinct
speech. Put person  under  chloroform or
ether,  when he will probably declare him-
self.

  DEFORMITY. — Mode   of  Simulation:
Those most frequently simulated are con-
tractions  of fingers, elbow, ankle and knee-
joints;  shortness or distortion of limbs; in-
version of  feet; curvature of spine;  wry-
neck.  Females  have been known to pro-
duce  serious swellings, abscesses,  etc.,  by
introducing  numerous   needles   into  the
parts.  How Detected: Examine part  and
its articulation naked, then compare with
the opposite; to ma;ie joint easily movable
a tourniquet should be  placed  above the
affected part,  and tightened; use  chloro-
form.

   DELIRIUJM.—Mode  of  Simulation:   By
various methods.  How  Detected:  Bodily
disease  accompanies  real  delirium.  Gen-
eral wandering and incoherency are want-
ing In the feigned.
  DELIVERY.—Mode  of   Simulation:  The
external  parts  are bathed  with  borrowed 
97
 blood, and  often  the  infant  of  another
 substituted.   Enlargement is produced ar-
 tificially, etc.   How  Detected:  Examine
 per vaginam.   The  following  are  the re-
 sults of  real delivery: Vagina relaxed;  also,
 tumid and  tender; os  uteri ditto; lochial
 discharge, etc.

  DIARRHOEA    AND   DYSENTERY.—
 Mode of Simulation: Feigned especially by
 soldiers  and  sailors  in hot climates.  Has
 been caused by  a mixture of vinegar and
 burnt cork;  may be  caused by any of the
 purgative roots.   Blood  mixed with  this
 (borrowed)  has constituted  the dysentery;
 sulphate of iron  has  been  used to cause the
 stools appear black  and unhealthy.  How
 Detected: Make, person use a  nig"ht-chair,
 and  closely  watch   proceedings;   notice
 whether he  borrows blood,  or  procures  it
 by picking  his gums, etc.; inspect linen,
 etc.

  DROPSY.—Mode of Simulation: By wear-
 ing pads;  a  ligature  around the lower
 limbs  has  caused the anasarcous  condi-
 tion; great  distention of the scalp  simula-
 ting  hydrocephalus in  children,  has  been
 tried by mendicants,  who  have  daily blown
 air under the scalp througTi a  small open-
 ing at the vertex.  How  Detected: Atten-
 tive examination; when a  ligature has been
 used  it  can  always  be recognized  by the
 marks left.

  DYSPEPSIA.—Mode  of  Simulation:  In
 the feigned disease,  the symptoms  are by
 no  means clear; general  health is good;
 some persons can vomit by pressure  upon
 the praecordial  region, and they often use
 this faculty  vhen simulating  diseases of
 the stomach.  Are privately supplied with
 food,  which  they do not vomit.  How De-
 tected:   Detection  is difficult.   Look for
 some organic disease of the stomach, etc.

  DYSPNOEA.—Mode of  Simulation:  Not
 often simulated.  How  Detected:   Careful
 watching, especially when person is asleep.

  EAR  DISEASES.—Mode of  Simulation:
 Diseases of  the ear producing a discharge
 have been imitated by putting pus,  honey,
 rancid tallow, etc.,  in ear;  have been ex-
 cited  by putting powdered cantharides or
other acrid substances into the ext.  meatus
 (otorrhoea).   How Detected:   By  careful
examination and watching alone. 
                   98

  EPILEPSY.—Mode  of  Simulation:  Per-
son utters  a peculiar cry, struggles, fall-
ing down  (never hurts  himself, though);
causes lividity  by  holding  breath;  froth-
ing  at  mouth by  use  of soap or  some
saponaceous root in the  mouth, etc.  How
Detected: In the true cases, the person is
deadly pale,  the  muscular rigidity cannot
be  overcome except  with great  effort;
pupils are  dilated,  etc.    Use same means
as are used in  feigning apoplexy.

  FEVER.—Mode of  Simulation:  May  be
feigned or  artificially produced.   The  un-
healthy appearance  given to the tongue has
been  produced  by  covering it with  soap,
chalk, flour, dust,  pipe  clay,  brick  dustt
tobacco,  whitening from the  walls,  etc.;
redness of  the  skin  has been  caused  by
friction with a  hard brush.  How detected:
Febrile paroxysm due to intoxication, etc.,
Is only ephemeral;  should  tongue be  ar-
tificially coated,  rinsing  the mouth  with
warm water will clean  it.  General con-
dition of system  does not correspond with
truth of the symptoms.

  FISTULA IN ANO.—Mode of Simulation:
By making an  incision  near the border of
anus,  and  introducing an acrid  tent into
It,  such as the root of white  hellebore.
How Detected: Examine  parts carefully.

  FRACTURES.—Mode of Simulation: Com-
plains of pain  in part; if of the skull,  he
states, perhaps, that he  becomes deranged
on tasting  liquor,  etc. How Detected:  By
carefully examining part.

  HAEMATEMESIS.—Mode of Simulation:
By using some colored liquid, or by drink-
ing blood of some animal.  How Detected:
Careful watching of person; cut  off supply
of fluid.

  HAEMOPTYSIS.—Mode  of  Simulation:
Coloring the saliva by  means of bullock's
blood,  blood from gums, etc.  How  De-
tected: Blood  from  lungs is frothv  and
bright; inspect  carefully  the mouth  and
fauces; watch  person.

  HAEMATURIA—Mode of Simulation: Sub-
stances have been taken which have  power
to redden  the urine,  such as fruit (prickly-
pear,  madder,  beet-root, etc.); after urine
has  been  voided,  blood has  been  mixed
with It, etc.  How Detected:  By carefully
watching  person. 
99
  HEMORRHOIDS.—Mode of  Simulation:
By the introduction of bladders of rats or
of small fish partly into the  rectum;  stain-
ing of linen by borrowed blood.  How  De-
tected:  Easy; examine parts.

  HEPATITIS.—Mode of Simulation:  Com-
plain of pain in right hypochondrium,  etc.
How Detected:  Countenance and  general
appearance  will be at variance with  the
oral testimony; absence of  any enlarge-
ment,  etc.

  HERNIA.—Mode  of  Simulation:  By in-
flating  the  cellular  tissue of the scrotum
with air; some have the power  of retain-
ing  testes in the  groins  by  the  voluntary
action  of  the  cremaster   muscles,   thus
causing  a swelling,  etc.  How  Detected:
Detection is easy.

  HYDROCELE.—Mode of Simulation: (See
hernia).  How Detected:  Easy.

  HYDROCEPHALUS.—(See Dropsy).

  HYDROPHOBIA.—A   case  is  related
{MM. Percy and  Laurent) where a person
feigned this affection,  and at first  misled
the  examiners, but  who  "gave in"  finally
when threatend with suffocation between
two beds.  How  Detected:   Case related
suggests course to  adopt.

  HYSTERIA.—Mode of  Simulation:   The
genuine  cases  always  appear  gradually,
etc.  How Detected:  Does not easily  resist
the  application of strong sternutatories to
the  nostrils. Examine carefully.

  INSANITY.—Mode of  Simulation:  Often
feigned by  those  accused of crime.    The
part generally is overacted.  How Detected:
Observe when  the  insanity was first as-
sumed; expression of the countenance can-
not easily be imitated;  affection cannot be
simulated as  long  as  the  real  affliction.
Person cannot do long without sleep, food,
etc.

  JAUNDICE.—Mode of  Simulation:  By
coloring the skin with tincture of rhubarb
or with an  infusion of turmeric; muriatic
acid bas been adopted  to make the  stools
clay-colored; rhubarb  heightens  the  color
of the urine; spirits have been taken  large-
ly  to  produce heat of  skin,  disordered
tongue,  etc.  How Detected:  The coloring
matter  can  be removed  by  washing  the
skin; by cutting off supplies of acids, etc, 
                   100

the  stools and  other  excretions  become
healthy.  The  white of the eye cannot be
colored by art.

  LAMENESS—Mode  of  Simulation:   By
keeping the limb  in a  contracted condition
and resisting efforts to move it.  How De-
tected:  Two persons  should take  hold of
the patient and move rapidly  along with
him; when they are tired  have assistants,
and  the   impostor  will  soon  become  fa-
tigued  and  "give  in."

  MENSTRUATION.—Mode of  Simulation:
By staining  the  body and clothes with
borrowed  blood.  How Detected:  By  cut-
ting off supply.

  MYOPIA.—How   Detected:   Present to
person  an open book  and apply the leaves
close to the nose; if it cannot  be properly
read when thus  placed, or when glasses
proper  for short-sightedness are used, the
ditease is  feigned.

  OPHTHALMIA.—Mode   of   Simulation:
Lime, and acrid  and  corrosive  substances
applied to the eye may cause inflammation;
rubbing with powdered snuff, corrosive sub-
limate,  alum,  salt,  etc.,  have produced
this  inflammation.  How Detected: Prog-
ress  of  healing is rapid under the condi-
tions  mentioned;  keep patients, secluded,
etc.

  OZAENA.—Mode of  Simulation: By  put-
ting a piece of sponge impregnated with
some offensive juices  or oils,  mixed with
rotten cheese, into the nostrils.

  PAINS.—Mode of Simulation: Mendicants
often use this  means for begging,  etc.
How Detected:  Often difficult. Non-exist-
ence of pain  cannot be proved.  Listen at-
tentively to person's  narrative,  and exam-
ine the part or parts  complained of; thej
cross-examine, etc.

  PALPITATION.—Mode   of   Simulation:
Doses of  from 10  to 12  grains of white
hellebore,  and repeated, will occasion gen-
eral  indisposition,  and undue action of the
heart.  How  Detected:  Examine  patient
carefully.   Cut off supply  of drugs.

  PALSY,  SHAKING.—How Detected:  If
person be in an ordinary state of vigor it
might be  suspected.  (See chorea.) 
101
  PARALYSIS.—Mode of Simulation: Very
 suspicious when  the  paralysis is confined
 to  a certain limb—the arm, for example,  as
 such a form is rare.  How  Detected:  Use
 violent remedies, such as electricity;  cold
 affusion;  actual  cautery, etc.

  PERITONITIS.—Mode   of   Simulation:
 Feigned frequently by  hysterical women.
 Great pain over  abdomen is complained of,
 etc.  How  Detected:   Engage patient  in
 conveisation;  excite  her  attention;  and
 then make pressure upon abdomen; exam-
 ine pulse,  etc.

  PHTHISIS.—Mode  of  Simulation:  Has
 been  simulated  especially   after  recovery
 from  other  diseases,  when  pain,  cough
 and other  symptoms  are easily  assumed;
 artificial  haemoptysis  has  been  induced.
 How Detected: Make a physical examina-
 tion of the  chest, etc.

  PREGNANCY.—Mode of Simulation:  Has
 been feigned to  gratify the wishes  of the
 husband or relations or to extort marriage
 by wearing  pads and assuming  the long-
 ing after  particular articles  of  food; oc-
 casionally  a woman will be  deceived  her-
 self, believing herself  to be enciente, wEen
 the appearance of pregnancy will be caused
 by  flatus  and fat which enlarge the ab-
 domen, etc.   How Detected: Examine per
 vaginum; also breasts; absence of areola;
 presence of a pad, etc.

  POLYPUS  NASI.—Mode  of  Simulation:
 The testicle of a young  cock  or  the  kid-
 ney of a rabbit  has been introduced into
 the nostril,  and  retained  by  means of  a
 sponge fastened  to   it.   How Detected:
 The means  are  obvious.

  PORRIGO  (Scalled Head).—Mode of Sim-
 ulation: Nitric acid is applied  to the head,
 after  protecting  the face  with fatty sub-
 stances.   The chronic state  is simulated
 by using depilatories of various kinds, thus
 imitating  porrigo  decalvans.   How   De-
 tected: Examine  parts carefully.

  PROLAPSUS ANL—Mode of  Simulation:
A portion  of the intestine  of an  ox,  in
which  a sponge filled with blood and milk
is placed.  Prolapsus  uteri  is  imitated by
a similar  fraud.   How Detected: By  ex-
amining parts. 
                   102

  PULSE  (WEAKNESS OR DEFECT OF).
—Mode of Simulation: By the means of liga-
tures applied to  the corresponding arm.
Veratrum viride may cause a  slowness  of
the pulse.

  RHEUMATISM,   CHRONIC—Mode   of
Simulation:  Gout,  sciatica,  lumbago are
likewise  often simulated by  members  of
benefit  societies  and others  wanting  to
shirk work.   Part  is  generally overacted,
the  symptoms usually  being  too  acute.
How Detected:  By  careful watching; use
anaesthetics;  attention  to  constitutional
symptoms,  and noting  their  absence  in
simulated cases, etc.

  SCROFULA.—Mode  of  Simulation:  By
exciting  ulcers  below  the  angle of jaw.
How Detected: Examine the general habit;
see whether the ulcers are glandular; also,
whether  the discharge is  of  a scrofulous
character.

  SCURVY.—Mode   of  Simulation:  The
teeth are  covered  with  wax,  when  acid
corrosive  substances  are  applied  to the
gums.  How  Detected: Examine the  gen-
eral habits of patient; see whether  any de-
bilitation  exists,  etc.

  STAMMERING.—Hew Detected:  Is  gen-
erally ascribed to  a fit of apoplexy or se-
vere fever.  Examine  into patient's  pre-
vious history, etc

  STRABISMUS.—How  Detected:  Arouse
person  suddenly  from a  sleep,  and the
eyes will  be found all right, as they also
are during sleep.  Anaesthetics.

  STRICTURE OF THE URETHA.— How
Detected:  By passing a bougie.

  SWELLING  OF THE  LEGS.—Mode  of
Simulation:  By  placing  ligatures  around
the  thighs.  How  Detected: By examining
the  limbs  uncovered.

  SYNCOPE.—Mode of Simulation:  Liga-
tures are occasionally used to prevent the
feeling  of the pulse; applying  lotions  to
face to make it pale.  How Detected: Use
sternutatories; by absence of symptoms of
syncope;  examine  naked arms,  and wash
face.

  TYMPANY.—Mode   of   Simulation:   By
swallowing  air,  so  as  to   distend  the
stomach and  simulate tympany. How De-
tected:   Examine  parts. 
                  103

  ULCER OF THE EAR.—Mode of Simula-
tion :  Persons have been  known  to  estab-
lish a  discharge of puriform matter from
the ear,  by the  introduction  of  a tent
Imbued with blistering  plaster; the  foetid
smell   being  imitated by droppings  of  a
mixture  of empyreumatic oil, asafoetida
and old cheese.  How Detected:  By care-
ful examination.

  ULCERS OF THE LEGS.—Mode of Simu-
lation:  By corrosives  or irritants.   Rub-
bing sand in wounds  about the shin  is
sometimes resorted to; some have  simulated
these ulcers by gluing on  a piece of spleen
or the skin of a frog.  How  Detected: By
careful examination.

  URINE, BLOODY.—Mode  of  Simulation:
Blood  is  sometimes borrowed  and  mixed
with urine; cantharides will cause  bloody
urine,  also various drugs.  How  Detected:
By cutting off the supply of the  substance
which could cause red color;  by  making
patient pass his water  before the  physi-
cian,   and  examining  vessel  before  and
after.

  URINE, INCONTINENCE.—How  Detect-
ed: Difficult.   Give  person a full dose  of
opium,  and  then introduce the catheter
when he is asleep.  If urine be present the
Incontinence is  imitated.

  VARICOSE  VEINS.—Mode  of  Simula-
tion:   By ligatures placed round  the limb.
How Detected:  Examine the limb. 
104
METHODS   OF  ADMINISTERING

             MEDICINES.
  THROUGH  EXTERNAL  INTEGUMENT
—ENEPIDERMIC—By  this  method  the
medicine  is  applied  directly to  the skin
without friction.  The power of diffusion
of any medicine by  this mode will  depend
entirely upon  its degree  of  absorption. The
skin may  be considered  as  a colloidal sep-
tum, and  by  placing an acid fluid  on one
side and an alkaline fluid on the other, we
have  the  conditions most  favorable  to
osmosis.   Cutaneous  absorption  is  further
obstructed by the sebaceous matter of the
skin, and  medicinal  substances  in solution
In water are with difficulty  absorbed.  EPI-
DERMIC—Medicines are applied here  by
friction,  thus  forcing the  substance be-
tween the cells of the epidermic layer. Cod-
liver oil, fatty substances,  mercurial oint-
ments,  etc.,  cau be  administered  in this
manner.  ENDERMIC—Here medicines are
applied  directly  to the  derma,  which has
been denuded by a blister.   The medicinal
agent is generally sprinkled over the raw
surface.   Morphine,   atropia,   strychnine
and quinine are given in this wav.  HYPO-
DERMATIC—(See  Hypodermatic Medica-
tion.)
  THROUGH  INTERNAL  INTEGUMENT
-BRONCHO-P ULMONARY MUCOUS
MEMBRANE.—By insufflation, finely-divid-
ed  medicinal  agents  are  applied 'to the
various  parts  of  the  respiratory  tract.
IiOcal  applications to  the nares,  fauces,
epiglottis,  and   the  aryt mo-epiglottidean
folds, of morphine, nitrate  of silver, alum,
tti-rin, zinc salts, etc.,  can be  made by
this mode.   The nnssl  passages can be
medicated by  means  of the nasal douche,
and the  following rules are in place  here:
1. The fluid should be tepid.  2. Use bland
and unirritating  applications for the  first
medication.   3.  Do  not use  applications
wlich  are strong enough to excite irrita-
tion.  Chlorides of sodium, potassium and
ammonium,  potassium  permanganate,  car-
bolic acid, iodine, etc., can  be brought into
use  by means  of the nasal douche.  Medi- 
                   105

cines by  inhalation  are  applicable to the
treatment of  the various  diseases of the
broncho-pulmonary  tr-ict, such  as  iodine
in vapor,  iodoform, sal-ammoniac, bromine,
etc.  Atomizatiou  or  pulverization are bet-
ter methods  of treating  affections  of this
region.  Observe the  following:  Never use
strong inhalants in the beginning of treat-
ment;  accustom the mucous membrane be-
forehand  to  warm  water,  tepid solutions
of common  salt,  solutions of chloride of
ammonium,  etc.   GASTRO-INTESTINAL
MUCOUS MEMBRANE:  This tract is gen-
erally  used when a  systemic effect is de-
sired, the remedy being given either by the
mouth or rectum.  The following forms of
medicines  are  usually administered by the
stomach:  Powders, pills, mixtures, extracts,
infusions, decoctions, capsules, wafers, loz-
enges,  etc.  Suppositories are given by the
vagina and rectum; clysters, enemas by the
rectum.    GENITO-URINARY   MUCOUS
MEMBRANE:  Morphine can be rapidly dif-
fused by using the bladder for securing ab-
sorption.  Astringent solutions are  applied
to urethra and vagina  by injection; sup-
positories are also  used here.


  BY THE SUBCUTANEOUS AREOLAR
TISSUE.—(See  Hypodermatic Medication.)


  BY  THE  VEINS.—Admissible  only  in
emergencies.  (Transfusion),  etc. 
106
TEMPERATURE  IN  ADULT  AND

                CHILD.


  TEMPERATURE OF  THE  BLOOD.—In
the adult it is about 9S.4 degrees Fahr., or
a few tenths more or less. In the hepatic
vein  it  may  be  107  degrees. When the
temperature  falls  below  97   degrees, the
patient may be said  to  be in a state of
collapse;  when it  rises above  'M1/^ degrees
there is fever; the fever is moderate up to
102 degrees; when above 102 degrees, it is
said to be high; when it reaches 106 degrees,
death is imminent. HOW TO  TAKE  THE
TEMPERATURE:  (1) Under  the  tongue
(bulb of instrument is held by lips  around
the stem); (2) In the axilla (bulb is placed
In armpit, the arm being pressed close to
chest); (3) In the rectum  (the place to take
temperature  in  unconscious patients  and
Infants).  Healthy temperature is subject
to fluctuation,  being highest  in the even-
ing^ at from  5 to  8 o'clock,  the  lowest
during the night or early morning,  from 2
to 6  o'clock.  During  fever these fluctua-
tions  are manifest,  the  patient  becoming
worse toward evening.

cSS",,1^^101*8 0F PULSE AND TEM-
i'LKATURE.— A temperature of 98 degrees
corresponds with a pulse  of 60; 99 degrees,
with  a pulse  of 70;   100  degrees, with  a
RJ?ls?^f,,80;  101  degrees,  with a pulse of
90;  102 degrees, with a pulse of 100; 103
degrees,  with  a pulse of 110:  104 degrees,
with  a  pulse  of 120;  105 degrees, with  a
pulse of 130; 106  degrees, with a pulse of
140.

  EVENING  EXACERBATIONS.-Are an
Increase  of the symptoms of  a  disorder
For example:  When  fever is  present we
will  find  the  temperature high,  cheeks
deeply flushed, skin hotter and the cerebral
disturbance aggravated, etc.

  REMISSION.—A  temporary   diminution
of the symptoms of a disease:  in the above
case,  the  subsidence  of  the  fever,  etc,
wculd be spoken of as a  remission.   When
the  symptoms are  strongly  marked  or
when they take place daily at an unusual
hour,  the disease is remittent. 
107
  INTERMITTENT—When fever  or  dis-
ease drops to the normal  during a lull,  it
is called intermittent.

  TEMPERATURE   IN  THE  CHILD.—
Temperature of  healthy infant  2-1  hours
after  birth,  100.4 degrees Fahrenheit.
  Temperature  of healthy  infant 48 hours
after  birth,  98.6 degrees Fahrenheit.
  After that it fluctuates  between 98  and
99.5 degrees Fahrenheit.
MEDICAL     EXAMINATION    OF

              CHILDREN.
  POINTS TO BE NOTED WHILE CHILD
SLEEPS.—Respirations; counting of pulse;
condition of the skin (dry or moist); atti-
tude, posture (if natural);  general  expres-
sion  (natural  or painful); lips  (pale or
tinted);  presence  or absence  of  moaning,
dtarting,  grinding  of teeth,  etc.; observe
ihe eyes, if closed, partly closed or staringj
condition of fontanelle  (closed  or  open);
'f pulsating greatly (distended or retracted);
lote size and shape of head,  etc.

  POINTS TO BE NOTED AFTER CHILD
IS AROUSED.—Expression of face  (fretful
or  languid,  excited  or quiet);  color  and
shape of face;  eyes (see whether  there  are
dark  circles  under eyes); presence  or  ab-
sence of snuffling.

  RESPIRATIONS  IN  A  CHILD.—Aver-
ages 35  to the  minute from  the age of 2
months to 2 years;  40 to 50 per  minute
under one year; 18 to the minute from  the
2d to the  12th  year.

  THE PULSE.—Average pulse in adult is
70 or 75  per  minute; is more  rapid in chil-
dren,  and  in infa.its it   averages  110 or
120 to 140.   According to  Muller, it is as
follows:  At  birth, 130-140; 1st year,  115-
130;  2d year, 100-115; 3d year, 90-100;  7th
year,  85-90; 14th year, 80-85.

  OTHER   EXAMINATIONS—The   best
time  to  examine the  tongue is  while  the
child  is  crying;  if quiet,  press  the under
lip by the finger, when the tongue will  pro- 
108
trude.   Look  at  the joints; note  whether
they  are large,  small  or  swollen.   The
gums  can  be examined  by  putting the
child's head between the  knees, while the
body rests in  nurse's lap.   Look about the
anus for eruptions,  and the penis  for ad-
hesions or phimosis,  etc.

  THE THROAT.—Child should be placed
In nurse's lap, with  the head against the
breast.  Depress tongue gently with  a  small
spoon or tongue-depressor, or, if necessary,
use slight force,  when  the parts  can be
thoroughly  seen.

  AUSCULTATION.—Immediate   ausculta-
tion is  to  be preferred,  as  the  use of
stethoscope  usually   frightens  child.   Al-
ways ascultate before percussion.  Back of
ohest best part to examine.

  PERCUSSION.—Do not strike too smart-
ly;  the  gentle  SM-oke  being  much  more
satisfactory.

  ABDOMEN.—Examine   by   palpitation
with the hand warmed.   Useful in detect-
ing enlargements of  the spleen, liver and
abdominal tumors.  Child  should be placed
on  its back,  with  knees flexed (releases
abdominal  muscles).
    SYMPTOMS OF DISEASE.

  2   CARDIAC  AND  LUNG  TROU-
  £  BLES.—Dt.rk rings under eyes; nos-
  a  trils are  sharp  or  distended; lips
  m  pale or b.uish  in  color.
„-£   ABDOMINAL  TROUBLES.-
«o  Cheeks may be sunken; changed  in
>h~  color; mouth is drawn; the lips are
^■g  pale or livid;  legs  are drawn up;
o a  child picks at  bedclothes.
OTHER POINTS.
  Upper part of face is affected in diseases
of the brain—knitting  of brow,  contraction
of forehead,  and rolling of the  eyes.

  NOTE I.—In  croup, the cry is  brassy  and
metallic,  with  crowing  inspirations.   In
cerebral affections, it  is  shrill,  sharp  and
solitary ("cri hydro-cephalique"). In bron-
chitis   and   capillary do.  the   cry    is
labored and  seemingly half-suffocated.   It
Is moaning and wailing in tubercular men-
ingitis and marasmus.   Incessant crying
denotes either hunger or  earache. 
109
  In  acute illness,  squinting  of the  eyes
may denote a reflex irritation,  or paralysis
or convulsions.   Small pupils are found in
active congestion, poisoning by opium,  etc.
  Healthy  skin  of   child should  not  be
flabby; child  must  always be  stripped of
its  clothing near the fire  (avoid draughts).
  Healthy  infant  should sleep  at least 18
hours out  of every  24.
  Dyspepsia  and  intestinal irritation  are
indicated by a ftrred tongue covered with
curd.  Inflammation of the mouth, stom-
ach,  etc.,  would  be suggested  by a  red,
hot  and  dry  tongue.   Fever  is indicated
by  a  heavy,  white  fur over  tongue.   A
tongue covered  by  a  yellow  fur  would
point  to  stomach  or  liver  complaint.   A
low  typhoid condition  is  indicated  by. a
brown-furred tongue, and the "strawberry
tongue"  points to  scarlet fever.
  The stools of a healthy infant vary from
a light to a greenish-yellow.  Odor,  sour;
acid  reaction.  Every 24  hours a healthy
child  should  have  three  passages during
the  first  few weeks  of existence.  After
that, to  the second year of age, two  pas-
sages  will be normal.
  Curds  in the  stools  signify  indigestion.
[n  intestinal  catarrh   the passages   are
lumpy, dark in  color,  mixed  with mucus
and  scanty.   Clay-colored  stools denote a
sluggish  liver.   Movements  mixed  with
blood, clots  and  shreds of mucous mem-
brane indicate intestinal inflammation, ty-
phoid  fever, .tubercular  disease and dysen-
tery.   The so-called  spinach-stool is  com-
mon  to acute and sub-acute diarrhoea in
infants.    Oily  matter  in  the  passages
points to a defective action of  liver, pan-
creas and  intestinal glands.  Mucus would
indicate  acute diarrhoea or mucus disease.
  The  vomiting  of  nurslings  is probably
due  to the fact  that  the stomach is   less
curved than that  of  the  adult.  Milk ia
the  only  thing  ejected.  The  vomiting of
older  children  is due  to  indigestion,  but
sudden vomiting would  indicate acute  dis-
ease (scarlet fever).  Reflex vomiting  maj
be  caused  by meningitis,  tumor  of  the
brain,  diseases   of   the  lungs  (chronic),
whooping  cough,  dentition, worms, etc.
  The  average  weight  of  a child  at  birth
should be 7 pounds.   (Extremes are  4-11
pounds.)
  Average  length of new-born is about 19
Inches. (Extremes are  16-22 inches.) 
no
CHAPTER VI.
CLASSIFICATION   AND   TREAT-

   MENT OF THE DISEASES OF

              THE SKIN.
CLASS   I.—DISORDERS    OF    THE

                GLANDS.
1. OF THE SWEAT GLANDS:

  HYPERIDROSIS—Increased   production
  of  sweat  (slight  or excessive;  local  or
  general).   Treatment:  (Often  rebellious.)
  Give constitutional  remedies, such as er-
  got,  gallic acid,  mineral  acids,  tonics.
  The  external  remedies  are  lotions  of
  sulphate  of zinc,  tannin and  alum,  etc.,
  dusting powders.

   R—Pulv. acid, salicylic!, gr.  xx-xl
      Pulv. acid, borici, dr.  ii
      Pulv. amyli,  dr. vi.
     M. Sig.  Use freely  and often.

  SUDAMEN—(Miliaria  crystallina).   Non-
  inflammatory.  Treatment:  Constitutional
  remedies.  Cooling lotions of  vinegar  or
  alcohol or water; dust with starch and
  lycopodium.

  ANIDROSIS—Opposite  of  hyperidrosis.
  Diminution of  sweat  secretion.   Treat-
  ment:  Friction;  warm  and  hot-vapor
  baths;  electricity;  constitutional reme-
  dies.

  BROMIDROSIS—(Osmidrosis).  The secre-
  tion is offensive.  For  treatment see hy-
  peridrosis. Diachylon ointment.

  CHROMIDROSIS—Rare,  and secretion is
  variously colored. Treatment  is  invigor-
  ating and tonic.

  URIDRC. SIS—Sweat  secretion  contains
  elements  of urine (urea). 
                   Ill

2.  OF THE SEBACEOUS  GLANDS:

  SEBORRHOEA—(Steatorrhoea:  acne  se-
  bacea; ichthyosis  sebacea;  dandruff).  A
  functional disease  of  sebaceous  glands.
  Two varieties:  Seborrhoea oleosa  and se-
  borrhoea sicca.  Treatment: Constitution-
  al  ar.d local.  Sulphur, ammoniated mer-
  cury,  salicylic acid and resorcin for local
  application.

   R—Resorcini, dr. iss
      01. ricini, m. xx
      Alcoholis, oz. iv.
     M. Sig.  Use as a lotion.
COMEDO—Characterized by  yellowish or
blackish  pin-point  elevations.  This  af-
fection is also  called black-head or flesh-
worm.   Treatment:  Use  watch  key or
comedo extractor;  steam  face  or apply
hot water, etc.

  R—Zinci  sulphatis.
     Potassii sulphuretl, aa dr.  j.
     Aquae rosae, oz. iv.
   M.  Sig. Apply to part.
                          (Stellwagon.)

MILIUM—(Grutum; strophulus  albidus).
Situated in  the upper part of  corium.
Characterized  by small,  whitish or  yel-
lowish,  pearly   non-inflammatory eleva-
tions. Treatment: Incise  or  prick lesions
and evacuate contents.  May be necessary
to touch  base  with tincture of iodine,
etc.

STEATOMA—(Wen; sebaceous tumor; se-
baceous cyst).  The  treatment consists in
removing  the mass  by an incision.

ASTEATOSIS.
CLASS  II.—INFLAMMATIONS.
ERYTHEMA    SIMPLEX  — Idiopathic
Class: Erythema caloricum; erythema so-
lare;  erythema  traumaticum;  erythema
venatum.   Symptomatic  Class:   Rashes
accompanying certain systemic diseases;
those due to  disorders of digestive tract;
those due to ingestion of certain  drugs.
Treatment consists in removal of  cause. 
                   112

 ERYTHEMA  INTERTRIGO — (Chafing).
 Treatment:  Dusting powders; cooling and
 astringent  lotions, etc.

   R—Pulv.  calaminae,
      Pulv.  zinci oxidi, aa  dr. j
      Glycerinae, m.  xxx
      Alcoholis, dr.  ii
      Aquae, O ss.
    M. Sig.  A lotion.

 ERYTHEMA  MULTIFORME—(a)  Ery-
 thema  papulosum; (b) bullosum; (c)  no-
 dosum.   Remedies:  Quinia, saline laxa-
 tives, etc.

 URTICARIA—(Hives; nettlerash).  Varie-
 ties:  Hemorrhagica; tuberosa;  pigment-
 osa:  bullosa.  The following is a  good
 application:

   R—Acidi  carbollci,  dr. i-iii
      Acidi  borici,  dr. iv
      Glycerinae, dr.  j
      Alcoholis, oz.  ii
      Aquae, oz. xiv,
    M.

 DERMATITIS — Varieties:   Traumatica;
 eaiorioa;  medicamentosa;  venenata.  For
 dermatitis traumatica, remove  cause; ap-
 ply  soothing ointments and  lotions.
  The treatment of the caloric variety con-
 sists in  applications of a  saturated sol.
 of bicarbonate of sodium, or a 2 per cent.
 sol.  of cocaine,  etc.  In  the dermatitis
 venenata  variety (poison iw, poison oak,
 poison sumach, etc.)  use  soothing lotions
 (cstringent), etc., etc.

 ERYSIPELAS-Treatment.   Stimulants;
 tincture  of  chloride  of iron and quinia.
 Locally:   A saturated sol.  of boric acid;
 10-20 per  cent, ointment of ichthyol, etc.

FURUNCULUS-CFuruncle:  boil). Apply
 orrbolic acid to the central  point.

  R—Ichthjol, dr. j
     Emp. plumbi,  dr. ii
     Bmp. resinae,  dr. i.
   M. Sig.  As a plaster.
                          (Stellwagon.)

CARBUNCULUS-(Carbuncle;  anthrax).
Treatment:  Calx sulphurara (gr. 1-10 to
1-4), every two or  three  hours; if  much
pain,  use  chloral or morphine.  An  injec- 
                  113

tion of a 5 to 10 per  cent. sol.  carbolic
acid in the early part of trouble is  effi-
cacious;  cover carbuncle  -with a  25  per
cent,  ichthyol  ointment, etc.

PUSTULA  MALIGNA—(Anthrax; malig-
nant  pustule).  Excise  early,  or destroy
with caustic potash;  antiseptic dressings,
etc.  Stimulants and  tonics.
MILIARIA—(Prickly heat;   heat  rash).
Treatment: Remove cause; tonics; cool-
ing (astringent) lotions.

  R—Amygdalarum amararum. No. xxx
     Aquae destillatae,  oz. viii.
   M.  Sig.  A  lotion.
                             (Waring.)
For Children:              ,
  R—Hydrarg. chlor. mit., gr. xx
     Lycopodii, dr. ii.
    M. Sig.  Dust parts.

HERPES   SIMPLEX—(Fever   blisters).
Parts upon  which it occurs:  Face (herpes
facialis);  lips  (herpes labialis);  genitals
(herpes progenitalis);  on  the  prepuce
(herpes praeputialis), etc.  Treatment: For
herpes  facialis,  use   camphorated cold
cream; spirits of camphor, etc.  In herpes
of  the  genitals,  cleanliness  is  the first
consideration,  then use a saturated sol.
of  boric  acid,  or a  dusting  powder of
calomel, oxide of zinc, iodoform,  etc.  The
following lotion is good:

  R—Zinci oxidi, *
     Calaminae,  aa gr. v
     Glycerinae,
     Alcoholis, aa m. vj
     Aquae,  oz. j.
    M. Sig.   Lotion.

HERPES ZOSTER—(Zoster; zona;  shin-
gles).  Treatment:  Tonics,  quinia  (large
doses); phosphide of zinc  (gr. V± every 3
hours);  dusting  powders; oxide  of zinc
ointment, etc.

DERMATITIS HERPETIFORMIS—(Pem-
phigus pruriginosus; hydroa; herpes ges-
tationis;  Duhring's disease).   Constitu-
tional treatment; externally  use protect-
ive applications. 
114
PSORIASIS—Constitutional  remedies are
iron,  quinia,  nux  vomica,  arsenic, etc.
Locally:  Chrysarobin,   pyrogallio  acid,
tar,  ammoniated mercury, resorcin, etc.

  R—Chrysarobini,  dr.  j
     Acidi salicyllci, gr.  xx
     Aetheris,  dr. j
     01. ricini,  m.  x
     Collodii, dr. vii.
   M.  Sig.  A paint.
                          (Stellwagon.)

For  Children:
  R—Acid, chrysophanic, gr. x
     Adipis  benzoat.,  oz. j.
   M. Sig.  Use night and morning.

 PITYRIASIS MACULATA  ET CIRCIN-
 ATA—(Pityriasis rosea). Mildly inflamma-
 tory.  Rarely requires treatment.

 DERMATITIS  EXFOLIATIVA—(General
 exfoliative dermatitis; acute general der-
 matitis; desquamative scarlatiniform ery-
 thema;  acute   general  dermatitis, etc)
 Soothing applications are indicated.

 PITYRIASIS  RUBRA—Characterized by
 epidermic exfoliation  and  inflammation.
 Treatment:  Tonic, with mild local appli-
 cations,  as  cold  cream,  oxide  of zinc
 ointment, etc.

 LICHEN—Varieties: Lichen ruber; lichen
 planus;  lichen  scrofulosus.  Tonics  and
 local  treatment.

 ECZEMA — Varieties:   Ery thematosum;
 papulosum: vesiculo^:in; madidans: pust-
 ulosum;  rubrum; squamosum. Treatment:
 Tonics—Cod-liver oil, nux vomica, quinia,
 arsenic,  iron,  etc.   Locally—Black-wash
 and oxide  of zinc ointment together; sol.
 boric acid  (15 grains to the ounce); dust-
 ing powders,  resorcin, etc.

   H—Hydrargyri  ammoniat... gr. x
      Acidi  carbolici. gr.  v-x
      Ungt.  zinci oxidi, oz.  j.
     M. Sig.  Ointment.

   R—Bromide of gold and  arsenic, oz. j
      (Barclay  formula.)
     Sig.  For  children,  gtt.  ii-v;  adults,
      gtt. v-x  three  times  a day.  Very
      efficient  in the  chronic variey.
                        (F.  S. Parsons.) 
                  115

 R—Talci  venet.,
      Zinci oxidi,  aa dr. lv
      Amyli,  oz. j. m.
    Sig.  Protective to inflamed surface.

  R—Calaminae, dr.  j
      Ungt.  zinci  oxidi,  dr. vii. m.
    Sig. Apply to part.
                           (Stellwagon.)
 For Children:


  R—Vini opii, dr. j
      Liq. plumbi  subacetat., m. xxxvi
      Aq.  rosae, q  s.  ad oz. viii. m.
    Sig. For  itching, etc.
                                (Smith.)

  R—Liq. potass,  arsenitis, m.  xii
      Vini ferri amar.,
      Syr. tolu, aa oz. ss
      Aq.  cinnam., q.  s. ad oz.  ii. m.
    Sig.  dr.  j t.  i. d.  for anaemio child
      of 2 years.


 PRURIGO.—Good nourishing   food  re-
 quired, and  plenty of  fresh air and ex-
 ercise.  Tonics, cod-liver oil, etc.   Local-
 ly,  similar  to treatment  of  chronic ec-
 zema.


ACNE.—Usually chronic.  (Acne punctata,
 acne  papulosa,   acne  atrophica,   acne
 hypertrophica, acne,  caehecticorum,  acne
 pustulosa).    Treatment:  Constitutional
 and local.


  R—Ext. rhamni  pursh.  fl. dr. ii-iv
      Tinct.  nucis vomicae, dr.  iii
      Elix. calisayae, q.  s. ad oz. iii. m.
    Sig. dr.  j t.  i. d.


  R—Potassii acetat., dr.  iv
      Liq. potassae, dr.  ii
      Liq. ammonii  acetat., q.  s.  ad oz.
      iii.  M.
    Sig.  dr.  j-ii  t.  i. d.  largely  diluted.
     For  inflammatory  cases  in  strong
      persons.


  R—Sulphur, praecip.,  dr. ss-j
     Adipis  benz.
      Lanolin, aa  dr.  ii. m.
    Sig.  Ointment. 
                  11(5

  R—Sulphur, praecip., dr.  iss
     Aetheris, dr.  iv
     Alcoholis,  oz   iiiss. m.
    Sig.  A lotion where skin is oily.

  R—Ichthyol, dr. ss
     Lanolin, dr. iv. m.
    S'g.  Ointment.

ACNE   ROSACEA—Regulate  diet;  iron,
etc Locally:

  R—Calcis, oz. ss
     Sulph.  sublimat.,  oz.  j
     Aquae, oz.  x.  M.
    Boil down to oz. vl and filter.
    Sig.  Apply diluted  with 1-10 parts of
     water.
                     (Vleminckx's sol.)

  R—MucIIag. acaciae, dr. iii
     Glycerinae,  dr. ii
     Sulphur, praecip., dr.  ill. m.
    Sig.  Apply to part.
                           (Stellwagon.)

SYCOSIS—(Sycosis  non-parasitica; folli-
culitis  barbae).   Involves hair-follicles,
and is chronic.  Astringent and stimulat-
ing  lemedies.  Diachylon ointment, with
gr.  x-xxx  calomel  to  the  ounce;  citrine
ointment, etc.

IMPETIGO-

IMPETIGO CONTAGIOSA—

IMPETIGO HERPETIFORMIS-

ECTHYMA—Give good  food  and  tonics.
Proper  hygiene,  etc.  Ointment  of  am-
moniated mercury (x-xxx grains to ounce).

PEMPHIGUS—Treatment is constitution-
al and local.  Open the blebs,  and anoint
parts with a mild preparation.
CLASS III—HEMORRHAGES.
PURPURA—Varieties:  Purpura simplex;
purpura rheumatica; purpura hemorrhagi-
ca.  Treatment  is  attention  to  hygiene
and diet.  Tonics and  astringents, etc 
117
    CLASS  IV.—HYPERTROPHIES.

1. OF PIGMENT:

  LENTIGO—(Freckle).  Treat by  washing
  with a solution of lactic  acid and water
  (1-6 parts); an aqueous sol. of bichloride
  of mercury (gr. ss-iii to oz.).

  CHLOASMA—Treatment:   Bichloride  of
  mercury sol.  (gr.  i-iv to oz. of alcohol or
  water).  See lactic acid sol. above.

2.   OF  EPIDERMAL AND  PAPILLARY
   LAYERS.

  KERATOSIS—Treat  keratosis  pilaris  by
  baths  (warm); sapo viridis; alkaline baths
  good;  ointments,  etc.

  MOLLUSCUM  EPITHELIALE—(Epithe-
  lioma  molluscum; molluscum  sebaceum;
  molluscum contagiosum).  The  usual seat
  of disease is  the face.   The treatment of
  molluscum epltheliale  is to make an  in-
  cision and evacuate  the  contents,  and
  then touch the  base  of cavity with  ni-
  trate  of  silver.   Ligate   pedunculated
  growths.   Ammoniated mercury ointment
  has  been used locally  (gr. xx-xxx to oz.),
  applied  twice daily.

  CALLOSITAS—(Tylosis; tyloma;  callus;
  callous;  callosity; keratoma). Treatment:
  Soften parts with hot water,  poultices;
  shave  or scrape off  the mass;  can use a
  10-15  per  centv  salicylated plaster.

  CLAVUS—(Corn).    Hot-water   soakings.
  Use following:

   R—Acidi salicyli,  gr. xxx
      Ext.  cannabis Ind., gr. x
      Collodii, dr.  iv.  m.
     Sig.  Paint  corn  night  and  morning
      for several days.

  Treat  soft corns by  solid  stick of nitrate
  of silver or lactic acid, with one or more
  parts of water.

  CORNU  CUTANEUM—(Cornu humanum;
 cutaneous horn).  Located upon face  and
 scalp   usually.    Treatment:     Detach
 growth and  cauterize  base  by  galvanic
 cautery,   caustic  potash  or chloride  of
 zinc.

 VERRUCA—(Wart).  Pare off  the upper
  portion  of wart and apply repeatedly a
  saturated  alcoholic sol. of salicylic acid; 
                   118

  or  excise, or destroy  by caustics.  For
  the  filiform  and  digitate varieties,  snip
  off with  scissors  and touch  base  with
  nitrate of silver,  or ligate.

  VERRUCA  NECROGENICA—(Post-mor-
  tem wart; anatomical tubercle; tubercu-
  losis verrucosa cutis).  Results from con-
  tact  with  decomposed  animal  matter;
  usually seated about the knuckles.

  NAEVUS  PIGMENTOSUS—(Mole).  The
  treatment consists in removing by knife,
  caustics,  or  by electrolysis.

  XEROSIS.

  ICHTHYOSIS—(Fish-skin  disease).   To
  keep  up a soft and  flexible  condition  of
  the  skin, use  frequent baths  (simple  or
  alkaline); oils or ointments; sapo viridis,
  etc.

  ONYCHAUXIS-(Hypertrophy  of nails).

  HYPERTRICHOSIS—(Hir suties;   super-
  fluous hair;  hypertrophy of  the  hair).
  Treat  by  electrolysis.

3.  OF CONNECTIVE TISSUE:

  SCLEREMA  NEONATORUM—(Sclerema
  of the new-born;  scleroderma  neonator-
  um).

  SCLERODERMA—(Sclerema;  scleriasis;
  dermatosolerosis).   Treatment:   Tonics,
  friction and  electricity, etc.

  MORPHOEA—Treatment:   Tonics  (for
  nervous  system);   massage and  friction,
  etc.

  ELEPHANTIASIS—(Elephantiasis   Ara-
  bum;  pachydermia;  Barbadoes leg; ele-
  phant leg).

  ROSACEA—(a) Erythematosa; (b)  hyper-
  trophica.

  FRAMBOESIA—(Pian;   yaws;  endemic
  verrugas).
CLASS V.—ATROPHIES.
1. OF PIGMENT:

 ALBINTSMUS.

 LEUCODERMA. 
                   119

  VITILIGO—(Leucopathia;    leucoderma).
  Involves the pigment of the  skin.  Treat-
  ment: Arsenic  (small doses).

   R—Liq. potassii arsenitis, dr. j
      Tinct. nucis vomicae, dr. iii
      Elix. calisayae, q.  s. ad oz. iv. m.
     Sig. dr. j t.  i.  d.

  CANITIES—(Grayness  of  the hair),  (a)
  Canities praematura; (b) canities senilis.

2. OF HAIR:

  ALOPECIA—(Baldness).   Constitutional
  remedies.  Externally, resorcin (dr. i-ii  to
  oz. iv alcohol) with  castor oil (m.  x-xxx)
  added.

   R—Tinct. cantharidis,  dr. iv
      Tinct. capsici, oz.  j
      01. ricini,  dr.  ss-j
      Alcoholis q.  s. ad  oz. iv.  m.
     Sig.  Use as lotion.

  ALOPECIA FURFURACEA.

  ALOPECIA AREATA—(Area Celsi; alope-
  cia  circumscripta).  A  chronic affection.
  Arsenic, etc., internally.  Externally:

   R—Tinct. capsici,
      Tinct. cantharidis,
      01. terebinthinae,  aa dr. ii3S.  m.
     Sig.  Apply  to parts.
                            (Stellwagon.)

  ATROPHIA PILORUM PROPRIA—(Atro-
  phy of the hair).

  TRICHOREXIS NODOSA.

3. OF THE NAILS:

  ATROPHIA    UNGUIS—(Onychatrophia;
  atrophy of the nails).  Treatment: If it
  depends on such  diseases  as eczema  or
  psoriasis  constitutional and  local reme-
  dies  should be used.  In onychomycosis.
  use biohloride of mercury (gr. i-v to  oz. j
  of water  or  alcohol);  lotion of hyposul-
  phite  sodium   (dr.  j to oz.  j  water)  is
  good.

4. OF THE CUTIS:

  ATROPHIA SENIALIS.

  ATROPHIA MACULOSA  ET STRIATA. 
120
    CLASS VI.—NEW  GROWTHS.


1. OF CONNECTIVE TISSUE:

  KELOID—(Keloid of Alibert; cheloid).

   R—Acidi salicyl., gr. x-xx
      Emplast.  plumbi,
      Emplast.  saponis, aa dr. iii
      Petrolati, dr. ii. m.
     Sig.  Apply ointment to part.
                           (Stellwagon.)

  FIBROMA—(Fibroma molluscum; mollus-
  cum fibrosum).

  NEUROMA.

  XANTHOMA—(Xanthelasma;   vltaligoi-
  dea).

2. OF MUSCULAR TISSUE:

  MYOMA—(Myoma cutis;  liomyoma cutis;
  dermatomyoma).

3. OF VESSELS:

  ANGIOMA—(Naevus vasculosis;  naevus
  sanguineus).  Treatment: In infants, paint
  parts with collodion or liq.  plumbi  suba-
  cetatis;   electrolysis   for    "port-wine
  mark."

  ANGIOMA PIGMENTOSUM ET ATRO-
  PHICUM.

  ANGIOMA CAVERNOSUM.

  LYMPHANGIOMA.

  RH1NOSCLEROMA.

  LUPUS  ERYTHEMATOSUS—(Lupus  Se-
  baceus; seborrhoea congestiva; lupus ery-
  thematodos).   Tr-jatment:   Wash  parts
  with tincture  of  sapo  viridis,  and then
  apply  a soothing ointment  (cold cream;
  vaseline).

   R—Zinci sulphatis,
      Potassil sulphuretl,  aa  dr. ss-il
      Alcoholis,  oz. j
      Glycerirae, dr.  ss
      Aquae,  oz. iii.
     M. Sig.  Apply to parts  morning and
      evening.
                           (Stellwagon.) 
                  121

 LUPUS VULGARIS-cLupus;  lupus exe-
 dens; lupus  vorax'; tuberculosis of  the
 skin).  Treatment:  Thoroughly bore part
 with  nitrate  of  silver  stick  every few-
 days; galvano-cautery,  etc.

  R—Acid,  pyrogallici, dr. ii
      Emplast. plumbi,  dr. j
      Cerat. resinae, dr.  v.
    M. Sig. Apply for 1 or 2 weeks; poultice
      parts  occasionally and reapply oint-
      ment.

  R—Acid, arseniosi, gr.  xx
      Pulv.  acaoiae,  dr. j
      Aquae, q. s.
    M. Sig.  Allow to remain on parts 24 to
      48 hours.  Painful but thorough.
                           (Steilwagon.)

 SCROFULODERMA—Treat by giving cod-
 liver oil, iodide of iron, other ferruginous
 tonics, etc.  Calx  sulphurata (grain  1-10)
 every 3 hours.   Phosphorus  (grain 1-100 to
 1-50) t. i. d.  Locally,  curette, and  apply
 mild stimulating  ointments.

SYPHILODERMA—(Syphilis cutanea; der-
 matosyphilis;  syphilis  of the skin),  (a)
 Erythematosum.  (b) Papulosum. (c) Pus-
 tulosum.  (d)  Tuberculosum.  (e)  Gumma-
 tosum.

 LEPRA—(Leprosy;   elephantiasis   Grae-
 corum. (a)  Tuberosa.  (b) Maculosa,  (o
 Anaesthetica.

 CARCINOMA.

 SARCOMA—(Sarcoma  cutis; sarcoma of
 the  skin).               #
CLASS VTI.  NEUROSES.
HYPERAESTHESTA—(a)  Pruritus,   (b)
Dei-matalgia.  Treatment:  Lotions of car-
bolic acid  (dr.  j-iii to  O j);  lotions of
thymol (gr. xviii-xxxi to O j alcohol and
water); resorcin (dr.  j-iv); etc.,  are  use-
ful as antipruritic applications.

  R—Acidi carbolici, dr.  iss
     Glycerine,  dr. ii
     Alcoholis,  oz. ii
     Aquae, q.  s. ad  O j
    M.   Sig.  Use  as  a   lotion.  For  the
     pruritus.

ANAESTHESIA. 
122
CLASS   VIII.  PARASITIC    AFFEC-

                 TIONS.

1.  VEGETABLE:

 TINEA—(Favus).   Parasitioidee: Carbolic
 acid  (1  part  to  3  or more  glycerine);
 bichloride of  mercury  (gr. i-iv  to  oz.  j
 alcohol or water); oleate of mercury (10
 per  cent.);ointments of ammoniated  mer-
 cury tar  and  sulphur;  sulphurous  acid
 (diluted  or pure); etc.

   R—Sulphur,  praecip.,  dr. iss
       Saponis viridis,
       01. cadini, aa dr. j
       Adipis, oz. ss. M.

 TINEA  TRICHOPHYTTNA— (Ringworm).
(a)  Circinata;  (b)  Tonsurans; (c) Sycosis.
 Treatment: For ringworm of the general
 surface,  solution  of sodium hyposulphite
 (10-15 per cent,  sol.);  carbolic acid (gr.
 v-xx to  oz.  j  water or lard);  boric  acid
 (saturated  sol.);  ointments  of tar,  etc.
 Ringworm  of  the scalp  is  treated by
 BOap and hot water washing; by carbolic
 acid  and  borio acid  solutions,  etc.  For
 the  beard,  same  as  for general surface,
 etc.

   R—Hydrarg. oleat. (20 per cent.), dr.  ill
       Acidi carbolic!, dr. j
       Lanolin,  oz.  ss.
     M.  Sig.  For  the  scalp.
                            (Stellwagon).

   R—Acidi cartoolicl (Calvert's  No. 2),
       Ungt. Hydrarg.  nitrat.,
       Ungt. sulphuris,  aa dr. 1
     M.  Sig.  For child of 10 years.
     (For  the  scalp).
                          (Alder Smith).

 TINEA  VERSICOLOR—(Chromophytosis;
 pityriasis   versicolor).   Treatment:    In
 stubborn  c; ses wash  with napo viridis,
 and  use a lotion  of sulphite or hyposul-
 phite of sodium (dr. j  to oz.  j); carbollo
 aold, etc.

   R—Sulphur,  praejio.,  dr. vl
       Saponis viridis, dr. x.
     M. Sig.  Use  as a soap.

2. ANIMAL:

  SCABIES—Parasite  burrows under  skin.
  (The itch.)  Treatment:  Wash with  soap. 
                     123

  and water, and apply  any of the follow-
  ing  preparations:

    R—Sulphur, praecip., dr. iv
       Balsam. Peruv., dr. iv
       Adipis,
       Petrolati, aa oz. iss.
      M.  Sig.  For  children.

    R—Sulphur, praecip., dr. ii
       Potass,  bicarb., dr.  j
       Adipis,  oz. j.
      M.  Sig.  For  children.

    R—Sulphur, praecip., oz. j
       Balsam.  Peruv., oz. ss
       B—Naphthol,  dr.  ii
       Adipis,
       Petrolati, aa q. s. ad oz.  iv.
      M.  Sig.  For  adults.

  PEDICULOSIS CAP1LLITII.

  PEDICULOSIS CORPORIS.

  PEDICULOSIS PUBIS—(Crab-louse). Ap-
  ply  a  lotion  of bichloride of mercury (gr.
  1-iv  to oz.); infusion of tobacco; oleate of
  mercury  (10 per cent,  to  20  per cent.)
  ether  spray  is as good as anything.


TABLE SHOWING THE ERUPTION

           OF  THE  TEETH.

                MILK TEETH.
                     (20)
  Teeth and Period of Cutting.
Lower  central incisors (2)—Prom 4th to 7th month
Upper  incisors (4)—From 8th  to 10th  month.
Lower  lateral incisors  (2)—From 12th to 15th
   month.
Anterior  molars (4)—From 12th to 15th month.
Canines (4)—From  18th  to 24th month.
Posterior molars—From 20th to  30th  month.

            PERMANENT  TEETH.
                     (32)
Central incisors (lower jaw) (2)—From 6th to 8th
   year.
Central incisors (upper Jaw) (2)—From 7 th to 8th
   year.
Lateral incisors  (4)—From 8th to  9th year.
First bicuspids (4)—From 9th to 10th year.
Canines (4)—From  10th  to 11th year.
Second bicuspids  (4)—From 12th to  13th year.
  These  replace  the temporary  teeth.   Those
which  appear de  novo appear thus:
First  molars  (4)—From  6th to 7th year.
Second molars (4)—From 12th to  13th  year.
Third molars (4)—From  17th to 21st year. 
124
               RELATIVE*

FREQUENCY  OF CUTANEOUS DIS-

                   EASES.

                                         Per Ct.
 Classification of Diseases.     No. Cases.   Oases.
1.  DISORDERS OF SWEAT-GLANDS.
 Hyperidrosis  .................   328     .265
 Sudamen .....................   268     .216
 Anidrosis  ....................    11     .009
 Bromidrosis  ..................   112     .090
 Ohromidrosia..................     1     .005
 Uridrosis...................
2.  DISORDERS OF SEBACEOUS GLANDS.
 Seborrlioea  ...................  1812    1.470
 (a) oleosa ....................   367     .296
 (b) sicca .....................   395     .319
 Comedo ......................  1225     .989
 Cvst .........................     6     .004
 (a") Milium ...................   225     .183
 (b) Steotoma  .................   151     .122
 Asteatosis....................     8     .006
3.  INFLAMMATIONS.
 Exanthemata .................  1770    1.430
 Erythema simplex  ............  1064     .859
 Erythema multiforme .........   915     .730
 (a) papillosum ................   325     .262
 (b) bullosum  .................    37    0.29
 (c) nodosum  ..................    82     .066
 Urticaria  ....................  2994    2.470
 Pigmentosa  ..................     1     .0008
 Dermatitis...................  1720    1.390
 (a) traumatica  ..............   468     .378
 (b) venenata  .................   616     .498 .
 (c) calorica...................   224     .187
 (d)  medicamentosa  ...........   108     .087
 (e) gangraenosa*  ..............     8     .006
 Erysipelas  ...................  1026     .829
 Furunculus...................  2:29    1.720
 Anthrax  .....................   252     .203
 P)i!egmona diffusa ............   265     .215
 Pustula maligna  ..............   197     .159
 Herpes simplex  ..............  2057    1.660
 Herpes zostor ................  1428    1.150
 Deimatitis herpetiformis ......    41     .033
 Psoriasis .....................  4131    3.340
 Pityriasis maoulata circinata...    71     .057
 Dermatitis exfoliativa.........    16     .012
 Pityriasis rulra  ..............    44     .032
 Lichen .......................   144     .116
  (a) planus  ...................   154     .124
 (b) ruber  ....................    27     .021
 Eczema ......................37661   30.430
  (a) erythematous  .................      ....
  (b) papulosum...................      ....
  (c) vesiculosum...................      ....
  •As shown from the  Statistics  (123,746  cases)
of the Amer. Dermatological Association for 10
y-»ars,  1878-87. 
12b
                                         Per Ct
  Classification of Diseases.     No. Cases.  Cases
  (d) Miidhians  .....................     ...
  (e) Piisiulosum  ...................     ...
  (f) Rubrum  .......................     ...
  Prurigo  ......................    34    .C27
  Acne  ........................  9077   7.310
  Acne  rosacea  ................   398    .321
  Kveosis  .....................   227    .1-5
  Imi eligo .....................  17<">9   1.430
  Impciigo contnciDsa  ..........   600    .485
  Impetigo  herpetiformis   .....    10    .00!)
  Fctliyma   ....................   '2,5    .587
  Pemphigus   ..................   183    .148
  Ulcers  *".......................  3021   2.440
4. iEMORRHAGES.                #        o_r
  Furpura  ...........     •  -  •   5-41    .-i5
  (a) simplex   ..................   181    .145
  (b) haemorrhagica  .............    49    .039
5. HYPERTROPHIES.
  Lentigo  ......................  127    .103
  Cholasma   ................   560    .4.VJ
  Keratosis   ....................    94    .0 it.
  (a) Pilaris   ...................   103    .0*3
  (b) Senilis   ___  .  ...........    08    .055
  Molluscum   epitheliale  .......   1'2    -13'.)
  Callositas....................   110    -090
  Clavus  ......................    84    .068
  Cornu  cutaueum   ...........    42    -yd*
  Verruca ....................  1252   1.09O
  Verruca necrogeni-a  ..........     2    .001
  Naevus  plgrntntosus  .........    88    .064
  Xerosis .....................   100    .080
  Ichthyosis   ...................   309    .249
  Onychauxis   ..................    10    .OoS
  Hypertrichosis...............   515    .416
  Sclerema  neonatorum  ...........•     • • • ■
  Scleroderma  ..................    38   0.030
  Porphoea   ....................    39   0.031
  Elephantiasis  ................    57   0.046
  Rosacea  .....................   7S5   0.634
  (a) erythematona  .............   3S1     ..A>^
  (b) hypertrophica  .............    >j8     .047
  Framboesia  ..................    --     -01*
6. ATROPHIES.                     „„
  Leucoderma  ..................     "     • J™-
  Alblnismus   ..................      J     ■""?
  Vitiligo  .....................   1^1     -15i>
  Canities  ....................    43
  Alopecia....................   ȣ?
  Alopecia fiufuracea  ..........   ««>o
  Alopecia  areata  .......:.....    ' *J
  Atrophica   pilorum   propria---    ■"     ■}»■»
  Trichorexis  nodosa ............      f     •""-
  Atrophia unguis ..............     j J     ■«{»
  Atrophia  senialls   ........■ • • •     'J     -J"*
  Atrophia masculosa et striata..    -^     -oiw
7. NEW  GROWTHS.                        „,
  Keloid  .......................   I5-     •1-($g
  Of connective tissue..........      £     -«""°
  Cicatrix  .....................    »»     ■"-'£
  Fibroma  .....................    »»     ;££
  Neuroma......................
.749
.670
.641 
126
■Classifications of Diseases.     No. Cases.  Cases.
                                         Per Ct.
  Xanthoma....................    69     .056
  Myoma  ..... ................     1     .0003
  Angioma .....................   4G2     .373
  Angioma pigmentosum et  atrophi-
    cum........................    13     .010
  Angioma cavernosum..........    22     .018
  Lymphangioma ...............    16     .012
  Mycosis fongoide .............     1     .0008
  Rhinoscleroma ................     3     .002
  Lupus  erythematosus  .........   477     .385
  Lupus vulgaris ..............   536     .433
  Scrofuloderma ................   663     .536
  Syphiloderma  .................13888   11.220
  (a) erythematosum................
  (b) papulosum  ....................
  (c) pustulosum....................
  (d) tuberculosum  .................
  (e) gummotosum...................
  Lepra ........................    24     .020
  fa) tuberosa  .................     7     .005
  (b) maculosa   .................     4     .003
  (c) anaesthetica ..............     6     .004
  Carcinoma  ...................  1068     .863
  Sarcoma.....................    05     .044
6. NEUROSES.
  Hyperaesthesia ...............     4     .003
  (a) Pruritus ..................  2716    2.120
  (b) Dermatalgia ..............    11     .009
  Anaesthesia ..................    22     .018
«. PARASITIC  AFFEOTIONS.
  Tlrea favosa  .................   354     .286
  Tinea triohophytina  ..........  2289    1.850
  (a) circinata  .................   705     .569
  (b) tonsurans  ................   675     .545
  (c) sycosis  ...................   3P5'     .295
  Tinea versicolor ..............  1263    1.020
  Scabies  ......................  3192    2.580
  Pediculosis capillltii  ..........  2579    2.090
  Pediculosis corporis  ...........  1704    1.380
  Pediculosis pubis .............   436     .352 
127
     DRESSING  IN  SURGERY.

  BICHLORIDE   GAUZE.—To   Prepare:
Cheese cloth is boiled  in water (containing
washing  soda) for two hours.   Then wash
out  soda,   which  removes  grease.   The
cloth is  again  boiled  for  two  hours, and
then  put in a  sublimate solution,  1-500,
where it remains until ready for use.  Be-
fore placing on  the wound, it is  wrung
out, and then dipped  in a 1-3000 solution
and wrung  out again.

  IODOFORM  GAUZE.—Prepared as  the
bichloride gauze.   Iodoform is  rubbed thor-
oughly into  the  meshes  of  cloth after  it
has passed   through the 1-3000—bichloride
sol., and been  wrung out.

  PROTECTIVES. — Gutta-percha  tissue,
Lister's protective, waxed paper, oiled silk.
Dip a small piece of protective  into l-2f>
oarbolic  sol. before  applying to wound.

  COTTON.—Borated.   bichloride,   salioy-
lated and plain absorbent cotton  are used.

  BANDAGES.—Usually of  gauze.  Before
applying first bandage dip  and wring out
of 1-3000 sol. (bichloride).

  PINS.—Employ  safety-pins,  which  are
disinfected  by  a lotion  of carbolic acid
(1-20); they are preserved in absolute alco-
hol.

  SPONGES.—Remove sand; wash in luke-
warm water; steep for 12  hours in solution
of chlorinate of soda (1 part to 5 of water);
rinse and dry; keep dry in  closed jars,  or
In 1-20 carbolio acid  solution.  Should never
be  used  more than  once.

  SILK.—Boil  one-half hour  to  sterilize;
store in carbolic  sol.  (1-20)  or in absolute
alcohol,  with enough mercury to make  a
1-1000 sol.

  CATGUT.—Bundles  of  raw catgut  are
Immersed in oil  of juniper berries for  a
week; remove  and  place  in absolute alco-
hol (indefinitely).   Chromic gut  is tanned
with chromic  acid  as follows: Prepare  a
1-20 carbolic acid sol.; add sufficient chromia
s-.cid to  make  a solution  of 1-5000  of  the
latter drug.  Allow  catgut to remain  in
solution 4-6 hours.   Dry  and pack in  air-
tight flasks. Soak for half  an hour in 1-20
or  1-1000 carbolic and  sublimate solutions;
respectively before  using. 
                   128

  DRAINAGE.—By  rubber,  glass  or bone
drainage tubes, or by catgut or horsehair.
Best drainage  is to leave wound open and
then pack with  iodoform gauze.  In deep
cavities, where drainage  is required,  carry
tube to part where fluid is  most likely to
accumulate.  Use horsehair or  catgut for
the smaller wounds, and  bone tubes where
"dressing"  will remain   until  wound Is
healed.  Discharge  usually  ceases  in the
first 36 hours.

    ANTISEPTIC OPERATIONS.

  PREPARATIONS.—Shave and  wash with
hot soapsuds seat of operation;  then  wash
thoroughly  with  ether   or  alcohol;  next
cleanse with   bichloride  of  mercury sol.
(1-500), and cover with  a bichloride  towel
soaked in a solution of 1-1000.

  OPERATOR AND ASSISTANTS.—Sleeves
rolled  up;  thoroughly  scrub hands  and
arms  in  soap  and  water; use nail brush;
then use alcohol as a wash for two min-
utes; finallv wash  hands (3 minutes) in a
bichloride sol.  (1-1000).

  OPERATION.—Instruments are supposed
to have been  soaked in a solution  of car-
bolic   acid  (1-20);  they  are then  placed
In a tray  containing  a  solution (1-40) of
carbolic acid.   The instruments  for  imme-
diate use  are  then placed on  a  bichloride
towel handy for  use; sponges are first put
in a bichloride  sol. (1-2* >00), wrung out and
placed in  a basin for that  purpose.   The
table,  surface of patient's body,  the cloth-
ing are covered,  first,  with a rubber  cloth
(mackintosh),   then  over this  bichloride
towels (1-1000),  etc.   During operation the
nurse  receives  blood-soaked sponges  in  a
basin;  they  are  immediately wrung out
again in a 1-2000 bichloride solution.  The
wound  should  be  as little  exposed  as
possible; bleeding  points are secured  by
artery  forceps  or haemostats, and  ligated
with catgut sutures, etc., etc.

  ANTISEPTIC  DRESSING.—Iodoform Is
dusted upon outer surface of wound  after
it has  been carefully approximated;  then
a protective cut for drainage tube Js placed
in a solution  of  carbolic acid  (1-20) and
put over  suture line.   Over  this comes 6
or 10  layers of gauze previously prepared
(sol. bichloride  1-3000), or iodoform gauze
may be  substituted.  Superficial dressing
follows (8 or  10  layers  of  dry  bichloride 
129
 gauze),  and finally all of this is  covered
 over and  around parts with  bichloride or
 absorbent cotton secured by  bandages.

    DEPLETION  AND  CUPPING.

  DEPLETION.—Veins usually selected are
 median  cephalic,  median  basilic,  or  the
 ext.  jugular.   Operator   requires   roller
 bandages, antiseptic dressings^ one or two
 basins  and  a lancet.

  PRECAUTIONS.—Operate with antisep-
 tic  precautions; be  careful not  to  injure
 any structure but vein; to avoid infiltra-
 tion, make incision free; the  pulse is  the
 guide to quantity of blood to be abstracted.

  OPERATION.—If the arm is the seat of
 operation, it must be thoroughly cleaned by
 antiseptio precautions.  Encircle  by a few
 turns of roller bandage  the arm to  block
 venous  circulation, while the patient grasps
 firmly a roller bandage or other round  ob-
 ject, the arm  being in a dependent posi-
 tion; the  veins soon  distend,  when  the
 surgeon  thrusts the  point  of his  lancet
 down beneath the vein,  cutting  outward;
 when pulse becomes  slow and soft remove
 bandage and wash wound with a bichloride
 solution; then  apply  an antiseptic  com-
 press, and envelop limb in a roller bandage
 from fingers to  axilla.  The  ext. jugular
 vein is bled in apoplexy or inflammations
 of  the   brain.   In  selecting  the median
 basilic  vein  remember that  the brachial
 artery is in close proximity,  etc.

  CUPPING  (Dry  or Wet).—Dry  cupping
 draws blood to  the surface.  A  wet cup
 abstracts blood from the  body. Place two
 ordinary  glasses,  mouth  downward,  upon
 a clean  towel; light  a  spirit lamp or can-
 dle.   Pour into one glass one or two tea-
 spoonfuls of alcohol; this is rinsed  around
 and  poured into the second glass; any  ex-
 cess of  alcohol in the first glass is  shaken
 out,  and  the  glass  pressed  against the
 towel for a moment in order to remove any
 drops adhering to  its edges;  it is  then
 placed over the spirit lamp or candle, when
 the  thin  film remaining  is  ignited.  The
 glass is  then ready  for use; by putting it
 to the surface to be  cupped  the burning
 alcohol exhausts the air in the glass, form-
 ing a vacuum,  which  destroys the flame.
The  mouth of  the  glass  must be close to
the body or air will enter; eups should re-
main on  one  place for about three minutes 
130
only.   "Wet  cupping is done  in the *:une
manner, with the exception that punctures
or incisions  are made  in  the skin before
applying the  cup.
       COUNTER-IRRITANTS.  .

  RUBEFACIENTS—Structural  change is
not produced by  rubefacients,  they merely
producing  a  congestion of the  skin.   (1)
Heat:  Provide  a vessel of water  kept at
a  temperature  of 120,  and  several  thick-
nesses of  flannel  cloths  (two   are  suf-
ficient).  Throw them into hot water; then
remove one and  place it to the  surface of
the body,  at the same  time, protecting it
to prevent its  becoming cool, by  covering
with  waxed paper, etc.   Shortly after the
second cloth is wrung out to replace the
first one, which is  again put in  the water;
keep  this  up for several hours.  In acute
inflammation  this  frequent  changing of
cloths is necessary.   After the necessity
for the use of the fomentations  ceases pro-
tect the part with  cotton or flannel. Where
the inflammation involves any part  of the
extremities,  it  will  be  well to  apply  a
pressure bandage after the heat and moist-
ure  (fomentations). 2. Turpentine Stupes:
Turpentine is   liberally  sprinkled over  a
thick  flannel compress,  which  previously
has  been  wrung out  of hot water.   This
is then applied to  the surface of the body.
Do not  use  "protectives," as  the turpen-
tine   might   vesicate.  (3)  Capsicum:  A
spice plaster may  be made by the incorpo-
ration of capsioum with ginger, cinnainpn,
 honey  and  cloves.  Capsine  plasters are
obtained in  the shops.   (4) Ammonia: For
 a rapid  action,  place a piece of  lint soaked
 In the  stronger water of  ammonia  upon
 the surface  of  the body,  and  cover  with
 some impervious material, such as waxed
 paper, etc.  Keep  this  application on only
 two  or  three  minutes, else  a  blister will
 result.  Ammonia  may be used also  as  a
 rubefacient  in  the form of a liniment.  (5)
 Mustard:  (a) M;>y be sprinkled (dry  pow-
 der)  over flannel  or  other fabric and ap-
 plied directly to the skin, (b) A tablespoon-
 ful may be  added to  a gallon  of  water,  to
 be used as a  general  or local bath,  (o)
 Can be used in  the plaster form,  (d)  With
 the  ordinary  flaxseed poultice  mix a few
 teaspoonfuls of mustard seed  flour,  when
  a very  mild counter-irritant  effect  will  be
  obtained. 
131
  VESICANTS.—(1) Cantharides: When ap-
plied in the form of cerate, prepare a piece
of adhesive plaster an inch wider in all
its dimensions  than the size of the blister.
A thin  layer of the cerate is then  spread
upon  the  central   portion,  the   plaster
slightly heated and applied  to  the  surface
of the body.  The skin should be  washed
before the application.  The plaster  is al-
lowed to remain  on the skin for about six
hours,  when a poultice replaces  it; this
latter can  be put on at the  same time as
the vesicant, being placed directly  over it.
When the  blister  has  formed it should be
cut with scissors  at  its  most  dependant
part, drained of its serum and dressed with
boric ointment spread on lint.  To counter-ir-
ritate  the  part,   the   skin  of   blister
is  stripped   off,    leaving  the   raw
surface   to   be   treated   with   irri-
tating  applications, such  as savine oint-
ment, etc.   Cantiiaridal collodion  is em-
ployed  as  follows: Wash  surface  to be
blistered; then  paint  (for  two  or  three
minutes) in spots  the  size  of  the  blister
desired;  treat  subsequently  as  when  the
cerate  is used.   (2) Chloroform and  Am-
monia  (rarely  used):  To raise a   blister
pour a  few drops  of chloroform  into a
watch  crystal and apply to surface,  when
the action is almost immediate.   Apply the
ammonia as described before (rubefacients),
allowing it to  remain from 10  to  15 min-
utes.  These blisters are very painful, and
difilcult to heal.
  ISSUES (rarely employed).—The  ulcer  is
commonly formed by caustic-potash.


  SETON.—Used  for same purposes as the
issue.  It is formed by thrustiug a scalpel
directly through  a  fold of skiu,  which has
previously been  pinched  up; through  this
perforation an  eyed probe threaded with a
skein of silk is carried, etc.
  ACTUAL    CAUTERY.—Heated   irons,
glass  rods  or the  Paquelin  cautery  are
employed.  A vessel of ice water should be
provided before making the  application, in
which  are  soaking  thick  flannel  cloths.
Heat cautery to a white heat and apply in
spots,  or draw in  streaks  along the  af-
fected  area.  Follow this immediately with
the cloths wrung  out in the ice water by
placing them upon  the burn,  etc. 
                   132

 LEECHING  AND TRANSFUSION.

  LEECHING.—The Swedish and American
varieties are employed.  The former draws
from  three to four drachms and  the latter
about  one  drachm.   Good leeches  must
come  from pure water, and those  which are
active are possessed  with  smooth, glazy
skins.  The Swedish leech Is considered the
best.   Before  applying  leech thoroughly
shave  and wash  parts,  and  if leech  will
not bite  immediately smear the  part with
a little blood or  milk.  They  are  applied
to surface of  the body from a glass or
wide-mouthed  jar.   To  induce  them to
loosen their hold  after a sufficient  amount
of blood  has  been drawn, drop snuff or
salt upon them.  Dress bite with a  pledget
of iodoform gauze, together with  a  pres-
sure  bandage.   Precautions:  Never place
leech  over course of a nerve or artery, nor
upon  loose cellular tissue  (eyelid or scro-
tum).

  TRANFUSION.— Two  methods: Immedi-
ate or direct.  The latter is effected by the
Aveling  apparatus.   (See  surgical  works.)
 THE  NOTES on  Dressings  in  Surgery; An-
tiseptic  Operations;  Depletion  and  Cupping;
Counter-irritants, etc.; Transfusion are condensed
from  Martin's  Minor Surgery. 
133
HYPODERMATIC  MEDICATION.  *

  PRECAUTIONS.—(1) Avoid large  blood
vessels and nerves; (2)  inject into the mus-
cles  when  solution is irritating, or apt  to
cause pain; (3) dress  seat of puncture with
iodoform collodion, plain  collodion or  use  a
bit of adhesive plaster; (4) sterilize syringe.
medicament  and  seat  of operation.*   The
syringe can be kept  aseptic by washing it
in sol.  of  carbolic acid  or saturated sol.
of boric acid; the needle should  be boiled
and  then  kept  in   absolute   alcohol, or
washed repeatedly by  drawing through it
hot carbolized water.

  PARTS SUITABLE FOR  INJECTION.—
When it is desired to produce a local effect
the place of  puncture is usually chosen as
near as possible  to the painful part.   For
systematic  effects the location is unimpor-
tant,  and  if repeated injections  are to
be made various spots should be selected.
The  outer  surface of the thigh or buttock
is a  good place to admirister the solution,
as less pain will be experienced  than in
most  other regions.   If  the principles of
antiseptic  surgery  are closely  adhered to
the most irritating  solutions  may be  in-
jected  subcutaneou&ly  without  the danger
of the formation of  abscesses.   Solutions
of medicines for hypodermatic  use should
not be kept, but the drug to be used should
be dissolved  in  boiled water just before
its  employment.

  SUBCUTANEOUS INJECTIONS ARE IN-
DICATED  IN THE FOLLOWING  CIR-
CUMSTANCES:  To  produce a  prompt ef-
fect  locally,  or  upon the physiological
centres.  In this manner they control neu-
ralgia,  spastic  and other painful derange-
ments  generally.   Are useful  in  hemor-
rhages,  intoxications  (curare in strychnine
poisoning),   intermittents,   in  amblyopia,
amaurosis,  aneurism,  internal hemorrhages,
uterine diseases, etc.  Injections are  also
made to bring  about  local irritation;  so-
dium chloride, alcohol, tincture of iodine,
tincture  of cantharides,  sulphate of  cop-
per, ni'rate of silver, etc., being employed.
The  destruction  of   new growths may be
effected in  certain cases by  the use of this
method.
•See  Hypodermatic Formulae. 
134
              CHAPTER  VII.




 EMERGENCIES AND THEIR MAN-

               AGEMENT.

                 (First Aid).

      ARTIFICIAL  RESPIRATION.

   SYLVESTER'S METHOD.—Pull  tongue
 forward,  as it tends to close upper part of
 larynx.  Place patient on  the  back; ele-
 vate shoulders with  coat,  etc., to  carry
 chin away   from   breastbone. Operator
 kneels  at head  of  the  person,  and  takes
 an  elbow in  each  hand, making  the in-
 spiratory movement by  carrying the  arms
 outward  (away from chest),  and then up-
 ward  over  head of patient.  The  expira-
 tory movement is made  by  returning the
 arms to their former position by the side
 of the chest; make pressure upon  them
 whilst  in this position,  to assist the ribs
 in  the  expulsion of  air from  the lungs.
 Repeat at the rate of 15 times per minute.

  MARSHALL  HALL'S  METHOD.—Pa-
 tient Is placed  on ground  or  floor  face
 downward, forehead supported on one arm,
 and a  coat,  etc.,  placed to  support the
 chest.  Whilst in this position, the  weight
 of  body compresses the  ribs  expelling the
 air  from  the  chest; this is  enhanced by
 making pressure on the  lower ribs.  After
 this, the operator places  one hand  on the
 patient's arm  near the shoulder, the other
 being under or in front of the correspond-
 ing hip  bone, when the body is rolled  from
 face downward to its side and a trifle be-
 yond. This  movement is  aided  by  an as-
 sistant  who  handles the head and  arm
 r«nfnth 1,t-V«After the body has  been  thus
 rolled a  little more than half round, the
 chest becomes relieved from  superincum-
 bent  weight,  causing  air  to  enter thp
chest.  After a few  moments  res? fn this
position  (inspiration),  the  patient  is re-
turned to the  prone position, when press-
ure is made along the ribs (expiratory  act). 
135
  LABORDE'S METHOD.—This consists of
rhythmical  tractions of the tongue, which
probably  stimulates the  respiratory  cen-
tres in the  bulb.  The tongue  should be
grasped by a forceps,  pulled forward and
allowed to  relax.  This process is contin-
ued until  some  evidence is given  of re-
turning respiration, or until real  death  is
evident.  It  may  be  combined with the
other methods of artificial  respiration.
  RULES.—1. Prevent  tongue  of  patient
from blocking up  the air-passages.  It  is
liable  to   fall  backward  and  close  the
upper end of the larynx.  Pull  it forward,
and have  it  held  in that  position by  a
string,  elastic band,  or  a  pencil placed
across its  base and kept in position be-
hind the  back teeth,  etc. 2. The  base of
tongue may be cleared of the windpipe by
pressing the  angles of  the jaw  forward
with both  thumbs  applied in front of the
ear-lobes.  3. Warmth  to the body is se-
cured by   means  of  hot bottles,  bricks,
plates,  sand,  or even  stones.  Rub  limbs
toward  the heart to  stimulate the  circu-
lation.  4.  Stimulate  the  natural  respira-
tory powers  by  ammonia to nostrils,  slap-
ping the chest with cloths  wrung out in
cold or  hot  water. 5. Replace  patient's
wet  clothing with  such  as  can be imme-
diately procured from bystanders.  6.  Give
such stimulants  as  aromatic spirits of am-
monia, brandy, whisky, etc.
CONDITIONS  CALLING  FOR  ARTIFI-

          CIAL RESPIRATION.

I.  ASPHYXIA NEONATORUM (livida and
 pallida.)  1. Asphyxia Livida.—Symptoms:
 Surface of  child  cyanotic;  face  dusky
 and swollen;  protrusion of eyeballs; con-
 gested  conjunctiva;  rigidity  of muscles;
 strong  and slow pulsation in cord; reflex
 movements of skin caused by irritation.
 Treatment.—Sever  cord,  allowing blood
 (dr. ii-iii)  to flow; remove mucus  from
 mouth  and nostrils; put child in a vessel
 containing  hot water;  dash  cold water
 over the epigastrium; then take child out
 of  bath,  and apply  friction  over spine,
 chest,  and soles of feet; as a last effort,
 artificial  respiration. 2. Asphyxia  Pal-
 lida.—Symptoms—Anaemic skin; cold sur-
 face; relaxed muscular  system: extremi-
 ties and lower jaw relaxed; reflex move-
 ments  do  not occur  when  skin  is irri-
 tated;  imperceptible (or scarcely so),  pnl- 
13G
   satlons  in  the  cord.  etc.  Treatment.—
   The  anaemic  condition  requires  blood,
   therefore press blood in cord toward the
   umbilicus; then  tie and  sever cord; re-
   move  mucus,  etc.,  from   nir-passages.
   Subsequent treatment  like  that  for as-
   phyxia livida.  (See Dr. Parsons' Article).

 II. DROWNING.—Resuscitation  should be
   attempted at  once,  and  on  the  spot,
   weatLer  peimittlng.  Remove   clothing;
   place  patient's face downward  on  the
   ground; raise body of patient by clasping
   the hands underneath the abdomen; this
   permits the  escape of any water from
   the  air-tubes.  The  mouth  and nostrils
   should  be cleaned. Apply   warmth to
   body: give stimulants (ammonia, whiskey,
   brandy,  etc.); after resuscitation put pa-
   tient to bed.

 III. STRANGULATION.-Anything  which
   compresses the  wind-pipe  from the  out-
   side (cords, ligatures,  etc.),  must  be re-
   moved,   also  any  articles  of  clothing
   which  interfere  in  any  way with  the
  chest movements.  Every effort should be
  made to arterialize the venous blood by
  stimulating the natural  respiratory move-
  ments.

IV. ASPHYXIA  FROM NOXIOUS GASES,
  ETC.—(Charcoal fumes; coal  gas; exhala-
  tions  of  pits,  vats,  coal  mines,  etc.).
  As soon  as person is removed from such
  atmosphere,  allow  him plenty  of fresh
  air;  sprinkle  cold  water  on  face  and
  head; rub strong vinegar  about nostrils;
  give vinegar  and  water internally   etc
  Inhalations of sulphureted  hydrogen may
  be relieved by  breathing a small amount
  of chloride of  lime placed  in  a basin;
  stimulants. (Artificial Respiration).

V. INSENSIBILITY FROM  ETHER, CAR-
  BONIC  OXIDE,  ETC.-Respiratory  for-
  getfulness may occur during first  stage
  of administration  of  ether.  Treatment
  consists in dashing ether  over  the  epi-
  gastrium and removing  mucus from  the
  throat,    etc.  When  there  is  asphyxia
  frdm an excess  of ether (closure  of glot-
  tic*,?0  the  flowing symptoms  arc
  generally presented:  an Irregular pulse
  blue  surface,  laryngeal  stertor, absence
  of respiratory movements, etc.  Treat bv
  pushing  lower jaw forward; drag tongue
  out  of  mouth;  pour ether  over eXa*
  tnum;  during artificial respiration  use 
137
  the battery,  by placing one  pole to the
  right  phrenic nerve  in  the neck;  place
  the other  to  sixth  intercostal  space;
  close circuit during the inspiratory move-
  ment  of artificial  respiration;  tracheot-
  omy.  Always give   patient   more air
  when  there  is  lividity  of the  surface,
  pallor,  tonic  spasm,  infrequent,  feeble
  pulse.  When pupil is fixed in dilatation.
  the danger  is  augmented.  Syncope  in
  chloroform narcosis is treated by forcibly
  pulling  tongue  forward,  raising the foot
  of bed  or  operating  table, dashing cold
  water over chest  and face,  etc.

VI. CHOKING.—Caused  by  pressure  of
  something in  the throat, gullet,  or wind-
  pipe.  Remove foreign body as soon  as
  possible by passing finger over  the base
  of the  tongue  as  far  down  as can  be
  reached; use forceps if necessary;  pro-
  voke  vomiting.  Foreign  bodies  (beads,
  buttons,  coin,  etc.)   which    lodge  in
  the trachea are sometimes removed by
  suddenly  striking  the  patient  sharply
  upon  the  back; induce  coughing,  while
  patient's head  and  body  are  inclined
  downward.

VII. EXPOSURE  TO  COLD.—Has a be-
  numbing  influence   on  the   sensation
  which leads from drowsiness to  profound
  stupor.  When  body  is  stiff,  relax  tis-
  sues by  friction  with  cold water, ete.
  (Artificial  Respiration).
See Effects of  Cold.


CONDITIONS  CAUSING  INSENSI-

               BILITY.

       INJURY TO  THE BRAIN.

  CEREBRAL  CONGUSSTON.—Symptoms:
Patient  may  be  momentarily confused,
weak, tremulous, or  the  insensibility may
be profound, with  easy, feeble breathing;
pulse almost  imperceptible;  pale counte-
nance; skin cold and clammy,  etc. When
vomiting  occurs in  a case of  severe con-
cussion, it is looked  upon as a good  sign.
Tiratmer.t:  When  brain  is  not implicated
the cautious administration of stimulants
is permissible;  put  patient  to  bed; cover
warmly; applv warmth to the  extremities
and  armpits; if  oatient can swallow, the
intense  depression may  be  alleviated  by 
138
 giving small  doses  of aromatic  spirit of
 iiLinonia (gtt. xx-xxx); administer a purga-
 tive  enema; catheter when bladder is dis-
 tended  during continued  insensibility of
 patient;  apply cold cloths or evaporating
 lotions  (during reaction)  to  the  shaven
 scalp; perfect rest of patient and quiet are
 required;  give an  unstiinulating diet; an
 occasional laxative,  etc.

  CEREBRAL   COMPRESSION. —Symp-
 toms:  Insensibility; pulse  slow and  la-
 bored; breathing ditto (snoring); pupils in-
 sensible to light; paralysis of one side of
 face  (V); retention of  urine; faeces passed
 involuntarily.  (Symptoms  very similar to
 those of  apoplexy.)   Treatment:  In de-
 pressed  fracture  of   the  skull, trephine;
 otherwise treat as  a  case of  apoplexy,
 which see.


       APOPLETIC CONDITIONS.

  APOPLEXY—(Active  congestion).  Symp-
 toms. Patient uuconscious; face flushed;
 pupils insensible to  light and  of different
 sizes; slew, hard,  full pulse;  respiration
 slow  and somewhat  irregular;  heavy  snor-
 ing;  features generally drawn  to one side
 (paralysis). Treatment:  Loosen all  cloth-
 ing about the neok  and chest; apply cold
 to the head;  keep  head elevated with pil-
 lows, etc.; keep shoulders raised; apply hot
 water with mustard to the feet and  legs;
 place  a  drop  or two of crotou oil on the
 tongue;  give a purgative enema if bowels
 do not open within  an hour;  use catheter
 if necessary.  Diffusible stimulants may be
 cautiously administered, particularly  when
 the pulse is double  (aqua ammoniae, m. xii-
 xv in water);  the  aromatic  spirit of  am-
 monia in a camphor mixture or in water
 (dr. ss-i); carbonate of  ammonium (gr.  v).

   R—Potissii bromidi, oz. j
       Aquae, oz. iv.
     M.  Sig.  dr. j t. I. d.   (Relieves  head
       symptoms; keep  up for 10 days.)

   R—Sodii bromidi, oz. j
       Ergotae extracti fluid!, oz  iv

       oJOl&nP- i t-,1\d-  (Krgot contracts
       cerebral vessels.)

  SUNSTROKE.-Symptoms:  Quick  pulse
 compressible,  small, and  occasionally  n-
termittent); respirations short, shallow be-
h}g  interrupted by  deep-drawn sighs-  lins
vivid; patient may clutch violently ^ spas* 
i<$y
 modically at chest; convulsions  may occur
 every 2 to 3 minutes (may be very violent.
 causing  patient  to stretch  out  stiff  and
 rigid for a  moment or so); twitching may
 occur,  foreboding a recurrence  of convul-
 sions;  unconsciousness  may  last a  long
 time;  the  skin is dry;  the  bladder  and
 bowels  may evacuate  involuntarily;  per-
 spiration wanting,  etc.  Treatment:  Carry
 person  to   nearest  shade; remove  outer
 clothing; if patient can swallow give plenty
 of water (not ice  water); if insensible ap-
 ply wet  clotts to surface of body; if pa-
 tient  becomes   comatose,  treat  as  apop-
 lexy.  (Rub  ice  over  spine.)

   EPILEPTIC   STUPOR—(Loss  of   con-
 sciousness  and  coavulsions).    Symptoms:
 When  severe the  patient becomes quickly
 pale; utters  a peculiar cry; loses  conscious-
 ness; face becomes congested;  violent con-
 vulsions follow (last a minute or so), dur-
 ing which  the  face  is  deeply  congested,
 pupils  dilated, foam on  lips, saliva tinged
 with blood  if  tongue has  been injured;
 involuntary  evacuations  from bladder and
 hovels;  after  the  convulsion  is  ended
 (which  it generally does with a long-drawn
 sigh),   patient sinks  into  a  deep stupor
 (simulates apoplexy), etc. Treatment:  Pre-
 vent patient  from injuring himself during
 the fit;  place a handkerchief or piece  of
 wood in  his  mouth to save tongue;  free
 neck and  chest  from  constrictions;  after
 convulsions,  put  patient to bed.   Nitrite of
 amyl has been recommended,  a few drops
 to  be inhaled; chloroform inhalations  may
 be tried during attack.

    R—Morphinae sulphat., gr. 1-4
       Atropinae sulphat., gr. 1-60.
     M.  Sig.  For one hypodermatic injec-
       tion in a few drops of water.
                       (Brown-Sequard.)

    R—Chloralis hydratis, dr. ss
       Syrupi simplicis,
      Aquae  destil., aa dr. ii
     M. et ft. haustus.  Sig.  Take at  bed-
      time, to prevent nocturnal fits.
                             (Da Costa.)

  CONVULSIONS IN YOUNG  CHILDREN
—(During teething; disorder of  digestive
organs;  worms, etc).  Place child in lap  of
nurse, feet and legs in a  pail of hot water,
and cold water to the head; examine gums,
and lance if necessary.  If there is disorder 
                   140

of the  digestive  organs,  give an  emetio
(ipecacuanha).  If no  tumefaction  of the
gums exists, give an  enema  of soap-suds.
Two grains of calomel may be given to a
child a  year old;  bromide of potassium in
large doses (gr.  x for child 1 year old);
chloral  by enema (gr. iii-v);  keep  child in
dark room after the convulsion; light diet,
etc.  (See  Parsons  on  "Care of  Infant,
etc," in another  chapter.)

  ALCOHOLIC  STUrOR—(Sometimes  re-
sembles apoplexy). First thing to  do is to
empty  stomuch (warm water; mustard and
water;  apomorphine subcutaneously;  stom-
ach  pump, etc.);  cold affusion  to head;  if
pulse is weak  and skin cold and clammy,
hot coffee  should  be given  without  milk or
sugar-  small  doses of aromatic  spirit of
ammonia  In  water; frictions  and  warmth
to general surface.  For  nausea,  vomiting
and  irritable stomach,  iced milk  diluted
with Vichy, lime-water,  etc.,  or for per-
sistent  retching  and vomiting give liquor
potassae arsenitis (gtt.  ss) alone  or with
a few  grains of  capsicum  every half hour
or hour; for nervous  prostration,  anxiety,
etc., give  nux vomica  (gtt. v-xv) fluid  ex-
tract.

   R-Chloral hydratis,
       Potassii bromidi, aa oz. iss
       Tinct.  capsici,  oz. ii
       Aquae, o.  s. ad oz. viii.
     M. Sig. dr.  i-ii  diluted  with  water
       or milk every  hour or two till sleep
       is  produced.
                               (Nowliu).
   R—Sesqui-carbonate ammoniae,  dr.  j
       Table vinegar,  oz. j.
     M. Sig.  One  dose;  repeat   in  half
       hour if necessary.  (Dispels drunken-
       ness).

  DELIRIUM TREMENS.—Symptoms: Pa-
tient in a state of nervous  inquietude; con-
stant  dread;  restless;  anticipates  some
fancied  evil,  etc.  Treatment:  First elim-
inate  the  poison  (emetics  or  stomach-
pump); nutritious diet; yolk  of  egg, raw
oysters, beef tea, etc.  To quiet   nervous
system  give  morphine   hypodermatically;
bromide of potassium or chloral for  sleep-
lessness.

   R—Pulv.  capsici,  gr. xx-xxx
       Mollis rosae, q. s.
     M. Make  a  bolus.  One dose.
                                (Lyons). 
                   141

   R—Potassii  bromidi,  dr.  j
      Infusi digitalis, oz. ss.
     M.  Sig.  One dose;  every hour or two
      till patient sleeps.
                            (Hammond).

 OPIUM  NARCOTISM.—(See Opium  Poi-
soning).
SYNCOPIC  CONDITIONS.
  SYNCOPE  (Fainting).—Due  to  sudden
failure  of   the  circulation.  Symptoms:
Heart action slow or  quick, with  but lit-
tle  power; sudden  pallor of face; loss  of
consciousness; loss of muscular power, and
patient  falls. Treatment:   Seize  the  pa-
tient  and lay  him  on the  ground; head
should be  on a level with the body; sprin-
kle  cold water on face; carbonate of am-
monia for inhalation;  give cold  water  or
a stimulant  internally.
  SHOCK   ATTENDING   SEVERE  IN-
JURY.—Slight  shock:   Tremors;  anxiety;
pallor; faintness,  etc.  Treat  by  rest  in
bed; reassuring words; cup of  coffee  or
aromatic  spirit of ammonia  (dr.  ss in wa-
ter). Severe  Shock: Patient is  semi-con-
solous and incoherent; pale,  anxious and
shrunken  countenance;  pulse  slow,  then
rapid, compressible,  weak  and almost im-
perceptible;  temperature sub-normal;  sur-
face cold and bedewed with moisture";  nau-
sea  and  vomiting  often  present; special
senses blunted;  respiration  sighing and  ir-
regular;  relaxed  muscular system,  etc.
Treatment:  Patient  should  be  put to bed
with head low; ammonia  occasionally  to
nostrils;  warmth  to extremities and pit
of stomach;  hot bottles along spine;  give
atropia  (gr.  1-160)  and brandy  (dr.   iss)
every  30  minutes subcutaneously; if much
pain, morphia (gr.  %).   Do  not medicate  by
stomach till reaction takes  place, as there
is no  absorntion;  when reaction does oc-
cur  discontinue the use of stimulants.
  SHOCK    WITH  LOSS  OF   BLOOD.—
Symptoms:  Lips and face  pale; shrunken
countenance; skin cold and covered  with
perspiration; pulse rapid,  feeble  and flut-
tering; respiration  quiet or long sighing
breathing;  weak and  whispering voice;
muscular  system  relaxed;  often  uncon-
scious; mutterirgs, etc. Treatment: Have
patient   warmly  covered;  perfect  rest 
142
requisite;  toaspoonful doses of brandy or
whisky  punch  every few minutes;  beef
tea and  water;  apply to pit of  stomach
flannel cloths wrung out in  hot  water. If
patient  cannot  swallow  give  brandy  and
opium  per rectum,  or hypodermatic-ally.
HEMORRHAGE FROM  WOUNDS.
  CAPILLARY   BLEEDING.—Treatment:
 Clear  away  clots;  expose part  freely  to
 atmosphere;  elevate part; cold or hot (120
 degrees to 140 degrees) water  compresses;
 ice applied to part; styptics (liq.  ferri sub-
 sulphatis—Monsel's sol.), solutions or pow-
 ders of alum,  tannin,  gallic acid, persul-
 phate of iron, turpentine, tincture of cate-
 chu, etc.  Tannin dissolved in  alcohol and
 ether,  and mixed  with collodion  forms a
 "styptic collodion," useful for  sealing the
 margins of  wounds.

  VENOUS BLEEDING.—Treatment:  Com-
 pression of  venous  trunk  below  injury;
 graduated  compresses;  if hemorrhage  is
 from a  limb, bandage it from  the  toes  or
 fingers to level  of  wound, etc.

  ARTERIAL BLEEDING.—Check hemor-
 rhage by pressure on arterial  trunk above
 the wound;  elevate part  and also flex  it
 thus bending artery on itself (for  the ex-
 tremities);    place  finger  in   the  wound;
 tourniquet;  Esmarch's  bandage;  styptics;
 actual  cautery;  douching with  hot  or cold
 water;  torsion  (for small  arteries);  as  a
 permanent  measure  apply the ligature.

  CONSTITUTIONAL EFFECTS OF HEM-
 ORRHAGE.—The pulse is rapid, feeble and
 fluttering;  pulse may  be appreciable  in
 large  arteries later  on;  general surface  is
 cold and  wet:  lips  colorless;  respiration
 sighing; nausea;  restlessness; darkness be-
 fore the eyes; roaring in ears; sinking sen-
 sations;  syncope; convulsions  and death.
If patient  mends,  he passes  into  hemor-
rhagic  fever,  etc.  Treatment:  I'ut patient
flat on  his back:  raise  foot  of bed and
 apply Esmarch's bandage  to extremities  if
 bleeding is severe; apply  warmth to body
 by  hot  bottles,  etc.; transfusion (extreme
 cases);  ether  (m. xxx). and  morphia (gr.
 1-4). subcutaneously; injections of brandy
 and hot water;  small  doses  bv mouth  of
 hot coffee  or beef  tea:  stop stimulants  as
 patient  recovers: betrin with a milk diet-
 give iron, etc.  (See Shock.) 
143
      SPECIAL  HEMORRHAGES.*

  EPISTAXIS.—Treatment:    Compression
of the facial artery will aid in  checking
the bleeding; snuff salt and water; vinegar;
solution  of  alum  in hot  water,  etc.  Plug-
ging (If naso-palatlne artery is lacerated).

    R—Tinct. aconiti rad., m. viii
       Liq.  ammonii acetatis, oz.  j.
     M.  Sig. dr.  j  every   half  hour in
       plethoric cases.
                               (Thomas.)

    R—Liq.  ferri persulphatis, oz. j
       Aqiae destillatae, oz. iii.
     M.  Sig. Inject into nostril.
                               (Gerhard.)

  HAEMOPHILIA—(Hemorrhagic    diathe-
sis).  Treatment:   Saturate   compresses in
Monsel's solution and apply; ergot; acetate
of lead;  strong  pressure, etc.

  HAEMATEMESIS.—Treatment:   Ice;  as-
tringents;  Monsel's solution (in.  ili-vi)  in-
ternally, etc.

    R—Aluminis, dr. iiss
       Syrupi krameriae, oz. ii
       Aquae destillatae,  oz. vi.
     M.  Sig. Take 14 of above every  half
       hour.

    R—Acidi tannici, gr.  xx
       Pulveris  opii, gr. v
       Glycerini, q. s.
     Fiat massa, in pil.   No. x div.
     Sig. One every  hour or two.
                                  (Ellis.)

  STOMATORRHAGIA.—Hold  any astring-
eut  solution in  mouth.

  MELAENA.—Styptic solution  of iron  per
mouth or rectum; apply cold to abdomen.

  ELEEDING  FROM  SOCKET  OF  AN
EXTRACTED  TOOTH.—Treatment:   Re-
move all clots of blood; pack socket  bit by
bit with a strip of dry lint (14 inch  wide);
place  a  compress  over  this;  keep  jaws
tightly closed for some  hours.

  HAEMOPTYSIS.—Symptoms:    Taste of
blood  in mouth; irritation;  cough; oppres-
sion in chest; blood ejected  may be  coagu-
lated,  but is usually frothy  and bright-red
♦See also Diseases Incident to Childbed. 
                      144

   ni,«,S?i0V  Tre/?tmeut:   Kest in  bed;  body
   placed in silting  posture; cold to  chest-
   lumps of Ice for swallowing; vinegar (dr  1)
   eAery 10 minutes;  Monsel's* solution  from
   iJno'Jni ea,"Ifl 'icld (gr-  xx) every W min-
   utes  till relieved; fluid extract of hainaine-
   is (dr. ii) at once, and repeat every half

   orlTei  t'' 1Ct' t0 ohest' or over tbe sPlue

      U—Cupri  sulphat., gr. 1-3
         Ferri sulphat., gr. ii
         Extracti  hyoscyami,  gr. J.
       M.  Sig.  For 1 pill; t.  I. d.
                               (Da Costa.)
     R—Ferri chlorldi, gr.  il-x
        Aquae destillatae,  oz. j.
       M. Inhalation  by  atomizer.
                               (Da Costa.)

  M?A™Air^RIA--APP1y cold to t"e hypo-
  Smf ™  aud Penueum; wash bladder out
  E^»worm, w.ater- « distended  with clots-

  S-oYwaterTeV* a,Um lnto "***"&

     R—Acidi gallici,  gr.  x
        Acidi sulnhurici diluti. m  x
        Aquae destil.,  oz. j.
      M.  S'g.  For a  dose.
                                (Drinton.)
    R—Aluminis, dr.  iss
       Syrupi simplicis,  dr.  vi
       Infusum rosae acidi, ad oz. vill
      Sig. Dr.  iii as  required.
                               (Fenwick.)
  ECCHYMOSIS.-Locally  a  solution  of
muriate of  ammonia, or  tincture gelsemi
urn; tincture arnicae (dr.  >; aquae? of i v™


               WOUNDS.

CONTROL OF ARTERIES DURING HEM-
               ORRHAGE.

(1) The Common   Carotid (supplies  heart
  and faCe)(  may  be  reached by  nresstne
  *^. finger  deeply into  the  neck  in  f
  backward  and  inwtrd  direction  at ih*
  anterior border   of   ti,~ „.      at lne
  muscle     raer   or   tue slerno-mastoid 
145
(3)  The Subclavian Artery (supplies  upper
  extremity) may be compressed by pressing
  with the thumb downward  into the hol-
  low behind the clavicle, where the artery
  passes  over the outer surface of the first
  rib.  Useful in injuries about the shoulder
  and armpit.
(4)  The Axillary Artery—To control  bleed-
  ing from  the  upper part  of  the  arm,
  place the thumb in the armpit and press
  outward against  the  humerus.
(5)  The Brachial Artery may be compressed
  by making pressure near the insertion of
  the coraco-brachjalis  muscle; it must  be
  exerted from within outward.  The course
  of this artery is down  the inner and
  anterior aspect of the arm; it gets fur-
  ther  forward toward  the elbow, dividing
  into the radial  and ulnar, about one-half
  inch  below.
(6)  The Radial and Ulnar  Arteries can  be
  outlined upward  along the outer and  in-
  ner sides of the forearm from the  wrist,
  where  their pulsations can be appreci-
  ated.
(7)  The Palmar Arches—Hemorrhage occur -
  ing here can be checked  by using gradu-
  ated  compresses and wooden splints over
  them.
(8)  The Femoral Artery extends from the
  middle  of the  fold  of the  groin down-
  ward in  the direction of  a line which
  would pass along the inner side of the
  knee-joint.  It  can be  compressed in the
  upper-third of  the thigh by  firm pressure
  directed backward against the femur.  In
  the middle-third  of the  thigh  pressure
  must be  made   from  within  outward
  against the bone  (use the tourniquet).
(9)  Popliteal  Artery—This  artery  is  situ-
  ated at the upper part of popliteal space,
  along the centre of which   it descends,
  and where it can be compressed by deep
  pressure.
(10) The  Anterior  Tibial  Artery  can  be
  eonti oiled in the  lower part of its course
  by making  the pressure along  the  track
  of a  line traced  from the inner  side  of
  the head of the fibula to midway between
  the  malleoli.
(11) Dorsal Artery  of  the  Foot—This,  the
  contii nation of  the  last-named  artery,
  may be compressed along the outer side
  of the extensor tendon of the great  toe.
(12) The  Posterior  Tibial  Artery  (deeply
  located  except  at its lower part)  may  be
  appreciated at  the hollow  between the
  inner ankle and the heel. 
14G
  CONTUSION  OF   SCALP.—Symptoms:
Swelling (very  rapid); pain, etc.   Treat-
ment:  Ice-bag to head; moderate pressure;
stimulating  lotions;  if haematoma  is per-
sistent, aspirate; incise freely for suppura-
tion.

 WOUNDS OF SCALP.—Wash parts; shave
scalp;  disinfect  region of wound;  remove
foreign matter;  check hemorrhage; drain
(horsehair  or  catgut)  if  wouud is  large;
suture or use  adhesive plaster strips; dress
with  iodoform  or  wet bichloride  gauze;
bichloride cotton;  bandage.

  GUN-SHOT  WOUNDS.—Symptoms: Hem-
orrhage; shock;  pain  (sometimes  absent).
the  secondary  effects  are inflammation,
sloughing,  hemorrhage (tetanus, gangrene;
blood-poisoning  may  set  in).   Treatment:
Fiist  aid requires  attention to shock, pain
and hemorrhage, the applying of dressings,
etc.   Treat  shock  as elsewhere   (opium,
rest, stimulants,  etc.).  Arrest hemorrhage
by position, pressure, or tourniquet, etc.

 DISSECTING WOUNDS.—Treatment: En-
courage bleeding  by  applying  a  ligature
around the  hand  or finger  above  the in-
jury;  wash iu some  germicidal fluid; in-
cise; suck  wound  or press blood from it;
apply freely the lunar stick, carbolic  acid,
or sulphate of zinc;  dust  wound with iodo-
form.   After  this,  if inflammation  sets in
(infective),  freely  incise,   use  nitrate of
silver   stick,  etc.   Wrap  parts   in   a
soothing poultice.   For  the  pain, chlor-
al (gr. xx-oz. j  of  water)  may   be ap-
plied  locally; extension  of  lymphangitis
may be prevented by making  a  circular
blister around the arm;  treat  fever, eto.,
as elsewhere.

  PACE  WOUNDS.—Treatment:   Superfi-
cial wounds are ciosed by means of collo-
dion,   iodoform  and   ether,  or  adhesive
strips.  Remove  stitches in 24 hours, when
they have  to  be inserted  (wounds  of car-
tilages of nose,  ear, etc.).

  WOUND  OF   STENO'S  DUCT.-TTeat-
ment:   Pass   suture round  the duct  from
the inside of  the cheek; this must  be pos-
terior  to the  external opening.

  WOUNDS  OF  NECK-(Penetratiug  or
not).  The  tongue,  lingual,  artery,  facial
artery and the  hypoglossal  nerve  may be 
147
 Incised in  wounds  above the hyoid  bone.
 In wounds through  the thyro-hyoid  mem-
 brane,  the pharynx  is  opened.  The epi-       «
 glottis, sup. thyroid artery,  lingual artery
 and sup.  laryngeal nerves are liable  to  be
 involved.   The vocal  cords and  the recur-
 rent laryngeal nerve are involved in wounds
 through the cartilages.  Wounds  below the
 cartilages  may injure  the  sup.  and inf.
 thyroid arteries, thyroid and ant.  jugular
 veins, trachea  and  oesaphagus.  In  cases
 of "cut-thrrat"  the  hemorrhage  may  be
 severe, and fatal  from  incision  of the
 branches  of the carotid artery, or the ext.
 jugular vein.  The main  artery  and  vein
 usually escape injury on  account of  their
 deep  situation.  To check the bleeding, con-
 tinued pressure should be applied if venous
 hemorrhage, and torsion or  ligature if ar-
 terial.  Close wound by stitches, etc. Trach-
 eotomy is  resorted to  when  dyspnoea  is
 bad;  a tracheal  oanula could be  inserted
 through the wound.  Treat non-penetrating
 wound as in any other part.

  WOUNDS OF THE CHEST.—Treatment
 of Non-penetrating Wounds:  Check bleed-
 ing; pass deep sutures to bottom of wound;
 antiseptic  dressing;   firm   pressure   over
 dressing;   bandage  around chest.  Treat-
 ment of Penetrating Wounds  (parts liable
 to bo injured; pleura  and lung; pericardium
 and heart; the great vessels):  If an inter-
 costal artery is injured, ligate, etc.  If lung
 bleeds,  close wound (external), put  the pa-
 tient  on the injured  side, and apply  cold
 In the shape of an ice-bag.  Give internally
 opium,  ergot, gallic  acid, etc. The  main
 object in treating these cases is to restrain
 Internal hemorrhage and moderate the sub-
 sequent inflammation.

  WOUNDS  OF   ABDOMEN—Contusion
 Without Rupture  of Viscera—Symptoms:
 Discoloration:   swelling;   pain;   shock.
 Treatment:  Hot fomentations;  if rectus
 muscle is  ruptured, treat by position.  For
 haetnatoma,  apply  cold.   Evacuate  ab-
 scesses; water  and cracked ice internally.
 Contusion  With  Laceration  of  Viscera-
 Symptoms:  Pain;  collapse;   great  shock.
 If hollow  viscera  are affected  rapid de-
velopment  of peritonitis.   If stomach  Is
ruptured the signs are intense pain,  tym-
pany  over region  of  liver:  haematemesis.
If the  liver,  increased  hepatic  dullness;
pain in right hypoehondrium; signs of in-
ternal  bleeding, vomiting of bilious  mat- 
148
ter; clay-colored  stools, etc.  If the Intes-
tines,  severe radiating pains;  vomiting of
stomach  contents;  then  bile,   and finally
blood;  bloody  stools; tympanites;  perito-
nitis.   If the  kidneys', bloody urine; ex-
travasations  in  loin.   Treatment:  Opium
and rest.  Use iodoform tampons to check
bleeding  from  liver  and  spleen;  actual
cautery,  etc.  Ligate torn vessels in  peri-
toneum; unite by sutures  tears in stomach
and  intestines; irrigate  peritoneal cavity
to  remove  blood,   etc.   Non-Penetraling
Wounds  of Abdomen—In  simple variety,
cleanse parts;   check hemorrhage;  pass
sutures to bottom  of wound;  dress  auti-
septlcally,  etc.  Penetrating  Wounds of
Abdomen—Close  wound by sutures passed
from  within outward,  including  the  peri-
toneum and  thickness of the  abdominal
wall;  dress  antiseptically;  binder; cracked
ice internally;  milk; opium if  pain  and
diarrhoea.   In  the  variety with visceral
Injury,  enlarge  wound  if necessary,  ana
treat  viscera  injured.  Where viscera pro-
trude,  cleanse  and  return, etc.

  POISONED  WOUNDS—(Bites  of  taran-
tulas;  stings  of  scorpions;   centipedes;
stings of wasps and bees, etc).—Treatment:
Apply diluted ammonia;  liquor  potassae;
suction;  subdue local inflammation  with
lead lotion  or cold-water dressing;  stimu-
lants if  necessary, such  as brandy;  aro-
matio  spirits  of  ammonia,  etc.

  RATTLESNAKE,  ETC., BITES.—Symp-
toms:  Swelling,  which is rapid and exten-
sive;  discoloration  and disintegration; sys-
temic  depression.   Treatment: Above  the
wound a tight ligature  should be placed;
suck  wound to encourage bleeding; excise
wound;  cauterize  with  nitrate  of  silver,
liquor potassae, etc.;  alcohol  to point of
Intoxication; "intermittent ligature," which
implies  that  ligature  should  be released
for  a short period, and tightened  again;
inject permanganate of potash  (10 per rent.)
about the  wound;  ammonia,  etc.;  hypo-
dermatically  for collapse.

   HYDROPHOBIA.—Symptoms:  (Stage of
melancholia and stage of  excitement).  In
 a fully  developed  case:  Convulsions;  men-
 tal disorder;  maniacal excitement; patient
 becomes exhausted; paralysis, etc.  Treat-
 ment:  Cauterize  (hot iron,  nitric   acid;
 nitrate of silver; caustic potash); suck the
 wound;  morphia; chloroform; etc., for suf- 
                    i4y

  fering; pilocarpine (gr. 1-6) subcutaneously
  repeated; hot vapor bath; rest.

   MALIGNANT    PUSTULE.—Treatment:
  Excise part freely; cauterize wound with
  carbolic acid, caustic  potash,  etc.;  wash
  thoroughly  and often with solution (5  per
  cent.) of potassium permanaganate; stimu-
  lants; tonics, etc.

   TETANUS.—Cleanse  wound  thoroughly;
  make it  aseptic;  give  potassium bromide
  (gr. dr. ss-j) every two hours; for  sleep-
  lessness,  choral;  for pain,  morphia;  for
  the asphyxia, chloroform inhalations, etc.

     R—Nicotinae,  gr. ss.
        Aq.  destil., dr. ii.
       M. Sig.  Subcutaneously (m x-gr. 1-24).
                             (Erlenmeyer.)

     R—Extracti  physostigmatis,
        Pulv.  zingerberis, aa, gr.  j.
       M. et  ft. pilula.  Sig.  One every hour
        or two till effects are observed.
                             (E. Watson.)


  RAILROAD AND MACHINERY AC-

               CIDENTS.

   FIRST AID TREATMENT.—Persons con-
  nected with railroads  or  machinery  are
  liable to be bruised   or  crushed.   The
  wounds may be simple, incised, contused or
  lacerated;  limbs  may  be  torn  off,  hands
  or  feet  crushed,  etc.  The dangers to be
  feared are  hemorrhage,  shock  (collapse),
- and the unnecessary suffering in  the move-
  ment  of the patient.
   (1)  Hemorrhage (See Compression of the
  various arteries).
   (2)  (Shock,  which  see.)
   (3)  To transport a  wounded  person,  a
  soft  and even  bed  is  made with folded
  quilts,  blankets,  pillows,  etc.,  laid upon a
  shutter-door, wide  board, etc.,  with  side
  pieces attached, and proper covering. Have
  sufficient help to lift patient properly,  and
  do  not let those who do the carrying keep
  step. (See also  Hemorrhage.)
         FOREIGN BODIES.

  FOREIGN BODIES IN THE EYE—(Cin-
ders,  sand, dust, chips of metal or  stone,
broken eye-lashes, etc.).  Treatment: A free
flow  of  tears  generally  washes foreign 
150
body out.  Most  sure  way  is  to carefully
Inspect  the eyeball;  lay  a probe, match.
etc., along  the eyelid, from  the  root  of
the nose outward, evert the lid by seizing
the lashes (the patient must  look down-
wards),  when the conjunctival  surface will
be  exposed.   The  foreign  body  is  then
brushed  away  with a  eamel's-hair brush
or  a  pledget  of  cotton.   The  irritation
may be  relieved  by  instilling  a  drop  of
castor  or olive oil.   In removing broken
lashes,  the use of  forceps  may  be neces-
sary.  The magnet  has been used  for the
removal  of   metallic  substances.   (The
camel's-hair brush  may be dipped In the
following solution  before  using:  R—Aurl
chloridi,  gr. j;  Aqua, oz., j.)
  FOREIGN BODIES IN THE  EAR.—(In-
sects, beads,  seeds, corn, etc.)  Treatment:
In the  case  of insects, fill  the ear-canal
with warm oil, syringe with warm  water;
turn the patient on the  affected side, press-
ing at  the same time firmly  upon the ear.
Wax is to be  softened  by oil and removed
by syringing  with warm water; not picked
out.  To remove small  bodies,  syringe ear
gently  with  warm water twice  a day.
  FOREIGN BODIES IN  AIR-PASSAGES.
—As soon as possible a violent blow must
be administered on  the  back; if this  has
no  elTect,  invert  the  patient's  body by
assistants,  the  physician  striking between
the  should ?rs,  and  moving  the body  to
and  fro.   If  this fails,  and  suffocative
paroxysmr  occur  and continue,  tracheot-
omy or laryngotomy  must be  immediately
performed.
  FOREIGN BODIES IN THE OESOPHA-
GUS.—Treatment:  Try to extract by for-
ceps,  horsehair  probang.  Frequently  fish-
bones,  food,  etc.,  can be felt,  if  not too
far down, and removed by the introduction
of the finger or forceps, when  the  tongue
is depressed.  If the  particle of food,  etc..
is too  low down,  give large mouthfuls of
half-chewed bread, to be swallowed,  with
the hope of  carrying  the foreign body to
the stomach.   If  the body cannot be re-
moved by this means,  push  it  into the
stomach  with a probang.  Tracheotomy is
resorted  to when suffocation theatens, and
Is a last resource. 
151
        EFFECTS  OF HEAT.


  BURNS.—First Degree.—There  is  simple
erythema  (rubefaction),  with  slight  des-
quamation.   Such  action  is produced by
tincture of iodine, ammonia, mustard,  etc.,
when used as counter-irritants.  For slight
burns  of this  degree, treat  by applying
lead lotion (allays the burning); dust parts
with starch or flour, covering with cotton-
wool, or use bland unguents  (oxide of  zinc
ointment,  palm oil,  petrolatum  with  car-
bollo acid  added, etc.), as exposure  to the
atmosphere may  irritate;  alkaline  fluids,
such as  carron oil (equal parts  of linseed
oil  and limewater);  strong  solution of bi-
carbonate  of  soda (oz.  ss  in a  cupful  of
water), etc.  Damp earth is  a good remedy
when others are not at hand.  Second De-
gree.—This  constitutes vesication, the su-
perficial  layers of the epiderm  being de-
stroyed.   When applied for counter-irrita-
tion or  stimulating  properties,  ammonia,
acetic  acid, cantharides,  etc.,  produce this
action.   Scalds  are  treated   under  this
head.  Treatment: Care must be  taken not
to intensify  the congestion  of the injured
parts.  In all  these burns  the clothes must
be  removed  by using scissors  along  the
seams, and not pulling them off.  Prevent
exposure of burned surface as much as pos-
sible  during  the  examination.   Blisters
should only be  opened when they are dis-
tended,  to relieve   tension  and prevent
further congestive action beneath.   Then
allow  parts  to be   at  perfect  rest,  and
treat as for burns of the first  degree.   (Do
not use flour or starch here,  as they be-
come caked  and  irritate);  use  antiseptic
cotton  as a dressing.  A new cuticle forms
by the end of a week or so,  when suppura-
tion must  be looked  for, etc.   Third  De-
gree.—There is  destruction of the epiderm
and most of the true skin in  this degree,
which  is  the most  painful  form of burn.
Usually caused by the application of flame,
heated metals, boiling oil, etc.  Fourth  De-
gree.—Here the skin  and   subcutaneous
tissue  are  destroyed,  causing contractions
and scars.  Treatment of third and  fourth
degree  burns:  They  are treated like burns
of the  second degree if limited in  extent.
  Bovinine with aristol, eucalyptol or some
antiseptic  will  produce  healthy  granula-
tions in  a short time  in burns  of second 
                   152

and  third degrees. But must  be redressed
every day  if Bovinine is used
  The dressing  must be removed before they
become foul  (10 days); wash in bichloride
boI.  (1-5000); remove slough  and  re-dress,
etc.  In very large burns treat by bathing
parts;  remove  loose  skin;   spread  sud-
nitrate of  bismuth over surface;  layer  of
lint,  etc., as a protective,  and held by ad-
hesive strips; apply the  bismuth  twice a
day,   etc.  Fifth  Degree—Involves   deep
fascia  and  muscles.   Sixth  Degree.—The
part  is charred or destroyed.   Treatment:
After shock or collapse, amputation is the
only  treatment. Primary work consists in
protecting  the  parts,  etc.   In  extensive
burns  the  warm  bath  may be  employed.
For  vesicles,  dressings  of lint  moistened
with  carron  oil,  after  they  are opened.
The  pain of burns in the  first degree  may
be relieved by white lead  paint.

  CONSTITUTIONAL   TREATMENT   OF
SEVERE   BURNS.—External  heat   (hot
bath),  brandy, atropia  and morphia,  am-
monia  subcutaneously  for  shock;   draw
away urine; for inflammation and reaction,
saline  cathartics,  etc.;  dry  cups for  con-
gested kidneys;   also  hot  fomentations;
liquid  nourishment  (small  doses);  stimu-
lants; cracked  ice for thirst; tonics, etc.

  ACID BURNS.— Acids   like  nitric,  sul-
phurlo, hydrochloric, etc., ehould be treated
by washing parts with  a  strong  solution
of carbonate of sodium, etc.,  and proceed
as with  other  burns.   If  the  eyes  are
burned,  use  an  alkaline  solution  of  the
carbonate (gr.  x-oz. j of  water);  olive  or
castor oil being applied afterwards to  pro-
tect  conjunctiva;  stimulants and opium if
shock.

  SCALDS OF THE THROAT.—Symptoms:
Swelling  and redness of throat; swallowing
is difficult; hoarseness; fever, etc.  Treat-
ment:  If acids or alkalies  are the cause
of the injured throat, treat by giving mag-
nesia for  the  strong acids (chalk, baking-
soda, whiting,  etc.)  as  a mouth-wash, etc.
If soda,  ammonia,  potash,  etc.,  is  the
cause,  prescribe acids  (vinegar,  aromatic
sulphuric  acid,  lemon,  etc.),  diluted  and
followed  up  with white of  two  or  more
eggs in water,  milk, olive oil,  or mucilagi-
nous drinks (gruel, linseed tea,  etc.).  For
the  inflammation,  apply    leeches    over
larynx; blisters over upper part of chest, 
                    153

 etc., to relieve suffocation.  Calomel (gr. j)
 every hour; when suffocation is threatened,
 scarify the part;  laryngotomy  if all  else
 fail.

   LIGHTNING STROKE.—Shock,  force  of
 circulation reduced, weak pulse, breathing
 slow and  sighing.  Treat shock, etc.  Stimu-
 lants;  rest; warmth to body, etc.; friction
 to surface; treat burns like elsewhere.

   BURNS WITH LYE, ETC.—Vinegar, sue
 ceeded  by olive  oil,  etc.,  should  be  ap-
 plied.

   POWDER BURNS.—Nothing  better than
 dusting bicarbonate of sodium over burned
 surface; it allays the  pain,  etc.

         EFFECTS OF  COLD.

   Sudden  and  continued  cold  may  cause
 death  by  cerebral congestion  or  cerebral
 anaemia;  sudden heating  may  have  a bad
 effect by producing embolism.  Treatment:
 When the whole  surface has been affected,
 the depression  which follows must be cau-
 tiously treated; restore warmth by a warm
 bath, heated blankets,  etc.; stimulants (hot
 coffee or tea, etc.).
   CHILBLAIN. — Symptoms:  Congestion;
 swelling;   vesication;   itching;  burning.
 Treatment:  Friction  with  snow  or cold
 water,  to  restore  circulation;  nitrate  of
 silver sol.  (1  per cent.); to relieve intense
 itching use spirit of  camphor,  turpentine,
 tincture iodine,  etc.;  for  sloughing,  use
 resin cerate,  turpentine, etc., till granula-
 tion.

    R—Acidi sulphurosi,  dr.  iii
       Glycerini,  dr. j
       Aquae, dr.  j.
     M. Sig.  Apply to affected  part.
                             (Bartholow.)
    R—Acid, carbolici, dr. j
       Tinct. iodinii, dr.  ij
       Acidi tannic!, dr. ij
       Cerat. simplicis, oz. iv.
     M. Sig. Ointment.
                             (Bartholow.)

  FROSTBITE.—Symptoms:  Part is cold;
bloodless,  brittle  and  of a tallowy  white
color;  sensation   lost,  etc.   Treatment:
Treat patient in a room having a low tem-
perature if possible; rub parts  with  sncw
or  ice-water;    continued  cold  irrigation;
massage;  remove   to  a  warmer room   as 
154
soon as  reaction is fairly  established; if
mortification  sets in, keep up use of cold;
amputate when  line of demarcation  is es-
tablished.
SPRAINS.
  Sprains  may involve the  tendons,  mus-
cles, blood-vessels and nerves.   A  sprain-
fracture is where scales of bone to which
ligaments  are attached  are  torn  away.
The symptoms of sprain are  pain, swelling,
discoloration,  and loss of function.  Treat-
ment:  Allay  the pain  and  inflammation
by  rest of parts,  and evaporating  lotions,
such as  lead, arnica, opium, etc.  Immo-
bility is  the essential treatment.   Splints
and  slings  may   be  used  for   the  upper
Joints.  Pressure  bandages for from two to
four days; massage, cold applications, etc.

  SPRAINS OF  BACK.—Symptoms:  Stiff-
ness;  pain;  disability; may have apparent
paresis, and retention of faeces  and urine;
haematuria, etc.   Treatment:  Put  patient
In a  comfortable position;  rest;  leeches;
hot (moist)  applications;  counter-irritants;
massage;  if much pain  on  motion, apply
a plaster bandage, etc.

  SPRAINS OF WRIST AND FINGERS. -
Treatment:  Apply cold  and  moist cloths;
a straight splint should be applied to hand
and forearm, and secure with soft bandage
or  adhesive  plaster; keep  parts at  rest;
opium  for  pain,  etc.

  SPRAINS OF ANKLE.—Treatment:  Put
patient to bed; elevate joint on  pillows;
control acute inflammation by lotions, etc.;
If sprain  be slight,  patient  may use limb
after it has been  put up  in  an immovable
dressing  (starch,  silicate  or gypsum)  by
using  crutches;  adhesive plaster  may  be
used to fix the joint;  strapping  ankle; ap-
ply moist heat. 
155
DISEASES OF THE BLOOD-FORM-

            ING ORGANS.

           LEUCOCYTHEMIA.

  DEFINITION.—Increase in number of the
white  blood corpuscles, with a simultane-
ous diminution  of the number of red cor-
puscles.

  SYMPTOMS.— (Initiatory). Pain  leftside;
pallor  and debility; hemorrhage; sometimes
an  enlargement in  left   side   (enlarged
spleen); enlarged lymphatio glands.  Devel-
ooment is, insidious;  during  progress  of
disease the former symptoms are increased,
and  the following  develop:  Hemorrhages
usually from nose  and  intestines;  fever
(chiefly toward the termination); diarrhoea;
profuse perspiration; loss of appetite; some-
times  severe gastro-intestinal trouble; pal-
pitation;  dysphagia; small  abscesses; fre*
quent  micturition;  jaundice and  priapism
(?).  Examine blood and  spleen;  chemical
composition of blood is abnormal, and the
spleen and lymphatic  glands  are usually
enlarged.

  DIFFERENTIAL   DIAGNOSIS. — From
chlorosis,   anaemia  (benign), pseudo-leuoo-
cythemia,  haematophilia.

  TREATMENT.—Symptomatic:   Quinina,
Iron and ergotin  affect  the spleen,  and may
be administered  in pill form;  phosphorus
(gr. 1-50 to 1-30)  two or three times  a  day;
transfusion of blood; hypodermatics of er-
gotine or  ergot;  the ointment of biniodide
of mercury  (ung.   hydrarg. iodidi  rubri)
rubbed in  the   splenic  region before   a
bright  fire  has   given  good  results;  elec-
tricity.

           PRESCRIPTIONS.
(1) R—Ergotin, gr. xl.
      Glycerin., m  xxx.
    Mix carefully and add water to m cxx; gtt.
      xv-gr.  v of ergotin.
    Sig.  For hypodermatic use.

(2) R—Acidi arseniosi,  gr. J.
      Pilulae ferri  carbonatis,  dr. J.
      Quininae sulphatis, dr. J.
    Misce et divide in pllulas  xl.
    Sig.—Two pills t.  i. d.
                              —Da Costa. 
156
         ADDISON'S  DISEASE.

  DEFINITION.—A condition  characterized
by anaemia, great weakness and a peculiar
bronze-like discoloration of the skin.  Dis-
ease is also termed melasma suprarenale.

  SYMPTOMS.—Develop gradually. Increas-
ing debility; feeble  heart  action; anaemic
murmurs  in the  neck and  over base  of
heart;  syncope: least  exertion  causes pal-
pitation; epigastric pain; irritable stomach;
retching,  nausea  and  vomiting; constipa-
tion: gradual  bronzing of face, neck and
hands: skin in the groins,  axillae,  umbili-
cus,  nipples and  genitals affected; mucous
membrane  sometimes  discolored; death  by
gradual asthenia.

  DIFFERENTIAL   DIAGNOSIS. —From
Jaundice,  pityriasis versicolor,  cholasma,
staining  due to internal use  of nitrate of
silver,  etc.

  TREATMENT. — Unpromising.  Improve
general health, and relieve  the active symp-
toms, and pay attention to hygiene.  Plenty
of rest,  nutritious diet,  tonics (cod  liver
oil, iron, strychnlnia,  quinina, iodides  of
Iron and  manganese;  calcium  chloride,
phosphorous, etc.). For nausea and vomit-
ing,  minute doses  of Fowler's  solution,
hydrocyanic acid.

             MELANAEMIA.

  DEFINITION.—A  condition of the blood
In which small brownish or  black  masses
are present. It is a  complication  ot  na-
larlal fevers, etc.

  SYMPTOMS.- Headache  (on  account  of
the lodgment in the capillary vessels of the
brain  of granules  of pigmeut);  gray  or
grayish-brown  appearance  of the  skin and
mucous membranes; vertigo, delirium, stu-
por, etc., may result  from  the pigment in
the cerebral capillary vessels;  naematuria
or anuria  may exist from  a similar  lodg
ment in  the  kidneys  of pigment  matter,
diarrhoea,  ascites  and iDtestinal  hemor-
rhage from ditto In the liver.

  TREATMENT.—Check the  waste of red
globules with  iron,  quinina,   ergot,  digi-
talis; effect the solution  and  extrusion of
pigment by giving  sodium pyrophosphate, 
                    15?

 which  maintains  the  alkalinity  of   the
 blood, effects the hepatic secretion, etc.


            PRESCRIPTIONS.

 (3) R—Quininae  sulphatis, dr.  J.
      Ferri redacti, gr.  x.
      Ergotin, scr. j.
      Digitalis, gr. x.
     M-  Ft. in chart,  no. x.
     Sig.  One t. i. d., for checldng the waste of
      red corpuscles (?).

 (4) R—Sodii pyrophosphat, oz. j.
      Ferri pyrophotsphat., scr. j.
     M.  Sig. Dr. j  In sufficient water t.  I. d.
     Effects the  solution and discharge  of pig-
      ment.
                               —Bartholow.

             HAEMOPHILIA.

  DEFINITION.—A congenital hemorrhagic
 diathesis; persons so  affected  are termed
 "bleeders."

  SYMPTOMS.—The hemorrhages  are  ex-
 ternal or  interstitial; may be traumatic  or
 spontaneous.   Extreme   anaemia   results
 from the bleeding, which is  almost uncon-
 trolable;  death occurs in  syncope. Ecchy-
 moses and petechiae may occur; also hallu-
 cinations and  convulsions.

  DIFFERENTIAL  DIAGNOSIS.  — From
 purpura.

  TREATMENT.—Preventive,   such   as
 avoidance of Injury; residence In  a warm
 climate;  good food,  clothes,  etc.   Arrest
 hemorrhage by  cold  or pressure;  stop
 epistaxis  (which is the most common form
 of bleeding) by plugging the nares, and the
 application of ice; ergotin.  A dose of Ep-
 som  salts  when an  attack is  coming on  is
 of service in lowering the  blood-pressure;
 internal  haemostatics.

              SCORBUTUS.

  DEFINITION.—A  disease  of  nutrition,
attended  with a tendency to hemorrhages
and  bodily prostration, etc.

  SYMPTOMS.—Onset  very gradual.  Face
is sallow  (dirty  yellowish  hue);   eyelids
puffy;  anaemia;  emaciation;  languor:  de-
bility;  soreness and pains  in  the limbs; 
158
mental  depression; tendency to  syncope;
skin dry and rough;  gums  swollen and ex-
hale  a  peculiar  odor;  teeth  tender  and
loose;  breath  foul;  irregular  ecchymotio
spots or patches;  oedema of  feet and legs;
tinnitus; vertigo; occas'c r.al  delirium; un-
healthy ulcers  form in some  cases;  hemor-
rhages from mucous  surface; constipation;
sometimes temperature is sub-normal; urine
deficient and dark, etc.

  DIFFERENTIAL  1 HAGNOSIS. — From
purpura.

  TREATMENT.-Give antl-scorbutlo food
(fresh,  succulent,  soft  vegetables);  lime
water  or lemon  juice  (oz.  iv-viij)  daily;
beef tea; milk;  meat  as  soon  as  person
can  masticate;  splritus  frumenti  (oz.  j)
every four  hours;  then tonics (tinct. iron
and  quinina);  wash  out  mouth frequently
with  Condy's  fluid (concentrated  solution
of potassium permaganatls), or better, witH
Hydrozone  diluted with water in the pro-
portion  of  one to sK;  follow this  with
mild astringent (solution of alum); enemata
for constipation;  tinct.  chloride of iron  and
ergot or turpentine for hemorrhages; dress
ulcers  with hydrozone,  full  strength,  and
apply glycozone on absorbent lint.


            PRESCRIPTIONS.

(5) R—Acidi  hydrochloricl, »lr.  J.
      Mellis,
      Aquae rosae, aa oz. J.
     Misce et fiat  linctus.
     Sig. Apply  to affected  gums t. 1. d.
(6) It—Potass! nitratls,  gr. xx.
      Acidi  citrici,  dr. ss.
      Syr. aurantii cort., dr.  vj.
      Aquae destil.. w vj.
     M.  Sig.  Take the  sixth nart t. 1. d.
     PURPURA  IIAEMORRIIAOK'A.

  DEFINITION.  A disorder in which there
are subcutaneous extravasations  of blood
in various  forms; occasionally associated
with  similar  extravasations  in  the  solid
organs.

  SYMPTOMS.-Various forms of extrava-
sations in  the  skin; bleeding  from mucous
surfaces;  languor; debility; general pains;
pyrexia; anaemia; pulse feeble, quick  and
compressible; tendency to  syncope, etc. 
159
  DIFFERENTIAL DIAGNOSIS.-From ec-
chymosis,   scorbutus,   flea-bites,   tvphus
fever,  black measles, haemophila,  progres-
sive  pernicious  anaemia,  leucocythemia
cerebro-spinal  meningitis,  etc.
  TREATMENT.—Improvement of  hygiene;
nutritious  animal  and vegetable diet; alco-
holic  stimulants  in  moderation;  rest  in
bed;  give  saline  purgative  at commence-
ment  if  patient  is  plethoric.  (See  also
Classification  and Treatment of  Diseases
of  the Skin.)  Local  means  of  arresting
hemorrhage consist in subsulphate or iron,
tannin, etc.

            PRESCRIPTIONS.
(7) R^Strychninae sulphatis, gr.  ss.
      Quininae  sulphatis, scru. j.
      Ferri  sulphatis  exsic, scru. ij.
     M. Fiant pilulae  no. rx.
     Sig. One t.  1. d.
                                —Napheys. •
(8) R—Olel  terehlnthinae,  dr. iij.
      Extracti  digitalis  fluid,  dr. J.
      Mucilagln. acaciae, oz.,  ss.
      Aquae menthae  piperitae,  oz. J.
     Misce et fiat emulsio.
     Sig. Dr. i  every three hours. (Hemorrhagic
      form.)
                              —Bartholow.

        ANAEMIA—OLIGAEMIA.

  DEFINITION.—Want of  blood;   a  de-
ficiency of  the nutritive  constituents  (red
corpuscles and albumen) of the blood.

  SYMPTOMS.—Of the  acute:  Pallor  of
the skin and mucous membranes;  incapac-
ity for active exercise; heart impulse weak;
tendency to  convulsions; venous murmurs:
respiration  increased;  syncope;  sense  of
suffocation;  eyes  sunken; pulse increased;
temperature lowered; cold surface and  ex-
tremeties; thirst; nausea and vomiting,  con-
stipation, etc. Of the chronic:  General pale-
ness of skin; lassitude; cerulean eye; wast-
ting,  cardiac  force  and  circulation low-
ered;  digestion  bad;   diminished  sexual
power;    amenorrhea   or    menorrhagia;
oedema; neuralgias;  depression of spirits;
palpitation;  rapid  pulse,  etc.

  DIFFERENTIAL  DIAGNOSIS. — From
pernicious anaemia, leucocythemia, etc.

  TREATMENT.—For  the  acute:  Liquid
nourishment in small  quantities;  artificial
heat; hypodermatics  of brandy (dr. ss-j) or 
160
ether (m. xl); transfusion.  For the chronic:
Generous diet; stomachics; Burgundy wine;
wine of  cod-liver  oil  with  peptonate  of
Iron (Steam's);  beef  juice  and  milk;  in-
jection  of defibrinated blood; moderate  ex-
ercise, etc.
           PRESCRIPTIONS.


(9) R—Ferri lactatis,  gr.  i-lj.
      Aquae  destil.,  oz.  j.
     For  one inhalation.  Use  a fine  atomizer
      t.  i. d.  (Useful when  iron by  stomach  is
      Dot assimilated, etc.)
                               —Da Oosta.
(10) R—Ferrl pyrophosphate,  dr. j.
      Aquae bullientis, oz. ss.
     Misce  et adde:
      Extracta  gentianae fluid!, oz.  ss.
      Curocoae,  oz.  iss.
      Vinim,  q.  s. ad.,  oz.  iv.
     M.  Sig. Dr. j t. i. d.
                               —Da Costa.
(11) R—Ferrl lactatis, gr.  xij.
      Pepsinae  sacch.,  gr. xxxvj.
      Pulv. aromat.,  gr.  vj.
     M.  et ft.  chart, no.  xil.
     Sig.  One t.  i.  d., for child of two years.
                                  —Powell.
(12) R—Liq. potass,  arsenltis, m. xvj.
       Vini ferrl amar.,  oz.  Ij.
      M.  Sig.  Dr.  j In   water  t. I. d.,  after
       meals, for child of two  years.
                                  —Powell.
               CHLOROSIS.

  DEFINITION.—An anaemio condition  pe-
culiar to girls at the age of puberty.

  SYMPTOMS.— Unnatural  appetite;  dark
rings  under the eyes;  sometimes hysteria
and nymphomania;  neuralgias; morbid  ex-
uberance  or  depiession;  dyspepsia;   leu-
corrhoea;  blondes  are  pallid  and  waxy;
brunettes have  a muddy grayish  complex-
ion, mucous membranes  pale  and bloodless;
palpitation; lassitude; pulse  soft and full;
flushing of the  face, etc.  Venous hum in
the neck; amaemic bruit at base of heart.

  DIFFERENTIAL   DIAGNOSIS. — From
benign anaemia; leucocythemia, pernicious
anaemia.

  TREATMENT.—Preparations of iron; lac-
tophosphate of  lime;  arsenic;  strychnina;
generous diet; outdoor air; moderate exer-
cise;  massage, etc, 
                     161

            PRESCRIPTIONS.
 (13) R—Tincturae ferri chloridl, oz. j.
       Quininae  sulphatis,  gr. xx.
     M.  Sig. Gtt. xx  ter die, in  sweetened wa-
       ter, through a  tube.
                             —S. D.  Gross.
 (14) R—Ferri vini amarl (bitter), oz.  vii.
       Tinct. nuc. vomicae,  dr.  iv.
       Liq.  potass, arsenitis,  dr.  ij.
     M.  Sig. Dr. ii in a  wineglassful of water
       after meals.
                            —T. G-.  Thomas.
 (15) R—Ferri arsenat.,  gr. ii.
       Ext.  cinchonae, gr. xtl.
     M.  Ft.  In  pil. no. xii.
     Sig.  One after each meal.
                               —Bartholow.
 (16) R—Liq.  ferri diallzatl, oz. i.
     Sig.  Gtt. xx td.  ■
                               —Bartholow.

     THROMBOSIS  AND  EMBOLISM.

  DEFINITION.—Thrombosis is the forma-
 tion of  a clot of blood within the heart,
 artery, vein or capillary.   May  cause par-
 tial or complete obstruction.  Embolism is
 the plugging (partial or entire) of a blood
 vessel by a solid fragment, or embolus.

  SYMPTOMS.—Depend   on   situation  of
 thrombus or embolus, etc. Of thrombosis:
 Are slow in developing; oedema (painless);
 painful  when  near   nerves;   inflammatory
 swelling; hemorrhages; limited suppuration
 occasionally; gangrene.  Of embolism: Usu-
 ally sudden when   embolus lodges in  an
 artery of considerable size; sudden shock;
 unconsciousness (not always); hemiplegia;
 coma,  when cerebral arteries  are  affected;
 aphasia;  anaemic appearance;  temperature
 low in  artery  which is  obstructed;  gan-
 grene; abscesses (metastatic).  Sense of suf-
 focation  follows obstruction of pulmonary
 artery; loss of  vision, if the central artery
 of retina, .and  when the coronary arteriea
 are  involved,  pain  and  a feeling  of  im-
 pending  dissolution,  etc.

  TREATMENT.—Rest; liquid nourishment;
 stimulants  (?);  carbonate  of ammonia  (gr.
x) in a solution of the acetate (dr. ss) td.;
 sodium  phosphate   (dr.  i. td.);   digitalis;
belladonna  fomentations locally; then ton-
ics;  good diet;  change of air;  bowels open. 
lb-J
   DISEASES  OF  THE  HEART.

             PERICARDITIS.

  DEFINITION.—An  inflammation of  the
external serous  covering,  or  pericardium.
which may  be limited  to  the parietal  or
visceral  layer.

  SYMPTOMS.—First  stage:  Pain in prae-
cordial  region; increased respiration; pal-
pitation; force and frequency of heart in-
creased; expression anxious and  suffering;
tenderness  in  praecordial  re /ion;  oppres-
sion (secondary form).  Second stage (effu-
sion of  liquid):  Anxious couutenance; pain
and  soreness not  so  severe; sudden and
fatal syncope may  occur; feeble pulse (fre-
quent aDd  irregular);  frequency of respira-
tion increased; dyspnoea; orthopnoea may
be present;  oppression  in  the praecordial
region;  husky and  feeble voice; sometimes
aphonia; cough, dry and spasmodic;  cyano-
sis;  venous pulsation; headache;  vomiting;
insomnia; sometimes attacks of acute man-
la;  coma; chorea;  tetanic convulsions.

  DIFFERENTIAL   DIAGNOSIS. — From
endocarditis,  hydropericardlum,   pleurisy,
cardiac  hypertrophy;  pneumonia  and pleu-
rodynia.

  TREATMENT.—When the first  symptoms
are recognized, give quinina  sulphate (scr.
1), with morphine  (gr.  ss), cinchonism  to
be maintained for from  twenty-four to for-
ty hours; in the stage  with  effusion, give
carbonate  of ammonia  in  solution of  the
acetate  (gr.  v)  every two hours; in  the
initial stage, leaches  may  be applied  in
robust persons; anodyne fomentations; opi-
um to relieve pain; quinina as antipyretic.
In second  stage, paint  praecordial  region
with  iodine; fly-blisters; diuretics and  hy-
dragogue  cathartics cautiously;  nutrition;
alcoholics;  tonics;  infusion of digitalis oz.
ss)  every four hours,  if heart flags; keep
patient  quiet- not  permitted  to leave bed.
In the third stage, nutritious diet; tonics;
light outdoor exercise, etc.

            PRECRIPTIOXS.

(17) R—Extracti digitalis, gr. xv.
      Aquae petroselinae,  oz.  vi.
      Oxymel. sclllae,  dr. vi.
     M.  Sig. Dr. ii every  two hours. (Diuretic.)
                                 —Kraus. 
                      163

  (18) R—Olel terebinthinae, oz I,
        Vitelli  ovi,  no.  Ii.
        Aquae  mentu.  pip.,  oz. xx.
      M.  Rub  over  kidneys td. Flannel around
        the  loins.
                                    —Kraus.
  (19) —Infusi digitalis,  oz. lv.
        Potassii acetatis, dr. ii.
        Spiritus aether, nit., dr. 11.
        Aquae cassiae, oz. iss.
      M. Sig. Oz. ss every fourth hour,  (with peri-
        cardiac effusion).
                                  —Kilgour.
  (20) R—Extracti aconiti radicis, fluid, dr.  ss.
        Vini antimonii, oz. ss.
      M. Sig. Gtt x-xv td., where  there is great
        pain.
                                     —Rust.

 FATTY    DEGENERATION    OF   THE

                  HEART.

   DEFINITION.—A change in the  structure
 of the muscular  tissue  of the heart;  an
 accumulation of  adipose  tissue upon the
 surface of the organ,  and between  the mus-
 cular layers.

   SYMPTOMS.—Weakness  of   the  heart's
 action,  which is  persistent;  irregular, in-
 termittent,  infrequent  and  feeble  pulse,
 which  then  suddenly  becomes slow  and
 irregular;   faintness;  syncope;   Cheyne-
 Stokes   respiration;   praecordial  distress;
 palpitatioii; angina pectoris; exertion causes
 dyspnoea;  oedema  of the legs;  also of the
 body;  albuminuria;  ascites.

  DIFFERENTIAL   DIAGNOSIS. — From
 cardiac dilatation.

  TREATMENT.—Enrich  the   blood  with
 iron,  manganese  and  sulphate  of strych-
 nine, in combination; wine  of cod  liver oil,
 with  peponate of iron (Steam's); nutritious
 diet;  treat symptoms as they  occur;  good
hygiene, etc.

            PRESCRIPTIONS.

(21) R—Extracti cimicifugae fluidi.
      Syrupi acaciae, aa, oz. ss.
      Aquae amydalae amarae, oz.  iii.
    M.  Sig. Dr. i every three hours.
                                    —Ellis. 
164
HYPERTROPHY  AND  DILATATION OF
              THE HEART.

  DEFINITION.—An  increase  in  the  size
of the organ caused by  an  addition  to Its
substance or by dilatation  of  its cavities.
Forms:  Simple enlargement without altera-
tion  of  the  cavities;  concentric  hyper-
trophy, with thickness of  the walls;  eccen-
tric  hypertrophy,  with  thickness of walls
and  cavities enlarged.

   SYMPTOMS.—Hypertrophy:  Congestion
(brain and  pulmonary  circulation  especi-
ally);  exertion  aggravates  this;  vertigo;
headache, tinnitus aurium: palpitation with
dyspnea: cardiac action  irregular; hammer
pulse. Physical sighs:   Increased area of
visible  impulse;  area of cardiac  dulness
Increased  downward, to  the right or left;
apex-beat displaced; first  sound  at  apex
intensified,  prolonged  and  booming,  etc.
Dilatation:  Feeble  pulse;  apex-beat  ill-
defined;  pulse sometimes  dicrotic: area of
precordial dulness  increased:  visible area
of impulse increased:  venous  pulsation in
neck; asystolism;  neighboring  organs  dis-
placed.

  TREATMENT—Hypertrophy:    Tincture
aconite  (gtt.  i-ii)   td.;  saline  purgatives;
unstimulating diet;  no alcohols:  avoid ac-
tive  exercise,  etc.  Dilatation: Good  diet:
moderate exercise  outdoors: inhalations of
oxygen;   bitter tonics;  morphine (minute
doses) hypodermatically: digitalis; dry cup-
ping  along the spine for dyspnea: tincture
quebracho (dr.  i at  a time).

           PRESCRIPTIONS.

(22) R—Hoffman's anodyne.
       Sol. morph. (U. S. P.) aa oz. 1.
      M.  Sig. dr. i p. r.  n. for the dyspnea.

(23) R—Ext. quebracho, oz. ss.
       Aquae, oz.  i.
      M.  Sig. dr. i  every three hours for dysp-
       nea.

c^e r—Pulveris digitalis, gr. v.
       Extracti belladonnae.  gr. 1.
       Ferri  redacti, scr.  ii.
      M. For xx pills. Sig.  One td. (Dilatation).
                                —Da Costa.
    R—Tr. digitalis,  oz.  ss.
      Sig.  gtt.  x  td.   (In  cases  of  dropsy
       caused by dilatation).  (Dilatation).
                               —Da Costa. 
165
(26) R—Tincturae veratri vir., dr. iss.
       Tincturae aconiti rad., dr.  ss.
       Tincturae zingiberis,  dr.  v ss.
      M.  gtt. xv  td.  two hours  after  meals,
       in water.
                               —Da Costa.
(27) R—Asparagin,  gr.  x.
        Potassli bromidi,  dr.  ii.
       Sacch. alb.,  dr. iii.
      M.  S.  Ft.   in  pulv.   no.  x. Sig.  One
       powder  td.
                                —Matlack.
             ENDOCARDITIS.

  DEFINITION.—Inflammation  of the endo-
cardium.

  SYMPTOMS—Simple   form:    Obscure;
high temperature and chill may occur;  dis-
tress  and  pain  in  region  of  precordia;
heart's action quickened and increased in
frequency;  palpitation;, headache; pulse at
first full and excited, then  irregular  and
small:  temperature  may rise one or  two
degrees.  Symptoms  not  always marked, or
may be absent.  Ulcerative:  Symptoms ty-
phoid  or pyemic  in  character.  Great pros-
tration; chill and  fever.

  TREATMENT.—Simple: Same as for  per-
icarditis.    Ulcerative:    Supporting  and
symptomatic.  Ammonium benzoate or  sali-
cylic acid as antiseptics, etc.

            PRESCRIPTIONS.
(28) R—Pulveris  opii,   gr.   il.
       Hydrargyri  chlor. mit., gr.  xvi.
      M.  et ft.  chartulae  no.  viii. Sig.  One
       powder  td.
                                   —Budd.
(29) R—Tincturae veratri viridis. oz.  ss.
      Sig. Gtt. v to reduce  heart's  action.
                                  —Hazard.
  VALVULAR LESIONS  OF  THE
                 HEART.


  DEFINITION.—Alterations in the struc-
ture  of  the  valves  or  of  the  orifices,
which  render  the  former  incapable  of
closing  the  latter.  Varieties—Mitral   in-
sufficiency,  mitral  stenosis,  aortic  insuf-
ficiency,  aortic  stenosis,  tricuspid  insuf-
ficiency, tricuspid stenosis,  pulmonary  In-
sufficiency, pulmonary  stenosis. 
166
 MITRAL  INSUFFICIENCY   (REGURGI-
                TATION).

  PHYSICAL SIGNS.—Murmur heard with
 first sound, loudest at the apex, or a little
 to the left, diffused to the left on a level
 with  the  apex, etc.  Increased intensity of
 the second sound, above  the  third rib,  on
 the left side over the pulmonary  valves;
 pulse irregular  in volume, then  irregular
 In time;  it may  be  feeble, full,  compres-
 sible.

  MITRAL STENOSIS  (OBSTRUCTION).

  PHYSICAL SIGNS.—Prolonged  murmur
 (blubbering)  heard just before first sound,
 to the  right  or above the  apex;  presys-
 tolic  murmur not always  present; purring
 thrill over the apex; pulse feeble, regular;
 its  force  not increased by excitement.

 AORTIC   INSUFFICIENCY   (REGURGI-
                TATION). -

  PHYSICAL  SIGNS.  - Murmur  taking
 place of  second  sound,  or   following  it;
 heard at the junction of  the  sternum and
 fourth left costal  cartilage; pulse  receding,
 jerky  ("Corrigau pulse;"  "water hammer"
 pulse);  pulse is regular;  murmur can oc-
 casionally  be heard  at the  sides  of  the
 chest  and along the spinal column.

  AORTIC STENOSIS (OBSTRUCTION).

  PHYSICAL SIGNS.-Murmur  synchron-
 ous with  first sound, heard at  the  second
 sterno-costal  articulation on the right side-
 Is transmitted upward, and heard over the
 carotids; intensified second sound over the
 pulmonic   valves;  aortic  second  sound
 reeble or absent; small, compressible ierk-
 ing pulse.                          ' J

 TRICUSPID  INSUFFICIENCY  (REGURG-
               ITATION).

  PHYSICAL  SIGNS.-Murmur with  first

?K  rih  iheairt\ rv?1ely  heard  above  the
cf^L  "£'  lou,(lest  between the fourth and
sixth  ribs, along  the  left margin  of  the
S*m'-  etc;:  extensive   area  of  visible
cardiac  impulse;  a venous pulse  (jugular)
ponts  to  tricuspid  regurgitation;  tricus

&J,Vr&T occurs  often   *«*•" 
167
TRICUSPID  STENOSIS (OBSTRUCTION).

  PHYSICAL  SIGNS.—(Exceedingly  rare.)
A presystolic  murmur  (blubbering),  heard
before  the first  sound of  the  heart;  is
localized at the right border of the  heart.

PULMONARY    INSUFFICIENCY    (RE-
             GURGITATION).

  PHYSICAL SIGNS.—A diastolio murmur,
heard   with  greatest  intensity  over  the
pulmonic valves.  (Doubt  exists  as  to  its
occurrence.)

PULMONARY    STENOSIS    (OBSTRUC-
                  TION).

  PHYSICAL  SIGNS.—Murmur heard with
first  sound  of  heart  (systolic);   is  heard
loudest over  the second intercostal  space,
near  edge  of sternum; an  inorganic  pul-
monic  direct murmur  frequently  occurs.

  TREATMENT.*—Symptoms   are   rarely
produced  by  valvular lesions  until   en-
largement of the heart supervenes.  When
dilatation   predominates over  the   hyper-
trophy,  serious results as  a  rule  follow.
Before the development of cardiac  hyper-
trophy, precautionary measures are all  that
will be required; exercise,  sustain  nutri-
tion,  improve condition of blood, etc.

            PRESCRIPTIONS.

(30) R—Pulveris  scillae, gr. x.
        Pulveris ferri.
        Pulveris  digitalis  (English).
        Quininae sulphatis, aa  scr. j.
      Misce et fiant pilulae  no. xx.
      Sig.  One pill td.,  in mitral regurgitation
        with anaemia.
                               —Bartholow.
(31) R--Potass. acetat., dr. li.
        Tinct.  ferri acetat. ether., m. xlv.
        Syrupi iheaedos,  dr.  v.
        Aquam, ad. oz. vi.
      M. oz. ss. td.  (For the dropsy).
                               —Rosenstein.
(33) R—Potassii iodldl,  gr. xxx.
        Chloral hydratis,  dr. i.
        Gum  iulep,  oz. iv.
      M.  Sig.  As required, every  two  hours.
        (For cardiac dyspnoea).
______________________________—Prof.  See.
  *See Hypertrophy aod Dilatation of the Heart. 
                     1CS

(34) R—Zinci  sulphat., gr.  i  to  iii.
        Camphorae, gr. 1.
       Ext.  hyoscyami, gr.  ii.
      M.  Ft.  In pil.  Sig.  Take td., In mitral
       disease.
                                   —Barlow.
    PALPITATION OF  THE  HEART.

  DEFINITION.—A functional  disturbance
of the heart, in which the rapidity of move-
ment is  increased, with more  or less ir-
regularity of rhythm.

  SYMPTOMS.—Tumultuous and rapid beat-
ing of the heart; vertigo; faintness; flashes
of  light;  cold  sweating; pulse  full  and
Strong;  face pale  or  flushed;  face  ex-
pressive of  anxiety; speech  difficult  or ar-
rested.

  TREATMENT.—Prophylaxis;   tea,  coffee,
alcoholics  interdicted;  correct  errors of
digestion; hygiene; general health kept up;
for relief of the paroxysm,  give  morphine
hypodermatically;  nitrite of  amyl,   when
surface  is  pale;   inhalation  of ether; to
quiet  heart, apply cold  to precordial re-
gion;  chloral (if  no  cardiac disease),  for
quieting.
PRESCRIPTIONS.
(38) R—Pulveris  digitalis.
       Pulveris  ferri.
       Quininae  sulphatis,  aa dr. ss.
      Fiat  massa in pllulas xxx dlv.
      Sig.  One pill  td.  (In palpitation due  to
       anaenia  and chlorosis).
                                  —Gerhard.

(36) R—Potassii bromidi,  dr.  vss.
      ' Tinct.  digitalis, dr.  ii ss.
        Infusi cascarillae, oz.  iv.
      M. Sig.  dr.  ii td.
                                —Da  Oosta.

(37) R—Tinct.  digitalis, m. x  to  xx.
       Tinct.  calumbae.  dr. I.
       Aquae  camphorae, dr. x.
      M.  One dose, twice daily,  in nervous pal-
       pitation.
                                    -Paris.

(38) R—Amyl nitrit.. dr. 1.
      Sig.  Inhale gtt.  ii  to iii, for pale surface,
       etc.
I 
169
DISEASES OF THE PERITONEUM.

             PERITONITIS.

  DEFINITION.—Inflammation of the peri-
toneum.   May be acute  or  chronic, local
or general, primary or secondary.

  SYMPTOMS.—Chilis or rigor; fever, severe
local  or general pain;  tenderness on pres-
sure; rigidity  of abdominal muscles; tym-
panitis.  If from perforation,  intense pain;
pain  extends  over abdomen;  prostration.
There  is  intense  cutting  pains  in  all
forms;  breathing  short; . thighs  flexed on
pelvis;  shoulders  raised;  percussion  note
over  abdomen  is  tympanitic; tongue  red
and slightly furred; anorexia; constipation;  ■
paralysis of sphincter ani; strangury; vesi-
cal irritation;   urine  scanty  and high-col-
ored; hiccough; pulse small,  hard,  cordy;
pulse 160-200  and temperature sub-normal
when collapse  approaches; cyanosis;  face
pinched; voice husky; delirium, etc.

  DIFFERENTIAL   DIAGNOSIS. — From
myalgia of the abdominal muscles, hyster-
ia, cramp, colic, sporadic  cholera, enteral-
gia, enteritis,   neuralgic  affections  of ab-
domen,  passage of gall-stones, dermalgia of
the  abdominal integumept.

  TREATMENT.—For  pain, opium;  ten to
twenty  leeches  (in robust subjects),  over
the  abdomen; after  leeches,  ice-bag  to
abdomen;  when  abdomen   swells,   apply
warm  fomentations;  ;morphine  hypoder-
matically;  antipyretic  doses  of quinina;
liquid  diet;  when  effusion  occurs,   warm
applications; mustard plasters; fly-blisters;
iodine and oil  (gr. vii-x to the oz.),  stimu-
lants; carbonate of ammonium (gr. x in the
sol. of  the acetate), every four hours: tur-
pentine enemata for tympanitis; in peritoni-
tis  from  perforation,  rest,   opium,  ice,
avoidance  of  food and  drink;  aspiration.
For chronic  peritonitis,  the  treatment is
palliative  and symptomatic;  tonics;  hy-
giene.

           PRESCRIPTIONS.

(39) R—Tinct. opii.,  m.  xvi.
        Syr. zingiber, oz. i.
        Aquae q. s.  ad.  oz. ii.
      M. Sig.   dr.  i every two  hours for child
        of five  years.
                                 —Powell. 
170
(40) R—Ungt  hydiarg.
        Vaselini,  aa oz. ss.
      M. Sig.  Rub luto skin over abdomen night
       and morning, after the hot  applications
       are removed.                  _
                                   —Powell.

(41) R—Tinct. aconit. fob, dr. lv.
       Ext. veratri vlridl.,  dr.  j.
      M.  Sig.  gtt.  xii every two  hours where
       ODium  is  inadmissible.
                                     —Ellis.

(42)  t^Antimcnil et potass,  tartrat.,  gr. i.
        Tinct.  opii.,  dr. I.
        Aquae camphorae, oz. viii.
       M.  Sig.  oz.  ss  every  two hours.   (With
        nervous  excitement).
                                   —Graves.
                 ASCITES.

  DEFINITION.—A  collection   ofi  serous
fluid  within the peritoneal cavity.

  SYMPTOMS.—Onset  obscure.    Increased
fulness  of  the  abdomen;  umbilicus  pro-
trudes  if  effusion  is  great;  heart action
and  respiration embarrassed; urine dimin-
ished; constipation; impaired appetite; gen-
itals  and lower extremities edematous.

  TREATMENT.—Depends upon the cause.
"Dry diet," or  skiuimed  milk;  hydragogue
cathartics  (elaterium.  gr. Vi at short  in-
tervals; or comp.  jalap  powder, dr.  iii in
early morning); diuretics uncertain;  jabor-
andi; Turkish  or Russian baths; tapping;
tonics—quinina, Steam's  cod-liver oil  with
peptonate of iron;  iron, etc.


            PRESCRIPTIONS.

(43) R—Magnesiae sulpb., oz.  1.
        Ext. sennae  fluid.,  dr.  1.
      M. Sig.  Every other day, for ascites with
        general  dropsy.

(44) R—Elaterii, gr.  II.
        Bxt. gentiani,  gr. xx.
      M. Div.  in  pil.   No.  iv.  Sig.  One every
        four hours.
                                  —Napheys.

(45)  R—Oxmellis scillae,  oz. 1 ss>.
        Potassii bltart..  oz. ill.
       M.  Sis;,  oz-  ss  (as  diuretic)  in  various
        forms of dropsy.
                                    —Graves. 
                    171

(46) R— Strychnlnae  sulphatis, gr.  1-16.
       Ferrl citratis, gr.  iii.
      M. et. ft. pil. no. i.  Sig.  One td.  (Where
       diuretics do  not  act, this nerve  tonio
       will cause them to respond efficiently).
                             —N.  S. Davis.

,-■> R—Ferri et potass, tart., dr. Iss.
       Syr. scillae, oz. i.
       Potass,  acet.,  dr.  iss.
       Spts. aether, nit.,  oz. ss.
       Liq. amnion, acet., q. s.  ad. oz. iii.
      M.  Sig.  dr. i every three hours, for child
       of five years.
                                  —Powell.

    DISEASES  OF THE LIVER.
                JAUNDICE.

  DEFINITION.—A  yellowish discoloration
of the  skin and  several of  the  secretions
with  the coloring of the bile.   Varieties;
Obstructive (hepatogenous), non-obstructive
(haematogenou s).

  SYMPTOMS.—Conjunctiva  first affected;
urine   contains   bile-pigments  (Gmelln's
test);  skin  of  face  sallow  (fawn-color),
then  yellow;  color extends to  chest, arms,
abdomen,  lower limbs;  mucous  membrane
of mouth  stained;  bile-pigments  appear in
blood; red-corpusclss of blood diminished in
number;  urine acid in  reaction,  and  con-
tains quantities  of urates;  stools grayish
or slate-colored;  often  very  foetid; consti-
pation;   headache;   drowsiness;   appetite
poor; -nausea,  etc.  In   some  cases  mus-
cular soreness; pulse usually slow; itching
of skin; taste bitter; sometimes  the  vision
Is yellow (xanthelasma).

  TREATMENT.—Laxatives  and diuretics;
calomel;  Kissengen or  Vichy  water  with
meals.  The main  point  is  to  treat  the
several  conditions of  which  jaundice  may
be a symptom.*

            PRESCRIPTIONS.

(48) R—Ammon.  chlor., dr.  iss.
       Elix. simp.  oz.  iii.
      M. Sig.  dr.  1  in water td.  after meals.
       (For child of five  years.)
                                  —Powell.
(49) R—Sodll phosphatis,  oz. ss.
       Divide  in  partes  vi.  Sig.  One  befor*
       meals,  to be  continued for some  time.
  _____________________________—Bartholow.
  •See Catarrh of Bile-Ducts; Gail-Stones, etc. 
                    172

(50) R—Fellis bovini pur., dr. 1.
        Manganesii sulph. exslc, scr. ii.
        Resinae podophylli, gr. v.
       M.  et.  ft.  pil.  no.  xx.   Sig.  One  td.
       (Catarrhal jaundice.)
                               —Da  Costa.

(52) R—Sodii phosphates, oz.  iss.
       Sodii salicylat.,  dr. ill.
       Aquae destil., ad oz.  viii.
     M. Sig. oz. ss in  half-glass of water after
       meals.
         HEPATIC CONGESTION.

  DEFINITION.—An abnormal increase  in
the amount of blood in the organ.

  SYMPTOMS.—Begins  with  general  ma-
laise; aching in back and limbs; increased
temperature  at night;  headache;  coated,
yellowish tongue; anorexia; nausea;  uneasi-
ness, tension,  tenderness  over  hypochon-
drium;  slight jaundice; urine contains some
pigment, and urates; in severe cases, vomit-
ing of  bile, etc.;  gastro-intestinal  disturb-
ances;  hepatic dulness,   universally   en-
larged,  etc.

  DIFFERENTIAL DIAGNOSIS.—From ca-
tarrh of the bile-ducts with jaundice.

  TREATMENT.—In cases   due  to  pul-
monary  or cardiao  obstruction,  treat the
primary.  If  this  affection  is due  Jo cli-
matic or  malarial  causes,  prescribe a full
dose of  quinina (gr. xv-scr.  i) with mor-
phine  (gr.ss   Vt-%);  mild  saline laxative
(citrate of  magnesia or Saratoga waters);
lemonade;  diluents; fomentations;  turpen-
tine stupes: leeches to the anus; digitalis.
If due  to  errors of  diet,  liquors, etc.,  give
an  emetic,  laxative and  enjoin rest.  Diet
restricted to milk.
           PRESCRIPTIONS.

(53) R—Hydrarg.  Chlorld. mlt.,  gr. Iii.
       Pulveris  opii,  gr.  ii.
       Bismuth,  subnit.,  scr.  iiss.
     M. Ft.  in  pulv. no.  vi.  Sig.  One  every
       three hours.
                            —Win. Peppor.

(54) R— Quininae  sulph.,  scr.  ii.
       Ferrl  sulphat. exsic, scr. i.
       Acldl arsenlosl, gr.  1.
     M. Ft. in pil. no.  xx.  One td.
                               —Bartholow. 
173
      SCLEROSIS OF  THE  LIVER.

  DEFINITION.—An inflammation  of  the
liver with  an  increase of  the  interstitial
connective  tissue.

  SYMPTOMS.  — Development  insidious,
heaviness  and  dragging in  the  right side;
congestion, pain and  tenderness on  pres-
sure;  size  of liver  increased;  acute pain
and fever  due to local  peritonitis, jaundice
(?), gastro-intestinal  trouble; appetite bad;
nausea and  vomiting;  bowels  relaxed or
constipated; tympanitis; black tarry stools;
ascites;  oedema  of  feet,  ankles and  geni-
tals;  may  be hypertrophic sclerosis; spleen
enlarged  occasionally;  on  right  side  of
abdomen  the veins  are  visible;  haemate-
mesis;  melaena; gastric ulcers  (?); urine
scanty and high  colored; skin dry; emacia-
tion,  etc.

  DIFFERENTIAL   DIAGNOSIS. — From
fatty liver, waxy liver, pylephlebitis, can-
cer of the  liver, hydatid  cysts,  cancer or
tubercle of the  peritoneum.

  TREATMENT.—Arrest  progress of  dis-
ease;  avoid  alcoholics;   treat  dyspeptic
symptoms.* The  following  remedies  im-
prove the nutrition  of  the liver, especially
in  small  amounts:  silver,  gold,  arsenic,
copper,  mercury, phosphorous.  If irrita-
bility of the gastro-intestinal mucous mem-
brane,  give  Fowler's   solution  (gtt.   ii),
with   tinct.  opii  (gtt.  ii-v)  td.;  sodium
phosphate   (scr.  i-dr.  i)  td.;  bathe skin;
Improve the general  health.

            PRESCRIPTIONS.

(55) R—Acidi muriatici, oz.  iii.
       Acidi nitricl,  oz.  ii.
       Aquae, oz. v.
      M.  Sig.  (Nitro-muriatic  acid  bath).  To
       prepare, add oz. iii of above mixture to
       each gallon water. Improves the skin.
                              —It. Martin.

(56) R—Extracti taraxaci,  gr. xxxvl.
       Extracti aloes, gr. xii.
       Extracti aceticl colchici.
       Pulveris ipecacuanhae, aa gr. vl.
      M.  Ft.  in  pil.  no. xii. Sig.  Two pills
       every night.
                              —R. Martin.
*See  Dyspepsia, etc. 
174
      ABSCESS OF THE LIvEll.
  SYMPTOMS—(May be  masked.)  Chills,
pain in limbs  and back:  dry  skiu-  head-
ache; tongue  coated;  vomit ins:  of  bilious
matter; jaundice (?); bile pigment in urine;
heart action and arterial tension  increased;
feeling of constriction.  If pus  forms,  rig-
ors, fever,   sweats;  gastric  irritability;
prostration; wasting; diarrhea or dysentery
(?).  If abscess tends to enlarge,  the symp-
toms increase, etc.  Fluctuation can occa-
sionally be  felt, surrounded by  a ring of
inflammatory  induration.

  DIFFERENTIAL  DIAGNOSIS. — From
echinoccus of the  liver, dropsy of the gall-
bladder,  from  cancer,  abscess  of the ab-
dominal wall,  cancer of the  stomach, hy-
drothorax, fempyemia  etc.

  TREATMENT.—Quinina  (gr.  xx)  at in-
tervals; for pain, opium; turpentine stupes;
aspiration  for  pus,  free  incision,   etc.;
generous  diet,  alcoholic  stimulants,  bov-
lnine and supporting measures.


ACUTE  PARENCHYMATOUS  HEPATI-
                   TIS.

  DEFINITION.—An  inflammation  involv-
ing  the hepatic cells,  with characteristic
symptoms.  (Also called acute  yellow  atro-
phy  of the liver.)

  SYMPTOMS.—Gastro-intestinal  catarrh,
coated tongue, loss of appetite, nausea and
vomiting,  tenderness 'of  the epigastrium,
Blight  jaundice, slight  fever.  After these
mild  symptoms  have  lasted  a  week  or
more severer symptoms  appear; jaundice
decided,  pulse 140 (may  fall  suddenly to
78-80), insomnia,  headache, which is  in-
tense; fever irregular (may go up to 107),
temperature  may  remain  low,  tongue dry
and  brownish, gums ditto; sordes,  breath
bad,  nausea,  vomiting  (coffee  ground),
severe epigastric pain,  hepatic  tenderness,
Bpleen increases in size,  liver  diminishes,
constipation  is followed  by  tarry  stools,
ecchymosis,  urine changed,  noisy  deliri-
um,  etc.

  DIFFERENTIAL DIAGNOSIS. — From
yellow  fever,  puerperal fever,  gastro-duo-
denal catarrh. 
175
   TREATMENT.—Treat  symptoms,  chloral
 and  bromides  for  cerebral  disturbance;
 alcoholic  stimulants,  purgatives,  mineral
 acids.
            AMYLOID LIVER.

   DEFINITION.—A  degeneration  of  the
 organ,  caused by the  deposit of  an albu-
 menoid material.

   SYMPTOMS. — Symptomatology that  of
 the disease causing  the  trouble;  liver  en-
 larged; spleen  ditto; sometimes jaundice;
 appetite impaired; gastro-intestinal irrita-
 tion; liquid stools; urine pale,  low specific
gravity; anemia; pallor; shortness of breath;
 emaciation, ascites (?).

  TREATMENT.—Prophylaxis; Arrest caus-
 ative   suppuration   early;  antisyphilitio
 treatment  if syphilis is suspected; no mer-
 curials;  diet: eggs,  milk,  fish,  etc.;  hy-
 gienic influences.

     CARCINOMA OF THE LIVER.

  SYNONYM.—Cancer of  the liver.

  SYMPTOMS.—Usually  obscure,   disease
 fatal.   Flatulence;  constipation;  pain  in
 right  hypochondrium;  disorders  of diges-
tion; jaundice (?); ascites (?); hemorrhoids;
diarrhea (watery)  follows the constipation;
feet and hands  cold; weakness; sometimes
peritonitis;  skin harsh,  dry;   expression
worn;  complexion fawn-colored.

  DIFFERENTIAL  DIAGNOSIS.  — From
abscess,  ecchinococcus,  waxy liver,  fatty
liver, etc.

  TREATMENT.—Palliative,  symptomatio,
stimulants, diet, tapping (ascites).

    CATARRH OF THE  BILE-DUCTS.

  DEFINITION.—Inflammation of  the mu-
cous membrane  of the bile-ducts.

  SYMPTOMS.—Constipation; tongue coat-   *
ed; pain in right hypochondrium;  sense of
dragging;  anorexia;  nausea;  fever; head-
ache; malaise; jaundice;  surface cold  and
dry; heart  weak; pulse slow;  urine brown-
ish; stools  light-colored  and  pasty; flatu-
lence; itching of the  skin;  xanthopsia; en-
larged liver; tender  gall-bladder. 
17(i
   TREATMENT.-Calomel  (gr. 1-12 to  1-6)
  rubbed  with  sugar  every   three  hours;
  Saratoga.  Clysmic. or Carlsbad waters; ice
  water; phosphate of sodium  (dr. i  td.), in
  chronic cases; opium for pain; regulation of
  diet; counter-irritation,  etc.

           BILIARY CALCULUS.

   SYMPTOMS.-Pain  in  right  hypochon-
  drium; pain  radiates  to shoulders,  umbili-
  cus,  etc.;   nausea;  may be  chills;  fever;

  s  a, letens-b,,rnin"-  "»»«•»««»*:

   TREATMENT.-Morphine for  the  severe
  KL  Wam,  h,atha;    hot   fomentations;
  leeches,  prophylaxis;  diet  regulated;  no
  ™  J1QU,01'!:, ,ex.ercise:  Phosphate of  sodi-
  um  (dr.  I  td.) in  water  before  meals, it
 effects solution of calculi; Clysmic water
 etc™    formation of calculi;  chloroform,

             PRESCRIPTIONS.
 (57) R—Hydrat.  succinate  of  Iron,  oz. Iss
        Aquae  destil.,  oz.  viss.
       M.  Sig.  dr. i after  meals;  prevents for-
        mation  of calculi.
                                 —Buckler.
 (58)  R—Olei terbinthinae, dr.  Iij.
        Aetheris sulphuris,  dr.  ij.
      M.  Sig. dr. ss. morning and evening.
                                 —Durand.
 (69)  R— Chloroformi.  dr. uss,
        Alcoholis dil.  oz. Iiss.
        Syr.  acaciae,  oz.  viij.

      Mc F 'f'  Sma11 WiDe  glassful td- (Hepatlo

                                 —Bouchut.
(60) R—Ammonii  muriatis.
        Ext.  taraxaci,  aa oz. es.
        Aquae, oz. vj.
      M.  Sig. dr. ij td.
                                  —Rogers.

        SYPHILITIC HEPATITIS.

  SYMPTOMS.-Obscure  in  mild    cases
Jaundice;  ecchymosis;   temperature  subl
normal; ascites;  emaciation;   hemorrhage
from bowels and umbilicus;  enlarged  liver-
enlarged spleen.                 6     Bf|

  DIAGNOSIS-Early age; enlarged  liver-

syphmse;  aSCiteS;   hISt0IT   of  hereditary 
177
  TREATMENT.—Mercury;  tonics;  iodide
of potassium,  etc.
            PRESCRIPTIONS.

(61) R—Hydrarg.  cum cretae.
       Sacch.  lact.,  aa gr. xij.
      Ft. chart,  no. xij.
     M. S.   One  powder night and  morning.
                                  —Powell.
(62) R—Ungt. iodinl comp.,  dr.  ss.
        Vaseline,  dr.  iij.
      M. S.  Rub over  splenic region night and
       morning,  for  enlargement.

(63) R—Hydrarg.  bichlor., gr. 14  to y2.
       Potass, lodld.,  gr. xvj to xxxij.
       Sys.  sarsap. com.,  oz. ss.
       Aquae  q.  s.  ad.  oz.  ij.
      M. S.  dr.  j. night and morning.
                                  —Powell.
(64)R—Hydrarg. chlor. mlt.,  gr. j.
       Sacch.  lact.,  gr. vllj.
       Pulv. aromat.,  gr.   iv.
      M. Ft. chart, no. viii. S.  A powder  night
       and  morning.
                                  —Powell.

DISEASES  OF  THE  DIGESTIVE
                SYSTEM.

              STOMATITIS.

  DEFINITION.—An  inflammation  of  the
buccal mucous membrane.

  SYMPTOMS.—Simple  (catarrhal)  form:
Affected  parts   swollen;   small  bright-red
patches  on  inside of cheek,  or at  angles
of mouth;  surface dry, then  bathed in se-
cretions; patches coalesce; pain; soreness;
superficial   erosions  and  ulcerations;   bad
breath;  impaired  taste;   tongue  furred;
flatulence;  disordered bowels.    Follicular
form:  Mucous  follicles obstructed and en-
larged into little raised  spots,  which  are
red; small red-bordered ulcers result, when
the  follicles  burst;   soreness  of  parts.
Aphthous  form:    Whitish  or  yellowish-
white  spots  on  the  inside of  cheek   and
lips; also on the gums, tongue and fauces;
spots are vesicular; salivation; difficult de-
glutition, speech, etc., on account of pain;
offensive breath; rupture of vesicles.  Ul-
cerative form:  Commences on lower, gums;
gums bleed  readily,  and are swollen, move-
ment or irritation increases  pain; patches
of membraneous-looking  deposit; irregular
\ 
                    178

 ulcers are the result of separation of the
 patches; ulcers raised and shallow; glands
 usually  enlarged.  Parasitic  (thrush, mug-
 uet) form:  Pain  and soreness;  patches of
 diffused  redness,  may coalesce  or  extend;
 hot  and dry  mouth;  diminished  saliva.
 Gangrenous  form:  (Cancrum oris,  water
 canker,  noma)—Usually  on  the inside of
 the  left  cheek a  dark-violet spot appears,
 surmounted by a vesicle; bloody serum In
 vesicle;  tissue  softening; offensive  odor;
 erosion  of  the  jaws;  teeth loosen,  eto.
 Mercurial form:   Tumefied and  red gums;
 gums  bleed  readily;  salivation;   metallic
 taste;  along margins  of  teeth  are super-
 ficial grayish sloughs and ulcerations; teeth
 loosen and fall out; gangrene, etc.

  DIFFERENTIAL    DIAGNOSIS.—From
 diphtheria,  syphilitic  patches,  malignant
 ulcers.

  TREATMENT—Attention to diet  and hy-
 giene.  Simple  form:  Castor  oil;  rhubarb
 with magnesia; lime-water and  milk; pre-
 vent local irritation.  Wash out  the mouth
 frequently  with   one part  hydrozone  six
 parts of water,  and  administer glycozone
 Internally  after   each meal,  in  order  to
 subdue the  inflammatory  condition of  the
 stomach.    Follicular  form:  Wash  with
 potassium   chlorate   wash;   demulcent
 washes;  for  fetor,  liq. potassae  perman-
 ganatls (dr. ss  or  more to oz.  iv-vj  water);
 alum; nitrate of silver.  Aphthous and par-
 asitic forms:    Solution  of  quininae sul-
phate (gr. ij-x to oz. j water); boracic acid
 sol.  (gr.  j-v  to oz.  j water); sulphite  of
 soda sol. (dr.  j-oz.  j); water  and vinegar;
 salicylic  acid and quinina internally;  for
the  gastric  irritability,  carbolic  acid and
 bismuth; potassium  chlorate.  Ulcerative
form:  To cleanse  sores,  etc., apply pure
carbolic acid, nitrate of silver, or sulphate
of copper crystal; treat  cause of trouble;
potassium  chlorate,  etc.   Mercurial form:
Potassium  iodide  (no mercury);  weak sol.
of tr.  myrrh  and   water,  or  potassium
 chlorate. Gangrenous form: Fresh air; sup-
porting treatment; stimulants; full doses of
quinina;  belladonna, early; destroy slough-
ing  tissue by  chromic acid, Vienna paste,
chloride  of zinc,  etc.;  artiseptic  mouth-
washes;  poultices;  liq.  potassae  perman-
ganatis (dr. j-oz.  v water) locally. 
179
              PRESCRIPTIONS.

 (65) R—Sodii  bitartrat.,  dr.  ij.
         Myrrh,  pulv., dr. j.
        Aquae,  oz.   vj.
       M.  S.   Mouth-wash or gargle  in  aphthae,
 (66) R—Tr. myrrh, dr. ss.
        Aquae,  oz.  ij.
       M.  S.  Mouth-wash in thrush,  muguet.
 (67) R—Alum  or powd.  myrrh, dr.  j.
        Aquae,  oz. vj.
       M.  S.  Dissolve or macerate  and add of
         brandy  two oz.  For the mouth in saliva-
         tion.
 <63) R—Burnt  alum.
        Powd.  sugar, starch,   or   gum-arabic,
          equal  parts.
       M.   S.  Apply   to  ulcerated  patches  in
        aphthae.
                                    —Carpenter.
 (69) R—Liq. plumbi subacet.,  dr.  j.
        Aquae,  oz. viij.
       M.   S.  Wash  mouth  every  two  hours in
        n ercuiial  stomatitis.
                                  S. D.  Gross.
 (73) R—Potass,  chlorat.,  gr.  x.
        Listerine,  dr.  ij.
        Aquae q.  s.  ad.  oz.   j.
       M.   S.   Mouth-wash  for  children In  the
        catarrhal  form.
                                      —Powell.
 (71) R—Potass, chlorat., gr. xlviij.
        Acid,  muriat. dil., dr. i.
        Sj rupi,  oz.  ss.
        Aquae q.  s.  ad.  oz.  iij.
       M.  S.  dr. j diluted every  two hours for
        child of three years,
                                        —Starr.
 (72) R—Potass, ohlorat.,  gr. lxxx.
        Acid,  carbol.,  gr. ij.
        Glycerinae,  oz.   j.
        Aquae q.  s.  ad. oz.  viij.
       M.   S.  Apply to  ulcers  twice  daily,  and
        use as a  mouth-wash  in  rlcerative  sto-
        matitis.
                                        —Starr.
 (73j R—Hydrarg. bichlor.,  gr.  J.
        Potassil  iodidl,   dr.  1.
        Syr. ferrl  pyrophosphate  oz. lv.
       M.  S.  dr. %  to Vi td.  in syphilitic  form.
        (For   infants).
                             —J. E. Garretson.
(74) R—Sodii  salicylat.
        Sodii  horat.,  aa  gr.  x.
        Acid,  carbol.,  gr.  j.
        Glycerinae, dr. Ij.
        Aquae rosae,  q.  s. ad.  oz.  j.
       M.  S.  Locally,  for  children In  thrush.
                                        —Starr. 
180
               GLOSSITISi

  DEFINITION.—An inflammation  of the
tongue.

  SYMPTOMS.—Superficial variety:  Affects
mucous membrane.   Redness; swelling; des-
quamation  on  dorsum  and  margins of
tongue;  taste  impaired,  sometimes  lost;
saliva increased; pain.  Papilliform variety:
Limited to large basal papillae; papillae en-
larged and hyperemic;  smarting  and heat
on   eating.  Deep-seated  variety:  Affects
body of tongue, which is furred;  mucous
membrane disintegrates  and becomes de-
tached; interstitial  exudation and  Infiltra-
tion; patches of suppuration; tongue en-
larged  (endangers   life);  mastication  dif-
ficult; voice  muffled;  face  cyanosed  and
puffy; tteth-marks  on tongue; fever;  rest-
lessness;  anxiety;   delirium; low  mutter-
Ings.

  TREATMENT.—Superficial  variety:   At-
tention to diet; clean  parts with  sodium
biborate  or   potassium  chlorate.  Papilli-
form variety:  Remove  cause; treat  local
applications,   etc.     Deep-seated variety:
Leeches at angle of jaw; free scarification;
fomentations;  hot-water  to be  held  in
mouth; ice;  sometimes  necessary to  feed
through a flexible tube;  supporting  alimen-
tation;  alcoholics  for depression; quinina
sulphat (gr. xv-xx) at onset; morphine; in
threatened asphyxia, deep incisions; trach-
eotomy in extreme cases.  "Wash the tongue
with hydrozone one  part, water four parts,
In addition to internal treatment.

    RETRO-PIIARYNGEAL  ABSCESS.

  DEFINITION.-An accumulation  of  pus
in the sub-mucous  connective tissue  pos-
terior to the pharyngeal wall.

  SYMPTOMS.—Abscess very acute In Its
course.  Chill  and high  fever; restlessness;
insomnia;  difficulty of  swallowing   and
breathing;  convulsions   in infants; dysp-
noea; neck swollen; fluctuation under an-
gle  of jaw; swelling occupies middle of the
pharnyx pressing the uvula  and  soft  pal-
ate  forward,  etc.

  TREATMENT. -Evacuate the pus early.
When  the  abscess   has  been opened,  pus
should  be destroyed  by   spraying   the 
181
pharynx with a mixture of hydrozone  one
part,  water three parts; tonic, stimulants;
nutritious  food.  Make light  pressure on
the tumor every now and  then,  to  assist
in the evacuation of  the pus.
            OESOPHAGITIS.

  DEFINITION.—Inflammation    of    the
esophagus.

  SYMPTOMS.—Pain  in  swallowing;  re-
gurgitation  of food;  glairy,  tenacious mu-
cous rises in  the pharynx; thirst; fever.

  DIFFERENTIAL    DIAGNOSIS.—From
chronic and follicular catarrh.

  TREATMENT—That of the correspond-
ing affections of  the mucous membrane of
the mouth.  Liquid (mucilaginous) diet; ice
to suck; nutrient enemata;  fomentations;
opium  for pain; saline laxatives.  One tum-
blerful of ozonized wrater administered  as.
a drink  three times  every day  will keep
the  esophagus  in   a  healthy  condition.
One  teaspoonful  of  glycozone after each,
meal will accomplish a cure.
STENOSIS OF THE  OESOPHAGUS.
  DEFINITION.—A   narrowing  of   the
esophagus, which may be spasmodic.   Con-
genital  or acquired.

  SYMPTOMS.—Dysphagia;   regurgitation;
spasm of glottis;  peculiar cough; dyspnea.
(sudden);  toneless  voice;  thirst; hunger; •
emaciation; delirium (final).

  TREATMENT.—Depends on cause.
DILATATION OF  THE  OESOPHAGUS.

  DEFINITION.—An enlargement  of  the
esophagus,  either  uniform or  in  sac-like
pockets.

  SYMPTOMS.—Dysphagia;  regurgitation;
vomiting;  emaciation;  hunger;  thirst;  a
bulging below  the  cricoid cartilage,  etc.

  TREATMENT.—Depends on cause, which
treat; attention to  diet;  liquid food; nutri-
ent enemata, etc. 
                    182

          ACUTE  GASTRITIS.

  DEFINITION.—An a^ute inflammation Of
the  mucous  membrane  of  the  stomach.
(The duodenum is frequently involved).

  SYMPTOMS.—Impaired   appetite;   food
disgusts  patient;  restlessness  at  night;
headache (supra-orbital); vertigo; chills or'
rigors; epigastric  pain  or oppression; anor-
exia;  dysphagia (?); aphonia; thirst; crav-
ing for  acid  drinks;  distressing  nausea;
persistent  vomiting;  tougue  red,  small
and  irritable;  bad  taste;   foul  breath;
fetid   eructations;  prostration;  collapse;
hiccough, diarrhea or constipation; jaun-
dice when duodenitis co-exists. In infants
the attack  follows a  change of diet; in
older  children,  it comes on  after an  indl-
 festible  meal.  The fever ranges from  100-
 02 F.,  in  children;  tongue coated  with
yellowish-white fur; pulse 110-120.

  DIFFERENTIAL DIAGNOSIS.—From re-
mittent  fever,  typhoid fever  (in their  first
week),  the  vertigo from  that of cerebral
hyperemia.

  TREATMENT—Abstinence  and  quiet.
Nutrient  enemata,  especially  of Borinne
(grave cases);  if due  to  irritants in  stom-
ach,  free emesis;  large draughts  of warm
water, ipecac, mustard,  etc.; Vichy,  Con-
gress  waters; saline laxative; opium hypo-
dermatically,   milk  and  lime-water  for
vomiting; brandy  (small  doses) for pros-
tration:  champagne;  glycozone  (dr.  j to
glassful  of  water); poultices;  counter-irri-
tants  over abdomen, etc.
PRESCRIPTIONS.
(75) R—Acid, hydrocyan. dil.  dr. j.
       Aquae laurocsrasi, oz.  Ij.
      M. S.  dr. j  every two or three hours.
                              —Bartholow.

(76) R— Liq. calcis.
        Aq. clnnam.,  aa oz.  Iss.
     S. Dr. J  td.,  dissolve  in water  fifteen
       minutes.
                                  —Starr.

(77) R—Argenti nltrat., gr.  v.
       Pulv. opii, gr.  llss.
     M.  Ft.  in pil. no.  xx.
     S. One td.
                             —Hartshorns. 
183
(78) R—Ext.  hyoscyam., scr ij.
       Argent,  nitrat., gr. vj.
       Bismuth, subnit.,  gr.   xxx.
      M.  Div.  in  pil. xxxix.  S. One morning
       and evening.
                                  —Millet.
CHRONIC  GASTRITIS.
  SYMPTOMS.—Dyspepsia;  epigastric neu-
ralgic pains;  painful  distention  after  eat-
ing; pyrosis; eructations; palpitation; heart
displaced  by distended  stomach;  pulse  in-
termittent;  second  heart-sound   accentua-
ted;  vomiting;  offensive;  appetite dimin-
ished ;certain foods excite disgust;  increased
flow  of  saliva;  tongue pointed and red  at
tip and  edges; follicular pharyngitis; jaun-
dice; constipation or diarrhea; emaciation;
melancholia, etc.

  DIFFERENTIAL  DIAGNOSIS. — From
gastric  ulcer, dyspepsia,  cancer  of stom-
ach.

  TREATMENT.—Treat   cause;   regulate
diet,  avoid  starchy,  saccharine  or fatty
food;  empty  stomach;  skim  milk  (oz.   iv
every three  hours day  and  night);  seidlitz
powder; Saratoga, Friedrichshalle waters;
counter-irritation; Fowler's  solution  (gtt.
i-ij  td.) before  meals;  mineral  acids   to
correct acidity; alkalies  for acid deficiency;
charcoal for eructations;  tr. nuc. vomica;
one  tumblerful  of  ozonized water, made
of one ounce of  hydrozone, two  quarts  of
water, administered  as a drink three times
a day; glycozone, two  teaspoonfuls before
each  meal.
PRESCRIPTIONS.
(79) R—Infus. rhei, oz.  ss.
       Tr. gentian.,  m. xxx.
       Sod. bicarb., gr. x.
       Spirit, chloroform.,  m. x.
       Aq. menth. pip., ad oz. j.
      M.  S.  To be take.i before meals.  (Chronlo
       form with flatulence).
                               —Carpenter.

(80) R—Bismuth,  subnit.,  gr. x-xxx.
       Sod. bicarb., gr. x.
      M.   Ft.  in  pulv.  no.  I. S. For acidity ^
       after  meals.
                               - Da Costa. 
184
(81) R—Ol. succln. rcctuV..  oz. ss.
       Mist, acaclae.  oz. iiss.
      M. S.  dr. J td. after  meals.  (With py-
       rosis).
                              —Da Costa.
(82) R—Tr. veratri vir., ga. xv.
       Liq.  morph.  sulphat.  (Magendies),  gtt.
        xxv.
       Acid, c-arbollci, gtt. iv.
       Aq. menth. pip., oz. j.
      M.  S. dr. j  every three  hours.  (Acute
       gastritis).
                           —J. M.  White.
           TOXIC GASTRITIS.

  DEFINITION.—An  acute  inflammation
of  the  stomach due  to the  ingestion  of
irritant and corrosive poisons.

  SYMPTOMS.—Sudden  nausea; uncontroll-
able vomiting,  shreds of mucous membrane
are  thrown  up; intense burning pain  in
stomach;   purging;  anxiety;  depression:
pulse weak  fcnd rapid; respintion slow and
shallow; skin  cold and  bathed  in clammy
sweat;  features retracted;  thirst; burning
pain in esophagus,  and fauces, etc.

  TREATMENT.-Encourage  vomiting;  de-
mulcent drinks, lime  water,  soda,  soap,
etc.  When  the toxic has  been evacuated
or  neutralized, local  inflammation of  the
stomach  will  be  promptly  relieved   by
the  use of  glycozone,  if  trouble is due
to  an acid; if due to a caustic, vinegar,
dilute acetic acid, etc.; if due  to arsenic,
give  dialized  or  hydrated  sesquioxide  of
iron; for antimony,  the vegetable astrin*
gents,  green  tea.  etc.;  for  phosphorus,
magnesia,   turpentine,   etc.;  for  carbolic
acid, saccharated  lime;  to  evacuate and
irrigate the stomach, use  stomach  pump;
morphine,  for  pair and  collapse; ice;  ice
bag to  epigastrium;  cold  milk as  food;
nutrient injections of  defibrinated blood,
etc.

         ATONIC DYSPEPSIA.

  DEFINITION.—A  form  of   indigestion
due to  a depressed condition  of the  stom-
ach.

  SYMPTOMS.-Sense of  weight  and  dis-
tress during process of digestion; obstruc- 
                     185

ted sort  of feeling behind the sternum or
higher up in  the  esophagus;  eructations;
pyrosis;   dyspnea;  flatulent colic;  intes-
tinal disturbance; constipation; poor appe-
tite;  slight  thirst;  tongue pale, flabby  and
enlarged; teeth marks on  tongue;  mucous
membrane of mouth pale; tonsils  enlarged;
voice  husky;  depression; pulse weak, com-
pressible; distended abdomen, etc.

  DIFFERENTIAL  DIAGNOSIS. — From
chronic  catarrh  (gastric).

  TREATMENT—Milk cure; regulate diet;
food  in  small  amounts; pepsin  and  bis-
muth: pills of carbonate of  iron; Steam's
cod  liver oil, with peptonate of  iron;  bit-
ters:  arsenic  (small  doses); acid wine at
dinner;   for  the  depression a change of
scene is  often required. Glycozone after
each  meal will aid materially.
            PRESCRIPTIONS.

(83) R— Sod. bicarb., dr.  iij.
       Ac.  hydrochlor. dil., gtt. xlvilj.
       Tr.  valerian.,  oz.  j.
       Syr. zingerber., oz. ij.
      M.   S. dr.  j td.  in  water.   (Torpor of
       digestion with nervous trouble).
                                 —Carpenter.

(84) R— Sodii bisulphitis,  oz.  j.
      S.  gtt. xv-dr. j td., dissolved in water.
       (Antifermentative).
                                 —Carpenter.

(85) R—Liq. bismuth, et  amnion, citrat., oz. j.
       Infus. quassiae, oz. viij.
      M. S.  Oz.  j  td.   (In pyrosis with pain).
                                 —Carpenter.

(86) R—Bismuth,  subnit., dr.  iss.
       Pepsinae, dr.  iss.
       Strych. sulph., gr. j.
       Tr.  cardam.  co.,  q. s. ad.  oz.  lv.
      M.  S. dr. j td., in  water.  (Hepatic dis-
       turbance).

(87) R—Sodii sulphltis,  dr.  j.
       Tr.  nuc.  voin.,  dr. v.
       Aquae, oz.  iv.
      M.  S.  dr. j td., after  meals.   (Dyspepsia
       with flatulence).
                              I.  Burney Yeo.

(88) R—Anmon.  sesquicarb., dr.  J.
       Potass, bicarb., dr. iss.
       Inf. chirettae,  ad  oz. vj.
      M.  oz.  ss td.  (For loss of appetite).
                             —M.  Charterls.  N 
                    186

(89) R—Pulv. rhei,  dr. J.
       Sod.  bicarb.,  dr. Iss.
       01. menth. vir., gtt. lv.
       Aquae,  oz.  lv.
      M.  S.  oz.  ss,  before  meals.  (For  the
       constipation).

(90) R—Argenti nitratls,  gr. ss.
       Ext.  hyoscyami, gr.  lj-lv.
      M.  Et ft. pil. no. 1.  S. One every night.
       In obstinate cases with hypochondriasis).

(91) R—Pulv. capsici,  gr. lias.
       Pil. rhei  co.,  gr. v.
       Pulv. ipecac, rad., gr. ss.
      M.  Et ft.  pil.   no. ij.  S. One  dally be-
       fore  dinner.  (Atonic dyspepsia of hard
       drinkers).
GASTRALGIA.
  DEFINITION—A  painful  condition  of
the stomach without fever.

  SYMPTOMS.—Severe  paroxysmal epigas-
tric  pain. This pain  radiates  downward,
upward, and backward; pressure diminishes
pain; dyspeptic symptoms; prostration  (se-
vere  cases);  pulse   small,  intermittent,
rapid;  cold  surface and sweat;  disturbed
heart action; eructation of gas; sometimes
vomiting; a marked feature is the intensity
of pain;  etc.

  DIFFERENTIAL    DIAGNOSIS.—From
gastritis, myalgia  of  abdominal  muscles,
intercostal neuralgia,  hepatalgia, neuralgia
of the solar plexus, ulcer of the stomach,
cancer.

  TREATMENT.—Morphine  during  parox-
ysm;  alcoholic  stimulants; glycozone;  bis-
muth   (scr.  j-dr.  j td.);  Fowler's solution
(gtt. j) and opium (gtt. ij of tr.); sinapisms;
fomentations;  embrocations;  oxide  or ni-
trate  of silver  (between  attacks); quinina
or  salicylic  acid  (intermittent form); if
pain  is due to  indigestible  food,   warm
water to induce vomiting (apomorphine hy-
podermatically);   irrigation;    supporting
remedies; lactate of iron;  Steam's wine of
cod-liver  oil and peptonate of  Iron;  min-
eral  acids with tr. nux  vomica; Fowler's
sol. (long  continued);  regulate  diet;  milk
cure at first; etc. 
                    187

            PRESCRIPTIONS.

(92) R—Atropinae sulph.,  gr. j.
       Zinci  sulphat.,  oz.  ss.
       Aquae  destil., oz.  j.
      M.  S. gtt.  iil-v td.  (Also  for the pain
       of gastric  ulcer).
                              —Bartholow,
(93) R—Argenti oxidi, gr. v.
       Ext.  hyoscyami,  gr. v.
     M.  ft.  pil.  no.  x. S.   One  td.  before
       meals.
                              —Bartholow.
ULCER OF THE STOMACH.
  DEFINITION.—A  solution of  the  con-
tinuity of  the mucous membrane  of  the
stomach,  or all of the coats.  A sharply-de-
fined margin  surrounds the  ulcer.

  SYMPTOMS.—None  in very acute cases.
Disease usually chronic. Boring and gnaw-
ing pain; pain increased by food; tender-
ness  on  pressure;   irregular  attacks  of
gastralgia;  indigestion; vomiting; gastritis;
impaired  nutrition; constipaton (obstinate);
vomiting  of  blood,  etc.  Prostration  fol-
lows perforation; peritonitis; death  within
two or three  days.

  DIFFERENTIAL  DIAGNOSIS.  — Ane-
mia, perforation,  tuberculosis,  etc.

  TREATMENT.—Alleviate  the  symptoms
(ozonized water  between  meals,  two tea-
spoonfuls of glycozone before meals); nour-
ish patient; milk diet $oz.  iv every three
hours with lime-water); bovinine (gtt. xxv
in milk every  four hours); rectal alimenta-
tion;  Fowler's solution (gtt.j td.);  glyco-
zone; bismuth  (gr. xv); opium for pain (see
also prescription  No.  92  and  93);  treat
hemorrhage by recumbency,  absolute rest,
Ice to epigastrium,  ice to  swallow, solu-
tion perchloride  of  iron,  ergotin  (subcu-
taneously),  fl.  ext.  ergot  (dr.  j), etc.; if
perforation  take  place, absolute  rest  for
stomach,  morphine hypodermatically.

            PRESCRIPTIONS.

(94) R—Acid, gallic,  dr.  j.
     Div. In pil.  no.  xij. S.  One every hour
       at first,  etc.  (For hemorrhage).
                               —Carpenter. 
188
(95) R—Ergotin,  1  part,
       Aquae,  10  parts.
       M. S. gtt.  xv,  hypodermntlonlly  several
       times  a day.  (Hemorrhage).

(96) R—Argent, nitrat., gr.  v.
       Opii, gr.  Iiss.
      M. et  dlv. In  pil. no.  xx.  S.  One td.
       (Relieves  pain  and  promotes  cicatrlza-
       zatlon).
                                —Carpenter.

(97) R—Bismuth, subnit.,
       Magnes.  carb., aa gr. xv.
       Liq. rnorph.  hydrochlorat., m.  xv.
       Aquae ad oz.  j.
      M. S. To relieve  pain, irritability.  Keeps
       bowels  regular.
                                —Carpenter.

<98) R—Creasoti, m. lv.
       Aquae destil., oz.  vj.
       M. S. oz. ss. doses,  in ch. g:istric ulcer.
                                 —Niemeyer.

<99) R—Potass,  iodid.,  gr. j.
       Potass,  bicarb.,  gr.  xv.
       Tr.  aurantii,  dr. ss.
         Inf. caluinbae,  dr.  viiss.
      M.  S. For one  dose an hour after eating.
       (Flatulent dyspepsia of gastric  ulcer.)
                              —W.  Brinton.

(100) R—rotass.  iodid.,  dr.  J.
        Tr. cincbon.,  oz. J.
       M. S. gtt. x-xx  several times a  day to
        check the vomiting.
                                   —Leber t.
    CARCINOMA OF THE STOMACH.

  DEFINITION.—Cancer  of  the  stomach.
Varieties:  Simple   scirrhus   or   fibroid);
epithelioma (gelatinous) or colloid form.  It
takes  place  in  about  GO per  cent, of  the
cases  at the pylorus;   in  20 per  cent, at
the  lesser  curvature;   in 10  per  cent,  at
the  cardla.   Majority of  cases  occur  at
the  age  of 50

  SYMPTOMS.—May  be  ah/ent.   Dyspep-
sia;  epigastric pain;   regurgitation of  an
acrid,  acid liquid;  poor  appetite;  vomit-
ing  (most  frequent when  pylorus is  the
seat of  disease);  vomit consists at first of
glairy  mucus   in   the  morning,   then  of
food, mucus, and in advanced cases, brown-
ish-black  masses  of  decomposed   blood;
hematemesls;    salivation;    tongue   red
at  tip and pointed;   cancerous cachexia;
feeble   heart;    small,   weak,   and   rapid 
                     189

 pulse;  fatigue;   skin  dry   and   harsh
 thin);  edema  of  ankles;  palpation  may
 detect a  tumor;  cervical glands  enlarged;
 pain  in  epigastric  region  increased  on
 pressure  and food (burning or lancinating).

   DIFFERENTIAL    DIAGNOSIS.—From
 chronic gastritis, chronic gastric ulcer.

   TREATMENT.—Palliative.   Opium   for
 pain;   milk-diet;   buttermilk  and beef-
 juice; rectal  alimentation;  Fowler's solu-
 tion  (gtt. i-ij  td.);  codeia  (gr.   j  doses),
 etc.
            PRESCRIPTIONS.

 (101) R—Bismuth,  subnit.,  dr.  ij.
         Morph. sulphat.,  gr. j.
       M.  Ft. pulv. no. vj   S.  One td.  in milk.
         (For  pain and vomiting.)
                                —Bartholow.
 <102 R—Bismuth, subnit.,  dr. ij.
         Acid,  hydrocyan. dil., dr.  ss.
         Mucil.  acaciae.
         Aquae  menth.  pip.,  aa.  oz.  ij.
       M.  S.  oz.  ss.  td.    (When morphine  is
         inadmissible.)
                                —Bartholow.
 (103) R—Liq.  potass,  arsenit., dr.  ss.
         Mucilag. acaciae, dr. viiss.
         Aquae  clnnamoml., oz.  j.
       M.  S. dr. j td.  (Also uterine).
                        —Washington  Atlee.
 (104)  R—Ferrl  arsenlat., gr.  iij.
        Lupuliniae, dr. j.
       M.  et.  ft.  massa et dlv.  In pil  xivlj.
         S. One pill  night and morning.
                                    —Biett.

    DILATATION OF THE STOMACH.

  DEFINITION.—An  enlargement   of  the
 stomach   usually due or  induced by  ob-.
 struction  at the pyloric orifice.

  SYMPTOMS.—Pain;  persistent  vomiting
 at  intervals;   regurgitation;   eructations;
 impaired  nutrition;   bowels  torpid:   feces
 dry;   muscular cramps.   If the symptoms
 are due to cancer, they  are usually mask-
 ed  by that  disease;   other  symptoms  are
 those  of  chronic  gastritis,  or  dyspepsia.

  TREATMENT—"Dry     diet;"      avoid
 starchy,  saccharine,   fatty food;   strych-
 nia  (hypodermatically);   tr. nux vom.  and
 tr.  physostlgma  (gtt. x-xx  aa td.);   gal-
vanism;    pepsin  and muriatic  acid;   sul-
phites, carbolic acid,  etc., for fermentation;
Carlsbad  salts;   nitrate of  silver;   stom-
ach-pump;  cathartics,  etc. 
190
CHAPTER  VIII.
DISEASES  OF  DIGESTIVE   SYS-

                  TEM.

                 (Concluded.)

              DUODENITIS.

  DEFINITION.—A  catarrh of the mucous
membrane  of the duodenum. May be acute
or chronic.   Jaundice takes  place  when
the  catarrhal  process extends Into  the
ductus communis choledochus.

  SYMPTOMS.—Constipation (diarrhea ex-
ceptional);  pain  iii umbilical and right hy-
pochondriac regions; soreness on pressure;
digestive disorders; jaundice  (seventh  to
third day); two  or  three hours after eat-
ing distress is experienced  at  the  seat of
the  trouble; flatulence;  headache;  slate-
colored fetid stools; slightly elevated tem-
perature; accelerated pulse.

  DIFFERENTIAL  DIAGNOSIS. — From
gastric catarrh, diseases of the liver, hepa-
tio colic.

  TREATMENT.—Regulate  the diet,  milk
diet,  phosphate  of soda (dr. j  four  times
a day), saline cathartics, cautiously;  Carls-
bad or Vichy waters; Rochelle salts; quin-
ina (when malaria co-exists); fomentations;
counter-irritation; opium for pain;  exclude
all starchy, saccharine  and fatty constitu-
ents  from  the food.

               TYPHLITIS.

  DEFINITION.-An  inflammation  of  tht
cecum and its appendix.  (Acute or chron-
ic).

  SYMPTOMS.-Acute form-Pain and sore-
ness  In right iliac  region,  along  the as-
cending colon: tenderness on pressure; the
body is usually  flexed  and  turned toward
the right side; the pain is increased when 
191
body  is  straightened; when bowel  is  dis-
tended with gas, it can  be mapped  out by
palpation;  constipation  the rule;  uneasi-
ness;  general malaise;  slight  fever (may
be absent); tongue ^coated; anorexia;  nau-
sea; often  vomiting.  Subacute and chronic
forms—Uneasiness  about  the  valve,   and
flatus may be felt passing the orifice:  ten-
dency  to  constipation;  distention  of  the
cecum and ascending  cdlon,  also  of  the
small  bowel  around the  umbilicus.  These
symptoms may follow the acute.

  DIFFERENTIAL  DIAGNOSIS. — From
perityphlitis, cancer  of  the cecum,  phleg-
monio inflammation  connected  with  dis-
ease of the vertebrae,  circumscribed  peri-
tonitis due to  perforation of the  vermi-
form  appendix,  from right oophoritis,  eto.

  TREATMENT.—Absolute rest in bed; no
active purgatives;  when feverishness  and
tenderness are slight, saline laxatives (sul-
phate of magnesium  dr. j to oz.  ij  water)
every three hours; then after a few  dis-
charges  keep bowels closed  with  opium
for a  short time; opium for pain  or  ten-
derness;  liquid   diet; pellets  of ice  for
thiist; leeches (robust subjects) to the  ten-
der spot; counter-irritation; blisters; mus-
tard;  then turpentine stupes;  ice bag; ir-
rigation  of the bowel  with  warm  soap
suds (severe  cases); compound liquor pow-
der or Carlsbad salt (subacute and chronio
cases);  have  patient  wear  an  abdominal
support.
            PERITYPHLITIS.

  DEFINITION.—A  circumscribed  inflam-
mation  of the connective tissue in which
the cecum is  embedded.

  SYMPTOMS.—The tendency of this af-
fection  is  toward suppuration; feeling of
weight, soreness,  with paroxysms of sub-
acute   pain;   fever;   pulse   accelerated;
swelling indurated, is  situated in  the right
iliac fossa; pain  usually extends into  the
hip,  thigh  and abdomen;  suppuration is
preceded  by  increase  of  local  distress;
formation  of  matter  is  attended by  con-
stitutional  symptoms;  onset of   disease
characterized  by  nausea  and  vomiting;
acute pain; tenderness (in  cecal region);
thigh flexed upon abdomen,  etc. 
192
   DIFFERENTIAL  DIAGNOSIS.  — From
 typhlitis,  fecal accumulation,  carcinoma.

   TREATMENT—Rest;  fomentations over
 seat of  pain and  tenderness; opium for
 pain; leeches;  use aspirator  to  ascertain
 existence of pus;  surgical  operation for
 evacuation of pus.


 CROUPOUS  OR  MEMBRANOUS ENTER-
                   ITIS.

   DEFINITION—An  inflammation  of the
 large intestine,  characterized  by the for-
 mation  and   discharge   of  membranous
 shreds or casts.   Sub-acute or  chronlo, and
 occurs periodically.

   SYMPTOMS.—Depression;  hvsteria; ner-
 vous attacks; headache; colicky pains (at
 Intervals)  around umbilicus;  abdomeu ten-
 der  on  pressure;  tenesmus;  watery  pas-
 sages (contain flakes of  coagulated mucus,
 sometimes  with  blood); appetite   poor-
 bowels may  be  confined; vomiting  occas-
 ionally;  shreds or  casts of  bowel passed
 after a  few  days;  teuesmus;  then  relief:
 debility;  digestive disorders.

  DIFFERENTIAL  DIAGNOSIS. - From
 dysentary, tape-worm.

  TREATMENT.-Treatment  not very  suc-
 cessful. Ipecac (gr.  1-5—y2 td.);  cold water
 enemata; corrosive  sublimate;  copper- ar-
 senio (ch.  cases); improve general  condi-
 tion; opium for pain; emulsion  of almond-
 oil  and turpentine; tr.  mix vomica and tr
 physostigma  (aa  gtt. x-xv  td.); treat the
 symptoms. The  following  plan  of treat-
 ment Is  well  recommended:  Every  morn-
 ing  wash out the intestine with ozonized
 water made  of one  ounce of  hydrozone
 one  quart  lukewarm water.   Don't mind
 the momentary distressing sensation which
 accompanies   this  enema.  Every  evening
 administer an  enema  with glycozone  one
ounce, water twelve ounces.


           PRESCRIPTIONS.

(105) R— Cupri sulphat., gr. j.
       Morpb.  sulph-it., gr. j.
       Quininae sulphat., xxiv
      M. et ft., pil.  no.  xij. S. One pill td.
                             —Bartholow. 
193
(106) R—01. terebinth.,  dr. j.
        01. amygdal. express., oz. ss.
        Tr. opii, dr.  Ij.
        Mucil.  acaciae,  dr. v.
        Aq. laur.  cerasl, oz. ss.
      M.  S.  dr. j  every  three,  four or  six
        hours.
                              —Bartholow.

(107) R—Llni  farirae,
        Hordei  farinae, aa part.  aeq.
        Aquae,  q. s.  ut ft.  cataplasma.
      S. Sprinkle the  surface coming  next to
        the skin lightly with ground mustard,
        and  apply  above  to  abdomen.

(108) R—Tr. physostlg.,
        Tr. nucis vomicae,
        Tr. belladonnae, aa dr. Ij.
      M. S.  gtt.  xxx  in  water  morning and
        evening.
                              —Bartholow.
DYSENTERY.
   DEFINITION.—A  primary  inflammation
 of the lower  part  of the colon.  It occurs
 in  the  sporadic,   endemic  or  epidemic
 forms.

   SYMPTOMS.—Actual  attack:  Chills;  fe-
 ver;  rigors   (?);   pain  along  descending
 colon; pain about  sigmoid flexure;  colioky
 pains:  tenesmus;  discharge   of   mucus
. (sometimes  tinged  with  blood;  scybala);
 exhaustion.  On the  second  or third  day
 blood appears in the stools; also epithelial
 debris with mucus, etc.;  loss of  appetite;
 tongue  furred;  nadsea  and bilious vomit-
 ing  (?);  latter  constant  in  severe  cases;
 strangury; urine  high-colored, scanty  and
 acid;  emaciation; anus and other parts ex-
 coriated; bed-sores; skin dry; pulse  small,
 feeble and quick; collapse;  hiccough; cold
 sweat; hands and  feet cold;  pulse ceases
 at the wrist; heart feeble; voice  husky;
 eyes  sunken,  etc.  In  the  epidemic form
 the onset is  sudden.

  DIFFERENTIAL DIAGNOSIS.  — From
 proctitis, ch.  intestinal  catarrh,  cancer of
 the rectum,  hemorrhoids, melena.

  TREATMENT—Rest in bed in  a well-
 ventilated room; liquid diet;  cracked ice for
 the  intense  thirst;   flax-meal   or mush
 poultice  to  abdomen;  turpentine  stupes;
 empty alimentary  canal;  opium  for pain; 
                     194

 milk (with one-fourth lime-water); sulphate
 or citrate of magnesia with dilute sulphuric
 acid in laxative doses  (before  the  disinte-
 gration of  the  mucous  membrane),  then
 give ipecac;  castor  oil with laudanum in
 purgative doses; later, emulsion of almond
 oil  and  turpeutine  (see   prescription  No.
 106); hydodermatics  of morphine;  oxide of
 zinc, acetate  of lead,  corrosive sublimate,
 etc. (at commencement of the destruction
 of the  mucous membrane); sulphate of  cop-
 per  (gr. 1-20), with morphine (gr. 1-8—1-12)
 every  three hours; bismuth  (scr. 1-ij  every
 four hours);  irrigation with warm  water
 and hydrozone  as practiced bv  Dr.  Lee*
 (199-105 F.); then inject tr. opii'and starch
 or starch  and chloral (gr. v-oz.  j); supposi-
 tories  of  tannin  and  morphine,  etc. may
 be  used  instead of  the enemata;  stimula-
 tion (collapse);  bovinine and brandy; milk
 punch, egg-nog,  etc.  Modify treatment If
 there  be malarial,  scorbutic or other mor-
 bid  affections;   tonics, etc.  In  children:
 Clean   out bowels  by  castor oil (gtt.  xv)
 with tr.  opii  (gtt. j) every two or  three
 hours  for  child  of three  years,  then  ubb
 any of the following  prescriptions:

            PRESCRIPTIONS.

 (109) R—Pulv.  Ipecac,  co.,  gr.  vj.
        Bismuth, subcarb., dr. j.
        Pulv.  aromat.,  gr.  vj.
       M.  et ft. chart, no. xij.  S. One  powder
        every three  hours for children.
                                   —Starr.

(110) R—Liq. ferrl pernltrat.,
        Acid,  nitric, dil., aa dr.  ss.
        Syr. simp., oz. j.
        Aquae  clnnam., q. s. nd.  oz. iij.
       M. S. Dr. J every  three hours, for chil-
        dren.
                                    —Ellis.

(Ill) R—Magnesia sulph.,
        Tr. opii  camph.,  aa oz.  j.
        Aquae,  O  J.
       M. S. Wlneglassful every two, thre« or
        four hours.

(112) R— Strychnlnae sulph., gr. Vi-
        Acid,  sulphur,  dil.,  oz. ss.
        Morphinae sulph., gr.  Ij.
        Aquae  camph., oz. iilss.
      M.  S. dr. j every  hour or  two,  well di-
        luted.  (Epidemic  form; marked  depres-
     __sion; prune-Juice stools).

  •See Chicago Clinical  Review, April, 1894. 
                     195

  (113)  R—Argenti nitratis, dr.  j.
         Aquae,  O iij.
        M. S. For  one injection.
                           —Ii. C. Wood, Jr.

  (114)  R—Pulv. ipecac, dr.  Iij.
        Ft.  in  pulv. no.  xij.  S.  One morning
         and  evening  on empty  stomach.  (Ch.
         dysentery).

  (116)  R—Atropinae  sulphat.,  gr. J.
         Aquae  destil.,  oz. j.
        M.   S.  gtt.  ii-iij  every  half hour  in
         water,  until pupil  enlarges  and  throat
         feels dry,  for the  tenesmus.
                                 —Schwalbe.

  (116) R—Ferri subsulph.,  gr. xl.
         Pulv. opii, gr.  xx.
        M.  et  ft. pil. no. xx. S.  One td.  (Ch.
         dysentery).

     CANCER  OF THE INTESTINES.

   FORMS  AND  SITE.—Simple carcinoma,
 colloid cancer  and epithelioma.  Sites: The
 rectum, sigmoid  flexure  of  the colon and
 the cecum.

   SYMPTOMS.—Fixed pain (dull and heavy,
 or  acute   and   lancinating);   decline  of
 health; emaciation and  loss of  strength;
 fatigue;  fawn-colored   complexion;  tumor
 on palpation; constipation  (habitual); sali-
 vation; flatulence;  diarrhea   (irregular);
 tenesmus and severe pain, if the rectum is
 the site  of disease;   desire to   defecate
 constant;  stools contain blood, mucus, pus,
 offensive gangrenous masses, etc.;  stenosis.

  DIFFERENTIAL  DIAGNOSIS.   —  From
 catarrh of the intestines, ulcer of the in-
 testines,  floating  kidney,  aneurism,  fecal
 accumulations,  etc.

  TREATMENT— Palliative.  Keep bowels
 soluble; easily digestible food; anodynes for
 pain;  surgical operation.
           CHOLERA MORBUS.
  DEFINITION.—An acute  catarrh of the
 Stomach  and  intestines   (sudden  onset),
 with  vomiting, purging and  cramps.

  SYMPTOMS.—Usually  preceded   (for  a
day or so)  by epigastric uneasiness, nausea,
diarrhea, coated  tongue,  and general ma-
laise;   it is generally ushered iu  suddenly
and with violence.   Intestinal pains;  chill;
nausea;  vomiting  (projectile);   purging 
             •      196

•of  thin liquid  stools  (rice  water);   face
pinched and cyanosed;  voice husky;  sur-
face  cold  and  clammy;    hiccough  (?);
shrivelled  skin; urine  slightly albuminous,
thirst Intense;  anxiety;  restlessness and
exhaustion;  urine   slightly   albuminous,
diminished,  suppressed (?):   feeble  heart;
pulse rapid, feeble,  imperceptible; cramps,
etc.   Severe cases pass Into fever (remit-
tent  type)  and typhoid condition.

  DIFFERENTIAL     DIAGNOSIS.—From
cholerifrom  attacks  due  to  uremia,  epi-
demic  chlorea.  typhlitis,  peritonitis,  poi-
soning  by acrid  or  corrosive substances.

  TREATMENT.—Simple cases  due to irri-
tating  food, give  castor  oil  or  calomel.
Severe  cases:   Morphine  hypodermatically
(gr.  ]/s->4);   sinapisms   to  epigastrium;
whisky,  etc.,   hypodermically   (old   per-
sons);  cracked ice for thirst;  iced cham-
pagne,  carbolic acid water,  etc.;   for vo-
miting, carbolic acid with bismuth; or car-
bolic acid with tr. iodine  (equal  parts gr.
ss  every  half-hour);   enemata  of  starch
and tr. opium;  dilute sulphuric acid  with
tr.  opium in  camphor  water (gtt.  11-v  of
each  In ice-water every half-hour  to  two
hours); calomel (gr. 1-12—1-6) with opium,
etc.   Ipecac in  1-4 gr. doses (increase  to
gr.  j), td.,  when pain  alone remains.   We
would  strongly   urge  Dr.   Lee's  treat-
ment  by  irrigation  with  ozonized  water
and glycozone.   The  results obtained  by
him justify  this  statement.
PRESCRIPTIONS.
<117) R—Chloroforml,  dr.  IJ.
        Glycerinae, oz.  Ij.
        Spts. vini rectif.  oz.  IJ.
        Spts. menth.  pip.,
        Ac.  hydrocyanic,  dil.,
        Tr.  capsici,  aa  dr.  Ij.
        Morph. murlat., gr. viij.
        Syrupi,  oz.  iij.
       M.  S.  Adult  dose.  dr.  j   diluted  with
         water, and repeated at proper Intervals.

(118) R—01. menth. pip., dr.  J.
         Alcoholis  fort.,  oz.  J.
        Chloroform, purlf.,  scr. ij.
      Solve "et adde:
         Tr.  opll,  dr.  iij.
        Vini  ipecac,  oz.  J.
        Tr.  valerian.,  oz.  iss.
       M.  S.  oz. ss for adults. 
197
<119) R—Plumbi  acetatis, gr.  viij.
        Morphinae  acetat., gr. J.
        Aquae camphorae, oz. J.
       M.   S.  dr.  j every fifteen  minutes,  or
        Just after  vomiting if rejected.  Shake
        bottle before  using.

<120) R—Olei cajaputl,   dr. J.
        Spts.  chloroform!,
        Tr. clnnamomi,  aa. oz. J.
       M.  S. dr.  j  every half-hour in glycerine
        or  syrup and water.   (For vomiting.)

<121) R—Acid,  carhollci, gr. iv.
        Bismuth,  subnit.,  dr.   IJ.
        Mucil. acaciae,  oz. J.
        Aquae menth.  pip., oz. UJ.
       M.  S.  oz.  ss every two, three or four
        hours.  (Nausea and vomiting.)
                               —Bartholow.

<122) R—Chloral, hydratls, dr.  IIJ.
        Morphinae  sulph.,  gr.  iv.
        Aq.  laur.-cerasi, oz.  J.
       M.   S.  m.  xv-xxx  hypodermatically,  in
        cramps, etc.  (May cause burning pain
        and an indurated lump.)
                               —Bartholow.
          EN TERALGIA—COLIC.

  DEFINITION.—Neuralgia  of  the  intes-
 tines of  a  functional character.

  SYMPTOMS.—Prodromal   (not  always).
 Nausea;   uneasiness   in  the   intestines;
 er relations of  gas,  etc.  Actual  attack:
 Griping  pains  about the umbilicus;  body
 doubled up;  person cries or  groans; vomit-
 ing;  small or weak  pulse;   face is anxi-
 ous and suffering;  cold surface;   abdo-
 men hard and  tympanitic;   sometimes  the
 abdomen  is  retracted  or  tender;   urine
 pale and abundant;  constipation  may oc-
 cur, due to lead;   attacks  are  periodical,
 If trouble is due to  malaria;  the  attacks
occur  in the  evening,   if due to  syphilis,
etc.  Movement of  the  bowels  or discharge
of  flatus by eructation, etc.,  gives  relief.
Gastralgia  may be a complication.

  DIFFERENTIAL     DIAGNOSIS.—From
gastralgia,  inflammatory  affections,  hepa-
tic  colic,  nephritic  colic,   strangulation,
lumbo-abdominal neuralgia,  myalgia,  der-
malgia.

  TREATMENT.—Find   the   cause   and
treat.   When hardened  feces  or  irritant 
                     198

matters  are  the  cause,  give  castor  oil,
enemata;  in  Infants,  If  It Is due to flatu-
lence:   emulsion  of  potassium   bromide
(gr. v), and  oil of  aulse  (gtt. %) every half
hour;   hypodermatics   of   morphine   and
atropia  in  all  cases   for  Instant  relief;
guinina In  malarial colio;   potassium  Io-
dide in nocturnal  colic.    In lead colic ad-
minister   as  much  as   possible  albumen
dissolved  in cold water,  also an  enema of
same.    Albumen  forms  with  lead  the  al-
buminate  of lead,  which is Inert;  arsenic
In chronlo cases;   Hoffman's anodyne with
fl. ext.  valerian,  etc.,  in  hysteric  colio.
(See Gastralgia)
PRESCRIPTIONS.
 123) R—Sodii  bicarb.,
        Spts.  amnion,  aromat.,
        Morph.  sol.  (U.  S.  P.), aa   dr.  ■•.
         Syr. zlnglberis,  oz.  ss.
        Aquae  camph.,  ad.   oz. IJ.
      M.  S. dr. J  for  colic in young infanta
        and young  children.

(124) R—Chloroform,  dr.  IJ.
         Spts. camph. dr. iss.
        Tr. opii,  dr. j.
        01. clunamomi,  gtt.  ▼.
        Alcoholis,  dr. lilas.
      M.  S. gtt. x-xxx  in water.
                                —Carpenter.

(12B) R—Ext. gentian.,
        Pulv. rhei,   aa   dr.  J.
       M.  Div.  In  pil. no. xx.  S.  One or two
        td.   (For tendency to colic.)
                                —Carpenter.

1126) R—Acid,  hydrocyanlcl  dil.,  dr.  J.
        Aq.  laur.-cerasl,  oz.  IJ.
      M.  S. dr. i  every two or three hours.
                                  Bartholow.

(127) R—Pulv.  camph.,
        Pulv.  capsici,
        Pulv. ziuginberla, aa gr. *.
       M.  S.  Div.  In pil.  no.  vj.  S,  One p.
        r. d.  (For  borborygmus.)

(128) R—Aquae  chloroform! fort.,
        r>. • net.  aurantii  Apr., aa  oz.  iv.
        Tr. capsici,  dr.  Ij.
      M.  S. dr. IJ  every fifteen  minutes until
        pain stops. 
                      199

 (129) R—Capsicum,
         Tr. opii.
         Tr. rhei,
         Ess. menthae  pip.,
         Spts.  camphor.,  aa  part. aeq.
       M.  S. gtt. xv-xxx  in a  little cold water,.
         according to age and  violence  of symp-
         toms.   Repeat every 15-20 minutes until
         relieved.

 (130) R—Quininae sulphat.,  gr.  ix.
         Hydrarg. chlor.  mit.,  gr.  IIJ
       M.  Ft.  In chart,  no  ix.   S.  One at 9,
         12  and 3 each  day.  (Infantile.)

 (131) R—Tr.  opii,
         Tr.  capsici,
         Spts.  camphorae,
         Spts.  menthae pip.,  aa  dr.  IJ.
         Aquae,  oz.  j.
       M.  S. dr. j at a dose.  (Hot drops).

 (132) R—Pot.  carbonat., gr.  ij,
         Ol.  cajaput.,  m. J.
         Aquae  anethl, dr.  IJ.
       M.  S.  Three  or  four times a  day, for
         griping  pains  after taking milk. (For
         infants.)
                                 —Fotherglll,

 (133) R—Alumlnls, dr.  ij.
         Acid,  sulphur, dil.,  dr.  J.
         Syr.  limonis,   oz. J.
         Aquae,  dr.  Iij.
       M. S.  oz.  ss every  hour  or two, In paint-
         ers'  colic.
                                —Bartholow.

              CONSTIPATION.

  DEFINITION.—A  condition of the intes-
 tinal canal  in which the alvine evacuations
 too seldom  occur.

  SYMPTOMS.—Tongue  coated;     breath
 fetid  or heavy;  taste   dulled;   appetite
 Indifferent or voracious;  feeling of  depres-
 sion when stomach  is  empty;  oppression,
 weight,  uneasiness,   after  food  is   taken;
desire for evacuation causes pain,  etc.

  TREATMENT—Treat the cause.    Stim-
ulate  bowels;   hygiene;    regularity  of
habit;   purgatives.    Waugh's   "Laxative
Granules"  are  very  effective  (begin with
six  before  meals);   enemata;   try   enema
with one  ounce glycozone,   12 ounces of
water every  morning.    In  children give
castor oil;  in  chronic cases,  sulphate of
magnesia  (gr.  v doses) in a suitable syrup;
manna,  etc.    Tr.   aloes  et  myrrh (gtt.
1-iii td.  in sweet water). 
                       200

              PRESCRIPTIONS.

 (134) R—Magnesiae  sulphat., dr. J.
         Quininae sulphat.,  gr.  J.
        M.   Take  In  a tumblerful  of water every
         morning.
                                   —Thompson.

 (135) R—Ext.  colocynth.  co.,  gr.  viij.
         Ext.  hyoscyami,  gr.  IJ.
        M.   Ft.  in  pil.  no.  i.  (In  old  nge.)
                                     —Napheys.

 1136) R—Ext.  cascara  sagrada fl.,  dr. J.
         Ext.  malt,
         Syr.  Bimp.,  aa  OZ.  v.
        M.  S.  Dr.  J ter in die.
                                  G.  S.  Wells.

 (187) R—Pulv.  assafetldae,  gr.  lv.
         Ext.  nucis  vomicae,  gr. sb.
         Saponis, gr. ix.
        M.  et ft.  in  pil.  no.  ill.  S.  To be taken
         daily.
                                   —Thompson.

 (138) R—01.  aleuritis,  oz. ss.
         Tr.  cantharid.,  dr.  iij.
         Ammoniae  carbon, dr.  Iij.
       M.  S.  This  liniment is  to be  rubbed  on
         the  abdomen,  in rebellious cases,  as-
         sociated  with  abdominal  pains.
                                     —Napheyg.

(139) R—Mannae  opt.,  dr. J.
         Syr.  simp., oz.  sb.
         Aquae cinnainomi,  q. e.  ad oz.  J
       M. S. dr. j td.  (For infants).

(140) R—Sod.  bicarb.,  dr.  j.
         Tr.  nuc. vom.,  m.  vj.
         Tr.   cardamom,  co.,
         Syr.  simp.,  aa  dr.   IJ.
         Aq.  chloroform.  (Br.  P.), oz.  bs.
         Aquae q. s.  ad  oz.  Ij.
       M. S.  dr.  j every  six hours  for children,
         where heartburn,  etc., are complications.
                                   —E.  Smith.

(141) R—Pulv.   glycyrrh.  co.,  oz.  J.
       S. Coffeespoonful at bed-time, for a child
         of  six years.
                         —Goodhart  and  Starr.

(142) R—Ext.  cascarae  sagrad.  fl.,  oz.  J
       S. gtt.  iij td.,  for  a  child  of five.
                                      —Powell.

(143) R—Ungt.  plumbi  carbonat.,  dr.  J.
         Ungt.  hydrarg.,
         Ungt. zinci ox.,  aa  dr. Ij.
       M.  S.  Apply td. in young children, wfiere
         fissure about  the anus  is  associated
                                      —Powell. 
                    201

(144) R—01.  rlclni, oz.  J.
        01.  terebinth.,  gtt. vij.
        Syr.  gum acaciae, q. s. ad. oz.  iij.
      M.  S.  dr. j every  three hours  in  Infant
        of eight  months.
(145) R—Ext.  bellad,, gr.  ss.
        Aloe purficat.,  gr. xij.
        Ol.  theobrom.,  dr. ij.
      M.  S.  In suppos. no. xij. S.  One twice
        a day,  and then  one  at night  for in-
        fants.  (Chronic form.)
                                   —Starr.
               DIARRHEA.

  TREATMENT—(Diarrhea  without   in-
testinal lesions).    Treat  cause.    Opium
preparations;  opiate with  a gentle cathar-
tic;  blue mass (gr. v) with rhubarb, and
follow  with  saline  cathartic;   then pare-
goric, etc.   (See also  dysentery,  cholera,
cholera morbus,  etc.).

        INTESTINAL  WORMS.

  VARIETIES.— Cestoda    (tape   worms):
Taenia  solium, Taenia saginata or T. medio-
canellata;  Bothriocephalus  latus.   Nema-
toda  (round  worms):   Ascaris lumbricoi-
des, Oxyuris  (Ascaris)  vermicularis,  Tri-
chocephalus dispar,  Anchylostomum  duo-
der.ale.    The following  kinds  infest the
alimentary  canal of children:    The  oxyu-
ris  vermicularis,  the ascaris  lumbricoides,
the taenia mediocanellata,  and  the  taenia
solium.
            (A.) TAPE WORMS.

  SYMPTOMS.—Emaciation,  although  ap-
 petite is good;   colicky  pains;   lassitude;
 palpitation of the  heart;   salivation;   dis-
 ordered   digestion;   itching  of  the  nost
 and anus;  constipation or  diarrhea;   fee-
 bleness  of  the organs of special  sense;
 cramps  in  the  extremities;   choreic  at-
 tacks;   epileptiform  attacks;    hysteria,
 etc.

  TREATMENT.—Keep  patient  on a light
diet for  twenty-four hours,  before  giving
the  taenifuge;  then  administer  dr.ss-j  of
the oil of male fern in  oz.  ij  of  thin muci-
lage,  and follow  in  ten  minutes  with  a
glass of  sweet milk.   In  two hours  give
oz-j  castor  oil in mucilage, with dr.j-iv of
spts.  turpentine.    (Tanret's pelletierine is
good). 
                     202

            PRESCRIPTIONS.

(146) R— 01.  tereblntuin.,
        01.  rlcini,  aa  oz.  ss.
        Muril.  acaciae, q.  B.
       M.  Ft.  emulsio.  S.  One  dose, fasting.
                                   —Watson.
(147) R—Ext>. granatl  rad.  cort., dr.  v.
        Ext. fll.  maris aether., dr. IJ.
       M.  Ft.  cnpsul.  no   xxx.  S.  Take them
        within two  hours.
                                  —Napheys.

(148) R— OranatI rad. cort.,  oz.  IIJ.
        Sod. bicarb., dr.  J.
        Aquae,  O  J.
       M.   Macerate  six  hours and boll  to O
        ss.   S.  Take In the  morning, fasting,
        In  three  equal doses.  Then follow with
         oz.  j  castor oil.
                                 —Trousseau,

(149) R—Ext.  aether, fllicls maris,  dr. Iss.
        Pulv.  kamelae,  dr. Ij.
        Mucllag.  acaciae.
         Syr. simp].,  q.  s.
         Aquam cinnamomi, ad oz.  iij.
       M. S.  Half to be taken at bedtime and
         half  at 2  A. M.
                                   —Brunton.

(100) R— 01. fillcls  marls, dr.  Iij.
         01. cuenopodil, dr. j.
         01.  terebinth., dr.  ij.
         Emul. ol. rlcini (50 per cent.) ad  oz. IJ.
       M. S. dr. J twice a day,  for a child of
         six years.
                                    —Powell.

 (1B1) R—Tr. kamalae, dr.  ss.
         Syr.  zingiber.,  dr. J.
         Syr.  acaciae,  dr.  sa.
       M.   S.  One  dose  at  bedtime, followed
         by a purge  In the morning for children.
                                    —Powell.
          (B.)  ROUND  WORMS.

  SYMPTOMS.—May  be  absent.   Colicky
pains  about the umbilicus;   capricious ap-
petite;  abdomen hard;  sometimes nausea
and vomiting;  breath bad;   diarrhea (?);
whey-like  urine;   Itching   of  nose   and
anus;    lower  eyelid  has a  bluish color;
dilatation  and  inequality of the pupils;
choreic  and hysteric attacks;  emaciation;
pulse  Irregular;   restlessness;  grinding  of
teeth  while  asleep,  etc.

  TREATMENT.— Santonine   and   calomel
(aa gr.  ij-iv) preceded  for two days by dil.
hydrocyanic  acid (ctt.  ii-ilj  td.), etc. 
                      203

             PPESCRIPTIONS.

 (162) R—Fl.  ext.  spigeliae, oz. J.
         Fl.  ext.  sennae,  oz.  ss.
       M.  S. dr.  j  to a  child of three to fire
         years.
                           —J. Lewis  Smith.

 (183) R—Sulphurls lotl,  dr. ss.
         Magnesiae,  dr. J.
       M.  Div.  in pulv. no. lv.  S.  One  A.  M.
         and P. M.  to children who have  passed
         worms,  to  prevent their  repetition.
                                  —Giordano.

 (154) R—Hydrarg.  chlorld.  mlt.,  gr. Ij.
         Santonini,  gr.  Iss.
         Sacchar.  lactis, gr.  xv.
       M.  S.  One  dose in dr.  J  of  honey,  for
         an  infant  two years  old.
                                   —Bouchut.

 (155) R—Fl.  ext.  spigeliae et  sennae,  oz.  J.
         Santoni,  gr.  viij.
       M.  S. dr. J to a child of five.
                            —J. i^ewis  Smith.

           (C.) THREAD WORMS.

   SYMPTOMS.—Severe   pain;   tenesmus;
 unbearable  itching in the rectum;   chorea;
 epileptiform  attacks;   catalepsy;   stools
 relaxed,  coated  with  mucus,   and some-
 times containing blood;  sexual organs ex-
 cited;   worms  may  migrate  into  vagina,
 etc.

   TREATMENT—Vermifuges;   then  irri-
 gate bcwel  with   infusion  of quassia  or
 aloes, or  carbolic  acid,  (gr. xx-0 j  water);
 or a solution  of sodium chloride;   sponge
 perineal  region   with  a  solution  (1 per
 cer.t.)  of carbolic  acid;   soap injections,
 etc.   The above solutions  may be used  as
 vaginal injections.

             PRESCRIPTIONS.

(156) R—Infusi quassiae, O j.
         Sod. chloridi,  oz. ij.
       M.  S.  Use as an injection once a  day.
                                     —Date.
(157) R—Santonini  pulv., dr.  J.
         Resinae  jalapae,  gr.  ij.
         Chocolate, oz.  j.
      M. et div.  in troch. no. xxx.   S. One  In
         the  morning on empty stomach to in-
         fant of  two  years;  two  or  three  to
         older children.
                                  —Guichon.
(158) R—Pulv. scammon. co.,  gr. lv.
         Pulv. aromatlcl, gr.  v.
      M. S.  For one dose, at night. 
204
   DISEASES OF THE  KIDNEY.

               URAEMIA.

  DEFINITION.—The  accumulation  and
retention  in  the  blood of  the  poisonous
elements  of  the  urine,  especially  urea.
(May  be acute or  chronic).

  SYMPTOMS.—Acute  form:  Sudden vio-
lent  headache;   sense of  weight  across
forehead or at the vertex; vertigo; twitch-
ing of  the facial or  other muscles; ede-
nir. in  various parts;   albuminous  urine;
epileptiform or apoplectiform attacks; face
pale;   may be unusual drowsiness;  men-
tal confusion;  stupor;   profound  coma;
rarely delirium;   pupils  dilated;    pulse
slow;   respirations  shallow or  irregular;
sometimes sudden   attacks   of  dyspnea;
retinal changes, etc.   Chronic form: Dys-
pepsia,  nausea and  vomiting;    headache;
vertigo;   dimness of vision;  retinitis al-
buminuria;  drowsiness;  special   senses
become dull;   muscular cramps  at  night;
twitching of the facial muscles, etc.

  DIFFERENTIAL   DIAGNOSIS. — From
apoplexy,  epilepsy,  opium poisoning bella-
donna poisoning, alcoholic intoxication.

  TREATMENT—Vapor   bath;   pilocar-
pine  (cautiously used on  account of weak
heart),  hypodermatically;    purging  com-
pound jalap powder,  podophyllin,  calomel
(cautiously);  stimulate kidneys;  Infusion
of digitalis (oz. ss every four hours); %vhen
convulsions  take  place,   inhalation   of
chloroform,  hypodermatics  of   morphine;
elaterium  (gr.  V4)  every hour  to  move the
bowels, etc.   Object  of  treatment Is  to
increase flow of  urine, and  awaken action
of  the skin.
           PRESCRIPTIONS.

(169) R—Tr. sclllae,  dr. ij.
       Liq. amnion, acetat., oz.  IJ.
       Dreoct.  scoparll, q. s. ad oz. vj.
      M.  S. oz.  j td.
                              —Charterls.

(160) R—Acid,  benzoic!, gr. xx.
        Syr.  tolutani, oz. J.
      M.  S.  To be  given every   third  hour,
       largely  diluted with  water.
                              —Da  Costa. 
205
(161) R—Liq. ammon. acet., oz.  j.
        Spts. aether, nit.,  oz. ss.
        Tr.  hyoscyami,  dr.  iij.
        Aquam  camphor., ad  oz. vj.
      M.  S.  oz.  ss every three hours.
                              —Charterls.

(162) R—Hydrarg. chlorld.   mlt.,  gr.  vi.
       Pil.  colocynth.  Co., gr.  xiv.
      M.  Ft.  pil.  no. ii.  S.  One  dose,  to»
       be  followed in four  hours by a dose
       of compound licorice  powder.
                            —G. Johnson.
RENAL  CONGESTION.
  DEFINITION.—An  increased   amount of
blood in the kidneys.   (Catarrhal  nephri-
tis first stage).   May be  active  (arterial),
or  passive  (venous).

  SYM1 TOMS.—Active:    Radiating  pain
along the  ureters, into hips,  genitals, and
bladder;  incessant desire to pass water;
urine highly colored and scanty,  may con-
tain  blood;   specific  gravity   increased;
urine may  contain albumen, casts,  renal
epithelium,  etc.   Passive: The primary dis-
ease  may   obscure   symptoms.    Specific
gravity of  urine  1.025-1.035,  slightly  albu-
minous, sediment  of urates,  etc.;  may
have difficult respiration;  cyanosis; dropsy,
which  may be general or   local  (lower
extremities).

  TREATMENT.—Active:    Remove  irri-
tant;   rest in  bed;    camphor   (gr.   j-iij
every   four  hours);   demulcent   drinks;
keep  temperture  of  room 75-80  F.;   dry
cup over the loins;   hot poultices;  saline
purgatives.   Passive:  Treat  primary trou-
ble, digitalis;  hydragogue  cathartics; qui-
nina and iron:  vapor baths;  warm baths,
etc.  Dry cup  lumbar region  when due  to
pregnancy.


BRIGHT'S   DISEASES   OF  THE

               KIDNEYS.

ACUTE PARENCHYMATOUS  NEPHRI-
                   TIS.

  DEFINITION.—Under  "Bright's diseases
of  the  kidneys"  are  included  a  group  of
affections  (acute  and chronic),  character-
ized by changes in the urine  and dropsy. 
206
   SYMPTOMS—Urine dimlshed  in  amount
 (suppression may occur);  specific gravity,
 1010-lnlio-1030;   large  amount of  albumen
 in urine;  also casts;  hyaline,  epithelial,
 granular, nucleated;    blood  casts   may
 exist;  color of  urine:   smoky,  dark, red-
 dish or brownish, etc.:  urine may also con-
 tain red-blood  corpuscles  and renal epithe-
 lium;   later, the specific gravity is usual-
 ly below  normal,  amount of urine Increased,
 quantity   of  albumen   diminished,  color
 normal,   fatty   casts   are   then   pres-
 ent,   etc.   An   early   symptom  Is   ede-
 ma  of the  face and  lower  extremities;
 gastric and  cerebral  symptoms;   loss  of
 appetite;   nausea and  vomiting;     head-
 ache;  stupor;  delirium, etc.


  TREATMENT.-Stimulate  the  skin and
 intestinal mucous membrane,  and   allow
 kidneys  rest as  muoh as  possible.   Dia-
 phoretics:  Pilocarpine nitrate (gr. 1-12—%
 for adult);   vapor bath;   cathartics; ela-
 terium, pulvis  pur^ans, podophyllin,  calo-
 mel, etc.;  control muscular   spasms by:
 hypodermatic   injections  of   morphine
choral  hydrate, chloroform, etc.   In a few
days  give:    tonics,  milk  diet,   rest  In
bed, gentle  diaphoresis, diuretics  (?); etc
PRESCRIPTIONS.
(163) R—Pulv.  ipecac,  co., gr. llj.
        Potass,  nltrat., gr.  v.
       M.  Ft.  In  pul. no.  1.  S.  To be  taken
        nt night.  (Acute case following scarla-
        tina.)
                               —Da  Costa.

(164) R—Liq.  amnion,  acetat.,  dr.  llj.
        Spts.  aether,  nit.,  rn xx
        Syr.  tolutanl,  m  xxxvlj
        Tr. ligitalis. m llj.
       M-  S.  One  dose, td.  (To follow B No.
        163.)                         *
                               —Da  Costa.

(165) R—Tr.   ipitalis,  dr.  ss.
        Liq. f.ii.mon.  acetat., oz. iss.
        Spts.  aether,  nit.,  dr.  IJ
        Syr. tolut., nz.  ss.
        Aqua« carl, q. s. ad oz. Iij.
      M. S. dr.  J  every two hours for  a  child
        of  six to  eight years.
                      —Goodhart and  Starr. 
207
(166) R—Tr. ferrl chlorld.,  oz. ss.
       Acid, acetici,  dr.  ss.
      Misce et  adde:
       Liq. amnion,  acetat., oz.  v.
       Cu.-acoae,  oz. ij.
      M.  S. dr.  j td.
                              —Da Costa.
CHRONIC  PARENCHYMATOUS  NEPH-

                  RITIS.
  SYMP'j'OMS.—Albumen   In  abundance;
 specific  gravity  of urine  1.005-1.025, or  it
 may  vary  from  1.005-1.035;  quantity  of
 urine, fither diminished  or increased;  is
 usually  below the  normal; urine contains
 large hyaline, granular, nucleated, epithel-
 ial casts (as a rule they are present); drop-
 sy; anemia (marked); gastric and cerebral
 symptoms;  hypertrophy of the heart;  the
 course  of  the disease is  fluctuating, and
 patient  is  liable to relapses, etc. •

  TREATMENT.—Keep  patient in bed;  it-
 tend  to the  dropsy; increase the  action
of the skin, kidneys and bowels alternately;
 keep  up  the general  nutrition;  tonics;
 diet;  relieve the  vomiting,  impaired appe-
 tite,  headache,   diarrhea,   dyspnea,    in-
 somnia,  etc.  (See prescription  No. 166.)

    CHRONIC DIFFUSE  NEPHRITIS.
  SYMPTOMS.—Obscure  and may not  de-
 velop. When disease  is  fairly  developed
 the  following  symptoms   are  manifest:
 Quantity of urine  variable  (may be  sup-
 pressed): specific  gravity  of  urine fre-
 quently  below 1.010 or it may be 1.003 (ex-
 ceptionally  normal);  quantity  of albumen
variable (small  or  absent); casts, hyaline,
 fatty,    granular,   epithelial   (sometimes),
nucleated;  dropsy, subconjunctival  edema;
dyspepsia;  headache; emaciation;  loss  of
strength; pallor  of skin and mucous mem-
branes;  skin dry;  arterial  tension increas-
ed;  edema  of  legs;  dyspnea;   neuralgic
 pains;j   cramps;   vertigo;   cardiac  hyper-
trophy;  gastric   symptoms; anemia;  im-
paired vision; nausea and vomiting; dis-
turbances of memory,  etc.

  TREATMENT.—Warm  climate;  pallia-
tion of symptoms; aid elimination of urea;
digitalis  (when  quantity  of urine  is  di-
minished);   iron  (when  quantity  is  exces- 
                   208

slve);  treat' dyspepsia  symptoms (gastric
disturbances);  dry  cups  over  chest  for
dyspner.  (due  to pulmonary  edema):  for
 asthmatic  attacks,   quebracho;  hypoder-
matics of morphine, if  dyspnea  is due to
nervousness; treat  cerebral symptoms by
diuretics,  cathartics,  diaphoretics,  or by
morphine;  keep   up  nutrition:   mtlk-diet:
regulate habits of patient; keep  an  active
skin, etc.

          AMYLOID  KIDNEY.

  SYMPTOMS.—May  be  masked by  co-
existing disease.   Anemia;  cachexia;  waxy
intestines,  liver  and  spleen;  quantity  of
urine increased; specific gravity  low; albu-
men (sometimes only a trace); casts; large
hyaline, or fine granular or both; dropsy (not
marked);  nervous symptoms  (not   promi-
nent); when the  urlnlferous  tubules  are
Involved,  It is evidence of fatty or epithel-
ial  casts  In the  urine,  general  anasarca,
coma or convulsions; rapid emaciation, loss
of strength; disturbances  of stomach and
bowels; uncontrollable diarrhea often pres-
ent,  etc.

  TREATMENT—Remove  cause.  If syph-
ilis,  give  mercury,  potassium  iodide,  ton-
ics,  etc.   Attend  to  the  suppuration: iron,
cod-liver oil, etc.


SUPPURATIVE   INFLAMMATION
        OF THE  KIDNEY.

     1. SUPPURATIVE  NEPHRITIS.

  SYMPTOMS—Urine: diminished or sup-
pressed;  contains  mucus, pus, blood; pain
in lumbar region; pain  radiates to  blad-
der,  testis,  or  thigh;  testicle  retracted;
rigor and chills; fever (typhoid type); pro-
fuse sweating; pulse rapid and feeble; face
anxious; vomiting; uremic  symptoms; etc.
Symptoms may be masked if due to pye-
mia.

  TREATMENT—Prophyloctic. treat cystl-
tis,  etc.  Treatment as  far as disease  is
concerned nil.

              2. PYELITIS.

  DEFINITION—Inflammation of the  pel-
vis of the  kidney;  pyonephrosis includes
pyelitis,  and signifies  distension of  the
pelvis  of the kidney with pus. 
209
  SYMPTOMS.—Pain  in  lumbar   regions
(one or both); tenderness; frequent mictur-
ition:  rigors.   Urine:  specific gravity in-
creased,  acid,   contains  blood,  mucus,
pelvic epithelium (at first); later, increasing
quantities  of pus  (occasionally  ammonia-
cal).  Tumor  with  fluctuation in  lumbar
region (if ureter is obstructed—pyonephro-
sis).  With pyonephrosis: emaciation; poly-
uria;  anuria;  fever;  rigors;  diarrhea  or
constipation, etc.  Death from exhaustion,
rupture  or  perforation,  etc.  Diagnosis is
ditfioult when there is no tumor.

  TREATMENT—Dilution  of urine  gives
relief; liquor potassium  citratis (freely) for
acidity of urine;  benzoic acid, when  pye-
litis is associated with  ammoniacal urine;
gallic  acid; eucalyptal; oil  of turpentine,
etc.;  limit  formation of  pus and change
oharacter of the  mucous membrane;  qui-
nina  for fever,  etc.  Keep up strength  of
patient.
3.  PERINEPHRITIS.
  DEFINITION.—An  abscess  in  the  con-
nective tissue surrounding the kidney.

  SYMPTOMS.—Local  pain (shoots down-
ward);   chills;  fever  (103-104  F.),  with
morning remissions;  anorexia; nausea; ma-
laise; tongue coated;  rigors;, profuse per-
spiration;  loss  of  flesh;  constipation (ob-
stinate);  deep-seated fluctuation  may  be
observed; pus generally points in  the lum-
bar region; may rupture into bowel.

  DEFERENTIAL  DIAGNOSIS.  —  From
hydronephrosis, cancer,  ecchinoccus,  pye-
litis  with  pyonephrosis.  Diagnosis  diffi-
cult in  absence of  tumor, etc.

  TREATMENT.—Rest  in  bed;   diluent
drinks;  dry  cupping over  loins;  hot  poul-
tices, fomentations  over lumbar  region  to
encourage  abscess   toward  the  surface;
evacuate  by aspiration or incision; drain-
age; stimulants; support; opium  for  pain;
quinina (gr. v-x every  three hours).

   RENAL  CALCULI—RENAL  COLIC.
  DEFINITION.—Concretions   formed   by
precipitations of certain  substances  from
the urine.  (Uric acid is  the  most common
basis.) 
210
  SYMPTOMS.-  IXcruciatlng  pain  In  the
lumbar reirlon (pain Is proportionate to size
and  roughness  of  cilculus,  as it passes
along ureter); pain and  uneasluess usually
precede a paroxysm of  colio;  tenesmus of
the bladder; urine scanty; urine  may be
suppressed  (bloody);  thirst;  huncer;  nau-
sea; vomiting; fainlness; cold surface;  per-
spiration. First evidence of  uric-acid  dia-
thesis  is cloudiness  of the  urine when
cold,  or  pinkish deposits.  When  the  cal-
culus reaches the bladder,  the relief is In-
stant:  pyelitis,  hydronephrosis, nnd   pye-
lonephritis  mav  ensue,  if  calculus is im-
pacted.   The pain  (colic)  radiates in  dif-
ferent directions:  along  the ureters, thighs
and  genitals. This affection is common  In
children  before  the fifth year.
 DIFFERENTIAL DIAGNOSIS.  — From
biliary colic,  enteralgla,  lumbago.
  TREATMENT—During attack: hypoder-
matics of morphine; enemata of belladonna
or  tr.  opium;  inhalations  of  ether  or
chloroform; hydrangea  arborescens (fl. ext.
dr.  ss with a  few  drops tr. hyoscyamus,
every  three hours); hot applications to
loins;  warm  baths; purgatives.   During
the  intervals,  Buffalo  lithia  or other, al-
kaline waters: non-albuminous  diet;  small
doses of mercury  (occasionally); potash of
lithia  salts buttermilk  or  skimmed  milk,
etc.
   CARCINOMA OF  THE KIDNEY.
  SYMPTOMS.—Pain (not constant); sensa-
tion  of soreness in lumbar region; hema-
turia  (may be absent);  tumor in region of
kidney (grows upward  and forward);  ema-
ciation  (progressive);   debility,  cachexia;
cancerous  growths  may  occur in  other
parts, etc.
 DIFFERENTIAL DIAGNOSIS.  — From
hydronephrosis,   pyonephrosis,  renal  ab-
soess,  hydatids,  retroperitoneal  sarcoma,
cystio  degeneration,  carcinoma  of blad-
der.
  TREATMENT—Palliative;  symptomatic;
relief of pain. 
211
DISORDERS  OF NUTRITION.
ACUTE RHEUMATISM.
  DEFINITION.—A  constitutional  disease,
with fever and an inflammatory affection
of the joints and other fibrous tissues.
   SYMPTOMS.—Invasion—Malaise; chills or
 rigors;  fever.    Actual  attack—Stiffness;
 soreness;  weariness;  restlessness;  inabili-
 ty to move; acid sweating; sudamina fre-
 quent; fever, 100-104 F. (may reach 112 or
 more);  ascent  of  fever  lasts  a week or
 bo;   defervescence  gradual   (indefinite;
 Btrong, full  pulse (90-110); anorexia; thirst;
 constipation; coated  tongue;  urine scanty
 (febrile);  insomnia  due  to  pain;  slight
 delirium (?); symptoms may be  of a  ty-
 phoid character  in  some cases.  Locally-
 Inflamed  joints  (one  or more);  inflamed
 Joint is  hot, swollen, red, painful  and ten-
 der;  skin  may  pit on pressure;  relapses.
 In the subacute  form the fever is slight;
 general  condition  lowered;  joints  remain
 Inflamed for some  time,  etc.

  DIFFERENTIAL  DIAGNOSIS. — From
 gout, rheumatic affections other than  this,
 synovitis,   erysipelas,   pyemia,   trichino-
 sis,, dengue,  glanders,  etc.

  TREATMENT.—Rest  in bed;  keep  pa-
 tient between  soft blankets; wrap joints
 (affected  or not) in  cotton  wool;  flannel
 next  the  skin;  chest  protected;  barley
 water or lemonade freely;  cracked ice  to
 suck;  wine,  brandy (if indicated);  render
 the  urine  alkaline: potassium  or sodium
 bicarbonate; lemon  juice, etc.;  morphine
 hypodermatically;  salicin,  salicylic  acid,
 or  salicylate of sodium  (gr.  xx-xxx every
 two or three hours);  ammonium  bromide
 (gr. xv-xx  every three  hours); quinina (gr.
 vj-viij) every four hours; iodide of potas-
 sium  (gr.  xv doses);  hot blanket  baths;
 hot  vapor or  air  baths;  cold  bath  (for
fever,  105  F.);  sponge  the  skin;  anodyne
and  alkaline  fomentations;  hot poultices
(with belladonna or opium); persistent use
of  cold  compresses; chloroform  liniment;
tr. aconite; blistering; strapping joint. 
                     212

             PRESCRIPTIONS.
(167) R-Sodil bicarb.,  dr.  IJ.
        Sodii sallcylat.,  dr.  lea.
        Aquae menthae pip.,  oz.  UJ.
       M.  S.  dr.  j every  three or four  hour*
        for  children.
                                    —Powell.

(168) R—Acid, snlicytt., dr.  111.
        Sodll bicarb.,  dr.  11.
        Glycerinae,
        Aquae,  aa  oz. Ij.
       M.  S. oz.  ss every  two  hours  for  the
        first day,  then  every four hours.

(169) R—Lin. aconlt.,
        Lin.  bellad.,   aa  dr.  IJ.
        Glycerinae.  ad oz.  IJ.
       M. S. Apply  locally over the seat  of pain.
                                 —Carpenter.

(170) R—rotnss.  nitratls,  gr. xv.
        Pulv.  ipecac,  co.,  gr.  llj.
       M.  et ft.  chartula.  S.  One  dose,  to  be
        taken  every fourth hour.   (In  subacute
         form.)
                                  —Da Costa.

(171) R—Potass,  bicarb.,  gr. xxx.
        Aquae,  oz.  Ij.
       M.  S.  One dose,  before meals.  Add oz.
        ss of fresli  lemon Juice,  and take during
        effervescence.
                                   —Fleming.

(172) R—Potass,  lodldl, dr.  ij.
        Tr.  guaiaci  co., oz.  vj.
       M.  S.  dr.  IJ  td.
                                  —Da Coeta.

(173) R—Methyl  sallcylat. (Oil wlntcrgreen.)
        Liniment,  saponis,  aa aeq. part.
       M.  S.  Apply to joints;  Instant  relief.

(174) R—01.  hyoscyami, dr.  J.
        Ungt. hydrarg. clnerel, dr. IJ.
        Ext. aconiti, dr. J.
       M.   Rub into joints A.  M.  and  P. M.

        CHRONIC RHEUMATISM.

  DEFINITION—An  affection  of  the  ar-
ticulations,  characterized   by   pain   andj
stiffness,   with  some  swelling,  occurring
mostly after middle  life.

  SYMPTOMS—The  fibrous  structures  of
and  around the  joints  become  stiff  and
thickened;  movements  Impaired; dull  ach-
ing  pain;  anchylosis may take place;  no
tendency  to pericarditis or endocarditis. 
                     213

  DIFFERENTIAL  DIAGNOSIS.  —  From
 rheumatoid arthritis,  synovitis.

  TREATMENT.—Avoid  exposure;  flannel
 next the  skin; warm,  hot air,  sulphur or
 alkaline baths; friction of parts  with some
 stimulating  and  anodyne  liniment;  mas-
 sage;  local counter-irritation;  fly  blisters;
 strapping  of  parts with Burgundy  pitch
 plaster,  etc.;  local galvanization;  tr.  io-
 dine applications;  ditto  of tr.  aconite  or
 veratria    ointment.    Internally—Tonios;
 anodynes  for  pain; mineral waters; nutri-
 tious diet; cod liver oil,  etc.

            PRESCRIPTIONS.
 (175) R—Sulphur, oz. ij.
        Potass,  bitart.,  oz. j.
        Guaiaci  resin.,  dr.  J.
        Rhei rad.,  dr.  ij.
        Melis vel sacchar., lb. J.
        Myristicae rasae,  no.  1.
       M.  S. dr. ss-j twice or three times a day.
                                —Carpenter.
 (176) R—Potass.  Iodid.,  dr.  iij.
        Potass,  acetat.,  oz.  J.
        Tr.  hyoscyam., oz. ss.
        Tr.  aconit.  rad.,  dr.  J.
        Vin.  colchici, oz.   ss.
        Syr. simp.,  oz.  J.
        Aquae,  oz.  ij.
       M.  S. ' Dr.  j  td.  in  water.
                                —Carpenter.
 (177) R— Chloroform!,
        Tr.  aconit.   rad.,
        01.  tereblnt., aa  oz.  ss.
        01.  sassafras, m. v.
        Lin. saponis camph., oz. lias.
       M.  Ft. linimentum.
                                 —Gerhard.
 (178) R—Acid,  arseniosi,  gr. iij.
        Pulv.  guaiaci,  dr.  Iij.
        Pulv. capsici, dr.   ss.
        Pil.  al.  et  myrrh,  dr.  IIJ.
       M.   et  div. in pil.  no.  cxx.   S. One  pill
        twice a day.
                                —Fotherglll.

     GONORRHEAL  RHEUMATISM.

  DEFINITION.—A rheumatic  affection of
 the joints, associated with  gonorrhea.

  SYMPTOMS. — Inflammation   of   some
Joint;  pain; effusion and exudation; swell-
ing; tension; permanent  changes may take
place in the  affected joint; anchylosis may
occur, cartilages may  be destroyed; affec-
tion  likely  becomes  chronic  with consti-
tutional disturbances; synovitis. 
214
   TREATMENT.—Rest; fomentations; fric-
 tion,  etc., after acute symptoms. Wnugli'a
 modified  Dover  powders,  with the  ordin-
 ary  gonorrheal  remedies;  then  potassium
 iodide;   tonics;   stimulants;   strapping;
 chloride of ammonium, etc.

            GOUT—PODAGRA.

   DEFINITION.—A  constitutional  malady
 (Inherited), and characterized  by  the de-
 position of urate of soda  In a crystalline
 form in the cartilages  and other textures
 of joints,  and  elsewhere in  the  fibrous
 structures, etc.

   SYMPTOMS.—The  actual  symptoms are:
 Metatarso-phalangeal  articulation  of  the
 great toe is usually  affected first; seizures
 generally  sudden  (occurring   after   mid-
 night); other  joints  may suffer  primarily
 or secondarily; tenderness; extreme pain;
 swelling  due  to  effusion;  skin  over  af-
 fected joint is  red, tense, hot and shining;
 edema;  pitting  on  pressure;   superficial
 veins enlarged; desquamation of the cuti-
 cle with subsidence of inflammation; itch-
 ing,  etc.  Chills or  rigors; fever;  sweat-
 ing;  morning  remissions;  urine   dark,
 scanty, deposits urates; insomnia; restless-
 ness;  cramps  in  legs;  diarrhea;  recur-
 rence  of trouble  usual.   Duration—Four
 days  to weeks.  Joints  may  suffer  a per-
 manent change.  In the  chronic  form the
 Joints are permanently  changed in form
 and structure; pain  slight;  fever  slight;
 articulations stiff or  immovable; skin over
 affected  parts   blue  and  congested; may
 rupture and discharge  masses of  urates,
 chalkstones. etc. Later, the tendons, etc.,
 are Involved, and abscesses may form, etc

  DIFFERENTIAL  DIAGNOSIS. - From
 rheumatoid  arthritis,  rheumatism.

 TREATMENT.—During paroxysm, a brisk
 purgative;  opium for pain: vinum colchici
 (m. xx)  every  four  to  eight hours, com-
 bined with potassium bicarbonate or lithla
 carbonate; quinina (gr. v-x);  the  salicyl-
 ates;  diaphoretics:  vapor baths; low diet;
 liquid  nourishment  (weak  patients); for
 restlessness,  Waugh's   modified  Dover's
 powders or  hypodermatics  of  morphine.
 Loeally: rest; elevated position; wrap parts
In cotton,  wool or flannel;  fomentations;
poultices containing opium; belladonna lln- 
215
Iment; tr.  aconite;  blisters: elastlo stock-
ing; friction.  In  the irregular form of the
disease   (non-articular,  misplaced,  retrot-
cedent),  if  the internal  organs, are impli-
cated;  excite  inflammation  in * joints  by
friction  or   sinapisms;  in  neurotic  affec-
tions: opium  with  stimulants;  alcoholics;
external  heat,  etc.   Strict regulation  of
diet; abundance of  pure  water; neutralize
the  uric acid  in  blood,  and facilitate its
elimination; keep bowels  regular;  moder-
ate   exercise;   Vichy,  Kissingen   waters;
colchicum;  quinina,  iron,  arsenic, guaia-
cum and  ammoniacum  are good; iodide
and bromide of potassium; carbonates and
phosphates  of  magnesium and  potassium;
carbonate  of lithium (gr.  v-x); phosphate
of  ammonia; benzoic acid,  etc.

             PRESCRIPTIONS.

(179) R—Fxt.  colchici  acet.,
         Ext.  opii  aquos.,  gr.  xv.
         Potass, iodid., dr. iv.
         Potass,  acet., dr.   ij.
         Aquae  destil.,  oz.   illss.
         Vini albl,  dr. iv.
       M.  S.  gtt.  xx td.

(180) R—Ext.  colchici acet.,  gr.  x.
         Pulv. ipecac,  co.,
         Pulv. digitalis.
         Ext. coloeynth. co., aa gr. xl.
        M. et. ft.  pil.  no. -xii. S.  One pill  twle«
         or thrice dally. (Where the more  acuta
         Bymptoms  have subsided.)
                                   —Halford.

(181) R—Vini colchici sem., dr. iij.
         Spts. ammon. aromat., dr. xiij.
       M.  S. dr.  j every  three hours, in  tha
        acute form.
,                                 —Bartholow.

 (182) R—Llthii  carbonat. vel citratis,  scr. v.
         Aquae  destil., oz.  xx.
        M.  S.  Apply by means  of lint, especially
         if skin is unbroken.
                                     —Garrod.

 (183) R—Lithlae  cltrat,
         Magnes.  carb., aa  dr. J.
        M. Div. In  chart,  no. vi..S.  One  twice
         daily In  chronic  gout.
                                  —Carpenter.

 (184) R—Veratrinae,  scr.  J.
         Adipis,  oz. J.
        M. S.  Apply  to  painful  joint at  onset.
          (Not when the skin is broken.)
                                   —Turnbull. 
216
        ARTHRITIS  DEFORMANS.

  DEFINITION.—A  chronic  inflammation
 of  the  join is.  without fever and  suppura-
 tion,  causing enlargement  and deformities
 of various articulations.

  SYMPTOMS.—One  joint  is first  affected
 (painful and swollen), but recovers quickly
 to be again  attacked, and  permanently al-
 tered;  in the majority of oases, the joints
 of the lingers are primarily affected; other
 Joints  suiter  in  succession;  parts  become
 rigid, permanently extended or bent; dis-
 tortion;  nodulatlon: disease Is symmetrical;
 muscles atrophy; patient permanently  crip-
 pled; crepitus, etc.

  DIFFERENTIAL    DIAGNOSIS. — From
 gout,  acute and chronic rheumatism, gonor-
 rheal rheumatism.

  TREATMENT—Sustaining.   Diet nutri-
 tious;  general health attended  to;  stimu-
 lants  (alcoholic); warm clothing; moderate
 exercise; daily  salt-water baths;  friction;
 counter-Irritation;  cod-liver oil;  syrup  of
 hydrlodic  a'cid  (Gardner's); potassium Io-
dide; arsenic; guaiacum; strychnia and nux
 vomica;  strapping;  friction with liniments;
 massage; electricity,  etc.

         DIAPETES MELLITUS.

  DEFINITION.—A   chronic  disease with
 the persistent presence of  grape-sugar  in
 the urine. It  is characterized  by  an in-
 creased urinary discharge, and  by progres-
 sive wasting of the  body.

  SYMPTOMS.—Prination is progressively.
 frequent;  pain  ami  tenderness over  kid-
 neys; sexual  function  impaired;  urine in-
 creased in amount and it is very irritating;
Inflammation or excoriation  of  the  urinary
 meatus;  pruritus vulvae; urine watery, pale
 and  of  a  sweetish  taste;  specific  gravity
 1030-1060 or  more;  urine  ferments rapidly;
there is  great thirst; voracious appetite or
 lost ifppetite; tongue is red,  cracked,  dry;
spongy  gums; teeth are rapidly destroyed;
 sweet odor of breath; dyspeptic symptoms;
constipation; diarrhea or  dysentary toward
 the close, etc.; emaciation; dry, harsh and
 scurvy skin;  distressed countenance; chilli-
 ness;  weakness; soreness In limbs; slight
edema of legs;  impotence;  temperature
 often reduced;  blood  and  various secre- 
                    217

tlons contain  sugar; dimness of vision; oc-
casionally dropsy of  other  parts.

  TREATMENT.—A cure (In  most  cases)
not  to  be  expected.  Regulate  the  diet;
prohibit starchy or  foods containing sugar;
allow meat  (excluding liver); gluten bread;
Bkimmed milk;  alcoholic  stimulants; coffee
and  tea;  Iced water  for thirst;  Carlsbad
and  Vichy waters;  flannel should be  worn
next skin; warm baths (two or three per
week);  pulv.  opium  (gr.  ss  td.) increased;
sulphide   of   calcium  (gr.  %-%);   sali-
cylic acid if  there  is intestinal  digestion;
brewer's yeast  (oz.  ss td.); fl. ext.  ergot
(dr.  j td.); sulphate of quinina  (gr. vii-viii);
strychnina or nux vomica; tonics; cod-liver
oil.  Treat symptoms  on general principles.
PRESCRIPTIONS.
(185) R—Ammoniae carbonat., dr. ij-iv.
       Aquae cinnam.,  oz. vj.
      M. S. oz.  ss. three  or four times a day.
                                 —Da Costa.

(186) R—Acidi tannici, gr.  v.
        Pulv. opii,  gr.  ss.
      M. S. Take td.  between meals, tr.  ergotae
        (dr.  j) In water  before meals.
                              —S.  D. Grosa

(187) R—Veratriae, dr. j.
       Ungt. cetacei, oz. j.
      M. Ft.  ungt.  S.  A piece  the size  of  a
       cherry,  to be well  rubbed along  the
       spine,  A. M.  and  P.  M.
                              —S. D. Gross.

(188) R—Tr. ferrl chloridl,  dr. vj.
        Acid  nitro-muriatici.  gtt.  lxxx.
      M.  S.  gtt.  xx  td.
                                  —Napheys.

(189) R—Ammonli phosphat.,
       Ammonii carbonat., na gr. x.
        Spts.  ammon. aromat., m xxx.
       Aquae, oz. j.
      M. S.  Add  to  this  the  juice of a  fresh
       lemon, and take  td.  Its use must be per-
       severed in.
                                  —Basham.

(180) R—Inf.  cascarillae,  O. j.
       S.  A wlneglassful three  or four times
         daily.  This  helps  to  lessen  the in-
         tense  thirst.
                                —Da Costa. 
                    218

(190 R—Acid,  arsenioel,  gr. lv.
       Pulv. opii, gr. viij.
       AmmoD. chlorldi, dr. ss.
       M. et. ft.  in pil. xx\ii dlv.
      S. One pill  td. after meals.  (In thin sub-
       jects with faulty assimilation.)
                                  —Marcus.
(192) R—Aloes  capensis, dr. v.
       Sod. bicarb,  oz. iss.
       Spts. lavandulae co., oz. ss.
       Aqu-ie des.il., O. j.
      Macera per dies  quatuor  declm et cola.
       S. dr. j td.  after meals.  (In obese per-
       sons, and when of hepatic origin.)
                                —Mettauer.
(193) R-I.xt. Jaboraadl  fl.,
        Mix. simp., tia oz. j.
      M.  S. dr. j evary four hours.

         DIABETES  INSIPIDUS.

  DEFINITION.—A disease  having  for  its
ohief clinical feature  the passage  of very
large ioften an enormous) amount  of pale,
watery urine, without casts, sugar  or albu-
men.

  SYMPTOMS.—Onset sudden  or gradual.
Excessive flow  of watery  urine,  of low
speclflc gravity  (1001-1007);  urine is free
from abnormal constituents; general  health
may be  good;  usually  there  is  seusltlve-
ness to cold,  loss of strength, loss of flesh,
dryness  of the  skin  and mouth; appetite
may be voracious;  pain in epigastric region;
uneasiness; death  from  some organic com-
plication.  Disease may last for years.

  DIFFERENTIAL   DIAGNOSIS. — From
diitbetes  inellitus,  cirrhotio kidney.

  TREATMENT.—Hygienio treatment; blad-
der should be emptied every six hours;  ex-
»reise; sponge-bath every morning, followed
by  friction; diet is of  importance;  meats
ot all kinds may be allowed, but  sparingly;
radishes  are  good;  cresses  or  salad also
good;  fruits,  etc.; ergot; tannic  acid; opi-
um; tr. valerian (dr.  ii-iv dally); gradually
Increase  the  tr. valerian to oz. j  daily;
jaborandi;  arsenic;  belladonna;  dilute  ni-
tric acid  (dr.  j-0 lv water; this amount to
be given in divided doses), etc.

            PRESCRIPTIONS.
(194) R-Pulv. opii, gr. iv.
       Acid, gallici, dr.  ij.
      M.  et. dlv.  in  chart,  no. xij.
      8.  One three  or four times a day
                         —H.  C.  Wood, Jr. 
                    219

(195) R—Ext.  ergotae fl., oz. iij.
       S. dr. j td. to be increased  to  two
         teaspoonfuls.
                               —Da  Costa.

(136) R—Auri  chlorldi, gr.  j.
       Confection is  rosae,  gr. xx.
      M. et.  ft. pil. no.  xx.  S.  One  pill  td.
        after meals.
                               —Bartholow.

(197) R—Potass, carbonatls, dr.  iiss.
       Essentiae lavandulae, gtt. xxx.
       Tr.  benzoini, dr.  j.
      M. S.  Use daily,  adding to a sponge bath.
                              —Bouchardat.

(198) R—Zinci valerian., scr. iss.
       Tr.  valerian, co.,
       Aquae, aa  oz. iv.
      M. S. oz. ss td., and gradually  increase to
       oz. j  td.

(199) R—Acid, carbolici, gr.  xv.
       Aquae menth. pip.,  oz. x.
      M. S.   One-third  of  this quantity in  di-
       vided  doses, each  day, increased grad-
       ually to one-haif the quantity daily.

(200) R—Acid, gallic, dr. j.
      Div. in chart, no. iv. S.  One td.
       MALARLAL  DISEASES.

        INTERMITTENT  FEVER.

  DEFINITION.—A fever  caused  by  ma-
 laria; characterized by  a feeble paroxysm
 occurring at regular intervals, each  parox-
 ysm, when fully developed, having a cold,
 hot  and  a sweating stage. It is not  con-
 tagious.

  SYMPTOMS.—Invasion, marked by fever,
 with a periodic tendency.  Attack may ba
 sudden.   Cold  stage:   Lassitude; malaise;
 headache; sensation of cold in  the  limbs,
 back and over the stomach;  languor;  loss
 of appetite;  temperatuie  (104  or  105  de-
 grees F.) under the tongue; teeth  chatter;
 frame  shiveis;  features   pinched;   skin
 shrunken and pale; lips and tips of fingers
 blue; whole  surface  livid  (severe  oases);
pain in limbs and back;  tongue pale,  moist,
clean; thirst; sometimes nausea and vomit-
ing;   uneasiness in  the epigastric region;
hurried respiration;   dyspnea;   often  dry
cough;  pulse small end frequent; signs of
collapse may occur; duration  of  this stage 
220
 from a few minutes to two  or three hours.
 Hot stage:  May be  sudden; usually grad-
 ual, with alternate chilliness and flushings;
 skin hot, red, dry and tumid; sometimes a
 rash;  face flushed;  eyes  injected; Intense
 thirst;  anorexia; dryness  of the mouth;
 temperature 106 or  107 degrees F.; white
 tongue;  pulse full and  strong; respiration
 more quiet;  sometimes  nausea and vomit-
 ing; throbbing of heart and  arteries; some-
 times  delirium or convulsions.  This stage
 lasts  from  two  to three  hours;  may last
 two to twelve hours.   Sweating stage:  Per-
 spiration  commences  first on the forehead,
 and then spreads over body; sometimes it
 has a peculiar  odor;  critical urinary dis-
 charge; sometimes diarrhea;  anasarca (pres-
 ent when perspiration is deficient); pigment
 in blood.  During this stage the fever and
 symptoms abate.   Intermission:  At first pa-
 tient Improves, and feels convalescent;  then
 languor,   anemia,  anorexia,   depression;
spleen enlarges (symptoms becoming worse),
 temperature  ascends  rapidly, with a short
 stationary period; defervescence  critical;
 temperature normal In the intervals.  Tem-
 perature usually rises to 105 degrees to 107
 degrees, or even 112 degrees  F.  In children
 the splenic  enlargement is well  marked,
 and Is  usually  more  lasting than In the
 adult.

  VARIETIES.—Quotidian (paroxysms   at
 Intervals of twenty-four  hours); tertian (in-
 tervals of  forty-eight  hours); quartan  (in-
 tervals of  seventy-two hours); double  quo-
 tidian; double tertian; double quartan; er-
 ratio  (irregular);  also  sthenic,  asthenic,
 pernicious  or malignant,  etc.


  TREATMENT—During paroxysm; in cold
stage:  Put patient  In  bed;  cover  with
 blankets;  dry heat externally; hot drinks;
 If great  depression,  give diffusible  stimu-
lants; for the restlessness, opium; for vom-
iting,  sulphate of zinc with lots  of warm
 water; hot-air  bath  if stage is prolonged.
 Hot stage: Sponge skin freely;  cool drinks
(effervescing); etc. Sweating  «tage:   To
prevent a chill,  keep patient covered;  etc
 Morphine subcutaneously   (early  In  cold
stage)  reduces severity  of  both  cold  and
hot stages.  Pilocarpine (gr.  1-5 of  muriate)
hypodermatically In  cold stage, may break
 the paroxysm;  likewise chloral.  Intervals:
 During the intervals  give quinina (gr. xx-
 xxx in  sol.) before  or at  the  close of a 
221
paroxysm;  give It per  rectum if rejected;
arsenic  (Fowler's  sol., m. iv-v),  increased
to m. x  td.  For  the cachexia: iron, qui-
nina, arsenic; phosphorus, etc.

            PRESCRIPTIONS.
(201) R—Quininae sulph.  dr. j.
        Capsici pulv., gr. xvilj.
        Pulv.  opii,  gr. vj.
       M. Div. in chart,  no. vj.  S.  One powder
        twelve hours  before,  and one one hour
        before the chill  is to occur.
                                 —Carpenter.

(202) R—Quininae bromld., gr. xx.
        Alcoholis, m.  xx.
       M. Dissolve and add water to any dilu-
        tion   desired. For • hypodermatic  use.
        Concentrated  solutions  of quinina are
        not  readily absorbed  Into the  cellular
        tissue.
                                 —Carpenter.

(203) R—Quininae  sulphat.,  dr.  j.
        Acid  hydrobromlc, dr.  Ij.
        Aquae destil., dr. vj.
       M. m. xxx contain gr.  iv quinina.  (For
        hypodermatic  use.)

(204) R—Tr.  iodini,
        Tr.  ferri chlorldi,
        Tr.  sanguinar. aa equal pts.
       M. S.  gtt. xiii-xv after  each meal. To
        be   given  after  paroxysms  have been
         arrested with quinina,   which  drug is
        continued  in  one-grain   doses   before
        meals, for eight or ten  days.
                                 —Carpenter.

(205) R—Ferri  ferrocyanidl,
        Pulv.  guaiaci resin.,  aa dr. j.
       M.  et  div.  in  chart,  no.  xii.  S.  One
        powder td.  (In obstinate intermittents).
                                     —Ellis.

           REMITTENT FEVER.

  DEFINITION.—A  continued  fever  with
diurnal  exacerbations, taking  place  most
frequently  in tropical  regions.

  SYMPTOMS.—Actual:  Cold stage not so
complete  as  in   intermittent;  usually   a
chill;  temperature (100 or  101 degrees F.).
The  hot stage  is intense;  skin  dry  and
burning; face  flushed;  intense   headache;
eyes   injected;  pain in  limbs  and  back;
restlessness;  giddiness;  temperature  above 
                    222

 normal (1 to 10 degrees); a constant symp-
 tom  is  nausea  and  vomiting;  frequently
 violent  delirium;  oppression  in  the  epi-
 gastrium; tongue dry  and  furred;  intense
 thirst;  lips dry; pulse rises with tempera-
 ture; pulse  full  or  small  and compressi-
 ble; pigment in  blood.  In from three  to
 twelve  hours the symptoms usually abate;
 perspiration;  remission is of  variable du-
 ration;  is followed by an exacerbation  of
 greater Intensity than the  first; two ex-
 acerbations may take place In twenty-four
 hours  in  severe  cases;  intense adynamia
 may set in;  yellowish  skin; frequent  hem-
 orrhages;  sometimes  jaundice and  black
 TOmit;  typhoid condition.  (Pernicious re-
 mittent).  Enlargement of liver and  spleen;
 urine  scanty,   acid,  dark,  and   specifio
 gravity  high; constipation; may have diar-
 rhea; disease lasts from five  to fourteen
 days; death  from exhaustion  and  blood-
 poisoning. May  become   intermittent  and
 terminate In recovery.

  DIFFERENTIAL DIAGNOSIS.-From in-
 termittent  fever,  typhoid  fever,  yellow
 fever, pyemia, septicemia, hectic fever.

  TREATMENT—Hygiene;     ventilation;
 stimulants; nourishing  diet.  Hot  stage:
 Cold applications to head; cool drinks; cold
 affusions;  wet packs or  baths; for  vomit-
 ing,  Ice,  etc.; quinina (gr.  x-xv-xx)  every
two  hours; if rejected, give per enema or
hypodermatically;  or   Warburg's  tincture
(oz. ss repeated  in three hours);  no antl-
phloglstlcs; simple  enemata  or  laxatives
for bowels;  during convalescence:  chaly-
beates and quinina, etc.
            PRESCRIPTION.


            Warburg's Tincture.
(206) R—Aloes socotr..  lb. J
       Rad.  rhei  (East India),
       Sem.  angellcae,
     a. Confect. damocratls, aa  oz.
       Rad.  nelenls  (s. enulae),
       Croci satlvl,
       Sem.  foenicull,
     b. Cret. preparat., aa oz. IJ.
       Rad.  gentlanae,
       Rad.  zedoariae,
       Pip. cubeb.,
       Myrrh, elect.,
       Camphorae,
     e. Bolete laricls, aa  oz.  J 
223
       These Ingredients are to be digested with
        500 ozs. of proof-spirit  in a water-bath
        for  twelve  hours; then expressed, and
        10 ozs. of disulphate of quinina added,
        the mixture  to  be  replaced in the
        water-bath  until all the quinina is dis-
        solved.  The liquor, when cool, is to  be
        filtered, and is then fit for use.   Each
        oz.  ss.  contains  gr. viiss of  quinina.
        The  remedy should  be given without
        dilution every two or  three hours, all
        drink  being withheld.
                        —Professor  McLean.


              PARASITES.

              TRICHINOSIS.

  DEFINITION.—The morbid condition pro-
duced  by the  presence  of  the   trichina
.spiralis.

  SYMPTOMS.—Sense    of    fulness   and
pressure  in  the  epigastric  region;  there
may  be a chill; appetite impaired; eructa-
tions;  nausea  and  vomiting;  colic;  diar-
rhea; thirst;  depression; small and  quick
pulse;  then  various muscles  become af-
fected, and the symptoms are: pain; mus-
cles swollen,  tender, and hard; joints may
be  rigid;  sometimes   dyspnea;   trismus;
aphonia;  dysphagia; edema  of face and
limbs;  temperature may  be  as  high  as
106  deg.  F.;   pulse  120-140;   usually  a
profuse,  clammy  perspiration;  sometimes
sudamina.  The symptoms  are of  a  ty-
phoid character in grave cases, often com-
plicated  with  other  inflammatory   affec-
tions, as bronchitis, pneumonia, etc.

  DIFFERENTIAL    DIAGNOSIS.—From
lleo-colitis,  cholera,  typhoid  fever.

  TREATMENT.—Early  treatment is  re-
quired. In  the early  stage  give  calomel
(scr.  i-ij);  supporting  and   symptomatic
treatment.  Prophylaxis;  meats  should  be
thoroughly  cooked. 
224
CHAPTER IX.
MIASMIG DISEASES.
CHOLERA.
  DEFINITION.—An  epidemic disease, en-
demic in some places, epidemic elsewhere,
and  characterized by copious watery  dis-
charges from the alimentary canal, cramps,
shrinking of the  tissuos and extreme pros-
tration.  Is  not directly contagious.
  SYMPTOMS.— Incubation:  uncertain; one
to eighteen  days.   Invadon stage:  Fre-
quently  absent  or very  short. Diarrhoea
(usually  with griping); cholerine;  occasion-
ally there Is languor;  chilliness; depression;
debility; facial  expression  altered;  trem-
bling;  headache;  giddiness; tenderness in
the epigastrium;  tinnitus.  Stage  of devel-
opment (Evacuatlve stage):  Constant purg-
ing (rice-water discharges,  no foecal odor,
etc.); vomiting projectile; painful oramps;
thirst; prostration;  collapse; restlessness;
tongue pasty, white, cola;  expired breath
cold.  The  rice-water evacuations consist
of epithelium, mucus and  some  blood-cor-
puscles;  they are devoid of coloration  from
the bile-pigment.  This stage more or  less
rapidly passes Into the alglde stage.  Stage
of collapse  (alglde stage):  Eyes  sunken;
features pinched; face presents a  leaden or
livid hue; oheeks hollow; dropping of lower
eyelid;  nose sharp;  cold clammy sweatB;
surface of body more or less cyanotic; skin
shriveled and wrinkled; sometimes suppres-
sion of urine; temperature  falls rapidly In
the  superficial regions;  pulse feeble  and
thready; heart weak; paroxysmal dyspnoea;
hiccough; voice sometimes inaudible; jacti-
tation; wakefulness;  anxiety changing into
apathy;   sometimes   headache;   tinnitus;
muscae  volitantes;  vision  dimmed;  reflex
irritability  impaired;  cramps.  In  hopeless
cases stupor  and coma.  Functions of ab-
sorption and secretion  impaired  or  abol-
ished; purging and vomiting diminish; retoh-
ing may  still continue; thirst intense; stools 
                   225

passed in bed; they are less liquid; before
death the temperature rises; typhoid symp-
toms. Stage of reaction: Surface gets warm-
er;  expression  and color of face change;
heart's  action  improved; also the  pulse;
respiratiou nearly normal; other symptoms
abate; the secretions are re-established;  un-
less complications or relapses occur, recov-
ery  takes place.
  DIFFERENTIAL   DIAGNOSIS. — From
arsenic  poisoning,  effects of   croton  oil,
simple diarrhea,  severe  summer  cholera,
perforation of the stomach, perforation of
the bowel, extensive enteritis,  cold stage
of severe  remittent fever.
  TREATMENT.—During an epidemic, pre-
 ventive  measures;  cleanliness;   free  ven-
 tilation; disinfection of stools; quarantine;
 attention  to  diet,  to  temperance, mental
 state, sewers, drains, water supply, etc.
 Upon  the  appearance of diarrhoea patient
 must  be put  to  bed;  rest,   pure air.
 Evacuative stage:  Opium  in  some  form;
 may be  combined with capsicum, camphor,
 chloroform,  acetate of lead,  etc.  Is con-
 traindicated in the stage of collapse; rec-
 tal or hypodermatics of brandy; for vomit-
 ing: carbolic acid;  hydrocyanic acid,  etc.;
 perspiration should  be encouraged; efferves-
 cent  drinks;  quietude; disinfection.  Stage
 of  collapse:   Stimulants carefully  given;
 injection of  atropina;  whisky  subcutane-
 ously; ice.  After the purging: enemata  of
 biaudy  and beef tea; injections of water
 into cellular  tissues; diffusible stimulants
 (aromatic  spirits of   ammonia;  ammonia
 carbonate, etc.);  hot coffee;  lime water and
 milk; enemata of milk, etc.  Locally: mus-
 tard  plaster  over  abdomen;  for cramps,
 i-lnaplsms.  Stage of reaction:  Great care
 in  diet; liquid  food  in  small quantities;
 bovinine; water  freely;  tonics; encourage
 re-establishment  of  secretions; precautions
 against bed-sores; catheter for retention  of
 urine,  etc.   Dr. • Lee, of Chicago, has  advo-
 cated a  plan  of  treatment  which is very
 simple as well as effective.  His treatment
 Is as follows:  A large  irrigation of hot
 water, made soapy, is introduced into the
 colon through  a  suitable rubber tube; one
 to  three gallons  at a  time  are  injected
twice a  day for  the first two days, then
once a day afterward, if required, which,
he  says  is seldom the case.  The  stomach 
22r,
Is cleansed  with  hydrozone.* a  perfect an-
tiseptic,  given  in  half-cupful  doses,  to-
gether wltl- hot water freely.  Feeding  and
nursing  same  as  required  in  any  other
prostrating disease.  The hydrozone,  given
In  the doses  mentioned, is  continued, till
convalescence, etc.  (See "Cholera—Preven-
tion and Treatment," by Elmer Lee,  A. M.,
M. D., Chicago—the Chicago Med. Review,
April,  1893.

             PRESCRIPTIONS.
(207) R—Chloroforml,
        Tr. opii,
        Spts. camphor.
        Spts. amnion, aromat., aa dr.  Iss.
        Creasoti,  gtt.   vij.
        Spts.  vini gall.,  dr.  Ij.
       M.  S. gtt. x-xx  in ice water every five
        minutes.
                                    —Horner.

(208)  R—Acid,  carbol., gr. vllj.
         Bismuth, subnit., dr. U.
         Mucll. acaciae.
        Aq. lauro-cerasi,  aa. oz.  J.
       M. S. dr. j every hour or two. (For vomit-
         ing and  diarrhoea  during  reaction.)
                                  —Carpenter.

 (200) R—Tr. camphor.
         Tr. capsici.
         Tr. opii, aa oz.  ss.
         Tr. catechu, oz.  lj.
        M.  S. dr.  j  p. r.  n.

 1210)  R- Stryeh. sulph., gr.  Vi.
         Acid, sulphuric,  dil., oz. ss.
         Morphinae  sulphat.,  gr. lj.
         Aquiio camphor,  oz. Hiss.
        M.  S.  dr. j In every hour or two well
          diluted.  (In threatened  collapse. Also
          as a  prophylactic,  given   less  fre-
          quently.)
                                   —Bartholow.

   •HYDROZONE  ocnplps  the  moet  prominent
  place among antisoptie and germicidal remedies,
  and  its  great advantage  over  the other anti-
  septics is  Its harmlcKsnens, as it  can be  taken
  Inwardly,  ns  well  as externally.   It reaches the
  substances  to  be destroyed more thoroughly  and
  safely than  any other  agent  of  its class.   Iti
  efficacy  Is  due  to  tho  potency of the nascent
  oxygen, which is set free  when brought  in Con-
  tact with  any  open  diseased  surface  (skin  or
  mucous  membrane). Pus   corpuscles   are  de-
  stroyed; thoir spores annihilated,  etc. Glycozone
  acts more slowly,  but  Is very effective.  The  use
  of these  preparations  Is indicated in all disease
  caused by genua  or  microbes.) 
                      227

  (211) R—Tr.  opii, depurated.
          Spts. camphor.
          Tr.  capsici, aa  oz. J.
          Chloroform pur., dr.  llj.
          Alcohol (95 per cent.)  q. s. ad oz. v.
        M.  Each  dr.  contains  about  gtt.  100,
          consisting of m. xii of each of the first
          three ingredients,  and  m. ivss,  or gtt.
          xvlij of chloroform.  Dose, for  persona
          over 18 years  of  age. dr. j; for  per-
          sons 14 to 18 years  of age,  dr. ss; for
          persons 6  to 10  years,  gtt. xxx;  for
          persons 2 to  6 years, gtt. x-xxx; for in-
          fants, gtt.  1-x,  according  to age.  To be
          taken in water.  Repeat dose after each
          movement.
                             —E.  R.  Squibb.

  (212) R^-Morphlnae sulphatis,  gr. lsxx.
          Acid, hydrocyanic!, dil.
          Glycerinae.
          Caramelis, aa oz. ss.
          Ext. cannabis ind., scr. ij.
          01. menth.  pip., dr.  ss.
          Olel-reslnae  capsici, git.  xv.
          Chloroform  (pura),  oz. vj.
          Spts. vini rect., oz.  j.
        M. (Chlorodyne.)
                                      '  "■ '1

 EPIDEMIC   CEREBRO-SPINAL   MENIN-

                   GITIS.

   DEFINITION.—An acute  Infectious  dis-
 ease,  which  also  occurs in the   sporadlo
 form,  and Is characterized  by inflamma-
 tion of  the  membranes  of  the brain  and
 spinal eord,  and frequently attended  with
 eruptions.

   SYMPTOMS.—Commences rather sudden-
 ly without prodromata;  rigor or chill;  in-
 tense  headache; faintness;  vertigo; some-
 times  pain  In  the  epigastric  region,  and
 cerebral  vomiting   (bilious);  abdomen   re-
 tracted or full; pain  in  abdomen;  taehe
 meningitique;  diarrhoea;   fever   (100-103
 degrees F.);  fever  sometimes rises to  105
 degrees or higher;  slight evening  exacer-
 bation;   (Irregular   fluctuations);  restless-
 ness;  pulse  very  variable:   100-120,   fre-
 quently only  60-70;  Cheyne-Stokes  breath-
 ing; headache may be  frontal, occipital, or
 general.  In  one or two  days, the pain
 passes  to the back  of  the neck and down
 the  spine;  head extended. Tetanic spasms
appear  In from  three  to four  days;  opls-
thotonis;   pleurosthotonus;   trismus   (?);
strabismus; risus sardonicus; rapid respira- 
228
Hon;  pains in limbs;  hyperesthesia of the
skin.  In very bad cases the mind  13 cloud-
ed; muttering;  delirium;  stupor;  coma lu
hopeless cases;  sometimes  acute  mania.
Epileptiform  convulsions are  common In
children during  invasion  of  disease.  In
severe cases the wasting is extreme; urine
bloody or  albuminous, etc.  There may be
paralysis  of  some  cranial  nerves;  some-
times  deafness;  amaurosis;  photophobia,
etc.  In favorable  cases, the  nervous phe-
nomena subside; consciousness is  restored;
temperature approaches the  normal; con-
valescence is however slow, the headache
lasting  for some time.  Death  may occur
from  marasmus.

  DIFFERENTIAL DIAGNOSIS.-From te-
tanus,  typhoid  fever,  worms,  tuberoular
meningitis.

  TREATMENT.-Early  administration of
opium;  it must be kept up until the symp-
toms  of depression  come on;  for  active
delirium, fl.  ext. gelsemium (gtt. 1-v every
two to four hours);  apply hot water over
the spine,   by means  of a  sponge, every
two or three hours;  for  constipation,  a
merourial  purgative;  Iodide  of  potassium;
fly-blisters;  electricity; bromide of  potas-
sium  (gr.  xx-xxx) for the head  symptoms;
alcoholics  for  stimulants;  alimentation;
blisters to  nape of neck;  fluid ext. ergot
(dr. j)  every three hours.  Pure air, good
diet,  tonics, etc., during convalescence.
PRESCRIPTIONS.
(213) R—Potass,  iodid., gr.  xl,
        Kit. conll fi.,  gtt.  xl.
        Aqua?,  q. s. ad oz. lj.
      M. S. dr. lj td.  (To  promote, absorption.)

(211) R—Tr.  opii deod.
        Ext. gelsemll fl., aa dr. J.
        Syr. llmonls, dr. IJ.
        Aq. foenlcull,  oz. Iss.
      M. S. dr.  J every two hours.
                              —Bartholow.

(215) R^Ol.  tlglll, m.  v.
        Saponis.
        Pulv. acaciae, ua  scr. J.
      M.  et ft. pil. no. xx.  S.  One to throe
        pills.  (After  effusion.)
                               —Sund'lln 
229
(216) R—Potassi bromidi, oz.  ss,
       Syr. simp.,  oz. ss.
       Aquae  destil.,  oz. J.
      M.  S. dr. j every two hours,  (In after
       remaining  convulsions.)
                                —Ringer.
               INFLUENZA.

   DEFINITION.—A speclflc epidemic dis-
 ease,   self-limited,  characterized  by  a
 catarrh of  the  respiratory, and occasion-
 ally  of the digestive organs,  and by ner-
 vous symptoms  and debility.

   SYMPTOMS.—Period  of incubation:  a
 few hours to six days,  although it may ex-
 tend to three weeks.  Onset sudden; chilli-
 ness;  latter alternates with flushing and
 beat;  pain  in  the limbs; lassitude;  fre-
 quently headache,  nausea and vomiting;
 remittent   fever;   evening exacerbations;
 pulse at first full and bounding, Increased;
 apathy; debility; prostration;  restlessness;
 giddiness;  pulse  later  is  weak, soft,  and
 slow;  pain in  various  parts;  urine  febrile,
 etc.  Locally:  catarrh  usually  begins in
 nose and  conjunctiva;  it extends  down-
 wards; parts dry in the beginning,  then a
 watery, acrid discharge takes place; sneez-
 ing;  epistaxis  (?);  throat,  mouth,  and
 tongue sore; frontal headache; taste im-
 paired.  "When catarrh  extends  to  larynx,
 we  have  hoarseness;  cough  (paroxysmal),
 dyspnea,  etc.  Cough  dry at  first,  later
 with  bronchitis,  occasionally  bloody ex-
 pectoration; pain in epigastrium; diarrhea;
 nausea  and  vomiting;   thirst;   tongue
 furred;  loss of  appetite.  In cases  which
 are  complicated  and  severe:  typhoid  con-
 dition;  dry brown tongue;  delirium,  stupor,
 convulsions. Catarrhal  symptoms  subside
 In about five to  seven  days; complications
 prevent rapid convalescence, etc

  DIFFERENTIAL     DIAGNOSIS.—From
 catarrhal affections  of the  nose, throat and
 bronchial tubes.

  TREATMENT.—Put  patient  In  a  cool,
 well-ventilated room;  no  draughts.  Give
at the outset a calomel and saline  purga-
tive;  a stimulating emetic if nausea,  or
air-tubes are loaded with  secretion;  liquid
diet;  cool  drinks;  dilute  sol.  nitrate  of
potassium  with   lemon-juice  and  sugar;
quinina  (gr. xv)  with  morphine (gr.  ss) 
                    230

to which  belladonna  may be added;  mu-
riate of ammonia  freely, etc.  Treat symp-
toms as they  arise.  An excellent plan  of
treatment  is  to spray the nostrils (nares)
every  three hours with  hydrozone (oz.  ss
with  oz.  iv-vi  of  lukewarm  water);  to
reach  the  trouble  In  the bronchial  tubes,
with a hand  atomizer allow  patient to in
hale ozonized  vapor three to  six times per
diem, as follows: Hydrozone  (oz. ss), water
(oz.  es) glycerine  (oz.  j).  Renew  this  mix-
ture every three days.
            PRESCRIPTIONS.

(217) R—Potass, nit., dr. J.
        Spts.  aether, nit.,  dr. lv.
        Liq. ammon. acet.,  dr.  Iss.
        Aquara ad  oz.  vj.
       M.  S. Oz.  ss with one of  water every four
        hours.  Take for four days,  and  follow
        with quinina as a  tonic.
                        —Morell  Mackenzie.

(218) R—Ammon. bromld., dr. IJ
        Ammon. carb.. dr. J.
        Antikamnia, dr. ss.
        Tr. aconiti, gtt.  xx.
        Syr. tolu, q. s. ad oz.  IJ.
       M.  S.  Dr.  J in water every three hours.
                                   —Booth.

(210) B— Ext. ipecac, ft., dr. lj.
        Tr. opit deod., dr.  lv.
        Tr. aconit. rad., dr. J.
      M.  S. gtt.  vi-vllj every two hours. (For
        the bronchitis.)
                                —Carpenter.

(220) R—Ammonii  murlat., dr. las.
        Morph. Sulphat., gr.  IJ.
        Tr. sanguinariae.
        Syr. ipecac, aa dr. lv.
        Syr. glycyrrhiz., os. J.
        Aquae, oz.  IJ.
      M. S. dr. j  doses. (To allay the cough.)
                                —Carpenter.
               HAY-FEVER.

  DEFINITION—An acute  catarrh of  the
upper air-passages  principally,   occurring
at a  flxed period  annually,  and  disappear-
ing after a variable duration.

  SYMPTOMS.—Swelling,  congestion,  and
itching  of  the  eyelids  and  conjunctiva;
eyes watery; photophobia  sometimes; tume- 
                     231

 faction,  congestion,  and watery discharge
 from  the  nostrils;  violent  and frequent
 sneezing; cough  (more  or  less);  asthma
 (?); irritation  of the  throat,  fauces,  and
 soft palate.   Symptoms are sudden in their
 onset; paroxysmal.

  TREATMENT.—Give quinina  (gr.  v  td.)
 before the attack;  give it  throughout  dis-
 ease in gr.  ij doses;  arsenic  (small doses);
 bowels open; treat cough; flannel next the
 skin; for the  asthma  see that  affection;
 stimulants;  nourishing diet:  tonics.  Hay-
 fever can be prevented  by the  early  use
 of  that   powerful  bactericide,  hydrozone.
 Spray  the nostrils  and throat thoroughly
 two or three times a  day,  and  with  the
atomizer  inhale the ozonized vapor  as pre-
viously  explained   (see   influenza).  This
treatment must  be kept up during  the
whole hay-fever season.
             PRESCRIPTIONS.

  (221)  R—Fowler's solution, oz.  J.
         Tr. belladon., dr.  ij.
        M.  S.  gtt. v-x td. after meals. (Prophy-
         lactic.)

  221 (a) R—Sodll  biborat., gr.   t.
         Aquae  camph.,  dr. j.
        M. Collyrium for the inflamed conjunctiva.

  221 (b) R—Sodii biborat., scr. iss.
        Aq. amygdal.  concent., oz.  iss.
         Liq. plumbi subacet.,  dr. iij.
         Aquae, oz. lv.
        M.  S.  Add dr. iii to oz. lv cold water,
         and apply  to closed eyelids,  when they
         are swollen.

 221 (c) R—Liq. potrss. arsenlt., m.  11.
         Potass,  iodid., gr. lj.
         Liquor,  ammon., m. v.
         Aquae,  oz. j.
        M. S.  To be taken  td., when bronchial
         symptoms are developed.

    WHOOPING COUGH—PERTUSSIS.

  DEFINITION.—A  specifio,  contagious dis-
 ease,  occurring: chiefly in  childhood,  and
 characterized  by  a  hard, peculiar, parox-
 ysmal  cough.  The  expiratory  efforts  are
 followed by  a  long, noisy  inspiration or
 whoop.  Period of incubation, about two to
 fourteen days.

  SYMPTOMS.-First   stage   (catarrhal):
Generally  lasts  from three to  ten  days. 
                    232

 Malaise;  loss  of  appetite;  fever (slight),
 with  evening  exacerbation  and morning
 remission; coryza;  slight cough; restless-
 ness; great  nervous excitability; running
 from  the  nose; redness of the eyes;  sneez-
 ing;  sometimes delirium at  night.   The
 cough may be severe; it is dry at first, etc.
 Second strge (spasmodic): Cough is parox-
 ysmal;   tickling  in throat  may precede
 cough;  eyes swell   and  protrude during
 paroxysms; face cyanosed;  veins of head
 and neck swollen;  nose  bleed;  body bent
 forward;  paroxysms set  in  abruptly.  The
 cough (paroxysms)  Is  distressing and  se-
 vere,  and consists of a  number  of  quick,
 spasmodic, forcible  loud expiratory  puffs,
 alternating with prolonged,  shrill inspira-
 tory  whoops.  It  usually  lasts  from one-
 half to  two  minutes, returning  at regular
 intervals; paroxysms usually lake place at
 night.  There may be involuntary discharge
 from  the bladder and rectum; hernia; pro-
 lapsus ani; convulsions,  etc.  Third  stage
 (terminal):  The  paroxysms  gradually  di-
 minish in  frequency; are less severe;  cough
 loisens;   expectoratiou   freer;   vomiting
 ceases; general health improves,  etc.

  DIFFERENTIAL   DIAGNOSIS. — From
 bronchitis, naso-pharyngeal catarrh.

  TREATMENT.-Keep  patient in a warm
 room;  flannel  next   to  the  skin; warm
 drinks; give a simple expectorant (see pre-
 scription  No. 221);  prevent  complications
 and relieve symptoms.  Sedatives in second
 stage: small doses  of quinina; belladonna;
 alum;  antipyrine;  bromide  of potassium
 and bromide of ammonia.  Antipyrine may
 be given in doses of gr. %-iii-v for children,
 according to age; diet of patient  should  be
 carefully regulated, etc.  Hydrozone, as be-
 fore recommended,  is  very  efficient.  The
 throat, nose,  pharynx and  larynx are  to
 be Irrigated; inhalations with the atomizer;
 hydrozone  may be swallowed,  as It Is bene-
 ficial and harmless.


           PRESCRIPTIONS.

(222) R—Tr.  opii.  camphor.
        Syr. ipeeac,  aa dr. J.
        Syr. scillae,  dr. ijj.
        Syr. tolu., oz.  ss.
      wL1S- P°ta,ss-  cltrat.,  q.  s. ad oz.  llj.
      M. b. dr. j every two hours, for a child
       of one  year.
                                -Powell. 
                     233

  222 (a) R—Ext. belladonnae, gr. %,
         Pulv. aluinlnis, gr. xxiv.
         Syr. zingiberis.
         Aquae, aa  oz. iss.
        M.  S. dr.  j  every two hours  for a child
         of one year.
                       —Goodhart and Starr.
  (223) R—Ammon. brom.
         Potass: brom., aa dr. J,
         Tr.  belladon., dr.  j.
         Glycerin., oz. j.
         Aquae rosae, q. s. ad. oz.  iv.
        M.  S.  Use  as a spray four to six tiroes
         a day.
                                —Keating.
  (224) R—Ammonli plcrat., q. s.
         Dose: Infants, gr.  1-16—1-12;  children,
           gr. 1-12—1-8; every three hours.
                               —Carpenter.

             DIPHTHERIA.

   DEFINITION.—An  acute,  specific,  con-
 tagious disease,  frequently epidemio,  the
 lesion  of  which consists  of  a  croupous in-
 flammation of the mucous membranes. The
 period of incubation varies  from  two  to
 four days; sometimes thirty hours to eight
 days;  exceptionally, two weeks.

   SYMPTOMS.—Soreness  or  pain  in  the
 throat; fauces red  and swollen,  and cov-
 ered with small specks of diphtheritio de-
 posit,  which  rapidly extend  and spread
 Into patches of variable thickness;  patches
 adhere to surface of palate or tonsil, and
 when removed leave a shallow  ulcer, with
 a bleeding surface; exudation may spread
 to the  mouth, lips,  nose,  Eustachian  tube,
 laiynx,  stomach, etc.; tonsils  and uvulae
 enlarged;  breath  foeted;  sometimes ulcer-
 ation  or  sloughing;  parts  of membrane
 frequently coughed up; glands beneath the
 angle  of  the  jaw   hard,  tender  and  en-
 larged;  sometimes  the structures  of the
 neck are  more  or  less  tumefied.  If the
 nares are  involved,  there is  a  sanious and
 offensive discharge.  If the larynx,  hoarse-
 ness  or aphonia,   dyspnoea,  etc.  If the
 bronchi, embarrassed  respiration;  and so
 with other parts  involved.  General symp-
 toms:  Temperature  may rise to 103-107 de-
 grees F.; pulse may  be greatly accelerated;
 asthenic or typhoid  symptoms in bad cases;
 diarrhea;  cyanosis;  asphyxia,  etc.  Diph-
 theria is usually slow in onset; there  is
 generally malaise,  chilliness, loss of appe-
 tite,  nausea and vomiting;  fever,  thirst,
 headache,  stiffness  of  neck,  sore  throat,
etc. 
234
  DIFFERENTIAL   DIAGNOSIS. — From
acute  follicular  ulceration  of the  tonsils,
croup  (?), scarlatinal sore throat, pharangi-
tls with great secretion.

  TREATMENT.—Supporting: Temperature
of room .from 65-68 degrees F. Impregnate
air of room  with steam: hygiene; ventila-
tion; disinfection, etc.   The diet must be
nutritious  (animal broths, milk, eggs, etc.):
cool drinks freely;  ice to suck;  whisky or
brandy; nutrient  enemata if swallowing is
difficult; mild  aperient;  saline  drink of a
sol.  citrate of  potassium  (dr. i-O  j).  etc.
For  typhoid symptoms: Ammonia and bark.
camnhor, musk, ether, etc  Small doses of
tr. ferri chlorldi.  and sol. potassl chloratis.
alternately, every half hour;  then use hy-
drozone, spray or  gargle* (every two hours),
the  nose, throat,  mouth,  pharynx,  larynx.
Hydrozone disinfects the  discharges:  pre-
vents  their  absorption  into  the  system;
destroys the  disease germs;  removes the
false membrane.   Tt is thorough,  quick and
very effective.  The  Diphtherin Antitoxlne
Solution (Schering)  Is a clear  liquid,  which
contains TM>  per cent, albumen, and  which
may be kept  indeflnitely,  bv the addition of
0.2 per  cent.  Trikresol.   For  its use  Dr.
Hans  Andeison gives the  following rules:
1. For the protection of inmates in affected
dwellings:  The dose is, for children under
two  years, 1 c. c.;  for children, from  two
to ten  years.  2  c. c.:  for older children
and  adults.  3  c.  o.  It  is injected  subcu-
taneously  by means  of  a Pravaz syringe
Into  the  subcutaneous  tissues   behind
the  shoulder blade, or  into  the  arm  or
upper   part  of the  thicrh.   The  syringe
should  previously be subjected to the pro-
cess of sterilization, by  using alcohol  and
a  3  per cent,  carbolic acid, or preferably
1  per cent. Trikresol  solution. During the
disease itself,  10  c  c. are  injected  in the
first stage, or flist  day  of the affection.
Later  (second, third or fourth day),  larger
nnd  more powerful doses are  required, up-
ward from 40-50 c. c.

           PRESCRIPTIONS.

(225) R—Tr. ferrl eWorld., dr. 1-liJ.
        Glycerinae. q. s. ad oz. j.
       M.  S.  Paint tonsils every four hours.
                                 —Powell.

  •It is  better to apply the  hydrozone. In adults
and older children, with a brash or cotton wad. 
                       235

 (226) R—Trypsin (Fairchild's), dr. J.
          Sodll bicarb.,  gr. xx.
          Aquae,  q.  s. ad oz.  IJ.
        M. S.  Apply with atomizer every  houi
          at first if necessary.
                                       —Powell.
 (227) R—Acid, boracic,
          Sodii borat.,  aa dr. ss.
          Sodii chlorid.,  gr. xx.
          Aquae, O ss.
        M.» S.  Inject  dr.  1  warm  in  each nostril
          every two  hours.
                                       —Powell.
 (228) R—Potass,  chlorat.,   gr.  xxlv.
          Tr.  ferri  chlorid., m.  xlvlij.
          Glycerinae,  oz.  ss.
          Aquae, q.  s.  ad oz. iij.
        M. S.  dr. j  every-  two hours for a  child
          of two years.
                                       —Powell.
 (229) R—Quininae sulphat., gr. xij.
          Potass, chlorat., gr. xlvilj.
          Tr. ferrl chlorid.,  dr. J.
          Syr.  zingiberis,  oz. j.
          Aquae, q.  s. ad oz.  iij.
        M. S. dr.  j  in waver every two  hours for
          a  child  of  six to  ten  years.
                        —Goodhart  and Starr.
 (230) R—Potassil chloratis, dr.  J.
          Acid,  hydrochloric,  dr.  ss (I).
        Misce,  et  adde:
          Tr. ferri chlorid.,  dr.  ij.
          Aquae destil.,  q.  s.  ad  oz.  It.
        M. S.  dr.  j every  two  hours.
                                       —Waugh.
 (231) R—Acidi. lactici,  dr. lilss.
          Aquae destil., oz. x.
        M. S.  Apply by means of a spray or mop.
          (To dissolve the exudation).
                            —Morell Mackenzie

 (232) R—Sodii sulphitis,  dr. J.
         Aquae destil.,  oz.  j.
        M. S. Apply with a probang.
                                       —Stllle.
 (233) R—Papain,  dr. iiss.
          Hydronaphthol,  gr. ij.
         Acid,  muriat,,  gtt. xv.
         Aquae destil., oz. iij.
         Glycerin.,  dr.  ij.
        M. S.  Apply to affected parts every  half
          hour by an atomizer, to dissolve  the diph-
         theritic membrane.
                                     —Caldwell.
(234) R—Strychninae,  gr.  J.
         Acid,  nitrlci.  dil.,  dr.  J.
         Aquae,  dr.  vij.
        M. S.  From gtt. v, in a  dessertspoonful
         of water, td. to  a  child of three year*.
                                     —Metcalfe. 
236
            ACUTE PLEURISY.

  SYMPTOMS.—Chill;  fever;   sharp  pain
(pleuritic stitch);  short dry cough; shallow
respiration;  nausea;   sometimes  vomiting;
breathing  with  the  unaffected lung:  fre-
quent  pulse,  etc.  In  children the  pulse
v tries  (in   first  few days)  from 130-MO
beats;  temperature may  run  up bo 103-104
degrees F.  (usually 101-102 degrees F.), etc.
Physical  signs:   Friction  sound;  dullness
on percussion; diminution or loss of healthy
murmurs,  etc.

  TREATMENT.—Rest in  bed. Strapping
to  restrict  movement;    opium for  pain;
quinina;  bowels  open; anodyne poultices;
blisters; iodine;  nutritious  food;  syrup of
iodide of iron, et?.
             PRESCRIPTIONS.


(235) R—Morphinae sulphat.,  gr. Vi-
        Quininae sulph., gr. xv-xx.
       M.  et ft.  chart. S.   At once.  (To abort
        a  commencing  pleurisy).
                                —Bartholow.

(23Q) R-Tr.  aconiti  rad., dr.  IJ.
        'i'r.  opii  deod., dr.  vj.
       M.   S.  gtt.  viij  In  water  every  two
        hours. (In ccute form before  effusion).
                                —Bartholow.

(237) R—Tr.  lodlnl,  oz.  j.
        Potass,  lodidi,  oz.  ss.
        Camphorae,  dr.  lj.
        Spt.  rect, oz.  x.
       M.  S.  For counter-irritation in  children.
                                   —Powell.

(238) R—Potasa.  acetat.,  gr.  xv.
        Spts. aether, nitrnsi, dr. ss.
        Vlnl  ipecac, gtt.   iij.
        Syr.  tolut.,  «.r. ss.
       M. S.  One dose  four times  a  day.  (Sub-
        acute form).
                                —Da Costa.

(239) R—Tr. veratri vlrld., in. xxiv.
        Potass,  acetat., oz.  ss.
        Morph.  acetat.,  gr.  ss.
        Liq. potass, cit., oz. iiss.
        Syr.  tolut.,  oz. ss.
      M.  S.  dr.  lj  every  three  hours.  (Dry
        pleurisy).
                                  T>a  Costa. 
                      23?

(240) R—rotass.  acc-iat.
         Inf. digitalis,  aa,  dr. ii-iv.
       M.  S.  This amount  each  day;  or,
(241) R—Pulv.  digitalis,
        Pulv.  sallae  nier.
        Hydrarg.  chlor.  mlt.,  aa,  gr.  x.
       M.  Ft. in  pil. no. x.  S.  One  pill  td.
                              —Alonzo  Clark.
(242) R—Olel  tiglii, dr. ss.
        Aetheris,  dr.  j.
        Tr.  iodini co., dr.  iiss.
       M  S.  Counter-irritant and vesicant in
        pleurisy,  etc.
                                    —Carson.
(243) R— Inf.  digitalis, oz.  iv.
        Potass,  acetat.,  dr.  j.
       M.  S. dr.  j every three hours  to a child
        four  or  five  years  old.
                           —J.  Lewis Smith.

           CHRONIC PLEURISY.
                  (Empyema.)

  DEFINITION.—Pus in the pleural  cavity.

  SYMPTOMS.—Signs  of  effusion   in  the
pleural  cavity;  hectic  fever;  emaciation;
often   edema of  arm and chest on affected
side.  Symptoms  are a  continuance  of the
subacute foim.

  TREATMENT—Tonics;   nutritious  diet;
aspiration.  Irrigation  should be  employed
with great  caution.  Deaths  have occurred
from them.

            PRESCRIPTIONS.

(244) R—Tr.  iodini co., oz. j.
        Glycerinae, oz. ij.
        Aquae,  oz.'   v.
       M.  S.  For external  use.
                                     —Fuller.
(245) R—Tr.  iodi. Co.,  oz.  ij.
       S.  Divide  surface on  affected side  into
        three  sections, and  paint one  section
        each  day.
                                 —Bartholow.
(246) R—Potass, iodid., gr.  J.
        Ferri et.  ammon.  cit., gr. iij.
        Syr. sarsaparillae co., dr. ss.
        Aquae destil., dr.  ij.
       M.  S.  One dose td.  (For children.)
                                   —Hazard.
(247) R—Potassil  Iodid!, dr. iv.
        Aquae destil., q.  s. ad  oz. vj.
       M.  S. dr.  j  in milk  every four hours.  (To
        be used  in conjunction with R no. 245.)
                                 —Bartholow. 
238
             HYDROTHORAX.

  DEFINITION.—An  accumulation  of wa-
tery  (serous) fluid  in  the chest;  it  differs
from pleurisy in  the character  of the fluid
and condition  of the pleura (is not  an in-
flammatory  exudation).

  SYMPTOMS.—Usually  follows other  af-
fections, like organic diseases of the heart,
pleurisy,  etc.  Increasing dyspnoea;  action
of heart embarrassed;  symptoms of  imper-
fect  aeration  of the  blood;  sometimes
edema of face  and  hands, etc.

  TREATMENT.—That of general dropsy.
Dry cups over  chest; thoracentesis, eto.
           PRESCRIPTIONS.

(218) R—Pulv. opii, gr.  iv.
        Hydrarg.  chlorid. mlt., gr.  vj.
        Pulv. digitalis, gr. xij.
        Confectionls rosao, q. a.
      M. et ft. pil. no. xij. a One  to be taken
        every eight hours. (In hydrothorax and
        ascites.)
                                   -SSUls.
(249) R—Ext. Jaborandi fl.,
        Elix. simp., aa oz. ).
        Aquae destil., oz. J.
      M. S. oz. ss  every four hours.  (Also  for
        ascites.)
                                 —Gubler.
PNEUMOTHORAX.
  DEFINITION.—A collection of air or gas
in  the  cavity   of  the pleura,   with  or
without serum.

  SYMPTOMS.—Acute pain in side; lividity
of face and  lips;  severe dyspnoea; prostra-
tion; palpitation  of  the heart;  accelerated
pulse,   eto.  Physical  signs:  Enlargement
of the affected  side; tympanitic resonance;
respiratory murmur feeble or absent; apex-
beat displaced,  etc.

  DIFFERENTIAL   DIAGNOSIS. — From
hydrothorax.

  TREATMENT.—Opiates  for  pain;  when
dyspnea is great, free  drainage, eto.  (See
Chronic Pleurisy.) 
                   239

         LOBAR PNEUMONIA.*

 DEFINITION.—One  or more lobes  of the
lung are consolidated with morbid products
in  the  air-vesicles and  bronchioles.  (Also
called croupous and fibrinous pneumonia.)

 SYMPTOMS.—First  Stage  (Congestion):
Catarrh, malaise  (sometimes);  chill; fever
(rises to 104 degrees F.); vomiting; pain in
side and back; breathing  frequent (often
30-60 inspirations  per minute); cough  dry
at  first, then clear,  tenacious,  and later
rusty  expectoration;  marked  prostration;
convulsions   in   children,   etc.   Physical
signs:  Crepitant rale  over  congested parts;
slight  dulness,  etc.   Second  Stage  (Red
Hepatization): Increase of symptoms; pain
may diminish;  dyspnoea.  Physical  signs:
Dulness on percussion; bronchial rales may
be  heard;   neither   healthy  murmur  nor
crepitation; bronchial respiration; broncho-
phony.  Third Stage (Gray Hepatization, or
 Resolution):  Increased difficulty of breath-
 ing; pain absent;  sputa turbid or purulent;
 debility, etc.  Physical signs:  Mucous,  or
 gurgling rale; sometimes cavernous breath-
 ing; relapse, etc. At  first  the  signs  are
 like the second stage. When resolution seta
 In: Vocal  fremitus lessened;  broncho-vesi-
 cular breathing;  dulness diminishes, etc.

   DIFFERENTIAL   DIAGNOSIS. — From
 pleurisy,  pleurodynia,   pulmonary edema,
 hydrothorax, bronchitis, phthisis, etc.

   TREATMENT.—Keep air  moist; stimu-
 lants;  nutritious diet;  bowels  solubje;
 quinina and morphina  (s>cr.  j-ss);  cups or
 leeches; tr.  aconite  root (gtt. ii every two
 hours); mustard  plaster  to  chest;  feet in
 hot mustard foot-bath; solution of carbon-
 ate of ammonia in  liq.  ammonii acetatis
  (oz.  ss-gr.  v-x)  every three hours;  cold
  baths; cold compresses  to  chest;  digitalis
  for any  heart  failure,  etc.  In  children,
  clothe child in  flannel;  cotton jacket or
  poultice round  chest;  camphorated  oil or
  turpentine and  sweet oil rubbed  in  chest
  night and  morning; liquid  diet (milk, raw
  beef juice, etc.); citrate of potassium  solu-
  tion (dr. j to child  of  one year every  two
  or three  hours), until  cough loosens; qui-
  nina  by suppository: tr.  aconite or antipy-
  rine for high  fever; Dover's powder; bran-
  dy; cod-liver oil, etc.

    *For Pneumonia in  Children see Chapter 13. 
240
               PRESCRIPTIONS.
   (250) R—Ammon. chlori.
           Ammon. iodid., aa gr. xxiv.
           Syr.  scillae,  oz. ss.
           Syr.  tolut., oz.  j.
           Aquae,  q.  s. ad oz.  iij.
         M. S. dr. j every  three hours  for a child
           of  two years.
                                     —Powell.
  (151)  R-Potass.  cit.at., scr. J.
           Syr. aurantii,  dr. ij.
           Aquam, q.  s.  ad oz.  ij.
         M. S. dr. ij as required, for children
                                    —Hllller.
  (252) R—Ammonli carbonat.,  scr.  lj
          Infus. serpentar., oz.  iv.
         MS. oz.  ss every three hours.  (About
          the period  of  crisis.)
                                 —Bartholow.
  (253) R—Spts. aether, nit.,
          Potass, acetat., aa dr  Iss
          Spts. mindererl.
          Aq.  camphor aa  oz.  iij.
        M (To be left with slightly acid reaction
          to Utmus.)  S. dr. j every two hours to
          a child.  Promotes diaphoresis and diur-
          esis; liq. amnion,  acet. assists in elimi-
          nation from  the skin and  reduces fever.
                                 —Larrabee.
 (254) R—Morphinae sulphat.,  gr. U-%
         Quininae sulphat., gr.  vi-x
        M  et  ft.  chartula.  S. One  dose. (Within
         twenty-four  hours after  chill  to abort
         attack.)
                                   —Palmar.

         LOBULAR PNEUMONIA.

  DEFINITION-A catarrhal inflammation
 Involving the  bronchi and  groups of air-
 vesicles  belonging  to  them.    (Acute  or
 chronic.)  Also  called  catarrhal   and bron-
 cho-pneumonia,  etc.

  SYMPTOMS.-Often  very obscure. Some-
 atef nnfii.feyer.1(105  d^ees F-):  acceler-
 ated  pulse;  rapid  respiration;   dyspnoea-
 cyanosis;  hacMne.  painful cough;  emacia-
 rs2«i,-£!at Pr.ostration, etc. Physical signs:



sKti^ItT*both  lungs:  SEicffiE

  DIFFERENTIAL   DIAGNOSIS. - From
U^'d3  ,broncHt,s' ,obar  Pneumonia, coN
lapse of  lung,  etc. 
241
  TREATMENT.—Carbonate (gr. iii-vj) and
iodide of ammonia  (gr. iv-viij)  in  solution,
every  two hours  to favor excretion of  the
exudation;  quinina  for fever;  alcoholics;
vapor inhalations; stimulating emetics (apo-
morphine hypodermatically); mustard bath:
dry cups, etc.  For  emaciation,  tonics,  pro
teinol, etc.  (See  lobar pneumonia  for chil-
dren).  Treat the  bronchitis. Febricide pills
(one every four hours).
           PRESCRIPTIONS.

(255) R—Vini ipecac, dr. j.
        Potass, citrat., gr.  xxx.
        Tr. opii camph., dr. ij.
        Ellx. simpl., oz. j.
        Aquae destil., q.  s. ad oz.  iv.
      M. S. dr. j to infant of six months, every
        two hours.  (Relieves  the  cough and
        irritability  and  restlessness;  promotes
        free action of kidneys.
                          —F.  S. Parsons.

(256) R-—Ammon. carbouatls, gr.  xlviii.
        Pulv. acaciae et saccharl, aa q. 8l
        Spts. lavandulae co., dr.  lj.
        Aquae,  q. s. ad oz.  lv.
      M. S. dr. j in water every two or three
        hours,  for a child of five  years.
                                 —Pepper.
        PHTHISIS PULMONALIS.

  ETIOLOGY.—Dr. F.  S. Parsons* places
the true cause of phthisis as existing, not
primarily in the tubercle bacillus, but in a
lymphatic stasis  due to congenital malfor-
mation of some excremential organ, or, ac-
quired  by chemical decomposition of nor-
mal blood elements increasing waste tissue
products.  From the arterial  hue to venous
blood in phthisis he argues  that oxygen in
the natural  state passes  over from  the ar-
teries through the capillaries into the veins.
and, hence,  tlere must be  a deficiency in
some  oxidizable  element, probably oxidiz-
able phosphorus.  That  these theories are
tenable is  shown by the  results of the ad-
ministration of chemically pure syrups of
the hypophosphates and the residence of
the patient  in  ozonized  atmospheres.   The
tubercle bacillus,  he holds,  is  a develop-
ment  of secondary importance, only due to
the  favorable  media   presented  by  lym-
phatic  stasis.
♦See Times and Register, Jan.  6, 1895, et seq. 
242
  SYMPTOMS.—First  stage: Dry,  hacking
cough; pains  In  chest; slight  or profuse
hemorrhage:  feverishness: excitable  pulse:
loss  of flesh  and strength,  etc.  Physical
signs:  (Obscure  at fnst.)  Dulness  under
clavicle on one side; feebleness of respira-
tory murmur; upper  part  of  chest  con-
tracted;  bronchial   respiration:  expiration
prolonged: mucous  and subcrepitant rales;
heart  sounds ringing  and  loud,  etc.  Sec-
ond  stage: Chills:   fever increases;  sputa
purulent,  streaked  with  blood,  or  cheesy
yellowish  cakes:  night sweats;  hectic; loss
of  appetite;  hoarseness;  emaciation;  de-
bility;   diarrhea   (colliquative);    cough;
edema of extremities, etc.  Physical signs:
During formation of pus, dull  sound; cav-
ernous rale, or gurgling;  cavernous respira-
tion and resonance; pectoriloquy, etc.  One
of  the earlest  symptoms   in  phthisis  is
the  cough.  The rise in  the temperature
Is also an important  symptom.  After the
disease has  advanced, the  physical signs
pertain to pulmonary consolidation,  cavi-
ties,  bronchitis  and pleurisy.

  TREATMENT. — Prophylactic.     Treat
symptoms,  etc.  (See  Prescriptions).  The
benefit of change  of  climate is most per-
ceptible   in  patients  suffering from  the
first or early second  stage  of  the disease:
It is in incipient phthisis that  a change of
climate means  relief,  and  In  many cases
permanent  cure.  The requisites of a cli-
mate  for such  patients are  dryness  and
elevation, and of the many health  resorts
offering   these   advantages.   Bartholow
places those of North  Carolina  first,  no
doubt on account of  the abundant  growth
of   that  wonderful  ozone generator—the
long-leaf  pine.  And  I  know of  no  place
In  that   State more  suitable for patients
afflicted with  phthisis, or, in fact,  any of
the diseases relative to the throat and  air
passages,  than  that  delightfully situated
resort known as Southern  Pines.  It  pos-
sesses all the curative properties that  in-
fluence patients seeking an ideal  sanitar-
ium.  Situated as  it  is In  the  very  heart
of  the long pine belt, its many attractions
 and advantages have long  since  placed it
ore-eminently  the   greatest  of   natural
health resorts.  The climate Is such as to
 Invite attention from every quarter.  It is
 the Ideal climate  for invalids.  It  is free
 from  the intense heat of summer, and  the
 cold of the Northern winter is unknown. 
                     243

 The atmosphere  is constantly charged with
 the purest  of  balsamic  vapor,  the inhala-
 tion of which exerts  such  a  curative in-
 fluence,  and  together  with  the  dry and
 bracing air, tends  in  a wonderful  degree
 to modify  the serious  inroads  of disease.
 Among the many advantages of this place
 are perfect drainage,  dry  air,  water  of
 the finest  quality,  even  temperature, an
 atmosphere laden with balsamic vapor, etc.
 According  to  Prof.  W.  C.  Kerr,  former
 State   geologist  of  North  Carolina,  the
 average  annual  mean  temperature  is  58
 degrees; average summer  temperature,  77
 degrees;  average winter  temperature,  44
 degrees, and average minimum,  13 degrees,
 while  a record  of 19 degrees  is rarely made
 east of  the "Blue  Ridge."  The average
 mean  annual  rain fall  is  45 inches.  This
 precipitation  is   distributed nearly  uni-
 formly through the different seasons,  and
 notwithstanding  this large amount of  rain
 fall, the tables of humidity  show that the
 climate is as  dry as  that of France,  and
 the cultivation  of the  vine, cotton,  silk,
 etc., furnishes the strongest  practical proof
 of  the fact. The hygiene (change of cli-
 mate,   eto.)  Is more  important than  the
 medicinal treatment.

            PRESCRIPTIONS.

 (257) R—Ammonii chlorldi,  dr. J.
        Syr.  scillae, dr.  iij.
        Infus. senegae,  oz.  vj.
       M. S.  oz. ss td. (Stimulating  expector-
        ant).
                               —Anderson.
 (268) R—Quininae  sulphatis.
        Pulv. digitalis,  aa gr.  xij.
        Pulv. opii.,  gr.  vj.
       M.  et. ft.  In  chart,  no.  xij. S.  One
        every six hours.  (Antipyretic powder).
                               —Nienieyer.
 (259) R—Pulv. agarlcl,  gr. vltj.
        Zinci oxidi,  gr. iss.
        Pulv. campfcor., gr.  1-3.
       M. S. One  catchet.  Take on  going  to
        bed.  (For  night sweats).
                                   —Robin.
(260) R—Creasoti,  gr.  xxvU.
        Tr.  gentian.,  dr.  J.
        Alcohol, oz.  J.
        Vini  xericl, q. s.  ad. oz. It.
       M. S.  Dr. ij two  or three  times a day
        in a glass of water.
(261) R—Acid., sulphuric, aromat., oz.  J.
       S.  Gtt. x at bed-time. (Night sweats). 
                      2-M

 (202) R—Acid, gallicl, dr. ss.
         Ext.  helladon.,  gr.  IJ.
        M.  et. ft. pil.  no. x,  S.  Two  at bed-
        time.  (Sweats).
                                  —Bartholow.

 (283) R—Olel  morrhuae,  oz.  j.
         Aq. menth. pip.,  oz. ss.
         Tr.  aurantii, oz. ss.
         Mist,  acaciae,  oz.  Hiss.
         Ol. gaultherlae,  m. x.
       M.  S. dr. ij  td.
                                   —Da  Costa.

 (264) R—Morphinae  acetat.,  gr.  lj.
         Potass,  cyanidl,  gr.  J.
         Acid,  aceticl.  dr. J.
         Ext.  prim.  virg.  fl.
         Mist,  acaciae,  aa  oz.  IJ.
       M.   S.  dr. j  four  to six  times  a day.
        (Sedative  for  cough).
                                   —Da  Costa.

 (265) R— Hydrozone,  oz.   J.
         Glycerin, (pur.),  oz. J.
       M.   (Shake   well).  S. Inhale by using
         atomizer, three to six timea  daily, ten
         minutes at a time.

 (266) R—Hydrozone,  oz.  j.
         Aquae,  o.  IJ.
       M.  S.  Tumblerful  to be  taken td.  (Use
         with  R  No. 269).

 (267) R—01. morrhuae,   oz.  lv.
         Ex. malt (dry),  oz. J.
         Calcii  hypophos.
         Sodii hypophos,  aa gr.  xxxlj.
         Potass,  hypophos., gr.  xvj.
         Glycerin.
         Pulv.  acaciae.  aa oz. ss.
         Aquae q. s. ad.  oz. viij.
       M.   S.  dr.  j td.,  for  child  of  three
         years.
                           Goodhart and  Starr.

(268) R—Ol.  morrhuae, oz. lilss.
         Spts.  ammon. aromat., oz. J.
        Tr.  opii,  oz. ss.
         01. lavandulae,  m.  xxx.
       M.  S.  One-half to be rubbed  over chest
         and  abdomen night and  morning.  (In
         cases  where the stomach  will not toler-
         ate any form of  the oil).
                              —T. H. Tanner.

        OEDEMA OF THE  LUNGS.

  DEFINITION.-An effusion of serum into
the  air vesicles and  interstitial  tissue  of
the  lungs. 
245
  SYMPTOMS. — Great   dyspnea;   slight
cough;  panting;  serous  sputa,  or  blood-
streaked if  congestion is present;  lividity;
bronchorrliea. Physical  signs: Diminished
healthy murmurs; subcrepitant  rale, eto.

  DIFFERENTIAL  DIAGNOSIS. — From
pneumonia,   capillary  bronchitis,  hydro-
thorax.

  TREATMENT.—This disease usually at-
tends or follows fevers.  If associated with
fevers:   Tonics;   stimulants;  sustaining
measures. If with Bright's disease:  cathar-
tics  (hydragogue);  diuretics;  diaphoretics;
dry  cupping of chest and loins.  If  with
heart disease: revulsives;  digitalis, eto. If
with  pulmonary   congestion:  sinapisms;
counter-irritation;  hydragogue  cathartics.
Change  position  of  patient  frequently.
(See  Dropsy.)
   CONGESTION  OF  THE  LUNGS.

  DEFINITION.—An  abnormal increase in
the blood supply to the lungs.  It may be
active (arterial) or  passive (venous).

  SYMPTOMS.—Frequency  of  respiration
Increased;  cough; dyspnea; watery,  blood-
stained expectoration, etc.  Physical signs:
May  be dulness on  percussion;  intensity
of respiratory murmur diminished; when
edema exists, crepitant and mucous rales.

  DIFFERENTIAL  DIAGNOSIS. — From
pulmonary edema,  spasmodic asthma.

  TREATMENT.—Dry  cups to  chest;  car-
diao  sedatives;  revulsives; ergot.  In hy-
postatic  congestion: alcoholics;   digitalis;
caffein,  etc.  Good  alimentation.  Change
of position,  etc.
             ATELECTASIS.

  DEFINITION.—A  collapse of the lobules
of the lung, so that there is an  imperfect
or  entire  absence  of  expansion  of the
lungs.
  SYMPTOMS.—Rapid and shallow breath-
ing; dyspnea;  weak voice; feeble cough;
rapid and  feeble  pulse; prostration.  Most
frequent seat of trouble is the inferior and
posterior portions of the  right lung. 
246
    DIFFERENTIAL  DIAGNOSIS.  — From
   pneumonia,  pleurisy.

    TREATMENT.—An  emetie (when there
   is  accumulation of  mucus  in bronchial.
   tubes);  encourage expectoration  (carbonate
   of  ammonium  and squills); counter-irrita-
   tion;  nourishment;  Steam's  wine  of  cod
   liver  oil, with  peptonate of iron; quinina;
   brandy; whiskey; inhalation of  compressed
   air, etc.


      EMPHYSEMA  OF THE  LUNGS.

    DEFINITION.—An increased quantity of
  air  in the air cells,  causing dilatation with
  or  without rupture of  the  air  vesicles.
  Two varieties—vesicular and interlobular.

    SYMPTOMS.-Dyspnea;  asthmatics   at-
  tacks;   respiration   difficult;   abdominal
  breathing; cough (usually due to the bron-
  chitis); vertigo;  hemorrhoids;  rectal hem-
  orrhage; dyspepsia.  Physical  signs: Chest
  expanded;  eyes prominent;  infraclavicular
  and  mammary  regions  bulge; Intercostal
  spaces puffed out  (barrel  shaped);  clear,
  nollow sound on  percussion;  no metalllo
  sounds; feeble vesicular  murmur;  inspira-
  tory sound  short, and feeble (may be sup-
 pressed),  etc.                          y

   DIFFERENTIAL   DIAGNOSIS. - From
 dilatation of the lung due to other causes
 Pneumothorax, fibrosfs of the lunjsbro*:
 fhl"s.  asthma, aneurism of  the arch  of
 the aorta,  cardiao diseases, phthisis ca-
 tarrhal  pneumonia.           F      '   a

  TREATMENT.-Mainly  palliative    In-
 vigorating diet;  iron; cod liver  oil- mo?
 Phhina JF-  }:6) and atropina (gr. 1120) for
 the asthmatic attacks; full doses  of  Iodide
 of potassium; chloral; narcotic fumigSn
 anodynes for cough; compressed air; change
 of climate; avoid violent physical  exercise-

 assrcold'etc   (See lsth™


          PRESCRIPTIONS.

(269) R—Spts.  ether,  co.
       Sol.  morph  (U. S. P.).  aa oz. j.
       ™  " D"/  J p-  r-  n- (^  relieve dys-
       pnea  and  paroxysmal cough). 
247
(270) R—Pulv. digitalis, scr.  ss  to J.
        Aquae, oz vj.
       M.  For an infusion,  oz. ss td.  (For the
        dropsy).
                                —Nienieyer.

(271) R—Potass,  chlorat.,  dr. iss.
        Tr. bellad.,  oz.  iss.
        Syr.  prun.  virg. fl.
        Tr. cichonae co., aa oz. ij.
       M.  S.  Dr. ij four times a  day in em-
        physema with  ch.  bronchitis  and  loss
        of  appetite. Also  dry  cups  to  chest
        A.  M. and  P.  M.
                                —Da Costa.

(272) R—Tr.  lobeliae,  dr. lj.
        Spts. ether, sulph.,  dr. iij.
        Tr.  conii,   dr.  ij.
        Mist,  amygdal.,  ad. oz.  vj.
       M.  S. oz.  ss  every three  hours. (For the
        paroxysmal  cough).
                             —M. Oharteris.

(273) R— Chloroform!, oz.  ss.
        Liniment, ammoniae.
        Liniment, saponis, aa oz. Iss.
       M.  S.  Rub on  chest  A.  M. and  P. M.,
        and to be  placed on  flannel,  and  al-
        lowed to remain against the skin  for
        fifteen minutes.
                                —Da Costa.

(274) R—Potassil  lodldi,  gr.  xxxvj.
        Amnion,  carbonat.,   dr.  j.
        Tr.  scillae,
        Tr.  hyoscyam, aa oz.  ss.
        Aquae camphorae, oz.  v.
       M.  S.  oz.  ss  td.  Also direct patient) to
        smoke a stramonium cigarette, so soon
        as be feels the commencement  of  an
        asthmatic attack.
                                —Greenhow.

               BRONCHITIS.

  DEFINITION.—A catarrhal inflammation
of  the bronchial  tubes.

  SYMPTOMS.—Acute  form;   Chilliness;
pain  in  back  and extremities;  lassitude;
uneasiness or tightness of chest;  soreness
beneath  sternum;  thoracic  pains;  tongue
furred; fever; anorexia; dry cough at first;
for a  day  or two, a frothy  expectoration;
then   free muco-purulent discharge;  con-
stipation; dyspnea; may end  In  hectic, etc.
Physical   signs: In   uncomplicated   cases
percussion  is  normal; dry  rale;  mucous
rale;    diffused:   subcrepitant  in smaller
tubes; bronchial fremitus  (in  children), etc. 
248
Chronic form: Paroxysmal cough frequent;
expectoration  viscid,   or   muco-purulent,
sometimes sanious;  sputa feted; pulse some-
what quick,  etc.  Physical  signs:  Percus-
sion  note  normal  as  a  rule;  dry rales
scarcer than in the  acute;  mucous  rales,
etc.

  DIFFERENTIAL  DIAGNOSIS.  — From
pneumonia,  emphysema,  asthma,  pulmon-
ary  hemorrhage,  pyothorax,  phthisis, per-
foration  of the lung.

  TREATMENT.—Dover's powder (gr. v-x),
or  quinina  (gr.   x);   warm,  stimulating
drink; hot  foot bath; saline  purgative (in
morning);  anodyne  inhalations; salicin (gr.
xx); tr. aconite root  for fever, etc.  Muri-
ate of ammonium; carbonate of ammoni-
um and morphina  (small doses) for  cough;
Iodide of potassium; nutritious  diet; ton-
ics;  sinapisms; dry cups, etc.  In children:
Have air in  room moistened;  envelop chest
In cotton  jacket;  camphorated oil  to chest
twice daily; carbonate of ammonium (for
prostration), etc.  Use  any of the  follow-
ing  prescriptions.  The chronic  form  re-
quires  counter-irritation,  non-stimulating
diet;  stimulating   liniments;   protection
against changes  of temperature;  anodynes
for coughs,  etc.
PRESCRIPTIONS.
(275) R—Liq. potass, citrat., oz. llj.
      S.  dr.  j In water  every   two   hours,
        for children.

(276) R—Spts.  terebinth., oz. j,
        01. olivae, oz. iv.
      M.  S.  Rub in  chest  twice daily.

(277) R—An.mon.  chlorid.,  gr. xxxvj.
        Syr.  ipecac,  dr.  iss.
        Syr.  scillae.,   oz.  ss.
        Syr.  tolu., oz.  j.
        Aq. menth. pip., q. s.  ad. oz. Iij.
      M.  S.  Give to child of three  years dr,
        j,  when  fever subsides.
                                 —Powell.

(278) R—Acid, gallic, gr.  x.
        Vini  opii, m.  v.
        Spts.  vini galllcl, dr.  iss.
        Aquae chloroformi, q. s.  ad.  oz.  iss.
      M.  S. dr. j td. for children.
                      —Goodhart and Starr. 
240
 (279)  R—Quininae sulphat.,  gr. vj.
        Acid, sulphuric,  dil.,  gtt.  xij.
        Syr. simp.,  oz. ss.
        Aquae,  q. s. ad. oz. iij.
        M.  S.  dr. j every  two  hours, for  the
        chronic form.
                       —Meigs and  Pepper.

 (280)  R—Tr. aconit. rad. (Fleming's),  m. iv.
        Ext. ipecac, fl., m.  j.
        Spts. ether, nitros., dr. j.
        Aquae,  oz.  iv.
       M.  S. Dr. j every ten to twenty minutes
        in  the  acute  form.

 (281)  R—Vini ipecac, dr. ij.
        Lii. potass, citrat., oz  iv.
        Tr. opii camphorat.
        Syr. acaciae,  aa  oz.  j.
       M.  S. oz. ss td.  in  the first  stage  of
        acute  bronchitis.
                               —Da Costa.

 (282)  R—Morphinae acetat.,  gr. j.
        Potass,  acetat., dr.  iij.
        Liq. ammon. acetat.,  oz.  iij.
        Syr. tolut.,  oz. J.
       M.  S. dr. ij  every  third hour. (Useful
        diaphoretic).
                               —Da Costa.

          ACUTE LARYNGITIS.

  DEFINITION.—An  inflammation  of  the
 larynx, together with the mucous mem-
 brane,  sometimes  the  submucous  connec-
 tive tissue, and muscles.

  SYMPTOMS.—Local tickling;  soreness;
 pain; hoarseness;  constriction and heat  in
 the  throat; aphonia; respiration   labored;
 stridulous  cough   (in  children);   dyspnea
 (more frequent  in   children);   dysphagia;
 cyanosis,  etc.

  DIFFERENTIAL   DIAGNOSIS.  — From
 larngismus  stridulous,  true croup,  diph-
 theria, chronic laryngitis,  spasmodic asth-
ma,  thoracic aneurism,  edema  of  larynx,
paralysis  of laryngeal muscles.

  TREATMENT.—Keep patient in  a warm,
moist, even temperature;  rest  the larynx;
Inhalation of the vapor  of  steam;  Dover's
powder  (Waugh's  modified);  quinina   in
large doses; treat cough, tendency to spasm
of glottis,  local pain, etc.  Compresses  to
the  throat; if  edema threatens,   emetics;
Jaborandi;  scarification;  for extreme dysp-
nea,  trrcbeotomy.    Qu5nina  (gr.   xv-xx), 
                        250

   with  morphlna  (gr.  % to  y2);  may  abort
   an  impending  attack.  In  children   it  is
   7hl}J°  ke,ep .hot-  molst  sponges  to the
   throat  and  give  gtt.  j doses  tr. aconiti
   \Uater ^very  flfteen  minutes until fon?
   doses are given; move bowels  with calomel

              PRES< RIPTIONS.

   (2S3) R—Hydrarg. chlor.  mit.,  gr  V,
           Sodii  bicarb., gr. xij.  '
           Pulv.  aromat.,  gr. vj'

          Mevery'houCrhartn°-VJ;  S"  One  powder
                                      —Powell.
   (284)  R—Hydrozone,  oz.  ss.
           Aquae, oz.  iv  to vj.

           low apportion1™ °r  rargle **   Swal"
  (2i!5)  R—Tr. opii camph.,  dr.  1 to  1J
           Sjr. ipecac,  dr.  iss  to  lj'
           c>yr. scillae, oz. ss.
           Syr. tolut.,  oz.  j
           Liq. potass, cit.  q. e. ad. oz.  Iij.
        m. t>. dr. i  every  two hours.
                                      —Powell.
  (286) R-Tr. aconit..  rad.,  m.  xxx
          fc>yr. limonls, oz.  bs
          Liq. ammon. acetatis.  oz. «.
        M.  S. dr. IJ  every three hours.
                              —R. P. Thomaa.
  '287) R—Tr.  pulsatillae, dr. J.
          Syr.  Ipecac, oz. J.
       .Liq. potass,  citrat., oz.  v
        W. S. oz. es every  three hours.
                                    —Gerhard.
 (2*J) R—Ammoniae muriatis,  gr.  x to xx.
          Aquue  d.-stil.. oz.  j.
        M.  S. Use   with   any   fomi  of  slt-im
          atomizer throwing a fine  spray.     M
                                  -Da Costa.

          CHRONIC  LARYNGITIS









sire  to clear the throat- nice™tw?n.d   t
sometimes  suffocative-   S•w«. C?Ugh
night sweats;  dropsy    croupy'  casting; 
251
;           DIFFERENTIAL  DIAGNOSIS. — From
         laryngeal growths,  neuroses of the larynx.

i           TREATMENT—Attention    to   general
\         health; hygiene;  change of  climate;  medi-
         cated  sprays;  counter-irritation over neck
         (croton oil,  blisters); open  abscesses; trach-
i         eotomy for urgent  dyspnea; anti-syphthll-
         itio remedies  for  syphthilitic form, etc.
           PRESCRIPTIONS.

(2S9) R—Acid,  muriat. dil., dr.  j.
        Aluminis,  dr. iss.
        Mellis,  oz. j.
        Aquae,  oz. v.
       M.  S.  Gargle  every  four  hours.    (For
        children).
                                  —Powell.

(290) R—Tr. benzoini co.,  oz.  lv.
        Chloroformi,  dr.  ss.
       M.  S. dr.  j  in a pint of  water (140 F.)
        for each  inhalation.  Sedative.
                               —Carpenter.

(291)  R—Hydrarg. biiiodi,  gr  ij.
        Potass, iodidi,  dr. ij.
        Ext. sarsaparillae fl., oz. U.
       M.  S.  Dr. j td.  (See R.  no. 292.)
                                 —Hazard.

(292) R—Potass. Iodidi. dr. Iss.
        Aquae destil.,  oz.  ij.
      M.  S. dr.  J  td.  (To be taken five days
        after  R.  no.  291 for  the  syphilitic
        form.
                                 —Hazard.
       LARYNGISMUS STRIDULUS.

  DEFINITION.—A spasm of the  muscles
of  the larynx, characterized  by a  sudden
development  of dyspnea,  and without  in-
flammation,  cough or  fever.  (Spasm   of
the  glottis.)

  SYMPTOMS.—Invasion sudden; there may
be  twitching  of various  muscles;  during
paroxysm,  the head  is thrown  back, nos-
trils  dilated,  veins of  head and neck dis-
tended,  eyes  staring,  etc.
  The paroxysm usually  lasts from a few
seconds  to half a  minute; asphyxia; con-
vulsions, etc.

  DIFFERENTIAL DIAGNOSIS.  — From
croup, acute laryngitis. 
%rl
  TREATMENT.—Remove the cause.  Clear
bowels  or stomach; lance  gums If  due to
teething;  mustard foot-bath;  cold to head;
Inhalation of  chloroform  (during attack);
bromide of potassium (full doses);  sodium
bromide with  chloral; hot  and  cold packs
to throat; nourishing food,  etc.

            PRESCRIPTIONS.

(293) R—Potsiss.  broniid.
        Sodii  broniid., aa  dr. J.
        Chloralis,  gr. xhiij.
        Syr.  simpl.,  oz. j.
        Aquae  cinnam., q.  s. ad.  oz. iij.
       M. S.  Dr. j for children,  every half or
        hour  as required.
                                  —Powell.

(294) R—Quininae sulphatis,  gr.  vj.
        Acid, sulphuric,  dil..  m. vj.
        Tr. aurantii.
        Syr.  zingiber., aa  dr. IJ.
        Aquae destil., oz.  IIJ.
       M.  S.  Dr. j  td. (In rickety,  cachetic
        children).
                                     —Oke

(296) R—Chloral  hydratls, gr.  v to xv.
        Syr.  simpl.
        Aquae destil., aa dr. ss.
       M  S.  One dose.  (To arrest an Impending
        attack).
                                —Bartholow,

(296) R—Syr.  Ipecac, oz.  J.
        S.  Dr.  J every  fifteen minutes.

(297) R—Syr.  scillae Co., oz.  J.
        S.  Gtt. xxx  every  quarter or half hour
         as an  emetic, or  gtt. x  every  three
         hours as  an expectorant.  (For a child
         of two  years).
                                     —Ooxe.

ACUTE   MEMBRANOUS   LARYNGITIS.
                   (Croup.)
  DEFINITION.- \n acute inflammation of
 the mucous membrane of the larynx, which
 may extend downward or upward.  It is at-
 tended with the exudation  of false mem-
 brane.

  SYMPTOMS.—Onset usually slow;  laryn-
 geal symptoms; fever, which Increases later
 on; hoarseness; barking cough;  cough be-
 comes smothered  and paroxysmal;  intense
 thirst; furred tongue; restlessness;  convuls-
 ions;  face anxious; lips  vivid; head thrown
 back;  patient  struggles for  breath. Fre- 
253
quently during violent vomiting  portions of
the membrane are thrown up and give re-
lief;  laryngeal  spasm,   etc.    Symptoms
either subside,  or  child has convulsions,
coma, and finally  carbonic  acid poisoning
sets in, and child dies.

  TREATMENT.—Keep  patient  in a  room
well warmed, the atmosphere being charg-
ed with moisture; wine  of ipecac  (dr.  j)  at
once, or powdered alum  (dr. j) mixed  with
honey;  apomorphine  (gr. 1-40);  tr. aconite
(gtt.  ss)  every  fifteen minutes  until   four
doses are  taken;  quinina: bromide of am-
monium;  mercury; inhalation  of the  vapor
of slaked  lime; alcoholic stimulants;  milk;
animal  broths, etc.
            PRESCRIPTIONS.

(298) R—Hydrarg. chlor.  mit., gr. ij.
        Sodii  bicarb.,  gr. xxiv.
        Pulv.   ipecac,  gr.  j.
        Pulv.   pepsin.,  gr.  xxlv.
       M. et.  ft. chart.  No.  xij.  S.  One  pow-
        der every two hours.
                                    —Starr.

(299) R—Vini  Ipecac,  dr.  j.
        Tr. aconiti,  m.  IJ.
        Syr. tolut., dr. iij.
        Liq. ammon.  acet., oz. J.
      M.  S. dr. J every hour till cough loosens,
        then  every two hours.
                                    Hloway.

(300) R—Vin. anthnon.,  dr. IJ.
        Syr. papaveris, dr. iv.
        Syr. tolut.,  dr.  1.1.
        Aquae, oz. J.
       M. S.  Administer in  as large doses as
        possible  without  producing  vomiting;
        repeat every  hour.
                                 —Delafleld.

(301) R—Acid,  bydrocyan.  dil..  m. ij.
        Tr. hyoscyam., m.  xx.
        Syr.  aurant.,  dr.  ss.
        Mist,   amygdal.,  oz.  ij.
      M.  Dose:  dr.  1.1  frequently   In  croupy
        cough,  laryngismus  stridulus,  etc., to
        child  of five years;  dr.  J for a child of
        two years.
                                     —Ellis.

(302) R—Acid,   lactic,  dr.  iiiss.
        Aquae  destil.,  oz.  x.
       M.  S.  Apply  frequently  with spray or
        mop.
                         —Morell Mackenzie. 
                     254

  (303) R—Potassil chloratla, dr. IJ.
         Syr. limonis,  oz. J.
         Aquae,  oz. Iij.
        M. S.  Dose: Under two years dr. J; two
         to ten,  dr. IJ; over ten,  oz. ss;  every
         three hours, and every  half hour  in
         urgent cases.
                          —T. M.  Drysdale.

        SPASMODIC   LARYNGITIS.
               (False  Croup.)
   DEFINITION—A catarrhal inflammation
 of the  mucous membrane of  the  larynx,
 without pseudo-membranous exudation, and
 attended with spasmodic contraction of the
 glottis,  causing violent attacks of threat-
 ened suffocation.

  SYMPTOMS.-Child  retires with slight fe-
 ver and  cold,  and   in  a  few  hours or
 earlier is awakened by violent attacks of
 threatened  suffocation; hoarseness; harsh
 cough.  The breathing becomes easier after
 a while,  and  the  patient  falls asleep,  and
 has probably in the morning a loose cough,
 the breathing being regular.  This affection
 Is rarely fatal.

  TREATMENT-Place child In  hot bath
 or  apply  hot  fomentations  about  throat
 and chest; syrup  of ipecac (gtt. xv) every
 fifteen minutes until vomiting Is produced:
 apomorphine  (gr.   1-40) hypodermatically
 bromide of  potassium; attention  to  dress.

            PRESCRIPTIONS.

(304) R—Syr.  ipecac, dr.  Iss.
        Tr. opii cainph., dr. ij,
        Syr.  scillae, oz.  J.
        Uq. potass, citrat., q. 8. ad. oz. llj.
      M. S. dr. J  every two hours.

(305) R—Alum, dr.  ss.             -Powell.
        Vini  ipecac,  dr.  Iss.
        Syr.  tolut.,  oz.  ss.
        Aquae,  q. s. ad.  oz.  llj.
      Dr. J to lj every three hours.
                    —Goodhart and Starr. 
255
CHAPTER  X.
FEVERS.
TYPHOID FEVER.
  DEFINITION.—An   acute  febrile,  self-
limited disease,  which  is  infectious  and
characterized by a peculiar eruption, range
of  temperature, and  peculiar  stools.  The
period  of  incubation is from  two  days
to three weeks.

  SYMPTOMS—Actual  attack:    Frontal
headache; tinnitus; photophobia; lassitude;
pain in limbs; restlessness; disturbed sleep;
slight chills; diarrhea; epistaxis; abdominal
pain, etc.  Early Stage:  Some  depression;
tympanites; tenderness  and pain in right
Iliac fossa;  also  gurgling on pressure; no
delirium; evacuations thin, yellow (pea-soup
likei;  epistaxis; bronchial symptoms;  dry
rales;  eruption (appears 6th to  12th day);
Is rose-colored; lasts from eight to fourteen
days.  Advanced   Stage:   Previous  symp-
toms;  prostration; emaciation;  pulse  (100
or  120) variable,  weak,  soft,  or dicrotic;
tongue dry and brown, or red and fissured;
offensive breath; sordes; abdominal  symp-
toms  intensified;   intestinal   hemorrhage.
Headache and general pain cease (from  10th
to  14th  day);  giddiness; subsultus  tendi-
num, etc.  During third and fourth  week,
sudamina over chest, sides of  neck,  and
abdomen; breathing  hurried and shallow;
bronchial catarrh;  bed-sores;  urine abund-
ant  and  lighter;  sometimes  retention of
urine;  temperature ascends  regularly  and
gradually for  from  the  first five to eight
days; that of evening is 1.8  deg.  to 2.5  deg.
F. higher than that  of  the morning;  that
of the morning 1  deg. F. higher than  that
of  the preceding morning.  After  this  a
stationary period for  a variable time,  and
then there is a gradual decline. 
  DIFFERENTIAL  DIAGNOSIS.  — From
 typhus fever, remittent fever,  typho-malar-
 lal fever, bronchitis,  pneumonia,  enteritis,
 acute tuberculosis, meningitis,  etc.

 TREATMENT—Disinfection   of   evacua-
 P0"8-, attention to water-supply,  etc. Rest
 in  bed;  tepid sponging; cold pack or bath;
 quinina; nutritious diet (milk, etc.);  mucil-
 aginous  drinks; no  fruit;  alcoholic  stimu-
 lants; treat symptoms;  ice  to be sucked;
 not fomentations;  poultices; enemata; sina-
 pisms;  turpentine  stupes;  keep  strength
 up;  bovlnlne;  for  perforation,   rest  and
 morptnna hypodermatically; hydrozone,  to
 disinfect alimentary canal, etc.


             PRESCRIPTIONS.

 (306)  R—Hydrozone,  oz. j.
         Aquae,  O  iv.
       M. S.  As a  beverage.

 (309)  R—Glycozone,  dr. j.
         Aquae,  oz.  ij.
       M. S. A beverage, to be taken alternately
         with R. no.  306.

 (310)  R—Bismuth,  subnit.,  dr.  llj
         Spts. myrlstlcae,  dr. ss.
         Spts.  vini  gal., oz.  J.
         Syr.  acaciae,  oz.  iss.
         Aq. clnnam.,  q. s. ad.  oz. IIJ,
       M. S. dr.  J  every two hours for a child
         of ten  years.
                                    —Powell,
 if 11)  It—Tr.  opll camp.,  dr.  llj.
         Syr.  ipecac,  dr. ij.
         Syr.  tolut., oz.  lj.
         Aquae,  q. a. ad. oz.  HJ.
       M.  S.  dr.  J  every three or  four houra
         for  a  child of  ten years,  in the bron-
         chitis.
                                    —Powell.
 (312)  R—Tr.  lod'ni.  dr.  lj.
         Acid,  carbolici. dr.  J.
       M. S.  gtt. i to  llj td.
 (313)  R—Bismuth,  subnit.,  J.
         Morph.  sulph.,  gr.  j.
       M.  Div.  in   chart, no. xii.   S.   T.  I>e
        given p.  r. n in diarrhea.

(314) R—01.  terebinth.
        'Tr. nnlsl, aa  dr.  J.
        Vitelll ovi,  no.  IJ.
        Sacchari, dr.  lj.
        Aqua.j  purae,  ad. oz. I.
      M.   Ft. emulsio.  S: dr.  i;  eq.  gtt. viii;
       turpentine. 
                    257

(315) R—Argenti  nitratis,  gr.  %.
        Ext.  belladon.,  gr. %.
        Ext.  opii aquosi, gr.  1-6 to %.
      M. Ft. in  pil.  no.  1.  S.   One   after
        meals.
                          —William Pepper.
TYPHUS FEVER.
  DEFINITION.—A  self-limited,  continued
fever, due  to  a specific poison; character-
ized by  a peculiar eruption, and  profound
prostration. It is highly contagious.

  SYMPTOMS.—Depression;    prostration;
pulse  small and  unequal;  may  be hard,
quick  (100-140) or fluttering; frontal head-
ache  with  throbbing;  tinnitus;  enlarged
spleen;  cerebral  disorder;  petechiae;  vib-
ices; stupor or delirium; hemorrhages;  sub-
sultus; picking at  the bed-clothes; sordes
on teeth; temperature rises rapidly; tongue
red,  dry and cracked; respiration hurried or
abdominal; difficult  deglutition; thirst; of-
fensive  breath;  hiccough;  bed-sores;   ex-
tremities clammy and cold; nostrils plugged
up,  etc.   Coma.

  DIFFERENTIAL  DIAGNOSIS.  — From
typhoid  fever,  typho-malarial  fever, remit-
tent fever, pneumonia, meningitis,  enteritis,
etc.

  TREATMENT.—Isolation;   disinfection;
fresh  air;  hygiene; nutritious  diet  (milk,
beef-tea,  etc.); alcoholic stimulants;  anti-
pyretics  (cold  baths, etc.);  bowels soluble;
allow  patient  to drink tea, coffee;  dilute
miniral  acids;  quinina;  digitalis;  tr. iron;
treat  symptoms  as  they  arise;  for pros-
tration,  diffusible stimulants;   sinapisms,
etc.  Watch for complications.
PRESCRIPTIONS.
(316) R—Acid,  nltrici,  gtt. xl,
        Aquae,  oz.  iv.
      M.  S. oz.  ss to j every three hours.
                              —Hartshorne.

(317) R— Acid,  nitro-muriaticl.  dr.  ss.
        Spts.  ether,  nit.  dulc, oz. ss
        Aquae camph.,  oz.  vss.
      M.  S. oz. ss every two or three  hours.
                              —Hartshorne. 
                    258

(318) R—Pulv.  moschl. gr.  x.
        Mucll.  acaciae.
        Syr.  aurantii, aa dr. 11.
        Aquae  camphor, oz. es.
      M.  Dose:  This amount, every five or six
        hours.
                               —Murohlson.

(S19) R—Potass,  bromld., dr.  llj.
        Chloral,  hydrat..  dr.  J.
        Aquae,  oz.  visa.
      M.  S.  oz. ss every  two hours.
                                —Oharteris.

(320) R—Tr.  aconiti,  rad., dr. ss.
        Tr.  belladon., oz.  bs.
      M.  S.  Gtt.  x every two  hours.  (Re-
        duces  frequency of  pulse  and cleans
        tongue).
                                  —Harley.

(321) R—Antimonii et potass, tart.,  gr. iv.
        Tr.  opii,  dr. J.
        Aquae  camphorae. oz. viij.
      M.  S.  oz.  ss every  two hours.  (With
        sleeplessness and  extreme  nervous ex-
        citement).
                                  —Graves,
          RELAPSING  FEVER.

  DEFINITION.-An   acute,   contagious,
self-liinited  disease, due to a  specifio  poi-
son,  characterized  by a febrile paroxysm,
succeeded by an intermission  and  a  re-
lapse.

  SYMPTOMS.—Incubation lasts from  five
to  twelve days  (may be shorter).  Invasion
sudden.  Chills  or  rigor;  great weakness;
headache;  pain  in  back  and  limbs;  tem-
perature may rise in  twenty-four hours to
104 deg.  F.  or higher; retching and vomit-
ing;  epigastric  pain;  pulse,  100,  120,  140,
or  even 160; small  and  compressible; often
intestinal  hemorrhage;  dyspnea;  relapse
without  warning; sometimes diarrhea  and
vomiting, etc.  Convalescence  slow.  Tem-
perature rises for four to five days; is then
stationary  until  the crisis,  when  it  falls
below the  normal.  Rises again at the re-
lapse, and  again suddenly falls  at  second
crisis.

  DIFFERENTIAL  DIAGNOSIS.  -  From
eruptive fevers,  febrlcula, remittent fever,
typhoid and typhus fevers, dengue,  yellow
fever. 
259
    TREATMENT.---Expectant;    Isolation;
  ventilation;  emetic;   keep  bowels  open;
  pure water to drink;  sodium salicylate; sa-
  line diaphoretics;  diuretics;  or  hydragogue
  cathartics; for a  drink, give nitre (dr.  j)
  and water (O j);  tepid or cold sponging;
  wet-pack;   morphina   hypodermatically;
  chloral; ice for vomiting; light  diet; milk;
  alcoholics; mineral acids, etc.

             PRESCRIPTIONS.
  (322) R—Quininae sulph.,  dr.  J.
         Pulv.  camphor.,  gr.  vll-xvllj.
        M. et div.  in  chart,  no.  xij.
         S.  One td. during the intermission.
  (323) R—Chloralis  hydrat., oz.  ss-j.
           Lin. saponis camph.,  oz. vj.
        M.  Anodyne liniment  to  relieve  the
         pain in the muscles.

             BELLOW FEVER.

   DEFINITION.—A continued fever, char-
  acterized by epigastric tenderness,  hema-
  temesis, vomiting  and jaundice.
   SYMPTOMS.—Incubation   from  two   to
  four  days,  but may  vary  from  one  to
  fifteen. Three  stages,  invasion,  remission
  and  stage  of  collapse  (secondary  fever).
  Skin  usually  yellow,  orange or  bronzed;
  hemorrhages;  tongue dry, brown or  black;
  gastric  symptoms;  vomiting  and dejection
  of dark offensive  matters;  hiccough;  cir-
  culation impeded; prostration; stupor; con-
 vulsions at the close.  Disease usually lasts
 from  a  few  hours  to  nine days.  First
 diagnostic symptoms: Severe  lumbar pains;
 turbid  conjunctiva; and dark red suffusion
 of upper part of face.

  DIFFERENTIAL  DIAGNOSIS.  — From
 other   continued fevers,  malarial  remit-
 tent fever, relapsing fever,  yellow atrophy
 of  the  liver.

  TREATMENT. — Quarantine.   Quinine;
 hygiene; rest in bed; calomel (gr. x) with
 quinina  (gr. x); sponge skin when tempera-
 ture is above 103 degrees F.; liquid food;
 alcoholics; treat symptoms as they  arise;
 cool drinks;  plenty of  ice;  hot  applica-
 cations; mustard poultices;  ozonized  water
 as  a beverage and  glycozone diluted with
 water  as  an enema;  1  ounce glycozone,
 12 ounces luke warm water; in addition to
internal treatment,  which   may  be pre-
scribed  in order to  subdue  the  fever, eto. 
260
           PRESCRIPTIONS.

(324) R—Tr.  camph.,
       Chloroforml,  aa oz. ss.
      M.  S. gtt. lj  p. r.  n,  for the vomiting

(325) R—01.  terebinth., dr. iss.
       Mucll. acaciae, dr. xlvss.
      M.  S. dr. J every  hour !>r two-  C"> *"'
       lay  retching  and  vomiting.)
                             —La Roche.

               MEASLES.

  DEFINITION.—An acute epidemic,  con-
tagious,  self-limited  disease, with catarrh
of the mucous membrane  of the  air pass-
ages, and characterized by an eruption  on
the  skin  appearing  the fourth day.  Sec-
ond attacks may  occur.   As  a rule  only
once.

  SYMPTOMS.—Incubation  from  twelve
to  fourteen  days.  Ushered in by a chill,
then fever,  pain in  legs, quick pulse, head-
ache, redness  of  the eyes, hoarse  cough,
coryza.  The fever rapidly  rises to 101 de-
drees F-  or  102 degrees F., and rarely  to
104  F.;  photophobia, etc.  On  the  fourth
day an eruption  appears  on  temples and
face, gradually spreading  over  the entire
body;  fever  continues  during  eruption;
eruption   lasts from five   to  seven  days;
the papules are of a dull red color,  with a
crescentio  outline,  etc.   Fever,  cough, etc.,
decline  with the  eruption;  minute  ves-
icles  and  small  petechial extravasations
may appear.

  DIFFERENTIAL   DIAGNOSIS. — From
small-pox,  roseola  (rubeola),  scarlet fever.

  TREATMENT.—Keep  patient  in  room
with temperature  of 68  degrees  F.;  diet of
milk and  light broths;  when rash appears
child must be put to bed,  and anoint body
with  cosmoline or  carbolized  oil  for  the
Itching;  antifebrin  (gr. j)  when  fever is
above 103 degrees F.; this  dose  for  a child
of  four   years;  repeat as  required;  or
quinina  sulphate   (gr.   ij)  by  mouth  or
rectum,  every four hours;  carbonate  of
ammonium,  alcoholics,-  tr.  digitalis  for
heart failure or  exhaustion;  tonics;  the
Inflammatory  condition of  the   mucous
membrane  of  the  air  passages  will  be
promptly  subdued  by spraying  the throat
with hydrozone, 1 part;  water, 8 parts,  and 
261
administering  ozonized  vapor  inhalations
with equal narts of  hydrozone  and  C  P
glycerine   TTiis mixture should  Be renewed
every forty-eight  hours.   The eruptions on
the  skin  may  be treated  by washing the
parts with hydrozone diluted  with  water
half  and half, etc.
              PRESCRIPTIONS.

  (326) R—Quininae  sulphat.,  gr.  j.
          Acid, sulphuric,  dil.,  m j.
          Aquae,  q. s. ad dr.  j.
        M.  S.  dr. j td. for child of two  years.

  (327) R—Tr. aconiti  rad., dr. j.
          Ext.  ipecac,  fl., dr.  ij.
          Tr.  opii  deod.,  dr.  iij.
        M.  S.  gtt.  vj  every  hour  or  two.  (For
          cough and high  temperature  in initial
          stage.)

  (328) R—Tr.  opii  camph., dr.  iss.
          Spts.  aether,  nit.,  oz. ss.
          Syr.  ipecac,  dr. j.
          Syr.  scillae,  oz.  ss.
          Liq.  potass,  citrat.,  q. s.  ad. oz. iij.
        M. S.  dr. j every  two hours for  a child
          of  four years.  (For  cough).
                                       —Starr.

 (329) R—Acid,  sulphuric,   dil., dr.  ss.
         Elix. curacoae, oz.  ss.
         Aquae font.,  q. s. ad.  oz.  llj.
        M.  S.  dr.  ss-j  Jn  a  little  water every
         two hours in vomiting,  for children.
                                  —Bernardy.

 (330) R—Fowler's solution,  gtt.  x.
         Tr. opii deod., gtt.  xxv-i.
       M. S. gtt.  vii-xij every four hours.
         (For  Intestinal complication).
                                  —Carpenter.

 (331) R—Liq., ammon.  acetat.  dr. j.
        Spirit,  ether, nit. dulc, m. x-xx.
         Mist,  camphor.,  oz.  ss.
       M.  S.  To a child six years  old every
         four to six  hours.  (An excellent dia-
         phoretic).
                                    —Altken.

               ERYSIPELAS

  DEFINITION.—A   disease  characterized
by  an  inflammation  of  the  skin and sub-
cutaneous   tissue,   with   a   tendency  to
spread. 
26'2
  SYMPTOMS.—Tension,  heat,  irritation  of
affected part;  surface presents a vivid red-
ness; aching and soreness  of  limbs;  chills,
alternating with flushes; vomiting; eruption
appears second or  third  day;  some times
earlier;  restlessness; weakness;  dangerous
in scalp or face; pulse 100-120; temperature
rises rapidly  (sometimes  106  (leg.  or  108
deg. F.); excessive thirst, etc. Varieties: Cu-
taneous (simple);  edematous; phlegmonous
(cellulo-cutaueous); erratic (migratory); met-
astatic. According  to  the   seat:  Facial,
Bcrotal,  etc.  The  inflammation has  a ten-
dency to  spread,  etc.

  TREATMENT—Supporting;    nutritious
diet; cool  drinks;  milk  and  lime-water;
isolation;  saline febrifuges; spirits minder-
erl; tonics; tr.  chloride of iron; stimulants;
opium,  etc. for pain.  Locally:  Liq. plumbi
et  opii; ointment of  sulpho-ammoniate  of
Ichthyol  and  cosmoline;  cover part  with
cotton-wool dusted  with starch and  oxide
of  zinc;  cold  water dressings;  tr.  Iodine;
fomentations.   Wash  the diseased  surface
with hydrozone one  part, water eight  parts.
Let it  dry and  rub  over  gently the sur-
face with  glycozone.  This should be  done
twice every day;  poultices  of  yeast and
charcoal;  treat complications,  etc.

            PRESCRIPTIONS.

(832) R—Sol. quln.  sulphat.
           (gr.  xv in oz. J), oz.  IJ.
         Tr. fsrrl  chlorldi, dr.  lv.
         Spts.  chloroform., dr.  vj.
         Glycerin.,  q.  s. ad. dr. lv.
       M. S. dr. J  every four to eight hours.
         (Tonlo In all forms).
                                —Carpenter.

 (833) R— Acid,  carhollcl, 1 part.
         Aquae, 8  parts.
        M.   Add to  balsam of Peru in  the  pro-
         portion of one part to four, and beat
         thoroughly.  Locally  for  traumatic or
         gangrenous  forms.
                                 —Carpenter.

 (334) R—Ext.  jaborandl  fl.,  oz. J.
         Tr. opii.
         Glycerin.,  aa oz.  ss.
        M. S. Paint parts.  (Erysipelas of face).
                                 —Claybough.

 (885) R—Ammonii carbonatis,  dr.  ij.
         Ext.  glycyrrhizae fl., oz. J.
         Liq.  ammon. acetat..  oz.  111.
        M.  S. dr. ij every three hours.
                                   —Brande. 
                   263

(336( R—Potass,  perman^anat., gr. vj.
        Aquae destil., oz.  vj.
      M. S. oz.  ss td.  (Keep in glass-stoppered
        bottle).
                              —Bartholow.

(337) R—Acid,  sulphurosi.
        Glycerinae, aa oz. iss.
      M. S. Apply to inflamed part.
                                —Dewar.
            SCARLET FEVER.

  DEFINITION.—An acute, infectious, con-
tagious disease, characterized by a peculiar
eruption soreness of throat, and terminat-
ing in  desquamation.

  SYMPTOMS.—Sore   throat;    vomiting;
pulse 130-170; flushed face; headache; rapid
breathing; tongue coated, then red,  promi-
nent papillae ("strawberry tongue"); fever
(103-104 deg.) high first day; intense thirst.
Rash appears second day, on neck and up-
per part of chest; it consists  of many red
spots,  separated at first, but which  soon
coalesce;  third or  fourth day eruption is
at its height; disappears entirely  by  the
eighth day.  Fever  subsides  at  about the
same time; desquamation begins about the
eighth or ninth day. In  the anginose form
the cellular  tissue and  glands around the
neck swell enormously;  sometimes there is
ulceration  of the fauces  and pharynx; post-
pharyngeal  abscess;  ears may  be  impli-
cated by extension of inflammation through
the  Eustachian  tube; purulent  discharge
from  ears.  In the malignant  form slough-
ing ulcers  appear on  tonsils;  great  excite-
ment;   violent  delirium; exhaustion;  ty-
phoid  state,  eto.

  DIFFERENTIAL  DIAGNOSIS. —  From
small-pox,   measles,  erythema,   rubeola
(roseola),  diphtheria.

  TREATMENT.—Symptomatic.    Ventila-
tion;  isolation; immerse sheets,  blankets,
etc.  in  a  disinfecting   fluid;  grease  the
whole  body with carbolic acid (m xx) and
vaseline  (oz. j),  night and morning;  milk
diet; mild  aperient; cooling  drinks;  tepid
sponging  for  high    temperature;   treat
throat  symptoms with   hydrozone,  or tr.
chloride  of iron and potassium chlorate;
hot compresses or poultices  around  neck;
spray  of  Dobell's solution to keep throat
clear, or preferably hydrozone;  stimulants 
                     264

(carbonate  of ammonium, tr.  digitalis, al-
cohol);  treat the  complications  as  they
arise; for  the dropsy:  fluid  diet;  bowels
kept  soluble  (jalapin,  gr.  j);  warm  bath
daily  (temperature  of  water:  100  deg-110
deg. F.); wrap child in  warm blankets af-
ter bath; or dry  cupping, hot applications
to  lumbar  region;  digitalis (gtt.  i-v); for
suppression of urine or convulsions:  free
purgation;  iodide  and bromide of potassium
internally;  Infusion or fluid  ext. jaborandi;
hot  packs,  etc.    During  convalescence:
Wear  flannel next the skin; tr.  chloride
Iron;  general health  looked after.   Glyco-
zone  (dr. j)  in  water (oz.  ij) taken inter-
nally  every  three or four   hours prevents
the  microblan infection developing  In the
stomach.*

            PRESCRIPTIONS.

(338) R—Acid,  boraclc,  dr. ss.
         Potass, chlorat.,  dr.  ij.
         Tr.  ferrl  chlorid.,  dr.  U-
         Glycerin.
         Syr.  simpl.,  aa  oz.  i.
        Aquae, oz.  IJ.
       M. S. dr.  j  every  two hours for a  child
         of  five years.  (For  the  throat  symp-
         toms).
                          —J.  Lewis  Smith.

(839)  R—Tr.  digitalis, dr.  ss.
         Liq.  ammon. acetat..  oz.  Iss.
         Spts.  aether, nit., dr. IJ.
         Syr.  tolut.,  oz.  ss.
         Aquae carl,  q.  s.  ad. oz. llj.
       M.   S.   dr.  J every  two hours   for a
         child of six or  seven  or eight years.
                       —Goodhart  and  Starr.
<340)  R—Tr. digitalis, dr.  ss.
         Elix.  simpl.,  oz.  ss.
         Liq.  notass. citrat.  ad. oz. llj.
       M. S. dr. j  every two  hours.
                                    —Powell.
(341)  R—Fl.  ext.  Jaborandi, oz. J.
       Dose:  One  fl. dr.  in one fl.  oz. of thin
         starch water  per  enema  every four
         hours.  (For  dropsy).
                                —Carpenter.
(342) R—Acid,  carbol.,  dr.  j.
         Tr.  camphorae,  dr.  ij.
         Aquae, O J.
       M.  ft. lotio.    S.  For  itching.  (Shake
         well).
                               —J. L.  Smith.
  •See New England Medical Monthly, December,
1894, p. 703. 
                      265

  (343) R—Ammonii  carbonat., dr. J.
          Syr.  acaciae,  dr.  vj.
          Liq. ammon. acetat., q. s. ad. oz.  lj
        M. S.  dr.  j  every  two  hours,  for ' a
          child of three years.
                                  —Gerhard.

  (344) R—Tr. aconiti  rad.,  m. i-iij.
          Syr.  simpl., oz. ss.
          Aquae destil.,  oz. iss.
        M. S. dr. j every hour or two,  according
          to  age.
                                —Bartholow.

  (345) R—Tr.  iodini,  dr.  lj.
         Acid,  carbolici. dr. j.
        M.  S.  gtt. %-i-il  every  two  to  four
         hours in water.  (For irritable stomach).

                VARICELLA.

   DEFLN7TION.—A   contagious   eruptive
 disease, characterized by the appearance of
 vesicles  in  successive crops.

   SYMPTOMS.—Slight fever;  loss of appe-
 tite; thirst; anorexia; eruption mostly vesic-
 ular, drying by the  sixth  day; occasionally
 successive crops; it  leaves a  slight  scar  or
 pit;  oatarrh frequent; bronchi may be in-
 volved.

   DIFFERENTIAL  DIAGNOSIS.  — From
 varioloid.

   TREATMENT.—Isolation;   confinement;
 attention   to    diet;   laxatives;   prevent
 scratching;  saline mixture if there is  high
 fever;  quinina  during convalescence; treat
 any complication.

               SMALL-POX.

  DEFINITION.—An   eruptive    disease,
 spreading by contagion, and  characterized
 by an  initial fever followed by a peculiar
 eruption which is succeeded by a suppurat-
 ive (secordary) fever.

  SYMPTOMS.—The disease  appears  nine
to twelve days after  exposure;  initial fever;
then  eruption  (pimple, vesicle, pustule);
matures  in  about  eight  days; desquama-
tion begins from thirteenth to fifteenth day;
temperature rises rapidly (104  deg.-106 deg.
or higher); slight morning remission; pulse
100-140; in children,  to 160; epigastric pain
 and  uneasiness:  sleeplessness;  frightful
dreams;  headache;   morexia;  thirst;   in 
266
some cases  delirium,  somnolence, stupor,
coma,  or  convulsions,  etc.  Variola  Dis-
creta:  Pocks distinct,  but not numerous;
symptoms  moderate.   Variola Confluens:
Pustules run together over large patches of
surface (face and head); eruption abundant;
symptoms  severe; delirium or stupor; great
nervous  prostration; cough; severe inflam-
mations; ulcerations, etc.  Variola Maligna:
Includes several forms. More severe. Course
more  rapid.  Oozing of  dark  blood  from
surface;  intense debility; delirium;  rest-
lessness; nervous prostration; pustules  con-
tain blood; eruption livid or black  in color,
eto.

  TREATMENT.—Isolation.    Ventilation;
hygiene; diet;  disinfeotion;  milk; cooling
drinks;  anoint with carbolized  oil; exclude
air from eruption by some unctions mater-
ial; paint  with iodine  as papules change
into vesicles;  bowels to be kept open,  anti-
pyretics;  morphine for  pain;  alcoholics
during suppurating stage; treat symptoms;
use catheter for retention of  urine; warm
baths, etc.  during dessicatlon.  Only  prop-
hylactio Is  vaccination.

            PRESCRIPTIONS.

 (346) R—Thymol, dr. j.
         01.  linl,  dr.  viij.
         Cret.  prep., oz.  iss.
       M.  Apply locally.  (To prevent pitting).
                              —Schwlinmer.

 (347) R—Zinci  oxidi, oz.  J.
         Zinci  carbonatis, oz. llj.
         Olel olivae, q.  s.
        Ut  fiat  unguentum.
                                  —Bennett.

 (348) B—Acid,  carbol.
         Gelatlnae,  aa oz. J.
         Glycerin.,  oz.  vj.
         Aquae,  oz. xxvj.
        M  S.  For local  use.  (Dally  after bath-
         ing paint over the body.   After pustules
         In  the  face are filled,  pick them,  and
         apply  the  lotion  frequently).
           "l                      —Prldeaux.

  (349)  R—Acid,  salicy'ic,  gr. xx.
          Sod.  bicarb.
          Ammon. carbonat., aa  gr.  lv.
        M  et  ft. chartula.  S.  This amount In
          water  every  two to  four hours,  ac-
          cording to eeverity. (In  later stage,
          ferri et ammonii citratis  may  be  ad-
          ded)-
                                   —Prldeaux. 
267
(350)  R—Tr. aconit,  rnd.,  gtt.  iv-viij.
         Liq. potass, citrat., oz.  j.
       M.  S. dr. j  every  twenty  minutes  until
         four doses  are  taken for children from
         three  to  eight years.
                                      —Powell.
(351)  R—Potass,  bromid., dr. iss to Iij.
         Elix.  aromatic!, oz. iij.
       M.   S.  dr.  j as  required  for children
         from  three  to eight  years.  (For the
         sleeplessness).
                                      —Powell.
PRESCRIPTIONS.
 (352) R—Atropinse sulphatis,  gr.  J.
         Ac;;iae destil., oz. ss.
       M.  S.   M.  iii to v every  three  or four
        hours.
                               —"W. Hitchman,

 (353) R—Sodii sulphitis, scr. j.
         Aquae  destillatae, oz. J.
       Misce  et fiat  haustus.  S.  To  be  taken
         every four hours.
                                      —Sansom.

 (354) R—Acid,  boric, dr.  iss.
         Glycerinae,  oz. j.
         Listerine, oz.  ij.
         Aq.  q   s.  ad.  oz. vj.
       M.  S.  Mouth-wash; use  frequently.
                                      —Powell.

 (355) R—Mercurial  ointment, 24 parts.
         Yellow wax, 10  parts.
         Black  pitch,  6  parts.
       M.   S.  Apply  on m.isk  A. M. and P. M.
                    —Children's  Hosp.,  Paris.   •

 (356) R—Ungt.  hydrarg.
         Ungt.  aq. rosae, aa dr.  IJ.
       M.   S.  Anj'ly  on mask  A. M. and P. M.
         (To prevent pitting).
                                      —Powell.

 (356) R—Acid,   carholici,  i.
         Acid, acetici,  aa dr.  i  to las.
         Tr.  opii.
         Spts.  chloroforml,  aa  dr. .1.
         Aquae destillatae, q.  s.  ad. oz.  vil.
       M.  S.  oz. ss  every  four hours until  the
         fever  subsides.
                                     —Napheys.

(358)  R—Glycerinae,  1  part.
         Aquae  rosae,  2 parts.
       M.  S.  Apply freely  till scabs loosen.    ,
                               —J.  F. Marson.

(359)  R—Potass,  chlorat., dr.  J.
         Aquae destil.,  O ss.
       M.  S.   Gargle for throat symptoms. 
268
                 VACCINIA.

    DEFINITION.—A  contagious,  acute dis-
  ease,  originating  from  a specifio  virus,
  derived from  cattle.

    METHODS  OF VACCINATION. — The
  time   to   perform   the   operation  in  a
  healthy child  is before the  fourth month.
  The  part usually selected for  the  inocu-
  lation  is  over the  point of  insertion  of
  the left deltoid muscle, although the  thigh
  or  leg  Is frequently  chosen.  Whichever
  part is selected,  the skin should  be  made
  tense,   and  one  or  more  punctures  or
  scratches  made  with  the  vaccine  point
  containing the lymph,  which is then  ap-
  plied and rubbed in. It is then  allowed to
  dry,  after which the  wearing  apparel  is
  replaced.  The virus used must be  abso-
  lutely pure; that produced by Dr. Francis
  C. Martin,  of Boston,  Mass.,  fulfills all
  necessary  conditions,  and  Is  fully  war-
  ranted.

    SYMPTOMS FOLLOWING  VACCINA-
  TION.—Itching; tension;  heat;  sometimes
  erythema  or  erysipelas;  occasionally  en-
  largement  of  the axillary glands.  Consti-
  tutional symptoms appear usually after the
  eighth   day.  Slight  fever (may  reach  104
  degrees F. in bad  cases); irritability;  de-
  rangement of the alimentary  canal; slight
t anorexia,  etc.

    PHENOMENA  FOLLOWING  THE  OP-
  ERATION.—From the  third to, fifth day
  after vaccination, a  small light-red nodule
  appears  over the  point  of  'inoculation
  (slight  itching,  area of  redness); by  the
  fifth,  sixth or  seventh  day  a   vesicle  Is
  formed with  a depression  in its centre;
  it  continues  to  enlarge,   reaching  Its
  height  by  the eighth or  ninth  day,  when
  the areola  appears  (%  inch  in breadth),
  frequently with  small  vesicles  forming
  upon  it;  there is  usually induration and
  swelling  accompanying  it.  On   the  tenth
  or  eleventh   day  it commences  to  fade,
  the contents  of the vesicle  gradually dry-
  ing,  etc.,  leaving  a  hard,  reddish-brown
  scab,   which  falls  off  from  the fifteenth
 ' to the  thirtieth day; a cicatrix with minute
  pits over  its base is the  result. 
269
  TREATMENT—If   much  inflammation,
lead lotion,  wet  lint, starch powder,  etc.;
protect  arm  from  irritation, and vesicles
from  being  scratched.  Watch   complica-
tions,  particularly  after patient  has  been
re-vaccinated.
PRESCRIPTION'S.
(360) R—Powd.  starch,
        Oxide  zinc,  aa  eq.  pts.
       M.  S.  Dust  ulcerated surface  (usually
        due  to Injury-) May be used to check
        Immoderate  flow  of  lymph after  pock
        has been opened.
                                —Carpenter.

(361) R—Ungt. stramon., oz. J.
        Sol.  plumb,  subacetatis,  gtt.  xxx.
        Olei linl,  oz.  iv.
       M. S. Apply on soft muslin. (For severe
        Itching and  burning.)
                                —Carpenter.

(3(2) R—Plumbi acatatis. dr. j.
        Aquae  destil.,  O  j.
       M.  Lotion  for  irritable  pock.
                                  —Foster.

(36.'!) R—Acid,  carbolici, dr. j.
        Aquae  destil.,  O  j.
       M.  Lotion  for  excessive redness,  with
        burning and  itching.
                                —Carpenter.
DISEASES OF  THE NERVOUS SYS-

                   TEM.


          ACUTE  MENINGITIS


  DEFINITION.—An acute inflammation of
the pia mater and arachnoid of the brain,
characterized  by  fever,  headache and de-
lirium.

  SYMPTOMS.—Intense pain In the head;
photophobia; intolerance  of  sound;  giddi-
ness; redness  of the face; restlessness; de-
pression; sleeplessness; tinnitus;  vomiting:
fever; delimium;  often convulsions; pupil
contracted  at first, then  dilated;  grinding
of teeth; subsultus tendinum;  strabismus,
etc. 
                   270

  DIFFERENTIAL  DIAGNOSIS. —From
other  forms  of  meningitis,  encephalitis,
tumor and  abscess  of  the brain, cerebral
hyperemia,  typhoid fever,  mania,  disease
of the labyrinth,  eto.

  TREATMENT—Evaporated   lotions   to
head;  iodide  of  potassium   may  absorb
the inflammatory material; counter-irrita-
tions  to  head  (shave  head);  ice  cap  to
head; quinina  for high temperature;  bro-
mides for any  violent delirium; or chloral
or Dover's powder; blisters over the nucha;
mustard plasters  to forehead  and neck;
mercury in small  doses;  ether or chloro-
form  Inhalations  for  convulsions;  or  rec-
tal Injections  of chloral,  etc.


           PRESCRIPTIONS.


(364)  R—Hydrarg. cblor. mites, gr.  iij.
        Sacch.  albi,  scr.  ij.
      M. et ft. chart, no. xij. S.  One powder
        every  two hours.
                                —Gerhard.

(365)  R—Antlmon. et.  potass,  tart., dr.  i-il.
        Adipis,  oz. j.
      M.  Tere simul.   S.   Apply to  shaved
        scalp.   (Also In  tubercular form.)
                                —Hanney.


        CHRONIC MENINGITIS.

  DEFINITION.—A chronic   inflammation
of the  meninges,  characterized by mem-
branous exudation, opacities of the arach-
noid,  adhesions of the  membranes  to each
other, the skull,  brain, etc.

  SYMPTOMS—Obscure.    Dull  and  con-
stant  headache;  vertigo;   tinnitus;  dip-
lopia; hyperesthesia in some parts; flushed
face; monomania; dejection; paralysis,  eto.

  TREATMENT.—Potassium  iodide;  mod-
erate  counter-irritation;   hygiene;  tonics;
bovinine; electricity  for paralysis, etc.

           HYDROCEPHALUS.

  DEFINITION.—An  enlargement of  the
eavity of the skull, caused by the effusion
of serous fluid  in the  arachnoid  spaces,
the  pla mater,  the ventricles and brain
substance. 
                    271

  SYMPTOMS.—Gradual  enlargement of the
head;  uncertain  gait;  violent  headache at
times;  screaming; impaired  senses;  rest-
lessness;  loss of appetite; vertigo;  fever,
twitching of muscles; hyperaesthesia of the
skin; delirium; convulsions, etc.

  TREATMENT—Iodide  of potassium; sea
air;  good food; milk;  bromide of potassium
or chloral to control  convulsions.

            PRESCRIPTIONS.

(366) R—Potassil iodidi, scr.  J
        Syr.  tolut., oz. ss.
        Aquae,  oz. lj.
       M.  P.  dr.  j A.  M.  and P.  M.,  after
        food.
                              —E.  Wallace.

(367) R—Ungt. hydrargrl, gr.  xx-xl.
        Ungt.  olel  juniperis, oz.  j.
       M.  S.   To  be   rubbed  on  the  shaved
        scalp,  twice a day.
                                 —Ramsklll.

(368) R—Magnesiae  sulphatis,  dr.  j.
        Potassii  nitratis, gr.  x.
        Syrupi limonis, dr.  iij.
        Aquae, dr.  'x.
       M.  S.  dr. ij td., for a child of one  year.
                                 —C.  West.

(369) R—Pulv. ipecac,  dr.  lj.
        Olel  olivae,  dr.  ij.
        Adipis,  oz. ss.
       M. S.  To  be rubbed on scalp freely for
        fifteen to  twenty -ninutes  daily, and
        parts enveloped in  flannel.   In  thirty
        or thirty-six hours an eruption appears,
        which remains out for three days.
                                 —Xapheys.

(370) R—Olei tiglii, 1  part.
        Olel  olivae, 3 parts.
       M. S.  Apply to shaven scalp.
                                   —Turner.


       TUBERCULAR MENINGITIS.

  DEFINITION.—An  inflammation  of the
membranes  of  the  brain,  particularly of
the  pia mater, due to the deposit of  gray
miliary  tubercle.    Usually  a disease of
childhood.

  SYMPTOMS.—Insidious.    General  wast-
ing;  digestive  disorders;   cough;  listless-
ness; paleness; headache (occasional);  some-
times   vomiting   and  constipation.  These 
symptoms  usually  precede  the  affection,
which  is mostly  fatal. First Stage:  Pain
In the  head;  vomiting; fever; constipation;
excitable pulse, etc.  Second  Stage:  Pulse
slower and  more irregular;  respiration ir-
regular; pupils dilated; face  flushed; bead
hot;  frowning;  piercing  "cri  hydrocepha-
lique;" senses impaired; stupor or delirium.
Third  Stage: Abdomen  retracted;  spasm
of jaws or limbs;  convulsions; partial  par-
alysis,  etc.

  DIFFERENTIAL DIAGNOSIS.  — From
typhoid fever, simple  meningitis, congen-
ital hydrocephalus, etc.

  TREATMENT.—Palliative.   Treat symp-
toms  as they arise:  Iodoform  (gr.  ss-j);
Iodide  of potassium  and mercury at  the
onset;  ice-cap to head; chloral or potassium
bromide for  sleeplessness; light diet;  cod-
liver oil with Iacto-phosphate of  lime, etc.
(See prescription No. 365.)

        ACUTE ENCEPHALITIS .
            (Abscess of Brain.)
  DEFINITION—A localized suppurative
Inflammation of the substance of the brain.
Is primary or secondary.

  SYMPTOMS. -Dull   or  severe  headache;
vertigo;  tinnitus;  impaired   sense,   with
neuralgic   pain;  formication  In   body  or
limbs; sudden muscular  cramps;  general
weakness; pulse  often slow and  irregular;
temperature   102  deg.-103  cleg.  F.;  tonic
spasm of  muscles; eye  almost  Insensible,
with  pupil  dilated; hemiplegia or general
paralysis;  retention    of urine;   tetanic
spasms;  delirium;  coma. Dangerous.  Ab-
scess may (rarely)  discharge externally.

  DIFFERENTIAL DIAGNOSIS.  —  From
tumor, meningitis,  cerebral  hemorrhage.
Symptoms vary with part affected.

  TREATMENT.—Inflammatory stage:  qui-
nina; ergot;  liq. barii  chloridi (m xx) every
four  hours.    When  suppuration occurs:
Quinina (full  doses);  tonics; mild  revuls-
ives; stimulants for  depression;  nutritious
diet;  mental repose,  etc.  Trephining  and
puncturing  brain  is  indicated;  after the
operation  wash  out  the abscess with  a
mixture of equal  parts  of hydrozone with
water. The pus must be entirely destroy-
ed at  one washing.   The recovery is very
rapid. 
273
      DISEASES  OF  WOMEN.

            INSTRUMENTS.

  SPECULA.—Varieties:  Spatular  (Sims');
bivalve   (Brewer's);  cylindrical   (Fergus-
son's).

  VOLSELLA.—Use:  In operations on cer-
vix,   trachelorrhaphy,  dilatation,  applica-
tions  to  interior  of  uterus, etc.

  UTERINE   SOUND.—Contra-indioations:
During menstruation acute inflammations in
uterus or surroundings; malignant disease
of  the   uterus,  etc.  Uses:  To  ascertain
length of uterine canal; permeability; direc-
tion;  condition of endometrium; relation of
uterus to tumors; growths. Dangers in its
use:  Cellulitis or  peritonitis,  from intro-
duction  of  sepsis;  hemorrhage;  abortion;
perforation  of uterine  walls.

  TENTS.—(Sponge;   sea-tangle;   tupulo,
cornstalk).  The sponge tent expands read-
ily, but  rapidly  becomes septic;  the  sea-
tangle tent expands unevenly; the  tupulo
tent is the best:  expands evenly, not liable
to cause  sepsis.  Uses:  To stop Weeding, to
dilate cervical canal.  Precautions:  Never
allow tents,  to  remain  in uterine  canal
longer than six to twelve hours; patient to
remain   in  bed  twenty-four  hours  after
their  insertion;  remain in house  three to
four days.

  HARD DILATORS.—Varieties:  Hank's;
Wylie's; Erlinger's; Kammerer's; Peaslee's,
etc.

   ELASTIC   DILATORS.  — Varieties:
Barnes'  bags; Allen's pump.  Dangers of
mechanical  dilatation:  Laceration of  the
cervix;   endometritis; salpingitis;  peritoni-
tis.

  CURETTES.—Varieties:  Simon's spoon;
Thomas' wire loop  (dull); Sims';   Reca-
mier's.   Uses: For diagnostic purposes; for
treatment (to scrape away villous growths,
etc).   Dangers:  Inflammation  of uterus;
peritonitis;  septicaemia; hemorrhage.

                VULVITIS.
  VARIETIES.—Simple catarrhal  (acute or
chronic); gonorrheal; phlegmonis;  diphther-
itic;  gangrenous;    follicular   (occurs In
adults). 
                     274

  TREATMENT—Acute  Catarrhal  Form;
 Rest; lead and opium wash  to vulva;  sltz-
 baths;  bismuth,  starch,  etc.  dusted  on
 vulva.  If from ascarldes: enemata  of in-
 fusion  of quassia (oz.ij-Oj).

  CHRONIC CATARRHAL FORM: Tonics;
 fresh  air; lead  and opium wash;  then ni-
 trate of  silver (gr.  x-oz.j); bismuth,  borax
 powders, etc.

  GONORRHEAL FORM:  Light diet; bow-
 els soluble;  irrigate parts with  bichloride
 solution (1-1000);  dust  with bismuth,  borax,
 etc.;  lead  and  opium wash;  warm  sitz-
 baths.  Keep labia separated with  lint im-
 pregnated  with   an  antiseptic:  ointment.
 Nitrate of silver (gr.x-oz.j) in chronic form.
 Simple catarrhal (acute or chronic)  gonor-
 rhea  heals piomptly when irrigations are
 administered  morning and   evening with
 hydrozone one part lukewarm  water ten
 Earts; other  forms: stronger solutions of
 ydrozone are necessary.

  PHLEGMONOUS FORM: Tonics; hot lead
 and opium wash;  evacuate pus,  and dress
 antiseptically.

 FOLLICULAR FORM: Hygiene; lead  and
opium wash;  then nitrate  of silver  (gr.x-
oz.j);  dusting  powders.
PRESCRIPTIONS.
(371) R—Tr.  opii., oz.  ij.
        Plumbi acetatis,  dr.  J.
        Aquae  destil., o.  J.
      M.  S.  Soak  dossils of  lint In lotion;
        place betwei-n the labia.
                     —T. Gaillard Thomas.

(372) R—Liq.  ferrl sulphatis.
        Glycerinae,  aa oz. ss.
      M.  S.  Paint  diseased surface  several
        times  a day  (Purulent vulvitis).  To be
        used after R.  Xo. S71.
                          —T.  G. Thomas.

(873) R—Alumlnls, dr. j.
        Aquae, o. j.

(873) R—Aluminis  dr.  1.
        Aquae, o. j.
      M.  S. Lotion  for  children.

(374) It—Acid,  tannici, oz. 1.
        Glycerinae,  oz.  iv.
      M.  S. Lotion  for adults and children. 
275
PUDENDAL HERNIA.
  SYMPTOMS.—Walking   difficult;  swell-
ing,  etc.   If  the  swelling is caused by
intestine: Impulse on coughing; tympanitic
on percussion.  If due  to an  ovary: Pres-
sure gives the  ovarian sensation; tender-
ness.

  TREATMENT.—Reduce  by  taxis;  apply
a truss.  If strangulation: Surgical  opera-
tion,  eto.

      PUDENDAL HEMATOCELE.

  DEFINITION.—An  effusion of blood into
the  tissue  of  the  vulvo-vaginal region.

  SYMPTOMS.—Pain;   faintness;   some-
times difficult micturition (effusion presses
on  urethra);  swelling  soft, then  becomes
hard; if  small,  absorbed; occasionally it
suppurates.

  TREATMENT—Ice  to  vulva;  pressure;
if hematocele  is large, remove clots  and
pack  with iodoform  gauze; if small, lead
and  opium lotions; if  suppuration,  incise
and  wash  with bichloride  solution,  1-1000;
pack  with iodoform gauze.
PRURITUS  VULVAE.
  DEFINITION.—An irritation of the vul-
var nerves, with an intense  itching.

  TREATMENT.—Find out cause.  Tonics;
regulate diet; cleanliness; treat eruptions;
warm  sitz-bath;  destroy any parasites, If
present, etc.  Hot  lead and  opium wash;
carbolic acid solution (2-3 per cent.); dust-
ing powders  (borax,  etc.);  nitrate of sil-
ver (gr. x-oz. j); cocaine (4  per cent.)  sol-
ution,  etc.
           PRESCRIPTIONS.

(375) R—Acid, hydrocyani  (Scheele's),  dr. ij.
        Liq. plumb, subacet., dr.  iv.
        Aquae,  oz. iij.
      M.  S.  As a local application.
                                —Garratt. 
27(1
(376)  R— Sodae biboratis,  oz.  j.
         Camphorae,  dr.  j.
         Olel  gaultheriae, gtt.  xxx.
         Aquae builientis, O ij.
       M.   When  cool  pass through  a cloth.
         S.  Wash the parts and use as  an  in-
         jection into  vagina.
                                    —Jones.

(377)  R—Sodii biboratis,  oz.   ss.
         Morphinae sulphat., gr. vj.
         Aqune rosae, oz.  viij.
       M.  Flat lotio.  S.  Apply  twice dally.
                                    —Meigs.

(378)  R—Hydrarg.  chlorid. corros., gr.  x.
         Aquae destil.,  oz.   x.
       M. S.  Apply once or  twice a day.  (Pruri-
         tus  vulvae et  ani.)
                                  —Gerhard.

     HYPERESTHESIA  OF  VULVA.

  DEFINITION.—An  excessive   sensibility
of  the  nerves  which   supply the  mucous
membrane  of the vulva.

  SYMPTOMS.—Hyperesthesia;   dyspareu-
nia;  pain, etc.

  TREATMENT.—Bromides;  lead and opi-
um  wash;  carbolic acid  solution   (3  per
cent.);  cocaine  (4 per cent.) solution; ton-
ics;  change of air,  etc.

               VAGINISMUS.
  DEFINITION.-A  spasm of  the  sphinc-
ter vagine muscle,  with   an excessive  hy-
peresthesia  of the  surrounding  parts.

  TREATMENT.-Dilate  the  hymen  dur-
ing anesthesia,  by  means of the thumbs;
Insert a Sims  glass plug;  excise  hymen,
etc.

            PRESCRIPTIONS.

(379)  R—Olei theobromae,  dr. j.
         Potass, bromid., gr.  x.
         Ext.  belladon.,  gr.   vj.
         Acid,  thymic,  gr. j.
       M.  Ft. in suppositor. no.  1.  S.   To  be
placed In vagina  every evening.
                                  —Gallard.

(3S0)  R—Potass, pennnngnnnt.,  gr. xx.
         Potass, chlorat.,  dr.  iv.
         Aquae destil.,  O ij.
       M. S. dr.  j added to a quart of warm
         water, and used as a  vaginal injection
         night  and morning.
                                  —Gallard. 
277
             COCCYGODYN1A.

  SYMPTOMS.—Pain, caused by defecation,
 coitus,  walking, etc.;  pressure  on coccyx,
 etc.

  TREATMENT.—Attend to general health,
 etc. Or cut the muscular attachments to the
 coccyx;  or removal of  the  coccyx; or use
 Garretson's  method of removing coccyx  by
 dental engine, leaving muscles  and perios-
 tum intact.

  IRRITABLE URETHRAL CARUNCLE,

  DEFINITION.—A deep-red, vascular, and
 sensitive mass, situated at  the mouth  of
 the  urethra; it  consists of  dilated  capil-
 laries.

  SYMPTOMS.—Painful and  frequent  urin-
 ation; increases;  pain on  pressure,  walk-
 ing, friction; coitus causes pain and  hem-
 orrhage; melancholia;  hysteria, etc.  On ex-
 amination  a  raspberry-looking mass is pre-
 sented at  the meatus of urethra;  may  be
 single or multiple; bleeds.

  DIFFERENTIAL DIAGNOSIS. —  From
 polypi;  prolapsus of  the  urethral  mucous
 membrane; venereal warts.

  TREATMENT.—Anaesthetize patient and
 remove caruncle;  apply nitric acid to the
 base; actual  cautery; after removal  apply
 hydrozone  full strength twice a  day.

               VAGINITIS.

  VARIETIES.—Simple   catarrhal   (colpi-
 tis); ulcerative (senile or. adhesive); gonor-
 rheal; diphtheritic.

  SIMPLE CATARRHAL FORM. — Symp-
 toms: Heat  in vagina;  pain  in  pelvis; oc-
casionally rectal or vesical irritation; mucu-
 purulent discharge; vagina red or granular;
 itching,  etc.    Treatmeit:    Bowels  open;
 light  diet;  opium  suppositories  for  pain;
 warm alkaline baths  for  itching;  irrigate
vagina with  liq. plumbi subacet. (oz.  j)  to
 warm water  (O. j); keep  urine bland  by
alkaline  diluents;  dusting powders on vul-
va,  which may be irritated; nitrate of silver
 (gr.  x-xxx-oz.  j)  in sub-acute  or chronic
forms;  hvdrozone;  daily  vaginal  irriga-
tions of hot water  and  borax  (dr.j-O. j),
etc. 
                    278

  ULCERATIVE  FORM.—Symptoms:    A
 thin leucorrhoea,  irritates vulva (pruritus);
 desquamation of  squamous epithelium.  Oc-
 curs in women at 00 or over.  Treatment:
 Nitrate of silver  (gr. x-xx-oz. j);  douches;
 sulphate of  zinc  (dr.ss-pt.j) or alum (dr.j-
 O. j), etc.

  GONORRHEAL FORM.  —  Treatment:
 Opium  suppository  for  pain;  irrigate vag-
 ina with  hydrozone  (oz. 2-1) to lukewarm
 water  (pints 2),  and  at night  introduce
 Into vagina  a pledget of prepared  lamb's
 wool,  saturated  In   glycozone; follow  the
 hydrozone  with irrigations of warm  bichlo-
 ride solution (1-5000) treat any complication
 (gonorrheal vulvitus); later, apply uitrate of
 silver  (gr.x-xxx-oz.j).   Attention  to diet;
 bowels; urine.

         PELVIC CELLULITIS.

  SYMPTOMS.—Rigor;  temperature  (103
 deg.-105  deg.  F.);  rapid  and  full  pulse;
 sometimes  nausea;   septic symptoms due
 to formation of pus; irritability of rectum
 and bladder,  etc.  In chronic  cases,  sense
 of  weight  in  pelvis,  menorrhagia,  etc.
 Physical signs: Tumor  pressing  into  vag-
 ina (on  left  side usually); is  tense and
 elastic,  sensitive;  pressure in iliac  fossae
 above  pubes  show  exudation;  signs  of
 abscess when pus  forms.

  DIFFERENTIAL  DIAGNOSIS.  —  Telvlo
 peritonitis  (pain, tenderness, vomiting more
 active  in peritonitis);  peivii?  haomatoeele
(shock  and   hemorrhage); Fibroid tumors;
ovarian tumor; salpingitis (cellulitis buldges
into vagina);  impaction of faeces.

  TREATMENT.—Pronhylaxis.  Diaphoret-
 ics; hot vaginal douches; hot poultbes  to
abdomen: soluble  bowels;  attention to gen-
eral health.   Chronic form:  Iodine:  blis-
ters (externally);  hot water douches; Ab-
bott's astringent and antiseptic suppositor-
ies;  iodine  to  fornices.  When  exudation
suppurates: evacuate abscess,  etc.  (Cellu-
litis usually  occurs after labor,  operation
on cervix uteri,  or abortion).  Hydrozone in
hot water douches one part to thirty-two of
water.

             AMENORRHEA.
  DEFINITION.—Absence of menstruation
between  puberty   and  the   menopause.
 (Emensio  mensium:  where it has   never 
                   279

taken place; Suppresio mensium: where  it
has appeared, but is now suppressed).
  SYMPTOMS.—Depend on disease causing
It (anemia,  phthisis, etc.). Palpitation of
heart; dyspnea;  pallor;  constipation; pain
In head; edema; neuralgia; hysteria; mur-
mur at base of  heart; depraved appetite,
etc.  If phthisis is the cause: cough; night
sweats;  loss  of flesh  and  strength,  etc.
(Imperfect or non-development of the geni-
tal organs may be an etiological factor).

  TREATMENT.—Treat  the   anemia   or
phthisis.   Hot  vaginal  washes;  Abbott's
depleting and    antiseptic  suppositories;
electricity to uterus, over ovaries; hot mus-
tard foot baths  (in cases from exposure to
cold,  etc.);  hot  applications  to  abdomen;
diaphoretics, etc. Apiol  (gr.  iv) in  form
of granule or pearl (Da Costa).   This is to
be taken four times a day as an emmena-
gogue.

            MENORRHAGIA.
  DEFINITION.—A prolonged or excessive
flow of blood during the menstrual period.
The most common cause is the formation of
granulations (fungous) on the endometrium
of the uterus; other etiological factors are
retained secundines, fibroids, subinvolution
of the  uterus,  polypi, carcinoma, obstruc-
tion of  the  general circulation, eto.

  TREATMENT.—Find out the  cause.  Re-
move fungosities; iodine  or carbolic acid
applications to  the endometrium; Hayden's
virburnum comp.; ergot, eto.

            METRORRHAGIA.
  DEFINITION.—A  hemorrhage  from  the
uterus  occurring independently   of  the
menses.  (The causes and treatment  simi-
lar  to Menorrhagia, which see).

           DYSMENORRHEA.
  DEFINITION.—The  occurrence of pain
Just before, during or after the period of
menstruation.

  OBSTRUCTIVE FORM.—Etiology: Flex-
ions;  polypi; fibroids;  long  conical  cer-
vix; stenosis of the external os, internal os,
or whole cervical canal;  spasmodic contrac-
tion of the  internal os uteri.  Symptoms:
Pain  (intermittent) follows or accompanies
the blood-clots;  hyperaesthesia of the in-
ternal os uteri,  etc.  Treatment:    Dilate 
                    280

 cervical canal; then use graduated  sounds,
 uterine  stem,  etc.; applications to internal
 os of  carbolio acid, Iodized phenol;  uterine
 stem,  etc.

   CONGESTIVE  FORM.—Symptoms: Gen-
 eral circulation bad; pelvic trouble; feeling
 of weight  (before the  flow);  face flushed;
 pain in  head;  heat in pelvis and back; rise
 in temperature;  rapid  pulse,  etc.  Treat-
 ment:  During attack: sitz-baths; hot mus-
 tard  foot-baths;  hot  pelvic  applications;
 diaphoretics  (Dover's  powder).  Interment
 strual periods:  Remove cause; scarify cer-
 vix  uteri;  Abbott's  depleting  and  anti-
 septic  suppository  are  preferable  to the
 boroglyceride tampons.  Hot water douches
 before flow commences; liquor sedans  (P.
 D. and  Co.).

  NEURALGIC FORM.—Occurs frequently
 with the congestive  form,  and may  be  as-
 sociated with  anemia,  indoor  life,  malnu-
 trition,  etc. Symptoms: Uterine or  ovar-
 ian pain: sometimes elsewhere,  and begins
 before  the  flow.    Between  the periods-
 Facial or intercostal  neuralgia,  eto.

  TREATMENT:  Hygiene; fresh  air; ton-
 ics (iron, arsenic, quinina); hot sitz-baths-
 hot vaginal douches, etc.


  MEMHRANOTTS  FORM.-Symptoms: Se-
 vere colicky pain:  flow often  intermittent-
 course lengthy. (Symptoms are similar to
 those of  the obstructive form).  Differential
 diagnosis:  From  early abortion.  Absence
 of chorionic villi  and  the  repeated occur-
 rence of the affection  suffice  to  differenti-
 ate.


  TREATMENT.-Between  periods:  Dilate
o?r^.L7,lrett1/e/vion,1 canal= applications
of carbolic  acid  (pure), iodized  phenol,  or
tr.  iodine  to  endometrium.  During  the
P„T°v!H Hot„ baihs- asparoline,  diaphoret-
ics, hot applications to  the  pelvis, etc.


            PRESCRIPTIONS.

 (381) R—Ext.  opii,  gr.  %.
        Pulv. camph.. er  v
        Vitelli,  no.  I.
        Aquae,  oz.  lv.
      M.  Sufficient for one   injection.
                             —Rokltonsky. 
281
(382) R—Tr. opii,
        Tr. valerian.,
        Spts.  aether,  co.,
       Tr.  castorei,  aa  dr.  ij.
      M.   S.  dr.  j  every   hour.   (Neuralgic
        form.)
                                   —Par v in.

(383) R—Camphorae, scr.  j.
        Alcoholis,  q. s. ut ft. pulv.
      Dein adde:
        Pulveris acaciae.
        Sacchari albi, aa dr. j.
        Aquae  cinnamomi, oz. J.
      F.'at mistura.  S. Dose: The one-half the
        instant  pain  is felt; If  not  relieved In
        an hour or two, give the remainder.
                                 —Dewees.

(3S4) R—Aplolis,  dr. j.
        Alcoholis,  dr.  ij.
        Syr.sim pi., oz. ss.
        Aquae  destil., oz. ij.
      M.  S. dr.  j  every two hours.  (In anemic
        cases).
                        —Joret  et  Homolle.
                                           \
(385) R—Tr. opii deod., dr. lj.
        Ext.  cimlcifugae,  oz. ss.
        Syr. simp., dr. x.
      M.  S.  oz.  j every  three  or  four  hours.
        (To restore  menstrual  flow  after sud-
        denly checked).
                                  —Ringer.
ENDOMETRITIS.
  DEFINITION.—An  acute  or chronic  in-
flammation of  the  lining membrane of the
uterus.

  THE  ACUTE  FORM.—Usually involves
the   cervix   and   body.   Complications:
Urethritis;  vaginitis;   salpingitis;  perito-
nitis.   Physical Signs:  Soft, enlarged and
sensitive cervix;  erosion about the os; cer-
vix  appears like that of early pregnancy;
endometrium sensitive.  Symptoms: Watery
and  then  creamy discharge; slight  rise of
temperature; pain in pelvis  and back; rec-
tal and vesical irritation, etc.  Treatment:
Put  patient  to  bed;   light  diet;  soluble
bowels; opium for pain; hot  fomentations
over   hypogastric   region;   warm   water
douches (when secretion  is  purulent) con-
taining  boiax  (dr.  j-O  j). 
2S2
  THE  CHRONIC  FORM.—Varieties:  Ch.
cervical  and ch. corporeal.   Symptoms of
ch.  cervical form:  Lencorrhea; may  be
piuritus; pain  in loins and back;  disturb-
ances  of menstruation;  sterility;   reflex
neuroses;  menorrhagia.  Treatment:  Re-
move cause if  possible; attend  to general
health;  hot water douches  containing  sul-
phate  of zinc   (dr.  j-O j);   remove  ropy
mucus from canal  with a  large-mouthed
syringe;  then apply  Iodized  phenol.   When
cervix is congested  or cystic, scarify  cer-
vix.  If this treatment is iuelhcient, curette
cervix, and apply iodized phenol.  Schroed-
er's  operation,  etc.  Symptoms  and  treat-
ment of the ch. corporeal form:  Leucor-
rhea; menorrhagia;  pain in  pelvic region
and  back;  dysmenorrhea;  sterility;  reflex
neuroses;  abortion.   The   treatment  is
prophylactic.  Iodized  phenol  to endomet-
rium; fl.  ext. ergot  (gtt. xv) with hydrastls
canadensis  (gtt. xv); in  some cases it  will
be necessary to curette uterus.  Irrigate
the uterus  with a double-current catheter
(so as  to  avoid danger of   forcing  un-
healthy substances  through the Fallopian
tubes uuder pressure),  using  one ounce of
hydrozone  full  strength; applications  Io-
dized  phenol   to  endometrium;  "uterine
tonic" (Buckley's),  after repletion  by  Ab-
bott's  "depleting suppository."
METRITIS.
  DEFINITION.—An  acute or  chronio  in-
flammation   of  the  parenchyma of the
uterus.

  ACUTE FORM.—Etiology: Acute endome-
tritis;  septecaemla  from  abortion,  labor,
etc; acute peritonitis.   Symptoms: Rigor;
increased temperature  and  pulse;  hypo-
gastric  pain;  pelvic pain;  nausea; vesical
and rectal tenasmus; sometimes suppressed
menstruation; menorrhagia, etc. Treatment:
Remove  cause if due  to  sepsis,  etc.;  in-
trauterine  injections  of   hydrozone  full
strength, by  double catheter; carbolic acid
(1-100), or bichloride solution  (1-5000); keep
patient  in bed; turpentine stupes to hypo-
gastric  region;  ice coil  for  temperature
(high);  regulate  bowels (enemata);  opium
suppository   for  severe pain;  hot  water
douches, etc. 
283
   CHRONIC  FORM.—Pathology; hyperae-
 mlc;  hyperplastic;  sclerotic.   Symptoms:
 Weight in pelvis;  leucorrhea; irritable rec-
 tum  and bladder; radiating pains to back
 and limbs; menorrhagia; abortion (in early
 stages);  sterility  (later);  reflex  neuroses,
 etc.   Differential  Diagnosis:  From  early
 pregnancy  (in  pregnancy  the  enlargement
 is in  an antero-posterior  direction,  in me-
 tritis  more  uniform,  etc.);  from fibroids;
 from  malignant   disease  of  the  uterus.
 Complications:   Ch.   endometritis;  perito-
 nitis:  ovaritis;   salpingitis; vaginitis; var
 ious displacements, eto.  Treatment: Prop-
 hylaxis.  Treat  complications; Watch gen-
 eral health: attend  to bowels,  etc.; avoid
 excessive coitus; hot  water vaginal injec
 tions;  Abbott's  "depleting and  antiseptic
 suppositories;  tr.  iodine   to  fornices  and
 cervix; scarify  cervix; trachelorrhaphy; or
 amputation of cervix.

                OVARITIS.

  DEFINITION.—An  acute  (follicular  or
 interstitial  or   chronic atrophic,  hyper-
 plastic,  or  cystic)  inflammation  of  the
 ovary.   May  be caused by  sepsis,  gonor-
 rhea  or exposure  during menstruation.

  ACUTE  FORM.—Symptoms:  Sharp  pain
 In ovarian region; pain radiates  to back;
 reflex  neuroses; pain in  micturation and
 defecation;  septic  (from  abscess)  symp-
 toms.   Symptoms  may depend  on  an ac-
 companying salpingitis or peritonitis.  Dif-
 ferential Diagnosis: From salpingitis;  peri-
 tonitic deposit;  fibroid tumor; • exudation
 Into  troad  ligament;  fecal  matter  in
 rectum.  In the  chronic form: Less marked;
 dull pain in ovarian region;  dyspareunia,
 etc.   Treatment: Put  patient to  bed; hot
 poultices  to   abdomen;   soluble bowels;
 anodynes;   later,   counter-irritation   (tr.
 iodine) to vaginal fornix  superior  to  dis-
 eased ovary; support organ with a tampon;
 hot water vaginal  douche;  "uterine  tonic"
 (Buckley's), after  depletion  with "deplet-
 ing suppositories"  (Abbott's).   As  a last
resort, laparotomy.

  DISPLACEMENTS  OF THE UTERUS.

  ANTEVERSION.—Symptoms:   Frequent
 urination (uterus presses on bladder); dis-
comfort on  walking;  sometimes   menor-
rhagia;  symptoms  of  accompanying  peri-
tonitis,  metritis or  cellulitis, which  are 
284
the chief cause of  the  trouble.  Physical
Signs: Cervix  directed  toward  hollow of
sacrum; body of uterus slt.ualed .Inst above
ant.  vaginal  wall, etc.  Treatment:  Treat
complicating   inflammation   (hot   water
douches,  Iodine to fornices, etc.); then use
a pessary  (Emmet's).
  ANTEFLEXION.—(Body bent forward on
cervix).  Symptoms: Sterility:  leucorrhea;
dysmenorrhea; disturbance  of  the func-
tions  of the bladder, etc.  Physical  Signs:
Cervix high; os has a direction downward
and forward;  marked angle  between body
and  cervix of  uterus,  etc.   Treatment:
After  treating  inflammatory symptoms,
glycerine tampons,  etc.  (See Anteversion);
dilate cervix and apply  to region of inter-
nal os carbolic acid;  use graduated hard
dilators to  keen  up  the dilatation; intra-
uterine stem,  eto.
  RETROVERSION    AND   RETRO-
FLEXION.—Symptoms: Pain in back;  con-
stipation;  irritable  bladder;  menorrhagia;
leucorrhea;  dysmenorrhea  (when flexion  is
excessive);  Inflammatory   symptoms;   re-
flex neuroses;  sterility; abortion.  Differen-
tial Diagnosis:  From fecal  matter in  rec-
tum; fibroid on post-wall of uterus; Inflam-
matory  deposits; small ovarian tumor;  pro-
lapsed ovary.   Treatment: Attend  to  any
pelvic Inflammation  that might be  present
(hot douches, sitz-baths, bowels, etc.); then
make gentle attempts  to  raise  uterus by
placing  fingers in the post, fornix  vaginae
(a few  moments at  each  sitting);  insert a
tampon  (kept  in situ 24 hours);  hot water
vaginal  irrigations.   The  adhesions must
be stretched, doing this cautiously.
PROLAPSUS  UTERI.
  SYMPTOMS.—Weight; dragging; sense of
something giving away; severe pain: vomit-
ing; retention of urine; disordered menstru-
ation;  sometimes difficult  micturition,  etc.
Differential  Diagnosis: From  hypertrophy
of the  cervix  uteri;  rectocele;  cvstocele;
Inversion   and   polypi.   Treatment:   By
pessaries (Albert Smith's  or a  cradle  pes-
sary), or operation. 
285
    DISEASES  OP  PREGNANCY.
              SALIVATION.

  SYMPTOMS.—Flow of saliva; bad breath,
 etc.  Takes  place  usually  in  the  early
 months.   It  is a  sympathetic affection.

  TREATMENT.—Saline  laxatives;  astrin-
 gent or hydrozone mouth  washes; counter-
 irritation (tr. iodine) over parotids.  Treat-
 ment unsatisfactory.  Cure* generally after
 delivery.

         NAUSEA AND VOMITING.
  ETIOLOGY.—Growing  ovum  stretching
 uterus; diseases of  cervix; malpositions of
 uterus.

  TREATMENT.—Regulate diet; patient to
 take breakfast in bed an hour or two before
 rising; lime-water;  champagne; milk;  ice-
 drinks;  avoid coitus;  light  food; bowels
 soluble;  have patient  insert a  '-depleting
 suppository"  (Abbott's) on retiring every
 night or every other night; then try Buck-
 ley's "uterine tonic  pills;" potass, bromid.
 (gr.x-xx) td.; chloral hydrate (gr.  v) every
 two hours; or per  enema  the  same; mor-
 phina hypodermatically; oxalate of cerium
 (gr. v-x); Fowler's  solution; dil.  hydrocy-
 anic acid  (gtt.iii-v)  with  an effervescing
 drink;  glycozone;  wine  of ipecac  (m.  j)
 td.; salicin (gr.iii-v)  td.;  etc.  If cervix is
 eroded:  apply nitrate silver  solution  (10
 p. c.) or carbolic acid; vaginal suppositories
 to  relieve  irritable uterus;  correct  any
 malposition of uterus; treat inflamed  cer-
 vix,  etc.   Anodyne  liniments,  etc. over
 epigastrium;   counter-irritants.  The  symp-
 toms generally disappear  during the  fourth
 month.

             HYPEREMESIS.
  SYMPTOMS.—From the  simple  form  of
 vomiting  there  may  be  constant nausea
 and  vomiting;  pure   bile   is  sometimes
 thrown up; fatigue  and gastric pains; re-
jection of  food incessant; emaciation; loss
 of  strength; sometimes   salivation  and
diarrhea; fever (becomes very pronounced);
extremities cold  and  clammy; face  and
trunk dry  and hot; incessant vomiting of
food; foul breath;  headache; syncope; pulse
may reach  120-140 beats;  urine  scanty
and  high-colored,  etc.  (The  prognosis is
grave.) 
W5
  DIFFERENTIAL DIAONOSTS.  —  From
vomiting caused  by albuminuria;  ulcer or
cancer of stomach; tubercular meningitis.

  TREATMENT—Liquid  food  (rectal ene-
mas); rest in bed;  lor  thirst give per rec-
tum water  (oz.  viij)  and  whites  of two
eggs, td.;  The  following  may  be  given
for  rectal alimentation:  Peptonized  milk;
whites of eggs in water, defibrinated blood,
animal   broths,   etc.  The  amount  for an
enema is  from  four  to six  ounces  three
or four  times a day.  When stomach is In
a  condition  to  retain food  give:  Pancre-
atic  solutions of  meat;  koumyss (effervesc-
ing); lime-water  and  milk;   peptonized
milk, etc.  As a last resort induce  abortion
or premature labor. (See Nausea and Vom-
iting above for  medical  treatment.)
            PRESCRIPTIONS.

(386) R—Cocain,  chlorohydrat., gr. Iss.
        Antipyrine, gr. xvj.
        Aquae  destil.,  oz. iv.
      M.  S. dr. j every half  hour until  re-
        lieved.
                                  —Lutant.

(387) R—Menthol., gr.  xv.
        Alcoholis,  dr.  v.
        Aquae  destil.,  oz. iv.
      M.  S. oz. ss every  hour.

(888) R—Cbcaln.  murlat.,  gr. iij.
        Acetanilid.. dr. ss.
        Aquae  destil., oz.  v.
      M.  S. dr. J  hourly.

(389) R—Tr.  nucis vom., m. ij.
        Aq. laurocerasi,  dr. 1.
      M.  S. gtt. x P. M.  and A. M.
                                  —Kroyla.

    DENTAL CARIES-TOOTHACHE.

  TREATMENT.-Morphina   hypodermati-
cally to  relieve  pain;  anodynes; quinina
(full doses); warm applications externally;
operative procedures.


      OEDEMA OF LOWER  LIMBS.

  TREATMENT.-Recumbent  position and
elevation  of the limbs; remove all constric-
tions; bathe parts with cold  water; warm
flannel  to protect limbs; diaphoretics; ton-
ics, etc. 
                   287

      OEDEMA  OF THE VULVA.

 TREATMENT.—If extensive secure drain-
age  by puncturing  parts; antiseptic pre-
cautions;  if edema is slight,  maintain the
recumbent position;  applications  of  oold
water, etc.

           VARICOSE VEINS.

  TREATMENT.—Regulate bowels; rest In
the  recumbent  position;  abdominal  ban-
dages;  support   veins  of  leg  by  elastic
Stockings   or  bandages;  cold  ablutions;
when there is rupture of a vein,  apply a
compress  over point of rupture;  bandage,
etc.

             LEUCORRHEA.

  TREATMENT.—Tepid  astringent  injec-
tions (alum, borax,  sulphate of zinc,  com-
mon  salt, etc.):  cotton  tampon,  if  dis-
charge is  excessive; then injections again;
asparoline, laxatives;  treat complications
like  vulvitus,  etc.

     IRRITABILITY OF  BLADDER.

  A  sympathetic  affection  in  the  early
months; frequent desire to urinate. Treat-
ment: Infusions of buchu, triticum repens,
or tr. belladonna,   etc.;  bland mucilagin-
ous drinks; suppositories  of morphia, etc.

      IRRITATION OF BLADDER.

  TREATMENT.—Empty   bladder;  restore
any  malposition  of uterus; (genu-pectoral
position);  support  uterus with  abdominal
bandage;  keep bowels  open, etc.

      INCONTINENCE OF URINE.

  TREATMENT.—Abdominal  bandage;  tr.
cantharidis (gtt. iii-v) to flaxseed tea (oz. j)
td.;  frequent  ablutions;  simple  ointments
prevent excoriations,  etc.);  occurs gener-
ally  in  elderly women  who have had sev-
eral  children.

     PAINFUL MAMMARY  GLANDS.

  TREATMENT—Saline  laxatives; in  an-
emic, etc.,  subjects,  iron,  quinina,  good
food; belladonna  ointment; anodyne  lini-
ments (olive oil,  camphor, laudanum), etc. 
2X8
   PALPITATION  OF  THE  HEART.

  TREATMENT.—Usually  associated with
anemia, therefore, iron, quinina, etc.; bella-
donna plaster  over cardial-  region;  asa-
fetlda, hvoscvamus;  where  patient  Is ple-
thoric,  laxatives,  low  diet,  blood-letting
are indicated,  etc.

                SYNCOPE.

  TREATMENT.—Keep head low; ammonia
to nostrils; diffusible stimulants; bromide
of potassium  (gr.  xx) td., etc.

               ABORTION.

  DEFINITION.—Expulsion of  the fetus
before it is visible (before  end of  twenty-
eighth  week).    Division: Ovular   (during
first three weeks); embryonic  (up to fourth
month);  fetal (after fourth mouth).

  SYMPTOMS.—Premonitory:  Weight and
fulness  in pelvis;   pain  in  lumbar  and
sacral regions;  Irritability  of bladder  or
rectum;   chilliness  or   heat   alternately;
malaise;  increased  secretions of   vagina.
Characteristic:   Painful  uterine  contrac-
tions;  hemorrhage; vaginal  examination
reveals  partial  or  complete  dilatation  of
os uteri,  etc.

  TREATMENT.  -Threatened  form: Rest in
recumbent position;  quiet;  avoidance  of
stimulants; cooling drinks;  opium  to check
 hemorrhage  and control  contractions;  as-
tringents, etc. Treat cause (if known) of
symptoms.   The inevitable form:  Control
 hemorrhage  and empty uterus.  Use tam-
pon  which   controls  hemorrhage,   stimu-
 lates  uterine contractions,  and  assists in
 the separation of the ovum from the uterus,
 etc.; empty bladder: fl.  ext.  ergot, etc.
          PLACENTA PREVIA.

  DEFINITION.—The  "implantation of the
placenta abnormally  near  to, or  more  or
less over, the internal os uteri"  (King).

  SYMPTOMS.—Hemorrhage  (generally oc-
curs during  last  three  months), which is
sudden   and   Intermittent;  first  hemor-
rhage usually  slight; quantity varies with
amount of placental  separation, etc. 
289
  TRE VTMENT—Expectant  plan  of  treat-
ment  rest  in  bed; opium for  pain,  etc.;
cold d inks,  etc).  Thi main indication is
the m, nagement of the hemorrhage  (tam-
pon; uterine dilators; ergot;  etc.).  Empty
uterus (podalic version), etc.
     P CCIDENTAL HEMORRHAGE.

  DE TNITION.— "Hemorrhage  from  the
sepai ation  of  a  normally  situated  pla-
centa."   (Ashton.)  Divided into open  and
concealed.

  SYMPTOMS.—Severe pain; extreme  col-
lapse; enlargement of uterus;  feeble uterine
contractions;  discharge   of  pure   blood,
sometimes mixed with  liquor amnii.

  TREATMENT.—If hemorrhage is  grave:
Deliver  at once by forceps or podalic  ver-
sion;  firm compression  upon uterus;  ergot;
abdominal bandage,  etc.
               ECLAMPSIA.

  SYMPTOMS.—Invasion:   Eyes  suddenly
 flxed and staring; rapid movement of eye-
 lids,  etc.;  convulsive twitchings  of  facial
 muscles; pupils dilated (insensible to light):
 tinnitus aurium;  hallucinations;  deadness
 etc.  Typical  Puerperal   Convulsion:  Roll-
 ing of eyes; puckering of lips; rolling head
 back or from  side  to  side;  twitching of
 facial and muscles of extremities; grinding
 of  teeth;  jerkings  of arm; protrusion of
 tongue; clonic spasm of voluntary muscles;
 distended veins in neck; cyanosis; involun-
 tary evacuation of feces and urine, etc.

  TREATMENT—Ascertain cause.   If ur-
 emia (diaphoretics;  purgatives;  diuretics;
 methods of reducing renal congestion, etc.).
 During  paroxysm: Prevent patient  injur-
 ing herself; bleeding (plethoric cases); then
 morphina  hypodermatically;   chloral  hy-
 drate (gr.  xv-xx)  with  potassium bromide
 (gr.  xxx) every three or four hours.  As a
 general  rule it is best to  deliver by for-
 ceps. In  some cases  labor  may  proceed
 naturally;  milk diet, etc.

  NOTE.—The  following articles  should al-
 ways be carried by the obstetrician,  or be
 within reach: A pair of obstetric forceps;
hypodermatic  syringe;  stethoscope;  elastic
catheter;  needles; needle-holder;  dressing 
290
forceps;  sutures  (catgut, silk-worm,  gut,
silk, silver wire, etc.);  11.  ext. ergot (oz. j)
or  ergotele (S  and  D);  Magendle's solu-
tion of morphlna (dr. j); liq  ferrl persul-
phatls (oz.  ss); Davidson's  syringe;  sul-
phuric ether  (O  ss).  The following arti-
cles should be  in readiness:  A half dozen
powders  of chloral  (aa  $;r. xv); absorbent
cotton; antiseptic solution (hydrarg. chlor.
corros., dr. j,  alcohol.,  oz.  j., dr. j to 0
lj  water—1-2000).
MANAGEMENT  OF  MOTHER AF-

          TER DELIVERY.

         LOCHIAL DISCHARGE.

  TREATMENT.—Cleanliness;  applications
of napkins  to  receive  discharge.  If  pre-
maturely  suppressed:  warm  poultices  to
hypogastrium  and vulva;  warm foot-bath;
gent'* saline  laxative; liq. ammon.  acetat
(oz. ss) every  two hours.  Then vaginal In-
jections twice a day of hydrozone, one part
water,  32  parts,  etc.

             AFTER  PAINS.

  TREATMENT.—Remove  retained  clots;
or membranes; ergot  or  ergotele (S. and
D.);  laxative enema, if not contraincllcated;
morphina suppository;  warm  poultices  to
hypogastric region.  May  also be due  to
neuralgia of womb or from reflex irritation
when  child is put to  breast.


            SORE NIPPLES.

  TREATMENT.—Should  be  hardened dur-
ing pregnancy. Use  nipple shield; cleanse
parts  after  its use; apply tannin and gly-
cerine, aa  dr.  iij; tr. benzoin comp.; for
Assures, touch twice  a  day  with  nitrate
Bilver (gr.  xx) to  water oz. j;  Goulard's
extract (oz. ij to water O j), etc.


      EXCESSIVE FLOW OF  MILK.

  TREATMENT. - Dry  food; abstinence
pom fluids  as much  as possible;  potassium
iodide  (gr.  xx) td;   saline  laxatives;  liq.
ammon. acet.  (oz.  ss) every  two  hours;
locally ext.  bellad,  dr. j; liniment camphor
oz. j with friction. 
291
CHAPTER XI.
THE CARE OF THE INFANT FROM
  BIRTH THROUGH THE FIRST
              DENTITION.
BY FRANK S. PARSONS, M. D.
INTRODUCTORY.
  The problem of how properly to care for
the young infant  until it has arrived at
a period in its existence beyond which the
chief  dangers to  its  health are  mainly
the accidents of  life rather than a want of
tommon  sense or scientific knowledge, has
been a source of endless  research. So far
the battle has just begun.  Someone nearly
every  day advances   a  new theory  and
builds  another  air castle of  hope,  only
for someone else a little more clear-sighted
to destroy.
  During the past few years science has
rapidly  advanced the food problem in the
management  of  infancy  to such a degree
that we may now,  with  great  accuracy,
detail the proper substances and  amounts
that are necessary for the complete  nour-
ishment  of the babe.
  But the  food  problem,  though playing
such an  important part,  Is  not by  any
means  the sole management of  infancy,
nor does the  physician's responsibility end
with infant  feeding.  The  study  of the
care of children has  but  just commenced.
There are many things which the masses
are grossly ignorant of in the management
and hygienic care of  their offspring, and
it is our duty to instruct  them.  There are
old whims,  granny  notions  and  sayings,
which must be rooted out of the minds of
young  mothers.  There  are  bare-faced lies
in the  quack advertisement of the news-
paper  which,  alas,  the  better-educated
often believe, try,  and subsequently rue. 
292
  These things and  many others it is the
duty of every true-hearted physician to at-
tempt to efliciently eradicate from the pub-
lic  mind.  It  is a  sign of advancing en-
lightenment to notice that in many places
this is being done, and that  a clearer idea
of justice is  being  realized  by  the  rising
generations.  There is  still much to  accom-
plish, and  it  is probable  that  less infant
lives would be  sacrificed  each  succeeding
year  were  the subjects  connected  with
infant  management,  admitted to the curri-
culum  of our higher public Institutions of
learning.
  It  is not  the intention  to exhaustively
discuss the  subject of  the care  of infants
In this work,  but  to outline the principles
Involved as  they have been brought to the
notice  of  the author,  in an extensive ex-
perience, both at  the  bedside and  in the
home.
  The good  judgment  of the general  prac-
titioner will aid him  in individual  cases,
for the first lesson to  learn  in the care of
children Is  that no  two  can be handled
In exactly  the same way.
  RESUSCITATION OF THE NEW-BORN.
 -The methods necessary to  resuscitate a
new-born  infant depend largely on  how
much life  the child exhibits when born.
When  there is simply  a sluggishness of
respiratory  powers,  two or three vigorous
slaps by  the  palm of  the   hand  on  the
child's buttocks will often revive it. Fail-
ing  in  this  method,  a  bucket of  warm
and  of  cold water. Into which the child
can  alternately be dipped for  a moment,
has  powerful  stimulating properties to the
respiratory  centre in the medulla.
  The only method of  artificial  respiration,
with, perhaps, the exception of the Laborde
method  of rhythmical   traction  on  the
tongue,  which is suitable for the resusci-
tation  of  asphyxiated  infants,  is  as  fol-
lows: Wipe all  mucus  from  the  child's
mouth,  place the fingers of one hand so as
to close the nose and  with the other push
the  larynx back from the outside, so as
to close the  oesophagus,  then  with your
mouth  against the  infant's  blow and  111?
the  child's lungs  with  air. As soon  as
the  lungs  are  inflated  sufficiently to raise
the  ribs  and  depress  the  diaphragm,  re- 
293
lease  your hold of the throat and larynx
and gently  compress the ribs from  below
upwards.  This is  to be repeated  until the
child  shows signs of life.  Sometimes  two
hours  will  be necessary  in  carrying  on
this  artificial  respiration before  we  are
warranted in giving up the attempt.
  THE  TYING  OF  THE  UMBILICAL
 CORD.—In  the ordinary case,  as soon as
 the  child has taken  a  few  good respira-
 tions,  and  a  red  glow  appears on  the
 surface  of  the skin  in  the  place of the
 purple hue just prior  to the first gasp, the
 cord .should be ligated at about two inches
 from the abdominal wall.  For  ligature a
 piece of ordinary  cotton twine,  which has
 been previously immersed In  an antiseptic
 fluid  is as  good  as  any  and  is  always
 handy  in the  household.  Pass  the  twine
 around  the  umbilical cord,  and  make  a
 double  turn  of the ends  in  making  the
 first knot; this will  prevent the twine slip-
 ping  back  when  tightening  around  the
 cord,  and secure a  perfect control of the
 artery.  The  second  turn  of  the  twine
 should be  after  the  manner of  a square
 knot.
  Divide the  cord  with  a sharp  pair of
 scissors about an inch from the ligature ou
 the placental side.   Allow the blood to es-
 cape from the  placenta  so  long  as it does
 not spurt arterial  blood.  This  allows  an
 easy delivery  of  the placenta.  Look care-
fully at  the  umbilical stump of the child
to see  that  all vessels have been  secured.
 See,  also, that the ends  of the  twine are
short enough to prevent  their catching in
blankets or  clothing  and  become pulled
off.  Wrap the  child in a soft blanket  and
lay it aside until the mother is cared for.
  WASHING THE INFANT.—The washing
of the infant !s one of the most important
parts  of  its  early  management.  Many a
child has lost its  life  through the careless-
ness of the nurse in  unduly exposing  the
child to cold while bathing it. First,  anoint
the  ch'ld  with hog's  lard.  This renders
the sebaceous matter,  which is  on the skin
of  all  infants  to a  greater or  less  ex- 
                   2!»4

tent,  soluble and easily removable  by soap
and water.
  Next prepare a tub of warm water, large
enough  to Immerse the  Infant, the  tem-
perature  of  which  Is  about  100  degrees
Fahr., and  also a  soft  linen  or  canton
flannel rag or old handkerchief.  Place the
infant up to its neck in  the  tub of  water
(the Idea being that there is no danger in re-
turning  the infant  to  the same  tempera-
ture from which  it  has  come), and  sup-
porting  Its  head, have  the  nurse gently
wash the child  underneath the surface of
the water with  the rag, using only  the
best of  castlle  soap.
  The head may be washed while the child
Is in  the bath,  but the face should have
more  eare and be  wiped afterwards with
a wet rag, using no soap.
  On  lifting  the baby  from  the  bath it
should be placed in  a soft, warm blanket,
and, with gentle friction on the outside of
the blanket,  should  be  thoroughly dried.
Then  the creases of the skin, arm  pits,
etc.,  should  receive thorough  powdering
with starch or talcum powder.
  The  subsequent  baths  of   the   infant
should be given  every  morning  after  the
second week, the temperature of the water
being about that of  the body.  Until  that
age, sponging  the  parts  where soil  and
friction  occur is all that is necessary.
  THE  CARE  OF  THE  UMBILICAL
STUMP.—The next process in  the care of
the infant  at this stage is the dressing of
the umbilical stump.  It should be the duty
of every physician to see that  this is done
properly, or, better,  to dress it himself.
If thorough attention Is given the subject
It Is  not   likely  that any  excoriation  or
granulation will take  place after  the stump
has separated. The following is the method
which  the   writer  has  found to  answer
best: Take   a generous wad of  antiseptic
absorbent  cotton,  completely envelop  the
stump  with it,  turn the whole  upwards on
the child's abdomen,  and secure it to  the
same   by  a  strip  of  surgeon's  adhesive
plaster, about six inches long and  an Inch
In  width.  Leave this  dressing  alone  for
five or  six days (until the umbilical cord
has had time  to  separate), then  remove
the plaster.by placing a towel  wet with 
                   295

warm water over it for  about fifteen min-
utes,  and the  whole will  easily  come off
without pulling the skin or  causing pain
to the babe.  Re-dress the  umbilicus with
another pad  of cotton,  as before.   Leave
the second dressing on for  five days more.
Do not use oil  or" moist  dressings, or bind-
ers to secure  the dressing.
  DRESSING OF THE INFANT.—To dress
an infant properly is as important a part
of its  management as the  proper  feeding.
The  general  practice  of  overloading  a
child's  body at  one  portion  and leaving
other important portions practically naked
is wrong  in principle as well as practice,
and  may be  the cause of serious  acute
diseases.  As  this  subject  has  been  dis-
cussed by the writer  at length in medical
journals, there will be but  an outlining of
it in  this  place.  For  this  purpose  the
following general rules may be mentioned,
the execution of which must conform  with
the circum'stances of the individual cases:
  First, a child  should be  dressed evenly,
loosely  and warmly,  from  its neck to  its
feet.  There  should be  no  excessive  col-
lection  of clothing  about its  waist. Every
article  should   be   supported   from   the
shoulders, if it tends  towards dragging on
the waist. The quality  of texture should
In the  main be of  silk-and-wool  material
for garments worn next the skin, or canton
flannel  if the parent's purse will not ad-
mit of anything so expensive.  An all-wool
texture is made by  some  manufacturers,
which  so nearly  resembles  the silk-and-
wool that  it is excellent  for its  softness
and can be recommended here.  The  ordi-
nary  all-wool goods  will not  do for  in-
fants, as they will cause much irritation to
the  skin.  Over  the  undergarments  may
be worn articles made of all-wool.
  Second, there should never be allowed an
abdominal binder on  an infant,  unless for
some   congenital  hernia.  The  abdominal
binder on  the healthy  infant  predisposes
to the causation of  herniae  by compress-
ing the abdominal walls, instead of allow-
ing the  relaxation  nature  intended.    A
ohild should be so loosely dressed that one
may with ease pass  his hand between  in-
tegument and clothing.
  Third,  the  diaper   should  be  made of
canton  flannel,  but  not too  heavy.   The
softest side should  go next the  skin. 
296
  Fourth,  the  shirt  should  be  made  of
texture, as above indicated, and preferably
of knit variety, opening  in front  all  the
way   down.  Silk  stockings  should  cover
the feet and  legs  and reach  well  up on
the thighs. Stockings should never be col-
ored  unless by  an iron-dyed black.  Most
other  coloring mixtures are harmful.
  Fifth, over these garments may  be placed
an  all-wool dress, which  may  be  made
with  waist and sleeves  of the same ma-
terial.  It  is to be  made loosely,  and  may
be covered with a  muslin  slip. This man-
ner of dressing  infants may  be  regulated
for summer  or winter  weatlier  by  the
thickness  of  the  material  used  In  their
manufacture.
^5^" 
297
CHAPTER  XII.
INFANT FEEDING.
  For convenience  we  will  consider  tlie
subject of infant feeding under two  heads,
viz.: First,  the feeding  of infants  under
one year of age,  and, second, the feeding
of infants between one and two years old.
IMAM - FEEDING    UNDER   ONE

           YEAR OF  AGE.
  The feeding of the new-born infant until
 the  third day  is a  matter of considerable
 Importance,  especially it" the mother is a
 primipara.  For these three days the milk
 Is not  in  sufficient  quantity  to keep the
 child from crying with hunger,  and,  hence
 It generally succeeds in becoming dosed,
 for  colic,  with  various  sorts  of   mint
 tea  and,  often,  paregoric.  During  this
 period  always  let   the  child  nurse  the
 breast  every time  It is hungry, for this
 act develops the breast  of the mother and
 the  suction  power  of the child as  well
 as it induces  a beneficial action,  by the
 colostrum, on  the  bowels of the infant.
 It is a rule with  some  nurses  to give a
 little sweetened water or  molasses  for a
 laxative soon after  birth;  this is not nec-
 essary if the child  will  nurse  the breast
 at once.  It does   no  great  harm,   how-
 ever.
  If  artificial feeding is  necessary,  as will
be probable, during the first three days,  let
the  child first  take all  it can  from the
breast,  then give  about  a half-ounce  of
the following mixture:
     Good  cream (from milk  not  over
      6 hours old)..............drachms 2
    Boiled water..............drachms 8
    Sugar ................grains abt. 10
 TLe whole thoroughly nixed and  sterilized. 
298
  Do  not  force  the Infant  to  take more
than  just  enough  to  appease  Its  hunger
and  allow It to  sleep.  This  can  be re-
peated,  as  necessary,  until the  mother
oan satisfy her infant.
  The feeding of  the infant after  the third
day should be, by  all  means, breast milk,
If there are  no  contraindications  on ac-
count  of  the  condition  of  the  mother.
Weakly and  slcklv mothers should not be
allowed to nurse their  offspring, for  not
only  will  'the drain be  too great for  her
Bvstem, but the  milk,  which she  will  fur-
nish,  will not  bo of  a  quality  suitable
for her babe.  It is always wed  to  have
analyses  of  the  breast  milk made to de-
termine the  qualliv of the  food  the  child
Is receiving,  especially If the infant does
not appear to thrive.      If the  mother
Is unable to nurse her  own infant a  wet
nurse Is  to  be  obtained,  if possible.  The
wet  nurse  should not  be  over  three or
four  months  in  milk to  obtain  the  best
results, and,  If  the child Is ycunger than
this  the  wet nurse of the same  length of
time  In milk  Is to be preferred.  She should
bo willing to  submit to  examination  lor
disease,  an 1 great care  should  be  exer-
cised on  part of the  physician that  there
 •lurk  no  evidences  of  syphilitic taint,
scrofula,  tuberculosis, or  gonorrhea.
  The diet of the nurse should  be of ar-
ticles easily assimilable  and nutritious.
Flatulence should  be  guarded against.
 ARTIFICIAL FEEDING—When a  child
cannot be brought up  on breast milk  from
Its mother or a wet nurse, we are forced
to  find some artificial  substitute.
 Cow's milk, because it Is the most con-
venient substitute to be  obtained, and  re-
sembles woman's  milk sufficiently to pre-
pare therefrom  an  analagous food, is the
one  we generally adopt.  It  is necessaryi
however,  to  artificially  change  Its  com-
position  so that  It will  compare  closely
with  the  natural  food of the Infant.
 It  will be seen that to make the  neces-
sary  changes to render acid cow's  milk,
like  that of woman's,  we must add a little
soda or lime water, dilute the albuminoids
and  casein with water, add cream to  bring
up  the fat  percentage,  and  increase  the
milk-sugar. 
299
COMPARATIVE  TABLE OF WOMAN'S  AND
               COW'S  MILK.
                           Woman's. Cow's.
Water........................S7.09   87.41
Solids.........................12.91   12.59
Fat ...........................3.90    3.66
Milk Sugar..................... 6.04    4.92
Casein..........................0.63    3.01
Albumen......................1.31    0.75
Albuminoids ...................1.94    3.76
Ash............................0.49    0.70
Reaction...................SI. Alka.  SI.  Acid.
  I have  been in the habit,  with children
from a few months to a  year of age, of
recommending  cream  from   milk of  six
hours' standing, diluted  with water, prop-
erly sweetened  and rendered alkaline  by
lime  water.  This is substituted for  the
ordinary mixed milk,  the whole,  of course,
to be sterilized.
  In cities  during the  summer  season it
Is often  difficult to procure  milk that is
eufliciently  good  for the  average infant.
It has been brought generally many miles
from the  country, and has run the risk of
considerable dilution  on  the  way.   There
are  several farms  near our  larger  cities
where milk for infants is put up in  sealed
Jars, having been carefully milked,  steril-
ized  and  hermetically   confined until it
reaches its destination.  Such milk  comes
higher in  price,  naturally, but  is  so far
superior to ordinary city milk  that the lives
of  many  infants have  undoubtedly  been
saved by  employing It.
  Jersey cow's milk  contains more fat than
others, the  cream being about 20 per cent.
This  is  the  right  standard  for children
under  a  year  of  age.  Ass's  milk  and
"strippings"  are nearer  the  standard of
woman's  milk, but neither are practicable. 
300
  STERILIZATION  OF MILK.—The neces-
sity  for the sterilization  of milk, when in-
tended  for  food  for  infants,  lies in  the
fact  that  milk, containing, as  it does, in-
active, devitalized organic globules.  Is  one
of the most inviting of media  for the cul-
tivation of atmospheric  germs,  as well  as
those derived  from  tuberculous cows.
  There are two  ways of  sterilizing milk
now  employed.  One by  boiling or steam-
ing the milk, the other by a process called
Pasteurization,  or bringing  the milk 1"  a
temperature of  75 degrees  centigrade  (167
Fahr.) for forty-five minutes.
  Each method  has  its advantage, but  the
latter  is  undoubtedly  the  best.  Boiling
sterilizes quickly, fifteen  to twenty min-
utes   being  required,  but it also devital-
izes  the milk,  so  that  children do  not
thrive so  well  on  it  as  on  Pasteurized
milk.  Both  methods  are complete  steril-
izers.
  The  bottles   used  for   infant feeding
should not have any angles In  which milk
may  become collected and difficult  of re-
moval.
  The  milk  may be sterilized  in  small
bottles of  just sufficient size  to  hold  a
single feeding,  or it  may be sterilized in
a  large bottle,  and while  yet  hot poured
off Into the  smaller ones,  to  be opened
only as the  infant requires Its  food.
  Having mixed the milk, place a wad of
absorbent  cotton In  the  mouth  of  the
bottle and place  in water  of a  tempera-
ture  of 167  degrees Fahr.  This is to  be
kept  over  just enough  heat  to keep  the
water at the above  temperature for forty-
five  minutes.
  It  has for  some  years  been my  habit
of sterilizing  the milk  in  a  large bottle
and  run It through a  couple   thicknesses
of cheese-cloth Into  the small bottles, cork-
ing the latter with  a rubber  stopper.  This
frees the milk of any scum which may be
deposited on the  surface of  the milk  dur-
ing  sterilization.
  A  sterilization  apparatus is  a  desirable
article for  convenience.  The  best  instru-
ment for this  purpose now on  the market
is that known  as "Arnold's Steam Steril-
izer."  It maintains  the  three  important
factors  for  sterilization—simplicity,  con-
venience and efficiency. 
301
  FOOD   INGREDIENTS.—Starch   as  a
food for infants should not be  given until
the  child  is  able  to  digest  it.  Ptyalin,
which  acts  on  starch,  does  not become
secreted until after  the sixth month,  and
not  fully  developed  uutil  the  child is a
year  of  age. The  main   starches  given
children are found in  potato, oatmeal  and
barley.  They  are  designed  to  take  up
oxygen, but will interfere  with the albu-
minoids if given in  too  large  quantities,
and  cause  malassimilation.  Oatmeal   in-
creases peristalsis, preventing constipation.
Barley  checks diarrhoea.
  Laotose  maintains  the body heat, and is
found in  the solids  of milk.  If it be  de-
ficient the little one emaciates.
  Nitrogenous  matter  is  found  in  eggs.
which may be given  a child of ten months
or over.  The white  of egg  is  the most
essential.   It  contains  about  20  per cent.
nitrogenous matter  and no fat.  The yolk
contains the  fatty   matter.  Egg may  be
diluted  with  water  and sweetened,  mak-
ing a good, substitute for milk or addition
thereto.  Beef and   mutton   broths  form
nitrogenous food.  Beef tea should be made
from a  pound of beef  to a pint of water,
by cold infusion, heated only just before
using.
  Potash and  lime also come from  meats.
A child  of ten  months may be given  a
little  steak,   which  has been cooked,  to
suck,  or the  juice may be  squeezed from
the steak and given  to the  child.
TABLE OF  DIET AT  EIGHT MONTHS
  The  following  is given  by Dr.  Stowell,
of New  York.

 7.00 A. M.  (a) Milk.
            fh) Milk and rusk.
10.30 A. M.  fa) Oatmeal or  barley  In milk.
            (b) Beef-tea.
 2.00 P. M.  (a) Kgg in milk, sweetened.
            Oh) Stale bread and milk.
 5.30 P. M.  (a) Milk and cracker.
            (b) Milk and oatmeal  or barley.
10.00 P. M.  (a) Milk. Total milk,  iy3 pint. 
302
FEEDING  OF-  CHILDREN  AFTER

       ONE YEAR  OF AGE.
  As  this  Implies  the  period  of weaning
to those  children  who  up  to this point
have  been breast fed,  some  of  the  re-
marks in  the  foregoing sections  apply to
such.
  At the beginning of the second year the
first molars should appear, which  indicates
that the child is old enough  to  masticate
Its food.  It may have, therefore,  crusts of
bread, crackers, meat-juice,' chicken broths
and  such  like foods; Graham bread  and
rice  may  be added to the dietary.
  At  two  years  of  age  the  child  should
have  20 deciduous teeth,  and be able to
digest all the plain food that is proper for
it.
  Water as an element of diet should not be
forgotten.  A  child  should have a large
amount  of water,   even  If  his  food Is
mainly  liquid.  Bring the  child up  to eat
slowly, regularly and as much as he wants
In a given time.
  Fruits  may  be allowed  after the  second
year,  baked apples, full ripe bananas may
be scraped and  given.  Stimulants  should
never be  allowed the healthy  child.
TABLE  OF  DIET FROM ONE  TO TWO

                 YEARS.
 The  following  table  is  given  by  Dr.
Stowell, of New York:

 7.30 A. M.  (a) Rusk,  or  cracker  and  milk.
               Banana.
            (b) Soft boiied egg; mPk.  Orange.
11.00 A. M.  (a) Milk; bread  and butter.
            (b) Baked potato;  milk.
 2.00 P. M.  (a) Beef-tea.  light pudding.
            (b) Bread,  butter,  bread  In  meat
               gravy from a  roast.
 B.30 P. M   (a) Bread and milk. Prune Juice.
            (b) Cocoa;  custard.
10.00 P. M.  (a) Milk, if awake. Total milk 2
               pints. 
303
DENTITION.
  Under the term  "dentition" is to be con-
sidered only the eruption of the temporary
or milk teeth.
TABLE  SHOWING THE ERUPTION  OF


          THE MILK TEETH. '
 6th to loth month.......Four central incisors.
 8th to 12th month.......Four lateral incisors.
12th to 15th month.......Four anterior molars.
16th to 22d month...........Four canine teeth.
20th to 36th month.......Four posterior molars.
  Dentition may, however, be much retard-
ed in health.  This often is an indication of
rachitis, especially  if  the closure of  the
anterior fontanel is  delayed  beyond  the
20th month.  The order of the eruption may
be irregular  also.
  Disorders arising  from  dentition are to
be  regarded  as few.  There  is  no  doubt
that coincident with this  process digestive
disturbances may arise. The irritability of
teething children is a  fact  regardless of
the  opinions  of many eminent writers to
the contrary. Slight diarrhoeas may  occur,
and  great  caution  must be exercised that
the feeding is correct or that the diarrhoea
is not  aggravated,  and,  if  occurring, is
promptly checked.  Convulsions are  gener-
ally  easily  traced  to  other  causes than
that of dentition.
  It  is  better  if the  gum-lancet,  during
dentition, be seldom used. There are  spe-
cial  indications where it may be  of benefit,
but  they are  few.  Generally the  molars
are  the only teeth that  will  require  any
lancing. It  is  probable,  if  there is  any
upward pressure on  the  gums  sufficient
to  cause  pain, that  the   pressure  will
shortly  benumb the sensibility of the gum
from constriction  of   the  blood  supply.
Lancing without occasion  simply   causes
a cicatrix  to form over the tooth and the
eruption  made  so much the  more  dif-
ficult. 
"0-J
CHAPT1011  XIII.
DISEASES   OF   INFANCY   GEN

   FKALLY OCCURRING PRIOR

       TO THE THIRD YEAR.



    COXSTITI'TIOXAL DISEASES.



               RACHITIS.
  DEFINITION—A  dlathetlo  disease  oc-
curring during the first years of life, man-
ifested chiefly by a deficiency of lime salts
in the bones, and growing out of a faulty
diet to  the child after birth,  or  to  the
mother during  utero-gestatlon.

  CAUSES.— Inheritance, tubercular, syph-
ilitic, weakly parentage, poverty and hard-
ship; food:  thin,  poor breast  milk, poor
quality  of artificial  food, too much  stareli
or sugar, excess of lactic  acid.

  PATHOLOGY.—Proliferation and  altered
nutrition  of cartilage, arrest of ossifying
process in  bone,  enlargement  of junction
area between the  shaft and  epiphysis  of
long bones,  periosteum  strips  off  easily,
greater or  less  amount of  sub-periosteal
layer,  decalcification  of bone,  medullary
portion  more vascular,  bones fracture easi-
ly  beads along  cartilaginous  portions  of
ribs, craniotabes.  Retarded closure  of  the
anterior   fontanel,   enlargement  of   the
cranium,  shape  often  angular  with  pro-
jecting  forehead,  curvatures  in the long
bones,  spinal curvatures,  changes  in  the
normal curves of the ribs with prominence
li, . e  St6™""  (so-called  pigeon breast),
pelvic  deformities, spleen  often enlarged
flabby  muscles,  emaciation,  reconstructive
processes  gradual. 
305
  SYMPTOMS.—Digestive disturbances  ac-
 company or precede rachitis, if developed
 after  birth; infant  fretful,  restless,  per-
 spires freely  about head  and neck during
 sleep, does not  tolerate  bed clothes,  ten-
 derness  over the  surface, a  bruit  de  souf-
 flet  may be heard often over anterior fon-
 tanel, prominent  abdomen, deformities of
 long  bones, delayed dentition, pseudo  para-
 plegia occasionally  met with,  laryngismus
 stridulus.

  COMPLICATIONS.—Principally a liabili-
 ty to diseases of the lungs, eclampsia.  Lung
 diseases  are   generally   very   serious  in
 rickets.

  PROGNOSIS.—Good for recovery, except
 In case  complications  arise;  bad  for de-
 formity  if case has advanced far.

  TREATMENT. — Prophylaxis — Hygienic
 care  of  the   mother   during   pregnancy,
 equality in feeding  the  infant near the
 standard of mother's  milk,  keep  mother
 healthy  on  a  mixed nutritious diet, if she
 is nursing  her  infant;  child  must  have
 suitable  clothing,  diet  and  hygiene.  (See
 chapter  on  Infant Management.)

  GENERAL TREATMENT.—Cod  liver  oil
 is of great use in  this disease.  Phosphorus
 may be  combined with  it to advantage in
 doses of  l-125th of a grain to ten minims of
 the oil. •  When digestive disturbances  arise
 the oil may be  rubbed into the skin instead
 of taken by the  mouth.  Tincture of the
 chloride  of iron  is a  useful tonic.   Cold
 sponging, to invigorate the nervous  system,
 should be resorted to daily.  Gastro-intesti-
 nal disturbances should be corrected,  also
other complications as they may arise.
    SCORBUTUS—INFANT  SCURVY.

  DEFINITION.—Infantile scurvy is  a  dis-
ease of the  blood,  arising from an  insuf-
ficient quality of  food.  The class of in-
fants who  are prone  to this  disease  are
those who have  been  fed  with condense!
milk or infant foods,  composed  principally
of grains. 
306
  SYMPTOMS.—Head  sweating.   Fretful-
uess.  Slight elevation of  temperature,  Ir-
ritability of temper and  other  nervous dis-
turbances.   Swellings  of the  limbs,  with
extreme  tenderness  and pseudo-paralysis.
Gums swollen and bleed easily. Pale and
sallow  complexion.  Vascular  changes  In
the skin  and nmcous membranes; petechlae
and hemorrhages. Anemia.

  TREATMENT.-Principal treatment is to
correct  diet. Give fresh milk, beef  juice
and fruits  (if child is  old  enough,  vege-
tables).   Orange  juice  is  excellent.  Bo-
vinlne may be used  in  this  disease  with
great  advantage.  Iron tor t he anemia and
cod liver  oil are  serviceable. Fresh air
and good hygiene.
SCROFULOSIS,
  EEFINTTION.—A  diathetic,   inflamma-
tory disease of peculiar type, affecting the
skin,  mucous  membrane,  lymphatic sys-
tem,  boi.es and  joints.   Lesions  are par-
ticularly prone to follow  slight injuries.
The presence  of  tubercule  bacilli occur in
some  forms, as a  concomitant of retrograde
changes In the tissues.

  ETIC LOGY.—Heredity,   from   scrofula,
phythisis, syphilis, cousanquinity, youth or
advanced age,  and rapid child-bearing  in
parents.  Acquired by insufficient and im-
proper  food,  bad  hygiene  and  infection
through  tuberculous  milk  (?) or possibly
vaccin-tion (?).  This disease is essentially
due to lymphatic stasis.  The  stasis being
dependent  on  various causes.

  PATHOLOCY.—Enlargement   of   lym-
phatic glands,  which  undergo caseous de-
generation,  soften and break down. Giant
cells  and tubercular  baci.li often  abound
 in  4hese.  Impetigo   and  secondary  en-
largement  of  lymph  glands are generally
non-tubercular.

  SYMPTOMS-Skin   Affectlons.-Eczema
lltchen, lupus, cold  abscess and scrofulo-
derma.

  OPHTHALMIC.-Phlyctenular   ophthal-
mia, tinea tarsi, corneal u^ers, styes. 
307
  AURAL.—Otorrhea,  often  secondary  to
exanthematous diseases;  more or less tem-
porary deafness.

  MUCOUS  MEMBRANES.  —  Catarrhs,
chronic  tonsillar  enlargement;  vaginitis,
catarrhal vulvitis.
  BONE   AFFECTIONS.—Spinal   caries,
joint affections,  caries  of long boues, na-
sal bones and petrous portion  of temporal
bones; dactylitis of phalanges.

  GLANDULAR  AFFECTIONS.—Enlarge-
ment and suppuration of lymphatic glands,
apt to follow dentition or the exanthema.
One of the earliest symptoms, and oue not
generally recognized,  is  the  indisposition
of the patient to eat fatty food.

  TREATMENT.—Best of  hygiene required,
regulated diet, milk in  abundance, seaside
residence,  warm  clothing, daily  morning
bath in  salt  water. Cod  liver  oil and the
hypophosphates,  especially  of lime,  hold
first place  among  medicines  (the  hypo-
phosphates when  chemically pure convey
in the blood  oxidizable  phosphorus,  which
builds  up the tissues by its faculty  of ab-
sorbing oxygen for the  tissue-building ele-
ments.);  iodine,  (1)  syrup   of  hydriodic
acid,  iodide  of potash, topically and in-
ternally  in enlarged glandular  affections;
arsenic.
  LOCAL   MEASURES.—Skin   affections
must not be allowed to become chronic;  io-
dine ointments, ung. plumbi  iodidi;  inter-
nally much  benefit  will  be derived from
Barclay's formula  of the bromide of gold
and  arsenic  in these skin affections. (This
formula  is  sold  under the  name of  "Ar-
senauro.") (2.)

  GLANDULAR  AFFECTIONS.—Enlarged
glands may  be painted  with iodine  tinc-
ture.  Tonsillitis  of  chronic type is bene-
fited by  painting the  tonsils every other
1. The  credit of the first  successful and  best
  Syrup of Hydriodic Acid should be given to the
 eminent chemist, R. W. Gardner, of New York.
2. Arsenauro and Mercauro  are put up  only by
 the Charles Roome Parmele Co. 
308
day with a comp. tinct. Iodine one-third to
two-thirds  glycerine mixture. When pus is
evident the abscess should be freely opened
and  washed  out with  25 to 50  per  cent.
mixture  of hydrozone  (•'.)  In  pure water,
and free drainage established.
CRETINISM.-MYXEDEMA  OF  CHILD-

                 HOOD.
  DEFINITION.—An endemic,  chronio  dis-
ease, having intimate but obscure  relation
to disease or absence  of the thyroid gland.
Is characterized  by mental and moral  tor-
por,  peculiar malformations  of  the head
and body,  and  arrest of  growth  in  cer-
tain  bones.

  ETIOLOGY.—Obscure; climatic causes (7).

  SYMPTOMS. -These  are  generally  not
apparent  before  the sixth month  of life;
general  weakness;  body  fat  and  puffed
out;  skin   brownish  or   ashy hue: head
large;  fontanelles  and   sutures   widely
open;  eyes  languid;  appetite  voracious;
child sleepy and apathetic;  lips tld"k  and
swollen;  nose short and broad; child  sel-
dom  cries;  belly tumid;  neck  thick  and
short; thyroid gland  sometimes enlarged
and  sometimes  absent;  general   growth
slow;  dentition  delayed,  often  attended
with  convulsions;  child  walks  and talks
very late,  often  not until the sixth year;
height rarely  exceeds 4  feet 10   inches
often does not attain  over 3 feet;  puberty
late or absent altogether.

  TREATMENT.-Prophylaxis -  Mothers
who  have  borne  cretins  should   change
climate and location  to  healthier  places
In subsequent pregnancies; treat  promptly
every case of goitre.

  GENERAL—Proper  hygienic  surround-
ings;  good  food; cod liver oil and Iron-
plenty of exercise; much benefit   has  re-
cently been reported  from  the  Injection
of thyroid extract in  cretinism
3. Hydrozone is a double strength (28 volume) per-
  oxide of hydrogen far superior to the latter as
  a pus destroyer, and made only bv Mr.  Charles
  Marchand. of New York 
309
ACUTE  DISEASES  OF THE  RESPI-

          RATORY  TRACT.
ACUTE CORYZA.
  DEFINITION.—An acute inflammation of
the mucous membrane of the nasal cavi-
ties, producing  in  infants  considerable
general  disturbance  with  more  or  less
fever.
   ETIOLOGY.—Chilling the surface of the
 body;   wetting   the  feet;    insufficient
 clothing  or  protection  from  atmospheric
 changes;  pyphilis; zymotic diseases;  gas-
 tric  tnd  intestinal  irritation  from  indi-
 gestion;  foreign  bodies ip the nasal pas-
 sages.

   SYMPTOMS.—Sneezing;   more  or  less
 fever;   congestion of  the  conjunctivae;
 watery discharge from  the nostrils;  more
 or less  obstruction  to  nasal  respiration;
 slight cough  and gagging;  sometimes vo-
 miting,  which  indicates extension  to  the
 naso-pharynx;  tinnitus aurium;  earache
 when Eustachian tubes become involved.

  TREATMENT.—First  remove cause;  co-
 cainize the parts  and  examine the nasal
 passages thoroughly, especially for foreign
 particles.   Treat  the fever if excessive.
 Keep child warm  and free from exposure.
 Treat any constitutional disease that  may
 cause coryza.   The  Carl Seller  formula
 may be used  with  advantage in older  chil-
 dren.  Powders of great astringent power
 should not be  used in  children  as local
 applications.  In adults and older  children
 a snuff of 6 grains  hydrochlorate of cocain,
 half  a drachm of subcarbonate  of  bis-
 muth and a drachm and a half of French
 chalk  is  an   excellent  application.    If
 coryza be  a  symptom  of  a zymotic  dis-
 ease  simple cleaning of the mucous mem-
 brane will  be all  that  is  necessary,  and
 for this  purpose as well as for destroying
 any  bacteria,  a teaspoonful  of hydrozone
or two of the medicinal peroxide of  hydro-
gen to a tumblerful of warm water is  an ef-
ficient application.   This may  be  used as
a spray  or with a swab as the case may 
310
require.    Hydrozone Is  superior  to the
ordinary peroxide of hydrogen,  as  it goes
farther and is  much  more  constant   in
strength.
BRONCHITIS IN CHILDREN.
  This disease does not differ in its patho-
 logical  relations from  the  same disease in
 adults except for the Increased clangers and
 exaggerated symptoms  due to  the size of
 the  iiiuuetilal tubes In  children, and  their
 winker  powers  of resistance  when  very
 young.

  ETIOLOGY.—The exanthemata, influenza,
 pertussis,  typhoid  fever, rickets, syphilis,
 debility, putrid feces  in  the gastro-iutos-
 tli.ul tract, causing irritation, by imlgratlon
 of   the  bacillus  coll  communis,  to  the
 bronchi;  inhalation  of irritants,  chilling
 of surface  of the  body, atmospheric irri-
 tuuts, heart lesions.

  SYMPTOMS.—Coryza, skin hot and dry,
 temperature elevated, pulse accelerated, a
 dry,  paroxysmal cough at first,  with  much
 uneasiness,  no expectoration;  (children un-
 der  five  years of  age  always swallow  In
 place of  expectorating); diarrhoea,  often
 caused  by  the  Irritating   action  of  the
 muco-pus swallowed.  These symptoms may
 become rapidly  aggravated  when the dis-
 ease  extends Into a  capillary  bronchitis
 and  to  a broncho-pneumonia.

  PHYSICAL   SICNS.-InspectIon,   fre-
 quency  Iu  respiration,  although  not  pain-
 ful.  Percussion,  normal resonance.  Auscul-
 tation, every  kind of rale  may  be heard,
except the crepitant, which Is only heard
In pneumonia;  generally  the loud, moist
 rales  Palpation;   the  vibrations caused
 by the rales may be felt.

  PATITOI.OOY.-As  in adults,  redness of
the  mucous  membrane  with  tumefaction.
a discharge of mucus,  which  later on be-
comes mnc o-pus from the bronchial  glands;
epithelial  cells,  pus oells and other detri-
tus are also found. 
311
  TREATMENT.—Place  child  In  a com-
fortable,  well-ventilated   room,   give a
gentle calomel purge (even though diarrhoea
may be  present);  stimulate  the  glandular
system  by a  ten-drop dose  of  turpentine
on  a lump of  sugar;  envelop  the  chest
wlhh a flannel, wrung out  in warm water,
on which a few drops of turpentine  have
been placed; cr, rub  camphorated  oil over
the chest in mild cases,  reduce the tem-
perature,   If  excessive,    with  one-grain
doses of acetanilide;  an emetic  should  oc-
casionally  be  given to free the  stomach
from swallowed mucus; stimulation at  the
proper  time  is necessary;  keep  patient
free  from undue restlessness.
BRONCHO-PNEUMONIA.
  DEFINITION.—An  inflammatory disease
of  the  bronchial  tubes,  in  which  the
smaller bronchi  have become affected and
the inflammatory process has extended  to
the surrounding  interstitial tissue; a bron-
chitis  with  circumscribed  spots  of pneu-
monia.
  ETIOLOGY.—Always an  extension of a
 primary bronchitis.

  SYMPTOMS. — Previous   symptoms'  of
 bronchitis  which become  exaggerated; dys-
 pnea;  short,  painful  and  hacking cough;
 Increased frequency of respiration; anxious
 expression; pulse  very  rapid  (often  the
 pulse will  become  200 and the respiration
 80 per  minute); child becomes very  weak;
 tongue  Is  coated,  may become dry; anor-
 exia and  thirst;  stupor  alternating with
 delirium.    Physical  signs: Dullness over
 the  circumscribed   spots  of  pneumonia,
 which  is difficult to find  unless  the pneu-
 monia  is somewhat extensive; moist rales;
 subcrepitant  rales; apex  of  lung  rarely
 Involved.

  PATHOLOGY.—In  addition  to  the mor-
 bid  conditions  mentioned   under  "Bron-
chitis," there often occurs,  as the disease
advances,  a condition of  atelectasis,  the
cutting off of a portion  of lung from  its
Bupply  of  air by  the plugging of one  or
more bronchioles,  and the  collapse of the 
312
   «nn« S?in80,affefted: inflammatory  condi-
   tions will also be  met in the  connective
   tissue surrounding these bronchioles.

   ^/KpGNOSIS.-Depends  on  the  severity
   of  the  case;  should  always be guarded-
   frequent pulse and rapid  respiration does

   less        imP y  that  the (;ase ls hope"


  lnT?Fw.1™EN'1\_C1ilhl  shou,d  be dre8sed
  Lon?i«^,m canton  flannel nightdress  and
  Kept in  the same until the severity of the
  fnrea0Sat1S °/eY unless necessary to change
  for sake of cleanliness.  Next,  direct that
  an  eiderdown  flannel chest  protector  be
  made and  worn  throughout  the  disease
  Poultices are apt to do  harm in th s  dls-
  t«se-  Counter-irritants should be confined
  to mild  turpentine  stupes, but generally
  the protector will  be sufficient.  The blneflt
  of an emetic when  the tubes seem clogged
  with  mucus  is almost magical;  wine  of
  ipecac is as good as any,  and series also
  the  purpose  of  stimulating  thew\terv
  IteDtS  in Jhe secretions of the mucous
  fLwdS+'v,Whlch is desirable.  Opium prefer
  hal?  th+i camPhorated tincture,  tends  to
  hasten the second stage.  Citrate of nota«h

  SStiamT,a^ab,e adjunct t0 relieve tne kidneys
  Stimulating  expectorants,  especiallynm





 Hon   /t'T,  werfj^' h™»?t»Uc conges


 mucus from  the tubes   exPulsl<>n of the



        CROUPOUS PNEUMONIA.







  ETIOLOGY.—It is now believed that tht«
disease has a  specific germ  for its cause
and that this germ, probably a dinlococcus'
Is infectious.   Exposure to  cold  and 3'
den atmospheric changes  may  be an ex"
citing  cause.  The germ theory of  this dis
ease is to be very much doubted 
313
   SYMPTOMS.—In  children  vomiting   or
 convulsions  may  take  the  place  of  the
 chill  of the adult.   Sometimes  active  de-
 lirium,   general  hyperesthesia   or  stupor
 may  be present.  Pain,  if complained  of,
 Is  usually  referred  to  the epigastrium.
 Temperature  is  elevated.  Pulse acceler-
 ated.   Cough  dry, hacking and suppressed
 on  account  of pain.  Rusty sputa,  if any,
 which  is generally  swallowed,   and  may
 appear in the vomited matter.  It is not  un-
 common to find no  bloodly sputa  what-
 ever.  Some cyanosis  may be  present.
   Physical Signs—Inspection: Rapid  breath-
 ing; dilation  of  the  alae nasi;  somewhat
 painful   expression of  the  face; lagging
 of  respiration  on affected • side.  Palpa-
 tion:  Vocal  fremitus  increased.   Ausculta-
 tation:  Crepitant rale generally  absent in
 children under 3  years  of age;  bronchial
 respiration;  moist rales and bronchophony.
 Percussion:  Dullness  or oftener  a sense of
 greater  resistance over the  affected area.
 The  physical  signs  may   not   appear
 for  from two  to five  days.

   PATHOLOGY.—The three stages of con-
 gestion,  red and gray hepitization appear as
 in the adult, but may  coexist.  Multilocular
 abscesses may take the place of resolution.
 Microscopically the same appearances  are
 observed as in the adult.

   PROGNOSIS.—Grave in children  under
 3  years.   Good in children over 5 years old.

   TREATMENT.—The indications for treat-
 ment  are the  promotion  of diuresis,  dia-
 phoresis, which are well  accomplished  by
 spts etheris  nitrosi; the promotion of alka-
 linity of the blood, as shown by the urine,
 with acetate of potassium,  thus lessening
 the  fibrin in the  blood  and  tendency  to
 coagulation;  gentle and diffuse stimulation
 of the nerve  centres favoring  sleep  and
 preventing spasm,  which  may be obtained
 by the liquor ammonii acetatis  with cam-
 phor water.    Other  drugs  may  be used
 to obtain the same end,  but the  majority
 of cases  will bear this line of treatment
 well.  Stimulation  of the heart  is  neces-
 sary when the  right side becomes engorged
 trying  to force blood through  a consoli-
 dated  lung,  but,  in  the  opinion  of the
 writer,  the  stimulation   should   come  in
the shape of relieving the engorgement  by
dilation  of the venous  capillaries,  rather
than by  trying  to force the blood through 
314
the  lung  by increasing the action of the
heart.  Therefore,  nitro-glycerine,  bella-
donna and alcohol are better adapted for
heart stimulants thin digitalis in croupous
pneumonia.   A hot application to the chest
during  the  stage of  congestion  by means
of a sheet wrung out in warm  water  and
applied about the thorax serves to  ease the
paiu  and tightness.   Purgation in  pneu-
monia should be  avoided.  No expectorants
are  needed  other than  water.   Hyperpy-
rexias may be treated in  the early stages
by aconite and veratrum viride.  The cold
bath is lauded by some, while others pre-
fer the wet  sheet.  Cerebral symptoms are
well  treated  by  warm  mustard baths, if
convulsive, or the bromides and  chloral.
Tonic after treatment is  required.
 ACUTE  DISEASES   OP  DIGESTIVE
                 TRACT.

               STOMATITIS.

  DEFINITION. — Catarrhal  inflammation
 of  the mucous  membrane of  the  buccal
 cavity.  May  be simple,  ulcerous or fol-
 licular.

  ETIOLOGY.—Indigestible  or   irritating
 food.  Uncleanliness.  Anything which im-
 pairs the general health.  Dentition, meas-
 les and scarlet fever.

  SYMPTOMS.—Redness and more or less
 thickening of the mucous  membrane, with
 rapid proliferation of epithelial cells; secre-
 tions augmented;  tongue coated.  In ulcer-
 ous variety there are white points  of ulcer-
 ation,  which tend to enlarge and are pain-
 ful.  In follicular variety the inflammation
 is confined  to  the follicles,  and may ap-
 pear  as  white points with a red  border.
 but does not ulcerate.

  TREATMENT.-Removal  of the cause,  if
 it can be found.  Establish good  hygienic
 conditions.   Cleanse the   mouth  with  a
 dilution  of hydrozone  in  water.    AnDlv
 borax  and honey  or  glycerine locally   In
 ^"f0.118  or   aphthous  varieties,  use
 Chlorate  of potassium  locally  and  inter-
naiiy.   Trquseau  recommends  nitrate  of
silver paintings.  Favorable results  will be
obtained  by  the  use   of   hydrozone  or
medicinal peroxide of hydrogen  in water 
                   315

properly  diluted and given internally  as  a
drink,  ad libitum.
THRUSH.
  DEFINITION.—An  inflammation  of  the
mucous  membrane of  the buccal  cavity,
with  the presence of curd-like patches on
the inflamed  surface, which may  extend
downward along  the  digestive tract.

  ETIOLOGY.—Due to a fungus growth in
the mouth.

  SYMPTOMS.—Painful   burning  in  the
mouth:   diarrhea; sometimes pain in abdo-
men;  stools green, fluid and acid; anus  red
and  excoriated;  fever;  inflamed  surface
hot,  red and  tender,  deficient in  natural
secretion.

  PROGNOSIS.—Thrush with gastro-enter-
ltis is generally fatal.  If mild,  prognosis
is good.

  TREATMENT.—Cleanse  with  a  dilute
preparation  of hydrozone  in  water, then
apply borax and glycerine.  Often thrush is
of less importance than the  disease which
it complicates.
                 NOMA.

  DEFINITION.—Gangrenous sore mouth;
begins on inside  of cheek over a hard spot
which has  previously developed; the mu-
cous  membrane  is  red  and  discolored,
blackens and disintegrates; gums are de-
stroyed,  teeth fall  out,  and whole side of
face may slough  in five  or  six- days.

  SYMPTOMS.—Edema of  cheek;   bloody
saliva; small and frequent pulse; delirium;
thirst; diarrhea

  PROGNOSIS.—Recovery  rare;  if so,  dis-
figurement is great.

  TREATMENT—Tonics;  wine  and Iron;
actual cautery;  cupric  sulphate  locally.
Palliative applications may  be  used  when
case  is  hopeless.  Hydrozone  to cleanse
the mouth  and ulceration may be used  full
strength. 
316
               PAROTITIS.

  DEFINITION—Mumps  Is  an  inflamma
corv  swelling  of the  parotid  gland.   It
may be idiopathic or  symptomatic.

  ETIOLOGY.—Mumps may  be  due to  a
specific cause,  which  seems  to  be  infec-
tious  and mildly  contagious, or it may be
due to  a metastasis ocjurring in various
diseases.  In  the latter case  it generally
produces suppuration of the gland.

  SYMPTOMS.—In   the  idiopathic  form
there is fever for  a  few days;  swelling
under  the  ear on one side,  which  some-
times extends  to the  opposite  side in  a
few  days;   pain  from  tension,  and  dif-
ficulty in  swallowing.  In  older  persons
there may  be  metastatic Inflammation of
testicles  or ovaries.  Meningitis  sometimes
occurs.  In the symptomatic form  there Is
usually chill and exacerbation of  fever.
Suppuration takes place, the abscess  point-
ing outwardly, or.  more  commonly, into
the mouth or  pharynx.  On  opening  the
abscess there Is  evacuated discolored  pus
with shreds of broken-down tissue.

  TREATMENT.—In  the idiopathic  form
little treatment is required beyond keeping
the bowels open, feeding with liquid diet
and  protecting the  patient from  exposure
to cold.  In the symptomatic  form, if sup-
puration  threatens,  poultice,  and  when
fluctuation  is evident open the abscess.

             TONSILLITIS.

  DEFINITION.—An acute  or chronic in-
flammation of the tonsils.

  ETIOLOGY.—Simple tonsillitis is due U
exposure to cold  or  wet.  The same caused
are  marked  in  this  disease  as  produce
rheumatism.   Just what the  factor  Is be-
yond  exposure  has not been accurately de-
termined. Chronic tonsillitis is caused by a
primary  acute attack, but  the  diathetic
diseases  have  an  important  bearing  on
the production  of the  chronic  form.

  SYMPTOMS.—Chill;  high fever;  frequent
pulse; throat  sore, red and inflamed; pain
in tonsil; difficulty  in opening the mouth;
headache;  tumefaction of tonsil;  if both
tonsils are affected  at the same time the
swelling may  extend  so as  to  close  the 
317
passages, when symptoms of asphyxia may
occur.

  PATHOLOGY.—There is inflammation of
the interstitial  connective tissue with pro-
liferation.   If  resolution  takes  place  the
tonsil  does  not return quite to its normal
size.   Repeated attacks  gradually  enlarge
the tonsils.  Suppuration may occur.

  TREATMENT.—During  an acute  attack
there  is  nothing better  than  a dose  of
Dover's  powder,  after  which the  mouth
should be rinsed with a dilution of hydro-
zone  in  water,  and a mixture of ammon-
iated tincture of guaiac,  chlorate of potas-
sium,  glycerine and water be  used as  a
gargle every  hour.   Cold applications  to
the throat outside are of service.  Aconite
may be  used  to reduce  the fever.  If fluc-
tuation or pointing  occur much relief will
be  obtained  by lancing  the abscess,  care
being taken  not to  wound the carotid ar-
tery.  Chronic forms  of tonsillitis  are rapid-
ly benefited  by painting  the tonsil  every
other  day  with  a  mixture  of  one-^nird
compound tincture of iodine to two-thirds
glycerine.  Nitrate of silver is much  used
in the chronic forms to reduce the size of
the tonsils.   Tonics are necessary in most
Instances after recovery.

               DYSPEPSIA.

  DEFINITION.—A   condition    which   is
principally manifested by vomiting of in-
gested food  or milk,  which may be sour-
smelling and  curdled, but without inflam-
matory significance.

  ETIOLOGY.—Dyspepsia is generally the
result of an  incorrect diet,  over-feeding or
carelessness in  preparation of the food for
Infants.   The  regurgitation  of  milk  in
healthy  infants is  not  to  be  considered
dyspepsia,  but  more a  natural process of
disposing of excess of milk.  Indigestion  is
most common  in those infants who  are
bottle-fed,  and  those  who are brought  up
on  undiluted  acid  cow's  milk  or  infant
foods.

  SYMPTOMS. — Fretfulness;    vomiting;
wasting  of  the  tissues;  constipation  or
diarrhea; stools unhealthy;  increased se-
cretion of  mucus; acid  breath; sour-smell-
ing ejecta;  fetid  stool;  flatulence; colicky
pains; gastralgia. 
318
  PROGNOSIS.—Good,  If not  due  to  or-
ganic  disease.

  TREATMENT.—Regulate diet;  clear out
digestive  tract with castor oil  or rhubarb.
Lavage of the  stomach is of great  benefit.
Limewater  should  be  used  In  feeding.
(Reader  is  referred to  chapter on  infant
diet for modes  of feeding). Occasionally it
will be found  necessary  to  resort  to  di-
gestive ferments to aid  digestion.   Equal
parts  bismuth  and pepsin   suspended  in
cinnamon water will be found an agreeable
form to  administer these beneficial  drugs.
Dilute hydrochloric acid may also benefit
some cases.

            CONSTIPATION.

  DEFINITION—A delayed  expulsion  of
fecal mater; a  retention  of  Intestinal ex-
crementitious  substances  beyond the  nor-
mal limit of time.

  ETIOLOGY.—In young  children, who are
nursing,  constipation  of the mother is a
fruitful cause for constipation in  the child.
There  may be too much  casein  and starch,
and too little sugar, in the mother's milk.
In others, the milk is  so  perfectly digested
that but little  residue remains  and consti-
pation is the  result.   Sluggish  condition
of  the muscular coats  of the  intestines.
Artificial   feeds   and   condensed   milk,
though generally giving  rise to  diarrhea,
may produce  constipation.   Rice,  arrow
root, boiled  milk and tea will produce con
stipation.  ,  Impaction  of feces; deficient
Intestinal secretion and bile; excessive  per-
spiration;  opiates;  hernia;  obstructions;
chronic wasting disease.

  SYMPTOMS.-A single  evacuation a day,
with straining  and hard  fecal  lumps in a
nursing infant,  are signs of constipation.
Loss  of  appetite,  furred tongue  and  of-
fensive breath; colicky   pains;   increased
volume and resonance of the abdomen.

  TREATMENT.-Avoid medicines as much
as  possible and attend  to  the  diet   In
nursing infants the milk  should  be analyzed
««» «TOr *,,p  «an8e-  0ften  with the  cut-
ting of the  teeth constipation no longer  is
Si^w h°f ann°Fanf>e.  Small enemata
are best borne  once or  twice  a day  but
large enemata should be avoided.  Massage 
319
of the abdomen, with a circular movement
from  right to left, is beneficial.  Occasion-
ally small doses of nux vomica will prove
of benefit when  constipation  is  due  to
sluggishness  of  the  muscular coats of the
intestines.   In  somewhat  older  children,
who  have been  weaned,  oatmeal and fari-
naceous  diet is  excellent,  avoiding  the
starches.  Among the drugs, calomel stands
first  when given in small doses;  it is al-
ways  well borne except  in the strumous.
For flatus magnesia and asafoetida are well
recommended.  Ipecac in one-grain doses
has been favorably mentioned  in constipa-
tion.   In the strumous,  cod-liver  oil and
syrup  of iodide  of  iron,  syrup  hydriodic
acid,  syrup  of hypophcsphate  of lime, bo-
vinine and  tonics are necessary.
        INFANTILE  DIARRHEA.

  As the scope of this work is too limited
to consider the numerous forms of diarrhea
in infants in detail,  those  touched upon
here will  be confined  to  the forms which
commonly occur in practice among a large
percentage  of children,  and  leave  for
perusal  in larger works the interesting sub-
divisions of the subject.
     ACUTE MYCOTIC DIARRHEA.

  DEFINITION.—A   gastro-intestinal  ca-
tarrh  of  infectious  or  bacterial  origin,
formerly called  "summer diarrhea."  Two
forms  are  here included—acute  dyspeptio
diarrhea and  cholera  infantum.   It is to
be considered  in the first place as an acute
fermentation or decomposition leading up
to an  inflammatory  condition of  the In-
testinal tract.

  ETIOLOGY.—Age, first two years.  Pov-
erty and want of care; constitutional de-
bility;  dentition; diet and feeding; foreign
bodies;  exposure to  cold;  weaning, espe-
cially if sudden and in summer;  bacteria;
summer heat.

  SYMPTOMS.—Of  the  two   forms  here
considered, the first is  generally a precur-
sor to the second,  unless  checked before
that stage  is reached.  It  begins  by  a
mild diarrhea,  with little or  no vomiting;
the child  is  fretful  and peevish; has  no 
320
 appetite,  but  considerable  thirst,  which
 becomes  greater  as the  disease  becomes
 aggravated.   Stools  are  yellow or  green;
 contain masses of undigested fats,  casein
 and curds,  some  mucus,  and  are  much
 thinner than normal.  The tongue is  coated
 and mouth  may become the seat of stoma-
 titis.   If  the disease  run a week or two,
 there is loss of weight and flesh.   In cases
 which  develop  suddenly the  clinical history
 Is different.   The attack  begins  abruptly;
 there  Is  vomiting,  hot   and dry  skin;
 diarrhea,  with much flatus; stools thin and
 watery; colicky pain;  fetid  odor; prostra-
 tion of temporary duration.   Proper treat-
 ment right in this stage generally  estab-
 lishes  a cure,  which goes  as a so-called
 cure of "cholera  infantum."   These  symp-
 toms can  generally  be traced  to  incorrect
 diet and  obviated by  care and  removed
 by removing the cause.   The  second form,
 or true cholera infantum, generally  super-
 venes upon a previous diarrhea; never  oc-
 curs in properly  breast-fed children,  and
 the exciting cause is almost always  to be
 found  in  the food which has been  given.
 The symptoms are  always  sudden,   the
 child having had a mild diarrhea prevlouslv
 Is seized  with acute  exacerbation  of  ail
 symptoms sufficient  to carry  off  the  pa-
 tient in a  few hours. Vomiting  is incessant;
 purging also,  the  stools   being  large  and
 watery.  Prostration is extreme; the fon-
 tanel is depressed; the facial  features  are
 sunken; in the later stages  stupor, relaxa-
 tion, coma  or  convulsions and death may
 ensue.  Temperature  is elevated—in recover-
 ing cases, 102-103;  in  fatal cases.  105 or
 more.   Pulse rapid—150  to  200-soon   be-
 coming weak  and  almost  imperceptible.
 Respiration irregular and frequent.  Thirst
 is extreme   The  collapse stage resembles
 that of Asiatic cholera.


 »^>^I^°vOGy-7"]?J'spePtic  <harrhea is  set
 up  by  indigested  food  and  decomposition
If properly managed there  are no lesions
?nfla^POr^ance-u If  the d^rrhea  continue
inflammatory changes may be set up, when
 the  case  becomes  one  of  entero-colitis
 Bacteria may be found in large numbers
Cholera infantum  is undoubtedly a disease
in  which   toxic  symptoms  are manifest
and the poisoning must be derived from the
bacteria directly  or indirectly.
PROGNOSIS.-Good  if  the  disease  is 
321
  properly treated early.  Bad in true cholera
  infantum.

   TREATMENT.-When  diarrhea is occa-
  sioned by improper food the first thing to
  do is to get  rid of the irritating ingesta;
  then correct  the diet.   Of cathartics calo-
  mel Is  preferable  from its antiseptic and
  antifermentative properties.  It stops vom-
  iting,  clears  out  the  digestive  tract,  and
  has beneficial action  in disposing of  bac-
  teria.  Castor oil  may  be  used if vomiting
  has not  taken place;  full doses should be
  given mixed  with  a few  drops of brandy
  or plain.  Of drugs to control mild diarrhea
  bismuth  stand first.  It is astringent  and
  soothing  to  irritated  membranes.   Some
  form of  opium may be combined with It.
  Antiseptics are often  used;  those  prefer-
  red are the salicylates or their  derivatives.
  Opium should not be  used until the  in-
  testine has been emptied  of its contents.
  Lime water  and chalk mixtures serve  an
  excellent purpose.  Pepsin  and  pancreatin
  are valuable  aids to digestion.  Irrigation
  of the stomach and intestine are valuable
  In  certain  cases   Rest from  food  for  a
  limited  time  is of  great  benefit.  Water
  can  be  given when  sterilized.   I have
  been in the  habit  of  further disinfecting
 drinking water by adding a teaspoonful, to
 a pint of water, of hydrozone.   This  seems
 to clean  the  mucous membranes and  de-
 stroy all  bacteria.  Of the mixture so pre-
 pared I allow the little one a  tablespoon-
 ful  every five minutes or  so  as required
 to satisfy the thirst.  It seems  to have  a
 beneficial  effect   on   the  diarrhea.   In
 cholera infantum  we must  arrest the dis-
 charges,  allay irritation to  the  nervous
 system, strengthen  the heart,  sustain  the
 system and reduce the temperature.  First
 treat the  shock;  morphine with atropine,
 1-100 of  a grain in solution  every  three
 hours, or  given  hypodermically  is of  im-
 mense value;  it must be given  cautiously
 and the effect watched closely  for several
 hours.  JTenooh  recommends  a  salt solu-
 tion used freely by the hypodermic needle;
 a 1 per cent, solution is recommended.  To
 reduce temperature,  bathing  is  the only
 reliable method without clanger of weaken-
 ing the heart; the water should be of blood
 heat  and  gradually cooled  down.   Give
no  nourishment but  champagne,  brandy
and  ice.   Glycozone  has been found to be
of great value in the  treatment of  these
affections, 
322
       ACUTE ENTERO-COLITIS.

  DEFINITION—An  acute   Infiammatory
condition of the  lower  third  of the  ileum
and of the  colon.  There are three forms—
dysenteric,  acute form (the most common),
and subacute.
                                         I
  ETIOLOGY.- M; y  follow   a   mycotic
diarrhea.    Vitiated   constitution.   Bad
habits of feeding.  Any season, more com-
mon in  summer.   Cold.  Measles.  Scarlet
fever.  Diphtheria.

  SYMPTOMS.-Dysenterio  Form:  Not so
frequent a  form.  Mostly In  children over
1 year.   Onset abrupt  or  gradual;  in  the
former the  symptoms are severe.  High ele-
vation   of  temperature, nervous  disturb-
ances, sometimes  delirium.  Gradual cases
little or no  elevation of temperature.  After
a few  fecal stools a diarrhea  supervenes
and  the   discharges   consist  of  mucus
streaked with blood.  Occasionally   the
blood will be in clots.  Tenesmus and grip-
ing severe.  More or less prostration. Course
generally runs a week unless  treated.  The
Aoute Form:  This generally  follows dys-
peptio diarrhea or a cholera Infantum.  In
these eases the vomiting ceases,  tempera-
ture falls,  serous discharges  become more
consistent,  of a  brown  or  greenish  hue
and  contain considerable mucus and undi-
gested  matter.  More or less  fever.  Pulse
somewhat  Increased.   Restlessness,  pain
and  crying.    Thirst,  constant.   Tongue
coated heavily and moist.  Vomiting gen-
erally  absent.  Stools  usually acid.  Ab-
domen natural or retracted and soft.  Ap-
petite  Impaired.   Urine high colored  and
loaded with urates.  Loss of weight,  emaci-
ation.   Subacute  Form- The  symptoms In
this form are similar to those of  the acute
form, which  has previously  lasted  for  a
time, only to  a  much  less severe  degree.
Stools  are  not frequent, but  are diarrheal
and have much odor.

  PATHOLOGY.—Hyperemia   of  mucous
membrane; thickening;  small  superficial
ulcers  in  ileum.   Softening  of mucous
membrane.  Hyperplasia of solitary  glands
and Peyers patches. Ulcers  of small  size
In colon.   Fibrin  may be found on mucous
membrane  of colon.    Mesenteric  glands
may become enlarged In protracted cases. 
323
  PROGNOSIS.—This  must  be,  naturally,
guarded.  Sudden exacerbations of the dis-
ease are apt to occur on  the  least provo-
cation.  Complications render the prognosis
less favorable.  Death may take place from
slow or rapid exhaustion.
   TREATMENT.—Preventive  measures  are
 best.  Change  of  air,  from  country  or
 cities inland to the seaside, and vice versa.
 Warm covering at night. Dietetic:  If breast-
 fed and milk is good, do not withdraw it.
 If weaning  has  taken  place or  child is
 artificially  fed,  begin  with  barley  water
 or arrowroot. Milk may be tried  by com-
 pletely peptonizing it for  two hours, then
 diluting it  with  gruel made from barley
 or flour ball  (made  by boiling two  or three
 pounds  of  wheat flour  twelve  hours tied
 in a  bag;  the outside is  scraped off and
 the inside,  which is principally  dextrin, is
 used).  The  milk  should  be  well diluted
 and sterilized. I  have not  much confidence
 In any  of  the patent  foods; occasionally
 they  may  be of  advantage  for   a  time.
 They  all have objections.   Some   children
 will thrive on one  which  will be  harmful
 to another.  Egg water is of advantage,  as
 in mycotic diarrhea  (white of  fresh egg;
 pint  of  cold  water,  previously boiled; a
 teaspoonful  of brandy  and a little  salt).
 Thin mutton or chicken  broth is also good
 for the little one.  Medicinal: This in the
 early  stages is similar to the  treatment  of
 mycotic  diarrhea.   When  the case has
 assumed the inflammatory  type  the anti-
 septics become of less value.  Calomel  is
 now  of  little use.   Bismuth  is  of  most
 value.  Opium must  be  used  with discre-
 tion.   Castor oil  emulsion  with  mucilage
 has some healing effect.  Local treatment
 by flushing out the colon and introducing
 astringents  tropically, is best.   First  ciean
 out  the  colon by  gradually  passing the
 rectal  tube with the water  flowing. In the
 water  may be put a  little hydrozone, which
 will have the beneficial action of  an  anti-
 septic  and pus-remover, without the danger
of producing any harm to the mucous  mem-
brane  or poisoning the patient.  For appli-
cations, bismuth and mucilage,  or tannin
and  water  (20 grains  to  the  ounce)  or
nitrate of silver (2 grains to the ounce  of
water) is of  excellent service. Opium should
be added.   Glycozone may, in connection
With this treatment,  be used internally. 
324
        INFANTILE  ECLAMPSIA.

  DEFINITION.—Convulsions  of  a  clonic
nature.  Forcible, involuntary contractions,
alternating  with relaxations of the  mus-
cles.  May be partial or general.  Internal
convulsions  or laryngismus  stridulus, Is a
spasm of the muscles  of respiration  and
larynx  and  diaphragm, with a temporary
suspension  of  respiration,   and  accom-
panied  with  a peculiar, stridulous  cry  on
Inspiration.

  ETIOLOGY.—Eclampsia is a symptom of
nearly all cerebral  diseases; also  of many
of the  exanthemata.   Most  apt  to  be the
outcome of digestive disturbances, especial-
ly of the  stomach.   Laryngismus  stridulus
may be due  to  rachitis, dentition,  disease
of the  cerebro-spiual  axis,  and  excitable
state of the nervous system In addition to
the causes of general convulsions.

  SYMPTOMS—General or  partial contrac-
tions of the muscles of  the face  and  all
the  limbs.   Features  are  distorted   and
drawn out of shape.  Frothy saliva, some-
times tinged with blood from laceration of
tongue.   Partial eclampsia  occurs  mostly
in face  or one or both  upper limbs.  Dura-
tion  varies from a few minutes to hours;
average.five to fifteen minutes. Laryngismus
stridulus—Generally a  history of previous
Ill-health.  Restlessness; a peculiar crowing
sound  on inspiration;  dyspnea;  features
livid; head   thrown  back.   Death  from
apnea  seems imminent.  May  be  general
spasm.

  PROGNOSIS.—Symptomatic eclampsia is
always  serious.   If due  to digestive  dis-
turbances, is favorable.  Death may result
from cerebral  congestion,  in  which case
consciousness does not return.  Laryngis-
mus stridulus—The mortality in this form
is very  great.


ItJRn^lT1SPNTTFIrst PlunSe the child to
its neck  in  a  hot mustard bath.   Give
S!pem»  »' "°aP a°d  water and  evacuate
the  stomach.   Cold  applications  may  be
placed on head.   Chloroform inhaled in ot>
stinate  cases, and chloral enema with bro-
mides.  Same  treatment  for  laryngismus
stridulus.  Tonic after-treatment   nglsraus 
325
CHAPTER XIV.
THE PHYSICIAN'S INTERPRETER
(English—German—French.)
(See Index at End of Chapter).
GENERAL OBSERVATIONS.*
 1—English—Answer only, yes or no.
   German—Anworten  Sle  nur  Ja  Oder
      Nein.
 French—Ne repondez que, oui ou non.

 2—English—What Is your name?
   German—Wie heisen Sie?
   French—Quel est votre  nom?

3—English—How old  are  you?    Forty?
      Fifty?
   German—Wie  alt  sind  Sie?   Vierzig?
      Funfzlg?
   French—Quel age avez-vous? Quarante?
      CInquante?

 4—English—Are you married?
   German—Sind  Sie  Verheirathet?
   French—Etes-vous marie?

 5—English—Have you  any children?
   German—Haben Sie Kinder?
   French—Avez-vous  des  enfants?

 6—English—Are they  living yet?
   German—Sind Sie noch  am  Leben?
   French—Vivent-ils encore?

 7—English—Do you understand me?
   German—Verstehen Sie Mich?
   French—Me  comprenez  vous?
                                      i
 8—English—When was the last child born?
   German—Wann  war Ihre letztes Kind
      geboren ?
   French—Votre dernier  enfant,  ou  fut
      11 ne?
* See Nos. 99, 100, 101. etc. 
326
PREVIOUS  HISTORY   OF  THE  PA-

                TIENT.
 9—English—Where were you born?
    German—Wo sind Sie geboreu?
    French—Ou  etiez vous ne?

 10— English—Do you live pretty well?
    German—Leben Sie ziemlich gut?
    French—VIvez vous assez blen?

 11 -English—Are your parents  living?
    German—Sind Ihre  Eltern  noch   am
      leben?
    French—Vos parens  sont lis encore en
      vie?

 12—English—Of what did your father  die?
    German—An  was 1st Ihre  Vater  ges-
      torben ?
    French—De quol est  morte  votre pere?

 id—English- Have you  any brothers?  Sis-
      ters?
   German—Haben Sie Brudern? Schwest-
     ern?
   Frenoh—Avez-vous des freres?   Soeurs?

 .4—English—Of what did your grandfather
      die?  Grandmother? Sister? Brother?
   German—An  was 1st Ihre  Grossvater
      gestorben?   Grossmutter?  Schwes-
      ter ?  Bruder ?
   French—De quoi est morte votre grand-
      pere? Grand-mere?  SoeurV  Frere?

 15—English—What  diseases have you  had
      in your youth?
   German—Welche  Krankheiten   haben
      Sie in Ihre Jugeud gehabt?
   French—Quelles  maladies avez-vous eu
      dans votre jeunesse?

 16—English—Was  your  father  always in
      good health?
   German—War Ihr Vater  immer gesund?
   French—Votre pere fut 11 toujours blen
      pourtant?

17—English—How long have you resided in
      this  place?
   German—Wie lang wohnen Sie In diesen
      ITatz?
   French—Comblen  de  temps avez-vous
      demure lei? 
327
 18—English—What have  you been working
       at?
    German—Was haben  Sie  gearbeitet?
    French—A quoit  avez-vous travaille?

 19—English—Are you a laborer? (See other
       occupations.)
    German—Sind Sie ein Arbeiter?
    French—Etes-vous un ouvrier?       ,

 20—English—Are your habits temperate or
       otherwise?
    German—1st  Ihre leibeschaffenhelt  ge-
       massigt,  ruhig oder  sohnst   wie
       anderwarts?
    French—Vivez vous ordinalrement aveo
       temperance?   Ou autrement?

 21—English—Is your memory good?
    German—1st Ihr  Gedachtniss  gut?
    French—Est votre memoire  bonne?

 22—English—Have  you  had  the venereal
       diseases?
    German—Haben    Sie  die   schlechte
       Krankhelt  gehabt?
    French—Avez-vous eu la maladle vene-
       rienne?

 23—English—An  attack of fever? Typhoid
       fever?  Chills?
    German—Elnen Fieberanfall?  Das Ner-
       venfleber ?  Fieberfrosteln ?
    French  TTne  attaque  de  la  fievre?  La
       fievre typhoide? Les  frissons?

 24—English—Have  you  had  the  measles?
       Rheumatism?  Pneumonia?
    German—Haben Sie die Masern gehabt?
       Rheumatlsmus? Lungenentzundung?
    French—Avez-vous eu la  rougeole?  Le
       rheumatlsme?   Inflammation   des
       poumons?

         PRESENT ILLNESS.

25—English—When   were you  first  taken
       sick?
    German—Wann  hat  diesej  Krankhelt
       angefangen?
   French—Qnand   cette maladle a-t-elle
       commence?

26—English—How did this illness begin?
   German—Wie hat dlese Krankheit  an-
      gefangen?
   French—Comment cette maladle a-t-elle
       commence? 
                  328

27—English—Where do you feel sick?
    German—Wo fullen Sie Sicli Krank?
    French—Ou  scntez vous votre maladle?

28—English—Show  me where.
    German—Zeigen Sie mlr  wo.
    French—Montrez moi ou.

29—English—Have  you any  pain?
    German—Haben Sie Schmerzen?
    French—Avez-vous des douleurs?

30- English—Where have you pain?
    German—Wo haben Sie Schmerzen?
    French—Ou  atez-vous  des douleurs?

31—English—Have  you a good appetite?
    German—1st ihr Appetlt  gut?
    French—Avez-vous bon appetlt?

82—English—Have  you any pain In  the ab-
      domen?  Here? There?
    German—Haben Sie Schmerzen lm Lelb?
      Hier?  Da?
    French—Avez-vous des douleurs  dans  le
      ventre?  Icl?  La?

33—English—Do you still feel very weak?
    German—Fuhlen Sie  Sich  noch   sehr
      Schwach?
    French—Vous sentez  vous  encore  treM
      falble?

34—English—Are you tired?
    German—Sind Sie mude?
    French—Etes-vous fatigue?

35—English—Have  you ever had the chills?
    German—Haben Sie  je  Fieberfrosteln
      gehabt?
    French—Avez-vous!  jamais  eu   des
      frissons?
CONDITION OF THE ORGANS OF RES-

    PIRATION AND CIRCULATION.
86—English—Have you pain in the chest?
   German—Haben  Sie  Schmerzen in der
      Brust?
   French—Avez-vous des  douleurs  a la
      poltrlne?

J7—English—Did you take cold?
   German—Haben Sie Sich Erkaltet?
   French—Avez-vous pris frold? 
                  329

88—English—Have  you  any  difficulty  in
      breathing?
   German—Wird  ihnen  das  Athemholen
      schw er?
   French—Avez-vous de  la  difficulte  a
      respirer ?

39—English—Have   you  any  pain  herel
      There?
   German—Haben  Sie  Schmerzen  bier?
      Da?
   French—Avez-vous des douleurs ici? La?
10—English—Do you cough?  Does it  pain
      you?  Have you a sore throat?
   German—Husten   Sie?  Schmertz   es?
      Haben Sie  Halsschmerzen?
   French—Avez-vous la toux? Cela vous
      fait-il  mal?   Avez-vous  mal  a  la
      gorge?

41—English—Do you expectorate much7
   German—Sprucken Sie viel aus?
   French—Vous  expectorez beaucoup?
42—English—What is the  color of your ex-
      pectoration?  Yellow? White?
   German—Welche  Farbe hat  der Spel-
      chel?  Gelb?  Weiss?
   French—De quel  couleur est  votre  ex-
      pectoration?  Jaune? Blanc?
*3—English—Does it pain you to breathe?
   German—Spuren  Sie  Schmerzen beim
      Athmen ?
   French—Cela vous  fait-il mal  de res-
      pirer?

44—English—Count: one, two, three.  Cough.
      Cough  again.
   German—Zahle: eins,  zwei, drei. Hus-
      ten Sie.  Husten  Sie  noch  ein.
   French—Dites:  un,  deux, trois.   Tous-
      sez.  Toussez encore une fois.
45—English—Enough, or that will do.
   German—Dast ist geuug.
   French—C'est bien.
46—English—Do you sweat much at night?
   German—Scbwitzen  Sie   viel   in  der
      Nacht?
   French—Trauspirez-vous   beaucoup  la
      nuit? 
                  330

47—English—Have you lost flesh?
   German-Haben Sie Abgeuoinmeu?
   French—Avez-vous  malgri 1

48-EngUsh-Have you beeu much exposed
      to the wet weather?
   German—Sind Sie  dem Feuchten Wet-
      ter ausgesetzt gewcssen/
   French—Avez-vous  ete expose au temps
      humide?

49—English—Since when do you cough?
   German—Seit wann Husten Sie?
   French—Depuis  quand  avez-vous   la
      toux?

50—English—Do you vomit blood?
   German—Brechen Sie  Blut?
   French—Vomissez-vous du sang?

51—English—Is  it  of   a  bright  or  dark
      color?
   German—1st es Roth oder  Dunkel?
   French—Cela a-tll  une couleur claire ou
      foncee?

52—English—Do  you still vomit?
   German—Uebergeben  Sie Sich noch?
   French—Vomissez-vous encoreV

53—English—Let me feel  you  pulse.
    German—Lassen Sie  mlch Ihren Puis
       fulen?
   French—Lalssez moi tater le pouls.
CONDITION  OF  DIGESTIVE  ORGANS.

54—English—Open your mouth.
   German—Oeffnen Sie den Mund.
   French—Ouvrez la bouche.

55—English—How  do  you   feel?   Well?
      Badly?
   German—Wie  geht   es  ihnen?   Gut?
      Schlecht?
   French—Comment  vous  sentez  vous?
      Bien?  Mal?

56—English—Show me your tongue.
   German—Ziegen Sie mlr Hire Zunge.
   French—Montrez mol  votre  langue.

57—English—Can you eat? Not  much?
   German—Konnen Sie essen?  Nicht viel?
   French—Pouvez vous  manger?   Pas
      beaucoup? 
                  331

58—English—Are you  thirsty?
   German—Haben Sie durst?
   French—Avez-vous  soif?
59—English—Have you  a  bad appetite?
   German—1st Ihre Appetit  Schlect?
   French—Avez-vous mal appetit?
60—English—Have you vomited?
   German—Haben Sie Sich ubergeben?
   French—Avez-vous vomi?
                                       I

61—English—Have you any pain in the pit
      of the stomach?
   German—Haben Sie Schmerzen in der
      Magengrube ?
   French—Ayrez-vous des douleurs dans le
      creux cle l'estomac?
62—English—Are you a drinking man?
   German—Sind Sie dem Trunke ergebenl
   French—Buvez-vous d'habitude?
63—English—Does eating cause vomiting t
   German—Uebergeben  Sie Sich nachdem
      Sie Gegessen haueu.
   French—Rendez-vous  se que vous mau-
      gez?
64—English—Have  you  ever  had  hemor-
      rhages?
   German—Haben  Sie   Je  Bluterguesse
      gehabt?
   French—Avez-vous jamais eu des hemor-
      ragies?
65—English—Are  you constipated?   Have
      you diarrhea?
    German—Sind  Sie  verstopft?   Haben
      Sie Diarrhoe?
    French—Etes-vous constlpe?  Avez-vous
      la diarrhee?

66—English—How are your stools? Are they
      regular?  Their color?
    German—Wie ist  der Stuhlgang?  1st er
      regelmassig?  Die Farbe?
   French—Comment sont vos  selles? Sont-
      elles regulieres?   La couleur?

67—English—Do you pass blood?
   German—Ist Blut 1m Stuhlgang?
   French—Y-a-t-11 du sang dans vos selles? 
332
68—English—Did you  ever have  a  liver
      complaint?
   German—Haben Sie Je eine Leborkrank-
      hein gehabt?
   French—Avez-vous jamais eu une mala-
      die de foie?
CONDITION  OF URINARY ORGANS.
69—English—Have you any trouble In mak-
      water?
    German—Wird  es Ihnen schwer  Was
      ser  zu  lassen ?
    French—Avez-vous  de  la  difflculte  a
      uriner?

70—English—Does It pain yoq?  Color?
    German—Scbmerzt es? Die farbe?
    French—Cela  vous   fait-il  mal?  Lb
      couleur?

71—English—About how much daily?  More
      at night?
    German—Ungefahr  wie  viel Taglich?
      Mehr bei Nacht?
    French—Combien a peu pres par  Jour?
      Plus pendant  la nuit?

72—English—So much?   Do  you pass wa-
      ter Involuntarily?
    German—So viel? Lassen  Sie  Wasser
      ohue es  zu wollen?
    French—Autant?  Urinez-vous sans  le
      voulolr?

73—English—Since  when? Do  you  pass
      any  blood?
    German—Seit wann? Ist Blut lm  Was
      ser?
    French—Depuls   quand?  Y-a-t-11   du
      sang dans vos urine?

74—English—Are any of your  limbs  swol-
      len?
    German—Ist irgend  eines  Hirer  Glie-
      der  geschwollen?
    French—Avez-vous des  membres  gon-
      fles?

75—English—Were they  ever  swollen  be-
      fore?
    German—Sind Sie Je  fruher so anges-
      wollen  gewesen?
    French—Ont-ils  jamais  ete alnsl gon-
      fles? 
                  ?33

76—English—Did you take anything for it?
    German—Haben Sie  etwas  dafur gen-
      onimen?
    French—Azev-vous  prls  quelque  chose
      pour  cela?

  CONDITION  OF NERVOUS  SYSTEM.

77—English—Your memory; is It good?
    German—Ihr Gedachtniss, Ist es  gut?
    French—Votre memoire; Est-elle bonne?

78—English—How does  your head feel?
    German—Wie  geht  es Ihrem Kopf?
    French—Comment va la  tete?

79—English—Do  you feel dizzy? Do you
      feel  like falling?
    Gerihan—Ist Ihnen  schwindelig?  Ist
      es Ihnen als ob  fallen muss ten?
    French—Avez-vous  le vertige?   Vous
      semble-t-il que vous i llez tomber?

80—English—Did you feel much  pain at  the
      time?
    German—Haben Sie gleich damals arge
      Schmerzen gespurt?
    French—Avez-vous eprouve beaucoup de
      douleurs alors?

81—English—It  came all of a sudden?
    German—Ist es ganz plotzlich gekom-
      men?
    French—C'est venu tout d'un coup?

82—English—You cannot  remember?  Is it
      impossible?
    German—Sie konnen  Sich  nicht  Erin-
      nern?  Ist es unmoglich?
    French—Vous ne vous en souvenez pas?
      Est-ce  impossible?

83—English—Did you  faint?
    German—Sind  Sie Ohnmachtig gewor-
      den?
    French—Vous etes-vous evanoui?

84—English—Did you fall?
    German—Sind Sie gefalien?
    French—Etes-vous   tombe?

85—English—Have  you  ever  had fainting
      spells?
    German—Haben Sie  Je  ohnmachtsan-
      falle gehabt?
    French—Avez-vous jamais eu des evan-
      ouissementa? 
                  334

 86—English—Are you  subject to  them?  At
       intervals?
    German—Haben  Sie  dleselben hauflgl
       Dann und wann?
    French—Y etes-vous  sujet?  De temps
       a  autre?

 87—English—Are you  nervous?  Have you
       had  any pain  in the nerves?
    German—Sind Sie Nervos? Haben  Sie
       Schmerzen  In  die  Nerven?
    French—Etes-vous nerveux?  Avez-vous
       des douleurs dans les nerfs?

88—English—Does It  irritate much?  Have
       you any pain in the back?
    German—Ist  es sehr  reizbar? Haben
       Sie Schmerzen  lm  Rucken?
    French—Cela irrite  beaucoup? Aves-
      vous des douleurs  dans le  dos?

89—English—Here?    There?   Have   you
      slept well?  Badly?
    German—Hler?  Da?   Haben Sie gut
      Geschlafen?  Schlecht?
    French—Icl?   La?   Avez-vous dorml?
      Mal?
90—English—Does it hurt you to swallow?
   German—Spuren  Sie Sehmerzen  belm
      Schlucken?
   French—Avez-vous de  la peine a  ava-
      ler?

91—English—Have you ringing In the ears?
   German—Haben Sie  Ohrenbrausen?
   French—Avez-vous des  bourdonnements
      d'orellles?
92—English—Have you any  discharge from
      the ears?
   German—Eitern  Ihre  Ohren?
   French—La  matlere  vous  coule-t-elle
      des oreilles?
93—English—Is  it worse now?
   German—Ist es jetzt  schlimmer?
   French—Est-ce pire maintenant?

94—English—Since when has your eyesight
      failed you?
   German—Selt wann hat Ihre Sehkrafft
      Nachgelassen?
   French—Depuis quand  votre vue  s'est-
      elle  dlminuee? 
                  335

95—English—Do you  see things through a
      mist?
   German—Sehen  Sie  alles durch  einen
      Nebel ?
   French—Voyez-vous  tout a travers un
      brouillard?
96—English—Since  when  is  your  hand so
      powerless ?
   German—Seit  wann  ist  Ihr  Hand so
      kraftlos?
   French—Depuis quand votre main a-t-il
      perdu la force?

97—English—Shake hands.
   German—Drucken  Sie mir die  Hand?
   French—Serrez-moi la main?
98—English—Can you not do it better than
      that?
   German—Kannen Sie  nicht fester grei-
      fen?
   French—Vous  ne  pouvez  serrer plus
      fort que cela?
CARDINAL NUMBERS.
»9—English—One.
   German—Eins.
   French—Un.
   English—Two.
   German—Zwei.
   French—Deux.
   English—Three.
   German—Drei.
   French—Trois.
   English—Four.
   German—Vier.
   French—Quatre.
   English—Five.
   German—Funf.
   French—Cinq.
   English—Six.
   German—Sechs.
   French—Six.
   English—Seven.
   German—Sieben.
   French—Sept.
   English—Fight.
   German—Acht.
   French—Huit. 
336
  English—Nine.
  German—Neun.
  French—Neuf.

  English—Ten.
  German—Zehn.
  French—Dix.

  English— Eleven.
  German—Elf.
  French—Onze.

  English—Twelve.
  German—Z wolf
 French—Douze.

 English—Thirteen.
 German-  Dreizehn.
 French—Treize.

 English—Fourteen.
 German—Vierzehn.
 French—Quatorze.

 English—Fifteen.
 German—Funfzehn.
 French—Quinze.

 English—Sixteen.
 German—Sechszehn.
 Frenoh—Seize.

 English—Seventeen.
 German—Siebenzehn.
 French—Dlx-sept. '

 English—Eighteen.
 German—Aohtzeh n.
 French—Dix-huit.

 English—Nineteen.
 German—Neunzehn.
 French—Dix-neuf.

 English—Twenty.
 German—Zwanzig.
 French—Vlngt.

 English—Twenty-one.
 German—Ein und zwanzig.
 French—Vingt et  un.

 English—Twenty-two.
 German—Zwel  und  zwanzig.
 French—Vingt-deux.

 English—Twenty-three.
 German—Drei  und zwanzig.
French—Vingt-trois.

 Engl ish—Twenty-four.
German—Vier  und zwanzig.
French—Vingt-quatre. 
                 337

  English—Twenty-Jive.
  German—Funf  und zwanzig
  French—Vingt-cinq.

  English—Twenty-six.
  German—Sechs und zwanzig.
  French—Vingt-six.

  English—Twenty-seven.
  German—Sieben  und zwanzig.
  French—Vingt-sept.

  English—Twenty-eight.
  German—Acht  und zwanzig.
  French—Vingt-huit.

  English—Twenty-nine.
  German—Neun  und  zwanzig.
  French—Vingt-neuf.

  English—Thirty.
  German—Dreizig.
  French—Trente.

  English—Thirty-one.
  German—Ein und  dreissig
  French—Trente et un.

  English—Thirty-two.
  German—Zwel und dreissig
  French—Trente-deux.

  English—Forty.
  Germa n—Vierzig.
 French—Quarante.

 English—Forty-one.
 German—Ein und vierzig.
 French—Quarante et un.

 English—Fifty.
 German—Funfzig.
 French—Cinquante.

 English—Fifty-one.
 German—Ein und funfzig.
 French—Cinquante et un.

 English—Fiftv-two.
 German—Zwel und funfzig.
 French—Cinquante  et deux.

 English—Sixty.
 German—Sechzig.
 French—Soixante.

 English—Sixty-one.
 German—Ein und  sechzig.
 French—Soixante  et un.

 English—Seventy.
 Germa n—Siebenzig.
French—Soixante-dix. 
338
English—Seventy-one.
German—Ein und siebenzlg.
French—Soixante-onze.
English—Seventy-two.
Corman—Zwel  und slebenzig.
French—Soixante-deux.
English—Seventy-three.
German—Drei  und  siebenzlg.
French—Solxante-treize.
English—Eighty.
German—Achtzig.
French—Q uatre-vi ngt.
English—Eighty-one.
German—Ein und achtzig.
French—Quatre-vingt-un.
English—Ninety.
German—Neunzig.
French—Quatre-vingt-dix.
English—Ninety-one.
German—Ein und neunzig.
French—Quatre-vingt-onze.
English—Ninety-nine.
German—Neun  und neunzig.
French—Quatre-vingt-dix-neuf.
English—Hundred.
German—Hundert.
French—Cent.
English—Hundred-one.
German—Hundert und elns.
French—Cent-un.
English—Two hundred.
German—Zwei-hundert.
Frenoh—Deux  cents.
English—Thousand.
German—Tausend.
French—Mille.
DAYS  OF  THE  WEEK.
100—English—Sunday.
   German—Sonntag.
   French—Dimanche.
   English—Monday.
   German—Montag.
   French—Lundi.
   English—Tuesday.
   German—Dlenstag.
   French—Mardi.
   English—Wednesday.
   German—Mittwoch.
   Frenoh—Mercredi. 
               339

English—Thursday.
German—Donnerstag.
French—Jendi.

English—Friday.
German—Freitag.
French—Vendredi.

English—Saturday.
German—Samstag.
French—Samedi.
MONTHS  OF THE YEAR.
101—English—January.
   German—Januar.
   French—Janvier.

   English—February.
   German—Februar.
   Frenoh—Fevrier.

   English—March.
   Germa n—Mar z.
   French—Mars.

   English—April.
   German—April.
   French—A vril.

   English—May.
   German—Mai.
   French—Mai.

   English—June.
   German—Junl.
   French—Juin.

   English—July.
   German—Juli.
   French—Juillet.

   English—August.
   German—August.
   French—Aout.

   English—September.
   German—September.
   French—Septembre.

   English—October.
   German—October.
   Fr en ch—Octobre.

   English—November.
   German—November.
   French—Novembre,

   English—December.
   German—December.
   French—Decembre. 
340
       SEASONS OF  THE YE
102—English—In the spring.
    German—Im frubjahr.
    French—Au printemps.
    English—In summer.
    German—Im sommer.
    French—En  ete.
    English—In autumn.
    German—In herbst.
    French—En automne.
    English—In  winter.
    German—Im winter.
    French—En  hiver.
NAMES OF VARIOUS PARTS

                BODY.
103—English—The  arm.
    German—Der  Arm.
    French—Le bras.
    English—The  arteries.
    German—Die  Arterle.
    French—Les arteres.
    English—The  back.
    German—Der  Rucken.
    French—Le dos.
    English—The  body.
    German—Das System.
    Frenoh—La corps.
    English—The  bone.
    German—Das Bein.
    French—L'os.
    English—The bones.
    German—Der Knochen.
    French—Les os.
    English—The bowels.
    German—Das  Eingewelde.
    French—Les  entrailles.
     English—The  brain.
     German—Das Gehirn.
     French—La cervelle.
     English—The chest.
     German—Der Brust.
     French—La poltrine.
     English—The chin.
     German—Das Kinn.
     French—Le menton
     English—The ear.
     German—Das Ohr.
     French—L'oreilles. 
                 341

   English—The  ears.
   German—Die OLren.
   French—Les oreilles.

   English—The  elbow.
   German—Der  Ellerbogen.
   French—Le coude.

   English—The eye.
   German—Das Augen.
   French—L'oeil.

   English—The eyes.
   German—Die Augen.
   French—Les yeux.

   English—The face.
   German—Das Gesicht.
   French—La visage.

   English—The finger.
   German—Der Finger.
   French—Le doigt.

   English—The foot.
   German—Der Fuss.
   French—Le pied.

   English—The gums.
   German—Die  Gaumen.
   French—Les gensives.

   English—The genital organs.
  German—Die Zeugungsglleder.
  French—Les organes genitaux.

 English—The hair.
 German—Das Haar.
 French—Le poll.

 English—The heel.
 German—Der Abatz.
 French—Le talon.

 English—The head.
 German—Der Kopf.
 French—La tete.

 English—The heart.
 German—Das Herz
 French—Le coeur.

 English—The  han
 German—Die Hand.
 French Le main.

English—The  joint.
German—Die Fuge.
French—Jointure.

 English—The  knee.
 German—Das Knie.
French—Le genou. 
               342

 English—The kidney.
 German—Die Niere.
 French—La  rein.

 English—The knee-pan.
 German—Die Kniescheibe.
 French—La  rotule.

 English—The lips.
 German—Die Lippe.
 French—La  levre.

 English—The  liver.
 German—Die Leber.
 French—Le  foie.

 English—The leg.
 German—Der Schenkel;  Das Beln,
 French—La  jambe.

 English—The lungs.
 Geiman—Die Lungen.
 French—Les poumons.

 English—The man.
 German—Der Mench; Mann.
 French—L'homme.

 English—The muscles.
 German—Die Muskeln.
 French—Les muscles.

 English—The mouth.
 German—Der Mund.
 French—La  bouche.

 English—The nails.
 German—Dageln.
 French—Les ongles.

 English—The neck.
 German—Der Nacken.
French—La cou.

 English—The nose.
German—Die Ncse.
French—Le nez.

 English—The ribs.
 German—Die Rippen.
 French—Les cotei.

 English—The skin.
 German—Die Haut.
 French—La  peau.

 English—The stomach.
 German—Der Magen.
 French—L'estomao.

 English—The side.
 German—Der Seite.
 French—Le  cote. 
343
 English—The shoulders.
 German—Die Schulter.
 French—L' epaule.

 English—The shoulder-blade.
 German—Sohulterblattern.
 French—L'os  de Tepaule.

 English—The skull.
 German—Der Schadel.
 French—Le crane.

 English—The  teeth.
 German—Die  Zahne
 French—Les dents.

 English—The  temples.
 German—Die  Schlafen.
 French—Les tempes.

 English—The tongue.
 German—Die Zunge.
 French—Les gensives.

 English—The  toe.
 German—Die Zehe.
 French—L'orteii.

 English—The thigh.
 German—Der Schenkel; Das Dickbeln.
 French—La hanche.

English—The  thumb.
 German—Der Daumen.
 French—Le pouce.

 English—The throat.
 German—Der Hals.
 French—La gorge.

 English—The veins.
 German—Die Adern.
 French—Les veines.

 English—The wrist.
 German—Das Handgelenk.
French—Le poignet.
FOOD AND DRINK.
i04—English—Apple.
   German—Der Apfel.
   French—Pomme.

   English—Bacon.
   German—Der Spek.
   French—Lard.

   English—Bread.
   German—Brod.
   French—Pain. 
               344

 English—Beef.
 German—Das Rindflelsch.
 French—Boeuf.

 English—Beef tea.
 German—Bouillon.
 French—Le bouillon.

 English—Beans.
 German—Die Bohne.
 French—Feve.

 English—Butter.
 German—Die Butter.
 French—Beurre.

 English—Beer.
 German—Das Bier.
 French—Biere.

 English—Brandy.
 German—Der Branntweln.
 French—Eau-de-vin.

 English—Cheese.
 German—Der  Kase.
 French—Fromage.

 English—Cabbage.
 German—Der Kohl.
 French—Chou.

 English—Celery.
 German—Der Cellerie.
French—Celerl.

 English—Coffee.
 German—Der Koffee.
 French—Cafe.

 English—Cauliflower.
German  Der Blumenkohl.
French—Chou-fleur.

 English—Chocolate.
 German—Chocalade.
 French—Chocolat.

 English—Cucumber.
 German—Die Gurke.
 French—Concombre.

 English—Chicken.
 German—Das Kuchlein;  Huhn.
 French—Poulet.

 English—Duck.
 German—Die Ente.
 French—Canard.

 English—Eggs.
 German—Eier.
 French-Ooufs. 
345
 English—Fish.
 Geiman—Der Fisch.
 French—Poisson.

 English—Flour.
 German—Das Mehl.
 French—Farine.

 English—Ham.
 German—Der Schenkel.
 French—Jambon.

 English—Ice-water.
 German—Eiswasser.
 French—L'eau glace.

 English—Lamb.
 German—Lammfleisch.
 French—Agneau.

 English—Lobster.
 German—-Meerkrebs.
 French—Hcmard.

 English—Mutton.
 German—Das Schopsenflelsch.
 French—Mouton.

 English—Milk.
 German—Die Milch.
 French—Lait.

 English—Mustard.
 German—Der  Senf.
 French—Moutarde.

 English—Oil.
 German—Das Oel.
 French—Huile.

 English—Oyster.
 German—Die Auster.
 French—Huitre.

 English—Oysters.
 German—Austern.
 French—Huitres.

 English—Peas.
 German—P>ie Erbse.
 French—Pois.

 English—Pepper.
 German—Der Pfeffer.
 French—Poivre.

 English—Pork.
German—Das Schweinfaeisch.
French—Pore.

 English—Radish.
 German—Der Rettig.
 French—Rave, 
                 346

  English—Rice.
  German—Der Reis.
  French—Riz.

  English—Salad.
  German—Der Salat.
  French—Salade.

  English—Salt.
  German—Das Salz.
  French—Sel.

  English—Soup.
  German—Die Suppe.
  French—Soupe.

  English—Spinach.
  German—Der Spinat.
  French—Epinards.

  English—Tea.
  German—Der Thee.
  French—The.

  English—Toast.
  German—Gerostetes Brod.
  French—Rotie.

  English—Veal.
  German—Das Kalbflelsch.
  French—Veau.

  English—Vegetables.
  German—Die Pflanze.
  French—Les vegetaux.

  English—Vinegar.
  German—Essig.
  French—Vin aigre.

  English—Water.
  French—Eau.

  English—Wine.
  German—Wein.
  Frer.ch—Vin.

  English—Whisky.
  German—Der Whisky.
  French—Eau de vin de grain.

            OCCUPATIONS.

105.—English—A brewer.
   German—Ein Bierbrauer.
   French—Bra sser.
   English—A baker.
   German—Ein Bacher.
   French—Un boulanger.
   English—A butcher.
   German—Ein Fleischer.
   French—Un boucher. 
                 347

  English—A bookbinder.
  German—Ein Buchbinder.
  French—Relieur.

  English—A blacksmith.
  German—Ein Huffsohmied.
  French—Forgeion.

  English—A carpenter.
  German—Ein Zimmermann.
  French—Un charpentier.

  English—A clerk.
  German—Ein Schreiber.
  French—Un clerc.

  English—A civil engineer.
  German—Ein Ingeuieur.
  French—Un ingeuieur.

  English—A fireman.
  German—Ein  Feuermann.
  French—Un pompier.

  English—A farmer.
  German—Ein Pachter.
  Frenoh—Fermier.

  English—A lawyer.
 German—Ein Advocat.
 French—Avocat.

 English—A laborer.
 German—Ein Arbeiter.
 French—Un ouvrier.

 English—A mason.
 German—Ein Maurer.
 French—Un macon.

 English—A miller.
 German—Ein Muller.
 French—Un meunier.

 English—A musician.
 German—Ein Musikus.
 French—Un inusicien.

 English—A physician.
 German—Ein Physikus.
 French—Un medicin.

 English—A shoemaker.
 German—Ein Schumacher.
 French—Un  cordonr ier.

 English—A saddler.
 German—Ein Sattler.
 French—Sellier.

 English—A tailor.
German—Ein Schneider.
French—Un tailleur. 
3 48
                TIME.

106.—English—The afternoon.
   German—Der Nachmlttag.
   French—Apres-midi.
   English—To-morrow  afternoon.
   German—Morgen Nachmittag.
   French—Demaln apres midl.
   English—At  half-past two.
   German—Um halb Drei.
   French—A deux heures et  demL
   English—At two o'clock
   German—Um zwel Ulir.
   French—A deux  heures.
   English—At three o'clock.
   German—Um drei Uhr.
   French—A trois heures.
   English—At half-past  three.
   German—Um  halb  vler.
   French—A trois heurs et demi.
   English—At four o'clock.
   German—Um vier Uhr.
   French—A quatre heures.

   English—At half-past four.
   German—Um halb funf Uhr.
   French—A quatre heures et demi

   English—At seven o'clock.
   German—Um sieben  Uhr.
   French—A sept  heures.
   English—The evening.
   German—Der Abend.
   French—Le soir.

   English—The morning.
   German—Der Morgen.
   French—Le matin; la matinee.

   English—The day.
   German—Der Tag.
   French—Le jour; matin.

   English—The night.
   German—Die Nacht; Abend.
   French—La nuit.

   English—A month.
   German—Ein  Monat.
   French—Un  mois.

   English—A year.
   German—Ein Jahr.
   Fsench—Un an;  annee.

   English—An hour.
   German—Ein Uhr.
   French—Un heure. 
               349

 English—Half an  hour.
 German—Halb-Uhr.
 French—Une  demi-heure.

English—The  minute.
 German—Die  Minute.
 French—Minute.

 English—The  time.
 German—Die  Zeit.
 French—Le temps.

 English—A week.
German—Ein  Woche.
French—Un semaine.

English—To-day.
German—Heute.
French—Aujourd'hui.

E nglish—To-morrow.
German—Morgen.
French—Demain.

English—To-night.
German—Heute Abend.
French—Ce solr.
              NATIONS.

107—English—An  American.
   German—Ein Amerikanisch.
   French—Un  Americain.

   English—An Englishman.
   German—Ein Englander
   French—Un  Anglais.

   English—England.
   German—England.
   French—Angleterre.

   English—A Dane
   German—Ein Danisch.
   French—Un  Danois.

   English—Denmark.
   German—Danemark.
   French—Danemark.

   English—An  Italian.
   German—Ein Italiener.
  French—Un Italien.

  English—Italy.
   German—Italien.
  French—Italic

  English—An  Irishman.
  German—Ein Irlander.
  French—Un Irlandais. 
350
English—A Scotchman.
German—Ein Schottlander.
French—Un Ecossais.

English—Scotland.
German—Schottland.
French—Ecosse.

English—A Frenchman.
German—Ein Franzose.
French—Un Francals.

English—France.
German—Frankreich.
French—La France.

English—A  Spaniard.
German—Ein  Spanier.
French—Un Espagnol.

English—Spain.
German—Spanien.
French—Espagne.

English—A  Russian.
German—Ein Russich.
French—Russe.

English—Russia.
German—Ruszland.
French—Russie.

English—A  Swede.
German—Eine Schwede.
French—Un Suedols.

English—Sweden.
German—Schweden.
French—La Suede.

English—A  Swiss.
German—Ein Schwelzer.
French—Suisse.

English—Switzerland.
German—Die Schweiz.
French—Suisse.

English—A Dutchman.
German—Ein Hollander.
French—Un Hollandais.
English—Holland.
German—Holland.
French—Hollande.
English—German.
German—Bin Deutscher.
French—Allemand.
English—Germany.
German—Deutschland.
French—Allemagne. 
351
       HOUSEHOLD ARTICLES.

•08—English—Bed.
   German—Bett.
   French—Couche.

   English—Chair.
   German—Stuhl.
   French—Chaise.

   English—Cup.
   German—Becher.
   French—Coupe.

   English—Fork.
   German—Gabel.
   French—Fourche.

   English—Glass.
   German—Trinkglass.
   French—Verre.

   English—Knife.
   German—Messer.
   French—Couteau.

   English—Lamp.
   German—Lampe.
   French—Lampe.

   English—Mattress.
   German—Matress.
   French—Matelas.

   English—Pillow.
   German—Kopfkissen.
   French—Oreiller.

   English—Saucer.
   German—Untertasse.
   French—Sauciere.

   English—Spoon.
   German—Loffel.
   French—Cuillere.

   English—Sheet.
   German—Bett-tuch.
   French—Drap.

   English—Towel.
   German—Handtuch.
   French—Serviette.

   English—Table.
   German—Taf el.
   French—Table.

   English—Tablecloth.
   German—Tischtuch.
   French—Nappe. 
352
RELATIONS.
109—English—Aunt.
   German—Tante.
   French—Tante.
   English—Brother.
   German—Bruder.
   French—Frere.
   English—Child.
   German—Kind.
   French—Enfant.
   English—Cousin.
   German—Vetter.
   French—Cousin.
   English—Daughter.
   German—Tochter.
   Frenoh—Fill e.
   English—Father.
   German—Vater.
   French—Pere.
   English—Family.
   German—Familie.
   French—Famille.
   English—Grandfather.
   German—Grosvater.
   French—Grand-pere.
   English—Grandmother.
   German—Grosm utter.
   French—Grand-mere.
   English—Husband.
   German—Ehemann.
   French—Mari.
   English—Marriage.
   German—Heirath.
   French—Mariage.
   English—Mother.
   German—Mutter.
   French—Mere.
   English—Sister.
   German—Schwester.
   French—Soeur.
   English—Son.
   German—Sohn.
   French—Flls.
   English —Uncle.
   German—Onkel.
   French—Oncle.
   English—Wife.
   German—Frau.
   French—Femme (marlee), 
353
THE DRESS.
110—English—Coat.
   German—Rok.
   French—Habit.

   English—Cloak.
   German—Mantel.
   French—Manteau.

   English—Comb.
   German—Kamm. .
   French—Peigne.

   English—Hat.
   German—Hut.
   French—Chapeau.

   English—Handkerchief
   German—Tuch.
   French—Mouchoir.

   English—Stocking.
   German—Strumpt'.
   French—Bas.

   English—Shoe.
   German—Schuh.
   French—Soulier.

   English—Shirt.
   German—Hemd.
   French—Chemise.

   English—Trousers.
   German—Pumphosen
   French—Pantalon.

   Erglish—Waistcbat.
   German—Weste.
   French—Gilet.
THE HOUSE.
Ill—English—Bed-room.
   German—Schlafzimmer.
   French—Chambre  a coucher.

   English—Cellar.
   German—Keller.
   French—Cave.

   English—Door.
   German—Thur.
   French—Porte.

   English—Dining-room.
   German—Speisesal.
   French—Salle  a  manger. 
354
English—Garden.
German—Garten.
French—J ardin.

English—House.
German—Haus.
French—Maison.

English—Kitchen.
German—Kucbe.
French—Cuisine.

English—Room.
German—Zimmer.
French—Espace.

English—Roof.
German—Dach.
French—Toit.

English—Staircase.
German—Treppe.
French—Escalier.

English—Wall.
German—Wand.
French—Mur.

English—Window.
German—Fenster.
French—Fenetre.
SALUTATION.
112—English—Good morning.  Good  even-
      ing.  Good-bye.
   German—Guten Morgen.   Guten Abend.
      Lebe Wohl.
   French—Bon jour.  Bon  soir.   Adieu.

113—English—How do you do?
   German—Wie beflnden Sie Sich?
   French—Comment vous portez-vous?
ACCIDENTS, ETC.
114—English—Have you any  pain? Where?
      Here?  There?
   German—Haben  Sie  Schmerzen?  Wo?
      Hier?  Da?
   French—Avez-vous  des douleurs?  Ou?
      Ici?  La?

115—English—Does it hurt?
   German—Thut das Web.?
   French—Cela fait-il mal? 
                    355

  116—English—Have you  any pain  in  the
        back? In the side?
     German—Haben  Sie   Schmerzen  im
        Rucken?  In der Seite?
     French—Avez-vous  des  douleurs  dans
        le dos?  Dans le cote?

  117—English—Which side?  Left?  Right?
     German—Welche Seite?  Links? Rechts?
     French—Quel  cote?  A gauche?    A
        droite?

  118—English—Let  me see your head.
     German—Lassen  Sie Mich Ihre  Kopf
        Sehen.
     French—Montrez-moi vos tete.

  119—English—Do you feel dizzy?   Answer
       yes or no.
    German—Ist  Ihnen schwindelig?   Ant-
       worten Sie nur  Ja  Oder  Nein.
    French—Avez-vous le  vertige?  Ne  re-
       pondez que, oui ou non.

  120—English—Did a  stone hit jou?
    German—Hat ein Stein Sie getroffen?
    French—Vous a-t-on lance une pierre?

 121—English—Did it pain you much at the
       time?
    German—Haben Sie  gleich damals arge
       Schmerzen gespurt?
    French—Avez-vous eprouve beaucoup de
       douleurs alors?

 122—English—Is  it much worse now?
    German—Ist  est jetzt schlimmer?
    French—Est-ce pire maintenant?

 123—English—Did anything  get into your
       eye?
    German—Ist Ihnen etwas ins Auge ge-
       flogen ?
    French—Quelque  chose vous  est entre
       dans  l'oeil?

124—English—Let me see vou eyes?
    German—Lassen  Sie  Mich Ihre Augen
     sehen.
   French—Montrez-moi  vos  yeux.

125—English—Look  up. Look toward your
      nose.
   German—Sehen  Sie hinauf.  Sehen Sie
      Ihre Nase zu.
   French—Regardez en  haut.   Regardez
      vers votre  nez. 
356
126—English—Look down. Cannot you open
      your  eye?
   German—Sehen Sie hinab.  Konnen Sie
      Ihr Auge nicht offnen?
   French—Regardez  en  bas.  Ne pouvez-
      vous  pas ouvrir l'oeil?

127—English—Have you any water? Warm
      water.  Cold water.
   German—Haben  Sie Wasser?   Warm
      Wasser.  Kalt Wasser.
   French—Avez-vous de l'eau? Eau chaude.
      Eau froide.

128—English—Bathe  with  warm   water.
      Bathe  with  cold water.
   German—Baden  Sie  das  in  Heisses
      Wasser.  Baden Sie  das  in  Kaltes
      Wasser.
   French—Baignez aveo de l'eau chaude.
      Baignez aveo de l'eau froide.

129—English—Are you warm? Are you cold?
   German—Sind  Sie  Warm?   Sind  Sie
      Kalt?
   French—Avez-vous  chaud?    Avez-vous
      froid?

130—English—Have you any nose-bleeding?
   German—Haben  Sie Nasenbluteu?
   French—Saignez-vous du  nez?

131—English—Did  a bee sting you? Did a
      dog or cat bite you?
   German—Hat Sie  eine Biene gestochen?
      Hat Sie  ein  Hund  oder  Katz ge-
      bissen?
   French—Une abeillevous a-t-elle pique?
      Un chien ou chat, vous a-t-il mordu?
132—English—Did you prick yourself with
      a pin or needle?
   German—Haben  Sie  Sich   mit  einer
      Stecknadel  oder   Nahnadel   ges-
      tochen?
   French—Vous etes-vous  pique avec une
      epingle ou aigulle?

133—English—Does it irritate much?
   German—Ist es Sehr reichbar?
   French—Cela irrite beaucoup?

134—English—Did you burn yourself?
   German—Haben Sie sich Verbrannt?
   drench—Vous etes-vous brule? 
                   357

135.—English—Did you sleep a few hours?
   German—Haben Sie einige Stunden Ge
      schlafen?
   French—Avez-vous    dormi   quelques
      heures?


136.—English—Did you sprain your hand'
   German—haben Sie Ihren  Hand  Ver-
      staucht?
   French—Vous etes-vous foule le main?


137.—English—Did  you take  anything for

   German—Haben Sie etwas dafur genom-
      men?
   Fiench—Avez-vous pris  quelque chose
      pour cela?
DIRECTIONS TO PATIENT.
  138.—English—Have  you  taken  the medi-
        cine?
    German—Haben Sie Die Medicin genom-
      men?
    French—Avez-vous pris la medecine?


  139.—English—Take  three  tablespoonfuls
        three times a  day.
    German—Nehmen  Sie Drei Eszloffelvoll
       drei  mal Taglich.
    French—Prenez-en trois cuilleres a bou-
       che trois fois par jour.


 140.—English—Take  a  teaspoonful  three
       times a day, in water.
    German—Nehmen  Sie drei Theeloffelvoll
       drei  mal Taglich, in Wasser.
    * rench—Prenez-en trois cuilleres a  the
       trois fois jour,  dans de l'eau.


 141.—English—After meals.  Before meals.
       Every half-hour.
    German—Nach Mahlzeiten. Bevor Mahl-
       zeiten.  Alle Halb-uhr.
    French—Apres  les  repas.  Avant les re-
       pas.  Chaque demi-heure.


142.—English—Every hour. Every two hours.
       Every four hours.
    German—Alle Stunden.  Alle Zwei Stun-
      den.  Alle Vier Stunden.
   French—Chaque heure.  routes les deux
      heures.  Toutes les quatre heures. 
                   358

143.—English—At  noon. At night.  In the
      morning.
   German—Mittags.   Abends.  Des Mor-
      gens.
   French—A midl. Le soir.  Le matin.
144.—English—Three  times  daily.   Four
      times daily.
   German—Drei mal  Taglich.   Vier mal
      Taglich.
   French—Trois fois par  jour.   Quatre
      fois  par jour.
145.—Er.glish—Bathe parts with  alcohol.
   German—Baden Sie das in Alcohol.
   French—Baignez avec l'alcohol.
146.—English—I'aint  the  swelling with  io-
      dine, etc.
   German—Pinseln Sie das Geschwulst mlt
      Iodine.
   French—Vous  devez  peindre l'enflure
      avec iodine.
147.—English—You may eat two  eggs.
   German—Sie  durfen  Essen  ein  Paar
      Eier.
   French—Vous pouvez manger des oeufs.


148.—English—You may  eat bread, etc.
   German—Sie durfen Essen Brod, etc.
   French--Vous  pouvez  manger du  pain,
      etc.
149—English—You may drink wine, water,
      ice water, etc.
   German—Sie  durfen   Wein  Trinken,
      Wasser, Eiswasscr,  etc.
   French—Vouz  pouvez   boire  de  vin,
      l'eau, l'eau glace.


150—English—Are you thirsty?  Are you
      hungry?
   German—Haben  Sie Durst?  Haben Sie
      Hunger?
   French—Avez-vous   soif?    Avez-vous
      faim?


151—English—I  will  leave  you  a prescrip-
      tion.
   German—Ich  werde  Ihnen  ein  Recept
      lassen.
   French—Je laisserai une prescription. 
359
152—English—Come to my office to-morrow
      morning.
   German—Kommen  Sie  Morgen  Vormit-
      ags auf Mein Bureau.
   French—Venez a mon bureau le matin.
153—English—I  will  give  you something
      for that.
   German—Ich  werde Ihnen  etwas  dafur
      geben.
   French—Je vous donnerei quelque  chose
      pour  cela.
154—English—Keep very quiet.  You must
      not talk.
   German—Verhalten Sie  Sich sehr Ruhig.
      Sie durfen  nicht Sprechen.
   French—Restez bien  tranquille. Vous
      ne devez pas parler.
155—English—Take  a  pill  three  times a
      day.   Powder.
   German—Nehmen  Sie  ein Pille Drei
      Mai Taglich.  Ptilver.
   French—Prenez-en  pilule trois fois  par
      jour.  Poudre.
156—Take a pill every hour.  Take a pow-
      der.
   German—Nehmen  Sie  ein  Pille  Alle
      Stunden.  Nehmen Sie. ein Pulver.
   French—Prenez-en une   pilule  chaque
      heure.  Prenez-en une poudre.
157—English—Take a bath.  Use an  injec-
      tion.
   Gem an—Nehmen Sie ein  Bad.  Nehmen
      Sie ein Spritzungen.
   Frenoh—Prenez un  bain.   Injectez.
158—English—Gargle.    Snuff.   At   bed-
      time.
   German—Gurgeln Sie.   Schnupfen Sie.
      Vor dem Schlafengehen.
   French—Gargarisez.  Prisez.  A l'heure
      de se coucher.
159—English—Apply a  bandage.  Apply  a
      powder.  Ointment, etc.
   German—Anlegen  Sie  ein  Bandagen.
      Anlegen  Sie ein  Pulver.  Salbe,  etc.
   French—Appliquez' un  bandage.   Ap-
      pliquez une poudre.  Onguent, etc. 
                  360

160—English—Take a sponge bath.  A soda
      bath.   A  bran bath.
   German—Nehmen  Sie  ein   Schwamm
     Bad.  Ein Soda Bad.   Ein Kleie Bad.
   French—Prenez un bain a 1  epouge.  Ln
      bain a la  soude.  Un bain au son.


L61—Drop  into  one eye.   Drop into both
      eyes.                    ,     _.
   German—Traufeln Sie  in   das   Eine
      Auge.  Traufeln Sie in Beide Augen.
   French—Laissez degoutter dans un oeil.
      Lalssez  degoutter dans  chaque oeil.
ORDINAL NUMBERS.
162—English—First.
   German—Der, die,  das  erste.
   French—Premier.

   English—Second.
   German—Der, die,  das zweite.
   French—Deuxieme  (seconde).

   English—Third.
   German—Der, die,  das dritte.
   French—Troisieme.

   English—Fourth.
   German—Der, die das vierte.
   French—Quatrieme.

   English—Fifth.
   German—Der, die,  das funfte.
   French—Cinquieme.

   English—Sixth.
   German—Der, die,  das sechste.
   French—Sixieme.

   English—Seventh.
   German—Der,  die, das siebente.
   French—Septieme.
   English—Eighth.
   German—Der,  die, das achte.
   French—Huitieme.

   English—Ninth.
   German—Der, die,  das neunte.
   French—Neuvieme.

   English—Tenth.
   German—Der, die,  das  zehnte.
   French—Dixieme. 
361
 English—Eleventh.
 German—Der, die, das elfte.
 French—Onzieme.

 English—Twelfth.
 German—Der, die, das zwolfte.
 French—Douzieme.

 English—Thirteenth.
 German—Der, die, das dreizehnte.
 French—Treizieme.

 English—Fourteenth.
 German—Der, die, das vierzehnte.
 French—Quatorzieme.

 English—Fifteenth.
 German—Der, die. das funfzehnte.
 French—Quinzieme.

 English—Sixteenth.
 German—Der, die das sechzehnte.
 French—Seizieme.

 English—Seventeenth.
 German—Der, die das siebenzehnte.
 French—Dix-septieme.

 English—Eighteenth.
 German—Der, die, das achtzehnte.
 French—Dix-huitieme.

 English—Nineteenth.
 German—Der, die, das neunzehnte.
 French—Dix-neuvieme.

 English—Twentieth.     •
 German—Der, die das zwanzigste.
 French—Vingtieme.

 English—Twenty-first.
 German—Der, die, das  ein und  zwan-
   zigste.
 French—Vingt et unieme.

 English—Twenty-second.
 German—Der, die, das zwei und  zwan-
   zigste.
 French—Vingt-deuxieme.

 English—Thirtieth.
 German—Der, die, das dreiszigste.
 French—Trentieme.
 English—Thirty-first.
 German—Der, die das zwei und drei-
   stigste.
French—Trent et unieme.
English—Thirty-second.
German—Der, die das zwei und drels-
   stigste.
French—Trente-deuxieme. 
               362

English—Thirty-third.
German—Der,  die,  das drei und drei-
   stigste.
French—Tren te-troi si em e.

English—Fortieth.
German—Der,  die,  das vierzigste.
French—Quarantieme.

English—Forty-first.
German—Der,  die,  das  ein und vier-
   zigste.
French—Quarante  et  unieme.

English—Forty-second.
German—Der,  die, das, zwei und vier-
   zigste.
French—Quarante- deuxieme.

English—Fiftieth.
German—Der,  die, das funfzigste.
French—Cinquantieme.

English—Fifty-first.
German—Der,  die,  das  ein und funf-
   zigste.
French—Cinquante et unieme.

English—Fifty-second.
German—Der,  die, das zwei und funf-
   zigste.
French—Cinquante-deuxieme.

English—Sixtieth.
German—Der,  die,  das sechzigste.
French—Soixantieme.

English—Sixty-first.
German—Der, die,  das  ein und sech-
   igste.
French—Soixantieme.

English—Sixty-first.
German—Der, die das ein und sechigste.
French—Soixante et unieme.

English—Seventieth.
German—Der, die, das siebenzigste.
French—Soixante et dixieme.

English—Seventy-first.
German—Der, die,  das ein  und  sieben-
    zigste.
French—Soixante-onzieme.

English—Seventy-second.
German—Der, die, das zwei  und  sieben-
    zigste.
French—Soixante-douzieme. 
                363

 English—Seventy-sixth.
 German—Der,  die,  das sechs und  sieb-
    enzigste.
 French—Soixante-seizieme.

 English—Seventy-seventh.
 German—Der,  die,  das sieben und  sie-
    benzigste.
 French—Soixante-dix-septieme.

 English—Eightieth.
 German—Der. die. das achtzigste.
 French—Quatre-vingtieme.

 English—Eighty-first.
 German—Der,  die,   das  ein und  acht-
    zigste.
 French—Quatre-vingt-unieme.

 English—Ninetieth.
 German—Der, die, das neunzigste.
 French—Quatre-vingt-dixieme.

 English—Ninety-sixth.
 German—Der, die, das sechs und neun-
    zigste.
 French—Quatre-vingt-seizieme.

 English—Ninety-ninth.
 German—Der, die, das nein  und neun-
    zigste.
 French—Quatre-vigt-dix-neuvieme.

 English—Hundredth.
 German—Der. die, das hundertste.
 French—Centieme.

 English—Hundred and first.
 German—Der,  die,   das hundert  und
    erste.
 French—Cent-unieme.

 English—Hundred and twentieth.
 German—Der,  die,    das  hundert  und
  zwanzigste.
 French—Cent-vigtieme.

 English—Hundred and twenty-first.
 German—Der, die. das hundert und  ein
    und zwanzigste.

French—Cent vingt et unieme.
English—Thousandth.
German—Der, die, das tausendste.
French—Millieme. 
                  364

    EXAMINATION OF FEMALES.*

*63—English—Are you  married?  Have you
      any  children?
   German—Sind Sie Verheitrathet? Haben
      Sie Kinder?
   French—Etes-vous   marie?   Avez-vous
      des enfants?

164—English—Are they  living yet?   Are
      you a  widow?
   German—Sind  Sie   noch  am Leben?
      Sind Sie eine Wittwe?
   French—Vivent-ils  encore?   Etes-vouz
      une veuve?

165—English—How  are your menses?  Are
      they regular?
   German—Wie ist die Monatliche  Reini-
      gung?  Ist er regelmassig?
   French—Comment  sont vos menstrues?
      Sont-elles regulieres?

166—English—Have you noticed their color?
   German—Haben Sie die Farbe bemerkt?
   French—Avez-vous  remarque la couleur
      de vos  menstrues?

167—English—Have  you  any  pain?   In
      the abdomen?  Show me where.
   German—Haben  Sie  Schmerzen?  Im
      Lieb?  Zeigen Sie Mir wo.
   French—Avez-vous  des douleurs?  Dans
      le ventre? Montrez moi ou.
168—English—Have  you   the   "whites?"
      Since when?
   German—Haben  Sie  der Weise  Flus?
      Seit  wann?
   French—Avez-vous  des  fleurs blanches?
      Depuis quand?

169—English—That will do.
   German—Das ist genug.
   French—C'est hten.
           EASY PHRASES.

170—English—Can you eat?  Not much?
   German—Konnen  Sie  Essen?   Nicht
      viel?
   French—Pouvez  vous   manger?   Pas
      beaucoup?
•See also Paragraphs 1 to 100. 
                   365

171—English—Did you take cold?
    German—Haben Sie  Sich Erkaltet?
    French—Avez-vous pris froid?

172—English—You must be very careful.
    German—Sie  mussen   Sehr  vossiohtig
       sein.
    French—Prennez bien des precautions.

173—English—Don't be  afraid.  It is  noth-
       ing  serious.
    German—Haben Sie keine angst. Es Ist
       nichts Gefahrliches.
    French—N'ayez  pas  peur. Ce n'est rien
       de grave.

174—English—Speak slower. In a few days
       you may take food.
    German—Spreehen  Sie  langsamer.  In
       einigen Tagen durfen Sie Essen.
    French—Parlez   plus   lentement.   En
       quelques jours vous  pourrez manger.

175—English—An   operation  will   be  re-
       quired.
    German—Eine Operation Ist nothwendig.
    French—II  sera  necessaire de faire une
       operation.

176.—English—Let the operation be  made.
    German—Lasse.i   Sie   die   Operation
       -.nachen.
    Frerch—Laissez faire 'loperation.

177.—English—It is necessary.   You  will?
       That is right.
    German—Es Ist durchaus nothig.    Sie
       Wollen? Das Ist Recht.
    French—II  le faut.  A7ous voulez  bien?
       C'est bien.

178.—English—You will  not?  A widower.
    German—Sie Wollen Nicht?  Ein Witt-
       v er.
    French—Vous ne voulez pas?  Un  veuf.

179.—English—Since when  is  your  urine
       that  color?
    German—Seit  wann hat  Ihre  Wasser
       jene Farbe?
   French—Depuis quand votre urin a-t-elle
       cette couleur?

180.—English—Let me see.  Stand up.
   German—Lassen Sie sehen.  Stehen  Sie
       auf.
   Frenoh—Laissez-moi  voir.  Levez-vous. 
                  366

181.—English—Sit down.  Use It  regularly.
   German—Setzen  Sie  Sich.  Gebrauchen
      Sie es regelmassig.
   French—Assayez-vous.   Servez-vous en
      regulierement.
182.—English—Look  here.   You  must  not
      lose courage.
   German—Sehen Sie hierher.  Sie  durfen
      den Muth nicht verlieren.
   French—Regardez ici.  Vous  ne devez
      pas perdre courage.
183 -English—Early in  the  morning.  Say
      it  again.
   German—Fruhmorgens.  Sagen  Sie das
      wieder.
   French—Le  matin   de   bonne  heure.
      Dites cela encore fois.
184.—English—A wound. Nausea. The hear-
      ing.  Your memory.
   German—Eine  Wunde. Uebelkeit.  Das
      Gehor.  Ihr Gadachtnlss.
   French—Une plaie.  La nausee.  L'ouie.
      Votre memoire.
185.—English—A corn. Toothache.  You will
      get better.
   German—Ein Huhnerauge. Zahnschmer-
      zen.  Es  wird besser werden.
   French—Un  cor.  Le mal  aux dents.
      Cela ira  mieux.
186.—English—Swallow  small  pieces   of
      cracked ice.
   German—Schlucken Sie  Stuckchen Els.
   French—Avalez des petis  morceaux de
      glace. 
                       367

 INDEX TO THE PHYSICIANS* INTERPRETER.

                                       Numbers.
 General Observations  (age, name of patient,
   etc.) .....................................1-8
 Previous History of Patient ...............9-24
 Present Illness of Patient .................25-35
 Conditions  of  Organs of Respiration nnd  Cir-
   culation  ...............................36-53
 Condition  of Digestive Organs  ...........54-68
 Condition  of Urinary Organs  .............69-76
 Condition  of the Nervous System..........77-98
 Caidinal Numbers  ..........................99
 Ordinal Numbers ..........................162
 Days  of the Week  ........................100
 Months of  the Year .......................101
 Seasons of  the Year .......................102
 Names of  various parts of the  Body.........103
 Food and Drink  ...........................104
 Occupations ................................105
 Time......................................106
 Nations ...................................107
 Household Articles  ........ ...............222
 Relations  .................................109
 The Dress ...................................110
 The House  .................................Ill
 Salutation..............................112-113
 Accidents,  etc.........................114-137
Directions  to Patient..................138-161
 Examinations of  Females ..............163-18S
Easy  Phrases  .........................170-186
*^|^ 
        368

CHAPTER  XV.
NOTES AND  PRESCRIPTIONS.
ABSCESSES.
(390) R—Calcii sulphidi,  gr.  j.
         Sacch. lactis, gr.  x.
       M. et. ft.  chart,  no. x.  S. One  every
         two  hours.

(391) R—Ungt. belladon., oz.  j.
         Pulv. camphor., dr. j.
       M. S.  Apply  locally, with  slight  frl3-
         tlon.  (Abscess of breast.)

(392) R—Iodoform!,  dr. iis3-v.
         Aetheris, oz. vj.
       M. S.  Inject oz.  iii-v  after aspirating ab-
         scess.  (Cold.)

(893) R—Cerati resinae co., oz. j.
         Olei  olivae,  dr.  i-ij.
       M. S.  Apply on soft linen.   (When sup-
         puration threatens  in breast.)
ABORTION.
(894) R—Tr.  opii  deod.,  m. lx.
         Sod. bromid., dr.  iij.
         Chloral hydrat., dr.  isa.
         Syr. acaciae,  oz.  j.
         Aquae q. s. ad oz.  iij.
       M.  S. dr ij in water  every four  hours.
                                  —E.  Wilson.

(895) R—Mist, asafoetidae,  oz. viij.
       S.  O'i. ss  several times  a  day,  In habit-
         ual abortion.
                                       —Negri.

(396) R—Tr. opii, m. xx-xxx.
       S.  Mix  with oz.  i-iss  of  boiled  starch
       and inject into  the rectum.
ACIDITY  OP STOMACH (See Pyrosis).
                    AGUE.

(397) R—Ferri redacti,
         Quininae  sulph.,  aa  dr. ss.
         Acid,  arseniosi,  gr.  j.
       M.  Ft.  in  pil.  no. xv.  S.  One  two  or
         three  times a day  after  meals.   (To
         restore to  blood  Its  normal  constitu-
         ents.)
                                      —Eemlss. 
369
(398) R—Ferri et  quin,  citrat.,  scr,  1—dr.  ss.
         Infus gentian., oz. iv.
       M.  S.  oz. ss two or three times a day.

(399) R—Quininae  sulphat., scr.  i.
         Tr. ferri  chloridi,  dr. ij.
         Aquae cinnamom.,  dr. vj.
       M.  S.  dr. j two or three times  a day in
         sweetened water.
                                     —Bemlss.


(400) R—Ferrl  ammonlo-sulphat., scr.,  ij.
         Quininae  sulphat.,  scr.,  j.
         Acid  sulphur,  dil., dr. j.
         Aquae cinnamom., dr. vij.
       M.  S.  dr. j in  sweetened water  twice a
         day.   (Where   there  is  a  tendency  to
         serous effusion.)
                                     —Bemlss.


(401) R—Magnesii  sulphatis,  oz.  i-lj.
         Ferri  sulphatis, scr.,  ij.
         Acid  sulphur,  dil., dr. j.
         Syr.  aurant.  cort., dr vij.
         Aquam, ad oz. vj.
       M.  S. dr.  j  in water  twice daily (Restora-
         tive  and  eliminant).
                                     —Bemlss.
ALBUMINURIA.
  Where true albuminuria exists, the indications
are:  1.  To  remove   the  venous  congestion  of
the  kidneys.  If it depends on  cardiac disease,
give  digitalis,  etc.;  when  on pregnancy,   etc.,
the prone position lessens it. 2.  To diminish the
flow of blood to  the kidneys, diuretics, purgatives,
warm  baths, warm   clothing  are necessary.  3.
The anemia 'must be  treated and removed.  Give
light, digestible food, iron.  etc.
                        —T.  Lauder  Brunton.
(402)  R—Acid,  gallici,  dr.  ij.
         Acid,  sulphur,  all., dr. ss.
         Tr.  lupulini,  dr. j.
         Infus.  lupuli,  ad. oz. vj.
       M.  S.  oz. ss td.  ('Checks the waste of albu-
         men, especially in the acute and recent
         forms).
                                      —Aitken.


(403)  R—Ammon. muriat., dr. ij.
         Tr. ferri chloridi, dr.  iss.
         Aquae, oz.  vj.
       M.   S.  oz.  ss.   td.  (Anemic albuminoid
         degeneration  of  the kidneys or  liver.).
                                   —Da  Costa. 
370
(404)  R— Acid, benzoic, dr. lj.
         Potass,  blcarbonat.. oz.  ss.
         Spts. aether, nit.,  oz.  j.
         Syr.   limonls,  oz.  lj.
         Liq.  ammon. acetat., oz.  iij.
       M.  S.   oz.  ss.  four  or  five  times daily.
         (Albuminuria of  pregnancy).

(405)  R—Acid tartrate of  potash, oz. j.
         Syr.  limonis, oz.  j.
         Aquae,  O  j.
       M.  S.  Drink for  child. (Acute albuminuria
         following scarlet  fever).
                              —Haviland Hall.

                  ASTHMA.

  In the spasmodic form,  inject  hypodermatically
atropine into the uape of  the  neck;  inhalation
of smoke of stramonium leaves;  fl. ext.  nux vom-
ica,   internally,  alcohol,  ether,  opium,  chloral;
Inhalation  of  chloroform cautiously given; inhala-
tions of  ethyl iodide  (gtt. xv-xx),  repeated three
or four  times daily,  etc.

(406)  R—Potass,  nitrat.,
         Pulv. anisi,  aa.  oz. ss.
         Pulv. stramon. fol., oz. j.
       M. S. A thimbleful of the powder  is placed
         on a plate in a conical form  and ignited,
         the fumes to be  inhaled.

(407)  R—Potassii iodidi, dr. iij.
         Ext.  bellad.,  11.  dr. j.
         Ext.  lobeliae fl. dr. ij.
         Ext.  grindeliae fl.  oz.   ss.
         Glycerinae.
         Aquae destil.,  aa  oz.  iss.
       M.  S.   oz.  ss.  every two, three or  four
         hours as  necessary.
                                   —Bartholow.

(408)  R—Ext. euphorbae piluifera  (P. D. & Co.),
         Glycerini,  aa  dr.  ij.
       M.  S.  dr. j every  three hours.
                                       —Aulde.

(409)  R—Amyl. nltrit.,  (pure),  m. xxxv.
         Ethylic alcohol (sp. gr.  830), dr. v.
         Glycerin,  (pure),  oz. iss.
       M.  S.  To make a mixture of twelve doses.
         dr.  j in a wineglassful of warm water.
                                  —Richardson.

(410)  R—Ext.  cannabis ind., gr.  v.
         For  ten pills.  (During  paroxysm).
                        —C.  Handfield  Jones.

           ANGINA   PECTORIS.

  For inhalation—Chloroform, or  a few  drops ol
nitrate  of  amyl.  Internally—nitro-glycerine  (gr.
1-100);  place feet in  hot water;  mustard  to
precordial region; dry  cup  between the should- 
371
ers;  hypodermatics  of morphine  and  atropine;
stimulants; anodynes.

(411) R—Tr.  digitalis,  dr.  iiss.
         Spts.  chloroform!,  dr.  vj.
         Ext.  buchu  fl. oz. j.
         Spts.  juniperi co., q. s. ad oz. iv.
       M.  S.  dr.  ij  td.
                                   —Fothergill.

(412) R—Aether, chlorldi, oz. iss.
         Aq. camphorae, oz.  ij.
         Syr.  amygdalae,  oz. ss.
       M.  S. dr.  ij  in water every three  hours.
                                      —Evans.

(413) R— Chloroformi,
         Spts.  ammon. aromat.,  aa dr. ij.
         Spts.  aether,  co.,
         Tr.  camphor,  opii.
         Mucil. acaciae,  aa oz. ss.
       M.  S.  dr.  j at a dose.
                                  —Hartshorne.

(414) R—Tr.  digitalis,
         Tr.  belladonnae,
         Tr.  Valerianae,
         Spts.  aether,  co.,  aa dr. j.
       M.  S.  Dose,  gtt. x-xx during the  acces*
         of pain.
                                     —Gallols.

               ALCOHOLISM.

(415) E—Tr.  nucis vom.,  m.  x.
         Tr.  gentian, co., dr. ss.
         Ess.  limonis.  m.  j.
         Spts.  chloroformi,  m.  xv.
         Aquae, ad oz. j.
         M.  S.  Take three or four times a  day.
         Reinduces sleep where  chloral causes  a
         sleepless  condition,  after having  been
         carried beyond  a  certain time.
                                    —Atkinson.

(416) R—Potass, bromidi,  oz.  j.
         Chloralis, dr. iv.
         Tr.  digitalis,
         Tr. capsici,
         Tr. zingiberis,
         Spts.  aromat. ammon.,
         Syr. aurant. cort., aa oz.
         Aquae destil., q.  s. ad oz.  viij.
       M.  S.  oz.  ss every  three hours.
           —Bellevue  Hosp.  "D. T."  mixture.

(417) R— Tr.  nucis vomicae,  gtt. v-xv.
         Tr. gentian,  co.,
         Tr. columbae co., aa dr. j.
       M.  S.  Take before  meals.  (Rum  stom- 
372
(418)  R—S<dti  bromidi,  oz. ss.
         Chloral hydrat.,  dr.  Iiss.
         Syr.  aurant. cort., oz. ss.
         Aquae, oz. Hiss.
       M.  S.   oz.  ss at  night;  repeat  in  two
         hours  If  required, for  sleeplessness.

       ANASARCA.  (See  Dropsy.)

                 ANOREXIA.

(419)  R—Fel bovini pur.,  scr.  iv.
         Ferri  carbonat.,  dr.  ss.
         Rhei,
         Ext.  gentianae, aa  scr.  iv.
       M.  Div. in  pil. no.  120.  S.  Six or ten
         per diem.   (To combat a  want of ap-
         petite.)
                                  —N.  Gallols.
(420)  R—Extract,  clnchonae flav.,  dr.  ss.
         Tr. nucis vom., gtt. v.
         Syr.   nurant.  cort.,   oz.  iss.
         Claret wine, oz.  viij.
       M.  S.  Several  tablespoonful3  at the be-
         ginning  of  meals.   (To stimulate  the
         appetite.
                                —Fonssagrives.
(421)  R—Tr. clnchonae  co., oz. iv.
       S. dr.   ii,  in  water, td. after  meals.
                                      —Bemlss.
(422)  R—Tr. clnchonae  co., oz. vj.
         Acid,  muriat.  dil.,  oz. ss.
       M.  S.   dr.  ij  td.  after  meals,  well  di-
         luted.
                   ANURIA.

  A  temporary suppression  of urine,   due to an
excess of uric  acid  in the urine.  The  symptoms
are discomfort,  then  micturition takes place, and
pain.    The urine is highly acid.    The affection
lasls  but a  short  time (few  hours or so).  Hot
fomentations  should  be applied  to  lower part
of abdomen, or give  (to children)  drop doses  of
tr.  belladonna  every 15  or   20 minutes (watch
effect  ou pupils).
                             —Wm. M. Powell.

                  APHONIA.

(423)  R—Zinci  sulphat., gr.  i-vj.
         Aquae, oz.  j.
        M.  S.   Use  as  an inhalation.   (Catarrhal
         form.)
                                    —Da Costa.
(424)  R—Ammonii chlorldi, oz. ss.
         Syr.  prun.  virg.  oz.  iij.
       M.   S.  dr.  j  td.  Give  with  it 1-50 gr.
         strychnina  td., to give  tone to the re-
         laxed laryngeal muscles.
                                    —Da  Costa. 
373
 (425) R—Pulv.  benzoini, oz. ss.
        S.  Place a  portion  on some live coals,
          and inhale  the  vapor, by deep  inspira-
          tion.
                                   —O. Reveil.
 (426) R—Balsami tolutani, dr. v.
          Aether, sulphuric,  oz. iss.
        M.  S. Put in a wide-mouthed bottle and
          inhale  for  a  few  minutes  every  half
          hour.
                                  —M. Roziere.

 ANESTHETICS,     ACCIDENTS     IN

                   GIVING.

  Tr.  digitalis  hypodermatically; draw  tongue
 out  and see that respiration is not mechanically
 impeded; invert patient quickly and  temporarily;
 use  forced inspiration;  apply  external  warmth
 and  stimulation; avoid alcoholics.    (See emer-
 gencies.)

          ANESTHESIA, LOCAL.

 (427) R—Cocaine, grammes 5.
         Antipyrin,  grammes 15.
         Aquae  destil., grammes  80.
                                     —Struver.
 (428) R—Chloroformi,  10 parts.
         Sulphuric ether,  15 parts.
         Menthol,  1  part.
       M.  S.  Use  with  atomizer.   Anesthesia
         lasts from two to  ten minutes.

 (429) R—Chloroformi,  1  part.
         Cerae,   1 part.
         Adipis, 3  parts.
       M. S. Salve.
                                      —Kittel.
 (430) R—Eugenol-acetamide  is  recommended  as
         an  anesthetic    As  crystallized  from
         water  it occurs in  lustrous scales;  from
         alcohol  it occurs  in fin.-  needles, melt-
         ing at 110 F.  It is applied in form of
         a  fine  powder.

                ASPHYXIA.

  In  drowning hold patient's head downward for
a few seconds. In hanging or choking, bleed from
the  jugular. If  there  is  obstruction  to passage
of air through the mouth or nose, open  trachea.
Artificial  respiration  at once,  and  to  be  con-
tiaued. Friction,  warmth, warm bath (100 F.), am-
monia  to nostrils,  galvanizing of  phrenic nerve.

             AMENORRHOEA.

(431) R^-Ferrl  et ammon.  citrat., dr.  lj.
         Syr.  limonis, oz. j.
         Aquae,  oz.  iij.
       M.  S.  dr. j every  four  hours. 
374
(432)  R—Pulv.  sabinae.
         Pulv.  zlngiberis,  aa  gr.  vij.
         Sod.  boratis,  gr.  xv.
       Ft. Pulvis. S.  Take  twice a  day.

(433)  R—Ferri et potass,  tartrat., gms.  5.
         Ext.  artemesiae,
         Ext. absinth.,  aa gms. 2.
         Aloes,   gm.   1.
       Sufficient for fifty pills.  S.  Two pills after
         meals.
                                      —Lutand.

J434)  B^-Potass. carbonat.,  dr.  ss.
         Myrrhae,  dr.  j.
         Tore  simul,  dein adde;
         Ferri sulphatis,
         Sacchar. albl. aa  dr.  ss.
       Ft. Massa et  div. in pil.  no.  xl.  S.  Two
         or three pills  td.
                                       —Hulse.

                    ACNE.

J435)  R—Sulphur, praecipitat.,' dr. iss.
         Pulv.  tragacanthae,  gr.  xx.
         Spts.  camphorae,  dr.  ij.
         Liq.  calcis,  q.  s..  ad oz. iv.
       M.  S. Use as a lotion.
                                  —Stellwagon.

?436)  R—Ichthyol,
         Saponis  viridis,
         Sulphur,  praecip.,
         Lanolin, aa  dr.  j.
       M.  S. Used  cautiously  in sluggish cases.
                                  —Stellwagon.

J437)  R—Mucilag.  acaciae,  dr. iij.
         Glycerinae,   dr.  ij.
         Sulphur, praecip.,  dr. iij.
       M.  S. For acne rosacea.
                                  —Stellwagon.

(438)  R—Calcis, oz.   ss.
         Sulphur,  sublimat.,  oz.   j.
         Aquae, oz.  x.
       M.  Boil down  to oz.  vj. and filter.  S.
         Apply  diluted with one  to  ten parts of
         water.  (Rosacea).
                         —Vleminck's  solution.

       ANTISEPTIC  FORMULAE.

(439)  R—Hydiarg. chlor.   cor., 2.
         Sod. chlorldi.  1.
         Acid,  acetici  dil.,  1.
         Aquae, 16.
       M.  This makes a 10 per  cent, bichloride
         solution; by  adding water in  appropriate
         quantity  solutions  of 1-2000  or 1-1000
        ' are  easily made.
                                 —Ed.  Martin. 
375
 (440)  R—Acid, boric,  pulv.,
          Cerae albae,  aa.  1  part.
          Olei  amygdal. expr.,
          Paraffini,  aa,  2 parts.
        M. Bub the almond oil with the boracio
          acid  to  a smooth mass in a warm mor-
          tar;  then add the melted wax and par-
          affin,  and triturate  until  cold.
                                        —Lister.
 (441)  R—Iodoform, 5.
          Vaseline,  30.
          Oil  almonds,  10.
        M.  Ointment.
                                      —Martin.
 (442)  R—Acid, boric,  3.
          Paraffine,  10.
          Vaseline,  5.
        M.  Ointment.
                                      —Martin.

 (443)  R—Purified   rhellae,  279 grms.
          Purified   benzoin,   entirely  soluble  in
           alcohol.  10  grms.
          Balsam of tolu,  10 grms.
          Crystallized  carbolic  acid, 100 gms.
          Chinese  essence  of canella, 6 grms.
          Saccharone, 6  gms.
          Alcohol  enough  to  make  a litre.
        M. This antiseptic varnish called "stere-
          sol" is employed in regions which can«
          not be bandaged in  the  ordinary  fash-
          ion.
                                     —Berlioz.

 (444) R—Strengths of  various other  antiseptlo
           solutions:—
          Carbolic   acid.  1-20 or 1-40.
         Salicylic  acid, 1-300.
         Boric acid. 1-30.
         Chloride   of  zinc,  1-10  or  1-20.
         Permanganate,  1-1000.
         Carbolized oil,   1-10.
         Iodoform  collodion.  1-10.
         Creolin,  1-20  or  1-40.
                                       —Lister.

                 ALOPECIA.

(445) R^-Acid.  gallic,   3  grms.
         Ess.  lavend.,  1   grm.
         Vaselini,  30  grms.
         Ol.  ricini, 20  grms.
       M. This ointment  is used by  means  of
         friction  upon  the  scalp.

(446)  R—Ext.  jaborandi  fl.,
         Tr.  cantharidis.   aa  oz.  ss.
         Glycerin.,
         Olei vaselin.,  aa oz.  j.
       M. S.  Apply  locally with  a spouge at
         night. (Alopecia following  continued fev-
         ers.)
                                   —Bartholow. 
                       37(1

               BRONCHITIS.

(447)  It—Alum,   dr.  S3.
         Vini ipecac,  dr.  iss.
         Syr.  tolu,  oz.  ss.
         Aquae,  q.  s.,  ad.  oz.  Iij.
       M.  S.  dr. i-ii every  three hours.  (Chronic
         form  in children).
                                      —Powell.
(448)  R—Ammon. carbonat., gr. xxiv.
         Syr.  tolu,  dr. vj.
         Spts. vini  gallici,  dr.  iij.
         Syr.  senegae, dr.   iiiss.
         Syr.  acaciae,  q. s.,  ad oz. iij.
       M.  S.  dr. j every  three hours,  for  chil-
         dren. (Capillary form).
                                      —Powell.
 449)  R—Vini ipecac,  dr.  j.
         Potass,  citrat., dr.  ss.
         Tr.  opii  camph.,  dr.   ij.
         Mix. simpl.,  oz.  j.
         Aquae destil., q. s., ad oz iv.
       i\I.  s. dr. j  c\ery two hours to an infant
         one  month old.  (Broncho-pneumonia).
                              —F.  S.  Parsons.
 (460) R—Vini ipecac,  dr.  ij.
         Liq. potass,  citrat.,  oz. iv.
         Tr.  opii camp.,
         Syr. acaciae,  aa  oz.  j.
       M.   S. dr.  j  td.,  in the  first  stage  of
         ordinary bronchitis.

                BILIOUSNESS.

 (451) R—Ext. hydrastis, fl., dr. iss.
         Tr.  rhei, dr.  vj.
         Tr.  cinchonae co.,  oz.  iij.
        M.  S. Two drachms  two or  three times
         a day.
                                    —Niemeyer.
 (452) R—Pulv.  ipecac,  gr.  iij.
         Massap hydrarg.,  gr.  viij.
          Ext. colocynth. co.,  gr. xvj.
        M.  Et div.  in pil.  no.  viii.  S.  One pill
          P.  M.  and  A. M.
                              —Pendleton  Tatt.

           (BOILS (See  Abscess).

   Regulate  the  diet.  Remove  the  small  head
 and  insert a drop  of  glycerinum acidi  carbollcl;
 may ease  the  pain and arrest the extension of
 the slough.  Give internally maltine, stout, cal-
 cium sulphide,  etc.
                                       —Powell.
                     BUBO.

 (453) R—Unguent,  hydrarg.,  oz.  lj.
          Ammonii  chloridi, dr. j.
        Misce bene.  S.  Apply  twice  a day.
                                    —Dupuytran. 
377
(454) R—Hydrarg.  blniodidi, dr.  ss-jss.
         Adipis, oz.  ij.
       M.  et  ft.  ungt.  S.  Apply twice daily.
                                       —Lugol.

(455) R—Iodl.
         Terebinthinae Caraden.,  aa dr. J.
         Collodii, oz. iv.
       M.  S.   Apply   with   soft   camel's-halr
         brush  once a day  until  rubefactlon  Is
         produced.
                                       —Shlnn.

(456) R—Cadmil iodidi, dr.  ss.
         Aetheris,  m.  xl.
       Tere  siniul, et adde:—
         Adipis, oz. j.
       M.  et  ft.  ungt.  S.    Once   or  twice
         daily.
                               —A. B. Garrod.
          BURNS  AND  SCALDS.

(457)  R—White glue, oz.  viiss.
         Water, cold,  O  j.
         Glycerine, oz. j.
         Carbolic acid, dr.  ij.
        Soak glue  until  soft;   then   heat   on
         water-bath  until melted;  add  the gly-
         cerine and  carbolic acid,  and  continue
         heating   until,  in  the   intervals   of
         stirring, a  glossy, strong skin  begins to
         form  over  the  surface.  When needed
         for use,  heat   on   water-bath   until
         melted,  and  apply  with  a  flat  brush
         over the  burnt part.

(458)  R—Bismuth,  subnit., gr. ix.
         Pulv.  acid  boric, gr. ivss.  •
         Lanolin, gr. lxx.
         01. olivae,  gr. xx.
       M.    Apply on  muslin in  burns of chil-
         dren.   Before applying this preparation,
         the parts are washed  with boric  acid
         water;  then covered with several thick-
         nesses  of gauze,  impregnated with  a
         mixture of  one  and  one half  oz. each
         of  lime-water  and  linseed  oil,  with
         one   and   three-quarters   to   one-half
         grains  of  thymol.  At  the  end  of  15
         days,  the above prescription is applied.
                                 —Wertheimer.

(459)  R—Sod. borat., dr.  iiss,
         Sod. chloridi,  dr.  ss.
         Aquae destil., oz.  xij.
         Aquae camphor., oz.  iv.
       M  S  Instil  vinegar,  at  first,  and  then
         apply  the  lotion.  (Severe  lye-burn  ot 
378
(480)  R—Acid, tannlci, dr. ss.
         Spts. vin. rect.,  dr.  iss.
         Collodion, dr. v.
         Tr.  benzoin., dr. ss.
         M. S. Paint upon the  surface.
                                     —Saalfeld.

(461)  R—Europhen,  gr.  xlv.
         Olel olivae,  gr.  cv.
         Vaselini,  oz. ii.
         Lanolini,  oz. j.
        M. S  For external use.
                                       —Siebel.

(462)  R—Plumbi carbonatis, oz.  lv.
         Olei llnl, q. s.
        Tere  slmul  et fiat plnguentum.  S.  Ap-
         ply  liberally on  lint  or linen.
                                       —Gross.

(463)  R—Acid, salicylic!, dr.  j.
         Olei  olivae,  oz. viij.
        M.  S.  Apply and cover  with  lint or
         linen.
                                   —Bartholow.

(464)  R—Cerati resinae,  oz. ii.
         01.  terebinth, dr. ij.
        M.  S.  Apply  on  lint or linen.
                                     —KentUh.

            BLACK-EYE,  ETC.

  Paint over the  bruised surface  a tincture or
Infusion  of  capsicum annuum,  mixed  with an
equal bulk of mucilage or gum  Arabic,  with the
addition of a few  drops  of glycerine.  Apply two
or  three  coatings. (Also of  service  in stiff or
sore  neck.)         •

      BITES  OP  INSECTS,  ETC.

(465) R—Liq.  ammon., gtts. xlv.
          Collodii,  gtts.  xv.
          Acid, salicyl.,  gr. Iss.
        M. S. Apply  a drop upon each  bite.
                                     —E. Lang.
(466) R—Naphthaline,
          Vaselin., aa q.  s. ad.  saturand.
        M. S. Rub in a  few  drops every  three
          or four hours.  (For bites of insects and
          bee-stings.)
                                      —Pepkow.


         BLADDER,  IRRITABLE.

  (467) R—Acid benzoicl, Gms.  4.
          Borax, Gms., 4.5.
          Aquae,  Gms. 120.
        M. S. Three large spoonfuls a day.  (Re-
          lieves  frequent desire to  urinate.) 
379
(468) R—Potass,  citrat., gr. iv,
         Ext. triticum repens, fl.,
         Tr. hyoscyami, aa oz. j.
         Ext. buchu,, fl., oz.  ss.
         Aquae,  q.  s. ad oz. llj.
       M.  S. One  drachm   in   wineglassful
         water td.
        BRUISES,  MARKS,  ETC.

  A  poultice  made  of  black  bryony-root  (de-
prived  of its  bark,  and  scraped),  and  bread
crumbs or flour,  should be inclosed in  a  thin
muslin  bag,  and  applied over the  injured  part.
It will generally  cause the  ecchymosis  to  dis-
appear  within 24 hours,  in  a   child.  If  the
bryony-root cannot be procured,  the poultice  may
be made  with a solution of the  hydrochlorate  of
ammonia.  (Also for black-eye,  etc.).
                                      —TyrrelL

               BAD BREATH.

(469)  R—Acid  salicyl.,
         Saccharine,
         Sod.  bicarb.,  aa gr. xv.
         Alcoholis,  oz. j.
         Ess.  pip.  menth.,  gtt.  x.
       M. S.  One drachm  in  wineglassful hot
         water, and gargle once  or twice daily.

(470)  R—Potass, permangarat.,  gr. vj.
        ■ Aquae, dr. vj.
       M. S.  Gargle frequently.  (Also good for
         the    smell  of axillae,    fetor  of the
         sweat of the feet, etc.).
                                     —Palmer.

       BLADDER, CATARRH  OF.

(471)  Er-Ammon.  benzoat.,  cz. j.
       S.  grs.  x-xxx td.

(472)  R—Borax, oz. j.
         Glycerine, oz.  vj.
       M.  S.  oz.  ss to  a j of water.  (Used  as
         Injection.  (Ch.  cystitis.)

(473)  R—Acid  boracic,  dr.  ij.
         Syr. limonis,
         Syr. zingib., aa oz. j.
         Aquae, ad oz.  vj.
      «   M.   S.  Half an  ounce  every  two  or
         three  hours,  in  water.

(474)  R—Pulv. opii, gr.  xij.
         Camphorae, gr. xxx.
         Ext.  belladon.,  gr.  iij.
         Cacao, q.  s.
       M. et  div.  in suppos. no.  vj.    S.  One
         each  night before  retiring. 
380
           BLISTERING FLUID.
 (475) B^-Aq. ammon. fort.,  dr.  iv.
          Spts.  rosemary,  dr.  iij.
          Spts.  camphor.,  dr.  j.
       M.   Produces vesication in  from   three
          to  ten minutes.
                 —Granville's  Blistering Lotion.

 (476) Br-Aq. ammon. fort., dr.  v.
          Spts. rosemary,  dr. ii.
          Spts.  camphor.,  dr.  J.
       M.   Cut a piece  of linen  the  shape and
          size to  be vesicated,  saturate  with
          above,  and  apply.   (Is  stronger  than
          last.)
                —Granville's  Blistering Lotion.

                 BED-SORES.

 (477) R—Alum, oz. ss.
          White  of 4 eggs.
          Tr.  Camphor.,  oz.  ij.
       M. S. An excellent application.
  Use  charcoal  poultices;  wash  and dress  antl-
■eptically;  avoid  pressure  on parts.  The  char-
coal poultices  will  clear  away  the sloughs.

              BLEPHARITIS.

  An Inflammation of the hair-follicles along the
edge  of  the  eye-lid; may involve other  struc-
tures.  In  treating, cleanliness  is of the utmost
Importance.  Wash away  the crusts with  warm
water  or use an alkaline solution  (soda,  gr.  x-
oz.  j).   Moisten the margins of lid  with  the fol-
lowing  ointment:  Yellow  oxide  of  mercury, gr.
es.  and white vaseline, oz. j.  Repeat this once
or twice  a  day.  Solutions of  nitrate of  silver
(along  the roots of lashes) are also useful.

                 BALANITIS.

              (See  also Gonorrhea.)
(478) R—Sodii  boracis, dr.  v.
         Aq.  bullientis, oz. viij.
       M. Et  ft.  lotio.   S.  Betract  the  pre-
         puce  and  cleanse  thoroughly  with the
         lotion.  While still  wet  apply  No. 479.
                                     —Falson.

(479) R—Bismuth,  subnit., oz. j.
       S.  Dust  plentifully  over   and  around
          the  glans and  then  pull the  prepuce
         forward  to  its  natural  position,  and
         allow  It  to remain  thus  covered for
         12 or 24 hours.    Repeat.

                COLIC,  GALL.

  Give  hypodermatic  injection  of  morphine; in-
halations  of  chloroform;  hot applications  to the
abdomen. 
                       38 L

                    COMA.

  Keep the head high  and cool; dark room; head
shaved;  low diet;  crotou oil; if due to compres-
sion,  antiseptic  trephining; if due  to  anemia,
pilocarpine  and hot# baths.

                   CHOREA.

(480)  R—Morphin.  sulphat., gr.  iv (!).
         Aquae destil., oz. j.
       M. S.  One drachm or more,  pro  re  nata.
                                   —Trousseau.
(481)  R—Ext. clmlcifug., fl.,
         Mix simpl.,  aa oz. iss.
       M.  S. Two drachms four times  a day.
         (In cases about the age  of puberty.)
                                   —Bartholow.
(482)  R Liq. potass,  arsenit., dr.  iss.
         Vini ferri amari,  q. s. ad oz. iij.
       M. S.  One drachm  td. after meals
                                      —Powell.
(483)  R—Zinci  sulphatis,  gr. ii.
         Ext. conii,  gr.  iij.
       M.  Et ft.  pil.  S.   Take  every night.
                                     —Andrew.

(484)  R—Zinci  valerian., gr. xl.
         Cinchoniae sulphat., gr.  xx.
       M. Ft.  in  pil.   no.  xx.  S.   One  thrice
         daily.
                                   —Da Costa.
(485)  R—Strychninae  sulphat.,  gr. ii.
         Aquae,  oz.  j.
       M.   S.  gtt. v  td.  to  a  child from 10
         to  15 years.
-liu'imond,-
COLIC.
(486)  R—Tr. asafoetidae, oz. ss.
         Tr. opii,  dr. j.
         Decocti hordel, O ss.
       M.  Et.   ft.   enema.  S.   One   injection.
         (For adults  with flatulence.)
                                     —Hooper.

(487)  R—Chloroformi,  15 parts.
         01. hyoscyami, 15 parts.
         Tr. opii camph.,  5  parts.
         Oh  c.hamomill,  150 parts.
       M. S. Liniment. Rub upon belly.   (Renal
         colic.)
(488)  R—Chloroformi,  (pure).
         Spts. camphor.,  aa oz.  ss.
         Spts. aether, nit.  co.,
         Spts. aether, co., aa  oz.  iss.
       M.   S.  dr.  ss-j  of water  containing dr.
         ] spts.  friimentl, every half  hour.  For
         three doses.  (For menstrual   colic.)
                                    —Da Costa. 
                       382

(489)  R—Sodii bromidi,  gr.  xlvili-xcvj.
         Chloralis,  gr.  xxiv-xlviij.
         Syr. lactucarii.,  q.  s.  ad oz.  llj.
       M. S.  Infantile  colic.
                                        —Hare.

(490)  R— Strychnlnae  sulphatis, gr.  j.
         Confectionis rosae, dr.  ss.
       M. Et.  ft.  pil.  no.  xx.  S.  One  pill  td.
         (Lead palsy.)
                                      —Hazard.

(491)  R—Aluminis,  dr.  ii.
         Magnesii sulphat.,  oz.  j.
         Syr.  simpl.,  oz.  iij.
         Aquae rosarum, oz. v.
       M.   S.  oz.  j  in  two  wineglassfuls  of
         water daily,  early  in   the  morning.
         (Colica pictonum.)
                                     —Aldridge.

(492)  R—Radicis rhei, gr. -1.
         Foliorum  sennae,  dr.  iij.
       M.  et  ft.  infus.  ad oz.  iv.  Dein  aclde
         Magnesii  sulphatis, oz.  j.
       M.  S. oz.  ss every  two hours  until purg-
         ing  ensues,  then   every   six   hours.
         (Colica pictonum.)
                                     —Gerhard.

              CONDYLOMATA.

(493)  R—Acid acetic! glacialis,  dr.  j.
       S.  Apply  a drop  every  day.  (Common
         form.)
                                     —Gerhard.

(494)  R—Acid, carbolic!,  dr. J.
       S.  Apply  locally once  every day or  two.
         (Venereal  form.)
                                   —Bartholow.

(495)  R—Hydrarg.  chlorid. mit., dr. ii.
       S.  First wash  with solution of chlorln.
         ated soda, then dust  with the calomel.
         (Venereal.)
                                       —Rlcord.

(496)  R—Acidi chromicl, dr. iss.
         Aquae destil.,  oz.  j
       M. S.  Apply  with a small  stick of wood
         every  other  day.   (Also   for  syphilltlo
         warts.)
                                     —Wooster.
             CONJUNCTIVITIS.

(497)  R—Acidi borici.  gr.  x.
         Pulv. aluminis,  gr.  ss.
         Aquae destil.,  oz.  j.
       M.  S.  Drop in eye  two or three  times a
         day.  (Catarrhal form.)
                                      —Keyser. 
383
 (498) R—Aeidi  borioi,  gr.  xxx
         Zinci  chloridi,  gr.  ii.
         Aquae destil., oz. iv.
       M.  S.  Use as a lotion in  the simple form.
         of  the affection.
                                       —Gould.
 (499) R—Cupri sulphatis,  gr.  iij.
         Aquae camphorae, oz. iv.
       M. S.  To be  dropped in the eye.  (Puru-
         lent form.)
                                       _\*> re,

 (500) R—Acid, tannici,  dr. ss.
       S.  Evert  eyelids,  and  by means  of a
         small  rubber-bag  insufflator  dust over
         them  the   tannin   finely    powdered.
         (Granular form.)
                                   —Hamilton.
 (501 R—Cadmii sulphatis,  gr.  iij.
         Vini opii, dr.  j.
         Aquae rosae, oz.  ii.
       M. S.  Use twice daily.  (In the chronlo
         form, and  for  opacities of the  cornea.)
                                 —Fronmueller.
 (502) R—Hydrozone, oz. j.
         Aquae,  O iv.
       M.  S.—Wash  the  eyelids with this solu-
         tion,  and with  a  glass  dropper apply
         to the  inner portion of  the  eye, next
         the  nose, one,  twOj  or more drops of
         Marchand's   Eye  Balsam,  every night
         before retiring, and  the  first thing In
         the morning.
 (503) R—Hydrozone, oz. j.
         Lukewarm water, O ij.
       M.  S. Cleanse  eyelids  with   this  solu-
         tion  td.   Then   use the  Eye  Balsam
         (Marchand's).  For   purulent    conjunc-
         tivitis,  etc.

 (504) R—Hydrarg. oxidi flavi,  gr. %-j.
         Adipis benzoatl, dr.  j.
       M.  Et. ft. ungt.  exactum.  S.  Apply In
         the  eye daily.  (Phlyctenular form.)
                                     —Keyser.

               CONVULSIONS.

(505)  R—Moschi, gr. xii.
         Sacchari,  gr. xl.
         Spts.  ammon.,  m. xxx.
         Infus. lini  co., oz. iv.
       M.  S.  An injection for infantile convul-
(506) R—Ammon. bromidi, scr. iv.
         Potass, bromidi, dr.  vj.
         Tr. calumbae, oz.  j.
         Aquae  destil., q. s. ad oz. iv.
       M  S.  dr. ii  every hour or  two.
                                  —Echeverria. 
lis 4
(507) R—Chloral, hydratis, gr. i-v.
         Syr. simpl.,  dr. j.
       M.  S. One dose.  (For Infants and small
         children.)
                                 —Waterhouse.

(508) B—Chloral  hydratis, gr. xv.
         Potass,  bromidi, dr. j.
         Syr. simpl.,  dr.  v.
         Aquae  destil., oz.  il.
       M.  S.  dr.   i  every  three  hours.  (Dur-
         ing teething.)

(609) B—Tr.  stramonn,  oz.  ss.
       S. dr. i  every hour  until  relieved.
                                      —Oppelt.

(610) R—Chloral  hydratis,  gr.  x.
         Fresh milk,  oz.  j.
       M.  Rectal  Injection  for children.

         CHOLERA INFANTUM.

(511) R—Bismuth,  subnit., dr. ss-iss.
         Spts.  myristicae, m.  xx.
         Spts.  vini gal.,  dr.  iij.
         Syr. acaciae, oz. iss.
         Aq.  cinuam., ci.  s. ad  oz.  iij.
       M.  S. dr.  i  every  two hours.   (Arrests
         vomiting  and purging.)
                                      —Powell.

(">12) B—Acid sulphuric aromat., m. xxiv.
         Liq. morph.  sulphat.,  dr.  j.
         Elix.  curacoae,  dr.  il.
         Aquae,  q. s. ad oz.  iij.
       M.  S.  dr.   j  every  three  hours for  a
         child of one year of age.  (For vomit.
         and purg.)
                         —Goodhart  and  Starr.

(613) B—Hydrarg.  chlor. mit.,  gr. %.
         Bismuth,  subnit.,  gr. xxxvi.
       M.  et.  ft.  chart,  no.  xii.   S.  One  pow-
         der every hour  or two.
                                      —Powell.

(614) R—Liq. calcis.
         Aq. clnnain., aa oz. j.
       M.  S. dr.  j  when required.
                                      —Powell.

(616) R—Tr.  opii,  gtt. xii.
         Mist, cretae, oz. iss.
       M.  S. dr. j every  two or three hours  to
         an  infant of one  year.
                             —J. Lewis Smith.

(516) R—Hydrarg.  chlorid. mltls.
         Plumbi acetatis, aa gr. j.
       M.    et.   ft.  in  pulv.   no.  iv.   S.   Oi e
         powder every  three hours,  for  a  child
         from 10 to 20 months old.
                             —T. D.  Mitchell. 
                        385

                     CARIES.

  (616) R—Cupri  sulphatis,
          Zinci sulphat., aa 15 parts.
          Liq. plumb,  subacetat., 30 pts.
          Aceti,  200 parts,
         M. S.  Inject thoroughly into the sinus.
                                       —Villate.

  (518) It—Syr. phosphat.  co.,
          cum ol.  morrhuae,  oz. vj.
         S.  Dose,  pro re nata.
                                       —Parrish.

                  CARBUNCLE.

  (519) R—Farinae  lini.
          Fermenti,  aa q.  s.
         Fiat  cataplasma.
                                         —Ellis.

 (520) R—Ext. opii,  oz. ss.
          Glycerinae, q.  s.  ut. ft. magma.
         M.  S.  Smear  thickly  over  the  swelling
          td., and apply  formula  521.

 (521) R—Pulv.  opii.
          Ungt. hydrarg.,
          Saponis  durae,  aa oz. ss.
        M.  S.  Apply  spread  on thick  leather.
          (Will  sometimes  abort a  boil or  car-
          buncle if applied  early
                             —Buxton Shillitoe.

 (522) R—Tr.  iodl, oz.  j.
        Apply so  as  to  encircle the carbuncle
          until it produces  vesiccation.
                                       —Jordan.

                  CATARRH.

 (523) R—Morphi;.. siili.'ai.,  gr. ss.
         Quin,  su];.!,;*.,  gr.  x.
       M.  •:  f      ■..-!.  S.  Take  at bed-time.
          ilii'jipient  1 r .ii-;ho-pulmonary catarrh.)
                                   —Bartholow.

(524)  R—Tr. eucalypti.                           <
          Syr. simpl., aa oz. J.
       M.  S.  dr.  j every   three   hours.    (In
         chronic  broncho-pulmonary  form.)
                                      —Gubler.

(625)  R—Ammon.  iodidi, dr. j.
         Liq.  i>otass. arsenit.,  dr. ss.
         Tr. calumbae,  oz.  ss.
         Aquae  destil., oz.  iss.
       M.  S. dr.  j   td.  before meals.  (Catarrh
         of  gall-ducts with  jaundice.)
                                   —Bartholow. 
386
(526) R—01.  terebinth,  dr. ,iss.
         Syr. simpl., oz.  j.
         Aq.  cinnamoml,  oz. ij.
         Olei limonls,  m. viij.
       M.   S.  dr.  j every  three  hours.  (Geni-
         to-urinary  catarrh.)
                                    —Maunsell.

(527) R—Liq. potass, arsenlt.,  dr.  ss.
         Tr. nucis  vomicae,  dr.  iss.
         Tr. calumbae, dr. xiv.
       M.   S.  dr.   j  every  two  hours.   (Gastro-
         intestinal  catarrh with vomiting.)
                                —F. G.  Smith.

(528) R—Acid tannic!, 'gr. x.
         Aquae destil.,  oz. iij.
       M.   S. dr.   j  every  two  hours.   (Gastro-
         intestinal  catarrh  with  purging;  acute
         form.)
                                    —Niemeyer.

(629) R—Zinci oxidi,  dr. j.
         Sod. bicarb., gr. L.
         Piperinae,  gr.  xx.
       M.   et  ft.   chart,  xx.   S.    One  powder
         three or four  times a day.  (Gastro-in-
         testinal  catarrh  of  drunkards.)
                                    —Bevlllout.

(530) R—Pulv. uvae ursl,  dr. iss.
         Sodii bicarbonatls,  dr. j.
       M.  Et div.  in chart, xii.  Sig.  One pow-
         der td.  in sugar and water.   (Genito-
         urinary catarrh.)
                                       —Ellis.

                   CORYZA.
<681)  R—Iodoform!,  dr.  ss.
         01. eucalypti,  oz. ss-j.
         Vaselin.,  q. s. ad oz.  ii-iij.
        M. Antiseptic ointment.  S.  To keep the
         crusts moist in  the  "snuffles" of  chil-
         dren.
                         —Goodhart and Starr.

(632)  R—Pulv.  acid, boracic, dr. ss.
         Glycerinae, oz. j.
        M. S.  Drop two drops In each nostril td.
         (Coryza of  children.)
                                      —Powell.

(883)  R—Tr. aconiti rad.,  dr. ii.
         Tr. opii deod., dr. vi.
        M. S.  Eight drops in water every  hour
         or two.
                                   —Bartholow.

1634)  R—Pulv.  cubebae, 1 part.
         Pulv.  sacchari albi, 2 parts.
        M. S.—Use by means  of insufflation.
                                      —Wyeth. 
(635) R—Cocaine  hydrochloratis,  2 parts
         Pulv.  sacchari albl,  100 parts'
         M.  S.  Insufflation.
                                      —Wyeth.

(536) R—Menthol., gr.  v.
         Camphor., gr.  v.
         Albolene  or benzoinal,  oz.  ij.
       M.  S.  Use with atomizer every  two  or
         three hours.

(537)  R—Salol.
         Antikamnia.
         Quin. sulphatis.
         Terpine hydratis,  aa gr.  xxiv.
       M.  Ft. capsules xii.  S.  One every four
         hours.
                 CHILBLAINS.

 (638) R—Acid,  nitrici.
         Aq. menth.  pip.,  part  aeq.
        M.  S.  Pencil  the  toes,  at  first  dally,
         then twice a day.

 (039) R—Acid,  carbolic!  (white), dr.  j.
         Acid,  tannici, dr. j.
         Tr. iodini,  dr.  ii.
         Vaselin. (albolene), oz.  iv.
        M.   S.  Apply to  affected parts  three  or
         four times a day.
                                      —Morrow.

(540)  R—Ol.  terebinthinae.
         Balsam, copaib., aa  oz.  j.
       M.   S.  Apply to  surface when  not  de-
         luded.

(541)  R—Acid,  carbolici,   m.  xv.
         Ungt.  plumbi.
         Lanolini,  aa  dr. v.
         Ol. amyg.  dulc,  dr.  ss.
         01. lavand.,  gtt. xx.
       M.  S. Apply two or three times a day.
         (Ulcerated form).
—Brogg.
CANCER.
(642) R—Arsenicl  Iodidi,  gr. j.
         Ext.  conii,  gr.  xl.
        M.  Ft. massa,  et  div.  In pil.  no. xvj.
         S.  One  A. M.  and P. M.
                                     —Marsden.

(543)  R—Liq.   ferri  subsulphatis,  oz.  J.
         Aquae destillatae,  oz.  iij.
        M. S.  Inject into  the uterus,  In hemorr-
         hage  from  cancer.
                                      —Barnes. 
388
(544)  R—Zinci chloridi,  dr.  il.
         Pulv. radicis  althaeae,  dr. vj,
         Ac,uae destillatae,  q.  s.
       M.  et ft.  magma.  S.  Apply  to affected
         part.  (In  epithelioma).
                                    —Canquoln.
(645) R—Tr.   conii.
         Tr.   hyoscyami.
         01.   anisi,  aa  dr.  11.
         Tr.   gentianae,  dr.  j.
       M.  S.  gtt. x-xxx after meals.    (Cancer
         of stomach;  for 'he pain).
(643) R—Natr.  sallcyl.,  dr.  Iss.
         Acid,  salicyl.,  m.  xv.
         Tr.  eucalypt.,  oz.  Iss.
         Acet.  vin.,  oz.  xvj.
       M.  S.  Disinfectant injection.  Inject per
         vaginam  dr.  i-ii to o.  j  warm  water.
         (Cancer of uterus).
                                      —Gheron.
(547)  R—Syr. ferri  et manganesil iod.,  oz.  ss.
         Syr. simplicis,  oz. iss.
         Aquae destillatae, oz. ij.
       M. S.   Take  a   dessertspoonful  three
         times  a  day.
                                        —Stille.
COUGH-MIXTURES.
(548)  Br—Ammon.  muriat.,  dr.  ii.
         Tr.  henbane,  dr.  1.
         Syr.  prun.  virg.,  oz.   1.
         Brown  mixture,   oz.  ii.
       M.  S.  dr. j  every two  or  three hours.
(549) R— Syr.  tolut.
         Syr.   prun.   virg.
         Tr.  hyoscyami.
         Spts.  ether,  co.
         Aquae, aa  oz.  j.
       M.  S.  dr.  j  whenever  necessary.
                             —E.  G. Janeway.

(550) R—Tr.  opii.
         Tr.  sanguinar,  aa  oz.  J.
         Balsam tolu., dr. ij.
       M.  S.  gtt.  xii on a  lump of sugar  td.
         (Clergyman's  sore  throat).
(551)  R—Acid,  tannici,  dr.   j.
         Pulv.  sodii biborat., dr.  j.
         Tr.  capsici,  dr.  ss.
         Aquae  rosae,  oz.  x.
       M. S.  Use  as a  gargle.  (Hoarseness). 
389
(652) R—Anrron. muriat.  'c. p.), oz.  iii.
         Moi-ph.  sulphat.,  gr.  iii.
         Spts.  chloroformi.  oz.  j.
         Tr. scillae,  dr.  ii.
         Syr.  senegae,  oz.  j.
        Sp. rock  candy,  q. s. ad. oz. iv.  M.  S.
         dr.  j  in   water  every  two  or  three
         hours.
                               —J. D. McGirk.

(553) R—Vin.  antimonii.  m. ill.
         Syr.  scillae.
         Syr.  ipecac, aa m. v.
         Morph.  sulphat., gr.  1-64.
         Mist.  glyc. co.,  q. s.  dr.  j.
        M.   S.  Every two  hours,  for  children.
          (First   stage).
                                —W.  H.  Price.

(554) R—Ammon.  chloridi, gr.  iij.
         Syr.  senegae,  m.  v.
         Syr.  prun. virg.
         Mist.  glyc. co.,  aa dr. ss.
        M.  S.  Every  three  hour3,  for  children.
         (Second  stage).
                               -r-W.  H.  Price.

(555) Rr-Vinl  Ipecac,  dr. iss.
         Tr. scillae,  dr.  j.
         Syr.  papaveris,  dr. iii.
         Mist,  acaciae,  ad. oz.  ij.
        M.   dr. j  every  three hours,   for a child
         of two  years.   (Irritable cough with de-
         ficient  expectoration).
                               —T. H. Tanner.

(556) R—Acid, hydrocyan.  dil.,  gtt.   viii.
         Syr.  simplicis,  dr.  iiss.
         Aquae  destillatae,  dr.  xv.
       M.  dr.  j  every four  hours.   (Night cough
         of children).
                                   —MacDonald.

(567) R—Tr. opii  camph.
         Spts. ammon.  arom.,  aa  oz.  ss.
         Ext.  ipecac, dr.  ss.
         Syr. pruni virg., oz.  J.
         Aquae,   q.  s. ad. oz.  iij.
        M.   S.  Dose,  dr.  j for  infanta.

(558) R—Acid, hydrocyanic,  dil.,  dr.  J.
         Tr.  sanguinariae.  oz.  ss.
         Syr. senegae,  dr. lv.
          t.q.  lauro-ceraci,  dr.  vll.
          yr.  tolu.,  oz.  ij.
       M.   S.  From gtt.  x to dr. J  every  four
         hours,   according to  age  of  patient.
         (Nervous cough).
                                   —Bartholow. 
390
(559)  R—Acid, carbollci,  dr.  J.
         Pulv. sodii  bor..  dr.  J.
         Cocainae hydrochlor., gr. xii.
         Glycerinl  purif.,  oz.  ss.
         Aquae rosae, ad.  oz.  xij.
       M.  S.  Spray  or  garble the throat.  (Ke-
         flex  cough  accompanying  catarrhal sore
         throat).

(560)  R—Morphinae  sulphat.,  gr. J.
         Ammon.  muriatis.  oz.  ss.
         Syr. ipecac, oz.  j.
         Syr.  prun.  virg., oz. v.
       M. S.  dr. ii  td. two hours after  meals.

(6dl)  R—Syr.  scillae  co.,  oz.  ss.
         Vini  picis,  oz.  J.
         Syr.  prun.  virg.,  oz.  Iiss.
       M. S.  dr.  j  every  three  or  four  hours.


CHORDEE—(See   also   Gonorrhoea).


      R—Potassil  bromidi,  dr.  Iss.
        Tincturae  opii.  dr.  ss.
         Glycerinae,  dr.  iii.
         Aquae, oz. v.
       M. S.  Inject four or five  times dally, and
         at  bedtime.
                              —M.  Combillard.

      R— Chloralls  hydratis.  oz.  ss.
         Camphorae,  gr.  xii.
         Morphinae  acetatis,  gr. 11.
         Olei theobromae,  q.  s.
       M.  et ft.  suppos. no.  vj.  S.   One  every
         hour until  relieved.
                                   —Mitschell.

      R—Liq. plumbi  acetatis.  oz.  ill.
         Tincturae  opii.  oz.  j.
       M.  S.  Apply  cloths moistened with this
         solution  to  the  penis.

      R—Vini colchici semlnis.
         Syrupl simplicis, aa oz.  ss.
       M.  S. Dose, dr.  j at  bedtime.
                                      —Brodle.

      Hi—Camphorae.
         Lactucaril, aa  dr. J.
       Misce et fiant pilulae no.  xxx.   S.   One
         two  or three pills at bedtime.
                                      —Ricord.

      R—Tincturae  cantharidis,  gtt. viii.
         Syrupl  simplicis.
         Aquae destillatae. aa oz. ss.
       M.  S.  Dose, dr.  j td.. as a preventive.
                                      —Ringer. 
                        391

                     CROUP.

  (562) R—Acid,  lacticl, dr. Hiss
          Aquae destil., oz.  x.
         MC ^  "^PP^  often by  means of a spray-
          producer, or  a simple  mop.  (To dissolve
          raise  membrare).
                            —Morell Mackenzie.

  (563) R—Pulv.  aluminis.  dr.  iiss
          Mellis albi,  dr.  x.
         M.   S.   Dose,   dr.  ss  every hour;  and
          powdered alum  blown into the throat
          every  four hours.                -"*«■"

                                   —Trousseau.

  (564)  R—Pulv.   Ipecac,  gr.  6S-J
          Sacch. albi,  q.  a.
        M.  This is  a  certain  and mild  emetic
          and may be  given  to the youngest  ln-
          rant;  repeat every twenty minutes until
          vomiting takes  place.  After one year
          the  dose may be doubled.
                              —T. H. Tanner.

 (566) R—Vlnl Ipecac,  m.  xl.
         Liq. ammon.  citrat.. dr.  iij
         Aq. menth.  viridis. ad.  oz. j
        \nf*  D.»s»- dr-  i-il-   (Also  in  eatarrh
         with  mild fever). For a child of two
         years.
                                     —Tanner.

(586)  R—Potass.  Iodidi, gr. vlll.
         Tr.  hyosocyami.  m.  xii.
         Tr. asafoetidae, dr. i-111.
         Decoct, senegae. ad.  oz. Iss.
         iJ?0^'..^- j-  (TMrd stase of croup.
         Dose is for a child between one  and two
         years  of age.  Also good in  acute bron-
         chitis,   etc.)

(667) R—Syr. Ipecac, dr.  lx.
         Syr. scillae  oo.. dr.  iss.
         Tr. opii camphorae, oz.  11.
       M. S.  Dose,  dr.  ss every three  or four
         hours.
                              —N. S. Davis.
CYSTITIS-(See   also   Catarrh    ol

                  Bladder).


(568) R—Potass,  citratis,  oz.  ss.
        Fl.  ext.  triticum  repens.
        Tincturae bellad. aa. oz. J.
        Fl.  ext.  buchu, oz. ss.
        Aquae  ad.  oz.  iv.
       M.  S.  Dose, dr. j  in  a  wlneglassful of
       water  td.  (Cystitis in women). 
392
(5C9> R—Camphorated  lanolin, 30 gms.
         Extract of  belladon.,  2 gms.
       M.  S.  Introduce Into the vagina a tam-
         pon covered  with this salve.


l!S70) R— Acid,   oxnl.,   gr.  xvl.
         Syr.  r.urant.  cort., oz.  j.
         Aquae,  q.  s.  ad.  oz.  lv.
       M.  S.  Dose, dr. j every four hours.
                              —A. W.  Marsh.


(571) R—Acid,  boricl.  oz.  ss.
         Glycerin.,  oz.  j.
         Aquae  destil.,  oz. x.
       M.  S.  For  Injection   into  the  bladder.
         At the moment of employment, mix it
         with  equal  parts of   warm  water.
         (Chronlo  Cystitis).
                                  —TJltzmann.


(572) R—Amyl.  nltrit., gtt.  v.
         Aquae  destil.,  oz.  iv.
       M.  S.  Add  a  oz.  ss  of this solution In
         the  proper quantity  of  water  for  a
         vesicle  Injection.  (Where  the vesicle
         secretion  Is  catarrhal and  has  a  bad
         odor).
                                  —Ultzmann.
CONSTIPATION.
(573) R—Atropinae sulph.,  gr.  1-20.
        Aquae,  oz.   iii.
        Gum  mixture,  dr.  v.
       M.  S.  Dose,  dr. j  twice  a  day.  Con-
        tinue  a long time; watch pupils.   (Ob-
        stinate constipation of chronic  tubercu-
        losis of peritoneum, intestines and mes-
        enteric  glands In children).
                                  —Escherich.

(674) B^Calcined magnesia.
        Powd.  rhubarb.
        Oleosaccharum of anise, aa 5 parts.
       M.  Give a pinch  td.  to children of  one
         to two years of age;  If the  Infant Is
         only some weeks old make both the rhu-
         barb and magnesia three instead of  five
         parts.  (The  oleosaccharum Is  made  by
         Intimately  mixing one or two drams of
         the  essential  oil  of  anise  with  one
         oz.  of finely powdered sugar.

(575) B—Colocynthlne,  gr. 1-v.
         Powd. belladon.,  gr.  j.
         Bread crumbs, q.  s.
        Sufficient  for  ten  granules.    S.   Two
         granules after meals. 
393
(676) R—Etxt. cascarae sagradae  fl.
         Glycerinae,  aa dr. i m.  xx.
         Aquae,  qs.  ad. oz. ii.
       M.  S.  Dose, dr. j at bedtime  to a  young
         Infant.                                s

(577) R—Resin,  podophylli,  gr.  i.
         Alcoholis. dr.  i.
      M. S. gtt.  i-ii on sugar td.  to  infant  one
         or  two  month  old.
—Ringer.
COCCYDYNIA.
 (678) R—Ext.  belladon., gr.  %.
          Ext.  hyoscyami,  gr.  %.
          Iodoformi,  gr.  %.
          Ol. theobromae, gr.  xx.
        M.   Ft.  suppos.  S.  Employ at  bedtime;
          will relieve pain  and permit  sleep.
                                      —Whltla.

 COLORING  MATTERS  IX WINE, AR-

                  TIFICIAL.

   Sulpho-fuchsine  has  been used as  a  coloring
 agent; may cause  severe   gastric disturbances,
 particularly in those whose digestive powers are
 weak;  also causes  colic and diarrhoea.  "Bor-
 deaux red"  and safranine retard  peptonization of
 muscular fibrin.
                                   —C. Blarez.

 CORKS,    TO    RE'iDER,     ETHER

                    TIGHT.

  Coat  the  cork3 witli  a solution prepared  from
 4 parts gelatin,  52  parts  boiling  water  and  1
 part  ammonium  bichromate (added  to  the fil-
 tered gelatin solution),  and then exposing them
 for a few days to the  sunlight.  The result will
 be  absolutely tight stoppers.


                  CEMENT.

 (579)  R—Caoutchouc, oz.  i.
         Mastic,  oz.  iii.
         Chloroform,  oz. L.
        Misce.  For  attaching  glass  letters and
         ornaments to  glass.

(580)  R—White  lead, oz. ix.
         Litharge, oz.  xii.
         Linseed  oil, oz. xxvii.
         Mastic, oz.  ix.
        M.  Melt the  mastic and  linseed oil to-
         gether and gradually rub in the  litharge
         and white  lead. Use while  hot. 
      394

DIABETES.
(681) R—Potass,  phosphat.,  2  parts.
         Aquae,  75  parts.
       M.  S.  Dose,  dr.  j  every  two  or three
         times a day In a  little wine  or  hop
         tea.  (Diabetic thirst).
(582) R—Aquae  destil.,  gms.  8.
         Alcohol.,  (40)  gms.  4.
         Pilocaro, uitr.,  gms. 0.48.
       M.  S.  Moisten  tongue with five  or  six
         drops four  or  five  times  a day.   (As-
         suaging  thirst  in diabetes).
               DIPHTHERIA.


  Tar  for  Diphtheria.—Take  a  dram  each  of
turpentine  and liquid  tar;  put in  a tin pan  or
cup, and set  Are to  the  mixture,  taking  care
to  have a  larger  pan  under it as  a safeguard
against  the  spread  of  the  flames.  A  dense,
resinous smoke  arises, making  the room  dark.
The patient at once finds  relief,  and  the fibrin-
ous membrane seems  to dissolve or  Is detached.
                                     —Dietheil.
(583) R— 01.  eucalyp.
         Acid, carbol.,  aa oz. J.
         01.  terebinth., oz. ill.
       M.  S.  Add  oz.  ss  to O  ii water and  al-
         low   to  simmer  constantly  near   the
         patient.
                             —J. Lewis Smith.


(584)  R—Acid,  carbollci,  dr. J.
         Glycerini,  dr. 11.
         Aquae, oz. j.
        M.   S.  Cauterize tonsils, throat  and  af-
         fected parts.
(686)R—Potass,  chlorat., oz. j.
         Tr. ferrl  chlor., oz. J.
         Aquae,  oz. viij.
       IS..  S.  Gargle  or spray.
—Palcardy.
—Palcardy.
(086) R—Potass,  chlorat.,  dr.  1-lv.
         Tr. ferrl  chlorid., oz. ss.
         Aquae,  oz.  lv.
       M.  S.  Dose,  dr. j  every  hour with  beef-
         tea,  brandy,  etc  Chloroform  in  dys-
         pnoea, etc.
                                    —Palcardy. 
                      395

               DYSPEPSIA.

(687)  R—Bismuth,  subnit.
         Magnesii sulph.
         Cretae  prepar.
         Sodll phosphatis,  aa dr. 111.
       M.   Dlv.  In pulv. no. xl.  S.  One after
         meals.
                          —Dujardin-Beaumetx.

(588)  R—Sodii  salicylat.,  dr. j.
         Spts. vini gall.,  oz.  ii.
       Solve  et  adde:
         Syr.  aurantii  cort.. oz.  J.
         Vini  albi fort., oz. iij.
       M.   Dose, oz.  ss before meals.  (In  the
         acid form).

(689)  R—Glycozone,  dr.  j.
         Aquae,  oz.  ij.
       M.   S.  One  dose.  Take  before  or after
         meals.  (Fermentative  dyspepsia).

(590)  R—Aquae  chloroform.   (saturated),  gms.
          300.
         Syr.  columbo,  gms. 100.
         Ext.  cannab.  ind.,  cgms. 10.
       M.  S.  Dose, dr. j  every half hour until
         pain  ceases.  (Pyloric  pain  of  dyspep-
(591) R—Tr.  nucis vom.,  gtt.  x.
         Acid, hydrochloric, dil.,  gtt. x.
         Aq.  chloroformi,  oz.  ss.
       in.  S. Take  immediately  after meals.
         (For  pain in  chest  which  comes  half
         an hour  or  so after  food).

(692) R^-Pulv. zingiberis,  gr.  xx.
         Magnesii  carbonatis.  gr. xl.
         Carbonis  ligni, dr.  j.
       M.  et.  div. in  chart,  iv. S.  One  pow-
         der td.  (With acidity).
                                   —Dunglison.

            DYSMENORRHOEA.

(593) R—Pulv. camph,  gr. x.
         Pulv. Doverl,  gr.  xx.
         Ext.  hyoscyami, gr.  x.
       M.  et   ft.  pil.   x.  S.  Two  every  two
         hours until pain stops.

(594)  R—Fl. ext. vlburn. pruulf..  dr.  iv.
       Sig.  gtt.  xx  in a  wineglassful   of hot
         water, to which  two  drams of brandy
         have  been added.  Repeat in two  hours
         If not relieved.
                            —G.  F.  M.  Bond. 
396
(595) R—Tr.  opii deod.,  dr.  ii.
         Ext. cimlcifugae, oz.  ss.
         Syr. simpl., dr.  x.
       M.  S. Dose,  dr.  j  every  tliree or  four
         hours.   (To  restore  flow after suddenly
         checked).
                                      —Ringer.
(596) R—Fl.  ext.  viburn.  prunif., gtt. xxx.
         Fl.  ext.  Jamaica  dogwood,  gtt.  xxx.
         Eiix.  garns,  dr.  v.
         Syr.  simpl.,  oz. j.
         Aquae, oz. ivss.
       M.  S.  Dose,  dr.  ii  every two hours.
                                    —V.  Cocq.
(597)  B—Tr. asafoetidae.  dr.  ii.
         Tr.  belladonnae. gtt. xx.
         Tr.  opii,  gtt.  x.
         Aquae  tepid.,  oz.  iiiss.
       M.  S.  Throw the whole into the rectum
         aud retain.
                        —T.  Gaillard Thomas.


(698)  R—Chloral hydratis, dr.  ii.
         Potassil  bromidi.  dr. ii.
         Morphinae   sulphat.,   gr.  iss.
         Syr. aurapt.  cort.,  oz. iij.
       M.   S.  Dose,  dr.  i!   in  wineglassful  of
         sweet  water  every  four  hours, while in
         pain.
                                     —Thomas.
(599)  R—Ext. belladonnae, gr.  1.
         Pulv.  opii, gr.  iij.
         Asafoetidae (gum),  dr. ss.
         Butvr   cacao., q. s.
       M.   Ft.   supposit.  no.  vj.   S.  One   by
         morning and  evening,  while suffering.
                                     —Thoma3.

(600). B/—Crotonis chloraL  gr. xxiv.
         Pulveris  tragacanthae.
         Glycerini,   aa q.  s.
       Misce et  fiant  pilulae  no.  xii.  S.  Two
         pills  every two hours.  (In  the  neu-
         ralgic  form).
                                —Louis Lewis.

                   DROPSY.

(601)  B—Acid,  arseniosi,  gr.  j.
         Sacchari  albi,  gr.  x.
       Tere simul  in  pulverem  subtilem,  dein
         adde:
         Micae  panis,  q.  s.
         Misce  bene  et  divide  in  pilulas  xx.
         Signa.   One   pill   twice  a  day.   (In
         swelling of feet of  old persons.
                                       —Wood. 
397
(602)  B—Elaterii,  gr.  iii-vj.
         Hydrarg.  chlorid. mit.
         Pulv.  capsici,  aa gr.  xxiv.
         Confectionis  rosae, q. s.
       M.  et  ft.  in  pil.  no.  xii.  S.  One pill
         daily  in   the  morning.    (In cardiao
         dropsy  when  diuretics  fail.)
                                      —Gregory.

(603)  R—Antimon. et  potass,  tart.,  gr.  ii.
         Pulv. scillae, dr.  j.
         Potass,   sulphatis,  oz.  ss.
         Potass,  bitartrat., oz. iss.
       M. et ft. pulv.  no. xx.   S.   One powder
         four times a  day.  (In general  dropsy).
                                         Eberle.

(604)  R—Besinae  podophilli, gr.  iv.
         Potassii bitartratis,  dr. iij.
       M. et  div.  in  pulv.  viii.   S. One  pow-
         der every two hours.  (In anasarca.)
                                 —V. C. Howe.
        DELIRIUM, TRAU.IAT;C.

(605) R—Chloral hydratis,  dr. ss.
         Syr.  aurant.  cort.
         Aquae destillatae, aa oz.  ss.
       M. S.  One  dose,  to  be repeated if  re-
         quired.  (In  maniacal  delirium.)
                                    —Llebrelch.

(606) R—-Tr.  belladonnae,  dr.  Iss.
         Syrupl  simplicis,  dr. viss.
         Aquae cinnamomi,  oz-.  j.
       M.  Sig.  Dose,  dr. j  every two or three
         hours. (In  fevers.)
                               —S.   G.  Morton.
                 DIARRHEA.

(607) Rr—Acid,  sulphuric, aromat.,  gtt.  xl.
         Morphin. sulphatis,  gr.  ss.
         Elix.  simplicis,  gr.  ss.
         Aquae purae, q. s. id oz. iv.
        M.   S.  Dose, dr.  j for a  child  of two
         years.
                                 —Wm.  Pepper.

(608) R—Papain purae,  gr. ix.
         Acidi  lactici,  dr.  ss.
         Syrupi simpl.,  oz. iss.
         Aquae  destil.,  oz.  v.
         Tinct.  vanillae,  q. s.
        M. S.  Coffeespoonful after  each nursing.
                                    —Toussaint.
(609) R—Vini pepsini, oz.  iss.
         Bismuth, subnit.,  dr.  il.
         Glycerin.,  dr.  iv.
        M. S.    Dose, dr.  j.  (Irritative form.) 
398
(610) R—Pulveris  alum.
         Catechu,  aa gr. v.
       M. et ft. in  pil. no.  iv.  S.  Three to six
         pills  daily.  (Hemorrhagic form.)

(611) R—Benzonaphthol.,
         Bismuth,   subnit.
         Resorcin,   aa  gr.  iss.
       M. S.  For a  child one  to  two years old.
         One powder every  two  hours until six
         are taken.
                                      —Ewald.
(612) R—Liq. acid, carbol.  (5 per  cent.),  dr. J.
         Bismuth,  suhcarbonatis.
         Pepsini sacchar., aa dr.  j.
         Aquae  cinnamomi,  oz. Iii.
         Syr.  aurantii  cort., dr.  ij.
       M.  S.  Dose,  dr. j  every two or  three
         hours   until  relieved.  (Cholera  infan-
         tum.
                                       —Craig.

(613) R—Pulv.   cinnamon,  cloves,   ginger,  all-
           spice, aa  dr.  ii.
         Honey  and glycerine,  aa dr. vi.
         White of  egg.
       M. Spread  on cheese  cloth.  May remain
         on   days  without  blistering.   (Spiced
         plaster.)
                                       —Craig.
(614) R—Tr.  opii camph., oz.  1.
         Mist, cretae, oz. iii.
         01. menth. pip., m. x.
       M. S. Dose, dr.  i  every  three hours for  an
         adult.
(615) Br—Tr.  krameriae,  oz.  j.
         Aquae  calcis,   oz.  vj.
       M. S.  Dose,  oz. ss  td.
                                       —Reece.

(616) R—Tr.  opii,   oz.  ss.
         Tr.  capsici,  oz.  ss.
         Spts.  camphor., oz.  ss.
         Chloroformi,  oz.  iss.
         Alcoholis, q. s. ad. oz.  iiss.
       M.  S.  gtt.  xx-xl In  a wineglassful  of
         water,  every  two  or three  hours,  ac-
         cording  to  necessity.
                                      —Squibb.

               DYSENTERY.

(618) R—Bismuth,  subnit.,  gr.  xv.
         Pulv.  Ipecac,  et opii, gr.  li.
         Pulv.   aromat.,  gr.  ii.
       M. S.  Every third  hour.   (Chronlo form).

(619) R—Pulv.  ipecac,  co.,  gr. xx.
         Pulv.   ipecac,  dr.  iss.
       M. et ft. chart,  no. v.  S.   One after each
         action  until relieved.  (Epidemic form).
                                      —Happel. 
      399

DENTITION.
(620) R—Magnesii sulph., dr. j.
         Tr. rhei,  dr. ii.
         Syr.  zingiber.,  dr.  j.
         Aquae  menth.,   dr.  ix.
       M.  S.  Dose,  dr.  j  every three hours for
         baby  ten  months  old.

(621) R—Cocaln.  hydrochlorat., gr. ii.
         Tr. croci,  m. x.
         Syrupi,  dr.  iii.
       M.  S.   Apply  several times  daily.  (Not
         to be swallowed).
                                      —Vigier.

(622) R—Tr.  camphor, co.,  m. x.
         Aquae,  dr.   j.
       M.  S.   Rub    gently  at  intervals.   (For
         pain  and  hardness of gums).
                                       —Starr.

(623) R—Cocain.  niuriat.,  gr.  iss.
         Tr. conii,  dr.  ij.
       M.  S.  Rub on gums several times daily.
DEPILATORY.
(624) R—Sod.  carbonat.,  dr.  i.
         Quicklime  (fresh),  dr.  ss.
         Powd.  charcoal, gr.  viij.
        Glycerine. (Cone), oz. j.
         Lard  (dehydrated),  dr.  viij.
       M.  S.  After  this  has been  applied for
         ten days the  skin assumes  a rose  tint,
         and the  hair  may be drawn  out with-
         out pain.

(625) R—Sulphide of  barium.  50  parts.
         Starch.
         Oxide  of zinc,  aa  25  parts.
       Mix with water so  as to  form  a soft
         paste  and  spread  upon  the  face.  In
         ten minutes time  it is scraped off, leav-
         ing the  skin  smooth.
DENGUE.
(626) R—Tr.  colchici  sem.. dr. 1.
         Spts,  ether,  nitros.,  dr.  iv.
         Potass, nitratis,  gr.  xl.
         Aquae,  ad.  oz.  vi.
       M. S. Dose, oz. ss  every hour or two well
         diluted until profuse diaphoresis  occurs.
         For relief of the violent pains.
                                   —Carpenter. 
400
(627)  R—Potass,  acetatis,  dr.  j.
         Morphinae  sulphatis,  gr.  J.
         Tr.  aconiti, dr.  ss.
         Aquam, ad. oz. ,vj.
       M.  S.  Dose, oz.  ss  every  two or  three
         hours.
                                     —Porcher.
                 EARACHE.


(628)  E^-Morph.  muriat.,  gr. v.
         Atropin. sulph.,  gr.  j.
         01.  olivae,  dr.  j.
         Glycerinae,  dr.  iss.
       M.  S.  gtt.  iii-v in  ear and  retain with
         cotton.  Repeat  every hour.

(629)  R—Camphor,  chloral,  m.  v.
         Glycerin,  m. xjxiij.
         Alinond  oil,  m.  xxx.
       M.   S.  Three drops  of  this mixture on
         absorbent cottou to be placed in the ear
         twice  a day.

(630)  R—Zinci sulph., gr. ii-iv.
         Acid, borncic,  gr.  x.
         Aquae destil., oz.  j.
       M.  S.  Instillation.
(631) B^-Acidi borici,  gr.  xv.
         Aquae destillatae,  oz.  j.
       M.  S.  Instillation.
         EXPLOSIVE  MIXTURES.


  1. Hypophosphite of lime,  chlorate  of  potash,
arid sulphate of  Iron,  mixed in equal proportions.
2. A solution of  one part of chromic acid and two
parts  of glycerine are   explosive.  3. Potassium
chlorate and dental powders containing carbon ex-
plode in the mouth. 4. A pilular mass containing
permanganate of  potash   mixed  with  vegetable
extracts and iron easily inflames.  5. Do not trit-
urate  potassium chlorate, or  the permanganate,
or other explosive substances with  glycerine.  6.
Potassium  chlorate and  tannin  explode  if  trit-
urated;  so  do  potassium  chlorate and  sugar;
Iodine  or an iodide  and  a nitrate  may explode,
»tc.

                 ENTERITIS.

(632) R—Argenti  nitratis.
         Pulv.  opii.
         Ext. nucis vom., aa gr. v.
        M.  et. ft.  pil.  no.  xxx.  S.  One td. after
         meals.   (Chronic follicular form). 
401
(633)  R—Hydrarg. chlorid.  mit.,  gr.  j.
         Tr.  rhei.
         Tr.  cinchon.,  aa  oz.  j.
       M.  S.  Dose,  dr.   j  twice  a  day.   (In
         chronic  cases).
                          —Sir  Astley  Cooper.

(634)  R^-Liq.  potass,  arsenit..  dr.  ss.
         Tr.  opii  deod.,  dr.  j.
         Tr.  calumbae. oz. iv.
       M.  S.  Dose,  dr.  ii every  two  or three
         hours.
                                      —Martin.
(635) R—Ext. chrysophylli,  dr.  ss.
         Aquae  destil., oz.  iii.
        Tere simul,  cola, et  adde:
         Syr.  acaciae,  oz.  j.
        M. S.  Dose, dr. i every four hours.
                                   —Trousseau.
EPILEPSY.
(636) R—Potass, bromid,  oz.  ii.
         Amn-on. bromidi,  oz.  i.
         Ammon.  carb.,  gr.  xl.
         Aquae, oz. xiv.
       M.  S.  Dose, dr. j td. with three on  re-
         tiring.  For adults.
                                   —Carpenter.
(637) B—Potass,  bromid,  oz.  j.
         Amir.on.  bromidi,  oz.  ss.
         Ammon.  carb., gr. xl.
         Aquae,  oz.  xiv.
     M.  S.  Dose, dr.  j.  with  two or  three on
         going  to bed.  For children.
                                   —Carpenter.
FEVER,  HECTIC.
(638)  B—Quininae hydrochlor.,  dr.  ss.
         Acid, nitrohydrochlor.  dil.,  dr.  iss.
         Syr.  acidi  citrici,  dr. viss.
         Aquae  anisi,  oz.  iij.
       M.  S.  Dose,  dr.  ii  every four hours.
                                      —Gerhard.
(639)  R—Syr. calcii lacto-phosphatis,  oz.  ij.
      S.  Dose,  dr.  j every four  hours.
                                     —Gerhard.
(640)  R—Syr. phospbat.  co.,  oz.  iij.
       S.  Dose,  dr.  j  every  four hours.
                                      —Parrish. 
                       402

  FISSURE OF NIPPLES AND  ANUS.


      R—Ext.  krameriae,  grm. 1.
         Glycerin,  grm.  40.
         Aquae,  grm.  120.
        M. S.  Inject  every morning for anua.
                                      —Gallols.

 (641) R—Liq.  ferrl subsulphat., dr.  ii.
         Glycerini, dr. vj.
        M. S.  Apply  with camel's  hair brush to
         affected parts.   (For nipple.)
                                  —Bartholow.

 (642) B—Plumbi  nitratis,  gr.  x.
         Glycerini, oz. j.
        M.  S.  Apply  after  each nursing,  care-
         fully  washing   before  next   nursing
         (Excoriated  and fissured nipple.)
                                  —Bartholow.

(643) R—Potassli   bromidi,  dr. j.
         Glycerini, dr. v.
       M.  S.  Apply  locally.   (For  anus.)
                                  —Bartholow.

(644)  R—Iodoform!.
         Acid, tannicl, aa dr. 11.
       M  et  ft.  chart.  S.   Expose  fissure  and
         dust.  over.
                                  —Bartholow.
FROSTBITE.
(645)  E—Iodi, gr. xx.
         Potass, iodidi,  gr.  lv.
         Aquae destil., m. vj.
         Adipis, oz. j.
       M   S.  Apply  once  daily.   (With  un-
         broken  skin.)
                                      —Hplirn
(646)  R—Fellis  bovis recentis,  dr.  Iii.
         Balsami Peruviani,  dr.  j.
       M;S-  Apply two or three times  a day
         (With  broken  or unbroken skin.)
                               —Hugh  Smith.

(647)  R—Fellis bovinl,  Oss.
       S.  Bub  and  warm in  well daily.  (May
         be  procured  at  any  butcher's  sham-
         bles.)
                                    —Gerhard.

(648)  R—Acid, sulphurosi,  dr.  ill.
         Glycerini.
         Aquae,  aa  dr.  j.
       M.  S. Apply to  affected  part.
                                  —Bartholow. 
        403
   FURUNCLE.

(See  CARBUNCLE.)

 FLATULENCE.
(649) B—Tr. asafetidae, dr. ss.
         Aquae destil., oz.  ij.
       M.   S.  Dose,  dr.  j  every  hour  or two.
         (For  children.)
                                      —Ringer.

(650) R—Spts.  armoraciae.
         Elix.  simpl.,  aa  oz.  ss.
       M.   S.  Dose,  dr.   j.
                                      —Binger.

(651) R—Sodii  sulpho-carbolat., dr. iii.
         Syr.  zingiberis, oz. iss.
         Aquae destil.,  q.  s. ad  oz. iv.
       M.   S.  Dose,  dr.  ii before  meals. (Ex-
         treme flatulence.)
                                     —Sansom.

(652) B—Napthol,  dr.  j.
         Magnes.  carb., Ar.  j.
         Ligui carb., dr.  j.
         Ess. pip, menth.,  gtt.  ii.
       M.  ft.  in  pulv.  no.  xv.  S.  One at  the
         beginning of meals.
FISTULAE.
(653)  R—Argent, nitratls, gr. ii.
         Aquae destil., oz. viil.
       M. S.  Inject once daily (in ano).
                                       —Druitt.


(654)  R—Hydrarg.  chlorid.  mit.,  gr.  il.
         Aquae destil., oz viii.
       M.  Ft.  collvrium.    S.  Apply to  inner
         canthus  of  eye  twice daily.  (Lachry-
         mal fistula.
                                       —Druitt.


           FEVER,  TYPHOID.


  The  following plan of  treatment causes  the
fever to abate; tongue to  moisten,  and clean  off
within  forty-eight  hours,  and the  patient  im-
proves wonderfully.


(655)  R—Spts. aether, nit.,  dr. ss.
         Quininae  sulphat.,  gr. j.
       M.  S. Give in a little water  three to four
         times a day, then  follow with No. 656.
                                     —Ramsey. 
404
(656) R-Hydrarg.  iodi.
         Pulv.  ipecac.
       •  Ext.  hyoscyami,  aa gr.  ss.
         Pulv. camph. (gum).
         Ext.  colocynth. comp., aa gr. 1.
         Syrupus, q.  s.
       M.  ft.  pil.  no.  1.  S.  One  every twenty-
         four  hours.
                           —Geo.  M.  Ramsey.
           FEVER  MIXTURES.

(657)  R—Quininae  bisulph.,  gr.  xxx.
         Camphorae,  gr.  xv.
         Ungt.  simpl.,  dr.  vj.
       M. S.  Rub  a  small  quantity in grom  or
         axilla.  (Febrifuge for young children).

(658)  R—Antipyrine, gr. viii.
         Aq.  cinnamom!.
         Syr. aurant.  cort., aa  oz.  j.
       M. S.  Dose, dr. j  every  two hours until
         the  fever  subsides. (For  children one
         year  old).

(669)  R—Spts. ether,  nltrosl.
         Syr.  limouis,  aa   m.   x.
         Liq.  ammon.  acetat.. q. s. ad. dr. j.
       M. S. Dose, dr.  j  every  three or  foui
         hours.   (For  a child of  two years.)

(660)  R—Quininae  sulphat.,  gr.  j.
         Acid,  sulphuric! dil.. m.  j.
         Syr.  zingiberis,  dr. ss.
         Aquae, q.  s.  ad.  dr. j.
     M.   S.  Dose,  dr.  j  td. (For a child  of
         two  years.)
GANGRENE.
(601) R—Pulv.  ligni carbon.
         Mlcae  panis.  aa  q. s.
         La ct is,  q. s.
       M.  ft. cataplasma.  S.  Apply to  correct
         fetor.
                                     —Hazard.

(662) R—Acid,  carbolici,  oz.  ii.
         Glycerini,  oz.  viii.
       M.  S. Apply  on  lint.
                                      —Lister.
GLANDS,  ENLARGED  LYMPHATICS.


(663)  R—Zinci iodidi,  dr.  j.
         Adipis,   oz.  j.'
       M. S.  Apply to  swelling.
                                         —Ure. 
405
(664)  B—Baril iodidi,  gr.  iv.
         Adipis,   oz.  j.
       M. S.  Apply to scrofulous tumors.
                                       —Biett.

(665 R—Iodl.
         Terebinth.  Canadensis,  aa  dr. j.
         Oollodii, oz. iv.
       M. S.  Paint over diseased part.
                                —J.  T. Shinn.
(666)  B^-Hydrarg. protiodidi,  gr. vj.
         Morphinae  acetatis,  gr.  viii.
         Adipis,  oz. J.
       M. S.  Apply  to  swelling.
                                    —Pelletan.

         GUNPOWDER   STAINS.

  May be  removed  by painting  the  parts with
the following:  Biniodide of ammonium, distilled
water, of  each equal parts;  then  dilute  hydro-
chlorio acid,  to  reach the  tissues  more deeply,
For the burn,  bicarbonate of soda is efficient  to
»llay  the pain; it is  dusted over the  surface.

GONORRHEA— (See    also   Chordee,
                Gleet,   etc.)

      R—Potassii  bicarbonatis, dr. vl.
         Tincturae hyoscyami, dr. iv.
         Mucilaginis uhnnis, oz.  vi.
      M.  S.  Dose,  oz.  ss  in  a glsss of  vichy
         water every three hours. (Ardor urinae).
                                     —Martin.

      R—Extracti  hamamel.  fluidi.
         Alcoholis.
         Aquae,  aa oz.  iv.
       M.  S.  Apply locally.  (For  swelling and
         edema of the penis).
                                     —Martin.

      It—Sulphocarbolate  of  zinc,  gr. v.
        Bichloride  of mercury, gr.  ii.
        Hydrogen peroxide  (Marchand), oz.  iss.
        Water, q.  s. oz. viii.
       M.  S.  Injection.  Given after  height  of
        inflammatory stage is past.   (This  in-
        jection must  be given in such strength
        that it does not cause severe pain or ex-
        cite marked inflammatory reaction).
                                    —Martin.

     R—Salol, gr. x.
        Balsam  of  copaiba,  m.  j.
        Encapsulat.
    S.   Take one  such  capsule  four  times  a
        day.  (Give from beginning of attack;
        renders urine aseptic, and thus inhibits
        the  growth of  the germs.
                                    —Martin. 
406
 R—Ungt.  cucumls,  oz.  j.
    Aluminis,  dr.  j.
    Acidi tannic!,  gr.  xl.
M.  Ft.  ungueutum.  S.  Smear  a quantity
    on a  pledget of cotton and pass  Into
    the vagina, over night.  Remove in tho
    morning,  and use an injection, consist-
    ing of  decoct, quercus alb.,  O.  j;  sodii
    boratis, oz. ss.  (For females).
                               —Horwitz.
R—Liquorls  potassae.  dr.  j.
   Balsaml  copaibae,  oz. ss.
   Tincturae cubebae, dr. vl.
   Liq. morphinae sulphatis,  oz.  j.
   Aquae camphorae, q. s.  ad.  oz. vj.
 M.   S.  Dose,  oz.  ss four  times  a  day.
                     —D. Hayes  Agnew.
E^-Zinci  sulphatis,  oz.  j.
   Aluminis.  oz.  iii.
 M. S.  Dissolve  a  dram in  one pint  of
   water,  and  inject  three  times  a  day.
   (In  females).
                               —Hazard.
B^—Bismuth!  subnitratis.
   Glycerini,  aa oz. ss.
   Aquae destillatae,  oz.  111.
 M.   S.  Inject  twice  daily.  (In  chronlo
   cases).
                                —Blnger.
R—Zinc!  chlorldi,  gr.  1-ii.
   Aquae  destillatae,  oz.  vj.
 M.   S.  Inject  once or  twice  daily.
                          —R.  J.  Levis.
R—Ichthyol.  1.
   Aquae,  100.
 •M. S.  Inject  daily.  Also  give  salol In-
   ternally.
R—Tincturae  belladonnae,  oz.  j.
   Tincturae  arnicae rad., oz. j.
   Olei  cajaputi,  dr.  j.
 M.  S.  Locally.  (Swelled  or  painful tes-
   ticle).
R—Extracti belladonnae  fluid!, oz. J.
   Extracti  arnicae fluidi. oz.  11.
   Extracti opii fluidi. oz. iss.
   Aquae destillatae, ad.  O   j.
 M. S.  Apply  to testicle on  soft  flannel,
   old linen, etc.  (Swelled  testes).
                                 —Todd. 
407
GLEET—(See   also  Gonorrhea).

   R—Hydiratetinae,  dr.   j.
      Mucilaginis acaciae, oz.  lv.
    M.  S.  Injection (oz. es).  Also in chronlo
     gonorrhea).
                               —Bartholow.
    R—Zinci sulphatis.
      Acidi tannini,  aa gr. xv.
      Aquae  rosae,  oz.  vj.
    M.  S.  Injection   (oz.  ss).  Use  two or
      three times  a day.
                                   —Ricord.

           HEADACHES.
(667) R—Magnesii sulphatis.
         Sodii  sulphatis,aa  oz.  j.
         Acid,   sulphuric, dil..  dr. il.
         Tr.  cardamom, comp.,  oz. Iss.
         Syr. aurantii  cort., oz. ss.
         Aquae cinnamomi,  oz.  j.
       M. S.  Dose, dr.  ii twice a day.  (Plethorio
         headache  of  pregnancy).
                                     —Wright.

(668) R—-Ferri  sulphatis. gr.  xxxli.
         Magnesii sulphatis, dr. x.
         Acidi sulphuric!  dil.. dr. ii.
         Tr. cardamoud comp.,  oz. il.
         Syrupi,
         Aquae pimentae,  aa oz.  j.
       M.  S. Dose, dr. ii in water twice a day.
         (Congestive form).
                                     —Wright.

(669) E^-Potassii  carbonatis,  dr.  Iss.
         Ammonii carbonatis. gr. xl.
         Tr.  serpentariae,  oz  ss.
         Aquae camphorae,   oz.  iiiss.
       M.  S.  Dose,  oz.  i to be added  to water
         and lemon juice (oz.  ss  aa) and to be
         taken  effervescing  twice or three times
         a.  day. (Gouty  headache).
                                     —Wright.

(670) R—Acidi nitro-muriatici dil.,  dr.  ii.
         Strychninae,  gr. Vi-ss.
         Spts.  chloroformi.   dr.  vl.
         Tr. zingiberis,  dr.  iii.
         Aquam, ad oz. iii.
       M.  S.  Dose,  dr. j In water, td.  (In the
         nervous form).
                              —T. H.   Tanner.

(671) R—Antlkamnia,  gr.  xxx.
         Quininae  sulphat.,  gr.  xxiv.
         Morphinae sulphat., gr.  j.
       M.   Ft. chart,  no. x. (Also good  In pain
         of grippe, neuralgia, rheumatism, etc.)
                                   —Cammerer. 
408
(672)  R—Caffein.  citratis,  gr.  iss.
         Phenacetin., gr.  ii.
         Sacchar.  lactis, gr.  iv.
       M.   Ft. in  chart,  no.  i.  S.  To be  re-
         peated If necessary in two hours.   (Mi-
         graine).

(673)  B—Caffein.  citratis,  gr.  xx.
         Sodii bromidi.   dr.  ss.
         Elix. guaranae,  oz.  ss.
       M.   S.  Dose,  dr.  j  every  three hours.
         (Sick and  nervous  headaches).

(674)  11—Quininae  sulphat.,  gr.  xlviil.
         Ext.  hyoscyami,  gr.  vi.
       M.  et  ft.  Capsul. no. xii.  S. One every
         four hours.  (Neuralgic  form).

(675)  R— Sodii chloridi,   oz.  j.
         Spts. camphorae,  oz.  j.
         Aquae ammoniae, oz. iss.
         Aquae,  O j.
       M.   et  ft.  lotlo.  S.  Eau  Sedatif.   (For
         external  use).
                                     —Baspail.
(676) B—Caffeinae,  gr.  vii.
         Acid, hydrochlorici,  m. il.
         Syr.  aurantii flor., oz. ss.
         Aquae destil..  oz.  iii.
       M.  S.  Dose, oz. ss every hour or two, as
         required.  (Hemicrauia).
                                     —Beasley.
HEMORRHAGE—(See
                   gcn«ic->
  Pulmonary hemorrhage.—When severe, raise the
thorax,  give  an opiate:  gallic acid (gr.  xv)  every
fifteen minutes;  ergotin (gr.  v-x) iiypoderniatlcal-
ly,  two or three times  a  day; ice-biijrs to chest;
as  a  last  resort  a  ligature  may  be  thrown
around  the  larger  limbs.
                                       —Tyson.


  Hemorrhage  from  stomach or bowels.—Tannic
acid  (gr.  x-xv)  if  due  to  capillary  oozing.  If
from ulcer of the stomach or typhoid fever, treat
as  for pulmonary hemorrhage.

(677)  R—01.  terebinth.,  dr.  iii.
         Ext. digitalis  fl., dr. i.
         Mucil.  acaciae,  oz. ss.
         Aq. menth.  pip.,  oz.  j.
        M.  S.  Dose,  dr.  j  every  three  hours.
         (In  passive  hemorrhage). '
                                   —Bartholow. 
409
(678)  R—Ammonii  carbonatis.  dr.  11.
         Tr. opii deod.,  oz. iss (!).
         Ext.  glycyrrh.  fl., dr. vi.
         Aquae destillatae, q. s. ad. oz.  vj.
       M.  S.  Dose,  oz.  ss  every  two  hours.
         (After hemorrhage  ad   dellquum).
                                      —Carson.

(679)  R—Acid,  gallicl,  gr.  xv-xxii.
         Syr.  opii.
         Syr.  aurant.  amar.  cort..  aa oz. j.
         Aquae destillatae,  oz.  ii.
       M.  S.  Dose,  dr.  j  every hour.  (Hemor-
         rhage from  bladder).
                                    —Poussend.

(680)  R—Ferri sulphat., gr. xv.
       Solve  in:
          Aquae  destil., dr.  iiss.
       Dein  adde:
          Cocain.  hydrochlor.  (10 per cent, sol.),
           dr.  iiss.
       F.  S.  A.   External  use.  S.   Inject  m.
          xx-dr j  into each tonsil, and no bleed-
          ing  follows  extirpation of  the glauds.
                                   —"W. Ward.
              HEMETEMESIS.

(681) R—Liq.  ferri  subsulphat.,  gtt.  xx.
         Aquae destillatae, oz. ii.
       M.   S.  Dose,  dr.  j  every half  hour  or
         hour, in ice-water,  allowing the patient
         to swallow  cracked  ice.
                                  —Bartholow.

(682) R—Plumbi acetatis.  dr.  ss.
         Hydrarg.  chlorid.  mit., gr. v.
         Oonfectionis  rosae,  q.  s.
       M.  et.  ft. pil.  no.  x.  S.  One pill  every
         two  to four hours.  (From  ulcer).
                                        —Ellis.

                HEMATURIA.

(683) R—Acid,  gallici,  dr.  ss.
         Acid,  sulphur,  dil.,  dr.  j.
         Tr.  opii  deod.,  dr.  j.
         Inf.   rosae co.,   oz.  iv.
       M.   S.  Dose, oz.  ss  every four  hours or
         oftener.
                                   —Bartholow.

(684) R— 01.  terebinthinae.  dr.  x.
         Magnesii sulph.,  oz.  j.
         Pulv.  uvae  ursi.  dr.  3.
         Aq.   camphorae,   oz.  viii.
       M.   S.  Shake  well.  Dose.  oz.   j  every
         two  hours.                        .
                                       —Smith. 
410
HEMOPTYSIS.
(685)  B—Inf.   digitalis,  oz.  iii.
        S.  Dose,  oz.  ss  or more every  hour un-
         til  the  pulse Is  reduced.
                                      —Brlnton.

<686)  B—Sodii chloridi,  oz.  j.
        S.  Dose, dr. ss,  dry, occasionally repeat-
         ing  until  nausea  is  produced.
                                      —Gerhard.
HAY  FEVER.
<6S7) R—Chloroformi.
         Acid,   carbolici.
         Camphorae,  aa  aeq.  part.
        M.  S.  Inhale.
                                     —Fairman.

(688) R—Tr. aconiti rad.,  dr.  iss.
         Glycerini,  dr.  iiss.
        M.  S.  Apply to outside of  nose.
                                       —Ringer.
HEART  DISEASE.
(689)  R—Sodii arseniat.,  gr.  1-64.
         Potass,  iodidi, gr.  %,.
         Pulv. nucis  vom., gr. 1-3.
         Pulv.  rhei,  gr.  %.
         Ext.  dulcamar.,  gr.  iss.
       M.  et.  ft.  in  pil.  no. i.  S.  One  pill
         dally.  (Fatty  heart).
                                   —A.  Bobln.

(690)  R—Pulv. digitalis,  gr.  x.
         Pulv.  colchici  sem.,  gr. xx.
         Sodii  bicarb.,  gr.   xxx.
       M.  et  ft.  pil.  no.   xx.  S.  Take  one
         three or four  times dally at first.  (For
         Irregular  heart  action).
                                   —Bowditch.

(691)  R—Potassil  lodldl. gr.  xv-xx.
         Chloral hydratis,  gr.  xxx-dr.  J.
         Syr. acaciae, oz.  iv.
       M. S. Dose, oz. ss every two hours.
                                         —See.

(692)  R—Tr. digitalis, oz.  Iss.
         Ext. ergot.,  il.  oz.  iii.
       M.  S. Dose,  dr.  j  td.  (In simple  en-
         largement.)
                                   —Bartholow. 
                       411

              HEMORRHOIDS.

(693) R—Ol.  theobromae,  o-   ss.
         Ext.  kranieriae,  gr.  xl.
         Pulveris opii,  gr.  v.
       Misce secundum artem, et fiant  supposi-
         toria no. x.  S.  Use  one  A. M.  and P.
         M.
                               —Jos. Pancoast.

(694) R—Plumbi tannatis, dr.  j.
         Unguenti  simplicis, oz. j.
       M.  S. Apply twice a  day.
                                 —MacDonald.

(695) R—Chrysarobin,  go.  xv.
         Iodoformi,  gr.  v.
         Ext.  bellad.,  gr.  viii.
         Ol.   theobrom., dr.  vj.
       M.  ft.  in supposit. no. x.  S. One to be
         inserted into  rectum every  day.  (In-
         ternal hemorrhoids.)

(696) R—Bismuth,  subnit., oz.  j.
         Hydrarg. chlorid. mit., gr.  xl.
         Morphinae, gr. iii.
         Glycerini,  dr.  ii.
         Vaselinl, oz.  j.
       M.  S.  Use  in pile pipe.
                                  —Allingha.-n.
(697) R—Ungt. belladonnae,  oz. ii.
         Camphorae, dr.  j.
         Tr.  camphorae co.,  dr.  j.
       M.  et  ft.   ungt.  S.  Apply to   painful
         piles.
                                     —Nellgan.
(698) R—Ext. eigotae  fl.,  oz.  j.
         Tr.  nucis vom., dr.  j.
       M.  S.  Dose, dr. j every four hours.  (In
         bleeding piles.)
                                  —Bartholow.
HEMORRHAGE, POST-PARTUM AND

    UTERINE—(See  Menorrhagia),

                 HICCOUGH.

(699)  R^-Seminis  sinapis,  dr.  j.
         Aq.  bullientis,  oz.  iv.
       M. et ft.  infusum pro haustu.  S.  Take
         at one dose.
                                      —Ringor.

(700)  R^-Hydrarg.  chlorid. mit., gr.  j.
         Sacchari lactis,  dr.  ss.
       M. et ft.  char.  no. xii.  S.  One  powder
         every  hour. (In  obstinate  cases  with
         extreme   debility.)
                                     —Gerhard. 
412
(701)  R— Pil.   nitro-glycerin.,  gr.   1-150.    No.
         xii.    S.    Oue  pill   at  Intervals  ol
           three hours.

(702)  R—Est.  valerian,  fl..  dr.  ii.
         Olei  cn.iuputi,  m.  xvi.
       Tere  simuJ et adjice:
         Syr. acaciae, dr. vi.
         Aq.  aurant. floi1.,   oz.  j.
       M.  S.  Dose,  dr.  j.
                                     —Hazard.
HYPOCHONDRIA.
(703)  R—Potassil  bromidi,  oz.  ss.
         Syrupl simplicis, oz. j.
         Aquae destillatae,  q. s.  ad oz.  iii.
       M.   S.  Dose,  dr.  ii  td.  (Where  great
         despondency  in  subjects  who  live  in
         town.)
                                      —Ringer.
(704)  B—Liq.  potass,  arsenitis,  dr.  ss.
         Tr. opii deod.,  dr.  j.
         Aq. cinnainonii,  dr.  xivss.
       M.  S.  Dose,  dr.  j  td.  (In  old  people
         with  gloomy fancies.)
                             —Lemare-Picquot.
HEMIPLEGIA—(See  Paralysis).
HYSTERIA.
(705)  B—Tr.  opii  deod.,  dr.  j.
         Tr.  nucis  vom.,  dr.  ij.
       M.  S.  gtt.  iii tliree or four times a  day.
         (In middle-aged  people with  flatulence,
         flushings,  weight  on head, etc.)
                                      —Ringer.

((706) B^-Tr.  avenae cone,  oz. ss.
       S.  gtt. xv  in hot  water  (oz.  j) at  bed-
         time.  (Nervous,   tonic).
                                     —Waugn.

(707)  R— Camphor,  monobromat.,  gr.  xlv.
         Ext.  quassia.,  gr.  xxx.
         Syr.  belladon.,  dr.  iss.
       M.   Sufficient for  thirty   pills.  S.  One
         to  three   per diem.   (Also  good   in
         chorea).

(708)  R—Tr.  opii  deod.,  dr.  iss.
         Tr.  casti.-ei, dr.  iiss.
         Tr.  valerian,  ammon.
         Spts. ether, co., aa dr.  vj.
       M.   S.  Dose,  dr.  j  every  two hours  in
         water,  (in young girls with "laughing
         hysterics".).
                                     —Gerhard. 
413
                 INS031NIA.

(709) B—Chlornlamide,  gms. 1.
         Liq.  ammon.  acetat. 12.
         Syrupi,  20.
         Aquae,  40.
       M.  S.   Dose, dr.  j every  four  hours for
         a child  of  three years.  (Insomnia of in-
         fectious fevers.)
                                 —M.  Marcus.

(710) B—Potassii  bromidi,  dr.  iii.
         Ext.  cocae,  fl.  oz. j.
         Celerinae,  cz. ii.
       M.  S.   Dose, dr.  j  in water every  hour
         to-night  and every  two   hours   to-
         morrow.
                                    —Springer.

(711) R—Acetanilid.,  gms.  3.
         Mucil. acaciae,  40.
         Syrupi,   40.
       M.  S.  Dose,  dr.  j  every  three  hours.
         (For   children).
                                  —McMechen.

(712) R—Chloral   hydratis.
         Potass,  bromidi,  aa oz. iv.
         Ext.   cannabis ind.
         Ext.  hyoscyami,  aa gr. xvi.
         Chlorformi, dr.   ii.
         Aquae bullientis, ad O. ij.
       M.  Dissolve the cannabis  in the chloro-
         form  and  add  the  chloral.  Pour  the
         boiling  water on  this  and  add  the
         bromide  and  the  hyoscyamus.  When
         cold  filter.  A clear amber-colored  solu-
         tion  results.  (Insomnia  following  alco-
         holic  excesses,   etc.)
                             —E.  C.  Hooved.

(713) R—Sulphonal,  gr. xv.
       S.  Repeat   dose  in  one  or  two  hours
         If necessary.

(714) R—Tr.  hyoscvami,  oz.  ij.
       S.  Dose,  dr.   i-iv.   (Where   opium  is
         not  borne).
                                    —CampbeU.


      INCO\T;\!:\f!E  OF URINE.


(715) R—Tr.  belladonnae,  oz.   j.
       S.  gtt.  vj at  eight in   the  evening,  and
         increase  every   evening  by  one  drop,
         until  it flushes  the face, after which
         decrease one drop, and  continue  until
         relieved.   Then  diminish  dose two  drops
         every week.
                                —S. E.  Woody. 
414
(716) R—Lithii  citratis, dr. 11.
         Aquae,  oz.  j.
       M.  S.  gtt.  vj  each  hour  before  meals,
         and Increase by one drop every day until
         the urine turns  red litmus blue, after
         which  diminish  by  one drop, and con-
         tinuM   imtil   relieved.  Then   diminish
         dose  one  drop  each  week.
                               —S.  E. Woody.
(717) R—Tr.  ferri  chloridi.
         Tr.  nucis vomicae,  na oz. ss.
         Tr.   cantharidis,  dr.  vj.
         Syrupi  simplicis, oz.  ii.
         Aquae,  q.  s.  ad. oz.  vj.
       M.  S.  Dose,  dr.  j td.  for adults.
                                   —Hollister.
(718) R—Tr.   belladonnae.
         Tr.   cubebae,  aa dr.  11.
         Tr.   nucis  vom.
         Tr.  rhois aromat.,  aa dr.  j.
         Tr.   cascarillae,  dr.  ii.
       M.  S.  gtt.  xii  at bedtime,  for  a child
         of seven to twelve  years.
(719) R—Ext.  ergotae  fl.,  gtt.  xv.
         It.  nucis  vomicae,  gtt.  xv.
         Tr.  belladonnae,  gtt.  x.
       M.  S.  Three times  a day on  an empty
         stomach, for  girls.
(720) R—Potassil bromidi, gr. 111-v.
         Tr.  belladonnae,  gtt. 1-ili.
         Inf.  digitalis,  gtt.  xv-xxx.
         Aquae,  q.  s. ad.  oz.  ss.
       M.  S.  At one dose,  for a  child.
(721) R—Tt.   cantharidis,  m.  11.
         Tr.   hjoscyanii,  m.  v.
         Aquae destil.,  dr. x.
       Flat  haustus.  S.  Repeat the  dose four
         times a day.  (For middle-aged  and old
         women).
                                    —Gregory.
(722) R—Collodii,   oz.  J.
       Sig.  Pull forward  the prepuce and  smear
         over  to  form  a  cap.   Continue  for  a
         fortnight.  Is easily picked off with the
         fingernail.
                             —Sir D.  Oorrigan.
INDIGESTION-(See Dyspepsia). 
             415

INGROWING  TOENAIL.
(723)  R—Liq. potassae,  dr.  ii.
         Aquae  destil.,  oz.  j.
       M.  S.  Apply  with  pledgets  of cotton-
         wool.
                                      -> Norton.

(723y2) R— Acid,  muriatic!,
         Acid,   nitrici,  aa  dr.  j.
         Zinci   chloridi,  oz.  j.
       M. S.  Apply gtt. j to part once a day.
IRITIS.
(724) R—Atropinae  sulphat.,  gr.  11.
         Aquae destillatae,  oz.  ss.
       M.  S.  Drop  into  eye twice  a day,  con-
         tinuing for a  week.
                                     —Keyser.

(725) R—Hydrarg.  biniodidi,  gr.  il.
         Potass!!  iodidi, dr. iii.
       Solve  in:
         Aquae destillatae,  oz.  ss.
       Dein   adde:
         Syr.  stillingiae   co..   oz.  iiss.
       M.  S.  Dose, dr. j  after meals.
                                      —Keyser.

(725) R—Atropinae  sulphat.,  gr.  i-iil.
         Morphinae  sulphat.,  gr. iv.
         Zinci  sulphatis,  gr.   ii-viii.
         Aquae  destillatae,  oz. j.
       M.  S.  Apply as  a  lotion.
                                   —Bartholow.
INTUSSUSCEPTION.
(727)  B—Sodii  bicarb.,  gr.  xl-dr.  J.
         Aquae,   oz.  vj.
       Solve  et  flat enema.
       S.   Inject, and  foUow Immediately  with
         next  prescription.
                                  —Bartholow.

(728)  R—Acid,   tartaricl  pulverizati,  gr.  xxxv-
           xlvij.
         Aquae,   oz.  iv.
       Solve et fiat enema.  S.  Inject.  (The  ef-
         fervescence  will  cause  the bowel sud-
         denly  to  distend.
                                  —Bartholow. 
u»;
                IMPOTENCE.

(729) R—Ferrl arscnhitis, gr. v.
         Extracti crgotae aquosi,  dr.  ss. ^
       Misce et fiant  pilulae  no.  xxx.  S.  une
         pill  night  and  morning.  (\\ ith   sper-
         matorrhea.)                _   _   ,
                                  —Bartholow.

(730) R—Tincturae cantharidis,  gtt. vj.
         Tincturae ferri  chloridi,  gtt.  xv-xx.
       M.  S.  Thrice  daily  in water
                                —H.  C. Wood.

(731) R—Pulveris cantharidis,  gr. xviii.
         Pulveris opii,
         Pulveris camphorae, aa gr. xxxvj.
         Confectionis  rosae,  q. s.
       Misce et  fiant pilulae  no.  xxxvj.    Sig.
         Take one pill at night.  (From general
         debility.)
                                     —Hazard.
(732) R—Phosphor!, gr. ss.
         Aetheris, oz.  ss.
       Solve, et adde:
         Tincturae  cantharidis.
         Tincturae nucis vomicae, aa  oz.  ss.
       M. S. Take  gtt. xxx three or  four times
         a day.
                                        —Vogt.

 (733)  B—Extracti  vaniliae  fluidi,   oz.  j.  Sig.
           Dose, dr. j at night.  (For old people.)
                                     —Gerhard.
                KERATITIS.


  Diffuse,  non-suppurating  inflammation  of the
cornea is usually secondary to other conditions,
such  as  trachoma,  syphilis,  etc.  If  due  to  a
specific  cause,  the  real  cure  will  be due to
general treatment.  Loeally, keep the eye  clean-
sed  with  antiseptic  lot inn,  the  pupil  dilated
with  a  solution of  atropine,  and  the  eye  quiet
with a light bandage.
                              —Geo.  M.  Gould.

(734)  R—Atropinae sulphatis,  gr. ii.
         Aquae  destillatae,  oz.  ss.
       M. S.  Drop  in  the eye.

       KIDNEY,  HYPEREMIA OF.

  In  addition  to  general  hygienic   measures,
use vaseline Inunctions  and sponging the surface
with   hot  water and alcohol.   The use of the
hot water or Turkish bath, and the most easily
digested  and   highly  nutritious  food,  such  as
milk  and  kumyss, is recommended.  An aperient
is to be given  and a uniform temperature main- 
417
lamed by keeping  the patient in bed.  Massage
is   advantageous,   stimulating  the   circulation.
hhould the symptoms  of  eclampsia  come on  we
must  have recourse  to chloroform  and bleeding.
                       —Prof. Montrose Pallen]
                   LABOR.

(735) B—Vini opii, gtt.  xl-lx.
       Sig.  Inject  with a  little  starch  water,
        in two  or  three doses,  in the course of
         a couple of hours.  (To prevent  prema-
         ture labor.)
                                    —Oazeaux.

(736) R—Quininae bisulphatis,  gr.  x.
       Sig.  Fiat  chartula.    "Sig.   One  dose.
         (In  atony of  womb.)
                                    —Gerhard.
(737) Antimonii et potassii tartratis, gr. iij.
      Magnesii sulphatis,  dr,  j.
      Syrupi zingiberis, oz.  ss.
      Infusi  sennae,  oz.  viiss.
       M.  S.  Dose,  oz.  j  every hour or  half
         hour.  (In  rigid  oe.)
                                        —Hull.
(738) R—Potassii  bromidi,   dr.   ss.
         Chloral  hydratis,  gr.  1.
         Syrupi aurantii  corticis, oz.  ss.
       . Aquae destillatae, q.  s. ad.  oz.  ii.
       M.   S. Dose,  the  one-half.  (In  false
         labor).
                                     —Gerhard.


(739) R—Tincturae  nucis  vomicae,  m. v.
         Extracti  ergotae fluidi, m.  xxx.
         Elixiris  simplicis,  dr.  iij.
       M.  S.  Repeat every three hours.  (In re-
         tained placenta).
                              —Lombe Atthill.
(740)  R—Pulveris  ergotae,  dr.  ss.
         Syrupi  simplicis,  oz.  ss.
         Aquae menthne*piperitae, oz. j.
       M.  S.  One-third part every  twenty min-
         utes.  (In  lingering  labor).
                                   —Souhoiran.


(741)  R—Pulveris  ergotae,  dr.   ii.
         Aquae, oz.  xii.
       Coque,  et  cola,  ut   fiat  enema.    Sig.
         Inject into rectum.  (To accelerate deliv-
         ery).
                                         -Foy. 
418
(742) R—Tincturae  opii deodoratae.  gtt xlv.
         Tincturae  lactucaril.
         Syrupl papaveris,  aa  dr.  111.
       Aquae aurantii riorum, oz. iss.
       M.  S. Dose,  the one-third part.  (In pro-
         tracted labor,  due to  Irregular, tetanlo
   LAXATIVES  AND  PURGATIVES.


(743) R—Ferrl  sulphatis,  gr.  11.
         Magnesii  sulphatis,  dr.  il.
         Aquae,  oz.  j.
       M.   S.  Dose,  oz.   ss.  (In  constipation
         of  anemia).

(744) R—Tinct.  aloes  et  myrrhae,  m.  x.
         Ferri  sulphatis- exsiccat., gr.  1-6.
         Syr. rhei aromatici,  q. s. ad.  dr.  j.
       M.  S.  Dose,  dr. j td.   (For a child of two
         years).

(748) R—Olel rlcini,-  m.  x.
         Glycerini,   m.  xx.
         Olei cinnamomi,  m.  %.
         Tinct.  camph. opii.  m.  v.
         Aquae,  q.  s.  ad  dr.  j.
       M.  S.  Dose,  dr.  j  every three  hours.
         (For a  child).

(746) R—Pulveris aloes,  gr. lx.
         Extiactl  colocynth.  co.,  gr.  xxx.
         Extracti  hyosocyaml, gr. xxx.
         Extracti nucis  vomicae, gr.  xv.»
       M.  Divide  into  60 pills.
                                        —Segur.

(747) Rr—Magnesii sulphatis, gr. v.
         Tinct.  rhei dulcis,  m.  x.
          Syr.  zingiberis,   m.   x.
         Aquae, q.  s. ad. dr.  j.
        M.  S.  Dose,  dr.  j every  two or  three
         hours.  (For  a  child  of two years).

(748) R—Syrupi  rhei,  m.   xx.
         Tinct.  myrrhae,   m.  ii.
          Syrupi  zingiberis,  m.   x.
          Syrupi,  q.  s. ad.  df. j.
        M.  S.  Dose. dr.«j  td.  (For children).

 (749) R—Olel  rlcini.
          Glycerini,  aa  dr. ss.
          Olel  cinnamomi,  m. %.
        M. S.  Dose,  dr.  j.   (For  children).

 i,750) R—Resinae  podophylll,  gr.  1-48.
          Alcoholis,  m.  11.
          Syrupi, q. s.  ad.   dr.   j.
        M.  S.  Dose,  dr.   j  two  or  three  times
          a  day.  (For children). 
419
(751) R—Infusl sennae,  m.  xv.
         Infusl gentlanae comp., q.  s. ad dr  J.
        M. S.  Dose,  dr.  j for children td.

(752) R—Hydrarg. chlorid. mitis, gr.  j.
         Sacchari, gr. ii.
        M. et  ft.  chart,  no.  j.  Sig.  Dose,  one
         powder,  for  children.

(753) R—Pulv. ipecacuanhae,  gr.  %.
         Pulv.  rhei,  gr.  j.
         Sodii bicarbonatis,  gr. il.
       M.  et  ft.  chart,  no.  j'.  Sig.  Dose,  one
         powder,  td.  for  children.

(754)  R—Pulv.  rhei, gr.  j.
         Magnesii  carbaiatis,  gr. v.
         Pulv.  zingiberis,  gr.  1-0.
       M.  et  ft.   chart,  no.  J.  Sig.  Dose,  one
         powder td.
LINIMENTS.
(755)  R—Tinct. aconiti.
         Chloroformi, aa m.  xv.
         Liniment, saponis. q.  s. ad oz. J.
       M.  S.  External  use.  (For children.)

(756)  R—Olel succini.
         Olel olivae, aa oz. ss.
       M.  S.  For  children.

(757)  R—Saponis viridis.  oz.  J.
         Alcoholis,  oz. j.
       M.  S.  For  children.
       LiaUORES—(For Children).


 (758) R—Liq. plumbi subacetatis,  m. xv.
         Aquae destillatae,  q.  s.  ad oz.  J.
        M.  For children.

 (759) R—Aluminis,  gr. lv.
         Aquae rosae, oz.   j.
        M. S.  For a child.

 (760) R—Atropinae sulphatis, gr. iv.
         Aquae destillatae,  oz.  j.  M.

 (761) R—Hydrarg. chlorldi  corroslvi,  gr.  1-
         Aquae  destillatae,  oz.  j.  M.

(762) R—Argenti nitrntis,  gr. ss.
         Aquae  destillatae,  oz.  j.  M.

(763) R—Acid!  tannic!, gr.  viij.
         Aquae  destillatae,  oz.  J.  M. 
420
       LOTIONS—(For  Children).

(764) R—Sodii  hyposulphitis, dr.  11.
         Aquae destillatae,  oz. j.  M.

(765) R—Tinct.  cocculi  indici.
         Alcoholis, aa oz.  ss.
       M.  S.   To be diluted.
     R—Ammonii chloridi,  dr. ss.
         Tinct. opii, dr. ss.
         Glycerini.
         Alcoholis,  aa  dr.  j.
         Aquae,  q.  s. ad oz.  j. M.

   LICE—(See also SKlu Diseases).

(766) R—Sodii  hyposulphitis, oz.  iii.
         Acid, sulphurosi dil., oz. iv.
         Aquae,  q. s.  ad oz. xvj.
       M.   S.    Apply  once daily.  (In  scabies
         and  head lice.)
                                     —Startin.

(767) R—Hydrargyri oleatis,  gr.  v.
         Acidi oleici, gr.  xcv.
         Aetheris, gtt.  xij.
       M.   S.  Make  two  applications  twenty-
         four  hours  apart.  (In  crab lice.)
                                i    —Marshall.
              LEUCORRHEA.

(768) R—Acidi tannic!,  oz.  iv.
         Glycerin.,  oz. xvj.
       M.  S.  oz.  ss to O  j tepid water.  Inject
         for  five minutes into the  vagina night
         and morning.
                             —T.  G.  Thomas.

(769) R—Cuprl sulphatis.
         Zinci sulphatis.
         Alum,  sulph., aa  dr.  iss.
         Glycerini,  oz.  vj.
       M.  S. Injection.
                             —T.  G.  Thomas.

(770) E—Acidi borac,  dr.  j.
         Aq.  tepid., O j.
       M.  S.  Injection.
                             —T.  G.  Thomas.

(771) R—Ext. pinus Canadens.,  oz. ss.
         Aq.  tepid., O j.
       M.  S.  Injection.
                             —T.  G.  Thom.is.

(772) R—Cupri  sulphatis,  gr.  xv.
         Aquae,  oz. viii.
       M.  S. Injection.  At the  same time  give
         a ferruginous  tonic and general  baths.
         (Chronic form.)
                                     —Gallols. 
421
(773)  R—Acidi salicyli, dr. iss.
         Glycerinae,  cz.  iv.
         Aquae,  O ii.
       M.   Dissolve the  acid  in  the  glycerine
         over a  fire,  then  add -the  water.  Sig.
         To be used  in six injections.  (In cases
         due  to  inflammation  or irritation  in  the
         neighborhood  of  the  uterus or vulva.)
                                      —Gallois.

(774)  R— Zinci sulphatis.
         Aluminis,  aa dr.  iss.
         Glycerini,  oz.  vj.
       M.  S. Add oz. j  to water  O j,  and  in-
         ject night and  morning.
                                     —Hazard.

(775)  R—Potassii permanganatis, gr. xx.
         Aquae destillatae, O j.
       M.   S.  Inject  a  small  quantity  several
         times a day.  (In fetid  discharge from
         cancer.)
                                    —Girwood.

(776)  R—Creasoti, m.  xii.
         Mucilaginis trag.,  oz.  11.
         Aquae  ferventis,  oz.  xiv.
       Fiat  mistura.  Sig. After   washing  out
         the  vagina with  warm water,  use  the
         Injection.   (In  vitiated discharges from
         puerperal  fever.)
                                  —Mackenzie.

(777)  R—Liquorls sodae clorinatae,  oz. J.
         Aquae,  oz. x.
       M.   S.  Inject  once or  twice  daily.  (In
         infection  due to  retained  placenta.)
                                   —Trousseau.
LOCOMOTOR    ATAXIA.    (See   also

                  Sclerosis).
(778)  R—Extracti pl.ysostlgmatls,  gr.  x.
         Pulveris zingiberis, gr. xx.
       M.  et. ft. pil. no. xx.  Sig.  One  pill td.
                                      —Ringer.

(779)  R—Argenti  nitratis,  gr.  vi-vill.
         Extracti nucis vom.,  gr.  xii.
       M.  et. ft.  pil. no.  xxiv.  Sig.  One af-
         ter each meal.
                            —A. M.  Hamilton.

(780)  R—Acldl phosphoric!  dil., dr. vl.
         Syrupl,  oz. iii.
       M. S.  Dose, dr. j in water td., gradually
         increasing to dr. ii,  together with the
         application of  electricity.
                               —Austin  Flint. 
422
(781)  R—Extracti belladonnae,  gr.  lv.
         Olel terebinthinae, dr. II.
         Butyrl  cocoae, q.  s.
       M.  et.  ft.   capsuls.  xii.  Sig.  One   td.
         (Relieves   pain   and   helps   vesical
         trouble).
                           —A.  M.  Hamilton.
                  IiliiHPAGO.

(782)  B—Extracti  cimlcifugae,  fl.,
         Syrupi  acaciae,  na oz.  ss.
         Aq.  amarae aiujgdalae, oz. iii.
       M.  S.  Dose, dr. j every  three hours.
                                     —Bartlett.

(783)  R—Urguentl belladonnae.
         Ungueuti lodi co., aa oz. j.
       M.   S.  Bub  in  twice daily,  and  apply
         heat
                                     —Gerhard.

(784)  R—Collodll.
         Tr. iodi.
         Liq.  aumon.,  aa equal  parts.
       M.   S.  Apply  freely  'ver  the  affected
         parts  with  a  camel's   hair  brush  and
         Instantaneous  relief will  be afforded.

(785)  R—Potassil Iodidi,  dr.  11.
         Vlnl  colchici  sem.,  oz.  J.
         Syrupl  zlnglberls, oz.  Iss.
         Aquae  destil ..tae,  q.  s. ad  oz. iv.
      M.  S.  Dose, dr. ii  every three hours.
                                     —Gerhard.
LUPUS.
(786)  R—LIquorls potassil  arsenitis,  dr. j.
         Aquae  destillatae,  oz. j.
       M. S.  Use as a  lotion.  (In  mild cases.)
                                      —Hooper.

(787)  R—Acidi arseniosl, gr.  1-il.
         Hydrarg. c'lnrid. mills,  gr.  c
       M. et ft. pulvls.  is.  As a  caustic
                                      —Burgess.

(788)  E—Arsenic! iodidi,  gr.  1-6.
         Hydrargyri  biniodidi,  gr.  1-12.
         Confectionis rosae,  q.  s.
       M. et ft. pilula.  S. Two pills dally after
         meals.  (In  lupus exedens.)
                                   —Thompson.

(T80)  R—Iodi,  gr.  ss.
         Olel  olivae,  dr.  11.
         Ol. amygdalae  dulc. oz.  ss.
       M. S.  Dose,  the one-third part td.
                                      —Duncan. 
423
(790)  R—Acidi chromici,  dr.  v.
         Aquae destillatae,  oz.  iii.
       M. S.  Apply to diseased part.
                                     —Wooster.

(791)  R—Phosphori  concisi, gr. 11.
         Glycerini,  oz.  j.
       Solve  cum   leni  calore.  Sig.  Dose,  gtt.
         x  td.
                                    —Crawcour.
MANIA, ACUTE.
(792)  R—Potassii bromidi, dr. j.
         Tinct.  cannabis  bad., dr.  j  (!)
         Mucilag.  acaciae,  dr.  11.
         Aquae cinnamomi, oz. j.
       M. S.  Take immediately after mixing.
                                    —Clousden.

(793)  R—Extracti gelsemll fluidi, dr. iii.
         Syrupi  acidi  citrlci,  dr.  ii.
         Aquae destillatae, dr. xj.
       M.  S.  Dose,  dr.  j  every  two or  three
         hours  until  physiological   effects  are
         produced.  (With  great  motor  excite
         ment.)
                                   —Bartholow.

;794)  R—Coniae, gr. ii.
         Spiritus rectificatl,  dr.  ss.
         Aquae  destillatae,  q.  s.  ad oz.  ss.
       M. S.  Dose, dr.  j.
                                 —Fronmueller.

(795)  R—Potassii bromidi, gr. xxv.
         Tincturae  hyoscyami,  dr.  ss.
         Spiritus  chloroformi,  m.  x.
         Aquae destillatae, q. s. ad oz. Iss.
       M  S.  Take at once.
                                —Tyler Smith.
MANIA,   CHRONIC.
(796)  R—Extracti  ergotae fl.,  oz.  iss.
         Syr.  aurantii  corticis, oz. j.
         Aquae  destillatae,  oz.  Hiss.
        M.   S.  Dose, oz.  ss.  three  or four times
         a  day.
                            —Crichton  Browne.

(797)  R—Tincturae ferri  chloridi,  dr. 11.
         Syrupi  zingiberis,  oz.  j.
         Aquae  destillatae,  oz. vii.
        M.   S.  Dose, oz.  ss three  or four times
         a  day.   (In anemic cases.)
                                    —Bucknill. 
                        424

           MANIA,  PUERPERAL.

 (798) R—Potassii bromidi,  dr.  11.
          Chloral  hydratis,  oz.  ss.
          Syr.  aurant. cort.,  oz.  j.
          Aquae foeniculi, q. s. ad oz. vi.
         M. S.  Dose,  oz. ss. every two hours.
                                        —Quain.

 (799)  R—Extracti cimlcifugae  fl.,  oz.  Iss.
          Mucilaginis  acaciae,  oz. j.
          Aquae  destillatae, oz.  iiiss.
         M.  S.  Dose,  oz. ss every three  hours.
                                       —Ringer.

 MAMMARY   INFLAMMATION  — (See
                also  Abscess).

 (800)  R—Morphinae, gr. x.
          Hydrargyrl  oleatis, dr.  ss.
          Acidi oleici,  dr.  ixss.
        M.  S.  Anoint  parts td.
                                     —Marshall.

 (801) R—Extracti belladonnae.
          Syrupi fusci, aa  dr.  ii.
          Pulveris  opii, dr.  ss.
        M.  S.  Rub in  three  times a day.
                                    —Debreyne.

 (802) R—Tr.  belladonnae,  dr.  il.
          Liniment, saponis  camph.,  oz.  viii.
        Fiat linimentum.
                                      —Neligan.

 (803) R—Extracti  belladonnae,  dr. j.
          Liq. plumbi subacetatis dil.. O 1
        M. et  ft.  lotio.
                                      —Graefe.

                 MARASMUS.
(804) R—Iodi,  gr.  iss.
         Olel morrhuae, oz.  v.
        M. S.  Dose,  dr. ss-j for a child.
                                 —Fleischmann.

(805) R—Syrupi  ferri  iodidi, dr.  i.
         Syrpui acaciae,  dr. vil.
         Aquae foeniculi, oz. j.
     M. S.  Dose, dr.  j td.
                                  —Dupasquier.

              MELANCHOLIA.

(806) R—Moschi  optimi, dr.  iij.
         Tincturae castorei,  oz.  iss.
         Syrupi  zingiberis,   oz. i.
         Aquae destillatae,  qs.  ad oz. vi.
       M. S.   Dose,  dr. ii  td.
                                 —E.  J.  Clark. 
425
 (807)  R—Camphorae.
          Extracti hyoscyami, aa  gr.  xlv.
        M.  et ft.  pil. no. xl.  S.  Two pills  td.
                                        —Gooca.


 MENORRHAGIA AND  HEMORRHAGE
          FROM   THE  UTERUS.

 (808) R—Tinct.  cannabis ind., m. xxx.
          Pulveris  tragacanth. co.
          Spts.  chloroformi, aa dr. j.
          Aquam ad oz. ii.
        M.  S.  Dose, oz. j every three  hours.
                                       —Brown.

 (809) R—Acidi gallici, gr.  xv.
          Acid, sulphuric, aromat., m xv.
          Tincturae  cinnamomi,  dr.  il.
          Aquae destillatae,  oz. ii.
        M.  S.  Dose,  take  at  once,  every four
          hours  until  bleeding ceases.  (In pro-
          fuse bleeding).
                                      —Hazard.

 (810) R—Aloes,  gr.  v.
          Olei tanaceti,  gtt.  xl.
          Cantharidis,  gr. vii.
          Ferri  lact a sis,  gr. lxxx.
       Ft.  massa;  in pil.  xxviii   div.  S. One
          noon,  evening  and night,  as  an <?m-
          menagogue.
                           —Mlerslie  Wallace.

 (811) R—Plumbi acetatis,  gr. xviii.
         Acidi, acetici,  m xx.
          Morphinae  acetatis, gr.  j.
          Aquae destillatae,  oz.  vi.
          M.  S.  Dose, oz.  j  every  hour.   (Acci-
          dental hemorrhage during  prsgnancy).
                               —J.  G.  Swayne.

 (812) R—Ergotinae,  gr.  xv.
          Glycerinae,
          Aquae  destillatae, aa dr. ss.
       M. S.  Dose, gtt. xv.   (Severe cases).
                                       —Ruben.

 (813) R—Extracti ergotae fluidi,  m.  xx-vl.   *
          Syrupi  acaciae, dr.  ii.
          Syrupi  aurantii floris, oz.  ss.
          Aquae,  oz.  iii.
       M. S.  Dose, oz.  ss four  times  a  day.
                                  —Dillnberger.

 (814) R—Tinct. hydrastis canad.,  oz. j.
         Extract, hydrastis canad.,  fl.  dr.  lv.
       M.  S.  gtt.  xx  td. (Painful  menorrhagia),

(815)  R—Aluminis, dr. ii-ivss.
         Aquae, oz. xv.
       M. S.   Vaginal injection.  (Passive hero.
         orrhage). 
42G
(816) R—Tinct.  cannabis indicae,  gtt. xxx.
         MiK-ilagiulR.
         Spts. chloroformi,  aa dr.  j.
         Aquae,  ud oz.  11.
       M.  S.  Dose,  oz.  ss every  chree hours.  A
         few doses are sufficient.
                                     —Philips.


(817) R—Acidi  tanniol.  dr.  ss-lv.
         Aquae destillatae, oz.  xv.
       M.   S.  Vaglpal  Injection.   (Passive  hem-
         orrhage).
                                  —Dillnberger.


(818) R—Olel tereblnthinae,  oz. ss.
         Tincturae capsici,  dr.  ss.
         Tincturae  ergotae,  dr.  J.
         Tinct. lavendulae  co., oz.  11.
       M.   S.   In  cases of  uterine  hemorrhago
         give  from half a drain  to a dram  of
         this mixture in milk,  after shaking the
         bottle. In  severe  flooding after  par-
         turition,  from  half  an ounce   to  an
         ounce  may  be given In  plenty of milk,
         with good results.
                                   —John  Tilt.
1819) R—Potassii bromidi,  gr.  x.
        Tinct.  cannabis ind., m. x.
        Inf. gentian, co., q. s.  ad oz. J.
       Flat  haustus.  S.  To  be   taken  three
        times a day.  (At  climacteric and  with
        uterine fibroid).
                                 —Greenhalgb.
METRORRHAGIA—(See    Menorrha-

                  gia,  etc)



                 METRITIS.
(820) B—Tincturae aconiti radicis.  gtt.  xvl.
         Extracti gelsemii  fluidi.  dr.  j.
         Extracti ergotae fluidi. dr. vii.
       M.   S.  Dose,  dr.  j  every  two  to  six
         hours.   (Also   In   uterine   tumor).
                                  —Bartholow.
(821) B^-Potassae,  dr.  v.
         Calcis.  dr.  vi.
       Alcoholis,  q. s. ut flat  magma.   Apply
         locally  with  extreme  caution.   (In  in-
         duration  of  cervix and  chronic  me-
         tritis).
                                     —Bennett. 
                       427

                    MUMPS.

 (822)  R—Tincturae belladonnae.
          Tincturae  opii.
          Etheris,  aa dr.  j.
          Liniment,  saponis  camphor.,  oz  111
        M.  S.  Rub frequently.
                                      —Hazard.

                  MYALGIA.

 (823)  R—Extracti  xanthoxyli  fluidi,   oz.  j.
        Sig.  Dose,  m.  xv-dr.  ii.  (In  torticollis,
          lumbago,  etc)
                                   —Bartholow.

 (824)  R—Unguenti* lodl compositi.
          Unguent!  belladonnae.  aa oz.  j.
        M.  S.  Rub in twice  a day  and  apply
          heat.
                                    —Gerhard.

        MAGENDIE'S  SOLUTION.

  To  prevent  the  formation of a sediment  In
 this  solution,  add two  drops  of carbolic acid
 to each ounce of the solution. Prevents abscesses,
 cellulitis, etc.  The deposit  Is  a  vegetable fun-
 goid,  which  causes irritation.
                                    —Gillette.

 MILK,  SUPPRESSION  OF SECRETION

                      OF.

 (825) R—Cocaln, hydrochlorat., 5.0.
          Aquae destillatae.
         Giycerlnl,  aa  50.0.
       M. S.  Apply  with soft  brush  five  or six
          times  dally  to  nipples.
                                       —Joise.

 (826) R—Potassil  iodidi.  2.0.
         Syrupi,  20.
         Aquae  destillatae.   100.
       M. S. Dose, oz.  ss td.  Raspberry  syrup
         nay be  used above as  a vehicle.
                                      —Braun.


MILK,  SUBSTITUTE FOR MOTHER'S.


(827) R—Cow's  milk,  O  j.
        Water,  O  %.
        Cream,   oz.  llss.
        Milk  sugar,  oz.  Iss.
       M.  Almost Identical  with  normal  moth
        er's  milk. 
                       428

    MISCELLANEOUS   FORMULAE.

(828) R—Ex.  conil ale,  gr. xx.
         Ex.  scammon. ale.
         Ex.  opii, aa gr.  v.
       M. et ft.  pil.  no. x.  Sig.   One  pill td.
         (Anti-dysmenorrhcic  pill.)
                                    —Ganigues.
(829) R—Aceti cantharidis,  dr. ii.
         Spts. camphorae,  oz.  iii.
       M.  el ft.  liniment.   t;ig.  Apply to chest
         at  night.    (Counter-irritant  in  chest
         diseases.)

(830) R—Powdered  soap,  dr. xv.
         Glycerine.
         Water,  aa  dr.  vii.
         Corros.  sublimate,  gr.  1-3.
       M.    A  lubricant   for   urethral  sounds,
         catheters,   etc.;  is antiseptic,  not  ir-
         ritant;  renders  introduction of  instru-
         ments easier.
                                       —Guyon.
(831)  R—Green  soap  (best  commercial), O  iii.
         Alcohol  (95  per cent.), O j.
         Glycerine.
         Water, aa O j.
         Oil  rose  geranium,  dr.  1 to  each pint
           of alcohol.
       M.   Surgical   soap.  An  excellent   deter-
         gent  for  the   hands  previous  to  an
         operation.
                                       —Hanks.
(832)  R—Quininae  sulphatis, gr. xv.
         Acid,  sulphuricl  dil.,  m.  xv.
         Spts. menth. pip., dr. iiss.
         Sol.  saccharin, saturand.,  dr.  v.
         Aquae  destillatae,  oz. vi.
       M. S.  Non-bitter quinine.
(833) R—Potassii acetatis, oz.  ii.
         Acidi  salicylici, oz. ss.
         Syrupi limonis,  oz.  Ii.
         Aquae menth. pip.,  oz.  viii.
       M.   S.   Dose,  oz. ss  every  three hours.
         (An agreeable  salicylic  mixture.)
(834)  R—Acidi salicylici, gr. viii.
         Bismuthi subnltratls, dr. il.
         Amyli,  dr.  iss.
         Unguent,  rosae, oz.  j.
       M.  S.    Dusting powder.    (Excoriations
         in children.)
                                    —Prltchard. 
429
(835) R—Bismuthl  subnitratis, gr. iiss.
         Unguent,  hydrargyri, gr. iss.
         Extracti belladonnae, gr. iv-v.
         Olei theobromae,  q.  s.
       M. et ft. supposit. no. i.  S.  Use two a
         day.  (Painful defecation.)
                                      —Murray.

(836) R—Apiol,  dr.  il.
         Liq. potassii arsenitis,  dr.  j.
         Tinct.  ferri  chloridi,  dr.  ii.
         Syrupi, dr. iii.
       M. S. Dose, dr. j  td., before meals, for
         one  week,  and  alternate with simple
         chalybeate  treatment.

(837) R—Olei chamomill.,  gtt.  Ml.
         Tincturae  opii, gtt.  j.
         Sacchari  lactis,  dr.  iiss.
       M. et ft.  in chart, no. x. S.  One pow-
         der  every  two   hours.  (Flatulence  in
         children.)

(838) R—Potassii carbonatis, gr.  xxx.
         Glycerinae,  dr. iii.
         Aquae destillatae,  dr.  iv.
       M.  S.  Inject  into  the ear.   (To remove
         wax.)
                                   —Brubaker.

(839)  R—Olei riclni,  oz.  j.
         Syrupl  rhei,  dr.  iv.
         Alcoholis.  dr. iv.
         Ess. pip. menth.,  gtt. ii.
       M.  Shake  well. S.   Emulsion of castor
         oil.

(840) R—Salol,  gms.  2.
         Menthol,  gms. 3.
         Ol.  menth.  pip.,  gms.  3.
         Spirit, anisi,  gms. 9.
         Alcohol,  gms. 200.
       M. S. Antiseptic  mouth wash.

(841)  R—Tincturae  benzoin.
         Glycerini,  aa gms.  5.
         Lanolin.,  30.
       M.  et  ft.  unguent.  Wash the  hands  in
         tepid water;  then, without having dried
         them,  but  merely  shaking  the water
         off,  apply the salve and rub  it in the
         morning and" evening. Gloves are to be
         worn  during  the night.  (For   chapped
         hands,  rough, or fissured hands).

(842) R—Acidi  carbolici,  gms.  2.5.
         Tincturae iodini.
         Glvoerini, aa 12»r>.
       M.  S.  To  be  painted over  the  fissures.
         (Fissures  of  tongue). 
430
 (843) R— Acidi  carbolic!,  dr.  ss.
         Tincturae nucis vomicae,  dr.  II.
         Tincturae cinchonae  rubrae, oz. j.
         Tincturae cantharidis, dr. ss.
         Aquae  colonlensis.
         Olei cocao,  aa q. s. ad oz. iv.
       M.  S. Apply once or twice a day to the
         scalp by means of a soft sponge.  This
         will prevent the hair from  falling out.
         (An  excellent hair-tonic).

(844) R—Tincturae belladonnae, dr.  J.
         Aquae  coloniensis, oz  ii.
       M.  S. Add a  little glycerine at  moment
         of using, and with  the mixture  rub the
         hands strongly.  (For sweating hands).

(845) R—Lanolin.  .
         Adipis  benzoat.,  aa oz. ss.
         Olei amygdal. amar., gtt.  11.
       M. S.  Gently rub In td.  (For dry hands).
MILK   SICKNESS.
(846)  R—Infus. sennae foliarum,. O j.
         Magnesiae sulphatis, oz.  xii.
       M.  S.  Of  this  give  from  one  to two
         ounces,  which  will  be  vomited;  then
         Immediately give a second  dose, and
         so continue until retained.
                              —J, O.  Patton.

(847)  R—Tincturae  aconiti radicis,  gtt.  xx.
         Anthxfn.  et potass,  tart.,  gr. 11.
         Spts.  aetheris  nitrici.
         Syrupl  simplicis,  aa oz. J.
         Aquae  aurantii flor., oz.  il.
       M.  S.  Dose,  dr.  j in a wlneglassful  of
         sugar and water,  every two hours.
                           —Fordyce  Barker.
NEPHRITIS—(See also Albuminuria).
(848) R—Extracti jaborandi fluidi, oz. J.
         Elixiris  simplicis.
         Syrupi simplicis,  aa oz.  ss.
       M.  S.  Dose,  dr.  i-ii.  (With uraemia).
                                  —Bartholow.

(849) R—Tincturae ferri chlorldi, dr. 111.
         Acidi  aceticl dilutl,  dr.  Iss.
         Syrupi  simplicis,   oz.  ss.
         Liquor ammonii acetatis,  q. s.  ad oz.

       M.  S.   Dose,  dr.  11 every three  or four
         hours.
                                    —Basham. 
431
(850)  R—Potassil  tartratis,  dr.  j.
         Potassil  nitratls,  dr.  ss.
         Mannae,  oz.  j.
         Decocti  taraxaci,  oz. vl.
       M. S.  Dose,  oz.  ss every  hour or  two.
         (After scarlet fever).
                                     —Phoabus.
<851) R^-Potassii nltratis,  gr. xv.
         Pulveris scillae.
         Pulveris pimentae, aa gr. x.
       M. et ft. chartulae no. Hi.  S.  One pow-
         der  td.
                                    —Swediaur
NEURALGIA.
(852) R—Ammonii  chloridi, dr.  HI.
         Tincturae  gelsemii.   dr.   It.
         Ext.  glycyrrhiz.  liq.,  oz.  ss.
         Aq.  chloroformi ad.  oz. vl.
       M.  S.  Dose, oz. ss every four hours until
         the  pain is relieved.
(853)  R—Butyl-chloral hyd.,  dr.  i.
         Ext.  cocae liq.  (mlscible).  dr.  vl.
         Glycerin 1,  dr.  ii.
         Tincturae aurantii,  dr.  11.
         Aquae destil., q. s. ad. oz.  vl.
       M. S.  Dose, oz. ss  every four hours.
(854) R—Antlpyrlnl,  dr.  11.
         Tincturae cascariU.,
         Tiucturae card, co.,
         Glycerin!, aa oz.  ss.
         Aquam,  ad oz.  vl.
       M.  S.  Dose,  oz. ss  every four hours.
(855)  R—Exalginl,
         Sacchar.  lact.,  aa  gr.  xxlv.
         Ess.  menth.  pip.,  m.  HI.
       Misce bene  et divide  In partes duodeclm.
         Sig.  One  powder  every  four hours.
(856)  R—Phenacetin,  dr.  j.
         Quininae sulphat.,  dr. ss.
       M.  et.  div. in pulv. vi. Sig.  One every
         four hours.
(857)  R—Veratrinae.
         Morphinae  sulphatis,  aa  gr.  x.
         Adipis,  oz. j.
       M.  S.  Rub in  td.
                                     —Kennard. 
        432

NYMPHOMANIA.
(858) B—Pulveris  camphorae.
         Extracti lactucarii, aa dr.  ss.
       M.  et ft.  pil. no. xv.  S.  From four to
         six   pills  daily.
                                      —Bicord.
(859) R—Potassii  bromidi.  dr.   vi.
         Aquae destillatae.  oz.  v.
       M.  S.  Dose,  dr.  iii  before  dinner  and
         four at  bedtime.
                              —Brown-Sequard.
NEVUS.
(860) B—Ferri  chloridi.  dr.  viss.
         Sodii  chloridi,  dr.  iiiss.
         Aquae  destil..  oz.  II.
       M.  S.  gtt.  j  to  be injected.  Repeat at
         Intervals  of eight  days.
                              —Piazza's  Fluid.
(861) B^-Hydrargyrl  chloridi  corros.,  gm.  1.
         Collodii,  15.
       M.  S.  Apply  with a brush  locally to
         small  superficial  birthmarks.
                                —S.  D. Gross.
ONYCHIA.
(862) B—Unguenti  hydrargyrl,  oz.  ss.
       Sig.  Apply  for  ten minutes  every  hour,
         applying  poultices  at  other  times.
                                      —Ringer.

(863) R— Pulveris plumbi nitratis. oz.  ss.
       Sig.  Dust on  diseased tissue night and
         morning.
                      —Scott  and McCormack.
ODESITY.
(864) R—Potassii  permanganatis,  gr.  iv-xvj.
         Aquae destillatae. oz. iv.
       M.  S.  Dose,  dr.  ii td.
                                  —Bartholow.

(865) B—Phytolene (Walker's), oz.  j.
       Sig.   Take  gtt.  x  in  water before  and
         aftec  meals. 
     433

ORCHITIS.
 (866) E—Hydrargyrl  chloridi  mitis.  gr.  iii.
          Pulveris ipecac, gr. x.
        M.  S.  Take  at  once.
                                     —McElroy.

 (867) B—Hydrargyri  ammoniat.,   dr.  j.
          Ceraii simplicis,  oz. j.
        M.  Ft.  ungt.  S. Apply  as  directed.
                                     —MeElroy.

 (S68) R—Ammonii muriatis,  dr. ii.
          Spts.  vin.   rect.
          Aquae,  aa oz.  ii.
        M.  S.  Use  as  lotion.

 (869) R—Morphinae  sulphatis,  gr.  viij.
          Hydrargyri oleatis (10 per cent.), oz.  j.
        M.  S.  Apply twice a  clay.  (For  the sub-
          sequent  induration).
                                    —Marshall.

 (870) R—Iodi,   gr.  ii.
          Potassii iodidi,  dr.  j.
          Aquae  dastillatae,  oz.  iv.
        Fiat lotio.  ii.  Apply  with camel's hair
          brush.  (After acute symptoms have sub-
          sided).
                                    —Niemeyer.

(871) R—Potassii iodidi.  dr.  j.
          Potassii bromidi,  dr. iii.
          Aquae  destillatae,  q. s. ad. oz.  iij.
        M.  S.  Dose,   dr.  ii   every four hours.
          (In  the  more  chronic  form).
                                     —Gerhard.

(872)  R—Antimonii  et potassii  tartratis,  gr. j.
         Potassii nitratis, dr.  j.
         Magnesii  sulphatis, oz.  iss.
         Aquae  destillatae,  q. s.  ad.  oz. vj.
       M.  S.  Dose,  oz.  ss  every four   to  six
         hours.   (Acute).
                                    —Erichsen.
OPHTHALMIA.
(873) B^Argenti  nitratis,  gr.  x.
         Aquae destillatae,  oz. j.
        Fiat  collyrium.  S.  One   or   two  drops
         into  the  eye  every  second  day.   (In
         Egyptian ophthalmia).
                                    —Ridgeway.

(874)  B—Argenti  nitratis,  oz.  ss.
         Potassii   nitratis,   oz.  j.
       M.   S.  For  cauterization.  (In  Infantile
         purulent  ophthalmia).
                                    —Liebreich. 
134
(875)  R—Coniuae,  2 parts.
         Alcoholis.  12 parts.
         Aquae destillatae, 200  parts.
       Fiat  solutio.  S.  Drop  in  the  eye  and
         rub around  the orbits  several  times a
         day.  (In   scrofulous  ophthalmia  with
         photophobia).
                                 —Fronniueller.

(876)  R—Argenti nitratis,  gr.  ii-x.
         Liq. plumbi subacetatis, m. x-xx.
         Cerati  cetucol,  oz. j.
       M.  S.  The  size  of a  pin's  head  to be
         put within  the eyelids,  and  repeated
         according to the degree of inflammation
         produced.-  (In opacity of the cornea).
                                     —Guthrie.

(877)  B—Hydrargyri chloridi  corroslvi, gr. J.
         Aquae destillatae, oz.  lv.
       Fiat  collyrium.  (In gonorrheal  ophthal-
         mia.)
                                         "Bills.
OPHTHALMIA  NEONATORUM.
  Cleanse eye-ids thoroughly with  hydrozone (oz.
1)  and  lukewarm  water  (O  ii)  three times a
day, then apply  Marchand's "eye balsam."
(878) B—Broml,  dr.  ss.
         Alcoholis.  oz.  iv.
       M.   S.  Warm   he  wide-mouthed  bottle
         in the hand,  and  snuff the  vapor well
         Into  the nose.
                                  —Bartholow.

(879) R—Extracti  hydrastis  fluidi.
         Aquae  destillatae,  aa  oz.  J.
       M.  S.   Dose, gtt. x-xx td.;  also  as  an
         Injection  Into  the  nares.
                                  —Bartholow.

(880) E^-Potassii  chloratl, 6.
         Glycerini,  30.
         Aquae destillatae,  300.
       M.   S.   To be  injected,  several  times
         daily.  Small  rolls  of  cotton  wet with
         a  solution of glycsrlne (1  In  3)  are
         also   introduced  thrice daily,   and  al-
         lowed to  remain   for  one  hour  each
         time.
—Sidlo. 
435
(881) R—Potassil  permanganatis.  dr.  6s.
         Tincturae  myrrhae,  oz.  ii.
         Aquae destillatae, 0' i.
       M. S.  Use with  a Thudichum  douche td.
                                     —Hazard.
OTITIS AND  OTORRHEA—(See  Pur-

       ulent  and Inflam.  Dis.  of

                  the  Ear).
(882) R—Unguentl  hydrargyrl   nitratis   rubri,
           oz.  ss.
       Sig.  Apply  a  small amount  to the in-
         tegument.  (Chronic inflammation of the
         external meatus).
                                  —Bartholow.

(833) R—Glycerltl acidi  tannic!, oz.  ss.
       Sig.  Fill  the  meatus  and   plug   with
         cotton-wool.  (In  the  chronlo  form).
                                      —Binger.

(884)  R—Hydrargyri  bichloridl,  gr.  ss.
         Acidi  tartaric!,  gr.  xx.
         Aquae,  q.  s.  ad   oz.  xl.
       M.  S.  Wash out  the ear first with warm
         water, then fill  the ear with  the above
         solution.
(885)  R—Tincturae aconiti radicis,  dr.  Iss.
         Glycerini,  dr.  iiss.
       M.  S.  To be  warmed  and  dropped  Into
         the  ear.  (In  earache).
                                    —Gerhard.

(886)  R— Acidi carbolic!.
         Zinci sulphatis.
         Plumbi  acetatis,  aa gr. x.
         Aquae destillatae.  oz.  viii.
       M. S.  Inject twice  a  day   (When  dis-
         charge  is  offensive).
                                    —Hazard.
OXALURIA.
(887) R—Acidi aydroehlorici  dilutl.  oz.  ss.
         Tincturae ferri chloridi. oz. 11.
         Syrupl  simplicis,  oz.  iiss.
         Aqua.; destillatae, oz.  ill.
       M.  S.   Dose,  oz.  ss td.  through  a glass
        tube.  ( With   anemia  and   nervous
         atony).
                                    —Hazard. 
     436

OVARITIS.
(NSN)  R—Sulphate of soda, dr. vl.
         Sulphur, dr.  j.
         Sugar,  dr.  v.
         Essence of peppermint, q. s.
       M.   S.  Dose,  dr.  j   at   bedtime,   in- a
         glass of water, for the  constipation.
                                  —Winternitz.

(889)  R—Ichthyol.
         Lanolin, aa  equal parts.
       M.  S.  This ointment  is rubbed in!.j the
         abdomen.   Also give  vaginal inj< :ii<ms
         of warm salt  water;  scarify the os uteri
         twice daily.
                                  —Winternitz.
      ODONTALGIA (Toothache).

(890)  R—Cocaine hydroehlorate.
         Morphine hyixachlorate,  aa gr.  iv.
         Creasote, srflicient  to make  a paste of
           creamy  consistence.
       M.  S.  Introduce  a bit of cotton impreg-
         nated with  this mixture  into the cavity
         of the carious tooth. (When due to acute
         pulpitis).

(891)  R—Acidi arseniosi,  gr.  11.
         Morphinae sulphatis, gr. j.
         Creasoti,  q.  s.
       Fiat pasta.  S. Apply by a bit of  cotton-
         wool  to carious portion.
                                  —Bartholow.

         PERIOSTITIS   (Nodes).

(892)  B—Icdl.
         Terebinth. Canadensis, aa  dr.  i.
         Collodii, oz.  iv.
       M.  S. Paint  over with  a brush.
                                 —J. T. Shlnn.

(893)  B—Zinci iodidi,  dr. j.
         Adipis,  oz.  j.
       M.   et  ft.  unguentum.  (Apply  twice  a
         day).
                                         -Ure.

(894)  R—Potassii  iodidi,   gr.  xx.
         Syrupi aun.ntii corticis, oz. j.
         Aquae aurantii  florum,  oz. v.
       M.  S.  I)o-e.   oz.  ss  morning and night
         in  hop-tea.
                                    —Lisfranc.
(895)  R—Hydrargyri biniodidi,  gr.  vli.
         Potassii  iodidi,  gr.  xx.
         Adipis,  oz. j.
       M.   et ft.  unguentum.    S.   Apply  to
         part.
                                    —Hildreth. 
437
                 PARALYSIS.

(896)  R—Spts.  rectifieat.,
         Acidi acetici.,
         Tincturae  capsici, aa equal parts.
       M. -S.  Wet  a cloth with it  and lay along
         the  spine;  a good  rubefacient  lotion.
         (In the spinal form).
                                        —Plant.

(897)  R—Extracti ergotae aquosi,  gr.  xv.
         Syrupi  aurantii  corticis,  oz.  j.
         Aquae  destillatae,  oz.  iii.
       M.  S.  Dose,  oz.  ss three or  four  times
         a  day.  (In pr.ralysis  of the sphincter
         ani  and  vesicae).
                                     —Bonjean.

(898)  B—Eserinae, gr. ii.
         Aquae destillatae, oz.  j.
       M.  S.—Instil  into  the eye.   (In  ocular
         spasm and paralysis).
                             —Wharton Jones.

(899)  B^-Acidi  sulphurici,  dr.  j.
         Adipis, oz.  j.
       M.  S.  Acts  as a  powerful irritant.
                                    —Napheys.

(900)  R^Strychninae sulphatis,  gr. j.
         Quininae sulphatis.
         Ferri pyrophosphatis, aa dr.  j.
         Acidi phosphoric! dilutl,
         Syrupi zingiberis,  aa  oz.  ii.
       M.   S.  gtt.   xvi  contain  gr.  1-120  of
         strychnina. (Infantile paralysis).
                                   —Hammond.

(901)  R—Potassii Iodidi,  dr. ii.
         Extracti ergotae   fluidi,  oz.  j.
         Extracti nucis  vomicae,  dr.  j.
         Tincturae cardamomi  co., oz. j.
         Syrupi, q.  s.
       M.   S.  Dose,  oz.  ss night and morning.
         (Due  to  lead poisoning).
(902) R—Phosphori, gr. i.
         Aetheris,  m.  c
         Glycerini,  oz.  v.
         Aquae  destillatae,  q.  s.  ad  oz. xiiss.
        M. S.  Dose, dr. j td.  (In paralysis  agi-
         tans.)
                                     —Bradley.

(903)  R—Extracti  buchu  fluidi.
         Extracti  uvae  ursi, aa  dr.  ii.
         Syrupi  acaciae, oz. ss.
         Aquae  menthae viridis,  oz.  j.
        M.  S.  Dose, dr.  ii every three hours.
                                      —Hazard. 
       438

PHAGEDENA.
(904) R—Hydrargyrl  chlorid. corros., gr.  J.
         Iodoform 1.
         Ferri redactl, aa  gr.  xx.
       M.  et ft.  pil.  xx.   S.  One piH  td.  (In
         sloughing  phagedena.)
                                  —Bartholow.
(905) B—Acidi nltriei dilutl, m.  x.
         Extracti  opii, gr.  v.
         Aquae,  oz.  j.
       Flat lotlo.  (In sloughing  Incised wounds.)
                                    —Eriohseh.
PHARANGITIS.
(906) B—Tincturae Iodi.
         Tincturae opii, aa dr.  j.
         Aquae,  oz.  vj.
       M.  S.  Gargle; shake well.  Use three or
         four  times a day. (With ulceration.)
                                       —Ellis.
(907) jR— Ergotin,   gr.  xv.
         Tincturae iodini,  dr. j.
         Glycerini,  oz.  j.
       M.  S.  To be  applied  three times  a day
         by means  of a  brush.  (Chronic  form.)

(908) R—Ammonli chlorldi, dr.  i.
         Acldl acetlcl, dr. il.
         Mellis, oz.  1 ss.
        Aquae, oz.  xii.
       M.  S.  Gargle.  (For Inflamed fauces.)
                                      —Ratler.

(909) R—Tincturae ferrl  chlorldi,  m.  xxlv.
         Potassii  chloratis, gr.  xxiv.
         Syrupi zingiberis, oz.  J.
         Aquae, q.  s. ad oz. Iij.
       M.  S.  Dose,  dr. j  every  two hours  for
         a child of  two years.
                                     —Powell.

(910) R—Tincturae aconiti  rad.,  gtt. xv.
         Acidi hydrocyanlcl dil.,  gtt. xx.
         Liq.  ammonii acetatis, oz. ij.
       M.  S.  Dose,  dr.  j every  two  or  three
         hours,  according  to  severity   of  at-
         tack. (Acute or subacute.)
PHLEGMASIA  DOLENS.
(911) R—Lard  (purified),  gms.  30.
         Extract  opium.
         Extract  belladonna,
         Extract  hyoscyamus,
         Extract hemlock,  aa  dr.
       M.  Ft.  unguentum.  S.  Apply  over  In-
         flamed veins  daily. 
439
(912) R—Extracti hamamelis fluidi, oz.  j.
         Elixiris  simplicis,
         Syrupi  simplicis, aa  oz. ss.
        M.  S.  Dose,  dr.  i-ii three or  four times
         a day.
                                     —Preston.

               PROSTATITIS.

(913) R—Tincturae  cantharidis,  m.  xvl.
         Syrupi simplicis, oz.  ss.
         Aquae destillatae,  oz.  iss.
        M. S.   Dose. dr.  j. every four hours.  (In
         actual  Inflammation.)
                                      —Ringer.

(914) R—Iodoform!,  dr. ss.
         Olel  theobromae.
         Cerae  flavae, aa. q.  s.
        Misce et fiant  suppositoria no.  v.  Signa.
         Use  two  daily.  (In  chronic  enlarge-
         ment.)
                                     —Moretln.

(915) R—Carbonis animalls, gr, iii.
         Ammonii  chloridi, gr.  xx.
         Extracti  conii, gr. ii.
         Pulveris  glycyrrhizae, q. s.
        Flat   bolus.  S.  One   td. (In  swelled
         and  scirrhous prostrate.)

(916)  R.—Ammonli chlorldi, oz. ss.
         Syrupi glycyrrhizae,  oz.  11.
         Aquae destillatae, q.  s.  ad  oz.  vj.
       M.  S.  Dose,  oz. ss. three  or four times a
         day.
                                     —Vanoye.

             PROLAPSUS  ANI.
(917) Br-Ext. hamamelis Virg.,  oz. j.
         Glycerit.  ac.  tannic,  oz.  j.
       M.  S.  Apply  In rectum, with the  little
         finger,   or small  mop,  two  or  three
         times a day.  (For adults or children).

                 PTYALIS3I.
(918 )R—Sulphuris  praeclpltatl,  gr.  xl-lxxx.
         Potassil chloratis,  gr.  xl-dr.  j.
         Liq. morphinae  sulphatis, oz.  i-iss.
         Misturae amygdalae, oz. vil.
       M.   S.  Dose,  oz.  j  every three  or four
         hours.  Shake  well.
                                      —Styrap.

(919) R—Potassil  iodidi.
         Aquae destillatae.  aa oz. 11.
       M.   S.  Dose,  dr.  ss  td.
                                   —Hammond. 
440
 (920) R—Potassii  chloratls,  dr.  11.
         Inf. rhols glahrl rad.,  Oj.
        M.  S.  Mouth-wash.
                                  —Fahnestock.

 (921) R—Potassii  permanganatis,  gr.  ii-x.
         Aquae destillatae,  oz.  j.
        M. S.  Mouth-wash,  ^o correct the toe-
         tor.
                             —J. E.  Garretson.

                   rvstosis.


 (922) R— Svdii  hici'i-bonatls.  dr.  iss.
         Anuae  deslillalae.
         Syrupi auraiiii florum.  aa oz.   j.
         Cilei anisi,  gtt.  .i.
        M.  S.  For one  dose.
                                      —Plorry.

 (923) R—Extracti  nucis  vomicae,  gr.  iss.
         Argenti nitratis, gr.  ii.
         Extracti  lupuli,  gr. xii.
        M.  Div. in pil. vi.  S.   One  thrice daily.
                                      —Barlow.

 (924) B—Acidi  carbolic!,  gr.  i.
         AlcohoMs, dr. j.
       M.   S.   gtt.  xxv  in  a  wineglassful  of
         water,  an  hour  before  each  meal.
                             —Podmore  Jones.

(925)  B—Magnesiae, gr. Iss.
         Bismuth! subnitratls,  gr.  lv-vll.
         Pulveris  opii.  gr.  ss.
        M.  S. For one dose; to  be  taken before
         meals.  (In   acid dyspepsia  and  with
         pyrosis).
                                      —Plorry.

                 PYAEMIA.

(926)  B—Acidi  salicylic!,  oz. ss.
         Sodii  biboratis,  dr.  j.
         Glycerini, oz.  j.
         Aquae  menthae  pip.,  oz.  v.
        M.  S.  Dose,  oz.   ss  every  two or  three
         hours.

                                   —Bartholow.

I'lltlLBVr    AND   INFLAMMATORY

       DISEASES  OF THE  flllt.


  Inject (use a hard  rubber  or  glass  syringe)
into the  aural  cavity hydrozone,  full  strength,
morning and evening,  and  allow  the  remedy
to remain  in the  cavity for two  or three min-
utes; then  apply into ear a dressing composed 
441
of absorbent cotton  impregnated  with glycozone.
In  disease  other  than  the  chronic  form,   the
hydrozone should be diluted with lukewarm water
(oz.  i-hydrozone to oz. ii  water).
PREGNANCY,  DISEASES  OF.
 (927) Br—Ammonii bromidi, oz. j.
         Aquae,  oz.   iii.
        M.  S.  Dose,  dr. j  eviry  three hours,  in
         daytime.  (Puerperal  mania).

 (928) R—Extracti aconiti fluidi, gtt. xxiv-lxxli.
         Potassii  bromidi,  oz. ss.
         Aquae,  oz.  iv.
         Spts.  lavandulae  co..  dr.  j.
        M.  S.  Dose, oz. ss every two hours.
                                    —Hepburn.

 (930) B—Sulpho-iJarbolate of sod.,  gr.  xxx.
        Sig.  Dose, gr. x after meals. ( For nausea
         and vomiting).

 1931) B—Tincturae  iodini.  dr.  ii.
         Chlorofoimi,  oz.   ii.
        M.  S.  Dose,  gtt.  v night  and  morning
         in seltzer  water.  (For vomiting).

 (932) B—Cocain. hydrochlorat., gr.  xvl.
         Extracti belladonnae,  gr.  iv.
         Vaselini,  oz.  ss.
        M.  S.  Apply to the  os uteri.  (For the
         vomiting).

 (933) R—Chloralis, gr. xv.
         Potassii bromidi,  gr.  xx.
        M.   S.   In syrup once in  three  hours.
         (Puerperal  eclampsia).

 (934) R—Pulveris calombo rad.,
         Pulveris zingiberls rad.. aa oz. ss.
         Sennae fol.,  dr.  j.
         Aquae  bullient.,   O  j.
        M.  et ft. emulsio.  S. Wineglassful before
         meals.  (Inappetence  of  pregnant  wo-
         men).
                                    —Forwood.

 (935) R—Chloral,  croton.,  gr.  xij.
         Aq.  menthae  pip., oz. j.
        M.   S.  One  dose in  a  glass of  wine.
         (Odontalgia In pregnant  women).
                                     —Linduer.

(936)  R—Gutta  percha.,  dr.  j.
         Chloroform,  q.  s.  to  dissolve.
       M.  S.  Anoint the  excoriations. (Cracked
         nipples). 
442
(937) R—Olel  theobromae.
         Olei  ricini,  aa  oz.   2*4.
         Zinci  oxidi,  gr.  v.
         Hydrarg. oxid.  flav.,  gr. 11.
         Ess.  rosae,  q.  s.
       M.   S.  Rub Into  affected  parts twice
         a  day.  (Pigmentations   in  * pregnant
         women).
(938) R—Pulv.  zinci oxidi,  gr.  iii.
         Hydrargyri  ammoniat.,  gr.  iss.
         Olei  theobromi,
         Olei ricini,  aa dr.  iiss.
         Olei  rosae,  gtt.  x.
       M.  S.  Apply to face morning and  even-
         ing.  (Cutaneous disorders during  preg-
         nancy).
(939) B—Ext.  cannabis ind. fl. (assayed), gtt.  xx.
         Ext.  ergotae fluidi,  oz.  j.
         Ext.  hamamelis fl.
         Tinct.  cinnamomi,   aa oz.  ss.
       M.  S.  Dose,  dr.  j   every  three  hours.
         (Uterine hemorrhage).
(940) R—Extracti  pilocarpi  fl.,  oz.  j.
       Sig.  Doe,  gtt.  xii every  half  hour un-
         til diaphoresis is freely produced.  (Gal-
         actogue).
PLASTER  OF  PARIS.
  The  unpleasant  feeling  left  by  the plaster,
after  applying the bandage, can be Immediately
removed by adding a little bicarbonate of soda
or potassa to the water in which the hands are
to  be  washed.
                              —T.  E.  Wilcox.

  Formula.—1. To  make  plaster set  hard: Mix
best plaster of  Paris  with about  10  per  cent.
(more or less,  according to effect ascertained by
preliminary experiment) of very finely powdered
marble (calcium  carbonate).  Or add to It about
6 per cent, of powdered alum, or about the same
amount  of ammonium  chloride, before  mixing
with  water.  2.  To  make plaster  set slower:
Mix It with 2 to 4 per cent, of powdered althaea
root before adding the water. This not only  re-
tards  the hardening of  the plaster,  but  also
enables It to  be cut,  filed,  sawed and turned.
An addition of  8 per cent,   of  althaea powder
retards the setting of the plaster for about an
hour,  so that the mass can be used for any pur-
pose where it Is to remain plastic during at least
a portion of that  tune.
                         —American Druggist. 
443
           QUINSY—TONSILLITIS.

 (942) R—Potassil  chloratls,  dr.   ii.
          Inf. rhols glabr! baccarurn,  Oj.
         M.  S.  Gargle;  use frequently.
                                      —Gerhard.

 (943) R—Tincturae Iodini co..  1-3.
          Glycerinae.  2-3.
         M. S.  Paint  every  other  day.  (Chronlo
          enlarged  tonsils).

 (944) R—Acidi  citric!,  gr.  rv.
          Potassii  bicarb.,  gr. xx.
          Tinct.  guaiaci,  m x.
          Mucil. acaciae,  cz. j.
        M.  S.  One  dose.   To  be  taken  while
          effervescing.   (For  children.)
                                      —Hazard.

           RICKETS—RACHITIS.


 (945)  R—Syrupi ferrl  Iodidi, dr. j.
          Syrupi zingit.eris,  oz.  j.
          Aquae, q.  s.  ad oz. iij.
        M. S.  Dose, dr. j td., for a child of two
          years.
                                      —Powell.
 (946) R—Amironil  chlorldi,  gr.  xxlv.
          Syiupi  ipecac,  dr. iss.
          Syrupi tolu., oz. j.
          Liq.  potass, citrat., q. s., ad oz.  llj.
        M. S. Dose,  dr. j. every two hours  for a
          child  of  two  years.
                                      —Powell.
 (947) R— Syrrpl  ferrl  Iodidi,  dr. Iss.
         Mist.  ol.   morrhuae  et  lactophos calcis,
         q. s.,  ad  oz.  iij.
        M. S.  Dose,  dr. ss-j.  td.
                                      —Powell.
 (948) R—Syr.  Calcii lacto-phosphatis; oz.  lv.
        Sig. Adult  dose,  dr.  j.  td.   (May also  be
         given  to  nursing mother.)
                                   —Bartholow.

          RATTLESNAKE  BITE.


(949) B—Ammon. carbonat.,  gr.  xl.
         Aquae  destillatae,  oz. j.
       M. S.  Inject  fdr.  ss)  into one  of the
         superficial  veins  of left  hand,  or the
         cephalic vein.

(950)  B—Spirit,  frumenti,  oz.   xvj.
         Ammon. carbonat.,  gr.  clx.
       Ft. sol.  S.   Dose,  oz.  ss  every two  or
         three  hours  in   water.  Keep  also  a
         cloth  wet  with kerosene oil (oz. x.) and
         ammon. carb.  (oz. ss.), until the swelb
         ing  disappears. 
444
(951) R—Hydrarg.  chlorid.  corros.,  gr. ii.
         Potassii  iodidi,   gr.  iv.
         Aquae-destillatae, m.  v.
       Solve  et adde:—
         Broml, dr. v.
       M.  S.  Dose,  gtt.  x  In a  tablespoonful
         of  wine  or  brandy,   every  fifteen  or
         twenty  minutes.
                                      —Bibron.
SATYRIASIS—(See  Nymphomania).
SEMINAL DISORDERS.
(952) B—Extract, hydrastis fl.. oz.  j.
       Sig.  Dose, gtt. xx  td.  (Prostatorrhoea.)
(953) R—Tinct.  nucis vomicae, dr. j.
         Tinct.  ferri chloridi,  oz.  iij.
       M.  S. Dose, gtt.  xx  td.  (Prostatorrhoea
         in  debilitated   cases.)
                                       —Gross.
(954) B—Tincturae  cantharidis,  gtt.  vj.
         Tincturae  ferri  chlor.,  gtt.  xv-xx.
       M.  S.  Thrice  daily  in  water.    (Impo-
         tence with spermatorrhoea.)
                                —H.  C.  Wood.
(955) R—Tlncb.  cantharidis,  dr. j.
         Tinct.  cannab.  Indie.
         Sol.  morphinae,  bi-mec,  aa dr.  11.
       M.  S.  Dose, gtt.  xv td.  (Aphrodisiac)
                                   —Bartholow.
(955) E^Titict. nucis  vomicae,  dr.  J.
         Tii.ot. actea  racemos.,  dr. iii.
       M.  S.   Dose,  gtt.  xx td.   (Aphrodisiac.)
                                   —Bartholow.
(957)  R— Argenti  nitratls,  gr.  x.
         Aquae,  oz. j.
       M.   Prostatic  injection.
                                   —Bartholow.
(958) Br—Tincturae cimlcifugae, oz. iij.
         Sig.  Dose,  dr.  j td.  (Spermatorrhoea.)
                                       —Morse.
(959)  R—Potassil  bromidi,  oz.  j.
         Aquae destillatae,  q.  s.  ad  oz.  j.
       M. S.  Dose, dr. j td.  (Spermatorrhoea;
         In the strong  and plethoric.)
                                   —Bartholow. 
        445

SEASICKNESS.
(960)  R^odil  bromidi, oz.  j.
       Sig.  Dose,  gr. xx  In water every three
         hours  on  the  day  before  sailing,  and
         continue for  one or  two  davs  on  the
         water.

15*61)  B—Chloral  hydratis,  dr. ss.
         Aquae camphorae,  oz. j.
       M.  S.  One  dose.
                                   —Priestley.

(962)  R—Cocaine  hydrochloratis. 0. 15.
         Spts.  vini  rectif.,  q.  s.  ut. ft. sol.
       Dein  adde:
         Aquae destillatae.  150.00.  M.
                                  —Manassein.

(963)  B—Ceril  oxalatis,  gr.   il.
         Tinct. valerinae  ammoniat, dr.  j.
         A(.uae destillatae.  oz. j.
       M.  et ft.  haustus.  Take every half hour.
                                     —Walsh.

SEPTICAEMIA—(See  also  Pyaemia).

(964)  B^-Qulninae sulphatis,  gr. v-xx.
       Sig. Take this dose every hour.
                                  —Bartholow.
                  SCIATICA.

 (965) R—Morphinae   sulphatis,  gr.   14—2-3.
         Atropinae sulphatis, gr. 1-25.
        M. et ft. pulv.  S.  For one hypodermatic
         injection, in distilled water (gtt. xx).
                              —Brown-Sequard.

 (966) R—Aquae ammoniae,  dr.  v.
         Olei  terehinthinae.
         Olei amygdalae dulcis,  aa oz. j.
        Flat  linimentum.  S.  Rub on three times
         a day.  (In  obstinate  cases.)
                                     —Laborde.

(967) R—Emplastri  epispastlci,  1^x5 inches.
        Sig.  App,y  over  affected  part for  five
         or six hours,  poultice,  remove the cuticle
         and dress with prescription No.  968.
                                   —Da Costa.

(968)  B—Morphinae sulphatis, gr.  y±.
         Pulveris marantae, gr.  ii.
       Mipce et  fiat chartuia.   S.  Sprinkle  over
         blister.  Ten grains  Dover's powder at
         night.
                                   —Da Costa, 
446
(969)  B— Chloroformi,  m.  v-xv.
       Sig.  For one hypodermatic Injection.  In-
         sert the needle  at the ischiatlc  notch
         deeply  to  near   the   trunk  of   the
         nerve.
                                  —Bartholow.

SCLEROSIS,   POSTERIOR   SPINAL—
     (See also Locomotor Ataxia).

(970)  R—Tinct.  ferri chloridi,
         Tinct.  nucis vomicae,
         Acidi  phosphorici  diluti.
         Syrupl  simplicis,  aa oz. j.
       M.  S.  Dose, dr.  j  in water about  an
         hour before each  meal.
                                  —Swerlngen.
(971)  R—Potassii iodidi,  dr. vi-viij.
         Ferri  et ammon.  citratis.  dr.  11.
         Tinct.  aurantii corticis.
         Syrupi simplicis. aa dr. IIJ.
         Aq. menthae pip.,  q. s. ad oz. lv.
       M.  S.  Dose, dr.  j  in water about  an
         hour  before  meals.
                                 —Swerlngen.

              STRANGUARY.

  Vesical,  hypodermatics  of  morphine,  followed
by other remedies; enemata  of starch water, and
tincture  of opium; follow by hot  sitz-bath.

(972)  R—Tincturae cannabis indie,  oz. j.
       Sig.  Dose, dr. ss  every  few hours.  (Es-
         pecially  with  bloody  urine,  and  when
         due  to  spinal disease.)
                                     —Ringer.

(973)  R—Acetl eclllae.
         Spts.  etheris nitrosl. aa oz. ss.
       M.  S.  Dose,  dr. ss  In  some  demulcent
         tea  every  hour or  oftener.
                                    —Waring.

                SYNOVITIS.

(974)  R—Unguentl iodi  co.
         Unguentl belladonnae, aa oz. ss.
       M.  S.  Apply twice a day until  the skin
         becomes  irritated; after it  is  healed,
         begin  anew.   After  rubbing  in   well
         apply  dry  heat  for  fifteen  minutes.
         (In  the  more  chronic   forms.)
                                    —Gerhard.

(975)  R—Argenti  nitratls,  dr. j.
         Aquae destillatae,  oz. j.
       M.  S.  Apply  almost  to  vesication.  (In
         acute form.)
                                     —Jordan. 
                      447

(976) R—Morphinae,  gr.  viii.
         Hydrargyrl  oleatis. 5  to 10 per  cent.,
          oz.  j.

       Mi. SV A?Tply  twice  a day with  a  soft
         brush.  (In  acute  form.)
                                   —Marshal],
                   SYPHILIS.

    Wash the  sore  (chancre) several  times daily
  with black-wash, and then dust with  iodol,  Iodo-
  form,  subiodide of  bismuth,  or calomel. Begin
  the mercurial  treatment  wnen  the  secondaries
  appear.  For  the secondaries  give  protiodide of
  mercury; commence  with  14  gr.  three times  a
  day; steadily  increase  the  dose.   For  tertiary
  syphilis, give mercury and  potassium  iodide, or
  the latter drug alone, or with tonics.  Begin with
  gr.  x  of potassium  iodide  three times  a  day,
  gradually increasing  the dose  until  the  desired
  effect  Is produced.   In  hereditary  syphilis  the
  mercury Is  best given by inunction,  gr. x of  the
  unguent, hydrarg. being rubbed into the abdomen
  etc. See Oolles' Law (Names of Diseases.)

  (977) R—Hydrarg. cum cretae,  gr. xii-xxlv.
          Sodii bicarbonatis, gr. xxxvj.
          Sacchar. lactis, gr. xxiv.
        M.  et  ft. chart, no. xii.  S.  One  powder
          night and  morning.  (For a  child.)
                              —Eustace Smith.

 (978) R—Mass.  hydrargyrl,  gr.  ii.
          Ferri suloh.  exslccat., gr. J.
        M. -t  ft. in pil. no. 1.  S.  One pill  td.
          Increase as  required.   (Where the pro-
          tiodide  causes  irritation.)
                                      —Martin.

 (979) R—Hydrargyri  chlorid. corros.,  gr. iss-iii
         Potassii iodidi, dr.  iv-viii.
          Syrupi zingiberis.  dr.  iii.
         Aquae,  q.  s.  ad  oz.  vj.
       M. S.  Dose  dr.  j in water  td.
                                      —Martin.

(980) B—PotasBii iodidi,  oz. j.
         Aquae destillatae,  q. s. ad oz. j.
       M.  Each  minim contains one grain;  the
         required number of minims  should   he
         taken  in milk, as it disguises taste  of
         the iodide.

(981) R—Hydrargyri  bichloridi,   gr.   iii.
         Sodii  chloridi, dr.   ss.
        Aquae destillatae,  dr.  x.
       M.  S.  For hypodermatic  use.  Inject  m.
         x-xx  daily.   (Where other  means are
         not  available.)
                                      —Martin. 
448
(982) B—Tincturae iodini,  dr.  IJ.
         Syrupi simplicis,  oz.  ij.
       M.  S.  Dose,  dr. j, diluted wtih  water,
         thrice daily,   to  be  increased  as  re-
         quired.  (When  iodide is indicated,  and
         patient cannot tolerate  It.)
                                     —Martin.

(983) B—Acidi  horici,   dr.  il.
         Glycerini,  oz.  ii.
         Tinct, myrrh., oz.  j.
         Aquae rosae,  q.  s.  ad oz.  viij.
       M.  S.  Gargle and  mouth-wash.  (Mucous
         patches of  mouth.)

(984) B—Pulveris  salol.
         Acidi boric, aa dr.  v.
         Sacchar.,
         Menthol., aa  gr.  iij.
       M.  S.  Brush the teeth twice a day with
         this mixture upon a  soft  brush.  (Mer-
         curial stomatitis.)
                                      —Leonte.
SEDATIVES  FOR BABES.
(985) R—Camphorae monobromat.. gr.  xvl.
         Extracti hyoscyami  fl.,  gtt.  xvi-xxx.
         Syrupi lactucarii (Aubergier's),  oz. viij.
       M.  S.  Dose, oz. SS  every hour  till re-
         lieved.  (Restlessness,  spasms,  deliria,
         anodyne, somniferant. etc.)
                           —Von Goidtsnoven.

(986) R—Olei  anlsl.  m.  xxv.
         Alcoholis,  oz.  ii.
         Extract,  valerian., fl., oz. J.
         01.  menthae pip., m. xv.
         Tinct.  camphorae,   dr.  il.
         Extract,  glycyrrhizae fl., oz. j.
       M.  S.  Shake the bottle.  Pose, dr.  % or
         %  in   water;  repeat   if   necessary.
         (Soothing syrup without opium.)
SPICE PLASTER.
(987) R--Pulveris  capsici.
         Pulveris cinnamomi.
         Pulveris caryophylli, aa oz. II.
         Rye  meal,
         Spirits,
         Honey,  na  q.  s.
       M.  To be made  into  a cataplasm by trit-
         uration  on a plate,  and  spreading upon
         a close  fabric. It  should be  made  up
         extemporaneously  when  required.
                                     —Parrish. 
   449

STYES.
(988) R—Extract,  belladonnae. fl., gtt.  ill.
         Aqrae  pluvialis, oz.  ij.
        M. S.  Dose, dr. j every hour.  Also give
         sulphide of calcium (gr.  %)  every  hour
         until five  or  six  doses are taken.
                                      —McGee.

      STOMACH, AFFECTIONS OF.

(989) R—Tinct. capsici,  dr.  il.
         Tinct.  cannabis  ind..  oz. ss.
         Tinct. opii deod., oz.  j.
         Spts. chloroformi, oz.  j.
         Spts. lavandulae, q.  s. ad oz. lv.
        M.  S.  Dose, dr.  j  every  thirty minutes
         until relieved.  (Gastralgia.)
                                       —Hare.

(990) R—Sodii bicarbonatis.  dr.  iss.
         Tinct. nucis vomicae,  m,  xl.
         Liq.  morphinae, dr. j.
         Spts. ammon.  aromat.. dr. iss.
         Syrupi zingiberis, oz. j.
         Aq.  menth. pip.,  ad oz. viii.
        M.  S.  Dnse. oz.  ss  four  times a day.
         (Gastrodynia.)
                              —J.  W. Martin.

(991) B—Spts.  ammon.   aromat., gtt.  xx.
         Sol. cocain.  (4 per  cent.), oz.  j.
        M.  S.  Dose, oz. ss; repeat in an  hour if
         required.  (Gastralgia.)
TABES MESENTERICA—(See  Maras-
                      mus).

           TINNITUS  AURIUM.
(992) R—Arnicae,  dr.  ii.
         Aquae  bullientls,  O  ss.
        Maeera  per  horas  duas  et  cola.  Dein
         addo:
         Tincturae  arnicae. dr.  ii.
         Tincturae  cardamomi, dr.  vj.
        M.  S. Dose,  oz. ss  td.
                                       —Wilde.

TRISMUS   NEONATORUM—(See   also

                  Tetanus).
(993) R—Chloral hydratis,   gr.  i-v.
         Syrupi  simplicis,   dr.  j.
       M.  S.  One dose.
                                  —Bartholow. 
450
(994) R—Extracti  gelsemil,  fl..  m.  viii-xvj.
        Syrupi simplicis,  dr.  j.
        Aquae destillatae,  q.  s. ad oz.  ss.
       M.  S.  Dose,  dr. ss every  two'  to four
        hours.
                                  —Bartholow.

        TONGUE  IN  DISEASE.
  1. The  Elongated   and   Pointed   Tongue  in-
dicates  irritation and  determination  of  blood
to   the   stomach   and   intestines;   the   ex-
tremities   are   often  cold;   is   also  associ-
ated   with  excitation  of  the   nerve  centres.
Found more especially  among children.  The  in-
dications are to  allay  irritation  and divert  the
blood   from the  stomach  and  bowels.  2. The
Pinched and Shrunken Tongue indicates atony of
the digestive organs, often  found in  dyspepsia,
etc.  Treatment  is   plain.  3. The  Coating  (sa-
burra)  or  Fur  should be  well studied.  It may
be  greater or less  in  thickness, dry or moist,
or  clammy, more accumulated at the posterior
portion. The liver is said to  be  at  fault   when
the tongue is  heavily coated  at  the base,  with
a  yellow  coat.  This  is  not  always  the  case.
White-coated ton°ue has  been observed in  jaun-
dice,  etc.   4. The Dry  Tongue has  a  very im-
portant significance.  When   we  have  patients
who are suffering from some  form of  fever, pneu-
monia  or  any  other acute  disease,  with  such
a tongue,  they are  in danger, and require  close
attention.   In such cases  nutrition and  assimila-
tion are suspeided, and food cannot  be properly
assimilated. When  given, it  should be in  fluid
form,  and  always above the  temperature of 100
degrees, and of a character nutritive and diges-
tible.  The digestible organs  can do  but little
work,  yet  proper food,  given  at  intervals,  does
good;  but  these organs need  all the  rest  they
oan get until the disease has  subsided.  Dryness
of  the tongue  is also  associated with  vascular
excitement,  and particularly  with excitation  of
the ganglionic and nerve centres.  Hence the ar-
rest of secretion  and  this   dryness.  Here we
readily read  the  state of the nervous  system.
In  many  cases,  the  sympathetic nerve  is not
only excited and irritated, but there  is involun-
tary  contraction  of  muscular  tissue,  thus  sus-
pending the secretions of the  several  organs.
The Indications are, proper   sedatives  for the
vascular excitement,  and  diaphoretics  for  con-
tractions or excitement  of  the nerves, associated
with other  treatment.  By this course we shall
soon see our patient  with a  moist  tongue,  and
soma of the secretions  re-established.  5. Often
the tongue  changes  in the disease from the  dry-
ness above referred to, to a brown or  black color,
with  sordes about the teeth.   The common  idea
is that the  system is in  a  typhoid condition.  This
Is true, yet it undoubtedly means, also,  that the 
451
blood is in a septic condition—a  very important
fact for us  to  know.  Then  our best antiseptics
should  be  given  with  stimulants  and  tonics.
Thus we  can readily read, from  the appearance
of the tongue, the condition of the digestive or-
gans, the functions of nutrition and assimilation,
the  oondition  of  the  nervous  system  and  the
state of the blood.  Of course,  we must take all
other symptoms  into consideration.  Yet the ap-
pearance of  the tongue, as  pointed  out.  seldom
fails in  giving  us, at  a glance,  valuable  infor-
mation  as to the  true  condition  of  the system.
                                     —Henning
TYMPANITIS—(See also  the  Fevers).

(995)  R—Olei terebinthinae, oz. j.
         Pulveris acaciae, q. s.
       Misce et- adde:
         Decocti  hordei,  oz. xix.
       Fiat enema.  (Distension of  abdomen with
         gas.)
                               —    —Hooper.

(996)  R—Olei  terebinthinae,
         Olei ricini,  aa  dr.  iii.
         Olei cajaputi,  m.  vi.
         Magnesiae  calcinatae. gr.  xx.
         Aq. menthae piperitae, oz. iss.
       M.   et   ft.  haustus.  (Also  In
         fever.)
TONICS.
 (997) R—Hydrargyrl  bichloridi, gr.  1-11.
          Liq.  arsen.  chloridi.  dr.  j.
          Acid, hydrochlor. dil..
          Tinct.  ferri chloridi, aa  dr. 11.
          Syrupi  zingiberis, oz.  ii.
          Aquae,  ad  oz.  vi.
        M.  S.  Dose,  dr. ii td. after meals.  (Al-
          terative  tonic.)
                                     —Goodell.

(998) R—Sod.  et  aurl  chlorid, gr.  111.
          Strychnlnae sulphatis,  gr. 1.
         Zinci phosphatis,  gr.  iii.
         Ext.  damianae, dr. j.
       M.  et  ft.  in  capsul.  no.  xxx.  S.  One
         capsule td.   (In impotence.)

(999) R—Strychninae  sulphatis, gr.  i.
         Acid,  hypophosph.  dil.,  oz. J.
       M. S.   Dose,  gtt. x td. before meals In a
         dram  of fl.  ext.  of cocae.  (Do  not
         take*  It   Immediately  before   retiring;
         causes emissions.)  (For sexual organs in
         Impotence.)
                                  —Hammond.
typhoid

—Joy. 
                      452
(1000) R—Quininae   sulphatis,  gr.  11.
        Acidi arseniosl,  gr. 1-30.
         Pulv.  capsici,  gr.   j.
         Extract, taraxaci, q. s.
       M. S. To  be  taken  before each mea
         (Malarial cachexia.)
                                     —Palmar.
(1001) R—Ext. damian, fluidi.
          Tinct. cincho. co.,  aa oz.  iv.
        M. S. Dose,  oz. ss td.  (For procreative
          organs.)

(1002) R—Ferrl et  qulnldlae cit.,  dr.  i.
          Vini xerici, oz.  ii.
        M.  S.  Dose, dr.  j.

(1003) R—Tinct. ferri  chloridi.  dr.   Hi.
          Acid, acetici diluti oz. ss.
          Liq. ammon. acetatisi  oz.  Hiss.
          Curacoae,
          Syrupi  simplicis,  aa  oz.  j.
          Aquam,   ad  oz.  viii.
        M. S.  Dose,  oz. ss after meals.
                                —Wm.  Goodell.
(1004) R—Quininae  sulphatis,   gr.  xxx.
          Acidi  sulph.  dil.,  q.  s.
          Aquae, oz.  ii.
          Tinct. ferri  chlorid.,  oz.  ss.
          Spts. chloroformi,  dr.  vi.
          Glycerinae,  q.  s.  ad oz. iv.
        M. S.  Dose, dr. j.
                                      —Loomis.
(1005) R—Ferri et ammon. citratis.
          Ammonii carbonatis, aa  gr. xxxii.
          Syrupi,
          Aquae  anisi,  aa  oz.  ii.
        M.  S.  Dose,  dr.  j.
                            —J. Lewis Smith.
(1006)  R—Magnesii  sulphatis, oz.  il.
          Ferri sulphatis, gr. xxiv.
          Acidi sulphurici dil.,  dr. Ii.
          Infusi calumbae,  ad  oz.  viii.
        M.  S.  Dose, oz.  j  every night.  (Ferru-
          ginous aperient.)
                                 —Farquharson.

(1007)  R—One rennet  washed  and chopped,
          Sherry  wine,  O  j.
          Macerate  for twelve  days,  decant and
          filter and add:
          Acidi muriat.  dilutl.
          Tinct. nucis vomicae, aa dr. ii.
          Bismuth!  subnitratis, dr.  ii.        .
         M.  S. Dose,  dr.  j  in a  quarter of  a
          tumbler  of  water  before  each  meal.
          (Digestive tonic in metritis.)
                        —T.  Gaillard Thomas. 
                           453

    (1008)  B—Hjdrarg. bichlorid., gr  i-ii
              Liq. arsenic! chlorid., 'dr   j
              Tinct.  ferri  chloridi.
              Acid,  hydrochlorlci  dil..  aa  dr   Iv
              Syrupi.  oz.  iii.
              Aquam.  ad  oz.  vi.
            M4™S; ^^  dr*  n in a  wineglassful of
              water  after  each meal. (Anemic and
              chlorotic  patients  will   fatten   and
              thrive  wonderfully  on  this  mixture;
              should  be  given  only  for  two weeks
              at a tune.)
                                   —A. H.  Smith.

   (1009) R—Ferri et  ammon.  clt.,  dr.  j.
             Ammonii carbonatis, gr. xxx
             Tinct.  gentian,   co.,
             Tinct. quassiae,  aa  oz. ii.
             Syrupi,  oz.  iss.
             Aquae,  q. s. ad oz. viii.
           M.  S. Dose,  dr.  ii.
                             —W. H. Thompson.

   (1010) R—Ferrl et ammonii citratis,  gr  xx
            Vini  xericl,  oz. ii.
           M.   S.  Dose,  dr. j.

   (1011) R—Quininae  sulphatis, gr.  xxx
             Acidi sulph.  dilut..  q. s.
            Aquae,  oz.  ii.
            Tinct.  ferri  chloridi.  dr  ii
           M. S.  Dose, dr. j.

  (1012) R—Tinct. ferri  chlor.,
            Tinct. nucis vom.,  aa m  x
            Aquae,  q.  s.  ad  dr. j.
            A •?"  0li!  dose-  t0  *»  taken  thrice
            daily, after meals.

          URIC ACID  DIATHESIS.

 (1013) R—Acid,  hydrochloric,  dil   dr  j
           Acidi  lactici,  dr.   iii. '
           Syiupi simplicis, oz. ss
           Aquae destillatae. oz.  ii

           rJh»J°?f?- dr-  "  after each   meal.
           (When the  excess  of acid  is due  to
           faulty  digestion.)
                                   —Bartholow.

 (1014) R—Sodii  bicarbonatls,   dr.  j
           Tincturae calumbae. oz. j.
          Infusl  quassiae.  oz.  iii.
         M. S.  Dose,  oz.  ss four  times  a day.
                                      —Hazard.
                   ULCERS.

(1015)  R—Hydrozone, oz.  j.
          Aquae,  O  iv.
        M.  S.  As a beverage; a small quantity
          at each drink.  (Ulcer of the stomach.) 
454
(1016) R—Glycozone,  oz.  j.
        Sig.  Dose,  dr. 1-11,  diluted In  a wine-
          glassful of water,  three or four times
          a day,  before  or after  eating.  (Used
          in conjunction  with  prescription 1015,
          for  gastric  ulcer.)

(1017) R—Acidi nitricl dil., m. x.
          Extracti  opii,  gr.   v.
          Aquae destillatae,  oz.  j.
        M.  et  ft.  lotio.  S.   (In  sloughing,  In-
          cised  wounds.)
                                    —Erichsen.

(1018) B—Zinci sclpho-carbolatis.  dr.  vl.
          Aq. destillatae.  oz. viii.
        M.  S.  Each  portion  to  be used to  be
          mixed  with   three  parts  of  water.
          (For  fetid  ulcers.)
                                     —H.  Lee.

       UVULA,  RELAXATION OF.

(1019)  R—Acidi  tannici.  oz.   ss.
          Glycerini,  oz.  ii.
        M. cum  leni  calore.  S.   Apply  with a
          camel's hair brush.
                                      —Hillier.

(1020)  R—Aluminis, dr. 1.
          Infusi gallae, oz.  vj.
        Fiat   gargarysma.  (Along with  hyper-
          trophled  tonsils.)
                                     —Waring.

                  VERTIGO.

 (1021) R—Hydrargyrl  chlorid. corros.,  gr.  1.
          Glycerini, oz.  j.
          Tinct. cinchon. comp.,  oz. ii.
           Olei menthae pip.,  m. xxv.
         M.   S.  Dose,  dr.  j   in   a  wineglassful
          of  water thrice daily.   (In the vertigo
           and  dizziness oi old. persons.)
                         —O.   Handfield  Jones.

 (1022) R—Pulveris  rhei,  dr.  j.
           Sodii bicarbonatis,
          Pulveris gentianae,  aa  dr. ii.
           Aq.  menth.  pip.,
           Aquae destillatae.  aa  oz. iii.
        M.  S. Dose,  oz. ss before meals.  (When
           caused by  indigestion.)
                                —Ed. O.  Mann.

 VOMITING—(See   also  Diseases    ot
     Pregnancy  and  Seasickness).

 (1023)  R—Bismuth! subuitratis.  dr.  il.
           Acid,  hydrocyanici  dil., dr. ss.
           Mucilaginis acaciae.
           Aquae menthae piperitae, aa oz.  11.
          M.  S.  Dose,  oz.  ss td.  (With gastrio
           ulcer.)
                                    —Da Costa. 
455
    (1024)  B— Acidi  carbolici,  gr.  iv.
              Bismuthi subnitratis,  dr   ii
              Mucilaginis  acaciae.  oz.' i
           ut  oqu£e menthae piperitae,  oz. iij.
           M. S. Dose, oz. ss every two, three, or
              four  hours.  (Due  to  acute  stomachal
              and intestinal  disorder.)
                                      —Bartholow.


    (1025) R—Vini  ipecacuanhae,  oz. ss.
            Sig.  Dose,  gtt.  j  every  hour to thrice
             daily.   (In  all  cases.)
                                         —Ringer.

   (1026) R—Creasoti,  m. vi.
             Pulveris  tragacanthae.  dr. ss.
             Aquae  camphorae, oz.  vi.
           M.   S.  A  sixth  part to be  taken  for
             a  dose.  (In  obstinate  cases.)
                                      —Kesteven.

   (1027) R—Potassii iodidi,  scr.  iv.
            Infusi quassiae,  oz.  viij.
           M   S.  Dose,  oz.  ss  td. (Sympathetic
            vomiting.)
                                        —Selkirk.


  (1028) R—Potio riverius, oz.  v.
            Morphinae  sulphatis, gr.  j.
            Syrupi  aurantii.
            Salep.,  aa oz. j.
          M.  S.  Dose,  dr.  j.  (Vomiting follow-
            ing use of opium.)
                                —C.  H.  Avery.


 (1029) R—Sol. morphinae (U.  S.  P.),  oz j
           Potassii  bromidi,  dr. j.
         M.  S.  Dose,  dr.  j.  (To  prevent   nau-
           sea  and  vomiting  secondary  to the
           use  of  opium.)
                                     —Metcalfe.


 (1030) R— Cerii  oxalat.
           Ipecacuanhae,  aa  gr.  j.
           Creasoti,   gtt.   il.
         M.  S.   Take  every hour.   (Vomiting of
           pregnancy.)
                                      —Goodell.


(1031)  R—Chloral hydratis,  gr.  xv-xx.
          Milk,  oz.  ii.
          Yolk  of  an egg, j.
        Beat  up well  and  inject  into rectum.
          (Reflex vomiting  of  pregnancy.)
                                       —Kane. 
                 456

WARTS—(See  Condylomata).
WORMS.
(1032)  B—Olei chenopodii, m  iv.
          Pulveris acaciae,  gr.  x.
          Syrupi, dr. ss.
          Aquae  ciunamoml, q. s.  ad  dr.  J.
        M.  S.  Dose, dr. j,  td. for one day,  to
          be  followed  by   a   laxative.  (.For  a
          child of two  years.)

(1033)  Br—Oleoresinae aspidii,   m.  xv.
          Olei  ricini, m. xv.
          Olel  cinnamomi,   m.  14.
          Syrupi  acaciae, q. s. ad dr.  J
        M.  S.  Dose, dr. j,  td. for  one day;  fol-
          low with  laxative  if necessary.  (For
          child of two  years.).

(1034)  R— Santonini,  gr.  ss.
          Sacchari,  gr.  iss.
        M.  et  ft. chart, no.  j. S.  One powder
          morning and  evening,  the  second  to
          be  followed  by a  purge.  (For a child
          of  two  years.)

(1035)  R—Tincturae  rhei,  gtt. xxx.
          Magnesii carbonatis, gr.  iii.
          Tincturae  zingiberis, gtt. j.
          Aquae, q.  s.  ad oz.  iv.
        M.  S.  Warm and  use as  an  injection.
          (Seat worms.)
WOUNDS.
(1036) R—Acidi  tannic!,  oz.   ii.
          Alcoholis absolut.,  oz.  ss.
          Aetheris, oz.  iiss.
          Collodli, q.  s.  ad oz. xii.
        M.   Styptic  colloid.
                                       —Millet.

(1037) R—Collodii, oz.  j.
          Olei  ricini.
          Acidi  carbollci, na  dr. ss.
          Carbolized  collodion.
                                       —Millet.

(1038) R—Tincturae  amicae,  dr.  11.
          Aquae destillatae,  oz.  iv.
         Fiat lotio.
                                       —Graefe.

11039) B^-Phenol sodlque,  oz.  vi.
         Sig.  In  all wounds  and  surgical opera-
          tions.
                             —J. E.  Garretson. 
           457

WHOOPING COUGH.
(1040) R—Thymol, gr. xx.
          Acid, phenic, oz.  ss.
          Ess.  sassafras.
          Ess.  eucalyptus,
          Ess.  turpentine.
          Liquid  tar.  aa dr.  11.
          Sulphuric  ether,  dr.  j.
          Alcohol, ad oz.  iij.
        M.   S.  Pour gtt.  xxx  on handkerchief
          and tie around the child's neck.  In-
          hale,  and repeat every two-three hours.
                                       —Beall.

(1041) B—Sodii  Bromidi, gr.  xx.
          Extracti belladonnae.  fl.,  gtt.  11.
        M.   S.  Spray;  also  to  be  inhaled.   En
          the intervals  push  quinine. (To  cut
          short    the   paroxysms.)
                                   —Da  Costa.

(1042) R—Tlnctmae  cantharidis.  m.  xlvii.
          Tincturae  cinchonae.
          Tincturae opii camph., aa dr. il.
          Syrupi  simplicis, q. s. ad oz. iii.
        M.  S.  Dose.  dr. j  td..  for  a child  of
          one to  two years.  (Towards  end  of
          spasmodic  stage.)

(1043)  R—Aluminis,   gr. xxiv.
          Syrupi  prunl virg.,  oz. iiss.
          Aquae,  q.  s.  ad  oz.  iij.
        M.  S.  Dose.  dr.  j  every  four  hours.
          For a  child  of  one   year.   (Stage   of
          decline.)
WICKERSHEIMER'S FLUID.
  For preserving animal  substances,  pathological
specimens, etc.
                           For Injecting.
(1044) R—Arsenious acid,  16  grms.  (dr. lv)
          Sodium chlor,    80
          Potass, sulph.,  200
          Potass, nitrate,  25    "
          Potass, carb.,    20   "
          Water,          10 litres (qts. 10^ -[-).
Glycerine,	4	"
Wood-naphtha,	%	"
	For	Immersing.
(1044) R—Arsenious acid.		12 grms.
Sodium chlor.,		60 "
Potass, sulph..		150 "
Potass, nitrate,		18 "
Potass, carb..		15 "
Water,		10 litres.
Glycerine,		4 "
Wood-naphtha,		% "
 
    458

POISONS.
        1.  LOCAL  IRRITANTS.


  These include  the salts  (metallic)  and
drastio cathartics of  the pharmacopeia; also
acids  (oxalic,  etc.). Symptoms:  Burning
pain in the esophagus and stomach; nau-
sea; vomiting;  great thirst; tenderness  of
the abdomen; cramps; straining' and blood
in stools; depression of the vital powers;
death  frpm exhaustion.


  ARSENIC—Symptoms:  Burning pain  in
stomach;  nausea;  vomiting  of  brownish
matter and  blood-stained  mucus; intense
thirst; abdominal tenderness; purging with
griping; straining;  suppression  of urine;
great prostration; anxiety;  fainting;  palpi-
tation; collapse,  with cold  and  clammy
skin; imperceptible  pulse;  sighing respira-
tion, etc.  Treatment:  Stomach-pump and
emetics; recently prepared  ferric hydrate
(oz.  ss) every five or ten minutes; mucilag-
inous drinks; cataplasms; morphine; stimu-
lants; warmth (hot-water  bottles, flannels,
friction).


  NITRATE OF SILVER.—Symptoms:  Lo-
cal  and  constitutional. Treatment: Com-
mon salt  in solution;  emetics;  stomach-
pump.  (See Arsenic for  subsequent treat-
ment).
 ZINC SALTS.—When the sulphate is tak-
en (for Epsom salt by mistake), it acts as
Its own antidote.  Treat collapse  like Ar-
senic.
  COPPER SALTS.—First effects are those
of local  irritants.  Treatment:  Flour and
water;  white  of  egg;  milk;  emetics  if
necessary.  (See  Arsenio for1  subsequent
treatment).
  SUGAR  OF  LEAD.—Symptoms:  Usual
gastric disturbances; vomit contains  mucus
mixed  with  the  white  chloride  of lead;
great tenderness in the abdomen; cramps;
increasing  prostration.  Treatment:  Emet- 
                     459

   ics  or  stomach-pump;  sulphate  of  soda;
   sulphate of magnesia; or aromatio sulphur-
   io acid in  water.  (See Arsenic for further
   treatment).

    CORROSIVE  SUBLIMATE.-Symptoms:
   (Similar in its action to arsenic.)  Gastric
   and  intestinal   inflammation;   collapse
   Treatment: Egg-albumen; flour and water;
   milk; stomach-pump  or  emetics.  (See Ar-
   senic for subsequent  treatment).

    TARTAR EMETIC.-Symptoms: The di-
  rect depressing action on  the circulation
  hastens  the  collapse. Treatment:  Tartar
  emetic acts as its  own antidote in evacuat-
  ing the  stomach.  Give tannin (in solution)-
  or infusion of green tea  (freely); morphine
  to stop  excessive  vomiting,  etc:  stimu-
  lants.

    CROTON OIL, COLOCYNTH, ETC-Pa-
  tient  is greatly exhausted. These drastio
  cathartics should  be  evacuated by  means
  of the stomach-pump  or  emetics; opium-
  stimulants,  eto.           '               '

   °:5A1^  AG1L>.—Local   irritant.  Treat-
  ment: Whiting or  chalk diffused in water-
  emetics; relieve the suffering, etc.

  II. IRRITANTS  AVITH  A  SPECIFIC
                 ACTION.

   Poisons in  this  class  have,  besides  a
 local  irritation,  a  specific  action  on  cer-
 tain  other  parts  of  the  organism,  as
 aconite,;  which  benumbs  sensation  and
 tends to paralysis; or cantharidis,  which
 effects  the   kidneys,  causing  strangury
 eto.

   ACONITE—Symptoms:   Eurning sensa-
 tion  in the  throat  and stomach;  nausea:
 vomiting; purging;  intestinal pains; numb-
 ness  and tingling of the muscles; paralysis;
 great  depression; prostration; end  in gen-
 eral  collapse;  sometimes  convulsions and
 stupor.   Treatment:    Stomach-pump or
 emetics;  stimulants (by rectum  or  hypo-
 dermatically);  frictions; warmth;  tincture
 digitalis (m.  xv)  hypodermatically,  and re-
 peat if necessary, etc.

  OANTIHARIDIS.—Symptoms:   Those  of
irritant  poisoning  (gastro-enterio   symp-
toms); irritant action on kidneys (Strang- 
460
ury  and bloody urine);  delirium;  convuls-
ions.   Treatment:   Emetics, mucilaginous
drinks (not oily);  morphine; stimulants.

  CARBOLIC ACID.—Symptoms. A burn-
ing feeling in throat, etc.; whitening of the
mucous membrane  of the throat and stom-
ach; intense depression; feeble pulse;  cold
and  clammy skin;  insensibility;  stupor;
death  from  heart  or respiratory  failure.
Treatment: White  of  egg;  sulphate of
soda or sulphate of  magnesia; milk; flour
and  water,  etc.;  apomorphine  hypoder-
matically;  stimulants by enema; ammonia
or brandy  hypodermatically; warmth  and
frictions; atropine and artificial  respiration
if breathing fail,  etc.

  PHOSPHORUS.—Symptoms:   Heat  and
swelling of  throat and  tongue;  pain  and
distention  of the  abdomen; vomiting  mu-
cous or bilious; purging; anxiety;  restless-
ness; cramps; convulsions; stupor;  general
collapse; jaundice  may  develop.    Treat-
ment:  Surphate of copper (gr. iii) in a tum-
bler  of water every five minutes to produce
vomiting; sulphate of magnesia (carries off
poison by  its cathartic action);  mucilagin-
ous  (not oily) drinks; opiates;  stimulants;
cataplasms.  (The   sulphate  of  copper  is
only given once,  with  opium  to  promote
Its retention, when  vomiting  has  already
taJien place).

III.  POISONS  WHICH  ACT  ON THE
         NERVOPS  SYSTEM.

  These have little or no action  on  the ali-
mentary canal.  In this class  are  included
opium,  prussio  acid,  belladonna, hyoscya-
mus (causes intense stupor), hemlock, to-
bacco,  hellebore, chloral, digitalis,  strych-
nine, eto.

  OPIUM.—Symptoms: Drowsiness;    stu-
por;  death  from  respiratory  failure. At
first  we  have  the  following  symptoms;
face  flushed;  stertorous  breathing;  full
and  slow pulse; profound  stupor, etc.  The
pupils are  contracted: later, pulse becomes
weaker,  small,  and  imperceptible;  dimin-
ished frequency of respiration; face pale;
skin  cold and clammy; extremities cold, etc.
Treatment:  Rouse  patient  with the  cold
douche: give emetics  (apomorphine hypoder-
matically);  stomach-pump;  strong  coffee;
atropine; artificial respiration, etc. 
461
  PRUSSIC ACID.—(Cyanide of potassium).
Symptoms:  The  muscular system becomes
paralyzed.  Treatment:    Ammonia  to the
nostrils; cold douche; artificial respiration;
frictions,  etc.   Paralysis of the  heart and
respiration,  causes  death very rapidly.
When  Bitter  Almond  Oil  is  taken,  give
emetics and stimulants.  (The oil is not so
rapid in  its action).

  BELLADONNA—Symptoms:    Constric-
tion and dryness of throat; pain (burning)
in stomach; dimness of vision;  dilated pu-
pils; rapid breathing;  headache;  delirium;
stupor; feeble  pulse;  diminished  respira-
tion; cold extremities; occasionally a  scar-
let  rash  on skin.  Treatment:   Tannin;
stomach-pump;  emetics;   coffee; mustard
and friction to extremities.
HTOSCYAMUS.—(See Belladonna).
  HEMLOCK.—Symptoms:  Extreme   mus-
cular prostration; paralysis of respiration;
death;  no delirium or  coma. Treatment:
Tannin (green tea); stomach-pump or emet-
ics;  frictions;  stimulants; atropine;  artifi-
cial  respiration.

  TOBACCO.—Symptoms:    Confusion- of
ideas; dizziness; faintness; nausea; vomit-
ing;  intense (muscular) prostration;  fatal
collapse,  with  or  without stupor.  Treat-
ment: Tannin;  stomach-pump;   warmth;
stimulants; frictions;  strychnine (hypoder-
matically).

  HELLEBORE—Symptoms:   Acts  as  a
depressant of heart's  action;  intense  pros-
tration; pulse imperceptible; skin cold and
clammy;  nausea;  attempts  at  vomiting;
faintness;  collapse (fatal).   Treatment:
Tannin (green tea); stomach-pump or emet-
ics;  morphine;  stimulants;  ammonia;  fric-
tions;  digitalis.

  CHLORAL.—Symptoms:   Gastric irrita-
tion; nausea;  vomiting;  profound narcot-
ism;  weak  pulse, etc.   It arrests the respir-
atory  function, and  also   depresses   the
heart.  Treatment: (See Opium poisoning).
Give hypodermatically sulphate  of strych-
nine (gr. 1-25),  if death from heart failure
seems impending. 
462
  DIGITALIS—Symptoms: Nausea;  vomit-
ing; great prostration; cold sweats; feeble
or imperceptible pulse; stupor or delirium;
death from syncope caused by spasm of the
heart.   The  heart is  arrested  in  systole.
Treatment:  Tannin  (green tea);  emetics;
cathartios; keep patient in the horizontal
position; opium; solution chloride of iron;
nitrite  of  amyl;  nitro-glycerine;  aconite;
stimulants;  etc. (The tr.  aconite  can  be
given subcutaneously,  one or two  minims
at & time).

  STRYCHNINE.—Symptoms:   During   a
convulsion,  the features  are  contorted;
body  bent  rigidly  backward;  breathing
Impeded or stopped; tetanus; etc. The con-
vulsions last  from  one to  five minutes,
with intervals of relaxation (may last half
an  hour).   Asphyxia, during  a  convulsion
etc.  causes  death.  Treatment:  Tannin  at
first; emetics; stomaoh-pump; tea and cof-
fee;  ether or  chloroform inhalations; bro-
mide of potassium (dr.  ii); chloral (gr.  x)
to control  spasms;  nitrite of amyl; artificial
respiration.

      IV. THE STRONG ACIDS.

  These poisons destroy the  tissues with
which  they  come in contact.  When  dilut-
ed, they  cause inflammation; when  undi-
luted,  they  corrode  or  char.   Symptoms:
Mucous membrane of mouth  is whitened,
blackened, softened, or detached in parts;
intense thirst; burning and agonizing pain;
nausea; vomiting  of  parts  of the  mucous
membrane and matters  mixed  with  dark-
ened blood;  great  exhaustion;  rapid and
weak pulse; cold and clammy skin;  death
by  collapse. Treatment:   The stomach-
pump should not be used, and emetics must
be used cautiously, as the violent contrac-
tions of emesis are very  severe.  Give mag-
nesia;  chalk;  whiting; washing or baking
soda; soap and water,  etc.  Relieve the in-
tense  suffering  (morphine hypodermatic-
ally);  injections  of whiskey,  or  brandy;
friction; warmth.

         V.  THE ALKALIES.

  (See  Acids  for  symptoms,  etc.).  Treat-
ment:  If potash, soda,  ammonia, etc., has
been taken, give acids to neutralize its ac-
tion  (vinegar,  aromatic  sulphuric  acid,
lemon  juice,  etc.).  Subsequent treatment 
463
consists in the administration of mucilag-
inous drinks  (gruel,  acacia  water,  linseed
tea, etc.),  the whites of a couple of eggs, in
water, milk,  etc.
VI.  POISONING  BY  ARTICLES  OF
                 FOOD.

  Various kinds of  meat, sausage, fruits,
shell-fish, cheese, etc.  Symptoms:  Nausea;
vomiting; violent  cramps; diarrhea; pain;
great depression of vital  powers,  eto.  In
mushroom poisoning, symptoms of  narcot-
ism may be  present.  Treatment: Emetics;
oathartics;  stimulants for the  depression,
etc.
 GENERAL. TREATMENT  OF POI-
                SONING.

  1. Eliminate the Poison  from the stom-
 ach,  etc.  Emetics:  Sulphate of zinc (gr.
 x-xxx); mustard (dr. ii) in a glass of warm
 water; ipecacuanha  (gr.   xx-xxx);  tartar
 emetic (gr.  i-ii); sulphate of  copper (gr.
 li-v),  is  irritant  and may  increase  the
 poisonous effect; hydrochlorate of apomor-
 phine (gr. 1-10)  hypodermatically. Stomach-
 pump.
  2. Prevent the absorption of the  poison.
 This is done by giving a  chemical antidote
 which  combines  with the poison  in the
 stomach,  forming a substance which is in-
 soluble or inert.  In treating poisoning by
 vegetable  substances, give patient  a  pint
 of  water containing tannin  (gr. x-xx); or
 an  infusion of green tea, particularly when
 stomach-pump or emetics are not at hand.
 In  case where  the poisoning is by  salts
 or oxides (arsenic  and antimony excepted)
 of  the  metals, give patient the whites of
 two or three eggs in water to swallow;
 albumen  forms insoluble compounds  with
 most of  these poisons.  When the poison
is known, the  chemical  antidote can be
 readily given: as, for example,  sugar of
lead  or carbolic  acid  are  rendered inert
by  the use  of  a soluble  substance  like
Glaubers' or Epsom salt,  etc.   The  anti-
dotal  measures  are,  therefore,  chemical
and physiological.
  3. Relieve the  suffering of patient.  For
the  burning  pain  in the  stomach  and
bowels, give cooling, bland, and protective 
liquids  (olive oil) linseed tea,  mucilage of
acacia,  barley-water,  gruels,   etc.);   allay
the thirst (ice or ice-water); apply mustard
to pit  of  stomach, or  emollient  poultices
over  the  abdomen;  give  opium  (mouth,
enema,  or subcutaneously),  etc.


        GENERAL ANTIDOTE.

(1045)  B—Calcined magnesia,
        Powdered charcoal, aa gr. xl-dr. j.
        Hydrated sesquioxide of iron, oz.  i-11.
        Water,  q.  s.
      M.  S.  As a  general  antidote,  where
        the nature  of the poison is unknown.
NAMES OF  DISEASES.
Addison's disease— maladie bronzee—disease
  of the supra-renal capsules.
Albert's disease—fungoid  mycosis.
Aran—Duchenne's disease—progressive mus-
  cular  atrophy.
Argyll—Robertson pupil—one which changes
  In accommodation,  but does not respond
  to light.
Astley  Cooper's  hernia—femoral   hernia
  with a multilocular  sac.
Barton's  fracture—one  of the  lower  end
  of the radius  involving  the joint.
Basedow's disease—exophthalmic goitre.
Baudin's  law—antagonism of tuberoulosls
  and malaria.
Bazin's disease—buccal  psoriasis.
Beclard's disease—hernia through the saph-
  enous  opening.
Bell's palsy—paralysis of the seventh nerve.
Boyer's cyst—sub-hyoid  cyst.
Bright's disease—albuminuric  nephritis.
Brown-Sequard's combination of symptoms
  —hemiparaplegia  with  hemianaesthesia
  of the opposite side.
Cazenave's lunus—lupus  erythematodus.
Charcot's   disease—amyotrophic   lateral
  sclerosis.
Charcot's joint—the enlarged joint of loco-
  motor ataxia.
Cheyne-Stokes  breathing—ascending  and
  descending frequency of  respiration.
Cloquet's hernia—perineal  hernia.
Colles'  fracture—one  of  the lower third of
  the radius.
Colles'  law—that  of  non-infection of  the
  mother  by  her  syphilitic infant at  the
  breast. 
                     465

  Corrigan's  pulse—water-hammer pulse—the
   pulse of aortio regurgitation.
  Corrigan's  disease—aortic  insufficiency.
  Corvisart's facies—asytollc  facies.
  Chuveilhier's disease—simple  ulcer  of the
   stomach.
  Chuveilhier's paralysis—progressive  muscu-
   lar  atrophy.
 Donder's  glaucoma—simple  atrophio glau-
   coma.
 Dressler'a disease—paroxysmal  hemoglobi-
   nuria.
 Dubini's  disease—electrical chorea.
 Duchenne's disease—locomotor ataxia.
 Duchenne' s  paralysis—pseudo-hypertrophio
   paralysis.
 Duhring's disease—dermatitis herpetiformis.
 Dupuytren's disease—retraction  of the pal-
   mar aponeurosis.
 Depuytren's  hydrocele—bi-loeular  (en bis-
   sac)  hydrocele.
 B.  Wilson's disease—universal  exfoliative
   dermatitis.
 Eichstedt's disease—pityriasis  versicolor.
 Erb's palsy—paralysis of the brachial plex-
   us.
 Erb-Charcot disease—spasmodic  tabes dor-
   salis.
 Fouchard's  disease—alveolo-dental periost-
   itis.
 Friedreich's  disease—hereditary  ataxia.
 Gerier's disease—paralytic vertigo.
 Gibbon's  hydrocele—that  coincident with
  hernia.
 Gibert's pityriasis—pityriasis rosae.
 G. de  la Tourette's disease—moto inco-ordi-
  nation.
 Goyrand's  hernia—inguino-interstitial  her-
  nia.
 Graefe's sign—failure  of the upper lids to
  follow the  eyes  in descent.
 Grave's disease—exophthalmic  goitre.
 Guyon's sign—renal ballottement.
 Harley's  disease—paroxysmal  haemoglobi-
  nuria.
 Heberden's rheumatism—that of small  ar-
  ticulation with nodosities.
 Hebra's disease—polymorphus eyrthema.
 Hebra's pityriasis—pityriasis rubra chron-
  ica.
Hebra's prurigo—idiopathic prurigo.
Henoch's purpura—purpura with  abdominal
  symptoms.
Hesselbach's  hernia—femoral hernia  with
  a multilocular  sac. 
466
Hippocrates' facies—that  of agony.
Hodgson's disease—atheroma of the aorta.
Hodgson's    disease—adenitis—pseudo-leu-
  cocythemia.
Hugier's disease—fibromyomata of the uter-
  us.
Hutchinson's teeth—notched teeth  of her-
  editary  syphilis.
Hutchinson's trio  of  symptoms—notched
  teeth, interstitial  keratitis and otitis  of
  hereditary  syphilis.
Jacksonian epilepsy—focal epilepsy.
Jacob's ulcer—cancroid  ulcer.
Kaposi's disease—xerodermia pigmentosa.
Kopp's asthma—thymio asthma—spasm  of
  the glottis.
Kronlein's    hernia—inguino-properitoneal
  hernia.
Laennec's cirrhosis—atrophic cirrhosis.
Landry's  disease—acute ascending paraly-
  sis.
Laugier's  hernia—that  across Gimbernat's
  ligament.
Laber's disease—hereditary optic atrophy.
Levert's  law—marginal  insertion  of  the
  umbilical cord with a small  placenta.
Littre's hernia—diverticula  hernia.
Ludwig's  angina—infectious phlegmon  of
  the sub-hyoid region.
Malassez's disease—cyst of  the  testicle.
Meniere's  disease—labyrinthine vertigo.
Millar's  asthma—laryngismus   stridulus—
  spasm of  the glottis.
Morrand's foot—one with  eight  toes.
Morvan's  disease—analgesio  paralysis  of
  the extremities.
Paget's disease—pre-cancerous  eczema  of
  the breast.
Paget's disease—hypertrophied  deforming
  ostitis.
Parkinson's  disease—paralysis  agitans.
Parrot's  disease—syphilitic  pseudo-paraly-
  sis.
Parry's disease—exophthalmic  goitre.
Pavy's disease—intermittent albuminuria.
Petit's hernia—lumbar  hernia.
Pott's  aneurism—aneurism by anastomosis.
Pott's  disease—ostitis of  the vertebrae.
Pott's  fracture—fracture  of the  tibia.
Raynaud's  disease—symmetrical  gangrene
  of  the  extremities.
 Reclus'  disease—cystic  disease  of  the
  breast.
 Richter's hernia—parietal enterocele.
 Rivolta's  disease—actinomycosis.
 Romberg's  sign—ataxic  swaying   In  the
  dark or with closed  eyes. 
                   467

Rosenbaoh's  sign—abolition of the tbdomi-
  nal  reflex.
Soesnich's  ulcer—infectious  ulcer of  the
  cornea.
Stellwag's  symptom—retraction of the up-
  per  eyelid.
Stokes' law—paralysis  of muscles subjacent
  to  inflamed  serous  anl mucous  mem-
  branes.
Stork's blenorrhea—that of the respiratory
  passages.
Sydenham's chorea—chorea minor—common
  chorea.
Thomson's  disease—muscular  spasm  on
  voluntary movement.
Tornwald's  disease—inflammation  of  the
  pharyngeal  tonsil.
Velpeau's hernia—femoral  hernia in front
  of the  vessels.
Volkman's  deformity—congenital  tibio-tar-
  sal  luxation.
Wardrop's  disease—malignant  onychia.
Weil's disease—abortive typhoid fever with
  jaundice.
Werlhoff's  disease—purpura  hemorrhagica.
Westphal's  sign—abolition  of  the   knee
  jerk.
Willard's lupus—tuberculosis lupus.
Winckel's  disease—cyanosis  of  the  new-
  born. 
.468
                   FINIS.

  The following authorities have been freely
consulted in  the preparation of this  little
volume:
Barthoiow's Practice  of Medicine.
May & Mason's Index  of Materia Medica.
Powell's Essentials of Diseases of Children.
Naphey's  Medical  Therapeutics.
Martin's  Essentials of Surgery,  and  of  Minor
  Surgery.
Curtis'  General Medicinal  Technology.
Ashton's Essentials of  Obstetrics.
Hazard & Goldberg's  Medical Formulary.
Cragin's Essentials of Gynecology.
Elmer's Physicians'  Handbook.
Carpenter's  Index of  the   Practice  of  Medi-
  cine.
Stelvsagon's  Essentials of Diseases of the Skin.
M.  von T's  Physicians'  Interpreter.
Smart's Handbook for  the Hospital Corps of the
  U.  S. Army.
Gray's  Human  Anatomy.
Tanner's Diseases of Infancy and Childhood.
Dunglison's  Medical   Dictionary.
King's  Manual of Obstetrics.
The Times and  Begister, Philadelphia,  Pa.
The  Medical and Surgical  Reporter,  Philadel-
  phia, Pa. 
469
INDEX.
                                           Page.

 Abbreviations  and definitions of the proper-
                 ties of remedial  agents....  12
               table  of ...................   9
 Abdomen...........................72,  73  108
         wounds of  the  .......'.'.'.'. .~'....'. 147
 Abdominal   rings  .....................'.'.'.  73
 Abortion...........................'.'.'.'. 288
 Abscess  ..........................!!!!!! 368
         of  the brain ................'...'.'.'. 272
         of  the  liver ...................... 174
         retropharyngeal .................. 180
 Accidental  hemorrhage ................... 289
 Accidents  ...........•................... 149
 Acid  burns .............................'. 152
       poisoning  ......................... 462
 Acidity of  the stomach  .................. 368
 Acne   ................................115, 374
 Aconite poisoning  ........................ 459
 Addison's  disease  ........................ 156
 After-pains  .............................290
 Ague  ..................................368
 Air-passages, foreign bodies in  the  ........ 150
 Albinismus   ............................. 118
 Albumen tests  ..........................  80
 Albuminuria  ............................ 369
 Alcoholic stupor..........................  140
 Alcoholism  ..............................371
 Alkalies, poisoning by the ................ 462
 Alopecia  .............................119,  375
 Amenorrhoea  ........................278,  373
 Amyloid kidney  ..........................  208
         liver  ...........................  175
 Anaemia  ...............................159
 Anaesthesia  ............................  121
             local  .......................  373
 Anaesthetics, accidents from  ...........136,  373
 Anasarca ...............................  372
 Angina pectoris  ..........................  370
 Angioma  ................................  120
 Anidrosis  ................................. 110
 Ani, prolapsus  ...........................  439
 Ankle,  the   ..............................  76
        sprains  of the  ....................  154
 Anorexia  ...............................  372
Antagonistic action  of medicines   ........  45
Anteflexion of the uterus ...................284
Anteversion  of the  uterus  .................  283
Anthrax ...............................113
 Antidote  for poisons......................  464 
470
 Antiseptio dressings.......................  1^8
            formulae.....................374
            operations....................128
 Aniria.................................372
 Anus,  the...............................  73
      fissures  of  the......................  402
 Aortic insufficiency.......................  166
        stenosis..........................  106
 Aphonia................................372
 Apopiectio conditions.....................  138
 Apoplexy...........................94,138
 Arm,  the................................  78
 Arsenic  poisoning........................ 458
 Arteria innominata.......................  84
 Arterial  bleeding.........................142
 Arteries,  control  of....................... 144
 Artery (see individual arteries),
 Arthritis  deformans...................... 216
 Artificial  feeding......................... 298
            respiration....................134
 Ascites................................ 170
 Asphyxia..........................136, 373
         neonatorum.....................135
 Asteatosis..............................Ill
 Ast hina.............................04. 370
 Atelectasis............................. 245
 Atrophies...........:..................118
 Auditory  canal,  axis of the................  81
 Auscultation  in  children................... 108
 Axilla ry   artery......................78, 145
 Babes,  sedatives  for....................... 448
 Back, the...............................  85
      sprains  of   the....................... 154
 Balanitis...............................380
 Baldness___...........................119
 Bandages...............................127
 Barber's  itch.............................116
 Bedsores...............................380
 Belladonna poisoning..................... 461
 Bichloride  gauze........................127
 Bicipital  groove..........................  79
 Bile-ducts, catarrh of  the................. 175
 Bile-test...............................  89
 Biliary calculus.......................... 176
 Biliousness.............................376
 Bites of  insects,  etc....................... 378
 Black-eye..........................378, 379
 Bladder,  catarrh  of the................... 379
           irritable.................287, 378
           iritation of  the................. 287
 Bleeder's  disease......................... 157
 Blepharitis.............................380
 Blistering  fluids.........................  380
 Blood-forming  organs,  diseases of..........  155
 Boils..............................112, 376
Brachial  artery  .......................  78, 145
Brain, abscess of the  ..................... 272
       injury  of  the   .....................  137
       levels  of  the.....................  .  81
 Erea+h,   foetid   ..........................379
 Bright's diseases of the kidney.........70, 205
British  pharmacopoeial  weight  .............  25
Brornidrosis  .............................  110 
                       471

Bronchitis,  acute  ....................  247, 37<3
            capillary   ..................... 310
            chronic   ....................... 248
Broncho-pneumonia   ....................... 211
Bruises  .................................. 379
Bubo  .................................... 376
Burns,  (see also special  burns)___151,  153, 377
Buttocks,   the   ............................ 75
Calculi,  renal   ........................... 209
Callositas   ................................ 117
Calculus, biliary  ......................... 176
Cancer,  (see also carcinoma) ......  95,  121, 387
Cancrum oris  ............................ 178
Canities................................. 119
Cantharides poisoning  .................... 459
Capillary  bleeding   ....................... 142
           bronchitis   ..................... olO
Carbolic acid poisoning....................460
Carbucculus  .........................  112, 385
Carcinoma  ............................... x_i
          of the  intestines  ............... 195
          of the kidney...................210
          of the  liver  .................... 175
          of the  stomach  ................. 188
Caries ...............................  2S6, 3S5
Carotid  artery,  common  .................. 144
Carpus,  the  ..............................  79
Caruncle,  irritable  urethral  .............. 277
Catarrh................................. 385
       of the bile-ducts  .................. 175
       of the  bladder  .................... 379
Catarrhal pneumonia  ..................... 240
Catgut   .................................. 127
Cautery,  actual  ......................... 131
Cellulitis,  pelvic ......................... 278
Cement   ................................. 393
Cerebro-spinal meningitis  ................. 227
Chafing   ................................. 112
Chemicals,  solubility of  ..................  18
Chest, the  ...............................  84
        wounds  of  the  ................... 147
Chilblain   ............................153, 387
Children, examination of  ................. 107
Chloasma   ............................... 117
Chloral  poisoning ......................... 461
Chlorosis ........,........................160
Choking   ................................. 137
Cholera   ................................. 224
         infantum ...................319,384
        morbus   ........................ 195
Chordee................................... 390
Chorea  ...............................95, 381
Chromidrosis.............................. 110
Chromophytosis........................... 123
Clavicle, interval below the..  .............  84
Clavus  ................................... 117
Coccycodynia  ........................277. 393
Coccyx the  ...............................  75
Colds,  effects of  ......................137, 153
Colic ...............................197, 381
      gall  ............................... 380
      lead................................. 198
      menstrual  ......................... 381
      renal  ..........................209, 381 
472
 Colocynth poisoning  ......................  459>
 Coloring matters  in wine...................  393
 Coma ...................................  381
 Comedo .....................................  Ill
 Comparison  of thermometers...............   2»
 Compression,  cerebral  .....................  138
 Concussion,  cerebral......................  137
 Condylomata.............................382
 Congestion, hepatic........................  172
            of the  lungs...................  245
            renal  ........................  205
 Conjunctivitis............................  382
 Constipation.....................199,  :>24,  392
 Contusions ...........................] 4G,  147
 Convulsions  ..........................L'X'.i,  383
            in children  ...........139,  324,  383
 Copper salts,  poisoning  by  the.............  458
 Coraco-acromial ligament ..................   7S
 Corks, to render ether tight.................  393
 Corns  ...................................  117
 Cornu cutaneum .,....................'..'...  117
 Corrosive sublimate poisoning ..............  459
 Coryza, acute  .........................309,  386
 Cotton..................................  127
 Cough mixtures ...........................  388
       whooping  .........................  231
 Counter-irritants  .....................130,  428
 Cowling's  dose rule........................  93
 Crab-louse ...............................  123
 Cretinism  ...............................308
 Cricoid cartilage  .........................  83
 Crotor. oil  poisoning........................  459
 Croup  ...............................252, 391
       false..............................  254
 Croupous enteritis.........................  192
         pneumonia...................... 312
 Cupping _.................................  129
 Curettes.............................. 273
 Cystitis  ............................'...'. 391
 Dandruff  ................................ HI
 Defecation, painful  ..................'.'.'.'.. 429
 Delirium, traumatic  ...................... 397
 Dengue ................................. 099
 Dentition  ...........................303,  399
 Depilatory ..............................399
 Depletion  ............................... 129
 Dermatitis  ......................112, 113,  114
 Diabetes, insipidus ....................218, 394
          mellitus ...................216,  394
 Diarrhoea.....................97, 201,  319, 397
         acute mycotic  ...................  319
 Diet  tables for infants  ...............301,  302
Diffuse nephritis,  chronic .................  207
 Digestive system, diseases of the.......177, 314
Digitalis poisoning ........................  462
Dilatation of the heart  ...................164
          of the oesophagus  ..............  181
          of the stomach ................. 189
Dilators,  uterine  ......................... 273
Diphtheria ..........................233,  394
 Diseases,  feigned  .........................  94
          of  infancy  .....................304
          of women  .....................273 
                        473

  Disinfectants  .................             87
  Displacements of  the  uterus........     " 283
  Dissecting  wounds  .............''  "....... 14c
  Domestic  measures  ..........'."......' "  30
  Dorsal  artery of the foot .........'......78  145
  Doses for children...................... 13  93
        rules for  memorizing  .........'.'.'   '  91
        for  inhalation....................  50
        table of  ..................    .....  gl
  Drainage............................... 12'g
  Dressing  of the  infant.................... 295
  Dressings In surgery .........       ....... 127
  Dropsy.......................'.'.'.'.'.'.'. ;97,' 396
  Drowning  ..........................     13g
  Duodenitis  ................j " j......... 190
  Dysentery  ...................'.'.'.". 193," 322," 398
  Dysmenorrhoea  ..............          ^-q  395
  Dyspepsia ....................97,' 184,'317, 395
  Ear,  foreign bodies in the................. 150
        purulent  diseases  of  the .......... 440
  Earache  ................................ 400
  Ecchymosis  .....................'.'.'..'!!.  144
  Eclampsia  ......................'..'. ;289,' 324
  Ecthyma  ............................... 116
  Eczema ..............................'.'.'. 114
  Elbow,  bend of  the ................!!.'!!!   78
  Elementary  substances, table of............   17
  Elephantiasis  ........................... 118
  Embolism ............................... 161
  Emergencies ...........................[ ] 34
 Emphysema of the  lungs ................. 246
 Empyaema  .............................. 237
  Emulsion  of castor  oil..................... 429
 Encephalitis,  acute......................272
 Endocarditis............................ 166
 Endometritis...........................281
 Enteralgia..............................197
 Enteritis,   croupous................... 192, 400
             membranous............192, 400
 Entero-colitis,  acute......................322
 Epilepsy...............................401
 Epileptic  stupor......................... 139
 Epigastric artery........................   73
 Epistaxis..........................143,  157
 Eruption  of the  teeth................ 123,  303
 Eruptive  fevers.....................  38,  230
 Erysipelas..........................112,  261
 ErytLema..........................111,112
 Ether narcosis...........................  136
 Exacerbations............................  106
 Excoriations in  children...................  428
 Explosive  mixtures......................400
 Exposure  to cold..........................  137
 Eye,   black.........................378,  379
      burns of  the....................  152,  377
      foreign bodies  In  the................  149
 Face,  the................................  82
       wounds  of the......................  146
Facial artery......................... 82,  144
         vein...........................  82
Fainting,...............................  141
Fatty degeneration of the heart............  163
Favus..................................122 
474
 Feeding,  artificial........................  298
         infant.....................297,  302
 Feigned diseases.........................   94
 Femoral artery....................... 74,  145
 Fever blisters............................  113
       mixtures..........................  404
 Fevers (see Individual fevers). 98, 255,  401,  403
 Fibroma................................  120
 Fingers, sprains of the.....................  154
 Fish-skin disease.........................  118
 Fissures...........................402,  429
 Fistulae................................403
 Flatulence.........................403,  429
 Flesh-worms............................  Ill
 Food poisoning...........................  463
 Foot,  the.................................77
 Forearm,  the...........................   79
 Foreign bodies (see special  cases)..........  149
 Formulae,  antiseptic.....................374
           of hypodermatic medication......   47
           miscellaneous...............428
 Framboesia.............................118
 Freckle................................  117
 Frostbite..........................153,  402
 Furunculus  ........................112,  403
 Gangrene  ................................  404
 Gastralgia.......................186,  449
 Gastritis,  acute........................182
          chronio...................1S3
          toxic .........................184
 Gastrodynia ..............................449
 Gauze,  bichloride  .......................  127
        iodoform  ........................  127
 Glands, disorders of the .............110,  307
        lymphatic,  in  groin..........   74,  404
 Gleet  ................................407
 Glossitis...............................180
 Glottis, spasms of  the ....................  251
 Gluteal artery ............".............   75
Gonorrhoea a..............................405
Goiiorrhoeal  rheumatism  .................213
Gout....... ............................ 214
 Gunpowder stains.......................... 405
Gunshot  wounds  .........................146
Haematemesis  ................98,  143, 409
Haematuria ...................98,  144, 409
Haemophilia  .......................  143, 157
 Haemoptysis ..................98,  143, 410
Hair  tonic .............................430
Hand, the ............................   80
Hands,  dry, ointment  for...............430
       sweating,  ointment  for  ............ 430
Hay-fever .........................230, 410
Head, the .................................   81
Headache............................407
Heart,  the  ............................".'.'   84
        diseases  ...................162 410
Heat, effects of..................      '  151
„  ,. r»sh .........................'.... 113
Hectic fever .............................401
Hematocele,  pudendal  .................'.'. 275
Hemiplegia  ...................  "," '    " 412 
                       475

 Hemorrhage  ........116, 142, 143,  40S, 411, 425
            effects of...................... 142
 Hemorrhoids  .......................99, 410
 Hepatic  congestion........................ 172
 Hepatitis, parenchymatous  ................ 174
           syphilitic ....................176
 Hernia, pudendal ......................275
 Herpes  ................................... 113
 Hiccough  ..............................411
 Hirsuties  .............................118
 Hives  .................................112
 Hydrocephalus  ........................99, 270
 Hydrophobia  .......................... 99, 148
 Hydrothoiax  .............................238
 Hyperaesthesia of the vulva .................. 276
 Hyperanaesthesia  .......................121
 Hyperemesis  ..............................285
 Hyperidrosis  ..........................110
 Hypertrichosis  ........................... 118
 Hj pertrophies  ............................ 117
 Hypertrophy  of the  heart  ................. 164
 Hypochondria  ............................ 412
 Hypodermatic medication  ................. 133
 Hysteria   ............................. 99, 412
 Ichthyosis  ............................... 118
 Ilium,  the .........................^.. 73,  75
 Imperial  mea sure.........................  26
 Impetigo  ................................ 116
 Impotence.............................. 416
 Incontinence  of urine ............103, 2S7, 413
 Incompatibles  ...........................  39
 Index to physician's interpreter  ........... 367
 Indigestion ............................... 414
 Infant, care  of the  ....................... 291
        feeding   .......................... 297
 Influenza  ................................ 229
 Ingrowing toe  nail  ............•..........415
 Inhalation, doses  for  ....................  50
 Insensibility,   conditions  causing   .... 136, 137
 Insomnia  ................................ 413
 iLStrumfnts,  gynecological   ............... 273
 Insufficiency,  aortic  ....................... 166
              mitral  ...................... 166
              pulmonary  ................... j.67
              tricuspid j................... 166
 Intermittent  ............................. 107
            fever  ......................... 219
 Interosseous   arteries   ....................  79
 Interpreter, physician's  ................... 325
 Intestinal  worms  .................... 201, 456
 Intestines, cancer of the  ................. 195
           laceration of the  .............. 148
 Intussusception  .......................... 415
 Iodoform  gauze ........................... 127
 Iritis  .................................... 415
 Irritants  ...........................  130, 428
 Issues.................................. 131
 Itch  ..................................... 122
 Ivy  poisoning  ........................... 112
 Jaundice  ............................ 99, 171
Jaw,  lower ...............................  82
Joint, metacarpal of thumb ................  80
       sterno-clavicular   ..................  84 
476
 Joints, lines  of  ...........................  77
 Jugular  vein, anterior  .....................  83
              external   ....................  83
 Keloid  ..................................  120
 Keratitis  ................................  416
 Keratosis   ...............................  117
 Kidney,  amyloid .........................  208
          carcinoma of the.................  210
          diseases of the ..................  204
          hyperaemia of the  ...............  416
          laceration  of  the ................  148
          suppurative inflammation of the....  208
 Knee, the ................................   75
 Knuckles, the.............................   81
 Labor ...................................  417
 Landmarks, medical and surgical............   72
 Laryngismus stridulous  .................251,  324
 Laryngitis acute .........................  249
                  membranous............252
           chronic .......................  250
           spasmodic.....................254
 Lateral sinus .............................   81
 Lauder's metric dose rule...................   93
 Laxatives  ...............................  418
 Lead colic  ...............................  198
 Leeching ................................  132
 Leg,  the .................................   76
 Length of the new-born...................  109
 Lentigo  .................................  117
 Lepra...................................  120
 Lesions of the heart.......................  165
 Leucocythemia...........................  155
 Leucoderma  ..............................  118
 Leucorrhoea..........................278,  420
 Levels of the brain........................   81
Lice.....................................420
 Lichen ..................................  114
 Ligamentum patellae ......................   75
 Lightning stroke  ..........;...............  153
 Line, Nelaton's  ...........................   75
 Lineae transversae ........................   72
 Liniments  ...............................  419
 Liquores  ............................'...'.  419
 Liver, diseases of the  .................'...'  171
       laceration of  the  ...................  147
 Lobar pneumonia  ..........................  239
 Lobular pneumonia ........................  240
 Lochial discharge .......................''  290
 Locomotor ataxia .......................,\  421
 Longitudinal  sinus,  superior...............   81
 Lotions ..................................  420
 Lubricant for sounds, etc..................  428
 Lumbago ................................  422
 Lungs, congestion of the ..................  245
       emphysema of the  .................  246
       oedema  of  the....................  244
       outline of the .....................   85
Lupus...........................120, 121,  422
Lye-burns  ...........................153, 377
Lymphangioma...........................  120
Lymphatic glands in the groin..........74,  404
Machinery  accidents ..................... 149
Magendie's solution  .......................  427 
                       477

 Malarial  colic  ............................  1U8
          diseases  .......................219
 Malleoli  ................................   76
 Mammary artery, internal  .......'.!.'!.".'!.".'!   84
           glands,  painful  .................  287
           inflammation ..................424
 Mania, acute  .............................  423
        chronic ..........................423
        puerperal ........................424
 Marasmus ...............................424
 Mastoid process ................'.!'.!'.!!'.!".   81
 Measles ..............................'.".'.  260
 Measures, domestic ............!..!!"!!.!!   30
           metric .......................'.   25
           and  weights ...................   23
 Medicines,  antagonistics action  of ........  45
            administering  of  ..............  104
 Malaena  ................................  143
 Melanaemia  .....................!"".!!!!  158
 Melancholia   ............................  424
 Meningeal artery,  middle  .................   81
 Meningitis, acute .........................269
            cerebro-spinal  ...............   227
            chronic ......................  270
            tubercular ...................  271
 Menorrhagia ..........................279,  425
 Menstrual colic ...........................  381
 Menstruation  ............................'100
 Metric  volumes  to  spoonfuls...............   28
        weights and measures  ...........24,  25
 Matritls  ............................282,  426
 Metrorrhagia  ........................279,  426
 Miasmatic diseases .......................  224
 Miliaria  .............................110,  113
 Milium .................................  Ill
 Milk,  excessive flow  of....................290
       sickness  ..........................430
       sterilization  of  .....................  300
       substitute for  .........".............427
       suppression of  ......................  427
       teeth  ..........................123,  303
 Miscellaneous formulae ....................  428
 Mitral  insufficiency .......................  166
        obstruction  ......................  166
        regurgitation  ....................166
        stenosis  .........................  166
 Mixtures,  cough ..........................  388
           explosive  .....................  400
           fever  .........................404
           quinine,  non-bitter ..............  428
           salicylic, agreeable .............  428
 Mole ...................................118
 Molluscum epithelial? ....................  117
 Morphoea   ...............................  118
Mother, management  after delivery  .....290
Mouth,  the  ..............................   82
        wash   ...........................  429
Muguct  ...............................178
Mimps  ............................. 316,  427
Myalgia  .................................  427
Mycma  ..................................  120
Myxoedema of childhood .................  308
Naevus  .............................  118,  432 
                       478


 Names  of  diseases  .......................  464
 Nausea   ..................................  285
 Neck,  the  ...............................   83
       wounds of the.....................  146
 Nelaton's  line  ...........................   75
 Nephritis,  diffuse  ..................207,  430
             parenchymatous  .........205,  207
             suppurative  ..................  208
 Nerves,  (see individual nerves).
 Nervous  system,  diseases  of  the ..........  269
 Neuralgia  ................................  431
 Neuroma   ................................  120
 Neurosis  .................................  121
 New-born,  length of  the  ..................  109
            resuscitation of the ...........292
 New-growths .............................  120
 Nodes  ...................................  436
 Noma  ..............................178,  315
 Notes and  prescriptions  ..................  368
 Noxious  gases,  etc  .......................  136
 Nutrition, disorders of  ....................  211
 Nymphomania .............................432
 Obesity   .................................  432
 Occipital artery  ..........................   81
          protuberance   ...................   81
 Odontalgia   ......... ..............., „___43fl
 Oedema  of  the lower limbs................  286
         of   the  lungs  ....................  244
         of  the vulva .....................  287
 Oesophagitis  .............................  181
 Oesophagus, dilatation  of the  ............181
             foreign  bodies in  the  ........150
             stenosis  of the  ..............  181
 Oldberg's table for converting  apothecaries'
  weights and  measures into grams ........   26
 Olecranon process ........................   78
 Oligaemia   ......................'..'.'.'.'.'..' 159
 Onychatrophia   ....................'.'.'.'.'.!". 119
 Onychauxis   .............................. 118
 Onychia   .......................!!'.".'.'.!'.'.'. 432
 Operations,   antiseptic  ..........'...'.......128
 Ophthalmia  ...........................'".' 433
             neonatorum  ..................434
 Opium poisoning ..................          460
 Orchitis   .........................!!!'.!'.!! 433
Osmidrosis  ...................   .......... 110
 Otitis-.........................■.'.'.'.".■.'.'.' 435
 Otorrhoea..........................       435
Ovaritis.............................'.283, 436
 Oxalic  acid poisoning..................... 459
 Oxalurla................................ 435
 Ozoena..........................'.'.' ibb! 434
 Palmar arterial arches.................  80, 146
        furrows.........................  80
 Palpitation  of the heart.........100,  168, 288
 Paralysis...............................437
Parasites .................."."...'.".'.        ' 223
 Parasitic affections......................   122
 Parenchymatous  hepatitis...........".!"!"! 174
 t>   *,.,..        nephritis............205,207
 Parotid duct..............................  82
 Pediculosis................    ........123
 Pelvic cellulitis.......'.'......'   ...........278 
                      479

Pemphygus..............................119
Percussion  in  children.................... 116
Pericarditis.............................162
Perinephritis............................209
Perineum,  the.......................73,  74
Periostitis..............................436
Peritoneum, diseases  of  the................ 169
Peritonitis........................191,169
Perityphilltls...........................191
Peroneal  nerve...........................  76
Pertussis................................ 231
Phagadena.............................438
Pharangitis............................438
Phlegmasia dolens........................438
Phosphorous poisoning....................460
Phthisis  pulmonalis..................101, 241
Picrio acid  test...........................  90
Pins.................................... 127
Pityriasis...............................114
Placenta  praevia........................288
Plantar  arteries..........................  78
Plaster of  paris...........................• 442
Pleurisy, acute...........................236
          chronic........................237
Pneumonia,  broncho...................... 311
            catarrhal....................240
            croupous.....................312
            lobar.......................239
            lobular......................240
Pneumothorax...........................238
Podagra................................214
Poisoned wouods......................... 148
Poisoning, general treatment......<........ 463
Poisons  (see special  cases)................. 458
Popliteal  artery.....................76, 145
          bursa.........................  76
          tendons.......................  76
Posologlcal  tables... 13, 28, 47, 50,  51, 91,  93
Posterior  spinal  sclerosis.................. 446
Potash test ...............................  90
Potassium cyanide poisoning................ 461
Poupart's  ligament .......................  72
Powder  burns ............................ 153
         stains .......................... 405
Pregnancy, diseases  of.................285, 441
Prickly  heat   ............................. 113
Prolapsus ani  .........................101, 439
           uteri  .........................284
Prostatitis  .............................. 439
Protectives .............................. 127
Prurigo.................................. 115
Pruritus  vulvae  .......................... 275
Prussic acid poisoning ..................... 461
Psoriasis................................. 114
Ptyalism ................................439
Pubes, spine of the........................  73
Pudendal hematocele  ...................... 275
          hernia .........................275
Pudlc artery   .............................  75
Pulley for sup. oblique.....................  82
Pulse, the ....................46, 79, 106, 107
Purgatives ..............................418
Purpura  .................................116
         hemorrhagica ....................loo 
                       480


 Pustule, malignant ........................  113
 Pyaemia ................................  44°
 Pyelitis .................................  208
 Pyrosis  .................................  44°
 Quincy  .............................••■•  44d
 Rachitis ............................304,  443
 Radial artery ..........................80,  145
 Radius,  the  ..............................  79
         tubercles of  the  ..................  79
 Railroad accidents  ........................  149
 Rattlesnake  bite  .....................148,  443
 Rectum, the..............................  74
 Relapsing fever...........................  258
 Remission  ...............................  106
 Remittent  fever  .........................  221
 Renal calculi ............................   209
       congestion  ........................  205
       colic .............................  209
 Respiration, artificial..................134,  135
             in child......................  107
 Resuscitation of the new-born..............  292
 Retroflexion of  the uterus..................  284
 Retropharyngeal abscess ...................  180
 Retroversion  of  the uterus.................  284
 Rheumatism,  acute .......................  211
              chronic   ................102,212
              gonorrhoeal  ................  213
 Rhlnoscleroma ...........................  120
 Riclets..............................304,  443
 Ringworm   ..............................  122
 Rosacea  .................................  118
 Round worms ............................ 202
 Rubefacients  ........................130, 151
 Sacral vertebrae  ..........................  75
 Salivation   .............................. 285
 Saphena veins  ...........................  77
 Saphenous  opening .......................  74
 Sarcoma ................................ 121
 Sartorlus muscle  .........................  74
 Satyriasis   .............................. 444
 Scabies  ...................,............ 122
 Scalds ..............................151,  377
       of the throat ...................... 152
 Scalp, contusion of the.................... 146
       wounds  of the .................... 146
 Scarlet fever  ............................. 263
 Sciatica  ................................ 445
 Scleroma neonatorum...................... 118
 Scleroderma  ............................. Hg
 Sclerosis of the  liver  .....................  173
         posterior spinal  .................  446
 Scorbutus ...........................157,  305
 Scrofuloderma  ........................... 120
 Scrofulosis  ..........................102  306
 Scurvy .............................102,  305
 Seasickness  .............................445
 Seborrhoea  .............................. HI
 Sedatives for babes ...................... 448
 Seminal  disorders .....................     444
feton................................... 131
Seventh  nerve  ........................     82
 Shingles ................................ 113
 Shock  ............................       141 
                        481


  Shoulder,  bony points of the  .............  78
  Silk  ...................................127
  Sinus,  lateral ............................  81
         sup. longitudinal  ...................'  81
  Skin, diseases of the  ..................... 110
  Sleep  In children  ........................ 109
  Smallpox  ............................... 265
  Solubility of chemicals  ...................  18
  Sore  nipples  ............................. 290
  Sounds,  uterine  .......................... 273
  Spasmodic laryngitis  ......................254
  Spasm  of  the glottis  ..................... 251
  Specific gravity  of  the  urine  .............  89
  Specula ............................-___273
  Spermatic  cord ...........................  73
  Spice  plaster ............................  448
  Sponges .................................127
  Spoonfuls to metric  volumes  ...............   28
  Sprains  (see special sprains) ..............  154
  Steatoma  ...............................  Ill
  Steatorrhoea  ............................. Ill
  Steno's duct, wounds of ..................  146
  Stenosis, aortic.........................166
          mitral  .........................166
          of oesphagus ..................181
          pulmonary.........................  167
          tricuspid ......................167
 Sterilization of milk ....................... 300
 Sterno-clavicular joint  ......................   84
 Sterno-mastoid muscle  .....................   83
 Sternum, parts behind the ................   84
 Stings  of insects ......................  148,  378
 Stomatorrhoea  ..........................14o
 Stomach, acidity of the  .....................  368
          affections of the .................  449
          carcinoma  of the   ...............188
          dilitatlon of the ...................  189
          ulcer of  the  ................  187,  453
 Stomatitis ........................177,  314
 Stools of children  ........................  109
 Strangulation  ..........................136
 Strangury.............................446
 Strychnine poisoning....................462
 Sties .........................................  449
 Subclavian artery ..................  84,  145
 Sudamen  ...................................  110
 Sugar of lead poisoning  ..................  458
       test.............................  90
 Sunstroke .................................138
 Suprascapular artery  ..................  81
 Sweat glands  ............................110
 Sycosis  ................................116
 Symptoms of disease ..........................  108
 Syncope   .........................102, 141,  288
 Syncopic conditions  .#...................141^
 Synonyms  of  disease* .......................  31*
 Synovitis  ............................446
 Syphilis   .................................... 447
 Syphilitic hepatitis  .....................176
 Syphlloderma  .............................120
Tabatlere anatomique .................... 80
Tabes mesenterlca .......................... 449 
                      482

                                             201
Tape-worms...............................  T*q
Ta-tar  emetic poisoning  ..............••••  *°»
Teeth, milk........................1AJ'  ™%
       permanent ...................• • • •  ff5
Temperature  .......................      ini
            and  pulse  ..................• •  lu«
Temporal  artery  ....................   'o?q
Tents,  uterine ......................■ •  ■■"„
Tests  ...............................89,iiS
Tetanus  ................................14,£
Thermometers,  comparison  of  ............   £9
Tbich  the ..............................   29
Thread-worms ..........................*0"
Throat,  the   ...........................82,108
         examination  of the  ...............  108
         scalds of  the  ..................152
Thrombi sis  ............................161
Thrush.............................178,  315
Thumb,  metacarpal  joint  of...............   80
Thyroid  cartilages.......................   83
Tibial  artery,  anterior................77,  148
                 posterior...........77,  145
Tinea...................................  122
Tinnitus aurium.........................  449
Tobacco  poisoning........................  461
 Toe-nail, ingrowing.......................415
 Tongue  in disease.................... 109,  450
         fissure of the......................  429
 Tonics..................................451
 'Tonsillitis..........................316,  443
 Toothache.........................286,  436
 Tooth, bleeding from.......................  143
 Trachea,  divisions of  the.................   85
 Transfusion.............................132
 Triangular ligament......................   74
 Trichinosis..............................223
 Trichorexis nodose........................119
 Tricuspid Insufficiency....................  166
            stenosis......................167
 Trismus neonatorum....................449
 Trochanter  major........................  74
 Tubercular  meningitis....................271
 Tuberosities  of  the  humerus...............  79
 Tympanitis.............................451
 Typhilitis..............................190
 Typhoid fever.......................  255, 403
 Typhus  fever............................257


 Ulna, the............................  80, 145
 Ulcers  of  the stomach.................... 187
 Ulcers..................................453
 Ulnar artery.........................80, 145
 Umbilical cord, tying of................... 293
           stump, care  of................. 294
• Uraemia...............r   ............... 204
 Urethral  caruncle  ........................ 277
 Uric  acid diathesis........................453
 Uridrosis...............................110
 Urine,  examination  of the.................   88
         Incontinence  of............ 103, 287, 413
 Urticaria..............................112
 Utero-gestation, calculation  of the period of.   68 
                       483


 Uterus,  anteflexion of  the................. 284
        anteversion of the ................183
        hemorrhage from.............411, 425
        retroflexion of....................284
        retroversion  of...................284
        prolapsa of the.................... 284
 Uvula, relaxation  of  the................... 454
 Vaccination............................268
 Vaccinia................................268
 Vaginismus.............................276
 Vaginitis...............................277
 Valvular  lesions of the heart  ............. 165
 Vegetable rsrasitos .......................122
 Veins, (see individual veins).
 Venous bletding ..........................142
 Verruca   ............................. 117, H8
 Vertebrae, sacral..........................  75
            spines of the..............85,  86
 Vertigo.................................. 454
 Vesicants  ................................ 131
 ntilago   ................................. 119
 Volsella  forceps .......................... 273
 Vomiting   ....................... 109, 285, 454
 Vulva, hyperaesthesia of the.............. 276
        oedema of the .................... 287
 Vulvae pruritus...........................275
 Vulvitus  ................................. 273
 Warburg's tincture ,___.,................ 222
 Warts  . .......................117, 118, 382
 Washing of the infant ...................293
 Water-canker  ............................173
 Wax,  removal from ear.................429
 Weight of the child.......................109
 Weights,  approximate  equivalents  of  ......  24
          British   .........................  25
          nnd  measures  ...................  23
          metric.........................  24
 Whooping  cough   ....................231, 457
 Wickersheimer's  fluid  .....................457
 Women,  diseases  of  ...................... 273
 Worms,  intestinal.................. 201, 456
 Wounds,  (see  special  wounds)  ........144, 456
 Wrist, the..............................  79
       sprains of the..................... 154
 Xanthoma  ............................... 120
 Xerosis   .................................  118
Yellow fever  ............................. 259
 Young's dose  rule  ........................  93
 Zinc salts,  poisoning  by the ..............  458
Zoster....................................  113
Zygoma, the ..............................  82
»-^»£5*^«f-* 
 
Does  not depress the  Heart.
FEBRlCIDg
     The Best of ail Antipyretics.

 Relieves Pain Promptly.
 Reduces Fever Quickly.
 A Restorative of the Highest Order.
 An Anodyne of Great Curative Power.
 Uniform Dose—One Pill.
 All cases of croupous or lobar Pneumonia were
treated in the Medico-Chirurgical Hospital of
Philadelphia, with Febricide Pills (one being
given every four hours as a rule), and with hot
poultices  externally.  All ended in recovery
One case which was apparently moribund when
admitted, also recovered-
          John A. Reyburn, M. D.,
                  Resident Physician.
Columbia  Chemical  Co.,
Washington, D. C.
Sample Free.- 
         *»THE»*

Times and Register
          IS THE BEST
    Weekly Medical Journal
          PUBLISHED AT
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ENLARGED and IMPROVED
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Is often flavored with Semi-Magazine Articles
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DlABETIN—SCHERING
 The only innocuous and palatable sugar to be used
In diabetes, possessing the particular advantage of
being a nutriment to diabetic patients.  Blabetln is
highly Indorsed by Professors Ebsteln, Kuelz, Ley-
den and others.
 Formalin—Schering

  An ideal germicide, disinfectant, deodorant and
anti zymotic, having the same germicidal power aa
corrosive sublimate without its toxicity. Invaluable
In the  disinfection of the  sick-room, furniture,
clothes, books, brushes, etc.



Trikresol—Schering

  Unlike creolin and lysol It contains the cresols;
ortho-cresol, meta-cresol and para-cresol in a pure
Btate and Is always of uniform 100 per cent, strength.
It Is a water-white, clear liquid of pleasant creosote
like odor and dissolves in about 40 parts of water.
which proves that it Is absolutely free from neutral
oil, naphthalene, etc.  Trikresol will not corrode
metals.  Trikresol is cheaper than tbe impure
cresol products creolin and lysol, considering the
active component parts of cresols in the former.



Creosote  Carbonate


          (creosotal)


               —Yon  Heyden

  The best form of Beech wood Creosote, devoid of its
harmful properties. It contains 92 per cent, ot tbe
purest beech wood creosote in chemical combination
with 8 per cent, of carbonic acid. Its action is non-
caustic and non-irritating to the mucous membrane
of the digestive organs, contrary to that of creosote;
and  it will agree perfectly with the most sensitive
patients,
su2£'s.  SCHERING &  GLATZ,


       55 Maiden Lane, New York.
Literature Furnished on Application. 
BOVININE
   A Condensed Food
 I HE ACUTELY SICK,  as well as chronic
   invalids, are starved daily while using
beef tea, calfsfoot jelly, and the various beef
extracts made by application of heat. None
of these things contain a particle  of nutri-
tion,  nor do they  contribute  anything  for
the support  of the vital processes,  but  act
solely as stimulants, not restoratives.
               holds in solution  the
               albumoids and salts of
lean, raw meat, prepared by a cold process,
containing the life-sustaining and tissue-build-
ing properties of the  meat itself.  Contains
no medication whatever.  Put up in 6 and 12
oz. bottles, at 60 cents and fi.oo. 12 oz. con-
tains the strength of 10 pounds of meat.

  THE BOVININE COMPANY.
         PRINCIPAL OFFICE,

65  SOUTH FIFTH AVENUE, NEW YORK.

      LONDON.     CHICAGO.

  Samples to Physicians on Application.
BOVININE 
Somatose:

             A  Nutriment.
Indicated in fevers, gastric affections,
  anaemia, phthisis, convalescence,
    and as a food for infants.
$
*
      Somatose  is  a  light,   yellow,
    somewhat granular powder soluble
    in aqueous  fluids,  odorless  and
    practically tasteless.  It is prepared
    from meat and contains the album-
    inous elements of  the latter in a
    soluble  and  highly concentrated
    form. The salts present in Somatose
    correspond to the nutritive salts of
    fresh meats, among which occurs  S
    the  phosphate  of potassium  so  %
    important in  the  formation  of  A
    muscular and cellular tissue. Soma-  '
    tose consists essentially  of album-
    oses,  which  have  the  advantages
    over  peptones of being completely
    utilized  within  the organism ; of
    being tasteless and  odorless,  and  W
    well borne by even the most sensi-  w
    tive stomach on  account of their
    freedom from irritating properties.
      Somatose is prepared by the Far-
    benfabriken vorm. Friedr. Bayer &  a
    Co., Elberfeld.

     Send for circulars containing full infor-
    mation as to the value of Somatose.
     Full Descriptive Pamphlet mailed to
    applicants.

    W.  H.  Schieffelin  & Co.,

              NEW  YORK,           £
    Sole Agents for the United States.

• +,%, * <%. -%■ %. "%. • •• <%^ ^ -%> <%. ^-% •
t 
"THE  IDEAL ALTERATIVE
     AND  DOES NOT PRODUCE
          STOMACHIC DISTURBANCES."
CHAS. ROOME PARMELE CO.,            98 William Street, New York. 
        THE QUESTION OF


    FEEDING
In  Acute   Diseases.
  A tablespoonful of PROTEINOL can and
    will be retained where a few drops of
      Concentrated Food is rejected.
  PROTEINOL

  A PALATABLE, NUTRITIOUS, TISSUE FORMING
       STIMULANT RECONSTRUCTIVE.

  To repair the excessive losses incurred by the
 combustions of the febrile process, nutrients are
 indicated; and clinical experience has demon-
 strated that PROTEINOL, containing, as it does
 all the elements of nutrition, is the ideal food.

 P R D T FI M f) I  supplies a pleasant, easily
 I l\\J 1 LinUL  digested concentrated fatty
 food, with added PROTEIN and  CARBOHY-
 DRATE elements, assuring it a  pronounced
 dietetic in addition to its distinct value as a
 HYDRO-CARBONACEOUS food. Makes tissue,
 supplies heat and energy, and  through natural
 salt constituents assures perfect bone develop-
 ment.

 PRDTFIMDI  Possesses SAPIDITY, and
 1 1VW 1 L1MUL through this valuable attri-
 bute is taken with pleasure by the patient,
 stimulating the gustatory nerves, increasing the
 alimentary secretions, insuring the easy diges-
 tion and prompt assimilation of PROTEINOL.
 PRDTFIMfll  is adapted to the Strumous,
 iriUlLIHUL Rachitic, Syphilitic, Mer-
 curial, Plumbic, Paludal or Malarial cachexia;,
 and is especially valuable in PHTHISICAL cases
 or those pulmonary troubles with a tendency to
 chronicity and attendant  emaciation.  In any
 case, no matter what the specific disease, if there
 be  Wasting, and there be immediate need of
 tissue forming or building food, PROTEINOL
 should be given continuosly, a tablespoonful
one-half an hour after each meal and at bedtime,
to adults ; a teaspoonful or more to children.


    THE  PROTEINOL CO.,

Robt. Kennedy, Jr., M. D. NEW YORK, N.Y..U. 8. A. 
1 Aconitinegr. 1-134
2 Digitalin gr. 1-67
3 ,ftyoscyamine gr. 1-250
4 Codeine gr. 1-67
5 kPodophyllin gr. 1-6
"6 Strych. Arsenlate gr.1-134
T ACopper Arsenite gr 1-1000
8 Quinine Aroeniate gr 1-67
                A  Great  Of>x»o«rt-ta.mLit:y

TWO  DOLLARS  GIVEN   AWAY.
For a short time we will send  this  elegant vest-pocket case filled, with
any nine of the following partial list of our Alkaloidal Granules (100
of a kind) as a premium to every new subscriber sending $1.00 for a year's
subscription  to THE ALKALOIDAL  CLINIO,  a monthly  journal
devoted to the therapeutics of the active principles.
  Gentlemen:—Enclosed please find order for granules. I have used the various gran-
ules made at home and abroad, and find yours the very best, " Chantaud's " not ex-
cepted  Keep them to their present standard, and if once used^others will never be
substituted.
  Select by Number and Mention this Journal.
 9 Glonoin(Nitro-Gly)gra-250
10 Aloin gr. 1-12
11 Acid Arsenious gr. 1-67
12 Atropine Sulphate gr.1-500
13 Brucine gr. 1-134
14 Calcium Sulphide gr. 1-6
15 Calomel gr. 1-6
16 C'mp'rMono-Brom.gr.1-6
17 Colchicine gr. 1-134
18 Emetine gr. 1-67
19 Ergotin gr. 1-6
20 Lithium Benzoate. gr. 1-6
21 Morphine Sulph. gr. 1-12
22 Quassin gr. 1-67
23 Veratrine gr. 1-134
  J. T. YOURTEE, M. D.


24 Zinc Sulpho carbolate 1-6
25 Antic'nstlp't'n (Waugh's)
26 Anodyne for Infants
27 Caflfeine gr. 1-67
28 Cicutine gr. 1-134
29 Mercury Protoidide gr.l-fl
30 Iron Arsenlate gr. 1-67.
     If vou are not sati«f led on receipt of the case and one copy of the journal, send back the goods and we will refund
vonr money. No better value was ever offered for *1.00  Send for price list and bterature.
your money, no newer vai      the ABBQTr  ALKALOIDAL CO., RavenswOOd, Chicago, III.
PLEASE STATB WHERE YOU SAW THIS "AD." 
A Unique and National Standard
     Preparation in the
>
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     Hayden's Viburnum Compound,

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spasmodic affections of  Men, Women
and Children.  Perfectly safe,  prompt
and  reliable.   Free from all poisons
and without sequalae
  Twenty-five  years  in the hands  of
the  Medical  Profession, and endorsed
by the most eminent physicians in this
country.
  All reliable druggists.  Send  for our
large hand-book, free.


       The New  York

       Pharmaceutical Co.,

Bedford Springs, Mass.----    ■> 
    THE  Composi-
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Linotype Ma-
chines.  Estimates
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given.
.11.. -ill.-.l
I1i..iIIi..iIIi.,iI1i..iIIi..i1Ii
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country.  Circula-
tion 
Travel  south
        ......BY WAY OF THE .....

S.  A; L, Pa. Railroad—^^
            ......FROM......

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      ......CONNECTING WITH THE......

Bay  Line Steamers
   Baltimore which leave at 6.00 P. M.

  All trains  reaching  Baltimore by 5
P. M. can connect with the Bay Line
Steamers.  This is the most pleasant
route between the North and South.
giving a  good  night's rest  on  the
magnificent Bay Line  Steamer and an
all day  ride through the  States of
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Southern Pines at Six in the  afternoon,
Charlotte at g 4.5.  For information and
maps of Southern  Railroad  and  time
tables.  Address.

  T. J.  ANDERSON, G. P. A.
Portsmouth,
Virginia. 
 A Home  in the South

           During

           the

    ♦    Winter

           Months

  ______Prolongs Life.


      If you wish to spend the
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     little cottage and be more
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      The undersigned  will act
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     to come South.


Jno.  T.  Patrirk

     Southern  Pines,  N. C. 
^^-4h&^$h«h*h&4hs;
IPiney Woods
         Inn,-       ^
          Southern Pines, N. C.  $
     ....Amid the Long Leaf Pines....
<&
  This hotel is supplied with
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 is  conducted  by hotel  peo-
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  Prices reasonable.
  Hotel open from October ist,
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 For circulars and terms address,

     JOHN  T. PATRICK,

         -Southern Pines,  N. C.
&
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4
$3fc.sJhHHv^MHJHJ?. 5fc: 
TABLES  AND  NOTE



    ....OF HUMAN  OSTEOLOGY


   For the use of Practitioners and

        Students of Medicine


              —BY—



   SEBASTIAN J. WIMMER, H. A., H. D.,

 Member of tbe  Metropolitan Medical  Society;
   Alumni Association of the New York College
     of Physicians and Surgeons (Columbia
        College); New York Press
             Club; etc., etc.


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PRICE,  $1.00.
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                .PHILADELPHIA, PA. 
Every Well  Equipped Doctor
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           Prescribes Sterilizers.
    WILMOT  CASTLE &  CO.

         ROCHESTER, N. Y.

      Manufacture the Best

Physician's  Sterilizers,

      Hospital  Sterilizers,

            Laboratory Sterilizers,

Family Sterilizers and Pasteurizers,

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TELEPHONE          PHILADELPHIA, PA.
   CONNECTION. 
  the  "Yale"  Surgical Chair


                              IT HAS

                            NO EQUAL

                             In range of

                            Movements

                            and Posi-

                            tions, and

                            ease of  Ad-

                            justment.


 The "YALE" is the most complete Chair  ever
offered to the Surgeon, Gynaecologist, Oculist or
Aurlst. Every position known to the profession is
easily and quickly obtained. Has the largest range
of movements. Can be firmly locked in any desired
 Sositlon.  Does away with moving  patient to get
 orsal position. Secures the most desirable inclina-
tions for tbe Sim's position. Can be raised, lowered,
revolved or tilted with patient In position to sret tbe
best lights. It is the Strongkst and Most Substan-
tia!. Chair Made.
        Manufactured Exclusively by

 The Canton Surgical and Dental Chair Co.,

           CANTON, OHIO.



    ERGOT012E.S.&D.


z\ times the strength  of Fld. Extr. Ergot.

   Keeps in any climate.  Can be used

       hypodermically.   Ergotole



NEVER NAUSEATES.


  It is always reliable.  50 cents net per

    oz. to  the  protession. For  sam-

      ples  and literature address

        the sole  manufacturers.



     SHARP  &  D0HME,


            (Established i860.)


Western Branch,  General Offices,  Laboratories.


     Chicago.     New York.     Baltimore, 
  Contains dissolved in Wine, the active princi-
ples of Cod Liver Oil recently discovered by
M. M.  Gautier and Mourgues,  together  with
four grs. Peptonate of Iron in each fluid ounce.

INVALUABLE IN______    -
     ANAEMIA,
Chlorosis,  Loss of Appetite, Conva-
  lescence and for Women Recover-
        ing from Ch ild-Birth.
   WRITE  FOR SAMPLES AND LITERATURE.
  FREDERICK  STEARNS  &  CO.,
Manufacturing Pharmacists,       Detroit, Mich.
 '  The Old  Song Says ^
  "Men must work and women must
 weep." We say  "Doctors  will use
 As-Par-O-Line Compound and Women
 will smile."  As-Par-O-Line Com-
 pound relieves Amenorrhcea, Leucor-
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 the Indiana Medical Journal says
 —unsolicited—that  As-Par-O-Line ,i|
i, Compound is "popular with the ultra-  I
1 ethical." We publish the formula be- ,||
 low, and the results of  its  use will  I
 speak  for themselves.   If you will ,||
 send us your name, we will send you  I
 enough—free—to  make  one woman
 smile.  May we ?  Prepared solely by
   HENRY K. WAMPOLE &  CO.
 Pharmaceutical Chemists.  Phila., Pa.

   Formula—Parsley Seed, 30 grs.: Black
 Haw (bark of the rool)> ''0 grs.; Aspara-
  fus seed, 30 grs.; Gum Guaiacum, 30 grs.,
  [enbane Leaves, 6 grs.; Aromatics.
   To each fluid ounce.                ,i 
Memoranda and Tables

            ....OF....







       VOLUME  I.
  Being a Complete Description of the Muscles.

Ligaments, etc. for the  use  of  Practitioners

and Students of Medicine.----       ""'l
                 ....BY....


  JUSTIN  HEROLD, A.  M., M. D.,

Formerly House Physician and Surgeon to St. Vin-
 cent's Hospital, New York; Ex-Deputy Coroner
   of New York; Member of the New York
    County Medical Association; Physicians'
       Mutual  Aid Association, etc., etc.

                ....AND....


SEBASTIAN J. WIMMER, M. A., M. D.,

Author of "Tables and Notes on Human Oste-
 ology;" Author of "The  Physicians' Vade Me-
   cum;" Member of the Metropolitan Medical
    Society; Alumni Association of New York
      College of Physicians and Surgeons
       (Columbia College);  New York
            Press Club,  etc., etc.
           WITH A PR.EFACB BY


PROF.  JAMES E. GARRETSON^ A. M., M. D.
PRICB,  &1.SO.
      philadelphia, pa.

The  Medical Publishing Co.,

      718 betz building.

            1894. 
A  Practical  Theory
      ^    4nd Treatment of
    Pulmonary Tuberculosis,
...BY...
FRANK S. PARSONS,  M. D.
    (Editor of Times and Register.)
   PAPER COVER,
Price,  25  Cents.
        PUBLISHED BY

THE MEDICAL  PUBLISHING  CO.,

     718 Betz Building,
              -PHILADELPHIA, PA. 
Gardner's


    CHEMICALLY PURE

    HYPOPHOSPHITE SYRUPS.

Syr. Hypophos. Soda.
          £yr. Hypophos. Potass.
Syr. Hypophos. Lime.
          Syr. Hypophos. Manganese.
Syr. Hypophos. Iron.
          Elix. Hypophos. Quinine.
                         (Soluble.)

  Prescribe the truly indicated salt only.
Avoid contra-indicated and antagonistic
bases. Scientific methods and pure rem-
edies will give you BEST RESULTS.
  Literature to Physicians only, without
charge.

Specify Gardner's. Take no substitutes.

      R. W. GARDNER,

Pharmaceutical Chemist,

       158 William Street, New York.
         Dr. Martin's


  VACCINE    VIRUS.

 Fully Warranted and Guaranteed to be
   the Best Vaccine Lymph produced.

 Dr. Francis C. Martin, the only surviving son
of the late Dr. Henry A.  Martin (who intro-
duced animal vaccination into America in 1870),
has  been devoted to the subject of vaccinaton
for nearly twenty years, and continues  unin-
terruptedly the  propagation of pure animal
vaccine lymph commenced by his father. All
genuine Dr. Martin's  Vaccine  Virus must be
obtained directly from him. Every package
bears the fac-simile of the  signature of Henry
A. Martin.

      10 Large Ivory Points, $1.00.
             2 Points,  25c.
     ADDRESS

       DR. FRANCIS C. MARTIN,

Roxbury Station,             Boston,  Mass. 
 
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