WYETH'S HAND-BOOK 
OF 
MEDICAL AND SURGICAL 
REFERENCE. A HAND-BOOK 
OF 
MEDICAL AND SURGICAL 
REFERENCE. 
BY 
.TOH 1ST A.. WYETH, M.D., 
MEMBER OF THE NEW-YORK PATHOLOGICAL SOCIETY, MEMBER OF THE 
NEW-YORK COUNTY MEDICAL SOCIETY, ASSISTANT DEMONSTRATOR 
OF ANATOMY AT TI^E. BSftlA^nE HOSPITAL 
NEW-rORK : 
WILLIAM WOOD & CO., 
27 Great Jones Street. 
1873. Entered, according to Act of Congress, in the year 1873, 
By JOHN A. WYETH, 
In the Office of the Librarian of Congress, at Washington. TO THE YOUNG MEN 
OF THE 
4 ijtad ^tai^ 
WHO ARE AMBITIOUS TO SUCCEED, 
®bt Author btgs Itabe to ^nscribt t^is Attempt at 
Slstfuhttss. PRE FAC E. 
Beyond the manner of condensation of important 
facts for convenient medical and surgical reference, 
the author of this little work lays no claim to origi- 
nality. 
For the chapter on poisons, he is indebted to a valu- 
able work by Dr. J. W. Howe, entitled, Emergencies 
and how to treat them ; and to Dr. C. W. Wright, late 
Professor of Chemistry in the University of Louis- 
ville. 
The remarks on surgery are almost wholly taken 
from Gray, Erichsen, and Hamilton; and the medical 
facts are from Flint's Practice of Medicine. 
The urinary tests are from the Examination of 
Urine, by Professor A. Flint, Jr. 
Besides recipes gathered from lectures extending 
through several years, in various medical colleges in 
the United States, many of the formulae are taken 
from the U. S. Dispensatory, Eberle's Therapeutics, 
Ellis's Formulary, and other works of the same class. 
The page entitled " Rules to be observed in prescrib- 
ing Medicines" is from Wythe's Dose-Book. 
The author is aware that a series of medical formu- 8 
PREFACE. 
lae, with the statement that each is recommended, or 
has proven useful in a given disease, may be deemed 
suggestive of routinism. Such is not the intention of 
this work. Out of the numerous formulae given as 
useful in any disease, the intelligent physician must 
see that it is left to his own scientific discrimination 
to determine which one may be indicated in the disease 
he is treating, and at what particular stage of that 
malady the remedy is applicable. 
While this "Hand-Book of Reference" is intended, 
mainly, to assist the young practitioner in his labors, 
the author believes that it contains many facts that 
will prove useful to older members of the profession, 
especially those living more remote from the great 
centres, where new ideas are earliest promulgated and 
first put in practice. 
187 Lexington Avenue, 
New-York. October 1, 1873. CONTENTS. 
CHAPTER I. 
Apothecaries' Weight-Wine Measure-Domestic 
Measure-French Metrical Weights compared with 
Avoirdupois and Apothecary Weights-Rules to be 
observed in prescribing Medicines-Frequency of the 
Heart's Action-Normal Temperature of Body-Table 
of Abbreviations-A Tabular View of the Doses of 
the Principal Articles of the Materia Medica. 13-37 
CHAPTER II. 
Toxicology.-Poisons, Antidotes, and Treatment. 
Narcotics.-Opium-Belladonna-Hemlock-Hyoscy- 
amus - Aconite -Tobacco-Digitalis-Stramonium- 
Lobelia - Mushrooms-Yew-Trees-Camphor-Alco- 
hol - Chloroform - Ether - Chloral - Hydrocyanic 
Acid - Woorara - Calabar Bean - Upas-Tree-Nux 
Vomica. 
Irritant Poisons.-Cantharides-Oil of Savine-Cro- 
ton Oil-Colchicum-Veratria-Hellebore, etc. 
Metallic Poisons.-Arsenic-Corrosive Sublimate- 
Copper - Lead-Tartarized Antimony-Zinc-Nitrate 
of Silver-Phosphorus-Salts of Baryta. 
Corrosive Acids.-Oxalic Acid - Sulphuric Acid - 
Nitric Acid-Muriatic Acid-Carbolic Acid. 
Corrosive Alkalies.-Carbonate of Potassa-Caustic 
Potash-Nitrate of Potassa - Salts of Soda - Am- 
monia. 
A Synopsis of Poisons and Antidotes. 38-62 10 
CONTENTS. 
CHAPTER III. 
Ligation of Arteries. - Arteria Innominata- 
Common Carotid-External Carotid-Superior Thy- 
roid-Lingual-Temporal-Facial-Internal Maxillary 
-Internal Carotid-Subclavian-Axillary--Brachial- 
Radial-Ulnar-Common Iliac-Internal Iliac-Exter- 
nal Iliac-Femoral-Popliteal-Anterior Tibial-Dor- 
salis Pedis-Posterior Tibial. 
Hemorrhage. - Arterial Hemorrhage - Epistaxis - 
Pulmonary Hemorrhage-Hemorrhage from the Sto- 
mach. 
Drowning - Laryngotomy - Tracheotomy - Sun- 
stroke - Lightning - Epilepsy-Apoplexy-Venesec- 
tion-Burns and Scalds-Snake-bites - Hydrophobia 
-Post-mortem Wounds. 63-86 
CHAPTER IV. 
Hernia.-Inguinal-Femoral. 
Dislocations.-Lower Jaw-Shoulder-Joint-Elbow- 
Joint- Wrist-Hip-Joint - Patella - Knee-Joint - 
Ankle. 
Urinary Tests.-Properties and Composition of the 
Normal Urine--Albumen-Sugar-Bile-Urea-Chlo- 
rine-Phosphoric Acid. 
A Summary of the differential Characters of Variola, 
Scarlatina, Rubeola, and Roseola. , 87-104 
CHAPTER V. 
Alteratives-Antacids-Antemetics -Anthelmintics 
-Antilithics-Antispasmodics. 105-145 
CHAPTER VI. 
Astringents-Cathartics - Diaphoretics - Diuretics 
-Dietetic Preparations-E metics-Emmenagogues- 
Expectorants. 146-189 CONTENTS. 
11 
CHAPTER VII. 
External Applications - Escharotics-Blisters-In- 
halations-Narcotics-Liniments-Lotions-Gargles- 
Ointments. 190-234 
CHAPTER VIII. 
Poultices-Rubefacients - Sedatives-Stimulants- 
Tonics-Collyria-Injections for the Ear-Nasal In- 
jections-Urethral Injections-Vaginal Injections- 
Enemata. ' 235-268 
INDEX, 269-279 CHAPTER I. 
TABLE OF WEIGHTS AND MEASURES. 
apothecaries' weight. 
Pound. 
Ounces. 
Drachms. 
Scruples. 
Grains. 
ft 1 
= 12 = 
96 = 
288 = 
5760 
§ 1 = 
8 = 
24 = 
480 
3 1 = 
3 = 
60 
9 1 = 
20 
apothecaries' or wine measure. 
Gallon. Pints. Fluid ounces. Fluid drachms. Minims. 
Cong. 1 = 8 = 128 
0. 1 = 16 
1 
= 1024 = 61440 
= 128 = 7680 
= 8 = 480 
fjl = TH. 60 
The drop of water is about equal to a minim, 
60 drops being equal to a fluid drachm. It is im- 
portant to bear in mind that this is by no 
means the case with other fluids; for example, a 
minim of the tinctures being about equal to two 
drops, or 120 drops to the fluid drachm. 14 
HAND-BOOK OF MEDICAL 
DOMESTIC MEASURE. 
A tea-cupful is considered equal to 4 fluid ounces. 
A wine-glassful " " 2 " 
A table-spoonful '' " -J- " 
A tea-spoonful " " 1 fluid drachm. 
A TABLE OF THE NEW FRENCH METRICAL WEIGHTS 
COMPARED WITH AVOIRDUPOIS AND APOTHECARY 
WEIGHTS. 
Names. 
' Equivalent in 
Grammes. 
Equivalent in 
Grains. 
Equivalent in 
Avoirdupois 
Weight. 
Equivalent in 
Apothecaries' 
Weight. 
Milligramme 
Centigramme 
.001 
.01 
.0154 
.1543 
lb. 
OZ. 
gr- 
lb. 
5 
3 
gr. 
.1 
Decigramme 
.1 
1.5434 
1.5 
Gramme 
1. 
15.4340 
15.4 
Decagramme 
10. 
154.3402 
OSj 
45. 
2 
34. 
Hectogramme 
100. 
1543.4023 
3k 
3$ 
12.152 
3 
1 
43. 
Kilogramme 
1000. 
15434.0234 
2 
12.173 
2 
8 
1 
54. 
Myriagramme 
10000. 
154340.2344 
22 
0% 
12. 
26 
9 
4 
20. 
RULES TO BE OBSERVED IN PRESCRIBING MEDICINES. 
In prescribing, the following circumstances 
should always be kept in view: Age, Sex, Tem- 
perament, Habit, Climate, and Idiosyncrasy. 
Age.-For an adult, suppose the dose to be 
one, or 1 drachm. AND SURGICAL REFERENCE. 
15 
Under 1 year will require only l-12th, or 5 grains. 
" 2 years " " " l-8th, " 74 " 
" 3 " " " " l-6th, " 10 " 
" 4 " " " " l-4th, " 15 " 
" 7 " " " " l-3d, " 1 scruple. 
14 " " " " 1-2, " i drachm. 
20 " " " " 2-3ds, "2 scruples. 
Above 21 years the full dose, one drachm. 
Above 65 years the inverse gradation of the 
above. 
Opiates affect children more powerfully than 
adults, but children bear larger doses of calomel 
than adults. 
Sex.-Women require smaller doses than men; 
they are more rapidly affected by purgatives 
than men, and the condition of the uterine sys- 
tem must never be overlooked. 
Temperament.-Stimulants and purgatives 
more readily affect the sanguine than the phleg- 
matic ; consequently the former require smaller 
doses. 
Habits.-The knowledge of habits is essential. 
Persons in the habitual use of stimulants and 
narcotics require larger doses to affect them 
when laboring under disease, while those who 
have habituated themselves to the use of saline 
purgatives are more easily affected by these 
remedies. Persons, however, who have habi- 
tuated themselves to the use of opium, do not 
require larger doses than usual of other narco- 
tics. 16 
HAND-BOOK OF MEDICAL 
Climate.-Medicines act differently on the 
same individual in summer and winter and in 
different climates. Narcotics act more power- 
fully in hot than in cold climates, hence smaller 
doses are required in the former. The reverse 
is the case with regard to calomel. 
Idiosyncrasy.-The least active remedies act 
very violently in some individuals. In prescrib- 
ing, the practitioner should always so regulate 
the intervals between doses that the next may 
be taken before the effect of the last has entirely 
subsided. It should be kept in mind that some 
medicines, such as the mercurial salts, arsenic, 
etc., are apt to accumulate in the system. The 
action of digitalis, elaterium, and some other 
remedies continue long after their administra- 
tion, and therefore much caution is requisite in 
avoiding too powerful an effect by a repetition 
of them even in diminished doses. Aloes and 
castor oil acquire activity by continued use, so 
that the dose requires to be diminished. 
The number of pulsations per minute in the 
male will average about seventy. 
In the female about eighty per minute. 
It is said that the pulse of Napoleon I. was 
only forty per minute. 
Sir William Congreve's pulse was one hun- 
dred and twenty-eight. 
The normal temperature of the body is ninety 
eight degrees, (Fahrenheit.) 
FREQUENCY OF THE HEART'S ACTION. AND SURGICAL REFERENCE. 
17 
A TABLE OF ABBREVIATIONS. 
ABBREVIATIONS. 
LATIN WORD. 
ENGLISH WORD. 
aa. 
Ana.* 
Of each. 
Ad saturand. 
Ad saturandum. 
Until saturated. 
Ad lib. 
Ad libitum. 
At pleasure. 
Aq. tepid. 
Aqua tepida. 
Tepid water. 
Aq. ferv. 
Aqua fervens. 
Hot water. 
C. 
Congius. 
A gallon. 
Chart. 
Chartula. 
A small paper. 
Coch. 
Cochleare. 
A spoonful. 
Coch. mag. 
Cochleare magnum. 
A table-spoonful. 
Coch. parv. 
Cochleare parvum. 
A tea-spoonful. 
Colent. 
Colentur. 
Let them be strained. 
Collyr. 
Collyrium. 
An eye-water. 
Contus. 
Contusus. 
Bruised or broken. 
F. vel Ft. 
Fiat vel flant. 
Let there be made. 
Fol. 
Folium vel folia. 
A leaf or leaves. 
Garg. 
Gargarysma. 
A gargle. 
Gr. 
Granum vel grana. 
A grain or grains. 
Gtt. 
Gutta vel gutta. 
A drop or drops. 
Haust. 
Haustus. 
A draught. 
Infus. 
Infusum. 
An infusion. 
M. 
Mi see. 
Mix. 
Mass. 
Massa. 
A mass. 
Mist. 
Mistura. 
A mixture. 
0. 
Octarius. 
A pint. 
Fil. 
Pilula vel pilulaB. 
A pill or pills. 
Pulv. 
Pulvis vel pulveres. 
A powder or powders. 
8' 
Quantum sufiicit. 
A sufficient quantity. 
Recipe. 
Take. 
Rad. 
Radix. 
A root. 
S. 
Signa. 
Write. 
Ss. 
Semis. 
The half. 
Tinct. 
Tinctura. 
A tincture. 
* Not properly a Latin word, but a Greek preposition. 18 
HAND-BOOK OF MEDICAL 
TABULAR VIEW 
* OF THE 
DOSES OF THE PRINCIPAL ARTICLES OF THE MATERIA MEDICA. 
(AFTER ELLIS.) 
Latin. 
English. 
Dose. 
Absinthium. 
Acetum. 
Acidum Arseniosum. 
" Benzoicum. 
" Boracieum. 
" Gallicum. 
" Hj'drocyanicum Dilutum. 
" Muriatic um " 
" Nitricum " 
" Nitro-Muriaticum. 
" Phosphoric um Gia ciale. 
" " Dilutum. 
" Sulphurieum " 
" " . Aromaticum. 
" Tannicum. 
Wormwood. 
Vinegar. 
Arsenious Acid. 
Benzoic " 
Boracic " 
Gallic " 
Dilute Prussic Acid. 
" Muriatic " 
" Nitric " 
Nitro-Muriatic " 
Glacial Phosphoric Acid. 
Dilute " " 
" Sulphuric " 
Aromatic " " 
Tannic Acid. 
Dj. to ij. 
f 3 j. to iv. 
gr. 1-60 to 1-20. 
gr. x. tb xx. 
gr. v. to x. 
gr. iij. to x. 
gtt. j. to iij. 
gtt. XX. 
gtt. x to XX. 
gtt. iij. to v. 
gr. j.to ij. 
gtt. xv. to XXX. 
gtt. x. to XX. 
gtt. x. to XX. 
gr. ij. to vj. AND SURGICAL REFERENCE. 
19 
Acidum Tartaricum. 
Tartaric Acid. 
gr. xx. to 3 ss. 
Aconiti Folium. 
Aconite Leaves. 
gr. j. to ij. 
" Extractum Alcoholicum. 
Alcoholic Extract of Aco- 
nite. 
gr. X to X- 
" Folii Tinctura. 
Tincture of Aconite Leaves 
gtt. X. to XX. 
" Radicis " 
" " " Root. 
gtt. ij. to v. 
JEther. 
Ether. 
f 3 ss. to j. 
ACtheris Spiritus Compositus. 
Hoffmann's Anodyne. 
f 3 j. 
" " Nitrosi. 
Sweet Spirit of Nitre. 
f 3 ss. to j. 
3 ss. to j. 
Allium. 
Garlic. 
" Juice. 
Allii Succus. 
f 3 ss. 
" Syrupus. 
Syrup of Garlic. 
f 3 j. to ij. 
Aloe. 
Aloes. 
gr. iij. to x. 
" et Canella. 
Powdered Aloes and Ca- 
nella. 
gr. v. to xx. 
Aloes Tinctura. 
Tincture of Aloes. 
f § ss. 
x" Vinum. 
Wine of Aloes. 
f 3 j. to f 5 ss. 
Alumen, (expectorant.) 
" (emetic.) 
Alum. 
gr. iij. to x. 
<c 
3 j. to ij. 
" Exsiccatum. 
Dried Alum. 
gr. v. to x. 
Ammonias Acetatis Liquor. 
Solution of the Acetate of 
Ammonia. 
f § ss. to j. 
" Carbonas. 
Carbonate of Ammonia. 
gr. v. to x. 
" Phosphas. 
Phosphate " " 
Muriate " " 
gr. x. to xx. 
" Murias. 
gr. v. to xv. 
" Spiritus Aromaticus. 
Aromatic Spirit of ■' 
gtt. xx. to XXX. 20 
HAND-BOOK OF MEDICAL 
Ammoniacum. 
Ammoniac. 
gr. x. to xx. 
Amm oniaci Mistura. 
" Mixture. 
f §ss. 
Angostura. 
Angustura. 
gr. x. to xx. 
Angusturae Infusum. 
Infusion of Angustura. 
Hij. 
Anthemis. 
Chamomile. 
3 ss. to j. 
Anthemidis Infusum. 
Infusion of Chamomile. 
f § j. to ij. 
Antimonium Sulpliuratum. 
Sulphuret of Antimony. 
gr. j. to v. 
Antimonii Oxidum. 
Oxide of Antimony. 
gr. iij. to v. 
" Oxysulphuretum. 
Kermes Mineral. 
gr. ss. to ij. 
" et PotassaeTartras, (dia- 
phoretic. ) 
Tartar Emetic. 
gr. 1-12 to 1-6. 
" et Potassae Tartras, 
(emetic.) 
Tartar Emetic. 
gr. j. to ij. 
" Vinum. 
Wine of Antimony. 
gtt. x. to f 3 j. 
Antimonialis Pulvis. 
Antimonial Powder. 
gr. iij. to x. 
Argenti Nitras. 
Nitrate of Silver. 
gr. ( to 
" Cyanidum. 
Cyanuret of " 
gr. 1-12. 
" lodidum. 
Iodide of " 
gr. 1 to j. 
" Oxidum. 
Oxide of " 
gr. ss. 
Arnica. 
Arnica. 
gr. v. to xx. 
Arnicae Ext. Alcoholicum. 
Alcoholic Ext. of Arnica. 
gr. ij. to v. 
Arsenici lodidum. 
Iodide of Arsenic. 
gr. 1-12 to i. 
" et Hydrargyri lodrdi 
Liquor. 
Donovan's Solution. 
gtt. v. to X. 
[Potassae Arsenitis Liquor.] 
Fowler's Solution, (altera- 
gtt. 11J. to VII] 
tive.) 21 
AND SURGICAL REFERENCE. 
[Potassae Arsenitis Liquor.] 
Fowler's Solution, (anti- 
periodic.) 
gtt. v. to XV. 
Asclepias Tuberosa. 
Butterfly Weed. 
gr. xx. to 3 j. 
Assaf oetida. 
Assaf oetida. 
gr. iij. to x. 
Assafoetidae Mistura. 
" Mixture. 
f 5 ss. 
" Tinctura. 
" Tincture of. 
f 3 j. 
Atropia. 
Atropia. 
gr. 1-100 to 1-60. 
Atropiae Sulphas. 
Sulphate of Atropia. 
gr. 1-80 to 1-50. 
Balsamum Peruvianum. 
Balsam of Peru. 
f 3 ss. 
" Tolutanum. 
" " Tolu. 
gr. x. to xxx. 
" Tolutanus Syrupus. 
Syrup of Balsam of Tolu. 
f § ss. 
" " Tinctura. 
Tincture of " " " 
f 3 j. 
Barii Chloridi Liquor. 
Solution of Chloride of 
Barium. 
gtt. V. 
Belladonnas Folium. 
Leaves of Deadly Night- 
shade. 
gr- j- 
Belladonnae Extractum. 
Extract of Belladonna. 
gr. 1 to ss. 
" " Alcoholicum. 
Alcoholic Extract of Bella- 
donna. 
gr. ss. . 
Belladonna! Tinctura. 
Tincture of Belladonna. 
gtt. X. to XX. 
Benzoinum. 
Benzoin. 
gr. v. to x. 
Benzoini Composita Tinctura. 
Compound Tincture of 
Benzoin. 
f 3 ss. to j. 
Bismuthi Subcarbonas. 
Subcarbonate of Bismuth. 
gr. iij. to x. 
" Subnitras. 
Subnitrate of " 
gr. iij. to x. 
Brominium. 
Bromine. 
gtt. 1-7 to f. 22 
HAND-BOOK OF MEDICAL 
Buchu. 
Buchu. 
gr. xx. to xxx. 
" Extractum Fluidum. 
Fluid Extract of Buchu. 
f 3 ss. to j. 
" Infusum. 
Infusion of " 
f § 3- 
Cahinca. 
Cahinca. 
3 j. to 3 j. 
Calamus. 
Sweet Flag. 
3 j. to3 j.. 
Caleis Liquor. 
Solution of Lime. 
f § ss. to ij. 
" Syrupus. 
Calcii Chloridi Liquor. 
Syrup " " 
Solution of Chloride of 
f 3 ss. to ij. 
gtt. xxx. to f 3 j 
Calcium. 
gr. iij. to vj. 
Calx Chlorinata. 
Chlorinated Lime. 
[Creta Preparata.] 
Prepared Chalk. 
gr. x. to xxx. 
[Testa Preparata.] 
" Oyster-shell. 
gr. x. to xxx. 
Camphora. 
Camphorae Aqua. 
" Spiritus. 
Camphor. 
" Water. 
Spirit of Camphor. 
gr. ij. to x. 
f § ss. 
gtt. v. to XX. 
Canella. 
Can ell a. 
gr. x. to xxx. 
Cannabis Ext. Purificatum. 
Pure Ext. of Indian Hemp. 
gr. | to ss. 
Cannabis Tinctura. 
Tincture of " " 
gtt. v. to XX. 
Cantharis. 
Spanish Flies. 
gr. j. to ij. 
Cantharidis Tinctura. 
Tincture of Spanish Flies. 
gtt. iij. to x. 
Capsicum. 
Capsici Tinctura. 
Cardamomum. 
Capsicum. 
Tincture of Capsicum. 
Cardamom. 
gr. v. to x. 
gtt. V. to XX. 
gr. x. to xxx. 
Cardamomi Tinctura. 
Tincture of Cardamom. 
|f 3 j. 
« " Composita. 
Compound tincture oijiSj. 
Cardamom. AND SURGICAL REFERENCE. 
23 
Camm. 
Caraway. 
gr. xx. to xl. 
Caryophyllus. 
Cloves. 
gr. v. to x. 
Caryophylli Oleum. 
Oil of Cloves. 
gtt. j. to ij. 
Cascarilla. 
Cascarilla. 
gr. xx. to xxx. 
Castoreum. 
Castor. 
gr. x. to xx. 
Castorei Tinctura. 
Tincture of Castor. 
gtt. xx. to 1. 
Catechu. 
Catechu. 
gr. x. to xxx. 
" Tinctura. 
Tincture of Catechu. 
f 3 j- to ij. 
Cerevisise Fermentum. 
Beer Yeast. 
f | ss. to ij. 
Cetrarise Decoctum. 
Iceland Moss Decoction. 
f 
3 j. to ij. 
Chenopodium. 
Wormseed. 
Chenopodii Oleum. 
Oil of Wormseed. 
gtt. v. to X. 
Chimaphilae Decoctum. 
Decoction of Pipsissewa. 
mj. 
Chloroformum. 
Chloroform. 
gtt. V. to xxx. 
Chondri Decoctum. 
Decoction of Irish Moss. 
ad libitum. 
Cimicifuga. 
Black Snakeroot. 
D j. to 3 j. 
Cimicifugse Extractum Fluidum. 
Fluid Extract of Black 
Snakeroot. 
TILxx. to xl. 
Cinchona. 
Cinchona. 
gr. x. to xx. 
Cinchonse Extractum. 
Extract of Cinchona. 
gT. X. 
" " Fluidum. 
Fluid Extract of Cinchona. 
Hlxx. to f 3 j. 
" Tinctura. 
Tincture of Cinchona. 
f 3 j. to iv. 
" " Composita. 
Compound Tincture Cin- 
chona. 
f 3 j. to iv. 
" Flavae vel Rubric De- 
coctum. 
Decoction of Yellow or 
Red Cinchona. 
flj.to ij. 24 
HAND-BOOK OF MEDICAL 
Cinchonas Flavae vel Rubrae Infu- 
sum. 
Infusion of Yellow or Red 
Cinchona. 
f Sj- to ij. 
Cinchoniae Sulphas. 
Sulphate of Cinchonia. 
gr. ij. tox. 
Cinnamomum. 
Cinnamon. 
gr. x. to xx. 
Cinnamomi Aquae. 
Water of Cinnamon. 
f §ss. 
" Oleum. 
Oil of " 
gtt. j. to ij. 
" Spiritus. 
Spirit of " 
gtt. x. to XXX 
" Tinctura. 
Tincture of " 
f3j. toij. 
Coccus. 
Cochineal. 
gr. j. to x. 
Colchici Radix. 
Root of Colchicum. 
gr. ij. to vj. 
' " Semen. 
Seed of " 
gr. ij. to vj. 
" Tinctura. 
Tincture of " 
f 3 ss. to j. 
" Acetum. 
Vinegar of " 
f 3 ss. to j. 
" Extractum Aceticum. 
Acetic Extract of Colchi- 
cum. 
gr. j. 
" Radicis Vinum. 
Wine of Colchicum Root. 
gtt. X. to XX. 
" " Ext. Fluid. 
Fluid Extract of Colchicum 
Root. 
mij. to v. 
" Seminis Vinum. 
Wine of Colchicum Seed. 
f3j- 
" " Ext. Fluid. 
Fluid Ext. of Colchicum 
Seed. 
mij. to vj. 
Colocynthis. 
Colocynth. 
gr. v. to x. 
Colocynthidis Ext. Comp. 
Compound Extract ol 
Colocynth. 
gr. iij. to x. 
Columba. 
Columbo. 
gr. x. to xx. 
Columbae Infusum. 
Infusion of Columbo. 
f 5 ij- AND SURGICAL REFERENCE. 
25 
Columbae Tinctura. 
Tincture of Columbo. 
f 3 j. to iv. 
Conii Folium. 
Leaf of Hemlock. 
gr. iij. 
" Extractum. 
Extract of " 
gr. ij- 
" " Alcoholicum. 
Alcoholic Extract of Hem- 
lock. 
gr. j- to ij. 
Conii Extractum Fluidum. 
Fluid Extract of Hemlock 
gtt. V. 
Copaiba. 
Copaiba. 
f3 j- 
Copaibae Oleum. 
Oil of Copaiba. 
gtt. X. to XV. 
Coptis. 
Goldthread. 
gr. x. to xxx. 
Coriandrum. 
Coriander. 
3 j. to 3 j. 
Cornus Florida. 
Dogwood. 
gr. xx. to xxx. 
Creasotum. 
Creasote. 
gtt- j. 
Creta Preparata. 
Prepared Chalk. 
Saffron. 
gr. xv. to 3 j. 
Crocus. 
gr. x. to xx. 
Cubeba. 
Cubeb. 
3 ss. to iij. 
Cubebae Oleoresinae. 
Oleo-resin of Cubeb. 
Hix. to xxx. 
" Oleum. 
Oil " " 
gtt. x. to xij. 
" Tinctura. 
Tincture " " 
f 3 j. 
Cuprum Ammoniatum. 
Ammoniated Copper. 
gr. | to ss. 
Cupri Sulphas. 
Blue Vitriol. 
gr. I to ij. 
Digitalis. 
Foxglove. 
gr. j. to iij. 
" Extractum Alcoholicum. 
Alcoholic Ext. Foxglove. 
gr. ss. to j. 
" Infusum. 
Infusion of " 
f 3 ij. to iv. 
" Tinctura. 
Tincture " " 
gtt. x. to xxx. 
Digitalin. 
Digitalin. 
gr. 1-40. 
Donovan's Solution. 
Donoyan's Solution. 
gtt. v. to XX. 26 
HAND-BOOK OF MEDICAL 
Dracontium. 
Skunk Cabbage. 
gr. x. to xx. 
Dulcamara. 
Bittersweet. 
3 ss. to j. 
Dulcamaras Decoctum. 
Decoction of Bittersweet. 
" Extractum. 
Extract of Bittersweet. 
^r. v. to x. 
" " Fluid. 
Fluid Ext. of Bittersweet. 
f 3 ss. to j. 
Elaterium. 
Elaterium. 
gr. 1. 
Elaterin. 
Elaterin. 
gr. 1-16. 
Ergota. 
Ergot. 
gr. xx. 
Ergotae Vinum. 
Wine of Ergot. 
f 3 j. to f § ss. 
" Ext. Fluidum. 
Fluid Ext. of Ergot. 
f 3 ss. 
Ether. 
Ether. 
f 3 ss. to f 3 j- 
Eupatorii Infusum. 
Infusion of Thoroughwort. 
fSii 
Extractum Cannabis. 
Extract of Indian Hemp. 
gr. 1 to ss. 
Fei Bovinum. 
Ox-gall. 
gr. v. to x. 
Ferri Chloridi Tinctura. 
Tinct. of Chloride of Iron. 
gtt. x. to XXX. 
" Citras. 
Citrate of Iron. 
gr. v. to x. 
" et Ammonias Citras. 
" " Ammonia and 
Iron. 
gr. v. 
" " Sulphas. 
Sulphate of Ammonia and 
Iron. 
gr. v. 
" " Tartras. 
Tartrate of Ammonia and 
Iron. 
gr- v. 
" et Potassae Tartras. 
Tartrate of Potassa anc 
Iron. 
gr. x. to xx. 
" et Quinise Citras. 
[Citrate of Iron and Qui- 
I nine. 
gr- v. AND SURGICAL REFERENCE. 
27 
Ferri Ferrocyanidum. 
Ferrocyanide of Iron. 
gr. iij. to v. 
" lodidi Syrupus. 
Syrup of Iodide of Iron. 
gtt. x. to xl. 
" Lactas. 
Lactate of Iron. 
gr. j. to iij. 
" Nitratis Liquor. 
Solution of Nitrate of Iron. 
gtt. viij. to x. 
" Phosphas. 
Phosphate of Iron. 
gr. v. to x. 
" Pyrophosphas. 
Pyrophosphate of Iron. 
gr. iij. to x. 
" Subcarbonas. 
Subcarbonate " " 
gr. x. to 3 ij. 
" Carbonatis Piluhe. 
Pills of Carbonate of Iron. 
gr. iij. to v. 
" Sulphas Exsiccata. 
Dry Sulphate " " 
gr. ij. to v. 
" Valerianas. 
Valeriante " " 
gr. j. 
" Vinum. 
Wine " " 
f?ss. 
Ferrum Ammoniatum. 
Ammoniated Iron. 
gr. v. to x. 
" Redactum. 
Powder of Iron. 
gr. ij. tov. 
Filix Mas. 
Male Fern. 
"3 j. to ij. 
Foeniculum. 
Fennel. 
3 j. to 3 ss. 
Foenieuli Aqua. 
Water of Fennel. 
f 5 ss. 
Fowler's Solution. (See Liquor 
Potasse Arsenitis.) 
Galla. 
Nut Galls. 
gr. x. to xx. 
Gambogia. 
Gamboge. 
gr. ij. to iij. 
Gentiana. 
Gentian. 
gr. x. to xxx. 
Gentian® Extractum. 
Extract of Gentian. 
gr. v. to x. 
" Ext. Fluidum. 
Fluid Extract of Gentian. 
f 3 ss. 
" Composita Tinctura. 
Compound Tincture of 
f 3 j. to ij. 
Guaiaci Resina. 
Gentian. 
Resin of Guaiac. 
gr. x. to xx. 28 
HAND-BOOK OB' MEDICAL 
Guaiaci Tinctura. 
Tincture of Guaiac. 
f 3 j. 
" Ammoniata Tinctura. 
Ammoniated Tincture of 
Guaiac. 
f 3 j- 
Haematoxyli Extractum. 
Extract of Logwood. 
Decoction ' ' 
gr. x. to xx. 
" Decoctum. 
H j- to ij. 
Helleborus. 
Hellebore. 
gr. v. to xv. 
Hellebori Extr. Alcoholic. 
Alcoholic Extract of 
Hellebore. 
gr. v. to x. 
" Tinctura. 
Tincture of Hellebore. 
gtt. xxx. to f 3 j 
Hoffmann's Anodyne. 
Hoffmann's Anodyne. 
f3j. 
Hordei Decoctum. 
Decoction of Barley. 
ad libitum. 
Humuli Tinctura. 
Tincture of Hops. 
f3ij. 
Hydrargyri Chlor. Corros. 
" " Mite. 
Corrosive Sublimate. 
gr. 1-16 to i. 
Calomel, (alterative.) 
gr. 1-20 to j. 
U 44 44 
" (purgative.) 
gr. v. to xv. 
" Cyanidum. 
Cyanide of Mercury. 
Green Iodide " 
gr. 1-16 to J. 
" lodidum Viride. 
gr. | to ij. 
" " Rubrum. 
Red " " 
gr. 1-16. 
" Oxidum Nigrum. 
Black Oxide " 
gr. J to iij. 
" Sulphas Flava. 
Yellow Sulphate of Mer- 
cury. 
gr. i to v. 
" Sulphuretum Nig. 
Black Sulphuret of Mer- 
cury. 
gr. v. to x. 
" " Rubrum. 
Red Sulphuret of Mercury. 
gr. x. 
Hydrargyrum cum Creta. 
" cum Magnesia. 
Mercury with Chalk. 
" " Magnesia. 
gr. v. to x. 
gr. v. to x. AND SURGICAL REFERENCE. 
29 
Hyoscyami Folium. 
Henbane Leaf. 
gr. v. to xi 
" Extractum. 
Extract of Henbane. 
2T. v. to X. 
" Fluidum. 
Fluid Extract of Henbane, utt. v. to x. 
' ' Tinctura. 
Tincture of Henbane. 
f 3 ss. to j. 
Ignaties Extract. Alcohol. 
Alcoholic Extract St. Ig- 
natius Bean. 
gr. f to j. 
Inula. 
Elecampane. 
3j. to 3 j. 
lodinium. 
Iodine. 
gr. I to j. 
lodinii Tinctura. 
Tincture of Iodine. 
gtt. v. to X. 
" " Composita. 
Compound Tinct. Iodine. 
gtt. x. to XX 
" Liquor " 
" -Solution " 
gtt. v. to X. 
Ipecacuanha. 
Ipecac, (diaphoretic.) 
gr. f to j. 
" (emetic.) 
gr. x. to xxx. 
Ipecacuanhas Syrupus. 
Syrup of Ipecac. 
f 3 j. to ij. 
" Ext. Fluidum. 
Fluid Ext. " 
gtt. x. to xxx. 
" Vinum. 
Wine of " 
?3 j. 
" Pulvis Composite. 
Compound Ipecac Powder. 
gr. x. 
Jalapa. 
Jalap. 
gr. x. to xx. 
Jalapae Extractum. 
Extract of Jalap. 
gr. v. to x. 
" Resina. 
Resin " " 
gr. j. to iij. 
" Tinctura. 
Tincture " " 
f 3 j. to ij. 
Juglandis Extractum. 
Extract of Butternut. 
gr. xx. 
Juniperi Baccae. 
Juniper. 
3 j- to ij. 
" Oleum. 
Oil of Juniper. 
gtt. v. to XV. 
" Spiritus Compos. 
Compound Spirits Juniper. 
f 3 j- to iv. 
Kino. 
Kino. 
gr. x. to xx. 30 
HAND-BOOK OH MEDICAL 
Kino Tinctura. 
Tincture of Kino. 
f 3 j. to ij. 
Krameria. 
Rhatany. 
gr. xx. to xxx. 
Krameriae Extractum. 
Extract of Rhatany. 
gr. x. to xx. 
" Syrupus. 
Syrup " " 
f 3 j. to iv. 
" Tinctura. 
Tincture " " 
f 3 j. 
Lactucarium. 
Lactucarium. 
gr. iij. to x. 
Laetucarii Syrupus. 
Syrup of Lactucarium. 
f 3 j. 
Lappa. 
Burdock. 
3 j. 
Lauro-Cerasi Aqua. 
Water of Cherry-Laurel. 
f 3 ss. to j. 
Lavandulae Oleum. - 
Oil of Lavender. 
gtt. ij. to v. 
" Spiritus Compos. 
Comp. Spt. of Lavender. 
f 3 j. 
Liriodendron. - 
Tulip-Tree Bark. 
3 ss. to ij. 
Lobelia. 
Wild Tobacco. 
gr. v. to x. 
Lobelise Tinctura. 
Tincture of Wild Tobacco. 
gtt. v. to XX. 
Lupulina. 
Lupulin. 
gr. v. to x. 
Lupulinae Tinctura. 
Tincture of Lupulin 
f3j. 
" Extr. Fluidum. 
Fluid Ext. of " 
gtt. V. to X. 
" Oleoresina. 
Oleoresin of " 
gr. j. to iij. 
Magnesia. 
Magnesia. 
3 ss. to j. 
Magnesite Carbonas. 
Carbonate of Magnesia. 
3 ss. to j. 
" Citratis Liquor. 
Sol. of Citrate of Magnesia. 
f 3 iv. to xij. 
" Sulphas. 
Epsom Salts. 
3 ij. to 3 j. 
Magnolia. 
Magnolia. 
3 ss. to j. 
Manganesii Oxidum. 
Oxide of Manganese. 
gr. iij. to x. 
" lodidi Liquor. 
Solution of Iodide of 
Manganese. 
gtt. x. to XX. AND SURGICAL REFERENCE. 
31 
Manganesii Sulphas. 
Manna. 
Sulphate of Manganese. 
Manna. 
Dj. to 3 ij- 
5 ss. to j. 
Matico. 
Matico. 
3 ss. to ij. 
Matricaria. 
German Chamomile. 
3 ss. to j. 
Menthae Piperitae Oleum. 
Oil of Peppermint. 
gtt. j. to ij. 
" " Spiritus. 
Spirit of " 
gtt. X. to XXX. 
" " Aqua. 
Water of " 
f §ss. 
Menthae Viridis Aqua. 
" " Spearmint. 
Spirit " " 
Decoction of Mezereon. 
f |ss. 
" " Spiritus. 
Mezerei Decoctum. 
gtt. X. to XX. 
W 
Mistura Cretae. 
Chalk Mixture. 
f § ss. to j. 
Monardae Oleum. 
Oil. of Horsemint. 
gtt. j. to iij. 
Morphiae Acetas. 
Acetate of Morphia. 
gr. 1-6 to J. 
" • Murias. 
Muriate " " 
gr. 1-6 to |. 
" Sulphas. 
Sulphate " " 
gr. 1-6 to i. 
" Sulphatis Liquor. 
Solution of Sulphate of 
Morphia. 
f 3 j- to f 3 ss. 
Moschus. 
Musk. 
gr. x. 
Myrrha. 
Myrrh. 
gr. x. to xx. 
Myrrhae Tinctura. 
Tincture of Myrrh. 
f 3 ss. to j. 
Naphth alina. 
Napthalin. 
gr. ij. to xv. 
Nucis Vomicae Ext. Alcohol. 
Alcoholic Extract of Nux 
Vomica. 
gr. J to J. 
" " Tinctura. 
Tincture of Nux Vomica. 
gtt. v. to X. 
Nux Vomica. 
Nux Vomica. 
gr. iij. to v. 
Oleum Amygdalae Amarae, 
Oil of Bitter Almonds. 
gtt, L 32 
HAND-BOOK OF MEDICAL 
Oleum Anisi. 
Oil of Aniseed. 
gtt. ij. to v. 
" Cajuputi. 
" " Cajeput. 
gtt. ij. to v. 
" Limonis. 
" " Lemon. 
gtt. ij. to iv. 
" Morrhuee. 
Cod Liver Oil. 
f 3 j. to f § ss. 
" Olivee. 
Olive Oil. 
" Ricini. 
Castor " 
f 5 j- 
" Terebinthinae. 
Oil of Turpentine, (stimu- 
lant.) 
gtt. V. to XX. 
CC CC 
Oil of Turpentine, (anthel- 
mintic.) 
f 3 j. to ij. 
" Tiglii. 
Croton Oil. 
gtt. i to ij. 
Opium. 
Opium. 
gr. j- 
Opii Aeetum. 
Vinegar of Opium. 
Confection ' ' 
gtt. X. 
" Confectio. . 
gr. x. to xx. 
" Extractum. 
Extract of ' ' 
gr. ss. 
" Tinctura. 
Laudanum. 
gtt. XX. to XXV. 
" " Acetata. 
Acetated Tinct. of Opium. 
gtt. XX. 
" " Campliorata. 
Paregoric. 
f 3 j. to ij. 
" " Deodorata. 
Deodorized Tincture of 
Opium. 
gtt. XX. to XXX. 
" Vinum. 
Wine of Opium. 
gtt. XX. to XXV. 
Pareira. 
Pareira Brava. , 
3 ss. to j. 
Petroleum. 
Petroleum. 
3 ss. to j. 
Piperis Oleoresina. 
Oleo-resin of Pepper. 
gtt. j. to iij. 
Plumbi Acetas. 
Sugar of Lead. 
gr. j'- to iij. 
" lodidum. 
Iodide of " 
gr. J to iij. AND SURGICAL REFERENCE. 
33 
Plumbi Nitras. 
Nitrate of Lead. 
gr. I to |. 
Podophylli Extractum. 
Extract of Podophyllum. 
gr. v. to xv. 
" Resina. 
Podophyllin. 
gr. 1-12 to J. 
Potass® Liquor. 
Liquor Potass®. 
gtt. x. to XX. 
" Arsenitis Liquor. 
Fowler's Solution, (antipe- 
riodic.) 
gtt. v. to XV. 
U 14 44 
Fowler's Solution, (altera- 
tive.) 
gtt. iij. to viij. 
" Acetas. 
Acetate of Potassa. 
gr. x. to xx. 
" Bitartras. 
Bitartrate " 
3 j- to ij. 
" Carbonas Pura. 
Pure Carbonate " 
gr. x. 
" Biearbonas. 
Bicarbonate " 
gr. x. to 3 ss. 
" Chloras. 
Chlorate " 
gr. x. to xx. 
" Citras. 
Citrate " 
gr. xx. to xxv. 
" Citratis Liquor. 
Solution of Citrate of 
Potassa. 
f § SS. 
' ' Nitras. 
Nitrate of Potassa. 
gr. x. to xv. 
" Sulphas. 
Sulphate " 
3 ss. to j. 
" Tartras. 
Tartrate " 
3 j. to 5 ss. 
Potassii Bromidum. 
Bromide of Potassium. 
gr. iij. to x. 
" Cyanidum. 
Cyanide " 
gr. i. 
" Ferrocyanidum. 
Ferro-cyanide " 
gr. x. to xv. 
" lodidum. 
Iodide " 
gr. iij. to x. 
" Sulphuretum. 
Sulphuret " 
gr. ij. to vj. 
Prunus Virginiana. 
Wild Cherry, (Bark.) 
3 ss. to j. 34 
HAND-BOOK OK MEDICAL 
Pruni Virginiame Infusum. 
Infusion of Wild Cherry, 
(Bark.) 
f 5 9- 
" " Extractum Fluidum. 
Fluid Extract Wild Cherry, 
(Bark.) 
f 3 ss. to j. 
" " Syrupus. 
Syrup Wild Cherry, (Bark.) 
f §ss. 
Pulvis Aromaticus. 
Aromatic Powders. 
gr. x. to xx. 
" Doveri. 
Dover's " 
gr. x. 
Quassia; Extractum. 
" Tinctura. 
Extract of Quassia. 
gr. ij. to v. 
Tincture of " 
f 3 j- to ij. 
Quercus Alba. 
White Oak, (Bark.) 
gr. xx. to 3 j 
Quiniae Sulphas. 
" Valerianas. 
Quinine. 
gr. j. to x. 
Valerianate of Quinia. 
gr. j. to v. 
" et Ferri Citras. 
Citrate of Iron and Quinine. 
gr. iij. to v. 
Rheum. 
Rhubarb. 
D j. to 3 ss. 
Rhei Fluidum Extractum. 
Fluid Extract of Rhubarb. 
f 3 ss. 
" Extract. Alcohol. 
Alcoholic " " " 
gr. v. to x. 
" Syrupus Aromaticus. 
Aromatic Syrup of Rhu- 
barb. 
f 3 j- to iv. 
" Tinctura. 
Tincture of Rhubarb. 
f 5 SS. 
" Vinum. 
Wine " " 
f 3 ij. 
Rubia. 
Madder. 
9 j. to 3 ss. 
Rubus Villosus. 
Blackberry Root. 
3 j. to 3 ss. 
Sabina. 
Savine. 
gr. v. to x. 
Sabina; Oleum. 1 
Oil of Savine. 
gtt. ij. to iij. 
Salicin. ■ . 
Salicin. 
gr. ij. to x. 
Sanguinariae Tinctura. 
Tincture of Bloodroot. 
f 3 ss. to j. AND SURGICAL REFERENCE. 
35 
Sanguinariae Acetum. 
Vinegar of Bloodroot. 
gtt. xx. to XXX. 
Santonin. 
Santonin. 
gr. j. to iij. 
Scammonium. 
Scammony. 
gr. v. to xv. 
Scammonii Resina. 
Resin of Scammony. 
gr. ij. to vj. 
Scilla. 
Squill. 
gr. j. to ij. 
Scillae Acetum. 
Vinegar of Squill. 
f 3 ss. to j. 
" Syrupus. 
Syrup of " 
f3j. 
" " Compos. 
Compound Syr. of Squill. 
f 3 ss. to j. 
" Tincture. 
Tincture of Squill. 
gtt. x. to xl. 
Senega. 
Seneka. 
gr. x. to xx. 
Senegae Syrupus. 
Syrup of Seneka. 
f 3 j. to ij. 
" Extractum Alcoholicum. 
Alcoholic Ext. of Seneka. 
gr. j to iij. 
Senna. 
Senna. 
3 ss. to ij. 
Sennee Confectio. 
Confection of Senna. 
3 j. to ij. 
" Extractum Fluidum. 
Fluid Ext. " " 
f 3 j. to f § ss. 
Serpentaria. 
Virginia Snakeroot. 
gr. x. to xxx. 
Serpentarhc Tincture. 
Tincture of " 
f3j. 
" Ext. Fluidum. 
Fluid Ext. of " 
gtt. X. to xxx. 
Sinapis. 
Mustard, (as emetic.) 
3 ij- 
Sodas Acetas. 
Acetate of Soda. 
3 j- to 3 j. 
" Boras. 
Borate " " 
Bj. to ij. 
" Carbonas. 
Carbonate of " 
gr. v. to x. 
" " Exsiccata. 
Dry Carbonate of Soda. 
gr. ij. to x. 
" Bicarbonas. 
Bicarbonate of Soda. 
gr. x. to xx. 
" Phosphas. 
Phosphate " " 
5 ss. to j. 
" Sulphas. 
Sulphate " " 
5 ss. 36 
HAND-BOOK OF MEDICAL 
Sodae et Potassae Tartras. 
Rochelle Salt. 
3 ij. to § ss. 
Sodii Chloridum. 
Chloride of Sodium. 
gr. x. to 3 ij. 
Spigelia. 
Pinkroot. 
gr. x. to 3 j. 
Spigeliae Ext. Fluidum. 
Fluid Extract of Pinkroot. 
gtt. xx. to f 3 j. 
Spiritus zEtheris Nitrosi. 
Sweet Spirit of Nitre. 
f 3 ss. to j. 
" " Compositus. 
Hoffmann's Anodyne. 
f 3 ss. to j. 
Stramonii Folium. 
Jamestown Weed Leaves. 
gr. j. to ij. 
" Extractum. 
Ext. " " " 
gr. j- 
" Ext. Alcoholicum. 
Alcoholic Extract James- 
gr. f to j. 
town Weed. 
" Tinctura. 
Tin c ture J amestown Weed. 
gtt. xx. to XXX. 
Strychnia. 
Strychnine. 
gr. 1-12 to 1-20. 
Styrax. 
S to rax. 
gr. x. to xx. 
Sulphur. 
Sulphur. 
D j- to 3 ij. 
Sulphuris lodidum. 
Iodide of Sulphur. 
gr. 1 to j. 
Tabacum. 
Tobacco. 
gr. j. to v. 
Tabaci Vinum. 
Wine of Tobacco. 
gtt X. to XX. 
Taraxaci Extractum. 
Extract of Dandelion. 
3 j. to 3 j. 
" Ext. Fluidum. 
Fluid Ext. " 
f 3 j. 
Terebinthina. 
Turpentine. 
9 j- to ij. 
Testa Preparata. 
Prepared Oyster-Shell. 
gr. x. to 1. • 
Ulmi Infusum. 
Infusion of Slippery Elm. 
ad libitum. 
Uva Ursi. 
Bearberry Leaves. 
3 ss. to j. 
Uvee Ursi Ext. Fluid. 
Fluid Extract Bearberry 
gtt. x. to f 3 j. 
Leaves. 
Valeriana. 
Valerian. 
3 ss. to j. AND SURGICAL REFERENCE. 
37 
Valerianae Ext. Fluidum. 
Fluid Extract of Valerian. 
f 3 ss. to j. 
" " Alcohol. 
Alcoholic " •" " 
gr. iij. to x. 
" Oleum. 
Oil of Valerian. 
gtt. V. 
" Tinctura. 
Tincture of Valerian. 
f 3 j. to ij. 
" " Ammoniata. 
Ammoniated Tincture of 
Valerian. 
f3j. 
Veratrum Album. 
White Hellebore. 
gr. j. to iij. 
" Viride. v 
American " 
gr. j. to iij. 
yeratri Viridis Ext. Fluid. 
Fluid Extract American 
Hellebore. 
gtt. ij. to v. 
" " Tinctura. 
Tincture of American Hel- 
lebore. 
gtt. v. to viij. 
Veratria. 
Veratria. 
gr. 1-12 to j. 
2 inci Acetas. 
Acetate of Zinc. 
gr. j. to ij. 
" Chloridum. 
Chloride " " 
gr. $ to ij. 
" Cyanidum. 
Cyanide " " 
gr. 1-12 to I. 
" Oxidum. 
Oxide " " 
gr. ij. to v. 
" Sulphas. 
Sulphate " " 
gr. j. to x. 
" Valerianas. 
Valerianate of Zinc. 
gr- J to ij. 
Zingiber. 
Ginger. 
gr. x. to xx. 
Zingiberis Tinctura. 
Tincture of Ginger. 
?3j- 
■ ' Ext. Fluidum. 
Fluid Ext. of " 
gtt. X. to XX. 
The dose given in the table is taken for a person twenty-one years of age 
and must be regulated to suit other ages by the rule given in a previous page. 38 
HAND-BOOK OF MEDICAL 
CHAPTER II. 
TOXICOLOGY. 
NAU COTIC POISONS. 
•Opium, Belladonna, Hyoscyamus, Aconite, To- 
bacco, Stramonium, Chloroform, Hemlock, 
Lobelia, "Woorara, Ether, Alcohol, etc. 
OPIUM. 
The quantity of opium necessary to cause 
death varies with circumstances. Quantities 
which would destroy life in ordinary cases, are 
eaten with perfect impunity by persons accus- 
tomed to its daily use. 
Symptoms.-The effects of poisonous doses 
of opium appear in from thirty minutes to two 
hours from its administration. Liquid prepara- 
tions of opium and the salts of morphia act 
very rapidly. The patient trembles, becomes 
giddy, drowsy, and unable to resist the tendency 
to sleep. Gradually the stupor deepens, until 
there is perfect insensibility. The pupils are 
contracted, eyes and face congested ; the pulse, AND SURGICAL REFERENCE. 
39 
at first rapid and small, is now slow and feeble. 
From twenty per minute, the respirations may 
diminish to twelve or even eight. Breathing 
stertorous. A profuse perspiration breaks out 
on the surfaces. As coma deepens and death 
approaches, the extremities become cold and the 
sphincters relaxed. Occasionally the odor may 
be detected in the breath. 
Treatment.-If the patient is seen soon after 
the poison has been taken, the stomach should 
be- emptied by the stomach-pump or emetics. 
Twenty grains of the sulphate of zinc, (white 
vitriol,) or ipecac, a table-spoonful of mustard or 
common salt, will suffice to eject the poison. 
These medicines should be followed by copious 
draughts of warm water to keep up the vomiting, 
until the stomach is thoroughly washed out. 
Belladonna, the physiological antidote, may be 
tried. The best way is to use atropia (the 
active principle) hypodermically. A solution of 
one grain to the ounce is made, and fifteen or 
twenty minims injected, and repeated if neces- 
sary. Very strong coffee should be given. 
Brandy and ammonia, may be given by the 
mouth or rectum. Flagellation of the surface by 
the hands or towels, and causing the patient to 
walk about, and keeping him thoroughly roused, 
are important aids to restoration. Artificial 
respiration and inhalation of oxygen are worthy 
of trial. 40 
HAND-BOOK OF MEDICAL 
BELLADONNA, (DEADLY NIGHTSHADE.) 
Symptoms.-The first symptoms of poisoning 
are dryness of the throat, constriction of the 
fauces, difficult deglutition, indistinct vision, (am- 
blyopia,) or double vision, (diplopia,) headache, 
staggering, confusion of ideas, stammering, etc. 
Pupils widely dilated, face suffused, lips livid, and 
pulse rapid and intermittent. Delirium and deep 
coma soon supervene, followed rapidly by death. 
Sometimes convulsions. 
Treatment.-Empty the stomach thoroughly. 
This should be followed by stimulation, friction 
to the extremities, and warmth. Some recom- 
mend opium. It is the physiological antidote, 
and has been successful in one or two cases. 
Runge advocates the use of lime-water in large 
quantities as a neutralizer of the poison. Bou- 
chard has employed the iodureted iodide of 
potassium with benefit. Brandy by enema, and 
opium by hypodermic injection, in conjunction 
with large doses of lime-water, constitute the 
most reliable remedies that have yet been fixed 
upon. If the coma appear rapidly, and without 
convulsive movements, electricity may be used 
with benefit, and cold water may be poured upon 
the chest and face. 
HEMLOCK. 
Symptoms.-Dryness of throat, muscular tre- 
mor, dizziness, difficult deglutition, and feeling AND SUBGICAL BEEEBENCE. 
41 
of great prostration and faintness. The limbs 
are rendered powerless, sometimes completely 
paralyzed. Pupils dilated. Pulse rapid and 
small. Deep insensibility supervenes, and there 
may be convulsions before death. 
Treatment.-Empty the stomach, and use dif- 
fusible stimulants in large quantities. If there 
are much pain and vomiting, bromide of potas- 
sium in ten-grain doses may be given at short 
intervals. 
hyoscyamus, (henbane.) 
Symptoms.-Dilatation of pupils, dimness of 
vision, muscular twitching, inability to articulate 
plainly, and a tendency to sleep. Later, there 
are purging, vomiting, abdominal pain, delirium, 
convulsive movements of the extremities, small 
intermittent pulse, and coma. 
Treatment.-Common charcoal has been 
strongly recommended as an antidote by Dr. 
Gar. This substance rapidly absorbs the alka- 
loid, upon which the poisonous properties of the 
plant depend, and prevents its peculiar action. 
Solutions of caustic alkalies are said to neutra- 
lize the poison. In every case, stimulants should 
be employed, as in the other varieties of poison- 
ing. 
ACONITE, (WOLFSBANE.) 
Symptoms.-Numbness and tingling of the 42 
HAND-BOOK OF MEDICAL 
mouth and fauces. Same in the extremities. 
Soreness of the throat, pain over the stomach, 
vomiting. Pulse extremely weak and compressi- 
ble. Pupils in some cases dilated; in others, con- 
tracted. As in other narcotic poisons, there are 
dimness of vision, vertigo, great prostration, 
general loss of sensibility, delirium, and coma. 
Treatment.-Complete evacuation of stomach. 
Brandy in table-spoonful doses, given in ice- 
water, is a useful method of stimulation. Pre- 
parations of nux vomica are said to neutralize 
the action of aconitia. The tincture of nux 
vomica has been used with apparent benefit. It 
may be given in ten-drop doses every fifteen 
minutes, until the alarming symptoms have sub- 
sided. 
TOBACCO. 
Symptoms.-Vertigo, muscular weakness, nau- 
sea, intense prostration. Extremities become 
cold and clammy, and convulsions may precede 
death. 
Treatment.-Hot bottles and blankets to the 
body. Brandy by enema, if it can not be retained 
by stomach. Subnitrate of bismuth, in ten-grain 
•doses, continued with one fifteenth of a grain of 
morphia, will do much to allay the distressing 
nausea. 
DIGITALIS, (FOXGLOVE.) 
Symptoms.-Loss of strength, feeble and flut- AND SURGICAL REFERENCE. 
43 
tering pulse, faintness, nausea, vomiting, and stu- 
por. Cold perspiration, pupils dilated, breathing 
irregular, and sometimes convulsions. 
Treatment.-Ammonia given internally in fre- 
quently-repeated doses is an admirable remedy 
when the patient is in a state of syncope. This 
medicine should also be applied to the nostrils. 
Brandy internally, and warmth to the surface, 
are followed by good results. 
STRAMONIUM, (JAMESTOWN WEED.) 
Symptoms.-Dryness of throat, thirst, deli- 
rium, convulsive movements, suffusion of the 
eyes, swelling of the face, dilatation of pupils, 
small, rapid pulse, hot skin, and hurried breath- 
ing. Sometimes pain over the stomach, and 
vomiting. Convulsions are nearly always pre- 
sent and are liable to be mistaken for those aris- 
ing from uraemia or epilepsy. 
Treatment.-Opium, stimulants, and alkaline 
medicines are employed in the same manner as 
in poisoning by belladonna. 
LOBELIA, (INDIAN OR WILD TOBACCO.) 
Symptoms.-Excessive vomiting, purging, and 
pain in the bowels, contraction of the pupils, 
delirium, coma, convulsions, death. 
Treatment.-Confined to stimulants, and 
counter-irritation over the stomach. 44 
HAND-BOOK OF MEDICAL 
MUSHROOMS. 
Symptoms.-Muscular weakness, vertigo, men- 
tal hallucinations, stupor, and in a few instances 
violent vomiting and purging. 
Treatment.-Where vomiting and purging are 
absent, emetics and cathartics should be given. 
Castor oil may be given in all cases. Opiates are 
recommended where there is much delirium with- 
out stupor. Ether has been used with benefit. 
Stimulants are indicated where the prostration is 
great. 
YEW-TREES, (LEAVES AND BERRIES.) 
Symptoms.-Vomiting, convulsions, dilated 
pupils, and coma, which usually ends in death. 
Treatment.-Stimulants are principally to be 
relied on in the treatment. 
CAMPHOR. 
Symptoms. Vertigo, dimness of vision, con- 
vulsions, pulse rapid and weak, extremities cold, 
pain in back, and rapid insensibility. 
<• Treatment.-Free emesis should be procured 
without delay; stimulants are always necessary. 
ALCOHOL. 
Symptoms.-Bloated countenance, bloodshot 
eyes, general tremulousness, convulsions, and 
delirium tremens. AND SURGICAL REFERENCE. 
45 
Treatment.-Total abstinence, cold water 
poured on face and head. Bromide of potassium 
in fifty-grain doses, repeated in a half-hour, if 
necessary. 
CHLOROFORM. 
Symptoms.-At first great excitability and in- 
toxication, mental hallucinations and delirium, 
and perfect insensibility. Later, the pulse be- 
comes small and intermittent; respiration slow, 
irregular, and difficult; face congested and lips 
livid. 
Treatment.-Artificial respiration is the main 
reliance-Marshall Hall's or Sylvester's method. 
Inhalation of pure oxygen, if possible. Slapping 
the patient, and pouring cold water on the sur- 
face are also recommended. Galvanism has been 
successful in restoring life in one or two cases. 
ETHER. 
Same as chloroform, only slower in its action. 
Treatment.- Vide Chloroform. 
CHLORAL. 
Symptoms.-Breathing laborious and irregu- 
lar, congestion of the face, rapid and feeble pulse, 
numbness and insensibility. In some cases there 
is disturbance of the mental faculties. 
Treatment.-Hypodermic injections of strych- 
nia have been recommended. Artificial respira- 46 
HAND-BOOK OF MEDICAL 
tion, inhalations of oxygen, and stimulants are 
mainly to be relied upon. Electricity is also 
beneficial. (If strychnia be used hypodermic 
cally, the injection should not contain more than 
the thirtieth of a grain.) 
HYDROCYANIC ACID, (PRUSSIC ACID.) 
Symptoms.-Difficult and convulsive efforts at 
breathing, vertigo, oppression over the precor- 
dial region, muscular weakness and paralysis, 
(Bacher.) Eyes prominent; sometimes convul- 
sive movements and loud cries from the patient. 
Treatment.-Chlorinated lime in solution, 
chlorine water, or ammonia in vapor largely di- 
luted, are good antidotes. Another method is 
to change the prussic acid in the stomach into 
Prussian blue. The " United States Dispensa- 
tory" gives the following formula: Ten grains of 
sulphate of protoxide of iron, and one drachm of 
tincture of the chloride of iron are added to an 
ounce of water, and twenty grains of carbonate 
of potassium to one ounce of water in another 
vessel. The latter solution is swallowed first, 
and immediately afterward the preparation oi 
iron. Cold water poured upon the face, chest, 
and abdomen from a little height, and artificial 
respiration, are also recommended as efficacious 
remedies. 
WOORARA. 
Symptoms.-Sudden stupor and insensibility, AND SURGICAL REFERENCE. 
47 
frothing at the mouth, rapid cessations of the 
respiratory movements and pulsations of the 
heart. 
Treatment.-When the poison enters a wound, 
the part should be immediately sucked and then 
excised, and a ligature placed around the limb, 
between the wound and the heart. Brainard and 
Green discovered that a solution of iodine and 
iodide of potassium neutralized the poison, and 
recommend its application to the wound, and 
also its internal administration. Chlorine and 
bromine are also said to exert a similar influ- 
ence. Artificial respiration has been tried on 
criminals poisoned with woorara, and has been 
followed by good results. 
CALABAR BEAN. 
Symptoms.-Poisonous doses in man produce 
vertigo, dimness of vision, great weakness, small, 
intermittent pulse, contraction of the pupil, in- 
sensibility, and death. 
Treatment.-The stomach should be evacu- 
ated, stimulants administered internally, and the 
surface briskly rubbed. Hypodermic injections 
of strychnia might be tried. Strychnia exerts an 
entirely opposite effect -on the spinal cord. Elec- 
tricity is also worthy of a trial. 
UPAS-TREE. 
Symptom*.-The resin of this tree, when ap- 48 
HAND-BOOK OF MEDICAL 
plied to a wound, or taken internally, causes 
great muscular weakness, syncope, nausea, and 
vomiting, relaxed sphincters, thready, irregular 
pulse, and convulsions. 
Treatment.-The remedies employed in poi- 
soning by tobacco or aconite are applicable to 
these cases. 
NUX VOMICA, (STRYCHNIA.) 
Symptoms.-Poisonous doses of strychnia first 
produce an inability to remain in one position, 
and a tendency to perform every movement with 
great rapidity. The muscles seem to be beyond 
the control of the will and twitch unceasingly. 
There are some constriction in the throat, diffi- 
cult respiration, and a feeling of oppression about 
the chest. Violent muscular spasms then occur; 
they are continuous in character, resembling 
those occurring in tetanus. The muscles of the 
back are often affected more than those of the 
extremities; and, as a result, the body is bent 
like a bow, and rests on the head and heels, 
(opisthotonos.) During the paroxysms the jaws 
are tightly fixed, the face dark and congested, 
from the accumulation ■of blood in the veins. 
Intermissions in the severity of the paroxysms 
may occur, but they last only a moment. Death 
takes plaee from spasm of the muscles of respira- 
tion. AND SURGICAL REFERENCE. 
49 
Treatment.-Chloroform, taken in a liquid 
state, or by inhalation, should in all cases be 
tried. A relaxation of the spasm will at least 
retard or prevent the occurrence of asphyxia. 
Infusion of tobacco is recommended by some. 
It may be advantageously combined with chloro- 
form ; that is, the tobacco infusion can be swal- 
lowed or given by enema, while anaesthesia is 
procured by inhalation of chloroform. Aconite 
has been used in some cases with benefit. Tho- 
ral employs preparations of antimony as an anti- 
dote ; it is given in emetic doses. Boudecker 
experimented upon dogs with chlorine water and 
tartar-emetic, giving them alternately. He claims 
to have saved the animals from the poisonous 
effects of strychnia by this treatment. 
It will be well, in most instances, to commence 
treatment by an emetic, in order to get rid of the 
poison remaining in the stomach. The infusion 
of tobacco or sulphate of zinc will answer this 
purpose. If the patient can not swallow this 
medicine, it may be given through the rectum. 
IRRITANT POISONS. 
Cantharides, Croton Oil, Veratria, Hellebore, 
etc. 
CANTHARIDES. 
Symptoms.-Tenesmus at the neck of the 
bladder, inability to pass water, intense pain and 50 
HAND-BOOK OF MEDICAL 
scalding with the few drops that are squeezed 
through, great pain through the alimentary 
canal, and thirst, with profuse vomiting and 
purging. Extremities cold. The vomited mat- 
ters and stools contain blood. Great prostration, 
a rapid pulse, sighing respiration, and a fetid 
odor to the breath. 
Treatment.-When the stomach and bowels 
have been emptied by emetics, cathartics, or the 
natural efforts of the patient, ten to thirty drops 
of liquor potassa, largely diluted, may be given 
every hour, {Muloclc^ in conjunction with hot 
applications to the hypogastric regions. Small 
pieces of ice may be swallowed with benefit. 
Thale recommends animal charcoal as an anti- 
dote ; a tea-spoonful of this substance mixed with 
a little water may be given at a dose. 
OIL OF SAVINE. 
Symptoms.-Strangury, sharp pains in the 
bowels, hot skin, rapid pulse, violent vomiting, 
and sometimes purging. Vomited matters often 
of a green color. Great prostration rapidly en- 
sues, and usually ends in death. 
Treatment.-Warm fomentations over the 
epigastrium, and hypodermic injections of mor- 
phia (one quarter of a grain) may be tried with 
benefit. The patient should be fed through the 
rectum, if possible. Nothing but ice should be AND SURGICAL REFERENCE. 
51 
allowed in the stomach until the subsidence of 
the inflammation. 
CROTON OIL. 
Symptoms.-Inflammation of the oesophagus, 
stomach, and intestines, which gives rise to 
vomiting, purging, and rapid prostration. 
1$ Treatment.-Empty the stomach thoroughly, 
and treat the resulting inflammation in the usual 
manner. Stimulants diluted with iced milk to 
sustain the patient. 
COLCHICUM. 
Symptoms.-Violent vomiting and purging, 
great pain, and collapse. 
Treatment.-Same as for preceding. 
VERATRIA. 
Symptoms.-Vomiting and purging, pain in 
the epigastrium, rapid respiration, small, quick 
pulse, and spasmodic movements of the muscles, 
resembling those of tetanus. 
Treatment.-The antidotes are vinegar, vegeta- 
ble astringents, Lugol's solution, and stimu- 
lants. 
Black and white hellebore, all the drastic 
cathartics, turpentine, etc., are irritant poisons 
in large doses. They present similar symptoms 
to those previously mentioned, and require the 
same treatment. 52 
HAND-BOOK OF MEDICAL 
METALLIC POISONS. 
ARSENIC. 
Symptoms.-Pain in the epigastric region, 
which rapidly increases and is aggravated by 
pressure. Nausea and vomiting. At first the 
vomited matter consists of the contents of the 
stomach, with particles of arsenic intermixed. 
Subsequently they contain blood and thick mu- 
cus. Purging usually follows the vomiting in 
about half an hour after the prominent symp- 
toms are developed. Sometimes soreness and 
constriction of the throat. Respiration becomes 
entirely thoracic, and the movements are short 
and rapid. Pulse small, quick, and intermittent. 
Death may be preceded by coma and convulsions. 
Treatment.-The antidote for arsenious acid is 
the hydrated sesquioxide of iron. It is prepared 
by adding aqua ammonia, soda, or potash, to a 
solution of the persulphate of iron. When the 
alkali is added, a reddish-brown powder forms, 
which is administered ad libitum both to adults 
and children. Preceding the administration of 
the antidote, the stomach should be thoroughly 
emptied with the stomach-pump, or by emetics 
of sulphate of zinc, mustard, or ipecac, assisted 
by Copious draughts of warm water. 
Preparations of magnesia are recommended as AND SURGICAL REFERENCE. 
53 
antidotes. Lime-water mixed with oil and muci- 
laginous drinks may be given also. 
When the antidotes are given, the treatment 
should be directed to allay pain and relieve the 
gastric inflammation, by hypodermic injections 
of morphia and internal administration of ice. 
CORROSIVE SUBLIMATE, (BICHLORIDE OF MERCURY.) 
Symptoms.-A burning pain is felt along the 
oesophagus and in the stomach a few moments 
after the poison is swallowed. This is followed 
by vomiting and purging of slimy mucus marked 
with blood. Mouth and throat have a white 
appearance, and a strong metallic taste is experi- 
enced. Thirst, difficulty in swallowing, a feeling 
of oppression on the chest, difficulty of breath- 
ing. The pain in the stomach increases in inten- 
sity, the pulse becomes small and thready, ex- 
tremities cold; great prostration and death. 
Treatment.-When salivation arises from cor- 
rosive sublimate or other preparations of mercury, 
iodide of potassium in conjunction with chlorate 
of potash is given as an antidote. A solution of 
the latter makes an efficient wash for the mouth. 
In poisonous doses the stomach must be emp- 
tied by the stomach-pump or emetics. The 
common antidote, albumen, may then be adminis- 
tered, in the form of white of egg or the gluten of 
bread. (Dr. Wright, late of the University of 
Louisville, recommends the yelk of eggs, also, as 
possessing as much albumen as the white.) It 54 
HAND-BOOK OF MEDICAL 
should be beaten up with a considerable quantity 
of water before given. Milk may also be admi- 
nistered in large quantities. Small rolls of zinc 
and gold-foil have been recommended as anti- 
dotes. The subsequent inflammation should be 
treated in the same manner as that arising from 
arsenical poisoning. 
COPPER. 
Symptoms.-When the system becomes slowly 
impregnated with copper, there are a rapid loss 
of flesh and strength, nausea, tendency to diar- 
rhoea, griping abdominal pains, tympanitis, mus- 
cular tremors, retraction of the gums, with a 
purple line around the edge, (Corrigan,) a dry 
cough, paralysis, dysenteric discharges from the 
bowels, great prostration. 
In acute poisoning, intense griping pains in 
the abdomen, profuse greenish-colored discharges 
from the stomach and bowels, metallic taste in 
the mouth, anxious expression, vertigo, headache, 
dimness of vision, muscular tremors, a rapid 
small pulse, paralysis, and sometimes convulsions. 
Treatment.--Ferrocyanide of potassium is re- 
commended as an antidote by Schroeder. (The 
proper dose would be about twenty grains of the 
commercial salt.) Milk and honey or eggs and 
milk in copious draughts are often serviceable. 
Albumen in any form or sugar is considered by 
many as an efficient antidote. The resulting AND SURGICAL REFERENCE. 
55 
gastro-enteritis is treated as in the preceding 
cases. 
LEAD. 
Chronic poisoning is of frequent occurrence, 
from using hair-dyes, drinking beer or water 
which flows through lead pipes, constant han- 
dling of the thin foil covering chewing-tobacco, 
manufacturing or handling white-lead. Some- 
times produced by wearing Brussels lace, which 
owes its white color to carbonate of lead. 
Symptoms.-Colicky pains in abdomen, with 
constipation. Blue line around gums. " Thumb- 
drop" and " wrist-drop," from paralysis of the 
extensor muscles. Retraction of the abdomen. 
Paraplegia and hemiplegia in rare instances. 
Loss of flesh and muscular tremor. 
In large doses there are thirst, dryness of the 
fauces, burning in the throat, constipation, and 
colicky pains in the abdomen. Faeces dark. 
Sometimes vomiting, difficult respiration, and 
oppression over the praecordia. 
Treatment.-In chronic poisoning, iodide of 
potassium is the best eliminative. Sulphuric 
acid is sometimes administered. Change of 
habits, active exercise in the open air, nourishing 
food, regular hours. The paralyzed limbs may 
be treated by frequent bathing in cold water and 
by friction. 
In acute poisoning, empty stomach thoroughly. 56 
HAND-BOOK OF MEDICAL 
Strong solutions of Epsom salts or Glauber's 
salts may be given in large quantities as anti- 
dotes. If the bowels do not move, castor oil 
should be given until free evacuations are pro- 
duced. Animal charcoal is given by some. Albu- 
men and milk may be used after or before the 
administration of the salts of magnesia and soda. 
Taylor advises the admixture of vinegar and 
sulphate of magnesia (Epsom salts) as an anti- 
dote for poisoning by carbonate of lead. 
TARTARIZED ANTIMONY. 
Symptoms.-Chronic poisoning by tartarized 
antimony is distinguished by gradual exhaustion, 
nausea, vomiting, pain in the epigastrium, small, 
feeble pulse, pallid surface, cold, clammy extre- 
mities, sunken eyes, anxious expression, and 
metallic taste. 
In large quantities, this poison produces, in a 
few moments, profuse bilious vomiting, soon 
mixed with blood. Diarrhoea, if much of the 
drug has been swallowed. Skin cold, clammy 
perspiration, pulse feeble and rapid, respiration 
sighing. Sometimes a pustular eruption of skin. 
Coma. 
Treatment.-Large quantities of warm water 
should be given to complete the evacuation of the 
stomach. Strong infusions of green tea may be 
taken at once. Vegetable astringents, as tannic 
acid, etc., are also used. Hot bottles and blan- AND SURGICAL REFERENCE. 
57 
kets to the surface, and friction of the extremi- 
ties. 
ZINC. 
Symptoms.-Nausea, vomiting, pain in abdo- 
men, followed by all the signs of collapse. Livi- 
dity of the surface, vertigo, and dimness of vision. 
In the evacuations of the stomach shreds of 
mucous membrane are found. 
Treatment.-White of egg beaten up with milk 
and water, followed by infusions of astringent 
medicines, is the chief remedy for poisoning from 
the sulphate of zinc. 
In poisoning by the chloride, emetics should 
first be given ; the albumen in milk can be admi- 
nistered when the stomach has been emptied. 
NITRATE OF SILVER. 
Symptoms.-Intense pain, vomiting, and purg- 
ing. Mucus, blood, and shreds of mucous mem- 
brane are found in the evacuations. 
Treatment.-Common salt is given as anti- 
dote. Mucilaginous drinks should be adminis- 
tered ad libitum. 
PHOSPHORUS. 
Symptoms.-In acute poisoning, vomiting and 
purging of a greenish-colored substance, soon 
mixed with blood and mucus. Ejections and 
breath have a garlicky odor. In the dai k they 58 
HAND-BOOK OF MEDICAL 
produce a luminous appearance. Intense pain in 
abdomen and tympanitis. Face anxious, skin 
cold, pulse rapid and small. 
Treatment.-Phosphorus has no direct anti- 
dote. Taylor recommends hydrated magnesia, 
and the free use of demulcent drinks afid albu- 
men. 
SALTS OF BARYTA. 
Treatment.-Epsom salts or sulphate of po- 
tassa. 
CORROSIVE ACIDS. 
OXALIC ACID. 
Symptoms.-Pain in throat, oesophagus, and 
stomach ; violent retching; rapid prostration. 
Treatment.-Emetics should be given, and 
followed immediately by the antidotes. Lime or 
magnesia should be administered, in large quan- 
tities, in water. Common chalk or the ceiling of 
the room may be scraped, if no other preparation 
of lime is convenient. 
SULPHURIC ACID. 
Symptoms.-Intense pain in mouth, oesopha- 
gus, and stomach. Great pain on pressure, 
vomiting of black, putrid matter, dyspnoea, 
small, feeble pulse, anxious expression, cold ex- 
tremities, restlessness, and sometimes convul- 
sions. . AND SURGICAL REFERENCE. 
59 
Treatment.-The poison may be neutralized 
by magnesia or carbonate of soda administered in 
solution, thick soapsuds, and mucilaginous drinks. 
Unless these remedies can be given immediately 
after the poison has been swallowed, there is 
little chance of saving the patient. a 
NITRIC ACID. 
Symptoms.-Violent pain extending from the 
mouth to the epigastrium, vomiting of yellowish 
and greenish-black matters, emission of fetid gas, 
tympanitis, urgent dyspnoea, small, rapid pulse, 
and collapse. 
Treatment.-Magnesia, olive oil, and mucila- 
ginous drinks should be given in large quantities. 
MURIATIC ACID. 
Symptoms.-Resemble those of other corrosive 
acids. They are, however, developed more 
slowly ; life is not destroyed so soon, and white 
vapors may be emitted from the mouth. 
Treatment.-Same as nitric-acid poisoning. 
CARBOLIC ACID. 
Symptoms.-Violent gastro-enteritis and gene- 
ral destruction of alimentary canal. 
Treatment.-Evacuate the stomach immedi- 
ately, and give large quantities of magnesia, 
mucilaginous drinks, etc. 60 
HAND-BOOK OF MEDICAL 
CORROSIVE ALKALIES. 
Carbonate of potash (pearl ash) and the hy- 
drated oxide of potassium (or caustic potash) are 
corrosive poisons when administered in a con- 
centrated form. 
Symptoms.-Intense pain in throat and sto- 
mach ; pain on pressure over the abdomen ; 
vomiting of dark materials, (mucus, blood, and 
shreds of mucous membrane.) Diarrhoea in all 
cases. Pulse small, rapid, and countenance 
anxious. 
Treatment.-Taylor advises the use of citric 
or acetic acid, lemon or orange juice. Oil in 
large quantities and mucilaginous drinks. 
BINOXALATE OF POTASH (ESSENTIAL SALTS OF 
LEMON) 
resembles oxalic acid in its action, and is some- 
times mistaken for cream of tartar. 
Symptoms.-Violent vomiting and purging, 
pain in stomach; difficult deglutition, and sigh- 
ing respiration; small, rapid pulse; cold extremi- 
ties ; great prostration, and muscular spasms. 
Treatment.-Lime, magnesia, and mucilagi- 
nous drinks. 
NITRATE OF POTASH, (SALTPETRE.) 
Symptoms.-Vomiting and purging of blood 
and mucus, pain in abdomen, feeble pulse, rapid 
prostration, and insensibility. AND SURGICAL REFERENCE. 
61 
Treatment.-Empty stomach. Mucilaginous 
drinks freely. Opium to relieve pain. No anti- 
dote for the poison. 
SALTS OF SODA. 
The salts of soda correspond with the salts of 
potash in their poisonous action and in the treat- 
ment. 
AMMONIA. 
Symptoms.-Nausea and vomiting of mucus 
and blood mixed with shreds of mucous mem- 
brane ; pain in throat and epigastrium. Perfo- 
ration of the stomach sometimes occurs, followed 
by peritonitis. Great difficulty in swallowing 
and breathing. Face anxious, pulse rapid and 
feeble, and extremities,cold. 
Treatment.-Vinegar, acetic acid, diluted milk, 
and mucilaginous drinks are usually given. 
Opium to relieve pain. 62 
HAND-BOOK OF MEDICAL 
A Synopsis of Poisons and Antidotes. 
POISONS. 
All Acids, except Oxalic, 
Prussic, and Arsenious. 
Oxalic Acid, Soluble Oxa- 
lates, and all Arsenical 
Compounds. 
All Soluble Metallic Salts, 
except Tartar Emetic. 
Bromine, Iodine, Prussic 
Acid, Alkaline Sulphides 
and Cyanides. 
ANTIDOTES. 
Carbonate of Soda. Chalk 
next in order. 
Hydrate of Magnesia. (For- 
mula MgO, SO3 + KO, HO 
= MgO, HO - KO, SO3.) 
Take Epsom Salts and mix 
with a Solution of Potassa. 
Albumen, with Carbonate of 
Soda in small proportion. 
Acetate of Lead. When in- 
haled, Bromine and Prus- 
sic Acid are neutralized by 
inhaling Ammonia. 
Tartar Emetic. 
Salts of the Alkaloids, Vege- 
table and Animal Irritants, 
Phosphorus. 
Tannic Acid. 
No antidotes. Treat the 
symptoms as they arise. 
Carbolic Acid. 
Caustic Alkalies, Alkaline 
Earths, and the Carbon- 
ates of the Alkalies. 
Albumen. 
Vinegar, the Fixed Oils, So- 
lution of Alum. 
A convenient table to be memorized by the 
student of medicine. AND SURGICAL REFERENCE. 
63 
CHAPTER IIT. 
LIGATION OF ARTERIES. 
Arteria Innominata.-Place the patient upon 
his back, with the shoulders raised and the head 
bent a little backward so as to draw the artery 
out from behind the sternum into the neck. 
Make an incision, two inches long, along the 
anterior border of the sterno-mastoid muscle, 
ending at the sternal end of the clavicle. From 
this point a second incision is made, about the 
same length, along the upper border of the 
clavicle. Dissect the skin back, expose the 
platysma, and divide it on a director. The sternal 
end of the sterno-mastoid must now be divided 
by passing a director close to its under surface 
so as to avoid any small vessels. Tt is not neces- 
sary to divide the tendon of this muscle through- 
out its insertion. The sterno-hyoid and sterno- 
thyroid muscles must next be divided on a di- 
rector. The inferior thyroid veins now are seen, 
and must be carefully drawn upward or down- 
ward by a blunt hook. Do not divide them by 
any means. After tearing through a strong 
fibro-cellular lamina, the right carotid is seen and 
must be followed down to the arteria innomi- 64 
HAND-BOOK OF MEDICAL 
nata. Depress the left vena innominata, and 
draw the right vena innominata, internal jugular 
vein, and pneumogastric nerve to the right side, 
and then pass the aneurism needle around the 
vessel close to its surface, in a direction from 
below upward and inward; care being taken 
to avoid the right pleural sac, the trachea, and 
cardiac nerves. The ligature should be applied 
as high as possible, to allow room for a coagulum 
to form between it and the aorta. 
Common Carotid, above the Omo-hyoid.- 
Place the patient upon the back, with the head 
thrown back. Make an incision, three inches 
long, in the direction of the anterior border of 
the stern o-mastoid muscle, from a little below 
the angle of the jaw to a level with the cricoid 
cartilage. After dividing the platysma, the 
deep fascia must be divided upon a director, to 
avoid wounding numerous small veins beneath 
it. Bring the head forward a little to relax the 
parts, and hold the edges of the wound apart 
with copper spatulas. Avoid the descendens 
noni, and raising the sheath of the artery with 
the forceps, open it to a small extent. The 
internal jugular vein is now seen alternately 
distended and relaxed, and should be compressed 
above and below and drawn outward. Pass the 
aneurism needle from the outside, keeping it 
close to the artery, and avoid the risk of injuring AND SURGICAL REFERENCE. 
65 
the jugular vein or vagus nerve. Bo sure that 
neither of these are included in the ligature. 
Common Carotid, below the Omo-hyoid.- 
Position of patient, same as above. Make an 
incision, three inches in length, along the 
anterior border of the sterno-mastoid, commenc- 
ing on a level with the cricoid cartilage. Expos- 
ing the inner border of the sterno-mastoid, the 
superficial descending artery and the middle 
thyroid vein are seen and avoided. Draw the 
sterno-mastoid outward, and the sterno-hyoid 
and sterno-thyroid inward. Divide the deep 
fascia below the omo-hyoid, and the sheath being 
exposed, must be opened, care being taken to 
avoid the descendens noni which here runs on 
the inner side. The jugular vein and vagus 
nerve being pressed to the outer side, pass the 
needle from without inward, taking great care 
to avoid the inferior thyroid artery and the re- 
current laryngeal and sympathetic nerves, which 
lie behind it. 
External Carotid, below the Digastric.- 
Make an incision, three inches in length, along 
the border of the sterno-mastoid, from the angle 
of the jaw to the level of the cricoid cartilage. 
Be careful to avoid the hypoglossal nerve which 
passes in front of the external carotid, just below 
the tendon of the digastric muscle. 66 
HAND-BOOK OF MEDICAL 
External Carotid, above the Digastric.- 
Make an incision from the lobe of the ear to the 
great cornu of the hyoid bone, dividing the skin, 
platysma, and fascia. Separate the posterior 
belly of the digastric and the stylo-hyoid muscle, 
and apply the ligature. 
Superior Thyroid.-This artery is quite super- 
ficial in its first part, and may be ligated by 
making a curved incision from the lower border 
of the great cornu of the hyoid bone to about 
the middle of the thyroid cartilage; the con- 
vexity of the incision being upward and for- 
ward. 
Lingual Artery.-In wounds of the lingual 
artery, if the vessel can not be reached through 
the wound and secured, it is better to ligate the 
external carotid, or even the common carotid, 
owing to the great depth of the first part of this 
artery. 
Temporal, Facial, and Internal Maxillary 
Arteries.-In deep wounds of these arteries, 
when the bleeding vessel can not be reached 
through the wound, the external or common 
carotid should be ligated. 
Internal Carotid.-In wounds of this vessel, 
the common carotid should be ligated. AND SURGICAL REFERENCE. 
67 
Subclavian Artery.-First part.-On the left 
side, the ligation of this artery is quite impracti- 
cable. On the right side, the operation has been 
performed, as follows: place the patient on the 
table in the horizontal posture, with the neck 
extended. An incision should be made parallel 
with the inner part of the clavicle, and a second 
along the inner border of the sterno-mastoid, 
meeting this at right angles. The sternal attach- 
ment of the sterno-mastoid muscle may now be 
divided on a director and turned outward ; a 
few small arteries and veins (occasionally the 
anterior jugular) must be avoided, and the 
sterno-hyoid and sterno-thyroid muscles divided 
in the same manner as the preceding muscle. 
After tearing through the deep fascia with the 
finger-nail, the internal jugular vein will be seen 
crossing the artery. This should be pressed 
aside, and the artery secured by passing the 
needle from below upward, by which the 
pleura is more effectually avoided. The vagus 
nerve is in front of it, and its recurrent laryngeal 
branch passes around it. The phrenic is in 
front and a little to the outer side of the vagus. 
Subclavian Artery.-Third part.-Place the 
patient in the horizontal position, and depress the 
shoulder as much as possible. Draw the in- 
tegument downward upon the clavicle, and make 
an incision from the anterior border of the 
trapezius to the posterior border of the sterno- 68 
HAND-BOOK OF MEDICAL 
mastoid, upon the clavicle, to which may be add- 
ed a short vertical incision meeting the centre 
of the preceding. The platysma and deep 
cervical fascia should be divided upon a director, 
and if the interval between the trapezius and 
sterno mastoid be insufficient, a portion of one or 
both may be divided. The external jugular 
vein is now seen toward the inner side of the 
wound; this and the suprascapular and transvere 
cervical veins which empty into it must be held 
aside, and, if divided, both ends should be ligated. 
The suprascapular artery must be avoided and 
the omo-hyoid muscle held aside. Divide the 
deep fascia beneath this muscle with the finger- 
nail or scalpel handle, the outer margin of the 
scalenus anticus is felt for and followed to the 
first rib. Behind this muscle the subclavian 
artery passes over the first rib. Pass the 
aneurism needle around the vessel from before 
backward, avoiding the vein in front, and any 
branches of the brachial plexus. 
Subclavian Artery.-Second part.-Objections 
are made to applying the ligature to this part of 
the artery on account of its relations to the 
scalenus anticus muscle, the phrenic nerve, and 
internal jugular vein. 
Axillary Artery.-Lower part.-The patient 
being placed in the horizontal posture, and the 
arm separated from the body, with the hand AND SURGICAL REFERENCE. 
69 
supinated, the head of the humerus is felt for, and 
an incision made through the integument over it, 
about two inches in length, a little nearer to 
the anterior than the posterior fold of the axilla. 
After carefully dissecting through the areolar 
tissue and fascia, the median nerve and axillary 
vein are exposed. The former being displaced 
to the outer and the latter to the inner side of 
the arm, and the elbow bent so as to relax these 
structures, the ligature is passed round the 
artery from the ulnar to the radial side. Oc- 
casionally a muscular slip, derived from the 
latissimus dorsi, crosses this portion of the artery. 
It will be recognized by the transverse direction 
of its fibres. 
Axillary Artery.-Upper part.-On account 
of the depth of this portion of the vessel from 
the surface, it is recommended as preferable to 
tie the subclavian in its lower third. 
Brachial Artery.-The inner margins of 
the coracb-brachialis and biceps muscles, the 
known course of the vessel, and its pulsations, 
which should be felt for before any operation is 
performed, (as the vessel occasionally deviates 
from its usual course) serve as sufficient guides 
to the ligation of this artery in any part of its 
course. It should be remembered that the ulnar 
and internal cutaneous nerves lie on the inner 
side, and the median on the outer side (occasion- 
ally in front) in the upper third of the arm. The 70 
HAND-BOOK OF. MEDICAL 
venae comites being carefully separated, the liga- 
ture is passed from the ulnar to the radial side. 
(Out of fourteen dissections noted by the au- 
thor of this work, in the Bellevue Hospital 
Medical College, during the summer of 1873, 
there wTere five abnormal divisions of the bra- 
chial artery.) 
Radial Artery.- Upper third.-A line drawn 
from a point half-way between the condyles of 
the humerus on the anterior surface of the bend 
of the elbow, to a point on the radial side of the 
forearm, half-way between the styloid process 
of the radius and the external condyle of the 
humerus, will indicate the direction of the radial 
artery in its upper third. An incision, three 
inches long, in this direction, should be made, 
beginning at the bend of the elbow, avoiding 
the branches of the median vein. The fascia 
being divided and the supinator longus drawn a 
little outward, the artery will be exposed. 
Radial Artery.-Middle third.-Make an inci- 
sion, three inches in length, on the inner margin of 
the supinator longus. The pulsation of the 
artery should be felt. The radial nerve lies just 
on the outer side of the artery, and the venae 
comites are upon either side. 
Radial Artery.-Lower third.-Divide the in- 
tegument and fasciae in the interval between the AND SURGICAL REFERENCE. 
71 
supinator longus and flexor carpi radialis mus- 
cles, and the artery will be exposed. 
Ulnar Artery.-Middle and lower third.-In 
either of these regions, this vessel may be easily 
secured by making an incision on the radial 
side of the tendon of the flexor carpi ulnaris ; 
the deep fascia being divided, and the flexor 
carpi ulnaris and flexor sublimis digitorum 
separated, the vessel will be exposed, with its 
venae comites on both sides, the ulnar nerve on 
the inner or ulnar side. Pass the ligature from 
the ulnar to the radial side, avoiding the nerve. 
Ulnar Artery.- Upper third.-If from a point 
midway between the condyles of the humerus, 
on the anterior surface of the elbow-joint, to a 
point on the ulna midway between its styloid 
process and the internal condyle of the humerus 
a line be drawn, this line will cover the upper 
third of the ulnar artery. The median nerve 
passes in front of and about the middle of this 
portion of the vessel. The superficial flexor 
muscles must be divided and the artery exposed. 
It is only in recent wounds of the artery in. this 
division that this operation is performed. 
Common Iliac.-The patient resting upon his 
back, but inclining a little to the opposite side, an 
incision is made, commencing just in front of 
the free extremity of the eleventh rib, passing 
downward one and a half inches in front of the 72 
HAND-BOOK OF MEDICAL 
anterior superior spinous process of the ilium, 
and terminating, just above the internal ring, by 
a sharp curve upward and inward of an inch 
or more, the whole length of the incision being 
about seven inches. The three abdominal mus- 
cles being divided to the same extent, the fascia 
transversalis wnll be exposed. This must be 
opened very cautiously, first at the upper and 
outer part of the wound ; the opening may then 
be enlarged, and the peritonaeum gently displaced 
from below until the external iliac is exposed, 
when the common iliac will be easily found. The 
ureter passes over this artery and must be avoid- 
ed. The surgeon must bear in mind the danger 
of getting behind the psoas muscle, while search- 
ing for the artery. The ligature should be pass- 
ed from within out, on the left side; on the 
right, either way. 
Internal Iliac.-Operation same as Common 
iliac. 
External Iliac.-The patient having been 
placed in the recumbent position, an incision 
should be made, commencing about an inch above 
and to the inner side of the anterior superior 
spinous process of the ilium, and running down- 
ward and outward to the outer end of Pou- 
part's ligament and parallel with its outer half, 
to a little above its middle. The abdominal 
muscles and tranversalis fascia having been 
cautiously divided, the peritonaeum should be AND SURGICAL REFERENCE. 
73 
carefully separated from the iliac fossa and push- 
ed toward the pelvis; and on introducing the 
finger to the bottom of the wound, the artery 
may be felt pulsating along the inner border 
of the psoas muscle. The external iliac vein 
is situated along the inner side of the artery, 
and must be cautiously separated from it by the 
finger-nail or the scalpel handle, and the aneu- 
rism needle should be introduced on the inner 
side, between the artery and vein. The ligature 
should be placed as near the middle of the artery 
as practicable, on account of the bifurcation of 
the common iliac above, and the deep epigas- 
tric and circumflex iliac branches below. 
Femoral Artery.-On account of the numer- 
ous branches given off near the commencement 
of the femoral artery, it is considered unsafe to' 
ligate this vessel any nearer than from four to 
five inches of its origin. A line drawn from the 
middle of Poupart's ligament to the inner' con- 
dyle of the femur, will pass over the bed of 
this artery to its termination in the canal of 
Hunter. 
The incision should be from three to four 
inches in length and in the course of the artery, 
with the limb slightly flexed and abducted. The 
sartorius should be pulled out of the way, and the 
aneurism needle kept close to the artery to avoid 
including the vein in the ligature. In the upper 74 
HAND-BOOK OF MEDICAL 
part of its course, the femoral vein lies behind 
the artery ; in the lower part, to its outer side. 
Popliteal Artery.-In order to expose the 
vessel in its upper part, the patient should be plac- 
ed in the prone position, with the limb extend- 
ed. An incision about three inches in length 
should then be made through the integument, 
along the posterior margin of the semi-membra- 
nosus, and, the fascia lata having been divided, 
this musclel must be drawn inward, when the 
pulsation of the vessel will be felt with the finger; 
the nerve lies on the outer side of the artery, 
the vein superficial and also to its outer side. 
Having cautiously separated it from the artery, 
the aneurism needle should be passed around 
from without inward. 
r< Popliteal Artery.-Lower part-To expose 
the artery in its lower part, where it passes 
between the two heads of the gastrocnemius, the 
patient should be placed in the same position as 
in the preceding operation. Make an incision 
through the integument along the middle line, 
commencing opposite the bend of the knee-joint, 
taking care to avoid the external saphenous vein 
and nerve. After dividing the deep fascia and 
separating a dense cellular membrane, the artery, 
vein, and nerve will be exposed. If necessary to 
divide the muscular branches of the popliteal, 
they should be tied immediately. The leg being AND SURGICAL REFERENCE. 
75 
now flexed, the more effectually to separate the 
two heads of the gastrocnemius, the nerve 
should be drawn inward and the vein outward, 
and the aneurism needle passed from without in- 
ward, between the artery and vein. 
^Anterior Tibial.-Upper part.-A line drawn 
from midway between the tuberosity of the tibia 
and outer border of the fibula to midway between 
the two malleoli at the ankle-joint, will cover the 
general direction of this artery. Midway between 
the tuberosity of the tibia and outer border of 
the fibula, make an incision four inches long, 
dividing the skin, fascia, and intermuscular sep- 
tum between the ' tibialis anticus and extensor 
communis digitorum. Flex the foot, to relax 
these muscles, and separate them with the finger. 
The artery is then exposed, deeply seated, lying 
upon the interosseous membrane, the nerve ex- 
ternally, and one of the venm comites on either 
side. These must be separated from the artery 
before the ligature is passed around it. 
Anterior Tibial.-Lower third.-Make an in- 
cision, about three inches long, through ^the',in- 
tegument between the tendons of the tibialis an- 
ticus and extensor proprius pollicis muscles, the 
deep fascia being divided to the same extent. 
The tendon on either side should be held aside, 
and the artery will be seen lying upon the tibia, 76 
HAND-BOOK OF MEDICAL 
with the nerve superficial to it, and a vena com- 
itis on either side. 
Dorsalis Pedis Artery.-This artery may be 
tied by making an incision through the integu- 
ment, between two and three inches long, on the 
fibular side of the tendon of the extensor pro- 
prius pollicis, in the interval between it and the 
inner border of the short extensor muscle. The 
incision should not extend any farther than to 
the first interosseous space, as the artery divides 
in this situation. The deep fascia being divided, 
the artery will be exposed, the nerve lying upon 
its outer side. 
Posterior Tibial.-At the ankle.-Make a 
semilunar incision, about two inches and a half 
in length, midway between the heel and inner 
ankle, but a little nearer the latter. The sub- 
cutaneous cellular membrane being divided, the 
internal annular ligament is exposed. This 
should be divided upon a director, and the sheath 
of the vessel will be exposed. Open the sheath 
of the vessel, separate the two venae comites, and 
pass the aneurism needle from the heel toward 
the ankle around the artery, in order to avoid in- 
closing the nerve. 
Posterior Tibial.-Lower third.-Make an 
incision, about three inches in length, parallel with 
the inner border of the tendo Achillis. The in- AND SURGICAL REFERENCE. 
77 
ternal saphenous vein being carefully avoided, 
the two layers of fascia are divided upon a di- 
rector, when the artery is exposed along the inner 
margin of the flexor longus digitorum, with one 
of its venae comites on either side, and the poste- 
rior tibial nerve lying external to it. 
Posterior Tibial.-Middle third.-Place the- 
patient in the recumbent posture, the injured 
limb resting upon its outer side, the knee par- 
tially bent and the foot extended, so as to relax 
the muscles of the calf. Make an incision, about 
four inches in length, through the integument, 
along the inner margin of the tibia, avoiding the 
internal saphenous vein. The deep fascia^being 
divided, the margin of the gastrocnemius is ex- 
posed and must be drawn aside, and the tibial 
attachment of the soleus divided, a director hav- 
ing been previously passed under it. The artery 
may now be felt pulsating beneath the deep fas- 
cia about an inch from the margin of the tibia. 
The fascia being divided, and the limb placed in 
a position to relax the muscles of the calf as 
much as possible, the veins should be separated 
from the artery, and the aneurism needle passed 
around the vessel from without inward, so as to 
avoid wounding the posterior tibial nerve. 
Posterior Tibial.-- Upper third.-Except in 
direct injury of the artery in this part, where the 
wound may be followed and the bleeding vessels 78 
HAND-BOOK OF MEDICAL 
secured, ligation of the femoral is the better ope- 
ration. 
HEMORRHAGE. 
Arttndal Hemorrhage can be arrested by the 
ligature, acupressure, torsion, crushing, cold wa- 
ter and ice, hot water, the actual cautery, persul- 
phate of iron, and other styptics. 
Epistaxis.-Bleeding at the nose may be 
stopped by the application of cold water to the 
head, warm water to the feet and hands, and, if 
necessary, an injection of alum-water into the 
bleeding nostril. The following treatment of all 
internal hemorrhage was originated by Profes- 
sor Detmold, of this city, and to whose kindness 
I am indebted for its knowledge : 
Tie a bandage of any kind of cloth around one 
leg, about six inches below the perinseum, and 
draw it tight enough to arrest, for the time, the 
return of the blood through the saphenous and 
other veins. If necessary, both legs and 
both arms can be served in the same man- 
ner ; taking care not to keep them too long under 
the compression, and to loose each bandage 
gently when the hemorrhage has been arrested. 
The blood is still forced through the arteries by 
the heart's action, but its return is impeded by 
compression of the veins. 
There is consequently a great pressure taken AND SURGICAL REFERENCE. 
79 
off the bleeding surface. Dr. Detmold tells me 
it has never failed with him, and I have seen it 
succeed in one very dangerous case. 
In case all else fails, the following is Hamil- 
ton's process for plugging the posterior nares: 
"A piece of sheet-lint is folded info a pledget of 
about two inches in length by half an inch in 
thickness, (for the adult,) and across its middle a 
strong linen or silk cord is tied, leaving the two 
ends of the cord free. A second cord is then 
made fast to the pledget, leaving only one end 
free. The flexible catheter is passed along the 
floor of the nares to the pharynx, when it is 
seized by the forceps or finger and drawn out 
of the mouth. The free ends of the first cord 
are made fast to its extremity, the catheter is 
withdrawn, and the tampon brought firmly to its 
place in the posterior nares, and the extremities 
of the cord tied over a second roll of lint placed 
against the anterior nares. In drawing the tam- 
pon to its place, it is well to guide it past the 
velum with the index finger. The second cord 
still hanging from the mouth, is laid over the 
cheek and secured by an adhesive strip." 
Pnlmonary Hemorrhage.-Quiet, astringent 
inhalations of atomized liquids, and Detmold's 
method of ligation of the extremities, as explain- 
ed in the article on epistaxis. 
Hemorrhage from the Stomach.-Ice, swal- 
lowed in small pieces. Wet cold cloths, orblad- 80 
HAND-BOOK OF MEDICAL 
ders filled with ice, laid over the stomach. The 
following solution may be taken internally, in 
doses of one teaspoonful every half-hour, or 
oftener if needed: 
Solution of subsulphate of iron. . 3 j. 
Water § ij. M. 
Also Detmold's method, above. 
Post-partnm Hemorrhage.-This hemorrhage 
is due to a want of contractile power in the ute- 
rus. Cold applications ; the kneading of the ute- 
rus with the fingers of one hand, while the other 
is introduced into the womb until contractions 
force it out; the introduction of ice and astrin- 
gent injections, are among the remedies in the 
bands of the attendant. The manipulation is 
preferable. 
Drowning'.-Artificial respiration is to be 
instantly resorted to in this accident. Pro- 
fessor Hamilton's method is the most preferable. 
The patient being in the recumbent posture, with 
the arms by the side of the body, the tongue is 
held forcibly out of the mouth by an assistant, 
and the arms are seized by the operator between 
the elbows and wrists, and are brought up over 
the patient's head until the elbows touch, the 
patient being raised almost to an erect posture. 
In a few moments, the patient is restored to the AND SURGICAL REFERENCE. 
81 
recumbent posture, the arms are brought against 
the sides of the chest and strong pressure made 
against the thoracic walls, to force out the air 
that has been inhaled during the first step of the 
method ; strokes with the fiat of the hand over 
the praecordia are recommended to arouse the 
heart's action. Friction and warm applications 
and stimulation are parts of the treatment. 
Laryngotomy.-The patient is placed on his 
back with the shoulders slightly elevated and 
head thrown back. An incision, extending from 
the top of the thyroid to the lower margin of 
the cricoid cartilage, is made along the median 
line. The sterno-thyroid muscles are separated 
and the crico-thyroid. membrane exposed. If the 
crico-thyroid artery or any vein be cut, they 
should be tied. 
The membrane is now cut through its entire 
length, and the opening enlarged by slight trans- 
verse incisions. The trachea tube may now be 
inserted, and held in position by tapes fastened 
in the eyes of the outer canula and tied loosely 
behind the neck. 
Tracheotomy.-Above the thyroid isthmus.- 
Make an incision, about two inches in length, in 
the median line, the centre of which shall be be- 
tween the first and fourth rings of the trachea. 
The isthmus of the thyroid body must be dis- 
placed downward with a blunt hook, and the 
trachea will be exposed. 82 
HAND-BOOK OF MEDICAL 
Tracheotomy.-Below the thyroid isthmus.- 
Make an incision in the median line, commencing 
at the lower border of the cricoid cartilage, ex- 
tending nearly to the top of the sternum, divid- 
ing the tissues, as the depth of the wound is in- 
creased, between the sterno-thyroid muscles; 
the deep incision being limited above by the 
lower border of the isthmus of the thyroid body. 
The plexus of thyroid veins, which lie across the 
track of the incision, should be drawn aside with 
blunt hooks and not wounded. The trachea 
should be well exposed, so as to be distinctly di- 
vested of any vein that may lie close to it in this 
region. The depth at which the trachea lies from 
the surface is seldom less than one inch, and 
operations have been performed when it was at 
a depth of two and a half inches. 
Sunstroke.-Tn cases of insolation from ner- 
vous exhaustion, the danger being of death by 
rapid asthenia or syncope, complete rest is of the 
first importance. The clothing should be perfect- 
ly loose, the patient kept in a cool, airy room, and 
alcoholic stimulants administered by enema. 
The body may be sponged with spirit and wa- 
ter, if the surface be hot and dry. 
In well-marked apoplectic cases, bloodletting 
is especially indicated. The life of the patient 
may depend upon the prompt employment of 
bloodletting, (Flint.) Sixteen ounces may be ta- 
ken from the arm, and the temples freely leeched. AND SURGICAL REFERENCE. 
83 
Cold should be applied to the head by the ice- 
cap or the douche. The head should be elevated. 
The symptoms representing the condition calling 
for these measures are, fullness or hardness of 
the pulse, slowness of the respiration, with per- 
haps stertor, heat of the surface, congestion of 
the face, and throbbing of the carotid and tem- 
poral arteries. 
Lightning.-The treatment in injuries from a 
stroke of lightning consists in friction to the 
surface, artificial respiration, and the administra- 
tion of stimulants. 
Epilepsy.-In the convulsions of epilepsy, 
nothing can be done except to prevent the pa- 
tient from injuring himself. To ameliorate, or 
prevent the recurrence of the attack, the bro- 
mide of potassium is highly recommended. 
Forty grains to one drachm jnay be given three 
times a day, and even oftener if necessary. 
Apoplexy.-If the apoplexy be dependent on 
active congestion, and the heart act with abnor- 
mal power, if there is a strong throbbing, resist- 
ing pulse, and the patient be full and plethoric, 
bloodletting is indicated. Nine or ten ounces 
may be drawn from the external jugular vein. 
Bloodletting is contra-indicated if there be fee- 
bleness of constitution, advanced age, if the face 
be pallid, the surface cold, and the pulse feeble. 
With these symptoms, stimulants are indicated. 84 
HAND-BOOK OF MEDICAL 
An emetic is called for if the stomach be over- 
loaded and spontaneous vomiting does not occur. 
An active cathartic is called for in apoplexy 
depending on active congestion, the symptoms 
of which are given above. 
Bleeding.-Venesection should be performed 
in the median cephalic vein, about its middle. It 
is further from the bifurcation of the brachial 
artery, and the branches of the external cuta- 
neous nerve pass behind, it. The branches of the 
internal cutaneous nerve pass in front of the 
median basilic vein. 
Burns and Scalds.---The first thing to be done 
is to bring about reaction in cases of severe burns 
or scalds. Thirty drops of laudanum may be 
given in some warm brandy and water, and re- 
peated, if necessary, in an hour or two. 
Flour should be sifted over the excoriated sur- 
faces until thoroughly excluded from the air. 
Equal parts of linseed oil and lime-water (carron 
oil) are recommended if more convenient than 
flour. Common white paint (white-lead) can be 
spread on the burnt surface ad libitum, and is 
highly recommended. The after-treatment con- 
sists in good food, careful nursing, and dressing 
of the wounds, and judicious stimulation. 
Snake-bite.-A ligature should be tied tight- 
ly around the limb above the wound, and; if AND SURGICAL REFERENCE. 
85 
possible, the mouth should instantly be applied 
and suction made to extract the poison. The 
virus will not be absorbed by an unbroken mu- 
cous surface. If the wound can not be reached 
with the mouth, a cupping glass should be ap- 
plied. In using suction, the mouth should be 
rinsed with brandy. Brandy or whisky must be 
given in large quantities. Dr. Hammond has 
proved the efficiency of Bibron's antidote in rat- 
tlesnake bite, and thinks it applicable to the 
poison of other reptiles. It is as follows : 
B Iodide of potash gr. iv. 
Corrosive sublimate gr. ij. 
Bromine 3 v. M. 
Ten drops of this mixture, diluted with a table- 
spoonful or two of wine or brandy, constitute a 
dose. To be repeated if necessary. It must be 
kept in glass-stoppered vials well secured. 
Hydrophobia.-In mad-dog bites, the wounded 
parts should, if possible, be immediately sucked 
with the mouth. If it can not be reached with 
the mouth, a cupping-glass should be applied. 
The part should then be freely excised. It is 
advisable to,ligate the limb until suction, or ex- 
cision, as in snake-bite. Although I have never 
tried it, nor heard of it being tried, still no harm 
could come of the use of Bibron's antidote, and 
it might prove beneficial. 86 
HAND-BOOK OF MEDICAL 
Post-mortem Wounds.-These wounds should 
be immediately sucked by the mouth, well wash- 
ed, and compression made upon the finger until 
it has bled freely. AND SURGICAL REFERENCE. 
87 
CHAPTER IV. 
HERNIA. 
Inguinal Hernia.-Operation.-The bladder 
being emptied, the pubes shaved, the patient 
should be brought to the edge of the bed, 
and the surgeon, standing between his legs and 
having the skin well pinched up that covers the 
external ring, divides the fold' in the usual way, 
(by thrusting the point of the knife through the 
pinched-up integument, with the back of the 
blade toward the hernia and cutting upward,) by 
an incision three inches in length, commencing 
about an inch above the external abdominal ring. 
Should the superficial external pudic or any 
vessels be severed in this incision, they should 
be ligated. The surgeon proceeds through the 
subcutaneous structures ; if the patient has long 
worn a truss, he will find the superficial fascia 
very much thickened. ' He divides this in a line 
with the external incision, and then exposes the 
intercolumnar fascia, which is generally thicken- 
ed and incorporated with the superficial fascia. 
An opening should be very carefully made into 
this fascia, a grooved director passed under the 
edge of the ring, and this slit up. In rare cases, 88 
HAND-BOOK OF MEDICAL 
the hernia may now be reduced; most com- 
monly, however, the stricture is situated deeper 
than this. The cremasteric fascia, generally 
considerably thickened, is now exposed, and must 
be carefully divided upon a director, w'hen the 
subserous cellular tissue, or fascia propria, will 
be laid bare. The surgeon should now again 
attempt to reduce the hernia, but if he fails in 
this, the sack must be opened at its anterior part, 
the finger introduced, and the stricture divided 
from within by pressing the finger-nail under it 
and cautiously sliding the hernia knife along 
this. It is an established rule in surgery, that 
this division should be made in a direction par- 
allel with the course of the epigastric vessels, 
whether it be situated on the inner side (direct 
inguinal) or upon the outer side (oblique ingui- 
nal) of these. A line drawn from the middle of 
Poupart's ligament to half-way between the 
xiphoid cartilage and umbilicus will cover the di- 
rection of this artery in the first half of its 
length. 
Femoral Hernia.-Operation.-The patient 
being in the same position as in the previous 
operation, an incision is made of sufficient length 
to expose the sac and the saphenous opening. In 
some cases, it will be neccessary to give to this 
incision a crucial form. The sac being reached, 
opened, and the contents examined, the surgeon 
will first ascertain whether the falciform liga- AND SURGICAL REFERENCE. 
89 
ment is the seat of stricture. (The falciform 
ligament is the upper margin of the saphenous 
opening.) If it is the seat of stricture, nothing 
is easier or more free from danger than to incise 
it in a direction upward and inward. If the 
hernia can not now be reduced, it only remains 
to carry the forefinger of the left hand to the 
femoral ring, feel for the sharp edge of Gimber - 
nat's ligament, and with a probe-pointed bis- 
toury, laid flatwise, its edge directed toward the 
spine of the pubes, press firmly against the liga- 
ment without any sawing-motion, and the stric- 
ture will be divided. 
Lower Jaw.-Reduction.-The surgeon, stand- 
ing before the patient, applies his thumbs (well 
wrapped with a napkin or towel) to the molar 
teeth on both sides and depresses the angle 
of the jaw forcibly, at the same time raising 
the chin by means of his fingers underneath it. 
If only one condyle is dislocated, the effort at 
reduction should be applied to the injured side 
alone. The four-tailed bandage should then be 
applied, and the patient not allowed to talk, or 
eat any solid food for several days. 
DISLOCATIONS. 
Humerus. Shoulder-Joint. Subglenoid.- 
Operation for reduction.-The forearm being 
flexed upon the arm and the arm elevated to a 90 
HAND-BOOK OF MEDICAL 
right angle with the body, the foot is placed upon 
a stool high enough to bring the knee under the 
axilla; the arm should now be rotated forward, 
depressing the hand and forearm, while the knee 
serves as a fulcrum on which the humerus acts 
as a lever to prize the head of the humerus into 
the glenoid cavity. 
Should this method fail, the patient should be 
brought under the influence of an antesthetic, 
and placed in the recumbent posture upon the 
floor. With his heel in the axilla, the surgeon 
draws the arm of the patient steadily downward, 
parallel with the side of the body ; the heel as a 
fulcrum serving to force the head or the humerus 
into the glenoid fossa. 
Subcoracoid and subclavicular Dislocations.- 
The subcoracoid is reduced by the same manipu- 
lation as the subglenoid. The subclavicular, 
which is only an exaggeration of the subcoracoid, 
demands sufficient extension to disengage the 
head and neck of the humerus from under the 
conjoined tendons of the coraco-brachialis and 
biceps ; after this, the manipulation is the same 
as in the preceding. 
Subspiiious Dislocation on Dorsum of Sca- 
pula.-Very infrequent. Make extension in a 
direction outward and downward. 
Dislocation of Elbow-Joint backward.-Place 
the knee in the bend of the elbow, flex the fore- AND SURGICAL REFERENCE. 
91 
arm, and make extension from the hand and 
wrist. 
Dislocation of Elbow-Joint forward.-Only 
seven cases of the dislocation of the ulna and 
radius forward have been reported. The re- 
duction is best accomplished by forced flexion of 
the forearm, aided by pressure at the elbow from 
the inner side of the joint, downward in the di- 
rection of the shaft of the humerus. 
Dislocation of the Wrist-Joint.-Extension 
and counter extension ; antero-posterior splints 
to prevent the recurrence of the accident. 
Dislocation of the Femur upon the Dorsum 
of Ilium.-Signs.-The limb is shortened, rotat- 
ed inward, adducted, and slightly flexed. Tro- 
chanter major less prominent than upon opposite 
side ; sometimes the head of the femur may be 
felt upon the dorsum of the ilium. 
Operation.-The patient resting upon his 
back, the surgeon, in the case of the right thigh, 
seizing the knee with his left hand and the ankle 
with his right, flexes the leg to a right angle with 
the thigh. Then the thigh is flexed to about a 
right angle with the body, then abducted and 
rotated outward. 
In case this method fails, Sir Astley Cooper 
recommends extension by means of the pulleys, 
in the direction of the axis of the limb. 92 
HAND-BOOK OB MEDICAL 
Dislocation into the Ischiatic Notch.-Reduc- 
ion is effected by the same manipulation which 
has already been described for dislocation upon 
the dorsum. If, during the manipulation, the 
thigh is very much flexed upon the abdomen, 
there is great danger that the head of the femur 
will be carried around the lower margin of the 
acetabulum into the thyroid foramen. If this 
happens, reverse manipulation will restore the 
head of the femur to its original dislocation. 
This dislocation may also be reduced by ex- 
tension applied in the same manner as for dislo- 
cation upon the dorsum, only that the thigh 
must be more flexed while the extension is made. 
Dislocation upon the Pubes.-Signs.- The leg 
is generally shortened, abducted slightly, and ro- 
tated outward, and the head or neck of the 
femur may be felt over the horizontal ramus of 
the pubes. 
Reduction.-If the head of the femur has 
passed above, while the neck rests upon the 
pubis, extension must precede manipulation, or, 
if manipulation is at once employed, the first step 
will be to rotate the thigh outward and abduct 
it very forcibly, so as to throw the head upon 
the pubes; after which, forced flexion, adduc- 
tion, and rotation inward will carry the head 
into the acetabulum. 
Dislocation into the Obturator Foramen.- 
Operation for lieduction.-The patient resting AND SURGICAL REFERENCE. 
93 
upon his back, a sheet is passed around the pel- 
vis, and its two ends committed to two assistants 
standing on the side opposite the dislocated limb. 
A second assistant passes his hand under the 
sound leg and seizes the ankle of the dislocated 
limb, while the surgeon stands on the dislocated 
side with a strong band passed beneath the up- 
per part of the thigh and over his shoulders. The 
first assistant steadies the pelvis, the second 
draws the dislocated limb under and across the 
sound limb, while the surgeon, by erecting his 
body, lifts forward, outward, and a little to- 
ward the head of the patient. 
Dislocations of the Patella outward.-Re- 
duction is effected by laying the patient upon 
the floor, while the surgeon, lifting the leg and 
thigh, places the heel upon his own shoulder, 
relaxing the quadriceps extensor muscle, and then 
pushing the patella with his hand toward its 
natural position. 
Inward dislocation is reduced by the same ma- 
noeuvre. 
Upward Dislocation occurs with rupture of 
the ligamentum patellae. The treatment is the 
same as for fracture, and consists in elevating 
the limb upon a well-cushioned inclined plane, so 
as to relax the quadriceps extensor, and then se- 
curing the patella in place by a roller; after 
which the whole must be supported upon the 94 
HAND-BOOK OF MEDICAL 
splint by a roller extending from the foot to the 
groin. 
Dislocations of the Tibia at the Knee-Joint.- 
Complete dislocations at this articulation are, in 
most cases, compound and complicated, and of- 
ten require immediate amputation. 
In lateral displacements that are partial, sim- 
ple extension will generally succeed. If the dis- 
location is backward, forced and extreme flex- 
ion has seldom or never failed. If the disloca- 
tion is forward, the manipulation must be re- 
versed. 
Dislocations at the Ankle-Joint.-This joint 
is liable to dislocation forward and backward. 
The reduction is effected by extension and suit- 
able pressure. 
URINARY TESTS. 
Properties and Composition of the Normal 
Urine.-Total quantity in twenty-four hours, 27 
to 50 fluid ounces. Ordinary range of specific 
gravity, from 1015 to 1025. Extreme range of 
specific gravity, from 1005 to 1030. Reaction, 
acid. 
The specific, gravity of urine may be deter- 
mined by means of the urinometer, manufactured 
by Tiemann & Co. of New-York, which will be 
accurate enough for ordinary purposes. The AND SURGICAL REFERENCE. 
95 
temperature of the urine when tested should be 
about 60° Fahrenheit. 
Test for Albumen.-Fill a test-tube about half 
full of urine, and apply the heat to the upper 
layer, which, if it be rendered turbid, will pre- 
sent a marked contrast with the clear fluid be- 
low. If the urine be neutral or alkaline, a few 
drops of acetic acid should be added before the 
heat is applied. In urine that is very feebly acid, 
neutral, or alkaline, turbidity may follow the ap- 
plication of heat when no albumen is present. 
This is due to a deposition of the earthy phos- 
phates ; and the character of this precipitate may 
be recognized by adding a drop or two of nitric 
acid, which immediately clears up the specimen. 
In the test by nitric acid, the reagent may be 
simply dropped in, or allowed to trickle down the 
side of the test-tube, and fall to the bottom. In 
most specimens of albuminous urine, the nitric 
acid, simply added to the urine, will produce a 
well-marked coagulation. When the acid is 
carefully passed to the bottom of the tube, there 
is a clear stratum below formed by the-acid, a 
clear stratum of urine above, and an intermediate 
zone of coagulation, more or less opaque. 
Quantitative Analysis.-A small quantity of 
acetic acid is added to a weighed quantity of 
urine, and the specimen is boiled in a test-tube. 
The precipitate may then be collected on a filter, 96 
HAND-BOOK OF MEDICAL 
carefully dried and weighed, and its proportion 
calculated. So careful an estimate is rarely re- 
quired. 
A rough but sufficiently accurate estimate may 
be made by adding acetic acid, boiling, and al- 
lowing the flaky precipitate to settle. Its pro- 
portion may then be expressed as one eighth, one 
fourth, etc., in proportion to what part of the 
whole is occupied by the turbid precipitate. 
Test for Sugar.-Fehling's test liquid is the 
only reliable test for the presence of sugar in the 
urine. 
The following is the best way to prepare and 
keep it: Take of sulphate of copper 94f grains, 
and put in a tight vial with one fluid ounce of 
distilled water. Take of tartrate of potash 378f^ 
grains, and put in another vial, with a fluid 
ounce of distilled water. In another vial keep a 
solution of caustic soda, of a specific gravity of 
1.12. (That is, take two one-ounce vials, weigh- 
ing the same, and into each put an ounce of dis- 
tilled water. Supposing each to weigh 100 grains,, 
add to one of them enough caustic soda to weigh 
one hundred and twelve grains.) 
Measure half a fluid drachm of the solution oi 
copper, add half a fluid drachm of the solution of 
tartrate of potash, add fifteen minims of distilled 
water, and add the solution of caustic soda, to 
make in all three fluid drachms. Fill a test-tube 
an inch with this liquid, which is boiled, arid add 97 
AND SURGICAL REFERENCE. 
the urine drop by drop. In ordinary diabetic 
urine, the first few drops will produce a brilliant 
reddish or yellow opaque precipitate. If the 
urine be added to about an equal volume with 
the test liquid, and the mixture be again brought 
to the boiling point, without any precipitate, it is 
certain that no sugar is present. 
In ordinary tests, one part of the solution of 
copper, one part of the solution of potash, and 
four parts of the solution of soda, mixed in a test 
tube, will answer perfectly well. 
Quantitative Analysis.-Take two specimens 
of the diabetic urine, and put into separate 
bottles. To one is added a small lump of Ger- 
man yeast, and the cork nicked to allow of the 
escape of the gas. The other bottle is tightly 
corked. The two bottles are then set aside in a 
warm place, as the mantelpiece in winter, or in 
the sun in summer. In twenty-four hours the 
fermentation will have been completed in the 
specimen to which the yeast was added. If the 
specific gravity of the two be now compared, the 
fermented specimen will be found much the 
lighter from loss of sugar, which has been de- 
composed into alcohol and carbonic acid. The 
difference in the density of the two specimens, 
expressed in degrees of the urinometer, will 
represent the number of grains of sugar per 
fluid ounce in the urine. For example, if the 
specific gravity of the fermented specimen be 98 
HAND-BOOK OF MEDICAL 
1010, and the unfermented specimen 1040, the 
urine contains 30 grains of sugar per fluid ounce, 
both specimens being at the same temperature. 
Test for Bile.-Upon a porcelain surface 
spread a thin stratum of the urine, and add to 
it a drop of nitroso-nitric acid, (a mixture of 
nitrous and nitric acid.) If biliverdine, the 
coloring matter of the bile, be present, the drop 
of acid will be fringed with a rapidly varying 
play of colors, violet, green, and. red, which 
speedily disappear. A drop of nitric acid will 
produce nearly the same appearance, though the 
colors are less strongly marked. 
Quantitative Analysis for Urea.-A strong 
glass tube, about twelve or fourteen inches long, 
closed at one end, and its open extremity ground 
smooth, and having the bore not larger than the 
thumb can cover, holding from two to three 
cubic inches, each divided into tenths and hun- 
dreths by graduation on the glass, is filled more 
than a third full of mercury, to which after- 
ward a measured quantity of urine to be ex- 
amined is poured, which may be from a quarter 
of a drachm to a drachm or upward, according 
to the capacity of the tube; then holding the 
tube in one hand near its open extremity, and 
having the thumb in readiness to cover the 
aperture, the operator fills it completely full 
with a solution of the hypochlorite of soda, AND SURGICAL REFERENCE. 
99 
(Labarraque's solution,) taking care not to over- 
flow the tube, and then instantly covers the open- 
ing tightly with the thumb, and having rapidly 
inverted the tube once or twice, to mix the urine 
with the hypochlorite, finally opens the tube 
under a saturated solution of common salt in 
water, contained in a steady cup or small mor- 
tar. The mercury then flows out, and the solu- 
tion of salt takes its place, and the mixture of 
urine and hypochlorite being lighter than the 
solution of salt, will remain in the upper part of 
the tube, and will be prevented from descending 
and mixing with the fluid in the cup. A rapid 
disengagement of minute globules of gas soon 
takes place in the mixture in the upper part of 
the tube, and the gas is there retained and col- 
lected. The tube is then left in the upright 
position till there is no further appearance of 
minute globules of gas being formed, the time 
being dependent upon the strength of the 
hypochlorite and the quantity of urea present; 
but the decomposition is usually completed in 
from three to four hours ; it may, however, be 
left much longer, even for a day if convenient, and 
having set the experiment going it requires no 
further attention ; and when the decomposition 
is completed, it is only necessary to read the 
quantity of gas produced off the scale on the 
tube. Using half a fluid drachm of urine, each 
cubic inch of gas represents 0.645 of a grain of 
urea. 100 
HAND-BOOK OF MEDICAL 
To obtain the proportion, multiply the frac- 
tions of a cubic inch, graduated on the tube, by 
0.645, and the result will be the amount of urea 
in half a fluid drachm of urine, in grains. 
Test for Chlorides.-In many diseases, prin- 
cipally in pneumonitis, it becomes necessary to 
ascertain the quantity of chlorides in the urine. 
In this latter disease, while the process of exu- 
dation is going on, and after solidification has 
taken place, until resolution begins, the chlorides 
are frequently diminished, if not altogether 
absent from the urine. 
Quantitative Analysis.-Make a solution of 
chemically pure fused nitrate of silver in distilled 
water, so that six fluid ounces shall contain 57.47 
grains of the salt. A fluid ounce of this will 
correspond to two grains of chlorine. 
Measure out carefully two fluid drachms of 
urine, and add a few drops of nitric acid, to 
keep the phosphates in solution when the nitrate 
of silver is added; then measure out half a 
fluid ounce of the test liquid, pour it into the 
burette, and carefully fill with distilled water to 
0. The urine may now be diluted with water, 
if it be desired to make the estimate with great 
nicety, or the undiluted urine may be used. 
The solution is then gradually added to the 
urine from the burette, each addition being 
followed by a white precipitate. Each time after AND SURGICAL REFERENCE. 
101 
adding the test-liquid the mixture should he 
stirred with a glass rod, and the precipitate 
allowed to settle. At the moment when the ad- 
dition of the test liquid fails to produce a preci- 
pitate, the analysis is complete. The test will 
occupy from ten to fifteen minutes. Each divi- 
sion of the scale on the burette into two grains 
represents of a grain of chlorine. 
If the urine be albuminous, two fluid drachms 
should be carefully measured, acidulated with a 
little acetic acid, and boiled. The coagulated 
albumen may now be separated by filtration, 
the clear filtrate acidulated with nitric acid, and 
then treated with the graduated solution of 
nitrate of silver. 
The following is the ordinary way of deter- 
mining merely the presence or absence of the 
chlorides. Fill a test-tube one third full of 
urine, and add to this a few drops of pure nitric 
acid, then add the solution of nitrate of silver, 
and a cloudy precipitate will be seen, the greater 
or less density of which will indicate the pro- 
portion of chlorine present in the urine. Should 
albumen be present, the addition of the nitric 
acid will indicate it. 
Quantitative Analysis for Phosphoric Acid.- 
Take 9.33 grains of pure iron by hydrogen, and 
dissolve in pure hydrochloric acid, adding a 
little nitric acid; evaporate this carefully to 
dryness in a water-bath, to drive off the excess of 102 
HAND-BOOK OF MEDICAL 
hydrochloric acid, and disolve the residue in six 
fluid ounces of distilled water. One fluid ounce 
of this solution will correspond to two grains of 
phosphoric acid. 
Dissolve 400 grains of acetate of soda in six 
fluid ounces of water, and add 800 grains of 
ordinary acetic acid. Half a fluid drachm of this 
solution is to be added to two fluid drachms of 
urine before adding the solution of perchloride 
of iron. 
Dissolve twelve grains of ferrocyanide of 
potassium in six fluid ounces of water. 
To estimate the entire amount of phosphoric 
acid in a given specimen, measure off two fluid 
drachms of urine, and add half a fluid drachm of 
the solution of acetate of soda and acetic acid. 
Pour half a fluid ounce of solution of sesqui- 
chloride of iron into the burette, and dilute 
with distilled water to 0. The iron solution is 
now to be gradually added to the mixture of 
urine, this producing a yellowish precipitate. 
During this process the mixture is stirred with a 
glass rod, and a drop is taken from time to time, 
put upon a bit of filtering paper, which is pressed 
with the fingers over a second piece of filtering 
paper moistened with the solution of ferrocyanide 
of potassium. The faintest blue color appearing 
on the paper moistened with the solution of ferro- 
cyanide of potassium is an indication that an ex- 
cess of iron is present in the mixture, and the 
analysis is then complete. The amount of iron AND SURGICAL REFERENCE. 
103 
solution added may then be read off from the 
burette, and each division into two grains repre- 
sents of a grain of phosphoric acid. 
A Summary of the more important differential 
Characters of Variola, Scarlatina, Rubeola, 
and Roseola. 
Period of Incubation.-The average period 
in variola, from 10 to 14 days ; in scarlatina, from 
1 to 6 days ; in rubeola, from 6 to 10 days. 
Stage of Invasion.-Duration in variola, 2 
to 3 days; in scarlatina, 1 to 2 days; in rubeola 
4 to 5 days ; in roseola, 1 to 2 days. In variola, 
whitish or ash-colored spots in the mouth and 
fauces, and sometimes a cutaneous efflorescence ; 
lumbar pain in a marked, degree. In scarlatina, 
efflorescense and sometimes exudation in throat; 
febrile movement often notably intense. In 
rubeola, coryza, irritability of eyes, hoarseness, 
and loud barking cough. 
Stage of Erv ption..-In variola, eruption ap- 
pearing first on face and wrists, and gradually 
extending over cutaneous surface. The eruption 
at first maculated, next papular, next vesicular, 
more or less of the vesicles umbilicated, and 
finally, the eruption pustular. The eruption 
aborting at different stages in case of varioloid. 
The eruption in varicella differing in being vesi- 
cular at first, the vesicles not being umbilicated, 
and not becoming pustular; also in the short 
duration of the stage of eruption. The febrile 104 
HAND-BOOK OF MEDICAL 
movement in variola remitting or ceasing with 
the appearance of the eruption. In scarlatina, 
the eruption frequently appearing on the chest 
and upper extremities, before, or simultaneously 
with its appearance on the face and neck. The 
eruption rapidly diffused over the cutaneous 
surface. The eruption of a scarlet color, not 
elevated, assuming the form of patches with 
irregular or serrated edges, or existing contin- 
ously over the whole surface. The tongue re- 
sembling a ripe strawberry. In rubeola, the 
eruption appearing first on the head, and 
gradually extending over the cutaneous surface. 
The color a dull or deep red; the eruption 
elevated, and the coalescing papules grouped in 
crescentic forms. Febrile movement not dimin- 
ished at the time the eruption appears. In 
roseola, the eruption appearing in different parts 
of the cutaneous surface; the color rose-red ; 
eruption not elevated ; febrile movement slight; 
no affection of the throat or air-passages. 
Stage of Desquamation.-In variola, concre- 
tion of pus, and the formation of crusts or 
scabs. In scarlatina, the epidermis exfoliated, 
sometimes in branny scales, and sometimes in 
large flakes or patches. In rubeola, desquama- 
tion frequently wanting, and when it occurs, 
always furfuraceous. In roseola, no desquama- 
tion. 105 
AND SURGICAL REFERENCE. 
CHAPTER V. 
ALTERATIVES. 
1 R Calomel, gr. vj. 
Powdered Opium, gr. iij. 
Quinine, gr. xij. 
Syrup, q.s. M. 
Make twelve pills. 
Sig. One night and morning. 
2 R Tinct. Iodine, f 3 j- 
Mucilage of Acacia, f § ij. 
Distilled Water, f § vj. M. 
Sig. One table-spoonful every two hours. 
In strumous diathesis. 
3 R Iodide of Potassium, 5 iv. 
Iodine, gr. ij. 
Peppermint Water, f§vj. M. 
Sig. Take one tea-spoonful three times a day. 
In epilepsy and catalepsy.-Magendie. 106 
HAND-BOOK OF MEDICAL 
4 R Iodide of Potassium, 3 j- 
Syrup Ginger, f 5 i. 
Water, f § v. M. 
Sig. Take a table spoonful three times a day. 
Prescribed in secondary syphilis, lupus, and 
various cutaneous diseases. 
5 R Red Iodide Mercury, gr. j. 
Iodide of Potassium, 3 j. 
Water, f § j. 
Syrup, § v. M. 
Sig. One table-spoonful three times a day. 
Used in secondary syphilis and obstinate shin- 
diseases.-HSpital St. Louis. 
6 R Donovan's Solution, f 5 ij- 
Syrup of Ginger, f § ss. 
Water, f § iij. M. 
Sig. A dessert-spoonful an hour after each 
meal.-Donovan. AND 'SURGICAL REFERENCE. 
107 
(bibron's antidote.) 
7 R Bromine, 3 v. 
Iodide of Potassium, gr. iv. 
Corrosive Sublimate, gr. ij. M. 
Sig. Take ten drops in a table-spoonful of 
wine or brandy. Repeat every fifteen or twenty 
minutes, until relieved. 
Prof. Bibron, Prince Paul of Wurtemberg, and 
Dr. W. A. Hammond have found this a valuable 
antidote to the bite of the rattlesnake. 
8 R Fowler's Solution, Tff_lxxx;. 
Iodide of Potassium, gr. xvj. 
Iodine, gr. iv. 
Syrup of Orange Peel, f § ij. M. 
Sig. A tea-spoonful three times a day in a 
wine-glass of water. 
In chronic eczema.-Neligan. 
9 R Arseniate of Soda, gr. j. 
Water, f 3 j. M. 
Sig. Twenty drops three times a day. 
Used in skin diseases. 108 
HAND-BOOK OF MEDICAL 
10 R Nitromuriatic Acid, f 3 j. 
Water, f^viij. 
Mix and add 
Hoffmann's Anodyne, f 3 ij. M. 
Sig. From twenty drops to half a tea-spoon 
ful, to be given every three hours in a wine-glass 
ful of sweetened water. 
11 R Bromide of Potassium, gr. iij. 
Sig. Every two or three hours as an anta- 
phrodisiac. 
12 R Borate of Soda, in solution, in small 
quantities, injected into the rectum. 
Also- 
R Phosphorus, gr. xij. 
Oil of Sweet Almonds, § j. 
Sig. Melt the phosphorus in the oil, by aid 
of warm water, and add oil of bergamot q. s. to 
give the mixture an agreeable taste. Take five 
to ten drops two or three times a day. 
In impotence. AND SURGICAL REFERENCE. 
109 
13 R Acetate of Lead, gr. iij. 
Sig. Take at once. 
Or- 
R Carbonate of Soda, gr. x. to xx. 
Sig. Take at once. 
To neutralize poisoning by alum that has been 
given through mistake to patients unable to 
vomit. 
14 R Iodide of Potassium, gr. xx. 
Sig. Take three times a day. 
Or- 
R Bromide of Potassium, gr. xxx. 
Sig. Take three times a day. 
In cases of cerebral affections, where the diagno- 
sis is uncertain.-Hammond. 
15 R Bromide of Calcium, gr. xv. 
Sig. Take three times a day. 
Excessive sleep is not an alarming symptom 
after the administration of the above. 
Recommended in cerebral congestion.-Hammond. 110 
HAND-BOOK OF MEDICAL 
16 R Arsenious Acid, gr. to 
Sig. Three times a day. 
In cerebral congestion.-Hammond. 
17 R Iodide of Potassium, gr. xx. 
Corrosive Sublimate, gr. Jg-. 
Sig. Take this three times a day. 
/In syphilis.-Sayre. 
18 R Bromide of Sodium, gr. xx. 
Sig. Take this three times a day, and gradu- 
. ally increase. 
Epilepsy in children.-Hammond. 
19 R Strychnia, gr. 
Sig. Take this three times a day, gradually 
increasing to of a grain. Ether spray to spi- 
nal column. 
In chorea.-Hammond. AND SURGICAL REFERENCE. 
111 
20 R Syrup of Iodide of Iron, gtt. iij. 
Sig. Take every two or three hours. 
Eruptions peculiar to children.-Bellevue Hos- 
pital. 
21 R Fowler's Solution, gtt. x. 
Sig. Take this two or three times a day, for 
an adult. 
In chorea. 
22 R Subcarbonate of Iron, § iv. 
Sig. Take one tea-spoonful three times a day. 
In neuralgia and, chorea. 
23 R Carbonate of Iron, 3 j. 
Sig. Take ten to thirty grains three times a 
day. 
In chlorosis. 112 
HAND-BOOK OH MEDICAL 
24 R Chloroform, gtt. xx. 
Repeated, if necessary. 
In colic. 
25 R Extract of Colocynth, gr. xl. 
Extract of Hyoscyamus, gr. xx. M. 
Make twelve pills. 
Sig. One every night at bed-time. 
In habitual constipation. 
26 R Syrup of Ginger, f 3 jss. 
Syrup of White Poppies, f 3 ss. M. 
Sig. One tea-spoonful to child three or four 
years old, three times a day. 
In habitual bowel-complaints of children. 
27 R Water of Ammonia, gtt. x. to xxx. 
Sig. Dilute largely with water and take at 
once, to relieve a fit of drunkenness. AND SURGICAL REFERENCE. 
113 
28 R Arsenious Acid, gr. Is- 
Sig. Three times a day, increasing the dose 
to one tenth of a grain, if necessary. 
In cutaneous eruptions, due to the action of the 
bromides.-Hammond. 
29 R Aromatic Spirit of Ammonia, gtt. xxx. 
Sig. Take, strongly diluted with water, every 
half-hour. 
30 R Nitric Acid, q.s. 
Dilute with water and add sugar to make a 
drink resembling lemonade. 
Sig. One dessert-spoonful every hour for a 
child. 
In whooping-cough. 
31 R Alum, gr. ij. to x. 
According to age of child. 
Sig. Three times a day. 
In whooping-cough. 114 
HAND-BOOK OF MEDICAL 
32 R Sulphate of Zinc, gr. | to |. 
Ext. Belladonna, gr. |. M. 
Sig. Take this three times a day. 
In whooping-cough.-Prof. Rogers. 
33 R Cochineal, gr. x. 
Carbonate of Potassa, gr. xx. 
White Sugar, 3 j- 
Water, f 3 iv. M. 
Sig. One dessert-spoonful three times a day, 
to child one year old, and increase with age. 
In whooping-cough. 
34 R Podophyllin, gr. xv. 
Extract Taraxacum, § ss. 
Water, f 3 iij. 
Oil of Lemon, 3 j- 
Syrup of Orange-peel, § j. 
Nitro-muriatic Acid, 3 ij- M. 
Sig. Tea-spoonful one hour before each meal. 
In jaundice. 
35 R Powdered Snakeroot, gr. x. 
Sig. Every three hours, to promote the out- 
break in rubeola. AND SURGICAL REFERENCE. 
115 
36 R Compound Spirit of Lavender, 
Hoffmann's Anodyne, aa, gtt. xl. 
Tincture of Valerian, f 3 ij. M 
Sig. At once. 
In headache of pregnancy. 
37 R Solution of Chloride of Ammonium, 
gr. xx. 
Sig. Three times a day. 
In side-headache. 
38 R Subcarbonate of Iron, q.s. 
Sig. One to two tea-spoonfuls every three or 
four hours. 
In neuralgia. 
39 R Valerianate of Ammonia, gr, iij. 
Dissolve in water. 
Sig. Every three or four hours. 
In neuralgia. 116 
HAND-BOOK OF MEDICAL 
40 R Sulphate of Zinc, gr. j. 
Extract of Hyoscyamus, gr. iij. M. 
Sig. Make one pill and take at bed-time. 
In night-sweats of phthisis. 
41 R Aromatic Sulphuric Acid, gtt. xx. 
Sig. At bed-time. 
In night-sweats. 
42 R Phosphate of Zinc, gr. ij. 
Sig. At bed-time. 
In night-sweats of phthisis.-Bellevue Hospi- 
tal. 
43 R Iodide of Potassium, q.s. 
Sig. In as large doses as can be endured by 
patient, commencing with ten grains, and in- 
creasing ; three times a day. 
In hydrocephalus.-Hammond. AND SURGICAL REFERENCE. 
117 
4 R Chloride of Ammonium, gr. xxx, 
Make a solution. 
Sig. Three times a day. 
In pleurodynia and neuralgia. 
45 R Subcarbonate of Bismuth, gr. x. 
Pepsin, gr. ij. M. 
Sig. At once. 
In weakness of pregnancy. 
46 R Tincture of Cinchonia, f 5 xiij. 
. Dilute Nitric Acid, f 5 iij- 
Tincture of Nux Vomica, f 3 ij. 
Syrup of Ginger, f 3 vj. M. 
Sig. One tea-spoonful as often as needed. 
In flatulence of pregnancy. 
47 R Nitrate of Potassa, § ss. 
Water, 0. j. M. 
Sig. Take this within twenty-four hours, and 
repeat, if necessary. 
Very useful in acute rheumatism. 118 
HAND-BOOK OF MEDICAL 
48 R Nitric Acid, gtt. x. 
Sig. Three times a day. 
In intermittent fever. 
49 R Permanganatejof Potassa, gr. iij. 
Water, f § j. M. 
Sig. Inject into bladder. 
In inflammation of that organ. 
50 R Bitartrate of Potassa, $ j. 
Jalap, gr. x. M. 
Sig. Three times a day. 
In general dropsy. 
51 R Sulphate of Quinia, gr. xv. 
Morphia, gr. J. 
Extract of Belladonna, gr. |. M. 
Sig. At once. 
In the cold stage of intermittent fever, to short- 
en the paroxysm. 119 
AND SURGICAL REFERENCE. 
52 R Sulphate of Manganese, 3 ij- 
Water, 0. j. M. 
Sig. One or two wine-glassfuls every two 
hours. 
In jaundice. 
53 R Subnitrate of Bismuth, gr. xx. 
Sig. Every two hours. 
In habitual pain in stomach, with indigestion, 
and in g astro-enteritis, with diarrhoea. 
54 R Subnitrate of Bismuth, gr. xx. 
Carbolic Acid, gr. |. M. 
Sig. Three times a day. 
In chronic diarrhoea. 
55 R Muriated Tincture of Iron, f 5 j. 
Sig. Three times a day. 
In erysipelas.-Dr. Bell. 120 
HAND-BOOK OF MEDICAL 
56 R Arsenious Acid, 
Strychnia, aa gr. 
Sig. Twice a day. 
In chlorosis.-Hammond. 
57 R Arsenious Acid, gr. 
Sig. Three times a day. 
In asthma. 
58 R Arsenious Acid, gr. 
Sig. Three times a day. 
In chorea. 
59 R Bromide of Sodium, § j. 
Pepsin, 
Subnitrate of Bismuth, aS § ss. 
Water, f § iv. M. 
Sig. One tea-spoonful in one ounce of water, 
three times a day. 
In dyspepsia and diarrhea. AND SURGICAL REFERENCE. 
121 
60 R Lacto-phosphate of Lime, § iv. 
Sig. One table-spoonful three times a day. 
Indigestion. 
61 R Citrate of Potassa, q.s. 
Sig. Make into a pleasant lemonade with 
warm water, and give frequent draughts to pa- 
tient. At same time place the invalid in a hot- 
water bath. 
To bring out the eruption in measles.-Dr. Bell. 
62 R Nitrate of Silver, gr. |. 
Sig. Every four hours, omitting ten days of 
each month. 
In locomotor ataxia.-Hammond. 
63 R Bicarbonate of Potassa, 5 ij- 
Lemon Juice, f 3 j. M. 
Sig. Every four hours, until urine is alkaline. 
Apply Tincture of Aconite to diseased joint. 
In acute articular rheumatism. 122 
HAND-BOOK. OF MEDICAL 
64 R Wine of Colchicum, TT[xij. 
Sig. Three or four times a day. 
In rheumatism with gout. 
65 R Pulverized Black Snakeroot, q.s. 
Sig. Twenty grains four times a day. 
In acute rheumatism. ■ 
66 3 Acetate of Lead, gr. j. 
Sig. In one pill, night and morning. 
In case of salivation. 
67 Officinal Solution of Potassa, gtt. xxx. 
Sig. Every hour. • 
In strangury from use of cantliar ides. 
68 5 Bromide of Potassium, gr. vj. 
Sig. Three times a day. 
In spermatorrhoea. AND SURGICAL REFERENCE. 
123 
69 IJ Bromide of Potassium, gr. x. 
Sig. Every two hours. 
In strangury. 
70 5 Quinine, gr. x. 
Calomel, gr. ij. M. 
Sig. Twice in twenty-four hours. 
In enlarged spleen. 
71 Bicarbonate of Soda, 3 j- 
Water, q.s. to make paste. 
Sig. Apply in stings of bees and insects. 
72 3 Donovan's Solution, gtt. v. 
Sig. Three times a day. 
In doubtful cutaneous eruptions.-U. S. Disp. 
73 3 Sulphate of Cinchona, gr. xxx. 
Muriate.d Tincture of Iron, f 3 ss. M. 
Sig. Twenty drops four or five times a day. 
Apply locally 
Oxide of Zinc Ointment. 
In sores peculiar to young children. 124 
HAND-BOOK OF MEDICAL 
Corrosive Sublimate, gr. j. 
Water, f § j. 
Alcohol, f 3 j- M. 
Sig. Fifteen drops three times a day, gradu- 
ally increasing to one tea-spoonful, and then 
gradually decrease. 
In tertiary syphilis.-Benson. 
75 5 Extract of Belladonna, gr. iij. 
Water, f § j. 
Sig. One drop three times a day to child one 
year old, two drops to child two years old, and 
so on. 
As a prophylactic in scarlatina epidemics. 
76 3 Oil of Sassafras, gtt. v. 
Sig. On a lump of sugar. 
To relieve the nausea from use of tobacco. 
77 3 Phosphate of Zinc, gr. iij. 
Nux Vomica, gr. x. M. 
Make thirty pills. 
Sig. One three times a day. 
In cerebral anaemia. AND SURGICAL REFERENCE. 
125 
78 Calomel, gr. j. 
Sig. Every four hours in pill, adding opium 
if the calomel acts as a cathartic. Also rub mer- 
curial ointment over eye-brow. 
In iritis. 
79 H Corrosive Sublimate, gr. ij. 
Iodide of Potassium, 3 v. 
Water, f § iv. M. 
Sig. One drachm (containing about one-six- 
teenth of a grain of corrosive sublimate) three 
times a day. 
In tubercular meningitis.-Hammond. 
80 ]$ Sulphate of Atropia, gr. 
Sig. Twice a day. 
In night-sweats. 
81 1$ Sulphate of Atropia, gr. 
Sig. Inject hypodermically, and apply bella- 
donna plaster to the affected part. 
In neuralgia of ulnar or radial nerve, or in 
sciatica.-Hammond. 126 
HAND-BOOK OF MEDICAL 
82 B Hyoscyamus, gr. iij. 
Sig. Every four hours, until effect is noticed. 
To prevent the recurrence of neuralgia.-Ham- 
mond. 
83 3 Extract of Belladonna, q.s. 
Make pills of one-fourth grain each. 
Sig. One, two, and three pills, and so on, for 
one, two, and three days. 
In obstinate constipation. 
84 B Sulphate of Atropia, gr. 
Sig. Three times a day, and increase gradu- 
ally up to one thirtieth or one fortieth of a grain. 
In neuralgia. 
85 Chloride of Barium, 3 j. 
Water, f § j. M. 
Sig. Ten drops three times a day. 
In sclerosis of the spinal cord. AND SURGICAL REFERENCE. 
127 
86 E Extract of Aloes, 
Ox-gall, Sa grs. ij. M. 
Sig. Three times a day. 
In habitual constipation. 
87 5 Extract of Aloes, 3 ss. 
Tincture of Ox-gall, f 3 ss. 
Make ten pills. 
Sig. One pill three times a day. 
In melancholy with suicidal tendency. 
88 E Wine of Colchicum, TH,xxx. 
Sig. Four times a day, and repeat, if necessary. 
In rheumatism and gout. 
89 3 Fluid Extract of Ergot, th,xx. 
Sig. Four times a day, and repeat, if necessary. 
In enlarged spleen. 128 
HAND-BOOK OF MEDICAL 
90 JJ Strychnia, gr. 
Sig. Three times a day. 
In paralysis, resulting from, cerebral anaemia. 
91 H Fluid Extract of Ergot, fTT[xx. 
Sig. Three times a day. 
In congestion of the spinal cord. 
92 H Bromide of Sodium, 3 j. 
Pepsin, 
Subnitrate of Bismuth, aa § ss. 
Water, f § ix. M. 
Sig. One tea-spoonful every three hours. 
In indigestion. 
93 5 Balsam of Copaiba, § i 
Sweet Spirit of Nitre, 
Laudanum, f 3 ij. M. 
Sig. One tea-spoonful three times a day. 
In gonorrhoea.-Hammond. AND SURGICAL REFERENCE. 
129 
94 3 Balsam of Copaiba, 3 ss. 
Sig. Three times a day. 
Hi bronchitis. 
ANTACIDS. 
95 5 Prepared Chalk, 3 jss. 
Powdered Cinnamon, 3 j. 
Powdered Black Pepper, gr. viij. 
Powdered Opium, gr. vj. M. 
Make twelve powders. 
Sig. One, three or four times a day. 
In diarrhoea. 
96 Magnesia, § ss. 
Bicarbonate of Soda, 
Powdered Ginger, aa 9 j. M. 
Sig. A small tea-spoonful occasionally. 
In cardialgia. 130 
HAND-BOOK OF MEDICAL 
97 3 Chalk Mixture, f § v. 
Tinct. Catechu, 
Paregoric, a a f § ss. M. 
Sig. One table-spoonful every three hours. 
Used in diarrhoea accompanied by acidity or 
flatulence. 
98 3 Solution of Lime, 
Fresh Milk, aa f § iij. M. 
Sig. One or two table-spoonfuls for a dose. 
Sickness of stomach. 
99 TJ Lime-water, 
Milk, equal parts, q.s. 
Sig. One tea-spoonful every hour.^ 
Also 
3 Pepisin, gr. xv. 
Sig. Take this three times a day. 
Sponge with hot salt-water. Warm flax-seed 
poultice over belly. 
In chronic diarrhoea. AND SURGICAL REFERENCE. 
131 
100 3 Lactic Acid, 3 j. 
Sig. Before each meal. 
In dyspepsia. 
101 IJ Lime-water, one part. 
Milk, three parts. 
Sig. Table-spoonful several times a day. 
In indigestion. 
102 3 Powdered Snakeroot, 
White Magnesia, Sa gr. xvj. 
Powdered Rhubarb, gr. xiij. M. 
Divide into six powders. 
Sig. One every day. 
In dyspepsia of children. 
103 Chalk Mixture, § ij. 
Deodorized Tinct. Opium, gtt. xxx. 
Creasote, gtt. ij. M. 
Sig. Two tea-spoonfuls every three hours. 
In the diarrhoea of children, with green dis- 
charges. 132 
HAND-BOOK OF MEDICAL 
104 R Subcarbonate of Bismuth, gr. j. 
Pepsin, gr. v. 
Strychnia, gr. M. 
Sig. Take this after each meal. 
Dyspepsia.-L. P. Yandell, Jr. 
105 R Bicarbonate of Soda, § iv. 
Powdered Sugar, § xij. 
Mucilage of Tragacanth, q.s. 
Rub the soda and sugar together until thor- 
oughly mixed, add the mucilage to make a mass. 
Divide into troches of ten grains each.-U. S. 
Dispensatory. 
HEARTBURN LOZENGES. 
106 5 Aqua Ammonia, gtt. x. 
Water, § ij. 
Sig. At once. 
In heartburn. 
TO MAKE LIME-WATER. 
107 3 Slaked Lime, § ij. 
Water, 0. j. M. 
Allow to settle, and draw off the water. AND SURGICAL REFERENCE. 
133 
108 3 Calcined Magnesia, q.s. 
Sig. One table-spoonful every two or three 
hours. 
In acidity of stomach. 
109 Strychnia, gr. j. 
Subnitrate of Bismuth, 9 iv. 
Syrup, q.s. M. 
Divide into twenty pills. 
Sig. One pill before each meal. 
In nausea from chronic gastric depression. 
ANTEMETICS. 
110 1$ Oxalate of Cerium, gr. xv. 
Extract Gentian, gr. v. M. 
Make ten pills. 
Sig. One pill an hour after each meal. 
In nausea of pregnancy.-Sir J. Y. Simpson. 134 
HAND-BOOK OF MEDICAL 
111 3 Oxalate of Cerium, gr. xxiv. 
Extract Nux Vomica, gr. xij. 
Iron by Hydrogen, gr. xxiv. 
Syrup, q.s. M. 
Make twenty-four pills. 
Sig. One at each meal. 
In nausea of pregnancywith, general debility. 
112 E Chloroform, TTl_xv. 
Pure Brandy, f § iss. M. 
Sig. One tea-spoonful every half-hour, in water. 
In nausea from nervous depression. 
113 E Morphia, gr. j. 
Aromatic Sulph. Acid, gtt. lx. 
Syrup of Orange-peel, f § iss. M. 
Sig. One tea-spoonful every two hours, in 
cold water. 
In nausea from gastric depression or intestinal 
irritation. AND SURGICAL REFERENCE. 
135 
114 R Chloroform, TTLx. 
Pure Alcohol, f § ss. 
Bicarbonate of Soda, 3 ij- 
Peppermint-water, f § iiss. M. 
Sig. One table-spoonful every half-hour. 
In nausea attending bowel complaints ; also, in 
nausea of pregnancy with acidity of stomach. 
115 IJ Rectified Pyroxylic Spt., f 5 j- 
Comp. Tinct. Cardamom, f § iss. M. 
Sig. One tea-spoonful every four hours. 
In nausea of pregnancy.-H. E. Eastlake. 
116 5 Creasote, gtt. xij. 
Subnitrate of Bismuth, 3 j. 
Powdered Tragacanth, gr. xxx. 
Syrup of Orange-peel, f § ij. 
Water, f§iv. M. 
Sig. One table-spoonful every hour or two. 
In nausea from indigestion. 136 
HAND-BOOK OF MEDICAL 
117 IJ Ether, one tea-spoonful. 
White Wine, one wine-glassful. M. 
Sig. At once, and repeat if necessary. 
In sea-sickness. 
118 Creasote, gtt. ij. 
Mucilage, f§ ss. M. 
Sig. At once, and repeat if necessary. 
To arrest vomiting. 
119 3 Sulphite of Soda, 3 j. 
Sig. Three times a day. 
In yeasty vomiting. 
120 IJ Creasote, Uliij. 
Powd. Hyoscyamus Leaves, gr. xij. 
Confection of Roses, q.s. M. 
Make twelve pills. 
Sig. One three times a day. 
In morning sickness of pregnancy. AND SURGICAL REFERENCE. 
137 
ANTHELMINTICS. 
121 I? Calomel, gr. v. 
Powdered Gamboge, gr. iij. M. 
Sig. Take at bed-time, in syrup. 
For an adult. 
122 3 Calomel, gr. iv. 
Powdered Spigelia, gr. x. M. 
Sig. To be taken two mornings in succession, 
and on the afternoon of the second day followed 
by a dose of castor oil. 
For children over four years of aye. 
123 Powdered Male-Fern, § j. 
Sig. One tea-spoonful. 
The following is Madame Nouffer's plan of 
treating tapeworm: 
Give of the powder of the male-fern root from 
one to three drachms, in a large cupful of dis- 
tilled water, early in the morning. If the sto- 
mach should reject it, the dose to be given again 
as soon as the sickness has passed off. When 
it has been upon the stomach two hours, a strong 138 
HAND-BOOK OF MEDICAL 
cathartic bolus (consisting of five grains of gam- 
boge, twelve grains of calomel, and twelve of 
scammony,) must be taken and worked off with 
a draught of green tea every now and then. 
Until the worm comes away, the patient is to 
take nothing but broth. If, however, the worm 
is not discharged, either wholly or in part, the 
powder is to be repeated, with the same regimen 
on the next day. 
124 R Pure Carb, of Potassa, 3 iss. 
Fluid Ext. Rhubarb, f 3 iss. 
Oil Worm seed, gtt. xxv. 
Solution of Lime, f § iv. M. 
Sig. One tea spoonful every two hours until 
purged.-L. C. Heyl. 
125 3 Oil Wormseed, f 3 iss. 
Castor Oil, f § iij. 
Oil of Aniseed, gtt. x. M. 
Add 
Aromatic Syrup Rhubarb, f § j. 
Sig. Shake the bottle well before taking, and 
give one tea-spoonful night and morning, to child 
two years of age. AND SURGICAL REFERENCE. 
139 
126 Pumpkin Seed, § ij. 
Take off the husks, and add 
Sugar, §j. M. 
And add gradually, 
Water, f § viij. 
Sig. Take the whole in two or three draughts, 
at short intervals. Eat very little, if any thing. 
In tapeworm. 
127 R Cape Aloes, 3 j. 
Slippery-Elm Mucilage, 0. j. M. 
Sig. Inject. 
The half of this may be given to child eight 
or ten years old. 
In ascarides. 
128 3 Red Iodide Mercury, gr. f. 
Iodide of Potassium, gr. viij. M. 
Rub together and add gradually, 
Distilled Water, 0. j. 
Sig. Inject a wine-glassful night and morn- 
ing- 
The injection should be continued two or three 
days, and repeated once or twice at the end of 
two weeks. The above dose is for a child, and 
seldom fails to destroy ascarides.-Trousseau. 140 
HAND-BOOK OF MEDICAL 
129 5 Aloes, gr. xl. 
Carbonate of Potassa, gr. xv. 
Mucilage of Starch, f § x. M. 
Sig. Inject into rectum every morning for 
two or three days, to destroy ascarides. 
130 3 Chenopodium, 3 iv. 
Make into eight powders. 
Sig. One before breakfast and at bed-time, 
for four days. 
Then, 
5 Calomel, 
Jalap, aa gr. x. 
Make two powders. 
Sig. One, four hours after the last dose of 
the above, and the second in nine hours. 
To expel lumbrieoid worms. AND SURGICAL REFERENCE. 
141 
ANTILITHICS. 
131 R Bicarb. Soda, 3 j. 
Almond Emulsion, f § iv. 
Copaiba, f 3 ij. 
Laudanum, gtt. lx. M. 
Sig. One table-spoonful every three hours 
In acute pain of the bladder. 
132 5 Bruised Hydrangea Root, § xvj. 
Boiling Water, 0. vj. 
Boil to one half-pint, strain, and add 
Honey, 0. ij. 
Boil to one and a half pints and add 
Brandy, 0. ss. 
Sig. One tea-spoonful three times a day. 
Highly recommended in the treatment of the 
various affections of the bladder. 
133 5 Tinct. Chloride of Iron, f 3 ij. 
Diluted Hydrochloric Acid, f 3 ss. 
Syrup, f 3 iiss. 
Water, f 3 iij. M. 
Sig. One table-spoonful four times a day. 142 
HAND-BOOK OF MEDICAL 
134 R Oil of Turpentine, 
Ether, 55 f 3 iv. M. 
Sig. A large tea-spoonful to be taken on 
sugar every half-hour until relieved. 
Highly recommended in the treatment of diseases 
characterized hy urinary deposits.-Dr. Phy- 
sick. 
135 R Carbonate of Soda, 3 j. 
Soap, 3ij. 
Distilled Water, f xij. M. 
Make a solution and strain. 
Sig. Use as urethral injection, for softening 
uric acid deposits.-Hopital de Montpellier. 
136 R Carbonate of Lithia, gr. iv. 
Wine of Colchicum Root, f 3 j. M. 
Sig. Take this twice a day. 
In gout.-Hammond. 
137 I? Magnesia, gr. xx. 
Sig. Take this night and morning. 
In painful micturition. AND SURGICAL REFERENCE. 
143 
138 5 Carbonate of Lithia, gr. v. 
Sig. Every two hours. 
In uric acid diathesis. 
ANTISPASMODICS, 
139 5 Assafoetida, 3 j. 
Soap, gr. x. M. 
Make twenty pills. 
Sig. Two pills at a dose. 
Used in hysteria, and as a mild laxative. 
140 Hoffmann's Anodyne, f 3 iij. 
Laudanum, gtt. Ixxx. 
Cinnamon Water, f § vj. M. 
Sig. One table-spoonful every two hours. 
Given in 'hysteria, and to quiet restlessness and 
morbid vigilance. 144 
HAND-BOOK OF MEDICAL 
141 IJ Powdered Alum, gr. xv. 
Tinct. of Opium, gtt. v. 
Sig. Repeat this dose every two or three 
hours. 
In colica pictonum. 
142 3 Magnesia, gr. xxx. 
Assafcetida, gr. xl. 
Laudanum, gtt. xxx. 
Syrup, f I j. M. 
Sig. Twenty or thirty drops every two or 
three hours. 
In colic of children. 
DEWEES'S MIXTURE. 
143 3 Sub-carbonate of Iron, 3 ij. 
Sig. One to two tea-spoonfuls every three or 
four hours. 
Recommended in tetanus. 
144 5 Chloroform, gtt. xl. 
Sig. On lump of sugar, and repeat, if neces- 
sary. 
In cramp colic. AND SURGICAL REFERENCE. 
145 
145 5 Jalap, gr. xv. 
Podophyllin, gr. j. M. 
Take as a purgative. 
Then, 
3 Iodide of Potassium, gr. xx. 
Sig. Three times a day. 
In lead colic. 
146 I> Camphor, gr. x. 
Sig. At once, and repeat if necessary.. 146 
HAND-BOOK OF MEDICAL 
CHAPTER VI. 
ASTRINGENTS. 
147 R Alum, 9 j. 
Powdered Kino, gr. v. M. 
Make five powders. 
Sig. One every two hours. 
Used, in menorrhagia, obstinate diarrhoea, etc. 
14b R Alum, 3 ss. 
Powdered Opium, gr. iij. M. 
Make six powders. 
Sig. One every three hours. 
In diarrhoea. 
149 B Subnit. Bismuth, 3 j. 
Powdered Acacia, 3 ss. 
Magnesia, 9 j. M. 
Make twelve powders. 
Sig. One every four hours. 
In diarrhoea of phthisis.-T. Thomson. AND SURGICAL REFERENCE. 
147 
150 R Subnitrate Bismuth, gr. vj. 
Sugar, gr. xij. M. 
Make six, powders. 
Sig. Place a powder on the tongue of a child, 
(one year old,) three or four times a day. 
Used in the diarrhoea of children.-Recamier- 
Trousseau. 
151 3 Sugar of Lead, gr. xij. 
Powdered Opium, gr. vj. 
Confection of Roses, q.s. M. 
Make six pills. 
Sig. One every hour. 
Used in haemoptysis and other hemorrhages. 
Also in checking the profuse perspirations of 
phthisis. 
152 3 Alum, 
Catechu, 53. gr. vj. 
Ext. of Opium, gr. j. M. 
Make six pills. 
Sig. One pill every three hours. 
In passive hemorrhage. 148 
HAND-BOOK OF MEDICAL 
153 1$ Creasote, 3 iij. 
Turkish Opium, 3 ij. 
Powdered Capsicum, 3 ij. M. 
Make one hundred and twenty pills. 
Sig. Two pills every two hours until relieved. 
In acute diarrhoea. 
154 3 Tannic Acid, gr. xx. 
Powdered Opium, gr. v. 
Glycerine, q.s. M. 
Make ten pills. 
Sig. One every four hours. 
155 5 Tannic Acid, 9 j. 
Sulph. Morphia, gr. j. 
Mucilage of Acacia, q.s. M. 
Make ten pills. 
Sig. One every two hours. 
In diarrhoea and dysentery. AND SURGICAL REFERENCE. 
149 
156 D Camphor-Water, f 3 iij. 
Comp. Spirit of Lavender, f 3 j. 
Sugar, 3 j. M. 
Sig. Give a table-spoonful every two hours, 
in diarrhoea and cholera morbus, adding ten 
drops of laudanum when there is much pain.- 
James Parrish. 
CHALK MIXTURE. 
157 3 Prepared Chalk, 3 iss. 
Sugar, 
Powdered Acacia, aa 3 j. 
Distilled Water, f 3 iv. 
Oil Cinnamon, TH,ij. 
Laudanum, TTlxl. M. 
Sig. Dose, one table-spoonful every two hours. 
In diarrhoea and dysentery. 150 
HAND BOOK OF MEDICAL 
CHOLERA MIXTURE. 
158 IJ Aromatic Powder, 3 iij. 
Tinct. Catechu, f 3 x. 
Comp. Tinct. Cardamom, f 3 vj. 
Laudanum, f 3 j. 
Chalk Mixture to make the whole 
f 3 xx. M. 
Sig. For an adult, two table-spoonfuls after 
each evacuation; for a child seven years old, 
a desert-spoonful. 
In diarrhoea and cholera.-London Board of 
Health. 
jackson's cholera mixture. 
159 5 Comp. Spirit Lavender, 
Spirit Camphor, 55 f § ss. 
Laudanum, 
Hoffmann's Anodyne,^5a f 3 ij. M. 
Sig. Give twenty drops at short intervals. 
In cholera morbus an! the early stages of 
cholera.-Samuel Jackson. 151 
AND SURGICAL REFERENCE. 
160 IJ Chloride of Iron, 3 ij. 
Water, f 3 j. M. 
Sig. Apply with a brush. 
Used to arrest gangrene; also, as a local appli- 
cation to all bleeding surfaces. 
161 H Solution Subsulphate of Iron, f § iv. 
Sig. Apply as an astringent lotion. 
monsel's solution. 
162 3 Gallic Acid, 3j. 
Acetate of Morphia, gr. j. 
Alcohol, f 3 j. 
Syrup Tolu, f 3 iij. 
Water, f 3 iiiss. M. 
Sig. Dose, one table-spoonful. 
Used in the London city hospital for checking 
night-sweats in consumption.-Hutchinson. 
163 3 Acetate of Lead, 3j. 
Acetate of Opium, f 3 ij. 
Syrup of Ginger, f 3 vj. 
Cinnamon Water, f § iij. M. 
Sig. One tea-spoonful every two hours. 
To arrest hemorrhage. 152 
HAND-BOOK OF MEDICAL 
164 IJ Tincture of Kino, 
Tincture of Ipecac, aa f ss. 
Tincture of Opium, f 3 ij. M. 
Sig. Thirty drops every two or three hours. 
In dysentery. 
165 5 Castor Oil, f 3 iij. 
Laudanum, gtt. xx. M. 
Sig. Every two hours. 
Successful in treatment of dysentery. 
166 3 Acetate of Lead, gr. ij. to iij. 
Make one or two pills. 
Sig. This every two hours. 
In acute diarrhoea.-D. W. Yandell. 
167 IJ Powdered Kino, gr. xx. 
' Powdered Opium, gr. |. M. 
Sig. At once, and repeat every two hours. 
Acute diarrhoea. AND SURGICAL REFERENCE. 
153 
168 1$ Aromatic Powder of Chalk and 
Opium, grs. x. or xx. 
Sig. Every two hours. 
In slight diarrhoea of adults. 
169 B Aromatic Sulph. Acid, gtt. x. to xxx. 
Sig. Take this, and repeat, if necessary, 
every half-hour. 
In hcemoptysls. 
170 5 Nitrate of Silver, gr. iij. 
Sugar of Milk, q.s. 
Sig. Put as much as will be contained in the 
hollow of a steel-pen, place far back in the 
throat and inhale quickly, to draw into the 
larynx. 
In chronic laryngitis. 
171 5 Sugar of Lead, gr. x. 
Sig. Every two to four hours. 
In hemorrhage of typhoid fever. -Dr. Bell. 154 
HAND-BOOK OF MEDICAL 
172 R Acetate of Lead, gr. j. 
Opium, gr. ss. M. 
Sig. After every discharge. 
In cholera, dysentery, or diarrhoea.-Hammond. 
173 R Gallic Acid, gr. x. 
Sig. Three or four times a day. 
In hematuria. 
CATHARTICS. 
174 R Calomel, gr. v. 
Powdered Jalap, gr. x. M. 
Sig. Take in molasses or syrup. 
175 R Calomel, 
Powdered Rhubarb, aS gr. v. 
Oil of Cinnamon, gtt. j. M. 
Sig. In molasses or honey. AND SURGICAL REFERENCE. 
155 
176 R Calomel, gr. viij. 
Bicarb. Soda, grs. xij. M. 
Sig. As above. 
Nausea seldom follows the administration of 
this purgative. 
177 B Calomel, 
Powdered Jalap, 
Powdered Rhubarb, aa gr. v. 
Oil of Cinnamon, gtt. j. M. 
Sig. Tn molasses or syrup. 
178 B Washed Sulphur, § ss. 
Bitart. of Potassa, §j. M. 
Sig. One tea-spoonful three or four times a 
day. 
Recommended in various skin-affections. 
SEIDLITZ POWDER. 
179 3 Tart, of Soda and Potassa, 3 ij. 
Bicarb, of Soda, 9 ij. M. 
and dissolve in wine-glass of water. 
5 Powdered Tartaric Acid, gr. xxxv. 
Dissolve in wine-glass of water, then mix 
the two solutions, and drink while effervescing. 156 
HAND-BOOK OF MEDICAL 
180 R Powdered Jalap, 
Powdered Rhubarb, 
Soap, 55 3 ss. 
Calomel, gr. xxv. 
Tart. Antimony and Potassa, gr. iss. 
M. 
Distilled Water, q.s. 
Make twenty-five pills. 
Sig. Two of these at once, and repeat in two 
hours if necessary.-S. P. Griffitts. 
181 5 Blue Mass, grs. ix. 
Powdered Rhubarb, 
Bicarb. Soda, 55 gr. xij. 
Aromatic Syrup of Rhubarb, q.s. 
Make twelve pills. 
Sig. One pill to be taken two or three times 
a day. 
In derangement of the liver.-Jas. Hartshorne. 157 
AND SURGICAL REFERENCE. 
182 '^3 Acetic Ext. Colchicum, 
Comp. Ext. Colocynth, 3a gr. x. 
Acetate of Morphia, gr. iiss. M. 
Make ten pills. 
Sig. One pill every two hours until the bowels 
are moved. 
Useful in mitigating the paroxysms of gout.- 
Robert Dick. 
becquerel's pill. 
183 3 Sulph. of Quinia, 3 ij. 
Alcoholic Ext. of Digitalis, gr. xv. 
Acetic Ext. of Colchicum, 9 ij. M. 
Make fifty pills. 
Sig. One pill every three hours. 
Highly recommended in gout.-Trousseau. 
184 3 Acetic Ext. of Colchicum, gr. viij. 
Ext. of Digitalis, gr. iv. 
Comp. Ext. of Colocynth, 9 iv. M. 
Make twenty pills. 
Sig. One at bed-time. 
In gout, or chronic rheumatism. 158 
HAND-BOOK OF MEDICAL 
185 Powdered Rhubarb, 9 iv. 
Powdered Socotrine Aloes, 9 ij. 
Calomel, gr. iv. 
Tart. Antimony and Potassa, gr. ij. 
M. 
Make a powder, and add 
Shavings of Soap, 9 ij. 
Water, q.s. 
Make forty pills. 
Sig. One pill every night as a laxative, or 
three as a purgative.-J. K. Mitchell. 
186 5 Croton Oil, gtt. ij. 
Bread Crumbs, q.s. M. 
Make four pills. 
Sig. One every hour until they operate. 
187 3 Powdered Rhubarb, 3j. 
Powdered Ipecac, gr. x. 
Oil of Caraway, gtt. x. 
Powdered Acacia, q.s. M. 
Make twenty pills. 
Sig. Two pills at bed-time. 
In obstinate constipation.-N. Chapman. AND SURGICAL REFERENCE. 
159 
188 3 Powdered Acacia, 
Powdered Sugar, aS 3 iij. 
Water, f^ij. M. 
Rub together and add gradually 
Castor Oil, ?j. 
Cinnamon Water, 3 j. 
Sig. Table-spoonful every two hours. 
189 R Castor Oil, 3 iss. 
White of an Egg. 
Sugar, 3 ij. 
Oil of Turpentine, § ss. 
Peppermint Water, f 3 iv. M. 
Sig. A large table-spoonful every hour or two. 
190 5 Croton Cil, Ufij. 
Mucilage of Acacia, 
Distilled Water, ail f 3 j. M. 
Sig. One tea-spoonful every hour until it 
operates. 160 
HAND-BOOK OB' MEDICAL 
191 R Magnesia, 
Sugar, 
Powdered Acacia, S3 3 j. 
Distilled Water, f 3 iv. 
Wine of Colchicum Root, gtt. xl. 
Sig. One table-spoonful every two hours un- 
til it operates. 
Much used in gouty or rheumatic affections. 
192 5 Citrate of Magnesia Water, f 3 xij. 
Sig. Tea-cupful every two hours until it ope- 
rates. 
From its resemblance to lemonade, this con- 
stitutes one of the most pleasant laxatives 
known. 
A wine-glassful for a child five years of age. 
193 3 Wine of Colchicum-root, f § iss. 
Laudanum, 3 ij. M. 
Sig. Twenty drops every three hours. 
Highly recommended in gout and rheumatism. AND SURGICAL REFERENCE. 
161 
PURGATIVE SODA WATER. 
194 1$ Crystallized Carb. Soda, 3 ix. 
Tartaric Acid, 3 vj. 
Water, f 3 x. 
Syrup of Lemon, f 3 iss. M. 
Add 
Bicarb. Soda, 3 ss. 
Sig. Wine-glassful every two hours. 
195 3 Elaterin, gr. j. 
Alcohol, f § j. M. 
Add 
Nitric Acid, gtt. iv. 
Sig. Twenty to forty drops in a table-spoon- 
ful of cinnamon water. 
Used as a hydragogue in dropsies and in uramic 
poisoning. 
196 5 Soap Shavings, §j. 
Warm Flaxseed Tea, 0. ss. M. 
Sig. As injection. 
In impacted, faces. 162 
HAND-BOOK OF MEDICAL 
197 3 Oil °f Turpentine, f 3 ij. 
Castor Oil, f 3 ss. 
Sig. In obstinate constipation. 
198 3 Elaterium, gr. J. 
Sig. At once, and repeat in fifteen minutes. 
Hydragogue cathartic. Used in uramic coma. 
199 3 Ox-gall, 
Extract of Aloes, Sa 3 j. M. 
Make thirty-four pills. 
Sig. Two three times a day. 
In impaction of faces. 
DIAPHORETICS. 
200 3 Powdered Camphor, gr. v. 
Nitrate of Potassa, gr. xx. 
Com. Powder of Ipecac, gr. x. M. 
Make two doses. 
Sig. One at bedtime.-Simpson. AND SURGICAL REFERENCE. 
163 
201 IJ Oxide of Antimony, gr. j. 
.Phosphate of Lime, gr. ix. M. 
Make two powders. 
Sig. One dose every two or three hours. 
202 1$ Dry Carbonate of Soda, 3 j. 
Calomel, gr. xij. 
Prepared Chalk, 3 ij. M. 
Sig. Take from three to eight grains at night, 
for one week, in infantile gastric fever, followed 
in the morning by five grains of rhubarb, mixed 
with ten grains of sulphate of potassa.-Guv's 
Hospital, Golding Bum. 
203 5 Acetate of Morphia, 3 j. 
Dilute Acetic Acid, f § j. 
Dissolve and add 
Dilute Alcohol, f 3 vij. 
Wine of Ipecac, f 3 ij. M. 
Sig. From fifteen to thirty drops. 164 
HAND-BOOK OF MEDICAL 
204 IJ Fresh Lemon-Juice, f § iss. 
Carbonate of Potassa, q.s> 
To be saturated by the lemon-juice. 
Sugar, 3ij. 
Tart, of Antimony and Potassa, gr. ss. 
Distilled Water, f § iij. M. 
Sig. One table-spoonful every two hours. 
This is the '■'■Neutral Mixturf of pharmacy. 
205 5 Citrate of Potassa, 3 iij. 
Oil of Lemon, gtt. ij. 
Sugar, 3 ij. 
Distilled Water, f 3 iv. M. 
Sig. One table-spoonful every two hours. 
206 3 Infusion of Buchu, f 3 iij. 
Solution of Potassa, 3 j. 
Iodide of Potassium, 3 ss. 
Sweet Spirit of Nitre, f 3 iij. M. 
Sig. Two table-spoonfuls three times a day. 
Recommended in chronic and syphilitic rheu- 
matism. AND SURGICAL REFERENCE. 
165 
207 B Cream of Tartar, 3 j. 
Sulphate of Potassa, 3 ss. 
Powdered Scilla, 3 ij. 
Tartar Emetic, gr. iij. M. 
Sig. One tea-spoonful three or four times a 
day. 
In articular dropsy. 
DIURETICS. 
208 3 Powdered Scilla, gr. vj. 
Nitrate of Potassa, 3j. M. 
Make six powders. 
Sig. One three times a day in sugar and 
water. 
Employed in dropsy. 
209 Nitrate of Potassa, 3 ss. 
Bitartrate of Potassa, 3 iv. 
Tartrate of Antimony and Potassa, 
gr. j. M. 
Sig. One tea-spoonful three times a day. 
Recommended in acute gonorrhoea.-J. Neil. 166 
HAND-BOOK OB MEDICAL 
210 5 Powdered Ergot, 3 ij. 
Powdered Cubebs, 3 j. 
Powered Cinnamon, 3 ss. 
Sugar, § j- M. 
Divide into eight powders. 
Sig. One three times a day. 
In leucorrhoea and gleet.-Dr. Ryan. 
211 Tartrate of Antimony and Potassa, 
gr. ij. 
Powdered Scilla, 3 j. 
Bitart. of Potassa, § iss. 
Sulph. of Potassa, 3 ss. M. # 
Make twenty powders. 
Sig. One four times a day. 
This combination produces watery stools, 
together with a considerable flow of urine-pro- 
perties that render it valuable in cases of general 
dropsy.-Eberle. AND SURGICAL REFERENCE. 
167 
212 3 Powered Digitalis, gr. xij. 
Podophyllin, gr. j. 
Perchloride of Iron, gr. xij. 
Syrup of Acacia, q.s. M. 
Make twelve pills. 
Sig. One every three or four hours. 
In the dropsy following intermittent fenter or in 
anaemic conditions. 
213 D Powdered Digitalis, gr. xij. 
Calomel, grs. vj. 
Powered Opium, gr. iv. 
Confection of Roses, q.s. M. 
Make twelve pills. 
Sig. One every eight hours. 
In hydrothorax and ascites. 
214 5 Powdered Digitalis, 9 j. 
Powdered Scilla, 3 ss. 
Oil of Juniper, gtt. viij. 
Syrup, q.s. M. 
Make twelve pills. 
Sig. One three times a day. 
In dropsy. 168 
HAND-BOOK. OF MEDICAL 
215 3 Liquor Potassae, gtt. xx. 
Fresh Milk, f § ij. M. 
Sig. This to be taken every two or three 
hours. 
In difficulty of passing urine, irritation of blad- 
der, and frequent micturition from acrid and 
concentrated urine. 
216 IJ Oil of Juniper, f | ss. 
Sweet Spirit of Nitre, 
Tinct. of Digitalis, aa f 3 iij. M. 
Sig. Thirty drops every three hours. 
This is the " Diuretic Drops" of Germany.- 
Hufeland. 
217 3 0'1 of Turpentine, TTLc. 
Powdered Acacia, 
Sugar, Sa 3 j. 
Peppermint Water, f 3 iv. M. 
Sig. One table-spoonful four or five times a 
day. 
Recommended in nephritis. 169 
AND SURGICAL REFERENCE. 
218 IJ Benzoic Acid, 3 ij. 
Bicarb, of Potassa, 3 ss. 
Sweet Spirit of Nitre, f j. 
Syrup of Lemons, f § ij. 
Acetate of Liquor Ammonia, f § iij. M. 
Sig. One table-spoonful four or five times a 
day? 
An excellent combination jn the albuminuria of 
pregnancy. 
219 5 Copaiba, 3 ss. 
Sweet Spirit of Nitre, f 3 ss. 
Powdered Acacia, 3 ij. 
Sugar, 3j. 
Distilled Water, f 3 iv. 
Comp. Spirits of Lavender, f 3 ij. 
Laudanum, 3 j. M. 
Sig. One table-spoonful three times a day.- 
Chapman. 
This is a very successful prescription in gonor- 
rhoea. 170 
HAND-BOOK OK MEDICAL 
220 TJ Copaiba, 
Powdered Cubebs, aa 3 ss. 
Acacia, 
Sugar, 55 3 ij. 
Water, § viij. 
Paregoric, f 3 ss. M. 
Sig. One table-spoonful every three hours. 
In gonorrhoea.-S. G. Morton. 
221 D Oil of Copaiba, f 3 j. 
Alcohol, 
Peppermint Water, 
Syrup, aa f ? ss. 
Sweet Spirit of Nitre, f 3 ss. M. 
Sig. To be taken during the day in four doses, 
followed by demulcent drinks. 
In chronic gonorrhoea. 
222 3 Buchu Leaves, § ss. 
Boiling Water, 0. j. M. 
Sig. Dose, one to two fluid ounces every four 
hours. AND SURGICAL REFERENCE. 
171 
DIETETIC PREPARATIONS. 
BARLEY-WATER. 
223 B Pearl Barley, 2 ounces. 
Boiling Water, 2 quarts. 
Before adding the boiling water, let the barley 
be well washed, then boil it to one half the 
original amount, and strain the liquor. A little 
lemon-juice and sugar may be added if desirable. 
RICE-WATER. 
224 3 Rice, 2 ounces. 
Let it be well washed and add 
Water, 2 quarts. 
Boil for an hour and a half, and then add as 
much nutmeg and sugar as may be required. 
FLAXSEED TEA. 
225 B Flaxseed, 1 ounce. 
Boiling Water, 1 pint. 
Pour the boiling water upon the unbruised 
seed, cover the vessel, and stand it near the fire 
for an hour or two. Then strain and use as 
needed. 172 
HAND-BOOK OF MEDICAL 
LEMONADE. 
226 5 Fresh Lemon Juice, 4 ounces. 
Fresh Lemon Peel, half an ounce. 
White Sugar, 4 ounces. 
Boiling Water, 3 pints. 
OATMEAL GRUEL. 
227. Rub two ounces of oatmeal into a paste 
with a little water, and gradually add a quart of 
boiling water. Let the whole boil for fifteen 
minutes, stirring frequently. Add a little salt, 
remove from the fire, and sweeten to the taste. 
If no contra-indications exist, the flavor of 
the gruel is much improved by adding some 
nutmeg, with wine or brandy, or a few raisins. 
CORNMEAL GRUEL. 
228 Made as oatmeal gruel, only boiled a little 
longer. 
RICE-FLOUR GRUEL. 
229 3 Ground Rice, 1 ounce. 
Cinnamon, 1 drachm. 
Boiling Water, 1 quart. 
Having rubbed the rice-flour into a paste with 
a portion of the water, add the remainder 
gradually and boil for forty minutes, adding the 
aromatic near the conclusion. Strain and 
sweeten. Wine may be added if necessary. AND SURGICAL REFERENCE. 
173 
PANADA. 
280 5 Wheat Bread, 1 ounce. 
Cinnamon, 1 drachm. 
Water, 1 pint. 
Boil them until well mixed, then add a little 
grated nutmeg and sugar. Wine and butter can 
be added if desirable. 
DIABETIC OR BRAN BREAD. 
231 Boil two or three quarts of wheat bran in 
two successive waters for ten minutes, each time 
straining through a sieve, and wash well with 
cold water until the water runs off clear. 
Squeeze the bran as dry as possible in a cloth, 
spread it thinly on a dish, and dry it in a 
slow oven. When perfectly dry, grind it in 
a mill, and sift it through a fine sieve. Take six 
ounces of this ground bran, six eggs, three 
ounces of butter, and one pint of milk. Mix 
the eggs with a part of the milk, and warm 
the butter with the other portion. Then stir 
the whole well together, adding a little nutmeg, 
ginger, or any agreeable spice. Immediately 
before putting into the oven, stir in seventy grains 
of the bicarbonate of soda; and then six drachms 
of dilute hydrochloric acid. Bake for an hour, 
or until thoroughly done. 
As thus prepared, bran bread contains but a 
small proportion of starchy matter. It has the 
further advantage of being quite palatable.- 
Camplin. 174 
HAND-BOOK OF MEDICAL 
TAPIOCA JELLY. 
232 B Tapioca, 2 table-spoonfuls. 
Water, 1 pint. 
Boil it gently for an hour, or until it assumes 
a jelly-like consistence. Add sugar, wine, and 
nutmeg, with lemon-juice to suit the taste of the 
patient and the nature of the case. 
ICELAND-MOSS JELLY. 
233 B Iceland Moss, 2 parts. 
Water, 20 parts. 
Boil down to 6 parts and strain. 
Then add 
Sugar, 4 parts. 
Dissolve and set aside to cool. 
CORN-STARCH. 
234 To one quart of boiling milk add gradually 
four table-spoonfuls of the starch, previously 
rubbed into a paste with a little cold milk, add 
some salt, and. boil for five minutes, stirring 
briskly. Sweeten to the taste, and flavor with 
essence of vanilla, lemon, or orange. Then set 
aside to cool. AND SURGICAL REFERENCE. 
175 
MUTTON BROTH. 
235 Select two tender mutton chops, put them 
into a saucepan, add one quart cold water and a 
little salt, cover the pan, and cook slowly for two 
hours; then skim off all the fat and add one 
table-spoonful of rice, one white (Irish) potato, 
one turnip, and a little parsley chopped fine. 
Simmer for three quarters of an hour, then pour 
into a bowl and remove the chops and all the 
remaining fat. 
liebig's beef-tea. 
236 "One pound of lean beef free of fat and 
separated from the bones, in the finely chopped 
state in which it is used for mince-meat, is 
uniformly mixed with its own weight of cold 
water, slowly heated to boiling, and the liquid, 
after boiling briskly for a minute or two, 
is strained through a towel, from the coagulated 
albumen and fibrin now become hard and 
horny. Thus we obtain an equal wei ht of the 
most aromatic soup, of such strength s can not 
be obtained, even by boiling for hou; s, from a 
piece of flesh." This to be seasoned to taste.- 
Dr. Beneke. 176 
HAND-BOOK OF MEDICAL 
EGGS, CREAM, AND EXTRACT OF BEEF. 
237 Wash two ounces of the best pearl sago' 
until the water poured from it is clear; then 
stew it in a half-pint of water until it is quite 
tender and very thick; mix with it half a pint of 
good boiling cream, and the yelks of four fresh 
eggs, and mingle the whole carefully with one 
quart of good beef-tea, which should be boiling. 
When sufficiently cool it is ready for use.-T. 
H. Tanner. 
This has been used when nothing else could 
be taken and retained.-A. H. Smith. 
BLANC MANGE. 
238 Boil one ounce of shred gelatine in a quart 
of milk for ten minutes, stirring constantly. 
Sweeten to the taste, flavor with peach-water 
or essence of vanilla, and strain into a mould. 
CHICKEN BROTH. 
239 Clean half a chicken, and pour on it one 
quart of cold water; add a little salt and one 
table-spoonful of rice; cover the vessel cosely 
and boil for two hours ; throw in, near the end 
of the boiling, a little parsley chopped fine. 
Skim the broth before using. AND SURGICAL REFERENCE. 
177 
BRANDY MIXTURE. 
240 5 Brandy, 4 fluid ounces. 
Cinnamon Water, 4 fluid ounces. 
Yelks of two Eggs. 
Sugar, one half ounce. 
Oil of Cinnamon, 2 minims. 
Beat the eggs perfectly light, and add the 
sugar and cinnamon water; then the brandy with 
the oil of cinnamon in solution; beat the whole 
together. 
Sig. From one to three table-spoonfuls, as 
required.-P. Squire. 
EMETICS. 
241 5 Powdered Ipecac, 9 ij. 
Make two powders. 
Sig. Take one in molasses or sweetened wa- 
ter, to be followed by a drink of tepid water. If 
one dose does not vomit, take the second in 
twenty minutes. 178 
HAND-BOOK OB MEDICAL 
242 5 Powdered Ipecac, 3 ss. 
Tartrate of Antimony and Potassa, 
gr. j. M. 
Make two powders. 
Sig. Take one in water, to be followed by the 
other in twenty minutes, if the first does not 
vomit. 
243 B Powdered Alum, 3 j. 
Sig. One tea-spoonful in syrup or molasses, 
and repeat as often as necessary.-0. D. Meigs. 
244 IJ Powdered Black Mustard, § j. 
Sig. One tea-spoonful in tepid water every ten 
minutes. 
A convenient, safe, and prompt emetic. 
245 3 Syrup of Ipecac, f 3 j. 
Wine of Ipecac, f 3 ij. M. 
Sig. One tea-spoonful to child three years old 
every fifteen minutes, until it vomits. AND SURGICAL REFERENCE. 
179 
246 E Epsom Salts, 3 ij. 
Tartrate of Antimony, gr. ij. 
Water, O. j. M. 
Sig. Take one wine-glassful every hour until 
vomiting and purging are produced. 
Recommended in the commencement of what is 
commonly called " bilious fevers 
247 5 Sulphate of Copper, gr. ] to j. 
Sig. Take this every half hour until emesis is 
produced. 
In croup. 
248 E Powdered Alum, q.s. 
Sig. One tea-spoonful every fifteen or twenty 
minutes. 
In pseudo-membranous croup. 
EMETIC AND CATHARTIC. 
249 Epsom Salts, 3 iss. 
Tartar Emetic, gr. ij. 
Water, f § v. M. 
Sig. One table-spoonful every hour until it 
operates. 180 
HAND-BOOK OF MEDICAL 
250 3 Wine of Antimony, gtt. xxx to 1. 
Sig. Every fifteen minutes until it acts. 
An emetic for children. 
EMMENAGOGUES. 
251 3 Powdered Barbadoes Aloes, 3 j. 
Powdered Canella, gr. xviij. 
Powdered Snakeroot, gr. xij. M. 
Make six powders. 
Sig. One every night at bedtime, in syrup. 
252 3 Powdered Sabina, 3 j. 
Powdered Cantharides, gr. ij. M. 
Make four powders. 
Sig. One on going to bed. 
Used in amenorrhea. 
253 3 Powdered Sabina, 
Powdered Ergot, Sa 9 ij. M. 
Make four powders. 
Sig. One night and morning. AND SURGICAL REFERENCE. 
181 
254 Powdered Sabina, 
Powdered Ginger, aa gr. vij. 
Borate of Soda, gr. xv. M. 
Sig. Take this twice a day. 
In amenorrhoM. 
255 3 Citrate of Iron and Strychnia, gr. 1. 
Extract Gentian, gr. x. M. 
Make thirty pills. 
Sig. One pill three times a day. 
256 Camphor, 9 j. 
Alcohol, q.s. to pulverize. 
Add Powdered Acacia, 
Sugar, aa 3 j. 
Cinnamon Water, f § j. M. 
Dr. Dewees recommends that one half this 
mixture be taken the instant pain is experienced, 
and if not relieved in an hour or two, the re- 
mainder to be given. 
Amenorrho&a. 182 
HAND-BOOK OF MEDICAL 
257 E Aloes, gr. x. 
Sig. Make into pills and take at once. 
In amenorrhoea, with constipation. 
258 IJ Dry Bark of Cotton-root, 3 viij. 
Dilute Alcohol, 0. ij. M. 
Sig. Allow the cotton-root to soak in the al- 
cohol for two weeks, and then give one drachm 
three or four times a day. 
In amenorrhoea. 
.259 E Sulphate of Iron, 3 iss. 
Iodide of Potassium, 3 ij. 
Tincture Cardamom, 
Syrup, aa § j. 
Water, f § ij. M. 
Sig. One teaspoonful three times a day. 
As an emmenagogue.-L. P. Yandell, Jr. 
.260 3 Solution of Chlorinated Soda, gtt. 1. 
Sig. Every two or three hours. 
.Recommended, in deficient or suppressed men- 
struation. AND SURGICAL REFERENCE. 
183 
EXPECTORANTS. 
261 3 Powdered Myrrh, gr. xij. 
Powdered Ipecac, gr. vj. 
Nitrate of Potassa, 3 ss. M. 
Make four powders. 
Sig. One every four hours. 
A stimulant expectorant which may be given in 
chronic bronchitis. 
262 3 Nitrate of Potassa, gr. xxx. 
Calomel, 
Powdered Opium, 
Powdered Ipecac, aa gr. iij. M. 
Divide into six powders. 
Sig. One every three hours, in syrup or 
molasses. 
Recommenced, in acute bronchitis. 
263 1$ Sulphate of Zinc, gr. x. 
Powdered Myrrh, 3 iss. 
Confection of Roses, q.s. M. 
Make twenty pills. 
Sig. Two pills twice a day. 
In pertussis. 184 
HAND-BOOK OF MEDICAL 
264 E Myrrh, 3 j. 
Powdered Scilla, 
Extract Hyoscyamus, aS 3 ss. 
Distilled Water, q.s. M. 
Make thirty pills. 
Sig. Two pills night and morning. 
PECTORAL LOZENGES. 
265 5 Powdered Ipecac, gr. x. 
Sulphuret of Antimony, gr. v. 
Muriate of Morphia, gr. vj. 
Powdered Acacia, 
Sugar, 
Powdered Extract Licorice, aS 3 xj. 
Oil of Sassafras, gtt. iv. 
Syrup of Tolu, 3 ij. 
Simple Syrup, q.s. M. 
' Make into two hundred lozenges. 
Sig. One of these to be dissolved in the 
mouth when cough is troublesome.-S. Jackson. 
266 3 Syrup of Scilla, 
Syrup of Ipecac, 
Paregoric, aa f 3 j. M. 
Sig. One tea-spoonful every three hours. AND SURGICAL REFERENCE. 
185 
jackson's pectoral syrup. 
267 Syrup Acacia, f 3 ij. 
Muriate of Morphia, gr. j. 
Oil of Sassafras, gtt. j. M. 
Sig. Tea-spoonful every three hours. 
268 Tart. Antimony and Potassa, gr. j. 
Distilled Water, f § iij. 
Laudanum, gtt. xx. M. 
Sig. Tea-spoonful at bedtime to child five- 
years of age. 
In pertussis.-Watson. 
269 1$ Carbonate of Potassa, 9 j. 
Powdered Cochineal, 9 ss. 
Sugar, 3 j. 
Distilled Water, f § iv. M. 
Sig. To child, one tea-spoonful every two or 
three hours. 
An effective remedy in pertussis.-N. Chapman. . 186 
HAND-BOOK OF MEDICAL 
270 3 Tinct. Lobelia, f 3 ss. 
Dilute Hydrocyanic Acid, gtt. j. M. 
Sig. To be taken at a single dose, and repeat- 
ed two or three times a day. 
Highly recommended in asthma.-Livezey. 
271 R Syrup of Scilla, f 3 iss. 
Syrup of Tolu, f 3 ss. 
Acetate of Morphia, gr. j. M. 
Sig. Tea-spoonful every three hours. 
In cough. 
272 5 Sulphate of Copper, gr. ss. 
Sig. Take three times a day. 
In bronchitis. 
OPIUM LOZENGES. 
273 Powdered Opium, 3 ss. 
Powdered Liquorice, 
Powdered Sugar, 
Powdered Gum Arabic, 25 3 x. 
Oil of Anise, f 3 j. 
Rub the powders together until thoroughly- 
mixed, and add the oil of anise, incorporating 
it with the mixture. Add water to form a mass, 
and divide into troches of six grains each. 
In coughs. -U. S. Dispensatory. AND SURGICAL REFERENCE. 
187 
MORPHIA AND IPECAC LOZENGES. 
274 3 Hydrochlorate of Morphia, gr. xx. 
Powdered Ipecac, gr. lx. 
Tincture of Tolu, f 3 ss. 
Powdered Sugar, § xxiv. (Avoirdu- 
pois.) 
Powdered Gum Arabic, § j. (Avoir- 
dupois. 
Mucilage of Gum Arabic, f 3 ij. 
Distilled Water, f § ss. 
Dissolve the morphia in the water; add this 
solution to the tincture of tolu, previously mix- 
ed with the mucilage. Then, with the ipecac, 
gum arabic, and sugar previously well mixed, 
form a proper mass. Divide into seven hundred 
and twenty lozenges, and dry in a hot-air cham- 
ber with a moderate heat. Each lozenge contains 
one thirty-sixth of a grain of the morphia. (If 
the hydrochlorate of morphia can not be obtain 
ed, the sulphate can be used instead.) 
In coughs. -U. S. Dispensatory. 
275 5 Syrup of Wild Cherry, f § j. 
Sweet Spirit of Nitre, f 3 ss. 
Paregoric, f 3 ij. M. 
Sig. One tea-spoonful every four hours. 
In coughs. 188 
HAND-BOOK OF MEDICAL 
ANODYNE EXPECTORANT. 
276 Sulphate of Morphia, gr. j. 
Tartar Emetic, gr. j. 
Syrup of Wild Cherry, f ? j. M. 
Dissolve, and add 
Hydrocyanic Acid, Dilute, gtt. xx. 
Sig. Thirty or forty drops every hour. J 
STIMULANT EXPECTORANT. 
277 H Hydrochlorate of Ammonia, 3 ss. 
Syrup of Senega, f 3 iij. M. 
Sig. One tea-spoonful every hour. 
278 3 Gum Ammoniac, 3 ss. 
Powdered Scilla, gr. x. 
Syrup of Tolu, q.s. M. 
Make into pills of five grains each. 
Sig. Two morning and evening. AND SURGICAL REFERENCE. 
189 
279 3 Syrup of Scilla, f § ij. 
Mucilage of Acacia, f 3 iij. 
Paregoric, 
Simple Syrup, aS f | ss. z 
Solution Sulphate of Morphia, gtt. xx. 
M. 
Sig. Shake well, and take one table-spoonful 
every three or four hours. 
In, severe cough.-Bedford. 190 
HAND-BOOK OF MEDICAL 
CHAPTER VII. 
EXTERNAL APPLICATIONS. 
ESCHAROTICS. 
VIENNA PASTE. 
280 R Potash, 3 v. 
Lime, 3 vj. 
Alcohol, q.s. to make paste. 
Sig. The paste is to be spread on the part to 
be cauterized, and allowed to remain ten or fifteen 
minutes, while the surrounding skin is protected 
by adhesive plaster. 
VIENNA PASTE WITH OPIUM. 
281 R Vienna Paste, 3 'j- 
Powdered Opium, 3 ss. 
Soft Soap, q.s. M. 
Sig. Used as above. AND SURGICAL REFERENCE. 
191 
282 3 Chloride of Zinc, q.s. 
Sig. With this cauterize cancerous sores and 
ulcers. 
283 5 Corrosive Sublimate, one part. 
Collodion, eight parts. M. 
Sig. Apply as a cautery to naevi materni. 
284 3 Persulphate of Iron, q.s. 
Sig. Inject into naevus maternus for its re- 
moval when so situated that its removal by the 
knife is not justifiable. 
285 5 Lunar Caustic, q.s. 
Sig. Apply until an eschar is made. 
In indolent ulcers. 192 
HAND-BOOK OH MEDICAL 
BLISTERS. 
286 R Plaster of Cantharides, q.s. 
Sig. Take a piece of leather, the size of the 
part to which the blister is to be applied; upon 
this stick a piece of adhesive plaster an inch and 
a half larger on all sides than the soft leather, 
then upon this spread the cantharides, covering 
it with a thin piece of gauze or paper, so that 
particles of it will not adhere to -the skin, the 
free margin of adhesive plaster will hold it in 
position.-U. S. Pharmacopeia. 
BLISTERING OINTMENT. 
287 R Yellow Wax, 
Resin, 
Lard, aa 3 vj. 
Liquefy by gentle heat, and add gradually, 
Powdered Cantharides, 3 viiss. M. 
Make an ointment. 
Sig. Use as above. AND SURGICAL REFERENCE. 
193 
288 R Nitric Acid, f 3 ij. 
Water, f 3 j- M. 
Rub on the skin until quite painful, then wash 
off with carbonate of potash in solution. Then 
apply common cantharides. 
Highly recommended as one of the quickest ways 
to blister. 
289 R Powdered Chalk, q.s. 
After washing well in warm water, wipe 
thoroughly dry and rub the chalk well over the 
person, then take a sufficient quantity of sul- 
phur ointment and rub the body thoroughly 
with it. 
A quick cure for itch-Yandell. 
290 5 Soft Soap, q.s. 
Rub ou well, then soak in strong warm soap- 
suds for one half or one hour. 
Then, 
H Sulphur, one part. 
Carbonate of Potassa, one part. 
Lard, eight parts. 
Rub well with this, and let remain on body for 
several hours. 
Prof. Hammond's heroic treatment of itch. 194 
HAND-BOOK OF MEDICAL 
291 Morphine, gr. 1 16. 
Inject hypodermically at seat of pain, or in the 
arm; 
Then, 
5 Aconite, gr. viij. 
Dissolve in a little alcohol and add, 
Lard, §j. M. 
Sig. Apply by rubbing over affected surface. 
In neuralgia. 
292 Sulphate of Morphia, gr. ss. 
Sulphate of Zinc, 3 j. M. 
Make a solution. 
Sig. Use as a wash in pruritus of the vulva or 
prepuce. 
293 3 Collodion, q.s. 
Sig. Apply twice a day until cured. 
In chapped nipple. AND SURGICAL REFERENCE. 
195 
294 B Liquor Guttse Perchae, q.s. 
Sig. Apply to chaps, cuts, and excoriated sur- 
faces to exclude air. 
295 3 Iodide of Bromine, gtt. ij. 
Mucilage, f 3 j. M. 
Sig. Apply with a camel's-hair brush to the 
sore fauces and throat of diphtheria.-Prof. Met- 
calfe. 
296 Powdered Kino, q.s. 
Sig. Snuff into nostrils. 
To arrest epistaxis. 
297 3 Nitro-muriatic Acid, q.s. 
Sig. Dilute with water, and sponge over the 
region of the liver in hepatitis. 196 
HAND-BOOK OF MEDICAL 
298 3 Chlorinate of Lime, 3 iij. 
Water, 0. j. M. 
Sig. Apply several times a day, and rub in 
well. In itch. Then, with ten drachms of tur- 
pentine sprinkle the sheets, and sleep one night, 
keeping them wrapped around the body closely. 
This is said to he a certain cure of the itch in 
twenty-four hours. 
299 3 Sulphate of Morphia, gr. iv. 
Borate of Soda, 3 ij. M. 
Make a solution. 
Sig. Use as a wash in pruritus of the vulva 
or prepuce. 
300 5 Sulphate of Copper, q.s. 
Make a strong solution and wash ulcerated 
surface until it reddens, then bandage over ulcers 
with adhesive strips.- Prof. Bayless. 
301 Creasote, q.s. 
Sig. Apply and keep in place by adhesive 
strips. 
To eradicate warts. AND SURGICAL REFERENCE. 
197 
302 5 Acetate of Lead, 3j. 
Powdered Opium, 3 j. 
Water, O. j. M. 
Sig. Apply two or three times a day. 
In indolent ulcers. 
303 Bicarbonate of Soda, gr. xxx. 
Water, 0. ss. M. 
Sig. After washing face thoroughly with soap 
and water, dry well and apply above. 
In acne.-Yandell. • 
304 3 White Lead, q.s. 
Sig. Bathe hands in it freely. 
In " burning hands'' from handling pepper. 
305 3 Glycerine, f§j. 
Morphia, gr. iv. 
Carbolic Acid, gr. iv. M. 
Sig. Apply, having first burnt the chancre 
with carbolic acid. 
In treatment of chancres. 198 
HAND-BOOK OF MEDICAL 
306 3 Chlorate of Potassa, 3j- 
Muriatic Acid, gtt. vj. M. 
Sig. Add water to fill an eight-ounce vial, and 
apply as a deodorizer to offensive carcinoma.- 
Dr. Bell. 
307 B Lime-Water, 
Olive Oil, aa q.s. M. 
Sig. Apply. 
To superficial burns. 
308 B Lime-Water, q.s. 
Sig. Wash feet in it several times a day and 
take one tablespoonful, diluted, three times a 
day internally. 
In offensive-smelling feet. 
309 1$ Fresh Benzoated Oxide of Zinc, q.s. 
Sig. Apply to head and keep the ointment on 
for twenty-four hours; then wash off thoroughly 
in a solution of pearl-ash. 
In eczema of the head.-Keyes. AND SURGICAL REFERENCE. 
199 
310 R Strychnia, gr. 1-50. 
Sig. Inject into affected muscles every day. 
In muscular paralysis.-Sayke. 
311 R Common Salt, 
Pounded Ice, aS q.s. 
Sig. Apply around the edge of inflamed sur- 
face until skin is turned very pale. 
To arrest the spreading of erysipelas. 
312 5 Sulphate of Copper, q.s. 
Whittle smooth and rub well into the con- 
junctiva. 
In granular conjunctivitis. 
313 R Laudanum, f^j. 
Sweet Oil, 
Oil of Rosemary, 
Chloroform, aS f § ss. M. 
Sig. Saturate a rag with this and apply to 
lower bowel. 
In hemorrhoids. 200 
HAND-BOOK OF MEDICAL 
314 ' 5 Carbolic Acid, 3 j. 
Glycerine, 0. j. M. 
Sig. Use as a wash in the vagina and around 
external genitals. 
In pruritus. 
SULPHUR BATH. 
315 3 Powdered Sulphur, q.s. 
Put into a basin having the sulphur highest in 
the middle of the vessel; pour into this water 
until the sulphur is one half covered, leaving an 
island in the middle of the basin ; set fire to this, 
and, having seated the patient in a chair, set the 
burning sulphur under his chair, keep him 
wrapped with a blanket drawn tightly around 
the neck, so as to leave the head free, and allow 
him to remain ten minutes ; then rub well with 
rough towels. 
Highly recommended in chronic rheumatism. 
316 B Borate of Soda, 3 j. 
Distilled Vinegar, f § ij. M. 
Sig. Wash scalp or surface several times 
during the day. 
In ringworm. AND SURGICAL REFERENCE. 
201 
317 3 Chloroform, f 3 ij. 
Tincture of Aconite Root, f 3 ij. 
Compound Soap Liniment, j ij. M. 
Sig. Apply locally. 
In acute rheumatism. 
318 R Creasote, gtt. ij. 
Arsenious Acid, gr. 1-20. 
Morphia, gr. |. M. 
Sig. After cleaning out the cavity of an 
aching tooth, rinse the mouth with carbonate of 
soda, and dry the cavity thoroughly, then plug 
with cotton saturated in the above.-Wright. 
319 3 Sulphate of Atropia, gr. j. 
Water, gtt. c. M. 
Sig. One drop of this into the cavity of an 
aching tooth. 
320 Creasote, Tit xv. 
Collodion, TR_ x. 
Sig. Clean thoroughly and apply to the cavity 
of the aching tooth. 202 
HAND-BOOK OF MEDICAL 
321 3 Simple Cerate, q.s. 
Apply as a dressing to ulcerated surface, and 
lay over this two layers of lint; on these 
sprinkle four grains of iodine and cover with 
two more pieces of lint, covering the whole with 
a piece of oil-silk-vapors of iodine are generated 
by heat of the body. 
In indolent ulcers. 
322 H Nitrate of Silver, gr. lx. 
Water, f §j. M. 
Sig. Apply with camel's-hair brush. 
In inflamed tonsils and throat. 
323 5 Sulphuric Acid, q.s. 
Charcoal, (Powdered,) q.s. 
Make into a paste. 
Sig. Apply to soft chancres.-Hammond. 
324 Sulphate of Atropia, gr. j. 
Nitric Acid, gtt. j. 
Water, f 3 j- M. 
Apply with camel's-hair brush to affected part. 
In facial neuralgia, sciatica, and pleurodynia. 
-Hammond. 203 
AND SURGICAL REFERENCE. 
325 Belladonna Plaster, q.s. 
Sig. Apply to breast to arrest the secretion 
of milk. 
326 5 Caustic Potassa, 3j. 
Water, f^ij. M. 
Sig. Apply in pruritus pudendi. 
327 5 Veratria, gr. x. 
Alcohol, f 3 vj. 
Ether, f 3 j. M. 
Sig. Apply over affected region. 
In neuralgia. 204 
HAND-BOOK OF MEDICAL 
INHALATIONS. 
328 1$ Balsam Tolu, §j. 
Boiling Water, 0. j. M. 
Sig. Inhale through an inverted funnel or by 
atomizer. 
In chronic chest affections. 
329 3 Balsam Tolu, ^j. 
Ether, f^iij. M. 
Sig. The solution should be placed in a wide- 
mouthed jar, and be inhaled at intervals during 
the day. 
In aphonia and chronic affections of the chest.- 
Roziere. 
330 5 Iodine, 
Iodide of Potassium, aa gr. vj. 
Distilled Water,f § v. 
Alcohol, f|j. M. 
Sig. Inhale this, commencing with one drachm, 
and increase as patient can bear it. Can be in- 
haled through an inverted funnel or by the atom- 
izer. 
In cough.-Sir C. Scudamore. AND SURGICAL REFERENCE. 
205 
331 Atomization of fluids for inhalation, ex- 
tracted from a monogram upon this subject by 
Dr. J. M. Da Costa. 
The doses are calculated for the fluid ounce of 
water. 
10 to 20 grs. in chronic 
catarrh of pharynx and 
air-tubes. 
30 grs. in pulmonary he- 
morrhage. 
Alum. 
Tannin, 1 to 20 grs. 
In same cases as above. 
Perchloride of Iron, gr. J to ij. 
In earliest stages of phthisis. 
Nitrate of Silver, gr. j. to x. 
In ulcerations of pharynx and larynx, (a face 
shield to be used always.) 
Sulphate of Zinc, gr. j. to vj. 
In bronchial catarrh and aphonia. 206 
HAND-BOOK OF MEDICAL 
Chloride of Sodium, gr. v. to xx. 
In free expectoration of phthisis. 
Solution ofChlorinated Soda, 3 ss. to j. 
In gangrene and offensive bronchitis and phthisis. 
Chlorate of Potassa, gr. x. to xx. 
In chronic laryngitis with dryness. 
Aqueous Ext. Opium, gr. J to |. 
In irritative coughs and as an anodyne. 
Laudanum, gtt. iij. to x. 
Same as above. 
Acetate of Morphia, gr. TL 
For same as above. Large doses require caution. 
Fluid Extract Hemlock, TQ, iij. to viij. 
Irritative cough, asthma. 
Fluid Ext. Hyoscyamus, Tt iij. to x. 
Spasmodic cough, pertussis. AND SURGICAL REFERENCE. 
207 
Tinct. Indian Hemp, v. to x. 
Spasmodic cough, phthisis. 
Comp. Solution Iodine, 7T[ ij. to xv. 
Chronic bronchitis, phthisis. 
Fowler's Solution, Tf[_ j. to xx. 
Nervous asthma. -Trousseau. 
Tar-Water, 3j. to ij. of officinal solu- 
tion. 
As an antiseptic. 
Oil of Turpentine, X j. to ij. 
In bronchorrhoea and gangrene of lungs. 
Lime-Water and Syrup of Lime, of 
ordinary strength. 
In diphtheria and membranous croup. 
Distilled Water. 
To be used cold in haemoptysis. 208 
HAND-BOOK OF MEDICAL 
332 IJ Chlorate of Potassa, q.s. 
Burn upon a red-hot shovel and let fumes be 
inhaled to relieve asphyxia. 
333 3 Camphor, q.s. 
Sig. Hold to nose and inhale in coryza and 
stoppage of the nares. 
334 3 Chloroform, q.s. 
Inhale to arrest violent cough. 
335 Tincture of Iodine, f 3 j. to iij. 
Water, 0. ij. M. 
Sig. To be kept by bedside and inhaled every 
fifteen minutes during the day. 
In phthisis. 
336 Chloroform, q.s. 
Sig. Inhale in delirium tremens. AND SURGICAL REFERENCE. 
209 
337 3 Lime-Water, f § ij. 
Carbolic Acid, gr. iv. M. 
Sig. To be inhaled through an atomizer. 
In croup.-Yandell. 
338 I£ Persulphate of Iron, 3j. 
Water, 0. ss. M. 
Sig. Inhale through atomizer, protecting face 
with a guard. 
In hemorrhage from lungs. 
339 5 Chloroform, q.s. 
Sig. Inhale. 
If there is membranus exudation, inhale, 
through atomizer, nitrate of silver, in strength 
of one half a grain of the officinal crystals to one 
ounce of distilled water. 
In croup. 
340 1$ Chloroform, q.s. 
Sig. Inhale to relieve spasmodic asthma. 210 
HAND-BOOK OF MEDICAL 
NARCOTICS. 
341 5 Powdered Opium, gr. xij. 
Soap, gr. iij. M. 
Make twelve pills. 
Sig. One is the ordinary dose to produce sleep. 
342 5 Powdered Opium, gr. vj. 
Comp. Ext. of Colocynth, gr. xxiv. 
Syrup of Acacia, q.s. M. 
Make twelve pills. 
Sig. One pill every hour until purged. 
In lead colic and imp action effaces.-J. F. Meigs. 
343 Powdered Camphor, 9 ij. 
Extract of Opium, gr. viij. 
Mucilage of Tragacanth, q.s. M. 
Make sixteen pills. 
Sig. Two pills every night at bedtime. 
In spasm of the urethra and, to prevent nocturnal 
erections.-Ricord. AND SURGICAL REFERENCE. 
211 
344 R Powdered Opium, 
Powdered Digitalis, S3 gr. vj. 
Confection of Roses, q.s. M 
Make twelve pills. 
Sig. One every four hours. 
In asthma. 
ANESTHETIC PILL. 
345 R Sulph. of Morphia, gr. viij. 
Camphor, gr. xx. 
Oil of Cajeput, gtt. x. 
Powdered Tragacanth, gr. v. 
Extract of Gentian, gr. xv. 
Syrup Acacia, q.s. M. 
Make one hundred pills. 
Sig. Take two or three at a dose, to be re- 
peated every half-hour until relieved. 
For abdominal pain, colic, or cholera.-J. F. 
Meigs. 
346 Alcoholic Ext. of Nux Vomica, 
Powdered Ext. of Licorice, aa gj. M. 
Make forty pills. 
Sig. One three times a day. 
Recommended, in general and partial paralysis, 
paralysis of the sphincters, and in incontinence 
of urine.-Radius. 212 
HAND-BOOK OF MEDICAL 
347 5 Camphor, 
Assafoetida, 33 3 j. 
Ext. of Belladonna, 3 ss. 
Ext. of Opium, gr. x. M. 
Make 'forty pills. 
Sig. One pill at night and morning, or at 
shorter intervals, according to the urgency of 
the case. 
In hysteria.-Debreyne. 
348 5 Laudanum, f^j. 
Sig. Dose twenty-five drops. 
The following, taken from Dr. Dorsay's Sylla- 
bus, gives the maximum doses for all ordinary 
conditions :- 
For child at birth, or within one month 
after, 4 to 1 drop. 
Under a year old, to 3 drops. 
From one to two years, 1 to 5 drops. 
From two to five years, 2 to 8 drops. 
From five to ten years, 5 to 15 drops. 
From ten to fifteen years, 10 to 20 drops. 
At fifteen years, 15 to 20 drops. 
For an adult, 25 to 30 drops. AND SURGICAL REFERENCE. 
213 
349 IJ Sulph. of Morphia, gr. j. 
Distilled Water, f^j. M. 
Sig. One tea-spoonful. 
350 IJ Strychnia, gr. j. 
Acetic Acid, gtt. ij. 
Sugar, 3 ij. 
Distilled Water, f 3 ij. M. 
Sig. One teaspoonful morning and evening. 
Prescribed inparalysis. It has also proved bene- 
ficial in the vomiting of pregnant women, 
when given in smaller doses and at shorter 
intervals.-Magendie. 
351 IJ Ext. of Belladonna, gr. ij. 
Syrup, f 3 j. 
Cinnamon Water, f 3 vij. M. 
Sig. Give three drops a day to a child under 
a year old, and an additional drop for every ad- 
ditional year. 
Belladonna has been used as a preventive of 
scarlatina.-S. G. Morton. 214 
HAND-BOOK OF MEDICAL 
352 3 Pure Chloroform, f 3 ij. 
Oil of Cinnamon, gtt. viij. 
Spirit of Camphor, 
Laudanum, aa f 3 iss. 
Alcohol, f 3 iss. M. 
Sig. The dose ranges from five to thirty drops 
in sweetened water. 
This preparation has proved highly serviceable 
in the relief of the pains and cramps of 
colic, cholera morbus, and cholera asphyxia. 
-H. Hartshorne. 
353 5 Chloroform, 3j- 
White of an Egg. 
Beat together and add, 
Sugar, 3 ij. 
Water, fjij. M. 
Sig. Dose, a dessert-spoonful every two hours. 
Prescribed in gastrodynia, flatulent colic, and 
cholera morbus; owing to the antiseptic pro- 
perties of the chloroform, this mixture keeps 
well. AND SURGICAL REFERENCE. 
215 
354 H Chloroform, ill xv. 
Comp. Tinct. of Cardamom, f 3 iss. 
Sig. One teaspoonful every half-hour in water. 
In pain, where opiates are not desirable.-Sir J. 
Y. Simpson. 
355 3 0'1 of Bitter Almonds, m xx. 
Alcohol, f 3 iij. M. 
Sig. Ten drops four times a day. 
Used in neuralgia, tic douloureux, and other pain- 
ful complaints.-Horn. 
356 3 Sulph. of Atropia, gr. | to ij. 
Distilled Water, f^j. M. 
Sig. Apply one or two drops to-the eye. 
For the relief of irritation of the conjunctiva or 
cornea, the weaker solution will answer; for 
active and prompt dilatation of the pupil, the 
stronger. 216 
HAND-BOOK OF MEDICAL 
357 R Tinct. of Aconite Root, 
Pure Chloroform, 
Alcohol, aa f j. 
Morphia, gr. vj. M. 
Sig. Moisten two pledgets of cotton with the 
liquid and apply to the gums for a minute or two 
around the tooth ; to be used with caution, on 
account of the aconite. 
In toothache. 
358 R Ext. Belladonna, 3 iss. 
Laudanum, Tl], xl. 
Rub together and add, 
Commercial Chloroform, 3j. M. 
Sig. For local application. 
A portion of this remedy should be smeared 
over the seat of the pain. 
In neuralgia and other local affections.-Diday. 
359 3 Atropia, gr. vj. 
Acetic Acid, gtt. x. 
Glycerine, f 3 iij. M. 
Sig. For local application. 
Forty or fifty drops to be rubbed over the 
track of the nerve three times a day. 
In facial neuralgia. AND SURGICAL REFERENCE. 
217 
360 Ext. of Opium, gr. xv. 
Ext. of Belladonna, 3 j. 
Glycerine, RI xx. M. 
Sig. Spread on adhesive plaster, 3x4 inches, 
leaving an adhesive margin all around the edges.. 
In toothache or neuralgia. 
CHLOROFORM AND SOAP LINIMENT. 
361 3 Liniment of Soap, f§ ij. 
Commercial Chloroform, f3j., M. 
Sig. Apply in rheumatic or neuralgic pains.- 
Tuson. 
CAMPHOR AND CHLOROFORM LINIMENT. 
362 I> Camphor, 3 iss.. 
Commercial Chloroform, 3 ij. 
Olive Oil, ^ij, M. 
Sig. Apply. 
In same as above. 218 
HAND BOOK OF MEDICAL 
COMPOUND CHLOROFORM AND ACONITE LINIMENT. 
363 3 Castor Oil, 3 ij. 
Commercial Chloroform, 
Spirit of Ammonia, 
Tinct. of Aconite-Root, Sa f 3 ij. 
Soap Liniment, f § j. M. 
Sig. Apply locally. 
In rheumatic pains, sprains, bruises, etc.- 
W. Procter, Jr. 
magendie's solution. 
'364 R Sulphate of Morphia, gr. xvj. 
Water, f § j. M. 
Dose, gtt. v. to x. 
365 3 Laudanum, gtt. xl. 
Sig. Take in sweetened water, and continue in 
doses of gtt. xx. every hour or two until relieved. 
Also rest in horizontal posture. 
To prevent a threatened abortion. 
366 R Dry Leaves of the Jamestown Weed 
q.s., and smoke in ordinary pipe. 
To relieve asthma. AND SURGICAL REFERENCE. 
219 
367 3 Digitaline, gr. 
Opium, gr. j. M. 
Sig. At once. 
To allay restlessness in acute mania. 
LINIMENTS, LOTIONS, ETC. 
368 3 Oxide of Zinc, gr. xij. 
Sulphate of Copper, gr. iij. 
Honey, f 3 j. 
Solution of Lime, f 3 ij. M. 
Sig. Apply to phagedenic ulcers of the geni- 
tals.-Swediaur, on Syphilis. 
3(59 IJ Linseed Oil, f 3 iij. 
Solution of Lime, f 3 vj. M. 
Sig. Apply to burns or scalds, by means of a 
feather or soft rag. 
370 3 Liquid Carbolic Acid, f 3 j. 
Linseed Oil, 
Solution of Lime, aS f | iij. M. 
Sig. Apply in the sloughing stage of deep 
burns, carbuncles, or any phagedenic ulcer. 220 
HAND-BOOK OF MEDICAL 
371 3 Solution of Lime, 
Linseed Oil, aa f 3 ss. 
Tinct. Aconite Leaves, 
Deodorated Tinct. Opium, as f 3 ij. 
Solution Subacetate of Lead, f 3 j- M. 
Make a liniment. 
A very efficient application to a recent burn 
or blister, or any erythematous condition of skin. 
-L. C. Heyl. 
372 3 Permanganate of Potassa, 3 ss. 
Water, 0. j. M. 
Employed in the London hospitals in cases of 
burns, ulcers, and extensive suppuration, with 
relief to the pain and a total prevention of fetor 
373 5 Chloride of Zinc, gr. ij. 
Distilled Water, f 3 j. M. 
Sig. Applied on lint to chronic and indolent 
ulcers.-Hancke. AND SURGICAL REFERENCE. 
221 
374 3 Sulphuret of Potassium, ss. 
Soap, | j. 
Alcohol, f 3 iv. 
Tinct. Myrrh, f 3 ss. 
Solution of Lime, 0. j. M. 
Sig. To be applied to the head night and 
morning, in tinea capitis. 
The hair must be shaved previous to its em- 
ployment. 
YELLOW WASH. 
375 3 Corrosive Sublimate, gr. j. 
Solution of lame, f 3 j. M. 
Sig. To be applied in phagedenic and venereal 
ulcers. 
376 3 Chlorine Water, f 3 j. 
Olive Oil, f j. M. 
Make a liniment. 
Sig. Applied externally to itch, herpes, and?, 
tinea capitis.-Dunglison's New Remedies. 
IODINE LINfMENT. 
377 3 Soap Liniment, f 3 j. 
Tinct. Iodine, f 3 j. IL 222 
HAND-BOOK OF MEDICAL 
CREASOTE LINIMENT. 
378 H Creasote, utx. 
Olive Oil, f § j. M. 
Sig. In herpes, etc. 
379 E Sulphuret of Potassium, 7 iij. 
Soap, § xij. 
Water, q.s. 
Heat while mixing and add 
Olive Oil, f 5 xij. 
Oil of Origanum, f 3 j. M. 
A very efficient liniment for itch, and other 
parasitic skin-diseases.-Jadelot. 
COMPOUND CHLOROFORM LINIMENT. 
380 5 Chloroform, 
Ether, 
Spt. of Camphor, 
Laudanum, aa f § j. 
Tinct. Capsicum, f 3 ss. M. 
Sig. In rheumatic pains, sprains, bruises, etc. AND SURGICAL REFERENCE. 
223 
381 R Borate of Soda, 3 ss. 
Rose-Water, f § viiss. 
Glycerine, f § ss. M. 
Sig. For chapped hands, fissured lips, sore 
nipples, and irritation of the skin of any kind.- 
Staktin. 
382 IJ ' Aromatic Spt. Ammonia, f j. 
Glycerine, f § ss. 
Tinct. of Cantharides, f 3 j. 
Rose-Water, f 3 vij. M. 
Sig. To be used with a wet hair-brush once or 
twice a day. 
Employed for falling off of the hair, dryness of 
the scalp, etc. 
383 3 Subnitrate of Bismuth, gr. xij. 
Corrosive Sublimate, gr. j. 
Tinct. Camphor, miij. 
Water, to make the whole f § ij. M. 
'For application to chronic eczema, herpes, etc. 
-London Hospital. 224 
HAND-BOOK OF MEDICAL 
384 B Sulphate of Iron, § j. 
Water, 0. j. M. 
Used in erysipelas by applying it to the part, 
every two or three hours.-Velpeau. 
385 B Borate of Soda, ? ss. ' 
Sulphate of Morphia, gr. vj. 
Bose-Water, f viij. M. 
Used in pruritus vulvas. 
LIME-WATER. 
386 B Water, one quart. 
Lime, (slaked,) a half handful. 
GARGLES. 
387 B Sage, 3 ij. 
Flaxseed, § j. 
Boiling Water, 0. j. M. 
Macerate with gentle heat for two hours, and 
filter. 
An excellent gargle in the acute stage of pha- 
ryngitis, or tonsillitis, when irritating and astrin- 
gent applications are injurious. To be used cold. 
-J. F. Meigs. AND SURGICAL REFERENCE. 
225 
388 R Brandy, 
Water, ail equal parts. 
Inflammation of fauces. 
389 3 Bruised White-Oak Bark, 3 j. 
Water, 0. iss. 
B Boil to one pint, filter, and add 
Alum, 3 ss. 
Brandy, f 3 ij. M. 
Used, in sore throat and chronic ulceration of the 
fauces. 
390 Sulphate of Zinc, 3 j. 
Honey, f § ss. 
Tinct. Myrrh, f j. 
Brandy, f § j. 
Rose-Water, f 3 vj. M. 
Sig. To be applied to ulcerated gums, occa- 
sioned by excessive salivation. 
Water can be added if it be too strong. 226 
HAND-BOOK OF MEDICAL 
391 R Finely Powdered Alum, 3 ij. 
Hoffmann's Anodyne, f 3 vij. M. 
Sig. To be placed in and around decayed teeth 
to allay pain. 
Recommended by Dr. Blake. 
392 R Alum, 3 ij- 
Water, f 3 iv. M. 
Sig. Gargle. 
In offensive breath.-Dr. Cavarra. 
393 R Acetate of Lead, 3 ss. 
Syrup, f 3 j. 
Decoction of Barley, 0. j. M. 
Sig. Gargle. 
In mercurial sore mouth.-Ratiek. 
394 5 Chlorinated Lime, 3 iij. 
Distilled Water, f 3 ij. 
Mix and filter. Then add 
Oil of Roses, niv. 
Alcohol, f 3 ij. 
Honey of Roses, f § ss. M. 
Sig. Gargle. 
In mercurial sore mouth. AND SURGICAL REFERENCE. 
227 
395 R Tinct. of Capsicum, f 3 ss. 
Rose-Water, f 3 viij. M. 
Sig. Gargle. 
M stimulating gargle, used in scarlet fever.- 
Griffiths. 
396 B Iodide of Zinc, gr. x. 
Distilled Water, f j. M. 
Sig. Apply daily to enlarged tonsils, by a 
piece of sponge tied to a quill.-J. J. Ross. 
397 B Chlorate of Potassa, § ss. 
Water, 0. j. M. 
Sig. Gargle. 
In diphtheria.-Prof. Flint, Sr. 
398 3 Inner Bark of Sumach-Root, q.s. 
Make an infusion and use as a gargle. 
In sore mouth from salivation. 
Very successful. 228 
HAND-BOOK OF MEDICAL 
399 H Sulphite of Soda, in Solution. 
Use as a gargle. 
In sore mouth. 
400 5 Solution of Chlorinated Soda, q.s. 
Sig. Use as a gargle. 
In the sore throat of scarlatina. ' 
401 H Chlorate of Potassa, gr. xx. 
Nitrate of Silver, 3 j. M. 
Sig. As a gargle, every hour or two. 
In scorbutic sore mouth. 
402 H Sulphite of Soda, § j. 
Water, f 3 iv. M. 
Sig. As a mouth-wash. 
In furred tongue. 
403 Chlorate of Potassa, 9 iv. 
Comp. Tinct. of Guaiac, 
Honey, aS f 3 j. 
Water, f 3 x. M. 
Sig. As a wash. 
In tonsillitis. AND SURGICAL REFERENCE. 
229 
404 3 Tannic Acid, 3 j. 
Water, f 3 ij. M. 
Sig. Gargle. 
In relaxed uvula. 
405 3 Alum, 3 j. 
Water, f 3 ij. M. 
Sig. As a gargle. 
In relaxed uvula. 
OINTMENTS. 
TOG 5 Spermaceti, 3 ij. 
White Wax, 3 ss. 
Oil of Almonds, f 3 ij. 
Mix while heating and add 
Glycerine, f 3 j. 
And then stir the whole together quickly. 
An admirable emollient for chaps and excoria- 
tions.-P. Squire. 230 
HAND-BOOK OF MEDICAL 
IODINE OINTMENT. 
407 3 Iodine, gr. iij. 
Lard, 3 ij. M. 
Make an ointment. 
Sig. Used in enlargements, painful joints, 
nodes, etc. 
408 Iodine, 
Canada Turpentine, Sa 3 j- 
Collodion, f § iv. Dissolve. 
Sig. Paint over the diseased part with a brush. 
This preparation has proved very efficient in the 
treatment of tumors, swellings, painful joints, 
etc. ; it acts as a vesicant if the skin be 
tender.-J. T. Shinn. 
409 5 Iodide of Potassium, 9 j. 
Simple Cerate, ? j. M. 
Make a cerate. 
Applied to scrofulous swellings when the skin is 
unbroken. It may also be used for tetter and 
kindred eruptions. AND SURGICAL REFERENCE. 
231 
410 R Iodide of Sulphur, gr. xxv. 
Lard, | j. M. 
Agjplied in diseases of the skin, acne, eczema, and 
scabies.-Magendie. 
SULPHUR OINTMENT. 
411 R Lard, lb. j. 
Oil of Bergamot, f 3 ij. 
Sublimed Sulphur, § viij. M. 
Sig. Used by friction, three to six drachms 
at a time, in itch. 
412 R Mercurial Ointment, 3 iv. 
Simple Cerate, 3 x. M. 
A dressing for venereal ulcers.-Ratier. 
413 Oxide of Silver, 3 j. 
Lard Ointment, j. M. 
Used in sore nipples. 232 
HAND-BOOK OF MEDICAL 
414 R Veratria, 
Sulph. Morphia, aa gr x. 
Lard, § j. M. 
Sig. Rub a portion of the ointment on the 
perinaeum three times daily, in incontinence of 
urine.-T. Kennard. 
DEPILATORY POWDER. 
415 R Sulphuret of Sodium, 3 iij. 
Powdered Lime, (unslaked,) 
Powdered Starch, aa 3 x. M. 
To be mixed, when required for use, with a 
little water, applied to the skin and removed in 
a few minutes with a wooden knife. 
For the removal of hair.-P. Squire. 
416 Cerate of Subacetate of Lead, 
Simple Cerate, aa 3 ss. 
Calomel, 
Powdered Opium, aa 3 j. M. 
Sig. Apply locally to cutaneous eruptions. AND SURGICAL REFERENCE. 
233 
417 R Arsenious Acid, gr. ij. 
Spermaceti Ointment, 3 j. M. 
Sig- Apply. 
Highly recommended in bone felon. 
418 R Corrosive Sublimate, gr. ij. 
Glycerine, § j. 
Sig. Apply twice a day. 
In eruption from poison oak. 
419 R Balsam of Peru, 3 iij. 
Simple Cerate, 3 v. M. 
Sig. Apply in scalds to the burnt surface. 
HINDOO OINTMENT. 
420 Sulphate of Copper, 3 iv. 
Catechu, 3 iv. 
Alum, 3 ix. 
White Resin, 3 iv. 
Powder and mix with 
Olive Oil, q.s. to make an ointment. 
Highly recommended, as an application to indolent 
ulcers. 234 
HAND-BOOK OF MEDICAL 
421 Carbolic Acid, 3 j. 
Glycerine, f§ ij. M. 
Sig. Apply as a dressing for wounds. 
422 Carbolic Acid, f 3 ij. 
Glycerine, f 3 iv. M. 
423 3 Chloroform Liniment. 
Apply to lumbar region. 
Or 
Poultice of Jamestown Weeds, 
With hypodermic injection of Mor- 
phia, gr. | or J. 
In lumbago.-Yandell. AND SURGICAL REFERENCE. 
235 
CHAPTER VIII. 
POULTICES. 
BREAD-AND-MILK POULTICE. 
424 Remove the crust from a part of a loaf of 
stale bread, and crumble the bread into a bowl; 
pour over it enough sweet milk to cover it, and 
simmer over a fire, occasionally stirring, until 
the bread is reduced to a pulpy consistence. The 
poultice is to be applied as warm as the patient 
can bear it. Water may be substituted for the 
milk with very little if any disadvantage. 
FLAXSEED MEAL AND BRAN POULTICE. 
425 Take equal parts of ground flaxseed and 
bran ; pour boiling water upon them, and stir 
constantly, until the poultice has a pulpy con- 
sistence. 
MUSH POULTICE. 
426 This is made by stirring Indian meal, in 
small quantities, into water kept boiling in a 
pan, until the whole has acquired the proper 
consistence. 236 
HAND-BOOK OF MEDICAL 
YEAST POULTICE. 
427 3 Flour, lb. j. 
Yeast, 0. ss. M. 
This poultice is useful in stimulating foul 
ulcers and gangrenous wounds, and removing 
the unpleasant odor. It should be made with 
fresh yeast, and applied warm. 
CHARCOAL POULTICE. 
428 Stir into the bread-and-milk poultice as 
much finely powdered charcoal as it will bear, 
and then sprinkle upon the surface of the poul- 
tice, when ready for the application, some more 
of the powder. 
It is a very useful application to offensive ulcers ; 
removing in a short time the fetor, and giving 
them a more healthy aspect. 
SLIPPERY-ELM POULTICE. 
429 Powdered slippery-elm bark and warm 
water, as in the bread-and-milk poultice. AND SURGICAL REFERENCE. 
237 
430 IJ Camphor, gr. xxx. 
Sig. Mix with a poultice, and apply to the 
perinaeum. 
In strangury. 
RUBEFACIENTS. 
431 B Powdered Black Mustard, 3 ij. 
Water, q.s. to make plaster. 
Vinegar should not be used in making this 
plaster, as water produces the chemical reactions 
on which its efficacy chiefly depends, when the 
mustard is pure. 
432 3 Bruised Mustard, lb. ss. 
Powdered Pepper, 
Powdered Ginger, aa 3 j. 
Boiling Water, q.s. M. 
Make a plaster. 
Sig. Let the plaster be applied hot to the epi- 
gas tic region. 
Used for relief of flatulence, and sick stomach. 238 
HAND-BOOK OF MEDICAL 
433 5 Potassa, 3 iss. 
Water, f 3 ij. M. 
Make a solution. 
Sig. Apply to the spine in tetanus. 
Dr. Joseph Hartshorne speaks in high terms 
of the' beneficial effects of this solution in the 
above disease. To produce only a rubefacient 
action, tie a piece of sponge or cloth to a stick 
or table fork, and apply it from the nape of the 
neck to the sacrum. 
CROTON OIL LINIMENT. 
434 Croton Oil. 
Olive Oil, aa 3 j- M. 
VOLATILE LINIMENT. 
435 3 Olive Oil, 
Aqua Ammonia, aaf 3 j. M. 
Sig. Apply to neck in inflammation of the 
throat; also used in sprains, bruises, and for 
enlarged glands. AND SURGICAL REFERENCE. 
239 
IODINE PAINT. 
436 3 Iodine, gr. Ixiv. 
Iodide Potassium, gr. xxx. 
Alcohol, f 3 j. M. 
Make solution. 
-Kings College Hospital. 
437 3 Compound Soap Liniment, v. 
Chloroform, 
Tincture of Aconite, aa ? iss. M. 
Sig. Rub well upon the affected region. If 
necessary, add croton oil until vesicles appear. 
In intercostal neuralgia.-Yandell. 
SEDATIVES. 
438 3 Bromide of Potassium, gr. xx. to c. 
Sig. Three times a day, until pharynx is 
anaesthetized, and eruption appears.-Hammond. 
439 3 Bromide of Calcium, gr. xv. 
Sig. Repeat if necessary. 
To produce sleep.-Hammond. 240 
HAND-BOOK OB MEDICAL 
440 IJ Bromide of Calcium, gr. xx. to xl. 
Or, 
3 Bromide of Potassium, gr. xl. to c. 
In delirium tremens.-Hammond. 
441 IJ Bromide of Potassium, gr. xx. 
Sig. As often as needed to allay the parox 
ysms of pertussis. 
442 IJ Musk, gr. x. 
Sig. At once. 
In hiccough. 
443 R Solution of Lime-Water, f 3 j. 
Milk, f 3 iij. 
Laudanum, gtt. viij. M. 
Sig. Take this every four hours. 
In irritability of the stomach. 
444 3 Ammoniated Tinct. of Valerian, 3 ij. 
Sig. One drachm every four hours. 
In nervous prostration from drinking whisky. 241 
AND SURGICAL REFERENCE. 
445 H Bromide of Potassium, gr. v. 
Sig. Twice a day. 
In night screaming, and somnambulism of chil- 
dren. 
446 H Bromide of Potassium, gr. x. 
Sig. At bedtime. 
In sleeplessness. 
447 Sweet Spirit of Nitre, f 3 j. 
Hoffmann's Anodyne, 
Aromatic Ammoniated Alcohol, Sa 
f 3ij. 
Mint-Water, f 3 vj. M. 
Sig. One tea-spoonful every three or four 
hours. 
In pleuritis.-Dr. Bell. 
448 B Tincture of Tolu, 
Tincture of Snakeroot, 
Sweet Spirit of Nitre, 
Paregoric, aa f | j. M. 
Sig. One tea-spoonful every two or three hours. 
In cough of pleuritis.-Dr. Bell. 242 
HAND-BOOK OF MEDICAL 
449 3 Extract of Belladonna, gr. 
Quinia, gr. v. 
Sulphate of Zinc, gr. M. 
Sig. Take three times a day, gradually in- 
creasing the zinc until three or four grains per 
day are given.-Dr. Bell. 
450 3 Atropia, gr. l-120th. 
Sig. Inject hypodermically, and repeat if 
necessary. 
In asthma.-Yandell. 
451 5 Valerianate of Quinia, gr. xij. 
Powdered Tragacanth, gr. vj. 
Water, q.s. M. 
Make eight pills. 
Sig. One every hour. 
In hemicrania. 
452 5 Hyoscyamin, gr. l-20th. 
Sig. On sugar as often as needed. 
To allay troublesome cough. AND SURGICAL REFERENCE. 
243 
453 R Camphor, gr. v. 
Sig. Every half-hour in hysteria. 
454 R Mono-bromide of Camphor, gr. v. 
Sig. Three times a day. 
To produce sleep, and quiet the nervous system. 
455 5 Squire's Extract of Indian Hemp, 
gr. ss. 
Bromide of Potassium, gr. xxx. M. 
Sig. Three times a day. 
In acute mania. 
STIMULANTS. 
456 R Powdered Cantharides, gr. xviij. 
Powdered Opium, 
Powdered Camphor, aa gr. xxxvj. 
Confection of Roses, q.s. M. 
Make thirty-six pills. 
Sig. One every night on going to bed. 
In impotency from general debility. 244 
HAND-BOOK OF MEDICAL 
457 TJ Creasote, TTliij. 
Powd. Hyoscyamus Leaves, gr. xij. 
Aromatic Confection, q.s. M. 
Make twelve pills. 
Sig. One pill three times a day. 
Used to allay morning sickness in pregnancy.- 
PlTSCHAFT. 
458 3 Carbonate of Ammonia, 3 j. 
Sugar, 
Powdered Acacia, Sa 3 iss. 
Mint-Water, f 3 iv. M. 
Sig. Table-spoonful every two hours. 
"As carbonate of ammonia sustains the ac- 
tion of the heart without stimulating the brain, 
it is resorted to whenever the vital powers begin 
to fail, in diseases of nearly every type." 
Asa preventive of the formation of heart-clot 
in pneumonitis, there can be no better mode of 
administering the carbonate of ammonia. AND SURGICAL REFERENCE. 
245 
459 B Carbonate of Ammonia, 3 ij. 
Dilute Prussic Acid, TT[xx. 
Comp. Tinct. Cardamom, f 3 vj. 
Infusion of Orange-peel, f 3 vij. 
Sig. Put two table-spoonfuls into a third of 
a tumbler of water; add a table spoonful of 
fresh lemon-juice, and drink while foaming, 
three or four times a day. 
In acidity of stomach with depression.-Tanner. 
460 3 Oil of Valerian, gtt. iij. 
Carbonate of Ammonia, gr. x. 
Cinnamon Water, f 3 iss. 
Syrup, f 3 iss. M. 
Sig. One half of this every four hours. 
Nervous headache and depression of spirits. 
461 Powdered Ginger, gr. xv. 
Carbonate of Ammonia, gr. viij. 
Tinct. Cinnamon, f 3 ij. 
Water, 3 iss. M. 
Sig. Take at once. 
In gout or cramp of stomach. 246 
HAND-BOOK OF MEDICAL 
462 3 Camphor, 3 ij. 
Pure Chloroform, 3 j. 
White of one Egg. 
Water, f 3 iv. M. 
Sig. One tea-spoonful as often as needed. 
An effective stimulant. 
463 B Camphor, 3 ss. 
Ether, f 3 j. M. 
Sig. Take ten drops every twenty minutes. 
In cholera morhus and cholera. 
"I have found nothing so effectual in giving 
relief to the nausea and vomiting of the early 
stages of Cholera, as small doses of this solution 
frequently repeated."-J6hn Eberle. 
WINE WHEY. 
464 Boiling Cow's Milk, 0. ss. 
Sherry Wine, f iv. 
Mix, filter, and add 
Sugar, § j. M. 
Sig. From four ounces to one pint during the 
day. AND SURGICAL REFERENCE. 
247 
465 White of one Egg. 
Oil of Cinnamon, gtt. x. 
Beat together and add 
Sherry Wine, 
Cinnamon Water, 5a f § iss. 
Sugar, 3 j. 
Distilled Water, f 3 j. M. 
Sig. A wine-glassful at short intervals. 
In the convalescence of low fevers. 
EGG-N0GG. 
466 IJ One Fresh Egg. 
White Sugar, 3 ij. 
Beat well together and add 
Sherry Wine, f 3 ss. 
Water, f § j. M. 
Brandy or whisky can be used instead of 
wine, owing to taste of the patient. 
MILK-PUNCH. 
467 IJ Brandy, f 3 ij. 
Milk, f § iv. 
Sugar, 3 ss. M. 
Sig. One table-spoonful every hour. 
In low fevers. 248 
HAND-BOOK OF MEDICAL 
468 Muriate of Ammonia, 3 j. 
Sig. Take thirty grains every three hours in 
water. 
Recommended in bronchitis. 
469 5 Camphor, 3 iij. 
Chloroform, f 3 j. M. 
Sig. Ten or twenty drops as often as needed. 
As a stimulant in cholera. 
470 5 Tinct. of Cantharides, gr. j. 
Make a pill and take twice a day. 
In incontinence of urine. 
471 5 Strychnia, gr. 
Sig. Take this three times a day. 
In incontinence of urine. 
472 Water of Ammonia, gtt. xxx. 
Sig. Dilute with water and take every half- 
hour for three hours. 
In snake-bite. AND SURGICAL REFERENCE. 
249 
473 Extract of Nux Vomica, gr. xxx. 
Phosphide of Zinc, gr. iij. M. 
Make thirty pills. 
Sig. One three times a day. 
An aphrodisiac. 
TONICS. 
474 IJ Quinine, gr. xx. 
Aromatic Sulph. Acid, ir[xv. 
Drop the acid into the quinine on a tile or slab, 
and triturate it with a bone spatula until it as- 
sumes a pillular consistence; them divide rapidly 
into the required number of pills. 
Make six pills. 
475 3 Quinine, gr. xx. 
Dilute Sulph. Acid, TT[,xx. 
Sugar, 3 ij. 
Cinnamon Water, f § iiss. M. 
A tea-spoonful for a dose every hour. 
During the apyrexia of inter mittents. 250 
HAND-BOOK OF MEDICAL 
476 3 Quinine, gr. xvj. 
Syrup Ginger, f 3 ij. M. 
Sig. One tea-spoonful every hour. 
During the apyrexia of intermittents. 
477 3 Sulph. Cinchonia, gr. xxxij. 
Tinct. Chloride of Iron, f 3 ss. 
Water, f 3 iiiss. M. 
Sig. A teaspoonful every three hours in 
sweetened water.-G. Martin. 
SOLUTION OF QUININE FOR HYPODERMIC INJECTION. 
478 5 Quinine, 3 j. 
Dilute Sulph. Acid, f 3 ss. 
Distilled Water, f 3 viiss. M. 
Thirty minims of this solution, containing 3| 
grains, injected beneath the skin, will give the 
effect of about 74 grains by the mouth, and may 
be repeated as required without danger from 
nausea. AND SURGICAL REFERENCE. 
251 
479 R Iron by Hydrogen, 3 ss. 
Sugar, 3 j. M. 
Make twelve powders. 
Sig. One three times a day in syrup or mo- 
lasses. 
Much used in anosmia and chlorosis. 
480 3 Subnit. Bismuth, 3 ss. 
Sugar, 3 j. M. 
Make ten powders. 
Sig. One three times a day. 
Used in gastrodynia, chronic vomiting, and 
chronic diarrhoea.-Recamier. 
481 IJ, Citrate of Iron and Quinine, 3 ss. 
Powdered Acacia, gr. x. 
Strained Honey, q.s. M. 
Make twenty pills. 
Sig. Take one pill every four hours. 
This preparation is much employed in hemicra- 
nia, chlorosis, and ancemia. 252 
HAND-BOOK OF MEDICAL 
482 3 Strychnia, gr. j. 
Iron by Hydrogen, gr. xxx. 
Mucilage of Tragacanth, q.s. M. 
Make thirty pills. 
Sig. One pill three times daily. 
Useful in chlorosis and dyspepsia. 
483 Quinine, gr. xij. 
Sulph. Iron, gr. xxiv. 
Powdered Opium, gr. iij. 
Syrup, q.s. M. 
Make twelve pills. 
Sig. One pill three times a day. 
In chlorosis and anosmia.-Kirkby. 
484 Nitrate of Silver, gr. iv. 
Oatmeal, gr. iv. 
Syrup, q.s. M. 
Make twelve pills. 
Sig. One pill every three hours. 
Given in epilepsy, gastrodynia, chronic gastritis, 
/ and obstinate vomiting. AND SURGICAL REFERENCE. 
253 
485 H Lactate of Zinc, gr. xxx. 
Syrup Acacia, q.s. M. 
Make twenty pills. 
Sig. One pill three times daily. 
Lactate of zinc is particularly recommended in 
epilepsy. -Herrin. 
486 H Arsenious Acid, gr. j. 
Podophyllin, gr. iij. 
Ext. Nux Vomica, gr. xv. 
Iron by Hydrogen, gr. xlv. 
Oil of Cloves, gtt. x. 
Syrup of Acacia, q.s. M. 
Make thirty pills. 
Sig. Take one pill after each meal. 
In anaemia, with hepatic torpor and asthenia. 
487 3 Tartrate of Iron and Potassa, gr. xvj. 
Cinnamon Water, f 3 j. 
Dissolve and add 
Syrup, f § j. 
Fowler's Solution, TTlxxxij. M. 
Sig. One tea-spoonful three times a day, for 
a child one or two years of age. 
Used in eczema infantile and other sicin-diseases 
of early life.-Erasmus Wilson. 254 
HAND-BOOK OF MEDICAL 
488 5 Pyrophosphate of Jron, 3 j. 
Syrup, 
Cinnamon Water, S3 f ij. M. 
Sig. Take a teaspoonful an hour after each 
meal. 
ELIXIR OF PEPSIN. 
489 Pepsin, 3 iss. 
Water, f 3 viss. 
Sherry Wine, f 3 xiiss. 
Alcohol, f 3 iij. 
Sugar, 3 j. M. 
Sig. One table-spoonful, containing fifteen 
grains of pepsin, is given immediately after each 
meal. 
In indigestion.-Mialhe. 
490 I? Laudanum, gtt. xx. 
Chloroform, gtt. 1. to Ixxx. M. 
Sig. Dilute with water and take at once just 
before the expected recurrence of the chill. 
In intermittent fever. AND SURGICAL REFERENCE. 
255 
491 Quinia, gr. xv. 
Sulphate of Zinc, gr. iv. M. 
Sig. At once. 
In obstinate intermittent fever. 
492 3 Fowler's Solution, gtt. x. 
Sig. Three times a day. 
Use this every other day, alternating with 
quinine. 
In obstinate intermittent fever. 
498 5 Powdered Cinchona, § ss. 
Powdered Snakeroot, 3 j. 
Carbonate of Soda, 3 ss. M. 
Make into six powders. 
Sig. Two powders a day. 
In intermittent fever. 256 
HAND-BOOK. OF MEDICAL 
STIMULANT TONIC. 
494 3 Sulphate of Quinia, 3 j. 
■ Sulphate of Iron, 3 iij. 
Sulphate of Zinc, 3 j. 
Water, f 3 iv. M. 
Make a solution and add 
Tinct. of Valerian, f 3 ij. 
Sig. One tea-spoonful before 'each meal. 
TONIC MIXTURE. 
495 5 Sulphate of Iron, 3 j. 
Sulphate of Copper, gr. xx. 
Strychnia, gr. x. 
Glycerine, 0. j. M. 
And add 
Sulphuric Acid, f 3 j. 
Sig. From one half to one tea-spoonful three 
times a day. 
Alternating every other day with 
Fowler's Solution, gtt. x. 
Two or three times a day. 
In intermittent fever. AND SURGICAL REFERENCE. 
257 
COLLYRIA. 
496 R Sugar, 
Oxide of Zinc, aS 3 ij. M. 
Pulverize together. 
Sig. A quill with the end off is filled with a 
small quantity of this powder, and. gently blown 
nto the eye.-M. Recamier. 
497 3 Nitrate of Silver, gr. ij. 
Nitrate of Atropia, gr. j. 
Distilled Water, f?j. M. 
Sig. The eye to be bathed with a small quan- 
tity of this liquid. 
In atonic ulceration of the cornea. 
-T. G. Morton. 
498 R Tincture of Iodine, gtt. xxx. 
Laudanum, gtt. xxxvj. 
Pure Water, f 3 iv. M. 
Sig. An eye-wash. 
In scrofulous sore eyes. 258 
HAND-BOOK OK MEDICAL 
499 5 Chlorinated Lime, 3 j. to iv. 
Water, 0. j. M. 
Sig. Apply in the purulent ophthalmia of 
children. 
500 Tincture of Iodine, q.s. 
Sig. Paint around eyes. 
In common sore eyes. 
If this does not cure them, a weak solution of 
same can be used in the eye. 
501 5 Nitrate of Silver, gr. j. to iij. 
Water, f§j. M. 
Sig. Apply to inflamed eye by atomizer. 
502 R Camphor, 3 iv. 
Oil of Cajeput, f 3 vij. 
Oil of Sweet Almonds, f 3 xv. M. 
Sig. A few drops to be put into the ear, in 
cases of dullness of hearing from hardened wax, 
or dryness of the mucous membrane.-Radius. . 
INJECTIONS FOR THE EAR. AND SURGICAL REFERENCE. 
259 
503 5 Solution of Subacetate of Lead, f 3 j. 
Rose-Water, f 3 j. M. 
Sig. This to be dropped into the ear until 
the meatus is full, and allowed to remain for a 
few minutes. 
In otorrheea.-Wilde. 
504 3 Sulphate of Cadmium, gr. viij. 
Water, f 3 j. M. 
Sig. As above. 
In otorrhtta.-Lincke. 
505 3 Ether, (dilute,) q.s. 
Sig. Drop a few drops into the ear. 
In ear-ache. 
506 Nitrate of Silver, gr. x. 
Water, f 3 iv. M. 
Inject into ear, gradually increasing the 
strength of the solution until thirty grains of 
the caustic are used to the four ounces of water. 
In puriform discharge from ear. 260 
HAND-BOOK OF MEDICAL 
NASAL INJECTIONS. 
507 3 Permanganate of Potassa, gr. xvj. 
Pure Water, 0. j. M. 
Sig. Use three or four times daily, about two 
or three table-spoonfuls at a time, by the nasal 
douche, as follows: 
Take a bottle or other reservoir, having an 
aperture near its bottom, to which is attached a 
rubber tube, having at its extremity a plug capa- 
ble of completely filling the nostril at the exter- 
nal opening. Put the medicated fluid into the 
bottle, the plug of the tube into the nostril, open 
the mouth wide and make forcible respiration 
through it. When the bottle is raised above the 
level of the head the liquid passes by gravitation 
into one nostril, filling the maxillary sinus upon 
that side, and not being able to pass into the 
pharynx, from closure of the posterior nares, is 
carried around the septum into the meatus of 
the other side and out at the other nostril. 
To prevent the diversion of the fluid through 
the Eustachian tube into the internal ear, Prof. 
Hamilton remarks: " The patient must not 
swallow, or attempt to speak while using the 
douche, and he must stand with his head in- 
clined neither to the right or left." AND SURGICAL REFERENCE. 
261 
The following is a convenient and ready injec- 
tion : 
3 Common Salt, 3 j. 
Tepid Water, 0. j. M. 
Sig. Use by nasal douche. 
508 D Permanganate of Potassa, gr. xvj. 
Iodide of Zinc, 3 ss. 
Tinct. of Myrrh, f § ij. 
Water, 0. j. M. 
Sig. Use three or four times daily. 
In offensive nasal discharges, and diseases of the 
sinuses in general. 
509 3 Alum, 9 iv. 
Water, 0. ss. M. 
Sig. Douche. 
In epistaxis. 
510 1> Perchloride of Iron, 9 iv. 
Water, 0. ss. M. 
Sig. Douche. 
In epistaxis and catarrh. 262 
HAND-BOOK OF MEDICAL 
511 Carbolic Acid, 9 j. 
Sweet Oil, 3 ij. M. 
Sig. Inject into nose. 
In offensive discharges from nose. 
512 B Glycerine, f 3 j. 
Sulphate of Zinc, gr. viij. to x. M. 
Sig. As an injection. 
In coryza. 
URETHRAL INJECTIONS. 
513 5 Ext- Opium, 3 j. 
Glycerine, f § j. 
Water, f ~ iij. M. 
Sig. After each passage of urine. 
This affords great relief to the local pain and 
uneasiness, and causes a diminution of the dis- 
charge in gonorrhoea.-Bumstead. AND SURGICAL REFERENCE. 
263 
514 R Nitrate of Silver, gr. iij. 
Rose-Water, f j. M. 
Inject this two or three times a day. 
In gonorrhoea. 
515 R Sulphate of Zinc, gr. x. 
Powdered Acacia, 3 ij. 
Laudanum, f 3 j. 
Distilled Water, f 3 viij. M. 
Sig. Inject. 
Virulent gonorrhoea. 
51G R Sulphate of Zinc, 
Acetate of Lead, Sa gr. xx. 
Rose-Water, f 3 iv. M. 
Sig. Shake the bottle before using. 
Inject in gonorrhoea.-Ricord. 264 
HAND-BOOK OK MEDICAL 
517 R Chloride of Zinc, gr. j. 
Water, f j j. M. 
Sig. Inject. 
This has been used in St. Bartholomew's Hos- 
pital, London, with much success in the treat- 
ment of gonorrhoea. 
Mr. Weeden Cooke recommends the simulta- 
neous employment of the alkaline carbonates in- 
ternally. 
518 R Solution of Subsulphate of Iron, 
f 3 ss. 
Water, f 3 vj. M. 
Sig. Inject. 
Recommended in gleet.-Bumstead. 
519 3 Iodide of Iron, 3 ss. 
Water, f § viij. M. 
Sig. Inject. 
In blenorrhoea.-Ricord. 
520 5 Tannic Acid, gr. xxxij. 
Distilled Water, f ? viij. 
Employed as a wash to chronic ulcers, and as an 
injection in obstinate blenorrhaa.-Beral, in 
Dunglison's New Remedies. AND SURGICAL REFERENCE. 
265 
521 B Laudanum, gtt. xx. 
Mucilage, q.s. M. 
Sig. Inject into urethra every three or four 
hours until relieved. 
In irritation of urethra from cantharides. 
522 IJ Borate of Soda, 3 j. 
Glycerine, f 3 ij. 
Water, f 3 j. M. 
Sig. Add warm water until the whole is luke- 
warm, and inject gently into bladder. 
In cystitis. 
VAGINAL INJECTIONS. 
523 3 Permanganate of Potassa, gr. xx. ' 
Water, 0. j. M. 
Sig. Inject. 
Used in cancer of the womb, for its alterant 
and deodorant effects ; also, in fetid lochial dis- 
charge in puerperal fever, a small quantity being 
injected several times a day.-D. F. Girwood. 266 
HAND-BOOK OF MEDICAL 
524 IJ Creasote, THxij. 
Mucilage of Tragacanth, 3 ij. 
Warm Water, f 3 xiv. M. 
Sig. Inject. 
Recommended for the removal of the fetid and 
vitiated secretions from the maternal passages in 
puerperal fever. Warm water is thrown up to 
wash out the vagina, and the injection is then 
used. It is employed in the same manner for 
cancer of the womb.-Mackenzie. 
525 IJ Solution of Chlorinate of Soda, f § j. 
Water, f § x. M. 
Sig. Inject. 
As a vaginal wash in cases of infection produced 
by the decomposition of a retained placenta.- 
Trousseau. 
526 5 Alum, 3 ij- 
Water, 0. ij. M. 
Sig. Inject several times a day. 
In fetid discharge from, the vagina, leucorrhaa. AND SURGICAL REFERENCE. 
267 
ENEMATA. 
527 5 Common Salt, one table-spoonful. 
Lard, 
Sweet Oil, 
Molasses, aS two table-spoonfuls. 
Warm Water, one pint. M. 
Sig. Inject. 
As a laxative. 
528 Persulphate of Iron, q.s. 
Sig. Dilute with cold water and inject into 
rectum. 
In hemorrhage from the rectum and colon. 
529 5 Turpentine, f 3 j. 
Yellow of one Egg. 
Water, 0. ss. M. 
Sig. Inject. 
To relieve flatus in colon. 268 
HAND-BOOK OF REFERENCE. 
530 3 Salt, 3 j. 
Water, O. j. M. 
Sig. Two table-spoonfuls of this, with thirty- 
drops of laudanum, in a sufficient quantity of 
mucilage, to be injected after each discharge. 
To arrest the diarrhoea in typhoid fever. INDEX. 
269 
INDEX. 
Abbreviations, Table of, 17 
Abortion, 218 
Acid, Carbolic, Poisoning by, 59 
Acid, Hydrocyanic, Poisoning by, 46 
Acid, Muriatic, Poisoning by, 59 
Acid, Nitric, Poisoning by, 59 
Acid, Oxalic, Poisoning by, 58 
Acid, Sulphuric, Poisoning by, 58 
Acne, 197, 231 
Aconite, Poisoning by, 41 
Alcohol, Poisoning by, 44 
Albuminuria of Pregnancy, 169 
Alkalies, Corrosive, Poisoning by, 60 
Alopecia, 223 
Alteratives, 105 
Alum, Poisoning by, 109 
Amenorrhoea, 180, 181, 182 
Ammonia, Poisoning by, 61 
Anaemia, 251, 252, 253 
Antacids, 129 
Antaphrodisiac, 108 
Antemetics, 133 
Anthelmintics, 137 
Antilithics, 141 
Antimony, Poisoning by, 56 
Antiseptics, 207 
Antispasmodics, 143 
Aphonia, 204, 205 
Aphrodisiacs. See Impotence 270 
INDEX. 
Apoplexy, 83 
Arsenic, Poisoning by, 52 
Arteries, Ligation of, 63, 77 
Ascarides, 139, 140 
Asphyxia, 208 
Asthma, 120, 186, 206, 207, 209, 211, 218, 242 
Astringents, 146 
B 
Baryta, Poisoning by, 58 
Becquerel's Pill, 157 
Belladonna, Poisoning by, 40 
Bibron's Antidote, 107 
Bichloride of Mercury, Poisoning by, 53 
Binoxalate of Potash, Poisoning by, 60 
Bladder, Diseases of, 118, 141,142, 168. 265 
Bleeding, 84 
Blenorrhoea, 264 
Blisters, 192 
Body, Normal Temperature of, 16 
Bone Felon, 233 
Bowel Complaints of Children, 112 
Brain, Affections of, 109, 110, 124, 127, 128 
Breath, Offensive, 226 
Bronchitis, 129, 183,186, 205, 206, 207, 248 
Bronchorrhoea, 207 
Bruises, 218, 222, 238 
Burns and Scalds, 84, 197, 198, 219, 220, 233 
C 
Calabar Bean, Poisoning by, 47 
Camphor, Poisoning by, 44 
Cancer, 198, 202 
Cantharides, Poisoning by, 49 
Carbolic Acid, Poisoning by, 59 
Cardialgia, 129 
Catalepsy, 105 INDEX. 
271 
Cathartics, 154 
Chalk Mixture, 149 
Chancres, 197, 202 
Chapped Surfaces, 195, 223, 229 
Characters, Differential, of Variola, Scarlatina, Rubeola, 
and Roseola, 103, 104 
Chloral, Poisoning by, 45 
Chloroform, Poisoning by, 45 
Chlorosis, 111, 120, 251, 252 
Cholera, 150, 154, 211, 214, 246, 248 
Cholera Mixture, 150 
Cholera Morbus, 149, and same as Cholera 
Chorea, 110, 111, 120 
Colic, 112, 144, 211, 214, 245 
Colica Pictonum, 144, 145, 210 
Colchicum, Poisoning by, 51 
Collyria, 257 
Conjunctivitis, Granular, 199, 215 
Constipation, 112, 126, 127, 158, 162, 182 
Convalescence of low Fevers, 247 
Copper, Poisoning by, 54 
Cornea, Ulceration of, 257 
Corrosive Alkalies, Poisoning by, 60 
Corrosive Sublimate, Poisoning by, 53 
Croton Oil, Poisoning by, 51 
Croup, 179, 207, 209 ' 
Cystitis See Bladder, Diseases of 
D 
Deadly Nightshade. See Belladonna 
Delirium Tremens, 208, 240 
Diarrhoea, 119, 120, 129, 130,131, 146, 147, 148,149, 150, 
152, 153, 154, 251 
Diaphoretics, 162 
Digitalis, Poisoning by, 42 
Dietetic Preparations, 171 
Diuretics, 165 272 
INDEX. 
Diuretic Drops, 168 
Diphtheria, 195, 207, 227 
Dislocations, 89, 94 
Doses of Medicines, 18, 37 
Dropsy, 118, 161, 165, 166, 167 
Drowning, 80 
Drunkenness, 112 
Dysentery, 148, 152, 154 
Dyspepsia, 119, 120, 121, 128, 131, 132, 133, 252, 254 
E 
Ear-Ache, 259 
Ear, Diseases of. See Otorrhoea 
Eczema, 107, 110, 198, 223, 253 
Egg-Nogg, 247 
Emetics, 177 
Emmenagogues, 180 
Enemata, 267 
Epilepsy, 83,105, 110, 252, 253 
Epistaxis, 78, 195. 261 
Erections, painful nocturnal, 210 
Erysipelas 119, 199, 224 
Escharotics, 190 
Ether, Poisoning by, 45 
Expectorants, 183 
Eyes, Diseases of, 257, 258, and see Conjunctivitis 
F 
Falling of the Hair. See Alopecia 
Feet, Offensive, 198 
Fever, Intermittent, 118, 249, 250, 254, 255, 256 
Fever, Remittent, 179 
Fever, Typhoid, Hemorrhage in, 153 
Fever, Typhoid, Diarrhoea in, 268 
Fever, Puerperal, 265, 266 
Flatulence, 130, 237, 267 
Foxglove. See Digitalis 
Frequency of Heart's Action, 16 INDEX. 
273 
G 
Gangrene, 151 
Gargles, 224 
Gastritis, 240, 252 
Gastric Fever, Infantile, 163 
Gastrodynia, 214, 251, 252 
Gastro Enteritis, 119, 240 
Glands, Enlarged, 238 
Gleet, 166, 264 
Gonorrhoea, 128, 165, 169, 170, 262, 263, 264 
Gout, 122, 127, 142, 157, 160, 245 
H 
Hairs, to remove, 232 
Haematuria, 154 
Haemoptysis, 147, 153, 207 
Heart, Normal Frequency of Action of, 16 
Headache, 115, 245 
Heartburn, 132 
Hemlock, Poisoning by, 40 
Hemicrania, 242, 251 
Hemorrhage, Arterial, Pulmonary, from Stomach, Post 
Partum, from Nose, &c., 78, 80, 147, 151, 153, 205, 
209, 267 
Hemorrhoids, 199 
Hepatitis, 195 
Hernia, 87, 89 
Herpes, 221, 222, 223 
Henbane. See Hyoscyamux 
Hiccough, 240 
Hindoo Ointment, 233 
Hydrocephalus, 116 
Hydrocyanic Acid, Poisoning by,'46 
Hydrophobia, 85 
Hyoscyamus, Poisoning by, 41 
Hysteria, 143, 212, 243 274 
INDEX. 
;i 
Impacted Faeces, 161, 162, 210 
Impotence, 108, 243, 249 
Incontinence of Urine, 211, 232, 248 
Inhalations, 204 
Injections for Ear. See Otorrhoea 
Injections for Nose, 260 
Injections for Urethra, 262 
Injections for Vagina, 265 
Intermittent Fever. See Fevers 
Iritis, 125 
Itch, 193, 196, 221, 222, 231 
J 
Jamestown Weed, Poisoning by. See, Stramonium 
Jaundice, 114, 119 
L 
Laryngotomy, 81 
Laryngitis, 153, 206 
Laudanum, Dose for different Ages, 212 
Laxatives, 143, 158, 160, 267 
Lead, Poisoning by, 55 
Lead Colic. See Colica Pictonum 
Leucorrhoea, 166, 266 
Ligation of Arteries, 63, 77 
Lightning, Injuries from, 83 
Lime-Water, 132, 224 
Liniments and Lotions, 219 
Liver, Derangement of, 156, 253 
Lobelia, Poisoning from, 43 
Locomotor Ataxia, 121 
Lumbago, 234 
Lungs, Gangrene of, 207 
Lupus, 106 INDEX. 
275 
M 
Magendie's Solution, 218 
Mania, 219, 243 
Measles. See Rubeola 
Measures, 13, 14 
Medicines, Rules for prescribing, 14, 15, 16 
Medicines, Doses of, 18, 37 
Meningitis, 125 
Menorrhagia, 146 
Milk, to arrest Secretion of, 203 
Milk Punch, 247 
Monsel's Solution, 151 
Mouth, Affections of. See Salivation 
Mushrooms, Poisoning from, 44 
Muriatic Acid, Poisoning from, 59 
" 'N 
Nsevi Materni, 191 
Narcotics, 210 
Nasal Douche, 260 
Nausea, 124, 130, 133, 134, 135, 136, 237, 251, 252 
Nephritis, 168 
Nervous Prostration, 240 
Neutral Mixture, 164 
Neuralgia, 111, 115, 117, 125, 126, 194, 202, 203, 215, 
216 217 239 
Night-Sweats, 116, 125, 147, 151, 205, 206, 207, 208 
Nipples, 194, 231 
Nitrate of Potash, Poisoning from, 60 
Nitrate of Silver, Poisoning from, 57 
Nitric Acid, Poisoning from, 59 
Nocturnal Erections, 210 
Nose, Diseases of, 208, 261, 262 
Nux Vomica, Poisoning from, 48 
O 
Offensive Feet, 198 
Oil of Savine, Poisoning from, 50 276 
INDEX. 
Ointments, 229 
Opium, Poisoning from, 38, 39 
Ophthalmia, 257, 258 
Otorrhoea, 258, 259, 261 
Oxalic Acid, Poisoning from, 58 
P 
Pain, to alleviate, 215 
Paralysis, 128, 199, 211, 213 , 
Pharyngitis, 205, 224, 225 
Pectoral Lozenges, 184 
Pectoral Syrup, Jackson's, 185 
Pertussis, 113, 114, 183, 185, 206, 240 
Phosphorus, Poisoning by, 57 
Phthisis, 205, 206, 207, 208 
Phthisis, Diarrhoea of, 146 
Phthisis, Night-Sweats of, 116, 125, 147, 151, 206, 207, 
208 
Pleuritis, 241 
■ Pleurodynia, 117, 202 
■ Pneumonitis, 244 
Poisons and Antidotes, 38, 62 
Poison Oak, Eruption of, 233 
Poultices, 235 
Post-Mortem Wounds, 86 
Purgative Soda-Water, 161 ' 
'Pregnancy, Headache of, 115 
Pregnancy, Weakness of, 117 
Pregnancy, Flatulence of, 117 
Pregnancy, Nausea of, 133, 134,135, 136, 213, 244 
Pruritus, 194, 196, 200, 203, 224 
Prussic Acid, 46 
Q 
■ Quinine, hypodermic Injection of, 250 
R 
Rheumatism, 117,121, 122, 127, 157, 160, 164, 200, 201, 
217, 218, 222 277 
Ringworm, 200 
Roseola, 103 
Rubefacients, 237 
Rubeola, 103, 114, 121 
Rules for Prescribing Medicines, 14, 15, 16 
S 
Salivation, 122, 225, 226, 227, 228 
Saltpetre, Poisoning by, 60 
Salts of Baryta, Poisoning by, 58 
Salts of Soda, Poisoning by, 61 
Savine, Oil of, Poisoning by, 50 
Scarlatina, 103,124, 213, 227, 228 
Scalds and Bums. See Burns 
Sciatica, 125, 202 
Sclerosis, 126 
Sedatives, 239 
Seasickness, 136 
Seidlitz Powder, 155 
Skin, Diseases of, 106, 107, 111, 113, 123, 155, 220, 222, 
223, 231, 232, 253 
Sleep, 210, 239, 241, 243 
Soda, Salts of, 61 
Somnambulism, 241 
Sore Eyes. See Dyes and Ophthalmia 
Sore Mouth. See Salivation 
Sore Throat. See Pharyngitis 
Spasm of Urethra, 210 
Spinal Cord, Diseases of, 126,128 
Spermatorrhoea, 122 
Spleen, Diseases of, 123, 127 
Sprains, 218, 222, 238 
Snake-bites, 84, 85, 248 
Stimulants, 243 
Stomach, Acidity of, 133, 245 
Stomach, Irritability of. See Gastritis 
Stramonium, Poisoning by, 43 
INDEX. 278 
INDEX. 
Strangury, 122, 123, 237 
Strumous Diathesis, 105 
Strychnia, Poisoning by, 48 
Sunstroke, 82 
Sulphur Bath, 200 
Sulphuric Acid, Poisoning by, 58 
Swellings, 230 
Syphilis, 106, 110, 124, 164, 231 
T 
Tape-Worm, 137,139 
Tartarized Antimony, Poisoning by, 56 
Tetanus, 144, 23S 
Tetter, 230 
Tests, Urinary, 94, 103 
Throat, Diseases of, 202, 225 
Tic Douloureux, 215 
Tinea Capitis, 221, 222 
Tobacco, Poisoning by, 42 
Tonics, 249 
Tongue, Furred, 228 
Tonsils, Diseases of, 202, 224, 227, 228 
Toothache, 201, 216, 217, 226 
Toxicology, 38, 62 
Tracheotomy, 81 
U 
Ulcers, 191, 196, 197, 202, 219, 220, 221, 231, 233, 236, 
264 
Ulceration of Pharnyx and Larnyx, 205 
Upas Tree, Poisoning by, 47 
Uraemic Poisoning, 161, 162 
Uric Acid Diathesis, 143 
Urethra, Spasm of, 210 
Urethra, Irritation of, 265 
Urinary Tests, 94, 103 
Uterus, Cancer of, 265, 266 
Uvula, Relaxation of, 229 INDEX. 
279 
V 
Variola, 103 
Veratria, Poisoning by, 51 
Venesection, 84 
Vigilance, 143 
Vienna Paste, 190 
W 
Warts, 196 
Weights, 13,14 
Whooping Cough. See Pertussis 
Wild Tobacco, Poisoning from. See Lobelia 
Wine Whey, 246 
Wolfsbane. See Aconite 
Woorara, Poisoning by, 46 
Wounds, 234 
Y 
Yeasty Vomiting, 136 
Yew-Trees, Poisoning by, 44 
Z 
Zinc, Poisoning by, 57