Panna College [of] [Medicine] Ninth St Philada Panna United States North American Western Hemisphere Terestrial Globe Med: 9-12 [illegible] [illegible] Blockley Alms House Ext [illegible] Potassae Iodide [illegible] Potassa Carbona [illegible] [illegible] zi Ext [illegible] zi Aqua zii name is woman the [stranded] ship [illegible] lies fast [illegible] in [illegible] rock the manners from human eyes the sea gale this the cordage sings its wild and piercing note and as it plays its [living] wings it seems to say, poor boat no helmsman of the rudder now no sounds of life as much but silence reigns from stem to prow woman womans rights what are they? have they any rights, we proposed this evening to answer this question, A question which concerns the welfare of our mothers and sisters. The word rights might without [illegible] the word rights human nature, be with great propriety substituted for claims and again I put another question, what claims have women, our mothers what claim have they upon us. It is only necessary for us to look far into the past, and there behold ourselves helpless infants, so helpless that [illegible] the winters blast to blow upon us we would wilt and die. so helpless that were we left to ourselves a day we would [stand] Bread 140 [illegible] 520 660 300 960 40 Awake awake my sleeping muse and sing a little song sing? how a little mand did choose to wear a little gown his little head was near his toes so he could when he wanted to spit on his little shoes Notes on Materia Medica Chemistry and Anatomy by G. M. Darrach, S.M. October 19th 1848. Materia Medica Medicines are divided into those of the vegetable and mineral nature; and those of chemical composition, medicines are resorted to by practitioners in case of disease. There is a distinct idea to be given to a remedy and a medicine. There is also a difference between an aliment and a medicine. The former is changed into chyme whilst the latter is not. There is also a distinction to be placed between a medicine and a poison the former has a moderate and transitory action the latter violent and destroying effects, poisons destroy the vitality and organism of the part. If a poison be restrained it may be made to act as a medicine, as for example opium which is almost as common a medicine as a poison. Every medicine applied to a healthy part is a poison. Each animal has its own peculiar medicine. Ancients used medicines to attack a remote cause, as for [illegible] to expel the morbific matter hence they paid much attention to critical evacuations. The moderns look to the action on the living tissue. Medicines are divided into general and local under these heads are stimulants specifics Medicines act directly on the morbid substance or tissue. Medicines are the agents of nature they assist nature to bring about a healthy action of the part. In giving medicine two things are to be attended to the sise of the dose and the mode of giving it, always give medicine in proportion to the disease or lesion. Medicines must also be given in the right time as for example it would be most injurious to give quinia during a paroxism of intermittent fever. Sometimes a certain medicine which can cure a specific disease cannot be given on account of its aggravating another disease existing at the same time. Sometimes effects are attributed to medicines which are not the effects of the medicine but of some other hygienic cause medicines are oftentimes merely the assistants of nature. The positive power of a medicine is different from its conjoined action with the hygienic. There exists a relation of cause and effect two things are to be considered in respect to medicines are to be considered in respect to medicines 1st Chemical composition and quality 2nd Their effects upon the morbid matters. Some medicines have effect only after long continued use. We must not lose sight of the aggregate amount of medicine given when continued for a long time. daily sometimes the effect is not seen but after a long period. There is sometimes a perfect correspondence between the hygiene and the medicine so that one will not produce the required effect without the other; as for example water from a mineral springs [illegible] their medicinal quality when taken to places distant from their source. Sometimes the most common medicines do not act in their common manner, as for example tart em. will not, in some persons, cause vomiting medicines act in three ways. 1st Mechanicaly i.e. by changing the condition of the parts, as by pressure frictions. 2nd Chemicaly i.e. The medicine has a powerful affinity for one of the elements composing the part as for ex Sulphc acid takes the water from the skin or part to which it is applied, also caustics. This is the principle of irritants 3rd Dynamicaly i.e. when the medicine affects the vital movements of a part as when a medicine increases the peristaltic action; so that absorption has not sufficient time to act upon the medicine Medicines by means of the blood vessels act localy and generaly at the same time the effects is in direct proportion to the absorption of the molecules by the absorbents and carried into the circulation as for ex. the effects of sennae when taken by the nurse, is perceived in the child. Garlic has been perceived on the breath when rubbed on the soles of the feet etc. Acetic acid when injected into the rectum may be tasted in the mouth. Prussiate of potash when taken into the stomach has been known to give a blue color to the peritoneum. Some medicines are passed off with the foeces and some by the breath. Immediately in the cuticle these little absorption, hence the propriety of removing the cuticle; when applying external irritants. The power of absorption is not the same in all parts. 3rd The parts themselves may be in a morbid state. 4th Medicine may be a source of annoyance by increasing the peristaltic action etc. 5th General disposition of the animal economy for instance plethora diminishes the power of the absorbents. Depletion increases that power But medicines do not owe all their effects to absorption alone. Sympathy is often the cause of the good effects of a medicine. Since a medicine does good even when it is all thrown up. Sometimes medicines have a double effect, as for example alcohol causes at first a state of excitement and afterwards depresses. In treating of method of giving medicines two things are to be considered. 1st The extent of the impression made 2nd Whether the part be able to bear it. Medicines do not limit their action to the peristaltic they are applied. Habit acts with great power in reaction to medicine; persons become insensible to the effects of the most powerful medicines; after a continued use for any long length of time; this would seem to prove that the medicine lost its power in proposition to the quantity and time consumed in taking it; but instead of the medicine, it is tissue whose vital power has become exhausted and therefore the amount of medicine to be given in a dose should be thought of with regard to the absorption of medicines into the blood. they may be divided into two divisions The primary action and the secondary action 1st Primary under this head are (a) stimulants (b) sedatives Medicines are sometimes used only for their secondary effect as 1st general stimulus from local irritants as for example whipping with rods. Blisters et. 2nd The effecting a cure by the removal of the cause. for which use are emetics and cathartics. 3rd To remove a local irritant by revulsion i.e. promoting irritation in some other parts more at the command of the physician. In doing this never apply blisters before depleting 4th Sympathy of contiguity 5th Description of the diagram No 1 1 Ocular medicines are inflated in between the ocular coats 2 Nasal. These are all counter irritants as snuff etc 3. Buccal. Are those which are chewed in the mouth 4. Glossopharyngeal. Those which are used as garbles. [tracheichi] 5. 6. Bronchia. These medicines are inhaled and are called inhalationes. The pulmonary mucous membrane is possessed of a high degree of absorption. Ether has much a stronger effect when inhaled than when taken into the stomach But sometimes inhalationes are misused by giving inhalations where there are solid particles floating in the inhaled vapor, as for example believe that the powdered bark diffused through the air produced gird results. But which might be very injurious on account of the solid particles which are taken into the lungs. Quinsy has been cured by inhaling the vapor of vinegar vegetable infusions and tinctures have been favourably used consumption has been cured in this way. The more volatile the substance, and the more simple the apparatus from which the article is inhaled the better. The best thing to inhale aether from is a wine glass or cup or a bottle with two quills driven through the cork etc. 6. Gastro-enteric These are the most important. 7. Recto-colic. These are medicines which act on the bowels and are of two kinds. Enemata and suppositonia or those conveyed by means of the rectum consisting of solid substances. When absorption of medicine is the desired object the bowels must not be moved before absorption has had time to taken place. When medicines are to be introduced into the rectum 2 ½ times the ordinary does must be used. Except: when the patient becomes habituated to the medicine when even a greater proportion must be given. Sometimes enemata are of an irritative character. [illegible] Genito-urinary. B. Skin. [enipidemica] are divided into 1 Fumigationes. These are the vapor baths etc. 2. Balnea. These are cold and warm baths. the former are tonics the latter diaphoretics. Local baths as the hip-baths for instance are used as revulsives. 7 Emplastia. Are plasters. These were formerly thought to produce a medicine effect, but this was a mistake since their action is purely mechanical. Plasters must be Inatraleptica. are divided into 1 Unguenta or ointments, salves, etc. these ought always 2 Linimenta to be applied on those surfaces where the absorbents are most numerous as in the axilla between the thighs, Irritating substances if used in this way are to be diluted or mixed with substances that do not irritate as for example quinea should be mixed with starch One grain of starch with a quarter of a grain of Morphia. Principal use of endemic medicines are in cases of severe local affections as neuralgia etc. Veins. 1 Infusion. This is infusing the medicine into a vein though an opening. But this is rarely resorted to. Sometimes an anaemic patient is supplied with the blood of another This is a very dangerous mode of giving’ medicine since the smallest air bubble carried to the heart would be highly dangerous. There is great danger also in giving an over-dose. This method was used in treating asiatic cholera. It was tried in this city and proved fatal, the patients dying, as if struck by a thunderbolt This mortality has been said to have ensued on account of the carelessness in introducing the medicine; having been introduced too fast. Cellular Tissue 1 Inoculation. Medicines are also rarely given inthis way. The medicines are chiefly morphia and veratrium and others which are never administered in large doses. Classification of the Materia Medica There have been various classification of the materia medica. They have been classed according to their taste, nature etc. Hence all medicine which had a bitter taste were called tonics [Pereira] classed them in the order of their different natures. The modern method is to class them according to the parts to which they are applied. 2nd According to the common use of the medicine. So first we have medicines which are applied to the principal part of the system viz the alimentary canal. Hence we have first of all 1 Emetics. 2 Cathartics. Class 2nd Are those which increase secretion, and prevent the formation of substances in any of the glands. Are used for the pulmonary mucous membranes, and renders the secretion less viscid. Class 3d These provoke menstrual discharge and increase the contractile power of the uterus Class 4th Class 5th Astringents etc. Class 6th This class is very important to the surgeon in removing tumours of a particular kind by increasing absorption. Iodine is a medicine of this kind. Class 7th These increase the nervous irritability. Nux vomica Class 8th These are poultices etc. to prevent suppuration, cause increased secretion and those which raise the cutis are epispastics. Rubefacients only redden the surface. Escharotic destroy the vitality of the tissue emetics. There are three effects which an emetic is capable of producing in emesis, nausea, debility Vomiting is caused by the spasmodic contraction of the abdominal muscles and muscular coat of the stomach by which the contents are evacuated. This vomiting may be produced in various ways as for inst the mention of an [loathed] object etc. Medicine may be given to produce nausea without vomiting sea sickness is vomiting produced by the rocking of a vessel. After the stomach has been acted on by an emetic for any length of time, there succeeds a vomiting of bile caused by the violent action of the abdominal muscle on the liver. Mucous is also thrown up. Emetics are contra indicated by the many diseases of the brain apoplexy inflamation and other cases. But if the stomach is loaded with indigestible substances this is to be removed on the principle that the cause of disease is to be removed. The various objects for which an emetic are used are 1st To evacuate a morbid substance from the stomach as a poison which if it cannot be neutralised by means of an antacid is vomited up The vomiting can be caused by tickling the fauces or draughts of warm water. 2nd The production of mechanical pressure on any organ or viscera as in cases where an impression on the liver is object desired. Jaundice, congestion of the liver etc. [This is dangerous if there gall-stones forming in the liver.] The liver is not the only organ affected by mechanical pressure 3rd To affect the whole system. 4th To act as a revulsive by directing the nervous energy to the stomach. 5th To deplete and also to increase secretion Emetics are used in intermittent remittent and other paroxysmal diseases. In these diseases however an emetic would be contra indicated if there existed great gastric irritation or gastritis. Emetics. In the exanthems are emetics to equalise the circulation [illegible] group to remove the existing cause viz the lymph In the first of these cases we are guided the principle of the third division of the cases of an emetic viz when they are used to affect the whole system. In the latter that of the removal of the existing cause or first division There are also emetics which are very useful in cases Hypochondriasis. Mania though in the last they are not of much benefit on account of the [impractibility] of their being used. Emetics should be used with [illegible] with caution in cases of hernia for fear of strangulating the hernia. If we wish to produce a violent perturbating effect, the emetic should not be given with warm water; Emetics are divided into vegetable and mineral 1st Vegetable Emetics. 1 Ipecacuanha. Emetic, diaphoretic, expectorant, stimulant. This emetic was first used for an epidemic dysentery which existed at the time and was made a secret nostrum by Helvetius which obtained great repute from the circumstance of having cured the daughter of the prince of an attack of dysentery. The root is of dark brown and’ marked by rings formed out the bark, brittle and easily reduced to powder, it is called the coephalis ipecacuanha. It is composed of two parts the cortical or external portion which is resinous and the internal or fibrous being composed of woody fibre. Ipecacuanha is valuable on account of its mildness of great use in feeble persons and infants It is also a local irritant of great power, insomuch Emetics. that the dust arising when pounding it into powder will inflame the eyes, causing also sneezing small doses of it promote secretion. Ipecac is also a great diaphoretic. It does not produce much nausea or violence. it is of great importance in pulmonary affection, indeed, to be preferred before all other medicines The dose to produce vomiting without vomiting is ½ z to 1 ½ gr tart emetic, diffused in water and followed by successive draughts of warm water. Preparations. 1st Wine. Emetic dose of zi expect & diaph of [illegible] gtts x -xxx The wine of ipecac is made by soaking the root in the proportion of 1 z of the root to a pint of wine, for two weeks. This preparation is chiefly used for infants not used for adults. 2nd Syrup. Dose zfs to zi or zii This is made by diffusing the ipecac in a simple syrup. This used for infants It is also used as an expectorant ½ z will vomit This dose for a child is 1z. This preparation if continued for a long time disgusts the patient & causes nausea. It is a useful remedy in chronic bronchitis. The expectorating dose is 1z. 2nd Sanguinaria or blood root. grs x to xx Sanguinaria Canadensis has a [premorse] chrome yellow or reddish and horizontal root, when dried becomes of a brown colour and wrinkled has a small white flower. The rest when dried comes in pieces from an inch to an inch and a half The taste is bitter, and produces a burning sensation Emetics in the mouth followed by nausea and vomiting and great prostration of strength. It is also like ipecac a powerful local irritant. This should not be used where any other medicine will answer It may be used in cases of jaundice. It is used in a pill 11 to 21 grs. ½ z of the tincture will vomit. The stimulating and expectorating doses are small. Lobellia Inflatae vomits grs x to xx Fr. [nausea] in [illegible] This flowers in July and is gathered in August and September. It is brought into the market in two forms one which is prepared by the shakers comes in flat cakes which is inferior to other where the roots are spread out and dried. The roots are of a pale green colour. Taste bitter and acrid smell nauseating. This plant is sometimes called. Indian Tobacca. It produces an exorbitant flow of saliva in animals, and is highly poisonous to them. It is a powerful nauseating and prostrating emetic, producing vertigo and violent tremor throughout the whole system. It is also an antispasmodic, and used in asthma in the form of tincture. When death is caused by it narcotic symptoms preceed. It is one of the Thomsonian medicines. The vomiting dose of the powder is from 10 to 20 grs. The nauseating dose 1 to 5 grs. The nauseating dose of the tincture, which is made by diluting an z in a pint of alcohol about 10 or 20 drops of this tincture, will produce nausea. This medicine is indispensable in cases of asthma. Emetics. Euphorbia. Gillenia. This is a very powerful emetic and narcotic resin. Euphorbia Ipecac. This is preparation of ipecac the dose is from 10 to 15 grs. but of the powdered root 1 gr Sinapis powder or seed zii to zii infused in tepid water Mineral Emetics 1st Tart Emetic [illegible] dose 1/32 to 1/12 gr diaph & expect 1/12 to 1/6 Full emetic dose 1 to 3 grs nauseating & sudorific ¼ to ½ gr This is a double salt composed of the tartrate of antimony and potassa. Soluble in water. Comes in the form of a white powder which has a harsh styptic taste at first sweet. This when taken in sufficient doses causes vomiting and purging with violent pain in thie epigastric region, and also great prostration nausea and increased secretion. It also has a sedative action upon the heart. Its action is not speedy. It is to be preferred in the inflammatory cases. Croup etc. It is also useful in affections of the liver. This is the emetic which surgeons use to relax the muscles, in doses not sufficient to produce vomiting The vomiting dose is from 1 to 2 grs, through sometimes a large dose is necessary. This emetic is usefuly given with [ipec] dissolved in water syrup or aromatic water. It is an alterative expectorant purgative diaphoretic and emetic. It is contraindicated in extreme debility and in the advanced stages of fever where there is irritable stomach Emetics. Preparations Antimonial wine. Expectorating & diaph dose 10 to 20 grs Emetic dose for children 30 gtts to fz every 15 [illegible] dose from 10 drops to 1z Prepared in the following manner. The advantage of the wine is that you are enabled to give smaller doses of tartar emetic at a time; and it is also more permanent than an aqueous solution of the salt, which is liable to spontaneous decomposition. it is made by dissolving tart em [illegible] in 10 fz of pure sherry wine 1nd Sulphate of zinc astringent & tonic dose ¼ to 1/3 gr emetic dose 10 to 30 grs xxx x to xxx grs an emetic dose This is made by the action of sulphuric acid upon zinc. Soluble in water and has a harsh astringent taste, crystalises the crystals being composed about one half water. Has sometimes a tonic effect. There is less nausea than in tart em but more speedy in its action, and on this account is used in case of poisons which are to be thrown out from the stomach the dose for this purpose is 20 grs It is not so powerful in its action as the tart emetics. On account of its tonic properties it is given in fevers. It is especialy useful as an emetic in cases o f poisoning by opium. Consists of 1 eq of Sox and 1 eq of [illegible] [illegible] 3rd Sulphate of copper. Emetic dose 3 to 5 grs astringent and tonic ¼ to ½ gr This is a very powerful emetic crystalises and has a blue colour and styptic taste about 36 per ct of the crystal is water. The powder is of a greyish hue. it is very useful in a dose of from 3 to 5 grs for the croup Cathartics. 4th Subsulphate of mercury. Yellow sulphate [illegible] [illegible] 2nd Division Cathartics These medicines are used to cleanse out the alimentary canal. This often becomes impeded in its function by means of foeces etc. collecting and becoming irritants and causing many irregularities to the healthy function of the organs. Costiveness which is the source of many irregularities as fetid breath, and bad smelling perspiration, and many other affections which are the result. The secretions sometimes do not give the proper amount of fluidity to the food in order to make it capable of being converted into bile. The various viscera are also sometimes in an unhealthy state which may be cured by cathartic remedies. Cathartics are divided into hydrogogues and [??ologogues]. These differ in their actions and are subdivided into laxatives, purgatives, drastics. 1 Laxatives. These act gently upon the bowels so as to produce stools, almost most natural There are two ways in which either this class in the other two act either they increased the peristaltic action, as they increase the [secretion] of bowels Cathartics. 2nd Purgatives. These act more violently, and produce more copious stools, they are used to remove ingesta, and constipation. 3rd Drastic. These are violent purgatives. These produce revulsion by their irritating effect and are used to produce that effect in inflammation of distant organs. They also are powerful depletives and are used chiefly in brain affections and gen dropsy. Purgatives are used to deplete and cause increased secretion A purgative depletes, by causing a drainage through the bowels. Broussais never used them, comparatively speaking. Hamilton relied too much on them. 2nd Promote absorption. If they deplete they promote absorption, the absorbing power being lessened when vessels are full. 3rd Produce revulsion. They are good revulsives because they act on so much surface. There is little danger of irritation following the use of purgatives. Purgatives are very useful in diseases of the head and inflammatory fevers. But they are counter indicated by inflammation of gastro-enterio mucous membrane When two or three purgatives are combined they are less irritating. Cathartics. An adulant is something added to add to the efficacy of a medicine. A corrigant something added to correct a certain tendency of a medicine as for example soap is added to correct the irritative tendency of aloes. Hydrogen [illegible] is much used as corrigant. Cathartics act most speedly ion the morning on an empty stomach when a delayed action is desired they ought to be taken just before bed time. The habitual use of cathartics is objectionable. Saline cathartics should be used in cases of habitual costiveness. Cathartics 1 Jalap. 15 to 30 grs combined with calomel grs each bitart: potassa zii [illegible]: jalap grs x to xx The common name for this is morning glory It is a climbing plant. The dried tuber is used either entire or in slices. It is of a dark greyish colour and yet to be found worm eaten, which however does not affect it It is a local irritant. Causes watery evacuations. Acts upon the whole of the intestines. It is best given combined with aloes counter indicated by irritation in the uterine apparatus. In combination with calomel it is used as an anthelmintic. Jalap is also counterindicated by haemorrhoids etc. The full dose is 1 [illegible] when jalap and calomel are used 10 grs of each is given. Jalap is slightly diuretic 2 Popular combinations 1 cal: jalap: jalap: bitart: nit: comp: powder. Cathartics. 2nd Native of Alexandria. Commonly called Aleppo scammony Scammony. x to xx grs Extract or resin of scammony when good x grs. This is not now used in this country Grows in Greece and about the Levant. A juice exudes from the plant which is taken and used Brittle and breaks with a dark resinous fracture has an acrid taste which increases as it is held in the mouth It is a powerful drastic purge and occasion griping The dose is from 10 to 20 grs [illegible] combination of 10 grs with 3 z of milk is excellent to produce a purge Scammony has a cheesy odour. It is specialy used for [marasmus] in combination with calomel. Its corrigants are ginger sugar and milk this being the best, also yolk of eggs. Scammony is much used in dropsy. Pure, it is resinous, when fractured. Scammony gamboge & colocynth all act upon the upper bowels. 3rd Convolvulus [Pandur??tus] XL to zi wild potato A feeble cathartic dose from 40 grs to a dram. May be substituted for jalap 4th Podo-phyllum peltatum may apple xx grs xxx wild lemon This plant bears a small oval shape fruit which is ripe in September. The root is used in medicines which is the thickness of a goose quill. It is an active cathartic The dose from 20 to 30 grs. It acts more certainly when combined with calomel. Its action closely resembles jalap Cathartics. The root is easily powdered and was preferred by Dr Eberlie to jalap: even the jalap was the cheaper 5th Gamboge II to IV grs. Gum resin product of a tree in Siam, Cambodia, and Ceylon. 10-15 grs max: dose There are two varieties the pipe, and cake, dose from 4 to 5 grs. A powerful drastic purge; seldom given alone. The pipe gamboge is made by packing the gum in bamboo canes, or tubes, which gives it its cylinderical shape, it acts in 5 ways 1st An irritant to the mucous membrane of the bowels making it an useful remedy where revulsives are wanted. as in brain inflammations dropsies etc. 2nd its hydragogue qualities make it a remedy for ascites and gen: dropsy. 3rd It is chologogue indirectly by irritating the duodenum. 4th It has the properly common to hydrogogue i.e. diuretic. 5th It acts upon the upper bowels. It is counterindicated in pregnancy and lesion of the intestinal mucus membrane combinations Ext: Gentian Cathartics. 6th Jalapa 6th Helleborus Niger. Alt dose 2 to 3 grs [illegible] 20 to 30 grs purge do [decoc] fzi ext; Root is only part used. This plant is found in the middle of Germany and the south of France and Europe commonly called the Christmas rose It was imported to this country from Germany Has a feeble sickly and nauseous odour. Dose from 10 to 20 grs. It is used in substance decoction tincture and extract. It has been greatly recommended in amenorrhoea and has had great repute as an emmenagogue. Its action is like aloes, there are two varieties the white, and black. Cathartics. 7th Aloes xx grs. Medium x grs. Laxative II to III grs. 3 Species A Socotrina, A Vulgaris, A Spicata. Pill 5 to 15 grs tinct 1 z to ½ pt of water & ½ pt of alcohol wine 1z to 1 pt of sherry 1z to 2z. Commercial varieties are Cape Aloes. Has a greenish line Socotrine. So called from being obtained at the island of Socotra. when held up to the light presents a garnet red semitranslucent appearance emits an odour upon breathed upon [pow] orange red Barbadoes or horse aloe or aloe fetidum almost black when good strong odor variety must used here. Aloes is best given in the form of pill. It is given in dyspepsia Dr H. S. Patterson prefers the Barbadoes when good, then powder of the socotrine is much more red, than the cape. The medicinal part of the aloe is a juice which transudes spontaneously from a broken leaf stalk. Cathartics 8th Juglans Cinerea. XX to XXX grs Laxative V to X grs. The inner bark of the root is used mild cathartic dose from 1[illegible] to ½ z Cathartics 9th Elaterium or squirting cucumber Dose from 1/10 to ½ grain or from ½ to ¼ An acrid poison in an overdose. The medicine is greyish white substance which id deposited by the juice of the fruit of the momordica elaterium elaterium is a powerful drastic hydragogue cathartic generally is found in the shops in small white mass which is the dried juice. Cluterbucks elaterium will purge in the doses of an ½ of a grain. It is very apt to produce inflammation of the stomach and bowels It was known to [illegible] and much by [illegible] in the treatment of dropsies. When all other means have failed in these diseases it cured [illegible] on account of the disease get it was abandoned and again restored by Dr [Fenia]. The proximate principle [elaterin] will purge in doses of the 1/10 to 1/12 of a grain. In good elaterium there is always about 40 per ct of this principle. Principaly used as a revulsive, in brain diseases and gen dropsy Cathartics 10th Colocynth V to X grs. “Fruit of the cacumis colocynthis deprived of its rind.” Cucumber tribe. Dose of the compound extract 5 to 30 grs 5 grs as a laxative. This is a powerful drastic hydragogue cathartic, it is next in power and strength to elaterium, of the purgatives. It like elaterium is very apt to produce inflammation of the bowels and is therefore seldom given alone. The compound extract of colocynth is composed of the extract of jalap calomel and gamboge with some aromatic as a corrigant. It is found in Asia Africa and the Cape of Good Hope. In Eygpt and Turkey. The taste of this plant is bitter in the extreme. It has been in some places in the United States amalgamated with the watermellon, which it closely resembles in the [wine]. Fluid extract zfs to zi full dose of infusion fziv 11th Senna powder zfs to zii. Infusion fs to be repeated, if required The leaves of the cassia acutifoila are officinal. This is hydragogue cathartic. It is much used in febrile affections. Whenever has a tendency to increase the force of the circulation, and therefore should not be given where there is an inflammatory tendency It is found native in Arabia. there are three commercial varieties Alexandria, Tripoli and East India. The active principle in cathartive. Senna is incompatible with galls, acetate of lead and tartarised antimony which precipitate, the cathartive. The powder is seldom given. There are 3 varieties Alexandria, India, and American, the former has smaller leaflets than the other two, the best preparation is the fluid extract, next the draught or infusion. The American or Cassia Marilandica is given in doses of zfs to zi of an infusion of zi to [illegible] It is very inferior to either variety of the foreign articles. Cathartics. 12th Oleum Ricinis “Oil of the seeds of the ricinus communis.” Castor Oil Adult dose 1 to 2 z Infants dose fzii to ziii Castor oil has a disgusting and is oftentimes impossible to keep it on the stomach, It may however be given in coffee, gin, orange juice and any of the aromatic waters. When pure is almost tasteless; but is generally found in an impure state, mixed with lard, which renders it unpalatable Cathartics. 13th Olea Europea or olive oil or sweet oil This is an excellent article to mix in food of constipated and costive patients Cathartics. 14th Croton tiglium Dose internaly 1 to 2 drops I have used this for rheumatism of the rist joint applied externaly. If the part is not susceptable to the oil apply a bread poultice. The best mode of giving it internally is to drop 2 drops upon a crum of bread and divide it into 4 pills. This cathartic is useful where a speedy purge is wanted and also in cases of insanity when a large dose would not be taken, also in coma a drop upon the tongue will purge. This oil adulterated with oleum ricini; when pure it is of a straw colour, and viscid. The oil is expressed from the seeds of the plant these seed are about one third of an inch in length, and oval shape, they are surrounded by a pod a half an inch in length called molucca bean, in which the seeds are seeds separated from each other by septa or compartments. 4 of these seeds will purge copiously. 20 gtts of good oil will kill a horse. This article varies in commence as to its strength more than almost any other article. Cathartics. 15th Rhubarb XX to XXX grs Laxative & stomachic V to X grs There are three varieties of this drug used in principally in commerce, European Chinese, and Russian, The former is called India and the latter Turkey in commerce. Good rhubarb stains the saliva and is of a dark collour there is a lighter colloured variety which is chewed, this dies not colour the saliva much. In small pieces there are small holes, where as is reported the piece has been suspected and inspected; this reason for the hole, is doubted by varieties in form are the cake, and the round or technically, rounds, and flats. The pieces are dried on a string and oftentimes pieces, come to us, in this manner, I saw two today. Rhubarb contains tannin 9 to 10 per ct. Bitter extractive which makes it tonic 14 to 18 per ct. rhubarb is used for dyspepsia lives diseases, and diarrhoeas especialy from debility and when happening in the strumous diathesis. Preparations. Syr. rhei [somat] (best) cinnamon, cloves, cardamom [illegible]: rhei. Cathartics 16th Concrete juice [illegible] [illegible] or manna laxative dose fzi or zii Three kinds flake, common and fat manna: the first is called technicaly manna cannulata, second, is the manna-en-sorte of the French pharmacy, and the third is the [illegible] variety or fat manna. Manna has been proposed as a purgative in cases of retained meconium, but castor or the sweet oil is better. It serves also as a corrigant to the griping purgatives. Cathartics. 17th Tamarindus. “Preserved fruit of the tamarindus Indica.” zi to zi Both these and prunes contain citric and tartaric acid, and are therefore not so good a laxative where there is acidity in the prima viae as figs. Cathartics. 18th Prunes. Prunus domestica. Nutritious laxative Cathartics. 19th Figs. dried fruit of the ficus carica. Laxative nutritious, & demulcent A tumbler of water and 4 figs eaten an hour before breakfast, is an efficient remedy for habitual constipation. Cathartics. 20th Mustard seed. Sinapis nigra and alba Lemura zfs. Cathartics. Mineral Cathartics. 1st Sulphur. Sulphur [illegible] zi to zii in syrup molasses or milk A mild cathartic specific for the ich Dose from 1z to zss. Dose for the ich [illegible]I to zss There are three kinds sublimed or flowers of sulphur. washed (sulphur [illegible]) the sublimed sulphur thoroughly washed with water and the crude sulphur. The former (sublimed) is made from the native ore or a sulphuret (iron pyrite) may the application of heat either the sulphurets of copper or iron will answer. By the action of heat the sulphur rises in vapor and deposits itself in a crystalised from upon the sides of the vessels in which it is received. (or in powder) This vapor being condensed into a liquid flows from the vessel into another and [illegible] crude sulphur, for purification this is again melted in a cast iron vessel and is poured into molds of a cylindrical form and about an inch in diameter, this is rolled sulphur or cane brimstone. Sulphur is a laxative diaphoretic and relaxant. It is usualy given gout rheumatism The asthma and other pulmonary affections where there is not inflammations Cathartics. [illegible] Magnesia. Obtained by depriving the carbonate of its carbonic acid. Used in all acidities of the stomach Dose from [illegible] I to zi for an adult. For an infant a much smaller dose is necessary than when the carbonate is given. It is also better on account of the flatulence caused by the carbonate obtained by ‘driving off the carbonic acid from the carbonate by heat. When the magnesia remains upon the stomach lemonade will cause it to be carried off Magnesia is antacid, laxative and antilithic. There are two kinds henry’s, and husbands. Aqua Calcis. dose: to allay vomiting zi with milk zi antacid [illegible] Made by throwing quick lime into water and pouring off the supernatant liquor used by dyspeptics to ally acid eructations. Cathartics 3rd Carbonate of magnesia. Obtained by mixing the sulphate of magnesia and the carbonate of soda. Antacid and antilithic, and also laxative very useful in cases of urinary derangement owing to an abundance of uric acid; very insoluble in water; comes in cubes, and hard pieces. Liquor Potassae. Dose 5 to 10 gtts much diluted with an infusion orange peel (bitter) made by adding lime to a solution of the carbonates the lime uniting with the carbonic acid of the carbonate and falling to the bottom, whilst the potassa remains in solution, in the supernatant liquor. 10 gtts 3 times a daily for lithiasis in bitter orange peel infusion Cathartics. 4th Sulphate of magnesia or epsom salts. dose zi Refrigerant and mild cathartic well adapted to [illegible] febrile cases and inflammatory cases a neutral salt The sulphate of magnesia or epsom salt is found in the water of the epsom springs at Epsom It is a hydragogue cathartic of a mild character Cathartics. 5th Sulphate of soda or Glauber’s salt doze zi This salt is more nauseous than the epsoms salts also a neutral salt. obtained by adding sulphuric acid to chloride of sodium and [deutoriple] of maganese by chich the sodium is converted into soda; the sulphuric acid, therefore, displacing the muriatic acid in the salt a new salt is formed which is the sulphate of sodas. The sulphate of soda exists uncombined in sea water. Sulphate of soda is an efficient cathartic, in the full dose, in smaller doses it is aperient and diuretic. Cathartics. 6th Phosphate of soda or tasteless salt dose [illegible] Made by the action of sulphuric acid on bone earth resembles common salt. Soluble in water and insoluble in alcohol Preparation. Take bone earth and mix it with sulphuric acid, the phosphate of lime in the earth becomes a superphospate, and the carbonate of lime in the earth is decomposed. When the carbonate of soda is added the excess of acid in the superphosphate generates the phosphate of soda. Medical Properties. Purgative very convenient, in account of its taste, very acceptable in cases where there is a delicate stomach. The drink may be seasoned with this salt and answer the same purpose as chloride of sodium. It best given in this way in gruel or broth. Cathartics 7th Bitartrate of potassa or cream of tartar zi to zii [illegible] zfs to zi Used as a refrigerant drink in fevers. It is often combined with senna jalap and sulphur. The bitartrate of potassa is found in the residue after fermentation has taken place in grape juice it is held in solution by the sacharine juices and is therefore deposited when these juices are converted into alcohol. The impure or common tartar which forms a crystalline crust at the bottom of casks in which wine has been, is boiled in copper vessels and cooled in earthen pans where it deposits on cooling a white powder in crystals which is the cream of tartar. medical properties. Purgative. Refrigerant and diuretic on account of this last quality it is much used in dropsy Cathartics 8th Tartrate of potassa. zi to zi according to the effect desired. This is soluble tartar. Preparation. Mix cream of tartar with carbonate of potassae The bitartrate loses and equivalent of acid and the carbonate of potassa is loses its carbonic acid and there is formed the tartrate of potassa medical properties. Mild cooling purgative. Has a tendency to obviate the griping effects of senna 9th Soda et potassa tartras or tartrate of soda & potassa Rochelle salt dose zss to zi in a large amount of vehicle. In smaller doses it does not purge but is absorbed and renders the urine alkaline. Preparation Take carbonate of soda dissolved in water and add the bitartrate of potassa. The carbonate of soda saturates an equivalent of tartaric acid in the bitartrate and the carbonic acid gas escapes with effervescence and are [double] salt tartrate of potassa and soda is the product The acids all continuing with the soda in this salt renders it incompatable with them when acids are given in combination with it the salt is rendered a bitartrate of potassa. 10th Acetate of potassa. Purging dose 2 or 3 z in large amount of which diaphoretic dose [illegible] i This salt is that which causes the carbonate of potassa to be found in wood ashes; existing in the [illegible] wood, the acetic acid is liberated from it during the process of burning and carbonic acid substituted. Preparation. Saturate carbonate of potassa in acetic acid until effervescences ceases. It may also be obtained by mixing sulph: or Potassa and acetate of lime or acetate of lead. Cathartics. 11th Sulphate of potassa. zfs to zi This salt has an acid reaction on test paper and an acid and sulphurous taste. Preparation. Heat in crucible nitrate of potassa and sulphur The salt is decomposed and its oxygen contained in the acid is combined with the sulphur and and sulphate of [potassa] of the product. 12th Calomel or mild chloride of mercury purgative dose 5 to 10 grs. 13th Blue pill. each pill weights 3 grs one of which is the pure metal The dose of the blue mass is to purge is 5 to 6 grs as an alterative from 3 to 5 grs Anthelmintics Worms or Entosoae Entosoae are found either in the intestinal canal or in the tissues. They are sometimes taken into the stomach when food is taken as for example in certain forms of chlorosis. Sometimes the ova of animals are taken into the stomach and these generate and propagate, worms sometimes find their way into the shut cavities. The liver and other parts of the body have been found to contain worms The naturalist has divided worms in 5 orders 1st Nematoridea 2nd Acanthododa 3rd Tricosephalis. 4th Sestoide 5th Cystica. They are also divided into intestinal and visceral intestinal. order 1st Ascaris lumbercoides. Long round [worm] order 2nd Ascarides or thread worm very small order 3rd Tricocephalis dispar or hair worm order 4th Tanis soleumna tape worm The symptoms of worms are first certain 1st Exhibition of the worm. second Probable. Pale face blue circles around the eyes. Eyes dull. upper lip swelled. Itching of [the nose]. Epistaxis. Tongue marked by red tubercles. Abundant flow of slaiva, breath fetid. Thirst irregular appetite sometimes an entire loss of it and at others anorexia. Sudden and acute pain at the umbilicus having the sensations of [twisting] of urine high collored and turbid. and in some cases strabismus and dilated pupil. Anthelmintics. Anthelmintics 1st Spigelia. Dose [illegible] minimum 10 to 20 grs, for an adult maximum zi to zii inf chiuld zii [illegible] and z adult z 3 times day The parts used are the stems and roots It is generally given combined with calomel, and some other purgative. The worm tea of the shops consists of spigelia with senna manna and [illegible] to suit the different tastes of individuals, liquorice is added as a vehicle and [corrigant] This is the chief anthelmintic used in this country. All these anthelmintics should be followed by a bitter tonic, since worms would of course debilitate the digestive apparatus. In large doses is a narcotic poison. 2nd Chenopodium wormseed Dose 1 to 2 [illegible] oil gtts v or x on a lump of sugar This ranks with the spigelia in use. It is usualy given in the form of the volatile oil, which is an lemon yellow [illegible] in the form of a decoction made by boiling an zi of the [illegible] plant in a pint of milk and giving it a flavor, with orange peel or other aromatic, giving’ a wine glass full at a dose. The medicine is used chiefly for ascarides. One dose is given before breakfast and another at night, for three or four days. This oil when pure is light coloured nearly white, if dark and [illegible] coloured it is impure. 3rd Granatum or pomegranate “bark of the Root” [illegible] 20 to 30 grs decoc zi This anthelmintic is used in cases of tinia soleum. and is either given in power or in a decoction. It is recommended to first purge with castor oil and to diet the patient strictly for two or three days before. If the first dose with a purge does not bring away the Anthelmintics. it should be repeated for two or three days. 4th Aredarach or pride of China dose for child tablespoon full of the solution of the [illegible] with water every two or three hours. Root bark is used This is not used in the northern states. It sometimes produces the narcotic effects of spigelia. It is much used in the southern states 4 ½ [Kous??] [Kwosso]. The powder is a earthy collour, and has an earthy smell. It was in 1852 ([illegible] at year) revived after laying unnoticed many years, It is found in Arabia and Egypt, where the inhabitants are much afflicted with tape worm. It sudden [illegible] is [illegible] by [illegible] 5th Felix mas or male [illegible] [illegible] zi zii This used for [?ania] Solium, This medicine has a very peculiar, sickening and earthy smell. There is an expressed oil. Lantonine Is a white and resemble magnesia sulps or quinine somewhat. It is a crystaline powder. Pumpkin seeds. Oil is very bland, like olive oil, of red colour The outer hard covering is removed, and the remainder of the seed soaked in warm water. It has cured an obstinate case of tape worm in Mr Thomas Bradford (rev) of Dover. Anthelmintics. The following two act mechanicaly on the worm 1st Mucuna or [cowhage] specific for lumbicae dose 10 to 30 grs mixed in molasses, and followed by a purge. The mollasses mixtural is given in zfs doses to an adult and a teaspoonful for a child every morning for three days and then followed by a brisk cathartic The bristles of the pods are officinal, the mode of preparing the molasses mixture is to dip the pods into molasses and then scrape the bristles along with the molasses from the pods. 2nd Tin-powder. Specific for tape worm. dose zss with molasses and followed by a purge, It is more used for ascaris lumbricordes, A mixture of molasses is made as in Mucuna Tansey juice and dried stems used. dose zss The flowers are also used, and oil. It is a garden herb with small round yellow flowers, leaves [illegible] too much neglected emmenagogue. diuretic, diaphoretic, and anthelmentic Oil of turpentins dose fzi or fzii for tape worm ordinary dose gtts 20 grs If it do not operate in two or three hours it should be followed by a dose of castor oil. Antacids. This class of medicines is given for acidity in the prima viae, also in the diseases which have the acidity as their cause. Acid may be generated in the prima viae, by fermentation of the food taken into the stomach only the gastric juice itself, becoming of an acid nature. The acidity is accompanied burning in epigastrium, swelling and heart brain etc. in some instance the acid eructations are sufficient to corrode the teeth. In some instances the acid matters passed into the bowels and those by their irritating and corroding properties cause a diarrhea. Acidity is a general accompaniment of the dyspepsia. The two great antacids are and potassa and their preparations. The antacids are also in many instances antilithics. Antacids. 1st Carbonate of potassa grs X to XXX In large doses poisonous, its antidotes are the fixed oils and vegetable acids, it is diuretic. It is obtained the bitartrate of potassa. 2nd Liquor potassa. Dose 10 drops largely diluted used very much used in red gravel 3rd Bicarbonate of potassa 4th Nitrate of potassa dose from 10 to 15 grs in water or mucilaginous fluid repeated every two or three hours. zi to oi of water for rheumatism, to be taken through the day. Antacids 4th Soda Sulphate of soda dose from 10 to 30 or from 5 to 15 grs Carbonate of soda. Dose 10 grs to zss in powder or bitter infusion Bicarbonate of soda 5th Magnesia Carbonate dose from zss to zsi in water or milk 2nd Sulphate. Dose of Dr Henrys mixture, which is 7 oz of the saturated aqueous solution of the salt to an ounce of diluted sulphuric acid, give a tablespoon full in a wineglass of water. 6th Castile soap Diuretics 7th Olive oil soap. These two soaps are safer than the carbonates but less energetic. 8 Lime water dose zss to zi 9th Carbonate of lime or chalk coral marble etc. the former is the best dose from 10 grs to zi Diuretics. Diuretics in crease the urinary secretion and the flow of the serum from the blood. The diseases of the kidneys are both organic and functional. In some cases there is vicarious urination, urine has been vomited passed the ear and rectum. The urine contains 3 per ct of urea and 2 per ct of lactic acid. There is also the lithic acid in the lithate of ammonia. The lactic acid and urea forms the lactate of urea. The amount of urine passed varies according to the temperature and to the kind of diet used and the quantity of fluids [illegible]. Diuretics are contraindicated in inflammation of the kidneys. Their main use is in cases where the function only of the kidneys is disturbed, as in dropsies. The most powerful diuretic is a combination of calomel, digitalis, and squill. Diuretics. 1st Squill Scilla Maritima Dose 1 gr in pill syrup zi The scilla maritima is found in Africa and Asia. The scales of the bulb or cornus are officinal. It is also expectorant, especialy the form of the vinegar and syrup of squill. It is diuretic to all animals. Squill in large doses is poisonous, it sometimes acts as an emetic and at others as a purgative. The dose [illegible] should be repeated 2 or 3 times a day. 10 to 12 grains will vomit. It is given in bronchial affections. The dose should be continued until slight nausea. The part of the bulb between’ the centre and the outside layers is used. The former being to fatty and mucilaginous while the latter is two dry. It is soluble in water. Alcohol and vinegar in large doses it causes stranguary. Hypercatharsis, bloody urine ‘and inflammation of the stomach. 2nd Colchicum radix dose 2 to 8 grs colchicum lemon do Dose of tinct [illegible] 20 gtts or even 30 gtts four times a day in [illegible] cases of a rheumatism This is given in rheumatism it renders the pulse full and round and soft. The dose is to be repeated every four or six hours until the effects are produced. The plant is found in Europe in the moist meadows on which [illegible] it is sometimes called “meadow saffron.” It is used in various diseases among the most important are rheumatism and gout. In excessive doses it is poisonous. It is usualy given along with antacids and purgatives. [Leudam???] mixture [lead] of this as an ingredient. The chief effect of colchicum is the allaying of pain and other wise affecting the nervous system acting as a sedative, even when it does not act upon the secretions. The active properties are ascribed to veratria. The wine may be given with iodide of potassa in lymphillitic rheumatism. Diuretics. 3rd Veratrium viride or swamp helebore dose 1/12 to 1/8 gr This plant grows from the Canadas to Carolina’ It acts upon the nervous system, producing in large dose cerebral symptoms drowsiness, headache, and dilatation of the pupil etc. It diminishes the pulse in a great degree, as to its frequency. Gout, rheumatism and neuralgia are the diseases to which it is best adapted. The dose of the tinct is of zi or fzii the tinct being fzir to a pint of alcohol. The rhizoma is the officinal part This is the heleborus alba to distinguish is from the heleborus niger, the former is a veratria the latter a heleborus. 4th Taraxacum leontodon or dandelion. Extract dose [illegible] I to be given three times a day The root is used. The best combination is with blue mass and inspissated ox gall, in the liver diseases 5th Juniper berry or juniperus Dose of [illegible] being 1 to 2 z of the infusion from 1 to 2 z Diuretics 6th Oleum terebinthinae or oil of turpentine diuretic dose 10 to 30 [grs] 7th Copaiba Dose 20 gtts to [illegible] three times a day This medicine is given in three ways emulsion with gum sugar and aromatic water capsule and upon a lump of sugar 8th Daucus carotae semina or wild [car??] seeds. [illegible] 20 to 30 grs Infuse [illegible] in a day 9th Parsley. Petroselinum. Infusion [illegible] during the day. Diuretics. 10th Watermellon-seed [calcurbita] citrullus. Infusion [illegible] [emulsion] 11th Apocynum cannabinum Indian hemp. Emetic in 15 to 30 grs [illegible] zi 1 or 3 times day 12th Erigeron heterophilum & erigeron Philadelphicum infusion [illegible] in 24 hrs 13th Asclepias syriaca. or milk weed Dose of the infusion 14th Spirit of nitric aether or sweet spt of nitre zss to zi diluted Diuretics 15th Acetate of potassa diuretic dose [illegible] to z Rheumatism 16th Nitrate of potassa or nitre zii to ziii during the day antiseptic, preserves mummies in Egypt. Combined with mucilage in gonorrhoea. 17th Xanthoxylon or prickly ash dose grs X to zi Infusion zi to [illegible] of water, [illegible] a day Gallium [apanine], recent remedy. zi of inspissated juice This was highly recommended in the [illegible] ([1854]) number of the lancet for scrophulous and other eruptions on the skin. It was not [illegible] by the writer, but as he mentions its diuretic properties and no other I placed it here. It is a vegetable and according’ to an analysis of Schwarts contains gali-tannic acid. Citric and rubichloric acid. Chlorophylle and starch. another found acetate of potash. Antilithics Morbid conditions of Urine 1st Watery urine amount of solid the same but more water 2nd Subaqueous urine. as in diabetes of drunkards. 3rd Lithuric a lithic diathesis in which the lithates abound sometimes produce symptoms resembling gonorrhoea by the irritation of the crystals. 4th Phosphatic the opposite to the lithic. Generally found in persons confined in factories and in young persons. In calculi sometimes there is alternate lamina of the lithate and phosphates 5th Porphuria or porphuric indicates arterial excitement, found in feves 6th Albugineous. found in dropsical cases Antilithics. There are two kinds of diathesis 1st Acid diathesis where there is great acidity in the prima viae and stomach. The stomach acts indirectly upon the kidneys 2nd Phosphatic diathesis This indicates debility. [Hygienictuatinent] is resorted to or the mineral acids particularly the muriatic which causes a deposit of lithic acid Antilithics. 1st Benzoin or benzoic acid. This changes the [urates] of the [Hypm????] 2nd Phosphate of ammonia dose 20 to 30 grs prevents acidity 3rd diosma crenata or buchu dose of the infusion z to zii three or four times a day used in glystitis ([chronic]) and senile catarrh of the bladder where there is [illegible] of the mucus in the bladder [stimulation] 4th Pareira brava or veliet leafe Bark of the root officinal. May be substituted for the former Expectorants. 5th Uva ursi or bear berry zi to oi aq: [illegible]. zi to zii ter die Antilithic power doubtful. It is astringent and diuretic prevents the increase of mucous. This plant is used when the buchu leaves are indicated viz in cases of hypertrophy of the mucous membrane of the bladder Expectorants An expectorant loosens the mucous in the bronchial tubes and causes easy expectoration. IN some cases the mucous membrane is excited to throw off from its surface mucous in great quantity; this is apt to accumulate in the bronchial tubes, and cause difficulty of breathing or dyspnaea; it also becomes thick and glutinous and adheres with great tenacity to the sides of the tubes. Senega [lenetia] [illegible] dose grs X vel XX decoction zii 3 vel 4 [illegible] times per day vel zf every 2 hrs. The decoction of this article is mot frequently used. It is contraindicated in inflammations. It is expectorant stimulating diuretic and in large doses cathartic and emetic. It is almost always given with compound syrup or squill It is the root of polygala senega. Expectorants. 1st Ammoniacum or sal ammoniac dose 10 to 30 grs 2d Balsam of tolu tinct dose 1 to 2 z or zss [illegible] X to XXX grs 3d Balsam of Peru dose from 15 to 30 grs. Infusion zi Expectorants. 4th Styrax Expectorating dose 10 to 30 grs. 5th Benzoin 6th [?ula] Helenium] dose [illegible]I decoc z to zii Diaphoretics. 7th Dracontium fetidum or skunk cabbage X to XX grs 8th Arum or Indian turnip. Diaphoretics. The skin, and mucus membrane, are two antagonistic surfaces, the one internal, the other external, The one is covered with epidemics the other with epithelium. when one is congested the other becomes in a contrary state as for example in dysentery and inflammation of the prima via, the skin is usualy dry also that where it becomes, by remedies, moist, and soft, the inflammation of the mucous membrane of the prima viae usualy subsides. In a crisis of fever the skin which before was [harsh] and dry and hot becomes, moist and relaxed, diaphoresis is the term used to [illegible] a tendency of the fluids to the surface, or skin; medicines which cause such a tendency are called diaphoretics; they are usualy given with warm drinks so that sweating may be encouraged. Diaphoretics. 1st Stimulating 1st Mesereon decoc dose 4 or three times a day bark 10 grs The mesereon is a species of daphne one of the two which are officinal. The two are D guidium & D mesereon 1st D mesereon is a hardy little shrub four feet high native of Great Britain flowers in winter on the tops snow-banks sometimes; the flowers being very beautiful are cultivated in gardens, they are of a light red 2nd D. Guidium. This was called garon by the French this species bears a beautiful red berry which on account of its beauty children have been induced eat and are seized with nausea and often times very serious and alarming purgings. Mesereon is a stimulating diaphoretic when given internally and in large doses produces nausea purging and [illegible] externally it produces inflammation and vesication, it has on this acct been used to produce issues, it was used with [illegible] decoc for secondary syphillis and also in scrofulous diseases. [illegible] rheumatism and obstinate diseases of the skin for the purpose the [illegible] is used Diaphoretics. 2nd Sarsaparilla smilax [illegible] dose 2 or 3 times a day Infusion fzii to ziv 2 or 3 times a day, decoc of ziv ro zvi 3 to 4 times day extract of zi 2 or 3 times day syrup fzss There are several species of smilax. This species is found growing on small buses in Mexico and South America The root is the part used which consists of two portions a cortical and ligneous fibre and medullary. The root is entirely devoid of taste and odour when in the dry stae, but when boiled in water or alcohol, becomes possessed of a peculiar odour Sarsaparilla has been used to remedy, the injurious effects of mercury and in the cure of syphillic diseases. Its use is very uncertain since it has never been used alone but it is certainly an alterative 3rd Zanthoxylon or prickly ash. [illegible] dose 10 grs to zss 3 or 4 times a day This is found in the northern middle and western states where it is indigenous. The bark is used of the xanthoxylon [taxi???] The bark has at first a sweetish taste which afterwards is bitter and acrid. The med. prop. xanthxylon is a stimulant and has a tendency to produce diaphoresis with more or less arterial excitement it used in the same remedies as guiacum and mesereon are used, also used in chronic rheumatism. There is a decoction made by boiling zi in 3 pts or qt of water of which a pint may be given in the 24 hrs. 4th Guiacum or lignum vita. powder dose 10 to 30 grs tinct ziii This a tree growing in the island of Hayti and other of the West India islands to the height of 50 or 60 ft and 4 ft in circumference, The outside is of a yellow colour the inside of a greenish brown. The wood is used by the apothecary in the form of shavings. Guiacum has been used very much in cases of chronic rheumatism, syphillis and gout and also scrofulous affections, it was used by the natives of New Spain in lues-venerea, but it is now only used to conteract the injurious effects arising from mercury and syphillis, and rheumatism. Diaphoretics 2nd Refrigerants 1st Antimony (a) Tart emetic. (b) James powder. 2nd Nitrate of potassa. Dose 10 to 15 grs. Pulvis ipecacunha et opii et potassae sulpha, or dovers powder. Dose X to XV grs. In X grs there are one gr of opium. 6 grs of ipecacuanha and 3 grs of potassa sulphas. 3rd Citrate of potassa or neutral mixture of zfs pow grs XXV in [illegible] This salt is the foundation of the neutral mixture [illegible] or effervescence draught. It is made by saturation of carbonate of potassa with citric acid and oil of lemons and water. It is usualy given with tart: emetic, ipecac, and sweet spts of nitre. Neut mixture is potassae bicarb zii water zi in one vial solution of citric and in another, [give an] zfs of each [mixed] Anatomy. Brain The brain is enclosed by three membranes beginning from the cranium, we have the dura mater, arachynoid and pia mater. The brain is divided into three main divisions. Cerebrum cerebellum and medulla oblongata The cerebrum is divided into two great divisions or hemispheres, by the falx major The cerebellum in a similar manner is is divided by the flax minor. The cerebrum is sub-divided into three lobes called the anterior middle and posterior lobes of the cerebrum. The anterior and middle lobes are separated from each other by fissure of sylvius into which the [alae] of the sphenoid bone are inserted The whole brain is divided into two parts; the cineritious and medullary The former is greyish brown substance covering the external part of the brain; the covers the internal portion. These coats are reversed in the spinal cord, the cineritious or cortical become internal with the medullary on the outside. In the anterior lobe of the cerebrum are seen the roots of the olfactory and optic nerves; immediately before the chiasm? of the latter, is situated the lamina cinerea and behind the tubercinerea and alongside the coprora perforata, immediately behind these again is infundibulum process, which is inserted into the sella-tursica of the sphenoid bone. Proceeding now to the posterior portion of the cerebrum we observe the corpora albicantia Behind these bodies is the locus perforatus. We now come to the nodus cerebri or encephali numerous names have been given to this body viz pons-vardii, tuber annulare. The lower portion of this body is formed of the crura cerebri. The upper by the crura cerebelli. From this body arises the medulla-oblongata. On the oblongata are corpora olivaria pyramidalia and restiforme. Spinal marrow The spina marrow insensibly arises from the medulla oblongata. It continues down to the last lumbar vertebra when it assumes the name of cauda-equinox This substance has received its name from the circumstance that the fibres of the nerves running in a manner resembling the hairs of a horse’s tail. The spinal marrow is divided into two portions an anterior and posterior from the former the nervous filaments of motion run from the other those of sensation. The spinal marrow like the brain is divided into portions, the medullary and cortical, but their order is reversed the medullary being the outer portion and the circuitous or cortical the inner, this substance is in the shape of two crescents placed back to back with a cylindrical portion between them. Sir Charles Bell imagined a third collumn in the middle of these two collumns from which the respiratory nerves originated, on account of their peculiar function. A very important and interesting circumstance in relation to the spinal marrow and also the cerebram is that the nervous filaments cross each those from the anterior collumn Diaphoretics. running posteriorly and those of posterior running to anterior side, which accounts for the fact that when one side of the brain is injured the other side is affected. There are five ganglia in the whole brain. 4th Spirits of mindereri or liquor acetas ammoniae dose internaly zss. Not stimulant, [illegible] to be neutral refrigerant and sedative. 5th Asclepeia. 6th Eupatorium Emmenagogues. 7th Dovers powder. Composed ipecac opium and [illegible] dose from 8 to 10 grs Useful when combined with camphor to promote sleep, the following is a prescription to promote sleep an d allay pain Rx Campi. grii Dov powd: gr viii m ft: [illegible] Emmenagogues. Emmenagogues are those medicines which promote and restore the menstrual discharge. This is a monthly discharge occurring in healthy females every month; hence it is called the menses or monthly flow. Some women menstruate every two weeks without feely any bad effects but these are exceptions. The time of the appearing of the menses is different in different women. Some women menstruating before the time of puberty and others not beginning before the age of twenty four various estimates with regard to the appearance of the menses have been Emmenagogues. made found that out of 137 women 3 menstruated at 12 nine at 13 six at 14 thirty two at 15 nineteen at 19 six at 20 three at 23 and one at 24. Showing the usual time is at 15 or 17 years for the menses to show themselves. It has long been a question whether this menstrual discharge [illegible] is a hamorrhage or a secretion. Now the only way to decide such a question would be to seek out the peculiar meaning of the two terms Haemorrhages and secretion. Now we know that haemorrhage implies a flow of blood pure blood, serum and fibrine. Secretion on the other hand a separation of one portion of the whole mass. Now if the menstrual flow be a haemorhage the matter discharged must be composed of the same component parts and possess the same properties with blood. 1st It must coagulate 2nd contain red globules suspended in serum 3rd It must cause the usual debilitiy occurring from haemorrhage and the debility in proportion to the amount of matter discharged 4th It must Now if the menstrual flow be a secretion and not haemorrhage it will not possess the above characteristics. Emmenagogues It has been thought by some to be an emission arising from a strong sexual desire; but this view is wholly erroneous. Emmenagogues do not increase the menstrual flow; they are not applicable in dysmenorrhea. 1st Aloes. The aloes increase the flow of blood to the uterus 2 grs 3 times a day they are counterindicated in cases of irritation of the uterus. 2nd Nigrum piper V to XX grs 3rd Tinct of black helebore gtts XXX to zi Uncertain remedy and should be used with caution. Used in cases unable to bear [iron] where there is too much excitement for that medicine Emmenagogues 4th Flow 5th Savine. Powder dose 5 to 15 grs oil 2 to 5 gtts on sugar This medicine is the tops of the juniperus sabina. used in the form of ointment and infusion besides the above forms. found in the lower countries of Europe and the Levant. It is an evergreen shrub from 3 ft to 15 ft 6th [Juniperus] virginiana or red cedar Used in the form of cerate, substituted for the savine cerate by the druggist sometimes. 7th Madder. dose zfs three or four times a day. Root of rubia [tinct???] madder is emmenagogue and diuretic native of the south of Europe and cultivated in Holland and France. 8th Ruta or rue. oil 2 to 6 gtts “bark of the ruta gravelous.” shrub 3 or 4 ft in height native of Europe Italy and the southern parts of Europe. Emmenagogues. 9th Tansey Abortives and Parturatives 1st Ergot. Powder in [illegible] 15 to 20 grs ordinary dose 10 to 15 grs 3 times a day This is a substance which grows upon the heads of wheat and rye, appearing like a large fungous. It received the name ergot from its resemblance to the spur of a cock, adopted from the French. Ergot comes in solid brittle yet somewhat flexible grains. It contains an oil and extractive matter. Large doses produce nausea giddiness and fever. Ergot is to be given 1st when propulsive effects are desired. 2nd when the neck of the uterus is dilated and that is desired 3rd To arrest haemorrhage after child birth 4th Long protracted labor 5th Removing coagula from the uterus, polypi hydatid, etc. 6th To promote the expulsion of the placenta. The ergot acts in two ways which have been styled the convulsive or nervous and gangrenous 1st Nervous. This is shown giddiness delirium and even stupor and convulsions. 2nd Gangrenous Dry gangrene has been produced by eating food mixed with ergot Ergot has been applied externaly to arrest bleeding and to restore the action of the sphincters ani when parylised. It has also been used in female gonorrhea Stimulants. Infusion is zi of ergot to 6 oz of boiling water 1/3 given three times a day Decoction is zi ergot to 6 oz of water every 10 or 20 minutes The best mode of giving the ergot is in the form of powder. The tincture is very seldom used when it is proper the wine is substituted but this produces nausea when long continued Medicines affecting the circulation They are divided into two classes. Those which increase the action of the heart and those which allay its action. The former are called stimulants the latter sedatives. 1st Stimulants. Stimulants are medicines act directly upon the muscular fibre of the heart by increasing its power, hence if given where there is a tendency to congestion they will produce that congestion, by stimulating the capillary vessels. Stimulants proper act upon the system in general when they act upon a certain part indepently of the other parts of the system they are local stimulants or irritants. Under the general action the pulse becomes harder and fuller The surface of the skin becomes heated. If an inordinate dose is given fever will ensue the Stimulants. Secretions increase and inflammation will be produced. In hypertrophy of the heart stimulants are always dangerous and also where there is any disposition to haemorrhage In cases of chronic inflammation they are only useful where we expect them cause expectoration. All stimulants are diffusible and transitory in their effects. There is no such thing as a permanent stimulant The action of every stimulant is in an inverse ratio to the frequency of its application Stimulants may be applicable in low forms of fever. 1st Stimulants 1st Camphora or camphor Dose 5 to 10 grs every ½ hour when combined with opium acts diaphoreticaly It is useful at the commencement of diarrhea and also in colic, chordee etc. camphor in large doses is poisonous. It is never given in the form of pill neither is the powder given alone but in combination with magnesia, and also with Dovers powder camphor water is used externaly for sprains bruises chillblains etc. Stimulating volatile oils The stimulating volatile oils are divided into two classes the carminatives from (carmen a charm) or those which give instant relief, and the aromatics or those which give Stimulants. an aromatic odour. 1st Caryophyllus eugenia caryophyllata cloves from the french [clue] a nail. Dose 5 to 10 grs The parts used are the unexpanded flowers buds of an East Indian tree. When goods of dark brown cloves contain a little tannin; they are stimulating and carminative Oil of cloves gtts 2 to 6 on sugar This is local irritant of great power It is often given for flatulency and tooth ache has been arrested by it The oil of cloves forms a chief ingredient in the spice plaster, which is applied over the abdomen in emesis not depending upon inflammation. It also is given in colic 2nd Cardamon seed elettaria cardamomum the compound tincture is much used in diarrhea flatulency etc. The seeds contain a volatile and fixed oil 3rd Carraway seeds carum [carr??] dose [illegible] to z oil gtts j to X used as a corrigant Stimulants 4th Coriander seed conandrum sativum 5th Foeniculum officinale or carminative in colic of children also used in dyspepstic cases. Dose [illegible] Fennel water made by mixing the oil with the carbonate of magnesia. grateful drink in the colic of adults 6th Anis fruit of the anisum pimpinella oil dose 5 to 15 gtts The water may be a substitute for fennel water. Aromatic stimuli. 1st Nutmeg maristica officinalis Stimulants. 2nd Calamus or sweet flag dose powder [illegible] to [illegible] inf wineglass used in colic flatulency and torpor of the intestines stimulant tonic useful adjuvant to purgatives where there is torpor of the intestines. Pleasant to chew The rhizoma of the plant, 3rd Ginger dose of root powder 10 grs to [illegible] tinct zi Contains a volatile oil and resin The powder is u sed in medicinal purposes ginger is also a counterirritant, and is often used in the form of cataplasms. There is a variety which is picked, and covered over with lime to prevent its destruction from the insects which eat the starchy 4th Turmeric or curcuma rhizoma of the curcuma longa This is often substituted by those who dislike taste of ginger. It is as strong a stimulant. 5th Capsicum anuum powder dose 5 to 10 grs infusion zss [illegible] 1/2 z [illegible] The active principle of this aromatic is an acrid resin capsicum, is a rubefacient and stimulant and also a promoter of digestion. It has been used in delirium tremens. It is also u sed in the dyspepsia of drunkards and gouty patients The pod grows from the size of pea to that of an orange. 6th Canella alba dose 10 grs zss Bark used also the powder. This is called alba because the collour is whitish. It comes usualy in size of a goose quill. It forms the [illegible] with aloes. 7th Orange peel or rind Stimulants. 8th Lavandula vera or lavender 9th Mint (a) Spear mint (b) Peppermint (c) Pennyroyal 10th Melissa or balm given with diaphoretics 11th Catnip Stimulants. 12th Marrubium or horehound tonic diaphoretic and expectorant Alcoholic Stimuli The three kinds fermentation are the vinous from which alcohol is obtained the acetous from which vinegar is obtained and the putrefactive and by some that by which starch is converted into sugar is called saccharine fermentation Three things are necessary to produce fermentation water sugar and yeast which is the fermented. The specific gravity of alcohol is 76 water being 100. Alcohol in concentrated from is a most powerful irritant. And if long continued produces the worst soot of dyspepsia. Diseased liver and many other diseases of a high grade. The brains is affected in a peculiar manner, which gives rise to a disease which is peculiar to drunkards only viz delirium tremens or “mania a potu” “mania from drinks” This disease is known by a peculiar tremor which attacks the hand if held out, which cannot be imitated bhy one in health. There are also along with this halucinations which are always of [illegible] a frightful nature, each of the senses in their turn become deranged at one time imagining he hears persons in an adjoining room plotting against him at others feeling reptiles crawling over him and imagining the room to be filled with [armed] men. The reasoning powers are good Stimulants And if you grant his premises his conclusions are correct. A cold moist sweat covers the skin the tongue also is moist and furred there is also great heat at the epigastrium, pulse 130 and fluttering. After the halucinations dreams will attack the patient causing him to start from his beds; these may be followed by occasional drunken fits. then comes on the convalescence during this stage of the disease we are to be guided by the pulse, no stimuli are to be given. The pollen of hops and iron is very useful. Therapeutical uses of alcohol. Alcohol is a common stimulant of jail camp and ship fever. It is useful in all forms of gangrene Stimulants. 2nd Sulphuric aether internal dose 20 gtts The action of sulphuric acid upon c[illegible]H5O+HO produces C4H5O which is the formula of sulphuric aether. When taken into the stomach produces acidity it is a local irritant to the fauces and air passages. Death occurs with apoplectic symptoms. Sulphuric aether is less dangerous than chloroform it is very useful in neuralgia asthma nervous headach and fainting 3d Hoffmans anyodyne dose zss to z Allahys spasms, quiets irritability useful in cases of syncopy and hysteria Ammoniacal Stimulants 1st Ammonia NH3 This was called by the old chemists the volatile alkali. Used in eruptive diseases and in fainting fits powerful irritant of the Schneiderian membrane. It is an antidote to tobacco digitalis and alcohol and the poison of reptile and poisonous insects; a little of the carbonate of amia moistened and rubbed in the wound of a rattle shake or any other of the poisonous animals will check the action of the poison (a) Spts of ammonia (b) Carb ammonia emetic dose zss stim 5 grs (c) Sesqui carb Amca Sedatives. (d) Aqua ammoniae Sedatives Antimonials The preparations of antimony are obtained from the black sulphuret of antimony, which is found native in Hungary and particularly in the island of Borneo from whence it is chiefly imported. The sulphurett is soluble in liquor [potassia] from which solution their forms a precipitate which is a red powder. Sedatives. 1st Sulphuratum antimonii precipitatum. [Hermes] mineral 2nd Oxydum antimonii nitromuriaticum. Powder of [algaroth] Sedatives. 3rd Antimonii sulphuretum pracepitatum golden sulphur 4th Pulvis antimonialis James’s Powder Sedatives 5th Antimonii et potassa tartras tartar emetic. Sedatives. 6th Digitalis. Powder dose 1 gr 2 or 3 times a day and gradual increased till some effect is produced on the stomach [illegible] [illegible] in kidneys Digitalis is a narcotic sedative and diuretic. It has been regarded a specific in delirium tremens the usual dose being given every two hours in the form of infusion till symptoms of narcotism are produced; but this practice is hazardous unless the patient be carefully watched. The leaves are officinal Vegetable acids. 1st Acetic acid C4H3O2+HO This is obtained by acting upon the acetate of soda with sulphuric acid in as pure and concentrated a form as possible. This acid is the principle compound in vinegar which is composed of acetic acid and water vinegar is procured from wine, malt and cider. In France from wine England from malt and the United States from cider. It is procured by allowing the cider, stand in sun till it is converted into vinegar. Alcohol is converted into aldehyde first and this is converted into vinegar. Vinegar is refrigerant and diuretic it is given in febrile complaints in fluid drachms doses. Sedatives. 2nd Citric acid. This forms an important purgative drink with magnesia in fevers 3rd Tartaric acid obt from cream of tartar or the tartaric acid is used for the same purposes as the bitartrate of potassa citric. It is not so safe however as it is apt to produce more irritation upon the mucous membrane of the stomach and gastric juice. It acts also upon the enamel of the teeth. It is colourless and inodorous This acid is obtained from the bitartrate of potassa by means of the carbonate of lime which gives tartrate of lime from which salt the tartaric acid may liberated by means of sulphuric acid. Mineral acids. The mineral acids are nearly all tonics 1st Sulphuricum dilutum Dose 10 to 30 gtts three times a day in a wine glass of sweetened water [illegible] This the sulphuric acid of commerce diluted so as to become fit for use, it is composed of one fluid ounce of the pure acid with Sedatives thirteen fluid ounces of water, the specific gravity is 1.08. It is a very useful tonic in febrile cases and is also a promoter of digestion and increases the appetite reduces febrile action. It is of great use in combination with the salts of quinine and cinchona infusions to increase the solubility and and also the action of the medicine. Aromatic sulphuric acid on elixir or vitriol. This is the form that sulphuric acid is always given never in the former form. [3] gtts will disolve 1 gr of [quinine] Veg Sedatives. 1st Digitalis or fox glove dose 1 gr 2 or 3 times a day etc. dose of tinct 10 to 20 gtts The leaves are officinal. It is a narcotic sedative and diuretic for which latter properly it is given in dropsical cases. It has a peculiar property of suddenly acting with great violence when it is given for a long time where the direct action is not apparent at first which would lead you to go on giving and increasing the dose, to the great danger of your patient. This may be obviated by intermitting in giving it, for a day or so. The best form is in substance the next best is the tincture and is chooped when the intention is to continue it a long time. There is also an infusion Sedatives. 2nd Hydrocyanic acid dose at first 1 gtt inc till some imp is made This should be used with much caution as it is a poison of tremendous power and acts almost instantaneously. It therefore should be given with extreme caution by begining with the most minute doses at first; this should be done also on account o f the different strengths which the acid is found in the shops. Hydrocyanic acid was first used medicinaly by Magendie in diseases of the chest It is very useful in irritating coughs to allay the cough. When taken in the medicinal dose. The following symptoms are subsequent in different cases peculiar bitter taste [2] increased secretion of saliva 3 irritation of the throat nausea; disordered respiration; pain in the head; giddiness; faintness obscure vision and tendency to sleep. If the first dose or doses produce tightness in the stomach giddiness and weight at the top of the heat it is to be discontinued. It is sometimes used in a diluted state as a wash in certain cutaneous diseases. The symptoms of poisoning by it are sudden loss of sense, tenesmus, difficult and rattling respiraton coldness of the extremities smell of bitter almonds on the breath small ness of the pulse immobility of the pupils and in some cases contraction convulsions etc. Antidotes. Chlorine Ammonia Cold affusion Artificial respiration The test is solution of nitrate of silver which causes Tonics. a white curdy precipitate of the cyanuret of silver, which is distinguished from chloride by its exhaling a peculiar odour of prussic acid when muriatic acid is added. If death has taken place some time it is almost useless to hope to find traces of a substance so decomposable It is the essential substance of bitter almonds dose at first 1/3 gtt water child 5 to 10 gtts adult 50 ? This substance proves fatal in very small quantity two or three drops. The effects are the same as hydrocyanic acid. Tonics [illegible] strength This term is not easily defined, the name seems to imply that which would tend to increase the toxicity and contractile power of the muscular fibre and also to impart a toxicity to the whole system. All tonics were formerly thought to be bitter, but this is not the case. Their tonic effects were also supposed to be owing to the bitter principle. Tonics are used for three objects. 1st To promote the vigor of muscles 2nd “ “ “ appetite and digestion 3rd “ interrupt periodical affections Tonics are much used in remittent and intermittent Tonics fevers to counteract the depression of strength consequent upon fevers. Inflammatory tendencies are hasten by tonics. There are three counterindications 1st Where there is phlegm. 2nd 3rd Irritation of the gastric mucous membrane Tonics are divided into 1st Pure bitters, or those without any aromatic principle 1st Quassia amara pow dose [illegible] to z inf of zii [illegible] day ex 5 gr pill There are two species of the substance quassia amara which was the one first used and the quassia excelsa that which is now in use. The tree grows to the height of a hundred feet and about three in circumference. The quassia E inhabits Jamaica and the Caribbean islands where it is called “bitter ash.” Quassia A is found in the West Indies islands but is chiefly a native of Surinam where it was discovered by a negro by the name “Quassi” who obtained great reputation by curing with it the malignant fevers of his country It is a pure tonic and is very useful where a pure tonic effect is desired. It invigorates the digestion without the increase of heat or arterial excitement It is very useful in dyspepsia, and in the remissions of certain fevers. Quassia usualy comes in billets of wood which contain a bitter principle called quassite. Quassia makes a very useful wash for chronic ulcers to prevent the appearance of insects The extract is used in making pills of [iron] when you combine a tonic with iron it Tonics. must be one of pure character, on this account quassia is one of the best for this purpose. It affects the head, and therefore should not be given where there is any tendency to coma. If a powder is yellow and is tonic it is likely to be a pure bitter. 2nd Gentiana lutea. Pow dose 10 to 20 grs Inf zi to oi tinct The root is officinal. Not so pure a tonic as quassia useful in atonic dyspepsia. Generally used with antacids and aromatics as for instance bicarbonate of soda and fennel seed. It is used also in the preparations of iron in chlorosis. The infusion is used as a stomachic. It acts upon the bowels. Tonics. 3rd Colombo Root of the cocculus palmatus. Colombo has soothing & demulcent effect upon the bowels. It is given with purgatives other tonics and antacids. The sub nitrate of bismuth is the best substance to be used with colombo. It comes cut up in circular disks concave on both sides, because of the succulent part in the centre shrinking when the moisture has evaporated. It is not stimulating, and therefore is adapted to cases of dyspepsia, and diarrhea, where there is also local inflammation. It contains much starch, and this substance throwing down a blue colour when iodine is added, enables the pharmaceutist to distinguish if from a spurious article which does not react with iodine. 4th Coptis trifolia. Goldthread powd grs X to XXX tinct zi This is a mild tonic bitter; and is much used in apthous mouth of children. It is used in New England. Cornus Florida and [illegible], This has been used for intermittent fever. It is a good tonic. Tonics 5th Magnolia Pow dose zii to zi frequently separated. Angustura. Myrrha. 6th Liriodendron or tulip tree bark Pow dose zi inf urine glass sat tinct of zi “Bark of liriodendron tulipifera” This tree has been called the price of America it is from the New England states to Florida growing to the h eight of 100 ft never less than 50. A bitter principle has been extracted from the bark called “liriodendron.” The tree is sometime called poplar improperly though [med.] [prop.] An astringent and stimulant tonic with diaphoretic properties. has been substituted for cinchona in intermittent fevers. Has proved useful in chronic rheumatism dyspepsia and other complaints in which a gentle stimulant and tonic impression is desired Tonics 7th Simaruba officinalis [illegible] to zi This is if the same genus as the quassia. It is a tree of considerable height and thickness growing in the West Indies and Guyana. The bark of the root is used med. prop. It is possessed of the same tonic powers as all the other bitters and may be employed for the same purposes. In large doses it will purge and vomit It was formerly much relied on in dysentery and also obstinate diarrhea. It may be of much service in relaxed and debilited states of the alimentary canal but would do much harm if indiscriminately prescribed in cases of dysentery The root bark is very difficult to powder and on this account the infusion is the best mode of administration 8th Eupatorium perfoliatum or bone sett. pow dose 20 to 30 grs “Tops and leaves used” This is a indigenous plant from 2 to 3 feet high, it obtained the name of boneset from the fact that it allayed the pains which attack the bones in numerous forms of fevers. It was used by the Indians in the cure of intermittent fevers med. prop. It is a tonic diaphoretic and emetic. It has been used on account of its tonic powers in cases of dyspepsia general debility and other cases in which the simple bitters are used. It has been given also in intermittent Tonics Remittent and typhoid fevers as a tonic and diaphoretic. IT has also been given in warm infusion in the commencement of catarrh it has also been given as a diaphoretic in inflammatory rheumatism 9th Prunus Virginianus or wild-cherry-bark pow dose 30 grs to zi “Bark of [cerasus] serotina” This is a tree growing to the height of 100 ft throughout the United States. The bark contains hydrocyanic acid and phloridsin to the former it owes its sedative powers to the latter its tonic properties. it is peculiarly adapted to allay nervous irritability; also in the hectic fever from scrofulous and consumptive cases and in the general debility which succeeds in flammatory diseases The berries are used as stomachics Tonics. Cinchona Species Habitat Commercial variety C. Consaminea … Peru & Columbia … crown bark of loxa C. Micrantha … Peru Gray or silver bark C. Purpurea do Huamalies bark pale C. Ovata do Red Jacu bark C. Lancelota Bolivia Calisaya principal [illegible] in 1852 C. Peru Red bark C. Cordifolia New Granada Yellow Carthagena bark C. Lancifolia do do Spongy “ “ C. Magnifolia do do Red “ “ The calisaya bark is the principal bark that is now used being the only one, from which quinine can be obtained This bark was first used to cure an intermittent which attacked the [countess] of cinchon the daughter of a peruvian who was cured by it and gave it its [interests] After wards it was lost sight of [illegible] concealed by the Jesuits at Rome also again brought it before the world and called Jesuits bark [Kinoidine] 5 to 10 grs This is a sulphate formed by adding So3 to the mother liquor of sulphate of quinea crystals. Both this and the article next mentioned, are good substitutes for sulphate of quinia. [Be?ee???] 3 to 5 grs a tonic. 5 to 10 grs antispasmodic This is also a sulphate reddish brown metalic lustre resembling the form and appearance of [illegible] citratis comes in scales. Brittle. Bitter taste. Tonics Dr Patterson found 15 grs nauseate according to the testimony of some Philada physicians this can be substituted for quiniae, and give satisfaction. Dr Patterson has given it, in powder. Ferrum The preparations of iron were called martial salts, all of them are tonics although the metal itself is inert. The sulphates and chlorates are poisonous if given in large doses. The foeces become black under the use of iron. Iron if long continued is apt to constipate. The preparations of iron are useful in chlorosis, where it is considered by some to be specific. But the efficacy of iron is proved in anaemic and debilitated constitutions, by replenishing the blood It is secondarily emmenagogue, its being of use in amenorrhea chlorosis etc. owing to a relaxed state, as it is in all uterine diseases consequent upon a relaxed state. Iron is very useful in that relaxed state which follows a severe haemorrhage, when iron is given too long the blood Tonics vessels become large and full secretions are diminished Iron is indicated in 1st Where there is relaxed state 2nd “ “ “ serous blood The spleen becomes hardened under the use of iron counterindications 1st Plethora 2nd Inflammation and tendency to apoplexy. Ferri filum or iron [wire] This is the purest form in which iron can be taken Ferri ramenta or iron filings 5 to 20 grs in molasses. Obtained by filing iron. It is regarded as emmenagogue and abortive. A feeble chalybeate increases appetite Oxides 1st Ferri oxidum nigrum. Obtained by acting upon the sulphate of iron with nitric acid Tonics 2nd Ferri squamae oxidum or scales of iron These are scales which fly from a red hot iron bar when stuck; they consist of a mixture of the protoxide and sesquioxide of iron 3rd Ferri oxidum hydratum. Dose 10 to 20 grs This is the hydrated oxide, renders arsenic inert Iodide of iron dose liquor 20 to 40 gtts This is made by the action of iodine upon iron under water. This is a useful tonic in the worst forms of syphyllis. The liquor is the best form to give it in Tonics Ferrocyanuret of iron or Prussian blue dose 3 to 5 grs This is made by the mixture of the hoofs of animals with pearl ash and stirred with iron utensils the iron from the utensils becomes mixed up with the mixture and the ferrocyanuret is formed This preparation is used in neuralgia, epilepsy. And by some is ranked next quinine, and arsenic, in the cure of intermittent fever in [?olli] coffee. and some others. It has been [proved] to have the same weight after passing through the body, and therefore its efficacy has been doubted by many. zi to zi [illegible] for ulcers salts of iron 1st Acetate of iron. zfs to zi of the officinal solution. This is a dark coloured fluid resembling port wine Tinct: ferri acetates gtts 30 to zi in aq: 2nd Subcarbonate of iron dose 5, 10or 15 grs This is one of the most important salts of iron it is made by mixing the sulphate of iron with carbonate of soda when we obtained the sulphate of soda and the subcarbonate of iron, which is a reddish brown powder, producing no nausea. There is a pill made of it Tonics, 3rd Liq: ferri nitratis zfs to zi f This is used in chr: diarhoea. 3rd Ferrum ammoniatum dose 5 to 10 grs This is obtained from the muriate of ammonia and chlorate of iron. It is somewhat laxative. Tonic in strumous diathesis with constipation 4th Ferri et potassa tartrass dose 10 to 40 Somewhat laxative. This may be depended upon for uniformity in strength, it is useful for children, on account of its solubility Tonics 5th Phosphate of iron dose 1 to 2 grs or 5 to 10 grs [exsicm] ¼ to ½ Obtained from the sulphate of iron, and phosphate of soda It is useful in rachitis mollis opii delirium tremens where debility succeeds. It forms a good narcotic tonic when mixed with lupuline The pollen of hops. This is used in chr: diarrhoea, is apt to constipate Tasteless. It is astringent, and is used in chr: gleet, in 5 to 10 grs solution, as an injection. 6th Sulphate of iron emmenagogue dose 1, 2, or 3 grs 2 or 3 a day [illegible] dose/gr with the ex of quassia or [gent] This obtained by the action of sulphuric acid on pure iron [wire]. This is especialy emmenagogue, also astringent. It is used externally in chronic ulcers. There are two powders the dried sulphate, which is a white powder the most concentrated of the two; and the crystalised or ordinary sulphate [Launate] of iron This is used in chr: diarrhoea. 7th Tinctured chlorate of iron or muriated tincture of iron. Dose 10 to 30 gtts This preparation is to be chose when a speedy effect is desired. IT is useful in a debility which manifests itself in incontinency of urine during Tonics to a want of power to retain it in sleep. also useful in apthae cancrum oris. May be combined with uva ursi, buchu, and such like diuretics, as a diuretic. Ammonia citrate of iron. 2 to 3 grs for a child 3 times daily This is used in anaemic children. 8th Citrate of iron Direct combination of the suboxide of iron and citric ac This is the least irritating of the preparations of iron and on this account is chosen for children Bismuth. 1st Subnitrate of bismuth dose 5 grs with 10 of the pow root of colomb and an aromatic This is a white powder. It is a tonic with antispasmodic powers used in gastric affections without organic disease. In dyspepsia with gastralgia Capsum It is doubted whether metallic copper has any medicinal tendency. All the preparations are poisonous the symptoms being a gradual wasting copper taste in the mouth. Cramps headach and convulsions. In large doses they are emetic Tonics 1st Sulphate of copper This is the most important of the preparations IN large doses is it is poisonous but in small doses tonic astringent and styptic in local applications It is very useful in indolent ulcers, apthae venereal shanker a good preparation for shanker is Sulphate of copper 10 grs [illegible] merc oint zi Myroxylon [illegible] grs Sulphate copper 10 grs Mild merc oint zi Myroxylon The sulphate of copper is also useful in ulcers in the throat and a solution in brandy for baldness 2nd Cuprum ammoniatum Tonics 2rd Subacetate of copper or verdigris This preparation is best prepared in France. It is a very remedy in conjunction with [savine] in hardened warts. An oxymel made of it is good application for venereal ulcer in the throat Prep of zinc and silver 1st Zinc 1st Sulphate of zinc Tonics 2nd Tonics 2nd Silver There are two compounds of silver used in medicine nitrate or lunar caustic and the inert oxide. 1st Nitrate of silver or lunar caustic Astringents. 2nd Oxide of silver This inert substance is formed by the combination of the two strongest caustics known nitrate of silver and liquor potassae when the nitrate of potassa and the oxide of silver is the result Astringents This class of medicines resemble tonics and are sometimes classed under them. Their general action is somewhat analogous, though they have nevertheless an action which is not found in the tonics viz that of coagulating albumen and [cons??ging] muscular fibre. Three properties may be attributed to this class 1st They increase the tonicity the muscles 2nd “ constringe the fibres of the muscles 3rd “ coagulate albumen Astringents Their act locally and generally. They are used locally to suppress haemorrhage and unhealthy secretions. and where there is a relaxed state of the system. When astringents are to be used in ‘ haemorrhage the character of the haemorrhage should be considered. If it arises from a plethoric condition, depletion is the remedy. If from a ruptured vessels astringents. Astringents are useful in cases of epistaxis, haemoptysis haematemesis, haematuria, diarrhea when chronic and dysentery and also leucorrhea astringents are divided into vegetable astringents or those which depend upon tannic acid for their astringency and mineral Vegetable Astringents These depend upon tannic acid for their properties 1st Galls Morbid excrescences of the [illegible] [illegible] Astringents 2nd Uva ursi 3rd White oak-bark used externally 4th Bk oak bark used as collouring substance 5th Geranium maculatum used in infantile diarrhoeas combined with aromatic sulp: acid, in a decoction 6th Black-berry root 7th Dew “ “ 8th Kino. “Extract from uncertain plants” found in E and W. Indies 9th Krameria [isiandra] or rhatany pow 10 to 20 grs used in menorrhagia collours the saliva red Astringents 10th Catechu. Tena Japonica Applied externally to flabby and indolent ulcers 11th Haematoxylon campechianum or logwood Found in Honduras and St Domingo 12th Chimaphila or pipsipewa “leaves of the chimaphilia umbellata Astringents. Mineral Astringents 1st Alum This is the sulphate of alumina and potassa It contains 40 per ct of water of crystalisation, therefore the dose of dried alum should be proportionate The alum when applied locally produces corrugation of the tissue. It is given in colliquative sweating. It is usualy given with some aromatic nutmeg most commonly chosen. A whey made by mixing 2 z of the powdered alum with a pint of milk is sometimes made use of dried alum is escharotic. There is also another form in which alum is used called alum curds by surgeons which is made stirring the white of an egg with a [chystal] of allum till it melts in the egg Astringents 2nd Cupri sulphas Preparations of Lead These in moderate doses diminish the secretions After they have been used any length of time a blue line is seen along the gums. These preparations act primarily upon the nervous system. The muscles become pale and the system wasted. On post mortem examination the intestines are found tightened and distended with wind. Dr Thomson supposed that carbonate only produce any ill effects and consequently all the rest could be given with impunity. The treatment for “Collica [pictou]” or painters colic is very various. Purgatives, narcotics and sulphuric are the most common means resorted to. But the best treatment is alum followed by Astringents. a purgative, the alum must be given large doses The muscles of the arm become paralysed There are only two of the lead preparations much resorted to. 1st Litharge or semi vit oxide This is a fawn coloured powder much used in ulcers in which there is a great deal of running Astringents 2nd Red oxide. Red lead This is very seldom used as a medicine It is obtained when you expose litharge to a heat of 600 fah in contact with air. It is principally used as a pigment. 3rd Carbonate of lead or white flake 4th Acetate or sugar of lead dose 2 to 5 grs Haemorrhage 2 to 3 grs This is the most important of all the preparations It is made by acting on litharge or the carbonate with acetic acid. In large doses it is an irritant poison. It is much used in diarrhea and chronic dysentery and typhoid fever in combination with opium. This preparation Astringents. diminishes the secretions and obviates the tendency, to bleeding from the bowels. It is much used in Haemoptysis. It has been given in cholera It is given sometimes in vinegar distilled the common vinegar being apt to form the carbonate 5th Liquor plumbi sub acetate or Goulards solution This has been used in inflammation of conjunctiva by application. It is sometimes used in ulceration of the cornea though in these cases it is dangerous, since it forms a compound with the substance of the cornea which cannot be removed 6th Chalk This is a desiccant when locally applied. It is used in diarrhea and the various other cases in which this class of medicines are used Astringents Medicines affecting the nutritive function 1st Alteratives or those medicines which promote health without their direct action being explained. medicines which cause absorption are called sorbefacients or absorbents. Absorbents 1st Iodine dose 1 gr This substance was discovered by M. Courtois in 1812 while endeavouring to obtain carbonate of soda from sea weeds. In the mother liquor he observed a substance which corroded the metallic vessels, powerfully and adding sulphuric acid it threw down a dark substance which on applying heat was converted into a beautiful violent coloured vapor. It is usualy obtained from kelp by means of sulphuric acid. The tests for the presence of iodine are two vaporisation and the starch solution. The former being a test for iodine on account of its great liability to vaporise so that if there be any impurities present the whole will not vaporise The starch test must be used cold, this is a most delicate test since the smallest quantity can be detected. The starch causes a deep blue solution. Iodine is diuretic and sometimes emmenagogue when too long continued produces absorption of testicles and mammae and emaciation. The iodine preparations are useful’ in chronic scrofulous swelling bronchocele or goitre and to arrest the discharge of pus in scrofulous ulcers also in cutaneous diseases secondary syphillis iritis from the same cause and to prevent the progress phagedonic ulcer Doctor Buchannan gives it in the form of the iodide of starch in one ounce doses where large doses are desirable the iodide of potassium should be u sed. The tincture is applied externally Absorbents. to ulcer the internal dose 5 gtts to zss Compound solution of iodine. dose 20 gtts This is composed of iodine and the iodide of potassium. The effects of this preparation are analogous to the tincture iodine ointment. Iodide of potassa. dose 5 to 20 grs. Iodide of iron dose 15 to 20 gtts This is given in solution and is useful in cases consequent upon a stumous diathesis and depraved habits. It is given in purulent discharges from the genitals owing toa strumous vice Iodides of mercury are two (a) [?sotiodide] which has been called the iodide as being the most important. It is of a red colour very poisonous being a strong irritant poison Absorbents. (b) Yellow iodide Bromine This is like iodine found in sea water and salt springs 1st Bromate of potassium This was thought to have equal power with the iodide of potassa and was found not to be equal to expectation. It was found useful in secondary syphilis It is certainly alterative. 2nd Bromate of iron Prep of Mercury These are the pillars upon which the success of medicine depends; they increase the secretions and efficacy of other medicines, and on this account are much given in fevers and in the convalescence When mercury purges it does not salivate, hence if salivation is desired Absorbents. the dose must not be large enough to purge salivation when carried too far produces ulceration of the buccal mucous membrane. The gums and lining membrane of the mouth become red venesection will promote salivation. the blood under the influence of mercury when taken from the arm presents all the appearance of blood taken from an inflamed part. Mercury is the great aplastic remedy and on this account is much used in inflammation where fibrine is transuded. It is much used in pleuritis and in syphilis is almost a specific. If an ulcer is to be healed by mercury the gums must be kept in a state of salivation. When syphilis is phagodenic no secondary symptoms succeeds. Mercury should be used with caution where these is tubercular diasthesis. In diseases of the liver it is very useful especialy where there is chronic inflammation and induration of that organ and in jaundice and induration of that organ and in jaundice after the use of emetics. It is also used in form of the mild chloride or calomel in cholera and hepatised lung consequent upon pneumonia. Mercury in an uncombined state is thought to exert its influence in same way that metallic iron does in by uniting with the acids and juices of the stomach and prima viae. Absorbents. Preparations of Mercury. Hydrargyrum cum creta. This is a grey powder much used in marasmus and also as an antacid. The compound is 3 grs of mercury to 5 of chalk Hydrargyrum cum magnesia Blue mass or blue pill dose 5 grs This is made with confection of roses and liquorice root mixed up with mercury. The preparation of mercury is 1 gr to 3 grs of the mass. This compound when properly made is soft It most efficient preparation of mercury excepting calomel It is very good if followed by rhubarb the next morning Absorbents 4th Mercurial Ointment. This is used externally in cases syphilitic ulcers and shanker. It is made by mixing 2 lbs of mercury with 23 ounces of lard. The ointment should be applied with friction. A good adulant to this ointment is zi of myroxolon and 20 or 30 grs of sulphate of copper. 5th Black Oxide dose ½ gr This is an exceedingly mild preparation it is used as a fumigator 6th Binoxide or peroxide This is a red powder much used for venereal shanker when made into an ointment or the powder itself may be sprinkled over the sore till a smarting sensation is felt and inflammation produced Absorbents. There are two chlorides of mercury of which one is a most violent corrosive poison the other the mildest of the mercurial preparations. The protochloride and deutochloride or bichloride 7th Calomel or protochloride 10 to 20 grs Calomel is almost a specific in diseases of the liver It is also much used in union with other medicines. it is the chief ingredient of plummers pill which is composed of it and [kermes] mineral with guiacum. This medicine has been much [persecuted]. Absorbents. 8th Corrosive sublimate or bicholoride of mercury This is used for syphilis in plummers pill with the addition of hyoscyamus and opium It is also used in chronic skin diseases. The tests are the iodide of potassium which throws down a bright red percipitate, and lime water which throws down a lemon coloured percipitate Hydrargyrum ammoniatum. This is never used internally. It is used where the hair has fallen off to strengthen it and in ulcerations of the cornea Sulphurets Bisulphuret of mercury or cinnabar or vermillion IT is used chiefly as a pigment also as fumigator 2nd Black or sesquisulphuret Absorbents. Citrine ointment or nitrate of mercury This is used for indolent ulcer and infant buboes when undiluted it is an escharotic Turpeth mineral or yellow sulphate of mercury Absorbents. Arsenic dose 1/8 gr diluted strongly Arsenic in small doses in antiperiodic when used for any length of time it causes oedema and pouffiness of the eyelids. On account of its antispasmodic powers it has been substituted for quinine in periodic diseases and is considered by many equal it. It is also used in chronic rheumatism and cutaneous affections especialy where the cuticle comes off in scales also in smooth nodosity of the joints. It ought always to be given in dilution and after meals as the arsenic is apt to irritate the mucous membrane of the stomach when it is in immediate contact with it. It is applied externally in the form of paste for indolent ulcers and syphilitic sores. The paste should be strong. the stronger the better. never should be less than one eigth of the whole mass unless the paste is strong it will be absorbed. Antidotes 1 Hydrated peroxide of iron in solution 2 Calcined magnesia Absorbents. Preparations of Arsenic 1st Solution of the arsenite of potassa. Fowlers solution dose 5 to 10 gtts 2nd Donovans solution. A solution of iodide of arsenic and mercury. Dose 5 to 15 gtts This is an alterative and is also much used in secondary syphilis also in cases where tumors have a tendency to become malignant It also stops tendency to cancer and osteo sarcoma Narcotics Individual Narcotics 1st Opium dose ½ gr to 1 gr This is the concrete juice of the papaver somniferum. It is found in Asia. There are three proximate principles of opium viz narcotin meconine and morphia It is given in three ways substance powder and pill. It is one of the best antispasmodic It is used sometimes in cases of mental derangement. it is associated with astringents in diarrhea in form of pill. It is more speedy in action when fresh 2nd Tinct opii or laudanum composed of opium and alcohol The proportion of opium 1 and ½ of opium to 2 of alcohol Dose in case of its being left long exposed as it is more concentrated 10 gtts [illegible] ordinary dose 25 gtts for a new born child ½ gtt Narcotics. 3rd Acetated tinct dose 10- gtts This is composed of 2 z of opium to 12 z of vinegar and 1 ½ alcohol 4th Camphorated Tinct or paregoric dose [illegible adults z to zii gtts This is a weak preparation, used chiefly with expectorants zfs contains gsi of opium. 5th Vinum opii dose 10 gtts to z This is much used in purulent opthalmia of infants 6th Acetum opii or black drop dose 6 to 30 gtts Narcotics 7th Compound powder of opium in Dovers powder [illegible] 10 grs [illegible] affect 5 [grs] Composed of ipecac opium and sulphate of potassa This is a popular diaphoretic 8th Morphia. This is made by macerating opium in alcohol and a solution of ammonia and from this the various salts can be formed This is seldom used in its pure state. 9th Sulphate of morphia dose 1/8 gr endemically ½ gr for neuralgia This may be used in many cases where opium cannot on account of nausea and constipation which opium produces sometimes. And where it cannot be used endemicaly in neuralgia ½ gr twice a day will produce sleep. 2nd Sactucarium sactuca sativum This is used in syphilis along with the protiodide of mercury Narcotics. 3rd Hyoscyamus Niger Henbane (leaves & seed) Leaves & seed powd 3 to 5 grs tinct ½ z to [illegible] alcohol This medicine allays irritability and does not stimulate like opium. The extract is often combineds with purgatives to release any painful action which may be caused by them, in doses from ½ to 1 gr to prevent griping or other bad effects 4th Belladonna dose 1 gr in powder tinct 20 to [30] gtts 5th stramonium datura. Ext ¼ gr seeds zsi twice a day leaves [illegible] Narcotics. 6th Tobacco dose 5 grs This is given in the form of scotch snuff 7th Dulcamara. “Stalks of solenam dulcamara” ext 3 to 5 gr decoc zii 4 a day 8th Aconite or wolfs bane tinct [illegible] gtts 3 times a day ought never to be used internally (Dr Patterson) Narcotics. 9th Conium or hemlock ext gsi to gsiii 2 a day 10th Humulus lupulus or hops Anaesthetic Agents 1st Chloroform. Terchloride of formyle 2nd Sulphuric aether. 3rd Chloroform and sulphuric aether or chloric aether. Tetanics Nux vomica dose 1 to 3 grs Strychnia dose 1/16 to 1/8 gr Arnica montana Antispasmodics These allay nervous excitement and equalise the nervous system. 1st Asafoetida dose in [pili??] mist: 10 grs tinct: zi vel zii This medicine is found in almost all the eastern countries Persia India etc. It is the concrete juice of the ferula. Asafoetida which grows as thick as a man’s leg. It is prepared in cases formed of the small masses which resemble ammoniac and can only be distinguished from it by its smell Its impurities are stones sand and a very inferior quality which is good for nothing but horse medicine. Asafoedita is an efficient expectorant moderate stimulant and also a relavant as well as a most powerful antispasmodic. On account of its antispasmodic and expectorant powers its use is much lauded in spasmodic affections of the chest as hooping cough. Croup 2nd Galbanum. 3rd Valerian officinalis The power of this medicine depends upon a volatile oil. It is used in epilepsy chorea and hypochondriacal affections when strongly diluted will promote digestion. The pill of the oxide of zinc is the best adulant that can be used with it in the cure of chorea with cimicifuga 4th [D?a contium] or skunk cabbage This is used in spasmodic asthma 5th Musk dose 8 to 15 grs “Concretion from prepuce of moschus moschiferum” This is much used in hysteria the debility ariseing from typhus fever and also in subsultus tendinum and retrocedent gout The musk is given in mixture. asthma 6th Castor testicles of the beaver dose 1 to 2 z Demulcents 1st Gum Arabic. Concrete juice of acacia [illegible] and other species of acacia, There are several varieties of this article that from Turkey is considered the best. When good, it is transparent and brittle easily soluble in either cold or hot water. It forms the best diet for fevers. It is very nutritious. It is the best substance to be given when a strict regimen is demanded. 2nd Tragacanth. 3rd Slippery elm inner bark of the ulmus fulva. 4th Linum or flaxseeds 5th Malva or common mallow. 6th Mucilage of quince seed. 7th Pith of sassafras or medulla 8th Carrageen or Irish mass 9th Glycyrrhiza or liquorice Epispastics. 1st Cantharides (a) Cantharis vesicatina or Spanish flies (b) Cantharis bittata or Potato flies (c) Cantharis cinerea or 2nd A metallic plate heated to 212 [degrees] 3rd Boiling water 4th Aqua ammonia 5th Bark of daphne mesereon 6th “ “ Nidium 7th Tart em ointment 8th Oil of turpentine 9th Escharotics They are used to destroy fungous granulations Moxas 1st Nitrate of silver or lunar caustic 3 or 4 sol for gonorrhoea and fistula 5 to 10 grs solution chronic opthalmia. I have seen an 8 gr solution used for chronic inflammation of the pharynx. Chemistry. Introductory lectures Solids. A solid is any substance which the qualities of divisibility extension impenetrability etc. Bodies may be divided into compound and simple The resistance which gives to being removed is its weight. Chemical affinity and cohesion differ in that the former acts at sensible distances the latter at insensible distances All bodies are more or less porous; a beautiful proof of the porosity of wood may be seen, by means of the following experiment. Porosity ex 1st Place quick-silver into a wooden cup which is placed in an enclosed jar and fitted tightly, so that all the air from the bottom part of the cup may be removed leaving all atmospheric pressure on the outside the jar being exhausted by an air pump the mercury on account of the pressure of the atmosphere will come through the pores and fall to the bottom of the jar. These pores can be sometimes seen in bodies that are very porous Polarity Particles sometimes tend in one direction which is crystalisation or polarisation as for instance in formation of water into ice Dilatability Solids dilate on the application of heat, which may be shown by healing a ball which will just fit a metallic ring when cool’ when the solid ball is heated, the particles expand. Aerial Particles. Aerial particles may be made to approach each other, which proves that they are not at insensible distances from each other like those of a solid body. This may be proved by the following experiment take a glass cylinder enclosed at one end and fix the open end in a bag of [illegible] elastic the water when the bag is pressed will rise in the tube thereby caring the aerial particles to approach each other Specific Gravity. When taking the specific gravity of solids water is taken as the standard we compare the weight of an equal bulk of water with that of the substance in question and substract the one from the other. the difference will be the specific gravity of the substance in question This is expressed in the following proportion S Wt of the bulk of H: wt of the bulk of [illegible] sought:: sp gravity of water: sp gravity of the body sought when the specific gravity of gases are to be considered atmospheric air is to be taken as the standard. The method is this Fill a glass flask with the atmospheric air and not its weight in this condition, then withdraw the air by means of an air pump, and then note the diminution in weight which will be the weight of that bulk of atmospheric air. If we now fill the flask with hydrogen gas an note its weight in the same way and compare this with the weight of the air and we will obtain the specific gravity of the hydrogen gas. acids turn vegetable blues red, so that if we add NO3 to solution of blue cabbage it will be change to a [red] Alkali change the blue to a green so that if we add caustic potash to the solution of blue cabbage it will be changed to a green. When the acid and alkali are united before king formed into the solution no change in the colour will takes place so that if we would add the sulphate of potassa there would follow no change of colour. Again. The red colour caused by the acid may be neutralised by an alkali and the solution restored to its natural blue colour. And on the other hand the blue may be restored from the green or alkaline test, by neutralising the alkali by an acid. There is a distinction to be made between neutralisation and saturation. The nature of compounds differ entirely from the nature of their constitutents. As for ex water a liquid is composed of two gases, one of which is the lightest of all the gases and a very inflamable whilst the other is a supporter of combustion liquids by chemical action are changed into solids so SO3 added to the chloride of lime. The hydrochloric acid is displaced by the sulphuric and a solid percipitate is formed which is the insoluble sulphate. Solids. are converted into gases as in the decomposition of gun-powder, and chlorate of potassa and the phosphorus. Gases are changed into liquids as for example H2O form water Solids are changed into liquids as when “ice vanishes before a tropical sun.” The nitrate of copper in solution with [illegible] which is of blue colour, is made colourless by the addition of sulphuric acid the [illegible] being removed by the sulphuric ac which is the colouring principle renders the solution colourless. Specific gravity and temperature of a body may be altered by chemical action as for ex SO3 + CH Toxicology. The action of poisons is either general or local some diseases affect the power of poisons in a great degree In tetanus, insanity, and epidemic cholera calomel and opium may be given in immense quantities without any bad results arising. On the other hand if there is a chronic tendency to a disease, any poisons which act with symptoms similar to those of the disease as for example opium given to patients who have a tendency to apoplexy will act in much smaller doses. Antidotes 1st Those which act chemicaly upon the poison 2nd “ “ produce a contrary effect in the system. 1st Chemical antidotes. A poison may be rendered inert and harmless, if a substance is brought into contact with it with which it will combine and thereby from a harmless compound. As for instance in the case of when it is used as a chemical antidote for arsenic; the arsenuret of iron is formed which is harmless. 2nd Antidotes may act in diverting the action of the poisons by instituting an action which is stronger than the person and opposite in character, to the poison 1st General Poisons If a person is perfect health and not disposed to be attacks of sudden sickness, fainting, etc. should suddenly while enjoying perfect health, suddenly become suddenly sick at the and vomit, up his food. If he should also have pain at epigastrium, of an acute character, it may lead to the inference of the person being poisoned. And especialy if death soon follow. There are two [illegible] divisions of poisons. Those which act by setting up a rapid violent and acute inflammation at the spot at which there are in contact and secondly those which act chiefly upon the cerebral functions and brain. The symptoms of the former are sharp and acute pain in the stomach or part to which they are in contact, vomiting, giddiness, furred tongue, diarrhea, and numerous other symptoms which are present in inflammation of the stomach those which act upon the brain are signalised by the [illegible] delirium convulsions, coma etc. Those which act by inflaming the part are called irritants, and those which act upon the brain are called narcotics. There is also another class the narcotic acid poisons whose effects are a combination of the irritants and narcotics. When vomiting occurs at the first it may be sufficient provided the vomiting be violent enough and long enough to eject the poisonous matters from the stomach entirely. Sometimes the dose of the poison may be of itself an emetic and thus be its own antidote a half an ounce of arsenic has been known to be taken and the patient live afterwards which he would not if the large dose had not proved an emetic and thereby being ejected by the mouth from the stomach. Visits. April 11th 1853 Mr Harding sent by [illegible] May 2nd at office not paid 50 cts cash $50/100 cash $50/100 Mr D Landis May 16th at his room. paid $50 cts. do do do do do. do. do. $50 cts. do do do “ 17 do. do. do. $50 cts. do do do “ do do. do. o $50 cts. do do do “ 18th do. do. do. $50 cts. do do do “ “ do. do. do. do. do. do do do “ 19th do do do do. do. do do do “ do do do do do. do. Paid Mr Allen sent by Mr Graydon May 26th at office cash 50 cts. do do do 27th do no charge. Ext. one tooth June 5th do do cash 25 cts. Ext: wild hairs from the eye not paid. 50 cts office prescriptions Mr Hopper June 17th not paid do do do do do 19th : : do operation for tongue tie. cash $1 Mr [Kowan] not paid. June 23 50 cts John Baron Irishman not paid do 24 50 cts Geo: Owens one mile fr. town “ 29th 2 visits 2$ Geo: Owens “ “ “ “ 30th visits 1$ Geo: Owens “ “ “ “ July 1st one visit 1$ Mr Hill at house. paid 2 visits 1$.50 [illegible] at the wright house. office pres: July 5th cash 50 cts Laurence Spragu do do ? 6th not paid 50 cts Mrs Sandriggins do do cash. 25 cts Mr Allen at his house ? [10th] $1 $1.00 Mr Snyder 2 visits at his house. $2.00 “ 1 “ “ “ “ 1.50 “ Augst 16th 2 visits at his house. $2.00 “ paid ? 17th 1 visit “ “ “ $1.50 “ “ “ 1 visit “ “ “ $1.50 “ “ 18th 1 visit “ “ “ $1.50 Mrs Gool Sept: 5th do with Dr. Thompson 1.00 Mrs Wood. “ 6th do 1.00 Mrs Gool: “ “ “ 1.50 Mrs Wood “ “ “ 1.50 Mrs “ “ “ “ 1.50 “ Wood “ “ “ .50 “ Gool “ “ “ .50 “ “ “ 9th “ .50 Mrs Wood “ “ “ 1.50 Mrs Gool ? 10th “ .50 Mrs Wood. “ “ “ 1.50 Mrs Wood “ 11th “ .50 Mrs Wood “ “ “ .50 Mrs Gool “ 13th “ .50 Mrs Wood. “ “ “ .50 Mrs Wood. “ “ “ .50 Mrs Wood “ 13th “ .50 Mrs Gool. “ “ “ .50 Wm C Moreau “ 21st “ .50 “ “ “ “ 22nd “ 50 Mrs Gool “ 24th 1 visit 1.00 Do do “ 26th Do 1.00 Do Do “ 28th Do 1.00 Do Do “ 29th Do 1.00 Do Do Oct. 1st Do 1.00 Mrs Wedge “ 2nd Do 1.00 paid Mrs Wedge Oct: 3rd 1 visit $1.00 Mrs Wedge Oct: 4th 1 visit & cupping & med: 2.00 Mrs Wedge Oct: 5th 1 visit .50 Mrs Waldron’s assistant Oct: 5th office prescription .50 Squire [servant] Oct 4th 3 miles out of town 10 ½ p.m. 3.50 Mrs Thornton family Oct 10th 1 ½ mile “ “ Jas Drum 1.50 Mrs Thornton family Oct 11th 1 ½ mile “ 1.50 Do Do Do Oct: 13th do do 1.50 Do Do Do Oct 14th Do Do 1.50 Do Do Do Oct 16th Do Do 1.50 Do Do Do Oct: 17th Do Do 1.50 Do Do Do Oct: 18th Do Do 50 Mr Allred Oct: 19th Do Do visit at house $1.00 Mr Allred Oct: 19th D Do Do $1.00 Mr Thornton Oct 29th Do $1.50 Mr Allred child Oct: 20th Do Do .50 Do Do Do Oct 21st Do Do .50 Oct 21st office advice .50 Mr Allreds child Oct: 22nd visit to house .50 Do Do Do Oct: 23rd Do Do Do .50 Mr Thornton 1.50 Mr Allred’s child Oct 24th visit to house pd: 1.50 Mr Allred’s child Oct: 25th Do Do Do .50 Mr Allred’s child Oct: 26th Do Do Do pd: .50 Mr Allred’s Do Oct: 27th Do Do Do .50 Do Do Do Oct: 28th Do Do Do .50 Thornton Do Do Do Do Do 1.00 Mr Allread child Do 30th Do Do Do .50 Mr Alread child Do 31st Do Do Do .50 Do Do Do Nov: 1st Do Do Do .50 Do Do Do Nov: 2nd Do Do Do .50 Do Do Do Nov: 3rd Do Do Do .50 Mrs Dillner’s child Nov: 4th visit at house pd $1.00 Mr Allred’s child Nov: 4th Do Do Do pd .50 Mrs Dillner’s Do Do Do Do Do Doi .50 Do Do Do Nov: 5th Do Do Do .50 Mr Allred’s child Nov: 5th Do Do Do paid .50 Do Do Do Nov: 9th Do Do Do 50 Mrs Thornton Nov: 19th Do Do Do 1.00 Do Do Do 23rd Do Do Do 1.00 Do Do Do 28th Do Do Do 1.00 Do Do Dec 5th Do Do Do 1.00 Do Do Dec 6th Do Do Do 1.00 Mr Lane Dec 7th Do Do Do paid 1.00 1854 Mrs Ferguson’s girl Jan 1st lancing her finger 1.00 Do Do Do Jan: 2nd not paid .50 Do Do Do Jan 3rd .50 Do Do Do Jan 5th .50 Do Do Do Jan 6th .50 Do Do Do Jan 7th .50 Jan 13th application to eye & medicine .50 Jan 13th .50 [Bennet] [Brookes] County’s charge Jan 14th small pox 1 visit 1.50 Do Do Jan 14th Do Do Do Do 1.50 Do Do Jan 15th Do Do 2 visits [illegible] Do Do Jan 16 “ “ 1 Do Do Do Do Do Do 2 visit Do Do Do 17th Do Do Do Do Do Do 2 visit Do Do Doi 18th Do Do Do Do Do Do 2 visits Do Do Do 19th Do Do Do Do Do Do 2 visits Do Do Do 20th Do Do County charge Jan 20th small pox 2 visits County Do Do 21st do do do do do 22nd Do Do Do Do Do 23rd Do Do Do Do Do 24th Do Do Do Do Do 25th Do Do Do Do Do 26th Do Do $40 for attendance Case of gonorrhoea $5 Gonorrhoeal opthalmia $1 Mrs Hamilton Feby 27 one visit $1.00 Mrs Hamilton March 6th one visit $1.00 [Perry] Indian doctor $1.00 Many visit to his wife March 6th $1.00 Dr. Perry “ “ $1.50 John Mann visit to his wife “ 7th $1.50 John Mann “ “ “ “ “ 19 $1.50 Mrs Hamilton March 8th one visit $1.00 Diana Mann March 11th Dr Gaston $1.[50] Mrs Hamilton March 11th $1.00 Diana Mann March 12th 3 visits .50 Diana Mann March 13 .50 Mrs Hamilton March 13th .50 Diana Mann March 14th .50 Peter Powel March 14 Johns wife 1.00 Diana Mann March 15th .50 Diana Mann March 16th .50 John Howard “ 16th 1.00 Do Do Do 17th .50 Diana Mann Do 17th .50 Diana Mann Do 18th .50 $ cts Diana Mann March 19th .50 Do Do March 21st .50 Do Do March 23rd .50 Peter Powel March 24 .50 Mr Gardiner March 26th touching tonsils. .50 Diana Mann April 2nd 1.00 Dr. Perry “ “ 1.00 Diana Mann “ 3rd 1.00 Diana Mann “ 5th 1.00 Diana Mann “ 7th 1.00 Diana Mann “ 9th 1.00 Mr Johnson “ 12th .50 Mr Eiler “ 15th vaccination [casts] .50 Miss Hamilton “ “ visit no 2 1.00 Mrs Hamilton’s girl .50 and of 1st year’s practice $72.50 27th 1.00 Gilbert May 2nd 6 cups. .50 James May 4th .50 Mr Wrights May 5th cash .50 May 12th .50 James Welsh May 16 .50 Servant at Littles Hotel May 20th .50 Omnibus driver at little’s May 21st .50 “ “ “ “ May 22nd Cupping 1.00 Patrick Barry May 25th application to eye .50 Do Do May 26th Do & cupping 1.00 Mr Ellis May 27th office advice .50 Patrick Barry May 27th treat: eye at office .50 “ “ May 29th “ “ “ .50 “ “ May 30th “ “ “ .50 “ “ “ 31st “ “ “ .50 “ “ June 1st “ “ “ .50 James Barry June 2nd treat eye at office .50 James Barry June 3rd “ “ “ “ .50 Mr Ellis June 3rd prescriptions 1.50 “ “ “ 4th cupping .50 James Barry “ 5th treat: eye at office .50 Mr Ellis June 5th visit at his house to his child 1.00 At Littles to see the [runner] June 14th medicine 1.25 “ “ “ “ June 15 3 visits night & day 1.00 “ “ “ “ June 16 3 visits night & day 1.00 “ “ office advice .50 “ “ office prescription .50 “ “ “ “ .50 At Little’s hotel to runner “ 15th 3 visits night & day 1.00 “ “ “ “ “ 16TH “ “ “ 1.00 “ “ “ “ “ 17TH “ “ “ 1.00 “ “ “ “ “ 18TH “ “ “ 1.00 “ “ “ “ “ cash .50 At Little’s Hotel to runner June 19th 3 visits night & day 1.00 “ “ “ “ June 20th 2 visits night & day 1.00 “ “ “ “ June 21st .50 “ office prescription .50 Mrs Hamilton June 19 visit at her home .50 Miss Hamilton “ “ “ “ “ .50 “ 20 office pres .50 Littles Runner June Elias Wright little boy “ 21st visit at the house. 1.00 Littles Hotel runner “ 22nd 1.00 June 22nd visit cash 1.00 June 23rd visit” .50 “ 23 visit .50 “ 24th visit cash .50 Elias Wright little boy “ 24 prescription .50 Littles hotel runner, bill June 24 .50 “ “ “ “ June 25th .50 Frenchman’s child June 25th cash .50 Little hotel runner bill June 26th .50 “ “ “ “ June 27th .50 cash .50 [Scribner’s] partner June 28th 1.00 Little’s hotel runner bill “ 28th .50 Scribners partner child June 29th 3 visits $2.00 Mr Neff’s partner June 29th .50 Mr [Munsan] June 28th paid .50 Scribners partner child June 30th not charged 1.00 Mr Orcut’s child June 30th medicine 1.50 “ “ “ July 1st “ .50 “ “ “ “ 2nd 2 visits [medicine] 1.00 Scribners partner “ “ .50 Mr Orcut’s child July 3rd medicine .25 “ 3rd advice & prescription 1.00 Mr Orcut’s child “ 4th .50 Mr Coverdale “ 4th night visit $1.00 Mr: Orcut’s child “ 5th .50 Mrs: Wright “ 4th 2 visits $1.50 Mrs: Wright “ 5th 2 visits $1.00 Mr: Coverdale Colonel “ 5th 5 miles visit $4.00 Little’s hotel runner bill “ 5th prescription & med .50 Thornpelkey charge to Mr [illegible] “ 5th advice & med: .50 Little’s runner bill Littles hotel 5th .50 “ “ “ Littles 6th .50 “ “ “ “ 7th .50 C.T. Rouser July 7th class $5 Bill, the runner at Littles July 8th office prescription & med .50 “ “ “ “ “ 11th office prescription .50 Levi Ramsey (col) “ 14th night visit $1.00 “ “ July 15th 3 visits 2.00 Mrs Isaac Wright “ 14th prescription .50 Mr Elias Wright “ 21st visit at his home 1.00 Mr Orcut “ 20th prescription .50 “ 24th “ cash .50 Omnibus driver at Littles “ 25th “ .50 Arthur Wright “ 26th medicine at night .50 Mrs Hamilton “ 28th visit 1.00 Mrs Hamilton “ 29th visit .50 “ 30th prescription .50 “ 31st advice .50 Mr Gray child Augst 2nd medicine & visit 1.00 Mr Gray “ “ 3rd “ .50 Mr Marklin “ 3rd application to eye .50 MR Gray: child “ 3 visit to see child .50 “ 4th cash .50 Mr Gray child “ 4th visit to see .50 Mr Marklin “ 4th application to the eye .50 Mrs Gray “ 4th prescription .50 Mr Marklin “ 5th .50 Mr Gray. child “ 5th .50 “ 5th .75 Mr Marklin “ 6th .50 “ 7th .50 Mr Gray child “ 8th .50 Mr Marklin “ 9th .50 Mr L Frenchman child “ 8th visit 1.00 “ “ 9th .50 Mr Bassinett Aug 10th surgical (bad) .50 Mr Marklin “ 10th .50 Mrs Leigmans child “ 10th surgical 1.00 Frenchmans child “ 10th .50 Mrs Leigmans child “ 10th surgical .50 Mr Gray’s child “ 11th .50 Frenchmans child “ 11th .50 Mrs Leigman’s child “ 11th surgical .50 “ “ “ “ 11th “ .50 Mr Gray’s “ 12th .50 Frenchmans child “ 12th .50 Mr Gray’s child “ 13th .50 Mr Leigmans child “ 13th .50 Mr Spotts “ 13th .50 Miss Louisa Hamilton “ 13th medicine & advice [.70] “ [Hollen] Colb “ 15th “ “ 1st visit 1.00 “ “ “ 16th “ 2 visits 1.00 Mr Gray “ 16th .50 Mr [Kissle] “ 16 consultation paid $5.00 Mis H Cobb “ 16 visit med .50 “ “ “ “ 17th visit medicine .50 “ “ “ “ 18th “ .50 “ “ “ “ 19 .50 MR Gray’s child “ 19 “ .50 Miss H Cobb “ 20th “ .50 Mr Richter Dutchman “ 20th 2 visits & medicine 1.50 “ “ “ 21st 2 visits 1.00 Miss Ellen Cobb “ “ 2 visits 1.00 “ “ “ “ 22nd 2 visits 1.00 MR Richter Dutchman “ “ “ 1.00 “ “ “ “ 23 “ 1.00 Miss Ellen Cobb “ “ “ 1.00 Miss Helen Cobb August 25th visit & medicine $1.50 “ “ “ “ 26th “ .50 Mr Gray 26th 50 Miss Ellen Cobb “ 28th 1.50 “ “ “ “ 29th 1.50 “ “ “ “ 30th 1.50 “ “ “ September 1st visit 1.50 An Irishman “ “ prescription .50 Mr Dagner “ 3rd 2 visits 1.00 “ “ “ 4th 2 visits 1.00 “ Dagner “ 6th .50 Mrs [beese] “ 5th night visit & med 1.50 cash $1.50 cash .25 Mrs Elias Wright Sept. 11th $.50 Mr Williams “ 11th paid $7.00 Mrs Elias Wright “ 12th visit 1.00 An Irishman “ 11th paid $1.00 “ 12th .50 Mrs Elias Wright “ 14th visit .50 Thos Mc McLennan Sept 26th 1.00 Thos McLennan “ 27 .50 “ “ “ “28 .50 “ “ “ “ 29 .50 Mr Gause Oct: 9th removing cinder fr eye .50 [illegible] Oct: 10th night visit 1.00 “ “ Oct: 11th 3 visits 1.00 “ “ “ 12th 3 visits 1.00 “ “ “ 13th .50 [illegible] “ 12 [illegible] .50 “ “ 13th “ “ .50 [French boy] Oct 12th (fever) one visit $1.00 “ “ 13 “ “ .50 French man “ 13th office prescription .50 French boy “ 14 visit .50 Mrs Cox “ 14th 3 visits 1.00 Irish man “ 14th office advice .50 “ “ “ 15th “ “ .50 “ “ “ 16th “ “ .50 Mrs Cox “ 15th 3 visits 1.00 French boy “ 15th .50 Mrs Cox “ 16th 1.00 French boy “ 16th .50 [illegible] “ 17th .50 Mrs Cox “ 17th 3 visits 1.00 Irishman “ 17th caustic to his thumb .50 “ “ 18th “ “ .50 French boy “ 18th visit & medicine 1.00 Barry (Irishman) “ 19th caustic to thumb .50 French boy “ “ 2 visits & medicine 1.50 Barry (Irishman) “ 20th application to the thumb .50 “ “ “ 21st “ “ .50 French boy “ “ visits 2 & medicine 1.50 “ “ “ 22nd visit .50 Irishman (Barry) “ “ dressing ulcer .50 French boy “ 23rd 1 visit .50 [illegible] Barry “ 23rd dressing his thumb .50 “ “ “ 24th “ “ .50 James Barry “ 25th “ “ “ “ continued coming every day until the 25th of November Nov: 22nd night visit cash $1.00 Miss Ellen Cobb Nov: 26th visit $1.00 Miss Ellen Cobb Nov: 27th at John W. Hamilton’s visit (2nd) .50 Nov: 27th cash (cupping) $1.00 Mr Johnson Dec: 14th prescription $.50 Dutchman “ 20th medicine & advice .50 1855 Jan 8th removing a cinder from the eye .50 John Michael Jan 22nd night visit $1.00 John W. Hamilton Jan 22nd “ “ to [mary] $1.0 Stewart at Littles hotel Jan vaccination to his child $1.00 William (runner at Littles) March 18th cash $5 Bob (steward at do) April $10 April 11th prescribing for thumb .50 “ 12th “ “ .50 Mrs [Breuer] March 29th prescribing for a child at Little $1.00 “ “ “ 30th “ “ “ .50 “ “ “ 31st “ “ “ & medicine .75 April 16th visit on [New York] [illegible] [illegible] 1.00 “ “ “ “ “ .50 “ 17th “ “ “ .50 “ 17th “ “ “ .50 “ 18th “ “ “ .50 “ 19th “ “ “ .50 Elias Wright “ 21st bleeding & cupping 1.00 “ “ “ 22nd visit 1.00 “ “ “ 23rd visit .50 “ “ “ 24th visit .50 Peter [Morton] May 2nd prescription .50 Mr [Porcelyn] “ 8th visit (3) $1.00 “ “ “ 9th visit $1.00 “ “ “ 10th visit $1.00 “ “ “ 11th visit $64 2nd year income .50 Mrs [Breuer] “ 11th visit at night cupping $2.00 “ “ “ 12th visit 1.00 Mr Jocelyn May 12th visit $1.00 An Irish man “ “ medicine cash .50 Mr Jocelyn “ 13th visit at night $2.00 “ “ “ 13th visit 3 1.00 “ “ “ 14th 2 1.00 Mrs [Breuer] “ 13th visits 2 1.00 “ “ “ 14th visits .50 Mr Jocelyn “ 15th visit 1.50 Mrs [Breuer] “ 15th visit .50 Mr Jocelyn “ 16th visits 2 1.00 “ “ 17th visits 2 1.00 “ “ “ 18 visits 2 1.00 Emigrant child “ 22 prescription & visit 1.50 Samuel Edgar “ 23rd prescription .50 “ “ 23rd “ .50 26th cash .50 Mr [illegible] “ 27th visits 2 1.50 “ “ “ 28th visits 2 1.00 “ “ “ 30th prescription .50 Mr Houseman Jany 23rd prescription .50 “ “ June 1st visit 1.00 Mrs Jocelyn June 9th 2 visits 1.00 “ “ June 10th 1 visit .50 June 16th prescribe for a little girl .50 Mr Jocelyn “ 26th visit at night 1.00 [Wytenbaugh] July 2nd dressing two cut [illegible] 1.50 Irishman child July 3rd visit 1.00 “ “ July 4th visit .50 “ “ “ 5th .50 July 20th prescription .50 August 17th cash $1.00 “ 18th cash .50 August 19th [illegible] [illegible] .50 Irish man’s child “ 18th $1.00 “ “ “ 20th .50 “ “ “ 26th 1.00 “ “ “ 28th .50 “ “ “ 29th .50 cash .50 Mr Redfield Sept. 18th one visit 1.00 “ “ “ 19th visit .50 “ “ “ “ visit .50 “ “ “ 20th visit .50 “ “ “ 23rd visit .50 Mr Williams Oct: 29th visit $1.00 “ “ “ 10th Do .50 Irish-man Oct: 22nd Do cash $1.00 Crushed foot Nov: 2nd Do $1.00 “ “ “ 3rd Do 2 visits $1.00 “ “ “ 4th Do 2 visits 1.00 1856 Jan: 27th obstetrical case $5.00 [illegible] Redfield April 12th visit & medicine 1.00 [3rd year 27] Monsieur May 27th visit & medicine $1.00 “ “ 28th visits 2 $2.00 Mr Hill June 16th visits 2 medicine $2.00 “ “ “ 17th visits 2 “ $2.00 “ “ “ 18th visit “ “ July 21st visits no 2 $2.00 “ “ “ 23rd visit no 2 $2.00 “ “ “ 25th visits no 1 $1.00 “ “ Augst 16th prescription .50 1857 [illegible] April 2nd 2 visits “ 3 2 visits “ 4 1 visit “ 5 2 visits April 6th 2 visits 4th year’s $12.50 Irishman’s child August 31st night visit $2. “ “ Sept. 1st visit 1. “ “ “ 2nd visit 1. “ “ “ 3rd visit 1. Mr Digg’s child Amt carried forwd $2. “ “ Sept: 4th visit 1. Irish man’s child Sept: 9th visit 1. Mrs Diggs (herself) Sept: 10th visit [illegible] Mrs Diggs “ 11th visits 2 2. [Illegible] Renard French boy “ 20th visit & med. 1. Amey Renard 22 visit & med. 1. Amey Renard 23rd visit & med. 1. Amey Renard 24th visit & med: 1. “ “ 25th visit & med 1. “ “ 26 “ “ 1. “ “ 27 “ “ 1. “ “ 28th “ “ 1. “ “ 29th “ 1. “ “ 30th “ 1. Mrs [Lurian] French woman’s baby Oct 5th visit & med. 1. “ “ child “ “ “ 1. Monsieur Lurian Oct: 22nd visit & med: 1. “ “ Oct: 22nd visit & med: 1. “ “ Oct: 23rd visit 1. Monsieur Renard “ “ “ & med: 1. “ “ “ 24th “ 1. Monsieur Julian “ “ “ & med: 1. “ “ “ 25th visit 1. “ Renard “ “ “ & med: 1. “ Lurian “ 26th visit 1. Mon’s Renard 26th visit & med $1. Mon’s Renard 27th visit 1. “ Lurian “ “ 1. “ Lurian 28th visit 1. “ Lurian 29th visit 1. “ Renard “ “ 1. Mons Lurian 31st “ 1. Mons Renard “ “ 1. Mons Lurian & child Nov: 1st “ & med: 1. Mons Renard “ “ “ 1. “ “ “ 2nd “ 1. “ Lurian & child “ 2nd 2 visits & med: 3. “ “ “ “ “ 3rd 1 visit 1. “ Renard “ “ “ 1. “ Lurian “ 4th “ 1. “ “ “ 5th “ 1. “ “ “ 7th “ 1. “ “ “ 8th “ 1. “ “ “ 9th “ 1. “ “ “ 10th “ 1. “ “ “ 1858 Edwd Hines Feb 22nd lancing boil .50 Mr House 27th visit 1.00 Dutchman March 14th visit cash 1. Monsieur [Manie] prof. May 15th visit 1. “ “ June 7th visits 2 2. “ “ “ 8th visit 1. “ “ “ 9th visit. 1. “ “ “ 11th visit 1. “ “ “ 13th visit 2. “ “ “ 14th visit 1. “ Lurian’s child “ 25th “ 1. Mon’r Lurian June 26th visits 2 $2. “ “ June 26th visit $1. “ “ “ 28th night visit & day cash $2 $3. “ [Many] “ 29th visit. $1. Dutchwoman “ 29th visit. $.50 [illegible] child. July 6th medicine .50 Monsieur Lurian’s child “ 17th prescription .50 “ “ “ “ 18th visit 1.00 “ “ “ “ 19th visit 2 1.50 “ “ “ “ 20th visit 1.00 Elijah Knight (wife) Sept. 10th visit 1.00 “ “ “ “ 11th visit 1.00 “ “ “ “ 16th visit 1.00 Monsieur Shoemaker “ 29th visit & medicine 1.00 “ “ 30 visit 1.00 Mr Woodruff’s sister in law Oct. [14]th obstetrics 10.00 “ “ Oct: 15th visit “ “ “ 16th “ Mr hotel keeper’s child Nov: 16th visits 3 cash 2.00 1859 Mrs Smock Jany 9th visit 1.00 “ “ “ 10th visit 1.00 “ “ “ 11th visit 1.00 Mrs Lurian “ 13th obstetrics & 2 visits 10.00 “ “ “ 15th 1.00 “ “ “ 18th visit Mons Krotz’s child Feby 2nd visit at night 2.00 “ “ “ “ 3rd visits 2 2.00 “ “ “ “ 4th visits 2 2.00 “ “ “ “ 5th visit 2 2.00 “ “ “ “ 6th visit 1 1.00 $5.00 cash $ .[illegible] Mrs Roe Feby 21st charity patient visit 1.0 “ “ “ 22nd “ “ “ 1.00 Mrs Bucksot’s child [illegible] April 20th visit Madam Manie May 15th 3 visits & medicine 2.00 “ “ “ 16th 3 “ 2.00 “ “ “ 17th 2 “ 2.00 “ “ “ 18th “ “ 2.00 “ “ “ 19th 2 “ 2.00 “ “ “ 20th 2 “ 2.00 $5 Delacroix boy “ 21st 1 visit 1.00 “ “ “ “ “ 22nd 2 visits 2.00 “ “ “ “ 23rd 2 visits 2.00 “ “ “ “ 24th 1 visit 1.00 “ “ “ “ 25th 1 visit 1.00 “ “ “ “ 26th 1 visit 1.00 Patr Costello July 16th night visit 2.00 Mrs Goings child (col) “ 23rd day visit (Dr Garton’s patient) 1.00 Madam Lorien baby Augst 28th “ “ 1.00 1860 Mr [illegible] (baby) Jan 9th night visit 2.00 “ “ “ “ 10 day “ 1.00 Mr Robb’s child “ 22nd “ “ 1.00 “ “ “ 23rd “ “ 1.00 Mr [illegible]’s niece March 16th “ “ 1.00 “ “ “ “ 17th “ “ 1.00 $4 rec’d “ “ “” 19th “ “ 1.00 “ “ “ “ 20th “ “ 1.00 “ “ “ “ 24th “ “ 1.00 [illegible] [judge] [wick] May 16th night paid one dollar 2.00 Mons [Many’s] child “ 18th 1.00 “ “ “ “ 19th 1.00 “ “ “ “ 20th 1.00 “ “ “ “ 21st 1.00 [Napoleon] June 2nd Mr Hazen to see his daughter June [illegible] visit & med: $1.50 Mr Lange “ “ child Nettie “ 5th visit & med: .75 “ “ “ “ “ 6th “ “ .75 Mr Hazen med. [illegible] for daughter “ 6th .35 a Lange’s child Nettie “ “ “ “ .75 “ “ “ “ “ 7th 2 visits 1.00 Mr Mullen’s eyes “ “ visit & med: 1.00 a Saddler med: for chills : : .50 Mrs Thomason medicine “ “ .50 Mr Coulson “ “ 8 med: 50 “ “ “ “ 10th “ 1.00 “ Hazen’s daughter “ “ & visit 1.50 Perry Myers ? 13th [1.75] Mr Smith’s (little girls head) “ 14th 1.00 Mr Standiford (vaccinating boys) “ “ .50 Mr Hertenstein’s child “ 13th .50 “ “ “ “ 14th .50 Mrs Standiford (confinement) “ 15th 5.00 Mr Parker to see his child “ “ visit & med. .50 MR Mullen’s eyes “ “ “ 1.00 Mrs Standiford “ 16th .50 Mr Hazen’s daughter “ “ medicine 1.50 Mrs Lange “ 17th visit & med. .75 Mr Hartenstein’s child “ “ “ “ .50 Mr Mullen’s eyes “ “ “ “ 1.00 Mr Lange’s child Nettie “ “ “ .75 Dutchman pulling tooth “ 17th .25 Mr Wilde’s Mary “ 18th visit & med. .75 “ “ “ “ 19th visits 1.00 Mr Packer’s child (girl) “ “ visit 1.00 Mr Wilde’s Mary June 20th visits 1.00 “ “ “ “ 21st visit 1.00 [illegible] [illegible] to himself “ “ visit 1.00 Mr Parker’s child “ “ visit .50 Polander (Kean’s lessee) “ “ prescription & med: free .50 Mrs Lange “ “ visits & med to her 1.00 [illegible] [illegible] “ 22nd visit 1.00 Mr Mullen’s eyes “ 22nd “ & med: 1.00 Mr Parker’s child “ “ “ “ 1.00 Mr Wilde’s Mary “ “ “ “ 1.00 “ “ “ “ 23rd “ 1.00 [illegible] [Mullen’s] eyes “ “ visit & med: 1.00 [Bloss Gigos] “ “ “ “ .75 Mrs Gigos’s sister “ “ “ “ .75 Mr Parker’s child “ “ “ “ .75 Mrs McDowel “ “ med: .50 Parker’s child (Harvey) “ 24th visit “ .50 Mr [illegible] Mullen’s eyes “ “ “ & med 1.00 Mrs Stewart [illegible] “ “ pulling two teeth free .50 Mr Stewart (to son) “ “ visit & med “ 1.50 Mr Wilde’s Mary “ “ visits “ 1.00 [illegible] Mr Stewart’s son “ “ “ “ free 1.50 Mr Jas. Mullen’s eyes “ “ “ “ 1.00 “ “ “ “ “ 25th “ 1.00 “ Wilde’s Mary “ “ visit .50 “ Stewart ([Rev]) “ “ visit & med: 1.50 “ Parker’s (Harvey) “ “ “ .50 “ Jas Mullen’s eyes “ 26th “ 1.00 [illegible] Wilde’s Mary “ “ “ .50 Rev Mr Stewart son free “ “ “ med: 1.50 “ “ “ “ “ pulling tooth .25 Mr Hartenstein’s child June 26th visit & med .50 “ Standiford’s daughter “ “ “ .75 Jno Lewis son “ “ “ 1.50 “ “ “ “ 24th “ 1.50 “ Jas Mullen eyes “ “ “ 1.00 “ Hertenstein “ “ “ .50 “ Standiford “ “ .50 Mr Keen’s [Daug] Mary “ “ 1.00 Mrs Rev Stewart “ “ & med free 1.50 “ Lange child “ “ “ .765 “ “ “ 28th visit 1.00 “ Keen’s Mary “ visit & med 1.00 Mr Mullen’s eyes “ 1.50 Hertenstein “ .50 Rev Mrs Stewart free “ 2 visit & med 3.00 Mr Parker’s boy (croupy cough) “ “ & med: 1.00 Charley [Housmen] “ V.S. & med .50 [Bloss Gigos] (baby) “ visit & med: [illegible] “ “ “ 29 “ .50 Mrs Lange [illegible] measles “ “ “ .75 [illegible] Keen “ “ “ .75 Mr Jas: Mullen “ “ “ 1.50 Mr Parker’s Jimmy & baby “ “ “ .75 Mr Standiford Jr “ “ “ .75 “ “ “ 30th “ “ .75 [illegible] Lange “ “ .50 Mary E. Kean “ “ “ .[illegible] Mrs Keen “ visit “ 1.00 Mr Jas: Mullen “ visit “ [illegible] [Bloss Gigos] to himself (leg) “ “ “ .75 “ “ “ “ July 31st “ .50 Mrs Keen to her “ “ .50 Mr Jas. Mullen eyes July 1st visit & med: .50 “ Standiford Jr “ “ “ .50 Mrs [illegible] “ “ “ “ 1.00 [Bloss Gigos] “ 1st visit “ 1.00 “ “ “ 2nd visit 1.00 “ “ to baby “ “ “ “ .75 Mr Jas: Mullen eyes “ “ “ “ [illegible] “ Wilder’s Marie “ “ “ “ 1.00 Mrs Stewart free “ “ prescription “ [illegible] Mrs Morback’s two girls “ “ visit & med 1.00 “ “ “ “ “ 3rd “ “ “ 1.00 “ Jas Mullen eyes “ “ visit “ “ .50 Marie Wilder “ “ visits “ “ 1.00 [Bloss Gigos] “ “ “ 1.00 “ “ “ 4th “ “ “ 1.00 Marie Wilde “ “ “ “ “ 1.00 Cecilia & Celestine Morback “ “ “ “ 1.00 Jimmy Mullen eyes “ “ office advice “ .50 vaccination “ “ each .25 Jimmy Mullen’s eyes July 5th office [illegible] & med 1.00 [Bloss Gigos] “ “ visit & med 1.00 Marie Wilder “ “ “ “ 1.00 [Cecil] & Celestine Morback “ “ “ “ 1.00 Mr Standiford family “ “ “ 1.50 “ “ “ “ 6th “ .50 [Bloss Gigos] “ “ “ “ 1.00 [Cecil] & Celestine Morback “ “ “ “ 1.00 Marie Wilder “ “ “ “ 1.00 Jimmy Mullen “ “ prescription “ .50 “ “ “ 7th “ “ [illegible] Cecil & Celestine Morback “ “ visit “ 1.00 Marie Wilder “ “ “ “ 1.00 [Bloss Gigos] “ “ “ “ 1.00 Mrs Lange July 7th visit & med .75 Mrs Morback “ “ “ “ .50 Mrs Keen “ “ “ .50 Dutch John “ “ “ “ .75 “ “ “ 8th “ .50 Mr Morback’s children “ “ “ “ .75 Marie Wilde’s “ “ “ “ Jimmy Mullen eyes “ “ prescription [illegible] [illegible] Mullen (baby) “ “ visit & med 1.00 “ “ “ “ 9th “ 1.00 Jimmy Mullen (eyes) “ “ prescription .50 Mrs Morback “ “ visit .50 [Dutch] John “ “ “ .50 [illegible] Standiford baby “ “ visit “ & med 1.00 “ “ “ “ 10th visit .50 B. Mullin baby & [Bernard] “ “ “ .50 Jimmy Mullen eyes “ “ prescription & med .50 “ “ “ “ 11th “ “ .50 Mrs Standiford “ “ visit .50 “ [illegible] “ 12th pulling tooth & visit .50 “ [Larison] “ “ visit & med (night) 1.50 “ “ “ 12th “ “ “ 1.50 “ Keen “ “ [illegible] [illegible] 5.00 Jimmy Mullen (eyes) “ “ prescription .25 [Bloss Gigos] “ “ [illegible] of oint: .25 Mrs Larison & baby “ 13th visit & med: 1.50 Mrs Standiford “ “ “ .50 Mrs Keen “ “ “ .50 “ Lanson & baby “ 14th “ “ 1.50 “ Spence “ “ “ “ 1.50 “ Hertenstein’s boy (eldest) “ “ prescription & med .50 “ Bowers son “ “ “ “ .50 Mr Bowers son July 15th visit 1.00 Mrs [Presle] “ “ prescription & med .50 Mr Beard’s (baby) “ 16th visit “ .75 Mrs Davis’ eczema “ “ “ .50 “ Larison “ “ visit & med: 1.50 “ Lange “ “ visit & med (night) 1.00 “ Standiford (baby) “ 17th “ “ .50 Mr Beckhardt [illegible] “ “ “ “ 1.50 “ Dawson’s child “ “ “ “ cash .50 Mrs Geo: Larison “ “ “ “ 1.50 “ Beard’s (baby) “ “ “ “ .75 Mr Standiford “ “ “ “ “ night 1.50 Monsieur Bichard himself “ 18 “ “ 1.50 Dawson’s child cash .50 Mr Standiford’s baby “ “ “ & med .75 “ “ “ “ 19th “ “ .75 “ Spence to himself “ “ “ “ 1.75 Mrs Geo Larison “ “ “ “ 1.25 Mrs Lange ([Tommy]) “ “ prescription “ .50 Mr Standiford (baby) “ 20th “ “ .50 “ Davis himself “ “ “ “ .50 “Standiford’s baby “ 21st visit “ .75 Lange to self “ “ Standiford’s baby “ 22nd prescription “ .50 Mrs Lange herself “ “ visits “ .75 Mr McEwen baby’s eyes “ “ prescription “ .50 “ Hughes [baby] free “ 23rd visit “ 3.00 Mr Lange to see Tommy “ “ prescription “ .50 Mrs Geo: Larison “ “ visit “ 1.50 Mrs Kean “ 24 “ “ .75 Mrs Lange “ “ med .50 [Mr] Hughes “ 25th visit & med: 3.00 Mr Geo: Larison “ 26th visit 1.50 Mr Standiford July 27th ointment for himself .50 “ Danl Myers “ “ visit & med: 1.00 “ Irishman “ “ “ cash .30 Mr Dan’l Myers “ 28th visit .50 Mr Hughes (palsy) “ “ “ “ 3.00 “ Standiford (talbot) “ “ “ “ .75 “ Kean’s baby “ “ prescription “ 75 “ Standiford (daughter [illegible]) “ 29th visit “ 1.00 Mrs Lange’s (Tommy) “ “ “ “ .75 Mrs Dan’l Myers “ “ “ “ 1.00 Mrs Johnson’s daughter 26 mile house “ “ “ “ 1.50 MRs Waggoner “ “ “ 2.50 “ “ “ 30TH visits 2.50 Mr Johnson’s daughter Belle “ “ visit “ 1.50 “ Standiford’s eldest daughter “ “ visits “ [1.50] Mrs Lange’s Tommy “ “ “ .50 Mr Lewis shingle mill “ “ visit “ 1.50 Mr Ezra Thackeray “ “ prescription “ .50 “ Standiford “ 31st visit 50 Miss Belle Johnson “ “ “ 1.50 Mr Lewis (son) “ “ “ “ 1.50 Mr Lange (Tommy) “ “ “ .50 Mrs Weston new point “ “ “ “ 3.50 Mrs C Leary “ “ “ “ “ .50 MRs Wagoner Jr “ “ prescription .50 [illegible] Hughes Augst 1st visit “ [3.00] Mr Johnson (daughter Belle) “ “ “ “ 1.50 [Bloss Gigos] [illegible] baby) “ “ “ “ .75 Johnson Belle “ 2nd “ “ 1.50 Mr [illegible] [illegible] “ “ “ “ 1.50 [Bloss Gigos] to baby “ “ “ .50 Mrs Lange “ “ prescription med .50 Mr Ezra Thackeray Augst 2nd prescription & med. .50 Mr [Newberry ([illegible]) “ “ visit & “ 2.00 Mr Thompson Castor “ “ “ “ “ 1.50 Mr Brooks senr “ 3rd “ “ 1.50 Mr Newberry “ “ “ “ 2.00 Mr McEwen med for baby’s eyes “ “ “ .50 Mr Colvin (baby) “ “ “ “ [3.00] Mrs Waggoner Jr “ 4th “ 1.50 Mr Marsh “ “ med. for legs .25 Mr Colvin (baby) “ 5th visit & med. 3.50 Mr Thackeray (boy) “ “ “ “ 1.00 Mr Jeremiah Davis “ “ prescription “ .50 Mr Newberry ([illegible]) “ 6th visit “ 2.00 Mr Thackery Jno (boy) “ “ visits 1.00 “ “ “ 7th “ “ 1.00 “ Newberry “ “ visit “ 2.00 Mrs [O’Leary] “ “ “ “ .50 Mr Colvin (baby & boy) “ “ “ “ [3.50] “ Newberry “ 8th “ “ 2.50 “ Thackeray boy “ “ visits “ 1.00 Geo: Larison’s wife “ “ visit “ 1.50 Mr Thackeray (boy) “ 9th visit “ 1.00 Mrs Geo Larison “ “ “ “ 1.50 MR Newberry “ “ “ “ 2.00 M “ “ 10th “ “ 2.00 Mr Thackeray’s (boy) “ “ “ “ 1.00 Mrs Geo: Larison “ “ “ “ 1.50 Robertson (daughter) [Pennington] “ “ “ “ 3.00 Mr Thackeray boy “ 11th “ 1.00 Mr Newberry “ “ “ 2.00 Mr [illegible] daughter “ “ “ 3.00 Mr Lange (John) “ “ “ “ .75 Mr John Thackery Augst 11th prescription & med .50 Mr Thackeray (boy Hampton) “ 12th visit 1.00 Mr Hughes “ “ “ visit 2.50 Mr Thackery boy Hampton “ 13th visit 1.00 “ “ “ “ 14th .50 Mr Standiford “ “ med for wife .25 Mr Wilder baby “ “ visit & med .75 Mr [??rlson] jr “ “ prescription & med 1.00 Mr Wilde’s baby “ 15 “ “ 50 Thackeray boy “ “ visits 1.00 Mr Wilson (Laughrey) “ “ visit & med 3.00 Mr Wildes baby “ 16 visit med 1.00 [illegible] [illegible] boy “ “ “ 1.00 Mrs Kean “ “ prescription .50 Mr John Thackeray Jr (boy) “ 17th visit & med 1.00 Mr Wilson “ “ visit [illegible] Mr Lange ([Reg]) “ “ “ .75 Mr Thackeray (boy) “ 18th visit “ [illegible] Lewis Lange “ “ [illegible] & [illegible] 1.00 Mrs Lange (reg) “ “ visit .50 Mr Jno: Wilson “ “ visit & med. .50 Mr Hughes “ “ prescription .50 Mr Newberry “ “ “ .50 [illegible] [illegible] “ “ “ .50 “ [illegible] Welch “ “ visit & v.s. & med 2.00 “ “ “ “ 19th visits 2 “ 2.50 “ [Jno] Thackray “ “ visit “ 1.00 Jno Wilson ([illegible]) “ “ visit “ 2.00 [illegible] Lange “ “ rising [at night] “ 1.00 [illegible] Andrews “ 20th prescription 50 [Mrs] John Thackray “ “ visit 1.00 Mr Kelch Augst 20th visit & med 1.50 Mr Wilder “ “ “ .50 Mr Jno Wilson (Sam) “ “ “ 2.00 Mr Jos: Thackray “ “ “ passing .50 Mr Lange (reg) “ “ visit .50 Mr Wilder (baby) “ “ “ .50 Mrs Lamb “ “ prescription .50 Mrs [Bush] N.P. & baby “ “ visit night & med 3.50 Mr Lange (Reg) “ 22nd “ .50 Mr Wilde’s (baby) “ “ “ “ .75 Thackray (boy) “ “ visits 1.00 Squire [Laughlin] “ “ prescription .50 Mr Wildes (baby) “ 23rd visit .50 Mr Jno: Thackray (boy) “ “ visit 1.10 Mr Lewis “ “ med: .25 [Mr] Groves “ “ visit “ 1.50 [Goff] family 6 in number “ “ “ “ 2.50 [Dutch] John “ 23rd “ night 1.00 Mr Jno: Thackrey “ 24th visit 1.00 [illegible] family “ “ visit 2.50 Mrs [illegible] “ “ “ 1.50 Mr Wildes (baby) “ “ “ .50 Lewis Laughlin “ “ “ visit & med 1.00 Mrs Groves “ “ “ “ “ 1.50 Mrs B. F. Mullen “ “ “ “ “ 1.00 Mr Jno Thackrey “ 25th “ .50 Goff family “ “ “ “ 2.00 Mrs Bush N.P. “ “ “ “ 3.00 Mr Wildes “ “ “ .50 Mr Groves “ “ “ 1.50 “ “ 20th 2 visits 2.00 Goff family Augst 26th visit & med 2.00 “ “ “ 27th “ “ 1.50 Mrs Groves “ “ “ “ 1.50 Mrs Standiford “ “ “ “ .75 “ “ “ 28th visit “ 1.00 Goff family “ “ visit 1.50 Goff family “ 29th “ “ 1.50 Mrs Standiford “ “ “ “ .75 Dutch John for Wildes “ “ examination 1.00 Mrs Groves “ “ visit “ 1.50 MRs Lange John “ “ “ “ .75 “ “ “ “ 30th “ “ .75 “ Standiford “ “ “ .50 Mrs Goff Mr Goff and boy “ “ “ 1.50 Mr Gramhaus at [Waltzman] “ 29th “ “ 3.00 “ “ “ “ “ 30th “ “ 3.00 Mr Marion “ “ “ night “ 2.50 “ “ “ 31st prescription .50 Mr Gramhaus at Waltzman “ “ visit & med 3.00 Mr Lange John “ “ visit [1.00] Goff “ “ “ 1.50 Mrs Gramhaus at Baltzman Sept 1st “ “ 2.00 Mr Lange to Nettie “ “ visit .50 Mr Marsh oint for legs “ “ .25 Goffs “ “ visit 1.50 Lange “ 2nd “ .50 Mr Gramhaus “ “ “ & med 2.00 “ “ “ 3rd “ “ 2.00 Mr Dan: Biddle “ “ “ “ 3.00 Mr Fletcher “ “ “ “ .75 “ [illegible] baby “ “ “ “ .75 “ Lange Nettie “ “ “ “ .75 Mrs [Pat]: Lamb Sept 3rd prescription for eyes .50 Mr Marion for wife & self “ “ “ 1.00 Mr Standiford “ “ “ .50 Mr Bloss Gigos for wife “ “ visit & med .35 Mr “ “ “ “ 4th “ “ .75 Mr Dan Biddle & child [illegible] “ “ “ “ 3.50 “ Fletcher child & wife “ “ “ “ .70 “ Cork little girl “ “ “ “ 1.50 “ Gramhaus at Baltzman’s “ 5th “ 2.35 “ Colvin baby “ “ “ 1.50 “ Lewis Lange “ “ “ .25 “ Bloss Gigos baby at Fisher’s “ 6th “ “ 1.00 “ Dan Biddle & girls ([Balsto?]) “ “ “ “ 3.50 “ “ & girl “ “ 7th “ “ 3.50 [Illegible]’s baby “ “ “ prescription .50 “ Bloss Gigos baby at Fisher “ “ visit & med 1.00 “ Lange (Tom) “ “ “ “ .75 “Fisher child at Bloss “ 8th “ “ .75 “ Bloss Gigos child at Fisher’s “ “ “ “ 1.00 “ Groves “ “ “ “ 1.00 “ child “ “ “ “ 1.00 “ [illegible] Thackrey “ “ “ half [illegible] V.S. 1.00 “ Dan: Biddle & girl “ “ “ “ 3.50 “ Jon Wiseman “ “ prescription .50 “ Fisher boy at [illegible] “ 9th visit & med .75 “ [illegible] ( wife) “ “ “ “ .50 “ Hudson son “ “ “ “ 2.00 “ Ezra Thackrey grand child “ “ “ “ 2.30 “ Dan Biddle & child “ “ “ “ 3.50 “ Hudson son “ 10th “ “ 2.00 “ Ezra Thackrey grandchild “ “ “ “ 2.35 “ Fisher son “ “ “ “ 1.00 [Bloss] [Gigos] boy “ “ “ “ .75 Mr [Corey] [wife] Sept 10th visit & med 2.50 “ “ “ 11th visit & med. 2.50 “ Bloss Gigos “ “ “ .75 “ Hudson son “ “ “ “ 2.00 “ Ezra Thackrey “ “ “ “ 2.35 “ “ “ “ “ “ “ 1.00 “ “ “ “ 12th “ “ 1.30 “ [Corey] wife “ “ “ “ 2.50 “ Rysinger “ “ “ “ 1.00 “ Hudson son “ “ “ “ 2.00 “ Bloss Gigos “ “ “ .50 “ Ezra Thackrey “ “ “ “ 1.50 “ “ “ “ 13th “ 2.50 “ [Corey] wife “ “ “ “ 2.50 “ Rysinger “ “ “ “ “ 2.50 “ “ “ “ 14 “ “ 2.50 “ [Corey] “ “ “ “ “ 2.50 “ Ezra Thackrey “ “ “ “ 2.50 “ Lewis child “ “ “ “ 1.50 “ Kean baby “ “ prescription .50 “ Ezra Thackrey “ 15th visit & med 2.50 “ [Corey] “ “ “ 3.00 “ Rysinger wife “ “ “ 2.50 “ “ “ “ 16th “ “ 2.50 [Corey] “ “ “ “ “ 2.50 “ Ezra Thackrey grandchild “ “ “ “ 2.25 “ Bush “ “ “ “ 1.00 “ Goff oldest boy self & wife “ “ “ 2.00 “ Thackrey (charlotte) “ 17th “ 2.25 “ [Corey] (wife) “ “ “ “ 2.50 “ Rysinger (wife) “ “ “ “ 2.50 “ Bush “ “ “ “ 2.00 Mr Lange (Josephine) Sept. 16th & 17th 2 visits 1.00 “ Parker (wife) “ “ prescription .50 “ Bush “ 18 visit 2.00 “ Ezra Thackrey “ “ “ & med 2.25 “ Lange “ “ “ .50 “ Goff “ “ “ 1.50 “ Ezra Thackrey “ 19th “ “ 2.25 “ Lange “ “ “ .50 “ Spence “ “ “ 2.00 “ Gowan wife confinement [illegible] “ “ confinement 6.50 “ Spence “ 20th 2.00 “ Lange “ “ .50 “ [illegible] “ 21st visit .50 “ Ezra Thackrey charlotte “ “ “ 2.25 “ [illegible] Biddle & girl (daughter) “ “ “ med 3.50 “ Goff wife son & baby “ “ “ “ 2.00 “ “ “ 22nd “ 1.50 “ Dan Biddle self “ “ “ “ 3.00 “ [illegible] Newman “ “ “ “ 3.00 “ Lange Tom “ “ “ “ .75 “ “ “ “ 23rd “ “ .50 “ Goff “ “ “ “ 1.50 Frank Gigos “ “ “ “ .75 “ “ “ 24th “ “ .75 Mr Lange (Tom) “ 26th visit “ 1.70] “ “ “ “ 25th visit to [illegible] .75 [illegible] [illegible] Frank Gigos “ “ visit & med .75 Mr Little “ “ “ “ 2.75 “ “ “ 25th “ “ 2.75 Mrs Perry “ “ “ “ 1.75 Frank Gigos “ “ “ “ .50 [illegible] Lange Tom Sept 26th visit .50 Frank Gigos “ 27th visit .50 Mrs Perry “ “ [illegible] med .50 Mr Ben Little “ “ visit & med 2.75 “ [Wantling] “ 29th “ “ 2.25 Mr Lange to David “ “ “ “ .75 “ Lewis “ 29th “ “ 2.00 “ “ “ 30 “ 1.00 “ Wantling “ “ “ “ 2.25 “ Lange David “ “ “ “ .75 “ “ “ Oct 1st “ “ .50 “ Lewis “ “ “ “ 2.00 “ Wantling “ “ “ “ 2.25 Mrs Chas Stewart “ “ [illegible] .50 Mr Keen Lizzie “ “ visit & med .75 “ Ball [Balstoun] “ “ “ night 3.25 “ “ “ “ 2nd “ “ 3.00 “ Lewis “ “ “ “ 2.00 “ Wantling “ “ “ 2.25 “ Lange wife “ “ “ .50 “ Keen Lizzie “ “ “ .75 “ Groves (wife) “ “ prescription .50 [illegible] white “ “ visit & med .75 Mrs Lange [illegible] [illegible] “ 3rd “ .75 “ Keen Lizzie “ “ “ .50 “ Jacob Van Kirk “ “ “ .75 “ H. Ball “ “ “ “ 3.00 “ Wantling “ “ “ “ 2.00 “ [Cacy] “ 4th “ “ .75 “ H Ball “ “ “ “ 3.00 “ Kean Lizzie “ “ visit & med 1.00 “ Hudson Jane “ “ visit “ 2.00 Mr Hudson Jane Oct: 5th visit & med 2.00 “ H Ball “ “ “ “ 3.00 Mrs [Corey] “ “ “ “ 2.00 “ Lange Tom “ “ prescription .50 Mr Keen Lizzie “ “ visit [1.50] Mr Wantling “ “ “ 2.00 Mr B. Gigos “ “ prescription .50 Mr [Tool] Ball “ 6th visit & med 3.00 “ [illegible] “ “ “ “ 2.50 “ Keen “ “ visit “ 1.00 “ “ 7th “ [1.00] “ [Beitz] “ “ visit “ 2.50 “ [Tool] “ “ “ “ 2.50 “ “ 8th “ “ 2.50 “ Colvin “ “ med .25 “ Keen “ 7th & 8th visit & med 2.10 “ Beitz “ 8th visit & “ 2.50 “ H Ball “ “ “ “ 3.00 “ Lange Tom “ 9th prescription .50 “ [Tool] “ “ [illegible] & med 2.50 “ Colvin “ “ “ “ .50 “ Wiley Bartlet “ “ “ [illegible] 5.00 “Beitz “ “ “ “ 2.50 “ [Tool] “ 10th “ 2.00 “ [Beitz] “ “ 2.50 “ [Tool] “ 11th [visit] & med 2.50 “Beitz “ “ “ 2.50 “ “ “ 12 “ 2.00 “ [Corey] “ “ “ “ 3.00 “ [Tool] “ “ “ “ 2.50 “ [illegible] Thackrey “ “ “ 2.50 Mrs Sophia Thackrey Oct 15th visit & med 2.50 Mr [Corey] “ 5.00 Mrs Lange Tom “ “ “ prescription .50 [illegible] Keen [illegible] “ “ visit & med .75 Mr [Tool] “ “ “ “ 2.50 “ [Corey] “ 16th [illegible] Mrs Sophia Thackrey 2.50 [illegible] [Wiles] baby “ “ visit & med [1.00] [illegible] Keen [illegible] “ “ [illegible] Mrs McEwen (Williamson) “ [illegible] [4.00] Mrs Gigos [illegible] “ “ prescription .50 Mr [Corey] “ 15th visit & med [illegible] Mrs Sophia Thackrey “ “ “ “ [2.50] [Mrs] McEwen (Williams) “ “ visit 2.00 Mr Wiles baby “ “ visit .50 Mrs B [S] [Mullen] “ 16th visit & med 1.00 Sophia Thackrey his children “ visit “ 2.00 [illegible] [illegible] Gray boy “ ‘ prescription .50 [illegible] [Tool] “ “ visit .25 Mrs McEwen (Williamson) “ “ 2.00 [illegible] 17th “ 2.00 Sophia Thackrey “ “ “ & med 2.50 “ “ “ 18th “ 2.00 “ McEwen (Williamson) “ “ “ 2.00 “ Sophia Thackrey 19th “ & med 2.50 “ “ “ “ 20th “ & med 2.50 “ [Rey] bold] “ 19th & 21st visit “ 1.50 “ Dan Myers “ 20th visit “ 1.50 “ “ 21st visit “ 1.00 “ [Reybold] “ “ “ .50 “ Sophia Thackrey “ “ “ 2.50 [illegible] Standiford Oct. 21st visit & med .75 “ “ “ 22nd “ .50 “ [Reybold] “ “ visit .70 “ Dan Myers “ “ “ & med 1.50 Mrs Sophia Thackrey “ “ visit “ 2.50 “ “ “ “ 23rd “ 2.00 Mr Dan Myers “ “ visit “ 1.50 Mr Reybold “ “ visit “ .50 “ Hughes “ 20th “ [2.00] “ Reybold “ “ “ .50 “ Dan Myers “ “ “ 1.00 “ Standiford “ “ “ .50 Mrs Bloss Gigos “ 25th prescription .50 Mr Reybold “ “ visit .50 Mrs Williamson “ med for children .50 [Mrs] Keen baby “ visit 1.00 [illegible] Merrick “ 26 prescription .75 Mrs Keen baby “ “ visit .50 Mrs Groves “ “ prescription 1.50 Mr Standiford “ 30th med: .25 “ [Price] [illegible] Penington Nov: 1st visit consultation 2.50 “ “ .25 “ McEwen “ 2nd .50 “ [illegible] White “ visit & prescription 2.50 “ “ 3rd “ & med 2.50 [illegible] [illegible] “ 4th “ “ 2.50 [illegible] [Tool] “ “ “ 2.50 “ Cummings “ 5th “ “ 2.50 [illegible] Lange “ “ prescription .50 Mr Cummings “ 5th “ “ 2.50 Mrs White “ “ prescription & med .50 Mr Cummings “ 7th [visit] .25 [Mr] Snyder Nov 7th visit & med [?.25] Mrs White “ “ prescription .50 “ Snyder “ 9th .50 “ Hargrove at Keen’s “ “ visit & med .75 “ “ “ 10th visit [illegible] “ Lange (Tom) “ “ “ “ 1.00 “ “ “ 12th “ “ 1.00 “ Hargrove “ “ “ .50 “ Lange Tom “ “ “ “ 1.00 “ “ “ 13th “ “ 1.00 “ Keen Mary Ellen “ “ visit “ .75 “ Colvin “ “ “ 2.50 “ Cook at Penington “ “ med. .25 [Prudence] Merrick “ “ prescription .50 [Bloss Gigos] baby “ “ visit at night 1.00 “ “ “ “ 15th “ .50 “ Keen (Mary Ellen) “ “ visit 2 & med 1.50 Mrs Colvin “ “ visit 2.50 “ “ “ 15th visit 2.50 Mr Lewis “ “ “ [illegible] 2.30 “ Lange “ “ visit “ 1.00 “ Keen [illegible] “ “ prescription .50 “ “ “ 19th visit [illegible] swelling [illegible] .75 “ Lange Tom “ “ “ “ .75 “ Lewis “ “ “ “ 2.00 “ Standiford “ “ prescription .50 “ Groves “ 19th “ .50 “ Lange Tom “ “ visit & med .75 “ “ “ “ 20th “ .50 “ “ “ “ 20th “ “ .75 “ “ “ 21st “ “ .75 “ “ “ “ 22nd “ “ .75 “ “ “ “ 24th prescription .50 [Mr Lange] Mary Nov 24th visit & med .75 “ “ “ “ 25th “” .75 “ “ “ “ 26th “ “ .50 Mr Jos Ridley “ 29th visit “ 1.50 “ “ “ “ 30th “ “ 1.50 Standiford “ “ “ “ .25 “ Jos Riddle Dec 1st “ “ 1.50 “ “ “ “ 2nd 2 visits “ 2.00 “ “ “ “ 3rd visit “ 1.50 Mr Keen to Henry “ “ “ .50 “ [Champlain] Tool friend “ “ prescription .50 “ Riddle “ 4th visit & med 1.50 “ “ “ 5th “ “ 1.50 “ Coleman (wife) “ “ “ “ 1.00 “ “ “ “ 6th “ “ 1.25 “ Jos Riddle “ “ “ “ 1.50 “ “ “ “ 7th “ “ 1.50 “ Coleman “ “ “ “ 1.00 “ “ “ 8th “ “ 1.00 “ Jos Riddle “ “ “ “ 1.50 [Wilkes] Clark “ “ obstetrics 5.00 Geo Hudson “ 9th visit & med: 2.50 “ “ “ 10th “ “ 2.00 “ “ “ 11th “ “ 2.00 Jos Riddle “ “ “ 1.25 Geo Hudson “ 12 “ 2.00 John Thackrey “ “ “ “ .75 [Parker] Wise “ 13th “ “ 1.50 John Thackery “ “ “ .50 Parker Wise “ 14th “ “ 1.50 [illegible] “ “ prescription .50 Mr Standiford “ “ visit & med .75 Mr Champlin Dec 17th obstetrics 5.00 “ Dicks “ “ visit & med 2.00 Mrs Scott [illegible] “ 18th obstetrics 5.00 Mr David Dicks “ 19th visit & med [illegible] 2.50 Archibald Gillan “ “ prescription .50 Mr David Dicks “ 22nd visit at night 2.00 “ “ “ “ 24th “ 2.00 “ [illegible] “ 26th prescription .50 Geo Larison “ “ “ .25 “ Champlain “ 27th visit 2.50 1861 Mr Champlain Jan 4th visit & [illegible] 1.50 “ [Clark] “ “ prescription for ague 1.00 Mr Frank [Monser] “ 5th visit & med 2.50 “ A. Gage “ 6th “ obstetrics 5.00 “ Coleman “ 7th visit & med 2.00 Archibald Gillan “ 14th prescription 1.00 Jackson [B??craft] “ 16th [obstetrics] 5.00 Mrs [illegible] ([illegible]) “ 18th obstetrics 5.00 “ [Stringer] “ “ “ & med 5.00 “ “ “ 24 “ “ .25 “ “ “ 25th “ 1.50 Mrs Natcher “ 28th “ 1.50 Tom Wiseman July 4th “ & vaccinating 3 children 2.25 Peter Ruskytusky “ “ “ .75 “ “ “ 5th “ .75 Mr [Chester] for grand son “ 9th prescription .50 Mr Morback “ 11th visit .50 “ [Nat] Morback “ 12th 2 visit 1.00 “ Lange Tom “ “ “ .50 “ Keen [illegible] “ “ prescription .50 “ [Nick] [Maluch] “ 13th 2 visits? 1.00 Mr Ben Johnson Feby 13th visit at night 2.00 Mr Lange Tom “ “ “ .50 Mr Nick [Morbach] “ 14th “ .50 “ Keen to [Sarah] “ “ “ .50 “ Lange (Tom) “ “ “ .50 “ Marshal “ “ “ 2.50 “ “ “ 15th “ 2.00 “ Lange (Tom “ “ [illegible] visits 1.50 “ Nick Morbach “ “ 2 visits 1.00 “ “ “ “ 16th 2 visits 1.50 “ Lange (Tom) “ “ 2 visits 1.00 “ “ “ “ 17th 1 visit .50 Mr Nick [Morbach] “ “ “ .50 Hertenstein “ “ “ .50 “ Nick Morbach “ 18 “ .50 “ Lange “ “ “ .50 “ Marshall “ “ “ 2.00 Nick Morbach “ 19th 2 visits 1.00 Mr Ferguson “ “ 1 visit 2.00 “ Skinner “ “ 1 visit 5.00 “ Marshall “ 20 “ “ 2.00 “ Morbach “ “ “ “ .50 “ Koomer “ “ “ “ 3.50 “ “ “ 21st “ “ 3.00 John [Lewis] “ 24th “ “ night 2.00 [illegible] Koomer “ 26th prescription .75 “ “ “ 28 visit 3.00 Mrs Keen “ “ visit .50 [illegible] Keen “ “ visit .50 [illegible] John Lewis “ “ “ .50 “ “ “ March 1st “ 2.00 Mrs Keen March 1st visit .50 Mrs B. Gigos. “ “ 2 visits 1.00 Mr Winters “ “ 1 visit 1.50 “ B. Gigos “ 2nd “ .50 “ Winters “ “ “ 1.50 Mrs Keen “ “ “ .50 Mrs “ & Sarah “ 3rd “ .75 Mr B. Gigos “ “ “ 2 visits 1.00 Mr Winters “ “ “ 3 visits all night 5.00 “ “ “ 4th “ 1.50 B. Gigos “ “ “ .50 Miss Perry [illegible] “ 5th “ [illegible] 5.00 B. Gigos “ “ “ .50 “ at Bricket’s “ “ “ 1.50 Mr Winters “ “ “ 1.00 Mr Standiford “ “ “ .50 Sarah Keen “ “ medicine .25 Mrs Keen “ 6 visit .50 Bloss Gigos “ “ “ .50 Mr Standiford “ “ “ .50 Mr Bloss Gigos “ 7th “ .50 Mr Tom Wiseman “ “ “ 1.50 Mrs Keen “ “ “ .50 Bloss Gigos “ 8th “ .50 “ “ “ 9th “ .50 “ “ “ 10th “ .50 “ “ “ 11th “ .50 Mr Goff “ “ blister .25 Mr [illegible] Castor Jr “ “ obstet 5.00 [illegible] Merrick “ 12th visit 2.00 Mrs John Lewis “ “ “ 2.00 “ “ “ “ 13th “ 1.00 John Lewis (wife) March 15th visit & medicine 2.00 Mr [Birge] child “ 17th “ “ 1.00 “ “ “ “ 18th “ “ 1.00 “ “ “ “ 19th “ “ 1.50 John Wiseman “ “ “ “ .50 Peter Ruskytusky “ “ 2 visits “ 1.00 “ “ “ 20th visit & med: 1.00 Mr [Birge] “ 1 visit 1.50 John Wiseman “ “ “ .50 Peter Ruskytusky “ 21st “ 1.00 Peter Marbach “ 27th “ .50 Mr Keen (Sallie) “ “ prescription .50 Mr Winters “ 28th “ .50 Mr [Byrnes] (wife) “ 29th visit 2.00 “ “ “ “ 30th “ 2.00 Abner Newman Ap 2nd 2 visits examination 6.00 “ “ “ 4th visit “ 3.00 Mr Fagan “ “ “ 2.00 “ Byrnes “ 5th prescription .50 Abner Newman “ “ visit 3.00 Mr Fagan “ “ “ 2.00 Abner Newman “ 7th “ 3.00 “ “ “ 8th .25 Mrs Lyons tooth ext: “ 10th .25 Abner Newman “ 11th visit 3.00 Mrs Byrnes “ 13th med .25 John Lewis “ 15th visit & med 2.00 “ “ “ 16th “ “ 2.00 John Thackeray “ 17th prescription .50 David Martin “ 18th visit from 4 until 3 am 5.00 Mr Champlin “ “ prescription .50 Mr [Eiseman] “ 22nd “ .50 John Lewis “ 23rd night visit 2.50 Mr Dale April 25th obstetrics [illegible] 4.00 John Lewis “ 26th visit & med: 2.00 Mr McCarthy’s son May 2nd “ setting arm 5.00 “ “ “ “ 3rd visit 2.50 Archibald Gillan “ 4th prescription .50 Jno: Thackeray “ 5th visit & med: .50 Peter Bower “ “ “ “ 2.50 Jno Thackeray “ 6th “ “ .50 “ “ “ 7th “ “ .50 Peter Bowers “ “ “ “ 2.50 Abner Newman Mr Robinson “ “ “ “ 3.00 “ “ child “ “ prescription .50 Jno Thackeray “ 8th 2 visits 1.00 Abner Newman (Mr Robinson) “ “ “ “ 3.00 Jno Thackeray “ 7th 2 visits 1.00 McCarthy “ “ visit 2.50 Abner Newman “ 10th visit 3.00 Jno: Thackeray “ “ “ .50 Abner Newman (Robinson) “ 11th “ 3.00 “ “ “ “ 12th “ 3.00 [illegible] Stewart “ “ “ .50 “ “ “ 13th med .50 Abner Mrs Robinson “ “ visit 3.00 [illegible] Bowers & 3 children “ 14th “ 3.00 “ “ “ “ 15 “ 3.00 Abner Newman Mrs Robinson “ 16 “ 3.00 Chas Stewart “ “ “ .50 McCarthy “ 17 “ [illegible] Chas Stewart “ 18 “ 1.50 Mr [Cathachy] “ 25th “ 2.00 Robt Castor (wife) “ “ “ 2.00 Champlain “ 28th “ .50 2nd Year Mrs Rose June 2nd visit & med 2.00 “ “ “ 4th “ “ 3.00 “ “ “ 5th “ “ 2.00 [illegible] “ “ prescription .50 Mrs Rose “ 6th visit & med 2.00 Mrs [illegible] “ “ “ “ 1.50 Baker’s child “ “ “ [illegible] throat .75 “ “ “ 7 “ “ “ .75 Peter Bowers “ 15th prescription .50 Mr Groff “ 17th prescription .50 “ La Roche “ “ “ .50 Mr Skinner “ 18th visit & med 5.00 “ “ “ 19th prescription .50 Archy Gillan “ 20th “ .50 John Wiseman “ 25th “ .50 Archy Gillan “ “ visit & med 2.00 “ “ “ 26th 2 “ “ 3.00 Mrs McEwen “ “ “ “ 1.00 Archy Gillan “ 27th 2 visits “ 3.00 “ “ “ 28th visit “ 2.00 Mrs Champlain “ “ pulling tooth .25 Archy Gillan “ 29th visit 2.00 Peter Ruskytusky “ V.S. and med: .75 “ “ “ 30th 2 visits 3.00 “ “ July 1st 2 visits 3.00 Groff “ “ .50 Mr Schlater “ “ vaccination visit .50 Archy Gillan “ 2nd 2 visits 3.00 Sophy Thackeray “ “ “ 3.00 Mr Groff “ “ prescription .50 Archy: Gillan “ 3rd visit 2.00 Sophy Thackery “ “ 2 visits 3.00 Sophy Thackeray July 4th 2 visits 1.50 Archy Gillan “ “ visit 2.00 “ “ “ 5th “ 2.00 Sophy Thackeray “ “ 2 visits 3.00 Parker Wise “ “ prescription .50 Archy Gillan “ 6th visit 2.00 Nick Morback “ “ 2 “ 1.00 “ “ “ 7th “ .50 Archy Gillan “ “ “ 2.00 Mr Abner “ “ “ V.S. 1.25 “ “ 8th “ 1.25 Archy Gillan “ “ “ 2.00 Mr Standiford “ “ “ at Ezra [Thack] 2.50 Archy Gillan “ 9th “ 1.50 Mr Abner “ “ “ 1.25 “ Standiford “ “ visit at Ezra [Thack] 2.50 “ Ezra Thackrey “ “ prescription for Charlotte .50 Peter [Bowers] “ 10th “ baby .50 Mr Eiseman “ 11th “ self & girl 1.00 Mr Abner .50 Mrs Standiford & baby “ 15th visit & med 1.75 Mr Keen “ “ prescription .50 “ “ 16th P .50 Mr Kline “ 17th “ .50 Mr Standiford (Martha) “ 18th visit & med 1.50 “ “ “ “ 20th “ “ 1.50 “ “ “ & [illegible] “ 21st “ 1.75 “ “ Edward “ 22nd “ 1.50 Mr Standiford [talbot] “ 27th “ “ 1.50 Mr [Schwartz] “ 29th “ “ 2.00 “ “ “ 30th “ “ 2.00 “ “ “ 31st “ “ 2.00 Mr Schwartz Augst 2nd visit & med: 2.00 “ Phifer son “ 5th “ setting arm 5.00 Abner son “ “ prescription & ex 1.00 Mrs Schwartz “ “ visit & med 2.00 Mr Phifer son “ 6th “ 2.00 Mrs Frank Scott to wife “ “ “ 2.00 “ “ “ “ “ 7th “ 2.00 Mrs Schwartz “ “ “ 2.00 Mr Phifer “ “ “ 2.00 “ Perry “ 8th 2 visits night & day 3.00 “ “ “ 9th “ 2.00 “ “ “ 10th “ 3.00 Mr Gray & two children “ 11th visit 2.00 “ “ & wife “ 12th “ 2.00 “ Hertenstein Rudolph “ 13th prescription .50 Mrs Keen (Henry) “ 15th landing [gums] .50 Mr Crable “ “ visit (night) 2.50 “ “ “ 16 “ 2.00 Mrs Coleman “ “ prescription .50 Mr Bowles “ “ “ .50 “ Hertenstein “ “ visit .50 Archy Gillan “ “ “ 2.00 “ Hertenstein “ 17th “ .50 Frank Scott “ 20th “ night [illegible] 2.50 “ “ “ 21st “ 2.10 Mr Champlain “ “ prescription .50 Mr [illegible] “ “ setting arm [illegible] .60 “ “ “ 22nd visit oint [illegible] “ “ “ “ “ [illegible] Frank Scott “ “ “ & med: 2.00 “ “ “ 23 “ [illegible] “ [illegible] “ “ “ 24 “ night 2.00 Mr Standiford August 27th prescription .50 “ Wiles Sept: 2nd setting arm 5.00 “ Champlain “ 6th prescription .50 “ Byrnes “ 7th pulling tooth .25 “ Aplegate “ “ chancher 5.00 “ Peter Bowles “ 9th visit & med: 2.50 “ “ “ 10th “ “ 2.00 “ “ “ 11th “ “ 2.00 Mr Standiford “ 13th med: .25 “ Keen “ “ prescription .50 “ Johnson Myers “ 14th visit & med: 1.50 “ “ “ 15th swelling throat .50 Mr Dutchman “ 18th prescription .50 Johnson Myers “ 19th visit 1.50 Mrs Buttermyer “ “ setting arm 10.00 “ Hertenstein “ 20th visit & med .50 “ Buttermyer “ 20th “ [illegible] 2.00 Nick Morback “ 21st night prescription .75 [Wm] [illegible] “ 27th 2.00 Johnson Myers “ “ lancing [illegible] .50 Wm Rynear “ 28th visit 1.50 Mrs [illegible] “” prescription .50 Mrs Wm Rynear Oct 1st visit 1.50 “ “ “ “ medicine .25 “ “ “ 2nd visit & med: 1.50 Mr Creech “ “ prescription .50 Harrison Beecraft “ 6th obstetrics 4.00 Wm Rynear “ “ visit 1.50 Mr Creech “ 9th prescription .50 “ Hill “ “ visit night 2.50 “ Saling “ “ “ 2.00 “ “ “ 10th “ “ 1.50 Mr Lyon Oct 10th visit .50 “ Creech “ “ “ & med 2.00 Becky Hazen “ “ “ “ 1.50 Mr Creech “ 11th “ “ 1.50 “ Rynear “ 13th “ “ 1.50 Mr Raling” “ med: .25 “ “ “ 14th visit & med: 1.50 Jimmy Mullen “ “ prescription [illegible] Mr Raling “ 15th visit 1.50 “ Lange “ 16th obstetrics 5.00 “ Raling “ 18th med: .25 “ Creech “ 21st visit (night) 2.00 “ Rynaer “ 21st visit ([illegible]) .50 Mrs Lange “ 25th “ .50 Mr Keen Henry Oct 31st 2 “ swelling throat 1.00 “ “ “ Nov 1st “ “ .75 Parker Wise “ 14th “ 1.50 “ “ “ 15th “ 1.50 Mrs Champlain ex “ “ ext: tooth .25 John Lewis “ 18th visit 2.00 Mr Keen “ 29th prescription .50 “ “ “ “ med: .25 John Lewis Dec 1st visit & med 2.00 Mr McKee “ 2nd obstet: 1.00 “ Fager “ 3rd visit & med: 2.50 “ “ “ 4th “ “ 2.50 “ “ “ 5th “ “ 2.00 “ “ “ 6th “ “ 2.00 “ “ “ 7th “ 2.00 [illegible] Gray “ “ ext: tooth .25 Mr Keen [illegible] “ 18th swelling throat .50 Robt Wilson “ 23rd visit & med 5.00 Robt Wilson Decr 25th med: 25 Mrs Groves “ “ visit & med 1.75 “ “ “ 26th “ “ 1.75 “ “ “ 27th “ “ 1.75 “ “ “ 28th “ “ 1.75 Bloss Gigos “ “ prescription .50 Mrs Groves “ 29th visit & med 1.75 “ “ “ 30th “ “ 1.75 “ “ “ 31st “ “ 1.75 Miss Weichers Jany 1st setting leg $25.00 Bloss Gigos “ 2nd med .25 Mrs Dicks “ 4th prescription .50 Mr Eiseman “ 9th “ 50 Mr Fromyer “ 11th visit & med 2.00 “ “ “ 12th “ “ 2.00 “ “ “ 13th prescription .50 Mr Lange “ “ “ .50 Mr John Wiseman “ 14th vist & med: 1.50 “ Michael [Young] man “ “ “ “ 2.00 Mrs Fromyer “ 20 “ 2.00 “ Bowers “ 24th “ .25 “ Champlain : 28th “ 50 [James] Wise “ 29th “ “ 1.50 “ “ “ 30th “ “ 1.50 “ “ “ 31st “ “ 1.50 Nick Morbach ? ? 2 night visits 1.00 James Wise Feb 1st one visit 1.50 Nevin McEwen “ 2nd all night & day visit 6.50 “ “ “ 3rd visit 1.50 “ “ 4th “ .50 James Wise “ “ “ 1.50 John Groves “ “ “ landing [illegible] 1.00 Nevin McEwen Feby 6th visit 2.00 James Wise “ 10th visit 1.50 County ([Hegleler]) “ “ prescription .50 Mr Byrnes “ 11th prescription .50 “ Buttermyer “ “ “ .50 James Wise “ 13th visit 1.50 “ “ “ 20th “ 1.50 “ “ “ 25 “ 1.50 [illegible] Winters “ 26th “ 1.50 Mrs Groves “ 27th “ & med 1.00 James Wise March 8th “ “ 1.50 Adam Wilson “ 10th “ “ [illegible] Frank Kepler “ 11th “ “ 3.00 Mr [Fa??sther] to mother “ 15th “ 1.50 Mrs Lamb “ 16th “ “ 1.50 “ “ “ 17th “ “ 1.50 “ “ “ 18th “ “ 1.50 Mr Champlain “ 23rd 2 children “ “ 2.00 Nick Morback “ “ prescription .50 County (([illegible]) “ 24 “ .50 Mr Dale “ 25th visit & med: 2.00 “ Champlain “ “ prescription .25 “ Dale “ 26th visit 3.00 “ “ “ 27th “ 2.00 Mr Hertenstein “ “ night visit 1.00 “ Keen “ 29th “ .50 “ “ “ 30th “ .50 Mr Dale “ “ prescription .50 “ Keen “ 31st 2 visits 1.00 “ Champlain “ “ prescription .50 “ Keen April 1st visit .50 “ “ “ 2nd “ .50 Mr Dale April 2nd med: .25 “ Keen “ 3rd 2 visits 1.00 “ “ “ 4th 2 “ 1.00 “ Champlain “ 5th med: .25 Mrs [illegible] “ 6th night visit 1.50 Mr [illegible] “ 7th visit (surgical) [illegible] “ Groff “ 9th prescription .50 “ Hurd Jr “ 10th obstet 5.00 Mr Clem Richardson “ 11th visit & med: 2.00 “ Crucimyer “ “ prescription .50 “ Tager “ 12th visit & med 2.00 “ “ Jr “ “ emetic .25 “ “ “ 14th visit & med: 2.00 County ([illegible]) “ 19th med: .25 Mr Kline “ 17th prescription .50 Mr Cook “ 20th setting little girls arm 10.00 “ Abner “ 23rd visit to son cupping 2.00 “ Parker “ “ “ “ .50 “ Abner “ 24th 2 visits : 2.00 “ Parker “ 26th visit & med .50 “ Tager “ 27th prescription .50 “ Schlater “ 28th visit .50 “ Wiles “ 29th “ & med. .50 “ Scott “ “ prescription .50 “ Wiles “ 30th visit .50 “ Schlater “ “ “ .50 “ Wiles May 1st “ .50 “ Schlater “ 2nd “ .50 “ Scott “ 3rd prescription .25 Jas: Parker “ 7th “ .50 “ “ “ 8th med: .25 Scott “ 10th “ .25 Jas: Parker May 10th med: .25 Miss Scott “ 11th venesection .50 “ Champlain “ 18th prescription .50 Mrs Scott “ 24th “ .25 “ Lamb “ “ “ .25 Mr Wiles “ 25th obstet: 5.00 “ “ “ “ visit .50 “ “ “ 26th “ .50 Mr Tariger “ 27th prescription .50 “ Byrnes “ 28th “ .50 Johnson Myers “ 30th visit & med: 1.50 “ “ 31st “ “ 1.50 Mrs Tariger “ “ prescription .50 Anthony [Garvin] June 1st “ .50 Johnson Myers “ 1st visit & med 1.50 “ “ “ 2nd “ “ 1.50 “ “ “ 4th “ “ 1.50 Mrs Tarriger “ 6th cupping med 1.00 Jas: Parker “ 7th prescription .25 Jos: Wilhelm : 10th “ .50 Mr Tarriger (two boys) “ 23rd prescriptions .75 Mr Champlain “ 25th “ .25 Jim Castor (wife) “ 27th visit & med: (night) 2.50 “ “ “ “ 28th “ “ 2.00 Mr Dale July 3rd “ “ 2.00 “ “ “ 4th “ 2.00 Andy McEwen “ 5th stiching lip .50 Mr Nicolai “ 6th visit & med (night) 1.50 Mrs Lange “ 7th prescription .50 Mrs Nicolai “ 8th visit & med 1.00 Jas: Parker “ 8th “ “ .50 Mr Nicolai “ “ dressing cut leg. 1.00 Mr Nicolai July 8th visit & med: .75 “ “ “ 9th visit 1.00 Mr McCarty “ 10th prescription .50 Mr Nick Morback’s brother in law “ 12th visit & med: .50 “ “ “ “ 13th “ .50 Jim Castor (wife) “ 16th “ obstetrics 5.00 Jimmy Mullen “ 17th “ .50 “ “ “ 19th “ .50 Perry Myers “ 23rd “ med: 1.50 “ “ “ 24th “ 1.50 Wm Stewart “ “ obstetrics 5.00 Perry Myers “ 25th visit & med 1.50 “ “ “ 26th 2 visits “ 2.50 “ “ “ 27th 2 visits & all night 3.00 “ “ “ 28th 2 visits 2.50 Mr Kline “ 29th prescription .50 Perry Myers “ “ visit 1.50 Mrs Lamb Aug 4th visit & med: 1.25 “ “ “ 6th “ 1.25 Mrs Koomer “ 7th prescription .50 Mr Ladd “ 8th visit & med: 2.00 “ Anthony Crucimyer “ 11th “ “ 2.00 Johnson Myers “ “ prescription .25 Capt Espy “ 16th visit 1.00 Mr Eugene Hard “ “ prescription & examin .50 Anthony Crucimyer “ “ visit 2.00 “ “ 17th “ 1.50 Harvey Parker “ “ prescription .50 Capt Espy “ “ visit 1.00 “ “ “ 18 “ 1.00 Capt Espy Augst 19th visit 1.00 Mr Champlain “ “ prescription .50 Capt Espy “ 20th visit 1.00 Mr Thomas Wiseman “ “ “ .50 Mr Champlain “ 23td prescription .50 “ Lintner “ 24th visit & med: .50 Margt Scott “ 30th “ “ 2.00 Mrs Jones “ 30th “ “ 2.00 “ “ Sept 1st Margt Scott “ 31st visit & med: 2.00 Mrs Jones : “ “ “ “ 2.00 Margt Scott Sept 1st “ “ 2.00 “ “ 2nd “ “ 2.00 “ “ 3rd “ “ 2.00 “ “ 4th “ “ 2.00 Mrs Standiford “ “ obstetrics 5.00 Margt Scott “ 5th visit 2.00 Mrs Thomas Wiseman “ “ prescription .50 Mrs Champlain “ 8th “ .25 “ Suter “ 10th stiching scalp paid [illegible] Tom McEwen “ 12th prescription .50 [illegible] Ferguson “ 13th visit to herself & child 1.50 Tom McEwen “ 16th prescription .50 Mr Graff “ 16th prescription & med .75 Mr Duneker “ 21st visit 1.00 Mr Champlain “ “ prescription .25 Anthony Crucimyer “ “ visit swelling throat 2.00 “ “ “ 22nd “ 1.50 Duneker “ “ “ 1.00 Capt Espy baby “ “ “ 1.00 “ “ “ “ 23rd 2 visits 1.50 Duneker “ “ “ 1.00 Mr Duneker Septr 24th visit 1.00 Capt Espey “ “ “ 1.00 James Parker “ “ night visit 1.00 “ “ “ “ day visit .50 “ “ “ 25th visit 50 Capt Espy “ “ “ 1.00 Mrs Duneker “ “ “ 1.00 Mr Cheek “ “ prescription .50 Mr Wiles “ “ visit .50 Capt Espy “ 26th visit .50 N. Morbach “ “ hive syrup: .5 Miller Brown “ “ prescription little girl .50 Jas Parker “ “ visit >50 Capt Espy “ 27th visit 1.00 Man at Graff’s “ “ “ .50 “ “ “ 28th 2 visits 1.00 Capt Espy “ “ visit .50 Mrs Suter “ “ “ night 2.00 “ “ “ 29th “ 1.50 Thomas Wiseman “ “ “ prescription .25 Capt Espy “ “ “ .50 Graff’s man “ “ “ .50 Mr Loon “ “ vaccination .50 Mrs Dale “ “ prescription .50 Mrs Suter “ 30th visit 1.50 Graff’s man “ “ “ .50 Mrs S. Dale “ “ “ 2.00 Mrs Suter Oct: 1st visit 1.50 Graff’s man “ “ “ .50 Mr Wiles “ “ prescription .50 Jas Parker “ 2nd “ .50 Mr [illegible] “ 3rd “ .50 Mrs [???tner] “ “ visit .50 Mrs Winters Oct: 5th prescription .50 Mrs Wiles “ “ swelling throat visit .50 Mr Wiles “ 6th swelling throat .50 Frank Tariger “ “ prescription .50 Mr Champlain “ 12th “ to self & baby .50 M Marion “ 13th prescription .25 Capt Espy “ 14th 2 visits 1.00 Mr Marion “ 14th prescription .25 Capt Espy “ 15th 2 visits 1.25 “ “ “ 16th 1 visit 1.00 Mr Wiles “ “ prescription .50 Capt Espy “ 17th visit & med 1.00 “ “ “ 18th visit “ “ 1.00 Henry Dawson “ “ “ & med 2.00 Mr Wiles “ “ prescription .50 Capt Espy “ 19th visit 1.00 “ “ 20th “ .50 “ ‘ 21st “ 50 Mr Coleman “ 21st “ 1.50 “ “ “ “ 1.00 Capt Espy “ 22nd “ .50 Mr Lintner “ 24th “ .50 “ “ “ 25 “ .50 Mrs Minard & baby “ “ “ night 2.00 Mr Minard “ 26th “ 1.50 Mrs Lintner “ “ “ night .75 “ “ “ 27th “ .50 Mr Minard “ “ “ 1.50 “ “ boy “ “ prescription .50 “ “ baby “ 28th visit 1.50 Mrs Lintner “ “ “ .50 Mr Standiford “ 29th “ .50 Turner “ “ prescription .50 Mrs Lintner Oct: 30th visit & med: .50 Squire Howe Nov: 2nd visit & med: .50 Jas: Parker “ “ “ .50 Tom Wiseman “ 5th prescription .50 Johnson Myers brother in law “ “ “ .50 Jimmy Mullen 6th “ .75 Capt Espy 7th visit med & lancing boil 1.00 John Groves 8th prescription .50 Mrs Boulanger “ visit 1.50 Mrs Groves “ prescription .50 Bel Groves 12th visit 1.00 Nick: Morback “ visit .50 Tom Wiseman 13th prescription .50 Wm Boulanger “ visit 1.50 “ “ 14th “ 1.50 Johnson Myer’s “ prescription. .50 Henry Wiles 15th cough syrup .15 Mrs Slater 16th med: .50 Mrs Stewart 17th visit 1.50 “ Davis “ “ .50 Human de la Rochey “ “ .50 Mr Dale “ prescription .50 John Wiseman “ lancing hand .50 Saml Marshal Jim McEwan 18th prescription .50 Johnson Myers 21st “ .50 Mrs Lamb 22nd “ .50 Mr Groves 23rd prescription .50 Mr Minard “ prescription .50 Frank Tarriger 24th “ .50 Mrs [Lena] “ ext: tooth .25 Mrs Tarriger 25th prescription .50 Mr Lange 26th “ .50 Mrs Lamb Novr 27th visit & med: [illegible] “ “ “ 28th “ “ 1.25 Mr Davis “ 29th prescription .50 Mrs Lamb “ “ visit 1.25 Mr Davis Decr 1st “ “ .50 Mrs Minard “ “ “ .50 Mr Taryger “ 5th prescription .50 Nevin McEwen “ 8th “ .50 Mrs McCarthy “ 9th visit & med: 2.50 Mr Champlin “ “ “ “ 1.50 Mr Jo: Schlicht “ “ 2 visits 1.00 Mr Kneeted “ “ visit & setting clavicle [5.00] MR Davis “ “ prescription .50 “ Knested “ 10th visit Jo: Schlict “ 10th visit .50 Mrs McCarty “ 12th “ 2.50 Mr Whittman “ “ prescription .50 Harriet Groves “ 15th “ .50 Mr McCarty “ “ visit 2.50 Mr Whittman “ 18th prescription .50 Mr Snyder “ 19th visit & med 1.50 [illegible] Winters “ “ prescription .50 Mr Groves “ “ “ .50 “ “ “ 20th visit 1.00 Mr Wiles “ “ “ swabbing .75 “ “ 21st visit .50 Perry Myers (bub) “ “ “ & med 1.50 “ “ (sis) “ “ prescription .20 Mr Graff “ “ “ .50 MR Wiles “ 23rd visit swabbing .75 “ “ “ “ medicine .25 “ “ “ 26th visit & swabbing .75 Mr Staley Decr 24th visit & med: .50 “ “ “ 25th “ .50 Mr Wiles “ “ “ “ .50 “ “ “ 26th “ swabbing .75 “ “ “ 27th “ “ .75 “ Staley “ “ “ med: .50 “ Groves “ “ “ med: .75 “ Abner “ “ “ “ 1.25 “ Wiles “ 28th “ swabbing .75 “ Abner “ “ visit 1.25 “ Wiles “ 29th “ swabbing .75 “ Staley “ “ “ med: .50 “ Groves “ “ prescription .50 Mr Wiles “ 30th visit to self & med .50 “ “ “ “ prescription [illegible] .25 “ Groves “ “ med: .25 “ Kutzendorfer “ “ visit & med 1.50 “ Staley “ “ “ “ .50 [illegible] Johnson “ “ prescription .50 Mr Staley “ 31st visit .50 “ Groves “ “ “ .75 “ Kutzendorfer “ “ “ 2 children 1.75 “ Abner “ “ “ 1.25 “ Wiles “ “ 2 visits 1.00 1863. “ “ Jany 1st visit .50 “ Kutzendorfer “ “ “ 1.50 “ Abner “ “ “ 1.25 Capt Espy “ “ “ .75 N. Morback “ “ cough mixture .10 Mr Wiles “ 2nd visit & med: 50 Mr Abner “ “ “ “ 1.25 “ Staley “ “ “ “ .50 Mr Kutzendorfer Jany 2nd visit & med 1.50 John Warner “ “ “ “ .50 Capt Espy’s 2 children “ “ “ “ .75 “ “ “ “ 3rd “ “ .75 John Warner “ “ “ “ .50 Mr Wiles “ “ “ “ .50 Mr Staley “ “ “ “ .50 Mr Abner “ “ “ “ 1.25 Mr Kutzendorfer “ “ prescription .50 “ Staley “ 4th visit .50 Capt Espy “ “ 3 visits 1.00 John Warner “ “ visit .50 Mr Wiles “ “ “ .50 Capt Espy “ 5th “ .50 Mr Staley “ “ “ .50 Mr Abner “ “ “ 1.25 Mr Wiles “ 6th “ .50 Mr Abner “ “ “ 1.25 Mr Wiles “ 6th “ .50 Capt Espy “ “ 2 “ 1.00 Harriet Groves “ “ prescription .50 Widow Johnson “ “ visit .50 “ “ “ 7th “ .50 Capt Espy “ “ 2 “ 1.00 Mrs Smith for Lena “ “ prescription .50 Peter Bowers “ 8th visit 2.50 Widow Johnson “ “ “ .50 “ “ “ 9th “ .50 Mr Abner “ “ “ 1.25 Miller Brown “ 10th “ 2.50 Widow Johnson “ “ “ .50 Mrs Groves “ 11th 2 visits & med: .50 Peter Bowers “ “ prescription 25 Mr Abner Jany 11th visit & med: 1.25 Mrs Groves “ 12th “ “ .75 Miller Brown “ “ “ “ 2.50 Mrs Groves “ 13th “ .50 Wm V. Cheek “ “ “ “ 1.00 Mr Slater’s 2 children “ “ “ “ 2.00 Mr Graff “ “ “ “ .50 Mrs Wolfer “ “ “ “ .50 “ “ “ 14th “ “ .50 Mrs Graff “ “ “ “ .50 Mr Morris “ “ “ “ .50 Mrs Abbot to Morris “ “ “ “ .25 Mr Graff “ 15th “ “ .50 Mr Abner “ 16th medicine .25 “ Graff “ “ visit .50 Mr Abner “ 18th “ 1.00 “ Jas Suter “ “ “ & med .75 “ Bankman “ “ “ “ 1.00 “ “ “ 19th “ “ 1.50 MR Abner “ “ “ “ 1.00 MR Jake Suter “ “ “ “ 1.50 MRs Miller Brown : : touching eyes .25 MRs J. E. Lange “ 20th visit & med: 1.50 “ Jake Suter “ “ “ “ 1.50 “ Bankman “ “ “ “ 1.50 “ Peter Bowers “ “ “ “ 2.50 “ Johnson Myers for Mr Slater [illegible] “ 21s prescription .50 Peter Bowers “ “ visit & med: 2.50 Jake Suter “ “ “ “ 1.50 Mrs Miller Brown “ 24 touching eyes & med .50 Peter Bowers “ 25th prescription .50 Mr [Owens] “ “ dressing hand 5.00 Mrs N. [D.] Johnson Jany 26th visit & med: .50 “ “ “ 27th “ “ .50 Capt Espy “ 30th “ extracting two teeth .75 Mr Ryan “ “ “ & med 2.50 “ “ “ 31st “ “ 2.50 Newberry “ “ “ “ .50 Mr [Overcus] “ “ dressing hand. 1.00 Mr Newberry Feby 1st visit & med: .50 Mr Champlain “ “ “ “ 1.50 “ Newberry “ 3rd “ “ 2.50 Mr Hamil “ “ prescription . 50 Mr Wiles “ “ “ .50 Mr Groves “ 4th “ .50 Mr Dicks “ “ visit & med: 2.00 “ “ “ 5th “ “ 2.00 Mr Groves “ “ 2 “ “ 1.00 Mr Newberry “ “ “ “ 2.00 Mr Dicks “ 7th 2 “ “ 3.00 Mr Frank Scott “ “ “ “ 1.00 Mr Groves “ “ 2 “ “ .75 “ “ “ 8th 3 visits (one night) 1.00 Mr Newberry “ “ visit & med 2.00 Mr Staley “ 9th med .25 Mr Thomas Wiseman “ “ visit & med 1.50 Mr Garvin “ 10th “ 2.00 “ Groves “ 12th “ “ .75 “ Staley “ “ prescription . 50 “ Groves Maria & Bel “ 13th visit & med: 1.00 “ Wiles “ “ “ “ .50 Mr Garvin “ 14th prescription .50 “ Groves “ “ visit & med: .75 “ Wiles “ “ “ “ 50 Mr Wiles Feby 15th visit & med. /50 Mr Groves “ “ “ “ .50 Mr Peter Bowers “ 16th “ “ 2.50 “ “ “ 17th Prescription . 50 Nick Morbach “ “ “ “ “ .50 Mr S Dale “ 19th visit & med 2.00 “ Champlain “ “ prescription .50 “ “ “ 20th visit & med: 1.00 Mr S Dale “ “ “ “ 2.00 “ Champlain “ 21st “ “ 1.50 Peter Bowers “ “ prescription .50 Mr Whittman “ 26th “ .50 “ Wiles “ “ cough syrup .20 “ Hertenstein “ 27th prescription .50 “ Matcher “ “ “ .50 “ Dale “ 28th prescription .50 Johnson Veatch March 1st “ .50 “ Myers “ 5th visit & med: 1.50 Mr Standiford “ “ “ “ 1.50 Mr Groves “ “ prescription .25 Johnson Myers “ 6th visit & med: 1.50 Mr Ryan “ 9th “ “ 2.00 Mr R. Hudson ? 10th “ “ 1.25 Johnson Myers “ 12th “ “ 1.50 “ “ “ 13th “ “ 1.50 Jim Hudson “ “ “ “ 1.25 Mr Hertenstein “ “ “ “ .50 Jim Hudson “ 16th prescription .50 Mr Wittman “ 20th visit & med: .50 Mr Hudson “ “ prescription . 50 Mr Wittman “ 21st visit & med: .50 Peter Bowers march 25th visit & med: 2.50 “ “ “ 28th prescription .50 Mr Wittman “ 29th visit & med: .50 “ “ “ 30th “ “ .50 Peter Bowers “ “ prescription .50 “ “ “ 31st “ .50 Mr Wittman “ “ visit .50 “ “ April 1st “ & med .50 “ “ “ 2nd “ “ .50 “ “ “ 3rd visit .50 H. P. Gryden “ 4th visit .50 N. Morbach “ 6th visit .50 Mr Wittman “ 8th “ .50 Mr Gryden son “ 9th prescription .50 Mr Wittman “ 12th visit & med: .50 Joe Spinner “ 13th prescription .50 Mr Kepler “ “ visit & med 1.50 “ “ “ 14th “ “ “ 1.50 Johnson Myers “ 15th “ “ “ 1.50 “ “ “ 16th “ “ 1.50 J Slater “ 18th prescription .75 Johnson Myers “ 18th visit & med 1.50 “ “ “ 19th “ “ 1.50 Mr John Ross “ “ prescription .50 Mr A McCleod “ “ visit & med .50 James McLaughlin “ 22nd landing thumb .25 John Wilson “ “ prescription .50 Mr Mock “ 24th visit & med: 1.75 Perry Myers “ “ liniment .25 “ “ “ “ visit .50 Mr Mock’s two children “ “ “ 1.75 Mr Abner April 24th visit & V.S. 1.25 “ Saml Dale “ “ obstetrics 5.00 Mr Abner “ 26th visit & med 1.25 Mr Mock “ “ “ “ 1.50 Mr Saml Dale “ “ “ 2.00 “ Nicolai “ “ “ night 1.00 Mr Mock “ 27th “ 1.50 Mr Schlater “ “ vaccinating 2 children .50 Mr Abbott “ 28th medicine .25 Mr [illegible] “ 30th “ .25 Mr Lange May 1st prescription .50 Mr Nicolai “ 2nd “ .50 Mr Lange “ “ visit to Tom 1.50 “ “ “ “ vaccinating [illegible] & baby .50 “ “ “ 3rd visit to Tom 1.50 “ “ “ 4th “ “ “ 1.50 [Susan] Fox “ “ prescription .50 Mr Lange “ 5th visit to Tom 1.50 Jake Suter “ “ ext: tracting tooth for Lena .25 Mr Lange “ 6th visit to Tom 1.50 [Joab] Castor “ “ obstetrical 5.00 Mr Lange “ 7th visit to Tom 1.50 Mrs Dormant “ 8th medicine .25 Mrs McEwen “ “ visit & med: 1.50 Mr Lange “ “ “ to Tom 1.50 “ Lange “ 9th “ to Tom 1.50 Mrs McEwen “ “ medicine .25 Mr Ennis at Whipple’s “ “ visit nasal hemorrhage 5.00 Mrs Lamb “ 10th prescription .50 Mr Schlater “ “ “ .50 “ Ennis at [illegible] “ 11th visit 5.00 Mrs Lamb May 13th medicine .25 Mr Ennis “ 14th visit extraction plug 5.00 Mr Lange “ “ medicine .25 Mrs N. D. Johnson “ 15th visit .50 Mr Winters “ 16th prescription .50 [Joab] Castor “ “ visit 1.50 Jake Suter (to Lena) “ 18th prescription .50 “ “ “ “ “ 20th “ .50 John Wilson ? 21st “ .50 Jake Suter to son “ 25th “ .50 “ “ “ “ “ 26th visit .50 Mr Kline “ “ “ 2.00 Mr Wittman “ 28th “ .50 Mr Kline “ 29th prescription [illegible] Mr Wittman “ “ visit .50 “ “ “ 30th “ “ .50 “ “ “ 31st “ .50 “ “ June 1st “ .50 Mr Jose E. Lange “ “ vaccinating Tom .50 Mrs Nick Morbach “ “ ext: two teeth .50 Mrs Wittman “ 2nd visit .50 “ “ “ 3rd “ .50 “ “ “ 4th “ .50 “ “ “ 5th “ .50 John Wilson “ “ medicine .25 Jake Suter Mrs Suter “ “ prescription . 50 “ “ “ Lena “ “ medicine .15 Mrs Wittman “ 6th visit .50 “ “ “ 7th “ .50 Jim Mc Ewen’s cousin “ 7th prescription .50 Mr Wittman “ 8th visit & cupping 1.00 Mrs Wittman Jun 9th visit .50 Mr T. Shlater & wife “ “ prescriptions .75 Mr Hines “ 10th prescription .50 Mrs Wittman “ “ visit & cupping .75 “ “ “ 11th “ .50 Arthur McEwen “ “ medicine .25 Mrs Wittman “ 12th visit & cupping .75 John Groves “ “ emetic .25 Christopher Goff “ “ prescription .25 Mr Hines “ 13th medicine .25 Mrs Becksel at Gryden’s “ “ visit & med 2.00 Mrs Wittman “ “ “ cupping .50 Mr Wemens “ “ prescription .50 John Groves “ “ visit & med 1.00 Geo Luhn “ 14th medicine .50 Mr Hertenstein Rudolph “ “ prescription .50 Mrs Wittman “ “ visit & cupping .75 Mrs Becksel’s child at Gryden “ “ “ 200 Widow Lamb “ “ medicine .25 Mrs Becksel’s child at Gryden’s “ 16th visit 2.00 Rudolph Hertenstein “ 17th prescription .50 RMs Becksel’s child at Gryden “ “ visit 2.00 Mrs McEwen at Scott’s “ “ “ 2.00 Mrs Wittman “ “ “ .50 “ “ “ 18th “ .50 Mrs McEwen at Scott’s “ “ “ 2.00 “ “ “ “ 19th “ 2.00 Mrs Wittman “ “ “ .50 Rudolph Hertenstein “ 20th exam: pulmonary .50 Mrs McEwen “ “ visit 2.00 Mr Wittman June 20th prescription .50 Thomas Wiseman “ “ “ to Emma .50 Mr Abner “ 21st visit 1.25 “ “ “ “ “ & cupping 1.50 Mr Hopper “ “ prescription . 50 Mr Mock baby “ “ medicine .25 Mr Abner “ “ night visit & V.S. 1.50 “ “ “ 22nd visit & med: 1.25 Granny McEwen “ “ “ “ 1.50 Mr Lange to [illegible] “ “ night “ “ 2.00 Mr Abner “ 23nd “ “ 1.25 Granny McEwen “ “ “ [illegible] “ “ “ “ liniment .25 Mr Lange “ “ visit 1.50 Granny McEwen “ 24th “ 1.50 Mr Ebner “ “ 2 visits 2.00 Mrs Becksel’s child “ “ prescription .50 Mrs McEwen “ 30th visit 1.50 “ “ “ July 1st “ 1.00 Perry Myers “ “ “ 1.00 Jim Castor “ 2nd “ night 2.50 Perry Myers “ 2nd 2 “ 1.50 Mrs McEwen “ “ “ 1.00 “ “ “ 6th liniment .25 Peter Bowers “ 7th visit & med. 2.50 Nick Morback “ 8th prescription .50 “ “ “ 9th visit to [illegible] .50 Tom Wiseman “ “ “ night 2.00 Mr Schlater Jr: “ 10th prescription .50 Mr Lange to Tese “ “ dressing head & med: 1.00 Nick Morback “ “ visit .50 Tom Wiseman “ “ “ 2.00 Mr Isaac Morris July 10th prescription to Helen .50 Hannah Strafer “ 11th “ .50 Mr Schlater “ “ “ .50 Tom Wiseman “ “ visit 1.50 Mr McEwen “ “ medicine .15 Jake Suter to son “ “ dressing cut leg 3 stiches 1.00 Nick Morback “ “ prescription to [illegible] .50 Mr Graff “ “ prescription .50 “ “ “ 12th visit .50 Tom Wiseman “ “ “ dressing burns 1.75 “ “ “ 13th “ “ “ 1.75 Archy Barker “ “ “ 2.00 Mr Graff “ 14th “ .50 Tom Wiseman “ “ “ 1.75 Nick Morback “ “ “ night .75 “ “ “ 15th “ .50 Tom Wiseman “ “ “ 1.75 Isaac Morris “ “ “ .50 Becky Hasen “ “ prescription .50 Isaac Morris “ 16th visit .50 Peter Bowers “ “ prescription .50 Granny McEwen “ 17th pills .25 Nick Morback “ “ medicine .10 Isaac Morris “ “ visit .50 Mrs Garvin “ 18th “ & med: 2.00 Isaac Morris “ “ “ .50 Jake Suter’s son “ “ dressing cut leg .50 Geo Luhn “ 19th emetic .50 Mrs Garvin “ 20th prescription .50 Jim Castor “ “ “ .50 Mrs Hines “ “ cough mixture .10 Mrs McEwen “ 21st visit 1.50 Granny Mcewen July 21st liniment .25 Isaac Morris “ 22nd visit .50 Perry Myers : 23rd prescription .50 Isaac Morris “ “ visit .50 Peter Bowers “ “ visit (night) 3.00 “ “ “ 24th “ 2.00 Mrs Garvin “ “ passing visit .50 Mrs Miller Brown “ 25th prescription .50 Mr Garvin “ 26th prescription .75 Mr Ross “ “ visit 1.75 Isaac Morris “ 27th prescription .50 Mr Fred Marion “ “ visit 2.00 Mr Graff “ “ prescription .50 Fred Marion “ 28th visit 2.00 Mr Ross “ “ “ 1.50 Mr Chris Goff “ 29th prescription .50 Isaiah Ewing “ 31st visit 1.50 “ “ Augst 1st 2 visits 2.25 “ “ “ 2nd visit 1.50 “ “ “ 3rd “ 1.50 Mr Landon “ 4th lancing finger .75 Mrs Hines “ “ “ [chin] .25 Granny McEwen “ “ liniment .25 Mr Fesinger “ 5th visit 1.00 Granny McEwen “ 6th “ 1.50 Widow Lamb “ 7th prescription .50 Granny McEwen “ 8th visit 1.50 Mr Dale “ “ prescription .50 Mr Garvin “ 9th “ .75 Mr Goff “ “ medicine .25 Perry Myers sister in law) “ “ visit night) 1.50 “ “ (Mrs Priest) “ 10th “ 1.75 Mrs McEwen “ “ “ 1.50 Shock 1st Horisontal position. 3nd Remove any obstructions in the wound. 3rd Remove ligatures from the neck, or any bands which prevent free respiration. 4th Fresh air. 5th Stimulants. Frictions. Heat. In cases where there are lesions of the cerebral structure. caution should be sued in bringing about reaction too soon early bleeding and stimulation are to be avoided in constitutional shock. Stimuli are contraindicated in percussion of the brain. In such cases Hyoscyamus, Balladonna, and opium are to be resorted to, along with laudanum injections Acetate of lead is to be given in inflammation of the stomach. where there is mental alienation and traumatic delirium calomel [illegible] Carb. ama X If the tongue is furred calomel this however should not be given combined with the ammca but alternately. Respiratory function affected Carb. ammca Large poultices In these cases the respirations should be counted, 22 is the normal suppression of urine Cal grsii Nitgre “ X Camp: V where there is retention of urine the catheter and hot fomentation and mucilaginous drinks. Tympanitis. where this is present avoid drastic purgatives but instead give small doses of castor oil in oleum ricini zfs calomel gr ½ quarter horae to be followed with Dov: powd gr iv Cal gr ½ Turpentine emmol: gtts XX along with sinapisms and blisters. The gas may extricated by the rectum tube Liver. This organ is also sometimes affected by the shock the billiary secretion is stopt. IN these cases Cups, sinapism, and blister. This organ is generally affected when there is concussion of the brain. Function of the skin. The surface is in some cases bathed in a cold and clammy sweat. In such cases brandy and alum. In constitutional shock and the other varieties The main points of precaution in the treatment is in regard to bleeding and stimulants. Both may be the means of increasing the shock. It is always proper to wait until the proper time and circumstances to be present for these remedies. Fractures. The bones which are most exposed are those in which fractures most frequently occur, hence we find the bones of the extremities most frequently fracture. The causes of fractures may be divided into predisposing and exciting causes. The Predisposing causes are 1st Old age. 2nd Fragilitas opium. 3rd Icy weather Exciting causes are 1st Powerful muscular contractions 2nd Blows. Fractures may be divided into 1st Complete. or where the bone is completely divided in two. 2nd Incomplete or where the bone is only partialy broken. 3rd Oblique or where the fracture is oblique 4th Transverse or where the fracture is transverse. 5th Longitudinal or where the bone is split down the centre this kind of fractures occur only in long bones 6th Simple or where the fracture is unaccompanied with wounds of the soft parts. 7th Compound or where the fracture is accompanied with wounds of the soft parts. 8th Comminuted or where the bone is broke up in splinters. 9th Complicated. Symptoms of fracture are divided into 1st Equivocal or those cases where there are the symptoms of fracture without the fracture existing; there are 1st Pain. (acute [illegible]) 2nd Swelling 3rd Loss of power 2nd Certain or those cases which present the following symptoms 1st Crepitus. 2nd Change of form in the limbs 3rd Mobility. The crepitation in these cases must not be mistaken for a crackling which is present in cases of dislocation. 4th Rotation of the limb. The prognosis is generally favourable, the circumstances which render it bad are old age [illegible] in the constitution Bad treatment. Treatment of fractures. The first thing to be done is to examine whether it be a simple or compond fracture. 2nd Use extension and counter extension 3rd Fix the limb with bandages etc. 4th Subdue inflammation. The limb when once fixed should not be disturbed old sheets make very good bandages. The immovable dressing may also be wet, this is the stanch bandage Pain can be removed by opiates and cold applications of acetate of morphia or the acetate of lead. Erysipelas sometimes supervenes. The diet should also be attended to no indigestible food should be allowed to remain on the stomach. It is not necessary to dress the limb after eight or ten days. Cathartics should be avoided. The union between the fractured parts is affected by means of callus or serous effusion. Inflammation is not necessary for the separation. The callus which is not necessary for the union is absorbed. Particular fractures. Nasal bones. The fracture may be either vertical oblique or transverse, when the pieces of bone are pushed inward they may be replaced by aid of a female catheter or like instrument. In some cases there is much swelling and inflammation, which sometimes extends to the brain and produces delirium etc. Mr Matcher Augst 11th ext: tooth 25 Mrs Garvin “ 12th prescription & med .75 Mrs Priest to Perry Myers “ “ “ 50 Mrs McEwen “ “ visit 1.50 Michael Clyne “ 16th obstetrics 5.00 “ “ “ 17th visit 1.00 Granny McEwen “ 17th medicine .25 Mr Werner “ 19th visit & med. 1.50 Mr Werner “ 20th “ 1.00 Michael Clyne “ 21st medicine .25 John Canan “ 24th “ .50 Mr Jas McEwen “ 26th visit & med. 1.50 Granny McEwen “ 27th medicine .35 Mrs Jas McEwen “ “ visit & med 1.50 Henry [Opegel] “ 28th prescription .50 Wm Marsh Jr: “ “ visit & med: 1.50 Isaac Morris To [illegible] Aug 28th visit .50 “ “ “ “ 29th visit & med .50 To Wm Marsh “ “ “ “ 1.50 Hinson Gray son) “ “ attendance for ear 1.50 Isaac Morris “ 30th visit .50 [illegible] Schlict “ “ prescription .50 Mr Fromer Sr: & med: to son “ “ visit & medicine 2.00 Mr Fromer Sr: “ 31st “ “ 1.50 Jim McEwen ‘s wife “ “ med: .30 Fred: Marion Sept: 1st med: .25 Mr Caipt (Cooper) “ 2nd visit & med: .50 “ “ “ “ 3rd “ “ .50 [Jo:] Schlict “ “ “ “ .75 Granny McEwen “ 4th medicine .25 Mr Huffbower “ 7th medical attendance 5.00 MR Donohue “ 8th visit & med: 1.50 Mrs N. D. Johnson “ “ emetic .25 “ “ “ 9th visits & med: 1.00 “ “ “ 10th visits “ 1.00 Nick Morback “ “ V.S. & visit .75 Jim McEwen’s wife “ “ prescription .50 Mr Nicolai “ 11th prescription 1.00 Mr Nick Morback “ “ visit .50 Mr Nicolai “ “ “ .50 “ “ “ 12th “ 1.00 Mrs Keen “ “ prescription .50 Mr Bichard “ “ visit (night) 2.00 Jim McEwen’s wife “ 13th prescription .75 Mr Nicolai “ “ visit .75 Mr Bichard “ “ “ 1.50 Granny McEwen “ “ medicine .25 Mr Nicolai “ 14th visit .75s Nick Morback Sept: 14th prescription .50 Mrs Keen “ “ “ .50 Johnson Myers “ 15th visit & med & 2 [patients] 1.75 Mrs N. D. Johnson “ “ “ “ .75 Johnson Myers “ 16th “ “ 2 patts 1.50 Granny McEwen “ “ medicine .25 Mr Beckel “ “ visit & med [illegible] “ “ “ 17th first “ “ 2.50 Mrs N. D. Johnson “ “ “ .75 Mr Beckel “ 18th “ “ 2.50 Mr Fromer Sr “ “ prescription .50 Noah Lee “ 20th “ .50 Mrs N. D. Johnson “ 21st visit & med .75 Granny McEwen “ 22nd pills .25 Johnson Myers “ “ self & 3 children prescription 1.25 Isaac Morris “ 23rd prescription .50 Mr Fromer Sr “ 24th “ .50 Tom Wiseman “ “ “ .50 Mr Nicolai “ 25th visit & med: .75 Nick Morback “ “ prescription .50 Ben Castor “ “ .50 Jacob Keen “ “ visit & med (night) 1.00 “ “ 26th 3 visits 1.00 Mr Nicolai “ “ visit .75 “ “ “ 27th “ .75 Jacob Keen “ “ “ 1.00 “ “ 28th visits 1.00 Mr Nicolai “ “ visit .75 Mr Winters “ “ “ 1.50 “ “ “ 29th “ 1.50 Mr Keen “ “ visit 1.00 Miller Brown (son) “ “ prescription .50 Granny McEwen Sept: 29th medicine .50 Isaac Morris “ “ “ .50 Mrs Keen “ 30th 2 visits 1.00 “ “ & Lizzie Oct: 1st visit to .75 Mr Herman Fromer “ “ prescription .50 Isaac Morris “ 2nd 2 visits 1.00 Miller Brown (wife & son) “ “ prescriptions .75 Jacob Keen (wife) “ “ visit .50 Isaac Morris “ 3rd “ .50 “ “ (Dude) “ 5th prescription .50 Mrs Snyder “ 7th visit .50 Johnson Myers self & 2 children “ “ prescriptions 1.00 Mrs N. Morback “ “ obstetrics 5.00 Mrs Snyder “ 8th visit & med: 1.50 Mrs N. Morback “ “ medicine .25 Mrs Snyder “ 9th visit & med 1.50 “ “ “ 10th “ “ 1.00 Granny McEwen “ “ “ “ .50 Mrs Snyder “ 11th “ “ 1.00 “ “ “ 12th “ “ 1.00 Mr Nicolai “ “ “ .50 Mrs Snyder “ 13th “ “ 1.00 “ “ “ 14th “ “ 1.00 Peter Cook “ “ “ “ 1.50 “ “ “ 15th “ “ 1.50 Mrs Snyder “ “ “ “ 1.00 “ “ “ 16th “ “ 1.00 Peter Cook “ “ “ “ 1.50 Mrs Reep at Perry Myers “ “ “ “ 1.00 Johnson Myers self & [illegible] “ “ 3 prescriptions 1.00 Peter Cook “ 17th visit & med 1.50 Mr Reep “ “ “ “ 1.50 Mrs Snyder Oct: 17th visit & med: 1.00 “ Oct: 18th “ “ 1.00 Mr Reep “ “ “ “ 1.50 Peter Cook “ “ “ “ 1.50 “ “ “ 19th “ “ 1.25 Mr Reep “ “ “ ‘ 1.50 Mrs Snyder “ “ “ “ 1.00 “ “ “ 20th “ “ 1.00 Peter Cook “ “ “ “ 1.25 Mrs Guisendorf (to Peter Cook) “ “ prescription .50 Lewis Nicolai “ 22nd “ .50 Granny McEwen “ 23rd medicine .25 Lewis Nicolai “ “ “ .25 Johnson Myers “ 24th prescription .50 Jim McEwen’s wife “ “ 2 “’s 1.00 Peter Cook “ 26th visit & med: 1.25 “ “ “ 27th “ “ 1.25 “ “ “ 28th “ “ 1.25 “ “ “ 29th “ “ 1.25 Granny McEwen : : liniment .25 Mr W. V. Cheek “ “ prescription .50 Peter Cook “ 30th visit & med: 1.25 Mrs Harriet Sowers “ “ “ “ .75 Peter Cook “ 31st “ “ 1.25 “ “ Nov: 1st “ “ 1.25 Capt: Espy “ “ visit “ night 2.00 Perry Showers “ “ 2 visits “ 1.00 Jim McEwen “ “ prescription .50 Peter Cook “ 2nd visit & med 1.25 Mr Sowers “ “ prescription .50 Johnson Myers “ “ “ .50 Capt Espy “ “ visit .75 Peter Cook Nov: 3rd visit & med 1.25 Granny McEwen : : med: .25 Saml Dale “ “ cough syr: .40 Peter Cook “ 4th visit 1.25 “ “ 3 children “ 5th visit & med: 1.50 “ “ “ 6th 3 visits & med 3.00 Mrs Keen “ “ prescription .75 “ “ “ 7th pills .50 Peter Cook 2 children “ 8th visit & med: 1.50 Peter Bowers “ “ prescription .50 Peter Cook 2 children “ 9th visit & med 1.50 “ “ “ “ 10th “ 1.50 Chris Singer “ 11th “ “ 2.50 “ “ “ 12th “ “ 2.50 Rheumatism “ “ prescription & linim [illegible] Chris Singer “ 13th visit & med: 2.50 Mrs Groves “ “ “ “ .75 Mrs [Phes??] “ “ “ “ 1.50 Mrs Smith (Miller) “ 14th “ “ 2.00 Nevin McEwen “ “ prescription .50 Jim McEwen “ “ zii of croton oil 1.00 John Groves “ 165th visit & med .75 Perry Myers “ 16th “ “ 1.50 John Groves “ “ medicine .25 Jim McEwen “ “ croton oil zii 1.00 Perry Myers “ 17th visit & med: 1.50 “ “ “ 18th “ “ 1.50 MR Sowers “ “ [illegible] [illegible] .25 John Groves “ “ prescription .50 Jake Suter “ “ visit (night) 2.00 “ “ “ 19th “ 1.75 Mr Sowers “ “ [painting] visit .25 Jake Suter Nov: 20th visit & med 1.50 John Groves “ “ prescription .50 “ “ “ 21st visit (passing) .50 Jake Suter “ “ “ & med: 1.50 “ “ “ 22nd “ “ 1.50 John Groves “ “ “ passing .50 Jake Suter “ 23rd “ med: 1.50 “ “ “ 24th “ “ 1.50 “ “ “ 25th “ “ 1.50 Miss Lucy Smith “ 27th [illegible] & [liniment] .75 Nick Morback “ 28th visit & med .75 Mr Nicolai “ 29th “ “ 1.00 “ Hines “ “ “ “ .75 Mr Nicolai “ 30th prescription .50 Chris Goff “ “ visit 1.00 “ “ Dec: 1st “ “ 1.00 Mr Hines “ “ cough syrup .15 Chris: Goff “ 2nd visit & med: 1.00 Mrs Hines “ “ 2 “ “ 1.00 Chris Goff “ 3rd visit & med: 1.00 Peter Bowers “ “ medicine .25 Chris Goff “ 4th visit & med: 1.00 Mrs Heinz “ “ 2 “ ‘s “ 1.00 Granny McEwen “ “ liniment & med: .50 Chris Goff “ 5th med: .25 Tom Wiseman “ 6th prescription .50 Jim McEwan “ 7th med: .25 Widow Lamb “ “ pills .25 Tom Wiseman “ 8th prescription .50 Isaac Morris “ 10th lancing carbuncle & visit .75 Mr Abbott “ “ visit & med: .75 Jake Alexander “ 10th “ “ night 2.00 Mrs Sowers Decr 11th prescription .50 Jake Alexander & wife “ “ visit & med 1.75 Mrs Heinz “ “ “ “ (passing) .50 John Fromer “ “ “ “ “ .50 Jake Alexander & wife “ 12th “ “ 1.75 “ “ “ “ 13th “ “ 1.75 “ “ “ “ 14th “ “ 1.75 “ “ “ “ 15th “ “ 1.75 Mrs John Muir “ 14th & “ night 1.00 “ “ “ “ 15th “ .50 Johnson Myers “ “ prescription .50 Jake Alexander & wife “ 16th visit & med 1.75 “ “ “ “ 17th “ “ 1.75 “ “ “ “ 18th “ “ 1.75 “ “ “ “ 19th “ “ 1.75 “ “ “ “ 20th “ “ 1.75 “ “ “ “ 21st “ “ 1.50 Emily Hertenstein “ “ “ “ .75 “ “ “ 22nd “ “ .75 Jake Alexander & wife “ 23rd “ “ 1.50 Jas Laughlin “ “ prescription .50 Mrs Jim McEwen “ 24th “ .50 Mr Wm Johnson “ 26th visit 1.50 Jacob Keen “ “ visit & med: 1.00 Miller Brown 2 children “ 29th visit & med: [2.50] Wm V. Cheek wife “ “ “ “ 1.00 Miller Brown “ 30th “ “ 2.50 Jim Castor “ “ prescription night 1.00 Miller Brown “ 31st visit & med: [2??] Wm V Cheek wife “ “ “ “ 1.00 “ “ Jany 1st 1864 “ “ 1.00 Mark Scott “ “ “ passing .50 Miller Brown Jany 1st 1864 visit & med 2.50 Johnson Myers “ “ “ passing .50 Miller Brown “ 2nd “ “ 2.50 Jos: E Lange “ “ “ “ 1.50 “ “ “ 3rd “ “ 1.50 Miller Brown “ “ “ “ 2.50 Mrs Cheek “ “ “ “ 1.00 Miller Brown “ 4th “ “ 2.50 Jos: E Lange “ “ “ “ 1.50 Mrs Cheek “ “ “ “ 1.00 Miller Brown “ 5th “ “ 2.50 Jos: E Lange “ “ “ “ 1.50 “ “ “ 6th “ “ 1.50 Miller Brown “ “ “ “ 2.50 Mrs Cheek “ 7th “ “ 1.00 Mr Aplanap “ “ “ “ 1.00 Hos: E Lange “ “ “ “ 1.50 “ “ “ 8th “ “ 1.50 Mr Aplanap “ “ “ “ 1.00 Mrs Cheek “ “ “ “ 1.00 Jake Alexander “ 9th “ “ .75 Frank Alexander “ “ “ “ .75 Mr Cheek “ “ “ “ 1.00 Jos: E Lange “ “ “ “ 1.50 “ “ “ “ 10th “ “ 1.50 Mr Cheek “ “ “ “ 1.00 Frank Alexander “ “ “ “ .75 Jo: Suter “ “ “ “ 1.20 Jim Castor “ “ “ ‘ 2.00 Frank Alexander “ 11th “ “ .75 Jos: E Lange “ “ “ “ 1.50 “ “ “ 12th “ “ 1.50 Frank Alexander Jany 12th visit & med .75 Jim Castor “ “ prescription .50 Mr Talkington to son “ “ emetic .25 Jos: E Lange “ 13th visit & med: 1.50 Mrs Cheek “ “ 2 “ “ [1.??] Frank Alexander “ “ “ “ [.75] N. Morback “ “ “ “ .75 Jos: E Lange “ 14th “ “ 1.50 Frank Alexander “ “ “ “ .50 Mrs Cheek “ “ 2 “ “ 1.50 Mrs “ “ 15th visit “ 2.00 Frank Alexander “ “ visit “ [.75] Jo: Riddle “ “ “ “ 1.50 Richd Sowers “ “ “ “ .75 “ “ “ 16 “ “ .75 Mrs Cheek “ “ visits “ 2.00 Frank Alexander “ “ “ “ .75 Jo: Riddle “ “ visit “ 1.50 Jos: E Lange “ “ “ “ 1.50 Mrs Cheek “ 17th “ “ 2.00 Jo: Riddle “ “ “ “ 1.50 John Groves to Bel “ “ prescription .25 Frank Alexander “ “ visits 1.00 Rich’d Sowers “ “ “ 1.25 “ “ “ 18th 1.00 Mrs Cheek “ “ visits 2.00 Jo: Riddle “ “ visit 1.50 Jake Alexander “ “ “ .75 Jake Suter “ “ “ 2.00 John Muri (Mrs Morris) “ “ “ 1.00 Mrs Sowers “ “ medicine .50 “ “ “ 19th visit .50 Jake Suter Jany 19th visit & med 1.50 Jo: Riddle “ “ “ “ 1.50 John Muir (Mrs Morris) “ “ visit & med: 1.00 Frank Alexander “ “ visits 1.00 Mrs Cheek “ “ visit 1.00 “ “ “ 20th visits 2.00 Frank Alexander “ “ visit .75 Jo: Riddle “ “ “ 1.50 Jos: E Lange “ “ “ 1.50 “ “ “ 21st “ 1.50 Mrs Cheek “ “ visits 2.00 Frank Alexander “ “ visits 1.00 Mrs Cheek “ “ “ 2.00 Mr Farmer “ “ visit 1.50 Mr J E Lange “ “ “ 1.50 Mr Keen “ “ prescription .50 Mrs Cheek “ 23rd visits 2.00 Frank Alexander “ “ visit 2.00 Mr Farmer “ “ “ 1.50 Jos: E Lange “ “ “ 1.50 Isaac Morris “ “ “ .75 Isaac Morris “ 24th visit .75 Mrs Cheek “ “ visits 2.00 Jos: E Lange “ “ visit 1.50 Mr Farmer “ “ “ 1.50 Mr Shafer “ “ “ 2.00 “ “ “ 25th “ 2.00 Mrs Cheek “ “ visits 2.00 Jos: E Lange “ “ visit 1.50 Johnson Myers Jany 25th prescription .50 Mr Nock “ “ “ .50 Mr Morris “ “ visits 1.00 “ “ “ 26th visit .75 Mrs Cheek “ “ visits 2.00 Jos: E Lange “ “ visit 1.50 Frank Alexander “ “ “ 1.50 Mr Farmer “ “ “ 1.50 Mr Shafer “ “ “ 2.00 Jos: E Lange “ 27th “ 1.50 Mrs Cheek “ “ visits 2.00 Isaac Morris “ “ visit .75 “ “ “ 28th “ .75 Mrs Cheek “ “ visits 2.00 Jos: E Lange “ “ visit .150 Isaac Morris “ 29th visits 1.00 Mrs Cheek “ “ visits 2.00 Jos: E Lange “ “ visit 1.50 Mr Shafer “ “ “ 2.00 Saml Dale “ “ prescription .75 [illegible] Keen “ “ “ .75 Mrs Cheek “ 30th visits 2.00 Jos: E Lange “ “ visit 1.50 Isaac Morris “ “ visits 1.00 Jacob Keen “ 31st “ 1.00 Mrs Cheek “ “ “ 2.00 Mr Landon “ “ visit 1.50 Jos: E Lange Feby 1st “ 1.50 Mrs Cheek “ “ visits 2.00 Jim Castor “ “ prescription .50 John Groves “ 2nd med: [.25] Mrs Cheek “ “ visits 2.00 Isaac Morris Feby 2nd visit .75 Mr Landon “ “ “ 1.50 Jacob Keen “ “ prescription .50 Mrs Cheek “ 3rd visits 2.00 J. E Lange “ “ visit 1.00 Isaac Morris “ “ “ .50 Mrs Cheek “ 4th visits 2.00 “ “ “ 5th “ 1.50 Jos: E Lange “ “ visit 1.25 Mrs Wolford “ “ visits 1.00 Jo: Riddle “ “ prescription .50 Jos. E Lange “ 6th visit 1.25 Mrs Cheek “ “ visits 1.50 Mrs Wolford “ “ “ 1.00 Mr Logan to Perry Myers “ “ prescription . 50 [Dan]: Castor “ “ “ .50 Mr J. Landon “ “ “ .50 Mrs Cheek “ 7th visits 1.50 Mrs Wolford “ “ “ 1.00 Mrs Ferriger “ “ visit 1.00 Jos: E Lange “ “ visits (all night) 1.50 Mr Wm Gray (mouth wash) “ 8th prescription .50 Mrs Wolford “ “ visit .50 “ Feringer “ “ “ & [illegible] .75 Mrs Cheek “ 8th “ 1.00 Jos: E Lange “ “ visits (all night) 1.50 “ “ “ 9th visits 1.50 Mrs Cheek “ “ “ 1.00 “ “ “ 10th “ 1.00 J. E Lange “ “ visit 1.25 “ “ “ 11th 2 “ 2.00 Mrs Cheek “ “ visits 1.50 [Jr:] Schlict Feby 11th visit .75 Frank Alexander “ “ “ 1.50 Mr [Ferringer] “ 12th medicine .10 Jos: E Lange “ “ visit 1.25 Mrs Cheek “ “ visits 1.50 Mrs Wilson “ “ visit 1.50 Frank Alexander “ “ “ 1.50 Jl: Schlict “ “ “ .75 Mrs [Waner] “ “ “ 1.50 Jos: E Lange “ 13th visit 1.50 Mrs Cheek “ “ 3 visits and all night 2.00 Mrs Wilson “ “ visit 1.50 MRs Jo: Schlicht “ “ “ .75 Mr Mock “ “ prescription .50 Mr Shafer “ “ medicine .25 Mrs [Waner] & John “ “ visit .150 Isaac Morris “ “ visit .50 Jos: E Lange “ 14 “ [1.20] Mrs Cheek “ “ visits 1.50 Mrs [Alvina] Wilson “ “ visit 1.50 Mrs Waner “ “ medicine .25 Jo: Schlict “ “ visit .75 Isaac Morris “ 15th “ .75 Jos: E Lange “ “ “ 1.50 Mrs Cheek “ “ visits 1.50 Mrs Waner “ “ visit 1.50 Jos: Schlict “ “ “ .75 Mrs Lucinda Alvina Wilson “ “ “ 1.50 Rich’d Sowers “ “ prescription .50 Jo: Suter “ “ visit 1.50 Mrs Cheek “ 16th visits 1.50 Mrs Waner “ “ 2 visits 2.00 Mrs [Elmina] Wilson Feby 16th visit 1.50 Isaac Morris “ “ “ .50 John Groves “ “ “ .75 Rich’d Sowers “ “ med: .15 Jo: Schlict “ “ visit .50 “ “ “ 17th “ .50 Jos: E Lange “ “ “ 1.50 Mrs Cheek “ “ visits 1.50 Mrs Elmina Wilson “ “ visit 1.50 Mrs Waner “ “ “ 1.50 Isaac Morris “ “ “ .50 “ “ “ 18th “ .50 Jos: E Lange “ “ “ 1.25 Mrs Cheek “ “ visits 1.50 Peter Cook “ “ visit 1.50 Mrs Elmina Wilson “ “ “ 1.50 “ “ “ “ 19th “ 1.50 Jos: E Lange “ “ “ 1.25 Mrs Cheek “ “ visits 1.50 Peter Cook “ “ visit 1.50 Mrs Elmina Wilson “ 20th “ 1.50 Mrs Cheek “ “ visits 1.50 Jos: E Lange “ “ visit 1.25 “ “ “ “ 21st visits all night) 1.50 Mrs Cheek “ “ “ 1.50 Mr Reep “ “ visit 1.50 Mrs Elmina Wilson “ “ “ 1.50 Adam Waner “ “ “ 1.50 Mrs Cheek “ 22nd visits 1.50 Jos: E Lange “ “ visit 1.25 Mrs Elmina Wilson “ “ “ 1.50 Isaac Morris “ “ “ .50 Adam Waner Feby 22nd visit 1.50 Johnson Myers “ “ prescription .50 Mrs Cheek “ 23rd visits 1.50 Jos: E Lange [illegible] & John “ “ visit [1.??] Mr Adam Waner “ “ “ 1.50 Isaiah Ewing “ “ “ 1.50 Mrs Elmina Wilson “ “ “ 1.50 “ “ “ 24th “ 1.50 Mrs Cheek “ “ visits 1.50 Adam Waner “ “ visit 1.25 Jos: E Lange “ “ visit 1.25 Isiah Ewing “ “ “ 1.25 “ “ “ 25th “ 1.25 Adam Waner’s 2 children “ “ “ 1.50 Mrs Cheek “ “ visits [illegible] Mrs Elmina Wilson “ “ visit 1.50 Isaac Morris “ “ visit & vaccination [1.?0] Tom Landon “ “ prescription .50 Mr Peter Bowers “ “ vaccine two children .50 Adam Waner 2 children “ 26th visit 1.50 Elmina Wilson “ “ “ 1.50 Isiah Ewing “ “ “ 1.50 Mrs Cheek “ “ visits 1.50 “ “ “ 27th visit 1.00 Isaiah Ewing “ “ med” only visit no charged Adam Wehner 2 children “ “ visit 1.50 Elmina Wilson “ “ “ 1.50 Jos: E Lange “ “ med” .25 Mr Landon Sr: “ “ prescription .50 Parker Wise “ “ med: & exam chest [illegible] Mrs Cheek “ 28th visit 1.00 Mr Adam Wehner “ “ “ 1.50 Mrs Elmina Wilson Feby 28th visit 1.50 Jos: E Lange “ “ prescription .50 Peter Bowers “ “ “ .50 Mr Landon Sr: “ 29th visit & med: 1.50 Mrs Elmina Wilson “ “ “ “ 1.50 Jo: Schlict “ “ “ “ .75 Saml Dale “ “ “ “ 2.00 “ “ “ “ 4 z of cough syrup [illegible] Mr Landon Sr March 1st visit & med: 1.50 Jo: Schlict “ “ “ “ .75 Isaac Morris “ “ “ “ .75 Mrs Elmina Wilson “ “ “ “ 1.50 Mrs Cheek “ 2nd “ 1.00 Isac Morris “ “ “ “ .50 Mr Landon Sr “ “ “ “ 1.50 Henry [Plus] “ “ cough syrup [illegible] John Main (Mrs [Mendenhal] [illegible] & Mrs [illegible]) “ “ visit & med: .75 Henry Plus “ 3rd “ “ [illegible] Mr Landon Sr: “ “ “ “ 1.50 Mr [Hantop] “ “ “ “ 1.50 Mrs Elmina Wilson “ “ “ “ 1.50 Hinson Gray “ “ “ “ 1.50 Saml Dale “ “ “ “ 2.00 Mr Landon “ 4th “ “ 1.50 Hinson Gray “ “ “ “ 1.50 Jos: E Lange “ “ prescription .50 John Muir “ “ visits & med [illegible] “ “ “ 5th “ 1.00 Mrs Cheek “ “ visit 1.00 Jos: E Lange “ “ “ all night 1.50 Mrs Elmina Wilson “ “ “ 1.50 Hinson Gray “ 6th “ 1.50 Mr Cheek March 6th visit (passing) .50 “ “ “ 7th “ 1.00 Jos: E Lange “ “ “ 1.50 Johnson Myers “ “ “ 1.50 Mrs Reep “ “ “ passing 1.00 Isaac Morris “ “ visits 1.00 “ “ “ 8th visit [illegible] Johnson Myers “ “ “ [1.??] Hinson Gray “ “ “ 1.50 Jos: E Lange “ “ “ 1.50 Mrs Elmina Wilson “ “ “ 1.50 Jos: Schlict “ 9th cerate [.2?] Mr Guisendorf Jr “ “ prescription [illegible] Isaac Morris “ “ visit .50 Jos: E Lange “ “ “ 1.50 Mr Bodenburg “ 10th “ .75 Mr Wiles “ “ “ 1.00 Hinson Gray “ “ “ 1.50 Mrs Elmina Wilson “ “ “ 1.50 Mr Dink “ “ “ night 1.00 Isaac Morris “ “ “ .50 Mr Dink “ 11th “ .50 Mr Wiles “ “ “ 1.50 Hinson Gray “ 12th “ 1.50 Mrs Koomer “ “ prescription [illegible] Mrs Elmina Wilson “ “ visit 1.50 Jos: E Lange “ “ med: .25 Hinson Gray “ 14th visit 1.50 Mr Bakman “ “ “ 2.00 Hinson Gray “ “ “ night 2.00 “ “ “ 15th “ 1.50 Mr Bachman “ “ “ 2.00 Mr Bousendorf Jr: March 15th prescription .50 Henry Wiles “ “ cough syrup .50 Mrs Elmina Wilson “ 16th visit 1.50 Jos: E Lange “ “ med: .25 Isaac Morris “ “ “ .25 Mr Bachman “ 17th visit & med: 1.00 Hinson Gray “ “ “ “ 1.50 Mr Bachman “ 18th “ “ 2.00 John Muir (Mary B.) & Graff0 “ 19th “ “ .75 Wm Keen “ 20th “ “ 2.00 Mr Smith’s visitor, at Mill “ “ “ “ .25 Wm Keen “ 21st “ “ 2.00 “ “ “ 22nd “ “ 2.00 Jos: E. Lange “ 24th “ night 2.00 Mrs Dink “ 25th “ “ .50 Mr Hardeback (Henry) “ “ prescription .50 Mr J. Keen “ “ visits & vacc: [1.90] “ “ “ 26th 1.00 Mrs Dink” “ visits 1.00 Mrs Abbot 3 children “ “ vaccination .75 Mr Bachman “ “ medicine .25 Mr Dink “ 27th visits & med 1.00 Mr Dink “ 27th visits & med 1.00 Mr Jacob Keen “ “ “ 1.00 “ “ “ “ 28th visit .75 Mr Dink “ “ visits 1.00 Mrs Cheek “ “ visit .100 Mr Smith’s visitor “ “ med: .25 Mr [Hantop] Sr “ 29th visit & med 3.00 Peter Bowers sister in law “ “ med: .25 Mrs Dink “ “ visit 1.00 “ “ “ 30th visits & med 1.00 “ “ “ 31st “ “ 1.00 Mrs Dink 2. April 1st visits 1.00 Mr Busendorf “ “ prescription .20 Peter Cook “ “ cough syrup .20 Jacob Keen “ “ visit .75 Mrs Anderson at [Craft’s] “ “ visit 3.00 Jacob Keen “ 2nd visits 1.00 Mr Dink 2. “ “ “ 1.00 “ “ “ “ 3rd “ 1.00 Jacob Keen “ “ “ 1.00 Mrs Anderson at [Crafts] “ “ visit 3.00 Saml Dale “ “ vacination .50 Mr Ryan “ “ “ .50 Mrs Anderson at [Crofts] “ 4th visit 3.00 Jacob Keen “ “ visits 1.00 Mrs Dink “ “ “ 1.00 Mrs Cheek “ “ visit 1.00 Mr Lyons “ “ obstetrics pd 2.50 5.00 Jacob Keen “ 5th visits 1.00 Mrs Dink “ “ “ 1.00 Mrs Anderson at Crofts “ “ visit 3.00 “ “ “ “ 6th “ 3.00 Jacob Keen “ “ visits 1.00 Mrs Dink “ “ “ 1.00 Mrs N. D. Jonson “ “ prescription .50 Mrs Heinz “ “ vaccination .50 Mr Ryan “ 7th prescription .50 Jacob Keen “ “ visits 1.00 Mr Dink “ “ “ 1.00 Mrs Anderson “ “ visit 3.00 Mr Adler fractured leg “ “ visits [illegible] “ “ “ 8th visit Jacob Keen “ “ visits .75 Mrs Dink April 8th visits 1.00 Mr Feringer “ “ visit 1.00 Mrs Miller Brown “ “ prescription .50 Mrs Anderson at Croft’s “ “ visit 3.00 Mr Ryan “ “ prescription .50 eyes of his boy “ “ Mrs Dink “ 9th visit .75 Mr Bodenburg “ “ “ .75 “ “ “ 10th med: .25 Mrs Dink “ “ visit .50 Mrs Feringer “ “ med” .25 Mrs Heinz “ “ “ .25 Mr Fultz “ “ visit & med: 1.50 “ “ “ 11th “ “ 1.50 Mr Dink “ “ “ “ .75 Mr Fred Marion “ “ “ “ 2.00 Mr Fultz “ 12th “ “ 1.50 Mr Dink “ “ visits & med 1.00 Johnson Myers “ “ prescription .50 John Groves “ “ prescription .50 Mrs Heinz “ “ med: .25 Adam Wehner “ 13th prescription .50 Ruben Fultz “ “ visit & med: 1.50 Mrs Dink “ “ visits & med. 1.00 Jacob Keen “ “ prescription .50 Ruben Fultz “ 14th visit & med: 1.50 Perry Myers (Mrs Priest) “ “ “ night 2.00 Ruben Fultz “ 15th visit & med 1.50 Wm Graf “ “ alcohol .10 Ruben Fultz “ 16th visit & med 1.50 Perry Myers (Mrs Priest) “ “ prescription .50 Mrs Garvin “ “ visit & med 2.00 $ Mrs Garvin April 17th 2 visits & med 3.00 Mrs Cheek “ “ prescription .50 Mrs Garvin “ 18th 2 visits & med 3.00 Mrs Heinz “ “ visit & med .50 Mr John Groves “ “ prescription .50 Mr Fariger “ 19th visit & med: 1.50 Mrs Garvin “ “ 2 visits & med: 3.00 Mrs Heinz “ “ “ “ “ 1.00 Jo: Schlict “ 20th prescription .75 Mrs Garvin “ “ visit & med: 2.00 Mr Fariger “ “ “ “ 3.00 Mrs Heinz “ “ “ “ .50 Mrs James Mc Ewen “ “ “ “ 1.50 “ “ “ “ “ pills .50 Mrs Garvin “ 21st visit & med 2.00 Mr Fariger “ “ “ “ 2.00 Mrs Feringer “ “ “ “ passing .50 David Lyons “ “ prescription .50 Mr Smith (Miller) “ “ visit & med 2.00 Jo: Schlict “ “ vaccination .50 Mr Mock “ “ visit & med 2.00 Mrs Ryan “ 22nd prescription .50 Mrs Ryan “ 22nd prescription .50 Mr Mock “ “ visit & med: 2.00 Mr Garvin “ “ “ “ 2.00 James Laughlin “ 23rd vaccinating 6 children 1.50 Mrs Bradburn “ “ visit & med: 1.00 Mr Mock “ “ “ “ 2.00 Ruben Fultz “ “ “ “ 1.50 Jos. E. Lange “ “ prescription .50 Mrs Heinz “ “ “ .50 Ruben Fultz “ 24th visit, med & V.S 2.00 Mr Mock “ “ “ “ 2.00 Mr Anderson April 24th visit & med: 3.00 Mr Mock “ 25th “ “ 2.00 Ruben Fultz “ “ “ “ 1.50 Mr Anderson “ 26th “ “ 3.00 Ruben Fultz “ “ “ “ 1.50 Mr Mock “ “ “ “ 2.00 Mr Heinz “ “ medicine .25 Mr Nicolai “ “ prescription .50 Mr J. E. Lange “ 27th obstetrics 5.00 Robt Foster “ 28th medicine .25 Ruben Fultz “ “ visit & med: 1.50 Mr Mock “ “ “ “ 2.00 Mr Anderson “ “ “ “ 3.00 Ruben Fultz “ 29th “ “ 1.50 Dennis Feringer “ “ “ “ 1.00 Ruben Fultz “ 30th “ “ 1.50 Jos: Schlict “ “ prescription .50 Ruben Fultz May 1st visit & med 1.50 Jos: E Lange “ “ prescription .50 Isaac Morris “ 2nd visits 1.00 “ “ “ 3rd 1.00 Frank Alexander “ “ visit & med: 1.50 “ “ “ 4th “ “ 1.50 Isaac Morris “ “ visits 1.00 “ “ “ 5th “ .75 Granny McEwen “ 6th prescription .50 Isaac Morris “ “ visit & med: .75 Granny Scott “ 7th prescription .50 Frank Alexander “ “ “ .50 Adler “ “ “ .50 Wittman “ “ “ .50 Mrs Heinz “ 8th med .50 Jos: E Lange May 14th med .25 Mr Huffbower ? 17th “ .25 Jim Perry “ 18th visit passing .75 John Groves “ “ prescription .50 Jim Perry “ 19th visit & med 1.50 Miss Scott “ “ prescription .50 Mr [Reno] “ “ “ .50 “ “ baby “ 20th “ .50 “ “ wife “ “ “ .50 Jim Perry “ “ visit & med 1.50 George Landon “ “ prescription .50 Jim Perry “ 21st visit & med: 1.50 Johnson Myers “ “ prescription .50 Mr Reno self “ “ “ .50 “ wife “ “ emetic .25 Jim Perry “ 22nd visit & med 1.50 John Thackery senior “ “ “ “ 2.00 Mr Ryan “ 23rd “ “ 2.50 Jim McEwen “ “ prescription .50 Johnson Myers “ 25th 2 visits & med 3.00 John Thackery Senior “ 26th visit & med: 2.00 Johnson Myers “ 27th 2 “ “ 3.00 “ “ “ 28th visit 1.50 Harriet Sowers “ “ prescription .50 Mrs Lamb “ “ “ .50 Andy McEwen “ “ “ .50 Mrs Jim McEwen “ “ “ .75 Johnson Myers “ 29th visit & med: 1.50 “ “ “ 30th “ “ 1.50 Mrs McHugh “ “ prescription .50 Mr J. Keen “ 31st ague pills .50 Johnson Myers “ “ visit & med: 1.50 Mrs Winters June 1st prescription .50 Mr Linkum “ “ “ .50 Mrs McHugh “ “ “ .50 Widow Lamb “ 3rd pills .25 Mrs McHugh “ “ prescription .75 Granny McEwen “ 5th “ .50 Andy McEwen “ 7th prescription .50 Mrs Lamb “ “ med: .25 Mrs McHugh “ “ prescription .50 Mr Linkum “ “ “ .25 Jim Perry “ 8th “ .60 Mrs McNew “ “ visit & med 2.50 Mrs Bradburn Sen “ “ “ “ 1.00 Mr Graff “ “ prescription 1.00 Mrs Bradburn “ 9th visit & med: 2.00 Mr Mark Scott “ “ prescription? Mr Reno “ 10th visit “ .50 Mrs McNew “ 11th visit & med: 2.50 Mrs Reep (county) “ “ prescription .50 Mrs McNew “ 13th visit & med: 2.50 Mr Mock “ “ “ “ (passing) 1.00 Mrs McNew “ 14th “ “ 2.50 “ “ “ “ 16th “ “ 2.00 Mr Mock “ “ “ “ [passing” .50 Isaiah Ewing “ “ “ “ 1.25 Miller Brown “ 18th “ “ 2.50 Mr Mock “ “ “ “ passing .50 Isaiah Ewing “ “ pills .25 Miller Brown “ 19th visit & med: 2.50 Jr James Mc[Quon] “ 20th prescription & ed .75 Mrs Fetters “ “ visit & med: 1.50 “ “ “ 21st 2 “ “ 2.00 Mrs Nicolai June 21st visit & med: passing .50 Saml Dale “ “ prescription .50 Mrs Fetters “ 22nd visit & med: 1.50 Mr Joseph Gray “ “ “ “ 2.00 “ “ “ “ 23rd “ “ 2.00 Mrs Fetters “ “ “ “ 1.50 Mr Joseph Gray “ 26th “ “ 2.00 “ “ “ “ 28th “ “ 2.00 Isaac Morris “ “ “ .50 Perry Myers “ 29th reducing ankle 5.00 Mr Jim McEwen “ 30th prescription .50 Mrs Nicolai & daughter “ “ visit & med: 1.25 Perry Myers “ 31st “ “ 1.50 Mrs Wm Johnson July 1st “ “ 1.50 Mr Nicolai “ “ “ “ 1.00 Mr Wm Johnson “ 2nd “ “ 1.50 Mr Nicolai “ 3rd prescription .50 Mrs Jim McEwen “ 5th “ .50 Jos: Schleicht “ “ visit & med: 1.00 “ “ “ 6th “ “ 1.00 Peter Morback wife “ “ “ “ 1.00 Jos: Gray “ “ med: [.25] Peter Morbach “ 7th visit & med: 1.00 Mr [Fraser] [otter] village “ “ “ “ night .50 David Brown “ 8th prescription 1.00 Mr Winters “ “ visit & med [at ross] 2.00 Mr Fred: Fraser “ “ pills .25 “ “ “ “ 9th visit & med [illegible] Henry Wiles Jr “ “ setting fracture & dislocation Mr Fred: Fraser “ 13th prescription [illegible] Joseph Suter “ 14th visit night [illegible] James Laughlin 2 children “ 15th 2 “ 2.50 Mr Mock July 15th 2 visits & med [3.50] Johnson Myers “ “ ext tooth .50 Mr Mock “ 16th visit & med 2.00 Mr J Laughlin “ “ “ “ 1.50 Mr Nicolai “ “ “ “ 1.00 “ “ “ 17th “ “ 1.00 “ Patterson “ “ prescription .50 Mr J. Laughlin “ “ visit & med 1.50 Mr Mock “ “ “ “ 2.00 Mr Jim Castor “ “ 2 visits “ 2.00 Mr Reno “ 19th consultation Dr Price 5.00 Mr Nicolai “ 20th prescription .50 Mrs Heinz “ 21st visit & med: night 1.50 Mr John Groves Bel “ 23rd prescription .50 Mrs Sowers “ “ visit & med: 1.00 Lewis Lange “ “ prescription .75 Mr Wilson “ 25th cough .50 Mr Tom Landon “ 26th “ [illegible] Chris Goff “ 27th “ .50 Johnson Myers “ 27th “ .50 Mr Hertenstein “ 28th “ .50 Mr Smith (Miller) “ 30th visit * (passing) .50 Mr McClinchy “ “ “ 2.00 Mr Soper “ “ “ 1.50 Mr S. Dale “ “ prescription .50 Isaac Morris “ 31st tinct iod: comp: zi .20 Mr McClinchy “ “ visit & med: 2.00 Nicholas Morbach Augst 1st “ “ 1.00 John Newman Sen “ 2nd prescription .50 Isaac Morris “ “ reducing dislocated rist 5.00 Henry Wiles “ 3rd visit & med 1.00 “ “ “ 4th .50 Mr [Stinger] Aug 5th visit & med night [2.??] “ Patterson “ “ prescription .50 “ McClinchy “ 6th “ .50 Mr Kutzendofer “ 7th visit & med [illegible] Mrs Scott “ “ “ “ 3.00 Mr Kutzendorfer “ 8th “ “ 1.50 Mr Waner “ 9th prescription .50 Mrs Scott “ “ visit & med: 3.00 “ “ “ 11th “ “ 3.00 Mr Jim McEwen “ “ prescription .50 Mr S. Dale “ “ “ .50 Nick Morback “ 12th “ .50 Lewis Lange “ “ “ .50 Mrs Scott “ 13th visit & med: 3.00 Mr Isaac Morris “ “ “ 1.00 Mrs Scott “ 15th visit & med 3.00 “ “ “ 17th “ “ 3.00 Mrs Heinz “ “ “ “ night 1.00 Johnson Myers “ “ “ “ 1.75 Dennis Feringer “ “ “ “ 1.00 “ “ “ 20th “ “ 1.00 “ “ “ 22nd “ “ 1.00 Hinson Gray “ 25th prescription .75 [?udge] Major “ “ visit to John Glass’s night 2.00 Dennis Feringer “ “ “ 1.00 Mrs John Groves “ 26th prescription .50 “ “ “ “ 27th visit & med 1.00 Mrs Scott “ “ prescription .50 Isaac Morris “ “ visit & med 1.00 “ “ “ 28th “ “ 1.00 John Groves “ “ “ “ 1.00 Tom Landon “ “ prescription .50 Lewis Lange Augst 28th prescription .50 Mrs Keen “ 31st “ .50 “ “ Sept 1st visit & med: 1.00 Adam Coleman Sen “ “ “ “ 1.50 “ “ “ “ 2nd “ “ 1.50 Mrs Scott “ “ prescription .50 Mrs Groves “ “ “ .50 “ Keen “ “ “ 1.00 Jos: Schlict “ 7th “ .50 Dennis Feringer “ 8th visit 1.00 Mr [illegible] “ “ “ & med 2.50 “ [Steuri] “ 9th “ “ 2.00 “ Nicolai “ “ “ “ 1.50 “ “ “ 10th “’ 1.50 Mr Stinger “ “ “ “ 2.00 Mr Jim McQuone (to boy) “ “ prescription .50 Mr Stinger “ 11th visit & med: 1.50 Jim McQuone (boy) “ “ prescription .25 Dennis Feringer “ 12th visit 1.00 Theodore Shlater “ “ “ 1.00 John Fromer “ “ “ & med 2.00 Mrs Scott (Osgood) “ 13th prescription .50 John Fromer “ “ visit & med: [illegible] Theodore Schlater “ “ “ “ 1.00 Jim McQuone (boy) “ “ pills .40 Mr Plus “ 14th visit & med 3.50 Nich: Morbach “ “ prescription .25 Mr Plus “ 15th visit & med: [3.50] “ “ “ 16th “ “ 3.50 Mr Feringer “ “ “ “ 1.00 Mr Steuri “ “ “ passing .50 Mrs McQuone “ “ pills .20 Jim McEwen Septr 16th prescription .25 Mr Steuri 2 patients “ 17th visit & med: 2.50 “ “ “ “ 18th “ “ 2.00 Mr Feringer “ “ “ “ 1.00 Mr Kuester “ “ prescription .50 Mr Steuri “ 19th visit & med 2.00 Mrs Scott (Osgood) “ “ prescription .50 Mr Kuester self & boy “ 20th visit & med 2.75 Mr Peter Schlict “ 21st “ “ 1.00 “ “ “ “ 22nd 2 visits “ 1.50 “ “ “ “ 23rd visit & med 1.00 Theo: Schlater “ “ prescription 1.00 Mr McClichy “ “ “ .50 Peter Schlict “ 24th visit & med: 1.00 “ “ “ 25th “ “ 1.00 Jake Suter “ “ prescription .50 Becky Haren “ “ “ .50 Peter Schlicht “ 26th visit & med 1.00 Jake Suter “ “ prescription .50 James Laughlin “ “ visit to [illegible] [illegible] 5.00 Nevin McQuone “ “ med .25 MRs Wiles “ 27th “ .75 Peter Schlicht “ “ visit & med: 1.00 Mr Wittman “ 29th “ “ 1.00 [illegible] Clifford “ “ “ “ 2.50 Mr Stepp (Miss Stepp) “ “ extracting tooth .50 Theodore Slater Oct: 2nd prescription .75 Mr Wittman “ “ visit & med: 1.00 Nich: Morbach “ 3rd prescription .50 Mr Wittman “ “ visit & med: 1.00 Jim Perry “ “ prescription .50 Mr Wittman “ 4th visit & med: 1.00 Jim Castor Oct: 4th visit & med: [illegible] Mrs Castor at Jim’s “ “ prescription .50 Mr Wittman “ 5th visit & med 1.00 Jim Castor “ “ “ “ 1.25 Bob Wise “ “ eyes attended Jim Castor Oct: 6th visit & med: 1.25 Mr [Tager] “ “ “ “ 1.00 Eli Skinner “ “ prescription 1.00 Jim Castor “ 7th visit & med: 1.25 Frank Scott’s 2 children “ “ “ “ 2.50 “ “ “ “ 8th “ “ [2.50] Jim Castor “ “ “ “ 1.25 Mrs [Krusy] at Koomer’s “ “ “ “ 3.00 Theo: Slater “ “ liniment .50 Mrs Krusy “ 9th visit & med 2.50 Jim Castor “ “ “ “ 1.25 Frank Scott “ “ “ “ [2.??] Mrs Shafer “ “ prescription 1.00 Mr [Jager] “ 10th “ .75 Jim Castor “ “ visit & med: 1.25 “ “ “ 11th visit & med 1.25 Mrs Watterson Frank Alexdr’s Suter “ “ prescription .50 Jim Castor “ 12th 2 visits & med: 1.50 Mr Wittman “ “ visit & med 1.00 Peter Schlict “ “ “ “ 1.00 Mrs Kausy “ “ “ “ 2.50 Peter Schlicht “ 13th visit & med: 1.00 Mr Wittman “ “ “ “ 1.00 Jim Castor “ “ “ “ 1.25 D. Hall “ “ obstetrics 10.00 Jim Castor “ 14th visits & med 1.25 Peter Schlict “ “ visit & med: 1.00 Mr Wittman Oct: 14th visit & med: 1.00 “ “ “ 15th “ “ 1.00 Peter Schlict “ “ “ “ 1.00 Jim Castor “ “ “ “ 1.25 Mr Bradburn Sen: “ “ prescription night 1.00 Mrs White “ “ “ 1.00 “ “ “ 16th visit & med 1.25 Jim Castor “ “ “ “ 1.25 Mr Wittman “ “ “ “ 1.00 Jim Perry “ “ prescription .50 Jim Castor “ 17th visit & med: 1.25 Mrs White “ “ “ “ 1.25 Mr Wittman “ “ “ “ 1.00 Jim McEwen boy “ “ prescription .50 Mrs Reep (county) 2 children “ “ visit & med 1.50 Mr [Wachner] “ “ “ night “ “ 2.50 Jim Castor “ “ 18th 2 “ “ 1.50 Wm White “ “ 2 “ “ 1.50 Wm Clifford “ “ prescription .50 Jim Castor “ 19th visit & med: 1.25 Mrs White “ “ “ “ 1.25 Mr Wachner “ “ prescription .50 Mrs Reep 2 “ “ visit 1.25 [Faze] Scott girl’s eye “ “ 5.00 Mrs Reep “ 20th visit & med 1.25 [illegible] Kelsh “ “ “ “ 3.00 Jim Castor “ “ “ “ 1.25 Mrs White “ “ “ “ 1.25 Mr Wittman “ “ “ “ 1.00 Mrs White “ 21st “ “ 1.25 “ Reep (county) “ “ “ “ 1.25 Jim Castor “ “ “ “ 1.25 Henry Kelsh Oct: 21st visit & med: 3.00 Mr White “ 22nd “ “ 1.25 Jim Castor “ “ “ “ 1.25 Mrs Reep “ “ “ “ 1.25 Henry Kelsh “ “ “ “ 3.00 “ “ “ 23rd “ “ 3.00 Jim Castor “ “ “ “ 1.25 Henry Kelsh “ 24th “ “ 3.00 Jacob Keen “ “ “ “ .75 Mr Smith (Miller) “ “ prescription .75 Mrs at Robinson’s “ 26th visit & med 1.00 Henry Kelsh & baby “ “ “ “ 3.00 Mrs Jim McEwen “ “ pills .25 Henry Kelsh & baby “ 27th visit & med: 3.00 “ “ “ 28th “ “ 2.50 Mrs Smith (Miller) “ “ “ “ 2.00 Mrs Scott (Osgood) “ “ “ “ 3.00 “ “ “ “ 29th “ “ 3.00 Jim Perry “ 30th prescription .75 Jim Castor “ “ “ .75 Mr Wittman “ “ visit .50 Jim Castor “ 31st “ all night 3.00 Geo: Luhn Nov 1st ext: tooth .50 Mrs Scott (Osgood) “ 2nd visit & med 3.50 Mrs Smith (Miller) “ “ passing “ “ 1.00 Dow Castor “ 3rd prescription 1.00 Job “ “ “ pills .25 “ “ “ 5th visit & med 2.00 Nich Morbach “ “ “ med 1.00 John Newman Sen: “ “ “ 2.00 Mrs Plus “ “ “ med 3.00 Mr Nich Morbach Novr 6th 2 visits & med 1.50 “ “ “ “ 7th 2 visits & med 1.50 Henry Kelsh “ “ “ “ 3.00 Frank Alexander “ 8th “ “ 3 A.M. 2.00 “ “ “ “ “ 1.50 Nich Morbach “ “ 2 “ “ 1.50 “ “ “ 9th 2 visits “ 1.50 Frank Alexander “ “ “ “ 1.50 Jake Suter’s son “ “ setting clavicle 5.00 Mrs Keen “ “ prescription .50 “ Dink “ “ “ .50 Mrs Plus “ 10th visit & med: 3.00 Mr Happe “ “ “ vaginal exam: 2.00 Frank Alexander “ “ “ & med: 2.00 Nich Morbach “ “ “ 1.00 Jo: Schlict “ 11th 2 visits & med 1.50 George Risinger ([Batesville]) “ “ visit & “ 6.50 Mrs Isacc Morris “ 12th emetic .50 Jo: Schlict “ “ visit & med: 1.00 Mr Plus “ “ “ “ 3.00 Frank Alexander “ “ “ “ 2.00 Mrs Geo: Risinger “ 13th “ “ 6.00 Mrs Schryock “ “ “ “ 1.00 Mrs Plus “ 14th “ “ 3.00 Taze Sott “ “ eye water & application 1.00 Mrs Geo: Risinger “ 15th visit & med: 6.50 “ Schryock “ “ “ [illegible] Jim Castor “ 16th prescription .50 Mrs Geo: Risinger “ 18th visit & med 6.00 Mrs Schryock “ “ “ “ 1.00 Taze Scott “ 19th “ “ 1.50 “ “ “ 20th “ “ 1.50 Geo: Risinger Novr 20th prescription .50 Mrs Cook Sen “ “ visit & med 2.00 Taze Scott “ “ “ “ 1.00 “ “ “ 21st “ “ 1.50 Geo: Risinger “ “ “ “ 6.00 Mr Schryock “ “ “ “ 1.00 Taze Scott “ 22nd “ “ 1.00 “ “ “ 23rd “ “ 1.50 Mr Andrews “ “ “ “ 2.00 “ “ “ 24th “ “ 1.50 Taze Scott “ “ “ “ 1.50 Mr Jos: Andrews “ 25th “ “ 1.50 Mr Adler “ “ “ “ 2.00 “ “ “ 26th “ “ 1.50 “ Graff “ “ “ “ 1.00 “ “ “ 27th “ 1.00 Mr Adler “ “ “ “ 1.50 Mr Smith (Miller) “ “ prescription 1.00 “ “ “ “ 29 visit & med 2.00 Mrs Scott Osgood “ “ “ “ 3.00 Mr Adler “ “ “ “ 1.50 Mr Taze Scott “ “ “ “ 1.50 Mrs Robt Wilson “ 30th “ “ 5.00 Mr Adler “ “ “ “ 1.50 Hinson Gray “ “ “ “ 2.00 “ “ Dec 1st “ 2.00 Mr Adler “ “ “ “ 1.50 Taze Scott “ “ “ “ 1.50 Mr Adler “ 2nd “ “ 1.50 Hinson Gray “ “ “ “ 2.00 “ “ “ 3rd “ “ 2.00 Mr Adler “ “ “ “ 1.50 Mr Winters Dec. 3rd prescription .50 Mr Veatch ” 4th “ .50 Mr Adler “ “ visit & med: 1.50 Taze Scott “ “ “ “ cupping 2.00 “ “ “ 5th “ 1.50 Mrs Veatch “ “ “ 1.50 Mr Adler “ “ “ 1.50 Granny McEwen “ “ strengthening plaster .25 Mrs Heinz “ “ visit & lancing [baby] 1.00 Mrs Adler “ 6th & med: 1.50 Mr Veatch “ “ “ “ 1.50 Taze Scott “ “ “ “ 1.50 Mr Step’s daughter “ “ Ext: tooth .50 “ Adler “ 7th visit 1.50 Taze Scott “ “ “ & med: 1.50 Jim McEwen “ “ prescription .50 Mr Adler “ 8th visit & med: 1.50 Mr Taze Scott “ “ “ “ 1.50 Mrs Jim McEwen “ 10th prescription .50 Jake Alexander “ “ obstetrics 5.00 Mr Adler “ 11th visit & 1.50 Mr Taze Scott “ “ “ 1.50 N. Morbach “ “ prescription .50 Taz Scott “ 12th visit & med 1.50 “ “ “ 13th “ “ 1.50 1857 Jany 10th Jno: L Morford Marion Co 3 mos. on pet “ “ Sampson B. Walker “ “ “ “ “ 17 Miss Seybold “ 12 mos leg: reg “ 24 Thomas Kane “ “ “ “ “ 27th Isaac L Gardner “ “ “ “ “ [illegible] continued 1857 March 25th Schenck Marion 3 mos. on petition “ 26th S. A. Gould 24 mos [illegible] reg: “ 31st A Roberts “ 3 mos on petition June 30th Franes Aston “ 12 mos leg: reg: Augst 25th Jacob A. J. Leary “ 12 mos “ “ “ 28th Chas C Smith “ 24 mos “ “ Oct: 30th Wm Taylor “ 3 mos “ “ Oct: 9th Jno [Kan] “ 12 mos “ “ “ 5th Tho’s Duell “ 6 mos “ “ “ 16th Robt Taylor “ 12 mos “ “ “ 24th Mr Andrews “ 2 years “ “ “ “ Cyrus Horton “ 12 mos “ “ “ 30th Elizabeth [Hosbrook] “ 24 mos leg: reg: & bk pressing simple [illegible] surveying, geometry & plane trigonom Nov 14th Robt L. McGaughey “ 13 mos: leg: reg: “ 14th James L Johnson “ 13 mos: “ “ “ 18th Mr Harding “ 3 mos “ “ “ 24th Joanna Sweinhart “ 6 mos “ “ “ 25th E. J. Nowland “ 12 mos “ “ “ 28th Alex’r Jameson “ 24 mos “ “ “ 28th Tho’s E. [Durie] “ 6 mos “ “ Dec 4th Josiah H. Razor “ 12 mos “ “ Dec 4th Jno D. Whitted “ 3 mos “ “ Dec 7th Henry A Dean “ 24 mos “ “ “ “ Johns “ 12 mos “ “ “ 11th Enoch E Fleming “ 24 mos “ “ “ 12th Robt Can “ 12 mos “ “ “ 14th David W Barnett “ 3 mos “ “ Dec 15th Joel Stafford Marion Co: 6 mos. Leg: reg Dec 17th Allen Frizzell “ “ “ “ “ “ “ Jno: Goodier “ “ 3 mo. on petition “ 21st Henry T Day “ “ 24 mos. leg: reg: “ 26th Robertson “ “ 3 mos. “ “ “ “ Calvin Taylor “ “ 24 mos: “ “ “ 29th White “ “ 12 mos: “ “ “ 30th Alfred Clarke “ “ 6 mos “ “ 31st Martha Smock “ “ 12 mos “ “ 1858 Jany 6th Sarah Jane Wilson Marion Co: 12 mos: “ “ Jany 9th Wm Pollard “ “ 6 mos: “ “ “ “ Jefferson Russel “ “ 3 mos: petition “ 16th J. B. Fowler “ “ 12 mos leg; reg: Feby 13th John [Valangingham] “ “ 12 mos “ “ “ 20th Wm P. Long “ “ 12 mos “ “ “ 27th House “ “ 24 mos “ “ “ 27th Frasier “ “ 12 mos “ “ March 4th John W Day “ “ 12 mos “ “ fiscal year commencing March 1st 1858 March 4th John W Day “ 12 mos: “ “ March 30th Martha A [Ware] Marion Co 24 mos “ “ April 6th Mary A. Evans. “ “ 12 mos “ “ June 12th Ruth Hibbert “ “ 24 “ “ “ August 17th Eliza Ruckle “ “ 6 “ “ “ “ 19th Anna Guthrie “ “ 6 “ “ “ Sept: 4th Elisabeth Denny “ “ 12 “ “ “ “ 9th John Hankins “ “ 12 “ “ “ “ 10th Dan’l Ferris “ “ 18 “ “ “ “ 18th Rachel L [Morse] “ “ 24 “ “ “ “ 30th Anthony C. Thompson “ “ 12 “ “ “ Oct. 11th Albert G. Hardin “ “ 12 “ “ “ “ 14th Jno: D Whitted “ “ 6 “ “ “ Nov 3rd Marg: Schweinheart Marion Co: 12 mos L.Q. “ “ Jno: H.[Smay] “ “ 3 mos leg: reg. “ 5th J Nesbitt “ “ 24 “ “ “ “ 10th Jas. P. March “ “ 6 “ “ “ “ 10th Margt Moose “ “ 24 “ “ “ “ 12th John H Smith “ “ 12 “ “ “ “ 13th Thos “ “ 6 “ “ “ “ 16th Jas McKean “ “ 24 “ “ “ “ 20th Cyrus Smith “ “ 24 “ “ “ 22nd T. D. Thorpe “ “ 12 “ “ “ Decr 2nd Philip A. Brown “ “ 6 “ “ “ “ “ John L Walmsley “ “ 12 “ “ “ “ 5th A. F. Denny “ “ “ “ “ “ “ 6th Erasmus D Thomas “ “ “ “ “ “ “ 6th Warren Hamilton “ “ 12 “ “ “ “ 7th Sarah Wells “ “ 3 mos “ “ “ “ 17th Wm Bobbs “ “ 12 mos “ “ “ 1859 Jany 4th Martha De Ware “ 24 “ “ “ “ “ 22nd John H [Girts] “ 12 “ “ “ “ Feby 19th Geo W Stanley “ 18 “ “ “ “ March 3rd Thos. J Wright “ 6 “ “ “ “ 7th “ on petition “ “ 24th Mary E Kuhn “ 6 leg: reg: Augst 16th Lucy L McClain “ 6 “ “ “ 30th Corydon R Skinner “ “ 12 mos: “ “ Sept: 5th Thos: A Marshall “ “ 12 mos: “ “ “ 9th Ada M Daugherty “ “ 3 mos “ “ “ 10th Robt [Carn] “ “ 12 mos “ “ “ 12th Peter M Kelley “ 24 “ “ “ “ 21st Lusena T Sanders “ 12 “ “ “ “ “ Alfred B. Shaw “ 24 “ “ “ Sept. 22nd Mattie Thomas. Marion Co: 3 mos leg: reg “ 23rd Albert Hockensmith “ 24 “ “ “ “ 27th A. D. Goodwin “ 12 “ “ “ Oct: 1st Israel Wilson “ 6 “ “ “ “ “ “ McEntee “ 24 “ “ “ “ “ Wm on petition “ “ Mrs Jane Grafton “ 6 leg. reg. “ “ L. M. Harris “ 12 “ leg reg “ 11th Elisha Green “ 12 “ “ “ “ 29th Wm L Chapman “ 3 “ petition Nov: 7th Wm T. Silvey “ 3 “ “ “ “ Dennis O Callaghan “ 24 “ leg: reg: “ 24th [illegible] Scott “ 12 “ “ “ “ 26th Caleb Rinker “ “ “ “ “ “ “ Joseph Ankrom “ “ “ “ “ “ 30 Albert G. Hardie “ 24 “ “ “ Dec: 2nd “ 6 “ “ “ “ 27 Wm McClain “ 24 “ “ “ Jan 15th Danl Berry “ 12 “ “ “ 22nd Mr Robb’s child “ Feb 9th [illegible] A [Caywood] “ 3 Fiscal year Mch 19th Carrie Snyder “ 6 “ “ “ 28th W. H. [Wea””tler] P. O. [illegible] “ 24 “ “ “ 31st Eliza Hathaway [Cumberland] “ 6 “ “ Ap: 3rd Elizabeth Catterson [Germantown] “ 24 “ “ May 30th Margaret Catterson “ 24 “ “ Record of the proceedings at the school meeting Oct: 17th 1862 at Napoleon Dist: [illegible] Jackson [township] Indiana G. M. Darrach Director presiding, Mr Geo Baylor Secretary. An election for a teacher was held which resulted in A. M. Ross receiving 4 votes, Frances M. Alexander 14 votes and Miss Louisa [Ba??ckman] 17 votes: No other business before the meeting, it adjourned No one receiving a majority G.M.D. Record of the school meeting held Novr 8th 1862 Candidates No: of votes. Alexander Macleod 28 votes Louis Barrickman 15 “ G. N. Darrach. Dist. No. 3 Jackson township [Rigily] Co: Indiana. Record of school meeting held at Napoleon Decr27th 1862, for the purpose of disposing of the old school house and of erecting a new one On motion of Isaac Morris, which was seconded and carried, the director appointed. M. [illegible] La Rochey and John Thackrey a committee to draft a plan and form an estimate as to the cost of erecting a new [illegible] the committee to report to adjourn meeting Saturday Jany 3rd 1863 School meeting May 30th 1863 At a called meeting to take into consideration the propriety of instituting suit ag’t a former trustee, Isaac Morris and G. M. Darrach were appointed a committee to consult a lawyer School expenses 1 Japan candlestick. 2 wall, tin candlesticks [illegible] wood $1.00 Repairing [illegible] Luhn [Browns] wood 5 cords 4 [illegible] sawed and split, $8.00. repairing stove pipe. Tacks on [paper] candles lbs: candles 1 lb May 30th 1863 Annual meeting The annual meting was held on the evening of Oct: [illegible] 1863 at the old school house in Napoleon when and where Mr Theodore Schlater was elected director for the ensuing year. Account with my Landlord or Landlords $ cts Chain pump. 8.50 Plastering 6.00 Road tax (property) .20 Repairing stable roof Rep: front & line fence Taxes System of Table I At of metal at ox 1 + 1 Oxide of metal 1 + 3 Bis ox “ “ 1 + 3 Ter “ “ “ 1 + 4 Quarter “ “ “ 2 + 1 Dis “ “ “ 3 + 1 Tris “ “ “ 4 + 1 Tetrakis “ “ “ 2 + 3 Dister “ “ “ 2 + 5 Disquinquan Table II Ox :S 1 + 1 Sulphate of the metal 1 + 2 Bis sulphate “ “ 1 + 3 Ter “ “ “ 1 + 4 Quarter “ “ “ 2 + 1 Dis “ “ “ 3 + 1 Tris “ “ “ 4 + 1 Tetrakis “ “ “ Table III Bis ox : S 1 + 1 Sulphate of bis met 1 + 2 Bis “ “ “ “ 2 + 1 Dis “ “ “ “ Table IV Fer Ox :S 1 + 1 Sulphate of ter met 1 + 2 Bis sulpate “ “ “ 1 + 3 Fer “ “ “ “ 2 + 1 Dis “ “ “ “ R Table V Dis Ox :S 1 + 1 Sulpate of Dis met 1 + 2 Bis sulpate “ “ 2 + 1 Dis “ “ “ Table VI Tris Ox : S 1 + 1 Sulpate of tris met 1 + 2 Bis “ “ “ “ 2 + 1 Dis “ “ “ “ Table VIi Dister Ox :S 1 = 1 Sulphate of the dister metal 1 + 2 Bis sulphate “ “ 2 + 1 Dis “ “ “ Nosology Principles of arrangement of diseases. 1st Duration of disease 2nd Supposed location of disease 3rd “ cause “ “ 4th Pathognomonic symptom 5th Category of symptoms 7th Initial letter of the name of disease 7th Common sense Application of said principles 1st Accord’g to thje pathognom’c symptom The Hippocratic arrang’t of fevers 1st Causes 2nd Lipuria 3rd Epialus 2nd Duration of diseases The arrang’t of Aratus 1 Acute 2 Chronic 3rd Category of symptoms The praxis medica of plater 1 Functiones lesiones 2 Dolores 3 Vitia Triple principles of cause. Pathognomonic symptom & location Noslogical methodica of Sauvage 1 Vitia 2 Febres 3 Phlegmasiae 4 Spasm 5 Anhelatione 6 Debilitates 7 Dolores 8 Vesania or brain diseases 9 Fluxes 10 Cachexia Modifications of the noso-logical method 1stg by Linneus 1 “ Vogel 3 “ Sagar Synopsys of the nosological method of Cullen 1st Pyrexia 2 Neurosis 3 Cachexia 4 Locales Rudimenta of Selle Plonquets outlines M Pinels philosophical nosography Mac Bride classification Crichtons outlines Zoonomia by Darwin Parrs system of Dr John Mason Gord 1 Galiaca 2 Pneumonia 3 Hamatica 4 Neurotica 5 Genetica 6 Ecctritica 7 Tychica 5th Initial letter of the name of the disease 1 medical dictionaries 2 “ cyclopaedias 6th Common consent 1 Fevers 2 Phlegmasiae 3 Chronic diseases 4 Nervous “ Etiology [illegible] cause [illegible] discourse A treatise on causation In respect to medicine an exposition of the cause of disease. The two great antagonistic principles 1 Destructive 2 Protective or by Schenlein Planetary Egoistical Health The result of successful resistance of the egoistic principle against the destructive. Disease. An undue influence of the destructive over the egoistic called also nature vis medicatrix naturae etc. varied form of disease Owing to the varied degrees of said undue influence. Destructive character of each disease 1 Nature of the destructive agent 2 Particular organ on which said agent acts 3 Temperament etc. of the diseased individual. Hence these three parts of etiology 1st Subjective (a) the affected organ (b) Individual temperament etc. 2nd Objective External injurious power 1 mechanical causes Bruising Cutting Stretching Ins 2 chemical causes mineral poisons etc. 3 Alimentary causes, articles of food unassimilated from 1 Quantity 2 Quality 3 Untimely use 4th Cosmical causes Influence of the earth relative to the planetary system, exerted through the human body by 1 climate 2 season 3 length of day 5 Atmospherical cause 1 Undue gravity or levity of the atmosphere 2 Extra and protracted moisture 3 “ “ “ dryness 4 Sudden changes of temperature 5 Positive and neg states of electricity in the atmosphere 6 Inordinate increased of duration heat light and magnetism 7 Currents 8 Calms 9 Mixtures Miasm the great febrile principle 1 External necro luma eleo [Hudralnaro] Eleo-luma 2 Internal Ideo The great febrile principle miasma [illegible] blot stain 5 External miasmata 1 necro miasma [illegible] dead body 2 luma “ [illegible] filth 3 Eleo “ [illegible] marsh 4 Hudralnaro “ [illegible] water salt fresh 5 Eleo luma “ [illegible] Internal miasmata Idio miasma [illegible] one’s self Division 1st The great febrile principle and its antidote Fevers. Fever is general disease, with Endemic. Veno-hepatic congestion Intermittent. Remittent. Continued. or Epidemic. Capillary congestion Influenza. Pertussis. Exanthems. or Contagious Putrescent blood Typhus. Plague. Small-pox. Division 2nd Inflamation and sympathetic constitutional excitement Phlegmasiae. Cephalic Inflamation of the Dura-mater or dura-matritis arachnoid “ arachnitis Pia water “ pia matritis Substance of the brain “ cerebritis Anginose. Inflamation of the Nose Fauces or cynanche pharyngea Tonsils “ tonsilitis Throat “ oesophagitis Thoracic Inflam of the Larynx or cynanche laryngea Trachea “ “ trachealis croup. Bronchia “ bronchitis Pleura “ pleurisy Lungs “ pneumonia Do Pleura “ pleuro pneumonia Coral. Inflam of the Abdominal Pericardium “ pericarditis Internal coat “ endo-carditis Substance of the heart “ carditis Inflam of the Peritoneum “ peritonitis Stomach “ gastritis Do “ Small intestines “ gastro-enteritis Do Do “ enteritis Large Do “ diarrhea dysentery hepatitis Liver “ Pancreas Kidneys “ nephritis Bladder “ cystitis Division 3rd A diseased condition of the blood chronic diseases Tubercle Carcenoma Melenosa Dropsy Haemorrhage B. Association sympathy & metastasis (a) chronic diseases Dyspepsia Gout Rheumatism C. Lession of tissue (a) chronic diseases Softening Ulceration Attenuation Atrophy Hyperthrophy Adhesions Division 4th A Diseases of the nervous system Order I A Affecting the intellect (a) Diseased perception with disturbance of judgement Mania (b) Judgement perverted or overpowered by force of some predominant passion. (c) Judgement perverted or overpowered by imagination. 1 Ilusion 2 Sentimentalism 3 Mental extravagance 4 Hypochondria (d) Voluntary inactivity of the external senses during wakefulness. 1 Revery 2 Abstraction of mind 3 Absence of mind 4 Brown study (e) Voluntary organs, involuntarily excited to their accustomed activity while the other organs remain asleep 1 Ambulance 2 Loquans 2 Salax (f) Defect or hebetude of understanding 1 Imbecility 2 Dementia 3 Dotage Order II A Affecting the senses. (a) Dullness, deprivation or abolition of one or more of the external organs of sense Light Hearing Smell Taste Touch vitiated or lost Order III A Irregular action of the muscles or muscular fibres (a) Contraction or rigidity of both 1 Priapum 2 Stiff neck 3 macular stiff joint 4 Lock jaw 5 Tetanus 6 [scrotismus] 7 Systiemma (b) Muscular contractions with acute lancinating pain in the principal nerves 1 Neuralgia (c) Forcible agitation of one or more muscles in sudden and irregular snatches. 1 Hiccough 2 Sneezing 3 Palpitation 4 Twinkling of the eye lids. 5 Twitching of the tendons. 6 Stretching. (d) Tremulous simultaneous and chronic agitation of various muscles especialy when excited by the will. 1 Trembling 2 St vitus dance 3 Raphania 4 Berileria Division 4th Order I A Affecting several or all of the sensorial powers simultaneously 1 Sleeplessness 2 Restlessness Fidgets Anxiety 3 Antipathy 4 Feline madness 5 Canine “ 6 Head ach stupid chronic pulsating sick [magium] B Swimming of the head. Nervous fainting fit 1 Swoon 2 Convulsion 3 Hysteria 4 Epilepsy 5 Torpor 6 Asphyxia 7 Extacy 8 Trance 9 Lethargy 10 Apoplexy 11 Palsy Diagram No 1 Materia Medica Parts of the body to which medicines are applied A Mucous membranes Belkin 1 Ocular collyria 2 Nasal [illegible] [illegible] 3 Buccal Masticatonia 4 [Gloss]-pharyngeal gargarysmata Trochischi 5 Bronchia Inhalations 6 Gastro-enteric 7 Recto-colic Enemata Suppositona 8 Genito Urinary (b) Enepidermica 1Fumigations 2 Balnea 3 Semicupia 4 Pediluvia 5 [R??ntatioes] 6 Cataplasmata 7 Emplastra (b) Iatraleptica 1 Huguenta 2 Linimenta (c) Endemica. C. Veins 1 Infusion D. Cellular Tissue 1 Inoculation Classification of the Materia Medica Class 1st Affecting the intestinal canal A Exciting discharges Emetics Cathartica B Destroying morbific matter Anthelmintics Antacids Class 2nd Affecting the glandular and follicular system A. Affecting kidneys and their secretion Diuretics [Antilistrics] B. Salivary glands Sialogogues C. Nasal mucous membranes Enhines D. Pulmonary “ “ Expectorants E Cutaneous surface Diaphoretics Class 3rd Affecting the uterine system A Promoting menstrual discharge Emmenagogue B Increasing the contractile powers of the uterus abortives Class 4th Affecting the circulatory system A Increasing the action of the heart and arteries stimulants B Directly diminishing the same sedatives Class 5th Affecting the muscular system A Increasing organic contractility Tonics B Visibly constringing the muscular fibre and coagulating albumen Astringents Class 6th Affecting the nutritive function. A Correcting nutrition Entrophics B Promoting absorption Sorbefacients Class 7th Affecting the nervous system. A Softening irritability and promoting sleep Narcotic B. Increasing irritability and producing rigid spasm Tetanics C. Increasing and equalising the nervous energy Antispasmodic Class 8th Topical remedies. A Soothing and protecting inflamed surfaces Demulcents B Softening the tissues and producing local cutaneous exhalation Emollients C. Raising the cuticle by increased secretion Epispastics D. Irritating and reddening the skin Rubefacients. E. Destroying the substance Escharotics. Questioning Dr Gilbert 1st What are the symptoms of shock 2nd “ is the treatment. 3rd “ the symptoms of reaction Quotidian intermittent. Ordinary. Partial 1st Catenating. Paroxysms 18 hrs Intermission 6 hrs 2nd Anticipating Parox 18 hrs Intermission 4 hrs 3rd Protracted Parox 18-3-21 hrs Intermission 3 hrs. 4th Retarding. Parox 18 hrs Intermission 8 hrs. 5 Varieties of Quartan Intermittent Simple. Days 1 2 3 4 5 6 7 8 P P P Double Days 1 2 3 4 5 6 7 8 P p P p P p Triple. Days 1 2 3 4 5 6 7 8 P p p P p p P Duplicate. Days 1 2 3 4 5 6 7 8 PP PP PP Triplicate Days 1 2 3 4 5 6 7 8 PPP PPP PPP 5 Varieties of Tertian 1st simple (38 hrs Inter Days 1 2 3 4 5 6 7 P P P P 2nd Double (8 hrs Inter. Days 1 2 3 4 5 6 P p P p P p 3rd Triple 8 hrs Inter. Days 1 2 3 4 5 6 7 P pp P p P pp P (24 hrs Inter) 4th Double unequal Days 1 2 3 4 5 6 7 8 P p P p P p P p Duplicate (24 hrs Days 1 2 3 4 5 6 7 8 PP PP PP PP Scale of 72 hours. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 18 20 24 48 6 AM 12 P.M. C F S 6 A.M. Paroxysm 18 hours Intermission 6 hrs 12 M Period of 10 PM Quotidian 24 hrs. 12 M 10 P.M. C F S Paroxysm 10 hrs Intermission 38 hours Period of a tertian intermittent 48 hours 5 P.M. 11 P.M. C. F. S Paroxysm 6 hrs intermission 66 hours. Period of a quartan intermittent. 72 hours Key C. Chill. F. Fever. S. Sweat. Small short lines indicate ¼ of an hour Large ones with wider spaces [illegible] hours. Apyrexia. Dicotidian 6 hrs. Tertian 38 hrs. Quartan 66 hrs. Cycle of Quartan 6 months 48 paroxysms Tertian 21 days 7 do Quotidian 3 days 3 do Sequela of Quartan are parabismic tumors Tertian “ indigestion dysnepsia etc. Quotidian “ phlegmasia. Paroxysm Chill. Quotidian 1 hour Tertian ¾ hour Quartan 2 hrs Hot stage. Quot.: 12 hrs Tert.: 6 “ Quart: 3 “ Sweat. Quot. 5 ¾ hr Tert. 3 ¼ hr Quart. 1 hr Treatment of Intermittent Fever. A Indications a Shorten the paroxysm b Weaken “ “ c Prevent “ “ Be Means A During the paroxysm a Antispasmodics 1st Stimulants Capsicum. 2nd Sedatives Opium etc. 3rd Relaxants. Antimony. b During the Apyrexia a Preparatives 1st Relief of ingesta. 2nd “ “ congesta 3rd “ “ inflammation. b Preventives. 1st Sudden corporeal impression. 2nd Concentration of arterial blood. 3rd Change of habits and location. c Radicals. 1st Use of cinchona 2nd Salivation 3rd Growth. 4th Arsenic. Remittent fever 1st mild. 2nd Infantile. 3rd Malignant a Autumnal b Bilious congestive c Yellow d [illegible] e Asthma Yellow Fever, a 1st violent Health 1st violent exacerbation 36 to 72 hours Short remission 2nd exacer Death Continued Fever Onset Quotidian Tertian Quotidian Crisis 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Rise Acme Decline Treatment of Typhus Fever A Simplex 1st Depression Emetics. Eupatorium perfoliatum cal: grs X to XV. purging as a revulsive do grs ii grs iii 3 or 4 hours 2nd Excitation. Cold water to surface ice in the [illegible] bladder of [illegible] water to the head. Saline effervescing draught, spts: Nit: dulce vin [illegible]: 3rd Collapse Urine whey, volatile mixture, castor oil spts: terebinth, camphor, musk, opium, blisters, brandy, porter ale or brown stout. B Inflammatory. V.S. at onset, to subdue the local inflammation completely, [or] the peculiar plethora, blisters if necessary C. Congestion. Hot salt bath followed by Dovers powder and rubefacients to excite the extreme vessels. House Expenses $ cts Chain Pump 8.00 Repairing by Foster 6.00 White washing “ Repairing stable (stall) 1.25 “ Cistern 1.00 “ Stable Roof Cash received in 1854 January $40 for attending a small pox case, paid by the city (extra [illegible]) February March April .50 cts May $3.00 June $13.00 July $1.00 Aug: $11.00 Sept: $6.25 Oct: $10.50 Nov: $2.00 [December] .50 47.45 + 40 extra cash (1855) Received from father in 1854. $150 while in Indianapolis to me Sum Money expended from Jan 1st 1853 to Dec 6th 1854 $150 Amt recd from [home] $87 cash receipts for practice $1237 expended in the year Amt of debt dec 6th [185?] $9 nine dollars Jan $1.50 Feb: March 5. April May 17.50 June 2.50 July 4.00 Aug: 2.00 Sept: 3.00 Oct: 1.00 Nov: Dec $36.50 amt 1855 (cash) Cash 1853 Jan Feb: Mar April May $6.50 June 4.75 July 6.75 Aug: 3.00 Sept Oct: 12.00 Nov: 3.00 Dec: 1.00 $37.00 1st year Indianapolis April 11th 1853 1856 Balance due me at the end of 1st year at Napoleon $470.00 upon the books 1100 [illegible] 529 Leucorrhoea manifests itself by sudden spasmodic pains in the loins and uterus and resembles very much labor. It may be [illegible] to [??ntation] carried by a contracted os uteri the remedy for which is to dilate gradually the contracted as with bougies Preparations of iron used ‘ in diarhoea Preparations of iron [illegible] Nitrate dose zfs zi f [Tarmate] GMD G M Darrach Phosphate 1-3 grs or 5-10 grs [illegible] ¼ - ½ Sulphate 1-3 2 or 3 times a day T GMD GMD GMD GM Darrach GM Darrach GM Darrach GM Darrach Indianapolis GMD [illegible Napoleon G.M. Darrach Napoleon Napoleon Napoleon [??inger] 100 lbs. [illegible] [250] 1 bushel turnips 25 2 doz eggs [19] 1 ½ lbs butter [illegible] doz [eggs] 19 3 lb butter 39 ct 157 whole amount 1st 72 second 85 still due Jo. Biddle 4 [hams] 32 lbs 10 cts [illegible] 320 $68 due on the 13th of April 1855 [illegible] at [illegible] amt charged [1060].00 amt due at the end 470.50 of year [illegible] [illegible] 629.50 Panna College [of] [Medicine] Ninth St Philada Panna United States North American Western Hemisphere Terestrial Globe Med: 9-12 [illegible] [illegible] Blockley Alms House Ext [illegible] Potassae Iodide [illegible] Potassa Carbona [illegible] [illegible] zi Ext [illegible] zi Aqua zii name is woman the [stranded] ship [illegible] lies fast [illegible] in [illegible] rock the manners from human eyes the sea gale this the cordage sings its wild and piercing note and as it plays its [living] wings it seems to say, poor boat no helmsman of the rudder now no sounds of life as much but silence reigns from stem to prow woman womans rights what are they? have they any rights, we proposed this evening to answer this question, A question which concerns the welfare of our mothers and sisters. The word rights might without [illegible] the word rights human nature, be with great propriety substituted for claims and again I put another question, what claims have women, our mothers what claim have they upon us. It is only necessary for us to look far into the past, and there behold ourselves helpless infants, so helpless that [illegible] the winters blast to blow upon us we would wilt and die. so helpless that were we left to ourselves a day we would [stand] Bread 140 [illegible] 520 660 300 960 40 Awake awake my sleeping muse and sing a little song sing? how a little mand did choose to wear a little gown his little head was near his toes so he could when he wanted to spit on his little shoes Notes on Materia Medica Chemistry and Anatomy by G. M. Darrach, S.M. October 19th 1848. Materia Medica Medicines are divided into those of the vegetable and mineral nature; and those of chemical composition, medicines are resorted to by practitioners in case of disease. There is a distinct idea to be given to a remedy and a medicine. There is also a difference between an aliment and a medicine. The former is changed into chyme whilst the latter is not. There is also a distinction to be placed between a medicine and a poison the former has a moderate and transitory action the latter violent and destroying effects, poisons destroy the vitality and organism of the part. If a poison be restrained it may be made to act as a medicine, as for example opium which is almost as common a medicine as a poison. Every medicine applied to a healthy part is a poison. Each animal has its own peculiar medicine. Ancients used medicines to attack a remote cause, as for [illegible] to expel the morbific matter hence they paid much attention to critical evacuations. The moderns look to the action on the living tissue. Medicines are divided into general and local under these heads are stimulants specifics Medicines act directly on the morbid substance or tissue. Medicines are the agents of nature they assist nature to bring about a healthy action of the part. In giving medicine two things are to be attended to the sise of the dose and the mode of giving it, always give medicine in proportion to the disease or lesion. Medicines must also be given in the right time as for example it would be most injurious to give quinia during a paroxism of intermittent fever. Sometimes a certain medicine which can cure a specific disease cannot be given on account of its aggravating another disease existing at the same time. Sometimes effects are attributed to medicines which are not the effects of the medicine but of some other hygienic cause medicines are oftentimes merely the assistants of nature. The positive power of a medicine is different from its conjoined action with the hygienic. There exists a relation of cause and effect two things are to be considered in respect to medicines are to be considered in respect to medicines 1st Chemical composition and quality 2nd Their effects upon the morbid matters. Some medicines have effect only after long continued use. We must not lose sight of the aggregate amount of medicine given when continued for a long time. daily sometimes the effect is not seen but after a long period. There is sometimes a perfect correspondence between the hygiene and the medicine so that one will not produce the required effect without the other; as for example water from a mineral springs [illegible] their medicinal quality when taken to places distant from their source. Sometimes the most common medicines do not act in their common manner, as for example tart em. will not, in some persons, cause vomiting medicines act in three ways. 1st Mechanicaly i.e. by changing the condition of the parts, as by pressure frictions. 2nd Chemicaly i.e. The medicine has a powerful affinity for one of the elements composing the part as for ex Sulphc acid takes the water from the skin or part to which it is applied, also caustics. This is the principle of irritants 3rd Dynamicaly i.e. when the medicine affects the vital movements of a part as when a medicine increases the peristaltic action; so that absorption has not sufficient time to act upon the medicine Medicines by means of the blood vessels act localy and generaly at the same time the effects is in direct proportion to the absorption of the molecules by the absorbents and carried into the circulation as for ex. the effects of sennae when taken by the nurse, is perceived in the child. Garlic has been perceived on the breath when rubbed on the soles of the feet etc. Acetic acid when injected into the rectum may be tasted in the mouth. Prussiate of potash when taken into the stomach has been known to give a blue color to the peritoneum. Some medicines are passed off with the foeces and some by the breath. Immediately in the cuticle these little absorption, hence the propriety of removing the cuticle; when applying external irritants. The power of absorption is not the same in all parts. 3rd The parts themselves may be in a morbid state. 4th Medicine may be a source of annoyance by increasing the peristaltic action etc. 5th General disposition of the animal economy for instance plethora diminishes the power of the absorbents. Depletion increases that power But medicines do not owe all their effects to absorption alone. Sympathy is often the cause of the good effects of a medicine. Since a medicine does good even when it is all thrown up. Sometimes medicines have a double effect, as for example alcohol causes at first a state of excitement and afterwards depresses. In treating of method of giving medicines two things are to be considered. 1st The extent of the impression made 2nd Whether the part be able to bear it. Medicines do not limit their action to the peristaltic they are applied. Habit acts with great power in reaction to medicine; persons become insensible to the effects of the most powerful medicines; after a continued use for any long length of time; this would seem to prove that the medicine lost its power in proposition to the quantity and time consumed in taking it; but instead of the medicine, it is tissue whose vital power has become exhausted and therefore the amount of medicine to be given in a dose should be thought of with regard to the absorption of medicines into the blood. they may be divided into two divisions The primary action and the secondary action 1st Primary under this head are (a) stimulants (b) sedatives Medicines are sometimes used only for their secondary effect as 1st general stimulus from local irritants as for example whipping with rods. Blisters et. 2nd The effecting a cure by the removal of the cause. for which use are emetics and cathartics. 3rd To remove a local irritant by revulsion i.e. promoting irritation in some other parts more at the command of the physician. In doing this never apply blisters before depleting 4th Sympathy of contiguity 5th Description of the diagram No 1 1 Ocular medicines are inflated in between the ocular coats 2 Nasal. These are all counter irritants as snuff etc 3. Buccal. Are those which are chewed in the mouth 4. Glossopharyngeal. Those which are used as garbles. [tracheichi] 5. 6. Bronchia. These medicines are inhaled and are called inhalationes. The pulmonary mucous membrane is possessed of a high degree of absorption. Ether has much a stronger effect when inhaled than when taken into the stomach But sometimes inhalationes are misused by giving inhalations where there are solid particles floating in the inhaled vapor, as for example believe that the powdered bark diffused through the air produced gird results. But which might be very injurious on account of the solid particles which are taken into the lungs. Quinsy has been cured by inhaling the vapor of vinegar vegetable infusions and tinctures have been favourably used consumption has been cured in this way. The more volatile the substance, and the more simple the apparatus from which the article is inhaled the better. The best thing to inhale aether from is a wine glass or cup or a bottle with two quills driven through the cork etc. 6. Gastro-enteric These are the most important. 7. Recto-colic. These are medicines which act on the bowels and are of two kinds. Enemata and suppositonia or those conveyed by means of the rectum consisting of solid substances. When absorption of medicine is the desired object the bowels must not be moved before absorption has had time to taken place. When medicines are to be introduced into the rectum 2 ½ times the ordinary does must be used. Except: when the patient becomes habituated to the medicine when even a greater proportion must be given. Sometimes enemata are of an irritative character. [illegible] Genito-urinary. B. Skin. [enipidemica] are divided into 1 Fumigationes. These are the vapor baths etc. 2. Balnea. These are cold and warm baths. the former are tonics the latter diaphoretics. Local baths as the hip-baths for instance are used as revulsives. 7 Emplastia. Are plasters. These were formerly thought to produce a medicine effect, but this was a mistake since their action is purely mechanical. Plasters must be Inatraleptica. are divided into 1 Unguenta or ointments, salves, etc. these ought always 2 Linimenta to be applied on those surfaces where the absorbents are most numerous as in the axilla between the thighs, Irritating substances if used in this way are to be diluted or mixed with substances that do not irritate as for example quinea should be mixed with starch One grain of starch with a quarter of a grain of Morphia. Principal use of endemic medicines are in cases of severe local affections as neuralgia etc. Veins. 1 Infusion. This is infusing the medicine into a vein though an opening. But this is rarely resorted to. Sometimes an anaemic patient is supplied with the blood of another This is a very dangerous mode of giving’ medicine since the smallest air bubble carried to the heart would be highly dangerous. There is great danger also in giving an over-dose. This method was used in treating asiatic cholera. It was tried in this city and proved fatal, the patients dying, as if struck by a thunderbolt This mortality has been said to have ensued on account of the carelessness in introducing the medicine; having been introduced too fast. Cellular Tissue 1 Inoculation. Medicines are also rarely given inthis way. The medicines are chiefly morphia and veratrium and others which are never administered in large doses. Classification of the Materia Medica There have been various classification of the materia medica. They have been classed according to their taste, nature etc. Hence all medicine which had a bitter taste were called tonics [Pereira] classed them in the order of their different natures. The modern method is to class them according to the parts to which they are applied. 2nd According to the common use of the medicine. So first we have medicines which are applied to the principal part of the system viz the alimentary canal. Hence we have first of all 1 Emetics. 2 Cathartics. Class 2nd Are those which increase secretion, and prevent the formation of substances in any of the glands. Are used for the pulmonary mucous membranes, and renders the secretion less viscid. Class 3d These provoke menstrual discharge and increase the contractile power of the uterus Class 4th Class 5th Astringents etc. Class 6th This class is very important to the surgeon in removing tumours of a particular kind by increasing absorption. Iodine is a medicine of this kind. Class 7th These increase the nervous irritability. Nux vomica Class 8th These are poultices etc. to prevent suppuration, cause increased secretion and those which raise the cutis are epispastics. Rubefacients only redden the surface. Escharotic destroy the vitality of the tissue emetics. There are three effects which an emetic is capable of producing in emesis, nausea, debility Vomiting is caused by the spasmodic contraction of the abdominal muscles and muscular coat of the stomach by which the contents are evacuated. This vomiting may be produced in various ways as for inst the mention of an [loathed] object etc. Medicine may be given to produce nausea without vomiting sea sickness is vomiting produced by the rocking of a vessel. After the stomach has been acted on by an emetic for any length of time, there succeeds a vomiting of bile caused by the violent action of the abdominal muscle on the liver. Mucous is also thrown up. Emetics are contra indicated by the many diseases of the brain apoplexy inflamation and other cases. But if the stomach is loaded with indigestible substances this is to be removed on the principle that the cause of disease is to be removed. The various objects for which an emetic are used are 1st To evacuate a morbid substance from the stomach as a poison which if it cannot be neutralised by means of an antacid is vomited up The vomiting can be caused by tickling the fauces or draughts of warm water. 2nd The production of mechanical pressure on any organ or viscera as in cases where an impression on the liver is object desired. Jaundice, congestion of the liver etc. [This is dangerous if there gall-stones forming in the liver.] The liver is not the only organ affected by mechanical pressure 3rd To affect the whole system. 4th To act as a revulsive by directing the nervous energy to the stomach. 5th To deplete and also to increase secretion Emetics are used in intermittent remittent and other paroxysmal diseases. In these diseases however an emetic would be contra indicated if there existed great gastric irritation or gastritis. Emetics. In the exanthems are emetics to equalise the circulation [illegible] group to remove the existing cause viz the lymph In the first of these cases we are guided the principle of the third division of the cases of an emetic viz when they are used to affect the whole system. In the latter that of the removal of the existing cause or first division There are also emetics which are very useful in cases Hypochondriasis. Mania though in the last they are not of much benefit on account of the [impractibility] of their being used. Emetics should be used with [illegible] with caution in cases of hernia for fear of strangulating the hernia. If we wish to produce a violent perturbating effect, the emetic should not be given with warm water; Emetics are divided into vegetable and mineral 1st Vegetable Emetics. 1 Ipecacuanha. Emetic, diaphoretic, expectorant, stimulant. This emetic was first used for an epidemic dysentery which existed at the time and was made a secret nostrum by Helvetius which obtained great repute from the circumstance of having cured the daughter of the prince of an attack of dysentery. The root is of dark brown and’ marked by rings formed out the bark, brittle and easily reduced to powder, it is called the coephalis ipecacuanha. It is composed of two parts the cortical or external portion which is resinous and the internal or fibrous being composed of woody fibre. Ipecacuanha is valuable on account of its mildness of great use in feeble persons and infants It is also a local irritant of great power, insomuch Emetics. that the dust arising when pounding it into powder will inflame the eyes, causing also sneezing small doses of it promote secretion. Ipecac is also a great diaphoretic. It does not produce much nausea or violence. it is of great importance in pulmonary affection, indeed, to be preferred before all other medicines The dose to produce vomiting without vomiting is ½ z to 1 ½ gr tart emetic, diffused in water and followed by successive draughts of warm water. Preparations. 1st Wine. Emetic dose of zi expect & diaph of [illegible] gtts x -xxx The wine of ipecac is made by soaking the root in the proportion of 1 z of the root to a pint of wine, for two weeks. This preparation is chiefly used for infants not used for adults. 2nd Syrup. Dose zfs to zi or zii This is made by diffusing the ipecac in a simple syrup. This used for infants It is also used as an expectorant ½ z will vomit This dose for a child is 1z. This preparation if continued for a long time disgusts the patient & causes nausea. It is a useful remedy in chronic bronchitis. The expectorating dose is 1z. 2nd Sanguinaria or blood root. grs x to xx Sanguinaria Canadensis has a [premorse] chrome yellow or reddish and horizontal root, when dried becomes of a brown colour and wrinkled has a small white flower. The rest when dried comes in pieces from an inch to an inch and a half The taste is bitter, and produces a burning sensation Emetics in the mouth followed by nausea and vomiting and great prostration of strength. It is also like ipecac a powerful local irritant. This should not be used where any other medicine will answer It may be used in cases of jaundice. It is used in a pill 11 to 21 grs. ½ z of the tincture will vomit. The stimulating and expectorating doses are small. Lobellia Inflatae vomits grs x to xx Fr. [nausea] in [illegible] This flowers in July and is gathered in August and September. It is brought into the market in two forms one which is prepared by the shakers comes in flat cakes which is inferior to other where the roots are spread out and dried. The roots are of a pale green colour. Taste bitter and acrid smell nauseating. This plant is sometimes called. Indian Tobacca. It produces an exorbitant flow of saliva in animals, and is highly poisonous to them. It is a powerful nauseating and prostrating emetic, producing vertigo and violent tremor throughout the whole system. It is also an antispasmodic, and used in asthma in the form of tincture. When death is caused by it narcotic symptoms preceed. It is one of the Thomsonian medicines. The vomiting dose of the powder is from 10 to 20 grs. The nauseating dose 1 to 5 grs. The nauseating dose of the tincture, which is made by diluting an z in a pint of alcohol about 10 or 20 drops of this tincture, will produce nausea. This medicine is indispensable in cases of asthma. Emetics. Euphorbia. Gillenia. This is a very powerful emetic and narcotic resin. Euphorbia Ipecac. This is preparation of ipecac the dose is from 10 to 15 grs. but of the powdered root 1 gr Sinapis powder or seed zii to zii infused in tepid water Mineral Emetics 1st Tart Emetic [illegible] dose 1/32 to 1/12 gr diaph & expect 1/12 to 1/6 Full emetic dose 1 to 3 grs nauseating & sudorific ¼ to ½ gr This is a double salt composed of the tartrate of antimony and potassa. Soluble in water. Comes in the form of a white powder which has a harsh styptic taste at first sweet. This when taken in sufficient doses causes vomiting and purging with violent pain in thie epigastric region, and also great prostration nausea and increased secretion. It also has a sedative action upon the heart. Its action is not speedy. It is to be preferred in the inflammatory cases. Croup etc. It is also useful in affections of the liver. This is the emetic which surgeons use to relax the muscles, in doses not sufficient to produce vomiting The vomiting dose is from 1 to 2 grs, through sometimes a large dose is necessary. This emetic is usefuly given with [ipec] dissolved in water syrup or aromatic water. It is an alterative expectorant purgative diaphoretic and emetic. It is contraindicated in extreme debility and in the advanced stages of fever where there is irritable stomach Emetics. Preparations Antimonial wine. Expectorating & diaph dose 10 to 20 grs Emetic dose for children 30 gtts to fz every 15 [illegible] dose from 10 drops to 1z Prepared in the following manner. The advantage of the wine is that you are enabled to give smaller doses of tartar emetic at a time; and it is also more permanent than an aqueous solution of the salt, which is liable to spontaneous decomposition. it is made by dissolving tart em [illegible] in 10 fz of pure sherry wine 1nd Sulphate of zinc astringent & tonic dose ¼ to 1/3 gr emetic dose 10 to 30 grs xxx x to xxx grs an emetic dose This is made by the action of sulphuric acid upon zinc. Soluble in water and has a harsh astringent taste, crystalises the crystals being composed about one half water. Has sometimes a tonic effect. There is less nausea than in tart em but more speedy in its action, and on this account is used in case of poisons which are to be thrown out from the stomach the dose for this purpose is 20 grs It is not so powerful in its action as the tart emetics. On account of its tonic properties it is given in fevers. It is especialy useful as an emetic in cases o f poisoning by opium. Consists of 1 eq of Sox and 1 eq of [illegible] [illegible] 3rd Sulphate of copper. Emetic dose 3 to 5 grs astringent and tonic ¼ to ½ gr This is a very powerful emetic crystalises and has a blue colour and styptic taste about 36 per ct of the crystal is water. The powder is of a greyish hue. it is very useful in a dose of from 3 to 5 grs for the croup Cathartics. 4th Subsulphate of mercury. Yellow sulphate [illegible] [illegible] 2nd Division Cathartics These medicines are used to cleanse out the alimentary canal. This often becomes impeded in its function by means of foeces etc. collecting and becoming irritants and causing many irregularities to the healthy function of the organs. Costiveness which is the source of many irregularities as fetid breath, and bad smelling perspiration, and many other affections which are the result. The secretions sometimes do not give the proper amount of fluidity to the food in order to make it capable of being converted into bile. The various viscera are also sometimes in an unhealthy state which may be cured by cathartic remedies. Cathartics are divided into hydrogogues and [??ologogues]. These differ in their actions and are subdivided into laxatives, purgatives, drastics. 1 Laxatives. These act gently upon the bowels so as to produce stools, almost most natural There are two ways in which either this class in the other two act either they increased the peristaltic action, as they increase the [secretion] of bowels Cathartics. 2nd Purgatives. These act more violently, and produce more copious stools, they are used to remove ingesta, and constipation. 3rd Drastic. These are violent purgatives. These produce revulsion by their irritating effect and are used to produce that effect in inflammation of distant organs. They also are powerful depletives and are used chiefly in brain affections and gen dropsy. Purgatives are used to deplete and cause increased secretion A purgative depletes, by causing a drainage through the bowels. Broussais never used them, comparatively speaking. Hamilton relied too much on them. 2nd Promote absorption. If they deplete they promote absorption, the absorbing power being lessened when vessels are full. 3rd Produce revulsion. They are good revulsives because they act on so much surface. There is little danger of irritation following the use of purgatives. Purgatives are very useful in diseases of the head and inflammatory fevers. But they are counter indicated by inflammation of gastro-enterio mucous membrane When two or three purgatives are combined they are less irritating. Cathartics. An adulant is something added to add to the efficacy of a medicine. A corrigant something added to correct a certain tendency of a medicine as for example soap is added to correct the irritative tendency of aloes. Hydrogen [illegible] is much used as corrigant. Cathartics act most speedly ion the morning on an empty stomach when a delayed action is desired they ought to be taken just before bed time. The habitual use of cathartics is objectionable. Saline cathartics should be used in cases of habitual costiveness. Cathartics 1 Jalap. 15 to 30 grs combined with calomel grs each bitart: potassa zii [illegible]: jalap grs x to xx The common name for this is morning glory It is a climbing plant. The dried tuber is used either entire or in slices. It is of a dark greyish colour and yet to be found worm eaten, which however does not affect it It is a local irritant. Causes watery evacuations. Acts upon the whole of the intestines. It is best given combined with aloes counter indicated by irritation in the uterine apparatus. In combination with calomel it is used as an anthelmintic. Jalap is also counterindicated by haemorrhoids etc. The full dose is 1 [illegible] when jalap and calomel are used 10 grs of each is given. Jalap is slightly diuretic 2 Popular combinations 1 cal: jalap: jalap: bitart: nit: comp: powder. Cathartics. 2nd Native of Alexandria. Commonly called Aleppo scammony Scammony. x to xx grs Extract or resin of scammony when good x grs. This is not now used in this country Grows in Greece and about the Levant. A juice exudes from the plant which is taken and used Brittle and breaks with a dark resinous fracture has an acrid taste which increases as it is held in the mouth It is a powerful drastic purge and occasion griping The dose is from 10 to 20 grs [illegible] combination of 10 grs with 3 z of milk is excellent to produce a purge Scammony has a cheesy odour. It is specialy used for [marasmus] in combination with calomel. Its corrigants are ginger sugar and milk this being the best, also yolk of eggs. Scammony is much used in dropsy. Pure, it is resinous, when fractured. Scammony gamboge & colocynth all act upon the upper bowels. 3rd Convolvulus [Pandur??tus] XL to zi wild potato A feeble cathartic dose from 40 grs to a dram. May be substituted for jalap 4th Podo-phyllum peltatum may apple xx grs xxx wild lemon This plant bears a small oval shape fruit which is ripe in September. The root is used in medicines which is the thickness of a goose quill. It is an active cathartic The dose from 20 to 30 grs. It acts more certainly when combined with calomel. Its action closely resembles jalap Cathartics. The root is easily powdered and was preferred by Dr Eberlie to jalap: even the jalap was the cheaper 5th Gamboge II to IV grs. Gum resin product of a tree in Siam, Cambodia, and Ceylon. 10-15 grs max: dose There are two varieties the pipe, and cake, dose from 4 to 5 grs. A powerful drastic purge; seldom given alone. The pipe gamboge is made by packing the gum in bamboo canes, or tubes, which gives it its cylinderical shape, it acts in 5 ways 1st An irritant to the mucous membrane of the bowels making it an useful remedy where revulsives are wanted. as in brain inflammations dropsies etc. 2nd its hydragogue qualities make it a remedy for ascites and gen: dropsy. 3rd It is chologogue indirectly by irritating the duodenum. 4th It has the properly common to hydrogogue i.e. diuretic. 5th It acts upon the upper bowels. It is counterindicated in pregnancy and lesion of the intestinal mucus membrane combinations Ext: Gentian Cathartics. 6th Jalapa 6th Helleborus Niger. Alt dose 2 to 3 grs [illegible] 20 to 30 grs purge do [decoc] fzi ext; Root is only part used. This plant is found in the middle of Germany and the south of France and Europe commonly called the Christmas rose It was imported to this country from Germany Has a feeble sickly and nauseous odour. Dose from 10 to 20 grs. It is used in substance decoction tincture and extract. It has been greatly recommended in amenorrhoea and has had great repute as an emmenagogue. Its action is like aloes, there are two varieties the white, and black. Cathartics. 7th Aloes xx grs. Medium x grs. Laxative II to III grs. 3 Species A Socotrina, A Vulgaris, A Spicata. Pill 5 to 15 grs tinct 1 z to ½ pt of water & ½ pt of alcohol wine 1z to 1 pt of sherry 1z to 2z. Commercial varieties are Cape Aloes. Has a greenish line Socotrine. So called from being obtained at the island of Socotra. when held up to the light presents a garnet red semitranslucent appearance emits an odour upon breathed upon [pow] orange red Barbadoes or horse aloe or aloe fetidum almost black when good strong odor variety must used here. Aloes is best given in the form of pill. It is given in dyspepsia Dr H. S. Patterson prefers the Barbadoes when good, then powder of the socotrine is much more red, than the cape. The medicinal part of the aloe is a juice which transudes spontaneously from a broken leaf stalk. Cathartics 8th Juglans Cinerea. XX to XXX grs Laxative V to X grs. The inner bark of the root is used mild cathartic dose from 1[illegible] to ½ z Cathartics 9th Elaterium or squirting cucumber Dose from 1/10 to ½ grain or from ½ to ¼ An acrid poison in an overdose. The medicine is greyish white substance which id deposited by the juice of the fruit of the momordica elaterium elaterium is a powerful drastic hydragogue cathartic generally is found in the shops in small white mass which is the dried juice. Cluterbucks elaterium will purge in the doses of an ½ of a grain. It is very apt to produce inflammation of the stomach and bowels It was known to [illegible] and much by [illegible] in the treatment of dropsies. When all other means have failed in these diseases it cured [illegible] on account of the disease get it was abandoned and again restored by Dr [Fenia]. The proximate principle [elaterin] will purge in doses of the 1/10 to 1/12 of a grain. In good elaterium there is always about 40 per ct of this principle. Principaly used as a revulsive, in brain diseases and gen dropsy Cathartics 10th Colocynth V to X grs. “Fruit of the cacumis colocynthis deprived of its rind.” Cucumber tribe. Dose of the compound extract 5 to 30 grs 5 grs as a laxative. This is a powerful drastic hydragogue cathartic, it is next in power and strength to elaterium, of the purgatives. It like elaterium is very apt to produce inflammation of the bowels and is therefore seldom given alone. The compound extract of colocynth is composed of the extract of jalap calomel and gamboge with some aromatic as a corrigant. It is found in Asia Africa and the Cape of Good Hope. In Eygpt and Turkey. The taste of this plant is bitter in the extreme. It has been in some places in the United States amalgamated with the watermellon, which it closely resembles in the [wine]. Fluid extract zfs to zi full dose of infusion fziv 11th Senna powder zfs to zii. Infusion fs to be repeated, if required The leaves of the cassia acutifoila are officinal. This is hydragogue cathartic. It is much used in febrile affections. Whenever has a tendency to increase the force of the circulation, and therefore should not be given where there is an inflammatory tendency It is found native in Arabia. there are three commercial varieties Alexandria, Tripoli and East India. The active principle in cathartive. Senna is incompatible with galls, acetate of lead and tartarised antimony which precipitate, the cathartive. The powder is seldom given. There are 3 varieties Alexandria, India, and American, the former has smaller leaflets than the other two, the best preparation is the fluid extract, next the draught or infusion. The American or Cassia Marilandica is given in doses of zfs to zi of an infusion of zi to [illegible] It is very inferior to either variety of the foreign articles. Cathartics. 12th Oleum Ricinis “Oil of the seeds of the ricinus communis.” Castor Oil Adult dose 1 to 2 z Infants dose fzii to ziii Castor oil has a disgusting and is oftentimes impossible to keep it on the stomach, It may however be given in coffee, gin, orange juice and any of the aromatic waters. When pure is almost tasteless; but is generally found in an impure state, mixed with lard, which renders it unpalatable Cathartics. 13th Olea Europea or olive oil or sweet oil This is an excellent article to mix in food of constipated and costive patients Cathartics. 14th Croton tiglium Dose internaly 1 to 2 drops I have used this for rheumatism of the rist joint applied externaly. If the part is not susceptable to the oil apply a bread poultice. The best mode of giving it internally is to drop 2 drops upon a crum of bread and divide it into 4 pills. This cathartic is useful where a speedy purge is wanted and also in cases of insanity when a large dose would not be taken, also in coma a drop upon the tongue will purge. This oil adulterated with oleum ricini; when pure it is of a straw colour, and viscid. The oil is expressed from the seeds of the plant these seed are about one third of an inch in length, and oval shape, they are surrounded by a pod a half an inch in length called molucca bean, in which the seeds are seeds separated from each other by septa or compartments. 4 of these seeds will purge copiously. 20 gtts of good oil will kill a horse. This article varies in commence as to its strength more than almost any other article. Cathartics. 15th Rhubarb XX to XXX grs Laxative & stomachic V to X grs There are three varieties of this drug used in principally in commerce, European Chinese, and Russian, The former is called India and the latter Turkey in commerce. Good rhubarb stains the saliva and is of a dark collour there is a lighter colloured variety which is chewed, this dies not colour the saliva much. In small pieces there are small holes, where as is reported the piece has been suspected and inspected; this reason for the hole, is doubted by varieties in form are the cake, and the round or technically, rounds, and flats. The pieces are dried on a string and oftentimes pieces, come to us, in this manner, I saw two today. Rhubarb contains tannin 9 to 10 per ct. Bitter extractive which makes it tonic 14 to 18 per ct. rhubarb is used for dyspepsia lives diseases, and diarrhoeas especialy from debility and when happening in the strumous diathesis. Preparations. Syr. rhei [somat] (best) cinnamon, cloves, cardamom [illegible]: rhei. Cathartics 16th Concrete juice [illegible] [illegible] or manna laxative dose fzi or zii Three kinds flake, common and fat manna: the first is called technicaly manna cannulata, second, is the manna-en-sorte of the French pharmacy, and the third is the [illegible] variety or fat manna. Manna has been proposed as a purgative in cases of retained meconium, but castor or the sweet oil is better. It serves also as a corrigant to the griping purgatives. Cathartics. 17th Tamarindus. “Preserved fruit of the tamarindus Indica.” zi to zi Both these and prunes contain citric and tartaric acid, and are therefore not so good a laxative where there is acidity in the prima viae as figs. Cathartics. 18th Prunes. Prunus domestica. Nutritious laxative Cathartics. 19th Figs. dried fruit of the ficus carica. Laxative nutritious, & demulcent A tumbler of water and 4 figs eaten an hour before breakfast, is an efficient remedy for habitual constipation. Cathartics. 20th Mustard seed. Sinapis nigra and alba Lemura zfs. Cathartics. Mineral Cathartics. 1st Sulphur. Sulphur [illegible] zi to zii in syrup molasses or milk A mild cathartic specific for the ich Dose from 1z to zss. Dose for the ich [illegible]I to zss There are three kinds sublimed or flowers of sulphur. washed (sulphur [illegible]) the sublimed sulphur thoroughly washed with water and the crude sulphur. The former (sublimed) is made from the native ore or a sulphuret (iron pyrite) may the application of heat either the sulphurets of copper or iron will answer. By the action of heat the sulphur rises in vapor and deposits itself in a crystalised from upon the sides of the vessels in which it is received. (or in powder) This vapor being condensed into a liquid flows from the vessel into another and [illegible] crude sulphur, for purification this is again melted in a cast iron vessel and is poured into molds of a cylindrical form and about an inch in diameter, this is rolled sulphur or cane brimstone. Sulphur is a laxative diaphoretic and relaxant. It is usualy given gout rheumatism The asthma and other pulmonary affections where there is not inflammations Cathartics. [illegible] Magnesia. Obtained by depriving the carbonate of its carbonic acid. Used in all acidities of the stomach Dose from [illegible] I to zi for an adult. For an infant a much smaller dose is necessary than when the carbonate is given. It is also better on account of the flatulence caused by the carbonate obtained by ‘driving off the carbonic acid from the carbonate by heat. When the magnesia remains upon the stomach lemonade will cause it to be carried off Magnesia is antacid, laxative and antilithic. There are two kinds henry’s, and husbands. Aqua Calcis. dose: to allay vomiting zi with milk zi antacid [illegible] Made by throwing quick lime into water and pouring off the supernatant liquor used by dyspeptics to ally acid eructations. Cathartics 3rd Carbonate of magnesia. Obtained by mixing the sulphate of magnesia and the carbonate of soda. Antacid and antilithic, and also laxative very useful in cases of urinary derangement owing to an abundance of uric acid; very insoluble in water; comes in cubes, and hard pieces. Liquor Potassae. Dose 5 to 10 gtts much diluted with an infusion orange peel (bitter) made by adding lime to a solution of the carbonates the lime uniting with the carbonic acid of the carbonate and falling to the bottom, whilst the potassa remains in solution, in the supernatant liquor. 10 gtts 3 times a daily for lithiasis in bitter orange peel infusion Cathartics. 4th Sulphate of magnesia or epsom salts. dose zi Refrigerant and mild cathartic well adapted to [illegible] febrile cases and inflammatory cases a neutral salt The sulphate of magnesia or epsom salt is found in the water of the epsom springs at Epsom It is a hydragogue cathartic of a mild character Cathartics. 5th Sulphate of soda or Glauber’s salt doze zi This salt is more nauseous than the epsoms salts also a neutral salt. obtained by adding sulphuric acid to chloride of sodium and [deutoriple] of maganese by chich the sodium is converted into soda; the sulphuric acid, therefore, displacing the muriatic acid in the salt a new salt is formed which is the sulphate of sodas. The sulphate of soda exists uncombined in sea water. Sulphate of soda is an efficient cathartic, in the full dose, in smaller doses it is aperient and diuretic. Cathartics. 6th Phosphate of soda or tasteless salt dose [illegible] Made by the action of sulphuric acid on bone earth resembles common salt. Soluble in water and insoluble in alcohol Preparation. Take bone earth and mix it with sulphuric acid, the phosphate of lime in the earth becomes a superphospate, and the carbonate of lime in the earth is decomposed. When the carbonate of soda is added the excess of acid in the superphosphate generates the phosphate of soda. Medical Properties. Purgative very convenient, in account of its taste, very acceptable in cases where there is a delicate stomach. The drink may be seasoned with this salt and answer the same purpose as chloride of sodium. It best given in this way in gruel or broth. Cathartics 7th Bitartrate of potassa or cream of tartar zi to zii [illegible] zfs to zi Used as a refrigerant drink in fevers. It is often combined with senna jalap and sulphur. The bitartrate of potassa is found in the residue after fermentation has taken place in grape juice it is held in solution by the sacharine juices and is therefore deposited when these juices are converted into alcohol. The impure or common tartar which forms a crystalline crust at the bottom of casks in which wine has been, is boiled in copper vessels and cooled in earthen pans where it deposits on cooling a white powder in crystals which is the cream of tartar. medical properties. Purgative. Refrigerant and diuretic on account of this last quality it is much used in dropsy Cathartics 8th Tartrate of potassa. zi to zi according to the effect desired. This is soluble tartar. Preparation. Mix cream of tartar with carbonate of potassae The bitartrate loses and equivalent of acid and the carbonate of potassa is loses its carbonic acid and there is formed the tartrate of potassa medical properties. Mild cooling purgative. Has a tendency to obviate the griping effects of senna 9th Soda et potassa tartras or tartrate of soda & potassa Rochelle salt dose zss to zi in a large amount of vehicle. In smaller doses it does not purge but is absorbed and renders the urine alkaline. Preparation Take carbonate of soda dissolved in water and add the bitartrate of potassa. The carbonate of soda saturates an equivalent of tartaric acid in the bitartrate and the carbonic acid gas escapes with effervescence and are [double] salt tartrate of potassa and soda is the product The acids all continuing with the soda in this salt renders it incompatable with them when acids are given in combination with it the salt is rendered a bitartrate of potassa. 10th Acetate of potassa. Purging dose 2 or 3 z in large amount of which diaphoretic dose [illegible] i This salt is that which causes the carbonate of potassa to be found in wood ashes; existing in the [illegible] wood, the acetic acid is liberated from it during the process of burning and carbonic acid substituted. Preparation. Saturate carbonate of potassa in acetic acid until effervescences ceases. It may also be obtained by mixing sulph: or Potassa and acetate of lime or acetate of lead. Cathartics. 11th Sulphate of potassa. zfs to zi This salt has an acid reaction on test paper and an acid and sulphurous taste. Preparation. Heat in crucible nitrate of potassa and sulphur The salt is decomposed and its oxygen contained in the acid is combined with the sulphur and and sulphate of [potassa] of the product. 12th Calomel or mild chloride of mercury purgative dose 5 to 10 grs. 13th Blue pill. each pill weights 3 grs one of which is the pure metal The dose of the blue mass is to purge is 5 to 6 grs as an alterative from 3 to 5 grs Anthelmintics Worms or Entosoae Entosoae are found either in the intestinal canal or in the tissues. They are sometimes taken into the stomach when food is taken as for example in certain forms of chlorosis. Sometimes the ova of animals are taken into the stomach and these generate and propagate, worms sometimes find their way into the shut cavities. The liver and other parts of the body have been found to contain worms The naturalist has divided worms in 5 orders 1st Nematoridea 2nd Acanthododa 3rd Tricosephalis. 4th Sestoide 5th Cystica. They are also divided into intestinal and visceral intestinal. order 1st Ascaris lumbercoides. Long round [worm] order 2nd Ascarides or thread worm very small order 3rd Tricocephalis dispar or hair worm order 4th Tanis soleumna tape worm The symptoms of worms are first certain 1st Exhibition of the worm. second Probable. Pale face blue circles around the eyes. Eyes dull. upper lip swelled. Itching of [the nose]. Epistaxis. Tongue marked by red tubercles. Abundant flow of slaiva, breath fetid. Thirst irregular appetite sometimes an entire loss of it and at others anorexia. Sudden and acute pain at the umbilicus having the sensations of [twisting] of urine high collored and turbid. and in some cases strabismus and dilated pupil. Anthelmintics. Anthelmintics 1st Spigelia. Dose [illegible] minimum 10 to 20 grs, for an adult maximum zi to zii inf chiuld zii [illegible] and z adult z 3 times day The parts used are the stems and roots It is generally given combined with calomel, and some other purgative. The worm tea of the shops consists of spigelia with senna manna and [illegible] to suit the different tastes of individuals, liquorice is added as a vehicle and [corrigant] This is the chief anthelmintic used in this country. All these anthelmintics should be followed by a bitter tonic, since worms would of course debilitate the digestive apparatus. In large doses is a narcotic poison. 2nd Chenopodium wormseed Dose 1 to 2 [illegible] oil gtts v or x on a lump of sugar This ranks with the spigelia in use. It is usualy given in the form of the volatile oil, which is an lemon yellow [illegible] in the form of a decoction made by boiling an zi of the [illegible] plant in a pint of milk and giving it a flavor, with orange peel or other aromatic, giving’ a wine glass full at a dose. The medicine is used chiefly for ascarides. One dose is given before breakfast and another at night, for three or four days. This oil when pure is light coloured nearly white, if dark and [illegible] coloured it is impure. 3rd Granatum or pomegranate “bark of the Root” [illegible] 20 to 30 grs decoc zi This anthelmintic is used in cases of tinia soleum. and is either given in power or in a decoction. It is recommended to first purge with castor oil and to diet the patient strictly for two or three days before. If the first dose with a purge does not bring away the Anthelmintics. it should be repeated for two or three days. 4th Aredarach or pride of China dose for child tablespoon full of the solution of the [illegible] with water every two or three hours. Root bark is used This is not used in the northern states. It sometimes produces the narcotic effects of spigelia. It is much used in the southern states 4 ½ [Kous??] [Kwosso]. The powder is a earthy collour, and has an earthy smell. It was in 1852 ([illegible] at year) revived after laying unnoticed many years, It is found in Arabia and Egypt, where the inhabitants are much afflicted with tape worm. It sudden [illegible] is [illegible] by [illegible] 5th Felix mas or male [illegible] [illegible] zi zii This used for [?ania] Solium, This medicine has a very peculiar, sickening and earthy smell. There is an expressed oil. Lantonine Is a white and resemble magnesia sulps or quinine somewhat. It is a crystaline powder. Pumpkin seeds. Oil is very bland, like olive oil, of red colour The outer hard covering is removed, and the remainder of the seed soaked in warm water. It has cured an obstinate case of tape worm in Mr Thomas Bradford (rev) of Dover. Anthelmintics. The following two act mechanicaly on the worm 1st Mucuna or [cowhage] specific for lumbicae dose 10 to 30 grs mixed in molasses, and followed by a purge. The mollasses mixtural is given in zfs doses to an adult and a teaspoonful for a child every morning for three days and then followed by a brisk cathartic The bristles of the pods are officinal, the mode of preparing the molasses mixture is to dip the pods into molasses and then scrape the bristles along with the molasses from the pods. 2nd Tin-powder. Specific for tape worm. dose zss with molasses and followed by a purge, It is more used for ascaris lumbricordes, A mixture of molasses is made as in Mucuna Tansey juice and dried stems used. dose zss The flowers are also used, and oil. It is a garden herb with small round yellow flowers, leaves [illegible] too much neglected emmenagogue. diuretic, diaphoretic, and anthelmentic Oil of turpentins dose fzi or fzii for tape worm ordinary dose gtts 20 grs If it do not operate in two or three hours it should be followed by a dose of castor oil. Antacids. This class of medicines is given for acidity in the prima viae, also in the diseases which have the acidity as their cause. Acid may be generated in the prima viae, by fermentation of the food taken into the stomach only the gastric juice itself, becoming of an acid nature. The acidity is accompanied burning in epigastrium, swelling and heart brain etc. in some instance the acid eructations are sufficient to corrode the teeth. In some instances the acid matters passed into the bowels and those by their irritating and corroding properties cause a diarrhea. Acidity is a general accompaniment of the dyspepsia. The two great antacids are and potassa and their preparations. The antacids are also in many instances antilithics. Antacids. 1st Carbonate of potassa grs X to XXX In large doses poisonous, its antidotes are the fixed oils and vegetable acids, it is diuretic. It is obtained the bitartrate of potassa. 2nd Liquor potassa. Dose 10 drops largely diluted used very much used in red gravel 3rd Bicarbonate of potassa 4th Nitrate of potassa dose from 10 to 15 grs in water or mucilaginous fluid repeated every two or three hours. zi to oi of water for rheumatism, to be taken through the day. Antacids 4th Soda Sulphate of soda dose from 10 to 30 or from 5 to 15 grs Carbonate of soda. Dose 10 grs to zss in powder or bitter infusion Bicarbonate of soda 5th Magnesia Carbonate dose from zss to zsi in water or milk 2nd Sulphate. Dose of Dr Henrys mixture, which is 7 oz of the saturated aqueous solution of the salt to an ounce of diluted sulphuric acid, give a tablespoon full in a wineglass of water. 6th Castile soap Diuretics 7th Olive oil soap. These two soaps are safer than the carbonates but less energetic. 8 Lime water dose zss to zi 9th Carbonate of lime or chalk coral marble etc. the former is the best dose from 10 grs to zi Diuretics. Diuretics in crease the urinary secretion and the flow of the serum from the blood. The diseases of the kidneys are both organic and functional. In some cases there is vicarious urination, urine has been vomited passed the ear and rectum. The urine contains 3 per ct of urea and 2 per ct of lactic acid. There is also the lithic acid in the lithate of ammonia. The lactic acid and urea forms the lactate of urea. The amount of urine passed varies according to the temperature and to the kind of diet used and the quantity of fluids [illegible]. Diuretics are contraindicated in inflammation of the kidneys. Their main use is in cases where the function only of the kidneys is disturbed, as in dropsies. The most powerful diuretic is a combination of calomel, digitalis, and squill. Diuretics. 1st Squill Scilla Maritima Dose 1 gr in pill syrup zi The scilla maritima is found in Africa and Asia. The scales of the bulb or cornus are officinal. It is also expectorant, especialy the form of the vinegar and syrup of squill. It is diuretic to all animals. Squill in large doses is poisonous, it sometimes acts as an emetic and at others as a purgative. The dose [illegible] should be repeated 2 or 3 times a day. 10 to 12 grains will vomit. It is given in bronchial affections. The dose should be continued until slight nausea. The part of the bulb between’ the centre and the outside layers is used. The former being to fatty and mucilaginous while the latter is two dry. It is soluble in water. Alcohol and vinegar in large doses it causes stranguary. Hypercatharsis, bloody urine ‘and inflammation of the stomach. 2nd Colchicum radix dose 2 to 8 grs colchicum lemon do Dose of tinct [illegible] 20 gtts or even 30 gtts four times a day in [illegible] cases of a rheumatism This is given in rheumatism it renders the pulse full and round and soft. The dose is to be repeated every four or six hours until the effects are produced. The plant is found in Europe in the moist meadows on which [illegible] it is sometimes called “meadow saffron.” It is used in various diseases among the most important are rheumatism and gout. In excessive doses it is poisonous. It is usualy given along with antacids and purgatives. [Leudam???] mixture [lead] of this as an ingredient. The chief effect of colchicum is the allaying of pain and other wise affecting the nervous system acting as a sedative, even when it does not act upon the secretions. The active properties are ascribed to veratria. The wine may be given with iodide of potassa in lymphillitic rheumatism. Diuretics. 3rd Veratrium viride or swamp helebore dose 1/12 to 1/8 gr This plant grows from the Canadas to Carolina’ It acts upon the nervous system, producing in large dose cerebral symptoms drowsiness, headache, and dilatation of the pupil etc. It diminishes the pulse in a great degree, as to its frequency. Gout, rheumatism and neuralgia are the diseases to which it is best adapted. The dose of the tinct is of zi or fzii the tinct being fzir to a pint of alcohol. The rhizoma is the officinal part This is the heleborus alba to distinguish is from the heleborus niger, the former is a veratria the latter a heleborus. 4th Taraxacum leontodon or dandelion. Extract dose [illegible] I to be given three times a day The root is used. The best combination is with blue mass and inspissated ox gall, in the liver diseases 5th Juniper berry or juniperus Dose of [illegible] being 1 to 2 z of the infusion from 1 to 2 z Diuretics 6th Oleum terebinthinae or oil of turpentine diuretic dose 10 to 30 [grs] 7th Copaiba Dose 20 gtts to [illegible] three times a day This medicine is given in three ways emulsion with gum sugar and aromatic water capsule and upon a lump of sugar 8th Daucus carotae semina or wild [car??] seeds. [illegible] 20 to 30 grs Infuse [illegible] in a day 9th Parsley. Petroselinum. Infusion [illegible] during the day. Diuretics. 10th Watermellon-seed [calcurbita] citrullus. Infusion [illegible] [emulsion] 11th Apocynum cannabinum Indian hemp. Emetic in 15 to 30 grs [illegible] zi 1 or 3 times day 12th Erigeron heterophilum & erigeron Philadelphicum infusion [illegible] in 24 hrs 13th Asclepias syriaca. or milk weed Dose of the infusion 14th Spirit of nitric aether or sweet spt of nitre zss to zi diluted Diuretics 15th Acetate of potassa diuretic dose [illegible] to z Rheumatism 16th Nitrate of potassa or nitre zii to ziii during the day antiseptic, preserves mummies in Egypt. Combined with mucilage in gonorrhoea. 17th Xanthoxylon or prickly ash dose grs X to zi Infusion zi to [illegible] of water, [illegible] a day Gallium [apanine], recent remedy. zi of inspissated juice This was highly recommended in the [illegible] ([1854]) number of the lancet for scrophulous and other eruptions on the skin. It was not [illegible] by the writer, but as he mentions its diuretic properties and no other I placed it here. It is a vegetable and according’ to an analysis of Schwarts contains gali-tannic acid. Citric and rubichloric acid. Chlorophylle and starch. another found acetate of potash. Antilithics Morbid conditions of Urine 1st Watery urine amount of solid the same but more water 2nd Subaqueous urine. as in diabetes of drunkards. 3rd Lithuric a lithic diathesis in which the lithates abound sometimes produce symptoms resembling gonorrhoea by the irritation of the crystals. 4th Phosphatic the opposite to the lithic. Generally found in persons confined in factories and in young persons. In calculi sometimes there is alternate lamina of the lithate and phosphates 5th Porphuria or porphuric indicates arterial excitement, found in feves 6th Albugineous. found in dropsical cases Antilithics. There are two kinds of diathesis 1st Acid diathesis where there is great acidity in the prima viae and stomach. The stomach acts indirectly upon the kidneys 2nd Phosphatic diathesis This indicates debility. [Hygienictuatinent] is resorted to or the mineral acids particularly the muriatic which causes a deposit of lithic acid Antilithics. 1st Benzoin or benzoic acid. This changes the [urates] of the [Hypm????] 2nd Phosphate of ammonia dose 20 to 30 grs prevents acidity 3rd diosma crenata or buchu dose of the infusion z to zii three or four times a day used in glystitis ([chronic]) and senile catarrh of the bladder where there is [illegible] of the mucus in the bladder [stimulation] 4th Pareira brava or veliet leafe Bark of the root officinal. May be substituted for the former Expectorants. 5th Uva ursi or bear berry zi to oi aq: [illegible]. zi to zii ter die Antilithic power doubtful. It is astringent and diuretic prevents the increase of mucous. This plant is used when the buchu leaves are indicated viz in cases of hypertrophy of the mucous membrane of the bladder Expectorants An expectorant loosens the mucous in the bronchial tubes and causes easy expectoration. IN some cases the mucous membrane is excited to throw off from its surface mucous in great quantity; this is apt to accumulate in the bronchial tubes, and cause difficulty of breathing or dyspnaea; it also becomes thick and glutinous and adheres with great tenacity to the sides of the tubes. Senega [lenetia] [illegible] dose grs X vel XX decoction zii 3 vel 4 [illegible] times per day vel zf every 2 hrs. The decoction of this article is mot frequently used. It is contraindicated in inflammations. It is expectorant stimulating diuretic and in large doses cathartic and emetic. It is almost always given with compound syrup or squill It is the root of polygala senega. Expectorants. 1st Ammoniacum or sal ammoniac dose 10 to 30 grs 2d Balsam of tolu tinct dose 1 to 2 z or zss [illegible] X to XXX grs 3d Balsam of Peru dose from 15 to 30 grs. Infusion zi Expectorants. 4th Styrax Expectorating dose 10 to 30 grs. 5th Benzoin 6th [?ula] Helenium] dose [illegible]I decoc z to zii Diaphoretics. 7th Dracontium fetidum or skunk cabbage X to XX grs 8th Arum or Indian turnip. Diaphoretics. The skin, and mucus membrane, are two antagonistic surfaces, the one internal, the other external, The one is covered with epidemics the other with epithelium. when one is congested the other becomes in a contrary state as for example in dysentery and inflammation of the prima via, the skin is usualy dry also that where it becomes, by remedies, moist, and soft, the inflammation of the mucous membrane of the prima viae usualy subsides. In a crisis of fever the skin which before was [harsh] and dry and hot becomes, moist and relaxed, diaphoresis is the term used to [illegible] a tendency of the fluids to the surface, or skin; medicines which cause such a tendency are called diaphoretics; they are usualy given with warm drinks so that sweating may be encouraged. Diaphoretics. 1st Stimulating 1st Mesereon decoc dose 4 or three times a day bark 10 grs The mesereon is a species of daphne one of the two which are officinal. The two are D guidium & D mesereon 1st D mesereon is a hardy little shrub four feet high native of Great Britain flowers in winter on the tops snow-banks sometimes; the flowers being very beautiful are cultivated in gardens, they are of a light red 2nd D. Guidium. This was called garon by the French this species bears a beautiful red berry which on account of its beauty children have been induced eat and are seized with nausea and often times very serious and alarming purgings. Mesereon is a stimulating diaphoretic when given internally and in large doses produces nausea purging and [illegible] externally it produces inflammation and vesication, it has on this acct been used to produce issues, it was used with [illegible] decoc for secondary syphillis and also in scrofulous diseases. [illegible] rheumatism and obstinate diseases of the skin for the purpose the [illegible] is used Diaphoretics. 2nd Sarsaparilla smilax [illegible] dose 2 or 3 times a day Infusion fzii to ziv 2 or 3 times a day, decoc of ziv ro zvi 3 to 4 times day extract of zi 2 or 3 times day syrup fzss There are several species of smilax. This species is found growing on small buses in Mexico and South America The root is the part used which consists of two portions a cortical and ligneous fibre and medullary. The root is entirely devoid of taste and odour when in the dry stae, but when boiled in water or alcohol, becomes possessed of a peculiar odour Sarsaparilla has been used to remedy, the injurious effects of mercury and in the cure of syphillic diseases. Its use is very uncertain since it has never been used alone but it is certainly an alterative 3rd Zanthoxylon or prickly ash. [illegible] dose 10 grs to zss 3 or 4 times a day This is found in the northern middle and western states where it is indigenous. The bark is used of the xanthoxylon [taxi???] The bark has at first a sweetish taste which afterwards is bitter and acrid. The med. prop. xanthxylon is a stimulant and has a tendency to produce diaphoresis with more or less arterial excitement it used in the same remedies as guiacum and mesereon are used, also used in chronic rheumatism. There is a decoction made by boiling zi in 3 pts or qt of water of which a pint may be given in the 24 hrs. 4th Guiacum or lignum vita. powder dose 10 to 30 grs tinct ziii This a tree growing in the island of Hayti and other of the West India islands to the height of 50 or 60 ft and 4 ft in circumference, The outside is of a yellow colour the inside of a greenish brown. The wood is used by the apothecary in the form of shavings. Guiacum has been used very much in cases of chronic rheumatism, syphillis and gout and also scrofulous affections, it was used by the natives of New Spain in lues-venerea, but it is now only used to conteract the injurious effects arising from mercury and syphillis, and rheumatism. Diaphoretics 2nd Refrigerants 1st Antimony (a) Tart emetic. (b) James powder. 2nd Nitrate of potassa. Dose 10 to 15 grs. Pulvis ipecacunha et opii et potassae sulpha, or dovers powder. Dose X to XV grs. In X grs there are one gr of opium. 6 grs of ipecacuanha and 3 grs of potassa sulphas. 3rd Citrate of potassa or neutral mixture of zfs pow grs XXV in [illegible] This salt is the foundation of the neutral mixture [illegible] or effervescence draught. It is made by saturation of carbonate of potassa with citric acid and oil of lemons and water. It is usualy given with tart: emetic, ipecac, and sweet spts of nitre. Neut mixture is potassae bicarb zii water zi in one vial solution of citric and in another, [give an] zfs of each [mixed] Anatomy. Brain The brain is enclosed by three membranes beginning from the cranium, we have the dura mater, arachynoid and pia mater. The brain is divided into three main divisions. Cerebrum cerebellum and medulla oblongata The cerebrum is divided into two great divisions or hemispheres, by the falx major The cerebellum in a similar manner is is divided by the flax minor. The cerebrum is sub-divided into three lobes called the anterior middle and posterior lobes of the cerebrum. The anterior and middle lobes are separated from each other by fissure of sylvius into which the [alae] of the sphenoid bone are inserted The whole brain is divided into two parts; the cineritious and medullary The former is greyish brown substance covering the external part of the brain; the covers the internal portion. These coats are reversed in the spinal cord, the cineritious or cortical become internal with the medullary on the outside. In the anterior lobe of the cerebrum are seen the roots of the olfactory and optic nerves; immediately before the chiasm? of the latter, is situated the lamina cinerea and behind the tubercinerea and alongside the coprora perforata, immediately behind these again is infundibulum process, which is inserted into the sella-tursica of the sphenoid bone. Proceeding now to the posterior portion of the cerebrum we observe the corpora albicantia Behind these bodies is the locus perforatus. We now come to the nodus cerebri or encephali numerous names have been given to this body viz pons-vardii, tuber annulare. The lower portion of this body is formed of the crura cerebri. The upper by the crura cerebelli. From this body arises the medulla-oblongata. On the oblongata are corpora olivaria pyramidalia and restiforme. Spinal marrow The spina marrow insensibly arises from the medulla oblongata. It continues down to the last lumbar vertebra when it assumes the name of cauda-equinox This substance has received its name from the circumstance that the fibres of the nerves running in a manner resembling the hairs of a horse’s tail. The spinal marrow is divided into two portions an anterior and posterior from the former the nervous filaments of motion run from the other those of sensation. The spinal marrow like the brain is divided into portions, the medullary and cortical, but their order is reversed the medullary being the outer portion and the circuitous or cortical the inner, this substance is in the shape of two crescents placed back to back with a cylindrical portion between them. Sir Charles Bell imagined a third collumn in the middle of these two collumns from which the respiratory nerves originated, on account of their peculiar function. A very important and interesting circumstance in relation to the spinal marrow and also the cerebram is that the nervous filaments cross each those from the anterior collumn Diaphoretics. running posteriorly and those of posterior running to anterior side, which accounts for the fact that when one side of the brain is injured the other side is affected. There are five ganglia in the whole brain. 4th Spirits of mindereri or liquor acetas ammoniae dose internaly zss. Not stimulant, [illegible] to be neutral refrigerant and sedative. 5th Asclepeia. 6th Eupatorium Emmenagogues. 7th Dovers powder. Composed ipecac opium and [illegible] dose from 8 to 10 grs Useful when combined with camphor to promote sleep, the following is a prescription to promote sleep an d allay pain Rx Campi. grii Dov powd: gr viii m ft: [illegible] Emmenagogues. Emmenagogues are those medicines which promote and restore the menstrual discharge. This is a monthly discharge occurring in healthy females every month; hence it is called the menses or monthly flow. Some women menstruate every two weeks without feely any bad effects but these are exceptions. The time of the appearing of the menses is different in different women. Some women menstruating before the time of puberty and others not beginning before the age of twenty four various estimates with regard to the appearance of the menses have been Emmenagogues. made found that out of 137 women 3 menstruated at 12 nine at 13 six at 14 thirty two at 15 nineteen at 19 six at 20 three at 23 and one at 24. Showing the usual time is at 15 or 17 years for the menses to show themselves. It has long been a question whether this menstrual discharge [illegible] is a hamorrhage or a secretion. Now the only way to decide such a question would be to seek out the peculiar meaning of the two terms Haemorrhages and secretion. Now we know that haemorrhage implies a flow of blood pure blood, serum and fibrine. Secretion on the other hand a separation of one portion of the whole mass. Now if the menstrual flow be a haemorhage the matter discharged must be composed of the same component parts and possess the same properties with blood. 1st It must coagulate 2nd contain red globules suspended in serum 3rd It must cause the usual debilitiy occurring from haemorrhage and the debility in proportion to the amount of matter discharged 4th It must Now if the menstrual flow be a secretion and not haemorrhage it will not possess the above characteristics. Emmenagogues It has been thought by some to be an emission arising from a strong sexual desire; but this view is wholly erroneous. Emmenagogues do not increase the menstrual flow; they are not applicable in dysmenorrhea. 1st Aloes. The aloes increase the flow of blood to the uterus 2 grs 3 times a day they are counterindicated in cases of irritation of the uterus. 2nd Nigrum piper V to XX grs 3rd Tinct of black helebore gtts XXX to zi Uncertain remedy and should be used with caution. Used in cases unable to bear [iron] where there is too much excitement for that medicine Emmenagogues 4th Flow 5th Savine. Powder dose 5 to 15 grs oil 2 to 5 gtts on sugar This medicine is the tops of the juniperus sabina. used in the form of ointment and infusion besides the above forms. found in the lower countries of Europe and the Levant. It is an evergreen shrub from 3 ft to 15 ft 6th [Juniperus] virginiana or red cedar Used in the form of cerate, substituted for the savine cerate by the druggist sometimes. 7th Madder. dose zfs three or four times a day. Root of rubia [tinct???] madder is emmenagogue and diuretic native of the south of Europe and cultivated in Holland and France. 8th Ruta or rue. oil 2 to 6 gtts “bark of the ruta gravelous.” shrub 3 or 4 ft in height native of Europe Italy and the southern parts of Europe. Emmenagogues. 9th Tansey Abortives and Parturatives 1st Ergot. Powder in [illegible] 15 to 20 grs ordinary dose 10 to 15 grs 3 times a day This is a substance which grows upon the heads of wheat and rye, appearing like a large fungous. It received the name ergot from its resemblance to the spur of a cock, adopted from the French. Ergot comes in solid brittle yet somewhat flexible grains. It contains an oil and extractive matter. Large doses produce nausea giddiness and fever. Ergot is to be given 1st when propulsive effects are desired. 2nd when the neck of the uterus is dilated and that is desired 3rd To arrest haemorrhage after child birth 4th Long protracted labor 5th Removing coagula from the uterus, polypi hydatid, etc. 6th To promote the expulsion of the placenta. The ergot acts in two ways which have been styled the convulsive or nervous and gangrenous 1st Nervous. This is shown giddiness delirium and even stupor and convulsions. 2nd Gangrenous Dry gangrene has been produced by eating food mixed with ergot Ergot has been applied externaly to arrest bleeding and to restore the action of the sphincters ani when parylised. It has also been used in female gonorrhea Stimulants. Infusion is zi of ergot to 6 oz of boiling water 1/3 given three times a day Decoction is zi ergot to 6 oz of water every 10 or 20 minutes The best mode of giving the ergot is in the form of powder. The tincture is very seldom used when it is proper the wine is substituted but this produces nausea when long continued Medicines affecting the circulation They are divided into two classes. Those which increase the action of the heart and those which allay its action. The former are called stimulants the latter sedatives. 1st Stimulants. Stimulants are medicines act directly upon the muscular fibre of the heart by increasing its power, hence if given where there is a tendency to congestion they will produce that congestion, by stimulating the capillary vessels. Stimulants proper act upon the system in general when they act upon a certain part indepently of the other parts of the system they are local stimulants or irritants. Under the general action the pulse becomes harder and fuller The surface of the skin becomes heated. If an inordinate dose is given fever will ensue the Stimulants. Secretions increase and inflammation will be produced. In hypertrophy of the heart stimulants are always dangerous and also where there is any disposition to haemorrhage In cases of chronic inflammation they are only useful where we expect them cause expectoration. All stimulants are diffusible and transitory in their effects. There is no such thing as a permanent stimulant The action of every stimulant is in an inverse ratio to the frequency of its application Stimulants may be applicable in low forms of fever. 1st Stimulants 1st Camphora or camphor Dose 5 to 10 grs every ½ hour when combined with opium acts diaphoreticaly It is useful at the commencement of diarrhea and also in colic, chordee etc. camphor in large doses is poisonous. It is never given in the form of pill neither is the powder given alone but in combination with magnesia, and also with Dovers powder camphor water is used externaly for sprains bruises chillblains etc. Stimulating volatile oils The stimulating volatile oils are divided into two classes the carminatives from (carmen a charm) or those which give instant relief, and the aromatics or those which give Stimulants. an aromatic odour. 1st Caryophyllus eugenia caryophyllata cloves from the french [clue] a nail. Dose 5 to 10 grs The parts used are the unexpanded flowers buds of an East Indian tree. When goods of dark brown cloves contain a little tannin; they are stimulating and carminative Oil of cloves gtts 2 to 6 on sugar This is local irritant of great power It is often given for flatulency and tooth ache has been arrested by it The oil of cloves forms a chief ingredient in the spice plaster, which is applied over the abdomen in emesis not depending upon inflammation. It also is given in colic 2nd Cardamon seed elettaria cardamomum the compound tincture is much used in diarrhea flatulency etc. The seeds contain a volatile and fixed oil 3rd Carraway seeds carum [carr??] dose [illegible] to z oil gtts j to X used as a corrigant Stimulants 4th Coriander seed conandrum sativum 5th Foeniculum officinale or carminative in colic of children also used in dyspepstic cases. Dose [illegible] Fennel water made by mixing the oil with the carbonate of magnesia. grateful drink in the colic of adults 6th Anis fruit of the anisum pimpinella oil dose 5 to 15 gtts The water may be a substitute for fennel water. Aromatic stimuli. 1st Nutmeg maristica officinalis Stimulants. 2nd Calamus or sweet flag dose powder [illegible] to [illegible] inf wineglass used in colic flatulency and torpor of the intestines stimulant tonic useful adjuvant to purgatives where there is torpor of the intestines. Pleasant to chew The rhizoma of the plant, 3rd Ginger dose of root powder 10 grs to [illegible] tinct zi Contains a volatile oil and resin The powder is u sed in medicinal purposes ginger is also a counterirritant, and is often used in the form of cataplasms. There is a variety which is picked, and covered over with lime to prevent its destruction from the insects which eat the starchy 4th Turmeric or curcuma rhizoma of the curcuma longa This is often substituted by those who dislike taste of ginger. It is as strong a stimulant. 5th Capsicum anuum powder dose 5 to 10 grs infusion zss [illegible] 1/2 z [illegible] The active principle of this aromatic is an acrid resin capsicum, is a rubefacient and stimulant and also a promoter of digestion. It has been used in delirium tremens. It is also u sed in the dyspepsia of drunkards and gouty patients The pod grows from the size of pea to that of an orange. 6th Canella alba dose 10 grs zss Bark used also the powder. This is called alba because the collour is whitish. It comes usualy in size of a goose quill. It forms the [illegible] with aloes. 7th Orange peel or rind Stimulants. 8th Lavandula vera or lavender 9th Mint (a) Spear mint (b) Peppermint (c) Pennyroyal 10th Melissa or balm given with diaphoretics 11th Catnip Stimulants. 12th Marrubium or horehound tonic diaphoretic and expectorant Alcoholic Stimuli The three kinds fermentation are the vinous from which alcohol is obtained the acetous from which vinegar is obtained and the putrefactive and by some that by which starch is converted into sugar is called saccharine fermentation Three things are necessary to produce fermentation water sugar and yeast which is the fermented. The specific gravity of alcohol is 76 water being 100. Alcohol in concentrated from is a most powerful irritant. And if long continued produces the worst soot of dyspepsia. Diseased liver and many other diseases of a high grade. The brains is affected in a peculiar manner, which gives rise to a disease which is peculiar to drunkards only viz delirium tremens or “mania a potu” “mania from drinks” This disease is known by a peculiar tremor which attacks the hand if held out, which cannot be imitated bhy one in health. There are also along with this halucinations which are always of [illegible] a frightful nature, each of the senses in their turn become deranged at one time imagining he hears persons in an adjoining room plotting against him at others feeling reptiles crawling over him and imagining the room to be filled with [armed] men. The reasoning powers are good Stimulants And if you grant his premises his conclusions are correct. A cold moist sweat covers the skin the tongue also is moist and furred there is also great heat at the epigastrium, pulse 130 and fluttering. After the halucinations dreams will attack the patient causing him to start from his beds; these may be followed by occasional drunken fits. then comes on the convalescence during this stage of the disease we are to be guided by the pulse, no stimuli are to be given. The pollen of hops and iron is very useful. Therapeutical uses of alcohol. Alcohol is a common stimulant of jail camp and ship fever. It is useful in all forms of gangrene Stimulants. 2nd Sulphuric aether internal dose 20 gtts The action of sulphuric acid upon c[illegible]H5O+HO produces C4H5O which is the formula of sulphuric aether. When taken into the stomach produces acidity it is a local irritant to the fauces and air passages. Death occurs with apoplectic symptoms. Sulphuric aether is less dangerous than chloroform it is very useful in neuralgia asthma nervous headach and fainting 3d Hoffmans anyodyne dose zss to z Allahys spasms, quiets irritability useful in cases of syncopy and hysteria Ammoniacal Stimulants 1st Ammonia NH3 This was called by the old chemists the volatile alkali. Used in eruptive diseases and in fainting fits powerful irritant of the Schneiderian membrane. It is an antidote to tobacco digitalis and alcohol and the poison of reptile and poisonous insects; a little of the carbonate of amia moistened and rubbed in the wound of a rattle shake or any other of the poisonous animals will check the action of the poison (a) Spts of ammonia (b) Carb ammonia emetic dose zss stim 5 grs (c) Sesqui carb Amca Sedatives. (d) Aqua ammoniae Sedatives Antimonials The preparations of antimony are obtained from the black sulphuret of antimony, which is found native in Hungary and particularly in the island of Borneo from whence it is chiefly imported. The sulphurett is soluble in liquor [potassia] from which solution their forms a precipitate which is a red powder. Sedatives. 1st Sulphuratum antimonii precipitatum. [Hermes] mineral 2nd Oxydum antimonii nitromuriaticum. Powder of [algaroth] Sedatives. 3rd Antimonii sulphuretum pracepitatum golden sulphur 4th Pulvis antimonialis James’s Powder Sedatives 5th Antimonii et potassa tartras tartar emetic. Sedatives. 6th Digitalis. Powder dose 1 gr 2 or 3 times a day and gradual increased till some effect is produced on the stomach [illegible] [illegible] in kidneys Digitalis is a narcotic sedative and diuretic. It has been regarded a specific in delirium tremens the usual dose being given every two hours in the form of infusion till symptoms of narcotism are produced; but this practice is hazardous unless the patient be carefully watched. The leaves are officinal Vegetable acids. 1st Acetic acid C4H3O2+HO This is obtained by acting upon the acetate of soda with sulphuric acid in as pure and concentrated a form as possible. This acid is the principle compound in vinegar which is composed of acetic acid and water vinegar is procured from wine, malt and cider. In France from wine England from malt and the United States from cider. It is procured by allowing the cider, stand in sun till it is converted into vinegar. Alcohol is converted into aldehyde first and this is converted into vinegar. Vinegar is refrigerant and diuretic it is given in febrile complaints in fluid drachms doses. Sedatives. 2nd Citric acid. This forms an important purgative drink with magnesia in fevers 3rd Tartaric acid obt from cream of tartar or the tartaric acid is used for the same purposes as the bitartrate of potassa citric. It is not so safe however as it is apt to produce more irritation upon the mucous membrane of the stomach and gastric juice. It acts also upon the enamel of the teeth. It is colourless and inodorous This acid is obtained from the bitartrate of potassa by means of the carbonate of lime which gives tartrate of lime from which salt the tartaric acid may liberated by means of sulphuric acid. Mineral acids. The mineral acids are nearly all tonics 1st Sulphuricum dilutum Dose 10 to 30 gtts three times a day in a wine glass of sweetened water [illegible] This the sulphuric acid of commerce diluted so as to become fit for use, it is composed of one fluid ounce of the pure acid with Sedatives thirteen fluid ounces of water, the specific gravity is 1.08. It is a very useful tonic in febrile cases and is also a promoter of digestion and increases the appetite reduces febrile action. It is of great use in combination with the salts of quinine and cinchona infusions to increase the solubility and and also the action of the medicine. Aromatic sulphuric acid on elixir or vitriol. This is the form that sulphuric acid is always given never in the former form. [3] gtts will disolve 1 gr of [quinine] Veg Sedatives. 1st Digitalis or fox glove dose 1 gr 2 or 3 times a day etc. dose of tinct 10 to 20 gtts The leaves are officinal. It is a narcotic sedative and diuretic for which latter properly it is given in dropsical cases. It has a peculiar property of suddenly acting with great violence when it is given for a long time where the direct action is not apparent at first which would lead you to go on giving and increasing the dose, to the great danger of your patient. This may be obviated by intermitting in giving it, for a day or so. The best form is in substance the next best is the tincture and is chooped when the intention is to continue it a long time. There is also an infusion Sedatives. 2nd Hydrocyanic acid dose at first 1 gtt inc till some imp is made This should be used with much caution as it is a poison of tremendous power and acts almost instantaneously. It therefore should be given with extreme caution by begining with the most minute doses at first; this should be done also on account o f the different strengths which the acid is found in the shops. Hydrocyanic acid was first used medicinaly by Magendie in diseases of the chest It is very useful in irritating coughs to allay the cough. When taken in the medicinal dose. The following symptoms are subsequent in different cases peculiar bitter taste [2] increased secretion of saliva 3 irritation of the throat nausea; disordered respiration; pain in the head; giddiness; faintness obscure vision and tendency to sleep. If the first dose or doses produce tightness in the stomach giddiness and weight at the top of the heat it is to be discontinued. It is sometimes used in a diluted state as a wash in certain cutaneous diseases. The symptoms of poisoning by it are sudden loss of sense, tenesmus, difficult and rattling respiraton coldness of the extremities smell of bitter almonds on the breath small ness of the pulse immobility of the pupils and in some cases contraction convulsions etc. Antidotes. Chlorine Ammonia Cold affusion Artificial respiration The test is solution of nitrate of silver which causes Tonics. a white curdy precipitate of the cyanuret of silver, which is distinguished from chloride by its exhaling a peculiar odour of prussic acid when muriatic acid is added. If death has taken place some time it is almost useless to hope to find traces of a substance so decomposable It is the essential substance of bitter almonds dose at first 1/3 gtt water child 5 to 10 gtts adult 50 ? This substance proves fatal in very small quantity two or three drops. The effects are the same as hydrocyanic acid. Tonics [illegible] strength This term is not easily defined, the name seems to imply that which would tend to increase the toxicity and contractile power of the muscular fibre and also to impart a toxicity to the whole system. All tonics were formerly thought to be bitter, but this is not the case. Their tonic effects were also supposed to be owing to the bitter principle. Tonics are used for three objects. 1st To promote the vigor of muscles 2nd “ “ “ appetite and digestion 3rd “ interrupt periodical affections Tonics are much used in remittent and intermittent Tonics fevers to counteract the depression of strength consequent upon fevers. Inflammatory tendencies are hasten by tonics. There are three counterindications 1st Where there is phlegm. 2nd 3rd Irritation of the gastric mucous membrane Tonics are divided into 1st Pure bitters, or those without any aromatic principle 1st Quassia amara pow dose [illegible] to z inf of zii [illegible] day ex 5 gr pill There are two species of the substance quassia amara which was the one first used and the quassia excelsa that which is now in use. The tree grows to the height of a hundred feet and about three in circumference. The quassia E inhabits Jamaica and the Caribbean islands where it is called “bitter ash.” Quassia A is found in the West Indies islands but is chiefly a native of Surinam where it was discovered by a negro by the name “Quassi” who obtained great reputation by curing with it the malignant fevers of his country It is a pure tonic and is very useful where a pure tonic effect is desired. It invigorates the digestion without the increase of heat or arterial excitement It is very useful in dyspepsia, and in the remissions of certain fevers. Quassia usualy comes in billets of wood which contain a bitter principle called quassite. Quassia makes a very useful wash for chronic ulcers to prevent the appearance of insects The extract is used in making pills of [iron] when you combine a tonic with iron it Tonics. must be one of pure character, on this account quassia is one of the best for this purpose. It affects the head, and therefore should not be given where there is any tendency to coma. If a powder is yellow and is tonic it is likely to be a pure bitter. 2nd Gentiana lutea. Pow dose 10 to 20 grs Inf zi to oi tinct The root is officinal. Not so pure a tonic as quassia useful in atonic dyspepsia. Generally used with antacids and aromatics as for instance bicarbonate of soda and fennel seed. It is used also in the preparations of iron in chlorosis. The infusion is used as a stomachic. It acts upon the bowels. Tonics. 3rd Colombo Root of the cocculus palmatus. Colombo has soothing & demulcent effect upon the bowels. It is given with purgatives other tonics and antacids. The sub nitrate of bismuth is the best substance to be used with colombo. It comes cut up in circular disks concave on both sides, because of the succulent part in the centre shrinking when the moisture has evaporated. It is not stimulating, and therefore is adapted to cases of dyspepsia, and diarrhea, where there is also local inflammation. It contains much starch, and this substance throwing down a blue colour when iodine is added, enables the pharmaceutist to distinguish if from a spurious article which does not react with iodine. 4th Coptis trifolia. Goldthread powd grs X to XXX tinct zi This is a mild tonic bitter; and is much used in apthous mouth of children. It is used in New England. Cornus Florida and [illegible], This has been used for intermittent fever. It is a good tonic. Tonics 5th Magnolia Pow dose zii to zi frequently separated. Angustura. Myrrha. 6th Liriodendron or tulip tree bark Pow dose zi inf urine glass sat tinct of zi “Bark of liriodendron tulipifera” This tree has been called the price of America it is from the New England states to Florida growing to the h eight of 100 ft never less than 50. A bitter principle has been extracted from the bark called “liriodendron.” The tree is sometime called poplar improperly though [med.] [prop.] An astringent and stimulant tonic with diaphoretic properties. has been substituted for cinchona in intermittent fevers. Has proved useful in chronic rheumatism dyspepsia and other complaints in which a gentle stimulant and tonic impression is desired Tonics 7th Simaruba officinalis [illegible] to zi This is if the same genus as the quassia. It is a tree of considerable height and thickness growing in the West Indies and Guyana. The bark of the root is used med. prop. It is possessed of the same tonic powers as all the other bitters and may be employed for the same purposes. In large doses it will purge and vomit It was formerly much relied on in dysentery and also obstinate diarrhea. It may be of much service in relaxed and debilited states of the alimentary canal but would do much harm if indiscriminately prescribed in cases of dysentery The root bark is very difficult to powder and on this account the infusion is the best mode of administration 8th Eupatorium perfoliatum or bone sett. pow dose 20 to 30 grs “Tops and leaves used” This is a indigenous plant from 2 to 3 feet high, it obtained the name of boneset from the fact that it allayed the pains which attack the bones in numerous forms of fevers. It was used by the Indians in the cure of intermittent fevers med. prop. It is a tonic diaphoretic and emetic. It has been used on account of its tonic powers in cases of dyspepsia general debility and other cases in which the simple bitters are used. It has been given also in intermittent Tonics Remittent and typhoid fevers as a tonic and diaphoretic. IT has also been given in warm infusion in the commencement of catarrh it has also been given as a diaphoretic in inflammatory rheumatism 9th Prunus Virginianus or wild-cherry-bark pow dose 30 grs to zi “Bark of [cerasus] serotina” This is a tree growing to the height of 100 ft throughout the United States. The bark contains hydrocyanic acid and phloridsin to the former it owes its sedative powers to the latter its tonic properties. it is peculiarly adapted to allay nervous irritability; also in the hectic fever from scrofulous and consumptive cases and in the general debility which succeeds in flammatory diseases The berries are used as stomachics Tonics. Cinchona Species Habitat Commercial variety C. Consaminea … Peru & Columbia … crown bark of loxa C. Micrantha … Peru Gray or silver bark C. Purpurea do Huamalies bark pale C. Ovata do Red Jacu bark C. Lancelota Bolivia Calisaya principal [illegible] in 1852 C. Peru Red bark C. Cordifolia New Granada Yellow Carthagena bark C. Lancifolia do do Spongy “ “ C. Magnifolia do do Red “ “ The calisaya bark is the principal bark that is now used being the only one, from which quinine can be obtained This bark was first used to cure an intermittent which attacked the [countess] of cinchon the daughter of a peruvian who was cured by it and gave it its [interests] After wards it was lost sight of [illegible] concealed by the Jesuits at Rome also again brought it before the world and called Jesuits bark [Kinoidine] 5 to 10 grs This is a sulphate formed by adding So3 to the mother liquor of sulphate of quinea crystals. Both this and the article next mentioned, are good substitutes for sulphate of quinia. [Be?ee???] 3 to 5 grs a tonic. 5 to 10 grs antispasmodic This is also a sulphate reddish brown metalic lustre resembling the form and appearance of [illegible] citratis comes in scales. Brittle. Bitter taste. Tonics Dr Patterson found 15 grs nauseate according to the testimony of some Philada physicians this can be substituted for quiniae, and give satisfaction. Dr Patterson has given it, in powder. Ferrum The preparations of iron were called martial salts, all of them are tonics although the metal itself is inert. The sulphates and chlorates are poisonous if given in large doses. The foeces become black under the use of iron. Iron if long continued is apt to constipate. The preparations of iron are useful in chlorosis, where it is considered by some to be specific. But the efficacy of iron is proved in anaemic and debilitated constitutions, by replenishing the blood It is secondarily emmenagogue, its being of use in amenorrhea chlorosis etc. owing to a relaxed state, as it is in all uterine diseases consequent upon a relaxed state. Iron is very useful in that relaxed state which follows a severe haemorrhage, when iron is given too long the blood Tonics vessels become large and full secretions are diminished Iron is indicated in 1st Where there is relaxed state 2nd “ “ “ serous blood The spleen becomes hardened under the use of iron counterindications 1st Plethora 2nd Inflammation and tendency to apoplexy. Ferri filum or iron [wire] This is the purest form in which iron can be taken Ferri ramenta or iron filings 5 to 20 grs in molasses. Obtained by filing iron. It is regarded as emmenagogue and abortive. A feeble chalybeate increases appetite Oxides 1st Ferri oxidum nigrum. Obtained by acting upon the sulphate of iron with nitric acid Tonics 2nd Ferri squamae oxidum or scales of iron These are scales which fly from a red hot iron bar when stuck; they consist of a mixture of the protoxide and sesquioxide of iron 3rd Ferri oxidum hydratum. Dose 10 to 20 grs This is the hydrated oxide, renders arsenic inert Iodide of iron dose liquor 20 to 40 gtts This is made by the action of iodine upon iron under water. This is a useful tonic in the worst forms of syphyllis. The liquor is the best form to give it in Tonics Ferrocyanuret of iron or Prussian blue dose 3 to 5 grs This is made by the mixture of the hoofs of animals with pearl ash and stirred with iron utensils the iron from the utensils becomes mixed up with the mixture and the ferrocyanuret is formed This preparation is used in neuralgia, epilepsy. And by some is ranked next quinine, and arsenic, in the cure of intermittent fever in [?olli] coffee. and some others. It has been [proved] to have the same weight after passing through the body, and therefore its efficacy has been doubted by many. zi to zi [illegible] for ulcers salts of iron 1st Acetate of iron. zfs to zi of the officinal solution. This is a dark coloured fluid resembling port wine Tinct: ferri acetates gtts 30 to zi in aq: 2nd Subcarbonate of iron dose 5, 10or 15 grs This is one of the most important salts of iron it is made by mixing the sulphate of iron with carbonate of soda when we obtained the sulphate of soda and the subcarbonate of iron, which is a reddish brown powder, producing no nausea. There is a pill made of it Tonics, 3rd Liq: ferri nitratis zfs to zi f This is used in chr: diarhoea. 3rd Ferrum ammoniatum dose 5 to 10 grs This is obtained from the muriate of ammonia and chlorate of iron. It is somewhat laxative. Tonic in strumous diathesis with constipation 4th Ferri et potassa tartrass dose 10 to 40 Somewhat laxative. This may be depended upon for uniformity in strength, it is useful for children, on account of its solubility Tonics 5th Phosphate of iron dose 1 to 2 grs or 5 to 10 grs [exsicm] ¼ to ½ Obtained from the sulphate of iron, and phosphate of soda It is useful in rachitis mollis opii delirium tremens where debility succeeds. It forms a good narcotic tonic when mixed with lupuline The pollen of hops. This is used in chr: diarrhoea, is apt to constipate Tasteless. It is astringent, and is used in chr: gleet, in 5 to 10 grs solution, as an injection. 6th Sulphate of iron emmenagogue dose 1, 2, or 3 grs 2 or 3 a day [illegible] dose/gr with the ex of quassia or [gent] This obtained by the action of sulphuric acid on pure iron [wire]. This is especialy emmenagogue, also astringent. It is used externally in chronic ulcers. There are two powders the dried sulphate, which is a white powder the most concentrated of the two; and the crystalised or ordinary sulphate [Launate] of iron This is used in chr: diarrhoea. 7th Tinctured chlorate of iron or muriated tincture of iron. Dose 10 to 30 gtts This preparation is to be chose when a speedy effect is desired. IT is useful in a debility which manifests itself in incontinency of urine during Tonics to a want of power to retain it in sleep. also useful in apthae cancrum oris. May be combined with uva ursi, buchu, and such like diuretics, as a diuretic. Ammonia citrate of iron. 2 to 3 grs for a child 3 times daily This is used in anaemic children. 8th Citrate of iron Direct combination of the suboxide of iron and citric ac This is the least irritating of the preparations of iron and on this account is chosen for children Bismuth. 1st Subnitrate of bismuth dose 5 grs with 10 of the pow root of colomb and an aromatic This is a white powder. It is a tonic with antispasmodic powers used in gastric affections without organic disease. In dyspepsia with gastralgia Capsum It is doubted whether metallic copper has any medicinal tendency. All the preparations are poisonous the symptoms being a gradual wasting copper taste in the mouth. Cramps headach and convulsions. In large doses they are emetic Tonics 1st Sulphate of copper This is the most important of the preparations IN large doses is it is poisonous but in small doses tonic astringent and styptic in local applications It is very useful in indolent ulcers, apthae venereal shanker a good preparation for shanker is Sulphate of copper 10 grs [illegible] merc oint zi Myroxylon [illegible] grs Sulphate copper 10 grs Mild merc oint zi Myroxylon The sulphate of copper is also useful in ulcers in the throat and a solution in brandy for baldness 2nd Cuprum ammoniatum Tonics 2rd Subacetate of copper or verdigris This preparation is best prepared in France. It is a very remedy in conjunction with [savine] in hardened warts. An oxymel made of it is good application for venereal ulcer in the throat Prep of zinc and silver 1st Zinc 1st Sulphate of zinc Tonics 2nd Tonics 2nd Silver There are two compounds of silver used in medicine nitrate or lunar caustic and the inert oxide. 1st Nitrate of silver or lunar caustic Astringents. 2nd Oxide of silver This inert substance is formed by the combination of the two strongest caustics known nitrate of silver and liquor potassae when the nitrate of potassa and the oxide of silver is the result Astringents This class of medicines resemble tonics and are sometimes classed under them. Their general action is somewhat analogous, though they have nevertheless an action which is not found in the tonics viz that of coagulating albumen and [cons??ging] muscular fibre. Three properties may be attributed to this class 1st They increase the tonicity the muscles 2nd “ constringe the fibres of the muscles 3rd “ coagulate albumen Astringents Their act locally and generally. They are used locally to suppress haemorrhage and unhealthy secretions. and where there is a relaxed state of the system. When astringents are to be used in ‘ haemorrhage the character of the haemorrhage should be considered. If it arises from a plethoric condition, depletion is the remedy. If from a ruptured vessels astringents. Astringents are useful in cases of epistaxis, haemoptysis haematemesis, haematuria, diarrhea when chronic and dysentery and also leucorrhea astringents are divided into vegetable astringents or those which depend upon tannic acid for their astringency and mineral Vegetable Astringents These depend upon tannic acid for their properties 1st Galls Morbid excrescences of the [illegible] [illegible] Astringents 2nd Uva ursi 3rd White oak-bark used externally 4th Bk oak bark used as collouring substance 5th Geranium maculatum used in infantile diarrhoeas combined with aromatic sulp: acid, in a decoction 6th Black-berry root 7th Dew “ “ 8th Kino. “Extract from uncertain plants” found in E and W. Indies 9th Krameria [isiandra] or rhatany pow 10 to 20 grs used in menorrhagia collours the saliva red Astringents 10th Catechu. Tena Japonica Applied externally to flabby and indolent ulcers 11th Haematoxylon campechianum or logwood Found in Honduras and St Domingo 12th Chimaphila or pipsipewa “leaves of the chimaphilia umbellata Astringents. Mineral Astringents 1st Alum This is the sulphate of alumina and potassa It contains 40 per ct of water of crystalisation, therefore the dose of dried alum should be proportionate The alum when applied locally produces corrugation of the tissue. It is given in colliquative sweating. It is usualy given with some aromatic nutmeg most commonly chosen. A whey made by mixing 2 z of the powdered alum with a pint of milk is sometimes made use of dried alum is escharotic. There is also another form in which alum is used called alum curds by surgeons which is made stirring the white of an egg with a [chystal] of allum till it melts in the egg Astringents 2nd Cupri sulphas Preparations of Lead These in moderate doses diminish the secretions After they have been used any length of time a blue line is seen along the gums. These preparations act primarily upon the nervous system. The muscles become pale and the system wasted. On post mortem examination the intestines are found tightened and distended with wind. Dr Thomson supposed that carbonate only produce any ill effects and consequently all the rest could be given with impunity. The treatment for “Collica [pictou]” or painters colic is very various. Purgatives, narcotics and sulphuric are the most common means resorted to. But the best treatment is alum followed by Astringents. a purgative, the alum must be given large doses The muscles of the arm become paralysed There are only two of the lead preparations much resorted to. 1st Litharge or semi vit oxide This is a fawn coloured powder much used in ulcers in which there is a great deal of running Astringents 2nd Red oxide. Red lead This is very seldom used as a medicine It is obtained when you expose litharge to a heat of 600 fah in contact with air. It is principally used as a pigment. 3rd Carbonate of lead or white flake 4th Acetate or sugar of lead dose 2 to 5 grs Haemorrhage 2 to 3 grs This is the most important of all the preparations It is made by acting on litharge or the carbonate with acetic acid. In large doses it is an irritant poison. It is much used in diarrhea and chronic dysentery and typhoid fever in combination with opium. This preparation Astringents. diminishes the secretions and obviates the tendency, to bleeding from the bowels. It is much used in Haemoptysis. It has been given in cholera It is given sometimes in vinegar distilled the common vinegar being apt to form the carbonate 5th Liquor plumbi sub acetate or Goulards solution This has been used in inflammation of conjunctiva by application. It is sometimes used in ulceration of the cornea though in these cases it is dangerous, since it forms a compound with the substance of the cornea which cannot be removed 6th Chalk This is a desiccant when locally applied. It is used in diarrhea and the various other cases in which this class of medicines are used Astringents Medicines affecting the nutritive function 1st Alteratives or those medicines which promote health without their direct action being explained. medicines which cause absorption are called sorbefacients or absorbents. Absorbents 1st Iodine dose 1 gr This substance was discovered by M. Courtois in 1812 while endeavouring to obtain carbonate of soda from sea weeds. In the mother liquor he observed a substance which corroded the metallic vessels, powerfully and adding sulphuric acid it threw down a dark substance which on applying heat was converted into a beautiful violent coloured vapor. It is usualy obtained from kelp by means of sulphuric acid. The tests for the presence of iodine are two vaporisation and the starch solution. The former being a test for iodine on account of its great liability to vaporise so that if there be any impurities present the whole will not vaporise The starch test must be used cold, this is a most delicate test since the smallest quantity can be detected. The starch causes a deep blue solution. Iodine is diuretic and sometimes emmenagogue when too long continued produces absorption of testicles and mammae and emaciation. The iodine preparations are useful’ in chronic scrofulous swelling bronchocele or goitre and to arrest the discharge of pus in scrofulous ulcers also in cutaneous diseases secondary syphillis iritis from the same cause and to prevent the progress phagedonic ulcer Doctor Buchannan gives it in the form of the iodide of starch in one ounce doses where large doses are desirable the iodide of potassium should be u sed. The tincture is applied externally Absorbents. to ulcer the internal dose 5 gtts to zss Compound solution of iodine. dose 20 gtts This is composed of iodine and the iodide of potassium. The effects of this preparation are analogous to the tincture iodine ointment. Iodide of potassa. dose 5 to 20 grs. Iodide of iron dose 15 to 20 gtts This is given in solution and is useful in cases consequent upon a stumous diathesis and depraved habits. It is given in purulent discharges from the genitals owing toa strumous vice Iodides of mercury are two (a) [?sotiodide] which has been called the iodide as being the most important. It is of a red colour very poisonous being a strong irritant poison Absorbents. (b) Yellow iodide Bromine This is like iodine found in sea water and salt springs 1st Bromate of potassium This was thought to have equal power with the iodide of potassa and was found not to be equal to expectation. It was found useful in secondary syphilis It is certainly alterative. 2nd Bromate of iron Prep of Mercury These are the pillars upon which the success of medicine depends; they increase the secretions and efficacy of other medicines, and on this account are much given in fevers and in the convalescence When mercury purges it does not salivate, hence if salivation is desired Absorbents. the dose must not be large enough to purge salivation when carried too far produces ulceration of the buccal mucous membrane. The gums and lining membrane of the mouth become red venesection will promote salivation. the blood under the influence of mercury when taken from the arm presents all the appearance of blood taken from an inflamed part. Mercury is the great aplastic remedy and on this account is much used in inflammation where fibrine is transuded. It is much used in pleuritis and in syphilis is almost a specific. If an ulcer is to be healed by mercury the gums must be kept in a state of salivation. When syphilis is phagodenic no secondary symptoms succeeds. Mercury should be used with caution where these is tubercular diasthesis. In diseases of the liver it is very useful especialy where there is chronic inflammation and induration of that organ and in jaundice and induration of that organ and in jaundice after the use of emetics. It is also used in form of the mild chloride or calomel in cholera and hepatised lung consequent upon pneumonia. Mercury in an uncombined state is thought to exert its influence in same way that metallic iron does in by uniting with the acids and juices of the stomach and prima viae. Absorbents. Preparations of Mercury. Hydrargyrum cum creta. This is a grey powder much used in marasmus and also as an antacid. The compound is 3 grs of mercury to 5 of chalk Hydrargyrum cum magnesia Blue mass or blue pill dose 5 grs This is made with confection of roses and liquorice root mixed up with mercury. The preparation of mercury is 1 gr to 3 grs of the mass. This compound when properly made is soft It most efficient preparation of mercury excepting calomel It is very good if followed by rhubarb the next morning Absorbents 4th Mercurial Ointment. This is used externally in cases syphilitic ulcers and shanker. It is made by mixing 2 lbs of mercury with 23 ounces of lard. The ointment should be applied with friction. A good adulant to this ointment is zi of myroxolon and 20 or 30 grs of sulphate of copper. 5th Black Oxide dose ½ gr This is an exceedingly mild preparation it is used as a fumigator 6th Binoxide or peroxide This is a red powder much used for venereal shanker when made into an ointment or the powder itself may be sprinkled over the sore till a smarting sensation is felt and inflammation produced Absorbents. There are two chlorides of mercury of which one is a most violent corrosive poison the other the mildest of the mercurial preparations. The protochloride and deutochloride or bichloride 7th Calomel or protochloride 10 to 20 grs Calomel is almost a specific in diseases of the liver It is also much used in union with other medicines. it is the chief ingredient of plummers pill which is composed of it and [kermes] mineral with guiacum. This medicine has been much [persecuted]. Absorbents. 8th Corrosive sublimate or bicholoride of mercury This is used for syphilis in plummers pill with the addition of hyoscyamus and opium It is also used in chronic skin diseases. The tests are the iodide of potassium which throws down a bright red percipitate, and lime water which throws down a lemon coloured percipitate Hydrargyrum ammoniatum. This is never used internally. It is used where the hair has fallen off to strengthen it and in ulcerations of the cornea Sulphurets Bisulphuret of mercury or cinnabar or vermillion IT is used chiefly as a pigment also as fumigator 2nd Black or sesquisulphuret Absorbents. Citrine ointment or nitrate of mercury This is used for indolent ulcer and infant buboes when undiluted it is an escharotic Turpeth mineral or yellow sulphate of mercury Absorbents. Arsenic dose 1/8 gr diluted strongly Arsenic in small doses in antiperiodic when used for any length of time it causes oedema and pouffiness of the eyelids. On account of its antispasmodic powers it has been substituted for quinine in periodic diseases and is considered by many equal it. It is also used in chronic rheumatism and cutaneous affections especialy where the cuticle comes off in scales also in smooth nodosity of the joints. It ought always to be given in dilution and after meals as the arsenic is apt to irritate the mucous membrane of the stomach when it is in immediate contact with it. It is applied externally in the form of paste for indolent ulcers and syphilitic sores. The paste should be strong. the stronger the better. never should be less than one eigth of the whole mass unless the paste is strong it will be absorbed. Antidotes 1 Hydrated peroxide of iron in solution 2 Calcined magnesia Absorbents. Preparations of Arsenic 1st Solution of the arsenite of potassa. Fowlers solution dose 5 to 10 gtts 2nd Donovans solution. A solution of iodide of arsenic and mercury. Dose 5 to 15 gtts This is an alterative and is also much used in secondary syphilis also in cases where tumors have a tendency to become malignant It also stops tendency to cancer and osteo sarcoma Narcotics Individual Narcotics 1st Opium dose ½ gr to 1 gr This is the concrete juice of the papaver somniferum. It is found in Asia. There are three proximate principles of opium viz narcotin meconine and morphia It is given in three ways substance powder and pill. It is one of the best antispasmodic It is used sometimes in cases of mental derangement. it is associated with astringents in diarrhea in form of pill. It is more speedy in action when fresh 2nd Tinct opii or laudanum composed of opium and alcohol The proportion of opium 1 and ½ of opium to 2 of alcohol Dose in case of its being left long exposed as it is more concentrated 10 gtts [illegible] ordinary dose 25 gtts for a new born child ½ gtt Narcotics. 3rd Acetated tinct dose 10- gtts This is composed of 2 z of opium to 12 z of vinegar and 1 ½ alcohol 4th Camphorated Tinct or paregoric dose [illegible adults z to zii gtts This is a weak preparation, used chiefly with expectorants zfs contains gsi of opium. 5th Vinum opii dose 10 gtts to z This is much used in purulent opthalmia of infants 6th Acetum opii or black drop dose 6 to 30 gtts Narcotics 7th Compound powder of opium in Dovers powder [illegible] 10 grs [illegible] affect 5 [grs] Composed of ipecac opium and sulphate of potassa This is a popular diaphoretic 8th Morphia. This is made by macerating opium in alcohol and a solution of ammonia and from this the various salts can be formed This is seldom used in its pure state. 9th Sulphate of morphia dose 1/8 gr endemically ½ gr for neuralgia This may be used in many cases where opium cannot on account of nausea and constipation which opium produces sometimes. And where it cannot be used endemicaly in neuralgia ½ gr twice a day will produce sleep. 2nd Sactucarium sactuca sativum This is used in syphilis along with the protiodide of mercury Narcotics. 3rd Hyoscyamus Niger Henbane (leaves & seed) Leaves & seed powd 3 to 5 grs tinct ½ z to [illegible] alcohol This medicine allays irritability and does not stimulate like opium. The extract is often combineds with purgatives to release any painful action which may be caused by them, in doses from ½ to 1 gr to prevent griping or other bad effects 4th Belladonna dose 1 gr in powder tinct 20 to [30] gtts 5th stramonium datura. Ext ¼ gr seeds zsi twice a day leaves [illegible] Narcotics. 6th Tobacco dose 5 grs This is given in the form of scotch snuff 7th Dulcamara. “Stalks of solenam dulcamara” ext 3 to 5 gr decoc zii 4 a day 8th Aconite or wolfs bane tinct [illegible] gtts 3 times a day ought never to be used internally (Dr Patterson) Narcotics. 9th Conium or hemlock ext gsi to gsiii 2 a day 10th Humulus lupulus or hops Anaesthetic Agents 1st Chloroform. Terchloride of formyle 2nd Sulphuric aether. 3rd Chloroform and sulphuric aether or chloric aether. Tetanics Nux vomica dose 1 to 3 grs Strychnia dose 1/16 to 1/8 gr Arnica montana Antispasmodics These allay nervous excitement and equalise the nervous system. 1st Asafoetida dose in [pili??] mist: 10 grs tinct: zi vel zii This medicine is found in almost all the eastern countries Persia India etc. It is the concrete juice of the ferula. Asafoetida which grows as thick as a man’s leg. It is prepared in cases formed of the small masses which resemble ammoniac and can only be distinguished from it by its smell Its impurities are stones sand and a very inferior quality which is good for nothing but horse medicine. Asafoedita is an efficient expectorant moderate stimulant and also a relavant as well as a most powerful antispasmodic. On account of its antispasmodic and expectorant powers its use is much lauded in spasmodic affections of the chest as hooping cough. Croup 2nd Galbanum. 3rd Valerian officinalis The power of this medicine depends upon a volatile oil. It is used in epilepsy chorea and hypochondriacal affections when strongly diluted will promote digestion. The pill of the oxide of zinc is the best adulant that can be used with it in the cure of chorea with cimicifuga 4th [D?a contium] or skunk cabbage This is used in spasmodic asthma 5th Musk dose 8 to 15 grs “Concretion from prepuce of moschus moschiferum” This is much used in hysteria the debility ariseing from typhus fever and also in subsultus tendinum and retrocedent gout The musk is given in mixture. asthma 6th Castor testicles of the beaver dose 1 to 2 z Demulcents 1st Gum Arabic. Concrete juice of acacia [illegible] and other species of acacia, There are several varieties of this article that from Turkey is considered the best. When good, it is transparent and brittle easily soluble in either cold or hot water. It forms the best diet for fevers. It is very nutritious. It is the best substance to be given when a strict regimen is demanded. 2nd Tragacanth. 3rd Slippery elm inner bark of the ulmus fulva. 4th Linum or flaxseeds 5th Malva or common mallow. 6th Mucilage of quince seed. 7th Pith of sassafras or medulla 8th Carrageen or Irish mass 9th Glycyrrhiza or liquorice Epispastics. 1st Cantharides (a) Cantharis vesicatina or Spanish flies (b) Cantharis bittata or Potato flies (c) Cantharis cinerea or 2nd A metallic plate heated to 212 [degrees] 3rd Boiling water 4th Aqua ammonia 5th Bark of daphne mesereon 6th “ “ Nidium 7th Tart em ointment 8th Oil of turpentine 9th Escharotics They are used to destroy fungous granulations Moxas 1st Nitrate of silver or lunar caustic 3 or 4 sol for gonorrhoea and fistula 5 to 10 grs solution chronic opthalmia. I have seen an 8 gr solution used for chronic inflammation of the pharynx. Chemistry. Introductory lectures Solids. A solid is any substance which the qualities of divisibility extension impenetrability etc. Bodies may be divided into compound and simple The resistance which gives to being removed is its weight. Chemical affinity and cohesion differ in that the former acts at sensible distances the latter at insensible distances All bodies are more or less porous; a beautiful proof of the porosity of wood may be seen, by means of the following experiment. Porosity ex 1st Place quick-silver into a wooden cup which is placed in an enclosed jar and fitted tightly, so that all the air from the bottom part of the cup may be removed leaving all atmospheric pressure on the outside the jar being exhausted by an air pump the mercury on account of the pressure of the atmosphere will come through the pores and fall to the bottom of the jar. These pores can be sometimes seen in bodies that are very porous Polarity Particles sometimes tend in one direction which is crystalisation or polarisation as for instance in formation of water into ice Dilatability Solids dilate on the application of heat, which may be shown by healing a ball which will just fit a metallic ring when cool’ when the solid ball is heated, the particles expand. Aerial Particles. Aerial particles may be made to approach each other, which proves that they are not at insensible distances from each other like those of a solid body. This may be proved by the following experiment take a glass cylinder enclosed at one end and fix the open end in a bag of [illegible] elastic the water when the bag is pressed will rise in the tube thereby caring the aerial particles to approach each other Specific Gravity. When taking the specific gravity of solids water is taken as the standard we compare the weight of an equal bulk of water with that of the substance in question and substract the one from the other. the difference will be the specific gravity of the substance in question This is expressed in the following proportion S Wt of the bulk of H: wt of the bulk of [illegible] sought:: sp gravity of water: sp gravity of the body sought when the specific gravity of gases are to be considered atmospheric air is to be taken as the standard. The method is this Fill a glass flask with the atmospheric air and not its weight in this condition, then withdraw the air by means of an air pump, and then note the diminution in weight which will be the weight of that bulk of atmospheric air. If we now fill the flask with hydrogen gas an note its weight in the same way and compare this with the weight of the air and we will obtain the specific gravity of the hydrogen gas. acids turn vegetable blues red, so that if we add NO3 to solution of blue cabbage it will be change to a [red] Alkali change the blue to a green so that if we add caustic potash to the solution of blue cabbage it will be changed to a green. When the acid and alkali are united before king formed into the solution no change in the colour will takes place so that if we would add the sulphate of potassa there would follow no change of colour. Again. The red colour caused by the acid may be neutralised by an alkali and the solution restored to its natural blue colour. And on the other hand the blue may be restored from the green or alkaline test, by neutralising the alkali by an acid. There is a distinction to be made between neutralisation and saturation. The nature of compounds differ entirely from the nature of their constitutents. As for ex water a liquid is composed of two gases, one of which is the lightest of all the gases and a very inflamable whilst the other is a supporter of combustion liquids by chemical action are changed into solids so SO3 added to the chloride of lime. The hydrochloric acid is displaced by the sulphuric and a solid percipitate is formed which is the insoluble sulphate. Solids. are converted into gases as in the decomposition of gun-powder, and chlorate of potassa and the phosphorus. Gases are changed into liquids as for example H2O form water Solids are changed into liquids as when “ice vanishes before a tropical sun.” The nitrate of copper in solution with [illegible] which is of blue colour, is made colourless by the addition of sulphuric acid the [illegible] being removed by the sulphuric ac which is the colouring principle renders the solution colourless. Specific gravity and temperature of a body may be altered by chemical action as for ex SO3 + CH Toxicology. The action of poisons is either general or local some diseases affect the power of poisons in a great degree In tetanus, insanity, and epidemic cholera calomel and opium may be given in immense quantities without any bad results arising. On the other hand if there is a chronic tendency to a disease, any poisons which act with symptoms similar to those of the disease as for example opium given to patients who have a tendency to apoplexy will act in much smaller doses. Antidotes 1st Those which act chemicaly upon the poison 2nd “ “ produce a contrary effect in the system. 1st Chemical antidotes. A poison may be rendered inert and harmless, if a substance is brought into contact with it with which it will combine and thereby from a harmless compound. As for instance in the case of when it is used as a chemical antidote for arsenic; the arsenuret of iron is formed which is harmless. 2nd Antidotes may act in diverting the action of the poisons by instituting an action which is stronger than the person and opposite in character, to the poison 1st General Poisons If a person is perfect health and not disposed to be attacks of sudden sickness, fainting, etc. should suddenly while enjoying perfect health, suddenly become suddenly sick at the and vomit, up his food. If he should also have pain at epigastrium, of an acute character, it may lead to the inference of the person being poisoned. And especialy if death soon follow. There are two [illegible] divisions of poisons. Those which act by setting up a rapid violent and acute inflammation at the spot at which there are in contact and secondly those which act chiefly upon the cerebral functions and brain. The symptoms of the former are sharp and acute pain in the stomach or part to which they are in contact, vomiting, giddiness, furred tongue, diarrhea, and numerous other symptoms which are present in inflammation of the stomach those which act upon the brain are signalised by the [illegible] delirium convulsions, coma etc. Those which act by inflaming the part are called irritants, and those which act upon the brain are called narcotics. There is also another class the narcotic acid poisons whose effects are a combination of the irritants and narcotics. When vomiting occurs at the first it may be sufficient provided the vomiting be violent enough and long enough to eject the poisonous matters from the stomach entirely. Sometimes the dose of the poison may be of itself an emetic and thus be its own antidote a half an ounce of arsenic has been known to be taken and the patient live afterwards which he would not if the large dose had not proved an emetic and thereby being ejected by the mouth from the stomach. Visits. April 11th 1853 Mr Harding sent by [illegible] May 2nd at office not paid 50 cts cash $50/100 cash $50/100 Mr D Landis May 16th at his room. paid $50 cts. do do do do do. do. do. $50 cts. do do do “ 17 do. do. do. $50 cts. do do do “ do do. do. o $50 cts. do do do “ 18th do. do. do. $50 cts. do do do “ “ do. do. do. do. do. do do do “ 19th do do do do. do. do do do “ do do do do do. do. Paid Mr Allen sent by Mr Graydon May 26th at office cash 50 cts. do do do 27th do no charge. Ext. one tooth June 5th do do cash 25 cts. Ext: wild hairs from the eye not paid. 50 cts office prescriptions Mr Hopper June 17th not paid do do do do do 19th : : do operation for tongue tie. cash $1 Mr [Kowan] not paid. June 23 50 cts John Baron Irishman not paid do 24 50 cts Geo: Owens one mile fr. town “ 29th 2 visits 2$ Geo: Owens “ “ “ “ 30th visits 1$ Geo: Owens “ “ “ “ July 1st one visit 1$ Mr Hill at house. paid 2 visits 1$.50 [illegible] at the wright house. office pres: July 5th cash 50 cts Laurence Spragu do do ? 6th not paid 50 cts Mrs Sandriggins do do cash. 25 cts Mr Allen at his house ? [10th] $1 $1.00 Mr Snyder 2 visits at his house. $2.00 “ 1 “ “ “ “ 1.50 “ Augst 16th 2 visits at his house. $2.00 “ paid ? 17th 1 visit “ “ “ $1.50 “ “ “ 1 visit “ “ “ $1.50 “ “ 18th 1 visit “ “ “ $1.50 Mrs Gool Sept: 5th do with Dr. Thompson 1.00 Mrs Wood. “ 6th do 1.00 Mrs Gool: “ “ “ 1.50 Mrs Wood “ “ “ 1.50 Mrs “ “ “ “ 1.50 “ Wood “ “ “ .50 “ Gool “ “ “ .50 “ “ “ 9th “ .50 Mrs Wood “ “ “ 1.50 Mrs Gool ? 10th “ .50 Mrs Wood. “ “ “ 1.50 Mrs Wood “ 11th “ .50 Mrs Wood “ “ “ .50 Mrs Gool “ 13th “ .50 Mrs Wood. “ “ “ .50 Mrs Wood. “ “ “ .50 Mrs Wood “ 13th “ .50 Mrs Gool. “ “ “ .50 Wm C Moreau “ 21st “ .50 “ “ “ “ 22nd “ 50 Mrs Gool “ 24th 1 visit 1.00 Do do “ 26th Do 1.00 Do Do “ 28th Do 1.00 Do Do “ 29th Do 1.00 Do Do Oct. 1st Do 1.00 Mrs Wedge “ 2nd Do 1.00 paid Mrs Wedge Oct: 3rd 1 visit $1.00 Mrs Wedge Oct: 4th 1 visit & cupping & med: 2.00 Mrs Wedge Oct: 5th 1 visit .50 Mrs Waldron’s assistant Oct: 5th office prescription .50 Squire [servant] Oct 4th 3 miles out of town 10 ½ p.m. 3.50 Mrs Thornton family Oct 10th 1 ½ mile “ “ Jas Drum 1.50 Mrs Thornton family Oct 11th 1 ½ mile “ 1.50 Do Do Do Oct: 13th do do 1.50 Do Do Do Oct 14th Do Do 1.50 Do Do Do Oct 16th Do Do 1.50 Do Do Do Oct: 17th Do Do 1.50 Do Do Do Oct: 18th Do Do 50 Mr Allred Oct: 19th Do Do visit at house $1.00 Mr Allred Oct: 19th D Do Do $1.00 Mr Thornton Oct 29th Do $1.50 Mr Allred child Oct: 20th Do Do .50 Do Do Do Oct 21st Do Do .50 Oct 21st office advice .50 Mr Allreds child Oct: 22nd visit to house .50 Do Do Do Oct: 23rd Do Do Do .50 Mr Thornton 1.50 Mr Allred’s child Oct 24th visit to house pd: 1.50 Mr Allred’s child Oct: 25th Do Do Do .50 Mr Allred’s child Oct: 26th Do Do Do pd: .50 Mr Allred’s Do Oct: 27th Do Do Do .50 Do Do Do Oct: 28th Do Do Do .50 Thornton Do Do Do Do Do 1.00 Mr Allread child Do 30th Do Do Do .50 Mr Alread child Do 31st Do Do Do .50 Do Do Do Nov: 1st Do Do Do .50 Do Do Do Nov: 2nd Do Do Do .50 Do Do Do Nov: 3rd Do Do Do .50 Mrs Dillner’s child Nov: 4th visit at house pd $1.00 Mr Allred’s child Nov: 4th Do Do Do pd .50 Mrs Dillner’s Do Do Do Do Do Doi .50 Do Do Do Nov: 5th Do Do Do .50 Mr Allred’s child Nov: 5th Do Do Do paid .50 Do Do Do Nov: 9th Do Do Do 50 Mrs Thornton Nov: 19th Do Do Do 1.00 Do Do Do 23rd Do Do Do 1.00 Do Do Do 28th Do Do Do 1.00 Do Do Dec 5th Do Do Do 1.00 Do Do Dec 6th Do Do Do 1.00 Mr Lane Dec 7th Do Do Do paid 1.00 1854 Mrs Ferguson’s girl Jan 1st lancing her finger 1.00 Do Do Do Jan: 2nd not paid .50 Do Do Do Jan 3rd .50 Do Do Do Jan 5th .50 Do Do Do Jan 6th .50 Do Do Do Jan 7th .50 Jan 13th application to eye & medicine .50 Jan 13th .50 [Bennet] [Brookes] County’s charge Jan 14th small pox 1 visit 1.50 Do Do Jan 14th Do Do Do Do 1.50 Do Do Jan 15th Do Do 2 visits [illegible] Do Do Jan 16 “ “ 1 Do Do Do Do Do Do 2 visit Do Do Do 17th Do Do Do Do Do Do 2 visit Do Do Doi 18th Do Do Do Do Do Do 2 visits Do Do Do 19th Do Do Do Do Do Do 2 visits Do Do Do 20th Do Do County charge Jan 20th small pox 2 visits County Do Do 21st do do do do do 22nd Do Do Do Do Do 23rd Do Do Do Do Do 24th Do Do Do Do Do 25th Do Do Do Do Do 26th Do Do $40 for attendance Case of gonorrhoea $5 Gonorrhoeal opthalmia $1 Mrs Hamilton Feby 27 one visit $1.00 Mrs Hamilton March 6th one visit $1.00 [Perry] Indian doctor $1.00 Many visit to his wife March 6th $1.00 Dr. Perry “ “ $1.50 John Mann visit to his wife “ 7th $1.50 John Mann “ “ “ “ “ 19 $1.50 Mrs Hamilton March 8th one visit $1.00 Diana Mann March 11th Dr Gaston $1.[50] Mrs Hamilton March 11th $1.00 Diana Mann March 12th 3 visits .50 Diana Mann March 13 .50 Mrs Hamilton March 13th .50 Diana Mann March 14th .50 Peter Powel March 14 Johns wife 1.00 Diana Mann March 15th .50 Diana Mann March 16th .50 John Howard “ 16th 1.00 Do Do Do 17th .50 Diana Mann Do 17th .50 Diana Mann Do 18th .50 $ cts Diana Mann March 19th .50 Do Do March 21st .50 Do Do March 23rd .50 Peter Powel March 24 .50 Mr Gardiner March 26th touching tonsils. .50 Diana Mann April 2nd 1.00 Dr. Perry “ “ 1.00 Diana Mann “ 3rd 1.00 Diana Mann “ 5th 1.00 Diana Mann “ 7th 1.00 Diana Mann “ 9th 1.00 Mr Johnson “ 12th .50 Mr Eiler “ 15th vaccination [casts] .50 Miss Hamilton “ “ visit no 2 1.00 Mrs Hamilton’s girl .50 and of 1st year’s practice $72.50 27th 1.00 Gilbert May 2nd 6 cups. .50 James May 4th .50 Mr Wrights May 5th cash .50 May 12th .50 James Welsh May 16 .50 Servant at Littles Hotel May 20th .50 Omnibus driver at little’s May 21st .50 “ “ “ “ May 22nd Cupping 1.00 Patrick Barry May 25th application to eye .50 Do Do May 26th Do & cupping 1.00 Mr Ellis May 27th office advice .50 Patrick Barry May 27th treat: eye at office .50 “ “ May 29th “ “ “ .50 “ “ May 30th “ “ “ .50 “ “ “ 31st “ “ “ .50 “ “ June 1st “ “ “ .50 James Barry June 2nd treat eye at office .50 James Barry June 3rd “ “ “ “ .50 Mr Ellis June 3rd prescriptions 1.50 “ “ “ 4th cupping .50 James Barry “ 5th treat: eye at office .50 Mr Ellis June 5th visit at his house to his child 1.00 At Littles to see the [runner] June 14th medicine 1.25 “ “ “ “ June 15 3 visits night & day 1.00 “ “ “ “ June 16 3 visits night & day 1.00 “ “ office advice .50 “ “ office prescription .50 “ “ “ “ .50 At Little’s hotel to runner “ 15th 3 visits night & day 1.00 “ “ “ “ “ 16TH “ “ “ 1.00 “ “ “ “ “ 17TH “ “ “ 1.00 “ “ “ “ “ 18TH “ “ “ 1.00 “ “ “ “ “ cash .50 At Little’s Hotel to runner June 19th 3 visits night & day 1.00 “ “ “ “ June 20th 2 visits night & day 1.00 “ “ “ “ June 21st .50 “ office prescription .50 Mrs Hamilton June 19 visit at her home .50 Miss Hamilton “ “ “ “ “ .50 “ 20 office pres .50 Littles Runner June Elias Wright little boy “ 21st visit at the house. 1.00 Littles Hotel runner “ 22nd 1.00 June 22nd visit cash 1.00 June 23rd visit” .50 “ 23 visit .50 “ 24th visit cash .50 Elias Wright little boy “ 24 prescription .50 Littles hotel runner, bill June 24 .50 “ “ “ “ June 25th .50 Frenchman’s child June 25th cash .50 Little hotel runner bill June 26th .50 “ “ “ “ June 27th .50 cash .50 [Scribner’s] partner June 28th 1.00 Little’s hotel runner bill “ 28th .50 Scribners partner child June 29th 3 visits $2.00 Mr Neff’s partner June 29th .50 Mr [Munsan] June 28th paid .50 Scribners partner child June 30th not charged 1.00 Mr Orcut’s child June 30th medicine 1.50 “ “ “ July 1st “ .50 “ “ “ “ 2nd 2 visits [medicine] 1.00 Scribners partner “ “ .50 Mr Orcut’s child July 3rd medicine .25 “ 3rd advice & prescription 1.00 Mr Orcut’s child “ 4th .50 Mr Coverdale “ 4th night visit $1.00 Mr: Orcut’s child “ 5th .50 Mrs: Wright “ 4th 2 visits $1.50 Mrs: Wright “ 5th 2 visits $1.00 Mr: Coverdale Colonel “ 5th 5 miles visit $4.00 Little’s hotel runner bill “ 5th prescription & med .50 Thornpelkey charge to Mr [illegible] “ 5th advice & med: .50 Little’s runner bill Littles hotel 5th .50 “ “ “ Littles 6th .50 “ “ “ “ 7th .50 C.T. Rouser July 7th class $5 Bill, the runner at Littles July 8th office prescription & med .50 “ “ “ “ “ 11th office prescription .50 Levi Ramsey (col) “ 14th night visit $1.00 “ “ July 15th 3 visits 2.00 Mrs Isaac Wright “ 14th prescription .50 Mr Elias Wright “ 21st visit at his home 1.00 Mr Orcut “ 20th prescription .50 “ 24th “ cash .50 Omnibus driver at Littles “ 25th “ .50 Arthur Wright “ 26th medicine at night .50 Mrs Hamilton “ 28th visit 1.00 Mrs Hamilton “ 29th visit .50 “ 30th prescription .50 “ 31st advice .50 Mr Gray child Augst 2nd medicine & visit 1.00 Mr Gray “ “ 3rd “ .50 Mr Marklin “ 3rd application to eye .50 MR Gray: child “ 3 visit to see child .50 “ 4th cash .50 Mr Gray child “ 4th visit to see .50 Mr Marklin “ 4th application to the eye .50 Mrs Gray “ 4th prescription .50 Mr Marklin “ 5th .50 Mr Gray. child “ 5th .50 “ 5th .75 Mr Marklin “ 6th .50 “ 7th .50 Mr Gray child “ 8th .50 Mr Marklin “ 9th .50 Mr L Frenchman child “ 8th visit 1.00 “ “ 9th .50 Mr Bassinett Aug 10th surgical (bad) .50 Mr Marklin “ 10th .50 Mrs Leigmans child “ 10th surgical 1.00 Frenchmans child “ 10th .50 Mrs Leigmans child “ 10th surgical .50 Mr Gray’s child “ 11th .50 Frenchmans child “ 11th .50 Mrs Leigman’s child “ 11th surgical .50 “ “ “ “ 11th “ .50 Mr Gray’s “ 12th .50 Frenchmans child “ 12th .50 Mr Gray’s child “ 13th .50 Mr Leigmans child “ 13th .50 Mr Spotts “ 13th .50 Miss Louisa Hamilton “ 13th medicine & advice [.70] “ [Hollen] Colb “ 15th “ “ 1st visit 1.00 “ “ “ 16th “ 2 visits 1.00 Mr Gray “ 16th .50 Mr [Kissle] “ 16 consultation paid $5.00 Mis H Cobb “ 16 visit med .50 “ “ “ “ 17th visit medicine .50 “ “ “ “ 18th “ .50 “ “ “ “ 19 .50 MR Gray’s child “ 19 “ .50 Miss H Cobb “ 20th “ .50 Mr Richter Dutchman “ 20th 2 visits & medicine 1.50 “ “ “ 21st 2 visits 1.00 Miss Ellen Cobb “ “ 2 visits 1.00 “ “ “ “ 22nd 2 visits 1.00 MR Richter Dutchman “ “ “ 1.00 “ “ “ “ 23 “ 1.00 Miss Ellen Cobb “ “ “ 1.00 Miss Helen Cobb August 25th visit & medicine $1.50 “ “ “ “ 26th “ .50 Mr Gray 26th 50 Miss Ellen Cobb “ 28th 1.50 “ “ “ “ 29th 1.50 “ “ “ “ 30th 1.50 “ “ “ September 1st visit 1.50 An Irishman “ “ prescription .50 Mr Dagner “ 3rd 2 visits 1.00 “ “ “ 4th 2 visits 1.00 “ Dagner “ 6th .50 Mrs [beese] “ 5th night visit & med 1.50 cash $1.50 cash .25 Mrs Elias Wright Sept. 11th $.50 Mr Williams “ 11th paid $7.00 Mrs Elias Wright “ 12th visit 1.00 An Irishman “ 11th paid $1.00 “ 12th .50 Mrs Elias Wright “ 14th visit .50 Thos Mc McLennan Sept 26th 1.00 Thos McLennan “ 27 .50 “ “ “ “28 .50 “ “ “ “ 29 .50 Mr Gause Oct: 9th removing cinder fr eye .50 [illegible] Oct: 10th night visit 1.00 “ “ Oct: 11th 3 visits 1.00 “ “ “ 12th 3 visits 1.00 “ “ “ 13th .50 [illegible] “ 12 [illegible] .50 “ “ 13th “ “ .50 [French boy] Oct 12th (fever) one visit $1.00 “ “ 13 “ “ .50 French man “ 13th office prescription .50 French boy “ 14 visit .50 Mrs Cox “ 14th 3 visits 1.00 Irish man “ 14th office advice .50 “ “ “ 15th “ “ .50 “ “ “ 16th “ “ .50 Mrs Cox “ 15th 3 visits 1.00 French boy “ 15th .50 Mrs Cox “ 16th 1.00 French boy “ 16th .50 [illegible] “ 17th .50 Mrs Cox “ 17th 3 visits 1.00 Irishman “ 17th caustic to his thumb .50 “ “ 18th “ “ .50 French boy “ 18th visit & medicine 1.00 Barry (Irishman) “ 19th caustic to thumb .50 French boy “ “ 2 visits & medicine 1.50 Barry (Irishman) “ 20th application to the thumb .50 “ “ “ 21st “ “ .50 French boy “ “ visits 2 & medicine 1.50 “ “ “ 22nd visit .50 Irishman (Barry) “ “ dressing ulcer .50 French boy “ 23rd 1 visit .50 [illegible] Barry “ 23rd dressing his thumb .50 “ “ “ 24th “ “ .50 James Barry “ 25th “ “ “ “ continued coming every day until the 25th of November Nov: 22nd night visit cash $1.00 Miss Ellen Cobb Nov: 26th visit $1.00 Miss Ellen Cobb Nov: 27th at John W. Hamilton’s visit (2nd) .50 Nov: 27th cash (cupping) $1.00 Mr Johnson Dec: 14th prescription $.50 Dutchman “ 20th medicine & advice .50 1855 Jan 8th removing a cinder from the eye .50 John Michael Jan 22nd night visit $1.00 John W. Hamilton Jan 22nd “ “ to [mary] $1.0 Stewart at Littles hotel Jan vaccination to his child $1.00 William (runner at Littles) March 18th cash $5 Bob (steward at do) April $10 April 11th prescribing for thumb .50 “ 12th “ “ .50 Mrs [Breuer] March 29th prescribing for a child at Little $1.00 “ “ “ 30th “ “ “ .50 “ “ “ 31st “ “ “ & medicine .75 April 16th visit on [New York] [illegible] [illegible] 1.00 “ “ “ “ “ .50 “ 17th “ “ “ .50 “ 17th “ “ “ .50 “ 18th “ “ “ .50 “ 19th “ “ “ .50 Elias Wright “ 21st bleeding & cupping 1.00 “ “ “ 22nd visit 1.00 “ “ “ 23rd visit .50 “ “ “ 24th visit .50 Peter [Morton] May 2nd prescription .50 Mr [Porcelyn] “ 8th visit (3) $1.00 “ “ “ 9th visit $1.00 “ “ “ 10th visit $1.00 “ “ “ 11th visit $64 2nd year income .50 Mrs [Breuer] “ 11th visit at night cupping $2.00 “ “ “ 12th visit 1.00 Mr Jocelyn May 12th visit $1.00 An Irish man “ “ medicine cash .50 Mr Jocelyn “ 13th visit at night $2.00 “ “ “ 13th visit 3 1.00 “ “ “ 14th 2 1.00 Mrs [Breuer] “ 13th visits 2 1.00 “ “ “ 14th visits .50 Mr Jocelyn “ 15th visit 1.50 Mrs [Breuer] “ 15th visit .50 Mr Jocelyn “ 16th visits 2 1.00 “ “ 17th visits 2 1.00 “ “ “ 18 visits 2 1.00 Emigrant child “ 22 prescription & visit 1.50 Samuel Edgar “ 23rd prescription .50 “ “ 23rd “ .50 26th cash .50 Mr [illegible] “ 27th visits 2 1.50 “ “ “ 28th visits 2 1.00 “ “ “ 30th prescription .50 Mr Houseman Jany 23rd prescription .50 “ “ June 1st visit 1.00 Mrs Jocelyn June 9th 2 visits 1.00 “ “ June 10th 1 visit .50 June 16th prescribe for a little girl .50 Mr Jocelyn “ 26th visit at night 1.00 [Wytenbaugh] July 2nd dressing two cut [illegible] 1.50 Irishman child July 3rd visit 1.00 “ “ July 4th visit .50 “ “ “ 5th .50 July 20th prescription .50 August 17th cash $1.00 “ 18th cash .50 August 19th [illegible] [illegible] .50 Irish man’s child “ 18th $1.00 “ “ “ 20th .50 “ “ “ 26th 1.00 “ “ “ 28th .50 “ “ “ 29th .50 cash .50 Mr Redfield Sept. 18th one visit 1.00 “ “ “ 19th visit .50 “ “ “ “ visit .50 “ “ “ 20th visit .50 “ “ “ 23rd visit .50 Mr Williams Oct: 29th visit $1.00 “ “ “ 10th Do .50 Irish-man Oct: 22nd Do cash $1.00 Crushed foot Nov: 2nd Do $1.00 “ “ “ 3rd Do 2 visits $1.00 “ “ “ 4th Do 2 visits 1.00 1856 Jan: 27th obstetrical case $5.00 [illegible] Redfield April 12th visit & medicine 1.00 [3rd year 27] Monsieur May 27th visit & medicine $1.00 “ “ 28th visits 2 $2.00 Mr Hill June 16th visits 2 medicine $2.00 “ “ “ 17th visits 2 “ $2.00 “ “ “ 18th visit “ “ July 21st visits no 2 $2.00 “ “ “ 23rd visit no 2 $2.00 “ “ “ 25th visits no 1 $1.00 “ “ Augst 16th prescription .50 1857 [illegible] April 2nd 2 visits “ 3 2 visits “ 4 1 visit “ 5 2 visits April 6th 2 visits 4th year’s $12.50 Irishman’s child August 31st night visit $2. “ “ Sept. 1st visit 1. “ “ “ 2nd visit 1. “ “ “ 3rd visit 1. Mr Digg’s child Amt carried forwd $2. “ “ Sept: 4th visit 1. Irish man’s child Sept: 9th visit 1. Mrs Diggs (herself) Sept: 10th visit [illegible] Mrs Diggs “ 11th visits 2 2. [Illegible] Renard French boy “ 20th visit & med. 1. Amey Renard 22 visit & med. 1. Amey Renard 23rd visit & med. 1. Amey Renard 24th visit & med: 1. “ “ 25th visit & med 1. “ “ 26 “ “ 1. “ “ 27 “ “ 1. “ “ 28th “ “ 1. “ “ 29th “ 1. “ “ 30th “ 1. Mrs [Lurian] French woman’s baby Oct 5th visit & med. 1. “ “ child “ “ “ 1. Monsieur Lurian Oct: 22nd visit & med: 1. “ “ Oct: 22nd visit & med: 1. “ “ Oct: 23rd visit 1. Monsieur Renard “ “ “ & med: 1. “ “ “ 24th “ 1. Monsieur Julian “ “ “ & med: 1. “ “ “ 25th visit 1. “ Renard “ “ “ & med: 1. “ Lurian “ 26th visit 1. Mon’s Renard 26th visit & med $1. Mon’s Renard 27th visit 1. “ Lurian “ “ 1. “ Lurian 28th visit 1. “ Lurian 29th visit 1. “ Renard “ “ 1. Mons Lurian 31st “ 1. Mons Renard “ “ 1. Mons Lurian & child Nov: 1st “ & med: 1. Mons Renard “ “ “ 1. “ “ “ 2nd “ 1. “ Lurian & child “ 2nd 2 visits & med: 3. “ “ “ “ “ 3rd 1 visit 1. “ Renard “ “ “ 1. “ Lurian “ 4th “ 1. “ “ “ 5th “ 1. “ “ “ 7th “ 1. “ “ “ 8th “ 1. “ “ “ 9th “ 1. “ “ “ 10th “ 1. “ “ “ 1858 Edwd Hines Feb 22nd lancing boil .50 Mr House 27th visit 1.00 Dutchman March 14th visit cash 1. Monsieur [Manie] prof. May 15th visit 1. “ “ June 7th visits 2 2. “ “ “ 8th visit 1. “ “ “ 9th visit. 1. “ “ “ 11th visit 1. “ “ “ 13th visit 2. “ “ “ 14th visit 1. “ Lurian’s child “ 25th “ 1. Mon’r Lurian June 26th visits 2 $2. “ “ June 26th visit $1. “ “ “ 28th night visit & day cash $2 $3. “ [Many] “ 29th visit. $1. Dutchwoman “ 29th visit. $.50 [illegible] child. July 6th medicine .50 Monsieur Lurian’s child “ 17th prescription .50 “ “ “ “ 18th visit 1.00 “ “ “ “ 19th visit 2 1.50 “ “ “ “ 20th visit 1.00 Elijah Knight (wife) Sept. 10th visit 1.00 “ “ “ “ 11th visit 1.00 “ “ “ “ 16th visit 1.00 Monsieur Shoemaker “ 29th visit & medicine 1.00 “ “ 30 visit 1.00 Mr Woodruff’s sister in law Oct. [14]th obstetrics 10.00 “ “ Oct: 15th visit “ “ “ 16th “ Mr hotel keeper’s child Nov: 16th visits 3 cash 2.00 1859 Mrs Smock Jany 9th visit 1.00 “ “ “ 10th visit 1.00 “ “ “ 11th visit 1.00 Mrs Lurian “ 13th obstetrics & 2 visits 10.00 “ “ “ 15th 1.00 “ “ “ 18th visit Mons Krotz’s child Feby 2nd visit at night 2.00 “ “ “ “ 3rd visits 2 2.00 “ “ “ “ 4th visits 2 2.00 “ “ “ “ 5th visit 2 2.00 “ “ “ “ 6th visit 1 1.00 $5.00 cash $ .[illegible] Mrs Roe Feby 21st charity patient visit 1.0 “ “ “ 22nd “ “ “ 1.00 Mrs Bucksot’s child [illegible] April 20th visit Madam Manie May 15th 3 visits & medicine 2.00 “ “ “ 16th 3 “ 2.00 “ “ “ 17th 2 “ 2.00 “ “ “ 18th “ “ 2.00 “ “ “ 19th 2 “ 2.00 “ “ “ 20th 2 “ 2.00 $5 Delacroix boy “ 21st 1 visit 1.00 “ “ “ “ “ 22nd 2 visits 2.00 “ “ “ “ 23rd 2 visits 2.00 “ “ “ “ 24th 1 visit 1.00 “ “ “ “ 25th 1 visit 1.00 “ “ “ “ 26th 1 visit 1.00 Patr Costello July 16th night visit 2.00 Mrs Goings child (col) “ 23rd day visit (Dr Garton’s patient) 1.00 Madam Lorien baby Augst 28th “ “ 1.00 1860 Mr [illegible] (baby) Jan 9th night visit 2.00 “ “ “ “ 10 day “ 1.00 Mr Robb’s child “ 22nd “ “ 1.00 “ “ “ 23rd “ “ 1.00 Mr [illegible]’s niece March 16th “ “ 1.00 “ “ “ “ 17th “ “ 1.00 $4 rec’d “ “ “” 19th “ “ 1.00 “ “ “ “ 20th “ “ 1.00 “ “ “ “ 24th “ “ 1.00 [illegible] [judge] [wick] May 16th night paid one dollar 2.00 Mons [Many’s] child “ 18th 1.00 “ “ “ “ 19th 1.00 “ “ “ “ 20th 1.00 “ “ “ “ 21st 1.00 [Napoleon] June 2nd Mr Hazen to see his daughter June [illegible] visit & med: $1.50 Mr Lange “ “ child Nettie “ 5th visit & med: .75 “ “ “ “ “ 6th “ “ .75 Mr Hazen med. [illegible] for daughter “ 6th .35 a Lange’s child Nettie “ “ “ “ .75 “ “ “ “ “ 7th 2 visits 1.00 Mr Mullen’s eyes “ “ visit & med: 1.00 a Saddler med: for chills : : .50 Mrs Thomason medicine “ “ .50 Mr Coulson “ “ 8 med: 50 “ “ “ “ 10th “ 1.00 “ Hazen’s daughter “ “ & visit 1.50 Perry Myers ? 13th [1.75] Mr Smith’s (little girls head) “ 14th 1.00 Mr Standiford (vaccinating boys) “ “ .50 Mr Hertenstein’s child “ 13th .50 “ “ “ “ 14th .50 Mrs Standiford (confinement) “ 15th 5.00 Mr Parker to see his child “ “ visit & med. .50 MR Mullen’s eyes “ “ “ 1.00 Mrs Standiford “ 16th .50 Mr Hazen’s daughter “ “ medicine 1.50 Mrs Lange “ 17th visit & med. .75 Mr Hartenstein’s child “ “ “ “ .50 Mr Mullen’s eyes “ “ “ “ 1.00 Mr Lange’s child Nettie “ “ “ .75 Dutchman pulling tooth “ 17th .25 Mr Wilde’s Mary “ 18th visit & med. .75 “ “ “ “ 19th visits 1.00 Mr Packer’s child (girl) “ “ visit 1.00 Mr Wilde’s Mary June 20th visits 1.00 “ “ “ “ 21st visit 1.00 [illegible] [illegible] to himself “ “ visit 1.00 Mr Parker’s child “ “ visit .50 Polander (Kean’s lessee) “ “ prescription & med: free .50 Mrs Lange “ “ visits & med to her 1.00 [illegible] [illegible] “ 22nd visit 1.00 Mr Mullen’s eyes “ 22nd “ & med: 1.00 Mr Parker’s child “ “ “ “ 1.00 Mr Wilde’s Mary “ “ “ “ 1.00 “ “ “ “ 23rd “ 1.00 [illegible] [Mullen’s] eyes “ “ visit & med: 1.00 [Bloss Gigos] “ “ “ “ .75 Mrs Gigos’s sister “ “ “ “ .75 Mr Parker’s child “ “ “ “ .75 Mrs McDowel “ “ med: .50 Parker’s child (Harvey) “ 24th visit “ .50 Mr [illegible] Mullen’s eyes “ “ “ & med 1.00 Mrs Stewart [illegible] “ “ pulling two teeth free .50 Mr Stewart (to son) “ “ visit & med “ 1.50 Mr Wilde’s Mary “ “ visits “ 1.00 [illegible] Mr Stewart’s son “ “ “ “ free 1.50 Mr Jas. Mullen’s eyes “ “ “ “ 1.00 “ “ “ “ “ 25th “ 1.00 “ Wilde’s Mary “ “ visit .50 “ Stewart ([Rev]) “ “ visit & med: 1.50 “ Parker’s (Harvey) “ “ “ .50 “ Jas Mullen’s eyes “ 26th “ 1.00 [illegible] Wilde’s Mary “ “ “ .50 Rev Mr Stewart son free “ “ “ med: 1.50 “ “ “ “ “ pulling tooth .25 Mr Hartenstein’s child June 26th visit & med .50 “ Standiford’s daughter “ “ “ .75 Jno Lewis son “ “ “ 1.50 “ “ “ “ 24th “ 1.50 “ Jas Mullen eyes “ “ “ 1.00 “ Hertenstein “ “ “ .50 “ Standiford “ “ .50 Mr Keen’s [Daug] Mary “ “ 1.00 Mrs Rev Stewart “ “ & med free 1.50 “ Lange child “ “ “ .765 “ “ “ 28th visit 1.00 “ Keen’s Mary “ visit & med 1.00 Mr Mullen’s eyes “ 1.50 Hertenstein “ .50 Rev Mrs Stewart free “ 2 visit & med 3.00 Mr Parker’s boy (croupy cough) “ “ & med: 1.00 Charley [Housmen] “ V.S. & med .50 [Bloss Gigos] (baby) “ visit & med: [illegible] “ “ “ 29 “ .50 Mrs Lange [illegible] measles “ “ “ .75 [illegible] Keen “ “ “ .75 Mr Jas: Mullen “ “ “ 1.50 Mr Parker’s Jimmy & baby “ “ “ .75 Mr Standiford Jr “ “ “ .75 “ “ “ 30th “ “ .75 [illegible] Lange “ “ .50 Mary E. Kean “ “ “ .[illegible] Mrs Keen “ visit “ 1.00 Mr Jas: Mullen “ visit “ [illegible] [Bloss Gigos] to himself (leg) “ “ “ .75 “ “ “ “ July 31st “ .50 Mrs Keen to her “ “ .50 Mr Jas. Mullen eyes July 1st visit & med: .50 “ Standiford Jr “ “ “ .50 Mrs [illegible] “ “ “ “ 1.00 [Bloss Gigos] “ 1st visit “ 1.00 “ “ “ 2nd visit 1.00 “ “ to baby “ “ “ “ .75 Mr Jas: Mullen eyes “ “ “ “ [illegible] “ Wilder’s Marie “ “ “ “ 1.00 Mrs Stewart free “ “ prescription “ [illegible] Mrs Morback’s two girls “ “ visit & med 1.00 “ “ “ “ “ 3rd “ “ “ 1.00 “ Jas Mullen eyes “ “ visit “ “ .50 Marie Wilder “ “ visits “ “ 1.00 [Bloss Gigos] “ “ “ 1.00 “ “ “ 4th “ “ “ 1.00 Marie Wilde “ “ “ “ “ 1.00 Cecilia & Celestine Morback “ “ “ “ 1.00 Jimmy Mullen eyes “ “ office advice “ .50 vaccination “ “ each .25 Jimmy Mullen’s eyes July 5th office [illegible] & med 1.00 [Bloss Gigos] “ “ visit & med 1.00 Marie Wilder “ “ “ “ 1.00 [Cecil] & Celestine Morback “ “ “ “ 1.00 Mr Standiford family “ “ “ 1.50 “ “ “ “ 6th “ .50 [Bloss Gigos] “ “ “ “ 1.00 [Cecil] & Celestine Morback “ “ “ “ 1.00 Marie Wilder “ “ “ “ 1.00 Jimmy Mullen “ “ prescription “ .50 “ “ “ 7th “ “ [illegible] Cecil & Celestine Morback “ “ visit “ 1.00 Marie Wilder “ “ “ “ 1.00 [Bloss Gigos] “ “ “ “ 1.00 Mrs Lange July 7th visit & med .75 Mrs Morback “ “ “ “ .50 Mrs Keen “ “ “ .50 Dutch John “ “ “ “ .75 “ “ “ 8th “ .50 Mr Morback’s children “ “ “ “ .75 Marie Wilde’s “ “ “ “ Jimmy Mullen eyes “ “ prescription [illegible] [illegible] Mullen (baby) “ “ visit & med 1.00 “ “ “ “ 9th “ 1.00 Jimmy Mullen (eyes) “ “ prescription .50 Mrs Morback “ “ visit .50 [Dutch] John “ “ “ .50 [illegible] Standiford baby “ “ visit “ & med 1.00 “ “ “ “ 10th visit .50 B. Mullin baby & [Bernard] “ “ “ .50 Jimmy Mullen eyes “ “ prescription & med .50 “ “ “ “ 11th “ “ .50 Mrs Standiford “ “ visit .50 “ [illegible] “ 12th pulling tooth & visit .50 “ [Larison] “ “ visit & med (night) 1.50 “ “ “ 12th “ “ “ 1.50 “ Keen “ “ [illegible] [illegible] 5.00 Jimmy Mullen (eyes) “ “ prescription .25 [Bloss Gigos] “ “ [illegible] of oint: .25 Mrs Larison & baby “ 13th visit & med: 1.50 Mrs Standiford “ “ “ .50 Mrs Keen “ “ “ .50 “ Lanson & baby “ 14th “ “ 1.50 “ Spence “ “ “ “ 1.50 “ Hertenstein’s boy (eldest) “ “ prescription & med .50 “ Bowers son “ “ “ “ .50 Mr Bowers son July 15th visit 1.00 Mrs [Presle] “ “ prescription & med .50 Mr Beard’s (baby) “ 16th visit “ .75 Mrs Davis’ eczema “ “ “ .50 “ Larison “ “ visit & med: 1.50 “ Lange “ “ visit & med (night) 1.00 “ Standiford (baby) “ 17th “ “ .50 Mr Beckhardt [illegible] “ “ “ “ 1.50 “ Dawson’s child “ “ “ “ cash .50 Mrs Geo: Larison “ “ “ “ 1.50 “ Beard’s (baby) “ “ “ “ .75 Mr Standiford “ “ “ “ “ night 1.50 Monsieur Bichard himself “ 18 “ “ 1.50 Dawson’s child cash .50 Mr Standiford’s baby “ “ “ & med .75 “ “ “ “ 19th “ “ .75 “ Spence to himself “ “ “ “ 1.75 Mrs Geo Larison “ “ “ “ 1.25 Mrs Lange ([Tommy]) “ “ prescription “ .50 Mr Standiford (baby) “ 20th “ “ .50 “ Davis himself “ “ “ “ .50 “Standiford’s baby “ 21st visit “ .75 Lange to self “ “ Standiford’s baby “ 22nd prescription “ .50 Mrs Lange herself “ “ visits “ .75 Mr McEwen baby’s eyes “ “ prescription “ .50 “ Hughes [baby] free “ 23rd visit “ 3.00 Mr Lange to see Tommy “ “ prescription “ .50 Mrs Geo: Larison “ “ visit “ 1.50 Mrs Kean “ 24 “ “ .75 Mrs Lange “ “ med .50 [Mr] Hughes “ 25th visit & med: 3.00 Mr Geo: Larison “ 26th visit 1.50 Mr Standiford July 27th ointment for himself .50 “ Danl Myers “ “ visit & med: 1.00 “ Irishman “ “ “ cash .30 Mr Dan’l Myers “ 28th visit .50 Mr Hughes (palsy) “ “ “ “ 3.00 “ Standiford (talbot) “ “ “ “ .75 “ Kean’s baby “ “ prescription “ 75 “ Standiford (daughter [illegible]) “ 29th visit “ 1.00 Mrs Lange’s (Tommy) “ “ “ “ .75 Mrs Dan’l Myers “ “ “ “ 1.00 Mrs Johnson’s daughter 26 mile house “ “ “ “ 1.50 MRs Waggoner “ “ “ 2.50 “ “ “ 30TH visits 2.50 Mr Johnson’s daughter Belle “ “ visit “ 1.50 “ Standiford’s eldest daughter “ “ visits “ [1.50] Mrs Lange’s Tommy “ “ “ .50 Mr Lewis shingle mill “ “ visit “ 1.50 Mr Ezra Thackeray “ “ prescription “ .50 “ Standiford “ 31st visit 50 Miss Belle Johnson “ “ “ 1.50 Mr Lewis (son) “ “ “ “ 1.50 Mr Lange (Tommy) “ “ “ .50 Mrs Weston new point “ “ “ “ 3.50 Mrs C Leary “ “ “ “ “ .50 MRs Wagoner Jr “ “ prescription .50 [illegible] Hughes Augst 1st visit “ [3.00] Mr Johnson (daughter Belle) “ “ “ “ 1.50 [Bloss Gigos] [illegible] baby) “ “ “ “ .75 Johnson Belle “ 2nd “ “ 1.50 Mr [illegible] [illegible] “ “ “ “ 1.50 [Bloss Gigos] to baby “ “ “ .50 Mrs Lange “ “ prescription med .50 Mr Ezra Thackeray Augst 2nd prescription & med. .50 Mr [Newberry ([illegible]) “ “ visit & “ 2.00 Mr Thompson Castor “ “ “ “ “ 1.50 Mr Brooks senr “ 3rd “ “ 1.50 Mr Newberry “ “ “ “ 2.00 Mr McEwen med for baby’s eyes “ “ “ .50 Mr Colvin (baby) “ “ “ “ [3.00] Mrs Waggoner Jr “ 4th “ 1.50 Mr Marsh “ “ med. for legs .25 Mr Colvin (baby) “ 5th visit & med. 3.50 Mr Thackeray (boy) “ “ “ “ 1.00 Mr Jeremiah Davis “ “ prescription “ .50 Mr Newberry ([illegible]) “ 6th visit “ 2.00 Mr Thackery Jno (boy) “ “ visits 1.00 “ “ “ 7th “ “ 1.00 “ Newberry “ “ visit “ 2.00 Mrs [O’Leary] “ “ “ “ .50 Mr Colvin (baby & boy) “ “ “ “ [3.50] “ Newberry “ 8th “ “ 2.50 “ Thackeray boy “ “ visits “ 1.00 Geo: Larison’s wife “ “ visit “ 1.50 Mr Thackeray (boy) “ 9th visit “ 1.00 Mrs Geo Larison “ “ “ “ 1.50 MR Newberry “ “ “ “ 2.00 M “ “ 10th “ “ 2.00 Mr Thackeray’s (boy) “ “ “ “ 1.00 Mrs Geo: Larison “ “ “ “ 1.50 Robertson (daughter) [Pennington] “ “ “ “ 3.00 Mr Thackeray boy “ 11th “ 1.00 Mr Newberry “ “ “ 2.00 Mr [illegible] daughter “ “ “ 3.00 Mr Lange (John) “ “ “ “ .75 Mr John Thackery Augst 11th prescription & med .50 Mr Thackeray (boy Hampton) “ 12th visit 1.00 Mr Hughes “ “ “ visit 2.50 Mr Thackery boy Hampton “ 13th visit 1.00 “ “ “ “ 14th .50 Mr Standiford “ “ med for wife .25 Mr Wilder baby “ “ visit & med .75 Mr [??rlson] jr “ “ prescription & med 1.00 Mr Wilde’s baby “ 15 “ “ 50 Thackeray boy “ “ visits 1.00 Mr Wilson (Laughrey) “ “ visit & med 3.00 Mr Wildes baby “ 16 visit med 1.00 [illegible] [illegible] boy “ “ “ 1.00 Mrs Kean “ “ prescription .50 Mr John Thackeray Jr (boy) “ 17th visit & med 1.00 Mr Wilson “ “ visit [illegible] Mr Lange ([Reg]) “ “ “ .75 Mr Thackeray (boy) “ 18th visit “ [illegible] Lewis Lange “ “ [illegible] & [illegible] 1.00 Mrs Lange (reg) “ “ visit .50 Mr Jno: Wilson “ “ visit & med. .50 Mr Hughes “ “ prescription .50 Mr Newberry “ “ “ .50 [illegible] [illegible] “ “ “ .50 “ [illegible] Welch “ “ visit & v.s. & med 2.00 “ “ “ “ 19th visits 2 “ 2.50 “ [Jno] Thackray “ “ visit “ 1.00 Jno Wilson ([illegible]) “ “ visit “ 2.00 [illegible] Lange “ “ rising [at night] “ 1.00 [illegible] Andrews “ 20th prescription 50 [Mrs] John Thackray “ “ visit 1.00 Mr Kelch Augst 20th visit & med 1.50 Mr Wilder “ “ “ .50 Mr Jno Wilson (Sam) “ “ “ 2.00 Mr Jos: Thackray “ “ “ passing .50 Mr Lange (reg) “ “ visit .50 Mr Wilder (baby) “ “ “ .50 Mrs Lamb “ “ prescription .50 Mrs [Bush] N.P. & baby “ “ visit night & med 3.50 Mr Lange (Reg) “ 22nd “ .50 Mr Wilde’s (baby) “ “ “ “ .75 Thackray (boy) “ “ visits 1.00 Squire [Laughlin] “ “ prescription .50 Mr Wildes (baby) “ 23rd visit .50 Mr Jno: Thackray (boy) “ “ visit 1.10 Mr Lewis “ “ med: .25 [Mr] Groves “ “ visit “ 1.50 [Goff] family 6 in number “ “ “ “ 2.50 [Dutch] John “ 23rd “ night 1.00 Mr Jno: Thackrey “ 24th visit 1.00 [illegible] family “ “ visit 2.50 Mrs [illegible] “ “ “ 1.50 Mr Wildes (baby) “ “ “ .50 Lewis Laughlin “ “ “ visit & med 1.00 Mrs Groves “ “ “ “ “ 1.50 Mrs B. F. Mullen “ “ “ “ “ 1.00 Mr Jno Thackrey “ 25th “ .50 Goff family “ “ “ “ 2.00 Mrs Bush N.P. “ “ “ “ 3.00 Mr Wildes “ “ “ .50 Mr Groves “ “ “ 1.50 “ “ 20th 2 visits 2.00 Goff family Augst 26th visit & med 2.00 “ “ “ 27th “ “ 1.50 Mrs Groves “ “ “ “ 1.50 Mrs Standiford “ “ “ “ .75 “ “ “ 28th visit “ 1.00 Goff family “ “ visit 1.50 Goff family “ 29th “ “ 1.50 Mrs Standiford “ “ “ “ .75 Dutch John for Wildes “ “ examination 1.00 Mrs Groves “ “ visit “ 1.50 MRs Lange John “ “ “ “ .75 “ “ “ “ 30th “ “ .75 “ Standiford “ “ “ .50 Mrs Goff Mr Goff and boy “ “ “ 1.50 Mr Gramhaus at [Waltzman] “ 29th “ “ 3.00 “ “ “ “ “ 30th “ “ 3.00 Mr Marion “ “ “ night “ 2.50 “ “ “ 31st prescription .50 Mr Gramhaus at Waltzman “ “ visit & med 3.00 Mr Lange John “ “ visit [1.00] Goff “ “ “ 1.50 Mrs Gramhaus at Baltzman Sept 1st “ “ 2.00 Mr Lange to Nettie “ “ visit .50 Mr Marsh oint for legs “ “ .25 Goffs “ “ visit 1.50 Lange “ 2nd “ .50 Mr Gramhaus “ “ “ & med 2.00 “ “ “ 3rd “ “ 2.00 Mr Dan: Biddle “ “ “ “ 3.00 Mr Fletcher “ “ “ “ .75 “ [illegible] baby “ “ “ “ .75 “ Lange Nettie “ “ “ “ .75 Mrs [Pat]: Lamb Sept 3rd prescription for eyes .50 Mr Marion for wife & self “ “ “ 1.00 Mr Standiford “ “ “ .50 Mr Bloss Gigos for wife “ “ visit & med .35 Mr “ “ “ “ 4th “ “ .75 Mr Dan Biddle & child [illegible] “ “ “ “ 3.50 “ Fletcher child & wife “ “ “ “ .70 “ Cork little girl “ “ “ “ 1.50 “ Gramhaus at Baltzman’s “ 5th “ 2.35 “ Colvin baby “ “ “ 1.50 “ Lewis Lange “ “ “ .25 “ Bloss Gigos baby at Fisher’s “ 6th “ “ 1.00 “ Dan Biddle & girls ([Balsto?]) “ “ “ “ 3.50 “ “ & girl “ “ 7th “ “ 3.50 [Illegible]’s baby “ “ “ prescription .50 “ Bloss Gigos baby at Fisher “ “ visit & med 1.00 “ Lange (Tom) “ “ “ “ .75 “Fisher child at Bloss “ 8th “ “ .75 “ Bloss Gigos child at Fisher’s “ “ “ “ 1.00 “ Groves “ “ “ “ 1.00 “ child “ “ “ “ 1.00 “ [illegible] Thackrey “ “ “ half [illegible] V.S. 1.00 “ Dan: Biddle & girl “ “ “ “ 3.50 “ Jon Wiseman “ “ prescription .50 “ Fisher boy at [illegible] “ 9th visit & med .75 “ [illegible] ( wife) “ “ “ “ .50 “ Hudson son “ “ “ “ 2.00 “ Ezra Thackrey grand child “ “ “ “ 2.30 “ Dan Biddle & child “ “ “ “ 3.50 “ Hudson son “ 10th “ “ 2.00 “ Ezra Thackrey grandchild “ “ “ “ 2.35 “ Fisher son “ “ “ “ 1.00 [Bloss] [Gigos] boy “ “ “ “ .75 Mr [Corey] [wife] Sept 10th visit & med 2.50 “ “ “ 11th visit & med. 2.50 “ Bloss Gigos “ “ “ .75 “ Hudson son “ “ “ “ 2.00 “ Ezra Thackrey “ “ “ “ 2.35 “ “ “ “ “ “ “ 1.00 “ “ “ “ 12th “ “ 1.30 “ [Corey] wife “ “ “ “ 2.50 “ Rysinger “ “ “ “ 1.00 “ Hudson son “ “ “ “ 2.00 “ Bloss Gigos “ “ “ .50 “ Ezra Thackrey “ “ “ “ 1.50 “ “ “ “ 13th “ 2.50 “ [Corey] wife “ “ “ “ 2.50 “ Rysinger “ “ “ “ “ 2.50 “ “ “ “ 14 “ “ 2.50 “ [Corey] “ “ “ “ “ 2.50 “ Ezra Thackrey “ “ “ “ 2.50 “ Lewis child “ “ “ “ 1.50 “ Kean baby “ “ prescription .50 “ Ezra Thackrey “ 15th visit & med 2.50 “ [Corey] “ “ “ 3.00 “ Rysinger wife “ “ “ 2.50 “ “ “ “ 16th “ “ 2.50 [Corey] “ “ “ “ “ 2.50 “ Ezra Thackrey grandchild “ “ “ “ 2.25 “ Bush “ “ “ “ 1.00 “ Goff oldest boy self & wife “ “ “ 2.00 “ Thackrey (charlotte) “ 17th “ 2.25 “ [Corey] (wife) “ “ “ “ 2.50 “ Rysinger (wife) “ “ “ “ 2.50 “ Bush “ “ “ “ 2.00 Mr Lange (Josephine) Sept. 16th & 17th 2 visits 1.00 “ Parker (wife) “ “ prescription .50 “ Bush “ 18 visit 2.00 “ Ezra Thackrey “ “ “ & med 2.25 “ Lange “ “ “ .50 “ Goff “ “ “ 1.50 “ Ezra Thackrey “ 19th “ “ 2.25 “ Lange “ “ “ .50 “ Spence “ “ “ 2.00 “ Gowan wife confinement [illegible] “ “ confinement 6.50 “ Spence “ 20th 2.00 “ Lange “ “ .50 “ [illegible] “ 21st visit .50 “ Ezra Thackrey charlotte “ “ “ 2.25 “ [illegible] Biddle & girl (daughter) “ “ “ med 3.50 “ Goff wife son & baby “ “ “ “ 2.00 “ “ “ 22nd “ 1.50 “ Dan Biddle self “ “ “ “ 3.00 “ [illegible] Newman “ “ “ “ 3.00 “ Lange Tom “ “ “ “ .75 “ “ “ “ 23rd “ “ .50 “ Goff “ “ “ “ 1.50 Frank Gigos “ “ “ “ .75 “ “ “ 24th “ “ .75 Mr Lange (Tom) “ 26th visit “ 1.70] “ “ “ “ 25th visit to [illegible] .75 [illegible] [illegible] Frank Gigos “ “ visit & med .75 Mr Little “ “ “ “ 2.75 “ “ “ 25th “ “ 2.75 Mrs Perry “ “ “ “ 1.75 Frank Gigos “ “ “ “ .50 [illegible] Lange Tom Sept 26th visit .50 Frank Gigos “ 27th visit .50 Mrs Perry “ “ [illegible] med .50 Mr Ben Little “ “ visit & med 2.75 “ [Wantling] “ 29th “ “ 2.25 Mr Lange to David “ “ “ “ .75 “ Lewis “ 29th “ “ 2.00 “ “ “ 30 “ 1.00 “ Wantling “ “ “ “ 2.25 “ Lange David “ “ “ “ .75 “ “ “ Oct 1st “ “ .50 “ Lewis “ “ “ “ 2.00 “ Wantling “ “ “ “ 2.25 Mrs Chas Stewart “ “ [illegible] .50 Mr Keen Lizzie “ “ visit & med .75 “ Ball [Balstoun] “ “ “ night 3.25 “ “ “ “ 2nd “ “ 3.00 “ Lewis “ “ “ “ 2.00 “ Wantling “ “ “ 2.25 “ Lange wife “ “ “ .50 “ Keen Lizzie “ “ “ .75 “ Groves (wife) “ “ prescription .50 [illegible] white “ “ visit & med .75 Mrs Lange [illegible] [illegible] “ 3rd “ .75 “ Keen Lizzie “ “ “ .50 “ Jacob Van Kirk “ “ “ .75 “ H. Ball “ “ “ “ 3.00 “ Wantling “ “ “ “ 2.00 “ [Cacy] “ 4th “ “ .75 “ H Ball “ “ “ “ 3.00 “ Kean Lizzie “ “ visit & med 1.00 “ Hudson Jane “ “ visit “ 2.00 Mr Hudson Jane Oct: 5th visit & med 2.00 “ H Ball “ “ “ “ 3.00 Mrs [Corey] “ “ “ “ 2.00 “ Lange Tom “ “ prescription .50 Mr Keen Lizzie “ “ visit [1.50] Mr Wantling “ “ “ 2.00 Mr B. Gigos “ “ prescription .50 Mr [Tool] Ball “ 6th visit & med 3.00 “ [illegible] “ “ “ “ 2.50 “ Keen “ “ visit “ 1.00 “ “ 7th “ [1.00] “ [Beitz] “ “ visit “ 2.50 “ [Tool] “ “ “ “ 2.50 “ “ 8th “ “ 2.50 “ Colvin “ “ med .25 “ Keen “ 7th & 8th visit & med 2.10 “ Beitz “ 8th visit & “ 2.50 “ H Ball “ “ “ “ 3.00 “ Lange Tom “ 9th prescription .50 “ [Tool] “ “ [illegible] & med 2.50 “ Colvin “ “ “ “ .50 “ Wiley Bartlet “ “ “ [illegible] 5.00 “Beitz “ “ “ “ 2.50 “ [Tool] “ 10th “ 2.00 “ [Beitz] “ “ 2.50 “ [Tool] “ 11th [visit] & med 2.50 “Beitz “ “ “ 2.50 “ “ “ 12 “ 2.00 “ [Corey] “ “ “ “ 3.00 “ [Tool] “ “ “ “ 2.50 “ [illegible] Thackrey “ “ “ 2.50 Mrs Sophia Thackrey Oct 15th visit & med 2.50 Mr [Corey] “ 5.00 Mrs Lange Tom “ “ “ prescription .50 [illegible] Keen [illegible] “ “ visit & med .75 Mr [Tool] “ “ “ “ 2.50 “ [Corey] “ 16th [illegible] Mrs Sophia Thackrey 2.50 [illegible] [Wiles] baby “ “ visit & med [1.00] [illegible] Keen [illegible] “ “ [illegible] Mrs McEwen (Williamson) “ [illegible] [4.00] Mrs Gigos [illegible] “ “ prescription .50 Mr [Corey] “ 15th visit & med [illegible] Mrs Sophia Thackrey “ “ “ “ [2.50] [Mrs] McEwen (Williams) “ “ visit 2.00 Mr Wiles baby “ “ visit .50 Mrs B [S] [Mullen] “ 16th visit & med 1.00 Sophia Thackrey his children “ visit “ 2.00 [illegible] [illegible] Gray boy “ ‘ prescription .50 [illegible] [Tool] “ “ visit .25 Mrs McEwen (Williamson) “ “ 2.00 [illegible] 17th “ 2.00 Sophia Thackrey “ “ “ & med 2.50 “ “ “ 18th “ 2.00 “ McEwen (Williamson) “ “ “ 2.00 “ Sophia Thackrey 19th “ & med 2.50 “ “ “ “ 20th “ & med 2.50 “ [Rey] bold] “ 19th & 21st visit “ 1.50 “ Dan Myers “ 20th visit “ 1.50 “ “ 21st visit “ 1.00 “ [Reybold] “ “ “ .50 “ Sophia Thackrey “ “ “ 2.50 [illegible] Standiford Oct. 21st visit & med .75 “ “ “ 22nd “ .50 “ [Reybold] “ “ visit .70 “ Dan Myers “ “ “ & med 1.50 Mrs Sophia Thackrey “ “ visit “ 2.50 “ “ “ “ 23rd “ 2.00 Mr Dan Myers “ “ visit “ 1.50 Mr Reybold “ “ visit “ .50 “ Hughes “ 20th “ [2.00] “ Reybold “ “ “ .50 “ Dan Myers “ “ “ 1.00 “ Standiford “ “ “ .50 Mrs Bloss Gigos “ 25th prescription .50 Mr Reybold “ “ visit .50 Mrs Williamson “ med for children .50 [Mrs] Keen baby “ visit 1.00 [illegible] Merrick “ 26 prescription .75 Mrs Keen baby “ “ visit .50 Mrs Groves “ “ prescription 1.50 Mr Standiford “ 30th med: .25 “ [Price] [illegible] Penington Nov: 1st visit consultation 2.50 “ “ .25 “ McEwen “ 2nd .50 “ [illegible] White “ visit & prescription 2.50 “ “ 3rd “ & med 2.50 [illegible] [illegible] “ 4th “ “ 2.50 [illegible] [Tool] “ “ “ 2.50 “ Cummings “ 5th “ “ 2.50 [illegible] Lange “ “ prescription .50 Mr Cummings “ 5th “ “ 2.50 Mrs White “ “ prescription & med .50 Mr Cummings “ 7th [visit] .25 [Mr] Snyder Nov 7th visit & med [?.25] Mrs White “ “ prescription .50 “ Snyder “ 9th .50 “ Hargrove at Keen’s “ “ visit & med .75 “ “ “ 10th visit [illegible] “ Lange (Tom) “ “ “ “ 1.00 “ “ “ 12th “ “ 1.00 “ Hargrove “ “ “ .50 “ Lange Tom “ “ “ “ 1.00 “ “ “ 13th “ “ 1.00 “ Keen Mary Ellen “ “ visit “ .75 “ Colvin “ “ “ 2.50 “ Cook at Penington “ “ med. .25 [Prudence] Merrick “ “ prescription .50 [Bloss Gigos] baby “ “ visit at night 1.00 “ “ “ “ 15th “ .50 “ Keen (Mary Ellen) “ “ visit 2 & med 1.50 Mrs Colvin “ “ visit 2.50 “ “ “ 15th visit 2.50 Mr Lewis “ “ “ [illegible] 2.30 “ Lange “ “ visit “ 1.00 “ Keen [illegible] “ “ prescription .50 “ “ “ 19th visit [illegible] swelling [illegible] .75 “ Lange Tom “ “ “ “ .75 “ Lewis “ “ “ “ 2.00 “ Standiford “ “ prescription .50 “ Groves “ 19th “ .50 “ Lange Tom “ “ visit & med .75 “ “ “ “ 20th “ .50 “ “ “ “ 20th “ “ .75 “ “ “ 21st “ “ .75 “ “ “ “ 22nd “ “ .75 “ “ “ “ 24th prescription .50 [Mr Lange] Mary Nov 24th visit & med .75 “ “ “ “ 25th “” .75 “ “ “ “ 26th “ “ .50 Mr Jos Ridley “ 29th visit “ 1.50 “ “ “ “ 30th “ “ 1.50 Standiford “ “ “ “ .25 “ Jos Riddle Dec 1st “ “ 1.50 “ “ “ “ 2nd 2 visits “ 2.00 “ “ “ “ 3rd visit “ 1.50 Mr Keen to Henry “ “ “ .50 “ [Champlain] Tool friend “ “ prescription .50 “ Riddle “ 4th visit & med 1.50 “ “ “ 5th “ “ 1.50 “ Coleman (wife) “ “ “ “ 1.00 “ “ “ “ 6th “ “ 1.25 “ Jos Riddle “ “ “ “ 1.50 “ “ “ “ 7th “ “ 1.50 “ Coleman “ “ “ “ 1.00 “ “ “ 8th “ “ 1.00 “ Jos Riddle “ “ “ “ 1.50 [Wilkes] Clark “ “ obstetrics 5.00 Geo Hudson “ 9th visit & med: 2.50 “ “ “ 10th “ “ 2.00 “ “ “ 11th “ “ 2.00 Jos Riddle “ “ “ 1.25 Geo Hudson “ 12 “ 2.00 John Thackrey “ “ “ “ .75 [Parker] Wise “ 13th “ “ 1.50 John Thackery “ “ “ .50 Parker Wise “ 14th “ “ 1.50 [illegible] “ “ prescription .50 Mr Standiford “ “ visit & med .75 Mr Champlin Dec 17th obstetrics 5.00 “ Dicks “ “ visit & med 2.00 Mrs Scott [illegible] “ 18th obstetrics 5.00 Mr David Dicks “ 19th visit & med [illegible] 2.50 Archibald Gillan “ “ prescription .50 Mr David Dicks “ 22nd visit at night 2.00 “ “ “ “ 24th “ 2.00 “ [illegible] “ 26th prescription .50 Geo Larison “ “ “ .25 “ Champlain “ 27th visit 2.50 1861 Mr Champlain Jan 4th visit & [illegible] 1.50 “ [Clark] “ “ prescription for ague 1.00 Mr Frank [Monser] “ 5th visit & med 2.50 “ A. Gage “ 6th “ obstetrics 5.00 “ Coleman “ 7th visit & med 2.00 Archibald Gillan “ 14th prescription 1.00 Jackson [B??craft] “ 16th [obstetrics] 5.00 Mrs [illegible] ([illegible]) “ 18th obstetrics 5.00 “ [Stringer] “ “ “ & med 5.00 “ “ “ 24 “ “ .25 “ “ “ 25th “ 1.50 Mrs Natcher “ 28th “ 1.50 Tom Wiseman July 4th “ & vaccinating 3 children 2.25 Peter Ruskytusky “ “ “ .75 “ “ “ 5th “ .75 Mr [Chester] for grand son “ 9th prescription .50 Mr Morback “ 11th visit .50 “ [Nat] Morback “ 12th 2 visit 1.00 “ Lange Tom “ “ “ .50 “ Keen [illegible] “ “ prescription .50 “ [Nick] [Maluch] “ 13th 2 visits? 1.00 Mr Ben Johnson Feby 13th visit at night 2.00 Mr Lange Tom “ “ “ .50 Mr Nick [Morbach] “ 14th “ .50 “ Keen to [Sarah] “ “ “ .50 “ Lange (Tom) “ “ “ .50 “ Marshal “ “ “ 2.50 “ “ “ 15th “ 2.00 “ Lange (Tom “ “ [illegible] visits 1.50 “ Nick Morbach “ “ 2 visits 1.00 “ “ “ “ 16th 2 visits 1.50 “ Lange (Tom) “ “ 2 visits 1.00 “ “ “ “ 17th 1 visit .50 Mr Nick [Morbach] “ “ “ .50 Hertenstein “ “ “ .50 “ Nick Morbach “ 18 “ .50 “ Lange “ “ “ .50 “ Marshall “ “ “ 2.00 Nick Morbach “ 19th 2 visits 1.00 Mr Ferguson “ “ 1 visit 2.00 “ Skinner “ “ 1 visit 5.00 “ Marshall “ 20 “ “ 2.00 “ Morbach “ “ “ “ .50 “ Koomer “ “ “ “ 3.50 “ “ “ 21st “ “ 3.00 John [Lewis] “ 24th “ “ night 2.00 [illegible] Koomer “ 26th prescription .75 “ “ “ 28 visit 3.00 Mrs Keen “ “ visit .50 [illegible] Keen “ “ visit .50 [illegible] John Lewis “ “ “ .50 “ “ “ March 1st “ 2.00 Mrs Keen March 1st visit .50 Mrs B. Gigos. “ “ 2 visits 1.00 Mr Winters “ “ 1 visit 1.50 “ B. Gigos “ 2nd “ .50 “ Winters “ “ “ 1.50 Mrs Keen “ “ “ .50 Mrs “ & Sarah “ 3rd “ .75 Mr B. Gigos “ “ “ 2 visits 1.00 Mr Winters “ “ “ 3 visits all night 5.00 “ “ “ 4th “ 1.50 B. Gigos “ “ “ .50 Miss Perry [illegible] “ 5th “ [illegible] 5.00 B. Gigos “ “ “ .50 “ at Bricket’s “ “ “ 1.50 Mr Winters “ “ “ 1.00 Mr Standiford “ “ “ .50 Sarah Keen “ “ medicine .25 Mrs Keen “ 6 visit .50 Bloss Gigos “ “ “ .50 Mr Standiford “ “ “ .50 Mr Bloss Gigos “ 7th “ .50 Mr Tom Wiseman “ “ “ 1.50 Mrs Keen “ “ “ .50 Bloss Gigos “ 8th “ .50 “ “ “ 9th “ .50 “ “ “ 10th “ .50 “ “ “ 11th “ .50 Mr Goff “ “ blister .25 Mr [illegible] Castor Jr “ “ obstet 5.00 [illegible] Merrick “ 12th visit 2.00 Mrs John Lewis “ “ “ 2.00 “ “ “ “ 13th “ 1.00 John Lewis (wife) March 15th visit & medicine 2.00 Mr [Birge] child “ 17th “ “ 1.00 “ “ “ “ 18th “ “ 1.00 “ “ “ “ 19th “ “ 1.50 John Wiseman “ “ “ “ .50 Peter Ruskytusky “ “ 2 visits “ 1.00 “ “ “ 20th visit & med: 1.00 Mr [Birge] “ 1 visit 1.50 John Wiseman “ “ “ .50 Peter Ruskytusky “ 21st “ 1.00 Peter Marbach “ 27th “ .50 Mr Keen (Sallie) “ “ prescription .50 Mr Winters “ 28th “ .50 Mr [Byrnes] (wife) “ 29th visit 2.00 “ “ “ “ 30th “ 2.00 Abner Newman Ap 2nd 2 visits examination 6.00 “ “ “ 4th visit “ 3.00 Mr Fagan “ “ “ 2.00 “ Byrnes “ 5th prescription .50 Abner Newman “ “ visit 3.00 Mr Fagan “ “ “ 2.00 Abner Newman “ 7th “ 3.00 “ “ “ 8th .25 Mrs Lyons tooth ext: “ 10th .25 Abner Newman “ 11th visit 3.00 Mrs Byrnes “ 13th med .25 John Lewis “ 15th visit & med 2.00 “ “ “ 16th “ “ 2.00 John Thackeray “ 17th prescription .50 David Martin “ 18th visit from 4 until 3 am 5.00 Mr Champlin “ “ prescription .50 Mr [Eiseman] “ 22nd “ .50 John Lewis “ 23rd night visit 2.50 Mr Dale April 25th obstetrics [illegible] 4.00 John Lewis “ 26th visit & med: 2.00 Mr McCarthy’s son May 2nd “ setting arm 5.00 “ “ “ “ 3rd visit 2.50 Archibald Gillan “ 4th prescription .50 Jno: Thackeray “ 5th visit & med: .50 Peter Bower “ “ “ “ 2.50 Jno Thackeray “ 6th “ “ .50 “ “ “ 7th “ “ .50 Peter Bowers “ “ “ “ 2.50 Abner Newman Mr Robinson “ “ “ “ 3.00 “ “ child “ “ prescription .50 Jno Thackeray “ 8th 2 visits 1.00 Abner Newman (Mr Robinson) “ “ “ “ 3.00 Jno Thackeray “ 7th 2 visits 1.00 McCarthy “ “ visit 2.50 Abner Newman “ 10th visit 3.00 Jno: Thackeray “ “ “ .50 Abner Newman (Robinson) “ 11th “ 3.00 “ “ “ “ 12th “ 3.00 [illegible] Stewart “ “ “ .50 “ “ “ 13th med .50 Abner Mrs Robinson “ “ visit 3.00 [illegible] Bowers & 3 children “ 14th “ 3.00 “ “ “ “ 15 “ 3.00 Abner Newman Mrs Robinson “ 16 “ 3.00 Chas Stewart “ “ “ .50 McCarthy “ 17 “ [illegible] Chas Stewart “ 18 “ 1.50 Mr [Cathachy] “ 25th “ 2.00 Robt Castor (wife) “ “ “ 2.00 Champlain “ 28th “ .50 2nd Year Mrs Rose June 2nd visit & med 2.00 “ “ “ 4th “ “ 3.00 “ “ “ 5th “ “ 2.00 [illegible] “ “ prescription .50 Mrs Rose “ 6th visit & med 2.00 Mrs [illegible] “ “ “ “ 1.50 Baker’s child “ “ “ [illegible] throat .75 “ “ “ 7 “ “ “ .75 Peter Bowers “ 15th prescription .50 Mr Groff “ 17th prescription .50 “ La Roche “ “ “ .50 Mr Skinner “ 18th visit & med 5.00 “ “ “ 19th prescription .50 Archy Gillan “ 20th “ .50 John Wiseman “ 25th “ .50 Archy Gillan “ “ visit & med 2.00 “ “ “ 26th 2 “ “ 3.00 Mrs McEwen “ “ “ “ 1.00 Archy Gillan “ 27th 2 visits “ 3.00 “ “ “ 28th visit “ 2.00 Mrs Champlain “ “ pulling tooth .25 Archy Gillan “ 29th visit 2.00 Peter Ruskytusky “ V.S. and med: .75 “ “ “ 30th 2 visits 3.00 “ “ July 1st 2 visits 3.00 Groff “ “ .50 Mr Schlater “ “ vaccination visit .50 Archy Gillan “ 2nd 2 visits 3.00 Sophy Thackeray “ “ “ 3.00 Mr Groff “ “ prescription .50 Archy: Gillan “ 3rd visit 2.00 Sophy Thackery “ “ 2 visits 3.00 Sophy Thackeray July 4th 2 visits 1.50 Archy Gillan “ “ visit 2.00 “ “ “ 5th “ 2.00 Sophy Thackeray “ “ 2 visits 3.00 Parker Wise “ “ prescription .50 Archy Gillan “ 6th visit 2.00 Nick Morback “ “ 2 “ 1.00 “ “ “ 7th “ .50 Archy Gillan “ “ “ 2.00 Mr Abner “ “ “ V.S. 1.25 “ “ 8th “ 1.25 Archy Gillan “ “ “ 2.00 Mr Standiford “ “ “ at Ezra [Thack] 2.50 Archy Gillan “ 9th “ 1.50 Mr Abner “ “ “ 1.25 “ Standiford “ “ visit at Ezra [Thack] 2.50 “ Ezra Thackrey “ “ prescription for Charlotte .50 Peter [Bowers] “ 10th “ baby .50 Mr Eiseman “ 11th “ self & girl 1.00 Mr Abner .50 Mrs Standiford & baby “ 15th visit & med 1.75 Mr Keen “ “ prescription .50 “ “ 16th P .50 Mr Kline “ 17th “ .50 Mr Standiford (Martha) “ 18th visit & med 1.50 “ “ “ “ 20th “ “ 1.50 “ “ “ & [illegible] “ 21st “ 1.75 “ “ Edward “ 22nd “ 1.50 Mr Standiford [talbot] “ 27th “ “ 1.50 Mr [Schwartz] “ 29th “ “ 2.00 “ “ “ 30th “ “ 2.00 “ “ “ 31st “ “ 2.00 Mr Schwartz Augst 2nd visit & med: 2.00 “ Phifer son “ 5th “ setting arm 5.00 Abner son “ “ prescription & ex 1.00 Mrs Schwartz “ “ visit & med 2.00 Mr Phifer son “ 6th “ 2.00 Mrs Frank Scott to wife “ “ “ 2.00 “ “ “ “ “ 7th “ 2.00 Mrs Schwartz “ “ “ 2.00 Mr Phifer “ “ “ 2.00 “ Perry “ 8th 2 visits night & day 3.00 “ “ “ 9th “ 2.00 “ “ “ 10th “ 3.00 Mr Gray & two children “ 11th visit 2.00 “ “ & wife “ 12th “ 2.00 “ Hertenstein Rudolph “ 13th prescription .50 Mrs Keen (Henry) “ 15th landing [gums] .50 Mr Crable “ “ visit (night) 2.50 “ “ “ 16 “ 2.00 Mrs Coleman “ “ prescription .50 Mr Bowles “ “ “ .50 “ Hertenstein “ “ visit .50 Archy Gillan “ “ “ 2.00 “ Hertenstein “ 17th “ .50 Frank Scott “ 20th “ night [illegible] 2.50 “ “ “ 21st “ 2.10 Mr Champlain “ “ prescription .50 Mr [illegible] “ “ setting arm [illegible] .60 “ “ “ 22nd visit oint [illegible] “ “ “ “ “ [illegible] Frank Scott “ “ “ & med: 2.00 “ “ “ 23 “ [illegible] “ [illegible] “ “ “ 24 “ night 2.00 Mr Standiford August 27th prescription .50 “ Wiles Sept: 2nd setting arm 5.00 “ Champlain “ 6th prescription .50 “ Byrnes “ 7th pulling tooth .25 “ Aplegate “ “ chancher 5.00 “ Peter Bowles “ 9th visit & med: 2.50 “ “ “ 10th “ “ 2.00 “ “ “ 11th “ “ 2.00 Mr Standiford “ 13th med: .25 “ Keen “ “ prescription .50 “ Johnson Myers “ 14th visit & med: 1.50 “ “ “ 15th swelling throat .50 Mr Dutchman “ 18th prescription .50 Johnson Myers “ 19th visit 1.50 Mrs Buttermyer “ “ setting arm 10.00 “ Hertenstein “ 20th visit & med .50 “ Buttermyer “ 20th “ [illegible] 2.00 Nick Morback “ 21st night prescription .75 [Wm] [illegible] “ 27th 2.00 Johnson Myers “ “ lancing [illegible] .50 Wm Rynear “ 28th visit 1.50 Mrs [illegible] “” prescription .50 Mrs Wm Rynear Oct 1st visit 1.50 “ “ “ “ medicine .25 “ “ “ 2nd visit & med: 1.50 Mr Creech “ “ prescription .50 Harrison Beecraft “ 6th obstetrics 4.00 Wm Rynear “ “ visit 1.50 Mr Creech “ 9th prescription .50 “ Hill “ “ visit night 2.50 “ Saling “ “ “ 2.00 “ “ “ 10th “ “ 1.50 Mr Lyon Oct 10th visit .50 “ Creech “ “ “ & med 2.00 Becky Hazen “ “ “ “ 1.50 Mr Creech “ 11th “ “ 1.50 “ Rynear “ 13th “ “ 1.50 Mr Raling” “ med: .25 “ “ “ 14th visit & med: 1.50 Jimmy Mullen “ “ prescription [illegible] Mr Raling “ 15th visit 1.50 “ Lange “ 16th obstetrics 5.00 “ Raling “ 18th med: .25 “ Creech “ 21st visit (night) 2.00 “ Rynaer “ 21st visit ([illegible]) .50 Mrs Lange “ 25th “ .50 Mr Keen Henry Oct 31st 2 “ swelling throat 1.00 “ “ “ Nov 1st “ “ .75 Parker Wise “ 14th “ 1.50 “ “ “ 15th “ 1.50 Mrs Champlain ex “ “ ext: tooth .25 John Lewis “ 18th visit 2.00 Mr Keen “ 29th prescription .50 “ “ “ “ med: .25 John Lewis Dec 1st visit & med 2.00 Mr McKee “ 2nd obstet: 1.00 “ Fager “ 3rd visit & med: 2.50 “ “ “ 4th “ “ 2.50 “ “ “ 5th “ “ 2.00 “ “ “ 6th “ “ 2.00 “ “ “ 7th “ 2.00 [illegible] Gray “ “ ext: tooth .25 Mr Keen [illegible] “ 18th swelling throat .50 Robt Wilson “ 23rd visit & med 5.00 Robt Wilson Decr 25th med: 25 Mrs Groves “ “ visit & med 1.75 “ “ “ 26th “ “ 1.75 “ “ “ 27th “ “ 1.75 “ “ “ 28th “ “ 1.75 Bloss Gigos “ “ prescription .50 Mrs Groves “ 29th visit & med 1.75 “ “ “ 30th “ “ 1.75 “ “ “ 31st “ “ 1.75 Miss Weichers Jany 1st setting leg $25.00 Bloss Gigos “ 2nd med .25 Mrs Dicks “ 4th prescription .50 Mr Eiseman “ 9th “ 50 Mr Fromyer “ 11th visit & med 2.00 “ “ “ 12th “ “ 2.00 “ “ “ 13th prescription .50 Mr Lange “ “ “ .50 Mr John Wiseman “ 14th vist & med: 1.50 “ Michael [Young] man “ “ “ “ 2.00 Mrs Fromyer “ 20 “ 2.00 “ Bowers “ 24th “ .25 “ Champlain : 28th “ 50 [James] Wise “ 29th “ “ 1.50 “ “ “ 30th “ “ 1.50 “ “ “ 31st “ “ 1.50 Nick Morbach ? ? 2 night visits 1.00 James Wise Feb 1st one visit 1.50 Nevin McEwen “ 2nd all night & day visit 6.50 “ “ “ 3rd visit 1.50 “ “ 4th “ .50 James Wise “ “ “ 1.50 John Groves “ “ “ landing [illegible] 1.00 Nevin McEwen Feby 6th visit 2.00 James Wise “ 10th visit 1.50 County ([Hegleler]) “ “ prescription .50 Mr Byrnes “ 11th prescription .50 “ Buttermyer “ “ “ .50 James Wise “ 13th visit 1.50 “ “ “ 20th “ 1.50 “ “ “ 25 “ 1.50 [illegible] Winters “ 26th “ 1.50 Mrs Groves “ 27th “ & med 1.00 James Wise March 8th “ “ 1.50 Adam Wilson “ 10th “ “ [illegible] Frank Kepler “ 11th “ “ 3.00 Mr [Fa??sther] to mother “ 15th “ 1.50 Mrs Lamb “ 16th “ “ 1.50 “ “ “ 17th “ “ 1.50 “ “ “ 18th “ “ 1.50 Mr Champlain “ 23rd 2 children “ “ 2.00 Nick Morback “ “ prescription .50 County (([illegible]) “ 24 “ .50 Mr Dale “ 25th visit & med: 2.00 “ Champlain “ “ prescription .25 “ Dale “ 26th visit 3.00 “ “ “ 27th “ 2.00 Mr Hertenstein “ “ night visit 1.00 “ Keen “ 29th “ .50 “ “ “ 30th “ .50 Mr Dale “ “ prescription .50 “ Keen “ 31st 2 visits 1.00 “ Champlain “ “ prescription .50 “ Keen April 1st visit .50 “ “ “ 2nd “ .50 Mr Dale April 2nd med: .25 “ Keen “ 3rd 2 visits 1.00 “ “ “ 4th 2 “ 1.00 “ Champlain “ 5th med: .25 Mrs [illegible] “ 6th night visit 1.50 Mr [illegible] “ 7th visit (surgical) [illegible] “ Groff “ 9th prescription .50 “ Hurd Jr “ 10th obstet 5.00 Mr Clem Richardson “ 11th visit & med: 2.00 “ Crucimyer “ “ prescription .50 “ Tager “ 12th visit & med 2.00 “ “ Jr “ “ emetic .25 “ “ “ 14th visit & med: 2.00 County ([illegible]) “ 19th med: .25 Mr Kline “ 17th prescription .50 Mr Cook “ 20th setting little girls arm 10.00 “ Abner “ 23rd visit to son cupping 2.00 “ Parker “ “ “ “ .50 “ Abner “ 24th 2 visits : 2.00 “ Parker “ 26th visit & med .50 “ Tager “ 27th prescription .50 “ Schlater “ 28th visit .50 “ Wiles “ 29th “ & med. .50 “ Scott “ “ prescription .50 “ Wiles “ 30th visit .50 “ Schlater “ “ “ .50 “ Wiles May 1st “ .50 “ Schlater “ 2nd “ .50 “ Scott “ 3rd prescription .25 Jas: Parker “ 7th “ .50 “ “ “ 8th med: .25 Scott “ 10th “ .25 Jas: Parker May 10th med: .25 Miss Scott “ 11th venesection .50 “ Champlain “ 18th prescription .50 Mrs Scott “ 24th “ .25 “ Lamb “ “ “ .25 Mr Wiles “ 25th obstet: 5.00 “ “ “ “ visit .50 “ “ “ 26th “ .50 Mr Tariger “ 27th prescription .50 “ Byrnes “ 28th “ .50 Johnson Myers “ 30th visit & med: 1.50 “ “ 31st “ “ 1.50 Mrs Tariger “ “ prescription .50 Anthony [Garvin] June 1st “ .50 Johnson Myers “ 1st visit & med 1.50 “ “ “ 2nd “ “ 1.50 “ “ “ 4th “ “ 1.50 Mrs Tarriger “ 6th cupping med 1.00 Jas: Parker “ 7th prescription .25 Jos: Wilhelm : 10th “ .50 Mr Tarriger (two boys) “ 23rd prescriptions .75 Mr Champlain “ 25th “ .25 Jim Castor (wife) “ 27th visit & med: (night) 2.50 “ “ “ “ 28th “ “ 2.00 Mr Dale July 3rd “ “ 2.00 “ “ “ 4th “ 2.00 Andy McEwen “ 5th stiching lip .50 Mr Nicolai “ 6th visit & med (night) 1.50 Mrs Lange “ 7th prescription .50 Mrs Nicolai “ 8th visit & med 1.00 Jas: Parker “ 8th “ “ .50 Mr Nicolai “ “ dressing cut leg. 1.00 Mr Nicolai July 8th visit & med: .75 “ “ “ 9th visit 1.00 Mr McCarty “ 10th prescription .50 Mr Nick Morback’s brother in law “ 12th visit & med: .50 “ “ “ “ 13th “ .50 Jim Castor (wife) “ 16th “ obstetrics 5.00 Jimmy Mullen “ 17th “ .50 “ “ “ 19th “ .50 Perry Myers “ 23rd “ med: 1.50 “ “ “ 24th “ 1.50 Wm Stewart “ “ obstetrics 5.00 Perry Myers “ 25th visit & med 1.50 “ “ “ 26th 2 visits “ 2.50 “ “ “ 27th 2 visits & all night 3.00 “ “ “ 28th 2 visits 2.50 Mr Kline “ 29th prescription .50 Perry Myers “ “ visit 1.50 Mrs Lamb Aug 4th visit & med: 1.25 “ “ “ 6th “ 1.25 Mrs Koomer “ 7th prescription .50 Mr Ladd “ 8th visit & med: 2.00 “ Anthony Crucimyer “ 11th “ “ 2.00 Johnson Myers “ “ prescription .25 Capt Espy “ 16th visit 1.00 Mr Eugene Hard “ “ prescription & examin .50 Anthony Crucimyer “ “ visit 2.00 “ “ 17th “ 1.50 Harvey Parker “ “ prescription .50 Capt Espy “ “ visit 1.00 “ “ “ 18 “ 1.00 Capt Espy Augst 19th visit 1.00 Mr Champlain “ “ prescription .50 Capt Espy “ 20th visit 1.00 Mr Thomas Wiseman “ “ “ .50 Mr Champlain “ 23td prescription .50 “ Lintner “ 24th visit & med: .50 Margt Scott “ 30th “ “ 2.00 Mrs Jones “ 30th “ “ 2.00 “ “ Sept 1st Margt Scott “ 31st visit & med: 2.00 Mrs Jones : “ “ “ “ 2.00 Margt Scott Sept 1st “ “ 2.00 “ “ 2nd “ “ 2.00 “ “ 3rd “ “ 2.00 “ “ 4th “ “ 2.00 Mrs Standiford “ “ obstetrics 5.00 Margt Scott “ 5th visit 2.00 Mrs Thomas Wiseman “ “ prescription .50 Mrs Champlain “ 8th “ .25 “ Suter “ 10th stiching scalp paid [illegible] Tom McEwen “ 12th prescription .50 [illegible] Ferguson “ 13th visit to herself & child 1.50 Tom McEwen “ 16th prescription .50 Mr Graff “ 16th prescription & med .75 Mr Duneker “ 21st visit 1.00 Mr Champlain “ “ prescription .25 Anthony Crucimyer “ “ visit swelling throat 2.00 “ “ “ 22nd “ 1.50 Duneker “ “ “ 1.00 Capt Espy baby “ “ “ 1.00 “ “ “ “ 23rd 2 visits 1.50 Duneker “ “ “ 1.00 Mr Duneker Septr 24th visit 1.00 Capt Espey “ “ “ 1.00 James Parker “ “ night visit 1.00 “ “ “ “ day visit .50 “ “ “ 25th visit 50 Capt Espy “ “ “ 1.00 Mrs Duneker “ “ “ 1.00 Mr Cheek “ “ prescription .50 Mr Wiles “ “ visit .50 Capt Espy “ 26th visit .50 N. Morbach “ “ hive syrup: .5 Miller Brown “ “ prescription little girl .50 Jas Parker “ “ visit >50 Capt Espy “ 27th visit 1.00 Man at Graff’s “ “ “ .50 “ “ “ 28th 2 visits 1.00 Capt Espy “ “ visit .50 Mrs Suter “ “ “ night 2.00 “ “ “ 29th “ 1.50 Thomas Wiseman “ “ “ prescription .25 Capt Espy “ “ “ .50 Graff’s man “ “ “ .50 Mr Loon “ “ vaccination .50 Mrs Dale “ “ prescription .50 Mrs Suter “ 30th visit 1.50 Graff’s man “ “ “ .50 Mrs S. Dale “ “ “ 2.00 Mrs Suter Oct: 1st visit 1.50 Graff’s man “ “ “ .50 Mr Wiles “ “ prescription .50 Jas Parker “ 2nd “ .50 Mr [illegible] “ 3rd “ .50 Mrs [???tner] “ “ visit .50 Mrs Winters Oct: 5th prescription .50 Mrs Wiles “ “ swelling throat visit .50 Mr Wiles “ 6th swelling throat .50 Frank Tariger “ “ prescription .50 Mr Champlain “ 12th “ to self & baby .50 M Marion “ 13th prescription .25 Capt Espy “ 14th 2 visits 1.00 Mr Marion “ 14th prescription .25 Capt Espy “ 15th 2 visits 1.25 “ “ “ 16th 1 visit 1.00 Mr Wiles “ “ prescription .50 Capt Espy “ 17th visit & med 1.00 “ “ “ 18th visit “ “ 1.00 Henry Dawson “ “ “ & med 2.00 Mr Wiles “ “ prescription .50 Capt Espy “ 19th visit 1.00 “ “ 20th “ .50 “ ‘ 21st “ 50 Mr Coleman “ 21st “ 1.50 “ “ “ “ 1.00 Capt Espy “ 22nd “ .50 Mr Lintner “ 24th “ .50 “ “ “ 25 “ .50 Mrs Minard & baby “ “ “ night 2.00 Mr Minard “ 26th “ 1.50 Mrs Lintner “ “ “ night .75 “ “ “ 27th “ .50 Mr Minard “ “ “ 1.50 “ “ boy “ “ prescription .50 “ “ baby “ 28th visit 1.50 Mrs Lintner “ “ “ .50 Mr Standiford “ 29th “ .50 Turner “ “ prescription .50 Mrs Lintner Oct: 30th visit & med: .50 Squire Howe Nov: 2nd visit & med: .50 Jas: Parker “ “ “ .50 Tom Wiseman “ 5th prescription .50 Johnson Myers brother in law “ “ “ .50 Jimmy Mullen 6th “ .75 Capt Espy 7th visit med & lancing boil 1.00 John Groves 8th prescription .50 Mrs Boulanger “ visit 1.50 Mrs Groves “ prescription .50 Bel Groves 12th visit 1.00 Nick: Morback “ visit .50 Tom Wiseman 13th prescription .50 Wm Boulanger “ visit 1.50 “ “ 14th “ 1.50 Johnson Myer’s “ prescription. .50 Henry Wiles 15th cough syrup .15 Mrs Slater 16th med: .50 Mrs Stewart 17th visit 1.50 “ Davis “ “ .50 Human de la Rochey “ “ .50 Mr Dale “ prescription .50 John Wiseman “ lancing hand .50 Saml Marshal Jim McEwan 18th prescription .50 Johnson Myers 21st “ .50 Mrs Lamb 22nd “ .50 Mr Groves 23rd prescription .50 Mr Minard “ prescription .50 Frank Tarriger 24th “ .50 Mrs [Lena] “ ext: tooth .25 Mrs Tarriger 25th prescription .50 Mr Lange 26th “ .50 Mrs Lamb Novr 27th visit & med: [illegible] “ “ “ 28th “ “ 1.25 Mr Davis “ 29th prescription .50 Mrs Lamb “ “ visit 1.25 Mr Davis Decr 1st “ “ .50 Mrs Minard “ “ “ .50 Mr Taryger “ 5th prescription .50 Nevin McEwen “ 8th “ .50 Mrs McCarthy “ 9th visit & med: 2.50 Mr Champlin “ “ “ “ 1.50 Mr Jo: Schlicht “ “ 2 visits 1.00 Mr Kneeted “ “ visit & setting clavicle [5.00] MR Davis “ “ prescription .50 “ Knested “ 10th visit Jo: Schlict “ 10th visit .50 Mrs McCarty “ 12th “ 2.50 Mr Whittman “ “ prescription .50 Harriet Groves “ 15th “ .50 Mr McCarty “ “ visit 2.50 Mr Whittman “ 18th prescription .50 Mr Snyder “ 19th visit & med 1.50 [illegible] Winters “ “ prescription .50 Mr Groves “ “ “ .50 “ “ “ 20th visit 1.00 Mr Wiles “ “ “ swabbing .75 “ “ 21st visit .50 Perry Myers (bub) “ “ “ & med 1.50 “ “ (sis) “ “ prescription .20 Mr Graff “ “ “ .50 MR Wiles “ 23rd visit swabbing .75 “ “ “ “ medicine .25 “ “ “ 26th visit & swabbing .75 Mr Staley Decr 24th visit & med: .50 “ “ “ 25th “ .50 Mr Wiles “ “ “ “ .50 “ “ “ 26th “ swabbing .75 “ “ “ 27th “ “ .75 “ Staley “ “ “ med: .50 “ Groves “ “ “ med: .75 “ Abner “ “ “ “ 1.25 “ Wiles “ 28th “ swabbing .75 “ Abner “ “ visit 1.25 “ Wiles “ 29th “ swabbing .75 “ Staley “ “ “ med: .50 “ Groves “ “ prescription .50 Mr Wiles “ 30th visit to self & med .50 “ “ “ “ prescription [illegible] .25 “ Groves “ “ med: .25 “ Kutzendorfer “ “ visit & med 1.50 “ Staley “ “ “ “ .50 [illegible] Johnson “ “ prescription .50 Mr Staley “ 31st visit .50 “ Groves “ “ “ .75 “ Kutzendorfer “ “ “ 2 children 1.75 “ Abner “ “ “ 1.25 “ Wiles “ “ 2 visits 1.00 1863. “ “ Jany 1st visit .50 “ Kutzendorfer “ “ “ 1.50 “ Abner “ “ “ 1.25 Capt Espy “ “ “ .75 N. Morback “ “ cough mixture .10 Mr Wiles “ 2nd visit & med: 50 Mr Abner “ “ “ “ 1.25 “ Staley “ “ “ “ .50 Mr Kutzendorfer Jany 2nd visit & med 1.50 John Warner “ “ “ “ .50 Capt Espy’s 2 children “ “ “ “ .75 “ “ “ “ 3rd “ “ .75 John Warner “ “ “ “ .50 Mr Wiles “ “ “ “ .50 Mr Staley “ “ “ “ .50 Mr Abner “ “ “ “ 1.25 Mr Kutzendorfer “ “ prescription .50 “ Staley “ 4th visit .50 Capt Espy “ “ 3 visits 1.00 John Warner “ “ visit .50 Mr Wiles “ “ “ .50 Capt Espy “ 5th “ .50 Mr Staley “ “ “ .50 Mr Abner “ “ “ 1.25 Mr Wiles “ 6th “ .50 Mr Abner “ “ “ 1.25 Mr Wiles “ 6th “ .50 Capt Espy “ “ 2 “ 1.00 Harriet Groves “ “ prescription .50 Widow Johnson “ “ visit .50 “ “ “ 7th “ .50 Capt Espy “ “ 2 “ 1.00 Mrs Smith for Lena “ “ prescription .50 Peter Bowers “ 8th visit 2.50 Widow Johnson “ “ “ .50 “ “ “ 9th “ .50 Mr Abner “ “ “ 1.25 Miller Brown “ 10th “ 2.50 Widow Johnson “ “ “ .50 Mrs Groves “ 11th 2 visits & med: .50 Peter Bowers “ “ prescription 25 Mr Abner Jany 11th visit & med: 1.25 Mrs Groves “ 12th “ “ .75 Miller Brown “ “ “ “ 2.50 Mrs Groves “ 13th “ .50 Wm V. Cheek “ “ “ “ 1.00 Mr Slater’s 2 children “ “ “ “ 2.00 Mr Graff “ “ “ “ .50 Mrs Wolfer “ “ “ “ .50 “ “ “ 14th “ “ .50 Mrs Graff “ “ “ “ .50 Mr Morris “ “ “ “ .50 Mrs Abbot to Morris “ “ “ “ .25 Mr Graff “ 15th “ “ .50 Mr Abner “ 16th medicine .25 “ Graff “ “ visit .50 Mr Abner “ 18th “ 1.00 “ Jas Suter “ “ “ & med .75 “ Bankman “ “ “ “ 1.00 “ “ “ 19th “ “ 1.50 MR Abner “ “ “ “ 1.00 MR Jake Suter “ “ “ “ 1.50 MRs Miller Brown : : touching eyes .25 MRs J. E. Lange “ 20th visit & med: 1.50 “ Jake Suter “ “ “ “ 1.50 “ Bankman “ “ “ “ 1.50 “ Peter Bowers “ “ “ “ 2.50 “ Johnson Myers for Mr Slater [illegible] “ 21s prescription .50 Peter Bowers “ “ visit & med: 2.50 Jake Suter “ “ “ “ 1.50 Mrs Miller Brown “ 24 touching eyes & med .50 Peter Bowers “ 25th prescription .50 Mr [Owens] “ “ dressing hand 5.00 Mrs N. [D.] Johnson Jany 26th visit & med: .50 “ “ “ 27th “ “ .50 Capt Espy “ 30th “ extracting two teeth .75 Mr Ryan “ “ “ & med 2.50 “ “ “ 31st “ “ 2.50 Newberry “ “ “ “ .50 Mr [Overcus] “ “ dressing hand. 1.00 Mr Newberry Feby 1st visit & med: .50 Mr Champlain “ “ “ “ 1.50 “ Newberry “ 3rd “ “ 2.50 Mr Hamil “ “ prescription . 50 Mr Wiles “ “ “ .50 Mr Groves “ 4th “ .50 Mr Dicks “ “ visit & med: 2.00 “ “ “ 5th “ “ 2.00 Mr Groves “ “ 2 “ “ 1.00 Mr Newberry “ “ “ “ 2.00 Mr Dicks “ 7th 2 “ “ 3.00 Mr Frank Scott “ “ “ “ 1.00 Mr Groves “ “ 2 “ “ .75 “ “ “ 8th 3 visits (one night) 1.00 Mr Newberry “ “ visit & med 2.00 Mr Staley “ 9th med .25 Mr Thomas Wiseman “ “ visit & med 1.50 Mr Garvin “ 10th “ 2.00 “ Groves “ 12th “ “ .75 “ Staley “ “ prescription . 50 “ Groves Maria & Bel “ 13th visit & med: 1.00 “ Wiles “ “ “ “ .50 Mr Garvin “ 14th prescription .50 “ Groves “ “ visit & med: .75 “ Wiles “ “ “ “ 50 Mr Wiles Feby 15th visit & med. /50 Mr Groves “ “ “ “ .50 Mr Peter Bowers “ 16th “ “ 2.50 “ “ “ 17th Prescription . 50 Nick Morbach “ “ “ “ “ .50 Mr S Dale “ 19th visit & med 2.00 “ Champlain “ “ prescription .50 “ “ “ 20th visit & med: 1.00 Mr S Dale “ “ “ “ 2.00 “ Champlain “ 21st “ “ 1.50 Peter Bowers “ “ prescription .50 Mr Whittman “ 26th “ .50 “ Wiles “ “ cough syrup .20 “ Hertenstein “ 27th prescription .50 “ Matcher “ “ “ .50 “ Dale “ 28th prescription .50 Johnson Veatch March 1st “ .50 “ Myers “ 5th visit & med: 1.50 Mr Standiford “ “ “ “ 1.50 Mr Groves “ “ prescription .25 Johnson Myers “ 6th visit & med: 1.50 Mr Ryan “ 9th “ “ 2.00 Mr R. Hudson ? 10th “ “ 1.25 Johnson Myers “ 12th “ “ 1.50 “ “ “ 13th “ “ 1.50 Jim Hudson “ “ “ “ 1.25 Mr Hertenstein “ “ “ “ .50 Jim Hudson “ 16th prescription .50 Mr Wittman “ 20th visit & med: .50 Mr Hudson “ “ prescription . 50 Mr Wittman “ 21st visit & med: .50 Peter Bowers march 25th visit & med: 2.50 “ “ “ 28th prescription .50 Mr Wittman “ 29th visit & med: .50 “ “ “ 30th “ “ .50 Peter Bowers “ “ prescription .50 “ “ “ 31st “ .50 Mr Wittman “ “ visit .50 “ “ April 1st “ & med .50 “ “ “ 2nd “ “ .50 “ “ “ 3rd visit .50 H. P. Gryden “ 4th visit .50 N. Morbach “ 6th visit .50 Mr Wittman “ 8th “ .50 Mr Gryden son “ 9th prescription .50 Mr Wittman “ 12th visit & med: .50 Joe Spinner “ 13th prescription .50 Mr Kepler “ “ visit & med 1.50 “ “ “ 14th “ “ “ 1.50 Johnson Myers “ 15th “ “ “ 1.50 “ “ “ 16th “ “ 1.50 J Slater “ 18th prescription .75 Johnson Myers “ 18th visit & med 1.50 “ “ “ 19th “ “ 1.50 Mr John Ross “ “ prescription .50 Mr A McCleod “ “ visit & med .50 James McLaughlin “ 22nd landing thumb .25 John Wilson “ “ prescription .50 Mr Mock “ 24th visit & med: 1.75 Perry Myers “ “ liniment .25 “ “ “ “ visit .50 Mr Mock’s two children “ “ “ 1.75 Mr Abner April 24th visit & V.S. 1.25 “ Saml Dale “ “ obstetrics 5.00 Mr Abner “ 26th visit & med 1.25 Mr Mock “ “ “ “ 1.50 Mr Saml Dale “ “ “ 2.00 “ Nicolai “ “ “ night 1.00 Mr Mock “ 27th “ 1.50 Mr Schlater “ “ vaccinating 2 children .50 Mr Abbott “ 28th medicine .25 Mr [illegible] “ 30th “ .25 Mr Lange May 1st prescription .50 Mr Nicolai “ 2nd “ .50 Mr Lange “ “ visit to Tom 1.50 “ “ “ “ vaccinating [illegible] & baby .50 “ “ “ 3rd visit to Tom 1.50 “ “ “ 4th “ “ “ 1.50 [Susan] Fox “ “ prescription .50 Mr Lange “ 5th visit to Tom 1.50 Jake Suter “ “ ext: tracting tooth for Lena .25 Mr Lange “ 6th visit to Tom 1.50 [Joab] Castor “ “ obstetrical 5.00 Mr Lange “ 7th visit to Tom 1.50 Mrs Dormant “ 8th medicine .25 Mrs McEwen “ “ visit & med: 1.50 Mr Lange “ “ “ to Tom 1.50 “ Lange “ 9th “ to Tom 1.50 Mrs McEwen “ “ medicine .25 Mr Ennis at Whipple’s “ “ visit nasal hemorrhage 5.00 Mrs Lamb “ 10th prescription .50 Mr Schlater “ “ “ .50 “ Ennis at [illegible] “ 11th visit 5.00 Mrs Lamb May 13th medicine .25 Mr Ennis “ 14th visit extraction plug 5.00 Mr Lange “ “ medicine .25 Mrs N. D. Johnson “ 15th visit .50 Mr Winters “ 16th prescription .50 [Joab] Castor “ “ visit 1.50 Jake Suter (to Lena) “ 18th prescription .50 “ “ “ “ “ 20th “ .50 John Wilson ? 21st “ .50 Jake Suter to son “ 25th “ .50 “ “ “ “ “ 26th visit .50 Mr Kline “ “ “ 2.00 Mr Wittman “ 28th “ .50 Mr Kline “ 29th prescription [illegible] Mr Wittman “ “ visit .50 “ “ “ 30th “ “ .50 “ “ “ 31st “ .50 “ “ June 1st “ .50 Mr Jose E. Lange “ “ vaccinating Tom .50 Mrs Nick Morbach “ “ ext: two teeth .50 Mrs Wittman “ 2nd visit .50 “ “ “ 3rd “ .50 “ “ “ 4th “ .50 “ “ “ 5th “ .50 John Wilson “ “ medicine .25 Jake Suter Mrs Suter “ “ prescription . 50 “ “ “ Lena “ “ medicine .15 Mrs Wittman “ 6th visit .50 “ “ “ 7th “ .50 Jim Mc Ewen’s cousin “ 7th prescription .50 Mr Wittman “ 8th visit & cupping 1.00 Mrs Wittman Jun 9th visit .50 Mr T. Shlater & wife “ “ prescriptions .75 Mr Hines “ 10th prescription .50 Mrs Wittman “ “ visit & cupping .75 “ “ “ 11th “ .50 Arthur McEwen “ “ medicine .25 Mrs Wittman “ 12th visit & cupping .75 John Groves “ “ emetic .25 Christopher Goff “ “ prescription .25 Mr Hines “ 13th medicine .25 Mrs Becksel at Gryden’s “ “ visit & med 2.00 Mrs Wittman “ “ “ cupping .50 Mr Wemens “ “ prescription .50 John Groves “ “ visit & med 1.00 Geo Luhn “ 14th medicine .50 Mr Hertenstein Rudolph “ “ prescription .50 Mrs Wittman “ “ visit & cupping .75 Mrs Becksel’s child at Gryden “ “ “ 200 Widow Lamb “ “ medicine .25 Mrs Becksel’s child at Gryden’s “ 16th visit 2.00 Rudolph Hertenstein “ 17th prescription .50 RMs Becksel’s child at Gryden “ “ visit 2.00 Mrs McEwen at Scott’s “ “ “ 2.00 Mrs Wittman “ “ “ .50 “ “ “ 18th “ .50 Mrs McEwen at Scott’s “ “ “ 2.00 “ “ “ “ 19th “ 2.00 Mrs Wittman “ “ “ .50 Rudolph Hertenstein “ 20th exam: pulmonary .50 Mrs McEwen “ “ visit 2.00 Mr Wittman June 20th prescription .50 Thomas Wiseman “ “ “ to Emma .50 Mr Abner “ 21st visit 1.25 “ “ “ “ “ & cupping 1.50 Mr Hopper “ “ prescription . 50 Mr Mock baby “ “ medicine .25 Mr Abner “ “ night visit & V.S. 1.50 “ “ “ 22nd visit & med: 1.25 Granny McEwen “ “ “ “ 1.50 Mr Lange to [illegible] “ “ night “ “ 2.00 Mr Abner “ 23nd “ “ 1.25 Granny McEwen “ “ “ [illegible] “ “ “ “ liniment .25 Mr Lange “ “ visit 1.50 Granny McEwen “ 24th “ 1.50 Mr Ebner “ “ 2 visits 2.00 Mrs Becksel’s child “ “ prescription .50 Mrs McEwen “ 30th visit 1.50 “ “ “ July 1st “ 1.00 Perry Myers “ “ “ 1.00 Jim Castor “ 2nd “ night 2.50 Perry Myers “ 2nd 2 “ 1.50 Mrs McEwen “ “ “ 1.00 “ “ “ 6th liniment .25 Peter Bowers “ 7th visit & med. 2.50 Nick Morback “ 8th prescription .50 “ “ “ 9th visit to [illegible] .50 Tom Wiseman “ “ “ night 2.00 Mr Schlater Jr: “ 10th prescription .50 Mr Lange to Tese “ “ dressing head & med: 1.00 Nick Morback “ “ visit .50 Tom Wiseman “ “ “ 2.00 Mr Isaac Morris July 10th prescription to Helen .50 Hannah Strafer “ 11th “ .50 Mr Schlater “ “ “ .50 Tom Wiseman “ “ visit 1.50 Mr McEwen “ “ medicine .15 Jake Suter to son “ “ dressing cut leg 3 stiches 1.00 Nick Morback “ “ prescription to [illegible] .50 Mr Graff “ “ prescription .50 “ “ “ 12th visit .50 Tom Wiseman “ “ “ dressing burns 1.75 “ “ “ 13th “ “ “ 1.75 Archy Barker “ “ “ 2.00 Mr Graff “ 14th “ .50 Tom Wiseman “ “ “ 1.75 Nick Morback “ “ “ night .75 “ “ “ 15th “ .50 Tom Wiseman “ “ “ 1.75 Isaac Morris “ “ “ .50 Becky Hasen “ “ prescription .50 Isaac Morris “ 16th visit .50 Peter Bowers “ “ prescription .50 Granny McEwen “ 17th pills .25 Nick Morback “ “ medicine .10 Isaac Morris “ “ visit .50 Mrs Garvin “ 18th “ & med: 2.00 Isaac Morris “ “ “ .50 Jake Suter’s son “ “ dressing cut leg .50 Geo Luhn “ 19th emetic .50 Mrs Garvin “ 20th prescription .50 Jim Castor “ “ “ .50 Mrs Hines “ “ cough mixture .10 Mrs McEwen “ 21st visit 1.50 Granny Mcewen July 21st liniment .25 Isaac Morris “ 22nd visit .50 Perry Myers : 23rd prescription .50 Isaac Morris “ “ visit .50 Peter Bowers “ “ visit (night) 3.00 “ “ “ 24th “ 2.00 Mrs Garvin “ “ passing visit .50 Mrs Miller Brown “ 25th prescription .50 Mr Garvin “ 26th prescription .75 Mr Ross “ “ visit 1.75 Isaac Morris “ 27th prescription .50 Mr Fred Marion “ “ visit 2.00 Mr Graff “ “ prescription .50 Fred Marion “ 28th visit 2.00 Mr Ross “ “ “ 1.50 Mr Chris Goff “ 29th prescription .50 Isaiah Ewing “ 31st visit 1.50 “ “ Augst 1st 2 visits 2.25 “ “ “ 2nd visit 1.50 “ “ “ 3rd “ 1.50 Mr Landon “ 4th lancing finger .75 Mrs Hines “ “ “ [chin] .25 Granny McEwen “ “ liniment .25 Mr Fesinger “ 5th visit 1.00 Granny McEwen “ 6th “ 1.50 Widow Lamb “ 7th prescription .50 Granny McEwen “ 8th visit 1.50 Mr Dale “ “ prescription .50 Mr Garvin “ 9th “ .75 Mr Goff “ “ medicine .25 Perry Myers sister in law) “ “ visit night) 1.50 “ “ (Mrs Priest) “ 10th “ 1.75 Mrs McEwen “ “ “ 1.50 Shock 1st Horisontal position. 3nd Remove any obstructions in the wound. 3rd Remove ligatures from the neck, or any bands which prevent free respiration. 4th Fresh air. 5th Stimulants. Frictions. Heat. In cases where there are lesions of the cerebral structure. caution should be sued in bringing about reaction too soon early bleeding and stimulation are to be avoided in constitutional shock. Stimuli are contraindicated in percussion of the brain. In such cases Hyoscyamus, Balladonna, and opium are to be resorted to, along with laudanum injections Acetate of lead is to be given in inflammation of the stomach. where there is mental alienation and traumatic delirium calomel [illegible] Carb. ama X If the tongue is furred calomel this however should not be given combined with the ammca but alternately. Respiratory function affected Carb. ammca Large poultices In these cases the respirations should be counted, 22 is the normal suppression of urine Cal grsii Nitgre “ X Camp: V where there is retention of urine the catheter and hot fomentation and mucilaginous drinks. Tympanitis. where this is present avoid drastic purgatives but instead give small doses of castor oil in oleum ricini zfs calomel gr ½ quarter horae to be followed with Dov: powd gr iv Cal gr ½ Turpentine emmol: gtts XX along with sinapisms and blisters. The gas may extricated by the rectum tube Liver. This organ is also sometimes affected by the shock the billiary secretion is stopt. IN these cases Cups, sinapism, and blister. This organ is generally affected when there is concussion of the brain. Function of the skin. The surface is in some cases bathed in a cold and clammy sweat. In such cases brandy and alum. In constitutional shock and the other varieties The main points of precaution in the treatment is in regard to bleeding and stimulants. Both may be the means of increasing the shock. It is always proper to wait until the proper time and circumstances to be present for these remedies. Fractures. The bones which are most exposed are those in which fractures most frequently occur, hence we find the bones of the extremities most frequently fracture. The causes of fractures may be divided into predisposing and exciting causes. The Predisposing causes are 1st Old age. 2nd Fragilitas opium. 3rd Icy weather Exciting causes are 1st Powerful muscular contractions 2nd Blows. Fractures may be divided into 1st Complete. or where the bone is completely divided in two. 2nd Incomplete or where the bone is only partialy broken. 3rd Oblique or where the fracture is oblique 4th Transverse or where the fracture is transverse. 5th Longitudinal or where the bone is split down the centre this kind of fractures occur only in long bones 6th Simple or where the fracture is unaccompanied with wounds of the soft parts. 7th Compound or where the fracture is accompanied with wounds of the soft parts. 8th Comminuted or where the bone is broke up in splinters. 9th Complicated. Symptoms of fracture are divided into 1st Equivocal or those cases where there are the symptoms of fracture without the fracture existing; there are 1st Pain. (acute [illegible]) 2nd Swelling 3rd Loss of power 2nd Certain or those cases which present the following symptoms 1st Crepitus. 2nd Change of form in the limbs 3rd Mobility. The crepitation in these cases must not be mistaken for a crackling which is present in cases of dislocation. 4th Rotation of the limb. The prognosis is generally favourable, the circumstances which render it bad are old age [illegible] in the constitution Bad treatment. Treatment of fractures. The first thing to be done is to examine whether it be a simple or compond fracture. 2nd Use extension and counter extension 3rd Fix the limb with bandages etc. 4th Subdue inflammation. The limb when once fixed should not be disturbed old sheets make very good bandages. The immovable dressing may also be wet, this is the stanch bandage Pain can be removed by opiates and cold applications of acetate of morphia or the acetate of lead. Erysipelas sometimes supervenes. The diet should also be attended to no indigestible food should be allowed to remain on the stomach. It is not necessary to dress the limb after eight or ten days. Cathartics should be avoided. The union between the fractured parts is affected by means of callus or serous effusion. Inflammation is not necessary for the separation. The callus which is not necessary for the union is absorbed. Particular fractures. Nasal bones. The fracture may be either vertical oblique or transverse, when the pieces of bone are pushed inward they may be replaced by aid of a female catheter or like instrument. In some cases there is much swelling and inflammation, which sometimes extends to the brain and produces delirium etc. Mr Matcher Augst 11th ext: tooth 25 Mrs Garvin “ 12th prescription & med .75 Mrs Priest to Perry Myers “ “ “ 50 Mrs McEwen “ “ visit 1.50 Michael Clyne “ 16th obstetrics 5.00 “ “ “ 17th visit 1.00 Granny McEwen “ 17th medicine .25 Mr Werner “ 19th visit & med. 1.50 Mr Werner “ 20th “ 1.00 Michael Clyne “ 21st medicine .25 John Canan “ 24th “ .50 Mr Jas McEwen “ 26th visit & med. 1.50 Granny McEwen “ 27th medicine .35 Mrs Jas McEwen “ “ visit & med 1.50 Henry [Opegel] “ 28th prescription .50 Wm Marsh Jr: “ “ visit & med: 1.50 Isaac Morris To [illegible] Aug 28th visit .50 “ “ “ “ 29th visit & med .50 To Wm Marsh “ “ “ “ 1.50 Hinson Gray son) “ “ attendance for ear 1.50 Isaac Morris “ 30th visit .50 [illegible] Schlict “ “ prescription .50 Mr Fromer Sr: & med: to son “ “ visit & medicine 2.00 Mr Fromer Sr: “ 31st “ “ 1.50 Jim McEwen ‘s wife “ “ med: .30 Fred: Marion Sept: 1st med: .25 Mr Caipt (Cooper) “ 2nd visit & med: .50 “ “ “ “ 3rd “ “ .50 [Jo:] Schlict “ “ “ “ .75 Granny McEwen “ 4th medicine .25 Mr Huffbower “ 7th medical attendance 5.00 MR Donohue “ 8th visit & med: 1.50 Mrs N. D. Johnson “ “ emetic .25 “ “ “ 9th visits & med: 1.00 “ “ “ 10th visits “ 1.00 Nick Morback “ “ V.S. & visit .75 Jim McEwen’s wife “ “ prescription .50 Mr Nicolai “ 11th prescription 1.00 Mr Nick Morback “ “ visit .50 Mr Nicolai “ “ “ .50 “ “ “ 12th “ 1.00 Mrs Keen “ “ prescription .50 Mr Bichard “ “ visit (night) 2.00 Jim McEwen’s wife “ 13th prescription .75 Mr Nicolai “ “ visit .75 Mr Bichard “ “ “ 1.50 Granny McEwen “ “ medicine .25 Mr Nicolai “ 14th visit .75s Nick Morback Sept: 14th prescription .50 Mrs Keen “ “ “ .50 Johnson Myers “ 15th visit & med & 2 [patients] 1.75 Mrs N. D. Johnson “ “ “ “ .75 Johnson Myers “ 16th “ “ 2 patts 1.50 Granny McEwen “ “ medicine .25 Mr Beckel “ “ visit & med [illegible] “ “ “ 17th first “ “ 2.50 Mrs N. D. Johnson “ “ “ .75 Mr Beckel “ 18th “ “ 2.50 Mr Fromer Sr “ “ prescription .50 Noah Lee “ 20th “ .50 Mrs N. D. Johnson “ 21st visit & med .75 Granny McEwen “ 22nd pills .25 Johnson Myers “ “ self & 3 children prescription 1.25 Isaac Morris “ 23rd prescription .50 Mr Fromer Sr “ 24th “ .50 Tom Wiseman “ “ “ .50 Mr Nicolai “ 25th visit & med: .75 Nick Morback “ “ prescription .50 Ben Castor “ “ .50 Jacob Keen “ “ visit & med (night) 1.00 “ “ 26th 3 visits 1.00 Mr Nicolai “ “ visit .75 “ “ “ 27th “ .75 Jacob Keen “ “ “ 1.00 “ “ 28th visits 1.00 Mr Nicolai “ “ visit .75 Mr Winters “ “ “ 1.50 “ “ “ 29th “ 1.50 Mr Keen “ “ visit 1.00 Miller Brown (son) “ “ prescription .50 Granny McEwen Sept: 29th medicine .50 Isaac Morris “ “ “ .50 Mrs Keen “ 30th 2 visits 1.00 “ “ & Lizzie Oct: 1st visit to .75 Mr Herman Fromer “ “ prescription .50 Isaac Morris “ 2nd 2 visits 1.00 Miller Brown (wife & son) “ “ prescriptions .75 Jacob Keen (wife) “ “ visit .50 Isaac Morris “ 3rd “ .50 “ “ (Dude) “ 5th prescription .50 Mrs Snyder “ 7th visit .50 Johnson Myers self & 2 children “ “ prescriptions 1.00 Mrs N. Morback “ “ obstetrics 5.00 Mrs Snyder “ 8th visit & med: 1.50 Mrs N. Morback “ “ medicine .25 Mrs Snyder “ 9th visit & med 1.50 “ “ “ 10th “ “ 1.00 Granny McEwen “ “ “ “ .50 Mrs Snyder “ 11th “ “ 1.00 “ “ “ 12th “ “ 1.00 Mr Nicolai “ “ “ .50 Mrs Snyder “ 13th “ “ 1.00 “ “ “ 14th “ “ 1.00 Peter Cook “ “ “ “ 1.50 “ “ “ 15th “ “ 1.50 Mrs Snyder “ “ “ “ 1.00 “ “ “ 16th “ “ 1.00 Peter Cook “ “ “ “ 1.50 Mrs Reep at Perry Myers “ “ “ “ 1.00 Johnson Myers self & [illegible] “ “ 3 prescriptions 1.00 Peter Cook “ 17th visit & med 1.50 Mr Reep “ “ “ “ 1.50 Mrs Snyder Oct: 17th visit & med: 1.00 “ Oct: 18th “ “ 1.00 Mr Reep “ “ “ “ 1.50 Peter Cook “ “ “ “ 1.50 “ “ “ 19th “ “ 1.25 Mr Reep “ “ “ ‘ 1.50 Mrs Snyder “ “ “ “ 1.00 “ “ “ 20th “ “ 1.00 Peter Cook “ “ “ “ 1.25 Mrs Guisendorf (to Peter Cook) “ “ prescription .50 Lewis Nicolai “ 22nd “ .50 Granny McEwen “ 23rd medicine .25 Lewis Nicolai “ “ “ .25 Johnson Myers “ 24th prescription .50 Jim McEwen’s wife “ “ 2 “’s 1.00 Peter Cook “ 26th visit & med: 1.25 “ “ “ 27th “ “ 1.25 “ “ “ 28th “ “ 1.25 “ “ “ 29th “ “ 1.25 Granny McEwen : : liniment .25 Mr W. V. Cheek “ “ prescription .50 Peter Cook “ 30th visit & med: 1.25 Mrs Harriet Sowers “ “ “ “ .75 Peter Cook “ 31st “ “ 1.25 “ “ Nov: 1st “ “ 1.25 Capt: Espy “ “ visit “ night 2.00 Perry Showers “ “ 2 visits “ 1.00 Jim McEwen “ “ prescription .50 Peter Cook “ 2nd visit & med 1.25 Mr Sowers “ “ prescription .50 Johnson Myers “ “ “ .50 Capt Espy “ “ visit .75 Peter Cook Nov: 3rd visit & med 1.25 Granny McEwen : : med: .25 Saml Dale “ “ cough syr: .40 Peter Cook “ 4th visit 1.25 “ “ 3 children “ 5th visit & med: 1.50 “ “ “ 6th 3 visits & med 3.00 Mrs Keen “ “ prescription .75 “ “ “ 7th pills .50 Peter Cook 2 children “ 8th visit & med: 1.50 Peter Bowers “ “ prescription .50 Peter Cook 2 children “ 9th visit & med 1.50 “ “ “ “ 10th “ 1.50 Chris Singer “ 11th “ “ 2.50 “ “ “ 12th “ “ 2.50 Rheumatism “ “ prescription & linim [illegible] Chris Singer “ 13th visit & med: 2.50 Mrs Groves “ “ “ “ .75 Mrs [Phes??] “ “ “ “ 1.50 Mrs Smith (Miller) “ 14th “ “ 2.00 Nevin McEwen “ “ prescription .50 Jim McEwen “ “ zii of croton oil 1.00 John Groves “ 165th visit & med .75 Perry Myers “ 16th “ “ 1.50 John Groves “ “ medicine .25 Jim McEwen “ “ croton oil zii 1.00 Perry Myers “ 17th visit & med: 1.50 “ “ “ 18th “ “ 1.50 MR Sowers “ “ [illegible] [illegible] .25 John Groves “ “ prescription .50 Jake Suter “ “ visit (night) 2.00 “ “ “ 19th “ 1.75 Mr Sowers “ “ [painting] visit .25 Jake Suter Nov: 20th visit & med 1.50 John Groves “ “ prescription .50 “ “ “ 21st visit (passing) .50 Jake Suter “ “ “ & med: 1.50 “ “ “ 22nd “ “ 1.50 John Groves “ “ “ passing .50 Jake Suter “ 23rd “ med: 1.50 “ “ “ 24th “ “ 1.50 “ “ “ 25th “ “ 1.50 Miss Lucy Smith “ 27th [illegible] & [liniment] .75 Nick Morback “ 28th visit & med .75 Mr Nicolai “ 29th “ “ 1.00 “ Hines “ “ “ “ .75 Mr Nicolai “ 30th prescription .50 Chris Goff “ “ visit 1.00 “ “ Dec: 1st “ “ 1.00 Mr Hines “ “ cough syrup .15 Chris: Goff “ 2nd visit & med: 1.00 Mrs Hines “ “ 2 “ “ 1.00 Chris Goff “ 3rd visit & med: 1.00 Peter Bowers “ “ medicine .25 Chris Goff “ 4th visit & med: 1.00 Mrs Heinz “ “ 2 “ ‘s “ 1.00 Granny McEwen “ “ liniment & med: .50 Chris Goff “ 5th med: .25 Tom Wiseman “ 6th prescription .50 Jim McEwan “ 7th med: .25 Widow Lamb “ “ pills .25 Tom Wiseman “ 8th prescription .50 Isaac Morris “ 10th lancing carbuncle & visit .75 Mr Abbott “ “ visit & med: .75 Jake Alexander “ 10th “ “ night 2.00 Mrs Sowers Decr 11th prescription .50 Jake Alexander & wife “ “ visit & med 1.75 Mrs Heinz “ “ “ “ (passing) .50 John Fromer “ “ “ “ “ .50 Jake Alexander & wife “ 12th “ “ 1.75 “ “ “ “ 13th “ “ 1.75 “ “ “ “ 14th “ “ 1.75 “ “ “ “ 15th “ “ 1.75 Mrs John Muir “ 14th & “ night 1.00 “ “ “ “ 15th “ .50 Johnson Myers “ “ prescription .50 Jake Alexander & wife “ 16th visit & med 1.75 “ “ “ “ 17th “ “ 1.75 “ “ “ “ 18th “ “ 1.75 “ “ “ “ 19th “ “ 1.75 “ “ “ “ 20th “ “ 1.75 “ “ “ “ 21st “ “ 1.50 Emily Hertenstein “ “ “ “ .75 “ “ “ 22nd “ “ .75 Jake Alexander & wife “ 23rd “ “ 1.50 Jas Laughlin “ “ prescription .50 Mrs Jim McEwen “ 24th “ .50 Mr Wm Johnson “ 26th visit 1.50 Jacob Keen “ “ visit & med: 1.00 Miller Brown 2 children “ 29th visit & med: [2.50] Wm V. Cheek wife “ “ “ “ 1.00 Miller Brown “ 30th “ “ 2.50 Jim Castor “ “ prescription night 1.00 Miller Brown “ 31st visit & med: [2??] Wm V Cheek wife “ “ “ “ 1.00 “ “ Jany 1st 1864 “ “ 1.00 Mark Scott “ “ “ passing .50 Miller Brown Jany 1st 1864 visit & med 2.50 Johnson Myers “ “ “ passing .50 Miller Brown “ 2nd “ “ 2.50 Jos: E Lange “ “ “ “ 1.50 “ “ “ 3rd “ “ 1.50 Miller Brown “ “ “ “ 2.50 Mrs Cheek “ “ “ “ 1.00 Miller Brown “ 4th “ “ 2.50 Jos: E Lange “ “ “ “ 1.50 Mrs Cheek “ “ “ “ 1.00 Miller Brown “ 5th “ “ 2.50 Jos: E Lange “ “ “ “ 1.50 “ “ “ 6th “ “ 1.50 Miller Brown “ “ “ “ 2.50 Mrs Cheek “ 7th “ “ 1.00 Mr Aplanap “ “ “ “ 1.00 Hos: E Lange “ “ “ “ 1.50 “ “ “ 8th “ “ 1.50 Mr Aplanap “ “ “ “ 1.00 Mrs Cheek “ “ “ “ 1.00 Jake Alexander “ 9th “ “ .75 Frank Alexander “ “ “ “ .75 Mr Cheek “ “ “ “ 1.00 Jos: E Lange “ “ “ “ 1.50 “ “ “ “ 10th “ “ 1.50 Mr Cheek “ “ “ “ 1.00 Frank Alexander “ “ “ “ .75 Jo: Suter “ “ “ “ 1.20 Jim Castor “ “ “ ‘ 2.00 Frank Alexander “ 11th “ “ .75 Jos: E Lange “ “ “ “ 1.50 “ “ “ 12th “ “ 1.50 Frank Alexander Jany 12th visit & med .75 Jim Castor “ “ prescription .50 Mr Talkington to son “ “ emetic .25 Jos: E Lange “ 13th visit & med: 1.50 Mrs Cheek “ “ 2 “ “ [1.??] Frank Alexander “ “ “ “ [.75] N. Morback “ “ “ “ .75 Jos: E Lange “ 14th “ “ 1.50 Frank Alexander “ “ “ “ .50 Mrs Cheek “ “ 2 “ “ 1.50 Mrs “ “ 15th visit “ 2.00 Frank Alexander “ “ visit “ [.75] Jo: Riddle “ “ “ “ 1.50 Richd Sowers “ “ “ “ .75 “ “ “ 16 “ “ .75 Mrs Cheek “ “ visits “ 2.00 Frank Alexander “ “ “ “ .75 Jo: Riddle “ “ visit “ 1.50 Jos: E Lange “ “ “ “ 1.50 Mrs Cheek “ 17th “ “ 2.00 Jo: Riddle “ “ “ “ 1.50 John Groves to Bel “ “ prescription .25 Frank Alexander “ “ visits 1.00 Rich’d Sowers “ “ “ 1.25 “ “ “ 18th 1.00 Mrs Cheek “ “ visits 2.00 Jo: Riddle “ “ visit 1.50 Jake Alexander “ “ “ .75 Jake Suter “ “ “ 2.00 John Muri (Mrs Morris) “ “ “ 1.00 Mrs Sowers “ “ medicine .50 “ “ “ 19th visit .50 Jake Suter Jany 19th visit & med 1.50 Jo: Riddle “ “ “ “ 1.50 John Muir (Mrs Morris) “ “ visit & med: 1.00 Frank Alexander “ “ visits 1.00 Mrs Cheek “ “ visit 1.00 “ “ “ 20th visits 2.00 Frank Alexander “ “ visit .75 Jo: Riddle “ “ “ 1.50 Jos: E Lange “ “ “ 1.50 “ “ “ 21st “ 1.50 Mrs Cheek “ “ visits 2.00 Frank Alexander “ “ visits 1.00 Mrs Cheek “ “ “ 2.00 Mr Farmer “ “ visit 1.50 Mr J E Lange “ “ “ 1.50 Mr Keen “ “ prescription .50 Mrs Cheek “ 23rd visits 2.00 Frank Alexander “ “ visit 2.00 Mr Farmer “ “ “ 1.50 Jos: E Lange “ “ “ 1.50 Isaac Morris “ “ “ .75 Isaac Morris “ 24th visit .75 Mrs Cheek “ “ visits 2.00 Jos: E Lange “ “ visit 1.50 Mr Farmer “ “ “ 1.50 Mr Shafer “ “ “ 2.00 “ “ “ 25th “ 2.00 Mrs Cheek “ “ visits 2.00 Jos: E Lange “ “ visit 1.50 Johnson Myers Jany 25th prescription .50 Mr Nock “ “ “ .50 Mr Morris “ “ visits 1.00 “ “ “ 26th visit .75 Mrs Cheek “ “ visits 2.00 Jos: E Lange “ “ visit 1.50 Frank Alexander “ “ “ 1.50 Mr Farmer “ “ “ 1.50 Mr Shafer “ “ “ 2.00 Jos: E Lange “ 27th “ 1.50 Mrs Cheek “ “ visits 2.00 Isaac Morris “ “ visit .75 “ “ “ 28th “ .75 Mrs Cheek “ “ visits 2.00 Jos: E Lange “ “ visit .150 Isaac Morris “ 29th visits 1.00 Mrs Cheek “ “ visits 2.00 Jos: E Lange “ “ visit 1.50 Mr Shafer “ “ “ 2.00 Saml Dale “ “ prescription .75 [illegible] Keen “ “ “ .75 Mrs Cheek “ 30th visits 2.00 Jos: E Lange “ “ visit 1.50 Isaac Morris “ “ visits 1.00 Jacob Keen “ 31st “ 1.00 Mrs Cheek “ “ “ 2.00 Mr Landon “ “ visit 1.50 Jos: E Lange Feby 1st “ 1.50 Mrs Cheek “ “ visits 2.00 Jim Castor “ “ prescription .50 John Groves “ 2nd med: [.25] Mrs Cheek “ “ visits 2.00 Isaac Morris Feby 2nd visit .75 Mr Landon “ “ “ 1.50 Jacob Keen “ “ prescription .50 Mrs Cheek “ 3rd visits 2.00 J. E Lange “ “ visit 1.00 Isaac Morris “ “ “ .50 Mrs Cheek “ 4th visits 2.00 “ “ “ 5th “ 1.50 Jos: E Lange “ “ visit 1.25 Mrs Wolford “ “ visits 1.00 Jo: Riddle “ “ prescription .50 Jos. E Lange “ 6th visit 1.25 Mrs Cheek “ “ visits 1.50 Mrs Wolford “ “ “ 1.00 Mr Logan to Perry Myers “ “ prescription . 50 [Dan]: Castor “ “ “ .50 Mr J. Landon “ “ “ .50 Mrs Cheek “ 7th visits 1.50 Mrs Wolford “ “ “ 1.00 Mrs Ferriger “ “ visit 1.00 Jos: E Lange “ “ visits (all night) 1.50 Mr Wm Gray (mouth wash) “ 8th prescription .50 Mrs Wolford “ “ visit .50 “ Feringer “ “ “ & [illegible] .75 Mrs Cheek “ 8th “ 1.00 Jos: E Lange “ “ visits (all night) 1.50 “ “ “ 9th visits 1.50 Mrs Cheek “ “ “ 1.00 “ “ “ 10th “ 1.00 J. E Lange “ “ visit 1.25 “ “ “ 11th 2 “ 2.00 Mrs Cheek “ “ visits 1.50 [Jr:] Schlict Feby 11th visit .75 Frank Alexander “ “ “ 1.50 Mr [Ferringer] “ 12th medicine .10 Jos: E Lange “ “ visit 1.25 Mrs Cheek “ “ visits 1.50 Mrs Wilson “ “ visit 1.50 Frank Alexander “ “ “ 1.50 Jl: Schlict “ “ “ .75 Mrs [Waner] “ “ “ 1.50 Jos: E Lange “ 13th visit 1.50 Mrs Cheek “ “ 3 visits and all night 2.00 Mrs Wilson “ “ visit 1.50 MRs Jo: Schlicht “ “ “ .75 Mr Mock “ “ prescription .50 Mr Shafer “ “ medicine .25 Mrs [Waner] & John “ “ visit .150 Isaac Morris “ “ visit .50 Jos: E Lange “ 14 “ [1.20] Mrs Cheek “ “ visits 1.50 Mrs [Alvina] Wilson “ “ visit 1.50 Mrs Waner “ “ medicine .25 Jo: Schlict “ “ visit .75 Isaac Morris “ 15th “ .75 Jos: E Lange “ “ “ 1.50 Mrs Cheek “ “ visits 1.50 Mrs Waner “ “ visit 1.50 Jos: Schlict “ “ “ .75 Mrs Lucinda Alvina Wilson “ “ “ 1.50 Rich’d Sowers “ “ prescription .50 Jo: Suter “ “ visit 1.50 Mrs Cheek “ 16th visits 1.50 Mrs Waner “ “ 2 visits 2.00 Mrs [Elmina] Wilson Feby 16th visit 1.50 Isaac Morris “ “ “ .50 John Groves “ “ “ .75 Rich’d Sowers “ “ med: .15 Jo: Schlict “ “ visit .50 “ “ “ 17th “ .50 Jos: E Lange “ “ “ 1.50 Mrs Cheek “ “ visits 1.50 Mrs Elmina Wilson “ “ visit 1.50 Mrs Waner “ “ “ 1.50 Isaac Morris “ “ “ .50 “ “ “ 18th “ .50 Jos: E Lange “ “ “ 1.25 Mrs Cheek “ “ visits 1.50 Peter Cook “ “ visit 1.50 Mrs Elmina Wilson “ “ “ 1.50 “ “ “ “ 19th “ 1.50 Jos: E Lange “ “ “ 1.25 Mrs Cheek “ “ visits 1.50 Peter Cook “ “ visit 1.50 Mrs Elmina Wilson “ 20th “ 1.50 Mrs Cheek “ “ visits 1.50 Jos: E Lange “ “ visit 1.25 “ “ “ “ 21st visits all night) 1.50 Mrs Cheek “ “ “ 1.50 Mr Reep “ “ visit 1.50 Mrs Elmina Wilson “ “ “ 1.50 Adam Waner “ “ “ 1.50 Mrs Cheek “ 22nd visits 1.50 Jos: E Lange “ “ visit 1.25 Mrs Elmina Wilson “ “ “ 1.50 Isaac Morris “ “ “ .50 Adam Waner Feby 22nd visit 1.50 Johnson Myers “ “ prescription .50 Mrs Cheek “ 23rd visits 1.50 Jos: E Lange [illegible] & John “ “ visit [1.??] Mr Adam Waner “ “ “ 1.50 Isaiah Ewing “ “ “ 1.50 Mrs Elmina Wilson “ “ “ 1.50 “ “ “ 24th “ 1.50 Mrs Cheek “ “ visits 1.50 Adam Waner “ “ visit 1.25 Jos: E Lange “ “ visit 1.25 Isiah Ewing “ “ “ 1.25 “ “ “ 25th “ 1.25 Adam Waner’s 2 children “ “ “ 1.50 Mrs Cheek “ “ visits [illegible] Mrs Elmina Wilson “ “ visit 1.50 Isaac Morris “ “ visit & vaccination [1.?0] Tom Landon “ “ prescription .50 Mr Peter Bowers “ “ vaccine two children .50 Adam Waner 2 children “ 26th visit 1.50 Elmina Wilson “ “ “ 1.50 Isiah Ewing “ “ “ 1.50 Mrs Cheek “ “ visits 1.50 “ “ “ 27th visit 1.00 Isaiah Ewing “ “ med” only visit no charged Adam Wehner 2 children “ “ visit 1.50 Elmina Wilson “ “ “ 1.50 Jos: E Lange “ “ med” .25 Mr Landon Sr: “ “ prescription .50 Parker Wise “ “ med: & exam chest [illegible] Mrs Cheek “ 28th visit 1.00 Mr Adam Wehner “ “ “ 1.50 Mrs Elmina Wilson Feby 28th visit 1.50 Jos: E Lange “ “ prescription .50 Peter Bowers “ “ “ .50 Mr Landon Sr: “ 29th visit & med: 1.50 Mrs Elmina Wilson “ “ “ “ 1.50 Jo: Schlict “ “ “ “ .75 Saml Dale “ “ “ “ 2.00 “ “ “ “ 4 z of cough syrup [illegible] Mr Landon Sr March 1st visit & med: 1.50 Jo: Schlict “ “ “ “ .75 Isaac Morris “ “ “ “ .75 Mrs Elmina Wilson “ “ “ “ 1.50 Mrs Cheek “ 2nd “ 1.00 Isac Morris “ “ “ “ .50 Mr Landon Sr “ “ “ “ 1.50 Henry [Plus] “ “ cough syrup [illegible] John Main (Mrs [Mendenhal] [illegible] & Mrs [illegible]) “ “ visit & med: .75 Henry Plus “ 3rd “ “ [illegible] Mr Landon Sr: “ “ “ “ 1.50 Mr [Hantop] “ “ “ “ 1.50 Mrs Elmina Wilson “ “ “ “ 1.50 Hinson Gray “ “ “ “ 1.50 Saml Dale “ “ “ “ 2.00 Mr Landon “ 4th “ “ 1.50 Hinson Gray “ “ “ “ 1.50 Jos: E Lange “ “ prescription .50 John Muir “ “ visits & med [illegible] “ “ “ 5th “ 1.00 Mrs Cheek “ “ visit 1.00 Jos: E Lange “ “ “ all night 1.50 Mrs Elmina Wilson “ “ “ 1.50 Hinson Gray “ 6th “ 1.50 Mr Cheek March 6th visit (passing) .50 “ “ “ 7th “ 1.00 Jos: E Lange “ “ “ 1.50 Johnson Myers “ “ “ 1.50 Mrs Reep “ “ “ passing 1.00 Isaac Morris “ “ visits 1.00 “ “ “ 8th visit [illegible] Johnson Myers “ “ “ [1.??] Hinson Gray “ “ “ 1.50 Jos: E Lange “ “ “ 1.50 Mrs Elmina Wilson “ “ “ 1.50 Jos: Schlict “ 9th cerate [.2?] Mr Guisendorf Jr “ “ prescription [illegible] Isaac Morris “ “ visit .50 Jos: E Lange “ “ “ 1.50 Mr Bodenburg “ 10th “ .75 Mr Wiles “ “ “ 1.00 Hinson Gray “ “ “ 1.50 Mrs Elmina Wilson “ “ “ 1.50 Mr Dink “ “ “ night 1.00 Isaac Morris “ “ “ .50 Mr Dink “ 11th “ .50 Mr Wiles “ “ “ 1.50 Hinson Gray “ 12th “ 1.50 Mrs Koomer “ “ prescription [illegible] Mrs Elmina Wilson “ “ visit 1.50 Jos: E Lange “ “ med: .25 Hinson Gray “ 14th visit 1.50 Mr Bakman “ “ “ 2.00 Hinson Gray “ “ “ night 2.00 “ “ “ 15th “ 1.50 Mr Bachman “ “ “ 2.00 Mr Bousendorf Jr: March 15th prescription .50 Henry Wiles “ “ cough syrup .50 Mrs Elmina Wilson “ 16th visit 1.50 Jos: E Lange “ “ med: .25 Isaac Morris “ “ “ .25 Mr Bachman “ 17th visit & med: 1.00 Hinson Gray “ “ “ “ 1.50 Mr Bachman “ 18th “ “ 2.00 John Muir (Mary B.) & Graff0 “ 19th “ “ .75 Wm Keen “ 20th “ “ 2.00 Mr Smith’s visitor, at Mill “ “ “ “ .25 Wm Keen “ 21st “ “ 2.00 “ “ “ 22nd “ “ 2.00 Jos: E. Lange “ 24th “ night 2.00 Mrs Dink “ 25th “ “ .50 Mr Hardeback (Henry) “ “ prescription .50 Mr J. Keen “ “ visits & vacc: [1.90] “ “ “ 26th 1.00 Mrs Dink” “ visits 1.00 Mrs Abbot 3 children “ “ vaccination .75 Mr Bachman “ “ medicine .25 Mr Dink “ 27th visits & med 1.00 Mr Dink “ 27th visits & med 1.00 Mr Jacob Keen “ “ “ 1.00 “ “ “ “ 28th visit .75 Mr Dink “ “ visits 1.00 Mrs Cheek “ “ visit .100 Mr Smith’s visitor “ “ med: .25 Mr [Hantop] Sr “ 29th visit & med 3.00 Peter Bowers sister in law “ “ med: .25 Mrs Dink “ “ visit 1.00 “ “ “ 30th visits & med 1.00 “ “ “ 31st “ “ 1.00 Mrs Dink 2. April 1st visits 1.00 Mr Busendorf “ “ prescription .20 Peter Cook “ “ cough syrup .20 Jacob Keen “ “ visit .75 Mrs Anderson at [Craft’s] “ “ visit 3.00 Jacob Keen “ 2nd visits 1.00 Mr Dink 2. “ “ “ 1.00 “ “ “ “ 3rd “ 1.00 Jacob Keen “ “ “ 1.00 Mrs Anderson at [Crafts] “ “ visit 3.00 Saml Dale “ “ vacination .50 Mr Ryan “ “ “ .50 Mrs Anderson at [Crofts] “ 4th visit 3.00 Jacob Keen “ “ visits 1.00 Mrs Dink “ “ “ 1.00 Mrs Cheek “ “ visit 1.00 Mr Lyons “ “ obstetrics pd 2.50 5.00 Jacob Keen “ 5th visits 1.00 Mrs Dink “ “ “ 1.00 Mrs Anderson at Crofts “ “ visit 3.00 “ “ “ “ 6th “ 3.00 Jacob Keen “ “ visits 1.00 Mrs Dink “ “ “ 1.00 Mrs N. D. Jonson “ “ prescription .50 Mrs Heinz “ “ vaccination .50 Mr Ryan “ 7th prescription .50 Jacob Keen “ “ visits 1.00 Mr Dink “ “ “ 1.00 Mrs Anderson “ “ visit 3.00 Mr Adler fractured leg “ “ visits [illegible] “ “ “ 8th visit Jacob Keen “ “ visits .75 Mrs Dink April 8th visits 1.00 Mr Feringer “ “ visit 1.00 Mrs Miller Brown “ “ prescription .50 Mrs Anderson at Croft’s “ “ visit 3.00 Mr Ryan “ “ prescription .50 eyes of his boy “ “ Mrs Dink “ 9th visit .75 Mr Bodenburg “ “ “ .75 “ “ “ 10th med: .25 Mrs Dink “ “ visit .50 Mrs Feringer “ “ med” .25 Mrs Heinz “ “ “ .25 Mr Fultz “ “ visit & med: 1.50 “ “ “ 11th “ “ 1.50 Mr Dink “ “ “ “ .75 Mr Fred Marion “ “ “ “ 2.00 Mr Fultz “ 12th “ “ 1.50 Mr Dink “ “ visits & med 1.00 Johnson Myers “ “ prescription .50 John Groves “ “ prescription .50 Mrs Heinz “ “ med: .25 Adam Wehner “ 13th prescription .50 Ruben Fultz “ “ visit & med: 1.50 Mrs Dink “ “ visits & med. 1.00 Jacob Keen “ “ prescription .50 Ruben Fultz “ 14th visit & med: 1.50 Perry Myers (Mrs Priest) “ “ “ night 2.00 Ruben Fultz “ 15th visit & med 1.50 Wm Graf “ “ alcohol .10 Ruben Fultz “ 16th visit & med 1.50 Perry Myers (Mrs Priest) “ “ prescription .50 Mrs Garvin “ “ visit & med 2.00 $ Mrs Garvin April 17th 2 visits & med 3.00 Mrs Cheek “ “ prescription .50 Mrs Garvin “ 18th 2 visits & med 3.00 Mrs Heinz “ “ visit & med .50 Mr John Groves “ “ prescription .50 Mr Fariger “ 19th visit & med: 1.50 Mrs Garvin “ “ 2 visits & med: 3.00 Mrs Heinz “ “ “ “ “ 1.00 Jo: Schlict “ 20th prescription .75 Mrs Garvin “ “ visit & med: 2.00 Mr Fariger “ “ “ “ 3.00 Mrs Heinz “ “ “ “ .50 Mrs James Mc Ewen “ “ “ “ 1.50 “ “ “ “ “ pills .50 Mrs Garvin “ 21st visit & med 2.00 Mr Fariger “ “ “ “ 2.00 Mrs Feringer “ “ “ “ passing .50 David Lyons “ “ prescription .50 Mr Smith (Miller) “ “ visit & med 2.00 Jo: Schlict “ “ vaccination .50 Mr Mock “ “ visit & med 2.00 Mrs Ryan “ 22nd prescription .50 Mrs Ryan “ 22nd prescription .50 Mr Mock “ “ visit & med: 2.00 Mr Garvin “ “ “ “ 2.00 James Laughlin “ 23rd vaccinating 6 children 1.50 Mrs Bradburn “ “ visit & med: 1.00 Mr Mock “ “ “ “ 2.00 Ruben Fultz “ “ “ “ 1.50 Jos. E. Lange “ “ prescription .50 Mrs Heinz “ “ “ .50 Ruben Fultz “ 24th visit, med & V.S 2.00 Mr Mock “ “ “ “ 2.00 Mr Anderson April 24th visit & med: 3.00 Mr Mock “ 25th “ “ 2.00 Ruben Fultz “ “ “ “ 1.50 Mr Anderson “ 26th “ “ 3.00 Ruben Fultz “ “ “ “ 1.50 Mr Mock “ “ “ “ 2.00 Mr Heinz “ “ medicine .25 Mr Nicolai “ “ prescription .50 Mr J. E. Lange “ 27th obstetrics 5.00 Robt Foster “ 28th medicine .25 Ruben Fultz “ “ visit & med: 1.50 Mr Mock “ “ “ “ 2.00 Mr Anderson “ “ “ “ 3.00 Ruben Fultz “ 29th “ “ 1.50 Dennis Feringer “ “ “ “ 1.00 Ruben Fultz “ 30th “ “ 1.50 Jos: Schlict “ “ prescription .50 Ruben Fultz May 1st visit & med 1.50 Jos: E Lange “ “ prescription .50 Isaac Morris “ 2nd visits 1.00 “ “ “ 3rd 1.00 Frank Alexander “ “ visit & med: 1.50 “ “ “ 4th “ “ 1.50 Isaac Morris “ “ visits 1.00 “ “ “ 5th “ .75 Granny McEwen “ 6th prescription .50 Isaac Morris “ “ visit & med: .75 Granny Scott “ 7th prescription .50 Frank Alexander “ “ “ .50 Adler “ “ “ .50 Wittman “ “ “ .50 Mrs Heinz “ 8th med .50 Jos: E Lange May 14th med .25 Mr Huffbower ? 17th “ .25 Jim Perry “ 18th visit passing .75 John Groves “ “ prescription .50 Jim Perry “ 19th visit & med 1.50 Miss Scott “ “ prescription .50 Mr [Reno] “ “ “ .50 “ “ baby “ 20th “ .50 “ “ wife “ “ “ .50 Jim Perry “ “ visit & med 1.50 George Landon “ “ prescription .50 Jim Perry “ 21st visit & med: 1.50 Johnson Myers “ “ prescription .50 Mr Reno self “ “ “ .50 “ wife “ “ emetic .25 Jim Perry “ 22nd visit & med 1.50 John Thackery senior “ “ “ “ 2.00 Mr Ryan “ 23rd “ “ 2.50 Jim McEwen “ “ prescription .50 Johnson Myers “ 25th 2 visits & med 3.00 John Thackery Senior “ 26th visit & med: 2.00 Johnson Myers “ 27th 2 “ “ 3.00 “ “ “ 28th visit 1.50 Harriet Sowers “ “ prescription .50 Mrs Lamb “ “ “ .50 Andy McEwen “ “ “ .50 Mrs Jim McEwen “ “ “ .75 Johnson Myers “ 29th visit & med: 1.50 “ “ “ 30th “ “ 1.50 Mrs McHugh “ “ prescription .50 Mr J. Keen “ 31st ague pills .50 Johnson Myers “ “ visit & med: 1.50 Mrs Winters June 1st prescription .50 Mr Linkum “ “ “ .50 Mrs McHugh “ “ “ .50 Widow Lamb “ 3rd pills .25 Mrs McHugh “ “ prescription .75 Granny McEwen “ 5th “ .50 Andy McEwen “ 7th prescription .50 Mrs Lamb “ “ med: .25 Mrs McHugh “ “ prescription .50 Mr Linkum “ “ “ .25 Jim Perry “ 8th “ .60 Mrs McNew “ “ visit & med 2.50 Mrs Bradburn Sen “ “ “ “ 1.00 Mr Graff “ “ prescription 1.00 Mrs Bradburn “ 9th visit & med: 2.00 Mr Mark Scott “ “ prescription? Mr Reno “ 10th visit “ .50 Mrs McNew “ 11th visit & med: 2.50 Mrs Reep (county) “ “ prescription .50 Mrs McNew “ 13th visit & med: 2.50 Mr Mock “ “ “ “ (passing) 1.00 Mrs McNew “ 14th “ “ 2.50 “ “ “ “ 16th “ “ 2.00 Mr Mock “ “ “ “ [passing” .50 Isaiah Ewing “ “ “ “ 1.25 Miller Brown “ 18th “ “ 2.50 Mr Mock “ “ “ “ passing .50 Isaiah Ewing “ “ pills .25 Miller Brown “ 19th visit & med: 2.50 Jr James Mc[Quon] “ 20th prescription & ed .75 Mrs Fetters “ “ visit & med: 1.50 “ “ “ 21st 2 “ “ 2.00 Mrs Nicolai June 21st visit & med: passing .50 Saml Dale “ “ prescription .50 Mrs Fetters “ 22nd visit & med: 1.50 Mr Joseph Gray “ “ “ “ 2.00 “ “ “ “ 23rd “ “ 2.00 Mrs Fetters “ “ “ “ 1.50 Mr Joseph Gray “ 26th “ “ 2.00 “ “ “ “ 28th “ “ 2.00 Isaac Morris “ “ “ .50 Perry Myers “ 29th reducing ankle 5.00 Mr Jim McEwen “ 30th prescription .50 Mrs Nicolai & daughter “ “ visit & med: 1.25 Perry Myers “ 31st “ “ 1.50 Mrs Wm Johnson July 1st “ “ 1.50 Mr Nicolai “ “ “ “ 1.00 Mr Wm Johnson “ 2nd “ “ 1.50 Mr Nicolai “ 3rd prescription .50 Mrs Jim McEwen “ 5th “ .50 Jos: Schleicht “ “ visit & med: 1.00 “ “ “ 6th “ “ 1.00 Peter Morback wife “ “ “ “ 1.00 Jos: Gray “ “ med: [.25] Peter Morbach “ 7th visit & med: 1.00 Mr [Fraser] [otter] village “ “ “ “ night .50 David Brown “ 8th prescription 1.00 Mr Winters “ “ visit & med [at ross] 2.00 Mr Fred: Fraser “ “ pills .25 “ “ “ “ 9th visit & med [illegible] Henry Wiles Jr “ “ setting fracture & dislocation Mr Fred: Fraser “ 13th prescription [illegible] Joseph Suter “ 14th visit night [illegible] James Laughlin 2 children “ 15th 2 “ 2.50 Mr Mock July 15th 2 visits & med [3.50] Johnson Myers “ “ ext tooth .50 Mr Mock “ 16th visit & med 2.00 Mr J Laughlin “ “ “ “ 1.50 Mr Nicolai “ “ “ “ 1.00 “ “ “ 17th “ “ 1.00 “ Patterson “ “ prescription .50 Mr J. Laughlin “ “ visit & med 1.50 Mr Mock “ “ “ “ 2.00 Mr Jim Castor “ “ 2 visits “ 2.00 Mr Reno “ 19th consultation Dr Price 5.00 Mr Nicolai “ 20th prescription .50 Mrs Heinz “ 21st visit & med: night 1.50 Mr John Groves Bel “ 23rd prescription .50 Mrs Sowers “ “ visit & med: 1.00 Lewis Lange “ “ prescription .75 Mr Wilson “ 25th cough .50 Mr Tom Landon “ 26th “ [illegible] Chris Goff “ 27th “ .50 Johnson Myers “ 27th “ .50 Mr Hertenstein “ 28th “ .50 Mr Smith (Miller) “ 30th visit * (passing) .50 Mr McClinchy “ “ “ 2.00 Mr Soper “ “ “ 1.50 Mr S. Dale “ “ prescription .50 Isaac Morris “ 31st tinct iod: comp: zi .20 Mr McClinchy “ “ visit & med: 2.00 Nicholas Morbach Augst 1st “ “ 1.00 John Newman Sen “ 2nd prescription .50 Isaac Morris “ “ reducing dislocated rist 5.00 Henry Wiles “ 3rd visit & med 1.00 “ “ “ 4th .50 Mr [Stinger] Aug 5th visit & med night [2.??] “ Patterson “ “ prescription .50 “ McClinchy “ 6th “ .50 Mr Kutzendofer “ 7th visit & med [illegible] Mrs Scott “ “ “ “ 3.00 Mr Kutzendorfer “ 8th “ “ 1.50 Mr Waner “ 9th prescription .50 Mrs Scott “ “ visit & med: 3.00 “ “ “ 11th “ “ 3.00 Mr Jim McEwen “ “ prescription .50 Mr S. Dale “ “ “ .50 Nick Morback “ 12th “ .50 Lewis Lange “ “ “ .50 Mrs Scott “ 13th visit & med: 3.00 Mr Isaac Morris “ “ “ 1.00 Mrs Scott “ 15th visit & med 3.00 “ “ “ 17th “ “ 3.00 Mrs Heinz “ “ “ “ night 1.00 Johnson Myers “ “ “ “ 1.75 Dennis Feringer “ “ “ “ 1.00 “ “ “ 20th “ “ 1.00 “ “ “ 22nd “ “ 1.00 Hinson Gray “ 25th prescription .75 [?udge] Major “ “ visit to John Glass’s night 2.00 Dennis Feringer “ “ “ 1.00 Mrs John Groves “ 26th prescription .50 “ “ “ “ 27th visit & med 1.00 Mrs Scott “ “ prescription .50 Isaac Morris “ “ visit & med 1.00 “ “ “ 28th “ “ 1.00 John Groves “ “ “ “ 1.00 Tom Landon “ “ prescription .50 Lewis Lange Augst 28th prescription .50 Mrs Keen “ 31st “ .50 “ “ Sept 1st visit & med: 1.00 Adam Coleman Sen “ “ “ “ 1.50 “ “ “ “ 2nd “ “ 1.50 Mrs Scott “ “ prescription .50 Mrs Groves “ “ “ .50 “ Keen “ “ “ 1.00 Jos: Schlict “ 7th “ .50 Dennis Feringer “ 8th visit 1.00 Mr [illegible] “ “ “ & med 2.50 “ [Steuri] “ 9th “ “ 2.00 “ Nicolai “ “ “ “ 1.50 “ “ “ 10th “’ 1.50 Mr Stinger “ “ “ “ 2.00 Mr Jim McQuone (to boy) “ “ prescription .50 Mr Stinger “ 11th visit & med: 1.50 Jim McQuone (boy) “ “ prescription .25 Dennis Feringer “ 12th visit 1.00 Theodore Shlater “ “ “ 1.00 John Fromer “ “ “ & med 2.00 Mrs Scott (Osgood) “ 13th prescription .50 John Fromer “ “ visit & med: [illegible] Theodore Schlater “ “ “ “ 1.00 Jim McQuone (boy) “ “ pills .40 Mr Plus “ 14th visit & med 3.50 Nich: Morbach “ “ prescription .25 Mr Plus “ 15th visit & med: [3.50] “ “ “ 16th “ “ 3.50 Mr Feringer “ “ “ “ 1.00 Mr Steuri “ “ “ passing .50 Mrs McQuone “ “ pills .20 Jim McEwen Septr 16th prescription .25 Mr Steuri 2 patients “ 17th visit & med: 2.50 “ “ “ “ 18th “ “ 2.00 Mr Feringer “ “ “ “ 1.00 Mr Kuester “ “ prescription .50 Mr Steuri “ 19th visit & med 2.00 Mrs Scott (Osgood) “ “ prescription .50 Mr Kuester self & boy “ 20th visit & med 2.75 Mr Peter Schlict “ 21st “ “ 1.00 “ “ “ “ 22nd 2 visits “ 1.50 “ “ “ “ 23rd visit & med 1.00 Theo: Schlater “ “ prescription 1.00 Mr McClichy “ “ “ .50 Peter Schlict “ 24th visit & med: 1.00 “ “ “ 25th “ “ 1.00 Jake Suter “ “ prescription .50 Becky Haren “ “ “ .50 Peter Schlicht “ 26th visit & med 1.00 Jake Suter “ “ prescription .50 James Laughlin “ “ visit to [illegible] [illegible] 5.00 Nevin McQuone “ “ med .25 MRs Wiles “ 27th “ .75 Peter Schlicht “ “ visit & med: 1.00 Mr Wittman “ 29th “ “ 1.00 [illegible] Clifford “ “ “ “ 2.50 Mr Stepp (Miss Stepp) “ “ extracting tooth .50 Theodore Slater Oct: 2nd prescription .75 Mr Wittman “ “ visit & med: 1.00 Nich: Morbach “ 3rd prescription .50 Mr Wittman “ “ visit & med: 1.00 Jim Perry “ “ prescription .50 Mr Wittman “ 4th visit & med: 1.00 Jim Castor Oct: 4th visit & med: [illegible] Mrs Castor at Jim’s “ “ prescription .50 Mr Wittman “ 5th visit & med 1.00 Jim Castor “ “ “ “ 1.25 Bob Wise “ “ eyes attended Jim Castor Oct: 6th visit & med: 1.25 Mr [Tager] “ “ “ “ 1.00 Eli Skinner “ “ prescription 1.00 Jim Castor “ 7th visit & med: 1.25 Frank Scott’s 2 children “ “ “ “ 2.50 “ “ “ “ 8th “ “ [2.50] Jim Castor “ “ “ “ 1.25 Mrs [Krusy] at Koomer’s “ “ “ “ 3.00 Theo: Slater “ “ liniment .50 Mrs Krusy “ 9th visit & med 2.50 Jim Castor “ “ “ “ 1.25 Frank Scott “ “ “ “ [2.??] Mrs Shafer “ “ prescription 1.00 Mr [Jager] “ 10th “ .75 Jim Castor “ “ visit & med: 1.25 “ “ “ 11th visit & med 1.25 Mrs Watterson Frank Alexdr’s Suter “ “ prescription .50 Jim Castor “ 12th 2 visits & med: 1.50 Mr Wittman “ “ visit & med 1.00 Peter Schlict “ “ “ “ 1.00 Mrs Kausy “ “ “ “ 2.50 Peter Schlicht “ 13th visit & med: 1.00 Mr Wittman “ “ “ “ 1.00 Jim Castor “ “ “ “ 1.25 D. Hall “ “ obstetrics 10.00 Jim Castor “ 14th visits & med 1.25 Peter Schlict “ “ visit & med: 1.00 Mr Wittman Oct: 14th visit & med: 1.00 “ “ “ 15th “ “ 1.00 Peter Schlict “ “ “ “ 1.00 Jim Castor “ “ “ “ 1.25 Mr Bradburn Sen: “ “ prescription night 1.00 Mrs White “ “ “ 1.00 “ “ “ 16th visit & med 1.25 Jim Castor “ “ “ “ 1.25 Mr Wittman “ “ “ “ 1.00 Jim Perry “ “ prescription .50 Jim Castor “ 17th visit & med: 1.25 Mrs White “ “ “ “ 1.25 Mr Wittman “ “ “ “ 1.00 Jim McEwen boy “ “ prescription .50 Mrs Reep (county) 2 children “ “ visit & med 1.50 Mr [Wachner] “ “ “ night “ “ 2.50 Jim Castor “ “ 18th 2 “ “ 1.50 Wm White “ “ 2 “ “ 1.50 Wm Clifford “ “ prescription .50 Jim Castor “ 19th visit & med: 1.25 Mrs White “ “ “ “ 1.25 Mr Wachner “ “ prescription .50 Mrs Reep 2 “ “ visit 1.25 [Faze] Scott girl’s eye “ “ 5.00 Mrs Reep “ 20th visit & med 1.25 [illegible] Kelsh “ “ “ “ 3.00 Jim Castor “ “ “ “ 1.25 Mrs White “ “ “ “ 1.25 Mr Wittman “ “ “ “ 1.00 Mrs White “ 21st “ “ 1.25 “ Reep (county) “ “ “ “ 1.25 Jim Castor “ “ “ “ 1.25 Henry Kelsh Oct: 21st visit & med: 3.00 Mr White “ 22nd “ “ 1.25 Jim Castor “ “ “ “ 1.25 Mrs Reep “ “ “ “ 1.25 Henry Kelsh “ “ “ “ 3.00 “ “ “ 23rd “ “ 3.00 Jim Castor “ “ “ “ 1.25 Henry Kelsh “ 24th “ “ 3.00 Jacob Keen “ “ “ “ .75 Mr Smith (Miller) “ “ prescription .75 Mrs at Robinson’s “ 26th visit & med 1.00 Henry Kelsh & baby “ “ “ “ 3.00 Mrs Jim McEwen “ “ pills .25 Henry Kelsh & baby “ 27th visit & med: 3.00 “ “ “ 28th “ “ 2.50 Mrs Smith (Miller) “ “ “ “ 2.00 Mrs Scott (Osgood) “ “ “ “ 3.00 “ “ “ “ 29th “ “ 3.00 Jim Perry “ 30th prescription .75 Jim Castor “ “ “ .75 Mr Wittman “ “ visit .50 Jim Castor “ 31st “ all night 3.00 Geo: Luhn Nov 1st ext: tooth .50 Mrs Scott (Osgood) “ 2nd visit & med 3.50 Mrs Smith (Miller) “ “ passing “ “ 1.00 Dow Castor “ 3rd prescription 1.00 Job “ “ “ pills .25 “ “ “ 5th visit & med 2.00 Nich Morbach “ “ “ med 1.00 John Newman Sen: “ “ “ 2.00 Mrs Plus “ “ “ med 3.00 Mr Nich Morbach Novr 6th 2 visits & med 1.50 “ “ “ “ 7th 2 visits & med 1.50 Henry Kelsh “ “ “ “ 3.00 Frank Alexander “ 8th “ “ 3 A.M. 2.00 “ “ “ “ “ 1.50 Nich Morbach “ “ 2 “ “ 1.50 “ “ “ 9th 2 visits “ 1.50 Frank Alexander “ “ “ “ 1.50 Jake Suter’s son “ “ setting clavicle 5.00 Mrs Keen “ “ prescription .50 “ Dink “ “ “ .50 Mrs Plus “ 10th visit & med: 3.00 Mr Happe “ “ “ vaginal exam: 2.00 Frank Alexander “ “ “ & med: 2.00 Nich Morbach “ “ “ 1.00 Jo: Schlict “ 11th 2 visits & med 1.50 George Risinger ([Batesville]) “ “ visit & “ 6.50 Mrs Isacc Morris “ 12th emetic .50 Jo: Schlict “ “ visit & med: 1.00 Mr Plus “ “ “ “ 3.00 Frank Alexander “ “ “ “ 2.00 Mrs Geo: Risinger “ 13th “ “ 6.00 Mrs Schryock “ “ “ “ 1.00 Mrs Plus “ 14th “ “ 3.00 Taze Sott “ “ eye water & application 1.00 Mrs Geo: Risinger “ 15th visit & med: 6.50 “ Schryock “ “ “ [illegible] Jim Castor “ 16th prescription .50 Mrs Geo: Risinger “ 18th visit & med 6.00 Mrs Schryock “ “ “ “ 1.00 Taze Scott “ 19th “ “ 1.50 “ “ “ 20th “ “ 1.50 Geo: Risinger Novr 20th prescription .50 Mrs Cook Sen “ “ visit & med 2.00 Taze Scott “ “ “ “ 1.00 “ “ “ 21st “ “ 1.50 Geo: Risinger “ “ “ “ 6.00 Mr Schryock “ “ “ “ 1.00 Taze Scott “ 22nd “ “ 1.00 “ “ “ 23rd “ “ 1.50 Mr Andrews “ “ “ “ 2.00 “ “ “ 24th “ “ 1.50 Taze Scott “ “ “ “ 1.50 Mr Jos: Andrews “ 25th “ “ 1.50 Mr Adler “ “ “ “ 2.00 “ “ “ 26th “ “ 1.50 “ Graff “ “ “ “ 1.00 “ “ “ 27th “ 1.00 Mr Adler “ “ “ “ 1.50 Mr Smith (Miller) “ “ prescription 1.00 “ “ “ “ 29 visit & med 2.00 Mrs Scott Osgood “ “ “ “ 3.00 Mr Adler “ “ “ “ 1.50 Mr Taze Scott “ “ “ “ 1.50 Mrs Robt Wilson “ 30th “ “ 5.00 Mr Adler “ “ “ “ 1.50 Hinson Gray “ “ “ “ 2.00 “ “ Dec 1st “ 2.00 Mr Adler “ “ “ “ 1.50 Taze Scott “ “ “ “ 1.50 Mr Adler “ 2nd “ “ 1.50 Hinson Gray “ “ “ “ 2.00 “ “ “ 3rd “ “ 2.00 Mr Adler “ “ “ “ 1.50 Mr Winters Dec. 3rd prescription .50 Mr Veatch ” 4th “ .50 Mr Adler “ “ visit & med: 1.50 Taze Scott “ “ “ “ cupping 2.00 “ “ “ 5th “ 1.50 Mrs Veatch “ “ “ 1.50 Mr Adler “ “ “ 1.50 Granny McEwen “ “ strengthening plaster .25 Mrs Heinz “ “ visit & lancing [baby] 1.00 Mrs Adler “ 6th & med: 1.50 Mr Veatch “ “ “ “ 1.50 Taze Scott “ “ “ “ 1.50 Mr Step’s daughter “ “ Ext: tooth .50 “ Adler “ 7th visit 1.50 Taze Scott “ “ “ & med: 1.50 Jim McEwen “ “ prescription .50 Mr Adler “ 8th visit & med: 1.50 Mr Taze Scott “ “ “ “ 1.50 Mrs Jim McEwen “ 10th prescription .50 Jake Alexander “ “ obstetrics 5.00 Mr Adler “ 11th visit & 1.50 Mr Taze Scott “ “ “ 1.50 N. Morbach “ “ prescription .50 Taz Scott “ 12th visit & med 1.50 “ “ “ 13th “ “ 1.50 1857 Jany 10th Jno: L Morford Marion Co 3 mos. on pet “ “ Sampson B. Walker “ “ “ “ “ 17 Miss Seybold “ 12 mos leg: reg “ 24 Thomas Kane “ “ “ “ “ 27th Isaac L Gardner “ “ “ “ “ [illegible] continued 1857 March 25th Schenck Marion 3 mos. on petition “ 26th S. A. Gould 24 mos [illegible] reg: “ 31st A Roberts “ 3 mos on petition June 30th Franes Aston “ 12 mos leg: reg: Augst 25th Jacob A. J. Leary “ 12 mos “ “ “ 28th Chas C Smith “ 24 mos “ “ Oct: 30th Wm Taylor “ 3 mos “ “ Oct: 9th Jno [Kan] “ 12 mos “ “ “ 5th Tho’s Duell “ 6 mos “ “ “ 16th Robt Taylor “ 12 mos “ “ “ 24th Mr Andrews “ 2 years “ “ “ “ Cyrus Horton “ 12 mos “ “ “ 30th Elizabeth [Hosbrook] “ 24 mos leg: reg: & bk pressing simple [illegible] surveying, geometry & plane trigonom Nov 14th Robt L. McGaughey “ 13 mos: leg: reg: “ 14th James L Johnson “ 13 mos: “ “ “ 18th Mr Harding “ 3 mos “ “ “ 24th Joanna Sweinhart “ 6 mos “ “ “ 25th E. J. Nowland “ 12 mos “ “ “ 28th Alex’r Jameson “ 24 mos “ “ “ 28th Tho’s E. [Durie] “ 6 mos “ “ Dec 4th Josiah H. Razor “ 12 mos “ “ Dec 4th Jno D. Whitted “ 3 mos “ “ Dec 7th Henry A Dean “ 24 mos “ “ “ “ Johns “ 12 mos “ “ “ 11th Enoch E Fleming “ 24 mos “ “ “ 12th Robt Can “ 12 mos “ “ “ 14th David W Barnett “ 3 mos “ “ Dec 15th Joel Stafford Marion Co: 6 mos. Leg: reg Dec 17th Allen Frizzell “ “ “ “ “ “ “ Jno: Goodier “ “ 3 mo. on petition “ 21st Henry T Day “ “ 24 mos. leg: reg: “ 26th Robertson “ “ 3 mos. “ “ “ “ Calvin Taylor “ “ 24 mos: “ “ “ 29th White “ “ 12 mos: “ “ “ 30th Alfred Clarke “ “ 6 mos “ “ 31st Martha Smock “ “ 12 mos “ “ 1858 Jany 6th Sarah Jane Wilson Marion Co: 12 mos: “ “ Jany 9th Wm Pollard “ “ 6 mos: “ “ “ “ Jefferson Russel “ “ 3 mos: petition “ 16th J. B. Fowler “ “ 12 mos leg; reg: Feby 13th John [Valangingham] “ “ 12 mos “ “ “ 20th Wm P. Long “ “ 12 mos “ “ “ 27th House “ “ 24 mos “ “ “ 27th Frasier “ “ 12 mos “ “ March 4th John W Day “ “ 12 mos “ “ fiscal year commencing March 1st 1858 March 4th John W Day “ 12 mos: “ “ March 30th Martha A [Ware] Marion Co 24 mos “ “ April 6th Mary A. Evans. “ “ 12 mos “ “ June 12th Ruth Hibbert “ “ 24 “ “ “ August 17th Eliza Ruckle “ “ 6 “ “ “ “ 19th Anna Guthrie “ “ 6 “ “ “ Sept: 4th Elisabeth Denny “ “ 12 “ “ “ “ 9th John Hankins “ “ 12 “ “ “ “ 10th Dan’l Ferris “ “ 18 “ “ “ “ 18th Rachel L [Morse] “ “ 24 “ “ “ “ 30th Anthony C. Thompson “ “ 12 “ “ “ Oct. 11th Albert G. Hardin “ “ 12 “ “ “ “ 14th Jno: D Whitted “ “ 6 “ “ “ Nov 3rd Marg: Schweinheart Marion Co: 12 mos L.Q. “ “ Jno: H.[Smay] “ “ 3 mos leg: reg. “ 5th J Nesbitt “ “ 24 “ “ “ “ 10th Jas. P. March “ “ 6 “ “ “ “ 10th Margt Moose “ “ 24 “ “ “ “ 12th John H Smith “ “ 12 “ “ “ “ 13th Thos “ “ 6 “ “ “ “ 16th Jas McKean “ “ 24 “ “ “ “ 20th Cyrus Smith “ “ 24 “ “ “ 22nd T. D. Thorpe “ “ 12 “ “ “ Decr 2nd Philip A. Brown “ “ 6 “ “ “ “ “ John L Walmsley “ “ 12 “ “ “ “ 5th A. F. Denny “ “ “ “ “ “ “ 6th Erasmus D Thomas “ “ “ “ “ “ “ 6th Warren Hamilton “ “ 12 “ “ “ “ 7th Sarah Wells “ “ 3 mos “ “ “ “ 17th Wm Bobbs “ “ 12 mos “ “ “ 1859 Jany 4th Martha De Ware “ 24 “ “ “ “ “ 22nd John H [Girts] “ 12 “ “ “ “ Feby 19th Geo W Stanley “ 18 “ “ “ “ March 3rd Thos. J Wright “ 6 “ “ “ “ 7th “ on petition “ “ 24th Mary E Kuhn “ 6 leg: reg: Augst 16th Lucy L McClain “ 6 “ “ “ 30th Corydon R Skinner “ “ 12 mos: “ “ Sept: 5th Thos: A Marshall “ “ 12 mos: “ “ “ 9th Ada M Daugherty “ “ 3 mos “ “ “ 10th Robt [Carn] “ “ 12 mos “ “ “ 12th Peter M Kelley “ 24 “ “ “ “ 21st Lusena T Sanders “ 12 “ “ “ “ “ Alfred B. Shaw “ 24 “ “ “ Sept. 22nd Mattie Thomas. Marion Co: 3 mos leg: reg “ 23rd Albert Hockensmith “ 24 “ “ “ “ 27th A. D. Goodwin “ 12 “ “ “ Oct: 1st Israel Wilson “ 6 “ “ “ “ “ “ McEntee “ 24 “ “ “ “ “ Wm on petition “ “ Mrs Jane Grafton “ 6 leg. reg. “ “ L. M. Harris “ 12 “ leg reg “ 11th Elisha Green “ 12 “ “ “ “ 29th Wm L Chapman “ 3 “ petition Nov: 7th Wm T. Silvey “ 3 “ “ “ “ Dennis O Callaghan “ 24 “ leg: reg: “ 24th [illegible] Scott “ 12 “ “ “ “ 26th Caleb Rinker “ “ “ “ “ “ “ Joseph Ankrom “ “ “ “ “ “ 30 Albert G. Hardie “ 24 “ “ “ Dec: 2nd “ 6 “ “ “ “ 27 Wm McClain “ 24 “ “ “ Jan 15th Danl Berry “ 12 “ “ “ 22nd Mr Robb’s child “ Feb 9th [illegible] A [Caywood] “ 3 Fiscal year Mch 19th Carrie Snyder “ 6 “ “ “ 28th W. H. [Wea””tler] P. O. [illegible] “ 24 “ “ “ 31st Eliza Hathaway [Cumberland] “ 6 “ “ Ap: 3rd Elizabeth Catterson [Germantown] “ 24 “ “ May 30th Margaret Catterson “ 24 “ “ Record of the proceedings at the school meeting Oct: 17th 1862 at Napoleon Dist: [illegible] Jackson [township] Indiana G. M. Darrach Director presiding, Mr Geo Baylor Secretary. An election for a teacher was held which resulted in A. M. Ross receiving 4 votes, Frances M. Alexander 14 votes and Miss Louisa [Ba??ckman] 17 votes: No other business before the meeting, it adjourned No one receiving a majority G.M.D. Record of the school meeting held Novr 8th 1862 Candidates No: of votes. Alexander Macleod 28 votes Louis Barrickman 15 “ G. N. Darrach. Dist. No. 3 Jackson township [Rigily] Co: Indiana. Record of school meeting held at Napoleon Decr27th 1862, for the purpose of disposing of the old school house and of erecting a new one On motion of Isaac Morris, which was seconded and carried, the director appointed. M. [illegible] La Rochey and John Thackrey a committee to draft a plan and form an estimate as to the cost of erecting a new [illegible] the committee to report to adjourn meeting Saturday Jany 3rd 1863 School meeting May 30th 1863 At a called meeting to take into consideration the propriety of instituting suit ag’t a former trustee, Isaac Morris and G. M. Darrach were appointed a committee to consult a lawyer School expenses 1 Japan candlestick. 2 wall, tin candlesticks [illegible] wood $1.00 Repairing [illegible] Luhn [Browns] wood 5 cords 4 [illegible] sawed and split, $8.00. repairing stove pipe. Tacks on [paper] candles lbs: candles 1 lb May 30th 1863 Annual meeting The annual meting was held on the evening of Oct: [illegible] 1863 at the old school house in Napoleon when and where Mr Theodore Schlater was elected director for the ensuing year. Account with my Landlord or Landlords $ cts Chain pump. 8.50 Plastering 6.00 Road tax (property) .20 Repairing stable roof Rep: front & line fence Taxes System of Table I At of metal at ox 1 + 1 Oxide of metal 1 + 3 Bis ox “ “ 1 + 3 Ter “ “ “ 1 + 4 Quarter “ “ “ 2 + 1 Dis “ “ “ 3 + 1 Tris “ “ “ 4 + 1 Tetrakis “ “ “ 2 + 3 Dister “ “ “ 2 + 5 Disquinquan Table II Ox :S 1 + 1 Sulphate of the metal 1 + 2 Bis sulphate “ “ 1 + 3 Ter “ “ “ 1 + 4 Quarter “ “ “ 2 + 1 Dis “ “ “ 3 + 1 Tris “ “ “ 4 + 1 Tetrakis “ “ “ Table III Bis ox : S 1 + 1 Sulphate of bis met 1 + 2 Bis “ “ “ “ 2 + 1 Dis “ “ “ “ Table IV Fer Ox :S 1 + 1 Sulphate of ter met 1 + 2 Bis sulpate “ “ “ 1 + 3 Fer “ “ “ “ 2 + 1 Dis “ “ “ “ R Table V Dis Ox :S 1 + 1 Sulpate of Dis met 1 + 2 Bis sulpate “ “ 2 + 1 Dis “ “ “ Table VI Tris Ox : S 1 + 1 Sulpate of tris met 1 + 2 Bis “ “ “ “ 2 + 1 Dis “ “ “ “ Table VIi Dister Ox :S 1 = 1 Sulphate of the dister metal 1 + 2 Bis sulphate “ “ 2 + 1 Dis “ “ “ Nosology Principles of arrangement of diseases. 1st Duration of disease 2nd Supposed location of disease 3rd “ cause “ “ 4th Pathognomonic symptom 5th Category of symptoms 7th Initial letter of the name of disease 7th Common sense Application of said principles 1st Accord’g to thje pathognom’c symptom The Hippocratic arrang’t of fevers 1st Causes 2nd Lipuria 3rd Epialus 2nd Duration of diseases The arrang’t of Aratus 1 Acute 2 Chronic 3rd Category of symptoms The praxis medica of plater 1 Functiones lesiones 2 Dolores 3 Vitia Triple principles of cause. Pathognomonic symptom & location Noslogical methodica of Sauvage 1 Vitia 2 Febres 3 Phlegmasiae 4 Spasm 5 Anhelatione 6 Debilitates 7 Dolores 8 Vesania or brain diseases 9 Fluxes 10 Cachexia Modifications of the noso-logical method 1stg by Linneus 1 “ Vogel 3 “ Sagar Synopsys of the nosological method of Cullen 1st Pyrexia 2 Neurosis 3 Cachexia 4 Locales Rudimenta of Selle Plonquets outlines M Pinels philosophical nosography Mac Bride classification Crichtons outlines Zoonomia by Darwin Parrs system of Dr John Mason Gord 1 Galiaca 2 Pneumonia 3 Hamatica 4 Neurotica 5 Genetica 6 Ecctritica 7 Tychica 5th Initial letter of the name of the disease 1 medical dictionaries 2 “ cyclopaedias 6th Common consent 1 Fevers 2 Phlegmasiae 3 Chronic diseases 4 Nervous “ Etiology [illegible] cause [illegible] discourse A treatise on causation In respect to medicine an exposition of the cause of disease. The two great antagonistic principles 1 Destructive 2 Protective or by Schenlein Planetary Egoistical Health The result of successful resistance of the egoistic principle against the destructive. Disease. An undue influence of the destructive over the egoistic called also nature vis medicatrix naturae etc. varied form of disease Owing to the varied degrees of said undue influence. Destructive character of each disease 1 Nature of the destructive agent 2 Particular organ on which said agent acts 3 Temperament etc. of the diseased individual. Hence these three parts of etiology 1st Subjective (a) the affected organ (b) Individual temperament etc. 2nd Objective External injurious power 1 mechanical causes Bruising Cutting Stretching Ins 2 chemical causes mineral poisons etc. 3 Alimentary causes, articles of food unassimilated from 1 Quantity 2 Quality 3 Untimely use 4th Cosmical causes Influence of the earth relative to the planetary system, exerted through the human body by 1 climate 2 season 3 length of day 5 Atmospherical cause 1 Undue gravity or levity of the atmosphere 2 Extra and protracted moisture 3 “ “ “ dryness 4 Sudden changes of temperature 5 Positive and neg states of electricity in the atmosphere 6 Inordinate increased of duration heat light and magnetism 7 Currents 8 Calms 9 Mixtures Miasm the great febrile principle 1 External necro luma eleo [Hudralnaro] Eleo-luma 2 Internal Ideo The great febrile principle miasma [illegible] blot stain 5 External miasmata 1 necro miasma [illegible] dead body 2 luma “ [illegible] filth 3 Eleo “ [illegible] marsh 4 Hudralnaro “ [illegible] water salt fresh 5 Eleo luma “ [illegible] Internal miasmata Idio miasma [illegible] one’s self Division 1st The great febrile principle and its antidote Fevers. Fever is general disease, with Endemic. Veno-hepatic congestion Intermittent. Remittent. Continued. or Epidemic. Capillary congestion Influenza. Pertussis. Exanthems. or Contagious Putrescent blood Typhus. Plague. Small-pox. Division 2nd Inflamation and sympathetic constitutional excitement Phlegmasiae. Cephalic Inflamation of the Dura-mater or dura-matritis arachnoid “ arachnitis Pia water “ pia matritis Substance of the brain “ cerebritis Anginose. Inflamation of the Nose Fauces or cynanche pharyngea Tonsils “ tonsilitis Throat “ oesophagitis Thoracic Inflam of the Larynx or cynanche laryngea Trachea “ “ trachealis croup. Bronchia “ bronchitis Pleura “ pleurisy Lungs “ pneumonia Do Pleura “ pleuro pneumonia Coral. Inflam of the Abdominal Pericardium “ pericarditis Internal coat “ endo-carditis Substance of the heart “ carditis Inflam of the Peritoneum “ peritonitis Stomach “ gastritis Do “ Small intestines “ gastro-enteritis Do Do “ enteritis Large Do “ diarrhea dysentery hepatitis Liver “ Pancreas Kidneys “ nephritis Bladder “ cystitis Division 3rd A diseased condition of the blood chronic diseases Tubercle Carcenoma Melenosa Dropsy Haemorrhage B. Association sympathy & metastasis (a) chronic diseases Dyspepsia Gout Rheumatism C. Lession of tissue (a) chronic diseases Softening Ulceration Attenuation Atrophy Hyperthrophy Adhesions Division 4th A Diseases of the nervous system Order I A Affecting the intellect (a) Diseased perception with disturbance of judgement Mania (b) Judgement perverted or overpowered by force of some predominant passion. (c) Judgement perverted or overpowered by imagination. 1 Ilusion 2 Sentimentalism 3 Mental extravagance 4 Hypochondria (d) Voluntary inactivity of the external senses during wakefulness. 1 Revery 2 Abstraction of mind 3 Absence of mind 4 Brown study (e) Voluntary organs, involuntarily excited to their accustomed activity while the other organs remain asleep 1 Ambulance 2 Loquans 2 Salax (f) Defect or hebetude of understanding 1 Imbecility 2 Dementia 3 Dotage Order II A Affecting the senses. (a) Dullness, deprivation or abolition of one or more of the external organs of sense Light Hearing Smell Taste Touch vitiated or lost Order III A Irregular action of the muscles or muscular fibres (a) Contraction or rigidity of both 1 Priapum 2 Stiff neck 3 macular stiff joint 4 Lock jaw 5 Tetanus 6 [scrotismus] 7 Systiemma (b) Muscular contractions with acute lancinating pain in the principal nerves 1 Neuralgia (c) Forcible agitation of one or more muscles in sudden and irregular snatches. 1 Hiccough 2 Sneezing 3 Palpitation 4 Twinkling of the eye lids. 5 Twitching of the tendons. 6 Stretching. (d) Tremulous simultaneous and chronic agitation of various muscles especialy when excited by the will. 1 Trembling 2 St vitus dance 3 Raphania 4 Berileria Division 4th Order I A Affecting several or all of the sensorial powers simultaneously 1 Sleeplessness 2 Restlessness Fidgets Anxiety 3 Antipathy 4 Feline madness 5 Canine “ 6 Head ach stupid chronic pulsating sick [magium] B Swimming of the head. Nervous fainting fit 1 Swoon 2 Convulsion 3 Hysteria 4 Epilepsy 5 Torpor 6 Asphyxia 7 Extacy 8 Trance 9 Lethargy 10 Apoplexy 11 Palsy Diagram No 1 Materia Medica Parts of the body to which medicines are applied A Mucous membranes Belkin 1 Ocular collyria 2 Nasal [illegible] [illegible] 3 Buccal Masticatonia 4 [Gloss]-pharyngeal gargarysmata Trochischi 5 Bronchia Inhalations 6 Gastro-enteric 7 Recto-colic Enemata Suppositona 8 Genito Urinary (b) Enepidermica 1Fumigations 2 Balnea 3 Semicupia 4 Pediluvia 5 [R??ntatioes] 6 Cataplasmata 7 Emplastra (b) Iatraleptica 1 Huguenta 2 Linimenta (c) Endemica. C. Veins 1 Infusion D. Cellular Tissue 1 Inoculation Classification of the Materia Medica Class 1st Affecting the intestinal canal A Exciting discharges Emetics Cathartica B Destroying morbific matter Anthelmintics Antacids Class 2nd Affecting the glandular and follicular system A. Affecting kidneys and their secretion Diuretics [Antilistrics] B. Salivary glands Sialogogues C. Nasal mucous membranes Enhines D. Pulmonary “ “ Expectorants E Cutaneous surface Diaphoretics Class 3rd Affecting the uterine system A Promoting menstrual discharge Emmenagogue B Increasing the contractile powers of the uterus abortives Class 4th Affecting the circulatory system A Increasing the action of the heart and arteries stimulants B Directly diminishing the same sedatives Class 5th Affecting the muscular system A Increasing organic contractility Tonics B Visibly constringing the muscular fibre and coagulating albumen Astringents Class 6th Affecting the nutritive function. A Correcting nutrition Entrophics B Promoting absorption Sorbefacients Class 7th Affecting the nervous system. A Softening irritability and promoting sleep Narcotic B. Increasing irritability and producing rigid spasm Tetanics C. Increasing and equalising the nervous energy Antispasmodic Class 8th Topical remedies. A Soothing and protecting inflamed surfaces Demulcents B Softening the tissues and producing local cutaneous exhalation Emollients C. Raising the cuticle by increased secretion Epispastics D. Irritating and reddening the skin Rubefacients. E. Destroying the substance Escharotics. Questioning Dr Gilbert 1st What are the symptoms of shock 2nd “ is the treatment. 3rd “ the symptoms of reaction Quotidian intermittent. Ordinary. Partial 1st Catenating. Paroxysms 18 hrs Intermission 6 hrs 2nd Anticipating Parox 18 hrs Intermission 4 hrs 3rd Protracted Parox 18-3-21 hrs Intermission 3 hrs. 4th Retarding. Parox 18 hrs Intermission 8 hrs. 5 Varieties of Quartan Intermittent Simple. Days 1 2 3 4 5 6 7 8 P P P Double Days 1 2 3 4 5 6 7 8 P p P p P p Triple. Days 1 2 3 4 5 6 7 8 P p p P p p P Duplicate. Days 1 2 3 4 5 6 7 8 PP PP PP Triplicate Days 1 2 3 4 5 6 7 8 PPP PPP PPP 5 Varieties of Tertian 1st simple (38 hrs Inter Days 1 2 3 4 5 6 7 P P P P 2nd Double (8 hrs Inter. Days 1 2 3 4 5 6 P p P p P p 3rd Triple 8 hrs Inter. Days 1 2 3 4 5 6 7 P pp P p P pp P (24 hrs Inter) 4th Double unequal Days 1 2 3 4 5 6 7 8 P p P p P p P p Duplicate (24 hrs Days 1 2 3 4 5 6 7 8 PP PP PP PP Scale of 72 hours. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 16 18 20 24 48 6 AM 12 P.M. C F S 6 A.M. Paroxysm 18 hours Intermission 6 hrs 12 M Period of 10 PM Quotidian 24 hrs. 12 M 10 P.M. C F S Paroxysm 10 hrs Intermission 38 hours Period of a tertian intermittent 48 hours 5 P.M. 11 P.M. C. F. S Paroxysm 6 hrs intermission 66 hours. Period of a quartan intermittent. 72 hours Key C. Chill. F. Fever. S. Sweat. Small short lines indicate ¼ of an hour Large ones with wider spaces [illegible] hours. Apyrexia. Dicotidian 6 hrs. Tertian 38 hrs. Quartan 66 hrs. Cycle of Quartan 6 months 48 paroxysms Tertian 21 days 7 do Quotidian 3 days 3 do Sequela of Quartan are parabismic tumors Tertian “ indigestion dysnepsia etc. Quotidian “ phlegmasia. Paroxysm Chill. Quotidian 1 hour Tertian ¾ hour Quartan 2 hrs Hot stage. Quot.: 12 hrs Tert.: 6 “ Quart: 3 “ Sweat. Quot. 5 ¾ hr Tert. 3 ¼ hr Quart. 1 hr Treatment of Intermittent Fever. A Indications a Shorten the paroxysm b Weaken “ “ c Prevent “ “ Be Means A During the paroxysm a Antispasmodics 1st Stimulants Capsicum. 2nd Sedatives Opium etc. 3rd Relaxants. Antimony. b During the Apyrexia a Preparatives 1st Relief of ingesta. 2nd “ “ congesta 3rd “ “ inflammation. b Preventives. 1st Sudden corporeal impression. 2nd Concentration of arterial blood. 3rd Change of habits and location. c Radicals. 1st Use of cinchona 2nd Salivation 3rd Growth. 4th Arsenic. Remittent fever 1st mild. 2nd Infantile. 3rd Malignant a Autumnal b Bilious congestive c Yellow d [illegible] e Asthma Yellow Fever, a 1st violent Health 1st violent exacerbation 36 to 72 hours Short remission 2nd exacer Death Continued Fever Onset Quotidian Tertian Quotidian Crisis 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Rise Acme Decline Treatment of Typhus Fever A Simplex 1st Depression Emetics. Eupatorium perfoliatum cal: grs X to XV. purging as a revulsive do grs ii grs iii 3 or 4 hours 2nd Excitation. Cold water to surface ice in the [illegible] bladder of [illegible] water to the head. Saline effervescing draught, spts: Nit: dulce vin [illegible]: 3rd Collapse Urine whey, volatile mixture, castor oil spts: terebinth, camphor, musk, opium, blisters, brandy, porter ale or brown stout. B Inflammatory. V.S. at onset, to subdue the local inflammation completely, [or] the peculiar plethora, blisters if necessary C. Congestion. Hot salt bath followed by Dovers powder and rubefacients to excite the extreme vessels. House Expenses $ cts Chain Pump 8.00 Repairing by Foster 6.00 White washing “ Repairing stable (stall) 1.25 “ Cistern 1.00 “ Stable Roof Cash received in 1854 January $40 for attending a small pox case, paid by the city (extra [illegible]) February March April .50 cts May $3.00 June $13.00 July $1.00 Aug: $11.00 Sept: $6.25 Oct: $10.50 Nov: $2.00 [December] .50 47.45 + 40 extra cash (1855) Received from father in 1854. $150 while in Indianapolis to me Sum Money expended from Jan 1st 1853 to Dec 6th 1854 $150 Amt recd from [home] $87 cash receipts for practice $1237 expended in the year Amt of debt dec 6th [185?] $9 nine dollars Jan $1.50 Feb: March 5. April May 17.50 June 2.50 July 4.00 Aug: 2.00 Sept: 3.00 Oct: 1.00 Nov: Dec $36.50 amt 1855 (cash) Cash 1853 Jan Feb: Mar April May $6.50 June 4.75 July 6.75 Aug: 3.00 Sept Oct: 12.00 Nov: 3.00 Dec: 1.00 $37.00 1st year Indianapolis April 11th 1853 1856 Balance due me at the end of 1st year at Napoleon $470.00 upon the books 1100 [illegible] 529 Leucorrhoea manifests itself by sudden spasmodic pains in the loins and uterus and resembles very much labor. It may be [illegible] to [??ntation] carried by a contracted os uteri the remedy for which is to dilate gradually the contracted as with bougies Preparations of iron used ‘ in diarhoea Preparations of iron [illegible] Nitrate dose zfs zi f [Tarmate] GMD G M Darrach Phosphate 1-3 grs or 5-10 grs [illegible] ¼ - ½ Sulphate 1-3 2 or 3 times a day T GMD GMD GMD GM Darrach GM Darrach GM Darrach GM Darrach Indianapolis GMD [illegible Napoleon G.M. Darrach Napoleon Napoleon Napoleon [??inger] 100 lbs. [illegible] [250] 1 bushel turnips 25 2 doz eggs [19] 1 ½ lbs butter [illegible] doz [eggs] 19 3 lb butter 39 ct 157 whole amount 1st 72 second 85 still due Jo. Biddle 4 [hams] 32 lbs 10 cts [illegible] 320 $68 due on the 13th of April 1855 [illegible] at [illegible] amt charged [1060].00 amt due at the end 470.50 of year [illegible] [illegible] 629.50